> serving the global supply chain Biopharmaceuticals Abstract The biopharmaceutical industry continues to grow at a healthy pace, with the biosimilars market predicted to expand even more rapidly. As biologic drugs become more complex, biosimilars become more important, and downward cost pressures from both governments and payers increase, biopharmaceutical manufacturers are turning more often to custom service provid- Four Keys to Successful Biopharmaceutical Outsourcing: Technical Expertise, Quality, Reliability and Timeliness ers to assist in the development and manufacture of biotherapeutics. While cost savings continue to be a driver for increased outsourcing, the actual selection of a contract development and manufacturing partner is more often today based on other factors, including their technical capabilities, reliability (such as financial robustness), the quality of their products and services, and their history of achieving on-time delivery. Introduction The value of the global biologics market reached approximately $230 billion in 2014 and is expected to grow at a compound annual growth rate (CAGR) of just over 10% to nearly $390 billion by the end of 2019.1 Biosimilars accounted for nearly $2.0 billion of the biologics market in 2014, and that number is predicted to double by the end of 2019, growing at a CAGR of 15%.2 One market research firm estimates that there are 280 biosimilars in the pipeline, and the number of biosimilars in clinical trials is increasing at a rate of 20% per year.3 The strong growth rates for the biopharmaceutical market as a whole are in part due to the aging of the global population and a worldwide increase in chronic diseases, including diabetes, heart disease, and arthritis, that are better suited for treatment with biologic drugs. In addition, continued expansion of the middle class accompanied by growing wealth and improving healthcare systems is leading to increased demand for biopharmaceuticals in emerging markets.4 More significant growth is anticipated for the biosimilars market because numerous monoclonal antibody (mAb)-based drugs are coming off patent by 2020, including several with annual sales greater than $5 billion each in the year of US expiry.5 The first mAb biosimilar was approved by the European Medicines > BY Greg Flyte Director, CMO Alliance and Program Management, GlaxoSmithKline Biopharmaceuticals Greg Flyte is the Director of Contract Manufacturing Organization (CMO) Alliance & Program Management at GlaxoSmithKline (GSK). He brings over 18 years of technical and business experience in engineering, validation, process development, alliance/ program/project management, manufacturing operations, and business development. In his current role, he is responsible for the contract development and manufacturing organization (CDMO) business, including several collaborations with both small and large biopharmaceutical companies who are current clients of GSK. During his 16 years at the Rockville, Maryland, USA site (14 with Human Genome Sciences which was acquired by GSK in August 2012). Greg has also been involved with managing the design through validation phases during the construction of all GSKs’ manufacturing facilities, in addition to managing the large scale manufacturing (LSM) facility validation team from inception through commercial production. Prior to joining HGS, Greg spent two years as a validation engineer consultant. He holds a B.S. in Chemical Engineering from Drexel University. 6 American pharmaceutical review Supplement April 2015 Agency (EMA) in 2013 (Remsima/Inflectra from Celltrion/Hospira, a biosimilar of Johnson & Johnson’s inflixmab product Remicade).6 Now that the US Food and Drug Administration’s Oncologic Drugs Advisory Committee has approved the first biosimilar drug in the US (Sandoz’s Zarxio biosimilar of Amgen’s Neupogen [filgrastrim]),7 more companies are expected to submit applications through this new regulatory approval pathway, including mAbs, which account for approximately 40% of the biosimilars in development.8 Biopharmaceutical outsourcing on the upswing With demand set to rise at a healthy pace, biopharmaceutical manufacturers are increasingly turning to service providers for assistance with all aspects of the drug development process, from discovery through to recently found to be occurring along with a growth in commercial manufacturing. In fact, the biopharmaceu- interest in developing strong relationships with true tical outsourcing market has increased at an annual outsourcing partners.12 The survey of “outsourcing rate of approximately 10% and is expected to grow at a similar pace for the next several years.9 Many companies are investing in additional capacity as a result, but it can be difficult to know what specific Developing Strategic Partnership facing pharmaceutical and biotechnology executives” also revealed that biopharmaceutical companies, and in particular emerging biotechs, are also interested in developing strategic partnerships with service provid- capabilities will be required in the future given the vari- ers that offer integrated services from process devel- able lead times for biotherapeutics. In fact, biologics opment through to commercial manufacture. manufacturers