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Targeted Drug Delivery--Technologies
and Applications
Novel Drug Delivery Systems and Clinical Trial
Management China 2013

Aiswariya Chidambaram

28th November 2013
Focus Points
Importance of Targeted Drug Delivery
Segmentation of Targeted Drug Delivery

Technology Capability ā€“ Drug Delivery Carriers
Technology Value Chain
Targeted Drug Delivery ā€“ Key Innovations
Targeted Drug Delivery ā€“ Drivers and Challenges

Focus Points

Key Technology Developments ā€“ Drug Delivery Carriers
Life Cycle Analysis of Drug Delivery Systems
Demand Side Analysis
Potential Applications by Therapeutic Area
Patent Distribution and Publishing Trends
About Frost & Sullivan

2
Importance of Targeted Drug Delivery
Targeted drug delivery is a system of drug delivery which increases the concentration of the drug in specific organs and tissues
relative to the others. This helps improve the efficacy of the drug while reducing side effects. Cancer, autoimmune diseases,
neurological disorders, pulmonary diseases, cardiovascular diseases and most other conditions that require effective, safe ,
specific targeting of certain receptors or direct delivery into the organ are attractive targets for targeted drug delivery.

Criticality of Targeted Drug Delivery

Physiological and Biological Barriers to Drug Delivery

Mucous
Barrier
(lungs, nose,
and cancer
cells)

Maximize
precision

Blood Brain
Barrier
(several
factors lead to
ineffective
delivery to
brain)

Subcellular
Targeting
(cytosol, ER,
nucleus
targeting)

Minimize
toxicity

Moderate
release

Size
Exclusion
(size barrier
of different
membranes)

Ineffective
Ligand
Targeting
(disease
specific
ligands on
cell surface)
Other
Barriers
(pH,
osmotic
potential,
electric
charge)
Source: Frost & Sullivan

3
Segmentation of Targeted Drug Delivery
ā€¢ Oncology and neurology are the two most widely
researched diseases for targeted drug delivery.
ā€¢ Delivery to the lungs, eyes, and nose are other areas of
interest as targeting these organs is relatively difficult.
Lipid-based

Polymer-based

Targeted Drug
Delivery
Carriers

Inorganic Nanoparticles

Magnetic Particles
Nucleic Acid/ Peptidebased
Cell-based

ā€¢ Liposomes
nanoliposomes,
stimuli
responsive
liposomes, and conjugated liposomes with other functional
attributes are gaining attention from researchers.
ā€¢ Peptides and nucleic acids -Chimeric peptides are formed
when a drug that is normally not transported through the
BBB is conjugated to a brain drug-targeting vector.
ā€¢ Engineered polymers - PEG, polymeric nanomicelles and
other co-polymers; polymers designed to respond to
specific biological changes (such as pH, temperature,
chemicals and so on) so that the drug load is released
only upon stimulation.
ā€¢ Conjugates - antibody conjugated liposomal carriers,
multifunctional nanocarriers, and other particles that form
conjugates with the drug.
Source: Frost & Sullivan

D4C1-TI

4
Technology Capabilityā€“Lipid-Based Carriers
Liposomes are widely used for insoluble drugs and advances in conjugation technologies is enabling them to be used as
targeted delivery systems. For example, the biocompatibility and possible diversity with structures and compositions make them
suitable for a number of targeted delivery applications.

Conventional
Liposomes

Stimuli
Responsive
Liposomes

Stealth
Liposomes

Targeted
Liposomes
Polymer
Composite
Liposomes

Advantages
Enables passive/active
targeting
Easy and rapid
internalization
Low immunogenicity

Drawbacks
Rapid degradation (uptake
by RES(reticuloendothelial
system)
Poor scale up/need for
extensive modifications
Short shelf life

Improves solubility/
bioavailability
Drug protection/
Biocompatibility

Liposomes will find more adoption with the development of nanoscale liposomes embedded with drug depot and
polymer depots. Targeted liposomes and environment sensitive liposomes are the ones with maximum potential for
tumors and neurodegenerative disorders, and a number of existing chemotherapeutics are being encapsulated in
stimuli responsive liposomes.
Source: Frost & Sullivan

5
Technology Capabilityā€“Polymer-Based Carriers
Definition: Polymers have been widely used for sustained release of drugs, and adding functional targeting groups and other
moeties has enabled them to be used as targeted delivery vehicles. A number of natural and synthetic polymers
(degradable/nondegradable, hydrophilic/hydrophobic) with multifunctionalities are being produced for delivering drugs, while
polymer composites with lipids and inorganic nanoparticles are also being developed.

Stimuli
Responsive
Polymers

Polymer
Composites

Multifunctional
Polymers/
Co-Polymers

Advantages

Disadvantages
Hypersensitivity (certain
polymers)

Wide range of drugs can
be loaded

Artificial Cells

Cell mimicking properties
(certain polymers)

Biocompatibility Issues
(synthetic)

Easy Functionalization
(surface modification)
Controlled Release
Kinetics
Low Cost/Scalable

Polymeric templates have been recently used to develop artificial cells, such as platelets and biomimetic vesicles for
targeted delivery. Use of more natural polymers and polymer conjugated with other delivery methods will witness
increased attention from drug delivery companies and pharmaceutical companies in the next 2 to 3 years.
Source: Frost & Sullivan

6
Technology Capabilityā€“Inorganic Nanoparticles
Definition: Inorganic nanoparticles comprise nanoscale particles made from silica. metals, metal hydroxides, carbon and so
on. A number of multifunctional, inorganic nanoparticles are being developed for targeted drug delivery and imaging
applications. Hybrid drug carriers combining stimuli sensitive hydrogels and inorganic nanoparticles, and conjugation of
biomolecules to nanoparticles are areas of interest.

Carbon Based
Particles

Gold Based
(AuNPs)

Advantages
Optical Properties

Silica/Alumina
Nanoparticles

Quantum
Dots
Metals/
Oxides/
Sulfides

High Stability (over wide
temperature and pH
range)

Drawbacks
Toxicity Issues (LongTerm Safety )
Non Biodegradable
(accumulation)

Highly Tunable
Evade RES Clearance

Inorganic nanoparticles with multiple functionalities will prompt further research for development of effective cellular
delivery systems. A few gold-based colloids and nanoshells are in clinical trials for cancer applications.
Source: Frost & Sullivan

7
Technology Capabilityā€“Cell-Based Systems
Definition: Cells have been found to act as potential drug delivery agents and they can be used to directly encapsulate the
drug or used with nanoparticles for better pharmacokinetic properties, biocompatibility and higher drug loading capacity. The
figure indicates some of the major types of cell-based delivery platforms in development.

Dendritic Cells/
Tumor cells

Engineered
RBCs

Advantages
High Drug Loading
Capacity
Adjuvant Properties

Microbial Ghosts
and Viral
Particles

Genetically
Engineered Stem
Cells

Sustained Release
Biocompatible (except
microbial ghosts)

Scalable/Cost Effective

Drawbacks
Potential Immunogenicity
(viral, bacterial particles)
for non vaccine delivery
Storage and Formulation
Issues
Maintaining integrity
(RBCs, stem cells,
macrophages)

While viruses and virus-like particles (VLPs) have been widely used for vaccine delivery, the use of engineered
bacterial ghosts (BG), engineered RBCs and stem cells is slowly moving to the clinic. Many of these cells and cell
derived-particles are conjugated with other delivery strategies to improve the efficacy of treatment. Stem cell-based
therapies provide a promising approach to the treatment of several diseases in humans, and extensive research on
MSCs for targeted delivery is underway.
Source: Frost & Sullivan

8
Technology Capabilityā€“Magnetic Particles
Definition: These are micro-and nano-scale particles loaded or conjugated with drugs that get activated when exposed to an
active magnetic field and release drug cargo at the target site. It is a highly controllable and effective form of drug targeting. In
addition to delivery, these particles are apt for safe image guided drug delivery.

