MNTA: If I may:
"M-Enoxaparin, its my understanding that MNTA produces an exact replica of the molecule so it doesn't make sense to conduct clinical trials for the immunogenicity issue."
-True, unless the FDA is concerned about immunogenicity in general with Lovenox, and chose this opportunity to pursue such thought with a new application from the generic applicant. It would be more difficult to go after the marketed product with such concerns.
Besides, should the FDA believe that the MNTA version is "an exact replica"? They may now, but they may not have thought this back in 2007 or so when some FDA staffer came up with the brilliant idea.
"Their technology puts them ahead of TEVA & other generic manufactures who have also filed ANDA's for M-Enoxaparin."
-That is the assumption that MNTA and MNTA investors are making. However, there isn't yet empirical proof of such. There is anecdotal proof: Why hasn't TEVA's application been approved? (I believe it is 6 years old) Why didn't the FDA work with TEVA to resolve the Heparin contamination issue?
This is core to Dew's (and my) assumption that MNTA will get the only approval, if there is one. MNTA's technology may have raised the bar too high for anyone else. Otherwise, the FDA would be approving generics from companies with inferior analytic capabilities. I suspect they would not do so with more complex entities to come.
TEVA is a powerhouse and may have the goods. We'll see!