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THE LATEST IN DIGITAL HEALTH CONTINUOUS FLOW BENEFITS A GUIDE TO PROCESS EQUIPMENT

July/August 2019

UNSURE WHO TO TRUST?


Contec explains where to place your trust when
it comes to EU Biocidal Products Regulations
Science on
demand
Make us an integral part of your
supply chain and allow us to help you
achieve your Continuous Production
or Just-In-Time Production goals.

Schedule your analysis at our


FDA and MHRA approved contract
analytical laboratory to ensure that
your workflow runs to plan.

Sarah Healy,
Analytical Chemist

To find out more


call +44 (0)20 8977 0750
email info@butterworth-labs.co.uk

butterworth-labs.co.uk
Contents
July /August 2019 | Volume 19 Issue 5

REGULARS

5: EDITOR’S DESK
Reece Armstrong flies the flag for LGBT+ people
working in science and engineering.

6: A SMALL DOSE
A brief round-up of some of the latest developments
in the industry.

8: IN THE NEWS
A short selection of stories from the world of science.

10: OPINION
Why labelling is an unassuming challenge
for pharma manufacturers.

14: COVER STORY


Contec guides readers on what to look out for when
complying with EU Biocidal Products Regulation (BPR).

20: ANALYSIS
How new drug development platforms
are boosting innovation in pharma.

FEATURES

16: DIGITAL HEALTH


The three laws of drug development and how technologies
are improving medications.

22: SINGLE-USE
The benefits continuous flow brings to manufacturers.

24: IN PROFILE
Marcus Knöll from Bosch Packaging Technology tells us about
the challenges of working in the industry.

34: FROM THE FACTORY


Five of the latest developments for manufacturing facilities.
5
HEAD OFFICE
Carlton House, Sandpiper Way, FLYING THE FLAG
Chester Business Park,
Chester, CH4 9QE.
The recent news that Alan Not only does J&J offer
Tel. +44 (0)1244 680222 Turing will be the next face same-sex parents the same
Fax. +44 (0)1244 671074 of the £50 note should be a benefits as heterosexuals, it
Web: www.epmmagazine.com welcome boon to members provides transgender health
of the LGBT+ community. insurance coverage and offers
EDITORIAL same-sex spouses assistance
At the time of writing, Pride with fertility treatments, adoption
editor reece armstrong Month has ended and and surrogacy. Besides this, the
reece.armstrong@rapidnews.com companies around the world company has also donated over
have put their rainbow coloured $1 million to LGBT+ charities.
group editor dave gray branding back into the
david.gray@rapidnews.com
proverbial closet. And yes, for a business that
head of content, life sciences lu rahman, makes billions in profit every year
lu.rahman@rapidnews.com It’s easy to be cynical and this may seem like a paltry
dismiss companies’ efforts amount. Yet without financial
publisher duncan wood towards LGBT+ inclusivity as donations, supportive policies
money-making PR stunts, but in and inclusive workplace
PRODUCTION the pharma industry at least atmospheres – things that
progress is being made. actually make a difference – then
head of studio and production companies will continue to simply
sam hamlyn In the UK, GSK’s efforts into fly the flag every year without
improving workplace culture supporting any LGBT+ efforts.
design robert wood
and life for LGBT+ employees
have been recognised by BUT WHY IS THIS IMPORTANT?
ADVERTISING Without financial Stonewall’s Global Workplace A report released in June by the
robert anderton donations, Equality Index. The company’s Institute of Physics, Royal
tel: +44 (0)1244 952359 supportive policies policies, which protect workers
from discrimination on the
Astronomical Society and Royal
Society of Chemistry highlighted
robert.anderton@rapidnews.com
and inclusive grounds of their sexual that 28% of LGBT+ scientists
head of media sales, plastics & life sciences workplace orientation and gender identity, have considered leaving their
lisa montgomery
lisa.montgomery@rapidnews.com
atmospheres, align well with the words of
Brian McNamara, CEO, GSK
jobs because of discrimination.
More so, the survey of over
companies will Consumer Healthcare. 1,000 employees working in
SUBSCRIPTIONS continue to simply physical sciences, demonstrated
subscriptions@rapidnews.com fly the flag every “Innovation in healthcare that almost half (49%) believe
happens when groups of people there is an overall lack of
year without who are different join together awareness of LGBT+ issues
qualifying readers
Europe - Free, ROW - £249 supporting any with a common aim. Supporting in the workplace.
outside qualifying criteria LGBT+ efforts. LGBT+ inclusion is just one of

EDITOR’S
UK - FREE, ROW - £249 the ways that organisations can In engineering diversity is even
please subscribe online at more limited. A survey of almost
www.epmmagazine.com 7,000 engineers in the UK
shows that only 4% of these
Address changes should be emailed to
are LGBT, with another 5%

DESK
subscriptions@rapidnews.com preferring not to declare their
sexual orientation.
European Pharmaceutical Manufacturer
is published by Rapid Life Sciences Ltd. While this doesn’t necessarily
European Pharmaceutical Manufacturer
is distributed in electronic and print formats to a correlate to a culture of
combined readership of 14,000 pharmaceutical exclusion, it certainly doesn’t
manufacturing professionals. help the argument that
celebrate difference and engineering is dominated
Volume 19 Issue 5 © June 2019 spark innovation.” by straight white men.
While every attempt has been made to ensure that the
information contained within European Pharmaceutical
Manufacturer is accurate, the publisher accepts no liability Other pharma companies too So just remember the next time
for information published in error, or for views expressed. are promoting a healthy culture you see Turing’s face on the
All rights for European Pharmaceutical Manufacturer
are reserved and reproduction in part or whole for the LGBT+ community. front of a £50 note, that science
without written permission is strictly prohibited. is at its best when people of all
Johnson & Johnson for instance sexual orientations, genders and
has been named as one of the identities work together, and that
best pharmaceutical companies nobody should be excluded
to work for and in 2018 was from any industry based on
championed for its LGBT policies. who they are.
BPA Worldwide Membership
ISSN No - 2052-4811
6 A small dose

Biological
enigma
machine
could treat
incurable
diseases

A biological ‘enigma
machine’ could
be the answer to
within the messages,
and understanding
where they come
identifying and from, we have
treating currently developed a range
incurable diseases, of new diagnostic
research suggests. tools to detect
disease faster and
Researchers at enable more effective
The University of treatments with
Sydney and the Royal minimal side effects.
Women's Hospital
Australia developed “Importantly, this
the machine to technique will
interpret the cellular enable us to develop
language used by treatments for
the body. currently incurable
conditions – taking
The machine is able us from palliative
to isolate the warning
signs issued by the
body when something
therapies into cure.”

The team focused


Drug discovery collab
has gone wrong.
Labelled ‘complaint
signals’, the team
on the role tiny
messengers called
extracellular vesicles
targets Parkinson’s d
used these to detect (EVs) play in regulating
diseases quicker than
current techniques
allow.
cellular function, the
individual function
of which had not
A UK-based
biopharmaceutical
company dedicated to
PhoreMost’s phenotypic
screening platform
Siteseeker will be used
neurodegeneration drug
targets.

been determined drugging ‘undruggable’ to guide selection of Dr Chris Torrance CEO


This could potentially until now. Through disease targets novel targets identified of PhoreMost, said:
enable more effective a new technique has announced a by C4XD’s target “Neurodegeneration is
early treatments for using atomic force neurodegeneration identification platform a therapeutic area that
conditions including microscope infrared drug discovery Taxonomy3. This will has a pressing need
Parkinson’s and spectroscopy, the collaboration focusing hopefully provide for new and better
currently incurable team were able to see on Parkinson’s disease. chemical starting points targets. The opportunity
progressive lung how every cell in the to launch drug discovery to incorporate genetic
disorders. body produces a kind PhoreMost will team up programmes. insights gained from
of tiny bubble filled with C4X Discovery to C4XD’s Taxonomy3 data
Author associate with DNA and other use both companies’ It’s hoped that the alongside our
professor Wojciech molecules which they technology platforms to collaboration will bolster Siteseeker screening
Chrzanowski said: “By use to communicate validate novel targets for C4XD’s drug discovery platform has great
detecting complaints with each other. Parkinson’s disease. pipeline of novel potential to reveal
www.epmmagazine.com
7

CRO
RECOGNISED
FOR
CONTRIBUTION
TO WELSH
ECONOMY

A fast-growing
contract research
organisation (CRO) has
been recognised for its

CERTARA LAUNCHES
contribution to the
Welsh economy.

