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Company
Could Lilly Retatrutide be a game-changer for obesity drug?
by
Nho, Byung Chul
Aug 14, 2023 05:21am
Attention is focusing on whether Eli Lilly can commercialize another blockbuster drug in the global obesity drug market worth 13 trillion won by entering phase 3 clinical trials for new drug candidates, Orforglipron and Retatrutide. According to related industries, the Ministry of Food and Drug Safety approved the phase 3 clinical trial to confirm the effect of once-weekly administration of Retatrutide in obese or overweight type 2 diabetes subjects in mid-March last month. Orforglipron also recently announced the results of its phase 2 clinical trial through the American Diabetes Association and is preparing for a global phase 3 clinical trial. Both candidates are a class of glucagon-like peptide-1 (GLP-1) receptor agonists that mimic hormones produced in the gut lining, which slow down digestion and act on receptors in the brain to reduce appetite and thus promote weight loss. is a mechanism that shows Retatrutide showed a weight loss effect of 24.2% after 48 weeks in the 12mg group, the highest dose, in a phase 2 clinical trial conducted on 281 diabetic patients aged 18 to 75 years. Orforglipron showed a practical pharmacological effect on weight management in phase 2 clinical trials and is expected to be released at a lower price compared to existing treatments because it is easy to produce as a non-peptide oral tablet. Two of the existing obesity treatment drugs contain Semaglutide and Tirzepatide, which are sold under the product names of Novo Nordisk Wegovy and Lily Mounjaro, respectively. According to the announcement of the American Diabetes Association, orforglipron·retatrutide has advantages over Wegovy and Mounjaro, such as high weight loss effect, low price, and ease of administration. Obesity drugs containing Semaglutide and Tirzepatide are effective in reducing body weight and blood sugar and alleviating high blood pressure but have the disadvantage of requiring weekly injections, being difficult to manufacture, and having high production costs because they are in the form of peptides. Novo Nordisk plans to develop an oral treatment for GLP-1 series Wegovy within the year and obtain US and European approval and is expected to compete with Retatrutide. This triple agonist simultaneously activates GLP-1, GIP, and glucagon receptors. GLP-1 promotes insulin secretion to lower blood sugar, suppress appetite, and reduce the rate of food excretion from the stomach and is used as a treatment for diabetes and obesity. Lilly's GLP-1 GIP dual agonist Mounjaro confirmed a 22.5% reduction effect when administered at the highest dose of 15 mg/0.5 ml for 72 weeks in obese patients without diabetes. It is approved only as an adjunct to diet and exercise therapy.
Company
Imbruvica passed the drug reimbursement evaluation committee
by
Eo, Yun-Ho
Aug 11, 2023 05:36am
Imbruvica, a blood cancer treatment, has made progress in discussing the expansion of insurance benefits about a year after passing the cancer disease review committee. According to the related industry, Imbruvica's first-line indication for chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) passed the HIRA drug reimbursement evaluation committee on the 3rd. Imbruvica's primary therapy indication was presented to the review committee three times from October 2021 to June 2022, but it did not pass. After that, it passed the review committee in September of last year and passed after being presented to the drug evaluation committee in August 2023. In the meantime, there have been many opinions about the need to expand benefits in the medical field. The HIRA is also judged to have no problem in terms of clinical usefulness, so it is considered that an appropriate financial sharing plan was presented at this Drug Evaluation Committee. Imbruvica demonstrated a survival benefit in CLL patients as a first-line monotherapy in the phase 3 studies 'RESONATETM' and 'RESONATETM-2'. These phase 3 clinical trials were the results of research sponsored by the NCI under the NIH, and 354 patients with an average age of less than 70 years and no prior anticancer treatment experience were enrolled in the clinical trials. As a result of the 48-month follow-up, 73% of the Imbruvica combination patient group continued Imbruvica treatment for 43 months. In particular, in the Imbruvica combination group, the risk related to PFS was reduced by 61% compared to current chemotherapy, and the risk in OS benefit was significantly reduced by 66%. Imbruvica is an oral BTK inhibitor developed for the first time and taken once a day. In Korea, it has been used in most secondary treatments for relapsed/refractory chronic lymphocytic leukemia since it was registered as a benefit in April 2018. It can be used as monotherapy, in combination therapy with obinutuzumab in previously untreated chronic lymphocytic leukemia patients younger than 65 years of age with comorbidities or at high risk.