Advantages
Evade RES clearance
Image guided delivery
with MRI
Biological

Non-Biological

Controlled Drug
Release
Highly targeted

Organic

Inorganic

Drawbacks
ā€¢Gradient loss for deep
seated tissues
ā€¢Accumulation of
magnetic material at
target site
ā€¢Requirement for
specialized
manufacturing and QC
system

Organic magnetic carriers include magnetoliposomes (ferrofluids entrapped in the liposome core) and polymer
magnetic particles. Iron oxide particles used directly with the drugs are inorganic magnetic particles. Incorporation of
magnetically responsive materials into microspheres makes them susceptible to applied magnetic field, so that they
are concentrated to the target site by the application of a magnetic field externally to that site. Ferriliposomes are
other magnetic particles that could be used in combination with magnetic resonance imaging (MRI) for targeted drug
delivery and also as theranostics. To improve biocompatibility and safety, biological magnetic particles, such as
magnetobiosomes and engineered erythrocytes are being designed, and these are highly promising platforms.
Source: Frost & Sullivan

9
Technology Capabilityā€“Nucleic Acid/Peptide Carriers
Definition: In addition to peptides and nucleic acids being used as effective drugs, they are also being explored for targeting
drugs. Cell penetrating peptides, polypeptide membranes, and DNA Nanorobots are some of the technologies with immense
opportunities. Delivery of siRNA and other nucleic acid drugs, which is still a major challenge can be overcome with the use of
peptide and aptamer-based targeting.

DNA Origami(DNA
Nanorobots)

Peptide
Conjugates

Advantages

Drawbacks

Highly Targeted

Mode of administration

Biocompatible

Aptamer Instability

Biodegradable
DNA/RNA
Aptamers

Cell Penetrating
Peptides

RNA/Peptide dual aptamer systems, polypeptide membranes are being developed for highly targeted delivery and being
extensively researched. DNA Origami is a promising technology area which will enable ā€˜smart deliveryā€™ to become a near-term
reality. Overcoming aptamer instability via modifications is improving the clinical value of these systems.

Source: Frost & Sullivan

10
Technology Value Chain

Clinical Trials

Conceptualiza
tion of Drug
Delivery
Carriers

Development
of Drug
Delivery
System

Scale Up and
Large-Scale
Manufacture
(GMP)

Regulatory
Approval and
Marketing

Preformulation
and
Formulation

Source: Frost & Sullivan

11
Key Innovationsā€“Targeted Drug Delivery
Multistage Nanocarriers (Leonardo Biosystems, TX, USA)
ļƒ¼ Multi-stage nanocarrier-based delivery platform
ļƒ¼ Customized mesoporous silica nanoparticles are used
ļƒ¼ Functions better than single-stage systems
ļƒ¼ For delivering siRNA, small molecule and imaging agents to cancer cells.
Trojan Horse CNS Targeting Technology for Stroke (ArmaGen
Technologies, CA, USA)
ļƒ¼ The TNF-alpha decoy receptor is engineered as a fusion protein with a BBB
molecular Trojan horse (MTH).
ļƒ¼ The MTH is an engineered monoclonal antibody (MAb) against the BBB
specific transferrin receptor (TfR).
ļƒ¼ Facilitates receptor mediated transport of the drug across the BBB.
ļƒ¼ Ensures effective and safe delivery of drugs to the brain.
Thermally Responsive Liposomes, Lysolipid Thermally Sensitive Liposomes
(LTSL) (Celsion Corporation, NJ, USA)
ļƒ¼ A patented liposomal tumor targeting delivery system
ļƒ¼ Delivers high concentrations of drug to target site (tumors) on exposure to local
hypothermia.
ļƒ¼ Currently carrying out Phase 3 clinical trials (HEAT Study) for its lead candidate
ThermoDoxĀ®, a formulation of doxorubicin for targeting HCC (hepatocellular
carcinoma).
ļƒ¼ Expanded applications to develop formulations for other chemotherapeutics,
such as docetaxel and carboplatin.

Blood
Brain
Barrier

Hyperthermia

Drug release
into tumor

Source: Frost & Sullivan

12
Key Innovationsā€“Targeted Drug Delivery (continued)
IVECT Method , (Intezyne, Inc, FL, USA)
ļƒ¼ A multidisciplinary approach of drug delivery that has the potential to revolutionize cancer
treatment.
ļƒ¼ Developed proprietary polymeric micelles that deliver drugs to tumors using a triggered
release mechanism.
ļƒ¼ It is a highly tunable and cost-effective platform that can incorporate different targeting
ligands.
ļƒ¼ Currently has four cancer chemotherapeutics in its pipeline: two lead programs in final
preparation for IND submission and two others in earlier stages of preclinical development.
Resealed Erythrocytes for targeted and Controlled Dryg delivery, Erydex (Erydel Spa,
Italy)
ļƒ¼ An erythrocyte based drug delivery system for sustained release of drugs
ļƒ¼ Encapsulaties autologous red blood cells with glucocorticoid analoguedexamethasone
sodium phosphate (Dex 21-P).
ļƒ¼ Used for treatment of chronic disorders such as cystic fibrosis, Ataxia Telangiectasia.
ļƒ¼ Ventured in to diagnostics and targeted drug delivery (EryTargeting) aimed at delivery of drug
cargo only to targeted macrophages.
Resealed RBCs for Targeted Drug Delivery to Tumors , GRASPA (ERYTech Pharma,
France)
ļƒ¼ A tumor targeting therapeutic utilizing erythrocyte encapsulation technology.
ļƒ¼ Encapsulates a wide array of molecules such as peptides, proteins and small molecules for
delivery.
ļƒ¼ Targets the tumor microenvironment using the encapsulated L-asparginase which depletes
the circulating asparagine, a tumor growth factor thereby starving the tumor cells to death.
ļƒ¼ Currently tested in Acute Lumphoblastic Leukemia, Pancreatic cancer and Acute Myelod
Leukemia.
Source: Frost & Sullivan

13
Targeted Drug Delivery Systemsā€“Drivers and Challenges
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢

ā€¢
ā€¢
ā€¢
ā€¢
ā€¢

Need for effective delivery of biologics
Patenting opportunities for targeted therapies
Quicker time to market/ease of approval
Discovery of disease biomarkers
Development of spatially/temporally controlled systems
Advances in Nanotechnology
Improve patient compliance

Competition from medical devices for targeting
High costs of several types of systems
Potential long-term effects of nano particles
Lack of multipronged/ combinatorial targeting approaches
Poor funding scenario

Source: Frost & Sullivan

14
Technology Developmentā€” Lipid Based Carriers
2
1

Below listed are some of the areas being developed by universities and research institutions
ā€¢ Dual response sensitive liposomes

Company

5

0

Technology Development

ā€¢ Zwitterionic oligopeptide liposomes targeting mitochondria
ā€¢ Targeted liposomes for intracellular delivery

4
4.0

ā€¢ Self assembling nanoemulsions
ā€¢ Liposomes fused on inorganic nanoparticles

3

Key
0-2

ļƒ  Less than 10 company
developments
2 - 3.5 ļƒ  Between 10 and 20 company
developments
3.5 - 5 ļƒ  More than 20 company
developments

Key Developments

Silence Therapeutics (UK)

Silence's siRNA delivery platform is based on the proprietary lipid moeities that
embed siRNA into lipid-bi-layer particles. The siRNA is combined with Silence's
developed lipid moieties containing cationic lipids, co-lipids and PEGylated lipids to
form nanoscale structures.

Celsion Corporation(NJ, USA)

ThermoDox, the patented heat sensitive liposomal formulation of doxorubicin is in
clinical trials for liver cancer and also being tested for a number of oncology
indications.

