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

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Predictors of substitution to generic drugs and physicians’ perceived exclusivity of substitution: A cross sectional survey among physicians 仿制药替代的预测因素和医生感知替代的排他性:对医生的横断面调查
Georges Hatem, N. Navasardyan, Elsa Lahoud, S. Awada, Rana Itani, R. Ajrouche, Mathijs Goossens
The use of generic medicines facilitate access to treatment and reduce the overall health cost. Policies promoting generic substitution take into account many components such as quality and efficacy considering health stakeholders including physicians and pharmacists and identifying factors impacting generics prescription. The current study aimed to assess the association between the perception of physicians towards generics with their sex and age and their willingness to switch to generics after initial treatment. Furthermore, it aimed to evaluate the predictors for switching brands to generics after initial treatment and perceiving the exclusivity to perform this substitution. Prescription of generics to lower medical cost was more common among younger physicians compared to those 50 years and older. Interestingly, physicians aged 40 and above were more prone to prescribe generics to patients without medical coverage, while compared to physicians younger than 30 years of age. Age was significantly associated with switching initial treatment to generics, which was 2.46 times higher for physicians older than 50 years compared to those younger than 30 years. In addition, physicians practicing more than 20 years were about 1,5 times more accepting the substitution by pharmacists after initial treatment by brand while compared to physicians practicing for less than 10 years. Strategies to increase generic substitution and promoting its acceptance among physicians should take into consideration the different significant predictors. However, Further research is required to explore more factors, predicting prescription of generics in Lebanon, such as visits by medical representatives, regulations of the hospital that the physician is practicing, which are also proven to have high influence on the prescription practice of generics.
使用非专利药物有助于获得治疗并降低总体保健费用。促进仿制药替代的政策考虑到质量和功效等许多组成部分,考虑到包括医生和药剂师在内的健康利益攸关方,并确定影响仿制药处方的因素。目前的研究旨在评估医生对仿制药的看法与他们的性别和年龄之间的关系,以及他们在初始治疗后转向仿制药的意愿。此外,它旨在评估在初始治疗后将品牌转换为仿制药的预测因素,并感知执行这种替代的排他性。与50岁及以上的医生相比,年轻医生为降低医疗费用而开非专利药的情况更为普遍。有趣的是,与30岁以下的医生相比,40岁及以上的医生更倾向于给没有医疗保险的患者开非专利药。年龄与将初始治疗转为非专利药显著相关,50岁以上医生的这一比例是30岁以下医生的2.46倍。此外,执业超过20年的医生接受品牌初始治疗后由药剂师替代的比例是执业不足10年的医生的1.5倍。增加非专利替代和促进其接受的策略应考虑到不同的重要预测因素。但是,还需要进一步的研究来探索更多的因素来预测黎巴嫩的仿制药处方,如医疗代表的来访,医生所执业医院的规章制度,这些因素也被证明对仿制药的处方实践有很大的影响。
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引用次数: 4
US Legal and Regulatory Update 美国法律和监管更新
Stephen M. Roylance
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引用次数: 0
PHARMACEUTICAL; TRADEMARK; PATENTS; NEWS 制药;商标;专利;新闻
R. Milchior, S. Charbonnel
Compiled and written by SCP Herald Herald Avocats is a French law firm involved in intellectual property law, pharmaceutical law and European Union law that provides services to healthcare, biotech and pharmaceutical companies. This section is intended to be a synopsis of recent developments and is not intended to be all comprehensive. If any (issue) information referred to in this section is to be relied upon, specific advice should be sought. Please contact the Editor: Richard Milchior and Séverine Charbonnel SCP Herald 91 rue du Faubourg Saint Honore 75008 Paris France Tel: +33 (0)1 53 43 15 15 Fax: +33 (0) 1 53 43 15 00 Email Email: s.charbonnel@herald-avocats.com
