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Formulation Development: Making The Medicine
Formulation Development: Making The Medicine
Formulation Development: Making The Medicine
Formulation Development
Making the Medicine
by Cheryl Scott
NOVARTIS AG (WWW.NOVARTIS.COM)
Design and execution of a successful of the drug to its site of action, and
fill/finish and stability project requires (inevitably) speed and cost-effectiveness
careful planning performed by of development and the final product.
experienced, responsive professionals.
Numerous details come into play
Failure to incorporate these activities
including analytical methods and
early in your drug development
program can lead to costly delays in testing protocols, containers and
meeting milestones essential to the closures, delivery devices and dosage
successful launch of your product. (1) forms, exipients and stabilizers, and
compatibility of ingredients.
O
ne rule of thumb in drug Complicated formulation decision trees
development is that the larger a necessitate the following types of
molecule is, the more trouble it choices:
will be to make, ship/store, and • Method of delivery (parenteral,
administer to patients. Biotherapeutics pulmonary, etc.)
include proteins (such as antibodies), • Final product form (solution,
some of the smaller peptides (such as lyophilized cake, etc.)
hormones), DNA for gene-transfer • Single-dose or multidose
therapies, vaccines of various types, cells Biotech drug formulators have (necessitating preservatives)
and tissues, and to a lesser extent blood- many concerns to juggle in their work, • Ingredients (excipients, stabilizers,
fractionation products, allergenics, and beginning with the physicochemical preservatives, etc.)
RNA. The molecules are big, unwieldy characteristics of an active molecule • Dosage details (concentration,
things; they are produced in complex and including the reliability, cost, and frequency, etc.)
mixtures by biological processes; and availability of analytical methods used • Logistics (transportation, storage
they face numerous challenges both in in formulation work; the array of conditions, shelf life, etc.)
storage and within the environment of a excipients on the market (and their • Packaging (vials, ampules, etc.,
human body. Application of cells and chemistries); evolving delivery even labeling)
tissues presents an entirely different set methods and devices; patient • Manufacturing process (scale,
of problems: preferences and behavior, as well as equipment, procedures, etc.).
the biology of diseases being treated; Those decisions cannot be made by
The emergence of cell- and tissue-
based technologies and the move even the concerns of legal, sales, and formulators alone. Product
toward a global marketplace are marketing staff. Formulation is more development and market data are
creating a demand for new than science, as a result, but science is important factors as well as process
technologies that allow worldwide its foundation. For years, it has been development experience and
shipment of such products while considered by many as an arena where regulatory guidance. Intellectual
maintaining their viability or luck and intuition play a role as well, property lawyers help determine
function—a concept referred to as but just as biotherapeutics have whether a device will need to be
biological packaging. . . . The transitioned from the relatively licensed, for instance, or the
principles governing the mysterious world of biologics to being formulation infringes a patent. Sales
development of effective biological
thought of as drugs (3), so too is people know what doctors and patients
packaging necessitate an
formulation work becoming more are looking for, marketing specialists
understanding of state-of-the-art
hypothermic storage and methodical and quantifiable. understand the final product’s
cryopreservation: the two standard The basic concerns of biotherapeutic eventual placement and financial
approaches currently used for formulation are stability and structural situation, regulatory affairs and
preserving cells and tissues for integrity of the active molecule during quality personnel see to compliance
extended periods. (2) transit and storage, successful delivery matters, and other scientists add their
42 BioProcess International M ARCH 2006 SUPPLEMENT
findings along the way. But the because aqueous suspensions of nucleic acid formulations appears to be
formulators must keep all these things nonviral vectors tend to agglomerate lyophilization. Because DNA is very
in mind. No wonder they’ve been over time. “Some clinical trials have sensitive to hydrolytic and oxidative
thought of as “magicians” by their attempted to circumvent the problem degradation, its half-life in aqueous
appreciative colleagues over the years! . . . by preparing complexes at the solutions is measured in hours or days.
