Document Detail


Assignment of quantities to biological medicines: an old problem re-discovered.
MedLine Citation:
PMID:  21930562     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A distinction exists between 'chemical' and 'biological' medicines. While, from antiquity, both organic and inorganic substances had been used in therapy, developing chemical sciences were inapplicable to materials extracted from natural sources, and the active principles could be neither identified nor characterized. The distinction between biological medicines or 'biologicals' grew out of this realization. Such 'biologicals' in clinical use were, however, variable in efficacy and in safety, and controlling the strength or quality was necessary. Without information on what biological medicines are, it was necessary to quantify what they do, and such medicines were quantified using systems based on biological responses (bioassays) in animals, organs or cells. Bioassays are defined in terms of an external standard rather than in absolute terms, and depend on a number of key assumptions: the need to assay 'like against like', the desirability of making the assay principle relevant to the intended clinical effect in man, and the importance of appropriate statistical models of design and analysis. The science of 'biological standardization' has kept pace with developments in medicine and continues to allow the use of biological medicines in man to be controlled on the basis of common measurement systems.
Authors:
Adrian F Bristow
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Philosophical transactions. Series A, Mathematical, physical, and engineering sciences     Volume:  369     ISSN:  1364-503X     ISO Abbreviation:  Philos Transact A Math Phys Eng Sci     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101133385     Medline TA:  Philos Transact A Math Phys Eng Sci     Country:  England    
Other Details:
Languages:  eng     Pagination:  4004-13     Citation Subset:  IM    
Affiliation:
National Institute for Biological Standards and Control (Health Protection Agency), Blanche Lane, South Mims, Potters Bar, Herts EN6 3QG, UK.
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