Herald Avocats是一家法国律师事务所,涉及知识产权法、制药法和欧盟法,为医疗保健、生物技术和制药公司提供服务。本节旨在简要介绍最近的发展情况,并不打算包罗万象。如果要依赖本节中提及的任何(问题)信息,应寻求具体建议。请联系编辑:Richard Milchior和ssamuverine Charbonnel SCP Herald法国巴黎圣奥诺雷街91号75008电话:+33(0)1 53 43 15 15传真:+33(0)1 53 43 15 15电子邮件:s.charbonnel@herald-avocats.com
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引用次数: 0
Journal of Generic Medicine – Editorial June 2022 仿制药杂志-社论2022年6月
B. Tempest
The fall in ANDA generic medicines approvals in the USA that was seen in 2020 has continued into 2021. West Virginia University has bought a 23-acre generic medicines manufacturing plant in the USA which employed 1400 workers for $1 from Viatris. The Indian generic companies ranked first with 42% of all USA ANDA approvals and the Chinese companies came in third with 10%. [Extracted from the article] Copyright of Journal of Generic Medicines is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
从2020年开始,美国ANDA仿制药批准数量下降的趋势将持续到2021年。西弗吉尼亚大学在美国以1美元的价格从Viatris购买了一个23英亩的仿制药生产厂,雇佣了1400名工人。印度仿制药公司以42%的份额排名第一,中国公司以10%的份额排名第三。[摘自文章]《Journal of Generic Medicines》的版权是Sage Publications Inc.的财产,未经版权所有者的明确书面许可,其内容不得复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
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引用次数: 0
International Nonproprietary Names prescription in a specialized public hospital in Egypt 国际非专利名称处方在一家专门的公立医院在埃及
Waad O Mahmoud Soliman, A. Shehata, R. Mosallam
Background: International Nonproprietary Names (INN) is prescribing the name of the active ingredient. Objective: This study aimed to investigate INN prescription rates and perceived barriers towards INN prescribing at a public Ministry of Health and Population (MOHP) hospital specialized in treating infectious diseases in Egypt. Methods: A retrospective chart review was conducted in a 280-bed specialized Ministry of Health Hospital in Alexandria, Egypt. Medications were described either as brand or generic based on WHO Essential Medicines List (EML) classification system and the Egyptian National Formulary. All physicians with prescribing authority in study hospital were administered a questionnaire composed of two sections. The first section explored the socio-demographic and work characteristics of the physicians, and the second section listed the barriers towards INN prescription. Results: Out of the 400 medical records reviewed, 2279 drugs were prescribed. About half of the medications (52.61%) were prescribed in INN. The medicines which were most frequently prescribed in INN were electrolytes solution (99.5%), laxatives (98.6%), and vitamins and minerals (85.2%) and coagulation medicines (82%). Other medications were exclusively prescribed in brand names as antispasmodics, antidiarrheal, dermatology and vascular insufficiency medications. Only 38.75% were trained using INNs to designate medications, about half of physicians (48%) reported that they rarely use INNs in their practice. The most frequently listed reasons for not prescribing in INN prescribing perceived by physicians were physicians being not familiar with INN (79.0%), doubts about the efficacy, safety, or quality of generic drugs (52.0%) and absence of educational programs regarding INN use (47.0%). Conclusion and Relevance: The current study illustrates only half of the prescriptions are prescribed using INN. A multifaceted approach using explicit policy for obligating INN prescription, together with educational sessions for physicians about the value of INN prescription and the bioequivalence of generic medications to their brand counterparts.
