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David Lim, Julie Hepworth, Evan Siegel, Mieke van Driel, & Lisa Nissen

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1 David Lim, Julie Hepworth, Evan Siegel, Mieke van Driel, & Lisa Nissen
Interferon-free therapy for hepatitis C, how prepared is Australia for biosimilars? David Lim, Julie Hepworth, Evan Siegel, Mieke van Driel, & Lisa Nissen (C)

2 Standard treatment for Hepatitis C
Peginterferon alfa-2A PegasysTM; Roche 5 repeats Dispensed price $2, $2,747.09 Maximum safety net $36.10 Peginterferon alfa-2A with ribavirin Pegasys RBVTM; Roche Dispensed price $3, $3,452.99 PegatronTM; Merck Sharp & Dohme Dispensed price $2, $4,411.11 Triple combination therapy with either Boceprevir (VictrelisTM; Merck Sharp & Dohme) 200mg capsule, 336 capsules, 10 repeats Dispensed price $3,920.00 Telaprevir (IncivoTM; Jassen-Cilag) 375mg tablet, 42 tablets, 6 repeats Dispensed price $14,912.37

3 Schering-Plough/ Merck Tibotec Vertex C NS5A inhibitors AstraZeneca
Protease inhibitors AbbVie Achillion Boehringer Ingelheim Bristol-Myers Squibb Conatus Genetech/ Roche Gilead Sciences Merck Sharp & Dohme Schering-Plough/ Merck Tibotec Vertex C NS5A inhibitors AstraZeneca Can-Fite Chugai/ Roche/ Genetech Presidio Polymerase inhibitors Anadys Idenix Inhibitex Medivir/ Tibotec Pfizer Pharmasset Roche/ Genetech Vertez RNA interference Santaris Pharmaceuticals Cyclophilin inhibitors Novartis Synexis ABT-267 Clemizole Eiger BioPharmaceuticals Nitazoxanide Romark Laboratories Silibinin Buckwang Phgarmaceuticals Medical University of Vienna Mouunt Sinai School of Medicine National Centre for Complementary and Alternative Medicine University of Maryland University of North Carolina-Chapel Hill Novel interferons Amarillo Biosciences/ CytoPharm Biolex Therapeutics Bristol-Myers Squibb/ ZymoGenetics Digna Biotech Flamel Technologies HanAll BioPharma Vaccines Globeimmune Intercell AG Inovio/ Tripep Okairos Transgene Toll-like receptor stimulators Anadys Gilead Sciences Idera Pharmaceuticals Cytokines Cytheris Novelos Monoclonal antibodies Centocor Ortho Biotech Cure Tech Mass Biologics Peregrine Pharmaceuticals Photo: Microsoft, Clip Art

4 http://www. tevagenerics

5 National Prescribing Service, Evidence versus Hype workshop

6 http://ideas2market. wordpress

7

8 CC-BY Bruce Irving, FlyingSinger

9 © Dispensing Doctor Association, UK. Used with permission.

10

11 Nomenclature of biosimilars e.g. Epoetin in Australia
epoetin alfa (EprexTM; Janssen-Cilag) epoetin beta (NeoRecormonTM; Roche) epoetin lambda (NovicritTM; Novartis) darbepoetin alfa (AranespTM; Amgen) methoxy polyethylene glycol-epoetin beta (MirceraTM; Roche)

12 Biosimilar epoetin epoetin alfa (EprexTM; Janssen-Cilag)
EpogenTM; Amgen (US) ProcitTM; Johnson & Johnson (US) Epoetin alfa HexalTM; Hexal Biotechn Forschungs (Germany) AbseamedTM; Medice Arneimittell Putter (Germany) epoetin beta (NeoRecormonTM; Roche) epoetin lambda (NovicritTM; Novartis) BinocritTM; Sandoz-Azicrit/ Novartis (EPO-a in Europe) Grandicrit Epoetin delta (DynepoTM; Shire Pharmaceuticals) Epoetin omega (RepotinTM; Bioclones) Epoetin zeta RetacritTM; Hospira SilapoTM; Stada Arneimittel AG darbepoetin alfa (AranespTM; Amgen) methoxy polyethylene glycol-epoetin beta (MirceraTM; Roche)

13 Policy consideration

14

15 © Commonwealth of Australia, Department of Health and Ageing 2002, The National Strategy for Quality Use of Medicines. Used with permission.

16 CC-BY,NC,ND: www.flickr.com/photos/ionushi


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