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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Structure of Lovastatin
Molecular weight: 404.5 Daltons
Structure of Immunoglobulin G
Molecular weight: 150,000 Daltons
while biopharmaceuticals have complex structures and are more dicult to characterize (and to reproduce or to copy identically). This is one of the reasons we do not have generics for biopharma­ceuticals as we have for pharmaceuticals. For biopharmaceuticals, we use the terms biosimilars or follow-on biologics, rather than generic biopharmaceuticals. Another clear and important dier­ence between pharmaceuticals and biopharmaceuticals is that phar­maceuticals are more stable while biopharmaceuticals are generally sensitive to heat and pH changes, as the latter is generally composed of proteins. Biopharmaceuticals are also generally more target­specific, and therefore less toxic to other cells and tissues.
Traditionally, many biological medicinal products were passively extracted from human and animal tissues. Examples of traditional biological medicinal products include smallpox and rabies vaccines, heparin and antivenoms. Today, the newer biologics are produced via biotechnology using microbial (bacteria, yeast), mammalian, insect and plant cells. Examples of newer biologics include human insulin and other recombinant DNA proteins, monoclonal antibod­ies and novel vaccines.
Manufacture and Supply, Science and Reg ulation of Biopha rmaceutical Products
263
According to a Newsweek issue published at the beginning of the
new millennium, the 21
st
century will witness the Biotech Boom where medicinal products are concerned. In this new millennium, biotechnology and biopharmaceuticals will prevail over synthesis­and chemical-based pharmaceutical products. Today, more and more biotechnology-derived medicinal products rather than chem­ical-based pharmaceutical products are coming out from manufac­turing pipelines of innovator drug companies as well as startups. Biotechnology involves the use (or exploitation) of living organ­isms to produce food or to obtain products to improve human and animal health. Products from classical (traditional) biotechnology include cheese, yoghurt, beer and penicillin, whereas products from
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
modern biotechnology (such as recombinant DNA technology and hybridoma technology) include hormones, enzymes, recombinant proteins, monoclonal antibodies and novel vaccines.

9.2. Transcription and Translation: Central Dogma of Genetics

If you have studied or read molecular biology or biochemistry, you will be familiar with the process of transcription and translation. Within each living cell, there is a nucleus, the cytoplasm and other functional organelles. The messenger RNA (mRNA) transcribes genetic information from the genes or DNA in the nucleus with the help of DNA polymerase, and pass it on to the transfer RNA (tRNA). The tRNA carries the transcribed DNA information to the ribosomes (protein factories) where protein synthesis (translation) takes place.
The transcription of DNA and its eventual translation into pro­tein has been referred to as the Central Dogma of Genetics or Cen­tral Dogma of Molecular Biology. The genetic code in the DNA is
Manufacture and Supply, Science and Reg ulation of Biopha rmaceutical Products
transcribed with the help of mRNA (code in transit) and translated into proteins as the final decoded product. This Central Dogma is a fundamental concept of Molecular Biology.

