BioPharm Volume 28 Number 6 BioPharm International INTERNATIONAL June 2015 The Science & Business of Biopharmaceuticals JUNE 2015 www.biopharminternational.com Fill/Finish I Host-Cell Proteins SCALE-UP AND TECH TRANSFER ADVANCED TECHNOLOGIES FACILITATE THE IMPROVEMENT OF AGING FACILITIES I Biosimilars Volume 28 Number 6 DOWNSTREAM PROCESSING STERILE FILTRATION TECHNIQUES FOR OPTIMAL MICROBIAL RETENTION magenta cyan yellow black OUTSOURCING ANOTHER IN-HOUSE OPERATION GETS OUTSOURCED MULTIVARIATE DATA ANALYSIS USE OF MULTIVARIATE DATA ANALYSIS IN BIOPROCESSING ES624105_BP0615_cv1.pgs 05.29.2015 18:43 ADV Every mAb is unique. Your Protein A should be as well. TOYOPEARL® AF-rProtein A HC-650F High Capacity Protein A Resin for Monoclonal Antibody Purification 80 1 g/L 70 DBC for IgG (g/L) 60 5 g/L 10 g/L Resin: Column size: Mobile phase: Residence time: Detection: Sample: 50 40 30 TOYOPEARL AF-rProtein A HC-650F 5 mm ID × 5 cm 0.02 mol/L sodium phosphate, 0.15 mol/L NaCl, pH 7.4 2, 3.5, 5 min UV @ 280 nm (10% breakthrough) human IgG @ 1, 5, 10 g/L in mobile phase 20 10 0 2 3.5 5 Residence time (minutes) TOSOH BIOSCIENCE LLC • Customer service: 866-527-3587 • Technical service: 800-366-4875, option #3 Tosoh Bioscience and TOYOPEARL are registered trademarks of Tosoh Corporation. www.tosohbioscience.com magenta cyan yellow black ES622175_BP0615_CV2_FP.pgs 05.27.2015 20:36 ADV BioPharm I N T E R N AT I O N A L The Science & Business of Biopharmaceuticals EDITORIAL Editorial Director Rita Peters rpeters@advanstar.com Senior Editor Agnes Shanley ashanley@advanstar.com Managing Editor Susan Haigney shaigney@advanstar.com Science Editor Randi Hernandez rhernandez@advanstar.com Science Editor Adeline Siew, PhD asiew@advanstar.com Community Editor Ashley Roberts aroberts@advanstar.com Art Director Dan Ward dward@media.advanstar.com Contributing Editors Jill Wechsler, Jim Miller, Eric Langer, Anurag Rathore, Jerold Martin, Simon Chalk, and Cynthia A. Challener, PhD Correspondent Sean Milmo (Europe, smilmo@btconnect.com) ADVERTISING Publisher Mike Tracey mtracey@advanstar.com West/Mid-West Sales Manager Steve Hermer shermer@advanstar.com East Coast Sales Manager Scott Vail svail@advanstar.com European Sales Manager Chris Lawson clawson@advanstar.com European Sales Manager Wayne Blow wblow@advanstar.com Direct List Rentals Tamara Phillips tphillips@advanstar.com Reprints 877-652-5295 ext. 121/ bkolb@wrightsmedia.com Outside US, UK, direct dial: 281-419-5725. Ext. 121 PRODUCTION Production Manager Jesse Singer jsinger@media.advanstar.com AUDIENCE DEVELOPmENT Audience Development Rochelle Ballou rballou@advanstar.com UBm LIfE SCIENCES Joe Loggia, Chief Executive Officer Tom Ehardt, Executive VicePresident, Life Sciences Georgiann DeCenzo, Executive Vice-President Chris DeMoulin, Executive Vice-President Rebecca Evangelou, Executive Vice-President, Business Systems Julie Molleston, Executive VicePresident, Human Resources Mike Alic, Executive Vice-President, Strategy & Business Development Tracy Harris, Sr Vice-President Dave Esola, Vice-President, General Manager Pharm/Science Group Michael Bernstein, Vice-President, Legal Francis Heid, Vice-President, Media Operations Adele Hartwick, Vice-President, Treasurer & Controller UBm AmERICAS EDITORIAL ADVISORY BOARD BioPharm International’s Editorial Advisory Board comprises distinguished specialists involved in the biologic manufacture of therapeutic drugs, diagnostics, and vaccines. Members serve as a sounding board for the editors and advise them on biotechnology trends, identify potential authors, and review manuscripts submitted for publication. K. A. Ajit-Simh Jerold Martin President, Shiba Associates Rory Budihandojo Sr. VP, Global Scientific Affairs, Biopharmaceuticals Pall Life Sciences Director, Quality and EHS Audit Boehringer-Ingelheim Hans-Peter Meyer Edward G. Calamai VP, Special Projects Biotechnology Lonza, Ltd. Managing Partner Pharmaceutical Manufacturing and Compliance Associates, LLC K. John Morrow Suggy S. Chrai David Radspinner President and CEO The Chrai Associates Global Head of Sales—Bioproduction Thermo Fisher Scientific Leonard J. Goren Tom Ransohoff Global Leader, Human Identity Division, GE Healthcare Vice-President and Senior Consultant BioProcess Technology Consultants Uwe Gottschalk Anurag Rathore Vice-President, Purification Technologies Sartorius Stedim Biotech GmbH Biotech CMC Consultant Faculty Member, Indian Institute of Technology Fiona M. Greer Susan J. Schniepp Global Director, BioPharma Services Development SGS Life Science Services Fellow Regulatory Compliance Associates, Inc. Rajesh K. Gupta Managing Director Arlenda, USA Jean F. Huxsoll Paula Shadle Senior Director, Quality Product Supply Biotech Bayer Healthcare Pharmaceuticals Principal Consultant, Shadle Consulting Denny Kraichely UBm PLC Associate Director Johnson & Johnson Stephan O. Krause Principal Scientist, Analytical Biochemistry, MedImmune, Inc. Steven S. Kuwahara © 2015 Advanstar Communications Inc. All rights reserved. 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Outside the U.S. call 218-740-6477. magenta cyan yellow black Tim Schofield Vaccinnologist and Microbiologist Sally Shankland, Chief Executive Officer Brian Field, Chief Operating Officer Margaret Kohler, Chief Financial Officer Tim Cobbold, Chief Executive Officer Andrew Crow, Group Operations Director Robert Gray, Chief Financial Officer Dame Helen, Alexander Chairman President, Newport Biotech Principal Consultant GXP BioTechnology LLC Eric S. Langer President and Managing Partner BioPlan Associates, Inc. Howard L. Levine President BioProcess Technology Consultants Herb Lutz Principal Consulting Engineer EMD Millipore Corporation Alexander F. Sito President, BioValidation Michiel E. Ultee Principal Ulteemit BioConsulting Thomas J. Vanden Boom Vice-President, Global Biologics R&D Hospira, Inc. Krish Venkat CSO AnVen Research Steven Walfish Principal Statistician BD Gary Walsh Professor Department of Chemical and Environmental Sciences and Materials and Surface Science Institute University of Limerick, Ireland ES621152_BP0615_003.pgs 05.26.2015 20:53 ADV BioPharm I N T E R N AT I O N A L BioPharm International integrates the science and business of biopharmaceutical research, development, and manufacturing. We provide practical, peer-reviewed technical solutions to enable biopharmaceutical professionals to perform their jobs more effectively. Contents Volume 28 Number 6 June 2015 fEATURES Scale-up and Tech TranSfer Advanced Technologies Facilitate Scale-up and Technology Transfer mulTivariaTe daTa analySiS Use of Multivariate Data Analysis in Bioprocessing global markeT reporT Market Access Outlook for Australia Anurag S. Rathore and Sumit K. Singh Cynthia A. Challener The authors review major developments in use of MVDA in bioprocessing applications. 26 The Australian pharmaceutical market offers opportunities for manufacturers despite challenges. Single-use and modular technologies are increasingly important to biopharma scale-up and tech transfer. 20 downSTream proceSSing Sterile Filtration Techniques for Optimal Microbial Retention Ashley Roberts Removal of microorganisms is crucial when working with biologics. Sterile filtration offers a reliable, safe, and effective way to ensure product integrity. 24 hoST-cell proTeinS Host-Cell Protein Measurement and Control Fengqiang Wang, Daisy Richardson, and Mohammed Shameem This article reviews the definition of HCPs, risks posed by HCPs, regulatory concerns, commonly accepted ELISA methods for HCP measurement and their limitations, and orthogonal methods available for HCP characterization. 32 Jill E. Sackman and Michael J. Kuchenreuther 40 TroubleShooTing Stress and Protein Instability During Formulation and Fill/Finish Processes Mark Yang This article reviews factors that affect protein stability and strategies to minimize their impact on product quality. 46 COLUMNS AND DEPARTMENTS 6 From the Editor Objective, peer-reviewed papers and technical articles can help advance biopharmaceutical development. Rita Peters 8 Regulatory Beat Regulators and industry seek to streamline and harmonize oversight of postapproval changes. Jill Wechsler 12 Inside Standards Will biosimilars share a compendial identity like generic drugs do? Randi Hernandez 16 Perspectives on Outsourcing Biopharma companies on both sides of the Atlantic ship more of their assay testing to outside service providers. Eric Langer 48 BIO Convention Exhibitor Guide 49 Product Spotlight 50 mAb Development Update 50 Ad Index Cover: Maria Toutoudaki/Getty Images; Dan Ward BioPharm International is selectively abstracted or indexed in: • Biological Sciences Database (Cambridge Scientifc Abstracts) • Biotechnology and Bioengineering Database (Cambridge Scientifc Abstracts) • Biotechnology Citation Index (ISI/Thomson Scientifc) • Chemical Abstracts (CAS) • Science Citation Index Expanded (ISI/Thomson Scientifc) • Web of Science (ISI/Thomson Scientifc) BioPharm International ISSN 1542-166X (print); ISSN 1939-1862 (digital) is published monthly by UBM Life Sciences 131 W. First Street, Duluth, MN 55802-2065. Subscription rates: $76 for one year in the United States and Possessions; $103 for one year in Canada and Mexico; all other countries $146 for one year. Single copies (prepaid only): $8 in the United States; $10 all other countries. Back issues, if available: $21 in the United States, $26 all other countries. Add $6.75 per order for shipping and handling. Periodicals postage paid at Duluth, MN 55806, and additional mailing offices. Postmaster Please send address changes to BioPharm International, PO Box 6128, Duluth, MN 55806-6128, USA. PUBLICATIONS MAIL AGREEMENT NO. 40612608, Return Undeliverable Canadian Addresses to: IMEX Global Solutions, P. O. Box 25542, London, ON N6C 6B2, CANADA. Canadian GST number: R-124213133RT001. Printed in U.S.A. 4 BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621150_BP0615_004.pgs 05.26.2015 20:53 ADV Perfect timing. Every time. Cell banking done right. The art of mastering cell bank production requires expertise, innovation and exquisite attention to detail where every minute counts. With more than 50 years of combined experience, our passionate, and often nocturnal, scientists obsess 24/7 to ensure your cell banks become masterpieces. To that, we offer you: • Direct access to your scientist for any question, any time. www.EurofinsLancasterLabs.com • Constant Winner of the CRO Leadership Award for quality, reliability, productivity and innovation. oversight and monitoring of your cell banks. • Continual troubleshooting and status updates during expansion. For the most accomplished service in the industry, trust our cell bank experts to be on your watch. Leading experts in: Chemistry Biochemistry Microbiology magenta cyan yellow black Global Services: Molecular & Cell Biology Virology Method Development/Optimization Validation/Qualification/Transfer Product Release Testing Stability Storage & Testing Raw Materials Testing Impurities & Residuals Testing Characterization Cell Banking Cell Line Characterization Viral Clearance Bioassays Professional Scientific Services ES624109_BP0615_005_FP.pgs 05.29.2015 18:54 ADV From the Editor Your Insight Can Create Industry Benefits F Rita Peters is the editorial director of BioPharm International. Objective, peer-reviewed papers and technical articles can help advance biopharmaceutical development. DA’s Center for Drug Evaluation and Research (CDER) has been encouraging industry to invest in quality drug production methods and improve processes, facilities, and equipment. Such advances in processing are built on an exchange of scientific and technical information. Players in biopharmaceutical development and manufacturing—from biopharma companies and industry suppliers—have a wealth of scientific and technical expertise about biopharmaceutical formulation, development, and manufacturing. Sharing this knowledge—in an objective format—is vital to the growth and improvement of the biopharma industry. BioPharm International was founded with the purpose of sharing information about emerging biopharmaceutical development and processing methods, technologies, and practices. With a dedication to providing objective, informed content, the magazine and www.BioPharmInternational.com are excellent media channels for this information exchange. Article formats vary from peer-reviewed papers, non peer-reviewed technical papers, and business-focused articles. The editors welcome contributions from experts in the biopharmaceutical development community, with these four key guidelines in mind: Objectivity. Articles and papers must be based on technical and scientific fact, supported by references to published literature or data. Marketing-driven content, unsupported claims, or promotional language are not acceptable in editorial features. Originality. Manuscripts are reviewed with the understanding that the content has not been published previously in any format, including print or electronic publications, conference proceedings, whitepapers, application notes, posters, or company-created marketing or sales literature. In addition, the submission should not be ghostwritten or under consideration for publication elsewhere, including on the Internet. Ownership. The author must own the rights to the submitted content, including all images, tables, and figures. Graphics from other sources or thirdparty sources will not be accepted for publication. Before a manuscript is accepted for publication, all authors must sign a license agreement to provide BioPharm International permission to publish the original article and its associated figures/tables in print and online. Authors retain the copyright to the article, as it was originally submitted. On topic. The editors seek objective articles on technical and regulatory subjects including upstream processing functions of protein expression, fermentation and cell culture; downstream processing including separation and purification; process development; drug formulation and delivery; validation; GMP compliance and quality control; analytical technologies; scale-up strategies; and facilities design. The magazine also covers business topics such as supply-chain management, sourcing and outsourcing, project management, partnerships, and intellectual property management. How to contribute If you have an important technical, regulatory, or process improvement topic to share with peers in the industry, I encourage you to share it through BioPharm International. To learn more about contributing a peer-reviewed or technical article, view www.BioPharmInternational.com/contribute and review the author’s guidelines and editorial calendar. Then, send me a message or give me a call. I would be happy to discuss your ideas for contributions. ◆ 6 BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621140_BP0615_006.pgs 05.26.2015 20:51 ADV Cell Line Development in CHO, NS0 & Sp2/0 with enhanced PQA assessment for biosimilar development Enhanced PQA assessment Continuous assessment of product quality attributes (PQA) during cell line development helps ensure biosimilars retains the desired product characteristics and function, avoiding redevelopment costs and delays to the market. PQA assessment includes: • Product integrity • Product activity • Product aggregation • Product glycan pro7ling • QC testing Antitope ofers CHO, NS0 and Sp2/0 biosimilar cell line development programmes with bespoke quality assessment tailored to individual projects Meeting modern expectations Efcient production is key to biosimilar development and Antitope has developed technologies such as Composite CHOTM and pANT vectorsTM to ensure key cell line development requirements can be met, including: • High expression levels of your antibodies or proteins • Free of animal derived products throughout the process in a chemically de7ned medium • Management of transfer to a GMP facility for a smooth transition to scale-up Visit www.antitope.com/cell-line-development magenta cyan yellow black ES622151_BP0615_007_FP.pgs 05.27.2015 20:31 ADV Regulatory Beat Quality Systems Key to Lifecycle Drug Management Regulators and industry seek to streamline and harmonize oversight of postapproval changes. T he submission and review of manufacturing supplements is costly and time con su m i ng for biopha r mace ut ic a l companies and for regulatory authorities in all regions, and a concerted effort is underway to devise more efficient approaches. There’s renewed support for developing an international quality standard for regulating postapproval changes. And new policies and procedures at FDA aim to streamline oversight of manufacturing changes for firms that adopt modern production methods able to ensure the continued safety and efficacy of products after alterations in systems, formulations, or test methods. These developments reflect the struggle for regulators trying to review thousands of supplements, and for manufacturers implementing changes in products and manufacturing facilities around the world. Pfizer is involved with some 24,000 postapproval changes a year for its 30,000 products, noted vice-president Roger Nosal at the April 2015 CMC Workshop sponsored by the Drug Information Association (DIA). FDA officials have long proposed that manufacturers implementing quality-by-design (QbD) approaches and quality controls should be able to manage postapproval changes with less regulatory oversight. This goal has not been realized, though, as seen in a continued rise in manufacturing supplements that require agency approval, and in multiple drug shortages linked to low quality manufacturing operations. T he rev iew of ma nu fac t u r i ng supplements by the Center for Drug Evaluation and Research (CDER) Jill Wechsler is BioPharm has increased over the past decade, International’s Washington editor, partly due to the practice of “lockchevy chase, Md, 301.656.4634, ing in” an applicant’s manufacturing jwechsler@advanstar.com. process before it is fully optimized. 8 Field inspection is not connected to knowledge gained from product review, and there can be a significant disconnect between clinical batch data and commercial production. CDER’s new Office of Pharmaceutical Quality (OPQ) seeks to tackle these problems through more seamless integration of review, inspection, and surveillance throughout the product lifecycle, commented OPQ deputy director Lawrence Yu at the DIA workshop. The goal for OPQ is to ensure that all new and generic drugs meet the quality standards and clinically relevant specifications through pre- and post-approval. Robert Iser, senior scientific advisor in OPQ’s Office of Process and Facilities (OPF), acknowledged that confusion over the level of detail needed to support postapproval changes leads to unnecessary submission of supplements and discourages continual improvement in drug manufacturing processes. OPF acting director Christine Moore noted that differing change filing requirements among multiple health authorities are costly and discourage adoption of “continual improvement” models. She emphasized the importance of appropriately evaluating the potential risks of changes and of rewarding responsible quality management by allowing manufacturers to make changes under quality systems with little or no prior approval. More guidance Manufacturers have been looking for FDA to streamline the post-approval change process by “down-regulating” reporting requirements for low-risk changes. Industry seeks a “do-andtell” approach that permits companies to make changes and then list them in annual reports or in changes-being-effected (CBE) supplements. FDA issued a guidance in March 2014 that sought to expand the range of manufacturing changes BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621667_BP0615_008.pgs 05.27.2015 01:32 ADV A critical control parameter is down. Technician || Don R. || 4:31 PM Is Incyte still online? Sent 4:35 PM Yes and cells are growing as expected. Technician || Don R. || 4:38 PM Then we are OK to keep running! Sent 4:41 PM Detect Process Deviations Incyte Measures Viable Cell Density in Real Time Incyte is insensitive to media changes, microcarriers, dead cells and floating debris. It can be used to monitor changes in cell physiology, cellular respiration, viral infection timing, automated harvesting and much more. Learn more at www.ham-info.com/0996 ELECTRIC FIELDS PLATINUM ELECTRODES VIABLE CELLS POLARIZE DEAD CELLS HAVE DAMAGED MEMBRANES AND DO NOT POLARIZE 1-888-525-2123 www.hamiltoncompany.com © 2015 Hamilton Company. All rights reserved. magenta cyan yellow black ES622148_BP0615_009_FP.pgs 05.27.2015 20:31 ADV regulatory Beat that can be documented in annual reports, but the list was fairly limited, and industry has found it inconsistent and confusing (1). In most situations it’s easier to design a new drug than to update existing analytical methods and tech nolog y, noted Ga napat hy Mohan, head of global CMC at Merck, Sharp and Dohme. Global approva l of a ma nu fac t u r i ng change can take more than five years, he said, and changing a polymer supplier or reformulating an oral solution can be complex, particularly for products manufactured at multiple sites that have to meet differing regulatory requirements. FDA officials plan to try again to offer regulatory relief in filing supplements and also in undergoing plant inspections for those biopharma companies that implement QbD and advanced manufacturing technologies. New draft guidance is expected this year that will clarify which elements of an application are considered “established conditions” (or regulatory commitments) and should help manufact urers manage postap proval changes in a general way. FDA also hopes to revise guidance on providing CMC information in comparabilit y