Khoo Yvonne Siew Khoon, Tang Tien Yew, Goh Pick Sim, Halimi Hazureen Mohd, Ab Ghani Azizah
1 National Pharmaceutical Control Bureau, Ministry of Health Malaysia, Petaling Jaya, Selangor, Malaysia.
Ther Innov Regul Sci. 2017 Jan;51(1):55-59. doi: 10.1177/2168479016664774. Epub 2016 Sep 27.
Because of its structure and complex manufacturing process, every biotherapeutic product (BTP; medicinal products made by or derived from living organisms and produced by biotechnology) adheres to stringent quality assurance and control requirements, in addition to extensive nonclinical and clinical study data. Similarly, copy products of original biotherapeutics (termed as "biosimilars") are subjected to equally strict regulatory control. BTPs have been registered in Malaysia since the 1990s; however, registration of biosimilars started only in 2008.
This research aims to compare evaluation practice on biosimilar and novel BTPs at the Biological Product Registration Section in Malaysia. Evaluation activities were studied in terms of evaluation questions, evaluation timeline, nonclinical and clinical requirements, and local requirements on product label (including package insert). Six biosimilar product dossiers and 6 novel BTP dossiers evaluated in 2013-2015 were sampled. Parameters for comparison were determined and analyzed using data collection forms. Specific to the biosimilar products, the evaluation practice on labels and package inserts were dissected and described in a qualitative arm of this research.
Generally, the registration requirements of novel BTPs and biosimilar products are in agreement with international regulatory practices. However, some labeling and package insert requirements, and registration conditions are unique to the Malaysian regulatory context.
Study findings revealed some similarities and differences in current evaluation practice (timeline and requirements) for biosimilar versus novel BTPs. The findings of this research also provide an insight on current evaluation practice on biosimilar product labeling.
由于其结构和复杂的生产工艺,每一种生物治疗产品(BTP;由活生物体制造或衍生并通过生物技术生产的药品)除了需要大量的非临床和临床研究数据外,还必须遵守严格的质量保证和控制要求。同样,原创生物治疗产品的仿制品(称为“生物类似药”)也受到同样严格的监管控制。自20世纪90年代以来,生物治疗产品已在马来西亚注册;然而,生物类似药的注册直到2008年才开始。
本研究旨在比较马来西亚生物制品注册部门对生物类似药和新型生物治疗产品的评估实践。从评估问题、评估时间表、非临床和临床要求以及产品标签(包括说明书)的当地要求等方面对评估活动进行了研究。抽取了2013 - 2015年评估的6个生物类似药产品档案和6个新型生物治疗产品档案。使用数据收集表确定并分析比较参数。针对生物类似药产品,在本研究的定性部分对标签和说明书的评估实践进行了剖析和描述。
总体而言,新型生物治疗产品和生物类似药产品的注册要求与国际监管实践一致。然而,一些标签和说明书要求以及注册条件是马来西亚监管环境所特有的。
研究结果揭示了生物类似药与新型生物治疗产品当前评估实践(时间表和要求)中的一些异同。本研究结果还为生物类似药产品标签的当前评估实践提供了见解。