Company
Will Darzalex be reimb as 2nd-line treatment for MM?
by
Eo, Yun-Ho
Aug 11, 2023 05:35am
Whether progress will be made on the discussions on extending reimbursement of the multiple myeloma treatment ‘Darzalex’ as second-line treatment is gaining attention. According to industry sources, Janssen Korea is reattempting to apply for reimbursement of its 'Darzalex (daratumumab)' to be reviewed by the Health Insurance Review and Assessment Service's Cancer Disease Deliberation Committee. The company had succeeded in setting reimbursement standards for Dazarlex as first-line therapy for multiple myeloma in combination with Velcade® + thalidomide + dexamethasone (DVTd), and the agenda is awaiting deliberation by the Drug Reimbursement Review Committee (DREC) soon. However, the drug failed to receive reimbursement standards as second-line therapy at the DREC level in March for its DRd (daratumumab+lenalidomide+dexamethasone), DVd(daratumumab+bortezomib+dexamethasone), and DKd (daratumumab+carfilzomib+dexamethasone) indications. Therefore, whether the company will succeed in extending the much-needed Darzalex’s reimbursement to the second line this time remains a focus of attention. The NCCN and ESMO guidelines recommend Darzalex as part of standard first- and second-line combination therapy for multiple myeloma and as part of the first-line DVTd therapy in patients who are eligible for autologous stem cell transplant. Darzalex is a human monoclonal antibody that targets CD38, a cell surface protein that is overexpressed on multiple myeloma (MM) cells. The drug induces direct celluar apoptosis via ▲ complement-dependent cytotoxicity (CDC), ▲ antibody-dependent cell-mediated cytotoxicity (ADCC), ▲ and antibody-dependent cellular phagocytosis (ADCP) triggered complement-dependent cytotoxicity (CDC).
Company
Lotte Biologics advances CDMO Biz with Roche Diagnostics
by
Jung, Sae-Im
Aug 10, 2023 05:33am
On the 9th, Lotte Biologics announced that it had recently signed a Memorandum of Understanding (MOU) with Roche Diagnostics, the diagnostic division of the Roche Group, to advance the productivity and quality of its Contract Development and Manufacturing Organization (CDMO) business. The MOU, which was signed at Penzberg, where Roche Diagnostics Custom Biotech Center is located, aims to enhance the productivity and quality of Lotte Biologics’ pharmaceutical production. Won-jik Lee, CEO of Lotte Biologics, Rainer Mueller, Vice President of Roche Diagnostics Custom Biotech, and Kit Tang, General Manager of Roche Diagnostics Korea, attended the signing ceremony. Under the agreement, the two companies will collaborate in various areas, including the establishment of hardware and automation systems for the production process design of Lotte Biologics’ Mega Plant, as well as technical consulting and equipment support. The companies also plan to prepare a training program for the smooth operation of the ‘Bio-Venture Initiative’ that will be established in the Mega Plan Complex to support the preparation of a forum for technology development cooperation between bioventure companies. Won-jik Lee, CEO of Lotte Biologics, said, “Through the MOU, we plan to reinforce the production process capability of our company’s Mega Plant with Roche Diagnostics. Also, we hope that our collaboration with the global in-vitro leader Roche Diagnostics will create synergy and facilitate smooth operation of our Mega Plant, thereby improving the efficiency of our business while fulfilling customer needs."
