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Related Concept Videos

Bioequivalence of Drugs: Drugs with Multiple Indications01:09

Bioequivalence of Drugs: Drugs with Multiple Indications

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The concept of therapeutic equivalence (TE) in drugs with multiple indications is complex. A generic drug may be therapeutically equivalent to a brand-name product for one specific indication, but this doesn't necessarily mean it's equivalent for all other indications. Evidence of TE in one patient group and bioequivalence shown in healthy volunteers can support—but not confirm—TE for other indications. However, definitive proof requires individual clinical studies for each...
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Drug Products: Biologics, Biosimilars and Interchangeables01:28

Drug Products: Biologics, Biosimilars and Interchangeables

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Biologics, derived from living sources such as humans, animals, or microorganisms, represent a significant category of pharmaceuticals. These complex molecules, developed through advanced biotechnological methods or purified from natural sources, include essential medical treatments like insulin and growth hormones. The complexity of biologics arises from their large molecular structures and the intricate processes required for their production, making them distinct from conventional...
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Bioequivalence: Overview01:16

Bioequivalence: Overview

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Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
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Bioequivalence studies: Biowaivers01:13

Bioequivalence studies: Biowaivers

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In certain scenarios, in vitro dissolution tests can replace in vivo bioequivalence studies. This is particularly true when a drug product, though available in varying strengths, maintains proportional similarity in its active and inactive ingredients. In such cases, the need for in vivo bioequivalence studies for lower strength variants may be waived, provided dissolution tests and in vivo studies on the highest strength yield satisfactory results.Bioequivalence can be indicated through...
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Pharmaceutical Equivalents01:26

Pharmaceutical Equivalents

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As defined by regulatory standards, pharmaceutical equivalents require generic drug products to have identical dosage forms and chemically identical active pharmaceutical ingredients (APIs). They must adhere to compendial or applicable standards for potency, content uniformity, disintegration times, and dissolution rates. In the case of modified-release dosage forms, variations in drug content are permissible as long as the delivered amount remains consistent with the innovator drug product.
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Cancer Survival Analysis01:21

Cancer Survival Analysis

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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In Vitro Methods for Comparing Target Binding and CDC Induction Between Therapeutic Antibodies: Applications in Biosimilarity Analysis
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Biosimilars: Extrapolation for oncology.

Giuseppe Curigliano1, Darran P O'Connor2, Julie A Rosenberg3

  • 1European Institute of Oncology, Division of Experimental Therapeutics, Milano, Italy.

Critical Reviews in Oncology/Hematology
|June 30, 2016
PubMed
Summary
This summary is machine-generated.

Biosimilars are highly similar biologics to reference products. Indication extrapolation for biosimilars requires scientific justification based on mechanism of action and data.

Keywords:
BiosimilarCancerExtrapolationMonoclonal antibody

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Area of Science:

  • Biologics and biosimilars
  • Pharmacology
  • Regulatory science

Background:

  • Biosimilars are biological products highly similar to reference products regarding purity, safety, and efficacy.
  • Extrapolation of indications for biosimilars is permissible for therapeutic areas of the reference product not directly studied.
  • Scientific justification is mandatory for biosimilar indication extrapolation.

Purpose of the Study:

  • To outline the data requirements for establishing biosimilarity.
  • To emphasize the scientific basis for indication extrapolation of biosimilars.
  • To highlight the role of mechanism of action in biosimilar approval.

Main Methods:

  • Review of regulatory guidelines and scientific literature on biosimilar development.
  • Analysis of data requirements for demonstrating high similarity.
  • Evaluation of principles supporting extrapolation of therapeutic indications.

Main Results:

  • Detailed data are necessary to confirm high similarity between biosimilar and reference product.
  • Extrapolation relies on scientific rationale, including shared mechanism of action.
  • Comparative clinical studies are not always required for every indication.

Conclusions:

  • Establishing biosimilarity requires comprehensive data packages.
  • Indication extrapolation is a scientifically sound process when justified.
  • Understanding the mechanism of action is crucial for biosimilar regulatory approval.