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Biosimilar Education Evolution: Who Educates and Who Updates It?
Despite biosimilars’ long availability, education remains inadequate and must reflect evolving FDA requirements, evidence, and expanded use. Stakeholders view education as a shared responsibility involving regulators, academia, manufacturers, and continuing education providers. However, limited curricula, resources, physician confidence, and patient communication challenges persist, leaving the FDA as the primary trusted educational source.
BsUFA IV: Fee Changes and Program Maturity
The fourth Biosimilar User Fee Agreement (BsUFA IV) negotiations were only recently concluded, and the result poses new opportunities for biosimilar manufacturers. At last week’s GRx+Biosims meeting, several sessions touched on the significant changes to the program.
Fresenius Kabi Expands Biosimilar Pipeline With Deal for Next-Generation Molecules
Joining forces with a Chinese biologics company enabled Fresenius Kabi to obtain rights up for up to 37 biosimilar candidates over the next decade. Fresenius Kabi, a serious player in the US biosimilar arena, had been seeking ways to bolster its biosimilar pipeline, and it made quite a splash earlier this week. The company signed … Continue reading Fresenius Kabi Expands Biosimilar Pipeline With Deal for Next-Generation Molecules →
Preparations Being Made for Much-Delayed Introduction of Enbrel Biosimilars
Samsung Bioepis’ deepening ties with Teva has yielded a new deal for its etanercept biosimilar Eticovo. Under the new agreement, Teva will obtain US commercialization rights to etanercept-ykro. The timing of Eticovo’s commercial launch in the US will be determined by Teva, accordin to the press release.
Pfizer Oncology Biosimilars’ Falling ASPs
Pfizer’s trastuzumab and rituximab biosimilars have seen dramatic average sales price reductions, reaching up to 93% lower than competitors. Trazimera and Ruxience pricing dropped significantly, despite maintaining notable market shares in their categories. Additionally, Xbrane Biopharma received FDA approval for its ranibizumab biosimilar, Lucamzi, enhancing market competition.
Lower Costs for Biosimilar Development Will Yield Myriad Benefits: Part 2
The FDA’s removal of the phase 3 trial requirement for biosimilars paves the way for lower development costs, opening opportunities for new entrants in the market. Formycon’s FYB206, a pembrolizumab biosimilar, exemplifies this shift. Enhanced competition may lead to reduced prices and new biosimilar products being created.
Lower Costs for Biosimilar Development Will Yield Myriad Benefits: Part 1
At the Festival of Biologics in Basel, discussions centered on the removal of phase 3 trials for biosimilars, highlighting significant cost savings and its impact on competition. Experts emphasized the potential for biosimilars to enhance healthcare value, though access remains uneven. Regulatory changes could accelerate development and expand market opportunities for new entrants.
New Expansion of Biosimilar Partnership: Samsung Bioepis and Teva Will Team up on Fasenra and Ilaris biosimilars, Plus 4 More
On October 1, Samsung Bioepis and Teva announced that they will be partners in bringing up to 6 more biosimilars to the North American and European markets. The October 1 press release by Samsung Bioepis and Teva was a further statement of shared biosimilar interests: They are extending their existing partnership to include what may … Continue reading New Expansion of Biosimilar Partnership: Samsung Bioepis and Teva Will Team up on Fasenra and Ilaris biosimilars, Plus 4 More →
Biosimilar Aspects of the GLOBE Final Rule
With the publication of the GLOBE model final rule, CMS outlines exemptions that seem to reduce the value of the program significantly. It also specifies biosimilar impacts of GLOBE. As published in final rule form, the federal government’s Global Benchmark for Efficient Drug Pricing Model (GLOBE) seems a lot less significant than when it was … Continue reading Biosimilar Aspects of the GLOBE Final Rule →
Does the Direct-to-Employer Route for Biosimilars Make Sense?
Employers have strongly indicated that they would like to move away from the big 3 PBMs for cost transparency and the ability to capture as much of the savings as possible themselves. Going the direct-to-employer route, as Waltz Health and Fresenius Kabi are doing, would seem a natural option. Waltz Health, a digital health company, … Continue reading Does the Direct-to-Employer Route for Biosimilars Make Sense? →
Is the 505(b)2 Pathway Viable for Biosimilars?
With regulators focused on streamlining the 351(k) biosimilar development, it makes sense to wonder if the 505(b)2 pathway is valid for biosimilar approval. Can discussions about streamlining biosimilar development reach into abbreviated approval pathways for small molecules? Based on a Stat News webinar I attended yesterday, they already have. What exactly are the differences between … Continue reading Is the 505(b)2 Pathway Viable for Biosimilars? →
First Opdivo Biosimilar FDA Application Submitted by Amgen
Amgen became the first manufacturer to submit an application to the FDA for a nivolumab (Opdivo) biosimilar. It also was the first to be sued for patent infringement. Last week, Amgen became the first manufacturer to disclose that they submitted an application to the FDA for a nivolumab (Opdivo) biosimilar. In doing so, Amgen also … Continue reading First Opdivo Biosimilar FDA Application Submitted by Amgen →
Sandoz’s Wide Biosimilar Pipeline Getting Much Wider
Despite the barriers to biosimilar development, several pharmaceutical organizations are fully committed to their biosimilar future. Over the course of the next several months, BR&R will highlight some of these intriguing pipeline portfolios. We’re kicking it off in this post with Sandoz’s biosimilar pipeline; the company just announced a much broader pipeline initiative. Whereas some … Continue reading Sandoz’s Wide Biosimilar Pipeline Getting Much Wider →
Biosimilar Bytes: Alvotech Biosimilar News and 6-Month Ustekinumab Switching Outcomes
Alvotech has a new vedolizumab BLA and new marketing partner, and Stelara biosimilars produced equivalent clinical outcomes to the reference product over 6 months of treatment. Alvotech’s Second Application for Vedolizumab Biosimilar and New Marketing Partner Alvotech announced that the FDA has accepted its 351(k) application for a prefilled syringe and autoinjector formulation of vedolizumab. … Continue reading Biosimilar Bytes: Alvotech Biosimilar News and 6-Month Ustekinumab Switching Outcomes →
The Bona Fide Marketing Standard and What That Means for Biosimilars and Generics
Teva received an appellate court ruling suggesting that CMS did not have authority from Congress to define a bona fide marketing standard for its IRA Medicare Fair Price negotiations. How does this relate to products targeted for IPAY negotiations and biosimilar competitors? This week, Teva received an appellate court ruling on the IRA Medicare Fair … Continue reading The Bona Fide Marketing Standard and What That Means for Biosimilars and Generics →
US Humira Sales Overwhelmed by Biosimilar Competition
Adalimumab biosimilar utilization account for more than 80% of the drug category, as AbbVie’s Humira revenues dry up. Although the numbers are hard to come by, it seems apparent that adalimumab biosimilar sales have pounded the reference product Humira into submission through the second quarter of 2026. AbbVie announced Humira net revenues of only $425,000,000 … Continue reading US Humira Sales Overwhelmed by Biosimilar Competition →
The Second Entyvio Biosimilar Is Under Review at FDA
On July 31, Fresenius Kabi and Polpharma Biologics announced that its 351(k) application was accepted by both the FDA and the EMA for PB016, a proposed vedolizumab biosimilar candidate to Entyvio The second vedolizumab biosimilar candidate is now under review by the US FDA. On July 31, Fresenius Kabi announced that its 351(k) application was … Continue reading The Second Entyvio Biosimilar Is Under Review at FDA →
340B Pilot Program Could Be Big Boon for Biosimilars
The 340B Rebate Pilot Program could give biosimilar makers a needed boost, as they lose revenues to the profit incentive of eligible covered entities. The 340B program has been a barrier for biosimilar products being dispensed in outpatient facilities. Forbes sites that branded drugs account for approximately 90% of 340B pharma sales, compared with 78% … Continue reading 340B Pilot Program Could Be Big Boon for Biosimilars →
MFP Agreements Don’t Guarantee Better Patient Access
A study by IQVIA finds that first prescription rejection rates were unchanged for the first MFP negotiated drugs after implementation in January. A notable study by IQVIA found that for the first drugs subject to Medicare maximum fair price (MFP) agreements, initial rejection rates were not significantly lower than before the new prices took effect … Continue reading MFP Agreements Don’t Guarantee Better Patient Access →
Biosimilar Bytes: Biocon’s Yesafili Launches and Dr. Reddy’s Rituximab Biosimilar Is Approved
Biocon announced the launch of its Yesafili biosimilar, in competition now with Pavblu, for the aflibercept market. Dr. Reddy’s and its marketing partner Fresenius Kabi have received FDA approval for its rituximab biosimilar. Biocon Begins Marketing Its Aflibercept Biosimilar Yesafili Shreehas Tambe, Chief Executive Officer and Managing Director of Biocon Limited, said, “The commercial launch … Continue reading Biosimilar Bytes: Biocon’s Yesafili Launches and Dr. Reddy’s Rituximab Biosimilar Is Approved →
Are Biosimilar Patient Copay Assistance Programs Lacking?
Our survey found that 87% of biosimilar products were associated with patient copay assistance programs that cut out-of-pocket costs to $5 or less. Physician perceptions of important financial assistance differences between biosimilars and reference products seem generally unfounded. The newly published edition of the Samsung Bioepis Biosimilar Market Report indicates that with few exceptions, biosimilar … Continue reading Are Biosimilar Patient Copay Assistance Programs Lacking? →
Trump Tariffs on Generics and Biosimilars: Utter Nonsense or Just Plain Stupidity?
Trump’s desire to remove a drug tariff exemption for generics and biosimilars produced overseas is ill-conceived and truly damaging to these low-margin industries. The Trump administration seems to think that making generics and biosimilars more expensive to the health system and consumers alike is a great idea. On July 21, President Trump posted on social … Continue reading Trump Tariffs on Generics and Biosimilars: Utter Nonsense or Just Plain Stupidity? →
Tracking Two Bills to Remove the Clinical Efficacy Study Requirement for Biosimilar Development
Proposals in the House and Senate, both titled the Expedited Access to Biosimilars Act, may officially remove the FDA’s requirement for clinical efficacy studies for biosimilar candidates. On July 15th, a new bipartisan bill was introduced into the House of Representatives that would expand access to biosimilars by modernizing the FDA’s biosimilar approval process. This … Continue reading Tracking Two Bills to Remove the Clinical Efficacy Study Requirement for Biosimilar Development →
Another Big 3 PBM Settles With FTC on Rebates, Passthroughs, and Price Spreads
The Federal Trade Commission has reached a tentative settlement with the Big 3 PBM Caremark, which should increase the PBM’s transparency and has the potential for further reducing the use of rebate-based pharmaceutical pricing models. In the latest salvo in the Federal Trade Commission’s (FTC’s) war on PBM practices, begun in 2024, it has reached … Continue reading Another Big 3 PBM Settles With FTC on Rebates, Passthroughs, and Price Spreads →
Are Two Pegfilgrastims for Accord BioPharma Better Than One?
The FDA has approved the eighth pegfilgrastim biosimilar; now Accord BioPharma owns two of them: newly approved Ennumo and Udenyca Accord BioPharma and its parent company Intas Pharmaceuticals announced that had it received approval on July 9th for a new pegfilgrastim biosimilar, which it has dubbed Ennumo (pegfilgrastim-pccg). The new biosimilar has been approved for … Continue reading Are Two Pegfilgrastims for Accord BioPharma Better Than One? →
Why State Employee Health Plans Should Push Hard for Biosimilar Use
A focus on biosimilars will save individual state employee health plans a conservative average of over $17 million, based on net costs. A new survey from the Pacific Research Institute found that a greater focus on biosimilar utilization will save individual state employee health plans on average over $17 million each year, based on net … Continue reading Why State Employee Health Plans Should Push Hard for Biosimilar Use →
Biosimilar Bytes: Golimumab Patent Litigation, Positive Keytruda Biosimilar Trial Results
Janssen files BPCIA patent suit against an impending Alvotech golimumab biosimilar, and Samsung Bioepis releases positive phase 3 trial results Golimumab Patent Battle for Alvotech and Bio-Thera Biosimilars Alleging patent infringement, Janssen Biotech filed BPCIA litigation in US District Court for the Eastern District of Virginia against Alvotech involving AVT05, its golimumab biosimilar candidates. According … Continue reading Biosimilar Bytes: Golimumab Patent Litigation, Positive Keytruda Biosimilar Trial Results →
Samsung Bioepis Reboots Byooviz Marketing With Harrow at the Helm
Samsung BIoepis announced that it has relaunched Byooviz US marketing efforts with Harrow, the ophthalmology product commercialization partner it signed last July; Lupin receives FDA approval for its own ranibizumab biosimilar. On July 1, Samsung Bioepis announced that the pause in marketing for its ranibizumab biosimilar Byooviz has come to a close, with the relaunch … Continue reading Samsung Bioepis Reboots Byooviz Marketing With Harrow at the Helm →
When is a Biosimilar a Biosimilar?
In 2026, is the definition of a biosimilar the same for countries’ drug regulatory systems around the globe? A recently published scoping survey attempted to answer the question. Although there has been a decade of interest in moving towards global biosimilar regulatory standards, we first must answer a more foundational question: Is the definition of … Continue reading When is a Biosimilar a Biosimilar? →
Sunshine Lake Pharma and Lanexa Biologics Get Their First FDA Biosimilar Approval
The Guangdong, China–based generics manufacturer and its commercialization partner Lanexa Biologics received FDA approval for their insulin glargine biosimilar Langlara. In addition to its insulin glargine product, which is approved in China, other biosimilars may follow based on Sunshine Lake’s other existing insulin formulations. Another insulin glargine biosimilar has joined the ranks of Semglee and … Continue reading Sunshine Lake Pharma and Lanexa Biologics Get Their First FDA Biosimilar Approval →
Alvotech Submits First Entyvio Biosimilar Application to FDA
The first 351(k) application for a vedolizumab (Entyvio) biosimilar has been submitted by Alvotech. If approved, the biosimilar would be marketed by Teva. Alvotech also resubmitted biosimilar applications for golimumab and aflibercept. On June 8, Alvotech announced that the FDA has accepted its biologic licensing application for AVT16, a biosimilar candidate for the reference drug … Continue reading Alvotech Submits First Entyvio Biosimilar Application to FDA →
How Comfortable Are Neurologists With Biosimilar Prescribing?
With the October 2025 launch of Tyruko (natalizumab), neurologists have now been exposed to three different biosimilar categories, and one has been around since before the COVID-19 pandemic. It’s logical to assume that when a specialty is exposed to biosimilar competition for the first time, acceptance and uptake of the biosimilar might be slow. … Continue reading How Comfortable Are Neurologists With Biosimilar Prescribing? →
The Effect of MFP on Enbrel Sales, and Biosimilar Implications
In reporting its 2026 first-quarter earnings, Amgen indicated a 37% reduction in Enbrel sales revenue compared with the first quarter of 2025. Was this related directly to the January 1 implementation of the MFP price for Enbrel or just a continuing trend in its sales? What does it mean for the etanercept biosimilars? On January … Continue reading The Effect of MFP on Enbrel Sales, and Biosimilar Implications →
What Have I Got Against the Biosimilar Interchangeability Designation? Much.
The interchangeability designation for biosimilars has been a source of confusion, derision, and even change of philosophy for the FDA. Why is it still with us? I was asked most recently why on a new biosimilar approval, where the drug was granted the interchangeable designation, I did not report on it as part of the … Continue reading What Have I Got Against the Biosimilar Interchangeability Designation? Much. →
First US Approval for a Golimumab Biosimilar: Immgolis and Immgolis Intri to Launch by End of 2026
Bio-Thera Solutions and Accord Biopharma received an FDA approval on May 15, 2026 for the biosimilar forms of Simponi and Simponi Aria. Dubbed Immgolis and Immgolis Intri, this first-in-class golimumab biosimilar should be available before the end of 2026. On May 15, the FDA approved the first golimumab biosimilars, Immgolis and Immgolis Intri (golimumab-sldi) … Continue reading First US Approval for a Golimumab Biosimilar: Immgolis and Immgolis Intri to Launch by End of 2026 →
CVS Caremark Drops Stelara Coverage in Favor of Biosimilars
CVS Caremark announced that after June 30, it will no longer cover Stelara for most commercial clients and instead cover two ustekinumab biosimilars, including its private-label version of Pyzchiva. Effective with its July 1, 2026 formulary update, CVS Caremark will officially drop from coverage the ustekinumab reference product Stelara and prefer both Pyzchiva and Yesintek … Continue reading CVS Caremark Drops Stelara Coverage in Favor of Biosimilars →
Will We Remember Marty Makary in 2030?
For the biosimilar industry, serious progress was made in streamlining biosimilar development, but little was finalized, under the leadership of now-former FDA Commissioner Dr. Marty Makary. With the resignation on May 12th of Marty Makary, MD, MPH, as FDA Commissioner, it is difficult to analyze his performance after a scant 13 months in office. For … Continue reading Will We Remember Marty Makary in 2030? →
Biosimilar Company Acquisitions: Amneal and Sun in Separate Deals Signal More Generic Drug Maker Participation
Amneal has gone from purchasing a subsidiary to acquiring 100% of Kashiv Biosciences, LLC; and India-based generic drug maker Sun Pharmaceuticals is acquiring Organon. Amneal Pharmaceuticals to Buy Kashiv Biosciences for $1.1 Billion Over the past couple of years, Kashiv Biosciences, LLC has served as an R&D engine for Amneal Pharmaceuticals’ biosimilar commercialization business. Whereas … Continue reading Biosimilar Company Acquisitions: Amneal and Sun in Separate Deals Signal More Generic Drug Maker Participation →
More on the Dynamics of the Biosimilar Marketplace
In this post, we summarize market share and average sales price (ASP) trends for several notable biologic categories with biosimilar competition, courtesy of the Q2 2026 Samsung Bioepis Market Trend Report. Over the years, we’ve observed the effect of biosimilar competition on biologic pricing, generally in the form of ASP and wholesale average cost (WAC) … Continue reading More on the Dynamics of the Biosimilar Marketplace →
Market Share vs. ASP: Do Oncology Biosimilar Trends Make Sense?
The latest Samsung Bioepis Biosimilar Market Report (Q2 2026) was released yesterday, and it reveals a host of intriguing movements in both price and market share of biosimilar agents. In this post, we’ll look at the oncology category. The movements of one of the most established drug categories—trastuzumab—caught my eye in the newest release of … Continue reading Market Share vs. ASP: Do Oncology Biosimilar Trends Make Sense? →
Pharmacy’s View on MFN, MFP, and Drinking From the Firehouse
At the twice-yearly meeting of the Academy of Managed Care Pharmacy (AMCP), the job of the Government and Regulatory Affairs group is to brief members and attendees on the latest federal and state developments that affect health plan, pharmacy benefit management, and pharmacy in general. Much of this activity intersects with the biosimilar industry, as … Continue reading Pharmacy’s View on MFN, MFP, and Drinking From the Firehouse →
100% Tariffs Slapped on Pharmaceutical Companies, With Many Exceptions: Circumventing the Supreme Court?
On April 2, the Trump administration announced a new round of tariffs, this time affecting the branded pharmaceutical industry. The threat of 100% tariffs on patented drug products and their active ingredients has the industry seeking to understand the explanations and its several exemptions. Yesterday, the White House issued a new set of tariffs on … Continue reading 100% Tariffs Slapped on Pharmaceutical Companies, With Many Exceptions: Circumventing the Supreme Court? →
FDA vs. EMA Biosimilar Approvals, an Update
In 2026, the number of EMA-approved and FDA-approved biosimilar drug categories are now even. However, the number of marketed US biosimilars is less than half of that in the EU. When looking at the approvals by the European Medicines Agency (EMA) of biosimilars since the initial approval back in 2006 for somatropin biosimilar, it becomes … Continue reading FDA vs. EMA Biosimilar Approvals, an Update →
Samsung Bioepis, Sandoz Forge Deeper Biosimilar Ties
Five early-stage biosimilar candidates from Samsung Bioepis will be marketed in various parts of the world by Sandoz, including SB36, for which Sandoz will hold marketing rights in the US. Samsung Bioepis, which had earlier this year announced a substantial biosimilar infusion to its pipeline, entered into a marketing agreement on March 18th with Sandoz … Continue reading Samsung Bioepis, Sandoz Forge Deeper Biosimilar Ties →
As Oncology Biosimilar Acquisition Prices Fall for Hospitals, Biosimilar Adoption Rises
A recent study published in JAMA found that as the acquisition prices of bevacizumab, rituximab, and trastuzumab fell from 2020 to 2024, hospitals’ profits on each biosimilar purchase increased, and the uptake of these oncology biosimilars rose quickly. This could be an important lesson for the upcoming Keytruda and Opdivo biosimilar launches. Researchers from the … Continue reading As Oncology Biosimilar Acquisition Prices Fall for Hospitals, Biosimilar Adoption Rises →
The FDA’s New Draft Guidance Contributes to Streamlined Biosimilar Development
The FDA positions non-US-licensed reference products as adequate for clinical pharmacokinetic investigations and to reduce data redundancy The FDA on March 10th released new draft guidance for the biosimilar industry that begins to tie together some of the concepts in streamlining biosimilar development that has been discussed for some time now. The new guidance goes … Continue reading The FDA’s New Draft Guidance Contributes to Streamlined Biosimilar Development →
Two Leaders’ Views on National PBM Reform: Biosimilar and ERISA Benefits
A summary of remarks on PBM reform and the FTC–ESI settlement by speakers at last month’s Association for Accessible Medicines’ Access 2026 conference. The Association for Accessible Medicines’ (AAM) Access 2026 conference in Miami February 23-25 was perfectly timed to take advantage of perhaps the most important health care—related events of the year: the passage … Continue reading Two Leaders’ Views on National PBM Reform: Biosimilar and ERISA Benefits →
Deeper Views on TrumpRx (the Direct-to-Patient Channel), MFN and MFP, and Biosimilars
Takeaways from discussions on the Trump administration’s drug price controls with leaders at last week’s Association for Accessible Medicines’ Access 2026 conference With all of the chatter on the Web, including in BR&R, on the policy and legislative actions that affect biosimilars, we were eager to hear from some very smart people on the direct-to-patient … Continue reading Deeper Views on TrumpRx (the Direct-to-Patient Channel), MFN and MFP, and Biosimilars →
A Filgrastim Biosimilar Approval, and a Bevacizumab Rejection
Accord BioPharma received approval for Filkri, a filgrastim biosimilar, and Outlook Therapeutics journey to approval for its ONS-5010 continues after an FDA rejection. A Filkri Approval for Accord BioPharma In mid-February, Accord BioPharma announced that it had received FDA approval for Filkri (filgrastim-laha), making it the fifth filgrastim biosimilar to obtain approval (not counting Granix, … Continue reading A Filgrastim Biosimilar Approval, and a Bevacizumab Rejection →
Will National PBM Reform Whither Away the Private-Label Channel?
National PBM reform does not address private labeling by PBMs and their subsidiaries directly, but it does imply that PBM private labels will not hold up over the long term. Since the announcement of the Federal Trade Commission (FTC) and Express Scripts (ESI) settlement, there has been some speculation regarding the effect of the settlement … Continue reading Will National PBM Reform Whither Away the Private-Label Channel? →
Navigating Biosimilar Substitution
This guest commentary is written by Robert Goria, Chief Trade Strategy Officer, CarePartners Pharmacy. The article addresses a practical approach to navigating biosimilar substitution, as we may soon be seeing significant change in the meaning of interchangeability for biosimilars. The US biologics market is undergoing a quiet but consequential shift. Years after the Biologics Price … Continue reading Navigating Biosimilar Substitution →
Update on Amgen’s Pavblu Launch Success
Amgen’s Pavblu has been the most successful US biosimilar launch by any manufacturer to date, with more than $600 million in net sales in 2025. The February 3rd earnings report released by Amgen underscore the major success of its Pavblu launch, the first biosimilar competitor to Eylea. For the full year 2025, US net sales … Continue reading Update on Amgen’s Pavblu Launch Success →
The Biosimilar on TrumpRx: Pfizer Offering Further Discounts on Abrilada
TrumpRx unveiled the first 43 products listed as available through this direct-to-consumer (DTC) clearinghouse site, and one biosimilar is offered, at a discount of more than $300 per dose. Pfizer’s Abrilada is being offered through TrumpRx at a price of $207.60 per 40 mg/0.8 mL prefilled pen. The prefilled syringe version is $415.20 (for a … Continue reading The Biosimilar on TrumpRx: Pfizer Offering Further Discounts on Abrilada →
The FTC–ESI Settlement: Net Price Rules at the Pharmacy Counter
Perhaps the greatest effect of yesterday’s announced Federal Trade Commission (FTC) settlement with Express Scripts is its mandate on consumer exposure to net prices at the pharmacy counter as opposed to the inflated list prices of insulin products. But the implications go far beyond insulin. The settlement may contribute to the demise of high wholesale … Continue reading The FTC–ESI Settlement: Net Price Rules at the Pharmacy Counter →
Significant PBM Reform Is Finally Achieved
The House of Representatives passed the long-awaited spending bill, and it was signed by President Trump on February 3rd. From the standpoint of health care, the bill failed to extend Affordable Care Act subsidies, but remarkably, major pharmacy benefit manager (PBM) reforms survived the final version. Meaningful PBM Reforms, Including Rebate Pass Throughs The Consolidated … Continue reading Significant PBM Reform Is Finally Achieved →
What TrumpRx Is, What It Is not, and Concerns for Biosimilars
TrumpRx is a hot topic today, especially in the context of its foundational concept: direct-to-consumer (DTC) or direct-to-patient (DTP) drug purchase and dispensing. Apparently set to launch, after the Department of Health and Human Services (HHS) issued a guidance that Secretary Robert F. Kennedy, Jr, said, “makes clear that manufacturers can offer lower-cost drugs directly … Continue reading What TrumpRx Is, What It Is not, and Concerns for Biosimilars →
An Injection of Support for the Biosimilar Red Tape Elimination Act
Thirty-seven organizations representing manufacturers, health plans and insurers, pharmacy benefit managers, corporate employers, consumers, and patients have banded together to support and hopefully reinvigorate action to pass the bicameral Biosimilar Red Tape Elimination Act. The Biosimilar Red Tape Elimination Act has been long-awaited, but it is not making much progress through Congress. As of January … Continue reading An Injection of Support for the Biosimilar Red Tape Elimination Act →
AbbVie, MFN, and a World of Ambiguity
On January 12, AbbVie announced that it had reached an agreement with the Trump administration on participation in its most favored nation (MFN) pricing initiative, and making certain medications available through its direct-to-consumer platform. With the various agreements made with 15 other pharmaceutical companies, specific drugs were not disclosed. This is the first time in … Continue reading AbbVie, MFN, and a World of Ambiguity →
Samsung Bioepis Reinforces Its Biosimilar Pipeline
For biosimilar industry watchers like BR&R, Samsung Bioepis has played a leading role in introducing biosimilars to the US market, first with its infliximab biosimilar Renflexis. Over the years, as their biosimilar candidates were approved by the FDA, the pipeline appeared to thin, with pembrolizumab (SB27) being the sole publicly disclosed biosimilar candidate, as of … Continue reading Samsung Bioepis Reinforces Its Biosimilar Pipeline →
Is There a Place for Private-Label Biosimilars Covered Under the Medical Benefit ?
Here’s a question that has been asked repeatedly over the last year or so: Does it make sense to have private label medical benefit-covered biosimilars? We’ve seen the spread of private-label or “white-label” biosimilars, by the big 3 pharmacy benefit managers (PBMs) specifically, for adalimumab and ustekinumab. Although we’re not sure of current market utilization … Continue reading Is There a Place for Private-Label Biosimilars Covered Under the Medical Benefit ? →
GLOBE, GUARD, and More MFN
Do you get the feeling we’re being deluged with news from the federal government on health regulation? That’s because we are. On December 23, the Centers for Medicare and Medicaid Services (CMS) got into the act again, announcing two new major demonstration projects that seek to cut pharmaceutical costs. The Medicare Guarding US Medicare Against … Continue reading GLOBE, GUARD, and More MFN →
The Next Set of Biologics for Medicare Price Negotiations Predicted (and Eliminated?)
With this first post since the holidays, there is so much to discuss, yet so little firm ground on which to anchor the discussion. Since December 23, the Trump administration has added two more drug pricing reform models to the gordian knot of US pharmaceutical reimbursement, and authors from the University of Washington School of … Continue reading The Next Set of Biologics for Medicare Price Negotiations Predicted (and Eliminated?) →
Avoiding Patient Disruption in Frequent Biosimilar Switching: A Focus on the Specialty Pharmacy
A long-time member of a national health plan, Ms. Jones had been utilizing adalimumab biosimilar A for the past 18 months. It had been the preferred adalimumab product and thus is associated with the least out-of-pocket cost. On January 15, she opens her newly delivered medication, and finds a different biosimilar medication, with a different … Continue reading Avoiding Patient Disruption in Frequent Biosimilar Switching: A Focus on the Specialty Pharmacy →
Biosimilar Bytes
FDA Releases Guidance on Biosimilar and Reference Product Promotion and Advertising Earlier this month, the FDA released its guidance on advertising and promotion of biosimilars and reference products, with questions and answers for industry. The guidance provides suggestions (not rules) by the FDA for the characterization of biosimilars and interchangeable products in promotional materials, including … Continue reading Biosimilar Bytes →
Amgen’s Pavblu Makes Significant Inroads into the Aflibercept Market
The numbers don’t lie: The first biosimilar foray into the aflibercept category is going very well for Amgen. The intravitreal injectable market has been a complicated, highly contested arena for many years. The first-generation products are VEGF inhibitors, and a second-generation product that targets both the VEGF and Ang-2 pathways (faricimab, reference product Vabysmo). The … Continue reading Amgen’s Pavblu Makes Significant Inroads into the Aflibercept Market →
Lupin Scores Its First FDA-Approved Biosimilar
India-based drug maker Lupin Ltd announced on December 1 that it has received approval from the FDA for its pegfilgrastim biosimilar Armlupeg (pegfilgrastim-unne). Armlupeg’s indications include: (1) to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile … Continue reading Lupin Scores Its First FDA-Approved Biosimilar →
Phase 3 Trials Already Being Reconsidered by Manufacturers for Keytruda and Opdivo Biosimilars
On October 30, we reported on the FDA’s decision to release a draft guidance that would obviate the need for late-stage, comparative efficacy studies for most biosimilar candidates. We brought up the question of timing, in that for some very high-profile biologic targets, phase 3 studies were already underway. The removal of a phase 3 … Continue reading Phase 3 Trials Already Being Reconsidered by Manufacturers for Keytruda and Opdivo Biosimilars →
Sandoz Announces the Launch of Tyruko, the First Biosimilar for the Treatment of Multiple Sclerosis
On November 17, Tyruko (reference product, Tysabri) became available to treat relapsing forms of multiple sclerosis (MS), in addition to Crohn’s disease. This agent is the first biosimilar to treat MS in the United States. Manufactured by Polpharma Biologics and commercialized by Sandoz, Tyruko was approved by the FDA in August 2023, but its launch … Continue reading Sandoz Announces the Launch of Tyruko, the First Biosimilar for the Treatment of Multiple Sclerosis →
First Pertuzumab Biosimilar Approved by the FDA: Poherdy by Henlius and Organon
On November 17, Organon and its China-based partner Henlius announced that the FDA has approved the first pertuzumab biosimilar. The Perjeta biosimilar was dubbed Poherdy (pertuzumab-dpzb). Poherdy is approved for use for all of the indications of the reference product Perjeta (manufacturer, Roche). Pertuzumab is an HER2/neu-receptor agonist that is used in combination with trastuzumab … Continue reading First Pertuzumab Biosimilar Approved by the FDA: Poherdy by Henlius and Organon →
Mark Cuban’s 99% Discount on Ustekinumab Biosimilar
The level of price discounting for Stelara biosimilars has hit a new low (or high), depending on your point of view. Hikma Pharmaceuticals USA announced on November 6 that it has launched Starjemza, its ustekinumab biosimilar, manufactured by Bio-Thera Solutions. Yesterday, Mark Cuban’s Cost Plus Drug Company announced the availability of Starjemza’s low monthly price … Continue reading Mark Cuban’s 99% Discount on Ustekinumab Biosimilar →
The Sad State of Patent Affairs: Legislative Help on the Way?
Any biosimilar manufacturer will tell you that one of the most daunting and delaying issues in biosimilar development is the abuse of the patent system by reference manufacturers. They delay launch by years, resulting in billions in additional revenues for the reference product, and extra workload for the courts. At last week’s GRx+Biosims meeting, panelists … Continue reading The Sad State of Patent Affairs: Legislative Help on the Way? →
The Demise of the Comparative Efficacy Trial Requirement for Biosimilars
At the Association for Accessible Medicines’ GRx+Biosims meeting on Wednesday, we heard hints of a major announcement regarding biosimilar 351(k) application requirements. By the time FDA Commissioner Marty Makary, MD, MPH, left the stage, we knew that a new draft guidance would be announced in an HHS press conference that afternoon. Indeed, HHS Secretary Robert … Continue reading The Demise of the Comparative Efficacy Trial Requirement for Biosimilars →
Rising Health Costs, Care Affordability, and Biosimilars
The Kaiser Family Foundation recently released its latest annual report on employer-sponsored health care benefit costs. People seem to be aghast that the premium (employer plus worker contributions) for a family health insurance policy is $26,993. As KFF’s CEO Drew Altman stated, “You can buy a new Toyota Corolla Hybrid every year for less than … Continue reading Rising Health Costs, Care Affordability, and Biosimilars →
The Early Outlook for Ocrelizumab Biosimilars
More than 2 years since the approval of the natalizumab biosimilar (reference product, Tysabri), partners Sandoz and Polpharma Biologics have yet to introduce neurologists to the concept of biosimilar prescribing. The reason is a JC virus test submitted by the biosimilar manufacturers, which is required for patients prior to receiving natalizumab treatment, has not yet … Continue reading The Early Outlook for Ocrelizumab Biosimilars →
Biocon Will Produce an Insulin Glargine Biosimilar for Civica
In an expansion on their previously announced alliance, Biocon Biologics will begin manufacturing a private-label version of insulin glargine for Civica, which Civica will then commercialize in the US. Biocon will continue to market its own brand of insulin glargine biosimilar (Semglee/insulin glargine-yfgn). Civica is a nonprofit pharmaceutical company, that was founded to expand access … Continue reading Biocon Will Produce an Insulin Glargine Biosimilar for Civica →
Gedeon Richter and Hikma Receive FDA Biosimilar Approval for Denosumab
Enoby and Xtrenbo are the latest denosumab biosimilars to receive FDA approval, referencing Prolia and Xgeva, respectively. The approval, announced October 14, is the seventh denosumab biosimilar. Both are designated denosumab-qbde. Enoby is approved to treat the principal osteoporosis-related indications of Prolia, and Xtrenbo’s approval matches the oncology-related skeletal indications of Xgeva. Gedeon Richter’s partner … Continue reading Gedeon Richter and Hikma Receive FDA Biosimilar Approval for Denosumab →
Celltrion Receives FDA Approval for Its Aflibercept Biosimilar
On October 9, Celltrion, Inc. announced it had received the nod from the FDA on the latest aflibercept biosimilar, Eydenzelt (aflibercept-boav). This Eylea biosimilar is indicated for the treatment of neovascular (wet) age-related macular degeneration, macular edema following retinal vein occlusion, diabetic macular edema, and diabetic retinopathy. Celltrion will join a heavily competitive field when it does … Continue reading Celltrion Receives FDA Approval for Its Aflibercept Biosimilar →
Does the Colorado Decision on Enbrel Represent a New Threat to Biosimilar Development?
Enbrel is an extreme example of unintended marketing exclusivity (30 years), a result of our flawed drug patent system. The implementation of the negotiated maximum fair price (MFP) in January 2026 for the Medicare population will at least be a tentative step to obtaining better value for this individual biologic. We reported back in August … Continue reading Does the Colorado Decision on Enbrel Represent a New Threat to Biosimilar Development? →
Partners Amneal and Kashiv File 351(k) Application for Omalizumab Biosimilar
Seeking to become the second omalizumab biosimilar to be approved in the US, Amneal Biosciences and Kashiv BioSciences announced on September 26 that they had filed a biologic licensing application for the approval of their biosimilar candidate ADL-018. “The earlier-than-expected BLA submission for this important therapeutic is excellent news for Amneal, as this product represents … Continue reading Partners Amneal and Kashiv File 351(k) Application for Omalizumab Biosimilar →
How Newsworthy Are Biosimilar Clinical Trials Today?
