Chen Yuan-Chuan, Cheng Hwei-Fang, Yeh Ming-Kung
Cell Transplant. 2017 Mar 13;26(3):483-492. doi: 10.3727/096368916X693293. Epub 2016 Sep 30.
Cell therapy is not only a novel medical practice but also a medicinal product [cell therapy product (CTP)]. More and more CTPs are being approved for marketing globally because of the rapid development of biomedicine in cell culture, preservation, and preparation. However, regulation is the most important criterion for the development of CTPs. Regulations must be flexible to expedite the process of marketing for new CTPs. Recently, the Taiwan Food and Drug Administration (TFDA) updated the related regulations such as regulation of development, current regulatory framework and process, and the application and evaluation processes. When the quality of CTPs has been improved significantly, their safety and efficacy are further ensured. The treatment protocol, a new design for adaptive licensing to current clinical practice, is a rapid process for patients with life-threatening diseases or serious conditions for which there are no suitable drugs, medical devices, or other therapeutic methods available. The hospital can submit the treatment protocol to apply for cell therapy as a medical practice, which may result in easier and faster cell therapy development, and personalized treatment for individual patients will evolve quickly.
细胞疗法不仅是一种新型医疗实践,也是一种医药产品[细胞治疗产品(CTP)]。由于生物医学在细胞培养、保存和制备方面的快速发展,越来越多的细胞治疗产品在全球范围内获批上市。然而,监管是细胞治疗产品发展的最重要标准。监管必须灵活,以加快新型细胞治疗产品的上市进程。最近,台湾食品药品管理局(TFDA)更新了相关法规,如开发监管、现行监管框架和流程以及申请和评估流程。当细胞治疗产品的质量得到显著提高时,其安全性和有效性将得到进一步保障。治疗方案是针对当前临床实践的适应性许可的新设计,对于患有危及生命的疾病或严重病症且没有合适药物、医疗器械或其他治疗方法的患者来说,这是一个快速流程。医院可以提交治疗方案以申请将细胞疗法作为一种医疗实践,这可能会使细胞疗法的开发更容易、更快,并且针对个体患者的个性化治疗将迅速发展。