Journal of Scientific & Industrial Research Vol. 62, June 2003, pp 554-572 The Rules for Handling Transgenic Organisms and Biopharmaceuticals Produced Therefrom in India * P K Ghosh " C2BISA, Janakpuri , New Delhi 110058 Received: 25 September 2002; accepted: 06 March 2003 The Indi an go vernment created and promulgated the rul es and procedures for dealing with genetic' ll y modified organisms and products thereof in 1989 and these rules were enacted under the Indi an Environment (Protecti on) Act (EPA) 1986. In order to ease the enactmen t of the rules, the recombinant DNA (rONA) safety guidelines were made subsequ entl y by the Indi an go vernment from the Department of Biotechnology in 1990, which were revised twice incorporating th e latest revision up to September 1999. The rules al so defin e admini strative structures and procedures for handling ali kinds of rONA products and substances. Within the rules, certain rONA mi croorgan isms have been authorized for use for the producti on of therapeutic bi oactive proteins. Cu rrentl y, four rONA products are being produced locally and 12 in niJmber are consumed in the market. Ind ian market is fed by local production as well as by imports. The first transgeni c plant, an insect resistant cotton, was authori zed for co mmerciali zati on in 2002. The use of GMOs and products thereof require generation of environ mental safety as well as food safety data under the Indi an EPA. Familiarity with the rules and guidelines enables entrepreneurs to facilitate the market introduction process. The paper describes the infor mation needs, the administrati ve str ctures and the step by step procedures required to be fo ll owed under the rules by entrepreneu rs for introduci ng GMOs and prod ucts thereof in Indi a market. Key words: Transgeni c organi sms, Biopharmaceuticals, rON A, GMOs, GMO handling Introduction Biotechnology encompasses techniques appli ed to organisms or parts thereof to produce, identify or design substances, o r to modify organisms for specific applications. Cell fusion techniques, hybridomas, recombinant DNA (rONA) technology for rONA vaccin es and Bioactive prote ins, protein engineering an d structure based molecular des ign are considered as mod ern biotec hnology . Emanating from the above, the s tru ~ tural and functi onal genomics complemented with co mputer-aided informatics and biochips are making fa st inroads into the frontiers of modern biotechnology. Di fferentiated stem cell proliferation and animal cloning techniques are developing very fast. In addition , several technology platforms that have emanated from increased understanding of * Views expressed in the paper are those of the author and they do not necessaril y express the views of the organi zation to which the author belongs. .. Former Advi sor, Department of Biotechnology, Go vernment of India Presen.tly, Freel ance Consultant in Biotechnology Email: [email protected] signal tran sduction pathways of cells and ti ssues, ce ll based immune rejections , t i sue eng ineerIng, proteomics, bio-informatics inclu d ing bio-chips and genomic sequencing of organisms ; a ll these areas ho ld great promise for providing new biotech products that wou ld have wide application s. Conventional biotechnology includes fermentati n or conversion of substrates into des ired products by bi o logical processes; downstream process in g for reco very of metabolites; use of microbes or enzy mes for producing value added products; se ra , vaccines and di agnostic s produced by conven ti onal meth ods; re production, artificial inse mination and embryo tran sfer technology for animal breeding ; meth ods for fish spawning induction ; plant cel i oI' tissue culture; plant breeding for producing better seeds or plant cultivars; bio-fertilizers; bio-pest icides; plant growth stimulants ; extraction, and iso lati o n of act i ve principles from plants or animals or parts th ereof, etc. Worldover, no sector of industrial activity was specifically designated as biotechno logy industry per se before the early 70s although co nventi onal fermentation based industry was at its peak , especia ll y GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - in the production of antibiotics, enzymes, fermented beverages, certain organic chemicals, and biochem icals. Viral and bacteri al vaccines were also produced by mUltiplying the target microorgani sms (v iruses) in specific pathogen free eggs or in certain safe cell lines or in defined biological media. The products were used as such or after inactivation. This scenari o fast a ltered with the rapid advances in geneti cs, microbiol ogy and immunology at the molecular leve l. The techniques of splicing and reco mbin ation of nucl eotide sequences at specific si tes, the discovery of vec tors for transporting transnucl eotide sequences to organisms and stabl y integrat in g compos ite cassettes comprising promoters, genes, enhancers, markers, and terminators into the chromoso mes or through shuttle vectors, there by enablin g the express ion of tran sgenes into unrelated hosts brought revo luti on to the understanding of biology of organisms. The Polymerase Chain Reaction (PCR) and the acco mpanying knowledge about the meth ods of magnification of nucl eotide sequences enabled the production of large quantiti es of hered itary materials at ease. The combined effects of these deve lopments resu lted in the birth of modern biotechno logy industry which started during the mid70s and spanned up to the late 90s at a hurricane speed, as manifested by the production of a large number of highl y potent bioactive prote ins including hormones, cytokines, thrombolytic agents, growth promoters, and regulatory molecules of several vital physiological functions that revolutionized human therapy. In agriculture, transgenic plants emerged that were resistant to certain viral and so me other microbi al diseases. Plants were produced that were res istant to herbi c ides. Certain transgenic plants were developed that had improved traits like enhancement in vitamins or precursors, enrichment in certain amino ac ids or reduction in unwanted metabolites. Thi s situ ati on continues to unfold newer frontiers of knowledge and technology in pharmaceutical s, agriculture, bio-chemicals, foodstuffs, and environment management issues. Presently the advancements in stem cell research, production of biochips to unders tand genomics and proteomics, adva nces in bio-informati cs, xeno-transplantation s and organ/tissue revival method s in pharmaceutical s are brin ging about newer hopes of prolonging healthier lives with enh anced longev ity in humans. Transgenic plants also hold enormous potential for increasin g productivity and reduc ing production costs in agriculture. RULES 555 The upstream capabilities acquired by human kind in modern biotechnology have brought in newer questions of safety with reference to the environment as well as human and animal hea lth . These have resulted in the e mergence of newer regul atory laws and closer scrutiny of the genetica lly modifi ed organisms/substances on a case-by-case bas is. The consequent requirement of tes ting for approval s from regu latory authorities, market ing meth ods and production techniques have also undergone a sea change the worldover. Th e developing countri es are often not able to keep pace with the ad vancements and technol ogica l changes required to be acquired and es tabli shed within their territory when co mpared with the progress in the devel oped nat ions. Modern biotechnology industry is thu s causi ng the creation of a wide divergence in the techn ological ski ll s and consequently economic disparity between the developed and the developi ng nations. The developing countries can bridge these gaps considerably if they concentrate on generating and updating human skill s, in stall sophi st icated infrastructure for biotech research, and de liberate ly channel efforts in specifi c need-based eco nomic activities in their territori es . In additi on, training of personnel abroad and creating hi gh culture of alli ance with industries within and outside the ir territory along with pronounc ing policies for promoting loca l industrial