Biologic Drugs and Biosimilars

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  • เผยแพร่เมื่อ 1 ก.ค. 2024
  • What are biologic drugs? What about biosimilars? In a previous video we compared brand name and generic drugs. ( • Is There a Difference ... ) But we kind of left out a major player in the world of medicines; biologic drugs. These complicated little guys probably deserve a video all to themselves. Call them what you will biologics, biotherapeutic medicines, or biopharmaceuticals they're topic of this week's HealthCare triage.
    We had tons of help from Healthcare Triage intern Rachel Hoffman on this episode!
    Those of you who want to read more can go here: theincidentaleconomist.com/wor...
    John Green -- Executive Producer
    Stan Muller -- Director, Producer
    Aaron Carroll -- Writer
    Mark Olsen -- Graphics
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    And the housekeeping:
    1) You can support Healthcare Triage on Patreon: vid.io/xqXr Every little bit helps make the show better!
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    3) We still have merchandise available at www.hctmerch.com

ความคิดเห็น • 115

  • @Gaetano.94
    @Gaetano.94 2 ปีที่แล้ว +5

    Been on biologics for almost 20 years now. I would be dead without them

  • @tymo7777
    @tymo7777 8 ปีที่แล้ว +12

    I felt like this episode was exceptionally technical and I loved it.

  • @RachelVanWest
    @RachelVanWest 8 ปีที่แล้ว +4

    Fantastic video explaining the complexities of biosimilars. This is awesome!!!!

  • @healthcaretriage
    @healthcaretriage  8 ปีที่แล้ว

    FYI We're doing a LIVE Show tomorrow. You can get your questions in here: th-cam.com/video/a_m2l58X8tw/w-d-xo.html. HAPPY NEW YEAR!

  • @hollowbones3515
    @hollowbones3515 8 ปีที่แล้ว +1

    love it. I've worked in the biologics making industry and this is just fascinating stuff!

  • @kujmous
    @kujmous 8 ปีที่แล้ว

    Just technical enough! Excellently written and presented.

  • @Michele8340
    @Michele8340 8 ปีที่แล้ว +21

    I have Juvenile Arthritis and I'm on a TnF blocker, I saw just how much they can cost for those who live in America, up to nearly a grand for one injection, which is needed every week. I'm lucky to not have to pay for my medication

    • @baconlamancha
      @baconlamancha 8 ปีที่แล้ว +1

      +Michelle Ginnane Filgrastim is also absurdly expensive without insurance, as are the biosimilars (To the point that insurances typically dont have a preference over which is given).

    • @Michele8340
      @Michele8340 8 ปีที่แล้ว

      That sounds awful! I hope it works well for you though! And I hope that your next president can hopefully make free healthcare a reality
      Even where I'm from people arent as lucky as me and have chronic conditions that they can't afford to medicate, no where's perfect I guess

    • @baconlamancha
      @baconlamancha 8 ปีที่แล้ว +1

      It works quite well. I end up being neutropenic occasionally due to chemotherapy and when my white blood cell count is low the meds completely fix that. I'm incredibly sensitive to it apparently, getting as much benefit from a single shot as some get from 3

    • @Michele8340
      @Michele8340 8 ปีที่แล้ว

      +baconlamancha aw I'm glad, I hope that your health gets better in the foreseeable future, if possible:)

    • @MackenziesAnimationCorner
      @MackenziesAnimationCorner 7 ปีที่แล้ว

      I live in America and am also on TnF blockers. They cost $4000 a month (that's only 2 injections) without my insurance and even with my insurance they're about $500. Thank God I found a coupon that covers most of that $500, making it only $5. Otherwise I guess I'd just suffer because there's no way I could make those kind of payments.

  • @papershoes6284
    @papershoes6284 9 หลายเดือนก่อน +2

    I've been on a biologic since 2001

  • @bookworm2007
    @bookworm2007 7 ปีที่แล้ว +1

    Just got started on Humira, would rather watch this than a branded video. Thanks!

  • @jennyromero4924
    @jennyromero4924 8 ปีที่แล้ว

    Hi Dr. Carroll! I was wondering if HCT could do book reviews? I'm currently reading "Healthcare, Guaranteed" and I would like to hear your perspective on it.

