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Biosimilar rhG-CSFs: how similar are they?

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Abstract

Biosimilars are more affordable copycat versions of originator biological products in much the same way as generics are copies of small molecule pharmaceuticals. However, while generics are approved on the basis of structural and pharmacokinetic equivalence, the intricate structure of biological medicinal products and the complex nature of their manufacturing process in living organisms impose a separate, and more stringent, regulatory approval process. The aims of this article are (a) to discuss key aspects of the development process and authorization requirements for biosimilars in Europe using published comparative physicochemical and clinical data for EU-approved recombinant human granulocyte colony stimulating factor (rhG-CSF) biosimilars, the most recent addition to the therapeutic category of hematopoietic growth factors, and (b) to demonstrate that the rigorous scientific evaluation process is designed to ensure that their clinical safety and efficacy is not compromised by the abbreviated development program.

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Notes

  1. The term “Biosimilar” refers to a similar biological medicinal product approved in the EU under specific legislation (see explanatory text later in this article). In this article, the term is used exclusively to describe medicinal products approved under the EU biosimilar pathway.

References

  1. R&D Pipeline news (2010) Top 30 Biologics 2010. March 3, 2011. Available from www.pipelinereview.com

  2. Aapro M, Cornes P, Abraham I (2011) Comparative cost-efficiency across the European G5 countries of various regimens of filgrastim, biosimilar filgrastim, and pegfilgrastim to reduce the incidence of chemotherapy-induced febrile neutropenia. J Oncol Pharm Pract. doi:10.1177/1078155211407367

  3. Stewart A, Aubrey P, Belsey J (2010) Addressing the health technology assessment of biosimilar pharmaceuticals. Curr Med Res Opin 26:2119–2126

    Article  PubMed  CAS  Google Scholar 

  4. Arakawa T, Prestrelski SJ, Narhi LO, Boone TC, Kenney WC (1993) Cysteine 17 of recombinant human granulocyte-colony stimulating factor is partially solvent-exposed. J Protein Chem 12:525–531

    Article  PubMed  CAS  Google Scholar 

  5. Nagata S (1994) Granulocyte colony stimulating factor and its receptor. In: Thomson AW (ed) The cytokine handbook, 2nd. Academic, London, pp 371–385

    Google Scholar 

  6. Herman AC, Boone TC, Lu SH (1996) Characterization, formulation, and stability of Neupogen (filgrastim), a recombinant human granulocyte-colony stimulating factor. In: Pearlman R, Wang JY (eds) Formulation, Characterization, and Stability of Protein Drugs. Plenum Press, New York

    Google Scholar 

  7. Oheda M, Hase S, Ono M, Ikenaka T (1988) Structures of the sugar chains of recombinant human granulocyte-colony-stimulating factor produced by Chinese hamster ovary cells. J Biochem 103:544–546

    PubMed  CAS  Google Scholar 

  8. Aapro MS, Bohlius J, Cameron DA, Dal LL, Donnelly JP, Kearney N, Lyman GH, Pettengell R, Tjan-Heijnen VC, Walewski J, Weber DC, Zielinski C (2011) 2010 update of EORTC guidelines for the use of granulocyte-colony stimulating factor to reduce the incidence of chemotherapy-induced febrile neutropenia in adult patients with lymphoproliferative disorders and solid tumours. Eur J Cancer 47:8–32

    Article  PubMed  CAS  Google Scholar 

  9. Directive 2001/83/EC of the European Parliament and of the Council on the Community code relating to medicinal products for human use, as amended by Directive 2004/27/EC of 31 March 2004. Available from: http://ec.europa.eu/health/documents/eudralex/vol-1/index_en.htm

  10. Part II of the Annex I of Directive 2001/83/EC of the European Parliament and of the Council on the Community code relating to medicinal products for human use, as amended by Directive 2003/63/EC of 25 June 2003. Available from: http://ec.europa.eu/health/documents/eudralex/vol-1/index_en.htm

  11. Schellekens H (2005) Follow-on biologics: challenges of the "next generation". Nephrol Dial Transplant 20(Suppl 4):iv31–iv36

    Article  PubMed  Google Scholar 

  12. World Health Organization Expert Committee on Biological Standardization (2009) Guidelines on evaluation of similar biotherapeutic products (SBPs). Available from: http://www.who.int

  13. Center for Biologics Evaluation and Research (CBER) and Center for Drug Evaluation and Research (CDER) (1996) Demonstration of comparability of human biological products, including therapeutic biotechnology-derived products. Available from http://www.fda.gov

