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Journal of Generic Medicines: The Business Journal for the Generic Medicines Sector最新文献

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Physician and patient’s insights towards generic prescribing: The scenario in the United Arab Emirates 医生和病人对非专利处方的见解:阿拉伯联合酋长国的情况
Abduelmula R Abduelkarem, Amna M Othman, Sara M. Elgendy, Raneem E Moustafa, Noor M Al-Areqi
Objective To assess the perspectives and perceptions of physicians and patients towards generic prescribing in the United Arab Emirates. Founding those views can help in improving medicines prescription to provide the best cost-effective healthcare services in the country. Methods A cross-sectional study targeted physicians and patients across the United Arab Emirates. Two different questionnaires were conducted in 25 clinics, government healthcare centres and private hospitals. Collected data were analysed by descriptive analysis and Chi-square test. Key findings: Around half of 225 patients, agreed that generic medications have the same efficacy as branded medications. However, 54.7% believes that medications have been on the market longer are safer than newer ones. Majority of patients agreed that physicians’ advice would influence their choice when choosing between a generic and brand medication, though only a third of the participants agreed that the pharmacist’s advice would influence their choice. Of the 100 physicians, a preponderance reported that they actively prescribe generic medications. Moreover, they reported that the patient’s financial status would affect their decision when prescribing medications. Additionally, they identify medical representatives (64%) as their main sources of information regarding generic medications in the UAE. Conclusions The results showed somewhat negative views of physicians and patients towards generics prescriptions. Hence, measures should be taken by the Health Regulatory Authorities to clear up the misconceptions. This could be done by providing valid sources of information and assurance to the public about generic medications.
目的评估阿拉伯联合酋长国医生和患者对仿制药处方的看法和看法。建立这些观点有助于改进药物处方,以便在该国提供最具成本效益的医疗保健服务。方法针对阿拉伯联合酋长国的医生和患者进行横断面研究。在25家诊所、政府保健中心和私立医院进行了两份不同的问卷调查。收集的资料采用描述性分析和卡方检验进行分析。主要发现:在225名患者中,约有一半的人认为仿制药与品牌药具有相同的疗效。然而,54.7%的人认为上市时间较长的药物比新上市的药物更安全。尽管只有三分之一的参与者认为药剂师的建议会影响他们的选择,但大多数患者认为医生的建议会影响他们在仿制药和品牌药之间的选择。在这100名医生中,多数人报告说他们积极开仿制药。此外,他们还报告说,患者的经济状况会影响他们在开药时的决定。此外,他们认为医疗代表(64%)是他们在阿联酋获得仿制药信息的主要来源。结论医师和患者对仿制药处方持一定的否定态度。因此,卫生监管部门应采取措施消除这些误解。这可以通过向公众提供有关非专利药物的有效信息来源和保证来实现。
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引用次数: 3
Assessment of knowledge, attitude and practice among pharmacy professionals towards generic medicines in Addis Ababa, Ethiopia 评估埃塞俄比亚亚的斯亚贝巴药学专业人员对仿制药的知识、态度和实践
B. B. Nasir, O. Muhammed, M. S. Buseir
Background Suboptimal knowledge and attitude of healthcare professionals about generics reduce utilization of these drugs. The objective of this study was to assess the knowledge gap, attitude and practice among pharmacy professionals toward generic medicine in Addis Ababa, Ethiopia. Method The study was conducted in Addis Ababa from 10 April to10 July 2018 among 424 pharmacy professionals. Self-administered questionnaire was used to collect the data. Data were analyzed by using statistical package for social sciences version 24 and multi-variable binary logistic regression was used to identify predictors of the dependent variables. Result Majority (77.1%) of the participants claimed that they have had knowledge on the concept of generic medicine. Knowledge was significantly associated with participants’ educational qualification and work experience. More than half (55%) of them have an attitude that brand medicines are of higher quality compared to generics and 37.6% of them believe generic medicines are less effective than brand medicines. About 80% of the participants claimed that locally manufactured generics are cheaper than imported generics. Affordability to the customer, cost effectiveness of generic medicine and consumer preference/demand were the commonest reasons to dispense generic medicines. Conclusion Though vast majority of the study participants have had knowledge on the concept of generic medicine, their attitude and practice seem suboptimal that will influence utilization of generic products.
