Applications of Mass Spectrometry in Biopharmaceutical Analysis – Technology Networks
The complexity and heterogeneity of biopharmaceuticals make it challenging to manufacture, screen and develop them. Critical quality attributes (CQAs) such as post-translational modifications (PTMs) an example being isomerization of aspartic acid to iso-aspartic acid can impact product quality, and must be identified and characterized throughout the drug discovery and development pipeline. Analytical techniques such as mass spectrometry (MS) are employed to ensure the safety and efficacy of biologics. The sensitivity and specificity of MS has made it an indispensable tool for biopharmaceutical analysis, including the characterization of biologics and higher order structure (HOS) analysis. The introduction of soft ionization techniques and numerous advances in the instrumentation have led to development of methods for quantification, quality control, biosimilarity assessment and numerous other analyses of biologics.1
MS provides accurate mass of the biomolecules with critical PTMs, including glycans, generated during manufacturing, processing or chemical modification during handling or storge, says Dr. Anurag Rathore, professor in the Department of Chemical Engineering, Indian Institute of Technology. Discussing the utility of MS, Dr. Rathore shares a research example from his lab. Charge heterogeneity of monoclonal antibodies (mAbs) therapeutics often used in cancer treatment is classified as a CQA. In a study, we have demonstrated a method in which charge heterogeneity of mAbs were identified by native MS, he describes.2
Dr. Jared Auclair, director of Biotechnology and Informatics, and director of the Biopharmaceutical Analysis Training Laboratory at Northeastern University, in Boston, Massachusetts, echoes Rathores thoughts: One of the most predominant advantages of using MS for biopharmaceutical analysis is being able to identify the primary amino acid structure of the product as well as the specific PTMs present and the sites of these PTMs (e.g., glycosylation, deamidation and oxidation), he says.
The sensitivity and specificity that MS offers is a key advantage as well, Auclair adds. New methodologies such as the Multi-Attribute Method (MAM) allow for sequences, PTMs and New Peak Detection (NPD) to be uncovered. NPD can give insight into changes to the biopharmaceutical, as well as impurities present. We use MS in the lab to look at host cell protein profiles as well as to try to improve the MAM process.
Different types of MS such as QTOF, triple quadrupole (TQ), MALDI have been used for biopharmaceutical analysis during drug discovery, development, for ADME studies, quantification, impurity profiling, bioanalysis and even clinical analysis. Some examples of the applications of MS-based techniques for the analysis of biotherapeutics during the various stages of their life cycle are listed below:
MS is a sensitive technique for studying the structure, quality, efficacy and stability of therapeutic proteins such as antibodies during the discovery phase. It is also an effective tool to understand the underlying disease mechanisms and identify putative drug targets by studying the interactions between bacterial or viral proteins with host cell proteins. Testing existing drugs, or repurposed drugs, against newly identified targets can also accelerate therapeutic development timelines and reduce costs.3 Another example of an application of MS for drug discovery would be the use of MALDI-TOF/TOF MS to identify the exact position of iso aspartic acid residues in peptide standards as well, as a therapeutic mAb that is known to contain an isoaspartic acid residue in its heavy chain.4 It is well known that aspartic acid isomerization to isoaspartic acid is a critical quality attribute (CQA) that is monitored and controlled during drug discovery.
