October 2013 Instituto Butantan | 0 OUTLINE • Introduction about the Instituto Butantan • Infrastructure at Instituto Butantan • Translational medicine at Instituto Butantan Instituto Butantan | 1 ABOUT US The Instituto Butantan is a biomedical research and biological product manufacturing center founded in 1901. Mission: “To develop research and products that contribute with health access, and to share knowledge with the society” Instituto Butantan | 2 IMMUNOBIOLOGICAL PROGRAM OF BRASIL • Self-sufficiency as a public policy in Brazil since 1984 • It is incumbent upon the Unified Health System (… ) to participate in the production of drugs, equipment, immunobiological products, blood products and other inputs. (Federal Constitution of Brazil, Art.200) • National Immunization Program is the major customer of products from public manufacturers licensed by the national regulatory agency (ANVISA) Public manufacturers • Sera and immunoglobulins • Vaccines • Blood derivatives (projected) • Biological drugs (ongoing) • Synthetic drugs Instituto Butantan | 3 OUR PRODUCTS – Sera and immunoglobulins 400.000 vials per year Anti-Bothrops (pentavalent) serum Anti-Bothrops (pentavalent) / Anti-Lachesis serum Anti-Bothrops (pentavalent) / Anti-Crotalus serum Anti-Crotalus serum Anti-Micrurus serum Anti-Tityus serum Diphtheria antitoxin Tetanus antitoxin Anti-Loxosceles/ Anti-Phoneutria /Anti-Tityus serum Botuline (A&AE) antitoxin Anti-Lonomia serum Anti-Rabies serum Instituto Butantan | 4 OUR PRODUCTS – vaccines 150 millions of doses per year Diphtheria-TetanusPertussis (whole cell) Diphtheria –Tetanus (DT/Td) Rabies Hepatitis B Influenza Instituto Butantan | 5 PIPELINE PRODUCTS In partnership with other manufacturers and institutions Rotavirus (pentavalent) vaccine – NIH-PATH Dengue (tetravalent) vaccine – NIH DPT(low)/HBV/HiB – Biomanguinhos Blood derivatives - Silica (adjuvant) – Hemobrás Cristália Pneumococcus vacc.– Children’s Leishmaniasis vaccine – Infectious Pulmonary surfactant – Diseases Research BR Foods BCG-Pertussis recombinant – Inst. Pasteur/Novartis/ A. Einstein Coll. of Med. MPLA adjuvant OncoBCG recombinant – Universidade de São Paulo Haemophilus influenzae B vacc. Hospital Harvard-PATH NecatorSchistosoma vacc.– Sabin Vacc.Inst./ GWU HPV vaccine – Merck Sharp & Dome Hep A vaccines – Merck Sharp & Dome > 50 PATENTS Instituto Butantan | 6 OUTLINE • Introduction about the Instituto Butantan • Infrastructure at Instituto Butantan • Translational medicine at Instituto Butantan Instituto Butantan | 7 SCIENTIFIC RESEARCH AND DEVELOPMENT 21 research laboratories 1 Biotechnology center 1 Hospital specialized in Envenomation treatment 1 Housing and care facility for research animals +150 Researchers (PhD level) 500 Postgraduate students 2 Postgraduate MSc/PhD programs (Toxinology and Biotechnology) Instituto Butantan | 8 MANUFACTURING 7 Main manufacturing plants Serum. Quality control . Formulation , filling and packaging. Anaerobic vaccines and anatoxin purification (tetanus and botulism) Aerobic vaccines (diphtheria and pertussis) Hepatitis B Influenza Rabies Blood derivatives (in process) 6 Pilot plants 1 Farm with 600 equines + 2 third part farms Instituto Butantan | 9 CLINICAL TRIALS AND PHARMACOVIGILANCE Clinical trials Design and analysis of clinical studies Electronic Data Capture (21CFR11) & Risk-based monitoring system Partnership with University Hospitals research centers Pharmacovigilance Collaboration with the National Immunization Program Safety Data Exchange Agreements with partner manufacturers. SAC – Consumer Service Instituto Butantan | 10 DIFFUSION AND CULTURE 4 Museums 300.000 visitors per yeas Didactic materials Courses and trainings Instituto Butantan | 11 OUTLINE • Introduction about the Instituto Butantan • Infrastructure at Instituto Butantan • Translational medicine at Instituto Butantan Instituto Butantan | 12 R&D of new products Demand pull Idea Tech. R&D Technology Candidate Product R&D Transformation Product Product life cycle Supply push Instituto Butantan | R&D infrastructure at Instituto Butantan Partners Basic research labs Academic interface Technology Pre-clinical GLP labs Pilot plants (cGMP) Clinical trial sponsor GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle Partners Instituto Butantan | Sanofi-Pasteur/Butantan influenza vaccine tech transfer Demand pull MoH Sanofi-Pasteur Technology Pilot plants (cGMP) GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle Instituto Butantan | NIH/Butantan Dengue vaccine R&D process Demand pull MoH/DVI Technology Pilot plants (cGMP) Clinical trial sponsor GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle NIH/NIAID Instituto Butantan | Butantan pulmonary sufactant R&D process Demand pull MoH Basic research labs Academic interface Technology Pre-clinical GLP labs Pilot plants (cGMP) Clinical trial sponsor GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle Instituto Butantan | Butantan/Cristália Silica adjuvant R&D process Basic research labs Academic interface Technology Pre-clinical GLP labs Pilot plants (cGMP) Clinical trial sponsor GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle Supply push Cristália Instituto Butantan | Butantan MPLA adjuvant R&D process Basic research labs Academic interface Technology Pre-clinical GLP labs Pilot plants (cGMP) Clinical trial sponsor GMP industrial plants Pharmacovigilance Clinical trial sponsor Transformation Product life cycle Supply push Instituto Butantan | SUMMARY • The Unified Health System of Brazil is creating a vertical integration aiming self-sufficiency in vaccines and immunobiologicals • Public manufacturers, such as Butantan, have infrastructure to develop and partner from tech transfer to technological/product R&D • Capacity is not restricted to supply but also pointed toward development of new products for the Unified Health System Instituto Butantan | 20 Av. Vital Brasil, 1500 - Butantã São Paulo – SP Zip Code - 05503-900 (+ 55 11) 2627-9300 www.butantan.gov.br Instituto Butantan | 21
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