背景卫生保健专业人员对仿制药的知识和态度不佳,减少了仿制药的使用。本研究的目的是评估埃塞俄比亚亚的斯亚贝巴药学专业人员对仿制药的知识差距、态度和实践。方法于2018年4月10日至7月10日在亚的斯亚贝巴对424名药学专业人员进行研究。采用自填问卷收集数据。采用社会科学统计软件包第24版对数据进行分析,并采用多变量二元逻辑回归识别因变量的预测因子。结果77.1%的受访医师表示对仿制药概念有所了解。知识与被试的教育程度和工作经验显著相关。超过一半(55%)的人认为品牌药的质量高于仿制药,37.6%的人认为仿制药的效果不如品牌药。大约80%的参与者声称本地生产的仿制药比进口仿制药便宜。客户的负担能力、仿制药的成本效益和消费者偏好/需求是配发仿制药的最常见原因。尽管绝大多数研究参与者对仿制药的概念有一定的了解,但他们的态度和行为似乎不太理想,这将影响仿制药的利用。
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引用次数: 3
Biosimilars and federal preemption in the USA 美国的生物仿制药和联邦优先权
J. Bousquet
Summary This article reports on the recent decision by the Court of Appeals for the Federal Circuit (“Federal Circuit”) in Amgen v. Sandoz on remand from the U.S. Supreme Court. The Supreme Court held that a biosimilar applicant cannot be compelled under federal law to provide a copy of its abbreviated biologics license application (“aBLA”) and manufacturing information to the reference product sponsor (“RPS”) as required by the Biologics Price Competition and Innovation Act (“BPCIA”). The Supreme Court remanded the case to the Federal Circuit to determine whether there was any remedy under California state law available to Amgen, and if so, whether such remedy is preempted by the BPCIA. The Federal Circuit held that the BPCIA preempts state law remedies for a biosimilar applicant’s failure to comply with the BPCIA. This article also briefly discusses three other recent cases involving situations where the biosimilar applicant initiates the BPCIA information exchange process but provides only partial or no manufacturing information to the RPS or fails to complete the process by opting out at some later stage of the process.
本文报道了联邦巡回上诉法院(以下简称“联邦巡回上诉法院”)最近就美国最高法院对安进诉山德士一案的还押判决。最高法院认为,根据《生物制剂价格竞争与创新法案》(“BPCIA”)的要求,联邦法律不能强迫生物仿制药申请人向参考产品赞助商(“RPS”)提供其简略生物制剂许可申请(“aBLA”)的副本和生产信息。最高法院将此案发回联邦巡回法院,以确定是否有加利福尼亚州法律规定的任何补救措施可供安进使用,如果有,这种补救措施是否被BPCIA先发制人。联邦巡回法院认为,对于生物仿制药申请人未能遵守BPCIA, BPCIA优先于州法律救济。本文还简要讨论了其他三个最近的案例,涉及生物仿制药申请人启动BPCIA信息交换流程,但仅向RPS提供部分或不提供生产信息,或者在流程的后期阶段选择退出而未能完成该流程的情况。
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引用次数: 0
Latest Top 20 Read Articles 最新的前20名阅读文章
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引用次数: 0
Deviations handling and corrective actions and preventive actions: Case studies for parenteral dosage form 偏差处理、纠正措施和预防措施:静脉注射剂型的案例研究
Shah Kavina, K. Charmy, M. Chirag, Shah Manan
In the pharmaceutical industry, each and every activity is done according to standard operating procedures and protocols. Standard operating procedures are the pre-established stepwise instructions to carry out routine operations while protocols are predefined written document used for design and execution of experiments. In the current scenario, pharmaceutical industry wants to manufacture quality product as per good manufacturing practice guidelines. To achieve six sigma qualities, deviations are very important to consider. Deviations have to be addressed, investigated, and based on investigation data, suitable corrective actions and preventive actions are applied for prevention of its reoccurrence. Corrective actions and preventive actions are important part of quality management system. Corrective actions and preventive actions is a system which falls under good manufacturing practice and many International Standard Organization business standards. Corrective actions and preventive actions include route cause analysis for resolving deviation, which includes its cause of identification, and helps to prevent its occurrence in future. Corrective actions and preventive actions is a combination of ideas and tools to correct deviation. Inappropriate initial route cause identification and application of corrective actions and preventive actions lead to extra work, time, and cost. There are some exceptional cases in which corrective actions and preventive actions are not required, for instance one-time deviation, where only corrective actions are done. The corrective actions and preventive actions system improves and maintains processes, procedures, organization, and business in a systematic, organized, well-documented, and actionable way. In this article, case studies of deviations in pharmaceutical industry helped in identification and evaluation of deviation and based on that application, suitable corrective actions and preventive actions are shown which give thorough understanding of deviation and application of corrective actions and preventive actions in pharmaceutical industry. So, corrective actions and preventive actions are not only regulatory requirements but they make good business sense to the pharmaceutical industry.