  14. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (2004) ICH Q5E: Comparability of biotechnological/biological products subject to changes in their manufacturing process. Available from: http://www.ich.org

  15. European Medicines Agency (2003) EU Guideline on comparability of medicinal products containing biotechnology-derived proteins as active substances: Quality issues. EMEA/CHMP/BWP/3207/00/Rev. 1. Available from: http://www.ema.europa.eu

  16. McCamish M, Woollett G (2011) Worldwide experience with biosimilar development. MAbs 3:209–217

    Article  PubMed  Google Scholar 

  17. Gravel P, Le Cotonnec J-Y (2011) Qu'est-ce qu'un biosimilaire? Jusqu'où va la similarité? Oncologie 13:183–190

    Article  Google Scholar 

  18. Le Cotonnec JY, Lawny F (2009) L'importance de la qualité en biotechnologie: le cas du 1er biosimilaire de l'EPO. Nephrol Ther 5 Spec No1:10–15

    Google Scholar 

  19. European Medicines Agency (2008) Zarzio® EPAR: CHMP Assessment Report (EMEA/CHMP/651339/2008). Available from: http://www.ema.europa.eu

  20. European Medicines Agency (2008) Filgrastim Hexal® EPAR: CHMP Assessment Report (EMEA/CHMP/651324/2008). Available from: http://www.ema.europa.eu

  21. European Medicines Agency (2008) Biograstim® EPAR: Assessment report (EMEA/494720/2008). Available from: http://www.ema.europa.eu

  22. European Medicines Agency (2008) Filgrastim ratiopharm® EPAR: Assessment report (EMEA/501324/2008). Available from: http://www.ema.europa.eu

  23. European Medicines Agency (2008) Ratiograstim® EPAR: Assessment report (EMEA/502481/2008). Available from: http://www.ema.europa.eu

  24. European Medicines Agency (2008) Tevagrastim® EPAR: Assessment report (EMEA/503293/2008). Available from: http://www.ema.europa.eu

  25. European Medicines Agency (2010) Nivestim® EPAR: CHMP assessment report (EMA/262762/2010). Available from: http://www.ema.europa.eu

  26. Skrlin A, Radic I, Vuletic M, Schwinke D, Runac D, Kusalic T, Paskvan I, Krsic M, Bratos M, Marinc S (2010) Comparison of the physicochemical properties of a biosimilar filgrastim with those of reference filgrastim. Biologicals 38:557–566

    Article  PubMed  CAS  Google Scholar 

  27. Sorgel F, Lerch H, Lauber T (2010) Physicochemical and biologic comparability of a biosimilar granulocyte colony-stimulating factor with its reference product. BioDrugs 24:347–357

    Article  PubMed  Google Scholar 

  28. Roskos L, Cheung E, Vincent M (1988) Pharmacology of filgrastim (r-metHuG-CSF). In: Morstyn T, Dexter T, Foote E (eds) Filgrastim (r-metHuG-CSF) in clinical practice, 2nd edn. Marcel Dekker, New York, pp 51–71

    Google Scholar 

  29. Korbling M (1998) In vivo expansion of the circulating stem cell pool. Stem Cells 16(Suppl 1):131–138

    PubMed  Google Scholar 

  30. Kronenwett R, Martin S, Haas R (2000) The role of cytokines and adhesion molecules for mobilization of peripheral blood stem cells. Stem Cells 18:320–330

    Article  PubMed  CAS  Google Scholar 

  31. European Medicines Agency (2006) Annex to guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Non-clinical and clinical issues. Guidance on similar medicinal products containing recombinant granulocyte-colony stimulating factor (EMEA/CHMP/BMWP/31329/2005). Available from: http://www.ema.europa.eu

  32. Gascon P, Fuhr U, Sorgel F, Kinzig-Schippers M, Makhson A, Balser S, Einmahl S, Muenzberg M (2010) Development of a new G-CSF product based on biosimilarity assessment. Ann Oncol 21:1419–1429

    Article  PubMed  CAS  Google Scholar 

  33. Lubenau H, Sveikata A, Gumbrevicius G, Macijauskiene J, Fokas V, Kazlauskas S, Janulionis V (2009) Bioequivalence of two recombinant granulocyte colony-stimulating factor products after subcutaneous injection in healthy volunteers. Int J Clin Pharmacol Ther 47:275–282

    PubMed  CAS  Google Scholar 

  34. Waller CF, Bronchud M, Mair S, Challand R (2010) Pharmacokinetic profiles of a biosimilar filgrastim and Amgen filgrastim: results from a randomized, phase I trial. Ann Hematol 89:927–933