Remember Leslie Nielsen’s character, Officer Frank Drebin, in the first Naked Gun movie, admonishing bystanders who were watching a catastrophe of explosions behind him, “Nothing to see here, folks. Please disperse. Nothing to see here”? Well, with biosimilar clinical trial results, there really hasn’t been anything new to see here. In the early days of … Continue reading How Newsworthy Are Biosimilar Clinical Trials Today? →
DTC Advertising and the Biosimilar Opportunity
The Trump administration’s recent crackdown on direct-to-consumer (DTC) drug advertising got me thinking. I’m of an age where the shows I watch on television or stream are rife with DTC advertising for diabetes drugs and biologics to treat autoimmune disease, rare disease, macular degeneration, and other ophthalmologic disorders. I was never a fan of DTC … Continue reading DTC Advertising and the Biosimilar Opportunity →
Fewer Stelara Biosimilar Makers Are Offering High-WAC Pricing
Ustekinumab biosimilars are many and largely sold at big discounts relative to the reference product Stelara. The major PBMs are beginning to publish formularies for 2026. For instance, Express Scripts will have two biosimilars on formulary—Biocon Biologic’s Yesintek and Alvotech/Teva’s Selarsdi (at 90% and 85%, respectively, off the wholesale acquisition cost [WAC] of Stelara) in … Continue reading Fewer Stelara Biosimilar Makers Are Offering High-WAC Pricing →
Biosimilar Bytes: Sandoz’s Agreement and Organon/Henlius’ Approval
Sandoz Clears a Patent Hurdle With Regeneron on Aflibercept Biosimilar On September 9th, Sandoz announced that it had reached an agreement with the patent holder of the reference product Eylea, clearing its way for a launch towards the end of 2026. The agreement with Regeneron halts all patent infringement proceedings against the biosimilar manufacturer. Regeneron … Continue reading Biosimilar Bytes: Sandoz’s Agreement and Organon/Henlius’ Approval →
Employer Survey Sees Further Demand for PBM Transparency
From our experience with the adalimumab biosimilar launches in 2023, we learned several lessons. One is that our existing pharmacy benefit manager (PBM)–driven rebate system dictates not only coverage but utilization. Second is that employers must flex their leverage muscle if they want full pass-through of rebates and full transparency regarding PBM-based rebates and fees. … Continue reading Employer Survey Sees Further Demand for PBM Transparency →
The Latest Biosimilar-Related Complete Response Letters Released by FDA
On September 5th, the FDA released 89 new complete response letters (CRLs) that had been sent to pharmaceutical manufacturers in 2024 and 2025. The release of these letters, indicating that the FDA cannot approve the drug maker’s product at the present time, were part of the agency’s transparency initiative that we reported on in July. … Continue reading The Latest Biosimilar-Related Complete Response Letters Released by FDA →
Biosimilar Savings for Stelara Make Medicare’s Negotiated Price Seem Like a Bad Deal; Don’t Expect Biosimilar Savings on Enbrel
Just as a reminder, Medicare’s negotiated price for Stelara is $4,695 per 30-day supply. That is a 66% discount from the wholesale acquisition cost (WAC). The current discount for biosimilar ustekinumab is 85% to 92%, yielding prices of $1500–$2,300 per month. Johnson and Johnson, Stelara’s manufacturer, wishes its lowest net price was $4,700 per month! … Continue reading Biosimilar Savings for Stelara Make Medicare’s Negotiated Price Seem Like a Bad Deal; Don’t Expect Biosimilar Savings on Enbrel →
Some Biosimilar User Fees Are Dropping for Fiscal Year 2026
Amidst the Trump administration’s efforts to reduce FDA and Health and Human Services Department staffing, there was concern regarding the agency’s ability to maintain its published schedule for approvals and biosimilar licensing application processing. There was hope the industry would be spared the effects of the administration’s cutbacks, because the program is largely self-funded: The … Continue reading Some Biosimilar User Fees Are Dropping for Fiscal Year 2026 →
A Cimzia Biosimilar Update, and Another Ustekinumab Price Cut
Alvotech has announced a new marketing agreement for its biosimilar of Cimzia, which applies to commercialization in Europe. The company has extended its marketing relationship with Advanz Pharma to include AVT10 in Europe. The US marketing of AVT10 (formally known as XB003) is still an open question. As reported in 2020, biosimilar manufacturers have in … Continue reading A Cimzia Biosimilar Update, and Another Ustekinumab Price Cut →
Raising the Bar on Lower WAC Prices for Ustekinumab Biosimilars
In our previous post, we explained that ustekinumab biosimilar pricing discounts of up to 90% still resulted in net prices of $3,000 or more per month. On August 18th, Accord Biopharma announced that it has launched its Imuldosa brand of ustekinumab biosimilar at a 92% wholesale acquisition cost (WAC) discount relative to Stelara. This bests … Continue reading Raising the Bar on Lower WAC Prices for Ustekinumab Biosimilars →
Can Biosimilars Survive on These Low WAC Discounts? Remember, not all WACs Are the Same
Whereas the biosimilar industry is under intense pressure from competition, government policies, and slow adoption in certain disease states, there is one area that I think is somewhat more positive: profitability at the present ustekinumab biosimilar discounted pricing. When the adalimumab market opened in January of 2023 discounts off list price increased at a rate … Continue reading Can Biosimilars Survive on These Low WAC Discounts? Remember, not all WACs Are the Same →
A Conversation with Alex M. Brill, CEO, Matrix Global Advisors
On July 14, 2025, a new whitepaper sponsored by the Association for Accessible Medicines was released. “The Long-Term Effects of Medicare Price Negotiations on Drug Competition” was written by Alex Brill and Christy Robinson at Matrix Global Advisors. It examines the potential long-term impact that the federal government’s role as a price setter could have … Continue reading A Conversation with Alex M. Brill, CEO, Matrix Global Advisors →
Which Biosimilar Brands Are Struggling to Survive?
Biosimilars have never been assured market success. The first oncology and oncology support therapies that were approved as biosimilars gained fairly rapid adoption, however, despite price points that were not always deeply discounted relative to the reference product. With the publication of Samsung Bioepis’ latest Biosimilar Market Report, covering data through the first quarter of … Continue reading Which Biosimilar Brands Are Struggling to Survive? →
After Five-Year Journey, Biocon Biologics Obtains a New Approval for Insulin Aspart Biosimilar
Biocon Biologics announced last week that they received FDA approval for a new biosimilar version of insulin aspart which they have dubbed Kirsty (insulin aspart-xjhz). The FDA has granted Biocon Biologics the interchangeability designation for automatic substitution with the reference product NovoLog. Biocon Biologics first applied for approval of this product in July 2020. The … Continue reading After Five-Year Journey, Biocon Biologics Obtains a New Approval for Insulin Aspart Biosimilar →
Samsung Bioepis Finds New Commercial Partner for Its Ophthalmology Biosimilars
With Biogen’s decision to exit the US biosimilar market, Samsung Bioepis had to find a new marketing partner for its biosimilar ophthalmology portfolio. On July 17th, the company announced that its search for a replacement was over: It had entered a new license, development, and commercialization agreement with Harrow. Harrow will assume marketing responsibilities for … Continue reading Samsung Bioepis Finds New Commercial Partner for Its Ophthalmology Biosimilars →
Database of FDA Rejection Letters Adds Transparency to Biosimilar Development
The FDA released today a database of complete response letters (CRLs) sent to manufacturers of small molecule and biologic drug candidates that were eventually approved for marketing in the US between 2020 and 2024. This transparency opens a window to information that is not always publicized by the sponsoring manufacturer. Sometimes, CRLs are announced by … Continue reading Database of FDA Rejection Letters Adds Transparency to Biosimilar Development →
Fresenius Kabi Launches the Second Denosumab Biosimilar: Conexxence and Bomyntra, Other Denosumab Launches Pending
Fresenius Kabi announced July 1 that it has launched its denosumab biosimilars Conexxence and Bomyntra (denosumab-bnht), making it the second biosimilar available in this highly competitive drug category. The drug was approved by the FDA in March 2025. The denosumab biosimilars expand Fresenius Kabi’s portfolio of marketed biosimilars to 4 drug categories (including pegfilgrastim, … Continue reading Fresenius Kabi Launches the Second Denosumab Biosimilar: Conexxence and Bomyntra, Other Denosumab Launches Pending →
Amneal and Kashiv Announce Progress in Development of Omalizumab Biosimilar
In preparation for anticipated 2026 launches in the US for an omalizumab biosimilar, we are monitoring the developments of some of the leading candidates. Top-line, preliminary phase 3 results were released June 25 by partners Amneal Pharmaceuticals and Kashiv Biosciences for ADL-018, their progressing omalizumab biosimilar. In their double-blinded, randomized clinical efficacy and safety trial … Continue reading Amneal and Kashiv Announce Progress in Development of Omalizumab Biosimilar →
Tariff Policy and Biosimilars: Dancing Around Another Threat to the Industry
Personally, I try to pay as little attention as possible to the administration’s current, contradictory federal pronouncements on tariffs. But in terms of biosimilars (and generics), that is not truly possible. If high tariffs on certain countries are implemented, the damage to a biosimilar industry facing several existential challenges today can be easy to grasp … Continue reading Tariff Policy and Biosimilars: Dancing Around Another Threat to the Industry →
Navitus Private-Label Ustekinumab Available July 1
Utilizing Alvotech/Teva’s ustekinumab biosimilar, Navitus Health will begin offering its Lumicera Health-branded ustekinumab-aekn, beginning July 1, while excluding the reference product Stelara. The net price of this product is said to be approximately $1,000 per 90-mg dose, or more than a 90% discount from Stelara’s wholesale acquisition cost (WAC). Like the big 3 PBMs with … Continue reading Navitus Private-Label Ustekinumab Available July 1 →
Improving Prior Authorization Processes: An Obstinate Goal for an Essential Payer Tool
For decades, the stated purpose of prior authorization (PA) for managed health care plans has been as follows: to ensure the appropriateness of a specific drug for any specific patient. The Academy of Managed Care Pharmacy states, “[PA] is an essential tool that is used to ensure that drug benefits are administered as designed and … Continue reading Improving Prior Authorization Processes: An Obstinate Goal for an Essential Payer Tool →
Biosimilar Bytes
Several biosimilar news items are of note this week, including an official move by our northern neighbor to streamline its biosimilar clinical trial requirements, a new collaboration between biosimilar makers on a Keytruda biosimilar, and a new FDA approval broadening the pediatric indications for one ustekinumab biosimilar product. Health Canada’s Draft Guidance: Phase 3 Trials … Continue reading Biosimilar Bytes →
Is the Third Time the Charm? The Biosimilar Red Tape Elimination Act Is Reintroduced in the Senate
For those who have a feeling of déjà vu (“all over again”, per Yogi Berra), the recently reintroduced Biosimilar Red Tape Elimination Act into the Senate is yet another attempt to improve the interchangeability conversation. That is, to take the term out of the conversation altogether. Senate Bill 1954 was introduced June 4 by Senator … Continue reading Is the Third Time the Charm? The Biosimilar Red Tape Elimination Act Is Reintroduced in the Senate →
With Experience and Coverage, Physician Comfort With Immunology Biosimilars Increases
Accumulating evidence points to physicians’ growing comfort with prescribing biosimilars. A newly published study from the Journal of Managed Care and Specialty Pharmacy, based on a 2023 survey, found that physicians treating immunologic disorders were “likely” or “very likely” to prescribe a biosimilar for a new start patient as well as to recommend biosimilars for … Continue reading With Experience and Coverage, Physician Comfort With Immunology Biosimilars Increases →
The First Denosumab Biosimilar Reaches the US Market
On June 2, 2025, Sandoz announced the launch of its Wyost/Jubbonti denosumab biosimilar, the first of this drug category to be marketed. In a press release, Keren Haruvi, President, Sandoz North America, stated, “Denosumab is a vital medicine for conditions such as osteoporosis and cancer-related skeletal events. Providing an additional high-quality, cost-effective treatment option helps … Continue reading The First Denosumab Biosimilar Reaches the US Market →
New Adalimumab Interchangeability Designations Announced, Creating a Complex, Confusing Environment
The Food and Drug Administration has issued new interchangeability designations for at least two adalimumab biosimilars in recent days, which ends exclusivity for Alvotech and Teva’s Simlandi for the most-commonly prescribed dose. Last week, Celltrion announced receiving their designation for Yuflyma, and today, Samsung Bioepis and Organon released a press statement indicating that Hadlima was … Continue reading New Adalimumab Interchangeability Designations Announced, Creating a Complex, Confusing Environment →
The Trump Most Favored Nation Pricing Proposal: Bad News for Biosimilars
Today, the Department of Health and Human Services released further detail on its most favored nation (MFN) pricing proposal for pharmaceuticals sold in the US. According to the press release issued by the department the target price will be lowest price in a country (that is, a member of the Organization for Economic Cooperation and … Continue reading The Trump Most Favored Nation Pricing Proposal: Bad News for Biosimilars →
Chaos vs. Control
I’ve resisted commenting on the rapid-fire news reports announced over the last couple of weeks affecting the pharmaceutical industry. Based on the past, who knows which initiative, if any, will be implemented or withdrawn? And do we really know what will develop tomorrow, or the next day, in terms of drug pricing and PBM reform? … Continue reading Chaos vs. Control →
A Profile of a Lesser-Known Player in the Biosimilar Space: Meitheal Pharmaceuticals
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. It has been several years since a newer player has entered the … Continue reading A Profile of a Lesser-Known Player in the Biosimilar Space: Meitheal Pharmaceuticals →
Better Late Than Never? Sandoz Files Antitrust Lawsuit to Enable Launch of Etanercept Biosimilar
For years, reference drug manufacturers have tried to extend the exclusivity periods for their products with patent mazes, lifecycle management tools, and long legal battles resulting in marketing settlements. Etanercept has been the poster child for inexplicable delays in biosimilar competition in the US. With a potential launch date of 2029, Enbrel will have had … Continue reading Better Late Than Never? Sandoz Files Antitrust Lawsuit to Enable Launch of Etanercept Biosimilar →
Biosimilars at the Festival of Biologics: Part 2: Biosimilar Pipeline and Delivery Devices
In the conclusion of our reporting from the Festival of Biologics USA meeting last week, we covered present effects on the upcoming biosimilar pipeline as well as the area of biosimilar delivery device testing and regulation. DIFFICULT DECISIONS AHEAD ON THE BIOSIMILAR PIPELINE Michael Sarshad, Managing Director, Syneos Health Consulting, believes that there are many … Continue reading Biosimilars at the Festival of Biologics: Part 2: Biosimilar Pipeline and Delivery Devices →
Biosimilar Topics at the Festival of Biologics: Part 1: Savings, Retinal Specialist Education, and Falling ASPs
The Festival of Biologics USA meeting wrapped up last Thursday, and the emphasis was all about biosimilar sustainability, and the various factors threatening it. These included not only challenges but the opportunities that will be lost should we continue on our present path. In this post, I report on some of the most salient sessions, … Continue reading Biosimilar Topics at the Festival of Biologics: Part 1: Savings, Retinal Specialist Education, and Falling ASPs →
Biosimilar Bytes: Eculizumab Biosimilar Launches, Rights to Actemra Biosimilar Sold, and New Biosimilar Bevacizumab Approved
It’s been a busy couple of weeks, and we’re taking this time to catch up on some specific biosimilar product news. Samsung Bioepis and Teva Launches Their Eculizumab Biosimilar The biosimilar maker Samsung Bioepis and its marketing partner Teva Pharmaceuticals announced on April 7 that it had launched Epysqli in the United States. This is … Continue reading Biosimilar Bytes: Eculizumab Biosimilar Launches, Rights to Actemra Biosimilar Sold, and New Biosimilar Bevacizumab Approved →
Biosimilar Hearings Day in Congress
On Tuesday April 8th the House Subcommittee on Health (of the Ways and Means Committee) held a hearing on lowering costs for patients and the health of the biosimilar market. The testimony of several experts in the biologics and biosimilar areas supported the need to recalibrate PBMs’ relationship to the biosimilar market as well as … Continue reading Biosimilar Hearings Day in Congress →
Good Outcomes, Little Nocebo Effect With Adalimumab Biosimilars
At the Academy of Managed Care Pharmacy (AMCP) annual meeting last week, several posters bolstered existing real-world evidence that biosimilar adalimumab was associated with similar outcomes to those of Humira, and that may translate into the absence of any significant nocebo effect. Only 2% Switched Back to Humira Researchers from Employers Health, Columbus, Ohio,1 evaluated … Continue reading Good Outcomes, Little Nocebo Effect With Adalimumab Biosimilars →
Quallent’s Questionable Ustekinumab Biosimilar Pricing, and Enbrel Price Ceiling in the Rockies
Does Anyone Really Know What Price It Is? It should be no surprise that Quallent Pharmaceuticals, the specialty distributor subsidiary of Evernorth, has decided to offer their private-label version of ustekinumab at neither a high nor a low wholesale acquisition cost (WAC). The private-label drug, which is based on Samsung Bioepis’ product, is being sold … Continue reading Quallent’s Questionable Ustekinumab Biosimilar Pricing, and Enbrel Price Ceiling in the Rockies →
The Implications of the Freefall in Ranibizumab ASPs
The release of the Center for Medicare and Medicaid Services (CMS) average sales price (ASP) figures for the second quarter revealed a startling and dangerous trend for ranibizumab products: up to a 50% drop in pricing from the first quarter of 2025. As previously reported, Formycon AG’s marketing partner Sandoz has decided to take the … Continue reading The Implications of the Freefall in Ranibizumab ASPs →
Sandoz: Patients Get a $200 Debit Card to Switch to Hyrimoz
With the interchangeability designation being an ineffective tool in shifting prescriptions from the reference product to a biosimilar, Sandoz has taken a page out of a health plan’s playbook: Going directly to patients, offering them a cash incentive for moving to a biosimilar. Called the Hyrimoz Patient Transition program, Sandoz offers patients a single $200 … Continue reading Sandoz: Patients Get a $200 Debit Card to Switch to Hyrimoz →
Amgen’s At-Risk Launch of Pavblu Bolstered by Court Decision
The aflibercept biosimilar Pavblu has been marketed by Amgen since October 2024, after a District Court denied Regeneron’s motion for a preliminary injunction against the biosimilar maker. A Court of Appeals decided last week that Regeneron’s patent violation argument was not persuasive, validating Amgen’s decision to launch Pavblu at-risk. Amgen’s at-risk launch of Pavblu yielded … Continue reading Amgen’s At-Risk Launch of Pavblu Bolstered by Court Decision →
Celltrion Gains First Omalizumab Biosimilar Approval
On March 10, Celltrion announced receiving US marketing authorization from the FDA for its omalizumab biosimilar Omlyclo (omalizumab-igec). This is the first omalizumab biosimilar (reference product, Xolair) to receive US approval. The FDA also granted Celltrion the interchangeability designation for Omlyclo. Omalizumab is an anti-IgE antibody. The approval was for all of the reference … Continue reading Celltrion Gains First Omalizumab Biosimilar Approval →
Biocon Biologics Agrees to Supply Civica With Materials to Bring Another Biosimilar Insulin Aspart to Market
Biocon Biologics has announced a new agreement with Civica Inc., “to expand patient access and affordability to insulin aspart in the US.” India-based Biocon Biologics does not currently have an approved insulin aspart biosimilar in the US, but it is approved in Canada. The company is pursuing its own insulin aspart biosimilar in the US, … Continue reading Biocon Biologics Agrees to Supply Civica With Materials to Bring Another Biosimilar Insulin Aspart to Market →
FDA Approves Celltrion’s Denosumab Biosimilars, to Launch in June
On March 3, Celltrion announced that the FDA has approved the company’s denosumab biosimilars Stoboclo (reference product, Prolia) and Osenvelt (reference product Xgeva). The nonproprietary designation for both molecules is denosumab-bmwo. The approval covers all indications of the reference products, including osteoporosis with high risk of fracture in men and postmenopausal women, glucocorticoid-induced osteoporosis, increasing … Continue reading FDA Approves Celltrion’s Denosumab Biosimilars, to Launch in June →
What the J&J Suit Against Samsung Bioepis Tells Us
Yesterday, it was announced that Johnson and Johnson (J&J) had sought a preliminary injunction against Samsung Bioepis to prevent sales of a planned private-label version of Pyzchiva with an undisclosed pharmacy benefit manager (PBM). J&J claimed that the licensing arrangement signed in 2023 with Samsung did not permit sublicensing, as it was referred to in … Continue reading What the J&J Suit Against Samsung Bioepis Tells Us →
A New Wave of Ustekinumab Biosimilar Launches, Discounted up to 90%
Following Amgen’s January launch of its Stelara biosimilar (Wezlana), at least five other ustekinumab biosimilars have stepped up to the plate, with a licensing dates of February 21 to March 7. Biocon Biologics announced that Yesintek is now available for prescription. Partners Samsung Bioepis and Sandoz launched Pyzchiva. Alvotech and Teva launched Selarsdi on February … Continue reading A New Wave of Ustekinumab Biosimilar Launches, Discounted up to 90% →
Availability of Top Ranibizumab Biosimilar May be Paused
Although Cimerli had captured the highest utilization in the ranibizumab category, its continued availability in the US seems precarious. A press release by Formycon AG, part owner of the biosimilar’s developer (Bioeq), stated last week that ”Due to the increasing price discounts among ranibizumab providers in the US, Bioeq AG, the exclusive license holder of … Continue reading Availability of Top Ranibizumab Biosimilar May be Paused →
First Insulin Aspart Biosimilar Approved: Sanofi’s Merilog
Sanofi-Aventis, the makers of the insulin glargine reference product Lantus, has jumped into the biosimilar arena, having received FDA approval on February 14 for an insulin aspart biosimilar. Dubbed Merilog (insulin aspart-szjj), the agent is a rapid-acting insulin whose reference drug is NovoLog. There are two biosimilars to insulin glargine, the long-acting formulation, and this … Continue reading First Insulin Aspart Biosimilar Approved: Sanofi’s Merilog →
Employer Plans, Private-Label Biosimilars, Little Transparency
By F. Randy Vogenberg, PhD Dr. Vogenberg is Principal, Institute for Integrated Healthcare, and Board Leader, Employer Provider Council, Greenville, SC Employers can wield tremendous leverage in optimizing biosimilar uptake, but they have remained relatively disengaged to date. The successful record of biosimilar competition lowering biologic drug costs can be far better supported by self-insured … Continue reading Employer Plans, Private-Label Biosimilars, Little Transparency →
Samsung Bioepis Gets FDA Approval for Its Denosumab Biosimilar
On February 16, the FDA approved Samsung Bioepis’ biologics license application for SB16, its denosumab biosimilar candidate. Dubbed Ospomyv for the treatment of postmenopausal women with osteoporosis (reference product Prolia), and Xbryk (denosumab-dssb) for the treatment of bone complications of oncology disorders (reference product Xgeva), this is the second denosumab biosimilar approval in the US. … Continue reading Samsung Bioepis Gets FDA Approval for Its Denosumab Biosimilar →
More Biosimilar Discussions at Access 2025: Private Labeling and New Trump Administration Actions
In part 2 and the conclusion of our reporting on last week’s Access 2025 meeting, we cover the effect of the new private-label channel in the biosimilar marketplace, implications for the FDA of the Department of Government Efficiency (DOGE)’s early retirement initiative, and other Trump administration actions. Private Labeling as a Mechanism for Better … Continue reading More Biosimilar Discussions at Access 2025: Private Labeling and New Trump Administration Actions →
Addressing Rapidly Changing Biosimilar Dynamics at Access 2025
The bulk of the discussion at this year’s ACCESS 2025 conference fell into four buckets: (1) the effect of the Trump administration’s tariffs on the active pharmaceutical ingredient (API) supply chain, (2) the magnitude of the potential lost opportunity for biosimilars that are not developed (or the “biosimilar void”), (3) the effect of the Department … Continue reading Addressing Rapidly Changing Biosimilar Dynamics at Access 2025 →
Celltrion’s Avtozma Approved by the FDA: Now There Are Three
On January 30, the FDA approved Avtozma (tocilizumab-anoh), which was formerly known as CT-P47 by Celltrion. Celltrion will market Avtozma as both intravenous and subcutaneous formulations, in the same dosages as the reference product Actemra. Avtozma received approval for the following indications: Actemra has only one indication that Avtozma does not: cytokine-release syndrome related to … Continue reading Celltrion’s Avtozma Approved by the FDA: Now There Are Three →
First Golimumab Biosimilar Application Accepted by FDA
Partners Alvotech and Teva announced that the FDA has accepted their 351(k) application for AVT05, a biosimilar candidate to compete with the reference product Simponi. Golimumab is a TNF-alpha inhibiting antibody, and the reference manufacturer is Johnson & Johnson. This first golimumab biosimilar drug application covers both the standard Simponi and Simponi Aria forms, which … Continue reading First Golimumab Biosimilar Application Accepted by FDA →
Some Random Thoughts on a Rambling, Bizarre First Seven Days
WARNING: This is a very different post than I have published, but it is a pointed, gut reaction to the blizzard of executive actions, announcements, and directions of the new presidential administration. Comments and feedback are always welcome. We’ve lived through chaotic week 1 of the new presidential administration, we’ve seen new and escalating turmoil … Continue reading Some Random Thoughts on a Rambling, Bizarre First Seven Days →
Why the Distortion in the Pegfilgrastim Market?
Since the first approval of Fulphila in 2018, the pegfilgrastim market has added competitors and steadily decreased in net price through 2022. The latest Samsung Bioepis Biosimilar Market Report indicates that pegfilgrastim biosimilar marketshare is up to 85% in year 7. And two products account for 73% of that total. The picture has changed considerably … Continue reading Why the Distortion in the Pegfilgrastim Market? →
A Different Perspective on Biosimilar Cost Savings
A new study tags the prevalence of autoimmune diseases at 4.6%, or around 15.2 million people in the US. More than 34% have at least one autoimmune disease and 8% have three autoimmune diseases. Using data from electronic health records, they calculated prevalence figures for dozens of autoimmune disorders. Some of the most notable prevalence … Continue reading A Different Perspective on Biosimilar Cost Savings →
Samsung Bioepis and Teva Ink a Deal for Epysqli; Tanvex Gets a Thumbs Down
On January 10, Samsung Bioepis announced a new arrangement with Teva to commercialize the former’s eculizumab biosimilar Epysqli (reference product, Soliris) in the US. In a press release, Kyung-Ah Kim, the recently promoted President and CEO of Samsung Bioepis, stated “We are excited to announce this new strategic partnership for a biosimilar which has a … Continue reading Samsung Bioepis and Teva Ink a Deal for Epysqli; Tanvex Gets a Thumbs Down →
What’s Next for Biosimilars in 2025?
The onset of the new year brings with it the first major event in 2025: The launch of the first ustekinumab biosimilar (reference product, Stelara). However, several important developments will be worth watching over the next 12 months. Here are some of the most notable, including several ustekinumab biosimilar launches: Ustekinumab: The Second Pharmacy Benefit–Covered … Continue reading What’s Next for Biosimilars in 2025? →
Mitigating the Biosimilar Nocebo Effect
In the early days of biosimilar utilization, the nocebo effect was a clear worry of the biosimilar industry. When patients knew they were receiving a biosimilar rather than a reference product, discontinuation rates and adverse drug events were noticeably higher. On an absolute basis, nocebo rates are not alarmingly high; a 2018 study found reported … Continue reading Mitigating the Biosimilar Nocebo Effect →
Third-Quarter Earnings News and Biosimilar Revenues
In some cases, the only time a company reveals important developments is during their quarterly earnings calls. This past “earnings season” also yielded a few interesting tidbits. The first notes relate to the adalimumab market, as reported by the manufacturers. First, AbbVie disclosed that third-quarter net sales of Humira in the US were down 42% … Continue reading Third-Quarter Earnings News and Biosimilar Revenues →
Coherus Waves Bye Bye to Biosimilars
In a final gesture that closes the books on its attempt to become a “pure-play” biosimilar company, Coherus Biosciences has sold off its pegfilgrastim franchise–its last biosimilar asset–to Intas Pharmaceuticals for $558 million. The move comes as somewhat of a surprise, in that much of the company’s hopes were staked on the revenues to be … Continue reading Coherus Waves Bye Bye to Biosimilars →
Biocon Biologics Joins the Ustekinumab Fray With Yesintek
On December 2, Biocon Biologics announced that it had received FDA approval for Yesintek (ustekinumab-kfce), the sixth authorized biosimilar to Stelara (so far). The Yesintek approval assures Biocon Biologics that it will be able to launch its latest biosimilar in the middle of the pack, along with Fresenius Kabi, Samsung Bioepis, and Sandoz, no later … Continue reading Biocon Biologics Joins the Ustekinumab Fray With Yesintek →
PBM Private Labeling: A Boon or Bane to Biosimilar Drug Makers?
Are private-labeled biosimilars from PBM distributors a lifeline for the biosimilar industry or another barrier to ensuring biosimilar competition into the future? In 2023, adalimumab biosimilars gained virtually no traction when covered at parity with the reference product Humira®. Only once CVS Health launched its Cordavis distributor subsidiary in April 2024 did adalimumab biosimilar uptake … Continue reading PBM Private Labeling: A Boon or Bane to Biosimilar Drug Makers? →
Employers Questioning Their PBMs Over Conflict of Interest, Biosimilars, and Transparency
Employers are seemingly worried as hell about their health care costs, and they’re not willing to take it anymore. That seems to be the message of a new purchaser survey by the National Alliance of Healthcare Purchasing Coalitions. The National Alliance surveyed employers in the fall of 2024 and published the results on October 29, … Continue reading Employers Questioning Their PBMs Over Conflict of Interest, Biosimilars, and Transparency →
New Denosumab Applications Filed, New Ustekinumab Biosimilar Approved
A couple of significant 351(k) applications were accepted by the Food and Drug Administration in the month of October for denosumab biosimilars. Teva announced that its applications for denosumab candidate TVB-009P were accepted by the European Medicines Agency as well as the FDA in early October. The application included data from a phase 3 trial … Continue reading New Denosumab Applications Filed, New Ustekinumab Biosimilar Approved →
A Conversation with Joshua Salsi, Head of North America, Biocon Biologics
At October’s GRx+Biosims meeting, we sat down with Joshua Salsi to discuss how a company like Biocon Biologics is facing the rapidly evolving regulatory and biosimilar market access environment. The conversation involved the difficulties in making strategic decisions about molecules that may launch many years in the future, as well as the sustainability of the … Continue reading A Conversation with Joshua Salsi, Head of North America, Biocon Biologics →
Amgen Wins Injunction Battle Against Regeneron, Paving Way for Aflibercept Launch
On October 22, the federal appeals court denied Regeneron’s request for an injunction against Amgen pending appeal, which would have forestalled the biosimilar maker’s launch of Pavblu®, its biosimilar version of Eylea® (aflibercept). In late September, a judge from the District Court for the Northern Virginia District of West Virginia refused Regeneron’s original request for … Continue reading Amgen Wins Injunction Battle Against Regeneron, Paving Way for Aflibercept Launch →
Practically Speaking, Does Biosimilar Interchangeability Matter Today?
As the Food and Drug Administration (FDA) begins to deemphasize the interchangeability designation, with an eye towards making any approved biosimilar interchangeable with the reference product, an expert panel at this week’s GRx+Biosims 2024 conference tackled the prevailing issue: Does interchangeability matter today? One major detail underlying this discussion was not specifically mentioned: An interchangeability … Continue reading Practically Speaking, Does Biosimilar Interchangeability Matter Today? →
Partners Fresenius Kabi and Formycon Get FDA Approval for Their Ustekinumab Biosimilar
The fourth ustekinumab biosimilar to receive FDA approval is Otulfi™, which was developed by Formycon AG and will be marketed by its partner Fresenius Kabi. Originally designated FYB202, the biosimilar’s nonproprietary name is ustekinumab-aauz. It is Fresenius Kabi’s fourth biosimilar approval in the US. The FDA approval was based on the totality of evidence, including … Continue reading Partners Fresenius Kabi and Formycon Get FDA Approval for Their Ustekinumab Biosimilar →
A Conversation With Joshua Fredell, PharmD, Vice President, PBM & Specialty Product Development, CVS Health
In August 2023, CVS Health announced that it would begin offering several adalimumab biosimilars at a low wholesale acquisition cost (WAC) through the CVS Caremark commercial template formularies. This would also include a low-WAC adalimumab product from its subsidiary Cordavis. The program was instituted in April 2024, while also excluding branded Humira® from coverage. The strategy … Continue reading A Conversation With Joshua Fredell, PharmD, Vice President, PBM & Specialty Product Development, CVS Health →
The IRA and Big Pharma: Is It a Real Threat to Drug Innovation?
Warning! This post veers away (eventually) from our focus on biosimilars. However, discussions about the Inflation Reduction Act (IRA)’s intended and unintended consequences are so prevalent, allow me to address one important point. This regards the area of pharmaceutical innovation. As inexact copies of complex biologic molecules, biosimilars would not be considered particularly innovative. The … Continue reading The IRA and Big Pharma: Is It a Real Threat to Drug Innovation? →
The FTC Taking More Public Action on the PBM Rebate Front
The Federal Trade Commission (FTC) has amplified its public presence over the past couple of months. In July, the FTC released a report on practices of pharmacy benefit managers (PBMs), which I myself thought to be of little value. It seemed to be nothing more than a basic explanation of the PBM model, specifically the … Continue reading The FTC Taking More Public Action on the PBM Rebate Front →
The Last Domino Falls: OptumRx to Exclude Humira® From Some Drug Formularies Beginning January 2025
The last of the big 3 PBMs, which control upwards of 80% of US pharmacy benefit spending, has yielded to the competition. OptumRx will exclude Humira from some of its drug formulary offerings as of January 1, 2025. According to OptumRx, “Optum Rx will exclude Humira and prefer FDA-approved adalimumab biosimilars effective January 1, 2025 … Continue reading The Last Domino Falls: OptumRx to Exclude Humira® From Some Drug Formularies Beginning January 2025 →
Evernorth Extends Its Biosimilar Strategy With Ustekinumab Launch: Zero Copays and Private Labeling
On September 5, Evernorth announced that it was applying its newly implemented policy on adalimumab biosimilars to the 2025 launch of ustekinumab biosimilars as well. Effective in early 2025, patients will be eligible to receive an interchangeable ustekinumab biosimilar without any cost sharing, through its Accredo specialty pharmacy. Evernorth stated in its press release that … Continue reading Evernorth Extends Its Biosimilar Strategy With Ustekinumab Launch: Zero Copays and Private Labeling →
IQVIA Confirms the Staying Power of Biosimilars in the Oncology Market
The newest IQVIA report reminds us of the strength of the oncology biosimilars bevacizumab, rituximab, and trastuzumab. Not only are these oncology biosimilars thriving, payers are making it increasingly difficult to obtain treatment with the innovator products when oncology biosimilars like these are available. The number of formulary exclusions nationally for all oncology products is … Continue reading IQVIA Confirms the Staying Power of Biosimilars in the Oncology Market →
Express Scripts Becomes Second PBM to Exclude Humira From Specific Drug Formularies
In late April, Evernorth announced that its health plan Cigna and pharmacy benefit manager (PBM) Express Scripts would add coverage June 1 for the adalimumab biosimilars Cyltezo® by Boehringer Ingelheim and Simlandi® by Alvotech/Teva. On August 23, Evernorth took things a step further, announcing that it will exclude Humira® from its largest commercial formularies for … Continue reading Express Scripts Becomes Second PBM to Exclude Humira From Specific Drug Formularies →
The IRA Price Negotiation Discussion for Enbrel® and Stelara® Biosimilars
The Inflation Reduction Act (IRA) mandated that the federal government begin to negotiate prices for high-impact medications on behalf of its Medicare beneficiaries. On August 15, the Centers for Medicare and Medicaid Services (CMS) announced the negotiated prices for the first 10 medications on its target list. The discounted prices will go into effect in … Continue reading The IRA Price Negotiation Discussion for Enbrel® and Stelara® Biosimilars →
Enzeevu™ Joins Sandoz’s Ophthalmologic Biosimilar Franchise
On August 12, Sandoz announced that it had received FDA approval for its latest biosimilar: Enzeevu (aflibercept-abzu). This FDA approval includes the indication for wet age-related macular degeneration (or neovascular AMD [nAMD]). In Sandoz’s press release, Claire D’Abreu-Hayling, Chief Scientific Officer, Sandoz, said, “nAMD, or wet AMD, continues to be a leading cause of vision … Continue reading Enzeevu™ Joins Sandoz’s Ophthalmologic Biosimilar Franchise →
18 Months of US Adalimumab Biosimilar Competition Yields $11 Billion in Savings
AbbVie stated that its net revenues (after discounts and rebates) for its adalimumab brand Humira® was $18.6 billion in 2022. The first adalimumab biosimilar was launched in January 2023, and the majority of the pack launched in July 2023. After 18 months of biosimilar availability in the drug class, utilization of adalimumab biosimilars has only … Continue reading 18 Months of US Adalimumab Biosimilar Competition Yields $11 Billion in Savings →
A 10-Year Anniversary Assessment of FDA Biosimilar Approvals: Using the EMA as the Comparator
As of July 22, the FDA has approved 57 biosimilars for 17 reference biologics. It has been a decade since Sandoz filed its 351(k) application to become the first biosimilar marketed in the US. It seems like ages ago. Filed for approval on May 8, 2024, Zarxio® (filgrastim-sndz) was approved by the FDA on March … Continue reading A 10-Year Anniversary Assessment of FDA Biosimilar Approvals: Using the EMA as the Comparator →
Samsung Bioepis’ Epysqli Is the Second Eculizumab Biosimilar Approved by the FDA
On July 22, Samsung Bioepis announced that it has received marketing approval by the FDA for its eculizumab biosimilar Epysqli®. The vowel-challenged brand name, which also has an interesting nonproprietary suffix (eculizumab-aagh), is the second approved biosimilar for the reference product Solaris®. The approval for this C5 complement protein inhibitor covers the following indications: Samsung … Continue reading Samsung Bioepis’ Epysqli Is the Second Eculizumab Biosimilar Approved by the FDA →
Compelling Arguments for Streamlining Biosimilar Development
The arguments in favor of streamlining biosimilar development are many, and support for it is broad, including regulators, biosimilar makers (of course), scientists, and other stakeholders. We’ve published several posts since 2021 on the need to reduce or eliminate the reliance on comparative clinical trials for biosimilar approval. See the following for a sample: Well, … Continue reading Compelling Arguments for Streamlining Biosimilar Development →
Bill to Limit Patent Thickets Passes Senate, Goes to House
On July 11, the Senate voted to approve legislation that will limit the ability of pharmaceutical companies’ patent thickets to slow biosimilar competition. The outlook for this legislation, called the Affordable Prescriptions for Patients Act (Senate Bill 150), is by no means assured. Patent thickets have been a bane of biosimilar manufacturers from the implementation … Continue reading Bill to Limit Patent Thickets Passes Senate, Goes to House →
The Supreme Court and the Confusion It Has Sown
The recent Supreme Court decision striking down its 1984 ruling in Chevron v. Natural Resources Defense Council, has created a sizzling discussion on social media and news outlets. It has sent the healthcare sector reeling with potential implications. The summary issue in the Loper Bright Enterprises vs. Raimondo ruling, which struck down the so-called Chevron … Continue reading The Supreme Court and the Confusion It Has Sown →
The FTC Interim Report on PBMs: Prepare to Be Frustrated
The Federal Trade Commission (FTC) released its interim report on pharmacy benefit managers (PBMs). It was a treatise on how the PBMs are now wound, like poison ivy, around the trunk and boughs of the 300-foot healthcare tree. It coalesced intelligence about the PBM industry. It didn’t address ways to deal with the strangulating vine. … Continue reading The FTC Interim Report on PBMs: Prepare to Be Frustrated →
Kashiv BioSciences Signs Deal With Amneal to Market Omalizumab Biosimilar in the US
One of the more confusing situations in the world of the biosimilar pipeline was the status of Kashiv BioScience’s omalizumab biosimilar candidate. On July 2, the company announced that Amneal Pharmaceuticals has agreed to commercialize ADL018 once approved in the US. We reported in November 2023 on the progress of omalizumab biosimilars through research and … Continue reading Kashiv BioSciences Signs Deal With Amneal to Market Omalizumab Biosimilar in the US →
Partners Samsung Bioepis and Sandoz Obtain FDA Approval for Third Ustekinumab Biosimilar
Pyzchiva® (ustekinumab-ttwe) received the FDA’s approval as a biosimilar to Stelara®, partners Samsung Bioepis and Sandoz announced on July 1. The approval applies to the full set of autoimmune indications of the reference product. In addition, Pyzchiva was given “provisional” approval as an interchangeable product, which means that it cannot be used as such until … Continue reading Partners Samsung Bioepis and Sandoz Obtain FDA Approval for Third Ustekinumab Biosimilar →
Formycon AG Receives FDA Nod for Ahzantive, an Aflibercept Biosimilar
On July 1, Formycon AG announced the FDA approval of the third aflibercept biosimilar; the new drug will be called Ahzantive® (aflibercept-mrbb). Two biosimilars were approved in late May, and the market for Eylea® biosimilars may get even more crowded: Amgen and Celltrion are awaiting FDA decisions in 2024 on their own biosimilar candidates. Formycon … Continue reading Formycon AG Receives FDA Nod for Ahzantive, an Aflibercept Biosimilar →
Coherus Exits the Adalimumab Biosimilar Market With Sale of Yusimry®
On June 27, Coherus Biosciences announced the sale of Yusimry, its low-concentration biosimilar of adalimumab, to a Chinese company for $40 million. The buyer’s US subsidiary, Meitheal Pharmaceuticals, will take over all US commercial activities after the purchase of Yusimry. According to Meitheal’s press release, they expect “additional indications, including a high-concentration formulation, to be … Continue reading Coherus Exits the Adalimumab Biosimilar Market With Sale of Yusimry® →
Will MDs Use Bevacizumab Biosimilars to Treat Retinal Disorders? One Report Says Yes
Biosimilars for ophthalmologic indications are expected to save payers and the health system a great deal of money, based on the assumption that the comparator product (generally a reference product) is costly. However, this is not really the case. The most commonly used biologic for indications such as age-related wet macular degeneration or retinal vein … Continue reading Will MDs Use Bevacizumab Biosimilars to Treat Retinal Disorders? One Report Says Yes →
FDA on Switching Studies to Demonstrate Interchangeability: Don’t Bother, We’re Convinced
A draft guidance by the US Food and Drug Administration signals the agency’s admission that the data on biosimilar switching is now comprehensive and persuasive. If these draft recommendations are unchanged in the final guidance document, expensive biosimilar switching studies will no longer be needed for a manufacturer seeking the interchangeability designation. The draft guidance, … Continue reading FDA on Switching Studies to Demonstrate Interchangeability: Don’t Bother, We’re Convinced →
The Need for Dose Escalation in IBD: Another Cost-Savings Advantage for Biosimilars?
