Biosimilar Dug Development

QPS Holdings, LLC
QPS Holdings, LLCVice President Global Marketing um QPS Holdings, LLC

In recent years, the pharmaceutical industry has witnessed increased political interest and attention due to the increased recognition of the economic importance and financial impact of healthcare as a component of national budgets. Biologic drugs (biologics) have attracted the attention of politicians since biologics have moved out of the niche pharmaceutical arena to contribute 17% of global pharmaceutical sales, representing revenues of more than $120bn in 2009. The market for biologics is growing at twice the rate of pharmaceutical drugs, placing significant cost pressures on government, employers, insurers, and patients. Government and insurers are using several strategies to contain costs but must ensure that the financial burden placed on patients does not restrict access to the health care system. Establishing a regulatory pathway for ‘follow-on’ biologics (biosimilars) was therefore felt to be necessary by many stake holders to encourage competition and reduce prices. Many pharmacutical companies both large and small - are expecting their bottom line growth to be driven by biosimilars and are channeling their R&D budgets to compete in what – according to many - is going to be one of the hottest areas in a radically changing global pharmaceutical market.

AT QPS WE BELIEVE IN DEVELOPING CLOSE AND
LONG-LASTING RELATIONSHIPS WITH OUR CLIENTS ON THE
BASIS OF TRUST AND MUTUAL RESPECT. This mutual
trust, combined with the nimble approach we offer as a specialty
CRO, helps improve the quality of your outsourced clinical work
and reduces the degree of required oversight.
TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT.
CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY!
CALL +1 512 350 2827 EMAIL infobd@qps.com
Biosimilar Drug
Development
QPS White Paper
TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT.
CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY!
CALL +1 512 350 2827 | EMAIL infobd@qps.com
In recent years, the pharmaceutical industry has witnessed increased political interest
and attention due to the increased recognition of the economic importance and financial impact of healthcare
as a component of national budgets. Biologic drugs (biologics) have attracted the attention of politicians since
biologics have moved out of the niche pharmaceutical arena to contribute 17% of global pharmaceutical sales,
representing revenues of more than $120bn in 2009.
FLEXIBILITY. AGILITY. SPEED.
The Biologics Market
The market for biologics is growing at twice the rate
of pharmaceutical drugs, placing significant cost
pressures on government, employers, insurers, and
patients. Government and insurers are using several
strategies to contain costs but must ensure that the
financial burden placed on patients does not restrict
access to the health care system. Establishing
a regulatory pathway for ‘follow-on’ biologics
(biosimilars) was therefore felt to be necessary by
many stake holders to encourage competition and
reduce prices.
Many pharmacutical companies – both large and
small - are expecting their bottom line growth to be
driven by biosimilars and are channeling their R&D
budgets to compete in what – according to many -
is going to be one of the hottest areas in a radically
changing global pharmaceutical market.
History
Novartis’s Sandoz unit pioneered the global
biosimilar market with the development of a
follow-on version of GenotropinTM
which is currently
marketed in the EU, US, Australia and Japan. By now,
Sandoz has marketed three biosimilars in Europe
indicating that the EU has sprinted ahead of the US
in its approval of biosimilars:
Proprietary
Name
Generic Name Reference
Medicinal
Product
Market
Authorization
OmnitropeTM
Somatropin GenotropinTM
2006
BinocritTM
Epoetin alfa EprexTM
, EryproTM
2007
ZarzioTM
Inotuzumab
ozogamicin
NeupogenTM
2008
Proprietary Name Generic Name Applicant Market
Authorization
NivestimTM
Filgrastim Hospira 2010
Filgrastim HexalTM
Filgrastim Hexal 2009
TevagrastimTM
Filgrastim Teva 2008
ZarzioTM
Filgrastim Sandoz 2008
RatiograstimTM
Filgrastim Ratiopharm 2008
BiogastrimTM
Filgrastim CT Arzneimittel 2008
To appreciate the dynamics of the biosimilar
market in Europe, there are currently six approved
biosimilars to Amgen’s NeupogenTM
.
