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  • ANDA Filings in India: Insights from Industry Experts

  • 1 Department of Pharmacy Practice, Prime college  of Pharmacy, Kerala University of Health and Sciences, Erattayal, Palakkad 678551 Kerala, India.
    2,3,4 Department of Pharmacy Practice, Ahalia School of Pharmacy, Kerala University of Health and Sciences, Kozhippara, Palakkad 678557, Kerala, India.
     

Abstract

An Abbreviated New Drug Application (ANDA) is submitted to regulatory authorities for the approval of generic drugs. The regulatory requirements for ANDA approval vary across different regions. To obtain approval, an ANDA must demonstrate that the generic drug is bioequivalent to the reference listed drug, ensuring safety, efficacy, and quality in accordance with regulatory guidelines. The main objective of the study is to compare the critical factors, challenges and legal framework of various pharmaceutical industries in India for manufacturing and marketing of generic drugs. To analyze ANDA filings in India through insights from Industrial experts.

Keywords

Generic drugs, pharmaceutical industries, ANDA, Industrial experts

Introduction

The generic drugs manufacturing industry plays a crucial role in global healthcare by producing cost-effective alternatives to branded medications. These industries are vital in ensuring broader access to essential drugs, particularly in developing countries where healthcare affordability remains a significant concern. Generic drugs contain the same active pharmaceutical ingredients (APIs), dosage forms, strengths, and routes of administration as their branded counterparts. Once the patent of a branded drug expires, generic manufacturers are permitted to develop and market the equivalent version, provided it meets regulatory standards for quality, safety, and efficacy.

The rise of generic drug manufacturing is largely attributed to the need for affordable medications and the expiration of patents on blockbuster drugs. Countries like India have emerged as global leaders in generic drug production, supplying over 60% of the world’s vaccines and 20% of generic medicines.

Generic drug manufacturers operate within a tightly regulated framework. Regulatory authorities like the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA), and India's Central Drugs Standard Control Organization (CDSCO) ensure that generic drugs meet stringent quality control and bioequivalence standards. Bioequivalence studies are crucial to demonstrate that a generic product performs in the same manner as the original brand-name drug. Only upon satisfying these requirements are generics approved for market entry.

Manufacturing generic drugs involves complex processes that require strict adherence to Good Manufacturing Practices (GMP). This includes maintaining controlled environments, employing high-precision equipment, and ensuring robust quality assurance mechanisms. Many generic manufacturers invest in vertically integrated operations, producing both active ingredients and finished formulations in-house. This integration helps in maintaining consistency, reducing costs, and improving supply chain control.

The generic drug industry also contributes significantly to pharmaceutical innovation, especially in areas such as drug delivery systems and formulation technology. While not involved in original drug discovery, many generic firms focus on developing complex generics, biosimilars, and value-added generics that improve patient compliance and therapeutic outcomes.

Challenges facing the generic drug manufacturing industry include pricing pressures, regulatory scrutiny, supply chain disruptions, and increasing competition from low-cost markets. However, rising global demand for affordable healthcare, the aging population, and the prevalence of chronic diseases continue to drive growth opportunities for generic manufacturers.

MATERIALS AND METHODS:

Study design

  • Prevalence study was conducted to assess ANDA submission practices within the Indian pharmaceutical industry.
  • Focused on five key pharmaceutical companies:
      1. Apex Laboratories Private Limited (Chennai, Tamil Nadu)
      2. Manufacturers Pharma Formulations Ltd (Chennai, Tamil Nadu)
      3. Itaan Pharma Private Limited (Karkapatla, Telangana)
      4. Kniss Pharmaceuticals (Chennai, Tamil Nadu)
      5. Theragen Lifescience (Chennai, Tamil Nadu)

Data Entry Format

  • A structured questionnaire was designed to gather key insights, focusing on:
    • Critical factors in assessing ANDA submissions.
    • Balancing safety, efficacy, and timely approval.
    • Harmonizing global standards.
    • Significant hurdles.
    • Cost implications and market accessibility.
    • Strategic approaches for successful ANDA filings.
    •  Legal frameworks, exclusivity provisions, and regulatory challenges.
    •  Impact of ANDA submissions on patient outcomes.

