ASBM Presents EU Survey Findings and Policy Updates at FDLI Annual Conference

April 23, 2014

ASBM Executive Director, Michael Reilly joined Kimberly Greco of Amgen and Christopher Mikson, MD of Jones Day for a biologics panel at the Food and Drug Law Institute’s (FDLI) 57th Annual Conference on April 23rd in Washington, DC. The panel was moderated by John Manthei, partner, Latham & Watkins, who also gave a brief overview of the FDA’s progress implementing the Biosimilars Price Competition and Innovation Act (BPCIA).

The panel discussed the differences between chemically-based drugs and biologics, and how these differences impact interchangeability and pharmacy substitution laws in the U.S. and E.U.

To view Mr. Reilly’s presentation for the FDLI conference, click here. 

 


ASBM Presents EU Survey Findings and Policy Updates at FDLI Annual Conference

April 23, 2014

ASBM Executive Director, Michael Reilly joined Kimberly Greco of Amgen and Christopher Mikson, MD of Jones Day for a biologics panel at the Food and Drug Law Institute’s (FDLI) 57th Annual Conference on April 23rd in Washington, DC. The panel was moderated by John Manthei, partner, Latham & Watkins, who also gave a brief overview of the FDA’s progress implementing the Biosimilars Price Competition and Innovation Act (BPCIA).

The panel discussed the differences between chemically-based drugs and biologics, and how these differences impact interchangeability and pharmacy substitution laws in the U.S. and E.U.

To view Mr. Reilly’s presentation for the FDLI conference, click here. 

 


ASBM Attends WHO INN Stakeholders Open Session on Distinguishable Names

April 8, 2014

Geneva — ASBM was invited to share its perspectives before the World Health Organization’s 58th International Nonproprietary Names Consultation for Pharmaceutical Substances, Open Session for Stakeholders. At the meeting, ASBM Chairman Richard Dolinar, M.D., shared the results of a recent ASBM survey of European Physicians that concludes using the same INN for different biologic medicines can be misinterpreted by doctors and thus have unintended consequences for patients.

To see ASBM presentation, click here.


ASBM Attends WHO INN Stakeholders Open Session on Distinguishable Names

April 8, 2014

Geneva — ASBM was invited to share its perspectives before the World Health Organization’s 58th International Nonproprietary Names Consultation for Pharmaceutical Substances, Open Session for Stakeholders. At the meeting, ASBM Chairman Richard Dolinar, M.D., shared the results of a recent ASBM survey of European Physicians that concludes using the same INN for different biologic medicines can be misinterpreted by doctors and thus have unintended consequences for patients.

To see ASBM presentation, click here.


Multi-stakeholder Perspectives Video on Biosimilar Naming

April 2, 2014

ASBM member Global Healthy Living Foundation (GHLF), recently produced an educational video highlighting the need and importance of unique names for biosimilars.

The video includes perspectives from Steve Marmaras of GHLF; Donna Cryer a prominent patient advocate who uses biologics; former FDA official Peter Pitts; as well as ASBM executive director Michael Reilly and RetireSafe president Thair Phillips.


March 2014 Newsletter

March 31, 2014

ASBM Releases EU Physicians’ Survey in Brussels

On March 18th in Brussels, the Alliance for Safe Biologic Medicines (ASBM) released the results of a survey of 470 European physicians from five countries regarding their prescribing habits and knowledge of biosimilar medicines. Participants in the survey included specialists in the fields of nephrology, rheumatology, dermatology, neurology, endocrinology and oncology. The results were released at a stakeholder roundtable hosted by EuropaBIO, with representatives from physician and patient groups, as well as industry and regulatory bodies.

Key findings showed:

  • Only 22% consider themselves as “very familiar” with this new category of medicines…24% “cannot define” or “have not heard about” biosimilars before;
  • 53% of those surveyed incorrectly believed that the same International Nonproprietary Name (INN) meant the products were structurally identical;
  • 72% of prescribers consider it “critical” or “very important” to decide whether a patient should receive an innovator biologic medicine or a biosimilar; as a consequence…
  • 74% consider it “critical” or “very important” that the mention of “dispense as written” on a prescription should be respected; and
  • 62% think that it is “not acceptable” for a pharmacist to determine which biologic medicine to dispense at initiation of a treatment.

