BUILDING BETTER MANUFACTURING FACILITIES - PHARMTECH
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APRIL 2020 Volume 32 Number 4 Building Better Manufacturing Facilities Development Accelerating Vaccine Development Optimizing Drug Delivery Manufacturing HPAPI Tabletting Safety Quality/Regulations Supplier Oversight Analytics Cleaning Validation Operations Cold-Chain Packaging Outsourcing Continuous Bioprocessing Peer-Review Research Identifying Impurity in Topical Gel
April 2020 Pharmaceutical Technology Europe is the authoritative Advancing Development & Manufacturing source of peer-reviewed research and expert analyses for scientists, engineers, and managers engaged in process PharmTech.com development, manufacturing, formulation and drug delivery, API synthesis, analytical technology and testing, packaging, IT, outsourcing, and regulatory compliance Cover: nasir1164 - Stock.adobe.com in the pharmaceutical and biotechnology industries. Art direction: Maria Reyes 36 16 9 26 PharmTech.com Features OPERATIONS 29 Packaging Preserves the Cold Chain COVER STORY: MANUFACTURING More sustainable and functional 9 Building Better Manufacturing Facilities cold-chain packaging protects biologics Whether refitting existing spaces or building and other temperature‑sensitive drugs. new, the need for quick build times, flexibility, QUALITY/REGULATIONS and production efficiency is driving trends 33 Being Vigilant in Supplier Oversight in bio/pharma facility construction. Risk assessments, audits, and good DEVELOPMENT communication between sponsor and 13 Can Vaccine Development supplier are key elements of supplier oversight. Be Safely Accelerated? OUTSOURCING Biopharma companies responding to the 36 Biomanufacturing: Demand COVID-19 outbreak think accelerating the for Continuous Bioprocessing Increasing development of vaccines is safe. But are innovations sufficient to increase adoption? CMOs are demanding better 16 Delivering the Goods continuous bioprocessing options. The new molecules entering the development pipeline are bringing forth ANALYTICS exciting challenges in drug delivery. 39 Alternative Cleaning Validation Methods for Biologics MANUFACTURING Because conventional cleaning methods 26 Understanding Containment for Tabletting can risk product loss, biopharmaceutical Risk levels should be considered when manufacturers are often reluctant to use designing equipment to enhance operator safety. PDE/ADE limits to validate cleaning processes. Peer-Review Research Columns and Regulars 5 Editor’s Comment 20 Identifying the Structure of an Making Every Effort Unknown Impurity in a Topical Gel 6 European Regulatory Watch This case study highlights analytical instrumentation Learning Lessons in Crisis Management and techniques that were used to identify an unknown impurity detected during routine 41 Ad Index release testing of a topical gel drug product. 42 Ask the Expert Critical Knowledge for Preparing Audits Pharmaceutical Technology Europe APRIL 2020 3
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EDITORIAL ADVISORY BOARD PharmTech Group PharmTech Europe Editorial Director Editor Reinhard Baumfalk Luigi G. Martini Rita Peters Felicity Thomas RPeters@mjhlifesciences.com FThomas@mjhlifesciences.com Vice-President, R&D Chair of Pharmaceutical Senior Editor Publisher Instrumentation & Control Innovation Agnes Shanley Michael Tracey Sartorius AG King’s College London AShanley@mjhlifesciences.com MTracey@mjhlifesciences.com Rafael Beerbohm Thomas Menzel Managing Editor Sales Manager Linda Hewitt Director of Quality Systems Menzel Fluid Solutions AG Susan Haigney Tel. +44 (0) 151 705 7603 Boehringer Ingelheim GmbH SHaigney@mjhlifesciences.com Jim Miller LHewitt@mjhlifesciences.com Manufacturing Editor Phil Borman, DSc Founder and Former President, Senior Sales Executive Jennifer Markarian Stephen Cleland Director, PharmSource, JMarkarian@mjhlifesciences.com Tel. +44 (0) 151 705 7604 Product Development & Supply A Global Data Company Science Editor SCleland@mjhlifesciences.com Medicinal Science & Technology Feliza Mirasol Pharma R&D Colin Minchom Sales Operations Executive FMirasol@mjhlifesciences.com Barbara Williams GlaxoSmithKline Senior Director BWilliams@mjhlifesciences.com Pharmaceutical Sciences Assistant Editor Evonne Brennan Lauren Lavelle VP & Managing Director, Shire Pharmaceuticals LLavelle@mjhlifesciences.com MJH Life SciencesTM International Technical Marketing Dave Esola Manager, Pharmaceutical Clifford S. Mintz Senior Art Director Marie Maresco C.A.S.T. Data and List Information Division, President and Founder Michael Kushner IMCD Ireland BioInsights Graphic Designer MKushner@mjhlifesciences.com Maria Reyes Rory Budihandojo Tim Peterson Director, Quality and EHS Audit Transdermal Product Boehringer-Ingelheim Development Leader, Drug MJH Life SciencesTM Vice President, Human Resources Christopher Burgess Delivery Systems Division, 3M Chairman and Founder & Administration Managing Director John Pritchard Mike Hennessy, Sr Shari Lundenberg Burgess Analytical Consultancy Technical Director Vice Chairman Vice President, Business Jack Lepping Intelligence Ryan F. Donnelly Philips Respironics President and CEO Chris Hennessy Professor Thomas Rades Mike Hennessy, Jr Vice President, Marketing Queens University Belfast Professor, Amy Erdman Chief Financial Officer Tim Freeman Research Chair in Formulation Neil Glasser, CPA/CFE Executive Creative Director, Design and Drug Delivery, Creative Services Managing Director Executive Vice President, University of Copenhagen Jeff Brown Freeman Technology Operations Tom Tolvé Filipe Gaspar Rodolfo Romañach Published by Professor of Chemistry Senior Vice President, Content Vice-President, R&D Multimedia UK, LLC Silas Inman Sycamore House, Suite 2 Hovione University of Puerto Rico, Senior Vice President, I.T. & Lloyd Drive Puerto Rico Cheshire Oaks Sharon Grimster Enterprise Systems Siegfried Schmitt Cheshire ReNeuron John Moricone Ch65 9HQ, United Kingdom Vice‑President Technical Senior Vice President, Audience Tel. +44 151 705 7601 Anne Marie Healy Generation & Product Fulfillment PAREXEL Professor in Pharmaceutics and Joy Puzzo Stane Srcic Pharmaceutical Technology Trinity College Dublin, Ireland Professor University of Ljubljana, Slovenia Deirdre Hurley Senior Director, Plant Griet Van Vaerenbergh Helsinn Birex GEA Process Engineering Pharmaceuticals Ltd. Benoît Verjans Editorial: All submissions will be handled with reasonable care, but the publisher assumes no responsibility for safety of artwork, photographs, or manuscripts. Every Makarand Jawadekar CEO precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the accuracy of information supplied herein or for any opinion expressed. Independent Consultant Arlenda Subscriptions: Henrik Johanning Tony Wright Pharmaceutical Technology Europe is free to qualified subscribers in Europe. To apply for a free subscription, or to change your name or address, go CEO, Senior Consultant, Managing Director to PharmTech.com, click on Subscribe, & follow the prompts. Genau & More A/S Exelsius To cancel your subscription, please email your request to mmhinfo@mmhgroup.com, putting PTE in the subject line. Marina Levina Please quote your subscription number if you have it. Product Owner-OSD, TTC- For reprints contact Michael Tracey, MTracey@mmhgroup.com. 