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丙型肝炎的通用药物。

Generic medications for hepatitis C.

作者信息

Jensen Donald M, Sebhatu Phoebe, Reau Nancy S

机构信息

Section of Hepatology, Department of Medicine, RUSH Medical Center, Chicago, IL, USA.

出版信息

Liver Int. 2016 Jul;36(7):925-8. doi: 10.1111/liv.13120.

DOI:10.1111/liv.13120
PMID:27306302
Abstract

The recent development and approval of expensive but highly effective oral agents against hepatitis C has led to restrictions and access limitations in many countries with limited healthcare budgets. Generic formulations of many of these agents are available at a fraction of the retail price in several countries because of generic licensure agreements. The discounted alternatives are only accessible in developing countries and require manufacturing and distribution regulations to ensure the quality and bioequivalence of the new drug formulations. The continued medication access limitations have driven great interest in the practice of personal drug importation of the generic formulations. This review and debate will address the medical and legal issues involved in the purchase and importation of these medicines.

摘要

近期,针对丙型肝炎的昂贵但高效的口服药物得到开发并获批,这在许多医疗保健预算有限的国家导致了限制和获取方面的局限。由于仿制药许可协议,其中许多药物的仿制药制剂在一些国家的售价仅为零售价的一小部分。这些打折的替代药物仅在发展中国家可以获取,并且需要生产和分销法规来确保新药物制剂的质量和生物等效性。持续存在的药物获取限制引发了人们对个人进口仿制药制剂做法的浓厚兴趣。本次综述和辩论将探讨购买和进口这些药物所涉及的医学和法律问题。

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Liver Int. 2016 Jul;36(7):925-8. doi: 10.1111/liv.13120.
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Importation of generic hepatitis C therapies: bridging the gap between price and access in high-income countries.通用型丙型肝炎治疗药物的引进:弥合高收入国家价格与可及性之间的差距。
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US Food and Drug Administration Disruption of Generic Drug Market Increases Hospital Costs.美国食品和药物管理局扰乱仿制药市场增加了医院成本。
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Policy implications of drug importation.药品进口的政策影响。
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引用本文的文献

1
Strategy and Efficacy of Generic and Pan-genotypic Sofosbuvir/Velpatasvir in Chronic Hepatitis C Virus: A Myanmar Experience.通用型和泛基因型索磷布韦/维帕他韦治疗慢性丙型肝炎病毒的策略与疗效:缅甸经验
J Clin Exp Hepatol. 2019 May-Jun;9(3):283-293. doi: 10.1016/j.jceh.2018.12.001. Epub 2018 Dec 19.
2
High sustained virological response rates using imported generic direct acting antiviral treatment for hepatitis C.使用进口通用型直接抗病毒药物治疗丙型肝炎的持续病毒学应答率较高。
J Virus Erad. 2017 Oct 1;3(4):200-203. doi: 10.1016/S2055-6640(20)30324-1.
3
The road to elimination of hepatitis C: analysis of cures versus new infections in 91 countries.
丙型肝炎消除之路:91个国家治愈病例与新感染病例分析
J Virus Erad. 2017 Jul 1;3(3):117-123. doi: 10.1016/S2055-6640(20)30329-0.
4
Hepatitis C treatment: where are we now?丙型肝炎治疗:我们目前处于什么阶段?
Int J Gen Med. 2017 Feb 17;10:39-52. doi: 10.2147/IJGM.S127689. eCollection 2017.
5
Predictable threats to public health through delaying universal access to innovative medicines for hepatitis C: a pharmaceutical standpoint.从制药角度看,因延迟普及丙型肝炎创新药物而对公众健康造成的可预见威胁。
Trop Med Int Health. 2016 Dec;21(12):1490-1495. doi: 10.1111/tmi.12784. Epub 2016 Oct 17.