  • @davidraff6171
    @davidraff6171 8 ปีที่แล้ว +1

    I know that biologics are implicated in the TPP, something to do with patent duration. What impact would these changes have if introduced?

  • @MohammedAli-sj1uv
    @MohammedAli-sj1uv 8 ปีที่แล้ว +6

    Really great, I'm a biosimilar product specialist and the way you presented the information is amazing....
    thanks and keep up...

    • @stephanie2905
      @stephanie2905 4 ปีที่แล้ว +1

      As someone who specializes in Biosimilar products what are your thoughts on the the mandatory government switches that are happening in North America, and do you think it's ethical to take someone off of an effective biologic to be put on Biosimilars?

  • @AzumaTsumaru
    @AzumaTsumaru 8 ปีที่แล้ว

    I had a question, you answered and you were entertaining while doing it. I'm subscribing :)

  • @evilcam
    @evilcam 8 ปีที่แล้ว +2

    The "Elvis Lip" was strong in Dr Carroll in this episode. Can't unsee.
    On topic: I did not even know Biosimilars was even a thing. So thanks for both showing me that they exist, and explaining what they do, and making me embarrassed that I totally missed them, even though I am a pretty consistent pharmacology nerd.

    • @OurayTheOwl
      @OurayTheOwl 8 ปีที่แล้ว

      +evilcam why do you do this, i cant stop looking for it...the lip bothers me now

    • @DeborahHopkins1988
      @DeborahHopkins1988 8 ปีที่แล้ว

      Oh my god though....Cannot not see it now.

  • @666ndr
    @666ndr 8 ปีที่แล้ว +38

    Behold, the rare unironic "thanks Obama"

  • @CIRCLEOF4TRESS
    @CIRCLEOF4TRESS 3 ปีที่แล้ว

    This was an awesome video.

  • @MicroBlogganism
    @MicroBlogganism 8 ปีที่แล้ว

    Good video! Thanks!

  • @537monster
    @537monster 8 ปีที่แล้ว

    Can you do something on nootropics?

  • @netsquall
    @netsquall 8 ปีที่แล้ว

    Yay HCT is back :D

  • @emperorxenu519
    @emperorxenu519 8 ปีที่แล้ว

    You touched on it, but only barely. Unlike generic vs. brand name molecular drugs, in the case of biologics, it should be possible for a patient to have an inadequate response or adverse reaction to one biosimilar vs. another, right?

  • @flamingos2
    @flamingos2 6 ปีที่แล้ว

    How about interleukin 6 blockers?

  • @KaizerRemix
    @KaizerRemix 8 ปีที่แล้ว +4

    hearing you say filgastrim not filgrastim drove me crazy. Interestingly, here in the UK biologics/biosimilars are one of the few things where all products have a distinct brand name (filgrastim for instance goes be Nivestim, Neupogen Zarzio and others). Probably a regulatory requirement for adverse event recording reasons, but interesting none the less.

    • @TakeWalker
      @TakeWalker 8 ปีที่แล้ว

      +KaizerRemix And yet it's spelled both ways in the various graphics. SOMEBODY got SOMETHING wrong. :B

  • @InorganicVegan
    @InorganicVegan 8 ปีที่แล้ว +50

    Can you start a series rebuking Dr. Oz?

    • @Tryo707
      @Tryo707 8 ปีที่แล้ว +8

      +Diana, the Inorganic Vegan This would be so well received. I really hope it happens.

    • @Kazooga-lp5ql
      @Kazooga-lp5ql 8 ปีที่แล้ว

      +Diana, the Inorganic Vegan no because everybody knows supplements are pointless

    • @InorganicVegan
      @InorganicVegan 8 ปีที่แล้ว +4

      Kazooga 1234
      First of all, obviously not everyone since he has a huge audience, but he also makes claims against GMO food/vaccines and also promotes organic food for fear-mongering health reasons.
      He needs to be put in his place.

    • @Tryo707
      @Tryo707 8 ปีที่แล้ว

      Kazooga 1234 Therapy. Invest in some.

