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Innovations in development for the biosimilar industry




www.healthnetworkcommunications.com/biosimilar
         hnetworkcommunications.com/biosimilar
Contents

       Carsten Brockmeyer, Owner and Managing Director, Brockmeyer Biopharma GmbH

                    Rajiv Dua, Analytical & Stability Coordinator, Lupin Biotech

                 Prof Heinz Haenel, Diabetes Division R+D Projects, Sanofi Aventis

            Dr Rustom Mody, Biosimilar Development Lead, Intas Biopharmaceuticals

                      Anita O’Connor, Consultant, Anita O’Connor Consulting

            Dr Deven Parmar MD, Vice President - Global Clinical Research, Wockhardt

                               Joe Zhou, CEO, Wison/Genor Pharma




                     About Biosimilar Drug Development World Europe 2012

All the respondents to our e-book are speaking at Biosimilar Drug Development World Europe 2012.
This conference boasts a whole host of industry speakers. In addition to the above speakers further
                                         speakers include:

        Joerg Windisch, Global Head, Technical Development, Sandoz International GmbH

                       Cyrus Karkaria, President, Biotech Division, Lupin Ltd

           Brian Hosung Min, Vice President, Strategic Business Development, Samsung

                   The Honorable Henry A. Waxman, Member of Congress, USA

                     Alexandre Moreau, Clinical Assessor in Oncology, Afssaps

 Dr Marie-Christine Bielsky, Senior Medical Assessor, Biologicals and Biotechnology Unit, Licensing
                                         Division, MHRA

                          Dr Phul Parvinder, Pre-clinical Assessor, MHRA



  This conference will ensure your biosimilar strategy is effective and commercially sound. For full
                 details visit www.healthnetworkcommunications.com/biosimilar
What do you think is the number one hurdle for
Carsten
                                    biosimilar development today?
Brockmeyer
                                    The development of a biosimilar requires a target directed approach
Owner and Managing                  to achieve a molecule that is similar to an existing biological medicine.
Director                            However, since we are dealing with living cells to produce these
                                    biologics, and since we have this batch-to-batch variability, it is not
Brockmeyer Biopharma                expected that the two molecules are identical, minor differences are
GmbH                                acceptable - if they are sufficiently justified. If similarity has been
                                    demonstrated on a physico-chemical, bio-physical and biological level,
Presentation: Workshop
                                    then the number of scientific and operational issues in clinical
leader- Successful
                                    development, registration and commercialization can be overcome.
registration of biosimilars
and biobetters in the EU

                                    What skill set does the industry need to use for the
                                    safe and quality development of biosimilars?
      Excellence in analytics, target directed approaches in product development, out-of-the box thinking
      in clinical development and registration, state-of-the-art quality systems and standards in
      development and manufacturing, scale-up and commercialization expertise, and last but not least
      good project management skills.