Inclusion Criteria

  • Industry professionals responsible for Regulatory affairs from the specified pharmaceutical industries were included.

Exclusion Criteria

  •  Individuals not associated with the mentioned industries were excluded from the study.
  • Pharmaceutical industries that specialize solely in the packaging of generic drugs were excluded from the study.

Data Collection Process

  • A structured questionnaire was distributed to industry professionals, and responses were systematically collected.
  • Data gathered encompassed their experiences, expertise, and strategic recommendations for streamlining the ANDA submission process.

Data Analysis

  • The qualitative methods were employed to evaluate the responses.
  • The analysis focused on identifying key trends, challenges, and strategic approaches based on expert opinions.
  • Findings were systematically organized and presented in a tabular format for clear interpretation and comparison.

RESULT

Apex Laboratories Pvt. Ltd.

Apex Laboratories Pvt. Ltd. is a leading pharmaceutical company based in Chennai, India, renowned for pioneering the introduction of zinc-based formulations in the Indian market. Established in 1978, Apex has grown into one of India's top 50 pharmaceutical companies, specializing in oral solids, oral liquids, and topical dosage forms. Its flagship brand, Zincovit, has become a household name in the multivitamin and mineral supplement segment.

Manufacturers Pharma Formulations

Manufacturers Pharma Formulations is a pharmaceutical company located in Chennai, Tamil Nadu, India. Established in1991,the company specializes in manufacturing of pharmaceutical intermediate ,special chemicals, impurities and active pharmaceutical ingredient(API).

Itaan Pharma Private Limited

Itaan Pharma Private Limited is a pharmaceutical company specializing in injectable formulations. It is established in 2020.It is located in Telangana ,Andhra Pradesh. Their leadership team brings decades of specialized experience in sterile product development and commercialization, ensuring that every aspect of our operations aligns with the latest global regulatory requirements – from early-phase formulation to regulatory submission and commercial-scale manufacturing. Their unwavering commitment to scientific rigor and attention to product-specific details enables us to develop high-quality injectable therapies that meet critical patient needs. They optimize the product lifecycle by integrating technical expertise with strategic commercialization, ensuring efficiency, scalability, and market success.

Kniss Laboratories Pvt. Ltd

Kniss Laboratories Pvt. Ltd. is a pharmaceutical company located in Chennai, Tamil Nadu, India. Established in 1989, the company specializes in manufacturing and marketing a wide range of pharmaceutical and nutraceutical products, including vitamins, anti-cold preparations, pain management solutions, protein food supplements, antioxidants, sleep-inducing agents, antimalarials, anti-epileptics, and digestive enzymes.

Theragen Lifesciences Pvt Ltd

Theragen Lifesciences Pvt Ltd is a pharmaceutical research and development organization based in Chennai, India. Established in May 2017 by a team of medical professionals, the company aims to become a leading and differentiated entity in the global healthcare industry.

To understand the practical challenges and strategies in ANDA filings in India, we gathered insights from industry experts at Apex Pharma Private Limited, Manufacturers Pharma Formulation, Itaan Pharma Private Limited, and Kniss Pharmaceuticals. Their responses offer a real-world perspective on regulatory hurdles, approval timelines, and best practices. The table below summarizes their key insights

Table 1:Comparision of ANDA filings in Pharmaceutical Industries through insights from industry experts

Parameters

Apex Pharma Private Limited

Manufacturers Pharma Formulation

Itaan Pharma Private Limited

Kniss Pharmaceuticals

Theragen Lifescience

Critical factors in assessing ANDA submissions

Meeting stringent requirements

Potency, efficacy and impurity profile

Pharmaceutical quality and CMC data

Bioequivalence data

CMC compliance

Balancing safety, efficacy, and timely approval

Efficient review process

Prioritizing public health needs.