Soon after the initial introduction of infliximab in the late 1990s, physicians and researchers noticed that for patients with inflammatory bowel disease (IBD) who responded to therapy, a significant portion would experience loss of response over time. As a result, intensifying the dose of infliximab was found to be useful in maintaining remission. In fact, … Continue reading The Need for Dose Escalation in IBD: Another Cost-Savings Advantage for Biosimilars? →
Streamlining Biosimilar Development: Following up With Sarfaraz K. Niazi, PhD
Last year, we interviewed Dr. Niazi on a range of topics relevant to biosimilar development. We followed-up with him recently to get his thoughts on some recent developments in the field. Dr. Niazi is Adjunct Professor of Pharmaceutical Sciences at the University of Illinois and the University of Houston, founded the first US biosimilar company, … Continue reading Streamlining Biosimilar Development: Following up With Sarfaraz K. Niazi, PhD →
Amgen Scores FDA Approval of First Eculizumab Biosimilar
On May 28, 2024, the FDA approved Amgen’s Bkemv™ (eculizumab-aeeb) as the first biosimilar for Alexion’s Soliris®, a complement inhibitor. The biosimilar was approved as interchangeable and for the following indications: Bkemv, like the reference product Soliris, has a black box warning for the elevated risk of serious and life-threatening meningococcal infections caused by Neisseria … Continue reading Amgen Scores FDA Approval of First Eculizumab Biosimilar →
The Role of Specialty Pharmacies in the Selection and Adoption of Biosimilars
By Jocelyn Collura, PharmD Specialty pharmacy is a crucial link in the pharmaceutical supply and distribution chain, particularly for biologics and biosimilars covered under the pharmacy benefit. In this post, we asked a specialty pharmacy executive to discuss the ways in which organizations like her own contribute to the adoption of biosimilars. The US biosimilar … Continue reading The Role of Specialty Pharmacies in the Selection and Adoption of Biosimilars →
Is Cordavis a Biosimilar Manufacturer, Distributor, or Marketer?
Biosimilar manufacturers have been desperate to obtain utilization for their products in the adalimumab marketplace, leading to some interesting arrangements with pharmacy benefit managers (PBMs). The first one implemented was CVS Health’s partnership with Sandoz under the banner of its subsidiary Cordavis. Boehringer Ingelheim signed a separate deal with Evernorth, including its PBM Express Scripts. … Continue reading Is Cordavis a Biosimilar Manufacturer, Distributor, or Marketer? →
FDA Approves Two Interchangeable Aflibercept Biosimilars
Both Biocon and partners Samsung Bioepis/Biogen have reason to cheer today: The FDA approved their respective aflibercept biosimilars, Yesafili (aflibercept-yszy) and Opuviz (aflibercept-jbvf), for the following indications: With its announcement, the regulator has further clouded the issue of interchangeability (if that was even possible). The FDA designated both agents as interchangeable, which doesn’t seem feasible … Continue reading FDA Approves Two Interchangeable Aflibercept Biosimilars →
Learnings From Their Earnings (Reports)
In early May, manufacturers reported their first-quarter earnings. These earnings reports usually have some valuable information about the company and industry as a whole. BR&R listened in on a few of them to pick up some morsels that point to the important industry trends. Coherus’ On-Body Injector On the biosimilar side of its portfolio, Coherus … Continue reading Learnings From Their Earnings (Reports) →
Celltrion Files for First Xolair® Biosimilar Approval in US
Tucked away in its first-quarter’s earnings report was the notice that Celltrion had filed its 351(k) application for approval of CT-P39 in March 2024. This could yield an FDA decision in the first or second quarter of 2025. We reported last November that Celltrion was indeed leading the pack in the omalizumab biosimilar race. With … Continue reading Celltrion Files for First Xolair® Biosimilar Approval in US →
50th Biosimilar Approved by FDA, a First for Accord BioPharma
Accord BioPharma announced the FDA approval of its first biosimilar, Hercessi® (trastuzumab-strf), marking also the 50th biosimilar approval by the FDA. “The approval of Hercessi—our first biosimilar to be approved in the U.S.—marks an important milestone for Accord BioPharma in our efforts to improve access for patients,” said Chrys Kokino, U.S. president of Accord. “Because breast … Continue reading 50th Biosimilar Approved by FDA, a First for Accord BioPharma →
Biosimilars a Common Topic at AMCP Annual Meeting
This year’s annual meeting of the Academy of Managed Care Pharmacy featured several biosimilar-themed posters and presentations. Discussion of interchangeability and the efforts to remove the designation were prevalent, especially through legislative means (e.g., Senate Bill 2305). IPD Analytics gave their popular update on the specialty and biosimilar pipeline. Presenters Jeffrey Casberg, PharmD, and Leslie … Continue reading Biosimilars a Common Topic at AMCP Annual Meeting →
Cutting Out-of-Pocket Costs to Zero for a Biosimilar
Cigna and its pharmacy benefit manager (PBM) Express Scripts has announced that starting June 1, adalimumab biosimilars by Boehringer Ingelheim and Alvotech/Teva will be available to its Evernorth members at a zero copay or co-insurance. The deal comes on the heels of reports of rising biosimilar prescriptions resulting from the CVS Caremark’s preference for another … Continue reading Cutting Out-of-Pocket Costs to Zero for a Biosimilar →
Second FDA Approval for a Ustekinumab Biosimilar: Alvotech and Teva’s Selarsdi™
Ahead of next year’s expected launch of biosimilars to reference product Stelara®, partners Alvotech and Teva have been given FDA approval for Selarsdi (ustekinumab-aekn), the second of at least five ustekinumab biosimilars awaiting an FDA decision. Last year, the partners signed an agreement with Johnson & Johnson, allowing a launch of Selarsdi on February 21, … Continue reading Second FDA Approval for a Ustekinumab Biosimilar: Alvotech and Teva’s Selarsdi™ →
Biosimilar Opportunities and Barriers, From the 2024 Festival of Biologics Meeting
For the past several years, I’ve anticipated our gatherings in San Diego at the Festival of Biologics USA meetings. The topics addressed, the speakers, the attendees’ side discussions all bring to focus the state of the industry and how it changes over subsequent Spring conferences. This year, it was all about biosimilar industry sustainability. There … Continue reading Biosimilar Opportunities and Barriers, From the 2024 Festival of Biologics Meeting →
The Next Huge Biologic Target in the Crosshairs of Biosimilar Manufacturers
With a patent expiration still 4 years off, biosimilar makers are positioning themselves for a new biologic drug category, which may represent a greater opportunity than even adalimumab. Pembrolizumab (reference drug Keytruda®, manufactured by Merck) looms on the horizon, tantalizing the biosimilar community within a new oncology category. Pembrolizumab is the 800-pound gorilla of the … Continue reading The Next Huge Biologic Target in the Crosshairs of Biosimilar Manufacturers →
IQVIA Study Confirms Large Lost Savings Opportunity With Adalimumab Biosimilars, Points the Finger at PBMs
A study by IQVIA on adalimumab biosimilar savings found billions of dollars in lost opportunities in 2023, primarily because of pharmacy benefit managers’ (PBMs’) incentives to block biosimilar use. AbbVie’s financial statements indicate that Humira® net US sales revenues were more than $6 billion lower in 2023 compared with 2022. IQVIA’s study asserts that an … Continue reading IQVIA Study Confirms Large Lost Savings Opportunity With Adalimumab Biosimilars, Points the Finger at PBMs →
Real-World Evidence Says This Formulation Difference May Be a Nonissue for Adalimumab Biosimilars
A European study of patients with inflammatory bowel disease (IBD) who initiated therapy with Humira® or an adalimumab biosimilar, or switched to a biosimilar found that outcomes and satisfaction were extremely high among all cohorts. But that statement is not surprising, based on cumulative experience with biosimilars. The study does suggest another very relevant conclusion, … Continue reading Real-World Evidence Says This Formulation Difference May Be a Nonissue for Adalimumab Biosimilars →
Is the Demise of the Biosimilar Interchangeability Designation at Hand?
For those of us who are ready to see significant relief in the biosimilar regulatory process, the Biden Administration’s 2025 budget proposal promises an important step. If this line item in the budget proposal remains untouched, the interchangeability designation will be relegated to history. The President’s budget proposal would “permit biosimilar substitution without FDA determination … Continue reading Is the Demise of the Biosimilar Interchangeability Designation at Hand? →
Fresenius Kabi Receives FDA Approval for Tyenne®, a Tocilizumab Biosimilar
Adding to the flurry of recent biosimilar approvals, on March 7, Fresenius Kabi became the latest to receive an FDA nod. Their product, Tyenne, a tocilizumab biosimilar (reference product Actemra®), is the second drug in the category to receive approval. Tyenne (tocilizumab-aazg) is approved to treat rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, giant cell arteritis, … Continue reading Fresenius Kabi Receives FDA Approval for Tyenne®, a Tocilizumab Biosimilar →
Part B Biosimilar Sustainability Also in Question
We have spent considerable digital space on the lack of uptake of the part D (pharmacy benefit) biosimilars and its potential consequences for future biosimilar development. We have contrasted that with the overwhelming success of the part B (medical benefit) biosimilars in terms of cost savings and dominant biosimilar uptake in those drug categories. Yet, … Continue reading Part B Biosimilar Sustainability Also in Question →
Sandoz Lands First Denosumab Biosimilar Approval, With Interchangeability Designation
The US Food and Drug Administration announced that Sandoz has won the race to bring a denosumab biosimilar to the finish line. The reference product by Amgen (sold under the Prolia® and Xgeva® brands) will face competition from Jubbonti®, and Wyost®, respectively. Furthermore, the FDA has designated the biosimilar as interchangeable. The assigned nonproprietary name … Continue reading Sandoz Lands First Denosumab Biosimilar Approval, With Interchangeability Designation →
Market Access, Drug Development, and the IRA
I had the pleasure of attending a truly valuable meeting this past weekend in Miami, called the Access Forum 2024. The conference offered expert perspectives on pharmaceutical market access in today’s rapidly changing environment. Before the COVID-19 pandemic, the ability of pharmaceutical representatives to visit individual physician practices and speak with the prescribers was already … Continue reading Market Access, Drug Development, and the IRA →
FDA Oks Alvotech/Teva’s Interchangeable, High-Concentration Adalimumab Biosimilar
On February 23, 2024, a press release by partners Alvotech and Teva revealed that their long journey to obtain an approval for their adalimumab biosimilar was complete. The FDA designated Simlandi® (adalimumab-ryvk), a high-concentration formulation, as interchangeable with Humira®, making it the first interchangeable version of this most commonly used formulation. The drug is approved … Continue reading FDA Oks Alvotech/Teva’s Interchangeable, High-Concentration Adalimumab Biosimilar →
The Need for Transparency in Pharmacy Benefits: What Does It Mean for Biosimilars and Beyond?
If you know any payer or self-insured employer who has a pharmacy benefit management contract with one of the big 3, you also know someone who is screaming for greater transparency into the value they are receiving. Even if the payer or employer requests and receives all available reporting from the PBM, they will not … Continue reading The Need for Transparency in Pharmacy Benefits: What Does It Mean for Biosimilars and Beyond? →
Generics and Biosimilars: Similar Economic Challenges, Different Magnitudes
Economic challenges weighed heavily in the air at the annual meeting of the Association for Accessible Medicines (AAM) called Access2024. These economic challenges cast a pall over both the generic and biosimilar presentations. Although the two areas are related in objective, they are experiencing enormous pressure from multiple sides. The generic drug industry is facing … Continue reading Generics and Biosimilars: Similar Economic Challenges, Different Magnitudes →
The Employer Is a Fiduciary for Its Employees Under ERISA, not an ATM for Its PBM
A lawsuit filed by Johnson & Johnson employees against the drug manufacturer’s employee benefits operation on February 6 spotlights the potential, substantial liability for self-insured employers not adequately managing their pharmacy benefits. At issue is the money overpaid by J&J’s self-funded health plans for medications used by its members. Ann Lewandowski, a healthcare policy and … Continue reading The Employer Is a Fiduciary for Its Employees Under ERISA, not an ATM for Its PBM →
Outlook’s Dimming Outlook and Celltrion’s New FDA Biosimilar Submission
Outlook Therapeutics’ hopes for a manufactured version of bevacizumab for ophthalmologic use have been significantly delayed. And its recent announcement that it is now targeting the end of 2024 for submitting its revised 351(a) application may push launch off until late 2025. The problem stems from Outlook Therapeutics’ initial clinical trial results, described in the … Continue reading Outlook’s Dimming Outlook and Celltrion’s New FDA Biosimilar Submission →
Implications of the Cimerli® Sale
On January 22, Sandoz announced that it acquired the ranibizumab biosimilar Cimerli® from Coherus Biosciences for upwards of $190 million. First approved on August 2, 2022, Cimerli was performing well. According to its manufacturing partner, Formycon AG, the product had grabbed 38% of the ranibizumab marketshare (based on IQVIA data), with $125 million in 2023 … Continue reading Implications of the Cimerli® Sale →
Accord BioPharma Seeks FDA Approval for DMB-3115, an Ustekinumab Biosimilar
Earlier this month, Accord BioPharma announced that it had submitted its 351(k) biosimilar application to the FDA for DMB-3115, a proposed ustekinumab biosimilar. An FDA decision may come as early as late Q4 2024. The application for DMB-3115 includes study results from a phase 3 clinical trial in patients with plaque psoriasis, in which DMB-3115 … Continue reading Accord BioPharma Seeks FDA Approval for DMB-3115, an Ustekinumab Biosimilar →
What Does the 2023 Adalimumab Biosimilar Story Foretell in 2024?
As I look back on 2023, the frustration and concern on behalf of the biosimilar industry is inescapable. For adalimumab biosimilar manufacturers, it was a lost year. Period. The adalimumab market represents the greatest opportunity for biosimilar makers since the approval of Zarxio®, the first biosimilar approved in the United States. It is certainly the … Continue reading What Does the 2023 Adalimumab Biosimilar Story Foretell in 2024? →
CVS Moves to Exclude Formulary Coverage of Humira®
CVS Health announced on January 3 that it will exclude AbbVie’s Humira from its standard national formularies, effective April 1, 2024. As a result, CVS Caremark has become the first major pharmacy benefit manager (PBM) to exclude of Humira in favor of biosimilars with “a significantly lower list price than the reference product,” according to … Continue reading CVS Moves to Exclude Formulary Coverage of Humira® →
New Research Shows Greater Biosimilar Utilization in Medicare Advantage
The Food and Drug Administration published research late last month that showed greater use of biosimilars by patients covered under Medicare Advantage (MA) plans than traditional or fee-for-service (FFS) Medicare. Based on claims and encounter data for Medicare recipients from May 2015 through September 2022, the researchers included 20 biosimilars (7 drug categories) typically covered … Continue reading New Research Shows Greater Biosimilar Utilization in Medicare Advantage →
FDA Hands Coherus Approval for Udenyca® Onbody™ Injector
On December 26, 2023, Coherus Biosciences announced the end of its long journey to bring competition to the full pegfilgrastim product line. The FDA has approved its on-body injection formulation to compete with Amgen’s Neulasta OnPro®. In Coherus’ press release, Danny Lanfear, CEO, stated, “The on-body injector for Udenyca is the result of years of … Continue reading FDA Hands Coherus Approval for Udenyca® Onbody™ Injector →
Bio-Thera Scores Its Second US Biosimilar Approval, Avzivi®
On December 7, the Guangzhou, China–based manufacturer Bio-Thera Solutions announced that it had received FDA approval for its bevacizumab biosimilar. Dubbed Avzivi® (bevacizumab-tnjn), the agent will be marketed (globally) by Sandoz. The drug is indicated for: The biologic licensing application for BAT1706 (the original investigational name for the agent) included the results of a phase … Continue reading Bio-Thera Scores Its Second US Biosimilar Approval, Avzivi® →
Interchange or Change?
In the years since the authorization of the BPCIA in 2010 and the drafting of the US biosimilar pathway in 2012, the Food and Drug Administration has given those in the biosimilar field plenty of complexities and ambiguities to debate. And we, in this column certainly have. First was the notion of adding four-character suffixes, … Continue reading Interchange or Change? →
CVS Caremark’s Formulary Changes: Eye Pain for Eylea
As reported by the Center for Biosimilars, CVS Caremark has announced their 2024 formulary changes. Some of which, especially in the ophthalmology area, are particularly interesting and may shake up the category for wet, age-related macular degeneration. The large PBM decided to exclude from coverage the reference product for aflibercept (Eylea®) despite aflibercept biosimilars having … Continue reading CVS Caremark’s Formulary Changes: Eye Pain for Eylea →
When Will a Biosimilar Version of Xolair® be Available?
Omalizumab is a versatile IgE inhibitor used to treat three indicated conditions: chronic urticaria (a systemic allergic reaction manifested by hives), rhinosinusitis with nasal polyps, and persistent and severe symptoms of allergic asthma. According to the reference product manufacturer, Genentech (a subsidiary of Roche), Xolair’s 2022 US revenues were $2.5 billion, a 9% increase over … Continue reading When Will a Biosimilar Version of Xolair® be Available? →
A Busy Month for Biosimilar Adalimumab Product Updates
Over the past month, several developments have been noted in the adalimumab product space, and we summarize them below. First, according to its early October press release, Pfizer planned to launch its interchangeable biosimilar Abrilada® by the end of that month. Pfizer’s switching studies were carried out using the low-concentration formulation (LCF), so it is … Continue reading A Busy Month for Biosimilar Adalimumab Product Updates →
First Biosimilar Interleukin Approved by the FDA: Amgen’s Wezlana™ Is Interchangeable with Stelara®
On October 31, the FDA announced that Amgen’s biosimilar ustekinumab has won approval as an interchangeable product, marking the first biosimilar approval in this drug category and the first biosimilar for any interleukin agent. Dubbed Wezlana (ustekinumab-auub), the biosimilar is approved for all of Stelara’s indications, including: moderate-to-severe plaque psoriasis (adults and children ≥ 6 … Continue reading First Biosimilar Interleukin Approved by the FDA: Amgen’s Wezlana™ Is Interchangeable with Stelara® →
Update on Coherus’ Quest for Neulasta OnPro® Competitor
Coherus Biosciences has sought to develop an on-body injector formulation of its pegfilgrastim biosimilar Udenyca® that can provide long-awaited competition to Amgen’s Neulasta OnPro. The company suffered a setback when the FDA issued a complete response letter in September, not accepting its supplemental biologic licensing application (BLA). The BLA was rejected because of inspection issues … Continue reading Update on Coherus’ Quest for Neulasta OnPro® Competitor →
Celltrion Scores FDA Approval of SC Infliximab: Will Use of the IV Formulation Be Affected?
On October 23, the FDA approved a new biologic follow-on agent that may significantly affect the US biosimilar industry. Monday’s approval of Celltrion’s subcutaneous (SC) form of infliximab could upset the apple cart on biosimilars uptake in this important drug category. The new drug, dubbed Zymfentra® (the nonproprietary name, infliximab-dyyb, is the same as for … Continue reading Celltrion Scores FDA Approval of SC Infliximab: Will Use of the IV Formulation Be Affected? →
A Biosimilar Mainstay Faces an ASP Cliff
One of the great unknowns of the fierce competition in the biosimilar drug categories has always been what happens when a “pricing floor” is reached. How will payers react? We have heard often that payers may consider reimbursing only at a reference price level (not to be confused with a reference product), which represents the … Continue reading A Biosimilar Mainstay Faces an ASP Cliff →
The Push and Pull of Buy and Bill for Biosimilars on the Medical Benefit
The Office of the Inspector General (OIG) issued a new report in late September on savings associated with part B biosimilars, reiterating that the Medicare program could have saved $419 million in 2021 if it did more to incentivize biosimilar utilization. Similarly, a panel discussion at last week’s GRx+Biosims meeting emphasized that adoption for medical … Continue reading The Push and Pull of Buy and Bill for Biosimilars on the Medical Benefit →
Biosimilars, Generics, and the Sustainability Nexus
Several precarious issues were on everyone’s mind at this year’s GRx+Biosims meeting, organized by the Association for Accessible Medicines. This conference combines the interests of generic manufacturers and biosimilar makers, and one particular speaker, emphasized where these interests meet today: the sustainability of both industries. Christine Baeder, Senior Vice President, US Generics, Teva, pointed out … Continue reading Biosimilars, Generics, and the Sustainability Nexus →
The First Biosimilar for Actemra® is Approved by FDA
Partners Biogen and Bio-Thera announced on September 29 that they received US approval for Tofidence™ (tocilizumab-bavi), the first biosimilar for the interleukin-6 drug category. The drug is approved for the same indications as the reference product Actemra: treatment of moderately to severely active rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, and systemic juvenile idiopathic arthritis. Formerly … Continue reading The First Biosimilar for Actemra® is Approved by FDA →
Sandoz to Market Samsung Bioepis’ Ustekinumab Biosimilar
Samsung Bioepis announced this week that it had signed a commercialization agreement with Sandoz regarding their investigational biosimilar ustekinumab candidate SB17. This is Samsung Bioepis’ first marketing agreement with Sandoz; the company has marketing agreements in place with Organon for Renflexis® (infliximab), Hadlima® (adalimumab), and Ontruzant® (trastuzumab); and with Biogen for Byooviz®. In response to … Continue reading Sandoz to Market Samsung Bioepis’ Ustekinumab Biosimilar →
Outlook Therapeutics Gets FDA Rejection on Its Ophthalmologic Bevacizumab Formulation
The quest for a manufactured ophthalmologic version of bevacizumab continues. The use of compounded bevacizumab has been considered a low-cost alternative to ranibizumab for the treatment of wet age-related macular degeneration (AMD). This may comprise up to half of the wet AMD utilization. Outlook Therapeutics, which has sought to bring its ONS-5010 product to market, … Continue reading Outlook Therapeutics Gets FDA Rejection on Its Ophthalmologic Bevacizumab Formulation →
Two More Patent Settlements and Launch Dates for Ustekinumab Biosimilars
In early August, partners Fresenius Kabi and Formycon announced that they had reached an agreement with Johnson & Johnson to launch FYB202, if approved by the FDA, “no later than April 15, 2025.” Later that month, Celltrion finalized its patent agreement for CT-P43, enabling a launch in March 2025. Celltrion had filed its 351(k) application … Continue reading Two More Patent Settlements and Launch Dates for Ustekinumab Biosimilars →
Three Biosimilar Targets in CMS’s Sights
With the announcement today of the first 10 drugs to be subject to the Medicare price negotiation provisions of the Inflation Reduction Act, three of these agents are of interest to the biosimilar community—Enbrel®, Stelara®, and NovoLog®. With the initial implementation date of the newly “negotiated” prices set for January 1, 2026, it is likely … Continue reading Three Biosimilar Targets in CMS’s Sights →
What is Cordavis and Why Will It Be Important to CVS Health and Biosimilars?
On Wednesday August 23rd, CVS Health released information regarding an agreement with Sandoz, which will start its new venture called Cordavis in 2024. The fact that this agreement centers around Sandoz’s adalimumab biosimilar Hyrimoz® raises questions regarding the strategy and potential value of this option. Sandoz introduced Hyrimoz in July of this year with both … Continue reading What is Cordavis and Why Will It Be Important to CVS Health and Biosimilars? →
Sandoz Notches Approval of Tyruko, First Biosimilar to Treat Multiple Sclerosis
On August 24, the FDA announced that it had approved its 42nd biosimilar—Sandoz’s Tyruko® (natalizumab-sztn), a new biosimilar agent for the treatment of relapsing forms of multiple sclerosis (MS) (an initial clinically isolated occurrence, relapsing-remitting disease, and secondary progressive disease). As with the reference product Tysabri®, Tyruko is also indicated to induce and maintain clinical … Continue reading Sandoz Notches Approval of Tyruko, First Biosimilar to Treat Multiple Sclerosis →
Simplifying Biosimilar Development to Ensure Long-Term Competition
I’m not sure if you saw it, but leading biosimilar industry scientists/advocates published in BioDrugs an exemplary summary of the steps regulators may take now to expand the biosimilar pipeline tomorrow. Importantly, these steps are not recommended to improve profits but because the regulatory science and biosimilar experience fully supports it. The article, written by … Continue reading Simplifying Biosimilar Development to Ensure Long-Term Competition →
Where’s Pfizer’s Adalimumab Biosimilar?
In the mass of adalimumab launches in July, it may be tough to spot the one missing player. This is not a game of Where’s Waldo? but rather, where’s Pfizer’s Abrilada™? Well, that’s a good question. Of the competitors that have gained FDA approval, they are the only manufacturer that did not launch its product … Continue reading Where’s Pfizer’s Adalimumab Biosimilar? →
Ranibizumab Biosimilar Updates: A Nascent Market but Limited Competition
Ranibizumab (Lucentis®) was the first opportunity for biosimilar manufacturers in the lucrative ophthalmology market. Not withstanding the potential launches of biosimilars for market-leader aflibercept (Eylea®), which holds the greatest marketshare, and the performance of other biobetters or brands (Vabysmo®, Susvimo®), some early ranibizumab biosimilar uptake is occurring. However, a third competitor, which may be crucial … Continue reading Ranibizumab Biosimilar Updates: A Nascent Market but Limited Competition →
Projecting at Least 40% Lower 2023 Humira® Net Costs in US
With the reporting of AbbVie’s second-quarter earnings, we are getting a better understanding of the substantial savings accruing to the US health system as a result of biosimilar competition. AbbVie reported yesterday that net US revenues from Humira dropped 26% in the US for the six months ending June 30th to $6.4 billion. For the … Continue reading Projecting at Least 40% Lower 2023 Humira® Net Costs in US →
Twelve Potential Competitors and Counting: An Update of the Denosumab Biosimilar Pipeline
In the 2½ years since we last updated the denosumab biosimilar pipeline, several new manufacturing/commercialization partners have emerged on the horizon, and the first 351(k) application has been filed with the Food and Drug Administration (FDA). As importantly, denosumab, along with ustekinumab, appears to be one of the most hotly contested biosimilar categories for the … Continue reading Twelve Potential Competitors and Counting: An Update of the Denosumab Biosimilar Pipeline →
An Attempt to Eliminate the Interchangeability Designation
A new senate proposal seeks to remove the Food and Drug Administration’s (FDA’s) interchangeable designation. If passed, it would enable all biosimilars to be considered interchangeable with their individual reference products. The Biosimilar Red Tape Elimination Act was introduced July 13, 2023 by Senators Mike Lee (R-UT), Ben Ray Lujan (D-NM), Mike Braun (R-IN), and … Continue reading An Attempt to Eliminate the Interchangeability Designation →
The Adalimumab Biosimilar Great Wave Launches, and WAC Pricing Covers the Spectrum
A tidal surge of biosimilar competitors to Humira® launched this week, with at least a couple of surprises. Last month, Coherus announced their huge price discount, based on the reference product’s wholesale acquisition cost (WAC). Samsung Bioepis/Organon has decided to meet that 85% discount. None of the other competitors raised the ante, but Sandoz and … Continue reading The Adalimumab Biosimilar Great Wave Launches, and WAC Pricing Covers the Spectrum →
Adalimumab Biosimilar Savings Will Cause Payers to Rejoice, for the Short-Term Anyway
We are heading down the home stretch for the July launches of multiple adalimumab biosimilars, and much is occurring that is noteworthy. Coherus’ announcement earlier this month that it will be discounting 85% off of Humira®’s list price set off a great deal of discussion. The implications can be far reaching, for payers, the reference … Continue reading Adalimumab Biosimilar Savings Will Cause Payers to Rejoice, for the Short-Term Anyway →
Second Prospective Ustekinumab Biosimilar Maker Signs Licensing Agreement With J&J
As reported in late May, Amgen settled with Johnson & Johnson to launch its biosimilar version of Stelara® by January 1, 2025. That signaled the beginning of licenses being provided to the other manufacturers, confirmed by an agreement between Alvotech and the reference drug maker. According to the June 12 press release, Alvotech and its … Continue reading Second Prospective Ustekinumab Biosimilar Maker Signs Licensing Agreement With J&J →
Celltrion’s Adalimumab Biosimilar Yuflyma® Receives FDA Approval
In time for its expected July launch, Celltrion USA received the FDA’s go-ahead yesterday to market Yuflyma, a high-concentration form of adalimumab. Its nonproprietary name is adalimumab-aaty. The biosimilar’s approval covers the eight main indications shared by the other approved biosimilars for adalimumab: This represents Celltrion’s fifth biosimilar approval in the US, and its second … Continue reading Celltrion’s Adalimumab Biosimilar Yuflyma® Receives FDA Approval →
Amgen Settles With J&J: Its Ustekinumab Biosimilar to Launch by Jan 1, 2025
Ustekinumab’s principal patents are set to expire in September of this year, and prospective biosimilar makers are lining up to join this next immunology marketplace. However, in a patent litigation settlement announced on May 23, the launch of the biosimilars to Stelara® may have to wait a bit. Amgen’s settlement with the reference drug maker … Continue reading Amgen Settles With J&J: Its Ustekinumab Biosimilar to Launch by Jan 1, 2025 →
Why Aren’t There More Patent Cases Pending, Considering the Size of the Biosimilar Pipeline?
On May 1, Amgen filed a lawsuit in District Court against Sandoz and its former parent Novartis regarding patents on denosumab, sold under the Prolia® and Xgeva® brand names. The fact that the lawsuit was filed is not surprising, as BPCIA suits have been routinely filed in the past in an effort by reference manufacturers … Continue reading Why Aren’t There More Patent Cases Pending, Considering the Size of the Biosimilar Pipeline? →
A Conversation with Thomas Nusbickel, Chief Commercial Officer, Senior VP, Celltrion USA
We first met Thomas Nusbickel in 2014 when he was Hospira’s Head of US Market Access and involved with the commercialization of Hospira’s Retacrit®, slated at the time to become one of the first biosimilars approved by the FDA. Tom went on to a distinguished career in biosimilars, and he is currently leading the effort … Continue reading A Conversation with Thomas Nusbickel, Chief Commercial Officer, Senior VP, Celltrion USA →
Prospective Biosimilar Maker Lannett Files Chapter 11 Bankruptcy
On May 2, The Lannett Company Inc. disclosed that it had filed for Chapter 11 bankruptcy. The company has been working on an insulin glargine biosimilar candidate. On April 4th Lannett reported that its biosimilar insulin had met all primary and secondary endpoints and was not associated with serious adverse events. This was a pivotal … Continue reading Prospective Biosimilar Maker Lannett Files Chapter 11 Bankruptcy →
First-Quarter Sales of Adalimumab Reveal Plenty of Savings, but Little Early Revenue for Amgen
Yesterday marked two important earnings calls for the adalimumab market, and the results were mixed at best for both manufacturers involved. As everyone is well aware, 2023 is the year of adalimumab launches, and Amgen’s Amjevita® was the first to compete with AbbVie’s originator biologic Humira®. Launched on January 31, the question of how many … Continue reading First-Quarter Sales of Adalimumab Reveal Plenty of Savings, but Little Early Revenue for Amgen →
A Conversation With Sarfaraz K. Niazi, PhD: Part 2
Dr. Niazi, Adjunct Professor of Pharmaceutical Sciences at the University of Illinois and the University of Houston, founded the first US biosimilar company, Therapeutic Proteins (later Adello and Kashiv), and is the founder of Novel351k, as well as a biosimilar advisory company PharmSci. In part 2 of this two-part interview, we talked with Dr. Niazi … Continue reading A Conversation With Sarfaraz K. Niazi, PhD: Part 2 →
The Drug Industry Rightly Fears Judicial Overreach
I am appalled that this subject needs to be addressed. The US Food and Drug Administration (FDA) isn’t perfect, but it is still the global gold standard for evaluating medicines for safety and effectiveness. The FDA, though not quite recovered from the self-inflicted damage caused by the Aduhelm® approval mess, is staffed by scientists who … Continue reading The Drug Industry Rightly Fears Judicial Overreach →
A Conversation With Sarfaraz K. Niazi, PhD: Part 1
Recently, we conducted a Web-based interview with someone who has been exceedingly important to the advancement of the biosimilar industry, Sarfaraz Niazi, PhD. Dr. Niazi, Adjunct Professor of Pharmaceutical Sciences at the University of Illinois and the University of Houston, founded the first US biosimilar company, Therapeutic Proteins (later Adello and Kashiv), and is the … Continue reading A Conversation With Sarfaraz K. Niazi, PhD: Part 1 →
Biosimilar Bytes
An FDA Application Filed for a New Trastuzumab Biosimilar Accord BioPharma and its manufacturing partner Shanghai Henlius Biotech announced that the US Food and Drug Administration (FDA) accepted its 351(k) application for HLX02, a trastuzumab biosimilar candidate. The company is seeking similar HER2-overexpressing tumor indications as its competitors. If approved, it would be Accord’s first … Continue reading Biosimilar Bytes →
Many VEGF Inhibitor Options for Macular Degeneration and Edema, but Bevacizumab Is Still the Cost-Effectiveness Champ
Of the several classes of agents used to treat wet age-related macular degeneration or diabetic macular edema, no one drug does a better job of improving vision than the others. The only differentiating feature of the available biologics involves the frequency of intravitreal injections. There are large differences in prices, however, and this is why … Continue reading Many VEGF Inhibitor Options for Macular Degeneration and Edema, but Bevacizumab Is Still the Cost-Effectiveness Champ →
Advancing Global Harmonization of Biosimilar Evaluations
Manufacturers of biosimilars realize that the US market comprises roughly 60% of global pharmaceutical revenues. Therefore, the US Food and Drug Administration’s regulatory standards weigh heavily on the minds of pharmaceutical executives. For companies that sell or intend to sell their biosimilars on the global market, they must adhere to the standards of regional and … Continue reading Advancing Global Harmonization of Biosimilar Evaluations →
Insulin Price Cuts and the Questions for the Biosimilar Market
The national news has been awash with announcements by the three major branded insulin manufacturers of price cuts of up to 80%. Sanofi was the last to announce its 78% insulin price cut. Lilly announced 70% reductions, and Novo Nordisk dropped its insulin prices by 75%. Importantly, the announcements were also accompanied by a $35 … Continue reading Insulin Price Cuts and the Questions for the Biosimilar Market →
Which Ten Medicines Will Be Medicare’s First Drug Price Negotiation Targets?
