Abstract
Biosimilars are imitations of original biologics that are structurally similar and have the same pharmacologic mechanism of action. The US Food and Drug Administration defines a biosimilar as a biological product that is highly similar to the reference product notwithstanding minor differences in clinically inactive components, and with no clinically meaningful differences between the biological product and the reference product in terms of safety, purity, and potency. With patent expiration dates of multiple important biologic drugs on the horizon, including those widely used in dermatology, interest in biosimilars is intensifying. Introduction of these agents into the health care marketplace has elicited some concern from health care professionals since biosimilars are not identical copies of their originator drugs. This review aims to provide a comprehensive summary of biosimilars focusing on key concerns, the current and future marketplace, protein structure and manufacturing, regulatory guidelines, and relevance to dermatology.
References
National Cancer Institute Dictionary of Cancer Terms. Biologic drug. Available at http://www.cancer.gov/dictionary?cdrid=426407.
Strober BE, Armour K, Romiti R, Smith C, Tebbey PW, Menter A, Leonardi C. Biopharmaceuticals and biosimilars in psoriasis: what the dermatologist needs to know. J Am Acad Dermatol. 2012;66:317–22.
Mellstedt H, Niederwieser D, Ludwig H. The challenge of biosimilars. Ann Oncol. 2008;19:411–9.
Schneider CK, Vleminckx C, Gravanis I, Ehmann F, Trouvin JH, Weise M, Thirstrup S. Setting the state for biosimilar monoclonal antibodies. Nat Biotechnol. 2012;30:1179–85.
Food and Drug Administration. Patient Protection and Affordable Care Act. Available at https://www.gpo.gov/fdsys/pkg/BILLS-111hr3590pp/pdf/BILLS-111hr3590pp.pdf.
Guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: non-clinical and clinical issues. Available at http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2013/06/WC500144124.pdf.
European Medicines Agency. Guideline on similar biological medicinal products, 2014. Available at http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2014/10/WC500176768.pdf.
Guidelines on evaluation of Similar Biotherapeutic Products (SBPs). World Health Organization. Available at http://www.who.int/biologicals/areas/biological_therapeutics/BIOTHERAPEUTICS_FOR_WEB_22APRIL2010.pdf.
US$54 billion worth of biosimilar patents expiring before 2020. GABA Online. September 30, 2011. Available at http://gabionline.net/Biosimilars/Research/US-54-billion-worth-of-biosimilar-patents-expiring-before-2020.
Blauvelt A, Cohen AD, Puig L, Vender R, van der Walt J, Wu JJ. Biosimilars for psoriasis: preclinical analytical assessment to determine similarity. Br J Dermatol. 2016;174:282–6.
Gottlieb S. Biosimilars: policy, clinical, and regulatory considerations. Am J Health Syst Pharm. 2008;65:S2–8.
Roger SD. Biosimilars: how similar or dissimilar are they? Nephrology (Carlton). 2006;11:341–6.
Prugnaud JL. Similarity of biotechnology-derived medicinal products: specific problems and new regulatory framework. Br J Clin Pharmacol. 2008;65:619–20.
Crommelin DJ, Storm G, Verrijk R, de Leede L, Jiskoot W, Hennink WE. Shifting paradigms: biopharmaceuticals versus low molecular weight drugs. Int J Pharm. 2003;266:3–16.
Walsh CT, Garneau-Tsodikova S, Gatto GJ Jr. Protein posttranslational modifications: the chemistry of proteome diversifications. Angew Chem Int Ed Engl. 2005;44:7342–72.
Fleischmann C, Bevan S, Neil JC, Terry A, Houlston RS. Mutations in the candidate tumour suppressor gene FLJ12973 on chromosome 15q15 are rare in colorectal cancer. Cancer Lett. 2003;196:65–7.
Barnes HJ, Ragnarrson G, Alvan G. Quality and safety considerations for recombinant biological medicines: a regulatory perspective. Int J Risk Saf Med. 2009;21:13–22.
Colbert RA, Cronstein BN. Biosimilars: the debate continues. Arthritis Rheum. 2011;63:2848–50.
Kuhlmann M, Covic A. The protein science of biosimilars. Nephrol Dial Transplant. 2006;21
PQRI-FDA Workshop on Process Drift: Detection, Measurement, and Control in the Manufacture of Pharmaceuticals. Available at http://pqri.org/wpcontent/uploads/2015/08/pdf/processdrift_finalprogram.pdf.
Schiestl M, Stangler T, Torella C, Cepeljnik T, Toll H, Grau R. Acceptable changes in quality attributes of glycosylated biopharmaceuticals. Nat Biotechnol. 2011;29:310–2.
USFDA. Guidance for industry: scientific considerations in demonstrating biosimilarity to a reference product; 2015. Available at http://www.fda.gov/downloads/DrugsGuidanceComplianceRegulatoryInformation/Guidances/UCM291128.pdf.