LiPlasome Pharma ApS (Denmark)

The tumor targeting drug loaded lipid nanocarriers are designed to be susceptible to
degradation by phospholipase A2 (PLA2), which is high in the cancer environment.
The prodrug lipids are degraded by PLA2 and get converted to
active drugs such as anticancer lysolipids and/or fatty acid drug derivatives. The
degraded entities also enhance the permeability of the drugs across cancer cell
membranes to deliver high doses of drug to the target site.
Source: Frost & Sullivan

15
Technology Developmentā€”Polymer Based Carriers
Below listed are some of the areas being developed by universities and research institutions
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢

Artificial Cells, Synthetic Platelets (Scripps Research Institute and Sanford-Burnham Institute)
Dual Stimuli Responsive ā€žSmartā€Ÿ Capsules (University of Melbourne)
Protein Polymer Drug Conjugates
Polymer drug depot in liposomal nanoparticles
Multifunctional polymeric vesicles
Stealth particles coated polymers, Amphiphilic Biodegradable Dendrimer-Like Star Polymers

Company

3

2
1

4
4.5
5

0

Technology Development

Key Developments

PolyTherics Limited (UK)

Flexible polymer platform for targeted, sustained delivery of biopharmaceuticals.
GlycoPol TM is a targeting glycopolymer developed by attachment of saccharides a
poly(methacrylate) backbone. Drugs can be attached to the backbone for targeted
delivery.

Intezyne, Inc. (FL, USA)

IVECT Copolymer Micelles that are based on the IVECT Method offer a lost cost,
modular and highly targeted delivery platform. It is highly tunable and can be used to
deliver a number of drugs for varied indications.
The lead candidate IT-141, has demonstrated significant activity against a diverse
number of cancer cell lines. Another formulation IT-143, is the encapsulated
daunorubicin, is being assessed for treatment of lung cancer, osteosarcoma, and
ovarian cancer.

Arrowhead Research Corporation (CA, USA)

The company has a portfolio of in house developed and acquired targeted delivery
platforms, of which DPCs(Dynamic polyconjugates) and RONDEL are based on
polymer nanoparticles. Both are being explored for delivery of siRNA therapeutics.
Source: Frost & Sullivan

16
Technology Developmentā€” Inorganic Nanoparticles
2

The adoption of inorganic nanoparticles is on the rise with the development of gold and silica
nanoshells, nanowires, nanorods, and many more. They are emerging as an important and useful
class of targeted entities that can be functionalized for specific needs. These inorganic nanoparticles
can also be used for simultaneous imaging and delivery applications. Iron oxide, silica, gold,
fullerenes, and carbon are the most widely researched materials.

3

1

4
3.5
5

0

Technology Development

Below listed are some of the areas being developed by universities and research institutions
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢

Mesoporous nanoparticles conjugated with peptides, antibodies, and other entities
Stimuli sensitive nanoparticles
Surfactant functionalized nanoparticles
Aptamer gated nanoparticles
Multistage nanoparticles

Company
Leonardo Biosystems (TX, USA)

CytImmune Sciences Inc.

Key Developments
Multistage mesoporous silica nanoparticle based platform for spatiotemporally controlled drug release is attracting a lot of interest from investors
and pharma companies. The system is undergoing optimization and
enhancements.
The technology is based on pegylated colloidal gold nanoparticles that can be
used directly as drugs via tumor targeting molecules or can be used as
carriers for cancer drugs.
Source: Frost & Sullivan

17
Technology Developmentā€” Cell Based Carriers
2

The adoption of cell-based drug carriers is relatively low despite research being carried out for more
than a decade. Modified RBCs form the majority of therapeutic carriers, while stem-cell based drug
targeting is showing promising results in clinical trials. Microbial cells have been used for targeting
vaccines and drugs for several years, and modified forms of these cells are now being developed for
more effective and safe targeting.

3

1

4
2.5

0

5

Technology Development

Below listed are some of the areas being developed by universities and research institutions
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢
ā€¢

Resealed erythrocytes/ Engineered erythrocytes with viral fusion proteins (for example, Erythro-magneto-HA virosomes)
Engineered mesenchymal/ neural stem cells (for example, Silica nanorattle-drug anchored mesenchymal stem cells
Virosomes/Bacterial ghosts for DNA vaccine and subunit vaccines
iPSCs reprogrammed for organelle specific targeting
Magnetotactic bacteria
Prodrugs/Drugs bound to RBCs in circulation for long-term thrombosis treatment

Company

Key Developments

EryDel SpA (Italy), EryTech Pharma (France)

Erythrocyte loaded drugs for multiple disease areas currently in clinical
development. These are being used for controlled delivery as well as targeting.

Pevion Biotech AG (Germany)

Proprietary virosome-based platform for targeted drug delivery and adjuvant
activity for subunit vaccines. A number of vaccines are in advanced phases of
clinical trials using their VLP technology, and has also been outlicensed to
several pharma majors.

Engene IC (Australia)

EDV (Engene Delivery Vehicle) technology basically consists of inert bacterial
cell derived nanoscale minicells conjugated with bispecific antibodies for highly
targeted intracellular delivery of cancer drugs/siRNA. Immune stimulating
properties enhance performance and the drugs using this platform are currently
in clinical trials.

Source: Frost & Sullivan

18
Technology Developmentā€”Magnetic Particles
Below listed are some of the areas being developed by universities and research institutions
ā€¢ Bacterial magnetosomes from magnetotactic bacteria for drug targeting that can be functionally superior
to artificial magnetic particles
ā€¢ Ocular magnetic drug targeting
ā€¢ Magnetic resealed erythrocytes
ā€¢ Enzyme and temperature responsive magnetic nanoparticles
ā€¢ Multifunctional nanoparticles for delivery and imaging (for example, multilayered nanorattles)

Company

2

3

1

4

1.5
0

5

Technology Development

Key Developments

Vascular Magnetics, Inc, (PA, USA)

Biodegradable, magnetic drug-loaded particles in combination with a magnetic
targeting catheter and a magnetic field generating device that guides the
particles to narrowed arteries in PAD (Peripheral Artery Disease).

Nanobiomagnetics Inc. (SW R and D) (OK,USA)

Magnetic vectored drug delivery using magnetically responsive therapeutic
constructs.

nanoTherics (UK)

Magnetic transfection method MagnetofectionTM using DNA, siRNA coupled
with magnetic nanoparticles to form a complex. Upon exposure to oscillating
magnetic arrays, cells show uptake of the complex via rapid endocytosis.

MagForce AG ( Berlin, Germany)

Iron oxide nanoparticles with aminosilane coating that safely delivers drugs to
tumors upon activation by their proprietary NanoActivatorā„¢ magnetic field.
Source: Frost & Sullivan

19
Technology Developmentā€” Aptamers/Peptides/Nucleic
Acids
2

3

Below listed are some of the areas being developed by universities and research institutions
1

ā€¢ Peptide Dendrimer Conjugates
ā€¢ Engineered Oleosinā€“Self assembled to form Biomimetic Vesicles (University of Pennsylania)
ā€¢ Peptide and Aptamer Functionalized Nanoparticles; Aptamer nanoparticle Bioconjugates
(PANOPTES project --novel peptide-based nanomaterials for ocular delivery)
ā€¢ Cell penetrating peptides (HIV TAT peptide, human calcitonin (hCT) hormone)
ā€¢ Carbohydrate mimetic peptides (UC, Berkeley)
ā€¢ Cell specific aptamers, peptide conjugated environment sensitive particles

Company

4
2.5
5

0

Technology Development

Key Developments

Savara Inc. (TX, USA)

Condensed nanoparticles of cell penetrating peptides and RNA
therapeutics for targeted intracellular delivery. This is known as
Nanonucleic technology used primarily for RNAi therapy.

