The biopharmaceutical industry continues to grow at a rapid pace. That growth is accelerating even more because of keen investor and research interests in cell and gene therapies. My focus below is on several key growth areas in the field, specifically aspects of development and biomanufacturing. This discussion builds on my 2018 column on top trends in bioprocessing (1). In that article, I identified five key trends that continue to resonate now:
- rapid development of high-productivity upstream processes
- advances in purification resins and membranes
- interest in continuous bioprocessing
- improvements in manufacturing of biosimilars
- bioprocessing for cellular and gene therapies.
Cell and Gene Therapy
The relatively new area of so-called âadvanced therapiesâ has become the hottest ticket in biopharma town. Thanks to some impressive successes in both cancer and rare-disease therapies â and now with four approved products in the United States â companies are scrambling to enter this market. Development and manufacturing facilities for cell and gene therapies are in great demand now, as shown by recent billion-dollar premiums paid by pharmaceutical and contract-services companies to acquire such capabilities. Examples include Rocheâs acquisition of Spark Therapeutics (US$4.3 billion), Catalentâs takeover of Paragon Bioservices ($1.2 billion), Thermo Fisher Scientificâs acquisition of Brammer Bio ($1.7 billion), and Celgeneâs takeover of Juno Therapeutics ($9 billion). We also have seen a surge in activity at the US Food and Drug Administration (FDA) in this area (Figure 1), with investigational new drug (IND) applications filed with its Center for Biologics Evaluation and Research (CBER) skyrocketing from 106 in 2017 to 206 in 2018 and more than 800 by the autumn of 2019 (2).
Notwithstanding the overall excitement in cell and gene therapy, a general realization throughout the industry is that the field needs to move beyond bench-scale processing toward industrialization. One key challenge, however, comes from the fact that the most significant progress thus far has been in autologous therapies. Based on treatment of an individual patientâs own cells, this approach requires scale-out rather than scale-up, with multiple product lots for multiple patients, each lot using its own equipment. That scale-out strategy has been facilitated by the widespread availability of single-use technologies for bioprocessing. Nevertheless, it does involve additional expense and processing compared with scaling up lots that treat multiple patients from one process train, which is the typical arrangement for biopharmaceutical therapies such as monoclonal antibodies (MAbs) and other recombinant proteins (3).
Typically, cell and gene therapy processes require scientific personnel with highly specialized skill sets performing more manual labor than does recombinant protein biomanufacturing. Automation and robotics are being applied to help reduce manual labor, but the demand for scientists with training in cell and gene therapies far exceeds the availability. Universities such as the New Jersey Institute of Technology are partnering with companies in the field to set up relevant training to address that need (4).
The concept of bioprocess intensification broadens an already active trend toward continuous processing to include all steps that accelerate a process and enable more of a given biotherapeutic to be produced in a given period (or in less time) than ever before. This can include using intensified perfusion bioreactors, first pioneered by DSM Biologics and now actively pursued by many biomanufacturers. In perfusion bioprocesses, cells are grown to very high densities through optimized feeding strategies, and recombinant- protein products are harvested continuously through technologies such as the alternating tangential-flow (ATF) filtration originally developed by Refine Technologies and now available from Repligen.
Other companies have intensified their fed-batch bioreactor processes by first using a small, high-density perfusion seed bioreactor to inoculate a series of production bioreactors run in fed-batch mode (5). Such a strategy replaces the multiple scale-up steps typically needed to generate inoculum to start a production bioreactor with a single, ongoing perfusion bioreactor that continually generates inoculum for a series of bioreactors and/or batches. Thanks to the high cell densities possible with perfusion, production cells can be inoculated at a higher starting density, which saves time in a large-scale reactor as well.
|Q&A with CPhI|
|The producers of CPhI (part of the Informa Markets division of BPIâs parent company) conducted the following interview with Michiel Ultee at the 30th-anniversary conference last year in Frankfurt, Germany. The next CPhI Worldwide event â including Informa Connectâs BioProduction meeting â will take place on 13â15 October 2020 in Milan, Italy.
Considering the data in Figure 1, do you foresee capacity shortages in the years ahead? Are there enough contract development and manufacturing organizations (CDMOs) to support the numbers of promising candidates coming through the pipeline? There already is a shortage of CDMO services for this type of work. High valuations of recent CDMO acquisitions (such as Brammer Bio and Paragon Bioservices) bear that out. I expect the shortage to continue for the next few years until more development and manufacturing scientists are trained in this new discipline and CDMOs expand their offerings.
