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欧美日上市后药品风险控制措施介绍及对我国的启示

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在药物警戒工作中,风险控制措施(RMM)是将药品获益。风险比最大化的关键步骤。本文通过检索文献及查阅欧盟、美国、日本主要监管机构网站,对其RMM的法规要求及执行现状进行了梳理,发现欧美日均较早设立了相关法规指南并积累了一定的实践经验,且RMM的具体实施及监管强度因医疗体系的差异而存在区域间的不同,如日本与欧盟的特殊风险控制措施在美国以风险评估和减低策略的形式呈现等。笔者建议,我国应持续完善RMM相关法规和监管体系,药品上市许可持有人可在借鉴国外经验的同时,结合我国医疗体系现状,制订贴近实际情况的RMM执行方案,开展切实高效的RMM有效性评估,以保障患者用药安全。
Introduction of post marketing drug risk minimisation measures in Europe,USA,and Japan and enlightenment to China
Risk minimisation measure(RMM)is a critical step to maximize the benefit-risk ratio of a medicinal product in pharmacovigilance activities.Through literature review and consulting the websites of major healthcare authorities in Europe Union,the USA,and Japan,this paper reviewed the RMM regulatory requirements and implementation status of these countries and regions.It was found that Europe,the USA,and Japan established relevant regulations earlier and accumulated valuable experience,and the specific implementation and supervision intensity of RMM varied among regions due to differences in medical systems.For example,additional risk minimization measures in Japan and the European Union are presented as risk evaluation and mitigation strategies in the USA.It is suggested that RMM-related regulations and supervision system should be continuously improved,and the marketing authorization holders in China should develop RMM implementation plans that conform to the actual conditions of China based on foreign experience and combined with the current situation of local medical system,and conduct feasible and efficient RMM effectiveness assessment to ensure patient medication safety.

post marketingrisk minimisation measuresafetypharmacovigilance

李静、唐雪、黄勇、王蔷

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百时美施贵宝(中国)投资有限公司,上海 200040

百时美施贵宝(日本),东京100-0004

上市后 风险控制措施 安全性 药物警戒

2024

中国新药与临床杂志
中国药学会 上海市食品药品监督管理局科技情报研究所

中国新药与临床杂志

CSTPCD北大核心
影响因子:0.967
ISSN:1007-7669
年,卷(期):2024.43(8)