Numerous groups are trying to determine which of Medicare’s high-cost medicines will be the first targets of the Inflation Reduction Act’s drug price negotiations in 2026. On March 13, Reuters published a list based on a Wall Street consensus. Earlier this month, researchers from the West Health Policy Center in Washington, DC, and Skaggs School … Continue reading Which Ten Medicines Will Be Medicare’s First Drug Price Negotiation Targets? →
Coherus’ Struggling Picture Prior to Udenyca On-Body Injector Approval and Yusimry Launch
On its 2022 earnings call last week, Coherus Biosciences revealed some promising tidbits but the overall impression is worrisome, just prior to its Yusimry® launch in July. During the earnings call, Coherus executives announced that it had filed for approval of the long-awaited, first competitor to Neulasta OnPro®. Last year, the company was hoping that … Continue reading Coherus’ Struggling Picture Prior to Udenyca On-Body Injector Approval and Yusimry Launch →
How Much Does Provider Comfort With Biosimilar Prescribing Matter?
They love me, they love me not, they love me, they love me not… For several years, we’ve been reading surveys or hearing anecdotal reports that certain specialists are more willing than others to prescribe various biosimilars. For instance, it is widely accepted that oncologists have less resistance to biosimilar prescription than say gastroenterologists (GIs). … Continue reading How Much Does Provider Comfort With Biosimilar Prescribing Matter? →
FDA Seeking Help With Biosimilar Development Streamlining Process
One of the main thrusts of the recently passed BsUFA III legislation was to continue the evolution towards streamlining the clinical trial requirements for new biosimilar candidates. That process is seemingly moving forward with the request for funding opportunity proposals from the Food and Drug Administration (FDA) that “enhance biosimilar and interchangeable product development and … Continue reading FDA Seeking Help With Biosimilar Development Streamlining Process →
The Inflation Reduction Balancing Act on Rebate Clawbacks
Among the Inflation Reduction Act’s many healthcare-related provisions, is the ability for Medicare to negotiate drug pricing for a subset of high-cost drugs. Payers and policy makers have sought this provision for several years. The pharmaceutical industry has been a fierce opponent, as one would expect. This week, the Department of Health and Human Services … Continue reading The Inflation Reduction Balancing Act on Rebate Clawbacks →
Sandoz Sends 351(k) BLA to FDA for First Denosumab Biosimilar
On February 6, Sandoz announced that the FDA has accepted its application for approval of a biosimilar to denosumab (reference brands, Prolia® and Xgeva®, from Amgen). Sandoz opted not to seek a “skinny label.” The application seeks Prolia’s full set of osteoporosis indications as well as Xgeva’s oncology indications (postmenopausal women and in men at … Continue reading Sandoz Sends 351(k) BLA to FDA for First Denosumab Biosimilar →
Amgen Launches Amjevita® With Two WAC-Based Pricing Options
The adalimumab competition is officially open for business, and Amgen came out of the gate launching Amjevita in two WAC-based pricing options to appeal to a broad market. One of the biosimilar industry’s main concerns is that adalimumab, the first biosimilar antibody, will be funded and managed through the pharmacy benefit. As such, pharmacy benefit … Continue reading Amgen Launches Amjevita® With Two WAC-Based Pricing Options →
Put Your Money Where Your Mouth Is
We are heading down the stretch for the most lucrative biosimilar market that may ever open in the US healthcare system. On January 31, Amgen will launch its long-awaited biosimilar Amjevita®. The opening of the long-delayed competition for adalimumab marks the latest and most important era in the biosimilar timeline. Personally, I’ve been writing about … Continue reading Put Your Money Where Your Mouth Is →
Alvotech’s Ustekinumab Biosimilar Application With the FDA: Decision Expected Before End of Year
Alvotech has emerged first out of the blocks in the race to bring a Stelara® biosimilar to the US market. The company announced that the FDA accepted its 351(k) application for AVT02 on January 6, which should position it for a decision in the fourth quarter of this year. Alvotech had announced a successful conclusion … Continue reading Alvotech’s Ustekinumab Biosimilar Application With the FDA: Decision Expected Before End of Year →
Celltrion Files FDA Application for Subcutaneous Form of Infliximab
In November 2019, Celltrion received approval in Europe for its subcutaneous (SC) form of infliximab. At that time, we speculated on the dramatic implications such an approval might have in the US. More than three years later, Celltrion’s US division announced that it had completed its 351(a) submission to the US Food and Drug Administration. … Continue reading Celltrion Files FDA Application for Subcutaneous Form of Infliximab →
40th Biosimilar Approved: Fresenius Kabi Gets FDA’s Nod on Idacio®
On December 14, Fresenius Kabi announced that the US Food and Drug Administration approved its adalimumab biosimilar, Idacio (adalimumab-aacf). This is the eighth Humira® biosimilar approved, and Fresenius Kabi expects to launch the agent in July, along with several of its competitors. Idacio is a citrate-free, low-concentration dose formulation of adalimumab. The company has not … Continue reading 40th Biosimilar Approved: Fresenius Kabi Gets FDA’s Nod on Idacio® →
PBM Trade Association Offers Key Changes to Improve Biosimilar Competitiveness
According to the Pharmaceutical Care Management Association (PCMA), biosimilars can play a much more influential role in managing the cost of specialty pharmaceuticals; however, the federal government will have to take stronger initiatives to make that happen. The trade organization’s white paper “PBMs Support the Proliferation and Use of Biosimilars” outlines some key steps that … Continue reading PBM Trade Association Offers Key Changes to Improve Biosimilar Competitiveness →
Biogen Announces Submission of Its 351(k) Application for Actemra® Biosimilar
Competition is heating up in a new drug category. Biogen announced today that the FDA has accepted its biosimilar application for BIIB800 (also known as BAT1806), a potential competitor to the reference product Actemra (tocilizumab). This is the second tocilizumab biosimilar sent for approval by the FDA. In August, Fresenius Kabi announced that it filed … Continue reading Biogen Announces Submission of Its 351(k) Application for Actemra® Biosimilar →
J&J Slaps Patent Suit on Amgen Over Impending Stelara® Biosimilar
Patent litigation over biosimilars charges forward, with a new lawsuit filed on November 29 by Johnson & Johnson’s Janssen unit over Amgen’s efforts to bring a ustekinumab biosimilar to the marketplace. Stelara is expected to be a hotly contested market, with five manufacturers completing phase 3 trials through the first half of 2023. The principal … Continue reading J&J Slaps Patent Suit on Amgen Over Impending Stelara® Biosimilar →
A Conversation With Ian Henshaw
It has been a busy year for biosimilars at Biogen, starting early in the year with with the sale of its stake in Samsung Bioepis. During Global Biosimilars Week, we interviewed Ian Henshaw, Biogen’s Senior Vice President and Global Head of Biosimilars, to get his perspectives on what the coming year has in store. BR&R: … Continue reading A Conversation With Ian Henshaw →
Lilly’s Rezvoglar Joins the Ranks of the Interchangeable Insulins
On November 16, the Food and Drug Administration (FDA) granted its second interchangeable designation to an insulin glargine product, Rezvoglar®, manufactured by Eli Lilly. Rezvoglar was first approved as a biosimilar in December 2021. Viatris’ Semglee® was the first glargine product given the interchangeable designation, in July 2021 (it was originally approved as a 505(b)2 … Continue reading Lilly’s Rezvoglar Joins the Ranks of the Interchangeable Insulins →
OptumRx Reveals a 2023 Decision on Adalimumab Biosimilars
This week, OptumRx announced that AbbVie’s Humira® will not be the sole covered adalimumab product in 2023 and it will not be advantaged over biosimilars. The announcement made at an HLTH conference on November 15 was the first official pronouncement by a major pharmacy benefit manager (PBM) regarding adalimumab coverage plans. Heather Cianfrocco, CEO of … Continue reading OptumRx Reveals a 2023 Decision on Adalimumab Biosimilars →
What We May Have Here Is a Failure to Communicate
Since the adalimumab biosimilars are typically covered under insurers’ and health plans’ pharmacy benefit, pharmacy benefit managers (PBMs) will be the key drivers of these upcoming coverage decisions. Pharmacy benefit managers and their client health plans and self-funded employers do not necessarily have the same incentives. This is unfortunate, and may cause issues in the … Continue reading What We May Have Here Is a Failure to Communicate →
Can Biosimilars Fund New Specialty Pipeline Development?
One of the main societal benefits of biosimilar introductions has always been to create savings that can be used to finance the utilization of future novel agents. The introduction of generic drugs saved the US healthcare system billions from the 1980s through 2010, and this money helped finance our ability to pay for specialty pharmaceuticals. … Continue reading Can Biosimilars Fund New Specialty Pipeline Development? →
Biosimilar Bytes
BBCIC Wins $1.3 Million FDA Grant The Biologics & Biosimilars Collective Intelligence Consortium (BBCIC) announced receiving a two-year grant for a new study focused on increasing the efficiency of biosimilar drug development and review. The study is entitled “Improving the Efficiency of Regulatory Decisions for Biosimilars and Interchangeable Biosimilars by Leveraging Real-World Data to Produce … Continue reading Biosimilar Bytes →
Celltrion Earns FDA Nod for Bevacizumab Biosimilar
On September 28, the Food and Drug Administration (FDA) approved Celltrion’s Vegzelma™, a biosimilar to Roche’s Avastin®. Dubbed bevacizumab-adcd, this vascular endothelial growth factor (VEGF) is indicated for the treatment of: Recurrent or advanced nonsquamous non–small cell lung cancer Metastatic renal cell carcinoma Recurrent glioblastoma Recurrent or advanced cervical cancer Epithelial ovarian cancer Fallopian tube … Continue reading Celltrion Earns FDA Nod for Bevacizumab Biosimilar →
FDA’s BsUFA III Features
At last week’s DIA Biosimilar 2022 conference in Arlington, Virginia, speakers from the Food and Drug Administration (FDA) were optimistic that the current BsUFA III proposal would be voted on and signed into law shortly, and they focused on some of the larger issues addressed by the bill. Jacqueline Corrigan-Currey, MD, JD, Principal Deputy Director … Continue reading FDA’s BsUFA III Features →
The Inflation Reduction Act: Reducing Drug Prices and Maybe Future Biosimilar Development
The Law of Unintended Consequences is an axiom of legislating proved over and over again by the US Congress. In major legislation, there are always issues that (1) were not fully considered in writing the bill or (2) are a direct, unexpected consequence of the law’s implementation. The reconciliation route used to create and pass … Continue reading The Inflation Reduction Act: Reducing Drug Prices and Maybe Future Biosimilar Development →
Can Biosimilar Development Costs Be “Genericized”?
The argument has been raging for many years: What is the actual cost to bring a novel drug to market? The oft-cited figure from the 2014 Tufts Center for the Study of Drug Development of $2.6 billion seemed bloated. Several others have countered that the figure is actually far lower, perhaps a mean of $1.3 … Continue reading Can Biosimilar Development Costs Be “Genericized”? →
FDA Approves Fresenius Kabi’s Pegfilgrastim Biosimilar Stimufend
On September 6, Fresenius Kabi announced that it had received FDA approval for Stimufend® (pegfilgrastim-fpgk). This agent will be marketed in 2023, according to the company. The first US biosimilar approval for Fresenius Kabi, Stimufend is indicated for use in patients with non-myeloid malignancies receiving myelosuppressive anticancer drugs associated with clinically significant incidence of febrile … Continue reading FDA Approves Fresenius Kabi’s Pegfilgrastim Biosimilar Stimufend →
Alvotech’s Adalimumab BLA Tripped Up by FDA
Alvotech and Teva plan to launch ATV02, their high-concentration, citrate-free, interchangeable biosimilar version of Humira® in July 2023. However, the US Food and Drug Administration (FDA) issued the company a complete response letter this week, citing Alvotech’s manufacturing issues, which could delay those plans. The FDA has been catching up on facility inspections (see also … Continue reading Alvotech’s Adalimumab BLA Tripped Up by FDA →
Samsung Bioepis and Organon Score Citrate-Free, High-Concentration Dose Approval
On August 17, the Food and Drug Administration granted approval to partners’ Samsung Bioepis and Organon for its new formulation of Hadlima™. This adalimumab biosimilar is now approved for use in a citrate-free, high-concentration formulation, in addition to its low-concentration, non–citrate free version that was approved in July 2019. In its press release, Samsung Bioepis’ … Continue reading Samsung Bioepis and Organon Score Citrate-Free, High-Concentration Dose Approval →
Tocilizumab Biosimilars Approaching: Developments on Three Fronts
This IL-6 is approved for treating several autoimmune diseases, including rheumatoid arthritis, giant cell arteritis, polyarticular juvenile idiopathic arthritis, and systemic juvenile idiopathic arthritis. Roche’s reference product Actemra® was also the subject of an Emergency Use Approval for the treatment of COVID-19. In 2021 Roche’s U.S. sales of Actemra totaled $1.9 billion. In a second-quarter … Continue reading Tocilizumab Biosimilars Approaching: Developments on Three Fronts →
Appeals Court Says “So What?” to Patent Thickets
AbbVie has successfully defended against a suit that accused the Humira® maker of violating antitrust laws by agreeing to settlements with all of the other biosimilar adalimumab makers and that it impeded competition through its filing of 132 patents on the drug. U.S. Circuit Court Judge Frank Easterbrook ruled on August 1 that the patent … Continue reading Appeals Court Says “So What?” to Patent Thickets →
Coherus Scores Approval of Cimerli® as Interchangeable Ranibizumab Biosimilar
In a couple of firsts, the U.S. Food and Drug Administration (FDA) approved the second biosimilar ranibizumab on August 2, but the first as an interchangeable ranibizumab agent and the first as an interchangeable that did not require extensive switching studies for approval. The new biosimilar, named Cimerli (ranibizumab-eqrn), will be marketed in October 2022 … Continue reading Coherus Scores Approval of Cimerli® as Interchangeable Ranibizumab Biosimilar →
A Conversation With Sonia T. Oskouei, PharmD, Vice President of Biosimilars, Cardinal Health: Part 2
In the second part and conclusion of our conversation, Dr. Oskouei and I discuss several other interesting aspects of switching among products within a drug category, including biosimilars and follow-on agents, the potential barriers to switching in the ophthalmology category, and how to collect data on biosimilar switching. Stanton Mehr, Content Director, BR&R: We can … Continue reading A Conversation With Sonia T. Oskouei, PharmD, Vice President of Biosimilars, Cardinal Health: Part 2 →
A Conversation With Sonia T. Oskouei, PharmD, Vice President of Biosimilars, Cardinal Health
In part 1 of this conversation, Dr. Oskouei and I take a deep dive into biosimilar-to-biosimilar switching, a potentially confusing topic that will grow in importance within the next couple of years. (Note: See also the BR&R post on a new study released this week on the safety of biosimilar-to-biosimilar switching—S.M.) Stanton Mehr, Content Director, … Continue reading A Conversation With Sonia T. Oskouei, PharmD, Vice President of Biosimilars, Cardinal Health →
New Systematic Review Gives Thumbs up to Biosimilar-to-Biosimilar Switching
A multinational group of researchers conducted a systematic review of the real-world data collected when patients taking one biosimilar switch to another biosimilar for the same reference product. They assessed 626 reports of biosimilar switching, which were screened for duplication and validity, resulted in a comprehensive evaluation of 23 peer-reviewed articles and abstracts, comprising 3,657 … Continue reading New Systematic Review Gives Thumbs up to Biosimilar-to-Biosimilar Switching →
Sandoz Submits 351(k) Application for Biosimilar Natalizumab to Treat MS
On July 25, Sandoz announced that the Food and Drug Administration has accepted its 351(k) application for the first biosimilar in the multiple sclerosis category. Developed by its partner Poland-based Polpharma Biologics, PB006 is a natalizumab biosimilar (reference product, Biogen’s Tysabri®). The agent is an integrin-receptor antagonist that has been prescribed since 2004. Sales revenues … Continue reading Sandoz Submits 351(k) Application for Biosimilar Natalizumab to Treat MS →
Prelaunch Adalimumab Updates Keep Coming: Sandoz’s Filing on Hyrimoz
Biosimilar makers continue to supplement their biosimilars’ profile in an effort to produce the most attractive offering to payers. In the latest news, Sandoz announced that it filed a supplemental application with the Food and Drug Administration (FDA) to gain approval for a high concentration and citrate-free formula. Sandoz’s adalimumab biosimilar Hyrimoz® was initially approved … Continue reading Prelaunch Adalimumab Updates Keep Coming: Sandoz’s Filing on Hyrimoz →
Self-Injectable Biosimilar Drugs and the Pharmacy Benefit
With the approval of the first ranibizumab biosimilar and its launch by Samsung Bioepis/Organon earlier this month, the question arises as to whether this drug will be covered under the medical or pharmacy benefit. Typically, biologics infused or injected in the provider’s office are covered under the medical benefit for commercial insurers or Part B … Continue reading Self-Injectable Biosimilar Drugs and the Pharmacy Benefit →
Skinny Labels From the Attorney’s Perspective
In February 2020, the Food and Drug Administration issued a six-page draft guidance for biosimilar makers seeking licensure for only some of the reference product’s indications. “It’s bare bones for a reason,” said W. Blake Coblentz, Co-Chair, Hatch–Waxman and Biologics Litigation Group at the law firm Cozen O’Connor. “The FDA is encouraging the applicant to … Continue reading Skinny Labels From the Attorney’s Perspective →
A Dispatch From the Biosimilar World of IP and Patents
I joined millions of Americans who took to the road and skies last week—not to celebrate the nation’s founding—but to attend my third symposium by the American Conference Institute on Innovative Biologics and Biosimilars. The differentiating feature of this meeting is that its primary focus is on the evolving patent and intellectual property (IP) arena … Continue reading A Dispatch From the Biosimilar World of IP and Patents →
Can Biosimilars Help Reduce America’s Medical Debt?
On June 16th, Kaiser Health News released rather stunning information. A survey by the Kaiser Family Foundation and NPR found that upwards of 100 million Americans have unpaid medical debt. This is crucial to the question of biosimilar availability and the affordability of medicines in general. Whether you believe that medical debt is ubiquitous, inevitable, … Continue reading Can Biosimilars Help Reduce America’s Medical Debt? →
Phase 3 Data on Samsung Bioepis’ Eculizumab Biosimilar Confirms Equivalence to Soliris
Samsung Bioepis announced that its eculizumab biosimilar candidate successfully completed its phase 3 trial in patients with paroxysmal nocturnal hemoglobinuria (PNH). The randomized, double-blind, crossover trial pitted the eculizumab biosimilar against the reference biologic Soliris® in 50 patients. Twenty-five patients received either SB12 or Soliris® 600 mg intravenously every week for 4 weeks, followed by … Continue reading Phase 3 Data on Samsung Bioepis’ Eculizumab Biosimilar Confirms Equivalence to Soliris →
Cedars-Sinai Health System Leverages Oncology Biosimilar Savings Through Its EHR
Cedars-Sinai Health System had a 55% biosimilar substitution rate for its reference bevacizumab, rituximab, and trastuzumab agents prior to January 2021. At the American Society of Community Oncologists 2022 annual meeting, a poster presentation detailed a project to increase the health system’s biosimilar substitution rate substantially across its medical center and affiliated practice sites. None … Continue reading Cedars-Sinai Health System Leverages Oncology Biosimilar Savings Through Its EHR →
Federal Trade Commission to Investigate PBM Practices
Scrutiny on pharmacy benefit managers (PBMs) has just been ratcheted up considerably. The Federal Trade Commission (FTC) announced on June 7 the launch of its investigation into PBM practices, targeting the largest players. This investigation comes at an extremely crucial time for the biosimilar industry, as manufacturers prepare to negotiate with these same PBMs for … Continue reading Federal Trade Commission to Investigate PBM Practices →
Samsung Bioepis and Biogen Announce Launch of First Ranibizumab Biosimilar in US
Approved in September 2021, partners Samsung Bioepis and Biogen have disclosed that their ranibizumab biosimilar Byooviz™ will be commercially available on July 1. The agent is approved by the U.S. Food and Drug Administration (FDA) to treat neovascular (wet) age-related macular degeneration, macula edema following retinal vein occlusion, and myopic choroidal neovascularization. Lower Biosimilar Cost … Continue reading Samsung Bioepis and Biogen Announce Launch of First Ranibizumab Biosimilar in US →
Partners Amneal and Kashiv Score Approval From FDA for Their Pegfilgrastim Biosimilar
On May 27, Amneal Pharmaceuticals announced that the U.S. Food and Drug Administration granted approval to Fylnetra™ (pegfilgrastim-pbbk), a new biosimilar that will launch later this year. Amneal has been busy this year in the biosimilar area: This is its third biosimilar approval since January 1. The two earlier approvals, for filgrastim and bevacizumab biosimilars, … Continue reading Partners Amneal and Kashiv Score Approval From FDA for Their Pegfilgrastim Biosimilar →
What Does Success Look Like in the Biosimilar Arena?
Can biosimilars be called successful if a minority are designated preferred products on formulary, but not all? What if the net-cost savings associated with a biosimilar is 30% lower, but not 60% than a reference biologic a few years postlaunch? Or the marketing of a biosimilar stopped the annual price increases of the reference drug? … Continue reading What Does Success Look Like in the Biosimilar Arena? →
More Confirmation that Payers Will Cover Beyond the Skinny Label
Since the conception of the biosimilar regulatory pathway in 2010, the term extrapolation has caused confusion and angst for many health system stakeholders. Would the Food and Drug Administration (FDA) approve a biosimilar for all of the reference product’s autoimmune indications, for example, if its clinical studies were in one or two indications only? Mostly, … Continue reading More Confirmation that Payers Will Cover Beyond the Skinny Label →
Competition Squeezes Coherus’ Pegfilgrastim Revenues: Big Expectations for its On-Body Injector
Coherus Biosciences thinks it will be able to amp up its Udenyca® sales in 2023, by introducing a competitor on-body injector to Neulasta OnPro®. According to IQVIA data, Amgen’s Neulasta OnPro currently has about half of the marketshare for the entire pegfilgrastim category. Biosimilars hold approximately 30% of the total uptake, and Coherus’ product is … Continue reading Competition Squeezes Coherus’ Pegfilgrastim Revenues: Big Expectations for its On-Body Injector →
Will a Pharmacy Benefit Design Someday Include a Biosimilar Tier? Not Likely, and Here’s Why
For the first several years of biosimilar research, approvals, and launches, we wondered aloud whether payers could potentially introduce a “biosimilar tier,” a low cost–sharing tier that would entice patients to switch to less-expensive biosimilars by using the low-copay carrot approach. This was discussed with patient advocates as well as payers. Plans covering biosimilars, specifically … Continue reading Will a Pharmacy Benefit Design Someday Include a Biosimilar Tier? Not Likely, and Here’s Why →
And Then There Were None: Celltrion Signs AbbVie Licensing Deal for Its Adalimumab Biosimilar CT-P17
South Korea–based Celltrion Healthcare announced on April 27 that it has completed its negotiations with AbbVie and that it expects to launch its biosimilar at the same time as the rest of the field—in July 2023. It was the last remaining Abbvie licensing deal to be completed for the Humira® biosimilars. Celltrion’s biosimilar, CT-P17, is … Continue reading And Then There Were None: Celltrion Signs AbbVie Licensing Deal for Its Adalimumab Biosimilar CT-P17 →
Preliminary Phase 3 Study Data Looking Good for Amgen’s Ustekinumab Biosimilar
Amgen announced on April 18 that its 563-patient study of ABP 654’s efficacy and safety is not demonstrating any clinically meaningful differences compared with the reference product Stelara® in moderate-to-severe plaque psoriasis. The study completion date is scheduled for early June 2022, whereas a multiswitch study is scheduled for completion March 2023. Based on the … Continue reading Preliminary Phase 3 Study Data Looking Good for Amgen’s Ustekinumab Biosimilar →
Amneal Scores FDA Approval of Alymsys®, a Biosimilar of Bevacizumab
On March 1, Amneal announced that it had entered the biosimilar market with the FDA approval of its filgrastim biosimilar (Releuko®). On April 14, the company announced another major step on its biosimilar journey: the approval of its second biosimilar, a new version of bevacizumab. Dubbed Alymsys (bevacizumab-maly), the new agent is the third Avastin® … Continue reading Amneal Scores FDA Approval of Alymsys®, a Biosimilar of Bevacizumab →
A Profile on Lesser-Known Player in the Biosimilar Space: Prestige Biopharma
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight an interesting company based in Singapore. Founded … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Prestige Biopharma →
Biosimilar Bytes
What do nanomedicines and biosimilars have in common? Not much, one might think. At the 2022 annual meeting of the Academy of Managed Care Pharmacy, we learned a new term: nanosimilars. John Hertig, PharmD, MS, Associate Professor at Butler University described nanomedicines as complex, non-biologic pharmaceuticals that range up to 1,000 nm in size. They … Continue reading Biosimilar Bytes →
A Conversation With Sarah Ikenberry and Laura Pincock, Food and Drug Administration on Biosimilar Education in Health Sciences Schools
The issues relating to biosimilar misinformation have spurred calls for improving the level of knowledge of practicing healthcare providers. This effort must also seek to educate tomorrow’s healthcare providers about biosimilars today. BR&R spoke with two of the key forces behind the FDA’s important initiative to provide biosimilar education at the schools of medicine, nursing, … Continue reading A Conversation With Sarah Ikenberry and Laura Pincock, Food and Drug Administration on Biosimilar Education in Health Sciences Schools →
It Will Be Difficult to Move Away from Phase 3 Studies for Biosimilar Approvals
The Food and Drug Administration has repeatedly emphasized that biosimilar approvals are based on the “totality of evidence.” However, the agency has emphasized that analytical comparability of biosimilars with reference products comprises by far the most important share of the evidence considered. Phase 3 clinical trial evidence contributes less to biosimilar approval decision making, as … Continue reading It Will Be Difficult to Move Away from Phase 3 Studies for Biosimilar Approvals →
Stocking and Delivering: The Block and Tackle Issues for Adalimumab Biosimilars
Widespread biosimilar competition at the 30,000-foot level is not without practical complications on the ground. I gained this broader recognition by listening to people who know far more than I do about both biosimilars and its effects on the supply chain. Last week, I was ecstatic to take my first live business trip since the … Continue reading Stocking and Delivering: The Block and Tackle Issues for Adalimumab Biosimilars →
Alvotech Signs Agreement With AbbVie; Will Launch in July 2023 if Approved
The last of the loose ends have seemingly been tied down, as Alvotech announced on March 8 that it has come to a licensing agreement with AbbVie. The agreement halts remaining patent litigation between the parties, and assumably, pays AbbVie a royalty on sales of AVT02. Alvotech’s adalimumab biosimilar candidate is a high-concentration, citrate-free formulation. … Continue reading Alvotech Signs Agreement With AbbVie; Will Launch in July 2023 if Approved →
Insulin Wars: Biosimilar Sustainability May Soon Be an Issue With Civica’s Announcement
The announcement on March 4 that Civica, the private-public partnership among 25 health systems, plans, and foundations, will be producing low-cost insulin in the near future may shake biosimilar insulin competition to its foundations. Skyrocketing insulin prices caught the eye of health providers, advocacy groups, and Congress. This prompted the two main insulin makers, Eli … Continue reading Insulin Wars: Biosimilar Sustainability May Soon Be an Issue With Civica’s Announcement →
A Profile on Lesser-Known Player in the Biosimilar Space: Amneal Pharmaceuticals
On occasion, we profile some biosimilar manufacturers about whom our readers may not be as familiar as the large players like Sandoz, Amgen, and Samsung Bioepis. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Amneal Pharmaceuticals →
Viatris Sells Its Biosimilar Assets to Partner Biocon for $3.3 Billion
Although Viatris seems to be cashing out its biosimilar portfolio, it is taking a 12% stake in Biocon Biologics as part of a $3.3 billion deal announced with the company February 28. According to Viatris President Rajiv Malik, “Our successful collaboration with Biocon Limited, the majority shareholder of Biocon Biologics, began more than a decade … Continue reading Viatris Sells Its Biosimilar Assets to Partner Biocon for $3.3 Billion →
Adalimumab Interchangeability Competition Coming into Focus
Pfizer announced on February 25 that the Food and Drug Administration had accepted a supplemental 351(k) application for its adalimumab biosimilar Abrilada™, in an attempt to gain the interchangeability designation. This is just one development in clarifying the upcoming adalimumab interchangeability competition. This press release was posted just before Alvotech’s announcement that the FDA had … Continue reading Adalimumab Interchangeability Competition Coming into Focus →
It May Be Time to Move Beyond Buy-and-Bill to Optimize Biosimilar Savings
The simple question of who purchases these biosimilars has the potential to substantially alter the savings associated with biosimilars. A new analysis lays bare the differences in charges associated with provider-purchased biologics compared with specialty pharmacy costs. Frequent readers of this column may recall that I am not completely aligned with published savings estimates associated … Continue reading It May Be Time to Move Beyond Buy-and-Bill to Optimize Biosimilar Savings →
Manufacturers See the Upside of Their Biosimilars in 2021 Bottom Lines
The numbers don’t lie. Companies can profit greatly from the biosimilar business, especially if they get an early jump. Amgen released their 2021 earnings last week, and it tells a compelling story. For fiscal year 2021, Amgen reportedly earned $2.17 billion globally for three marketed biosimilar products. A total of $1.3 billion was earned in … Continue reading Manufacturers See the Upside of Their Biosimilars in 2021 Bottom Lines →
Biogen Sells Its Biosimilar Stake in Samsung Bioepis, Reaps Handsome Profit
In 2019, Biogen upped its stake in the South Korean biosimilar joint venture, cementing its commitment to biosimilar manufacturing and commercialization. Today, however, Biogen has seemingly reversed course—though it is not exiting the biosimilar arena. In a January 27th press release, Biogen announced that it will sell its 49.9% ownership in Samsung Bioepis to its … Continue reading Biogen Sells Its Biosimilar Stake in Samsung Bioepis, Reaps Handsome Profit →
The Interesting Scenario for a Tysabri® Biosimilar for Multiple Sclerosis
Natalizumab is one of 20-odd medicines prescribed for patients with the three major forms of multiple sclerosis (MS). Overall, North American revenues for all of the MS medications combined are about $15 billion, which is to say very substantial. With other biosimilar introductions, the reference drugs targeted comprised the majority of prescribing either for that … Continue reading The Interesting Scenario for a Tysabri® Biosimilar for Multiple Sclerosis →
Biosimilar Bytes
Nichi-Iko Pharmaceuticals offered an update on its plans for its infliximab biosimilar, targeted for the US market. In its latest investor presentation, the company disclosed that it plans to file its 351(k) application in 2023, based on a phase 3 clinical trial, which was completed in 2020. It is in the process of preparing its … Continue reading Biosimilar Bytes →
Samsung Bioepis Submits Supplemental Application for Citrate-Free, High-Concentration Adalimumab Biosimilar
In an effort to more closely match the options available with AbbVie’s reference product, partners Samsung Bioepis and Organon sent the US Food and Drug Administration a supplemental 351(k) application for a citrate-free, 100-mg/mL form of Hadlima™. The FDA accepted the application, according to the January 5th press release. Hadlima, which was originally approved in … Continue reading Samsung Bioepis Submits Supplemental Application for Citrate-Free, High-Concentration Adalimumab Biosimilar →
Second Insulin Biosimilar to Get FDA’s Nod—Eli Lilly’s Rezvoglar™ to Enter the Glargine Market
The complexity of the insulin competition continues to boggle the mind. On December 17, 2021, Eli Lilly received FDA approval of its Rezvoglar (insulin glargine-aglr), a product that is biosimilar to Sanofi’s Lantus®, and marks the second insulin glargine agent approved this year. Rezvoglar will be available in 3-mL prefilled pens. Basaglar® was the first … Continue reading Second Insulin Biosimilar to Get FDA’s Nod—Eli Lilly’s Rezvoglar™ to Enter the Glargine Market →
Coherus Secures FDA Approval on Yusimry™, Its Adalimumab Biosimilar
On December 20, Coherus Biosciences announced that the Food and Drug Administration approved Yusimry (adalimumab-aqvh). This is Coherus’ second biosimilar approval. In 2017, Coherus completed a randomized, controlled phase 3 study involving 545 patients with moderate-to-severe plaque psoriasis, comparing the biosimilar to the reference product. In addition, the company conducted a pharmacokinetic investigation that confirmed … Continue reading Coherus Secures FDA Approval on Yusimry™, Its Adalimumab Biosimilar →
Sandoz Sends Trastuzumab Biosimilar Application to FDA
On December 20, Sandoz announced the filing of its 351(k) application for a new Herceptin® biosimilar. If approved in 2022, it will be the sixth trastuzumab biosimilar competing on the market. Sandoz already markets biosimilar versions of filgrastim (Zarxio®) and pegfilgrastim (Ziextenzo®), and it has received approval for etanercept (Erelzi®, which is not yet marketed … Continue reading Sandoz Sends Trastuzumab Biosimilar Application to FDA →
Ustekinumab Biosimilars Update
In August 2020, we posted our findings on the various stages of prospective ustekinumab (Stelara®) biosimilar manufacturers. Since that time, some significant progress has been made by some of the players in this area. Ustekinumab may well be the first interleukin-based biosimilar product entering the market, and its main patent will expire in September 2023. … Continue reading Ustekinumab Biosimilars Update →
Biosimilar Bytes
Samsung Bioepis’ Eticovo® cannot be marketed in the US until 2029, according to a New Jersey district court ruling. As reported in Big Molecule Watch, the court made a January 2020 temporary stay of marketing final, ruling for the plaintiffs Immunex and Roche. The court reaffirmed that Samsung Bioepis will not be able to sell … Continue reading Biosimilar Bytes →
Amgen, Pfizer Now Seeking Adalimumab Interchangeability, but…
The earnings reporting season is upon us, and with that comes news about fiscal and nonfiscal progress for individual biosimilar manufacturers. Some news about Amgen’s and Pfizer’s adalimumab biosimilars caught my attention. Amgen’s Interchangeability Play At its third-quarter conference, Amgen announced that it is enrolling patients in a multiple-switching trial in an effort to obtain … Continue reading Amgen, Pfizer Now Seeking Adalimumab Interchangeability, but… →
What Do Patients Want to Know About Biosimilars?
