THEME: "Exploring the Challenges in Pre & Post Formulations and Drug Delivery Systems"
Takeda, Germany
Title: Better medicines for special patient populations: Leveraging human characteristics and dosage form designs
Nélio Drumond is a PharmD by training with a PhD in Patient-Centric Drug Product Design. He
shares several years of experience in the Pharmaceutical Industry providing scientific leadership to
govern the formulation and manufacturing aspects of drug product development projects during
clinical stages, including their scalability and validation for commercial use. Currently, Dr. Drumond
is responsible for the oversight of commercial manufacturing activities conducted at different Contract
Manufacturing Organizations (CMOs) within the European region for a portfolio of Takeda products.
Oral drug administration provided as solid oral dosage forms (SODF) remains the major route of drug
therapy in primary and secondary care. There is clear evidence for a growing number of clinically
relevant swallowing issues (e.g., dysphagia) in the older patient population, especially when
considering the multimorbid, frail, and polymedicated patients. Swallowing impairments have a
negative impact on SODF administration, which leads to poor adherence and inappropriate alterations
(e.g., crushing, splitting). Different strategies have been proposed over the years in order to enhance
the swallowing experience with SODF, by using conventional administration techniques or applying
swallowing aids and devices. Nevertheless, new formulation designs must be considered by
implementing a patient centric approach in order to efficiently improve SODF administration by older
patient populations. Together with appropriate SODF size reductions, innovative film coating
materials that can be applied to SODF and provide swallowing safety and efficacy with little effort
being required by the patients are still needed. Scientific evidence demonstrating the benefits of given
SODF coating materials in the concerned patient populations are still very limited. Consequently, the
availability for safe, effective, and clinically proven solutions to address the increasing prevalence of
swallowing issues in the older patient population is still limited.