FDA Approves Fresenius Kabis Pegfilgrastim Biosimilar Stimufend, Alvotechs Adalimumab BLA Tripped Up by FDA, Samsung Bioepis and Organon Score Citrate-Free, High-Concentration Dose Approval, The Next-Generation Biosimilar Race: A Tale of Two Autoimmune Biologics, Tocilizumab Biosimilars Approaching: Developments on Three Fronts, Denosumab Biosimilar Competitors Gathering Data for February 2025 Launch, Phase 3 Data on Samsung Bioepis Eculizumab Biosimilar Confirms Equivalence to Soliris, Further Dissecting the Launch of Adalimumab Biosimilars in the US. This quarterly pipeline wrap-up provides a review of newly approved biosimilars, an update on the biosimilar pipeline and news of note on biosimilars in the approval process. Hadlima does not have interchangeable status. The interchangeable designation allows pharmacists more flexibility to dispense this potentially money-saving product and gives Boehringer Ingelheim a marketing edge. (January 28, 2019) Coherus becomes the eighth biosimilar maker to sign a licensing agreement with Abbvie, and it also becomes the first biosimilar maker to sue another (Amgen) for patent infringement. The interchangeable issue will come to a head next year when the Humira market will be flooded with biosimilars, both interchangeable and regular. "2024 ". The population of this randomized, double-blind trial comprised patients whose symptoms of moderate to severe RA did not alleviate despite use of methotrexate. Supplemental BLAs are usually processed faster, and Pfizer may hear back as early as October 2022. Alvotech is seeking to bring a high-concentration, citrate-free, interchangeable formulation of adalimumab (AVT02) to market in the United States and has opted to battle AbbVie in court over Humira's patent barriers rather than settle. 16.8% 7.4% . The other adalimumab biosimilars that have FDA approval will launch in later months of 2023. Can Biosimilars Fund New Specialty Pipeline Development? Organon 50MG version FDA approved, sBLA comparing two formulations of Hadlima (50MG and 100MG) pending with FDA; seeking interchangeability for high concentration 4. "If all Prime's Blue Plan clients prefer biosimilars in the G-CSF space and adoption rates follow, we project savings of $41 million to $55 million a year," Prime said in a statement.. The primary outcome measure the response rate based on the American College of Rheumatology 20% improvement criteria (ACR20) at week 24 (perprotocol analysis). This is easier for pharmacies, which wont have to deal with the conversion, and payers, which wont have to send letters to patients and providers explaining the conversation. I can address the first question on biosimilars on HADLIMA. 3 Hadlima also lyses surface TNF expressing cells in vitro in the presence of complement. All rights reserved. The study groups were followed through 52 weeks of treatment. The company was incorporated in 2012 and is based in Incheon, South Korea. Non-US Humira revenues in 2020 were $3.7 billion, down 13.6%. The European Medicines Agency approved the biosimilar drug (under the name Imraldi) on June 26, 2016. Newcomers concluding statement:We know that whether the interchangeable designation is there or not, it is the same biosimilar., Examining Evolving Treatment Paradigms in the Hemophilia B Space, Payer Provider Perspectives: Prescription Digital Therapeutics: Reimagining Care in Behavior-Driven Conditions. Semglee (insulin glargine-yfgn) was the first FDA-approved interchangeable biosimilar. The FDA approval for interchangeability of adalimumab-adbm for adalimumab was supported by data from the phase 3, randomized, double-blind, parallel-arm, multiple-dose, active comparator VOLTAIRE-X trial (NCT03210259), which studied the effects of multiple switches between adalimumab and adalimumab-adbm. Patients received either the biosimilar or reference drug 40 mg subcutaneously every other week. In addition to the US, Samsung Bioepis' adalimumab biosimilar has been approved for marketing in over 30 countries, including 28 European Union (EU) member states, Canada, Australia and Korea. 05 Oct 22 | EU | Celltrion to commence interchangeability . For the third quarter of 2022, revenue was $1.5 . Oct 14, 2022 11:18am. Third of four parts The ACR efficacy results of the switching study are presented below: No statistically significant differences were seen in these results or for DAS28 or EULAR response scores. It is used in children 2 years of age and older for juvenile idiopathic arthritis. The other adalimumab biosimilars that have FDA approval will launch in later months of 2023. 