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Applicability of Capillary Gas-Liquid Chromatography for Determination of Parabens in Pharmaceutical Analysis 毛细管气液色谱法测定对羟基苯甲酸酯在药物分析中的适用性
Pub Date : 2019-06-05 DOI: 10.30895/1991-2919-2019-9-2-123-130
A. Ioutsi, M. Sumtsov, D. A. Artyushenko, D. Bychenkov, A. N. Blinov
The traditional gas-liquid chromatography (GLC) method using packed columns is still used in pharmaceutical analysis for determination of parabens, despite the fact that this technique has a number of serious drawbacks.The aim of the study was to develop a more effective capillary GLC method for determination of parabens in active pharmaceutical ingredients and finished pharmaceutical products.Materials and methods: the study was performed using Agilent 6890N and Agilent 7890B systems with flame-ionisation detectors. The systems were equipped with Agilent 7683B and Agilent G4513A autosamplers, respectively. The following columns were used in the study: ZB-1 15 m х 0.32 mm х 0.25 pm, DB-1 30 m х 0.32 mm х 3.0 pm, Cp-Sil 5-CB 30 m х 0.32 mm х 3.0 pm.Results: the authors developed a method for methylparaben and propylparaben determination using capillary column GLC. The chromatographic parameters (chromatographic system performance, reproducibility of peak areas, peak asymmetry) were determined for both capillary and packed column GLC. The authors outlined the prospects for simultaneous determination of several compounds using the proposed method: a four-component mixture containing methyl-, ethyl-, propyl-, and butylparaben was separated in 9 minutes. The authors used Loma Lux Psoriasis to perform partial validation of the test method. They determined the linearity range and the limit of quantitation for methylparaben and propylparaben, and verified accuracy and intermediate precision of the test method.Conclusions: the results of the study allowed for selection of optimal chromatographic conditions for rapid and high-precision determination of methylparaben and propylparaben in medicinal products. The developed method is recommended for control of the content of these compounds in medicinal products.
传统的填充柱气液色谱法(GLC)在药物分析中仍被用于对羟基苯甲酸酯的测定,尽管这种技术有许多严重的缺点。本研究的目的是建立一种更有效的毛细管气相色谱法测定药物活性成分和成品中对羟基苯甲酸酯的含量。材料和方法:本研究使用带有火焰电离检测器的Agilent 6890N和Agilent 7890B系统进行。系统分别配备Agilent 7683B和Agilent G4513A自动进样器。所用色谱柱为:ZB-1 15 m, 0.32 mm, 0.25 pm; DB-1 30 m, 0.32 mm, 3.0 pm; Cp-Sil - 5-CB, 30 m, 0.32 mm, 3.0 pm。结果:建立了毛细管色谱法测定对羟基苯甲酸甲酯和对羟基苯甲酸丙酯的方法。测定了毛细管色谱和填充柱色谱的色谱参数(色谱系统性能、峰面积重现性、峰不对称性)。作者概述了使用该方法同时测定几种化合物的前景:在9分钟内分离出含有甲基,乙基,丙基和对羟基苯甲酸丁酯的四组分混合物。作者使用Loma Lux牛皮癣对测试方法进行部分验证。确定了对羟基苯甲酸甲酯和对羟基苯甲酸丙酯的线性范围和定量限,验证了测试方法的准确度和中间精密度。结论:研究结果为快速、高精度测定药品中对羟基苯甲酸甲酯和对羟基苯甲酸丙酯的色谱条件选择提供了依据。建议本方法用于药品中这些化合物的含量控制。
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引用次数: 2
Experience of Practical Application of the Automated Information System «Document Management of Scientific and Technical Product Deliveries» 自动化信息系统“科技产品交付文件管理”的实际应用经验
Pub Date : 2019-06-05 DOI: 10.30895/1991-2919-2019-9-2-118-122
D. P. Andreev, A. V. Kozlovich, S. S. Andreev, I. G. Rakov
The production of scientific and technical products is one of the most promising areas in terms of implementation of automation systems. The information system «Document management of scientific and technical product deliveries» is a set of unique resources that provides each of the participants with the opportunity to operate a single database of electronic documents and data in accordance with their respective access rights. The aim of the study was to assess the experience of practical application of the automated information system «Document management of scientific and technical product deliveries» and its role in the optimisation of the organisation’s activities. The article discusses the main results of the information system application for data storage and data management enabling the marketing of scientific and technical products. The paper provides a general assessment of how the software product helps meet the requirements for monitoring the production timeframe, automate the drafting and approval of work-related and financial documentation. It describes the process of electronic document exchange using the capabilities of CALS/PLM technologies. The paper illustrates the need to use the automated document flow for production and marketing of samples of pathogenic microorganism strains, certified reference standards for commercial enterprises, non-periodical publications. It outlines the prospects for further optimisation of channels of communication with external customers, and electronic exchange of documents. The benefits from the use of this system help reduce the time spent by managers and employees on the compilation of packages of documents and on the preparation of applications — by automating routine manipulations in processing incoming information and documents received as annexes to applications and requests. This information system was analysed to illustrate the benefits of digital technologies.
