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TERMINOLOGY

What is a
Biopharmaceutical?
Part 1: (Bio)Technology-Based Definitions
by Ronald A. Rader

T
he terms biotechnology considers biotechnology to include
and biopharmaceutical any small, R&D-intensive life-science
describe many complex company, and the newer pharmaceuti-
and important products, cal business view that simply redefines
CHRISTINA PRIER STEFFY

technologies, R&D, and pharmaceutical, including all drugs


industries. Most people, particularly and big pharma, as biotechnology
those within the industry, presume and biopharmaceutical.
that a biopharmaceutical involves
biotechnology, but this connection is WORDS MATTER
often ignored or rejected. That causes Terminology (and related taxonomy
problems in communication and and classification) is of utmost impor-
Biopharma(ceutical) public perception. tance to any industry. The words we
This article examines biopharma- use and the concepts they convey
and related terms are ceutical terminology and ramifications provide the framework for communi-
for the industry. There are four major cation, understanding, and perceptions
so misused and abused views of biopharmaceutical—the at both individual and societal lev-
intersection of biotechnology and els. Definitions of biotechnology and
that they are losing pharmaceuticals—based on different biopharmaceutical, particularly what
views of biotechnology. (See Models is included/excluded, define entire
their meaning. If the of Biopharmaceutical Terminology.) industries at the most basic level.
Part I examines why terminology Increasingly, biopharmaceutical is
industry does not use is important and discusses technically being (mis)used to encompass all
grounded definitions based on under- pharmaceutical R&D or the entire
biopharmaceutical lying (bio)technologies and historical pharmaceutical industry—both drugs
and regulatory definitions, including and biopharmaceuticals.
terminology the broad biotechnology view of bio- Traditional, mainstream sources
pharmaceutical as pharmaceuticals for resolution of terminology—dic-
consistently, it may manufactured using biotechnology and tionaries—are of little help. Nearly
the new biotechnology view restricted all of the more comprehensive and
well lose its identity. to genetic engineering. authoritative English language and
Part 2 will look critically at how even sci-tech and medical dictionaries
terms are being redefined by indus- lack any entry for biopharmaceutical
try sectors and the press (trade and despite decades of widespread use.
popular) based on business models In a Google search, a good indicator
(company type). In that view, bio- of general usage, biopharmaceutical
pharmaceutical is no longer linked to retrieves about 442,000 entries.
biotechnology, and small molecule Misuse of terminology, par-
drugs and companies with no biotech- ticularly at the level of what is or
nology involvement are included. isn’t considered a biotechnology
That discussion will include the or biopharmaceutical product,
biotechnology business view, which can only contribute to problems,
60 BioExecutive International MARCH 2005
Paradigms of Biopharmaceutical Terminology
BIOPHARMACEUTICAL BIOTECHNOLOGY PHARMACEUTICAL DRUGS USERS
BROAD All biotechnology-based Living organism/ All medicinal Chemical/non- Core biopharma
BIOTECHNOLOGY pharmaceuticals bioprocessing products (all biological source industry (especially
source pharmaceuticals) pharmaceuticals in United States);
savvy sources; FDA many tech-savvy
sources
NEW Only new biotech (genetic Only new All medicinal Chemical/non- Some in biopharma
BIOTECHNOLOGY engineered) pharmaceutcals biotech (genetic products (all biological source industry (especially
(primarily rDNA protein and engineered) pharmaceuticals) pharmaceuticals in Europe); some
monoclonal antibody-based) products savvy sources; FDA tech-savvy sources;
EMEA
BIOTECHNOLOGY All pharmaceuticals from All products All medicinal Chemical/non- Business/financial
BUSINESS biotech-like (small, R&D from biotech-like products (all biological source communites;
intensive) life sci. companies companies (plus pharmaceuticals) pharmaceuticals popular press; BIO
(plus biopharmaceuticals from biotech products savvy sources; FDA
Big Pharma) from large
companies)
PHARMA All medicinal products All products from Biopharmaceutical Term often Some Big Pharma
BUSINESS (all pharmaceuticals are pharma ceutical used as synonym or dropped from supporters
biopharmaceuticals) and biotech pharmaceutical usage
companies
At least four conflicting paradigms of biopharmaceutical terminology are in common use: Broad Biotechnology, New
Biotechnology, Biotechnology Business, and Pharma Business. Part 1 of this article considers the first two paradigms.
Part 2 of this article will discuss the second two.

definition of a gene and terms such concerning terminology.