2022 MJH Life Sciences and Center for Biosimilars. Though approved, it is not yet marketed in the US Like several other manufacturers of approved biosimilar versions of adalimumab, Samsung has signed a licensing agreement with AbbVie; under the agreement, Samsung would be able to launch the drug in late June 2023. INCHEON, Korea & JERSEY CITY, N.J.--(BUSINESS WIRE)--Samsung Bioepis Co., Ltd. and Organon & Co. (NYSE: OGN) today announced the U.S. Food and Drug Administration (FDA) has approved the. Officially dubbed Hulio(adalimumab-fkjp), this 28th approved biosimilar will be first available for prescription in August 2023. (January 16, 2019) Sandoz announced that it has thrown its hat in the ring foranother Humira biosimilar. Note: not all of these biosimilar adalimumab are approved in the US. Hadlima (adalimumab-bwwd) is a tumor necrosis factor blocker indicated for treatment of rheumatoid Arthritis , juvenile idiopathic arthritis (JIA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), adult Crohn's disease (CD), ulcerative colitis (UC), and plaque psoriasis (Ps). The Food and Drug Administration recently approved Cyltezo (adalimumab-adbm), the first interchangeable biosimilar product of Humira (adalimumab). An Interchangeability study: Step by step 2,3. Cyltezo is expected to be more affordable than Humira, which can cost. The approval of adalimumab-bwwd was based on clinical . Biosimilars are considered highly similar to and as efficacious and safe as the products they reference. This database displays the manufacturer, product name, and date of anticipated launch. Therefore, the interchangeability designation may only have value in the first year or two of marketing, putting a bit of a damper on the adalimumab interchangeability competition. Dr Joseph Alvarnas Highlights the Current State of the Oncology Biosimilar Market, AMCP Nexus Abstracts Investigate Adoption, Budget Impact of Biosimilars, BioRationality: A Dr Sarfaraz Niazi ColumnFDA Launches Biosimilar Regulatory Science Program, WHEN CHOICE ARRIVES: Competition & Consequences. Oct 8, 2022. Tony Hagen, a freelance writer and a regular contributor to Managed Healthcare Executive, recently interviewed Tom Newcomer, head of U.S. market access for Samsung Bioepis, which is planning to have its Humira biosimilar, Hadlima (adalimumab-bwwd) on the market midway through 2023. Hadlima is administered by subcutaneous injection. All rights reserved. These investigators compared SB5 (Hadlima) with EU-sourced Humira in 544 patients with rheumatoid arthritis (RA). 1. Cyltezo is a citrate-free product, which results in less pain on injection, and it is approved for multiple forms of chronic inflammatory disease, including moderate to severe active rheumatoid arthritis, polyarticular juvenile idiopathic arthritis (4 years of age and older), psoriatic arthritis, adult Crohns disease, ulcerative colitis and plaque psoriasis, as well as active psoriatic arthritis and ankylosing spondylitis. The approval places Boehringer Ingelheim in a potentially strong position with respect to other adalimumab biosimilar developers. In an interview with Managed Healthcare, Samsung Bioepis' head of US market access Tom Newcomer announced that Samsung Bioepis will pursue interchangeability for Hadlima (biosimilar adalimumab) in 2024. . Amgen is currently performing a multi-switching study, in the hopes of obtaining the designation late 2023 or early in 2024. There are 3 products: short-acting insulin lispro (Humalog), short-acting insulin aspart (NovoLog), and long-acting insulin glargine (Lantus). In the new phase, there are bigger brand names, pharmacy benefit drugs, more competitive therapeutic classes, interchangeable biosimilars are entering the market, and some of these biosimilars will be self-administered, he explained. However, there was recently an agreement between AbbVie, the maker of Humira, and Alvotech to allow a new formulation adalimumab biosimilar to launch mid 2023. (November 28, 2018) Boehringer has nowannounced its intentionto discontinue all efforts to market and develop any biosimilars outside of the US market. Biosimilar. FDA Approves the Biosimilar Hadlima . The phase III study, VOLTAIRE-X, that qualified Cyltezo for approval as an interchangeable biosimilar