access-principles-1access-principles-2access-principles-3backcarrierdevelopmentease_of_administrationexportimplantableinjectablenon-implantablenon_carriernon_injectableother_featuresprintroute_of_administrationtherapeutic_areatype_of_tech

Type of technology

In-situ forming gel/implant

Administration route

Subcutaneous, Intra-articular

Development state and regulatory approval

Active Pharmaceutical Ingredient (API)

Risperidone

Development Stage

Marketed

Regulatory Approval

FDA approved (UZEDY)

Description

BEPO® is a simple yet flexible technology based on MedinCell®'s custom proprietary copolymers, which forms a fully bioresorbable depot once injected. BEPO® technology has the potential to control regular delivery of an API at an optimal therapeutic dose for several days, weeks or months. BEPO® can be administered subcutaneously for systemic exposure of APIs or locally for targeted treatments.

Developer(s)

MEDINCELL
Originator
France

MedinCell® is a pharmaceutical company at premarketing stage that develops innovative long-acting injectable medicines in many therapeutic areas. Products of our portfolio are based on our BEPO® technology and aim to ensure patient compliance, improve the effectiveness and accessibility of treatments, and reduce their environmental footprint.

Technology highlight

From systemic to local delivery, BEPO® is a clinically advanced proprietary long acting injectable technology that enables the controlled delivery of various active ingredients, to address a broad range of therapeutic needs.

Illustration(s)

Technology main components

Three core components: a- Two block copolymers, bioresorbable, made of Polyethylene glycol and poly(Lactic acid). They are functional excipients, ensuring the controlled drug release. b- A pharmaceutically acceptable organic solvent, e.g. DMSO, to dissolve the copolymers and make the entire system injectable. c- An API to ensure pharmacological activity. The API can be a small molecule, a peptide or a therapeutic protein.

Information on the raw materials sourcing, availability and anticipated price

The core functional copolymer excipients are exclusively manufactured and supplied through a joint Venture made between Medincell and Corbion, called CMB. Corbion manufactures the copolymers with the appropriate quality standards and scale to ensure sufficient availability.

Delivery device(s)

No delivery device

APIs compatibility profile

API desired features
Small molecules

Small molecules are best suited for formulating. Compatibility needs to be determined on a case-by-case basis.

Proteins

Case by case basis. Complex biomacromolecules like therapeutic proteins have inherent challenges that need to be tackled specifically during formulation development

Additional solubility data

Not provided

Additional stability data

Not provided

API loading: Maximum drug quantity to be loaded

0.1-60%

API co-administration

1 single API :

LogP

Min: -2.5 Max: 6.1

Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Not provided

Manufacturing

Not provided

Specific analytical instrument required for characterization of formulation

Not provided

Excipients

Proprietary excipients used

No proprietary excipient used

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Confidential information

Residual solvents used

No residual solvent used

Additional features

Other features of the technology
  • Biodegradable
  • Drug-eluting
  • Room temperature storage
  • At least 1 year shelf life
Release properties

BEPO® technology has the potential to control regular delivery of an API at an optimal therapeutic dose for several days, weeks or months. The technology can provide a sustained release profile of an API with low initial burst.

Injectability

BEPO® drug products are liquid and can be injected using standard injection device with standard 21 gauge needle or even thinner depending on the formulation characteristics.

Safety

We currently have 3 clinically advanced drug products based on BEPO® technology, including one at NDA stage with TEVA pharmaceuticals. The RISE clinical phase III study completed in November 2020 did not raise any safety signals that were inconsistent with the known safety profile of other risperidone formulations.

Stability

Our technology may allow long-term storage at room temperature with shelf life well above 1 year.

Storage conditions and cold-chain related features

Room Temperature storage possible. Cold chain is not mandatory, except in instances where the drug substance requires refrigeration for long term storage.

Therapeutic area(s)

  • Disease agnostic
  • Malaria
  • COVID 19
  • Contraception
  • Pain management
  • Mental health
Use case(s)
  • Pre-Exposure Prophylaxis (PrEP)
  • Treatment

Potential associated API(s)

Use of technology

Ease of administration
  • Administered by a nurse
  • Administered by a specialty health worker
  • To be determined
Frequency of administration

Weekly, Monthly, Bi-yearly, Yearly, Once every 8 weeks, Depending on product, once weekly up to once annually

User acceptance

Not provided

Targeted user groups

Age Cohort
  • Adults
  • Older Adults
Genders
  • Male
  • Female
  • Cisgender female
  • Cisgender male
  • Transgender female
  • Transgender male
  • Intersex
  • Gender non-binary
  • All
Pregnant individuals

Unspecified

Lactating individuals

Unspecified

Healthy individuals

Unspecified

Comment

Not provided

Risperidone

Class(es)

antipsychotic

Development stage

Marketed

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

Schizophrenia

Foreseen user group

UZEDY (risperidone) extended-release injectable suspension is a prescription medicine used to treat schizophrenia in adults.