Company
Generic drugs occupy over 70% of tamsulosin market
by
Kim, Jin-Gu
Aug 10, 2023 05:33am
The share of generic drugs in the market for prostatic hyperplasia treatments that contain tamsulosin exceeded 70%. This is interpreted as an effect of the rapid rise in generic sales while the prescription performance of original products slowed down. One variable in this market is impurities. At the end of June, impurities were detected in some products, initiating voluntary recalls. However, as only one product made the voluntary recall, its impact on the overall market is not significant yet. Prescription of tamsulosin generics rise 18% in one year... market share exceeds 70% According to the market research institute UBIST on the 9th, the outpatient prescription market for tamsulosin single-agent prostatic hyperplasia treatments in 1H recorded KRW 107.2 billion. The market increased by 10% from KRW 97 billion in 1H last year. The growth of generic products in the market led to the expansion of the overall market size. In 1H this year, the combined prescriptions for tamsulosin generics amounted to KRW 74.9 billion, an 18% increase from the past year. On the other hand, prescriptions of the original product Harnal-D decreased by 3% from KRW 33.4 billion in 1H last year to become KRW 32.3 billion in 1H this year. Prescription Performance of Tamsulosin Drugs for BPH While sales of the original drug slowed down, sales of generics rose rapidly. As a result, the share of generics in this market exceeded 70% for the first time. The quarterly share of generics exceeded 50% in Q3 2018 and then expanded further to exceed 60% in Q2 2021. Then, in the second quarter of this year, it exceeded 70%. The share of generics in the market reached 70.2% in Q2 this year. Sales of Hanmi Tams·Taminal·Bearosin rise over 10%…sales of combo drug Duodart rise rapidly Prescription performance of most of the major generic products increased by more than 10% during the past year. Hanmi Pharm’s 'Hanmi Tams' and 'Hanmi Tams OD’ recorded the highest prescription performance among generic tamsulosin drugs in 1H this year. The combined prescription of the two products in 1H this year recorded KRW 19.2 billion, up 11% from the KRW 17.3 billion the two drugs had made in 1H last year. In particular, prescriptions of Hanmi Tams OD rose from KRW 4.6 billion to KRW 6.2 billion in one year, driving the growth of the entire product line. Hanmi Tams OD is an orally disintegrating tablet version of Hanmi Tams, which is a capsule formulation. In addition, the prescription performance of all products with half-year prescriptions that exceed KRW 2 billion increased by more than 10%. Sales of Genuone Science's 'Taminal' increased by 11% from KRW 3.7 billion to KRW 4.1 billion, and Daewoong Bio's 'Bearosin' increased by 25% from KRW 2.8 billion to KRW 3.5 billion. Prescriptions of DongKoo Bio&Pharma’s ‘Uropa,’ Celltrion Pharm’s ‘Tamsol (30%↑)', Kyung Dong Pharma’s ' Uronal (14%↑)', Dongkook Pharmaceutical’s ' Tarunal (26%↑)', Huons’s ' Tamlusindi (19%↑)' had also increased relatively greatly. One product that stands out is GSK’s ‘Duodart.’ Duodart is a combination of tamsulosin and another prostatic hyperplasia drug dutasteride. Prescriptions of Duodart had only reached KRW 0.9 billion in 1H last year, but sales had risen by more than 7 times in one year to KRW 6.7 billion. GSK released the product in Q1 last year. The variable that remains in the market is impurities. Last June, Huons voluntarily recalled some lot numbers of its Tamlusindi. This was a voluntary recall made to address concerns related to the detection of excess N-nitroso tamsulosin impurities. However, the voluntary recall was limited to Huons. No cases of voluntary recall have been reported since then. In the current situation, the impact of the impurity issue is not expected to be significant. Specifically, how much the impurities will affect the overall tamsulosin market may be revealed at the end of this year.
