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Published on: May 4, 2017
Biosimilar medicines and cost-effectiveness.
1Research Centre for Pharmaceutical Care and Pharmaco-economics, Faculty of Pharmaceutical Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
Economic evaluations for biosimilars are complex due to differing data needs for marketing and reimbursement. Assessing cost-effectiveness requires considering relative effectiveness and long-term data for accurate pricing.
Area of Science:
- Health Economics
- Pharmaceutical Policy
- Biotechnology
Background:
- Biosimilars are similar, not identical, to reference biopharmaceuticals.
- Economic evaluation compares costs and outcomes of medicines.
- Assessing biosimilar cost-effectiveness presents unique challenges.
Purpose of the Study:
- To introduce and describe issues in the economic evaluation of biosimilars.
- Focus on relative costs, effectiveness, and cost-effectiveness.
- Highlight discrepancies between regulatory and reimbursement data requirements.
Main Methods:
- Review of economic evaluation principles for pharmaceuticals.
- Analysis of data requirements for marketing authorization versus reimbursement.
- Discussion of methods for assessing cost-effectiveness based on evidence type (efficacy vs. effectiveness, endpoints).
Main Results:
- Marketing authorization evidence may not meet reimbursement authority needs (e.g., real-world data, health outcomes).
- Cost-minimization is possible if effectiveness is equivalent; otherwise, cost-effectiveness or cost-utility analyses are needed.
- Uncertainty in long-term safety and effectiveness necessitates multi-time point evaluations.
Conclusions:
- Economic evaluation of biosimilars is complex and depends heavily on relative effectiveness.
- Data requirements for regulatory approval and reimbursement differ, complicating assessments.
- Long-term safety and effectiveness data are crucial for accurate, lifecycle-based cost-effectiveness analysis.
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