Risk based assessment

Effective trial and post marketing surveillance

By reviewing the reports

Challenges faced in harmonizing global standards

Language

 

Limited resources

 

Geographies specification and test methods

Robust clinical trials

 

Compendial requirements

Significant hurdles in preparing ANDA submissions

Maintenance of stability and submissions of BA/BE Studies

Conducting BA/BE studies

 

Marketing specifications and STPs

 

Technical and scientific differences

 

Bio-equivalence part

 

Impact on cost and timeline of drug development

Delays due to varying review process

Extended timelines

 

Additional studies

 

Potential Financial burden

 

Extended timelines

 

Local regulation influence in strategy

Maintaining valid GMP and administrative documents

Obtaining license for BA/BE studies

 

Maintaining WHO GMP license

 

Market access and Legal advice

 

By providing the incentives

Patents laws and exclusivity provisions

Filing ANDA with paragraph ? certifications

Patent protection for molecules and formulation

Filing ANDA with paragraph ? certifications

Local market access

 

paragraph ? certifications

 

Legal challenges faces

Patent related issues

 

Time interval for obtaining NOC for BA/BE studies

NCE and paragraph ? filing

Maintenance of standards from USFDA

Meeting the facility up to the required standard

Impacted patient outcome by regulatory delay

Frequent submissions of same products

Public health challenges

 

Delayed access of critical product

Survival, symptoms,QoL

 

Affordability

 

Legal framework for drug availability

CFR and National institute of health

Compulsory licensing

Hatch-Waxman Act

 

Patent evergreening

 

Market exclusivity

 

DISCUSSION

While regulatory agencies provide structured pathways for ANDA approvals, pharmaceutical companies often encounter practical challenges that are not fully addressed by regulations. To understand these challenges, interviews were conducted with experts from Apex Pharma Private Limited, Manufacturers Pharma Formulation, Itaan Pharma Private Limited, and Kniss Pharmaceuticals. Their insights highlight key obstacles related to approval timelines, bioequivalence studies, post-marketing surveillance, and patent regulations.

  1. Approval Timelines and Delays

Regulatory agencies set clear timelines for ANDA approvals, but in practice, companies often experience delays due to repeated queries, additional documentation requirements, and evolving guidelines.

"The official approval timeline may be 12 months, but in reality, it often takes much longer due to back-and-forth communication with regulators." – (Industry Expert, Apex Pharma Private Limited)

The study found that actual approval times vary across jurisdictions:

  • USA (FDA): ~18 months
  • EU (EMA): ~12 months
  • India (CDSCO): ~12+ months, often delayed

Industry professionals noted that such delays increase development costs and postpone market entry, making it difficult for companies to plan their product launches efficiently.

  1. Challenges in Bioequivalence Studies

Bioequivalence (BE) studies are required for ANDA approvals, but differences in study design, acceptance criteria, and stability requirements create difficulties for manufacturers.

We often have to repeat bioequivalence studies for different regulatory agencies, even when the results are already well-established." – (Industry Expert, Manufacturers Pharma Formulation)

The study identified variations in BE requirements across regions:

  • USA (FDA): 80.00–125.00% CI for Cmax and AUC
  • EU (EMA): Stricter criteria for highly variable drugs
  • China (NMPA): More stringent bioequivalence parameters
  • India (CDSCO): Similar to FDA but with local study requirements

Experts emphasized that these inconsistencies increase costs and delay approvals, as companies must conduct separate studies to meet region-specific criteria.

  1. Post-Marketing Surveillance and Compliance Issues

Post-marketing surveillance (PMS) ensures drug safety after approval, but industry professionals noted challenges in compliance, data reporting, and enforcement.

"While post-marketing surveillance is mandatory, follow-ups and enforcement vary, making it difficult to predict regulatory expectations." – (Industry Expert, Kniss Pharmaceuticals)

This aligns with findings from the study:

  • USA (FDA – FAERS) and EU (EMA – GVP): Well-established PMS systems
  • India (PvPI) and China’s PMS system: Underreporting and inconsistent enforcement

Experts pointed out that inconsistent pharmacovigilance reporting and lack of standardized digital systems limit the effectiveness of post-marketing surveillance efforts.

  1. Patent Barriers and Market Access Challenges

Patent exclusivity and legal challenges often delay generic drug approvals, even after regulatory requirements are met.

