The process for developing new drug and biologic products is extraordinarily expensive and time-consuming. Although large pharmaceutical companies may be able to afford the cost of development because they can expect a large return on investment, organizations developing drugs to treat rare and neglected diseases are unable to rely on such returns. On June 23, 2008, the Institute of Medicine's Forum on Drug Discovery, Development, and Translation held a public workshop, "Breakthrough Business Models: Drug Development for Rare and Neglected Diseases and Individualized Therapies," which sought to explore new and innovative strategies for developing drugs for rare and neglected diseases.Table of ContentsFront Matter1 Introduction and Overview2 Current Model for Financing Drug Development: From Concept Through Approval3 The Food and Drug Administration's Orphan Drug Program4 Diverse Funding Models5 Strategies for Facilitating Sharing of Research Materials and Data6 Strategies for Navigating Intellectual Property7 Strategies for Facilitating Clinical Trials8 SummaryReferencesAppendix A: AgendaAppendix B: Speaker BiographiesAppendix C: Resources