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<strong>Crystal</strong> ,<br />

the Closed Vial Technology<br />

SAFER and EASIER Aseptic Filling<br />

<strong>Business</strong> <strong>Review</strong> Webinar<br />

September 28, 2011<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key messages on <strong>Crystal</strong> ® Technology<br />

•Consists of two elements:<br />

–A ready to fill vial<br />

–A filling line piercing and re-sealing the<br />

stopper<br />

<strong>Crystal</strong> <br />

Technology<br />

•Has been fully validated for filling of aseptic<br />

drugs<br />

•Offers key advantages:<br />

–Safer for the patient<br />

–Easier for the manufacturer<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Aseptic filling: a complex process…<br />

GLASS VIAL FILLING<br />

vials<br />

stoppers<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


… still risky for the patient<br />

Infections by contaminated drugs: 200,000<br />

infections per year (1/100,000 injections)<br />

Reduction of exposure to preservatives<br />

As a precautionary measure, the Public Health Service (FDA, NIH, CDC,<br />

HRSA) and the American Academy of Pediatrics issued two Joint<br />

Statements, urging vaccine manufacturers to reduce or eliminate<br />

thimerosal in vaccines as soon as possible (CDC 1999) and (CDC 2000).<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Challenges of Aseptic Technologies<br />

Aseptic filling is currently<br />

How to make it<br />

Still risky<br />

SAFER?<br />

More and more complex<br />

EASIER?<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


New concept of <strong>Crystal</strong> ® | Process<br />

Molding site<br />

Irradiation unit<br />

Molding & Closing<br />

(ISO 5)<br />

Assembly<br />

(ISO 8)<br />

Sterilization<br />

(Gamma irradiation)<br />

Pharmaceutical site<br />

Filling line under barrier (ISO 5)<br />

Clean & sterile<br />

“ready to fill”<br />

vial<br />

Capping Laser re-sealing Filling<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Vial manufacturing process<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Closed vial filling line operations<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Six formats of vial available<br />

1 ml 2 ml 6 ml 10 ml 20 ml 50 ml<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Two formats of Laboratory lines<br />

<strong>Crystal</strong> M1<br />

Filling<br />

Station<br />

• Independent tools with manual<br />

operations<br />

• To be installed in existing environment<br />

• Designed to fill very small batch filling<br />

(


Three formats of Production lines<br />

<strong>Crystal</strong> Cx<br />

Filling line<br />

• Designed to fill medium scale<br />

commercial batches<br />

• Capacity: up to 75 vials/min*<br />

• Space needed: 40 m² (footprint: 9 m²)<br />

<strong>Crystal</strong> PX<br />

Filling line<br />

• Designed to fill commercial batches<br />

• Capacity: currently up to 150<br />

vials/min*, is expected to be increased<br />

• Space needed: 60 m² (footprint: 16 m²)<br />

<strong>Crystal</strong> Pxx<br />

Filling line<br />

• Designed to fill large commercial<br />

batches<br />

• Capacity: up to 600 vials/min*<br />

• Space needed: 100 m² (footprint: 44<br />

m²)<br />

* 1 ml vials<br />

• Capacity increase is feasible by adding<br />

filling heads and lasers<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Status of the<br />

Technology<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Status of product testing<br />

83 products filled in <strong>Crystal</strong> vial<br />

• Various categories tested, including<br />

– 56 biological products (vaccines, antibodies, proteins, cells, viruses,<br />

mRNA,…)<br />

– 7 cytotoxic products<br />

– 7 lyophilized products<br />

• 46 different companies, including<br />

– 4 top 10 pharma<br />

– 4 top 10 biotechs<br />

• Currently 73 results obtained<br />

– 27 products with better stability than with other containers<br />

– 9 products with lack of stability*<br />

– 39 products with good stability<br />

* 3 are unstable in glass as well, one unbuffered product was sensitive to acid, two are<br />

degraded due to oxygen ingress without protective packaging, one is hydrophobic, one is<br />

more absorbed than in PP but less than in glass and one is adsorbed<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Users of <strong>Crystal</strong> equipment worldwide<br />

Active users<br />

Equipment to be delivered<br />

* Projects not indicated are confidential<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