development may he lp to sa lvage the growlllg gap. Consumption Scenario of Biotech Products in India India has been practis ing conventi onal biotechnology for several decades . Products manufactured by the use of genetic engineering, immunological techniques, cell culture methods and hybridoma technology are increas in gly be ing used during the past 10 y and local research in these areas has been intensified . Table I g ives th e curren t consumption and future demand of biotech products in India' . Modern biotechnology is rather new to India. Th e current consumption of modern biotech products is about Rs 5 billion , of which only about Rs 1.4 billion worth of products are produced loca ll y. In 200 I , India was producing three recombinant DNA products from basic stage using its own tec hn o logy ; these were hepatitis B vaccine, erythropoi et in and GCSF (Granulocite Colony Stimulating Factor). In SS6 J SCI IND RES VOL 62 J UNE 2003 Table 1- Past co nsumption of biotech products in India and future consumpti on estimates (Rupees in million ) Parti cul ars of biotech sub-sec tors Ac tu al consump ti o n Future cons um-ption estimate Future consumption estimate 2000 2005 2010 I Human and animal hea lt h care prod ucts 32700 (37.5) 35320 (376) 93540 (40.0) 2 Agriculture (includin g traded seeds) 26200 (30.0) 28880 (30.7) 78720 (33. 7) 3 Indu stri al products 27320 (3 1.3) 28500 (30.3 ) 53 590 (229) 1080 ( 1.2 ) 1300 (0 1.4 ) 7940 (3.4) 87300 ( 100) 94000 ( 100) 2337 90 ( 100 ) 4 Other biotech product s Total In million US $ 1850 2 186 4270 (Fi gures in brackets indicate contributions in percentage of th e total ) 2002, Indi a has introd uced anoth e r o ne product, namely inte rfe ro n a lph a 2 b and may introd uce a nothe r one reco mbin ant DNA produ ct in the hea lth care sector name ly human in sulin . In agriculture, genetically modifi ed in sect resistant hybrid cotto n seeds we re approved and in troduced in the country in early 2002. More products would be introd uced in nea r future. There is littl e doubt th at th e production and consum pti o n of modern biotech products would in c rease ve ry fast, as suc h produ cts ho ld great pote nti a l for providing much better so luti o ns to improve th e hea lth of people or th e quality of life, improve agricultural productivity s igni fica nt ly along w ith suppl y in g more nutrItI ous food, produce industrial bio-products at much c heape r prices and improve the quality of e nvi ro nme nt more effective ly on a susta inab le basis . Why Reglllations are Necessaryfor Using CMOs and Products Th ereof? It is expec ted that the Genetically M odifi ed Orga ni sms (GMOs) a nd produ cts thereof will pl ay an important role in the economi c uplift ing of th e cou ntry in its va ri ous facets of app li cati ons inc ludin g human and anima l hea lth care syste m, agriculture, industrial products, and env iro nme nt management. Concurre ntl y, it is a lso realized that there could be unin tended haza rd s a nd risks from the use of GMOs and produ cts the reof, if the new technology was not 2 J 1J prope rl y assessed be fo re use . . • A gene co nstruct compris in g a host-compatible-promoter, a gene of interest anJ a te rmin ator seq ue nce or a polyadeny lati on seq uence is integrated in a stab le manner into th e genome of th e o rganism/ce ll line for th e target ge ne to be exp ressed a nd stab ly inh erited. A GM organism can be safe but this can be un safe too . This will depend upo n the tran s-ge nes, the host orga nism and the e nvironmen t wh e re the GMO is be ing tested. GMOs ca n be microo rgani s ms, p lants , and anima ls. Products made from GMOs can have contami na nts, s uch as tran sge nic nuc leo tid e seq ue nces, tra nsgenic prote in s and lipid s, w hi ch may come from the hos t orga ni sms and may rema in e mbedded within th e fin is hed products. Post translati o na l modifica ti o n of the protein wh ic h is host dependant is a lso a factor to be eva lu ated for safety . Finished products containin g unwanted material s may create adverse reactions w he n used. This is particularly the co ncern when the products are used as pha rmaceuticals or food. Biopharmaceuti ca l products prod uced by reco mbin ant DNA technology are usually used by inj ectab le rout e where tran snu c leotide seque nces e ntering into ce ll s cou ld ex press or get themselves integrated . C o nseque ntly th e concern of safety becomes mo re pro noun ced. Therefore. a case-by-case ana lys is of th e safety of eac h GMOs a nd products th e reof need to be conducted to assess the ir safety. Whe never GMOs a re re leased into the o pe n e nviro nment they require to be eva lu ated from enviro nmenta l safety as we ll as from safety to human a nd animals . Keep ing th ese in view th e Indi a n Government had enacted the Env ironment (Protection) Act 2 in 1986 and th e reafter, notified Rul es & Proced ures (R ul es) for hand lin g GMOs and haza rdou s o rgani sms through a Gazette Noti ficat ion No. G.S.R. 1037(E) dated S.12.19 89 fro m th e U ni on Mini stry of Environme nt & Forests". T he Rul es cover all kind s of GMOs and products th ereof, which are GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - RULES co ntroll ed co mmoditi es for handlin g and use in the country unde r the EPA. Guidelines have thereafte r been framed in order to facilitate th e enactment of th e Rul es 4. 6 . The Rul es and th e Guide lines apply concurrently to genetically modified organisms and the products deri ved o r produced the re from. Indian EPA Implementation Structure for GMOs The Indian EPA and Rules define Competent Authorities and compos itions of suc h Authorities for th e hand lin g of a ll aspects of GMOs and products thereof. The GMOs inc lude microorgani sms, pl ants and anima ls. The produc ts produced from GMOs are also covered unde r the Rul es. Presentl y, the re are s ix co mpetent authorities unde r the Rules . The Rul es define the board responsibilities and auth oriti es of the competent authorities 3. The re a re 20 para in the Rul es 1989. Different paras dea ls with differe nt as pec ts of th e Rul es. Eac h para can a lso be des ig nated by suffixing the number of the para and by prefixin g the word Rule for ide ntifying the m. These rules need to be familiar to peop le dealing with GMOs and produc ts thereof. Their ap plicability as well as implications has been di scussed by the author e lsewhe re, es pec ia ll y in the co ntex t of transgenic crops7.'). The Rul es, Authorities and Administrative structures are dep icted in Figure I . Indian Scenario on Transgenic Research in GMOs and Products Thereof Microorganisms Efforts are being made to co nstruct transgeni c microorganisms that code for bioactive therapeut ic proteins. Transformed E.co li cod in g for severa l recombinant proteins, suc h as interferons, interleukin s, human growth ho rmo ne, bov ine gro wth hormone, g ranul ocyte colony st imul atin g factors, human pro-insulin, human ep iderma l growth factor, streptok in ase, and reco mbinan t hepatiti s B vaccine are bei ng experimen ted upo n in different laboratori es in the country. Transformed Pichia pastoris has been used for commercial production of recombin ant inte rferon a lph a 2 b in the cou ntry. Other recombinant yeast spec ies of Saccharomyces cerevisae a nd Hanseneulla po lymorp ha have been modi fied to code fo r spec ific th e rapeuti c proteins. Hepatitis B surface ant igen gene has been coded in these yeast o rgani sms and the anti gen has been iso lated and formulated into dosages form for use as vacc ines to protect human agai nst Hepatitis B. Such vaccines are being 557 commercially made in this country. These products have been tested for safety unde r the Indi a n EPA and these have bee n found to be safe. Genetically modifi ed cholera microorgani sm is being eva lu ated for its safety as we ll as efficacy; a non-virul e nt strain of Vibrio c ho le ra was iso lated from natural sources and an immunoge nic gene coding for a no n toxic protein was incorporated into it to make th e stra in responsibl e for e liciting immunogeni c res po nse and for producin g antibodi es to it. Genetically modified fungi be longing to Aspergillus spp. are being experimented upo n fo r th e production of va lu e added e nzymes. All suc h mi c roo rgani sms a re a lso tested for e nvironmenta l safety (in case of acc ide nta l re lease in to the open environment) as well as for human safety unde r the Indi an EPA. The re are severa l recombinant products th at are being marketed'O in India includin g a few produced loca lly as stated earli er. T ab le 2 provides the necessary deta ils. Plants The first transgenic plant experime nt in the field was started in 1995 when Brassica jUllcea plants containing Bar gene regu lated wi th plant spec ific constituti ve promoters a nd linked with Barnase and Ba n tar genes regulated with floral ti ssue specific promoters were planted at Gurgaon (Harya na), India, under contained conditi o ns. These studi es were conduc ted to assess the ex te nt of pollen escapes.'