首页|《第一批罕见病目录》孤儿药的国内外剂型差异及临床应用分析

《第一批罕见病目录》孤儿药的国内外剂型差异及临床应用分析

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目的 比较《第一批罕见病目录》孤儿药在美国FDA和我国国家药品监督管理局(NMPA)上市品种的剂型差异,为罕见病药物治疗和新剂型的研发提供参考。方法 纳入美国FDA和我国NMPA均上市,并在《第一批罕见病目录》疾病治疗存在剂型差异的孤儿药。对比美国FDA和我国NMPA均有相同通用名药物上市品种的剂型差异。分析国内暂无相关剂型的孤儿药在美国FDA获批孤儿药资格和上市时间、适应证和用法,以及在EMA和日本获批上市情况和我国临床试验开展情况。结果 截至2022年9月,《第一批罕见病目录》疾病中,有308种(43。5%,308/708)美国FDA上市的孤儿药在我国有相同通用名药物获批,其中55种(17。8%)与美国FDA存在剂型差异,8种孤儿药的11种剂型为美国FDA批准用于治疗《第一批罕见病目录》疾病的药物,涉及6种罕见病。结论 与国外相比,我国罕见病治疗药物仍存在"药物可获得,但相关剂型不能满足临床需求"的现象,需进一步关注相同通用名药物的不同剂型能否满足罕见病治疗需求。
Analysis of the dosage forms difference of orphan drugs in China and abroad in the First List of Rare Diseases
Objective To compare the difference between orphan drugs included in the First Rare Disease Catalogue in the U.S.FDA(Food&Drug Administration,FDA)and NMPA(Natimal Medical Products Ad-ministration).It provides a reference for the management of drug therapy for rare diseases and the research and development of new dosage forms.Methods The varieties of orphan drugs listed in the U.S.FDA and approved in the domestic NMPA for diseases included in the First List of Rare Diseases were included.Com-pared with the U.S.FDA and China's NMPA,there are differences in dosage forms with generic drug-listed varieties.The orphan drugs without relevant dosage forms in the U.S.FDA orphan drug-qualification and approval time,approval indication and usage,as well as the approval status in other countries and the clini-cal trials in China were analyzed.Results As of September 2022,among the diseases in the First List of Rare Diseases,308(43.5%,308/608)orphan drugs-listed by the U.S.FDA have been approved in China with the same generic name,of which 55(17.8%)have dosage forms different from the U.S.FDA,and 8 drugs(11 dosage forms)are approved by the U.S.FDA for the treatment of diseases in the First List of Rare Diseases,involving 6 rare diseases.Conclusion Compared with foreign countries,there is still a phenome-non that"drugs canbe obtained,but the relevant dosage forms can not meet the clinical needs"in China,and further attention should be paid to whether different dosage forms of the same generic name drugs can meet the treatment needs of rare diseases.

rare diseasesorphan drugsdosage formaccessibility

刘清扬、王少红、后子靖、左玮、刘鑫、唐彦、张波

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中国医学科学院北京协和医学院北京协和医院 药剂科,北京 100730

北京中医药大学东直门医院 药学部,北京 100700

罕见病 孤儿药 剂型 可及性

中央高水平医院临床科研业务费资助中国医学科学院医学与健康科技创新工程

2022-PUMCH-B-0592021-I2M-1-003

2024

临床药物治疗杂志
北京药学会

临床药物治疗杂志

CSTPCD
影响因子:1.07
ISSN:1672-3384
年,卷(期):2024.22(1)
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