are turning to service providers to avoid There are also many other reasons biopharmaceu- the very high capital expenditures and long lead times tical companies outsource to service providers. Some needed to construct, equip, and validate manufactur- are looking to improve quality, while others hope to ing facilities.4 achieve faster time to market, particularly those out- In addition, as biologic molecules become increas- sourcing processes based on mammalian cell technol- ingly complex and often more potent, branded drug manufacturers are also looking to contract development and manufacturing organizations (CDMOs) that have the specialized expertise needed for such projects. A 2013 survey of biopharmaceutical companies CDMO Selection: Shift in interest ogy. Outsourcing can also enable more efficient use of in-house expertise. In addition, service providers can help biopharmaceutical manufacturers gain a competitive advantage, improve their regulatory positioning, and mitigate supply chain risk. revealed that they are increasingly outsourcing more challenging processes to service providers with the Characteristics of a true contract appropriate technical expertise.10 A more recent study biopharmaceutical CDMO partner also revealed that biopharmaceutical companies tak- Many of these benefits are not realized unless a true ing the lead in the market are doing so through the de- partnership is formed between the CDMO and the spon- velopment of new products based on innovative new sor company. Such partnerships require commitment science that have demonstrated value for patients, and trust on both sides. That trust and commitment rather than through a diversification strategy.11 These develop over time and as the CDMO demonstrates that companies will clearly need the support of contract manufacturers with advanced technical capabilities. COST it can meet or exceed the expectations of the biopharmaceutical manufacturer. First, of course, the CDMO must clearly have the op- CDMO selection no longer driven mainly by cost erational, methodological, and therapeutic experience The shift in interest to CDMOs with advanced tech- and expertise that pertain to any project under consid- nical capabilities rather than the lowest-cost bid was eration. A strong quality record and positive regulatory > Company Profile Meet GlaxoSmithKline Biopharmaceuticals Manufacturing Your Products Like Our Own + World-class biologics facilities + Advanced mammalian and microbial technologies + Drug product and drug substance development and manufacturing capabilities + Industry-leading technical expertise + Flexible and agile relationship approach backed by leading biopharmaceutical manufacturer + Excellent track record of development success manufacturing and two plants in Europe able to provide a wide range of drug product + Proven quality systems formulation and manufacturing services, GSK Biopharmaceuticals offers fully integrated + Demonstrated experience with technology transfer + Risk mitigation through depth of scientific experience + Comprehensive analytical/QC support + In-depth regulatory expertise + Release services from a global network + Fully integrated supply chain GlaxoSmithKline Biopharmaceuticals serves as the manufacturing knowledge center that enables the launch, supply, and management of GSK biopharmaceutical products around the world. We leverage these capabilities to provide contract manufacturing services with market-leading quality, cost, and timeliness. With two facilities in the US capable of biologic drug substance development and supply chain support. We have the proven history, technologies, facilities, systems, people, and corporate support you need to get your biologics products into development and out to patients efficiently and with maximum quality and safety. Americanpharmaceuticalreview.com 7 history are equally important. The demonstrated ability to meet project deadlines and deliver product on or ahead of schedule is also a must, as is previous success in commercial manufacturing. Financial stability is another key quality; without it, a CDMO will often be passed over for short-term projects, and certainly won’t be considered as a candidate for long-term strategic relationships. Finally, a CDMO must have adequate capacity and equipment and the ability to rapidly meet the changing requirements of its potential strategic partner. It should also be noted that biopharmaceutical companies looking to outsource mammalian and microbial projects often consider different CDMO characteristics as more important than others. So-called “soft traits” are also important to sponsor companies. Good communication skills, a good understanding of customer requirements, and knowledgeable and professional experts are all very important. Transparency, a good reputation, and a willingness to go beyond the specifics in the con- > GSK BIOPHARMACEUTICALS tract are also very positive characteristics for CDMOs. It is important to realize, however, that poor performance in many of these areas can be a source of dissatisfaction for biopharmaceutical manufacturers. Failing to meet quality specifications and provide the product on time are severe negatives for CDMOs, as is the inability to provide the