The findings stressed that using the same INN for two medicines (both the innovator biologic and biosimilar) can be misleading. In addition to implying identical structure (53% of respondents incorrectly thought this to be the case) using the same INN for both medicines may result in false attribution of adverse events if only the INN is reported (as was the case with 17% of physicians surveyed).

The survey was released in advance of the upcoming WHO INN Consultation in Geneva where ASBM will present its findings.

Michael Reilly, executive director, of the ASBM commented: “The ASBM survey is the first large-scale survey on biosimilars in Europe. It reflects the daily clinical practice with regards to biological medicines including biosimilars, and provides facts and figures that put current international, EU as well as national policy developments in the field of naming and substitution into perspective.” – Biosimilar News, March 19th

Nathalie Moll, secretary general of EuropaBIO added, “The results of the survey indicate that the understanding of biosimilars is not yet wide-spread among physicians. At the same time, doctors need to be fully aware of the characteristics of biologics and biosimilars to be in a position to prescribe the medicine that will maximize patient outcomes.” – ThePharmaLetter, March 19th

To view the ASBM survey and presentations, click here.

To view media coverage, check Bloomberg, FirstWord Pharma, BioWorld, PanEuropean Networks, EurActiv and Generics Bulletin.


58th WHO INN Stakeholder Session Includes ASBM on Agenda

ASBM chairman Richard Dolinar, MD will appear before the World Health Organization (WHO) at its 58th Consultation on International Nonproprietary Names (INN) for Pharmaceutical Substances meeting to be held April 8th.

The WHO has been considering creating a system of unique names and since the meeting in October has made progress toward compromise amongst the different positions on the naming of biosimilars. Currently, the WHO is contemplating assigning ‘biologic qualifiers’ — a short string of random letters added to the name of a biosimilar — which would allow physicians and pharmacists to distinguish biosimilars from the reference biologic.


Multi-stakeholder Perspectives Video on Biosimilar Naming

ASBM member Global Healthy Living Foundation (GHLF), recently produced an educational video highlighting the need and importance of unique names for biosimilars. The video includes perspectives from Steve Marmaras of GHLF, Donna Cryer a prominent patient advocate who uses biologics, former FDA official Peter Pitts, as well as ASBM executive director Michael Reilly and RetireSafe president Thair Phillips.

The two-minute video will be hosted on GHLF’s website, healthybiologics.org, and will be circulated through social media.

To view video, click here.


Indiana Governor Signs Biosimilar Legislation

On March 25th, Governor Mike Pence signed legislation to ensure the safe substitution of interchangeable biologic medicines, approved by the U.S. Food and Drug Administration (FDA).

Senate Bill 262 amends Indiana pharmacy regulations for the treatment of biosimilars by ensuring the proper communication between the pharmacist and the prescribing physician takes place. Specifically the new law provides that the physician must indicate if a substitution is allowable and the pharmacist must notify the treating physician within 10 days of the exact biologic product dispensed by name and manufacturer. The pharmacist is required to retain a written record of the biosimilar substitution for a period of no less than two years. In addition, the pharmacist must also make sure the patient is aware of substitutions that occur.

“This law ensures there are procedures in place to facilitate the exchange of information when biologic medicines are dispensed, while also expanding patient access to biologic medicines,” stated Dr. Dolinar.

ASBM will continue to work with state legislatures in advocating for the necessary substitution guidelines needed to ensure patient safety.

To view ASBM press release, click here.


Dolinar to Speak at Discovering Cures Illinois Event

Chairman Dr. Richard Dolinar will be part of the Discovering Cures Illinois panel on April 2nd in Springfield. The event will serve as a briefing for state legislators to educate them on biosimilars and will include representatives from Biotechnology Industry Organization (BIO) and Arthritis Foundation – Heartland Region.