protocols for approved drugs to encourage adoption of innovative test methods and new approaches to change management. HarMonizing cHanges Regulatory authorities and manufac t urers also are collaborating through the International Conference on Harmonization (ICH) to produce a new Q12 quality standard for managing postapproval manufacturing changes over the lifecycle of drugs and biologics. An ICH expert working group discussed a Q12 concept paper in Lisbon, Portugal in November 2014, and a more detailed proposal is scheduled 10 for further discussion at the June ICH steering committee meeting in Japan. The aim is to publish a document by June 2016 that builds on other ICH quality guidelines to strengthen quality assurance through harmonized management of post-approval CMC changes. Agreement and publication of Q12 is a high priority for both i ndust r y a nd reg u lator s, sa id M o h e b N a s r, v i c e - p r e s i d e n t for CMC regulatory strateg y at GlaxoSmithKline, a former FDA official and rapporteur for the Q12 working group. Nasr observed at the DIA workshop that lack of agreement on change management regulation has inhibited continual improvement and manufact uring innovation and has increased reg ulator y work loads for both industry and authorities. While previous ICH quality standards have focused on using science- and risk-based approaches in new drug development, the Q12 document aims to address more directly the commercial manufacturing phase of lifecycle product management. A more flexible change management approach has been encouraged in the European Union as part of an effort to reduce “variations” that require prior approval, pointed out Jean-Louis Robert, head of the pharmaceutical chemistry unit at the National Health Laboratory in Luxembourg. Many minor changes can be implemented under a doand-tell approach, while manufacturers contemplating more complex changes over the product lifecycle are encouraged to prepare a postapproval change management protocol (PACMP) to accelerate and gain more predictability in regulatory response. PACMPs may be appropriate for certain changes to biological products, such as adding a new cell-culture facility, and should be most useful for drugs developed using QbD principles, Robert commented. LifecycLe revieW at fda In the US, the new OPQ structure aims to better combine oversight of drug development with postapproval changes to achieve a more seamless adherence to quality standards throughout the life of a drug or biotech therapy. OPQ’s Office of Lifecycle Drug Products (OLDP) now is responsible for assessing post-approval changes for new drugs and generic drugs, as well as CMC submissions for generic dr ugs. The plan is for reviewers in OPQ’s Office of New Drug Products (ONDP) to hand off to OLDP oversight of new molecular entities (NMEs) after three years, and for standard new drugs after one year. This plan will allow the original reviewers to evaluate initial scale-up and formulation changes for more innovative products. Postapproval changes for biotech therapies will continue to be managed by OPQ’s Office of Biotechnology Products. A smooth hand-off from new drugs to lifecycle is important, commented ONDP acting director Sarah Pope-Miksinski, as is close collaboration with Moore’s OPF to ensure parity in oversight of changes involving drug process, facility, and sterility. OPF evaluates drug manufacturing process design and controls for commercial production and participates in pre-approval inspections to ensure appropriate implementation of control strategies (2). references 1. FDA, Guidance for Industry, CMC Postapproval Manufacturing Changes To Be Documented in Annual Reports (CDER, March 2014), www.fda.gov/ downloads/Drugs/GuidanceCompliance-RegulatoryInformation/ Guidances/UCM217043.pdf. 2. More information on OPQ operations provided in CDER “Pharmaceutical Quality Oversight” report, April 2015, www.fda.gov/downloads/AboutFDA/ CentersOffices/OfficeofMedicalProductsandTobacco/CDER/ UCM442666.pdf. ◆ BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621668_BP0615_010.pgs 05.27.2015 01:32 ADV BD Media Solutions End-to-End Services and Support – from Research Through Commercialization In bringing biologics to market today, Time, Cost and Quality are a constant juggle. Let us keep your process development running smoothly. As leaders in customizable media solutions, BD has the expertise to define the unique drivers in your cell culture to allow for consistency in your biopharmaceutical development process. Combining this experience with our proven methodology and analytical capabilities, our Media Enrichment, Media Design, and Media Bioproduction Services provide a variety of solutions to meet your timeline and budget needs. BD’s Media Enrichment Services include a supplement screening, base medium enhancement, and feed strategy development, while our Media Design Services feature a comprehensive media library panel screen, full base medium design and full base medium design and feed development. BD’s Scalable Bioproduction Media Solutions offer rapid media development, pilot media production and GMP custom media production. To learn more about BD’s Media Solutions, please call 877-272-7191 or go to www.bdbiosciences.com/advbio BD and BD Logo are trademarks of Becton, Dickinson and Company. ©2015 BD. magenta cyan yellow black BD 7 Loveton Circle Sparks, MD 21152 bdbiosciences.com/advbio ES623798_BP0615_011_FP.pgs 05.29.2015 01:29 ADV Inside Standards What’s In a Name? For Biosimilars, A Lot Will biosimilars share a compendial identity like generic drugs do? T NamiNg for small-molecule drugs BioPharm: What is current practice for smallmolecule generic drugs in terms of a product’s name and its monograph? How do monograph and name typically relate? USP: USP’s mission is to improve global health through public standards and related programs that help ensure the quality, safety, and benefit of medicines and foods. Our flagship compendia of public standards—United States Pharmacopeia–National Formulary (USP– NF)—play a key role in the adulteration and misbranding provisions of US federal food and drug law. International Nonproprietary Names (INNs) are given to most drugs early in the Randi Hernandez is science editor d r ug- development process, even at BioPharm International. though many of these drugs never 12 BioPharm International magenta cyan yellow black www.biopharminternational.com Whenever two products share the same compendial identity, they are covered by the same monograph. make it onto the market. The INN is established by the World Health Organization’s expert group on nonproprietary names. In the United States, the United States Adopted Names Council (USAN) next names medicinal articles, usually also well before approval. When FDA approves a product, it assigns an interim established name, and generally (but not always) follows the USAN name. While USP provides expert representation in both INN and USAN deliberations, USP’s role in naming comes into play after approval of a drug, when a USP monograph is developed and is given an official title, which then becomes the established name for that drug. Small-molecule generic drugs fall under the same USP monograph and must use the same name as the innovator product (assuming a monograph exists for that product) because they share the same compendial identity. Whenever two products share the same compendial identity (meet the same identification tests and other aspects of identity in the monograph), they are covered by the same monograph—understanding that the monograph tests and acceptance criteria describe a subset of the quality attributes of the articles in question and do not make a statement about their regulatory status, clinical attributes, or interchangeability, all of which are for FDA to determine. Once a product is determined to share the same identity as a drug recognized in the compendium (a drug for which there is an existing monograph), it is required to use the same 123render/E+/Getty Images here is still some uncertainty surrounding whether a biosimilar will share the same compendial identity—or biological product monograph—as its reference product. It has been reported that FDA determined that the United States Pharmacopeial Convention’s (USP’s) monograph for filgrastim does not apply to the first-ever approved biosimilar product, Zarxio (filgrastim-sndz). This determination may ultimately factor into future FDA policy or guidance documents on biosimilar naming. While FDA and USP work closely on nomenclature policy, “USP naming is not directly implicated under either USP rules, or Federal law, until a compendial standard applies to an article,” according to presentation notes from USP, and “shared compendial identity does not necessarily imply or mandate an FDA determination of sameness or interchangeability” (1). BioPharm International spoke to USP to find out a bit more about how the naming process for a drug occurs and who truly will have the final say when it comes to biosimilar nomenclature. June 2015 ES621370_BP0615_012.pgs 05.26.2015 23:04 ADV Performance. Consistency. Homogeneity. Cellvento™ CHO chemically defined cell culture media. Selecting the right medium for your cell line can be challenging. With Cellvento™ CHO chemically defined cell culture media, we now offer a platform of media and companion feeds that deliver superior cell growth and productivity for recombinant CHO suspension cells. Our milling and mixing expertise provides excellent powder homogeneity and consistency for our products. Comprehensive regulatory information on the manufacture, characterization, and control of our media greatly simplifies your registration processes. The products are available in powder and liquid form for use in batch and fed-batch mode or perfusion applications. For more information, visit: www.emdmillipore.com/cellvento EMD Millipore Corp. is a subsidiary of Merck KGaA, Darmstadt, Germany EMD Millipore and the M mark are registered trademarks of Merck KGaA, Darmstadt, Germany. Cellvento is a trademark of Merck KGaA, Darmstadt, Germany. © 2015 EMD Millipore Corporation, Billerica, MA, USA. All rights reserved. magenta cyan yellow black ES622485_BP0615_A13_FP.pgs 05.27.2015 23:32 ADV Be a superhero. You can with our unmatched chromatography portfolio. Process scale chromatography can be challenging – even for a superhero. But with the broadest portfolio of chromatography resins, columns, and unparalleled support from Merck Millipore, you can make it happen. Whether you’re tackling higher and higher titers, racing the clock, or conquering bottlenecks, we can help you be the superhero. Affinity. Ion Exchange. Reversed Phase. Expertise. Your cape is waiting at www.merckmillipore.com /chromatography Learn more about our new Chromabolt® prepacked columns at: www.merckmillipore.com/Chromabolt Merck Millipore, the M logo and Chromabolt are registered trademarks of Merck KGaA, Darmstadt, Germany. © 2015 EMD Millipore Corporation, Billerica, MA USA. All rights reserved. PS-SBU-13-09113. 2/2015 magenta cyan yellow black ES624282_BP0615_B13_FP.pgs 05.29.2015 21:34 ADV Inside Standards monograph title (the official title) as its non-proprietary name, unless FDA chooses to establish a different name via regulation. Conversely, if a drug does not share the same identity as a drug recognized in the compendia, it must use a ‘clearly distinguishing and differentiating name.’ For details, see 21 Code of Federal Regulations 299.5. Name deSIgNatIoN BioPharm: Who has the final say when it comes to naming? USP or FDA? USP: FDA has the final say, but only if it chooses to establish a name via notice and comment rulemaking. Under section 502(e) of the Food Drug and Cosmetic Act (FDCA), a drug is misbranded if its label does not include the ‘established name’ of the drug and of each ingredient. Section 502(e) specifies that the ‘established name’ of a drug or ingredient is: (A) The official name designated by FDA in accordance with section 508 of the FDCA; (B) The official title used for the drug or ingredient in an official compendium such as USP or NF, if FDA has not designated a name under; or (C) If no name has been established under (A) or (B), the common or usual name of the drug or ingredient. Under this provision, unless FDA has designated an ‘official name’ under section 508, the ‘official title’ used in the USP–NF becomes the established name. In order to designate an official name under section 508, FDA must go through a multistep process including rulemaking, and it has never done so. Recent case law confirmed that while FDA might assign a name upon drug approval, this name is considered an ‘interim’ established name until an established name is provided in the USP–NF. (Novartis v. Leavitt, 435 F.3d 344) (2). BioPharm: Will naming conventions for biosimilars merely be suggestions, or will they be enforceable by law? 14 BioPharm International magenta cyan yellow black USP: The statutory and regulation provisions described previously relating to naming apply the same way to biosimilars as they do to other drugs, and USP’s role in establishing standards and names for products similarly is the same with respect to biosimilars as it is for other drugs. USP has no role in enforcement, which falls under the purview of FDA and other regulatory bodies. BioPharm: How will the naming of a biosimilar interplay with an innovator product’s monograph? USP: As stated previously, if two products share the same compendial identity, they must use the same monograph title as their nonproprietary name. This is true for all drugs regardless of their regulatory status; as noted previously, compendial identity speaks to common quality attributes and does not make any statement about regulatory status. RefeReNceS 1. M.B. Van Hook, “Role of USP Quality Standards in the Nonproprietary Naming of Biologic Drugs,” webinar on Biosimilar Naming & Substitution through FDLI– Food and Drug Law Institute, March 10, 2014, www.fdli.org/docs/defaultdocument-library/combinedvan-hooknaming-slides.pdf?sfvrsn=0, accessed April 10, 2015. 2. Novartis v. Leavitt, 435 F.3d 344 (2006), www.gpo.gov/fdsys/pkg/USCOURTScaDC-04-05414/pdf/USCOURTScaDC-04-05414-0.pdf, accessed April 13, 2015. ◆ The Alliance for Health Reform Hosts Expert Panel on Biosimilars The Alliance for Health Reform hosted an event on the topic of biosimilars on May 20, 2015 featuring panelists from FDA, Amgen, and Hospira. The presentations at the meeting centered specifically around naming, extrapolation, and the coding and reimbursement of these biologic products. There is concern that the unique naming of a biosimilar will put it at a disadvantage to innovator products, said Sally Howard, JD, deputy commissioner for policy, planning, and legislation at FDA at the event. She said a naming policy from FDA will be released in late 2015, but reminded the audience that levers outside of FDA control—such as payers, formularies, and state pharmacy substitution laws—could influence biosimilar adoption as well. Sumant Ramachandra, MD, PhD, senior vice-president and chief scientific officer of Hospira, said that Hospira supports the use of the same international non-proprietary name (INN) for biosimilars, and that the use of unique INNs would add more complexity and is “not recommended.” Pharmacovigilance can exist in the absence of unique INNs, Ramachandra said; this has already been the case in European markets. When asked by an audience member if INNs should apply retrospectively, Howard said this issue is something FDA is struggling with and is the reason “why you don’t see a naming guidance out yet.” While Geoff Eich, executive director, external affairs for Amgen Biosimilars said, “I don’t need the reference product to have a change in its name,” Ramachandra commented, “if there is going to be a change of policy, it should encompass the field.” He said that if additional qualifiers for biosimilars are added, to keep the field “even and competitive,” reference products should have qualifiers as well. When it comes to naming, a major concern is how a biosimilar will be identified when there are adverse events. Eich said that pharmacists report 5% or less of adverse events to FDA and that a disproportionate majority of reporting is from patients or other healthcare providers. Eich said that accurate patient histories are a must, and that early adoption of biosimilars will rely on “credible transparent data.” –Randi Hernandez www.biopharminternational.com June 2015 ES621712_BP0615_014.pgs 05.27.2015 01:59 ADV Emergent Contract Manufacturing: Enhancing Life in Every Single Dose Pre-Clinical Development BDS Manufacture Lyo Cycle Development Emergent BioSolutions has a proven track record as a world-class provider of contract manufacturing services for both bulk drug substances and sterile injectable drug products. Our team has successfully launched 20 commercial products and developed/manufactured over 200 clinical candidates for our clients. Aseptic Fill/Finish Clinical & Commerical Emerging Capability State-of-the art fexible single-use facility enables turnkey upstream and downstream solutions for clinical and commercial scale biopharmaceutical drug development. info_contractmanufacturing@ebsi.com | 1 800 441 4225 | emergentcontractmanufacturing.com magenta cyan yellow black ES623789_BP0615_015_FP.pgs 05.29.2015 01:29 ADV Perspectives on Outsourcing Another In-House Operation Gets Outsourced Biopharma companies on both sides of the Atlantic ship more of their assay testing to outside service providers. 16 BioPharm International magenta cyan yellow black www.biopharminternational.com tr y cited “analy tical testing: other bioassays.” This percentage was double the share of respondents indicating they expect greater levels of fill/finish outsourcing (19.7%), the next highest activity in terms of future outsourcing growth. Beyond assay testing and fill/finish, other activities in the top five for f uture outsourcing activit y include downstream process development, validation services, and API biologics manufacturing (see Figure 1). Bioassay testing stands out relative to 24 other common bioprocessing activities. Furthermore, of the 10 most popular activities projected for future outsourcing growth, only three were cited by a higher share of respondents in 2015 compared to 2014. Aside from bioassay testing (40.9% vs. 33.9% in 2014), the others were cell-line development and upstream process development, each with only slight increases. In other words, while enthusiasm for outsourcing appears to have flattened out for most activities, it’s still going strong for analytical testing of bioassays. Most likely, this may be the result of continued outsourcing of analytical methods based on the need to have costly, high-maintenance equipment in almost constant operation, as well as the need for specialized staff able to run the assays and prepare the requisite regulatory filings, which may occur only intermittently. Don Farrall/Getty Images A number of recent workforce surveys have shown that professional workers are continuing to put in longer hours. The Great Recession is partly to blame; professional workers were laid off, and those remaining today continue to do the work of two or more. But as the global economy has improved, the number of employees has not. Therefore, to get the needed productivit y, outsourcing is becoming a standard strategy. Biopharmaceutical manufacturers already outsource plenty of activities, and they’re clearly indicating this trend is not likely to be reversed. According to BioPlan Associates’ 12th Annual Report and Survey of Biopharmaceutical Manufacturing Capacity and Production (1), the push to outsource is being institutionalized. Non-core functions, such as assay testing, are a bellwether: Once again, the industry has voted this activity the most likely to be dumped. Each year, BioPlan’s survey brings in more than 200 qualified biopharmaceutical manufacturers who share their perspectives on market trends and opportunities. Back in 2012, the survey showed a large jump in the share of survey respondents who projec ted sig n if ica nt ly g reater levels of outsourcing of bioassay testing. Since then, this has consistently ranked as the top area of projected outsourcing increases. In the 2015 sur vey, however, bioassay testing stands out relative to 24 other common bioprocessing activities. Indeed, when respondents were asked which Eric Langer is president of activities will be outsourced at BioPlan Associates, sig n i f ic a nt ly h ig he r le ve l s at tel. 301.921.5979, t hei r fac i l it y du r i ng t he ne xt elanger@bioplanassociates.com. 24 months, 40.9% of the indus- June 2015 ES621711_BP0615_016.pgs 05.27.2015 01:59 ADV Predictable process scaling. Xcellerex™ bioreactor platform. Xcellerex XDR systems offer the benefits of single-use technology in a stirred-tank bioreactor design. Developed for scalability and robustness, the XDR platform provides the performance and flexibility needed from process development to large-scale biopharmaceutical manufacturing. upstream downstream single-use services When you need a flexible and scalable cell culture solution, we are a partner like no other. GE works. www.gelifesciences.com/BioProcess GE and GE monogram are trademarks of General Electric Company. Xcellerex is a trademark of General Electric Company or one of its subsidiaries. © 2014 General Electric Company - All rights reserved. First published Oct. 2014. GE Healthcare Bio-Sciences AB. Björkgatan 30, 751 84 Uppsala, Sweden 29-1333-79 AA 10/2014 magenta cyan yellow black ES622150_BP0615_017_FP.pgs 05.27.2015 20:31 ADV Perspectives on Outsourcing Figure 1: Selected activities: Future outsourcing growth. Outsourcing activities projected to be done at ‘signifcantly higher levels’ in future “Which activities will be done at signifcantly higher levels at your facility over the next 24 months?” (Where will the greatest changes occur? - % Indicating) 40.9% Analytical testing: Other bioassays Fill/Finish operations 19.7% API biologics manufacturing 16.7% Validation services 16.7% Downstream process development Cell line development 16.7% 15.2% Figure 2: Average percentage of activity outsourced. Estimated average percentage of activity outsourced by facilities “How much outsourcing of the following activities is done by your facility today?” (Approx percent of activity currently outsourced) 34.5% Fill/Finish operations 27.2% Analytical testing: Other bioassays 26.1% Testing: Toxicity testing 22.4% Plant maintenance services 18.5% API biologics manufacturing US vS. EUrOPEAn OUtSOUrcing Of ASSAyS Staffing requirements may be a larger influence in Europe than in the United States. In the 2014 study, Western European respondents were twice as likely as US respondents to report difficulties in hiring high-tech assay staff (15.8% vs. 7.3%) at their facilities. Perhaps it’s not a coincidence that in the 2015 survey, European respondents were pa r t ic u la rly enthusiastic about future outsourcing of assay testing, at almost four times the rate of any other activity. While this activity was also projected for future increases by the largest proportion of US respondents, it didn’t distance itself from the pack at nearly the same level. 