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中国生物工程杂志

China Biotechnology
China Biotechnology  2020, Vol. 40 Issue (1-2): 154-165    DOI: 10.13523/j.cb.1907011
Orginal Article     
A Review of the Global Bio-Therapeutics Development Process from the Perspective of International Nonproprietary Names
CAO Meng1,2,ZHAO Yu-hao1,3,GUO Zhong-ping1,*()
1 Chinese Pharmacopoeia, Beijing 100061,China
2 Shanghai Center for Drug Evaluation and Inspection, Shanghai 201203, China
3 Shanghai Institute for Food and Drug Control, Shanghai 201203, China
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Abstract  

Bio-therapeutics refer to the macromolecular biological products prepared by biotechnology and applied in disease treatment. Because of their high complexity/heterogeneity on aspects of structure and activity, the scientific and rigorous generic names for bio-therapeutics are fundamental for identifying effective drug substances and regulating their life cycle. The International Nonproprietary Names (INN) Program was established by the World Health Organization (WHO) and coordinated to be a global standardization system for assigning nonproprietary names to medicinal substances.The origin and development of the INN system in particular the biologics INN system were introduced, the INN categories, substances and marketing situation were also illustrated to reflect the development trend of bio-therapeutics. Through detailed data analysis, the development process of global bio-therapeutics as well as related bio-technology were presented and reviewed from multiple perspectives, which could be harnessed as important reference significance for the R&Ds, technical standards, clinical applications and regulatory strategy considerations.



Key wordsBio-therapeutics      INN      Approval      Targets      Indications      Advanced biological products     
Received: 05 July 2019      Published: 27 March 2020
ZTFLH:  Q819  
Corresponding Authors: Zhong-ping GUO     E-mail: guozp303@163.com
Cite this article:

CAO Meng,ZHAO Yu-hao,GUO Zhong-ping. A Review of the Global Bio-Therapeutics Development Process from the Perspective of International Nonproprietary Names. China Biotechnology, 2020, 40(1-2): 154-165.

URL:

https://manu60.magtech.com.cn/biotech/10.13523/j.cb.1907011     OR     https://manu60.magtech.com.cn/biotech/Y2020/V40/I1-2/154

