ワクチン用のバイアルからプレフィルドシリンジへの移行:3つの重要な成功要因

June 20, 2022 by Vincenza Pironti (4 分で読めます)

カテゴリー | 無菌製剤


製薬企業各社が患者さん中心主義の取り組みを強化し、注射剤の自己投与が増加しつつある中、プレフィルドシリンジ製剤市場は成長を続け、2026年までに95.3億ドルに達すると予想されています。この成長の主な牽引役はバイオ医薬品です(図1)。

 

プレフィルドシリンジは、患者さんの安全性向上や汚染リスクの低減が可能であることから、臨床医、患者さんのいずれにも好まれる製剤となっています。

プレフィルドシリンジが患者さんに提供するメリット2

  • 速やかに投与できる
  • 慢性疾患の治療において病院ではなく自宅で自己投与が可能
  • 微生物や薬品による交差汚染のリスクを抑えることができる
  • 投与精度の向上

製薬企業の観点では、バイアルからプレフィルドシリンジに切り替えることにより、無駄になる原薬量が減り、製造コストの削減につながります。投与後の針に残存する薬液は微量であるため、全体的な収率向上を実現できるのです。

ワクチン製造におけるキーポイント

ワクチンのプレフィルドシリンジでは留意すべき事項が数多くあります。例えば、設備の生産能力や柔軟性、用法・用量に基づくプレフィルドシリンジ管理に関する専門知識、開発中の課題を解決できる実績などです。プレフィルドシリンジの成功には、保管、サプライチェーン、規制要件が特に重要な要因となります。

Vaccines, which contain temperature-sensitive substances, require storage temperatures as low as –40°C. Syringes comprise more complex combinations of materials than vials; development must demonstrate their suitability for such extremely cold storage conditions. To develop an optimal process, sponsors should consider working with partners with proven expertise in both materials and fill and finish, encompassing:

  • Formulation development
  • Screening of syringes and plungers
  • Assessment of compatibility of containers with vaccines
  • Holding time studies
  • Freeze and thaw studies
  • Container closure integrity during a temperature excursion
  • Gliding and break-loose force temperature dependence
  • Shipping studies
  • Scalability studies

Patient benefits of prefilled syringes

Benefits of prefilled syringes include:2

  • Ability for rapid administration
  • Self-administration of chronic disease treatments at home rather than in a hospital
  • Lowered risk of microbial and chemical cross-contamination
  • Improved dosing accuracy

For process development and optimization, it is helpful to have a single partner that can provide a streamlined transfer from initial development phases through to commercial scale. This enables potential hurdles to large-scale transfer to be addressed from the outset.

For successful manufacture and distribution of vaccines, all necessary raw materials and qualified transportation options need to be planned for and prepared. This can be accomplished through a turnkey service embracing all steps from manufacturing to distribution. Strategic sourcing for primary packaging components is a key success factor. The selection of components from the preliminary phase can yield a competitive advantage for a vaccine in a prefilled syringe. It is essential to establish a close relationship with container and/or autoinjector suppliers to secure stocks and, when possible, build a flexible manufacturing platform enabling easy changing of parts when multiple filling volumes or diverse formats are requested.

For distribution, success can be ensured by using:

  • Temperature sensors in every shipment to track any temperature excursions, even when employing new shipment options.
  • Advanced monitoring platforms to allow remote and visual monitoring of package location from a computer dashboard. This technology can be paired with temperature sensors.
  • Digitalization and connectivity between the network of suppliers, vendors, and collaborators to allow seamless transactions facilitated by instant notifications, virtual audits, orders, and automated updates.

For steriles, and for syringes in particular, the regulatory landscape is very challenging. Planning is important from the earliest stage of development to determine the best time to switch from vials to prefilled syringes. This change involves demonstrating the robustness of the vaccine formulation in various containers, and the suitability of the primary packaging components for all approved storage conditions. Recent, up-to-date experience in dealing with local and global regulatory bodies plays a crucial role in the development of a global plan for a vaccine in a prefilled syringe. A typical path is based on a risk/benefit approach. A clear definition of the final target product profile can enable appropriate planning of studies required to make the switch between containers flawless—and avoid unwelcome surprises later in development.

In conclusion, a move from vials to prefilled syringes can lead to many benefits for stakeholders, including patients, health care providers, and drug manufacturers. The three key success factors discussed earlier can ensure that all challenges are addressed as this transition is managed. Together, these provide a complete understanding of the critical parameters that can affect the overall stability of the final presentation in a prefilled syringe—avoiding waste of valuable resources and enabling selection of the best primary packaging for successful commercialization.3

View references
1. https://www.globenewswire.com/news-release/2020/01/14/1970066/0/en/Prefilled-Syringes-Market-to-Reach-9-53-Billion-by-2026-Growing-Popularity-of-Biologics-and-Biosimilars-to-Aid-the-Market-Fortune-Business-Insights.html
2. http://aem-corp-auth.prod.cloud.thermofisher.net/editor.html/content/patheon/us/en/insights-resources/whitepapers/challenges-and-practical-solutions-for-switching-to-prefilled-syringes-for-injectables.html/