18 BioPharm International magenta cyan yellow black Future increases in outsourcing of assay testing may also be due to most companies currently only outsourcing this activity to a minor degree (see Figure 2). While assay testing is again the most commonly outsourced activity, it tends to be outsourced at fairly low levels in relation to other activities. A look at the five most commonly outsourced activities reveals that: • Approximately 86% of respondents are outsourcing analytical testing of other bioassays to some degree, and an average of 27% of these operations are outsourced. • 73% are outsourcing validation services, with an average of 18% of this activity being outsourced. www.biopharminternational.com • An equal 73% are outsourcing some fill/finish services, but with these respondents estimating outsourcing an average of 35% of these operations overall. • Some 72% outsource toxicity testing, for an average of 26% outsourced. T he s e r e s u lt s i nd ic ate t h at while toxicit y testing is a less commonly outsourced activ it y, it is outsourced on average to almost the same degree as assay testing. Meanwhile, more than one-third of facilities’ fill/finish operations are currently being outsourced, despite nearly threequarters outsourcing this activity to some degree. While toxicity testing is a less commonly outsourced activity, it is outsourced on average to almost the same degree as assay testing. As such, the increase in future assay testing outsourcing may be the result of those already outsourcing this activity planning to do so at higher levels in the future. trEndS in OthEr OUtSOUrcing ActivitiES The BioPlan survey shows that the popularity of some outsourcing activities has flattened out, a fairly understandable result given the extent of growth witnessed in recent yea rs. Some notable June 2015 ES621713_BP0615_018.pgs 05.27.2015 02:00 ADV Perspectives on Outsourcing declines in terms of outsourcing popularity include toxicity testing (72% outsourcing to some degree, down from 87% in 2014) and fill-finish operations (73%, down from 80% in 2014). Still, higher proportions of respondents this year reported having outsourced activities including: • contract research–laboratory (66%, up from 59%) • project management services (52%, up from 43%) • downstream process development (41%, up from 36%). In terms of outsourcing levels, most activities appear to be outsourced to a slightly lesser degree in 2015, with the only standouts in terms of decreased levels being toxicity testing (26.1% of these activities on average being outsourced, down from 35.4%) and cell line stability testing (13.4% on average, down from 19.6%). Nevertheless, for the most part, reported levels of outsourcing are in the range set in prior years. level of spending increase, though most of those will be limiting their increases to less than 25%. Overall, it is estimated that spending on outsourcing of R&D and manufacturing will grow by 13% in 2015; this is a healthy growth rate, and it’s consistent with the growth in overall biopharmaceutical sales. While some increases in outsourcing budgets are targeting the more common outsourced services, such as assay testing and fill/finish operations, other activities are showing increasing importance, such as DoE and quality by design. These activities represent smaller budgets, so in years to come, their growth rate may likely be even greater than the big-ticket outsourcing activities. rEfErEncE 1. BioPlan Associates, 12th Annual Report and Survey of Biopharmaceutical Manufacturing Capacity and Production (Rockville, MD, April 2015), www.bioplanassociates.com/12th ◆ Join the discussion Which activity has your company previously performed in-house that is now outsourced? Has outsourcing this activity benefted your processes? Post your comments on www.biopharminternational.com/linkedin to join the conversation. it is expected that the slight dip in levels of validation services being outsourced will be temporary. Additionally, it is expected that the slight dip in levels of validation services being outsourced will be temporary, as the increasing penetration of single-use devices will likely spu r more spend ing in t h is a rea. Fina lly, wh i le more resp ondent s a re out sou rc i ng design of experiments (DoE), this activity is being outsourced to a lesser overall degree, suggesting that companies newly outsourcing this quality activity are testing the waters. cOncLUSiOn A lt hough su r vey resu lts sug gest t hat t he market g row th for outsourcing of cer tain activities is flattening, the overall outsourcing market appears to be healthy, as many respondents predict spending increases to come. In fact, a slight majority forecast some June 2015 magenta cyan yellow black www.biopharminternational.com BioPharm International ES621720_BP0615_019.pgs 05.27.2015 02:00 19 ADV Scale-up and tech transfer advanced technologies facilitate Scale-up and technology transfer Cynthia A. Challener Maria Toutoudaki/Getty Images/Dan Ward Single-use and modular technologies plus continuous manufacturing are increasingly important to biopharma scale-up and tech transfer. I t is hard to believe, but the biopharmaceutical industry is already old enough to have aging facilities that are decades old. FDA’s focus on the need for updates is creating both opportunities and challenges for biologics manufacturers involved in the scale-up and transfer of production technologies. Single-use and modular technologies, along with continuous processing approaches, are helping the industry both modernize old processes and facilities and minimize the risks associated with making significant changes to existing systems. Cynthia A. Challener, PhD, is a contributing editor to BioPharm International. 20 aging facilitieS attract fda attention Just as time passes more quickly as people age, it seems time goes by more rapidly as industries mature. While the biopharmaceutical industry is young compared to the small-molecule pharmaceutical sector, it has been of significance for several decades. Some of the processes that are running today utilize the technologies developed when the industry was first established. “Many of these processes were licensed long ago and are quite complex, contain open steps, and are inefficient in many places,” notes Parrish Galliher, CTO of BioProcess Upstream at the Life Sciences business of GE Healthcare. FDA has recognized the need to upg rade these older processes and facilities and is imposing updates (1). Equipment suppliers are working closely with biopharmaceutical manufacturers to develop plans for implementing BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621368_BP0615_020.pgs 05.26.2015 23:04 ADV Fuel SUPER powerful advances. Biotech is more than just a job. It’s a mission to feed, fuel and heal the world. And there’s no better place to connect with biopharma’s top people and most innovative technologies than at BIO 2015. The ideas and information shared at BIO go beyond professional development. You’ll experience powerful business partnering, benefit from invaluable education sessions and have the chance to network with 15,000 of the industry’s best and brightest. See how the everyday becomes extraordinary — at BIO 2015. Register today at convention.bio.org #BIO2015 SUPERcharge your BIO experience. convention.bio.org magenta cyan yellow black ES622152_BP0615_021_FP.pgs 05.27.2015 20:31 ADV Scale-up and tech transfer the needed changes. “This situation provides a great opportunity to update those systems, facilities, and practices, but also presents the challenges associated with changing any process, including the risk of affecting product quality in some way. Fortunately, by working closely with tools and technologies suppliers and the regulators, biopharmaceutical manufacturers are better positioned to overcome such challenges,” Galliher asserts. Single-uSe SolutionS One of the most efficacious ways to reva mp older processes as required by FDA is to upgrade with single-use technologies, according to Helene Pora, vice-president of single-use technologies at Pall Life Sciences. “Single-use systems have proven to not only reduce capital investment, but also minimize turndown time, resulting in more effective and higher-quality manufacturing processes for scale-up and tech transfer,” she states. In fact, biopharmaceutical contract manufacturers routinely assess single-use technologies as options when new equipment is introduced to meet a process need, according to Paul Bird, head of the manufacturing engineering group at Fujifilm Diosynth Biotechnologies’ Billingham, UK site. Fujifilm develops and manufactures biologics using both microbial and mammalian production systems, and although single-use technolog y is a relatively new introduction, it has had an impact on mammalian manufacturing at the company. Mammalian cultures do not tend to be intensive; they do not have high oxygen demand and do not grow in very high cell densities, Bird explains. In addition, the culture growth takes place over a long period of time. As a result, a reactor for mammalian cell culture is not required to have high heat removal or provision for high 22 oxygen supply; as such, single-use systems are well suited. The situation is different for m ic robi a l c u lt u r e s b a s e d on Escherichia coli and yeast, for example. These processes have high growth rates and densities, and thus the demand for oxygen is high, making it difficult to replicate a high-productivity process in a disposable reactor, according to Bird. “Because these cultures require very good heat removal, high oxygen transfer, and other rigorous conditions, stainless steel tends to remain the best possible option for microbial processes today,” he notes. Advances in single-use technologies designed specifically for microbial systems may, however, lead to their greater use in the future. Galliher agrees that single-use technologies are not a panacea for the upgrading of older processes. “Most older facilities use stainless-steel manufacturing systems, so the conversion to disposable technologies is not automatically straightfor ward,” he obser ves. When single-use systems are chosen, however, he adds that they are fairly rapid to install and startup, particularly relative to older legacy technologies, so the impact on facilities and utilities support systems is minimized. In addition, because the running costs are less for single-use systems, they can be considered enabling technologies. Modular approach proveS flexibility While modular systems are a wellestablished concept a nd have been available in some form for several decades, they are attracting increasing attention in the biopharmaceutical industry today. In fact, the increasing availability of modular processing units is bridging the gap for many manufacturers with both established traditional facilities and new sites under construction, according to Pora. “For established facilities, modular processing units enable a quick and easy transition to the hybrid facility format, while for new facilities, they are making the fully flexible single-use facility a reality,” she says. The popularity of modular systems is not just being driven by FDA mandates; Pora also notes that manufacturers have realized that modular solutions can help them overcome bottlenecks and become more efficient with less investment of time and money. T he global interest in standardizing facilities, harmonizing designs, and moving to a distributed facility model with a series of smaller identical facilities around the world is also driving interest in modular systems. “For this model to be successful, the facilities need to be identical in order to facilitate tech transfer, documentation, training, and essentially everything that needs to be commissioned to run these facilities in remote territories. Due to this trend, the demand for duplicate cookie-cutter-type modules has increased,” Galliher comments. Another trend driving interest in modular technologies is a reduction in production volumes due to the switch to distributed production, increasing yields, and the trend towards personal medicine. “Smaller facilities require smaller production systems, which makes modularity increasingly possible,” says Galliher. He does note, however, that modularity will compete with stick-built facilities in places where labor is cheap. “Companies will have to consider the quality standards they want to reach and whether modules already constructed to meet cGMP and other industry requirements will better meet their needs,” he adds. Modular technologies are also increasingly available on the production equipment level and are BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621482_BP0615_022.pgs 05.26.2015 23:35 ADV Scale-up and tech transfer used to build systems and processes that are identical in different locat ions, wh ich aga in simplifies maintenance, documentation, training, and validation. “The modular nature of machinery makes modifying or adding options possible; their plug-andplay designs allow for easy modification with additional or different functions,” Galliher observes. Fujifilm is a good example of a biopharmaceutical manufacturer that is taking advantage of modular production systems. In particular, the company designed a single system for the final bulk f illing of cGM P produc ts that replaces numerous existing filling systems. “By adopting a modular technology approach, we generated a unique capability for biologic drug product filling that for the first time provides f lexible a nd adapt ive ma nu fac t u r ing,” asserts Bird. He notes that the system is flexible because the production process supports bespoke op e r at ion s me et i ng c u stome r requirements in full, and adaptive because the modular nature of the system enables point-ofu se i nc rea ses or de c rea ses i n production capacity. “This ambitious project has extended the benefits for the most critical unit operation—f inal bulk f illing— and has standardized the operator experience without impacting the flexibility to meet customer requirements,” he adds. Consistent, flexible, yet rigorous business processes that introduce dependable operations on-time and in full are necessary for effective technology transfer, according to Bird. “In addition to effective technology transfer between R&D sites and various business units, companies must have the ability to site, develop, and deliver into manufacturing correctly the first time. The collaboration of highly motivated and highly skilled people across multiple programs of activity is the key to success in both areas,” Bird states. As one example of how Fujifilm is using technology to address current challenges, Bird cites the company’s “TAG” system for digitally managing the capture, conveyance, and retention of manufacturing knowledge to improve technology transfer, which provides controlled publication and distribution of manufacturing system standards and operational best practice. Scale-down Modeling for SucceSSful Scale-up and tech tranSfer One of the benefits of the use of smaller production facilities is a reduction in the scale-up factor for many biopharmaceutical processes. No longer are manufacturers required to scale-up from the lab to 20,000 L; more commonly processes are scaled up to 2000 or sometimes 5000 L. As a result, scale-up is less of a technological leap and therefore more predictable and lower-risk than in the past, according to Galliher. The use of scale-down modeling, in which a large-scale system is reverse-engineered down to the lab scale so that it can be operated to model the large-scale process, has also significantly reduced the difficulties associated with process scale-up. With this approach, data that are representative of large process behavior can be collected early in the development process and at lab-scale costs, according to Galliher. He adds that betterdesigned model bioreactor, chromatography, and filtration systems are allowing for even smoother scaleup and tech-transfer operations. Raw material choices are also being adjusted to improve scale-up processes. “Instead of buying small amounts of lab quality reagents and then moving to large-scale suppliers once a process has been devel- oped, today some manufacturers are beginning the development process with materials purchased from their eventual large-scale suppliers. This approach eliminates the need to change their raw materials at the point of tech transfer and scale-up and thus avoids any potential impact on performance and product quality,” Galliher explains. continuouS proceSSing haS potential to overcoMe Scale-up and tech-tranSfer iSSueS The adoption of continuous processes and intensified manufacturing may have a significant impact on technology transfer and process scale-up. Pora believes that single-use technologies can also be aligned with the concept of continuous processing to address scale-up issues. “Many of the recent investments at Pall have been driven by this expectation, and our new single-pass tangential flow filtration modules and systems and inline concentrator are examples of technologies that have resulted from our recent efforts,” she says. Galliher sees both advantages and disadvantages associated with continuous processing, and he remains uncertain whether these techniques and technologies will graduate to the commercial manufacturing stage. He does, however, believe that with their knowledge and skills, service providers can support biopharmaceutical manufacturers with the assessment of these new technologies and help them with scale-up and tech transfer into their own facilities. “When you drill down,” concludes Pora, “the particular challenge is reducing complexity.” referenceS 1. J. Wechsler, “Modern Manufacturing Systems Key to FDA Quality Initiative,” Pharmaceutical Technology 39 (4) 2015. ◆ June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621374_BP0615_023.pgs 05.26.2015 23:04 23 ADV Downstream Processing Sterile Filtration Techniques for Optimal Microbial Retention Ashley Roberts Removal of microorganisms is crucial when working with biologics. Sterile filtration offers a reliable, safe, and effective way to ensure product integrity. 