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Page 33

allied

academies

Asian Journal of Biomedical and Pharmaceutical Sciences | Volume 8

May 14-15, 2018 | Montreal, Canada

Global Summit on

Biopharma & Biotherapeutics

M

onoclonal antibodies (mAbormoAb) are antibodies that

are made by identical immune cells that are all clones

of a unique parent cell. Monoclonal antibodies can have

monovalent affinity, in that they bind to the same epitope (the

part of an antigen that is recognized by the antibody). Given

almost any substance, it is possible to produce monoclonal

antibodies that specifically bind to that substance; they

can then serve to detect or purify that substance. This

has become an important tool in biochemistry, molecular

biology, and medicine. In particular, mAbs have been used in

various diagnostic tests, anti-cancer and anti-viral-therapies,

and autoimmune therapies, such as rheumatoid arthritis,

Crohn’s Disease, Ulcerative Colitis, and to help prevent acute

rejection of transplanted organs, such as kidneys transplants,

as well as treatments for moderate-to-severe allergic

asthma. Biosimilar antibodies are highly similar versions

of “innovator” (or “originator”) antibodies with the same

amino acid sequence but produced from different clones

and manufacturing processes. As a consequence, biosimilar

mAbs may include possible differences in glycosylation and

other microvariations such as charge variants that may

affect quality, safety and potency. Biosimilars may also

be follow-on biologics and can also refer to second- and

third- generation antibodies, which may have enhanced

properties, such as greater affinity or longer action, often

referred to as “biobetters”. In contrast to the low-cost generic

versions of small molecules that are off patent, it is currently

not possible to produce exact copies of large proteins and

glycoproteins, such as antibodies, owing to their structural

complexity. Nevertheless, tremendous progress has been

made in bioproduction and analytical sciences, and it is now

possible to produce proteins and glycoproteins that are

highly similar to reference products with little or no clinically-

meaningful differences. The European Medicines Agency

pioneered the regulatory framework for approval of these

products, and now the US and most regulatory authorities

have regulatory processes for the approval of biosimilar

mAbs. The US Food and Drug Administration is one of the

few regulatory authorities that has a regulatory pathway for

biosimilars that are interchangeable, meaning that additional

studies have been conducted supporting that they may

be substituted for the reference product by a pharmacist

without the intervention of the health care provider who

prescribed the reference product. FDA recently published

guidance explaining the additional studies that would need

to be conducted to support approval of an interchangeable

biosimilar. This presentation will look at principally the EMA

and US approaches to regulating biosimilar mAbs including

interchangeable biosimilar mAbs and biobetter mAbs. The

development of legal and regulatory pathways for biosimilars

mAbs will continue to raise much debate among lawmakers,

regulators, originator and generic industry, patent attorneys,

academia and health care professionals.

e:

brian.malkin@arentfox.com

Regulatory strategies and considerations inmonoclonal antibody R&D including biosimilars/biobetters

Brian Malkin

Arent Fox LLP, USA