Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy

To be successful, academic and commercial efforts to reintroduce phage therapy must ensure that only safe and efficacious products are used to treat patients. This raises a number of manufacturing, formulation, and delivery challenges. Since phages are biologics, robust manufacturing processes will...

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Main Authors: Michele Mutti, Lorenzo Corsini
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-10-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2019.02289/full
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spelling doaj-2cd608459d83417098cc90e91e04b8f72020-11-25T02:49:24ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2019-10-011010.3389/fmicb.2019.02289465742Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage TherapyMichele MuttiLorenzo CorsiniTo be successful, academic and commercial efforts to reintroduce phage therapy must ensure that only safe and efficacious products are used to treat patients. This raises a number of manufacturing, formulation, and delivery challenges. Since phages are biologics, robust manufacturing processes will be crucial to avoid unwanted variability in each step of the process. The quality standards themselves need to be developed, as patients are currently being treated with phages produced under quality standards ranging from cGMP for clinical trials in EMA and FDA regulated environments to no standards at all in some last resort treatments. In this short review, we will systematically review the literature covering technical issues and approaches to increase robustness at every step of the production process: the identity of the phage and bacterial production strains, the fermentation process and purification, the formulation of the drug product, the quality controls and the documentation standards themselves. We conclude that it is possible to control cost at the same time, which is critical to re-introduce phage therapy to western medicine.https://www.frontiersin.org/article/10.3389/fmicb.2019.02289/fullphage therapyquality by designPhagoMedbacteriophagesantibiotic resistancephage purification
collection DOAJ
language English
format Article
sources DOAJ
author Michele Mutti
Lorenzo Corsini
spellingShingle Michele Mutti
Lorenzo Corsini
Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
Frontiers in Microbiology
phage therapy
quality by design
PhagoMed
bacteriophages
antibiotic resistance
phage purification
author_facet Michele Mutti
Lorenzo Corsini
author_sort Michele Mutti
title Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
title_short Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
title_full Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
title_fullStr Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
title_full_unstemmed Robust Approaches for the Production of Active Ingredient and Drug Product for Human Phage Therapy
title_sort robust approaches for the production of active ingredient and drug product for human phage therapy
publisher Frontiers Media S.A.
series Frontiers in Microbiology
issn 1664-302X
publishDate 2019-10-01
description To be successful, academic and commercial efforts to reintroduce phage therapy must ensure that only safe and efficacious products are used to treat patients. This raises a number of manufacturing, formulation, and delivery challenges. Since phages are biologics, robust manufacturing processes will be crucial to avoid unwanted variability in each step of the process. The quality standards themselves need to be developed, as patients are currently being treated with phages produced under quality standards ranging from cGMP for clinical trials in EMA and FDA regulated environments to no standards at all in some last resort treatments. In this short review, we will systematically review the literature covering technical issues and approaches to increase robustness at every step of the production process: the identity of the phage and bacterial production strains, the fermentation process and purification, the formulation of the drug product, the quality controls and the documentation standards themselves. We conclude that it is possible to control cost at the same time, which is critical to re-introduce phage therapy to western medicine.
topic phage therapy
quality by design
PhagoMed
bacteriophages
antibiotic resistance
phage purification
url https://www.frontiersin.org/article/10.3389/fmicb.2019.02289/full
work_keys_str_mv AT michelemutti robustapproachesfortheproductionofactiveingredientanddrugproductforhumanphagetherapy
AT lorenzocorsini robustapproachesfortheproductionofactiveingredientanddrugproductforhumanphagetherapy
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