García Prieto, Elisa Gestionar el fracaso matrimonial. Reflexiones sobre el proceso de nulidad matrimonial de los duques de Francávila, Congreso Internacional RUY GÓMEZ DE SILVA. SU TIEMPO Y SU CONTEXTO, Pastrana, del 20 al 22 de abril de 2016
El acceso a una vivienda digna es un problema de enorme relevancia social en España, y un importante determinante de la salud en la población en riesgo de exclusión social, más afectada por la crisis económica.Congreso Ibero-Americano de Epidemiología y Salud Pública 2015 Mesa Crisis Económica, Crisis Social y Salud
García Prieto, Elisa Gestionar el fracaso matrimonial. Reflexiones sobre el proceso de nulidad matrimonial de los duques de Francávila, Congreso Internacional RUY GÓMEZ DE SILVA. SU TIEMPO Y SU CONTEXTO, Pastrana, del 20 al 22 de abril de 2016
El acceso a una vivienda digna es un problema de enorme relevancia social en España, y un importante determinante de la salud en la población en riesgo de exclusión social, más afectada por la crisis económica.Congreso Ibero-Americano de Epidemiología y Salud Pública 2015 Mesa Crisis Económica, Crisis Social y Salud
Capture jordan photography tour with amer & jezra travel JordanJezra Travel
Learn how to make the most beautiful pictures of Jordan with a professional Jordanian photographer. During this 8 days tour a Jordanian photographer will give you several workshops while visiting the highlights of Jordan. The Jordanian photographer would be happy to show you the beauty of Jordan on this group tour!
Pictures for Capture Jordan are made by Jordanian Photographer Amer Sweidan
African e health economics Forum: Amanda Brikmann Chair: 2 sessions: Context...Amanda Brinkmann
SESSION ONE: ASSESSMENT: THE MOST SUITABLE METHODS OF TRACKING SUCCESS AND
ENSURING PROJECTS ARE GIVEN SUITABLE TIMELINES FOR SUCCESS
1.1 WORKGROUP OUTLINE/DIRECTIVES
1.1.1 Health system analysis: What have we learned and how do we do better?
1.1.2 What are the economic benefits to the various stakeholders in healthcare?
1.1.3 How is healthcare quality impacted
1.1.4 How do employers benefit?
1.1.5 What emphasis is being given in developing countries to cost-effectiveness and cost-benefit
of prevention versus curative treatment?
1.1.6 Use of outcomes measures, including Patient Reported Outcome Measures, in resource
allocation
2. SESSION TWO: FINANCIAL ASPECTS OF IMPLEMENTING EHEALTH AND HEALTH IT PROJECTS
2.1 WORKGROUP OUTLINE/DIRECTIVES
2.1.1 With the increased use of electronic medical records, what technology can be used to
ensure efficiency?
2.1.2 Understanding Cloud Computing – How can increasing flexibility reduce costs in urban
hospitals and rural areas?
2.1.3 Data Security – Ensuring the Increased Use of IT in healthcare does not affect security of
patient information.
2.1.4 Business Intelligence Software – Making the most of information gained from EMR‟s.
2.1.5 Productive Efficiency, Costs and Quality across National Health Systems.
2.1.6 Methods of containing costs.
2.1.7 Cost-effective organisation of hospitals.
Wandern Sie gerne, lieben Sie die Berge, das Wasser oder Musicals, ist Radfahren Ihr Hobby, suchen Sie ab und zu ein Verwöhnhotel und sind Ihnen gute Angebote nicht gleichgültig, dann ist das
Oh Lá Lá Freizeitmagazin genau das Richtige für Sie.
Tendencias en desarrollos moviles aplicados al turismo. Francisco Romero para...andalucialab
Francisco Romero participó en las jornadas formativas internas organizadas por Novasoft, el i+day con la ponencia “Tendencias en desarrollos móviles aplicados al Turismo”
Inmersión en las plataformas cooperativas digitales - platform cooperativismThomas Doennebrink
Slides of Workshop: "Inmersion en las plataformas cooperativas digitales" during the OuiShareFest Barcelona (20.11.2015).
http://ouisharefestbcn2015.sched.org/event/05abb7bcff46dca84018b72058a39cd7
Intention of the workshop: take the idea for the platform cooperativism conference of the New School in NYC (see: http://platformcoop.net/) and plant, discuss, disseminate and further develop it during successive events in Europe.
