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Table 5 List of currently approved granulocyte colony-stimulating factor biosimilars

From: What do oncologists need to know about biosimilar products?

Region

Active substance

Brand name (pharmaceutical company)

Indications in oncology

Approval date

Europe

Filgrastim-XM02

Ratiograstim (Ratiopharm)

Reduction in the duration of chemotherapy-induced neutropenia and the incidence of febrile neutropenia (except for chronic myeloid leukemia and myelodysplastic syndromes)

Reduction in the duration of neutropenia caused by myeloablative therapy followed by bone marrow transplant

Mobilization of peripheral blood progenitor cells

15/09/2008

Tevagrastim (Teva)

15/09/2008

Biograstim (ABZ-Pharma)

15/09/2008

Filgrastim-EP2006

Filgrastim Hexal (Hexal)

06/02/2009

Zarzio (Sandoz)

06/02/2009

Filgrastim-PLD108

Nivestim (Hospira)

08/06/2010

Apo-Filgrastim

Grastofil (Apotex)

18/10/2013

Accofil (Accord)

18/09/2014

United States

Filgrastim-EP2006

Zarxio/(Sandoz) [Placeholder non-proprietary name: filgrastim-sndz]

Decrease in the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever

Reduction in the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of patients with acute myeloid leukemia

Reduction in the duration of neutropenia and neutropenia related clinical sequelae (e.g., febrile neutropenia) in patients with non-myeloid malignancies undergoing myeloablative chemotherapy followed by bone marrow transplantation

Mobilization of autologous hematopoietic progenitor cells into the peripheral blood for collection by leukapheresis

06/03/2015

Australia

Filgrastim-PLD108

Nivestim (Hospira)

Decrease in the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs in doses not usually requiring bone marrow transplantation;

Reduction in duration of neutropenia and clinical sequelae in patients undergoing induction and consolidation chemotherapy for acute myeloid leukemia;

Mobilization of autologous peripheral blood progenitor cells alone, or following myelosuppressive chemotherapy, to accelerate neutrophil and platelet recovery by infusion of such cells after myeloablative or myelosuppressive therapy in patients with non-myeloid malignancies;

Mobilization of peripheral blood progenitor cells in normal volunteers; for use in allogeneic peripheral blood progenitor cell transplantation;

Treatment of patients receiving myeloablative chemotherapy, for reducing the duration of neutropenia and clinical sequelae following autologous or allogeneic bone marrow transplantation

16/09/2010

Filgrastim-XM02

Tevagrastim (Aspen Pharmacare)

29/08/2011

Filgrastim-EP2006

Zarzio (Sandoz)

07/05/2013

New Zealand

Filgrastim-PLD108

Nivestim (Hospira)

Mobilization of autologous peripheral blood progenitor cells alone, or following myelosuppressive chemotherapy and the mobilization of peripheral blood progenitor cells in normal donors [allogeneic peripheral blood progenitor cell (PBPC)]

Reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia and its clinical sequelae in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia

24/05/2012

Filgrastim-EP2006

Zarzio (Novartis)

31/03/2014

Singapore

Filgrastim-PLD108

Nivestim (Hospira)

Reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukemia and myelodysplastic syndromes)

Reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia

17/07/2012

Japan

Filgrastim

Filgrastim BS (Mochida/Fuji)

Treatment in neutropenia induced by anti-cancer chemotherapy

21/11/2012

Filgrastim BS (Nippon Kayaku/Teva)

28/02/2013

Filgrastim BS (Sandoz)

24/03/2014