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Drug development
and discovery in
biologics
ASHISH SHARMA
M.PHARM
CLINICAL Research
CONTENT
1.Introduction
2.Biologics & Biosimilars
3.Integrated discovery and development of antibodies
4.Market status of biologics
5.Overview of typical biologic manufacturing process
6.Therapeutic role
7.Biological target in therapy
8.Challenges
9.Regulation of biologics by CDSCO
10.Biologics vs small molecule
11.Conclusion
12.Reference
Biological or “Biologics” can be defined as product of which the
active Substance is produced by or extracted from a biological
source.
 Which Includes vaccines, blood, and blood components,
allergenic, somatic Cell, gene therapy, tissues, and recombinant
therapeutic proteins.
They are isolated from living sources- human, animal, plant,
fungal, Or microbial.
Biologics drugs are sometimes referred to as biologic response
Modifiers because they change the manner of operation of natural
Biologic intracellular and cellular action.
Biologics & Biosimilar!!
Biologics or biological products are medicines made
from living organisms through highly complex
manufacturing processes and must be handled and
administered under carefully monitored conditions.
A biosimilar is exactly what its name implies — it is a
biologic that is “similar” to another biologic medicine
(known as a reference product) which is already
licensed by the U.S. Food and Drug Administration
(FDA).
Biosimilars are highly similar to the reference
product in terms of safety, purity and potency,
but may have minor differences in clinically
inactive components. In approving biosimilars,
the FDA may require that manufacturers conduct
a clinical study (or studies) sufficient to establish
safety, purity or potency in one or more uses for
which the reference product is licensed and the
biosimilar seeks licensure.
Cont..
Integrated discovery and development of
antibodies
Target characterization &regent
generation
Critical reagent
generation
Assay development
Antibody generation
Hybridoma generation
Phase display
Screening for specific
attributes
bioassays
Cont….
Optimization of lead mAb
Antibody
engineering
Cell line
development &cell
banking
PK/PD
Pharmacology
Bioassay
Preclinical development
Process
development
Analytical
development
&qualification
Cont..
Preclinical development
Formulation
development
PK/PD
Pharmacology
Toxicology
Bioassay
Clinical manufacturing
Scale up & GMP
manufacturing
Toxicology
Bioassay
MARKET STATUS OF BIOLOGICS
 Study Period:2016-2024
 Base Year:2018
 Fastest Growing Market: Asia Pacific
 Largest Market: North America
The success of biologic drugs in the treatment of
major chronic diseases, notably cancer and
autoimmune diseases, has enabled big
pharmaceutical companies, like Eli Lilly and
Company, Bristol-Myers Squibb, Novartis,
AstraZeneca, and GlaxoSmithKline (GSK), to
invest in these products. In 2016, biologics
accounted for six of the top-eight drugs, in terms of
revenue.
 Humira (adalimumab), which was developed by
AbbVie for the treatment of rheumatoid arthritis,
psoriasis, Crohn’s, and other autoimmune diseases,
led to USD 16 billion in sales, as per the report, Top
15 Best-Selling Drugs of 2016.
Key Market Trends
 Vaccine Segment is Expected to Grow Fastest
during the Forecast Period
 The monoclonal antibodies segment held a
maximum share in 2018 due to higher usage of this
category of drugs in different therapeutic areas.
North America holds the Largest Market Share and
is Believed to Follow the Same Trend over the
Forecast Period
Cont…
Overview of typical biologics
manufacturing process
THEREPEUTIC ROLE
 Biologic drugs are used for treatment of
numerous diseases and conditions, and are
the most advanced therapies available. Some
biologic drugs are used for the treatment of
Crohn's disease, ulcerative colitis, rheumatoid
arthritis, and other autoimmune diseases.
Available biologics have
revolutionized cancer treatment, delayed or
reversed the course of immune related
conditions, changed the lives of people with
rare diseases, and have offered hope for many
patients who previously had no effective
treatment options for their condition.
Cont..
Disease in which
biologics are used:
Various cancers
Rheumatoid
arthritis(RA)
Ankylosing
spondylitis
Crohn's disease
Ulcerative colitis
Psoriasis
Age-related
macular
degeneration
Diabetic
retinopathy
Prevention
of pneumonia
AnemiaChronic migraine
Hepatitis B
Hemophilia
Cont..
Biological target in therapy
There are numerous biological target which are use in
treatment of various ailments:
Tumour necrosis factor α
TNFα is a pro‐inflammatory cytokine that has an important
role in inflammatory disease. Three biological anti‐TNFα
agents are approved for clinical use: two monoclonal
antibodies, infliximab and adalimumab, and the fusion
protein etanercept.