Links:
Workshop Follow-up FB Group https://www.facebook.com/groups/908775275826716/
Platform Cooperativism Conference http://platformcoop.net/
Rise of the Digital Cooperative FB Group https://www.facebook.com/groups/897768210315282/
OuiShare http://ouishare.net/en/908775275826716/
David Glass BIO World Congress Algae Regulation July 2015David Glass
Presentation summarizing how industrial biotechnology projects involving genetically modified algae would be regulated in the U.S. and internationally, including strategies and road maps to obtain approvals for such projects.
David Glass Presentation at 2010 Algae Biomass SummitDavid Glass
Slides from a presentation given by David Glass, "Impact of Biotechnology Regulations on Use of Genetically Modified Algae in Biofuel Production", at the 2010 Algae Biomass Summit, Phoenix, AZ, September 28, 2010.
Capture jordan photography tour with amer & jezra travel JordanJezra Travel
Learn how to make the most beautiful pictures of Jordan with a professional Jordanian photographer. During this 8 days tour a Jordanian photographer will give you several workshops while visiting the highlights of Jordan. The Jordanian photographer would be happy to show you the beauty of Jordan on this group tour!
Pictures for Capture Jordan are made by Jordanian Photographer Amer Sweidan
African e health economics Forum: Amanda Brikmann Chair: 2 sessions: Context...Amanda Brinkmann
SESSION ONE: ASSESSMENT: THE MOST SUITABLE METHODS OF TRACKING SUCCESS AND
ENSURING PROJECTS ARE GIVEN SUITABLE TIMELINES FOR SUCCESS
1.1 WORKGROUP OUTLINE/DIRECTIVES
1.1.1 Health system analysis: What have we learned and how do we do better?
1.1.2 What are the economic benefits to the various stakeholders in healthcare?
1.1.3 How is healthcare quality impacted
1.1.4 How do employers benefit?
1.1.5 What emphasis is being given in developing countries to cost-effectiveness and cost-benefit
of prevention versus curative treatment?
1.1.6 Use of outcomes measures, including Patient Reported Outcome Measures, in resource
allocation
2. SESSION TWO: FINANCIAL ASPECTS OF IMPLEMENTING EHEALTH AND HEALTH IT PROJECTS
2.1 WORKGROUP OUTLINE/DIRECTIVES
2.1.1 With the increased use of electronic medical records, what technology can be used to
ensure efficiency?
2.1.2 Understanding Cloud Computing – How can increasing flexibility reduce costs in urban
hospitals and rural areas?
2.1.3 Data Security – Ensuring the Increased Use of IT in healthcare does not affect security of
patient information.
2.1.4 Business Intelligence Software – Making the most of information gained from EMR‟s.
2.1.5 Productive Efficiency, Costs and Quality across National Health Systems.
2.1.6 Methods of containing costs.
2.1.7 Cost-effective organisation of hospitals.
Wandern Sie gerne, lieben Sie die Berge, das Wasser oder Musicals, ist Radfahren Ihr Hobby, suchen Sie ab und zu ein Verwöhnhotel und sind Ihnen gute Angebote nicht gleichgültig, dann ist das
Oh Lá Lá Freizeitmagazin genau das Richtige für Sie.
Tendencias en desarrollos moviles aplicados al turismo. Francisco Romero para...andalucialab
Francisco Romero participó en las jornadas formativas internas organizadas por Novasoft, el i+day con la ponencia “Tendencias en desarrollos móviles aplicados al Turismo”
Inmersión en las plataformas cooperativas digitales - platform cooperativismThomas Doennebrink
Slides of Workshop: "Inmersion en las plataformas cooperativas digitales" during the OuiShareFest Barcelona (20.11.2015).
http://ouisharefestbcn2015.sched.org/event/05abb7bcff46dca84018b72058a39cd7
Intention of the workshop: take the idea for the platform cooperativism conference of the New School in NYC (see: http://platformcoop.net/) and plant, discuss, disseminate and further develop it during successive events in Europe.
Links:
Workshop Follow-up FB Group https://www.facebook.com/groups/908775275826716/
Platform Cooperativism Conference http://platformcoop.net/
Rise of the Digital Cooperative FB Group https://www.facebook.com/groups/897768210315282/
OuiShare http://ouishare.net/en/908775275826716/
David Glass BIO World Congress Algae Regulation July 2015David Glass
Presentation summarizing how industrial biotechnology projects involving genetically modified algae would be regulated in the U.S. and internationally, including strategies and road maps to obtain approvals for such projects.