Artificial Cell Technologies, Inc (CT, USA)

Layer by layer assembly of polypeptide artificial biofilm nanoparticles for
developing synthetic vaccines. The synthetic nanoparticles incorporate
immunogenic epitopes and give rise to ā€œArtificial Virusā€ like structures
that can be used for vaccine delivery.

Aptagen, LLC (PA, USA)

Aptabodiesā„¢ developed by the company are proprietary, functionalized
aptamers that can be used for drug delivery or diagnostics. The
company is a good collaborative partner for pharma/biotech companies
for delivery of peptide therapeutics.
Source: Frost & Sullivan

20
Market Position

Life Cycle Analysis of Drug Delivery Systems

Conventional Liposomes

Stimuli sensitive
liposomes

Non Biodegradable Polymers

Stimuli responsive
polymers

Conjugates/Hybrid Carriers/
Composite particles
Engineered peptides/Aptamers
Magnetic nanoparticles

Functionalized Polymersomes
Multistage/Multifunctional
nanoparticles

Inorganic nanorods, nanoshells,
nanowires

Biological Magnetic
carriers
Stem cell carriers
Artificial cells/
Biomimetic particles
DNA Nanorobots

Development

Growth

Time
Maturity

Decline
Source: Frost & Sullivan

21
Demand Side Analysis

Applications
Versatility

ā€˜Smartā€™
Delivery

Tunability

End-User
Requirements

Market
Exclusivity

Cost
Effectiveness
and Scalability

Biocompatibilit
y

Source: Frost & Sullivan

22
Potential Applications - Ocular
InSite Vision Inc.

Integral BioSystems

Novagali Pharma

Quark
Pharmaceuticals

Ocular Therapeutix

ā€¢ Challenges with regard to topical administration include poor access to the posterior portion of the eye,
need for frequent doses, and poor controlled delivery.

ā€¢ Ophthalmic inserts developed for sustained release suffer from limitations, such as high costs and difficulty
with insertion.
ā€¢ Liposomes and polymers - most widely used vehicles for ophthalmologic delivery. Targeting ligands that
can cross the Blood Retinal Barrier(BRB) explored for a number of orphan retinal diseases.
ā€¢ Identification of ocular transporters and development of transporter targeted drugs modified with targeting
ligands

ā€¢ Other commonly deployed delivery systems - functionalized nanoparticles, in situ forming gels, and
colloidal dosage forms
Source: Frost & Sullivan

23
Potential Applications - CNS
Serina Therapeutics Inc.

to-BBB

ArmaGen Technologies

VECT-HORUS

Angiochem Inc.

Lauren Sciences LLC

Advectus Life
Sciences Inc.

ā€¢ Systemically administered drugs have limited access across the BBB, while local administration is painful
and challenging.
ā€¢ Most innovative drug developments for neurological disorders are biologicals, such as cell based therapy,
RNAi or gene therapy.
ā€¢ Drug delivery systems that can cross the BBB (blood brain barriers) primarily include nanoparticles with
targeting ligands and CNS targeting vectors that can bind to receptors on the BBB and cross the barrier in
order to improve efficacy and increase safe therapeutic window.
ā€¢ Most of the research is in the basic research or pre-clinical stage
ā€¢ A number of partnerships and collaborations have been witnessed in the last 1 to 2 years. (For example,
Genzyme Pharmaceuticals and Pharmidex Pharmaceutical Services Ltd)

Source: Frost & Sullivan

24
Potential Applications - Oncology
Celsion Corp

BIND Biosciences

LiPlasome Pharma

Alchemia

Savara
Pharmaceuticals

Silence
Therapeutics

Intezyne

EnGene IC

ERYTECH Pharma

CytImmune
Sciences Inc.

Cerulean Pharma Inc.

MagForce AG

ā€¢ Oncology is the most well penetrated area - more than 80% of targeted drug delivery activity is focused on
safe and effective delivery of chemotherapeutics to cancerous cells.
ā€¢ Strategies based on differences in tumor cell metabolism, tumor microenvironment, and expression of
receptors on tumor cell surfaces are being developed.
ā€¢ Most of them in clinical development are conjugates of polymers, liposomes, and inorganic nanoparticles,
while magnetic targeting and imaging is also being explored by a few Participants.
ā€¢ Cell-based delivery systems that can trigger the immune system against cancer cells and multifunctional,
multiple ligand targeting strategies will take predominance.
Source: Frost & Sullivan

25
Potential Applications ā€“ Infectious Diseases
Artificial Cell
Technologies Inc.

EryDel

Xenetic Biosciences

Arrowhead Research
Corporation

Pevion Biotech AG

ā€¢ High degree of noncompliance to therapy in a number of infectious diseases - led to development of
targeted drugs that can specifically target the pathogen and associated pathways.
ā€¢ TB, HIV, and malaria are some of the highly researched areas.
ā€¢ Virosomes and bacterial ghosts have been widely used for vaccine delivery.
ā€¢ By developing different nanoparticle formulations with cell penetrating peptide conjugates, glycomimetic
peptides, and other moieties, intracellular delivery to pathogens is becoming possible.

Source: Frost & Sullivan

26
Potential Applications ā€“ Cardiovascular
Vascular Magnetics Inc.

Spheringenics Inc.

BIND Biosciences

ā€¢ Eluting stents and cardiovascular implants ā€“ invasive drug delivery methods ā€“ strong need for non-invasive
drug delivery systems.
ā€¢ Targeted immunoliposomes and biodegradable targeted polymeric particles are being developed for
cardiac delivery and imaging.
ā€¢ Cell-selective targeted drug delivery - key research area for cardiovascular applications.
ā€¢ In atherosclerosis and other ischemic conditions, it is necessary to develop systems that can release drugs
on sensing difference in shear stress or tissue injury.

Source: Frost & Sullivan

27
Potential Applications ā€“ Pulmonary
MannKind Corporation

Pulmatrix

BioParticle
Technologies

Liquidia Technologies

Insmed Inc.

ā€¢ Most appropriate route for the treatment of asthma, cystic fibrosis and other pulmonary diseases such as
tuberculosis, COPD, and lung cancer; explored for systemic diseases like diabetes.
ā€¢ Useful for developing inhalable vaccines, which hold huge market potential as a needle-free vaccination
strategy for a number of respiratory infections.
ā€¢ Peptide and protein drugs are ideal for pulmonary delivery as they undergo degradation in the
gastrointestinal (GI) tract).
ā€¢ Liquidiaā€Ÿs PRINT (Particle Replication In Non-Wetting Templates) and MannKindā€Ÿs Technosphere have
demonstrated success for pulmonary delivery.
ā€¢ Liposomes are the most extensively studied system for controlled drug delivery to the lungs.
ā€¢ Emerging areas of interest are magnetic aerosol droplets, bioresponsive nanoparticles, and co-polymers
with better release profiles.
Source: Frost & Sullivan

28
Potential Applicationsā€“Mapping
Disease prevalence and
criticality of delivery challenges

Funding

Research Initiatives

Company
Developments

Cardiovascular

Medium

Medium

Medium

Low

Ocular

Medium

Medium

Low

Low

CNS

High

Medium

Medium

Medium

Oncology

High

High

High

High

Medium

Low

Low

Low

High

High

Medium

Medium

Infectious Diseases
(Targeting Pathogens)
Pulmonary

Criteria

Key - Funding
Low ļƒ  Less than $100 million
federal and private funding
Medium ļƒ  Between $100 - $200
million federal and private
funding
High ļƒ  More than $200 million
federal and private funding

Key ā€“ Research Initiatives
Low ļƒ  Less than 50 published
research projects by
academia
Medium ļƒ  Between 50 and 100
published research projects
by academia
High ļƒ  More than 100 published
research projects by
academia

Key ā€“ Company Developments
Low ļƒ  Less than 10 companies
working on TDD
Medium ļƒ  Between 10 and 30
companies working on TDD
3.5 - 5 ļƒ  More than 30 companies
working on TDD

Source: Frost & Sullivan

29
Assignee-wise Patent Distribution

Total Number of Patents/applications ā€“ 1080 (100 unique patent families).

