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Dialogue	on	the	stability	of	probio3cs	
	
	
Auditorium	ANVISA	
Basilia,	Brazil.	June	19,	2017	
®	
Learning	from	the	US	Dietary	Supplements	market	
	
Fernando	Ferrer,	MBA
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 2	
Disclaimer	
The	views	and	opinions	expressed	in	this	session	
are	those	of	the	individual	presenters	and	
should	not	be	aTributed	to	their	employers	nor	
the	organizers	of	this	event.	
	
Fernando	Ferrer,	MBA
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 3	
Objec3ve	
Discuss	the	world	scenario	on	the	regula3on	of	probio3cs	
and	the	divergences	for	the	framing	of	these	products	in	
the	categories	of	medicines	and	foods.	
The	intend	is	also	to	discuss	requirements	for	the	
development,	use	of	claims	and	produc3on	of	probio3cs.	
Discu3r	o	cenário	mundial	sobre	a	regulação	de	probió3cos	
e	as	divergências	para	o	enquadramento	destes	produtos	
nas	categorias	de	medicamentos	e	alimentos.	
Pretende-se	também	debater	os	requisitos	para	o	
desenvolvimento,	uso	de	alegações	e	produção	dos	
probió3cos.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 4	
Abstract	
•  Natural	products	challenge	us	to	create	and	accept	different	standards.	
•  Science	and	usage	show	us	the	benefits	and	safety	of	using	probio3cs.	
•  Food	and	dietary	supplements	do	not	have	the	same	technical	
requirements	of	stability	for	medicines;	however,	this	stability	is	taken	
into	considera3on	from	the	moment	of	developing	every	industrial	
produc3on	formula.	
•  The	variety	of	probio3cs	and	their	mul3ple	applica3ons	in	industrialized	
products	makes	it	difficult	to	develop	and	implement	regula3ons	
covering	each	and	every	one	of	its	technicali3es.	
•  This	presenta3on	shows	the	stability	informa3on	of	some	probio3c	
products	marketed	in	the	US	as	dietary	supplements.	
•  The	proposed	way	to	rapidly	advance	with	a	regulatory	and	industrial	
agreement	is	to	break	paradigms	for	a	beTer	inclusion	of	natural	
products,	to	seek	simpler	and	broader	regula3ons,	and	to	understand	
and	accept	the	technical	reasons	considered	by	industry	to	neutralize	
the	aspects	that	may	affect	the	stability	of	probio3cs	in	food	and	
medicines.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 5	
Content	
Dialogue	on	the	stability	of	probio3cs		
① 	introduc3on	
② 	Learning	from	the	US	Dietary	Supplements	
market	
③ 	discussion	
Conclusion	
Fernando	Ferrer,	MBA	 Mul3na3onal	Partnerships	LLC	 5
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 6	
Natural	products	
•  Natural	products	are	small	molecules	produced	
naturally	by	any	organism	including	primary	and	
secondary	metabolites.		
•  They	include	very	small	molecules,	such	as	urea,	
and	complex	structures,	such	as	Taxol.		
•  As	they	may	only	be	isolable	in	small	quan33es,	
have	interes3ng	biological	ac3vity	and	chemical	
structures,	natural	product	synthesis	poses	an	
interes3ng	challenge	in	organic	chemistry.	
Source:	Nature,	founded	in	1869.	hTp://www.nature.com/subjects/natural-products	
①  	introduc3on
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 7	
Defini3on	of	probio3cs	
Live	microorganisms	which	when	administered	
in	adequate	amounts	confer	a	health	benefit	on	
the	host	
Source:	WHO	hTp://www.who.int/foodsafety/fs_management/en/
probio3c_guidelines.pdf	
Joint	FAO/WHO	Working	Group	Report	on	Draoing	Guidelines	for	the	Evalua3on	of	
Probio3cs	in	Food	
London,	Ontario,	Canada,	April	30	and	May	1,	2002
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 8	
Bacteria	
•  are	among	the	first	forms	of	life	that	appeared	
on	Earth	
•  can	be	found	virtually	everywhere	
– at	temperature		below		0°C	or	above	120°C		
– low	(0.007	atm)	or	high	pressure	(380	atm)	
– with	or	without	O2	
– in	radioac3ve	waste	
•  are	vital	for	humans
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 9	
The	bacterial	content	of	the	colon	
exceeds	all	other	organs	
most	
bacteria	
reside	only	
in	the	colon	
(which	has	a	
volume	of	
0.4	litres)	
hTp://biorxiv.org/content/biorxiv/
early/2016/01/06/036103.full.pdf
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 10	
Most	common	microorganisms	
used	as	probio3cs	
•  Lactobacillus		
•  Bifidobacterium	genera		
•  Other	bacterial	genera,	including	
Enterococcus,	Streptococcus,	and	Escherichia	
•  Fungus	Saccharomyces	boulardii
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 11	
FDA	Generally	Recognized	as	Safe	
(GRAS)	
GRN	No.	Substance	 Date	of	closure	
660	 Bacillus	coagulans	GBI-30,	6086 13-Jan-17
601	 Bacillus	coagulans	SBC37-01	spore	prepara3on	 28-Apr-16
597	 Bacillus	coagulans	SNZ1969	spores	prepara3on 29-Feb-16
526	 Bacillus	coagulans	strain	Unique	IS2	spores	prepara3on 23-Mar-15
377	 Bifidobacterium	animalis	subsp.	lac3s	strain	Bf-6 29-Sep-11
445	 Bifidobacterium	animalis	subsp.	lac3s	strains	HN019,	Bi-07,	Bl-04	and	B420 10-Apr-13
455	 Bifidobacterium	breve	M-16V 30-Sep-13
454	 Bifidobacterium	breve	M-16V 27-Sep-13
453	 Bifidobacterium	breve	M-16V 27-Sep-13
49	
Bifidobacterium	lac3s	strain	Bb12	and	Streptococcus	thermophilus	strain	
Th4 19-Mar-02
268	 Bifidobacterium	longum	strain	BB536 8-Jul-09
670	 Inac3vated	Bacillus	coagulans	GBI-30,	6086 15-Mar-17
Source:	webpage	FDA,	list	of	some	probio3cs	listed	by	May	17,	2017
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 12	
FDA	Generally	Recognized	as	Safe	
(GRAS)	(2)	
GRN	No.	Substance	 Date	of	closure	
502	 Lactobacillus	acidophilus	La-14	 19-Aug-14
357	 Lactobacillus	acidophilus	NCFM	 19-Apr-11
171	 Lactobacillus	acidophilus,	Lactobacillus	lac3s,	and	Pediococcus	acidilac3ci	 7-Dec-05
429	 Lactobacillus	casei	strain	Shirota	 10-Dec-12
231	 Lactobacillus	casei	subsp.	rhamnosus	strain	GG	 29-May-08
531	 Lactobacillus	fermentum	CECT5716	 20-Mar-15
410	 Lactobacillus	reuteri	strain	DSM	17938	 26-Mar-12
254	 Lactobacillus	reuteri	strain	DSM	17938	 18-Nov-08
410	 Lactobacillus	reuteri	strain	DSM	17938	 26-Mar-12
440	 Lactobacillus	reuteri	strain	NCIMB	30242	 12-Feb-13
288	 Lactobacillus	rhamnosus	strain	HN001	 1-Nov-09
281	 Lactobacillus	rhamnosus	strain	HN001	produced	in	a	milk-based	medium	 31-Aug-09
Source:	webpage	FDA,	list	of	some	probio3cs	listed	by	May	17,	2017
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 13	
Loses	in	any	food	or	medical	
industrialized	product	
Formulas	must	include	overdoses	to	
cover	inherent	loses	in		
Manufacturing	
	
