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المملكة: “Food and medicine" Establishes strict requirements for the approval of biosimilars

Introduced Saudi Food and Drug Authority General guide to registering biosimilar medicines via the “Reconnaissance” platform" With the aim of unifying the standards for the development of this category of complex medicines, and ensuring their quality, safety and effectiveness before launching them in the local markets.

The new guide, which represents a reference framework for pharmaceutical agencies and developers, provides a detailed explanation of the biosimilarity protocol, the mechanisms for selecting the reference product, and the requirements for comparison between Biosimilars and reference products, in addition to the scientific and regulatory foundations for their adoption in the Kingdom.

The principle of biological similarity

The authority explained in its guide that the principle of biosimilarity represents the basic foundation of the process of approving biosimilar medicines, and is based on developing a medicinal product that contains a bioactive substance that is highly similar to the previously approved reference product, in terms of qualitative, structural and functional characteristics, without any clinically significant differences between them.

This means that the previously proven effectiveness and safety results of the reference product can be relied upon when approving the similar bioactive medicine, without the need to re-prove them clinically. As long as complete structural and functional similarity is confirmed.

The authority noted that a slight variation in biomolecules between production batches is normal in all biological products, given the multiplicity of organisms used in manufacturing and the complexities of biological processes. Therefore, biosimilarity must be demonstrated through comprehensive comparison exercises covering all structural, functional and clinical aspects, to ensure that any differences remain within acceptable limits that do not affect safety or effectiveness.

An integrated regulatory framework for the approval of biosimilars

The Authority confirmed that the guide complements the Technical and regulatory guidelines published on its website, including the regulatory framework for drug approval, quality requirements guidelines, bioequivalence studies, clinical trial systems, human drug data submission requirements, in addition to pricing rules and priority review guidelines.

The guide obliges developers to prepare a marketing authorization application file that includes detailed data on quality, manufacturing, and chemical control, as well as the results of non-clinical and clinical comparisons to prove similarity to the reference product.
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It also stresses the importance of an accurate and comprehensive characterization of the structural and functional properties using advanced analytical techniques, with a clear understanding of the mechanism of action of the active biological substance, and developing an approved comparative protocol to ensure the stability of production quality across different batches.

The biosimilarity protocol and criteria for selecting the reference product

The guide considered the biosimilarity protocol to be one of the essential elements in the development and evaluation process, as it guarantees an accurate scientific design and high credibility of the results.

The protocol requires Identify the reference product accurately according to specific conditions, including the expiry of the intellectual protection period, obtaining a full marketing license, and providing a reliable record in terms of safety and effectiveness.

Comparisons are required to be made over a sufficient number of batches of the reference and similar product, including at least 15 batches of the reference and 10 batches of the biosimilar, in addition to developing a detailed plan to assess risks and identify critical qualitative characteristics that have a clinical impact.

The Authority stressed the importance of communication. The Authority indicated that biocomparison exercises represent the basic foundation in evaluating biosimilars, through which similarity with the reference product is demonstrated in all aspects, from quality and composition to safety and effectiveness.

These exercises have witnessed great development thanks to the progress in molecular analysis techniques, which has reduced the need for Some extensive clinical studies.

The Authority explains that advanced analytical and functional data, along with kinetic and pharmacodynamic studies, can be sufficient to prove similarity in most cases, provided that scientific justifications are available for this.

Comparative evaluation of quality…scientific accuracy and strict standards

The guide stated that the comparative quality assessment process is conducted according to principles consistent with the global ICH Q5E guidelines for assessing the impact of changes in the manufacturing processes of biological products.

The registration file is required to include accurate data on the manufacturing process and the quality of the active substances, in addition to a carefully designed comparison protocol that accurately addresses the compositional and functional characteristics.

The authority also stressed the identification of critical qualitative characteristics in advance, and the use of the latest analytical methods with high sensitivity to ensure that any difference is attributable to the nature of the product and not To a deficiency in the analysis.

Non-clinical and clinical studies

The authority explained that non-clinical studies are usually conducted in laboratories to analyze vital functions, while animal studies have become of limited use due to their weak sensitivity and high variability.

They are only required to be conducted in exceptional cases, such as the use of new cell lines or the appearance of impurities or new characteristics that were not observed in the reference product, provided that a clear scientific justification is provided if they are dispensed with.

As for comparative clinical studies, they aim to ensure that there are no significant differences in terms of drug exposure and safety. Immunity and effectiveness.

The Authority stressed that kinetic and pharmacodynamic studies form the basis of this evaluation and are often carried out on healthy volunteers to ensure the highest degree of accuracy.

It also stressed the need to accurately determine measurement indicators, such as the area under the concentration-time curve. "AUC"and the maximum concentration "Cmax"And the time to reach it "Tmax"With an explanation of the justifications for the statistical design and the number of samples used.

Dispensing with comparative effectiveness studies

The Authority has adopted an advanced scientific approach that allows it to dispense with extensive clinical effectiveness studies if the initial laboratory, analytical and clinical results prove a strong similarity between the two products.

The Authority’s analyzes revealed that all products that successfully passed comparative quality tests showed similar performance in clinical trials, which enhances confidence in the efficiency of analytical comparisons as a tool for confirming biosimilarity.

But it stressed at the same time that this rule is not applied in all These cases require additional studies when the mechanism of action of the reference product is not fully understood, unexplained specific differences exist, or the potential for immunostimulation is high.

Drug switching and immune stimulation

The authority confirmed that evaluating the immune response represents a key element in evaluating biosimilars, as the formation of antibodies can affect effectiveness or cause side effects.

It recommended expanding the size or duration of studies when comparative clinical trials are not conducted, to ensure the collection of sufficient data on safety and immunogenicity.

With regard to the interchangeability between the reference product and the biosimilar, the authority clarified that similar biological medicines that are approved according to the strict standards in force in Saudi Arabia are considered interchangeable from a standpoint. Scientific studies, noting that global experiments – especially in the European Union – have proven the safety and effectiveness of this approach after using more than 100 biosimilar products without recording any fundamental differences in safety or effectiveness.

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