Fig.1 Development process and distribution trends of the INNs for bio-therapeutics and small molecule drugs
Fig.2 Development process and distribution trends of INNs in four main biologic product categories
药学分类后缀 INN 药学分类后缀 INN 药学分类后缀 INN
单抗 522 垂体/胎盘糖蛋白激素 19 血管收缩剂、抗利尿激素衍生物 8
肽和糖肽 155 肝素及肝素衍生物 17 水蛭素衍生物 4
91 凝血因子 16 白介素受体拮抗剂 3
免疫调节剂(刺激/抑制) 64 胰岛素 15 抗凝血酶 3
偶联蛋白 55 干扰素 14 抗生素、杀菌型高穿膜性多肽 3
基因治疗产品 54 小干扰RNA 13 凝血抑制剂 3
反义寡核苷酸 41 促红细胞生成素型血液因子 12 单抗 & 白介素 2
垂体激素释放刺激肽 36 促性腺激素释放激素(GnRH)抑制多肽 10 修饰的白介素(tox) 2
生长因子与肿瘤坏死因子(TNF) 31 融合蛋白 10 培化生物制品 1
天然或修饰的受体分子 29 修饰的单抗(tox) 10 转铁蛋白 1
集落刺激因子 28 促肾上腺皮质激素样多肽 9 修饰的受体(tox) 1
细胞治疗产品 27 生长激素(GH)衍生物 9
白介素类 21 催产素衍生物 8 总数 1 347
Table 1 Pharmacological classifications and numbers of bio-therapeutics
Fig.3 Pharmacological classification chart of bio-therapeutics
Fig.4 Development history of the targets for monoclonal antibodies (a)1991~2008 (b) 2009~2018
Fig.5 Development history of the targets for fusion proteins
Fig.6 Development history of the targets for gene therapy products
Fig.7 Development history of the targets for cell therapy products
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
CD20 10 0 CD19 and CD3E 2 0 CD80 1 0
CD19 8 0 IL-3RA and CD3E 2 0 CD23 1 0
CD40 8 0 CD3E and CD20 2 0 CD6 1 0
CD4 7 1 CD52 2 0 CD47 1 0
CD22 5 0 CD147 2 0 CD200 1 0
CD37 5 0 CD38 2 0 CD3 and EpCAM 1 0
CD40L 4 0 CD276 2 0 CD3 and HER2 1 0
CD33 4 0 CD44 1 0 FOLH1 and CD3E 1 0
CD3E 3 0 CD3 2 1 CD32 0 1
CD70 3 0 CD11 1 0
CD79B 3 0 CD2 1 0
CD5 2 0 CD62L 1 0 总计 90 3
Table 2 INN number of the monoclonal antibodies/fusion proteins targeting the cluster of differentiation classes
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
TNF-α 6 0 TNFRSF7 1 0 TNFSF1 1 0
TNFRSF10B 4 0 TNFRSF4 1 0 TNFRSF13B 0 2
TNFRSF17 2 0 IL-17A and TNFSF2 1 0 TNFSF13C 0 1
TNF 2 5 TNFRSF10A 1 0 TNFRSF6 0 1
TNFSF13B 2 0 TNFRSF13C 1 0 TNFRSF1B 0 2
TNFRSF8 2 0 TNFSF13B and IL-17A 1 0
TNFSF4 2 0 TNFRSF12A 1 0
TNFRSF9 2 0 TNFRSF17 and CD3E 1 0 总计 31 11
Table 3 INN number of the monoclonal antibodies/fusion proteins targeting the tumor necrosis factor classes
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
靶点 单抗INN 融合蛋白
INN
IL-2RA 6 0 IL-31RA 1 0 IL-23 1 0
IL-13 6 0 IL-4 1 1 IL-15 0 1
IL-6 5 1 IL1A 1 0 IL-1R 0 2
IL-17A 5 0 IL-33 1 0 IL-6R and ALB 1 0
IL-6R 4 0 IL-1 1 1 IL-13 and IL-4 1 0
IL-23A 4 0 IL-5RA 1 0 IL-17A and TNFSF2 1 0
IL-5 2 0 IL-9 1 0 IL-1A and IL-1B 1 0
IL-12B 2 0 IL1RL2 1 0 IL-3RA 1 0
IL-17A and IL-17F 2 0 IL-1B 1 0
IL-3RA and CD3E 2 0 IL-17RA 1 0
IL-20 1 0 IL1RAP 1 0 总计 56 6
Table 4 INN number of the monoclonal antibodies/fusion proteins targeting the interleukin classes
靶点 单抗INN (总/上市) 上市INN单抗品种
EGFR 19/4 cetuximab、panitumumab、nimotuzumab、necitumumab
PD-1 14/4 nivolumab、pembrolizumab、sintilimab、toripalimab
HER2 11/3 trastuzumab、pertuzumab、trastuzumab emtansine
CD20 10/5 rituximab、ibritumomab tiuxetan、ofatumumab、ocrelizumab、obinutuzumab
MUC1 8/0
CD19 8/0
CD40 8/0
CD4 7/0
IL-2RA 6/2 daclizumab、basiliximab
TNF-α 6/4 infliximab、adalimumab、certolizumab pegol、golimumab
EpCAM 6/0
C5 6/1 eculizumab
6/0
IL-13 6/0
IGF1R 6/0
HER3 6/0
PCSK9 6/2 alirocumab、evolocumab
Table 5 Statistics of highly concentrated targets for antibodies and the marketed products related
靶点 融合蛋白INN(总/上市) 上市INN融合蛋白品种
TNF 5/1 etanercept
TNFRSF(13B/1B/6) 5/0
VEGFR 2/2 aflibercept、conbercept
IL-1R 2/0
CTLA-4 2/2 abatacept、belatacept
ED-B 2/0
Table 6 Statistics of highly concentrated targets for fusion proteins and the marketed products related
总生物药INN
占比个(%)
同类生物药INN
占比 个(%)
总上市INN生
物药占比个(%)
各国上市与总上市同类生物药占比 个(%)
欧盟 美国 日本 中国
抗体 82(6.1) 82/586(14) 82/243(34) 75(91) 62(76) 23(28) 22(27)
融合蛋白 6(0.4) 6/40(15) 6/243(2.5) 5(83) 5(83) 2(33) 3(50)
激素类 22(1.6) 22/59(37) 22/243(9.1) 15(68) 13(59) 2(9.1) 11(50)
酶/多肽 69(5.1) 69/314(22) 69/243(28) 47(68) 40(58) 8(12) 27(39)
细胞因子 47(3.5) 47/148(32) 47/243(19) 36(77) 19(40) 5(11) 7(15)
细胞治疗 3(0.2) 3/27(11) 3/243(1.2) 3(100) 2(67) 0 0
基因治疗 3(0.2) 3/54(5.6) 3/243(1.2) 3(100) 0 0 0
其他 11(0.8) 11/119(9) 11/243(4.5) 9(82) 3(18) 0 3(18)
合计/范围 243/1 347(18) 5%~37% 1%~34% 193/243(79) 144/243 (59) 40/243(16) 73/243 (30)
Table 7 Distribution of the marketed bio-therapeutics in INN population
INN 上市产品中文通用名 上市中文商品名
胰岛素类似物(2) insulin glargine 甘精胰岛素注射液 来得时
insulin degludec 德谷胰岛素注射液 诺和达
单抗(14) infliximab 注射用英夫利西单抗 类克
trastuzumab (emtansine) 曲妥珠单抗 赫赛汀
rituximab 利妥昔单抗注射液 美罗华,汉利康(国内生物类似药)
adalimumab 阿达木单抗注射液 修美乐
bevacizumab 贝伐珠单抗注射液 安维汀
omalizumab 注射用奥马珠单抗 茁乐
eculizumab 依库珠单抗注射液 舒立瑞
pertuzumab 帕妥珠单抗注射液 帕捷特
tocilizumab 托珠单抗注射液 雅美罗
ustekinumab 乌司奴单抗注射液 喜达诺
nivolumab 纳武利尤单抗注射液 欧狄沃
evolocumab 依洛尤单抗注射液 瑞百安
idarucizumab 依达赛珠单抗注射液 泰毕安
pembrolizumab 帕博利珠单抗注射液 可瑞达
融合蛋白(2) etanercept 注射用依那西普 恩利
aflibercept 阿柏西普眼内注射溶液 艾力雅
酶(2) alglucosidase alfa 注射用阿糖苷酶α 美而赞
rasburicase 注射用拉布立酶 法舒克
多肽(1) lixisenatide 利司那肽注射液 利时敏
Table 8 Approved bio-therapeutics in Europe, America, Japan and China
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