Table 2.
New chemical entity or originator biologic | Generic | Biosimilar | |
---|---|---|---|
Quality | Full process and product characterization | Full process and product characterization Comparison with reference drug |
Full process and product characterization Comparison with reference biologic |
Preclinical | Full preclinical program | N/A | Abbreviated program based on complexity and residual uncertainty from quality |
Clinical | Phase I | Bioequivalence only | PK equivalence PD equivalence (dose response) if marker available |
Phase II | N/A | N/A | |
Phase III in all indications | N/A | Phase III in at least one representative indicationa | |
Risk management planb | Yes | Yes | |
Pharmacovigilance | Yes | Yes |
N/A not applicable, PK pharmacokinetics, PD pharmacodynamics
aIf the mechanism of action is the same across extrapolated indications
bRequirement for the European Union only