Biosimilars Flashcards

1
Q

Biologic

A
  • a substance that is made from a living organism or its products
  • are developed in living systems, including bateria, yeast, and mammalian
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2
Q

biosimilar

A

demonstrated to be a similar to a brand name drug already authorized for sale (known as the reference biologic drug)

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3
Q

generics

A
  • small drug molecules
  • chemically synthesized
  • mechanism of action well understood
  • can be duplicated exactly
  • active ingredient is chemically IDENTICAL to reference product
  • approved on the basis of analytical similarity and bioequivalence
  • generally inert
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4
Q

biosimilars

A
  • large complex molecule
  • manufactured in living systems
  • may not be well understood
  • cannot duplicate EXACTLY
  • active ingredient is HIGHLY SIMILAR to reference product
  • approved on the basis of extensice in vitro comparability testing and reduced non-clinical and clinical comparability testing
  • potential to induce antibody response (immunogenicity)
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5
Q

types of drugs with biosimilars

A
  • Insulin
  • Low molecular weight heprin
  • biologics for diseases such as psoriasis, rheumatoid arthritis, crohn disease, ulcerative colitis (adalimumub)
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6
Q

insulin biosimilar

A

insulin lispro, insulin aspart

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7
Q

low molecular heprin biosimilar

A

enoxaparin

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8
Q

Albertas Biosimilar Initiative has expanded the use of biosimilars by replacing biologic drugs with their _______ versions whenever possible

A

biosimilar

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9
Q

enoxaparin biosimilars for thromboembolic disorders

A
  • inclunax
  • noromby
  • redesca
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10
Q

Insulin lispro biosimilar for diabetes

A

Admelog

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11
Q

Insulin aspart biosimilar for diabetes

A

Trurapi

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12
Q

Adalimumab biosimilars

A
  • amgevita
  • hadlima
  • hulio
  • hyrimoz
  • idacio
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13
Q

adalimumab and biosimilars are used to treat

A
  • ankylosing spondylitis
  • plaque psorasis
  • hidradenitis suppurativa
  • psoriatic arthritis
  • crohns disease
  • ulcerative colitis
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14
Q

are biosimilars safe and effective

A

yes

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15
Q

who is responsible for monitor the saftey, efficacy and qualityof all new drugs on the market including biologics and biosimilars

A

Health Canada

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16
Q

for a biosimilar drug to be approved, Health Canada must find

A
  • no meaningful differences in safety and efficacy compared to the biologic originator
17
Q

Nocebo Effect

A
  • changes in a patients symptoms or physiological condition that occur because of the clients anticipation of treatment
  • suboptimal outcomes and non-adherance