What do you think manufacturing (capacity) for cell and gene therapies will look like in three years? It will continue to be tight because demand is extraordinary.
And do you think that in five years we will be in a place where new technologies will make biologics manufacturing substantially more cost effective than it is today? Yes, most of the advances from new technologies are more efficient and cost saving. Furthermore, economic pressure from biosimilars will push biomanufacturers toward lowering costs.
What are the manufacturing implications of the large pipeline for cell and gene therapies over the next few years? There will be some realignment for manufacturing in the areas of cancer and rare-disease therapies. Expect greater focus on cell and gene therapies (rather than recombinant-protein therapeutics) for those indications.
Do you think weâll see a notable rise in continuous processing for biosimilars in the near future â and if so, why? I think the rise in continuous processing will be incremental and ongoing rather than dramatic. There is an established base of batch-based manufacturing that will temper wholesale movement toward continuous processing.
This interview and article are adapted from the CPhI annual industry report. Find the full report online at https://www.cphi.com/europe/visit/news-and-updates/industry-market-reports.
Downstream Processing: Protein purification is improving thanks to several innovations in chromatographic separations. Advances in the capacity of membrane-based separation technologies bring rapid exchange kinetics to allow for accelerated processing (6). Consider those originally developed by Natrix Technologies and now offered by Millipore Sigma, which are said to reduce buffer use by 80% relative to column chromatographic processes (7).
Meanwhile, companies such as GE Healthcare have been developing a new generation of separation modalities based on nanofibers (8). They provide high flow rates and capacities that enable multiple short cycles to be run up to the cycle lifetime of the separation product (typically 150â200 cycles). That enables a single-use approach even to expensive affinity chromatography such as that based on protein A for binding antibodies selectively. Essentially, the affinity support becomes a fixed material cost for each run rather than a large, upfront cost that is slowly depreciated as long as a given biopharmaceutical product remains in its manufacturerâs portfolio (9). This advancement is exciting because a great deal of money otherwise is spent on protein A resins during clinical development for products that might never be commercialized. Although this technology is still in development for manufacturing scale, it is available currently for bench-scale evaluations (10).
Although chromatographic resin capacities have continued to increase â especially for affinity supports such as protein A â Purolite recently has applied a new agarose manufacturing technology to produce highly uniform beads. The resulting chromatography medium has high capacity even at fast flow rates (e.g., two minutes residence time) because of the uniform beadsâ improved flow properties. Furthermore, those flow properties can facilitate removal of impurities such as host-cell proteins (HCPs) and lessen the amount of washing needed. Both the faster flow rates and facilitated removal of impurities shorten processing times, thereby intensifying an overall downstream process (11).
Another innovation uses standard chromatographic beads with variable load rates on short (e.g., 10 cm) production columns. This concept begins with a maximum flow rate at the start of a process-stream feed, then sequentially tapers that off to slow flow rates as column capacity is approached and reached. The result is higher dynamic binding capacity for a given resin to approach its static capacity more closely than was possible before. Furthermore, the short column lengths curtail each column cycle to allow for multiple cycles to run in the same period or in less time than before. Although column capacities are not quite as high with this technique as with those of multiple-column, simulated moving-bed (SMB) chromatography, it is much simpler and less expensive to implement. Caveats to this strategy remain, however, including the needs to pack short columns carefully to ensure even flow distribution and to measure column-packing efficiencies at both high and low flow rates (12).
Finally, the nonchromatographic purification technology of selective precipitation is receiving new consideration in light of both the advent of continuous processing and the achievement of higher product harvest titers than were possible with older processes. A recent study evaluated in-line precipitation of a monoclonal antibody (MAb) using zinc-chloride and polyethylene-glycol (PEG) solutions (13). That was followed by washing of precipitated antibody using tangential-flow filtration (TFF) and then resolubilization to effect substantial purification (90% removal of HCPs) and high yield (97%) overall. Although performed at bench scale in the published work, this methodology shows promise for further development and scale-up.
The development and production of biosimilars has been moving steadily forward in recent years, with much greater progress seen outside the United States, particularly in Europe. Techniques for process intensification also are being applied to biosimilar manufacturing, with the first biosimilar produced by continuous processing receiving approval to begin clinical trials in 2019 (14).