	
	 	
Analy3cal	
method(s)	
	
Storage(s)	and	
logis3cs	
	
“One	size	doesn't	fit	all”.	Varia3ons	due	to	diverse	factors,	e.g.	
components,	product,	forms,	technologies,	environment,	etc.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 14	
Summarizing	
	
Natural	Products	-	
Microorganisms	
Regula3ons	
Industrialized	
products	
Consumer
FOOD	SUPPLEMENTS	
Stability	of	formula3ons	of	probio3cs	in	the	US	market	
②  Learning	from	the	US	Dietary	Supplements	market
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 16	
Probio3cs	as	Food	Supplements	
Exhibi3on	at	Drugstores
DECLARING	JUST	THE	CONTENT	
Examples	of	current	products	in	the	US	market
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 20	
		Rite	Aid	–	250mg	Saccharomyces	boulardii	
serving	1	capsule			
Content	or	potency	is	not	related	to	manufacture	or	
expira3on	dates		
Store	at	room	temperature.	For	best	results,	we	
recommend	you	store	this	product	in	the	original	package.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 21	
	 	RB–	2	billion	viable	cells		
serving	1	capsule	
Potency	is	not	related	to	manufacture	or	
expira3on	dates	:“guaranteed	for	…labeled	
potency”,	but	has	a	“%	of	survivability”	claim
DECLARING	POTENT	AT	TIME	OF	
MANUFACTURE	
Examples	of	current	products	in	the	US	market
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 23	
Church	&	Dwight	-	PB8	14	billion	
Serving	size	2	caps	
	
