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Please Pl f P ti Co Code ORDER TODAY! reference Promotion d FRNK2 when h ordering. d i North, North Central & South Am merica 877 762 2974 Teel:l 877.762.2974 E il custserv@wiley Email: t @ il y.com Internet: www.wiley wileyy.ccom & Asia Europe, Middle East Europe A East, Africa Tel: +44 (0) 1243 843 294 cs books@w b k @wiley E il cs-books@w Email: il .co.ukk Internet: I t t www.wileye il yeurope p .com Germanyy, Switzerland, land, & Austria land Tel: +49 (0) 6201 606 400 Tel: wiley il vch.de hd E il service@ Email: i @wiley-vch.de il y h d wiley-vch.de Internet: t www.w I t AUGUST | SEPTEMBER 2011 pharmaquality.com Contents Cover Story 6 New Gums from Ancient Lands Indian plants studied as binding agents in tablet formulations BY MAYBELLE COWAN-LINCOLN Departments 10 GREEN CHEMISTRY I WASTE REDUCTION A Green Sweep Big pharma is drafted by ethical and fiscal responsibilities to collaborate on waste reduction efforts By Neil Canavan 14 DELIVERY I CYCLOSPORINE TBI’s Miracle Drug An accidental discovery about 20 years ago has led to a cyclosporine pharmaceutical on the threshold of approval By Steve Campbell 22 FORMULATION I NANOPARTICLES Strides for Small Cancer Fighters Nanoparticles used to formulate and deliver drugs to cells and tumors show increasing promise By James Netterwald, PhD 24 IN THE LAB I OUTSOURCING A 70-person PerkinElmer OneSource on-site team takes complete responsibility for maintaining and qualifying more than 50,000 Merck Research Laboratories assets in six facilities. See Page 24. 27 INGREDIENTS I HYALURONIC ACID The Benefits of HA in Ophthalmic Delivery InThis Issue A Q&A with Novozymes’ Khadija SchwachAbdellaoui, PhD 34 36 37 38 40 40 30 TOOLS OF THE TRADE Perfect Partners Merck Research Laboratories reduces equipment maintenance costs and improves productivity with PerkinElmer OneSource team By Maurizio Sollazzo, Paul Luchino, and Ted Gresik X-RAY DIFFRACTION SOURCES Uses of X-Ray Powder Diffraction in the Pharmaceutical Industry By Igor Ivanisevic, Richard B. McClurg, and Paul J. Schields JPS UPDATE PHARMASCAN/WIRES UPDATE HELP DESK PRODUCT SPOTLIGHT INDUSTRY EVENTS ADVERTISER DIRECTORY Pharmaceutical Formulation & Quality ® (ISSN 1092-7522) is published 6 times a year in Feb/Mar, Apr/May, June/July, Aug/Sept, Oct/Nov, Dec/Jan by Wiley Subscription Services, Inc., a Wiley Company, 111 River St., Hoboken, NJ 07030-5774. Periodical postage paid at Hoboken, NJ, and additional mailing offices. Subscription for U.S. is $126 per year. 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Contact Pete Zezima at 203.840.5447 or [email protected] COVER STORY CAPSULE Studies continue to evaluate plant gums found throughout the world for their usefulness as binding agents. Plant gums are a readily available, renewable resource that can be substituted for more expensive synthetic materials. They not only lower the cost of manufacturing tablets or topical formulations but also bolster the economies of the areas in which they are found. © ISTOCKPHOTO,COM NEW GUMS FROM ANCIENT LANDS Indian plants studied as binding agents in tablet formulations > BY MAYBELLE COWAN-LINCOLN T ablets are a popular medication delivery system. They allow powders and granules to be packaged in a compact and accurate dosing form that can be efficiently and inexpensively produced. The secret to the tablet’s success is the binding agent.1-2 Binding agents are excipients that provide cohesiveness and structural strength to powdered material during the manufacture of tablets. Binders allow tablets to remain intact after the compression process. Numerous compounds have been used as binding agents. Maize, potato starches, gelatin, and natural gums, as well as modified natural and synthetic polymers, have historically performed well as binders.3 Gums are often chosen as binders for tablets because of their physiochemical profile and the fact that they are relatively inert.4 Gums are polysaccharides made from sugar and uronic acid units. These translucent, amorphous substances, byproducts of plant metabolic processes, are often produced to protect the plant after injury. Though insoluble in alcohol, gums will either dissolve or swell in water.5 There are many benefits to using natural, plant-based gums in tablet manufacture. They are inexpensive and do not cause side effects. They are a locally available, renewable resource that can be processed in an environmentally friendly manner. In addition, they improve the economy of their country of origin by using local materials. These benefits have provided the impetus for numerous recent endeavors to evaluate the efficacy of plant-based gums and mucilages grown in various regions of India. There are several factors to consider when choosing and evaluating a binder. The type and concentration of the binding agent affect the strength, friability (ease of crumbling), and times for disintegration and dissolution. An additional consideration is the compatibility of the binder with the other substances in the tablet, particularly the active ingredient. Several of these efforts to identify new sources of inexpensive binding agents have yielded promising results. TAMARIND SEED POLYSACCHARIDE Tamarind seed polysaccharide (TSP), obtained from the seeds of the native Indian plant Tamarindus indica, produces a viscous, mucoadhesive mucilage with a broad pH tolerance and no carcinogenicity. A 6 Pharmaceutical Formulation & Quality > August/September 2011 study conducted in Vishakhapatan, India at Andhara University evaluated this mucilage as a natural polymer to be used in pharmaceutical formulations. To determine if the mucilage had the properties necessary to perform as an efficient binding agent, it was tested for several properties, including swelling index, solubility, microbial count, and thermal stability. Investigators reported that TSP hydrates quickly and swells up to 1,700%. It dissolves rapidly in warm water, sparingly in cold water, and not at all in alcohol. Microbial growth was not supported. Additionally, TSP is stable at temperatures up to 210 degrees C in solid form and 145 degrees C in liquid form, indicating that it can be used in both liquid and solid formulations. Upon hydration, TSP forms a thick, viscous surrounding layer. This coating retards drug release. Tamarind seed polysaccharide forms a thick coating upon hydration that retards drug release. Binding agents have a significant impact on the flow properties of powdered tablet ingredients, an important property for an excipient. Flow properties can be determined by measuring the angle of repose, a calculation based on the radius of the base of the conical pile produced by pouring the powder through a funnel. An angle of repose of less than 30 degrees indicates a free-flowing powder. The TSP angle of repose was determined to be 29.50 degrees, indicating good flow properties. In view of these results, including high swelling index, thermal stability, good flow properties, and unfriendly environment for pathogens, investigators concluded that TSP would make a useful excipient, particularly for sustained-release tablets. PHARMAQUALITY.COM CASSIA ROXBURGHII SEED GUM IN PARACETAMOL TABLETS Cassia roxburghii is a large Indian tree with seeds that consist of 50% endosperm, which yields a water-soluble gum. The binding properties of the gum, including stability and viscosity, were evaluated in a study conducted by the KMCH College of Pharmacy in Coimbatore, India, and compared to the properties of two standard binders, sodium carboxymethyl cellulose (sodium CMC) and gelatin.6 Three batches of C. roxburghii gum solution, containing 1%, 1.5%, and 2% C. roxburghii seed gum, were prepared, along with solutions made with sodium CMC and gelatin. A comparative study revealed that C. roxburghii seed gum showed higher viscosity than solutions containing the standard binders. The samples were retested after 16 days, and the C. roxburghii seed gum solution displayed the least decrease in viscosity. Paracetamol tablets were also prepared using these solutions as binding agents. Research shows that Cassia seed gum is a useful binder when high mechanical strength and slower drug release are desired. Three batches of tablets using C. roxburghii seed gum were manufactured, containing 2%, 4%, and 6% binder. All tablets were evaluated for hardness, friability, disintegration time, and dissolution rate. The results were encouraging: Tablets made with 2% C. roxburghii seed gum showed higher hardness and longer disintegration time than those made with sodium CMC or gelatin. Of the three formulations, C. roxburghii seed gum showed the lowest friability. As the C. roxburghii seed gum concentration increased, binding characteristics such as hardness and disintegration time also increased, while friability decreased. These results demonstrate that the binding capacity of the tablet is in proportion to the C. roxburghii seed gum concentration. Not surprisingly, as this concentration increases, the drug release rate decreases. These results suggest that C. roxburghii seed gum is a useful binder when high mechanical strength and slower drug release are desired. MORINGA OLEIFERA GUM Moringa oleifera is a fast-growing tree found throughout India. The plant extrudes a white gum that darkens to reddish brown or brownish black on exposure. The gum is sparingly soluble in water, producing a highly viscous solution. Victoria College of Pharmacy in Andhrapradesh, India, recently studied the binding proper(Continued on p. 8) CASE STUDY Grewia Gum Shows Promise P harmaceutical excipients are usually imported into sub-Saharan Africa from the developed world, adding to the cost of medicine and reducing the number of patients who can afford to take it. According to Martins Emeje, PhD, research fellow at the National Institute for Pharmaceutical Research and Development (NIPRD) in Nigeria, finding locally grown materials to substitute for imported excipients achieves several objectives: • Lowers manufacturing costs; • Creates jobs in multiple areas, including planting, harvesting, and crop storage; and • Increases national pride. In 2007, a study on the use of locally grown grewia gum as a binding agent was published by NIPRD. Grewia gum is used for a wide variety of domestic purposes in Nigeria—from mixing the materials used to build hut walls to serving as a vegetable. These uses led Dr. Emeje to form the hypothesis that grewia gum could serve as an effective binder.1 According to Dr. Emeje, the first important property of this plant is that it is edible and, therefore, suitable for tablet preparations. In addition, because it can hold sand together to make a cement-like preparation for walls, there must be significant potential for grewia gum to be a successful binding agent. To investigate its binding properties, dried, powdered mucilage from the plant was mixed with paracetamol granules. The formulation was evaluated for compressibility and packing and then pressed into tablet form for further study. The results demonstrated that grewia gum performs well as a binder. In fact, the paracetamol tablets made with powdered grewia gum mucilage outperformed the current standard binder, polyvinylpyrollidone (PVP), by showing a slower onset of plastic deformation. After this successful trial, grewia gum has continued to achieve positive results in research studies. Dr. Emeje’s work with this mucilage was recognized with a 2010 grant award to further study the gum’s potential. He expects to see a finished, commercialized grewia gum binder formulation for the pharmaceutical, food, and cosmetic industries within the next 10 to 15 years.2 ■ REFERENCES 1. Emeje M, Isimi C, Olobayo K. Effect of grewia gum on the mechanical properties of paracetamol tablet formulations. African J Pharmacy Pharmacol. 2008;2(1):1-6. 2. Ogaji IJ, Hoag SW. Effect of grewia gum as a suspending agent on ibuprofen pediatric formulation. AAPS PharmSciTech. 2011;12(2):507-513. August/September 2011 > Pharmaceutical Formulation & Quality 7 COVER STORY | NEW GUMS FROM ANCIENT LANDS (Continued from p. 7) PHARMAQUALITY.COM REFERENCES ties of the gum by evaluating paracetamol tablets made with Moringa oleifera gum for properties such as angle of repose, hardness, disintegration time, dissolution rate, and friability. Three concentrations of Moringa oleifera were tested—8%, 10%, and 12%—and compared to equivalent concentrations of gelatin. 1. Arul Kumaran KSG, Palanisamy S, Rajasekaran A, et al. Evaluation of Cassia roxburghii seed gum as binder in tablet formulations of selected drugs. Int J Pharm Sci Nanotechnol. 2010;2(4):726-732. 2. Shivalingam MR, Kumaran KSGA, Kishore Reddy YV, et al. Evaluation of binding properties of Moringa oleifera gum in the formulation of paracetamol tablets. Drug Invention Today. 