David Glass Presentation at 2010 Algae Biomass SummitDavid Glass
Slides from a presentation given by David Glass, "Impact of Biotechnology Regulations on Use of Genetically Modified Algae in Biofuel Production", at the 2010 Algae Biomass Summit, Phoenix, AZ, September 28, 2010.
David Glass Plenary Presentation at 4th Algal Biomass, Biofuels and Bioproduc...David Glass
These are the slides from the invited plenary talk I gave on June 18, 2014 at the 4th International Conference on Biomass, Biofuels and Bioproducts in Santa Fe, New Mexico. The presentation discussed the U.S. regulatory framework for the industrial uses of genetically modified algae and the scientific issues involved in the risk assessments that determine decision-making under such regulations. I argued that these regulations, particularly the US EPA "TERA" regulations, are not difficult to navigate and are well designed to allow careful, stepwise testing of modified algae strains both in contained reactors and in open ponds. I also discussed the roles that academic, industry and government researchers can play in developing the research database to support regulatory decision-making.
David Glass Regulatory Presentation and Case Study BIO Pac Rim Conference Dec...David Glass
Presentation from BIO Pacific Rim Conference December 2013, providing an overview of regulations affecting industrial biotechnology, and presenting a case study of an MCAN successfully submitted to the EPA for a genetically modified cyanobacterium for production of ethanol.
Drug Types: Biosimilars, generics and more. December 2017 Webinar 12122017Fight Colorectal Cancer
Specialty pharmacist Stevan Lalich of CVS Health breaks down the differences between biosimilar, biologic, generic, and brand name drugs – and why it’s important! In this comprehensive webinar, learn about the medicines in your cabinet and the process they endure before reaching you. This is a timely and unique webinar not to be missed
Pharmacovigilance Risk Management for BiosimilarsCovance
This paper focuses on pharmacovigilance (PV) and risk management for biosimilars, the issues and challenges faced in monitoring their safety and possible solutions.
Challenges and Opportunities in Industrial Biotech RegulationDavid Glass
Presentation at Society for Biological Engineering Workshop, "Technology Challenges and Opportunities in Commercializing Industrial Biotechnology", San Diego September 29, 2015.
Bioanalytical Labs Market Dynamics and Service Provider Performance (3rd Edit...Industry Standard Research
5 need-to-know facts from ISR's newest primary market research report on Bioanalytical Lab Service Providers. Staying on top of an entire marketplace is a tall order. Sponsors’ needs change, market trends come and go, providers merge, capabilities evolve. The bioanalytical lab space is no different. ISR keeps a finger on the pulse of the bioanalytical lab market to help both sponsors and providers stay current with market dynamics and anticipate changes that may be coming down the pike. These data can be used to plan for future resource requirements, develop outsourcing strategies, inform tactical/operational and strategic planning, enhance service offerings, and for organizational benchmarking.
The information in ISR’s Electronic Media Use in Academic Medical Center Patient Recruitment report sheds light on the benefits, challenges and strategies of electronic media use for clinical trial recruitment. We are currently in an era where Facebook, Twitter, and Google searches link all of us to a larger global community. Clinical sites are actively navigating how to apply these resources to connect with patients around the world. The report will help academic medical centers, site personnel and CRO/sponsors understand which channels and strategies will best help accomplish their recruitment goals, and which ones can be developed for increased success in this realm.
One aspect of personalized medicine is certain; it is
complicated. If you happen to have a highly scientific
background, you actually may be able to define the term.
However, if you polled five people very familiar with
personalized medicine, you should expect to hear five
different definitions. ISR wanted to understand where oncologists stand on the topic of personalized medicine. We interviewed 101 US based, board-certified oncologists to gather their views on
how familiar they are with personalized medicine, how they
are treating patients, what tests are being used and which
will be used more, and how their patient treatment regimens
could evolve in the future.
ISR interviewed 13 experienced Regulatory Affairs professionals at 11 of the Top 50 pharmaceutical companies to better understand the Regulatory Affairs function. ISR has designed this report to be used as a benchmarking tool for companies to compare their Regulatory Affairs functions to those of other organizations. Key takeaways include:
Identify how your company’s approach to Regulatory Affairs may be different from a typical industry approach and the benefits and drawbacks that may result
Gather information on unique Regulatory Affairs structures and best practices employed by other organizations, which may be used to improve or streamline the function
Compare your company’s Regulatory Affairs department size, structure, resources and approach to those of other companies
Learn more: https://goo.gl/
ISR’s “CRO Quality Benchmarking – Phase IV Service Providers” report provides pharmaceutical sponsors and service providers a Consumer Reports-style analysis of CRO quality. Respondents supplied performance ratings based on their own experiences with 44 Phase IV CROs, making this report the most comprehensive assessment of CRO service quality in the industry. Now in its 8th year, this report has become a crucial tool for sponsors looking to select a Phase IV CRO and for service providers seeking an experience-based evaluation of their strengths and weaknesses.