Discovering Cures Illinois believes that sound policy in Illinois outlining parameters for safe substitution of interchangeable biologics is the best option to ensure patients have access to high-quality, safe and effective biologic medicines. Discovering Cures core concerns are to ensure transparency and the primacy of the physician-patient relationship, recognizing that treating physicians and their patients are in the best position to determine appropriate therapies.


FDLI Annual Conference in April

The Food and Drug Law Institute (FDLI) will host their 57th Annual Conference on April 23rd and 24th in Washington, DC.

Breakout session “Interchangeability & Pharmacy Substitution Laws and Regulations in the United States and European Union” will cover compliance and liability issues related to biosimilars. The panel, moderated by John Manthei of Latham & Watkins LLP, will include Michael Reilly of ASBM, Kimberly Greco of Amgen and Christopher Mikson, MD of Jones Day.

For more information on the FDLI conference, click here.


Upcoming Conferences

April 7th-8th: Biosimilars and Biobetters USA, Iselin, NJ
May 12th: Interfarma, Brazil
June 15th-19th: DIA 50th Annual Meeting, San Diego Convention Center, CA


Indiana Governor Signs Biosimilars Legislation Ensuring Patient Safety

March 25, 2014

Arlington, VA – Today, the Alliance for Safe Biologic Medicines (ASBM) applauds Governor Mike Pence of Indiana in signing legislation to ensure the safe substitution of interchangeable biologic medicines, approved by the Food and Drug Administration (FDA).

“We commend Indiana in taking the lead to make patient safety the priority as life-altering biologics become more readily available to patients in the United States,” commented Richard Dolinar, M.D. Chairman of ASBM.

Senate Bill 262 amends Indiana pharmacy regulations for the treatment of biosimilars by maintaining the proper communication between pharmacists and prescribing physicians. Specifically, the new law provides that pharmacist must notify the treating physician within 10 days of the exact biologic product by manufacturer in order to attribute any adverse events that may occur. In addition, the pharmacist is required to retain a written record of the biosimilar substitution for a period of no less than two years. The pharmacists must also make sure the patient is aware of substitutions that occur.

“As a practicing endocrinologist, when it comes to treating patients, I need to know what medicines my patients are taking to properly manage disease,” continued Dolinar. “Without proper communication, I may not be able to address setbacks in treatment or accurately attribute adverse events and may lose valuable treatment time. This law ensures there are procedures in place to facilitate that exchange of information when biologic medicines are dispensed, while also expanding patient access to biologic medicines.”

Biologics are highly complex, advanced prescription medicines used to treat cancer, rheumatoid arthritis, diabetes, MS and many other debilitating diseases. Unlike drugs derived from chemicals, biologics are manufactured using a unique process with living cells and for this reason no two biologics made from different cell lines are ever identical. When attempting to replicate biologics, their “copies,” known as biosimilars, are similar to, but not exact versions of the biologic they aim to replicate and are often mistakenly referred to as “generics.” Even the smallest difference in the structure of a biologic medicine and its attempted copy can have a significant impact on a patient.

ASBM has supported the FDA in its mission to safely bring biosimilars to the U.S. and will continue to work with state legislatures in advocating for the necessary substitution guidelines needed to ensure patient safety remains the priority.

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Pan-European survey calls for a shift in policy for biosimilars

March 18, 2014

Brussels — Today, the Alliance for Safe Biologic Medicines (ASBM) disclosed the results of a survey of 470 European physicians, that took place in Q3 of 2013, across five EU countries (France, Germany, Italy, Spain, and the UK), regarding their prescribing habits and knowledge of biosimilar medicines. Participants in the survey included specialists in the fields of nephrology, rheumatology, dermatology, neurology, endocrinology and oncology. The results were released at a stakeholder roundtable hosted by EuropaBio, with representatives from physicians and patient groups, as well as industry and regulatory bodies.

One of the main findings of the survey relates to European physicians’ insufficient knowledge of biosimilars. Only 22% consider themselves as very familiar with this new category of medicines. Whilst a majority (54%) have a basic understanding of biosimilars 24% of participants cannot define or have not heard about biosimilars before.

