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WHO Expert Committee on Biological Standardization: Sixty-fifth Report [Pehme köide]

  • Formaat: Paperback / softback, 278 pages
  • Ilmumisaeg: 30-Jun-2015
  • Kirjastus: World Health Organization
  • ISBN-10: 9241209933
  • ISBN-13: 9789241209939
Teised raamatud teemal:
  • Formaat: Paperback / softback, 278 pages
  • Ilmumisaeg: 30-Jun-2015
  • Kirjastus: World Health Organization
  • ISBN-10: 9241209933
  • ISBN-13: 9789241209939
Teised raamatud teemal:
This report summarizes the recommendations of the World Health Organization Expert Committee on Biological Standardization, which met in Geneva, Switzerland, in October 2014 and was commissioned to coordinate activities leading to the adoption of international recommendations for the production and control of vaccines and other biological substances, and the establishment of international biological reference materials on antibiotics, biotherapeutics, blood products and related substances, in vitro diagnostic device reagents, and vaccines and related substances. It summarizes reports from committee members on general aspects, including the activities of the Blood Regulators Network and collaborating centers, feedback from custodian laboratories, and the activities of other WHO committees and groups, then international recommendations, guidelines, and other issues, and reference materials on each type of substance, ending with a list of all documents, WHO documents adopted on the advice of the Committee, and a list of changes to WHO International Standards, Reference Reagents and Reference Panels for biological substances. Annotation ©2016 Ringgold, Inc., Portland, OR (protoview.com)

This report presents the recommendations of a WHO Expert Committee commissioned to coordinate activities leading to the adoption of international recommendations for the production and control of vaccines and other biological substances, and the establishment of international biological reference materials.

Following a brief introduction, the report summarizes a number of general issues brought to the attention of the Committee. The next part of the report, of particular relevance to manufacturers and national regulatory authorities, outlines the discussions held on the development and adoption of new and revised WHO Recommendations, Guidelines and guidance documents. Following these discussions, a WHO guidance document on the Scientific principles for regulatory risk evaluation on finding an adventitious agent in a marketed vaccine was adopted along with WHO Guidelines on procedures and data requirements for changes to approved vaccines and revised WHO Recommendations to assure the quality, safety and efficacy of poliomyelitis vaccines (inactivated).

Subsequent sections of the report provide information on the current status and proposed development of international reference materials in the areas of antibiotics; biotherapeutics other than blood products; blood products and related substances; in vitro diagnostic device reagents; and vaccines and related substances.

