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Taxol commercial supply strategy

M D DeFuria1, Z Horovitz

  • 1Bristol-Myers Squibb Company, Princeton, NJ 08543-4000.

Insights

Bristol-Myers Squibb partnered with the National Cancer Institute to commercialize Taxol, developing strategies to increase drug supply through bark extraction and alternative sourcing for cancer treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Natural Product Chemistry

Background:

  • Taxol demonstrated safety and efficacy for refractory ovarian cancer, prompting the National Cancer Institute (NCI) to seek commercialization.
  • A Cooperative Research and Development Agreement was established between NCI and Bristol-Myers Squibb (BMS) for Taxol's New Drug Application (NDA) and supply.
  • BMS developed a strategic plan to ensure a robust supply chain for Taxol, crucial for clinical trials and patient access.

Purpose of the Study:

  • To outline BMS's strategic plan for expanding Taxol drug supplies.
  • To detail the evaluation of alternative sourcing options for Taxol's commercial feasibility.
  • To report on the progress made in securing sufficient Taxol quantities for treatment and research.

Main Methods:

  • Increased Taxol yield from yew bark extraction.
  • Initiated research into alternative sourcing: precursor isolation, semisynthesis, yew plantations, plant cell culture, and total synthesis.
  • Collaborated with academic and industrial investigators to address Taxol supply challenges.

Main Results:

  • Doubled Taxol yield from bark extraction within 18 months.
  • Exceeded NCI's supply requests, enabling the establishment of a cancer treatment referral center (TRC).
  • Increased NCI supplies significantly, facilitating TRC protocols for breast cancer and identifying viable alternative sources.
  • Scheduled large-scale Taxol production via precursor conversion and ensured future availability for treatment and research.

Conclusions:

  • BMS successfully implemented a multi-faceted strategy to secure and expand Taxol supply.
  • Alternative sourcing research identified commercially feasible options, diversifying production methods.
  • The strategic plan ensured adequate Taxol availability for ongoing clinical research and patient treatment needs.

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