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Pharmaceutical Manufacturing Handbook: Production and

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44 REGULATORY CONSIDERATIONS IN APPROVAL<br />

<strong>and</strong> process information contained in an innovator ’ s application. Further, this use<br />

<strong>and</strong> disclosure would violate Trade Secret <strong>and</strong> Constitutional Law (Fifth Amendment<br />

“ taking clause ” ) [17, 18] .<br />

The concept of “ the product is the process ” may have been applicable to early<br />

biologics, but current capabilities allow the chemical, biologic, <strong>and</strong> functional comparison<br />

of well - characterized protein drugs. The follow - on manufacturer need not<br />

necessarily utilize the identical method of manufacture or proprietary technology<br />

to reproduce a follow - on biologic with similar clinical safety <strong>and</strong> effi cacy. Additionally,<br />

it is important to distinguish between the regulatory requirements for approval<br />

of an actual generic protein (duplicate of innovator; see discussion below) <strong>and</strong> those<br />

associated with a 505(b)(2), which requires a showing of similarity between two<br />

products. Any differences between the two would need to be adequately supported<br />

by bridging studies <strong>and</strong> appropriate clinical <strong>and</strong>/or nonclinical data.<br />

The FDA has confi rmed this interpretation in its response to petitions fi led<br />

regarding FOPs (both in general <strong>and</strong> targeted to specifi c applications). The FDA<br />

has clearly said, “ the use of the 505(b)(2) pathway does not entail disclosure of trade<br />

secret or confi dential commercial information, nor does it involve unauthorized<br />

reliance on such data ” [18] .<br />

1.2.5.3 Applicability of 505(j)(1) or ANDA Process to Biogenerics<br />

Biogenerics per se, that is, protein drug products approved via 505(j)(1), would need<br />

to demonstrate their bioequivalence to the innovator protein. However, due to their<br />

complexity <strong>and</strong> heterogeneity, the classical biopharmaceutical principles upon which<br />

the current ratings of therapeutic equivalence are based do not apply in their current<br />

language to complex macromolecules. For example, due to the nature <strong>and</strong> complexity<br />

of an immunogenic response, one concern would be if traditional bioequivalence<br />

appropriately addresses the complex safety issues associated with biologics.<br />

1.2.5.4 Current Rules Relating to Bioequivalence of Generic Drugs<br />

The list of approved drug products with therapeutic equivalence (Orange Book)<br />

was originally intended as an information source to states seeking formulary guidance<br />

[19] . The list provides the FDA ’ s recommendations as to which generic prescription<br />

drug products are acceptable substitutes for innovator drugs. The term<br />

innovator is used to describe the reference listed drug, or RLD [21 CFR 314.94(a)(3)],<br />

upon which an applicant (generic) relies in seeking approval of its ANDA. In layman<br />

’ s terms the RLD describes the original NDA - approved drug <strong>and</strong> is often<br />

referred to as the “ pioneer ” drug.<br />

Under the Drug Price Competition <strong>and</strong> Patent Term Restoration Act of 1984,<br />

manufacturers seeking approval to market a generic drug need to submit data to<br />

the FDA demonstrating that their proposed drug product is bioequivalent to the<br />

pioneer (innovator) drug product. A major premise underlying the 1984 law is that<br />

bioequivalent drug products are therapeutically equivalent, will produce the same<br />

clinical effect <strong>and</strong> safety profi le as the innovator product, <strong>and</strong> are therefore, interchangeable<br />

[19] .<br />

So how would FOPs be classifi ed using conventional defi nitions of bioequivalence?<br />

To answer this question, it is necessary to review current legal defi nitions of<br />

bioequivalence terms [19] :

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