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Trends in Recombinant Proteins Manufacturing
FIGURE 4.5 A continuous manufacturing system for the production of therapeutic proteins
Source: FDA
the protein is secreted into the culture medium. This process helps improve the yield of labile proteins and prevents inconsistent post- translational modications while maintaining cells at higher viabilities, which is a critical factor. Apart from material costs, it reduces the need for testing, adding signicant cost and time savings (Figures 4.4 and 4.5).
The quest for a CM process has been in research for several years1; however, it was in March 2023 when the FDA released its rst guidance on CM addressing the scientic and legal issues that arise during the creation, installation, operation, and lifecycle management of CM for chemical and biological drugs. Figure 4.5 shows a owchart for manufacturing in a CM for a therapeutic protein. The FDA also identies other guidelines that control CM.
The setup consists of unit operations such as a bioreactor compatible with a perfusion culture system, continuous capture chromatography, virus ltration, virus inactivation, and buffer exchange and concentration through TFF chromatography columns. Each unit operation is integrated with adjacent unit operations, a surge line, or a tank connecting unit operations. Diversion points D1 and PAT (T1) are located after chromatography (Chrom #1). Using a surge line or tank allows continuous operations to accommodate differences in mass ow rates or process dynamics. Unit operations can be integrated as necessary.
The CM process continuously feeds input materials into, transforming in- process materials within, and simultaneously removing output materials from a manufacturing process in an integrated system involving two or more unit operations, regardless of their nature. The batch size produced by CM is dened as the quantity of the output material, the quantity of the input material, and run time (minimum or maximum) at a dened mass ow rate. In CM processes, a single thaw
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of one or multiple vials from the same cell bank may result in single or numerous harvests. The number or range of cell bank vials used to produce the specied drug substance batches should be dened. The cell bank vials should be traceable to the output drug substance batches. The FDA guidance also details how the electronic Common Technical Document (eCTD) ling should be managed for the CM process, making it possible for biosimilar developers to plan the process change properly. This technology can be applied to proteins that are secreted or made to secrete using E. coli (Table 4.6).
CM of chemical and biological products has long been a goal to optimize the cost of manu­facturing; however, the cGMP compliance issues had pushed it back until March 2023, when the FDA released the rst guideline to advise how to develop and adopt CM, particularly the biological products. CM requires a perfusion system, and it can be designed to use E. coli, which will be a better choice over CHO cells because of a much shorter batch cycle, generally a few hours than weeks for the CHO cells. In E. coli, the proteins can be directed to the cytoplasm, periplasm, or secreted directly into the culture media, offering several choices on routing the recombinant protein exploiting the features of each cellular compartment and the protein produced.
The quest for a CM process has been in research for several years.2 While the FDA is yet to approve a biological product manufactured in a continuous system, it anticipates much interest. Consequently, in March 2023, the FDA released its rst guidance on CM3 addressing the scien­tic and regulatory issues, including the eCTD ling structure, which arose during the designing, installation, operation, and lifecycle management of CM for chemical and biological drugs. This guideline has opened the path to continuous systems over batch systems, which will signicantly inuence the development and production cost and the stability of proteins and cause a signicant reduction in the size of the bioreactors. The FDA also identies other guidelines that control CM. The recombinant protein technology executed as a batch process is the industry standard. However, proteins can also be produced in a vessel, from which the yield is continuously removed, provided the protein is secreted into the culture medium. It helps to improve the yield of labile proteins and prevents inconsistent post- translational modications while maintaining cells at higher viabilities, which is a critical factor. Apart from material costs, it reduces the need for reduced testing, adding signicant cost and time savings.