MS can be used to understand absorption, distribution, metabolism and excretion (ADME) of drug candidates. Desorption electrospray ionization (DESI) followed by mass spectral imaging (MSI) and MALDI-MSI have been applied to study the spatial distribution and metabolism of the immunosuppressant cyclosporine (CsA) cyclic undecapeptide and its metabolites in whole-body mouse sections and rat organs. As MSI is a label-free technique, it is highly suitable for ADME studies as it can be used to simultaneously detect the parent drug and its metabolites.5
Quadrupole-time of flight MS coupled to a liquid chromatograph has been used to quantitate 22-KDa somatropin a recombinant human growth hormone, down to 10 ppb level in 75 L rat plasma. A good correlation was observed for plasma concentration measured by deconvolution approach as well as summation of the responses of the four most intense charge states (14+ to 17+) of somatropin.6
Multiplexed site-specific PTMs quantification of mAbs in forced degradation samples, comparability samples and trisulfide standards of mAbs has been achieved using tandem mass tag (TMT)-based approach and targeted MS.7
The high resolution and high mass accuracy of QTOF MS has been leveraged to develop a MAM to study the safety, efficacy and quality of mAbs. Using a single workflow to monitor glycosylation profiles, methionine oxidation, tryptophan dioxidation, asparagine deamidation, pyro-Glu at N-terminal and glycation is more time and cost efficient as compared to performing multiple orthogonal assays.8
The application of capillary electrophoresis (CE) hyphenated to MS for intact mass analysis of mAbs and fusion proteins, and a biotransformation study of two Fc-FGF21 molecules in a single-dose pharmacokinetic mice study, has been described.9
MS based methods are used for ascertaining the quality of biopharmaceuticals by determining PTMs, quantifying host cell protein impurities, ensuring glycosylation consistency etc.10 Shotgun MS analysis and ELISA have been used to evaluate up- and down-stream process parameters of four different biopharmaceutical products, two different process variants and one mock fermentation by identifying and quantifying HCP.11
As glycosylation of therapeutic proteins impacts their safety and efficacy, it is necessary to characterize the glycoproteins. High-resolution native MS can not only uncover the unique features of complex glycan, but also help ascertain the correlation between the glycoprotein structure and their cellular functions. 12
A triple quadrupole tandem MS coupled with ultra-high-pressure liquid chromatography (UHPLC) has been applied to quantify pasireotide, a cyclic hexapeptide administered to treat Cushings disease and acromegaly. The developed method was applied for the bioanalysis of pasireotide in plasma and the lower limit of quantification (LLOQ) was found to be 5 pg/mL.13
An example of the application of MS for clinical analysis would be a hybrid of ligand-binding assay (LBA)- with three multiplex LC-MS/MS that has been developed and validated for the analysis of total antibody and antibody-drug conjugate MEDI4276 in human plasma. This method has been applied for a first-in-human clinical trial.14
Parts per billion or lower sensitivity, high specificity, high resolving power of certain mass spectrometers, dynamic range, availability in a variety of formats, and the ability to couple it with different separation techniques make MS a versatile tool for the analysis of biopharmaceuticals. Developments in MS hardware and techniques such as hydrogen/deuterium exchange (HDX)-MS, and fast photochemical oxidation of proteins (FPOP)have been harnessed to characterize the higher order structures of biotherapeutics, including epitope mapping, aggregation assessment and comparability studies.15
Yet, MS-based biopharma analysis can be challenging due to a variety of factors, including extensive sample preparation, limited throughput and the need for skilled operators.16
When performing analysis of biomolecules under denaturing conditions, loss of information on native structure of proteins occurs due to disruption of the weak non-covalent interactions, which is a major concern, Rathore describes. Although, native MS has been introduced, there remains a challenge when using MS-compatible buffers due to the poor ionization of biomolecules in these buffers.
In Auclairs mind, the bottleneck associated with using MS-based biopharma analysis relate to its complexity. The biggest challenge is the complexity of the instrumentation and the potential data analysis. Also, the cost can be a roadblock to MS use, he says.
Commenting on the technological developments that have had the biggest impact on biopharmaceutical analysis, Dr. Rathore says, Major developments have occurred in ion-mobility MS and mass analyzers for structural elucidation of glycan isomers and complex protein using native MS. He also describes MAM methods that allow analysis of various CQAs of biotherapeutics in a single analysis as the most promising development in the horizon for biopharma analysis using MS. Auclair expresses similar views: I think that MAM has had a significant impact on biopharmaceutical analysis allowing for multiple CQAs to be monitored at once. I also think the new instrumentation is becoming more accessible and less complex, he says.
