Biosimilars in the practice of modern oncologist

I. M. Shevchuk, A. Kalpinskiy
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Abstract

Currently, genetically engineered drugs are widely used in oncological clinical practice which has significantly increased treatment cost. One of the most effective ways to decrease cost is substitution of an innovative drug after patent expiration with a reproduced compound – biosimilar.In this article, a problem of biosimilars is actualized both worldwide and in Russia, characteristics of these products are described, and the path of the agents from the moment of reproduction through preclinical and clinical trials to introduction into real clinical practice is traced, examples of such trials are presented.The results of clinical trials of effectiveness and safety of Pembroria® in patients with various oncological pathologies are described in detail. The first data from the multicenter prospective post-marketing trial PERFECTION are presented demonstrating similar effectiveness and tolerability results for the biosimilar in a multicohort patient category compared to pembrolizumab molecule.Manufacturing of high-quality analogs and their introduction into clinical practice create a possibility to provide more patients in need with modern highly effective and safe drugs as well as increases effectiveness of the state healthcare system.
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现代肿瘤学家实践中的生物仿制药
目前,基因工程药物被广泛应用于肿瘤临床实践,这大大增加了治疗成本。本文介绍了生物仿制药在全球和俄罗斯的实际应用情况,描述了这些产品的特点,追溯了这些药物从仿制到临床前和临床试验再到实际临床应用的过程,并列举了此类试验的实例。此外,还介绍了多中心前瞻性上市后试验 PERFECTION 的首批数据,这些数据显示,与 Pembrolizumab 分子相比,生物仿制药在多队列患者类别中具有相似的有效性和耐受性。
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