bedside immediately prior to injection. It appears to fare much better at colder
STABILITY Clearly, this method of sample temperatures, and even better in a
Proteins and other large biomolecules preparation and administration is not freeze-dried state. However, much
are delicate and sensitive to changes in practical and leads to significant work is yet to be done in nucleic acid
conditions such as pH, osmolality, variations in product quality and gene formulations before we see confirmed
tonicity, pressure, and temperature. delivery” (3). It may have contributed shelf lives approaching the drug-
Vaccines may be genes, proteins, to some gene therapy failures in product norm of two years.
pathogen fragments, or whole clinical trials so far. Protein Stability: Formulators have
organisms that have been killed or Simply put, stabilization of gene much more experience with
inactivated (4). Blood-fractionation products is also stabilization of their recombinant proteins. They have
products and allergenics are usually transfer vectors. So issues of lipid/ identified three principal methods of
proteins themselves, so they can be polymer sensitivity to agitation and degradation in protein formulations:
treated by formulators the same ways temperature in solution, for example, deamidation, oxidation, and
as recombinant antibodies. And must be considered. Transfection aggregation, all of which are most likely
peptides are merely amino-acid chains efficiency can be lost as a result of to occur in aqueous solutions (6).
(like proteins, only smaller), which freezing and thawing, among other Deamidation is mainly associated with
present the least amount of trouble in processes. And “it is critical for quality hydrolysis of asparagine residues into
biotech formulations. control that vector size be maintained aspartic acids. Oxidation can be
Nucleic acids usually are during a process regardless of its effect catalyzed by metal ions, directly caused
formulated with gene-transfer vectors on transfection rates” (5). Thus, by the presence of hydrogen peroxide
such as transformed viruses, lipids, or formulation has been the primary and organic solvents or by
polymers. Viral vectors can be treated challenge to companies developing photochemical reactions involving
more or less as large proteins in gene-transfer products, whether as certain excipients. Aggregation is the
formulation because they are typically therapies or vaccines. Because final result of many forms of protein
protein shells surrounding genes of chemical degradation of DNA can denaturation, which can result from
interest. Synthetic vectors present cause mutation as well as negate changes in temperature, pH, or pressure
fewer safety issues than viruses, but therapeutic activity, any kind of as well as the presence of denaturing
they are less efficient transfectors of destabilization is of great concern. chemicals and exposure to shear forces.
DNA/RNA (5). They also present For those choosing synthetic over Proteins are amphoteric (their
more challenges in formulation viral vectors (and they are growing in electrical charge depends on the pH of
number) there appears to be only one their environment) because they are
option: freezing. Some have quickly complex molecules made up of many
CAUSES OF INSTABILITY frozen samples using liquid nitrogen individually charged elements. They
These conditions encountered during because slow freezing invites damage are most stable at their isoelectric
manufacturing and/or storage can to sensitive molecules. But the most point (pI): the pH value at which their
present challenges to stability (6): promising method of stabilizing net charge is zero, and “opposing
freeze–thaw
heavy metal ions LIQUID OR LYOPHILIZED?
interface adsorption
LIQUID FORMULATIONS LYOPHILIZED FORMULATION
ionic strength
Advantages Advantages
light Convenient More stable than liquid formulations
organic solvents Cost of goods (economical) Can achieve higher concentration
oxygen Competitive formulation
pH extremes Applicable to many commercially Disadvantages
radiation available delivery devices Cost of goods (expensive)
residual moisture Disadvantages More complex process and tech transfer
shear forces Less stable than lyophilized formulations
Limited commercial contract capacity
surfactants Source: Chen B, Zapata G, Chamow SM. Strategies for Rapid Development of
Liquid and Lyophilized Antibody Formulations: An Integrated Design.
temperature BioProcess International 2(1) 2004: 48–52.
