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

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An overview on the various pricing policies of health-related products and incentivizing the innovation during the health emergency situations 突发卫生事件中与健康相关产品的各种定价政策及激励创新综述
Abdul Fasi Mohammed
Patents are often seen as legal monopolies that impose exorbitant pricing, particularly for innovations in the pharmaceutical and medical device sectors where the inventions are usually protected through the patents. Many have argued that patent protection should not be extended to sectors where the public interest in obtaining those products or services is important, such as health-related products, which also includes the medications. This paper provides an overview of different policy choices that national governments might employ to both promote innovation in health-related goods and ensure low consumer prices for the basic medicines. Special consideration is given to the current COVID-19 health emergency and highlights the solutions through the published reviews to make the basic medications freely accessible to all countries.
专利通常被视为合法的垄断,强加过高的定价,特别是在制药和医疗设备部门的创新,这些发明通常通过专利得到保护。许多人认为,专利保护不应扩大到公众对获得这些产品或服务的兴趣很重要的部门,例如与健康有关的产品,其中也包括药物。本文概述了各国政府可能采用的不同政策选择,以促进健康相关产品的创新,并确保基本药物的低消费价格。特别考虑了当前的COVID-19卫生紧急情况,并通过已发表的审查强调了使所有国家免费获得基本药物的解决方案。
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引用次数: 0
Adherence to a generic medicine policy: A developing country's experience 坚持仿制药政策:一个发展中国家的经验
Samuel Nkansah, F. C. Bearden, Faustina Frempong-Ainguah, F. Nkansah
Escalating pharmaceutical expenditure is a global phenomenon, and Ghana has not been spared. To attend to the increasing cost of healthcare resulting from the high cost of drugs, the government of Ghana took a strategic decision to reduce its expenditure on healthcare without compromising the quality of care. The government directed that all medicines be prescribed by their generic names only at all health facilities. The purpose of this study is to assess the extent to which physicians adhere to the policy by assessing physicians' generic medicine prescribing patterns across the healthcare system in selected facilities in the Greater Accra Region. Questionnaires were administered to 87 physicians in 13 selected health facilities in Ghana. The results were analyzed using SPSS. The study's findings revealed that 74.7% of physicians adhere to the policy, and there is a likely relationship between knowledge of the policy and its implementation. Also, there is no significant relationship between health facility, physician's experience, disease diagnosis stage, and the prescribing of generic medicines. There is a need for regular review of the policy with aggressive and wellstructured in-service training on the subject and the introduction of pharmacists' substitution rights.
药品支出不断上升是一种全球现象,加纳也未能幸免。为了解决由于药品成本高而导致的医疗保健费用不断增加的问题,加纳政府作出了一项战略决定,在不影响医疗质量的情况下减少医疗保健支出。政府指示,所有医疗机构开具的所有药品只能使用通用名称。本研究的目的是通过评估大阿克拉地区选定的医疗保健系统中医生的仿制药处方模式,评估医生遵守政策的程度。对加纳13个选定卫生机构的87名医生进行了问卷调查。采用SPSS统计软件对结果进行分析。研究结果显示,74.7%的医生遵守了这项政策,对这项政策的了解与实施之间可能存在关系。此外,卫生设施、医生经验、疾病诊断阶段与非专利药处方之间没有显著关系。有必要定期审查这一政策,对这一问题进行积极和结构良好的在职培训,并引入药剂师的替代权。
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引用次数: 0
Brand drug companies impeding generic drug company access to product samples: Estimated prevalence and impact on drug costs 品牌药公司阻碍仿制药公司获取产品样品:估计流行程度及其对药品成本的影响
P. Grootendorst
Some brand drug companies have stymied attempts by generic drug companies to obtain samples of brand drugs needed to develop and gain regulatory approval for their generic products. This conduct, which has been reported in both the US and Canada, raises drug costs to drug plans and other payors and can lessen competition. The literature to date contains little empirical evidence on the prevalence of this conduct, the attendant effects on generic drug market launches and costs incurred by drug payors. This paper addresses these questions for Canada, using data on the drug development projects undertaken by the members of the Canadian Generic Pharmaceutical Association over the period 2015–2019. I found that about 16% of generic drug development projects were delayed due to originator firm efforts to impede access to samples of their drugs. The median generic drug launch delay (among affected drugs) attributable to the challenged conduct was 6 months. The additional costs to drug payors from the resulting delays in generic drug launches over the analysis period was in the order of $284 million, or $57 million annually. This study did not explore the additional generic drug development costs attributable to the challenged conduct.
