Drug-Eluting Implant

A better life

Living with a chronic medical condition can be debilitating, but innovative implantable technology is now improving the quality of patients’ lives. Trelleborg’s advanced polymer material expertise is fundamental to drug delivery devices.
3 min

Needing regular medication can be an annoyance. It is hard to always remember to take a pill, and stopping daily tasks to administer a drug is a nuisance. That is why the advantages of drug-eluting implantable devices are beginning to create a significant shift in the management of chronic conditions, as ultimately these solutions solve many challenges patients face.

 

“Implantables uniquely address issues around administering drugs,” says Zach Fletcher, a business development manager for Trelleborg’s medical solutions. “They can ensure patient compliance, localize drug delivery and address bioavailability concerns, while providing a consistent, sustained dosage of a pharmaceutical. This means that as drugs are going precisely where needed at defined doses over time, they work better and have fewer side effects. That is something traditional delivery paradigms struggle with today.”

 

Although these are the main reasons for a rising demand for drug-eluting devices, Fletcher believes we are still at an early stage. “I don’t think we have even discovered all the demand drivers for the implantables market yet because the space is still so young,” he explains. “By my count, there are only about 18 drug-eluting devices available today, though many more are in development. Product developers are still learning when and where to apply sustained-release technologies.”

 

A less obvious driver for these devices is a physician’s time constraints. Fletcher says, “The ophthalmology community is quite small, so it is a challenge for its physicians to treat all of their patients with chronic conditions affecting the eye with once-monthly injections. Therefore, they need pharmaceutical companies to come up with extended-release therapies, and this has driven quite a bit of momentum in that space.”

 

Usually, device developers would turn to their traditional partners in oral drug delivery, transdermal patches or injectables to develop implantables. However, sustained-release applications require deep expertise in polymers, and these providers do not possess that expertise, either in the polymers or their manufacturing processes. That is where Trelleborg adds value.

 

“We have been involved in developing drug-eluting therapies with our customers over the last 15 years,” explains Fletcher. “So it’s our in-depth understanding of how polymers behave and what modifications are possible in the manufacturing process that allows us to offer something unique to our medical and pharmaceutical customers.

“Our customers know what drug they want to release, at what rate and for how long,” he continues. “That is their expertise. Our expertise is knowing the right polymer carrier for an application or how to modify a design or manufacture a component to maximize the performance of a drug-eluting device. We support customers in making the correct polymer selections for manufacturability and produce the data needed to advance their product concepts.”

 

Although Trelleborg’s work in any one polymer is not unique, its offering and knowledge of a broad range of polymer types is.

 

“Our background in silicone was a fantastic foundation for our drug-eluting solutions,” Fletcher says. “What I am excited about now is our push to continue to expand our expertise in other polymers. For instance, we’re sharpening our knowledge in bioresorbable polymers, materials that safely break down in the body, which are a better fit for shorter-term drug delivery applications providing roughly six months of delivery. We’re also beginning to work in biodurable materials other than silicone, ones that can withstand implantation into the human body, such as ethylene vinyl acetate and ones that offer advantages such as lower processing temperatures.”

 

Fletcher points out that he does not see Trelleborg as selling products. “Instead, we provide capabilities that accelerate the development process for our customers’ future devices,” he says. “In the early stages of programs, we’re a full-service development partner, and then we can scale up projects for clinical trials and high-volume commercial production.”

 

Drug-eluting devices are also commonly classified as combination products. The implant containing the active pharmaceutical is a drug product and is often paired with a medical device to facilitate delivery to a patient. This comes with some challenges.

 

Fletcher explains: “When we have these two elements – the drug product and medical device – the US Food and Drug Administration (FDA) regulates the device as a combination product. This is a nuance to the regulatory path, and our customers appreciate our support in helping them navigate to approvals.”

 

Additionally, much of the focus early in drug-eluting programs is making sure the drug will perform. “In just about every one of these programs, we prove the drug product works and then there is always a sprint to develop the companion drug delivery device,” he says. “This is where Trelleborg’s background in medical devices allows us to quickly put together a supply chain, leveraging our network of facilities, to produce what’s needed to bring that element of the project online as well.”

 

Looking to the future, Fletcher predicts that more and more implantable drug delivery applications will emerge. “Currently, the pharmaceutical industry still tends to lean quite heavily toward delivering their drugs via a pill, and if that doesn’t work, they explore injectables,” Fletcher says. “This is changing, and we’re seeing activity in new types of applications. I believe, as more drug-eluting products reach the market, more companies will consider these delivery methods. Trelleborg is very well set up to serve those customers.” 

Zach Fletcher

For more information

Zach Fletcher
Article published November 1, 2024

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