Abstract
Preclinical studies have always been a critical component in the development program of a biopharmaceutical. With the advent of biosimilars the traditional preclinical program has changed to a new paradigm that integrates the concept of comparability with existing knowledge of the biopharmaceutical reference drug. Recently, the recommended preclinical program espoused by the European Medicines Agency has been modified to an abbreviated one that now emphasizes in vitro studies in lieu of in vivo for monoclonal antibody biosimilars. Likewise, the US FDA guidance on biosimilars suggests a flexible approach rather than the 28day comparative toxicology studies that have historically been conducted for worldwide marketing. For now, structure and function studies will continue to be the foundation of the overall analytical assessment of biosimilarity. Traditional, comparative animal safety assessments will have limited value in determination of biosimilarity and in an abbreviated design they may have most value in providing assurance of safety in first-in-human trials when structural attributes are not indistinguishable. Unless this value can be proven, particularly as analytical technology improves in sensitivity, accuracy and precision, the need for these animal safety studies will diminish. Thus, the future lies in the ever evolving and sophisticated analytical studies that will replace the current in vivo studies for biosimilar products.
References
- 1 Knox S. The saga of the legal frameworkfor biogenerics in Europe. Generic Medicines2(2),105–110 (2005).
- 2 Meager A, Gaines DR, Zoon K et al. Establishment of new and replacement World Health Organization International Biological Standards for human interferon alpha and omega. J. Immunol. Methods257(1–2),17–33 (2001).
- 3 Meager A, Das RG. Biological standardization of human interferon beta: establishment of a replacement world health organization international biological standard for human glycosylated interferon beta. J. Immunol. Methods306(1–2),1–15 (2005).
- 4 McDonald TA, Zepeda ML, Tomlinson MJ et al. Subcutaneous administration of biotherapeutics: current experience in animal models. Curr. Opin. Mol. Ther.12(4),461–470 (2010).
- 5 Vugmeyster Y, Xu X, Theil F-P et al. Pharmacokinetics and toxicology of therapeutic proteins: advances and challenges. World J. Biol. Chem.3(4),73–92 (2012).
- 6 Sola RJ, Griebenow K. Glycosylation of therapeutic proteins, an effective strategy to optimize efficacy. Biodrugs24(1),9–21 (2010).
- 7 McLennan DN, Porter CJH, Edwards GA et al. Lymphatic absorption is the primary contributor to the systemic availability of epoetin alfa following subcutaneous administration to sheep. J. Pharmacol. Exp. Ther.313(1),345–351 (2005).
- 8 Lon HK, Liu D, Zhang Q et al. Pharmacokinetic–pharmacodynamic disease progression model for effect of etanercept in Lewis rats with collagen-induced arthritis. Pharm. Res.28(7),1622–1630 (2011).
- 9 Schneider CK, Borg JJ, Ehmann F et al. In support of the European Union biosimilar framework. Nat. Biotechnol.30(8),745–748 (2012).
- 10 Joung J, Robertson JS, Griffiths E et al. WHO informal consultation on regulatory evaluation of therapeutic biological medicinal products held at WHO Headquarters, Geneva, 19–20 April 2008. Biologicals36(4),269–276 (2008).
- 11 Clarke J, Hurst C, Martin P et al. Duration of chronic toxicity studies for biotechnology-derived pharmaceuticals: is 6 months still appropriate? Regul. Toxicol. Pharmacol.50(1),2–22 (2008).
- 12 Baldrick P. Safety toxicology safety evaluation of biological drugs: what are toxicology studies in primates telling us? Regul. Toxicol. Pharmacol.59(2),227–236 (2011).
- 13 Bugelski PJ, Martin PL. Concordance of preclinical and clinical pharmacology and toxicology of therapeutic monoclonal antibodies and fusion proteins: cell surface targets. Br. J. Pharmacol.166(3),823–846 (2012).
