Biosimilars Biosimilars The Evolving Pathway to Licensure The - - PowerPoint PPT Presentation

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Biosimilars Biosimilars The Evolving Pathway to Licensure The - - PowerPoint PPT Presentation

Biosimilars Biosimilars The Evolving Pathway to Licensure The Evolving Pathway to Licensure BIO International Convention BIO International Convention June 28, 2011 June 28, 2011 David G. Adams David G. Adams Venable LLP Venable LLP 202-


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Biosimilars Biosimilars The Evolving Pathway to Licensure The Evolving Pathway to Licensure

BIO International Convention BIO International Convention

June 28, 2011 June 28, 2011

David G. Adams David G. Adams Venable LLP Venable LLP 202 202-

  • 344

344-

  • 8014

8014 dadams@venable.com dadams@venable.com

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Biologics Biologics Price Competition and Innovation Act

  Healthcare Reform

Healthcare Reform – – Title VII Title VII

  Signed into law March 23

Signed into law March 23

  Public Health Service Act Amended

Public Health Service Act Amended

  New 42 U.S.C. 262(k)

New 42 U.S.C. 262(k)

  Licensure of

Licensure of “ “Biosimilar Biosimilar” ” and and “ “Interchangeable Interchangeable” ” Biological Products Biological Products

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Two Standards for Licensure Two Standards for Licensure

  Biosimilarity

Biosimilarity

  “

“Highly similar Highly similar” ” to reference product to reference product

  “

“Notwithstanding minor differences in clinically inactive Notwithstanding minor differences in clinically inactive components components” ”

  “

“No clinically meaningful differences No clinically meaningful differences” ” re safety, purity and re safety, purity and potency potency

  Interchangeability

Interchangeability

  “

“Can be expected to produce the same clinical result Can be expected to produce the same clinical result” ” in in “ “any given patient any given patient” ”

  Risk of safety or diminished efficacy of alternating or

Risk of safety or diminished efficacy of alternating or switching not greater than the risk of continued use of switching not greater than the risk of continued use of reference product reference product

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Biosimilar Application Biosimilar Application

  Studies re characterization, safety, and

Studies re characterization, safety, and efficacy efficacy

  Analytical studies to show

Analytical studies to show “ “highly similar highly similar” ”

  Animal studies

Animal studies

  Including assessment of toxicity

Including assessment of toxicity

  Clinical study or studies

Clinical study or studies

  including immunogenicity

including immunogenicity stud(ies stud(ies) )

  For one or more appropriate conditions of Reference

For one or more appropriate conditions of Reference Product Product

  FDA can waive any of these study

FDA can waive any of these study requirements requirements

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Biosimilar Application Biosimilar Application

  Pediatric Studies required for approval of NDAs

Pediatric Studies required for approval of NDAs

  Biosimilar considered to be new active ingredient

Biosimilar considered to be new active ingredient

  Unless FDA determines Biosimilar to be

Unless FDA determines Biosimilar to be “ “interchangeable interchangeable” ”   Other Information

Other Information

  Same

Same mechanism(s mechanism(s) of action ) of action

  To extent known for Reference Product

To extent known for Reference Product

  Conditions licensed for Reference Product

Conditions licensed for Reference Product

  Same strength, dosage form, and route of administration

Same strength, dosage form, and route of administration

  Manufacturing facility/processes

Manufacturing facility/processes

  REMS if requested by FDA

REMS if requested by FDA

  Optional information

Optional information --

  • - Interchangeability

Interchangeability

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More Restrictive than Hatch More Restrictive than Hatch-

  • Waxman

Waxman Scheme Scheme

  No pathway analogous to 505(b)(2)

No pathway analogous to 505(b)(2)

  No new condition of use

No new condition of use

  No new active ingredient

No new active ingredient

  No difference in strength, dosage form, route of

No difference in strength, dosage form, route of administration administration

  No reliance on more than one Reference Product

No reliance on more than one Reference Product

  No clinically meaningful differences in safety or

No clinically meaningful differences in safety or efficacy efficacy

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Exclusivity Exclusivity for Reference Product for Reference Product

  Exclusivity for original BLA licensure

Exclusivity for original BLA licensure

  12

12-

  • year delay in licensure of Biosimilar

year delay in licensure of Biosimilar

  4

4-

  • year delay in submission of Biosimilar

year delay in submission of Biosimilar application application

  Delay calculated from date of original licensure of

Delay calculated from date of original licensure of Reference Product Reference Product

