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                                   MICRONEEDLE                 A SMART PATCH FOR              AIRLESS DISPENSERS
                                   ARRAY CHALLENGES            PAINLESS DRUG DELIVERY         FOR DERMAL DRUG DELIVERY
                                   ARE DISSOLVING FAST

                            SKIN DRUG
                            DELIVERY:
                            DERMAL, TRANSDERMAL & MICRONEEDLES
JANUARY 25TH 2021 • ISSUE NO 116
SKIN DRUG DELIVERY: P10 - P22 - ONdrugDelivery
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EDITORIAL CALENDAR
    Publication Month   Issue Topic                                                            Materials Deadline

    February            Prefilled Syringes & Injection Devices                                     Feb 1, 2021

    March               Ophthalmic Drug Delivery                                                  Feb 25, 2021

    March/April         Drug Delivery & Environmental Sustainability                              Mar 11, 2021

    April               Pulmonary & Nasal Drug Delivery                                           Mar 25, 2021

    May                 Delivering Injectables: Devices & Formulations                             Apr 8, 2021

    June                Connecting Drug Delivery                                                   May 6, 2021

    July                Novel Oral Delivery Systems                                                Jun 3, 2021

    August              Industrialising Drug Delivery                                              Jul 1, 2021

    September           Wearable Injectors                                                         Aug 5, 2021

    September/October   Drug Delivery & Environmental Sustainability                              Aug 19, 2021

    October             Prefilled Syringes & Injection Devices                                     Sep 9, 2021

    November            Pulmonary & Nasal Drug Delivery                                            Oct 7, 2021

    December            Connecting Drug Delivery                                                   Nov 5, 2021

    January 2022        Skin Drug Delivery: Dermal, Transdermal & Microneedles                     Dec 2, 2021

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Contents

ONdrugDelivery Issue No 116, January 25th, 2021                                      Microneedles for Intradermal Delivery of Cancer Vaccines

SKIN DRUG DELIVERY: DERMAL,                                                05 -09    John Vasilakos, Global Head of MTS Business Development
                                                                                     and Senior Research Immunologist
TRANSDERMAL & MICRONEEDLES                                                           Kindeva Drug Delivery

This edition is one in the ONdrugDelivery series                                     Why the Consistent Challenges Surrounding MAPs are Dissolving Fast
of publications from Frederick Furness Publishing.
Each issue focuses on a specific topic within the                          10 - 14   Sebastian Braun, Head of Formulation Development
                                                                                     and Manufacturing for Innovative Injection Systems
                                                                                     LTS Lohmann
field of drug delivery, and is supported by industry
leaders in that field.
                                                                                     Pharma Latch Angled Microneedle Patch
EDITORIAL CALENDAR                                                                   for Enhanced Drug and Vaccine Delivery
Feb 2021 Prefilled Syringes & Injection Devices
Mar       Ophthalmic Drug Delivery
                                                                           16 - 20   Nicky Bertollo, Co-Founder and Chief Technology Lead
                                                                                     Ronan Byrne, Co-Founder; and
                                                                                     Andrew Muddle, Advisory Board Member
Mar/Apr Drug Delivery & Environmental Sustainability                                 Latch Medical
Apr       Pulmonary & Nasal Drug Delivery
May       Injectable Drug Delivery                                                   Medicsen: Needle-Free Smartpatch for Painless Drug Delivery
Jun       Connecting Drug Delivery                                                   Eduardo W Jørgensen, Chief Executive Officer;
Jul       Novel Oral Delivery Systems                                      22 - 25   Juan César de Mercado, Chief Operations Officer; and
                                                                                     José Carlos Montesinos, Chief Technology Officer
Aug       Industrialising Drug Delivery                                              Medicsen
Sep       Wearable Injectors
Sep/Oct Drug Delivery & Environmental Sustainability                                 Ensuring Formulation Protection and Patient Care With Airless Dispensers
Oct       Prefilled Syringes & Injection Devices                                     Audrey Chandra, Category Project Manager;
Nov
Dec
          Pulmonary & Nasal Drug Delivery
          Connecting Drug Delivery
                                                                           26 - 28   Manuela Basso, Communications Manager; and
                                                                                     Raphaële Audibert, Global Category Manager, Inhalation and Dermal
                                                                                     Nemera
Jan 2022	Skin Drug Delivery:
          Dermal, Transdermal & Microneedles                                         Product Showcase: Logan Instruments’ Transdermal Testing Portfolio

EDITORIAL:                                                                 30 - 31   Jensen Lee, Vice-President of Operations
                                                                                     Logan Instruments
Guy Furness, Proprietor & Publisher
E: guy.furness@ondrugdelivery.com                                                    Airless Drug Delivery: Widely Accepted, Accessible and Available

CREATIVE DESIGN:
                                                                           32 - 36   Stefan Hellbardt, Vice-President Business Development and Scientific Affairs
                                                                                     Aptar Pharma
Simon Smith, Creative Director (Freelance)
E: simon.smith@ondrugdelivery.com

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Front cover image, credit GustoImages/Science Photo Library.
Reproduced with permission.                                                                                                    www.ondrugdelivery.com
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Kindeva

MICRONEEDLES FOR INTRADERMAL
DELIVERY OF CANCER VACCINES
In this article, John Vasilakos, PhD, Global Head of MTS Business Development
and Senior Research Immunologist at Kindeva Drug Delivery, discusses the
immuno-oncology market. He examines the role of cancer vaccines in
supplementing other immuno-oncology therapies, as well as the value of delivering
cancer vaccines intradermally.

Throughout 2020, the
pharmaceutical        industry
received      ample     public
                                              “A series of studies suggests that
scrutiny around its search                    patients treated with checkpoint
for covid-19 vaccines and         inhibitors are more than twice as likely
therapeutics. However, even
with so much focus rightfully
                                          to experience a durable response.”
centred on the race to develop
therapies      that    address
the pandemic, covid has not diminished             immuno-oncology therapies and the value
oncology drugs’ colossal importance in the         of delivering cancer vaccines intradermally.
industry. This importance can be measured          Kindeva Drug Delivery’s microneedle-based
both in research and development spend and         drug delivery platform will be used as an
in drug sales. Clinical development spend on       example of how to address many of the
oncology therapies in the US is estimated to       industry’s unmet needs with respect to
be more than US$80 billion (£59 billion),          intradermal delivery.
which is more than a third of total pharma
development spend.1 Meanwhile, drug                THE CURRENT LANDSCAPE OF
sales for oncology are expected to exceed          IMMUNO-ONCOLOGY THERAPEUTICS
$300 billion by 2026, representing roughly
a fifth of the total pharma market.1               In the last decade, immune checkpoint
    The      sustained     investment      and     inhibitors, such as pembrolizumab
opportunity in oncology matters because            (Keytruda, PD-1 antagonist) and ipilimumab
cancer remains a public health crisis. Existing    (Yervoy, CTLA-4 antagonist), have emerged
drugs and treatment regimens still have many       as a dominant class of immuno-oncology
gaps and much room for improvement.                therapeutics. There is a strong case to be
These gaps should be addressed by not only         made in favour of checkpoint inhibitors
                                                                                                        Dr John Vasilakos
optimising the drugs that are used to treat        based on the durability of the patient               Global Head of MTS Business
cancer, but also optimising the devices that       response. In essence, this means that a              Development and Senior Research
deliver these drugs.                               patient can meaningfully extend their life           Immunologist
    This article focuses on the sizable            expectancy when these drugs work.                    E: john.vasilakos@kindevadd.com
immuno-oncology subsegment, which is                  A series of studies suggests that patients
expected to grow to nearly $100 billion by         treated with checkpoint inhibitors are               Kindeva Drug Delivery
2026 – growth of over 20% per annum.1              more than twice as likely to experience a            42 West Water Street
It discusses a dominant immuno-oncology            durable response – and roughly 30% of                St Paul
                                                                                                        MN 55107
drug class (checkpoint inhibitors) and             these patients experienced overall survival
                                                                                                        United States
their shortcomings, considers the role of          (OS) that was more than twice the patient
cancer vaccines in supplementing other             population’s median OS.2 Moreover,                   www.kindevadd.com