在实施自动化系统方面,科技产品的生产是最有前途的领域之一。“科技产品交付文件管理”信息系统是一套独特的资源,它为每个参与者提供了根据各自访问权限操作单一电子文件和数据数据库的机会。该研究的目的是评估自动化信息系统“科学和技术产品交付的文档管理”的实际应用经验及其在优化组织活动中的作用。本文论述了信息系统在数据存储和数据管理方面应用的主要成果,为科技产品的营销服务。本文提供了软件产品如何帮助满足监控生产时间框架、自动化起草和批准与工作相关和财务文档的需求的一般评估。描述了利用CALS/PLM技术实现电子文档交换的过程。本文阐述了在病原微生物菌株样品的生产和销售、商业企业认证参考标准品、非期刊出版物中使用自动化文件流程的必要性。它概述了进一步优化与外部客户沟通渠道和电子文件交换的前景。使用这一系统的好处是,通过自动处理作为申请和请求附件收到的传入资料和文件,有助于减少管理人员和雇员在编制文件包和准备申请上所花费的时间。对这个信息系统进行了分析,以说明数字技术的好处。
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引用次数: 0
Current Requirements for Information Content and Graphic Design of a Medicinal Product Package 药品包装信息内容和平面设计的当前要求
Pub Date : 2019-06-05 DOI: 10.30895/1991-2919-2019-9-2-108-117
L. I. Mit’kina, Anastasiya K. Ericheva
Labeling is an important source of information about a medicinal product. The completeness and accuracy of labeling ensures correct identification, as well as safe and efficacious use of the product. The aim of the present paper was to perform comparative analysis of requirements for the design of medicinal product packages currently applicable in the Russian Federation and in the Eurasian Economic Union (EEU) in order to facilitate the introduction of Russian medicinal products into the EEU market. The EEU requirements for medicinal product labeling are described in laws and regulations stipulating medicinal products circulation in the EEU. The Russian requirements are laid out in Federal Law No. 61-FZ «On medicines circulation» dated April 12, 2010, the State Pharmacopoeia of the Russian Federation, and the Guideline on Medicinal Products Evaluation of the FSBI «SCEEMP» of the Ministry of Health of Russia. It was demonstrated that labeling requirements described in the EEU and Russian regulations largely overlap, but there are also a number of differences that are mainly related to the information on the medicinal product composition and different interpretation of the term «herbal medicinal product». A successful promotion of Russian medicines in the EEU market will require harmonisation of definitions and requirements used in the Russian legislation with those stipulated in the EEU regulations.