Biopharmaceutical: as a gene’s or protein’s structure and Misapplication of terms can have
function 3. profound implications, such as wide
noun: a pharmaceutical Not only are biopharmaceutical variations in reporting of biophar-
and biotechnology defined differently maceutical product approvals, total
product manufactured by industry, the financial sector, the sales, and other aspects of the industry.
general public, and the trade and Are total biopharmaceutical revenues
by biotechnology popular press, legal and regulatory about $40 billion, as is commonly
definitions further confound the situ- reported—including only recombinant
methods (involving ation. Terminology is an important proteins and monoclonal antibodies?
factor influencing technical, legal, and Or are revenues more on the order of
live organisms; political battles such as the one over $70–80 billion—including other phar-
generic biopharmaceuticals—an area maceutical products manufactured
bioprocessing); involving even more complex, chaotic, by biotechnological methods such as
and undefined terminology. Because vaccines, plasma-derived proteins,
adjective: relating to the term biopharmaceutical is used nonrecombinant cell culture–derived
inconsistently, other pharmaceutical proteins, enzymes, toxins, and other
biopharmaceutical sectors—including the R&D services products?
and mainstream drug (Big Pharma) A basic distinction can be made
products, technologies, industries—are co-opting it for their between biopharmaceuticals, manu-
own uses. Seemingly authoritative factured by biotechnology methods
companies, or industry sources such as major trade associa- and involving complex biological
tions are of little help. Even those that molecules, and drugs, manufactured
misunderstanding, and frustration actually define the terms they use by chemical (nonbiological) means
within industry and among the general often misapply them, particularly and involving small molecules and
public. Pity the reporter or student when referring to companies and other chemical substances. Another
trying to make sense of industry industry instead of to products and basic premise is that biotechnology
products, size, total sales, or other technologies. These aspects are dis- and biopharmaceutical refer to inher-
seemingly basic parameters. The cussed further in Part 2. ently commercial and industrial
prevailing chaos concerning terminol- There is no consensus on the use activities (bioprocessing). Thus, these
ogy and information organization in of biopharmaceutical or related terms terms do not apply to noncommercial
biotechnology was reported nearly in the scientific community. Those scientific research, disciplines, and
two decades ago 1, 2. The situation concerned with biopharmaceuticals organizations. In this view, life sci-
has only gotten worse since then. are divided among a large number ences research, generally performed
Inconsistencies and problems in ter- of scientific and industrial disciplines by the public sector, forms the knowl-
minology often extend to scientific and professional associations. None edge base for biotechnology. That
terminology such as the technical have taken a visible position
MARCH 2005 BioExecutive International 61
Major Classes of Biopharmaceutical Products
pharmaceutical biotechnology products.
Usage in this manner follows the gen-
eral paradigm of linking descriptions
of products, technologies, companies,
���������������������� and industries to methods of manu-
���������������
�������������� facture and materials involved and
���������������������
������������������ is consistent with the common
������������������������������� ������������������
���������������� ��������������������������� understanding of the prefix bio to
������������������ indicate biotechnology.
������������������������� ���������������������������� By this definition, biopharma-
������������������������������� ceuticals includes a broad range
��������������������������
����������������� of products (see “Major Classes of
������������������
������������������������������� Biopharmaceutical Products”):
��������������� ������������������������������������� • Recombinant and other cell
����������������������������������� ��������������������������������
��������������������������
culture–derived proteins
��������
��������������������������������� ��������������� • Antibodies, both mono- and
��������������� �������� polyclonal, and cell and in vivo ascites
���������� ������������������� cultured and blood-derived
������������ ����������� • Antibody-based radioimmune
������������������������������� ��������������������������������
��������������������������� ��������������������� conjugates
��������������������� ������������������ • Blood/plasma products, both
��������������������������� human and animal-derived
��������������������� • Enzymes
• Cultured cells/tissue products.
Other definitions of biophar-

