Biobetters – new name for an old drug?
> Small molecule parallels
> ‘Biobetters’ already on the market
> How much better are Biobetters?
> Putting the ‘Better’ into Biobetter
> Extent and type of changes
> Half-life extension and pegylation
> Glyco-engineering and cell production systems
> Emerging methods
> Prolonging half-life via deuteration
> Modifying formulation
> Biobetter targets – possibilities abound
> Interferons, growth hormones, and blood factors: good biobetter candidates
> Monoclonal antibodies could be improved upon
> Oncology could be a growth area for biobetters
> Immunogenicity – the Achilles Heel of Biobetters?
> Originators could use immunogenicity as a defensive shield
> Prediction is a risky game
> Clinical trials as the current gold-standard for immunogenicity testing
> Biobetters – the route to market
> The full approval pathway beckons for biobetters
> Data package requirements could vary
> Clinical trial requirements likely to be biobetter specific
> The bar for regulatory approval could be higher
> …but the risks are lower
> Patent complications
> Biobetter pricing and reimbursement
> Biobetter benefit must justify price
> Cost of treatment versus unit pricing
> A crowded market for biobetters?
> Opening up new markets
> Market access strategies
> The Biobetters Race – Major Players
> Multinational interest in biobetters – the usual suspects?
> The biobetter aspirations of larger generics companies
> Small biotech – a key biobetter player
> Success through collaboration
> The Asian factor
> Regulatory pressures could resist incursion of Asian players
> Manufacturing costs will have minimal impact on biobetter success
> Stakeholder distrust in the short-term could restrict Asian biobetter success