标签是药品信息的重要来源。标签的完整性和准确性确保了正确识别,以及产品的安全有效使用。本论文的目的是对目前适用于俄罗斯联邦和欧亚经济联盟(EEU)的医药产品包装设计要求进行比较分析,以促进俄罗斯医药产品进入欧亚经济联盟市场。欧洲经济区对药品标识的要求在规定药品在欧洲经济区流通的法律法规中进行描述。俄罗斯的要求在2010年4月12日颁布的第61-FZ号《关于药品流通》联邦法、俄罗斯联邦国家药典和俄罗斯卫生部FSBI«SCEEMP»药品评价指南中有所规定。结果表明,EEU和俄罗斯法规中描述的标签要求在很大程度上重叠,但也存在一些差异,这些差异主要与药品成分信息和“草药产品”一词的不同解释有关。俄罗斯药品在欧亚经济联盟市场上的成功推广需要将俄罗斯立法中使用的定义和要求与欧亚经济联盟条例中规定的定义和要求协调一致。
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引用次数: 0
Modern Approaches to Determination of the Biological Activity of Insulin and its 胰岛素生物活性的现代测定方法及其应用
Pub Date : 2019-06-05 DOI: 10.30895/1991-2919-2019-9-2-85-92
T. A. Batuashvili, L. V. Simutenko, P. V. Shadrin, N. P. Neugodova
The paper considers insulin’s specific action on the patient’s body, types of insulin preparations and insulin analogues which are used for the treatment of diabetes, as well as applicable requirements for these products. It was demonstrated that determination of biological activity is one of the key quality parameters of this type of medicines. The paper summarises the methods used for evaluation of insulin and its analogues, which are based both on the hormone’s general action on the body (in vivo: double crossing, euglycemic clamp, etc.), and on certain aspects of the hormone’s interaction with the body systems (in vitro: receptor-binding assay, phosphorylation, metabolic methods). Due to the appearance of insulin biosimilars on the pharmaceutical market, the article raises the issue that the «Biological potency» parameter tested in animals should be kept as part of the product specification. The analysis of the in vivo and in vitro methods of biological activity determination convincingly demonstrates that animal models can not be replaced with the modern analytical methods based on cell cultures. Consequently, animal models are still necessary, as they allow for an adequate assessment of the quality of insulins in terms of «Biological potency». Taking into account the global trend towards reduction of animal testing, the authors point out the need to develop modern methods, the results of which will be comparable to the results of in vivo determination of the biological activity.
本文考虑了胰岛素对患者身体的特殊作用,用于治疗糖尿病的胰岛素制剂和胰岛素类似物的类型,以及这些产品的适用要求。结果表明,生物活性的测定是该类药物的关键质量参数之一。本文总结了胰岛素及其类似物的评价方法,这些方法既基于激素对身体的一般作用(体内:双重交叉,血糖钳等),也基于激素与身体系统相互作用的某些方面(体外:受体结合试验,磷酸化,代谢方法)。由于胰岛素生物仿制药在医药市场上的出现,本文提出了在动物中测试的“生物效力”参数应作为产品规格的一部分的问题。体内和体外生物活性测定方法的分析令人信服地表明,基于细胞培养的现代分析方法不能取代动物模型。因此,动物模型仍然是必要的,因为它们允许在“生物效力”方面对胰岛素的质量进行充分的评估。考虑到减少动物试验的全球趋势,作者指出需要发展现代方法,其结果将与体内生物活性测定的结果相媲美。
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引用次数: 1
New Anticonvulsants: Interchangeability Issues and the Use of Generic Anticonvulsants in Clinical Practice 新的抗惊厥药:互换性问题和通用抗惊厥药在临床实践中的使用
Pub Date : 2019-06-05 DOI: 10.30895/1991-2919-2019-9-2-101-107
V. Arkhipov, E. Sokova, G. I. Gorodetskaya, O. A. Demidova, T. Aleksandrova
This article looks into interchangeability and therapeutic equivalence of innovator and generic anticonvulsants — the first-generation and new antiepileptic drugs (AEDs). The results of a number of clinical trials assessing therapeutic equivalence of generic AEDs support the opinion that these medicines could only be substituted provided an ultra-cautious approach is used, even if the case involves only one International Nonproprietary Name, including, but not limited to different dosage forms of one and the same product. The aim of the study was to analyse factors leading to incorrect assessment of therapeutic equivalence of new and generic anticonvulsant drugs, and to improve methodological approaches to conducting clinical trials of these products. The paper cites data from Russian and foreign sources which state that the substitution of AEDs in some patients in full remission may result in adverse reactions or relapse of seizures. The analysis of the experience of scientific, expert, and regulatory institutions made it possible to develop a course of actions to be used when substituting AEDs and conducting clinical trials that assess therapeutic equivalence of new and generic anticonvulsants. The proposed methodology will help minimise potential health risks brought about by various factors that result in incorrect assessment of AEDs therapeutic equivalence and interchangeability.