"Even after successfully filing an ANDA, patent-related delays prevent timely market entry." – (Industry Expert, Itaan Pharma Private Limited)

The study found that:

  • USA (Hatch-Waxman Act): Grants 180-day exclusivity to first generic filers, delaying competitors.
  • China: Implements a patent linkage system, preventing generic approvals before innovator patents expire.
  • EU: Follows a decentralized process, requiring additional national-level approvals.

Industry professionals highlighted that such legal barriers reduce competition and delay patient access to affordable medicines.

  1. Industry Challenges and the Need for Regulatory Adaptation

Comparing industry insights with regulatory frameworks reveals that while agencies aim to streamline ANDA approvals, companies still face delays, inconsistencies in bioequivalence standards, challenges in post-marketing surveillance, and legal hurdles due to patent exclusivity.

These insights highlight the need for regulatory adaptation to:

  • Reduce approval delays by ensuring more predictable and transparent review processes.
  • Align bioequivalence study requirements to minimize unnecessary duplication.
  • Improve post-marketing surveillance enforcement for better drug safety monitoring.
  • Balance patent protection with generic competition to enhance market access.

By addressing these industry concerns, regulatory agencies can improve the efficiency of ANDA approvals, ensuring faster availability of cost-effective generic medicine

CONCLUSION

Generic drug manufacturers play a critical role in making healthcare more affordable by providing cost-effective alternatives to brand-name drugs. These drugs undergo rigorous testing and regulation to ensure they meet the same safety and efficacy standards as their branded counterparts, with any differences typically limited to excipients. A comprehensive understanding of regulatory guidelines is crucial for pharmaceutical companies and researchers to navigate the complex regulatory landscape effectively. Strengthening this knowledge will contribute to the global availability of high-quality generic medicines, ultimately improving healthcare affordability and access.

CONFLICT OF INTEREST:

The authors have no conflicts of interest regarding this investigation.

ACKNOWLEDGMENTS:

The authors would like to thank Sapna Srikumar the principal of Ahalia School of  Pharmacy for her guidance and support.

