Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease

Advanced Therapeutic Medicinal Products (ATMP) are a heterogenous group of investigational medicinal products at the forefront of innovative therapies with direct applicability in respiratory diseases. ATMPs include, but are not limited to, stem cells, their secretome, or extracellular vesicles, and...

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Main Authors: Niamh Woods, Ronan MacLoughlin
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/12/10/922
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author Niamh Woods
Ronan MacLoughlin
author_facet Niamh Woods
Ronan MacLoughlin
author_sort Niamh Woods
collection DOAJ
description Advanced Therapeutic Medicinal Products (ATMP) are a heterogenous group of investigational medicinal products at the forefront of innovative therapies with direct applicability in respiratory diseases. ATMPs include, but are not limited to, stem cells, their secretome, or extracellular vesicles, and each have shown some potential when delivered topically within the lung. This review focuses on that subset of ATMPs. One key mode of delivery that has enabling potential in ATMP validation is aerosol-mediated delivery. The selection of the most appropriate aerosol generator technology is influenced by several key factors, including formulation, patient type, patient intervention, and healthcare economics. The aerosol-mediated delivery of ATMPs has shown promise for the treatment of both chronic and acute respiratory disease in pre-clinical and clinical trials; however, in order for these ATMP device combinations to translate from the bench through to commercialization, they must meet the requirements set out by the various global regulatory bodies. In this review, we detail the potential for ATMP utility in the lungs and propose the nebulization of ATMPs as a viable route of administration in certain circumstances. Further, we provide insight to the current regulatory guidance for nascent ATMP device combination product development within the EU and US.
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spelling doaj.art-11b2feceff264a93b7dab88089b73e1f2023-11-20T15:14:25ZengMDPI AGPharmaceutics1999-49232020-09-01121092210.3390/pharmaceutics12100922Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory DiseaseNiamh Woods0Ronan MacLoughlin1College of Medicine, Nursing & Health Sciences, National University of Ireland, H91 TK33 Galway, IrelandSchool of Pharmacy & Biomolecular Sciences, Royal College of Surgeons in Ireland, D02 YN77 Dublin, IrelandAdvanced Therapeutic Medicinal Products (ATMP) are a heterogenous group of investigational medicinal products at the forefront of innovative therapies with direct applicability in respiratory diseases. ATMPs include, but are not limited to, stem cells, their secretome, or extracellular vesicles, and each have shown some potential when delivered topically within the lung. This review focuses on that subset of ATMPs. One key mode of delivery that has enabling potential in ATMP validation is aerosol-mediated delivery. The selection of the most appropriate aerosol generator technology is influenced by several key factors, including formulation, patient type, patient intervention, and healthcare economics. The aerosol-mediated delivery of ATMPs has shown promise for the treatment of both chronic and acute respiratory disease in pre-clinical and clinical trials; however, in order for these ATMP device combinations to translate from the bench through to commercialization, they must meet the requirements set out by the various global regulatory bodies. In this review, we detail the potential for ATMP utility in the lungs and propose the nebulization of ATMPs as a viable route of administration in certain circumstances. Further, we provide insight to the current regulatory guidance for nascent ATMP device combination product development within the EU and US.https://www.mdpi.com/1999-4923/12/10/922ATMPregulatoryaerosolinhalationnebulizerextracellular vesicles
spellingShingle Niamh Woods
Ronan MacLoughlin
Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
Pharmaceutics
ATMP
regulatory
aerosol
inhalation
nebulizer
extracellular vesicles
title Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
title_full Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
title_fullStr Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
title_full_unstemmed Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
title_short Defining a Regulatory Strategy for ATMP/Aerosol Delivery Device Combinations in the Treatment of Respiratory Disease
title_sort defining a regulatory strategy for atmp aerosol delivery device combinations in the treatment of respiratory disease
topic ATMP
regulatory
aerosol
inhalation
nebulizer
extracellular vesicles
url https://www.mdpi.com/1999-4923/12/10/922
work_keys_str_mv AT niamhwoods definingaregulatorystrategyforatmpaerosoldeliverydevicecombinationsinthetreatmentofrespiratorydisease
AT ronanmacloughlin definingaregulatorystrategyforatmpaerosoldeliverydevicecombinationsinthetreatmentofrespiratorydisease