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从老药中挖掘宝藏:仿制药许可的挑战与重要性。

Finding hidden treasures in old drugs: the challenges and importance of licensing generics.

机构信息

Department of Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands.

Department of Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

Drug Discov Today. 2018 Jan;23(1):17-21. doi: 10.1016/j.drudis.2017.08.008. Epub 2017 Sep 1.

DOI:10.1016/j.drudis.2017.08.008
PMID:28867540
Abstract

Identifying new indications for existing drugs creates new therapeutic options while bypassing much of the costs and time involved with bringing a new drug to market. The rediscovery of a generic drug, however, is a challenging pursuit because there is no formal regulatory approach and a lack of economic interest by pharmaceutical companies. This played a part in the re-registration of thioguanine as a rescue drug for the treatment of patients with inflammatory bowel disease in The Netherlands. In this article, we aim to underline the importance of drug rediscovery, the difficulties of this procedure in Europe and we attempt to suggest conceivable solutions.

摘要

鉴定现有药物的新适应证可创造新的治疗选择,同时绕过将新药推向市场所涉及的大部分成本和时间。然而,由于没有正式的监管方法,且制药公司缺乏经济利益,因此重新发现一种通用药物是一项具有挑战性的工作。这在荷兰将硫鸟嘌呤重新注册为治疗炎症性肠病患者的抢救药物中发挥了作用。在本文中,我们旨在强调药物再发现的重要性,以及在欧洲进行此程序的困难,并尝试提出一些可行的解决方案。

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1
Finding hidden treasures in old drugs: the challenges and importance of licensing generics.从老药中挖掘宝藏:仿制药许可的挑战与重要性。
Drug Discov Today. 2018 Jan;23(1):17-21. doi: 10.1016/j.drudis.2017.08.008. Epub 2017 Sep 1.
2
[Continued development of drugs: the path of thioguanine].[药物的持续发展:硫鸟嘌呤之路]
Ned Tijdschr Geneeskd. 2018;162:D1757.
3
Drug rediscovery to prevent off-label prescription reduces health care costs: the case of tioguanine in the Netherlands.药物重新发现以防止超说明书用药可降低医疗成本:荷兰硫鸟嘌呤的案例
J Gastrointestin Liver Dis. 2014 Jun;23(2):123-5. doi: 10.15403/jgld.2014.1121.cjjm1.
4
Unrealized potential of drug repositioning in europe during COVID-19 and beyond: a physcian's perspective.新冠疫情期间及之后欧洲药物重新定位的未实现潜力:医生视角
J Pharm Policy Pract. 2020 Jul 17;13:45. doi: 10.1186/s40545-020-00249-9. eCollection 2020.
5
Generics market in Greece: the pharmaceutical industry's beliefs.希腊的仿制药市场:制药行业的看法。
Health Policy. 2006 Nov;79(1):35-48. doi: 10.1016/j.healthpol.2005.11.004. Epub 2005 Dec 28.
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The generics in transplantation and the rules on their use.移植领域中的仿制药及其使用规则。
Exp Clin Transplant. 2003 Jun;1(1):65-8.
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A trade agreement's impact on access to generic drugs.贸易协定对获得仿制药的影响。
Health Aff (Millwood). 2009 Sep-Oct;28(5):w957-68. doi: 10.1377/hlthaff.28.5.w957. Epub 2009 Aug 25.
8
Drug Repurposing of Generic Drugs: Challenges and the Potential Role for Government.药物再利用:通用名药物的挑战和政府的潜在作用。
Appl Health Econ Health Policy. 2023 Nov;21(6):831-840. doi: 10.1007/s40258-023-00816-6. Epub 2023 Jul 3.
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Pharmaceutical patent challenges--time for reassessment?药品专利挑战——是时候重新评估了吗?
Nat Rev Drug Discov. 2004 Dec;3(12):1057-62. doi: 10.1038/nrd1581.
10
Sharing, samples, and generics: an antitrust framework.共享、样本与仿制药:一种反垄断框架
Cornell Law Rev. 2017;103(1):1-64.

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Uphill battle: Innovation of thiopurine therapy in global inflammatory bowel disease care.
uphill battle:硫唑嘌呤治疗在全球炎症性肠病治疗中的创新。
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A novel efficient drug repurposing framework through drug-disease association data integration using convolutional neural networks.一种通过使用卷积神经网络整合药物-疾病关联数据来实现新药再利用的高效框架。
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Implications of Tioguanine Dosing in IBD Patients with a TPMT Deficiency.硫鸟嘌呤给药对患有硫嘌呤甲基转移酶缺乏症的炎症性肠病患者的影响。
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