      What challenges are unique to clinical trials for biosimilars and how can we
      overcome these?
      Clinical development of a biosimilar is a confirmation of a target directed CMC development and
      requires a lot out-of-the box thinking. Bioequivalence to the reference product has to be shown first,
      followed by demonstration of similar efficacy and safety in a sensitive indication, which is again done
      in a direct comparison with the reference product. In many cases it will need an equivalence study
      design. Dose finding studies are not necessary and extrapolation to other indications, which are
      approved for the reference product, should be possible based on the same mechanism-of-action.
      Immunogenicity is an important aspect and needs specific observation. On the operational side most
      of these studies will be multinational studies including a larger number of developed countries and
      less developed countries. There are logistic challenges with supply, cool chain, site and patient
      recruitment, GCP, etc. How to overcome these challenges? Build the right talent in-house and
      choose the best organization to work with.
Rajiv Dua                           What do you think is the number one hurdle for
Analytical & Stability
                                    biosimilar development today?
                                    I think for Biosimilar development today, the major hurdle is less
Coordinator                         clarity and complexity in terms of intellectual property and lack of
                                    marketing strategies besides huge cost involved in complicated
Lupin Biotech                       manufacturing, establishing physicochemical and Clinical
                                    comparability to get the biosimilar products comparable to
Presentation: Cold chain            Reference Medicinal Product (RMP) in terms of quality, Safety and
                                    Efficacy.
management for
biosimilars
                                    What skill set does the industry need to use for the
                                    safe and quality development of biosimilars?
      •   Most important is technically and scientifically sound team.
      •   Quality by Design Technology (QbD), Process Analytical Technology (PAT), Design of
          Experiments (DOE), Regulatory Strategic roadmap, appropriate clinical strategy and trial
          design are the foremost skill set required for the safe and quality development of
          Biosimilars.
      •   The implementation of these technologies will contribute towards defining Critical Quality
          Attributes (CQAs), Critical Process Parameters (CPPs) and Operating Range (OR) for the
          products, which will further help us to understand process, product, less development costs
          and to avoid post approval changes.
  What challenges are unique to clinical trials for biosimilars and how can we
  overcome these?
      •   Unavailability of innovator Clinical data is the main hurdle for biosimilars clinical
          development. If it is available biosimilar CT protocol can be designed that reduce CT cost &
          will generate effective clinical data. This can be overcome with the help of regulatory
          agencies (FDA, EMEA), who can provide access to the innovator clinical data.
      •   The unique challenges for Biosimilars clinical trials include:
                  Immunogenicity concerns.
                  Extent of characterization of the mechanism of action and targets of the innovator
                  compound.
                  Indication and patient population.
                  The complexity of clinical endpoints that may be acceptable to regulatory authorities
                  globally.
      •   To overcome these challenges, few strategies shall be applied:
                  Extensive characterization of Reference Medicinal Product (RMP) and Biosimilar.
                  Extensive evidence of analytical comparability and non-clinical similarity to RMP
                  must be established in a stepwise process during development.
                  Choosing the countries / Markets where these are an immense need for biosimilar
                  and where regulatory agencies are willing to work collaboratively with biosimilar
                  companies.
                  Selecting an appropriate population and sample size.
                  Incorporating the right clinical endpoints.
What do you think is the number one hurdle for
Prof Heinz Haenel                     biosimilar development today?
Diabetes Division R+D                 To satisfy the regulatory bodies in their concern of increased
Projects                              immunogenicity and the lack of methodological expertise of the
                                      companies to fully characterise the tertiary structure of the
Sanofi Aventis                        peptides besides the other properties

Presentation: Biosimilars
– the devil is in the detail          What skill set does the industry need to use for the safe
                                      and quality development of biosimilars?
                                       Expertise in Phase III immunological trials, analytical expertise to
                 differentiate insulin analogues from regular insulin, ability to check the full by-product
                 spectrum plus possibly the tertiary structure

                 What challenges are unique to clinical trials for biosimilars and how
                 can we overcome these?
                 The identification of immunogenicity is dependent on various factors which are not fully
                 understood. The necessary patient number and exposure time is under debate, depending
                 on the statistical plan and method. On the other hand it is not undisputed in clinical science
                 what impact a modified immunological profile has on the clinical outcome. Example:
                 neutralizing antibodies versus non-neutralizing antibodies.
What do you think is the number one hurdle for
Dr Rustom Mody
                                  biosimilar development today?
Biosimilar Development
                                  Interchange ability not allowed for biosimilars.
Lead

Intas Biopharmaceuticals
                                  What skill set does the industry need to use for the safe and
Presentation: Biobetters          quality development of biosimilars?

                                  Risk-based approach based on analysis of many lots of Reference
                                  Medicinal Product to determine limits of Critical Quality Attributes.