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EDITOR’S COMMENT Making Every Effort W hile the majority of the world is in isolation to try to slow Regulatory response The global pandemic of COVID-19 has been pushing the boundaries of that are not yet proven to be effective in the treatment of COVID-19. As reported by The Guardian people suffering from the spread of the virus regulatory possibilities both within lupus are now facing empty pharmacy responsible for COVID- Europe and around the rest of the world. shelves that would normally contain a 19, companies and Guidance on how to best manage clinical vital medicine used for their treatment, regulatory bodies in the trials in the current situation, deferral of hydroxychloroquine (3). The emptying of bio/pharma industry non-essential inspections, prioritization the shelves can be attributed to the, as are facing numerous of COVID-19 treatment applications, of yet unproven, link with the drug having challenges and committing significant expediting applications, and funding efficacy in the treatment of COVID-19. efforts to support the development of novel are some of the measures being taken Therefore, in this current climate, it therapeutics and monitor supply chains. by European authorities to support the is imperative that pertinent scientific industry. information that can be of reassurance Drug and vaccine development These practical measures being and informative be disseminated According to the European Federation of implemented by European regulatory with due diligence and care. So, in Pharmaceutical Industries and Associations enforcers have undoubtedly been more addition to thanking all those working (EFPIA), its members are actively engaged in easily formulated as a result of lessons tirelessly to develop potential vaccines the development of collaborative research learned from previous outbreaks. In this and treatments, the Pharmaceutical programmes that will assist in accelerating issue’s European Regulatory Watch (pages Technology Europe team invites you to the advancement of therapeutics for 6–8), Sean Milmo delves into this topic in keep up-to-date with industry efforts via COVID-19 (1). Some examples of work being more detail, looking at specific examples our website, www.PharmTech.com where performed by EFPIA member companies from past outbreaks and how closer there will be regular COVID-19 coverage in tackling the COVID-19 outbreak relationships built up by agencies in spanning drug development, research, include: companies, such as Bayer and Europe with companies and researchers supplier news, and regulatory updates. GlaxoSmithKline, joining the COVID-19 is advantageous for the current situation. Stay safe and healthy. Therapeutics Accelerator Initiative and opening up compound libraries; the Supply chain concerns References donation of supplies, such as Merck’s Another important aspect being looked 1. EFPIA, “European Pharmaceutical Industry donation of interferon beta-1a, to be used at by regulatory bodies and industry Response to COVID-19,” efpia.eu, Press in clinical trials; provision of expertise associations, which has the potential Release, 25 Feb. 2020. and advice to relevant stakeholders; and to be detrimentally impacted by the 2. Pharmaceutical Technology Editors, “Indian leveraging previous vaccine development COVID-19 pandemic, is that of supply Government Restricts Export of APIs and work to potentially enable a more rapid chain. For example, industry concerns Formulations Due to COVID-19,” PharmTech. development of a COVID-19 vaccine, such were raised when the Indian government com, 6 March 2020. as work being done by Sanofi (1). revealed it would be restricting the export 3. The Guardian, “Vital Drug for People with Some notable drugs and vaccines for of 26 APIs and formulations, including Lupus Running Out After Unproven COVID-19 COVID-19 in development are: paracetamol, progesterone, and vitamin Link,” theguardian.com, 27 March 2020. PTE • Messenger RNA vaccines, from CureVac B12, as a result of COVID-19 early in and BioNTech, are in preclinical stages. March 2020 (2). • Remdesivir, from Gilead Sciences, And, it isn’t just trepidations around Felicity Thomas originally developed to treat Ebola, is in the availability of ingredients, there is Editor of Pharmaceutical Technology Europe Phase III clinical trials. also the added issue of hoarding drugs FThomas@mjhlifesciences.com • SNG001, from Synairgen Research, is an inhaled formulation of interferon-beta-1a that is entering Phase II clinical trials. Join PTE’s community Join the Pharmaceutical Technology Europe group on LinkedIn™* and start discussing the issues • Chloroquine and hydroxychloroquine are that matter to you with your peers. currently being investigated in clinical Go to PharmTech.com/linkedin trials and are being donated by various companies for evaluation. *The linkedIn logo is a registered trademark of LinkedIn Corporation and its affiliates in the United States and/or other countries Pharmaceutical Technology Europe APRIL 2020 5
EUROPEAN REGULATORY WATCH Learning Lessons in Crisis Management Regulatory emergency planning has been put to the test with the COVID-19 pandemic. E uropean medicine regulators have, over the past few decades, been drawing up a series of detailed plans for the emergency development and Disease Prevention and Control commented in a bulletin on 12 March 2020 (3). “In addition, there is presumably no pre-existing immunity in the population against the mass‑scale production of vaccines, antivirals, and other new coronavirus and everyone in the population is medicines, as well as diagnostics to combat epidemics assumed to be susceptible.” or pandemics. Regulatory bodies have been confronted Fortunately, regulators had learned a lot from other, by a range of diseases from outside Europe, such as smaller-scale, outbreaks, particularly those of swine flu severe acute respiratory syndrome (SARS) in 2002, in 2009 and the 2014–2016 wave of the Ebola virus. The H5N1 and H7N9 bird flues in 2003 and 2013, Middle East European Medicines Agency (EMA), responsible for the Sean Milmo is a respiratory syndrome (MERS), and H1N1 swine flu in EU’s central medicines authorization process and for freelance writer based in 2009. Among the most dangerous has been the Ebola coordinating the EU’s medicines licensing network down Essex, UK, seanmilmo@ virus, which first appeared in 1976 and still has not been to national level, performed “lessons to be learned” btconnect.com. completely eradicated (1). exercises after the swine flu and Ebola episodes. Most of these infectious diseases have high death Swine flu highlighted the importance of providing a rates—from 10% for SARS to 53% for H5N1 flu—but