Process Development High-Throughput Biopharmaceutical Drug Development Meeting the Coming Challenge he research component of pharmaceutical research and development (R&D) has been undergoing a dramatic revolution in the past five years, especially in how promising new drug candidates are identified. Throughout the past fifty years, the pharmaceutical industry focused its efforts on about 500 drug targets. Targets are expected to number in the thousands soon because combinatorial chemistry and ultrahigh-throughput screening (up to 500,000 compounds per day) continue to transform drug discovery efforts. Using state-of-the-art technologies, research groups can now deliver a hundredfold more compounds (in the same amount of time) that warrant further investigation. The Human Genome Project has created new therapeutic avenues, offering the potential for individualized medicine in the 21st century. Elucidating the complex interrelationships of the approximately 30,000 human genes should lead to growth in protein-based therapeutics for the near future. Advances in genomics, proteomics, bioinformatics, and pharmacogenetics are accelerating the identification of protein drug candidates tremendously (1). T Rajiv Nayar and Mark C. Manning Outsourcing is often considered a way to expedite drug development, but other options exist for companies that don’t choose it — or that run up against the capacity shortage. The resources devoted to speeding up the drug discovery process led to combinatorial libraries, highthroughput screening, proteomics, and genomics. Now the same types of innovation can be applied to drug development to prevent valuable lead compounds from sitting idle on the shelf. A Revolution in Research Corresponding author Rajiv Nayar is president of HTD BioSystems Inc., 551-C Linus Pauling Drive, Hercules, CA 94547, 510.367.0528, fax 509.267.1491, [email protected], www.htdcorp.com; and Mark C. Manning is chief technical officer for HTD Biosystems and associate professor of pharmaceutics at the University of Colorado Health Sciences Center. 20 BioPharm FEBRUARY 2002 The shifting demographic profile of aging baby boomers is stimulating the demand for new medicines. Conditions such as osteoporosis, arthritis, and dementia are in the forefront, joining cardiovascular diseases, cancer, and metabolic diseases. Lifestyle expectations have led to a search for better drugs to treat problems such as obesity, acne, and erectile dysfunction. Spurred by the growing demand for new and innovative medicines, drug companies are spending record amounts on R&D. In the United States alone, R&D investments were $26.4 billion in 2000, representing an almost 10% increase over 1999. The spending estimate for 2001 is $30.5 billion, another 18.5% increase. Investment in biotechnology alone was about $8 billion (2). As a result of the incredible advances in drug discovery, pharmaceutical pipelines are filled with more products than ever. More than 1,000 drugs are currently in development, and nearly 350 of those are biotechnology-related products (2). Table 1 breaks down the drugs in development by disease indication. A Crisis in Development Researchers looking for new candidates are finding many active compounds that merit further investigation and development. The result is that all development groups have more projects going at one time than ever, and that number will continue to rise. Undoubtedly, an enhanced ability to develop and formulate those drugs will be needed to keep pace. In addition, increased use of sophisticated drug delivery systems will make stabilizing biotechnology-based products even more challenging. In short, the pharmaceutical biotechnology industry must find new ways to speed up drug development to keep pace with drug discovery. We believe that the limiting factor for introducing new biotechnology-derived products is no longer the search for new drug candidates but the selection of those with the highest potential for commercialization. Therefore, efficient and rapid developmental strategies need to be devised that cover all aspects of drug development (such as fermentation, purification, characterization, and formulation). The incentive for efficiency. Another driving force for making drug development more efficient is the pressure to contain health care costs. Currently, the costs of R&D are estimated at between $350–500 million for Process Development each drug approved (3). More than 90% of the new drugs anticipated are predicted to generate only about $180 million a year, which is lower than the current industry average of $265 million a year (3). With the industry forecasted to exhibit a 7% annual growth in sales (and assuming an increase of 7% in R&D spending), pharmaceutical companies need to slash their R&D costs to about $280 million for each drug approved. That is the incentive for making drug development, the costlier component of R&D, more efficient. The current success rate for development projects (1 in 10) is unacceptable and financially unsustainable. Developers should consider the situation as an opportunity for improving the entire drug development process and integrating it as early as possible with research efforts. More new drug candidates flowing through the pipeline will require