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Hospira Leadership Presents at Preeminent European Biosimilars Forum, Announces New White Paper on Extrapolation

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Hospira, Inc.

24 Apr, 2015, 07:30 GMT

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- Hospira calls for continued support of extrapolation principle to help drive increased patient access to life-saving biologic medicines -

- Company encourages regulators to continue to adopt important scientific and clinical concepts of extrapolation, as Europe has 21 European Medicines Agency (EMA) approved biosimilars and the U.S. Food and Drug Administration (FDA) approves first biosimilar in United States in 2015 -

LONDON, April 24, 2015 /PRNewswire/ -- Hospira, Inc. (NYSE: HSP), a world leader in the development of biosimilar therapies, spoke about the importance of extrapolation in bringing biosimilars to patients today at the European Generics Association (EGA) annual European Biosimilars Group conference in London.

The company also announced the publication of a pivotal white paper titled, "Why extrapolation is paramount to achieving the full promise of biosimilars."

Speaking at the EGA conference, Sumant Ramachandra, M.D., Ph.D., senior vice president and chief scientific officer, Hospira, and one of the authors of the white paper, said, "Extrapolation is fundamental to biosimilar manufacturers who are delivering high quality biologic medicines at competitive prices. As the global population ages and more people are living with severe, chronic diseases, the pressure on healthcare budgets is only going to increase.

"The success of the biosimilar market depends on the adoption of sensible policies that do not squander the potential of these new therapies to reduce costs and improve access," continued Ramachandra.

Extrapolation is the scientific concept of granting a clinical indication to a medicine without requiring new clinical efficacy and safety data to support an indication.i Provided the in-depth laboratory and clinical studies have proven that a biosimilar and reference product are comparable, both in terms of the molecule's structure and function in the body, it can be expected that the medicines will act in the same way.

The white paper highlights the significance of extrapolation in the development of a successful and sustainable biosimilars market.ii Real-world cost savings and increased patient access to life-saving medicines can be achieved by conducting only scientifically necessary clinical trials, it states, while also calling for more regulatory agencies to adopt the principle of extrapolation.

In the white paper, Ramachandra notes that the scientific principle for extrapolation has already been adopted by the European Medicines Agency (EMA) and that the European Commission (EC) has approved 21 biosimilar medicines in Europe, including the first biosimilar monoclonal antibody, Inflectra,™ in September 2013.iii,iv,v In addition, the U.S. Food and Drug Administration (FDA) utilized extrapolation to approve the first biosimilar in the United States, biosimilar filgrastim, last month for all the therapeutic indications of the reference product that were available at that time.vi

The white paper further illustrates the benefit of extrapolation to improving patient access to important therapies. As one example, in the United Kingdom (UK), biosimilar filgrastim -- which stimulates the production of white blood cells in patients who have received cancer chemotherapy -- has increased patient access by 50 percent since it was introduced by Hospira and other companies.vii

"Hospira is dedicated to increasing patient access to safe, effective and high-quality medications and considers it our responsibility to provide education to the healthcare industry, medical professionals, insurers and the public about biosimilars and the extrapolation concept on which the biosimilar market is based," said Paul Greenland, vice president, Biologics, Hospira, who also spoke at the EGA conference.

Biosimilars are cost-effective biologic medicines with the same quality, safety and efficacy as the reference product on which they are based.viii Biosimilar medicines are evaluated for their comparability with the reference product and, based on the totality of evidence submitted to a regulatory body, the biosimilar may be approved for all the licensed indications of the reference biologic without undergoing clinical trials in every indication. Biosimilars are expected to produce savings of over €33.4 billion in Europe by 2020.ix

The 13th EGA-European Biosimilars Group Conference concludes today in London. The annual conference brings together global experts in the biosimilars space to discuss key biosimilar topics and latest regulatory and market developments. Hospira has a significant presence at the conference, including chairing a session titled, "The Evolving Biosimilar Paradigm: from a science-driven conceptual approach to a science-driven knowledge based approach."

In Europe, biosimilars have helped lower costs by 20 percent to 30 percent.x It's estimated that biosimilars could save the U.S. healthcare system $20 billion annually.xi

With one of the largest biosimilar pipelines in the industry, Hospira has more than seven years of market experience in biosimilars. The company has several biosimilars on the European, Australian and Canadian markets, including Inflectra (infliximab), Retacrit™ (epoetin zeta) and Nivestim™ (filgrastim). Hospira has delivered more than 10 million doses of biosimilar medicines to patients worldwide.xii

Learn more about how biosimilars will impact healthcare at www.hospira.com/biologics or http://www.biosimilarfacts.com/.

