中美仿制药研发和申报流程涂家生,Ph.D.中国药科大学药剂学教授Tel:025-83271305Email:jiashengtu@yahoo.com.cn2011.11郑州涂家生,Ph.D.中国药科大学药剂学教授Tel:025-83271305Email:jiashengtu@yahoo.com.cn2011.11郑州我国仿制药申报、审评和研发对策我国仿制药申报、审评和研发对策主要内容主要内容中美关于原研药和仿制药的背景中美关于原研药和仿制药的背景美国仿制药:申报、基于问题的审评和研发对策美国仿制药:申报、基于问题的审评和研发对策展望展望11223344CompanyLogo3药物经济学催生美国仿制药制度美国社会安全制度导致政府赤字严重SSA已经破产:如何破局?降低医疗费用成为必然Hatch-Waxman法案出台美国FDA药品注册申请:新药(两类)、仿制药和非处方药申请1984年后NewDrugApplications(NDAs)AbbreviatedNewDrugApplications(ANDAs)•“FullReports”ofSafetyandEfficacyInvestigations•Applicanthasrightofreferencetoessentialinvestigations?•Duplicateofanalreadyapprovedproduct•Nosafety/efficacydatapermitted(onlybioequivalence)YESNO505(b)(1)505(b)(2)505(j)NDA的研发和申报505(b)(1)新药申报资料内容1.Index2.Summary3.Chemistry,ManufacturingandControl4.Samples,MethodsValidationPackageandLabeling5.NonclinicalPharmacologyandToxicology6.HumanPharmacokineticsandBioavailability7.Microbiology(foranti-microbialdrugsonly)8.ClinicalData9.SafetyUpdatereport(typicallysubmitted120daysaftertheNDA’ssubmission)10.Statistical11.CaseReportTabulations12.CaseReportForms13.PatentInformation14.PatentCertification505(b)(2):历史过程HatchWaxman法案:1984ParkmanLetterPhantomANDAFDADraftGuidanceforIndustry(1999)FDAResponsetoCitizen’sPetition(2003)可以降低研发的费用和审评力量的浪费505(b)(2)的关键:可靠性Whatis“Reliance”Bywhom?Onwhat?RelianceandExclusivityMarketvs.DataExclusivitySafety/EfficacyDatavs.CM&CdataFDAProcessforDeterminingRelianceWho,whenandhow?505(b)(2)的意义介于全创新药物和仿制药之间具有专利保护,且不存在产权纠纷和仿制药不同,无替换的要求应有突破505(b)(2)范围NewChemicalEntity(rarely):我国1.1-1.3Newdosageform:我国5类Newdosingregimen:我国补充申请Newstrength:我国补充申请Newrouteofadministration:我国2类Newindication:我国1.6505(b)(2)情形Newactiveingredient(differentsalt,ester,complex,chelate,clathrate,racemate,orenantiomerofactivemoiety)NewinactiveingredientthatrequiresmorethanlimitedconfirmatorystudiesRxOTCswitchNewCombinationProducts“Genericbiologics”505(b)(2)排他性Exclusivitiesavailablefor505(b)(2)productsNCEExclusivity(5years)NewProductExclusivity(3years)OrphanDrugExclusivity(7years)Pediatricexclusivityextensions(6months)PatentIssues505(b)(2)drugscanhaveOrangeBook-listedpatents,andenjoy30-monthstayprotectionagainstgenericcompetitorsBut,505(b)(2)NDAsmayalsobeblockedbypatentsonReferenceDrugs505(b)(2)新药的成功例子NCEThalomid®(thalidomide)(1998)MarketedunapproveddrugsLevothyroxine(2000)Guaifenesinextendedrelease(2002)Quininesulfate(2005)NewDosageFormTramadolorallydisintegratingtablets(2005)Ondansetronoralspray(filed2006)505(b)(2)新药的例子NewDosingRegimenTramadolextendedreleasetablets(2005)NewStrength/FormulationAntara(micronizedfenofibratecaps)(2004)(130mgisBEtoTricor200mg)NewFormulation/InactiveIngredientAvita(tretinoingel)(newemollient)(1998)Abraxane(cremaphor-freepaclitaxel)(2005)Oxy-ADF(oxycodoneformulatedtoreducedrugabuse)(indevelopment)505(b)(2)新药的例子NewActiveIngredientPexeva(paroxetinemesylate)(newsalt)(2003)...