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image of Biosimilar Regulations: Current Framework and Future Prospects

Abstract

Introduction

Biosimilars, a class of biologic medications that are highly similar to reference biologics, have emerged as cost-effective alternatives to their expensive originator counterparts. Due to their complex nature and manufacturing processes, biosimilars differ significantly from small molecule generics and must undergo a rigorous assessment to ensure safety, efficacy, and accessibility. This review explores the regulatory landscape surrounding biosimilars across key markets such as the United States, Europe, and India, with a focus on approval processes and post-marketing pharmacovigilance for patient safety.

Methods

The study conducted a detailed review of regulatory guidelines, approval frameworks, and post-marketing requirements for biosimilars across various countries. Data was collected from official sources such as the European Medicines Agency (EMA), the United States Food and Drug Administration (FDA), and relevant Indian regulatory bodies. The research also analysed guidelines focusing on pharmacovigilance practices, particularly for vulnerable populations like paediatric and geriatric patients.

Results

The analysis found that while regulatory agencies such as the EMA and FDA have established stringent biosimilar approval pathways, India's regulatory framework, though promising, still lacks comprehensive pharmacovigilance guidelines. The harmonization of global biosimilar guidelines has contributed to their widespread adoption in new therapeutic areas and emerging markets, driving market expansion. The study highlights the importance of post-marketing monitoring to ensure continued safety, with particular emphasis on vulnerable populations.

Conclusion

The regulatory landscape for biosimilars is evolving, with increasing global collaboration fostering the harmonization of guidelines. Regulatory agencies such as the European Medicines Agency (EMA) and the United States Food and Drug Administration (FDA) have established rigorous approval frameworks, ensuring biosimilars meet the necessary standards for safety and efficacy. In emerging markets like India, the biosimilar sector is poised for significant growth, though the regulatory framework is still maturing. Strengthening regulatory infrastructure, particularly in areas such as approval processes and quality control, will be crucial in supporting this expansion. The review emphasizes the importance of robust and clear regulations to facilitate the safe and effective integration of biosimilars into global healthcare systems, ensuring greater accessibility for patients without compromising on quality.

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2025-05-23
2025-10-09
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References