一些品牌药公司阻止了非专利药公司获取品牌药样品的尝试,这些样品是开发和获得监管机构批准其非专利产品所必需的。这种行为在美国和加拿大都有报道,它增加了药物计划和其他支付方的药物成本,并可能减少竞争。迄今为止的文献几乎没有经验证据表明这种行为的普遍性,对仿制药市场上市的随之而来的影响以及药品付款人所承担的成本。本文利用加拿大仿制药协会成员在2015-2019年期间开展的药物开发项目的数据,为加拿大解决了这些问题。我发现,大约16%的仿制药开发项目被推迟,是因为发起人坚决阻止获取其药物样本。受质疑行为导致的仿制药上市延迟(在受影响的药物中)中位数为6个月。在分析期间,仿制药上市延误给药品付款人带来的额外费用约为2.84亿美元,即每年5700万美元。本研究没有探讨可归因于受质疑行为的额外仿制药开发成本。
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引用次数: 1
A review and analysis of product recall for pharmaceutical drug product 药品召回事件的回顾与分析
Ashish Miglani, Chandan Saini, P. Musyuni, G. Aggarwal
The pharmaceutical industry's primary concern is to provide high-quality drug products to the general public, so drug recalls play an important role in maintaining the quality system by removing defective products from the market. Pharmaceutical product recalls are increasing at an alarming rate as a result of increased inspection rates and the introduction of modernization and the digital world into the industry, raising concerns for regulatory agencies and public health to focus on more stringent regulations to control future recalls of defective drug products. This article will provide an overview of recall procedures, their impact on the pharmaceutical industry, and the various steps taken to reduce pharmaceutical recalls.
制药行业的主要关注点是向公众提供高质量的药品,因此药品召回通过将有缺陷的产品从市场上清除,在维持质量体系方面发挥着重要作用。由于检查率的提高以及现代化和数字世界的引入,医药产品召回正在以惊人的速度增加,这引起了监管机构和公共卫生部门的关注,他们需要把重点放在更严格的法规上,以控制未来对有缺陷药品的召回。本文将概述召回程序,它们对制药业的影响,以及减少药品召回所采取的各种步骤。
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引用次数: 3
Comparison of generic drug registration strategies between health Canada and Gulf Cooperation Council 加拿大卫生部与海湾合作委员会仿制药注册战略的比较
N. Charyulu, Anoop Narayanan, A. Shetty
Recently, generic drug products have played an increasingly important role in the health care system globally, especially in the developing world, as they provide for an effective and more affordable alternative for healthcare professional. Generic drug products are proven therapeutically equivalent to the corresponding innovator’s product, and hence can be substituted in clinical practice. The Gulf Cooperation Council’s pharmaceutical market is known to be semi-regulated market when compared with Health Canada and the United States of America drug regulatory market. Product regulation in Gulf Cooperation Council and Health Canada are challenging task in comparison to EU and USA. This study aimed to understand the generic drug registration comparison of Health Canada and Gulf Cooperation Council’s. The aim of this study was achieved by review of the Health Canada and Gulf Cooperation council guidelines and publications. Health Canada and Gulf Cooperation council follows Common Technical Document format and also emphasizes on safety, quality and efficacy of the drug. In summary Gulf Cooperation council and Health Canada offers lucrative market for Indian pharmaceutical manufacturer and the process of registration has been simplified by centralized procedure.
最近,仿制药产品在全球卫生保健系统中发挥了越来越重要的作用,特别是在发展中国家,因为它们为卫生保健专业人员提供了一种有效和更实惠的替代方案。仿制药产品被证明在治疗上等同于相应的创新者产品,因此可以在临床实践中替代。众所周知,与加拿大卫生部和美利坚合众国的药品管制市场相比,海湾合作委员会的药品市场属于半管制市场。与欧盟和美国相比,海湾合作委员会和加拿大卫生部的产品监管是一项具有挑战性的任务。本研究旨在了解加拿大卫生部和海湾合作委员会仿制药注册的比较。这项研究的目的是通过审查加拿大卫生部和海湾合作理事会的准则和出版物来实现的。加拿大卫生部和海湾合作委员会遵循共同技术文件格式,也强调药物的安全性、质量和有效性。总之,海湾合作委员会和加拿大卫生部为印度药品制造商提供了利润丰厚的市场,并且通过集中程序简化了注册过程。
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引用次数: 0
The anatomy of CUSMA’s patent: Does it still reflect an equipoise? CUSMA专利的剖析:它是否仍然反映了一种平衡?