    What challenges are unique to clinical trials for biosimilars and how
    can we overcome these?
    Acceptance of Innovator’s product (from Europe) for submission in US and vice-versa.
What do you think is the number one hurdle for
Anita O’Connor,                      biosimilar development today?
Consultant                           Money: The costs involved in developing biosimilars for worldwide
                                     markets is the number one hurdle in my view. It is extremely
Anita OConnor                        expensive to manufacture the biosimilar, characterize it alongside
Consulting                           the innovator molecule, do the required preclinical pharmacology
                                     and toxicology studies, and design and execute at least 1-2 clinical
Presentation: Workshop               trials.
leader- The evolving
quality (chemistry and
manufacturing) paradigm
for biosimilars
                                     What skill set does the industry need to use for the
                                     safe and quality development of biosimilars?
   Manufacturing: the success of a biosimilar molecule depends heavily on the manufacturing skills of
   the developer. The manufacturing (quality) of the biosimilar requires state of the art CMC
   capabilities and bioanalytical characterization studies as development progresses. If the developer is
   not experienced in the production of drugs produced by biotechnology from the pilot to the
   commercialization stage, I think they are at a disadvantage compared to the many CMC plants
   making these drugs around the world. I see CMC as the foundation of the biosimilar development
   program because if the molecule is not 'similar' enough to suit the regulatory authorities, it cannot
   proceed into preclinical or clinical testing.




   What challenges are unique to clinical trials for biosimilars and how can we
   overcome these?


   Clinical trials: right now the designing and executing 1 or 2 clinical trials that meet the approval of
   multiple regulatory agencies around the world is a bit daunting. The regulatory requirements for
   biosimilars are far from being 'similar' in the EU, the US and Japan. The challenge is that these
   regulatory requirements are rapidly evolving; the regulators are in a learning mode because this is
   truly a nascent area for drugs produced by biotechnology.
What do you think is the number one hurdle for
Dr Deven Parmar                biosimilar development today?
MD                             Guidelines in US

Vice President - Global        What skill set does the industry need to use for the
Clinical Research,             safe and quality development of biosimilars?
Wockhardt                      Trained Manpower, scientific Advise
Presentation: Clinical trial
requirements – is the
                               What challenges are unique to clinical trials for
extent and depth of trial      biosimilars and how can we overcome these?
requirements necessary?
                               Assay Development, Protocol Endpoints




                                 What do you think is the number one hurdle for
  Joe Zhou                       biosimilar development today?

  CEO                            Interchange-ability

  Wison/Genor Pharma             What skill set does the industry need to use for the
                                 safe and quality development of biosimilars?

  Presentation: Reference        Similarity determination
  product selection and cell
  line development               What challenges are unique to clinical trials for
                                 biosimilars and how can we overcome these?

                                 Efficient clinical design with minimal usage of innovative biologic
                                 drug(s)
Thank you for downloading Health Network Communication’s Biosimilar Drug Development World Europe
   e-book. All views and opinions expressed in this document belong to the named speaker. For more
              information please visit www.healthnetworkcommunications.com/biosimilar

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BioSimilar Drug Development World

