Giancola Raffaella, Bonfini Tiziana, Iacone Antonio
Department of Transfusion Medicine, Pescara Civil Hospital, Italy.
Muscles Ligaments Tendons J. 2012 Oct 16;2(3):243-7. Print 2012 Jul.
Advanced therapies constitute one of the most complex, organizational, and regulatory areas currently approached by clinical researchers in order to explore new therapeutic applications. Basic scientists and clinicians trying to implement cell therapies into clinical practice, may feel overwhelmed by the apparently endless regulatory requirements that apply. However, regulatory agencies have primary responsibility on patient safety and law enforcement are, and should be, their main considerations. Cell- and tissue-based therapies have the potential to treat many conditions, where present conventional treatments are inadequate. The current approach to cell- and tissue-based therapy development requires using good manufacturing production facilities through master and working cell banks. Facilities need to be purpose-designed and accredited by their national medicinal regulatory body and production scientists need to work in close tandem with quality assurances and ethics committees to absolutely ensure the safety of this cellular products.
先进疗法是临床研究人员目前为探索新的治疗应用而涉足的最复杂、组织和监管领域之一。试图将细胞疗法应用于临床实践的基础科学家和临床医生,可能会被适用的看似无穷无尽的监管要求压得喘不过气来。然而,监管机构对患者安全负有主要责任,执法是且应该是他们的主要考虑因素。基于细胞和组织的疗法有可能治疗许多现有传统治疗方法不足的病症。当前基于细胞和组织的疗法开发方法要求通过主细胞库和工作细胞库使用良好生产规范的生产设施。这些设施需要专门设计并由其国家药品监管机构认证,生产科学家需要与质量保证和伦理委员会密切合作,以绝对确保这些细胞产品的安全性。