involved a 40 mg/0.8 mL formulation, not high concentration. HADLIMA is indicated for reducing signs and symptoms, inducing major clinical response, inhibiting the progression of structural damage, and improving physical function in adult patients with moderately to severely active rheumatoid arthritis. (May 15, 2019) This agreement allows Boehringer Ingelheim to enter the marketplace July 1, 2023, getting a slight jump on some other licensees, but it effectively ends the protracted patent litigation that Boehringer hoped to win. 3 56 3.9% . Other Adalimumab biosimilars slated to enter the US market in 2023 are Hyrimoz (Sandoz), September 2023; Abrilada (Pfizer), November 2023; Amjevita (Amgen), January 2023; and Hulio (Viatria/Fujifilm Kyowa Kirin), July 2023. Who Are the Key Aflibercept Biosimilar Players to Watch. It is something that I think they'd like to see that is underway, and we will have our interchangeability indication likely in the 2024 time frame. (June 22, 2018) In its recent investor conference, thecompany disclosedthat it is ready to send M923, its adalimumab biosimilar, to the agency for approval. Hadlima may cause serious side effects including: hives, difficulty breathing, swelling of your face, lips, tongue, or throat, dizziness, abdominal pain, arm or leg weakness or pain, chest pain or pressure, cough, double vision, fever, flu-like symptoms, hair loss, joint pain, night sweats, numbness, This marks the second interchangeable biosimilar approval ever and the second this year. Jeffrey Casberg, MS, RPh Third is the issue that has been looming for a couple of years nowthe potential for Boehringer Ingelheim to score interchangeability status for Cyltezo , which would be unique among adalimumab biosimilars. Hadlima belongs to a class of similar medications called Anti-Tumor Necrosis Factor agents. In my discussions with all the PBMs that I've interacted with, and they're large ones, interchangeability does not come up as a key point. There were no treatment emergent issues or clinically relevant immunogenicity precipitated by alternating subjects between treatments. All Rights Reserved, An Multicentre Clinical Study to Evaluate the Usability and Safety of the Pre-filled Pen and Pre-filled Syringe of, Pharmacokinetics, Safety, and Tolerability Study of the Pen and PFS of, What We May Have Here Is a Failure to Communicate. This press release was posted just before Alvotech's announcement that the FDA had accepted Alvotech's biologic license application for its own interchangeable adalimumab biosimilar AVT02. Iceland-based Alvotech had originally filed the 351(k) application in late summer 2021; however, the FDA took no action until February. Switching From Reference Adalimumab to SB5 (Adalimumab Biosimilar) in Patients With Rheumatoid Arthritis, FiftyTwoWeek Phase III Randomized Study Results. In Early 2013 Samsung Bioepsis and Merck entered into a business agreement to develop and commercialize biosimilars. In an interview with Managed Healthcare Executive, a Samsung Bioepis executive says data on Hadlima's interchangeability won't be ready till 2024. A biosimilar is authorized based on its similarity to a reference biologic drug that was already. (October 23, 2018) 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 manufacturers attention on biosimilars and interchangeability. 2022 MJH Life Sciences and Managed Healthcare Executive. (July 12, 2017)FDA Advisory Committee members considered the data package provided by Amgen to be comprehensive, but the 26-0 vote was not without some interesting points and drama. Copyright 2021 by SM Health Communications. Hadlima is only available as 40 mg pre-filled syringe and 40 mg PushTouch auto-injector. Learn how your comment data is processed. Ultimately, having biosimilars available for both formulations will make this adoption much more robust.. You may have already been given other medicines to treat your condition. Celltrion Earns FDA Nod for Bevacizumab Biosimilar, The Inflation Reduction Act: Reducing Drug Prices and Maybe Future Biosimilar Development. In January 2022, Samsung Bioepis and Organon announced that they are seeking interchangeability for a high-concentration, citrate-free version of their adalimumab biosimilar (Hadlima), which was approved as a low-concentration formulation in July 2019 and is expected to launch on the US market in June 2023. Copyright 2013-2022 by SM Health