Source: Frost & Sullivan

30
Top Countries for Publishing Patent Applications
US = United States
EP = European Union
WO = WIPO
AU = Australia
CA = Canada
JP = Japan

CN = China
AT = Austria
DE = Germany
ES = Spain

Most of the innovations in targeted drug delivery is happening in the US and European Union, which is clearly indicated by the number of patent
applications published from these regions.

Source: Frost & Sullivan

31
Patent Publishing Trends

This chart shows the patenting trends in the last 4 years and the patenting trend has been quite stable. On an average 250 patents were published
every year.
Source: Frost & Sullivan
32
Questions
Disclaimer
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Ā© 2012 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of Frost & Sullivan.
No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.

34
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Targeted Drug Delivery Technologies and Applications

  • 1. Targeted Drug Delivery--Technologies and Applications Novel Drug Delivery Systems and Clinical Trial Management China 2013 Aiswariya Chidambaram 28th November 2013
  • 2. Focus Points Importance of Targeted Drug Delivery Segmentation of Targeted Drug Delivery Technology Capability ā€“ Drug Delivery Carriers Technology Value Chain Targeted Drug Delivery ā€“ Key Innovations Targeted Drug Delivery ā€“ Drivers and Challenges Focus Points Key Technology Developments ā€“ Drug Delivery Carriers Life Cycle Analysis of Drug Delivery Systems Demand Side Analysis Potential Applications by Therapeutic Area Patent Distribution and Publishing Trends About Frost & Sullivan 2
  • 3. Importance of Targeted Drug Delivery Targeted drug delivery is a system of drug delivery which increases the concentration of the drug in specific organs and tissues relative to the others. This helps improve the efficacy of the drug while reducing side effects. Cancer, autoimmune diseases, neurological disorders, pulmonary diseases, cardiovascular diseases and most other conditions that require effective, safe , specific targeting of certain receptors or direct delivery into the organ are attractive targets for targeted drug delivery. Criticality of Targeted Drug Delivery Physiological and Biological Barriers to Drug Delivery Mucous Barrier (lungs, nose, and cancer cells) Maximize precision Blood Brain Barrier (several factors lead to ineffective delivery to brain) Subcellular Targeting (cytosol, ER, nucleus targeting) Minimize toxicity Moderate release Size Exclusion (size barrier of different membranes) Ineffective Ligand Targeting (disease specific ligands on cell surface) Other Barriers (pH, osmotic potential, electric charge) Source: Frost & Sullivan 3
  • 4. Segmentation of Targeted Drug Delivery ā€¢ Oncology and neurology are the two most widely researched diseases for targeted drug delivery. ā€¢ Delivery to the lungs, eyes, and nose are other areas of interest as targeting these organs is relatively difficult. Lipid-based Polymer-based Targeted Drug Delivery Carriers Inorganic Nanoparticles Magnetic Particles Nucleic Acid/ Peptidebased Cell-based ā€¢ Liposomes nanoliposomes, stimuli responsive liposomes, and conjugated liposomes with other functional attributes are gaining attention from researchers. ā€¢ Peptides and nucleic acids -Chimeric peptides are formed when a drug that is normally not transported through the BBB is conjugated to a brain drug-targeting vector. ā€¢ Engineered polymers - PEG, polymeric nanomicelles and other co-polymers; polymers designed to respond to specific biological changes (such as pH, temperature, chemicals and so on) so that the drug load is released only upon stimulation. ā€¢ Conjugates - antibody conjugated liposomal carriers, multifunctional nanocarriers, and other particles that form conjugates with the drug. Source: Frost & Sullivan D4C1-TI 4
  • 5. Technology Capabilityā€“Lipid-Based Carriers Liposomes are widely used for insoluble drugs and advances in conjugation technologies is enabling them to be used as targeted delivery systems. For example, the biocompatibility and possible diversity with structures and compositions make them suitable for a number of targeted delivery applications. Conventional Liposomes Stimuli Responsive Liposomes Stealth Liposomes Targeted Liposomes Polymer Composite Liposomes Advantages Enables passive/active targeting Easy and rapid internalization Low immunogenicity Drawbacks Rapid degradation (uptake by RES(reticuloendothelial system) Poor scale up/need for extensive modifications Short shelf life Improves solubility/ bioavailability Drug protection/ Biocompatibility Liposomes will find more adoption with the development of nanoscale liposomes embedded with drug depot and polymer depots. Targeted liposomes and environment sensitive liposomes are the ones with maximum potential for tumors and neurodegenerative disorders, and a number of existing chemotherapeutics are being encapsulated in stimuli responsive liposomes. Source: Frost & Sullivan 5
  • 6. Technology Capabilityā€“Polymer-Based Carriers Definition: Polymers have been widely used for sustained release of drugs, and adding functional targeting groups and other moeties has enabled them to be used as targeted delivery vehicles. A number of natural and synthetic polymers (degradable/nondegradable, hydrophilic/hydrophobic) with multifunctionalities are being produced for delivering drugs, while polymer composites with lipids and inorganic nanoparticles are also being developed. Stimuli Responsive Polymers Polymer Composites Multifunctional Polymers/ Co-Polymers Advantages Disadvantages Hypersensitivity (certain polymers) Wide range of drugs can be loaded Artificial Cells Cell mimicking properties (certain polymers) Biocompatibility Issues (synthetic) Easy Functionalization (surface modification) Controlled Release Kinetics Low Cost/Scalable Polymeric templates have been recently used to develop artificial cells, such as platelets and biomimetic vesicles for targeted delivery. Use of more natural polymers and polymer conjugated with other delivery methods will witness increased attention from drug delivery companies and pharmaceutical companies in the next 2 to 3 years. Source: Frost & Sullivan 6
  • 7. Technology Capabilityā€“Inorganic Nanoparticles Definition: Inorganic nanoparticles comprise nanoscale particles made from silica. metals, metal hydroxides, carbon and so on. A number of multifunctional, inorganic nanoparticles are being developed for targeted drug delivery and imaging applications. Hybrid drug carriers combining stimuli sensitive hydrogels and inorganic nanoparticles, and conjugation of biomolecules to nanoparticles are areas of interest. Carbon Based Particles Gold Based (AuNPs) Advantages Optical Properties Silica/Alumina Nanoparticles Quantum Dots Metals/ Oxides/ Sulfides High Stability (over wide temperature and pH range) Drawbacks Toxicity Issues (LongTerm Safety ) Non Biodegradable (accumulation) Highly Tunable Evade RES Clearance Inorganic nanoparticles with multiple functionalities will prompt further research for development of effective cellular delivery systems. A few gold-based colloids and nanoshells are in clinical trials for cancer applications. Source: Frost & Sullivan 7
  • 8. Technology Capabilityā€“Cell-Based Systems Definition: Cells have been found to act as potential drug delivery agents and they can be used to directly encapsulate the drug or used with nanoparticles for better pharmacokinetic properties, biocompatibility and higher drug loading capacity. The figure indicates some of the major types of cell-based delivery platforms in development. Dendritic Cells/ Tumor cells Engineered RBCs Advantages High Drug Loading Capacity Adjuvant Properties Microbial Ghosts and Viral Particles Genetically Engineered Stem Cells Sustained Release Biocompatible (except microbial ghosts) Scalable/Cost Effective Drawbacks Potential Immunogenicity (viral, bacterial particles) for non vaccine delivery Storage and Formulation Issues Maintaining integrity (RBCs, stem cells, macrophages) While viruses and virus-like particles (VLPs) have been widely used for vaccine delivery, the use of engineered bacterial ghosts (BG), engineered RBCs and stem cells is slowly moving to the clinic. Many of these cells and cell derived-particles are conjugated with other delivery strategies to improve the efficacy of treatment. Stem cell-based therapies provide a promising approach to the treatment of several diseases in humans, and extensive research on MSCs for targeted delivery is underway. Source: Frost & Sullivan 8