2010;2(1):69-71. Sesbania gum binds gel formulations well. Moringa gum is sparingly soluble in water. The study demonstrated that tablet hardness and disintegration time increased with the concentration of binding agent. Friability decreased, as did the percentage of drug released. In view of these results, the investigators concluded that Moringa oleifera can be used as a binder, particularly for sustained-release tablets, which require higher mechanical strength. SESBANIA SEED GUM In addition to tablets, binding agents are also used in topical delivery systems. When plant mucilages are mixed with water, a soothing, protective application is formed. Sesbania seed gum, derived from the endosperms of Sesbania grandiflora seeds, was evaluated as a gelling agent in a study at the Kalol Institute of Pharmacy in Gujarat, India.7 Six batches of diclofenac diethylammonium gel were prepared using various concentrations of sesbania seed gum: 2%, 2.25%, 2.5%, 2.75%, 3%, and 3.5%. The gel was evaluated for drug content, extrudability, and viscosity. All the prepared gels were clear and smooth as well as homogenous and pliable. However, the batch containing 2.5% sesbania seed gum had the best pH profile and spreadability. Interestingly, this batch also showed the best drug release results, extruding 80% of the diclofenac diethylammonium over eight hours. The results led investigators to conclude that sesbania seed gum, particularly in a 2.5% concentration, does make a suitable binder for gel formulations. ■ 3. Patil BS, Soodam SR, Kulkarni U, et al. Evaluation of Moringa oleifera gum as a binder in tablet formulation. Int J Res Ayurveda Pharmacy. 2010;1(2):590-596. 4. Adeleye AO, Odeniyi MA, Jaiyeoba KT. The influence of cissus gum on the mechanical and release properties of paracetamol tablets—a factorial analysis. Rev Ciênc Farm Básica Apl. 2010;31(2):131-136. 5. Phani KGK, Gangaroa B, Kotha NS, et al. Isolation and evaluation of tamarind seed polysaccharide being used as a polymer in pharmaceutical dosage forms. Res J Pharm Biol Chem Sci. 2011;2(2):274-290. 6. Girhepunje K, Arulkumaran, Pal R, et al. A novel binding agent for pharmaceutical formulation from Cassia roxburghii seeds. Int J Pharmacy Pharm Sci. 2009;1(Suppl. 1):1-5. 7. Patel GC, Patel MM. Preliminary evaluation of sesbania seed gum mucilage as gelling agent. Int J PharmTech Res. 2009;1(3):840-843. Maybelle Cowan-Lincoln is a pharmaceutical writer based in New Jersey. She specializes in articles for patients and professionals; her writing has been featured in numerous scientific publications. Editor’s Choice 1. Shivalingam MR, Arul Kumaran KSG, Jeslin D, et al. Cassia roxburghii seed galactomannan–a potential binding agent in the tablet formulation. J Biomed Sci Res. 2010;2(1):18-22. 2. Bamiro OA, Sinha VR, Kumar R, et al. Characterization and evaluation of Terminalia randii gum as a binder in carvedilol tablet formulation. Acta Pharmaceutica Sciencia. 2010;52:254-262. 3. Deshmukh VN, Singh SP, Sakarkar DM. Formulation and evaluation of sustained release metoprolol succinate tablet using hydrophilic gums as release modifiers. Int J PharmTech Res. 2009;1(2):159-163. 4. Emeje M, Nwabunike P, Isimi C, et al. Isolation, characterization and formulation properties of a new plant gum obtained from Cissus refescence. Int J Green Pharmacy. 2009;3(1):16-23. 5. Panda DS, Choudhury NS, Yedukondalu M, et al. Evaluation of gum of Moringa oleifera as a binder and release retardant in tablet formulation. Indian J Pharm Sci. 2008;70(5):614-618. 8 Pharmaceutical Formulation & Quality > August/September 2011 GREEN CHEMISTRY CAPSULE Enabled by advances in biotechnology and chemical engineering and driven by the need to go green, fiercely competitive big pharma companies have come together to solve the many vexing challenges of producing chemical and biological compounds without the concurrent creation of waste. WASTE REDUCTION A Green Sweep T he EPA defines green chemistry as “the design of chemical products and processes that reduce or eliminate the use or generation of hazardous substances.” This definition is taken to include the entire life cycle of the product from bench to bedside. While such endpoints are easily expressed, even the experts find it a bit much to comprehend in practical terms. Thus the formation of the American Chemical Soci- ety’s Green Chemistry Institute (ACS GCI) and within that—and more to the medicinal point—the collaborative working group known as the ACS GCI Pharmaceutical Roundtable (GCIPR). Green Team It could almost be said that that big pharma’s awareness of green chemistry and the roundtable’s creation in 2005 were prompted by a growing embarrassment. 10 Pharmaceutical Formulation & Quality > August/September 2011 “A paper came out by Roger Sheldon that looked at a metric called e-factor,” explained Julie Manley, senior industrial coordinator with the ACS GCI and the GCIPR. “E-factor generally referred to the amount of waste generated per kilo of product produced, and he showed that, on that basis, pharma generated the most waste” as compared with other chemical-based industries.1 Because the waste comprises chemicals, it is rarely benign. Corporate reputations are © IMAGES.COM/CORBIS Big pharma is drafted by ethical and fiscal responsibilities to collaborate on waste reduction efforts > By Neil Canavan PHARMAQUALITY.COM at risk, liabilities accrue, and waste in this or any context can be measured in terms of resources squandered. “The roundtable looks to combine the ethical and fiscal objectives,” Manley explained. “This not only helps the bottom line of the company, but improves its environmental health and safety standards as well.” But why and how do pharmaceutical companies collaborate on what should be a competitive issue? “There are, in fact, common challenges across the industry,” said Manley, “and while each company has a focus on their unique molecule, in general, much of the chemistry is very similar. Everyone uses certain solvents, certain reactants… .” One company looking for green alternatives on its own cannot match the creativity of 16 companies—the current number of roundtable members—working together. “The key is to interact in a noncompetitive way, and that is how the roundtable is set up,” Manley said. Shared data sets are blinded to retain corporate privacy, and cocompany authored papers are legally vetted by all contributors. Further, the roundtable is able to encourage, and hopefully share in, green chemistry innovation beyond its membership by using a portion of membership dues, ranging from $10,000 to $25,000 a year, to fund research grants that have totaled more than $950,000. “Right now the program is limited to academics,” said Manley. Part of the reason for this restriction is to focus on spreading the word, to influence academic curricula. “If people are doing the research, then green chemistry is being communicated internally within that institution.” Available to non-GCIPR members are analytic tools that can be accessed through the ACS green chemistry website.2 For example, there is a tool for calculating the so-called process mass intensity (PMI), defined as the kilos of mass of all materials that go into producing an active pharmaceutical ingredient (API), normalized by the mass of the end product; this is taken as a measure of the “greenness” of a given process.3 “The benchmark of PMI has been a very useful tool so that companies can compare apples to apples,” of particular use when considering the greenness of third-party manufacturers that may be a part of your supply chain. (Continued on p. 12) CASE STUDY Green Means T he 15th annual Green Chemistry and Engineering Conference—the premier green chemistry event—saw BioAmber Inc., win the Presidential Green Chemistry Challenge Award, bestowed by the Environmental Protection Agency and the American Chemical Society in Washington, D.C., in June. BioAmber, a renewable chemistry company, received the honor for their innovation in the biosynthesis of succinic acid, which is normally produced with petrochemicals. BioAmber’s proprietary platform uses microbes that have been optimized for succinic acid production. Last year’s co-winners, Merck and Codexis, were honored for their green chemistry approach in retooling the synthesis steps for making the diabetes drug sitagliptin. Along with numerous green optimizations, the critical alteration was finding an alternative to the catalytic use of rhodium, a rare metal that became prohibitively expensive during the scale-up of manufacture for sitagliptin; for this, scientists were able to substitute a transaminase enzyme for a rhodium-based hydrogenation catalyst.1 Another example of biocatalysis in green pharmaceutical chemistry is seen in the production of the neuroactive agent pregabalin. In this case, the initially developed API synthesis was highly wasteful, producing 86 kg of waste per one kilogram of product. In addressing this issue, the manufacturer, Pfizer, performed an enzymatic screen for a problematic cyanodiester. The resulting hit was a lipase derived from Thermomyces lanuginosus, resulting in a marked reduction of useless byproduct.2 A final example of green pharmaco-chemistry comes from the familiar class of drugs known as statins—specifically, rouvastatin. In this instance, an initially wasteful chemical reaction was replaced with an enzymatic step that uses deoxyribose phosphate aldolase (DERA) an innovation pioneered in an academic lab. Once the efficacy of this approach was established, a nagging problem remained involving the irreversible deactivation of the enzyme by a chloroacetaldehyde. This was solved with DERA 2.0, if you will, which was created using the biotech method of directed mutagenic evolution.3 For a review of these and other green chemistry options see: Dunn PJ. The importance of green chemistry in process research and development [published online ahead of print May 12, 2011]. Chem Soc Rev. ■ REFERENCES 1. Grate J, Huisman G. A greener biocatalytic manufacturing route to sitagliptin. Paper presented at: 13th Annual Green Chemistry and Engineering Conference; June 23, 2009; College Park, Md. 2. Martinez CA, Hu S, Dumond Y, et al. Development of a chemoenzymatic manufacturing process for pregabalin. Org Process Res Dev. March 18, 2008. Available at: http://pubs.acs.org/doi/abs/10.1021/ op7002248. Accessed August 1, 2011. 3. Jennewein S, Schürmann M, Wolberg M, et al. Directed evolution of an industrial biocatalyst: 2-deoxy-D-ribose 5-phosphate aldolase. Biotechnol J. 2006;1(5):537-548. August/September 2011 > Pharmaceutical Formulation & Quality 11 GREEN CHEMISTRY | WASTE REDUCTION (Continued from p. 11) Green Team Player “I hope we’re reaching a tipping point of awareness for green chemistry,” said Concepción Jiménez-González, PhD, director and team leader of operational sustainability at GlaxoSmithKline (GSK), a GCIPR member. “That’s part of what we wanted to do with the roundtable.” An engineer by training who has published on the subject, Dr. Jiménez-González is concerned with the production issues beyond the flask: “There are very common techniques outside of pharma that are not really as practiced within pharma, like life cycle assessment, process identification, or the use of continuous processes. We need to move away from emulating what happens in the lab when considering scale up.” 4 For example, GSK has recently finalized a carbon footprint analysis for its global operations. “We wanted to identify the main contributors to the footprint—what we call ‘hotspots,’ ” Dr. Jiménez-González said. The chief suspect of un-greenness she identified overall is GSK’s use of solvents. “We did some case studies going from cradle to gate in manufacture, from the moment you extract raw materials to the moment you finish the API, and we found out that the impact of solvents is, on average, around 70% to 75% of all the overall environmental impact of the process.”5 So what to do? Recycling is one possibility, and it can be done is such a way that it does not affect good manufacturing practices. For instance, you can use recy- This process mass intensity calculator is one of several analytic tools available at the ACS Green Chemistry Institute website: http://bit.ly/qb5buA cled solvent to serve the same step in a synthesis. “The other option, when you are looking at the process from the life cycle standpoint, is [that] it really doesn’t matter if you recycle through the same process or you down-cycle, say, to a paint manufacturer,” Dr. Jiménez-González noted. Or, you could simply use a more benign solvent. Though chemists may be loath to make changes to a set process, there are now references available to guide them in selecting alternative solvents; resources include advice from GSK, Pfizer, and the GCIPR.6-8 “In general, it makes life easier for us if we include those types of changes prior to filing the IND [investigational new drug application],” Dr. Jiménez-González said. Beyond that, a retooling of the process could cost you valuable patent expiration time. Green Think Retooling, or even thinking de novo, can often be a challenge for creatures of habit. If you’re stuck in a circle of self-referencing ideas, you may want to bring someone in from outside—someone like John Warner, Editor’s Choice 1. Komura K, Nakano Y, Koketsu M. Mesoporous silica MCM-41 as a highly active, recoverable and reusable catalyst for direct amidation of fatty acids and long-chain amines. Green Chem. 2011;13:828-831. 2. Lu J, Toy PH. Tandem one-pot Wittig/reductive aldol reactions in which the waste from one process catalyzes a subsequent reaction. Chem Asian J. July 6, 2011. Available at: http://onlinelibrary.wiley.com/doi/10.1002/asia.201100296/abstract. Accessed August 1, 2011. 3. Conte V, Floris B. Vanadium and molybdenum peroxides: synthesis and catalytic activity in oxidation reactions. Dalton Trans. 2011;40(7):1419-1436. 4. Emer E, Sinisi R, Capdevila MG, et al. Direct nucleophilic SN1-type reactions of alcohols. Eur J Org Chem. 2011;4:647-666. 