新型国产PD-1单抗拓展性应用初步评价方案建立——以派安普利单抗为例

Establishment of a preliminary evaluation plan for the expanded application of a new domesticallyproduced PD-1 mAb——Taking Piamprimab as an example

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DOI 10.12208/j.imrf.20220127
刊名
International Medical Research Frontier
年,卷(期) 2022, 6(4)
作者
作者单位

陕西省人民医院药学部 陕西西安 ;

摘要
分析派安普利单抗的拓展性应用情况,建立新型国产程序性死亡受体-1(PD-1)单抗的拓展性应用的初步评价方案,为临床应用提供依据和参考。方法 收集药品信息和拓展性应用循证证据,确定拓展性应用范围;检索相关指南,对于已在国外获批适应症或已得到指南推荐的拓展性应用予以推荐;筛选已获批适应症或得到指南推荐的其他同类药品,通过可替代性评价给出拓展性应用推荐意见。结果 经初步筛选,确定8种拓展性应用;通过检索指南,对派安普利单抗在肝癌、鳞状非小细胞肺癌和鼻咽癌方面的拓展性应用予以推荐,对胃癌方面的应用不予推荐;通过可替代性评价对派安普利单抗头颈鳞癌、小细胞肺癌和胆管癌方面的拓展性应用进行推荐,对非鳞非小细胞肺癌方面的应用不予推荐。结论 建立了一种通过指南检索和同类竞品对比从而快速评价新型国产PD-1单抗拓展性应用的初步方案。
Abstract
Objective To analyze the expanded application of piamprilumab, establish a preliminary evalua- tion plan for the expanded application of a new domestic programmed death receptor-1 (PD-1) monoclonal anti- body, and provide basis and reference for clinical application. Methods Collect drug information and evidence- based evidence of extended application to determine the scope of extended application; search relevant guidelines, and recommend extended applications that have been approved in foreign countries or have been recommended by guidelines; screened the approved indications or obtained For other similar drugs recommended by the guideline, recommendations for extended application are given through substitutable evaluation. Results After preliminary screening, 8 expanded applications were identified; through the search guide, the expanded application of piam- prilumab in liver cancer, squamous non-small cell lung cancer and nasopharyngeal carcinoma was recommended, but not in gastric cancer. It is recommended; the expanded application of pianpilimumab in head and neck squamous cell carcinoma, small cell lung cancer, and cholangiocarcinoma is recommended through the evaluation of surrogacy, and the application in non-squamous non-small cell lung cancer is not recommended. Conclusion A preliminary scheme for rapid evaluation of the expandable application of the new domestic PD-1 mAb was established through the guideline search and comparison of similar competing products.
关键词
派安普利单抗;国产PD-1单抗;拓展性应用;可替代性;快速评价
KeyWord
Pienpilimumab; Domestic PD-1 mAb; Expanded Application; Substitutability; Rapid Evaluation
基金项目
页码 12-19
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王鹏翀,朱亚宁,史先鹏,雍素云,郝瑞芳,张鹏*. 新型国产PD-1单抗拓展性应用初步评价方案建立——以派安普利单抗为例 [J]. 国际医药研究前沿. 2022; 6; (4). 12 - 19.

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