TABLE 4.6 Therapeutic Proteins Secreted in Escherichia coli
Adiponectin receptor Adiponectin Alpha- amylase Amylase Antibacterial peptides Antibodies Antithrombin III Bone morphogenetic protein (BMP) Chimeric antigen receptor (CAR) Cholecystokinin (CCK) Chymosin (rennin) Ciliary neurotrophic factor (CNTF) Coagulation factor VIII Colony- stimulating factor 1 (CSF- 1) Connective tissue growth factor (CTGF)
(continued)
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Trends in Recombinant Proteins Manufacturing
TABLE 4.6 (Continued) Therapeutic Proteins Secreted in Escherichia coli
Epidermal growth factor (EGF) Erythropoietin (EPO) Erythropoietin receptor (EPOR) Factor IX Factor VII Factor VIII Fibrinolytic enzymes Fibroblast growth factor (FGF) Follicle- stimulating hormone (FSH) Glucagon- like peptide- 1 (GLP- 1) Glucagon Glucocerebrosidase Glucokinase Glutathione S- transferase (GST) Granulocyte colony- stimulating factor (G- CSF) Granulocyte colony- stimulating factor receptor (G- CSF receptor) Granulocyte- macrophage colony- stimulating factor (GM- CSF) Green uorescent protein (GFP) Growth hormone (GH) Hepatitis B surface antigen (HBsAg) Hepatitis B surface antigen (HBsAg) Human calcitonin Human growth factor- 1 (HGF- 1) Human growth hormone receptor antagonist (GHR antagonist) Insulin- like growth factor 1 (IGF- 1) Insulin- like growth factor 2 (IGF- 2) Insulin- like growth factor- binding protein (IGFBP) Insulin Interferon alpha- 2b Interferon beta- 1a Interferon gamma (IFN- γ) Interferon- alpha (IFN- α) Interferon- beta (IFN- β) Interferon- gamma (IFN- γ) Interferon- lambda (IFN- λ) Interleukin- 1 receptor antagonist (IL- 1RA) Interleukin- 10 (IL- 10) Interleukin- 11 (IL- 11) Interleukin- 12 (IL- 12) Interleukin- 13 (IL- 13) Interleukin- 15 (IL- 15) Interleukin- 17 (IL- 17) Interleukin- 18 (IL- 18) Interleukin- 2 (IL- 2) Interleukin- 2 (IL- 2) Interleukin- 4 (IL- 4) Interleukin- 5 (IL- 5) Interleukin- 6 (IL- 6) Lactoferrin Leptin
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Trends in Recombinant Proteins Manufacturing
TABLE 4.6 (Continued) Therapeutic Proteins Secreted in Escherichia coli
Lipase Matrix metalloproteinases (MMPs) Nerve growth factor (NGF) Nerve growth factor beta (NGF- β) Nerve growth factor receptor (NGF receptor) Oncolytic viruses Osteopontin Parathyroid hormone (PTH) Platelet- derived growth factor (PDGF) Relaxin- 2 Relaxin Serine protease Somatostatin receptor Streptavidin Streptococcal M protein Streptokinase Thrombopoietin (TPO) Tissue plasminogen activator (tPA) Transforming growth factor- beta (TGF- β) Vascular endothelial growth factor (VEGF)
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4.8 SUMMARY
Several regulatory advances include 3D printing of solid dosage forms, continuous batch manufac­turing, and online in- process control in place of release testing. The role of articial intelligence and machine learning will be heavily embedded in all manufacturing operations. SUT will eventually replace the hard- lined systems once the regulatory agencies begin approving products manufactured through SUT; more particularly, startups will adopt this approach.
NOTES
1 National Academies of Sciences, Engineering, and Medicine; Division on Earth and Life Studies; Board on
Chemical Sciences and Technology. Continuous Manufacturing for the Modernization of Pharmaceutical
Production: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2019 Jan 30.
PMID: 30994997. 2 National Academies of Sciences, Engineering, and Medicine; Division on Earth and Life Studies; Board on
Chemical Sciences and Technology. Continuous Manufacturing for the Modernization of Pharmaceutical
Production: Proceedings of a Workshop. Washington (DC): National Academies Press (US); 2019 Jan 30.