This interview was conducted at the Drug Information Association’s Biosimilar conference, held virtually October 5–6, 2021. This conversation with Laura Wingate, Executive Vice President of Education, Support, and Advocacy, the Crohn’s & Colitis Foundation, is an edited version of our discussion. BR&R: Laura, what do you think are the key differences, if any exist, between … Continue reading What Do Patients Want to Know About Biosimilars? →
Progress on Coherus’ Pegfilgrastim On-Body Injector
Currently, Amgen’s Neulasta OnPro® holds approximately half the marketshare for the pegfilgrastim category. This on-body injector (OBI) system is deemed more convenient than the conventional prefilled syringe, as patients are not required to travel to the office or clinic for pegfilgrastim administration the day after receiving chemotherapy. This month, Coherus Biosciences announced that its phase … Continue reading Progress on Coherus’ Pegfilgrastim On-Body Injector →
The Ranibizumab Port System: Issues for Patients, Payers, and Biosimilar Makers
On the heels of Samsung Bioepis’ recent approval of its ranibizumab biosimilar, comes the approval last week of Roche’s new delivery system for the reference product, a product called Susvimo™. The timing is a bit disconcerting, although pretty much everything about age-related wet macular degeneration treatment is disconcerting if not distressing. Susvimo is a follow-on … Continue reading The Ranibizumab Port System: Issues for Patients, Payers, and Biosimilar Makers →
Basaglar® Competition Had a Strong Effect on Insulin Glargine Net Prices
According to a study published in JAMA Internal Medicine this month, the approval and launch of the follow-on insulin glargine product Basaglar turned the tide on rising costs for this long-acting insulin. Approved as a 505(b)2 insulin in August 2014 (prior to the category being transitioned to the 351[k] biosimilar regulatory pathway), Basaglar was the … Continue reading Basaglar® Competition Had a Strong Effect on Insulin Glargine Net Prices →
FDA Designates Boehringer Ingelheim’s Cyltezo® as First Interchangeable Adalimumab Biosimilar
On October 15, Boehringer Ingelheim formally secured its long-sought adalimumab interchangeability designation from the Food and Drug Administration (FDA). This label was earned based primarily on the results of Boehringer’s VOLTAIRE-X switching studies. The VOLTAIRE-X study demonstrated that patient efficacy or safety outcomes were not affected by multiple switches between Cyltezo and Humira®. Once launched, … Continue reading FDA Designates Boehringer Ingelheim’s Cyltezo® as First Interchangeable Adalimumab Biosimilar →
Insulin Follow-ons, Authorized Generics, Biosimilars, and Interchangeables: A Stew of Competitive Ingredients
With the Food and Drug Administration’s (FDA’s) recent approval of the first interchangeable insulin, Viatris and Biocon’s Semglee®, some questions may begin to be answered with respect to payer coverage, automatic substitution, and their potential for success in the marketplace. However, unlike the other biologic drug categories, there are additional levels of complexity among the … Continue reading Insulin Follow-ons, Authorized Generics, Biosimilars, and Interchangeables: A Stew of Competitive Ingredients →
Biosimilar-to-Biosimilar Switching: The Data Say Its Fine
The question of interchangeability for biosimilars has haunted the US Food and Drug Administration since the promulgation of the Biologics Price Competition and Innovation Act of 2010. The FDA’s draft guidelines on interchangeability evolved very slowly, and the biosimilar industry had to work to (1) keep up with the guidelines as they gained clarity, (2) … Continue reading Biosimilar-to-Biosimilar Switching: The Data Say Its Fine →
Biosimilar Legislation Making Headway Towards Reconciliation Bill
With the intensity of horse trading that is underway on Capitol Hill, it is difficult to keep up with the latest developments on a number of areas that may affect the biosimilar industry. However, one measure was passed by the House Judiciary Committee on Wednesday with a large bipartisan margin; coupled with Senate clearance by … Continue reading Biosimilar Legislation Making Headway Towards Reconciliation Bill →
Here Are Some of the Big Cost Takeaways From the Latest US Biosimilar Data
Using data from IQVIA, the Amgen Biosimilars Trend Report released this month laid out the latest market data on how biosimilars are faring in the categories outside of insulin. The data emphasize one key trend: Biosimilar competition drives down the average sales price (ASP) of the category; this happens quickly for many categories, even those … Continue reading Here Are Some of the Big Cost Takeaways From the Latest US Biosimilar Data →
Samsung Bioepis and Biogen Register First FDA Approval for Biosimilar Ranibizumab
Partners Samsung Bioepis and Biogen announced today in a press release that their 351(k) application for its ranibizumab biosimilar (reference product, Lucentis®) gained approval from the Food and Drug Administration. Dubbed Byooviz™, this injectable product is the first biosimilar to be approved for ophthalmologic indications. Formerly referred to as SB11 and now designated ranibizumab-nuna, the … Continue reading Samsung Bioepis and Biogen Register First FDA Approval for Biosimilar Ranibizumab →
Commercialization Agreement for Bio-Thera’s Investigational Ustekinumab Biosimilar
Bio-Thera Solutions has partnered with London-based Hikma Pharmaceuticals on its proposed ustekinumab biosimilar BAT2206. The agreement will give exclusive rights to commercialize BAT2206 in the US after FDA approval, with the potential for marketing rights in Europe as well. Although the Hikma Pharmaceuticals USA name is not well known in the US, it does have … Continue reading Commercialization Agreement for Bio-Thera’s Investigational Ustekinumab Biosimilar →
Pegfilgrastim Prefilled Syringe vs. On-Body Injector: Study Finds no Meaningful Differences in Clinical or Economic Outcomes
The pegfilgrastim biosimilar story has widely been viewed as a qualified success. The field is a bit crowded: there are four biosimilar competitors, and more to come, in addition to the originator product Neulasta® and Neulasta Onpro® on-body injector. Amgen, the manufacturer of Neulasta, has seen ongoing, decreasing marketshare of the prefilled syringe, but it … Continue reading Pegfilgrastim Prefilled Syringe vs. On-Body Injector: Study Finds no Meaningful Differences in Clinical or Economic Outcomes →
What Is Important to the Public About Biosimilars? Think Like a Layperson
I belong to a local business group where I live in the Philadelphia metropolitan region, and I had the pleasure of speaking to them about my profession. A member of the group asked what topic I most enjoyed covering in the last few years. I drew a breath, and reluctantly answered, “I really enjoy working … Continue reading What Is Important to the Public About Biosimilars? Think Like a Layperson →
Formycon and Bioeq Resubmit 351(k) Application
On August 5th, partners Formycon AG and Bioeq AG announced that they had completed its new biosimilar ranibizumab application to the Food and Drug Administration, with an eye toward a mid-2022 decision. The US marketer of the product, if approved, will be Coherus Biosciences. The initial application was withdrawn in 2020 because of additional information … Continue reading Formycon and Bioeq Resubmit 351(k) Application →
Biden Administration Moves Away From the Most-Favored-Nation Drug Pricing Model
The search for a mechanism to lower Medicare part B drug prices has been a slow and tortuous journey. The latest detour was announced on Friday by the Centers for Medicare and Medicaid Services (CMS). The most-favored-nations (MFN) proposal, which had gained momentum through December 2020, spurred on by the Trump administration, seems to have … Continue reading Biden Administration Moves Away From the Most-Favored-Nation Drug Pricing Model →
Interchangeability Is Finally a Reality
In a long-awaited first, the Food and Drug Administration has approved Viatris’ biosimilar insulin candidate Semglee® as interchangeable, meaning it can be substituted automatically at the pharmacy if the prescription is written for the reference product Lantus®. As allowed by individual state laws, substitution does not require the pharmacy to notify a prescriber. This marks … Continue reading Interchangeability Is Finally a Reality →
The FDA’s Aducanumab Affair and How It Relates to Biosimilars
The baffling early June decision by the Food and Drug Administration (FDA) to approve Biogen’s Alzheimer’s disease drug and ignore the recommendation of its Advisory Committee has been covered and chronicled to the level of the COVID-19 pandemic. On another platform, I put in my two cents on how payers may step in to save … Continue reading The FDA’s Aducanumab Affair and How It Relates to Biosimilars →
Amgen Crosses Biosimilar Misinformation Line, Says FDA
On July 7, the FDA issued a warning letter to Amgen regarding an advertisement it ran promoting Neulasta® OnPro®, its on-body injector version of Neulasta (pegfilgrastim). In the animated advertisement, “the banner makes false or misleading claims and representations about the benefit of Neulasta,” states the letter. “These violations are concerning from a public health … Continue reading Amgen Crosses Biosimilar Misinformation Line, Says FDA →
An Update on Legislation on Biosimilars and Patents
Held June 22–23, 2021, the American Conference Institute’s 12th annual Biosimilars and Innovator Biologics conference focused on the legal and patent issues affecting the biosimilar industry. In this article, we note some of the takeaways of the presentations. The Year in Review panel focused on recently enacted and proposed legislation. Hans Sauer, Deputy General Counsel … Continue reading An Update on Legislation on Biosimilars and Patents →
Enticing Patients to Switch to Infliximab Biosimilars
The move away from Johnson & Johnson’s originator product has been slow, due to the Pfizer’s flawed launch pricing of its biosimilar, J&J’s actions to defend marketshare, and residual reluctance by gastroenterologists to switch patients whose Crohn’s disease is in remission with Remicade®. According to March data from Bernstein Research, Remicade maintained about 81% marketshare … Continue reading Enticing Patients to Switch to Infliximab Biosimilars →
Today’s Supreme Court Decision Saves the US Biosimilar Regulatory Framework
On June 17, 2021, the US Supreme Court announced its long-awaited decision on the severability of the Affordable Care Act (ACA) from the individual mandate. The Supreme Court sidestepped the basic question, instead ruling 7-2 that the plaintiffs did not have any standing to sue. If the Supreme Court ruling had struck down the ACA, … Continue reading Today’s Supreme Court Decision Saves the US Biosimilar Regulatory Framework →
Bending the Reference Biologic Price Curve
One of the most obvious components of savings associated with biosimilars is their effect on competition, driving prices down. One of the more overlooked components of biosimilar savings is another characteristic of competition: Once launched, the cost of reference products stop rising. That seems intuitive, but the extent of list price increases for reference biologics … Continue reading Bending the Reference Biologic Price Curve →
Tanvex BioPharma Receives Complete Response Letter on Its Filgrastim Biosimilar Application
On May 20, 2021 Tanvex BioPharma, Inc. issued a press release announcing that the FDA has not approved its 351(k) application for TX01, a biosimilar version of filgrastim. In the announcement, Tanvex cited the FDA’s need to complete manufacturing site inspections, which have been altered by COVID-19 pandemic restrictions. It is unclear whether any additional … Continue reading Tanvex BioPharma Receives Complete Response Letter on Its Filgrastim Biosimilar Application →
Lupin’s Pegfilgrastim Biosimilar 351(k) Application Being Evaluated by FDA
Mumbai, India-based Lupin Ltd is attempting to enter the US biosimilar market for the first time with its version of pegfilgrastim. First approved and marketed in India in 2015, Lupin’s pegfilgrastim application was accepted on June 2 by the Food and Drug Administration. The development of this agent included three double-blind, controlled trials, comprising more … Continue reading Lupin’s Pegfilgrastim Biosimilar 351(k) Application Being Evaluated by FDA →
Are Biosimilars and the Oncology Care Model a Perfect Fit?
In shared-savings reimbursement models in healthcare, physicians have an incentive to use health resources more efficiently: They may receive bonuses based on the money that they save compared with a benchmark. The accountable care organization model, Medicare shared-savings model, and the oncology care model (OCM) are a few examples. These started as demonstration projects created … Continue reading Are Biosimilars and the Oncology Care Model a Perfect Fit? →
Biosimilar Education for Healthcare Professionals
Last week’s AAM Access 2021 virtual meeting generally danced to a positive beat on the progress of biosimilars today and in the near future. In her keynote address, Acting Food and Drug Administration Commission Janet Woodcock, MD, emphasized that the agency’s biosimilar development and consulting program has experienced increasing engagement. Dr. Woodcock stated, “As of … Continue reading Biosimilar Education for Healthcare Professionals →
Biosimilar Bytes
Last week, Viatris (formerly Mylan) announced during its earnings call that it anticipated that the Food and Drug Administration will provide interchangeability designations to its insulin glargine and insulin aspart candidates when these are approved in July. That could yield a double first—the first biosimilar insulins and interchangeable biosimilars of any type. As reported in … Continue reading Biosimilar Bytes →
Switching Study Complete, Biosimilar Maker Awaits FDA Decision on Interchangeability
In an April 23 press release, Boehringer Ingelheim announced that its phase 3 switching study between its biosimilar Cyltezo® and the reference adalimumab biologic Humira® is complete. The biosimilar maker also stated that it had filed its supplemental application for interchangeability designation with the Food and Drug Administration (FDA). The VOLTAIRE-X study randomized 238 patients … Continue reading Switching Study Complete, Biosimilar Maker Awaits FDA Decision on Interchangeability →
Further Dissecting the Launch of Adalimumab Biosimilars in the US
As we inch closer to the January 2023 date for the launch of the first US adalimumab biosimilar, industry watchers are more closely scrutinizing which company, if any, will have a competitive advantage in this lucrative marketplace. Just to reset, the series of settlements signed by AbbVie currently puts Amgen’s Amjevita® first to be released, … Continue reading Further Dissecting the Launch of Adalimumab Biosimilars in the US →
Is Identification of Biosimilars vs. Reference Products Still an Issue?
In the past, we have addressed whether the use of the four-letter suffixes have enabled positive identification of biosimilar agents by providers and health plans or simply added to confusion over the quality of the products being prescribed. This issue had faded somewhat, with the realization that the suffixes have been superfluous in identifying which … Continue reading Is Identification of Biosimilars vs. Reference Products Still an Issue? →
Oncology Biosimilars Are Proof That the Market Works
If there is anything that Ted Okon, MBA, Executive Director, Community Oncology Alliance, and Peter Bach, MD, from Memorial Sloan Kettering agree upon, it is that hospital systems make more profit by prescribing high-cost drugs than they do with lower-cost agents, like biosimilars. Beyond that, these two wouldn’t be expected to agree on much when … Continue reading Oncology Biosimilars Are Proof That the Market Works →
Biosimilars, Employers, Medicaid, and Rebates
At last week’s World Biosimilar Congress, much of the content revolved around increasing access to biosimilars. That topic automatically invokes the controversial use of rebate contracting. Robert Popovian, PharmaD, Former Vice President, Govt Relations, Pfizer, asserted that access for oncology biosimilars is much greater than that for infliximab biosimilars because of the latter’s reliance on … Continue reading Biosimilars, Employers, Medicaid, and Rebates →
Mandatory Price Slashing After Biologic Exclusivity Expires: Much Lower Prices but at What Cost?
There may be few areas of the biosimilar industry more frustrating to payers, manufacturers, and observers than the delays in market access due to patent mazes and litigation. Attempts to manage address intellectual property rights of biologic makers ranged from the insertion of the “patent dance” process in the BPCIA to calls for the Federal … Continue reading Mandatory Price Slashing After Biologic Exclusivity Expires: Much Lower Prices but at What Cost? →
NCCN Biosimilar White Paper Advocates Against Single Preferred Products by Payers
A policy paper from the National Comprehensive Cancer Network (NCCN), released in early March, asks payers to refrain from preferring single agents for the treatment of cancer. Based on a survey of cancer center pharmacy directors and policy development by these health executives at NCCN institutions, the white paper expressed concerns particularly around both storage … Continue reading NCCN Biosimilar White Paper Advocates Against Single Preferred Products by Payers →
Forcing Payers to Cover Biosimilars? Beware of Unintended Consequences
One of the problems that has stalled greater uptake of biosimilars in the US has been payers’ reluctance to give up their rebate revenue from manufacturers of reference biologics. When payers prefer branded reference agents with higher wholesale acquisition costs (WAC), they retain often substantial rebate revenue, with little benefit to consumers. A proposed bill … Continue reading Forcing Payers to Cover Biosimilars? Beware of Unintended Consequences →
Biosimilar Bytes for This Week
Although big biosimilar news has been lacking in the last couple of weeks, there are several newsbytes that are of interest to industry followers. Here are a few of the more notable biosimilar news items. The COVID pandemic hadn’t had significant implications for biosimilar developers, but news of a deferred FDA approval decision for … Continue reading Biosimilar Bytes for This Week →
Ophthalmology Biosimilars May Face a Formidable Challenger
In researching an update on Oncobiologics, an organization that once had an interest in producing biosimilars (adalimumab and bevacizumab), I found a compelling issue that could seriously affect the likelihood of success for several other biosimilar manufacturers. It turned out that Oncobiologics was rebranded Outlook Therapeutics in 2018. At the time, the newly rechristened company … Continue reading Ophthalmology Biosimilars May Face a Formidable Challenger →
Section 1498 May Be a Potential Government Remedy for Approved, Unlaunched Etanercept Biosimilars
A method for government intervention in long-simmering patent disputes on biosimilar medications seems have been hiding in plain sight. And it can be instituted immediately. This is according to a new white paper from New York University School of Law, which highlights a piece of existing legislation that has been on the books for decades … Continue reading Section 1498 May Be a Potential Government Remedy for Approved, Unlaunched Etanercept Biosimilars →
Denosumab Biosimilar Competitors Gathering Data for February 2025 Launch
The osteoporosis drug market has evolved markedly since the introduction of the bisphosphonates in 1995. Developed to help prevent bone loss and the complications of bone fracture, and to increase bone mass overall, the market grew to include the selective estrogen receptor modulators in the 2000s, and then biologics in 2010. Amgen’s denosumab (Prolia®), a … Continue reading Denosumab Biosimilar Competitors Gathering Data for February 2025 Launch →
An Oncologist’s Concern About the Biosimilar Use in Real-World Patients With Cancer
Based on IQVIA’s data on prescription marketshare of biosimilar trastuzumab, bevacizumab, and rituximab, it seems that oncologists are showing little hesitation in adopting these biosimilar products for the active treatment of different cancers. The oncology professional societies, such as the American Society of Clinical Oncology (ASCO) and the European Society for Medical Oncology, have taken … Continue reading An Oncologist’s Concern About the Biosimilar Use in Real-World Patients With Cancer →
Amgen Receives FDA Approval for Rituximab Biosimilar Riabni
Amgen added another notch on its biosimilar belt last week, receiving approval from the Food and Drug Administration (FDA) to market ABP798, its biosimilar version of Rituxan®. The drug, dubbed Riabni™ (rituximab-arrx), is the third biosimilar rituximab available in the US. It was approved for adult patients with the following indications: Non-Hodgkin’s lymphoma Chronic lymphocytic … Continue reading Amgen Receives FDA Approval for Rituximab Biosimilar Riabni →
The Limitations of Direct-to-Consumer Advertising for Biosimilars
Pharmaceuticals companies love direct-to-consumer (DTC) advertising; most television viewers hate it. Advertisements for biologics and small-molecule drugs to treat inflammatory bowel disease, rheumatoid arthritis, cancer, diabetes, HIV, and a host of other disorders come in clusters, targeting news hour and primetime viewers alike. I have nothing against the golfer Phil Mickelson, and I assume he … Continue reading The Limitations of Direct-to-Consumer Advertising for Biosimilars →
Biosimilar Company Updates: Tanvex, Bio-Thera, and Coherus
By the time 2020 ends in a couple of short weeks, the US Food and Drug Administration (FDA) will have made decisions on the fate of at least two proposed biosimilars. In addition, a few manufacturers have announced plans to complete the 351(k) application process by the end of the year. Based on our current … Continue reading Biosimilar Company Updates: Tanvex, Bio-Thera, and Coherus →
Supreme Court Deliberations on the ACA: Impact on Employers’ Biosimilar Strategy
F. Randy Vogenberg, PhD This week, veteran employer benefit consultant F. Randy Vogenberg, PhD, RPh, writes about how the Supreme Court’s upcoming decision in State of Texas v. USA can affect self-funded and fully funded employers and how they need to prepare for its ramifications. There seems to be a common interest in lowering the high costs … Continue reading Supreme Court Deliberations on the ACA: Impact on Employers’ Biosimilar Strategy →
Many More Questions Than Answers in Medicare’s Most-Favored Nation Interim Final Rule
Last week, the Trump administration issued an interim final rule that would allow Medicare to obtain far lower pricing on a specific list of high-cost part B pharmaceuticals. A reading of the text of the most-favored nation (MFN) rule, which evolved directly from Congress’s 2019 proposal to fix the price of 250 medications to an … Continue reading Many More Questions Than Answers in Medicare’s Most-Favored Nation Interim Final Rule →
The Medicare Part D Rebate Rule and Biosimilars
It will take a close reading of the 600 pages of government policy to grasp their implications, but it seems the final rules by the Department of Health and Human Services (HHS) could on one hand lower a real barrier to biosimilar uptake and on the other hand create real problems for biosimilar manufacturers. In … Continue reading The Medicare Part D Rebate Rule and Biosimilars →
Archigen Closes Its Doors After Failing to Introduce Rituximab Biosimilar
Samsung Biologics announced in its third quarter earnings report that they and partner Astra Zeneca have agreed to shut down their joint venture Archigen Biotech. This news was first reported in the Korea Biomedical Review. Archigen was created in 2014 with the hope of developing a biosimilar to reference product Rituxan/MabThera for the treatment of … Continue reading Archigen Closes Its Doors After Failing to Introduce Rituximab Biosimilar →
Wraparound Services: Biosimilar Makers Must Be Sure to Get Them Right
Since 2014, when Zarxio® was the first biosimilar product approved by the Food and Drug Administration, manufacturers have seemed attuned to the need to two aspects of the launch: (1) pricing and (2) service offerings. Payers, for example, assumed that the net cost of biosimilars would be lower than the reference product assumption (the question … Continue reading Wraparound Services: Biosimilar Makers Must Be Sure to Get Them Right →
Samsung Bioepis’ Ranibizumab Biosimilar Application Filed With FDA
On November 18, Samsung Bioepis and its marketing partner Biogen jointly announced that the 351(k) application for SB11, a ranibizumab biosimilar, has been filed and accepted by the Food and Drug Administration. The US patent for Roche’s reference product Lucentis® expired in June 2020, and the market for ranibizumab could be over $1 billion. Lucentis … Continue reading Samsung Bioepis’ Ranibizumab Biosimilar Application Filed With FDA →
Thoughts on the Savings From a Biosimilar Shared-Savings Model
Of the several pieces of legislation floating in the netherworld of Congressional action (or inaction) is the bill that was introduced by Senators John Cornyn (R-TX) and Michael Bennet (D-CO) early this past summer. Entitled the Increasing Access to Biosimilars Act of 2020, it directs the Centers for Medicare and Medicaid Innovation to create a … Continue reading Thoughts on the Savings From a Biosimilar Shared-Savings Model →
Employers Getting Their Arms Around Biosimilars, but Will Push Come to Shove?
Until the onset of COVID-19 pandemic, employers sponsored the health plans that covered 49.6% of the US population. “Although the situation is very fluid,” F. Randy Vogenberg, PhD, RPh, Board Chair of the Employer–Provider Interface Council (EPIC), told BR&R, “a conservative estimate is that this may have dropped closer to 40% at one point with … Continue reading Employers Getting Their Arms Around Biosimilars, but Will Push Come to Shove? →
Physician Familiarity Fuels Infliximab Switches to Biosimilar
The results of an interesting study of infliximab biosimilar use at a Veterans Administration (VA) facility were announced at the Academy of Managed Care Pharmacy’s Nexus 2020 session. The paper outlined real-world experience that further bolsters support for biosimilar infliximab switching. The poster did not indicate industry support for the research. It detailed changes … Continue reading Physician Familiarity Fuels Infliximab Switches to Biosimilar →
Missed Opportunity for Huge Savings With Biosimilar Etanercept
Although it appears today that biosimilars for Enbrel® will not be launched before 2029, a budget impact analysis presented at the Academy of Managed Care Pharmacy (AMCP) Nexus meeting hints at how much money is being left on the table until then. Researchers from Xcenda and Sandoz (the latter of which has an approved etanercept … Continue reading Missed Opportunity for Huge Savings With Biosimilar Etanercept →
Pharmacists Believe Lack of Interchangeability Information and Designations Pose Real Barrier to Biosimilar Adoption
How do payers and health systems view the barriers to biosimilar adoption in October 2020? A survey by the Academy of Managed Care Pharmacy (AMCP), the AMCP Foundation, and its partners revealed the latest views of a group of healthcare stakeholders.1 The poster presented at last week’s Academy of Managed Care Pharmacy’s (AMCP) Nexus meeting … Continue reading Pharmacists Believe Lack of Interchangeability Information and Designations Pose Real Barrier to Biosimilar Adoption →
Biosimilar Bytes from DIA Biosimilars 2020
The sessions from the Drug Information Association Biosimilars 2020 virtual meeting held earlier this month touched on some very important points for the biosimilar community. In addition to our previous meeting report, I thought some others needed to be mentioned briefly, with a bit of commentary. One Biosimilar Class That Poses Difficulties for Comparative Pharmacokinetic … Continue reading Biosimilar Bytes from DIA Biosimilars 2020 →
Biosimilar Clinical Trial Costs in Terms of Expense and Time
Much of the discussion around biosimilars recently, including at the DIA Biosimilars conference held last week, involved the necessity of phase 3 trials. More precisely, this published and on-line activity addressed how best to streamline the biosimilar development process. The discussion has been ongoing for several years now, as not all biosimilar 351(k) applications have … Continue reading Biosimilar Clinical Trial Costs in Terms of Expense and Time →
The FDA’s View of the COVID-19 Pandemic’s Effect on Biosimilar Development
With the requirements of social distancing and new protocols for working off-site, the COVID-19 pandemic has affected nearly all sectors of business to some extent. Even if it has not greatly affected revenues, it has inarguably affected how we conduct our businesses. The overall effect on the ability of the US Food and Drug Administration … Continue reading The FDA’s View of the COVID-19 Pandemic’s Effect on Biosimilar Development →
US Biosimilar Market Will Soon Catch up to the EU
In just a few years, the biosimilar sales in the US will outpace those in the EU, according to a consultant speaking at ACI’s 11th Summit on Biosimilars and Innovator Biologics last week. This will be likely driven by a single biosimilar, and you can probably guess which one. The EU is not a monolithic … Continue reading US Biosimilar Market Will Soon Catch up to the EU →
Four-Letter Suffixes May Be FDA’s Own Brand of Misleading Information on Biosimilars
Its intent was to improve tracking and reportability, but the Food and Drug Administration’s decision to employ four-letter suffixes for biosimilars may have created its own misleading information. This would be truly ironic, considering FDA’s own efforts to restrict or eliminate misleading information that could deter biosimilar utilization. New evidence has been published recently that … Continue reading Four-Letter Suffixes May Be FDA’s Own Brand of Misleading Information on Biosimilars →
A Profile on Lesser-Known Player in the Biosimilar Space: NeuClone
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight an interesting company based in Sydney, Australia. … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: NeuClone →
Who Are the Key Aflibercept Biosimilar Players to Watch?
One of two biologics injected intravitreally to treat forms of macular degeneration, edema, or retinopathy, Eylea® (aflibercept) was first approved by the US Food and Drug Administration (FDA) on November 18, 2011. Originally approved as a single-dose vial, its manufacturer, Regeneron, received FDA approval of a prefilled syringe in December 2019. We covered the potential … Continue reading Who Are the Key Aflibercept Biosimilar Players to Watch? →
Biosimilar Bytes
The biosimilar news streaming over the past couple of weeks has been interesting, with an important update of a crucial story to the biosimilar field. We commented on some of the more noteworthy items below. Date Set for Supreme Court Arguments in ACA November 10 is the date now set by the US Supreme Court … Continue reading Biosimilar Bytes →
Employers, Biosimilars, and Pharmaceutical Benefits: Something’s Gotta Give
This week, we asked veteran employer benefit advisor and consultant F. Randy Vogenberg, PhD, RPh, to write about the employer’s role in encouraging the use of biosimilars. Dr. Vogenbergs’ recent work with business coalitions and individual employers around the management of the medical or drug benefit, and specialty pharmaceuticals in particular, allows him to address … Continue reading Employers, Biosimilars, and Pharmaceutical Benefits: Something’s Gotta Give →
The Next-Generation Biosimilar Race: A Tale of Two Autoimmune Biologics
To date, prospective biosimilar makers have had plenty of chances to hone their business skills. They have calculated opportunity costs, projected constantly updated financial projections, worked their legal departments and partners overtime, and tested new communication skills with the FDA. Among the factors that manufacturers have to address when deciding on new biosimilar targets: patent … Continue reading The Next-Generation Biosimilar Race: A Tale of Two Autoimmune Biologics →
A Profile of a Lesser-Known Player in the Biosimilar Space: Alvotech
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies with products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight the European manufacturer Alvotech. The drug maker has … Continue reading A Profile of a Lesser-Known Player in the Biosimilar Space: Alvotech →
Delving into Misleading or Disparaging Information on Biosimilars
The presence of misleading information on biosimilars, along with outright false statements, continues to pester the biosimilar industry. This situation repeats the marketing efforts of branded medications in the 1980s as it attempted to fight off the insurgence of generic drugs. And it is very important to note that there are still, 35 years later, … Continue reading Delving into Misleading or Disparaging Information on Biosimilars →
Interchangeability, Switching, and What Happens Next
On July 24, 2020, we still await the first FDA-designated interchangeable biosimilar. This may not be a surprise: All of the biosimilars launched to date are administered in the physician’s office, hospital, or outpatient clinic. Without pharmacy distribution, there can be no automatic substitution, the prize at the end of this journey. The last time … Continue reading Interchangeability, Switching, and What Happens Next →
Adalimumab Biosimilar Approval for Mylan and Fujifilm Kyowa Kirin
On July 6, the Food and Drug Administration approved partners Mylan/Fujifilm Kyowa Kirin Biologics’ biosimilar version of adalimumab for use in patients with autoimmune diseases. Officially dubbed Hulio® (adalimumab-fkjp), this 28th approved biosimilar will be first available for prescription in August 2023, based on the licensing deal Mylan signed previously, making it the fourth adalimumab … Continue reading Adalimumab Biosimilar Approval for Mylan and Fujifilm Kyowa Kirin →
Biosimilars and Shared-Savings Programs
Shared-savings programs have been used by the Centers for Medicare and Medicaid Innovation (CMMI) to leverage financial incentives for providers into lower costs for Medicare. In the last 2 months, this idea has been floated to improve access to biosimilars–a biosimilar shared-savings program for Medicare Part B. There is ample evidence that biosimilars in general … Continue reading Biosimilars and Shared-Savings Programs →
Bevacizumab Biosimilar Launch and Development Still a Risky Proposition
Multiple biosimilars may have launched in a particular category, but this does not lessen the financial risk of a biosimilar manufacturer who has not settled (or cleared) their patent litigation. The recent filing by Genentech against Samsung Bioepis’ proposed Avastin® biosimilar, SB8, serves as a reminder. The June 28th filing of Genentech v. Samsung Bioepis, … Continue reading Bevacizumab Biosimilar Launch and Development Still a Risky Proposition →
Biosimilar Etanercept: Amgen’s Victory in Federal Appeals Court Further Delays Launch
On July 1, a US Appeals Court sided with Amgen, maker of Enbrel®, in patent litigation against biosimilar maker Sandoz. This is a source of continuing frustration for payers, health systems, and perhaps most of all, patients. Will this product be effectively shielded from competition for 31 years? Sandoz’s Erelzi® was approved in 2016, but … Continue reading Biosimilar Etanercept: Amgen’s Victory in Federal Appeals Court Further Delays Launch →
COVID-19 Pandemic Is not Necessarily an Opportunity for Biosimilars
Will biosimilar manufacturers and patient access somehow benefit from the COVID-19 pandemic? I am having some trouble following the logic of those who believe it will. If people who cannot afford their medications when economic conditions decline, they may not be in a better situation to afford biosimilar versions of biologic medications, especially if their … Continue reading COVID-19 Pandemic Is not Necessarily an Opportunity for Biosimilars →
Amgen Settles With Alexion on Soliris Biosimilar, Dropping Litigation and Getting a Release Date
As reported by several sources, Amgen and eculizumab maker Alexion Pharmaceuticals have come to an agreement on patent disputes that will allow Amgen to begin marketing a biosimilar version of Soliris® in 2025. Amgen has been developing ABP 959 for some time, and a phase 3 clinical trial in patients with paroxysmal nocturnal hemoglobinuria (PNH) … Continue reading Amgen Settles With Alexion on Soliris Biosimilar, Dropping Litigation and Getting a Release Date →
New Entrant into Insulin Market Wants to File as Biosimilar in 2022
Lannett, a maker of generic pharmaceutical products, disclosed that it has been in talks with the Food and Drug Administration (FDA) about bringing a biosimilar version of insulin glargine into clinical trials. March 22, 2020 marked the transition of new insulin agents from being considered a 351(a) biologic to a 351(k) biosimilar. Few manufacturers have … Continue reading New Entrant into Insulin Market Wants to File as Biosimilar in 2022 →
Mylan/Biocon’s Insulin Drug Saga Ends With an Approval
Although Mylan and partner Biocon did not beat the March 22, 2020 deadline for the transition of new insulins to biosimilar status, they were able to secure a 505(b)2 FDA approval for their insulin glargine follow-on agent. On June 11, the partners announced receiving FDA approval for Semglee™. Technically, Semglee has the same amino acid … Continue reading Mylan/Biocon’s Insulin Drug Saga Ends With an Approval →
Pfizer’s Pegfilgrastim Biosimilar Approved by the FDA
The ranks of the pegfilgrastim biosimilar competition is filling out, with the latest approval by the Food and Drug Administration. Pfizer announced the approval of its product Nyvepria™ on June 11. Officially designated pegfilgrastim-apgf, Pfizer has not yet announced a launch date for this agent. However, in its press release, Andy Schmeltz, Global President, Pfizer … Continue reading Pfizer’s Pegfilgrastim Biosimilar Approved by the FDA →
Budget Impact Modeling: Good Information but Don’t Take Them Literally
At the recent virtual conference of the International Society of Pharmacoeconomic and Outcomes Research, two budget impact models were presented in an effort to demonstrate potentially sizable benefits of biosimilar coverage by health plans. The studies were supported by Pfizer, manufacturer of the two biosimilars in question (Zirabev® and Ruxience®). Both were authored by the … Continue reading Budget Impact Modeling: Good Information but Don’t Take Them Literally →
The Botox® Cure: Biosimilar OnabotulinumtoxinA Development Moves Ahead
A joint press release from Mylan and Revance issued on June 1, 2020 stated that progress is being made on characterizing a proposed Botox biosimilar. As a result, Mylan has agreed that the onabotulinumtoxinA biosimilar development program should proceed. According to the press release, the partners engaged the Food and Drug Administration to discuss the … Continue reading The Botox® Cure: Biosimilar OnabotulinumtoxinA Development Moves Ahead →
Health Plans Still Utilize Fail-First Policies for Some Biosimilars
A research letter that appeared in JAMA in May has been receiving attention in biosimilar and payer circles. The attention may be a bit outsized compared with the importance of the authors’ findings, but they do support an important point: Biosimilars cannot succeed without payer coverage. The good news is that payers do cover biosimilars … Continue reading Health Plans Still Utilize Fail-First Policies for Some Biosimilars →
Samsung Bioepis Announces Interim Phase 3 Study Results for Ranibizumab Biosimilar
As the battle lines become better drawn for the next wave of biosimilar applications and approvals, ranibizumab is getting a lot of attention lately. The patent on Roche’s reference product Lucentis® is due to expire in 2022, and this drug earned approximately $1.8 billion in revenue in 2019. On May 18, Samsung Bioepis announced continued … Continue reading Samsung Bioepis Announces Interim Phase 3 Study Results for Ranibizumab Biosimilar →
Biosimilar Switching: The Evidence on Its Utility and Safety Keeps Rolling in
The question of replacing reference drug therapy with a biosimilar goes to the heart of provider confidence in attaining equivalent patient outcomes using the latter. There is relatively little resistance today in starting new patients with a biosimilar if there is a convincing economic case for it. Switching treatment in patients whose conditions are stable … Continue reading Biosimilar Switching: The Evidence on Its Utility and Safety Keeps Rolling in →
Updates on Some Lesser-Known Manufacturers’ Plans for Biosimilars in the US
Over the course of several years, BR&R has followed the progress of several smaller biopharmaceutical firms, each of which have (or had) plans to enter the US market. In this post, we update developments for several of these manufacturers below. Tanvex Biopharma USA. When we first reported on Tanvex in October 2018, it had just … Continue reading Updates on Some Lesser-Known Manufacturers’ Plans for Biosimilars in the US →
Prescription Abandonment and the Economic Effects of COVID-19
In April 2020, Americans have ample reason to worry about their health and welfare. The COVID-19 pandemic has turned upside down the economic climate of this country within 6 weeks, with longer-term effects that we can only begin to calculate. One of the effects that has been on everyone’s minds is how this affects access … Continue reading Prescription Abandonment and the Economic Effects of COVID-19 →
An Interesting Comparison: The Latest Data on US and EU Biosimilar Uptake
Very little is comparable between the US and Europe in terms of biosimilar approval, launch, and market penetration, but the latest data from Ronny Gal, PhD and his team at Bernstein Research make it possible to do a snapshot review of the two major markets. The statistics paint an encouraging picture of increasing biosimilar penetration … Continue reading An Interesting Comparison: The Latest Data on US and EU Biosimilar Uptake →
Partners Merck and Samsung Bioepis Launch Fifth Trastuzumab Biosimilar
This morning, Merck issued a press statement to announce that it had joined the trastuzumab biosimilar fray, with the launch of Ontruzant®, which was developed by its partner Samsung Bioepis. This marks the fifth biosimilar to Herceptin® that has become available for prescription. However, the retail price or wholesale acquisition cost (WAC) price is approximately … Continue reading Partners Merck and Samsung Bioepis Launch Fifth Trastuzumab Biosimilar →
Patient Cost-Sharing “Advantage” Can Only Exist in a Biosimilar World Without Rebates
Unless the pharmaceutical rebate is applied at the time patient cost sharing is calculated, there may be no patient incentive to ask for a biosimilar. It’s all in the timing of the drug rebate. Consider the scenario in which a patient with inflammatory bowel disease is prescribed infliximab by the doctor. Let’s use Health Affairs … Continue reading Patient Cost-Sharing “Advantage” Can Only Exist in a Biosimilar World Without Rebates →
One Academic Medical Center’s Clinical Experience and Savings With Biosimilar Infliximab
A study was recently published in the Journal of Managed Care and Specialty Pharmacy that evaluated the clinical results and economic benefits of a switch to biosimilar infliximab (specifically Inflectra) compared with the reference product Remicade® in adult patients with inflammatory bowel disease (IBD). The savings accrued from the widespread use of biosimilars has been … Continue reading One Academic Medical Center’s Clinical Experience and Savings With Biosimilar Infliximab →
Transition Day for Insulins, Other Products
On Monday, March 23, biologic products formerly evaluated for approval under section 505 of the Federal Food, Drug, and Cosmetic Act (FD&C Act) are now approvable only under section 351 of the Public Health Service Act (PHS Act). That means many categories of drugs will now be considered eligible for biosimilar competition. The transition date … Continue reading Transition Day for Insulins, Other Products →
A Conversation With Christine M. Simmon, Executive Director, Biosimilars Council and Senior VP, Policy and Strategic Alliances, Association for Accessible Medicines
We had the opportunity to speak with Christine Simmon, the public face of an organization that has long championed the biosimilar industry. Our conversation covered topics from the worst-case scenario in the State of Texas v. USA to oncology biosimilar uptake and AAM’s current priorities. Biosimilars Review & Report: What’s the one thing about the … Continue reading A Conversation With Christine M. Simmon, Executive Director, Biosimilars Council and Senior VP, Policy and Strategic Alliances, Association for Accessible Medicines →
Partners Teva and Celltrion Announce Launch of Herzuma
Approved in 2018, Herzuma® is hitting the market, announced Teva and Celltrion. Teva, which is marketing the trastuzumab biosimilar in the US and Canada, will begin offering the biosimilar at a wholesale acquisition cost (WAC) of 10% below that of the reference biologic Herceptin®. In a press release, Brendan O’Grady, Executive Vice President of Teva’s … Continue reading Partners Teva and Celltrion Announce Launch of Herzuma →
A Conversation With Leah Christl, PhD, Executive Director, Global Regulatory and R&D Policy at Amgen
At the World Biosimilars Congress this month, we had the opportunity to sit down with Dr. Leah Christl, formerly one of the key scientists at the FDA’s Center for Drug Evaluation and Research. She was “present at the creation” of the FDA’s biosimilar approval pathway and in 2019 moved into her current position at Amgen. … Continue reading A Conversation With Leah Christl, PhD, Executive Director, Global Regulatory and R&D Policy at Amgen →
The Plan That Convinced Canada to Switch to Biosimilars
The Canadian provinces have begun to line up behind automatic substitution of biosimilar infliximab for Remicade®, after the announcement of British Columbia’s policy change in May 2019. Ned Pojskic, Leader, Pharmacy & Health Provider Relations, Green Shield Canada, offered some background into the decision on biosimilar switching at the World Biosimilar Congress on March 2 … Continue reading The Plan That Convinced Canada to Switch to Biosimilars →
The FDA/FTC Workshop: Beginning to Address Misleading Biosimilar Information
Several weeks ago, the Food and Drug Administration (FDA) and the Federal Trade Commission (FTC) announced plans to collaborate to manage and restrict misleading information on biosimilars being disseminated by reference manufacturers. This messaging, designed solely to place doubt into the mind of patients, providers, and payers, is considered to be a significant obstacle to … Continue reading The FDA/FTC Workshop: Beginning to Address Misleading Biosimilar Information →
Mylan Reports FDA Submission for Bevacizumab Biosimilar
In its recent earnings call discussing fourth-quarter 2019 results, Mylan disclosed that the US Food and Drug Administration (FDA) accepted its 351(k) application for a potential new bevacizumab biosimilar. The application was submitted in the late fourth quarter of last year and was not publicized through Mylan’s communications department. The agent, MYL-1402O, had been subject … Continue reading Mylan Reports FDA Submission for Bevacizumab Biosimilar →
26/15/9: Biosimilars at the Crossroads
After a flurry of action in December and January, there has been comparatively little action on the biosimilar news front in the past couple of weeks. As a result, I was looking forward to refreshing the till with a visit to the World Biosimilars Congress 2020 in San Diego this week. And the meeting didn’t … Continue reading 26/15/9: Biosimilars at the Crossroads →
Taking the Long View on Biosimilar Markets
In the last year or so, the crystal ball for biosimilar sustainability has become less cloudy. That is only to say that with approvals and launches of some biosimilars, we have a better understanding of the factors that will define viability of the American marketplace. It seems that, for certain drug categories at least, biosimilar … Continue reading Taking the Long View on Biosimilar Markets →
Merck to Spin Off Company That Will Include Its Biosimilar Marketing in 2021
On February 5, Merck announced that it will create a new spinoff that will include its biosimilar business with Samsung Bioepis as well as its legacy pharmaceuticals (e.g., Zetia®, Vytorin®, and other widely diversified brands). In its press release, Merck emphasized that the as-yet unnamed new company will also have a strong focus on women’s … Continue reading Merck to Spin Off Company That Will Include Its Biosimilar Marketing in 2021 →
Lack of Penetration of Infliximab Biosimilars: Is This News?