背景:国际非专利名称(INN)规定了活性成分的名称。目的:本研究旨在调查埃及卫生和人口部(MOHP)专门治疗传染病的公共医院的非处方药处方率和对非处方药处方的感知障碍。方法:对埃及亚历山大市一家拥有280张床位的卫生部专科医院进行回顾性图表分析。根据世卫组织基本药物清单(EML)分类系统和埃及国家处方集,将药物描述为品牌或仿制药。研究医院所有具有开处方权的医生都接受了一份由两部分组成的问卷调查。第一部分探讨了医生的社会人口特征和工作特征,第二部分列出了INN处方的障碍。结果:在审查的400份医疗记录中,处方药物2279种。约有一半(52.61%)的药物是在医院处方的。非住院医院最常见的处方药物为电解质溶液(99.5%)、泻药(98.6%)、维生素和矿物质(85.2%)和凝血药(82%)。其他药物仅以品牌名称开处方,如抗痉挛药、止泻药、皮肤病和血管功能不全药物。只有38.75%的医生接受过使用INNs指定药物的培训,大约一半的医生(48%)报告说他们在实践中很少使用INNs。医生认为不开非专利药物处方最常见的原因是医生不熟悉非专利药物(79.0%)、怀疑仿制药的疗效、安全性或质量(52.0%)和缺乏有关非专利药物使用的教育计划(47.0%)。结论和相关性:目前的研究表明,只有一半的处方是使用非处方性药物开的。这是一种多方面的方法,使用明确的政策来强制执行非专利药物处方,同时对医生进行关于非专利药物处方的价值和仿制药与品牌药的生物等效性的教育。
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引用次数: 0
European union legal and regulatory update 欧盟法律法规更新
R. Milchior, S. Charbonnel
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引用次数: 0
Developing a structural equation model for the life cycle of generic pharmaceutical products 建立非专利药品生命周期结构方程模型
Atefeh Mousavi, Marjan Monadizadeh, M. Mohammadzadeh
Objective Product life cycle (PLC) refers to the time ranging from when a product is introduced into the market until it is taken off the shelves. Product life cycle management can guarantee product survival and prevent it from declining. The purpose of this study is to explore factors influencing the life cycle of generic pharmaceutical product and their effect sizes to shed light on better approaches for the life cycle management of such products. Method To this end, a standard questionnaire containing six dimensions and 47 items was used to collect data from 302 industrial pharmacists. The research hypotheses were tested using structural equation modeling to quantify the relationship between each dimension and its associated factors with the PLC. Key finding The results indicated that government interventions (Standard estimate (SE) = 0.63) and technology advancement (SE = 0.60) as environmental factors, quality (SE = 0.60) and price (SE = 0.62) satisfaction, patient adherence (SE = 0.68), physicians' awareness (SE = 0.64), market saturation (SE = 0.60); and demand rate (SE = 0.62) as demand factors, brand power (SE = 0.92); and availability of imported competitors (SE = 0.59) as competition factors, drug safety (SE = 0.63), product appearance (SE = 0.57); and ease of administration (SE = 0.61) as product-related factors, manufacturer reputation (SE = 0.63); and production continuity (SE = 0.64) as producer-related factors, and distributors number (SE = 0.54); and on-time delivery and availability of products (SE = 0.69) as distributor-related factors at 5% significance levels had the most effect on generic pharmaceutical PLC in Iran. Conclusion For the first time, this study offers a structural equation modeling framework for better managing the PLC of generic pharmaceutical products to help the company’s performance and survival.
