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改变中国心血管疾病“孤儿药”现状刻不容缓 被引量:2

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摘要 “孤儿药”( orphan drug )在国际上的通用定义是指用于预防、诊断、治疗罕见疾病或罕见状态的药物、疫苗或试剂。世界卫生组织将罕见疾病( rare diseases )定义为患病人数占总人口0.65%~1.00%的疾病或病变^[1],其中被美国国立卫生研究院( NIH)认定的心血管系统罕见病就有130余种,包括长QT综合征、Brugada综合征、致心律失常性右室心肌病、儿茶酚胺敏感性多形性室性心动过速( catecholaminergic polymorphic ventricular tachycardia ,CPVT)、Ebstein畸形、糖原累积症、Danon病、Fabry病、左心发育不全综合征等等( https://rarediseases.info.nih.gov/gard/categories ),绝大多数都是遗传性或有遗传倾向的疾病。由于“孤儿药”的商业利润极低,研发和生产成本根本无法通过销售得到回报,制药企业因无利可图而对这类药物缺乏兴趣,使得很多罕见病患者陷入无药可用的境地。这一现象在我国特别是在心血管疾病领域表现得尤为突出。
出处 《中华心血管病杂志》 CAS CSCD 北大核心 2014年第7期543-544,共2页 Chinese Journal of Cardiology
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参考文献12

  • 1刘玉聪,董江萍.欧盟罕见病及孤儿药管理现状的研究[J].中国药学杂志,2012,47(5):395-398. 被引量:26
  • 2European Heart Rhythm Association, European Association for Cardio-Thoracic Surgery. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology [ J ]. Eumpace, 2010, 12: 1360-1420.
  • 3Fuster V, Ryd6n LE, Cannom DS, et al. 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation : a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines developed in partnership with the European Society of Cardiology and in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society[J]. J Am Coil Cardiol, 2011, 57: 101- 198.
  • 4Priori SG, Wilde AA, Horie M, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes [ J ]. Heart Rhythm, 2013, 10:1932-1963.
  • 5Postema PG. About Brugada syndrome and its prevalence [ J ] Europace, 2012, 14: 925-928.
  • 6Patel C, Yan GX, Antzelevitch C. Short QT syndrome: from bench to bedside [ J ] Circ Arrhythm Electrophysiol, 2010, 3 : 401-408.
  • 7Viskin S, Wilde AAM, Guevara-Valdivia ME, et al. Quinidine, a life-saving medication for Brugada syndrome, is inaccessible in many countries[ J]. J Am Coil Cardiol, 2013, 61:2383-2387.
  • 8lnama G, Durin O, Pedrinazzi C, et al. Orphan drugs in cardiology: nadolol and quinidine[ J]. J Cardiovasc Med, 2010, 11:143-144.
  • 9中华人民共和国卫生部.中国妇幼卫生事业发展报告[EB/0L].(2011-09-21)[2014-02-11].http://www.gov.cn/gzdt/201109/21/content-.1952953.htm.
  • 10无,孙宁玲.妊娠期高血压疾病血压管理中国专家共识[J].中华高血压杂志,2012,20(11):1023-1027. 被引量:134