It has been suggested that MS-based approaches can support Quality by Design (QbD) implementation, as it provides greater product and process understanding in addition to enhancing the efficiency of analysis.17 When asked about how developments such as automation, the use of artificial intelligence (AI) and QbD support the application of MS for biopharma analysis, Rathore says, These developments will lead to reduced cost, time and errors in the analysis and improved reproducibility and robustness. They will also help in real-time monitoring of significant deviation in the CQAs. Auclair explains that QbD is a key tool in any drug development program: Instituting quality practices at the beginning of a process will help in eventually commercializing the product (e.g., faster, cheaper but still safe, effective and of good quality). MS allows for multiple CQAs to be analyzed in a QbD process.
Novel bioinformatic tools with AI capabilities could also support future advancements in data handling for MS-based biopharmaceutical analysis. Auclair says: Bioinformatics tools, essentially those with AI/ML capabilities, could allow for real-time data analysis and for process changes to be implemented to ensure the best quality product is manufactured.
As to the unmet needs remaining in MS-based biopharmaceutical analysis, Auclair concludes, I think additional needs exist around automation, flexibility and integration. There is a significant opportunity in the process analytical technologies (PAT) space to provide real-time data analysis and implementation of process changes. Lastly, I think biopharmaceutical analysis will evolve as more complex products come to market (e.g., cell and gene therapies).
References
1.Apostol I, Bondarenkon PV, Ren D, et al. Enabling development, manufacturing, and regulatory approval of biotherapeutics through advances in mass spectrometry. Curr Opin in Biotech. 2021;71: 206-215. doi:10.1016/j.copbio.2021.08.001
2.Sarin D, Kumar S, Rathore AS. Multi-attribute monitoring of charge-based heterogeneity of recombinant monoclonal antibodies using 2D HIC-WCX-MS. Anal Chem. 2022;94(43):15018-15026. doi: 10.1021/acs.analchem.2c02931
3.Terracciano R, Preian M, Fregola A, Pelaia C, Montalcini T, Savino R. Mapping the SARS-CoV-2host proteinprotein interactome by affinity purification mass spectrometry and proximity-dependent biotin labeling: A rational and straightforward route to discover host-directed anti-SARS-CoV-2 therapeutics.Int J of Mol Sci. 2021; 22(2):532. doi:10.3390/ijms22020532
4.Hui JO, Flick T, Loo JA, Campuzano IDG. Unequivocal identification of aspartic Acid andisoAspartic Acid by MALDI-TOF/TOF: From peptide standards to a therapeutic antibody. J Am Soc Mass Spec.2021;32(8):1901-1909. doi:10.1021/jasms.0c00370
5.Holm NB, Deryabina M, Knudsen CB, Janfelt, C.Tissue distribution and metabolic profiling of cyclosporine (CsA) in mouse and rat investigated by DESI and MALDI mass spectrometry imaging (MSI) of whole-body and single organ cryo-sections.Anal Bioanal Chem. 2022;414:71677177. doi:10.1007/s00216-022-04269-z
6.Bults P, Sonesson A, Knutsson M, Bischoff R, van de Merbel NC. Intact protein quantification in biological samples by liquid chromatography high-resolution mass spectrometry: somatropin in rat plasma. J of Chromat B. 2020; 1144:122079. doi:10.1016/j.jchromb.2020.122079
7.Mao Y, Kleinberg A, Li N. Isobaric tandem mass tag multiplexed post-translational modification quantitation of biopharmaceuticals by targeted high-resolution mass spectrometry. Anal Chem.2020;92(14):9682-9690. doi: 10.1021/acs.analchem.0c00999