Company
Patent dispute over Entresto's patents continue
by
Kim, Jin-Gu
Aug 10, 2023 05:33am
Pic of Entresto The patent dispute over ‘Entresto (sacubitril/valsartan),’ a chronic heart failure treatment with an annual prescription of more than KRW 40 billion, has been ongoing for over 2 years now. Novartis, the company that owns the original drug, is actively pursuing a defense strategy against generic companies' patent challenges. Novartis appealed after losing the 1st trial, and three cases are being tried in the second trial. Some of the results are expected to be pronounced next month. According to industry sources on the 8th, Novartis filed a trial revocation litigation against Hanmi Pharm and Elyson Pharm regarding Entresto’s salt·hydrate patent (10-1549318). After losing to generic companies in the Intellectual Property Trial and Appeal Board (1st trial), the company filed an appeal to the Patent Court of Korea against the ruling. Due to Novartis' appeal, the number of patent disputes in the second trial increased to 3. In addition to the salt and hydrate patents, Novartis and generic companies are in dispute in the Patent Court of Korea the crystalline form patent (10-1432821) and composition/use patent (10-0984939) of Entresto. Entresto is protected by 6 patents: ▲salt and hydrate patent that expires in November 2026, ▲use patent that expires in July 2027, ▲crystalline patent set to expire in September 2027, ▲composition patent set to expire in November 2028 (10-1700062), ▲another composition patent set to expire in January 2029 (10-1589317), and ▲a use patent set to expire in 2033 (10-2159601). Among the 6 patents, generic companies have succeeded in nullifying or avoiding 2 patents. The results of the two were finalized after the generic companies won the first trial and Novartis did not file an appeal. In the case of the use patent that expires in 2033, the patent was listed after generic companies applied for marketing authorization of their generics. The generic companies have also succeeded in winning against Novartis in the first trial for the other 3 patents as well. However, Novartis chose to appeal and proceed to the Patent Court of Korea for all 3 cases. The Patent Court of Korea announced that it will make a ruling on the crystalline patent on the 14th of next month. This means that the outline of the second trial rulings regarding the Entresto patent dispute will be revealed next month. After this ruling, the other 2 rulings are expected to be made until next year. If the party that loses the 2nd trial decides to go on to the Supreme Court, the Entresto patent dispute is likely to be prolonged to more than 4 years. Since 2021, generic companies have been filing trials against Entresto's patents. Starting with Elyson Pharm, about 10 companies including Hanmi Pharm, Chong Kun Dang, and Daewoong Pharmaceutical jumped into the dispute. Meanwhile, according to the market research institute UBIST, Entresto's outpatient prescriptions amounted to KRW 42.5 billion last year. Entresto has shown rapid growth in the market, increasing prescription sales by nearly KRW 10 billion every year. Its prescription performance, which recorded KRW 5.5 billion in 2018, increased to KRW 14.3 billion in 2019, KRW 22.4 billion in 2020, then to KRW 32.4 billion in 2021.
Company
Chong Kun Dang/Cell Biotech, big match in the MicrobiomeCDMO
by
Nho, Byung Chul
Aug 08, 2023 05:30am
It is expected that CKD Bio and Cell Biotech will compete to expand the related market in the microbiome drug CDMO (Contract Development Manufacturing) field. According to the Korea Institute of Science and Technology Information, the global market for human microbiome is expected to reach 1,743.8 billion won in 2029 with a rapid average annual growth rate of 31% from the current 343.4 billion. The size of the domestic market is expected to grow from 8 billion won last year to 48 percent annually, reaching 25.9 billion won in 2029. Chong Kun Dang Bio was the first to identify the blue ocean potential and set out to preoccupy the market. CKD Bio continues to invest in clinical trials and commercialization of various microbiome treatments based on its microorganism-related R&D and manufacturing capabilities accumulated over the past 50 years. CKD Bio is believed to have signed a business agreement with KoBioLabs in 2015 for microbiome research and customized probiotics development and is developing and producing therapeutics to be used in preclinical microbiome trials. CKD Bio has been developing probiotics products, such as acquiring a patent for a culture technology that increases the stability of lactic acid bacteria in March 2016. In November of last year, it signed a CDMO contract with Bifido, an Amicogen affiliate, for BFD1R, a candidate for rheumatoid arthritis microbiome treatment. Candidate substance strain BFD1R is a new concept treatment that can treat rheumatoid arthritis by controlling the abnormal immune function of patients with rheumatoid arthritis and is securing indications related to various autoimmune diseases (Sjogren's syndrome, lupus, ankylosing spondylitis, etc.). Cell Biotech, which has 28 years of research know-how, entered into the CDMO business in earnest by signing a business agreement with Biomi last month to develop and commercialize microbiome-based microbial treatments. Joint projects are broadly classified into various forms of cooperation for the development of new microbiome drugs, such as ▲ manufacturing and quality control tests for clinical trials,▲ sharing materials for microbial treatment, ▲ and sharing experiences for IND approval. Based on its multistrain technology, BioMe has five new drug development pipelines, including BM111, an antibiotic-resistant bacterial infection treatment, and BM109, a cardiovascular disease treatment. Cell Biotech is developing PP-P8, a colorectal cancer treatment, based on its expertise in researching various functionalities of Korean lactic acid bacteria. Cell Biotech, in particular, invests around 10% of its sales in R&D every year and is actively developing new drugs. In the meantime, Cell Biotech has been hinting at a strategy to preoccupy the CDMO business of domestic microbiome-related pharmaceutical strains, such as securing strain mass production technology and directly constructing a biologic drug factory to directly supply new drugs necessary for clinical trials.