Copyright © 2021 Frederick Furness Publishing Ltd                                  www.ondrugdelivery.com                                 5
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Kindeva

combination therapies, in which the patient
is treated with two or more checkpoint
                                                  “The number of T-cell targeted immunomodulators in the
inhibitors, have had an even more promising
impact on patient survival.3                      pipeline has more than doubled since 2017, with over 200
    Among the most prevalent of the                            programmes targeting either PD-1 or PD-L1.”
checkpoint inhibitors are programmed cell
death protein 1 (PD-1) and programmed
cell death ligand 1 (PD-L1) inhibitors.         immune system, which could result in                    As evidence for their durability
PD-1 is a T-cell receptor that helps            deleterious effects on healthy tissues. Cancer      grows, checkpoint inhibitors have
downregulate or inhibit immune responses.       has found a way to take advantage of                been commercially successful for many
In the normal course of events, PD-1            this normal regulatory system. Cancer cells         types of cancer, and their popularity in
engages with PD-L1 on antigen-presenting        can produce PD-L1, which downregulates              clinical trials has continued to grow.
cells – resulting in the inhibition of T-cell   T-cell function following PD-1 engagement.          Specifically, the number of T-cell targeted
function, such as cytotoxicity. Therefore,      Therefore, tumour cells that express the            immunomodulators in the pipeline has
PD-1 functions as a brake on T-cell activity,   ligand PD-L1 block the tumour-killing               more than doubled since 2017 (Figure 1),
thereby preventing overactivation of the        function of T-cells by engaging T-cell PD-1.        with over 200 programmes targeting either
                                                                                                    PD-1 or PD-L1 (Figure 2).4 However,
                                                                                                    despite the promise, there is still a clear
                                                                                                    need for improvement. The approximately
                                                                                                    30% of patients who experience higher
                                                                                                    OS represent a significant achievement,
                                                                                                    but approximately 70% of patients require
                                                                                                    additional therapy.5 Indeed, combination
                                                                                                    therapy has become the norm for
                                                                                                    oncology patients.
                                                                                                        Moreover, checkpoint blockade therapies
                                                                                                    have recently been approved for use for
                                                                                                    several cancers. For example, the US FDA has
                                                                                                    approved Keytruda (Merck, Kenilworth, NJ,
                                                                                                    US) for use with chemotherapy (carboplatin)
                                                                                                    to treat metastatic head and neck cancer.
                                                                                                    In addition to chemotherapeutics, other
                                                                                                    combination strategies are being evaluated
                                                                                                    with checkpoint blockade therapies, such
                                                                                                    as kinase inhibitors, anti angiogenics,
                                                                                                    immune-stimulating cytokines and multiple
                                                                                                    combinations of checkpoint blockade
Figure 1: Number of T-cell targeted immunomodulators and cancer vaccines in                         therapies and vaccines.
development globally.
                                                                                                    THE ROLE OF CANCER VACCINES
                                                                                                    AND COMBINATION THERAPY
                                                                                                    WITH CHECKPOINT BLOCKADE

                                                                                                    Within the immuno-oncology space, there
                                                                                                    is lots of energy around cancer vaccines.
                                                                                                    There are an estimated 840 cancer vaccines
                                                                                                    currently in development (Figure 1),4 with
                                                                                                    up to 600 companies developing them.
                                                                                                    In most situations, these vaccines are
                                                                                                    being developed as combination therapies,
                                                                                                    intended to be delivered to patients in
                                                                                                    conjunction with checkpoint inhibitors.
                                                                                                        Cancer vaccines are compelling because
                                                                                                    checkpoint blockade therapies are not
                                                                                                    successful at eliminating all tumours
                                                                                                    in all patients, especially when used in
                                                                                                    isolation. These immunotherapeutics
                                                                                                    are most effective when the tumour
                                                                                                    microenvironment (TME) contains tumour-
Figure 2: Number of immunomodulators targeting PD-1/PD-L1 in development globally.                  infiltrating T-cells (TILs).6 The TME can be