More information about extrapolation can be found in a recently released infographic available here.

About Hospira

Hospira, Inc. is the world's leading provider of injectable drugs and infusion technologies, and a global leader in biosimilars. Through its broad, integrated portfolio, Hospira is uniquely positioned to Advance Wellness™ by improving patient and caregiver safety while reducing healthcare costs. The company is headquartered in Lake Forest, Ill. Learn more at www.hospira.com.

The head office for Hospira in Europe, Middle East and Africa is in Hurley, UK.

-- A Caution Concerning Forward-Looking Statements --

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements generally relate to future events or Hospira's future financial or operating performance. In some cases, you can identify forward-looking statements because they contain words such as "may," "will," "should," "expects," "plans," "anticipates," "could," "intends," "target," "projects," "contemplates," "believes," "estimates," "predicts," "potential" or "continue" or the negative of these words or other similar terms or expressions that concern Hospira's expectations, strategy, plans or intentions. Forward-looking statements in this press release include, but are not limited to the outcome of naming decisions related to biosimilars, the pace of growth of the U.S. biosimilars market and the action of competitors. Hospira's expectations and beliefs regarding these matters may not materialize, and actual results in future periods are subject to risks and uncertainties that could cause actual results to differ materially from those projected. Actual results may differ materially from those indicated by these forward-looking statements as a result of various factors, including, without limitation, challenges inherent in creating and developing compounds and product candidates and economic, competitive, governmental, regulatory, legal, supply and other factors. Information on these and additional risks affecting Hospira's business and operating results are more fully discussed in the section entitled "Risk Factors" in the company's most recently filed annual report on Form 10-K. The forward-looking statements in this press release are based on information available as of the date hereof, and Hospira disclaims any obligation to update any forward-looking statement, except as required by law.

i

Weise M, Kurki P, Wolff-Holz E et al. Biosimilars: the science of extrapolation. Blood. 2014; DOI: http://dx.doi.org/10.1182/blood-2014-06-583617.

ii

Ramachandra S, Bukofzer S and Skeens L. Extrapolation is Essential to Bring the Full Benefit of Biosimilars to Patients. 2015.

iii

EMA. Inflectra European Public Assessment Report – Summary for the public. EMA/402688/2013. Available at http://www.ema.europa.eu/ema/index.jsp?curl=/pages/medicines/human/medicines/002778/human_med_001677.jsp Accessed April 15, 2015

iv

GaBI, "Biosimilars approved in Europe," Updated 27 February 2015. Available at: http://www.gabionline.net/Biosimilars/General/Biosimilars-approved-in-Europe Accessed April 15, 2015.

v

Weise M, Bielsky MC, Smet K et al. Biosimilars: what clinicians should know. Blood. 2012; 120: 5111-5117.

vi

FDA. Highlights of prescribing information ZARXIO™ (filgrastim-sndz). Available at http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/125553lbl.pdf Accessed April 15, 2015.

vii

IMS Health, MIDAS, June 2013.

viii

European Commission. Consensus Information Paper 2013. What you need to know about Biosimilar Medicinal Products. Available at: http://ec.europa.eu/enterprise/sectors/healthcare/files/docs/biosimilars_report_en.pdf. Accessed April 15, 2015

ix

Robert Haustein, "Saving money in the European healthcare systems with biosimilars," Generics and Biosimilars Initiative Journal (GaBI Journal). 2012;1(3-4).120-6. DOI: 10.5639/gabij.2012.0103-4.036. Accessed April 15, 2015. Available at: http://gabi-journal.net/saving-money-in-the-european-healthcare-systems-with-biosimilars.html#R9].

x

IMS Intelligence Incorporated. Shaping the biosimilars opportunity: A global perspective on the evolving biosimilars landscape. 2011 December. Section 1, Page 2.

xi

i"New Grant Thornton Study Show Immediate Need for Biosimilar Competition." Generic Pharmaceutical Association. 1 February, 2013. http://www.gphaonline.org/gpha-media/press/gpha-press-granthornton.


xii

Hospira, Inc., 2014, Data on file.

PDF - http://origin-qps.onstreammedia.com/origin/multivu_archive/ENR/201229-Hospira---Extrapolation-White-Paper---April-2015.pdf

PDF - http://origin-qps.onstreammedia.com/origin/multivu_archive/ENR/201257-Hospira-Extrapolation-Infographic.pdf

Related Links

http://www.hospira.com

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