scientific platform for quick research into new vaccines have a relatively low transmission level. Although posing and medicines, working closely with partners such as major threats to the health of the region, they have not public health agencies, and improved collaboration had a major impact on Europe. with international organizations active both inside and However, the novel coronavirus disease, COVID-19, outside Europe. which emerged in China in late December to become a The regulatory effectiveness of the current response pandemic with over 600,000 cases and close to 30,000 to COVID-19 has been helped by closer relationships deaths globally by 29 March 2020 (2), has been an built up by medicines agencies in Europe with entirely different matter. With a high transmission rate researchers and drug companies working on new and a relatively low death rate, it has changed the whole medicines. Regulators now frequently become involved regulatory process of dealing with sudden pandemics. at an early stage in the development of new drugs to speed up time-to-market. A massive challenge As a result, many of the companies submitting In Europe, COVID-19 has been a massive challenge to candidates for anti-COVID-19 vaccines and medicines national healthcare services, public health policies, and for approval are already known to regulators, who have scientists striving to develop vaccines and medicines often been acquainted with the technologies behind to fight the virus as rapidly as possible. The carefully them as well. worked out emergency-response plans of the regulators to help bring new vaccines and medicines to the market An international dimension to research has been severely tested. Regulators are having to cope with a growing By late March 2020, Europe had become the global international dimension to the emergency research epicentre of the outbreak when growth in infections into new vaccines and therapeutics, whose ultimate in China started to slow and cases in the World Health objective is to bring to the market as quickly as possible Organization’s (WHO’s) European Region rose to more products with a potential for global application. National beugdesign - Stock.adobe.com than 360,000 with over 20,000 deaths (2). agencies are tending to play a limited role amid this “There are no vaccines available (for COVID-19), and drive to globalize anti-COVID-19 vaccines and medicines there is little evidence on the effectiveness of potential with availability across Europe being only the first move therapeutic agents,” the EU’s European Centre for to a worldwide market. 6 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
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European Regulatory Watch CureVac, a German biotech company based at Tuebingen, large-scale GMP production in Europe, we plan to seek which is developing a messenger RNA (mRNA) vaccine MHRA and then EMA approvals.” against COVID-19, is already known to German and EMA However, similar to a lot of other European companies regulators because of its progress with work on a rabies developing vaccines and COVID-19 therapeutics, Stabilitech is vaccine, company officials said in a phone press conference looking to China as a fast-track option for global distribution. on 17 March 2020 (4). After the COVID-19 outbreak, It has already established links with the Chinese Academy of CureVac’s mRNA technology quickly made it a frontrunner Sciences, the country’s leading research institute. for the development of a global coronavirus vaccine, a role in which it is competing with BioNTech, another German mRNA An alternative distribution route specialist. Another route to global distribution is being provided by The attraction of the CureVac and other mRNA WHO, which has been playing a major role in controlling technologies is that its production can be scaled up without the pandemic. WHO quickly published an updated difficulty to good manufacturing practice (GMP) standards version of its Emergency Use Listing (EUL) procedure for to produce low-cost vaccines that can be relatively easily emergency distribution of unlicensed products two days stored and distributed without the need for refrigeration. after the Chinese announced the genome sequence for Messenger RNA vaccines have the added advantage of the COVID-19 virus in early January 2020. The new version being effective in small doses, and they can be modified simplified the EUL application process for manufacturers fairly quickly to counter new strains of a virus. after it resulted in no new vaccines or therapeutics being With vaccines based on more traditional technologies listed in the 2014–2016 Ebola outbreak (7). necessitating refrigeration, European regulators have pointed Unlicensed vaccines, medicines, and in-vitro diagnostic to the problem of storing and administering investigational devices on the list can be made available throughout products to clinical trial participants who have had to self- the world. Under the scheme, which is part of the 2005 isolate. With the early backing of regulators, CureVac’s International Health Regulations backed by all 194 WHO COVID-19 vaccine seems destined to reach the market member countries, dossiers on products submitted for quickly. Clinical trials are due to start in the summer 2020 (4). listing are thoroughly assessed by an expert committee, Senior company executives met Ursula van der Leyen, with the first endorsements likely to be made in March or the European Commission’s (EC’s) president, in March 2020. April 2020 (7). This was followed by the commission offering an €80 million The EUL is seen by WHO as a process running parallel with (US$97 million) grant for the building at Tuebingen of a mass those operating in individual countries or regional entities, production plant for the vaccine (5). Also in March 2020, such as the EU, and as a result should not interfere with company executives met in Washington, DC with President ongoing clinical trials (7). Additionally, WHO stresses that EUL Donald Trump and members of his administration. This inclusion is not equivalent to authorization by a medicines meeting prompted media reports of an American plan to buy licensing agency (7). all of CureVac’s COVID-19 vaccine output or even to acquire The organization also refers to the EUL scheme covering the whole company, all of which has been strongly denied by one or more additional waves of COVID-19. Both itself and CureVac executives. other medicines and public health agencies are preparing for Even for small companies, such as the UK-based start-up COVID-19 to be around for some time. vaccine developer and producer Stabilitech, national regulatory approval of their COVID-19 vaccine is regarded as References merely a stepping-stone to global distribution. A global goal 1. WHO, “WHO Recommended Criteria for Declaring end of the is especially the case for UK-based companies because the Ebola Virus Disease Outbreak,” who.int, Technical Information country formally left the EU on 31 January 2020 and, hence, Note, 4 March 2020. also left the EU’s medicines licensing network. 