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. 2020 Mar 30;34(3):255–263. doi: 10.1007/s40259-020-00411-4

Table 1.

Biosimilars of pegfilgrastim approved in Europe and the US

Brand name Manufacturer Registration trial EMA approval FDA approval
Pelgraz® Accord Healthcare

Desai et al. 2018 [56]

 Phase III randomised, assessor-blinded, multicentre study on 589 breast cancer patients with reference arms of US–Neulasta and EU–Neulasta

September 2018
Udenyca® Coherus Dose–response triala September 2018 November 2018
Fulphila® Mylan

Waller et al. 2019 [57]

 Phase III randomised, assessor-blinded study on 194 breast cancer patients with reference arm of EU–Neulasta

November 2018 June 2018
Pelmeg® Cinfa Biotech/Mundipharma Dose-response triala November 2018
Ziextenzo® Sandoz

Harbeck et al. 2016 [58]

 Phase III randomised, assessor-blinded, multicentre study on 316 breast cancer patients with reference arm of EU–Neulasta

November 2018 November 2019
Grasustek® Juta Pharma

Grasustek (EPAR)b

 Phase III randomised, assessor-blinded, multicentre study on 254 breast cancer patients with reference arm of EU–Neulasta

April 2019
Pegfilgrastim Mundipharma® Mundipharma Dose-response triala December 2019

aAs reported in EMA EPAR available at https://www.ema.europa.eu

bEMA Grasustek EPAR. Available at https://www.ema.europa.eu/en/medicines/human/EPAR/grasustek

EMA European Medicines Agency, EPAR European public assessment report, FDA The Food and Drug Administration