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Managing Unexpected Events in the Manufacturing of Biologic Medicines

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Abstract

The manufacturing of biologic medicines (biologics) requires robust process and facility design, rigorous regulatory compliance, and a well-trained workforce. Because of the complex attributes of biologics and their sensitivity to production and handling conditions, manufacturing of these medicines also requires a high-reliability manufacturing organization. As required by regulators, such an organization must monitor the state-of-control for the manufacturing process. A high-reliability organization also invests in an experienced and fully engaged technical support staff and fosters a management culture that rewards in-depth analysis of unexpected results, robust risk assessments, and timely and effective implementation of mitigation measures. Such a combination of infrastructure, technology, human capital, management, and a science-based operations culture does not occur without a strong organizational and financial commitment. These attributes of a high-reliability biologics manufacturer are difficult to achieve and may be differentiating factors as the supply of biologics diversifies in future years.

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References

  1. Gatesman ML, Smith TJ. The shortage of essential chemotherapy drugs in the United States. N Engl J Med. 2011;365(18):1653–5.

    Article  PubMed  CAS  Google Scholar 

  2. Kaakeh R, Sweet BV, Reilly C, Bush C, DeLoach S, Higgins B, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst Pharm. 2011;68(19):1811–9.

    Article  PubMed  Google Scholar 

  3. Ventola CL. The drug shortage crisis in the United States: causes, impact, and management strategies. P T. 2011;36(11):740–57.

    PubMed  Google Scholar 

  4. US Food and Drug Administration. Current drug shortages. http://www.fda.gov/Drugs/DrugSafety/DrugShortages/ucm050792.htm. Accessed 13 Nov 2012.

  5. Woodcock J, Wosinska M. Economic and technological drivers of generic sterile injectable drug shortages. Clin Pharmacol Ther. 2013;93(2):170–6.

    PubMed  CAS  Google Scholar 

  6. Weick KE, Sutcliffe KM. Managing the unexpected: resilient performance in an age of uncertainty. 2nd ed. San Francisco: Wiley; 2007.

    Google Scholar 

  7. Sasaki H, Bothner B, Dell A, Fukuda M. Carbohydrate structure of erythropoietin expressed in Chinese hamster ovary cells by a human erythropoietin cDNA. J Biol Chem. 1987;262(25):12059–76.

    PubMed  CAS  Google Scholar 

  8. Egrie JC, Browne JK. Development and characterization of novel erythropoiesis stimulating protein (NESP). Br J Cancer. 2001;84(Suppl 1):3–10.

    Article  PubMed  CAS  Google Scholar 

  9. Hokke CH, Bergwerff AA, van Dedem GW, van Oostrum J, Kamerling JP, Vliegenthart JF. Sialylated carbohydrate chains of recombinant human glycoproteins expressed in Chinese hamster ovary cells contain traces of N-glycolylneuraminic acid. FEBS Lett. 1990;275(1–2):9–14.

    Article  PubMed  CAS  Google Scholar 

  10. Ghaderi D, Taylor RE, Padler-Karavani V, Diaz S, Varki A. Implications of the presence of N-glycolylneuraminic acid in recombinant therapeutic glycoproteins. Nat Biotechnol. 2010;28(8):863–7.

    Article  PubMed  CAS  Google Scholar 

  11. Prigge ST, Kolhekar AS, Eipper BA, Mains RE, Amzel LM. Amidation of bioactive peptides: the structure of peptidylglycine alpha-hydroxylating monooxygenase. Science. 1997;278(5341):1300–5.

    Article  PubMed  CAS  Google Scholar 

  12. Boven K, Stryker S, Knight J, Thomas A, van Regenmortel M, Kemeny DM, et al. The increased incidence of pure red cell aplasia with an Eprex formulation in uncoated rubber stopper syringes. Kidney Int. 2005;67(6):2346–53.

    Article  PubMed  Google Scholar 

  13. Haag-Weber M, Eckardt KU, Horl WH, Roger SD, Vetter A, Roth K. Safety, immunogenicity and efficacy of subcutaneous biosimilar epoetin-alpha (HX575) in non-dialysis patients with renal anemia: a multi-center, randomized, double-blind study. Clin Nephrol. 2012;77(1):8–17.

    PubMed  CAS  Google Scholar 

  14. Seidl A, Hainzl O, Richter M, Fischer R, Bohm S, Deutel B, et al. Tungsten-induced denaturation and aggregation of epoetin alfa during primary packaging as a cause of immunogenicity. Pharm Res. 2012;29(6):1454–67.