Communications. Humira is an injectable drug widely used to manage symptoms of rheumatoid arthritis (RA) and several other autoimmune conditions. Biosimilar Drug Profile: Hadlima is an FDA-approved biosimilar version of adalimumab (reference product, Humira , AbbVie). Iceland-based Alvotech had originally filed the 351 (k) application in late summer 2021; however, the FDA took no action until February. [ ] (Humira, ) . To the extent that an injectable treatment can be managed through the pharmacy benefit rather than the medical benefit, the drug can be easily subjected to prior authorization, step therapy, quantity limits, and other tools routinely used. There are 6 adalimumab biosimilars approved and lined up for market entry in 2023, and Cyltezo will be among the first to launch, based on the settlements AbbVie has struck with the companies. The FDA approval was based on data derived from a randomized, double-blind 52-week Phase 3 study, in which 544 patients with moderate to severe . Who Are the Key Aflibercept Biosimilar Players to Watch. Based on the 24-week study described above, investigators conducted a switching study between SB5 and EU-licensed Humira in these patients with RA. Hadlima is a recombinant human IgG1 monoclonal antibody specific for human tumor necrosis factor (TNF). Serious infections have happened in people taking adalimumab products. During this phase, the drugs were on the medical benefit side, and they were mostly less competitive. Boehringer Ingelheim was granted interchangeability from FDA after positive results of a switching study between Cyltezo and Humira (Voltaire-X) 5. Celltrion Earns FDA Nod for Bevacizumab Biosimilar, The Inflation Reduction Act: Reducing Drug Prices and Maybe Future Biosimilar Development. Boehringer Ingelheims Cyltezo, the first autoimmune product designated interchangeable by the FDA, will also launch in the July 2023 timeframe. Industry insiders have said there is room for all formulations and multiple contenders while the cost of the originator product remains this high. While there are currently only 2 biosimilars with interchangeability designation, having more interchangeable biosimilars will start becoming a more important pharmacy benefit as biosimilars reach the US market, explained Jeffrey Casberg, MS, RPh, vice president of pharmacy at IPD Analytics, LLC, during a session at Asembias Specialty Pharmacy Summit, held May 2-5 in Las Vegas. Adalimumab biosimilars have long been available in the European Union, where AbbVies Humira revenues have declined considerably owing to biosimilar competition. New Drug Information Stimufend (pegfilgrastim-fpgk): Fresenius Kabi's Stimufend was approved by the FDA as a . It, like its competitors, is not yet available on the US market because of licensing agreements signed with the manufacturer of the reference product, AbbVie. 2022 MJH Life Sciences and Center for Biosimilars. (November 27, 2018) According to the announcement, Pfizer will market this agent (PF-06410293), if approved by the Food and Drug Administration, in November 2023. (August 29, 2017) Boehringer Ingelheim Pharmaceuticals, Inc.announced August 29that it had received approval from the Food and Drug Administration (FDA) for its first biosimilar. (July 12, 2019) Samsung Bioepis and Genentech filed amotion in District Court to drop all pending patent litigation regarding Ontruzant, an approved Herceptinbiosimilar. There has been no FDA decision so far on approval or interchangeability. Pfizer will launch its product no earlier than July 2023, per their agreements with AbbVie. Can Biosimilar Development Costs Be Genericized? As a biosimilar, Hadlima has similar properties, safety, and efficacy to an approved biological treatment, in this case . Right now, all of the approved adalimumab biosimilars are for the original 50 mg/ml formulation, which only has 20% or less market share. (August 5, 2019) 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 company press release. The earliest Alvotech could see a court decision is October 2022, and that litigation is just a part of the effort ahead to bring AVT02 to market. Rheumatoid Arthritis The recommended dose of Hadlima for adult patients with rheumatoid arthritis is 40 mg administered fortnightly as a single dose. The most excitement remains around the adalimumab biosimilars, but there is some uncertainty how they will change the market trends. The Food and Drug