¹úÄÚÍâÖÆÒ©ÆóÒµ½øÈëÉúÎï¼¼ÊõÒ©ÁìÓò°¸Àý·ÖÎö¼°Æôʾ - ͼÎÄ ÁªÏµ¿Í·þ

·¢²¼Ê±¼ä : ÐÇÆÚÒ» ÎÄÕ¹úÄÚÍâÖÆÒ©ÆóÒµ½øÈëÉúÎï¼¼ÊõÒ©ÁìÓò°¸Àý·ÖÎö¼°Æôʾ - ͼÎĸüÐÂÍê±Ï¿ªÊ¼ÔĶÁ7bb5fd76770bf78a6429541a

¹úÄÚÍâÖÆÒ©ÆóÒµ½øÈëÉúÎï¼¼ÊõÒ©ÁìÓò

°¸Àý·ÖÎö¼°Æôʾ

ÉúÎï¼¼ÊõÒ©ÎïÊÇÀûÓÃÏÖ´úÉúÎï¼¼Êõ·¢ÏÖ¡¢É¸Ñ¡»òÉú²úµÃµ½µÄÒ©ÎÖ÷Òª°üÀ¨£ºÏ¸°ûÒò×Ó¡¢ÏËÈÜøԭ¼¤»î¼Á¡¢ÖØ×éѪ½¬Òò×Ó¡¢Éú³¤Òò×Ó¡¢Èںϵ°°×¡¢ÊÜÌå¡¢ÒßÃç¡¢¿¹ÌåµÈ¡£ÆäÖÐÖÎÁÆÐÔ¿¹ÌåÒ©ÎÒÔϼò³Æ¿¹ÌåÒ©Î¾ßÓÐÊг¡¿Õ¼ä´ó¡¢¼¼Êõ±ÚÀݸߵÈÌص㣬ÊÇÄ¿Ç°ÉúÎï¼¼ÊõÒ©ÎïÁìÓòÑз¢ºÍÊг¡¹Ø×¢µÄÈȵ㡣±¾ÎÄÒÔ¿¹ÌåÒ©ÎïΪÀý£¬¹éÄÉ´óÐÍÖÆÒ©ÆóÒµ½øÈëÉúÎï¼¼ÊõÒ©ÎïÁìÓòµÄ·¾¶ºÍ³É¹¦¾­Ñ飬¶ÔÓÚÆóÒµ½øÐÐÉúÎïÒ©ÁìÓòÕ½ÂԹ滮¾ßÓÐÒ»¶¨Æôʾ¡£

ͻ񻣼

¿ç¹úÖÆÒ©¹«Ë¾

ΪѰÕÒеÄÏúÊÛÔö³¤µã£¬Ò»Ð©¿ç¹úÖÆÒ©ÆóҵѡÔñ½øÈ뿹ÌåÒ©ÎïÁìÓò£¬Í¨³£²ÉÓõķ½Ê½ÊDz¢¹ºÇ°¾°Á¼ºÃµÄÉúÎï¼¼Êõ¹«Ë¾£¬ÕâÑù¿ÉÒÔ¼òµ¥¡¢Ö±½ÓµØ»ñµÃ¿¹ÌåÆ·Öֺͼ¼Êõ¡£¿ç¹úÖÆÒ©ÆóÒµÊÕ¹ºÉúÎï¼¼Êõ¹«Ë¾ºóËù²ÉÓõÄÑз¢¹ÜÀíģʽֵµÃ¹úÄÚÆóÒµ½è¼ø¡£ ¹úÄÚ´óÐÍÖÆÒ©ÆóÒµ

һЩ¹úÄÚ´óÐÍÖÆÒ©ÆóÒµ¿´Öп¹ÌåÒ©ÎïµÄ¾Þ´óÀûÈó£¬ÔçÔÚÊ®¼¸ÄêÇ°¾Í·×·××ÅÊÖ¿ª·¢£¬ÎÞÂÛÑ¡ÔñÄÄÖÖ·½Ê½½øÈ뿹ÌåÒ©ÎïÁìÓò£¬¶¼»ýÀÛÁ˲»Éٳɹ¦»òʧ°ÜµÄ¾­Ñé¡£´óÐÍÖÆÒ©Æóҵͨ¹ýÆÀ¹À×ÔÉíÄÜÁ¦¡¢·¢»ÓÌس¤£¬Ñ¡ÔñÊʺϵĽøÈ뷽ʽ£¬×î´óÏ޶ȵØÀûÓÃÍⲿ»ú»áºÍ×ÊÔ´£¬Å¬Á¦×öµ½×ÔÖ÷·¢Õ¹£¬¿ÉÒÔ³ÉΪ³É¹¦µÄ¿¹ÌåÒ©ÎïÉú²úÆóÒµ¡£

