FDA Approves 2nd Biosimilar — Hospira’s Remicade Copycat
FDA has approved Hospira’s Inflectra (infliximab-dyyb), a biosimilar product referencing Janssen Biotech’s Remicade. This is the second biosimilar approved by the agency since the passage of the Biologics Price Competition and Innovation Act of 2009. The approval covers the following indications:
- adult patients and pediatric patients (ages six years and older) with moderately to severely active Crohn’s disease who have had an inadequate response to conventional therapy;
- adult patients with moderately to severely active ulcerative colitis who have had an inadequate response to conventional therapy;
- patients with moderately to severely active rheumatoid arthritis in combination with methotrexate;
- patients with active ankylosing spondylitis;
- patients with active psoriatic arthritis;
- adult patients with chronic severe plaque psoriasis.
Approval was based on review of evidence that included “structural and functional characterization, animal study data, human pharmacokinetic and pharmacodynamics data, clinical immunogenicity data and other clinical safety and effectiveness data that demonstrates Inflectra is biosimilar to Remicade,” an agency release says. Inflectra has been approved as a biosimilar and not as an interchangeable product, it says.
Inflectra contains a Boxed Warning to alert health care professionals and patients about an increased risk of serious infections leading to hospitalization or death, including tuberculosis, bacterial sepsis, invasive fungal infections (such as histoplasmosis) and others, according to the agency. It also notes that lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with tumor necrosis factor blockers, including infliximab products such as Inflectra. Other serious side effects may include liver injury, blood problems, lupus-like syndrome, psoriasis, and in rare cases nervous system disorders. The drug must be dispensed with a patient Medication Guide that discusses important information about its uses and risks.
Inflectra is manufactured by Korea-based Celltrion for Hospira.