A series of annexes are then presented which include an updated list of all WHO Recommendations, Guidelines and other documents on biological substances used in medicine (Annex 1). The above three WHO documents adopted on the advice of the Committee are then published as part of this report (Annexes 2 4). Finally, all additions and discontinuations made during the 2014 meeting to the list of International Standards, Reference Reagents and Reference Panels for biological substances maintained by WHO are summarized in Annex 5.
Abbreviations xiii
1 Introduction
1(3)
2 General
4(19)
2.1 Current directions
4(7)
2.1.1 Strategic directions in biological standardization: WHO priorities
4(1)
2.1.2 Vaccines and biotherapeutics: recent and planned activities in biological standardization
5(2)
2.1.3 Therapeutic biological medicines: current developments and challenges
7(1)
2.1.4 Blood products and related in vitro diagnostics: recent and planned activities in biological standardization
8(2)
2.1.5 Overview of the international response to the Ebola epidemic, including accelerated development of vaccines and novel therapies
10(1)
2.2 Reports
11(3)
2.2.1 Report from the WHO Blood Regulators Network
11(2)
2.2.2 Report from the WHO collaborating centres for biological standards
13(1)
2.3 Feedback from custodian laboratories
14(3)
2.3.1 Developments and scientific issues highlighted by custodians of WHO biological reference preparations
14(3)
2.4 Cross-cutting activities of other WHO committees and groups
17(6)
2.4.1 Proposed WHO Guidelines on good review practices
17(1)
2.4.2 Proposed technical supplements to WHO guidance on the storage and transport of time- and temperature-sensitive pharmaceutical products
18(1)
2.4.3 Proposed WHO Guidelines on good regulatory practices
18(1)
2.4.4 Collaborative procedure for facilitating the licensing of WHO-prequalified medicinal products
19(1)
2.4.5 Update of matters arising from the Expert Group on International Nonproprietary Names
19(1)
2.4.6 Proposal to revise the procedure for assessing the acceptability, in principle, of vaccines for purchase by United Nations agencies
20(1)
2.4.7 A WHO and EDQM collaborative study on the determination of saccharide content of the Haemophilus influenzae type b component in liquid vaccine presentations
21(1)
2.4.8 Update on the WHO global action plan to minimize poliovirus facility-associated risk
21(2)
3 International Recommendations, Guidelines and other matters related to the manufacture and quality control of biological substances
23(10)
3.1 Vaccines and related substances
23(5)
3.1.1 Scientific principles for regulatory risk evaluation on finding an adventitious agent in a marketed vaccine
23(1)
3.1.2 Recommendation to assure the quality, safety and efficacy of poliomyelitis vaccines (inactivated)
24(1)
3.1.3 Guidelines on procedures and data requirements for changes to approved vaccines
25(1)
3.1.4 Regulatory written standards pipeline
26(1)
3.1.5 Clinical evaluation of dengue vaccines
27(1)
3.1.6 Biotherapeutic products including similar biotherapeutic products
27(1)
3.1.7 Multilateral activities relating to biotherapeutic products including similar biotherapeutic products
28(1)
3.2 Blood products and related substances
28(5)
3.2.1 Strengthening production capacity for blood components including plasma for fractionation
28(2)
3.2.2 Shortage of anti-diphtheria and other specific immunoglobulins
30(1)
3.2.3 MERS coronavirus serum panel
30(1)
3.2.4 Use of convalescent sera to respond to emerging infectious disease threats
31(1)
3.2.5 Overview of the biological standards endorsed by the ISTH for WHO approval
32(1)
4 International reference materials - antibiotics
33(2)
4.1 WHO International Standards and Reference Reagents - antibiotics
33(1)
4.1.1 Second WHO International Standard for bleomycin complex A2/B2
33(1)
4.2 Proposed new projects and updates - antibiotics
33(2)
4.2.1 Proposed Third WHO International Standard for amphotericin B
33(2)
5 International reference materials - biotherapeutics other than blood products
35(4)
5.1 WHO International Standards and Reference Reagents - biotherapeutics other than blood products
35(1)
5.1.1 Third WHO International Standard for luteinizing hormone (human pituitary)
35(1)
5.1.2 First WHO International Standard for proinsulin (human)
36(1)
5.2 Proposed new projects and updates - biotherapeutics other than blood products
36(3)
5.2.1 Proposed First WHO Reference Reagent for Rituximab for use in complement-dependent cytotoxicity assays
36(1)
5.2.2 Proposed First WHO Reference Reagent for Batroxobin
37(2)
6 International reference materials - blood products and related substances
39(5)
6.1 WHO International Standards and Reference Reagents - blood products and related substances
39(3)
6.1.1 First WHO International Standard for activated blood coagulation factor XI
39(1)
6.1.2 First WHO Reference Panel for lupus anticoagulant
40(1)
6.1.3 First WHO International Standard for A Disintegrin And Metalloprotease with ThromboSpondin type 1 motifs 13 (ADAMTS13)
41(1)
6.1.4 Fourth WHO International Standard for plasmin
41(1)
6.2 Proposed new projects and updates - blood products and related substances
42(2)
6.2.1 Proposed Second WHO International Standard for blood coagulation factor XI
42(1)
6.2.2 Proposed Second WHO International Standard for activated blood coagulation factor IX
43(1)
6.2.3 Proposed second WHO reference reagents for anti-A and anti-B in intravenous immunoglobulin
43(1)
7 International reference materials - In vitro diagnostic device reagents
44(6)
7.1 WHO International Standards and Reference Reagents - in vitro diagnostic device reagents
44(2)
7.1.1 Third WHO International Standard for hepatitis B virus surface antigen
44(1)
7.1.2 First WHO International Standard for Toxoplasma gondii DNA for NAT-based assays
45(1)
7.1.3 First WHO International Standard for hepatitis C virus core antigen
45(1)
7.2 Proposed new projects and updates - in vitro diagnostic device reagents
46(4)
7.2.1 Proposed First WHO Reference Panel for vCJD
46(1)
7.2.2 Proposed first WHO international standards for herpes simplex virus DNA type 1 and 2
47(1)
7.2.3 Proposed replacement WHO international standards for prostate-specific antigen (free) and prostate-specific antigen (90:10)
48(1)
7.2.4 Proposed First WHO International Standard for anti-Mullerian hormone
48(1)
7.2.5 Proposal to assign a holotranscobalamin value to the First WHO International Standard for vitamin B12 and folate in human serum
49(1)
8 International reference materials - vaccines and related substances
50(7)
8.1 WHO International Standards and Reference Reagents - vaccines and related substances
50(3)
8.1.1 First WHO Reference Reagent for anti-malaria (Plasmodium falciparum) human serum
50(1)
8.1.2 Second WHO International Standard for Haemophilus influenzae type b capsular polysaccharide
51(1)
8.1.3 First WHO International Standard for anti-typhoid capsular Vi polysaccharide immunoglobulin G (human)
52(1)
8.2 Proposed new projects and updates - vaccines and related substances
53(4)
8.2.1 Proposed Second WHO International Standard for Bordetella pertussis toxin
53(1)
8.2.2 Proposed Third WHO International Standard for tetanus toxoid for use in flocculation test
54(1)
8.2.3 Proposed Seventh WHO International Standard for rabies vaccine
55(1)
8.2.4 Proposed First WHO International Standard for meningococcal serogroup X polysaccharide
55(1)
8.2.5 Proposed First WHO International Standard for antibody to A(H7N9) influenza virus
56(1)
Annex 1 WHO Recommendations, Guidelines and other documents related to the manufacture and quality control of biological substances used in medicine 57(6)
Annex 2 Scientific principles for regulatory risk evaluation on finding an adventitious agent in a marketed vaccine 63(26)
Annex 3 Recommendations to assure the quality, safety and efficacy of poliomyelitis vaccines (inactivated) Replacement of Annex 2 of WHO Technical Report Series, No. 910 89(86)
Annex 4 Guidelines on procedures and data requirements for changes to approved vaccines 175(86)
Annex 5 Biological substances: WHO International Standards, Reference Reagents and Reference Panels 261