Steps to Expedite Biosimilar Market Entry: Petition
The University of Illinois at Chicago College of Pharmacy says there are steps FDA could take to expedite entry of biosimilars into U.S. markets. In a 5/11 petition, the school says that since passage of the Biologics Price Competition and Innovation Act in 2009, FDA has licensed only nine products. “The slow entrance of biosimilars into the U.S. market, along with a cost of $150+ million and 7-8 years into development are untenable and need addressing and appropriate changes made … to benefit American patients,” the petition says. Specific actions requested to allow faster development and licensing of biosimilar products involve FDA:
- modifying the current default status of requiring bridging studies between a U.S.-licensed product and a non-U.S. approved comparator, to establish biosimilarity;
- presenting clear and open scientific views to the public, and especially to prescribers, that a biosimilar product has “no clinically meaningful difference” from the original comparator product and thus it should be acceptable for naïve patients, without getting involved with the legality of substitution;
- encouraging development of in vitro immunogenicity testing methods to reduce exposure of test subjects on ethical grounds;
- revising some of the specific statistical testing methodologies in establishing analytical similarity to remove certain contradictions in the guidance; and
- taking a fresh look at the clinical relevance of the protocols and statistical methods used to establish PK/PD similarity, to make these studies more clinically relevant while reducing study cost.
“Immediate action by the agency will bring instant relief to U.S. customers at a reduced cost of biosimilars,” the petition concludes.