Adalimumab
Adalimumab (Humira) Recombinant human IgG1
monoclonal antibody
Rheumatoid arthritis In combination with
methotrexate for
(a) Treatment of moderate to severe active RA in
adults when the response to DMARDs including
methotrexate has been inadequate
(b) Treatment of severe, active and progressive RA in
adults not previously treated with methotrexate
Can be given as monotherapy in cases of
methotrexate intolerance or when continued
methotrexate is inappropriate.
CD2 on T lymphocytes
Alefacept
• Recombinant fusion protein of human
LFA‐3‐IgG1 Fc
US FDA approval for treatment of adults with
moderate to severe chronic plaque psoriasis who
are candidates for systemic therapy or
phototherapy
CD3 glycoprotein on T lymphocyte
Muromonab—CD3 (Orthoclone)
US FDA approval for the treatment of acute renal
allograft rejection, treatment of acute rejection after
heart or liver transplantation in patients resistant to
standard steroidal therapy
CD20
Rituximab (MabThera)
Treatment of patients with stage III–IV follicular
lymphoma who are chemo‐resistant or in their second
or subsequent relapse after chemotherapy
Treatment of previously untreated patients with stage
III–IV follicular lymphoma in combination with CVP
chemotherapy
Treatment of patients with CD20‐positive diffuse large
B‐cell NHL in combination with CHOP chemotherapy
CD11a
Efalizumab (Raptiva)
Treatment of adult patients with moderate to
severe chronic plaque psoriasis who have
failed to respond to, or who have a
contraindication to, or are intolerant of other
systemic therapies including ciclosporin,
methotrexate and PUVA
IgE
Omalizumab (Xolair)
Additional therapy to improve asthma control in
adult and adolescent patients with severe
persistent allergic asthma who have a positive
skin test
CHALLENGES
The discovery and development of biologics has
Numerous challenges some of which are below:
 Complex process: minor alteration at any of
the step in production cascade can lead to
drastic change in characteristic of end product.
 Safety implication: small difference in
production process can have major implication
on safety profile.
 Contamination: As biologics are from natural
origin so chances of contamination are high.
 Immunogenicity: biologics are specifically
prone to the induction of immunogenicity .
 Limited safety information: The predictability of
preclinical data to human is limited for biologics due to
species-specific action and immunogenic properties in
animal.
 Patient compliance: As majority of biologics are
administered by parental route so it is inconvenient in
long term therapy and affects compliance.
 Storage and shelf life: Most of biologics are
temperature and humidity sensitive ,susceptible to
microbial contamination products with short shelf-life.
 Adjuvant therapy: Monoclonal antibodies and immune
based therapies proves to be useful as adjuvant and
not mainline therapy.
 Aseptic environment: Most biologics manufacturing
requires elaborate biotechnological based technique
which requires aseptic environment.
REGULATION OF BIOLOGICS BY
CDSCO
 APPLICABLE GUIDELINES
1. RECOMBINANT DNA
SAFETY(GUIDELINES,1990)
2. CDSCO GUIDENCE FOR INDUSTRY,
2008
3. GUIDELINES AND HANDBOOKFOR
IBCS,2011
4. Generating preclinical and clinical data for
rDNA vaccines,dignostics and other
biological guidelines , 1999
 Types of Applications
Submission of various application forms to
regulatory agencies is as follows:
Stage Agency
involved
Application Approval
Manufacturing
license for test,
analysis and
examination
State FDA /
cdsco
Form 30 Form 29
Preclinical
studies
permission
RCGM Form C3 Form C6
Clinical trial Cdsco Form 44 Permission
letter
Stage Agency involved Application Approval
Manufacturing
and marketing
permission
Cdsco Form 44 Form 45/46
(finished product)
Manufacturing
license
State FDA/
CDSCO
Form 27D Form 28D
Registration and
import license
CDSCO Form 40/ Form 8 Form 21/ form 10
Cont..
RECENTLY APPROVED BIOLOGICS
Trade
name/proper
name
Indication for use Manufacturer Approval date
Alinity s HIV Ag/Ab
Combo assay
Human
Immunodeficiency
Virus Types 1 and 2
presence of anti-
HIV-1/HIV-2 and
HIV-1 p24 antigen.
The assay is also
intended for use in
testing serum and
plasma specimens
Abbott GMbH &
Co. KG
Abbott
Laboratories
07/23/2019
Alinity s Anti-HCV
assay
Hepatitis C-virus
Encoded Antigens
The Alinity s Anti-
HCV assay is a
chemiluminescent
micro particle
immunoassay
(CMIA) used for the
qualitative detection
of antibodies to
hepatitis C virus
(HCV) in human
serum and plasma
specimens.
