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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">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v23i1.2654</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-3398</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>МНЕНИЕ ПО ПРОБЛЕМЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXPERT OPINION</subject></subj-group></article-categories><title-group><article-title>Лекарственные препараты передовой терапии: перспективы внедрения в клиническую практику в педиатрии</article-title><trans-title-group xml:lang="en"><trans-title>Advanced-Therapy Medicinal Products: Challenges for Implementation in Pediatric Clinical Practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7704-9900</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гомон</surname><given-names>Ю. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gomon</surname><given-names>Yulia M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гомон Юлия Михайловна, доктор медицинских наук, профессор кафедры клинической фармакологии и доказательной медицины; врач клинический фармаколог</p><p>194354, Санкт-Петербург, Северный пр., д. 1</p><p>тел.: +7 (911) 960-62-68</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">gomonmd@yandex.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/0000-0002-1919-2909</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Колбин</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolbin</surname><given-names>Alexey S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый СПбГМУ им. акад. И.П. Павлова; Городская больница Святого Великомученика Георгия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University; St. George the Great Martyr City Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый СПбГМУ им. акад. И.П. Павлова; СПбГУ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University; St. Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>25</day><month>02</month><year>2024</year></pub-date><volume>23</volume><issue>1</issue><fpage>34</fpage><lpage>47</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гомон Ю.М., Колбин А.С., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Гомон Ю.М., Колбин А.С.</copyright-holder><copyright-holder xml:lang="en">Gomon Y.M., Kolbin A.S.</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://vsp.spr-journal.ru/jour/article/view/3398">https://vsp.spr-journal.ru/jour/article/view/3398</self-uri><abstract><p>В статье обсуждаются классификации лекарственных средств для генной и клеточной терапии. Представлены данные о лекарственных средствах, зарегистрированных в России, а также в странах Европейского союза, Великобритании, США и Японии. Рассмотрены ограничения использования таких лекарственных средств, в том числе их высокая утилитарная стоимость и высокий риск нежелательных явлений.  Проанализирован потенциал повышения клинической эффективности и экономической целесообразности медицинских технологий для передовой терапии, в том числе в педиатрии.</p></abstract><trans-abstract xml:lang="en"><p>The article discusses classifications of medicines for gene and cell therapy. Data on medicinal products registered in Russia, as well as in the European Union countries, Great Britain, USA, and Japan is presented. The limitations on using such medicinal products were considered, including their high utilitarian cost and high risk of adverse events. The potential for increasing clinical efficacy and economic feasibility of advanced therapies (pediatrics included) has been analyzed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>передовые медицинские технологии</kwd><kwd>генная терапия</kwd><kwd>клеточная терапия</kwd><kwd>регистрация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>advanced medical technologies</kwd><kwd>gene therapy</kwd><kwd>cell therapy</kwd><kwd>registration</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Отсутствует.</funding-statement><funding-statement xml:lang="en">Not specified.</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">Harding SD, Armstrong JF, Faccenda E, et al. The IUPHAR/BPS Guide to PHARMACOLOGY in 2024. 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