Alberta’s new biosimilar policy gets mixed reactions from medical community

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Rheumatologists and representatives of patients with inflammatory arthritis are welcoming Alberta’s plan, while gastroenterologists fear the policy could hurt patients

Reactions to the biosimilars initiative that Alberta Health Minister Tyler Shandro unveiled on Thursday were split.Alberta’s decision to switch thousands of government-insured patients to less-expensive versions of drugs called biologics is being greeted with alarm by some gastroenterologists and patient groups who fear the policy could hurt patients.

Biologic medications – which are complex drugs produced from living organisms – have dramatically improved the treatment options for some chronic illnesses, including rheumatic diseases and inflammatory bowel diseases. John Esdaile, a rheumatologist and the scientific director of Arthritis Research Canada, said that in B.C., where he practises, the transition to biosimilars has been smooth and problem-free.“In changing my own patients to a biosimilar, I was struck by how many said, ‘Well, if it’s really just as safe and just as good, I’m so glad I’m saving the government money,’” Dr. Esdaile said, speaking alongside Mr. Shandro at a news conference.

There are many more biologic drugs available for the treatment of rheumatoid arthritis than there are for inflammatory bowel diseases – which is one of the reasons doctors and advocates from each disease group reacted so differently to Alberta’s plan. Most of the Crohn’s and ulcerative colitis patients affected by Alberta’s policy will be switching away from Remicade, an intravenous medication that is delivered primarily in private clinics sponsored by pharmaceutical companies.

But the ministry disputes the association’s numbers, saying there are 39 sites where the biosimilars will be available.

 

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