The findings stress that using the same International Non-Proprietary Name (INN) for two medicines (innovator biologic and biosimilar) can be misleading. Firstly, this may lead to false attribution of adverse event if reporters only report the INN, but also it may give the wrong impression that these medicines are structurally identical (54% of those surveyed thought that the same INN meant the products were structurally identical).

Although the results showed that physicians prefer to use brand names when prescribing biological medicines and reporting adverse events, the findings around the use of INN and its meaning in the context of biosimilar products lead us to conclude that the use of distinguishable INN for all biologics, including biosimilars, is critical to further strengthen and facilitate patient safety through effective pharmacovigilance.

The survey also provides important information regarding substitution. 72% of prescribers consider it “Critical” or “Very Important” to decide whether a patient should receive an innovator biologic medicine or a biosimilar. As a consequence, 74% consider it “Critical” or “Very Important” that the mention of “Dispense as Written” on prescriptions should be respected, and 62% think that it is “not acceptable” for a pharmacist to determine which biologic medicine to dispense at initiation of treatment.

Michael Reilly, Executive Director of the ASBM, commented, “The ASBM survey is the first large-scale survey on biosimilars in Europe. It reflects the daily clinical practice with regards to biologic medicines including biosimilars, and provides facts and figures that put current international, EU as well as national policy developments in the field of naming and substitution into perspective.” He also added that key findings of the survey show that 54% of physicians surveyed only have a basic understanding of biosimilars, and more concerning that 24% cannot define or have not heard about biosimilars before.”

Nathalie Moll, Secretary General of EuropaBio, added, “The results of the survey indicate that the understanding of biosimilars is not yet wide-spread among physicians. At the same time, doctors need to be fully aware of the characteristics of biologics and biosimilars to be in a position to prescribe the medicine that will maximise patient outcomes. In the coming months, EuropaBio shall commit to raising awareness, through an open dialogue with physicians and regulators, which will include workshops at member state level.”

###

About EuropaBio:

EuropaBio is the European Association of BioIndustries. Our members are involved in research, development, testing, manufacturing and commercialisation of biotech products and processes in human and animal healthcare, diagnostics, bioinformatics, chemicals, crop protection, agriculture, food and environmental products and services. EuropaBio also counts a number of National Biotech Associations in its membership who in turn represent more than 1800 biotech SMEs.

ASBM-EuropaBio Roundtable Event

European Physician Survey, Executive Summary

ASBM-European Survey Presentation

ASBM Physician Survey Full Report

GCCA Press Release

Generics Bulletin


Letter to the Editor: Urges safety first with biosimilars

March 17, 2014

VP of Advocacy and Public Policy for the Arthritis Foundation, Heartland Region writes in about Illinois Senate Bill.  Read more here.


February 2014 Newsletter

March 7, 2014

ASBM Forum Brings Together Leaders on Biosimilars Issues in 2014

On February 25th, the Alliance for Safe Biologic Medicines (ASBM) held a forum to educate patient advocates, physician groups and members of its International Advisory Board on the complex issues related to biosimilars.

The half-day forum entitled, “Ensuring Access to Safe Biosimilars: Policy Developments and Emerging Challenges” focused on the challenges facing world regulators including the U.S. Food and Drug Administration (FDA), the importance of distinguishable nonproprietary names for biosimilars and the value of and need for patient, physician and pharmacist education on issues related to biosimilars.

ASBM Chairman Richard Dolinar, MD kicked off the event with an introduction to biosimilars followed by Executive Director, Michael Reilly highlighting three years of activities ASBM has conducted. Panel discussions, moderated by Brian Rye of Bloomberg Government, included patient advocates Marcia Horn, President of the International Cancer Advocacy Network; Andrew Spiegel, Executive Director of Global Colon Cancer Association; and Joe Jefferson, Director of Advocacy and Alliance Development of HealthHIV. In addition, cancer researcher Dirk Reitsma, MD spoke on the “Regulatory Challenges for the FDA,” and Kirsten Vadheim, PhD discussed “Developing International Regulatory Standards.” The concluding panel covered the development of “A Collaborative Approach to Pharmacovigilance” and featured Dr. Dolinar and Associate Dean Phil Schneider of the University of Arizona’s School of Pharmacy.

