生物相似的批准途径:比较五个药物监管机构的角色
Ryan P Knox1,2,3,4, Vineet Desai2,3, Ameet Sarpatwari2
1Harvard-MIT Center for Regulatory Science, 200 Longwood Ave, Armenise Building Room 109, Boston, MA 02115, USA.
Journal of law and the biosciences
|September 16, 2024
概括
生物类似药改善了获得负担得起的生物制剂的机会. 关于测试,推断和替代的监管政策显著影响全球生物类似药的成功和患者获取.
科学领域:
- 药物经济学 药物经济学
- 监管科学 监管科学
- 卫生政策 卫生政策
背景情况:
- 生物制品是必不可少的,但成本高昂,造成医疗保健负担.
- 生物类药物为提高可负担性和可访问性提供了一条途径.
- 在生物类似药的采用中,全球各式各样的成功需要进行监管分析.
研究的目的:
- 评估药品监管机构对生物类似药物批准方法的变化.
- 确定政策差异导致生物相似药物成功的原因.
- 为改善全球生物类药物获取提供信息的监管改革.
主要方法:
- 对机构指导文件的分析.
- 对同行评审文章和灰色文献的审查.
- 澳大利亚,加拿大,欧盟,英国和美国监管框架的比较研究.
主要成果:
- 监管机构采用类似的核心批准策略.
- 不同的测试政策,指示推断,排他性和替代性影响生物相似结果.
- 支持性政策与更高的生物类似药批准率和吸收率相关.
结论:
- 需要进行监管协调,重点关注支持性政策.
- 在测试,推断,独家和替代方面的改革可以加强生物类似药的采用.
- 优化监管环境是全球获取负担得起的生物制剂的关键.
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