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Biosimilars: the need, the challenge, the future: the FDA perspective
Michael S Epstein1, Eli D Ehrenpreis2, Prasad M Kulkarni3
1Digestive Disorders Associates, Annapolis, Maryland, USA.
Biosimilars offer lower-cost alternatives to biologic drugs but may differ structurally. The U.S. Food and Drug Administration (FDA) is developing pathways for biosimilar approval, facing challenges with complex molecules.
Area of Science:
- Biopharmaceutical development
- Regulatory science
- Drug approval processes
Background:
- The biosimilars industry has emerged due to the financial success and patent expirations of biologic therapies.
- Biosimilars aim to provide lower-cost alternatives to existing biologic agents.
- Unlike generic drugs, biosimilars may exhibit structural and functional differences from their reference products.
Purpose of the Study:
- To summarize the history of the biosimilars industry.
- To outline the U.S. Food and Drug Administration's (FDA) regulations and guidance for biosimilar development.
- To identify challenges in bringing biosimilars to market.
Main Methods:
- Review of current literature on biosimilars.
- Analysis of existing regulations and FDA guidance documents.
- Interpretation of financial and clinical implications of biosimilars.
Main Results:
- The U.S. Food and Drug Administration (FDA) has not yet approved any biosimilar via the abbreviated licensure pathway.
- New FDA guidance outlines processes for demonstrating biosimilarity or interchangeability with reference biologics.
- Complex large-molecule biosimilars may face lengthy FDA approval processes, potentially hindering cost reduction efforts.
Conclusions:
- Biosimilar development is driven by the economic landscape of biologic drugs.
- The pharmaceutical industry must innovate analytical methods to prove similarity for complex biosimilars.
- Emerging "biobetter" or "biosuperior" drugs represent advancements beyond simple mimicry of existing biologics.
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Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions
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FDA Approved Drugs: Changes to Approved Drugs