Ãæ¶ÔÉúÎï¼¼ÊõÒ©ÎïÁìÓòµÄáÈÆ𣬶ÔÓÚÖÂÁ¦ÓÚÅàÑø×ÔÉíºËÐľºÕùÄÜÁ¦µÄÆóÒµ£¬ÃæÁÙ×ÅÊÇ·ñÕ½ÂÔÐÔ·¢Õ¹µÄ¾ñÔñ¡£È«Ã桢͸³¹µØ½øÐÐ×ÔÎÒÆÀ¹À£¬Ï¸Ö½øÐÐÉúÎïҩϸ·ÖÁìÓò¡¢½øÈëģʽ¼°²ßÂÔÑо¿£¬ÓÐÖúÓÚÆóÒµµÄ¿É³ÖÐø½¡¿µ·¢Õ¹¡£

×÷Õߣº Quxuedong_qxd quxuedong@gmail.com 1

Ŀ¼

Ò» ¿ç¹úÖÆÒ©¹«Ë¾°¸Àý·ÖÎö .......................................................................................................3

1.1 ÂÞÊÏ¡ª¡ªÊÕ¹º¡¢¼æ²¢µÄ·¢Õ¹Ö®Â· .........................................................................................4 1.2 Èüŵ·Æ-°²ÍòÌØ¡ª¡ª¶À±Ùõ辶£¬ÊÕ¹º½¡ÔÞ ...........................................................................5

¶þ ¹úÄÚ´óÐÍÖÆÒ©ÆóÒµ°¸Àý·ÖÎö .............................................................................................7

2.1 »ª±±ÖÆÒ©¼¯ÍÅ¡ª¡ª×ÔÖ÷Ñз¢ ..................................................................................................9 2.2 ¹úÒ©¼¯ÍÅ¡ª¡ªÆ·ÖÖºÏ×÷ ........................................................................................................ 10 2.3 ÏÈÉùÒ©Òµ¡ª¡ªÒÔÆ·ÖÖΪµ¼Ïò²¢¹º¹«Ë¾ ............................................................................. 11 2.4 º£ÕýÒ©Òµ¡ª¡ª¿ÆÑлú¹¹ºÏ×÷ ............................................................................................... 12

Èý ×ܽá .................................................................................................................................................... 14

ͼ±íĿ¼

±í1 ¹ú¼ÊÖÆÒ©¹«Ë¾²¢¹ºÉúÎï¼¼Êõ¹«Ë¾Çé¿ö ..................................................................................3 ±í2 Ä¿Ç°»ñCFDAÅú×¼ÔÚ¹úÄÚÉÏÊеĿ¹ÌåÀàÆ·ÖÖ ....................................................................7 ±í3É걨ÁÙ´²µÄ¿¹ÌåÀàÒ©Îïͳ¼Æ .....................................................................................................8 ±í4 ÏÈÉùÒ©Òµ½üÄêÀ´²¢¹ºµÄ¹«Ë¾ ................................................................................................. 11 ±í5 º£ÕýÒ©ÒµµÄ¿¹ÌåÆ·ÖÖ .............................................................................................................. 12

¸½±í1£º½ØÖÁ2014Äê3Ô£¬¹úÄÚ´óÐÍÖÆÒ©ÆóÒµ¿¹ÌåÒ©ÎïÉ걨Çé¿ö.................................... 15 ¸½±í2£º½ØÖÁ2014Äê3Ô£¬¹úÄÚÉúÎï¼¼Êõ¹«Ë¾¿¹ÌåÒ©ÎïÉ걨Çé¿ö.................................... 16 ¸½±í3£º½ØÖÁ2014Äê3Ô£¬¹úÄÚ¿ÆÑлú¹¹¿¹ÌåÒ©ÎïÉ걨Çé¿ö ............................................... 19