Company
Union Korea Pharm agrees to export 8 drugs to Jurabek
by
Lee, Seok-Jun
Aug 08, 2023 05:30am
Union Korea Pharm signed an agreement to export 8 types of drugs with its Uzbekistan partner, Jurabek Laboratories. According to the company on the 7th, the 8 export items include the company’s representative antibiotics and injections such as Atrasen Tab, Serokfen Tab, Uni-Minoxidil Tab, Atorvan Tab, Kefodon Inj, and Amikacin Inj. The local pharmaceutical company, Jurabek Laboratories, will bear the product registration and marketing costs in Uzbekistan. Jurabek plans to expand sales to neighboring countries in Central Asia (Kazakhstan, Tajikistan, Turkmenistan, etc.). in the future. Union Korea Pharm established a joint venture with Jurabek in May last year. Due to the time required to establish the plant and manufacturing facilities, the companies decided to cooperate by exporting drugs produced in Korea first. The 8 items exported this time are a part of the agreement. Byung Ha Back, President and CEO of Union Korea Pharm, said, “We will increase our presence in the global market based on the excellent quality of our products that are recognized around the world.” Union Korea Pharm achieved a surplus for the first time in three years last year, powered by increased sales of its antibiotics and cold medicines and improved profits and losses structure due to the normalization of utilization rates of its new plant. The company’s total sales exceeded KRW 60 billion for the first time. Analysts predict that the new plant (Munmak Plant 2) that the company invested KRW 30 billion on will drive the company’s performance in the future. The Munmak Plant 2 has secured 2.5 times the production capacity of Plant 1 and owns two lines for injection manufacturing (30 million ampules/year) and one line for solid drugs (500 million tablets/year). After receiving GMP certification in 2H 2021, the company has been increasing the plant’s utilization rate since 2022. More than KRW 100 billion in new sales could be generated when the second plant is fully operated. As of the end of last year, the plant's utilization rate was 80%. At the end of Q1 this year, the rate rose to 85%, and the rate is expected to rise to 90% by the end of this year.