2. WHO, “Coronavirus Disease 2019 (COVID-19): Situation Report, Prior to the COVID-19 pandemic, Stabilitech’s technology 69,” apps.who.int, 29 March 2020. platform was already known to the UK’s Medicines and 3. ECDC, “Rapid Risk Assessment: Novel Coronavirus Disease Healthcare products Regulatory Agency (MHRA) because of 2019 (COVID-19) Pandemic: Increased Transmission in the company’s plans for authorization of a vaccine against the EU/EEA and the UK—Sixth Update,” ecdc.europa.eu, the Zika virus (6). The company has developed a formulation 12 March 2020. technology that enables vaccines to be produced in 4. CureVac, “Conference Call on Current Developments,” temperature-resistant capsules, simplifying distribution and curevac.com, 17 March 2020. administering to patients. 5. EC, “Coronavirus: Commission Offers Financing to Innovative “Before COVID-19, we have been talking a lot to MHRA Vaccines Company CureVac,” ec.europa.eu, Press Release, about our Zika vaccine, whose technology is similar to that 16 March 2020. for our COVID-19 vaccine,” Jeff Drew, Stabilitech’s chief 6. WHO, “Zika Epidemiology Update,” who.int, 2 July 2019. scientific officer, told Pharmaceutical Technology Europe. 7. WHO, “Emergency Use Listing Procedure—Version 9 January “After clinical trials and completion of arrangements for 2020,” who.int, 9 Jan. 2020. PTE 8 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
Building Better Manufacturing Facilities Whether refitting existing spaces or building new, the need for quick build times, flexibility, and production efficiency is driving trends in bio/pharma facility construction. Jennifer Markarian I n adding manufacturing capacity—whether through new, greenfield sites or by retrofitting existing spaces—biopharma and pharma companies seek containment and cleaning operations are other active areas in OSD, he adds. An ongoing drive toward closed processing simplifies flexible and efficient production. Getting a facility up facilities and allows lower room air cleanliness and running quickly with a tight budget is increasingly classifications, which corresponds to savings in capital important. and operational costs, adds Eric Bohn, partner at Flexibility is crucial in biopharmaceutical JacobsWyper Architects. Similarly, the smaller equipment manufacturing, because companies increasingly have associated with continuous processing and the smaller- multiple modalities (e.g., monoclonal antibodies, cell scale processing associated with advanced therapy therapies, and gene therapies) in their pipelines. New medicinal products (ATMP) result in smaller production biopharma facilities often use single-use technology, suites that are easier to support and operate, says Bohn. and modular buildings and systems are becoming “Facilities are being more closely tailored to the needs of more popular. the process,” he notes. “The biggest challenge is to map the current need for flexibility in manufacturing processes to the Renovating facilities facility,” says Stefan Kappeler, technology manager for In the past year, multiple life-sciences companies life sciences at Exyte. He notes that facilities must be have updated or expanded manufacturing capacity prepared for changes in process flow, in scale, and in by renovating existing facilities. In the United States, manufacturing technologies. GlaxoSmithKline (GSK), for example, completed a Flexibility is important in oral solid dosage drug (OSD) retrofit of its Rockville, MD site in October 2019 that manufacturing, as well. Manufacturers are seeking increased capacity for its injectable drug Benlysta to “right size” their operations and capacity based on (belimumab) and involved demolition of existing suites their product portfolios and to upgrade processes, and installation of new equipment (1). The company nasir1164 - Stock.adobe.com equipment, and technology for improved efficiency and also renovated its Upper Merion, PA site and updated faster product changeovers, notes Dave DiProspero, laboratory and manufacturing capabilities, including director of pharmaceutical process technology at adding single-use bioreactors (2). A nearby, former GSK CRB. Improving equipment and facilities for product facility is being transformed into The Discovery Labs Pharmaceutical Technology Europe APRIL 2020 9
Cover Story: Manufacturing Trends biotech campus, which announced in to build their own capacity using industry is changing, agrees Noel January that it would be the home of modular, box-in-box facilities that can Maestre, Life Science Core Team The Center for Breakthrough Medicines, be delivered in a year or less. leader at CRB. “These novel therapies a new contract development and “In many cases, having a facility are quickly proving a need for process manufacturing organization for cell and up-and-running and licensed may be closure and automation, which in gene therapies (3). the critical path to gaining approval for turn is driving equipment vendors Renovating an existing facility can a new product. As such, site startup to create and test novel equipment save time compared to a greenfield timing is critical,” says Mitch Lower, solutions,” notes Maestre. site, where approvals can be complex vice-president of global engineering for and potentially last a year or more, AveXis, a Novartis company specializing OSD trends says Bohn. Although renovations in gene therapies. The company In OSD manufacturing, facility typically have costs for demolition, received an honourable mention in layout is becoming more important waste disposal, and the need to bring the 2019 International Society for as equipment and processes are roof structures up to current building Pharmaceutical Engineering (ISPE) moving toward greater integration, codes, for example, a significant Facility of the Year Awards (FOYA) for says DiProspero. Continuous cost savings is often found in site being one of the first companies to manufacturing and processes such infrastructure, he notes. scale up a gene-therapy manufacturing as direct compression, which are “The most common refurbishments process and doing so on a short growing in use, are examples of we see are from mothballed timeline. To build its Libertyville integrated systems, but integrating facilities,” says John Noble, vice- site near Chicago, IL, AveXis used unit operations is also preferred in president and general manager, G-CON Manufacturing’s prefabricated more traditional OSD processes. life sciences, at Jacobs. “If you cleanroom PODS—built off-site in “A typical integrated equipment can start with a building shell that parallel with facility construction— train will incorporate material accommodates your process and which expedited startup. handling, high shear granulation, meets planning needs, you can save AveXis also purchased and wet milling, fluid bed drying, dry nine-plus months in construction.” refurbished a facility in Longmont, milling, and granulation collection in Facility refurbishment and CO in 2019 to add manufacturing a linked, semi-continuous contained renovations represent more than capacity. The facility is operational operation,” explains DiProspero. 