解开生物类似物互换性难题:挑性潜入概念和术语,并制定一种策略,尽量减少互换性带来的不确定性
Dalia Mahmoud Ghorab1, Kholoud Mamdouh Abdelfattah2, Howida Kamal Ibrahim3
1Pharmaceutics and Industrial Pharmacy Department, Faculty of Pharmacy, Cairo University, Kasr AlAiny Street, Cairo, 11562, Egypt.
Therapeutic innovation & regulatory science
|April 24, 2025
概括
在全球范围内定义生物类似物互换性至关重要. 存在监管差异,需要采取统一的方法,以安全有效地使用这些非专利生物制品.
科学领域:
- 药物经济学 药物经济学
- 监管科学 监管科学
- 生物技术是生物技术.
背景情况:
- 生物相似药物 (非专利生物制品) 的可互换性在全球范围内进行辩论.
- 生物类似物互换性的监管要求在不同地区之间有很大差异,例如美国和欧盟.
- 为了标准化临床实践,需要对生物相似物互换性的统一全球定义.
研究的目的:
- 审查当前的全球监管格局和围绕生物相似物互换的临床实践.
- 探索生物类似药和仿制药之间的差异,以探讨它们的可互换性.
- 讨论潜在的风险,并提出管理生物类似物互换性不确定性的策略.
主要方法:
- 关于生物相似物互换性的监管指南和科学出版物的文献综述.
- 对不同地区的监管方法进行比较分析 (例如,美国FDA,EMA).
- 探索现实世界的数据利用,以支持可互换性指定.
主要成果:
- 美国FDA要求明确的可互换性数据,而欧盟认为批准的生物类似药可互换.
- 与仿制药相比,生物类药物具有独特的特征,这会影响它们的可互换性.
- 目前的指导方针表明,现实世界的数据可能支持可互换性决策.
结论:
- 协调生物类似物互换性的定义和监管要求至关重要.
- 由数据支持的医疗保健专业人士的信心在临床实践中发挥着关键作用.
- 需要制定战略来应对与生物相似药物转换和替代相关的风险和不确定性.
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