本文探讨了创新抗惊厥药和仿制抗惊厥药的互换性和治疗等效性——第一代抗癫痫药和新型抗癫痫药。许多评估非专利aed治疗等效性的临床试验结果支持这样一种观点,即这些药物只有在使用超谨慎方法的情况下才能被替代,即使病例只涉及一个国际非专利名称,包括但不限于同一产品的不同剂型。本研究的目的是分析导致新药和仿制药治疗等效性评估不正确的因素,并改进这些产品进行临床试验的方法学方法。该论文引用了来自俄罗斯和国外的数据,这些数据表明,在一些完全缓解的患者中,替代aed可能会导致不良反应或癫痫发作复发。通过对科学、专家和监管机构的经验分析,有可能制定出一套行动方案,用于替代aed,并进行临床试验,评估新型和非专利抗惊厥药的治疗等效性。建议的方法将有助于减少各种因素带来的潜在健康风险,这些因素会导致对aed治疗等效性和互换性的错误评估。
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引用次数: 0
Post-approval Variations to Dossiers for Vaccines: Analysis of Regulatory and Methodological Approaches Used in the Russian Federation and Abroad 疫苗档案批准后的变化:俄罗斯联邦和国外使用的监管和方法方法分析
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-41-48
V. Shevtsov, Yu. V. Olefir, V. A. Merkulov, V. Bondarev, I. Indikova, E. E. Evreinova, A. Rukavishnikov, L. M. Khantimirova, D. Gorenkov
The management of post-approval changes to registration dossiers for medicinal products is one of the most important factors for ensuring sustainable quality, safety and efficacy of medicines. Competent authorities that use the module format of the registration dossier, i.e. the regulatory authorities of the European Union, USA and other members of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH), and the Eurasian Economic Union (EEU), issue guidelines on changes to registration dossiers for pharmaceuticals and biologicals (immunological products). Vaccines (finished dosage forms) and vaccine antigens (active ingredients) are a specific group of immunobiological products which have great prophylactic importance for healthcare, and which are associated with challenging development and specific methods of manufacturing and quality control. The procedure of introducing post-approval variations to dossiers for immunobiological medicinal products is poorly reflected in the current Russian and EEU regulations. The World Health Organization (WHO) established a procedure described in the «Guidelines on procedures and data requirements for changes to approved vaccines». The purpose of the present study was to compare current Russian and international legislation in terms of regulatory requirements for post-approval сhanges to dossiers for immunobiological products. The Federal State Budgetary Institution «Scientific Centre for Expert Evaluation of Medicinal Products» of the Ministry of Health of the Russian Federation is drafting Guideline on introducing post-approval changes into dossiers for immunobiological medicines. The draft includes a detailed review of various categories of changes based on their importance, and a list of conditions and required documents for specific groups of medicines. This article summarises scientific and methodological approaches to evaluation of changes introduced in registration dossiers for vaccines in order to further improve the regulatory framework of the Russian Federation and the EEU.
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引用次数: 2
Planning a Programme of Pre-authorisation Clinical Trials of Medicines for the Treatment of Chronic Hepatitis C 规划治疗慢性丙型肝炎药物的预授权临床试验项目
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-6-13
A. Gubenko, N. Eremenko
In 2016 the WHO Assembly defined a global strategy to combat viral hepatitis viruses, which seeks to eliminate these infections by 2030. The most important goals of this programme, adopted by 194 countries, are to reduce the incidence of viral hepatitis by 90 % and mortality rates – by 65 % as compared to the levels observed in 2016. Therefore, there is an obvious need for development of medicines for the treatment of chronic hepatitis C. The aim of the present paper was to determine basic approaches to planning pre-authorisation clinical trials for the main groups of medicines for the treatment of chronic hepatitis C. The paper summarises the current trends in the treatment of chronic hepatitis C; it lists medicines with direct antiviral effect that are currently registered in the Russian Federation, as well as interferon-free and interferon-containing regimens for the treatment of this disease. The authors examined the current requirements in force in the Russian Federation, namely: the Federal Law No. 61-FZ «On circulation of medicines» dated April 12, 2010, the Guideline on Evaluation of Medicinal Products, the Clinical Recommendations for Diagnosis and Treatment of Adult Patients with Hepatitis C, as well as recommendations of the European Medicines Agency and the Food and Drug Administration in order to analyse the planning of programmes of pre-authorisation clinical trials of interferon alfa products and direct antivirals. 