To view the full agenda and presentations, click here.


ASBM Submits Comments to the FTC

The Alliance for Safe Biologic Medicines submitted comments to the Federal Trade Commission (FTC) in regards to the “Follow-On Biosimilars Workshop: Impact of Recent Legislative and Regulatory Naming Proposals on Competition” hearing held in February.

In a letter to FTC Chairwoman Edith Ramirez, ASBM advocates for unique naming of biosimilars as well as physician notification on the state level. These points were discussed at the recent workshop, however, without the voices of patient advocates or practicing physicians.

“When it comes to biosimilars and the contentious issues of proprietary naming and state substitution laws, competitiveness and patient safety need not be mutually exclusive. They are in fact, complimentary.

…we need to be extremely thoughtful about how we set policy relating to these promising medicines and strike a balance that promotes health and safety, rather than forcing a binary response that is driven by profits instead of patients.

If you’re for patient safety, you can’t be against distinguishable naming.”

ASBM also addressed arguments made at the FTC meeting that physician notification was anti-competitive because it somehow undermines the reputation of biosimilars and indicates that they are somehow of poor quality.

ASBM replies, what they don’t “seem to understand is that interchangeable biologics are different from their innovator progenitors – but bioequivalent enough to be therapeutically interchangeable (as per the FDA). That’s not a ‘scare tactic,’ that’s just a fact.”

To read full comments to the FTC click here.


Indiana Substitution Legislation Headed to Governor

In Indiana, Senate Bill 262, has successfully moved through both chambers of the legislature with a strong vote of 92-5 in the State House. The legislation will now move to Governor Pence where it is hoped to quickly be considered.

ASBM has written Governor Pence in strong support of the enactment of this legislation stating, “We believe that when interchangeable biosimilar products are substituted, communication among patients, pharmacists, and health care providers is essential to patient care and, therefore, we fully support SB 262 and are concerned that patient safety will be compromised if this legislation is not enacted.”

To view legislation click here.

To view ASBM letter to Governor Pence click here.


Chairman Dolinar, Continued Authority on Physicians’ Perspectives of Biosimilars

ASBM Chairman Richard Dolinar, MD will be retuning to Philadelphia for the 9th Annual Biosimilars Summit, hosted by CBI on March 20th.

This year’s Biosimilars Summit will address regulatory challenges involving biosimilars and also state legislation related to physician notification when biosimilars are substituted for prescribed biologics. Dolinar’s presentation entitled, “Keeping Physicians Informed about Biosimilar Utilization” will focus on the difference between biosimilars and generic drugs as well as educating physicians about interchangeability and pharmacovigilance.

For more details on the conference, click here.


ASBM Scheduled to Participate in WHO 58th INN Consultation

ASBM Chairman Richard Dolinar, MD is once again on the docket to present comments before the World Health Organization (WHO) at its 58th Consultation on International Nonproprietary Names for Pharmaceutical Substances meeting to be held April 8th-10th.

The WHO has been considering creating a system of unique names and has recently made progress toward compromise amongst the different positions on the naming of biosimilars. Recent reports state that the WHO may consider assigning ‘biologic qualifiers’ — a short string of random letters added to the name of a biosimilar which would allow physicians and pharmacists to distinguish it from its reference biologic.

ASBM will present findings of its recent survey on European physicians’ views on biosimilar naming, which will officially be released on March 18th in Brussels.


Reilly Set to Address U.S. and International Biosimilars Regulations at FDLI Conference

On April 23rd-24th, the Food and Drug Law Institute will host their 57th Annual Conference in Washington, DC.

ASBM Executive Director Michael Reilly will appear in a breakout session on compliance and liability issues related to biosimilars. The panel, entitled “Interchangeability & Pharmacy Substitution Laws and Regulations in the United States and European Union”, will be moderated by John Manthei of Latham & Watkins LLP and also feature Kimberly Greco of Amgen and Christopher Mikson, MD of Jones Day.

For more information on the FDLI conference, click here.


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