Qiu Kunyu, Anselmo Aaron C
Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
Adv Ther (Weinh). 2021 Feb;4(2). doi: 10.1002/adtp.202000226. Epub 2020 Nov 23.
Live biotherapeutic products (LBPs) are an emerging therapeutic modality that are clinically investigated for treating pathogenic infections and inflammatory diseases. A major class of LBPs are feces derived microbial consortiums which require numerous process development steps (e.g. separation, purification, blending) to facilitate LBP formulation into oral dosage forms. A subset of these LBPs circumvent the need for continuous fecal processing by batch culture for individual strains of microbes that are rationally defined and combined in the final LBP formulation. Separately, delivery formulations (e.g. polymer encapsulation) are being developed for LBPs to improve storage and intestinal engraftment; however, formulation requires additional manufacturing processes distinct from fecal processing or batch culture. Here, a streamlined approach termed batch culture formulation (BCF) is developed to combine the individual batch culture and formulation processes into a single-step process. Based on a previously described polymeric film formulation that encapsulates LBPs, BCF is shown to reduce the number of required processes to formulate LBP-films without altering LBP phenotype, function, or storage profiles compared to the standard LBP-film formulation approach. Additionally, it is demonstrated that BCF facilitates scaled-fabrication from the milligram to gram scale with predictable loading, highlighting the potential that BCF has for clinical translation.
活生物治疗产品(LBPs)是一种新兴的治疗方式,正在进行临床研究以治疗致病性感染和炎症性疾病。LBPs的一大类是源自粪便的微生物群落,这需要众多工艺开发步骤(如分离、纯化、混合),以便将LBPs制成口服剂型。这些LBPs的一个子集通过对最终LBPs配方中合理定义和组合的单个微生物菌株进行分批培养,避免了对连续粪便处理的需求。另外,正在为LBPs开发递送制剂(如聚合物封装)以改善储存和肠道植入;然而,制剂需要与粪便处理或分批培养不同的额外制造工艺。在此,开发了一种称为分批培养制剂(BCF)的简化方法,将单个分批培养和制剂工艺合并为一个单步工艺。基于先前描述的封装LBPs的聚合物薄膜制剂,与标准LBPs薄膜制剂方法相比,BCF被证明可以减少制备LBP薄膜所需的工艺数量,同时不改变LBP的表型、功能或储存特性。此外,还证明了BCF有助于从毫克级到克级的规模化制造,且负载量可预测,突出了BCF在临床转化方面的潜力。