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Regul Toxicol Pharmacol ; 125: 105016, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34302895

RESUMO

Although the 3Rs are broadly applied in nonclinical testing, a better appreciation of the 3Rs is needed in the field of differentiated or value-added pharmaceutical generics because the minor changes in formulation, dosage form, indication, and application route often do not require additional safety testing. The US FDA and the EU EMA have comprehensive regulations for such drugs based on quality, therapeutic equivalence, and safety guidelines. However, no scientific publications on how the concept of replacement and reduction from 3Rs principles can be applied in the safety assessment of differentiated generics were found in the public domain. In this review, we discuss the application of 3Rs in nonclinical testing requirements for differentiated generics. Practical examples are provided in the form of case studies from regulated markets. We highlight the need for utilization of existing data to establish equivalence (differentiated generic vs innovator) in efficacy and safety. The case studies indicate that data requirements from animal experiments have been reduced to a large extent in some major markets without compromising quality and safety. In this context, we also highlight the problem that on a global scale, a true reduction of animal experiments will only be achieved when all countries adopt similar practices.


Assuntos
Alternativas aos Testes com Animais/métodos , Medicamentos Genéricos/farmacocinética , Alternativas aos Testes com Animais/normas , Formas de Dosagem , Vias de Administração de Medicamentos , Quimioterapia Combinada , Medicamentos Genéricos/administração & dosagem , Medicamentos Genéricos/efeitos adversos , Europa (Continente) , Humanos , Equivalência Terapêutica , Estados Unidos , United States Food and Drug Administration
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