GLOBAL SCHEME FOR


CatSci was named
‘International Business
of the Year’ at the Cardiff

DRUG DEVELOPMENT
Business Awards, which
recognises outstanding
export performance in
South Wales.
The company was
also named as one of G lobal drug
development
consultancy Certara has
manufacturing and
control (CMC) talent to
tackle CMC challenges.
access approaches that
will deliver effective and
affordable therapies
the ‘50 Most Exciting
Companies in Wales’ by launched a new practice to populations in
Wales Business Insider area to help accelerate Certara Global Health need around the
magazine. medicines for people has been launched as world. A triple bottom

boration
around the world who a new product inspired line practice across
CatSci says that the need them most. by the company’s drug the global health
awards reflect the long- development and product development
term internationalisation Certara Global scientific work for the ecosystem.”

disease strategy that is targeting


key markets across the
world.
Health will take an
interdisciplinary
approach to accelerating
Bill & Melinda Gates
Foundaiton. “Developing medicines
is expensive and difficult
Simon Tyler, chief drug development “Certara Global Health at the best of times,
highly relevant novel across a range of will bring together and securing talent
operating officer, said:
drug targets. We are areas. These include talent, technology, and capital is an extra
“These accolades are a
tremendously excited model-informed software, systems and challenge for the global
testament to the talent
by the complementarity translational medicine; processes to accelerate health sector,” added
and hard work of all our
of our technologies. innovative clinical trial the development of Kevin Hershberger,
staff. Both demonstrate
C4XD’s Conformetrix designs; regulatory medicines for those that co-lead of CGH. “But
CatSci’s growth into
approach is ideally science approaches to need them most,” said we are confident that
a globally-recognised
suited to use the accelerate reviews Craig Rayner, co-lead of we can play a catalytic
partner for pharmaceutical
3D biological shape and more. CGH. “Working closely role in bringing creative
innovation, and its
information derived with the foundation thinkers together
commitment to life
from Siteseeker and One area Certara Global and other leaders with leading-edge
science in South Wales.
convert this into small Health will tackle is in the global health technologies and
We are proud to be an
molecules starting in delivering quality sector, CGH will focus methodologies, to
integral part of research
points that will lead to medicine to low-middle on creating novel support solving medicine
and development efforts
the next generation of income countries and impactful drug development and access
that lead to life-changing
therapeutics.” through by bringing development, regulatory challenges in global
new therapeutics.”
in new chemistry, science and patient health.”
8 IN THE NEWS

Cervical cancer screening gap for


lesbian women perpetuated by myth
Up to 50,000 lesbian, said: “The misleading need to be inclusive of
gay and bisexual information that gay lesbian, gay, bisexual
women (LGB) are and bisexual women trans and non-binary
missing out on aren’t at risk of this people, and I’m
screening tests for disease is one of the delighted to have been
cervical cancer due to most dangerous myths asked to help the NHS
believing they are not around, because it has address these issues Millions of
at risk. created a screening and more.” children
gap for thousands, missing out
M isinformation
spread in the past
by charities warned
which is a major
concern for our
community.
on lifesaving
vaccines
that women who have Data from the World
sex with women don’t “Let’s be clear: Health Organisation
need to be screened. cancer does not (WHO) and UNICEF
However, the human discriminate. If show that 20 million
papillomavirus (HPV), you’ve got a children around the
which causes cervical cervix, world missed out on
cancer, can be you can lifesaving vaccines
transmitted through any get last year.
type of sexual activity. cervical
A survey conducted by cancer, Poor or conflict-
the LGBT Foundation and as affected countries
MAKE YOUR DREAMS revealed that nearly one cervical were found to
COME TRUE WITH THE LGB women in five has cancer is have the most
MEDTALK PODCAST never been to a cervical preventable unvaccinated
screening appointment. people should children with the
T he MedTalk Podcast’s
latest episode has
landed!
Speaking at Pride
Week, the NHS’ national
take up their regular
screening appointments.
Ukraine suffering
from the highest
number of measles
advisor for LGBT health, “We also know that cases in 2018.
This episode sees the Dr Michael Brady, NHS screening services Dr Tedros Adhanom
editors sit down to Ghebreyesus,
discuss a recent report
looking into the future Did you know? director-general of
the World Health
of global healthcare and Organisation
the technologies shaping said: “While most
the ways we take care of children today are
ourselves. being vaccinated,
far too many
Find out what a recently are left behind.
launched service by Unacceptably, it’s
pharmacy John Bell often those who are
& Croyden means for most at risk– the
holistic healthcare and According to the Nearly all cases of There are over 100 poorest, the most
how a new wearable Centers for Disease cervical cancer can be types of HPV viruses marginalised, those
could let you take control Control and Prevention, linked back to an HPV most of which are touched by conflict
of your dreams. HPV is the most infection. relatively harmless. or forced from their
commonly spread homes - who are
sexual transmitted persistently missed.”
infection (STI).
10
Opinion

By centralising
and digitising
labelling,
pharmaceutical
companies can
create an efficient,
streamlined
process for
producing
accurate,
compliant labels.

HOW A CENTRALISED LABELLING


SOLUTION CAN IMPROVE
PHARMA PROCESSES
T he pharmaceutical industry arguably faces more challenges than most
other industries. Regulatory compliance is part and parcel of working in the
sector, but, in a business where bringing a drug to market carries such a large
investment, cost pressures, particularly when a drug comes off patent, are
perhaps higher than other industries.

Ken Moir
Therefore, finding the balance between complying to regulation, driving
Marketing Director efficiencies in the manufacturing process and maintaining quality can mean
at NiceLabel the difference between being competitive or not. 

A critical part of maintaining compliance and safety standards for any drug
manufacturer is the labelling process. Not only does the label act us a unique
identifier to prove authenticity to healthcare professionals and consumers,
it also ensures that active ingredients and concentrations are clearly
understood. And there can’t be any margin for error as the consequences
of inaccurate doses or ingredients are too high.
www.epmmagazine.com
11

In fact, it’s estimated that 50% of pharmaceutical By introducing role-based access, configurable


recalls are due to errors in product labelling or approval workflows, and document versioning and
packaging artwork. Therefore, it makes sense electronic signatures, a modern label management
to ensure labelling technology is a priority, so it system helps prevent unauthorised label changes
can address any inconsistencies in processes, and provides the necessary documentation to
mitigate human errors, enhance label quality and comply with regulatory requirements. It includes
improve business agility in order for the company label variant technology that can help pharma
to produce compliant, high-quality labels in a cost companies drastically reduce the number of label
and time-efficient manner. templates they have to maintain.   

Typical pharma labelling challenges A modern label management system can also be
integrated with Manufacturing Execution Software
Traditionally, pharmaceutical companies have (MES) and Enterprise Resource Planning (ERP)
purchased label printers locally, on a plant systems. This integration provides a single source
and country level.  This has resulted in many of the truth for label data. 
fragmented and disparate label software and
printing solutions within the same organisation.  It also solves the challenge of a fragmented
label printer landscape by introducing universal
This fragmented landscape is further complicated templates that work across all label and direct
by the fact that plants often use separate printing marking printers. This means pharma companies
systems for labelling and direct marking tasks. get one, centralised labelling system that can
Add to this the need to comply with market and guarantee correct labels regardless of the printer
country specific labelling requirements, and the make, brand or location.
result is a label database containing thousands
of label variants. How pharma companies benefit from modern label
management
Creating multiple label templates across multiple
systems in various regions is a costly and laborious An example of how pharma companies can benefit
process, even when that process is digitised. from implementing a modern label management
The more manual the procedure, the higher the system can be seen in the case of Boehringer
likelihood for errors. Ingelheim. It has been able to implement a global,
standardised labelling process with digital quality
A fragmented labelling environment also makes control and ERP integration. This has enabled
it challenging to process label change requests Boehringer Ingelheim to eliminate its manual quality
in a timely, efficient manner. This can cause many control procedures and institute a centralised way
issues, especially when regulations in some of updating label information, therefore processing
markets, such as FDA CFR 21, require documenting change requests more quickly than before.   
every change in the system, including new and
updated label templates. A solution for now and the future

A modern label management system can address Going forward agility, accuracy and compliance will
these issues. By centralising and digitising labelling, be key to pharmaceutical companies competing
pharmaceutical companies can create an efficient, successfully in a very challenging marketplace.
streamlined process for producing accurate, A modern label management system is a vital
compliant labels. component in achieving this; however, the benefits
don’t end there. By putting the right system in
Benefits of a modern label management system place now, and removing inefficiencies from their
labelling process, pharma companies will have
A modern label management system digitises a solid foundation for manufacturing process
the entire label management process, from label improvement. And they will also be in a far better
design to printing and management. It includes a position to address future regulatory changes, such
centralised, digital label catalogue that controls as serialisation. With the right framework in place,
and streamlines label lifecycle management. It pharma companies will be well positioned to meet
eliminates the need for paper-based catalogues current, and future, challenges.
and prevents the creation of data silos.
12

AN INSIDE LOOK
at Norgine
Peter Stein
CEO, Norgine In June this year, European pharmaceutical company Norgine held a 50-year
anniversary for its global manufacturing site in Hengoed, Wales. Following the event,
European Pharmaceutical Manufacturer editor Reece Armstrong caught up with
Norgine’s CEO Peter Stein to discuss pharma trends, US and EU drug approvals
and the company’s approach to improvement.

S tein begins by explaining the


roots of the Hengoed site -
its 50-year history born from small
Norgine itself has a rich history.
A family owned business founded
in the early 1900s, Norgine was
‘that’s able to develop, register,
manufacture and market products
on a European scale’.
beginnings with a team of around the first company in central Europe
20 employees. Now, the site is to start manufacturing insulin but During Stein’s time in the industry,
responsible for producing over fell dormant in World War II until it the biggest change he’s seen
30 million packs of medicine every was eventually revived by Walter ‘is the extent to which the industry
year, a fact recognised at the event Stein after the war. is much less fragmented by
as well as the ‘unique position national markets and standards
Hengoed has in Wales as a major Norgine serves markets in the and it’s more focused on regional
manufacturer for the world,’ US and Japan but Stein explains or global standards’. Indeed, it’s
according to Stein. that what the company has really these harmonised standards
done is build a European platform – introduced by the European
Commission in 2008 to help
companies market products in the
EU and European Economic Area
- that Stein believes has enabled
Norgine’s success in Europe.

Another area Stein is keen


to emphasise is just how
differentiated new therapies
need to be if they are to really add
value to patients and healthcare
systems. In fact, what quickly
becomes evident during our chat
is just how advantageous Stein
believes the EU healthcare system
to be compared to that of the
United States’.