PMID: 30994997. 3 FDA. Q13 Continuous Manufacturing of Drug Substances and Drug Products www.fda.gov/ media/ 165 775/
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Analytical Assessment of a
5
Biosimilar
5.1 INTRODUCTION
Analytical assessment of biosimilar candidates is the primary determinant of biosimilarity. Figure 5.1 shows the original Food and Drug Administration (FDA) pyramid that classied the tiers of devel­opment; in 2020, the FDA modied regulations to show a bigger role of analytical assessment, yet it became obsolete when, in 2023, the US Congress amended the BPCIA and removed the term “animal toxicology” and grouped it under nonclinical testing. Another major change was also established in 2023 when the FDA agreed that no efcacy testing in patients is needed for molecules that exhibit pharmacodynamic parameters (Figure 5.1).
Advancements in analytical instrumentation and a better understanding of proteins structure and functional relationships have established analytical assessment as the most robust tool for com­paring critical quality attributes with the reference product.
These quality attributes stem from both the product and the process, identiable and analyzable now with methods millions of times more sensitive. Product- related attributes pertain to the inherent expression property, often challenging or impossible to alter. Process- related attributes, on the other hand, are linked to the entire manufacturing process, spanning from upstream and downstream to ll and nish stages. These criteria, determined by the manufacturing process, become integral in the release specication, ensuring compliance. Dening acceptance criteria for these quality attributes can leverage requirements gleaned from testing the reference product. These criteria might be rooted in legacy values, established injectable product practices, or a blend of both. However, a limita­tion arises when using pharmacopeial specications. The FDA prohibits their utilization for Drug Substance (DS) or Drug Product (DP), despite their applicability in pharmacopeial methods, which only necessitate verication without validation.
Proteins, in general, can manifest differences in three primary ways: (1) primary amino acid sequence; (2) modications to amino acids, such as glycosylation or other side chain modications; and (3) higher- order structure encompassing protein folding and interactions between proteins. Amino acid alterations can introduce heterogeneity, posing challenges for control. Environmental factors like light, temperature, moisture, packaging materials, container closure systems, and delivery device materials can inuence protein modications and higher- order structure. Moreover, process and product- related impurities might escalate the probability and severity of an immune response to a protein product. Certain excipients could hinder comprehensive characterization of the protein product.
Regulatory guidelines outline the assessment of analytical attributes required to demonstrate a proposed biosimilar product’s eligibility for a marketing application submission. While these guidelines specically target therapeutic protein products, the foundational scientic principles
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DOI: 10.1201/9781003392026-5
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FIGURE 5.1 Methodologies for analytical assessment. Nupur N, Joshi S, Gulliarme D, Rathore AS.
(2022) Analytical similarity assessment of biosimilars: global regulatory landscape, recent studies and major advancements in orthogonal platforms. Front Bioeng Biotechnol. 10: 832059. www.fron tier sin.org/ arti cle/
10.3389/ fbioe.2022.832 059. DOI: 10.3389/ fbioe.2022.832059
could extend to the development of other protein products, including in vivo protein diagnostic products.
If the reference product lacks adequate characterization for pertinent analytical attributes, developers might be unable to le a marketing authorization application.
As part of a comprehensive CMC data submission, an application must include analytical studies showcasing the similarity of the proposed biosimilar product to the reference product. The rationale behind the comparative analytical assessment should be clearly articulated, considering the characteristics, known mechanism(s) of action, and function of the reference product.
The studies on physicochemical and functional characterization need to sufciently establish the pertinent quality attributes, which encompass the dening elements of a product: its identity, quantity, safety, purity, and potency. By analyzing the outcomes of analytical studies that evaluate functional and physicochemical characteristics— such as higher- order structure, post- translational modications, impurity, and degradation proles— developers can establish a scientically sound basis for a targeted approach in subsequent animal and clinical studies to validate biosimilarity.
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Employing a meaningful ngerprint- like analysis algorithm that encompasses various product attributes and their combinations through highly sensitive orthogonal methods can aid in comparing differences in quality attributes between a proposed biosimilar product and the reference product.
