FDA Waives Efficacy Studies for Stelara Biosimilar
FDA has agreed to accept a biosimilar application that does not include clinical efficacy studies (CESs) for a monoclonal antibody, a step that could dramatically change how these drugs are developed and approved. The upcoming submission from University of Illinois adjunct professor and founder of several biopharmaceutical ventures Sarfaraz K. Niazi will seek approval for a biosimilar version of Johnson & Johnson’s Stelara (ustekinumab), indicated for treating psoriatic arthritis and plaque psoriasis, as well as Crohn’s disease, and ulcerative colitis. This marks the first time the agency has waived CES requirements for this class of biologics, according to Niazi.
CESs have long been a costly and time-consuming part of biosimilar development, though critics have argued they add little value in demonstrating equivalence when analytical and immunogenicity testing already confirm similarity to reference products. Niazi has spent years petitioning FDA and publishing peer-reviewed articles advocating for the elimination of CESs.
According to Niazi, removing the requirement could cut biosimilar development costs by more than 90% and shorten approval timelines by 70%, lowering barriers for smaller companies to enter the market. The move could also accelerate competition and reduce prices, potentially bringing cost savings similar to those seen with generic small-molecule drugs, he says, adding that it brings the agency closer in line with the European Medicines Agency and UK’s Medicines and Healthcare products Regulatory Agency, both of which have taken steps toward relaxing clinical trial requirements for biosimilars.