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BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS MARCH 18, 2013 P AGE A9 OF 24 Product Discovery & Development Bettering China’s biosimilars By Michael J. Haas toid arthritis (RA), polyarticular juvenile Senior Writer idiopathic arthritis (JIA), ankylosing “It might be better to think While many homegrown biologics spondylitis and plaque psoriasis. Shangof the Chinese versions marketed in China could be perceived as hai Celgen Biopharmaceutical Co. biosimilars, most are unlikely to meet Ltd. markets Qiangke to treat the same of innovator products international standards and are not marindications plus psoriatic arthritis. as follow-on biologics or keted as such in China. But with an uptick Amgen Inc., Pfizer Inc. and Takeda in returnees and VC investment, and imPharmaceutical Co. Ltd. market Enbrel modified versions of the provement in manufacturing infrastrucetanercept, a recombinant p75 tumor neoriginal product rather ture, Chinese companies such as Henlius crosis factor (TNF) receptor linked to the Biotech Co. Ltd. and Innovent Fc portion of human IgG1 (TNFr:Fc), to than biosimilars.” Biologics Inc. are aiming to develop true treat RA, psoriasis, psoriatic arthritis and biosimilars that could compete in the ankylosing spondylitis. Greg Scott, ChinaBio LLC global market. CPG also markets Xenopax, a version Current regulations in the EU and U.S. of Zenapax daclizumab, to prevent rejecrequire a biosimilar to have the same amino acid sequence as the tion in kidney transplant patients in China. Roche marketed innovator biologic, and glycosylation patterns and other struc- Zenapax for the indication until 2009, when it withdrew the tural features that are highly similar, so that the two products humanized mAb against IL-2 receptor alpha chain (CD25) from closely match in terms of efficacy and safety. the U.S. and EU due to diminishing demand. The first step in developing a biosimilar involves rigorous Daclizumab high-yield process (DAC HYP) from Abbott analyses of the innovator product to identify its amino acid Laboratories, AbbVie Inc. and Biogen Idec Inc. is in Phase structure, define the range of its structural variations, and III testing to treat multiple sclerosis (MS). determine which variations could affect efficacy and safety. Additionally, 3SBio Inc. markets EPIAO injectable recombiThose results provide goalposts that guide the design and nant human erythropoietin (EPO) to treat anemia and TPIAO manufacture of a biologic that closely matches the original. injectable recombinant human thrombopoietin (TPO) to treat Products marketed in China that might be perceived as idiopathic thrombocytopenic purpura (ITP) and thrombocybiosimilars were not developed with such rigorous upfront topenia. analyses and might not even use the same recombinant DNA CPG, Celgen and 3SBio have not reported sales figures for sequence as the innovator biologic in their manufacture, accord- any of their products. The companies do not call their products ing to Innovent co-founder, President and CEO Michael Yu. “biosimilar” on the English versions of their websites or in their As a result, these new versions of biologics “have lower English press releases. activities than the original products and their overall quality does not comply with international standards” for biosimilars, he told Upward trends BioCentury. He also said most biologic manufacturing facilities in China Minimal expertise and a dearth of manufacturing facilities do not comply with international GMP standards and thus compliant with international GMP have held back biosimilars in produce versions of biologics that are not as pure as the original China. But the sharp increase in the number of returnees, products. increasing investment in biotech, and the growing market in Companies in China that market copies of innovator biologics China could push through these roadblocks. know how regulators in the U.S. and EU define biosimilars and “A lot of Western-educated Chinese people have returned to know that their products do not meet that definition, said Scott China, but the talent pool for biologics development is still poor Liu, co-founder and CEO of Henlius. and scattered among too many companies,” said Changlin Dou, Liu added that these products cannot be marketed as biosimilars director of biotechnology at Luye Pharma Group Ltd. in China because SFDA has not yet created a biosimilars “The returnees don’t know how to develop and manufacture pathway. Instead, the products follow the same regulatory biologics and biosimilars” according to international standards, pathway as novel biologics, he said. he said. However, because the copycats have the same generic names Luye primarily develops small molecules and traditional as the innovator products and are approved to treat many of Chinese medicine (TCM) but expanded into biologics in 2010 the same indications, they can be mistakenly perceived as when it acquired biologics CRO and manufacturer A-Bio Pharma biosimilars, said Greg Scott, founder and president of consultancy Pte. Ltd. Dou declined to disclose Luye’s biologics pipeline. ChinaBio LLC. Luye is headquartered in Singapore but has four R&D and/or “It might be better to think of the Chinese versions of production centers in China and markets