9.3. Biotechnology-derived Medicinal Products: Microbial versus Mammalian Substrates

The manufacture of biotechnology-derived medicinal products involves cell substrates such as those of microorganisms (e.g., bacte­ria and yeast), mammals (e.g., Chinese hamster ovary), rodents (e.g., rat or murine) and insects. Microbial cells and mammalian cells are the two most common cell substrates used in biotechnology. Appended below is a table of comparison between these two types of cell substrates.
265
Microbial Substrate Mammalian Substrate
1. Faster cultivation, relatively
straightforward fermentation process.
2. Proteins secreted within cells;
disruption of cell needed during harvesting to obtain product.
3. Lower yield due to more dicult
purification process.
4. Simpler proteins which are
non-glycosylated produced.
5. Relatively safe biotechnology-
derived medicine produced.
1. Slower cultivation, more complicated cell culture (growth) process.
2. Products secreted outside cells; no cell disruption needed.
3. Higher yield due to less complicated purification process.
4. More complex proteins produced with glycosylation and post-translational modifications involved.
5. Several safety issues, including poten­tial presence of endogenous viruses and residual DNA, in the final product.
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
In the early days of biopharmaceutical production, mammalian cells were not commonly used as substrates in the manufacture of bio­technology-derived medicinal products as there were initial safety concerns. For example, transformed mammalian cells (generated via hybridoma technology) have unlimited capacity for continuous population doubling. They are immortal cells and are potentially oncogenic. Hence, there were fears of possible contamination of the eventual biological medicinal product with residual (oncogenic) DNA from the mammalian host cell or substrate. This fear held up the use of mammalian cells as a substrate for many years. Fears were allayed by a 1986 WHO Study Report (and other subsequent scien­tific reports) which concluded that there was no reason to exclude continuous mammalian cell lines for biological production, if the purification process can reduce residual DNA to 10 nanograms per dose or lower. Today, mammalian cells, in particular Chinese ham­ster ovary cells, are the substrates of choice for the manufacture of many therapeutic monoclonal antibodies and biotechnology-derived medicinal products. They produce high yields and possess the ability to perform post-translational modifications, including the produc­tion of therapeutic proteins which are glycosylated. There is also a successful approval history from medicines regulatory authorities involving therapeutic monoclonal antibodies and recombinant pro­teins produced using Chinese hamster ovary cells as the substrate.