    Article  PubMed  CAS  Google Scholar 

  35. Lubenau H, Bias P, Maly AK, Siegler KE, Mehltretter K (2009) Pharmacokinetic and pharmacodynamic profile of new biosimilar filgrastim XM02 equivalent to marketed filgrastim Neupogen: single-blind, randomized, crossover trial. BioDrugs 23:43–51

    Article  PubMed  CAS  Google Scholar 

  36. Engert A, Griskevicius L, Zyuzgin Y, Lubenau H, del GA (2009) XM02, the first granulocyte colony-stimulating factor biosimilar, is safe and effective in reducing the duration of severe neutropenia and incidence of febrile neutropenia in patients with non-Hodgkin lymphoma receiving chemotherapy. Leuk Lymphoma 50:374–379

    Article  PubMed  CAS  Google Scholar 

  37. Gatzemeier U, Ciuleanu T, Dediu M, Ganea-Motan E, Lubenau H, del GA (2009) XM02, the first biosimilar G-CSF, is safe and effective in reducing the duration of severe neutropenia and incidence of febrile neutropenia in patients with small cell or non-small cell lung cancer receiving platinum-based chemotherapy. J Thorac Oncol 4:736–740

    Article  PubMed  Google Scholar 

  38. Waller CF, Bronchud M, Mair S, Challand R (2010) Comparison of the pharmacodynamic profiles of a biosimilar filgrastim and Amgen filgrastim: results from a randomized, phase I trial. Ann Hematol 89:971–978

    Article  PubMed  CAS  Google Scholar 

  39. Waller CF, Semiglazov VF, Tjulandin S, Bentsion D, Chan S, Challand R (2010) A phase III randomized equivalence study of biosimilar filgrastim versus Amgen filgrastim in patients receiving myelosuppressive chemotherapy for breast cancer. Onkologie 33:504–511

    Article  PubMed  CAS  Google Scholar 

  40. Lefrere F, Brignier AC, Elie C, Ribeil JA, Bernimoulin M, Aoun C, Dal CL, Delarue R, Hermine O, Cavazzana-Calvo M (2011) First experience of autologous peripheral blood stem cell mobilization with biosimilar granulocyte colony-stimulating factor. Adv Ther 28:304–310

    Article  PubMed  CAS  Google Scholar 

  41. Publicover A, Richardson DS, Hill K, Hurlock C, Casey P, Newman J, Orchard KH (2010) Use of biosimilar GCSF for peripheral blood progenitor cell mobilisation prior to autologous stem cell transplantation: a single-centre experience. Bone Marrow Transplant 45(suppl 2):S158

    Google Scholar 

  42. European Group for Blood and Marrow Transplantation (EBMT) (2009) Position statement: biosimilar granulocyte-colony stimulating factor (G-CSF) for stem cell mobilization in related and unrelated donors. Available from: www.ebmt.org.

  43. Shaw BE, Confer DL, Hwang WY, Pamphilon DH, Pulsipher MA (2011) Concerns about the use of biosimilar granulocyte colony-stimulating factors for the mobilization of stem cells in normal donors: position of the World Marrow Donor Association. Haematologica 96:942–947

    Article  PubMed  Google Scholar 

  44. Gratwohl A, Baldomero H, Schwendener A, Rocha V, Apperley J, Frauendorfer K, Niederwieser D (2009) The EBMT activity survey 2007 with focus on allogeneic HSCT for AML and novel cellular therapies. Bone Marrow Transplant 43:275–291

    Article  PubMed  CAS  Google Scholar 

  45. Ings SJ, Balsa C, Leverett D, Mackinnon S, Linch DC, Watts MJ (2006) Peripheral blood stem cell yield in 400 normal donors mobilised with granulocyte colony-stimulating factor (G-CSF): impact of age, sex, donor weight and type of G-CSF used. Br J Haematol 134:517–525

    Article  PubMed  Google Scholar 

  46. Amgen (2010) US product label for Zarzio®. Available from http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm

  47. Jelkmann W (2010) Biosimilar epoetins and other "follow-on" biologics: update on the European experiences. Am J Hematol 85:771–780

    Article  PubMed  Google Scholar 

  48. Niederwieser D, Schmitz S (2011) Biosimilar agents in oncology/haematology: from approval to practice. Eur J Haematol 86:277–288

    Article  PubMed  CAS  Google Scholar 

  49. Biologics Price Competition and Innovation Act (BPCIA) of 2009. Sections 7001–7003 of the Patient Protection and Affordable Care Act (PPACA) (Public Law No. 111–148). Available from: http://www.fda.gov

  50. Fuchs VR, Milstein A (2011) The $640 billion question–why does cost-effective care diffuse so slowly? N Engl J Med 364:1985–1987

    Article  PubMed  CAS  Google Scholar 

  51. Young PL, Olsen L (2010) The healthcare imperative: Lowering costs and improving outcomes: Workshop series summary. Available from: http://www.nap.edu/catalog/12750.html. Accessed July 14, 2011.