! . Indian results of pollen escape stud ies were co ns istent with earli er reported studi es". Subsequently, severa l experime nts have been started in Indi a in the field in different 10cati o'1 s u sing transgeni c mustard, cotton and to mato . Several Indian institutes and organizati o ns have claimed to develop transgenic plants, which are ready for g reen house/ poly-house eva lu ation a nd some are ready for field evaluat ion as 7 we ll . Animals Work o n transgenic anima ls ca rri ed out in India is yet at rudimenta ry stage. Lab experiments have been conducted to produce transgeni c mi ce conta in ing different kinds of genes including growt h hormone ge nes. Certain marker ge nes have a lso been utilized. Genes th at code for subs tances that produce luminescence were introduced in s il kworms and glowi ng in sects were developed at lIS c Bangalore; this work on ly reinstated that these orgalll sms are VI VI 00 Rules aulhorizing "ariou~ as perts of handling GMO's & products R:combinant DNA Advisory COmmiuee (RDAC) - Recommends on Policy issues to GEAC and Rul, 7. Approval for individuals for handling GMO's &: products thereof RCGM ~ Led to the creation of Rules & Structures for handling GMO's Ministry of Env & forests(GOI) Notification no. 1037(E) dated 5-\2-\989 & Guidelines of DBT amended upto 24-9-\999 AUlhorities & Administrative structure Review Conunitt.. 00 Genetic Manipulation (RCGM): National Poltey making & implementing body for GMOs. Directs generation of environmental and food safety data for GMOs and products tbere<>f. Advises GEAC. Can set up monitoring committees. 1 CIJ o z " ;;0 tTl CIJ or< 0N ..... C Z tTl District Level Committee (DLe): For tTlOIlitoring distiicl IC'r'd exposure & use of GMOs and products thereof Figure I - State Bioteclmology Coordination Committee (SBCC). State le\'el Commillee for monilonng ertvuorunenl safety & food «[ely Genelic Engineering Approval Committee (GEAC): National Authority for Large scale Reseat"h & cOlnmercialization ofGMOs & products ther<of Advises & cOQ(dinates Activities with S9CC The rul es, aUlhoril ies and adminis trat ive st ru ctures for dealing with GMOs and prod uctgs th ereof 1 N g '-' GHOSH : HANDLING TRANSGENIC ORGANISMS & BIOPHARM ACEUTI CALS - 559 RULES Table 2- Recombinant DNA dru gs available in Indian market Company Strength MRP (in Rs) I Human Insulin (i) Huminsulin -R Eli Lil y & Co. (ii ) Huminsulin-N Eli Lily & Co. (iii) (iv) (v) Huminsu lin-L Huminsulin-U Huminsulin 30:70 Eli Lily & Co. Eli Lily & Co Eli Lily & Co (vi) (vi i) Huminsulin 50: 50 Humalog Eli Lily & Co El i Lily & Co (vi ii ) AClrapid HM Penfill Novo Nordi sk 10 mL, 40 iu /mL 10 mL, 100 iu /mL 5X3mL cartridge, 100 iu/mL 10 mL, 40 iu/mL 5X 3mL cartridge, 100 iu/mL 10 mL, 40 iu/ mL 10 mL, 40 iu/ mL 10 mL, 40 iu/mL 10 mL, 100 iu/mL 5X 3ml cartridge, 100 iu/mL 10 mL, 40 iu/mL 10 mL, 40 iu/mL 5X3mL cartrid ge, 100 iu/mL 3mL cartridge, 100 iu/mL 206.00 398.00 990.00 209.00 990.00 206.00 206.00 209.00 398.00 990.00 206.00 375 .00 1920.00 993.69 (ix) AClrapid Novo lel Novo Nordisk 3X5 mL (pack of 5) 124.7 1 (x) Human Actrapid Novo No rdisk (x i) (x ii) (x iii ) Human In sul alard Insul alard HM Penfill Human Monolard Novo Nordi sk Novo Nordisk Novo Nordisk (xiv) I-Iuman Mixlard Novo Nord isk (xv) Human Mi xlard 30 Novo Nordi sk 10 mL, 40 iu/mL 10 mL, 100 iu/ mL 10 mL, 40 iu/mL 5X3 mL cartrid ge 10 mL, 40 iu/mL 10 mL, 100 iu/mL 10 mL, 40 iu/mL 10 mL, 100 iu/mL 10 mL, 100 iu/mL 197.56 508. 15 195.69 99 1.50 197.52 508. 15 197 .52 508 . 15 508. 15 (xvi) Human Mix lard 50 Novo Nordi sk (xvii ) Mi xlard 30 HM Penfill Novo Nordisk 10 mL, 40 iu/mL 10 mL, 100 iu/mL 3 mL penlill 100iu/mL 197.62 5 17. 35 834.00 (xvii i) (x ix) Mi xlard 50 HM Penfill Novo Nordi sk 3 mL cartridge 100 iu/mL 993 .69 Human Faslacl USV 10 mL, 100 iu/mL 199.24 (xx) Human Longacl USV 10 mL, 100 iu/mL 200.94 (xxi ) Huma- Mixacl USV 10 mL. 100 iu/ mL 199.46 (xx ii ) Human Rap idica Sarabhai 10 mL 40 iu/mL 189.84 (xx iii ) 10 mL 40 iu/mL 19004 SI No. Brand Human Prodica Sarabhai (xxiv) Human Zi nul in Sarabh ai 10 mL 40 iu/mL 189.84 (xxv) Human Rapimix Sarabhai 10 mL 40 iU/IllL 190.02 (xxvi) Insuillan Rapid HMR 10 mL 40 iU/IllL 2 17.68 (xxvii ) In suillan Bflsa l HMR 10 mL 40 iU /IllL 2 17.6R 2 Erylh ropoietin (i) Ep rex Ethnor I IllL - 2000 iu/mL I mL - 4000 iU/IllL 890.00 1690.00 (ii ) Heillax Hi nd ustan Antibiotic (iii) Epox Wock Hardl Mcrind (iv) Zyrop Zydus B'iogen ( v) Vintor Eillcure I mL - 2000 iu I mL - 4000 iu 0.5 mL 2000 iU/IllL I mL 4000 iu/MI 2 IllL - 2000 K 2 IllL - 4000 K Vi al - 2000 iU/IllL Vi al - 4000 iu/mL 882. 00 1750.00 98.00 1550.00 998. 91 1698 .00 550.00 1090.00 - Coil ld 560 1 SCI IND RES VOL 621UNE 2003 Table 2- Recombinant DNA drugs availab le in Indian market SI No Brand (Call/d) Company Strength MRP (in Rs ) 0.5 mL inj. 10 mcg I mL inj . 20 mcg 10 mL Multidose V 0 .5 mL inj. 10 mcg I mL inj. 20 mcg 10 mL Multidose V 0.5 mL inj . 10 mcg I mL inj. 20 mcg 10 mL Multidose V 0 .5 mL inj . 10 mcg I mL inj. 20 mcg 10 mL Multidose V 0.5 mL Vial 10 mcg I mL Vial 20 mcg 5 mL Vi al 20 mcglmL 10 mL Vial 20 mcglmL 0.5 mL inj. 10 mcg I mL inj. 20 mcg 10mLV 0.5 mL Vial 10 meg I mL Vial 20 mcg 5 mL Vi al 100 mcg 0.5 mL inj. 10 mcg I mL inj. 20 mcg 10 mL V 20 mcglml 0.5 mL inj. 5 mcg I mL inj. 10 mcg I mL inj . 20 mcg 10 mL V 100 mcg 0 .5 mL inj. I mLinj . 10mL V 0.5 mL inj . I mLinj . 10 mL V (Multidose) 100.00 150.00 1500.00 140.00 190.00 1750.00 272.00 485.00 2880.00 100.00 170.00 1250.00 90.00 160.00 725 .00 1400.00 195 .00 295.00 2585 .00 97.00 178.00 834.00 150.00 222.00 1925.00 105 .00 148.00 198.00 834.00 160.00 230 .00 2 100.00 140.00 190 .00 1800.00 4 iu Vial 12 iuVial 4 iu Amp 10 iuAmp 1500.00 6000.00 7500.00 15000.00 1775.00 5415.00 2249.50 4750.00 N.A N.A . 3 Recombinant hepatitis B vaccine (i) Bevac Biological E (ii ) Biovac B Wockhard t (iii ) Engerix B SmithBeecham (iv) Enivac HB Panacea (v) Genevac B Serum Institu te (vi) HB Vac Zydus Vaccine (v ii) Hepagen Plus V H B Phanna (v iii) Hepashield Pti zer (ix) Hepavax- B V H B Phanna (x) Revac B Intas (xi) Shanvac B Shantha Biotech 4 Human growth hormone (i) Humatrope Eli Lilly Ranbaxy (ii) Norditropin Novo Nordisk (iii) Saizen Serum International 5 Human Interleukin (i) Human interleukin Ambala Sarabhai Enterprises Ltd. , 6 Granulocyte colony stimulating facto r (i) Neupogen Pi ramal Health Care 30 million iu Vial 5 163.93 (ii) Grastim Dr .Reddy's Lab 30 mi llion iu Vial 2400.00 -Comd GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - Table 2- Recombinant DNA dru gs avai lable in Indi an market SI No Brand Company 561 RULES (Comd) Strength MRP (i n Rs) Novartis 150 mcg 2650.00 7 Granulocyte macrophagecolony stimul ating factor (i) Leucomax 8 Interferon alpha (i) Alferon Zydus 3 million iu Vi al 11 90.00 (i i) Inron alpha Inj. Biological E 3 million iu inj. 970.00 (iii ) Roferon-A Piramal Health Care 3 million iu Vi al 136 1.00 (iv) Shanferon Shanta Biotech 3 million iu Vial Nichol as Pi ramal N.A. N.A. Hemophil a Federation of Indi a Kogenate N.A. .A . 