24 I n many circumstances, sterile filtration is necessary to remove particles or microorganisms that may affect the safety or efficacy of a biologic. Various processes and tests can be implemented to ensure that filtration is successful. BioPharm International spoke with Dr. Jens Meyer, product manager, filtration technologies at Sartorius Stedim Biotech; Cindy Neeley, PhD, application scientist at Thermo Fisher Scientific; and Tom Watson, global product manager at Pall Corporation, about ensuring filter validation, determining the correct filter pore size, and the importance of keeping filtration processes up to date. THE FILTRATION PROCESS BioPharm: How can one ensure that all sterile filtration equipment and processes are up to date? Meyer (Sartorius Stedim Biotech): Because sterilizing-grade filters consist of a very thin membrane that functions as a sterile barrier, any mechanical impact must be avoided as much as possible. In addition, wetting of a filter membrane plays a crucial role in integrity testing. Due to limitations on temperature and differential pressure, all sensors need to be routinely calibrated and checked. Obviously, the entire equipment and product-contacted surfaces have to be steam-sterilized before starting a filtration run. Neeley (Thermo Fisher Scientific): A welldesigned filtration system begins with choosing a filtration membrane appropriate for your fluid. Differences in how a filter is manufactured, the material components used, and how it performs will have a direct impact on your work. Always double-check the type of containers you entrust with valuable samples and solutions. Storage bottle and cap systems, such as the Thermo Scientific Nalgene bottles and caps, are constructed to minimize gas permeability and maintain sample integrity over time. Watson (Pall Corporation): Given the continuing and rapid adoption of single-use systems, it is important that any filters currently being tested at benchtop or pilot scale are available in configurations that are compatible with gamma irradiation. Their performance should be validated by the filter supplier, and any process-specific filter validation studies should be performed using filters that have been sterilized by the method intended at process scale. From an applications standpoint, newer, complex parenteral formulations using nanoparticles and liposomes tend to be harder to filter than traditional formulations. For those engaged in the manufacture of hard-to-filter formulations, it is worthwhile to identify a sterilizing-grade filter that will have good throughput capacity for these fluids. It’s also critically important to ensure that bacterial retention is confirmed early through filter validation studies. In addition to securing a reliable sterilizing-grade filter, it can be useful to work with suppliers who can offer state-of-theart integrity test equipment, a whole suite of complementary single-use technologies combined with systems know-how and a high level of validation expertise. BioPharm: What methods are used to determine the pore size of a filter needed to thoroughly remove all microorganisms? Meyer (Sartorius Stedim Biotech): According to a current American Society for Testing and Materials (ASTM) standard (F838-05), a sterilizing-grade filter must completely retain Brevundimonas diminuta microorganisms when challenged with 107 bacteria per cm² of filtration area. Standard integrity tests applied by end- BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621172_BP0615_024.pgs 05.26.2015 20:53 ADV Downstream Processing users, such as the bubble point or diffusion tests, have to be correlated with the bacterial challenge tests. In principle, porometric investigations can be used to confirm a filter’s pore size distribution around 0.2 µm. For mycoplasma retention, 0.1-µm-rated membrane filters are used. Neeley (Thermo Fisher Scientific): At Thermo Scientific, membrane bacterial retention tests are performed to determine the microbial retention capabilities of a filter with a certain pore size. Following a challenge of microorganisms of a certain level, the microorganisms are recovered from the filtrate and counted after an incubation per protocol (e.g., ASTM F838-05). The 0.2-μm filters typically used to remove bacteria are certified to retain a challenge of 1 x 107 colonyforming unit (CFU)/cm2 B. diminuta. Watson (Pall Corporation): The method used to determine whether or not a sterilizing-grade filter of a given removal rating will produce a sterile effluent in a manufacturing process is a process-specific bacterial challenge study. Ahead of such a study, it is recommended that the filter end-user begin with the selection of a filter that has been validated by its manufacturer as retentive for B. diminuta in accordance with test method ASTM F838-05 at a challenge level of 107 CFU per cm 2 effective filter area. Typically, filters rated at 0.2 µm and 0.1 µm sterilizing-grade make this generic microbial retention claim. The subsequent process-specific bacterial challenge study, performed with an appropriate challenge organism at the same challenge level, yet under ‘worst-case’ operating conditions, can confirm whether or not a selected filter will deliver a sterile final drug or vaccine product. THE USE OF MULTIPLE FILTERS BioPharm: What are the advantages and disadvantages of using multiple filters? Meyer (Sartorius Stedim Biotech): In most cases, a single filter sufficiently ensures the sterility of a final product. For fluids containing particles, a cascade of prefilters and final filters increases filtration capability. Redundant filtration using two sterilizing-grade filters sequentially is often believed to prevent the loss of a product batch if one filter fails an integrity test. However, this approach increases safety at the expense of filtration performance, which is lowered due to loss of pressure across the first filter. Neeley (Thermo Fisher Scientific): Manufacture certification guarantees removal of microorganisms to a certain level, even with a single filtration process. Within the manufacturer’s guidelines, single-filter filtration can be effective, economical, and environmentally friendly. Multiple filters should be used if the filtration volume or bioburden exceeds the capacity recommended by the manufacturer for a single filter. Watson (Pall Corporation): The additive effect of multiple filters can have a positive impact on process cleanliness and safety. In the case of sterilizing-grade filters used in parenteral fill/finish applications, multiple filters (i.e., two or more identical filters positioned sequentially in a system) may be installed for different purposes. In some cases, two identical sterilizing-grade filters may be necessary because a single sterilizing-grade filter may not be able to achieve complete bacterial retention during process-specific validation studies. In such ‘serial filtration’ or ‘double filtration’ set-ups, both filters would be expected to pass an integrity test for batch release. Alternatively, a sequence of identical filters can incorporate a redundant filter. For example, in a process where a single sterilizing-grade filter has been validated to produce a sterile effluent, a redundant filter would be a duplicate of this, installed in-line. Aside from the direct cost implica- tions of using multiple filters, there are further considerations around the impact of extractables, adsorption, and integrity testing complexity. However, concerns over increasing costs and other factors should not detract from the economic and safety benefits that can result from more intensive filter usage. A risk-based approach with support from filter suppliers may help the filter user arrive at the appropriate filtration schematic, with the appropriate balance of safety and economy. COMPATIBILITY TESTS BioPharm: What tests, if any, are conducted to determine the compatibility and interactions between the end product and filter? Meyer (Sartorius Stedim Biotech): The chemical compatibility of the different membrane materials and of the most frequently used product ingredients is known and published by filter suppliers. If compatibility with a particular ingredient is unknown or doubtful, specific tests can reveal structural changes to the membrane, the effects on integrity test values, or the potential impact on a membrane’s bacterial retention. Process-specific filter validation allows identification of potential effects on the final product, such as by verifying the concentration of the ingredients in the first vials. Neeley (Thermo Fisher Scientific): In general, binding tests are performed to ensure that the filter membranes do not remove any valuable components from the end product (e.g., the protein). Extractable and leachable tests of the filter membrane ensure the end product is not contaminated with the filter material. A chemical compatibility test is crucial to meet the requirements of organic solvents, or certain pH conditions. Furthermore, flow-rate tests are important for filtering fluids with high viscosity. Continued on page 49 June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621743_BP0615_025.pgs 05.27.2015 02:14 25 ADV Multivariate data analysis use of Multivariate data analysis in Bioprocessing Anurag S. Rathore and Sumit K. Singh The authors review major developments in use of MVDA in bioprocessing applications. Anurag S. Rathore (pictured) is a professor, and Sumit K. Singh is a graduate student, both at the department of Chemical engineering, indian institute of technology, new delhi, india. 26 T he ever increasing demand of biotherapeutics, together with the pressure to contain healthcare costs have motivated biotech manufacturers to focus on process optimization (1). Of a variety of approaches, use of advanced sampling techniques, new sensor technologies, and analyzers has emerged as a topic of interest to the scientific community at large (2). Implementation of these tools, however, inadvertently results in large complex datasets with underlying multivariate interactions. Further, any optimization efforts targeted to improve produc t y ield or productivity need to be carefully monitored for any possible negative impact on a product’s safety and/or efficacy. To achieve this, a tool that can effectively deal with these complexities and extract the relevant information from these highly correlated multivariate data sets is required. Multivariate data analysis (MVDA) has emerged as a significant enabler in this regard (3–5). A thorough search on use of MVDA reveals its applicabilit y in fields as diverse as polymers, semiconductors, food, and environment (6–8). T he biopha r maceut ica l indust r y, however, has accrued greater benefits as ev idenced by publications highlighting the use of MVDA tools both in upstream as well as downstream processes (9). This is in part because of the inherent complex nature of the datasets generated by the biopharma i ndu st r y t hat ma ke e x t rac t ion of meaningful and relevant information a difficult task (4). The increasing use of M VDA has also been f ueled by the increasing acceptance of quality by design (QbD) a nd process a na ly t ica l technolog y (PAT) among regulators and the biotech industry. Implementation of these initiatives requires enhanced process and product understanding (3). A m o n g m a ny o t h e r s , s o m e o f the common applications of MVDA include analysis of data originating f rom spec t roscopic measu rements, analysis of data profiles from unit operations such as cell culture and chromatography, quantitative assessment of process comparability, root cause analysis, and raw material characterization (3, 4). In this 33rd article in the “Elements of Biopha r maceut ica l P roduc t ion” s e r ie s, t he aut hor s r e v ie w m ajor developments i n use of M V DA i n bioprocessing applications that have occurred in the past five years. A few examples have been provided to illustrate the usefulness of MVDA in this context to the readers. Multivariate data analysis In a recent publication, a step-by-step procedure for performing M VDA of bioprocessing data was presented (9). The proposed approach has been illustrated in Figure 1. Prior to analysis with MVDA software such as SIMCA (Umetrics AB, Kinnelon, NJ), the data are assembled in a systematic manner in Microsoft Excel. This step is followed by preprocessing of the data wherein the raw data are converted into units/scales that allow direct comparison of measurements for different samples. Subsequently, data are analyzed by employing different data reduction approaches such as principle component analysis (PCA) and partial least squares (PLS) regression for analysis and modeling of the dataset. While PCA gives in-depth informa- BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621149_BP0615_026.pgs 05.26.2015 20:52 ADV Insights into Recent Developments in Protein A Chromatography ON-DEMAND WEBCAST Originally aired May 20, 2015 Register for free at www.biopharminternational.com/bp/proteina EVENT OVERVIEW: Protein A-based chromatography is the primary method used to purify monoclonal antibodies (mAbs). Over the past decade, there has been a signifcant development of Protein A media, resulting in both higher capacity and improved stability to meet the changing requirements of the industry. More improvements are to come. Presenter: This 60-minute webcast will review: Jonathan Royce Sr. Product Manager Antibody Afnity Media · Developments that have led to improved cleanability and overall process economy for mAbs · Methods to optimize high capacity Protein A media for maximum productivity; and · Opportunities for future performance advancement. Who Should Attend: n Downstream process development scientists n MAb manufacturers Key Learning Objectives: n Understand key performance characteristics for Protein A media that are critical to achieving good process economy. n Learn how to further improve productivity via process improvements. n Gain insights into future developments planned for Protein A-based purifcation of mAbs. Sponsored by Presented by For questions, contact Sara Barschdorf at sbarschdorf@advanstar.com magenta cyan yellow black ES622149_BP0615_027_FP.pgs 05.27.2015 20:31 ADV Multivariate data analysis tion with regard to the structure of t he dataset at ha nd, PL S is effective in analyzing covariance bet ween process var iables and process outcomes. Mvda appliCations in Cell-Culture operations Cell-culture operations are by far the most common platform used for production of protein therapeutics. In this endeavor, various advanced offline and online measurement tools are used to ensure a consistent process and product quality. The ensuing datasets, however, form measurements that are quite large in size and complexity. Applications involving multivariate data analysis of these complex data sets to extract relevant information could be aimed at process monitoring in a manufacturing setting by detection of process faults or deviation, enhancing understanding of any underlying relation or interaction between process variables and the product and process attributes. To this end, the literature is replete with works of many researchers engaged in various fields as diverse as environment to food to production of therapeutic proteins. This article focuses on MVDA-based applications in bioprocessing. Researchers have applied PCA to monitor a bioreactor producing Penicillin acylase in Bacillus b y ge ne r at i n g o n l i ne mu lt i variate control charts (10). The dataset contained infor mation exclusively related to the process, a nd t he re fore, M V DA mo dels were used to assess process performance. This in turn enabled detection of process faults and dev iation, highly desirable for process monitoring in commerc i a l m a nu f ac t u r i n g. A not he r g roup employed u nsuper v ised PC A a nd PL S to a na lyze data from inline Fourier Transform– near-infrared (FT–NIR) spectros- 28 copy of a mammalian cell culture process for identification of batch homogeneit y between lots and detec t ing abnor ma l fer mentation runs (11). In similar work, resea rchers have succeeded in observing compositional changes and predicting product yield by implementing fluorescence spectroscopy in conjunction with an M V DA approach of mu lt i-way robust principle component analysis ( MROBPCA) and n-par tial least squares discriminant analysis and regression (NPLS–DA and NPLS-R) (12). All these applications involve reduction in multidimensionality of these datasets to a lower number of uncorrelated variables that can explain most of the variance obtained in the original data. They demonstrate the potential of MVDA to become an integ ral par t of up s t r e a m pr o c e s s c ont r ol b y effectively eliminating the major sources of var iabilit y, t hereby leading to significant improvement in consistency with respect to process performance and product quality (13). Resea rchers have monitored per for ma nce of ma mma lia n (Chinese hamster ovary [CHO]based) bioprocesses using raman spectroscopy (14). The authors used MVDA algorithms such as Competitive adaptive reweighted s a mpl i ng (C Oad Re S) a nd a nt colony opt imizat ion (ACO) to remove t he unnecessa r y spectral information. COadReS and ACO are variable selection methods that are used to enhance the predictive ability of the chemometric model by removing unnecessary spectral information. In yet another application, researchers have used Raman spectroscopy and MVDA for online control of a Saccharomyces cerevisiae-based fermentation process (15). They demonstrated that MVDA of spectra can be used for effective fault detection. Similarly, application of surface-enhanced Raman scatter ing (SER S) spectroscopy for simple and fast analysis of cellculture media degradation has been demonstrated (16). In this work, chemometr ic tools were used to rapidly monitor compositional changes in the chemically defined media, and the authors concluded that significant chemical changes in terms of cysteine/ cysteine concentration occur even when media are stored in the dark at 2–8 °C. A general workflow for building and assessing MVDA regression models for the quantification of multiple analytes in bioprocesses by Fourier Transform Infrared ( F T IR) spec t roscopy has been recently presented (17). T he authors specif ically assessed the suitability of quant if icat ion of Pen ic illin V a nd phenoxyacetic acid with online high-performance liquid chro matography (HPLC) and MVDA tools l i ke PL S a nd mu lt iva r iate curve resolution–alternating least squares (MCR–ALS). Other resea rchers have a lso successfully used FT–NIR spectroscopy coupled with M VDA for qualitative and quantitative analysis in solid-state fermentation (SSF) of protein feed (18). They integrated approaches such as discrete wavelet transform (to filter the raw spectra to extract latent information), PCA (to explore structures with time course of SSF) and extreme learning machine (ELM) modeling (for model calibration). Methods such as ordinary least square (OLS), principle component regression (PCR), and non-negative matrix factorization (NMF) have been used to extract the spectrum of a pure component from NIR spectra containing a known diluent (19). A hybrid electronic tongue system based on the various potentiometric/ BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621145_BP0615_028.pgs 05.26.2015 20:52 ADV voltammetric sensors and appropriate MVDA techniques has been used to provide correct qualitative and quantitative classification of the samples collected during standard Aspergillus niger culture and culture infected with yeast. More recently, researchers have applied MVDA toward analysis of early bioprocess development data for achieving increased understanding of a PER.C6 cell cultivation process (20). The authors reported the application of PCA identified causes for batch deviations and revealed process differences between the 2-L and 10-L batches that were previously considered comparable. For the purpose of illustrating further, Figure 2 presents results f rom M V DA modeling of data from a cell-culture process performed at 2 L and 2000 L scales. Several input parameters (pCO2 , pO2 , glucose, pH, lactate, ammonium ions) and output parameters (purity, viable cell density, viabilit y, and osmolalit y) were evaluated in this analysis. While loading plots and variable importance plot (VIP), plots were used for assessing scale-up and compa rabi l it y of t he ce l l- c u lt u re pro ce ss, batc h- cont rol c ha r t s a ide d i n fau lt d iag nosis du ring routine manufacturing (not shown). Figure 2 suggests changes with respect to parameters like osmolality and ammonia levels, ind icat ing a ltered cell- c ult ure performance upon scale-up. The change in osmolality was attributed to the buildup of CO2 as a result of less efficient gas transfer upon scale-up. It was shown that while the relative importance of variables remained unchanged for most variables, an exception was the pO2 level, which had a more significant impact at large scale (highlighted in Figure 2). Thus, the usefulness of MVDA in supporting key activities of Figure 1: Flowchart illustrating the general workfow of multivariate data analysis (MVDA) of bioprocessing data. Data preprocessing Unit Mean variance centering Auto-scale Partial Least Square regression Principle Component Analysis Component ftting Plot dendrogram from score plot Check for model R2 and Q2 value Outliers and inputoutput relation Data after the scaling Fit PLS-Discriminant Analysis model If Q2>0.5, signifcant difference exist between two datasets Figure 2: Multivariate data analysis and modeling of representative data from small-scale (2 L) and large-scale (2000 L) batches of a cell-culture process. Adapted with modifcation from Ref. 21. 2L Bioreactor vs 2000L Bioreactor Offine metabolic and cell growth measurements Comparison of the PLS loadings plots at the two scales 2L and 2000L respectively PLS analysis vs Comparison of variable importance for the projection (VIP) plots at the two scales. 