Milstien J
Department of Vaccines and Biologicals, World Health Organization, Geneva, Switzerland.
Dev Biol (Basel). 2002;111:15-9.
Previously, the role of the laboratory in the regulation of vaccines and other biological products was key to assuring vaccine quality, where tests for potency and safety in animals were used to predict vaccine efficacy and safety in humans. In the past, regulation of inherently variable biological products depended on the use of inherently variable biological tests. Today, the concepts of regulation are evolving. Systems in place to assure product consistency are required; this is reflected in the need to have Good Manufacturing Practice as a part of quality assurance. Regulation now depends more strongly on experience in the clinic, including large post-marketing studies for safety. It also means that laboratory tests, especially in cases where there are no direct correlates of safety and efficacy, are more properly used for confirmation of consistency. In addition, the products themselves have changed. Many biological products can be produced in a form which allows quantification of characteristics, thus allowing more physical tests to be done. Thus, regulation of biological products in future will probably see a replacement, reduction and refinement (the 3 Rs) of animal testing.
以前,实验室在疫苗及其他生物制品监管中所起的作用对于确保疫苗质量至关重要,当时通过动物效力和安全性试验来预测疫苗在人体中的有效性和安全性。过去,对本质上具有变异性的生物制品的监管依赖于使用本质上具有变异性的生物试验。如今,监管理念正在演变。需要建立确保产品一致性的体系;这体现在将良好生产规范作为质量保证的一部分的必要性上。现在,监管更强烈地依赖于临床经验,包括大规模上市后安全性研究。这也意味着实验室检测,尤其是在没有安全性和有效性直接关联指标的情况下,更适合用于确认一致性。此外,产品本身也发生了变化。许多生物制品可以以能够对特性进行量化的形式生产,从而可以进行更多的物理检测。因此,未来生物制品的监管可能会出现动物试验的替代、减少和优化(3R原则)。