  • 9. Technology Capabilityā€“Magnetic Particles Definition: These are micro-and nano-scale particles loaded or conjugated with drugs that get activated when exposed to an active magnetic field and release drug cargo at the target site. It is a highly controllable and effective form of drug targeting. In addition to delivery, these particles are apt for safe image guided drug delivery. Advantages Evade RES clearance Image guided delivery with MRI Biological Non-Biological Controlled Drug Release Highly targeted Organic Inorganic Drawbacks ā€¢Gradient loss for deep seated tissues ā€¢Accumulation of magnetic material at target site ā€¢Requirement for specialized manufacturing and QC system Organic magnetic carriers include magnetoliposomes (ferrofluids entrapped in the liposome core) and polymer magnetic particles. Iron oxide particles used directly with the drugs are inorganic magnetic particles. Incorporation of magnetically responsive materials into microspheres makes them susceptible to applied magnetic field, so that they are concentrated to the target site by the application of a magnetic field externally to that site. Ferriliposomes are other magnetic particles that could be used in combination with magnetic resonance imaging (MRI) for targeted drug delivery and also as theranostics. To improve biocompatibility and safety, biological magnetic particles, such as magnetobiosomes and engineered erythrocytes are being designed, and these are highly promising platforms. Source: Frost & Sullivan 9
  • 10. Technology Capabilityā€“Nucleic Acid/Peptide Carriers Definition: In addition to peptides and nucleic acids being used as effective drugs, they are also being explored for targeting drugs. Cell penetrating peptides, polypeptide membranes, and DNA Nanorobots are some of the technologies with immense opportunities. Delivery of siRNA and other nucleic acid drugs, which is still a major challenge can be overcome with the use of peptide and aptamer-based targeting. DNA Origami(DNA Nanorobots) Peptide Conjugates Advantages Drawbacks Highly Targeted Mode of administration Biocompatible Aptamer Instability Biodegradable DNA/RNA Aptamers Cell Penetrating Peptides RNA/Peptide dual aptamer systems, polypeptide membranes are being developed for highly targeted delivery and being extensively researched. DNA Origami is a promising technology area which will enable ā€˜smart deliveryā€™ to become a near-term reality. Overcoming aptamer instability via modifications is improving the clinical value of these systems. Source: Frost & Sullivan 10
  • 11. Technology Value Chain Clinical Trials Conceptualiza tion of Drug Delivery Carriers Development of Drug Delivery System Scale Up and Large-Scale Manufacture (GMP) Regulatory Approval and Marketing Preformulation and Formulation Source: Frost & Sullivan 11
  • 12. Key Innovationsā€“Targeted Drug Delivery Multistage Nanocarriers (Leonardo Biosystems, TX, USA) ļƒ¼ Multi-stage nanocarrier-based delivery platform ļƒ¼ Customized mesoporous silica nanoparticles are used ļƒ¼ Functions better than single-stage systems ļƒ¼ For delivering siRNA, small molecule and imaging agents to cancer cells. Trojan Horse CNS Targeting Technology for Stroke (ArmaGen Technologies, CA, USA) ļƒ¼ The TNF-alpha decoy receptor is engineered as a fusion protein with a BBB molecular Trojan horse (MTH). ļƒ¼ The MTH is an engineered monoclonal antibody (MAb) against the BBB specific transferrin receptor (TfR). ļƒ¼ Facilitates receptor mediated transport of the drug across the BBB. ļƒ¼ Ensures effective and safe delivery of drugs to the brain. Thermally Responsive Liposomes, Lysolipid Thermally Sensitive Liposomes (LTSL) (Celsion Corporation, NJ, USA) ļƒ¼ A patented liposomal tumor targeting delivery system ļƒ¼ Delivers high concentrations of drug to target site (tumors) on exposure to local hypothermia. ļƒ¼ Currently carrying out Phase 3 clinical trials (HEAT Study) for its lead candidate ThermoDoxĀ®, a formulation of doxorubicin for targeting HCC (hepatocellular carcinoma). ļƒ¼ Expanded applications to develop formulations for other chemotherapeutics, such as docetaxel and carboplatin. Blood Brain Barrier Hyperthermia Drug release into tumor Source: Frost & Sullivan 12
  • 13. Key Innovationsā€“Targeted Drug Delivery (continued) IVECT Method , (Intezyne, Inc, FL, USA) ļƒ¼ A multidisciplinary approach of drug delivery that has the potential to revolutionize cancer treatment. ļƒ¼ Developed proprietary polymeric micelles that deliver drugs to tumors using a triggered release mechanism. ļƒ¼ It is a highly tunable and cost-effective platform that can incorporate different targeting ligands. ļƒ¼ Currently has four cancer chemotherapeutics in its pipeline: two lead programs in final preparation for IND submission and two others in earlier stages of preclinical development. Resealed Erythrocytes for targeted and Controlled Dryg delivery, Erydex (Erydel Spa, Italy) ļƒ¼ An erythrocyte based drug delivery system for sustained release of drugs ļƒ¼ Encapsulaties autologous red blood cells with glucocorticoid analoguedexamethasone sodium phosphate (Dex 21-P). ļƒ¼ Used for treatment of chronic disorders such as cystic fibrosis, Ataxia Telangiectasia. ļƒ¼ Ventured in to diagnostics and targeted drug delivery (EryTargeting) aimed at delivery of drug cargo only to targeted macrophages. Resealed RBCs for Targeted Drug Delivery to Tumors , GRASPA (ERYTech Pharma, France) ļƒ¼ A tumor targeting therapeutic utilizing erythrocyte encapsulation technology. ļƒ¼ Encapsulates a wide array of molecules such as peptides, proteins and small molecules for delivery. ļƒ¼ Targets the tumor microenvironment using the encapsulated L-asparginase which depletes the circulating asparagine, a tumor growth factor thereby starving the tumor cells to death. ļƒ¼ Currently tested in Acute Lumphoblastic Leukemia, Pancreatic cancer and Acute Myelod Leukemia. Source: Frost & Sullivan 13
  • 14. Targeted Drug Delivery Systemsā€“Drivers and Challenges ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ Need for effective delivery of biologics Patenting opportunities for targeted therapies Quicker time to market/ease of approval Discovery of disease biomarkers Development of spatially/temporally controlled systems Advances in Nanotechnology Improve patient compliance Competition from medical devices for targeting High costs of several types of systems Potential long-term effects of nano particles Lack of multipronged/ combinatorial targeting approaches Poor funding scenario Source: Frost & Sullivan 14
  • 15. Technology Developmentā€” Lipid Based Carriers 2 1 Below listed are some of the areas being developed by universities and research institutions ā€¢ Dual response sensitive liposomes Company 5 0 Technology Development ā€¢ Zwitterionic oligopeptide liposomes targeting mitochondria ā€¢ Targeted liposomes for intracellular delivery 4 4.0 ā€¢ Self assembling nanoemulsions ā€¢ Liposomes fused on inorganic nanoparticles 3 Key 0-2 ļƒ  Less than 10 company developments 2 - 3.5 ļƒ  Between 10 and 20 company developments 3.5 - 5 ļƒ  More than 20 company developments Key Developments Silence Therapeutics (UK) Silence's siRNA delivery platform is based on the proprietary lipid moeities that embed siRNA into lipid-bi-layer particles. The siRNA is combined with Silence's developed lipid moieties containing cationic lipids, co-lipids and PEGylated lipids to form nanoscale structures. Celsion Corporation(NJ, USA) ThermoDox, the patented heat sensitive liposomal formulation of doxorubicin is in clinical trials for liver cancer and also being tested for a number of oncology indications. LiPlasome Pharma ApS (Denmark) The tumor targeting drug loaded lipid nanocarriers are designed to be susceptible to degradation by phospholipase A2 (PLA2), which is high in the cancer environment. The prodrug lipids are degraded by PLA2 and get converted to active drugs such as anticancer lysolipids and/or fatty acid drug derivatives. The degraded entities also enhance the permeability of the drugs across cancer cell membranes to deliver high doses of drug to the target site. Source: Frost & Sullivan 15