2000L Bioreactor successful manufacturing of biopharmaceutical products including scale-up, process comparability, process characterization, and fault diagnosis is highlighted. Figure 3 illustrates an example of use of near-infrared spectroscopy/multivariate data analysis (NIR–MVDA) for screening of lots of basal medium powders based on their impact on process performance and product attributes. A uniform composition for all the lots manufactured at different scales using identical process condition was claimed by the supplier. However, some variability of the raw material lots was evident from the NIR spectra in the 4000–7000 cm -1 wavelength region. Upon application of the MVDA to the spectral data, different groupings of media components during the milling and blending process at June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621151_BP0615_029.pgs 05.26.2015 20:53 29 ADV FIGURE CREDIT HERE ALL FIGURES ARE COURTESY OF THE AUTHORS Multivariate data analysis Multivariate data analysis Figure 3: Use of near-infrared spectroscopy (NIR-MVDA) for screening of lots of basal medium powders. Legends: Group I: Chemically defned media + hydrolysate, Group II: hydrolysate, Group III: Three different chemically defned basal powder types, Group IV: Feed powder. Group A: small-scale media batch group, Group B: Large-scale media batch group. Adapted with modifcations from Ref. 22. Raw Materials 1. Feed powder 2. Hydrolysate 3. Basal powder I 4. Basal powder II PCA Analysis Aeration PCA analysis of group II NIR SPECTROSCOPY Bioreactor Figure 4: A) Typical platform process for mAb production. B) (B1)Application of multivariate data analysis (MVDA) for establishing process comparability across lab and production scale. (B2) PLS–DA VIP plot for the entire dataset (229 batches). (B3) PLS–DA score plot showing two clusters of batches, red cluster belong to dataset 1 and green belong to dataset 2 for the production fermenter step. (B4) PLS–DA VIP plot showing important parameters responsible for data clustering in the PLS–DA score plot of production fermenter. C) Final approach for assessing comparability. PLS–DA is partial least squares discriminant analysis.) A B All-inclusive Data Analysis Seed tank fermentation 2.5 2 Dataset 1 Dataset 2 1 2.0 VIP coeffcient 4 Production tank fermentation 2 0 t[2] -2 1.0 Preprocessing -4 Clarifcation C 1.5 0.5 (Mean scaling) -6 0 2 4 6 8 10 Step recovery Harvest VCC CCCB turbidity Temp shift viability -2 Temp shift VCC -4 Temp shift age Inoc Density -10 Virus inactivation Harvest viability 0.0 -8 Variable ID t[1] Integration + Analysis MVDA analysis of production fermenter data Protein A chromatography Dataset 1 Dataset 2 3 1.4 4 1.2 VIP coeffcient Virus fltration 1.0 t[2] Observe score plots (PCAX) and Q2 values (PLS-DA) 1.0 2.0 0.8 0.6 If Q2 > 0.5 0.4 0.0 process variation 0.2 -3.0 Drug substance preparation -2.0 -1.0 0.0 1.0 2.0 t[1] different scales of operation were observed, thereby attributing the source of variation among different raw material lots to uniformity of blending, impurity levels, chemical compatibility, and/or heat sensitivity during the milling process for batches of large-scale media powder. This approach made it possible 30 3.0 4.0 Inoc viability -2.0 Inoc density 0.0 Temp shift VCC -1.0 Temp shift age Polishing steps Variable ID to fingerprint the raw materials and distinguish the performance between good and poor media lots. CheMoMetriCs in downstreaM operations A cursory review of the literature indicates that MVDA applications in downstream bioprocessing are quite fewer than those in upstream processing. The following section discusses the various applications that have been published. R e c e nt l y, r e s e a r c he r s h ave described an application of MVDA towards development and optimization of a reversed phase (RP)– HPLC method for separation of metaxalone from its hydrolytic impurities (23). A mathematical model depicting the relationship between the experimental variables with the response for RP– HPLC method for separation of the said compounds was developed in that study. In yet another application, chemometrics has been applied to predict column integrity and impurity clearance during reuse of the chromatographic resin (24). The authors in that study presented a methodology with the aid of chemometric tools to predict column underperformance at the manufacturing scale over product lifecycle. This approach allows the operators to unpack and repack the column beforehand without risking batch loss. Single ultraviolet absorbance is rout inely used for monitori ng prote i n pu r i f ic at ion pro cess. With the aim to develop a simple, fast and cost-effective methodology for protein quantification, researchers have applied PLS to quantif y a protein mixt ure in chromatographic separation using multi-waveleng th U V spectra (25). The proposed approach had suff icient sensitivity (Relative error was 4.8%, 12.0%, and 6.8% for the three proteins monitored) and acc uracy (R MSEP was 0.036, 0.088, and 0.049, respectively, for the m o n it o r e d p r o t e i n) v i s - a -v i s m o n it o r i n g u s i n g s i n g l e - U V absorbance for estimation of protein concentration in a mixture. T h is approac h ca n be read i ly applied to various kind of protei n pu r i f icat ion processes to BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621146_BP0615_030.pgs 05.26.2015 20:52 ADV Multivariate data analysis achieve consistent process performance and product quality. In a similar application, researchers have addressed the issue of late detection of irreg ularities in a chromatographic process (caused by offline analytics) by using a selective inline quantification of co-eluting proteins in chromatography (26). This was achieved by employing PLS of spectral data. CheMoMetriCs for assessing proCess and produCt CoMparaBility A series of papers demonstrating the utility of MVDA in establishing comparabilit y of both the process and product have been publ ished prev iously (2 5 –2 8). Establishing comparability forms an integ ral and cr ucial aspect of biosimilar development. In fact, the underlying essence of biosimilar development is that if the manufacturer is able to demonstrate high similarity between innovator and their biosimilar version, the regulatory authorities may consider the approval of the drug for market authorization with minimal clinical studies data. A quantitative approach has b e e n prese nte d u si ng va r iou s c he mome t r ic s a l gor it h m s for assessing process comparability of two different process versions and successfully identifying the u n it op e rat ion s whe re d i f fe rences existed (27). The approach can be applied to make comparisons across different phases of manufacturing (i.e., Phase I vs. Phase II vs. Phase III vs. commercial) and in support of vario u s ke y a c t i v it ie s r e l ate d to produc t commercialization (pro cess sc a le - up, te c h nolog y transfer, and process improvement). Specifically, application of MVDA was assessed for examination of process comparability and identification of unit opera- tion and parameters responsible for the variabilit y in a process comprising of nine unit operations, and the data were accrued f rom 229 batc hes. PL S – DA of t he d at a e x h ibite d c lu ste r i ng between the two datasets, indicating major differences between the two sets ( Figure 4A). PLS-DA VIP plot for the entire dataset as well as that for the production scale revealed important parameters t hat a re deemed responsible for the separate clustering ob s e r ve d a mong t he d at a s e t s (Figure 4B). Parameters with VIP >1 are considered significant. ConClusion With continued efforts towards implementation of QbD and PAT in the biotech industry, MVDA is expected to continue to serve as an enabler of this change. The authors see great scope for further refinements and improveme nt s i n M V DA mo d e l i n g approaches to widen its applicability towards analysis of structured datasets, and perhaps in t he f ut u r e, fo r u n s t r uc t u r e d datasets as well. referenCes 1. F. Li, N. Vijayasankaran, A. (Yijuan) Shen, R. Kiss, and A. Amanullah, mAbs, 2 (5), pp. 466–479 (September 2010). 2. A. S. Rathore and R. Mhatre, Eds., Quality by Design for Biopharmaceuticals (John Wiley & Sons, Hoboken, NJ, 2009). 3. A.S. Rathore, N. Bhushan and S.Hadpe, Biotech Prog. 22 (2), pp.30715 (March-April 2011). 4. S. M. Mercier, B. Diepenbroek, R. H. Wijffels, and M. Streefland, Trends Biotechnol. 32 (6), pp. 329–36 (June 2014). 5. S. Charaniya, W.-S. Hu, and G. Karypis, Trends Biotechnol. 26 (12), pp. 690–9 (December 2008). 6. N. Abu-Khalaf, S. Khayat, and B. Natsheh, Science and Technology 3 (4), pp. 99-104 (2013). 7. E. Frauendorfer, A. Wolf, and W. D. Hergeth, Chemical Engineering & Technology 33 (11), pp. 1767-78 (November 2010). 8. I. Miletic et al., J. Process Control 14 (8), pp. 821–836, December 2004. 9. A. S. Rathore, S. Mittal, M. Pathak, and A. Arora, Biotechnol. Prog. 30 (4) pp. 963-973 (April 2014). 10. E.R. Nucci, A.J.G. Cruz, and R.C. Giordano, Bioprocess Biosyst. Eng. 33 (5), pp. 557–564 (2010). 11. M. Clavaud et al., Talanta, 111, pp. 28–38 (July 2013). 12. P. W. Ryan et al., Anal. Chem., 82 (4), pp. 1311–7 (February 2010). 13. J. Gomes, V. R. Chopda, and A. S. Rathore, J. Chem. Technol. Biotechnol. (December 2014). 14. B. Li, B. H. Ray, K. J. Leister, and A. G. Ryder, Anal. Chim. Acta 796, pp. 84–91 (September 2013). 15. T.C Avila et al. Biotechnology Progress, 28 (6), pp. 1598-1604 (NovemberDecember 2012). 16. A. Calvet and A. G. Ryder, Anal. Chim. Acta 840, pp. 58–67 (August 2014). 17. C. Koch et al., Anal. Chim. Acta 807, pp. 103–10 (January 2014). 18. H. Jiang, G. Liu, C. Mei, and Q. Chen, Anal. Methods 5 (7), p. 1872-1880 (2013). 19. A. K. Baikadi et al., “Extraction of pure component spectrum from mixture spectra containing a known diluent.” Preprints of the 10th IFAC International Symposium on Dynamics and Control of Process Systems, Mumbai, India, Dec. 18-20, 2013. 20. S. M. Mercier et al., J. Biotechnol., 167 (3), pp. 262–70 (September 2013). 21. A. O. Kirdar, J. S. Conner, J. Baclaski, and A. S. Rathore, Biotechnol. Prog. 23 (1), pp. 61–7 (2007). 22. A. O. Kirdar, G. Chen, J. Weidner, and A. S. Rathore, Biotechnol. Prog., 26 (2), pp. 527–31 (2010). 23. P. K. Sahu and C. S. Patro, J. Liq. Chromatogr. Relat. Technol., 37 (17), pp. 2444–2464 (May 2014). 24. A. S. Rathore, S. Mittal, S. Lute, and K. Brorson, Biotechnol. Prog., 28 (5), pp. 1308–14 (2012). 25. M.-H. Kamga, H. Woo Lee, J. Liu, and S. Yoon, Biotechnol. Prog., 29 (3), pp. 664–71 (2013). 26. N. Brestrich et al., Biotechnology and Bioengineering, 111 (7), pp. 1365-73 (July 2014). 27. A. S. Rathore, S. Mittal, M. Pathak, and V. Mahalingam, J. Chem. Technol. Biotechnol. 89 (9) pp. 1311-1316 (2014). 28. N. Bhushan, S. Hadpe, and A. S. Rathore, Biotechnol. Prog. 28 (1), pp. 121–8 (2011). ♦ June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621148_BP0615_031.pgs 05.26.2015 20:52 31 ADV Host-Cell Proteins Host-Cell Protein Measurement and Control Fengqiang Wang, Daisy Richardson, and Mohammed Shameem Stocktrek Images/Getty Images This article reviews the definition of HCPs, risks posed by HCPs, regulatory concerns, commonly accepted ELISA methods for HCP measurement and their limitations, and orthogonal methods available for HCP characterization. H Fengqiang Wang, PhD, is associate principal scientist; Daisy Richardson is a director of Merck Research Laboratories; and Mohammed Shameem is an executive director of Merck Research Laboratories, all with the Sterile Product and Analytical Development Group at Merck & Co. Inc . 32 ost-cell proteins (HCPs) constitute a major part of process-related impurities during biologics production. The amount of residual HCPs in drug product is generally considered a critical quality attribute (CQA), due to their potential to affect product safety and efficacy. Therefore, it is a regulatory requirement to monitor the removal of HCPs in drug product during bioprocess development. HCPs a re protei ns produced or encoded by the host organisms used to produce recombinant therapeutic proteins (1). Recombinant therapeutic proteins are usually produced by genetically-modified prokaryotic or eukaryotic host cells using cell culture/fermentation technology (2). Genetic engineering allows the host cells to be transformed to produce a protein of interest selectively. During the recombinant protein production, host cells also coproduce proteins related to the normal cell functions such as cell growth, proliferation, survival, gene transcription, protein synthesis, and etc. Other non-essential proteins may also be released to the cell culture/ fermentation as a result of cell apoptosis/ death/lysis. In general, apart from the therapeutic protein of interest, all endogenous proteins co-expressed by the host cells are called host-cell proteins (2). BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621173_BP0615_032.pgs 05.26.2015 20:53 ADV Sample Preparation Technologies for Improved Peptide Quantitation Workflow LIVE WEBCAST: Tuesday, June 16, 2015 at 8:00am PDT/ 11:00am EDT/ 4:00pm BST/ 5:00pm CEST Register for free at http://www.biopharminternational.com/bp/sample EVENT OVERVIEW: Presenter: Peptide quantitative analysis requires workfows that deliver advances in sample preparation can provide faster, more MIKE OLIVER Product Manager, Sample Preparation, Chromatography Columns and Consumables reproducible workfows in combination with high data quality Moderator: and increased confdence in results. He will also touch on spe- AGNES SHANLEY Senior Editor, BioPharm International high levels of data quality while balancing the needs of sample throughput and regulatory compliance. During this webinar, Mike Oliver of Thermo Fisher Scientifc will describe how cifcs within liquid chromatography and Orbitrap-based mass spectrometry. Key Learning Objectives: Who Should Attend: n Review n Researchers new sample preparation technologies that enable robust, fast, sensitive, and highly reproducible workfows n Understand how to address challenges in peptide quantititation Sponsored by working in peptide analysis n Researchers doing LCMS workfows in biopharma Presented by For questions, contact Kristen Moore at kmoore@advanstar.com magenta cyan yellow black ES623790_BP0615_033_FP.pgs 05.29.2015 01:29 ADV Figure 1: Schematic view of sandwich enzyme-linked immunosorbent assay (ELISA) used for host-cell protein (HCP) detection and measurement. HRP A B Sandwich ELISA Red represents HCP. RISkS ASSoCIAteD wItH HCPs HCPs constitute a major group of process-related impurities in a drug product. The risks associated with HCPs are primarily immunogenicity. HCPs are complex mixtures with diverse physiochemical and immunological properties (2). Almost all HCPs carry clinical safety risks as foreign proteins due to the potential to elicit immune response in humans. In addition, some HCPs can also act as adjuvants to enhance immune response to a drug product (1, 3). Certain HCPs with proteolytic activity can also affect drug product stability and efficacy if not adequately removed or inactivated (4). HCPs have the potential to affect both the safety and efficacy aspects of a given drug product. 34 The risks associated with HCPs are often assessed by a combination of downstream process capabilities, residual HCPs levels, the (maximum) dose, route of administration, dosing frequency, toxicological data, and clinical data (1). Although it is a common understanding that HCPs pose clinical safety risk due to their potential to elicit an immune response, it is difficult to demonstrate which HCP and in what concentration may cause immunogenicity problems in humans (1). Theoretically, preclinical pharmacological and toxicological evaluations can be performed with the presence of different amounts of HCP impurities; however, the evaluation results are mostly irrelevant because the magnitude and nature of the immune response depends on the homology of the amino acid sequence, residual HCPs amount, and produc t dosi ng reg i men. For t h is reason, a risk control strategy is applied through the development of robust downstream bioprocess to remove HCPs to as low a level as possible or to “undetectable” levels in drug substance/product (1, 3, 5). The detectability of residual HCPs, however, also depends on the method of detection’s sensitivity. Industry addresses this risk by meticulous method development and the use of multiple technologies to evaluate all potential HCPs that might coproduce or copurify with drug product during bioprocess development. ReGuLAtoRy RequIReMentS foR HCPs MeASuReMent AnD ContRoL Accord i ng to I nter nat iona l Conference on Harmonization (ICH) guidelines Q6B, “For hostcell proteins, a sensitive assay (e.g., immunoassay, capable of detecting a wide range of protein impurities) is generally utilized. In the case of an immunoassay, a polyclonal antibody (pAb) used in the test is generated by immunization with a preparation of a production cell minus the product-coding gene, fusion partners, or other appropriate cell lines” … “Clearance studies, which could include spiking experiments at the laboratory scale, to demonstrate the removal of cell substratederived impurities such as nucleic acids and host cell proteins may sometimes be used to eliminate the need for establishing acceptance criteria for these impurities” (6). FDA expects “Whenever possible, contaminants introduced by the recovery and purification process should be below detectable levels using a highly sensitive analytical method” (7). The European Medicines Agency (EMA) guideline CPMP/BWP/382/97 states, “In summary, for HCP, whatever the product and production system, residual HCP have to be tested for on a routine basis”…“As such, it is currently required that HCP be routinely monitored at the purified bulk level, using suitable analytical assays. Results from batch to batch should be consistent and meet specification limits” (8). Regulatory agencies from other countries and emerging markets may have their own wording on HCP control, but it is generally accepted that a sensitive, validated method is required to monitor residual HCPs in accordance with ICH guidelines. The allowed amount of residual HCPs in final bulk material is determined on a case-by-case basis, commonly in the 1 to 100 ng/mg range. MeASuRInG AnD MonItoRInG ReSIDuAL HCPs To date, immunoassay, commonly in the form of sandwich enzymel i n ke d i m mu no s or b e nt a s s ay (ELISA) (see Figure 1), remains as the industry gold standard for HCP measurement due to its high sensitivity and high throughput ALL FIGURES ARE COURTESY OF THE AUTHORS Host-Cell Proteins BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621171_BP0615_034.pgs 05.26.2015 20:53 ADV Host-Cell Proteins (3, 5). The HCP composition and abundance are unique to their respective host and the manufacturing process used for biologics production. Meanwhile, different host cells and manufacturing processes may produce certain HCPs in similar abundance. The number of proteins derived from host cells varies significantly from host to host. For example, Escherichia coli (E. coli) has ~4300 genes, whereas Chinese Hamster Ovary (CHO) cells have ~30,000 genes (1). Although not every host gene will be transcribed and translated to protein, the complexity of host genome and the post-translational modification present in mammalian cells make it almost impossible to understand the complete HCP composition in a given manufacturing process. Because these HCPs are potentially immunogenic, a commonly accepted method to evaluate the presence of HCPs is through an immunoassay. In theory, an HCP mixture injected into an animal, such as a rabbit, goat, or chicken, will elicit an immune response, and the animals will generate anti-HCP antibodies against these foreign proteins. Although the identities of all HCPs are not known, the polyclonal antibodies raised in animals should be able to recognize most, if not all, of the proteins contained in the HCP mixture. Using these polyclonal antibodies, a multi-analyte sandwich ELISA can be developed (see Figure 1). In Figure 1, capture antibodies enrich the HCPs from sample and immobilize them to a 96 (or greater)-well plate. Then, detection antibodies, conjugated directly with an enzyme or through a biotin-avidin magnification, bind to the captured HCPs. An enzyme, commonly horseradish peroxidase (HRP), can catalyze the substrate to generate a colorimetric, chemiluminescent, or fluorescent signal that correlates with the amount of HCPs in the test sample (5). Figure 2: Schematic view of host-cell protein (HCP) assay development cycle. Antiserum purifcation Animal Immunization In-house HCP assay Antigen Selection Antibody Qualifcation Lack of ideal coverage Process development Commercial HCP assay ELISA Development Orthogonal method QC release and process validation Generic HCP ELISA developed using polyclonal antibodies raised against parental cell lysate or cell culture supernatant allows the detection of a majority of HCP species, but may not be able to detect a subgroup of proteins specific to a certain manufacturing process. A generic ELISA kit is commercially available and has the advantage of eliminating lengthy assay development time as indicated in Figure 2, with only steps pointed in yellow being required before its use for process development. This makes the kit good for early phase development. In late phase (Phase III or commercial), cell line-specific platform assay or upstream process-specific ELISA assay is often required to mitigate the risk associated with a more generic commercial assay. The development cycle for an in-house HCP assay is shown in Figure 2 following the flow of green arrows. Commonly, platform- or process-specific HCPs are generated by growing a null cell culture (mock) without the product-encoding gene under similar upstream processes to represent HCPs from a (platform) production culture. PAbs generated by immunizing animals with these HCPs will be used for Assay qualifcation and validation ELISA development upon qualification by a 2D-coverage assessment. The pAbs should recognize a large majority of HCPs coproduced with drug product. When less-than-ideal coverage is observed, different strategies (as represented by the orange arrows) can be used to improve the coverage or qualify the ELISA at risk and supplement the ELISA with orthogonal methods to characterize HCP process clearance (see Figure 2). Upon qualification and validation, HCP ELISA can serve as a QC release assay for drug substance, and in-process pool testing results can guide the downstream process development (see Figure 2). In a typical recovery process for a therapeutic monoclonal antibody, the highest concentration of HCP is detected in the harvested cell culture fluid (HCCF), and then cleared through additional downstream purification steps, with typically low (1–100 ng/mg, or ppm) levels of HCPs observed in final bulk drug substance (5). LIMItAtIonS of HCP eLISA Due to the heterogeneity of HCPs, proteins of high abundance/immunogenicity often dominate the multi-analyte ELISA signals, whereas June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621179_BP0615_035.pgs 05.26.2015 20:53 35 ADV Host-Cell Proteins Figure 3: An example on the use of 2D-differential in-gel electrophoresis for hostcell protein profle comparison between a null cell culture (mock, green) and a monoclonal antibody production harvest cell culture fuid (HCCF, red). S1/ S2 S1 S2 Cy2 Internal Std. Cy3 Cy5 proteins of low abundance/immunogenicity don’t have enough antibodies to recognize them. In addition, copurifying HCPs enriched in drug substance may also have limited antibody to detect them, resulting in dilutional nonlinearity and potentially an underestimate of residual HCPs. Furthermore, due to the fact that not every HCP is immunogenic in animals, even the best processspecific HCP ELISA cannot detect 100% of HCPs coproduced with the recombinant protein. Supplementary to HCP ELISA, traditional HCP separation and visualization methods, such as 1D and 2D sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS–PAGE), remain useful tools for HCP characterization. Other technologies, such as 2D-differential in-gel electrophoresis (DIGE), capillary zone electrophoresis-electrospray ionization-tandem mass spectrometry (CZE-ESI-MS/MS) or two-dimensional-liquid chromatography-tandem mass spectrometry (2D-LC-MS/MS) also emerged as orthogonal methods for HCP characterization (1, 2, 9-12). Z hu- Shimoni et a l f rom Genentech published a comprehensive review on the limitations of HCP testing by ELISA with some examples from their process devel- 36 opment (5). One example is a HCP named GST-α. GST-α causes no or low immune response in the animals being immunized and thus doesn’t generate an antibody in the polyclonal antibodies used for HCP ELISA. However, this protein was detected on capillary electrophoresissodium dodecyl sulfate (CE-SDS) as an impurity peak with a ~2000 ng/ mg relative concentration in bulk drug substance. Additionally, some of HCPs may copurify with recombinant protein and thus become enriched in the final bulk; however, the antibodies against these HCPs in the polyclonal antiserum raised against a mock HCP pool may have limited quantity to accurately detect them. Furthermore, steric hindrance and the lack of multiple epitopes to bind the same antibody (capture and detection) can cause inaccuracy on HCP measurement (5). The lack of appropriate calibration standards also limits the accuracy of HCP quantification. These limitations of HCP ELISA mentioned previously can be overcome using orthogonal methods. A large amount (> 0.1%) of residual HCPs present in final drug substance can be detected by size exclusion (SEC), ion exchange (IEX), or reversed phase (RP)-high performance liquid chromatography (HPLC), SDS-PAGE, CE-SDS, isolectric focusing capillary electrophoresis (iCE), and other analytical methods and confirmed with LC-MS. However, most HCPs are present in the final drug substance at very low levels and require much more sensitive method for detection. Analytical methods mentioned previously often don’t have the sensitivity and resolution to separate and detect individual HCP. Immunoassay-based methods, such as slot blot assay and western blot assay, have the sensitivity but often are only semi-quantitative (1, 3, 13). Protein separation and visualization methods, such as 2D-SDS-PAGE, supplement HCP ELISA by providing information on individual HCP properties. 