Bioteknologi Farmasetika: Definition and Examples of Biologics

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The term biotechnology encompasses any technique which

uses living organisms (e.g., microorganisms) in the production


or modification of products.
The classic example of biotechnologic drugs was proteins
obtained from recombinant DNA (rDNA) technology.
However, biotechnology now encompasses the use of tissue
culture, living cells, or cell enzymes to make a defined
product.
BIOTEKNOLOGI rDNA and monoclonal antibody (MAb) technologies have
provided exciting opportunities for development of more
FARMASETIKA pharmaceuticals and approaches to the diagnosis,
treatment, and prevention of disease.
Mia Fitriana, M.Si., Apt.

FDA-Approved Biologic Products of Various Types


Definition and Examples of Biologics Available for Treating or Preventing Various Conditions

Class of Medicinal Products that Contains Active Substance (s)

Proteins, Nucleic Acids, Sugars, Intact Cells


Vaccines (Prevnor - Pneumonia, Gardasil - HPV)
Antibodies (Avastin, Humira, Remicade, Herceptin)
Fc Fusion Proteins (Enbrel, Orencia)
Hormones (Elonva- long acting FSH, Growth Hormone)
Enzymes (Pulmozyme rHu-DNAase- )
Proteins (Clotting factors, Interleukins, Albumin)
Gene Therapy and RNAi (Still in development)
Cell Therapy (Provenge Prostate cancer vaccine)
Antibody Drug conjugates - Adcetris (Brentuximab vedotin for HL)

Complexity of Biologics by Molecular Size


(Small Molecule vs. Peptide vs. Protein) Conformational Complexity of Biologics
Routes of Biologics Drug Delivery Distinct Attributes of Biologics
Biochemical and Biophysical
Relatively unstable in solution
High Mw, complex structural organization and delicate
conformation
Sensitive to environment (temperature, pH, oxidation, non-
polar solvents etc)
Prone to enzymatic degradation (proteolysis)
Susceptible to adsorption , unfolding, aggregation and
inactivation
Prone to microbial contamination
Increased viscosity and low solubility at high concentrations
Needs special care during fill-finish, storage and shipping

Physiological Short half life (In-vivo)


Conc.
.
Limited adsorption / Low Mucosal PermeabilityLow BA
Immunogenic

Cost of Goods, Manufacture, Transportation and Storage


Very Expensive
**API (Drug Substance) Cell Culture & Complex Purification Steps
Low Production Yields
Sterile Suites for cell culture (USP), Purification (DSP) and Fill-Finish
Cold Chain

Oxidation of Proteins Protein Aggregation


During Aerosolization proteins are prone to Oxidation and Protein aggregation is a common issue encountered during
Aggregation manufacture, storage and transportation of therapeutic proteins.
Metal and peroxide contaminants present in excipients and delivery Aggregates of proteins may arise from several mechanisms and
devices catalyze oxidation. various stress conditions
Amino Acids prone to OxidationMet, Cys, Trp,Tyr High temperature and mechanical agitation
Oxidized proteins are often functionally inactive and their unfolding Types of aggregates: soluble / insoluble, covalent / non-covalent,
is associated with enhanced susceptibility to proteolytic reversible / irreversible, and native / denatured.
degradation. For protein therapeutics, the presence of aggregates of any type is
Oxidation is known to affect the structure, activity, and rate of typically considered to be undesirable because aggregates may
degradation of proteins, and is believed to contribute to a variety lead to an immunogenic reaction (small aggregates)
of pathological conditions or may cause adverse reactions on administration (particulates).
Oxidation affects stability, purity and safety of therapeutic proteins.
Aggregation occurs due to exposure of protein to air-water inter-
phase
Special Formulation Considerations
Immunogenicity
for Biologics
Permeability enhancers (to improve BA) : Surfactants, fatty acids, saccharides,
Complex Immunological Phenomenon chelating agents

Influenced by various factors Adjuvants (to enhance absorption) : Glycocholate, Surfactin, Span 85, Nafamostat
Protein aggregates in biological drugs have the
Fatty acids and PEG (to prolong residence time) : Lauric acid : Increases dissolution
potential to trigger an immune response in the half-time

patient, which, at the very least, can decrease the Most important issue Protein Stability
drug's effectiveness Stresses during Fill-Finish, Storage, Transportation and Delivery : Aggregation,
Oxidation
at worst could cause potentially harmful side effects
Any Structural modification Increased Immunogenicity
Immunogenicity is a safety issue

Liquid or Lyophilized

Liquid formulations are generally the


preferred presentation although
lyophilized formulations are more stable.
The decision has to be strategic and
based on the intrinsic stability of the
protein, as not all proteins are stable
enough for liquid formulation.
Development of lyophilized formulation
requires additional effort for the extra
process.
Different excipients are generally used for
liquid and lyophilized formulation
candidates.

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