The journal Arthritis & Rheumatism published an article in January explaining that the use of infliximab biosimilars for the treatment of rheumatoid arthritis is “flatlining.” It probably didn’t take a pharmacoeconomist and rheumatologist to understand why this has happened. Those familiar with the biosimilar environment know well that infliximab biosimilar utilization has been stagnant since … Continue reading Lack of Penetration of Infliximab Biosimilars: Is This News? →
FDA and FTC Say They Will Work Collaboratively to Deter Anticompetitive Behavior
A press release from the US Food and Drug Administration and the Federal Trade Commission announced the signing of a joint statement that focuses on anticompetitive behavior in the biosimilar market. According to the FDA and FTC, this statement describes “key steps the agencies will take to address false or misleading promotion about biosimilars within … Continue reading FDA and FTC Say They Will Work Collaboratively to Deter Anticompetitive Behavior →
Pfizer Launches Ruxience, Announces Pricing for Upcoming Trazimera
Activity on Pfizer’s biosimilar front has been electric over the past couple of months, as it executes its launch plan for three biosimilar monoclonal antibodies to treat cancer. In December, the company launched its bevacizumab biosimilar Zirabev®, and on January 23, Pfizer announced the availability of its rituximab biosimilar Ruxience®. Ruxience is the second launched … Continue reading Pfizer Launches Ruxience, Announces Pricing for Upcoming Trazimera →
Bevacizumab ASP Pricing now Dropping With Biosimilar Entries
With the announcement that Pfizer has formally launched its bevacizumab biosimilar Zirabev®, the next logical question is how the price compares with the competition—Roche’s brand Avastin® and Amgen’s biosimilar Mvasi® that are already available. At Pfizer’s stated pricing of $61.34 for a 10-mg vial, this represents a 23% discount to the reference product’s wholesale acquisition … Continue reading Bevacizumab ASP Pricing now Dropping With Biosimilar Entries →
Who Are the Key Lucentis Biosimilar Players to Watch?
Note: This is an update to a January 2020 post to include Lupin’s investigational agent in phase 3 trials. Roche’s reference product Lucentis® (ranibizumab) seems to be the next likely target for biosimilar competition. Sales of the drug in the US were last reported to be $1.5 billion in 2017, but Roche’s revenues from Lucentis … Continue reading Who Are the Key Lucentis Biosimilar Players to Watch? →
A US–China Partnership: Coherus Biosciences Will Market Chinese Biosimilar Maker’s Avastin Biosimilar in North America
Innovent Biologics (Suzhou) Co., Ltd., based in China, signed an agreement on January 13, 2020 that allows Coherus Biosciences to commercialize its bevacizumab biosimilar when approved by Canadian and American regulators. The investigational agent is known as IB1305 at present. Recently completing a phase 3 trial with Chinese patients, Innovent will need to gather the … Continue reading A US–China Partnership: Coherus Biosciences Will Market Chinese Biosimilar Maker’s Avastin Biosimilar in North America →
And Now for Something Completely Different… Eflapegrastim vs. Pegfilgrastim
On January 2, 2020, Spectrum Pharmaceuticals announced that the FDA had accepted its 351(a) application for a novel granulocyte colony-stimulating factor (G-CSF), eflapegrastim. And no, the name is not misspelled here; the name is a close cousin of pegfilgrastim. As reported in 2018 by the Center for Biosimilars, this agent showed promise versus pegfilgrastim. As … Continue reading And Now for Something Completely Different… Eflapegrastim vs. Pegfilgrastim →
Will the Supreme Court Fast Forward Health Insurance Reform in 2020?
The year 2020 has gotten off to a flying start—probably a direct consequence of 2019 finishing with a flurry. One of the first eye-catching bits of news was the request by several states for the Supreme Court to intervene now, not later, in the case that threatens the fundamental basis on which the biosimilar pathway … Continue reading Will the Supreme Court Fast Forward Health Insurance Reform in 2020? →
The Appropriations Bill Alters Insulin Biosimilar Rules
Closing out the week before the holidays, the House and Senate’s Appropriations Bill specified two significant passages that affect the March 22, 2020 transition date for insulins being approved under the 351(k) pathway. Here’s a summary of these two points. A TWEAK TO THE BIOSIMILAR INSULIN QUESTION On December 17, 2019, two Food and Drug … Continue reading The Appropriations Bill Alters Insulin Biosimilar Rules →
The Drug Importation Follies
With much of the Administration, the House, and the Senate’s bills meant to lower drug pricing being postponed well into 2020 (if not dropped altogether), the one initiative that is still alive is the one that has been around the longest—drug importation. This is now being planned as a pilot program driven by the Trump … Continue reading The Drug Importation Follies →
The Baby, Biosimilars, and the Bath Water, Part 2
Exactly one year ago, we covered the ruling by Texas District Court Judge Reed O’Connor, which threatens the existence of the Affordable Care Act (ACA), and along with it, the statutory legislation that founded biosimilar regulation and approval. As the nefarious character Vizzini often said in The Princess Bride, “inconceivable!” On December 14, 2018, Judge … Continue reading The Baby, Biosimilars, and the Bath Water, Part 2 →
Amgen’s Infliximab Biosimilar, Avasola, Receives FDA Approval
On December 6, 2019, the US Food and Drug Administration (FDA) gave Amgen its approval to market the fourth biosimilar infliximab medicine. Dubbed Avasola (infliximab-axxq), a launch date was not announced, but one can assume that Amgen intends to launch this agent as soon as possible. This infliximab biosimilar was approved for all of the … Continue reading Amgen’s Infliximab Biosimilar, Avasola, Receives FDA Approval →
Partners Mylan and Biocon Announce Launch of Trastuzumab Biosimilar Ogivri®
Amgen now has company as the second biosimilar competitor to Herceptin® has launched. On December 2, 2019, Mylan and Biocon announced the availability of Ogivri in the United States. A price for the new biosimilar was not announced, but it is assumed that they will need to meet or beat Amgen’s initial offering, which was … Continue reading Partners Mylan and Biocon Announce Launch of Trastuzumab Biosimilar Ogivri® →
A Shakeout of Potential New Filgrastim Competition?
According to reports by Big Molecule Watch, two patent litigation suits have been dropped involving prospective filgrastim makers and the reference manufacturer Amgen. Sudden announcements like this have generally meant one of two things in the biosimilars arena. The announcements came within days of each other: first, Accord BioPharma and Amgen announced that they jointly … Continue reading A Shakeout of Potential New Filgrastim Competition? →
The Implications of Celltrion’s Development of a Subcutaneous Infliximab
Celltrion received approval today in the European Union (EU) for its subcutaneous (SC or SubQ) form of infliximab (Remsima®, marketed as Inflectra® in the US) for treating rheumatoid arthritis. Currently, infliximab is available only as an office-based infusion. The very interesting aspect to this is that the current 351(k) regulatory pathway does not provide guidance … Continue reading The Implications of Celltrion’s Development of a Subcutaneous Infliximab →
Samsung Bioepis Enters the Fray With Its Avastin Biosimilar BLA
On November 19, Samsung Bioepis announced that the Food and Drug Administration (FDA) had accepted its 351(k) application for its bevacizumab biosimilar SB8. This would be the company’s second biosimilar submission for treating cancer. Samsung’s trastuzumab biosimilar was approved early in 2019, and it awaits marketing in a crowded market. SB8 would compete with the … Continue reading Samsung Bioepis Enters the Fray With Its Avastin Biosimilar BLA →
Pfizer Reaches Milestone: FDA Approves 25th Biosimilar in US
Pfizer announced November 18th that the biosimilar licensing application (BLA) for its adalimumab biosimilar was approved by the Food and Drug Administration (FDA). The drug will be marketed under the name Abrilada™ (adalimumab-afzb) in November 2023, according to the terms of a licensing agreement with AbbVie. According to Pfizer, the drug was approved for … Continue reading Pfizer Reaches Milestone: FDA Approves 25th Biosimilar in US →
Sandoz Sets Ziextenzo Price 37% Below WAC for Reference Neulasta
According to reports, Sandoz has set a price of $3,925 for a 6- mg dose of its new pegfilgrastim biosimilar Ziextenzo™. Based on this pricing, the third biosimilar pegfilgrastim will undercut the wholesale acquisition cost (WAC) of Neulasta® by 37%. Of course, WAC pricing does not include further discounts or rebates, so we evaluated the … Continue reading Sandoz Sets Ziextenzo Price 37% Below WAC for Reference Neulasta →
Will Government Action to Spur the Biosimilars Industry Have Any Bite?
“Biosimilars are such an underutilized entity to truly drive down costs and generate savings. We are heartened by the fact that several pieces of legislation have been introduced to help change provider and patient incentives,” said Molly Burich, MS, Director, Public Policy, Biosimilars and Reimbursement at Boehringer Ingelheim. A panel at last week’s GRx+Biosims meeting … Continue reading Will Government Action to Spur the Biosimilars Industry Have Any Bite? →
Partners Teva/Celltrion Seek the Jump on Pfizer, Launch Their Rituximab Biosimilar Next Week
When Pfizer announced its intention just more than a week ago to begin marketing its rituximab biosimilar Ruxience® in January 2020, industry watchers wondered when we might hear a response from its sole approved competitor. The wait was over quickly: Teva and Celltrion will begin shipping their own rituximab biosimilar Truxima® on November 11. Truxima … Continue reading Partners Teva/Celltrion Seek the Jump on Pfizer, Launch Their Rituximab Biosimilar Next Week →
More Positive News From Coherus
On November 6, Coherus Biosciences released information that sent its shares soaring over 17% higher by midday on the 7th. The company announced its third-quarter earnings, which boasted greater marketshare for its lead product as well as a broadened late-stage pipeline. The company announced that its marketshare for its lead biosimilar product Udenyca® had reached … Continue reading More Positive News From Coherus →
How Did Kaiser Permanente Reach 95%+ Utilization of Biosimilar Herceptin and Avastin so Quickly?
The secret is in the sauce that makes Kaiser Permanente a truly integrated payer, and in its devout avoidance of the Achilles heel of other payers. At this week’s GRx+Biosims meeting, two sessions with KP’s executives made it startling clear—if you don’t accept rebates, the decision to move to biosimilars is simple. Amy Gutierrez, PharmD, … Continue reading How Did Kaiser Permanente Reach 95%+ Utilization of Biosimilar Herceptin and Avastin so Quickly? →
Sandoz Gets FDA Approval for Its Pegfilgrastim Biosimilar, Ziextenzo
Sandoz received its long-awaited nod to begin marketing Ziextenzo™, the third pegfilgrastim biosimilar. Approved and marketed in Europe in 2018, pegfilgrastim-bmez should be available for prescription by doctors before the end of 2019, according to Sandoz. The FDA approved indications for Ziextenzo include decreasing the incidence of infection (with febrile neutropenia) in patients with non-myeloid malignancies … Continue reading Sandoz Gets FDA Approval for Its Pegfilgrastim Biosimilar, Ziextenzo →
A Conversation With William Yoon, PharmD, MBA, Head, External Engagement and Medical Advocacy, Sandoz
What is the extent of misinformation on biosimilars and who is most vulnerable to it? We talked with Dr. Yoon about this and a number of related topics. Biosimilars Review & Report: What do you believe is the greatest challenge (or challenges) today regarding prescriber and patient comfort with using biosimilars as opposed to originator … Continue reading A Conversation With William Yoon, PharmD, MBA, Head, External Engagement and Medical Advocacy, Sandoz →
Pfizer Announces Launch Dates for Rituximab and Trastuzumab Biosimilars
At an earnings call this week, Pfizer’s CEO highlighted the impending launches of Ruxience® and Trazimera®, not long after the previously announced launch of Zirabev® (bevacizumab) at the end of this year. The New York–based pharmaceutical manufacturer plans to begin marketing Ruxience in January 2020, and Trazimera February 15, 2020. This would make Pfizer first … Continue reading Pfizer Announces Launch Dates for Rituximab and Trastuzumab Biosimilars →
A Profile of a Lesser-Known Player in the Biosimilar Space: Polpharma Biologics
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies with products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight a European company, Polpharma Biologics. The drug maker … Continue reading A Profile of a Lesser-Known Player in the Biosimilar Space: Polpharma Biologics →
New Legislative Proposals Offer Hope to Insulin Follow-on Manufacturers
This may be good news for partners Mylan and Biocon: Two bills are circulating on Capitol Hill that can alter the transition of insulins to biologic agents in March 2020. However, the timing for passage of these bills is questionable. The Senate’s Affordable Insulins Approval Now Act (S.2103), a bipartisan bill that was introduced by … Continue reading New Legislative Proposals Offer Hope to Insulin Follow-on Manufacturers →
Biosimilar Bytes This Week
The Institute for Clinical and Economic Review (ICER) released a report this week that highlighted seven pharmaceuticals with “substantial price increases on top of already high current spending.” According to ICER, these seven agents accounted for billions in unnecessary expense in 2017 and 2018. AbbVie’s Humira® and Genentech’s Rituxan® topped the list, with Neulasta® coming … Continue reading Biosimilar Bytes This Week →
Is Differential Cost Sharing an Incentive for Biosimilar Uptake in Commercial Patients?
One of the most attractive reasons for easy access to biosimilars was their inherent promise that lower costs would reduce patient out-of-pocket expenses. We’re not alluding to the potential for lower total health spending resulting in reduced plan premiums. That may actually happen over the long term, if biosimilars ever become pervasive. Specifically, we thought … Continue reading Is Differential Cost Sharing an Incentive for Biosimilar Uptake in Commercial Patients? →
Multiple Sources Announce Pfizer’s Intended Launch of Bevacizumab Biosimilar December 31, 2019
After coming to a settlement agreement (which may have been prodded by Amgen’s launch of Mvasi® in July), Pfizer can launch Zirabev® at the end of this year. First reported by Aiden Fry at The Pink Sheet and confirmed by Kelly Davio at the Center for Biosimilars, the settlement between Genentech and Pfizer was signed … Continue reading Multiple Sources Announce Pfizer’s Intended Launch of Bevacizumab Biosimilar December 31, 2019 →
A More Useful Way of Evaluating New FDA Biosimilar Applications
A Conversation With Gillian Woollett, MA, DPhil, Senior Vice President, Avalere Health In the conclusion of a two-part conversation with one of the real go-to experts in the biosimilar field and US regulatory process, we talk with Dr. Woollett about the need for a new approach by the FDA when evaluating biosimilar applications. Biosimilars Review … Continue reading A More Useful Way of Evaluating New FDA Biosimilar Applications →
Insulin Transitions: A Dead Zone in the Gap Year, and Other Considerations
An Assessment With Gillian Woollett, MA, DPhil, Senior Vice President, Avalere Health In this two-part conversation with one of the real go-to experts in the biosimilar field and US regulatory process, we talk with Dr. Woollett about the upcoming transition for insulins and other pharmaceuticals in March 2020, when they become regulated as 351(k) biosimilars. … Continue reading Insulin Transitions: A Dead Zone in the Gap Year, and Other Considerations →
Comparing the Two Main Prescription Drug Pricing Reduction Proposals
It seems like the Senate may—if Majority Leader Mitch McConnell (R-KY) does his job—be able to debate and vote on the Prescription Drug Pricing Reduction Act (PDPRA) of 2019 this Fall. Not to be confused with the Prescription Drug Price Relief Act of 2019, which was introduced by Senator Bernie Sanders (D-VT), in January (and … Continue reading Comparing the Two Main Prescription Drug Pricing Reduction Proposals →
How Confusing Is Biologic and Biosimilar Substitution?
Evidence is mounting, especially from Europe that biosimilars to a single reference product result in the same clinical outcomes, with no appreciable safety issues. Evidence of this type from America will take time to accumulate, because competition in categories with multiple biosimilar options has been much more limited. The recent announcement in British Columbia of … Continue reading How Confusing Is Biologic and Biosimilar Substitution? →
Biocon and Mylan: The Race to Approve Insulin Glargine Follow-on
Biocon received a second complete response letter relating to manufacturing plant problems in Malaysia. This may seem like a straight forward issue that could hamper its efforts to produce an insulin glargine follow-on agent, but it can become a major problem barring a very quick resolution. In the filing Biocon made to the India Stock … Continue reading Biocon and Mylan: The Race to Approve Insulin Glargine Follow-on →
Do Skinny Labels for Biosimilars Matter to Payers?
Extrapolation of indications by the Food and Drug Administration (FDA) has been widely accepted by providers, payers, and most patient groups. Yet how to address the approval of a narrow indication list (or skinny label) seems less settled. The four FDA-approved adalimumab biosimilars received the agency’s endorsement for a large set of Humira®’s 10 indications. … Continue reading Do Skinny Labels for Biosimilars Matter to Payers? →
Gottlieb: We Can Still Address Rebate Safe Harbors Through Congress
During his time as FDA Commissioner, Scott Gottlieb, MD, was an ardent proponent of the biosimilar industry. He, along with Health and Human Secretary Alex Azar, introduced several proposals to improve biosimilar access and competition for biologics in an effort to reduce the cost of these expensive complex molecules. Now, as a Resident Fellow of … Continue reading Gottlieb: We Can Still Address Rebate Safe Harbors Through Congress →
The BBCIC Demonstrates Feasibility of Insulin Safety Monitoring in Types 1 and 2 Diabetes
New insulin products will transition to being categorized as full-fledged biosimilars in 2020. The Biologic and Biosimilar Collective Intelligence Consortium has just published the results of an evaluation to determine whether its research network could detect safety signals in long-acting and intermediate-acting insulins used to treat type 1 and type 2 diabetes. Published in the … Continue reading The BBCIC Demonstrates Feasibility of Insulin Safety Monitoring in Types 1 and 2 Diabetes →
UHC Keeps Its Options Open: Amgen’s Trastuzumab and Bevacizumab Biosimilars Will Be Preferred Products in 2020
Likely focused on a best price policy, not a biosimilar-only policy, one of the largest national payers has announced that Amgen’s two new biosimilars to treat cancer will be accorded preferred formulary status over the reference agents. This formulary policy will be implemented January 1, 2020 for UnitedHealthcare’s (UHC’s) Medicaid and commercial plans (but not … Continue reading UHC Keeps Its Options Open: Amgen’s Trastuzumab and Bevacizumab Biosimilars Will Be Preferred Products in 2020 →
Thirty Years of Exclusivity for Enbrel? It’s Time for Some Common Sense
No pharmaceutical drug is entitled to 30 years of unfettered marketing exclusivity. Let’s be straight about that up front. Regardless of results of the patent settlements or the results of inter partes review, this is just common sense for a market-based economy. Ask anyone in the pharma industry, in the payer sector, or on the … Continue reading Thirty Years of Exclusivity for Enbrel? It’s Time for Some Common Sense →
Momenta Drops Out of Biosimilar Adalimumab Competition
In reporting its second quarter earnings, Momenta Pharmaceuticals stated on August 2 that it no longer plans to market M923, its biosimilar version of Humira®. “Today, Momenta announced the Company will cease active development of M923 at this time, due to changes in the market opportunity associated with Humira patent litigation settlements,” according to a … Continue reading Momenta Drops Out of Biosimilar Adalimumab Competition →
New Managed Care Pharmacy Survey Shows Broad Support for Biosimilar Adoption
According to a study published in the Journal of Managed Care and Specialty Pharmacy, managed care pharmacy executives are fully onboard with encouraging the use of biosimilars: Eighty-four percent agree that these FDA-approved agents are safe and effective for use in patients who are taking a reference product. The researchers sent survey invitations to more … Continue reading New Managed Care Pharmacy Survey Shows Broad Support for Biosimilar Adoption →
The Potential Effect of Amgen’s Launch on Biosimilar Licensing Deals
Imagine this interesting and perhaps very real-life scenario. It could have several implications for the present biosimilar marketing picture. A reference manufacturer, we’ll call them Arby, signs multiple licensing deals with biosimilar manufacturers, to launch their products sequentially in 2025. The licensing deals all conclude outstanding patent litigation between the parties. But one biosimilar manufacturer … Continue reading The Potential Effect of Amgen’s Launch on Biosimilar Licensing Deals →
The Biosimilar Mabs Have It: FDA Approves Biosimilars for Adalimumab and Rituxumab
In a busy beginning of the week, the US Food and Drug Administration approved new biosimilars for Humira®and Rituxan®. Samsung Bioepis gained approval for Hadlima™ (adalimumab-bwwd), and Pfizer scored with Ruxience™ (rituximab-pvvr). HADLIMA The approval for Hadlima covers the following indications: Rheumatoid arthritis Juvenile idiopathic arthritis Psoriatic arthritis Ankylosing spondylitis Crohn’s disease in adults Ulcerative colitis … Continue reading The Biosimilar Mabs Have It: FDA Approves Biosimilars for Adalimumab and Rituxumab →
Amgen/Allergan Partners Announce Launches of Herceptin and Avastin Biosimilars
The partnership of Amgen and Allergan made a huge splash in the biosimilar market by announcing the simultaneous US launches of the first two biosimilars of anticancer monoclonal antibodies. The agents Kanjinta® (trastuzumab-anns) and Mvasi® (bevacizumab-awwb) were officially made available July 18. The move occurred almost simultaneously with a court denial of Genentech’s request for … Continue reading Amgen/Allergan Partners Announce Launches of Herceptin and Avastin Biosimilars →
Samsung Bioepis Signals a Settlement With Genentech on Herceptin Biosimilar
And then there was one. Samsung Bioepis and Genentech filed a motion in District Court to drop all pending patent litigation regarding Ontruzant®, an approved Herceptin® biosimilar. A Joint Stipulation of Dismissal is usually the confirmation that a licensing agreement has been reached. This leaves one remaining approved trastuzumab biosimilar maker that has not settled … Continue reading Samsung Bioepis Signals a Settlement With Genentech on Herceptin Biosimilar →
Trump Administration Does About-Face on Drug Rebate Safe Harbors: Opportunity Lost for Biosimilar Competition
It seemed like the best opportunity biosimilar manufacturers had in a long time to gain a competitive foothold upon launch. Secretary of Health and Human Services Alex Azar had promised a repeal of the drug rebate safe harbor as a key component of the Trump Administration’s move to obtain lower drug prices. Today, the Administration … Continue reading Trump Administration Does About-Face on Drug Rebate Safe Harbors: Opportunity Lost for Biosimilar Competition →
A Profile on Lesser-Known Player in the Biosimilar Space: Formycon AG
On occasion, we profile some biosimilar manufacturers about whom our readers may not be as familiar as the large players like Sandoz, Amgen, and Pfizer. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Formycon AG →
$7.6 Billion Estimate on Savings Lost From Approved, Nonlaunched Biosimilars Could Be Low
$44 Billion by 2024. $250 Billion by 2024. Whatever. I’ve not been very impressed by the many attempts to estimate how much money biosimilars could save the US health care system. Even the more well-known estimates of biosimilar savings, like those from RAND and Express Scripts, have been little more than games of “pin the … Continue reading $7.6 Billion Estimate on Savings Lost From Approved, Nonlaunched Biosimilars Could Be Low →
Even in Europe, Biosimilar Uptake Depends on MD Comfort Levels
Sometime ago, the European Crohn’s and Colitis Organization (ECCO) found that sequential surveys had demonstrated improving physician comfort with prescribing biosimilar infliximab. This resulted in ECCO’s change in its position on switching infliximab. As one can imagine, this occurs only with experience, and often that experience is gained first by using the drugs in new … Continue reading Even in Europe, Biosimilar Uptake Depends on MD Comfort Levels →
Introducing the 21st FDA Approval: Pfizer’s Zirabev, a Biosimilar of Avastin
On June 28, 2019, Pfizer announced that it had received Food and Drug Administration (FDA) approval of Zirabev™ (bevacizumab-bvzr), a biosimilar version of Roche’s Avastin®. Based on the evidence provided by Pfizer, including its phase 3 trial comparing it to the EU-licensed version of Avastin, the FDA approved Zirabev for five cancer indications, including: Advanced, … Continue reading Introducing the 21st FDA Approval: Pfizer’s Zirabev, a Biosimilar of Avastin →
Dancing With the Stars, Patent Style
In June 2017, the US Supreme Court ruled that the “patent dance” was not mandatory for biosimilar manufacturers. Since then, our discussion of the patent dance (not patent litigation) has been infrequent. The first wave of biosimilars tended to perform the dance (or did it not incompletely). Therefore, manufacturers of drugs like filgrastim, infliximab, epoetin, … Continue reading Dancing With the Stars, Patent Style →
Don’t Expect All-Out Biosimilar Competition for Herceptin—Just Yet
Five trastuzumab biosimilars have been approved for marketing in the US, and the composition-of-matter patent for the reference product, Herceptin®, expires June 30, 2019. That doesn’t mean we’ll see a jail break of competition, like that seen in the EU last October with adalimumab’s patent expiration. Yet there has been heavy interest in capturing a … Continue reading Don’t Expect All-Out Biosimilar Competition for Herceptin—Just Yet →
Amgen/Allergan Announce FDA Approval of Their Trastuzumab Biosimilar
On June 13, the Food and Drug Administration (FDA) approved the fifth trastuzumab biosimilar. This product, Kanjinti (trastuzumab-anns), will be produced through the partnership of Amgen and Allergan. Originally filed in July 31, 2017, the drug makers received a complete response letter June 1, 2018. Their resubmission resulted in the approval for all indications of … Continue reading Amgen/Allergan Announce FDA Approval of Their Trastuzumab Biosimilar →
Limited Interest in Insulin Shown by Biosimilar Makers
The importance of insulin competition cannot be overemphasized today. Prices for each types of insulin have lurched upwards. The first competitive version of insulin glargine was approved in the US in late 2015, and according to IQVIA data, it has gained 31% of the US market (as of Q4 2018). Yet, information on other types … Continue reading Limited Interest in Insulin Shown by Biosimilar Makers →
A Payer’s Preference for Biosimilars, Interchangeability, and Incentivizing Providers to Use Biosimilars
In the last few weeks, we’ve seen a hail of biosimilars-related news, some of which significant, more having limited impact. Building upon the success of its infliximab biosimilar uptake, Magellan Rx Management announced June 4 that it will extend its medical pharmacy program to the new oncology biosimilars (i.e., rituximab, trastuzumab, and bevacizumab) when launched. … Continue reading A Payer’s Preference for Biosimilars, Interchangeability, and Incentivizing Providers to Use Biosimilars →
In Moving Patients to Biosimilars, Transferring Patient Services Is Key
John Q. Smith, a patient of Dr. Kelly’s has been receiving his biologic therapy for rheumatoid arthritis for more than a decade. He has been in contact with the reference manufacturer’s patient services hub for several years, and utilizes it both for payment assistance and for nurse support. He appreciates the co-pay coupon, which can … Continue reading In Moving Patients to Biosimilars, Transferring Patient Services Is Key →
Implications of UnitedHealthcare’s Preference of Remicade and Neulasta to Their Biosimilars
In a significant coverage move, UnitedHealthcare (UHC) has signaled that its commercial and Medicaid medical policies on infliximab and pegfilgrastim have changed direction in favor of the reference drugs. Effective July 1, 2019, approximately 22.5 million commercial and 6 million Medicaid UHC members will not be able to access these biosimilars without trying the reference … Continue reading Implications of UnitedHealthcare’s Preference of Remicade and Neulasta to Their Biosimilars →
In Canada, Mandated Biosimilar Switching Again Shines Spotlight on Need for Education
The Canadian province of British Columbia mandated on May 27 that patients receiving public coverage who are using reference insulin glargine, infliximab, and etanercept therapies must be switched to biosimilars in the next 6 months. This has caused a predictable flaring of tempers, and generated some opposition on my Twitter feed. The article in the … Continue reading In Canada, Mandated Biosimilar Switching Again Shines Spotlight on Need for Education →
When Biosimilars Are Switched for Each Other
In April, the Center for Biosimilars reported on a study of infliximab switching in patients with psoriasis. The researchers found no differences in safety or effectiveness in 24 patients taking infliximab biosimilars. I had to read the copy twice; it took me a couple of moments to understand the significance of this small study. Beyond … Continue reading When Biosimilars Are Switched for Each Other →
The FTC and Patent Thickets: A Conversation With Kevin M. Nelson, Esq., Partner, Schiff Hardin LLP, Chicago
On May 7, the Senate Judiciary Committee held hearings on how to clear the patent thickets obstructing access to lower-cost biosimilars. One of the key avenues raised during the hearings was moving the Federal Trade Commission (FTC) directly into the fray. We asked Kevin M. Nelson, our go-to expert on intellectual property issues, for his … Continue reading The FTC and Patent Thickets: A Conversation With Kevin M. Nelson, Esq., Partner, Schiff Hardin LLP, Chicago →
Boehringer Ingelheim Gives up the Fight, Signs AbbVie Agreement on Adalimumab
It seems that AbbVie has won the battle and the war. The last remaining holdout in the fight to bring a biosimilar adalimumab to market before 2023 has capitulated, as AbbVie announced May 14 that Boehringer Ingelheim agreed to the terms of a licensing arrangement. This agreement allows Boehringer Ingelheim to enter the marketplace July … Continue reading Boehringer Ingelheim Gives up the Fight, Signs AbbVie Agreement on Adalimumab →
Apotex/Apobiologix: Success in Canada, but Are They Shelving Biosimilars in the US?
Apotex has recently made news in Canada, introducing biosimilars and obtaining marketshare there. However, the story of Apotex and its Apobiologix biosimilar subsidiary in the US is less positive. As we’ve listed in our updated table, Apotex had originally filed for approval for its pegfilgrastim biosimilar with the FDA in late 2014 and its filgrastim … Continue reading Apotex/Apobiologix: Success in Canada, but Are They Shelving Biosimilars in the US? →
An Eventful May Upcoming for Biosimilars
The Food and Drug Law Institute held May 2-3, in Washington, DC, offered a few nuggets of information that are well worth mentioning here and serve as a reminder of some of the important events to happen later this month. At the meeting, FDA’s Janet Woodcock, MD, Director of the Center for Drug Evaluation and … Continue reading An Eventful May Upcoming for Biosimilars →
Senate Bill on Patents Could Turn the Purple Book Into Something More Useful
The Biologic Patent Transparency Act (BPTA), a Senate bill introduced by Senator Susan Collins (R-ME) in March, is an independent, bipartisan attempt to address patent thickets. It does so largely by clarifying an individual biologic product’s patent situation. In achieving this, it can also create a real reason for the existence of the Purple Book. … Continue reading Senate Bill on Patents Could Turn the Purple Book Into Something More Useful →
Second Etanercept Biosimilar Receives FDA Approval
Samsung Bioepis scored another biosimilar approval in the US, as the Food and Drug Administration gave its nod to etanercept-ykro on April 25, 2019. Formerly known as SB4, Samsung Bioepis dubbed this agent Eticovo™. It is the second Enbrel® biosimilar to to receive US approval. This approval covered all of the reference product’s autoimmune … Continue reading Second Etanercept Biosimilar Receives FDA Approval →
Managed Care Pharmacists Survey: We’re on Board With Biosimilars, and Maybe Even Switching
Few suspected that payers were doubters of the clinical value of biosimilar agents, and as the first biosimilars were approved (2015-2016) managed care medical and pharmacy executives were somewhat reluctant to embrace them. However, within the past couple of years, managed care pharmacists told me these concerns were dissipating rapidly. (See the recent interview with … Continue reading Managed Care Pharmacists Survey: We’re on Board With Biosimilars, and Maybe Even Switching →
A Quick Look Back: Why We Misread the Signs
In the biosimilars arena, at least in the US, history seems to be truncated. Policy changes occur in rapid fire succession these days, and access scenarios don’t evolve—they just happen or they don’t! Along this brief journey, I’ve taken the opportunity to focus on some of the sign posts that were exceedingly poor maps for … Continue reading A Quick Look Back: Why We Misread the Signs →
New Proposal: Forget Biosimilars, Move to Fixed Price Formulas
Claiming that US savings would accrue from $200 billion to $300 billion within 5 years, a group of authors published in a Health Affairs blog a different concept for controlling the cost of biologic agents. They believe that biosimilars will never gain the savings intended by the Biologics Price Competition and Innovation Act (BPCIA). Savings … Continue reading New Proposal: Forget Biosimilars, Move to Fixed Price Formulas →
Senate Hearings on Drug Pricing: PBMs Pass Blame Back to Drug Makers
If you thought that the Senate hearings on pharmaceutical rebates and pricing was going to help clarify what might be the best avenue for the administration to promote biosimilar access, well, you should have known better. With enough finger pointing to go around, the pharmacy benefit managers and health plans represented at these hearings passed … Continue reading Senate Hearings on Drug Pricing: PBMs Pass Blame Back to Drug Makers →
Sandoz Resubmits Its Pegfilgrastim Biosimilar Application
Sandoz may be chomping at the bit to market its long-delayed pegfilgrastim biosimilar. First rejected by the Food and Drug Administration (FDA) in 2016, the manufacturer of Zarxio® (filgrastim) has completed its 351(k) biosimilar resubmission for its pegylated filgrastim agent. The FDA’s complete response letter to Sandoz required new pharmacokinetic and pharmacodynamics data, which Sandoz … Continue reading Sandoz Resubmits Its Pegfilgrastim Biosimilar Application →
Follow-on Biologics Versus Line Extensions, and What Are the Implications for Biosimilars?
Is a citrate-free formulation of Humira®, which is supposed to result in less injection-site pain, just another part of the patent thicket, or is it a real-improvement in the brand? Payers aren’t impressed, based on discussions we had at the Academy of Managed Care Pharmacy (AMCP) annual meeting last week. In her presentation, Jennifer Day, … Continue reading Follow-on Biologics Versus Line Extensions, and What Are the Implications for Biosimilars? →
Rumblings About Drug Rebates and Safe Harbors at AMCP
The environment in which managed care has grown since the 1980s is changing at a pace not seen since the introduction of Medicare Part D. Just a couple of years ago, I visited San Diego (where the meeting was held March 25–28, 2019), and the city was very much pleasantly unchanged compared with many visits … Continue reading Rumblings About Drug Rebates and Safe Harbors at AMCP →
A Conversation With Steven G. Avey, MS, RPh
In May 2016, I interviewed Steven Avey, Vice President, Specialty Pharmacy, MedImpact, for the Center for Biosimilars. That conversation speculated on the potential for biosimilars, having only recently experienced the launch of the first biosimilar in the United States, filgrastim-sndz. At the Academy of Managed Care Pharmacy’s 2019 annual meeting last week, I sat down … Continue reading A Conversation With Steven G. Avey, MS, RPh →
Even Today, Patients and Payers Hold the Key to Biosimilar Uptake Success
Reading the white paper co-published March 19 by the US-based Biosimilars Forum and UK-based Medicines for Europe highlighted for me the importance of an essential roadblock to increased biosimilar uptake in the US. The white paper outlined structural market changes needed in the US to gain comparable conversion of marketshare in the European market. Without … Continue reading Even Today, Patients and Payers Hold the Key to Biosimilar Uptake Success →
Does Mass Signing of Adalimumab Licensing Deals Add Up to Biosimilar Access Collusion?