First product approved<br />

• Product filled in late 2007 in AT facility (filling line in CVFS,<br />

located in ISO8 clean room)<br />

• Two years of stability obtained in early 2010, all data within<br />

specifications<br />

• Data submitted to EMA in January 2011, CHMP recommended<br />

approval in May 2011 with sentences such as “…very<br />

interesting innovative technique…”, approval granted by EMA<br />

in July 2011<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


They talk about us ...<br />

“Certain modern manufacturing designs (isolators 1 and<br />

"closed vial" filling) afford isolation of the aseptic process<br />

from microbiological contamination risks (e.g., operators and<br />

surrounding room environment) throughout processing.”<br />

1 This does not apply to RABS (Restricted Access Barrier Systems)<br />

http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm124782.htm<br />

"Can the Closed Vial filling equipment be surrounded by<br />

Grade C environment? I would say "Yes" because the vials<br />

are permanently closed"<br />

Personal opinion from Dr. Jean-Denis Mallet (Former Head of the Pharmaceutical, API and<br />

Cosmetics Inspection Department at the French Health Products Regulatory Agency<br />

(AFSSAPS) ) expressed at European Compliance Academy, Dusseldorf, March 10, 2010<br />

Simply Safer !<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Major Advantages<br />

SAFER<br />

+<br />

EASIER<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Some important vial properties<br />

Anticounterfeiting<br />

possibilities<br />

Large piercing area<br />

secured by V-<br />

pressure rib<br />

No silicone,<br />

very limited<br />

leachables<br />

Resistant to<br />

damages<br />

Closed<br />

container<br />

V-pressure rib,<br />

suitable for very<br />

low temperature<br />

storage<br />

Stopper designed<br />

to minimize<br />

residual volume of<br />

liquid<br />

Vial = isolator at item level<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Impact of open glass vials and inappropriate materials<br />

FDA identified steel, rubber and fiber particles in vials filled at<br />

Genzyme Allston site<br />

Despite that Genzyme claimed that vials with particles are<br />

identified and eliminated, the FDA decided to:<br />

• Refuse approval for manufacturing of Lumizyme<br />

• Recommend close inspection by healthcare practitioners for 5<br />

drugs including Cerezyme and Fabrazyme<br />

Amgen identified flakes of glass in EPO vials due to ageing<br />

Amgen and J&J withdrew respectively 200 and 155 lots from the<br />

market<br />

Shelf-life has been reduced from 36 to 12 months<br />

Hospira identified metal particles in Liposyn and Propofol vials<br />

Hospira withdrew 85 lots of Liposyn and 73 lots of Propofol from<br />

the market<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Exposure to environment<br />

From hot-air tunnel up<br />

to stoppering<br />

> 30 minutes in most<br />

cases<br />

From loading up to stoppering,<br />

critical surface in direct<br />

contact with bowl and ramps<br />

From few minutes up to hours<br />

Exposed all along the<br />

process but no contact<br />

Never open<br />

except during<br />

piercing<br />

Exposed all along the<br />

process and in contact<br />

with stopper surface<br />

Wiped during entry<br />

inside vial<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Exposure risks<br />

Contaminated containers per million if 1 cfu every 1000 m³<br />

Glass vial<br />

30.7<br />

Open ampoule<br />

Prefilled syringe<br />

5.5<br />

8.1<br />

<strong>Crystal</strong> vial<br />

Blow-fill-seal<br />

0.20<br />

0.12<br />

Risk of contamination is reduced<br />

~150 times compared to classical<br />

glass vial<br />

Grade A = < 1 cfu/m³<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Particles comparison between glass vial and closed vial<br />

Vials having faced full filling and collection process<br />

Number of particles<br />

Closed vial in CVFL<br />

Glass vial in isolator<br />

Particles ≥5 µm<br />

Particles ≥10 µm<br />

Particles ≥25 µm<br />

600<br />

60<br />

6<br />

500<br />

428<br />

50<br />

47<br />

5<br />

400<br />

40<br />

4<br />

300<br />

237<br />

30<br />

23<br />

3<br />

200<br />

20<br />

2<br />

100<br />

10<br />

1<br />

1<br />

1<br />

0<br />

0<br />

Particles reduced by a factor 2<br />

compared to glass vials filled in isolator<br />

0<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Leachables | <strong>Crystal</strong> ® Closed Vial<br />

