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Cross-border healthcare and recognition of medical prescriptions issued in another Member State 跨国界保健和承认在另一会员国开出的医疗处方
Pub Date : 2017-04-01 DOI: 10.3233/PPL-170445
Francisco Miguel Bombillar Sáenz
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引用次数: 2
Political and regulatory key factors of transparency and independence in terms of vaccination in Spain: Information, participation and lobbies 西班牙疫苗接种透明度和独立性的政治和监管关键因素:信息、参与和游说
Pub Date : 2017-04-01 DOI: 10.3233/PPL-170450
N. Cuenca
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引用次数: 0
Compulsory licensing: Procedural requirements under the TRIPS agreement 强制许可:TRIPS协议下的程序要求
Pub Date : 2016-10-10 DOI: 10.3233/PPL-160430
M. Desai
Compulsory licenses of patents under the WTO Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) are often mistakenly viewed as a solution to problems relating to access to medicines in developing countries. Access requires a strong political commitment, a health system that contains multi-disciplined health professionals, and an adequate infrastructure to enable transportation of patients and equipment. The use of compulsory licenses should be a rare event considered only under extremely limited circumstances and not an instrument of industrial policy. If a government decides to issue a compulsory license, there are several technical and procedural requirements that must be satisfied under TRIPS. This paper explores those requirements and examines instances where courts have issued decisions relating to compulsory license requests or grants. It analyses the key provisions of TRIPS that are relevant to a government grant of a compulsory license without the authorization of the right holder. It also provides examples and analyses of previous grants of compulsory licenses that have been deficient in meeting on more more procedural requirements under TRIPS.
世贸组织《与贸易有关的知识产权协定》规定的专利强制许可常常被错误地视为解决发展中国家药品获取问题的办法。获取需要强有力的政治承诺、拥有多学科卫生专业人员的卫生系统以及能够运输患者和设备的适当基础设施。强制许可的使用应该是在极其有限的情况下才考虑的罕见事件,而不是工业政策的工具。如果一个政府决定颁发强制许可,根据TRIPS协议,有几个技术和程序要求必须得到满足。本文探讨了这些要求,并审查了法院发布与强制许可请求或授予有关的决定的实例。本文分析了《与贸易有关的知识产权协定》中与政府未经权利人授权而授予强制许可有关的关键条款。它还提供了一些例子和分析,说明以前授予的强制许可在满足《与贸易有关的知识产权协定》的更多程序性要求方面存在不足。
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引用次数: 6
Breaking New Ground: The WTO Agreement on Trade Facilitation: Potential and Perspectives for the Pharmaceutical Industry 开辟新天地:世贸组织贸易便利化协定:制药业的潜力和前景
Pub Date : 2016-10-09 DOI: 10.3233/PPL-160433
Nora Neufeld
Recently adopted, the WTO Agreement on Trade Facilitation (TFA) adds fresh momentum to worldwide efforts to speed up the movement, release and clearance of goods across borders. With all required decisions having now been taken in Geneva, preparations are under way to ensure the Agreement’s expeditious entry into force. Once in operation, this ground-breaking treaty will significantly accelerate cross-border trade and reduce related costs. This article analyses the TFA from a pharmaceutical angle, highlighting provisions of particular interest to the industry. It will look at how the new Agreement is likely to impact trade in medical goods and where business stands to benefit. A final segment will review governments’ implementation plans and discuss the road ahead.
世界贸易组织最近通过的《贸易便利化协定》为全球加快货物跨境流动、放行和清关的努力注入了新的动力。现在在日内瓦已作出所有必要的决定,目前正在进行准备工作,以确保《协定》迅速生效。这项开创性的条约一旦投入使用,将大大加快跨境贸易并降低相关成本。本文从制药角度分析了TFA,强调了该行业特别感兴趣的条款。它将研究新协定可能如何影响医疗用品贸易,以及企业将在哪些方面受益。最后一个环节将回顾各国政府的实施计划,并讨论未来的道路。
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引用次数: 1
Editorial - The innovation and access to landscape 社论-景观的创新和通道
Pub Date : 2016-10-09 DOI: 10.3233/PPL-160427
J. Valverde, E. Pisani
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引用次数: 0
Chapter 6 - Clinical trials and off-label use of drugs 第六章-临床试验和超说明书用药
Pub Date : 2016-02-15 DOI: 10.3233/PPL-160422
Giovanni Maria Cavo
The contribution aims to analyze a topic closely related to the subject of experimentation, in terms of protection of patients undergoing drug therapy: the use of off-label drugs, that is, in summary, the possibility to use a medicine for therapeutic indications not covered within the marketing authorisation (M.A.) of the drug. Moving from European discipline on medicines for human use, the analysis focuses on the peculiarities of the Italian legislation, representing in Europe an emblematic case of off-label rules. A particular focus is dedicated to the case of drugs Avastin R © and Lucentis R © , which in recent years has highlighted the limits of that national legislation, including the possible contrast with European regulations. In particular, the choice of legislator, recently upheld by the Italian Constitutional Court, to submit the possibility, as well as the definition of what are the minimum requirements of safety and efficacy for a drug “off-label” may be prescribed to patients, are the main issues on which we intend to stimulate reflection on the reader.