  • 16. Technology Developmentā€”Polymer Based Carriers Below listed are some of the areas being developed by universities and research institutions ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ Artificial Cells, Synthetic Platelets (Scripps Research Institute and Sanford-Burnham Institute) Dual Stimuli Responsive ā€žSmartā€Ÿ Capsules (University of Melbourne) Protein Polymer Drug Conjugates Polymer drug depot in liposomal nanoparticles Multifunctional polymeric vesicles Stealth particles coated polymers, Amphiphilic Biodegradable Dendrimer-Like Star Polymers Company 3 2 1 4 4.5 5 0 Technology Development Key Developments PolyTherics Limited (UK) Flexible polymer platform for targeted, sustained delivery of biopharmaceuticals. GlycoPol TM is a targeting glycopolymer developed by attachment of saccharides a poly(methacrylate) backbone. Drugs can be attached to the backbone for targeted delivery. Intezyne, Inc. (FL, USA) IVECT Copolymer Micelles that are based on the IVECT Method offer a lost cost, modular and highly targeted delivery platform. It is highly tunable and can be used to deliver a number of drugs for varied indications. The lead candidate IT-141, has demonstrated significant activity against a diverse number of cancer cell lines. Another formulation IT-143, is the encapsulated daunorubicin, is being assessed for treatment of lung cancer, osteosarcoma, and ovarian cancer. Arrowhead Research Corporation (CA, USA) The company has a portfolio of in house developed and acquired targeted delivery platforms, of which DPCs(Dynamic polyconjugates) and RONDEL are based on polymer nanoparticles. Both are being explored for delivery of siRNA therapeutics. Source: Frost & Sullivan 16
  • 17. Technology Developmentā€” Inorganic Nanoparticles 2 The adoption of inorganic nanoparticles is on the rise with the development of gold and silica nanoshells, nanowires, nanorods, and many more. They are emerging as an important and useful class of targeted entities that can be functionalized for specific needs. These inorganic nanoparticles can also be used for simultaneous imaging and delivery applications. Iron oxide, silica, gold, fullerenes, and carbon are the most widely researched materials. 3 1 4 3.5 5 0 Technology Development Below listed are some of the areas being developed by universities and research institutions ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ Mesoporous nanoparticles conjugated with peptides, antibodies, and other entities Stimuli sensitive nanoparticles Surfactant functionalized nanoparticles Aptamer gated nanoparticles Multistage nanoparticles Company Leonardo Biosystems (TX, USA) CytImmune Sciences Inc. Key Developments Multistage mesoporous silica nanoparticle based platform for spatiotemporally controlled drug release is attracting a lot of interest from investors and pharma companies. The system is undergoing optimization and enhancements. The technology is based on pegylated colloidal gold nanoparticles that can be used directly as drugs via tumor targeting molecules or can be used as carriers for cancer drugs. Source: Frost & Sullivan 17
  • 18. Technology Developmentā€” Cell Based Carriers 2 The adoption of cell-based drug carriers is relatively low despite research being carried out for more than a decade. Modified RBCs form the majority of therapeutic carriers, while stem-cell based drug targeting is showing promising results in clinical trials. Microbial cells have been used for targeting vaccines and drugs for several years, and modified forms of these cells are now being developed for more effective and safe targeting. 3 1 4 2.5 0 5 Technology Development Below listed are some of the areas being developed by universities and research institutions ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ ā€¢ Resealed erythrocytes/ Engineered erythrocytes with viral fusion proteins (for example, Erythro-magneto-HA virosomes) Engineered mesenchymal/ neural stem cells (for example, Silica nanorattle-drug anchored mesenchymal stem cells Virosomes/Bacterial ghosts for DNA vaccine and subunit vaccines iPSCs reprogrammed for organelle specific targeting Magnetotactic bacteria Prodrugs/Drugs bound to RBCs in circulation for long-term thrombosis treatment Company Key Developments EryDel SpA (Italy), EryTech Pharma (France) Erythrocyte loaded drugs for multiple disease areas currently in clinical development. These are being used for controlled delivery as well as targeting. Pevion Biotech AG (Germany) Proprietary virosome-based platform for targeted drug delivery and adjuvant activity for subunit vaccines. A number of vaccines are in advanced phases of clinical trials using their VLP technology, and has also been outlicensed to several pharma majors. Engene IC (Australia) EDV (Engene Delivery Vehicle) technology basically consists of inert bacterial cell derived nanoscale minicells conjugated with bispecific antibodies for highly targeted intracellular delivery of cancer drugs/siRNA. Immune stimulating properties enhance performance and the drugs using this platform are currently in clinical trials. Source: Frost & Sullivan 18
  • 19. Technology Developmentā€”Magnetic Particles Below listed are some of the areas being developed by universities and research institutions ā€¢ Bacterial magnetosomes from magnetotactic bacteria for drug targeting that can be functionally superior to artificial magnetic particles ā€¢ Ocular magnetic drug targeting ā€¢ Magnetic resealed erythrocytes ā€¢ Enzyme and temperature responsive magnetic nanoparticles ā€¢ Multifunctional nanoparticles for delivery and imaging (for example, multilayered nanorattles) Company 2 3 1 4 1.5 0 5 Technology Development Key Developments Vascular Magnetics, Inc, (PA, USA) Biodegradable, magnetic drug-loaded particles in combination with a magnetic targeting catheter and a magnetic field generating device that guides the particles to narrowed arteries in PAD (Peripheral Artery Disease). Nanobiomagnetics Inc. (SW R and D) (OK,USA) Magnetic vectored drug delivery using magnetically responsive therapeutic constructs. nanoTherics (UK) Magnetic transfection method MagnetofectionTM using DNA, siRNA coupled with magnetic nanoparticles to form a complex. Upon exposure to oscillating magnetic arrays, cells show uptake of the complex via rapid endocytosis. MagForce AG ( Berlin, Germany) Iron oxide nanoparticles with aminosilane coating that safely delivers drugs to tumors upon activation by their proprietary NanoActivatorā„¢ magnetic field. Source: Frost & Sullivan 19
  • 20. Technology Developmentā€” Aptamers/Peptides/Nucleic Acids 2 3 Below listed are some of the areas being developed by universities and research institutions 1 ā€¢ Peptide Dendrimer Conjugates ā€¢ Engineered Oleosinā€“Self assembled to form Biomimetic Vesicles (University of Pennsylania) ā€¢ Peptide and Aptamer Functionalized Nanoparticles; Aptamer nanoparticle Bioconjugates (PANOPTES project --novel peptide-based nanomaterials for ocular delivery) ā€¢ Cell penetrating peptides (HIV TAT peptide, human calcitonin (hCT) hormone) ā€¢ Carbohydrate mimetic peptides (UC, Berkeley) ā€¢ Cell specific aptamers, peptide conjugated environment sensitive particles Company 4 2.5 5 0 Technology Development Key Developments Savara Inc. (TX, USA) Condensed nanoparticles of cell penetrating peptides and RNA therapeutics for targeted intracellular delivery. This is known as Nanonucleic technology used primarily for RNAi therapy. Artificial Cell Technologies, Inc (CT, USA) Layer by layer assembly of polypeptide artificial biofilm nanoparticles for developing synthetic vaccines. The synthetic nanoparticles incorporate immunogenic epitopes and give rise to ā€œArtificial Virusā€ like structures that can be used for vaccine delivery. Aptagen, LLC (PA, USA) Aptabodiesā„¢ developed by the company are proprietary, functionalized aptamers that can be used for drug delivery or diagnostics. The company is a good collaborative partner for pharma/biotech companies for delivery of peptide therapeutics. Source: Frost & Sullivan 20