Leachables in WFI*<br />

Range<br />

From 10 ppm to 50 ppm<br />

From 5 ppm to 10 ppm<br />

From 1 ppm to 5 ppm<br />

Less than 1 ppm<br />

T = 24 months<br />

Acetic acid<br />

Formic acid<br />

t-butanol<br />

Very few products. No concern<br />

with toxicity and carcigenocity<br />

<strong>Crystal</strong> ® vials are also<br />

- latex free<br />

- silicone free<br />

Very few leachables.<br />

No toxicity concern, according to FDA recommended expert<br />

* Similar results obtained in ethanol 10%, PBS, NaCl 0.9% and 2-phenoxyethanol 0.5%<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Typical leachables from other containers<br />

2-methylpentane<br />

3-methylpentane<br />

Hexane (class 2 solvent*)<br />

Methylcyclopentane<br />

Cyclohexane (Class 2 solvent*)<br />

Butylated Hydroxytoluene (BHT)<br />

Lauric acid<br />

Palmitic acid<br />

Myristic acid<br />

Stearic acid<br />

Aliphatic alcohols (Class 3 solvent*)<br />

Dibutylamine (10-50ppm, Permitted<br />

Daily Dose for infant is 11 µg)<br />

Metal ions including<br />

Barium<br />

Arsenic<br />

Alkali compounds<br />

Flakes of glass due to<br />

product aggression<br />

Silicon oil<br />

Tungstene<br />

Vulcanizing agents<br />

Glass components as for<br />

vials<br />

High surface/volume ratio<br />

increasing risk<br />

* According to ICH Q3C guideline : class 1 = highly toxic solvent, class 2 = toxicity proven<br />

at low dose, class 3 = toxicity at higher dose.<br />

Sources: Biopharm International (April 2010), J Radioanal. Nucl. Chem. (2004),<br />

AAPS (2007), Drug Safety Institute, J Pharm. Sc. (1986)<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Drop test<br />

Results with 10 ml vials<br />

(filled with 10 ml mannitol 15%)<br />

120<br />

% of vials<br />

100<br />

<strong>Crystal</strong> vials<br />

without visual<br />

product leak<br />

80<br />

60<br />

40<br />

<strong>Crystal</strong> vials<br />

without damage<br />

Glass vial after<br />

50 cm drop<br />

20<br />

0<br />

Non exploded<br />

glass vials<br />

0 1 2 3 4 5<br />

• At table height: ~1/2 glass vial are broken<br />

• At chest height: almost all glass vials are broken<br />

• <strong>Crystal</strong> vials are still intact at 2 meter height<br />

Meter for drop test<br />

• In case of damage, usually <strong>Crystal</strong> vial does not spread the product<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Drop test<br />

Results with small vials<br />

(2R glass vial and 1ml <strong>Crystal</strong> vial, filled with 1 ml mannitol 15%)<br />

120<br />

% of vials<br />

100<br />

80<br />

<strong>Crystal</strong> vials<br />

without damage<br />

60<br />

40<br />

20<br />

0<br />

Non exploded<br />

glass vials<br />

0 1 2 3 4 5 10 6<br />

• At table height: risk of glass vial breakage is<br />

present<br />

• <strong>Crystal</strong> vials are still intact over 10 meter height<br />

Meter for drop test<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Freeze-thawing<br />

Results after freezing at -70°C and thawing at RT<br />

(filled with mannitol 15%)<br />

% of intact<br />

vials<br />

120<br />

100<br />

80<br />

5 ml glass<br />

vials*<br />

All format of <strong>Crystal</strong><br />

vials (5, 10 and 20 ml)<br />

60<br />

40<br />

10 ml glass<br />

vials*<br />

<strong>Crystal</strong> vials<br />

under thawing<br />

process<br />

20<br />

0<br />

20 ml glass vials*<br />

0 20 40 60 80 100<br />

% nominal volume filled<br />

• <strong>Crystal</strong> vials are very resistant to product expansion,<br />

but not glass vials<br />

• Bigger is the glass vial, more fragile it is<br />

* published data: Jiang et al., PDA J. Pharm. Sc. And Technol., 61, 441-451 (2007)<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Secured traceability and anti-counterfeiting<br />

