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The development of a new antibody-drug conjugate-(ADC), from initial laboratory exploration to patient-application, represents a protracted and highly intricate-journey involving multiple pivotal stages, from research-and development to manufacturing and eventual commercialization. Among these, manufacturing introduces profound complexities and uncertainties that-significantly influence the successful market launch of a-new ADC drug. CMC considerations are especially-critical as evidenced by FDA data: 11 out of 32 Complete-Response Letters (CRLs) issued were attributed to-CMC-related deficiencies, highlighting the paramount-importance of addressing these challenges.
This article aims to explore the multifaceted challenges-encountered during the process development and production of ADCs, with a focus on late-stage CMC-strategies and regulatory consideration. Additionally, it-examines how a one-stop ADC platform can leverage-scientific methodologies and technical innovations to-overcome these challenges, paving the way for efficient-drug development and commercialization. Such platforms serve as indispensable enablers, ensuring-readiness for the anticipated surge in ADC approvals-and maximizing their therapeutic impact. (Table 1)
Table 1: New drugs rejected by the FDA in recent years due to CMC issues | |||
Date | Product | Company | Reasons |
2024.6 | Patritumab Deruxtecan | Daiichi Sankyo | CMC deficiencies in third party contract manufacturing |
2023.12 | cosibelimab | Checkpoint Therapeutics | CMO issues |
2023.10 | lebrikizumab | Eli Lilly | CMO issues |
2023.9 | Ultomiris (ravulizumab) | AstraZeneca | Required by the FDA to revise ultomiris risk evaluation and mitigation strategy (REMS) |
2023.8 | ONS-5010 | Outlook Therapeutics | CMC issues, open observation of pre-approval manufacturing inspections, and lack of substantive evidence |
2023.7 | Lymphir | Citius Pharmaceuticals | Required by the FDA to supplement information on product testing and elevate controls |
2023.6 | Eylea™ 8mg | Regeneron Pharmaceuticals | Third-party manufacturer issues |
2023.5 | Anktiva (N-803) combined with Bacillus Calmette-Guérin (BCG) vaccine | ImmunityBio | CMC deficiencies in third party contract manufacturing |
2023.5 | Alhemo (concizumab) | Novo Nordisk | Required by the FDA to supplement information related to patient monitoring and dosing, and additional information on the manufacturing process |
2023.5 | TransCon PTH | Ascendis Pharma | For reasons that the drug or device does not guarantee a uniform delivery dose |
2023.4 | mirikizumab | Eli Lilly | Concerns about the manufacturing process |
2023.3 | ABBV-951 | Abbvie | Required by the FDA to supplement information |
Source: Pharma DJ, added by the author
ADC drugs, comprising antibodies, payloads, and linkers,-exhibit a unique molecular complexity that spans the-domains of large molecules, small molecules, and the-conjugation. This complexity necessitates strict-adherence to current Good Manufacturing Practices-(cGMP) and a comprehensive understanding of molecular-level attributes to ensure safety and efficacy. Key considerations include selecting optimal antibodies,-ensuring linker stability, addressing the toxicity and-pharmacological mechanisms of the payload, and maintaining precision in the drug-to-antibody (DAR). Effective management of these interdependent factors-is essential for achieving consistent quality and reliable-production outcomes.
The development of ADC processes involves several-critical stages, including process development, clinical-supply, process characterization & validation, and-commercial supply. Each stage brings distinct challenges,-particularly during scale-up, which requires seamless-technology transfer, rigorous process optimization, and-continuous monitoring to maintain production consistency and robustness. The complexities are-especially pronounced in the preparation of ADC drug-substance (DS) and drug product (DP), as these tasks-differ significantly from the production of standalone-large molecules or small molecules. (Table 2)
Table 2: Typical ADC process development flows | |||
Process Development | Clinical Supply | Process Characterization | Commercial Supply |
Batches for clinical studies | Process design | Commercialized batches | |
Milligram Gram |
Hundred grams and above | Gram, milligram | Kilogram and above |
Source: Publicly available information, compiled by the author
The preparation of ADC DS represents a pivotal step in-production, requiring precise control over conjugation-reaction conditions to ensure high efficiency and product-purity. Following the bioconjugation reaction, unreacted-antibodies, small molecules, linkers, and process-impurities, such as organic solvents, must be meticulously removed through advanced purification-techniques. Due to their complex molecular structures,-ADC DS preparation process faces heightened stability-challenges compared to antibody alone, with susceptibility to polymerization, degradation, or payload-detachment. Ensuring stability and maintaining consistent quality throughout this phase tests the-technical expertise and problem-solving capabilities of-DS production team.
ADC drug products, often presented as freeze-dried-formulations, demand exceptional attention to the-design and optimization of the lyophilization process. Formulation development must balance multiple factors-– including pH, ionic strength, and temperature – to-ensure the final product’s stability, efficacy, and safety. Without sufficient expertise, the management of these-variables can be a significant risk to the achievement of a-robust and scalable formulation process.
Ensuring quality throughout the manufacturing process-is paramount. Continuous quality monitoring, supported-by advanced analytical techniques such as high-performance liquid chromatography and mass-spectrometry, is critical for identifying and eliminating-impurities, monitoring batch-to-batch variability, and-validating conjugation efficiency and bioactivity. Overcoming these challenges requires the concerted-efforts of a highly skilled technical team equipped to-maintain rigorous quality standards.