Abbott GMbH &
Co. KG
Abbott
Laboratories
07/09/2019
Trade
name/proper
name
Indication for use manufacturer Date of
approval
DENGVAXIA
Dengue
Tetravalent
Vaccine, Live
Dengue Tetravalent Vaccine,
Live is indicated for the
prevention of dengue disease
caused by dengue virus .
Dengue Tetravalent Vaccine,
Live is approved for use in
individuals 9 to 16 years of
age.
Sanofi Pasteur
Inc.
05/01/2019
ESPEROCT
Antihemophili
c Factor
(Recombinan
t
For use in adults and children
with hemophilia A for: (1) on-
demand treatment and
control of bleeding episodes,
(2) perioperative
management of bleeding,
and (3) routine prophylaxis to
reduce the frequency of
bleeding episodes.
Novo Nordisk,
Inc.
02/19/2019
BIOLOGICS VS SMALL
MOLECULE
SMALL MOLECULE BIOLOGICS
General properties
Low molecular weights (0,1 - 1
kDa); usually chemically and
thermally stable, wide range of
polarity.
Very large molecular weights >1
kDa; generally polar, sensitive to
heat, easily degraded (with the
exception of some long-lived types
such as monoclonal antibodies)
Selectivity, safety
Rather promiscuous, usually bind
to various off-target sites,
rendering side-effects or toxicity.
Highly specific to the targets,
generally of lower toxicity
Business aspects
Low prices for SM drugs.
Typically, very high prices for
biologics treatments. This is
regarded as one of the reasons
biologics appear to be delivering
better overall economic returns,
compared to SMs.
Cont..
CONCLUSION
 Biologics and small molecule are
complementary to each other. They are
the two faces of the same coin and are
complementary to each other as they
are developed with the same objective
of ameliorating the disease .
 Based on validated target, suitable
approach either in the form of small
molecule or biologics, either singly or in
combination has to be pursued.
Reference
 https://cen.acs.org/articles/95/i33/Contract-
services-biologics-evolve.html
• Mordorintelligencecom. Mordorintelligence
com. [Online]. Available from:
https://mordorintelligence.com:81/industry-
reports/biologics-market
• https://www.ncbi.nlm.nih.gov/pmc/articles/P
MC1860592/
• https://www.biopharmatrend.com/post/67-
will-small-molecules-sustain-
pharmaceutical-race-with-biologics/
Johnston SL. Biologic therapies: what and when? [published correction
appears in J Clin Pathol. 2007 Mar;60(3):336]. J Clin Pathol. 2007;60(1):8–17.
doi:10.1136/jcp.2005.032300
Drug development and discovery in biologics

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Drug development and discovery in biologics

  • 1. Drug development and discovery in biologics ASHISH SHARMA M.PHARM CLINICAL Research
  • 2. CONTENT 1.Introduction 2.Biologics & Biosimilars 3.Integrated discovery and development of antibodies 4.Market status of biologics 5.Overview of typical biologic manufacturing process 6.Therapeutic role 7.Biological target in therapy 8.Challenges 9.Regulation of biologics by CDSCO 10.Biologics vs small molecule 11.Conclusion 12.Reference
  • 3. Biological or “Biologics” can be defined as product of which the active Substance is produced by or extracted from a biological source.  Which Includes vaccines, blood, and blood components, allergenic, somatic Cell, gene therapy, tissues, and recombinant therapeutic proteins. They are isolated from living sources- human, animal, plant, fungal, Or microbial. Biologics drugs are sometimes referred to as biologic response Modifiers because they change the manner of operation of natural Biologic intracellular and cellular action.
  • 4. Biologics & Biosimilar!! Biologics or biological products are medicines made from living organisms through highly complex manufacturing processes and must be handled and administered under carefully monitored conditions. A biosimilar is exactly what its name implies — it is a biologic that is “similar” to another biologic medicine (known as a reference product) which is already licensed by the U.S. Food and Drug Administration (FDA).
  • 5. Biosimilars are highly similar to the reference product in terms of safety, purity and potency, but may have minor differences in clinically inactive components. In approving biosimilars, the FDA may require that manufacturers conduct a clinical study (or studies) sufficient to establish safety, purity or potency in one or more uses for which the reference product is licensed and the biosimilar seeks licensure. Cont..
  • 6.
  • 7. Integrated discovery and development of antibodies Target characterization &regent generation Critical reagent generation Assay development Antibody generation Hybridoma generation Phase display Screening for specific attributes bioassays
  • 8. Cont…. Optimization of lead mAb Antibody engineering Cell line development &cell banking PK/PD Pharmacology Bioassay Preclinical development Process development Analytical development &qualification
  • 10.