2016年,世卫组织大会确定了一项抗击病毒性肝炎病毒的全球战略,力求到2030年消除这些感染。194个国家通过的这一规划的最重要目标是,与2016年观察到的水平相比,将病毒性肝炎发病率降低90%,将死亡率降低65%。因此,开发治疗慢性丙型肝炎的药物显然是有必要的。本文的目的是确定规划用于治疗慢性丙型肝炎的主要药物组的预授权临床试验的基本方法。它列出了目前在俄罗斯联邦注册的具有直接抗病毒作用的药物,以及治疗这种疾病的无干扰素和含干扰素方案。作者审查了俄罗斯联邦现行的规定,即:2010年4月12日第61-FZ号“药品流通”联邦法,药品评价指南,成年丙型肝炎患者诊断和治疗临床建议,以及欧洲药品管理局和食品药品管理局的建议,以分析干扰素产品和直接抗病毒药物的预授权临床试验方案的规划。
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引用次数: 1
Development of Identification Test Methods for Triptorelin Acetate and Goserelin Acetate Substances using NMR spectroscopy 醋酸雷公藤雷林和醋酸戈舍雷林物质核磁共振鉴定试验方法的建立
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-54-63
S. Moiseev, N. E. Kuz’mina, A. I. Luttseva
The work is a continuation of the research on the use of NMR spectroscopy in the quality control of natural peptide hormone-based active substances and their synthetic analogues.The aimof the paper was to develop identification test methods for triptorelin acetate and goserelin acetate substances using NMR spectroscopy that does not require reference standards ‒ with the aim of using the newly developed test methods in pharmacopoeial analysis.Materials and methods:the procedure was developed using two-dimensional NMR spectroscopy (1H-1H gCOSY,1H-13C gHSQC,1H-13C gHMBC).Results:thestudy made it possible to assign1H and13C NMR signals to a specific molecular fragment, and to determine the amino acid composition of each oligopeptide.Conclusions:the authors drew up a table showing structural assignment of NMR signals, which makes it possible to use the NMR method for identification testing of triptorelin acetate and goserelin acetate substances without the use of pharmacopoeial reference standards. The study helped to determine the optimal temperature conditions for recording13C NMR spectra (27 °С and 50 °С for triptorelin acetate and goserelin acetate, respectively). It was demonstrated that13C NMR spectroscopy could be used for identification testing in pharmacopoeial analysis.  
本研究是利用核磁共振波谱技术对天然肽激素活性物质及其合成类似物进行质量控制研究的延续。本文的目的是建立不需要参考标准的核磁共振光谱法对醋酸雷普雷林和醋酸戈舍雷林物质的鉴定试验方法,目的是将新开发的试验方法用于药典分析。材料和方法:采用二维核磁共振波谱(1H-1H gCOSY,1H-13C gHSQC,1H-13C gHMBC)建立程序。结果:本研究可以将1h和13c核磁共振信号分配到特定的分子片段,并确定每个寡肽的氨基酸组成。结论:建立了核磁共振信号的结构赋值表,使用核磁共振方法进行醋酸雷普雷林和醋酸戈舍林物质的鉴定试验成为可能,而无需使用药典标准品。该研究有助于确定记录13c核磁共振光谱的最佳温度条件(醋酸triptorelin和醋酸goserelin分别为27°С和50°С)。结果表明,13c核磁共振光谱可用于药典分析的鉴定。
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引用次数: 2
Regulatory Requirements of the European Medicines Agency for Evaluation of Bioequivalence of Modified-release Medicinal Products 欧洲药品管理局对改性释放药品生物等效性评价的监管要求
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-28-33
D. P. Romodanovsky, N. Eremenko, D. Goryachev
There are no specific requirements and recommendations in the Russian Federation for evaluation of bioequivalence of modified-release medicinal products. Until recently, modified-release products were regulated in a similar manner as immediate-release products, which is unacceptable considering the active ingredient release profile and its pharmacokinetics. The modified release characteristics require a more complex approach to the assessment of equivalence of generic medicines as compared with the reference product. The number of parameters to be assessed and the scope of testing depend on many factors (release mechanism, specific features of the dosage form, linearity of pharmacokinetics, potential for ingredient accumulation, dependence on food intake, dose-dumping effects, and the number of dosage strengths to be registered). The aim of this paper was to develop recommendations for the national procedure of modified-release products authorisation based on the analysis of international regulatory experience in this field. The paper reviews the current European Medicines Agency (EMA) guidelines on evaluation of bioequivalence of generic modified-release dosage forms for oral use that were taken as a basis for the development of Eurasian Economic Union regulations on bioequivalence assessment. The analysis of the above-mentioned documents made it possible to develop recommendations for the national procedure of modified-release products authorisation. In the case of modified-release products for oral use it is recommended to perform bioequivalence studies by comparing the test product with the reference product. The authors developed a procedural algorithm for bioequivalence studies of modified-release medicinal products.
