导航孤儿药品名称:欧洲基因疗法的证据要求
Gloria M Palomo1, Tomas Pose-Boirazian2, Frauke Naumann-Winter3
1Agencia Española de Medicamentos y Productos Sanitarios, Calle Campezo 1 Edificio 8, 28022 Madrid, Spain; Committee for Orphan Medicinal Products, European Medicines Agency, Domenico Scarlattilaan 6, 1083 HS, Amsterdam, the Netherlands.
概括
大多数用于罕见疾病的病毒载体介导基因疗法使用临床前数据寻求孤儿指定,通常来自小鼠模型. 提交的文章突出了在很少有治疗方法存在的重大未得到满足的需求.
科学领域:
- 基因治疗 基因治疗
- 罕见疾病 罕见疾病
- 监管科学 监管科学
背景情况:
- 孤儿指定对于罕见疾病药物开发至关重要.
- 病毒载体介导的基因疗法为罕见疾病提供了潜力.
- 了解监管决策提供了对药物开发途径的见解.
研究的目的:
- 分析提交用于将病毒载体介导基因疗法指定为孤儿的数据.
- 了解"孤儿药品委员会"的监管决策.
- 为了成功应用,识别临床前和临床数据的趋势.
主要方法:
- 对申请被指定为孤儿的回顾性分析.
- 专注于病毒载体介导的基因疗法,用于罕见的非瘤疾病.
- 评估支持监管标准的数据.
主要成果:
- 提交的高比例的非临床体内数据表明早期 (临床前) 发育.
- 临床数据仅在13%的申请中存在,通常是初步的.
- 经常用于概念验证的鼠标模型;代用终点很常见.
- 显著利益标准适用于54%的提交,显示重点是未满足的需求.
结论:
- 早期,临床前数据,特别是来自体内研究的数据,主导了基因疗法孤儿指定应用程序.
- 赞助商优先考虑为罕见疾病开发基因疗法,这些疾病具有很高的未满足的医疗需求和有限的现有治疗方法.
- 监管洞察力强调了强大的非临床数据对于早期基因疗法开发的重要性.
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