12 Pharmaceutical Formulation & Quality > August/September 2011 PHARMAQUALITY.COM “The most amazing, most shocking thing is that a chemist can go through six years of higher education and never have a single course in toxicology. Never have a course in environmental mechanisms, never a course in anything at all to prepare them for understanding the regulatory consequences of chemistry.” —John Warner, PhD, president and chief technology officer of the Warner Babcock Institute for Green Chemistry PhD, president and chief technology officer of the Warner Babcock Institute for Green Chemistry in Wilmington, Mass. “It happens all the time: a company has enormous resources working on a problem, they’re poring over the literature, the textbooks, people are scouring this material, pushing to get that incremental change to do something new, and they come up against a brick wall,” Dr. Warner explained. The problem is the starting point of having an outdated chemical methods perspective. To start fresh in green chemistry, you might want to first check out the bible of the field, Dr. Warner’s Green Chemistry: Theory and Practice, cowritten with Paul Anastos, PhD, of the Environmental Protection Agency.9 In it you will find the 12 guiding principles of practicing green chemistry, which are, though initially intended for use by the chemical industry, easily applied to medicinal chemistry. Not so surprising, given the fact that Dr. Warner’s career started by contributing to the synthesis of the anticancer agent Alimpta. In Dr. Warner’s opinion, the impediments to green chemistry adoption are not merely intellectual but institutional as well. “There is a love-hate relationship between discovery and process,” he asserted. “The people in discovery are always very grumpy that the people in process don’t take their pearls of wisdom and bring them to amazing fruition, and the people downstream look at the discovery people and say, Why do you keep sending us stuff that can’t be scaled up? Why these solvents, and these toxic reagents? Green chemistry is the language they should both be speaking. If you think about it, the least changes that are made in a process from the bench to the bottle, the more profitable the company will be.” Dr. Warner acknowledged that progress is being made. Great strides, for instance, have been made in biocatalysis (see case study). And he sees the possibility of one day attaining the holy grail of pharma manufacture: continuous-flow reactions, which would make for a much smaller footprint at greater cost savings. But he remains concerned about the generation of toxic byproducts. Of particular note is the book’s green principle No. 4: Chemical products should be designed to preserve efficacy of function while reducing toxicity. “The most amazing, most shocking thing is that a chemist can go through six years of higher education and never have a single course in toxicology,” said Dr. Warner. “Never have a course in environmental mechanisms, never a course in anything at all to prepare them for understanding the regulatory consequences of chemistry.” He is also concerned about competition: “India is mandating that all chemists in training take a yearlong course in green chemistry. China has opened up 15 national research centers dedicated to green chemistry.” These developing economies are going to become far more competitive and innovative because they are putting green chemistry into the front end of innovation and creativity, “and we are still scratching our heads about whether we should do it.” ■ REFERENCES 1. Sheldon RA. Catalysis: the key to waste minimization. J Chem Technol Biotechnol. 1997;68(4):381-388. 2. American Chemistry Society. ACS GCI Pharmaceutical Roundtable. American Chemistry Society website. Available at: http://portal.acs.org/portal/acs/corg/content?_nfpb=true&_pageLabel=PP_TRANSITIONMAIN&node_id=1407&use_sec=false &sec_url_var=region1&__uuid=a628a938- 683c-4c0d-8cac-2aba9f3f06ab. Accessed August 1, 2011. 3. American Chemistry Society. PMI worksheet. Available at: http://portal.acs.org:80/portal/ PublicWebSite/greenchemistry/industriainnovation/roundtable/CNBP_026644. Accessed August 1, 2011. 4. Jiménez-González C, Poechlauer P, Broxterman QB, et al. Key green engineering research areas for sustainable manufacturing: a perspective from pharmaceutical and fine chemicals manufacturers. Org Process Res Dev. February 22, 2011. Available at: http://pubs.acs.org/doi/abs/10.1021/op1003 27d. Accessed August 1, 2011. 5. Constable DJC, Jiménez-González C, Henderson RK. Perspective on solvent use in the pharmaceutical industry. Org Process Res Dev. December 14, 2006. Available at: http://pubs.acs.org/doi/abs/10.1021/op0601 70h. Accessed August 1, 2011. 6. Jiménez-González C, Curzons AD, Constable DJC, et al. Expanding GSK’s Solvent Selection Guide—application of life cycle assessment to enhance solvent selections. Clean Technol Environ Policy. April 8, 2004. Available at: www.springerlink.com/content/bk59v8me1l6 pv85q/. Accessed August 1, 2011. 7. Alfonsi K, Colberg J, Dunn PJ, et al. Green chemistry tools to influence a medicinal chemistry and research chemistry based organisation. Green Chem. November 16, 2007. Available at: http://pubs.rsc.org/en/ content/articlelanding/2008/gc/b711717e. Accessed August 1, 2011. 8. Hargreaves CR. Collaboration to deliver a solvent selection guide for the pharmaceutical industry. Paper presented at: American Institute of Chemical Engineers Annual Meeting; November 17, 2008; Philadelphia. 9. Anastas PT, Warner JC. Green Chemistry: Theory and Practice. New York: Oxford University Press; 1998. Neil Canavan, a science/medical writer based in Brooklyn, N.Y., holds a master’s degree in molecular biology. In addition to press coverage of medical meetings, he and has been writing about pharmaceutical science for more than 10 years. August/September 2011 > Pharmaceutical Formulation & Quality 13 DELIVERY CAPSULE Historically, doctors have been helpless to prevent secondary cell death after a traumatic brain injury. But unintended results during a series of experiments in the early 1990s showed cyclosporine can mitigate cellular damage once the pharmaceutical crosses the blood-brain barrier. First discovered by Sandoz (now Novartis) scientists in Norway in 1969, cyclosporine is isolated from the fungus Tolypocladium inflatum. CYCLOSPORINE TBI’s Miracle Drug O ften called the silent epidemic, traumatic brain injury (TBI) afflicts approximately 1.7 million Americans annually. More than 52,000 are killed, and 275,000 are hospitalized.1 Most are left in various states of disability—from almost full recovery to mild symptoms but able to function with some or moderate disability to severe disability requiring around-the-clock intensive care and support. The annual costs of TBI, both direct and indirect, including such factors as lost work time or reduced productivity, have been estimated at more than $60 billion, and there may be more than six million TBI survivors in society. Over the past decade, TBI has come to the fore as tens of thousands of wounded soldiers return home from the Middle East suffering both hidden and visible TBIs and trauma caused by blast injuries from improvised roadside explosions.2 What is called post-traumatic stress disorder may actually be the long-term effects of TBI. Due to the economic and social costs of 14 Pharmaceutical Formulation & Quality > August/September 2011 TBI, a significant ongoing effort is being made to develop and apply emerging new clinical and pre-clinical pharmaceuticals with the potential to mitigate the cascading additional brain damage that occurs during the critical secondary phase in TBI. Among these is an interesting pharmaceutical compound called cyclosporine (also known as cyclosporin-A, or CsA), which has been found to have significant neuroprotective capabilities and the ability to moderate the resulting damage and longterm disability in TBI.3-6 IMAGE COURTESY OF NEUROVIVE An accidental discovery about 20 years ago has led to a cyclosporine pharmaceutical on the threshold of approval > By Steve Campbell PHARMAQUALITY.COM • Cyclosporine Mitigates Heart Attacks itochondria are present and produce effective energy in almost all cells in the body. It turns out that mitochondrial collapse may be associated with a variety of acute injuries, such as myocardial infarctions and chronic diseases like amyotrophic lateral sclerosis, multiple sclerosis, and other neurological disorders. In myocardial infarctions, reperfusion of the blocked artery can cause reperfusion injury and extra damage and disability to the heart muscle, as well as increased mortality. Mitochondrial protection in heart muscle tissue is one answer to moderating the long-term impact of heart attacks on health and lifestyle. Every year, an estimated 500,000 people in the United States suffer a myocardial infarction. Infarct size is a major determinant of mortality. During myocardial reperfusion, the abruptness of the reperfusion can cause additional damage—a phenomenon called myocardial reperfusion injury. Studies indicate that this form of injury can account for up to 50% of the final size of the infarct.1 Focusing on reducing the additional infarct resulting from reperfusion would protect heart muscle and allow the patient to live longer and in better health after the initial attack. Interestingly, a number of proposed interventions, such as ischemic postconditioning, have been claimed to mediate cardioprotective actions by acting on the opening of the mitochondrial permeability transition pore (MPT), which is directly inhibited by cyclosporine. CsA has been studied for its cardioprotective capabilities and found to be a potentially significant pharmaceutical for ameliorating long-term damage from heart attacks. A small proof-of-concept clinical study by Christophe Piot, MD, PhD, and his colleagues, published in The New England Journal of Medicine in 2008, found that the administration of CsA with the aim of inhibiting the induction of the MPT was associated with a 40% reduction in infarct size.2 An editorial in the journal called for large, multi-center studies to determine if this new treatment option can positively influence clinical outcomes. In addition, targeting the MPT “may also offer protection in other clinical contexts, such as stroke, cardiac surgery, and organ transplantation.” Following that lead, in April, a European investigator-initiated multi-center phase III study of NeuroVive’s cyclosporine-based cardioprotection pharmaceutical CicloMulsion in myocardial infarctions enrolled the first of 1,000 patients.3 —SC Cyclosporine is a cyclic peptide of 11 amino acids and contains a single D-amino acid, rarely encountered in nature. Cyclosporine protects mitochondria in TBI, myocardial infarction and other acute injury applications. Pre-clinical mouse model studies show an 80% reduction in neural damage after the application of this pharmaceutical.7-8 More than 17 years in development for neuroprotection, CsA is working its way toward approval as a treatment that can greatly ameliorate the effects of TBI in humans. Two Stages TBI has two stages. The first stage occurs at the time of injury, whether it is caused by a gunshot, blast, fall, or hit. This initial stage could be either a closed-head or open wound, and medical emergency personnel focus on treating the wound or injury and stabilizing the patient’s vital signs. The secondary stage of damage to the brain takes place after the initial insult, as the injury continues to ripen and worsen in the hours and days after the (Continued on p. 16) initial trauma. REFERENCES © DREAMSTIME.COM 1. Hausenloy DJ, Yellon DM. Time to take myocardial perfusion injury seriously. N Engl J Med. 2008;359(5):518-520. 2. Piot C, Croisille P, Staat P, et al. Effect of cyclosporine on reperfusion injury in acute myocardial infarction. N Engl J Med. 2008; 359(5):473-481. 3. AktieTorget. NeuroVive: first heart attack patient treated in European cardioprotection phase III trial with NeuroVive’s Ciclomulsion. AktieTorget website. Available at: www.aktietorget.se/NewsItem.aspx?ID=58252. Accessed Aug. 12, 2011. Stick model of cyclosporine, as found in the P 212121 crystalline form, demonstrates the complexity of this peptide. August/September 2011 > Pharmaceutical Formulation & Quality 15 DELIVERY | CYCLOSPORINE This is when the doctor says, “Now we just wait and see,” because there’s nothing more that medicine can do. In this secondary stage, the trauma to the brain triggers a series of cascading intra-cellular biochemical reactions that cause severe demise of brain cells, brain damage, and expanded disability. If this secondary stage can be mitigated, the potential damage and disability can be reduced significantly, enabling the victim to get closer to full recovery. Some of the secondary-stage mechanisms believed by researchers to be involved in brain-cell death after TBI include uncontrolled release of signalling molecules (neurotransmitters), cellular calcium overload, inflammation, energy failure, oxidative damage, and the overactivation of enzymes such as calpains and caspases.9 All of these are believed to create the intra- and extra-cellular conditions that lead to the destruction of millions of additional brain cells, along with the damage (Continued on p. 18) IMAGE COURTESY OF NEUROVIVE (Continued from p. 15) Cyclosporine protects brain cells by preventing the cascading biochemical imbalances of the TBI from causing the mitochondria to collapse and stop powering the brain cells, exacerbating brain damage and leading to disability. Pharmaceutical Approaches to TBI here are a number of TBI pharmaceuticals in a variety of stages of development. The most promising of these approaches are “multipotential,” targeting at least two secondary-stage injury mechanisms, including excitotoxicity, apoptosis, inflammation, edema, blood– brain barrier disruption, oxidative stress, mitochondrial disruption, calpain activation, and cathepsin activation.1 The value of multipotential agents is their potential to modulate one or more of these multiple secondary injury factors, greatly increasing the chance of achieving clinical value. Previously, more than 30 phase III clinical studies for single-factor targeted TBI pharmaceuticals failed to find significance. Multipotential agents may have a better chance of delivering a successful therapeutic result for TBI patients and, ultimately, recouping the costs of development and trials. Promising pharmacological multipotential agents fall into two categories: those that have been studied clinically and those that constitute emerging pre-clinical strategies. 