2

Ò» ¿ç¹úÖÆÒ©¹«Ë¾°¸Àý·ÖÎö

¿ç¹úÖÆÒ©¹«Ë¾ÔçÒÑÒâʶµ½ÒÀ¿¿×ÔÉíÑз¢²»ÄÜÓ¦¶ÔÒ©Æ·ÐÐÒµµÄÌôÕ½£¬Òò´Ë¶ÔÍⲿÓÅÊÆ×ÊÔ´µÄÕûºÏ³ÉΪÖÆʤ¹Ø¼ü¡£ºÜ¶à¹ú¼Ê´óÐÍÖÆÒ©ÆóÒµÔçÒÑ¿ªÊ¼ÁË¿¹ÌåÒ©ÎïµÄ²¼¾Ö£¬ÎªÁËÑз¢Ä£Ê½Ë³ÀûתÐÍ¡¢½µµÍÑз¢³É±¾¡¢¹æ±Ü·çÏÕ£¬ËûÃǵĿ¹Ìå¼¼Êõƽ̨ºÍ²úÆ·Ïß´ó¶à¶¼ÊÇͨ¹ýÊÕ¹ºÓÐDZÁ¦µÄÉúÎï¼¼Êõ¹«Ë¾»ñµÃµÄ¡£

¿¹ÌåÒ©Îï±¾Éí¾ÍÊdz¬Ç°ÀíÄîÓëÏȽø¼¼ÊõµÄÈÚºÏÌ壬ËüµÄ³öÏÖ±»¸³ÓèÁ˺ܶàÏ£Íû£¬ÈËÃÇÆÚ´ý¿¹ÌåÒ©ÎïÄܹ»¸ùÖÎһЩÄÑÖβ¡£¬Îª¹«ÖÚ½¡¿µÐèÇó´øÀ´ÂúÒâµÄ½â¾ö·½°¸¡£¿¹ÌåÒ©Îï±¾Éí¼¼Êõ±ÚÀÝÄÑÒÔÍ»ÆÆ¡¢ºÜÄÑÔÚ¶Ìʱ¼äÄÚ±»·ÂÖÆ£»¼´Ê¹·ÂÖƳɹ¦£¬ÓÉÓÚ¿¹ÌåÒ©ÎïµÄ¸´ÔÓÐÔ£¬°üÀ¨½á¹¹ºÍÉú²ú¹¤Òյĸ´ÔÓ£¬Ö»ÊÇÔ­ÑÐÒ©Æ·Ôڽṹ¡¢ÁÆЧÒÔ¼°°²È«ÐÔÉÏÏàËƵÄÒ©Î²»¿ÉÄÜÓÐÍêÈ«ÏàͬµÄ¿¹ÌåÒ©ÎÒò´Ë£¬¶ÔÓÚÉúÎïÒ©Îï¶øÑÔ£¬Ã»ÓÐÕæÕýÒâÒåµÄ·ÂÖÆÒ©£¬Ö»ÓÐÉúÎïÀàËÆÎÕâÒ»Ìصã¼Ó¾çÁË¿¹ÌåÒ©ÎïÉ걨ºÍÉóÅúµÄÄѶȣ¬Òò´ËÏà¶ÔÓÚ´«Í³»¯Ñ§Ò©ÎïÀ´Ëµ£¬¿¹ÌåÒ©ÎïרÊôÐÔ¸üÇ¿£¬¸üÄÜÌåÏÖÑз¢ºÍÉú²úÍŶӵļÛÖµ£¬ÕâÒ»µã¶ÔÑз¢ÆóÒµºÍÉú²úÆóÒµ·Ç³£ÓÐÀû£¬Äܹ»´øÀ´¸ß¶îÀûÈó¡£

²¿·Ö¹ú¼Ê´óÐÍÖÆÒ©¹«Ë¾²¢¹ºÉúÎï¼¼Êõ¹«Ë¾»ñµÃ¿¹Ìå¼¼Êõƽ̨»òÆ·ÖÖÇé¿ö¼û±í1¡£Óɱí¿É¼û£¬Ô­À´ÒÔ»¯Ñ§×¨ÀûÒ©¼û³¤µÄ¿ç¹úÖÆÒ©¹«Ë¾£¬·×·×¿ªÊ¼Éæ×㿹ÌåÒ©Îï¡£

