CMOs also are expanding niche technical capabilities and diversifying into new areas, such as formulation development and
dosage manufacturing. In October 2010, SAFC (St. Louis, MO) completed an expansion of its facility in Jerusalem, which provides
fermentation of APIs and bulk drugs, including secondary metabolites, cytotoxins, and large-molecule proteins.The expansion
in Jerusalem follows a $30-million expansion at SAFC's facility in Verona, Wisconsin, to increase capacity for commercial-scale
manufacture of high-potency APIs in 2010.
Fermion, the contract-manufacturing arm of the pharmaceutical company Orion (Espoo, Finland), is investing EUR 5 million ($7
million) in Oulu, Finland, to expand its capabilities in high-potency manufacturing. The expansion is expected to be operational
in early 2012.
Piramal Pharma Solutions, the contract manufacturing arm of Piramal Healthcare (Mumbai), completed the latest phase of its
investment program to increase production capacity for antibody drug conjugates at its facility in Grangemouth, Scotland,
in 2010. The expansion will support the GMP production for the planned launch of new cancer treatment by an undisclosed US-based
biotechnology company in 2011.
CMOs historically focused on small-molecule development also are expandinging their toolboxes to include formulation capabilities.
For example, in June 2010, the CMO AMRI acquired Hyaluron (Burlington, MA) to add fill–finish and sterile manufacturing capabilities.
In November 2010, Cambrex acquired a 51% stake in Zenara Pharma (Hyderabad, Andhra Pradesh, India), a pharmaceutical company
focused on the formulation of final dosage form products.
Select CMOs also are expanding through acquisition as bio/pharmaceutical companies divest manufacturing sites as part of
adjustments to their product portfolios. For example, in December 2010, Aescia Pharmaceuticals (Newcastle, UK) agreed to acquire
three manufacturing sites from the biopharmaceutical company UCB (Brussels) and formed a long-term supply agreement with UCB.
The sites are located in Monheim and Zwickau, Germany, and Pianezza, Italy. Aescia also is is investing in a new high-containment
facility in Queenborough, United Kingdom. The facility is scheduled to be completed in May 2011. And in June 2010, Aesica
acquired R5 Pharmaceuticals, a company specializing in formulation development.
Working with multiple partners
A custom manufacturer is not only charged with the task of developing a synthesis, but also must navigate the changing business
relationships that might occur as a drug works its way through development. Such is the case with Regis Technologies (Morton
Grove, IL), which first partnered with Rush University Medical Center in Chicago in 1983 to supply GMP quantities of 4-aminopyridine,
which was being studied as a treatment for multiple sclerosis (MS). In 1990, the Irish pharmaceutical company Elan (Dublin)
licensed the rights relating to 4-aminopyridine (exclusive of the intellectual property rights relating to the synthesis of
4-aminopyridine, which were retained by Regis) to study the drug as a possible treatment for MS.
In 2003, Acorda Therapeutics (Hawthorne, NY) licensed the rights from Elan and pursued development of the drug. Acorda assumed
the clinical trials and licensing for 4-aminopyridine (also known as dalfampridine and previously named fampridine while under
development with Elan) and partnered with Elan for developing the formulation for the drug. Ampyra is a potassium channel
blocker and was found to improve impulse conduction in nerve fibers in which the insulating layer, called myelin, has been
damaged. The drug was developed using controlled-release technology developed by Elan, MXDAS (MatriX Drug Absorption System).
Ampyra was developed using a hydrophilic matrix, which controlled the rate of release of dalfampridine through a process of
diffusion and erosion in the gastrointestinal tract, according to a Jan. 25, 2010, Elan press release. Using this technology,
consistent therapeutic blood levels were achieved throughout the dosing period, and side effects associated with the immediate-release
formulations of the drug were reduced.
Acorda filed a new drug application for Ampyra, an extended-release formulation of 4-aminopyridine with US Food and Drug Administration
in April 2009. The drug was granted orphan-drug status. In January 2010, FDA approved Ampyra (dalfampridine) extended-release
tablets to improve walking in patients with MS, according to a Jan. 22, 2010, FDA press release. In clinical trials, patients
treated with Ampyra had faster walking speeds than those treated with an inactive pill (i.e., placebo), according to the release.
According to a Jan. 22, 2010, Acorda press release, Ampyra demonstrated efficacy in people with all four major types of MS
(relapsing remitting, secondary progressive, progressive relapsing, and primary progressive). Ampyra can be used alone or
with existing MS therapies, including immunomodulator drugs, according to the Acorda release. Ampyra is marketed in the United
States by Acorda Therapeutics and by Biogen Idec (Weston, MA) in markets outside the US. Acorda formed an agreement with Biogen
Idec in 2009 for a sublicensing of its existing license agreement with Elan.
Regis initially developed the synthesis for 4-aminopyridine when the compound was first investigated by Rush in Chicago, explains
Sean Bradley, director of business development at Regis. Regis supplied the compound to both Elan and Acorda. Regis holds
the US and several foreign drug master files for the drug. Compared with other APIs, 4-aminopyridine (C5H6N2) is a relatively "small" small molecule, an isomeric amine of pyridine, with only 13 atoms and one ring, says Bradley. One
of the tasks, however, in the synthesis of the compound was to get the drug produced at a high enough purity. "The proprietary
process that Regis developed was not at all obvious," says Bradley. "The keys to the success of this effort were understanding
the manufacturing process parameters, identifying key impurities, and developing corresponding analytical methods to support
the synthesis," he says. "Over the course of the past 25 years, regulatory standards have greatly increased. Regis' process
successfully met those regulatory challenges, thereby facilitating Acorda's launch of Ampyra." FDA performed a preapproval
inspection of Regis' Morton Grove, Illinois, facility and was given verbal approval by the FDA inspector in May 2009. Regis
received the Establishment Inspection Report from FDA certifying the preapproval inspection in November 2009.