16 Pharmaceutical Formulation & Quality > August/September 2011 Clinically studied pharmaceuticals include the statins (targeting excitotoxicity, apoptosis, inflammation, edema), progesterone (excitotoxicity, apoptosis, inflammation, edema, oxidative stress), and cyclosporine (mitochondrial disruption, calpain activation, apoptosis, oxidative stress). Emerging multipotential neuroprotective agents showing promise in pre-clinical studies include diketopiperazines (apoptosis, calpain activation, cathepsin activation, inflammation), substance P antagonists (inflammation, blood–brain barrier, edema), SUR1-regulated NC channel inhibitors (apoptosis, edema, secondary hemorrhage, inflammation), cell cycle inhibitors (apoptosis, inflammation), and PARP inhibitors (apoptosis, inflammation). —SC REFERENCE 1. Loane DJ, Faden AI. Neuroprotection for traumatic brain injury: translational challenges and emerging therapeutic strategies. Trends Pharmacol Sci. 2010;31(12):596–604. PHARMAQUALITY.COM © DREAMSTIME.COM • What is TBI? CRUSHED After the initial brain injury, excessive calcium imbalances during the all-important secondary damage phase cause brain cell mitochondria to swell and burst, releasing calcium that creates a cascading avalanche of further mitochondrial collapse, cellular energy depletion, and subsequent brain cell death. By protecting mitochondria, cyclosporine limits overall brain damage and eventual disability. BRUISED Limiting the secondary stage brain damage that occurs after the initial injury is a key strategy in treating TBIs. Cyclosporine does this by protecting the brain cell mitochondria from collapse during the secondary stage, enabling non-injured brain cells to continue energy production and operation while recovery from the initial injury occurs. IMAGES COURTESY OF NEUROVIVE traumatic brain injury is defined as a blow or jolt to the head or a penetrating head injury that disrupts the function of the brain. Not all blows to the head result in a TBI. The severity of a TBI may range from “mild,” involving a brief change in consciousness, to “severe,” featuring an extended period of amnesia or unconsciousness. A TBI can result in problems with independent function, either short- or long-term. Millions of Americans have a longterm need for help in performing their daily activities as a result of suffering a TBI. By one estimate, there are up to 6 million survivors of TBI. Statistics on the full extent of TBI are not known, however, because the number of people with TBI who were not seen in an emergency department and/or who have received no formal care cannot be determined. The leading causes of TBI include falls, car crashes, hitting or being hit in sports, and physical assault. In war zones, blasts from roadside improvised explosive devices (IEDs) and other explosions are a leading cause of TBI for soldiers. Males are 1.5 times as likely as females to suffer a TBI, and the two age groups at highest risk are children aged 0–4 years and teenagers aged 15–19. African Americans have the highest death rates from TBI, and it is the fourth-leading cause of death for males under age 45.1 More recently, the Iraq and Afghanistan wars have brought the issue to the attention of the public and Congress, as advances in combat protection and helmets have allowed soldiers to survive blasts that would previously have killed them. Post injury, there is little that can be done for soldiers returning home with TBI. It’s been estimated that some 200,000 returning soldiers have varying degrees of TBI, ranging from mild to severe. Symptoms include depression, an inability to concentrate, moodiness, and frustration as the TBI sufferer struggles to complete formerly routine tasks. Moreover, much anti-social behavior exhibited in society may be related to diagnosed and undiagnosed traumatic brain injuries sustained in battle, on sports fields, on the streets, or around the home. —SC REFERENCE 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Injury Prevention and Control. Injury prevention and control: traumatic brain injury. CDC website. Available at: www.cdc.gov/traumaticbraininjury/statistics.html. Accessed Aug. 12, 2011. August/September 2011 > Pharmaceutical Formulation & Quality 17 DELIVERY | CYCLOSPORINE (Continued from p. 16) and disability that result. Many of these are being targeted by a variety of pharmaceutical compounds and medical treatments that are in various stages of clinical development—including forcing oxygen into the brain through the use of hyperbaric chambers. Because it targets the protection of mitochondria inside brain cells, cyclosporine is perhaps the most promising of these. initial mechanism that leads to neuronal cell death.10 How does this affect brain cells? Increases in calcium lead to its rapid uptake into the mitochondria, which act as cellular sinks for calcium. However, the excessive transport and uptake of calcium negatively impacts mitochondrial energy production, because the driving force for both ATP production and calcium transport relies on the “proton motive force” (the proton gra- Research confirms that mitochondria, the cellular energy producers inside the brain cells, play a pivotal role in neuronal cell death or survival, and that mitochondrial dysfunction in brain injuries is an early event that causes neuronal cell death. Role of Mitochondria Research confirms that mitochondria, the cellular energy (adenosine triphosphate, or ATP) producers inside the brain cells, play a pivotal role in neuronal cell death or survival, and that mitochondrial dysfunction in brain injuries is considered an early event that causes neuronal cell death. The uncontrolled release of signalling molecules with resulting overstimulation/stress of brain cells and accumulation of high levels of intracellular calcium may be the dient created over the mitochondrial inner membrane by the respiratory chain). Further, excessive calcium uptake by mitochondria, in combination with energy failure, leads to the formation of protein channels (pores) in the inner membrane— the induction of the so-called mitochondrial permeability transition (MPT). The increased permeability of the inner membrane caused by the MPT pores immediately collapses mitochondrial function and structure, because when the pores are 18 Pharmaceutical Formulation & Quality > August/September 2011 opened, the osmotically active inner compartment (matrix) of the mitochondria attracts water, and the mitochondria swell and pop like balloons. In addition to causing the cessation of energy production, upon induction of the MPT, the stored calcium and harmful proteins are then released from mitochondria, resulting in an avalanche of further mitochondrial collapse, cellular energy depletion, and subsequent cell death. When brain cell death is repeated millions of times during the cascading biochemical imbalances that characterize the secondary phase, the extent of brain damage and eventual disability are greatly increased. Protecting the mitochondria by targeting the MPT is a viable neuroprotective approach that has emerged in the last decade. Published research has found that the protein cyclophilin D is an essential component to opening the MPT pores and that cyclosporine binds to cyclophilin D and inhibits the induction of MPT.11,12 The result is that mitochondria can absorb much more calcium without collapsing, allowing them to survive. As mitochondria survive to produce energy for brain cells, fewer brain cells die during the secondary stage. This is the core battleground in the war against TBI. Cyclosporine Protects Cyclosporine was discovered in 1969 when it was first isolated from the fungus Tolyp- IMAGE COURTESY OF NEUROVIVE Cyclosporine acts to protect the brain cell’s mitochondria from the cascading biochemical imbalances that cause these cellular power sources to collapse and stop powering millions of brain cells. This reduces the additional brain damage and disability that occurs during the secondary damage phase of TBI. PHARMAQUALITY.COM German Boy Recovers After Severe Head Injury IMAGE COURTESY OF NEUROVIVE Cyclosporine is isolated from the fungus Tolypocladium inflatum. In the early 1990s, NeuroVive’s chief scientific officer Eskil Elmér and his Japanese colleague Hiroyuki Uchino discovered cyclosporine was strongly neuroprotective when it crossed the blood–brain barrier. cladium inflatum in Norway by researchers working for Sandoz (now Novartis). Its impressive immunosuppressive properties led to its use as a pharmaceutical to prevent tissue rejection in organ transplant recipients. It has been in use for immunosuppressive applications since the early 1980s as a commercially successful Novartis product called Sandimmune.13 CsA’s ability to protect the mitochondria in the brain by binding to cyclophilin D and preventing the induction of the MPT was discovered in 1993–1994, a period during which medical researcher Eskil Elmér, MD, PhD, and his Japanese colleague Hiroyuki Uchino, MD, PhD, were conducting experiments in cell transplantation. An unintended finding was that CsA was strongly neuroprotective when it crossed the blood–brain barrier.14 This startling discovery became the starting point for basic research and patent applications in a promising new avenue of neuroprotection. Basic research mapping out CsA’s extensive neuroprotective capabilities has been running continuously since 1993, and many international and independent research teams have since conducted and published numerous studies confirming that CsA is a powerful nerve-cell protector in TBI, stroke, and brain damage associated with cardiac arrest. Advanced studies also show that CsA is useful in protecting mitochondria in heart tissue facing reperfusion injury during heart attacks (see (Continued on p. 20) sidebar).15 ometime in the 1990s, an anonymous 14-year-old liver transplant patient from Germany—taking cyclosporine to prevent tissue rejection—was hit by a car and suffered head injuries. By chance, an anaesthesiologist was at the scene when the accident occurred. He immediately examined the boy and suspected severe brain damage, a suspicion later confirmed by an early Glasgow Coma Scale (GCS) score of three. Although doctors feared the worst—children under 14 with a GCS below eight have a 28% mortality rate or suffer significant brain disability if they do survive—the patient not only survived but proceeded to make an amazing recovery. He was discharged from the hospital five weeks later and was able to return to school after two months. He is now an adult with a young son. The neuroprotective properties of cyclosporine were suspected in the recovery, and the case was reported in a detailed case study published in the Journal of Neurosurgical Anesthesiology in 1998.1 The study authors stated, “We conclude that neuroprotective properties of cyclosporine A may have been involved in the good recovery after severe brain injury in this 14-year-old patient.”—SC REFERENCE 1. Gogarten W, Van Aken H, Moskopp D, et al. A case of severe cerebral trauma in a patient under chronic treatment with cyclosporine A. J Neurosurg Anesthesiol. 1998;10(2):101-105. August/September 2011 > Pharmaceutical Formulation & Quality 19 PHARMAQUALITY.COM 6. Cook AM, Whitlow J, Hatton J, Young B. Cyclosporine A for neuroprotection: establishing dosing guidelines for safe and effective use. Expert Opinion on Drug Safety. 2009 Jul;8(4):411-419. 7. Sullivan PG, Sebastian AH, Hall ED. Therapeutic window analysis of the neuroprotective effects of cyclosporine A after traumatic brain injury. J Neurotrauma. 2011; 28(2):311-318. • Crossing the Blood–Brain Barrier lthough it is difficult for many drugs, including cyclosporine, to cross the blood–brain barrier, traumatic brain injury often causes the barrier to open and permit cyclosporine to reach those areas of the brain in which the need is greatest.1 In other conditions, such as stroke, however, the barrier does not open in the same way as in TBI. NeuroVive is conducting research to identify variants of cyclosporine that can penetrate the blood–brain barrier, with a view to providing the brain with neuronal protection under conditions other than TBI. NeuroVive is also evaluating the possibility of administering cyclosporine directly to the brain fluid (e.g., through lumbar puncture). In pre-clinical pilot studies, NeuroVive’s researchers demonstrated, in collaboration with scientists in the Army, that cyclosporine crosses the blood–brain barrier in prolonged seizures due to hyperactivity in the brain. In cases of stroke, scheduled cardiac surgery, and cardiac arrest, the brain cannot yet be reached satisfactorily through intravenous therapy, because a method of increasing the passage A network of capillaries supplies brain cells with nutriof cyclosporine through ents. Tight seals in their walls keep blood toxins–and the blood–brain barrier many beneficial drugs–out of the brain. in these conditions has not yet been found. To this effect, in 2010, NeuroVive and the Dutch brain drug delivery company to-BBB entered into a joint program to develop therapies for stroke and other acute neurodegenerative diseases. According to its CSO, Eskil Elmér, MD, PhD, NeuroVive is also conducting research to develop advanced cyclosporins, formulations, new chemical compounds, or small molecules that allow improved or free passage across the blood–brain barrier. The company is also researching and developing cyclosporine analogue molecules without immunosuppressive effects that can be combined with new formulations and technologies. —SC 8. Sullivan PG, Thompson M, Scheff SW. Continuous infusion of cyclosporin A post injury significantly ameliorates cortical damage following traumatic brain injury. Exp Neurol. 