Pre-Market Development Times for Biologic Versus Small-Molecule Drugs

Beall RF, Hwang TJ, Kesselheim AS - Nature Biotechnology

  • Innovation Incentives and Competition

Summary:

Using key patent filing dates to measure total development time, the authors found that biologic drugs did not spend significantly longer in development than small-molecule drugs before FDA approval—challenging the legislative rationale behind the 12-year exclusivity period granted to biologics under the BPCIA, which was justified in part by presumed longer development timelines. These findings have important policy implications for ongoing debates about biologic exclusivity periods in both domestic legislation and international trade agreements.

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The Impact of Semantics in Medicines Regulation

Costa E, Kesselheim AS - Journal of Law, Medicine, & Ethics

  • Innovation Incentives and Competition
  • Regulation and Clinical Evidence
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Delisted Patents on Pharmaceuticals, 1998-2024

Kirby-Rivera L, Feldman WB, Kim M, Kosmopoulou G, Kesselheim AS, Tu SS - Journal of Law, Medicine, & Ethics

  • Innovation Incentives and Competition
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Delays in Access to Generic Semaglutide Point to Key Missing Pieces in Canada’s Drug Approval System

Eisenkraft Klein D, Kesselheim AS - Health Policy

  • Innovation Incentives and Competition
  • Regulation and Clinical Evidence
Canada approved its first generic semaglutide nearly four months after market exclusivity expired, with delays arising from the absence of clear standards for demonstrating equivalence between fully synthetic generics and the brand-name product. Regulators should publish equivalence standards so manufacturers can build the required evidence into their initial submissions, helping lower-cost alternatives reach patients sooner.
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