2011-2020年加拿大卫生部批准的新药治疗价值预测:一项横断面研究

Joel Lexchin
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引用次数: 1

摘要

目的:研究新药的审评类型、上市前试验结果(替代或临床)和首次上市这三个特征的组合是否与显著的治疗价值相关。设计:对2011年1月1日至2020年12月31日加拿大卫生部批准的新药进行横断面分析。设置:加拿大。参与者:加拿大卫生部批准的新药,可获得治疗评价、试验结果和一流地位。主要结果测量:治疗价值的分布(主要、中等、很少或没有)取决于每种药物存在多少三个特征。结果:加拿大卫生部批准了340种药物,其中243种有可供分析的数据。如果所有三个特征都存在,20种药物中有10种具有主要治疗评级。相反,如果没有药物存在,37种药物中只有2种具有主要治疗评级。结论:本研究引入了一种新的评估方法来确定新药是否具有主要的治疗价值,这种评估方法似乎比仅仅依靠药物接受的审查类型更成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Prediction of therapeutic value of new drugs approved by health Canada from 2011-2020: A cross-sectional study.

Objectives: To examine whether a combination of three characteristics of new drugs - review type, outcome of premarket trials (surrogate or clinical) and first-in-class is associated with significant therapeutic value.

Design: Cross-sectional analysis of new drugs approved by Health Canada from January 1, 2011 to December 31, 2020.

Setting: Canada.

Participants: New drugs approved by Health Canada for which therapeutic evaluations, trial outcomes and first-in-class status was available.

Main outcome measures: Distribution of therapeutic value (major, moderate, little to no) depending on how many of the three characteristics were present for each drug.

Results: Health Canada approved 340 drugs of which 243 had data available for analysis. If all three characteristics were present 10 out of the 20 drugs had a major therapeutic rating. Conversely if none were present only 2 drugs out of 37 had a major therapeutic rating.

Conclusion: This study introduces a new evaluation method for determining whether new drugs will have major therapeutic value that appears to be more successful than relying only on the type of review that drugs receive.

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来源期刊
自引率
0.00%
发文量
16
审稿时长
12 weeks
期刊介绍: JRSM Open is a peer reviewed online-only journal that follows the open-access publishing model. It is a companion journal to the Journal of the Royal Society of Medicine. The journal publishes research papers, research letters, clinical and methodological reviews, and case reports. Our aim is to inform practice and policy making in clinical medicine. The journal has an international and multispecialty readership that includes primary care and public health professionals.
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