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Webinar On Novel Dosage Designs and Medical Devices
Webinar On Novel Dosage Designs and Medical Devices
•To identify Global applications of Novel Drug Grng Chan, HZ., Hao Hu, YH and Ocyang D. (2018) A Comprehensive Map of
delivery system (NDDS). FDA•Approved Pharmaceutical products. MDPI Pharma~utics.263
approaches, formulations, technologies, Glng cruin, HZ., Hao Hu, YH ,no Ofyans O. (2018) A
Comprehensive M ap ol FOA•A?PrOYed Pharmaceutical
and systems for transporting otoducts. MD91 Pharmaceutlcs.263
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under medcatlon al periocb of
5 . Frequent doalna.
_____ . ________ _
6. Plllknl non compl iana-. Therapeutic
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--
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7. lncun'l'enlence of patient.
Advant ages of Conventional Dosage Form : ~
Advantage of NODS
1. Per unit cost of conventiona l dosage form is less
tha n non-immediate release dosage form. • Enhancement of solubility.
2 . More fle x ibility for the physician for adjusting
dosage form in co n ventional dosage form . • Increased bioavailability.
3 . Conventional dosage form can accommodate the
patient variation .
• Protection from toxicity.
4 . N o problems w ith drug havin g too small half life. • Enhancement of pharmacological activity
5 . Potent drugs can 't be formu lated as sus tained
release dosage form . • Enhancement of stability.
• Improved tissue macrophages distribution.
• Sustained delivery.
Drawbacks of conventional dosage forms
• Poo r p a ti e nt complia nce, inc re.ased c ha n ces o f missin g th e
• Protection from physical and chemical
cl os e o f dru g. degradation
• T h e un ava ila ble flu ct u at io n o f dru g co n ce n trat io n m ay lead
to und e r m e d ica ti o n o r ove r m e di ca ti o n .
• A ty pical p eak va.lley p las m a co nce n t ra t io n t ime p ro fil e id
o b ta ined wh ic h m a ke a tta inment o f s tead y s ta te co ndit io n What is drug targeti n
diffic u l t .
- ThC" th C"1,t)X'UtiC' n•spon.k' o f ti dn1g dC"pencls u pon t he i11le1.1C'l k"II of ctr ug
• T he fluc tu a ti o n in drug levels m ay lead to preci p itatio n of 111.:>l« u)("S \\; th c-dl ~II c-..-11 IIIC"1tlU1:t11C" 1·t"lr1 lc"rl biol0$IC'.:l l C"VC" IIIS a l 1~µ 1..:-1
a d ve rse e ffects esp ecia ll y of a drug w it h s m a ll t h e ra p e uti c s itC"S Ill COll t"C" lltn, h cn ckpe n dc- n t II HlllJIC" l"
•
Delivery Systems:
What Do They Offer? Normal C ell
Nonna!C.U
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._ Sh ort half-life
Hlgh&Olubility
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I
r
Classl
Conventional immedi e
release dosage for s
••••
•••
·-
·- -
·---
L i poso m e D rug
A Conve ntlona l llpo some D Et hosome
Co ntent :
Produ c t s
• Drug application (NDA) or
abbrevia ted new drug application
(ANDA) fo r a liposome drug product
Hydfo-ethanok: Guida nce for Indus1ry
aokitlon of drug reviewed by the Center fo r Drug
Evaluation and Research (CDER).
• liposome drug product s:
• (A) Chemistry, manufactu ring, and
controls (CM();
• (B) Human pharmacokinet ics and
bioavailability or, in the case of an
Edge ac tiVator C• .g. single
c::":iE:"'-iSEE.7-: ANDA, bioequiva lence; and
ch•irl surlactant molecule ) -.::::.~ • (C) Labelling in NDAs and ANDAs.
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• (Ref. 1). As described in th at guidance, at t his ti me, w hen con sidering --,c>1..,,.--1111 . . . . . ~...._ .......... li
w het her an FDA-regulated product involves t he ap pl ication of i...••·.........-..-...~--.-,i-1111-..
