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Editorial

Totality of the evidence at work: The first U.S. biosimilar

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Pages 137-142 | Received 29 Oct 2015, Accepted 02 Dec 2015, Published online: 23 Dec 2015

References

  • Papers of special note have been highlighted as either of interest (•) or of considerable interest (••) to readers.
  • Kozlowski S, Woodcock J, Midthun K, et al. Developing the nation’s biosimilars program. N Engl J Med. 2011;365(5):385–388.

• First description of the sience of biosimilar development within the regulatory framework required by the BPCI Act.

  • Food and Drug Administration. Clinical pharmacology data to support a demonstration of biosimilarity to a reference product. Silver Spring (MD): U.S. Food and Drug Administration; 2014 May 13.

•• Regulatory guidline which describes the clinical studies needed to support the demonstration of biosimilarity.

  • Food and Drug Administration. Scientific considerations in demonstrating biosimilarity to a reference product. Silver Spring (MD): U.S. Food and Drug Administration; 2015 Apr 28.

•• Regulatory guidline which gives an overview of the FDA’s scientific approach to determine biosimilarity. Describes the totality of evidence concept.

  • Food and Drug Administration. Quality considerations in demonstrating biosimilarity to a reference protein product. Silver Spring (MD): U.S. Food and Drug Administration; 2015 Apr 28.

•• Regulatory guidline which describes in great detail which quality factors should be taken into account when analytically characterizing the biosimilar product.

• Publicly available document which describes the FDA’s biosimilarity assessment of filgrastim-sndz.

• First Advisory Committee Meeting on a biosimilar.

• Publication which describes the confirmatory clinical trial in breast cancer patients.

  • Sörgel F, Schwebig A, Holzmann J, et al. Comparability of biosimilar filgrastim with originator filgrastim: protein characterization, pharmacodynamics, and pharmacokinetics. BioDrugs. 2015;29(2):123–131.
  • European Medicines Agency. Questions and answers on biosimilar medicines (similar biological medicinal products). London: European Medicines Agency; 2012.
  • Schneider CK. Biosimilars in rheumatology: the wind of change. Ann Rheum Dis. 2013;72(3):315–318.

• Discusses the subject of manufacturing process changes after approval for mAbs and fusion proteins authorised in rheumatological indications.

  • Aapro M, Cornes P, Abraham I. Comparative cost-efficiency across the European G5 countries of various regimens of filgrastim, biosimilar filgrastim, and pegfilgrastim to reduce the incidence of chemotherapy-induced febrile neutropenia. J Oncol Pharm Pract. 2012;18(2):171–179.

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