Pills, Biologics, Generics, Biosimilars
There are two distinct kinds of treatment medications: pills and biologics.
Pills are pure chemical substances with relatively small, simple and repeatable structures or formulas. They are easy to replicate due to their size, structure and controlled manufacturing processes. Many of doctor-prescribed or over-the-counter brand name pills can be produced and dispensed as "generics" after the patented period attributed to the manufacturer of the drugs expires. The generics work exactly like their brand name counterparts. The time it takes a generic drug to appear on the market varies.
Biologics, on the other hand, are treatments created from a variety of living cells and they are all but impossible to replicate. They are largely designed by genetically re-engineering DNA cells and are almost always injected into patients. Many biologic medicines work by providing proteins that healthy individuals possess, but patients lack; others target specific diseases. Because of the nature of biologics, there cannot be "exact copies" of them, only "similar copies." Hence, there are no "generic biologics," only "biosimilars."
Biologics represent the cutting edge of medical science in the U.S. and the world, and are being used to successfully treat some of the most severe diseases like cancer, heart disease, arthritis, AIDS and more. Benlysta, the lupus treatment approved earlier this year by the FDA, is a biologic.
In the U.S. patents for pills give 20 years of protection, but they are applied for before clinical trials begin, so the effective life of a pill patent hovers around 7 and 12 years. On the other hand, biosimilar products can be marketed after an innovative biologic has been available for 12 years, or after the patents expire.
First generation biologics will soon contend with an open market for similar versions of themselves. The U.S. currently has a legal pathway under the Public Health Service Act (PHSA) for approving biosimilars, although a formal regulatory process is still being established by the FDA.
Read more about biosimilars.
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