2000;161(2):631-637. 9. Loane DJ, Faden AI. Neuroprotection for traumatic brain injury: translational challenges and emerging therapeutic strategies. Trends Pharmacol Sci. 2010;31(12):596604. 10. Mazzeo AT, Beat A, Singh A, Bullock MR. The role of mitochondrial transition pore, and its modulation, in traumatic brain injury and delayed neurodegeneration after TBI. Exp Neurol. Review. 2009 Aug; 218(2):3637370. Epub 2009 May 27. 11. Schinzel AC, Takeuchi O, Huang Z, et al. Cyclophilin D is a component of mitochondrial permeability transition and mediates neuronal cell death after focal cerebral ischemia. Proc Natl Acad Sci U S A. 2005;102(34):12005-12010. 12. Waldmeier PC, Zimmermann K, Qian T, Tintelnot-Blomley M, Lemasters, J., Cyclophilin D as a drug target. Current Medicinal Chemistry. 2003;10:(16):1485-1506. 13. Novartis Pharmaceuticals Corp. Sandimmune information booklet. Available at: www.pharma.us.novartis.com/product/ pi/pdf/sandimmune.pdf. Accessed Aug. 12, 2011. 14. Uchino H, Elmér E, Uchino K, Lindvall O, Siesjo BK. Cyclosporin A dramatically ameliorates CA1 hippocampal damage following transient forebrain ischaemia in the rat. Acta Physiologica Scandinavica. 1995 Dec;155(4):469-471. 16. Neurovive Pharmaceutical AB. Project overview: cyclophilin-D-inhibiting cyclosporine-based drugs. Neurovive website. Available at: www.neurovive.com/ en/Research—Development/Projectoverview/. Accessed Aug. 12, 2011. Steve Campbell is a writer and communications consultant in Vancouver, B.C., who writes for and about pharmaceutical and scientific research, products, and companies. He can be reached at [email protected]. © DREAMSTIME.COM 15. Piot C, Croisille P, Staat P, et al. Effect of cyclosporine on reperfusion injury in acute myocardial infarction. New Engl J Med. 2008;359(5):473-481. REFERENCES 1. Osherovich L. Beating the brain’s bouncer. Science-Business eXchange. May 14, 2009. Available at: www.nature.com/scibx/journal/v2/n19/full/scibx.2009.773.html. Accessed Aug. 12, 2011. August/September 2011 > Pharmaceutical Formulation & Quality 21 FORMULATION CAPSULE Circa 1980, one of the earliest papers on the use of circulating nanoparticles was published. Since then, there has been sort of revolution in the world of nanotechnology. The use of nanoparticles to formulate and deliver cancer drugs is affecting the treatment of the disease significantly. NANOPARTICLES Strides for Small Cancer Fighters Nanoparticles used to formulate and deliver drugs to cells and tumors show increasing promise > By James Netterwald, PhD N anometer-sized particles, typically made of iron oxide, are beginning to transform the world of medicine. In particular, nanomedicine’s impact has been defined by the potential use of nanoparticles in the formulation and delivery of cancer drugs. When a nanoparticle-based drug is developed, some thought must be put into how biodistribution, targeting, and postdelivery mechanism of action will be incorporated into its design. “The research we are doing is really based on the premise that altering the temperature of the tumor can dramatically change its response to things like radiation therapy or chemotherapy,” said Theodore DeWeese, MD, professor and chairman of radiation oncology and molecular radiation sciences at The Johns Hopkins University in Baltimore, Md. Doing that in a reproducible way has been a challenge. That was until about four to five years ago when cancer biologists decided to employ nanoparticles to do the heating “using so-called iron oxide particles, which, in the right configuration and when placed in an alternating magnetic field, will actually heat to a very high temperature and lead to the sensitization of cancer cells to chemotherapy and radiation therapy,” said Dr. DeWeese. Just heating the tumor by three degrees nearly doubles its sensitivity to therapy. One of the major challenges in the path to building a nanoparticle delivery system for cancer therapy has been targeting, the process by which the nanoparticles are coated with either antibodies, RNA molecules, or small proteins so that they are targeted to a certain cancer cell type. Dr. DeWeese and his colleagues coat their particles with dextran as well as polyethylene glycol, which aid in biodistribution of the drug when it is administered either intratumorally or intravenously. However, these iron particles, which range from 80 to 100 nanometers in diameter, do not specifically carry a drug. In fact, the iron itself is what is delivered to the tumor cell. “When the iron reaches the cell and when that cell is placed in an alternating magnetic field, substantial heating of the targeted cell results,” said Dr. DeWeese. “Even in the untargeted state, these particles are taken up by pinocytosis. Cancer cells like to take up these particles, but noncancer cells take up the particles as well. So, nonspecific targeting is also possible.” “So you have a particle filled with the chemotherapy medication decorated with a targeting entity on the outside of the nanoparticles,” said Dr. Soule. “When you introduce these things systemically to the patient, the theory is that these particles will go into circulation and, based on their specificity, they will find the tumor.” He explained that the tumor would take up the particle, degrade it, and then release the drug inside the tumor cell, thereby sparing bystander (normal) cells. “Targeting is really a complex issue,” he explained. “These are virus-sized particles that distribute in ways that chemicals don’t. However, there are still questions and challenges about the potential of nanotherapies for cancer.” For instance, how specific will a given particle be for a tumor, and how much of the tumor-targeting specificity is due to the vascular leakiness of the tumor, which is a property of metastatic malignancies? “We just don’t know the answers to these questions yet,” he said. Targeting a Challenge Although heating the nanoparticle to destroy a target cancer cell is one possible mechanism of action, it is somewhat nonspecific. “The holy grail is to take a highly toxic substance and target it within a nanoparticle to a specific tissue—and in the case of prostate cancer, that would be Howard Soule, PhD the metastatic tumor,” said Howard Soule, PhD, executive vice president and chief science officer of the Prostate Cancer Foundation in Santa Monica, Calif. The toxic substance referred to is a chemotherapeutic agent for cancer. Just as they are being developed for solid tumors, nanoparticles are also being crafted to target prostate cancer cells. The targeting is made possible by labeling the particles with ligands that selectively bind to prostate-specific membrane antigen (PSMA), a clinical biomarker that is highly expressed on the surface of metastatic prostate cancer cells and many solid-tumor blood vessels. 22 Pharmaceutical Formulation & Quality > August/September 2011 Nanoparticles to Nanomedicine Omid Farokhzad, MD, an associate professor at Harvard Medical School and director of the Laboratory of Nanomedicine and Biomaterials at Brigham and Women’s Hospital in Boston, Mass., has made some seminal discoveries in the world of nanomedicine. His academic pursuits have led to the development of a platform that enables one to target nanoparticles for a number of therapeutic applications. That success ended the academic challenges and opened a new set of issues: commercial scale-up and development. The solution was start a company to license the technology from the university so that it could be further developed and eventually marketed. The company, BIND Biosciences, was co-founded in 2007 by Dr. Farokhzad and Robert Langer, ScD, David H. Koch Institute Professor at the Massachusetts Institute of Technology (MIT). “The company eventually made a modification to the formulation to make the particles much more stable and much more appropriate from a drug development standpoint … BIND started human PHARMAQUALITY.COM trials of BIND-014, a targeted nanoparticle therapeutic for treatment of solid tumors, in January 2011,” explained Dr. Farokhzad. “The technology is composed of very long circulating, controlled release, polymeric nanoparticles that are targeted to specific receptors on the surface of disease cells for targeted and controlled release of drugs.” BIND’s platform enables the company to engineer nanoparticles with the appropriate sizes and surface properties, targeting the ligand density, circulation times, and drug release profiles that would be required for optimizing a drug’s performance for various therapies. “Based on the research of MIT nanoparticle guru Dr. Robert Langer, BIND’s nanoparticles provide the unique opportunity to control the drug load and release profile while actively targeting diseased cells with ligand-directed receptor-mediated binding,” said Jeff Hrkach, PhD, senior vice president of pharmaceutical sciences for BIND. The particle’s surface is coated with polyethylene glycol, which enables it to reach its drug target by evading recognition by the immune system. Ligands can also be attached to the surface of the particles, allowing them to bind directly to the desired cells or tissues to be treated. BIND’s nanoparticles were developed in collaboration with Drs. Langer and Farokhzad. “BIND has spent the last four years translating that academic bench work into more robust processes for development and clinical translation,” said Dr. Hrkach. BIND’s lead program is a targeted nanoparticle loaded with docetaxel, the active ingredient in Taxotere—a well-known and successful Sanofi-Aventis cancer drug that has recently gone off patent. The product, BIND-014, which is in Phase 1 clinical trials for a number of solid-tumor indications, targets PSMA. “We are working with partners who have existing approved drugs or candidates in their pipeline and are looking for opportunities to improve them or expand their existing indications,” said Dr. Hrkach. “Some of these products are currently in clinical development and show signs of promise but have limitations related to their therapeutic index. Our technology can increase a drug’s efficacy and reduce its toxicity by keeping the drug sequestered in our longcirculating nanoparticles until they reach and actively bind to their specific target cells for maximal concentration at the site of action and minimal systemic exposure.” The Prostate Cancer Foundation funds both the work done by Dr. Langer at MIT and that of Dr. Farokhzad at Harvard. Predictions Targeting is half the challenge in nanopar- ticle-based cancer drugs. Nanotechnology is opening new roads for delivery, however. “I think that nanotechnology offers a huge advantage in delivering nucleic acidbased drugs,” Dr. Soule said. “For example, in prostate cancer, a major driving force is the androgen receptor, a transcription factor that is also currently a non-druggable target. There is promise in the use of nanoparticles on targets like that, which can be targeted by using a silencing gene against it. By blocking the expression of androgen receptor, this would be groundbreaking treatment for castration-resistant prostate cancer.” Dr. DeWeese predicts nanotechnology will be one of the ways cancer is treated, especially metastatic cancer. However, there are still many obstacles to overcome—the most challenging of which is the toxicity of the treatment. “One of the critical hurdles to overcome in the field is that the nanoparticles can accumulate in organs where we would rather they not distribute, such as the liver,” he noted. “If the particles amass in the non-targeted organs to a large degree, this could result in unwanted side effects.” ■ Dr. James Netterwald is a biomedical writer based in New Jersey who writes articles and blogs on all things related to the pharmaceutical and biotechnology industry. He started Biopharmacomm LLC in 2009; his clients include medical education companies, medical advertising companies, science publishing companies, pharma-biotech companies, and public relations companies. More information on his writing can be found on www.nasw.org/users/netterjr. Editor’s Choice 1. De Jong WH, Borm PJA. Drug delivery and nanoparticles: applications and hazards. Int J Nanomedicine. 2008;3(2):133-149. 2. Ishihara T, Goto M, Kanazawa H, et al. Efficient entrapment of poorly water-soluble pharmaceuticals in hybrid nanoparticles. J Pharm Sci. 2009;98(7):2357-2363. 3. Puri A, Loomis K, Smith B, et al. Lipid-based nanoparticles as pharmaceutical drug carriers: from concepts to clinic. Crit Rev Ther Drug Carrier Syst. 2009;26(6):523-580. 4. Hall JB, Dobrovolskaia MA, Patri AK, et al. Characterization of nanoparticles for therapeutics. Nanomedicine (Lond.). 2007;2(6):789-803. 