Z. Boru
The Protocol of Amendment to the Agreement between the United States of America, Canada and the United Mexican States erased many of the TRIPS-plus provisions inserted earlier into the Canada- United States of America-Mexico Agreement (hereafter, CUSMA) signed on 30 November 2018. While the erasure of the provisions shows the contributions made to promote access to medicines, the Agreement still retains TRIPS-plus provisions, including the provisions on patent term extensions. Thus seen, irrespective of the changes introduced by the Protocol of Amendment, patent term extensions may have a negative implication on access to cost-cutting medicines (biosimilars and generics). Against this backdrop, this paper focuses on patent term extensions, as contained in the CUSMA’s Intellectual Property Rights (IPRs) chapter. The paper investigates if & how the patent term extension has the potential to impede access to affordable medicines (biologics and chemically synthesized medicines). In so doing, the paper provides possible responses to the question, do the provisions on patent term extensions hinder the timely access to affordable medicines? As such, the first part of the paper succinctly looks at CUSMA. Section “Patent protection under the TRIPS agreement” examines the TRIPS patent regime. While “The CUSMA’s rules on patent term extension” section discusses the nature of obligations included in the CUSMA’s IPRs chapter, the Section “The CUSMA’s rules on patent term extension vis-à-vis access to medicines” analyzes the potential implications of patent term extensions on access to affordable medicines. The final section concludes the paper.
《美利坚合众国、加拿大和墨西哥合众国协定修正议定书》删除了2018年11月30日签署的《加拿大-美利坚合众国-墨西哥协定》(以下简称CUSMA)早先插入的许多TRIPS-plus条款。虽然这些条款的删除显示了为促进药品获取所作的贡献,但该协定仍然保留了trips +条款,包括关于延长专利期限的条款。由此可见,无论《修正议定书》作出何种改变,专利期限的延长都可能对获得削减成本的药物(生物类似药和非专利药)产生负面影响。在此背景下,本文将重点关注CUSMA知识产权(ipr)章节中所包含的专利期限延长。本文调查了专利期限延长是否以及如何有可能阻碍获得负担得起的药物(生物制剂和化学合成药物)。在此过程中,本文提供了对以下问题的可能回答:关于专利期限延长的规定是否阻碍了人们及时获得负担得起的药物?因此,本文的第一部分简要介绍了CUSMA。“TRIPS协议下的专利保护”一节审查了TRIPS专利制度。虽然“CUSMA关于专利期限延长的规则”部分讨论了CUSMA知识产权章节中所包含的义务的性质,但“CUSMA关于专利期限延长与-à-vis获得药物的规则”部分分析了专利期限延长对获得负担得起的药物的潜在影响。最后一部分是对本论文的总结。
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引用次数: 0
Review of form 483s and warning letters to pharmaceutical manufacturers issued by USFDA 美国食品药品监督管理局(USFDA)向药品制造商发出的483表格和警告信的审查
Chandan Saini, Ashish Miglani, P. Musyuni, G. Aggarwal
Regular inspections are carried out to ensure system conformity by the Food and Drugs Regulatory Authority (FDA) of the United States one of the most stringent regulatory authorities in the world. The inspectors send Form 483 to the management after the inspection, detailing the inappropriate conditions. Because the FDA guidelines are difficult to comply with, a company can contravene the regulations. If any significant infringements can affect the protection, quality, effectiveness, or public health of the drug is identified, the FDA issues advice to the company. Warning Letters (WL) shall be an official notification of non-compliance with federal law within a period to be issued by manufacturer, clinician, distributor, or responsible person in the company. The delivery of a letter has a considerable impact on the company's reputation and position in the market. Inadequate WL reactions could lead to a refusal, import denial, memorandum or even conviction and order. A brief study was conducted in this document of Form 483 and WL for four years (2017–2020) on an understanding the regulatory provisions.