USFDA. Guidance for industry: quality considerations in demonstrating biosimilarity of a therapeutic protein product to a reference product; 2015. Available at http://www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation/guidances/ucm291134.pdf.
USFDA.2014. Guidance for industry: immunogenicity assessment for therapeutic protein products. Available at: http://www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation/guidances/ucm338856.pdf
Shankar G, Arkin S, Cocea L, et al. Assessment and reporting of the clinical immunogenicity of therapeutic proteins and peptides—harmonized terminology and tactical recommendations. AAPS J. 2014;16:658–73.
Kirshner SL. Mechanisms underlying the immunogenicity of therapeutic proteins: risk assessment and management strategies. J Interferon Cytokine Res. 2014;34:923–30.
Rosenberg AS. Effects of protein aggregates: an immunologic perspective. AAPS J. 2006;8:E501–7.
Yoo DH, Hrycaj P, Miranda P, Ramiterre E, Piotrowski M, Shevchuk S, Kovalenko V, Prodanovic N, Abello-Banfi M, Gutierrez-Ureña S, Morales-Olazabal L, Tee M, Jimenez R, Zamani O, Lee SJ, Kim H, Park W, Müller-Ladner U. A randomised, double-blind, parallel-group study to demonstrate equivalence in efficacy and safety of CT-P13 compared with innovator infliximab when coadministered with methotrexate in patients with active rheumatoid arthritis: the PLANETRA Study. Ann Rheum Dis. 2013;72:1613–20.
Park W, Hrycaj P, Jeka S, Kovalenko V, Lysenko G, Miranda P, Mikazane H, Gutierrez Ureña S, Lim M, Lee YA, Lee SJ, Kim H, Yoo DH, Braun J. A randomised, double-blind, multicentre, parallel-group, prospective study comparing the pharmacokinetics, safety, and efficacy of CT-P13 and innovator infliximab in patients with ankylosing spondylitis: the PLANETAS Study. Ann Rheum Dis. 2013;72:1605–12.
Dapavo P, Vujic I, Fierro MT, Quaglino P, Sanlorenzo M. The infliximab biosimilar in the treatment of moderate to severe plaque psoriasis. J Am Acad Dermatol. 2016;75:736–9.
USFDA. Guidance for industry: considerations in demonstrating interchangeability with a reference product; 2017. Available at http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM537135.pdf.
USFDA. Guidance for industry: labeling for biosimilar products; 2016. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM493439.pdf.
USFDA. 2017. Guidance for Industry: Nonproprietary Naming of Biological Products www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM459987.pdf.
Griffiths CE, Thaçi D, Gerdes S, Arenberger P, Pulka G, Kingo K, Weglowska J, EGALITY study group, Hattebuhr N, Poetzl J, Woehling H, Wuerth G, Afonso M. The EGALITY study: a confirmatory, randomized, double-blind study comparing the efficacy, safety and immunogenicity of GP2015, a proposed etanercept biosimilar, vs. the originator product in patients with moderate-to-severe chronic plaque-type psoriasis. Br J Dermatol. 2016:27.
Papp K, Bachelez H, Costanzo A, Foley P, Gooderham M, Kaur P, Narbutt J, Philipp S, Spelman L, Weglowska J, Zhang N, Strober B. Clinical similarity of biosimilar ABP 501 to adalimumab in the treatment of patients with moderate to severe plaque psoriasis: a randomized, double-blind, multicenter, phase III study. J Am Acad Dermatol. 2017;10
FDA Briefing Document Arthritis Advisory Committee Meeting July 12, 2016 BLA 761024 ABP 501, a proposed biosimilar to Humira (adalimumab) Amgen. Available on https://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/ArthritisAdvisoryCommittee/UCM510293.pdf.
State Laws and Legislation Related to Biologic Medications and Substitution of Biosimilars. Available on http://www.ncsl.org/research/health/state-laws-and-legislation-related-to-biologic-medications-and-substitution-of-biosimilars.aspx.
Singh SC, Bagnato KM. The economic implications of biosimilars. Am J Manag Care. 2015;21:s331–40.
The Cost Savings Potential of Biosimilar Drugs in the United States. Available on http://www.rand.org/content/dam/rand/pubs/perspectives/PE100/PE127/RAND_PE127.pdf.
Christl LA, Woodcock J, Kozlowski S. Biosimilars: the US Regulatory Framework. Annu Rev Med. 2017;68:243–54.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Yamauchi, P.S. (2018). Biosimilars in Dermatology. In: Yamauchi, P. (eds) Biologic and Systemic Agents in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-66884-0_26
Download citation
DOI: https://doi.org/10.1007/978-3-319-66884-0_26
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-66883-3
Online ISBN: 978-3-319-66884-0
eBook Packages: MedicineMedicine (R0)