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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (7): 721-728.doi: 10.12092/j.issn.1009-2501.2021.07.001

• 专论 •    下一篇

生物类似药临床免疫原性相似性评价生物分析方法的一般考虑

车津晶1,李娜2   

  1. 1军事医学研究院毒物药物研究所,北京 100039;2国家药品监督管理局药品审评中心,北京 100022
  • 收稿日期:2020-09-09 修回日期:2021-07-16 出版日期:2021-07-26 发布日期:2021-08-09
  • 作者简介:车津晶,女,博士,副研究员,硕士生导师,研究方向:生物大分子药物药代动力学。 Tel: 010-66930633 E-mail: chejinjing80@126.com

General considerations on bioanalytical methods for comparative evaluation of biosimilars immunogenicity

CHE Jinjing 1, LI Na 2   

  1. 1 Beijing Institution of Pharmacology and Toxicology, Beijing 100085, China
  • Received:2020-09-09 Revised:2021-07-16 Online:2021-07-26 Published:2021-08-09

摘要: 基于逐步递进原则,生物类似药必须在理化特性、生物活性、药代动力学、有效性和安全性(包括免疫原性)方面与参照药具有相似性。生物类似药免疫原性研究的目的是评估生物类似药和参照药在人体免疫反应发生率和严重程度方面的潜在差异,两种产品之间的免疫反应没有临床意义的差异是证明生物相似性的关键因素之一。临床免疫原性评价的影响因素包括受试者、采样方案、产品因素和生物分析方法等。生物分析的重要问题是选择One-assay法(基于生物类似药)还是Two-assay法(分别基于生物类似药和参照药)作为比较免疫原性评估的最佳方法。本文重点介绍使用基于One-assay法来评估生物类似药免疫原性的相似性,用于生物类似药抗药抗体(ADA)检测方法的开发和验证应包括生物药所有验证内容,此外,还需要比较生物类似药和参照药确证临界值、抗原等效性、药物耐受性以评估两者分别与阳性对照结合能力的相似性。研究获得的ADA数据应结合PK/PD数据和临床事件进行分析。

关键词: 生物类似药, 免疫原性, 生物分析, One-assay

Abstract: Based on the principle of progressive comprehensive comparability, must be similar to reference drugs in terms of physicochemical properties, bioactivity, pharmacokinetics, efficacy, and safety (including immunogenicity). The objective of the immunogenicity assessment of biosimilars is to assess potential differences in the incidence and severity of human immune responses between biosimilars and reference drugs. No clinically significant differences in immune responses between the two products is a key factor in demonstrating biosimilarity. The influencing factors include subjects, sampling scheme, product factors and bioanalysis methods. An important issue in bioanalysis is the selection of two-assay (based on biosimilars and reference agents respectively) or one-assay (based on biosimilars respectively) as the best method for comparative immunogenicity assessment. In order to support the development of biosimilars, this paper focuses on the use of One-assay to evaluate immunogenicity based on biosimilars. The development and validation of an ADA assay for biosimilar drugs should include all validation of the original drug. In addition, biosimilars need to be compared with reference to confirmation thresholds, antigenic equivalence, and drug tolerance to assess the ability of biosimilars and reference drugs to bind in a similar manner to positive controls. ADA data analysis should be combined with PK/PD parameters and clinical events.

Key words: biosimilars, immunogenicity, bioanalysis, one-assay

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