灵活性胜过严格性:利益相关者接受证实性研究的局限性,在加速批准后获得批准
Holly Fernandez Lynch1, Sejin Lee2, Matthew Herder3
1Perelman School of Medicine and Carey Law School, University of Pennsylvania, Philadelphia, PA 19104, United States.
Health affairs scholar
|November 17, 2025
概括
利益相关者在加速审批 (AA) 后确定完成营销后要求 (PMR) 的障碍,但提出可能会损害严格性的解决方案. 未来的努力应集中在确认益处和改善罕见疾病的PMR质量上.
科学领域:
- 制药政策 制药政策
- 药物开发 药物开发
- 监管科学 监管科学
背景情况:
- 加快审批 (AA) 能够更快地获得药物,但也引起了对营销后要求 (PMR) 的担忧.
- 关于利益相关者对严格PMR的障碍和促进者的观点的理解有限,特别是在癌症和罕见疾病方面.
研究的目的:
- 从关键利益关方的角度调查及时和严格的PMRs的障碍和促进者.
- 了解对加速批准药物的高质量PMR进行的挑战,特别是在瘤学和罕见疾病方面.
主要方法:
- 质量研究涉及56个主要利益相关者的采访.
- 参与者包括监管机构,行业高管,患者倡导者和付款人.
主要成果:
- 利益相关者确定了可预测的PMR障碍,并提出了解决方案,这些解决方案往往优先考虑可行性而不是严格性.
- 人们担心在国外或经批准的适应症之外进行PMR,对实际解决方案的共识有限.
- 虽然利益相关者支持在AA之前启动确认性研究,但在维持批准后的严格性方面仍然存在挑战,并呼吁为罕见疾病做出例外.
结论:
- 利益相关者承认PMR的缺陷,但优先考虑灵活性,表明政策变化需要的不仅仅是记录缺乏严格性.
- 未来的战略应优先考虑确认罕见病AA的益处,加强PMR的严格性,并探索AA药物的实际支付改革.
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