-•dk9.(M.I)
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• (1) w het her a materi al or end product is engineered to have at least Alnll_,.- ..-.•-tlal;d,l1,r..,-..:w.,
one external dimension, or an internal or surface structure, in the
nonoscale range (approximately l nm to 100 nm); and
• (2 ) w het her a mater ial or end product is engineered to exhibit
properties or phenomena, including physical or chemical properties
or biological effects, that are attributable to its dimensian(s), even if
t hese dimensions fall outside t he nanosca le range, up t o one
micrometer (1,000 nm) .
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..... - - . -~ .,, .. n»e ....,01v1c1 - ni n-,u_ ..... ., Adva ntage of Zipdose
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Smart drug delivery nanoplatforms
pH
Enzyme
Rc,odox
.[ empe,a<u , e
I M.:,,gnoti,:;
Developme nt of SPRITAM ®
....,... A co,..s~ic;
! I tgh 1
Formu]ation Aspect
The final fo rm ulation fo r SPRI TAM incl ud es th e labeled strength of
levetirace tam an d th e inactive ingred ients
Colloidal silicon dioxide
Glycerin
Mannitol
Microcrystall ine cellulose
Polysorbate 20, povidone,
5ucralose,
Butylated hydroxyanisole
Narural and artlfictal spearm int navor.
_..,_
These comp onents are commonly used in formula ti ons. Each
com ponen t is USP or NF grade.
--
Advances
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~ 3DPRINTINGIN HEALTHCARE
Ad vantage of Zipdose
• "" Allowstheapplicationolenhancedtaste--
mas~in91echmques
Outline
♦ UnmetNeed
♦ Impedance Spe<troscopy on Electrochemical Mechanism
•
Where is NSYSU
♦ Bladdtr cancer is the 4th
Bladder Cancer commonest cancer amongst
__
men In the western world.
In Southern Taiwan area, the
incidence rate of bladder
/ Kaohsiung cancer Is 10 times.
Recurrence
; 2hr
flight
, rate SO-SO" ......,..
( ., * 1""o-Ol!N nNCINIGel U«uopMfffll
•Mu~Uq,uidCJw«nftOlraphy
"""'
rM, yrlla
II ■
Unmet NEED for
Point-of-Care of Bladder Cancer Diagnosis
'
Easv, Less Sample, Rapid creening, At home
p_e(troscopy on..Electfochemical
✓ Lowpowtr
✓ [1.se lo mini1turi.zalion
✓ l n1egra1ed I.ab-on-chip
✓ Polnt-of-<:are di■ gnosth::s
_,,
Problems and Solutions Fabrication of Immunosensor
Prob1em.s Solutlons - Electrode array
LflottomK IN:l......,l..aJ rr h. SU-I Cui ly l1yt.r ('. lbfl [k<:trodc Layr r and Chip Bond int
♦ Port able De,,Jce fo r point-of- ♦ l ntegrale wilh minia tu rlzed C... ,_ IIU I.,-.
-
-.....irit~-1..-.,. Mof11.•1.,.•1•1'IRl-l1
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•
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f
'"""""""~"
11ectrodtsurlac:1
N!~SIY
•.
Dltltttrphortsb (OEP)
r r,
Dtltttlon protein, In Cllnltal
II ~~~-~~~·"'~ ··~·
Pal iCD U Url•e
✓ Low-cost
✓
Advantap
••
Mo<l"nnlN ll 1"an1,.,urf•~r
~-.,/~~.::t:. ;
<f"' ~~~--
•-,-0-,-0-, • Nanoparticles Nanoprobe
j _L. j -
♦ Fabrication of Oxide antibody
IM•ld""'l'M<l'°"
1,_0H..,OIC)
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f......
ll cHo
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30 mio
"
II
Portable/Miniaturized Immunoassay System nd Discussi D-IRB Clinical Trail
•cooperation with Chi-Mei Hospital_lRB Code: 10404-004
- Accuracy for the portable module
Cu t of Point
Statistical analysis software: SPSS
■
Patient number: 54
lmp,d'"" I MeltrOJ.))
