AdventaPharma Wants Generic Ozempic Conditions
AdventaPharma is asking FDA not to approve any ANDA using Novo Nordisk’s Ozempic (semaglutide injection) as the reference-listed drug unless two conditions are met. The 8/26 petition says FDA should require that:
- the generic drug/device combination product includes a pen injector that is functionally equivalent to the reference-listed drug; and
- if the semaglutide active pharmaceutical ingredient (API) is produced via an intermediate such as, but not limited to, P29, derived through a fermentation route, the API should be classified as a hybrid API, not a purely synthetic one, with established adequate controls to reduce immunogenicity risk.
“Approving semaglutide ANDAs that rely on Ozempic as the reference-listed drug with non-equivalent devices and hybrid API jeopardizes patient safety and undermines the foundation of generic drug approval,” the petition says. “The effectiveness and safety of Ozempic depend significantly on the functional design and ease of use of its auto-injector. While equivalence is essential for the active substance, it alone cannot assure therapeutic equivalence for a drug/device combination. Functional differences in generic auto-injectors may introduce risks of dosing errors, reduced adherence, and compromised treatment outcomes.”
The petition says that failing to impose the requested conditions risks: dosing errors leading to hypoglycemia or ineffective treatment, erosion of trust in generic substitution, avoidable adverse events in vulnerable populations, and risk of immunogenicity.