  1. Mascarenhas-MeloF. DiazM. GonçalvesM.B.S. VieiraP. BellV. VianaS. An overview of biosimilars-development, quality, regulatory issues, and management in healthcare.Pharmaceuticals202417223510.3390/ph1702023538399450
    [Google Scholar]
  2. HalimiV. DaciA. Ancevska NetkovskaK. SuturkovaL. BabarZ.U.D. GrozdanovaA. Clinical and regulatory concerns of biosimilars: A review of literature.Int. J. Environ. Res. Public Health20201716580010.3390/ijerph1716580032796549
    [Google Scholar]
  3. JohnsonIS Human insulin from recombinant DNA technology.Science1983219458563263710.1126/science.63373966337396
    [Google Scholar]
  4. TsiftsoglouA.S. RuizS. SchneiderC.K. Development and regulation of biosimilars: Current status and future challenges.BioDrugs201327320321110.1007/s40259‑013‑0020‑y23553340
    [Google Scholar]
  5. GherghescuI. Delgado-CharroM.B. The biosimilar landscape: An overview of regulatory approvals by the EMA and FDA.Pharmaceutics20201314810.3390/pharmaceutics1301004833396369
    [Google Scholar]
  6. ZuñigaL. CalvoB. Regulatory aspects of biosimilars in Europe.Trends Biotechnol.200927738538710.1016/j.tibtech.2009.03.00519467723
    [Google Scholar]
  7. DeclerckP. DanesiR. PeterselD. JacobsI. The language of biosimilars: Clarification, definitions, and regulatory aspects.Drugs201777667167710.1007/s40265‑017‑0717‑128258517
    [Google Scholar]
  8. Guideline on similar biological medicinal products.2014Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-similar-biological-medicinal-products-rev1_en.pdf
  9. Biosimilars in the EU - Information guide for healthcare professionals.2019Available from: https://www.ema.europa.eu/en/documents/leaflet/biosimilars-eu-information-guide-healthcare-professionals_en.pdf
  10. Biosimilars.2023Available from: https://www.fda.gov/drugs/therapeutic-biologics-applications-bla/biosimilars?utm_source=chatgpt.com
  11. EleryanM. AkhiyatS. Rengifo-PardoM. EhrlichA. Biosimilars: Potential implications for clinicians.Clin. Cosmet. Investig. Dermatol.2016913514210.2147/CCID.S9169127382321
    [Google Scholar]
  12. Questions and answers on generic medicines.2012Available from: https://www.teknofarma.com/wp-content/uploads/2023/01/QA_GENERICI.pdf
  13. Questions and answers on biosimilar medicines (similar biological medicinal products).2012Available from: https://www.medicinesforeurope.com/wp-content/uploads/2016/03/WC500020062.pdf
  14. LocatelliF. RogerS. Comparative testing and pharmacovigilance of biosimilars.Nephrol. Dial. Transplant.200621Suppl. 5v13v1610.1093/ndt/gfl47516959789
    [Google Scholar]
  15. KresseG.B. Biosimilars – Science, status, and strategic perspective.Eur. J. Pharm. Biopharm.200972347948610.1016/j.ejpb.2009.02.01419286455
    [Google Scholar]
  16. DeclerckP.J. Biotherapeutics in the era of biosimilars: What really matters is patient safety.Drug Saf.200730121087109210.2165/00002018‑200730120‑0000218035862
    [Google Scholar]
  17. Scientific considerations in demonstrating biosimilarity to a reference product.2015Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/scientific-considerations-demonstrating-biosimilarity-reference-product
  18. Nonproprietary naming of biological products guidance for industry.2017Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/nonproprietary-naming-biological-products-guidance-industry
    [Google Scholar]
  19. Directive 2004/27/EC of the European Parliament and of the Council of 31 March 2004 amending Directive 2001/83/EC on the Community code relating to medicinal products for human use (Text with EEA relevance).2004Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32004L0027
  20. WangJ. ChowS.C. On the regulatory approval pathway of biosimilar products.Pharmaceuticals20125435336810.3390/ph504035324281406
    [Google Scholar]
  21. MellstedtH. NiederwieserD. LudwigH. The challenge of biosimilars.Ann. Oncol.200819341141910.1093/annonc/mdm34517872902
    [Google Scholar]
  22. AgencyEM Guideline on similar biological medicinal products containing biotechnology-derived proteins as active substance: Non-clinical and clinical issues.2013Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-similar-biological-medicinal-products-containing-biotechnology-derived-proteins-active-substance-non-clinical-and-clinical-issues-revision-1_en.pdf
  23. Guideline on similar biological medicinal products containing recombinant granulocyte-colony stimulating factor (rG-CSF).Eur. Med. Agency2006Available from: https://hbw.citeline.com/-/media/supporting-documents/pink-sheet/2018/09/ema_6.pdf
    [Google Scholar]
