Seminars
Seminar 4 (Part II)


Non-clinical and clinical development of biopharmaceuticals including biosimilars and the Module 4 and 5 requirements
- • Principles of non-clinical development
• Principles of clinical development
• Immunogenicity
• Case studies on monoclonal antibodies, erythropoietin and a biosimilar
• Case presentation on the tri-functional monoclonal antibody Catumaxomab
• Development and registration of biosimilars
Learning Objectives
• Understand the specific challenges in the pre-clinical development of biopharmaceuticals• Understand the essential clinical development approach
• Learn to assess the benefit-risk ratio during the whole life cycle of a product
• Understand the data requirements specific to biosimilars
• Learn why immunogenicity is a typical issue for biopharmaceuticals and how it is investigated and handled appropriately
• Allows to conduct and steer the relevant regulatory strategy for CTA and MAA submissions for biopharmaceuticals due to knowing the rules and required data for Modules 4 and 5 of biopharmaceuticals
Content
Biopharmaceuticals play an important role in the pharmaceutical industry since they deliver an increasing number of candidates for new product developments. They are however special and require certain considerations in their pre-clinical and clinical development. They are pleiotrop and immunogenic and their non-clinical pharmacodynamic and safety characterisation is often hampered by insufficiently relevant animal models. Biosimilars are developed following a special regulation and expanded programme as compared to conventional generics. This all has implications on the way biopharmaceuticals are developed and regulated. The particulars of the non-clinical and clinical requirements of biopharmaceuticals are covered and the specific considerations on the development of biosimilar medicinal products are part of this seminar as well. In this seminar case studies will also be presented on successfully authorized products, such as on a tri-functional monoclonal antibody and on a biosimilar. The seminar also introduces how to perform a benefit-risk assessment at the authorization stage and how to update it during life-cycle of the product.Agenda
Day 1: Tuesday, 06 March 2012 (10.30 - 18.00)
Welcome and introduction
Principles of non-clinical development
Principles of non-clinical development
The non-clinical CTD
What is special in the non-clinical development of biopharmaceuticals
• Unique characteristics of biotech products to be considered when designing a preclinical programme
• Pharmacodynamic studies and disease models considerations for pharmaco- and toxicokinetic studies
• Immunogenicity in non-clinical models
The Tegenero case and its implications for the development of new biopharmaceuticals
• Unique characteristics of biotech products to be considered when designing a preclinical programme
• Pharmacodynamic studies and disease models considerations for pharmaco- and toxicokinetic studies
• Immunogenicity in non-clinical models
The Tegenero case and its implications for the development of new biopharmaceuticals
Day 2: Wednesday, 07 March 2012 (09.00-18.00)
Immunogenicity• What is immunogenicity?
• How is immunogenicity caused?
• How is immunogenicity tested?
• Risk based approach?
Erythropoeitin
The principle of clinical development of biopharmaceuticals
• Target rationale definition
• Dose-finding justification
• Proof of Concept and confirmatory studies
• Relevant efficacy and safety studies - pivotal trials
• Principles of the clinical review and decision on the benefit-risk conclusion
• Module 2 sections 2.5 and 2.7
• Presentation of clinical data in Module 5 of the CTD
Day 3: Thursday, 08 March 2012 (09.00 - 18.00)
Research to early development: a clinical pharmacology perspective
• Future clinical Proof-of-Concept strategies
• Validity of biomarkers in drug development
• Why large trials fail - although effects (efficiency) have been seen in small studies
From scientific advice to successful marketing authorization - experience with the European authorization of the tri-functional monoclonal antibody Removab
Group work: benefit-risk assessment for monoclonal antibodies
• Herceptin
• Remicade
• Tysabri and Raptiva
Day 4: Friday, 09 March 2012 (09.00 - 16.30)
Regulatory principles of development of biosimilar medicinal products in the various regions• EU
• FDA
• WHO
Global development, experience with submissions in different regions
Experience with Sandoz biosimilars
Current considerations on regulatory requirements for monoclonal antibodies developed as biosimilars
Biosimilar Case Study
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