Issue: Vol. 41

Ensuring sterile manufacture for EU GMP Annex 1 compliance

Revised EU GMP Annex 1 requirements (1) for Manufacture of Sterile Medicinal Products come into force in August 2023. Anna Cluet of Rephine sets out the three key areas that life sciences companies must address, along with practical advice as to how to meet the requirements.

In August 2022, revised EU GMP Annex 1 requirements related to the Manufacture of Sterile Medicinal Products were issued, starting the clock for compliance. All but one of the new provisions must be fulfilled by August 2023. The updated requirements, designed to protect and increase confidence in the sterility of these products, are significant and wide-ranging, spanning the Quality system and the manufacturing process itself.

The revised expectations span three key areas, which are set out below along with practical advice on how to fulfil the requirements.

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Drugs and APIs shortage put EU patients at risk

Drugs & APIs shortage is a global issue with an evident impact affecting all the people independently of their geographic or economic position. A complex problem never has a single motivation but there are different factors that cause this trouble: supply issues, demand issues, regulatory issues, procurement, unavailability of raw materials, logistics and finally even trade disputes. In this long list we cannot forget to mention the heavy impact that has accelerated all of these difficulties in the last 3 years: the effects of the Coronavirus on the global drug supply chain.
Finally, let’s not forget Medicine shortages harm patients and push up costs: surveys conducted by the European Medicines Agency (EMA) and others regulatory Associations in Europe report that medicines shortages have a significant impact on patient care.
Shortages can lead to failure to treat, delayed treatment, the use of less desirable, often expensive, alternative products, an increased potential for errors or adverse events related to using alternative medicines or dosages, and exclusion from treatment, to list just a few of the reported outcomes.
Only by bringing some pharmaceutical products back to Europe, which have been managed elsewhere for too long, will be possible to keep these issues under control. All this will be possible through economic investments and by evaluating the product not only on the basis of the most advantageous cost, but also on the basis of the quality, safety, traceability and certifications provided. For these reasons will be difficult to maintain the same current prices which will inevitably increase but with some important guarantees which will protect us from the current problems which we have to face and manage today.

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Enhancing patient outcomes: Strategies for a post-pandemic Life Sciences sector

Life Sciences organisations have had to rapidly adapt to a new landscape of operations. The challenges of the pandemic have put an urgent focus on enhancing patient outcomes by improving products delivery processes. In 2023 Life Sciences companies must develop strategies to capitalise on the opportunities that data-driven technologies offer. Frits Stulp of Iperion – a Deloitte business – predicts a new wave of data-based transformation as the drive to reduce time to market and address product shortages continues.

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Navigating a complex life sciences environment in 2023

Competition, complex new science and regulatory changes have been compounded by economic tightening. In 2023 and beyond, smaller biopharma companies in particular will need to rethink their strategies to attract investors, carefully plan how and with whom they outsource and ensure they understand the finer nuances of the regulations when they seek to globalize. Mark Lane and Rami Scharf of PharmaLex describe the challenges ahead.

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Oligonucleotides: Right Place, Right time, Right future

Nucleic acid-based therapeutics, have seen increased activity in the development of treatments for rare diseases due to the possibility of rational design and their shorter and cost-effective development cycles. Since the first approvals new compound approvals are occurring annually, and massive growth is expected over the next few years. The elimination of many barriers has contributed to their success. However, it is necessary to conquer new tissues to bring novel therapies to the market. The world’s production capacities are already full with the most advanced products in development and those on the market. To adapt to the market, the industry will have to deal with innovative production and sustainability constraints, which calls for the creation of cutting-edge strategies and processes.

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Synthetic Chemistry in Nucleic Acid Drugs Recent progress in bridged nucleic acids (BNA)

The number of approved nucleic acid drugs has increased recently owing to progress in the medicinal chemistry of oligonucleotide therapeutics; the expansion of drug sales is providing new API demand opportunities for CDMO. Nucleic acid drugs utilize various chemically modified nucleotides, to avoid decomposition by nucleases in the human body and improve the RNA binding affinity. The production of modified nucleotides requires organic synthesis technology and sufficient production capacity at CDMO. This study focuses on the synthetic process of modified nucleotides, especially those comprising bridged nucleic acids (BNAs), and explains the progress in BNA research from a process chemistry perspective.

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