REFERENCES

  1. Alasmari M S et al. Model-informed drug discovery and development approaches to inform clinical trial design and regulatory decisions: A primer for the MENA region. Saudi Pharmaceutical Journal.2024 Nov 27;32(12):102207.
  2. Sun D, Gao W, Hu H, Zhou S. Why 90% of clinical drug development fails and how to improve it?. Acta Pharmaceutica Sinica B.2022 Feb 11;12(7):3049-3062.
  3. Kaitin K I. Deconstructing the Drug Development Process: The New Face of Innovation. American Society for Clinical Pharmacology & Therapeutics.2010 Feb 03;87(3):356–361.
  4. Patel B D , Suthar S P, Mansuri A M, Joshi V D. A Comparative Analysis of Generic Drug Assessment and Regulatory Approval in the USA, Europe and India. Zhongguo Yingyong Shenglixue zazhi. 2024 Oct 10;40:e20240029.
  5. Handoo S, Arora V, Khera D, Nandi P K, Sahu S K. A comprehensive study on regulatory requirements for development and filing of generic drugs globally. International Journal of Pharmaceutical Investigation 2012;3(2):99-105.
  6. Joseph K, Hakeem S, Zhang L, Jiang W. Global harmonization of immediate-release solid oral drug product bioequivalence recommendations and the impact on generic drug development. Clinical Translational Science. 2023;16:2756–2764.
  7. Gupta R, Shah N D, Ross J S. Generic Drugs in the United States: Policies To Address Pricing and Competition. American Society for Clinical Pharmacology & Therapeutics.2018 Nov 24;105(2):329–337.
  8. Karalis V, Symillides M, Macheras P. On the leveling-off properties of the new bioequivalence limits for highly variable drugs of the EMA guideline. European Journal of Pharmaceutical Sciences 2011 Sep 16;44:497-505.
  9. Aivalli P K et al. Perceptions of the quality of generic medicines: implications for trust in public services within the local health system in Tumkur, India. British Medical Journal Global Health. 2018 Jan 13;2(Suppl 3):e000644.
  10. Li P, Wang S, Chen Y. Use of Real?World Evidence for Drug Regulatory Decisions in China: Current Status and Future Directions. Therapeutic Innovation & Regulatory Science 2023; 57:1167–1179.
  11. Qu J et al. Knowledge, perceptions and practices of pharmacists regarding generic substitution in China: a cross-sectional study. British Medical Journal Open 2021;11:e051277.
  12. Liu Q et al. Common Deficiencies with Bioequivalence Submissions in Abbreviated New Drug Applications Assessed by FDA. American Association of Pharmaceutical Scientists Journal 2011 Dec 1;14(1):19–22.
  13. Wang Z, Ahluwalia K, Newman B, Dhapare S, Zhao L, Luke M C. Medication Cost-Savings and Utilization of Generic Inhaled Corticosteroid (ICS) and Long-Acting Beta-Agonist (LABA) Drug Products in the USA. Therapeutic Innovation and Regulatory Science. 2022 Feb 3;56(2):346–357.
  14. Conti R M, Berndt E R. Four Facts Concerning Competition in U.S. Generic Prescription Drug Markets. International Journal of the Economics of Business. 2019 Sep 5;27(1):27–48.
  15. Jiao K, Gupta R, Fox E, Kesselheim A, Ross J S. Characteristics of Recent Generic Drug Approvals by the US Food and Drug Administration. Journal of the American Medical Association Network Open. 2019 Oct 11;2(10):e1913029.
  16. Klein K, Borchard G, Shah V P, Fluhmann B, McNeil S E, Vlieger J S B. A pragmatic regulatory approach for complex generics through the U.S. FDA 505(j) or 505(b)(2) approval pathways. Annals of the New York Academy of Sciences. 2021 Jul 22;1502(1):5–13.
  17. Sullivan J O, Blake K, Berntgen M, Salmonson T, Welink J. Overview of the European Medicines Agency's Development of Product?Specific Bioequivalence Guidelines. Clin Pharmacology & Therapeutics. 2018 Jan 9;104(3):539–545.
  18. Sandeep D S. How generic drugs are registered in Europe, United Kingdom, Australia and New Zealand? - A drug regulatory perspective. International Journal of Pharmaceutical Investigation 2023;13(3):440-445.