5. Pissuwan D, Niidome T, Cortie MB. The forthcoming applications of gold nanoparticles in drug and gene delivery systems. J Control Release. 2011;149(1):65-71. August/September 2011 > Pharmaceutical Formulation & Quality 23 IN THE LAB A 70-person PerkinElmer OneSource on-site team takes complete responsibility for maintaining and qualifying more than 50,000 Merck Research Laboratories assets in six facilities. OUTSOURCING Perfect Partners Merck Research Laboratories reduces equipment maintenance costs and improves productivity with PerkinElmer OneSource team > By Maurizio Sollazzo, Paul Luchino, and Ted Gresik M aintaining laboratory instruments is critical to the productivity of pharmaceutical researchers at Merck Research Laboratories (MRL). In the past, individual MRL departments were responsible for arranging their own instrument maintenance using original equipment manufacturers (OEMs). With the broad array of instrumentation in their labs, this meant administration of 120 maintenance contracts, often by multiple people at multiple sites within the organization. To curb inefficiencies, MRL initiated a program that centralized responsibility for the maintenance of more than 35,000 assets in three facilities with a single service provider—PerkinElmer OneSource. Using a combination of asset management models (providing the ideal level of insurance and service for each instrument), on-site service engineers, and third-party parts, the consolidated approach delivers substantial cost savings while enhancing the quality and timeliness of service. Based on the success of the program, MRL is implementing the model across the organization, shifting all maintenance responsibilities and contracts to PerkinElmer. A 70-person PerkinElmer OneSource on-site team maintains and qualifies more than 50,000 assets in six facilities. Assets in the “maintain” category are serviced by PerkinElmer directly, while those in the 24 Pharmaceutical Formulation & Quality > August/September 2011 “manage” category are maintained by service partners under the management of PerkinElmer OneSource. With a single point of contact, MRL only has to make one call to manage the entire program. The bottom line? Response times have typically been reduced from a day or two to an hour or two, on-time preventive maintenance exceeds 90%, and the cost of asset management has been reduced by 20% since the program’s inception. Consolidated Approach When MRL was dealing with myriad OEMs, each department spent a considerable amount of time negotiating and administering multiple contracts and found IN THE LAB | OUTSOURCING PHARMAQUALITY.COM (Continued from p. 25) return on invested capital. PerkinElmer OneSource is proving to be that vendor. Upon selection, a team of 22 PerkinElmer OneSource certified service personnel was assigned to provide on-site support at the three MRL facilities at the start of the program. The program was administered by a PerkinElmer OneSource management team that provided a single point of contact for all of the services. The services were defined by an SLA that was developed jointly by MRL and PerkinElmer and included metrics on all maintenance and qualification details, including response time, instrument downtime, and completion rate. All assets among the three facilities were managed from installation and warranty to disposition by PerkinElmer OneSource. Asset management software tracks each piece of equipment and each critical event in the life of these assets. Standardized operational performance data is delivered through a comprehensive asset management program. The Benefits The improved reporting provided by PerkinElmer OneSource helps MRL’s managers maintain better control over the assets in their facilities. Managers now have access to reports that show what equip- PerkinElmer OneSource personnel service equipment from most top manufacturers. justify redeploying an underutilized asset to another branch or laboratory to distribute workload. Recently, MRL decided to rationalize its clinical areas globally. This change necessitated moving approximately 800 pieces of equipment among MRL locations around the world. PerkinElmer OneSource experts handled the move from start to finish, relocating and recommis- Recently, MRL needed to move approximately 800 pieces of equipment among its locations around the world. PerkinElmer OneSource experts handled the move from start to finish. ment they have, where it is, its service history, response time, downtime, total cost of ownership, and other key data. Utilization information for each instrument, regardless of technology or manufacturer, coupled with operational service and financial metrics, improves decision-making capabilities. With this type of information, the lab manager can justify capital requests using quantifiable data about instrument utilization. The lab manager can pinpoint the time when assets become too costly to maintain and need to be decommissioned or auctioned. He or she has information to sioning all instrumentation to minimize downtime and ensure continued regulatory compliance. As part of the agreement, PerkinElmer OneSource demonstrated that every piece of equipment was working in its new location. Whenever equipment did not perform exactly as expected, PerkinElmer OneSource personnel responded and repaired the items. PerkinElmer OneSource also provided reporting to track the location and status of every asset throughout the move. By streamlining the entire vendor management process, significantly reducing the daily administration burden on scientists and allowing them to focus on research instead of managing multiple vendors, the consolidated maintenance program delivers significant cost savings. At the same time, improvements in record keeping and service tracking are enabling significant improvements in purchasing decisions. In light of these results, MRL is expanding the partnership, assigning to PerkinElmer OneSource the vendor management of all its OEM service contracts as well as responsibility for the procurement and storage of parts. This approach provides endless possibilities, all based on the fundamental approach of letting specialized experts do what they do best so that the laboratory can focus on being a laboratory and generating science. ■ Maurizio Sollazzo is executive director for Merck; reach him at [email protected]. Paul Luchino is a regional manager for PerkinElmer; reach him at [email protected]. Ted Gresik is the Northeast general manager within Analytical Sciences and Laboratory Services at PerkinElmer; reach him at [email protected]. 26 Pharmaceutical Formulation & Quality > August/September 2011 INGREDIENTS CAPSULE Owing to its exceptional water-binding, viscoelastic, and biological properties, hyaluronic acid (HA) provides new benefits for the delivery of ophthalmic drugs. Khadija Schwach-Abdellaoui, PhD, director of biopharmaceutical application development at Novozymes Biopharma, discusses the use of HA in ophthalmology applications. HYALURONIC ACID The Benefits of HA in Ophthalmic Delivery A Q&A with Novozymes’ Khadija Schwach-Abdellaoui, PhD Dr. SchwachAbdellaoui is director of biopharmaceutical application development at Novozymes Biopharma. She earned her pharmaceutical degree in Lyon, France, and her doctorate in controlled-release systems in Montpellier, France. She has written more than 46 articles and more than 60 abstracts for presentations, and has obtained 15 issued and pending patents. Q. What are the benefits of using HA in ophthalmic drug delivery? A. Whether it is to enhance the hydration and lubrication of corneal surfaces, promote physiological wound healing, or extend the residence time of topically applied drugs in the eye, the benefits of incorporating hyaluronic acid (HA) in ophthalmic formulations are well documented. As an excipient, HA offers a range of benefits, delivering new and improved attributes to existing formulations. Due to its exceptional water-binding, viscoelastic and biological properties, this product is compatible with a variety of ophthalmic drugs such as ciprofloxacin, diclofenac, and dexamethasone. The use of HA as an efficient carrier for ophthalmic drugs is characterized by a unique set of advantages, including sustained and targeted drug release, an excellent safety and purity profile, and unmatched moisturization properties. Formulation using HA decreases filtration time, allowing for streamlined manufacturing processes, and provides optimal profiles for convenient applications and Novozymes says its bacillus-derived HA dissolves up to 35% faster than original HA formulations, reducing time and production costs. increased patient comfort and compliance. HA in ophthalmic drug delivery also increases drug retention in the tear fluid, along with drug contact time with the ocular surface, enhancing bioavailability. Q. How does HA work in ophthalmology? A. HA is a naturally occurring polysaccharide that gives structure to tissues and contributes to the optimal functioning of a number of biological systems in the human body. It works by entrapping the drug in a viscoelastic matrix and slowly releasing it while it is degraded by hylauronidases. In dermatology, HA forms a film at the surface of the skin, protecting the drug from degradation and forming a reservoir that releases the drug topically. In ophthalmology, HA can interact with the drug physically in the viscoelastic polymeric matrix but can also interact chemically with positively charged drugs. The ionic compound formed will enable (Continued on p. 28) August/September 2011 > Pharmaceutical Formulation & Quality 27 PHARMAQUALITY.COM This reduces time and costs in production. Pharmaceutical companies are under ever-increasing pressure to take new products to market faster; working with raw materials that are already Q7 cGMP compliant will accelerate regulatory processes and significantly reduce testing time, making HA economically efficient. with multi-angle laser light scattering has shown that Novozymes’ HA remains remarkably stable during the heat sterilization of ophthalmic solutions. A recent study demonstrated that after treatment at 121 degrees C for 16 minutes, the HA retained 82% of its initial molecular weight against 60% for a Streptococcus-derived HA of the same starting chain length. This enhanced stability upon heating is most likely due to the lower content in heavy metals, including copper and iron, of Novozymes’ HA. HA-containing formulations can therefore be heat-sterilized under standard conditions without compromising final product viscosity. ■ Q. How do these developments increase patient comfort in ophthalmic treatments? A. The performance of eye drops and artificial tears is dependent on their rheological properties and primarily relies on the nature, molecular weight, and concentration of the viscosifying agents employed. HA contributes to the uniform distribution of ophthalmic solutions on the surface of the eye while decreasing the drainage rate. This results in increased lubrication and function, enhancing comfort for the patient. However, despite these advantages, highly viscous HA preparations can lead to increased blinking frequency, blurry vision, and ocular discomfort. Novozymes has developed its HA with enhanced rheological properties and optimal viscosity profiles, overcoming these issues to provide improved patient comfort and compliance. Q. Can manufacturers be sure of the corneal tolerance of HA? A. The corneal tolerance of HAs of different origins and molecular weights has been evaluated by Novozymes. The study involved estimating the level of corneal lesions (epithelial cell loss) following repeated applications of HA-containing formulations onto the cornea of rabbit eyes (see Figure 1). All HA samples, irrespective of their source, molecular weight, or concentration, included a percentage of corneal lesions lower than 10%. This demonstrates good corneal tolerance and the biocompatibility of HA for ophthalmology applications. 1(: Scan with your Smartphone to order a catalog Q. Does HA remain stable during heat sterilization? A. Size-exclusion chromatography coupled 800.901.5518 sBulk Fine Chemicals & Intermediates sUSP/NF/FCC Monograph Products sControlled Substances (Sch. II-V) s#USTOM3YNTHESIS s$EVELOPMENT1UANTITIES!VAILABLE Scan with your Smartphone to order a Also available from Fisher Scientific & VWR International catalog SpectrumChemical.com August/September 2011 > Pharmaceutical Formulation & Quality 29 TOOLS OF THE TRADE CAPSULE X-ray diffraction (XRD) has a broad range of applications in various stages of drug development and manufacturing, such as characterization and identification of active pharmaceutical ingredients (APIs). API characterization is more commonly applied during drug development, while API identification is directed more toward manufacturing, regulatory aspects, and intellectual property. The article from which this excerpt is taken focuses on basic principles and experimental procedures of XRD and its application in API characterization and identification. X-RAY DIFFRACTION Uses of X-Ray Powder Diffraction in the Pharmaceutical Industry > By Igor Ivanisevic, Richard B. McClurg, and Paul J. Schields Bruker says the “push-plug technology” on its D8 Focus allows the exchange of optics, sampleholders or detectors without realignment. EDITOR’S NOTE This is an excerpt of a chapter from the book Pharmaceutical Sciences Encyclopedia: Drug Discovery, Development, and Manufacturing, published in 2010 by John Wiley & Sons Inc. Read the complete chapter at www.pharmaquality.com. A mong the many experimental techniques available for the identification of solid forms, including polymorphs, solvates, salts, co-crystals, and amorphous forms, Xray powder diffraction (XRPD) stands out as a generally accepted “gold standard.” While this does not mean that XRPD should be used to the exclusion of other experimental techniques when studying solid forms, X-ray diffraction (XRD) has applications throughout the drug development and manufacturing process, ranging from discovery studies to lot release. The utility of XRD becomes evident when one considers the direct relationship between the measured XRD pattern and the structural order and/or disorder of the solid. XRPD provides information about the structure of the underlying material, whether it exhibits long-range order as in crystalline materials or short-range order as in glassy or amorphous materials. This information is unique to each structure— whether crystalline or amorphous—and is encoded in the uniqueness of the XRPD pattern collected on a well-prepared sample of the material being analyzed. 