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Regulatory and Economic Challenges in Biotechnology Manufacturing

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Regulatory and Economic Challenges in Biotechnology Manufacturing Gary Welch Director of Biologics Production Abbott Bioresearch Center Outline  Abbott Bioresearch Center and Humira® Background  Manufacturing Challenges – Capacity Shortages – To Build or Contract Capacity – Decision Timeline – Regulatory Challenges  Humira Case Study Abbott Bioresearch Center Background  Founded as BASF Bioresearch Corp. in 1989  Worcester Facility opened in 1993  BASF Pharma acquired by Abbott Labs in March ‘01  Site houses both research and production activities in the area of biotechnology  Expertise in immunology and monoclonal antibody development and production  Workforce of 600+ (300 in manufacturing)  Humira® approved by FDA Dec.’02, EMEA Sept.’03 for treatment of Rheumatoid Arthritis Humira Background  Humira is the first fully human monoclonal antibody to reach clinical development.  It is an advanced-generation, anti-TNF (tumor necrosis factor) drug, which mimics natural human antibodies.  TNF Alpha, is a small protein that plays a significant role in the regulation of the immune system.  Humira binds specifically to TNF, reducing the inflammation, swelling, pain, and joint damage. Rheumatoid Arthritis •Affects about 2.5 million patients in U.S. •Two out of three patients are female •Peak age of onset between the ages of 45 and 65 years •Patients moderately disabled within two years of diagnosis and are severely disabled by 10 years •In patients with rheumatoid arthritis, TNF levels are very high, resulting in inflammation, swelling, pain, and joint damage. Cell Line Development Antibody Production: Cell Culture Capacity  Industry cycles between too little capacity versus too much  Historically Capacity Utilization rates extremely high  2001 and 2002 – large number of products in pipeline drove companies to build capacity – 2002: 160 Mabs in clinical development vs. 13 marketed products  2002 – 30 products failed clinical trials, plus downturn in economy lead to an “in balance” capacity in 2003  Shortage predicted again in 2007-2008 timeframe Biologics Manufacturing Capacity Six Companies May Control 78% of the World’s Biologics Production Capacity by 2007 Estimated Mammalian Cell Capacity (liters) 2007 Abbott 344,650 All Other 84,000 192,000 Biogen Boehringer Ingelheim Genentech 150,000 250,000 Amgen/Immunex 125,000 IDEC 411,000 Total ~ 1.5 million liters Source: JPMorgan (Feb 2002) and Abbott Estimates Contract or Build?  Contract Manufacturing – ADVANTAGES Lower Capital Investment Reduces investment risk Company can focus on R&D and marketing Companies without manufacturing expertise avoid steep learning curve – DISADVANTAGES May be hard to find CMO with right fit of capacity and technology Developing long term strategy / commitments with uncertain outcomes Relying on 3rd party to be compliant to all regulatory bodies Higher Cost of goods decreases profit margin Contract or Build?  Building Capacity – ADVANTAGES Design / build to optimize process Expertise in manufacturing leads to capacity and improvements for future products Control over quality and regulatory issues Enables flexibility in developing long term strategy for clinical and commercial production Maintain lower cost of goods Possible off-shore manufacturing to decrease tax burden – DISADVANTAGES Need to make decision long before capacity needs are finalized Large capital investment New technologies/process improvements may create obsolete or idle capacity Outsourcing Strategies Mixed: Outsource Large Volumes; Produce Early Phases In-House 18% Most Production Outsourced 38% Mixed: Outsource Early Phases, Then Decide to Outsource or Build 13% Most Production InHouse 31%  Source: Genetic Engineering News Oct. 1, 2003 Manufacturing Strategy Timeline  Manufacturing Strategy needs to be in place early – Typically prior to Phase III in order to make registration batches and produce market launch material from same facility  Early Decisions means many uncertainties – Clinical Failures  34% success rate from pre-clinical to approval – Regulatory failures – Commercial failures  Competition, patents – Marketing Questions  How big is the Market?  Dosing?  More indications?  Final process productivity The Manufacturing Investment Challenge “ You have to have the internal fortitude to invest in unique manufacturing sites. And if you want to be in biologics big time, it’s too late to start thinking about manufacturing once your molecules are in development. It takes a little bit of foresight and sometimes sticking your neck on the line”. Large Molecules: Too Late for Big Pharma? (In Vivo, December 2001) Timelines – Clinical vs. New Facility 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Typical Timeline for Antibody Project Research Preclinical Phase I Phase IIa Phase IIb Phase III Registration Launch Typical Timeline New Production Facility Design Construction Commissioning and Validation Production Starts Regulatory Issues  Facility Design and manufacturing systems must consider – Single product versus multiple products – Commercial as well as clinical production – Global manufacturing (meet expectations of FDA, EMEA, Japan…)  Major Regulatory Agencies concerns – Systems to control contamination – Systems to insure deviations are thoroughly investigated and corrective actions and product impact performed adequately – Use of animal derived raw materials Humira Case Study  1996 –  1997 –  1997 – First introduced into production in 1996 with a low productivity repeated batch process at 1000 L scale reactors Moved to 3000 L scale equipment Conceptual design started » 2 x 6000 L in Worcester to meet registration timelines and market launch quantities » Invest in large scale “greenfield” facility for long term  1997 –  1998 – Humira enters phase I clinical trials Major process change to “extended” batch process (50% improvement in specific productivity) Humira Case Study 1998 – 1998 – Humira enters Phase II trials BASF delays approval of $40MM expansion in order to review alternatives, primarily contract manufacturing Decision to build a 2 x 6000 L “Launch Facility” in Worcester approved. Timing requires the 3000 L scale to be submitted for approval first Optimized extended batch process introduced (60% improvement in specific productivity) 1999 – 2000 – Humira Case Study  2000 –  2000 – Humira enters Phase III trials. Change in formulation necessitates a bioequivalence study Additional 3000 L capacity is dedicated to Humira to ensure market launch demands are met 6000 L capacity is started up Abbott acquires BASF Pharma including BASF Bioresearch Abbott develops long term manufacturing strategy to build biologics facility in Puerto Rico primarily due to tax advantages  2001 –  2001 –  2001 – Humira Case Study  2002 –  2002–  2002 –  2003 –  2003 – File for US and European registration 3/28/02 Construction on commercial facility in Puerto Rico begun US approval for 3000 L scale received EU approval for 3000 L scale and US approval for 6000 L scale received File for EU approval for 6000 L scale
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