Abstract
Introduction
The rise of new product classes such as biologics and complex molecules over the past two decades have brought to light some of the unique market dynamics that such products face. While we have seen and experienced the inception, growth and expansion phase of such products, the ongoing incumbent decline due to loss of exclusivity (LoE) is yet to be fully experienced. This raises the question of how one may go about modelling such a scenario given that forecasting the expected erosion curves accurately can ensure full brand value is retained for pharmaceutical companies.
Objectives
This research looks to analyze the ‘patent cliff’ across varying product classes and, in doing so, understand the drivers behind the different market dynamics post-LoE for traditional molecules, complex molecules and biologics.
Methods
An extensive list of molecules across various therapeutic areas succumbing to loss of patent exclusivity between 2014 and 2019 were categorized according to product class, and sales data were analyzed to reveal trends across different product classes.
Results
The analysis of sales behavior of these compounds revealed distinct tendencies in terms of sales erosion across the various product classes. The largest determinant for the behaviour of a prescription drug post-LoE is the degree of generic competition, which in turn is primarily influenced by the barriers to entry. This research details some of the key challenges relating to regulatory, legal and manufacturing aspects that distinguish biologics and complex molecules from traditional small molecules and ultimately lead to different market dynamics post-LoE.
Conclusions
Unlike for traditional small-molecule generics where originator manufacturers have limited options to fend off generics, the greater degree of ‘brand–brand’ competitive dynamics seen in the biologics and complex generics space allows manufacturers of originators to protect market share. This analysis represents a meaningful addition to understanding LoE across various class types and thus highlights the importance of strategic decision making that pharmaceutical companies need to take at LoE.




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Harrison C. The patent cliff steepens. Nat Rev Drug Discov. 2011;10:12–3.
Song CH, Han JW. Patent cliff and strategic switch: exploring strategic design possibilities in the pharmaceutical industry. SpringerPlus. 2016;5:692.
Dave CV, Hartzema A, Kesselheim AS. Prices of generic drugs associated with numbers of manufacturers. New Engl J Med. 2017;377:2597–8.
The identity problem. Nat Biotechnol. 2010;28:877.
Price WN, Rai AK. Are trade secrets delaying biosimilars? Science. 2015;348:188–9.
Blackstone EA, Fuhr JP. The economics of biosimilars. Am Health Drug Benefits. 2013;6:469–77.
Smeeding J, Malone DC, Ramchandani M, et al. Biosimilars: considerations for payers. P and T. 2019;44:54–63.
Royzman I, Shah K. 10 years of biosimilars: lessons and trends. Nat Rev Drug Discov. 2019. https://doi.org/10.1038/d41573-020-00081-5.
Pharma—GlobalData Intelligence Center—Pharma. https://www.pharma.globaldata.com/HomePage. Accessed Feb 2020.
Zarxio (filgrastim-sndz). https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/125553Orig1s000TOC.cfm. Accessed Feb 2020.
Awad M, Singh P, Hilas O. Zarxio (Filgrastim-sndz): the first biosimilar approved by the FDA. P and T. 2017;42:19–23.
Biosimilars of pegfilgrastim/General/Biosimilars/Home-GaBI Online-Generics and Biosimilars Initiative. https://www.gabionline.net/Biosimilars/General/Biosimilars-of-pegfilgrastim%2520. Accessed Feb 2020.
GaBI Journal Editor. Patent expiry dates for biologicals: 2018 update. Gener Biosimilars Initiative J. 2019;8:24–31.
Implementation of the Biologics Price Competition and Innovation Act of 2009|FDA. https://www.fda.gov/drugs/guidance-compliance-regulatory-information/implementation-biologics-price-competition-and-innovation-act-2009. Accessed Feb 2020.
Prescribing Biosimilar and Interchangeable Products | FDA. https://www.fda.gov/drugs/biosimilars/prescribing-biosimilar-and-interchangeable-products. Accessed Feb 2020.
Christl L, Lim S. Biosimilar and interchangeable products in the United States: scientific concepts, clinical use, and practical considerations. FDA. https://www.fda.gov/media/122832/download.
Barbier L, Declerk P, Simoens S, et al. The arrival of biosimilar monoclonal antibodies in oncology: clinical studies for trastuzumab biosimilars. Br J Cancer. 2019;121:199–21010.