30 Pharmaceutical Formulation & Quality > August/September 2011 One must draw a distinction between crystalline materials, which give rise to XRPD patterns with numerous well-defined sharp diffraction peaks, and glassy or amorphous materials, whose XRPD patterns contain typically three or fewer broad maxima (X-ray amorphous halos). In practice, when using XRPD, one can usually measure a sequence of crystalline materials that are progressively more disordered, ultimately resulting in glass. A classification system has been proposed by Wunderlich (Table 1) to describe the type of structural order and molecular packing present in molecular organic solid forms using three order parameter classes: translation, orientation, and conformation.1 XRPD can be used to identify and characterize solid forms of a given molecule exhibiting long-range crystalline order (e.g., polymorphs, solvates, co-crystals, and salts) by their unique combination of order parameters. Amorphous solid forms do not exhibit any long-range order but are identifiable and characterized by their unique local molecular order, apparent in the Xray amorphous diffraction pattern.2 Given XRPD’s sensitivity to structural order, some of its typical applications in the analysis of solid-state properties of a drug substance or product include: • Identification of existing forms of the API; • Characterization of the type of order present in the API (crystalline and/or amorphous); • Determination of physical and chemical stability; • Identification of the solid form of the API in the drug product; • Identification of excipients present in a drug product; • Monitoring for solid-form conversion upon manufacturing; • Detection of impurities in a drug product; and • Quantitative analysis of a drug product. Where appropriate data are available, XRPD analysis can determine the solidform structure and crystal-packing relationship among individual molecules in PHARMAQUALITY.COM the solid. This information is essential to the understanding of solid-state chemistry of drugs and important from the regulatory perspective. Applications in Drug Development XRD has a broad range of applications in various stages of drug development and manufacturing. This section will address many of the common XRPD uses from a practical standpoint. In the broadest terms, these applications can be divided between API characterization and identification. While there is some overlap in both categories, the former is more commonly applied during drug development (before the drug is on the market), while the latter is directed more toward manufacturing, regulatory aspects, and intellectual property. crystal XRD and XRPD.4 Other techniques like thermal or spectroscopic methods can be helpful in further characterizing drug products, but only X-ray provides the necessary structural information to uniquely identify different polymorphs. Therefore, in early drug development, XRPD is often used as a primary experimental technique and a means of differentiating among experimentally generated materials. Fully characterizing any material requires the use of complementary techniques (thermal or spectroscopic) but X-ray is typically done first because it is fast, is nondestructive, requires little material, and provides the necessary structural information. Databases of known XRPD patterns for various pharmaceutical materials are published annually by the International Centre for Diffraction Data and the Cambridge Crystallographic Data Centre, which publishes the Cambridge Structural Database. API Characterization Guidelines from regulatory authorities regarding the need for characterization of a drug substance under development have been clearly stated. Below is an example relating to the issue of polymorphism: “Polymorphic forms of a drug substance can have different chemical and physical properties, including melting point, chemical reactivity, apparent solubility, dissolution rate, optical and mechanical properties, vapor pressure, and density. These properties can have a direct effect on the ability to process and/or manufacture the drug substance and the drug product, as well as on drug product stability, dissolution, and bioavailability. Thus, polymorphism can affect the quality, safety, and efficacy of the drug product.” 3 While there are a number of methods to characterize polymorphs of a drug substance, the two broadly accepted methods for providing unequivocal proof of polymorphism that are recognized by the U.S. Food and Drug Administration are single- Table 1. phase identification was recognized early and remains the most common application of XRPD to pharmaceuticals.7 This socalled qualitative analysis typically refers either to the initial characterization of material not previously analyzed by XRPD or to the identification of a phase or phases in a sample of material by comparison to reference patterns. Reference patterns are previously collected XRPD patterns of the same material. Where available, XRPD patterns calculated from, for example, single-crystal structures can be substituted, but one should remember that the temperature at which the pattern is calculated can have a Synchrotron XRD has frequently been used to characterize pharmaceutical materials in applications that require additional sensitivity not provided by laboratory X-ray diffractometers (e.g., crystallization monitoring).5-6 The tradeoff is the greater expense and time investment typically associated with such measurements. Because such applications tend to be specialized, this section will focus primarily on laboratory XRPD methods. Qualitative Analysis of Materials (Phase Identification) Because every structurally different crystalline material exhibits a unique XRPD pattern upon analysis, the use of XRPD for significant effect on the calculated XRPD profile. When dealing with mixtures of phases, qualitative analysis can provide an estimate of the relative proportions of different phases in the sample, usually based on the comparison of peak intensities for characteristic peaks of the different phases. Due to sample artifacts such as preferred orientation and poor particle statistics, this type of analysis should never be confused with quantitative analysis of mixtures. Databases of known XRPD patterns for various pharmaceutical materials are published annually by the International Centre for Diffraction Data and the Cambridge Crystallographic Data Centre, (Continued on p. 32) Types of Solid Forms Described by the Wunderlich Classification System SOLID FORM TRANSLATION ORIENTATION CONFORMATION CRYSTAL CONDIS CRYSTAL (GLASS) PLASTIC CRYSTAL (GLASS) LIQUID CRYSTAL (GLASS) AMORPHOUS (GLASS) LONG RANGE LONG RANGE LONG RANGE SHORT RANGE SHORT RANGE LONG RANGE LONG RANGE SHORT RANGE LONG RANGE SHORT RANGE LONG RANGE SHORT RANGE SHORT RANGE SHORT RANGE SHORT RANGE August/September 2011 > Pharmaceutical Formulation & Quality 31 PHARMAQUALITY.COM characterization using thermal methods (TGA, DSC), for example, would confirm that these materials are not solvates or mixtures but actual polymorphs and would aid in determining the thermodynamically stable polymorph. XRPD provides information about the structure of materials, not thermodynamics, although variable-temperature XRPD has been used to study changes in structure at different temperatures. One can envision a large number of different crystallization experiments (using different solvents or conditions) performed on the API, some possibly in automated fashion, with the resulting material characterized initially by XRPD. This is in fact a common approach to polymorphism, salt, and co-crystal screening and is perhaps the most common application of XRPD in the drug development process. The latter two screens are usually performed when the polymorphs of the drug candidate itself are not sufficiently bioavailable, in an effort to produce a formulation that addresses the bioavailability problem. An XRPD pattern is taken—of the API, the guest material (e.g., acid), and the mixture of the two. If a salt or co-crystal forms, the XRPD pattern of the mixture should be more than just a sum of the reference patterns of the API and the guest. Therefore, the first application for XRPD during drug development is typically to identify the materials generated using different experimental methodologies, often in automated, high throughput screening environments.9-11 To simplify this pattern recognition problem, which often involves hundreds or thousands of experimental data sets per screen, people have developed various computational approaches to recognize, sort, and classify unknown XRPD patterns, either through comparison to a known database of materials or simply within the experimental set of unknown patterns.12-15 The latter often uses an approach called hierarchical clustering.16-17 XRPD data are often cataloged in databases using the so-called Hanawalt system.18-19 In this system, the data are stored as d versus I/Imax pairs. The use of d-space eliminates the need to specify the radiation source wavelength and allows com- ing of solution crystallization using energy dispersive X-ray diffraction. Cryst Growth Des. 2002;3(2):197-201. 7. Jenkins R, Snyder RL. Introduction to X-ray powder diffractometry. In: Winefordner JD, editor. Chemical analysis. Vol. 138. New York: John Wiley & Sons; 1996. 8. United States Pharmacopeial Convention. General chapter 941: X-ray diffraction. In: USP 31-NF 26. Rockville, Md.: United States Pharmacopeial Convention; 2008:374. 9. Hertzberg RP, Pope AJ. High-throughput screening: new technology for the 21st century. Curr Opin Chem Biol. 2000;4(4): 445-451. PANalytical’s Empyrean X-ray diffractometer is a 2011 winner of an R&D 100 award in the ‘winning technology’ category. parison between laboratories using different instrumentation. A similar system is often used for intellectual property filings. However, there is considerable structural information available in a typical XRPD pattern that can be used to characterize the material. Making use of this information usually requires high quality laboratory data and the use of advanced computational methods. ■ REFERENCES 10. Barberis A. Cell-based high-throughput screens for drug discovery. Eur Biopharm Rev website. Winter 2002. Available at: www.samedanltd.com/magazine/12/issue/43 /article/1231. Accessed August 3, 2011. 11. Johnston PA, Johnston PA. Cellular platforms for HTS: three case studies. Drug Discov Today. 2002;7(6):353-363. 12. Ivanisevic I, Bugay DE, Bates S. On pattern matching of X-ray powder diffraction data. J Phys Chem B. 2005;109(16):7781-7787. 13. Marquart RG, Katsnelson I, Milne GWA, et al. A search-match system for X-ray powder diffraction data. J Appl Cryst. 1979;12(6): 629-634. 14. Gurley K, Kijewski T, Kareem A. First- and higher-order correlation detection using wavelet transforms. J Eng Mech. 2003; 129(2):188-201. 1. Wunderlich B. A classification of molecules, phases, and transitions as recognized by thermal analysis. Thermochim Acta. 1999;340/341:37-52. 15. Gilmore CJ, Barr G, Paisley J. High-throughput powder diffraction. I. A new approach to qualitative and quantitative powder diffraction pattern analysis using full pattern profiles. J Appl Cryst. 2010;37:231-242. 2. Yu L. Amorphous pharmaceutical solids: preparation, characterization and stabilization. Adv Drug Deliv Rev. 2001;48(1):27-42. 16. Johnson SC. Hierarchical clustering schemes. Psychometrika. 1967;32(3):241254. 3. U.S. Food and Drug Administration. Center for Drug Evaluation and Research. Guidance for Industry: ANDAs: Pharmaceutical Solid Polymorphism Chemistry, Manufacturing, and Controls Information. FDA. Available at: www.fda.gov/OHRMS/DOCKETS/98fr/2004d -0524-gdl0001.doc. Accessed Aug. 3, 2011. 17. Borgatti SP. How to explain hierarchical clustering. Connections. 1994;17(2):78-80. 4. Brittain HG. Polymorphism in Pharmaceutical Solids. New York: Marcel Dekker, Inc; 1999. 5. Varshney DB, Kumar S, Shalaev EY, et al. Solute crystallization in frozen systems–use of synchrotron radiation to improve sensitivity. Pharm Res. 2006;23(10):2368-2374. 6. Blagden N, Davey R, Song M, et al. A novel batch cooling crystallizer for in situ monitor- 18. Hanawalt JD, Rinn HW, Frevel LK. Chemical analysis by X-ray diffraction. Ind Eng Chem Anal Ed. 1938;10(9):457-512. 19. Byrn SR, Pfeiffer RR, Stowell JG. Solid-State Chemistry of Drugs. 