Neupogen Off-Label Use Complicates Data Extrapolation For Sandoz’s Biosimilar

Amgen’s biologic is often used off-label in healthy stem cell donors; advisory committee members distinguished between some Neupogen indications in discussing whether extrapolation was appropriate.

FDA will take into account a reference biologic product’s off-label use in considering whether the totality of the evidence supports approval of a biosimilar, the agency suggested at the first advisory committee review of a 351(k) application.

During the Oncologic Drugs Advisory Committee’s Jan. 7 meeting on Sandoz Inc.’s Zarxio – a proposed biosimilar of Amgen Inc

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