8.Carvalho SB, Gomes RA, Pfenninger A, et al. Multi attribute method implementation using a high-resolution mass spectrometry platform: From sample preparation to batch analysis. PLoS ONE. 2022;17(1): e0262711. doi:10.1371/journal.pone.0262711
9.Han M, Smith R, Rock DA. Capillary electrophoresismass spectrometry (CE-MS) by sheathflow nanospray interface and its use in biopharmaceutical applications. (eds) Neus C., Joo K. In: Capillary Electrophoresis-Mass Spectrometry. Methds in Mol Biol, vol 2531. New York, NY: Humana;2022: doi: 10.1007/978-1-0716-2493-7_2
10.LiuS, Schulz BL. Biopharmaceutical quality control with mass spectrometry. Bioanalysis.2021;13:16:1275-1291. doi: 10.4155/bio-2021-0123
11.Falkenberg H,Waldera-Lupa DM,Vanderlaan M, et al.Mass spectrometric evaluation of upstream and downstream process influences on host cell protein patterns in biopharmaceutical products.Biotechnol Progress.2019;35:e2788. doi:10.1002/btpr.2788
12.Struwe WB, Robinson CV. Relating glycoprotein structural heterogeneity to function insights from native mass spectrometry. Curr Opin in Struc Biol. 2019;58: 241-248 doi:10.1016/j.sbi.2019.05.019
13.Sauter M, Uhl P, Burhenne J, Walter E. Haefeli WE. Application of triple quadrupole tandem mass spectrometry to the bioanalysis of collision-induced dissociation-resistant cyclic peptides Ultra-sensitive quantification of the somatostatin-analog pasireotide utilizing UHPLC-MS/MS. J of Pharm and Biomed Anal. 2021;194: 113728. doi:10.1016/j.jpba.2020.113728
14.Faria M, Peay M, Lam B, Ma E, Yuan M, Waldron M, Mylott WR Jr., Liang M, Rosenbaum AI. Multiplex LC-MS/MS assays for clinical bioanalysis of MEDI4276, an antibody-drug conjugate of tubulysin analogue attached via cleavable linker to a biparatopic humanized antibody against HER-2.Antibodies. 2019; 8(1):11. doi:10.3390/antib8010011
15.Chen G, Tao L, Li Z. Recent advancements in mass spectrometry for higher order structure characterization of protein therapeutics. Drug Disc Today.2022;27(1):196-206. doi:10.1016/j.drudis.2021.09.010
16.Hda V, Bagdi A, Bihari Z, Timri SB, Fizil A, Szntay C. Recent advancements, challenges, and practical considerations in the mass spectrometry-based analytics of protein biotherapeutics: A viewpoint from the biosimilar industry. J of Pharma and Biomed Anal. 2018; 161: 214-238. doi:10.1016/j.jpba.2018.08.024
17.Rogers RS., Abernathy M, Richardson DD.et al.A view on the importance of Multi-Attribute Method for measuring purity of biopharmaceuticals and improving overall control strategy.AAPS J. 2018;20(7). doi:10.1208/s12248-017-0168-3
The rest is here:
Applications of Mass Spectrometry in Biopharmaceutical Analysis - Technology Networks
- Recovery mythbuster: The truth about RICE, protein, beer and more - Cyclist - November 27th, 2023 [November 27th, 2023]
- The Big Questions About the 2024 BBWAA Hall of Fame Ballot - Fangraphs - November 27th, 2023 [November 27th, 2023]
- Human Growth Hormone Treatment and Drugs Market Foresees a ... - PharmiWeb.com - November 19th, 2023 [November 19th, 2023]
- Best Legal Steroids for Muscle Growth Reviewed and Ranked ... - The Daily Collegian - October 27th, 2023 [October 27th, 2023]
- Grieving Mom Says Agape Boarding School's Abuse Led to Son's ... - Riverfront Times - October 27th, 2023 [October 27th, 2023]
- Tony Bellew Says Heavyweight 'Should Never Be Allowed In A ... - Boxing Social - October 27th, 2023 [October 27th, 2023]
- First Defendant Charged With Violating Anti-Doping Act Pleads ... - Department of Justice - May 12th, 2023 [May 12th, 2023]
- MeiraGTx Reports First Quarter 2023 Financial and Operational Results - Yahoo Finance - May 12th, 2023 [May 12th, 2023]
