Carpenter Daniel, Tobbell Dominique A
Bull Hist Med. 2011 Spring;85(1):93-131. doi: 10.1353/bhm.2011.0024.
Generic drugs cannot be marketed without regulatory and clinical demonstration of "bioequivalence." The authors argue that the concept of "bioequivalence" is a joint regulatory and scientific creation, not purely a technical concept, and not purely a legal concept. It developed at the interstices of networks of pharmacologists, regulators, food and drug lawyers, and American and European policy makers interested in "generic" drugs. This article provides a situated perspective on the history of bioequivalence, which emphasizes the shaping role of the state upon scientific processes, networks of regulators and scientists, and the centrality of transnational dynamics in the formation of drug regulatory standards.
没有监管部门的批准和临床“生物等效性”证明,仿制药就无法上市。作者认为,“生物等效性”概念是监管部门与科学界共同创造的,并非纯粹的技术概念,也非纯粹的法律概念。它是在药理学家、监管人员、食品药品律师以及关注“仿制药”的美欧政策制定者网络的交叉点上发展起来的。本文从特定角度阐述了生物等效性的历史,强调了国家在科学进程、监管人员与科学家网络形成过程中所起的塑造作用,以及跨国动态在药品监管标准形成中的核心地位。