  • 11. MARKET STATUS OF BIOLOGICS  Study Period:2016-2024  Base Year:2018  Fastest Growing Market: Asia Pacific  Largest Market: North America The success of biologic drugs in the treatment of major chronic diseases, notably cancer and autoimmune diseases, has enabled big pharmaceutical companies, like Eli Lilly and Company, Bristol-Myers Squibb, Novartis, AstraZeneca, and GlaxoSmithKline (GSK), to invest in these products. In 2016, biologics accounted for six of the top-eight drugs, in terms of revenue.
  • 12.  Humira (adalimumab), which was developed by AbbVie for the treatment of rheumatoid arthritis, psoriasis, Crohn’s, and other autoimmune diseases, led to USD 16 billion in sales, as per the report, Top 15 Best-Selling Drugs of 2016. Key Market Trends  Vaccine Segment is Expected to Grow Fastest during the Forecast Period  The monoclonal antibodies segment held a maximum share in 2018 due to higher usage of this category of drugs in different therapeutic areas. North America holds the Largest Market Share and is Believed to Follow the Same Trend over the Forecast Period Cont…
  • 13. Overview of typical biologics manufacturing process
  • 14. THEREPEUTIC ROLE  Biologic drugs are used for treatment of numerous diseases and conditions, and are the most advanced therapies available. Some biologic drugs are used for the treatment of Crohn's disease, ulcerative colitis, rheumatoid arthritis, and other autoimmune diseases. Available biologics have revolutionized cancer treatment, delayed or reversed the course of immune related conditions, changed the lives of people with rare diseases, and have offered hope for many patients who previously had no effective treatment options for their condition.
  • 15. Cont.. Disease in which biologics are used: Various cancers Rheumatoid arthritis(RA) Ankylosing spondylitis Crohn's disease Ulcerative colitis Psoriasis
  • 17. Biological target in therapy There are numerous biological target which are use in treatment of various ailments: Tumour necrosis factor α TNFα is a pro‐inflammatory cytokine that has an important role in inflammatory disease. Three biological anti‐TNFα agents are approved for clinical use: two monoclonal antibodies, infliximab and adalimumab, and the fusion protein etanercept.
  • 18. Adalimumab Adalimumab (Humira) Recombinant human IgG1 monoclonal antibody Rheumatoid arthritis In combination with methotrexate for (a) Treatment of moderate to severe active RA in adults when the response to DMARDs including methotrexate has been inadequate (b) Treatment of severe, active and progressive RA in adults not previously treated with methotrexate Can be given as monotherapy in cases of methotrexate intolerance or when continued methotrexate is inappropriate.
  • 19. CD2 on T lymphocytes Alefacept • Recombinant fusion protein of human LFA‐3‐IgG1 Fc US FDA approval for treatment of adults with moderate to severe chronic plaque psoriasis who are candidates for systemic therapy or phototherapy
  • 20. CD3 glycoprotein on T lymphocyte Muromonab—CD3 (Orthoclone) US FDA approval for the treatment of acute renal allograft rejection, treatment of acute rejection after heart or liver transplantation in patients resistant to standard steroidal therapy CD20 Rituximab (MabThera) Treatment of patients with stage III–IV follicular lymphoma who are chemo‐resistant or in their second or subsequent relapse after chemotherapy Treatment of previously untreated patients with stage III–IV follicular lymphoma in combination with CVP chemotherapy Treatment of patients with CD20‐positive diffuse large B‐cell NHL in combination with CHOP chemotherapy
  • 21. CD11a Efalizumab (Raptiva) Treatment of adult patients with moderate to severe chronic plaque psoriasis who have failed to respond to, or who have a contraindication to, or are intolerant of other systemic therapies including ciclosporin, methotrexate and PUVA IgE Omalizumab (Xolair) Additional therapy to improve asthma control in adult and adolescent patients with severe persistent allergic asthma who have a positive skin test
  • 22. CHALLENGES The discovery and development of biologics has Numerous challenges some of which are below:  Complex process: minor alteration at any of the step in production cascade can lead to drastic change in characteristic of end product.  Safety implication: small difference in production process can have major implication on safety profile.  Contamination: As biologics are from natural origin so chances of contamination are high.  Immunogenicity: biologics are specifically prone to the induction of immunogenicity .