60% of Fluor’s work, adds Dave and is undergoing the remaining Efficient product flow is crucial. Watrous, vice-president, advanced steps to become licensed, which the “Good facility design is marked by technologies and life sciences, Fluor company expects to occur in 2021. uninterrupted uni-flow process Corporation. Reconfiguring existing A facility the company is building in direction, with appropriate hold life-sciences manufacturing space North Carolina is also anticipated to and work-in-progress spaces and or using suitable vacant buildings for become licensed in 2021. minimization of cross/backflow. a box-in-a-box approach can both “There are benefits and challenges Specifically, modern washing accelerate speed to market. to both purchasing an existing facility operations make use of a dirty- and building a new facility,” says wash-clean uni-flow arrangement for ATMP capacity crunch Lower. “Purchasing an existing facility improved efficiency and compliance.” Speed is crucial in biologics may be more cost effective and Modular and prefabricated manufacturing, especially in the have an expedited startup schedule. construction is being used in fast-growing cell therapy and gene However, the existing infrastructure OSD manufacturing. “This type of therapy industry as products are and facility layout may drive additional construction is well suited for powder reaching clinical phase and there is a costs to retrofit to accommodate the processing operations due to good lack of manufacturing capacity. necessary manufacturing process. cleanability, visual aesthetics, and “For manufacturing these When building a completely new the ability for use of glass to bring advanced therapies, CDMOs [contract facility, the timeline may be longer; light into the spaces and provide development and manufacturing however, you will have the flexibility for a user/operator-friendly working organizations], can be scheduling six to build the facility to meet the environment,” says DiProspero. to 18 months out, and this wait time needs of your unique and novel is disruptive to a company’s go-to- manufacturing processes.” Modular approaches market strategy,” says Joe Makowiecki, Although AveXis is today mainly using Modular approaches are transforming Enterprise Solutions director of manual processes, it is moving towards the way the industry builds facilities. business development at GE Healthcare automation in its existing and new Both modular design methods using Life Sciences. He says that despite equipment and facilities, says Lower. standardized templates and modular CDMOs adding capacity, many cell and The lack of automation that is construction methods for buildings gene therapy companies are deciding currently common in the novel ATMP and systems can improve speed 10 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
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Cover Story: Manufacturing Trends to market, says a report by the reports that it has sold close to 70 Standardized equipment improves BioPhorum Group (4). FlexFactories globally to date. Four speed to market. For example, WuXi Modular construction includes of these FlexFactories were installed Biologics moved from purchase order factory-fabricated utility skids, wall inside of the company’s KUbio facility, of the Vanrx workcell to their first GMP panels, or entire rooms or building which is the FlexFactory inside of a batch release in only 15 months, says sections, which can save time and modular, prefabricated facility. Pfizer’s Procyshyn. Placing standardized filling improve quality and construction Biotechnology Center located in machines inside a modular cleanroom safety, explains Bohn. He points Hangzhou, China, for example, is a further increases speed, he adds. out that, although the initial cost of KUBio facility, and it won an ISPE FOYA The Microcell POD is an integrated modular construction is typically more 2019 award for project execution. solution from Vanrx and G-CON than that of field-built alternatives, the In 2019, GE Healthcare launched that meets the “increasing industry savings that comes from a shortened the KUBio Box for viral-vector-based need for rapidly deployable turnkey timeline is quantifiable. Factory gene therapy manufacturing; in this aseptic filling capability for small testing reduces problems in the field box-in-box approach, the FlexFactory batch therapies, specifically in the and makes commissioning, validation, platform in a modular cleanroom cell and gene therapy space,” adds and start-up faster. facility is intended to be placed Powers. Standardization lends itself G-CON’s PODs, for example, are inside a new or repurposed space or to “scaling out” rather than “scaling prefabricated, autonomous, plug-and- shell-building. The KUBio box for viral up.” The standard POD design can play cleanroom environments, which vectors is a cGMP, biosafety level 2 be replicated to rapidly increase can be installed within an existing modular facility solution. manufacturing capacity, he notes. facility or as part of new greenfield “We’re also having discussions construction, for any type of bio/ around building biomanufacturing Collaborating on integration pharma manufacturing, including campuses and shell facilities to house Although standardizing improves OSD, aseptic filling, and cell and gene the modular boxes. A best practice quality and speed, integration of the therapy, says Dennis Powers, vice- approach here is to build for what equipment into the facility building president of business development and you need today but allow for enough is still important. For example, in sales engineering at G-CON. The mobile space in your facility or facility shell to building the Bayer facility in California facilities provide flexibility because they expand,” explains Makowiecki. in 2019 using GE’s FlexFactory, Fluor’s can be transported anywhere to quickly Makowiecki also expects the team helped design the optimal add or subtract capacity. KUBio box offering will expand into people, product, and material flows Modular construction started out in additional product modalities and around the established FlexFactory the bio/pharma industry for building biomanufacturing scales. set-up, and then integrated these infrastructure in developing countries flows in the building envelope and with a lack of skilled construction Standardizing associated utilities and infrastructure. capabilities, but now speed is the Standardization of facility modules, This collaborative process with an primary driver. “Modular construction equipment, unit operations, integrated end result reflects the and prefab cleanrooms are often must- automation, and consumables are future of the industry, says Watrous. have components in any new facility. essential to the speed of deploying Even in very mature market locations, modular facilities and