Foreseen duration between application(s)

1 or 2 months

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

FDA approved (UZEDY)

Celecoxib

Class(es)

anti inflammatory

Development stage

Phase III

Clinical trial number(s)

NCT05603832

Foreseen/approved indication(s)

post-operative pain and inflammation

Foreseen user group

Not provided

Foreseen duration between application(s)

Once every 12 weeks

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Class(es)

Not provided

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

Malaria Transmission prevention

Foreseen user group

persons at risk of malaria and their communities

Foreseen duration between application(s)

Single intervention per year (3 months action duration)

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Progestin

Class(es)

Not provided

Development stage

Pre-clinical

Clinical trial number(s)

Not provided

Foreseen/approved indication(s)

contraception

Foreseen user group

persons desiring contraception use

Foreseen duration between application(s)

6 months

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not provided

Olanzapine

Class(es)

Not provided

Development stage

Phase III

Clinical trial number(s)

NCT05693935

Foreseen/approved indication(s)

schizophrenia management

Foreseen user group

Adults with schizophrenia

Foreseen duration between application(s)

1 month

Applications to Stringent Regulatory Authorities (SRA) / regulatory approvals

Not yet approved

Publications

BEPO®: Bioresorbable diblock mPEG-PDLLA and triblock PDLLA-PEG-PDLLA based in situ forming depots with flexible drug delivery kinetics modulation, Journal of Controlled Release, Volume 319, 2020, Pages 416-427

Christophe Roberge, Jean-Manuel Cros, Juliette Serindoux, Marie-Emérentienne Cagnon, Rémi Samuel, Tjasa Vrlinic, Pierre Berto, Anthony Rech, Joël Richard, Adolfo Lopez-Noriega


This article presents BEPO®, an in situ forming depot (ISFD) technology mediated by a solvent-exchange mechanism. The matrix of the in situformed drug delivery depot is composed of the combination of a diblock (DB) and a triblock (TB) polyethylene glycol-polyester copolymer. This combination offers a broad capability to tune the release of a wide variety of drugs to the desired pharmacokinetics. The work described in the present article demonstrates that the delivery rate and profile can be adjusted by changing the composition of either TB or DB or the relative ratio between them, among other parameters. It has been shown that the polymeric composition of the formulation has a substantial impact on the solvent exchange rate between the organic solvent and the surrounding aqueous medium which subsequently determines the internal structure of the resulting depot and the delivery of the therapeutic cargo. This has been demonstrated studying the in vitro release of two model molecules: bupivacaine and ivermectin.

Formulations releasing these drugs have been administered to animal models to show the possibility of delivering therapeutics from weeks to months by using BEPO® technology.

In Vitro and In Vivo Hydrolytic Degradation Behaviors of a Drug-Delivery System Based on the Blend of PEG and PLA Copolymers , Feifei Ng, Victor Nicoulin, Charlotte Peloso, Silvio Curia, Joël Richard, and Adolfo Lopez-Noriega , ACS Applied Materials & Interfaces 2023 15 (48), 55495-55509 , DOI: 10.1021/acsami.2c13141

This paper presents the in vitro and in vivo degradation of BEPO, a marketed in situ forming depot technology used for the formulation of long-acting injectables. BEPO is composed of a solution of a blend of poly(ethylene glycol)-block-poly(lactic acid) (PEG–PLA) triblock and diblock in an organic solvent, where a therapeutic agent may be dissolved or suspended. Upon contact with an aqueous environment, the solvent diffuses and the polymers precipitate, entrapping the drug and forming a reservoir. Two representative BEPO compositions were subjected to a 3-month degradation study in vitro by immersion in phosphate-buffered saline at 37 °C and in vivo after subcutaneous injection in minipig. The material erosion rate, as a surrogate of the bioresorption, determined via the depot weight loss, changed substantially, depending on the composition and content of polymers within the test item. The swelling properties and internal morphology of depots were shown to be highly dependent on the solvent exchange rate during the precipitation step. Thermal analyses displayed an increase of the depot glass transition temperature over the degradation process, with no crystallinity observed at any stage. The chemical composition of degraded depots was determined by 1H NMR and gel permeation chromatography and demonstrated an enrichment in homopolymers, i.e., free PLA and (m)PEG, to the detriment of (m)PEG–PLA copolymers in both formulations. It was observed that the relative ratio of the degradants within the depot is driven by the initial polymer composition. Interestingly, in vitro and in vivo results showed very good qualitative consistency. Taken together, the outcomes from this study demonstrate that the different hydrolytic degradation behaviors of the BEPO compositions can be tuned by adjusting the polymer composition of the formulation.

Evaluating the in vivo stability of water-soluble PEG-PLA copolymers using FRET imaging,Reactive and Functional Polymers, Sophie Bou, Feifei Ng, Elise Guegain, Charlotte Peloso, Adolfo Lopez-Noriega, Mayeul Collot,Volume 187,2023,105579,ISSN 1381-5148, https://doi.org/10.1016/j.reactfunctpolym.2023.105579.

Biodegradable and biocompatible polymer materials with tunable physical properties present a great interest for controlled drug delivery applications. A good example is BEPO®, a clinical-stage in situ-forming depot technology based on the utilization of a blend of poly(ethylene glycol)-b-poly(D,L-lactic acid) (PEG-PLA) diblock and triblock amphiphilic copolymers dissolved in an organic solvent. Once injected, this technology will form a bioresorbable solid polymer depot that will allow the release of a drug from weeks to months. The safety of the final degradation products from this technology, i.e., PEG and lactic acid, is well-documented. However, little information exists about the fate of intermediate degradants, specifically of water-soluble PEG-PLA chains where the molecular weights of the PLA block are short. Herein, we designed a Förster Resonance Energy Transfer (FRET) system for short copolymers, suitable for longitudinal in vivo imaging in the subcutaneous space, allowing to follow the stability of these products. Our results confirm that these species, that might be leaked from BEPO® depots during degradation, are rapidly hydrolyzed in the subcutaneous space of mice, forming approved products by Health Authorities, i.e., PEG and PLA homopolymers and/or lactic acid.

Collaborate for development

Consider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology

Share technical information for match-making assessment

Provide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit

Work with MPP to expand access in LMICs

In the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing

All sponsors

No sponsor indicated

Comment & Information

More information available at : https://www.medincell.com/en/