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Kindeva

characterised as cold (non-T-cell inflamed)                                                        seems ideal, its biggest limitation is
or hot (T-cell inflamed). Hot tumours are                                                          a practical one: it is difficult to achieve
                                                       “The question of how and
characterised by T-cell infiltration and                                                           precise and reproducible delivery to the
molecular signatures associated with immune           where cancer vaccines are                    intradermal layer using traditional delivery
activation, whereas cold tumours exhibit            delivered to the body should                   devices. One challenge is that the dermis is
T-cell absence or exclusion. In general, hot                                                       thin – approximately 1,800 μm in depth.
                                                          not be overlooked. The
tumours present higher response rates to                                                           To achieve this, the delivery device would
checkpoint blockade therapies. Therefore,            route of administration may                   need to deliver the vaccine to a depth of
various efforts have focused on converting           impact the ultimate success                   500–1,500 μm and do so reliably. The lack
non-inflamed cold tumours into hot tumours                                                         of a reliable delivery method has limited the
                                                         rates of these vaccines.”
to achieve a better clinical response.                                                             use of intradermal vaccination.9
    To solve the problem of converting cold                                                            Kindeva has advanced the development
tumours to hot ones, numerous strategies                                                           of delivery devices that help overcome
have been employed, such as targeting               question of how and where cancer vaccines      the challenge of intradermal delivery.
tumours with immune stimulators or                  are delivered to the body should not be        With microneedles, Kindeva’s hollow
inhibitors of immune suppressor cells.              overlooked. The route of administration        microstructured transdermal system (hMTS)
Another approach currently being evaluated          may impact the ultimate success rates of       facilitates the reliable and reproducible
is cancer vaccination in combination with           these vaccines.                                delivery to the dermis. Kindeva’s hMTS
checkpoint blockade. Vaccination makes                                                             device is an injector that includes a drug
sense in the context where the patient              INTRADERMAL DRUG DELIVERY                      cartridge to contain the liquid formulation
exhibits minimal cancer-specific T-cell             OF CANCER VACCINES                             and an array comprised of 12 hollow
immunity. The idea is to increase the                                                              microneedles (Figure 3). The cartridge
number of tumour-specific T-cells with              As previously discussed, cancer vaccines       can be loaded up-front or at the time of
the vaccine and prevent or inhibit their            induce tumour-specific immunity. In an         use, depending on the drug’s requirement.
inactivation, or enhance their proliferation,       ideal world, cancer vaccines would be          At the time of use, the applicator delivers
using checkpoint blockade therapies.                delivered directly into immune organs such     the microneedle array into the skin; the
In other words, cancer vaccines can induce          as the lymph nodes, the spleen or the          liquid formulation will then move through
tumour-specific T-cells in those patients           skin itself. When delivered subcutaneously     the hollow microneedles and deliver the
that lack anti-tumour T-cells.                      or intramuscularly, cancer vaccines are        drug into the dermis. The drug delivery
    Some of the earliest cancer vaccines            deposited into parts of the body where         system is intended for the intradermal
available on the market proved to be only           immune cells do not normally reside. By        space, which makes the injection time
marginally effective. Now, the industry has         contrast, intradermal delivery would deliver   longer than is typically experienced with
become much wiser about cancer vaccines             the vaccine directly into the dermis, where    standard vaccine injections. Depending on
with respect to antigen selection, patient          immune cells do reside. There is evidence      the formulation, the patient and the delivery
selection and combination therapies to use          that demonstrates a comparative advantage      site, total hMTS injection time is typically
with vaccines, which adds to their promise.         of intradermal delivery over intramuscular     less than two minutes per mL.
Regarding patient selection or targeting,           delivery.7 Of salience to cancer vaccines,         The two main features that make
a better understanding of the patient’s             intradermal vaccinations have led to           Kindeva’s hMTS platform well suited
tumour burden and immune status help                enhanced immune responses in many cases.8      to deliver cancer vaccines are the depth
define which patients may benefit from                            While intradermal delivery of    of delivery and the volume of delivery.
vaccination. Conducting vaccine trials only                                   cancer vaccines      For depth, Kindeva has refined the device
on patients with late-stage cancer is not                                                          design to achieve reproducible intradermal
ideal, because those patients often have
severely compromised immune systems.
For cancer vaccines to work, the patient
needs to have a functional immune
system. Therefore, cancer vaccines should
be delivered to and tested on patients in
earlier stages of the disease.
    Other improvements in the development
of cancer vaccines have resulted from the
use of more optimal adjuvants or viral
vectors that enhance cytotoxic T-cells and
interferon-gamma producing T-helper cells,
and the use of cancer antigens that are more
commonly expressed on multiple tumour
                                                    Figure 3:
types or antigens that are unique to the
                                                    Kindeva’s hollow
patient (neoantigens).                              microstructured
    Continued innovation in cancer vaccines         transdermal
and their formulations is essential – but the       system (hMTS).

Copyright © 2021 Frederick Furness Publishing Ltd                                  www.ondrugdelivery.com                                     7
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Kindeva

                                                            “Devices that enable reproducible intradermal
                                                               delivery should be seriously considered by
                                                      biopharma companies developing cancer vaccines.”

                                                  delivery, using microneedles with a          been used in partners’ Phase I and IIa
                                                  length of either 1,000 μm or 1,500           drug clinical studies in the US,10-13 and
                                                  μm. Cancer vaccines administered via         the development of a device suitable for
                                                  hMTS will be delivered to a shallower        Phase III/commercial use is progressing.
                                                  part of the skin compared with               Moreover, Kindeva’s manufacturing
                                                  vaccines delivered subcutaneously            capabilities are in place to meet preclinical
                                                  (Figure 4), thus delivering the vaccine      and clinical needs.
                                                  to the immune-cell-rich dermis and
                                                  elicit a more robust immune response.        CONCLUSION
                                                      In terms of volume, hMTS
                                                  can deliver up to 2 mL. This is              Immuno-oncology therapies, such as
                                                  a meaningful increase in capacity            checkpoint inhibitors, are designed
                                                  compared with other intradermal              to facilitate the ability of the patient’s
                                                  and non-intradermal delivery devices         immune system to effectively attack and
                                                  currently used to deliver vaccines.          kill tumours. Over the last decade, there
                                                  While the hMTS device is currently           has been demonstrable success, with
                                                  in development, it is already well           blockbuster therapies achieving significant
                                                  positioned to be the device-of-choice        increases in patient survival rates. Cancer
                                                  for biopharma companies developing           vaccines can be used in combination with
Figure 4: Anatomy of the skin.                    cancer vaccines. Kindeva’s device has        these checkpoint inhibitors to make cold

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Kindeva

tumours hot, thereby increasing the overall              COVID-19.” Nat Rev Drug Discov,                 Label, Multi-Center Trial of SNS-301
success rate. New oncology drug classes                  2020, Vol 19, pp 751–752.                       Added to Pembrolizumab in Patients
continue to crop up and gain momentum,              5.	Haslam A, Prasad V, “Estimation of               with Advanced Squamous Cell
which provides a reason for optimism.                    the Percentage of US Patients with              Carcinoma of the Head & Neck.”
   However,       innovation     in     the              Cancer Who Are Eligible for and                 Poster Presentation,
pharmaceutical industry is not exclusive to              Respond to Checkpoint Inhibitor                 2020 SITC Annual Meeting.
the discovery of novel drugs and vaccines.               Immunotherapy Drugs.” JAMA Netw            11.	Algazi A et al, “Early Safety and
Innovation in drug delivery devices can                  Open, 2019, Vol 2(5), e192535.                  Efficacy of a Phase 1/2 Open-Label,
also play a meaningful role in improving            6.	Duan Q et al, “Turning cold into                 Multi-Center Trial of SNS-301
how the medical industry treats cancer. For              hot: firing up the tumor.” Trends in            Added to Pembrolizumab in Patients
example, devices that enable reproducible                Cancer, 2020, Vol 6(7), pp 605–618.             with ASPH+ Locally Advanced
intradermal delivery should be seriously            7.	Teunissen MB, Haniffa M et al,                   Unresectable or Metastatic/Recurrent
considered by biopharma companies                        “Insight into the immunobiology                 Squamous Cell Carcinoma of the
developing cancer vaccines. Devices like                 of human skin and functional                    Head and Neck.” Poster Presentation,
Kindeva’s hMTS platform are capable                      specialization of skin dendritic cell           2020 EMSO Annual Meeting.
of delivering cancer vaccines directly to                subsets to innovate intradermal            12.	Block MS et al, “Th17-inducing
the dermis, with its relative abundance of               vaccination design.” Curr Top                   autologous dendritic cell vaccination
immune cells, increasing the potential that              Microbiol Immunol, 2012, Vol 351,               promotes antigen-specific cellular and
the drug is effective in improving patient               pp 25–76.                                       humoral immunity in ovarian cancer
survival rates.                                     8.	Ogai N, Nonaka I et al,                          patients.” Nature Communications,
                                                         “Enhanced immunity in intradermal               2020, Vol 11(1), Article 5173.
REFERENCES                                               vaccination by novel hollow                13.	Gustafson MP et al, “Preliminary
                                                         microneedles.” Skin Res Technol,                manufacturing, safety, and immune
1.	“World Preview 2020, Outlook to                      2018, Vol 24(4) pp 630–635.                     monitoring results of an allogeneic
    2026.” EvaluatePharma, 2020.                    9.	Kim YC, Jarrahian C et al, “Delivery             tumor lysate-pulsed dendritic
2.	Pons-Tostivint E et al, “Comparative                 systems for intradermal vaccination.”           cell vaccine for patients with
    Analysis of Durable Responses on                     Curr Top Microbiol Immunol, 2012,               newly diagnosed glioblastoma.”
    Immune Checkpoint Inhibitors                         Vol 351, pp 77–112.                             Poster Presentation, 2016 SITC
    Versus Other Systemic Therapies:                10.	Gramza A et al, “Phase 1/2 Open-                Annual Meeting.
    A Pooled Analysis of Phase III
    Trials.” JCO Precision Oncology,
    2019, Vol 3, pp 1–10.                             ABOUT THE AUTHOR
3.	Larkin J et al, “Five-Year Survival               John Vasilakos is the Global Head of MTS Business Development and Senior Research
    with Combined Nivolumab and                       Immunologist at Kindeva Drug Delivery. His previous industry roles include Senior
    Ipilimumab in Advanced Melanoma.”                 Research Immunologist and Business Development of TLR Ligands at 3M Drug
    N Engl J Med, 2019, Vol 381,                      Delivery Solutions Division and Vice-President of Immunology at Biothera. He has
    pp 1535–1546.                                     spent more than 25 years in the biopharmaceutical industry, focusing on vaccines and
4.	Upadhaya S, Hubbard-Lucey VM,                     immunotherapy for cancer and chronic viral diseases. He holds a PhD from the University
    Yu JX, “Immuno-oncology drug                      of Cincinnati School of Medicine (OH, US).
    development forges on despite