  19. Hakariya H, Moriarty F, Ozaki A, Mulinari S, Saito H, Tanimoto T. Continued cancer drug approvals in Japan and Europe after market withdrawal in the United States: A comparative study of accelerated approvals. Clinical Translational Science. 2024 Jul 10;17(7):e13879.
  20. Pan J et al. List prices and clinical value of anticancer drugs in China, Japan, and South Korea: a retrospective comparative study. Lancet Regional Health- Western Pacific. 2024 May 16;47:101088.
  21. Jayaraman D et al. Experience with Generic Pegylated L-asparaginase in Children with Acute Lymphoblastic Leukemia from a Tertiary Care Oncology Center in South India. South Asian Journal of Cancer. 2023 Apr 10;12(4):371–377.
  22. Zhang S Y et al. Evaluation of blood pressure lowering effect by generic and brand-name antihypertensive drugs treatment: a multicenter prospective study in China. Chinese Medical Journal (English edition). 2021 Jan 19;134(3):292–301.
  23. Kharasch E D. et al. Bioequivalence and therapeutic equivalence of generic and brand bupropion in adults with major depression: A randomized clinical trial. Clinical Pharmacology & Therapeutics.;105(5):1164-1174.
  24. Hansen R A et al. Comparison of generic-to-brand switchback patterns for generic and authorized generic drugs. Pharmacotherapy. 2017 April ; 37(4): 429–437.
  25. Huang B, Barber S L, Xu M, Cheng S. Make up a missed lesson-New policy to ensure the interchangeability of generic drugs in China. Pharmaceutical Research Per. 2017;5(3): e00318.
  26. Wouters J, Kanavos P G, McKee M. Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending. Milbank Quarterly 2017 Sep 12;95(3):554–601.
  27. Davit B M, Kanfer I, Tsang Y C, Cardot J M. BCS Biowaivers: Similarities and Differences Among EMA,FDA, and WHO Requirements. American Association of Pharmaceutical Scientists Journal. 2016 Mar 4;18(3):612–618.
  28. Kaur P, Jiang X, Duan J, Stier E. Applications of In Vitro–In Vivo Correlations in Generic Drug Development: Case Studies. American Association of Pharmaceutical Scientists Journal. 2015 Apr 22;17(4):1035–1039.
  29. Lee S L et al. Regulatory Considerations for Approval of Generic Inhalation Drug Products in the US, EU, Brazil, China, and India. American Association of Pharmaceutical Scientists Journal. 2015 May 23;17(5):1285–1304.
  30. Braddy A C, Davit B M, Stier E M, Conner D P. Survey of International Regulatory Bioequivalence Recommendations for Approval of Generic Topical Dermatological Drug Products. American Association of Pharmaceutical Scientists Journal. 2014 Oct 25;17(1):121–133.
  31. Karalis V, Bialer M, Macheras P. Quantitative assessment of the switchability of generic products. European Journal of Pharmaceutical Sciences 2013;50:476–483.
  32. Karalis V, Macheras P, Bialer M. Generic Products of Antiepileptic Drugs: A Perspective on Bioequivalence, Bioavailability, and Formulation Switches Using Monte Carlo Simulations.CNS Drugs.2014;28:69–77.
  33. Galgatte U C, Jamdade V R, Aute P P, Chaudhari P D. Study on requirements of bioequivalence for registration of pharmaceutical products in USA, Europe and Canada. Saudi Pharmaceutical Journal 2013 May 31;22(5):391–402.
  34. Liu J et al. Relative bioavailability and pharmacokinetic comparison of two different enteric formulations of omeprazole. Journal of Zhejiang University- Science B. 2012 May;13(5):348–355.
  35. Johnston A et al. Generic and therapeutic substitution: a viewpoint on achieving best practice in Europe by Johnston et al. British Journal of Clinical Pharmacology 2011 Nov;72(5):733–734.
  36. Singal G L, Nanda A, Kotwani A. A comparative evaluation of price and quality of some branded versus branded–generic medicines of the same manufacturer in India. Indian Journal of Pharmacology 2011 Apr;43(2):131–136.
  37. Simoens S. Generic medicine pricing in Europe:current issues and future perspective. Journal of Medical Economics.2008;11(1):171-5.
  38. Liu J P. Bridging Bioequivalence Studies. Journal of Biopharmaceutical Statistics 2004;14(4):8.