在制药业,每一项活动都是按照标准的操作程序和协议进行的。标准操作程序是预先制定的执行常规操作的分步指令,而协议是预先确定的用于设计和执行实验的书面文件。在目前的情况下,制药行业希望按照良好生产规范指南生产高质量的产品。为了达到六西格玛质量,偏差是非常重要的考虑因素。必须对偏差进行处理和调查,并根据调查数据,采取适当的纠正措施和预防措施,以防止其再次发生。纠正措施和预防措施是质量管理体系的重要组成部分。纠正措施和预防措施是一个体系,属于良好生产规范和许多国际标准组织的业务标准。纠正措施和预防措施包括解决偏差的路线原因分析,包括其原因的识别,并有助于防止将来发生偏差。纠正措施和预防措施是纠正偏差的思想和工具的结合。不适当的初始路线导致识别和应用纠正措施和预防措施,导致额外的工作,时间和成本。在一些例外情况下,不需要采取纠正措施和预防措施,例如,一次性偏差,只采取纠正措施。纠正措施和预防措施体系以系统的、有组织的、文件完备的和可操作的方式改进和维护过程、程序、组织和业务。本文通过对制药行业偏差的案例研究,帮助识别和评价偏差,并在此基础上提出了合适的纠正措施和预防措施,使人们对制药行业的偏差以及纠正措施和预防措施的应用有了深入的了解。因此,纠正措施和预防措施不仅是监管要求,而且对制药行业具有良好的商业意义。
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引用次数: 0
Courts continue to clarify what is patent eligible subject matter 法院继续澄清什么是专利合格的主题
S. Hamidinia
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引用次数: 0
The effect of patent expiration on sales of branded competitor drugs in a therapeutic class 专利到期对治疗类品牌竞争药销售的影响
Jeffrey Fujimoto, D. Tien, Sophie Snyder, Jeppe A Hertz, S. Schweitzer
Background Generic entry can lower pharmaceutical prices and yield significant cost savings for both patients and health systems. The effect of generic entry has often been measured by sales of the branded drug whose patent has expired, but what is less clear is how branded competitors within the same therapeutic class respond. Methods We analyzed the effect of patent expiration of the first innovative drug in a therapeutic class on competitor sales within the same therapeutic class for five major therapeutic classes using data obtained from IMS Health. Results Composite quantity sales decreased by 49%, 65%, and 67% in the first three years, respectively, following patent expiration. However, the effect of patent expiration was not uniformly negative; competitors were often able to obtain dominant market share. Additionally, factors beyond patent expiration may affect the rate and timing of branded market contraction which holds significant implications for drug pricing and sales. Conclusion Patent expiration is a consequential event for not only the drug undergoing patent expiration, but also the therapeutic class in which the drug is contained. Market dynamics change significantly for competitor-branded products which warrant further research.