9 Interferon gamma (i) y-Interferon 10 Bl ood factor VIII (i) Blood factor Vlll II Foll olicl e stimulating hormone (i) Endogen Uni Sankyo Vi al 75 iu 760.00 (ii ) Endogen Uni Sankyo Vi al 150 iu 11 30.00 (iii) Foliculin Bharat Serum Vi al 75 iu 700.00 (iv) Foliculin Bharat Serum Vial 150 iu 1280.00 (v) Follimon Biochem Vial 75 iu 850.50 (vi) Fostine Zydus Biogen Vi al 75 iu 850.00 (vi i) Gonal-F Serum International I Amp 37.5 iu 1011 .08 (viii) Gonal-F Serum International I Amp 75 iu 2013.50 ix) Gonotrop-F Win-Medicare I Amp 37.5 iu 850.00 (x) Gonotrop-F Win-Medicare I Amp 75 iu 1445 .00 (x i) Metrod in Serum International I Inj . 75 iu 11 90. 19 (x ii ) Ovimen Life Medicare Vi al 75 iu 800.00 (xiii ) Ovimen Life Medicare Vial 150 iu 1425 .00 (xiv) Ovitrop Sun Pharma Vi al 75 iu 750.00 (xv) Ovitrop Sun Pharma Vial150iu 1200.00 (xvi) Puregon Chemech Labs I Amp 735.00 (xvii ) Recagon Infar I Amp 50 iu FSH 1462.50 (xvi ii ) Recago n Infar I Amp 100 iu FSH 2925.00 German Remedies Vial 50 mL 43500.00 12 Ti ssue plasminogen acti vator (i) Actilyse 562 J SCI IND RES VOL 62 JUNE 2003 amenable to the strategy of genetic manipulation. Efforts have also been made to produce transgenic catfish, tilapia and Indian carps containing growth hormone genes; the objectives were to obtain tran sformants that mature fast. However, these experiments have not provided any significant success, and none of these works has yet come to the stage of large- scale trials . Conditions for Trials Using Transgenic Organisms The RCGM monitors research on transgen ic organisms in the laboratory and in the contained open env ironment/fields. For transgenic plants, experiments are conducted in contained green house to generate severa l vital safety information before dec isions are taken to conduct contained open field ex periments . In the field under contained co ndition s bes ides designing ex periments for collecting data on environmental safety aspects the agronomic advantages of the transgenic plants in small plots are also assessed. The RCGM looks for information on env ironmental safety including human and animal food safety issues for all kinds of GMOs. Food safety issues are linked with GMOs that may enter into human or animal food chain directly. The info rmation sought from the tri als of GMOs is summarized briefly in Table 3. The genetic materials can be allowed to be imported or tran sferred within the country by the RCGM for research use only, based on applications subm itted through the IBSe. For conducting experiments with transgenic plants in contained Green House, designs have been worked out for constructing low cost but substantially contained environment where temperature, light and humidity can be controlled to a considerable extent. Nets ha ve been recommended that arrest the entry/exit of insects below O.6-mm diam. Although s imilar contained conditions for conducting experiments with transgenic animals have not yet been published, designs are available with the government authorities , and can be sent to the investigators on request. There are severa l issues concerning the use of transgenic plants in the country as mentioned above. Entrepreneurs dealing with the introduction of transgenic plants in Indian agriculture would have to follow the above in a step-by-step manner. As the emp hasi s of this paper is on the methods of introduction of transgenic organisms or products thereof which are to be used as pharmaceuticals and which are to be introduced in Indi a within the frame work of Indian laws, the following paragraphs describes how this can be done. Step by Step Methodsfor Introducing Recombinant Bio-pha rmaceuticals There are not many gen etically modified organisms that are directly utilized as a drug in therapy. One genetically modified vaccinia virus coding for rabies antigen was introduced a couple of years ago for imparting protection to domestic and wild animals 12. Several defective viruses and microorganisms are under testing that are targeted for Several recomb inant biospecific therapy . ph armaceuticals have, however, been introduced the worldover during the last two decad es and the number presently exceeds thirty . These products ha ve been produced in a wide ran ge of hosts that include genetically engineered bacteri a, yeast and mammalian cells. Plant and insect cell lines have also been utilized ; however, products from such hosts have been used mainly for diagnos tic purposes. The active substances are usually lIsed as th erapeuti c or prophylactic peptides and proteins. Concerns of safety from the use of substances produced in transgenic hosts arise from contaminants emanating from the host cells as well as the special process ing steps requiring use of toxic c hem ic als and substances. Countries therefore have relied upon sc ientifically valid and reproducible purification processes to remove the contaminants, and establish acceptability criteria for each bulk peptide o r prote in produced by r-DNA technology . The goa ls that have been set for new molecules produced for the fir t time in the world are as under: (a) To evaluate the effects of host organi sm related contaminants such as DNA, proteins, lipids, nature and ex tent of ost-translational modification . (b) To set standards of the limits of contaminants into the final bulk material based on scientifically sound evaluation criteria. (c) To set standards for the pr~ se nc e of toxic processing chemicals used in the purification processes of the bulk and fo rmulated r-DNA bio-pharmaceuticals. In addition, there has been extensive requirement of documentation indicated in the documentation details (Table 4). GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - Table 3 - RULES Summary of the biosafety information sought from GMO trials Particulars Information sought Rationale for the development • Economic, agronomic and other benetits, and rational of development of the GMOs and/or products therefrom • Description of the host organisms (micro-organisms, cell lines, pl ants , animals etc.) • Source and sequence of transgene/s • Sequential block diagram of all trans-nucleic acid stretches inserted • Cloning strategy • Characteristics of expression vectors • Characteristics of inserted genes with details of sequences • Characteristics of promoters • Genetic analysis including copy number of inserts, stability, level of expression of transgenes, biochemistry of expressed gene products etc. • Transformation/cloning methods and propagation strategy • Back-crossing methods for plants • Seed setting characteristics of plants • Germination rates of seeds • Phenotypic characteristics of transgenics • Organism challenge tests where ever applicable Details of the molecular biology of GMOs and genetically modi tied products derived therefrom. (Microorganisms, plants and animals, as well as products therefrom) Laboratory, green house trials (for plants) and contained enclosure trials (for animals) Field trials in open environment 563 • Effects of chemical herbicides for all herbicide resistant plants • Growth characteristics and general health of animals, measured throu gh specitic scientific parameters • Toxicity and allergenicity implications to human if any during handling of GMOs • Generation of foodlfeed safety information where applicable, through lab tests. • For GM plants, comparison of germination rates and phenotypic characteristics, usi ng nontransgenic as controls. • Study of gene flow of plants • Possibility of weed form ation for GM plants • Invasiveness studies of plants and animals compared to non-transgenes used as controls • Possibility of transfer of transgenes to near relatives through out crossing/ cross-fertilization • Implications of out crossing/cross-fertilization • Comparative evaluation of susceptibility to diseases and pests for plants and animals • For human foodl animal feed , elaborate determination of composition and assessment of quality of transformed plants/ fruits/seeds as well as animals as the case may be, with appropriate controls. Compositional analysis shall include near equivalence studies of all the major ingredients in GMOs so as to assess substantial equivalence with reference to non-transgenics. Change in the levels of allergens, toxicants if any, beyond acceptable limits is a matter of food safety concern and such substances are unsuitable for commercial release. • Toxicity and allergenicity implications of transformed GMOs. This include microorganisms, plants/fruits/seeds as well as animals; lab animal studies for food /feed safety evaluation is a requisite. • Handling procedures for allergenic substances. • Agronomic evaluation for GM plants • Economic evaluation for GM animals and GM microorganisms 564 J SCI IND RES VOL 62 JUNE 2003 T ab le 4- E le ments of documentation for r-DNA bio-pharmaceuticals 2 C haracte ri zati on of the sys tem of production used Details o f the transgen ic expression sys tem used (i) Description of the host cell line (ii) Identification of the genera and th e species (iii ) The risks involved in handling th e cell lines I microorganisms (iv) The class ification of th e cell lin e I microorganisms in accordance with any accepted r-DNA cell line I mi croorganisms us age guidelin e and their safety statu s if available. (v) The methodes) of maintenance and growth of the cell line I microorgani sms (vi) Th e nature and hazards of usin g sub strates, inducin g agents, e tc. Characteri stics of the target transgenic DNA including promoters, genes, enhancers, markers. etc. and the vector used (i) The full description of the source of the target transgenic DNA in cludin g pro mote rs, genes, enhancers , markers etc along wi th docume nt ation o f all th e trans - DNA seq uences (ii) The co mpositio n of th e vector used indi catin g th e promoter seq ue nce as well as the regulatory mechanisms ut ilized in the express ion cassette (i ii) Schematic diagrams of the ex pression cassette to describe fully th e marker genes used The res tri cti on si tes re lated to specilic endo nu cleases, and th e ce ll lines used fo r ' hutt ing and (iv ) amp lifi cation into the host genome (v) The target gene should also contain, along with the nucl eo tide seq uence, th e description of the amino ac ids below the codons. Approac hes adopted for expression of the gene (i) The description of th e transc ript ed messenger RN A with its ana lysis of sequence ;1I1d ide ntitic ation procedure (ii ) The tran slat io n info rmat ion indi ca tin g wheth er th e protein product is C himaric, wheth e r the exp ress io n is found as inclusio n bodies or as intracellul ar protein or whether the protein is ~ecre t ed out (iii ) The extent of the target pro te in produced as percentage of the total cell dry-mass as we ll as its percentage compared to the to tal proteins of th e ce ll (iv) The qua li ty of the target protein produced after the cell growth per lit er of the fermen ted broth (v) The full seq ue nce of the recombinant gene alon g with the promoters, the mark er genes and th e terminator sequence Description of the productio n process (a) Prodllclioll sel 1If! (a) (b) (c) (b) (c) (d) (i) The handling of the stock cell lin es (ii) The evalu atio n and uses of the ce ll lin es in pre-fermentation processes (i ii ) The preparation o f the seed vesse l The main production fermentation conditi o ns need to be described in bri ef (iv) Growth Kineti cs (i) Graphical plots of time versus substrate usage, opti cal density change biomass formation, protein products formation , indu cing agents used and their effec ts on the target protein fo rmation (i i) The effect of change of standard parameters like Ph , dissolved oxygen, temperature, etc, in the main production fermentation vessel Fermentation parameters (i) The pH , temperat ure, aeration, and rpm of th e shaft (ii ) Volume of seed to the volume, of main ferment ati on vesse l (ii i) Main sub strates used, inducing agents used if any (iv) The fermentation time and the concentrat io n of th e target protein in th e fermen ted broth Approaches for the ex tract io n and purification of th e product (i) The methods of handli ng the cells (ii ) The methods o f isolating the cell soup co ntai ning the target protein. The method o f enzyme treatment. if any (i ii ) The methods of concentration , precipitatio n (if app lied ), reconstituti o n, sal t separati on (if applicable). absorpt ion and desorption meth ods, chro matographic methods used if any, and ultra-centrifugation methods i I' used (iv) Sterilization and tinal dosage formulation (v) Processes to obtain the product in th e finished dosage form -Conu/ GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - Table 4-- Elements of documentation for r-DNA bi o-pharmaceuti cals 3 4 5 6 7 (a) 565 RULES (Call/d) In-process control methods All the analytical methods used for this in- process cont rol must be described to ensure the regulatory (i) autho rities that the chances of entry of unwanted products have been minimized Description of the raw and processing materials used (i) Description of all raw materials and processing materials used starting from the stock cell s hand ling to the fini shed dosage form must be in a tabular form (i i) Grades of materials used and their usual souring Description of the plant and machinery used (i) List of all the equipment along with the indicative capacity (ii ) Names of the manufacturers (iii) List of Main production equipment and the quality cont ro l equipment Description of the building and facilities created for the manufacture (i) The manufacturing area (ii) The flow of the process/ operation starting from the stock culture area to the fini shing area, (iii ) The plot plan of vari ous floors used in the manufacture and processing (iv) The building diagram in the plan and / or elevation in the outline indicating the cleanliness maintained in different sections such as class 10,000, calls 1000 and class 100 areas, etc (v) Description of the air handling system, which is very important (vi) A separate write up indi cating the movement of operating personnel in the area Quality Contro l and Quality Assurance Bulk material: (i) Tests relating to the identification of the stock cells (ii) The plasmid constructs retention in the cell s durin g cell growth (iii) The media used (iv) The procedures adop ted for testi ng and the percentage retention of the target plasmid (v) Description of the contami nation test of the stock culture to assess and monitor the microbial contamination including the media used and the procedures adopted (vi) The cri teria of acceptance of contamination free culture (vii) Characterization of the bio- active molecule produced by monitoring physical and chemical properti es of the molecule by the following or more authentic method should be provided (viii) Microscopic examination including li ght, phase contract and electron microscopic studi es (ix) UV Spectroscopic analysis to show the absorption spectra of the product and comparison of thi s with authentic material Density gradient centrifugation to show si ngle peak (x) (xi) Pattern in Hi gh performance liquid chromatograp hy to include how many peaks or if on ly one peak is noticed in the produced and purified bulk (xii) Iso- electric focusing analysis to show the pi values (xii i) Western Blot and SDS-PAGE to map the peptide/ target protein (xiv) Existence of special bonds like disulfide bonds by breaking the protein / peptide with appropriate reagents and subj ecting the products to SDS-PAGE mappi ng (xv) Immuno-diffusion Test to find out the absence of contaminants or the extent of the presence of contaminants (xvi) Amino acid composition of the purified protein / peptide and its comparison with the aut hentic material if available (gold standard) (xvii) N Terminal Amino Acid Sequence analysis and its compari son with the protein / peptide expressed by the transgene Determination of the biological activity in the appropriate animal model (xviii) (xix) Determination of contami nant s per milligram or per any convenient unit of the manufactured bulk purified protein is also to be carried out to indicate the extent of contaminated nucleic acid stretches, proteins, carbohydrates , lipid, detergents, salts and other processing materials used in the purification process, the impacts of the presence of these contaminants are also to be indicated with authentic reference materials if any or by conducting animal toxicity / allergenicity tests in app ropriate animal models to ensure the risk associated with their presence in quantities that are to be fixed , are minimal. The limits of contaminants and Impurities are to be quantified for each foreign substance, and the acceptability criteria for the bulk peptide / proteins