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Biosimilars: Beyond the First Product Wave

Published by: Espicom Healthcare Intelligence

Published: Oct. 15, 2009 - 218 Pages


Table of Contents


Foreword

Executive Summary

What is a biologic drug?

What’s in a name?

Why are Biosimilars an issue?

Products in the ‘first wave’

Erythropoietin (Epoetin, EPO)

What is it?

Who makes it?

Developments on the Horizon

Mircera

EU Approval for Mircera

Dynepo

Summary sales data

Company-specific sales data

Procrit/Eprex

Epogen/Aranesp

Neorecormon/Epogin

Current biosimilar activity

Current biosimilar activity in the USA

Current biosimilar activity in the EU

Sandoz

Hospira/Stada Arzneimittel

EPO zeta trial data published

Others in Europe

EMEA proposes tighter labelling for EPO products in cancer patients

Current biosimilar activity in the rest of the world

Human Growth Hormone (somatropin)

What is it?

Who makes it?

Developments on the Horizon

Summary sales data

Company specific sales data

Genotropin

Humatrope

Norditropin/other Novo Nordisk HGH products

Nutropin

Saizen/Serostim

Bio-Tropin

Current biosimilar activity

Current biosimilar activity in the USA

Accretropin receives FDA approval

Current biosimilar activity in the European Union

Biopartners makes Valtropin Phase III data available

Current biosimilar activity in the rest of the world

DEA action against Chinese HGH imports

G-CSF

What is it?

Who makes it?

Developments on the Horizon

Summary sales data

Company specific sales data

Neupogen/Neulasta

Neutrogin/Granocyte

Leukine

Current Biosimilar Activity

Current biosimilar activity in the USA

Teva to seek BLA for Tevagrastim in USA?

Hospira

Merck BioVentures

Apotex and Intas announce agreement to develop G-CSF

Current biosimilar activity in the European Union

Hospira submits EMEA application in Q109

CT, ratiopharm and Teva receive EU approval

Lithuania referred to European Court over Biosimilar G-CSF

Synageva Biopharma

Current biosimilar activity in the rest of the world

Human Insulin

What is it?

Who makes it?

Summary sales data

Company specific sales data

Novo Nordisk recombinant insulin products

Aventis recombinant insulin products: Lantus, Apidra

Current biosimilar activity

Current biosimilar activity in the USA

Current biosimilar activity in the European Union

Marvel LifeSciences withdraws EU application

Current biosimilar activity in the rest of the world

Interferon

What is it?

Who makes it?

Summary sales data

Company specific sales data

Schering Plough Interferon A (Intron A range)

Betaseron/Betaferon

Rebif

Current Biosimilar Activity

Current biosimilar activity in the USA

Current biosimilar activity in the European Union

EMEA rejects Biopartners‟ Interferon A application

Biopartners withdraws interferon beta application

Current biosimilar activity in the rest of the world

Beyond the first wave

Etanercept

Summary sales data - Amgen (USA & Canada)

Summary sales data - Wyeth (Outside USA & Canada)

Current Biosimilar activity

Monoclonal antibodies

Rituximab

Summary sales data

Current Biosimilar activity

Dr Reddy‟s

GTC Biotherapeutics/LFB

Why are biosimilars an issue now?

Rising cost of healthcare

Is there a commercially viable market?

The price reduction of the biosimilar

Case Study: Biosimilar prices in the UK

Omnitrope

G-CSF

EPO

Patient population

Physician & patient acceptance

Attitudes to Biosimilars: UK Parliamentary Panel Reports

MHRA issues biosimilar prescribing guidance

Potential use of biosimilars in the NHS

Panel recommendations

HGH prescribing levels in England, 2008

Regulatory attitude

National pricing & reimbursement policies

Interchangeability and substitutability

Extent of existing competition

US surveys into cost savings

PCMA

Express Scripts

Avalere report

Insmed releases report on cost savings

CBO issues report on impact of biosimilars

Counter-arguments from BIO

President‟s budget proposal, 2010

Originator strategies to counter biosimilars

Global market size estimates, 2015

The position in the USA

Overview of the US regulatory system

Hatch-Waxman is not applicable to biologics

Exceptions

FDA transfer of biologic responsibility to CDER

How feasible is the 505(b)(2) route ?