9.4. Manufacture of Biotechnology-derived Medicinal Products: Key Processes

In the manufacture of biotechnology-derived medicinal prod­ucts, contamination and cross-contamination control are critical
Manufacture and Supply, Science and Reg ulation of Biopha rmaceutical Products
processes which must be managed. The following are key consider­ations during their manufacture:
genetic stability of cell substrate with expression construct (vector);
consistency of manufacturing process and product yield;
contamination by endogenous and adventitious organisms
(including viruses);
presence of impurities from media proteins and starting materials; and
presence of residual DNA.
Moreover, in the manufacture of biotechnology-derived medicinal products, a slight change in any key manufacturing process can have major impacts on the quality, safety, ecacy and, therefore, the clinical performance of the final product. Thus, each biotech­nology-derived medicinal product is considered as an “innovative product”. It is dicult to make an identical copy of a biotechnol­ogy-derived product; hence, the term “biosimilar product” is used instead of the term “generic product”, as in the case of a copy of a chemical-based pharmaceutical product.
267
The key steps in the manufacture of a biotechnology-derived medic­inal product involve:
(1) Cell Bank (Cell Storage) System (2) Cell Culture (Fermentation) (3) Isolation (Extraction) (4) Purification (5) Viral (Removal or) Inactivation
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
(6) Storage of Bulk Biotech/Biological Product (7) Formulation, Packaging and Sterilization (8) QC and Batch Release of Finished Dosage Form
The specific GMP requirements for the manufacture of biotechnol­ogy-derived medicinal products are stipulated under Annex 2B of the PIC/S Guide to GMP for Medicinal Products (Part I) and the PIC/S Guide to GMP for Active Pharmaceutical Ingredients (also known as Part II).
For further reading on the subject of Manufacture and Supply, Sci­ence and Regulation of Biopharmaceutical Products, you should read the article entitled “Global Challenges in the Manufacture,
Regulation and International Harmonization of GMP and Qual­ity Standards for Biopharmaceuticals”, by Sia Chong Hock, Sia
Ming Kian and Chan Lai Wah, published in GaBI Journal (Volume 1 | 2020 | Issue 2). Copyright © 2020 Pro Pharma Communications
International. This article has been reproduced with permission from the publisher of GaBI Journal, and it appears immediately after this introduction.
Manufacture and Supply, Science and Reg ulation of Biopha rmaceutical Products
Global challenges in the manufacture,
regulation and international harmoni-
zation of GMP and quality standards for
biopharmaceuticals
Adjunct Associate Professor Sia Chong Hock*1, BSc (Pharm), MSc; Sia Ming Kian1, BSc (Pharm) (Hons); Associate Professor, Chan Lai Wah1, BSc (Pharm) (Hons), PhD
269
Biopharmaceuticals belong to a class of medicinal products whose active pharmaceutical ingredient (API) is manufactured using living systems such as microbial and mammalian cells. With the patent expiry of the originator biopharmaceuticals, a surge in the pro­duction of biopharmaceuticals in the form of biosimilars is to be expected. However, biopharmaceuticals are inherently more complex than conventional chemical-based pharmaceuticals, hence requiring a more complicated manufacturing process. This paper provides a brief overview of the biopharmaceutical manufacturing processes and reveals that most biopharmaceuticals share similar processes and considerations. The complex nature of biopharmaceuticals pre­sents various manufacturing challenges such as the inherent varia­tion in quality and demand for extensive process and product under­standing. Furthermore, downstream processing bottleneck also presents another manufacturing challenge. A brief comparison of the good manufacturing practice (GMP) standards of various regula­tory authorities (RAs) and international organizations (IOs) reveals
270
Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
that the standards are largely similar and appropriate in addressing the manufacturing challenges. This review is one of the few covering the biopharmaceutical industry and the regulatory framework of the Association of South East Asian Nations (ASEAN). However, GMP alone does not address regulatory challenges such as evaluation of biosimilarity, diering outlook on interchangeability and a growing occurrence of data integrity lapses. Solutions such as the implemen­tation of Industry 4.0, improved harmonization of regulatory eorts and creating a culture of quality within the organization may help to address the forgoing challenges.
Keywords: ASEAN, biopharmaceuticals, biopharmaceutical manu­facturing, good manufacturing practice, harmonization, regulatory guidelines
Introduction
Biopharmaceuticals belong to a class of medicinal products whose active pharmaceutical ingredient (API) is manufactured using liv­ing systems such as microbial, mammalian, insect, plant or animal cells. According to the Pharmaceutical Inspection Co-operation Scheme (PIC/S), a medicinal product is defined as any medicine or similar product intended for human use, which is subject to control under health legislation [1]. The API in the medicinal product is responsible for furnishing a pharmacological or other direct eect in the diagnosis, cure, mitigation, treatment or prevention of the disease, or alteration of the structure or function of the body [2].
Depending on the regulatory authorities (RAs), biopharmaceuticals may be termed as ‘biologics’, ‘biological medicines’ or ‘biotherapeu­tics’ [3–5]. Biotechnological methods such as ex vivo expansion [6–8],
Manufacture and Supply, Science and Reg ulation of Biopha rmaceutical Products
recombinant deoxyribonucleic acid (rDNA) or hybridoma technolo­gies are typically employed to produce biopharmaceuticals. Examples of biopharmaceuticals are vaccines, insulins, monoclonal antibodies (mAbs) and other therapeutic proteins [9]. Cell-based, tissue-based or gene-based therapeutic products, also known as ‘advanced ther­apy medicinal products’ (ATMPs) in the European Union (EU), are also considered biopharmaceuticals [10]. Biosimilars, also termed ‘subsequent-entry biologics’ and ‘similar biotherapeutic products’, are biopharmaceuticals which are highly similar in terms of safety, ecacy and quality with the innovator biopharmaceutical [11]. Such similarities are demonstrated using comparability studies with the reference product, which is the innovator biopharmaceutical that has received market authorization by the relevant RAs [12].
Frost & Sullivan has estimated that US$16.83 billion worth of bio­pharmaceuticals in the global market would lose their patent from 2015 to 2025. The global biosimilar market is expected to grow at a compound annual growth rate of 31.5% and reach US$66.33 billion during the same period [13]. Given the highly promising outlook of the biopharmaceutical market, manufacturers are motivated to invest in the manufacturing of biopharmaceuticals. However, there are major dierences between biopharmaceuticals and the conven­tional chemical-based pharmaceuticals which may necessitate the use of dierent types of manufacturing facilities and standards.
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Biopharmaceuticals consist of API molecules with a highly com­plex structure and very high molecular mass [14], ranging from thousands to hundred-thousands of Daltons. In comparison, con­ventional chemical-based pharmaceuticals consist of API mole­cules that are significantly smaller, and possess a much simpler molecular structure, see Figure 1. As such, the characterization