Originally from the US himself,


Stein’s time in Europe has
really made him appreciate
the European system.

“It’s a good thing that the industry


is obliged to focus on products
www.epmmagazine.com
13

that actually add value and actually


change patient care and actually
a life science company. You have
academic institutions that are very AN
INSIDE
deserve to be added to medical strong and that can form highly
practice,” he says. This focus on trained workforces,” Stein says.
‘added-value products’ ensures That workforce, Stein adds, has

L
companies focus their R&D effort helped drive Norgine through
‘towards things that are going to a culture that is dedicated to
make a difference,’ Stein adds. learning and developing.

But perhaps the major advantage When questioned on the potential


for manufacturers is the of workers being left behind by the
immediate access they gain to introduction of new technologies,
the EU marketplace once they Stein has absolute admiration for
receive reimbursement. While the way Norgine’s workforce
this benefits patients through the have upskilled.
access they get to medicines, the
United States’ system of private “The shop floor employee of 20,
healthcare still leads to patients 30 years ago would not be able to
being unable to afford medicines, cope with the technology they’re
even though they’re still using today and almost universally
technically available. people have embraced it because
it is essential
But while the EU certainly for the future
holds many benefits for both of the site.”
pharmaceutical manufacturers

K
and patients, the conversation is Moving on,
quickly derailed by Brexit and the Norgine sees itself
uncertainty it presents. focusing on two
avenues of growth
For Norgine, its priority has been which will help bolster
in ensuring patients will always be its European base and
able to access its medicines, also bring medicines
Stein iterates. over from the US into the
European market. So for the
“Continuity of supply has been UK and in particular Wales,
first and foremost in our thinking. Norgine’s success is bolstering
We’ve been preparing for it [Brexit] the Welsh life sciences industry
since 2016. Unfortunately it’s and bringing attention to an area
costing a lot of money, it’s costing which in Stein’s view, deserves
a lot of time but I think we are in more recognition.
a position that we will be able to
make sure our patients continue
to receive our products in
any scenario.”

Not wanting to get caught up in


the complexities of Brexit we move
on to talk about Norgine’s base in The shop floor employee of 20, 30 years
Wales and the country’s perhaps
under-recognised contribution to
ago would not be able to cope with
pharma. the technology they’re using today
and almost universally people have
“I think it’s one of the things that
deserves more attention. Wales is embraced it because it is essential for
actually a fantastic place to locate the future of the site.
14 COVER STORY

Unsure who to trust?


Biocidal products manufactured in or imported into the European Union (EU) must be
authorised for compliance with the requirements of the EU Biocidal Products Regulation
(BPR) and any relevant national legislation before being placed on the market.
Here, Karen Rossington and Siobhan Murphy from Contec guide readers through
the implications on life science cleanroom users.

B iocidal products have been


regulated in the EU by the
EU Biocidal Product Regulation
BIOCIDAL PRODUCT
AUTHORISATION PROCESS
There are two consecutive steps
ARTICLE 95 OF THE BPR
As well as the approval process
described above, from 1 September
528/2012 (BPR) since required to gain EU BPR biocidal 2015, Article 95 of the BPR has
Karen Rossington 1 September 2013. product authorisation: applied to active substances
and Siobhan Murphy placed on the EU market, either on
from Contec The aim of the BPR is to improve 1. The active substance(s) in their own or in biocidal products.
the consistency of the biocidal the biocidal product must be Biocidal products cannot be made
products available in the EU and approved under the appropriate available on the EU market unless
ensure a high level of protection product-type. This process the active substance is sourced
for humans and the environment takes place at EU-level. from an approved supplier on the
via a two-stage process of active so-called Article 95 list maintained
substance approval followed by 2. Each biocidal product by the European Chemicals
biocidal product authorisation. The containing or generating the Agency (ECHA).
provisions of the BPR set out to approved active substance(s)
harmonise the market at EU level must then be authorised under For example, if a wipe containing
and simplify the approval of active the appropriate product type 70% IPA is imported from a
substances and authorisation of at industry level. manufacturer outside of the
biocidal products. The BPR acts EU, either the active substance
directly in all EU Member States, When active substances are supplier, the product manufacturer
meaning that local legislation approved, they are listed in EU or the EU importer must be listed
does not need to be created to BPR Article 9: Approved List of on Article 95. If none of the
implement the requirements. Active Substances (Union List). above are listed on Article 95,
the product cannot be sold legally
BIOCIDAL PRODUCT DEFINITION The EU BPR consists of four in the EU as a biocidal product.
Article 3 of the BPR defines product groups including 22
a biocidal product as, “any different biocidal product KEEPING TRACK OF THE BPR
substance or mixture, in the form types covering: disinfectants, The active substance approval
in which it is supplied to the preservatives, pest control and process is ongoing and is
user, consisting of, containing or specialty biocides. The group gradually replacing national
generating one or more active relevant to life science cleanroom regulations. Each biocidal active
substances, with the intention of users is Main Group 1: Disinfectants substance is at a different stage
destroying, rendering harmless, and PT2: — disinfectants and in the regulatory process and
preventing the action of, or algaecides not intended for direct keeping track of the status of the
otherwise exerting a controlling application to humans or animals. active substances in your biocidal
effect on any harmful organisms This includes products used for the products is critical to ensure
by any means other than mere disinfection of surfaces, materials continuity of supply.
physical or mechanical action.” and equipment, which do not
come into contact with food Biocidal products, which are not
If the intended use of a wipe going through the authorisation
pre-saturated with 70% IPA is for When a disinfectant has been process can no longer be placed
surface disinfection, even if the authorised under one product- on the market from 180 days after
manufacturer makes no biocidal type it cannot be used in another the date of approval of the active
efficacy claims, the product is product-type unless authorisation substance, and they can no longer
classified as a biocidal product is also granted for the second be used from 365 days after
according to the BPR. product-type. the date of approval. Where the
www.epmmagazine.com
15

biocidal product contains more


STEP BY STEP
than one active substance, the
relevant phase- out periods begin There is currently no definitive list of authorised disinfectant products and the BPR active substance
on the date of approval of the final approval process is expected to still take several more years before completion. However, biocidal
active substance to be approved, product users can do the following:
or not-approved. 1. List all products being 4. If the active substance dossiers have passed.
used for microbial control has been approved Any products for which a
An unauthorised biocidal product (these might be products and is listed on the dossier was not submitted
discovered by regulators could not currently supplied with Union list of approved by the relevant deadline
efficacy claims such as IPA active substances, then must remain off the EU
immediately be withdrawn from
presaturated wipes). Review a manufacturer of an market until authorisation is
the market leaving the end user the SDS for these products existing biocidal product granted; after the phase-
without a validated disinfectant. and note the ingredients. has approximately two out periods.
As a worst-case scenario, product If unsure, confirm with years to submit a dossier a. Propan-2-ol (70% IPA)
manufacture could be delayed the supplier the active for either National or Deadline 1 July 2016
whilst a replacement disinfectant microbiocidal ingredients in Union Authorisation of
the formulation. the formulation. The list of b. Hydrogen Peroxide
undergoes months of validation. Deadline 1 Feb 2017
2. Find out the suppliers of currently approved active
each active substance in substances can be checked c. Active chlorine/
Any company about to start, online via https://echa. Hypochlorites
or whom has an on-going the disinfectant formulation.
Ask the supplier to provide europa.eu/information-on- Deadline 1 Jan 2019
disinfectant validation project details of the active chemicals/ biocidal-active- 6. The list of currently
needs to ensure that the biocidal substance manufacturer’s substances. approved active substances
product under investigation is inclusion on the ECHA 5. For common disinfectant and upcoming deadlines
already, or is intended to be, Article 95 list. The Article actives used in can be checked online
authorised under the EU BPR 95 list is available online cleanrooms, such as via https://echa.europa.
by the manufacturer or importer. (https:// echa.europa.eu/ IPA, PAA, hypochlorites eu/regulations/ biocidal-
information- on-chemicals/ and hydrogen peroxide, products-regulation/
active-substance- suppliers). the actives have already authorisation-of-
The costs associated with the biocidal- products/union-
3. Ensure the active substance been approved and the
EU BPR will most likely lead deadlines for submission authorisation/ -union-
to a contraction in the market, is listed under the correct
product-type for its use. of product authorisation authorisation- applications.
specifically in the number of
biocidal products available.
The costs to approve active Although a listing of these products This will uncover any lack of
substances and authorise biocidal is not currently publicly available, knowledge of the authorisation
products are significant. The cleanroom operators should ask process and will also give the
costs to gain approval of an active their disinfectant supplier about end-user the opportunity to ensure
substance can be several million the process followed for submitting their uses of the product, and
The aim of
euros and a simple disinfectant the dossiers. usage areas, are included in the BPR is to
product could potentially the authorisation application. improve the
cost €750k to €1m
to authorise. The manufacturer should consistency
also confirm whether they are of the biocidal
submitting a dossier for a Union
Authorisation (all countries) or a products
National Authorisation, which may available
or may not be followed by Mutual
Recognition applications.
in the EU.

If a lack of knowledge of the BPR


from a manufacturer’s standpoint
is apparent, cleanroom operators
should start a revalidation plan to
ensure continuity of a legal supply
from a different manufacturer.
16 DIGITAL HEALTH

Smarter, Faster, Better –


The Next Frontier
Dr Ramin Rafiei
Director of
Digital Healthcare,
SHL Group
In Drug Delivery
At the confluence of Moore’s law and Metcalfe’s law the next frontier in drug delivery
becomes data-driven, personalised and outcome-based.