Reference

  1. Alasmari M S et al. Model-informed drug discovery and development approaches to inform clinical trial design and regulatory decisions: A primer for the MENA region. Saudi Pharmaceutical Journal.2024 Nov 27;32(12):102207.
  2. Sun D, Gao W, Hu H, Zhou S. Why 90% of clinical drug development fails and how to improve it?. Acta Pharmaceutica Sinica B.2022 Feb 11;12(7):3049-3062.
  3. Kaitin K I. Deconstructing the Drug Development Process: The New Face of Innovation. American Society for Clinical Pharmacology & Therapeutics.2010 Feb 03;87(3):356–361.
  4. Patel B D , Suthar S P, Mansuri A M, Joshi V D. A Comparative Analysis of Generic Drug Assessment and Regulatory Approval in the USA, Europe and India. Zhongguo Yingyong Shenglixue zazhi. 2024 Oct 10;40:e20240029.
  5. Handoo S, Arora V, Khera D, Nandi P K, Sahu S K. A comprehensive study on regulatory requirements for development and filing of generic drugs globally. International Journal of Pharmaceutical Investigation 2012;3(2):99-105.
  6. Joseph K, Hakeem S, Zhang L, Jiang W. Global harmonization of immediate-release solid oral drug product bioequivalence recommendations and the impact on generic drug development. Clinical Translational Science. 2023;16:2756–2764.
  7. Gupta R, Shah N D, Ross J S. Generic Drugs in the United States: Policies To Address Pricing and Competition. American Society for Clinical Pharmacology & Therapeutics.2018 Nov 24;105(2):329–337.
  8. Karalis V, Symillides M, Macheras P. On the leveling-off properties of the new bioequivalence limits for highly variable drugs of the EMA guideline. European Journal of Pharmaceutical Sciences 2011 Sep 16;44:497-505.
  9. Aivalli P K et al. Perceptions of the quality of generic medicines: implications for trust in public services within the local health system in Tumkur, India. British Medical Journal Global Health. 2018 Jan 13;2(Suppl 3):e000644.
  10. Li P, Wang S, Chen Y. Use of Real?World Evidence for Drug Regulatory Decisions in China: Current Status and Future Directions. Therapeutic Innovation & Regulatory Science 2023; 57:1167–1179.
  11. Qu J et al. Knowledge, perceptions and practices of pharmacists regarding generic substitution in China: a cross-sectional study. British Medical Journal Open 2021;11:e051277.
  12. Liu Q et al. Common Deficiencies with Bioequivalence Submissions in Abbreviated New Drug Applications Assessed by FDA. American Association of Pharmaceutical Scientists Journal 2011 Dec 1;14(1):19–22.
  13. Wang Z, Ahluwalia K, Newman B, Dhapare S, Zhao L, Luke M C. Medication Cost-Savings and Utilization of Generic Inhaled Corticosteroid (ICS) and Long-Acting Beta-Agonist (LABA) Drug Products in the USA. Therapeutic Innovation and Regulatory Science. 2022 Feb 3;56(2):346–357.
  14. Conti R M, Berndt E R. Four Facts Concerning Competition in U.S. Generic Prescription Drug Markets. International Journal of the Economics of Business. 2019 Sep 5;27(1):27–48.
  15. Jiao K, Gupta R, Fox E, Kesselheim A, Ross J S. Characteristics of Recent Generic Drug Approvals by the US Food and Drug Administration. Journal of the American Medical Association Network Open. 2019 Oct 11;2(10):e1913029.
  16. Klein K, Borchard G, Shah V P, Fluhmann B, McNeil S E, Vlieger J S B. A pragmatic regulatory approach for complex generics through the U.S. FDA 505(j) or 505(b)(2) approval pathways. Annals of the New York Academy of Sciences. 2021 Jul 22;1502(1):5–13.
  17. Sullivan J O, Blake K, Berntgen M, Salmonson T, Welink J. Overview of the European Medicines Agency's Development of Product?Specific Bioequivalence Guidelines. Clin Pharmacology & Therapeutics. 2018 Jan 9;104(3):539–545.
  18. Sandeep D S. How generic drugs are registered in Europe, United Kingdom, Australia and New Zealand? - A drug regulatory perspective. International Journal of Pharmaceutical Investigation 2023;13(3):440-445.
  19. Hakariya H, Moriarty F, Ozaki A, Mulinari S, Saito H, Tanimoto T. Continued cancer drug approvals in Japan and Europe after market withdrawal in the United States: A comparative study of accelerated approvals. Clinical Translational Science. 2024 Jul 10;17(7):e13879.
  20. Pan J et al. List prices and clinical value of anticancer drugs in China, Japan, and South Korea: a retrospective comparative study. Lancet Regional Health- Western Pacific. 2024 May 16;47:101088.