As pharmaceutical and biopharmaceutical companies increase their levels of external development and manufacturing, the need for unbiased information to support strategic business decisions continues to grow. In this report, ISR provides pharmaceutical companies and contract manufacturers a comprehensive analysis of current outsourcing trends and practices, in addition to a quantitative analysis of CMO service quality across a series of 26 performance attributes specific to drug product manufacturing projects. In this Consumer Reports-style analysis, ISR presents data on 423 service encounters from 217 respondents who have been involved in outsourced fill finish projects in the past 18 months.
ISR interviewed 14 highly experienced decision-makers to better understand the Market Access function. These professionals shared their perspectives on a range of topics related to the Market Access function, including the role of Market Access within their organizations, the structure of the Market Access function, and the key challenges faced by Market Access. Where possible, ISR also collected information on departmental headcounts, budgets, and outsourcing volume.
As many blockbuster drugs reach their patent cliffs, pharmaceutical companies and their service providers are searching to make drug development a more efficient process. Here are just a few of the trends to look for in the coming years.
Learn more: http://bit.ly/1LSIgwJ
ISR explores eClinical technologies like CTMS, EDC, IRT, EMR, and eCOA in this infographic.
Learn more: http://www.isrreports.com/free-resources/eclinical-trends-tips-and-technology/
This report examines the industry perception of the EDC and eCOA/ePRO markets based on the responses of over 150 industry professionals experienced with these systems. ISR has asked respondents how their respective companies handle the decisions associated with outsourcing these systems as well as how they would prefer the outsourcing be handled. Additionally, ISR has benchmarked 22 EDC and 22 eCOA/ePRO systems based on 651 EDC and 432 ePRO service provider encounters. Each provider’s performance is evaluated and benchmarked based on the performance of these providers against expectations across 18-21 attributes.
Learn more: http://www.isrreports.com/product/edc-and-ecoaepro-market-dynamics-and-service-provider-performance-2015/
Over 30 years after the Orphan Drug Act was passed, orphan drugs continue to be a lucrative market for pharma companies. Although orphan diseases affect small populations, these treatments address a high unmet need and also benefit from commercially attractive pricing structures and additional regulatory benefits.
Full graphic: http://www.isrreports.com/free-resources/5408/
One in 77 women will be diagnosed with ovarian cancer. ISR examines risk factors, prevalence, and the prognosis of ovarian cancer in this infographic.
More at: http://www.isrreports.com/free-resources/ovarian-cancer-profile/
As of December 2014, the publicly traded CROs had added a combined $14 billion to the market in the prior two years. In this infographic, ISR examines the ever-growing CRO Capital Market. For more ISR research, visit www.ISRreports.com.
The Pharma & Biotech stock index grew by more than 32.5% in 2014, and the increasing number of public CROs saw their stock prices rise as well. In 2014, the clinical development industry saw an increased shift toward Risk-Based Monitoring methodologies and an increased reliance on eClinical technologies.
More: http://bit.ly/1w9gIOn
Thyroid Cancer is the most rapidly increasing cancer in the U.S. with 62,980 new cases predicted in 2014. ISR explores common types, risk factors, symptoms, treatment, and future drug development in this infographic.
- See more at: http://www.isrreports.com/free-resources/thyroid-cancer/#sthash.86CeZZ0E.dpuf
Learn more: http://www.isrreports.com/free-resources/thyroid-cancer/
Medical Affairs, as a function, sits at a crossroads in the pharmaceutical industry. The department is expected to act as a bridge between the commercial and scientific arms of an organization. Medical Affairs is further tasked with being the conduit of information between the company and external stakeholders, bringing efficacy and safety data to the medical community as well as gathering insights from the medical community to share internally. All responsibilities must be undertaken while keeping in mind strict regulatory controls and ensuring that medical data are interpreted appropriately.
ISR has designed this report to be used as a benchmarking tool for companies to compare their Medical Affairs functions to those of Top 50 pharmaceutical organizations.