O ver the past few decades, the


cost of bringing new drugs to
market has been doubling every
is not the solution to chronic
disease management; rather, we
need to find ways to help patients
are still in their infancy when
compared to respiratory and
oral therapies. However, studies
nine years. This exponential trend, self-manage existing conditions. across these three therapeutic
measured as the number of FDA This also presents pharmaceutical categories have consistently
approvals per billion USD spent companies with a $600 billion-plus demonstrated that when drugs
on R&D, is known as the Moore’s opportunity, which is otherwise lost are augmented through sensors
law of the pharmaceutical industry revenue due to medication non- and connectivity, patient
and labelled Eroom’s law1 – Moore adherence3. adherence and health outcomes
spelt backwards. Compounding improve. So could the application
this diminishing return on Moore’s law, attributed to co- of Moore’s Law to drug delivery
pharmaceutical R&D investments founder of Intel Gordon Moore, be the solution to medication
is the gap between clinical efficacy has transformed computing non-adherence?
of medications as determined through exponentially decreased
in a randomised controlled trial costs and increased performance. Adherence is multifactorial
(RCT) setting and their real-world There are already a number of and stems from the diversity of
effectiveness. examples across the healthcare patient behaviours and barriers.
industry where the impact of Connected drug delivery devices,
Medication adherence is the Moore’s law has resulted in which measure dose-level (true)
key factor for the gap between exponential change, such as the adherence in real-time, are the
RCT efficacy and real-world cost of genome sequencing, necessary first step towards a
effectiveness as typically 50% of adoption of DNA testing and solution. However, improvements
patients with chronic conditions utilisation of telehealth services4. in adherence can only be realised
fail to take the recommended As technology continues to get when real-world data (RWD) from
therapeutic dose consistently, smaller, lighter, more efficient and connected devices is applied
resulting in poor health outcomes intuitive, computers and sensors effectively towards supporting
and increased healthcare costs2. are also making their way into patients with self-managing
As a result, solely relying on the drug delivery devices. Today, their condition outside the
clinical efficacy of new medications connected injectable therapies clinic setting.

REFERENCES
1 Vinay Kini, P Michael Ho, “Interventions to improve medication 4 Shubham Singhal and Stephanie Carlton, “The era of
adherence”. JAMA, 2018; Vol 320(23), pp 2461-2473. exponential improvement in healthcare?” McKinsey Insights,
2 Thomas Forissier and Katrina Firlik, MD, “Estimated 2019
Pharmaceutical Revenue Loss Due to Medication 5 Rich Karlgaard, “Ten Laws of The Modern World”. Forbes, 2005
Nonadherence”. Health Prize and Capgemini Consulting, 2012.
3 Thomas Forissier and Katrina Firlik, MD, “Estimated
Pharmaceutical Revenue Loss Due to Medication
Nonadherence”. Health Prize and Capgemini Consulting, 2012.
www.epmmagazine.com
17

The first application is behavioural Metcalfe’s law, proposed by


support by targeting and tailoring Robert Metcalfe the inventor of
interventions designed to change Ethernet, states that the value of
behaviour and improve patient a network grows exponentially as
adherence to therapy. RWD a function of network size5. When
from connected devices create RWD is actively used to improve
a feedback loop by providing the patient experience, increase
a mechanism to learn which their engagement with their care
interventions are most effective. plan, and improve adherence to
Today machine learning models therapy, Metcalfe’s Law predicts its
are being applied to deliver value will grow exponentially for
interventions, measure the effect all stakeholders across the care
of each intervention on the target continuum. For pharmaceutical Solely relying on the
behaviour, and improve the companies, this benefit will best
accuracy of the next intervention manifest itself in an ability to clinical efficacy of new
based on real-time adherence measure and improve the real- medications is not the
data. Dose-level adherence data world effectiveness of drugs.
also enhances remote treatment This next frontier in drug delivery
solution to chronic disease
support, in which the data is used to combines Moore’s and Metcalfe’s management; rather,
improve clinical treatment decisions, laws to become data-driven, we need to find ways to
and support ongoing dose titration personalised, outcome-based, and
until the optimal treatment regimen accessible. This next frontier is help patients self-manage
for each patient is reached. connected therapeutics (CTx). existing conditions.”
18 DIGITAL HEALTH – SPONSORED FEATURE

UNLOCKING THE VALUE


IN CONNECTED HEALTH
Kevin Deane
Vice-president, Connected health offers promising potential for pharmaceutical companies and drug delivery
Innovation, device developers and manufacturers to create a more positive patient experience that can
Phillips-Medisize
help improve medication adherence and facilitate better outcomes. However, only a few
connected health solutions tied directly to medication have made it to market so far,
even as healthcare becomes increasingly digital.

Filling the Data Void The Connected Health The Benefits


Ecosystem
As healthcare systems worldwide The resulting cloud-based
start to implement outcome-based The connected health ecosystem connected health platform provides
reimbursement, the ability to includes three primary a scalable medical device data
measure medication effectiveness components: connected devices, system (MDDS) for pharmaceutical
– and patient adherence – plays such as inhalers and injectors; companies and drug delivery
an even more important role in digital interfaces, including device developers. By reducing
managing and improving patient patient and caregiver apps, the risk, time and cost associated
health. Unfortunately, little actual and dashboards for healthcare with developing connected health
data exists that pinpoints when, professionals; and a cloud solutions, it helps accelerate time
or even if, patients take their platform, enabling data integration to market.
medication, despite new prescription with multiple sources including
drug development costs estimated diagnostic devices, IoT sensors Additional benefits include:
to be as high as $2.6 billion1. A range and EHRs in order to generate • Comprehensive information-
of research has demonstrated, insightful analytics. sharing and analytics capabilities.
though, that adherence rates are It connects pharma companies,
typically lower for patients with Four years ago, Phillips-Medisize clinical researchers, providers,
chronic conditions, and even clinical developed the first connected patients and payers, sharing
trials report average adherence rates health system registered with the and displaying information from
of only 43 to 78%2. Poor medication FDA for a specific drug. Since connected drug delivery devices,
adherence is also the cause of 33 then, the number and popularity biosensors and regulated Mobile
to 69% of all medication-related of connected health pilots has Medical Applications (SaMD/
hospital admissions in the United grown, but pharmaceutical MMA). Dashboards can be
States alone.2 companies sometimes struggle customised quickly and easily at
with how to scale the model, any point, which saves time and
Integrating connectivity into and extract and quantify the money, adds high-value flexibility
innovatively designed, patient- value created, which can impede and streamlines connection
centric drug delivery devices can additional investment. with other supported external
REFERENCES
help fill this data void and support analytic systems. It also integrates
1 Sullivan, Thomas.
increased adherence by making Recognising the increased medication, diagnostic and
A Tough Road: Cost to it easier and simpler for people to interest and demonstrable therapeutic data from multiple
Develop One New Drug take their medication on-time and benefits that connected systems sources as well as supports global
is $2.6 Billion; Approval
Rate for Drugs Entering as prescribed. Connectivity provides provide, Phillips-Medisize decided comparisons by normalising data
Clinical Development is an efficient way to monitor patients’ to invest in developing a highly across geographies.
Less Than 12%. Policy &
Medicine. March 21, 2019.
adherence and condition, as well scalable platform to service the • Robust cybersecurity. A connected
2 Osterberg L, Blaschke as to share both real-time and expanding market, rather than health platform can be deployed in a
T. Adherence to historical data with patients, clinical developing and maintaining one- secure private cloud with a credible
medication. N Engl
J Med. 2005 Aug
researchers, healthcare providers, off, application-specific solutions legacy of health data security, in a
4;353(5):487-497. caregivers and payers. for each new project. cloud hosting option selected by
www.epmmagazine.com
19

the pharmaceutical company, or in current drug injection device in order • Personalised, localised messages
the company’s own data centre. In to retain existing patients and attract and reminders for patients on their
addition, cost-effective and secure new ones. The company's drug had device and in the app
collaborative environments are established safety and efficacy, but
available for situations where cross- its injection device lagged in user The integrated system was
industry partners want the ability to friendliness. The company sought introduced in countries worldwide
share data. to use electronics to improve the after its initial launch in Europe.
• Streamlined regulatory injection experience but also wanted It has made injections more
documentation. Full regulatory to help patients better manage intuitive for patients, made it easier
documentation services included their disease by offering seamless for caregivers and healthcare
with the connected health platform integration between the device providers to coordinate and follow
support premarket submissions and a patient app that could track up on treatment, and helped the
for 510(K), combination products injections and remind patients when company retain its market position.
and CE mark to help lower project and where to take them.
costs and speed time to clinical Meeting Market Needs
trial, regulatory approval and Teaming with Phillips-Medisize,
market – ahead of the competition. they developed and manufactured The pace of development continues
an innovative electromechanical to accelerate as pharmaceutical
• Modular approach. Working with
autoinjector connected to the companies and drug device
a manufacturing partner who
cloud, featuring: developers and manufacturers
can deliver connected health
• Ergonomic design operated with seek to meet market needs. The
solutions that incorporate devices
one hand opportunity to develop innovative
with embedded electronics
connected health solutions using
and sensors also speeds the • Secondary control functions
a secure cloud-based platform
development process and keeps hidden on the inside
that provides a safe and scalable
costs low, for both reusable and • A dashboard for healthcare MDDS helps reduce risk, cost and
disposable drug delivery devices. professionals to easily monitor time to market. At the same time, by
Connected health platforms patients demonstrating a clear pathway to
that come with a software
• Bluetooth connectivity that ensures value creation, these cost models
development toolkit and defined,
data on injection time, volume and can bridge the gap between pilot and
extensible API allow any device
body location are synced with the program and encourage additional
to be connected to the system.
patient app and dashboard investment in connected health.
Pairing a configurable app with
the connected health platform
and deploying it across multiple
products using a standard
Bluetooth interface further
supports a rapid, low-cost path to
clinical trial and market.
• Massive scalability. Building on a
flexible, scalable platform rather
than starting from scratch for
each new drug makes it highly
cost efficient to add or refine
infrastructure for future projects.
Because the price per user
declines as the patient population
increases, the costs for integrating
connectivity for medications
used to treat common chronic
conditions also decrease.