BioExecutive
� ������������� maceutical include different
groups of products. (See “Products
Included in Different Definitions of
This visual representation shows how biopharmaceutical products are arranged by
this author, including the number of major marketing and near-market products in
Biopharmaceutical.”)
each category. ©2005 BIOEXECUTIVE INTERNATIONAL This broad biotechnology-based
definition has been in use since the
early to mid-1980s. See, for example,
includes bioinformatics, drug design, of using symbols for components, the biotechnology patent abstract
proteomics, and other state-of-the art as with proteins), it is almost certainly periodical, BioINVENTION 5, and
research often referred to as biotech- a chemical substance or drug— based on that, the analyses of US
nology or biopharmaceutical. Thus, usually a small-molecule drug—and biotechnology patents issued in the
NIH and universities are negligibly not a biological substance nor a late 1980s by the Pharmaceutical
involved in the biotechnology and biotechnology or biopharmaceutical Manufacturers Association (PMA,
biopharmaceuticals industry. product. Thus, small molecule drugs now PhRMA) 6.
Because biological systems are are not biopharmaceuticals. As early as 1984, a landmark report
involved, biotechnology and bio- by the US congressional Office of
pharmaceutical products are almost BROAD BIOTECH Technology Assessment (OTA) rec-
always highly complex, often defy- Many different definitions, tax- ognized that biotechnology is a set of
ing short, simple description and onomies, classification schemes and methods useful in many industrial
analytical characterization. Unlike paradigms can be applied to the word sectors, particularly for manufacture
chemical substances and drugs, few biopharmaceuticals. No simple defini- of products 7. The idea that biotech-
biopharmaceuticals are composed tion has been universally accepted. nology involves many biotechnologies
of single, readily describable chemi- In the United States, the term is is now predominant. At least in the
cal structures. A biopharmaceutical’s most commonly used to refer to all United States, biopharmaceutical is
description is dependent on its identity therapeutic, prophylactic, and in thus often considered to include prod-
(source), manufacture (bioprocessing) vivo diagnostic products manufac- ucts manufactured by both “new”
and specifications (the product– tured using live organisms or derived technologies (recombinant DNA and
process–specifications paradigm used functional components. Thus, a bio- monoclonal antibody/hybridoma)
in the context of discussing generic pharmaceutical involves bioprocessing; and “old” technologies (fermentation,
biopharmaceuticals) 4. But irre- and can therefore be defined as the nonrecombinant cell culture–derived
spective of method of manufacture, intersection of pharmaceutical and proteins, vaccines, and other products
if an active agent’s structure can be biotechnology. It is thus synonymous from live organisms including blood/
portrayed atom-by-atom (instead with biotechnology pharmaceutical and plasma products). Despite the