美国食品和药物管理局(FDA)是世界上最严格的监管机构之一,定期进行检查,以确保系统符合要求。检查员在检查后将表格483发送给管理层,详细说明不适当的情况。由于FDA的指导方针很难遵守,公司可以违反规定。如果发现任何重大侵权行为会影响药物的保护、质量、有效性或公众健康,FDA会向公司发出建议。警告信(WL)应是制造商、临床医生、分销商或公司负责人在一段时间内发出的未遵守联邦法律的正式通知。信件的投递对公司的声誉和市场地位有相当大的影响。不充分的WL反应可能导致拒绝,进口拒绝,备忘录甚至定罪和命令。我们对表格483和WL的这份文件进行了为期四年(2017-2020)的简要研究,以了解监管规定。
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引用次数: 1
GlaxoSmithKline v. Teva: Federal circuit broadens induced infringement to preclude marketing generics for off-patent indications 葛兰素史克诉梯瓦:联邦巡回法院扩大诱导侵权以排除非专利适应症的仿制药销售
Paul A. Braier
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引用次数: 0
Idenix v. Gilead: The enablement and written description limits of a genus claim Idenix诉Gilead:属权利要求的使能关系和书面描述限制
Keith A Zullow, Ci-Wen Chang, S. Anderson
In Idenix Pharms. LLC v. Gilead Sci. Inc., 941 F.3d 1149 (Fed. Cir. 2019), the Federal Circuit affirmed a judgment of invalidity of a patent claiming methods for treating Hepatitis C virus for, inter alia, lack of enablement. The Supreme Court denied Idenix’s petition for a writ of certiorari, meaning that the Federal Circuit decision stands, and genus claims covering thousands of compounds that were supported by an insufficient number of examples have failed the enablement test not once, but twice. See Wyeth & Cordis Corp. v. Abbott Labs., 720 F.3d 1380 (Fed. Cir. 2013). This case report presents the context surrounding the Federal Circuit’s Idenix decision and the Supreme Court’s decision not to hear the case.
在Idenix Pharms。LLC诉Gilead Sci。第941 F.3d 1149(联邦巡回法院,2019年),联邦巡回法院维持了一项关于要求治疗丙型肝炎病毒方法的专利无效的判决,除其他外,原因是缺乏使能关系。最高法院驳回了Idenix申请调件令的请求,这意味着联邦巡回法院的判决仍然有效,而且由于案例数量不足,涉及数千种化合物的属类索赔已经两次未能通过使能关系测试。参见惠氏公司诉雅培公司案。, 720 F.3d 1380(联邦法院2013)。本案例报告介绍了联邦巡回法院对identiix案的判决和最高法院决定不审理此案的背景。
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引用次数: 0
Journal of Generic Medicine – Editorial June 2021 仿制药杂志-社论2021年6月
B. Tempest
A USA watchdog agency recently warned that the backlog of FDA inspection could take years to complete. By comparison, some discovery pharmaceutical companies and some OTC companies along with one middle eastern generic pharmaceutical company have a debt ratio of around x1.5 gross debt/EBITDA. The largest generic pharmaceutical company Viatris (Pfizer-Upjohn-Mylan) expects 2021 sales to be dominated by Europe, with a 33% share of total sales (growing at +4% over the last year) compared to North America holding a smaller 27% share of total sales (which is declining at -1%). [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 abstract 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 abstract. (Copyright applies to all Abstracts.)
一家美国监管机构最近警告说,积压的FDA检查可能需要数年时间才能完成。相比之下,一些发现制药公司和一些OTC公司以及一家中东仿制药公司的负债率约为总债务/EBITDA的x1.5。最大的仿制药公司Viatris (pfizer - upjohnmylan)预计,2021年销售额将由欧洲主导,占总销售额的33%(去年增长+4%),而北美占总销售额的27%(下降-1%)。[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。这篇摘要可以删节。对副本的准确性不作任何保证。用户应参考资料的原始出版版本以获取完整摘要。(版权适用于所有摘要。)
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引用次数: 0
期刊
Journal of Generic Medicines: The Business Journal for the Generic Medicines Sector
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