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使用蛋白质治疗药物时的职业暴露风险及生物制品分级系统的开发。

Occupational Exposure Risks When Working with Protein Therapeutics and the Development of a Biologics Banding System.

作者信息

Graham Jessica, Yao Hugh, Franklin Elise

机构信息

Bristol Myers Squibb, New Brunswick, New Jersey, USA.

Bristol Myers Squibb, Lawrenceville, New Jersey, USA.

出版信息

Appl Biosaf. 2021 Dec 1;26(4):193-204. doi: 10.1089/apb.2021.0004. Epub 2021 Nov 24.

Abstract

As the pharmaceutical industry advances its understanding of biological processes and how they relate to (the causes and treatments of) disease, many new modalities such as protein therapeutics (PTs) are emerging as breakthrough therapies to treat both rare and common diseases. As PTs become more prevalent, occupational health and safety professionals are challenged with identifying potential occupational exposure risks, health hazards, and assessing best practice recommendations for workers who develop, manufacture, and administer PTs. To characterize airborne exposures to PTs, we conducted a retrospective analysis of industrial hygiene (IH) data for PTs spanning >15 years. This information was used to support the development of an occupational exposure control banding system designed for and applicable to biologically derived PTs (produced in living cells). Overall, 403 IH samples were evaluated that included exposure data for monoclonal antibodies, fusion proteins, PEGylated proteins, and surrogates. Our evaluation of historical IH PT sample data indicated low exposure potential across manufacturing activities with >99% (400/403) being below an airborne concentration of 1 μg/m. Processes with the highest potential for airborne exposure included high-energy operations (e.g., homogenization) and maintenance activities (e.g., cleaning and repairs). The observed low exposure potential is expected given that many biological manufacturing activities are closed to maintain product sterility. This evaluation indicated that the banding systems historically utilized for small molecules could benefit from being revisited for PTs.

摘要

随着制药行业对生物过程及其与疾病(病因和治疗)关系的理解不断深入,许多新的治疗方式,如蛋白质疗法(PTs),正作为治疗罕见病和常见疾病的突破性疗法而涌现。随着PTs的使用越来越普遍,职业健康与安全专业人员面临着识别潜在职业暴露风险、健康危害,以及为从事PTs研发、生产和给药的工人评估最佳实践建议的挑战。为了描述空气中PTs的暴露情况,我们对超过15年的PTs工业卫生(IH)数据进行了回顾性分析。这些信息被用于支持开发一种专门为生物衍生PTs(在活细胞中产生)设计且适用于它们的职业暴露控制分级系统。总体而言,共评估了403份IH样本,其中包括单克隆抗体、融合蛋白、聚乙二醇化蛋白及替代物的暴露数据。我们对历史IH PT样本数据的评估表明,整个生产活动中的暴露潜力较低,超过99%(400/403)的样本空气中浓度低于1μg/m。空气中暴露潜力最高的工艺包括高能操作(如匀浆)和维护活动(如清洁和维修)。鉴于许多生物制造活动为保持产品无菌而处于封闭状态,观察到的低暴露潜力在意料之中。该评估表明,历史上用于小分子的分级系统可能需要重新审视以适用于PTs。

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