As reported by the Center for Biosimilars, a union has filed a class-action lawsuit against AbbVie and the eight prospective biosimilar adalimumab makers who agreed to delay bringing their agents to market through a royalty arrangement. Only Boehringer Ingelheim remains as a biosimilar maker who has an approved version of adalimumab but who has not … Continue reading Does Mass Signing of Adalimumab Licensing Deals Add Up to Biosimilar Access Collusion? →
Budget Proposal Floats an Idea to Discourage Pay-for-Delay Deals
The Department of Health and Human Services (HHS) had signaled in the past that it would seek to discourage the signing of “pay-for-delay” agreements. These agreements contribute to slow access to less-expensive biosimilars. The recently released budget proposal from the Trump Administration, though dead on arrival in Congress, does include a provision that could bring … Continue reading Budget Proposal Floats an Idea to Discourage Pay-for-Delay Deals →
Pfizer Receives Approval for Trazimera, the Fourth Trastuzumab Biosimilar
A fourth trastuzumab biosimilar has been approved by the US Food and Drug Administration (FDA). Pfizer’s biosimilar version of trastuzumab-qyyp (Trazimera) gained approval on March 11. The principal phase 3 study tested Trazimera against the EU-licensed version of Herceptin®. The REFLECTIONS B327-02 study found no relevant differences in the clinical and safety outcomes for patients with … Continue reading Pfizer Receives Approval for Trazimera, the Fourth Trastuzumab Biosimilar →
FDA’s Gottlieb Announces Important Changes to Biosimilar and Biologic Naming
A statement by the Food and Drug Administration (FDA) departing commissioner, Scott Gottlieb, reinforced a key aspect of biosimilar naming and provided important updates to the use of four-digit suffixes for biologics and biosimilars. In his statement, Dr. Gottlieb said, “In January 2017, the FDA published a guidance document in which we sought to … Continue reading FDA’s Gottlieb Announces Important Changes to Biosimilar and Biologic Naming →
Lilly to Launch Authorized Generic for Humalog
In reaction to the tumult over high insulin prices, the Food and Drug Administration (FDA) has been firming up its plans for a transition to biosimilar competition for insulin. Lilly, one of the dominant insulin manufacturers in the US, has decided to cut prices through the authorized generic route. In this case, a manufacturer that … Continue reading Lilly to Launch Authorized Generic for Humalog →
Comparing Biosimilar Approval Progress by the FDA and EMA
It is widely reported that European biosimilar development is way ahead of that in the US. In a number of ways, this is true. However, when talking about biosimilar development in the EU compared with the US, we really should take a look at the bigger picture. First of all, let me specify that I’m … Continue reading Comparing Biosimilar Approval Progress by the FDA and EMA →
Payers Focus More on a Biosimilar’s Price Than on Clinical Data: A Retrospective
It can be fun to go back in time! That’s the case with an old column I wrote for the Center for Biosimilars, just after Zarxio was approved. Here, I reprint a portion of the column, with some additional commentary. A RAND study from 2014 boldly predicted $44.2 billion in savings from biologic drugs over … Continue reading Payers Focus More on a Biosimilar’s Price Than on Clinical Data: A Retrospective →
A Conversation With Doug Long, IQVIA
Doug Long, Vice President of Industry Relations at IQVIA (formerly QuintilesIMS), spoke with us about some of the intracacies of the filgrastim and pegfilgrastim marketplace, and regarding improving access to biosimilars in general. BR&R: Do you think interest by manufacturers in biosimilars is gaining or waning at this time? Doug Long: It’s somewhere in between … Continue reading A Conversation With Doug Long, IQVIA →
Biosimilar Bytes
In the absence of really big biosimilar stories with far-reaching implications, let’s start with some interesting bits on biosimilars to begin this week. First, insulin maker Eli Lilly asked the Food and Drug Administration a very interesting question, in comments on the agency’s guidelines on transitional drugs. Lilly requested clarification of the rules under which … Continue reading Biosimilar Bytes →
Is It About the Rebates, Net Costs, or Both?
It sounds a bit absurd, but we shouldn’t be surprised at this point: Health plans may not be satisfied if pharma companies simply dropped their drugs’ retail prices. They still want their drug rebates on top of this, says one well-known industry analyst. The pharmaceutical industry is stunned, because its members believed that the net … Continue reading Is It About the Rebates, Net Costs, or Both? →
A Profile on Lesser-Known Player in the Biosimilar Space: Nichi-Iko Pharmaceutical Company
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight a Japanese company, Nichi-Iko Pharmaceutical Company, Ltd. … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Nichi-Iko Pharmaceutical Company →
Secretary Azar Announces Plan to Remove Safe Harbor Protection for Drug Rebates
One of the more challenging lines of attack on high pharmaceutical pricing has been solving the “rebate trap.” Although not a singular item in the Trump administration’s Biosimilar Action Plan, Secretary of Health and Human Services (HHS) Alex Azar had begun the process of reviewing how to begin the offensive against the current system of … Continue reading Secretary Azar Announces Plan to Remove Safe Harbor Protection for Drug Rebates →
Update: Who Has Signed Abbvie Licensing Agreements for Adalimumab Biosimilars?
Company/Partner Drug Name Launch Date Amgen Amjevita* January 2023 Samsung Bioepis/Merck SB5 June 2023 Mylan/Fujifilm Kyowa Kirin Biologics Hulio August 2023 Fresenius Kabi MSB11022 September 2023 Sandoz Hyrimoz* September 2023 Pfizer PF-06410293 November 2023 Momenta M923 December 2023 Coherus CHS-1720 December 2023 *Received FDA Approval.
More Adalimumab News: Abbvie Signs a Licensing Deal With Coherus, Coherus Sues Amgen for Patent Infringement
The multitude of companies that have lined up to sign 2023 licensing agreements with Abbvie on sales of Humira® biosimilars has grown again. The latest biosimilar maker added to the list is Coherus Biosciences. Coherus has an investigational adalimumab biosimilar that completed a phase 3 trial in 2017 in patients with plaque psoriasis and psoriatic … Continue reading More Adalimumab News: Abbvie Signs a Licensing Deal With Coherus, Coherus Sues Amgen for Patent Infringement →
Insulin Prices Nearly Doubled Between 2012 and 2016: Will Follow-on and Biosimilar Insulins Affect Patient Costs?
A new report by the nonprofit Health Care Cost Institute (HCCI) confirms what payers already knew: Insulin’s retail prices have been skyrocketing. For the most part, patients have been shielded from these increases, and the payers have been footing the bill. The organization studied the commercial claims of approximately 15,000 patients with type 1 diabetes. … Continue reading Insulin Prices Nearly Doubled Between 2012 and 2016: Will Follow-on and Biosimilar Insulins Affect Patient Costs? →
Samsung Bioepis Scores FDA Approval of Ontruzant, the Third Biosimilar Trastuzumab
The US Food and Drug Administration (FDA) announced on January 18, 2019 the approval of a new biosimilar version of trastuzumab. Produced by Samsung Bioepis, this agent was dubbed Ontruzant (trastuzumab-dttb). This is the third trastuzumab biosimilar approved by the FDA, following those by Mylan and Biocon in December 2017 (Ogivri®) and Teva and Celltrion … Continue reading Samsung Bioepis Scores FDA Approval of Ontruzant, the Third Biosimilar Trastuzumab →
A Profile of a Lesser-Known Player in the Biosimilar Space: Bio-Thera Solutions
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight a Guangzhou, China–based company, Bio-Thera Solutions. Established … Continue reading A Profile of a Lesser-Known Player in the Biosimilar Space: Bio-Thera Solutions →
Will the Government Shutdown Slow Biosimilar Approvals?
The partial federal government shutdown is having specific effects in various important areas of government, but it may not be particularly troubling for FDA user-fee funded activities. Scott Gottlieb, MD, Commissioner of the FDA, has been especially busy on Twitter, trying to inform the public how the government shut down is affecting FDA operations. He … Continue reading Will the Government Shutdown Slow Biosimilar Approvals? →
An Update on Potential Biosimilars for Bevacizumab
Embroiled in patent litigation, the partnership of Amgen and Allergan have waited for the opportunity to launch Mvasi® since September 2017. During this time, the competition has not been stagnant, with Pfizer moving towards an FDA decision. The next 6 months may prove critical, but when will providers, patients, and payers have access to Avastin® … Continue reading An Update on Potential Biosimilars for Bevacizumab →
More Details on Coherus Bioscience’s Udenyca Launch
Go big or go home, seems to be the message of Coherus’ President Dennis Lanfear. At the JP Morgan Investor Conference yesterday in San Francisco, he outlined what he considers a “full-on branded launch” for the biosimilar maker’s key product. Udenyca was officially launched on January 3. In preparation for the launch of Udenyca, Coherus … Continue reading More Details on Coherus Bioscience’s Udenyca Launch →
Biosimilar Maker Adello Biologics Bought by Pharma Research Company
The assets of biosimilar drug developer Adello Biologics were sold to Kashiv Pharma, LLC, the companies announced on January 4, 2019. The new company will now be known as Kashiv Biosciences, with its headquarters in Bridgewater, New Jersey. Adello Biologics had been one of a handful of “pure-play” biosimilar companies, in that it was not … Continue reading Biosimilar Maker Adello Biologics Bought by Pharma Research Company →
Coauthor of Hatch–Waxman Act Attacks the Use of IPR Process for Biosimilars
The Hatch–Waxman Act (officially, The Drug Price Competition and Patent Term Restoration Act of 1984) enabled generic medications to be marketed after branded patent expirations. One of the bill’s cosponsor, Senator Orrin Hatch (R-UT), is now spurring a legislative proposal that would protect reference drug manufacturers from use of the inter partes review (IPR) system. … Continue reading Coauthor of Hatch–Waxman Act Attacks the Use of IPR Process for Biosimilars →
The Baby, Biosimilars, and the Bath Water
You’ve heard the expression, “throwing the baby out with the bath water.” It refers to the problem of unintended consequences of our actions. On December 14, Texas District Court Judge Reed O’Connor decided that when he ruled that the individual mandate of the Patient Protection and Affordable Care Act (ACA) is unconstitutional, the entire Act is … Continue reading The Baby, Biosimilars, and the Bath Water →
Pfizer Pulls One Biosimilar Adalimumab Application From the EMA
Earlier this month, Pfizer notified the European Medicines Agency (EMA) that it was withdrawing one of its two applications for approval of its biosimilar adalimumab. According to Pfizer’s Director of Global Media Relations, Thomas Biegi, the company had submitted two applications for this biosimilar, one for a limited set of indications, and the other for … Continue reading Pfizer Pulls One Biosimilar Adalimumab Application From the EMA →
FDA Approves Celltrion and Teva’s Herceptin® Biosimilar
On December 14, the US Food and Drug Administration gave its approval for a new trastuzumab biosimilar (Herzuma™). Manufactured by Celltrion and marketed in the US by Teva, this agent has been designated trastuzumab-pkrb. The decision marks the second trastuzumab biosimilar approval, and the 16th biosimilar agentthat has made it through the 351(k) regulatory pathway. … Continue reading FDA Approves Celltrion and Teva’s Herceptin® Biosimilar →
Will Biosimilars Benefit From PBMs’ Attempts to Evolve Beyond Rebates?
Pharmacy benefit managers (PBMs) have been under the microscope recently, with increasing attention paid to whether they add value to the health system. Payers, providers, and the federal government have been scrutinizing the industry, mostly because of drug price transparency concerns. The problem was highlighted byPfizer’s lawsuit against Janssen involving its inability to gain infliximab … Continue reading Will Biosimilars Benefit From PBMs’ Attempts to Evolve Beyond Rebates? →
New Biosimilar Guidances From the FDA Announced by Commissioner Gottlieb
On December 11, the Commissioner of the Food and Drug Administration (FDA), Scott Gottlieb, MD, issued a far-ranging statement on actions to be taken by the federal government to improve access to biosimilars and to begin the transition of insulins, growth hormones, and other selected drugs to biologic status, under section 351 of the Public Health … Continue reading New Biosimilar Guidances From the FDA Announced by Commissioner Gottlieb →
Pfizer Signs Licensing Agreement With Roche on Trastuzumab Biosimilar
With Pfizer expecting to hear back on its 351(k) resubmission on a trastuzumab biosimilar in early 2019, Genentech and its parent, Roche, may have been getting nervous about their competitor’s intentions. After all, Pfizer was willing to launch at risk with its marketing of Inflectra®, the infliximab biosimilar manufactured by partner Celltrion. In fact, it … Continue reading Pfizer Signs Licensing Agreement With Roche on Trastuzumab Biosimilar →
Cost-Saving Lessons From the VA on Using Filgrastim Versus Pegfilgrastim
A study of granulocyte colony–stimulating factors (G-CSFs) used to prevent neutropenia in patients undergoing chemotherapy found that the Veterans Administration (VA) prescribing and purchasing can minimize its GCSF costs by emphasizing the use of tbo-filgrastim, especially over the originator form of pegfilgrastim. Outside of the VA system, the pegylated formulation is used more commonly than … Continue reading Cost-Saving Lessons From the VA on Using Filgrastim Versus Pegfilgrastim →
Pfizer Signs Licensing Deal With Abbvie on Adalimumab Biosimilar Candidate
Pfizer announced on November 30 that it had indeed joined the several biosimilar adalimumab makers who have signed agreements with Abbvie. According to the announcement, Pfizer will market this agent (PF-06410293), if approved by the Food and Drug Administration, in November 2023. This would make it the sixth adalimumab biosimilar to launch, just before Momenta’s … Continue reading Pfizer Signs Licensing Deal With Abbvie on Adalimumab Biosimilar Candidate →
Rituximab Biosimilar Approved by FDA for Cancer Treatment
On November 28, 2018, the Food and Drug Administration (FDA) announced the approval of rituximab-abbs (Truxima™), produced by Celltrion and marketed by Teva. Approval for this rituximab biosimilar was overwhelmingly recommended by the FDA’s Oncology Drug Advisory Committee by a vote of 16-0 in October. It is the first biosimilar agent approved for the treatment … Continue reading Rituximab Biosimilar Approved by FDA for Cancer Treatment →
United Kingdom to Save 75% on Annual Humira Spending
Since the October expiration of Abbvie’s EU patent, the potential Humira savings seem to be truly mind-blowing. After implementing its contracts for adalimumab, the UK National Health Service (NHS) should save about three quarters of the $514 million (£400 million) it spends each year on this product alone. In a fixed-budgeted system like that in the … Continue reading United Kingdom to Save 75% on Annual Humira Spending →
Abbvie’s Humira Price Cuts Don’t Win the Business in Denmark
Just a few short weeks ago, Abbvie announced that it intended to rely on discounts as deep as 80% in parts of the EU to retain Humira® marketshare. One bellweather EU member country has signaled that it is signing tenders with other biosimilar adalimumab manufacturers. The Center for Biosimilars reported an Email exchange with the … Continue reading Abbvie’s Humira Price Cuts Don’t Win the Business in Denmark →
Amgen Withdraws Membership From Biosimilars Advocacy Group
Journalist Dan Stanton reported that Amgen withdrew in September from The Biosimilars Forum, based on disagreements with the remaining eight biosimilar-manufacturing members and perhaps internal conflicts within Amgen. Founded by 11 members (Allergan, Amgen, Boehringer Ingelheim, Coherus BioSciences, EMD Serono, Epirus Biopharmaceuticals, Merck and Co., Pfizer, Samsung Bioepis, Sandoz, and Teva), 8 now remain (B-I, … Continue reading Amgen Withdraws Membership From Biosimilars Advocacy Group →
Pfizer Launches Retacrit, First Biosimilar Version of Epogen and Procrit
On November 13, Pfizer began marketing its biosimilar version of epoetin alfa. Pfizer launches Retacrit® at a 33.5% discount to Amgen’s reference product Epogen®. Retacrit was originally developed by Hospira, which Pfizer acquired in 2015. Retacrit was one of the first biosimilars approved in the EU. It had a long journey to reaching the market in … Continue reading Pfizer Launches Retacrit, First Biosimilar Version of Epogen and Procrit →
Udenyca to Launch January 3, Same WAC as Mylan’s Fulphila
Coherus Biosciences surprised many on its third-quarter earnings call late yesterday. It will rely not on a lower price than its biosimilar competitor to gain marketshare after Coherus’ Udenyca launch, but on its ability to pull through on its patient and provider services and supply chain to gain significant marketshare for its biosimilar version of … Continue reading Udenyca to Launch January 3, Same WAC as Mylan’s Fulphila →
Momenta Signs Licensing Deal With Abbvie. Did It Have a Choice?
We previously reported that Momenta Pharmaceuticals reevaluated its biopharmaceutical strategy going forward, deciding to move forward only with its investigational adalimumab and aflibercept biosimilars. Yesterday, Momenta announced that it has joined the long queue of pharmaceutical manufacturers signing a biosimilar licensing deal with Abbvie, which will allow commercialization of M923, its biosimilar to Humira, should … Continue reading Momenta Signs Licensing Deal With Abbvie. Did It Have a Choice? →
Sandoz Decides Against Marketing Rituximab Biosimilar in US
On October 30, Novartis announced that it was culling its investigational drug pipeline and dropping 20% of its development programs. Just three days later, its subsidiary Sandoz announced that it would halt its efforts to obtain approval for its biosimilar version of rituximab from the US Food and Drug Administration (FDA). The decision by Sandoz … Continue reading Sandoz Decides Against Marketing Rituximab Biosimilar in US →
Coherus Gets FDA Approval for Its Pegfilgrastim Biosimilar
With the Food and Drug Administration (FDA) approval today of Coherus Bioscience’s Udenyca™ (pegfilgrastim-cbqv), the second pegfilgrastim to compete with Amgen’s Neulasta®, much attention will be now focused on the company’s November 8 earning call. The FDA approved Udenyca on the basis of a supportive analytical similarity package, but with phase 1 data only. Over 600 … Continue reading Coherus Gets FDA Approval for Its Pegfilgrastim Biosimilar →
A Third Biosimilar Adalimumab Approval in the US and Potentially Huge Humira Price Discount in Europe
The Food and Drug Administration (FDA) announced yesterday the approval of adalimumab-adaz from Sandoz. The new agent, dubbed Hyrimoz™, will not be launched in the US until 2023. The approval of Hyrimoz is the third for Sandoz (but only one, Zarxio®, is available for prescription in the US). The FDA approval of adalimumab-adaz covered several … Continue reading A Third Biosimilar Adalimumab Approval in the US and Potentially Huge Humira Price Discount in Europe →
A Blueprint for Successful Infliximab Biosimilar Switching
Payers have not been quick to add biosimilar infliximab to their drug coverage. Yet, biosimilar switching is the objective for most health plans and insurers who are thinking about long-term savings. Even if they do not exclude the reference product Remicade® from coverage, some health plans, like Kaiser, have been moving forward in this effort. At … Continue reading A Blueprint for Successful Infliximab Biosimilar Switching →
Federal Policy and Biosimilars: A Conversation With Molly Burich, MS, Boehringer Ingelheim: Part 2
In part two and the conclusion of this interview, Molly Burich, MS, Director, Public Policy: Biosimilars and Pipeline, speaks to Boehringer Ingelheim’s progress in Cytelzo interchangeability studies, its plans for the product in Europe in the face of several adalimumab biosimilars launches in the EU, and also the complexity inherent in CMS’s plans to move biologic … Continue reading Federal Policy and Biosimilars: A Conversation With Molly Burich, MS, Boehringer Ingelheim: Part 2 →
Word From the Adalimumab Front: A Conversation With Molly Burich, MS, Boehringer Ingelheim: Part 1
In the first portion of a two-part interview with Molly Burich, MS, Director, Public Policy: Biosimilars and Pipeline, Boehringer Ingelheim, we cover the challenges of driving biosimilar uptake, as well as the unique situation that has focused this manufacturer’s attention on biosimilars and interchangeability. BR&R: The viability of the US biosimilar industry is being challenged if … Continue reading Word From the Adalimumab Front: A Conversation With Molly Burich, MS, Boehringer Ingelheim: Part 1 →
Biosimilar Step Therapy for Medicare Part B: Does This Make Sense?
The Centers for Medicare and Medicaid Services (CMS) has decided drugs covered under Medicare part B may be subject to step therapy, if so desired by Medicare Advantage plans. UnitedHealthcare has become the first to publicly implement step therapy policies for these drugs. However, biosimilar step therapy is not the typical utilization management tool that … Continue reading Biosimilar Step Therapy for Medicare Part B: Does This Make Sense? →
Pfizer’s Anticompetitive Suit: A Slippery Slope to Competitive Bidding?
When Pfizer first announced its lawsuit against Janssen’s parent Johnson & Johnson in September 2017, it pointed to exclusionary contracting, “anticompetitive” behavior of Remicade®’s maker as the reason for its very limited market access. The lawsuit claimed that Janssen has withheld or threatened to withhold rebates if payers do not keep Remicade in an exclusive … Continue reading Pfizer’s Anticompetitive Suit: A Slippery Slope to Competitive Bidding? →
An Update From BBCIC: A Conversation With Cate Lockhart, Program Director—Part 2
The Biologics and Biosimilars Collective Intelligence Consortium (BBCIC) is the organization that will perform the critical task of postmarketing surveillance for biosimilars and their reference biologics. Started in 2015, the BBCIC is a nonprofit, scientific public service initiative, which partners with multiple stakeholders to accomplish its mission. In the conclusion of our two-part interview with Cate … Continue reading An Update From BBCIC: A Conversation With Cate Lockhart, Program Director—Part 2 →
Fresenius Kabi and Celltrion Get Good News
A German manufacturer is considering its options after the successful completion of two clinical studies involving a pegfilgrastim biosimilar (MSB11455). Fresenius Kabi, which completed its purchase of the biosimilar business from Merck KGaA in September 2017, announced its investigational biosimilar agent had proved sufficiently similar to the reference product Neulasta® in these phase 1 investigations … Continue reading Fresenius Kabi and Celltrion Get Good News →
An Update From BBCIC: A Conversation With Cate Lockhart, Program Director—Part 1
The Biologics and Biosimilars Collective Intelligence Consortium (BBCIC) is the organization that will perform the critical task of postmarketing surveillance for biosimilars and their reference biologics. Started in 2015, the BBCIC is a nonprofit, scientific public service initiative, which partners with multiple stakeholders to accomplish its mission. In the first post of our two-part interview with … Continue reading An Update From BBCIC: A Conversation With Cate Lockhart, Program Director—Part 1 →
Celltrion’s Rituximab Biosimilar Earns Positive Review
The information package released by reviewers for the Food and Drug Administration (FDA) indicates that a positive recommendation for Celltrion’s rituximab biosimilar is likely at the Advisory Committee meeting on October 10. The members of the Oncologic Drugs Advisory Committee will review the data and hear public comments before voting to recommend that the FDA … Continue reading Celltrion’s Rituximab Biosimilar Earns Positive Review →
Tanvex BioPharma Files With FDA for Filgrastim Biosimilar
On October 1, Tanvex BioPharma, Inc. (formerly La Jolla Biologics) announced that it has filed its 351(k) application with the US Food and Drug Administration (FDA) for its figrastim biosimilar. If approved, Tanvex’s product, TX-01, could join two approved and marketed agents (Sandoz’s Zarxio® and Pfizer’s Nivestym®). Two other agents (by Adello and Apotex, respectively) … Continue reading Tanvex BioPharma Files With FDA for Filgrastim Biosimilar →
A Momentous Decision: Momenta Reduces Its Biosimilar Footprint
In conducting a strategic review of its operations, Momenta Pharmaceuticals has come to a realization: Its challenges in the biosimilar market may be too great to overcome. That was the essence of the announcement of Momenta’s recalibration of its goals and layoff of 50% of its staff. The company will begin restructuring its executive personnel, … Continue reading A Momentous Decision: Momenta Reduces Its Biosimilar Footprint →
The Biosimilar Nocebo Effect: Is It in Patients’ Heads?
In this infancy period of biosimilar access in the US, reference manufacturers, prescribers, and some patient advocacy groups have stirred the notion that biosimilars are not as safe and effective as their reference products. The 13 years of experience in Europe, clinical data produced by biosimilar manufacturers, and approvals by the US Food and Drug … Continue reading The Biosimilar Nocebo Effect: Is It in Patients’ Heads? →
Tidal Wave of Pegfilgrastim Biosimilars About to Hit Europe
We had mentioned the upcoming deluge of adalimumab biosimilars aiming to hit the European market in mid-October, but another biosimilar tidal wave may actually precede this. The European Medicines Agency (EMA) has had an extremely busy week in the pegfilgrastim biosimilars arena. In addition to granting marketing authorization to Coherus Biosciences for its pegfilgrastim biosimilar, … Continue reading Tidal Wave of Pegfilgrastim Biosimilars About to Hit Europe →
More From GRx+Biosims on Four-Letter Suffixes and Biosimilar Interchangeability
The talk at the GRx+Biosims 2018 meeting this month in Baltimore was about challenges, but extrapolation was not one of them. Biosimilar interchangeability was. That was not entirely surprising. In market research projects I’ve been involved with over the past year, payers and physicians in medical groups have broadly indicated that they’ve gotten past the … Continue reading More From GRx+Biosims on Four-Letter Suffixes and Biosimilar Interchangeability →
Biosimilars and Drug Rebates: A Foot in the Door to Access?
At the September 5–7, 2018 GRx+Biosims meeting, I had the opportunity to moderate a session with three highly experienced biosimilar industry executives. They included Gary Deeb, Senior Vice President, Global Licensing and Business Development, Lupin Pharmaceuticals; Chrys Kokino, MBA, Head Global Biologics— Commercial, Mylan; and Mike Woolcock, MBA, Senior Vice President, Commercial Operations, Apobiologix. In … Continue reading Biosimilars and Drug Rebates: A Foot in the Door to Access? →
Scaling the Mountains to Create a Biosimilar Market Success
One of the persistent themes at the Association for Accessible Medicines’ first GRx+Biosims meeting was an existential one. Authorities such as Gillian Woollett, PhD; Hillel Cohen, PhD; and several industry experts worried that without a change in mindset and intervention by government, payers, and the industry itself, the US biosimilar industry may not survive its … Continue reading Scaling the Mountains to Create a Biosimilar Market Success →
FDA Purple Book: Much Potential Value, Little Current Help
Under the BPCIA, the FDA Purple Book is the published agency reference on biosimilars. It lists very specific information with regard to both the reference biologics and biosimilars: (1) biologic licensing application number, (2) nonproprietary name, (3) proprietary name (brand name), (4) date of licensure, (4) reference product exclusivity expiration, and (5) whether the product … Continue reading FDA Purple Book: Much Potential Value, Little Current Help →
Pfizer Files Citizen’s Petition, Claiming Misleading Statements Against Biosimilars
Continuing its battle to improve the uptake of its biosimilar infliximab, Pfizer accused Janssen Biotech, Amgen, and Roche of making false claims about the safety and efficacy of biosimilars in comparison with their originator products. In Pfizer’s citizen’s petition, it has requested that the US Food and Drug Administration (FDA) intervene. “We request that the [FDA] … Continue reading Pfizer Files Citizen’s Petition, Claiming Misleading Statements Against Biosimilars →
Phase 3 Studies in Biosimilars: Do They Tell Us Enough to Be Useful?
The argument for the elimination of the need for phase 3 studies in biosimilars is pretty simple: They cost a great deal but what do they add to our knowledge about the safety and efficacy of biosimilars? One of the primary tasks of the Food and Drug Administration (FDA), in educating health care professionals, media, … Continue reading Phase 3 Studies in Biosimilars: Do They Tell Us Enough to Be Useful? →
Part B to Part D and Other Questions: How CMS’s Plans Could Affect Biosimilars
For 2019, the Trump administration has proposed transferring some products reimbursed by Medicare part B to part D coverage. Additionally, it will allow Medicare Advantage firms, which manage a small but significant percentage of Medicare beneficiaries’ care, to negotiate prices and utilize some pharmacy benefit tools to control costs. Some of these tactics are a … Continue reading Part B to Part D and Other Questions: How CMS’s Plans Could Affect Biosimilars →
Mylan Rethinking Its US Business Strategy?
In reporting lower earnings on its second-quarter revenues, Mylan may have surprised industry observers by offering the possibility of some changes in strategic direction. Although Mylan executives sounded hopeful notes on the company’s biosimilar portfolio, the hints CEO Heather Bresch provided may affect the marketing of the biosimilars as well as its other pharmaceutical business. … Continue reading Mylan Rethinking Its US Business Strategy? →
Up to 5 Biosimilar Horses in the Race for Adalimumab in Europe: Heading for the Starting Gate
A long-sought dream in the United States will be a welcome reality in Europe this October: a stampede for Abbvie’s marketshare with adalimumab biosimilars and the savings that go with it. Four or possibly five manufacturers will be lined up in the starting gate. Fujifilm Kyowa Kirin Biologics and its marketing partner Mylan have not … Continue reading Up to 5 Biosimilar Horses in the Race for Adalimumab in Europe: Heading for the Starting Gate →
Mylan’s Fulphila Pegfilgrastim Biosimilar Launches at Big Discount
The first pegfilgrastim biosimilar (Fulphila™) in the US has begun marketing, and Mylan/Biocon are offering a 33% discount to the wholesale acquisition cost (WAC) of the originator product Neulasta®. The Center for Biosimilars reported a communication from Mylan confirming the action. This is a watershed moment for the pegfilgrastim category and could signal the beginning of … Continue reading Mylan’s Fulphila Pegfilgrastim Biosimilar Launches at Big Discount →
A Profile on Lesser-Known Player in the Biosimilar Space: Archigen Biotech
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight a joint venture between AstraZeneca and Samsung … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Archigen Biotech →
Biosimilars Competition Act Introduced to Scuttle “Pay-for-Delay” Deals
Intended to directly address originator pharmaceutical manufacturers’ attempts to slow competition, Congressman John Sarbanes (D-MD) introduced a new proposal on July 23. Called the Biosimilars Competition Act of 2018 (H.R. 6478), the bill hopes to speed biosimilars to market. On his website, Representative Sarbanes said, “We must take every step possible to prevent Big Pharma … Continue reading Biosimilars Competition Act Introduced to Scuttle “Pay-for-Delay” Deals →
Anti-kickback Safe Harbors, Drug Rebates, Biosimilars, and FDA
Over the next couple of weeks, I’ll be issuing a series of posts to further analyze some of the Food and Drug Administration’s (FDA’s) new Biosimilars Action Plan. Outside of patent litigation, the greatest barrier to biosimilar access is the current drug rebate contracts agreed to by pharmaceutical companies, health plans, and pharmacy benefit managers … Continue reading Anti-kickback Safe Harbors, Drug Rebates, Biosimilars, and FDA →
FDA’s Gottlieb Wants to Make It Easier to Obtain and Study Biologic Samples
Over the next couple of weeks, I’ll be further analyzing some details of the Food and Drug Administration’s (FDA’s) new Biosimilars Action Plan. Much has been made of the difficulties biosimilar manufacturers have been having in obtaining reference product samples. These are used for the most basic biosimilar development tasks: (1) the reverse engineering … Continue reading FDA’s Gottlieb Wants to Make It Easier to Obtain and Study Biologic Samples →
Pfizer Gets FDA’s Green Light on Its Filgrastim Biosimilar
On July 20, the US Food and Drug Administration (FDA) approved the second biosimilar version of filgrastim. Pfizer’s filgrastim biosimilar is named Nivestym™ (filgrastim-aafi). The originator product, Amgen’s Neupogen®, has steep competition from two other products (Sandoz’s Zarxio® [filgrastim-sndz] and Teva’s Granix® (tbo-filgrastim]). Granix was approved as a follow-on biologic, before the biosimilar pathway was … Continue reading Pfizer Gets FDA’s Green Light on Its Filgrastim Biosimilar →
Would Biosimilar Approvals With Limited Indications Alter the IP Discussion?
Over the next couple of weeks, I’ll be issuing a series of posts to further analyze some of the Food and Drug Administration’s (FDA’s) new Biosimilars Action Plan. The Biosimilars Action Plan contains several important components. One of the more interesting items FDA Commissioner Scott Gottlieb mentioned in his remarks at the Brookings Institution webinar … Continue reading Would Biosimilar Approvals With Limited Indications Alter the IP Discussion? →
FDA Commissioner Gottlieb Announces Biosimilars Action Plan
Realizing that something is very wrong with the speed of biosimilar access and uptake in the United States, Food and Drug Commissioner Scott Gottlieb announced a plan to address multiple factors slowing competition in these markets. He introduced his Biosimilars Action Plan in a webcast today hosted by the Brookings Institution. “While less than 2% … Continue reading FDA Commissioner Gottlieb Announces Biosimilars Action Plan →
Contracting “Schemes” to Prevent Biosimilar Infliximab Access: Let’s Drop the Feigned Outrage
Captain Renault, chief of police in Casablanca, famously uttered, “Rick, I’m shocked! Shocked that gambling is allowed in this establishment,” as he pocketed his winnings. Similarly, no one connected with the pharmaceutical industry, health plan, insurance, or pharmacy benefit management (PBM) sectors should be the least surprised about the controversial practice employed by Janssen Pharmaceuticals … Continue reading Contracting “Schemes” to Prevent Biosimilar Infliximab Access: Let’s Drop the Feigned Outrage →
Biosimilars Action Plan to be Unveiled by FDA’s Gottlieb
Next Wednesday, July 18, has been set as the rollout date for Food and Drug Administration Commissioner Scott Gottlieb’s new plan to help bring biosimilar drugs to the market sooner. So far, Commissioner Gottlieb has revealed some broad strokes regarding the content of the Biosimilars Action Plan, but the exact measures it contains remain a … Continue reading Biosimilars Action Plan to be Unveiled by FDA’s Gottlieb →
What Biosimilar Topics Most Interest You?
In my BR&R posts, I’ve written less these days on new clinical study data demonstrating similar patient outcomes. As more biosimilars are approved for marketing by the Food and Drug Administration (FDA), reports of positive clinical trial results seem a bit rote. Like successful space launches, routine expectations begin to set in—until something goes wrong. … Continue reading What Biosimilar Topics Most Interest You? →
Let’s not Knock Innovation, but Biosimilars Exist for the Sake of Competition
A recent Twitter conversation between a blogging colleague of mine and a German advocate of precision medicine propelled this post: What is the real benefit of biosimilars? Does biosimilar development detract from efforts to produce innovative medicines? Is the main societal benefit biosimilar cost savings? Biosimilar Development Is Separate From Innovation Development The main reason … Continue reading Let’s not Knock Innovation, but Biosimilars Exist for the Sake of Competition →
An FDA Filing for Momenta’s Adalimumab Biosimilar Coming Soon?
Momenta seems to be in final preparations for its first 351(k) filing to the Food and Drug Administration (FDA). In its recent investor conference, the company disclosed that it is ready to send M923, its adalimumab biosimilar, to the agency for approval. Despite this promising news, Momenta is facing strong headwinds. Even if it gains … Continue reading An FDA Filing for Momenta’s Adalimumab Biosimilar Coming Soon? →
Infliximab Biosimilars Savings Could Exceed $400 Million Dollars Annually
Everyone with an opinion believes that biosimilar drug use will save the health system considerable money. Calculations for biosimilar savings have been hampered by several factors. For example, previous high estimates have not been based on real-life scenarios. Only 3 biosimilars have been launched and utilized in the US; so little experience has been gained on which … Continue reading Infliximab Biosimilars Savings Could Exceed $400 Million Dollars Annually →
Is Celltrion Paving a New Road for Biosimilars? A New Route of Administration Being Tested for Infliximab
When payers, patients, or physicians discuss biosimilars, they assume that the biosimilar works just like the reference product. They also assume that the biosimilar is administered in the same way as the originator biologic. Celltrion is actively researching a new subcutaneous infliximab. This could result in a first for the biosimilar industry. Sponsored by Celltrion … Continue reading Is Celltrion Paving a New Road for Biosimilars? A New Route of Administration Being Tested for Infliximab →
FDA Advisory Committees on Biosimilar Applications: Mylan’s Latest Muddies the Waters Further
When the Food and Drug Administration (FDA) approved the first biosimilar pegfilgrastim (Mylan’s Fulphila™), it broke precedent in more ways than one. Not only was this the first biosimilar member of the pegfilgrastim class to be approved, but its approval did not require an FDA Advisory Committee recommendation. The FDA has been a bit fuzzy … Continue reading FDA Advisory Committees on Biosimilar Applications: Mylan’s Latest Muddies the Waters Further →
How Much Does Biosimilar Interchangeability Matter?
