Guide on Insulin Biosimilar Immunogenicity

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FDA has issued a draft guidance on “Clinical Immunogenicity Considerations for Biosimilar and Interchangeable Insulin Products.” The document is intended to clarify what data and information may or may not be needed to support a biosimilarity or interchangeability demonstration for a proposed insulin product. The draft also reflects input from stakeholders provided at a 5/19 agency public hearing.

 

Significantly, the guidance recommends that, “under certain circumstances, a comparative clinical immunogenicity study would not be necessary for approval of certain proposed biosimilar and interchangeable insulin products. In general, immunogenicity studies investigate the presence of an immune response to the therapeutic protein and its clinical impact, which can influence whether the therapy will work well and be safe.”

 

In these circumstances, FDA says, the risk of clinical impact from immunogenicity should be minimal for certain proposed biosimilar and interchangeable insulin products. “As such, while applications for biosimilar and interchangeable insulin products would be expected to include an immunogenicity assessment, that assessment could include a scientific justification of why a comparative clinical study to assess immunogenicity is not necessary for that particular proposed insulin product,” it says.

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