- Healthcare Specialty Enzymes Market to Reach USD 3.5 Billion by 2032 with 7.2% CAGR: Reports and Data - EIN News - May 12th, 2023 [May 12th, 2023]
- Inside The Tragic Death Of Anna Nicole Smith And The Drug ... - All That's Interesting - May 12th, 2023 [May 12th, 2023]
- FDA expands approval of somapacitan-beco injection to children ... - Contemporary Pediatrics - May 4th, 2023 [May 4th, 2023]
- When former Red Sox star Roger Clemens' wife was caught in PED scandal to appear youthful on SI Cover - Sportskeeda - May 4th, 2023 [May 4th, 2023]
- Your Sleep Hygiene Needs Work Here's How to Improve Your ... - Gear Patrol - May 4th, 2023 [May 4th, 2023]
- Intermittent Fasting and Collagen Production Fitness Volt - Fitness Volt - May 4th, 2023 [May 4th, 2023]
- Why Shares of Ascendis Pharma Are Climbing Monday - The Motley Fool - May 4th, 2023 [May 4th, 2023]
- What You're Forgetting When It Comes to Your Sleep - Outside - April 26th, 2023 [April 26th, 2023]
- Q&A: Improving paediatric clinical trials with the language of play - Clinical Trials Arena - April 26th, 2023 [April 26th, 2023]
- Ascendis Pharma Stock: A Promising Diversification Play (NASDAQ ... - Seeking Alpha - April 26th, 2023 [April 26th, 2023]
- Who is Peyton Manning's wife, Ashley Manning? A look at her life - Legit.ng - April 26th, 2023 [April 26th, 2023]
- Orgasm skincare benefits: Is your best skin one orgasm away? - Cosmopolitan UK - April 26th, 2023 [April 26th, 2023]
- Human Growth Hormone Treatment and Drugs Market is expected ... - PharmiWeb.com - April 18th, 2023 [April 18th, 2023]
- In the news on this date: April 13 | News, Sports, Jobs - Altoona Mirror - April 18th, 2023 [April 18th, 2023]
- Today in History: April 13, Apollo 13 damaged by explosion - Sent-trib - Sentinel-Tribune - April 18th, 2023 [April 18th, 2023]
- Hernndez: Anthony Rendon has no excuse for getting into an altercation with a fan - Yahoo News - April 7th, 2023 [April 7th, 2023]
- Fasting and its Positive Effect on Sleep - Tribune Online - April 7th, 2023 [April 7th, 2023]
- Jarrell Miller: I Want AJ; We Got Unfinished Business; Lets Get It On; Stop Being A P-ssy! - BoxingScene.com - March 21st, 2023 [March 21st, 2023]
- 7 Life Changing Tips That Can Help You Live A Long And Healthy Life - NDTV Swirlster - March 21st, 2023 [March 21st, 2023]
- Upper Limb Prosthetics Market is projected at a CAGR of 4.1% and ... - GlobeNewswire - March 21st, 2023 [March 21st, 2023]
- Genetically Modified Animals Bring New Risks And Uncertainties - Countercurrents.org - March 21st, 2023 [March 21st, 2023]
- The lazy guide to getting fit: Experts reveal bare minimum you can get away - and still get results - Daily Mail - March 21st, 2023 [March 21st, 2023]
- Benefits of good sleeping habits - The Star Kenya - March 13th, 2023 [March 13th, 2023]
- 7 Benefits of Nootropic Supplements - BarBend - March 13th, 2023 [March 13th, 2023]
- Novo Nordisk: How weight loss jab bet paid off for Denmark's biggest firm as it plans to take on more diseases - Sky News - March 13th, 2023 [March 13th, 2023]
- 3 Things That Make Weight Gain Almost Inevitable (Besides ... - Best Life - March 5th, 2023 [March 5th, 2023]
- Steel Supplements - Overview, Reviews, Alternatives - Deccan Herald - March 5th, 2023 [March 5th, 2023]
- Adult height and health-related quality of life in patients born small ... - Nature.com - February 24th, 2023 [February 24th, 2023]
- Who Was the Tallest Person to Ever Live? - DISCOVER Magazine - February 24th, 2023 [February 24th, 2023]
- This Day in Braves History: Atlanta reaches an agreement with Edward Salcedo - Battery Power - February 24th, 2023 [February 24th, 2023]
