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FUTURE TRENDS AND PERSPECTIVES IN MODERN PHARMACEUTICAL BIOTECHNOLOGY Prof.  Borut Štruk elj Faculty of Pharmacy, UL, Slovenia BWP, EMEA London Ph. Eur. Strasbourg
Pharmaceutical biotechnology Traditional biotechnology -secondary metabolites -antibiotics -steroids -vitamins, etc Modern biotechnology -recombinant proteins -monoclonal antibodies -gene therapy -transgenic organisms
What is a modern pharmaceutical biotechnology? keyword: “ PHARMACEUTICAL BIOTECHNOLOGY” GOOGLE  1996: app. 35.000 hits GOOGLE  2006: app: 3.220.000 hits ! Pharmaceutical biotechnology:  the use of living things or parts in order to create or modify drugs  Modern pharmaceutical biotechnology: the use of living things or parts  by means  of recombinant DNA technology  in order to create or modify drugs and  physiological targets
From the starting point of protein pharmaceuticals…. 100 Years ago Serum Therapy 1893 Emil von Behring  immunizing a “ serum-horse”
… .to modern biotech
 
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biopharmaceuticals or protein drugs have proven to be safe and effective therapies in many disease indications The 1 st  generation biopharmaceuticals Replacement therapies   (mimic the normal function of a protein) “ Antagonist” therapies   (in which protein function is inhibited - usually antibodies) Many successful products: Erythropoietin, insulin, human growth hormon (HGH), interferons (IFNs), granulocyte colony-stimulating factor (G-CSF), etc.
Cytokines Hormones   Coagulation   factors/  Antibodies   Vaccines and antagonists and peptides   Inhibitors   Abciximab   Hepatitis Vaccine  Interferon alfacon-1   Insulin    Eptacog alfa    Adalimumab     LymeDiseaseVaccine Interferon alfa-2a     Antihemophilic    Alemtuzumab   Diphtheria/Tetanus/ Interferon alpha-2b      Factor (3)   Arcitumomab   Pertussis Vaccine      Moroctocog alfa  Basiliximab     Rotavirus Vaccine   (FVIII mutein)     Bevacizumab   Interferon beta-1a  Epoetin alfa   Nonacog alpha   Gemtuzumab   Enzymes Interferon beta-1b   Epoetin beta   Desirudin    Ibritumomab   Alteplase (t-PA)   Interferon gamma-1b    Lepirudin     Infliximab    Reteplase  Aldesleukin (IL-2)    Drotrecogin-alfa   Palivizumab   Tenecteplase (TNK-t-P)  Filgrastim (G-CSF)   Follitropin alfa    (Protein C act.)   Rituximab    Monteplase  Follitropin beta    1-Proteinase    Trastuzumab     Dornase-alfa (RNase) Lenograstim (G-CSF)  Somatropin    i nhibitor     Omalizumab   Imiglucerase Molgramostim (GM-CSF)  Glucagon        Efalizumab   Agalsidase alfa and beta Sargramostim (GM-CSF) Teriparatide (PTH 1-34)       Catuximab   Laronidase   Tasonermin (TNF-a)   Salmon Calcitonin        Daclizumab     Rasburicase Becaplermin (PDGF-BB) Thyrotropin-alfa      Panitumumab Oprevelkin (IL-11) Choriogondotropin A2      Ranibizumab Anakinra (IL-1-RA)   Osteogenic Protein-1   Fusion Proteins   Dibotermin alpha (BMP-2)   Denileukin diftitox     Pegvisomant (hGH antagonist)   Etanercept Nesiritide (natriuretic peptide)   Alefacept   Lutropin-alfa    1st generation of biopharmaceuicals
Limitations of the 1 st  generation biopharmaceuticals: ,[object Object],[object Object]
The Problem with Proteins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Desired Drug Properties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2nd Generation Biopharmaceuticals: Transforming Proteins into Protein Drugs with Improved Properties Post-production modification derivatization, conjugation   (PEGylation , polysialylation, HESylation, fatty acid group derivatization) Amino acid engineering   From single mutations to large scale modifications (chimeric or humanized mAbs), introduction/removal of glycosylation sites, introduction/removal of cysteines, introduction of unnatural amino acids, alteration of protease sensitive regions, removal of agretopes to reduce immunogenicity, removal of deamidation-prone Asn, substitution of expoased non-polar amino acids, etc. Protein-protein  fusions   (IgG, IgG1 Fc, albumin, transferrin, Hsp 65, antibodies or their fragments) New drug delivery  systems   (liposomes, nanoparticles, microparticles)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PEGylation In solution the PEG begins to move rapidly, sweeps out a large area (hydrodynamic volume) and protects in this way the protein from environmental influences . Protein     PEG-Protein In vitro  activity:   100 %  reduced  In vivo  activity:  100 %     enhanced  30–50 nm 5 nm
Future trends :  app 500 biotech drugs in clinical trials in 2007 480 are protein-based, 11 gene therapy, 14 antisense DNA or RNAi-based products
2 nd  generation: Insulins
2nd generation: Darbepoietin
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proteins vs SCE: complexity Size Structure Modification Stability Epoetin Aspirin Denaturation, Aggregation,  Degradation, Oxidation, ... Glycosylation, Acylation, etc.
