Ranjan Rajeev
Faculty of Pharmacy, Gopal Narayan Singh University, Jamuhar, Sasaram, Bihar, 821305, India.
AAPS PharmSciTech. 2025 Mar 26;26(4):95. doi: 10.1208/s12249-025-03087-7.
Generic drugs are developed to be bioequivalent to innovator formulation, matching them in dosage form, safety, strength, quality and efficacy. Known as "interchangeable multi-source pharmaceutical products," generics play a crucial role in reducing therapeutic costs and enhancing patient compliance. Over the past decade, generics have accounted for more than 90% of prescriptions in the U.S., which has driven down the average price of these drugs to nearly match production costs once market competition grows. Simple generics of small-molecule drugs are often produced through trial and error based on existing data, but complex generics require advanced techniques like reverse engineering to replicate the brand drug's release profile. These complex generics include sophisticated drug delivery forms that ensure the therapeutic agent is released gradually, maximizing effectiveness. Conversely, similar biological products highly similar to approved biologics-undergo rigorous analytical and clinical evaluations due to their complexity and the nature of biologic production. The increased demand for similar biological products is driven by expiring biologic patents, economic incentives, and regulatory advancements, with the market expected to grow significantly by 2026. The Biologic Price Competition and Innovation Act (BPCIA) enable abbreviated approvals for similar biological products, promoting affordability. Despite minor differences from original biologics, similar biological products undergo extensive testing to ensure safety and efficacy, following global regulatory guidelines that emphasize strict quality standards. This framework is essential for expanding patient access to effective therapies for conditions like cancer and autoimmune diseases while supporting healthcare sustainability.
仿制药的研发旨在使其与创新制剂具有生物等效性,在剂型、安全性、强度、质量和疗效方面与创新制剂相匹配。仿制药被称为“可互换的多源药品”,在降低治疗成本和提高患者依从性方面发挥着关键作用。在过去十年中,仿制药占美国处方的90%以上,一旦市场竞争加剧,这使得这些药物的平均价格降至几乎与生产成本相当的水平。小分子药物的简单仿制药通常是根据现有数据通过反复试验生产的,但复杂仿制药需要逆向工程等先进技术来复制品牌药物的释放曲线。这些复杂仿制药包括先进的药物递送形式,可确保治疗剂逐渐释放,从而使疗效最大化。相反,与已批准生物制品高度相似的类似生物制品——由于其复杂性和生物制品生产的性质,要经过严格的分析和临床评估。对类似生物制品需求的增加是由生物制品专利到期、经济激励措施和监管进步推动的,预计到2026年市场将大幅增长。《生物制品价格竞争与创新法案》(BPCIA)允许对类似生物制品进行简化审批,提高了可承受性。尽管与原始生物制品存在细微差异,但类似生物制品仍需进行广泛测试,以确保安全性和有效性,遵循强调严格质量标准的全球监管指南。这一框架对于扩大患者获得癌症和自身免疫性疾病等病症有效治疗的机会、同时支持医疗保健的可持续性至关重要。