A Case Study

A leading pharmaceutical company


recognised the need to update its
20 ANALYSIS

ALTERNATIVE APPROACHES
TO PHARMA INNOVATION
Tyler Golato Scientific Lead at Molecule

T he cost of drug development


has increased steadily and
significantly over the past 40 years.
riskier areas and revenue has
become the primary driver of
research efforts. 
is achieved by providing the
infrastructure for individual markets
to be established around a single
In the 1970s, a drug could be piece of IP (e.g. a patent), similar
brought to market for approximately Despite these challenges, a new to the way markets exist for shares
$54 million in the United States. generation of projects, such as OSP, in specific companies. This model
Today, estimates for the cost of M4K, and Molecule, have emerged distributes risk and cost, thereby
bringing a single drug to market which are attempting to rethink the allowing smaller organisations,
range from $800m - $2.5b. current pharma business model. such as universities, to collaborate
One model that shows promise for with other institutions via shared
Patent protection and market creating sustainable change in the ownership models to research
exclusivity attempt to incentivise industry is that of fractionalising IP and develop therapeutics.
the shouldering of this cost by ownership. This entails the creation It effectively lowers the barrier
providing the opportunity for a of an open, multi-sided marketplace of entry to drug development,
return on investment. However, for drug development with a allowing stakeholders that have
while patent protections are often platform for IP creators to generate been priced out of traditional
a key focus for pharmaceutical public markets for new drugs and drug development practices
companies in terms of their therapeutics to attract funding. to participate and compete. 
business strategy, they are
problematic for collaborative At its core, systems such as these This shift toward a more
research. Patents are closed source can use curation markets and transparent, open, and
and monopolistic by nature. crowd-intelligence to discover collaborative future for drug
valuable therapeutics and direct development is similar to what
Increasingly, the business resources towards them. The open source did for software. As
model for drug discovery and underlying asset of each market is innovation continues to decline in
development is predicated a patent, or combination thereof, the pharmaceutical industry, open
on recouping costs barely and shares in individual markets source models could prove useful
manageable for first-world, represent ownership rights. The in reversing the trend.
affluent nations. In an effort overarching goal is to create
to combat this trend, various incentives for a more open source
stakeholders in the drug discovery R&D process that will bring down
ecosystem - academia, industry, costs, accelerate development,
foundations, governments, and bring more diverse treatments to
regulators - have been identifying market, and move stakeholders
and exploring novel models based towards collaboration: new
on collaboration and distribution business models for the current
of risk that provide new schemes broken pharma industry. 
for incentivising and rewarding
drug discovery. These types of platforms can
also generate novel funding
However, no breakthrough model opportunities for parties with an
has yet led to transformative interest in drug development.
change in the industry, and patents For example, organisations can
are still the primary means of access funding and liquidity from
ensuring exclusivity over new drugs underutilised IP, or alternatively,
that are brought to market. This distribute ownership in IP currently
has had severe consequences on under development to garner
innovation: industry is increasingly funding and further their projects.
moving away from research in This fractionalised IP distribution
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22 SINGLE USE

Go with the flow


The rising trend of continuous flow is bringing economic and safety benefits
to manufacturers, says Dr Shawn Conway.
Dr Shawn Conway
Engineering R&D
Director of Cambrex

T he economic and safety


benefits of implementing
continuous flow retrospectively
to a batch operation. Commercial
scale batch processing imposes
limitations in terms of the types of
consistency. Avoiding these
impurities gives a more streamlined
process that is easier to take on to
on a commercial scale for a single equipment that may be available subsequent phases.
process step are widely known and the processes that could be
and have been well documented, used. With continuous flow, all Similarly, the increased monitoring
with the replacement of traditional routes can be explored to find the of the process and the ability to
batch-based manufacturing most appropriate synthesis that can take samples in real time increases
by continuous flow chemistry then be progressed through all the the understanding of what is
continuing apace. Many major different stages of development. happening during the synthesis.
pharmaceutical corporations, Monitoring the process across
including Lilly, GSK and Novartis, In general, continuous flow a range of time points creates a
are actively investigating and offers a process that is scalable much better picture of the reaction
investing significant sums in the use from the beginning, allowing the compared with leaving a batch to
of continuous flow. manufacture of a few hundred process for 12 or 16 hours and then
grams or perhaps a kilogram sampling the result. 
There is also an emerging use of of a compound, and this can
continuous flow processes in early be quickly increased to larger Although cost savings cannot
clinical development, where the quantities of material for a later be quantified precisely, making
need is to manufacture enough phase, by increasing the scale of an intermediate sized batch of
of a drug compound so that the the equipment, or by extending the product could be in the region
development process can begin.  processing time. This scale up can of hundreds of thousands of
be done multiple times through to dollars, so any technology that can
Introducing continuous flow at this commercial quantities, as opposed streamline this process and reduce
point enables the use of specific to batch manufacturing, where or remove this spend is obviously
types of reactions that are very process optimisation would have to advantageous. Furthermore,
difficult to accommodate with the be carried out each time production reducing the development timeline
traditional batch process. This means is scaled up. and shortening the development
that a compound can typically phases can mean that a compound
be obtained in a quicker, cleaner Applying continuous flow in early reaches the market faster, bringing
manner; it also makes it possible to phase development also allows forward the time when a drug gets
start building a process that can be greater control over the reaction. to the patient and the company
commercially viable from the outset, A batch reaction can introduce starts to make a return on its
reducing the potential multiple significant variations within the investment.
REFERENCES iterations of a development cycle vessel that can lead to incomplete
1 Kevin P. Cole Kilogram-
scale prexasertib
as the compound progresses from conversion, side reactions and There is increasing demand for
monolactate monohydrate phase to phase. degradation, whereas with drug substances with higher
synthesis under continuous flow, parameters such potencies which require, smaller
continuous-flow cGMP
conditions, Science 16 The ability to optimise the process as residence time, temperatures, doses and therefore, potentially
Jun 2017: Vol. 356, Issue from the outset is a major advantage pressures, concentration and smaller manufacturing campaigns.
6343, pp. 1144-1150; http://
science.sciencemag.org/ as it means that the best route can pH, can all be tightly controlled Smaller volume batches can
content/356/6343/1144.long be used, rather than one best suited resulting in a high degree of be relatively expensive using
www.epmmagazine.com
23

traditional batch production,


due largely to the overhead
costs of the facility, so lend With continuous flow, all routes
themselves well to continuous flow
technology where capital costs can be explored to find the most
tend to be much lower. Rather scale manufacture, and now on appropriate synthesis that can
than converting a batch process to commercial production at a
into a continuous flow-based rate of three kilograms a day. then be progressed through all the
analogue, exploring flow synthesis Specific challenges that needed different stages of development.
in the early development stages to be addressed, that have been
allows for the subsequent steps published and discussed, included
to be streamlined, saving time the use of hydrazine at elevated
and money in the long run, as reaction conditions to drive
previously noted. purity and performance, as well
as avoiding issues surrounding yield and an improved impurity
Multiple process steps in flow, isolation and handling of potent profile. The containment of highly
such as reactions, work-up, toxic intermediates. Concurrent potent materials was achieved
extractions, crystallisations analytical monitoring also enabled through the use of dedicated
and distillations with different rapid trouble-shooting during the and disposable equipment; and
equipment requirements can be manufacturing process. synthetic efficiencies were seen
developed and connected in a with enhanced product stability, the
small footprint facility as opposed The recognised benefits of this elimination of one isolation step, and
to over several large assets in process were numerous and the elimination of solids handling in
a production facility with the allowed eight continuous operations another isolation step.
associated handling challenges to take place in series, within small
and costs. continuous reactors, extractors, The advantages described above
evaporators, crystallisers and filters. and illustrated in the example
Eli Lilly's highly potent oncology A continuous reactor type was from Eli Lilly demonstrate that
drug Prexasertib demonstrates developed and utilised, as was continuous flow drastically
the practice of employing a method for in-process filtration minimises, if not eliminates, safety
continuous flow in early and redissolution. The process and quality complications that
phase development, where included the ability to operate at arise from inhomogeneity and it
the technology was adopted high temperature in a low-boiling should therefore be regarded as
for the final four steps of the solvent, afforded improved safety a truly enabling technology and a
synthesis1 throughout clinical for a hazardous reaction, better powerful development tool.
24 IN PROFILE

ACHIEVING THE PERFE


Marcus Knöll, who holds a Ph.D. in pharmacy and heads Bosch Packaging Technology’s Pharma
Service Solid, has been supporting customers in all development and production phases of solid
dosage forms for the past 12 years. And he knows exactly what they need for a fast time-to-
market: efficiency, quality and extensive experience in formulation development.

