No Need Now for Insulin, Growth Hormone Product Guidance: FDA

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FDA has denied an 8/3/06 petition from the governors of Kansas, Minnesota, Vermont, and Wisconsin asking that the agency issue product-specific guidance for the development of insulin and human growth hormone (HGH) that are therapeutically equivalent to branded products approved by FDA. The petition also asked that FDA commit to working with drug companies developing such products and to expediting the application process so that these products can be approved and made available to patients as quickly as possible. That portion of the petition request was approved “in that FDA remains committed to fostering the efficient development of biosimilar and interchangeable insulin and HGH products to expand access and improve the lives of patients and their families,” even though it no longer evaluates whether an insulin or HGH product is therapeutically equivalent to another insulin or HGH product.

In its 3/19 response, the agency notes that it “has been actively working for many years to facilitate efforts by manufacturers to develop and obtain approval of marketing applications for insulin and HGH products, and thereby encourage competition.” It says it has emphasized that the lack of a product-specific guidance does not limit its ability to work with prospective applicants of proposed insulin and HGH products on a product-specific basis.

Also, it says, since insulin and HGH products are now regulated under the Public Health Service Act as of 3/23/20, the agency no longer evaluates whether they are therapeutically equivalent to another product and thus the request to issue guidance is moot.

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