Administration approves biosimilar products and provides the scientific and regulatory advice needed to bring safe and effective biosimilars to . Korea-based Samsung Bioepis (Samsung and Biogen's joint venture) announced on 29 March 2021 that it had now launched its adalimumab biosimilar, Hadlima (SB5), in Australia and Canada. Samsung Bioepis Co., Ltd. develops and produces biopharmaceutical and biosimilar products. The approval of citrate-free, high-concentration HADLIMA was based on clinical data from a randomized, single-blind, two-arm, parallel group, single-dose study that compared the pharmacokinetics, safety, tolerability, and immunogenicity of two formulations of HADLIMA (100 mg/mL vs 50 mg/mL) in healthy volunteers. This site uses Akismet to reduce spam. The interchangeability issue may loom especially large for the biosimilars to Humira (adalimumab). HADLIMA can be used alone or in combination with methotrexate or other non-biologic disease-modifying . (October 3, 2017) Authorized generics have been around for a couple of decades. (December 17, 2018) 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. INCHEON, Korea and Jersey City, N.J., United States - August 17, 2022 - Samsung Bioepis Co., Ltd. and Organon & Co. (NYSE: OGN) today announced the U.S. Food and Drug Administration (FDA) has approved the citrate-free, high-concentration (100 mg/mL) formulation of Hadlima (adalimumab-bwwd), a biosimilar referencing Humira (adalimumab). However, in this new phase, there will also be physicians in specialties who are less familiar with biosimilars. In addition, the high concentration formulation (100 mg/mL) has rapidly become the dominant version of adalimumab in the marketplace owing to its convenience and because it is citrate-free, a strong selling point with patients. When the reference adalimumab . 2022 MJH Life Sciences and Managed Healthcare Executive. They concluded that switching from reference product to the biosimilar was not associated with negative safety and clinical efficacy outcome. The same was true of radiographic evidence of joint damage. A total of 476 patients completed the study and were analyzed as the per protocol population (239 given SB5, 237 given Humira). After a 14-week "Run-in" period, where all patients are given the reference product, patients are randomized to the treatment group or the control group for a 16-week double-blind period. Payers are going to have to develop plans to move people85% of the marketfrom the new formulation back to the old formulation, Casberg explained, and its unclear how successful that conversion would have been.. The initial phase was 2013 to 2020. On the radar are: There is even more potential interchangeability among the insulins. Hadlima will launch June 30, 2023, and will likely receive interchangeability after launch Adalimumab 100 mg/ml AVT02 has already submitted for interchangeability; it is not yet approved, but it will likely have interchangeability at launch Hadlima will likely receive interchangeability after its potential launch date for this dosage All rights reserved. Originally known as SB5, Samsung Bioepis submitted a biologic license application for approval via the 351 (k) biosimilar pathway on September 27, 2018. At Week 24, 254 Humira-treated patients were re-randomized in a 1:1 ratio to continue on Humira or transition to Hadlima. PhaseIIIRandomized Study ofSB5, an Adalimumab Biosimilar, Versus Reference Adalimumab in Patients With ModeratetoSevere Rheumatoid Arthritis. Hadlima is scheduled to be on to the market in July 2023. Also, launching in June 2023 is Hadlima, an adalimumab biosimilar developed by Samsung Bioepis and slated for launch in partnership with Organon. HADLIMA is a biosimilar biologic drug (biosimilar) to the reference biologic drug HUMIRA . Related Content: The researchers did note a trend towards lower efficacy scores in patients with antidrug antibodies (in all treatment groups). (January 28, 2019) At least 8 biosimilar manufacturers have signed licensing agreements with Abbvie, which allow immediate European launches for approved adalimumab biosimilars and sequentially timed US launches in 2023. So we feel very well positioned to meet the transitioning market at that time.. Nevertheless, Humira earned $16.2 billion in US revenues in 2020 and the cost of the product$77,000 for a years supplyis considered exorbitant by many stakeholders in the US health care