IgG Antibody ~ 25,000 atoms Aspirin 21 atoms hGH ~ 3000 atoms Large   Biologic Small Molecule Drug Large   Molecule   Drug Car ~ 3000 lbs F16 Jet ~ 25,000 lbs (without fuel) Bike ~ 20 lbs Proteins:   Size,   Structure   &   Complexity Complexity Size Source: Genentech
Manufacturing of recombinant Proteins is  a  complex  p rocess DNA Vector Cloning into  DNA Vector Large-scale Fermentation Downstreaming Transfer into Host Cell, Expression, Screening/Selection e.g., bacterial or mammalian  cell Formulation
Biosimilars Manufacturers:  Different Process – different Product Maybe the same genetic sequence (Probably)  a different  DNA vector A different recombinant cell  expression system A different fermentation process A different downstreaming protocol Different  in-process  controls Maybe a different formulation A second manufacturer uses... DNA Vector Cloning into  DNA Vector Large-Scale Fermentation Downstreaming Formulation Transfer into Host Cell, Expression e.g., bacterial or mammalian  cell
Two  complex biopharmaceuticals  cannot be „the same   “   but  „similar“   ,[object Object],[object Object],Therefore,   “Biogenerics” cannot exist. Pictures taken from:  http://savingsandclone.com/news/press_room.html ,[object Object],[object Object]
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phage display technology ,[object Object],[object Object],[object Object],[object Object]
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future trends:  Gene therapy 1939 2007
Gene therapy
Future trends:  Gene therapy ,[object Object],[object Object],a) In vivo b) In vitro, c) Ex vivo a) Somatic b) Stem cell Target cells: Technology: DNA transfer:
Gene therapy-delivery
“ Ex vivo” gene therapy of   severe combined immunodeficiency (SCID)
Gene therapy-gene silencing
Cell and tisssue engineering
Trends and perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
… .and long-term future perspective? ???

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Future trends and perspectives in modern pharmaceutical biotechnology

  • 1. FUTURE TRENDS AND PERSPECTIVES IN MODERN PHARMACEUTICAL BIOTECHNOLOGY Prof. Borut Štruk elj Faculty of Pharmacy, UL, Slovenia BWP, EMEA London Ph. Eur. Strasbourg
  • 2. Pharmaceutical biotechnology Traditional biotechnology -secondary metabolites -antibiotics -steroids -vitamins, etc Modern biotechnology -recombinant proteins -monoclonal antibodies -gene therapy -transgenic organisms
  • 3. What is a modern pharmaceutical biotechnology? keyword: “ PHARMACEUTICAL BIOTECHNOLOGY” GOOGLE 1996: app. 35.000 hits GOOGLE 2006: app: 3.220.000 hits ! Pharmaceutical biotechnology: the use of living things or parts in order to create or modify drugs Modern pharmaceutical biotechnology: the use of living things or parts by means of recombinant DNA technology in order to create or modify drugs and physiological targets
  • 4. From the starting point of protein pharmaceuticals…. 100 Years ago Serum Therapy 1893 Emil von Behring immunizing a “ serum-horse”
  • 5. … .to modern biotech
  • 6.  
  • 7.
  • 8. Biopharmaceuticals or protein drugs have proven to be safe and effective therapies in many disease indications The 1 st generation biopharmaceuticals Replacement therapies (mimic the normal function of a protein) “ Antagonist” therapies (in which protein function is inhibited - usually antibodies) Many successful products: Erythropoietin, insulin, human growth hormon (HGH), interferons (IFNs), granulocyte colony-stimulating factor (G-CSF), etc.
