USFDA and Health Canada have established exclusive approval pathways for biosimilars, they are not identical copies of their originators but needs to show a highly similar structure and similar clinical efficacy, safety and immunogenicity to their approved reference biologics. The main goal is to approve biosimilars are to reduce the cost and make it available to the large population. Biosimilars also undergo for testing at all stages of drug development from analytical, non-clinical, and clinical, which is suggestively more than the small-molecule generic drugs but less requirement than new biologics. The US FDA is authorizing the biosimilars under the Biologic Price Competition and Innovation …show more content…
Biosimilar proposed uses must be same as previously approved reference product; the same way of administration, dosage form, and strength as the reference product; and manufacturing process, packaging, labeling, manufacturing facility that meets same standards designed for the assurance of safety, purity, and potency of the biological product. Biosimilar phase III clinical trials based on the equivalency should prove that the future biosimilar will not decrease nor increased activity compared to the reference product. Clinical development of a biosimilar also delivers a rigorous head-to-head comparison with the reference product. A comparative clinical study design for a biosimilar is to investigate clinically meaningful differences between the future product and the reference product. Clinical endpoints can be chosen that can measure clinically significant differences between the future product and the reference product in a comparative clinical study. Generally for a new drug or biologic superiority trials are in use to prove drug superiority over the others available product, but nonsuperiority trials are more valuable when assessing …show more content…
Health Canada has issued its first guidelines for SEBs harmonized with the strict regulatory process used by the EMA in March 2010 but this guideline is under refinement and revision. For SEB approval a sponsor must mention the name of the reference biologic drug which already authorized and marketed in Canada. The same reference biologic drug should be used during the studies to support the safety, quality, and efficacy of the product. The dosage formula, strength, and route of administration of the SEB must be similar to the reference biologic drug and the active substance of the SEB must be similar as a reference biologic drug. A SEB should not be used as a reference biologic drug. The reference biologic drug has proved adequate safety, efficacy, and effectiveness. SEBs clinical trials are subject to Part C, Division 5 of the Food and Drug Regulations. Clinical Trial Applications (CTAs) should be acquiesced in harmony with Health Canada 's Guidance for Clinical Trial Sponsors: Clinical Trial Applications and the Clinical Trials