  24. KurkiP. EkmanN. Biosimilar regulation in the EU.Expert Rev. Clin. Pharmacol.20158564965910.1586/17512433.2015.107118826294076
    [Google Scholar]
  25. ChristlL.A. WoodcockJ. KozlowskiS. Biosimilars: The US regulatory framework.Annu. Rev. Med.201768124325410.1146/annurev‑med‑051215‑03102227813877
    [Google Scholar]
  26. EpsteinM. Food and Drug Administration guidances on biosimilars: An update for the gastroenterologist.Therap. Adv. Gastroenterol.201811175628481879960010.1177/175628481879960030302126
    [Google Scholar]
  27. MalhotraH. KrishnanA. ModyR. Global regulatory landscape of biosimilars: Emerging and established market perspectives.Biosimilars20155193210.2147/BS.S44052
    [Google Scholar]
  28. BerkowitzS.A. EngenJ.R. MazzeoJ.R. JonesG.B. Analytical tools for characterizing biopharmaceuticals and the implications for biosimilars.Nat. Rev. Drug Discov.201211752754010.1038/nrd374622743980
    [Google Scholar]
  29. QuestionsFDA. Questions and answers on biosimilar development and the BPCI act guidance for industry.2021Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/questions-and-answers-biosimilar-development-and-bpci-act-guidance-industry
  30. KirchhoffC.F. WangX.Z.M. ConlonH.D. AndersonS. RyanA.M. BoseA. Biosimilars: Key regulatory considerations and similarity assessment tools.Biotechnol. Bioeng.2017114122696270510.1002/bit.2643828842986
    [Google Scholar]
  31. Considerations in demonstrating interchangeability with a reference product guidance for industry.2019Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/considerations-demonstrating-interchangeability-reference-product-guidance-industry
  32. Biosimilar medicines can be interchanged.2022Available from: https://www.ema.europa.eu/en/news/biosimilar-medicines-can-be-interchanged?utm_source=chatgpt.com
  33. About Purple Book.2024Available from: https://purplebooksearch.fda.gov/about
  34. UndelaK. Biogenerics or biosimilars: An overview of the current situation in India.Ijmps.201417110
    [Google Scholar]
  35. Guidelines on similar biologics :Biologics regulation in India.2016Available from: https://ibkp.dbtindia.gov.in/DBT_Content_Test/CMS/Guidelines/20181115140059519_Guidelines-on-Similar-Biologics-2016.pdf
  36. RathoreA. Guidelines on similar biologics: Regulatory requirements for marketing authorization in India.PDA J. Pharm. Sci. Technol.201266539310.5731/pdajpst.2012.0088623035022
    [Google Scholar]
  37. PaulP. PopoliH. SaxenaA. JaiswalA. SahS. Current scenario of biosimilar. ~ 188 ~ The Pharma.Innov. J.201877188193
    [Google Scholar]
  38. RushviP. Biosimilars: An emerging market opportunities in India.Pharm. Regul. Aff.2016050117
    [Google Scholar]
  39. BansalA. ShuklaV.K. ChauhanS. A comprehensive study of Regulatory compliance for Biosimilars in US, EU and India.Int. J. Drug Regul. Aff.201972173410.22270/ijdra.v7i2.313
    [Google Scholar]
  40. FelixT. JordanJ.B. AkersC. PatelB. DragoD. Current state of biologic pharmacovigilance in the European Union: Improvements are needed.Expert Opin. Drug Saf.201918323124010.1080/14740338.2019.157781830714424
    [Google Scholar]
  41. List of medicinal products under additional monitoring.2021Available from: https://www.ema.europa.eu/en/documents/additional-monitoring/list-medicinal-products-under-additional-monitoring_en.pdf
  42. PharmacovigilanceG. Final guidance: Good pharmacovigilance practices and pharmacoepidemiologic assessment.Biotechnol. Law Rep.200524334435610.1089/blr.2005.24.344
    [Google Scholar]
  43. KleinK. SchollJ.H.G. VermeerN.S. BroekmansA.W. Van PuijenbroekE.P. De BruinM.L. StolkP. Traceability of biologics in The Netherlands: An analysis of information-recording systems in clinical practice and spontaneous ADR reports.Drug Saf.201639218519210.1007/s40264‑015‑0383‑826719190
    [Google Scholar]
  44. JoshiD. KhursheedR. GuptaS. WadhwaD. SinghT.G. SharmaS. PorwalS. GauniyalS. VishwasS. GoyalS. GuptaG. EriR.D. WilliamsK.A. DuaK. SinghS.K. Biosimilars in oncology: Latest trends and regulatory status.Pharmaceutics20221412272110.3390/pharmaceutics1412272136559215
    [Google Scholar]
  45. FDA's Adverse Event Reporting System (FAERS).2024Available from: https://www.fda.gov/drugs/surveillance/fdas-adverse-event-reporting-system-faers
  46. Guidelines on evaluation of biosimilars.2022Available from: https://www.who.int/publications/m/item/guidelines-on-evaluation-of-biosimilars
  47. About Us.2025Available from: https://ipc.gov.in/mandates/pvpi/pharmacovigilance-skill-development-programme.html
