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-products that replicate natural substances such as hormones, enzymes, and antibodies in our bodies -sugars, proteins, nucleic acids or combo -living entities (cells, tissues, blood, blood products) -made from variety of natural resources (human, animal and microorganisms) |
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center for biologics evaluation and research |
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-within FDA -regulates a wide range of biological products including -allergic extracts (ex. for allergy shots and tests) -blood and blood components -gene therapy products -devices and test kits -human tissue and cellular products used in transplantation -vaccines |
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-first coined in 1919 by Ereky -a series of enabling technologies involving manipulation of living organisms or their sub cellular components to provide useful products, processes, or services |
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center for drug evaluation and research |
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-regulates other categories of biological products mostly produced by biotechnology methods including -monoclonal antibodies -cytokines -growth factors -enzymes -immunomodulators |
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designed as targeted therapies in cancer and other diseases |
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types of proteins involved in immune response |
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proteins that affect the growth of a cell |
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-agents that affect immune response |
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unique properties and challenges |
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-API -stability -delivery -formulation -immunogenicity -pharmacy practice |
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-complex molecules (macromolecules) -primary, secondary, and tertiary structure -structure function relationship -produced by biotechnology (ex. rDNA technology) -heterogeneous -multiple assays to confirm identity |
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-most proteins are not stable in solutions -chemical/physical instability -microbial growth -most products are lyophiles stored at 2-8 deg C -reconstituted solutions have limited use time |
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-denaturation and aggregation due to -pH and ionic strength -heat -multiple freeze/thaw cycles -removal of water -agitation/shear -foaming -adsorption |
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-lyophilization and storage at 2-8 deg C -cryoprotectants and lyoprotectants -pH/buffers -surfactants -serum albumin -anti foaming agents |
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-biotechnology approaches: -modify selected amino acid residues -introduce additional disulfide bonds -delete non essential portions -conjugation -however need to start process over since its a new product |
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delivery routes of administration |
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-oral-low and variable bioavailability (GI stability/low absorption) -parenteral (current standard, SC usually) -pulmonary-unique applications (Exubera and Pulmozyme) |
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formulations microbial considerations |
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-sterility and aseptic techniques -decontamination and pyrogen removal |
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parenteral formulation excipients |
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-solubility enhancers -anti adsorption and anti aggregation agents -buffers -preservatives and antioxidants -osmotic agents |
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immunogenicity (provoke immune response) |
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-structural factors (degree of structual variation, presence of aggregates, glycosylation) -impurities -formulation -route of administration (SC>>>IV) |
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strategies to reduce immunogenicity |
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-structural modifications or mutations -pegylation -low MW dextrans -immunosuppressive tx (methotrexate with etaercept) |
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pharmacists are reluctant to stock due to |
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-high cost -special storage and handling reqs -poor understanding of therapeutics -reimbursement issues |
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continuous education and support services |
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-manufacturer supported resources (professional services, educational materials, reimbursement support) -professional organizations |
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