Demonstration of physicochemical and functional similarity between Stimufend (pegfilgrastim-fpgk) and Neulasta (pegfilgrastim): A comparative analytical assessment

PLoS One. 2024 Oct 24;19(10):e0309480. doi: 10.1371/journal.pone.0309480. eCollection 2024.

Abstract

Background: Pegfilgrastim is a long-acting recombinant human granulocyte colony-stimulating factor biologic that is indicated to reduce the incidence of infections, manifested by febrile neutropenia, in patients receiving myelosuppressive anti-cancer drugs and to increase survival in patients acutely exposed to myelosuppressive doses of radiation. Due to the high cost of biologic therapy and the scarcity of biosimilar alternatives, there is an unmet medical need for targeted biologics.

Objective: This comparative analytical investigation aimed to confirm the similarity of biosimilar Stimufend® (pegfilgrastim-fpgk) to reference product Neulasta® (pegfilgrastim).

Methods: The analysis was designed using state-of-the-art orthogonal techniques and side-by-side testing to compare the physicochemical and biological properties of these two products. The measured quality attributes included the primary structure and higher order structure of the molecule, purity/impurity profiles, product variants, process-related impurities, composition, content, and biological activity. The statistical analysis was based on risk ranking of the critical quality attributes (very low, low, moderate, high, very high), and scientific considerations in combination with the characteristics of the assay (sensitivity, selectivity, and variability). In addition, non-quantitative parameters were compared using a descriptive assessment of the product profile. Analytical similarity was concluded by quality attributes falling within the defined range of the originator product.

Results: The results of this study confirm that Stimufend® is biosimilar to Neulasta® for all measured quality attributes. There are no clinically significant differences between Stimufend® and Neulasta®, which was confirmed by the marketing approval for Stimufend® by the Food and Drug Administration and the European Medicines Agency.

Conclusion: The findings of this study provide robust evidence supporting the structural and functional biosimilarity between Stimufend® and Neulasta®.

Publication types

  • Comparative Study

MeSH terms

  • Biosimilar Pharmaceuticals / chemistry
  • Filgrastim* / chemistry
  • Humans
  • Polyethylene Glycols* / chemistry

Substances

  • Polyethylene Glycols
  • Filgrastim
  • pegfilgrastim
  • Biosimilar Pharmaceuticals

Grants and funding

This study was funded by Fresenius Kabi SwissBioSim GmbH, which was involved in all aspects of this work, including design, research, data analysis, interpretation, and writing of the manuscript. Fresenius Kabi SwissBioSim GmbH also provided support in the form of salaries for all authors. The specific roles of these authors are articulated in the ‘author contributions’ section.