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Biosimilars: Implications for health-system pharmacists.
Steven D Lucio1, James G Stevenson, James M Hoffman
1Steven D. Lucio, Pharm.D., BCPS, is Senior Director, Solutions and Pharmacy Program Development, Novation, Irving, TX. James G. Stevenson, Pharm.D., FASHP, is Chief Pharmacy Officer, University of Michigan (UM) Health System, and Professor, Associate Dean for Clinical Sciences, and Chair, Department of Clinical, Social and Administrative Sciences, College of Pharmacy, UM, Ann Arbor. James M. Hoffman, Pharm.D., M.S., BCPS, is Associate Member, Pharmaceutical Sciences, and Medication Outcomes and Safety Officer, Pharmaceutical Services, St. Jude Children's Research Hospital, Memphis, TN, and Associate Professor of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis.
Biosimilar development faces scientific and regulatory hurdles. The U.S. market is expanding, offering potential cost savings but requiring careful management of safety and policy issues.
Area of Science:
- Biopharmaceutical development
- Regulatory science
- Health economics
Background:
- Biosimilar products are highly similar versions of approved biological drugs.
- The U.S. is establishing an expedited approval pathway for biosimilars, mirroring European Union practices.
- The Food and Drug Administration (FDA) has issued draft guidance for biosimilar approval.
Purpose of the Study:
- To provide an update on scientific and regulatory challenges in biosimilar product development.
- To highlight the expected expansion of the U.S. biosimilar market.
- To inform health systems about preparing for biosimilar integration.
Main Methods:
- Review of current scientific and regulatory landscape for biosimilars.
- Analysis of FDA guidance and market trends.
- Discussion of potential implications for healthcare systems.
Main Results:
- The U.S. biosimilar market is poised for growth with an established approval pathway.
- Manufacturing changes can impact biosimilar safety and efficacy.
- Interchangeability and indication approval may present initial challenges.
- Anticipated pharmaceutical cost savings range from 20-30%.
Conclusions:
- Biosimilars offer opportunities to manage pharmaceutical expenditures.
- Pharmacists are crucial in preparing health systems for biosimilar adoption.
- Addressing formulary management, pharmacovigilance, and patient safety is essential.
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