- 14 Bugelski PJ, Martin PL. Concordance of preclinical and clinical pharmacology and toxicology of monoclonal antibodies and fusion proteins: soluble targets. Br. J. Pharmacol.166(3),806–822 (2012).
- 15 Baldrick P, Donninger R. Nonclinical aspects of biosimilar development – practical considerations from an industry perspective. Regul. Rapporteur9(1),15–19 (2012).
- 16 Berkowitz SA, Engen JR, Mazzeo JR. Analytical tools for characterizing biopharmaceuticals and the implications for biosimilars. Nat. Rev. Drug Discov.11(7),527–540 (2012).
- 17 Panel discussion. Presented at: DIA/FDA Biosimilars Conference: Guidances, Science, and BsUFA. Washington, DC, USA, 12–13 September 2012.
- 101 European Medicines Agency guideline on similar biological medicinal products. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003517.pdf
- 102 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: quality issues. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003953.pdf
- 103 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: nonclinical and clinical issues. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003920.pdf
- 104 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: nonclinical and clinical issues – guidance on similar medicinal products containing recombinant erythropoietins. www.tga.gov.au/pdf/euguide/bmwp9452605en.pdf
- 105 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: nonclinical and clinical issues – guidance on biosimilar medicinal products containing recombinant granulocyte-colony stimulating factor. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003955.pdf
- 106 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: nonclinical and clinical issues – guidance on similar medicinal products containing somatropin. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003956.pdf
- 107 European Medicines Agency guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: nonclinical and clinical issues – guidance on similar medicinal products containing recombinant human soluble insulin. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003957.pdf
- 108 European Medicines Agency guideline on similar biological medicinal products containing monoclonal antibodies – nonclinical and clinical issues. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2012/06/WC500128686.pdf
- 109 European Medicines Agency guideline on nonclinical and clinical development of similar biological medicinal products containing recombinant human follicle stimulation hormone (r-hFSH) (draft). www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2011/11/WC500117986.pdf
- 110 European Medicines Agency guideline on similar biological medicinal products containing recombinant interferon beta (draft). www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2012/01/WC500120652.pdf
- 111 European Medicines Agency guideline on nonclinical and clinical development of similar biological medicinal products containing recombinant erythropoietins (revision). www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2010/04/WC500089474.pdf
- 112 European Medicines Agency guideline nonclinical and clinical development of similar biological medicinal products containing low-molecular-weight heparins. www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003927.pdf
- 113 European Medicines Agency guideline on nonclinical and clinical development of similar medicinal products containing recombinant interferon alpha (reflection paper). www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003930.pdf
- 114 European public assessment report for Filgrastim Ratiopharm. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/000824/WC500022727.pdf
- 115 European public assessment report for NutropinAq. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000315/WC500040081.pdf
- 116 European public assessment report for Valtropin®. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000602/WC500047158.pdf
- 117 European public assessment report for Omnitrope™. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000607/WC500043692.pdf
- 118 European public assessment report for Abseamed®. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000727/WC500020666.pdf
- 119 European public assessment report for Binocrit®. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000725/WC500053615.pdf
- 120 European public assessment report for Epoetin Alpha Hexal. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000726/WC500028287.pdf
- 121 European public assessment report for Filgrastim Hexal. www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/000918/WC500022471.pdf
- 122 WHO guideline on evaluation of similar biotherapeutic products. www.who.int/biologicals/areas/biological_therapeutics/BIOTHERAPEUTICS_FOR_WEB_22APRIL2010.pdf
- 123 US FDA guidance for industry. Scientific considerations in demonstrating biosimilarity to a reference product. www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM291128.pdf
- 124 US FDA guidance for industry. Quality considerations in demonstrating biosimilarity to a reference product. www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM291134.pdf
- 125 US FDA guidance for industry. Guidance for industry on biosimilars: Q & As regarding implementation of the BPCI Act of 2009. http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm259797.htm