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欧洲孤儿药法规:10 年经验与未来展望。

European regulation on orphan medicinal products: 10 years of experience and future perspectives.

出版信息

Nat Rev Drug Discov. 2011 May;10(5):341-9. doi: 10.1038/nrd3445.

DOI:10.1038/nrd3445
PMID:21532564
Abstract

In 2000, regulation on orphan medicinal products was adopted in the European Union with the aim of benefiting patients who suffer from serious, rare conditions for which there is currently no satisfactory treatment. Since then, more than 850 orphan drug designations have been granted by the European Commission based on a positive opinion from the Committee for Orphan Medicinal Products (COMP), and more than 60 orphan drugs have received marketing authorization in Europe. Here, stimulated by the tenth anniversary of the COMP, we reflect on the outcomes and experience gained in the past decade, and contemplate issues for the future, such as catalysing drug development for the large number of rare diseases that still lack effective treatments.

摘要

2000 年,欧盟通过了关于罕见药品的法规,旨在使目前尚无满意治疗方法的患有严重、罕见疾病的患者受益。此后,根据孤儿药委员会(COMP)的积极意见,欧盟委员会已批准了 850 多项孤儿药认定,并且已有 60 多种孤儿药在欧洲获得上市许可。值此 COMP 成立十周年之际,我们在此对过去十年的成果和经验进行反思,并探讨未来的问题,例如为大量仍缺乏有效治疗方法的罕见疾病推动药物开发。

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本文引用的文献

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Orphan drugs. EU regulations.孤儿药。欧盟法规。
BMJ. 2011 Jan 11;342:d136. doi: 10.1136/bmj.d136.
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Emergence of orphan drugs in the United States: a quantitative assessment of the first 25 years.美国孤儿药的出现:对前 25 年的定量评估。
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Challenges with advanced therapy medicinal products and how to meet them.治疗性药品面临的挑战及其应对措施。
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Investigation of the diagnostic importance and accuracy of CT in the chest compared to the RT-PCR test for suspected COVID-19 patients in Jordan.比较 CT 与 RT-PCR 检测在疑似 COVID-19 患者中的诊断价值和准确性的研究,在约旦。
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Voluntariness or legal obligation? An ethical analysis of two instruments for fairer global access to COVID-19 vaccines.自愿还是法律义务?对实现更公平获取 COVID-19 疫苗的两种工具的伦理分析。
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Making Sure That Orphan Incentives Tip the Right Way in Europe.确保欧洲孤儿药激励措施发挥正确作用。
Healthcare (Basel). 2022 Aug 23;10(9):1600. doi: 10.3390/healthcare10091600.
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Orphan Medicinal Products for the Treatment of Pancreatic Cancer: Lessons Learned From Two Decades of Orphan Designation.用于治疗胰腺癌的孤儿药:从二十年孤儿药指定中吸取的经验教训
Front Oncol. 2021 Dec 20;11:809035. doi: 10.3389/fonc.2021.809035. eCollection 2021.
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Using four decades of FDA orphan drug designations to describe trends in rare disease drug development: substantial growth seen in development of drugs for rare oncologic, neurologic, and pediatric-onset diseases.利用美国食品和药物管理局(FDA)四十年来的孤儿药指定来描述罕见病药物开发的趋势:在治疗罕见肿瘤、神经和儿科疾病的药物开发方面取得了显著增长。
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Biomed Hub. 2020 Jul 17;5(2):1-11. doi: 10.1159/000509272. eCollection 2020 May-Aug.
10
FDA orphan products clinical trial grants: assessment of outcomes and impact on rare disease product development.美国食品和药物管理局孤儿产品临床试验资助:对结果的评估及其对罕见病产品开发的影响。
Orphanet J Rare Dis. 2020 Sep 3;15(1):234. doi: 10.1186/s13023-020-01514-5.
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