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Regulation of similar biotherapeutic products in Latin America Posted 02/08/2013

Regulation of similar biotherapeutic products (SBPs) in Latin America varies widely among different countries and, although many countries have yet to introduce guidance for biosimilars, the region is moving towards increasing standards of regulation for these products [1, 2].

Some intended copies of originator biologicals have already been licensed in Latin America without biosimilars regulations being in place and therefore without adequate clinical testing being performed. In Colombia, an etanercept SBP (Etanar) has been licensed; while in Bolivia, Chile, Peru (Reditux) and Mexico (Kikuzubam) – a rituximab SBP has been licensed, all prior to appropriate regulations being approved.

The rising growth of the middle class in the region has brought about a substantial increase in healthcare spending leading inevitably to increased use of less costly biosimilars. For example, in Brazil, biologicals account for less than 3% of prescriptions but more than 40% of the government’s drug budget.

Other countries in Latin America already have or are in the process of creating regulations covering SBPs, see Table 1.

Table 1: Similar biotherapeutic products regulations in Latin America

Country

Name for biosimilars

Regulatory authority

Relevant law

Year of publication

Issues left to discretion of regulatory authority

Argentina

Medicamento biológico similar (similar biological medicines)

Administración Nacional de Medicamentos, Alimentos y Tecnología Médica (ANMAT)

Legislation numbers 7075 and 7729

2008

 

Bolivia

Not stated

Ministerio de Salud y Deportes

No regulation

 

 

Brazil

Follow-on biological products

Agência Nacional de Vigilância Sanitária (ANVISA)

Resolution no. 55/2010

2010

- Type of studies
- Other requisites

Chile

Biosimilares (biosimilar)

Agencia Nacional de Medicamentos (ANAMED)

Regulations of the National System for the Control of Pharmaceutical Products for Human Use D.S. 3/2010

Draft guidance 2011

- Type of studies
- Extrapolation to other indications

Colombia

Medication of successor biological origin

 

Instituto Nacional de Vigilancia de Medicamentos y Alimentos (INVIMA)

Ministerial Decree 677/1995

Draft guidance 2013

 

Costa Rica

 

Biosimilar medication

Ministerio de Salud

Decree no. 37006

2012

- Whether to use another guideline in some circumstances

Cuba

Known biological product

Centro para el Control Estatal de Medicamentos, Equipos y Dispositivos Médicos (CECMED)

Resolution no. 56/2011

2011

 

Guatemala

Biosimilar/biocomparable

Ministerio de Salud Pública y Asistencia Social

Technical standard 67-2010

2010

 

Mexico

Biocomparables (biocomparable)

Biotechnological medicine

 

Comisión Federal para la Protección contra Riesgos Sanitarios (COFEPRIS)

Article 222 bis in the Mexican Health Law (Articule 39 de la Ley Orgánica de la Administración Pública Federal y 222 Bis de la Ley General de Salud)

2012

- Need for clinical studies
- Type of studies

 

Panama

 

Not stated

Ministerio de Salud Panama (MINSA)

Executive Decree no. 340

2007

 

Peru

Producto biológico similar (similar biological product)

Ministerio de Salud Peru (MINSA)

Supreme Decree no. 016-2011-SA

2012

 

The trend in Latin America is to adopt guidelines for similar biotherapeutic products based on accepted international standards, such as those of the World Health Organization. This is the case in Argentina, Brazil, Chile, Costa Rica, Guatemala, Panama and Peru where recent guidelines have been developed based on and/or taking into consideration internationally accepted standards [2].

Although many of the guidelines are based on regulations and guidelines from around the world, including the World Health Organization’s ‘Similar Biological Product Guidelines’, one criticism is that they are too vague, for example, the type of studies required, extrapolation to other indications or even which guidelines to be used are left to the regulatory authority. This could lead to different standards for different products and reduce confidence in the use of SBPs approved in the region.

Editor’s comment
It should be noted that similar biotherapeutic products approved in Latin American countries might not have been authorized following as strict a regulatory process as is required for approval of biosimilars in the EU. EMA regulatory requirements ensure the same high standards of quality, safety and efficacy for biosimilars as for originator biologicals, and also include a rigorous comparability exercise with the reference product.

Related articles

Peruvian guidelines for productos biológicos similares

Argentinian guidelines for similar biological medicines

Colombia issues draft decree for registration of biosimilars

Brazilian guidelines for follow-on biological products

Mexican guidelines for biocomparables

Proposed biosimilars guidelines for Chile

References

1.  Mysler E, Scheinberg M. Biosimilars in rheumatology: a view from Latin America. Clin Rheumatol. 2012;31(9):1279-80.

2.  Desanvicente-Celis Z, Caro-Moreno J, Enciso-Zuluaga M, Anaya JM. Similar biotherapeutic products in Latin America. Regulation and opportunities for patients with autoimmune diseases. Biosimilars. 2013;3:1-17.

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Comments (2)

Response to ‘Biosimilars in Peru’ posted 25/10/2013 - by Jodi H, GaBI Online Editorial Office

Dear Dr Vásquez, Thank you for providing your insight and knowledge on the subject. As such, we would be delighted if you would consider submitting a paper to GaBI Journal on this topic. If interested, please feel free to reach us at editorial@gabi-journal.net. Thank you again and we hope to hear from you soon. Best regards, Jodi

Biosimilars in Peru posted 05/08/2013 - by Hans Vásquez,MD. DIGEMID. Ministry of Health

In Peru the name of biosimilars is "Producto Biológico Similar" (Similar Biological Product). The supreme decree have general aspects about requirements of biosimilars products. Actually there is a draft with specific requirements to biotechnological and similar biological products on this link: http://www.digemid.minsa.gob.pe/UpLoad/UpLoaded/PDF/Publicaciones/DC/P8_2013-02-20_Directiva_biotecnologicos.pdf Thank you, Hans