According to the International Council for Harmonisation (ICH) Q8(R2), leveraging enhanced manufacturing science approaches can enable production processes that better align with the attributes of a reference product (RP). Refer to the ICH guidance documents for industry Q8(R2) Pharmaceutical Development (November 2009), Q9 Quality Risk Management (June 2006), Q10 Pharmaceutical Quality System (April 2009), and Q11 Development and Manufacture of Drug Substances (November 2012) for guidance on advanced manufacturing approaches. This strategic approach could further quantify the overall similarity between two molecules and potentially pro­vide additional grounds for a more targeted and selective approach in subsequent animal and clinical studies.
5.2 TESTING PLAN
The description and discussion of any differences— whether intentional or observed through compre­hensive analytical characterization of multiple manufacturing lots— between a proposed biosimilar product and the reference product must be clearly outlined. This discussion should encompass the identication and comparison of pertinent quality attributes from product characterization. If neces­sary, the potential clinical implications of observed structural and functional differences between a proposed biosimilar product and the reference product should be evaluated and supported by animal or clinical studies.
5.3 SOURCES OF VARIATION
Analyzing critical quality attributes requires a comprehensive understanding of the sources of vari­ation between a proposed biosimilar product and the reference product. A primary goal in biosimilar development is to minimize differences between the proposed biosimilar product and the RP where feasible. Some efforts towards this end involve modifying the expression system, upstream and downstream processes, formulation, and manufacturing processes.
5.3.1 exPRession systeM
Therapeutic protein products can be created in various systems: microbial cells (prokaryotic or eukaryotic), cell lines (such as mammalian, avian, insect, or plant), or tissues derived from animals or plants. It is anticipated that the expression constructs for a proposed biosimilar product will carry the same primary amino acid sequence as its reference product. Nevertheless, minor modications, such as N- or C– terminal truncations (e.g., the heterogeneity of the C- terminal lysine of a mono­clonal antibody), are not expected to alter the product performance. Such modications might be justied and should be explained by the developer. Any potential differences between the selected expression system (i.e., host cell and the expression construct) of a proposed biosimilar product and that of the reference product should be carefully considered. This is because the chosen expres­sion system will impact the types of process- and product- related substances, impurities, and contaminants (including possible adventitious agents) that might exist in the protein product. For instance, the expression system can signicantly inuence the types and degree of translational and post- translational modications in a proposed biosimilar product, potentially introducing additional uncertainties into the demonstration that a proposed biosimilar product is proposed biosimilar to the reference product.
Minimizing disparities between the expression systems of a proposed biosimilar product and its reference product to the fullest extent possible can increase the likelihood of producing a biosimilar
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protein product. The use of different expression systems will be assessed case by case. However, developers should consider the extra testing burden required to validate an alternative expression system. In the market, surveillance should place more emphasis on demonstrating the product’s safety.
5.3.2 ManufactuRing PRocess
A comprehensive understanding of all stages in the manufacturing process for a proposed biosimilar product must be established during product development. As a scientic imperative, characterization tests, process controls, and specications derived from information gathered during process devel­opment must be tailored to a proposed biosimilar product and its manufacturing process. Advanced pharmaceutical development approaches, combined with quality risk management and efcient quality systems, will facilitate the consistent manufacture of a high- quality product. For guidance on enhanced approaches in manufacturing science, refer to the ICH guidance for industry Q8(R2) Pharmaceutical Development (November 2009), Q9 Quality Risk Management (June 2006), Q10 Pharmaceutical Quality System (April 2009), and Q11 Development and Manufacture of Drug Substances (November 2012) for guidance on enhanced approaches in manufacturing science.
Developers contemplating manufacturing changes post- initial comparative analytical assessment or after concluding clinical studies intended to support an application must establish comparability between the pre- and post- change proposed biosimilar product. Depending on the nature and extent of the changes, additional studies may be necessary. Comparative analytical studies should encom­pass a sufcient quantity of a proposed biosimilar product used in clinical studies and a proposed commercial process if the process used for the clinical studies’ material differs.
