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Advanced therapy medicinal products development - from guidelines to medicines in the market

dc.contributor.authorFrederico, Catarina
dc.contributor.authorVieira da Conceição, André Filipe
dc.contributor.authorNóbrega, Clévio
dc.contributor.authorMendonça, Liliana S.
dc.date.accessioned2025-07-18T09:17:04Z
dc.date.available2025-07-18T09:17:04Z
dc.date.issued2025-10
dc.description.abstractIn Europe, Advanced Therapy Medicinal Products (ATMPs) include medicines based on gene therapy, somaticcell therapy, tissue-engineered products, and combined ATMPs. ATMPs constitute an emerging and innovative class of medicines used to treat multiple pathologies and are particularly relevant in pathologies where therapeutic options are limited and require high medical needs. These therapies act, among others, through the insertion of recombinant nucleic acids, including genes, to promote a therapeutic effect and through the restoration of cell functions, and repairing or replacing damaged cells and tissues impaired in pathological conditions. Despite their unique potential, these therapies face challenges related to scientific complexity, production processes, regulatory approval, and market access that hinder their development and availability. Based on official European guidelines, the present review explores the current regulatory framework for the non-clinical and clinical development of advanced therapies. We aimed to discuss the regulations applied to the different types of ATMPs, as well as the challenges associated with their development until these therapies reach the market. Accordingly, topics such as the implementation of proof-of-concept studies to provide evidence supporting the potential clinical effect; biodistribution studies to evaluate tissue distribution and persistence; and toxicology studies to assess potential undesirable effects, integration potential of viral vectors, tumorigenicity, and germline transmission, are discussed. This work also covers some of the ATMPs available to patients on the EU market.eng
dc.description.sponsorshipLA/P/0058/2020, 2022.03102.CEECIND
dc.identifier.doi10.1016/j.biotechadv.2025.108612
dc.identifier.issn0734-9750
dc.identifier.urihttp://hdl.handle.net/10400.1/27448
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relationCenter for Innovative Biomedicine and Biotechnology
dc.relationCenter for Innovative Biomedicine and Biotechnology
dc.relation.ispartofBiotechnology Advances
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdvanced therapy medicinal products
dc.subjectQuality and safety standards
dc.subjectEU legislation
dc.subjectNon-clinical development
dc.subjectClinical development
dc.subjectATMPs in the market
dc.titleAdvanced therapy medicinal products development - from guidelines to medicines in the marketeng
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Biomedicine and Biotechnology
oaire.awardTitleCenter for Innovative Biomedicine and Biotechnology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04539%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F04539%2F2020/PT
oaire.citation.startPage108612
oaire.citation.titleBiotechnology Advances
oaire.citation.volume83
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameVieira da Conceição
person.familyNameNóbrega
person.givenNameAndré Filipe
person.givenNameClévio
person.identifier.ciencia-idF710-8071-CA06
person.identifier.ciencia-idC510-7F41-BAF8
person.identifier.orcid0000-0002-9348-3560
person.identifier.orcid0000-0002-8312-5292
person.identifier.ridM-6047-2013
person.identifier.scopus-author-id24473454000
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublication48414abd-28b6-4339-b799-6931d14dcfd4
relation.isAuthorOfPublication725ea6f8-1363-4cee-9cf2-5ac7303b3ba9
relation.isAuthorOfPublication.latestForDiscovery48414abd-28b6-4339-b799-6931d14dcfd4
relation.isProjectOfPublication428f397e-22dd-493a-b097-988a1717f76f
relation.isProjectOfPublication76a995f7-ba64-4ff6-956d-13e4b12d8234
relation.isProjectOfPublication.latestForDiscovery428f397e-22dd-493a-b097-988a1717f76f

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