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LTS Lohmann

WHY THE CONSISTENT
CHALLENGES SURROUNDING
MAPS ARE DISSOLVING FAST
In this article, Sebastian Braun, PhD, Head of Formulation Development and
Manufacturing for Innovative Injection Systems at LTS, discusses the current state
of microneedle-based transdermal drug delivery, covering available microneedle
delivery methods, the US FDA’s current stance on microneedle technologies and LTS’s
microarray patch system and the possibilities it represents.

INTRODUCTION                                          This article will cover the relative merits
                                                  in each form of microneedle technology;
For the past decade, innovation in                review the specific requirements set out
microneedles has been a focus within the          by the FDA in October 2020; present the
pharmaceutical world. Today, microneedles         case for the specification of dissolvable
are seen as a viable option for the delivery      microarray patch (MAP) technology
of drugs such as biologicals, vaccines and        (Figure 1), which uniquely addresses the
difficult-to-deliver small molecules through      FDA’s requirements; and finally evaluate
the skin, in both immediate-release and           the benefits of MAP technology to each
long-acting products. The widely recognised       stakeholder group, including pharma
benefits of transdermal administration in         partners, payers, healthcare professionals
terms of pain-free delivery, convenience and      (HCPs) and patients.
patient compliance, make microneedles an              The skin is an important protective
ideal platform for an increasing number of        barrier with an innate reactive capability
therapeutic areas.                                (Figure 2). Its protective, inflammatory
    However, the journey has not been pain-       and immunological properties make it an
free. The US FDA has clearly struggled with       attractive target for efficient drug delivery.
the quality of submissions received from          It has been well documented over the
combination products using microneedles,          years that, for various drugs, there are
specifically around stability testing, content    many advantages to intradermal delivery
uniformity, risk analysis, sterility validation   compared with the intramuscular and
and manufacturing.                                subcutaneous routes. However, the use
                                                  of a traditional needle mostly requires a
                                                    relatively sophisticated cold chain supply,
                                                                                                               Dr Sebastian Braun
                                                       as well as the time and effort of an HCP.               Head of Formulation Development
                                                          It also presents issues for the patient              and Manufacturing for Innovative
                                                              as it is quite invasive, particularly            Injection Systems
                                                                                                               T: +49 2632 99 2770
                                                                                                               E: sebastian.braun@ltslohmann.de
                                                                                 Figure 1: LTS’s
                                                                                   MAP system.                 LTS Lohmann Therapie-Systeme AG
                                                                                                               Lohmannstraße 2
                                                                                                               56626 Adernach
                                                                                                               Germany

                                                                                                               www.ltslohmann.de/en

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LTS Lohmann

Figure 2: Skin composition.

for the large portion of patients who suffer        NEED FOR A LESS PAINFUL                           mechanism of choice for many therapies.
from needle phobia.                                 WAY THROUGH THE SKIN                              The challenge is, of course, that at present
    As an alternative approach, MAPs                                                                  the choice of API is limited to small
can reproducibly deliver APIs into the              The pharmaceutical industry is very much          molecules, with today less than 30 APIs
dermal and epidermal layers of the skin,            aware of the benefits of drug delivery by         having been successfully commercialised for
which contain high densities of immune              injection in terms of its capability to deliver   transdermal therapeutic systems (TTSs).
cells.1 Microneedle technology was first            to the dermis, subcutaneous tissue and               These limitations have been addressed
conceptualised, and subsequently patented,          muscle layers under the skin. For a number        by several microneedle technologies which
in the 1950s,2 but it took some time for            of drugs, it is, in many ways, an ideal           enable the drug to overcome the skin barrier
the benefits of microneedles to be fully            delivery route. However, there are evident        (Figure 3). Here, the currently available
recognised. It was not until 1998 that a            issues too, specifically related to patient       transdermal microneedle options are:
paper was published exploring the                   compliance, usability and safety for HCPs.
possibility of using microneedles for               Aversion to needles, pain and needle size         • Solid removable microneedles dispense
vaccination in the future.3 Since that early        are all very real concerns for many patients.        only a limited drug load and deliver a
work, the WHO has identified microneedles              Needlestick injuries are a source of great        short, sustained release of drug due to the
as a potential game-changer for vaccine             concern for HCPs, indeed the WHO stated              speed of the skin healing.
distribution and coverage in low-to-middle-         in its World Health Report 2002 that of           • Coated microneedles deliver an immediate
income countries (LMICs).4                          35 million HCPs, two million experience              release of API and require only a short
                                                    percutaneous exposure to infectious diseases         application time on the skin. They do,
                                                    each year. The WHO further noted that                however, only carry a very limited drug load.
                                                    37.6% of Hepatitis B, 39% of Hepatitis C          • Hollow microneedles can carry a higher
         “The pharmaceutical
                                                    and 4.4% of HIV/AIDS in HCPs globally                drug load and be used for immediate or
       industry is very much                        are due to needlestick injuries.5 As well as         sustained release, but there are limitations
     aware of the benefits of                       the human cost, there is a financial cost too,       in the types of API solution that can be
                                                    with each needlestick injury case costing            delivered this way.
   drug delivery by injection
                                                    the local healthcare system around US$350         • Dissolvable microneedles offer very little in
     in terms of its capability                     (£259).6 Although MAPs do not entirely               terms of compromise, and a great deal in
     to deliver to the dermis,                      eradicate the potential for needlestick              terms of benefit. Dissolvable microneedles
                                                    injuries, they are certainly a big step in the       will be returned to later in this article.
    subcutaneous tissue and
                                                    right direction towards protecting HCPs.            Hydrogel-forming microneedles have the
                                                                                                      •	
     muscle layers under the                                                                            capacity to carry a higher drug load to
        skin. For a number of                       THE EVOLUTION OF MICRONEEDLES                       be delivered over a sustained period.
                                                                                                        Although they present no sharp-edge
   drugs, it is, in many ways,
                                                    Transdermal patches offer a demonstrable            waste issues, they are limited by diffusion
      an ideal delivery route.”                     improvement in patient compliance, safety           of the API in the polymer matrix and by
                                                    and usability, and represent the delivery           the number of polymers that can be used.