62 BioExecutive International MARCH 2005


Products Included in Different Definitions of
Old vs. New: As shown in “Models
Biopharmaceutical
of Biopharmaceutical Terminology,”
BROAD BIOTECH NEW BIOTECH BIOTECH PHARMA
BUSINESS BUSINESS the new biotechnology view restricts
PROTEINS, RDNA X X X X
biotechnology and biopharmaceuti-
cals to genetic engineering. The time
MABS, RDNA X X X X
has come to eliminate classifications
PROTEINS, NON-RDNA X X X
based on old or new technology.
MABS, NON-DNA1 X X X Biotechnology now emcompasses a
VACCINES X X X variety of evolving technologies, and
ENZYMES X X X as the industry matures, distinctions
TOXINS X X X among them have become less clear
CELLS/TISSUES X X X and relevant. Even genetic engineer-
BLOOD PRODUCTS X X X
ing, which origninated in the 1970s,
could now be considered “old.” It is
SMALL DRUGS2 X X
inappropriate to label as “old” many
ALL DRUGS X
non-genetic–engineering products
1: Monoclonal antibodies, hybridoma cultured (in vitro or ascites methods) and technologies developed in recent
2: Includes small and other nonbiological molecules decades, some of which involve more
complex and modern technolo-
commonality of such a broad defi- considered to include some classes gies than many recombinant protein
nition, many people still perceive of products not considered by most and monoclonal antibody products.
biopharmaceutical products and people (including this author) to The end products and methods of
technologies as involving only be biotechnology products, such as manufacture are most important, not
genetic engineering. chemical substances extracted from particular technologies used to obtain
European usage generally follows plants; secondary metabolites from source organisms. Most recombinant
the US paradigm of defining biophar- microbial culture (many antibiotics); protein products are still mimics of
maceuticals as biotechnology-based fully synthetic peptides; and antisense naturally occurring proteins anyway.
pharmaceuticals with genetically and other oligonucleotides. Although With modern technology better able to
engineered products as a subset, it may seem strange to consider bio- characterize products both genetically
but it uses different terminology. pharmaceuticals as a subset of engineered and not, there is much
Biopharmaceutical is defined as involv- biotechnology medicines, it is essentially less need to make distinctions based
ing only new biotechnologies (genetic the same paradigm commonly held in on crude characterizations of the age
engineering): “a protein or nucleic acid the United States, but using different of technologies used to obtain source
based pharmaceutical substance used terms and definitions. organisms.
for therapeutic or in vivo diagnostic Whatever definition is used, what is So far, this discussion has centered
purposes, which is produced by means or isn’t considered a biopharmaceuti- on terminology in the context of prod-
other than direct extraction from cal is often in the eye of the beholder, ucts and technologies. The situation
a native (non-engineered) biologi- particularly at the boundaries. gets more complex when considering
cal source,” explains Walsh 8, 9. He Antisense oligonucleotides, aptamers, regulatory terminology and applying it
further notes that “general consensus, RNAi, and so on, may be considered to companies and industry.
initially formed in the 1980s, seems to biopharmaceuticals (because they
be that biopharmaceuticals are a class mimic biological molecules), drugs REGULATORY CONVOLUTIONS
of therapeutic product produced by (because they are almost always The US Food and Drug Administration
modern biotechnological techniques, synthetic), or both. There are also (FDA) has no useful definition of bio-
i.e., by recombinant DNA technology, many valid reasons to exclude, class pharmaceutical, biologic, or similar
or by hybridoma technology in the as borderline or gray area, or give terms. The official term biologic has a
case of murine monoclonal antibody secondary consideration to some prod- brief definition: “any virus, therapeutic
based products.” Unlike the broad defi- ucts and technologies. Many people serum, toxin, antitoxin, or analogous
nition widely used in the United States, exclude relatively low-tech products product applicable to the preven-
this definition excludes all products manufactured by local blood banks tion, treatment or cure of diseases or
from nonengineered organisms. such as red blood cells, plasma, and injuries of man.” A lengthy, official
Europeans use a broader term, antihemophilic factor (Factor VIII) definition (see 21 CFR 600.3) defines
biotechnology medicines (or products cryoprecipitate. One reference book products on the basis of analogies or
of pharmaceutical biotechnology) to considers those products to be bio- similarities to a virus, serum, toxin, or
denote “all [pharmaceutical] products pharmaceuticals but does not include antitoxin, using those terms as defined
produced in part or in full by biotech- the same depth of coverage and over a century ago in 1902 when the
nological means, either traditional indexing as provided for other Virus-Toxin Law initiating the regula-
or modern” 8, 9. The broad class products 10. tion of biologics was enacted. That
of biotechnology medicines is also definition ignores terms in use as long
MARCH 2005 BioExecutive International 63
 Reference  The Center for Biologics Evaluation
1 Committee on Biotechnology 9 Walsh G. Biopharmaceuticals and Research (CBER) website includes
Nomenclature and Information and Biotechnology Medicines: An use of the more descriptive biological
Organization. Biotechnology: Issue of Nomenclature. European J.
Nomenclature and Information Pharm. Sci. 15(2) 2002: 135–8. products.