  21. Jayaraman D et al. Experience with Generic Pegylated L-asparaginase in Children with Acute Lymphoblastic Leukemia from a Tertiary Care Oncology Center in South India. South Asian Journal of Cancer. 2023 Apr 10;12(4):371–377.
  22. Zhang S Y et al. Evaluation of blood pressure lowering effect by generic and brand-name antihypertensive drugs treatment: a multicenter prospective study in China. Chinese Medical Journal (English edition). 2021 Jan 19;134(3):292–301.
  23. Kharasch E D. et al. Bioequivalence and therapeutic equivalence of generic and brand bupropion in adults with major depression: A randomized clinical trial. Clinical Pharmacology & Therapeutics.;105(5):1164-1174.
  24. Hansen R A et al. Comparison of generic-to-brand switchback patterns for generic and authorized generic drugs. Pharmacotherapy. 2017 April ; 37(4): 429–437.
  25. Huang B, Barber S L, Xu M, Cheng S. Make up a missed lesson-New policy to ensure the interchangeability of generic drugs in China. Pharmaceutical Research Per. 2017;5(3): e00318.
  26. Wouters J, Kanavos P G, McKee M. Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending. Milbank Quarterly 2017 Sep 12;95(3):554–601.
  27. Davit B M, Kanfer I, Tsang Y C, Cardot J M. BCS Biowaivers: Similarities and Differences Among EMA,FDA, and WHO Requirements. American Association of Pharmaceutical Scientists Journal. 2016 Mar 4;18(3):612–618.
  28. Kaur P, Jiang X, Duan J, Stier E. Applications of In Vitro–In Vivo Correlations in Generic Drug Development: Case Studies. American Association of Pharmaceutical Scientists Journal. 2015 Apr 22;17(4):1035–1039.
  29. Lee S L et al. Regulatory Considerations for Approval of Generic Inhalation Drug Products in the US, EU, Brazil, China, and India. American Association of Pharmaceutical Scientists Journal. 2015 May 23;17(5):1285–1304.
  30. Braddy A C, Davit B M, Stier E M, Conner D P. Survey of International Regulatory Bioequivalence Recommendations for Approval of Generic Topical Dermatological Drug Products. American Association of Pharmaceutical Scientists Journal. 2014 Oct 25;17(1):121–133.
  31. Karalis V, Bialer M, Macheras P. Quantitative assessment of the switchability of generic products. European Journal of Pharmaceutical Sciences 2013;50:476–483.
  32. Karalis V, Macheras P, Bialer M. Generic Products of Antiepileptic Drugs: A Perspective on Bioequivalence, Bioavailability, and Formulation Switches Using Monte Carlo Simulations.CNS Drugs.2014;28:69–77.
  33. Galgatte U C, Jamdade V R, Aute P P, Chaudhari P D. Study on requirements of bioequivalence for registration of pharmaceutical products in USA, Europe and Canada. Saudi Pharmaceutical Journal 2013 May 31;22(5):391–402.
  34. Liu J et al. Relative bioavailability and pharmacokinetic comparison of two different enteric formulations of omeprazole. Journal of Zhejiang University- Science B. 2012 May;13(5):348–355.
  35. Johnston A et al. Generic and therapeutic substitution: a viewpoint on achieving best practice in Europe by Johnston et al. British Journal of Clinical Pharmacology 2011 Nov;72(5):733–734.
  36. Singal G L, Nanda A, Kotwani A. A comparative evaluation of price and quality of some branded versus branded–generic medicines of the same manufacturer in India. Indian Journal of Pharmacology 2011 Apr;43(2):131–136.
  37. Simoens S. Generic medicine pricing in Europe:current issues and future perspective. Journal of Medical Economics.2008;11(1):171-5.
  38. Liu J P. Bridging Bioequivalence Studies. Journal of Biopharmaceutical Statistics 2004;14(4):8.

Photo
R Fousi Fathima
Corresponding author

Department of Pharmacy Practice, Ahalia School of Pharmacy, Kerala University of Health and Sciences, Kozhippara, Palakkad 678557, Kerala, India.

Photo
Sini. T. Inasu
Co-author

Department of Pharmacy Practice, Prime college of Pharmacy, Kerala University of Health and Sciences, Erattayal, Palakkad 678551 Kerala, India.

Photo
Divya P
Co-author

Department of Pharmacy Practice, Ahalia School of Pharmacy, Kerala University of Health and Sciences, Kozhippara, Palakkad 678557, Kerala, India.

Photo
P Aiswarya
Co-author

Department of Pharmacy Practice, Ahalia School of Pharmacy, Kerala University of Health and Sciences, Kozhippara, Palakkad 678557, Kerala, India.

Sini. T. Inasu, Divya P, P Aiswarya, R Fousi Fathima, ANDA Filings in India: Insights from Industry Experts, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 3, 3325-3333. https://doi.org/10.5281/zenodo.19229556

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