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用于治疗银屑病患者的生物类似药:国际银屑病理事会生物类似药工作组的共识声明

Biosimilars for the treatment of patients with psoriasis: A consensus statement from the Biosimilar Working Group of the International Psoriasis Council.

作者信息

Cohen Arnon D, Vender Ronald, Naldi Luigi, Kalb Robert E, Torres Tiago, Rajagopalan Murlidhar, van der Walt Joelle, Puig Lluís, Young Helen S

机构信息

Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Department of Quality Measurements and Research, Clalit Health Services, Tel Aviv, Israel.

出版信息

JAAD Int. 2020 Nov 23;1(2):224-230. doi: 10.1016/j.jdin.2020.09.006. eCollection 2020 Dec.

Abstract

BACKGROUND

As biosimilars have become available in various parts of the world, the International Psoriasis Council has reviewed aspects of their use.

OBJECTIVE

To provide consensus statements from the Biosimilar Working Group about the use of biosimilars in patients with psoriasis.

METHODS

A semiqualitative structured process was employed to approve the consensus statements on biosimilars using the nominal group technique. The final statements were validated by a survey of the paricipants. The approval of the consensus statements was predefined as >80% positive opinions.

RESULTS

A consensus was reached in 36/38 statements regarding regulatory considerations, extrapolation of indication, interchangeability, substitution at the pharmacy level, pharmacovigilance, traceability, naming, biosimilar policy, education, and cost of biosimilars. Example statements include "Switching a stable patient from a reference product to a biosimilar product is appropriate if the patient and physician agree to do so" and "Patients and patients' organisations should be involved in all decision making and policy development about the use of biosimilars."

CONCLUSION

The International Psoriasis Council Biosimilar Working Group provides consensus statements for the use of biosimilars in the treatment of patients with psoriasis. We suggest that these statements provide global guidance to clinicians, healthcare organizations, pharmaceutical companies, regulators, and patients regarding the development and use of biosimilars in patients with psoriasis.

摘要

背景

随着生物类似药在世界各地区面市,国际银屑病理事会对其使用的各个方面进行了审查。

目的

提供生物类似药工作组关于生物类似药在银屑病患者中使用的共识声明。

方法

采用半定性结构化流程,运用名义群体技术批准关于生物类似药的共识声明。最终声明通过对参与者的调查进行验证。共识声明的批准预先定义为>80%的正面意见。

结果

在38项声明中的36项就监管考量、适应症外推、可互换性、药房层面的替换、药物警戒、可追溯性、命名、生物类似药政策、教育以及生物类似药成本达成了共识。示例声明包括“如果患者和医生同意,将稳定期患者从参照产品转换为生物类似药产品是合适的”以及“患者和患者组织应参与所有关于生物类似药使用的决策制定和政策制定”。

结论

国际银屑病理事会生物类似药工作组提供了生物类似药用于治疗银屑病患者的共识声明。我们建议这些声明为临床医生、医疗机构、制药公司、监管机构和患者提供关于生物类似药在银屑病患者中的研发和使用的全球指导。

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