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February 2022

Who We Are

The Alliance for Safe Biologic Medicines is an organization of patients, physicians, pharmacists, biotechnology companies that develop innovative and biosimilar medicines and others, who are working together to ensure that patient safety is at the forefront of the biosimilars policy discussion. It is the mission of the Alliance to serve as an authoritative resource center of information for the public, medical community, the FDA and other state and federal policymakers during the implementation of the biosimilars approval pathway and beyond.

Our Perspective

Biologics are advanced prescription drugs to treat cancer, rheumatoid arthritis and other debilitating diseases. In November 2010 the Food and Drug Administration began consultation with patient groups, physicians and industry on how to approve the first copies of these drugs, known as follow-on biologics or biosimilars. As the FDA moves forward in implementing this pathway, the Alliance for Safe Biologic Medicines will work to ensure patient safety remains the priority.

ASBM Shares Physician Perspectives on Non-Medical Switching

 

In February, ASBM released our latest video, “Non-Medical Switching”, featuring ASBM Chairman Ralph McKibbin, MD.

 

In the video, Dr. McKibbin shares new data from ASBM’s recent survey of 401 U.S. prescribers of biologics, as well as his own observations on the controversial practice. Among the survey findings:

  • 69% of US physicians surveyed consider it “very important or critical” that patients and physicians decide the most suitable biologic to use- the originator or one of the biosimilars.
  • 67% say it’s “very important” or “critical” that they’re able to prevent a substitution they feel is inappropriate.
  • 71% agree that insurers should reimburse multiple products in a given class, including the originator drug as well as the various biosimilars.

“This kind of competition preserves choice and lowers costs”, explains Dr. McKibbin.

 

Survey data also show that U.S. physicians are confident in and comfortable prescribing biosimilars: 89% would prescribe one to a new patient, and 80% are comfortable switching a patient to a biosimilar. Third-party switching for non-medical reasons, however, raises concerns among physicians, explains McKibbin:

 

What’s at stake is who controls treatment decisions: will it be the physician and patient making a customized treatment plan based on the patient’s history? Or will it be insurance companies and pharmacy benefit managers funneling all patients onto the most profitable one-size-fits-all treatment program?

View the video here. 

 

 

Save the Date: ASBM and GCCA Biosimilar Training Program

 

On May 10-11, ASBM will sponsor a Biosimilars Training Program presented by the Global Colon Cancer Association, in partnership with the World Patient Alliance. The event is open to patients from any disease state.

 

This two-day interactive program is designed to educate patients worldwide about biosimilars and equip them with the tools they need to be more effective advocates and help ensure their country’s biosimilar policies work for the patients they represent.

 

Several ASBM-affiliated representatives will be presenting at the event including:

  • Ralph McKibbin, MD, FACP, FACG, AGAF; ASBM Chairman
  • Madelaine Feldman, MD, FACR; President, Coalition of State Rheumatology Societies and Immediate Past Chair of ASBM.
  • Philip Schnieder, MS, FASHP, FFIP; Professor of Pharmacy, Ohio State University and ASBM Advisory Board Chair
  • Andrew Spiegel, Executive Director of GCCA and ASBM Steering Committee Member

Join these and other speakers to learn about the benefits, as well as the new challenges biosimilars bring for patients.

 

Topics covered will include an overview of biosimilars, non-medical switching, pharmacovigilance considerations, and physician and patient perspectives. Patient advocates from around the world will also share their biosimilar stories and advocacy strategies.
Visit the event’s Save the Date page to add to your calendar.

 

 

 

Senate Confirms Robert Califf as FDA Commissioner

 

On February 15th, the U.S. Senate confirmed Robert Califf as FDA Commissioner. The FDA had been without a permanent chief for 13 months. The vote was 50 to 46; with four Democrats and Sen. Bernie Sanders (I-Vt.) voting against Califf and six Republicans supporting his confirmation.

 

Califf had previously served as FDA Commissioner during the final 11 months of the Obama Administration.

 

Dr. Janet Woodcock, a veteran drug regulator who has led the FDA since January 2021 as acting commissioner, informed staff she will stay on as principal deputy commissioner, the FDA’s No. 2 position.

 

Read about the confirmation here.

 

 

VA Study: Patients Switched to Biosimilar Infliximab More Likely to Stop Treatment

 

On February 18th, a study was published in the journal Current Medical Research and Opinion, which examined US Veterans Healthcare Administration (VHA) patients who were switched from innovator infliximab to the VHA-preferred biosimilar. The study found that those who were switched from the reference product to the biosimilar were almost 3 times more likely to stop treatment and 5 times more likely to switch to another innovator biologic.

 

The study also found that 91% of the patients who stopped the biosimilar switched back to the originator product. “Reasons for discontinuation and switching are unknown,” investigators wrote in the study.

 

The study examined VHA data from January 2012 to December 2019 for adults with rheumatoid arthritis (RA), psoriatic arthritis (PsA), plaque psoriasis (PsO), ankylosing spondylitis (AS), or Crohn’s disease and ulcerative colitis (i.e. inflammatory bowel disease [IBD]) who were treated with either innovator or biosimilar infliximab.

 

Read the full study here.

 

 

 

Study: Delivery-Device Differences Impacted Patient Acceptance of Biosimilar Switch

 

The national health plan of Iceland recently required patients on Humira (adalimumab) to switch to an adalimumab biosimilar, Imraldi, prompting negative feedback from many patients affected. The delivery device differed between the two products, and the biosimilar 

These differences contributed to about half of the patients surveyed having a negative experience with the switch, according to a study published recently in Frontiers of Medicine. 

 

 

The study was led by by Kristin Karlsdottir, PhD, MEd, of Landspitali University Hospital, and Anna I. Gunnarsdottir, PharmD, of the School of Health Sciences, University of Iceland. The study involved gathering a list of all patients treated through Landspitali University Hospital who had switched from Humira to Imraldi under the protocol and contacting them for a phone interview about their experience with the change. Of the patients contacted, 84.5% agreed to participate. The average age was 50.8 years, 53.5% were female, and 96% self-administered the drug.

 

Key findings of the study included:

  • Almost half (46.6%) found it more difficult to use the Imraldi pen than the Humira pen, while 12.5% found the Imraldi pen easier to use
  • Differences in the experiences were due to more painful insertion of the needle (62.2%) and that the insertion process was different (63.0%); however, needles on both pens are the same length and thickness
  • The authors reported that 62% of the patients did not feel any differences in grip of the 2 pens, but 23.5% of the patients thought the Imraldi grip was more difficult and 12.5% said the Humira grip was more difficult
  • By disease type, patients with IBD were most likely to report a difference with Imraldi and to report this pen was more painful, followed by patients with arthritis
  • Patients felt the needle insertion with the Imraldi pen caused a burning sensation “during and after the injection,” and some deliberatively prolonged the time between administration

Read the full study here. 

 

 

 

Missed last month’s ASBM Newsletter?

 

 

Read it Here.

 

 

 

 

 

 

 

UPCOMING ASBM EVENTS

 

74th INN Consultation

Geneva, Switzerland – April 5-8, 2022

 

ASBM/GCCA Biosimilars Training Program

Virtual – May 10-11, 2022

 

DIA Global Annual Meeting 2021

Chicago, Illinois – June 19-23, 2022

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The Alliance for Safe Biologic Medicines is an organization composed of diverse healthcare groups — from patients to physicians, medical innovators, and others who are working together to ensure patient safety is at the forefront of the biosimilars policy discussion.

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