  • 23.  Limited safety information: The predictability of preclinical data to human is limited for biologics due to species-specific action and immunogenic properties in animal.  Patient compliance: As majority of biologics are administered by parental route so it is inconvenient in long term therapy and affects compliance.  Storage and shelf life: Most of biologics are temperature and humidity sensitive ,susceptible to microbial contamination products with short shelf-life.  Adjuvant therapy: Monoclonal antibodies and immune based therapies proves to be useful as adjuvant and not mainline therapy.  Aseptic environment: Most biologics manufacturing requires elaborate biotechnological based technique which requires aseptic environment.
  • 24. REGULATION OF BIOLOGICS BY CDSCO  APPLICABLE GUIDELINES 1. RECOMBINANT DNA SAFETY(GUIDELINES,1990) 2. CDSCO GUIDENCE FOR INDUSTRY, 2008 3. GUIDELINES AND HANDBOOKFOR IBCS,2011 4. Generating preclinical and clinical data for rDNA vaccines,dignostics and other biological guidelines , 1999
  • 25.  Types of Applications Submission of various application forms to regulatory agencies is as follows: Stage Agency involved Application Approval Manufacturing license for test, analysis and examination State FDA / cdsco Form 30 Form 29 Preclinical studies permission RCGM Form C3 Form C6 Clinical trial Cdsco Form 44 Permission letter
  • 26. Stage Agency involved Application Approval Manufacturing and marketing permission Cdsco Form 44 Form 45/46 (finished product) Manufacturing license State FDA/ CDSCO Form 27D Form 28D Registration and import license CDSCO Form 40/ Form 8 Form 21/ form 10 Cont..
  • 27. RECENTLY APPROVED BIOLOGICS Trade name/proper name Indication for use Manufacturer Approval date Alinity s HIV Ag/Ab Combo assay Human Immunodeficiency Virus Types 1 and 2 presence of anti- HIV-1/HIV-2 and HIV-1 p24 antigen. The assay is also intended for use in testing serum and plasma specimens Abbott GMbH & Co. KG Abbott Laboratories 07/23/2019 Alinity s Anti-HCV assay Hepatitis C-virus Encoded Antigens The Alinity s Anti- HCV assay is a chemiluminescent micro particle immunoassay (CMIA) used for the qualitative detection of antibodies to hepatitis C virus (HCV) in human serum and plasma specimens. Abbott GMbH & Co. KG Abbott Laboratories 07/09/2019
  • 28. Trade name/proper name Indication for use manufacturer Date of approval DENGVAXIA Dengue Tetravalent Vaccine, Live Dengue Tetravalent Vaccine, Live is indicated for the prevention of dengue disease caused by dengue virus . Dengue Tetravalent Vaccine, Live is approved for use in individuals 9 to 16 years of age. Sanofi Pasteur Inc. 05/01/2019 ESPEROCT Antihemophili c Factor (Recombinan t For use in adults and children with hemophilia A for: (1) on- demand treatment and control of bleeding episodes, (2) perioperative management of bleeding, and (3) routine prophylaxis to reduce the frequency of bleeding episodes. Novo Nordisk, Inc. 02/19/2019
  • 29. BIOLOGICS VS SMALL MOLECULE SMALL MOLECULE BIOLOGICS General properties Low molecular weights (0,1 - 1 kDa); usually chemically and thermally stable, wide range of polarity. Very large molecular weights >1 kDa; generally polar, sensitive to heat, easily degraded (with the exception of some long-lived types such as monoclonal antibodies) Selectivity, safety Rather promiscuous, usually bind to various off-target sites, rendering side-effects or toxicity. Highly specific to the targets, generally of lower toxicity Business aspects Low prices for SM drugs. Typically, very high prices for biologics treatments. This is regarded as one of the reasons biologics appear to be delivering better overall economic returns, compared to SMs.
  • 31. CONCLUSION  Biologics and small molecule are complementary to each other. They are the two faces of the same coin and are complementary to each other as they are developed with the same objective of ameliorating the disease .  Based on validated target, suitable approach either in the form of small molecule or biologics, either singly or in combination has to be pursued.
  • 32. Reference  https://cen.acs.org/articles/95/i33/Contract- services-biologics-evolve.html • Mordorintelligencecom. Mordorintelligence com. [Online]. Available from: https://mordorintelligence.com:81/industry- reports/biologics-market • https://www.ncbi.nlm.nih.gov/pmc/articles/P MC1860592/ • https://www.biopharmatrend.com/post/67- will-small-molecules-sustain- pharmaceutical-race-with-biologics/
  • 33. Johnston SL. Biologic therapies: what and when? [published correction appears in J Clin Pathol. 2007 Mar;60(3):336]. J Clin Pathol. 2007;60(1):8–17. doi:10.1136/jcp.2005.032300