Copyright © 2021 Frederick Furness Publishing Ltd                                    www.ondrugdelivery.com                                        11
LTS Lohmann

                                                                                                      the required specification limits and then
                                                                                                      adequately demonstrate compliance. Some
                                                                                                      submissions showed that verification and
                                                                                                      validation testing was not using the final
                                                                                                      finished combination product in bench-top,
                                                                                                      clinical or human factors studies, and there
                                                                                                      was a lack of risk analysis to ensure leaving
                                                                                                      the system in place longer than prescribed
                                                                                                      would not result in injury or overdose.
                                                                                                          The guidance from the FDA in this
                                                                                                      regard is clear. Submissions must deliver:

                                                                                                      •	A comprehensive design control package
                                                                                                         that identifies risks and hazards
                                                                                                      •	A clearly defined control strategy for
                                                                                                         EPR, design verification and validation
                                                                                                      • A risk management plan
                                                                                                      •	An iterative guide to risk management
                                                                                                         activities throughout the entire product
                                                                                                         lifecycle.

                                                                                                      Common Manufacturing Deficiencies
                                                                                                      One particular area of weakness has been
                                                                                                      incomplete facility responsibility listings on
                                                                                                      the 356h form. Process parameters and
                                                                                                      in-process controls are not supported by
                                                                                                      process development knowledge in the
Figure 3: Overview of microneedle technologies.                                                       application. There have been significant
                                                                                                      failures with submitted batches, with no
   All these options offer tangible benefits     the criteria for a successful submission.7           root cause analysis provided. In terms
in terms of patient compliance and HCP           In it, the FDA stated: “Regulation of                of biologics, there have been incomplete
safety compared with injection-based             combination products must take into                  process       performance      qualifications
administration. It is also worth noting          account the safety and effectiveness questions       (PPQs) submitted; the product not being
that solid removable, coated and hollow          associated with each constituent part and the        manufactured within the review cycle and
microneedles all result in sharps waste,         product as a whole.”                                 inspection times; the sterilisation validation
whereas dissolvable and hydrogel-forming             The FDA’s presentation sought to                 data delivered has been insufficient; and
microneedles do not.                             clarify the common product, product-use              there have been failures with equipment
                                                 and manufacturing deficiencies, as well              qualification, process simulation and
MICRONEEDLES AND THE FDA                         as setting out what it needs to see from             sterility testing methods.
                                                 future applications. In terms of the common              The FDA’s unequivocal requirement
The FDA’s experience of submissions              product and product-use deficiencies, the            is for evidence of process development
relating to microneedles to date could perhaps   headlines related to stability testing in terms      and the bridge to commercial scale.
be described as disappointing, with quite        of formulation/API migration and continued           Submission documentation must deliver
basic failures evident in many fundamental       testing of mechanical attributes.                    commercial process descriptions, process
aspects of submission. This increasing level         Content uniformity is fundamental, and           flow diagrams, master batch records (MBRs)
of disappointment manifested itself in an        there is some work to do for delivery                and a sterilisation validation package for
October 2020 presentation from the FDA           device designers and the pharmaceutical              sterile products.
which sought to set out in very clear terms      industry more broadly in order to establish              The presentation also highlighted
                                                                                                      three clear objectives for prior approval
                                                                                                      inspection (PAI):

   “The requirements set out by the FDA are nothing more                                              • Readiness for commercial manufacturing
                                                                                                      • Conformance to application
   than would be expected for any regulated drug delivery
                                                                                                      • Data integrity.
          device, and it is alarming that the quality of some
   submissions has been poor enough to necessitate such                                                  In LTS’s opinion, the requirements
                                                                                                      set out by the FDA are nothing more
regulatory guidance, given the immediate and unparalleled
                                                                                                      than would be expected for any regulated
            opportunities this kind of technology presents.”                                          drug delivery device, and it is alarming
                                                                                                      that the quality of some submissions has

12                                    www.ondrugdelivery.com                                       Copyright © 2021 Frederick Furness Publishing Ltd
LTS Lohmann

                                                    per administration – via reducing the dose       administered after months one and three.
                                                    (“dose sparing”) – and the removal of cold       The results demonstrated that the recombinant
  “LTS’s goal was to develop
                                                    chain distribution challenges.                   vaccine MAP system is safe and well tolerated,
      a transdermal delivery                           The LTS MAP system is based on                and saw mild and moderate reactions in the
        method where, if the                        uncoated dissolvable microneedles, which         subjects, comparable with those who received
                                                    enables optimal API load without relying         the vaccine via IM injection.
         API can be delivered
                                                    on liquid reservoirs. There are three key
       via an injection, it can                     processing requirements for a homogeneous        WHERE NEXT?
        be delivered by LTS’s                       microneedle product:
                                                                                                     MAPs are a novel vaccine delivery
transdermal device. LTS has
                                                    • Homogeneity of dispensing solution             methodology that has the potential to
    developed such a device                         • Dosing precision                               become a game-changer for immunisation
        with its MAP system.”                       • Precise mould dimensions and geometry.         programmes, especially in LMICs, which
                                                                                                     mostly rely on vaccine storage and
                                                       LTS’s MAP technology can provide              transportation at 2–8°C and trained HCPs
been poor enough to necessitate such                for improved stability because the API is        to administer injectable vaccines by needle
regulatory guidance, given the immediate            embedded homogenously in the polymer,            and syringe. Whilst the benefits are most
and unparalleled opportunities this kind of         ensuring 100% of the drug content                obvious for programmes in LMICs, that
technology presents.                                is dispensed. The API and polymer are            does not mean they are irrelevant for the
                                                    mixed with a solvent, dispensed into the         rest of the world. Indeed, much of the
Meeting FDA Guidance                                mould and then dried to remove the solvent       development work LTS is undertaking right
For 40 years, LTS has been regarded as              (Figure 4). The dispensing heads deliver a       now is for high-value APIs.
a trusted partner and market leader in              precise, reproducible volume of solution.           Microneedle technology is considered
innovative transdermal drug delivery                Indeed, the dispensing heads are so precise      an advantageous delivery route for existing
systems. The company’s mission is to find           that pharmaceutical partners can even            vaccines, including influenza, tetanus
alternatives for patients where conventional        switch formulations and volumes within           toxoid, measles-rubella, Hepatitis B and
drug delivery presents challenges. As such,         each MAP. Configured for the API to              inactivated poliomyelitis vaccine (IPV),
LTS constantly creates new technologies             be delivered and desired release option,
that support pharmaceutical development             each MAP can feature up to 1,000 needles
and improve patient outcomes. While LTS             per cm2, with needle lengths ranging from
is clear about the efficacious benefits of          200 μm to more than 1,000 μm – 900 μm              “MAPs are a novel vaccine
TTSs, it is also aware of their limitations         being the threshold for pain sensation.
                                                                                                           delivery methodology
in terms of API fit, and so is committed to
research and development towards finding a          RECOMBINANT VACCINE                                     that has the potential
technology where the compromises inherent           HUMAN STUDY RESULTS                                      to become a game-
in current TTSs were reduced.
                                                                                                       changer for immunisation
    Essentially, LTS’s goal was to develop          In this study, LTS aimed to investigate the
a transdermal delivery method where, if             safety and the general and local tolerability      programmes, especially in
the API can be delivered via an injection,          of the recombinant vaccine delivered by a           LMICs, which mostly rely
it can be delivered by LTS’s transdermal            microneedle system, as well as the efficacy of
                                                                                                          on vaccine storage and
device. LTS has developed such a device             vaccination. Four cohorts were established
with its MAP system. This system delivers           with 12 subjects in each. Three doses of the     transportation at 2–8°C and
a range of benefits to the entire healthcare        recombinant vaccine were delivered with the       trained HCPs to administer
ecosystem in terms of increased patient             LTS MAP system, according the standard
                                                                                                           injectable vaccines by
comfort and better compliance, a faster             “prime-boost-boost” scheme. One dose level
onset, lower overall healthcare costs               of recombinant vaccination via intramuscular             needle and syringe.”
through self-administration, lower costs            (IM) injection was delivered, with boosts

