ASH Clinical News November 2015 | Page 16

ROBUST ANALYTICAL TESTING: DEMONSTRATING BIOSIMILARITY Using a Multifactorial Approach Analytical testing is a major focus of biosimilar development. Physicochemical studies are used to sufficiently establish relevant product attributes such a s those that define a product’s identity, quantity, purity, potency and consistency. Bioactivity assays are used to evaluate how similar the biosimilar acts like the reference product. Differences in attributes between the proposed biosimilar and the reference product may be compared via a fingerprint-like analysis algorithm.12 New techniques and advancements in analytics are available. More than one test method may be used to test a single quality attribute. Analytical comparisons for biosimilars are likely to be more extensive and comprehensive than those made for reference biologics after a manufacturing change. Analytical testing will greatly reduce the number of residual uncertainties requiring clarification with subsequent animal and human studies.3 design with non-inferiority or equivalence margins. If the sponsor believes comparative testing is not required, they may provide scientific justification in support.3 Immunogenicity: A Focus at Every Stage in the Process The goal of immunogenicity assessment is to ascertain potential differences between the biosimilar and the reference product in the incidence and severity of human immune responses.3 At least one clinical study comparing the immunogenicity of the biosimilar and reference product is the norm, but because immunogenicity is of concern for any biologic product, it is evaluated at all stages of biosimilar development. Demonstrating Biosimilarity Multifactorial Approach Human PK/PD Studies Comparative Clinical Immunogenicity Evaluations Assessment Human PK/PD Studies The use of comparative human PK/PD studies is fundamental in demonstrating a high degree of similarity and is generally expected, unless scientific evidence can be provided to show that such studies are unnecessary. Some endpoints, including some PD measures, may be more sensitive from those used in the reference product’s clinical trials, and such alternative endpoints may allow more precise comparisons of therapeutic effects.3 One example is the use of the international normalized ratio as a more sensitive endpoint than the incidence of cerebral bleeding or stroke. Comparative Clinical Evaluations Comparative clinical evaluations are done on a case-bycase basis when they are deemed necessary, usually when there are residual uncertainties about whether any clinically meaningful differences exist between the biosimilar and the reference product. If a comparative study is required, some of the considerations that will go into the study design include selecting a patient population and condition of use adequately sensitive to detect any clinically meaningful differences with the reference product, endpoints that enable precise and meaningful comparison to the reference product and a study Biosimilarity When it comes to getting new biosimilar products on the market, FDA has taken an innovative approach to supporting their development at every step of the process. These... documents are designed to help industry develop biosimilar versions of currently approved biological products, which can enhance competition and may lead to better patient access and lower cost to consumers. 15 —FDA Center for Drug Evaluation and Research References: 1. U.S. Food and Drug Administration (FDA). Biosimilars. March 6, 2015. FDA [website]. Available at http://www.fda.gov/Drugs/DevelopmentApprovalProcess/ HowDrugsareDevelopedandApproved/ApprovalApplications/TherapeuticBiologicApplications/Biosimilars/ucm241720.htm. Accessed May 11, 2015. 2. Kozlowski S, Woodcock J, Midthun K, et al. Developing the nation’s biosimilars program. N Engl J Med. 2011;365(5):385-388. 3. U.S. Food and Drug Administration (FDA). Guidance for industry: Scientific considerations in demonstrating biosimilarity to a reference product. April 2015. 4. Sherman RE. Biosimilar biological products. Biosimilar guidance webinar. February 15, 2012. 5. U.S. Food and Drug Administration (FDA). Guidance for industry: Scientific considerations in demonstrating biosimilarity to a reference product. February 2012. 6. U.S. Food and Drug Administration (FDA). Guidance for industry: Quality considerations in demonstrating biosimilarity to a reference protein product. February 2012. 7. U.S. Food and Drug Administration (FDA). Guidance for industry: Biosimilars: Questions and answers regarding implementation of the Biologics Price Competition and Innovation Act of 2009. February 2012. 8. U.S. Food and Drug Administration (FDA). Guidance for Industry: Formal meetings between the FDA and biosimilar biological product sponsors or applicants. March 2013. 9. U.S. Food and Drug Administration (FDA). Guidance for industry: Clinical pharmacology data to support a demonstration of biosimilarity to a reference product. May 2014. 10. U.S. Food and Drug Administration (FDA). Purple Book: Lists of licensed biological products with reference product exclusivity and biosimilarity or interchangeability evaluations. April 30, 2015. FDA [website]. Available at http://www.fda.gov/Drugs/ Development ApprovalProcess/HowDrugsareDevelopedandApproved/ApprovalApplications/TherapeuticBiologicApplications/Biosimilars/ucm411418. htm. Accessed May 8, 2015. 11. U.S. Food and Drug Administration (FDA). FDA approves first biosimilar product Zarxio [press release]. March 6, 2015. FDA [website]. Available at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm436648.htm. Accessed April 29, 2015. 12. U.S. Food and Drug Adminstration (FDA). Guidance for industry: Quality considerations in demonstrating biosimilarity of a therapeutic protein product to a reference product. April 2015. 13. U.S. Food and Drug Administration (FDA). Guidance for industry: Biosimilars: Questions and answers regarding implementation of the Biologics Price Competition and Innovation Act of 2009. April 2015. 14. U.S. Food and Drug Administration (FDA). Guidance for industry: Biosimilars: Additional questions and answers regarding implementation of the Biologics Price Competition and Innovation Act of 2009. May 2015. 15. U.S. Food and Drug Administration (FDA). Press Announcements: FDA issues draft guidance on biosimilar product development. February 9, 2012. FDA [website]. Available at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm291232.htm. Accessed May 11, 2015. Hospira, Inc., 275 North Field Drive, Lake Forest, IL 60045 P15-0727-4-Jul., 15.