该贡献旨在分析一个与实验主题密切相关的主题,即在接受药物治疗的患者的保护方面:标签外药物的使用,即总结而言,将药物用于未包括在药物上市许可(ma)范围内的治疗适应症的可能性。从欧洲人用药物的纪律出发,分析重点放在意大利立法的特殊性上,意大利立法代表了欧洲标签外规则的一个标志性案例。特别关注的是药物Avastin R©和Lucentis R©,近年来突出了国家立法的局限性,包括可能与欧洲法规形成对比。特别是,立法者的选择,最近由意大利宪法法院支持,提交的可能性,以及什么是“标签外”药物的安全性和有效性的最低要求的定义,可以开给病人,是我们打算激发读者反思的主要问题。
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引用次数: 0
Chapter 8 - Scientific research and human reproduction: The prevalence of the embryo in the Italian legal system 第八章-科学研究与人类生殖:胚胎在意大利法律制度中的盛行
Pub Date : 2016-02-15 DOI: 10.3233/PPL-160425
B. Vitiello
In 2004, in Italy, it appears, for the first time, a law that regulates limits and the methods on assisted reproduction techniques. One of the principles on which is based the already famous 40 law, and that will strongly affect its forecast, is the protection of the human embryo, accompanied, in the structure of the regulatory text, a related limitation of other interests that they found a weaker response from the legislature. It is easy to detect the valorization of the human embryo in several steps; its correlation with the needs of scientific research are included in this framework, and we will try to provide some observations on the following pages, also in the light of important judicial interventions.
2004年,意大利首次出台了一项法律,对辅助生殖技术的限制和方法进行了规定。已经很著名的40号法律所依据的原则之一,将强烈影响其预测,是对人类胚胎的保护,在监管文本的结构中,伴随着对其他利益的相关限制,他们发现立法机关的反应较弱。通过几个步骤可以很容易地检测到人类胚胎的增殖;它与科学研究需要的相关性包含在这个框架中,我们将尝试在接下来的页面中提供一些观察,也考虑到重要的司法干预。
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引用次数: 0
Chapter 2 - Community intervention in the field of health and the European regulation of clinical trials on medicinal products for human use 第2章-共同体在卫生领域的干预和欧洲对人用医药产品临床试验的管理
Pub Date : 2016-02-15 DOI: 10.3233/PPL-160418
P. Angelis
The European Union organisation, which was established to regulate the relations of economic nature, has expanded its scope, including among its objectives the protection of the citizen fundamental rights; this is a result of the evolving case-law of the Court of Justice pursuant to the information contained in the Charter of Nice and the Treaty of Lisbon. Only from the early 70’s health policies have begun to affect community entities, especially since carriers through which contribute to achieving the four main freedoms expressed in community legislation. On April 16th 2014 regulation No 536/2014 on clinical trials on medicinal products for human use was adopted by the European Parliament and the Council. As can be seen from reading the text, the target of the regulation is to ensure the robustness and reliability of data on clinical trials throughout the Union, while guaranteeing respect for the rights, safety, dignity and well-being of the subjects. The European regulation is at the heart of a contrast between two different wishes that the EU, the regulation seeks to combine: on one hand, the need for the EU to remain an attractive place to conduct clinical trials. And on the other hand, the need to ensure respect for the rights, safety, dignity and well-being of those involved in clinical trials.
为调节经济性质的关系而建立的欧洲联盟组织扩大了其范围,其目标之一是保护公民的基本权利;这是法院根据《尼斯宪章》和《里斯本条约》所载资料不断发展的判例法的结果。直到70年代初,保健政策才开始影响到社区实体,特别是因为携带者有助于实现社区立法中所表达的四项主要自由。2014年4月16日,欧洲议会和理事会通过了关于人用医药产品临床试验的第536/2014号法规。从阅读文本中可以看出,该法规的目标是确保整个欧盟临床试验数据的稳健性和可靠性,同时保证对受试者权利、安全、尊严和福祉的尊重。欧洲法规是欧盟寻求结合的两种不同愿望之间对比的核心:一方面,欧盟需要保持一个有吸引力的地方进行临床试验。另一方面,需要确保对参与临床试验人员的权利、安全、尊严和福祉的尊重。
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引用次数: 0
Chapter 5 - Regulation and control of drugs: Between prescriptive appriopriateness and limitation of public spending towards the goal of deregulating the pharmaceutical market 第5章-管制和控制药物:在规范的适当性和限制公共开支之间,以实现解除对药品市场的管制
Pub Date : 2016-02-15 DOI: 10.3233/PPL-160421
C. Agnello
This article allows toanalyze drug testing from the standpoint of prescriptive appropriateness, as a tool and a resource to implement a welfare state system, in which the NHS provides an equitable access to innovative pharmaceutical treatments that might cause clinical benefits. In pursuing these interests it is necessary to ensure the due interaction between the economic and the legal profile. This implies the need of analyzing and balancing risks and benefits of experimental treatments with the objective of lowering health care costs for state budgetary purposes. In this respect, both economic process trends and social dynamics will bedealt with, given their link with market globalization, as well as compensatory measures, tax reliefs and settlements designed to streamline and reduce public spending in this area.
本文允许从处方适当性的角度分析药物测试,作为实施福利国家系统的工具和资源,其中NHS提供了公平获取可能导致临床益处的创新药物治疗的机会。在追求这些利益时,有必要确保经济和法律之间的适当相互作用。这意味着需要分析和平衡实验性治疗的风险和效益,以降低国家预算目的的医疗保健费用。在这方面,将讨论经济进程趋势和社会动态,因为它们与市场全球化有关,还将讨论旨在精简和减少这方面公共开支的补偿措施、税收减免和解决办法。
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引用次数: 0
Chapter 4 - Competence and role of ethics committees in clinical trials 第四章-伦理委员会在临床试验中的能力和作用
Pub Date : 2016-02-15 DOI: 10.3233/PPL-160420
Michele Buratin
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引用次数: 0
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Pharmaceuticals, policy and law
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