with reference each of the contaminantslimpurities need to be quantified - COIIU/ 566 J SCI IND RES VOL 62 JUNE 2003 Table 4-- Elements of documentation for r-DNA bio-pharmaceuti cals - (Co llld) (b) Formulated bio-pharmaceutical material s (i) The ingredi ents incorporated subsequently in the manufacture o f the formu lated material using the bulk. The specification of the ti nal product needs to be detined in composition (ii) The qu ality co ntrol department of the organization would have to certify th at the tinal product has the results within the specitications prescribed and accepted by the regulatory authoriti es (iii ) The docu mentati on for the formul ated material should therefore specify at leas t th e fo llowing parameters Product present ation Physical appearance of the product (iv) • Preservative usage in percentage • pH of the solution! formul ated material when reco nstituted • Other extraneous materials used and their extent such as co ntent of DN A RNA Carbohydrates, Lipids, processi ng materials like detergents, salts etc. wh~rever ;1p plicable • Total protein conten t and the acti ve protei n co ntent • Sterility status of the formul ation • Toxicity informatio n • Allergenicity info rmation • Pyrogen statu s. • Any other information relevant to the medical profession Status o f certification i.e. if the formulated material co nforms to any accepted speci licati o n. • Every certificate wherever issued shall be accompani ed by other statuto ry inform ati on like the manufacturing batch number like the date of manufacture, date of analys is o f the batch, of the date of release of the certiticate, authorized signatory to the certiticate, etc • The final formulated product to be marketed I used needs to be certiti ed fo r accep tance by the manufacturer indicating the date up to which the material can be used for th e intended purpose! indication Recombinant DNA bio-pharmaceuticals that are new molecules are required to be fully investigated for safety before they become eligible for marketing and use. Such mol ecules produced and evaluated in one cou ntry, and atlowed fo r marketing in the country of origi n may require a fres h evaluation in another country if the regulatory laws so require. In India, depend ing upon the quality of evaluation of safety and efficacy as also the sample size uSt?d for efficacy studies, the Indian government may require the applicants to conduct de-novo studies or may authorize the conduct of phase III clinical studies in a minimum number of human subjects. Often the phase III trial s require a sample size of over 100 persons and the studies should be conducted independently at least in 4 centers under the supervi sion of qualified medical practitioners. Even during such studies spec ial care is required to be taken to generate data on safety issues to human health that are part of the requ irement of the Indian Environment (Protection) Act & Rul es. Di rectly authorization for marketing can be prov ided on ly in situation s where the recombinant DNA biopharmaceuticals have been extensive ly in use elsewhere and have been evaluated! thoroughly over very large number of human su bjects, and the products are in use for a couple of years. In such cases also the Indian Environment (Protection) Act & Rul es require the generation of post market surveill ance data where safety information on issues related to human health are to be addressed and gathered . All protocols used in phase I, II, III and IV require the approval of the government. GHOSH: HANDLING TRANSGENIC ORGANISMS & BIOPHARMACEUTICALS - Use of all recombinant DNA products requires pre-clinical safety evaluation in relevant animal species. Evaluation carried out in non-relevant animals is of no use. The testing in animals requires, besides the selection of the relevant animal species a statistically significant numbers, their · age with sex distribution, the manner of delivery of the dose including the routes of administration and the treatment regimen (Schedule of treatment). The material to be tested must be stable and must be satisfied to be suitable for application/use. All toxicity studies in animals are required to be consistent with a protocol that requires the approval of the government. Further, the use of the protocol as well as the test animals also require the approval of the Animal Ethics Committee of the institute. All studies should follow Good Laboratory Practices . The safety evaluation program should include at least two re levant animals. Only in special cases, one relevant animal species can be used ; however this requires the approval of the regulatory authorities. Toxicity studies should not be undertaken in non-relevant animal species, as the results are misleading and irrelevant. Transgenic animals can be used with the approval of the regulatory authorities provided such animals have the ability of expressing human receptors and that the presence of receptors in the tissues of such animals are comparable to human receptors. Data generated in re levant animal models provide insight in determining pharmacokinetics and pharmacological action besides safety and the usefulness of the product. Some biopharmaceuticals produced by recombinant DNA technology can be immunogenic in animals as well as In human (when repeatedly applied). The immunogenic potential of such products requires to be taken a note of and animal studies should document such information at the start and at the end of the animal experiments. Effect of hyper. sensitization on the animals also requires to be recorded with effects on vital organs. In thi s context, the safety of the host cell needs to be taken cognizance to not only from its potential for producing endo-toxins but also its abilities for post translation modification of the translated proteins . Toxic or immunogenic potential of the non-protein components added to the transgenic proteins need also to be evaluated before a decision for approval is taken by the regulatory agencies. For RULES 567 DNA vaccines, it is specifically required to study the fate of the coding sequence in the target tissues / animals and therefore the decay rate of the transgenic sequences need to be studied. Further, data are to be generated on whether the DNA coding sequences get integrated into the tissues of the animal. It is also to be determined whether the vaccine gets continuously expressed and whether such a phenomenon hyperimmunizes the animal and whether such phenomenon of hyper-immunization causes any toxic effect to the blood or to any vital parts of the animals like kidney, liver etc. The protocol has to address generating information on these aspects. The new molecul es require generations of pharmaco-kinetic and toxicokinetic data, evaluation of single doze toxicity as well as repeated doze toxicity , immuno-loxicity, reproductive performance, geno-toxicity and carcinogenicity studies. A well-known molecul e does however require de-novo generation of all these data as there may be ex ten s ive published informati on already available on these aspects. However, if the known biopharmaceutical product is produced by a different method where the host cell lines have been modified or changed or where the construct has been newly assembled using new method s or where the product has been purified by applying down stream processing methods that have not been eva luated, then the product will be considered as new . However for such a product only the sub-acute toxi c ity studies and in some cases chronic toxicity studies in two rel evant animals may be adequate. Effects of posttranslational modification of the translated proteins must be kept in sharp watch as indicated above. Post transpationally modified product may behave quite differently as the modification depends upon the tran s lational machinery of the host organism. Carbohydrates, lipids and other residues including Sialic Acid derivat ive that get incorporated can impart different properties to the resulting protein expressed by a set of well characterized genes, as the latter is host dependent while the former i.e. the production of the amino acid sequence of the target protein is not host dependent, but gene-dependent