Furthermore, the inherent toxicity of ADC payloads-necessitates the implementation of stringent safety-protocols to prevent cross-contamination and safeguard-operator health. This involves the high containment-system and negative-pressure environments, the use of-specially-designed equipment to eliminate residues-during cleaning and product transitions, and the-establishment of comprehensive risk management frameworks to address potential hazards proactively.
Source: Screenshot from the video of the production line of WuXi XDC
By the Biologics License Application (BLA) stage,-process development—more precisely, process optimization—shifts its focus toward ensuring the-consistency and robustness of production at a commercial scale. At this advanced stage, cost control-becomes a critical factor. Unlike earlier stages, where the-emphasis lies on exploratory optimization, late-stage-process development requires balancing product quality-with cost-effectiveness. Maintaining consistent product-quality during scale-up to commercial manufacturing is a-nuanced process that necessitates careful planning and-execution to achieve both reliability and economic-efficiency.
A comprehensive understanding of the supply chain’s-impact on the manufacturing process and product-quality is indispensable when devising a robust CMC-strategy. For ADC drugs, the inherent complexity of-their multi-component nature requires prioritizing-supplier stability and the reliability of quality systems at-every stage of the supply chain. This approach ensures a-seamless transfer from research and development to-commercialization, minimizing risks and safeguarding-product integrity throughout lifecycle.
In Nov, 2024, the Center for Drug Evaluation of China’s-State Drug Administration released the “Technical-Requirements for Pilot Registration and Declaration of-Segmented Production of ADCs”. This regulatory-document underscores the intricate challenges and-inherent in ADC production and mandates the establishment of a comprehensive and robust quality-control strategy. ADC manufacturing organizations,-particularly CDMOs, are required to ensure that their-production processes comply with regulatory standards,-maintain detailed and traceable records for problem-identification, and demonstrate both flexibility and-compliance management capabilities to address varying-regulatory frameworks effectively.
The document highlights that ADC production processes are inherently complex and influenced by-numerous factors, necessitating the adoption of a-comprehensive quality control strategy grounded in risk-assessment. Research and validation must encompass-the entire production chain and lifecycle of ADC-production ensuring compliance at every stage of-segmented manufacturing. Furthermore, the applicant-or MAH bears primary responsibility for validating-transportation processes between production sites,-reinforcing the quality control of received intermediates, and maintaining effective lifecycle-management to uphold product integrity and safety.
Collaboration between pharmaceutical companies and-CDMOs becomes paramount within segmented production models. Both parties must establish-synchronized and consistent risk management frameworks to ensure the stability and quality of ADC-intermediates and raw materials across the production-continuum. This partnership is essential to mitigating-risks, optimizing resources utilization, and ultimately-supporting the successful commercialization of ADC-therapies.
The one-stop CMC development and production platform provides an optimal solution to the-complexities of ADC production. By streamlining the-production process, it minimizes risks and human errors,-offering the pharmaceutical industry a path to efficient-and safe manufacturing. WuXi XDC, as a leader in-one-stop production solutions, operates a state-of-the-art facility at its Wuxi City site. This site-integrates and manages the entire production process-using a unified quality system, effectively reducing-batch-to-batch variability and enhancing product-stability and consistency.
Unified Quality Systems within a Centralized Production-Environment: WuXi XDC employs a robust and comprehensive quality control system that spans from-raw materials to final product delivery. Each step in the-process is meticulously monitored to ensure adherence-to the highest quality standards. By producing all four-components within the same facility and adhering to-unified quality standards, WuXi XDC ensures seamless-coordination of technology transfers, minimizing inter-system risks, and simplifies production processes,-ultimately improving overall efficiency and product-quality.
Source: WuXi XDC’s master deck
Dual-function Facility to Support Production: WuXi-XDC’s newly launched second dual-function production-line (XBCM2 Line2) represents a significant advancement in the industry. This line supports integrated processes ranging from cell culture and-antibody purification to bioconjugates production. The-novel design not only addresses diverse and evolving-production needs but also reduces waste caused by-unnecessary transfers and delays, offering a streamlined-and time-efficient solution. By expediting drug filing and-commercialization timelines, the facility empowers ADC-developers to bring their therapies to market more-swiftly and reliably.
ADC production entails navigating a spectrum of-challenges, encompassing the integration and manufacturing of its core components, rigorous process-controls, stringent quality assurance, compliance with-complex regulator frameworks, and the coordination of-global supply chains. The one-stop production platform-provides comprehensive solutions through seamlessly-integrating end-to-end processes, implementing advanced quality systems. The platform’s robust-capabilities not only empower ADC developers to-overcome these hurdles but also enhance production-efficiency and ensure product quality at every stage. Through superior supply chain optimization and unwavering compliance with global standards, one-stop-platform facilities the reliable delivery of ADC products-to market.
WuXi XDC’s innovative integration of these capabilities-highlights its leadership in ADC manufacturing. This-approach accelerates patient access to ADC therapies-while fostering continuous innovation in the ADC space. The combination of operational flexibility, robust quality-assurance, and industry-leading expertise underscores-the pivotal role of one-stop platforms in shaping the-future of ADC production.
1. https://xueqiu.com/5666183627/295521018
2. https://www.phirda.com/artilce_33929.html?module=trackingCodeGenerator
3. https://www.cn-healthcare.com/articlewm/20230912/content-1604630.html
4. https://www.stcn.com/article/detail/1165973.html
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