±í1 ¹ú¼ÊÖÆÒ©¹«Ë¾²¢¹ºÉúÎï¼¼Êõ¹«Ë¾Çé¿ö

¹«Ë¾ ÂÞÊÏ Èüŵ·Æ-Íò°²ÌØ »ÔÈð ÀñÀ´ °¢Ë¹Àû¿µ ¸ðÀ¼ËØÊ·¿Ë »ùÒòÌ©¿Ë ½¡ÔÞ£¨Genzyme£© »ÝÊÏ ImClone Medimmunex Domantis ÊÕ¹ºµ¥Î» ʱ¼ä 2009 2011 2009 2008 2007 2006 2003 2002 1999 ×ʽð 468ÒÚÃÀ½ð 201ÒÚÃÀÔª 680ÒÚÃÀ½ð 65ÒÚÃÀ½ð 156ÒÚÃÀ½ð 2.3ÒÚÃÀ½ð 64ÒÚÃÀ½ð 160ÒÚÃÀÔª ---- ÊÇ·ñÉæ¼° ¿¹ÌåÁìÓò ÊÇ ÊÇ ÊÇ ÊÇ ÊÇ ÊÇ ÊÇ ÊÇ ÊÇ °¬µÏ¿Ë£¨IDEC£© Biogen °²½ø Ç¿Éú Immunex Centocor

3

1.1 ÂÞÊÏ¡ª¡ªÊÕ¹º¡¢¼æ²¢µÄ·¢Õ¹Ö®Â·

²¢¹º¹«Ë¾·½Ã棬ÂÞÊϾÍÊǵäÐ͵ÄÀý×Ó¡£ÂÞÊϹ«Ë¾´´½¨ÓÚ1896Ä꣬×÷ΪȫÇòÖÆÒ©ÁìÓòµÄÁìÏÈÕߣ¬ÆäÒµÎñ·¶Î§º­¸ÇÖÐÊàÉñ¾­¡¢¿¹¸ÐȾ¡¢ÐÄѪ¹Ü¡¢Ö×ÁöµÈ¶à¸öÖÎÁÆÁìÓò£¬ÎªÁËÕ¼¾ÝÉúÎï¼¼ÊõÁìÓòµÄÁìÏȵØ룬ÔçÔÚ1990Ä꣬ÂÞÊϾͿªÊ¼¿Ø¹Éµ±Ê±±»Æձ鿴ºÃµÄÉúÎï¼¼Êõ¹«Ë¾¡ª¡ª»ùÒòÌ©¿Ë¹«Ë¾¡£

»ùÒòÌ©¿ËÓÉDNAÖØ×é¼¼ÊõµÄ·¢ÏÖÕßÖ®Ò»¡¢Åµ±´¶û½±µÃÖ÷Herbert BoyerºÍ·çÏÕͶ×ʼÒRobert A. SwansonÁªÊÖ´´½¨£¬·¢Õ¹³õÆÚÖ÷Ҫͨ¹ýרÀûºÍ³õÆڳɹûÊÚȨÐí¿É»ñµÃÑз¢ËùÐè×ʽ𡣶ÀÁ¢¾­ÓªÆڼ䣬¹«Ë¾Ê¼ÖÕ´¦ÓÚ¿÷Ëð״̬£¬ÓªÒµÊÕÈëÈ«²¿Í¶ÈëÐÂÒ©¿ª·¢¡¢½¨ÉèÉú²úÉèÊ©ºÍÈ«ÇòÓªÏúÍøÂçÈÔ²»ÄÜÂú×ãÐèÇó£¬È±·¦×ʽð£¬ÖÆÔ¼ÁË»ùÒòÌ©¿ËµÄ¸ßËÙ·¢Õ¹¡£

ÂÞÊÏÔ­±¾¾ÍÔÚı»®ÉúÎï¼¼ÊõÒ©Îï²úÆ·Ïß²¼¾Ö£¬»ùÒòÌ©¿ËµÄÑз¢¶¯Á¦ºÍÔ´Ô´²»¶ÏµÄвúÆ·ÎüÒýÁËÂÞÊϵÄÄ¿¹â¡£ËØÒÔ×ʱ¾ÔË×÷ÄÜÁ¦Ç¿Öø³ÆµÄÂÞÊÏ£¬Í¨¹ý¹û¶Ï¡¢Áé»îµÄÔË×÷·½Ê½³ö×Ê21ÒÚÃÀÔª£¬»ñµÃ»ùÒòÌ©¿Ë55.8%µÄ¹É·Ý£¬ÕâÏî½»Ò×ʹÂÞÊÏ»ñµÃÁËÔÚÃÀ¹úÖ®ÍâÏúÊÛ»ùÒòÌ©¿Ë²úÆ·µÄȨÀû£¬Í¬Ê±±£Ö¤ÁËÔ´Ô´²»¶ÏµÄÉúÎï¼¼Êõ²úÆ·ÓÅÏÈÊäË͸øÂÞÊÏ¡£¶ø»ùÒòÌ©¿Ë¿¿×ÅÕâ±ÊÇ®£¬µÃÒÔά³Ö¹«Ë¾Õý³£ÔËת¡¢¼ÌÐøÑз¢Ð²úÆ·¡£

