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Title: Guidelines for Development, Manufacturing, and Regulation of Biologics and Biosimilars in India Subject Area: Pharmaceutical Sciences / Biotechnology / Regulatory Affairs Year of Publication: 2024 (assumed recent unless specified otherwise) Course/Module: Pharmacology / Pharmaceutical Biotechnology / Regulatory Guidelines for Biologics (suitable for B.Pharm, M.Pharm, M.Sc. Biotechnology, or Regulatory Affairs specialization) Unit 1: Biologics and Biosimilars – India This document provides a comprehensive guide to the regulatory framework, scientific principles, and procedural requirements related to biologics and biosimilars in the Indian context. It aligns with guidelines issued by CDSCO and other international standards (ICH, EMA, WHO).
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Unit: 1 Biologics and Biosimilars- India
certain types of process related impurities that could impact clinical outcomes and immunogenicity. 2.1 Molecular Biology Considerations The details regarding host cell cultures (including viral clearance), vectors, gene sequences, promoters etc. used in the production of Similar Biologics should be provided with appropriate drawings/figures. The detail of post-translational modifications (glycosylation, oxidation, deamidation, phosphorylation etc.), if any should be explained.
drug substance and the product along with other significant physicochemical properties. The target amino acid sequence of the Similar Biologic should be confirmed and is expected to be the same as for the Reference Biologic. Analytical methods that are used should have acceptable precision and accuracy. In case any significant differences are found, these should be scientifically justified and critically examined in preclinical studies and clinical trials. ii. Biological Activity: Biological products may have multiple biological activities. Biological assays should be validated against an international or national Reference standard, where available and appropriate. If no such standards are available, an internal Reference standard must be established as per the ICH guidelines. If the methods of bioassay(s) are documented in the specification, test(s) can be conducted accordingly. iii. Immunological Properties: The manufacturing process of Similar Biologics is known to affect the level of process related impurities and post translational modifications of the product. These characteristics may affect the immunogenicity of the product. iv. Purity and Impurities: Characterization of a Similar Biologic requires evaluation of the following via a combination of analytical procedures:
Stability studies on drug substance and drug product should be carried out using containers and conditions that are representative of the actual storage containers and conditions.
ii. In vivo studies: In vivo evaluation of Biological/ pharmacodynamic activity may be dispensable if in vitro assays are available, In cases where the in-vitro assays do not reflect the pharmacodynamics, In vivo studies should be performed, as applicable. Toxicological Studies: In case of in vivo toxicity studies, at least one repeat dose toxicity study in a pharmacologically relevant species is required to be conducted with an intended route of administration. Regarding the animal models to be used, the applicant should provide the scientific justification for the choice of animal model(s). toxicity studies need to be undertaken either in rodent or non- rodent species as per requirements of Schedule Y. The duration of the study would be generally not less than 28 days with 14 days recovery period. However the duration may vary depending on the dosage and other parameters on case by case basis. The protocols and the study reports should provide complete details of various steps in the toxicity testing as indicated below:
The information submitted in the preclinical application, the applicant has to submit application for conduct of clinical trial. The quality data submitted should indicate that there are no differences in Critical Quality Attributes (CQAs), and that all Key Quality Attributes (KQAs) are well controlled in order to allow the initiation of clinical evaluation.
PD studies may be combined with PK studies, in which case the PK/PD relationship should be characterized. If PD marker is not available and the PK can be done in patients then the PK study can be combined with phase III clinical study. The PD study can also be a part of Phase III clinical trials wherever applicable.
It is important to establish a formal Risk Management Plan to monitor and detect both known inherent safety concerns and potential unknown safety signals that may arise from the Similar Biologic since authorization is based on a reduced preclinical and clinical data package. The risk management plan should consist of the following: 10.1 Pharmacovigilance Plan The clinical studies done on Similar Biologics prior to market authorization are limited in nature so the rare adverse events are unlikely to be encountered. Hence comprehensive pharmacovigilance plan should be prepared by manufacturer to further evaluate the clinical safety in all the approved indications in the post marketing phase. The pharmacovigilance plan should include the submission of periodic safety update reports (PSURs). The PSURs shall be submitted every six months for the first two years after approval of the Similar Biologic is granted to the applicant. For subsequent two years the PSURs need to be submitted annually to DCGI office as per the Schedule Y. 10.2 Adverse Drug Reaction (ADR) Reporting All cases involving serious unexpected adverse reactions must be reported to the licensing authority as per Schedule Y. 10.3 Post Marketing Studies (Phase IV Study) Finally, in order to further reduce the residual risk of the Similar Biologics, additional safety data may need to be collected after market approval through a pre-defined single arm study of generally, more than 200 evaluable patients and compared to historical data of the Reference Biologic. The study should be completed preferably within 2 years of the marketing permission / manufacturing license unless otherwise justified. The primary aim of the post marketing phase IV study is safety and hence following parameters should be considered for the post marketing phase IV study protocol:
1. Safety - Toxicity and Side Effects : Herbal products can contain substances that are toxic or cause adverse reactions. Without regulation, harmful products could reach consumers. - Interactions with Medications : Many herbs can interact with prescription and over-the- counter medications, leading to reduced efficacy or harmful side effects. 2. Efficacy - Health Claims : Unregulated products may make unverified health claims, misleading consumers about their effectiveness. - Evidence-Based Use : Regulation ensures that products are supported by scientific evidence regarding their benefits and appropriate usage. 3. Quality Control - Consistency and Purity : Regulations ensure that products contain the ingredients in the amounts stated on the label, and are free from contaminants like heavy metals, pesticides, or microorganisms. - Manufacturing Standards : Good manufacturing practices (GMP) must be followed to maintain product quality and consistency. 4. Consumer Protection - Misleading Information : Regulation helps prevent false advertising and misleading labels, ensuring consumers receive accurate information. - Recalls and Accountability : Regulatory bodies can recall harmful or defective products and hold manufacturers accountable. 5. Public Health - Preventing Public Health Crises : By ensuring safety and efficacy, regulations help prevent public health crises caused by unsafe or ineffective herbal products. - Educating Consumers : Regulatory frameworks often include educational efforts to inform the public about safe and effective use of herbal products. 6. Market Integrity - Fair Competition : Regulations help create a level playing field where companies compete based on product quality and efficacy, rather than deceptive practices. - Consumer Trust : A regulated market builds trust among consumers, knowing that the products they use meet certain standards. 7. International Trade