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生物类似药时代美国医疗系统药剂师需考虑的因素

Considerations for the US health-system pharmacist in a world of biosimilars.

作者信息

Zlatkus Andrea, Bixby Todd, Goyal Kavitha

机构信息

Chester County Rheumatology PC, West Chester, PA, USA.

Janssen Scientific Affairs, LLC, Horsham, PA, USA.

出版信息

Drugs Context. 2020 Feb 25;9. doi: 10.7573/dic.2019-12-1. eCollection 2020.

DOI:10.7573/dic.2019-12-1
PMID:32158487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7048155/
Abstract

As numerous biosimilar products are forecast to enter the US market in the coming years, health-system pharmacists will be faced with novel challenges while incorporating them into clinical practice. The current regulatory approval framework and guidance from the US Food and Drug Administration do not address many real-world scenarios that pharmacists will encounter. We provide an overview of the evolving healthcare landscape shaped by the entry of multiple biosimilars, including for a given reference product, and their impact on the health-system pharmacist with respect to formulary assessment, implementation, and education of various health-system stakeholders, including patients.

摘要

由于预计未来几年将有大量生物类似药产品进入美国市场,医疗系统的药剂师在将它们纳入临床实践时将面临新的挑战。美国食品药品监督管理局当前的监管批准框架和指南并未涉及药剂师将会遇到的许多实际情况。我们概述了由多种生物类似药进入所形成的不断演变的医疗格局,包括针对某一特定参照产品的情况,以及它们在处方集评估、实施以及对包括患者在内的各类医疗系统利益相关者进行教育等方面,对医疗系统药剂师的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea3/7048155/a02daf218dff/dic-2019-12-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea3/7048155/a02daf218dff/dic-2019-12-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea3/7048155/a02daf218dff/dic-2019-12-1-g001.jpg

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本文引用的文献

1
Are we ready to close the discussion on the interchangeability of biosimilars?我们是否已经准备好结束关于生物类似药可互换性的讨论?
Drug Discov Today. 2019 Oct;24(10):1963-1967. doi: 10.1016/j.drudis.2019.06.016. Epub 2019 Jun 26.
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Economic Impact of Non-Medical Switching from Originator Biologics to Biosimilars: A Systematic Literature Review.非医疗原因下从原研生物制剂转换为生物类似药的经济影响:系统文献回顾。
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药品福利管理公司:业务、争议及未来走向
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PLoS One. 2017 Apr 14;12(4):e0175826. doi: 10.1371/journal.pone.0175826. eCollection 2017.
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Rheumatologists' Perceptions of Biosimilar Medicines Prescription: Findings from a French Web-Based Survey.风湿病学家对生物类似药处方的看法:基于法国网络调查的结果
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Safety and efficacy of CT-P13 in Japanese patients with rheumatoid arthritis in an extension phase or after switching from infliximab.CT-P13 在日本类风湿关节炎患者扩展期或从英夫利昔单抗转换后的安全性和有效性。
Mod Rheumatol. 2017 Mar;27(2):237-245. doi: 10.1080/14397595.2016.1206244. Epub 2016 Sep 1.
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Patient attitudes and understanding about biosimilars: an international cross-sectional survey.患者对生物类似药的态度和认知:一项国际横断面调查。
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