| Literature DB >> 25342901 |
Jiun-Wen Guo1, Yu-Hsuan Lee2, Hsiau-Wen Huang3, Mei-Chyun Tzou3, Ying-Jan Wang2, Jui-Chen Tsai4.
Abstract
Nanotechnology offers potential in pharmaceuticals and biomedical developments for improving drug delivery systems, medical imaging, diagnosis, cancer therapy, and regenerative medicine. Although there is no international regulation or legislation specifically for nanomedicine, it is agreed worldwide that considerably more attention should be paid to the quality, safety, and efficacy of nanotechnology-based drugs. The US Food and Drug Administration and the European Medicines Agency have provided several draft regulatory guidance and reflection papers to assist the development of nanomedicines. To cope with the impact of nanotechnology and to foster its pharmaceutical applications and development in Taiwan, this article reviews the trends of regulating nanotechnology-based pharmaceuticals in the international community and proposes strategies for Taiwan's regulation harmonized with international considerations. The draft regulatory measures include a chemistry, manufacturing, and controls (CMC) review checklist and guidance for CMC review of liposomal products. These have been submitted for discussion among an expert committee, with membership comprised of multidisciplinary academia, research institutions, the pharmaceutical industry, and regulators, and are currently approaching final consensus. Once a consensus is reached, these mechanisms will be recommended to the Taiwan Food and Drug Administration for jurisdiction and may be initiated as the starting point for regulating nanotechnology-based pharmaceuticals in Taiwan.Entities:
Keywords: CMC review; nanomedicine; nanotechnology; pharmaceuticals; regulatory guidance
Mesh:
Year: 2014 PMID: 25342901 PMCID: PMC4206375 DOI: 10.2147/IJN.S68134
Source DB: PubMed Journal: Int J Nanomedicine ISSN: 1176-9114
List of approved nanopharmaceuticals in Taiwan
| Name | Type | Route of administration | Indication(s) | US FDA-approved date | Taiwan FDA-approved date |
|---|---|---|---|---|---|
| Lipodox (doxorubicin) | Liposome | Intravenous | Antineoplastic | 1998/09 | |
| Visudyne (verteporfin) | Liposome | Intravenous | AMD | 2000/04 | 2002/07 |
| AmBisome (amphotericin B) | Liposome | Intravenous | Antifungal | 1997/08 | 2002/03 |
| Macugen (pegaptanib sodium) | Pegylation | Intravitreal | Neovascular, AMD in adults | 2004/12 | 2007/06 |
| Neulasta (pegfilgrastim) | Pegylation | Subcutaneous | Febrile neutropenia | 2002/01 | 2011/09 |
| PEG-Intron (peginterferon α-2b) | Pegylation | Subcutaneous | Chronic hepatitis C | 2001/01 | 2001/06 |
| Rapamune (sirolimus) | Nanocrystal | Oral | Immunosuppressant | 2002/08 | 2002/01 |
| Emend (aprepitant) | Nanocrystal | Oral | Antiemetic | 2003/03 | 2004/05 |
| Triglide (fenofibrate) | Nanocrystal | Oral | Antihyperlipidemia | 2005/05 | 2004/10 |
| Renagel (sevelamer hydrochloride) | Micronized | Oral | Control of hyperphosphatemia | 2000/07 | 2003/07 |
| Copaxone (glatiramer acetate) | Micronized | Subcutaneous | Relapsing-remitting multiple sclerosis | 1996/12 | 2006/12 |
| Invega Sustenna (paliperidone palmitate) | Nanocrystal | Intramuscular | Schizophrenia | 2009/07 | 2011/04 |
Abbreviations: AMD, age-related macular degeneration; FDA, Food and Drug Administration.