Company
Immuno-anticancer drugs have brought us closer
by
Jung, Sae-Im
Aug 08, 2023 05:30am
Product photos of Opdivo (left) and Keytruda Immuno-anticancer agents are active in early lung cancer. Following 'Opdivo (Nivolumab),' which obtained the indication for adjuvant therapy before surgery for the first time, 'Keytruda (Pembrolizumab)' is also seeking to expand its scope as adjuvant therapy before and after surgery. The data shown by immuno-anticancer drugs in early lung cancer were surprising. When chemotherapy and CCRT were used, 'pCR', which was seen in 1 or 2 out of 100 patients, increased more than 10 times. In the case of Opdivo, a pCR of 24% was recorded in CheckMate-816 phase 3, significantly improving the 2.2% of the chemotherapy alone group. At 3 years, EFS was 57%, exceeding the control group's 43%. Keytruda also had an event-free survival rate of 62.4% at 2 years, which was significantly higher than that of the control group, 40.6%. The mPR and pCR ratios were 30.2% and 18.1%, respectively, demonstrating a greater improvement than the control group of 11% and 4%. Lee Se-hoon, a professor of hemato-oncology at Samsung Seoul Hospital, said in a recent interview with Daily Pharm, "If Opdivo caused a 'frenzy' as an adjuvant therapy before surgery, Keytruda gave the answer that it is helpful for patients to use immuno-oncology for a certain period after surgery." “We are now able to take a step closer to the goal of complete cure with immuno-oncology,” he said. Lee Se-hoon, professor at Samsung Seoul Hospital The effects of immuno-anticancer drugs shown in clinical trials are being reproduced in the actual field. Professor Lee explained, "When Gefitinib, the first EGFR-targeted anti-cancer drug, came out as a fellow in the past, I was very surprised that the prognosis of patients improved significantly. I am feeling the emotions I felt then once again as I look at adjuvant therapy before and after immuno-anticancer drug surgery." He said, "The professors of the Department of Pathology were also surprised to see that there were so many 'cancer-free' cases when they did a PET scan after immuno-anticancer treatment. Not only did the pathological CR increase, but I felt that the overall response improved." If Opdivo showed significant improvement in adjuvant therapy before surgery for the first time, Keytruda could improve the prognosis even for patients who have not reached complete pathological remission if they use immuno-anticancer drugs for one more year as adjuvant therapy after surgery. Proven. While the Opdivo study used only adjuvant therapy before surgery and there was no follow-up treatment after surgery, Keytruda's KEYNOTE-671 study used up to 4 cycles of Keytruda + chemotherapy on patients before surgery and performed Keytruda alone after surgery. The design was designed to use up to 13 cycles of therapy. Opdivo EFS and pathological pCR data (source BMS) As a result of analyzing EFS, the primary endpoint, according to pathological complete remission status, EFS improved regardless of whether or not complete remission was achieved. Patients who did not achieve pCR by administering immuno-anticancer drugs before surgery and administered Keytruda after surgery reduced the risk of disease recurrence, progression, or death by 31% compared to the control group. Professor Lee said, "I knew that immunotherapy before surgery would be of great help from the Opdivo study, but there was no answer for postoperative treatment. Because the clinical design was designed to use Opdivo only as an adjuvant therapy before surgery, Treatment was a situation where clinicians had to take care of themselves, so everyone was interested in how to treat patients who did not achieve complete remission.” The Keytruda study provided answers to questions raised in the clinical field. Professor Lee said, “I was convinced through the KEYNOTE-671 study that the use of immuno-anticancer drugs after surgery is helpful even in the group that did not show pCR,” and “If you look at the EFS graph, the group that did not achieve pCR used Keytruda. You can see that the graph is clearly wider than the group that did nothing." EFS trend following pathological complete remission with Keytruda (data ASCO) There are many aspects to be discussed about adjuvant therapy before and after surgery of immuno-anticancer drugs that have just begun to be used in the field. Representative examples include use in patients with major mutations such as EGFR and ALK, and screening of patients who may experience difficulty in surgery with little improvement when using immuno-anticancer drugs before surgery. However, he said, it is self-evident that immuno-anticancer drugs are being used for early lung cancer and are getting closer to the goal of a complete cure. Professor Lee said, "The title of the 'ASCO' session, which included the KEYNOTE-671 research presentation, was 'The Promise of Neoadjuvant Immunotherapy Across Solid Tumors'. As in the usual case, this study was not included in the lung cancer session. Here, preoperative adjuvant immunotherapy for lung cancer You can notice the meaning of therapy. It means that immuno-anticancer drugs have begun to actively intervene in the goal of complete recovery with adjuvant therapy before surgery. I am happy to think that it has shown a major change in the cancer treatment paradigm."
