Demonstrating biosimilarity for insulin products in the US “should automatically generate an interchangeability designation”, according to comments submitted to the US Food and Drug Administration by Biocon as part of a consultation revolving around increasing access to and facilitating development of biosimilar and interchangeable insulins.
Under FDA guidance, on 23 March 2020, all FDA-approved insulins will switch from new drug application (NDA) status to 351(a) Biologics License Application (BLA) status – the pathway for original biologic applications, as opposed to the 351(k) BLA pathway for biosimilars – including ‘follow-on’ insulin products already approved under the 505(b)(2) NDA pathway