No Safety Issues in Biosimilar Switches: CDER Research
CDER researchers who conducted a systematic review and meta-analysis to determine if there were safety outcome differences between individuals who switched between a biosimilar and a reference product and individuals who did not switch say there were no statistical differences in the number of deaths, non-fatal serious adverse events, and study discontinuations due to an adverse event. A Spotlight on CDER Science report says the study was conducted because patients and their healthcare providers still have reservations about switching a patient to a biosimilar when their condition is stable on the reference product.
The report says the investigators evaluated 21 biosimilars corresponding to eight different reference products, which translated to 5,252 participants who underwent at least one switch and 5,770 individuals who served as no-switch controls.
Based on the data from their evaluations, “the researchers concluded that there were no differences in the risk of death, serious adverse events, or treatment discontinuations between the switch and no-switch arms,” the report concludes. “These results were not affected by the reference product class, the direction of the switch (reference product to biosimilar or vice versa), or the number of switches (single switch vs. multiple switches). These findings are consistent with previously published non-statistical descriptive reviews of switching biosimilars. They provide additional evidence for patients and their healthcare providers that switching between biosimilars and their reference products is not associated with major safety events.”