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Pharmacotherapy

Biosimilar switching — “To set a form upon desired change”

The highly anticipated NOR-SWITCH trial results provide valuable information for patients and physicians concerned about the effects of switching between a biologic agent and a biosimilar product. However, the possibility of frequent switches, potentially involving more than one biosimilar, raises more questions.

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Figure 1: Clinical trials are needed to explore the effects of switching repeatedly between a bio-originator and its biosimilar or between multiple biosimilars.

References

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Acknowledgements

The title of this piece quotes Sonnet 89 by William Shakespeare.

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Correspondence to Jonathan Kay.

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J.K. declares that he has received research support (paid to the University of Massachusetts Medical School) from AbbVie, Genentech, Pfizer, Roche and UCB, and that he has acted as a consultant for Abbvie, Amgen, AstraZeneca, Boehringer Ingelheim, Bristol Myers Squibb, Epirus Biopharmaceuticals, Genentech, GlaxoSmithKline, Janssen Biotech, Merck, Pfizer, Roche, Samsung Bioepis, Sandoz, and UCB. K.L.W. declares that he has acted as a consultant for AbbVie, Amgen, Bristol-Myers Squibb, Celltrion, Genentech, Lilly, Pfizer, Roche and UCB.

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Kay, J., Winthrop, K. Biosimilar switching — “To set a form upon desired change”. Nat Rev Rheumatol 13, 391–392 (2017). https://doi.org/10.1038/nrrheum.2017.79

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