Abstract

Biosimilars represent a new class of medicinal products that will have significant impact on clinical use. They are identical on an amino acid sequence level to existing reference biopharmaceutical products (originals). However, they may exhibit differences on a protein level. This paper provides a brief overview of biosimilar development and describes the risk and challenges that should be considered during the admission of biosimilars into the clinic.

Highlights

  • Biopharmaceuticals are a cornerstone of therapy for a wide spectrum of disorders, from cancer to autoimmune or autoinflammatory diseases

  • This paper provides a brief overview of biosimilar development and describes the risk and challenges that should be considered during the admission of biosimilars into the clinic

  • This review summarises the opinion of a Swiss expert panel on the various aspects of biosimilar development, and highlights the key points that should be taken into account when facing the choice between biosimilar and original

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Summary

Summary

Biosimilars represent a new class of medicinal products that will have significant impact on clinical use. They are identical on an amino acid sequence level to existing reference biopharmaceutical products (originals). They may exhibit differences on a protein level. This paper provides a brief overview of biosimilar development and describes the risk and challenges that should be considered during the admission of biosimilars into the clinic.

Introduction
Review article
Exercises in comparability and changes to the manufacturing process
Biosimilars and regulatory requirements
Process change
Extrapolation across different indications
Immunogenicity of biosimilars
Interchangeability and substitution
Switching drugs
Pricing and cost benefits
Findings
Conclusions

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