LCR 11,ro, 28 cancer patients
,. Without With
~--
Ot,kt (kll) W•l Disease Disease
26 normal patients
202.64
304.29
401.47
199.82
299.72
399.6S
IJ9
1.50
0.4S
. _..._
, - c-;.~- Normal distribution
■ Norma l Patient
48S.41 499J;3 2.91
c
-
609.79 599.17 1.74 (True Negative, TN)
7 17.80 698.89 2.63
r:=
--- ...
Impedance Variation 0-20%
778.97 799.07 2.58
9 14.24 898.90 USS ■ Cancer Patient
103-0 998.54 J .OS
(True Positive, TP)
lmil!lll 1110 1098.00 1.08
Error Value le" than 2"
lmil!lll 1240 1197.00 J.47
, Impedance Variation 20-50% 40 SO (IO
ROC C urve
- c.
Oi,,.,..nt s top• o f lmmunoseslnp
Lr•-•- c,__,.,
11•1--...,,
61Times
J95 Timn ► Discrimination rules of AUC:
• AUC=0.S
(no discrimination )
• 0.7& AUC & 0.8
Difference Concentration
::0.0078-0.2S mg/ml
(acceptable d iscrimination )
llTlmn
• o.s&Auc & o.9
0.0078mg (excell ent discrimination )
::: - pg(< 10-")
Lyute ( > 10,000 proldn) •
For G ■ lecli.n-1 specific protein the
5TimtS
...~ ... ,
i...owr~ •.! ' 1~ Oo.J l~ Qoe:$
• 0 .9& AUC&l.0
(outstanding discrimination)
dettc:Uon llmlltd would bt pgiml Concen1ratlon(mg/ml)
' AUC = 0.863
0 ..
1 - S pt:tlOtUy
Result discussion
-Difference Concentration of Cell Lysate in the Artificial Urine Accuracy - 86% ( excellent)
[)ete,cd(ln of Gal-I l• 1plk_,ed
I
:artifkial aad i ■man urine
/ ROC C urve
: ,:)
ll!Heftnc1cComeftl1111io11
0.007S--02SonJ/m l
C h1 M e1 1 - Spt.tlntlty
l'r-cu('l-ll"CJ
Jllr
Compariso n
Which Direction to Start?
Approaches of technology innovation
SCL.aRAL PLUGS
GaN ■ DaL.N_..,,
•-A
=~c=::oo:::,~1
ff . . . CaLL
THIS INCREASES ■CT
PRESSURE
SOLUTION LIPOSOMES
CohAry body
~ humor lnflo""
De livery System
► enhanced corneal contact
time and permeability
Eye irritation and other adverse effects cou ld be
,- ---~-
corneal ► prolonged and controlled
rea sons for patient noncompliance.c:=:=====-=== Hyalu ron ic ~•-= permeation drug action
medication regimen . Ad d •chito~a n-
la t anopr0$l ► convenience of a drop, but wm
Link
localize and maintain drug activity
N anQpartic les
at Its site of action
Chitosan (CS)
Tripolyphosphate
(TPP)
Latanoprost
F- Composition
Description (Use)
,
corneal/conjunctival
barrier
Hyaluronlc acid Negatively charged substrate
(HA) for CD44 receptors and ·~
muooadhesive oolvmer
nasolacrimal drainage
limit the contact time of
ophthalmic solutions to about 1-2
min and their bioavailability is
0 generally less than 10%
(Ma KH & Hadzlja BW,. 2013)
HA-CS-Iatan Composition Research Design
IDrug Content
,.
j
a ,
Research Design
Research Design
lntraocular Pressure Reduction Activity
Preparat ion ;md Ophm1zation of NP by Preparation and Optimization of HA-
the Ionic Gelat,on Method CS-latanoprost NP
CS TP P - 2 1, J 1, 4 1 !i 1, 6 1,8 1 CS.HA - 7 .1, 10 1, 20.1
Research Design
Effect of the ratio of CS an HA on t he part icl e size, polyd ispersibil ity index (POI )
, zeta pot en ti al (ZP) and entrapmen t efficiency (EE) of the prepared NPs
-
_L~ .,~;~... ·-...
