药物体内生物等效性研究:2018-2022年越南招标分析

Tang Quoc Hung, Nguyen Thi Thanh Hai, Tran Bich Ngoc, Tran Thi Thu Thu
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摘要

为促进生物等效药的发展,越南卫生部单独划分了生物等效药招标组。根据2018-2022年生物等效药招标结果显示,生物等效药招标取得了非常喜人的成绩,国产生物等效药与国外生物等效药中标比例高出2.13倍至3.63倍。在生物等效药的有效成分方面,中标总金额(包括所有剂型、浓度......)最高的生物等效药主要集中在抗生素(头孢呋辛、头孢克肟......)、抗糖尿病药(格列齐特、二甲双胍......)、高血压药(氨氯地平)、解热镇痛药(扑热息痛)。获胜药物的剂型仍以传统剂型(片剂、薄膜衣片、胶囊)为主,其有效成分几乎是单一的。特别是有几种多组分生物等效性药物的中标总金额较大,但不属于药品注册时必须提交生物等效性试验报告目录中的药组,如格列齐特+二甲双胍;格列本脲+二甲双胍;格列美脲+二甲双胍等组合。在越南,生产商重点研究/注册生物等效性药物的趋势是选择医保药品清单上的药品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In Vivo Bioequivalence Study of Drug: An Analysis of Bidding in Vietnam Period 2018 - 2022
To promote the development of bioequivalent drugs, the Ministry of Health of Vietnam has classified a separate bidding group for bioequivalent drugs. According to the results of bidding for bioequivalent drugs in the period 2018 - 2022 has achieved very encouraging results, the ratio of domestic bioequivalent drugs compared to foreign bioequivalent drugs winning bids is from 2.13 to 3.63 times higher. Regarding active pharmaceutical ingredients of bioequivalent drugs, bioequivalent drugs with the highest total winning value (including all dosage forms, concentrations,...) focus mainly on antibiotics (cefuroxime, cefixime,…), anti-diabetic drugs (gliclazide, metformin,...), high blood pressure drugs (amlodipine), antipyretic and pain relievers (paracetamol). The winning drug dosage forms are still mainly conventional dosage forms (tablets, film-coated tablets, capsules) and their active ingredients are almost single. In particular, several multi-component bioequivalence drugs have a large total winning value but do not belong to the pharmaceutical group on the list of mandatory bioequivalence test reports when registering the drug, such as the combination of Gliclazide + Metformin; Glibenclamide + Metformin; Glimepiride + Metformin. The trend of selecting pharmaceutical substances/groups of pharmaceutical substances that manufacturers focus on researching/registering bioequivalent drugs in Vietnam is focused on drugs on the list of drugs covered by health insurance.  
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