a new approach toward product development and formulation (4). The particular challenge addressed here is the increasing expectations placed on development teams to produce more stable formulations of more biopharmaceuticals in a shorter period of time with less material and a finite number of trained personnel. Innovative strategies are required to meet such daunting challenges. The objective is to find new ways to obtain more information with less material more quickly than ever before. Whether that challenge is considered the last stage of discovery screening or the first step in product development, the goal is the same: Identify the critical parameters that enable the manufacture of a consistent drug product with suitable stability and marketability. The challenge. Many lead molecules fail in the development pipeline due to inadequate efficacy models, poor pharmacokinetics, metabolic instability, low aqueous solubility, immunogenicity, or unacceptable toxicity. Because the industry norm (one success in 10 development projects) can be tolerated no longer in tightening economic conditions, such problems lead to project termination, which is the primary determinant in time and cost overruns. However, this belt tightening offers an opportunity to improve the selection criteria at a project’s front-end rather than continually attempting to rescue failing projects. 22 BioPharm FEBRUARY 2002 A comprehensive assessment of a drug candidate’s “developability” would include its cost-of-goods, process yield, formulation challenges, and other chemistry, manufacturing, and control (CMC) issues critical to bringing a drug to market. Figure 1 shows that CMC issues are often a major reason for failure to receive regulatory approval (3). CMC failures that can derail further development include inconsistencies in manufacturing, scale-up difficulties from bench to manufacturing, variations in composition, inconsistent purity levels, and product instability. The solution. We believe that the drug development process can be — indeed must be — more efficient and systematic. By addressing the endemic inefficiencies in current systems, drug development can be accelerated. The “Drug Development Challenges” sidebar lists seven areas in which improvement is needed. Such improvements will increase development success rates and make the process less costly and more efficient and timely. Whereas implementing changes in any of those seven areas would improve developmental efficiency, addressing of all them would be ideal. Advances in Data Management Using more sophisticated analytical methods, modern biopharmaceutical companies are proficient at data generation. However, information is often catalogued and set aside as quickly as it is generated. As a result, its intrinsic value is frequently lost. Unless a company makes a concerted effort to retrieve and analyze that data, it places itself at a competitive disadvantage. Poor information management is usually found in three areas. First, project managers and senior executives lack the information necessary to make critical business decisions. Second, senior technical personnel who leave the company take with them needed expertise because no comprehensive record has been kept of their knowledge and experience. Third, the expansive database is unused when it could be structured to provide a training tool for new employees. Without coherent and complete information recovery from data stockpiles, training is insufficient, reducing productivity from new personnel. Information recovery. Despite the perception that information recovery from stockpiled Toxicity 22% Poor CMC 41% Efficacy 31% Marketability 6% Figure 1. Reasons for drug product failure data is simply a database or software problem, the issue is more complex. Establishing a mechanism to track data is important, but such efforts rarely convert data into useful information. Only someone experienced in drug development can analyze the data sets and construct valuable summaries. Therefore, we envision a growing need for development-savvy data analysis experts who will work on-site to recover information from company files as projects move forward. Although such information retrieval is a daunting challenge, it will build more understanding of the corporate knowledge base and better equip managers with information on specific projects. Data analysis experts can partner with educational professionals to prepare teaching materials for new employees. Such a data analyst Drug Development Challenges For a more efficient system, consider these changes to your drug development process: Improve information management. Optimize analytical methods. Borrow from emerging drug discovery technologies to evaluate product structure and stability. Devise effective formulation and stability design strategies. Develop improvements and new technologies in bioprocessing. Employ new statistical and mathematical tools. Rely more on highly automated robotics systems. Process Development Table 1. Medicines in development, either human clinical trials or waiting for regulatory approval (2) Medicines in Development Indication Cancer Special needs Heart disease and stroke AIDS Mental illness Alzheimer’s disease Diabetes Arthritis Parkinson’s disease Osteoporosis 