SUPPLEMENT
thawing formulations developers know what to least 0.1–5.0 mg/mL (9). Isotonicity
• compatibility with organic look for and how. In addition to the contributes to solubility, and it is
solvents methods listed above for typically adjusted by changing salt
• degradation pathways, absorbance preformulation, other analytical concentrations. By this point,
spectra, melting point, hydrophobicity, methods may now come into play: preformulation studies have elucidated
isoelectric point, and general polyacrylamide gel electrophoresis the effects of extreme pH, so stability
aggregation tendencies (PAGE) and ion-exchange studies now focus on the narrower,
• response to time, light, chromatography (IEC) to study usable range of 4–9 (7). Because every
temperature, and oxygen. charge; circular dichroism, size- biomolecule is different, several of the
Some of that information may exclusion chromatography (SEC), numerous buffers available on the
come from other sources—such as capillary zone electrophoreiss, and market will be tested until the most
analytical work done in product or fluorescence spectroscopy to study appropriate one is chosen. Other
process development. Commonly used molecular conformation; SEC, excipients include stabilizers,
analytical methods include isoelectric sodium-dodecyl sulfate polyacrylamide solubilizers, bulking agents, tonicifiers,
focusing (for determining pI and gel electrophoresis (SDS-PAGE), vaccine adjuvants, antioxidants,
changes in charge), electrophoresis laser-light scattering, capillary chelating agents, complexants,
and high-pressure liquid electrophoresis, and matrix-assisted encapsulators, preservatives, pH
chromatography (for size, laser-desorption ionization time-of- adjusters, solvents, surfactants,
conformation, and aggregation states), flight (MALDI-TOF) mass suspension agents, and polymers for
biological assays (for functionality), spectrometry to study molecular size; sustained-release formulations (10).
ultrafiltration (for solubility), and micellar electrokinetic Whatever combination is chosen,
differential scanning calorimetry (for chromatography and hydrophobic compatibility must be documented
melting temperature). Although interaction and reversed-phase among all the individual components—
measurements of optical density are chromatographies (HIC and RPC) to and the product container and closure
possible, a formulator’s naked eye can study hydrophobicity; and cell-based, system too, not to mention the ultimate
be just as important in making enzymatic, and enzyme-linked delivery device (e.g., hypodermic
qualitative assessments of a solution’s immunosorbant assays (ELISAs) to needles).
appearance. When stresses are applied study biological activity. Solution formulations are typically
(e.g., extreme thermal, pH, and refrigerated at 2–8 °C, “with a
Formulation studies should address
oxidative conditions), some changes solubility as a function of pH and salt minimum target shelf life of two
will be obvious, but most will require and the influence of increased years” (9). Most are unstable at or
quantitative measurement. And up-to- temperature, solution pH, buffer ion, above room temperature. Although
date knowledge of scientific literature salt, protein concentration, and other normal concentrations are 1–10 mg/
helps put analyses into context. excipients and preservatives (when mL, several higher-concentration
Initial preformulation studies take necessary) on stability. Other studies formulations are currently in
several weeks to months of work, and to include are photostability, development, and some sustained-
their results provide a basis for real cavitation/shaking, and freeze–thaw release “depot” formulations are
formulations work to start with. cycling. Finally, material compatibility already on the market. An interesting
studies should be performed with any
“While not absolutely necessary, it is consideration for clinical trials is the
storage containers or medical device
often instructive to identify the type need for placebo formulations to be
the molecule/formulation may
of degradation products being contact. (9) indistinguishable from the actual drug
generated” (8). A balance must be formulation so that intentional or
struck, however, between the need for The easiest and most economical inadvertant unblinding does not occur.
information and the supply of purified way to formulate a biomolecule is in International regulators require
product. “Drug supply is often limited solution. Most approved every effort to be made for patient
at this phase of development, so only a biotherapeutics on the world markets safety—not only with the drug itself
few conditions can be studied” (8). (with the exception of three topicals, a but also its formulation and
few peptide capsules, and certain packaging. Aseptic processing (see the
PARENTERAL FORMULATIONS tissue products) are parenteral dosage previous chapter) is vital to the
Not only formulators have been forms intended for injection into sterility of biologic products. “If a
working with the molecule, but also patients intravenously, intramuscularly, product can be autoclaved, it must be.
