Biosimilar use might be lagging in gastroenterology compared to other specialties.
Some potential reasons is that patients with gastrointestinal diseases like inflammatory bowel disease (IBD) might not be as comfortable switching to a medication when the originator is working, even if it results in a cost savings.
In an interview with HCPLive®, Jordan E. Axelrad, MD, MPH, NYU Langone, and David P. Hudesman, MD, Medical Director of the Inflammatory Bowel Disease Center at NYU Langone Health, discussed the history of using biosimilars in IBD.
“I think gastroenterologists probably came to the biosimilar conversation a bit later than our rheumatology colleagues where they have more therapeutics,” Axelrad said. “In gastroenterology we are obviously concerned about our patients who are particularly very sick and who require optimized dose escalation of these biosimilars and how that would translate if they were moved from an originator to a biosimilar.”