Strategic Platforms, Abraxis BioScience, 11755 Wilshire Blvd., Suite 2300, Los Angeles, California 90025, USA.
AAPS J. 2012 Jun;14(2):282-95. doi: 10.1208/s12248-012-9339-4. Epub 2012 Mar 10.
In recent years, nanotechnology has been increasingly applied to the area of drug development. Nanoparticle-based therapeutics can confer the ability to overcome biological barriers, effectively deliver hydrophobic drugs and biologics, and preferentially target sites of disease. However, despite these potential advantages, only a relatively small number of nanoparticle-based medicines have been approved for clinical use, with numerous challenges and hurdles at different stages of development. The complexity of nanoparticles as multi-component three dimensional constructs requires careful design and engineering, detailed orthogonal analysis methods, and reproducible scale-up and manufacturing process to achieve a consistent product with the intended physicochemical characteristics, biological behaviors, and pharmacological profiles. The safety and efficacy of nanomedicines can be influenced by minor variations in multiple parameters and need to be carefully examined in preclinical and clinical studies, particularly in context of the biodistribution, targeting to intended sites, and potential immune toxicities. Overall, nanomedicines may present additional development and regulatory considerations compared with conventional medicines, and while there is generally a lack of regulatory standards in the examination of nanoparticle-based medicines as a unique category of therapeutic agents, efforts are being made in this direction. This review summarizes challenges likely to be encountered during the development and approval of nanoparticle-based therapeutics, and discusses potential strategies for drug developers and regulatory agencies to accelerate the growth of this important field.
近年来,纳米技术在药物开发领域的应用日益广泛。基于纳米颗粒的治疗方法可以赋予克服生物屏障、有效递送疏水性药物和生物制品以及优先靶向疾病部位的能力。然而,尽管具有这些潜在优势,只有相对较少的基于纳米颗粒的药物被批准用于临床使用,在不同的开发阶段仍存在许多挑战和障碍。作为多组分三维结构的纳米颗粒的复杂性需要仔细的设计和工程、详细的正交分析方法以及可重现的放大和制造工艺,以实现具有预期物理化学特性、生物学行为和药理学特征的一致产品。纳米药物的安全性和疗效可能会受到多个参数的微小变化的影响,需要在临床前和临床研究中进行仔细检查,特别是在生物分布、靶向预期部位和潜在免疫毒性方面。总体而言,与传统药物相比,纳米药物可能会带来额外的开发和监管方面的考虑,尽管在检查作为独特治疗剂类别的基于纳米颗粒的药物方面通常缺乏监管标准,但正在朝着这个方向努力。本综述总结了在开发和批准基于纳米颗粒的治疗方法时可能遇到的挑战,并讨论了药物开发者和监管机构加速这一重要领域发展的潜在策略。