Manufacturing processes can modify a protein product, impacting its safety and effectiveness. For instance, variations in biological systems used for protein production can lead to diverse post­translational modications, inuencing the safety and effectiveness of the nal product. Therefore, when altering the manufacturing process of a marketed protein product, the applicant must evaluate the effects of the change. This evaluation necessitates demonstrating, through suitable analytical testing, functional assays, and in some cases, animal and clinical studies, that the modication does not negatively affect the product’s identity, potency, quality, purity, or strength concerning its safety or effectiveness.
The ICH guidance for industry Q5E, titled “Comparability of Biotechnological/ Biological Products Subject to Changes in Their Manufacturing Process,” outlines scientic principles for assessing manufacturing changes. Establishing the biosimilarity of a proposed biosimilar product to the reference product typically involves greater complexity compared to assessing the compar­ability of a product before and after manufacturing changes made by the same manufacturer. This complexity arises from the extensive knowledge a manufacturer possesses about its manufacturing process, including established controls and acceptance parameters. By contrast, the manufacturer of a proposed biosimilar product is likely to employ a different manufacturing process (e.g., dis­tinct cell lines, raw materials, equipment, processes, controls, and criteria) from that of the ref­erence product. Moreover, they lack direct knowledge of the reference product’s manufacturing process. Consequently, although some scientic principles in ICH Q5E may apply to demon­strating biosimilarity, regulatory agencies expect a greater need for data and information to estab­lish biosimilarity than to demonstrate comparability following a manufacturer’s post- manufacturing change. Additionally, ICH Q5E does not mandate the use of the reference product, rendering it unsuitable for initially establishing biosimilarity.
5.3.3 stRuctuRal attRibutes
Structural attributes such as primary, secondary, and tertiary structures are dictated by the nature of the recombinant expression engine. While a protein’s gene sequence determines its amino acid
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sequence, post- translational modications occurring during quality control in the endoplasmic reticulum (ER) and passage through the Golgi apparatus determine its nal structure and function. These processes, specic to species and cells, present challenges to the biopharmaceutical industry when developing a production platform for generating recombinant biologic therapeutics. Proteins and glycoproteins (P/ GPs) are susceptible to chemical modications both in vivo and in vitro. The body tolerates molecular forms of self- molecules, but non- self- variants can trigger an immune response leading to the production of anti- drug antibodies (ADA). Aggregated forms may exhibit increased immunogenicity, prompting efforts to avoid or eliminate them. Monoclonal antibody therapeutics (mAbs) present a unique case because they aim to bind the target, forming immune complexes (ICs) which represent a specic aggregate form. Phagocytic cells possessing antigen­presenting capacity may eliminate such ICs. These factors make it challenging to mitigate mAbs’ immunogenicity by strictly excluding aggregates from drug products.
Therapeutic antibodies possess various quality attributes, with FcRn binding and related structures known to signicantly impact the product’s pharmacokinetic prole. Other attributes, such as antigen binding, glycan structure, and isoelectric point, also potentially inuence the pharmacokinetics.
Validation lots representing the commercial process should be compared for structural variants. If the primary structure mismatches, the cell line should be discarded, necessitating a fresh start. Achieving the primary structure often leads to corresponding secondary and tertiary structures. Do not use any public information data on structural attributes; only what is observed in a side- by- side comparison with the reference product. At this stage, the analytical methods need only be suitable and sensitive, not validated. Conducting testing simultaneously and side- by- side nullies any poten­tial impact of the test method. Given minor variations and stringent acceptance criteria, extensive testing with multiple lots is unnecessary.
If variability in post- translational and other modications arises during testing, developers should rene the upstream and downstream processes to closely match the prole. However, achieving an exact match might be unfeasible due to modications moving in opposite directions. The level of match required depends on the product’s nature. For monoclonal antibodies, any differences should be justied through additional studies, potentially necessitating clinical efcacy testing. Post- translational modications serve as release specication attributes and demand multiple lots to establish a reliable quality range.