Comparison of nanopharmaceutical regulation between Taiwan and US/EU/Japan
| Year | Taiwan | US/EU/Japan |
|---|---|---|
| 2010 | Abbreviated review process for new drug registration | US CDER: Reporting Format for Nanotechnology-related Information in CMC Review |
| Draft: priority review mechanism for new drug registration | US FDA: Draft Guidance on Doxorubicin Hydrochloride | |
| 2011 | EMA: Reflection Paper on Non-clinical Studies for Generic Nanoparticle Iron Medicinal Product Applications | |
| 2013 | Drafting the guidance for technical review of CMC of the nanomedicines, including the following: | EMA: Joint MHLW/EMA Reflection Paper on the Development of Block Copolymer Micelle Medicinal Products |
| CMC review checklist for nanotechnology-related pharmaceuticals | EMA: Reflection Paper on the Data Requirements for Intravenous Liposomal Products Developed With Reference to an Innovator Liposomal Product | |
| Draft guidance for technical review of CMC of the liposomal drug products, with an attachment of the current regulations for liposomal drug products, including new chemical entities, new administration routes, new indications, new combinations, new dosage forms, new doses, new dose units, and generic formulations | EMA: Reflection Paper on Surface Coatings: General Issues for Consideration Regarding Parenteral Administration of Coated Nanomedicine Products | |
| EMA: Draft Reflection Paper on the Data Requirements for Intravenous Iron-based Nanocolloidal Products Developed With Reference to an Innovator Medicine |
Abbreviations: CDER, Center for Drug Evaluation and Research; CMC, chemistry, manufacturing, and controls; EMA, European Medicines Agency; EU, Europe; FDA, Food and Drug Administration; MHLW, Japanese Ministry of Health, Labour and Welfare.
Form A – Chemistry, manufacturing, and controls (CMC) review checklist for nanotechnologya-related pharmaceuticals
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Notes: aNanotechnology: The understanding and control of matter at dimensions between approximately 1 to 100 nm, where unique phenomena enable novel applications. bNanoparticle: Nano-object with all three external dimensions at the nanoscale that is the size range from approximately 1 nm to 100 nm. Polymeric nanoparticle platforms are characterized by their physicochemical structures including solid nanoparticles, nanoshell, dendrimer, polymeric micelle, and polymer-drug conjugates. cDendrimer: A polymer in which the atoms are arranged in many branches and subbranches along a central backbone of carbon atoms. dLiposome: Vesicles composed of one or more bilayers of amphiphatic lipid molecules enclosing one or more aqueous compartments. eMicelle: Self-assembling nanosized colloidal particles with a hydrophobic core and hydrophilic shell currently used for the solubilization of various poorly soluble pharmaceuticals. fNanocrystal: Nanoscale solid formed with a periodic lattice of atoms, ions, or molecules. gMetal colloid: Metal nanoparticles in colloidal systems where the term colloidal refers to a state of subdivision. This implies that the molecules or polymolecular particles are dispersed in a medium and have at least in one direction a dimension roughly between 1 nm and 1 μm or, in a system, have discontinuities at distances of that order. For example, silver, gold, titanium dioxide, zinc oxide, and iron oxide.
Abbreviation: API, active pharmaceutical ingredient.
Form B – Methods used to characterize the nanomaterial
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Notes: *Only common techniques are listed. Check relevant parts of the product. Justify if using other methods. #An abbreviation list is provided below. @These techniques will measure the average particle size, but can not necessarily distinguish between primary particles, aggregates, and agglomerates.
Abbreviations: AAS, atomic absorption spectroscopy; AFM, atomic force spectroscopy; AUC, analytic ultracentrifugation; BET, Buranuer–Emmett–Teller method; CHDF, capillary hydrodynamic fractionation; DLS, dynamic light scattering; DMA (1), differential mobility analyzer; DMA (2), dynamic mobility analyzer; DSC, differential scanning spectroscopy; ESA, electroacoustic spectroscopy; FFF, field flow fractionation; FTIR, fourier transform infrared spectroscopy; GE, gel electrophoresis; GPC, gel permeation chromatography; HPLC, high performance liquid chromatography; ICP-MS, inductivity coupled plasma mass spectrometry; ITC, isothermal titration calorimetry; LDE, laser doppler electrophoresis; MS, mass spectrometry (GCMS, gas chromatography-mass spectrometry; TOFMS, time-of-flight mass spectrometry; SIMS, secondary ion mass spectrometry, etc); NMR, nuclear magnetic resonance; PALS, phase analysis light scattering; RS, raman spectroscopy; SEM, scanning electron microscopy; SLS, static light scattering; SMA, scanning mobility particle sizer; SPM, surface probe microscopy (AFM, atomic force microscopy; STM, scanning tunneling microscopy; NSOM, near-field scanning optical microscopy, etc); TEM, transmission electron microscopy; TGA, thermal gravimetric analysis; UV-Vis, ultraviolet-visible spectrometry; XDC, X-ray disk centrifuge; XPS, X-ray photoelectron spectroscopy; XRD, X-ray diffraction.