Bacteria	count	will	vary	aoer	3me	of	manufacture.	
Store	in	a	cool,	dry	place;	best	if	refrigerated	aoer	
opening
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 24	
	 	N’s	B	-	20	billion	live	cultures		
serving	1	capsule	
20	billion	ac3ve	cultures	per	serving	guaranteed	at	the	
3me	of	manufacture.	
Refrigerate	aoer	opening
DECLARING	POTENT	PRIOR	TO	
EXPIRATION	
Examples	of	current	products	in	the	US	market
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 26	
i-Health	–	10	billion	CFUs	
serving	1	capsule		
Guaranteed	potency	thorough	date	on	box	when	stored	according	to	
instruc3ons.	
Store	Culturelle	in	a	cool	,	dry	place	away	from	direct	sunlight.	Keep	
Culturelle	at	room	temperature	or	below.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 27	
	 	Bayer	–	2	billion	cells	
serving	1	capsule	
Prior	to	expira3on	
Store	at	a	room	temperature.	Avoid	excessive	heat.	
Replace	cap	aoer	use.
DECLARING	POTENT	AT	THE	TIME	OF	
MANUFACTURE	AND	PRIOR	TO	
EXPIRATION	
Examples	of	current	products	in	the	US	market
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 29	
	 	Rite	Aid	–	5	billion	CFUs	
serving	1	capsule	
Product	contains	5	billion	live	cells	when	manufactured	and	a	minimum	of	1	
billion	live	cells	at	Eme	of	expiraEon	
Store	at	25°C	(77°F).	Avoid	excessive	heat	and	humidity.		Protect	from	humidity.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 30	
	P&G	–	4mg	–	1	billion	CFU	
serving	1	capsule	
Contains	1	x	109	(one	
billion)	live	bacteria/CFU	
when	manufactured,	and	
provides	an	effec3ve	level	
of	bacteria	(1x107	CFU)*	
un3l	at	least	the	“best	by”	
date	
*10	million	
Store	at	room	
temperature.	For	best	
results	we	recommend	
you	store	Align	in	the	
original	blister	package.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 31	
Loses	might	be	up	to	99%	and	
80%	in	2	years	
Align		
1000	million	to	10	million	
Rite	Aid	
5	billion	to	1	billion
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 32	
Loses	in	any	food	or	medical	
industrialized	product	
Formulas	must	include	overdoses	to	
cover	inherent	loses	in		
Manufacturing	
	
5	–	?	%	
	
	 	
Analy3cal	
method(s)	
5	-	25%	
	
Storage(s)	and	
logis3cs	
?	–	10’000%	
	
“One	size	doesn't	fit	all”.	Varia3ons	due	to	diverse	factors,	e.g.	
components,	product,	forms,	technologies,	environment,	etc.
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 33	
Discussion	
•  Is	it	feasible	for	natural	products	to	respond	
always	to	the	“ra3onal”	of	synthe3c	products	
created	by	man?	
•  Is	it	impossible	to	create	and	implement	an	
efficient	regulatory	system	that	can	fully	
encompass	the	wide	range	of	probio3cs?	
•  Is	the	industry	chea3ng	the	consumers	and	
the	authori3es	when	adding	an	overdose?	
③  	discussion
No
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 35	
Simplicity		
Complica3ng	simplicity	is	simple	but	
simplifying	the	complex	is	very	difficult		
•  “Simplicity	is	the	ul3mate	sophis3ca3on.”	—	Leonardo	da	
Vinci	
•  “Don’t	make	the	process	harder	than	it	is.“	—	Jack	Welch	
•  “Life	is	really	simple,	but	we	insist	on	making	it	complicated.”	
–	Confucius	
•  “Simplicity	is	the	most	difficult	thing	to	secure	in	this	world;	it	
is	the	last	limit	of	experience	and	the	last	effort	of	genius.	“	
—	George	Sand
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 36	
Conclusion		
•  Break	paradigms.	Natural	products	require	a	different	
vision	than	synthe3c	products	created	by	man.	
•  Simplify.	The	wide	variety	of	probio3cs	and	their	
applica3ons	in	the	areas	of	food	and	medicine	can	be	
regulated	based	on	a	simple	and	broad	regula3on.	
•  Compliance.	Industrialized	products	require	
overdosages	that	are	specific	to	each	process	and	
product,	levels	can	not	be	generalized;	the	industry	is	
not	intending	to	mislead	the	system	and	the	addi3on	
of	an	overdose	is	sustained	by	valid	reasons.
Fernando	Ferrer,	BSc.	MBA	
Phone	+	1	908	326	6417	
fferrer@mul3na3onalpartnerships.com	
		
Muito	Obrigado	
Thank	you	
®	
Mul3na3onal	Partnerships®	is	a	Registered	Trade	Mark	of	Mul3na3onal	Partnerships	LLC
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 38	
Members	of
Privileged	and	Confiden3al	
Fernando	Ferrer,	MBA	 ©	Mul3na3onal	Partnerships	LLC	 39	
Members	of

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