Examples of secured coding technologies<br />

On-line coding of RFID<br />

secured under the cap<br />

On-line laser coding on top ring<br />

Alpha<br />

numeric<br />

2D matrix<br />

Fully secured vial<br />

through on-line coding<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Process simplification<br />

GLASS VIAL FILLING<br />

vials<br />

stoppers<br />

<strong>Crystal</strong> ® FILLING<br />

Lean<br />

manufacturing<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Market research results <strong>Crystal</strong> ® vs. glass vials<br />

<strong>Crystal</strong> preferred No preference Glass preferred<br />

• 246 healthcare professionals from hospital settings interviewed<br />

• 71 doctors, 161 nurses and 14 hospital pharmacists<br />

• 134 in Europe (F, B) and 110 in the US (West and East Coasts)<br />

87% of professionals prefer <strong>Crystal</strong> ®<br />

87 6 7<br />

In each region<br />

By each professional<br />

Europe<br />

USA<br />

89<br />

6 5<br />

85 5 10<br />

Doctors<br />

Nurses<br />

Pharm.<br />

90<br />

85<br />

86<br />

4 6<br />

6 9<br />

14<br />

Full presentation available on request<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Preference drivers<br />

•87% of professionals expressed a preference for<br />

<strong>Crystal</strong> <br />

•What are the drivers of this preference?<br />

Easy to handle<br />

45<br />

Shock-resistance<br />

36<br />

Easy to open<br />

Asepsis improvement<br />

Easy to pierce<br />

Easier in general<br />

26<br />

23<br />

21<br />

18<br />

Vial stability<br />

11<br />

Secured marking<br />

4<br />

“Delivery systems that score high with end-users may provide a<br />

competitive edge as pharmaceutical companies start sharpening their<br />

life cycle management tools” M. Romacker, Amgen Inc.<br />

Full presentation available on request<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Key advantages of <strong>Crystal</strong> ® Technology<br />

SAFER<br />

EASIER<br />

INCREASE<br />

PROFIT<br />

For whom?<br />

• For your regulatory<br />

team<br />

• For your supply chain<br />

team<br />

• For your<br />

manufacturing team<br />

• For your QA/QC team<br />

• For your marketing<br />

team<br />

• For your financial team<br />

• For your<br />

manufacturing team<br />

• For your sales team<br />

Why?<br />

• Provide a top-class sterility assurance<br />

level thanks to a closed ready to fill<br />

container<br />

• Secure the products inside an<br />

unbreakable and coded container<br />

• Simplify entire filling process (lean<br />

manufacturing)<br />

• Reduce initial and regular validation<br />

work<br />

• Facilitate handle by healthcare<br />

specialists<br />

• Reduce capital expenses<br />

• Reduce operating expenses<br />

despite vials more expensive than<br />

unclean non-sterile glass vials<br />

• Boost sales thanks to better perception<br />

by end-users<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Cost savings using the closed vial<br />

Capital expenses<br />

Vials<br />

API<br />

Filling line<br />

Total cost<br />

of filled vial<br />

Operating expenses<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Reduction of API expenses<br />

Residual<br />

volume = 12 µl<br />

Residual<br />

Volume = 3 µl<br />

Difference = 9µl<br />

0.09 USD saving per vial<br />

if API price is 10 USD/ml<br />

<strong>Crystal</strong> ® vial stopper specially designed to ease<br />

liquid collection and to reduce API expenses<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Conclusions<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved


Closed vial characteristics<br />

•The Closed Vial technology provides a safer solution<br />

to the patient<br />

•The Closed Vial technology simplify the entire filling<br />

process<br />

•The regulatory authorities have well understood the<br />

advantages of this technology compared to classical<br />

ones<br />

Simply Safer !<br />

Confidential | Copyright © 2011 | Aseptic Technologies | All rights reserved

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