Figure 4: The MAP manufacturing process.

Copyright © 2021 Frederick Furness Publishing Ltd                                    www.ondrugdelivery.com                                     13
LTS Lohmann

as well as vaccines still in development, such   •	For patients, the reduced pain and lower            3,964,482, 1976.
as inactivated rotavirus and dengue. Given          psychological challenge of administering        3.	Henry S et al, “Microfabricated
the challenges currently surrounding the            microneedle technologies creates the                microneedles: a novel approach to
cold-chain distribution of covid vaccines, a        potential for increased patient compliance          transdermal drug delivery”. J Pharm
great deal of consideration should be given         and adherence.                                      Sci, 1998, Vol 87(8), pp 922–925.
to MAPs as an efficient method to mass-                                                             4.	“WHO Microarray Patch (MAP)
immunise populations.                            ABOUT THE COMPANY                                      Product Development Workshop”.
                                                                                                        Geneva, Switzerland, 2015.
CONCLUSION                                       LTS Lohmann Therapie-Systeme AG                    5.	“Needlestick injuries. Protecting
                                                 is a leading pharmaceutical technology                 health-care workers – preventing
MAPs have great potential, but it has been       company that develops and manufactures                 needlestick injuries”. WHO website.
untapped to date. The technology has             innovative drug delivery systems such as           6.	Mannocci A et al, “How Much
accrued advocates since the 1970s, and           transdermal therapeutic systems (TTSs)                 do Needlestick Injuries Cost? A
today there is a growing weight of evidential    and oral thin films (OTFs) for the                     Systematic Review of the Economic
data to show the concerns around content         pharmaceutical industry. The company’s                 Evaluations of Needlestick and Sharps
uniformity have been largely eradicated.         commercial offering encompasses more than              Injuries Among Healthcare Personnel”.
This is now a real and present opportunity       20 marketed products and a diverse pipeline            Infect Control Hosp Epidemiol, 2016,
for pharma partners to benefit and deliver       of more than 30 development projects                   Vol 37(6), pp 635–646.
real value across the healthcare ecosystem.      targeting multiple disease indications.            7.	Strasinger C, “Product Development
   The technology overcomes the various          LTS’s innovation pipeline contains both                and Quality Considerations
challenges associated with conventional          partner-funded and proprietary LTS-                    for Transdermal Systems and
formulations and offers tangible benefits        funded projects. LTS maintains its leading             Microneedle Systems: A Regulatory
for pharma partners, payers, HCPs and, of        position through the continuous refinement             Perspective”. PharmaEd Resources,
course, patients:                                of its core TTS and OTF technologies                   Microneedle Drug Delivery Systems
                                                 and by advancing emerging drug delivery                Virtual Conference, Oct 27–28, 2020.
•	For pharma partners, there is now the         technologies, including microarray patches
   necessary evidence to demonstrate that        (MAPs) for the intradermal delivery of large
   MAPs are a safe and reliable dosage form      molecule, biological actives. LTS has an              ABOUT THE
   and that adequate patient dosing can be
   achieved. There are several advantages
                                                 established dedicated state-of-the-art R&D
                                                 centre for its parenteral and sterile MAP
                                                                                                       AUTHOR
   in terms of custom design too, with both      technology platform, including a GMP area             Sebastian Braun has worked in the field
   sustained and immediate release options       for manufacturing of clinical supplies.               of transdermal and dermal drug delivery
   available, as well as flexibility in needle      Founded in 1984, LTS operates today                for 15 years. A molecular biologist
   design, length, width and composition.        from two sites in Andernach (Germany) and             with a PhD in analytical chemistry
   There are also real options for patent        West Caldwell (NJ, US), and a representative          and molecular biology, he started his
   protection and brand differentiation,         office in Shanghai (China).                           career at a transdermal drug delivery
   as well as lifecycle management and                                                                 company, building a fundamental
   product extension opportunities. There        REFERENCES                                            understanding of the biological
   is also a very clear option to repurpose                                                            workings of the skin. Spending the
   existing products into a more patient-        1.	Fernando GJP et al, “Safety,                      last 15 years at different transdermal
   friendly delivery mechanism.                      tolerability, acceptability and                   and dermal drug delivery companies
•	For payers, there is a real benefit to            immunogenicity of an influenza                    in various positions, including head
   MAPs in that they can enable patient              vaccine delivered to human skin by                of formulation development, head of
   self-administration, creating the potential       a novel high-density microprojection              manufacturing and head of science
   for lower healthcare costs.                       array patch (Nanopatch™)”. Vaccine,               and technology, he is now focused
•	For HCPs, they help to reduce the                 2018, Vol 36(26), pp 3779–3788.                   on microneedle development and
   challenges and threats associated with        2.	Gerstel MS, Place VA, “Drug                       manufacturing.
   needlestick injuries.                             Delivery Device”. US Patent No

     IN WHICH ISSUE SHOULD
     YOUR COMPANY APPEAR?
     www.ondrugdelivery.com/participate

14                                    www.ondrugdelivery.com                                     Copyright © 2021 Frederick Furness Publishing Ltd
PROMISE
             TRANSDERMAL “NEXT BIG THING”

                                      MAP
                                 MICRO ARRAY PATCH
                                  Pain-free and easy to use

                                   For biologics, vaccines,
                                    and small molecules

                                  Reduced side effects due
                                  to transdermal application

www.ltslohmann.com
Early Insight

PHARMA LATCH ANGLED
MICRONEEDLE PATCH
FOR ENHANCED DRUG
AND VACCINE DELIVERY
Nicky Bertollo, PhD, Co-Founder and Chief Technology Lead, Ronan Byrne,
Co-Founder, and Andrew Muddle, PhD, Advisory Board Member, all of Latch Medical,
introduce Pharma Latch – a user-centric angled microneedle patch technology.
They discuss its key benefits, such as dramatically increased payload potential,
precision, low cost and variable patch-wear times, and highlight how Pharma
Latch has the potential to overcome many of the limitations of existing routes of
administration for therapeutics and vaccines.

