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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vedomostiregmed</journal-id><journal-title-group><journal-title xml:lang="ru">Регуляторные исследования и экспертиза лекарственных средств</journal-title><trans-title-group xml:lang="en"><trans-title>Regulatory Research and Medicine Evaluation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3034-3062</issn><issn pub-type="epub">3034-3453</issn><publisher><publisher-name>Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30895/1991-2919-2021-11-4-218-227</article-id><article-id custom-type="elpub" pub-id-type="custom">vedomostiregmed-382</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Высокотехнологические лекарственные препараты на основе онколитических вирусов (часть 2: разработка и регистрация препарата IMLYGIC®)</article-title><trans-title-group xml:lang="en"><trans-title>Advanced Therapy Medicines Based on Oncolytic Viruses (Part II: Development and Authorisation of IMLYGIC®)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9585-3545</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мельникова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Melnikova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мельникова Екатерина Валерьевна, кандидат биологических наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Ekaterina V. Melnikova, Cand. Sci. (Biol.)</p><p>8/2 Petrovsky Blvd, Moscow 127051</p></bio><email xlink:type="simple">cautrin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8377-9205</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рачинская</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rachinskaya</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рачинская Ольга Анатольевна, кандидат биологических наук</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Olga A. Rachinskaya, Cand. Sci. (Biol.)</p><p>8/2 Petrovsky Blvd, Moscow 127051</p></bio><email xlink:type="simple">Rachinskaya@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4891-973X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Меркулов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Merkulov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Меркулов Вадим Анатольевич, доктор медицинских наук, профессор</p><p>Петровский б-р, д. 8, стр. 2, Москва, 127051</p></bio><bio xml:lang="en"><p>Vadim A. Merkulov, Dr. Sci. (Med.), Professor</p><p>8/2 Petrovsky Blvd, Moscow 127051</p></bio><email xlink:type="simple">merkulov@expmed.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Научный центр экспертизы средств медицинского применения» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Centre for Expert Evaluation of Medicinal Products</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>01</day><month>11</month><year>2021</year></pub-date><volume>11</volume><issue>4</issue><fpage>218</fpage><lpage>227</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мельникова Е.В., Рачинская О.А., Меркулов В.А., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Мельникова Е.В., Рачинская О.А., Меркулов В.А.</copyright-holder><copyright-holder xml:lang="en">Melnikova E.V., Rachinskaya O.A., Merkulov V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vedomostincesmp.ru/jour/article/view/382">https://www.vedomostincesmp.ru/jour/article/view/382</self-uri><abstract><p>Единственный зарегистрированный в США и Европейском союзе препарат на основе онколитического вируса (ОЛВ) генетически модифицированный вирус простого герпеса 1 типа — IMLYGIC® (BioVex, Inc. — Amgen, Inc.) — был разработан и разрешен для применения в медицинской практике в виде монотерапии рецидивирующей нерезектабельной меланомы кожи. Цель работы — анализ материалов, касающихся разработки и регистрации препарата IMLYGIC®, для дальнейшего использования полученных данных об особенностях проведения доклинических (ДКИ) и клинических исследований (КИ) препаратов на основе онколитических вирусов в национальной регуляторной практике и в регуляторной практике Евразийского экономического союза. Анализ результатов ДКИ и КИ, опубликованных в открытых источниках, показал, что уменьшение размеров как инъецированных, так и удаленных от места введения препарата опухолей / поражений кожи свидетельствует о местном и системном эффектах IMLYGIC®, достигаемых в результате лизирующего действия вируса на клетки опухоли. Отмечено, что впервые при проведении КИ препарата IMLYGIC® для оценки эффективности противоопухолевого препарата в качестве первичной точки была использована частота устойчивого ответа на терапию, а не общая выживаемость. Преимущества терапии IMLYGIC® были выявлены во всех вторичных конечных точках, кроме общей выживаемости. Значимая эффективность использования препарата была продемонстрирована только у пациентов без висцеральных поражений, что отразилось на ограничении показаний к применению. Серьезных или тяжелых побочных эффектов, связанных с применением IMLYGIC®, не выявлено. Показано, что при возникновении симптомов вирусной инфекции существует возможность нейтрализовать ОЛВ за счет чувствительности препарата к ацикловиру. В России в настоящее время высокотехнологические лекарственные препараты на основе ОЛВ для применения в виде монотерапии или в составе комбинированной терапии могут быть зарегистрированы по правилам Евразийского экономического союза.</p></abstract><trans-abstract xml:lang="en"><p>The only oncolytic virus-based product authorised in the US and EU—IMLYGIC®, a genetically modified herpes simplex virus type 1 (by BioVex Inc., a subsidiary of Amgen, Inc.)—was developed and approved for clinical use as monotherapy for recurrent unresectable melanoma. The aim of the study was to analyse materials on IMLYGIC® development and authorisation in order to be able to use the data on specific aspects of preclinical and clinical trials of oncolytic virus-based products in the development of regulatory framework for Russia and the EAEU. The publicly available preclinical and clinical trial results demonstrate a decrease in the size of both tumours being injected and remote tumours/skin lesions, which supports the local and systemic effects of IMLYGIC® due to the lysis effect of the virus on the tumour cells. The clinical trials of IMLYGIC® were the first to use the durable response rate, and not the overall survival, as the primary endpoint of the efficacy of the anticancer drug. Benefits of IMLYGIC® therapy were observed across all the secondary endpoints, except overall survival. Significant efficacy of the drug therapy was demonstrated only in patients without visceral lesions, which resulted in limitations of indications for use. There have been no serious or severe adverse effects associated with IMLYGIC®. If symptoms of viral infection develop, they can be neutralized thanks to the product’s sensitivity to acyclovir. At present, advanced therapy medicinal products derived from an oncolytic virus may be authorised in Russia for clinical use as monotherapy or combination therapy, according to the EAEU regulations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>терапия онкологических заболеваний</kwd><kwd>онколитические вирусы</kwd><kwd>генетические модификации вирусов</kwd><kwd>доклинические исследования</kwd><kwd>клинические исследования</kwd><kwd>регистрация препаратов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cancer therapy</kwd><kwd>oncolytic viruses</kwd><kwd>virus genetic modifications</kwd><kwd>preclinical trials</kwd><kwd>clinical trials</kwd><kwd>marketing authorisation</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках государственного задания ФГБУ «НЦЭСМП» Минздрава России № 056-00005-21-00 на проведение прикладных научных исследований (номер государственного учета НИР 121021800098-4).</funding-statement><funding-statement xml:lang="en">The study reported in this publication was carried out as part of a publicly funded research project No. 056-00005-21-00 and was supported by the Scientific Centre for Expert Evaluation of Medicinal Products (R&amp;D public accounting No. 121021800098-4).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Мельникова ЕВ, Рачинская ОА, Меркулов ВА. 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