Regulatory aspects on nanomedicines.

Nanomedicines have been in the forefront of pharmaceutical research in the last decades, creating new challenges for research community, industry, and regulators. There is a strong demand for the fast development of scientific and technological tools to address unmet medical needs, thus improving human health care and life quality. Tremendous advances in the biomaterials and nanotechnology fields have prompted their use as promising tools to overcome important drawbacks, mostly associated to the non-specific effects of conventional therapeutic approaches. However, the wide range of application of nanomedicines demands a profound knowledge and characterization of these complex products. Their properties need to be extensively understood to avoid unpredicted effects on patients, such as potential immune reactivity. Research policy and alliances have been bringing together scientists, regulators, industry, and, more frequently in recent years, patient representatives and patient advocacy institutions. In order to successfully enhance the development of new technologies, improved strategies for research-based corporate organizations, more integrated research tools dealing with appropriate translational requirements aiming at clinical development, and proactive regulatory policies are essential in the near future. This review focuses on the most important aspects currently recognized as key factors for the regulation of nanomedicines, discussing the efforts under development by industry and regulatory agencies to promote their translation into the market. Regulatory Science aspects driving a faster and safer development of nanomedicines will be a central issue for the next years.

[1]  S M Moghimi,et al.  Complement-mediated tumour growth: implications for cancer nanotechnology and nanomedicines. , 2009, Molecular immunology.

[2]  N. Chowdhury,et al.  Is the European Medical Products Authorisation Regulation Equipped to Cope with the Challenges of Nanomedicines? , 2011 .

[3]  S. Shrivastava,et al.  Applying Nanotechnology to Human Health: Revolution in Biomedical Sciences , 2009 .

[4]  S M Moghimi,et al.  Factors controlling nanoparticle pharmacokinetics: an integrated analysis and perspective. , 2012, Annual review of pharmacology and toxicology.

[5]  Y. Barenholz,et al.  Annals of the New York Academy of Sciences Nanomedicines: Addressing the Scientific and Regulatory Gap , 2022 .

[6]  Marina A Dobrovolskaia,et al.  Understanding the correlation between in vitro and in vivo immunotoxicity tests for nanomedicines. , 2013, Journal of controlled release : official journal of the Controlled Release Society.

[7]  Mafalda Videira,et al.  Immune system targeting by biodegradable nanoparticles for cancer vaccines. , 2013, Journal of controlled release : official journal of the Controlled Release Society.

[8]  A. Arranja,et al.  Preclinical development of siRNA therapeutics: towards the match between fundamental science and engineered systems. , 2014, Nanomedicine : nanotechnology, biology, and medicine.

[9]  Xin Zhang,et al.  In Vivo study of ligament-bone healing after anterior cruciate ligament reconstruction using autologous tendons with mesenchymal stem cells affinity peptide conjugated electrospun nanofibrous scaffold , 2013 .

[10]  Chris Holloway,et al.  Scientific considerations for complex drugs in light of established and emerging regulatory guidance , 2012, Annals of the New York Academy of Sciences.

[11]  Robert Langer,et al.  Impact of nanotechnology on drug delivery. , 2009, ACS nano.

[12]  Buket Aksu,et al.  Towards a European strategy for medicines research (2014-2020): The EUFEPS position paper on Horizon 2020. , 2012, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[13]  Lily Yang,et al.  Multiplexed fluorescence imaging of tumor biomarkers in gene expression and protein levels for personalized and predictive medicine. , 2009, Current molecular medicine.

[14]  Wayne M. Mullett,et al.  Nanomedicine in action: an overview of cancer nanomedicine on the market and in clinical trials , 2013 .

[15]  M. Ferrari Cancer nanotechnology: opportunities and challenges , 2005, Nature Reviews Cancer.

[16]  Arthur G Erdman,et al.  The big picture on nanomedicine: the state of investigational and approved nanomedicine products. , 2013, Nanomedicine : nanotechnology, biology, and medicine.

[17]  T. Xia,et al.  Understanding biophysicochemical interactions at the nano-bio interface. , 2009, Nature materials.

[18]  John B Weaver,et al.  Nanoparticles for cancer imaging: The good, the bad, and the promise. , 2013, Nano today.

[19]  M Sculpher,et al.  Clinical effectiveness and cost-effectiveness of tests for the diagnosis and investigation of urinary tract infection in children: a systematic review and economic model. , 2006, Health technology assessment.

