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Pharmaceutical Manufacturing Handbook: Production and

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TABLE 4 FDA Center Regulatory Responsibility for Therapeutic Biological Products<br />

CDER<br />

CBER<br />

Monoclonal antibodies (in vivo use)<br />

Cellular product, including products<br />

Proteins intended for therapeutic use:<br />

composed of human, bacterial, or<br />

Cytokines (e.g., interferons)<br />

animal cells<br />

Enzymes (e.g., thrombolytics)<br />

Vaccines<br />

other novel proteins except those assigned to Allergenic extracts<br />

CBER<br />

Antitoxins, antivenoms, venoms<br />

Immunomodulators (nonvaccine, nonallergenic) Blood, blood components, plasma -<br />

Growth factors, cytokines, some hormones <strong>and</strong> derived products (e.g., albumin,<br />

monoclonal antibodies intended to mobilize, immunoglobulins, clotting factors,<br />

stimulate, decrease, or otherwise alter the fi brin sealants, proteinase inhibitors),<br />

production of hematopoietic cells in vivo recombinant <strong>and</strong> transgenic versions<br />

of plasma derivatives<br />

As other recombinant proteins <strong>and</strong> monoclonal antibodies came under development,<br />

the CBER held primary responsibility for this review, with the CDER retaining<br />

responsibility for hormones such as insulin <strong>and</strong> HGH. However, in 2003 all<br />

therapeutic proteins were transferred from the CBER to the CDER. This reassignment<br />

of review responsibility did not impact the legal classifi cation of these protein<br />

products, such that the Center for Drug Evaluation <strong>and</strong> Research assumed responsibility<br />

for the review <strong>and</strong> approval of biologics approved under Section 351 of the<br />

PHSA.<br />

The basic distribution of these therapeutic biologics to the respective FDA center<br />

is refl ected in Table 4 ; however, many of the current complex biotechnology - derived<br />

products do not fi t neatly into accepted defi nitions <strong>and</strong> require case - by - case classifi<br />

cation [13] .<br />

1.2.3.3 Regulatory Approval Path for Proteins<br />

The relevance of the preceding discussion becomes important with the underst<strong>and</strong>ing<br />

that therapeutic proteins classifi ed as drugs are governed under a different set<br />

of laws than those classifi ed as biologics. Drugs are approved via submission of<br />

NDAs under Section 505 of the FD & C Act, while biologics are supported by BLAs<br />

under the PHSA. These two approval paths are similar in terms of application<br />

content, that is, requirement of complete reports of clinical safety <strong>and</strong> effi cacy data<br />

to support approval. However, only the drug regulation, that is, Section 505 of the<br />

FD & C Act, has been amended to outline an abbreviated approval mechanism for<br />

generic products.<br />

1.2.4<br />

REGULATION OF GENERIC DRUGS<br />

REGULATION OF GENERIC DRUGS 41<br />

1.2.4.1 History of Generic Drug Legislation in United States<br />

In 1984, Congress responded to America ’ s need for safe, affordable medicines by<br />

passing a pivotal piece of legislation, The Drug Price Competition <strong>and</strong> Patent Term

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