Questions and Answers on Biosimilar Development and the BPCI Act Guidance for Industry | FDA. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/questions-and-answers-biosimilar-development-and-bpci-act-guidance-industry. Accessed Feb 2020.
New and Revised Draft Q&As on Biosimilar Development and the BPCI Act (Revision 2)|FDA. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/new-and-revised-draft-qas-biosimilar-development-and-bpci-act-revision-2. Accessed Feb 2020.
In review: the life sciences regulatory regime in USA—Lexology. https://www.lexology.com/library/detail.aspx?g=4a803fd5-c107-4203-ae61-083ef4ce8bd6. Accessed Feb 2020.
Socal MP, Anderson KE, Sen A, et al. Biosimilar uptake in medicare part B varied across hospital outpatient departments and physician practices: the case of filgrastim. Value in Health. 2020;23:481–6.
Estimating the budgetary impact of biosimilar coding policies under medicare part B. Biosimilars Forum. http://biosimilarsforum.org/sites/default/files/uploads/Reports/biosimilars_model_white_paper_updated_2017_2017.08.23.pdf
Rose SA, Rice T. The biosimilar action plan: an effective mechanism for balancing biologic innovation and competition in the United States? SSRN Electron J. 2019. https://doi.org/10.2139/ssrn.3489444.
Feldman R. May your drug price be evergreen. J Law Biosci. 2018;5:590–647.
Price WN, Rai AK. How logically impossible patents block biosimilars. Nat Biotechnol. 2019;37:862–3.
Fda. HUMIRA® (adalimumab) injection, for subcutaneous use. https://www.fda.gov/medwatch. Accessed Feb 2020.
AbbVie Announces HUMIRA® (adalimumab) Global Patent License with Pfizer | AbbVie News Center. https://www.news.abbvie.com/news/abbvie-announces-humira-adalimumab-global-patent-license-with-pfizer.htm. Accessed Feb 2020.
AbbVie Announces HUMIRA® (adalimumab) Global Patent License with Momenta | AbbVie News Center. https://www.news.abbvie.com/news/press-releases/abbvie-announces-humira-adalimumab-global-patent-license-with-momenta.htm. Accessed Feb 2020.
AbbVie Announces Global Resolution of HUMIRA® (adalimumab) Patent Disputes with Fresenius Kabi | AbbVie News Center. https://www.news.abbvie.com/news/abbvie-announces-global-resolution-humira-adalimumab-patent-disputes-with-fresenius-kabi.htm. Accessed Feb 2020.
AbbVie Announces Global Resolution of HUMIRA® (adalimumab) Patent Disputes with Sandoz | AbbVie News Center. https://www.news.abbvie.com/news/abbvie-announces-global-resolution-humira-adalimumab-patent-disputes-with-sandoz.htm. Accessed Feb 2020.
AbbVie Announces HUMIRA® (adalimumab) Patent License with Mylan | AbbVie News Center. https://www.news.abbvie.com/news/press-releases/abbvie-announces-humira-adalimumab-patent-license-with-mylan.htm. Accessed Feb 2020.
AbbVie Announces Global Resolution of HUMIRA® (adalimumab) Patent Disputes with Samsung Bioepis | AbbVie News Center. https://www.news.abbvie.com/news/press-releases/abbvie-announces-global-resolution-humira-adalimumab-patent-disputes-with-samsung-bioepis.htm. Accessed Feb 2020.
AbbVie Announces Global Resolution of HUMIRA® (adalimumab) Patent Disputes with Amgen | AbbVie News Center. https://www.news.abbvie.com/news/press-releases/abbvie-announces-global-resolution-humira-adalimumab-patent-disputes-with-amgen.htm. Accessed Feb 2020.
Coherus BioSciences Announces Global Settlement with AbbVie Securing Rights to Commercialize its Adalimumab Biosimilar Candidate, CHS-1420 | Coherus BioSciences, Inc. https://www.investors.coherus.com/news-releases/news-release-details/coherus-biosciences-announces-global-settlement-abbvie-securing. Accessed Feb 2020.
Coherus, Amgen Settle Biosimilar Adalimumab Lawsuit. https://www.centerforbiosimilars.com/news/coherus-amgen-settle-biosimilar-adalimumab-lawsuit. Accessed Feb 2020.
FDA approves Ogivri as a biosimilar to Herceptin | FDA. https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-ogivri-biosimilar-herceptin. Accessed Feb 2020.
