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Therapeutic Applications of Biosimilar Monoclonal Antibodies: Systematic Review of the Efficacy, Safety, and Immunogenicity in Autoimmune Disorders Publisher Pubmed



Mirjalili SZ1, 2 ; Sabourian R1, 2 ; Sadeghalvad M3, 4 ; Rezaei N2, 3, 4
Authors
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Authors Affiliations
  1. 1. Department of Drug and Food Control, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  3. 3. Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Source: International Immunopharmacology Published:2021


Abstract

Purpose: Biosimilars are biological products that could be used instead of reference biological drugs to provide a less costly option for treating patients with autoimmune disorders. With the introduction of biosimilar monoclonal antibodies into the drug market, the main concern is confirming the similarity in terms of efficacy, safety, and immunogenicity of these biosimilars with their reference products. The presence of valuable comparative clinical trials to demonstrate these similarities with analytical methods is challenging. This review discusses the similarity between biosimilar mAbs and reference products as candidates for autoimmune diseases. Methods: Data on efficacy endpoints, adverse events, production of anti-drug antibodies (ADAs), and neutralizing antibodies (nAbs) were collected from trials. Findings: Overall, these data suggest the similarity between biosimilar mAbs and reference products in terms of safety and efficacy. Implications: Biosimilars are used in a wider range of diseases, and by examining their similarities in all those diseases with reference drugs, more comprehensive results can be obtained. © 2021 Elsevier B.V.
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