产品生命周期(PLC)是指从产品进入市场到下架的时间范围。产品生命周期管理可以保证产品的生存,防止产品的衰亡。本研究的目的是探讨影响仿制药生命周期的因素及其效应量,为仿制药生命周期管理提供更好的途径。方法采用6个维度47个项目的标准问卷对302名工业药师进行调查。使用结构方程模型对研究假设进行了检验,以量化每个维度及其相关因素与PLC之间的关系。结果表明:政府干预(标准估计(SE) = 0.63)和技术进步(SE = 0.60)为环境因素,质量(SE = 0.60)和价格(SE = 0.62)满意度、患者依从性(SE = 0.68)、医生认知度(SE = 0.64)、市场饱和度(SE = 0.60)为环境因素;以需求率(SE = 0.62)为需求因素,品牌力(SE = 0.92);竞争因素为进口竞争者的可获得性(SE = 0.59)、药品安全性(SE = 0.63)、产品外观(SE = 0.57);与产品相关的因素有:管理方便度(SE = 0.61)、制造商声誉(SE = 0.63);生产者相关因素为生产连续性(SE = 0.64),经销商数量(SE = 0.54);和准时交货和产品可得性(SE = 0.69)作为分销商相关因素在5%显著水平上对伊朗仿制药PLC影响最大。结论本研究首次为更好地管理仿制药PLC提供了结构方程建模框架,以帮助仿制药企业提高绩效和生存。
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引用次数: 1
The unified medical prescription as a tool to promote generic prescription: A cross-sectional study addressing physicians’ perception in Lebanon 统一医疗处方作为促进通用处方的工具:一项解决黎巴嫩医生看法的横断面研究
Georges Hatem, Elsa Lahoud, Leyan Halwani, Farah Mcheik, D. Khachman, S. Awada
INTRODUCTION: The unified medical prescription was implemented as a policy to decrease the overall health expenditures and increase the use of generic drugs. The main objective of this study was to evaluate the perception of Lebanese physicians towards the unified medical Prescription and its impact on the overall generic prescription. Additionally, an overview was assessed concerning the type of drugs that physicians tend more to accept to be substituted to generic alternatives. METHODS: A cross-sectional descriptive study was conducted in Lebanon over a period of three months targeting physicians in their private clinics or in various hospitals using a survey as an instrument. RESULTS: Our findings demonstrated that more than the half of respondents (56.6%) believed that the unified medical prescription preserves the exclusivity for physicians to choose the medication while only 39.5% of physicians think that the unified medical prescription encouraged generic prescription and almost 42% admitted that the unified medical prescription lowers the medical cost for the patient. DISCUSSION: Despite that this new medical form of prescription is a high achievement for the Lebanese Ministry Of Public Health, this last should make essential actions: coordinating the generic drug substitution policy and monitoring its implementation over time and achievement of goals; establishing appropriate pricing system and medicines prices and controlling the interactions between physicians, pharmacists, and pharmaceutical industries; ensure their full commitment; and update the national list of substitutable generic drugs. CONCLUSION: The main objective of the unified medical prescription is to decrease the pharmaceutical expenditure and to provide access to medications for patients with lower socio-economic status. Lebanese physicians reported that this tool did not achieve its goal yet but have an impact on lowering the medical cost for patients and promoting generic prescription.
导读:实施统一医疗处方政策,降低总体卫生支出,增加仿制药使用。本研究的主要目的是评估黎巴嫩医生对统一医疗处方的看法及其对整体通用处方的影响。此外,对医生更倾向于接受替代仿制药的药物类型进行了概述评估。方法:在黎巴嫩进行了一项横断面描述性研究,为期三个月,以私人诊所或各医院的医生为目标,使用调查作为工具。结果:超过一半(56.6%)的受访医师认为统一医疗处方保留了医师选择药物的专有权,仅有39.5%的受访医师认为统一医疗处方鼓励仿制药处方,近42%的受访医师认为统一医疗处方降低了患者的医疗成本。讨论:尽管这种新的医疗形式的处方是黎巴嫩公共卫生部的一项重大成就,但最后一项应采取基本行动:协调非专利药物替代政策并监测其长期实施和目标的实现;建立合理的价格体系和药品价格,控制医师、药师与医药行业的互动;确保他们的充分承诺;更新国家可替代仿制药目录。结论:统一处方的主要目的是降低药品费用,使社会经济地位较低的患者获得药品。黎巴嫩医生报告说,这一工具尚未实现其目标,但对降低病人的医疗费用和促进非专利处方产生了影响。
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引用次数: 8
Evaluation of the drug utilization of biosimilar medicinal products containing monoclonal antibodies: A systematic review 含单克隆抗体生物仿制药的药物利用评价:系统综述
E. Yordanov, I. Parvova, E. Hristov, V. Petkova
Aim: The objective is to study the availability and affordability of biosimilar medicinal products containing monoclonal antibodies, measure their drug utilization, and evaluate the rational drug use globally through analysis and systematic review of scientific articles published in the scientific literature. Materials and methods: The documentary analysis of scientific publications was carried out by specific keywords in MEDLINE database, Central Medical Library, and national peer-reviewed scientific journals in Bulgaria for the period from January 2008 to May 2020. 100 scientific publications have been found for a period of 12 years. Articles were selected according to PRISMA. Analyses include 17 articles that fully meet the preset criteria. Descriptive and variational analyses were carried out as basic statistical analyses. Mean values, standard deviation, minimum, maximum, and 95% confidence intervals have been determined. Results and discussion: Studies on this topic in EU Member States are obviously of interest, but publication activity is not high—only 17 scientific publications over a 12-year period. All 17 studies reflect cost savings after switching from a reference biological medicinal product to a biosimilar medicinal product, and the reduction in budgetary costs as a weighted average is about 30% of the total budgetary costs of biological therapies for the first 5 years. All 17 studies have reported that the use of biosimilar medicinal products is rather low. Although the quality, safety, and efficacy of biosimilar medicinal products have been unequivocally established, their introduction to the market is still insufficient.