  • 1. Innovations in development for the biosimilar industry www.healthnetworkcommunications.com/biosimilar hnetworkcommunications.com/biosimilar
  • 2. Contents Carsten Brockmeyer, Owner and Managing Director, Brockmeyer Biopharma GmbH Rajiv Dua, Analytical & Stability Coordinator, Lupin Biotech Prof Heinz Haenel, Diabetes Division R+D Projects, Sanofi Aventis Dr Rustom Mody, Biosimilar Development Lead, Intas Biopharmaceuticals Anita O’Connor, Consultant, Anita O’Connor Consulting Dr Deven Parmar MD, Vice President - Global Clinical Research, Wockhardt Joe Zhou, CEO, Wison/Genor Pharma About Biosimilar Drug Development World Europe 2012 All the respondents to our e-book are speaking at Biosimilar Drug Development World Europe 2012. This conference boasts a whole host of industry speakers. In addition to the above speakers further speakers include: Joerg Windisch, Global Head, Technical Development, Sandoz International GmbH Cyrus Karkaria, President, Biotech Division, Lupin Ltd Brian Hosung Min, Vice President, Strategic Business Development, Samsung The Honorable Henry A. Waxman, Member of Congress, USA Alexandre Moreau, Clinical Assessor in Oncology, Afssaps Dr Marie-Christine Bielsky, Senior Medical Assessor, Biologicals and Biotechnology Unit, Licensing Division, MHRA Dr Phul Parvinder, Pre-clinical Assessor, MHRA This conference will ensure your biosimilar strategy is effective and commercially sound. For full details visit www.healthnetworkcommunications.com/biosimilar
  • 3. What do you think is the number one hurdle for Carsten biosimilar development today? Brockmeyer The development of a biosimilar requires a target directed approach Owner and Managing to achieve a molecule that is similar to an existing biological medicine. Director However, since we are dealing with living cells to produce these biologics, and since we have this batch-to-batch variability, it is not Brockmeyer Biopharma expected that the two molecules are identical, minor differences are GmbH acceptable - if they are sufficiently justified. If similarity has been demonstrated on a physico-chemical, bio-physical and biological level, Presentation: Workshop then the number of scientific and operational issues in clinical leader- Successful development, registration and commercialization can be overcome. registration of biosimilars and biobetters in the EU What skill set does the industry need to use for the safe and quality development of biosimilars? Excellence in analytics, target directed approaches in product development, out-of-the box thinking in clinical development and registration, state-of-the-art quality systems and standards in development and manufacturing, scale-up and commercialization expertise, and last but not least good project management skills. What challenges are unique to clinical trials for biosimilars and how can we overcome these? Clinical development of a biosimilar is a confirmation of a target directed CMC development and requires a lot out-of-the box thinking. Bioequivalence to the reference product has to be shown first, followed by demonstration of similar efficacy and safety in a sensitive indication, which is again done in a direct comparison with the reference product. In many cases it will need an equivalence study design. Dose finding studies are not necessary and extrapolation to other indications, which are approved for the reference product, should be possible based on the same mechanism-of-action. Immunogenicity is an important aspect and needs specific observation. On the operational side most of these studies will be multinational studies including a larger number of developed countries and less developed countries. There are logistic challenges with supply, cool chain, site and patient recruitment, GCP, etc. How to overcome these challenges? Build the right talent in-house and choose the best organization to work with.
  • 4. Rajiv Dua What do you think is the number one hurdle for Analytical & Stability biosimilar development today? I think for Biosimilar development today, the major hurdle is less Coordinator clarity and complexity in terms of intellectual property and lack of marketing strategies besides huge cost involved in complicated Lupin Biotech manufacturing, establishing physicochemical and Clinical comparability to get the biosimilar products comparable to Presentation: Cold chain Reference Medicinal Product (RMP) in terms of quality, Safety and Efficacy. management for biosimilars What skill set does the industry need to use for the safe and quality development of biosimilars? • Most important is technically and scientifically sound team. • Quality by Design Technology (QbD), Process Analytical Technology (PAT), Design of Experiments (DOE), Regulatory Strategic roadmap, appropriate clinical strategy and trial design are the foremost skill set required for the safe and quality development of Biosimilars. • The implementation of these technologies will contribute towards defining Critical Quality Attributes (CQAs), Critical Process Parameters (CPPs) and Operating Range (OR) for the products, which will further help us to understand process, product, less development costs and to avoid post approval changes. What challenges are unique to clinical trials for biosimilars and how can we overcome these? • Unavailability of innovator Clinical data is the main hurdle for biosimilars clinical development. If it is available biosimilar CT protocol can be designed that reduce CT cost & will generate effective clinical data. This can be overcome with the help of regulatory agencies (FDA, EMEA), who can provide access to the innovator clinical data. • The unique challenges for Biosimilars clinical trials include: Immunogenicity concerns. Extent of characterization of the mechanism of action and targets of the innovator compound. Indication and patient population. The complexity of clinical endpoints that may be acceptable to regulatory authorities globally. • To overcome these challenges, few strategies shall be applied: Extensive characterization of Reference Medicinal Product (RMP) and Biosimilar. Extensive evidence of analytical comparability and non-clinical similarity to RMP must be established in a stepwise process during development. Choosing the countries / Markets where these are an immense need for biosimilar and where regulatory agencies are willing to work collaboratively with biosimilar companies. Selecting an appropriate population and sample size. Incorporating the right clinical endpoints.
