PMID- 37578070 OWN - NLM STAT- MEDLINE DCOM- 20231102 LR - 20231102 IS - 1744-7682 (Electronic) IS - 1471-2598 (Linking) VI - 23 IP - 8 DP - 2023 Jul-Dec TI - The economics of biosimilars and challenges to biosimilar adoption in low- and middle-income countries. PG - 653-657 LID - 10.1080/14712598.2023.2247972 [doi] AB - INTRODUCTION: Biologics have shown marked success over the past decades in disease areas as cancer, immunology and diabetes. However, elevated costs of innovative biologic medicines have led to an inequity in accessibility across the world. While 85% of the world's population lives in low- and middle- income countries (LMIC), 80% of the sales of monoclonal antibodies are attributed to Western countries, highlighting the pronounced market imbalance. AREAS COVERED: This perspective paper draws some analogies as well as differences between biosimilars and generics, aims to address the unmet need for treatment with biologics in LMICs by reviewing possible causes, economic and social, of low access, displaying the disparity between LMICs and HIC, and suggets countermeasures for this unmet medical need in LMICs. EXPERT OPINION: It is up to all stakeholders to capitalize on the opportunity that biosimilars provide, mostly by committing to transparent collaboration, to make biotherapeutics accessible to all, regardless of region or country of residence. FAU - Calamia, Matthias AU - Calamia M AD - Medicines, National Health Care Institute, Amsterdam, The Netherlands. AD - Matrix45, Tucson, AZ, USA. FAU - Abraham, Ivo AU - Abraham I AD - Matrix45, Tucson, AZ, USA. AD - Center for Health Outcomes and PharmacoEconomic Research, R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ, USA. LA - eng PT - Journal Article DEP - 20230818 PL - England TA - Expert Opin Biol Ther JT - Expert opinion on biological therapy JID - 101125414 RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Humans MH - *Biosimilar Pharmaceuticals/therapeutic use MH - Developing Countries MH - *Neoplasms MH - Antibodies, Monoclonal OTO - NOTNLM OT - LMIC OT - LMICs OT - biologics OT - biosimilars OT - biotherapeutics OT - low- and middle-income countries EDAT- 2023/08/14 12:43 MHDA- 2023/08/14 12:44 CRDT- 2023/08/14 07:13 PHST- 2023/08/14 12:44 [medline] PHST- 2023/08/14 12:43 [pubmed] PHST- 2023/08/14 07:13 [entrez] AID - 10.1080/14712598.2023.2247972 [doi] PST - ppublish SO - Expert Opin Biol Ther. 2023 Jul-Dec;23(8):653-657. doi: 10.1080/14712598.2023.2247972. Epub 2023 Aug 18.