multiple products innovator products as follow-on biologics or modified versions there. of the original product rather than biosimilars,” he said. “Another part of the problem is that many investors in China At least two companies in China market versions of etanercept don’t really understand what it takes — how much time, how to treat autoimmune indications. Shanghai CP Guojian Phar- much money — to bring a biologic or biosimilar to market,” said maceutical Co. Ltd. (CPG) markets Yisaipu to treat rheumaSee next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS MARCH 18, 2013 P AGE A10 OF 24 Product Discovery & Development, from previous page SciBX This Week ANALYSIS COVER STORY Squaring the RNA circle Two European teams have shown that circular RNAs are widely expressed in humans and have regulatory functions, although their biomedical relevance remains to be established. However, the continuing emergence of links between other noncoding RNAs and disease offers some promise. TRANSLATIONAL NOTES GSK goes deep with DPAc GSK’s Discovery Partnerships with Academia (DPAc) program is helping the pharma cast a wide net for early stage therapeutics beyond its core areas. So far this year, GSK has struck discovery deals with Vanderbilt University and The Hospital For Sick Children in severe obesity and cystic fibrosis, respectively. TARGETS & MECHANISMS Placing kinases in the WNT pathway A Boston-based team and a group led by Roche’s Genentech unit have each identified new kinase regulators of WNT signaling—YES1 and RIPK4, respectively—that provide two new, druggable targets. Each team will now look for the cancer subtypes most likely to respond to inhibitors of these kinases. TOOLS VentriGel goes into pigs Researchers at UCSD and Ventrix have developed a catheter-compatible hydrogel that restored cardiac function in a pig model with myocardial infarction. Ventrix is now scaling up manufacture of the hydrogel, called VentriGel, and hopes to take it into clinical trials by year end. THE DISTILLERY This week in therapeutics Treating medulloblastoma by inhibiting PlGF or NRP1; ameliorating vitiligo with a modified form of Hsp70; reducing migraine pain by inhibiting PNX1; and more… This week in techniques Detecting microRNA with hairpin-mediated quadratic enzymatic amplification; improving cancer vaccine efficacy via mucosal delivery; predicting disease progression by measuring the evolution of mutational heterogeneity in cancer samples; and more… FROM THE MAKERS OF BioCentury AND nature Request a Free Trial [email protected] Dou. “They just see the size of the market and the potential rewards.” Liu agreed. Most returnees, he noted, have experience only in research laboratories, not industrial experience in developing and manufacturing biologics. He added: “Like many of the returning scientists, investors don’t understand the complexity of biologic and biosimilar development. They don’t know what they’re getting into.” ChinaBio’s Scott was more sanguine about the prospects for the biosimilars. “There is some truth that expertise “The talent pool for among returnees is low and spread too biologics development thin, but this has is still poor and scattered been changing over the last several among too many years” as companies companies.” have been deliberately recruiting reChanglin Dou, Luye Pharma turnees with the needed expertise, he said. “According to the Chinese government, since 1978 there have been 1 million returnees across all industry sectors, 700,000 of whom have returned to China in just the last five years,” Scott said. ChinaBio estimates about one-fifth of all returnees have experience in life sciences. “So the lack of talent in biologics will only be a short-term constraining factor,” according to Scott. He noted that over the last four years, companies have been building biologics manufacturing facilities that are compliant with international GMP. Both Henlius and Innovent have or are building such facilities. “Our manufacturing facility was designed by an EU-based firm and will meet purity standards in the U.S., EU and Japan,” said Liu of Henlius. “We have already recruited key people with the necessary expertise to operate the facility.” Yu said Innovent has invested $200 million in building a German-designed facility that will meet international GMP standards. “The design was favorably reviewed by EMA and FDA,” he said. The manufacturing lines capable of producing material for preclinical development and initial clinical trials are already online, and the lines capable of producing larger quantities will be operational by early 2014, Yu said. “We have already hired a few individuals who have extensive experience at big biotech companies in the U.S.,” he added. Scott also noted that VC investment in China continues to rise. “In 2012, total investment across life sciences was $982 million, up from $572 million in 2011 and just under the all-time high of $1 billion in 2010,” he said (see “Entering New Domains,” A18). Investments in drug companies accounted for about 60% of the deals and 60% of the amount invested in 2012, Scott said. While ChinaBio does not break out figures for biologics and other sectors within the drug industry in China, “another driving factor is that the interest in novel biologics is also growing in China,” said Scott. “As