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我国优先审评审批上市儿童用药的特征分析
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          杨浩宇 ,田 侃 ,游 雪 ,淡宏伟 ,王 乾 ,喻小勇 (1. 南京中医药大学卫生经济管理学院,南京
                 1*
          210023;2. 南京中医药大学养老服务与管理研究院,南京 210029;3. 南京市第一医院重症医学科,南京
          210006;4.东南大学附属中大医院麻醉手术与疼痛管理科,南京 210009;5.石河子大学第一附属医院发展规
          划科,新疆 石河子 832008;6.南京中医药大学养老服务与管理学院,南京 210023)
          中图分类号  R95;R985      文献标志码  A      文章编号  1001-0408(2025)05-0519-05
          DOI  10.6039/j.issn.1001-0408.2025.05.02

          摘  要  目的  分析我国优先审评审批上市儿童用药的特征,为促进企业研发生产和完善儿童用药供应保障机制提供参考。
          方法  基于《优先审评审批的儿童用药批准信息清单》、药融云生物医药数据库、《国家医保药品目录》等公开数据源,对优先审评审
          批上市儿童用药的主要特征进行梳理分析。结果  截至2024年6月30日,共有68个优先审评审批上市的儿童用药,涉及12个治
          疗领域,其中口服剂型的占比达64.71%。从申请到纳入优先审评的中位数时间为35.50 d,平均时间为41.69 d;从纳入优先审评至
          批准上市的中位数时间为1.24年,平均时间为1.42年。68个优先审评审批上市儿童用药中包括12个国产新药、21个国产仿制药、
          35个进口药品,共涉及29个儿童专用药和21个罕见病用药。其中,有31个药品被纳入医保目录,占比为45.59%。结论  国产与进
          口儿童用药之间显示出差异化竞争趋势,儿童用药的治疗领域不断丰富且剂型更贴近儿童需求,但仍存在新药研发进展缓慢、审
          评审批程序内部稳定性不足、医保纳入比例有待提高等问题。
          关键词  优先审评审批;儿童用药;儿童专用药;罕见病用药

          Characteristics analysis of pediatric medicines with priority review and approval for marketing in China
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          YANG Haoyu ,TIAN Kan ,YOU Xue ,DAN Hongwei ,WANG Qian ,YU Xiaoyong (1.  School  of  Health
                                                                                       2, 6
                      1
                                 2
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          Economics  and  Management,  Nanjing  University  of  Chinese  Medicine,  Nanjing  210023,  China;2.  Institute  of
          Elderly  Care  Services  and  Management,  Nanjing  University  of  Chinese  Medicine,  Nanjing  210029,  China;
          3.  Dept.  of  ICU,  Nanjing  First  Hospital,  Nanjing  210006,  China;4.  Dept.  of  Anesthesiology  and  Pain
          Management,  Zhongda  Hospital,  Southeast  University,  Nanjing  210009,  China;5.  Dept.  of  Development  and
          Planning,  the  First  Affiliated  Hospital  of  Shihezi  University,  Xinjiang  Shihezi  832008,  China;6.  School  of
          Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing 210023, China)

          ABSTRACT   OBJECTIVE  To  analyze  the  characteristics  of  pediatric  medicines  with  priority  review  and  approval  for  marketing
          in  China,  providing  a  reference  for  promoting  enterprise  R&D  and  production,  as  well  as  improving  the  supply  guarantee
          mechanism for pediatric medicines. METHODS  Based on publicly available data sources such as List of Approved Information for
          Pediatric  Medications  Subject  to  Priority  Review  and  Approval,  Pharnexcloud  biomedical  database,  and  National  Medical
          Insurance  Drug  Directory,  this  study  conducted  a  comprehensive  analysis  of  the  main  characteristics  of  pediatric  medicines  with
          priority review and approval for marketing. RESULTS  As  of June 30, 2024, a total of 68 pediatric medicines had been approved
          through  the  priority  review  and  approval  process,  covering  12  therapeutic  areas,  with  oral  dosage  forms  accounting  for  64.71%.
          The median time from application to inclusion in priority review was 35.50 days, with an average of 41.69 days. The median time
          from inclusion in priority review to market approval was 1.24 years, with an average of 1.42 years. This included 12 domestic new
          medicines,  21  domestic  generic  medicines,  35  imported  medicines,  as  well  as  29  pediatric-specific  medicines  and  21  orphan
                                                             medicines.  Additionally,  31  of  these  medicines  had  been
             Δ 基金项目 江苏省社会科学基金后期资助项目(No.20HQ019);             included  in  the  medical  insurance  catalog,  representing  a
          江苏省研究生科研创新计划项目(No.KYCX24_2114);南京中医药大              proportion  of  45.59%.  CONCLUSIONS  Currently,  a  trend  of
          学养老服务与管理学院(养老产业学院)专项研究立项项目(No.
                                                             differentiated  competition  is  emerging  between  domestic  and
          2024YLFWYGL002)                                    imported  pediatric  medicines.  The  therapeutic  areas  for
             *第一作者 硕士研究生。研究方向:医药政策与法规。E-mail:
                                                             pediatric  medicines  are  continuously  expanding,  and  the
          yanghaoyu9857@163.com
             # 通信作者 副教授,硕士生导师,博士。研究方向:医药政策与法                 dosage  forms  are  becoming  more  tailored  to  children’s  needs.
          规。电话:025-85811760。E-mail:yxy8823@aliyun.com        However,  there  are  still  issues  such  as  slow  progress  in  new


          中国药房  2025年第36卷第5期                                                 China Pharmacy  2025 Vol. 36  No. 5    · 519 ·
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