  • 5. What do you think is the number one hurdle for Prof Heinz Haenel biosimilar development today? Diabetes Division R+D To satisfy the regulatory bodies in their concern of increased Projects immunogenicity and the lack of methodological expertise of the companies to fully characterise the tertiary structure of the Sanofi Aventis peptides besides the other properties Presentation: Biosimilars – the devil is in the detail What skill set does the industry need to use for the safe and quality development of biosimilars? Expertise in Phase III immunological trials, analytical expertise to differentiate insulin analogues from regular insulin, ability to check the full by-product spectrum plus possibly the tertiary structure What challenges are unique to clinical trials for biosimilars and how can we overcome these? The identification of immunogenicity is dependent on various factors which are not fully understood. The necessary patient number and exposure time is under debate, depending on the statistical plan and method. On the other hand it is not undisputed in clinical science what impact a modified immunological profile has on the clinical outcome. Example: neutralizing antibodies versus non-neutralizing antibodies.
  • 6. What do you think is the number one hurdle for Dr Rustom Mody biosimilar development today? Biosimilar Development Interchange ability not allowed for biosimilars. Lead Intas Biopharmaceuticals What skill set does the industry need to use for the safe and Presentation: Biobetters quality development of biosimilars? Risk-based approach based on analysis of many lots of Reference Medicinal Product to determine limits of Critical Quality Attributes. What challenges are unique to clinical trials for biosimilars and how can we overcome these? Acceptance of Innovator’s product (from Europe) for submission in US and vice-versa.
  • 7. What do you think is the number one hurdle for Anita O’Connor, biosimilar development today? Consultant Money: The costs involved in developing biosimilars for worldwide markets is the number one hurdle in my view. It is extremely Anita OConnor expensive to manufacture the biosimilar, characterize it alongside Consulting the innovator molecule, do the required preclinical pharmacology and toxicology studies, and design and execute at least 1-2 clinical Presentation: Workshop trials. leader- The evolving quality (chemistry and manufacturing) paradigm for biosimilars What skill set does the industry need to use for the safe and quality development of biosimilars? Manufacturing: the success of a biosimilar molecule depends heavily on the manufacturing skills of the developer. The manufacturing (quality) of the biosimilar requires state of the art CMC capabilities and bioanalytical characterization studies as development progresses. If the developer is not experienced in the production of drugs produced by biotechnology from the pilot to the commercialization stage, I think they are at a disadvantage compared to the many CMC plants making these drugs around the world. I see CMC as the foundation of the biosimilar development program because if the molecule is not 'similar' enough to suit the regulatory authorities, it cannot proceed into preclinical or clinical testing. What challenges are unique to clinical trials for biosimilars and how can we overcome these? Clinical trials: right now the designing and executing 1 or 2 clinical trials that meet the approval of multiple regulatory agencies around the world is a bit daunting. The regulatory requirements for biosimilars are far from being 'similar' in the EU, the US and Japan. The challenge is that these regulatory requirements are rapidly evolving; the regulators are in a learning mode because this is truly a nascent area for drugs produced by biotechnology.
  • 8. What do you think is the number one hurdle for Dr Deven Parmar biosimilar development today? MD Guidelines in US Vice President - Global What skill set does the industry need to use for the Clinical Research, safe and quality development of biosimilars? Wockhardt Trained Manpower, scientific Advise Presentation: Clinical trial requirements – is the What challenges are unique to clinical trials for extent and depth of trial biosimilars and how can we overcome these? requirements necessary? Assay Development, Protocol Endpoints What do you think is the number one hurdle for Joe Zhou biosimilar development today? CEO Interchange-ability Wison/Genor Pharma What skill set does the industry need to use for the safe and quality development of biosimilars? Presentation: Reference Similarity determination product selection and cell line development What challenges are unique to clinical trials for biosimilars and how can we overcome these? Efficient clinical design with minimal usage of innovative biologic drug(s)
  • 9. Thank you for downloading Health Network Communication’s Biosimilar Drug Development World Europe e-book. All views and opinions expressed in this document belong to the named speaker. For more information please visit www.healthnetworkcommunications.com/biosimilar