目的:通过对科学文献中发表的科学文章的分析和系统综述,研究含单克隆抗体生物类似药的可得性和可负担性,衡量其药物利用情况,评价全球合理用药情况。材料和方法:根据2008年1月至2020年5月期间保加利亚MEDLINE数据库、中央医学图书馆和国家同行评议科学期刊中的特定关键词对科学出版物进行文献分析。在12年的时间里发现了100份科学出版物。文章根据PRISMA进行选择。分析包括17篇完全符合预设标准的文章。描述性分析和变分分析作为基本的统计分析。已经确定了平均值、标准差、最小值、最大值和95%置信区间。结果和讨论:欧盟成员国对这一主题的研究显然很感兴趣,但出版活动并不多——在12年期间只有17篇科学出版物。所有17项研究都反映了从参考生物药物转向生物类似药后的成本节约,并且在前5年,预算成本的加权平均值约为生物治疗总预算成本的30%。所有17项研究都报告说,生物仿制药的使用率相当低。虽然生物仿制药的质量、安全性和有效性已经明确确立,但它们进入市场的力度仍然不够。
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引用次数: 0
What’s the skinny on “Skinny” labels? "瘦"标签上的"瘦"是什么意思?
Danielle C. Pfifferling
Compiled and written by Greenblum & Bernstein PLC A US intellectual property law firm which provides a full range of services in IP-related matters across all industries, including the biotech and pharmaceutical industries, including: Inter partes Review (IPR) and Post Grant Review (PGR) Abbreviated new drug applications (ANDAs) and Notice Letters Patent and trademark litigation Patent drafting and prosecution Patent infringement and validity opinions Patent reexamination proceedings and interferences New drug strategies Market entry strategies Joint venture strategies Licensing This section is intended to be a synopsis of recent developments and is not intended to be exhaustive. If any issue referred to in this section is to be relied upon, specific advice should be sought. Please contact: Paul A. Braier, PhD, Esq. Greenblum & Bernstein PLC 1950 Roland Clarke Place Reston, VA20191 USA Tel: +1 703 716 1191 Fax: +1 703 716 1180 Email: pbraier@gbpatent.com Web: www.gbpatent.com
Greenblum & Bernstein PLC是一家美国知识产权律师事务所,为包括生物技术和制药行业在内的所有行业提供与知识产权相关的全方位服务,包括:专利和商标诉讼专利起草和审查专利侵权和有效性意见专利复审程序和干扰新药战略市场进入战略合资企业战略许可本节旨在概述最近的发展,但并非详尽。如果要依赖本节中提到的任何问题,应寻求具体的建议。请联系:Paul A. Braier, PhD, Esq。Greenblum & Bernstein PLC 1950 Roland Clarke Place Reston, VA20191 USA Tel: +1 703 716 1191 Fax: +1 703 716 1180 Email: pbraier@gbpatent.com Web: www.gbpatent.com
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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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