WHAT ARE YOUR CUSTOMERS’ rewarded the contract. We can see and contacts to universities and
MAIN CONCERNS? similar trends in various markets – higher education institutions to
The pharmaceutical industry either in calls for tenders, or other incorporate the latest findings,
is dominated by a high cost price-dropping mechanisms like as well as the lessons learned by
pressure. This is not only true for state-dictated price caps. partners like excipient suppliers.
production; it already starts in All these aspects improve our
the development phase. A fast WHAT IS THE GREATEST chances of success.
introduction of new products, in CHALLENGE FOR
other words a fast time-to-market, MANUFACTURERS? WHAT ARE THE MOST
is essential. Pharmaceutical For generics manufacturers, the IMPORTANT PREREQUISITES
manufacturers cannot afford any hurdle – besides price and time FOR SUCCESSFUL
delays; competitors will overtake pressures – is bioequivalence DEVELOPMENT?
them. However, efficiency is not studies, in which the generic must All pharmaceutical disciplines
everything. At the end of the demonstrate the same effect as must be closely interlinked. We
day, product quality also has to the original medication. If the offer customers everything from
measure up. study fails, it means the company a single source: from formulation
not only wasted a great deal of and analytical development, to
WHAT CHANGES CREATED THIS money, but also roughly a year stability tests and bioequivalence
COST PRESSURE? of development time. The key studies. Plus, we recently added
For instance in Germany, the to minimising the risk of failure another important aspect: dossier
drug prescription process has is extensive experience and preparation. We support our
changed fundamentally. In the know-how. That’s precisely what customers from start to finish,
past, doctors simply wrote the we offer our customers as a which saves them a great deal of
name of a given manufacturer’s partner. Every year, we conduct time and energy. We particularly
product on the prescription, roughly 1,000 experiments with focus on technology transfer,
patients bought it at the pharmacy substances for various indications which means developing a
– and some producers made a at our development centre in product that our customers can
lot of money. Later, pharmacists Schopfheim. Our customers, in then manufacture on their own
were obligated to offer a product turn, benefit from the insights from equipment. That is our scale-up
from the bottom third of the these tests. guarantee.
price range. Today, it’s all up to
the health insurance companies. Of course, some of the tests are a HOW DOES THE BOSCH
They conclude agreements with dead end. But mistakes don’t have OFFER DIFFER FROM THAT OF
one or more manufacturers for to be repeated. This experience CONTRACT MANUFACTURERS?
short time frames. This puts the helped us develop products like The aim of our service is to help
manufacturers under enormous Tamsolusin and Venlafaxin, rapidly customers help themselves.
pressure to keep the unit price and at affordable prices. We can Bosch Packaging Technology has
as low as possible, so they are also rely on our global network a long mechanical engineering
www.epmmagazine.com
25

ECT FORMULA

tradition. However, we have The challenge is to not only


continuously expanded our generate machine data, but
expertise beyond the machine. to precisely analyse that data
We share this pharmaceutical and draw the right conclusions.
expertise with our customers, We combine our equipment,
for example in seminars where processing, pharmaceutical and
they can learn about topics like software know-how with data
granulation and coating. mining to gain valuable insights
that help us optimise production
WHAT OTHER CHALLENGES DO processes.
CUSTOMERS COME TO YOU
WITH?
Many customers are familiar
with small-scale production but
struggle with scale-up to larger
volumes. This often requires large
investments and bares some risks.
With our NextStep software, we The key to minimising the
offer concrete support in just one
day. In addition, many customers
risk of failure is extensive
are now considering a switch experience and know-how.
to continuous manufacturing.
Dr Marcus Knöll Bosch Packaging Technology
We have our own continuous
manufacturing platform, Xelum.
But we can also design their
manufacturing process so
they can switch to continuous
manufacturing at a later point in
time. And of course, many of our
customers are thinking about
digitisation but don’t know how to
get started with low budget.

WHICH FIRST STEPS TOWARD


INDUSTRY 4.0 WOULD YOU
RECOMMEND?
In many cases, even older systems
offer enough data for analyses.
for medical devices, pharmaceutical manufacturing and digital health.
Keep up to date with key developments that matter.
AVAILABLE IN PRINT, ONLINE
AND DIGITAL FORMATS

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ADVANCING CONNECTING Medical HEALTHTECH
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PROCESS EQUIPMENT
27

A buyer’s guide to
process equipment
Rachel Morgan Rachel Morgan from the Adelphi Group of Companies provides an insight into what buyers
Adelphi Group of
Companies need to look for when purchasing process equipment.

W ith all the furore in the UK


and beyond surrounding
the ‘B’ word, companies in the
material traceability and testing
certification should shoot to the
top of your supplier list, as they
is over or they become irreparably
damaged, stainless steel items
should never enter the waste
pharmaceutical industry are are guaranteeing the quality of the stream. Stainless steel is 100%
looking to the future with an goods you receive. At PHP, our recyclable and can be reused to
increasingly concerned eye. X-ray analyser confirms the metal make new products without loss
From start-ups to multi-national alloy makeup of your process of any of the original properties,
corporations, businesses need equipment, while our Surface such as tensile strength, ductility
their process equipment to stand Finish Analyser checks out surface and corrosion-resistance. On
the test of time. Investing once and smoothness, ensuring that those average, most stainless steel
investing right takes the weight unhygienic nasties have nowhere items are made of approximately
off peoples’ minds, leaving them to hide. 60% recycled material, with 25%
free to grapple with the wider of that derived from end-of-life
challenges facing their business. Another major factor to consider products, and the other 35% from
when searching for the quality manufacturing processes.
“So how can I make sure you need, is the challenges
I shop smart?” presented by an increased focus
on sustainability. ‘Environmental
It sounds like the oldest mistake footprint’ has gone from a
in the book, but don’t buy the secondary to a primary concern,
cheapest process equipment you and businesses are coming
come across! Purchasing cheaper under pressure to show that
or plastic process vessels and they are willing to invest in
equipment can become false making environmentally aware
economy in the long run, as improvements. This is one concern
such alternatives are largely less which shows no sign of abating
hygienic and less durable. They (indeed, it looks be exponentially
can also be susceptible to rusting, increasing), so when looking to
pitting and corrosion. future-proof your business, your
process equipment is a great
It sounds For the pharmaceutical place to start.
manufacturing industry, process
like the equipment needs to have been “Stainless steel is one of the
oldest created with a specific eye for most environmentally efficient
hygiene. Look for products with raw materials available”, states
mistake in a pit and crevice-free design, to Life Without Plastics, “because
the book, avoid potential bug traps. 316 of its durability and ability to
medical grade stainless steel is the be recycled”. Over the past
but don’t apex, but you need to make certain twenty years, improved process
buy the sure that if you ask for 316, that’s technology has enabled
cheapest what you get. We hear all sorts of manufacturers to significantly
horror stories about vessels being reduce the quantities of energy
process delivered to a medical production required to produce stainless steel.
equipment environment which are entirely Stainless steel products should
316… apart from the base, or apart last significantly longer than their
you come from the lid! Save yourself the plastic counterparts under normal
across! hassle; companies who provide usage. Even once their service life
28 SPONSORED WHITEPAPER

F&T -70°
Why deep freeze? temperature level. However, we know parameters and their effects differ
from practice that rearrangements and widely for each substance. This is
The storage of high-quality structural effects will occur in proteins why they are examined for each
biopharmaceuticals is a major even in the frozen state, which can product individually in the lab, using
challenge for the industry. Proteins also result in changes to their native tailor-made F&T equipment. The
are easily affected by changes structure. Damaging alterations aim is to understand the product
in ambient conditions and react may, for example, lead to increased behaviour in one freeze and thaw
sensitively to changes in their aggregate formation or flocculation. In cycle in order to be able to derive
environment. The complex three- order to preserve the product quality, optimum process understanding
dimensional protein structure is held freezing at very low temperatures from this knowledge.
together by weak, intra-molecular is required. A change in the protein
interactions and is therefore structure is to be prevented by Once the basic behaviour of the
particularly delicate. The native choosing temperatures below the protein solution during freezing
folding of protein substances is glass transition temperature. has been understood, the F&T
essential for their efficacy: only if a processes developed in the lab
protein is correctly folded will the The change in product quality will be scaled to pilot scale. The
right molecules be bound. Changes and the various freezing effects freezing process is analysed,
in the structure will have fatal depend on the one hand on the optimised further and precisely
consequences; in certain cases, process parameters selected, and defined. The specified process is
they do not only result in a loss on the other hand they are strongly the basis for industrial processing
of efficacy, but may even cause influenced by the composition of and thus an important element
pathological effects. the protein solution. In most cases, in the development of optimum
quality changes caused by the storage of the protein substance.
effects described above will entail
additional process steps and drug The pilot scale allows for various
losses. Product loss must in any case analytical methods and represents
be reduced to a minimum. Identifying a valuable intermediary scale. The
the relationships between the most suitable process parameters for
composition of the protein solution, the product need to be determined
concentration, pH value, additives, and optimised. Contrary to initial,
cryo-protectors or additives and the business driven assumptions this
behaviour of the quality of the protein does not necessarily have to be
solution after one or more freeze and the speed of freezing, because one
thaw cycles is the basis for advanced thing is for sure in the F&T process:
understanding of the F&T process. quality takes precedence over
efficiency. As explained above, the
PilotFreeze examines the processes
More risk management, less that were previously developed in
product loss the laboratory to prepare them on a
This means the process of storing an larger scale for industrial processing.
active protein substance must be the The frozen protein solution becomes Practical applications have shown
result of an exceptionally careful and increasingly concentrated as ice that the PilotFreeze can also be
sophisticated design process and all crystals form during freezing. The used to verify existing industrial
influencing factors must be known auxiliary substances, such as buffer F&T processes. The processes are
since the substance will often need salts, gradually lose their effect then checked again and optimised
to be stored for years. depending on their solubility. The in the course of optimisation or
pH value of a sodium phosphate retrospective process validation
The pharmaceutical industry has buffer can, for example, drop from before they are fed back to industrial
found deep-freezing to be a stable 7.0 to below 4.0 during freezing. production by means of a technology
method of storing protein solutions. The ionic strength can also increase transfer. In summary we can say the
The active ingredient is cooled in significantly. In addition to that, the PilotFreeze analysis is as important
freezing chambers or in controlled formation of ice crystals leads to an for the process development of
All Photographs: F&T
freezing containers until the whole ice-liquid interface which can impact new protein solutions as it is for the
Services ©ZETA. bulk solution has reached the required protein folding. The influencing optimisation of current processes.
www.epmmagazine.com
29

