中国食品药品监管2024,Issue(8) :42-55.DOI:10.3969/j.issn.1673-5390.2024.08.005

度普利尤单抗注射液儿科临床研究对我国儿童用药研发的启示

The Enlightenment of Pediatric Clinical Research on Dupilumab Injection for Drug Development in Children in China

高丽丽 衡明莉 潘鹏玉 贺锐锐 魏春敏
中国食品药品监管2024,Issue(8) :42-55.DOI:10.3969/j.issn.1673-5390.2024.08.005

度普利尤单抗注射液儿科临床研究对我国儿童用药研发的启示

The Enlightenment of Pediatric Clinical Research on Dupilumab Injection for Drug Development in Children in China

高丽丽 1衡明莉 1潘鹏玉 1贺锐锐 1魏春敏1
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作者信息

  • 1. 国家药品监督管理局药品审评中心
  • 折叠

摘要

特应性皮炎在成人和多个年龄段儿科人群中均有发生.度普利尤单抗注射液是首个靶向白介素-4受体亚基α(IL-4Rα)的全人源化的免疫球蛋白G4(IgG4)亚类单克隆抗体,用于治疗成人和儿童人群不同程度的特应性皮炎.本文详细梳理了度普利尤单抗注射液儿科人群特应性皮炎适应症的研发历程和临床药理学研究内容.该产品采用年龄顺序从大到小、分阶段交错、逐步递进的研发策略,开展多个儿科临床研究,同时充分利用儿科人群暴露量数据与成人暴露量进行匹配,并结合暴露-效应分析进行儿科人群的剂量选择.本文还深入分析了当前我国儿科特应性皮炎适应症研发的进展和现状,以期为我国儿童用药研发提供参考.

Abstract

Atopic dermatitis occurs in adults and pediatric populations of all ages.Dupilumab injection is the first fully humanized immunoglobulin G4(IgG4)subtype monoclonal antibody against targeting the interleukin-4 receptor subunit α(IL-4Rα),used to treat varying degrees of atopic dermatitis in both adults and children.This article reviews the development process and clinical pharmacology studies of dupilumab injection for pediatric atopic dermatitis indications.The product development strategy involved a stepwise,age-sequential approach,starting from older children to younger age groups.Multiple pediatric clinical studies were carried out progressively,utilizing pediatric exposure data to match adult exposure and combining exposure-effect analyses for dose selection in pediatric patients.The current progress and status of the development of pediatric atopic dermatitis indications in China were also analyzed,aiming to provide references for domestic pediatric drug development.

关键词

度普利尤单抗/特应性皮炎/儿童用药/临床药理

Key words

dupilumab/atopic dermatitis/children's medication/clinical pharmacology

引用本文复制引用

出版年

2024
中国食品药品监管
中国医药报社

中国食品药品监管

影响因子:0.099
ISSN:1673-5390
参考文献量1
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