Li Jia-Qi, Wang Hui-Jun
Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2023 Jul 15;25(7):759-766. doi: 10.7499/j.issn.1008-8830.2302048.
There are more than 7 000 rare diseases and approximately 475 million individuals with rare diseases globally, with children accounting for two-thirds of this population. Due to a relatively small patient population and limited financial resources allocated for drug research and development in pharmaceutical enterprises, there are still no drugs approved for the treatment of several thousands of these rare diseases. At present, there are no drugs for 95% of the patients with rare diseases, and consequently, the therapeutic drugs for rare diseases have been designated as orphan drugs. In order to guide pharmaceutical enterprises to strengthen the research and development of orphan drugs, various nations have enacted the acts for rare disease drugs, promoted and simplified the patent application process for orphan drugs, and provided scientific recommendations and guidance for the research and development of orphan drugs. Since there is a relatively high incidence rate of rare diseases in children, this article reviews the latest research on pharmacotherapy for children with rare diseases.
全球有7000多种罕见病,约4.75亿人患有罕见病,其中儿童占该人群的三分之二。由于患者群体相对较小,制药企业用于药物研发的资金有限,仍有数千种罕见病尚无获批治疗药物。目前,95%的罕见病患者无药可治,因此,罕见病治疗药物被指定为孤儿药。为引导制药企业加强孤儿药研发,各国纷纷制定罕见病药物法案,推动并简化孤儿药专利申请流程,为孤儿药研发提供科学建议和指导。鉴于儿童罕见病发病率相对较高,本文综述了儿童罕见病药物治疗的最新研究。