Intradermal      delivery     holds     great   a result. Invasive intradermal injections
promise as an attractive alternative to         using hypodermic needles, pen injectors
traditional oral and parenteral routes of       and even needle-free injectors are associated
administration for the delivery of vaccines     with the potential for discomfort and                     Dr Nicky Bertollo
and therapeutics, including biologics.          distress for the patient; have significant                Co-Founder and Chief Technology Lead
Systemic uptake of therapeutics via the         requirements around infrastructure, training              T: +353 1 716 3770
dermal blood capillaries has a host of          of personnel and sterile settings; and have               E: nicky.bertollo@latch-medical.com
benefits, including avoiding the deleterious    the ever-present risk of needlestick injuries.
effects of first-pass metabolism, rapid         Transdermal patches overcome some of
drug onset and improved bioavailability         these limitations but are confined to a
of APIs, such as biologics, that are not        relatively small number of compounds
readily absorbed across the mucosal layers      which are known to be able to successfully
of the gastrointestinal tract. Furthermore,     permeate the intact outer layer of skin – the
the skin is replete with antigen presenting     stratum corneum – either passively or in
cells (APCs) and therefore represents an        combination with permeation enhancers.
optimal location for the delivery of vaccines      These and other restrictions have
                                                                                                          Ronan Byrne
(both traditional and novel DNA- and            motivated the development of minimally                    Co-Founder
mRNA-based vaccines) in order to elicit an      invasive microneedle patch (MNP)                          T: +353 1 716 3770
enhanced immune response.                       technologies which not only overcome                      E: ronan.byrne@latch-medical.com
    Methods employed to deliver or diffuse      many of these limitations but – as noted
drugs into the dermis must compete against      by the World Economic Forum in its list of
the skin’s excellent barrier function – and     Top 10 Emerging Technologies of 20201
are associated with known limitations as        – have the potential to play a role in
                                                transforming healthcare. The enhanced
                                                intradermal delivery attributes offered
                                                by MNPs have the potential to cater for
          “Pharma Latch is a                    existing, repurposed or new ranges of
          revolutionary MNP                     compounds not suited to the established
                                                routes of administration.                                 Dr Andrew Muddle
    technology that unlocks                                                                               Advisory Board Member
                                                   Pharma Latch is a revolutionary MNP
      a delivery solution that                  technology that unlocks a delivery solution
 addresses a wide variety of                    that addresses a wide variety of drug and
                                                vaccine delivery challenges faced by both
  drug and vaccine delivery
                                                conventional routes of administration and                 Latch Medical
   challenges faced by both                     current MNP technologies.                                 NovaUCD
      conventional routes of                                                                              Belfield Innovation Park
                                                INTRODUCING PHARMA LATCH                                  University College Dublin
 administration and current                                                                               Dublin
                                                                                                          Ireland
         MNP technologies.”                     Pharma Latch is an easily self-administered,
                                                self-anchoring, solid-coated MNP optimised                www.pharmalatch.com

16                                   www.ondrugdelivery.com                                      Copyright © 2021 Frederick Furness Publishing Ltd
Early Insight

  Figure 1: Pharma Latch microneedle patch
  technology. (Image courtesy Latch Medical.
  Reproduced with kind permission.)

for therapeutic and vaccine delivery
(Figure 1). Pharma Latch technology
                                                          “The proprietary coating technology produces coatings
exhibits opposing arrays of angled stainless-
steel microneedles (MNs) coated using a                     at room temperature and without the need for linkers
proprietary process performed at room                       or binders, meaning that APIs may be formulated and
temperature which dries instantaneously and
                                                                    deposited at relatively higher concentrations.”
is compatible with a range of compounds,
including biologics.
    Pharma Latch is applied to the skin
using a simple and intuitive clicking action.          for linkers or binders, meaning that            Highly user-centric design and ease of
                                                                                                     •	
This manual clicking moves the opposing                APIs may be formulated and deposited            use. The Pharma Latch is applied to the
angled MNs towards one another,                        at relatively higher concentrations.            skin using a simple and intuitive manual
penetrating the outer skin layers and                  The process deposits API-containing             clicking action and is easily removed.
drawing the skin onto the MNs in a                     formulations in uniformly even and              Built-in safety mechanisms prevent
controlled, repeatable fashion. Robust,                thin layers, which preserves MN                 accidental deployments, whilst visual,
adhesive-free and instantly reversible                 tip geometry to a greater extent than           tactile and audible feedback is provided
attachment to skin can be achieved.                    traditional dip-coating techniques..            to the user on successful attachment.
This, coupled with inherent tailorability           •	Increased payload potential. The                The user-centric and intuitive design
in both design and coating, means that                 combination of these geometry and               has no training requirements, allowing
Pharma Latch can facilitate both short- and            coating factors can elevate the payload         for administration by minimally trained
longer-term patch wear and drug elution                potential of the Pharma Latch far beyond        medical personnel or self-administration
times (seconds/minutes/days/weeks) across              what is currently achieved by solid-coated      by patients.
a range of compound types at much higher               and dissolvable MNP technologies.               Repeatable, reliable penetration and
                                                                                                     •	
payloads than are currently achieved                • Stable coatings. The proprietary coatings       depth targeting. Uncontrolled and
by existing solid-coated and dissolvable               can potentially be stable at room               variable skin deformation occurs during
MNP technologies.                                      temperature, which removes cold-chain           the application of conventional MNPs
    Key features and benefits of Pharma                and logistics requirements, facilitating        to skin, resulting in partial, incomplete
Latch’s technology include:                            global, remote distribution. Pharma             and highly variable embedding of the
                                                       Latch has demonstrated with a number            full MN height.2,3 In some cases, only
• Increased MN surface area available                 of biological APIs that the coating             a small proportion (up to 30%) of MN
   for coating. When compared with the                 process does not affect its stability.          height is routinely exposed to skin.4
   conventional vertical approach taken by          •	Robust, adhesive-free attachment. The           Variable, incomplete MN penetration
   MNPs, the angling of the Pharma Latch               unique manner in which the angled MNs           may potentially reduce payload delivery
   MNs – specified for a given depth target            interdigitate with and anchor to the            efficiency for both conventional solid-
   in the skin – results in greater surface            skin removes the need for chemical-             coated MNPs and dissolvable MNP
   area available for coating with the API.            based adhesives. This also opens up the         technologies.3,5 The unique method of
• Superior coating concentration across a             possibility of long-term patch wear from        engagement applies subtle traction to
   range of compound types. The proprietary            hours and days up to several weeks –            skin during deployment, drastically
   coating technology produces coatings at             a possibility not achievable using existing     reducing deformation and ensuring near
   room temperature and without the need               solid-coated MNP technologies.                  full-length (>95%) exposure of the angled

Copyright © 2021 Frederick Furness Publishing Ltd                                    www.ondrugdelivery.com                                  17
Early Insight

