Preclinical research
XiaO / 2023-04-18
Drug development typically progresses through several manufacturing scales:
- Lab scale: Initial experiments are conducted on a small scale, often using manual techniques. The goal is to develop a preliminary formulation and process. Quantity produced is usually only enough for in vitro testing and early animal studies.
- Pilot scale: Process is scaled up to produce larger quantities (1-100 kg/batch) using semi-automated or automated equipment. The goal is to refine the process, evaluate large-scale feasibility, and produce enough material for clinical trials. Requires dedicated clean rooms and equipment.
- Scale-up: The pilot process is scaled up by a factor of 10-100x to improve efficiency and reduce costs. Additional optimizations and validations are implemented to ensure quality before moving to commercial scale.
- Commercial scale: Large-scale production (100s-1000s kg/batch) using highly automated, controlled processes to manufacture for sale and distribution to patients. Requires high level quality systems and regulatory approvals. Some key considerations in moving from lab to commercial scale:
- Maintaining equivalent quality: The formulation, purity, sterility (if needed), and performance of the product should remain the same at all scales. This requires careful process control and validation.
- Equipment and automation: As scale increases, manual equipment is replaced with automated, closed systems with sophisticated control systems. This minimizes variability and reduces risk of contamination.
- Clean rooms and HEPA filters: Larger scales require larger clean rooms with strong HEPA air filtration to enable sterile production. HVAC systems need to maintain proper pressure gradients.
- Purified components: Raw materials need to meet higher standards of purity and quality at larger scales. Bulk storage and closed transfer of materials are often required.
- Regulatory compliance: Commercial manufacturing must follow current Good Manufacturing Practices (cGMP) to ensure safety, quality, and consistency of the product at all stages. Rigorous quality control systems and staff training are essential. •Cost reduction: Larger batch sizes and automated processes are more cost efficient due to economy of scale effects. However, initial capital investments in facilities and equipment are very high.
Drug develop
- Preclinical research: This includes studies to demonstrate the safety and efficacy of your nanoparticle system. Typically in vitro and animal studies are required to characterize the pharmacology, toxicology, pharmacokinetics, and mechanism of action. These data would be used to support an IND application.
- File an IND application: As we discussed, an IND is required to begin clinical trials in humans. Your IND would contain the preclinical data, details on manufacturing and quality, and your proposed clinical study protocols.
- Phase 1 clinical trial: A small Phase 1 study in healthy volunteers or patients to assess safety and pharmacokinetics. Start with a very low dose and slowly escalate.
- Phase 2 clinical trial: A Phase 2 study to explore dosing requirements and effectiveness in patients. Assess safety and early efficacy.
- Phase 3 clinical trials: Large, controlled studies to fully demonstrate safety and efficacy. Usually required for FDA approval.
- New Drug Application (NDA): Submit an NDA to the FDA for review, which includes all preclinical and clinical data to support approval.
- FDA approval: If approved, you can begin marketing and selling your new nanoparticle drug system! You will still need to conduct post-marketing surveillance.
- Ongoing research: Even after approval, additional research is often needed to explore new indications, formulations, dosage forms, patient populations, etc.
Preclinical research plan
- Characterize the nanoparticle system. This includes:
- Determining the size, shape, and surface charge of the nanoparticles. These properties can affect biodistribution, toxicity, and drug release.
- Quantifying drug loading and encapsulation efficiency. How much of drugs P and R are incorporated into the nanoparticles?
- Evaluating drug release profiles. How quickly are drugs P and R released from the nanoparticles in buffer, plasma, and in cellular uptake studies? Sustained release is often optimal.
- Assessing stability. How stable are the nanoparticles under refrigerated, room temperature, and accelerated conditions? Is there loss of potency of drugs P and R over time?
- Conduct in vitro studies:
- Study cellular uptake of nanoparticles in different cell lines. Do the nanoparticles easily enter cells? Which cells? This can help determine optimal administration routes.
- Assess in vitro efficacy in disease-relevant cell lines. Do the nanoparticles have anti-proliferative effects or other desired effects? Compare to free drugs P and R.
- Study in vitro safety in normal cell lines. Evaluate risk of adverse effects.
- Conduct pharmacokinetic (PK) studies in animals:
- Evaluate plasma concentration profiles of both nanoparticle components and released drugs P and R over time. Assess differences between administration routes.
- Determine biodistribution of the nanoparticles at multiple time points using radiolabeled or fluorescent components. See where they preferentially accumulate.
- Assess clearance and elimination pathways of all components (metabolism, excretion in urine/feces, etc.).
- Conduct in vivo efficacy studies in animal models:
- Choose a relevant disease model and evaluate ability of nanoparticles to prevent or reduce disease progression. Compare to free drugs P and R.
- Explore different dosing regimens and administration routes. Find optimal dosing strategy.
- Conduct initial toxicity studies:
- Conduct acute single-dose toxicity studies to determine potential lethal dose. Set maximum tolerated dose range.
- Conduct 7-14 day repeat dose studies to assess short-term toxicity and NOAEL (no observed adverse effect level). Repeat at chronic time points (1-3 months) as needed.
- Evaluate genotoxicity and mutagenicity in bacteria and mammalian cell assays.
- Other toxicity endpoints could include cardiovascular, respiratory, CNS, reproductive, and carcinogenicity. But depends on nature of your nanoparticles and drugs.