2nd ed. West Lafayette, Ind.: SSCI, Inc.; 1999. Drs. Ivanisevic, McClurg, and Schields are with Solid State Chemical Information, a division of Aptuit Inc., in West Lafayette, Ind. SSCI offers cGMP contract pharmaceutical development services, specializing in crystallization, stability, and polymorphism. August/September 2011 > Pharmaceutical Formulation & Quality 33 Development of polyethylene glycol-conjugated alendronate, a novel nitrogen-containing bisphosphonate derivative: Evaluation of absorption, safety, and effects after intrapulmonary administration in rats Bisphosphonates are widely used for the treatment of bone diseases, including hypercalcemia and osteoporosis. However, the bioavailability (BA) of orally administered bisphosphonates is low, at approximately 0.9%–1.8%. In addition, the oral administration of bisphosphonates is associated with mucosal damage, including gastritis, gastric ulcer, and erosive esophagitis. To develop a new delivery system for bisphosphonates that improves their BA and safety, we developed polyethylene glycol (PEG)-conjugated alendronate, a novel nitrogen-containing bisphosphonate derivative. We evaluated the absorption and safety of PEG-alendronate in rats following intrapulmonary administration. The BA of PEG-alendronate after intrapulmonary administration was approximately 44 ± 10% in rats, similar to that of alendronate Effect of PEG–alendronate on the cell viability of osteoclast-like cells derived (54 ± 3.9%). Alendronate significantly increased total protein from RAW264.7 cells. The number of osteoclast-like cells derived from concentration and lactate dehydrogenase activity in bron- RAW264.7 cells is expressed as a percentage of the values in the no treatment group. Results are expressed as the mean ± SE of four experiments choalveolar lavage fluid, suggesting that pulmonary epithe- (**p < 0.01 compared with the no treatment group). lium was locally damaged by intrapulmonary administration of alendronate. In marked contrast, PEG-alendronate did not significantly increase the markers following intrapulmonary administration. In an osteoporosis model in rats, intrapulmonary administration of PEG-alendronate effectively inhibited decreases in the width of the growth plate to a level similar to that achieved by intrapulmonary administration of alendronate. These results indicate that pulmonary delivery of PEG-alendronate is a promising approach for the treatment of bone diseases. Katsumi H, Takashima M, Sano J, et al. Development of polyethylene glycol-conjugated alendronate, a novel nitrogen-containing bisphosphonate derivative: Evaluation of absorption, safety, and effects after intrapulmonary administration in rats. J Pharm Sci. 2011;100(9):3783–3792. E-mail: Akira Yamamoto ([email protected]). Comparison of drug permeabilities across the blood-retinal barrier, blood-aqueous humor barrier, and blood-brain barrier Drugs vary in their ability to permeate the blood-retinal barrier (BRB), blood-aqueous humor barrier (BAB), and blood-brain barrier (BBB), and the factors affecting the drug permeation remain unclear. In this study, the permeability of various substances across the BRB, BAB, and BBB in rats was determined using the brain uptake index (BUI), retinal uptake index (RUI), and aqueous humor uptake index (AHUI) methods. Lipophilic substances showed high permeabilities across the BBB and BRB. The RUI values of these substances were approximately four-fold higher than the BUI values. The AHUI versus lipophilicity curve had a parabolic shape with AHUImax values at log D7.4 ranging from −1.0 to 0.0. On the basis of the difference in Plot of log UI lipophilicities, verapamil, quinidine, and digoxin showed lower permeabilversus log D7.4 for the 13 compounds ity than predicted from those across BBB and BRB, whereas only digoxin tested (passive showed a lower permeability across BRB. These low permeabilities were sigdiffusion; Table 1). nificantly increased by P-glycoprotein inhibitors. Furthermore, anion transEach symbol repporter inhibition increased the absorption of digoxin to permeate into the resents the mean ± SD of three to retina and aqueous humor. In conclusion, this study suggests that efflux four experiments. transport systems play an important role in the ocular absorption of drugs from the circulating blood after systemic administration. Toda R, Kawazu K, Oyabu M, Miyazaki T, Kiuchi, Y. Comparison of drug permeabilities across the blood-retinal barrier, blood-aqueous humor barrier, and blood-brain barrier. J Pharm Sci. 2011;100(9):3904–3911. E-mail: Kouichi Kawazu ([email protected]). August/September 2011 > Pharmaceutical Formulation & Quality 35 PRODUCT SPOTLIGHT Want to be featured in PFQ’s Product Spotlight section? Please e-mail a high-resolution jpeg (1mb max.) photo and a 100-word description to: [email protected] Bioneer ExiSpin Wyatt Technology announces that its Möbius electrophoretic mobility instrument can measure precise protein charges. The innovative optical design of the Möbius boosts the sensitivity of mobility measurements, enabling protein net charge characterization at much lower concentrations than previously possible. This unique capability is illustrated in a new application note, titled “Möbius Computation of Protein Net Charge from Electrophoretic Mobility,” and available for download at www.wyatt.com/literature/application-notes/mobius.html. The note demonstrates how the Möbius overcomes the limitations of traditional phase analysis light scattering (PALS) methods, eliminates undesirable interactions, and facilitates protein charge measurements at low concentrations—all without damaging the protein. The Möbius mobility instrument can carry out protein net charge measurements with a moderate antibody concentration of 1.0 mg/mL, measurements that are not possible with conventional PALS instruments. Bioneer introduces the ExiSpin, a system that combines the functions of a vortexer and a centrifuge into a single product. The ExiSpin can be programmed to function as a vortexer or a micro-centrifuge, or it can be set to a sequential spin/vortex/spin (SVS) mode to resuspend samples and mix enzyme reactions. The ExiSpin comes with two rotors, a 12-place rotor for micro-centrifuge tubes and a 32-place rotor for 4-by-8 strip polymerase chain reaction tubes. Use it to resuspend bacterial pellets, DNA, and RNA. The ExiSpin is backed by a comprehensive two-year warranty. Contact Bioneer today for more information and to make an appointment for a comprehensive 30-second demo. www.wyatt.com http://us.bioneer.com Wyatt Möbius Electrophoretic Mobility Instrument (805) 681-9009 (877) 264-4300 AdvantaPure Hose Identification AdvantaPure offers several solutions for taking the guesswork out of hose and manifold identification. The company gives users a choice of viable identification strategies for critical process hoses used in the pharmaceutical, biopharmaceutical, biomedical, chemical, and food and beverage industries. Hose identification is crucial for safety, traceability, regulatory compliance, and identification of capabilities or limitations. AdvantaPure’s options range from quick visual identifiers such as color to laser-etched items to radio frequency identification tags. They’re designed for tubing and reinforced hose manufactured of platinum-cured silicone and for rubber-covered or overbraided hoses of various materials. The identification methods can be used separately or in combination. www.advantapure.com 38 Pharmaceutical Formulation & Quality > August/September 2011 (888) 755-4370 PHARMAQUALITY.COM AES Semi-Gas Systems SEMI-GAS Systems, a division of Applied Energy Systems, Inc. and a manufacturer of industry-leading ultra-high purity gas source and distribution systems, offers bulk specialty gas source systems to deliver hazardous specialty gases from large vessels at high flow rates. The source systems are designed to supply NH3, HCl, SiH4, N2O, H2 and other hazardous specialty process gases at flow rates from 100 standard liters per minute (slpm) to 1,000 slpm. SEMI-GAS Systems’ bulk specialty gas source systems consolidate many gas cabinets into a single system for high-volume semiconductor production as well as for high gas volume-consuming processes, as found in LED and solar cell production applications. With consideration to the local climate, the source systems can be installed indoors or outdoors. Source vessel heating is incorporated into the system to facilitate the liquid-to-gas phase change and to sustain the high gas flow rates. www.semi-gas.com (610) 647-8744 NewAge Industries Silcon Med-X NewAge Industries manufactures silicone tubing that’s platinum cured for the highest degree of purity. Called Silcon Med-X, it’s one of the company’s medical grades of silicone tubing and reinforced hose. Silcon MedX is particularly suited for applications in the medical, biomedical, pharmaceutical, laboratory, surgical, food, beverage, and health and beauty industries. NewAge produces peroxideand platinum-cured silicone tubing. The platinum-cured version offers the fewest number of extractables—compounds that can be drawn out of tubing and adversely affect the fluid flowing within. It also contains no plasticizers that can leach out and cause flow contamination or tube hardening. Using purer tubing in processing and transfer applications ensures a purer end product as well. The elastomer used in Silcon Med-X meets United States Pharmacopoeia Class VI requirements, and the tubing is produced in a controlled environment. Silcon Med-X is soft and pliable, and it will not support bacteria growth. Supplied in individual, heat-sealed polybags, the tubing may be reused after sterilization by autoclave or gamma radiation. Silcon Med-X is stocked in 17 sizes, ranging from .030” through .625” (5/8”) inside diameter. Other sizes, durometers, and colored Silcon Med-X are available through custom order. Barbed fittings, including those made from FDA-approved polypropylene, are stocked, along with a variety of clamps. www.newageindustries.com Spinnovation Spedia-NMR For new biologicals and biosimilars, the Spedia-NMR technology from Spinnovation Biologics provides an advantage for optimizing cell cultures, monitoring, and standardizing manufacturing processes in preparation for larger scale production. Within the past four months, this claim has been validated by 37 companies developing biologics or delivering services to this industry. This premium nuclear magnetic resonance (NMR) analysis service rapidly identifies a wide selection of feed components, metabolites, and toxic compounds in culture media. By comparing media profiles from different cell culture batches, Spedia-NMR identifies how a cell consumes and metabolizes the media along the culture process. This allows the composition of the media to be fine tuned to improve cell viability, reach highest yields of biologic product, and perform rapid process troubleshooting. Spedia-NMR has gained rapid popularity in both the biotech research and manufacturing communities because of its speed—analysis in a matter of minutes/hours and service delivery within five working days— and the valuable information it provides in assisting process development. www.spinnovation-analytical.com +31-24-240-3400 (800) 506-3924 August/September 2011 > Pharmaceutical Formulation & Quality 39 0 $ . , 1 * * 5 ( $7 6 7 5 , ' ( 6 , 1 3 + $ 5 0 $ & ( 8 7 , & $ / 6 & , ( 1 & ( 6 ))RUPXODWLRQDQG3URFHVV'HYHORSPHQW6WUDWHJLHVIRU0DQXIDFWXULQJ%LRSKDUPDFHXWLFDOV RUPXODWLRQDQG3URFHVV'HYHORSPHQW6WUDWHJLHVIRU0DQXIDFWXULQJ%LRSKDUPDFHXWLFDOV Edited by Feroz Jameel, Susan Hershenson sPAGESs!UGUSTs "ECAUSEPHARMACEUTICALSCIENTISTSLACKINFORMATIONABOUTBIOPHARMACEUTICALPRODUCTMANUFACTUREANDCOMMERCIALIZATION THISBOOKCOMPREHENSIVELYCOVERSFUNDAMENTALSANDESSENTIALPATHWAYSFOREACHPRODUCTIONPHASEASWELLASTHEPURPOSE FUNCTIONANDRELATIONTOOTHERSTAGESINTHEPRODUCTDEVELOPMENTPROCESS)TPROVIDESCASEHISTORIESRELATEDTOTHERAPEUTIC MONOCLONALANTIBODIESRECOMBINANTPROTEINSANDPLASMAFRACTIONS!DDITIONALLYITOFFERSTHEPERSPECTIVEANDEXPERIENCEOF PRODUCTIONANDMANUFACTURINGOFTHEDRUGSMAKINGTHISAVITALTEXTFORPHARMACEUTICALBIOTECHREGULATORYANDACADEMIC RESEARCHERSANDPROFESSIONALS s Genotoxic Impurities: Strategies IRU,GHQWLÀFDWLRQDQG&RQWURO IRU,GHQWLÀFDWLRQDQG&RQWURO Edited by Andrew Teasdale 978-0-470-49919-1 PAGESs*ANUARYs 4HISBOOKISAPRIMARYREFERENCE GUIDEFORANYONEADDRESSINGTHE ISSUEOFGENOTOXICIMPURITIESPROVIDING NOTONLYADElNITIVENARRATIVEOFREGULATORY STANDARDSBUTALSOPRACTICALSOLUTIONSTO EFFECTIVELYMANAGETHEISSUE 5HJXODWHG%LRDQDO\WLFDO 5HJXODWHG%LRDQDO\WLFDO //DERUDWRULHV7HFKQLFDODQG DERUDWRULHV7HFKQLFDODQG 5HJXODWRU\$VSHFWVIURP*OREDO 5 HJXODWRU\$VSHFWVIURP*OREDO Perspective Michael Zhou PAGESs*ANUARYs 4HISBOOKOFFERSSUGGESTIONSFOR STRESSLESSINTERNALANDTHIRDPARTYLABORATORY AUDITSANDINSPECTIONSANDTAKESINTOACCOUNT MOSTNATIONALANDINTERNATIONALREGULATIONSAS WELLASQUALITYANDACCREDITATIONSTANDARDS PROVIDINGCORRESPONDINGINTERPRETATIONSAND INSPECTIONGUIDES 3 3KDUPDFHXWLFDO$QWL KDUPDFHXWLFDO$QWL &RXQWHUIHLWLQJ&RPEDWLQJWKH & RXQWHUIHLWLQJ&RPEDWLQJWKH 5HDO'DQJHUIURP)DNH'UXJV 5HDO'DQJHUIURP)DNH'UXJV Mark Davison 978-0-470-61617-8 PAGESs*ULYs 4HISBOOKOVERVIEWSANDINTEGRATES THEBUSINESSANDTECHNICALISSUES THATPHARMACEUTICALCOMPANIES NEEDTOKNOWINORDERTOCOMBATTHEGLOBAL PROBLEMOFCOUNTERFEITMEDICINES#OVERAGE MOVESFROMBASICOVERVIEWOFTHEPROBLEM COSTSRISKSTOCONSUMERSTOXICPRODUCTS MISTRUSTOFDRUGCOMPANIESANDBUSINESS REVENUELOSSPUBLICTRUSTGOVERNMENT OVERSIGHTANDREGULATIONAUTHENTICATION STRATEGIESPACKAGINGANALYTICALTECHNIQUES PRODUCTTRACKINGANDSUPPLYCHAINANDCASE STUDIESFROMAROUNDTHEGLOBE 2 25'(5,1*,1)250$7,21 5'(5,1*,1)250$7,21 ((DUO\'UXJ'HYHORSPHQW DUO\'UXJ'HYHORSPHQW Strategies and Routes to ))LUVWLQ+XPDQ7ULDOV LUVWLQ+XPDQ7ULDOV Edited by Mitchell N. 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