    • @Kazooga-lp5ql
      @Kazooga-lp5ql 8 ปีที่แล้ว

      Tryo707 what that makes 0 sense since they are useless you are stupid

  • @jmarch_503
    @jmarch_503 6 ปีที่แล้ว +1

    You guys are fair

  • @hollystone9875
    @hollystone9875 8 ปีที่แล้ว +3

    I help make biologics! They're cool. (I work at Bristol-Myers Squibb.)

    • @aprilk1995
      @aprilk1995 6 ปีที่แล้ว

      Holly Stone thank you for the work you do. It means so much to people like me with Autoimmune diseases 💗

  • @dbe471
    @dbe471 8 ปีที่แล้ว

    I get that most biosimilars would be hard to reverse engineer. But what about insulin? There's no engineer step. We know exactly what it is and how to make it. Why it is still so expensive and sold by a relatively few number of manufacturers?

  • @anthonya.3294
    @anthonya.3294 7 ปีที่แล้ว +1

    I take a TnF blocker and it's very expensive..I'm going to get rich so I can pay for them myself$$$ Would like to thank the the ppl.who make the med.A Corp. in California..the corps name begins with a Z. Thanks.

  • @victoriap2519
    @victoriap2519 4 ปีที่แล้ว

    It should be opposite - it is generic or branded chemically synthesized drugs should follow the possibilities of biosimilas

  • @aaronmorein400
    @aaronmorein400 8 ปีที่แล้ว

    Does marijuana cause cognitive impairment? If so, is it in varying degrees and is it temporary? It is difficult to find trustworthy, unbiased information about properly designed studies or the lack thereof. Thanks!

    • @dangp7
      @dangp7 8 ปีที่แล้ว

      +Aaron Morein He did a video a while back.

    • @aaronmorein400
      @aaronmorein400 8 ปีที่แล้ว

      He did one regarding physical effects, not neurological ones.

    • @wmdkitty
      @wmdkitty 5 ปีที่แล้ว

      Only if you smoke in large quantities, and it's temporary.

  • @InorganicVegan
    @InorganicVegan 8 ปีที่แล้ว +2

    Europe has milder regulations? Holy shit.

    • @JunSian1001
      @JunSian1001 8 ปีที่แล้ว +1

      +Diana, the Inorganic Vegan Not exactly. Europe just has the regulations out way earlier than the states.
      "When does the United States finally realise a law which will abbreviate the approval pathway for biosimilars? That will be the Biologic Price Competition Act, which is part of the Affordable Care Act (signed into law in March 2010)."

    • @InorganicVegan
      @InorganicVegan 8 ปีที่แล้ว

      +Jun Sian Lee
      Well, the US still has harsher regulations on making biosimilars.

    • @camcat26
      @camcat26 8 ปีที่แล้ว

      +Diana, the Inorganic Vegan Source?

    • @InorganicVegan
      @InorganicVegan 8 ปีที่แล้ว

      camcat26
      The video above. Plus, look at how much it costs to make these in the US vs Europe, and that right there would show you how the regulations work

    • @camcat26
      @camcat26 8 ปีที่แล้ว

      *facepalm* No, that has to do with economic differences. European countries are known for having harsher regulations in nutrition compared to the US.

  • @ZombieX13
    @ZombieX13 8 ปีที่แล้ว +1

    Laws: an opinion with a gun.

  • @LIVINGWITHBIPOLARDISORDER
    @LIVINGWITHBIPOLARDISORDER 4 ปีที่แล้ว +1

    Synthetic drugs will never ever ever cure

  • @symbolxchannel
    @symbolxchannel 8 ปีที่แล้ว +1

    Is it filgastrim or filgrastim? It's written filgrastim, but you pronounce it "filgastrim"...

  • @joanneortiz3251
    @joanneortiz3251 5 ปีที่แล้ว +1

    Yeah the USA sucks. We need the FDA but it needs to be drastically scaled back.

  • @markobabic487
    @markobabic487 3 ปีที่แล้ว +1

    Horrific video. Most of this is not accurately represented and important info is omitted to get a real view of the issue.

  • @Tcarney1995
    @Tcarney1995 2 ปีที่แล้ว

    Nice until the political jab