expected range of services and capabilities. A lack of timely follow-through with respect to documentation, poor customer service and technical support, and poor performance in safety Rockville, MD Located in the suburbs of Baltimore, MD and Washington, DC, our Rockville, MD facility also offers both mammalian cell-based and microbial fermentation processes, with a newly constructed process development laboratory. The site has been providing contract development and manufacturing services to the biopharmaceutical industry for 8 years. + Five commercialized products + Support for yeast, NSO, and CHO-based host organisms from 650 L (microbial), audits can also be very detrimental to any potential 1,600 L (mammalian), and 20,000 L (mammalian) scale long-term partnership. + Full upstream and downstream process development capabilities to 200 L + Dedicated analytical team for supporting method development through validation Demonstration of commitment + Disk-stack centrifuge, depth, and microfiltration skids for harvesting Possessing the above attributes is not sufficient for + Flexible downstream operations developing a true strategic partnership, however. A CDMO must be able to demonstrate its willingness to make a long-term commitment to the biopharmaceutical manufacturer. There are several ways that a CDMO can do so, such as working with the sponsor company to develop operating procedures in a collaborative manner, providing a project/program Upper Merion, PA Located in a suburb of Philadelphia, our Upper Merion, PA facility offers services to support microbial fermentation and mammalian cell-based processes. The site has been providing manufacturing services to the biopharmaceutical industry for 15 years. manager who is dedicated to supporting the biolog- + Five commercialized products ics manufacturer, developing customized protocols, + Support for multiple host organisms: yeast, CHO, mouse myeloma, and providing dedicated development space and/or insect, and cell cultures production lines. + Support for multiple process platforms: batch, fed-batch, multiple harvest, and perfusion Understanding the marketplace + Seed labs and seed trains: shaker flasks and wave platforms with As mentioned above, the interests of biopharmaceuti- different scale-up ratios cal companies looking to outsource mammalian and + 5000 L (mammalian) and 10,000 L (microbial) reactors microbial processes often differ. An effective CDMO must understand those different needs and preferences and be prepared to provide the expected capabilities and services. For instance, preferences for the + Disk-stack centrifugation and high-capacity, flexible depth filtration for harvesting + Flexible downstream operations stage of outsourcing, the use of stainless steel vs. dis- + Single-use disposable and stainless equipment options posable equipment, and the types of services needed + Suite segregation can vary widely for mammalian cell and microbial pro- + Campaign-dedicated equipment cesses and even from one customer to another. + Analytical and release testing 8 American pharmaceutical review Supplement April 2015 Characteristics of a true CDMO partner Technical Expertise Cost is still a factor Finally, it should also be noted that, although cost is Quality It should also be noted that biopharmaceutical companies looking to outsource mammalian and microbial projects often consider different CDMO characteristics as more important than others. So-called “soft traits” are also important to sponsor companies. and manufacturing resources associated with an established global manufacturer. often considered to be less important than quality and Such a CDMO is able to provide services from early- reliability when biopharmaceutical manufacturers are stage development to commercial production using selecting a CDMO, cost is still a factor, particularly if world-class, state-of-the-art equipment and facilities. two CDMOs have equally attractive attributes other- In addition, because such a CDMO has a tremendous wise. There are few cases in which cost is not considered at all, but it is also unlikely today that cost will be depth of scientific expertise in both mammalian and Reliability the only factor on which a CDMO is selected. microbial technologies, biopharmaceutical manufacturers can minimize the risk of outsourcing more challenging processes. Access to top regulatory experts The benefits of big biopharma backing and analytical support is yet another benefit of part- It can be challenging for CDMOs to possess all of the nering with a CDMO that is associated with a major desirable attributes outlined above. There is one very biopharmaceutical company. Global marketing sup- effective way to do so: have a connection to an established world leader in the development and scale-up of port is another. Timeliness Of course, such a CDMO must have appropriate con- biologics. This type of CDMO offers the flexibility of an trols in place to ensure that the work it does for its agile service provider combined with the financial sta- customers remains confidential and separate from the bility and depth of technical expertise, development, activities of its parent company. A > references 1. 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