背景:仿制药条目可以降低药品价格,为患者和卫生系统显著节省成本。仿制药进入的效果通常是通过专利过期的品牌药的销量来衡量的,但不太清楚的是,同一治疗类别的品牌竞争对手是如何反应的。方法利用IMS Health提供的数据,分析某一治疗类别中首个创新药物专利到期对同一治疗类别中5个主要治疗类别竞争对手销售的影响。结果专利到期后的前三年,复合量销售额分别下降49%、65%和67%。然而,专利到期的影响并不都是负面的;竞争对手常常能够获得占支配地位的市场份额。此外,专利到期以外的因素可能会影响品牌市场收缩的速度和时间,这对药品定价和销售具有重要影响。结论专利到期不仅对处于专利到期期的药物,而且对所含药物的治疗类别都是一个相应的事件。竞争对手品牌产品的市场动态变化显著,值得进一步研究。
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引用次数: 1
Lessons learnt from providing technical assistance to Chinese generic medicines manufactures to achieve the WHO Prequalification standards 向中国仿制药生产商提供技术援助以达到世卫组织资格预审标准的经验教训
Baobin Huang, Sarah Louise Barber, Christina Foerg-Wimmer
The World Health Organization (WHO) Prequalification sets a benchmark of generic medicines quality standards for both local utilization and international procurement. So far in China, there are only 35 medicines prequalified by WHO among around 400 eligible products. With a large volume of generic medicines production capacity, WHO has been paying great attention to Chinese firms by providing technical assistance to achieve WHO Prequalification standards. In 2009–2011, Bill and Melinda Gates Foundation sponsored a project to scale up tuberculosis control in China. The adoption of anti-tuberculosis medicines in fixed dose combinations form was selected as an important intervention tool. In order to have quality assured anti-tuberculosis medicines available, four Chinese anti-tuberculosis generic manufacturers were selected for technical assistance as a pilot. The maturity of each generic manufacturers to achieve WHO standards was used to evaluate the role of WHO’s technical assistance. The maturity was measured from the perspective of production and dossier. The WHO’s technical assistance contributes to the maturity of manufacturers. In production, it increased from an average of 53% to 80% for quality management system, and 70% to 80% for good manufacturing practices; in regulatory dossier, it increased from 28% to 67% for quality part, and 0% to 75% for efficacy and safety part. It also found out the factors having impact on the effect of technical assistance. The sustainability of technical interventions was influenced by guaranteed market share and support of two key partners: active pharmaceutical ingredients producers and clinical research organizations. The pressure of upgraded national drug regulatory standards has an impact on the effect of technical assistance.
世界卫生组织(世卫组织)资格预审为当地使用和国际采购制定了非专利药品质量标准基准。到目前为止,在中国约400种符合条件的产品中,只有35种药物通过了世卫组织的资格预审。世卫组织拥有大量仿制药生产能力,一直高度重视中国企业,为达到世卫组织资格预审标准提供技术援助。2009-2011年,比尔及梅琳达·盖茨基金会资助了一个项目,旨在扩大中国的结核病控制。采用固定剂量组合形式的抗结核药物作为重要的干预手段。为了提供有质量保证的抗结核药物,选择了四家中国抗结核仿制药生产商作为试点提供技术援助。每个仿制药制造商达到世卫组织标准的成熟度被用来评价世卫组织技术援助的作用。从生产和档案的角度对成熟度进行了测量。世卫组织的技术援助有助于制造商的成熟。在生产中,质量管理体系从平均53%提高到80%,良好生产规范从平均70%提高到80%;在监管档案中,质量部分从28%增加到67%,有效性和安全性部分从0%增加到75%。它还查明了影响技术援助效果的因素。技术干预措施的可持续性受到两个关键伙伴(活性药物成分生产商和临床研究组织)的市场份额保证和支持的影响。国家药品管理标准升级的压力对技术援助的效果产生了影响。
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引用次数: 0
Generic drugs, a need to the public: USA and India – Government plans to reduce the price of abbreviated new drug application and list of generic drugs approved in year 2018 仿制药,对公众的需求:美国和印度-政府计划降低简化新药申请的价格和2018年批准的仿制药清单
Russell Martin, K. Bahmani
Health is the prime component for every person, and in the world, there are different traditions that have their own approaches to treat and cure illness. The dosage form of the drug may appear different but medically, however, a generic medicament has the same mechanism in the body as that of the costlier brand-name drugs. They acquire the equal active ingredient an have the identical quality asd must pass the same satisfactory standards with respect to manufacturing and packaging of medicaments. The generic medicinal drug beneath the regulation of U.S. Food and Drug Administration must have the equal quality and performance as that of the brand-name drugs. The Food and Drug Administration states: ‘Generics have the identical quality as brand identify drugs’. When a generic drug product is approved, it has met rigorous standards established via the Food and Drug Administration with respect to identity, strength, quality, purity and potency. India started Jan Aushadhi scheme to make quality medicines handy to the shoppers at affordable prices. Given the socio-economic conditions and the level of ignorance and illiteracy with vast disparities of income in the country, the advantage of the scheme can be taken by the consumers or should reach the consumers particularly the poor and the needy, only when a proper multimedia publicity programmed is mounted to educate the consumers of all strata of society. India is still a developing country where quality and inexpensive remedy are still major issues.