efficient and References these strategies help simplify and effective technical transfer. These 1. PharmTech, “GSK Completes Retrofit accelerate the market delivery strategy capabilities support the trend to of Maryland Facility,” PharmTech.com, for most products,” adds Watrous. distributed manufacturing, with the 4 Oct. 2019. “The modular facility concept same company manufacturing a drug 2. GSK, “GSK Invests $120 Million in Next- is a paradigm shift that provides in multiple regions rather than one Generation US Biopharmaceutical companies with options for centralized location, notes Makowiecki. Manufacturing Facility,” Press Release, establishing rapid and flexible “Standardized, closed systems 25 Sept. 2019. in-house production,” says provide optimal aseptic processes 3. The Discovery Labs, “The Center for Makowiecki. “With standardized, that support very high drug product Breakthrough Medicines is Building the modular systems, typically 80% of quality,” adds Chris Procyshyn, World’s Largest Cell and Gene Therapy the design work has been completed, CEO and co-founder of Vanrx CDMO to Launch in King of Prussia, which reduces design time and Pharmasystems, which makes closed PA,” Press Release, 23 Jan. 2020. results in faster speed to delivery,” robotic workcells. He notes that other 4. BioPhorum Group, “Improving the explains Makowiecki. industries rely on standardization for Biomanufacturing Facility Lifecycle using GE Healthcare’s FlexFactory is a reliability and safety, and he says that a Standardized, Modular Design, and modular end-to-end biomanufacturing the pharma industry needs to move Construction Approach,” White Paper, platform, and the company to this model. June 2019. PTE 12 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
immune system protects against viral infections and can rapidly identify the critical parts of a new virus to target for vaccine development,” he says. Platform technologies are ideal Traditional vaccines, like the seasonal flu vaccine, are made by growing up large quantities of the virus and in some way killing or inactivating it so that it can be used safely as a vaccine. This approach is an old technology from the middle of the past century, according to von Hofe. “The main problem here Can Vaccine Development is the time it takes to produce the vaccine, which is at least a year and Be Safely Accelerated? can be several. Ideally, we’d have a platform technology that could be used to produce a vaccine in a few months,” Biopharma companies responding to the COVID-19 outbreak he observes. think accelerating the development of vaccines is safe. Such technology platforms should be flexible enough to respond to any new viral threat. “We would like to Cynthia A. Challener is a contributing editor to Pharmaceutical Technology H uman coronaviruses (HCoVs) in the past were considered to cause nothing more than the common cold in healthy people. That changed with the advent of severe acute respiratory syndrome coronavirus have a simple ‘plug-and-play’ setup where the critical components of a new virus required to make the vaccine Europe. (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) can be determined by rapid computer in the past decade. The latest coronavirus—2019-nCoV, since renamed by analysis and plugged into the platform the World Health Organization as COVID-19—emerged in December 2019 in to generate a vaccine,” von Hofe notes. Wuhan, China. As of late February 2020, it had sickened tens of thousands “Getting all of the critical components and killed nearly 3000 people. produced and structured in a way that Four of these large, enveloped, positive-strand RNA viruses are endemic perfectly models the vaccine is the big globally and thought to cause 10–30% of upper respiratory tract infections challenge,” he adds. in adults (1). They possess a surface spike (S) glycoprotein that binds to host cell receptors, and the nature of this protein is believed to determine the A reductionist main properties of each coronavirus. SARS-CoV was the first coronavirus to approach is best jump from animals to humans; MERS-CoV and COVID-19 have as well. The best way, von Hofe says, is to The genetic sequence for COVID-19 was released to public databases follow a reductionist strategy to on 10 January 2020 by the Shanghai Public Health Clinical Center & identify key viral components that School of Public Health (1). The three-dimensional (3-D) structure of the alone produce complete protection spike protein suggests that it binds more tightly to human cell surface in a safe vaccine that can be receptors than SARS-CoV, a possible reason that this coronavirus exhibits manufactured rapidly and in a cost- greater infectivity (2). effective manner. “Clearly this is a tall Platform diagnostic methods have been rapidly adapted to include order, but we’re making good progress COVID-19 for early identification of cases. Several academic and industrial in that direction,” he asserts. researchers have also focused on applying novel vaccine development As an example, he points to the and manufacturing platforms to the accelerated development of a development of subunit vaccines that COVID-19 vaccine. rely on recombinant DNA to encode In terms of vaccine development and protection against dangerous a critical subunit of the vaccine that viral pathogens, there is nothing particularly unique about coronaviruses, generates a response. There are Mongkolchon - Stock.adobe.com according to Eric von Hofe, chief scientific officer of NuGenerex Immuno- additional challenges to this approach, Oncology. “All of the recent potentially pandemic viruses, including SARS however. “While responses can be and MERS and two flu viruses (avian and swine flu), have the common produced, the protection may be feature that they simply had never been seen before by the human short-lived, as there is no guarantee immune system. That said, we now know a lot about how the human that immunological memory will be Pharmaceutical Technology Europe APRIL 2020 13