companies build talent for developing See next page BioCentury, THE BERNSTEIN R EPORT ON B IOB USINESS Product Discovery & Development, from previous page and manufacturing novel biologics, so, too, will they build talent for biosimilars.” David Jiang, managing director at BIOCOM’s China Consulting initiative, said at least two other factors are driving growth of the biosimilars sector in China: government investments in the healthcare system and the biotech industry, and the growing number of middle-class consumers with in“Like many of the returning creasing purchasing scientists, investors don’t power and an increasing incidence understand the complexity of chronic diseases. of biologic and biosimilar BIOCOM is a trade association development.” representing life sciences companies in Scott Liu, Henlius Biotech southern California. “There is no doubt in my mind that China will become a major R&D base and major market for biosimilars,” Jiang said. “It’s just a question of when.” Thinking global Going forward, Scott and Jiang agreed the major hurdle for biosimilars development in China is SFDA. In general, the small size and inexperience of SFDA review staff has resulted in lengthy review times for clinical trials, even longer timelines for biologics than for small molecules, and other regulatory obstacles (see BioCentury, Feb. 25). More specifically, the agency has not created a pathway for biosimilars. “SFDA is short-staffed and has no real expertise in biologics,” Scott said. “Until the agency issues guidance for biosimilars and companies see what they have to do, it is hard to say how the sector will grow.” Last November, SFDA announced it would release guidance for biosimilars but has given no timetable for doing so. “They are moving in the right direction by developing an approval process for biosimilars,” said Jiang. However, companies like Henlius and Innovent aren’t waiting for SFDA’s guidance. Instead, they have chosen to develop biosimilars according to international standards. “At Henlius we follow EMA and FDA guidelines for biosimilars and strive to meet those standards because we intend to market our products globally,” Liu said. “We decided very early in the history of the company to make quality our first priority and do everything we can to meet international standards.” Thus, he said, “our biosimilar products have exactly the same amino acid sequence as the innovator products and we do extensive studies of glycan profiles and other structural features, biological function and purity to make sure our products are highly similar to the originals.” Henlius has two lead products: HLX01, a biosimilar of rituximab to treat non-Hodgkin’s lymphoma (NHL) and RA; and MARCH 18, 2013 P AGE A11 OF 24 HLX02, a biosimilar of trastuzumab to treat breast cancer. The company submitted INDs to SFDA for the products in December 2011 and December 2012, respectively. Liu said SFDA takes about 18 months to review an IND. Thus he expects a response to the HLX01 IND by mid-2013 “There is no doubt in my and the HLX02 IND mind that China will become next year. “We’ve already a major R&D base and started discussions major market for biosimilars. with companies in Korea, Turkey, PoIt’s just a question of when.” land and Russia as partners to market David Jiang, BIOCOM our products outside China at the same time as we market them in China,” he added. Innovent’s lead product, IBI301, is also a biosimilar of rituximab developed in accordance with international standards, Yu said. Last year the company submitted an IND to SFDA for IBI301 to treat NHL, chronic lymphocytic leukemia (CLL) and RA. Innovent expects SFDA to complete its review of the IND in 2014. Yu said Innovent plans to market IBI301 in China first, then find an international partner to help market globally. Innovent is in discussions with an undisclosed potential partner, he said. In addition to IBI301, Innovent has other undisclosed biosimilars and novel biologics in preclinical development. Biogen Idec and Roche’s Genentech Inc. unit market Rituxan rituximab, a chimeric mAb against CD20 antigen, to treat NHL, CLL and RA. Genentech and Roche’s Chugai Pharmaceutical Co. Ltd. unit market Herceptin trastuzumab, a humanized mAb against EGFR2 (HER2; ErbB2; neu), to treat breast and gastric cancers. COMPANIES AND INSTITUTIONS MENTIONED Abbott Laboratories (NYSE:ABT), Abbott Park, Ill. AbbVie Inc. (NYSE:ABBV), Chicago, Ill. Amgen Inc. (NASDAQ:AMGN), Thousand Oaks, Calif. BIOCOM, San Diego, Calif. Biogen Idec Inc. (NASDAQ:BIIB), Weston, Mass. ChinaBio LLC, Shanghai, China Chugai Pharmaceutical Co. Ltd. (Tokyo:4519), Tokyo, Japan European Medicines Agency (EMA), London, U.K. Genentech Inc., South San Francisco, Calif. Henlius Biotech Co. Ltd., Shanghai, China Innovent Biologics Inc., Suzhou, China Luye Pharma Group Ltd., Singapore Pfizer Inc. (NYSE:PFE), New York, N.Y. Roche (SIX:ROG; OTCQX:RHHBY), Basel, Switzerland Shanghai Celgen Biopharmaceutical Co. Ltd., Shanghai, China Shanghai CP Guojian Pharmaceutical Co. Ltd., Shanghai, China State Food and Drug Administration (SFDA), Beijing, China Takeda Pharmaceutical Co. Ltd. (Tokyo:4502), Osaka, Japan 3SBio Inc. (NASDAQ:SSRX), Shenyang, China U.S. Food and Drug Administration (FDA), Silver Spring, Md. Stay Alert with BioCentury: A Custom Publications Alert Service