Overview of FDA approved biosimilars
Table of contents
ShowThe number of FDA approved biosimilars has been constantly growing. While biologics are successfully used in the treatment of genetic and immune diseases like Crohn’s disease, psoriasis, arthritis and different cancers, the demand for less costly treatment options is increasing. Biosimilars, designed to equal reference biologics in quality and safety, are changing the market as an alternative that grants broader patient access through reduced costs.
In this article, we provide information about biosimilars and the difference between biosimilars and biologics. We will name key players in biosimilar manufacturing and introduce groundbreaking biosimilar products that have received FDA approval.1
What are biosimilars?
Biosimilars are biological products that are created to be highly similar to already approved reference biologic drugs like vaccines, gene therapy or therapeutic proteins like monoclonal antibodies. Although they are not exact copies in terms of biological molecules, they are developed to have comparable quality, safety, and efficacy.
Just like biologics, the development of biosimilars underlies rigorous testing and has to comply with the regulatory framework set by healthcare authorities like the U.S. Food and Drug Administration. For biosimilars, this involves comparative testing against the reference product, including analytical characterization, preclinical studies, and clinical trials, to demonstrate no clinically meaningful differences.
In many cases, biosimilars are less costly in comparison to brand name biological therapies, and health care professionals can prescribe them to patients as a cheaper alternative. The case of interchangeable biosimilars is an exception, as they can be substituted at the pharmacy without intervention of the health care provider because they meet additional requirements.2
The differences between biologics and biosimilars
While both biologics and biosimilars are held to the same standards in terms of efficacy and safety, the pathway to biosimilar approval differs from the reference product. It can be said that it is more streamlined because it revolves around demonstrating similarity to the reference biologic.
This difference in development and production can lead to cost reductions in manufacturing biosimilars compared to biologics, which leads to a broader patient access as well as higher competition on the market for pharmaceuticals.3
Who manufactures biosimilars?
The market for biosimilars is expanding. By 2028, revenue of $66.9 billion and an increase by 17,8% is expected. While there are several companies entering the market, the main players are established companies like Pfizer, Novartis, Amgen, Sandoz, and Biogen. The areas of application for their biosimilars have a strong focus on oncology and immune diseases like crohn’s disease or psoriasis.4
List of FDA approved biosimilars
There are 49 biosimilars approved by the FDA as of April 2024. The list below shows them by their name, approval date, and reference product for each biosimilar. Further information can be found by clicking on the individual links.
Biosimilar Name | Approval Date | Reference Product | More Information |
---|---|---|---|
Selarsdi (ustekinumab-aekn) | April 2024 | Stelara (ustekinumab) | Selarsdi Information |
Tyenne (tocilizumab-aazg) | March 2024 | Actemra (tocilizumab) | Tyenne Information |
Jubbonti and Wyost (denosumab-bbdz) | March 2024 | Prolia and Xgeva (denosumab) | Jubbonti and Wyost Information |
Simlandi (adalimumab-ryvk) | February 2024 | Humira (adalimumab) | Simlandi Information |
Avzivi (bevacizumab-tnjn) | December 2023 | Avastin (bevacizumab) | Avzivi Information |
Wezlana (ustekinumab-auub) | October 2023 | Stelara (ustekinumab) | Wezlana Information |
Tofidence (tocilizumab-bavi) | September 2023 | Actemra (tocilizumab) | Tofidence Information |
Tyruko (natalizumab-sztn) | August 2023 | Tysabri (natalizumab) | Tyruko Information |
Yuflyma (adalimumab-aaty) | May 2023 | Humira (adalimumab) | Yuflyma Information |
Idacio (adalimumab-aacf) | December 2022 | Humira (adalimumab) | Idacio Information |