  MNs to skin.6 The superior penetration        ENGINEERING THE PHARMA LATCH                       variability in MN penetration across
  efficiency of Pharma Latch’s angled MNs                                                          existing MNPs is well reported in the
  could result in reduced dosing variability,   The Pharma Latch is optimised for skin             scientific literature. Importantly, the extent
  which will be observed in drug absorption     penetration and adhesive-free attachment.          of this deformation can be exacerbated
  measured in the pharmacokinetic data of       The unique solution ensures that each              by the anatomical location and integrity
  its products.                                 individual angled MN is repeatably inserted        of the skin, as well as by subdermal fat.7
  No
•	       reliance     on    pre-energised      to the same depth in the skin every time in        The combination of these patient-related
  applicators. Many MNP solutions               every patient.                                     and skin biomechanics factors can be
  looking to deliver higher payloads need                                                          expected to give rise to dosing variability
  a high-density MN configuration. These        Mechanism                                          across repeated applications on the same
  need a high-velocity impact onto the          Subtle traction is applied to the skin by the      patient (i.e. intra-subject variability) and/
  skin to aid penetration – requiring a         opposing arrays of angled MNs keeping              or between patients across a population
  pre-energised applicator. This also limits    the skin taut and dramatically reducing            (i.e. inter-subject variability) when treated
  potential patch size. Pharma Latch’s          skin deformation during insertion. This            using conventional MNP technologies.
  controlled mechanism of engagement            novel mechanism of insertion is illustrated
  with skin removes the reliance on             in Figure 2. Conceptually, the net effect          Repeatability
  pre-energised applicators and increases       of these attributes results in skin being          The Pharma Latch deployment mechanism
  the range of permissible patch sizes from     drawn up onto the Pharm Latch MNs in a             is designed to produce repeatable MN
  4 cm2 upwards.                                controlled, repeatable fashion.                    insertion, independent of skin type or
  C onfigurable to meet treatment
•	                                                The mechanism of insertion differs              anatomical location. This substantially
  objectives. The Pharma Latch platform         fundamentally from many existing MNP               reduces intra-subject and inter-subject
  can be readily adapted to meet varied         technologies and application techniques            dosing variability risks, which may be
  treatment objectives, including human         (including both manual pressing and                observed in pharmacokinetic data. The
  factors considerations, with one- or two-     high-speed impact using pre-energised              increased penetration efficiency achieved
  part configuration options to facilitate      applicators) which effectively act to push         by the Pharma Latch MNs, derived from a
  both short- and long-term wear and            the skin away from the patch as it is              combination of the angled MN geometry and
  delivering low-to-high payloads.              being applied. As mentioned prior, the             skin insertion mechanics, ensures repeatable,

Figure 2: Schematic depicting Pharma Latch’s mechanism of engagement, the subsequent release of the API from the fully
embedded angled microneedles and the method of removal.

18                                   www.ondrugdelivery.com                                     Copyright © 2021 Frederick Furness Publishing Ltd
Early Insight

                                                        The scalable approach to MN fabrication    FUTURE OUTLOOK
                                                    ensures that the Pharma Latch design
          “The Pharma Latch
                                                    (i.e. MN geometry, tip height, number          The Pharma Latch technology is technically
   deployment mechanism                             and density) is readily customisable to        validated and currently moving towards a
     is designed to produce                         accommodate the desired payload and            number of pre-clinical studies with a range
                                                    intended release kinetics of the deposited     of different compounds and vaccines. The
   repeatable MN insertion,
                                                    coating. MN density can be tuned to            simplicity of Pharma Latch, combined with
independent of skin type or                         meet the payload objectives of the specific    its payload potential, opens up a variety
        anatomical location.”                       application, which gives rise to a range       of new possibilities – both in the MN
                                                    of potential Pharma Latch configurations.      drug delivery sphere and also in a broader
                                                    Pharma Latch makes use of a two-part           consideration of drug delivery opportunities
near-full-length coated MN exposure and             system (with reloading capabilities) for       previously considered out of reach for
release of API into the interstitial fluid of the   high-density MN patch configurations           MNP technologies.
skin for systemic uptake.                           supporting high payloads, with the second          The company is actively seeking
                                                    part increasing the mechanical advantage       collaborations with companies looking
Manufacturing                                       and promoting usability. A one-part system     to develop novel products which meet
The increased MN insertion efficiency of            is available for lower payload, low-MN-        currently unmet patient needs – be they
Pharma Latch, coupled with a controlled,            density applications.                          existing compounds or vaccines, generic
manual application action, removes the                                                             APIs looking to differentiate through the
need to employ costly, high-strength                Coating                                        505(b)(2) route of registration in the US
metal alloys. Pharma Latch uses low-                Pharma Latch’s solid MNs coated with           or new compounds or vaccines looking to
cost, surgical-grade stainless steel and            API offer an advantage over dissolvable        be delivered intradermally, be they small
can be produced using scalable, low-cost            MNP technologies in that the solid MNs         molecules, vaccines or biologics.
production methods leveraging standard              themselves provide the mechanical backbone
pharmaceutical packaging materials and              and requisite strength. This potentially       ABOUT THE COMPANY
processes. Coating of the MNs relies on a           simplifies the mechanical considerations
highly automated process with established           around – and specific requirements of –        Latch Medical is a venture-funded company
high-volume, low-cost techniques.                   excipients in a given formulation. This        with a platform microneedle technology.
                                                    approach, coupled with the method of           The technology is centred on opposing
Tailorability                                       coating, can simplify the formulation          arrays of angled microneedles that can
Pharma Latch is highly configurable and both        process, whilst simultaneously increasing      penetrate the outer layers of the skin
the core MN platform and coating process            the range of compound types that can be        in a manner ensuring consistent needle
can be readily tailored to meet the treatment       readily incorporated into the platform.        penetration and without the use of any
objectives, in terms of desired payload, release                                                   adhesive. The platform can be used in a
kinetics and wear times. Pharma Latch offers        Payload                                        number of different applications, including
an unsurpassed ability to target specific depths    The tailorability in the proprietary coating   drug delivery, biosensing and wearables.
in the skin, owing to its superior penetration      process allows the delivery of payloads        In 2019, Pharma Latch was awarded a
efficiency (>95% length penetration),6 which        far in excess of what is currently being       substantial grant by the Irish government.
may be important when treating certain              achieved by solid-coated and dissolvable       A rapid development plan ensued, allowing
dermatological conditions or administering          MNP technologies. Combined with the            the Pharma Latch technology to progress.
vaccines. The direct implication of a highly        self-anchoring angled MN geometry, this
efficient MN insertion is that vertical             potentially allows Pharma Latch to rival the   REFERENCES
penetration depth is ultimately governed by the     dosages currently being delivered through
MN geometric parameters and, specifically,          more traditional means. As a result, Pharma    1.	“Top 10 Emerging Technologies of
the vertical MN tip height from the substrate,      Latch has the potential to offer a step            2020”. World Economic Forum,
which can typically be engineered to be in the      change in MN-mediated therapeutic and              November 10, 2020.
range of 250–600 μm or beyond.                      vaccine delivery.                              2.	Römgens AM et al, “Monitoring
                                                                                                       the penetration process of single
                                                                                                       microneedles with varying tip
                                                                                                       diameters”. J Mech Behav Biomed
    “Pharma Latch has the potential to offer a step change in
                                                                                                       Mater, 2014, Vol 40, pp 397–405.
           MN-mediated therapeutic and vaccine delivery.”                                          3.	Donnelly RF et al, “Optical
                                                                                                       coherence tomography is a valuable

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