Pharmacopoeial Standards for Therapeutic Monoclonal Antibodies: Rituximab A Case Study

Review Article

Austin J Pharmacol Ther. 2025; 12(3): 1195.

Pharmacopoeial Standards for Therapeutic Monoclonal Antibodies: Rituximab A Case Study

Kalaivani M*, Goyal A, Chaudhary P and Raghuvanshi RS

Indian Pharmacopoeia Commission, Ministry of Health and Family Welfare (Govt. of India), Ghaziabad, India

*Corresponding author: Kalaivani M, Senior Scientific Officer, Indian Pharmacopoeia Commission, Ministry of Health and Family Welfare, Govt. of India, Sector-23, Raj Nagar, Ghaziabad-201 002, UP, India Email: kalaivani.ipc@gov.in

Received: April 11, 2025 Accepted: April 24, 2025 Published: April 28, 2025

Abstract

Globally, more than 160 therapeutic monoclonal antibodies (mAbs) biosimilars are approved for marketing, including 58 in India market. The rapid growth of these therapies highlights the need for streamlined regulatory oversight and robust quality assurance to ensure their efficacy and safety. The quality of therapeutic mAbs, like all medicines, is maintained through pharmacopoeial standards and established quality control strategies. Pharmacopoeias are collections of legally required quality standards for drugs and excipients used in the manufacturing of approved drugs within a country, which must be adhered to by all who produce, distribute, or oversee these medicines. Currently, general guidance for these products is available in the United States Pharmacopoeia (USP), European Pharmacopoeia (Ph.Eur.) and Indian Pharmacopoeia (IP). However, specific pharmacopoeial monographs for mAbs are limited, for example Rituximab included in the Indian Pharmacopoeia 2022 and Infliximab concentrated solution in the Ph.Eur. in 2019 (Supplement 9.6). This article discusses the challenges and opportunities in establishing quality standards for therapeutic mAbs, using the IP 2022 monograph on Rituximab as a case example. The authors also propose a harmonized approach or collaboration among leading pharmacopoeias to develop monographs for these essential therapeutics.

Keywords: Rituximab; Pharmacopoeial specifications; Monoclonal antibody; Regulatory; Biotherapeutics; Quality standards

Introduction

Therapeutic monoclonal antibodies (mAbs) have emerged as a crucial class within high-molecular-weight biopharmaceuticals, demonstrating remarkable therapeutic potential. Generally, mAbs are immunoglobulin molecules derived from a single B-cell clone, produced using recombinant DNA (rDNA) technology and hybridoma technology [1-4]. Solid tumours, haematologic malignancies, psoriatic arthritis, rheumatoid arthritis, Crohn's disease, and ankylosing spondylitis are few of the chronic and life-threatening diseases for which these mAbs have revolutionised therapy strategies [5-9]. Over the last three decades, over 160 therapeutic mAbs have gained approval as treatments from leading regulatory bodies, including the Central Drugs Standard Control Organization, CDSCO; European Medicines Agency, EMA and U.S. Food and Drug Administration, FDA [10-14].

Developing quality standards for therapeutic mAbs, which are biologically derived and structurally complex, demands specialized attention, along with sophisticated testing and controls to ensure their identity, purity, and potency. The World Health Organization (WHO) has provided foundational guidance through its Technical Report Series 822, 1992: Annex 3 [15]. Additionally, manufacturers are advised to consult other National and International guidelines which include both physicochemical and biological characterization of recombinant mAbs [16-18]. These guidelines emphasize the need to assess Critical Quality Attributes (CQA) and Key Quality Attributes (KQA) using advanced, high-resolution analytical techniques capable of detecting subtle variations in the product. The use of these techniques is crucial for maintaining product consistency and detecting any structural or functional changes.

In the present article, the authors explore the process of developing pharmacopoeial quality standards for therapeutic mAbs illustrating the approach using Rituximab as a case study for adopting these standards in an official monograph.

Regulatory and Pharmacopoeial Aspects of Therapeutic Mabs: Worldwide

Drug regulatory agencies and the WHO provide comprehensive guidelines for the approval of mAbs as drugs and biosimilars (Table 1) [17,19]. Additionally, the WHO offers specific guidelines for the nomenclature of therapeutic mAbs [20]. The therapeutic mAbs market is expected to increase at a compound annual growth rate (CAGR) of 11.30% from its 2020 valuation of about $125 billion to $494.53 billion by 2030 [20-21]. The success of therapeutic mAbs and the expiration of patents have driven the development of biosimilar therapeutics. Currently, more than 160 therapeutic mAbs have been approved for marketing worldwide [23]. Table 2 lists the therapeutic mAbs approved in the US, EU, and India. Drug regulatory authorities, including the US-FDA, EMA, CDSCO and WHO, have established comprehensive guidelines for granting marketing authorization for these products, either as innovator drugs or biosimilars (Table 1). The rapid market expansion of these molecules highlights the critical need for robust quality assurance to ensure their efficacy and safety. Pharmacopoeias play a crucial role in improving patient access to high-quality drugs, minimizing adverse effects caused by substandard medicines, and promoting consistency in drug pricing through quality assurance [24-26]. These standards, available as public compliance documents, enable independent quality verification of a product throughout its shelf life [27]. International pharmacopoeia serves as a mandatory public standard and provides an authoritative framework for assessing the identity, strength, and purity of therapeutics [28]. Additionally, it facilitates the incorporation of harmonized testing methods as quality standards, ensuring safety and quality of medicines. The Indian Pharmacopoeia (IP) serves as the official reference for drug and pharmaceutical standards, including biopharmaceuticals approved for in India. These standards are in accordance with the provisions of the "Drugs and Cosmetics Act, 1940, and Rules" framed under it. Notably, the current edition of IP 2022 includes monographs for rituximab and rituximab injection [29-30]. The United States Pharmacopeia (USP) has also played a key role in establishing quality standards for biologics, contributing to its growing collection of monographs and general chapters for drugs marketed in the United States. In 2012, USP initiated efforts to outline a well-defined set of quality requirements for recombinant therapeutic mAbs. This led to the introduction of the official General Chapter <129>, titled "Analytical Procedures for Recombinant Therapeutic Monoclonal Antibodies" [31].