    Article  PubMed  CAS  Google Scholar 

  15. Joubert MK, Hokom M, Eakin C, Zhou L, Deshpande M, Baker MP, et al. Highly aggregated antibody therapeutics can enhance the in vitro innate and late-stage T-cell immune responses. J Biol Chem. 2012;287(30):25266–79.

    Article  PubMed  CAS  Google Scholar 

  16. Sauerborn M, Brinks V, Jiskoot W, Schellekens H. Immunological mechanism underlying the immune response to recombinant human protein therapeutics. Trends Pharmacol Sci. 2010;31(2):53–9.

    Article  PubMed  CAS  Google Scholar 

  17. Jiang Y, Nashed-Samuel Y, Li C, Liu W, Pollastrini J, Mallard D, et al. Tungsten-induced protein aggregation: solution behavior. J Pharm Sci. 2009;98(12):4695–710.

    Article  PubMed  CAS  Google Scholar 

  18. Zhang B, Towers EW, Poppe L, Cockrill SL. Analytical characterization of a novel degradation product in a PEGylated recombinant protein. J Pharm Sci. 2011;100(11):4607–16.

    Article  PubMed  CAS  Google Scholar 

  19. Vinther A. A novel bacterial contamination in cell culture manufacturing Leptospira licerasiae. PDA WCC Meeting July 19, 2012. http://www.wccpda.org/Pages/Archives/Anders%20Vinther%20Leptospira%20PDA%20WCC%2019%20Jul%202012.ppt. Accessed 30 Nov 2012.

  20. US Food and Drug Administration. Quality systems. http://www.fda.gov/Drugs/DevelopmentApprovalProcess/Manufacturing/ucm278584.htm. Accessed 13 Nov 2012.

  21. US Food and Drug Administration. FDA Form 483 frequently asked questions. http://www.fda.gov/ICECI/EnforcementActions/ucm256377.htm. Accessed 30 Nov 2012.

  22. Pritchett T. A 483 primer: learning from the mistakes of others. Bioprocess Int. 2011;9:12–6.

    Google Scholar 

  23. US Food and Drug Administration. Regulatory procedures manual, Chapter 4: advisory actions. http://www.fda.gov/downloads/ICECI/ComplianceManuals/RegulatoryProceduresManual/UCM074330.pdf. Accessed 20 Feb 2013.

  24. US Food and Drug Administration. About Warning and Close-Out Letters. http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm278624.htm. Accessed 30 Nov 2012.

  25. US Food and Drug Administration. Inspections, compliance, enforcement, and criminal investigations. http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/default.htm. Accessed 30 Nov 2012.

  26. US Food and Drug Administration. News & events. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm289224.htm. Accessed 30 Nov 2012.

  27. US Food and Drug Administration. Regulatory procedures manual, Chapter 5: administrative actions. http://www.fda.gov/downloads/ICECI/ComplianceManuals/RegulatoryProceduresManual/UCM074324.pdf. Accessed 20 Feb 2013.

  28. Genazzani AA, Biggio G, Caputi AP, Del Tacca M, Drago F, Fantozzi R, et al. Biosimilar drugs: concerns and opportunities. Biodrugs. 2007;21(6):351–6.

    Article  PubMed  Google Scholar 

  29. Prugnaud JL. Similarity of biotechnology-derived medicinal products: specific problems and new regulatory framework. Br J Clin Pharmacol. 2008;65(4):619–20.

    Article  PubMed  Google Scholar 

  30. Roger SD. Biosimilars: how similar or dissimilar are they? Nephrology (Carlton). 2006;11(4):341–6.

    Article  Google Scholar 

  31. Gottlieb S. Biosimilars: policy, clinical, and regulatory considerations. Am J Health Syst Pharm. 2008;65(14 Suppl 6):S2–8.

    Article  PubMed  Google Scholar 

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Acknowledgments

Gustavo Grampp and Sundar Ramanan are employees of Amgen Inc. and own stock in Amgen Inc. Gustavo Grampp devised the concept for this paper; Gustavo Grampp and Sundar Ramanan wrote the paper; Amgen Inc. approved the manuscript for submission. Kathryn Boorer PhD of Amgen Inc. provided editorial assistance.

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Correspondence to Gustavo Grampp.

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Grampp, G., Ramanan, S. Managing Unexpected Events in the Manufacturing of Biologic Medicines. BioDrugs 27, 305–316 (2013). https://doi.org/10.1007/s40259-013-0018-5

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