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类似的生物治疗产品:概述与思考。

Similar biotherapeutic products: overview and reflections.

机构信息

Center for Autoimmune Diseases Research (CREA), School of Medicine & Health Sciences, Universidad del Rosario, Carrera 24 # 63-C-69. Third Floor, Bogotá, Colombia.

出版信息

Immunotherapy. 2012 Dec;4(12):1841-57. doi: 10.2217/imt.12.128.

DOI:10.2217/imt.12.128
PMID:23240752
Abstract

Biotherapeutic products (BPs) have revolutionized medicine, changing the way we treat several pathologies such as autoimmune diseases and cancer, among others. Herein, we present an overview of similar BPs (SBPs), also called biosimilars, including the manufacturing process and regulatory aspects involved. The objective of developing an SBP is to manufacture a molecule that is highly similar to a reference BP by conducting a comparability exercise (CE) that can demonstrate similar safety and efficacy. This CE consists of quality, as well as nonclinical and clinical evaluation. A case-by-case analysis approach guided by scientific and objective standards must be the foundation for the SBP approval process. The establishment of a balance between a comprehensive CE for SBPs and their reference BPs, and the design of costeffective strategies to provide better access to BPs, should be the key goal for national regulatory authorities.

摘要

生物治疗产品(BPs)彻底改变了医学,改变了我们治疗多种疾病的方式,如自身免疫性疾病和癌症等。本文介绍了类似的生物治疗产品(SBPs),也称为生物仿制药,包括制造过程和涉及的监管方面。开发 SBP 的目的是通过进行可比性研究(CE)来制造一种与参比生物制剂高度相似的分子,以证明其具有相似的安全性和疗效。该 CE 包括质量以及非临床和临床评估。基于科学和客观标准的个案分析方法必须成为 SBP 审批程序的基础。在全面的 SBPs 和参比 BPs 的 CE 之间建立平衡,并设计具有成本效益的策略,以更好地获得生物制剂,这应该是国家监管机构的主要目标。

相似文献

1
Similar biotherapeutic products: overview and reflections.类似的生物治疗产品:概述与思考。
Immunotherapy. 2012 Dec;4(12):1841-57. doi: 10.2217/imt.12.128.
2
Comparability and biosimilarity: considerations for the healthcare provider.可比性和生物相似性:医疗保健提供者的考虑因素。
Curr Med Res Opin. 2012 Jun;28(6):1053-8. doi: 10.1185/03007995.2012.686902. Epub 2012 Jun 6.
3
The Language of Biosimilars: Clarification, Definitions, and Regulatory Aspects.生物类似药的语言:阐释、定义及监管方面
Drugs. 2017 Apr;77(6):671-677. doi: 10.1007/s40265-017-0717-1.
4
Developing clinical trials for biosimilars.开发生物类似药的临床试验。
Semin Oncol. 2014 Feb;41 Suppl 1:S15-25. doi: 10.1053/j.seminoncol.2013.12.002. Epub 2013 Dec 7.
5
Biosimilar safety considerations in clinical practice.生物类似药在临床实践中的安全性考虑。
Semin Oncol. 2014 Feb;41 Suppl 1:S3-14. doi: 10.1053/j.seminoncol.2013.12.001. Epub 2013 Dec 6.
6
Global regulatory standards for the approval of biosimilars.生物类似药批准的全球监管标准。
Food Drug Law J. 2010;65(4):819-37, ii-iii.
7
Biosimilars clinical development program: confirmatory clinical trials: a virtual/simulated case study comparing equivalence and non-inferiority approaches.生物类似药临床开发项目:确证性临床试验:一项比较等效性和非劣效性方法的虚拟/模拟案例研究
Biologicals. 2011 Sep;39(5):270-7. doi: 10.1016/j.biologicals.2011.06.004. Epub 2011 Aug 27.
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Biosimilars in oncology: from development to clinical practice.肿瘤学中的生物类似药:从研发到临床实践。
Semin Oncol. 2014 Apr;41 Suppl 3:S3-S12. doi: 10.1053/j.seminoncol.2014.03.008. Epub 2014 Mar 13.
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Biosimilar insulins.生物类似胰岛素。
Expert Opin Biol Ther. 2012 Aug;12(8):1009-16. doi: 10.1517/14712598.2012.688024. Epub 2012 May 15.
10
[Biosimilars: assessment of efficacy, safety and cost].[生物类似药:疗效、安全性及成本评估]
Farm Hosp. 2010 Mar;34 Suppl 1:25-8. doi: 10.1016/S1130-6343(10)70006-4.

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Practical Management of Biosimilar Use in Inflammatory Bowel Disease (IBD): A Global Survey and an International Delphi Consensus.炎症性肠病(IBD)中生物类似药使用的实际管理:一项全球调查及国际德尔菲共识
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