Mori Kazuhiko
Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.
Yakugaku Zasshi. 2013;133(1):73-80. doi: 10.1248/yakushi.12-00245-5.
The Japanese Ministry of Health, Labour and Welfare (MHLW) and the Pharmaceuticals and Medical Devices Agency (PMDA) are responsible for appropriately implementing regulations and providing necessary instructions and advice so that patients have access to safer, more effective drugs. These responsibilities are essential missions of the MHLW/PMDA, although restrictions on drug use or development might be considered to be purely regulatory matters. In the genomic drug discovery era of the 21st century, it is expected that new, innovative drugs will be developed, although the reality can be slightly disturbing. The number of approvals of new molecular entities (NMEs) is only approximately 20 per year both in Japan and the USA and may reach an even lower level. In light of current drug development trends, drug delivery systems (DDS) for targeted therapy or personalized medicines as well as NMEs should be explored more proactively. To promote the development and evaluation of innovative DDS, the MHLW/PMDA considers it important to communicate smoothly among industry-government-academia from the very early stage of development. To promote this, the MHLW/PMDA launched regulatory affairs consultations on R&D strategy for drugs in July 2011. Innovative DDS require not only cutting-edge technology or materials but also extensions of existing pharmaceutical technology. It is most important for innovative DDS to benefit patients in practical clinical settings. The MHLW/PMDA encourages the relevant parties to develop a far-sighted strategy with this goal in mind.
日本厚生劳动省(MHLW)和药品医疗器械局(PMDA)负责妥善实施相关规定,并提供必要的指导和建议,以便患者能够使用更安全、更有效的药物。尽管对药物使用或研发的限制可能被视为纯粹的监管事务,但这些职责是厚生劳动省/药品医疗器械局的重要使命。在21世纪的基因组药物发现时代,预计将会开发出新的创新药物,尽管现实情况可能会有些令人不安。在日本和美国,每年新分子实体(NMEs)的获批数量仅约为20种,甚至可能会更低。鉴于当前的药物研发趋势,应更积极地探索用于靶向治疗或个性化药物的药物递送系统(DDS)以及新分子实体。为促进创新型药物递送系统的研发和评估,厚生劳动省/药品医疗器械局认为从研发的最初阶段就在产业界、政府和学术界之间进行顺畅沟通非常重要。为推动此事,厚生劳动省/药品医疗器械局于2011年7月启动了关于药物研发战略的监管事务磋商。创新型药物递送系统不仅需要前沿技术或材料,还需要对现有制药技术进行拓展。对于创新型药物递送系统而言,在实际临床环境中使患者受益最为重要。厚生劳动省/药品医疗器械局鼓励相关各方以此为目标制定具有前瞻性的战略。