Vegzelma (bevacizumab-adcd) | September 2022 | Avastin (bevacizumab) | Vegelma Information |
Stimufend (pegfilgrastim-fpgk) | September 2022 | Neulasta (pegfilgrastim) | Stimufend Information |
Cimerli (ranibizumab-eqrn) | August 2022 | Lucentis (ranibizumab) | Cimerli Information |
Fylnetra (pegfilgrastim-pbbk) | May 2022 | Neulasta (pegfilgrastim) | Fylnetra Information |
Alymsys (bevacizumab-maly) | April 2022 | Avastin (bevacizumab) | Alymsys Information |
Releuko (filgrastim-ayow) | February 2022 | Neupogen (filgrastim) | |
Yusimry (adalimumab-aqvh) | December 2021 | Humira (adalimumab) |
|
Rezvoglar (insulin glargine-aglr) | December 2021 | Lantus (insulin glargine) | Rezvoglar |
Byooviz (ranibizumab-nuna) | September 2021 | Lucentis (ranibizumab) | Press Release: FDA Approves First Biosimilar to Treat Macular Degeneration Disease and Other Eye Conditions |
Semglee (Insulin glargine-yfgn) | July 2021 | Lantus (Insulin glargine) | Press Release: FDA Approves First Interchangeable Biosimilar Insulin Product for Treatment of Diabetes |
Riabni (rituximab-arrx) | December 2020 | Rituxan (rituximab) | Riabni Information |
Hulio (adalimumab-fkjp) | July 2020 | Humira (adalimumab) | Hulio Information |
Nyvepria (pegfilgrastim-apgf) | June 2020 | Neulasta (pegfilgrastim) | Nyvepria Information |
Avsola (infliximab-axxq) | December 2019 | Remicade (infliximab) | Avsola Information |
Abrilada (adalimumab-afzb) | November 2019 | Humira (adalimumab) | Abrilada Information |
Ziextenzo (pegfilgrastim-bmez) | November 2019 | Neulasta (pegfilgrastim) | Ziextenzo Information |
Hadlima (adalimumab-bwwd) | July 2019 | Humira (adalimumab) | Hadlima Information |
Ruxience (rituximab-pvvr) | July 2019 | Rituxan (rituximab) | Ruxience Information |
Zirabev (bevacizumab-bvzr) | June 2019 | Avastin (bevacizumab) | Zirabev Information |
Kanjinti (trastuzumab-anns) | June 2019 | Herceptin (trastuzumab) | Kanjinti Information |
Eticovo (etanercept-ykro) | April 2019 | Enbrel (etanercept) | Eticovo Information |
Trazimera (trastuzumab-qyyp) | March 2019 | Herceptin (trastuzumab) | Trazimera Information |
Ontruzant (trastuzumab-dttb) | January 2019 | Herceptin (trastuzumab) | Ontruzant Information |
Herzuma (trastuzumab-pkrb) | December 2018 | Herceptin (trastuzumab) | Herzuma Information |
Truxima (rituximab-abbs) | November 2018 | Rituxan (rituximab) | Press Release: FDA approves first biosimilar for treatment of adult patients with non-Hodgkin’s lymphoma |
Udenyca (pegfilgrastim-cbqv) | November 2018 | Neulasta (pegfilgrastim) | Udenyca Information |
Hyrimoz (adalimumab-adaz) | October 2018 | Humira (adalimumab) | Hyrimoz Information |
Nivestym (filgrastim-aafi) | July 2018 | Neupogen (filgrastim) | Nivestym Information |
Fulphila (pegfilgrastim-jmdb) | June 2018 | Neluasta (pegfilgrastim) | Press Release: FDA approves first biosimilar to Neulasta to help reduce the risk of infection during cancer treatment |
Retacrit (epoetin alfa-epbx) | May 2018 | Epogen (epoetin-alfa) | Press Release: FDA approves first epoetin alfa biosimilar for the treatment of anemia |
Ixifi (infliximab-qbtx) | December 2017 | Remicade (infliximab) | Ixifi information |
Ogivri (trastuzumab-dkst) | December 2017 | Herceptin (trastuzumab) | Press Release: FDA approves first biosimilar for the treatment of certain breast and stomach cancers |
Mvasi (Bevacizumab-awwb) | September 2017 | Avastin (bevacizumab) | Press Release: FDA approves first biosimilar for the treatment of cancer |
Cyltezo (Adalimumab-adbm) | August 2017 | Humira (adalimumab) | Cyltezo information |
Renflexis (Infliximab-abda) | May 2017 | Remicade (infliximab) | Renflexis information |
Amjevita (Adalimumab -atto) | September 2016 | Humira (adalimumab) | Press Release: FDA approves Amjevita |
Erelzi (Etanercept-szzs) | August 2016 | Enbrel (etanercept) | Press Release: FDA approves Erelzi |
Inflectra (Infliximab-dyyb) | April 2016 | Remicade (infliximab) | Press Release: FDA approves Inflectra |
Zarxio (Filgrastim-sndz) | March 2015 | Neupogen (filgrastim) | Zarxio information |
Source: “Biosimilar Product Information”. Food and Drug Administration. https://www.fda.gov/drugs/biosimilars/biosimilar-product-information. Accessed April, 22 2024.