  52. OECD (2011) www.oecd.org/health/healthdata. Accessed July 14, 2011.

  53. Eurostat (2011) http://epp.eurostat.ec.europa.eu/portal/page/portal/health/public_health. Accessed July 14, 2011.

  54. EvaluatePharma (2009) http://www.evaluatepharma.com/Universal/View.aspx?type=Story&id=188700&sectionID=&isEPVantage=yes. Accessed July 14, 2011.

  55. European Medicines Agency (2005) Guideline on similar biological medicinal products (CHMP/437/04). Available from: http://www.ema.europa.eu

  56. European Medicines Agency (2006) Guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Quality issues (EMEA/CHMP/BWP/49348/2005). Available from: http://www.ema.europa.eu

  57. European Medicines Agency (2006) Guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Non-clinical and clinical issues (EMEA/CHMP/BMWP/42832/2005). Available from: http://www.ema.europa.eu

  58. European Medicines Agency (2006) Annex to guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Non-clinical and clinical issues. Guidance on similar medicinal products containing recombinant human soluble insulin (EMEA/CHMP/BMWP/32775/2005). Available from: http://www.ema.europa.eu

  59. European Medicines Agency (2006) Annex to guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Non-clinical and clinical issues. Guidance on similar medicinal products containing somatropin (EMEA/CHMP/BMWP/94528/2005). Available from: http://www.ema.europa.eu

  60. European Medicines Agency (2009) Reflection paper: Non-clinical & clinical development of similar medicinal products containing recombinant interferon alfa (EMEA/CHMP/BMWP/102046/2006). Available from: http://www.ema.europa.eu

  61. European Medicines Agency (2009) Guideline on non-clinical and clinical development of similar biological medicinal products containing low-molecular-weight heparins (EMEA/CHMP/BMWP/118264/2007). Available from: http://www.ema.europa.eu

  62. European Medicines Agency (2010) Guideline on non-clinical and clinical development of similar biological medicinal products containing recombinant erythropoietins (Revision) (EMEA/CHMP/BMWP/301636/2008 Corr.). Available from: http://www.ema.europa.eu

  63. European Medicines Agency (2010) Draft guideline on similar biological medicinal products containing monoclonal antibodies (EMA/CHMP/BMWP/403543/2010). Available from: http://www.ema.europa.eu

  64. European Medicines Agency (2011) Draft guideline on similar biological medicinal product containing interferon beta (EMA/CHMP/BMWP/652000/2010). Available from: http://www.ema.europa.eu

  65. European Medicines Agency (2010) Draft guideline on non-clinical and clinical development of similar biological medicinal products containing recombinant human follicle stimulating hormone (r-hFSH) (EMA/CHMP/BMWP/671292/2010). Available from: http://www.ema.europa.eu

  66. del Giglio A, Eniu A, Ganea-Motan D, Topuzov E, Lubenau H (2008) XM02 is superior to placebo and equivalent to Neupogen in reducing the duration of severe neutropenia and the incidence of febrile neutropenia in cycle 1 in breast cancer patients receiving docetaxel/doxorubicin chemotherapy. BMC Cancer 8:332

    Article  PubMed  Google Scholar 

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Conflict of interest statement

No funds were received related to the subject of this manuscript. The authors have worked as consultants for companies developing biosimilars.

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Correspondence to Aarti Naik.

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This article is adapted in English from the original Gravel P et al. (2011) Qu’est-ce qu’un biosimilaire ? Jusqu’où va la similarité ? Etude de cas du GCSF (filgrastim). Oncologie 13(5):183–190

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Gravel, P., Naik, A. & Le Cotonnec, JY. Biosimilar rhG-CSFs: how similar are they?. Targ Oncol 7 (Suppl 1), 3–16 (2012). https://doi.org/10.1007/s11523-011-0187-4

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  • DOI: https://doi.org/10.1007/s11523-011-0187-4

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