Does deep-freezing guarantee This special requirement is owed


optimum product quality? to the product itself, which as a
About ZETA:
highly active drug calls for special
Only at temperatures below the precautions in worker protection.
With a staff of more than 500
glass transition temperature can it be
people and its headquarters
assumed that there will be no more Theoretical calculations on freezing
in Lieboch/Austria and nine
movements and structural changes rates were empirically confirmed in
subsidiaries in Europe,
in the structure of the proteins in the test series. These results enabled
the ZETA Group is one of
solution. Consequently, a temperature BI to develop a concrete calculation
the biggest suppliers of
of below -70°C was defined as a model, which is the central
engineering, automation
prerequisite for the freezing system element of a scientific publication
and process technology for
for particularly sensitive products. commissioned by BI.
biopharmaceutical applications.
While freezing containers on an
The product range includes
industrial scale of up to 500 l are
high-tech equipment, pilot
already established practice for
plants and turnkey industrial
an industrial freezing process
plants for the biotechnological
in the moderate temperature
production of pharmaceutical
range, the large-scale solution
substances. ZETA is your
for freezing highly sensitive and
expert in the development of
active pharmaceutical proteins in
customised process solutions
a low temperature range of <-70°C
along the entire development
needed a new development. The
and production process for
first 200 l freezing container for
aseptic applications, from
freezing down to -85°C emerged in
laboratory to industrial scale.
a cooperation project, which was
yet another result from the many
The ZETA facility in Lebring,
years of cooperation between ZETA
Southern Styria, develops
and Boehringer Ingelheim in the
and builds products that
field of freezing processes.
support ZETA customers along
the process of producing
In a series of tests with the proven
pharmaceutical agents.
ZETA PilotFreeze, the freeze and thaw
ZETA is specialised in the
processes were investigated and the Together with the freezing systems,
development, enhancement
effects on product quality in the form which serve the different process
and improvement of mixing
of aggregation, fragment formation, volumes, ZETA covers the entire
technologies and freeze & thaw
turbidity or particle formation were development process of a freezing
systems. The solution experts
analysed. The efficiency of the unit – from the product investigations
of the ZETA R&D department
process was the prime objective to the freezing plant on an industrial
develop innovative products
of designing the vessel geometry. scale. Professional project teams take
and patent them together
Important parameters for this the current stage of every project
with their customers and in
were the consideration of product product into account. In this way,
cooperation with research
throughput, achievable temperatures, the mutual knowledge gain can be
centres and universities.
the geometric conditions in the maximised through cooperation,
tank and the ice layer thicknesses the product quality can be maintained
achieved. Calculations for achievable in the best possible way and the time
cooling and thawing rates were to implement processes and set up
carried out and later verified by plants can be accelerated in
means of experiments. an optimum manner.

The development of the new vessel Birgit Pittermann, Head of R&D at


included some major challenges for ZETA, sums it up: "From ZETA's point
the ZETA engineering team; they had of view, the success in developing
to find materials suited for the low freezers for very low temperatures is
temperature range that would allow a due to the joint efforts made by both CONTACT:
stable and safe freezing process and cooperation partners." Birgit Pittermann, Daniela Eustacchio
withstand long storage time. Another Head of R&D ZETA Marketing Specialist – Team Leader
important criterion for the right choice birgit.pittermann@zeta.com Daniela.eustacchio@zeta.com
of material was personal safety.
30 PROCESS EQUIPMENT

TIME IS MONEY
The legacy that single-use pumps are leaving on processing systems.
Dr Andreas Frerix

T
Product Manager
for Quattroflow oday’s most common a go-to technology choice for THE SINGLE-USE SOLUTION
Fluid Systems biopharmaceutical- many manufacturers – there Some additional mention must
manufacturing systems require the were still improvements that also be given to the advantages
handling, transferring, processing could be made in optimising their that utilising single-use
and purification of large-molecule changeover times and simplifying quaternary diaphragm pumps in
drugs produced in living organism- the installation process. A biopharmaceutical manufacturing
like animal-cell cultures, bacterial breakthrough in this area came in can deliver. The main advantage
cells or yeast. This must be done 2017 with the development of a for these pumps – whether used
in a liquid phase with the handling pump-chamber replacing system in traditional stainless-steel or
of these materials performed that reduces the time needed to single-use setups – are their
by pump technologies that replace a disposable single-use unique form of operation: The four
can reliably provide volumetric pump chamber to mere seconds. quaternary diaphragms are driven
consistency and accuracy, one after another by a connector
pressures and flow rates, and low- KNOW YOUR UNIT OPERATIONS plate, which moves back and
pulsation, which are required in the The foundation of forth out of its central position in a
process, and low-shear, low-heat biopharmaceutical manufacturing stroke generated by an eccentric
input and material compatibility rests on various types of unit shaft, with the length of the stroke
that protects the biological drug operations. While each unit determined by the angle of the
from being harmed. operation features its own set of eccentricity. The four pumping
operational criteria, they are alike in chambers, which actually operate
Traditionally, multiple-use that they can only produce a viable, in the same way the human heart
(cleanable) stainless-steel pumping contaminant-free biological drug does, keep the product flow
and processing systems have suitable for human administration constantly moving forward in a
been used for these operations, if the manufacturer strictly adheres volumetrically consistent low-shear
but the time and cost needed to an unbending set of operational and low-pulse manner.
to operate, clean, maintain and parameters and structures.
quality control the system before The pump’s chambers also contain
the next production run could Some of the most common unit no rotating parts that can be
commence became prohibitive. operations in biopharmaceutical subject to friction, meaning that
That led to a true innovation for manufacturing include tangential there is minimum heat buildup that
the industry, the creation of single- flow filtration (TFF), column can compromise the product. This
use systems including pumps that chromatography and virus filtration. mode of operation means that
feature a disposable pump head The common thread between the pumps can run dry, are self-
and chamber that can be easily these various types of unit priming, and produce low shear
removed and replaced between operations is their need for and use because of minimal slip. In addition,
production runs, eliminating the of a pumping technology that can they offer low-pulsation, leak-free
time and cost needed for cleaning satisfy their specific operational operation while having great dry/
validation the equipment in a parameters. Again, these unit wet suction-lift capabilities.
stainless-steel system. operations are processes in
which the quaternary diaphragm This turndown capability and
While single-use pumps have pump excels, while competitive range for quaternary diaphragm
been an undoubted boon to technologies, such as peristaltic pumps is also unique in the
biopharmaceutical manufacturers (hose), lobe, centrifugal and piston biopharmaceutical industry. As the
– with positive displacement pumps, may struggle to meet a products go from development
quaternary (four-piston) series of strict product-handling to clinical trials and then to
diaphragm pumps becoming and -transfer requirements. commercialisation, proper scaleup
www.epmmagazine.com
31

is essential. In other words, the retrofitted on existing motor drives,


same pump in a lab may need which also makes upgrades quick
to handle flow rates as low as and easy to perform.
1/2-ounce per minute while also
being able to deliver commercial Many skills are needed to
production flow rates of 50 gallons CONCLUSION produce biopharmaceuticals, but
per minute or more. Many skills are needed to produce
biopharmaceuticals, but in the
in the end the final product must
The quaternary diaphragm pump end the final product must be one be one that is unquestionably
is also easily adaptable to single- that is unquestionably safe to use safe to use while simultaneously
use production configurations. while simultaneously allowing the
A single-use pump enables manufacturer to reap the financial allowing the manufacturer to
biopharmaceutical manufacturers benefits of a limited patent window. reap the financial benefits of a
to essentially eliminate the The arrival of single-use pumps on
oftentimes-prohibitive cost of the scene has virtually eliminated
limited patent window.
validating the cleaning of their the cost and downtime that were
pumps and systems. The result is previously required to validate the
a quicker and more cost-effective cleaning efficiency of pumping
production process and one that systems. A further leap ahead has
still delivers preferred levels of been taken, however, with the
product purity and safety with no creation of the pump-chamber
chance for cross-batch or cross- replacing system, an innovation that
product contamination. will continue to optimise time, cost,
reliability and safety capabilities
The fulcrum of the single-use in the biopharmaceutical-
pump is its product-wetted plastic manufacturing industry.
pump chamber that can be
replaced as a complete unit.

