The prospect of generic versions of expensive biologic drugs, as
outlined in U.S. President Barack Obama's proposed budget Thursday,
is seen as inevitable, but it faces a long, tough road to
realization.
Biologic drugs are made by culturing specially engineered
organisms and no pathway for generic version exists in the U.S.,
but such legislation has been expected to be in Obama's agenda. If
such a law is passed, the producers of these complex generics will
likely face tough regulatory scrutiny, as well as high development
and marketing costs. Furthermore, many prominent biotech drugs will
remain under patent protection for a number of years.
"While we believe biosimilars are inevitable, the proposal did
not contain any new details on the path forward," Oppenheimer
analyst Bret Holley said in a note to clients. Like many, the firm
expects legislation to pass later this year.
Regardless, the very notion that these drugs could face
competition spooked investors Thursday. Amgen Inc. (AMGN) dropped
9.4%, Biogen Idec Inc. (BIIB) fell 5.7%, Celgene Corp. (CELG) lost
5.1% and Genzyme Corp. (GENZ) dropped 6.4%.
Christopher Raymond, an analyst with Robert Baird & Co.,
believes the market's reaction was overblown. Furthermore, he says
the included proposals aren't exceptionally harsh, and they could
be altered as the budget weaves its way through congressional
approval.
Tougher Road
Under current law, generic drug makers can receive approval of
copycat small-molecule drugs, like cholesterol-fighting statins,
after their five years of exclusivity expire. The administration's
budget says it will seek exclusivity for generic biologics that is
"generally consistent" with that limit.
Following the passage of legislation, the Food and Drug
Administration will likely determine the approval process for
biologic drugs and may do so on a case-by-case basis.
Because of their complexity, many drugs may be "biosimilars"
approved for the same uses but having their own brand name and not
be automatically substitutable for the original, as happens with
small-molecule generics.
In applying for approval, small-molecule generics show they have
the same active ingredient and the same action as the brand-name
version, which allows them to depend on the original clinical
trials and avoid having to pay for new ones.
But biologics are large proteins that are sometimes thousands of
times bigger than small-molecule drugs. Their manufacturing makes
them sensitive to minor changes in the process, potentially
altering their complicated structures and even how they work in the
body.
The FDA has shown it is sensitive to the issue and last year
decided that a version of Genzyme's Myozyme produced on a larger
scale had slight differences and had to be reviewed as a separate
product with clinical data. The larger-scale product will be called
Lumizyme, and Genzyme expects an FDA decision on its approval as
soon as Friday.
If generic biologics have their own brands, then pharmacists
won't be able to substitute them for the original, which means that
generic companies will be forced to market their version of the
drugs to physicians. Small-molecule drugs typically see generic
substitution as high as 90%, a level not expected with branded
generic biologics.
A Different Market
The cost of the marketing, and clinical trials to get approval,
would make the industry drastically different than that for
small-molecule drugs.
Cowen & Co. analysts that cover the biotech and generic drug
industry estimate that 2007 revenue from major biologic revenue
totaled about $25 billion. If all those products were made generic,
at a 30% to 50% price discount, the total generic market would be
$12 billion to $14 billion.
But with the lack of substitution, the firm only sees generic
penetration of 20% to 50%, which means that total revenue would be
$3 billion to $7 billion.
Aside from this, many drugs still have patent protection and
won't be open to competition unless that expires or is successfully
challenged in court by a generic drug, as is the small-molecule
model.
Some biologics face patent expiration in coming years, including
Biogen's multiple sclerosis drug Avonex, and Amgen and Wyeth's
(WYE) Enbrel for arthritis and psoriasis. But the story is
different for others: the patents on Genentech Inc.'s (DNA) cancer
blockbuster Avastin don't begin expiring until 2017 and Amgen's
Aranesp anemia treatment is protected until 2024.
These multiple barriers to entry to sell generic biologics would
likely limit the number of participants.
Last week, Teva Pharmaceutical Industries Ltd. (TEVA) Chief
Executive Shlomo Yanai estimated that producing a generic
small-molecule drug costs about $5 million to $10 million, while
developing a generic biologic will likely cost $100 million to $150
million. Building the plants to produce such drugs will cost $300
million to $400 million, he estimated.
"Generic biologics will only be for a few players," he said at a
meeting in New York. Teva is making a push into making such drugs,
but Yanai estimated that "only two or three" other companies will
likely pursue such a route.
The high cost means that entrants may actually come from within
the drug making industry itself, because the larger companies have
the necessary cash, the relevant marketing experience, and/or
already possess the technological capabilities.
In December, Merck & Co. (MRK) established a division to
develop generic biologics and devoted $1.5 billion in research and
development spending for the unit by 2015. Novartis AG's (NVS)
generic unit Sandoz is expected to enter the market as well because
of its parent company's technology and manufacturing
capabilities.
-By Thomas Gryta; Dow Jones Newswires; 201-938-2053;
thomas.gryta@dowjones.com