400 200 100 100 100 26 25 19 16 14 would be able to reconstruct much of the knowledge that leaves with departing technical personnel. Ultimately, construction of a new information base (one that contains data, analyses, and development-directed reports — not just raw data) will propel companies that make the effort ahead of their competitors. Access to that information by all technical personnel empowers them to proceed with the commercialization of new products at a faster pace and with more confidence than ever before. In addition, a catalog of such technical reports can facilitate the regulatory submission process in a global marketplace. Integrated Analytical Methods Another challenge facing development teams is the lack of capacity for highthroughput quantitative analysis. Obtaining timely results from analytical groups is usually a rate-limiting step for process science units (such as fermentation, purification, and formulation), as well as those in manufacturing units. Despite the analytical armies often employed in pharmaceutical companies, the analytical groups are typically stuck doing things the “old fashioned” way, using techniques that have been used for decades. Clearly, with the onslaught of development projects and the need to make development faster, new paradigms in the analytical arena need to be devised and implemented. The high-throughput technology platforms used in proteomics can be adapted to drug development tasks that require quantitative information. 24 BioPharm FEBRUARY 2002 To devise appropriate characterization strategies for a new biopharmaceutical drug candidate, information must be gathered about the biochemical and physiochemical properties of the new entity. That information is also necessary for optimizing developmental processes such as fermentation, purification, formulation, and eventually GMP manufacture. Obtaining the pertinent information required for rapid and organized manufacture of a drug product shortens the development timeline. Moreover, downstream development problems would probably be diminished. Often, no organized strategy for development activities exists, even for welldefined needs such as the preformulation studies for biopharmaceutical drug candidates. In addition, the dramatic increase in drug candidates will limit available material more than ever. New analytical approaches need to consider that limitation. It may be that the plethora of analytical methods for characterizing proteins obfuscates the proper choice of method and sample conditions (5). Analytical methods should provide as much information as possible. For example, orthogonal techniques can be coupled to the analytical train to generate additional data from a given sample. Therefore, the construction of the development laboratories of the future must be built around technologies and methods that provide detailed, timely information on samples. Borrowing high-throughput and high-sensitivity methods. Extended train approaches do not necessarily address the decreasing availability of bulk drug material. Therefore, integrated equipment platforms or suites of methods linked by an information system can make use of existing analytical technology. The revolution in drug discovery has produced corresponding innovations in technology. For example, the conversion of traditional cell biology methods to microplate systems has increased automation and throughput, while requiring less material per sample. Furthermore, chip technologies, using structure-recognition (such as DNA or protein chips) require very small amounts of material. Finally, improvements in mass spectrometry (MS) and its ability to interface with a variety of separation or high-throughput platforms (such as capillary electrophoresis, liquid chromatography, microplates, and microfluidic devices, for example) provides the high sensitivity and specificity needed for preformulation work (6–9). Integrating high-throughput technologies into development efforts would increase a company’s ability to work with small samples and shorten assay times (per sample). Consider a few of the technological innovations that have occurred recently and determine whether they might be suitable for your drug development groups, recognizing the premium placed on accurate and precise quantitative measurements. Some examples of methods that might end up in the development laboratories of the future include those listed in the “Labs of the Future” sidebar. Capitalizing on robotics, miniaturization, and microfluidics technologies may expedite the development process using limited quantities of material. Transfer of any of those technologies to the development arm of a company could result in increased throughput, provided the company is able to generate data that is suitable for regulatory submissions. An Efficient Formulation Even with improved biophysical and biochemical methods for characterizing the structure, stability, and function of proteins, product development for biopharmaceuticals requires a comprehensive strategy for moving the product forward to the clinic with a formulation that is stable and can be manufactured as easily and inexpensively as possible. Examining the comprehensive approach to formulation development taken by companies can