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中国仿制药正步入国际主流市场 一致性评价成闯关关键

2016-12-23 10:33:02   

早在1984年,美国就发布了《Hatch-Waxman 修正案》,即《药品价格竞争与专利期补偿法》修正案。美国FDA(食品药品监督管理局)驻华办公室副主任珍妮弗·梅珍博士在会上说,药物只有在治疗等效时才是可替代的,治疗等效包括药物等效性和生物等效性,这套修正案不仅给了美国仿制药的发展路径,也给了其他国家以启示。

2007年,日本也启动了《仿制药放心使用推广行动计划》。日本独立行政法人药品医疗器械综合机构副执行总监佐藤岳幸在会上说,政府需要压缩医疗保险财政支出,患者需要减少自己的付费金额,保险承担方需要减少支出金额,更多地使用仿制药应该可以实现降低药物支出并提高效率。

吴浈说,开展一致性评价可以推进医药产业供给侧结构性改革,对于促进结构调整、产业升级和民生改善,加快建设医药产业强国有着重要意义。为扎实推进仿制药质量与疗效一致性评价,国务院办公厅今年3月印发了《关于开展仿制药质量和疗效一致性评价的意见》。

意见指出,通过一致性评价的药品品种,在医保支付方面予以适当支持,医疗机构应优先采购并在临床中优先选用;同品种药品通过一致性评价的生产企业达到3家以上的,在药品集中采购等方面不再选用未通过一致性评价的品种;通过一致性评价药品生产企业的技术改造,在符合有关条件的情况下,可申请中央基建投资、产业基金等资金支持。

此外,为鼓励企业推进此项工作,国家食品药品监督管理总局专门成立了一致性评价办公室,目前已经发布了《关于落实国办意见有关事项的公告》等10份工作文件和《普通口服固体制剂参比制剂选择和确定指导原则》等5个指导原则,还有4个指导原则正在公开征求意见。同时,围绕着业界关心的参比制剂、品种申报、评价方法等问题,在全国范围内开展免费培训,并在门户网站上专门设专栏并及时更新,做到信息的公开和透明。

国家食品药品监督管理总局药化注册司杨胜在会上说,2018年底前需完成一致性评价的289个品种,包括17636个国产批准文号和104个进口药品注册证,共涉及1817家国内药品生产企业和42家境外药品企业。

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