Drug developers and biomanufacturers have worked closely with regulatory authorities to produce the âhighly similarâ biologics intended to be marketed as biosimilars. Thus, the principal hurdles to the success of most such products are no longer scientific, technical, or regulatory. In the United States, the main obstacles to market have been political and legal due to âpatent wallsâ and litigation. For example, many biosimilars have received FDA approval over the past two years but have been delayed in marketing by negotiations among the companies who produce the reference/innovator and biosimilar drugs (15).
Innovation for Industrialization
The increased efficiency of bioprocessing has been pushing all biopharmaceutical modalities rapidly toward industrialization. Recombinant proteins have had a substantial head start over new medicines such as cell and gene therapies, but my expectation is for rapid growth and advancement in all segments. Finally, biosimilars have reached a point at which their development and manufacturing are no longer the principal hurdles to market and adoption.
1 Ultee ME. Top Trends in Bioprocessing for the Next Five Years. Bioprocess Online 24 Oct 2018; https://www.bioprocessonline.com/doc/the-top-trends-to-watch-in-bioprocessing-0001.
2 Marks P. Keynote. Presented at BioNJâs Manufacturing Briefing, 20 September 2019, Newark, NJ.
3 Gennari A, Donohue J. Cracking the Code in Cell and Gene Therapy Manufacturing. Presented at BioNJâs Manufacturing Briefing, 20 Sep 2019, Newark, NJ.
4 New Jersey Innovation Instituteâs Cell and Gene Therapy Center Launches Biopharma Training Program. New Jersey Institute of Technology: Newark, NJ, 16 March 2018; https://news.njit.edu/new-jersey-innovation-institutes-cell-gene-therapy-center-launches-biopharma-training-program.
5 Gagnon M, et al. Novel, Linked Bioreactor System for Continuous Production of Biologics. Biotechnol. Bioeng. 116, 2019: 1946â1958; doi:10.1002/bit.26985.
6 Hou Y, et al. Advective Hydrogel Membrane Chromatography for Monoclonal Antibody Purification in Bioprocessing. Biotechnol. Prog. 31(4) 2015: 974â982; doi:10.1002/btpr.2113.
7 Next-Level Downstream Productivity and Versatility: Experience our NatrixÂŽ Membrane Chromatography Technology. Millipore Sigma, 2019; https://www.sigmaaldrich.com/safc/bioprocess/purification/natrix.html.
8 Scanlon I, et al. High-Throughput Downstream Processing Using Cellulose Fiber Chromatography and AĚKTA™ Chromatography Systems. GE Healthcare Life Sciences: Uppsala, Sweden, 2018; https://cdn.gelifesciences.com/dmm3bwsv3/AssetStream.aspx?mediaformatid=10061&destinationid=10016&assetid=28844.
9 Schreffler J. Comparison of Protein-A Fiber and Intensified Protein A Resin Processes. Presented at BioProcess International Conference 10 September 2019, Boston, MA.
10 Mehta K. Industrialization Aspects of Membrane Affinity (ProA) Technology. Presented at BioProcess International Conference 11 September 2019, Boston, MA.
11 Johanssen H. Protein A Affinity Chromatography: Whatâs Next? Presented at BioProcess International Conference 11 September 2019, Boston, MA.
12 Kanani D. Super-Batch Chromatography: Enhanced DSP Through Cycling of a Short Bed-Height Column. Presented at BioProcess International Conference 10 September 2019, Boston, MA.
13 Li Z, et al. Continuous Precipitation for Monoclonal Antibody Capture Using Countercurrent Washing By Microfiltration. Biotechnol. Prog. 35(6) 2019; doi:10.1002/btpr.2886.
14 Schofield M. It Is Great to Be First! Pall Life Sciences Blog 25 July 2019; https://biotech.pall.com/en/blog/great-to-be-first.html.
15 Peterson C. Biosimilars in the US: More Approvals But Not Access. ExpressScripts 10 January 2019; https://express-scripts.com/corporate/articles/biosimilars-us-more-approvals-not-more-access.
BPI editorial advisor Michiel E. Ultee is principal consultant at Ulteemit BioConsulting, LLC; 1-908-336-8941; email@example.com; www.ulteemitbio.com.
This article is adapted from the CPhI annual industry report. Find the full report online at https://www.cphi.com/europe/visit/news-and-updates/industry-market-reports.