The question of biosimilar interchangeability can be answered with a mixture of science and faith. That may sound like a classic contradiction, but hear me out. The nature of biologic agents prohibits applying the AB-type ratings to biosimilars that the Food and Drug Administration (FDA) uses to designate bioequivalent generic drugs. However, from a practical standpoint, does it really … Continue reading How Much Does Biosimilar Interchangeability Matter? →
Mylan and Biocon Land First Pegfilgrastim Biosimilar Approval
The race to bring a pegfilgrastim biosimilar to market officially started on December 17, 2014. The checkered flag fluttered 3½ years later on June 4, 2018, with the Mylan/Biocon team winning on a slow track. The partners earned approval from the US Food and Drug Administration (FDA), becoming the first biosimilar to challenge for this … Continue reading Mylan and Biocon Land First Pegfilgrastim Biosimilar Approval →
FDA Approval Eludes Amgen for Biosimilar Trastuzumab
Amgen will have to wait a bit longer to market its biosimilar version of trastuzumab . On Friday, June 1, the Food and Drug Administration (FDA) rejected Amgen’s 351(k) application for its Herceptin® biosimilar. In a brief press release, Amgen announced receiving the complete response letter for ABP 980. In the announcement, it also said that the … Continue reading FDA Approval Eludes Amgen for Biosimilar Trastuzumab →
Convincing Two Main Providers the Key to Pfizer’s Retacrit® Success
An unusual market situation awaits Pfizer’s new biosimilar epoetin, one that few approved medications has to face. Not only does Retacrit® need to pass muster with payers like health plans and insurers, which we assume it will, but Retacrit will need to be accepted by the two 800-pound gorillas of the kidney dialysis field as … Continue reading Convincing Two Main Providers the Key to Pfizer’s Retacrit® Success →
Celltrion Bounces Back, Resubmits for FDA Approval of Rituximab Biosimilar
Anticipating that its issues with the Incheon, South Korea, manufacturing plant will be resolved, Celltrion has resubmitted its biologic license application for a rituximab biosimilar (CT-P10). In the April 2018 complete response letters sent by the Food and Drug Administration (FDA) on CT-P10 and the trastuzumab biosimilar CT-P6, FDA cited aseptic practices at the manufacturing … Continue reading Celltrion Bounces Back, Resubmits for FDA Approval of Rituximab Biosimilar →
What Is the Biosimilar Pegfilgrastim Market Opportunity?
We’ve covered the contest to bring a biosimilar pegfilgrastim to market, with considerable depth. The progress and setbacks of Mylan/Biocon, Coherus Biosciences, Sandoz, and Apotex have been tracked. Other drug makers are also working on plans towards 351(k) applications for approval. Eventually—likely sooner than later—one or two will hit the market. Biosimilar Pegfilgrastim, Neulasta®, and … Continue reading What Is the Biosimilar Pegfilgrastim Market Opportunity? →
Trastuzumab Dosing May Be Given in Half the Time: Will Costs/Revenues Be Cut as Well?
An upcoming presentation at the annual American Society of Clinical Oncology (ASCO) meeting promises equal efficacy and much improved safety for patients with early-stage breast cancer receiving Herceptin®. This change in trastuzumab dosing from a 12-month to a 6-month regimen will have ramifications for patients, health systems, and manufacturers. A number of biosimilar drug makers … Continue reading Trastuzumab Dosing May Be Given in Half the Time: Will Costs/Revenues Be Cut as Well? →
Pfizer Gets Green Light From the FDA on Epogen® Biosimilar
It has taken a long time, but Pfizer finally earned approval from the U.S. Food and Drug Administration (FDA) on the first biosimilar version of Epogen®. The drug, Retacrit® (epoetin alfa-epbx), had originally been submitted for approval in December 2014. Its much stalled road to approval is finally at an end. After an initial rejection, … Continue reading Pfizer Gets Green Light From the FDA on Epogen® Biosimilar →
How Will Biosimilars Be Affected by Trump’s Drug Price Reform Measures?
When President Trump announced the broad strokes of his drug price reform initiative, some of these measures seemed on target to benefit the biosimilars industry. However long awaited, makers of originator biologics seemed not to be worried about its implications. The President may not be able to effect much change, without causing unintended adverse consequences. … Continue reading How Will Biosimilars Be Affected by Trump’s Drug Price Reform Measures? →
Coherus Biosciences Reaffirms Its Pegfilgrastim Biosimilar Hopes
Coherus Biosciences expects to have an approval decision on its pegfilgrastim biosimilar from the Food and Drug Administration by November 3, 2018. On a quarterly investor call on May 10, Chief Executive Officer Denny Lanfear also related that an approval decision from the European Medicines Agency (EMA) on this product is expected by June 28, … Continue reading Coherus Biosciences Reaffirms Its Pegfilgrastim Biosimilar Hopes →
Plans Use Step Therapy to Encourage Utilization of Remicade Over Biosimilars
Health plans and insurers are not yet turning to biosimilar infliximab as a preferred therapy, according to Gillian Woollett, DPhil, MA, of Avalere. Her new report surveyed publicly available policy about health plans across the nation. The principal finding was that step therapy was commonly used to encourage use of the originator product. In fact, … Continue reading Plans Use Step Therapy to Encourage Utilization of Remicade Over Biosimilars →
Coherus Biosciences Shows Major Stock Gain Upon BLA Resubmission
When it received a June 2017 complete response letter from the Food and Drug Administration (FDA), the outlook for Coherus Biosciences was cloudy. Its lead product, a biosimilar for pegfilgrastim (CHS-1701), had been cited for the way the drug maker evaluated immunogenicity and for manufacturing plant issues. Upon receiving the news, it cut 30% of … Continue reading Coherus Biosciences Shows Major Stock Gain Upon BLA Resubmission →
FDA Hands Sandoz a Rejection on Its Rituximab Biosimilar
Sandoz announced today that the Food and Drug Administration (FDA) has decided not to approve its biosimilar version of the oncology biosimilar rituximab. The content of the complete response letter was not revealed by Sandoz. This marks the second rituximab biosimilar rejected by the FDA. Celltrion and Teva’s Truxima™ was also rejected in early April. … Continue reading FDA Hands Sandoz a Rejection on Its Rituximab Biosimilar →
State Biosimilar Laws Need Clarity and Consistency
Although 41 states currently have passed legislation to enable plans to substitute interchangeable biosimilars, these state biosimilar laws seem an attempt to put the cart in front of the horse. Reginia Benjamin, JD, Director of Legislative Affairs, at the Academy of Managed Care Pharmacy, explained that the first state legislation to optimize the use of … Continue reading State Biosimilar Laws Need Clarity and Consistency →
Payers’ Expectations for Biosimilars Reflect a Conflicted Environment
Hopeful but not enthusiastic. Preparing but not anticipating. Those are the impression one gets when speaking to medical directors and pharmacy directors of health plans, insurers, and pharmacy benefit managers about biosimilars today. Although savings associated with biosimilar use have been limited so far, one recently released survey of these payers revealed expectations that seem … Continue reading Payers’ Expectations for Biosimilars Reflect a Conflicted Environment →
Lessons for Biosimilars From the Generic Drug Industry
The utilization of generics in the US is vast, upwards of 86% of all prescriptions in 2017, according to the latest research by IQVIA. The pace of generic drug approvals by the Food and Drug Administration is also impressive, with 767 last year. This does not ensure the future of the generic drug industry, however, … Continue reading Lessons for Biosimilars From the Generic Drug Industry →
Pfizer Receives FDA Rejection on Trastuzumab, Next up Is Amgen/Allergan
When Pfizer announced that it received a complete response letter from the Food and Drug Administration (FDA), the wait for an available biosimilar to Herceptin® just got longer. According to the manufacturer, the FDA specified that the reasons for the rejection of PF-05280014 were not related to clinical questions. The rejection was not associated with … Continue reading Pfizer Receives FDA Rejection on Trastuzumab, Next up Is Amgen/Allergan →
Fujifilm Gains Further Exposure in Biosimilar Partnerships
The biosimilar industry continues to make strange bedfellows. In July 2016, I reported in the Center for Biosimilars that a subsidiary of the Japanese camera maker, Fujifilm, had jumped into the biosimilar field. The Indian pharmaceutical company Biocon announced that it has launched its new insulin glargine biosimilar in Japan. Fujifilm Pharma Co, Ltd was … Continue reading Fujifilm Gains Further Exposure in Biosimilar Partnerships →
How Trump’s Tariffs May Hit Drug Pricing
When President Trump decided to implement tariffs on the imports of Chinese products, he wasn’t talking only about steel and textiles. According to the association representing the generic drug industry, the active ingredients of many pharmaceuticals—including biologics and biosimilars—could also be affected. Physicians and patients are largely unaware of where their medications are actually manufactured. … Continue reading How Trump’s Tariffs May Hit Drug Pricing →
With the Samsung Bioepis Deal, Abbvie Tightening Its Grip on the US Adalimumab Market
Samsung Bioepis and Biogen has reached a deal with Abbvie that would enable it to market its biosimilar adalimumab (should it be granted approval) in June 2023. This is the second deal Abbvie has made with a potential competitor, confirming the solidity of its patent wall. The European patent expires in October 2018, and competitors … Continue reading With the Samsung Bioepis Deal, Abbvie Tightening Its Grip on the US Adalimumab Market →
Teva and Celltrion Receive Rejections on Trastuzumab and Rituximab Biosimilars
Celltrion and its partner Teva were dealt a significant blow today, as the Korean manufacturer announced that the latest two biosimilar candidates were rejected by the Food and Drug Administration (FDA). As first reported by Dan Stanton in the Biopharma Reporter, the FDA issued complete response letters as a result of inspection problems uncovered at … Continue reading Teva and Celltrion Receive Rejections on Trastuzumab and Rituximab Biosimilars →
Analyzing FDA Chief Gottlieb’s Remarks—Part 2: FDA and Marketing Exclusivity
Food and Drug Administration Chief Scott Gottlieb, MD, received a great deal of coverage for his recent remarks on providing better access to biosimilars. He seems intent on finding solutions to the underlying problems in delayed biosimilar launches. He discussed in the interview with CNBC perhaps the most intractable problem: The US biosimilar industry has … Continue reading Analyzing FDA Chief Gottlieb’s Remarks—Part 2: FDA and Marketing Exclusivity →
Analyzing FDA Chief Gottlieb’s Remarks: One Challenge With no Easy Solution
Food and Drug Administration Commissioner Scott Gottlieb, MD, undoubtedly understands the threat to a successful biosimilar industry in the US, and his well-reported remarks emphasize some of the key issues. The policies that the FDA Commissioner wants to bring to bear on the multifaceted problem may be harder to implement. In this post, we examine … Continue reading Analyzing FDA Chief Gottlieb’s Remarks: One Challenge With no Easy Solution →
A Test for Adello and for FDA’s Biosimilar Approval Pathway
We are on the verge of a few eagerly awaited decisions by the Food and Drug Administration (FDA). Celltrion and its partner Pfizer expect to hear news on their trastuzumab biosimilar in April, as does Celltrion separately on its rituximab biosimilar. These should make a significant impact on the evolution of biosimilars in the US … Continue reading A Test for Adello and for FDA’s Biosimilar Approval Pathway →
Is Physician Resistance to Biosimilars Dissipating?
We tend to think of challenges to uptake of approved and marketed biosimilars coming from three areas: (1) the reference product manufacturers, (2) the physicians, and (3) the patients. The patent mazes and rebating strategies characterize the first, and patient advocates’ questions about nonmedical switching describe the last. Physician resistance, however, seems to be on … Continue reading Is Physician Resistance to Biosimilars Dissipating? →
FDA’s Gottlieb to Health Plans: Move Away From Short-Term Rebates on Reference Drugs to Enhance Long-Term Biosimilar Savings
According to Food and Drug Commissioner Scott Gottlieb, MD, the managed care sector’s willingness to accept larger rebates from manufacturers of originator biologics to preserve formulary coverage may seriously hinder the long-term success of the biosimilar industry. And more importantly, the ability to control biologic costs through competition. In remarks made to a national meeting … Continue reading FDA’s Gottlieb to Health Plans: Move Away From Short-Term Rebates on Reference Drugs to Enhance Long-Term Biosimilar Savings →
More Clinical Study Evidence That Biosimilar Switching Carries a Low Risk
A literature review published this past weekend in Drugs reaffirms what most parties interested in biosimilars suspect—that switching from a reference product to biosimilar is not a significant clinical concern. Biosimilar switching was not generally associated with poorer outcomes. The study evaluated the results of 90 clinical studies comprising more than 14,000 patients with 14 … Continue reading More Clinical Study Evidence That Biosimilar Switching Carries a Low Risk →
Celltrion and Inflectra, Mylan and Botox, and a Biosimilar Blooper
The second quarter is expected to be rife with news regarding Food and Drug Administration approval decisions on a biosimilar for rituximab and two pending applications for trastuzumab. Although biosimilars have not generated much news of importance lately, we wrap up the week with some items of interest. First, Celltrion estimates that it will conclude … Continue reading Celltrion and Inflectra, Mylan and Botox, and a Biosimilar Blooper →
Teva’s Syprine Generic Priced 14% Below Jacked Up Valeant Product Price
In an announcement that surprised few, Teva Pharmaceuticals announced that its generic version of trientine hydrochloride (Syprine®) for the treatment of Wilson’s disease will be sold for a very nongeneric price. Also unsurprising, Teva executives did not address the fact that the price of Syprine had been jacked up astronomically by Valeant Pharmaceuticals only recently, … Continue reading Teva’s Syprine Generic Priced 14% Below Jacked Up Valeant Product Price →
Pfizer US Biosimilar Revenues Growing Slowly, Better News Internationally
According to an article posted on the Market Realist website, Pfizer’s US and global biosimilars revenues are growing, but its sales of Inflectra® remain stunted. In the fourth-quarter of 2017, the New York–based company posted US biosimilar revenues of $44 million—all attributable to its infliximab biosimilar. The product was launched in Q4 2016 (and gained … Continue reading Pfizer US Biosimilar Revenues Growing Slowly, Better News Internationally →
What Will Cost Savings on 2023 Adalimumab Biosimilars Really Be Worth?
AbbVie executives are sticking to their pledge to restrict annual price increases on Humira® below 10%, but even payer price protections won’t mitigate the increasing expenditures before adalimumab biosimilars hit the market. In 2023, when adalimumab biosimilars become available, the savings biosimilars represent may not be real savings at all. Pharmaceutical companies generally seek to … Continue reading What Will Cost Savings on 2023 Adalimumab Biosimilars Really Be Worth? →
Pfizer’s At-Risk Launch of Inflectra Pays Off (at Least a Bit)
The US Court of Appeals handed Pfizer a big victory in its gamble to bring its biosimilar version of Remicade® to the market before the completion of patent litigation. On January 23, the Appeals Court ruled that Johnson & Johnson’s ‘471 patent in the case was declared invalid, clearing the way for sales of Inflectra® … Continue reading Pfizer’s At-Risk Launch of Inflectra Pays Off (at Least a Bit) →
A Profile on Lesser-Known Player in the Biosimilar Space: Alteogen Inc
On occasion, we profile some biosimilar manufacturers about whom our readers may not be familiar. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this post, we highlight a South Korean-based company, Alteogen Inc. Established … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Alteogen Inc →
Sandoz and Biocon Partner on Next-Gen Biosimilars
On January 18, Sandoz and Biocon announced a new biosimilar partnership, which could extend both manufacturers’ market presence. Although the specific biosimilar targets were not specified, the firms indicated that they will work to develop and commercialize next-generation oncology and immunology biosimilars. Unlike other partnerships that are delineated along the lines of manufacturing and marketing, … Continue reading Sandoz and Biocon Partner on Next-Gen Biosimilars →
Sandoz Files 351(k) Application for Adalimumab Biosimilar
Sandoz announced that it has thrown its hat in the ring for another Humira biosimilar. Sandoz filed an European application for approval for GP2017 last year, in the expectation that it will be able to launch soon after the European patent expires in October 2018. This will be the third application for an adalimumab biosimilar. … Continue reading Sandoz Files 351(k) Application for Adalimumab Biosimilar →
A Profile on Lesser-Known Player in the Biosimilar Space: Lupin Pharmaceuticals
On occasion, we profile some biosimilar manufacturers about whom our readers may not be as familiar as the large players like Sandoz, Amgen, and Pfizer. This generally refers to companies that have products that are in earlier-stage research or those who simply have not been in the news as often as their colleagues. In this … Continue reading A Profile on Lesser-Known Player in the Biosimilar Space: Lupin Pharmaceuticals →
Is There an Escape From the Rebate Trap?
The rebates given to pharmacy benefit managers to secure a drug’s place on the formulary have become a difficult barrier to coverage for new products. The rebate income for these PBMs is sometimes passed on to health plans, insurers, and employer purchasers, but more often it is not. A big issue is that managed care … Continue reading Is There an Escape From the Rebate Trap? →
Coherus Readying to Resubmit Its Pegfilgrastim Application
News about Coherus Biosciences has been limited since the Food and Drug Administration (FDA) rejected its initial application for a pegfilgrastim biosimilar last June. However, at this year’s JP Morgan Healthcare Conference in San Francisco, Coherus issued some positive signs of progress. According to Dennis Lanfear, Chief Executive Officer, the company is getting ready to … Continue reading Coherus Readying to Resubmit Its Pegfilgrastim Application →
Exchange vs. Nonexchange Specialty Drug Use in Autoimmune Disorders
Some fascinating research has been published in the Journal of Managed Care and Specialty Pharmacy that has significant implications for the immunomodulatory marketplace, including biosimilars. In this article, researchers from HealthCore and Anthem found some real-world evidence that the costs and comprehensiveness of health insurance—and cost sharing—are linked to utilization and perhaps access to biologics … Continue reading Exchange vs. Nonexchange Specialty Drug Use in Autoimmune Disorders →
Fourth Herceptin® Biosimilar Being Evaluated by FDA
The end of 2017 has been bustling with oncology biosimilar news. On December 20, 2017, the Food and Drug Administration (FDA) accepted Samsung Bioepis’ application for SB3, its biosimilar version of trastuzumab. The drug would be the fourth to undergo evaluation by the FDA, and may pack on the pressure for Mylan and Biocon’s product … Continue reading Fourth Herceptin® Biosimilar Being Evaluated by FDA →
A Pre-Holiday Gift for Pfizer—a Second Infliximab Biosimilar Approval. Now What?
On December 14, Pfizer got an early Christmas present, the approval by the Food and Drug Administration (FDA) of the second infliximab biosimilar in which it has a stake. First came Inflectra® in 2016, and here comes Ixifi™ (infliximab-qbtx). Unlike Inflectra, which Pfizer markets for Celltrion, Ixifi is Pfizer’s alone—a product that was under development … Continue reading A Pre-Holiday Gift for Pfizer—a Second Infliximab Biosimilar Approval. Now What? →
Mylan/Biocon Receive First Approval for Trastuzumab Biosimilar, but First to Market?
On December 1, the team of Mylan and Biocon received their first biosimilar approval in the US, for an agent to compete with Roche’s Herceptin®. The approval decision on this product was delayed 3 months owing to potential issues involving Biocon’s manufacturing facility. However, this marks the first biosimilar approved for trastuzumab, beating entries from … Continue reading Mylan/Biocon Receive First Approval for Trastuzumab Biosimilar, but First to Market? →
A Health System Biosimilar Survey’s Implications
When asked about potential cost savings with the infliximab biosimilar, nearly one-quarter of health system respondents did not believe that it represented a cost savings opportunity for their organization, according to a newly published survey in the Journal of Managed Care and Specialty Pharmacy. Conducted by Premier, Inc., a group purchasing organization, 57 US health … Continue reading A Health System Biosimilar Survey’s Implications →
Fuzzy Patent Logic
Three other biosimilar manufacturers have already filed for approval in the US: Amgen/Allergan and Celltrion/Teva (separately) in July 2017; Mylan/Biocon in November 2016. Roche settled its patent claims against Mylan in March 2017, which provides Mylan with a license to sell its biosimilar version of Herceptin® should it gain FDA approval next year.
New CMS Proposal Lowers Cost Sharing for Part D Biosimilars and Follow-on Biologics
CMS treats biosimilars as generics for the purposes of the part D coverage gap. It now wants to ensure that biosimilars are treated as generics in terms of the coverage gap for only those receiving low-income subsidies.
What Will Be Considered a Biosimilar in 2020?
“Transition drugs.” If you’re familiar with the term, you’re one of the few. Some medications are “transitioning” in the next couple of years. Specifically, drugs that will be transitioned include the insulins, but also other naturally occurring proteins, such as hyaluronidase, human growth hormones, and menotropins.
News in the Courts on Biosimilars
According to a Reuters report, Janssen Biotech withdrew its patent lawsuit against Samsung Bioepis on November 10. The suit alleged infringement in the manufacture of Samsung’s infliximab biosimilar. The action, which was filed in U.S. District Court of New Jersey, means that Merck and Samsung, which launched Renflexis™ in July, is no longer at risk … Continue reading News in the Courts on Biosimilars →
Amgen/Allergan Score Positive EMA Evaluation, but Launch Will Be Delayed
The European Medicines Agency s drug evaluation arm, the Committee for Medicinal Products for Human Use, recommended approval of the biosimilar bevacizumab on November 9.
Additional Thoughts on CMS’s Changes to Biosimilar Part B Coding
The biosimilar news articles of the last week have included more data and announcements from the American College of Rheumatology on clinical outcomes of biosimilars to the reference product, debates over their prescription and utility of interchangeability, and of course, and frustration over the delays in biosimilars reaching the market caused by patent litigation. As … Continue reading Additional Thoughts on CMS’s Changes to Biosimilar Part B Coding →
CMS Makes Major Policy Change to Biosimilar HCPCS Coding
Currently, all biosimilars for the same reference product are given the same temporary Q code, while the reference product retains its J code. CMS has decided to change course and assign each biosimilar its own Q code.
Sandoz’s Pegfilgrastim Biosimilar Under New Review at EMA
On October 27, Sandoz announced that the European Medicines Agency has accepted its re-application for review of its biosimilar version of Neulasta® as supportive treatment in patients receiving cytotoxic chemotherapy. Sandoz’s attempt to bring its biosimilar pegfilgrastim to the market was stalled in the US in Q2 2016, when the FDA issued a complete response … Continue reading Sandoz’s Pegfilgrastim Biosimilar Under New Review at EMA →
Evidence to Support Zarxio Use Presented at AMCP
Researchers studied the effect of a step edit, requiring the use of either Zarxio or Granix first, and its effect on utilization trends and cost savings among 2.7 million covered lives.
Interchangeability: Another Challenging Perspective
Although the FDA has offered a pathway for the interchangeable designation, a recent presentation at the AMCP Nexus meeting shone a new light on some fairly important challenges posed by the interchangeable designation. Edward Li, PharmD, MPH, Professor of Pharmacy, University of New England, Portland, Maine, raised the well-trod issue of manufacturing drift—that over time, the … Continue reading Interchangeability: Another Challenging Perspective →
With Higher Prices, the Need to Promote Longer-Term Value of Pharmaceuticals
Perhaps our ability to pay for them is a very different question. Until now, pharmaceutical pricing could be explained relative to other similar therapies or compared with the likely costs of future care avoided.
The FDA Rejects Mylan/Biocon’s Pegfilgrastim; Market Still Awaits a Biosimilar for Neulasta
In the latest blow to those seeking an alternative to Amgen’s Neulasta®, the Food and Drug Administration (FDA) sent a complete response letter to Biocon, citing manufacturing plant deficiencies, in its rejection of their biosimilar pegfilgrastim application.
Are We Now Thinking “Authorized Biosimilars”?
Authorized generics have been around for a couple of decades. They can be a challenge to payers, health systems, and patients who are seeking the price-reduction benefits borne out of normal competition. The Amgen–Abbvie agreement on the biosimilar for Humira® seems to be right out of this playbook.
Accounting for Lot-to-Lot Variability of Biologics in Biosimilar Development
The biosimilar manufacturer must obtain “a minimum of 10 reference product lots” and these lots “should represent the variability of the reference product,” against which the biosimilar drug is evaluated to allow for meaningful comparisons. In other words, the biosimilar manufacturer must consider the likelihood of variation in the local source of the biologic.
Pfizer Sues J&J on Anticompetitive Practices on Infliximab in the US
Whereas Pfizer has made some inroads to the US market, since its launch at the end of 2016, Janssen has done a good job of blocking and tackling—playing the contracting game. The lawsuit claims that Janssen has withheld or threatened to withhold rebates if payers do not keep Remicade in an exclusive preferred position.
Lessons From a New Report: Do More Biosimilar Approvals Necessarily Mean Greater Access to Biologics?
Avalere Health issued a new report indicating that by 2025, 1.2 million US patients will be able to access biologic therapy because of biosimilar approvals. Why does biosimilar approval mean better access?
Amgen Receives Approval for Bevacizumab Biosimilar
The Food and Drug Administration announced today the approval of the first biosimilar for Roche’s Avastin®. The approval of Mvasi™ (bevacizumab-awwb) represents the first biosimilar approved in the US for the direct treatment of cancer. Amgen is partnered with Allergan in the development and marketing of the new biosimilar.
Controversy Over the Cost to Bring Pharmaceuticals to Market
the results of another study was released, which offers a very different number. Published in JAMA Internal Medicine, authors from Oregon Health and Sciences University and Memorial Sloan Kettering Medical Center found that the cost to produce 10 cancer medications was really $648 million
Rituximab and Filgrastim Biosimilars Being Reviewed by FDA
Sandoz’s Rituximab and Adello Biologic’ Filgrastim Biosimilars Submitted to FDA
Biosimilar Industry Group Urges Congress to Address Part B Reimbursement
Reimbursement of biosimilars for Medicare Part B beneficiaries has long been an issue for biosimilar manufacturers.
The Week in Biosimilar News
You know it’s been a pretty desperate week in the biosimilar blogosphere when twitter feeds relate back to articles published in January, rehashes of the US Supreme Court decision in June, or yet another estimate of the savings potentially ascribed to biosimilar use (based on erroneous assumptions). However, there were a few significant tidbits announced last week that are worth reviewing.
FDA Approves New Humira Biosimilar, Bypasses Advisory Board Route
Boehringer Ingelheim Pharmaceuticals, Inc. announced August 29 that it had received approval from the Food and Drug Administration (FDA) for its first biosimilar. Named Cyltezo™ (adalimumab-adbm), a biosimilar to Humira®, it is approved for several autoimmune disorders, including rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn’s disease in adults, plaque psoriasis, and … Continue reading FDA Approves New Humira Biosimilar, Bypasses Advisory Board Route →
Is There Reason for Confidence in Big Pharma for Biosimilar Manufacturing?
A payer market research project we conducted not long after the passage of the Biologics Price Competition and Innovation Act posed the question: What are the characteristics of the biosimilar manufacturer that would give you confidence in the product’s integrity and supply?
Mylan and Biocon Withdraw Two EMA Biosimilar Applications
This action could potentially create considerable problems for the partners Mylan and Biocon. They have the opportunity to be first-to-market in the US with regard to both biosimilar products.
Can Biosimilars Be Protected By Patent?
“Are biosimilars patentable?” Sounds like a simple question, right? Well, the answer may not be straightforward, and relate to another question: “Exactly how different are they?”
Restating the Record on Biosimilar Safety and Efficacy
The immunogenicity and extrapolation issues are historically the greatest points of sensitivity to patients and providers. The EMA issued a report in May 2017 that summarized its findings over 10 years of biosimilar surveillance—there is no evidence of safety problems or efficacy problems with approved biosimilar products since the first licensed product.
Inflectra Sales Lagging for Pfizer in Second Quarter
“Our Inflectra share was 2.3% of the overall infliximab volume,” including both patients who had not used infliximab before and those who switched to Inflectra.
Two New Trastuzumab Biosimilars Submitted for FDA Approval
The team of Mylan and Biocon may have some company in the biosimilar competition for Herceptin® (trastuzumab). Two additional partnerships announced the filing of their 351(k) applications for trastuzumab biosimilars. Amgen and Allergan are hoping ABP 980 will have smooth sailing through the approval system. The phase 3 study in patients with early-stage HER2-positive breast … Continue reading Two New Trastuzumab Biosimilars Submitted for FDA Approval →
Boehringer May Seek Interchangeable Designation for Adalimumab Biosimilar
The VOLTAIRE-X intechangeability trial was announced by Boehringer Ingelheim to provide evidence that its investigational biosimilar BI 695501 can be substituted for Humira without significant negative clinical or safety effects.
FDA Advisory Committee Unanimously Recommends Approval for Avastin® and Herceptin® Biosimilars
Amgen and Allergan’s ABP-215 was convincingly presented as equivalent to Roche’s bevacizumab (Avastin®). The totality of evidence, according to the FDA staff review documents, supported the 351(k) application by Mylan. The Advisory Committee agreed, voting 16-0 to recommend the biosimilar for approval for use in Herceptin’s indications.
Biosimilar Rituximab Under FDA Review
Celltrion announced June 30, 2017 that it has submitted its 351(k) application to the Food and Drug Administration for approval of its biosimilar version of rituximab. This represents the first biosimilar application for rituximab, a monoclonal antibody to CD20.
Will Approval of an Interchangeable Biosimilar Mean that Others Are Inferior?
The interchangeable biosimilar may be a boon to its manufacturer, but it may have negative effect on competitive markets. For example, a noninterchangeable infliximab may be considered by prescribers or patients somehow inferior to the interchangeable version, devaluing this biosimilar.
FDA Stuns With Rejection of Pfizer’s Retacrit
Following a 14-1 vote by its Oncology Drug Advisory Committee last month to recommend approval for Pfizer’s biosimilar version of Epogen®, the Food and Drug Administration (FDA) on June 22 sent the drug maker a complete response letter outlining its decision to reject the product.
What Happens When Switching Among Biosimilars?
A health plan would not likely cover both infliximab biosimilars and the reference product. At some point, the plan will seek a contract that leverages marketshare.
Pegfilgrastim: 0 for 3 on Biosimilars at FDA
The remaining biosimilar version of Neulasta® awaiting its turn at bat in the US is from Mylan/Biocon. Submitted in February of this year, the FDA decision is due October 9, 2017. Pfizer is working on its own version of pegfilgrastim (HSP-130), which is in phase 2 study. Apotex’s Apobiologix unit is still seeking approval of its biosimilar, according to its website. In Europe, 2 pegfilgrastim applications are currently awaiting decisions, but none have been approved to date.
US Supreme Court Strikes Down 180-Day Waiting Period
In a unanimous decision, the Supreme Court rejected Amgen’s oral arguments—a biosimilar manufacturer can meet the 180-day notification period requirement by notifying the originator’s manufacturer before receiving approval. In other words, biosimilar launches can occur immediately after approval by the Food and Drug Administration (FDA).
Savvy Move or Illegal Anticompetitive Action?
Merck, which markets Remicade® in Europe, may have stepped over an anticompetitive line when Pfizer’s Inflectra® biosimilar was first made available, according to the U.K.’s Competition and Markets Authority. In the US, however, this activity would be considered routine. Certainly, nothing prevents this action and it would be fully expected, in terms of net costs.
Pfizer’s Epogen® Biosimilar Gets FDA Advisory Committee Backing
According to the FDA’s staffers’ summary released ahead of the May 25th Oncology Advisory Committee review, Retacrit fulfilled the requirements for biosimilarity. Today, the Advisory Committee added further support to this conclusion by voting 14-1 to recommend approval for all extrapolated indications, despite some safety concerns expressed by committee members.
Is the Biologic Me-too Era Different?
In the biologic category, the biosimilars Inflectra®, AmjevitaTM, ErelziTM, and RenflexisTM (when the latter 3 are launched)‑may even be considered me-too brands without substantial discounts and without interchangeable designations. Many payers already consider the approved biosimilars as new brands, because they are not inexpensive or interchangeable.
Will Oncology Biosimilars Ease US Access Problems?
With shallow discounts for the biosimilars, the originator’s manufacturer can simply match the net cost through deeper rebates; the payer would have little reason to change the formulary tiering of the biologic.
The Pitfalls of Pinning Savings on Biosimilars
The Pew Charitable Trusts demonstrated the savings that could accrue with either by utilizing an economic model based on the introduction of 5 major biosimilars (1 already approved [infliximab], 3 filed for approval [bevacizumab, pegfilgrastim, and trastuzumab], and 1 not yet under review [rituximab]). Under the model’s assumptions (a few of which are questionable), either approach would cut costs dramatically with just these 5 biosimilars.
Unlocking the Rebate Trap: A Challenge for Biosimilars
Using a pretty extreme example of rebating/pricing and utilization in the biologic marketplace, they found that if 50% of patients switched to a biosimilar, the payer could be paying more money for the drug category in total compared with simply accepting the high prices and rebates of the originator’s manufacturer. Under the scenario set forth, the health plan or insurer would in fact not be saving the money expected, because of a so-called “rebate trap.”
No Clear Winner on Supreme Court’s Biosimilar Hearing Day
Despite the fact that the arguments at Wednesday’s Supreme Court wrestling match on the patent dance and 180-day notification issue went into overtime, there was no clear winner discernable in Amgen v. Sandoz.
FDA Approves Second Infliximab Biosimilar
On April 21, 2017, the US Food and Drug Administration (FDA) gave its nod to a new biosimilar version of infliximab, and will compete against the originator product Remicade®. Manufactured by Samsung Bioepis, it will be marketed by Merck in the US as Renflexis™.
ICER: Current Biologics for Rheumatoid Arthritis Well off the Mark for Cost Effectiveness
which assesses the value of therapies based on effectiveness and cost, found that none of the available immunomodulators approach the cost-effectiveness threshold of $100,000 to $150,000 per quality-adjusted life-year (QALY).
Biosimilar Immunogenicity, Antibodies, and Extrapolation
one of the greatest concerns of physicians and patients in biosimilar development has been the potential safety of the biosimilar when it replaces an originator product.
This concern is largely driven by the type of immunogenetic response the biosimilar molecule might elicit.
Action at the Capitol to Improve Access to Biologic Samples by Biosimilar Developers?
First introduced in June 2016 by Senator Patrick Leahy (D-VT) (S. 3056), the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act, will need to be reintroduced in 2017.
Budgeting the Impact of Inflectra and a Possible Clinical Benefit for Amjevita
The model assumed 3 levels of discounting on Remicade: 10%, 15%, and 20%. They assumed that 60% of patients with a gastrointestinal indication would start on Remicade, and 40% of new start patients would be given Inflectra.
Will the Final Guidance on Biosimilar Naming Be Reversed?
Judging from the comments at the Academy of Managed Care Pharmacy’s (AMCP’s) annual meeting March 27–30 in Denver, there is some hope and expectation that the Trump Administration will review and possibly revoke the naming convention for biologics and biosimilars that was finalized just recently.
Frustration Mounts as Sandoz’s Etanercept Biosimilar Launch Delayed into 2018
Call it irritation, exasperation, or frustration, but biosimilar manufacturers and payers alike are feeling it, as the fight over drug patents has barred the way to approval for yet another biosimilar for a costly biologic. In this case, Sandoz’s Erelzi™, which was approved by the Food and Drug Administration on August 30, 2016, has been … Continue reading Frustration Mounts as Sandoz’s Etanercept Biosimilar Launch Delayed into 2018 →
Second European Medical Society Endorses Biosimilar Use
Although the European Medicines Agency (EMA) does not have a mechanism for approving the interchangeability of biosimilars with the originator drugs, this decision on drug switching is left to the EU member states.
Interchangeability Guidance Released, FDA to Require Switching Studies
On January 10, the Food and Drug Administration (FDA) released its long-awaited draft guidance on the interchangeability standard for biosimilar manufacturing.
Supreme Court to Hear Sandoz v. Amgen Arguments on the 180-Day Notification Period
It seems that the Supreme Court will in fact hear Novartis’ case in an attempt to overturn the 180-day notification period, as part of the “patent dance.” Its biosimilar-making subsidiary (Sandoz) will finally get its day in the nation’s top court in April, with a decision expected sometime in July.
Large European Society Lends Its Support to Switching
In a recent statement published in the Journal of Crohn’s and Colitis, the European Crohn’s and Colitis Organization (ECCO) announced its support for switching from an originator product to a biosimilar in patients with inflammatory bowel disease (IBD).
Celltrion’s Rituximab Recommended for Approval in Europe
Just weeks after Celltrion presented data at the American College of Rheumatology meeting demonstrating that its product CT-P10 is as safe and effective as Rituxan® for the treatment of rheumatoid arthritis (RA), the European Medicines Agency (EMA) received the recommendation to approve the product for use in the EU.
Are 2 Biosimilars to the Same Originator Product Biosimilar to Each Other?
In Europe, several manufacturers are marketing approved biosimilars to the same originator product. In fact, 7 manufacturers compete for the biosimilar filgrastim market, 5 biosimilar versions of epoetin are sold, and 3 biosimilars of infliximab seek marketshare from Remicade®. In the US, this situation is not a reality yet. It will be one day, however, and … Continue reading Are 2 Biosimilars to the Same Originator Product Biosimilar to Each Other? →
Sandoz’s Biosimilar Version of Enbrel® Gets Positive Review From FDA Staffers
In briefing documents provided in advance of the Food and Drug Administration’s Arthritis Advisory Committee on July 13th, staffers found that Sandoz’ GP2015 was highly similar to Amgen’s innovator product Enbrel (etanercept), based on the study and analytical information provided by the manufacturer. In an interesting twist, some of the studies conducted by Sandoz compared … Continue reading Sandoz’s Biosimilar Version of Enbrel® Gets Positive Review From FDA Staffers →
Amgen’s Version of Adalimumab Deemed “Highly Similar” to Humira®
If documents written by Food and Drug Administration (FDA) staff members are predictive of the leanings of the Arthritis Advisory Committee, Amgen’s ABP-501 may receive good news this coming Tuesday. In materials released on Friday, July 8th, FDA reviewers evaluated the clinical study program for Amgen’s biosimilar in patients with rheumatoid arthritis and plaque psoriasis, finding no … Continue reading Amgen’s Version of Adalimumab Deemed “Highly Similar” to Humira® →
