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Addressing Bioconjugates Production Challenges and Accelerating Drug Development
Dec. 23, 2024
Addressing Bioconjugates Production Challenges and Accelerating Drug Development

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

 

Challenges in ADC Development and Production

 

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

Orthogonal design of experiments method

Process verification

Process development for purification

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.

 

WuXi XDC’s manufacturing facilities

 
Source: Screenshot from the video of the production line of WuXi XDC
 

Cost Control and Supply Chain Management for Late-stage and Commercial CMC Strategy

 

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.
 

Regulatory Considerations

 
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.
 

One-Stop ADC Manufacturing: A Comprehensive Solution

 
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.
 

WuXi XDC’s fully integrated “All-in-One” manufacturing model within one single site

 
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.
 

Summary

 
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.
 

References:

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

5. https://wuxixdc.com/

6. https://m.baidu.com/bh/m/detail/ar_9495594477095896147

7. https://www.thepaper.cn/newsDetail_forward_26980251

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