be useful in creating your own strategy. Although some companies have detailed, well articulated development plans, others do not. Until a company develops such protocols for all process sciences (not just formulation), its development process will be inefficient. Formulation strategies for some companies employ marginal frozen solutions to initiate clinical trials, opting to modify the formulation later if the performance in humans warrants further development. Although that strategy may speed the time to human testing, it provides inadequate data for describing the performance of the material during freezing, storing, transporting, and thawing. A company runs certain risks in the absence of that data set. Failure in the clinic could result from poor Process Development stability or improper handling rather than an intrinsic lack of efficacy. In addition, the strategy may (and almost always does) require substantial effort in constructing and evaluating the new formulation, which will delay future clinical studies. Other companies have chosen to use standard or generic formulations, those with which they have some experience and that they believe will work for most protein candidates. Often, such generic formulations are lyophilized, and the lyophilization cycle has been well characterized. Given the current knowledge on protein stabilization during freeze–drying, a few formulations should work for a variety of proteins, over a range of concentrations (11). Isothermal tests. Most formulation studies use formal, real-time storage stability protocols that are acceptable to regulatory agencies. Given the aggressive timelines of a high-throughput development (HTD) strategy, formulation studies are usually extrapolated from accelerated storage studies. Accelerated storage studies typically use isothermal studies. In other words, the DESPITE expansions under way at several pharmaceutical companies and contract manufacturing facilities, the industry faces as much as a fourfold shortage in capacity. protein is stored at a fixed temperature. Depending on the nature of the drug candidate and its degradation mechanisms, temperatures up to 50 °C can be used. At higher temperatures, however, the ratedetermining pathway might be different from that of the projected storage conditions. 26 BioPharm FEBRUARY 2002 Labs of the Future Several new technologies may become standard equipment in the analytical laboratories of the future. Chip-based technologies may be used for protein analysis. For example, Agilent Protein Chips can reduce electrophoresis analysis time from days to hours or minutes using minimal sample volumes (10). Phase fluorescence detection (fluorescence lifetime measurements) may yield absolute quantities independent of the measurement platform or immunity to photobleaching, turbidity, and other variables that affect fluorescence intensity measurements. Disposable test cartridges may perform multiple tests on one sample, similar to Nonisothermal stress tests. An alternative to isothermal testing, investigated in a few cases, is the use of nonisothermal stress testing. In this procedure, the sample is exposed to a linear (or approximately linear) increase in temperature over time. Samples are taken at set intervals and assayed for degradation. Using various algorithms, Arrhenius parameters can be determined in a single experiment, whereas at least three separate isothermal studies would be required (12,13). This approach has been used for a pentapeptide and may be applicable to proteins in the future (14). Requiring significantly less material, time, and methodology, nonisothermal analyses are an attractive method for estimating shelf life for biopharmaceutical formulations. By employing both novel stability protocols and generic formulations for proteins with similar degradation mechanisms, the time and material for formulation development activities can be reduced. In addition, with use of highthroughput analytical techniques and efficient information management systems, extensive information about the drug product is available more rapidly. New Bioprocessing Technologies The shortage in biopharmaceutical manufacturing capacity in the United States and Europe is becoming critical. With the recent success of a number of biotechnology-derived products, and as those being implemented in hospital acute care settings. Mass spectrometry techniques may be coupled with multidimensional chromatography to reduce analysis time from one day to 1.5 hours. Low sample volume spectrophotometers are now available that use as little as 1 L of sample and will be used for thermal unfolding curves on micrograms of protein. Robotic systems for biophysical analysis, such as with differential scanning calorimetry may find their place in future laboratories. Those currently in use allow up to 100 samples to be analyzed unattended. more drugs gain approval, the manufacturing systems currently employed will be inadequate to meet the growing demand for licensed and development-stage facilities. The 2002 annual material requirements for the currently marketed antibody-based products alone is approximately 550 kg, according to Bryan Lawlis, chairman of Diosynth RTP, speaking at the BIO 2001 conference (15). Similarly, lyophilization