  • 21. Market Position Life Cycle Analysis of Drug Delivery Systems Conventional Liposomes Stimuli sensitive liposomes Non Biodegradable Polymers Stimuli responsive polymers Conjugates/Hybrid Carriers/ Composite particles Engineered peptides/Aptamers Magnetic nanoparticles Functionalized Polymersomes Multistage/Multifunctional nanoparticles Inorganic nanorods, nanoshells, nanowires Biological Magnetic carriers Stem cell carriers Artificial cells/ Biomimetic particles DNA Nanorobots Development Growth Time Maturity Decline Source: Frost & Sullivan 21
  • 23. Potential Applications - Ocular InSite Vision Inc. Integral BioSystems Novagali Pharma Quark Pharmaceuticals Ocular Therapeutix ā€¢ Challenges with regard to topical administration include poor access to the posterior portion of the eye, need for frequent doses, and poor controlled delivery. ā€¢ Ophthalmic inserts developed for sustained release suffer from limitations, such as high costs and difficulty with insertion. ā€¢ Liposomes and polymers - most widely used vehicles for ophthalmologic delivery. Targeting ligands that can cross the Blood Retinal Barrier(BRB) explored for a number of orphan retinal diseases. ā€¢ Identification of ocular transporters and development of transporter targeted drugs modified with targeting ligands ā€¢ Other commonly deployed delivery systems - functionalized nanoparticles, in situ forming gels, and colloidal dosage forms Source: Frost & Sullivan 23
  • 24. Potential Applications - CNS Serina Therapeutics Inc. to-BBB ArmaGen Technologies VECT-HORUS Angiochem Inc. Lauren Sciences LLC Advectus Life Sciences Inc. ā€¢ Systemically administered drugs have limited access across the BBB, while local administration is painful and challenging. ā€¢ Most innovative drug developments for neurological disorders are biologicals, such as cell based therapy, RNAi or gene therapy. ā€¢ Drug delivery systems that can cross the BBB (blood brain barriers) primarily include nanoparticles with targeting ligands and CNS targeting vectors that can bind to receptors on the BBB and cross the barrier in order to improve efficacy and increase safe therapeutic window. ā€¢ Most of the research is in the basic research or pre-clinical stage ā€¢ A number of partnerships and collaborations have been witnessed in the last 1 to 2 years. (For example, Genzyme Pharmaceuticals and Pharmidex Pharmaceutical Services Ltd) Source: Frost & Sullivan 24
  • 25. Potential Applications - Oncology Celsion Corp BIND Biosciences LiPlasome Pharma Alchemia Savara Pharmaceuticals Silence Therapeutics Intezyne EnGene IC ERYTECH Pharma CytImmune Sciences Inc. Cerulean Pharma Inc. MagForce AG ā€¢ Oncology is the most well penetrated area - more than 80% of targeted drug delivery activity is focused on safe and effective delivery of chemotherapeutics to cancerous cells. ā€¢ Strategies based on differences in tumor cell metabolism, tumor microenvironment, and expression of receptors on tumor cell surfaces are being developed. ā€¢ Most of them in clinical development are conjugates of polymers, liposomes, and inorganic nanoparticles, while magnetic targeting and imaging is also being explored by a few Participants. ā€¢ Cell-based delivery systems that can trigger the immune system against cancer cells and multifunctional, multiple ligand targeting strategies will take predominance. Source: Frost & Sullivan 25
  • 26. Potential Applications ā€“ Infectious Diseases Artificial Cell Technologies Inc. EryDel Xenetic Biosciences Arrowhead Research Corporation Pevion Biotech AG ā€¢ High degree of noncompliance to therapy in a number of infectious diseases - led to development of targeted drugs that can specifically target the pathogen and associated pathways. ā€¢ TB, HIV, and malaria are some of the highly researched areas. ā€¢ Virosomes and bacterial ghosts have been widely used for vaccine delivery. ā€¢ By developing different nanoparticle formulations with cell penetrating peptide conjugates, glycomimetic peptides, and other moieties, intracellular delivery to pathogens is becoming possible. Source: Frost & Sullivan 26
  • 27. Potential Applications ā€“ Cardiovascular Vascular Magnetics Inc. Spheringenics Inc. BIND Biosciences ā€¢ Eluting stents and cardiovascular implants ā€“ invasive drug delivery methods ā€“ strong need for non-invasive drug delivery systems. ā€¢ Targeted immunoliposomes and biodegradable targeted polymeric particles are being developed for cardiac delivery and imaging. ā€¢ Cell-selective targeted drug delivery - key research area for cardiovascular applications. ā€¢ In atherosclerosis and other ischemic conditions, it is necessary to develop systems that can release drugs on sensing difference in shear stress or tissue injury. Source: Frost & Sullivan 27
  • 28. Potential Applications ā€“ Pulmonary MannKind Corporation Pulmatrix BioParticle Technologies Liquidia Technologies Insmed Inc. ā€¢ Most appropriate route for the treatment of asthma, cystic fibrosis and other pulmonary diseases such as tuberculosis, COPD, and lung cancer; explored for systemic diseases like diabetes. ā€¢ Useful for developing inhalable vaccines, which hold huge market potential as a needle-free vaccination strategy for a number of respiratory infections. ā€¢ Peptide and protein drugs are ideal for pulmonary delivery as they undergo degradation in the gastrointestinal (GI) tract). ā€¢ Liquidiaā€Ÿs PRINT (Particle Replication In Non-Wetting Templates) and MannKindā€Ÿs Technosphere have demonstrated success for pulmonary delivery. ā€¢ Liposomes are the most extensively studied system for controlled drug delivery to the lungs. ā€¢ Emerging areas of interest are magnetic aerosol droplets, bioresponsive nanoparticles, and co-polymers with better release profiles. Source: Frost & Sullivan 28
  • 29. Potential Applicationsā€“Mapping Disease prevalence and criticality of delivery challenges Funding Research Initiatives Company Developments Cardiovascular Medium Medium Medium Low Ocular Medium Medium Low Low CNS High Medium Medium Medium Oncology High High High High Medium Low Low Low High High Medium Medium Infectious Diseases (Targeting Pathogens) Pulmonary Criteria Key - Funding Low ļƒ  Less than $100 million federal and private funding Medium ļƒ  Between $100 - $200 million federal and private funding High ļƒ  More than $200 million federal and private funding Key ā€“ Research Initiatives Low ļƒ  Less than 50 published research projects by academia Medium ļƒ  Between 50 and 100 published research projects by academia High ļƒ  More than 100 published research projects by academia Key ā€“ Company Developments Low ļƒ  Less than 10 companies working on TDD Medium ļƒ  Between 10 and 30 companies working on TDD 3.5 - 5 ļƒ  More than 30 companies working on TDD Source: Frost & Sullivan 29
  • 30. Assignee-wise Patent Distribution Total Number of Patents/applications ā€“ 1080 (100 unique patent families). Source: Frost & Sullivan 30
  • 31. Top Countries for Publishing Patent Applications US = United States EP = European Union WO = WIPO AU = Australia CA = Canada JP = Japan CN = China AT = Austria DE = Germany ES = Spain Most of the innovations in targeted drug delivery is happening in the US and European Union, which is clearly indicated by the number of patent applications published from these regions. Source: Frost & Sullivan 31
  • 32. Patent Publishing Trends This chart shows the patenting trends in the last 4 years and the patenting trend has been quite stable. On an average 250 patents were published every year. Source: Frost & Sullivan 32
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