2D-SDS-PAGE with silver stain or other sensitive staining method, such as Sypro Ruby (Life Technologies, Grand Island, NY), has traditionally been used to analyze complex protein mixtures due to its ability to separate proteins by both isoelectric point (pI) and molecular weight (MW). Silver stain has a detection sensitivity of ~0.2– 0.5 ng/protein spot, thus can detect protein of very low abundance, but has a lengthy and tedious staining procedure as well as gel-to-gel variations. To overcome the gel-togel variation, two or three samples can be run on the same gel using DIGE, with each of the samples prelabeled with different fluorescent dyes (2). Analyzing drug substance or in-process pools with 2D-DIGE can give the laboratory scientist a snapshot of the HCP profile, and an easy comparison of the HCP composition differences between two samples (see Figure 3). Coupled with spot picking and LC-MS, 2D-DIGE provides direct information on the HCP properties (pI, MW, abundance, and identification), which can help improve HCP removal strategy in downstream process development. BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621176_BP0615_036.pgs 05.26.2015 20:53 ADV Hydroxyapatite Separation of Monoclonal Antibodies and Antibody Fragments LIVE WEBCAST: Wednesday, June 17, 2015, 11 am PDT/ 1 pm CDT/ 2 pm EDT Register for free at www.biopharminternational.com/bp/separation EVENT OVERVIEW: Presenter Efective removal of process-related impurities is a universal BILL EVANS Process Chromatography Technical Specialist Tosoh Bioscience LLC goal in the large-scale manufacture of biomolecules. Hydroxyapatite is a mixed-mode chromatography resin that has proven to be useful as an orthogonal purifcation medium Moderator for biomolecules such as monoclonal antibodies and their frag- RANDI HERNANDEZ Senior Editor BioPharm ments. Hydroxyapatite has unique separation properties for biomolecules and under optimum conditions ofers unparalleled selectivity and resolution for process scale operations. The highly selective nature of hydroxyapatite resins can often separate proteins otherwise shown to be homogeneous by electro- Key Learning Objectives: phoresis and other chromatographic techniques. n Discover how hydroxyapatite chromatography difers from This presentation reviews the purifcation of a monoclonal anti- traditional chromatographic modes body and its fragments, such as Fab and Fc, using a newly intro- in terms of selectivity. duced hydroxyapatite resin. n Who Should Attend: n Understand how hydroxyapatite chromatography can provide an efective means of removal of Chromatographers, method developers, and process engineers process related impurities. who are involved with the development of downstream purifcation processes that include steps for aggregate removal. n Learn how to select the appropriate conditions to make the most Sponsored by Presented by efective use of hydroxyapatite chromatography in mAb and mAb fragment separations. For questions contact Kristen Moore at Kmoore@advanstar.com magenta cyan yellow black ES622139_BP0615_037_FP.pgs 05.27.2015 20:31 ADV Host-Cell Proteins In the past five years, 2D-LC-MS has emerged as a new orthogonal method for HCP characterization, with the advantage of being sensitive, specific, gel-free and automatable. With an additional separation dimension by high pH reversed phase, ion-exchange, or size-exclusion before LC-MS/MS identification, 2D-LC-MS reduces the interference from dominant peptides digested from recombinant protein and maximizes the detection of low abundance HCP-related peptides (9, 11, 14, 15). Additionally, with the 2D-LC-MS identification of potential residual HCPs, a targeted multiple reaction monitoring (MRM)-LC-MSbased method can be developed to quantify multiple HCPs in a drug substance (5, 11, 16, 17). SuMMARy Adequate HCP remova l is a n important indication of robust and well-controlled bioprocessing. Due to the generally low abundance of HCPs in drug substance, however, it is quite a challenge to detect and measure HCPs in a matrix dominated by the recombinant protein. HCP ELISA has the sensitivity to detect ng/mg level of residual HCPs in drug substance but is limited by the pAbs used in the assay. Often, the pAbs are raised against an HCP population present in the upstream of the bioprocess or a more generic host-cell proteome. These antibodies are not specific enough to the downstream process and thus, the amount of available antibodies present are not correlated with the amount of HCPs in drug substance, which results in antigen excess and lack of dilutional linearit y. On the other hand, downstream process-specific ELISA can miss certain HCPs that leak through the particular downstream purification process and/ or when downstream processes change. Developing a process-specific HCP ELISA for each biologic 38 is also costly and time-consuming, given the time required to generate process-specific reagents, antibodies, and to develop and validate the assay. For this reason, a multi-product platform assay is more feasible and cost-effective if using the same cell line or cell lines with similar HCP profiles. Data indicate that different upstream processes only change the expression/secretion of a very small subgroup of HCPs within thousands of proteins (18). Using either platform HCP ELISA or process-specific HCP ELISA for HCP testing and control is a strategic decision balancing the benefit and risk of each. No matter which process is chosen, careful qualification of the antibody reagents used in ELISA for each program is necessary to demonstrate their coverage of the large majority of HCPs potentially coproduced with a therapeutic protein. In addition, orthogonal methods such as 2D-DIGE and 2D-LC-MS can be used to provide additional evidence on the process robustness in HCP clearance. These methods are also able to characterize HCPs copurified with recombinant protein that do not elicit an immune response in animals. When used together with HCP ELISA, the aforementioned characterization methods reduce the risk of HCP oversight and offer valuable information on the HCP properties and identities to guide downstream process development. Furthermore, single- or multianalyte ELISA can be developed to target copurified HCPs upon LC-MS/MS identification and the understanding of antigen excess in platform- or process-specific HCP ELISA. ACknowLeDGeMentS The authors would like to thank Drs. Steve Farrand, David Chin, and Zhi Chen for their thorough review of this manuscript. RefeRenCeS 1. X. Wang, A.K. Hunter, and N.M. Mozier, Biotechnol. Bioeng. 103 (3), pp. 446-58, 2009. 2. M. Jin, et al., Biotechnol. Bioeng. 105 (2), pp. 306-16, 2010. 3. L.C. Eaton, J. Chromatogr. A 705 (1), pp. 105-14, 1995. 4. F. Robert, et al., Biotechnol. Bioeng. 104 (6), pp. 1132-41, 2009. 5. J. Zhu-Shimoni, et al., Biotechnol Bioeng. 111 (12), pp. 2367-79, 2014. 6. ICH, Q6B, Specifications: Test Procedures And Acceptance Criteria For Biotechnological/ Biological Products (ICH, March 10, 1999), www.ich.org/fileadmin/ Public_Web_Site/ICH_Products/ Guidelines/Quality/Q6B/ Step4/Q6B_Guideline.pdf 7. FDA, Points to Consider in the Manufacture & Testing of Monoclonal Products for Human Use (1997), www.fda.gov/ downloads/BiologicsBloodVaccines/ GuidanceComplianceRegulatoryInformation/ OtherRecommendationsforManufacturers/UCM153182.pdf 8. The European Agency for the Evaluation of Medicinal Products Human Medicines Evaluation Unit, London, June 10, 1997, CPMP/ BWP/382/97, www.ema.europa. eu/docs/en_GB/document_library/ Scientific_guideline/2009/09/ WC500003322.pdf 9. G. Zhu, et al., Electrophoresis 35 (10), pp. 1448-52, 2014. 10. A. L. Tscheliessnig, J. Konrath, R. Bates, et al., Biotechnol. J. 8 (6), pp. 655-70, 2013. 11. M.R. Schenauer, G.C. Flynn, and A.M. Goetze, Anal. Biochem. 428 (2), pp. 150-7, 2012. 12. C.E. Hogwood, D.G. Bracewell, and C.M. Smales, Curr. Opin. Biotechnol. 30C, pp. 153-160, 2014 13. D. Zhu, A.J. Saul, and A.P. Miles, J. Immunol. Methods, 306 (1–2), pp. 40-50, 2005. 14. M.R. Schenauer, G.C. Flynn, and A.M. Goetze, Biotechnol. Prog. 29 (4), pp. 951-7, 2013. 15. J. H. Thompson, et al., Rapid Commun. Mass Spectrom. 28 (8), pp. 855-60, 2014. 16. C. E. Doneanu and W. Chen, Methods Mol. Biol. 1129, pp. 341-50, 2014. 17. C.E. Doneanu, et al., MAbs. 4 (1), pp. 24-44, 2012. 18. D.C. Krawitz, et al., Proteomics, 6 (1), pp. 94-110, 2006.◆ BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621178_BP0615_038.pgs 05.26.2015 20:53 ADV INTERNATIONAL The Science & Business of Biopharmaceuticals Covering the business and science of biopharmaceutical development and manufacturing worldwide Print & Digital Magazine BioPharm International First Look BioPharm’s Science & Business Bulletin BioPharm’s e-Application Note Alert BioPharm International. com With over 31,000 subscribers, BioPharm International magazine integrates the science and business of biopharmaceutical research, development and manufacturing. We provide practical peer-reviewed technical solutions to enable biopharmaceutical professionals to perform their jobs more effectively. Monthly | Preview the latest issue of BioPharm International with quick links to online content, expanded coverage, and the digital edition of the magazine. Monthly | Monthly newsletter that features in-depth articles and timely news on technologies for biotech drug development and manufacturing, and regulatory developments, as well as coverage of deals, alliances, new products, people moves, and industry events. Monthly | Receive monthly application notes categorized by technique. Check out BioPharmInternational.com to access our magazine, archives, the digital edition, eBooks, eNewsletters, Multimedia, Webcasts, BioPharm TV and Whitepapers. BioPharmInternational is the leading source of information for Upstream, Downstream, Manufacturing, Regulatory, Analytics and BioBusiness topics. CONNECT WITH US ONLINE: www.BioPharmInternational.com DIGITAL EDITION E-NEWSLETTERS ARCHIVE E-BOOKS WEBCASTS SURVEYS PODCASTS WHITE PAPERS BIOPHARM TV Subscribe for FREE today at www.biopharminternational.com/subscribe www.linkedin.com/grp/home?gid=4027200 magenta cyan yellow black www.twitter.com/biopharmintl ES623791_BP0615_039_FP.pgs 05.29.2015 01:29 ADV Global Market Report Market Access Outlook for Australia Jill E. Sackman and Michael J. Kuchenreuther Henryk Sadura/Getty Images The Australian pharmaceutical market offers opportunities for manufacturers despite challenges. T Jill E. Sackman, DVM, PhD, is senior consultant, and Michael Kuchenreuther, PhD, is research analyst, both at Numerof & Associates, Inc., St. Louis, MO, www.nai-consulting.com. 40 he pharmaceutical industry is grappling with pressures including changing business models, a more competitive market, shifts in customers’ demands (e.g., patients and providers), major patent expiries, shifting technology, constrained budgets, increasing scrutiny from payers and regulators, and fundamental questions regarding the industry’s integrity. Many of these internal and external pressures exist in emerging and developed markets alike, forcing manufacturers to reconsider their approach to bringing new products to market (1–3). Australia is a country that has challenged pharmaceutical manufacturers in recent years with extensive government reforms in drug pricing, unpredictability around reimbursement and pricing decisions, and other structural changes. D espite t hese c ha l lenges, t he Australian market still offers a number of opportunities for manufacturers. Ongoing changes in Australia’s population and economy have contributed to a shift in the country’s epidemiological profile. That shift has increased the need for more effective population health management practices, and medications that address complex, chronic conditions. Manufact urers will not only find new and expanding target patient populations for their product portfolio in Australia, but also opportunities for broader approaches to managing disease and wellness. And despite some recent setbacks in the growth of Australia’s own biotech- BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621359_BP0615_040.pgs 05.26.2015 23:03 ADV Global Market Report nology R&D sector, the country remains a powerhouse for medical science innovations (4). Understanding these complex market dynamics will be crucial for manufacturers exploring new and existing opportunities for growth in Australia. AuStRALIA HeALtHcARe MARket OveRvIew Healthcare Delivery According to the Organization for Economic Co-operation and Development (OECD) Better Life Index, Australia’s universal healthcare system should be viewed as one of the best in the world. As a nation, Australians live longer than most populations around the world. Over the past 30 years, life expectancy has greatly increased and preventable deaths have been reduced (5). The country’s current expend it u re in hea lt h is modest in relation to OECD standards, and their system aims to guarantee access for essential health services to everyone, regardless of their socioeconomic status. While more Australians are living longer, age and sedentar y behaviors similar to those practiced in other developed economies, however, have contributed to mounting rates of chronic conditions such as arthritis, diabetes, heart failure, and asthma among others (see Table I) (6). To meet the demands of this epidemiological shift, healthcare providers throughout the country need to think about patients and the care continuum in new ways. Of necessity, greater attention is required for the preventive and chronic care needs of patients i n de f i ne d p op u l at ion s . T he Australian Government is playing a role in this paradigm through reform initiatives. Specifically, these initiatives aim to facilitate partnerships to improve care Table I: Prevalence of chronic diseases in Australia. Chronic diseases Persons % of population Arthritis 3,265,400 14.8 Back pain/problems 2,805,500 12.7 Hypertension 2,262,000 10.2 Asthma 2,254,600 10.2 Depression 2,143,100 9.7 Heart/vascular disease 1,000,000 5.0 Diabetes 999,000 4.6 Cancer 360,000 1.6 Data Source: Australian Bureau of Statistics. coordination across healthcare settings and throughout communities (e.g., Medicare Locals now being replaced with Primary Care Networks); introduce a national personally controlled electronic medical record; enhance the utilization of home-based care and telehealth technology, and improve medication management (7). Two ot he r com mon ly c ite d challenges of Australia’s healthcare delivery sector include long wa it i ng l ists for ma ny hospital medical procedures and the concern there is a shortage of pr i ma r y- ca re physic ia ns. T h is concern is despite the fact that there are more than 43,440 primary physicians compared with 25,400 specialists covering all disciplines (8). Also, wait times for elective procedures are a major concern in many OECD countries. In Australia, median wait times for patients treated have increased over the past decade for a number of common procedures, sometimes significantly (e.g., knee replacement, hysterectomy, cholecystectomy by 32–47%, prostatectomy and hernia by 41–58%) (9). According to the Commonwealth Fund, over the past several years Australia, along with Canada and the United States have ranked poorly w ith respect to overall accessibility of appointments with primary care physicians (10). Healthcare Expenditure and Funding The country’s healthcare expenditure continues to grow faster than population growth, spurred by societal changes such as population aging, treatment and technology advances, and consumers’ increasing awareness of health-related issues. Healthcare spending in 2013 was an estimated 9.67% of gross domestic product (GDP) (17.4% US/9.4% UK), with two-thirds of the total coming from the government (11). O ver t he past decade, total health expenditure has grown in real terms at an average rate of 5.4% per year (11). Australia’s primary care physicians are funded by the federal government through a long-standing system known as Medicare. Federal and state governments provide universal free inpatient care in public hospitals. The former also subsidizes spending on non-hospital care, such as physician consultation fees. Medicare also pays for medicines provided in public hospitals and those medicines listed on the Pharmaceutical Benefits Scheme (PBS). Under this scheme, patients are required to contribute a co-payment for all PBS-listed prescription medicines with the government subsidizing the balance. Approximately 55.4% of the general population has supplemental coverage through private insurers (12). June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621358_BP0615_041.pgs 05.26.2015 23:03 41 ADV Global Market Report Percent Change in Government Pharmaceutical Benifts Expenditure 12 9.4 9.2 9.3 9 5.7 6 3.6 3 1.7 0 -2.1 -3 2007-’08 2008-’09 2009-’10 2010-’11 2011-’12 2012-’13 2013-’14 Source: DoHA Expenditure and Prescriptions reports between June 2007 and June 2014. Private health insurance offers access to treatment in private hospitals and covers some ancillary healthcare services. However, private health insurance coverage has increased only modestly over the past decade. Under the notion that Australia’s traditional health system is unsustainable due to rising treatment costs and an epidemiological shift, t he gover nment is consta nt ly exploring ways to limit healthcare expenditures. Recently implemented strategies have included shifting costs onto consumers through higher co-payments for PBS-listed medications and reducing physician reimbursement rates for patient visits. In fact, in 2013, government f unding of health expendit ure fell in real terms for the first time in more than a decade (13). AuStRALIA’S LIfe ScIeNceS ANd pHARMAceutIcAL MARket Life Sciences and R&D Au st ra l ia is wel l place d ge o g raphica lly when it comes to pharmaceutical exports given its close proximity to major emerg- 42 ing markets in Southeast Asia. It is, therefore, not surprising that Australia’s life-sciences industry is one of the leading performers in the Australian economy, and each year the industry is the country’s largest exporter of manufactured goods (14). Approx i mately 50 globa l research-based pharmaceutical companies and more than 400 locally-owned medical biotechnology firms and service providers operate in Australia. Together, t he s e or ga n i z at ion s ge ne r ate approx imately $3.5 billion in exports each year and invest more than $1 billion in R&D (14). In the past decade, however, the need for large-scale industrial sites to house research, development, and manufacturing operations in Australia has been greatly reduced. Many companies have moved their manufacturing facilities to lowercost markets and repositioned their focus within Australia to sales and marketing. The Australian