2018
DOI: 10.2217/fon-2018-0553
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Comparative Immunogenicity Assessment of Biosimilars

Abstract: The first anticancer biosimilars have entered clinical use, with many others under clinical development. Like all biologics, biosimilars may elicit unwanted immune responses that can significantly impact clinical efficacy and safety. Head-to-head immunogenicity assessment of biosimilars and their reference biologics should, therefore, be a critical component of a biosimilar's clinical development program. Various bioanalytical platforms may be used to detect and characterize immune responses, each having relat… Show more

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Cited by 22 publications
(26 citation statements)
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“…With multiple approaches possible, different technologies should be compared to ensure assay suitability, as conducted for CT-P13 [47]. However, debate continues regarding optimal assay design, with variations in assays used leading to extensive variability in reported immunogenicity and posing a challenge for interstudy comparability [48,49]: for infliximab treatment, a recently published systematic review highlighted that reports of ADA-positive patients ranged from 0 to 65.3% [50].…”
Section: Key Pointsmentioning
confidence: 99%
“…With multiple approaches possible, different technologies should be compared to ensure assay suitability, as conducted for CT-P13 [47]. However, debate continues regarding optimal assay design, with variations in assays used leading to extensive variability in reported immunogenicity and posing a challenge for interstudy comparability [48,49]: for infliximab treatment, a recently published systematic review highlighted that reports of ADA-positive patients ranged from 0 to 65.3% [50].…”
Section: Key Pointsmentioning
confidence: 99%
“…Given the assay complexity and variability, caution should be taken when interpreting parameters (e.g., binding kinetics) derived from biological assays. Therefore, current biological assays have some major limitations when used for the comparison of a potential biosimilar product and reference product [44]. The reduction in assay sensitivity, caused by the intrinsic assay heterogeneity, potentially reduces the chances of finding differences in biological activity between the proposed biosimilar product and the reference product.…”
Section: Limitations In the Biological Characterization Of Glycansmentioning
confidence: 99%
“…Therefore, different assay formats and different receptors (e.g., TNFR, FcyR) are generally used to analyze specific biological products depending on their MoA [29]. The determination of the appropriate biological assay on a case-bycase basis, provides a major hurdle for regulatory agencies when creating harmonized methods for the functional evaluation of biosimilarity [44,46].…”
Section: Limitations In the Biological Characterization Of Glycansmentioning
confidence: 99%
“…Un biosimilar es un producto biológico o biotecnológico, el cual es altamente similar al medicamento biológico/biotecnológico de referencia. Un biosimilar no muestra diferencias significativas en términos de calidad, seguridad, eficacia (5) e inmunogenicidad (6) . Estas características son demostradas por evaluaciones rigurosas de autoridades reguladoras de referencia como FDA o EMA (7) .…”
Section: Introductionunclassified