Herceptin Final Labeling Text HIGHLIGHTS OF PRESCRIBING INFORMATION. https://www.fda.gov/medwatch. Accessed Feb 2020.
Analysis of the trastuzumab biosimilar market as herceptin exclusivity nears an end. https://www.biosimilardevelopment.com/doc/analysis-of-the-trastuzumab-biosimilar-market-as-herceptin-exclusivity-nears-an-end-0001. Accessed Feb 2020.
de Cock E, Pivot X, Hauser N, et al. A time and motion study of subcutaneous versus intravenous trastuzumab in patients with HER2-positive early breast cancer. Cancer Med. 2016;5:389–97.
Gligorov J, Curigliano G, Muller V, et al. Switching between intravenous and subcutaneous trastuzumab: safety results from the PrefHer trial. Breast. 2017;34:89–95.
Pivot X, Verma S, Fallowfield L, et al. Efficacy and safety of subcutaneous trastuzumab and intravenous trastuzumab as part of adjuvant therapy for HER2-positive early breast cancer: final analysis of the randomised, two-cohort PrefHer study. Eur J Cancer. 2017;86:82–90.
Pfizer drops five preclinical biosimilar programmes / General / Biosimilars / Home - GaBI Online - Generics and Biosimilars Initiative. https://www.gabionline.net/Biosimilars/General/Pfizer-drops-five-preclinical-biosimilar-programmes. Accessed Feb 2020.
Biogen Ups Investment in Biosimilar Drug Maker Samsung Bioepis by $700 Million | BioSpace. https://www.biospace.com/article/biogen-ups-investment-in-biosimilar-drug-maker-samsung-bioepis-by-700-million/. Accessed Feb 2020.
Biosimilar Development, Review, and Approval | FDA. https://www.fda.gov/drugs/biosimilars/biosimilar-development-review-and-approval. Accessed Feb 2020.
Biogen | Investor Relations. https://www.investors.biogen.com/. Accessed Feb 2020.
Pfizer gets CRL on Epogen biosimilar from FDA - Pharmaceutical Business review. https://www.pharmaceutical-business-review.com/news/pfizer-gets-crl-on-epogen-biosimilar-from-fda-230617-5851688/. Accessed Feb 2020.
Mylan and Biocon biosimilar of Amgen’s Neulasta hit with manufacturing-related CRL | FiercePharma. https://www.fiercepharma.com/manufacturing/mylan-and-biocon-biosimilar-amgen-s-neulasta-hit-crl. Accessed Feb 2020.
Coherus BioSciences Receives Complete Response Letter from FDA for its Biologics License Application for CHS-1701 (Pegfilgrastim Biosimilar Candidate) | Coherus BioSciences, Inc. https://www.investors.coherus.com/news-releases/news-release-details/coherus-biosciences-receives-complete-response-letter-fda-its. Accessed Feb 2020.
Biologics and Sterile Manufacturing 2019. https://www.biomanufacturing.org/uploads/files/114911539326785309-pharmaceutical-technology-ebook-biologics-manufacturing.pdf. Accessed Feb 2020.
Choi SH, Wang Y, Conti DS, et al. Generic drug device combination products: regulatory and scientific considerations. Int J Pharm. 2018;544:443–54.
Zimmer D. Did the demand for crestor shrink when lipitor’s patent expired? J Ind Compet Trade. 2018;18:139–49.
Crestor tumbles off patent cliff as first generic copy approved in US | BioPharma Dive. https://www.biopharmadive.com/news/crestor-tumbles-off-patent-cliff-as-first-generic-copy-approved-in-us/418386/. Accessed Feb 2020.
Drug Channels: How Teva Defended Copaxone From Generic Competition. https://www.drugchannels.net/2016/04/how-teva-defended-copaxone-from-generic.html. Accessed Feb 2020.
RxData. https://www.rxdata.net/. Accessed Feb 2020.
Acknowledgements
MTS and MS thank Richard Ogborne for guidance in the ideation and development of the manuscript and Navigant Consulting (namely, Mark Chalmers, Nina Marinsek and Nick Georgitseas) for supporting its publication.
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Sabatini, M.T., Silva, M. Patent Cliffs in the Era of Complex Therapies and Biologics. Pharm Med 34, 271–278 (2020). https://doi.org/10.1007/s40290-020-00348-7
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DOI: https://doi.org/10.1007/s40290-020-00348-7