健康是每个人的主要组成部分,在世界上,有不同的传统,有自己的治疗和治愈疾病的方法。药物的剂量形式可能看起来不同,但从医学上讲,非专利药物在体内的作用机制与昂贵的名牌药物相同。它们获得相同的有效成分,具有相同的质量,并且必须在药品制造和包装方面通过相同的令人满意的标准。受美国食品药品监督管理局监管的仿制药必须具有与品牌药同等的质量和性能。美国食品和药物管理局表示:“仿制药与品牌标识药具有相同的质量。”当一种仿制药被批准时,它已经达到了食品和药物管理局在识别、强度、质量、纯度和效力方面制定的严格标准。印度启动了Jan Aushadhi计划,以可承受的价格为购物者提供优质药品。鉴于该国的社会经济条件和无知和文盲的程度以及巨大的收入差距,只有在制订适当的多媒体宣传方案以教育社会各阶层的消费者时,消费者才能利用该计划的优势,或者应该使消费者特别是穷人和有需要的人受益。印度仍然是一个发展中国家,高质量和廉价的药物仍然是主要问题。
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引用次数: 3
Generic dRug Adoption Framework: Framework to assess perceptions and identify high-quality generic drugs in oncology 仿制药采用框架:评估认知和识别肿瘤学中高质量仿制药的框架
Amit Garg, Ashutosh Kumar Singh, Shyamal S Kadukkatt, Juan Pablo, S. Akku
Perceptions in physicians and pharmacists are a common impediment to the utilization of generic medicines in clinical practice. As a multinational initiative to accelerate access to high-quality generic medicines, Dr Reddy’s Laboratories Ltd has developed the Generic dRug Adoption Framework. Currently available in four languages (English, Portuguese, Spanish, and Russian) and four (Malaysia, Brazil, Colombia, and Ukraine) countries, the framework will enable physicians and pharmacists to identify high-quality generics and help towards switching from originator to generic medicines. This can help to increase the adoption and access for generic medicines. The platform is not intended to guide treatment decisions but can help healthcare providers to differentiate a high-quality generic medicine based on parameters of effectiveness, safety, quality, and costs.
医生和药剂师的观念是临床实践中使用仿制药的常见障碍。作为加速获得高质量仿制药的一项多国行动,Dr Reddy’s Laboratories Ltd .制定了仿制药采用框架。该框架目前以四种语言(英语、葡萄牙语、西班牙语和俄语)和四个国家(马来西亚、巴西、哥伦比亚和乌克兰)提供,将使医生和药剂师能够确定高质量的仿制药,并帮助从原研药转向仿制药。这有助于增加非专利药物的采用和获取。该平台不是为了指导治疗决策,而是可以帮助医疗保健提供者根据有效性、安全性、质量和成本参数区分高质量的仿制药。
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引用次数: 0
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Journal of Generic Medicines: The Business Journal for the Generic Medicines Sector
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