Omnitrope in the USA

The FDA‟s reasoning

FDA Response to Citizen Petitions regarding Omnitrope

The Scope of Clinical Trials Required for FDA Approval of Omnitrope

Conclusions regarding the FDA‟s approval of Omnitrope:

Easier not to seek an abridged application?

Current Moves in Congress, 2009

Promoting Innovation and Access to Life Saving Medicine Act (H.R. 1427/S. 726)

Pathway for Biosimilars Act (H.R. 1548)

Biologics Price Competition and Innovation Act (formerly S. 1695, now S. 1679, Title VI)

Interchangeability an option, not a requirement

Data exclusivity

Marketing exclusivity

Resolving patent disputes

Reaction from industry

Reaction from the White House

House Committee releases responses to biosimilar questionnaire

Data exclusivity

Interchangeability

Clinical trials

Should biosimilars have a separate INN?

FDA issue product class guidance?

Should the US follow the EU model?

Bio responds

FDA Testimony to Congress, 2007

FDA Briefing Paper issued, 2007

Prospects for legislation in 2009

The position in Europe

The new EU approval process

Regulation of biosimilars

EMEA Guideline Documents

Current EU biosimilar approvals: somatropin

Omnitrope

Valtropin

BioPartners releases Phase III details for Valtropin

Current EU biosimilar approvals: EPO

Sandoz

Sandoz releases data for Binocrit

Stada/Hospira

Hospira presents trial data for Retacrit

Current EU biosimilar approvals: G-CSF

Sandoz

Conclusions

The position elsewhere

Other developed markets

Canada

Approval of Omnitrope

Australia and New Zealand

Japan

Approval of Omnitrope

Singapore

Developing markets

Why are these markets worth a look?

India

Indonesia

Mexico

Saudi Arabia

Thailand

Who will be the players in the market?

Manufacturer profiles

Abraxis BioScience

Anhui Anke Biotech

Avesthagen (Avestha Gengrane Technologies)

AVDESP trial gets go-ahead

BiotechCorp

Intas Pharmaceuticals

Bioclones

Biocon

Basalog

Insugen

Erypro

NUFIL

Abraxis and Biocon announce G-CSF partnership

Other products

Biocon buys majority stake in German marketing company

BioGeneriX

Merckle Biotech

Cangene

Neose Technologies

BioPartners

Valtropin

Sustained release HGH

Interferon applications rejected by EMEA

Bioton S.A.

Cangene

Accretropin

Leucotropin

Cell Therapeutics

Celltrion

CIGB (Cuba)

Cipla

Biomab

CheilJedang (CJ Corp)

Cinnagen

Claris Lifesciences

Dr Reddy‘s

Dongbao Biopharmaceutical

Elona Biotechnologies

GTC Biotherapeutics

AgResearch Ltd

JCOM

LFB Biotechnologies

Hospira

Distribution deal with Celltrion

Pliva sells biosimilar rights and facility to Hospira

Stada Arzneimittel

BresaGen

Inno Biologics

Intas Biopharmaceuticals

New MAB facility announced

Intas and Apotex sign G-CSF agreement

Itero Biopharmaceuticals

LG Life Sciences

Marvel Lifesciences

Merck BioVentures

Merck acquires Insmed‟s biosimilar portfolio

Momenta Pharmaceuticals

NCPC Genetech

Protalix Biotherapeutics

Protein Production Services (PPS)

Reliance Life Sciences

Sandoz

Lek

Sandoz biotech plants, Austria

Lek biotech plant, Slovenia

Selexis

SciGen

Shreya Biotech

Chinese JV

Marketed Products

Pipeline Products

Shantha Biotechnics

3SBio

EPIAO

Other products

Sales data

Shenzhen Kexing Biotech

Simcere

Stada Arzneimittel

EPO-zeta gains EU approval

Synageva Biopharma

Teva Pharmaceuticals

G-CSF

Teva to seek BLA for Tevagrastim in USA?