THE NEXT STEP FORWARD


So, now we arrive at the next step
in the evolution of the single-use
quaternary diaphragm pump
used in unit operations within
biopharmaceutical manufacturing.
While single-use pump technology
conquered the question of how to
reduce time and costs for cleaning
after production runs, there was still
£

more ground that could be plowed


in the realm of reducing the time
needed for pump-head replacement.
£
£
£

The breakthrough came last year £


with the development and release £
of a pump-chamber replacing
system which essentially eliminates £
£
downtime in the production-
changeover process. This allows
manufacturers to replace a single-
£
use pump chamber in 30 seconds
or less without the need of torque
wrenches, or other special tools
£ £ £
and equipment. Pump-chamber
£
replacing systems can also be
£
£
32 DATA

Light it up
Why the storage and access of chromatography data is vital to pharmaceutical
Patrick Kenny manufacturing chains.
Product marketing
specialist, Thermo
Fisher Scientific
A nalytical workflows underpin
many of the most essential
processes in the pharmaceutical
Maintaining the integrity of
production line data has long
been a priority for pharmaceutical
parameters and calibration checks,
or use separate spreadsheet
software to process and report
manufacturing chain, from manufacturers. However, results, can be vulnerable to
the analysis of raw materials regulatory bodies such as errors, requiring time-consuming
and final products, through the United States Food and validation and checking steps to
to method development and Drug Administration (US FDA), mitigate these issues.
validation checks. These European Medicines Agency, and
workflows often involve gas UK Medicines and Healthcare With seamless information
or liquid chromatography products Regulatory Agency exchange key to achieving the
techniques, coupled to robust (MHRA) are now tightening their highest standards of data integrity
detection methods such as mass guidance to safeguard data and operational efficiency,
spectrometry, which generate integrity at every stage of the pharmaceutical manufacturers
large volumes of data. pharmaceutical pipeline. This therefore need effective solutions
includes manufacturing, product for chromatography data
Organising, accessing and sharing testing and packaging steps, and management that bring their
the complex information generated all require robust solutions for workflows, instruments and
by chromatography workflows managing workflow information. users together. 
can be challenging, particularly
if production and quality control For organisations with production Many pharmaceutical
(QC) teams are located across lines working across multiple manufacturers now recognise
multiple locations. With regulatory territories and continents, keeping the challenges associated with
authorities putting increased focus track of chromatography data fragmented chromatography
on the accuracy, consistency and while maintaining its integrity in workflows and are adopting CDS
completeness of pharmaceutical line with regulatory guidelines software solutions that integrate
manufacturing data, these isn’t always straightforward. their workflows to centralise the
workflows must be managed in Pharmaceutical manufacturing storage of data and harmonise
a way that not only maximises footprints have expanded processes company-wide.
operational efficiency and provides considerably in recent years:
space to innovate, but supports teams may be located in different Among the many benefits of
full regulatory compliance buildings, sites or even countries. organising chromatography
too. As a consequence, many While dispersed manufacturing workflow information centrally,
pharmaceutical organisations are chains can result in reduced one of the most important
re-evaluating the systems and operational costs and shorter times is in terms of improved data
methods they use to manage and for products reaching end-users, consistency. With standard
control their chromatography data. they can unintentionally lead to operating procedures stored
poorly harmonised processes and centrally, modern CDS solutions
Modern pharmaceutical inconsistencies in data.  allow users to download
manufacturing chains are parameters and method details
highly integrated and inherently These issues are further to instruments directly, reducing
dependent upon the free flow of compounded if fragmented the need for manual processes,
information between teams. To approaches to managing and minimising the potential for human
ensure the release of safe, high- controlling chromatography data error, and ensuring the same
quality products, decision-makers are used. Workflows that employ practices are followed across
need timely access to reliable and partially paper-based systems to the organisation. Some CDS
consistent QC data they can trust. store chromatograms, method solutions take this a step further
www.epmmagazine.com
33

and incorporate sophisticated The latest CDS software solutions


algorithms that can perform user- make it straightforward for
defined tasks such as dilutions pharmaceutical manufacturers
or reinjections to obtain high- to achieve end-to-end oversight
quality chromatograms first time of chromatography workflows
around. Advanced systems, such and avoid the complexities
as Thermo Scientific Chromeleon associated with harmonising
CDS Software, can even automate audit trail information when
the integration of chromatogram fragmented solutions are used.
peaks, further enhancing the Most CDS solutions will store a
consistency and reliability of data. complete history of interactions
with the system. However, some
Storing chromatography of the more advanced CDS
information centrally can also solutions offer powerful audit
help teams work more efficiently trail functionality to enable users
by maintaining a single version to quickly and easily search and
of the data, eliminating the review events in order to help
inconsistencies that can be detect unusual or non-compliant
introduced if multiple versions user behaviour. Some platforms,
of files are used. CDS solutions like Chromeleon CDS, allow all
that facilitate centralised events to be easily key-word
storage also allow data to be searched and filtered based on
securely accessed by colleagues action, and even allow audit trails
wherever they are, allowing to be added to reports for review.
them, for instance, to initiate and With the right tools to support
check on sequences remotely. complete workflow transparency
With easy access to the latest right across the manufacturing
chromatography data at the chain, businesses can reduce
click of a button, results can be time searching and focus more
shared faster, helping teams make on innovation.
decisions around manufacturing
and batch release more quickly Chromatography workflows play
and, ultimately, accelerating the a central role in pharmaceutical
delivery of therapeutics. production processes and
manufacturers need effective
The increased complexity solutions that make managing,
and footprint of modern accessing and sharing this
pharmaceutical manufacturing information between teams
processes means regulators are seamless, secure and regulatory-
putting an increased focus on compliant. The latest CDS
the traceability and transparency software solutions are helping to
of the data associated with maintain the highest standards
chromatography workflows. of data integrity to help the
Regulations such as U.S. FDA pharmaceutical industry
Title 21 CFR Part 11 and UK MHRA accelerate the manufacture
‘GXP’ Data Integrity Guidance and of safe and effective medicines
Definitions require pharmaceutical for patients.
manufacturers to ensure While dispersed manufacturing
traceability from measurement to chains can result in reduced
reporting. For large organisations
with multiple moving parts,
operational costs and shorter times
maintaining full accountability for products reaching end-users,
across the manufacturing chain they can unintentionally lead to
can be challenging; demonstrating
compliance in the event of an poorly harmonised processes
audit even more so. and inconsistencies in data.
34 FROM THE FACTORY

5 FACTORY DEVELOPMENTS
Catalent breaks ground A key feature of the milestone for Wasdell, and I am and digital manufacturing.
on new facility development by WHP was extremely proud of our team They have also been a strong
to install a bespoke low and the efforts made to open partner in training our local
Catalent has broken ground maintenance toxic waste this facility.” talent. These efforts have
on a new $112 million drug system to remove cleanroom supported the growth of the
product manufacturing facility waste to a holding tank, industry as a whole and in
in Indiana. The site will increase where it is transported to GSK dedicated to Singapore turn has created diverse and
the company’s fill/finish capacity an off-site incinerator. The to advance technologies attractive job opportunities
in Bloomington and will house system incorporates dry break for Singapore.”
a range of technologies to couplers to seal off both ends GSK has opened a new
support production. Catalent of the pipeline to prevent $130 million manufacturing
Biologics will create up to the possibility of any onsite facility in Jurong as part of a Onyx Scientific to expand
200 new jobs to support the contamination. company roadmap dedicated UK facility
increased production. The to developing advanced
new facility is expected to be technologies in Singapore. Onyx Scientific has strategically
completed by the end of 2024. Wasdell commences invested in its UK facility to
operations in Dundalk The investment comes as position the company for a
part of the GSK-Economic commercial API license.
Production of anti-cancer The Wasdell Group has Development Board 10-year
drugs boosted by new commenced operations at its Singapore Manufacturing The investment is driven by a
cleanroom EU headquarters after receiving Roadmap. GSK has expanded growing demand for flexible,
its Manufacturer’s/Importation one of the production buildings specialist and small-scale API
Production of new anti-cancer Authorisation licence (MIA) from on its Jurong site in an effort to manufacture. The company
drugs at ADC’s Bio North Wales the Health Products Regulatory accelerate the supply of new will expand its UK facility to
manufacturing facility has been Authority (HPRA). medicines to patients. put in place the infrastructure
boosted by a new cleanroom, to manage and commercialise
designed and built by WHP. The new headquarters is Mr Chng Kai Fong, managing customer projects.
located at the IDA Technology & director, Singapore Economic
The new facility supports Science Park in Dundalk, Ireland Development Board said: Onyx is working with the
the production of antibody and is thought to be the fastest “Over the years, GSK has Medicines and Healthcare
drug conjugates through custom-built site to achieve continually partnered with Products Regulatory Agency
a stringently controlled cGMP approval. Singapore to develop (MHRA) and is expecting
environment, eliminating advanced manufacturing licence approval later this year.
any risks during antibody Vincent Dunne, CEO said: technologies, such as
modification and conjugation. “This is another significant continuous manufacturing
Pharma Packaging
and Labelling
Europe 2019
10th & 11th September 2019, Munich, Germany
Following a successful comeb ack to Europe last year, we are delighted to present
stimulating discussions and presentations devised to tackle recent regulatory challenges
and explore innovations within packaging and labelling within the pharma and device
industry. Experts from all over Europe will gather in one room across two days for close
knit networking, open deb ates and interviews.

Key Speakers 2019 Key Highlights 2019


• Gideon Brunner, Senior Global • Analysing the EU MOR and its implications
Packaging Engineer, Roche for Labelling and Artwork

• Dr Robert Wenzel, Director Of • E-Labelling: accessing digital information from a


Labelling & Translation, Fresenius packaging barcode using a standardised
Medical Care approach

• Paulina Onzaga, Associate Director • Minimizing the confusion and clarifying the
Supply Chain, Allergan future of FMD for packaging and label design

• Yves Steffen, Head Packaging & • Improving artwork change implementation


Device Commercialisation BTDM, across supply chain, tools and stakeholders
Novartis and interactions across functions

• Jette Byg, Head Of Regulatory • Regulation on MOR & IVDR: Deadlines


Affairs Support, Coloplast approaching, are you complaint to the
regulation?

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