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Biologics have revolutionised the treatment of many severe
conditions, delivering exceptional clinical results but also
producing exceptionally high prices. As patents expire, copies and
price competition are expected throughout the world. However, due
to the intrinsic heterogeneity and molecular complexity of biologic
medicinal products, their copies cannot simply be authorized under
the "generic rule" valid for small chemical entities. In response,
a dedicated regulation was issued in the European Union. It is
based on the concept of "biological medicinal products similar to a
biological reference product", or "biosimilars". This book analyses
the context of biotechnological production and addresses the
European legal framework for biosimilar market approval. It
highlights post-market authorisation issues, such as Risk
Management Plans and substitution of products, and outlines some
other issues, such as cost management and international
nomenclature. This book is primarily intended for hospital-based
physicians and pharmacists. It will also be a valuable resource for
all actors from all countries who want to better understand the
emergence of these new medicinal products within the European
context.
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