Lonza

Lonza announces new Indian manufacturing site

Teva to divest Pliva‟s biopharmaceutical activities

CoGenesys

Sicor Biotech UAB

Tianjin Hualida Biotechnology Pharmaceutical Co

Three Rivers Pharmaceuticals

Viropro

Deal with Intas Biopharmaceutical

Biochallenge agreement signed

Wockhardt

Zenotech Laboratories

Sources

Directory

Regulators

Industry Associations

Manufacturers

Index

INDEX OF TABLES

Leading EPO Brands, World Sales, 2001-2008 (US$ millions)

Leading EPO Brands, % Change, 2002-08

Leading EPO Brands, % of Subtotal, 2001-2008

J&J Sales of Procrit/Eprex, 2001-2008 (US$ millions)

Amgen Sales of Epogen/Aranesp, 2001-2008 (US$ millions)

Amgen EPO Patents in the USA

Roche Sales of Neorecormon/Epogin, 2002-2008 (SwF millions)

Manufacturers' summary

Leading HGH Brands, World Sales, 2001-2008 (US$ millions)

Leading HGH Brands, % Change (US$ sales), 2002-08

Leading HGH Brands, % of Subtotal, 2001-2008

Genotropin Sales, 2001-08 (US$ millions)

Humatrope Sales, 2001-08 (US$ millions)

Novo Nordisk HGH Sales, 2001-08 (DKK millions)

Genentech HGH Sales, 2001-08 (US$ millions)

Merck/Serono HGH Sales, 2001-2008 (US$ millions)

Manufacturers' Summary

Leading G-CSF Brands, World Sales, 2001-2008 (US$ millions)

Leading G-CSF Brands, % Change 2003-08

Leading G-CSF Brands, % of Total, 2002-08

Neupogen/Neulasta Sales, 2001-08 (US$ billions)

Sales of Neutrogin/Granocyte, 2002-08 (billion yen)

Manufacturers' Summary

Leading Human Insulin brands, World Sales, 2001-2008 (US$ millions)

Leading Human Insulin Brands, % Change, 2002-2008

Leading Human Insulin Brands, % of Subtotal, 2001-2008

Sales of Novo Nordisk Insulin Analogues, 2001-2008 (DKK million)

Sales of Humulin and Humalog, 2001-2008 (US$000s)

Lantus Sales by Region, 2004-08 (euro millions)

Manufacturers' Summary

Leading Interferon Brands, World Sales, 2001-2008 (US$ millions)

Leading Interferon Brands, % of Subtotal, 2002-2008

Sales of Intron A and PEG-Intron, 2002-2008 (US$ millions)

Sales of Pegasys, 2002-08 (SwF millions)

Sales of Betaseron/Betaferon, 2001-08 (euro millions)

Sales of Avonex, 2001-08 (US$ millions)

Sales of Rebif, 2001-08 (US$ millions)

Manufacturers' Summary

Summary, factors in favour of the development of biosimilars

UK NHS Price Comparison, Omnitrope v other HGH Brands, 2008-09

UK NHS Price Comparison, Ratiograstim v Neupogen, 2009

UK NHS Price Comparison, EPO 2009

Human Growth Hormone Prescriptions in England, 2008

Anticipated Annual Savings to the Healthcare Budget from the Introduction of a Biosimilar

Pathway, 2013-19 (US$ millions)

Estimated Global Biosimilar Market Size (EPO, G-CSF and HGH), 2015 (US$ millions)

FDA Response to Originator Arguments Against Omnitrope

Omnitrope Phase III Trials Conducted In Support of NDA

CHMP Guidelines, Drafts & Concept Papers

Summary Requirements, Chemical Generic v Biosimilars

Summary of Biosimilar Manufacturers and Products

2008 US$ exchange rates used in this report

Abstract

With the prospect of high-profile, high-value biosimilar products on the horizon, the sector is poised to realise its full potential - but only if the US can establish a regulatory pathway. This report addresses key issues and provides insight into how the sector may develop.

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