  • 9. Cytokines Hormones Coagulation factors/ Antibodies Vaccines and antagonists and peptides Inhibitors Abciximab Hepatitis Vaccine Interferon alfacon-1 Insulin Eptacog alfa Adalimumab LymeDiseaseVaccine Interferon alfa-2a Antihemophilic Alemtuzumab Diphtheria/Tetanus/ Interferon alpha-2b Factor (3) Arcitumomab Pertussis Vaccine Moroctocog alfa Basiliximab Rotavirus Vaccine (FVIII mutein) Bevacizumab Interferon beta-1a Epoetin alfa Nonacog alpha Gemtuzumab Enzymes Interferon beta-1b Epoetin beta Desirudin Ibritumomab Alteplase (t-PA) Interferon gamma-1b Lepirudin Infliximab Reteplase Aldesleukin (IL-2) Drotrecogin-alfa Palivizumab Tenecteplase (TNK-t-P) Filgrastim (G-CSF) Follitropin alfa (Protein C act.) Rituximab Monteplase Follitropin beta  1-Proteinase Trastuzumab Dornase-alfa (RNase) Lenograstim (G-CSF) Somatropin i nhibitor Omalizumab Imiglucerase Molgramostim (GM-CSF) Glucagon Efalizumab Agalsidase alfa and beta Sargramostim (GM-CSF) Teriparatide (PTH 1-34) Catuximab Laronidase Tasonermin (TNF-a) Salmon Calcitonin Daclizumab Rasburicase Becaplermin (PDGF-BB) Thyrotropin-alfa Panitumumab Oprevelkin (IL-11) Choriogondotropin A2 Ranibizumab Anakinra (IL-1-RA) Osteogenic Protein-1 Fusion Proteins Dibotermin alpha (BMP-2) Denileukin diftitox Pegvisomant (hGH antagonist) Etanercept Nesiritide (natriuretic peptide) Alefacept Lutropin-alfa 1st generation of biopharmaceuicals
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. 2nd Generation Biopharmaceuticals: Transforming Proteins into Protein Drugs with Improved Properties Post-production modification derivatization, conjugation (PEGylation , polysialylation, HESylation, fatty acid group derivatization) Amino acid engineering From single mutations to large scale modifications (chimeric or humanized mAbs), introduction/removal of glycosylation sites, introduction/removal of cysteines, introduction of unnatural amino acids, alteration of protease sensitive regions, removal of agretopes to reduce immunogenicity, removal of deamidation-prone Asn, substitution of expoased non-polar amino acids, etc. Protein-protein fusions (IgG, IgG1 Fc, albumin, transferrin, Hsp 65, antibodies or their fragments) New drug delivery systems (liposomes, nanoparticles, microparticles)
  • 15.
  • 16. Future trends : app 500 biotech drugs in clinical trials in 2007 480 are protein-based, 11 gene therapy, 14 antisense DNA or RNAi-based products
  • 17. 2 nd generation: Insulins
  • 19.
  • 20. Proteins vs SCE: complexity Size Structure Modification Stability Epoetin Aspirin Denaturation, Aggregation, Degradation, Oxidation, ... Glycosylation, Acylation, etc.
  • 21. IgG Antibody ~ 25,000 atoms Aspirin 21 atoms hGH ~ 3000 atoms Large Biologic Small Molecule Drug Large Molecule Drug Car ~ 3000 lbs F16 Jet ~ 25,000 lbs (without fuel) Bike ~ 20 lbs Proteins: Size, Structure & Complexity Complexity Size Source: Genentech
  • 22. Manufacturing of recombinant Proteins is a complex p rocess DNA Vector Cloning into DNA Vector Large-scale Fermentation Downstreaming Transfer into Host Cell, Expression, Screening/Selection e.g., bacterial or mammalian cell Formulation
  • 23. Biosimilars Manufacturers: Different Process – different Product Maybe the same genetic sequence (Probably) a different DNA vector A different recombinant cell expression system A different fermentation process A different downstreaming protocol Different in-process controls Maybe a different formulation A second manufacturer uses... DNA Vector Cloning into DNA Vector Large-Scale Fermentation Downstreaming Formulation Transfer into Host Cell, Expression e.g., bacterial or mammalian cell
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Future trends: Gene therapy 1939 2007
  • 30.
  • 32. “ Ex vivo” gene therapy of severe combined immunodeficiency (SCID)
  • 34. Cell and tisssue engineering
  • 35.
  • 36. … .and long-term future perspective? ???