Clinical Pharmacy Department, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.
Pharmaceutical Care Services, King Abdullah Medical City, Makkah, Saudi Arabia.
Ther Innov Regul Sci. 2024 Jul;58(4):678-686. doi: 10.1007/s43441-024-00642-5. Epub 2024 Mar 27.
Pharmaceutical regulation on a global scale is a complex process, with regulatory bodies overseeing various aspects, including licensing, registration, manufacturing, marketing, and labeling. Among these, the USFDA plays a crucial role in upholding public health. The pharmaceutical industry contributes significantly to well-being by developing and distributing therapeutic agents. The journey of evaluating new pharmaceuticals involves meticulous examination through several phases, from safety and efficacy assessments to toxicity evaluation. Drug approval involves submitting New Drug Applications (NDAs) to regulatory agencies like the USFDA and EMA. However, disparities in durations contribute to the phenomenon known as "drug lag." This lag refers to delays in a pharmaceutical product's availability in one market compared to another. Addressing this issue is crucial, given its impact on patient access to treatments.
This study aims to analyze the extent of drug lag, focusing on newly approved oncology targeted therapies in Saudi Arabia, the United States, and the European Union. Data for cancer treatments authorized by the USFDA, EMA, and SFDA from January 1, 1997, to December 31, 2022, were collected from regulatory agency websites. The data sources included authorization letters, prescription information, and evaluation documents. We conducted a comparative assessment of drug lag for approved oncology targeted therapies between Saudi Arabia, the US, and the EU.
Our analysis identified 135 newly approved oncology-targeted drugs within the specified timeframe. Of these, 71 received approval in all three regions, while disparities were evident in others. The USFDA consistently had the highest number of approved drugs, with 98.5% of drugs initially approved there. In contrast, Saudi Arabia had the lowest number of approved drugs and a significantly longer median drug lag, indicating substantial delays in drug availability.
This study highlights the significance of mitigating drug lag to enhance global healthcare outcomes and patient access to innovative therapies. Further research and collaborative efforts are essential to bridging these disparities and promoting equitable healthcare worldwide.
在全球范围内,药品监管是一个复杂的过程,监管机构负责监督包括许可、注册、制造、营销和标签在内的各个方面。在这些机构中,美国食品药品监督管理局(FDA)在维护公共健康方面发挥着至关重要的作用。制药行业通过开发和分发治疗药物为人们的福祉做出了重大贡献。评估新药品的过程涉及通过几个阶段进行仔细检查,从安全性和有效性评估到毒性评估。药品批准涉及向监管机构(如美国 FDA 和欧洲药品管理局(EMA))提交新药申请(NDA)。然而,各个地区在审批时间上的差异导致了“药品滞后”现象的出现。这种滞后是指一种药品在一个市场的供应延迟,相对于另一个市场。解决这个问题至关重要,因为它会影响患者获得治疗的机会。
本研究旨在分析药品滞后的程度,重点关注沙特阿拉伯、美国和欧盟新批准的肿瘤靶向治疗药物。从美国 FDA、EMA 和 SFDA 的监管机构网站上收集了 1997 年 1 月 1 日至 2022 年 12 月 31 日期间授权的癌症治疗药物的数据。数据来源包括授权信、处方信息和评估文件。我们对沙特阿拉伯、美国和欧盟批准的肿瘤靶向治疗药物的药品滞后情况进行了比较评估。
我们的分析确定了在指定时间范围内新批准的 135 种肿瘤靶向药物。其中,71 种药物在所有三个地区都获得了批准,而其他药物则存在差异。美国 FDA 始终拥有最多的批准药物,98.5%的药物最初在那里获得批准。相比之下,沙特阿拉伯拥有批准药物数量最少,且药品滞后中位数显著更长,这表明药品供应存在较大延迟。
本研究强调了减轻药品滞后以改善全球医疗保健结果和患者获得创新治疗药物的重要性。进一步的研究和合作努力对于缩小这些差距和促进全球公平的医疗保健至关重要。