capacity may be insufficient for the large number of biopharmaceuticals in development as well. Therefore, the prediction is that, despite expansions under way at several pharmaceutical companies and contract manufacturing facilities, the industry faces as much as a fourfold shortage in capacity. In the past three years, close to 75 new biotech drugs, vaccines, and new indications have been approved (2). To commercialize even a fraction of the biopharmaceuticals currently in development, new paradigms in bioprocessing technology will be needed. Many companies will be trying to find alternatives to freeze–drying (lyophilization). Methods that allow the intermediate storage of large amounts of sensitive biomolecules will be sought. Fermentation and recovery streams will need to be more efficient, either through molecular biology manipulation or by increased product yield. For example, high pressure has recently been used to refold Process Development proteins from inclusion bodies or aggregates, which allows damaged material that used to be eliminated to be processed further (16). Manufacturing plants are now being designed for multiple simultaneous use. (unpublished work). We envision a growing role for PLS in optimizing manufacturing and formulation in the future. Already, it is being used to understand the structure–activity relationships important to governing passive membrane transport (17). New Statistical Tools Comprehensive Strategies Approaches similar to those discussed above for formulation development can be applied to other product development and process science tasks. Purification schemes that worked for another protein should be tried for a similar new candidate. Fermentation work can begin with cell lines and reactor conditions that worked in previous studies. DOE software. More companies are using design of experimental (DOE) software and statistical packages because they provide more information from a limited number of experiments and show subtle interactions between variables. DOE software also provides a rationale for the development of a given formulation. However, you must be exceedingly careful with DOE software. Commercial software packages are not panaceas. Scientists should still rely on prior knowledge about the compound of interest, be aware of the current best approaches in their field, and understand the complex and sometimes fragile nature of biopharmaceuticals. Otherwise, ignorant choices based on appealing graphs and tabular outputs will lead to poor or inappropriate formulation schemes. It is still our expectation, however, that DOE packages will be increasingly used within development groups. If correctly used, such programs will be a valuable asset in the overall development process. Statistical methods. Another computational approach that could revolutionize drug development is the use of multivariate statistics to identify the critical parameters in a process — even if the data sets are incomplete or sparse. We have used multivariate statistical approaches, such as projection to latent structures (PLS), to determine the parameters critical to longterm stability during manufacturing. We have also used PLS to evaluate which large protein database sequences would lead to amyloidgenic disease and to identify the properties that most predict long-term stability in a series of formulations Pharmaceutical companies have devoted enormous resources to speeding drug discovery. The result has been incredible innovation leading to combinatorial libraries, high-throughput screening, and the new disciplines of proteomics and genomics. However, similar effort has not been made in drug development, and that has resulted in a surge in potential new drug candidates but limited capacity to move them forward toward commercialization. The bottleneck is no longer in research but in product development. It is our opinion that only a comprehensive HTD effort can prevent many valuable lead compounds from sitting idly on the shelf. Opportunities are already available for increased drug development efficiency, such as high-throughput processing of samples with minimal material requirements. The challenge will be to make those analytical systems more quantitative rather than qualitative. Many information technology companies are devoting resources toward advancing information management software systems for pharmaceutical companies. As biopharmaceutical companies become more sophisticated, some of the lessons from other hightechnology industries (such as the semiconductor and computer fields) may be applicable in the pharmaceutical sector. The revolution will only come, however, when management realizes that a crisis is upon us and that the development schemes of the past three decades will no longer suffice. With that realization, high-throughput development could become a reality. (5) (6) 28 BioPharm FEBRUARY 2002 References (1) A. Dove, “Proteomics: Translating Genomics into Products?” Nature Biotechnol. 17, 233–236 (1999). (2) PhRMA Annual Report (Pharmaceutical Research and Manufacturers of America, Washington, DC, July 2001). (3) Pharma 2005: An Industrial Revolution in R&D (PriceWaterhouseCoopers, New York, 1998). (4) R. Nayar and M.C. 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