Without an abbreviated pathway for the approval
of ‘generic’ versions of biologics in the US, the first
generation of existing versions of similar biologics
such as erythropoietin (ProcritTM
and EpogenTM
),
botulinum toxin (BotoxTM
, DysportTM
, and MyoblocTM
)
and filgrastim (NeutrovalTM
) were approved
under a full BLA each of which is not deemed
interchangeable with its reference medicinal
product. With the passage of the Biologics Price
Competition and Innovation Act (‘the Biosimilar
Act’) in 2009, an abbreviated pathway has also
been created in the US for what is intended to be a
streamlined development and FDA approval pathway
for competing versions of already-marketed biologic
drug products. Approval as a ‘biosimilar’ under the
Biosimilar Act should save sponsors time and money
in the development and approval process and must
provide overall cost savings to patients and the
health care system.
TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT.
CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY!
CALL +1 512 350 2827 | EMAIL infobd@qps.com
It is interesting to note from the Committee
for Medicinal Products for Human Use (CHMP)
assessment reports relating to the applications for
the six filgrastim biosimilar medicinal products that
the body of clinical evidence supporting similarity
between those six biosimilars and NeupogenTM
is quite different. Issues were raised in the CHMP
assessment reports on the reliability of biosimilar
plasma concentration analyses causing PK results to
be inaccurate and thus requiring repeat validation of
the ELISA assays and reanalysis of the PK data.
On many occasions, the CHMP also stated that
development and validation of antibody assays
were poorly described, and the bioanalytical testing
strategy did not follow regulatory guidelines. As
a result, follow-up measures for determining the
possible development of immunogenicity were
often asked for as there was not enough data to
demonstrate adequate sensitivity and detection
of biosimilar antibodies. Consequently, additional
long-term safety and immunogenicity data had to
be collected in the post-marketing phase leading to
unnecessary use of time and resources.
FLEXIBILITY. AGILITY. SPEED.
Although the new Biosimilar Act has been subject
to criticism for its complexity with many important
details left undefined or open-ended, it seems to
have spurred many pharmaceutical giants, like
Merck, Pfizer, Amgen, and Biogen Idec to jump on
the biosimilars bandwagon, many placing a focus
on emerging markets in Asia and South America.
Companies other than big pharma are also showing
an interest in biosimilars. Many generic companies
such as Teva, Hospira, Ratiopharm, Actavis and
even non-pharma e.g. electronics giant, Samsung,
are entering this new pharmaceutical market.
Meanwhile, Novartis’ Sandoz unit has already
proved itself to be a major player in the biosimilars
market, being the only manufacturer to have three
biosimilars on the market.
The Intricacies Of Biosimilar Drug
Development
Although biosimilar development is considered
by many to be a low risk drug development
activity, safety is a priority for the development of
all medicines and there is no doubt that biologics
raise safety considerations above and beyond
those of chemical drugs. This is because biologics
are structurally more complex molecules than
chemical drugs, and even slight changes in their
manufacturing process can cause hard to detect
changes in the composition of the final product.
These changes can in turn affect the safety and
effectiveness of the product in patients. So, when
a follow-on manufacturer establishes a new
manufacturing process, beginning with new
starting materials, it will produce a product that is
different from and not therapeutically equivalent
to that of the innovator. Because of the complexity
of biologics, the only way to establish whether
there are differences that affect the safety and
effectiveness of the follow-on product is to conduct
nonclinical and clinical trials.
TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT.
CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY!
CALL +1 512 350 2827 | EMAIL infobd@qps.com
QPS Is Committed To Working With You
QPS has extensive experience with biosimilar
development, and we truly understand the
scientific complexities, in particular around ligand
binding assays to allow for robust PK and antibody
assessments and the pivotal bioanalytical test
strategies for the determination of the possible
development of immunogenicity. We are committed
to working with you to assist you in advancing your
biosimilar portfolio in this rapidly developing market
segment for the benefit of patients worldwide.
Broad Access
QPS provides clients with broad strategic access to
its nonclinical and clinical development capabilities
and experience to conduct nonclinical and clinical
development of a diverse portfolio of biosimilars
for them across various therapeutic areas. Our
preferred vendor agreements also provide for the
establishment of a client dedicated unit within our
organization.
Timely Delivery
Partnering with QPS will position you for success,
allowing timely delivery of your biosimilar products to
the marketplace.
FLEXIBILITY. AGILITY. SPEED.
References
[1] Fresh from the Biologic Pipeline — 2009 Nature Biotechnology 2010; 28: 307 - 310
[2] Hearing Shines Spotlight on Biosimilar Controversies Nature Reviews Drug Discovery 2010; 9: 905 - 906
[3] Balancing Innovation, Access, and Profits — Market Exclusivity for Biologics N Engl J Med 2009; 361: 917 - 1919

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Biosimilar Dug Development

  • 1. AT QPS WE BELIEVE IN DEVELOPING CLOSE AND LONG-LASTING RELATIONSHIPS WITH OUR CLIENTS ON THE BASIS OF TRUST AND MUTUAL RESPECT. This mutual trust, combined with the nimble approach we offer as a specialty CRO, helps improve the quality of your outsourced clinical work and reduces the degree of required oversight. TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT. CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY! CALL +1 512 350 2827 EMAIL infobd@qps.com Biosimilar Drug Development QPS White Paper
  • 2. TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT. CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY! CALL +1 512 350 2827 | EMAIL infobd@qps.com In recent years, the pharmaceutical industry has witnessed increased political interest and attention due to the increased recognition of the economic importance and financial impact of healthcare as a component of national budgets. Biologic drugs (biologics) have attracted the attention of politicians since biologics have moved out of the niche pharmaceutical arena to contribute 17% of global pharmaceutical sales, representing revenues of more than $120bn in 2009. FLEXIBILITY. AGILITY. SPEED. The Biologics Market The market for biologics is growing at twice the rate of pharmaceutical drugs, placing significant cost pressures on government, employers, insurers, and patients. Government and insurers are using several strategies to contain costs but must ensure that the financial burden placed on patients does not restrict access to the health care system. Establishing a regulatory pathway for ‘follow-on’ biologics (biosimilars) was therefore felt to be necessary by many stake holders to encourage competition and reduce prices. Many pharmacutical companies – both large and small - are expecting their bottom line growth to be driven by biosimilars and are channeling their R&D budgets to compete in what – according to many - is going to be one of the hottest areas in a radically changing global pharmaceutical market. History Novartis’s Sandoz unit pioneered the global biosimilar market with the development of a follow-on version of GenotropinTM which is currently marketed in the EU, US, Australia and Japan. By now, Sandoz has marketed three biosimilars in Europe indicating that the EU has sprinted ahead of the US in its approval of biosimilars: Proprietary Name Generic Name Reference Medicinal Product Market Authorization OmnitropeTM Somatropin GenotropinTM 2006 BinocritTM Epoetin alfa EprexTM , EryproTM 2007 ZarzioTM Inotuzumab ozogamicin NeupogenTM 2008 Proprietary Name Generic Name Applicant Market Authorization NivestimTM Filgrastim Hospira 2010 Filgrastim HexalTM Filgrastim Hexal 2009 TevagrastimTM Filgrastim Teva 2008 ZarzioTM Filgrastim Sandoz 2008 RatiograstimTM Filgrastim Ratiopharm 2008 BiogastrimTM Filgrastim CT Arzneimittel 2008 To appreciate the dynamics of the biosimilar market in Europe, there are currently six approved biosimilars to Amgen’s NeupogenTM . Without an abbreviated pathway for the approval of ‘generic’ versions of biologics in the US, the first generation of existing versions of similar biologics such as erythropoietin (ProcritTM and EpogenTM ), botulinum toxin (BotoxTM , DysportTM , and MyoblocTM ) and filgrastim (NeutrovalTM ) were approved under a full BLA each of which is not deemed interchangeable with its reference medicinal product. With the passage of the Biologics Price Competition and Innovation Act (‘the Biosimilar Act’) in 2009, an abbreviated pathway has also been created in the US for what is intended to be a streamlined development and FDA approval pathway for competing versions of already-marketed biologic drug products. Approval as a ‘biosimilar’ under the Biosimilar Act should save sponsors time and money in the development and approval process and must provide overall cost savings to patients and the health care system.