Company
‘Competitors eye Eylea due to its many benefits’
by
Jung, Sae-Im
Aug 08, 2023 05:30am
The fact that many companies are concentrating on the development of Eylea biosimilars is proof of the many advantages owned by Eylea. We plan to continue to make known the strengths of Eylea while developing new products to continue to deliver on our patient and HCP-centric treatment strategy.” Sangok Suh, Head of the Specialty Medicine business unit at Bayer Korea said so regarding Eylea’s off-patent strategy during an interview with DailyPharm. Sangok Suh, Specialty Medicine BU Head, Bayer Korea The anti-VEGF inhibitor Eylea is regarded as the long-standing powerhouse in the field of macular degeneration. The drug has been solidifying its lead in the market ever since it was approved in Korea in 2013. According to the market research institution IQVIA, Eylea’s annual sales reached KRW 80.4 billion last year. This is a 14% increase over the previous year. Even in the 10th year of approval, the drug has been showing off its unwavering potential, recording double-digit growth. However, like all other new drugs, Eylea is also facing challenges from competitors. This year, the first new bispecific antibody drug for macular degeneration, ‘Vabysmo’, was introduced to Korea, and the domestic patent for Eylea is set to expire in January 2024. Although no direct competition has been made between the two, changes are expected to arise at the end of the year. Vabysmo received conditional approval from the Health Insurance Review and Assessment Service’s Drug Reimbursement Evaluation Committee in July. The committee deemed the drug’s reimbursement adequate if the company accepted a price lower than the evaluated price. Therefore, if the drug pricing negotiations progress without issues, the drug is expected to be listed in 2H this year. In addition, domestic pharmaceutical and bio companies have been applying for the approval of their biosimilars that target Eylea’s patent expiry. Celltrion, Samsung Bioepis, Sam Chun Dang Pharm, and Alteogen are nearly at the end of developing their Eylea biosimilars. The imminent challenges are set to inevitably complicate the marketing strategy for Eylea. In this changing environment, Suh expressed her determination to stick to the basics. Suh plans to further appeal to the strengths of Eylea, the drug that had established the T&E(Treat&Extend) treatment regimen as a standard treatment in the field of macular degeneration. Eylea was the first drug that allowed patients to adjust their treatment interval according to the patient's condition using the T&E regimen. Suh said, “Eylea has been at the forefront of change in macular degeneration treatment trends over the past 10 years. It has contributed to establishing anti-VEGF treatment as the standard of care and established a personalized treatment environment for patients by demonstrating the efficacy of flexible injection intervals. We wanted to raise awareness of the disease itself break the ‘'macular degeneration leads to blindness’ formula, and create an environment where patients receive early treatment for the disease.” As the representative macular degeneration treatment, Eylea has shown steady growth in Korea. Recently, the prefilled syringe formulation has been newly introduced, reducing the preparation time for drug administration, and enabling a more efficient and convenient treatment experience for the patients. The prefilled syringe formulation can be used with reimbursement for all indications approved for the existing Eylea 2mg formulation. Regarding the challenges being made by biosimilar companies, Suh said, “That in itself is proof of the many advantages owned by Eylea. Although we won’t be able to prevent the price cuts made on our drug due to the introduction of its biosimilars, we are confident that competitivity-wise, the market is still in favor of the original. Biosimilars usually make a bid at the market with their lower price. However, in the case of Eylia, we have a program in place that reimburses a certain level of expenses for diabetic macular degeneration, which takes care of about half of the patient's burden. Therefore, patients can enjoy the ‘cheap price’ benefit offered by the biosimilars while using the original drug. The clinical data and trust that Eylea has built over the past 10 years is a barrier that biosimilars cannot easily break down. Based on this, Suh emphasized that the company’s best defense strategy will be to focus on the unmet needs of patients and HCPs. Suh said, “The Eylea team needs to contemplate how to address the unmet needs of patients and HCPs to ultimately create a better treatment environment for the patients. That is the best defense strategy. We will work to make Eylea more widely available for various retinal diseases, including diabetic retinopathy, retinal vein occlusion, etc.
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