el,
ma
0 ~
30±2 ° C
"''"M
whrt•, 1u, b, d 6.48 271:14.99 100 sterile
The IOP reducing test shows t hat the form ulat ion of latanoprost with
wM.ior, chitosan and hyaluronic acid is more effective in reducing t he IOP
whrl•,tur Di d
-M 6.46 287±4.93 100.3 sterile
than by drug alone in normal rabbits. These results could serve as a
whh•,ti.,r Did 6.48 271±4.99 100 sterile basis that HA-CS-latanoprost NP formu lation cou ld improve and
"'"'M susta in drug concentration in the act ive site, thus could aid in the
...
wh rt.,no, Di d 6.48 286±3.02 99.96 sterile
w hiti""'
4Dt2 ° C whitf., nnbod , 271 ±4.99 100 sterile formulation of latanoprost eye drops with decrea sed or no
whit•,tu11>id
benzalkonium HCI as an irritant preservative and penetration
6.37 281±1.82 99.48 st•rlla-
enhancer. These cha racte ristics of drug delivery are an advantage for
,.
whil.o,,rur Di d U9:t0.49 ' 6.48 271±4.99 100 sterih~
eye drops especially those for long term use such as glaucoma
whlt♦,IU r b, d 9.s.l -t0.l'll5 296 ±1.5!:I 99.74 st,nile medications, because it cou ld improve patient compliance as well.
"''"M
According to Scores for Grading the Severity of Ocular Ab s t:ra cts f r o m t:h c 4
t_h
A s ion Co n ferc n co In
Lesions/Grading System in the Ocular Irritation Test the scored value Phormac e ut:i ca l Sc i e n ces ( A s i a Pharm I V)
~~=-::.-=--==:
-· ~~:...~ u :.:::r~;r=
:::::::..- ~::;..."'-:=~~.:':~~=:::::.::
Data Analysis
NEURODEGENERATIVE
DRUG DISCOVERY SYSTEM AGAINST DISORDERS
NEURODEGENERATIVE DISORDERS: Alzheimer's disease (AD
A MANUFACTURING CHALLANGE
Parkinson's disease (PD)
Wilson's disease(WD)
NEURODEGENERATIVE
Challenges , Antioxidant therapies??
EMERGING
•
DISORDERS TARGET BASED
• Neurodegenerative diseases are a hete rogeneous THERAPIES
1. Secretase inhibitors
group of di sorde rs t hat are characterized by the
2. lmmunotberapy
progressive degeneration of the structure and
J. Neprilysin
function of the central neivous system
4. Altering BBB transport
or peripheral nervous system s. Inhibition of Aj3 aggregation
6. Antioxidants
7. Statins
• In curabl e and leads to debi li tating condi tion s
•
8. Dim ebon
• Cogn iti ve di sa bility, Ataxia a nd deme ntia
• 9. Estroge ns
--
Normal Blood Ve ssels vs.
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a1oot1 VesNI
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OYeM mphfled unclers nd ng of
mul faceted diff s s
• HIStory of 11-d targe! p,edlct1on
Magnetic
Nanopartkles
Liposomes
Recent focus on slngle~ta~t efforts
~
Ml gallon of to le side-effects
Dru Di co r C cl
Biotechnology
Companies
linu-.11
•nd1d• lt
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Processing
'"""'-•
BiopharmaceullCS
l~tedlherapy
...t0rug0el""l
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· P--OM'ara
Tr1Dtmont 811d
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Slmul,tlon
• MO. on MC • loC).OflMC • CfD. OEM, CfD-OEM ' M,/C
Pravantion • ~ fflOIW& • ~~~
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Smty 811d Compab'b~ity
s~ 1 Solt 2
Contlnuoos MonllfG<:turing
Al Stepe Occur Somutaneousl), on o Single """-5 Line
s.c. 1
Benefit, of Continuous Manufacturing
Roduced LOWl!r Redue..t
In c ~
Prouoeing Opera1,ng Production
T.,_ Waste
C:0.19 Vol-
Smalor No Manual
Footpnnt Handling,
Sal
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tlon + Blockchaln.
Enabktd Supply Chain
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