  No new exclusivity for product changes made

No new exclusivity for product changes made through license supplements through license supplements

  Pediatric and orphan exclusivity

Pediatric and orphan exclusivity

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Exclusivity Exclusivity for Modification for Modification

  Limited exclusivity for new BLA for modification to

Limited exclusivity for new BLA for modification to previously licensed biologic previously licensed biologic

  Same sponsor

Same sponsor or

  • r

  Same manufacturer

Same manufacturer

  Exclusivity only for:

Exclusivity only for:

  Modification to

Modification to “ “structure structure” ” that affects safety, purity, or that affects safety, purity, or potency potency

  “

“Non Non-

  • structural

structural” ” change that change that does not does not result in new result in new indication, route of administration, dosing schedule, indication, route of administration, dosing schedule, dosage form, delivery system, delivery device, or strength dosage form, delivery system, delivery device, or strength

  Possible exclusivity for OTC switch, different safety or efficac

Possible exclusivity for OTC switch, different safety or efficacy y profile, new sponsor and manufacturer profile, new sponsor and manufacturer

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Exclusivity for Interchangeability Exclusivity for Interchangeability

  For first biosimilar determined interchangeable

For first biosimilar determined interchangeable

  Delays determination of interchangeability for

Delays determination of interchangeability for subsequent biosimilars subsequent biosimilars

  Periods of delay

Periods of delay --

  • - earlier of:

earlier of:

  One year after the first commercial marketing

One year after the first commercial marketing

  18 months after final court decision or dismissal re all

18 months after final court decision or dismissal re all patents subject to infringement suit under patent patents subject to infringement suit under patent resolution provisions resolution provisions

  42 two months after determination of interchangeability

42 two months after determination of interchangeability --

  • if lawsuit still pending

if lawsuit still pending

  18 months after licensure

18 months after licensure --

  • - if no lawsuit filed

if no lawsuit filed

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Transitional Provisions for Protein Transitional Provisions for Protein Products Products

  Proteins and analogous products added to definition

Proteins and analogous products added to definition

  • f
  • f “

“biological product biological product” ”

  Exception for chemically processed polypeptides

Exception for chemically processed polypeptides

  Some classes of proteins historically approved as

Some classes of proteins historically approved as drugs rather than licensed as biologics drugs rather than licensed as biologics

  Hormones

Hormones

  Insulin

Insulin

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Transitional Provisions for Proteins Transitional Provisions for Proteins (cont.) (cont.)

  During 10

During 10-

  • year period following enactment:

year period following enactment:

  NDA or ANDA can be filed for product within class of

NDA or ANDA can be filed for product within class of proteins for which an NDA was approved prior to proteins for which an NDA was approved prior to enactment of biosimilar provisions enactment of biosimilar provisions

  Unless there is a BLA for an appropriate reference drug

Unless there is a BLA for an appropriate reference drug

  10 years after enactment date:

10 years after enactment date:

  Proteins approved as drugs deemed to be licensed as

Proteins approved as drugs deemed to be licensed as biologics biologics

  No protein application can be submitted under drug

No protein application can be submitted under drug approval provisions approval provisions

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Other Provisions Other Provisions

  Patent resolution outside of FDA approval

Patent resolution outside of FDA approval process process

  Processes for FDA guidance documents

Processes for FDA guidance documents

  Public input

Public input

  Process for FDA recommendation re user fees

Process for FDA recommendation re user fees

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The Current Debate

  Acceptable range of structural differences

Acceptable range of structural differences

  Post translational modifications

Post translational modifications

  Necessity for clinical trials

Necessity for clinical trials

  Demonstration of clinical similarity

Demonstration of clinical similarity

  Comparisons to drugs approved in foreign

Comparisons to drugs approved in foreign jurisdictions (highly similar to U.S. product) jurisdictions (highly similar to U.S. product)

  Extrapolation across indications

Extrapolation across indications

  Clinical superiority

Clinical superiority

  Evidence demonstrating interchangeability

Evidence demonstrating interchangeability

  Nomenclature and labeling

Nomenclature and labeling

  Modifications entitled to exclusivity

Modifications entitled to exclusivity

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