»ùÒòÌ©¿ËµÄ¿¹ÌåÒ©Î¡ªÃÀÂÞ»ª£¬ºÕÈûÍ¡µÈÖØ°õÕ¨µ¯²úÆ·ÔÚÊг¡ÉÏ´ó»ñ³É¹¦ºó£¬ÂÞÊϳâ¾Þ×ÊÊÕ¹ºÁË»ùÒòÌ©¿ËÊ£ÓàµÄ¹É·Ý£¬»ñµÃ8¸öÉÏÊп¹Ìå²úÆ·£¬2013Ä꣬½öÃÀÂÞ»ª£¬ºÕÈûÍ¡£¬°¢Íß˹͡ÕâÈý¸öÖ÷Òª²úÆ·¾ÍΪÂÞÊϹ±Ï×ÁËÔ¼208ÒÚÃÀÔªµÄÏúÊÛÊÕÈë¡£ÒÀÍÐÇ¿´óµÄÉúÎï¼¼Êõƽ̨£¬ÂÞÊÏ£¨»ùÒòÌ©¿Ë£©ÔÚÑвúÆ·´¢±¸·á¸»£¬Î´À´ÓÐÍû³ÖÐøÍƳöеĿ¹Ìå²úÆ·¡£

Æôʾ

»ùÒòÌ©¿ËµÄÑо¿ÄÜÁ¦³öÖÚ£¬ÓµÓÐÏȽøµÄ¼¼ÊõרÀû£¬µ«Ëæ׏«Ë¾µÄ¼ÓËÙ·¢Õ¹ºÍÑз¢Í¶ÈëµÄÔö¼Ó£¬×¨ÀûÊÚȨÐí¿ÉµÈÈÚ×Ê;¾¶»ñµÃµÄÏÖ½ðÁ÷²»×ãÒÔÖ§³Å¹«Ë¾µÄ·¢Õ¹£¬´ËʱÂÞÊϽè»ú¿Ø¹É£¬»ñµÃÁ˿ɹ۵Ļر¨£»»ñµÃÁËÂÞÊϵĶ¦Á¦Ö§³Ö£¬»ùÒòÌ©¿ËÒ²Öð½¥·¢Õ¹×³´ó¡£

»ùÒòÌ©¿ËµÄÌص㣺

1. ÉúÎïƽ̨¼¼ÊõÓÅÔ½£¬Ñо¿³É¹û¾ß±¸¶À´´ÐÔ£¬ÆäËû¹«Ë¾½ÏÄÑÍ»ÆÆ¡£

2. ÉÏÓμ¼ÊõÑз¢³ÉÊ죬ÏÂÓμ¼Êõ·¢Õ¹¾ùºâ¡£Èç¸ß±í´ïϸ°ûÖêɸѡ¡¢Ï¸°ûÅàÑøºÍÉú²ú¹¤ÒÕ¿ª·¢¡¢´ó¹æÄ£Éú²ú¹¤ÒÕºÍÉèÊ©¡¢¿¹Ìå´¿»¯¼°ÖƼÁµÈ¼¼Êõ£¬Ê¼ÖÕ´¦ÓÚÁìÏȵØλ¡£

3. вúÆ·²ã³ö²»ÇÑз¢¹ÜÀíˮƽ¸ß£¬ÏàÓ¦µÄ¼¼ÊõÈËÔ±³ÉÊì¡¢Îȶ¨¡£

4. Íƶ¯ÁË¿¹ÌåÖÎÁÆÖ×Áö¼°ÃâÒßϵͳ¼²²¡µÄÁÙ´²Ó¦Óã¬Í¬Ê±²»¶Ï¸Ä½øºÍ¸üÐÂÏÖÓм¼Êõ£¬ÔöÇ¿¿¹ÌåЧӦ¹¦ÄÜ¡¢Ñ°ÕÒаеãºÍÐÂ×éºÏ·½Ê½£¬ÍƳöÖÎÁÆЧ¹û¸üºÃ¡¢¸±×÷

4