those involved in product and process intracavitarily, and so on (10). About If the manufacturer claims a product
development. Once process half of them are sold in solution or cannot be terminally sterilized, there
development is making enough suspension form. If stability can be must be data to support this claim”
purified drug, the sophisticated trial- achieved this way, it is the first choice (9). Excipients used must be classified
and-error process of formulation can of biotech formulators. as GRAS (“generally recognized as
begin. By now, the drug substance Solubility is of primary concern with safe”) by the governing bodies of the
should be well enough understood that solution formulations, with a goal of at intended market—and the criteria are
SUPPLEMENT
ADJUVANTS IN VACCINE maintaining proper bioactivity, of vial should contain enough product
FORMULATIONS course, so most often the products are (about 2 cm thick) to work with easily
Adjuvants are ingredients added to a administered by health-care in reconstitution, so bulking agents
vaccine to improve the immune professionals. Even so, some variation are common with low-concentration
response it produces. Researchers are may be inevitable and should be taken biologics. Finally, lyophilized products
studying many types, but the only type into account by product formulators are evaluated for their physical
licensed for human use in the United and package labelers. characteristics (color, uniformity, and
States are so-called “alum” adjuvants As described in the “Freeze- volume, as well as reconstitution rates
composed of aluminum salts. Such Drying” box, lyophilization is “a and clarity), stability, and bioactivity.
compounds bind to the antigens in a process whereby a product in aqueous There are several types of
vaccine, help retain them at the site of solution is frozen, producing discrete lyophilizers, from simple laboratory-
injection, and help deliver them to the ice crystals and solute crystals. The scale manifold systems to industry-
lymph nodes. The slowed release of solid ice under controlled conditions is standard chamber freeze-dryers and
antigens to tissues surrounding the sublimed away. Any of the ‘more newer spray-dryers. One recent
injection site and the improved delivery tightly bound’ water is desorbed by advance in chamber lyophilizers is
of antigens to the lymph nodes can controlled heating. The final product’s replacement of traditional refrigerator
produce a stronger antibody response solute is relatively undisturbed from compressors with liquid nitrogen
than can the antigen alone. Alum that originally in solution and is finely condenser systems (14). They are said
adjuvants are also taken up by divided, with a large surface area” to provide improved control of freezing
monocytes and macrophages to help (12). It is expensive in terms of temperatures and cooling rates (faster
them better present antigens to equipment, time, and power—and and more constant) as well as
lymphocytes. often represents a “bottleneck” in simplified operations and maintenance.
manufacturing—so the choice to Another trend is toward use of
Some other adjuvants used in the
lyophilize is not made lightly. But it nonaqueous (organic) solvents such as
vaccine industry, either outside the
may be the only choice for some ethanol for increased sublimation rates
United States or in animal vaccines,
products, particularly gene therapies. and improved product stability.
include liposomes and
immunostimulating complexes, the Once in the dried state, it is
typically assumed that vectors will OTHER DELIVERY OPTIONS
muramyl dipeptide derived from
be stable for indefinite periods of Biomolecules are “difficult to deliver
mycobacterial cell walls, certain
time. This naïve notion has caused systemically by noninvasive routes due
cytokines (interferons and interleukins),
leaders in the gene therapy field to to their poor bioavailability” (13).
and emulsions of mycobacteria in oil
respond to questions about the shelf Nevertheless, some companies are
and water.
life of their pet vector by stating, “It working toward methods of delivery
Source: Understanding Vaccines: What They is lyophilized.” (5) outside the parenteral norm. The most
Are and How They Work. US National problematic alternative is also the most
Institute of Allergy and Infectious Of course, biotech formulations attractive: Patients would much rather
Diseases. NIH Publication 03-4219, July offer no easy answers. The keys to take a pill than get a shot any day. But
2003; www.naiad.nih.gov.
successful lyophilization processes are one primary function of our digestive
precise control of time, temperature, systems is to break down incoming
not the same everywhere. and pressure—all of which can be proteins into their usable amino acid
Lyophilization: Solution determined only through components, so getting such large
formulations are not always an option. characterization and testing. molecules through that route intact is a
Many proteins and nucleic acids “Optimization of the drying cycle for nearly insurmountable challenge. Some
simply will not remain stable in a given formulation requires a smaller peptides, such as insulin, are
solution long enough at any balanced understanding of the showing promise however.
