基于《中国医疗机构药品评价与遴选快速指南》(第二版)的重组人生长激素定量评价

    Quantitative Evaluation of Recombinant Human Growth Hormone(rhGH) Based on A Quick Guideline for Drug Evaluation and Selection in Chinese Medical Institutions(the Second Edition)

    • 摘要:
      目的 对重组人生长激素制剂(recombinant human growth hormone,rhGH)进行综合临床评价,为医疗机构药品遴选和临床合理用药提供参考依据。
      方法 基于《中国医疗机构药品评价与遴选快速指南》(第二版)评价体系,从药学特性、有效性、安全性、经济性和其他属性5个维度对rhGH进行量化评分,并依据评分结果进行评价。
      结果 评分结果如下:原研水剂诺泽74.9分,长效水剂金赛增71.2分,赛增水剂66.8分、粉剂63.3分,珍怡水剂61.5分、粉剂61.5分,安苏萌粉剂61.4分、水剂60.2分。依据遴选指南,以上几种rhGH均为可推荐品种,在临床应用中各具特点与适用范围。
      结论 原研水剂和长效水剂生长激素的综合评分高,但其价格也较高,建议通过医保谈判纳入医保目录、参与国家集采等方式降低价格,提高可及性;对于经济条件有限的患者,国产短效制剂也是一种经济、有效的治疗选择。

       

      Abstract:
      OBJECTIVE To conduct a comprehensive clinical evaluation of recombinant human growth hormone(rhGH) preparations, in order to evidence for the selection of medications in medical institutions and to promote rational clinical use.
      METHODS Based on the evaluation framework of A Quick Guide to Drug Evaluation and Selection in Chinese Medical Institutions(the Second Edition), rhGH products were quantitatively assessed across 5 dimensions: pharmaceutical properties, efficacy, safety, economy, and other attributes. And evaluate based on the total scores.
      RESULTS  The scoring results were as follows: the innovator drug Norditropin scored 74.9 points; the long-acting formulation Jintropin AQ scored 71.2 points; Saizeng liquid and powder scored 66.8 and 63.3 points, respectively; Genheal liquid and powder both scored 61.5 points; and Ansomone powder and liquid scored 61.4 and 60.2 points, respectively. According to the selection guidelines, all of the above rhGH were recommendable options, each possessing distinct characteristics and applicable scopes in clinical practice.
      CONCLUSION The innovator and long-acting growth hormones have high comprehensive scores, but their prices are also relatively high. It is recommended to reduce prices and improve accessibility through methods such as including them in the medical insurance catalog via medical insurance negotiations and participating in national centralized drug procurement.For patients with limited financial means, domestic short-acting rhGH preparations represent an economical and effective treatment option.

       

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