5.3.4 functional attRibutes
Among the critical quality attributes of therapeutic antibodies, FcRn binding and related structures sig­nicantly inuence the product’s pharmacokinetic prole. Additional attributes such as antigen binding, glycan structure, and isoelectric point potentially impact the pharmacokinetic prole as well. However, these attributes aren’t included in release specications; they are tested once to conrm similarity. As the testing is done alongside the reference product, the need for method validation is eliminated. An equiva­lence margin approach, requiring 6– 10 lots (see below), is suggested to establish similarity.
5.3.5 PhysicocheMical PRoPeRties
When developers design and conduct characterization studies, addressing the concept of the desired product (and its variants) as discussed in ICH Q6B becomes crucial. Understanding the hetero­geneity between a proposed biosimilar and the reference product, including glycosylation levels, isoform variability, and post- translational modications, is essential. Refer to the ICH guidance for industry Q6B Specications: Test Procedures and Acceptance Criteria for Biotechnological/ Biological Products (August 1999).
Analytical methodologies assess specic physicochemical protein characteristics. These methods, outlined in published documents like scientic literature, regulatory guidelines, and pharmacopeial
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compendia, often provide multifaceted information. Selecting appropriate analytical test methods depends on the nature of the protein, knowledge about the structure, heterogeneity of the refer­ence product, proposed biosimilar, and critical characteristics for product performance. Appendix 1 presents a representative example of test methods used by proposed biosimilar developers, provided for reference purposes in applications to the FDA and EMA.
5.3.5.1 Aggregates
Although aggregates are generally considered immunogenic, for monoclonal antibodies, establishing a range within which all lots must fall is necessary. An equivalence margin approach is recommended for this release specication attribute, requiring multiple lots for a reliable quality range. If a proposed biosimilar product exhibits lower aggregates, potential failure within the equiva­lence margin at the lower end is acceptable. However, it’s crucial to note that reference product lots undergo time and transportation tests, potentially contributing to total aggregates. A proposed biosimilar product won’t be considered a “biobetter” solely due to lower aggregates.
5.3.5.2 Impurities
Impurities are categorized as product- related or process- related. Active or inactive, product­related impurities must be classied based on available literature data. Any impurity not present in the reference product should be fully characterized regardless of its source due to poten­tial immunogenicity. Developers should prioritize removing such impurities through process changes rather than justifying their safety, which may necessitate additional nonclinical or clin­ical studies.
Characterizing, identifying, and quantifying product- related impurities in both the proposed biosimilar and reference product, to the extent feasible, is essential. If a comparative analysis reveals similar levels of comparable product- related impurities between the proposed biosimilar and reference product, additional pharmacological and toxicological studies to characterize spe­cic impurities’ biological effects may be unnecessary. However, if the manufacturing process introduces different or higher levels of impurities in the proposed biosimilar than in the refer­ence product, further pharmacological, toxicological, or other studies might be necessary. The terms “product- related” and “process- related” impurities align with their use and meaning in ICH Q6B.
Relying on purication processes to remove impurities is preferred over establishing a preclinical testing program for their qualication. (Refer to the ICH guidance for industry S6(R1) Preclinical Safety Evaluation of Biotechnology- Derived Pharmaceuticals, May 2012, page 2.)
Process- related impurities originating from cell substrates (such as host cell DNA and host cell proteins), cell culture components (like antibiotics and media components), and downstream pro­cessing steps (such as reagents, residual solvents, leachables, endotoxins, and bioburden) require evaluation. The anticipated process- related impurities in a proposed biosimilar product are not expected to match those found in the reference product and thus are not encompassed in the com­parative analytical assessment. The selected analytical procedures must adequately detect, identify, and accurately quantify signicant levels of impurities. For reference, consult the ICH guidance for industry Q2B Validation of Analytical Procedures: Methodology (May 1997). Specically, immunological methods for detecting host cell proteins depend on assay reagents and cell substrates used. These assays need validation using the product cell- substrate and orthogonal methodologies to ensure precision and sensitivity.
As with any biological product, ensuring the safety of a proposed biosimilar product regarding adventitious agents or endogenous viral contamination necessitates screening critical raw materials and conrming robust virus removal and inactivation achieved during the manufacturing process. Refer to the ICH guidance for industry Q5A Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin (September 1998).