俄罗斯联邦对改性释放药品的生物等效性评价没有具体要求和建议。直到最近,缓释产品以类似于速释产品的方式进行监管,考虑到活性成分释放特征及其药代动力学,这是不可接受的。修改后的释放特性要求采用更复杂的方法来评估仿制药与参比产品的等效性。要评估的参数数量和测试范围取决于许多因素(释放机制、剂型的特定特征、药代动力学的线性、成分积累的潜力、对食物摄入的依赖性、剂量倾倒效应和要注册的剂量强度的数量)。本文的目的是在分析这一领域的国际监管经验的基础上,为国家批准改性放行产品的程序提出建议。本文回顾了目前欧洲药品管理局(EMA)关于口服非专利修饰释放剂型生物等效性评价的指南,该指南被作为欧亚经济联盟生物等效性评价法规发展的基础。通过对上述文件的分析,可以为国家改性放行产品授权程序提出建议。在口服缓释产品的情况下,建议通过比较试验产品和参比产品来进行生物等效性研究。作者开发了一个程序算法的生物等效性研究的修饰释放药物产品。
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引用次数: 0
Approaches to Clinical Development of Combination Medicines in the Russian Federation and the Eurasian Economic Union in view of the Requirements of the Current Legislation 鉴于现行立法的要求,俄罗斯联邦和欧亚经济联盟联合药物的临床开发方法
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-14-27
A. V. Dobrovolskiy
In recent years, there has been an increasing interest in the development of combination medicines (fixed drug combinations) containing two or more active ingredients in a single dosage form. Therefore, there is an urgent need to develop an optimal programme of pre-authorisation clinical trials for combination medicines. The aim of the paper was to summarise modern science-based approaches to clinical development of combination medicines and identify possible ways of their practical implementation, taking into account the requirements of the current legislation. The author reviewed scientific publications devoted to creation of fixed drug combinations and analysed the regulatory documents defining regulatory requirements for pre-authorisation clinical studies of medicines in the Eurasian Economic Union, the Russian Federation, and other countries. Based on the results of the analysis the author described the general regulatory requirements for planning clinical studies of combination medicines for the purpose of their subsequent authorisation in the Russian Federation (via the national procedure) and the Eurasian Economic Union (via the centralized procedure). The pre-authorisation clinical development programme should be designed individually for each combination medicine. The selection of an optimal clinical trial strategy will make it possible to obtain sufficient information on the efficacy and safety of a combination medicine for its subsequent authorisation. 
近年来,人们对在单一剂型中含有两种或两种以上活性成分的联合药物(固定药物组合)的开发越来越感兴趣。因此,迫切需要为联合用药制定最佳的批准前临床试验方案。这篇论文的目的是总结以现代科学为基础的联合药物临床开发方法,并在考虑到当前立法的要求的情况下,确定其实际实施的可能方法。作者回顾了致力于创建固定药物组合的科学出版物,并分析了欧亚经济联盟、俄罗斯联邦和其他国家确定药物预授权临床研究监管要求的监管文件。根据分析结果,作者描述了计划联合药物临床研究的一般监管要求,以便随后在俄罗斯联邦(通过国家程序)和欧亚经济联盟(通过集中程序)获得授权。应针对每种联合药物单独设计批准前临床开发计划。选择最佳临床试验策略将有可能获得关于联合药物的有效性和安全性的充分信息,以便后续批准。
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引用次数: 1
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The Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products
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