Development generated as is possible with a whole (CEPI). The collaboration with Beijing new vaccine. The rapid discovery virus vaccine,” von Hofe comments. Advaccine is anticipated to accelerate approach and the manufacturing developed on INO-4800 in China by agility of mRNA vaccine design and The DNA approach providing access to not only its vaccine production also make it an effective against COVID-19 expertise, but also its relationship platform technology. San Diego, CA, USA-based Inovio and experience with Chinese Just 42 days after sequence Pharmaceuticals is one company regulatory authorities and clinical trial selection, Moderna shipped the first developing a DNA-based vaccine management in the country. batch of mRNA-1273 to NIAID for use against COVID-19. The biotech was the in a planned Phase I clinical study in first to advance a vaccine (INO-4700) Prophylactic mRNA Vaccines the US. The mRNA vaccine encodes against MERS-CoV into human testing Two companies, both also supported for a prefusion stabilized form of the and is currently preparing to initiate a by grants from CEPI, have developed COVID-19 S protein. Phase II trial for INO-4700 in the Middle platform technologies based on German biotech CureVac also has an East. This vaccine, however, cannot be messenger RNA (mRNA). Cambridge, mRNA platform technology for vaccine used against COVID-19 because the two MA-based Moderna—which has development and manufacturing suited coronaviruses are too different. developed numerous prophylactic for rapid response to viral outbreaks, To develop a new vaccine, Inovio mRNA vaccines with positive Phase it says (6). Using an extensive in-house first converts the virus’ RNA into I clinical readouts and also has a nucleotide sequence library, CureVac is DNA and identifies short sections fully integrated clinical-material able to identify optimum sequences for that will, according to computer manufacturing site—is progressing its any given vaccine target and eliminate simulations, generate the greatest COVID-19 vaccine candidate (mRNA- the need for chemical modification, immune response. The plasmids are 1273) into the clinic (4,5). The Vaccine shrinking the development timeline. then produced in large quantities using Research Center (VRC) of the National The company has also developed bacteria. The overall development Institute of Allergy and Infectious specific carrier molecules for its mRNA and approval timeline is thereby Diseases (NIAID), part of the National products, including lipid nanoparticles significantly reduced. Institutes of Health (NIH), collaborated (LNPs), developed in partnership with Inovio began animal testing of INO- with Moderna to design the vaccine. Acuitas Therapeutics and Arcturus 4800, its COVID-19 vaccine candidate, NIAID will conduct investigational new Therapeutics. It is developing The RNA in February 2020 and is aiming to begin drug-enabling studies and a Phase I Printer, a mobile, automated production human safety testing in early summer clinical study in the US. unit for rapid supply of LNP-formulated 2020. The company will conduct tests Moderna’s mRNA vaccines can mRNA vaccine candidates. in both the United States and China, contain multiple mRNAs coding for the latter in collaboration with Beijing different proteins and mimic natural Stabilizing the Advaccine Biotechnology Co. (3). Work infection, thus stimulating a more pre-fusion virus form in the US is supported by a $9-million potent response, according to the A fourth group receiving funding (€8.2 million) grant from the Coalition company. Only the coding region of from CEPI for application of a vaccine for Epidemic Preparedness Innovations the mRNA must be changed for each platform technology to accelerated J&J ramps up COVID-19 vaccine R&D Johnson & Johnson (J&J) plans to initiate human clinical trials The company also announced plans to ensure rapid production of its lead COVID-19 vaccine candidate by September 2020 and of a vaccine—with the goal of providing 1 billion doses of a vac- have the first batches available for emergency use authoriza- cine globally—by establishing new US vaccine manufacturing tion in early 2021, the company announced on 30 March 2020 capabilities and scaling up capacity in other regions. The company (1). J&J also announced plans to expand its vaccine manufac- “is committed to bringing an affordable vaccine to the public on a turing capacity, as well as a joint commitment of more than not-for-profit basis for emergency pandemic use” (1). $1 billion (€915 million) with the Biomedical Advanced Research Under the agreement with BARDA, J&J will use its validated and Development Authority (BARDA) at the US Department of vaccine platform and allocate personnel and infrastructure as Health and Human Services to fund vaccine research, develop- needed to focus on the R&D efforts. ment, and clinical testing. Reference J&J said the company selected a lead COVID-19 vaccine candi- 1. Johnson & Johnson, “Johnson & Johnson Announces a Lead Vaccine Candidate for COVID-19; Landmark New Partnership date from several that have been in development since January with US Department of Health & Human Services; and Com- 2020 using Janssen’s AdVac technology. If trials are launched in mitment to Supply One Billion Vaccines Worldwide for Emer- gency Pandemic Use,” Press Release, 30 March 2020. September 2020, the company expects to have clinical data on safety and efficacy by the end of the year. —The editors of Pharmaceutical Technology Europe 14 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
Development development and manufacture of fragments of the virus needed to Sanofi’s insect (baculovirus) expression a COVID-19 vaccine is located at produce an immune response. These platform. The technology is used for Australia’s University of Queensland short fragments of proteins are Sanofi’s licensed recombinant influenza (UQ) School of Chemistry and identified by a computer algorithm vaccine and a SARS vaccine that has Molecular Biosciences (7). Its and can be made rapidly by entirely been shown in non-clinical studies to rapid response technology relies synthetic means. They are modified be immunogenic and afford partial on molecular clamp technology, to ensure that they activate immune protection in animal challenge models. an approach developed by UQ cells that are key in producing researchers and patented by immunological memory. “While these References UniQuest. virus fragments may not produce 1. C. I. Paules, H. D. Marston, and A. The molecular clamp technology as complete a response as whole S. Fauci, JAMA, online, doi:10.1001/ is used to create subunit vaccines inactivated viruses, they basically jama.2020.0757 (23 January 2020). against class I and III enveloped produce a ‘memory’, so when a 2. T. Hesman Saev, “To Tackle the New viruses by stabilizing the pre-fusion person treated with our vaccine does Coronavirus, Scientists Are Accelerating form of viral fusion proteins, thus encounter the virus, he or she is the Vaccine Process,” www.science- mimicking the protein conformation more prepared to mount an effective news.org, 21 February 2020. found on live virus and generating response,” von Hofe explains. 3. Inovio, “Inovio Collaborating with a strong immune response. A The technology is also a platform Beijing Advaccine To Advance INO-4800 polypeptide is used to maintain the approach because it can be applied Vaccine Against New Coronavirus in pre-fusion structure and prevent the to virtually any virus that may emerge China,” Press Release, 30 January 2020. protein from folding after entry into as a threat. 