industry. This includes the treatment of patients with recently diagnosed moderate to severely active disease who have not received methotrexate. Patients were randomized to receive either Hadlima or Humira. The FDA has approved an interchangeable designation for Boehringer Ingelheims adalimumab biosimilar Cyltezo, which was originally approved in August 2017 and is scheduled to go on the market on July 1, 2023, based on an agreement the company has with AbbVie, the producer of the originator product, Humira. The U.S. Food and Drug Administration (FDA) has approved a new, more highly concentrated formulation of Hadlima (adalimumab-bwwd), a biosimilar to AbbVie's Humira (adalimumab), for the treatment of ankylosing spondylitis. 2022 MJH Life Sciences and Center for Biosimilars. Hadlima will be available in pre-filled . Can Biosimilars Fund New Specialty Pipeline Development? Newcomer says, yes, Samsung Bioepis has decided to pursue the interchangeable designation for Hadlima. We are pleased to hear your questions or comments, which should be provided through our contact us page. All rights reserved. After being bottled up by patent disputes and other issues, a flood of seven (and perhaps as many as 11) Humira biosimilars may hit the market in 2023, possibly giving Humira, the all-time sales leader among pharmaceutical products, some competition for the first time. Pfizer Inc. (NYSE: PFE) today announced the United States (U.S.) Food and Drug Administration (FDA) has approved ABRILADA(adalimumab-afzb), as a biosimilar to Humira (adalimumab),1 for the treatment of certain patients with rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, adult Crohn's disease, ulcerative colitis and plaque psoriasis.2 For . . FDA Approves Fresenius Kabis Pegfilgrastim Biosimilar Stimufend, Alvotechs Adalimumab BLA Tripped Up by FDA, Samsung Bioepis and Organon Score Citrate-Free, High-Concentration Dose Approval, The Next-Generation Biosimilar Race: A Tale of Two Autoimmune Biologics, Tocilizumab Biosimilars Approaching: Developments on Three Fronts, Denosumab Biosimilar Competitors Gathering Data for February 2025 Launch, Phase 3 Data on Samsung Bioepis Eculizumab Biosimilar Confirms Equivalence to Soliris, Further Dissecting the Launch of Adalimumab Biosimilars in the US. Samsung Bioepis is a joint venture between Samsung BioLogics and Biogen that operates as a subsidiary of Samsung Biologics Co., Ltd. Semglee, a long-acting glargine insulin, was approved as a biosimilar and an interchangeable product in late July. Casbergs organization is tracking products that either have interchangeable biosimilars or that will have them in the future. With multiple interchangeable adalimumab biosimilars to be launched, one fact still remainsthese products may be automatically switched at the pharmacy for the reference product only, not for each other. These serious infections include tuberculosis (TB) and infections caused by viruses, fungi or bacteria that have spread throughout the body. Celltrion Healthcare's . Dr Joseph Alvarnas Highlights the Current State of the Oncology Biosimilar Market, BioRationality: A Dr Sarfaraz Niazi ColumnFDA Launches Biosimilar Regulatory Science Program, A Summary of the VOLTAIRE-RA Trial for Physicians, Patients Considering RA Treatment Options, WHEN CHOICE ARRIVES: Competition & Consequences, Cyltezo already has interchangeable status and its potential launch date is July 1, 2023, Abrilada is seeking interchangeability and will likely have it for its July 1, 2023, launch, Amjevita has a launch date of January 1, 2023, and will likely receive the interchangeability designation post launch, possibly in 2024, Hadlima will launch June 30, 2023, and will likely receive interchangeability after launch, AVT02 has already submitted for interchangeability; it is not yet approved, but it will likely have interchangeability at launch, Hadlima will likely receive interchangeability after its potential launch date for this dosage, ABP 501 HC is seeking interchangeability with a potential launch in 2023 or later, NI-0171 has completed interchangeability studies and has a potential launch in 2024 or later, Infliximab, which launched as an interchangeable unbranded biologic in 2021, ABP 654 has a completed phase 3 analysis to support interchangeability and its launch is expected to be 2023 or later, AVT05 is seeking interchangeability but would not launch until February 2024 or later.