Introduction to Regulatory Perspective
According to the PMDA’s provisional translation released on September 19, 2025, Japan clarified its regulatory stance on the necessity of Japanese clinical data for biosimilar approvals. Traditionally, the development of biosimilars in Japan has required clinical trials involving Japanese subjects, either to demonstrate pharmacokinetic (PK) equivalence or efficacy equivalence in the Japanese population. However, following the 2024 revision of the Q&A on the biosimilar guideline, it is now acceptable to extrapolate non-Japanese clinical trial data to the Japanese population when ethnic factors are considered unlikely to affect outcomes. This new document complements the administrative notice and provides further details on PMDA’s regulatory perspective.
Principles on Handling Japanese Data
If approval applications rely solely on foreign clinical trial data, applicants must demonstrate that ethnic factors do not influence the trial results. PMDA highlights three key aspects:
Use of International Guidelines
PMDA references several international guidelines to support this evaluation:
Framework for Ethnic Sensitivity Assessment
The document includes a reference table to categorize drugs as sensitive or not sensitive to ethnic factors. Parameters include PK linearity, therapeutic dose range, metabolism pathways, genetic polymorphisms, bioavailability, potential for drug-drug interaction, impact of BMI/body weight, and comparability in medical practice across regions.
Conclusion
Japan would no longer require mandatory Japanese-subject clinical trials for biosimilar approval, depending on the robustness of the justification for using non-Japanese clinical data. Sponsors must scientifically demonstrate the absence of ethnic impacts by considering intrinsic and extrinsic factors, subgroup analyses, and quality comparability. PMDA strongly recommends early consultation to ensure appropriate application of these principles.
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