See more: http://bit.ly/medaffairs
Clinical development activity in perspective: A head-to-head comparison of ...Industry Standard Research
When you think about it, spending on phase I-IV services by pharma sponsors is roughly equivalent to revenue generated by CROs. One company’s expense is another company’s revenue. ISR wanted to see how the largest public CROs stacked up to the largest pharma companies in terms of their phase I-IV activities.
- See more at: http://www.isrreports.com/free-resources/clinical-development-activity-perspective/#sthash.7xWDch7f.dpuf
Lung Cancer is the leading cause of cancer death. It claims more lives each year than do colon, prostate, ovarian and breast cancers combined. ISR explores risk factors, treatment, and drug development in this infographic.
- See more at: http://www.isrreports.com/free-resources/3595/#sthash.f3suitGk.dpuf
GBM is the most common and most aggressive form of primary malignant brain tumor. This infographic from ISR explores the disease, treatment, and possibilities for the future.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. THE LANDSCAPE OF THE
BIOSIMILAR
MARKET A changing world for follow-on biologics
An infographic from
Industry Standard Research | ISRReports.com
WHAT ARE BIOSIMILARS?
biosimilars (bīōˈsimələrs) noun – a term used to describe
officially approved subsequent (or “generic”) versions of innovative
biopharmaceutical products made by a different sponsor following
patent and exclusivity expiry on the innovator product.
Low hanging fruit
2009
Between 2009 and 2019 21 blockbuster
biopharmaceuticals, mainly in the areas of
oncology and inflammatory diseases, will
have lost patent protection.
$$$$$$$$$$
These 21 blockbuster drugs have a
combined annual market value of over
2019 $50 Billion (US).
Safety concerns
Because the manufacturing process is more complex,
biosimilars often come with safety concerns that are not
common to generic pharmaceutical products. Physicians,
Pharmacists and Payers have different opinions regarding the
safety of biosimilars. ISR asked each group if biosimilars should
require full-fledged clinical trials.
Physicians Pharmacists Payers
55% Yes 26% Yes 10% Yes
Legislation
In its “Draft Guidance” the FDA has stated that biosimilars must
be “interchangeable”; however final guidance has not yet been
provided. State legislatures have seen an influx of bills on
biosimilars in the past two months, but the details vary.
PHYSICIAN NOTIFICATION
Most bills require the pharmacist to notify the prescribing
physician of a biosimilar switch, but the
timelines for notification vary.
24 hours 5 days
3 days 10 days
Bill in process, but no mention of physician notification timeline
RECORD RETENTION
Most bills require the pharmacy to retain a record of the
biosimilar switch, but the length of time varies.
2 years 5 years
3 years 7 years
4 years 10 years
Bill in process, but no mention of record retention timeline
Key Players and Partnerships
The pharmaceutical and biotech industry is
forming alliances and partnerships for the
development of biosimilar drugs. Here is just a
portion of the web of alliances.
CRO/CMO GENERIC BIOPHARMA OTHER
DESANO TEVA
WOCKHARDT PHARMA
BIOCON CIPIA
EMCURE
WATSON
ROCHE
ELI
LILLY
JOHNSON &
JOHNSON
STADA
GENEN-
HOSPIRA TECH
AMGEN
CELLITRON
MERCK PAREXEL
DR.
REDDY
HANWHA
SAMSUNG
INTAS
QUINTILES
BIOGEN
IDEC CATALENT SANDOZ
UMN PFENEX
PHARMA
RANBAXY
SOURCES:
Industry Standard Research (Biosimilar Primer Series)
http://www.parexel.com/services-and-capabilities/consulting/biosimilars/
Nick, C (2012). "The US Biosimilars Act: Challenges Facing Regulatory Approval".
Pharm Med 26 (3): 145–152.
http://www.sandoz-biosimilars.com/sandoz_biosimilars/index.shtml
http://www.somatropin.net/hgh-brands.htm
http://seekingalpha.com/article/227373-hospira-receives-aus-
tralian-approval-for-nivestim
http://www.thepharmaletter.com/file/16503/sta-
da-cleared-to-market-epo-zeta-in-eu.html
http://www.drreddys.com/products/product-portfolio.html
http://www.prnewswire.com/news-releases/hospira-celltrion-en-
ter-business-cooperation-agreement-to-develop-and-market-biogeneric-drugs-63
765702.html
www.openstates.org
INFO@ISRREPORTS.COM @ISRREPORTS ISRREPORTS.COM