With new biosimilars being approved regularly by the FDA, an up-to-date version of this list can be found on the FDA’s website: https://www.fda.gov/drugs/biosimilars/biosimilar-product-information
Biosimilar products – review and approval process
The production of biosimilars involves living organisms in the form of cell cultures that are highly sensitive to changes in the production environment. To prevent variability within production badges and protect them from contamination, it is necessary to revert to reliable and innovative processing solutions and comply with good manufacturing practices (GMPs).
Manufacturers of biosimilars have to compose an array of different data from tests and trials that show the product's biosimilarity with the reference product. It starts with the characterization of the reference product and continues with animal studies and comparative clinical studies. Once the effectiveness and safety of the product are proven, the biosimilar may receive FDA approval.
While the trial is generally shorter for biosimilars than for their reference products, full documentation during production is needed to provide enough data for the FDA. Automated solutions based on single-use technologies help manufacturers to ensure safety and quality of the product by standardizing the production process. 5
Meeting regulatory requirements with single-use technology
Pharmaceutical companies as well as CDMOs have to face several challenges in manufacturing biosimilars. This is also reflected in regulatory standards, fulfilling which is intricate in itself.
Single-use technologies offer enhanced safety, maintain drug substance quality, and boast high scalability and efficiency in the production of biosimilars, including processes like filling, freezing, and transportation.
By reducing contamination risks through human errors, innovations like Single Use Support's RoSS.FILL provides fully automated single-use filling platforms, facilitating standardization critical for cGMP compliance through sterile filling and filtration.
As it is often necessary to freeze drug substances in order to transport or store them, Single Use Support’s freeze and thaw platform RoSS.pFTU enables controlled and even plate-freezing and thawing at consistent rates to prevent protein alterations.
Preventing product loss is critical when it comes to the time and cost intensive production of biosimilars. Therefore, Single Use Support has developed RoSS® Shell, protective cases compatible with single-use bags that can be used during transport and storage, so biosimilar substances can reach their destination safe and sound.
- The economics of biosimilars., Published 2013 Sep
- “Interchangeable biosimilar products”. Food and Drug Administration., https://www.fda.gov/media/151094/download, Published Accessed April, 20, 2024.
- Blackstone, Erwin A, and P Fuhr Joseph. “The economics of biosimilars.” American health & drug benefits vol. 6,8 (2013): 469-78., https://, Published
- “Biosimilar market”. Markets and Markets, https://www.marketsandmarkets.com/Market-Reports/biosimilars-40.html, Published Accessed April 21, 2024.
- “Biosimilar product: Regulatory Review and approval”. Food and Drug Administration., https://www.fda.gov/files/drugs/published/Biosimilar-Product-Regulatory-Review-and-Approval.pdf, Published Accessed April 21, 2024.