Organization [Final Report], National 10 Rader RA. BIOPHARMA:
Most biopharmaceuticals (using the
Research Council, National Academy Biopharmaceutical Products in the U.S. prevailing US definition) are classed
Press, 1986 [NTIS no. PB-88-223896]. Market. Biotechnology Information and regulated by the FDA as biolog-
2 Rader RA. The Status of the Institute: Rockville, MD, September 2004; ics. However, some are regulated as
Infrastructure of Information Resources www.biopharma.com. drugs or medical devices, with differ-
Supporting U.S. Biotechnology. 11 Frequently Asked Questions.
Impact of Chemistry on Biotechnology.
ent laws, definitions, and regulations
Center for Biologics Evaluation and applying to each class. Some proteins,
(ACS Symposium Series No. 362) Research, FDA. www.fda.gov/cber/faq.
American Chemical Society: htm. particularly those substantially simi-
Washington, DC, 1988; Chapter 32; lar to products originally regulated
12 FDA To Consolidate Review
pp. 375–85. Related presentations as drugs such as recombinant pro-
available at www.biopharma.com. Responsibilities for New Pharmaceutical
Products. Press release. www.fda.gov/bbs/ tein equivalents of animal-derived
3 Atwood TK. The Babel topics/NEWS/2002/NEW00834.html. drugs—insulin and somatropin
of Bioinformatics. Science 220
October 20, 2000: 271–2. 13 Federal Food, Drug, and (human growth hormone)—continue
Cosmetic Act. Public Law 95-532, section to be regulated as drugs (not biologics)
4 Webster C, et al. Biologics: 201(g). 21 USC § 321(g). by the Center for Drug Evaluation and
Can There Be Abbreviated Applications,
14 Council Regulation (EEC)
Generics, or Follow-On Products? Research (CDER). This has profound
BioPharm International July 1, 2003: www. No 2309/93 of 22 July 1993 Laying
down Community Procedures for the
implications for the development
biopharminternational.com/biopharm/ of regulations for generic biophar-
article/articleDetail.jsp?id=73785. Authorization and Supervision of Medicinal
Products for Human and Veterinary Use maceuticals, terminology that is still
5 Zaborsky O, Rader RA. and Establishing a European Agency for undefined.
BioINVENTION 1984–1990. the Evaluation of Medicinal Products, Regulatory-related classifications
6 Analysis of US Biotechnology http://pharmacos.eudra.org/F2/eudralex/
Patents. Pharmaceutical Manufacturers vol-1/REG_1993_2309/REG_1993_2309_
are complicated by changes in intra-
Association (PMA): Washington, EN.pdf . FDA authority over biologics. As of
DC, 1986, 1987, 1988. 15 Council Directive 75/318/EEC
June 2003, many of the more readily
7 Office of Technology of 20 May 1975 on the Approximation characterizable biologics, particu-
Assessment. Commercial Biotechnology: of the Laws of Member States Relating to larly many recombinant proteins and
An International Analysis. Government Analytical, Pharmacotoxicological and monoclonal antibodies, have been
Printing Office: Washington, DC, Clinical Standards and Protocols in Respect transferred to CDER, which continues
January 19, 1986; OTA-BA-218. of the Testing of Medicinal Products.
http://pharmacos.eudra.org/F2/eudralex/ to regulate and approve them under
8 Spada S, Walsh G. Directory of
Approved Biopharmaceutical Products. download/volpdf/vol1/vol1en.pdf . biologics regulations 12. That has left
CRC Press: Boca Raton, FL, 2004. CBER regulating the more complex
biologics—vaccines and blood-derived,
cellular, and gene therapy products.
ago as three or more decades, such Because it is linked to long-for- Thus nearly all biologics with thera-
as virus, protein, antibody, gene, and gotten terminology and has been peutic/prophylactic indications can be
DNA/RNA and makes no reference to inconsistently applied by the FDA over considered biopharmaceuticals; and
the involvement of bioprocessing. the years, biologics is not an optimal biopharmaceuticals/biologics are now
Thus, biologics can include proteins term for common use. For example, regulated by both the biologics and
and blood-derived products based on biologics includes some simple organic drugs divisions of the FDA. Only a
similarity to serum; virus-, bacteria-, drugs such as arsphenamine and other few biopharmaceuticals are regulated
and other microorganism-derived organic arsenic compounds. In prac- as medical devices.
products—vaccines and gene thera- tice, intended use may also be taken Further confounding regulatory
pies—based on similarities to filterable into account by the FDA to classify terminology, the Federal Food, Drug,
pathogens (a definition of virus pre- and regulate a product as a biologic and Cosmetic (FD&C) Act defines
dating a basic understanding of viruses (rather than as a drug or medical drugs as all “articles intended for use
or DNA/RNA and encompassing device). Some in vitro diagnostics, in the diagnosis, cure, mitigation,
all microorganisms); and antibodies such as HIV antigen (infection) detec- treatment, or prevention of disease” or
based on similarities to antitoxins. In tion kits, are regulated as biologics “articles (other than food) intended to
current practice, biologics includes “a based on their use for testing (release) affect the structure or any function of
wide range of products such as vac- of other biologics, mostly blood- the body,” particularly those described
cines, blood and blood components, derived products. Also, many outside in officially recognized pharmacope-
allergenics, somatic cells, gene therapy, the regulatory community use biologics ias 13. Thus essentially all products
tissues, and recombinant therapeutic to include all biopharmaceuticals. Even regulated as biologics (and also drugs
proteins” 11. the FDA has avoided using the term: and medical devices) could also be