  • 3. TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT. CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY! CALL +1 512 350 2827 | EMAIL infobd@qps.com It is interesting to note from the Committee for Medicinal Products for Human Use (CHMP) assessment reports relating to the applications for the six filgrastim biosimilar medicinal products that the body of clinical evidence supporting similarity between those six biosimilars and NeupogenTM is quite different. Issues were raised in the CHMP assessment reports on the reliability of biosimilar plasma concentration analyses causing PK results to be inaccurate and thus requiring repeat validation of the ELISA assays and reanalysis of the PK data. On many occasions, the CHMP also stated that development and validation of antibody assays were poorly described, and the bioanalytical testing strategy did not follow regulatory guidelines. As a result, follow-up measures for determining the possible development of immunogenicity were often asked for as there was not enough data to demonstrate adequate sensitivity and detection of biosimilar antibodies. Consequently, additional long-term safety and immunogenicity data had to be collected in the post-marketing phase leading to unnecessary use of time and resources. FLEXIBILITY. AGILITY. SPEED. Although the new Biosimilar Act has been subject to criticism for its complexity with many important details left undefined or open-ended, it seems to have spurred many pharmaceutical giants, like Merck, Pfizer, Amgen, and Biogen Idec to jump on the biosimilars bandwagon, many placing a focus on emerging markets in Asia and South America. Companies other than big pharma are also showing an interest in biosimilars. Many generic companies such as Teva, Hospira, Ratiopharm, Actavis and even non-pharma e.g. electronics giant, Samsung, are entering this new pharmaceutical market. Meanwhile, Novartis’ Sandoz unit has already proved itself to be a major player in the biosimilars market, being the only manufacturer to have three biosimilars on the market. The Intricacies Of Biosimilar Drug Development Although biosimilar development is considered by many to be a low risk drug development activity, safety is a priority for the development of all medicines and there is no doubt that biologics raise safety considerations above and beyond those of chemical drugs. This is because biologics are structurally more complex molecules than chemical drugs, and even slight changes in their manufacturing process can cause hard to detect changes in the composition of the final product. These changes can in turn affect the safety and effectiveness of the product in patients. So, when a follow-on manufacturer establishes a new manufacturing process, beginning with new starting materials, it will produce a product that is different from and not therapeutically equivalent to that of the innovator. Because of the complexity of biologics, the only way to establish whether there are differences that affect the safety and effectiveness of the follow-on product is to conduct nonclinical and clinical trials.
  • 4. TIME IS OF THE ESSENCE IN DRUG DEVELOPMENT. CONTACT THE QPS BUSINESS DEVELOPMENT TEAM TODAY! CALL +1 512 350 2827 | EMAIL infobd@qps.com QPS Is Committed To Working With You QPS has extensive experience with biosimilar development, and we truly understand the scientific complexities, in particular around ligand binding assays to allow for robust PK and antibody assessments and the pivotal bioanalytical test strategies for the determination of the possible development of immunogenicity. We are committed to working with you to assist you in advancing your biosimilar portfolio in this rapidly developing market segment for the benefit of patients worldwide. Broad Access QPS provides clients with broad strategic access to its nonclinical and clinical development capabilities and experience to conduct nonclinical and clinical development of a diverse portfolio of biosimilars for them across various therapeutic areas. Our preferred vendor agreements also provide for the establishment of a client dedicated unit within our organization. Timely Delivery Partnering with QPS will position you for success, allowing timely delivery of your biosimilar products to the marketplace. FLEXIBILITY. AGILITY. SPEED. References [1] Fresh from the Biologic Pipeline — 2009 Nature Biotechnology 2010; 28: 307 - 310 [2] Hearing Shines Spotlight on Biosimilar Controversies Nature Reviews Drug Discovery 2010; 9: 905 - 906 [3] Balancing Innovation, Access, and Profits — Market Exclusivity for Biologics N Engl J Med 2009; 361: 917 - 1919