[20]  M. Prato,et al.  Applications of carbon nanotubes in drug delivery. , 2005, Current opinion in chemical biology.

[21]  J. Lovrić,et al.  Nanotherapeutics in the EU: an overview on current state and future directions , 2014, International journal of nanomedicine.

[22]  Rogério Gaspar,et al.  Therapeutic Products: Regulating Drugs and Medical Devices , 2010 .

[23]  Weibo Cai,et al.  Preparation of peptide-conjugated quantum dots for tumor vasculature-targeted imaging , 2008, Nature Protocols.

[24]  Natassa Pippa,et al.  Fractal geometry as a new approach for proving nanosimilarity: a reflection note. , 2015, International journal of pharmaceutics.

[25]  S. Palmer,et al.  Topotecan, pegylated liposomal doxorubicin hydrochloride and paclitaxel for second-line or subsequent treatment of advanced ovarian cancer: a systematic review and economic evaluation. , 2006, Health Technology Assessment.

[26]  Rogério Gaspar,et al.  Cancer immunotherapy: nanodelivery approaches for immune cell targeting and tracking , 2014, Front. Chem..

[27]  Volker Wagner,et al.  The emerging nanomedicine landscape , 2006, Nature Biotechnology.

[28]  Rajshri M Navalakhe,et al.  Application of nanotechnology in biomedicine. , 2007, Indian journal of experimental biology.

[29]  Rogério Gaspar,et al.  Nanoparticles: Pushed off target with proteins. , 2013, Nature nanotechnology.

[30]  G. Nienhaus,et al.  Nanoparticle Interaction with Plasma Proteins as It Relates to Biodistribution , 2016 .

[31]  Narendra Kumar Jain,et al.  Dendrimers in oncology: an expanding horizon. , 2009, Chemical reviews.

[32]  Mafalda Videira,et al.  Regulatory Aspects of Oncologicals: Nanosystems Main Challenges , 2014 .

[33]  S. McNeil Characterization of Nanoparticles Intended for Drug Delivery , 2011, Methods in Molecular Biology.

[34]  Ruth Duncan,et al.  Polymeric carriers: preclinical safety and the regulatory implications for design and development of polymer therapeutics. , 2009, Advanced drug delivery reviews.

[35]  B. Sarmento,et al.  Nanotechnology-based systems for the treatment and prevention of HIV/AIDS. , 2010, Advanced drug delivery reviews.

[36]  L. Gustafsson,et al.  Clinical pharmacology in research, teaching and health care: Considerations by IUPHAR, the International Union of Basic and Clinical Pharmacology. , 2010, Basic & clinical pharmacology & toxicology.

[37]  R. Duncan,et al.  Nanomedicine(s) under the microscope. , 2011, Molecular pharmaceutics.

[38]  Vinod P. Shah,et al.  How to Regulate Nonbiological Complex Drugs (NBCD) and Their Follow-on Versions: Points to Consider , 2013, The AAPS Journal.

[39]  J. Panda,et al.  The present and future of nanotechnology in human health care. , 2007, Nanomedicine : nanotechnology, biology, and medicine.

[40]  Hak Soo Choi,et al.  Nanoparticles for Biomedical Imaging: Fundamentals of Clinical Translation , 2010, Molecular imaging.

[41]  A. Talevi,et al.  Applications of nanosystems to anticancer drug therapy (Part II. Dendrimers, micelles, lipid-based nanosystems). , 2013, Recent patents on anti-cancer drug discovery.

[42]  Gabriel A Kwong,et al.  Modular nucleic acid assembled p/MHC microarrays for multiplexed sorting of antigen-specific T cells. , 2009, Journal of the American Chemical Society.

[43]  R. Duncan,et al.  Next-generation nanomedicines and nanosimilars: EU regulators' initiatives relating to the development and evaluation of nanomedicines. , 2013, Nanomedicine.

[44]  Raj Bawa,et al.  Regulating nanomedicine - can the FDA handle it? , 2011, Current drug delivery.

[45]  Vinod P. Shah,et al.  Different Pharmaceutical Products Need Similar Terminology , 2013, The AAPS Journal.

[46]  M. Prato,et al.  Biomedical applications of functionalised carbon nanotubes. , 2005, Chemical communications.

[47]  Florence Sanchez,et al.  Nanotechnology in concrete – A review , 2010 .