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治疗性药品面临的挑战及其应对措施。

Challenges with advanced therapy medicinal products and how to meet them.

出版信息

Nat Rev Drug Discov. 2010 Mar;9(3):195-201. doi: 10.1038/nrd3052.

DOI:10.1038/nrd3052
PMID:20190786
Abstract

Advanced therapy medicinal products (ATMPs), which include gene therapy medicinal products, somatic cell therapy medicinal products and tissue-engineered products, are at the cutting edge of innovation and offer a major hope for various diseases for which there are limited or no therapeutic options. They have therefore been subject to considerable interest and debate. Following the European regulation on ATMPs, a consolidated regulatory framework for these innovative medicines has recently been established. Central to this framework is the Committee for Advanced Therapies (CAT) at the European Medicines Agency (EMA), comprising a multidisciplinary scientific expert committee, representing all EU member states and European Free Trade Association countries, as well as patient and medical associations. In this article, the CAT discusses some of the typical issues raised by developers of ATMPs, and highlights the opportunities for such companies and research groups to approach the EMA and the CAT as a regulatory advisor during development.

摘要

先进治疗药物产品(ATMPs)包括基因治疗药物产品、体细胞治疗药物产品和组织工程产品,处于创新的前沿,为各种治疗选择有限或没有治疗选择的疾病带来了重大希望。因此,它们引起了相当大的关注和争议。根据欧洲关于 ATMPs 的法规,最近为这些创新药物建立了一个综合监管框架。该框架的核心是欧洲药品管理局(EMA)的先进治疗药物委员会(CAT),该委员会由一个多学科科学专家委员会组成,代表所有欧盟成员国和欧洲自由贸易联盟国家,以及患者和医疗协会。在本文中,CAT 讨论了 ATMPs 开发者提出的一些典型问题,并强调了此类公司和研究小组在开发过程中作为监管顾问与 EMA 和 CAT 联系的机会。

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[Report from the Committee for Advanced Therapies (CAT). Pitfalls on the way from concept to medical treatment with advanced therapy medicinal products].[先进治疗委员会(CAT)报告。从先进治疗药品的概念到医学治疗过程中的陷阱]
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The Role and Challenges of Investigator-Initiated Trials in the Cell and Gene Therapy Products Boom in Mainland China.研究者发起的试验在中国内地细胞与基因治疗产品热潮中的作用与挑战
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本文引用的文献

1
Articular cartilage tissue engineering: today's research, tomorrow's practice?关节软骨组织工程:今日之研究,明日之应用?
J Bone Joint Surg Br. 2009 May;91(5):565-76. doi: 10.1302/0301-620X.91B5.21832.
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Preventing and exploiting the oncogenic potential of integrating gene vectors.预防和利用整合型基因载体的致癌潜力。
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An inducible system for highly efficient production of recombinant adeno-associated virus (rAAV) vectors in insect Sf9 cells.一种用于在昆虫Sf9细胞中高效生产重组腺相关病毒(rAAV)载体的诱导系统。
一种用于检测两种先进治疗药物产品(间充质基质细胞及其细胞外囊泡)无菌性的自动化质量控制方法的验证
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High throughput and rapid isolation of extracellular vesicles and exosomes with purity using size exclusion liquid chromatography.使用尺寸排阻液相色谱法高通量且快速地分离出具有纯度的细胞外囊泡和外泌体。
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Prevention of Transition from Acute Kidney Injury to Chronic Kidney Disease Using Clinical-Grade Perinatal Stem Cells in Non-Clinical Study.使用临床级围产期干细胞预防急性肾损伤向慢性肾脏病的转变:非临床研究。
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Potential of Personalized Dendritic Cell-Based Immunohybridoma Vaccines to Treat Prostate Cancer.基于个性化树突状细胞的免疫杂交瘤疫苗治疗前列腺癌的潜力。
Life (Basel). 2023 Jul 1;13(7):1498. doi: 10.3390/life13071498.
7
Illustrative Potency Assay Examples from Approved Therapies.获批治疗药物的效价测定实例。
Adv Exp Med Biol. 2023;1420:139-149. doi: 10.1007/978-3-031-30040-0_9.
8
Potency Assays: The 'Bugaboo' of Stem Cell Therapy.效力测定:干细胞治疗的“绊脚石”。
Adv Exp Med Biol. 2023;1420:29-38. doi: 10.1007/978-3-031-30040-0_3.
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The Art of Stem Cell-Based Therapy.基于干细胞的治疗艺术。
Adv Exp Med Biol. 2023;1420:1-12. doi: 10.1007/978-3-031-30040-0_1.
10
Tissue engineering in reconstructive urology-The current status and critical insights to set future directions-critical review.重建泌尿外科中的组织工程——当前现状及对设定未来方向的关键见解——批判性综述
Front Bioeng Biotechnol. 2023 Mar 1;10:1040987. doi: 10.3389/fbioe.2022.1040987. eCollection 2022.
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Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient.共济失调毛细血管扩张症患者神经干细胞移植后供体来源的脑肿瘤
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Gene therapy fulfilling its promise.基因疗法正在兑现其承诺。
N Engl J Med. 2009 Jan 29;360(5):518-21. doi: 10.1056/NEJMe0809614.
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Gene therapy for immunodeficiency due to adenosine deaminase deficiency.针对腺苷脱氨酶缺乏所致免疫缺陷的基因治疗。
N Engl J Med. 2009 Jan 29;360(5):447-58. doi: 10.1056/NEJMoa0805817.
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The US and EU regulatory perspectives on the clinical use of hematopoietic stem/progenitor cells genetically modified ex vivo by retroviral vectors.美国和欧盟对经逆转录病毒载体体外基因改造的造血干细胞/祖细胞临床应用的监管观点。
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Effect of gene therapy on visual function in Leber's congenital amaurosis.基因治疗对莱伯先天性黑蒙视觉功能的影响。
N Engl J Med. 2008 May 22;358(21):2231-9. doi: 10.1056/NEJMoa0802268. Epub 2008 Apr 27.