Published: 23 July 2016
Author(s): Luca Pasina, Gianluigi Casadei, Alessandro Nobili
Issue: July 2016
Section: Letters to the Editor

Biological medicines are essential for many acute and chronic conditions [1]. A biosimilar is a version similar to an authorized original biological product with clinical comparability that must be demonstrated in terms of quality, biological activity, safety and efficacy [2]. The consumption of biosimilar medicines differs widely among European countries. Germany has the highest use of biosimilars in Europe, with around 50% volume uptake. Despite initial resistance, Italy and Spain are now catching up and the uptake of biosimilars is increasing [3], but concerns about efficacy, safety and interchangeability with reference products are frequently expressed by specialists and position papers [4,5].


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