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			 Novartis's biosimilar, called Ziextenzo, is aimed at helping cancer 
			patients boost infection-fighting white blood cells during 
			chemotherapy. 
 Ziextenzo was knocked back in 2016 when the U.S. Food and Drug 
			Administration rejected Novartis's submission. That underscored 
			challenges makers of cheaper copies of blockbuster biological 
			medicines face in the United States, compared to the positive 
			reception they have got in Europe.
 
 The FDA's 2016 rejection allowed Coherus BioSciences and Mylan to 
			beat Novartis to the U.S. market with their own Neulasta copies. 
			Novartis now hopes to launch Ziextenzo this year.
 
			
			 
			"The approval of Ziextenzo expands our oncology portfolio, providing 
			physicians with a long-acting supportive oncology biosimilar 
			option," Carol Lynch, president of Novartis's Sandoz generics 
			division that makes biosimilars, said in a statement.
 
 Biosimilars are near-copies of brand-name medicines. Because they 
			are biological drugs, they cannot be exactly replicated, but studies 
			show they have the same efficacy for patients as the originals.
 
 Novartis has not said why the FDA blocked its first submission, but 
			resubmitted the application in April.
 
 Ziextenzo's U.S. approval also marks yet another example of 
			drugmakers using the letters "Z" and "X" in drug names to grab 
			attention.
 
			
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			The arrival of Coherus's and Mylan's Neulasta copies, priced 
			initially at discounts of some 33%, has made a dent in Amgen's 
			business: Neulasta sales in the third quarter of 2019 fell 32%, a 
			trend Novartis hopes will accelerate now that it has joined the 
			fray.
 Novartis markets eight biosimilars in Europe, including Ziextenso, 
			but so far has just four U.S. approvals, illustrating stark 
			differences in the two markets.
 
 In Europe, biosimilars have made significant headway as governments 
			and insurers switch to them in order to save money.
 
 Progress of the cheaper copies in the United States - despite public 
			outrage over high drug prices - has been much slower as projects 
			face delays from patent lawsuits and regulatory issues, as well as 
			tactics by makers of the originals trying to preserve their market 
			share.
 
 (Reporting by John Miller; Editing by Emelia Sithole-Matarise)
 
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