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技术预测:处于临床研究后期的先进疗法、获得欧洲药品管理局批准或通过医院豁免实现临床应用。

Technology forecast: advanced therapies in late clinical research, EMA approval or clinical application via hospital exemption.

作者信息

Eder Claudia, Wild Claudia

机构信息

Ludwig Boltzmann Institute for Health Technology Assessment, Vienna, Austria.

出版信息

J Mark Access Health Policy. 2019 Apr 19;7(1):1600939. doi: 10.1080/20016689.2019.1600939. eCollection 2019.

Abstract

: The umbrella term ATMPs (Advanced Therapy Medicinal Products) comprises cell therapies, gene therapeutics and tissue engineered products. After implementation of the Regulation 1394/2007, only a couple of products have obtained a centralized European marketing authorisation. : The aim of the presented study is to give an overview on ATMPs available within the European Union either via centralized marketing authorisation or via national Hospital exemption. Additionally, a forecast on innovative ATMPs in the process of EMA approval as well as in phase III and IV clinical trial is provided. : Systematic literature search including 'grey literature' and database reviews as well as manual search following pre-defined search terms. : 8 ATMPs are currently available via centralized marketing authorisation. 6 new product launches are expected before 2020. At least 32 additional ATMPs are available in individual European Union member states via Hospital exemption. Another 31 potential ATMP candidates could be identified in industry-driven phase III research projects. : Advanced therapeutic medicinal therapies are still in their early days, but constantly evolving. By 2020, innovative therapies targeting retinal dystrophy, ß-thalassemia, scleroderma, sickle-cell anaemia, adrenoleukodystrophy and leukaemia shall be available on the market.

摘要

高级治疗用药品(ATMPs)这一统称涵盖细胞疗法、基因疗法和组织工程产品。在2007年第1394/2007号法规实施后,仅有少数产品获得了欧洲集中上市许可。本研究旨在概述欧盟境内通过集中上市许可或国家医院豁免可获得的ATMPs。此外,还对正在欧洲药品管理局(EMA)审批过程中以及处于III期和IV期临床试验阶段的创新型ATMPs进行了预测。通过包括“灰色文献”和数据库综述在内的系统文献检索以及按照预定义检索词进行的手工检索。目前有8种ATMPs可通过集中上市许可获得。预计到2020年之前会有6种新产品上市。在欧盟各成员国,至少还有32种ATMPs可通过医院豁免获得。在行业驱动的III期研究项目中还可识别出另外31种潜在的ATMP候选产品。先进治疗性药物疗法仍处于早期阶段,但在不断发展。到2020年,针对视网膜营养不良、β地中海贫血、硬皮病、镰状细胞贫血、肾上腺脑白质营养不良和白血病的创新疗法将投放市场。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fad/6493298/9eb095959940/ZJMA_A_1600939_F0001_B.jpg

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