government, however, announced plans to invest in a Medical Research Future Fund (MR FF), which is expected to build to a $20 bil- lion perpetual fund over the next decade (15). The MR FF investment could strengthen Australia’s position as an essential collaborator and contributor to research in several key therapeutic areas. There is also an opportunity for the MRFF to alleviate manufacturers’ growing concerns over R&D tax incentive reductions, and spark a renewed interest among pharmaceutical companies looking to expand in the region. Pharmaceutical Market Australia’s pharmaceutical market was valued at $22.7 billion in 2013 and is projected to reach $32 billion by 2020 (16). Major factors driving growth in Australia’s pharmaceuticals market include the increasing elderly population and its associated disease burden, along with rather well-defined regulatory guidelines and the rising prevalence of noncommunicable diseases due to an increasingly sedentary way of life. While the volume of pharmaceuticals provided under the PBS continues to grow unabated, the government has had some success in reducing the rate of growth in the overall cost of the scheme by introducing pricing reforms. Over the past few years, government expenditure on pharmaceutical benefits has sharply declined (see Figure 1). Government-sponsored reforms have included reg ular price reductions for individual and groups of products as well as mandatory price disclosures that rely on transparency to limit what manufacturers can charge. Since 2012, the government has reduced the prices of PBS-listed medicines at least eight times, by percentages ranging from 1% to 90% (17). D espite a n ove ra l l slow i ng of g row t h i n e xpend it u re on the PBS, spending on high-cost drugs targeting complex diseases ALL FIGURES ARE COURTESY OF THE AUTHORS Figure 1: Year-over-year change in government pharmaceutical benefts expenditure (2007–2014). BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621367_BP0615_042.pgs 05.26.2015 23:04 ADV Global Market Report such as cancers, HIV/AIDS, and Alzheimer’s is growing rapidly. These high-cost drugs accounted for 20% of the government’s total budget, costing approximately $2 billion in the 2013–2014 financial year (18). A s a re s u lt, ma nu fac t u r e r s should expect this to be an area that will continue to garner closer policy attention. For ma ny yea r s, Aust ra l ia n generic medicine price reductions lagged behind those paid by many other advanced countries. A report claims that Australians paid more than $1 billion too much annually for prescription generic drugs (19). Due to these high prices, generic dr ugs have captured a smaller share of the market than expected. Nevertheless, a succession of major patent expiries and the introduction of improved price disclosure arrangements are expected to increase generic-drug use and further alleviate pharmaceutical spending. MARket AcceSS IN AuStRALIA Regulatory Approval I n t he wa ke of t he re ce nt announcement that work w ill cease on a joint Australian-New Z ea la nd t herapeut ic reg u lator, the Australian Therapeutic Goods Administration (TGA) will continue to regulate the quality, safety, and efficacy of therapeutic goods (20). The TGA is responsible for granting authorization to market pharmaceutical products in Australia and for inspecting and approving manufacturing facilities. Despite TGA having consistent approval times for new drugs, the country often lags behind other developed nations in access to new medicines. In an effort to ensure Australians can access new treatments in a timely manner, significant attention is being given to finding ways to accelerate the reg- ulatory approval process under the TGA. The Australian government is currently considering multiple recommendations, including the creation of accelerated approval pathways for breakthrough medicines and increased harmonization with overseas submissions and regulatory bodies in North America and Europe. Coverage and Pricing New products that receive marketing authorization from the TGA undergo a health technolog y assessment ( H TA) by t he Pharmaceutical Benefits Advisory Committee (PBAC). PBAC is an independent statutory body that assesses clinical and cost effectiveness, as well as incremental cost-effectiveness of individual medicines in comparison to therapeutically similar products. PBAC then makes reimbursement recommendations to the Minister for Health who determines whether t he p r o d uc t w i l l b e f u nd e d through the PBS. Similar to the UK, H TAs in Australia rely on cost per Quality Adjusted Life Year (QALY) to assess cost effectiveness. Unlike the UK’s National Institute for Health and Care Excellence (NICE), however, PBAC has not set a minimum or maximum QALY limit. On one end, this lack of a defined threshold has opened the door for certain high-cost products. On the other end, without a specified QALY limit, manufacturers are less certain on how reimbursement decisions are reached. For instance, in 125 submissions made to the PBAC between July 2005 and November 2006, positive recommendations were granted for products with less than $15,000 per QALY to greater than $200,000 per QALY (21). Select medicines targeting treatable rare and life-threatening diseases (e.g., Gaucher disease, Fabry’s disease) and deemed to be clini- cally effective do not require costeffectiveness assessments. These products are not covered on the PBS, but rather under the Life Saving Drugs Program (LSDP). To date, 10 products that treat seven rare diseases are available through this program (18). When a drug is recommended for listing by PBAC, manufacturers are allowed to enter pricing negotiations with the government. H i stor ic a l ly, t he gove r n me nt h a s s o ug ht a d v ic e f r om t he Pharmaceutical Benefits Pricing Authority, Australia’s drug price watchdog, during these negotiations. In an effort to try to expedite the decision-making process in 2014, however, the government decided to abolish this independent group (22). Pricing negotiations still take into account the advice of the PBAC, particularly in relation to clinical and cost effectiveness, the manufacturer’s proposed price, prescription volumes, the price and use of comparative medicines, as well as information on the product’s costs. Follow ing negotiations, the government may recommend that the proposed price is accepted; further negotiations take place for a lower price or prices within a specific range; or for some products, risk sharing arrangements to be developed and agreed upon. Snapshot of Coverage Decisions and Managed Entry/ Risk-Sharing Agreements Despite efforts by the government to slow the growth of delivering the PBS, new phar maceuticals continue to receive acceptance. In fact, the Abbott Government, which gained power in September 2013, has placed an average of 24 new or amended listings on the PBS per month, compared to eight per month added under the previous government (23). June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621373_BP0615_043.pgs 05.26.2015 23:04 43 ADV Global Market Report Table II: Percent of PBS-listed medicines with managed-entry/risk-sharing agreements by therapeutic class. Therapeutic class % of PBS-listed medicines Cancer/immuno-modulating agents 33.8% Nervous system 15.5% Gastrointestinal/metabolism 9.8% Cardiovascular system 7.0% Other 33.9% The government’s willingness to add reimbursement products, however, does not extend to all therapeutic areas. As seen in other countries that heavily rely on QALYs or other cost-effectiveness measures, manufacturers of new cancer drugs are increasingly being denied coverage, and even when reimbursement is granted, these products are being adopted more slowly and at lower rates. In fact, the average time between marketing approval and national reimbursement decision for a group of recently developed cancer drugs in Australia was reported to be 518 days (vs. 261 days for all non-cancer compounds) (24). More broadly, the high prices requested by pharmaceutical companies have led the government to shift some of the financial risk to manufacturers through impleme nt at ion of ma nage d e nt r y and risk-sharing agreements. As observed in other major markets, including the United Kingdom, most managed-entry agreements t hat have b e e n i mple me nte d bet ween ma nu fac t u rer s a nd the Australian government are non-outcome based agreements (e.g., price volume arrangements and rebate ar rangements). For instance, in 2013, there were at least 71 special pricing arrangements in place, and approximately one-third of these arrangements involved high-priced cancer or immuno-modulating drugs (see Table II) (25). 44 Similar to other markets, health outcome-based agreements have been less common; however, they still remain prevalent. In 2013, 28 medicines were subject to documentation of adequate benefit by some appropriate clinical or biological test for continuation of treatment (25). These dr ugs included the tumor necrosis factor ( T N F-a lpha) inhibitors for rheumatoid arthritis, Crohn’s disease, and severe psoriasis as well as tyrosine kinase inhibitors for several types of cancer. F i n a l l y, t he P B AC ap p e a r s t o s u p p o r t t he i mp l e m e nt a tion of risk-based schemes linking product reimbursement to a requirement for real-world data collection and analysis. To date, however, these types of arrangements have been rather slow to materialize in Australia, a trend observed in other countries as well. In 2012, ipilimumab was recommended for reimbursement for the treatment of melanoma subject to a risk-sharing arrangement (26). Under this arrangement, longter m overall sur v ival benef its would be monitored through a registry and Bristol-Myers Squibb would be required to rebate “the cost difference in performance between observed versus predicted benefits” (26). While the listing was officially announced in 2013, no additional details have been released on any coverage with evidence agreement. Implications for Manufacturers Government-driven price control strategies, greater scrutiny by HTA bodies, projected increased use of generic drugs, and the emergence of risk-based contracting are not necessarily new trends for manufacturers, nor are these trends unique to Australia. In fact, manufacturers are likely already addressing many of these challenges in other markets such as the US and the European Union. There are some important implications that need to be reinforced, however, for manufacturers looking to capture the long-term opportunities of this market and continue gaining coverage for new medicines. The average time from regulator y approval to PBS listing is often cited as a major challenge for manufact urers in this particular market. The opportunity to resubmit applications following a negative decision keeps the door open for ma nu fac t u rers’ products, but also can lead to multiple rounds of submissions before coverage is granted. While manufacturers may not be happy until a more rapid process for coverage decisions is established, a r e c e nt i nd e p e nd e nt r e v ie w reported that the reasons most commonly cited for not recomme nd i ng a n appl ic at ion we re inadequate clinical and/or costeffectiveness evidence provided in the submission (27). Therefore, even though some aspects of the review process are outside manufacturers’ control, t hese compa n ies do have t he power to conduct a comprehensive review of all data generated and confirm that their product is both clinically and economically better than what’s already ava i lable; dec reases mor ta l it y and/or morbidity; makes the care pathway more efficient; and/or reduces the total resources per patient. If robust evidence sup- BioPharm International www.biopharminternational.com June 2015 magenta cyan yellow black ES621379_BP0615_044.pgs 05.26.2015 23:05 ADV Global Market Report p or t i ng t hese c la i m s i s lac king, manufacturers will need to rethink their pricing strategy. Negat ive coverage dec isions are also increasingly hampering the market potential for new and expensive drugs, particularly in cancer. While manufacturers and advocacy groups have been lobbying for the country to adopt a separate fund to fast-track access to cancer drugs, no actions have been taken yet to do so. Moreover, with the recent decision in the UK to scale back their cancer drug fund, the likelihood of Australia setting one up seems low. For now, manufacturers will need to rely on the data described previously herein that represent hard, real-world evidence to back up their claims. Finally, irrespective of the market, manufacturers have traditionally struggled to make the transition from solely being a goods producer to a service provider. In Australia, providers are increasingly pursuing strategies that focus on treating aging patient populations suffering from chronic diseases. Pharmaceutical manufacturers will need to engage differently with providers and find ways to help them manage their patient populations. Manufacturers have opportunities to help providers stratify populations for different risk profiles or treatment responses to better manage scarce resources. One way for manufacturers to bring their disease expertise to bear is through offering service wraps around a particular product (28). These services generally seek to promote ad he r e nc e r e s u lting in bet ter hea lt h outcomes for prov iders and patients and improved ef fec t iveness a nd increased sales for manufacturers. Fur t her more, ma nufac t urers that are able to demonstrate ownership of a therapeutic area through a portfolio of effective produc t s a nd ser v ices may b e in a better position to consider s h a r i n g r i s k fo r p at ie nt o utcomes. AckNOwLedGeMeNt The authors would like to thank Dr. Henry Glennie for his contributions to this article. RefeReNceS 1. J. Sackman and M. Kuchenreuther, Pharma. Technol. 39 (1) (January 2015). 2. J. Sackman and M. Kuchenreuther, Pharma. Technol. 38 (11) (November 2015). 3. J. Sackman and M. Kuchenreuther, Pharma. Technol. 38 (4) (May 2014). 4. A. Topf, “Biotech Healthy, But Still Hurting in Places,” Life Science Investing News, Jan. 23, 2014. 5. OECD Health Data 2013. 6. Australian Bureau of Statistics, Australian Health Survey: first results, 2011–12. ABS cat. no. 4364.0.55.001. 7. Australian Institute of Health and Welfare, Australia’s Health 2014, www.aihw.gov.au/australiashealth/2014/health-system/, accessed March 2, 2015. 8. H. Glennie, Medilink Australia 9. L. Siciliani et al., Health Policy 118 (3) pp. 292–303 (December 2014) 10. S. Harrah, Health Care Around the World: Why Australia is #1.Health Care Around the World, March 31, 2014, www.umhs-sk.org/blog/healthcare-around-the-world-why-australiais-1/Caribbean-Medical-Schools. 11. Industry Report, Healthcare: Australia, The Economist Intelligence Unit, March 2014. 12. Private Healthcare Australia, Private Health Insurance Membership— September 2014, November 24, 2014, www.privatehealthcareaustralia. org.au/private-health-insurancemembership-september-2014/, accessed March 5, 2015. 13. Australian Institute of Health and Welfare, Health Expenditure Australia 2012–13, September 23, 2014, www.aihw.gov.au/ publication-detail/?id=60129548871, accessed March 3, 2015 14. Medicines Australia, Boost for HighTech Pharmaceutical Manufacturing in Australia, November 2014, https://medicinesaustralia.com. au/2014/11/14/boost-for-high-techpharmaceutical-manufacturing-inaustralia/Accessed March 3, 2015 15. Australian Government, Medical Research Future Fund, www. budget.gov.au/2014-15/content/ overview/html/overview_12. htm Accessed March 3, 2015. 16. Global Data, CountryFocus: Healthcare, Regulatory and Reimbursement Landscape– Australia, September 2014. 17. Department of Health and Ageing and Medicines Australia, Trends In and Drivers Of Pharmaceutical Benefits Scheme Expenditure, May 2013, www.pbs.gov.au/ publication/reports/trends-in-anddrivers-of-pbs-expenditure.docx. 18. R. Harvey and R. de Boer, Growth in Expenditure on High Cost Drugs in Australia, Jan. 7, 2015, www.aph.gov. au/About_Parliament/Parliamentary_ Departments/Parliamentary_Library/ pubs/rp/rp1415/ExpendCostDrugs#_ ftn56, accessed March 6, 2015 19. S. Duckett, Australia’s Bad Drug Deal, March 2013, http://grattan.edu. au/wp-content/uploads/2014/04/ Australias_Bad_Drug_Deal_FINAL. pdf, Accessed March 6, 2015 20. Australian Government, Joint statement by Hon Peter Dutton MP, Minister for Health for Australia, and Hon Dr Jonathan Coleman, Minister of Health for New Zealand, regarding ANZTPA, November 20, 2014, www.health.gov.au/internet/ ministers/publishing.nsf/Content/ health-mediarel-yr2014-dutton100. htm, Accessed March 6, 2015 21. K. Markarounas-Kirchmann, “Predicting Successful Listing of Pharmaceuticals on the PBS,” Presentation at the 6thWorld Conference on Health Economics, iHEA 2009, http://kmchealthcare.com/ doc/ihea_poster_presentation.pdf 22. Pharmacy Daily, “PBPA to go in new PBS,” March 10, 2014, https://s3-ap-southeast-2. amazonaws.com/traveldaily/ PD/2014/Mar14/pd100314. pdf, Accessed March 6, 2015 23. Senate Community Affairs Legislation Committee, Official committee Hansard, op. cit., p. 86. Accessed March 6, 2015. 24. IMS Institute, Impact of cost-per-QALY reimbursement criteria on access to cancer drugs, December 2014, www.imshealth.com/imshealth/ Global/Content/Corporate/IMS%20 Health%20Institute/Insights/IHII_ CPQ_Impact_on_Access_to_Cancer_ Drugs.pdf, Accessed March 16, 2015 25. A. Vitry and E. Roughead, Health Policy 117 (3) pp. 345-52 (September 2014). 26. Pharmaceutical Benefits Advisory Committee, November 2012 PBAC Outcomes–Positive Recommendations, www.pbs.gov.au/ info/industry/listing/elements/pbacmeetings/pbac-outcomes/2012-11/ positive-recommendations, accessed March 5, 2015 27. Commonwealth of Australia, Independent Review of the Impact of Pharmaceutical Benefits Scheme (PBS) Cost Recovery, November 2011, www.pbs.gov.au/ publication/factsheets/independentreview-PBS-cost-recovery.pdf, accessed March 16, 2015 28. Numerof & Associates, Inc., “Capturing the Value from Value-Added Services,” PM360, Nov. 21, 2014, www.pm360online.com/capturing-thevalue-from-value-added-services/♦ June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621376_BP0615_045.pgs 05.26.2015 23:05 45 ADV Troubleshooting Stress and Protein Instability During Formulation and Fill/Finish Processes This article reviews factors that affect protein stability at different steps of the product manufacturing process and strategies to minimize their impact on product quality. B iopharmaceutical product manufacturing is a complex process that involves many steps, including drug substance and bulk formulation, filtration, shipping, pooling, filling, lyophilization, inspections, packaging, and storage. During these processes, proteins are subjected to many different forms of stresses, such as agitation, temperature, light exposure, and oxidation. These stresses can lead to protein denaturation and aggregation, which compromises the product quality and can even lead to loss of a production batch in some cases. Testing the impact of these stresses on the drug products and developing the corresponding mitigation strategies are essential to maintaining protein stability during the formulation and fill/finish processes. speed for up to a few days. Samples are taken at different time points to monitor the key critical quality attributes (CQAs) of the protein formulation. Some process development teams prefer use of a pumping study, which resembles the actual agitation stress in the pharmaceutical manufacturing process. In this type of study, the protein formulation is placed in a vessel and circulated in a closed loop by a peristaltic pump with samples taken at different time points. Lastly, a mock shipping study, which simulates the agitation and other stresses during transportation, may also be used. The results from this mock study are also useful to define the shipping logistics and to support future shipping validation studies. AgitAtion Freeze/thaw is another common stress encountered during protein therapeutic manufacturing. Despite all the precautions, accidental freezing during bulk storage or shipment does happen. The storage of a frozen process intermediate, drug substance, or formulated bulk substance demands demonstration of the protein freezing stability. For freeze-dried drug products, freezing stability is a prerequisite for a successful lyophilization process. Also, for a lot of multinational pharmaceutical companies, the drug substance manufacturing, drug product fill/finish, and product release are often located at different sites across the globe. The samples taken during the formulation and fill/finish process need to be shipped from one place to another for characterization or release. Once the samples are received, it may take days for some complex assays, such as peptide mapping by liquid chromatography–mass spectrometry (LC–MS), to be completed. For labile products, these characterization or release samples have to be frozen to maintain their integrity before analyses. Some proteins are prone to freeze/thaw stress, and the process results in protein aggregation, while others are much more resistant. Studies have Agitation is one of the common physical stresses that protein therapeutics are subjected to during the routine manufacturing process. Agitation occurs during mixing, ultrafiltration/diafiltration, pumping, shipping, and filling. The exact mechanism for agitation-induced protein denaturation remains to be established. It has been postulated that agitation can cause protein unfolding at the air-liquid interface to irreversibly expose the interior hydrophobic core of a protein and lead to intermolecular association of nonpolar