Rosenthal S R, Clifford J C M
Division of Vaccines and Related Products Applications, Office of Vaccines Research and Review, CBER/FDA, Rockville, Maryland 20852, USA.
Dev Biol (Basel). 2002;110:99-105.
There is a recognized need for the development of new vaccines (as well as other biologicals and drugs) to counteract the effects of a potential bio-terrorist or bio-warfare event in the U.S. domestic population and military forces. Regulation of products to protect against potential bio-warfare agents poses unique challenges since the usual measures of efficacy that require exposure to natural disease may not currently be possible, for epidemiological and ethical reasons. To help to address this issue, the FDA has published and requested comments on a proposed animal rule intended to address certain efficacy issues for new agents for use against lethal or permanently disabling toxic substances. Recent product development activity has focused on Bacillus anthracis (anthrax) and variola major (smallpox), agents that are regarded as highest priority in posing a risk to national security. FDA resources exist to assist vaccine developers with regard to the novel challenges posed in the dinical development of these products.
人们认识到,需要开发新的疫苗(以及其他生物制品和药物),以应对美国国内民众和军事力量可能遭受的生物恐怖主义或生物战事件的影响。由于出于流行病学和伦理原因,目前可能无法采用通常需要接触自然疾病的疗效衡量措施,因此针对潜在生物战剂的产品监管面临独特挑战。为帮助解决这一问题,美国食品药品监督管理局(FDA)已发布一项拟议的动物规则并征求意见,该规则旨在解决针对致死性或永久性致残有毒物质的新制剂的某些疗效问题。近期的产品开发活动主要集中在炭疽杆菌(炭疽)和天花病毒(天花)上,这些制剂被视为对国家安全构成风险的最高优先级制剂。FDA有资源协助疫苗开发者应对这些产品临床开发中提出的新挑战。