二级参考文献36

  • 1DONGJP ZHANGXL SUNLH.Research and analysis ofmanagement policy for FDA Innovation drug reviewing.中国医药工业杂志,2007,:48-48.
  • 2EMA.Medicines for Rare Diseases[EB/OL].[2011-02-25][2011-05-09].http://ww w.ema.europa.eu/ema/index.jsp?curl=pages/special_topics/general/general_content_000034.jsp&murl=menus/special_topics/special_topics.jsp&mid=WC0b01ac058002d4eb.
  • 3EMA.Orphan Designation[EB/OL].[2011-02-25][2011-05-09].http://www.ema.eur opa.eu/ema/index.jsp?curl=pages/reg-ulation/general/general_content_000029.jsp&murl=menus/regula-tions/regulations.jsp&mid=WC0b01ac05800240ce.
  • 4EMA.Orphan Incentives[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europ a.eu/ema/index.jsp?curl=pages/reg-ulation/general/general_content_000393.jsp&murl=menus/regula-tions/regulations.jsp&mid=WC0b01ac0580024c5a.
  • 5EMA.Fee Reductions for Designated Orphan Medicinal Products[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europa.eu/docs/en_GB/document_library/Other/2011/02/WC500102327.pdf.
  • 6EMA.The European Union and the FDA Working Together to CreateCommon Application for Orphan Designation for Medicines[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2009/11/news_detail_000088.jsp&murl=menus/news_and_events/news_and_events.jsp&mid=WC0b01ac058004d5c1.
  • 7EMA.FDA and EMA Agree to Accept a Single Orphan Drug Des-ignation Annual Report[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2010/03/news_detail_000998.jsp&murl=menus/news_and_events/news_and_events.jsp&mid=WC0b01ac058004d5c1.
  • 8EMA.United States of America[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europa.eu/ema/index.jsp?curl=pages/partners_and_networks/document_listing/document_listing_000228.jsp&murl=menus/partners_and_networks/part-ners_and_networks.jsp&mid=WC0b01ac058003176e.
  • 9EMA.Patients and Consumers[EB/OL].[2011-02-25][2011-05-09].http://www.e ma.Europa.eu/ema/index.jsp?curl=pages/partners_and_networks/general/general_content_000317.jsp&murl=menus/partners_and_networks/partners_and_networks.jsp&mid=WC0b01ac058003500c.
  • 10EMA.Working with Patients and Consumers[EB/OL].[2011-02-25][2011-05-09].http://www.ema.europa.eu/docs/en_GB/document_library/Other/2010/03/WC500075353.pdf.

共引文献157

同被引文献36

  • 1FOWLER S J, PRIORI S G. Clinical spectrum of patients with a Brugada ECG[J]. Curr Opin Cardiol, 2009, 24(1 ) : 74-81.
  • 2PRIORI S G, NAPOL1TANO C, GASPARINI M, et al. Natural history of Brugada syndrome : insights for risk stratification and management[ J ]. Circulation, 2002, 105 ( 11 ) : 1342-1347.
  • 3ADLER A, ROSSO R, CHORIN E, et al. Risk Stratification in Brugada syndrome: Clinical characteristics, electrocardiographic parameters and auxiliary testing[J]. Heart Rhythm, 2015, Sep 1. doi: 10.1016.
  • 4WATANABE H, MINAMINO T. Genetics of Brugada syndrome [Jl. J Hum Genet, 2015, Jul 30. doi: 10.1038.
  • 5BAYES D L A, BRUGADA J, BARANCHUK A, et al. Current electrocardiographic criteria for diagnosis of Brugada pattern: a consensus report [J]. J Electrocardiol, 2012, 45 (5) : 433-442.
  • 6GALLAGHER M M, FORLEO G B, BEHR E R, et al. Prevalence and significance of Brugada-type ECG in 12,012 apparently healthy European subjects [ J ]. Int J Cardiol, 2008, 130(1): 44-48.
  • 7BLOM M T, COHEN D, SELDENRIJK A, et al. Brugada syndrome ECG is highly prevalent in schizophrenia [ J ]. Circ Arrhythm Electrophysiol, 2014, 7 (3) : 384-391.
  • 8HU D, BARAJAS-MARTINEZ H, PFEIFFER R, et al. Mutations in SCN10A are responsible for a large fraction of cases of Brugada syndrome[J]. J Am Coil Cardiol, 2014, 64 ( 1 ) : 66-79.
  • 9FUKUYAMA M, OHNO S, MAKIYAMA T, et al. Novel SCN10A variants associated with Brugada syndrome[J]. Europace, 2015, Apr 4. pii : euv078.
  • 10CERRONE M, LIN X, ZHANG M, et al. Missense mutations in plakophilin-2 cause sodium current deficit and associate with a Brugada syndrome phenotype [J]. Circulation, 2014, 129(10) : 1092-1103.

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