temperature. This usually is a result of fundamental science of freeze-drying, Transdermal delivery (e.g.,“the
their extreme sensitivity to interfacial formulation characteristics, equipment patch”) is familiar to smokers trying
dynamics and oxidation. Removal of capabilities, and practical risks to quit, women on hormone
water from the formulation is very associated with process parameters” replacement therapy, and people who
often the answer. So about half of the (13). Excipients are compared and suffer from severe motion sickness.
biotherapeutics currently being sold chosen as with solution formulations. There have been challenges in its use
are shipped and stored in freeze-dried Adjustments are made to pH, unit in delivery of peptides, proteins, and
form—conveniently at ambient dose and overall volume, and other macromolecules that cannot
temperatures. These products are containers and closures. Final easily permeate the outer skin layer.
reconstituted in a “just add water-for- products may include cryoprotectants, “Mechanical abrasion and chemical
injection” procedure immediately buffers, salts, and/or stabilizers, enhancers increase drug permeation,
before injection. Methods of depending on the effects of freeze- [but] their effects on the skin’s
reconstitution and use are critical to drying on the molecule of interest. A inherent rate-controlling properties
equipment availability allows, then operation. This is showing promise must be thoroughly washed and
bulk formulations or products will be for liquid formulations, which can sterilized (with solutions and methods
thawed for further operations. Often, eliminate use of preservatives because that won’t compromise container/
contract organizations take over at there is no exposure to the air. BFS closure integrity) before use. Gamma
that point. systems are fast, easy to scale up, and irradiation is often used, but it may
“Fill and finish” describes all the may be more cost-effective when break down some plastics. Seals are
activities involved in turning bulk compared with the capital investment most often made of rubber that may
formulations into finished products of facilities, equipment, and be lubricated by silicone oil, which can
for the market: precisely filling vials, consumables for traditional filling have a denaturing effect on proteins
cartridges, syringes, or ampules under operations. But they involve (18). Newer materials such as
aseptic conditions; stoppering or temperature extremes that may be fluoroelastomers are an attempt to
otherwise sealing them; manually incompatible with biomolecular mitigate that problem. Many fill and
inspecting the results; labeling and fomulations. finish operations are outsourced, and
packaging them in boxes and/or Leachables/extractables from the contract organizations that
cartons with informational inserts; delivery/packaging materials (and specialize in these activities must keep
and shipping them out. Class 100 even some processing equipment) can up-to-date on the latest technology. It
cleanrooms are the norm, but cause proteins to aggregate, among is often advisable to include someone
alternative barrier-isolation systems other problems. Even the plastics and from the fill-and-finish company on a
are being used increasingly to create other materials used in containers and formulation development team.
aseptic conditions in smaller-volume closures can pose a danger (see the Postmarket Development:
areas for more flexibile and cost- “Real-World Problems“ box). Even Formulators begin with timelines and
effective operations. though plastics have traditionally been end-product requirements in mind,
Another new development has been a source of concern, they are seeing and just like process development in
blow-fill-seal (BFS) sytems that create renewed interest as container materials an ever-evolving technology, their
plastic tubes as containers, fill them, (17)—but glass is still the standard. work is never fully complete. As
and seal them all in one unit Whatever the material, containers described in my previous chapter,
70–72.
and Other Bioproducts. Lyophilization of Technology. BioProcess International 3(3) 2005:
Biopharmaceuticals (Biotechnology:
Pharmaceutical Aspects series, Volume 2).
Costantino HR, Pikal MJ, eds. (Borchardt RT,
Middaugh CR, series eds.) American Cheryl Scott is senior technical editor of
Association of Pharmaceutical Scientists: BioProcess International, 1200 Executive
Arlington, VA, 2004. Parkway, Suite #255, Eugene, OR 97402;
11 Overcashier DE. Microscopy of 1-541-345-2761, fax 1-541-345-5055;
Lyophilized Proteins. Lyophilization of cscott@bioprocessintl.com.
Biopharmaceuticals (Biotechnology:
Pharmaceutical Aspects series, Volume 2).
Costantino HR, Pikal MJ, eds. (Borchardt RT,
Middaugh CR, series eds.) American
Association of Pharmaceutical Scientists:
Arlington, VA, 2004.
12 Cappola ML. Freeze-Drying Concepts: