澳大利亚获取FDA批准的突破性疗法指定药物:十年回顾
Senthil Lingaratnam1,2, Safeera Yasmeen Hussainy1,2,3, Alexandra Murphy4
1Pharmacy Department, Peter MacCallum Cancer Centre, Melbourne, Australia.
Journal of pharmaceutical policy and practice
|August 23, 2024
概括
通过美国FDA的突破性治疗指标 (BTD) 批准的药物大约两年后在澳大利亚可获得. 自2018年以来,癌症治疗的准入得到了改善,PBS列表时间更快.
科学领域:
- 药物经济学 药物经济学
- 药物监管事务 药物监管事务
- 医疗服务研究 医疗服务研究
背景情况:
- 美国FDA和澳大利亚TGA对针对严重疾病的新型药物使用快速通道.
- 美国食品和药物管理局的突破性治疗指标 (BTD) 旨在加快针对严重疾病的药物的开发和审查.
研究的目的:
- 评估澳大利亚获得FDA批准的BTD药物的可用性.
- 分析TGA批准和PBAC/PBS上市的时间表.
- 为了比较癌症和非癌症的治疗指标.
主要方法:
- 对BTDs (2013-2023) 的FDA,TGA,PBAC和PBS数据的回顾性审查.
- 收集关于BTD里程碑和批准/上市时间表的数据.
- 从FDA提交到TGA/PBAC/PBS行动的中位时间的分析.
主要成果:
- 68%的BTD被TGA批准; 37%被PBS列出.
- 从FDA批准到PBS上市的中位时间是2年.
- 癌症BTD在2018-2022年期间的PBS上市时间比较早些时候有所改善.
结论:
- 澳大利亚的BTD药物到达澳大利亚患者的中位延迟大约是FDA批准后的两年.
- 癌症治疗的PBS列表时间的最近改进与更快的FDA批准一致.
- 对临床数据和治疗背景的进一步研究可能会提高及时和安全的药物获取.
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