64 BioExecutive International MARCH 2005


considered drugs by the FD&C defini- ness and pharmaceutical business
tion. That may be the source for terms definitions. Part 2 will discuss those
such as biologic drugs and biotech definitions; how the trade and popular
drugs to refer to biologics and biophar- press, financial community, compa-
maceuticals. Fortunately, in practice nies, and trade associations use and
this FD&C-derived view defining all misuse terminology; and strategic
pharmaceuticals (biologics, drugs, and considerations and recommendations
medical devices) to be drugs has been for the biopharmaceutical industry
rarely used. The term drugs is best to preserve its identity and links to
used to refer to nonbiologic, chemical- biotechnology. 
based pharmaceuticals.
European Union (EU) regulations Ronald A. Rader is president of the
define biotechnological processes as Biotechnology Information Institute,
those involving “recombinant DNA 1700 Rockville Pike, Suite 400,
technology; controlled expression of Rockville, MD 20852, 1-301-
genes coding for biotechnologically 424-0255, fax 1-301-424-0257,
active proteins in pro- and eukaryotes, biotech@biopharma.com. His pub-
including transformed mammalian lications include BIOPHARMA:
cells; monoclonal antibody technol- Biopharmaceutical Products
ogy” 14. Thus, biotechnology is (www.biopharma.com) and the Antiviral
largely restricted to recombinant and Agents Bulletin (1988–2003).
monoclonal antibody products (new
biotechnologies). EU pharmaceuti-
cal regulators (EMEA) use the term
biological medicinal products to refer
to nonrecombinant pharmaceuticals
manufactured using biotechnological
processes. Although European bio-
logical medicinal product regulations
include mention of “vaccines, serums,
toxins, allergen products and medici-
nal products derived from human
blood or plasma,” in practice the
term has been largely restricted to
genetically engineered and monoclonal
antibody-based products 9, 15.
Obviously, US and EU regulatory
terminology differ vastly from each
other. The US term biologics includes
recombinant and nonrecombinant
microbial and cultured products,
vaccines, and blood products,
whereas the European terminology is
largely restricted to recombinant and
monoclonal antibody products.

NOT OVER YET


Defining biopharmaceuticals is not
easy. Many different views and defini-
tions are in use. Much terminology in
common use, including by industry
sources and regulators, varies and
often conflicts. But at least it is solidly
based on links to biotechnology—
including broad biotechnology, new
biotechnology, and official US and
EU definitions.
The link to biotechnology is simply
ignored by the biotechnology busi-
MARCH 2005 BioExecutive International 65

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