residues. Polysorbates, despite their inconsistent protective effects against other stresses, are usually effective against agitation-induced protein aggregation. Increase in protein concentration also is reported to decrease aggregation with respect to agitation. The protein susceptibility to agitation stress can be assessed by numerous methods. Besides vortexing and stirring, the shaking study, which is easy to set up and requires a small volume of sample, is commonly used. The shaking study is initiated by placing the protein solution in a Mark Yang is director, late stage container, such as bag, tube, or vesprocess development at genzyme. sel, and shaking it at an appropriate 46 BioPharm International magenta cyan yellow black www.biopharminternational.com Freeze/thAw And time-out-oF-reFrigerAtion June 2015 ES621144_BP0615_046.pgs 05.26.2015 20:52 ADV troubleshooting shown that freeze/thaw-induced protein aggregation is mainly attributed to interfacial adsorption of protein at ice-liquid interfaces. Other factors, such as freeze-induced buffer pH shift and localized cryoconcentration of excipients and protein, may also contribute to the protein denaturation process, because most of these protein formulations contain amorphous excipients and their glass-transition temperatures (Tg’) are usually -20 0C or lower. The -20 0C freezers, even though they are convenient and widely available, should be avoided for protein freezing and storage. Cryoprotectants and surfactants, such as sucrose and Polysorbate 80, are commonly used to stabilize proteins against freeze/thaw stresses. A freeze/thaw study, as the name implies, can be used to assess the susceptibility of protein formulation to the freeze/thaw stress. It is commonly done by filling a sterile plastic tube, freezing to -80 0 C then thawing at 2–8 0C or room temperature for up to 10 cycles. Samples are taken after each cycle and analyzed for protein CQAs. Like freeze/thaw, thermal stress can also impact protein stability, which happens when protein formulations are removed from the 2–8 0C storage temperature and are placed at room temperature for formulation or fill/finish processing. At the elevated temperature, proteins may partially unfold, which often leads to protein degradation and aggregation. For a temperature-sensitive formulation, the time-rtout-of-refrigeration should be recorded and tabulated to limit the combined room temperature exposure during manufacturing processes. An accelerated stability study and a temperature cycling study between 2–8 0C and room temperature can be used to set such a limit. oxidAtion Protein oxidation is the covalent modification of a protein either by reactive oxygen species directly or by oxidative stress indirectly. Several amino acids, such as methionine, cysteine, histidine, and tryptophan are more sensitive to oxidation than other amino acid residues. Protein oxidation often leads to structural change, loss of activity, and a possible increase in immunogenicity. It is important to monitor the degree of oxidative modification of therapeutic proteins during the formulation process. It is known that protein oxidations can be induced by the trace metal ions leached from production equipment, as well as oxygen, which is either from the air or dissolved within the buffer. The most common protein oxidation in biotherapeutic manufacturing processes is caused by peroxides, such as hydrogen peroxide (HP) and organic peroxide. Peroxides can be generated after the formulation is exposed to light. Peroxides can also be introduced into protein formulations by water for injection (WFI), which contains up to ~50 ppb HP based on the author’s testing, and by impurities from some of the commonly used excipients, including polysorbate, sucrose, and sorbitol. In addition, HP can be introduced into protein formulations during the filling process in isolators, which are now widely used due to their increased environmental quality and lower operating cost. The isolator decontamination is normally accomplished by using vaporized hydrogen peroxide (VPHP) at ~700 ppm before being purged extensively with the sterile clean air. However, a trace amount of HP, usually at subppm concentrations, remains in the isolators after the purge and can be absorbed into protein formulations. It is therefore necessary to establish the VPHP exposure limits for protein formulations prior to the filling process. The VPHP exposure limits can be established empirically by exposing protein samples to the theoretical residual VPHP levels in the isolators and monitoring the real-time and accelerated protein stability. June 2015 magenta cyan yellow black Alternatively, a HP-spiking study, where different concentrations of HP (up to a few ppm) are spiked into the protein formulations to evaluate their impacts on protein stabilities, can be performed. If the protein therapeutic is sensitive to oxidation, it may be necessary to lower the residual VPHP level in the isolators by extending the purge cycle or to limit the total residence time of the filled drug vials in the isolators. Light exposure Light exposure is inevitable for protein therapeutics throughout the manufacturing processes, including formulation, filling, inspection, and packaging. Exposure to light can directly cause oxidation of specific amino acid residues in the protein, such as tryptophan, tyrosine, phenylalanine, and serine, and can lead to protein aggregation and inactivation. Indirectly, light exposure can cause protein oxidation by generating reactive oxygen species after first reacted with the buffer or excipients. It is important to assess the photostability of protein drug substance and drug product to ensure that they can endure the normal manufacturing lighting conditions. Photostability is evaluated by exposing a drug product to both visible and UV lights following International Conference on Harmonization (ICH) guidelines, which recommend an exposure dosage of equal or greater than 1.2 million Lux hr and 200 Watt hr/m2 for visible and UV lights, respectively. A systematic photostability testing should consist of both forced degradation and confirmatory tests. Drug product can be presented in the final container/closure system, with or without marketing package, during the exposure. For liquid drug substances or formulated bulks, they should be exposed in chemically inert and transparent containers. www.biopharminternational.com Continued on page 49 BioPharm International ES621143_BP0615_047.pgs 05.26.2015 20:52 47 ADV SEBASTIAN KAULITZKI/GETTY IMAGES BIO 2015 EXHIBITOR GUIDE AND TECHNOLOGY SHOWCASE BIO Convention 2015 EXHIBITOR GUIDE STAY CURRENT ON BIOTECHNOLOGY Visit BioPharm International sponsors that are exhibiting at the 2015 BIO International Convention. See descriptions and booth information below. NEW PRODUCTS AND SERVICES VISIT US AT BIO INTERNATIONAL CONVENTION 2015 Eurofins Lancaster Labs SpectrumLabs.com Abzena Abzena offers a suite of complementary services and technologies through its subsidiaries, PolyTherics and Antitope. Through its portfolio that includes immunogenicity assessment, antibody drug conjugates, protein engineering, PEGylation, and cell line development, it enables the development of better biopharmaceuticals, which will have a greater chance of reaching the market. Abzena, Babraham Research Campus, Babraham, Cambridge, CB22 3AT, UK • www.abzena.com • tel. +44 (0) 1223903498 • info@abzena.com BIO Booth # 4360 SpectrumLabs.com manufactures single-use hollow fiber filters and systems used in tangential flow microfiltration, ultrafiltration, and bioreactor perfusion applications. Spectrum’s new KML™-100 (KrosFlo® MagLev) system is a benchtop Perfusion and TFF system. The system uses a low shear, singleuse, non-pulsating, levitating magnetic pump controlled by the PLC. The KML-100 is a completely integrated system with a color touchscreen to display pressures, flows, weights, and process overview. SpectrumLabs.com, 18617 Broadwick, Rancho Dominguez, CA 90220 • www.spectrumlabs.com • tel. 310.885.4600 BIO Booth # 3200 As a member of Eurofins’ BioPharma Product Testing Group—the largest network of harmonized bio/pharmaceutical GMP product testing laboratories worldwide— Eurofins Lancaster Laboratories supports all functional areas of bio/pharmaceutical manufacturing, including method development, microbiology, process validation, and quality control throughout all stages of the drug development process. Eurofins Lancaster Labs • tel. 717.656.2300 • www.EurofinsLancasterLabs.com NEW PRODUCTS AND SERVICES Hamilton Company Hamilton’s Incyte, viable cell density sensor, enables measurement of viable cells without influence from changes in the media, microcarriers, dead cells, or debris. It is designed for mammalian cell culture, yeast, and high density bacterial fermentation. Its 12 mm diameter, PG13.5 mounting thread, and 120, 225, 325, and 425 mm lengths fit all reactor sizes. Either 2 or 4 sensors connect to the Arc View Controller, which displays, records, and exports measurement data in 4-20 mA, OPC, or Modbus formats. Hamilton Company • tel. 888.525.2123 • www.hamiltoncompany.com 48 BioPharm International magenta cyan yellow black SAFC®. Introducing the next generation in chemicallydefined CHO fed-batch media. This contemporary media and feed platform was developed across a wide range of CHO cell lines commonly used in industrial bio-manufacturing with an emphasis on simple adaptation (regardless of cell bank medium), demonstrated performance with sustained high biomass and maximum titers, and formulations allowing for flexibility to adjust protein quality attributes as needed. For more information or to try a sample, please visit us at www. Sigma-Aldrich.com/CHOperformance, SAFC®. www.biopharminternational.com Tosoh Bioscience CaPure-HA™ from Tosoh Bioscience LLC is for the purification of multiple classes of biomolecules including monoclonal and polyclonal antibodies, antibody isoforms, isozymes, antibody fragments, and the isolation of single-stranded from double-stranded DNA. The highly selective and robust nature of CaPure-HA offers the flexibility to use this resin at any stage in a process from capture to final polishing. Tosoh Bioscience, LLC, 3604 Horizon Drive, Suite 100, King of Prussia, PA 19406 • www.tosohbioscience.com • tel. 484.805.1219 • Info.tbl@tosoh.com June 2015 ES621360_BP0615_048.pgs 05.26.2015 23:03 ADV Running Head Running Head Running Head PRODUCT SPOTLIGHT Downstream Processing—Contin. from page 25 ENVIRONMENTAL CONSIDERATIONS BioPharm: How do environmental variables within the laboratory affect the process of sterilization? Meyer (Sartorius Stedim Biotech): General environmental parameters like room temperature and humidity will not affect the sterilization process itself. For integrity testing, all auxiliary media and equipment should be room temperature. In very rare cases, it has been shown that exposure of stainless-steel filter housings to direct sunlight might interfere with the procedure. The same could happen when hot or cold water is used for performing water intrusion tests. However, this only appears rarely and is not considered a main concern during the filtration process. Neeley (Thermo Fisher Scientific): Sterilization by filtration is achieved when the filtrate passes through the sterilizing (usually 0.2 μm) membrane into a sterile collection vessel. Until this point, the solution is not considered sterile and does not specifically need to be handled as such, unless the work environment requires this to prevent cross-contamination. Therefore, an environment with positive air pressure (e.g., a biological safety cabinet or a clean room) is preferable. ◆ Automated Handwashing System Increases Efficiency MeritechÕs CleanTech 2000SCA Automated Handwashing System delivers a 12-second wash and rinse cycle that removes 99.98% of dangerous pathogens from bare skin and gloves. The compact system features a clean-in-place design and turnstile-controlled access that automatically opens at the end of each handwashing cycle. The system requires 75% less water and soap and produces less discharge waste. A stainless-steel supporting wall and hand dryer or paper towel dispenser can be added optionally. Meritech www.meritech.com Troubleshooting—Contin. from page 47 Because these containers are often different from the actual bulk storage vessels, such as stainless-steel tanks or single-use bags, it is prudent to consider all of these factors during interpretation of the exposure data. The final selection of packaging and storage containers for both drug substance and drug product should be guided by the photostability data. As a general precaution for protein therapeutics, unnecessary prolonged light exposure during storage and direct exposure to sunlight should be avoided. OTHER STRESSES Proteins are heterogeneous macromolecules with delicate tertiary structures and are prone to denaturation by common manufacturing stresses, such as agitation, freeze/ thaw, oxidation, and light exposure. There are other manufacturing stresses that can also destabilize protein therapeutics. Pressure-induced protein denaturation, which is often reversible within a certain range, has been well studied. Proteases, which may present as process impurities in drug substances and products, can cause protein degradation during processing or storage. Early characterization and collaboration with both upstream and downstream teams are essential to identify and mitigate these instability challenges. ◆ Biocompatible pH Sensor Ensures Reliability HamiltonÕs EasyFerm Bio biocompatible pH sensor is designed for cleaning in place (CIP), sterilization up to 140 ¡C, autoclavable temperature up to 130 ¡C, has a pressure range up to 6bar, a 120 mm a-length, and a 12 mm diameter. The sensor is made with pH glass and a reference HP-Coatramic diaphragm, and can withstand frequent autoclaving, steam sterilization, and CIP. The sensor has a measuring range from pH 0 to 14 with a NTC 22 kOhm temperature sensor. Hamilton www.hamiltoncompany.com June 2015 www.biopharminternational.com BioPharm International magenta cyan yellow black ES621170_BP0615_049.pgs 05.26.2015 20:53 49 ADV mAbs Development Update treat cancer patients, and Selexis, which has technologies for biologics drug discovery and Research Cell Bank (RCB) development, received a EUREKA Eurostars grant of €2.1 million (USD 2.33 million) to develop bispecific antibody combination products for the treatment of colorectal cancer, the companies announced on May 20, 2015. In the program, Merus and Selexis will combine their unique and proprietary Oligoclonics and SUREtechnology platforms, respectively, to develop a product combining two, bispecific, full-length immunoglobulin G antibodies that simultaneously targets and potently inhibits three receptor tyrosine kinases. The lead Oligoclonics candidate was discovered as part of a previous EUREKA program and will be produced from a single manufacturing cell line developed by Selexis. Pfizer Announces PCSK9 Competitive Grants Program Pfizer announced on Apr. 9, 2015 that it will fund a new competitive grants program to support research investigating the role of proprotein convertase subtilisin kexin type 9 (PCSK9) in cardiovascular disease. PCSK9 inhibitors drugs are thought to maintain cholesterol homeostasis. The program, which is an extension of the Advancing Science through Pfizer Investigator Research Exchange (ASPIRE), will provide grants of up to $100,000 to uncover new insights about PCSK9, including its role in lipoprotein metabolism, how it interacts with the immune system, and its potential role in the treatment of infectious diseases and vascular diseases, among many other areas of research. “It is our earnest desire that the research projects selected will advance the current understanding of PCSK9 biology and, in this way, contribute significantly to the next generation of potential therapies targeted to cardiovascular diseases,” said Professor John Chapman, director emeritus of the Dyslipidemia and Atherosclerosis Research Unit of the National Institute for Health and Medical Research (INSERM) at the PitiéSalpétrière University Hospital in Paris, France, in a press release. Preliminary studies have shown that these investigational monoclonal antibodies (mAbs) significantly reduce the incidence of cardiovascular events in patients with hypercholesteremia and are associated with an approximately 60% reduction in low-density lipoprotein (LDL) cholesterol when compared with the current standard of care. Amgen’s Repatha (evolocumab) and Sanofi and Regeneron’s Praluent (alirocumab) will be fierce competitors in the PCSK9 space. Praluent was granted Priority Review by FDA on Jan. 26, 2015 and its target action date is July 24, 2015. Repatha’s action date is shortly thereafter, while Alnylam and Pfizer’s candidate, bococizumab, is still in Phase III trials. According to many payers and pharmacy benefit managers, PCSK9 inhibitors could be the highest-selling class in history—and these hypercholesterolemia products are projected to cost $10,000 or more per patient. 50 BioPharm International magenta cyan yellow black www.biopharminternational.com A case report published on Apr. 20, 2015 in the New England Journal of Medicine investigating the use of monoclonal antibodies Yervoy (ipilumumab) and Opdivo (nivolumab) found that the combination of drugs reduced the tumors by 80% in more than half of melanoma patients. Even though there were only 13 patients in the Phase I trial, the researchers observed a “remarkable” tumor response in one patient whose large chest-wall melanoma almost completely disappeared in three weeks after only one dose of the drug combination. While the results of the immunotherapy treatment are impressive, the study investigators warn that they have concerns about the “overly vigorous antimelanoma” response they observed and say that “such an antitumor effect occurring in a transmural metastasis in the small bowel or myocardium, common sites for metastatic melanoma, could have grave consequences.” Despite these warnings and a treatment delay due to a rash, the patient in question who had remarkable results has resumed treatment. The results of the case study were published alongside a larger double-blind study involving 142 patients with metastatic melanoma with BRAF V600 wild-type tumors. In that study, 61% (44 of 72) of patients receiving the drug combination of Yervoy and Opdivo responded to the drug, and 22% (16 patients) reported a complete response. Eleven percent (4 of 37 patients) in the group that received Yervoy and placebo showed a response of some kind, indicating that the combination of drugs is more efficacious than Yervoy alone. Progression-free survival was also significantly higher in the Yervoy/Opdivo group than in the Yervoy group alone. The success of the drug combination of Yervoy and Opdivo comes at a price, however, as serious drug-related adverse events were reported in more than half of patients in this arm (54%), which is significantly more than the 24% of those on Yervoy plus placebo who experienced side effects. Stocktrek Images/Getty Images Merus and Selexis Receive Grant for Combination of Yervoy and Opdivo Shrinks Melanoma Tumors Bispecific Antibody Therapeutics Merus, which develops bispecific antibody therapeutics to Drastically in NEJM Case Report Ad Index Company ANTITOPE LIMITED BD BIOSCIENCES BIO INTERNATIONAL CONVENTION EMERGENT BIOSOLUTIONS CATALENT PHARMA SOLUTIONS EMD MILLIPORE EUROFINS LANCASTER LABORATORIES GE HEALTHCARE LIFE SCIENCES HAMILTON CO SAFC BIOSCIENCES SIGMA ALDRICH SPECTRUM LABS THERMO FISHER SCIENTIFIC TOSOH BIOSCIENCE WOODLEY CLINICAL TRIALS Page 7 11 21 15 52 13 5 17, 27 9 51 Cover Tip 33 2, 37 19 June 2015 ES621923_BP0615_050.pgs 05.27.2015 14:50 ADV CELL CULTURE PERFORMANCE NEXT GENERATION MEDIA PLATFORM EX-CELL® ADVANCED™ CHO FED-BATCH SYSTEM Introducing a next generation, chemically-defined CHO fed-batch media platform from SAFC. Developed across a range of widely used industrial CHO cell lines, this newest portfolio media delivers exceptional titers and economic efficiencies. Adaptation is simple. Celebrate performance and accelerate your bio-development process. Celebrate finding the one: sigma-aldrich.com/CHOperformance Cat. Nos: 14366C, 24366C, 24367C, 24368C ©2015 Sigma-Aldrich Co. LLC. All rights reserved. Sigma-Aldrich, SAFC, and EX-CELL are trademarks of Sigma-Aldrich Co. LLC, registered in the US and other countries. magenta cyan yellow black ES622153_BP0615_CV3_FP.pgs 05.27.2015 20:31 ADV biologics smart biosimilar development. integrated solutions. faster to market. + 12 5 + 550 CELL LINES available for biosimilar development MARKETED BIOSIMILAR PRODUCTS utilize GPEx‰ technology (40% of marketed mAbs) BIOLOGIC DEVELOPMENT PROGRAMS ʺ 2015 Catalent Pharma Solutions. All rights reserved. analytical, antibodies and protein programs combined magenta cyan yellow black FLEXIBLE PROGRAMS INTEGRATED SOLUTIONS PROVEN EXPERTISE Robust portfolio of high-expressing cell lines using GPEx ‰ technology. Fast, customized development of high-yield, stable pools for evaluation. Comprehensive analytical services for characterization and GMP activities. State-of-the art biomanufacturing singleuse system. Tailored, comprehensive biosimilarity analysis services. Leading expertise with clinical trial supply, reference sourcing, blinding and packaging. 40% of marketed biosimilar mAbs utilize GPEx ‰ technology, 5 marketed commercially. Analytical services provided for 150 NBEs, 25 biosimilars. 20+ year track record in analytical and fill/finish programs. Catalent. More products. Better treatments. Reliably supplied.™ us + 1 888 SOLUTION (765-8846) eu 00800 8855 6178 catalent.com/biologics ES622140_BP0615_CV4_FP.pgs 05.27.2015 20:31 ADV