  48. European database of suspected adverse drug reaction reports.2025Available from: https://www.adrreports.eu/en/
  49. OPPI.2025Available from: https://www.indiaoppi.com/
  50. KashivP. MaldeS. DubeyS. GuptaS. PawarT. SejpalK.N. GurjarP. PasariA. BalwaniM. BhawaneA. TolaniP. BawankuleC.P. A Case of Erythropoietin (EPO)-induced pure red cell aplasia and its treatment efficacy with desidustat.Cureus2024166e6202210.7759/cureus.6202238989377
    [Google Scholar]
  51. Home - Indian Pharmacopoeia Commission.2025Available from: https://www.ipc.gov.in/
  52. KabirE.R. MoreinoS.S. Sharif SiamM.K. The Breakthrough of biosimilars: A twist in the narrative of biological therapy.Biomolecules20199941010.3390/biom909041031450637
    [Google Scholar]
  53. Home.2025Available from: https://cdsco.gov.in/opencms/opencms/en/Home/
  54. TariganT.J.E. DwijayantiA. SetyowatiS. LouisaM. Immunogenicity and efficacy of insulin glargine biosimilar ezelin versus originator insulin glargine in patients with type 2 diabetes.Diabetes Metab. Syndr. Obes.20211410711610.2147/DMSO.S27938533469328
    [Google Scholar]
  55. CheonJ.H. NahS. KangH.W. LimY.J. LeeS.H. LeeS.J. KimS.H. JungN.H. ParkJ.E. LeeY.J. JeonD.B. LeeY.M. KimJ.M. ParkS.H. Infliximab biosimilar CT-P13 observational studies for rheumatoid arthritis, inflammatory bowel diseases, and ankylosing spondylitis: Pooled analysis of long-term safety and effectiveness.Adv. Ther.20213884366438710.1007/s12325‑021‑01834‑334250583
    [Google Scholar]
  56. HuX. TangX. LiL. LuoL. HeX. YanQ. ZhongX. The efficacy of CT-P13, a biosimilar of infliximab, in inflammatory bowel diseases: A systematic review and meta-analysis.BMC Gastroenterol.202424140610.1186/s12876‑024‑03480‑939533176
    [Google Scholar]
  57. McKeageK. A review of CT-P13: An infliximab biosimilar.BioDrugs201428331332110.1007/s40259‑014‑0094‑124723086
    [Google Scholar]
  58. JeonC. KangS.H. KimS.B. PaikN.S. LeeI. KimS.K. KimE.Y. SonG.S. YooY.B. LeeK.H. ShinJ. JuS. JangH. ParkM.H. Safety and effectiveness of trastuzumab biosimilar SB3 in Korean patients, a post-marketing surveillance study.Oncology2024102646547510.1159/00053462637899039
    [Google Scholar]
  59. LüftnerD. LymanG.H. GonçalvesJ. PivotX. SeoM. Biologic drug quality assurance to optimize HER2 + breast cancer treatment: Insights from development of the trastuzumab biosimilar SB3.Target. Oncol.202015446747510.1007/s11523‑020‑00742‑w32748046
    [Google Scholar]
  60. CohenH.P. TurnerM. McCabeD. WoollettG.R. Future evolution of biosimilar development by application of current science and available evidence: The developer’s perspective.BioDrugs202337558359310.1007/s40259‑023‑00619‑037542600
    [Google Scholar]
  61. JungE.H. SarpatwariA. KesselheimA.S. SinhaM.S. FDA and EMA biosimilar approvals.J. Gen. Intern. Med.20203561908191010.1007/s11606‑019‑05408‑631637641
    [Google Scholar]
  62. FDA approves cyltezo, the first interchangeable biosimilar to humira.2021Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-cyltezo-first-interchangeable-biosimilar-humira
  63. JeremiasS. FDA Approves Celltrion’s Yuflyma, the Ninth Adalimumab Biosimilar.2023Available from: https://www.centerforbiosimilars.com/view/fda-approves-celltrion-s-yuflyma-the-ninth-adalimumab-biosimilar
  64. 2022 biosimilar trends report.2022Available from: https://www.amgenbiosimilars.com/commitment/2022-Biosimilar-Trends-Report
  65. Amgen settles patent lawsuit over biosimilar of J&J’s big-selling Stelara .2024Available from: https://www.reuters.com/business/healthcare-pharmaceuticals/amgen-settles-jj-patent-lawsuit-over-drug-similar-blockbuster-stelara-2023-05-23/
  66. European Commission approves first aflibercept biosimilar.2024Available from: https://www.centerforbiosimilars.com/view/european-commission-approves-first-aflibercept-biosimilar
  67. Breaking Barriers in Osteoporosis Care: New Denosumab Biosimilars Wyost, Jubbonti Approved.2024Available from: https://www.centerforbiosimilars.com/view/breaking-barriers-in-osteoporosis-care-new-denosumab-biosimilars-wyost-jubbonti-approved
  68. FDA Approves Samsung Bioepis’ Pyzchiva, a Biosimilar to Stelara.2024Available from: https://www.centerforbiosimilars.com/view/fda-approves-samsung-bioepis-pyzchiva-a-biosimilar-to-stelara
  69. FDA approves first interchangeable biosimilar for two rare diseases.2024Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-first-interchangeable-biosimilar-two-rare-diseases
  70. Steqeyma.2024Available from: https://www.ema.europa.eu/en/medicines/human/EPAR/steqeyma
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