4. Moderna, “Moderna Announces the cell. Funding Award from CEPI to Accelerate The platform technology, which Big Pharma Development of Messenger RNA does not require prior knowledge has programmes too (mRNA) Vaccine Against Novel of a protein’s quaternary structure, While these smaller biotechs Coronavirus,” Press Release, 23 January facilitates the expression of have generated attention for their 2020. recombinant viral glycoproteins accelerated development platforms, 5. Moderna, “Moderna Ships mRNA without loss of native antigenicity (8). Big Pharma companies have also been Vaccine Against Novel Coronavirus It has previously been used to actively working on COVID-19 vaccine (mRNA-1273) for Phase 1 Study,” Press produce chimeric polypeptides that candidates. Both Johnson & Johnson Release, 24 February 2020. mimic the pre-fusion conformations and Sanofi are collaborating with the 6. CureVac, “CureVac and CEPI extend of several enveloped viruses. The US Department of Health & Human their Cooperation to Develop a Vaccine goal is to complete preclinical Services (HHS). against Coronavirus nCoV-2019,” Press development within 16 weeks and Johnson & Johnson’s Janssen Release, 31 January 2020. then progress directly to Phase I Pharmaceutical Companies unit is 7. University of Queensland, “Race to clinical trials, with completion of collaborating with the HHS’ Biomedical Develop Coronavirus Vaccine,” Press that step in 10 weeks, followed by Advanced Research and Development Release, 24 January 2020. large-scale production of more than Authority (BARDA) to rapidly advance 8. K. Chappell, D. Watterson, and P. Young, 200,000 doses in eight weeks. the initial stages of Janssen’s COVID-19 “Rapid Response Pipeline for Stabilized For its COVID-19 vaccine, the UQ vaccine development programme, Subunit Vaccines,” Presentation at the researchers created a first candidate which is based on its AdVac and PER. Vaccine Technology VIII Conference in the laboratory in just three weeks C6 platform technologies (10). BARDA (June 2018). (9). This work confirmed that the is funding accelerated development 9. University of Queensland, “Significant engineered vaccine candidate is of a candidate into Phase I clinical Step in COVID-19 Vaccine Quest,” Press readily recognized by the immune trials, while Janssen is upscalling its Release, 21 February 2020. system and triggers a protective manufacturing capacities (Sidebar). 10. Johnson & Johnson, “Johnson & immune response. Plans for preclinical Sanofi Pasteur, the vaccines Johnson Announces Collaboration with testing were underway as of late global business unit of Sanofi, is also US Department of Health & Human February, and the researchers hope to collaborating with BARDA, using Services to Accelerate Development of begin clinical testing by mid-2020. its established recombinant DNA a Potential Novel Coronavirus Vaccine,” technology platform to accelerate the Press Release, 11 February 2020. Leveraging development of a potential COVID-19 11. Sanofi, “Sanofi Joins Forces with computer technology vaccine (11). This technology produces US Department of Health and NuGenerex Immuno-Oncology is an exact genetic match to proteins Human Services to Advance a Novel focusing on what von Hofe refers found on the surface of the virus, Coronavirus Vaccine,” Press Release, 18 to as the smallest and simplest which are then expressed using February 2020. PTE Pharmaceutical Technology Europe APRIL 2020 15
and clinical testing, has been a challenging task,” she states. For Rich Shook, director, Drug Product Technical Services and Business Integration, Cambrex, there are two main obstacles facing developers in ensuring the optimal level of drug substance is available with a targeted window of transit in the gastrointestinal tract (GI). “One of the main obstacles is the pH dependent solubility and/or degradation of the API, which can decrease the overall absorption of the drug substance and result in a negative impact to the intended therapeutic response,” he says. “The Delivering the Goods other obstacle is in-vivo delivery of a specific therapeutic dose at a targeted therapeutic site in the GI The new molecules entering the development tract based on the mechanism of pipeline are bringing forth exciting challenges in drug delivery. action. Some drug substances have a topical mechanism of action on a disease making it important to ensure Felicity Thomas A s drug pipelines have expanded to include a wide range of novel, and sometimes difficult-to-handle molecules, so too has the number of methods available to deliver these innovative the release of a high dose of drug substance to that targeted area.” “In terms of inhalation delivery, therapies and drugs. Not only do developers need to consider the the main challenge is the diversity route of administration, but it is also necessary to consider solubility, of molecules coming through the bioavailability, the precise target of the active ingredient, patient pipeline into development,” adds convenience and safety, and reducing toxicity, among other factors. Sandy Munro, vice-president, “It is now more common for formulators to be presented with Pharmaceutical Development, ‘non-druglike’ molecules and yet be tasked with formulating them Vectura. “Historically, the inhalation to achieve high oral bioavailability, good pharmacokinetic properties space was dominated by small- with minimal toxicity, and good stability,” emphasizes William Wei-Lim molecule therapies for moderate Chin, manager, Global Scientific Affairs, Catalent. “The key challenges asthma and chronic obstructive of these molecules can be attributed to their poor aqueous solubility, pulmonary disease treatments. These poor permeability, or in worst cases both.” days, the interest is much broader both in terms of the diseases that the Challenging aspects developers are interested in, and also These challenging attributes of molecules entering the development the range of molecule types.” pipeline are largely associated with the increasing complexity of molecules, agrees Srini Shanmugam, technical director, Pharma Available approaches Product Development and Manufacturing, Avomeen. “Formulators There are several approaches must balance targeted release profiles for therapeutic efficacy with available that are in use by patient safety and convenience of use,” he says. “Furthermore, every developers to help overcome drug delivery system has unique characteristics that come with the challenges associated with specific formulation challenges.” drug delivery. Approaches such Developing the optimal drug delivery strategy for molecules that as pH adjustment, co-solvent are classified as poorly soluble according to the biopharmaceutical complexation, solid‑dispersion, classification system (BCS)—that is those molecules in class II and micellar formulations, among others, class IV—is a major challenge for industry, notes Archana Akalkotkar, help to improve solubility, confirms Serhii- stock.adobe.com PhD, research scientist II, Charles River. “To come up with alternative Akalkotkar. approaches that are appropriate for the drugs’ physicochemical “A tremendous amount of properties, as well as the limitations of choice of excipients, which knowledge has been accumulated are safe-to-use in the intended species dosed during the preclinical in modern pharmaceutics so that 16 Pharmaceutical Technology Europe APRIL 2020 PharmTech.com
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