only. After the conduct of animal studies and after documenting the recombinant DNA biopharmaceutical product in the manner described above the applicants can seek marketing permission for selling 568 J SCI IND RES VOL 62 JUNE 2003 such products . In India there can be two marketing routes for introducing such biopharmaceuticals. In one rou te, the biopharmaceutical can be developed in a step by step manner in Indian laboratories/faciliti es and the data generated on safety of the formulated material can be submitted to the GEAC as well as to the DC (G) I. T he former authorizes use and marketing und er the Indian Environment (Protection) Act whil e the later authorizes manufacture and marketin g under the Dru g Act. In the other route, rDNA biopharmaceuticals can be directly imported and marketed. In such cases also the applicants are requires to provide data as above to the GEAC as well as to the DC (G) I. The only difference is that such data on safety of the products are not generated in India. The steps requ ired to be followed by applicants/ organizations/manufacturers for the introduction of any r-DNA biopharmaceutical product in Indian market based on loca l manufacture are elaborated in Table 5. For biopharmaceutical s to be directly imported and marketed, the procedures to be followed by applicants are given in Table 6. The Kinds of r-DNA Biopharmaceuticals that Require Clearance Under EPA The information required to be generated, as documented above, app lies to a.11 kinds of biopharmaceutical s produced by recombinant DNA tec hnol ogy. Th e usual products include growth factors, fusion proteins, receptors, hormones, cytokines, thrombolytic agents and plasma factors. They al so include monoclonal antibodies produced by the appl ication of phage display methods . Further, they in clude proteins / peptide DNA vaccines, and genetic material s / DNA material s used in ce llular and gene therapies. They also apply to recombinant primary and secondary metabolites used in therapy such as enzymes, antibiotics, vitamins, blood components, blood proteins, etc. However the rules do not apply to conventional products like bacterial and viral vaccines, antib iotics and other products produced by rermentati on using non genetically engineered microorganisms / cell lines . They also do not apply to monoc lonal or polyclonal antibodies produced by hybridoma tech no logy o r conventional methods respectively . Conclusions The Indian Government created the rul es and procedures for dea ling with GMOs in 1989 under th e Indian Environment (Protection) Act 1986. Mis T ransgene Vaccines Ltd , Hyderabad started the first semi-commercial sca le transgenic e xperiments with microorganisms in February 1995 Isin g geneti ca ll y modified HWlseneula polymorpha th at codes for Hepatitis B surface antigen. T he co mpan y procured th e lab leve l technology from Mis Rhein Bi otec h GmbH, Germany. The experiment were condu cted at the Institute of Microbial Tec hnol ogy, Chandigarh . The transgenic surface antigen of he patitis B kn own as "S" antigen was isolated in bulk and it was proven that the country could handl e geneti cal ly modi fied organ isms under cGMP conditions. However, the company could not subsequentl y set up its own production facilities . Subseque ntl y, in August 1997, Mis Shantha Biotechnics, Hyderabad introduced a simi lar product, produced in recombinant Pichia pastoris, developed by them. Later on after Shantha, three more companies have come into production of thi s recombinant vaccll1e 111 th e country. Subsequently, up to end-2002, three more recombinant produ cts namel y erythropoi etin , granu locite colony st imu lating fact or and interferon alpha 2b have been cleared by the Regul atory Authorities for local prod ucti on. More biopharmaceutical products woul d be authorized for local production in the coming years. Presently (end2002), in all twelve biopharmaceuticals produced by reco mbinant DNA technology have been authorized for marketing in India of whi ch, as stated above, four are authorized for local production . In GM plants, the first transgenic plant experiment in the field was started in 1995. Since then the cou ntry has acquired substantial experience in understanding the issues related to the handl in g of GMOs . In March 2002, transgenic insect resistant Bt cotton was auth orized for production in India. The Bt cotton was found to reduce the consumption of chemical pesticides considerably with increased yield o f cotton, provided it rece ived the necessary quantities of fertili zers and water, and the plants were sprayed fo r protection from non-bollworm in sects, and where necessary to reduce GHOSH: HANDLING TRA SGENIC ORGA ISMS & BIOPHARMACEUTICALS - RULES 569 T abl e 5- Steps to be foll owed by applicants/in stitution s/organi zations for obtainin g the approval for thcir biotech drugs (reco mbinant DNA drugs) developed and/o r produced in Indi a The institution/organization makes an application for the approval of its Institutional Bio-Safety Committee (IBSC ) to Department of Biotechnology (DBT), Govt. of India . DBT approves the IBSC and nominates a govemment's nominee on the IBSC to oversee the activities to ensure that biosafety guidel ines are strictly followed . IBSC is formed at the institution/organization and DBT takes composition of IBSC on record . Applicants including institution/organization submit applications to IBSC for initiating experiments involving r-DNA products . IBSC meetings are convened at the institute/organization at least twice a year. Every meeting shall have an agenda . Minutes of all IBSC meetings are sent to Review Committee on Genetic Manipulation (RCGM). IBSC can approve experiments of the Category I and Category II risk experiments. For experiments of Category III and above risks, IBSC sends its recommendations to RCGM for approval. Applicants submit applications in prescribed formats to IBSC/RCGM . RCGM grants the conduct of experiments of Category III and above risks , and asks fo r progress reports periodically from the applicants/project-investigators through IBSC. Experiments conceming drugs produced from Genetically Modified Organisms (GMOs) require generation of animal toxicity data. Before such data are generated, results of at least five trial batches (including each bulk and formulation batches) are evaluated first by the IBSC and then by RCGM to ascertain if a reasonably stable process has been developed . Product acceptability criteria for both bulk and formulated materials are fixed . Protocol must address risks emanating from host-related contaminants as well as residual toxic chemicals used in processing . RCGM approves the conduct of animal toxicity studies; thereafter, Animal Ethics Committee of the institution/organization has to approve the protocol. Animal toxicity has to be carried out at least on two relevant species of animals (often , one rodent and one non-rodent soecies are selected). Soecies of animal is to be indicated in the orotocol. Animal toxicity studies are carried out and IBSC meeting is convened by institution/organization to discuss the report. If satisfactory results are obtained , protocols for Phase I, Phase II and/or Phase III studies are prepared by the institution/organization, and placed before IBSC members for approval. Phase I is needed for a new producUmolecule. Phase II is needed when the dose is not known or when the dose finding has to be carried out. Straightaway Phase-III stUdies can be carried out if the drug is well known and the host is assessed as safe. , . Above documents, including protocols for human studies are submitted by the applicants to RCGM and Drug Controller General of India (DCG (I» for approval. RCGM sends its recommendation to GEAC as it cannot approve human studies. + 570 J SCI INO RES VOL 62 JUN E 2003 Ta bl e 5- Ste ps to be follow ed by app li cants/in st ituti ons/organizati ons for obta inin g the a pproval for their biotech d ru gs (recombin ant o A drugs) developed and/o r produced in India - (COl/lei) The protocol for the human studies and the phase for which the studies is conducted will have the approval of the Drugs Controller General of India and the GEAC. GEAC requ ires generation of safety data while DCGI requires both safety and efficacv data . GEAC consults RCGM . Human Clinical Trial / studies are comp leted and data related to human safety including risks to human health are generated and data subm itted to IBSC by the applicants. ISSC meeting is convened by the institution / organization for approval of the human clinical trial report. Clinical trial report is submitted to RCGM , GEAC and DCG(I). The applicant submits information in a format seeking clearance under EPA For clearance under Drugs Act, a separate format is used . • GEAC sends the application to four or' five experts including DBT, and , on the basis of the recommendations of the experts , GEAC members evaluate and approve the r-DNA drug under EPA for open environme ntal re lease , i.e., for marketing . + The joint inspection of the production site may be required, and can be done by the representative of GEAC and DCG (I). Thereafter, DCG (I) allows production of trial batches, and five such batches are sent to Central Research Institute (CRI) , Kasauli for testing under the Drugs Act. • After the receipt of Testing Reports from CRI , Kasauli, the DCG (I) grants the final approval to manufacture and market the product. The DCG (I) has set up an expert committee for r-DNA drugs and the applicant is requ ired to make a presentation before that committee. DCG (I) takes a decision on the basis of the recommendations of the expert committee. Both DCG (I) and GEAC can impose conditions of surveillance on the product during marketing . Marketing under EPA can be for a period of two to four years initially and this can be renewed on the basis of an application. Post-market surveillance data may be required to be generated and submitted to DCG (I) and GEAC by the appl icants. the load of bo ll worm too. In thi s co ntex t the ri c h ex perie nce ga ined from hand s-o n ex pe rime nts in fi e ld cond iti o ns for handlin g severa l other GM plants has provided insights about the benefits as well as the 7 ri sks from th e use of such pl a nts . On overall assessment it appears that the be nefits from the use of suc h plants are substanti a l and they may outweigh the ri sks , which in ma ny facets are presumpt ive and not rea l. There a re issues on th e flow of tran s-genes into the open e nvironment. Transgenic traits would spread into th e natural e nvironment over the years, es pec ially in si tuation s where GM plants set seeds by cross pollination and whe re there are ma ny wild near relatives o f suc h plants as is in the case of Brassica species. Whil e approving suc h GM p lant s, g reat ca re has to be taken to assess the potentia ls of spread of transge nes into th e wild re latives throu g h suc h GM plants, and the consequence o f such spread . Obvious ly, in these cases, a close monitoring wou ld be required for several years by th e auth or iti es. Experime nts in tran sgeni c animal s including fish a re yet at developme nta l stage and the cou ntry has to go a long way befo re such products are deve loped for comme rcial applications. A case by case assess men t GHOSH : HANDLI NG TRA SGENIC ORGANISMS & BIOPHARMACEUTI CALS - RULE S 57 1 Table 6 - Steps to be followed by applicamslinstitutions/organi zation s for obtaining the approval for th eir bi otech dru gs (reco mbinant DNA drugs) to be imported and mark eted in India (S uch drugs cannot be co nsidered for import if th ey arc not approved in the country of origin) The applicant/institution/organization makes an application simultaneously to the Genetic Engineering Approval Committee (GEAC) in a format (in about six copies), and to the Drugs Controller General of India (DCG (I» in another format in five sets . • GEAC sends the application to four to five experts including the Department of Biotechnology (DBT) seeking their evaluation/comments on the application . DCG (I) also examines the report in-house as well as consults experts . ... After receipt of comments of all the experts, the GEAC examines the application along with the comments in its meetings. At this stage, GEAC may ask for 21 sets of application from the applicants. GEAC may decide to direct the applicant to conduct further Clinical Trials if the committee has any doubt about the product in terms of evaluation of safety , lack of information on certain aspects of safety, the inadequacy of the sample size used in the evaluation etc. Phase III clinical trials may be ordered incorporating in the protocol questions that address certain issues of human risks/adversary actions . • • •... If the data are found to be satisfactory by the GEAC , the latter sends its recommendations to the DCG (I) incorporating conditions that require the generation of post-market surveillance information (Phase IV data). If not approved , the GEAC directs the applicant to apply afresh after generating the necessary data under Phase III clinical trial. After receiving the authorization from the GEAC , if the DCG (I) is also satisfied with the data , it grants its initial approval in accordance with 122A. Applicants the n apply for form 10 along with 122A approval. Authorization for imports is issued by the DCG (I) incorporating its conditions as well as those of the GEAC , and the ' applicant imports and markets the drug. of ri sks o f all kinds of GMO s on a precautionary principl e seems to be the wisest path to be followed at thi s juncture. This will in still public confidence and will enable the country to maximize the utilization of thi s powerful technology to the benefit of India . Authorities could also publish a list of GMOs and produc ts thereof that are considered environmentally safe and would not require any further scientific scrutiny under the Indian EPA for handling and use, based on published information or documentation or data generated by the government. Al so, information on the approved GMOs and products thereof as also the bri ef basis of approval through an internet website is lon g overdue. References Ghosh P K , Prospects for biotechnology in Indi a, In Business opportunities in biotechnology (Confederation of Indian Indu stry, New Delhi) March 200 I, pp 1-1 8. 2 3 4 5 Indian Environment (Protection ) Act, 1986 . Rules Jo r the IlIanuJaclll re, lise, illlJiort, e),l'0 rt ami storage oj hazardous lIIicro orgclllisllls/genetico/lv engineaet/ organisms or cells, i ssued by the Un ion Ministry of Environment and Forests, Government of Indi a, vide Notification No. GSR 1037 (E) dated 05 December 1989. Recombinant DNA Sa/ety Cllit/elin es, 1990, noti li ed by the Department of Biotechnology, Un ion Mini stry of Sci ence and Technology, Government of Indi a in 1990. Revised Cuidelin es Jor Saj'ely in Biotechnolofn', notitl ed by th e Department of Biotechnology, Union Mini stry of Science and Technology, Government of Indi a in May 1994. S72 Ii 7 J SCI IND RES VOL 62 JUNE 2003 Rl'l'ised GlIidelill es for Research ill Trall sgellic Plants & GlIidl'lill es fo r Toxicitv alld A llergenicit )' Evaillatioll of Trall sgellic Seeds, Plallts all d Plallt Pa rts, issued by the Depart ment of Bi otechnology, Uni on Mini stry of Science and Technology, Government o f Ind ia in Au gust 1998 and partl y amended on 24. 09. 1999 . Ghos h P K, Th e mles and procedllres fo r e vaLuatillg trallsgellic crops ill Illdia in Hi-tech hort iculture, edi ted by K L Chadh a, M L Choudhary and K V Prasad (Publi shed by Hort icultural Society of India), 2002,428-443 . R Ghosh P K, ClIrr Sci, 72(3) 1997, 172- I 79 9 Ghos h P K , } Na tl Bot Soc, 51 ( 1997 ) I 1-32 . 10 Ghosh P K, M ark et Research co nducted by th e author (Unpubli shed data) II Schae fll er 1 A & Dale P 1, Transgenic RI'.I', 3( 1994) 263-278. 12 Ghosh P K , Role of bi otechnoiogy i n heal thcare in India: Present & future, ill Bioteclll lOlogy ami dl'l'e/o/JII /ell t reviell' (RIS-BCIL Publi ca ti on), lune-December, 1995,1-22 . 13 Cartegana Protocol on Biosa/ety of th e COll vell tioll 0 11 BiologicaL Diversity of the United ations Enviro nmental Program of the United Nati ons Indu strial Development Organi zati on Montreal Canada, adopted on 29 January 2000 (hlip:!/ www. bi odiv. org/bi osaretyl).
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