- MLB legend Lenny Dykstra once revealed he used to add steroids to his cereal in order to gain an unfair advantage - Sportskeeda - February 24th, 2023 [February 24th, 2023]
- Turinabol (T-bol) Cycles Everything You Need to Know - Deccan Herald - February 24th, 2023 [February 24th, 2023]
- 5 Tiger Woods controversies that overshadowed his illustrious career - Sportskeeda - February 24th, 2023 [February 24th, 2023]
- Human Growth Hormone Market Size, Top Companies, Industry Analysis, Trends, Latest Insights and Forecast to - EIN News - February 15th, 2023 [February 15th, 2023]
- How can people increase HGH? - Medical News Today - February 7th, 2023 [February 7th, 2023]
- Overview | Human growth hormone (somatropin) for the treatment of ... - December 12th, 2022 [December 12th, 2022]
- How to Boost Human Growth Hormone (HGH) Naturally - December 12th, 2022 [December 12th, 2022]
- Growth Hormone Tests: Protocol, Costs, Results, and More - Healthline - December 12th, 2022 [December 12th, 2022]
- Growth hormone | You and Your Hormones from the Society for Endocrinology - November 10th, 2022 [November 10th, 2022]
- Growth hormone - Better Health Channel - September 12th, 2022 [September 12th, 2022]
- $250 million Peyton Manning was accused of using doping drug HGH by his former pharmacist and having it mailed... - The Sportsrush - September 4th, 2022 [September 4th, 2022]
- Serena Williams: why more athletes are retiring later - The Conversation Indonesia - September 4th, 2022 [September 4th, 2022]
- Novartis waves bye to biosimilars with Sandoz split - BioProcess Insider - BioProcess Insider - August 27th, 2022 [August 27th, 2022]
- New this week: 'Me Time,' DJ Khaled and Sylvester Stallone - ABC News - August 27th, 2022 [August 27th, 2022]
- Strengthen your immune system with these health tips - Courier Journal - August 27th, 2022 [August 27th, 2022]
- Human Growth Hormone (hGH) - Cleveland Clinic - August 19th, 2022 [August 19th, 2022]
- Beauty Sleep: The Toll Poor Sleep Takes on Your Appearance and Health - CNET - August 10th, 2022 [August 10th, 2022]
- Historical Dive: When Chinese Doping Mirrored the Systematic Program of East Germany - Swimming World Magazine - August 10th, 2022 [August 10th, 2022]
- Human Growth Hormone Market Size, Revenue Analysis, Opportunities, Trends, Product Launch To 2027 - Digital Journal - July 25th, 2022 [July 25th, 2022]
- The Fastest Way to Look Younger, According to Science Eat This Not That - Eat This, Not That - July 25th, 2022 [July 25th, 2022]
- Human Growth Hormone for Men: Facts, Benefits, Chart, Importance - July 8th, 2022 [July 8th, 2022]
- The #1 Fastest Way to Look Younger, Says Science Eat This Not That - Eat This, Not That - July 8th, 2022 [July 8th, 2022]
- Here's How to Maximize Your Healthy Years in Retirement. Eat Right and Exercise. - Barron's - July 8th, 2022 [July 8th, 2022]
- Protein Therapeutics Market Size, Share, Future Road-map, Technological Innovations & Growth Forecast To 2022-2028 Designer Women - Designer... - July 8th, 2022 [July 8th, 2022]
- Entera Bio Files Patent Applications for Inventions that Optimize its Platform Technology for Oral Delivery of Large Molecule Therapeutics - Yahoo... - May 9th, 2022 [May 9th, 2022]
- Start on the road to a healthier you with the 21-Day Intermittent Fasting Challenge for only $19 - WDIV ClickOnDetroit - April 26th, 2022 [April 26th, 2022]
- Protein Therapeutics Market Report 2023 Market SWOT Analysis, Key Indicators, Forecast 2027. - Digital Journal - April 26th, 2022 [April 26th, 2022]
- The Global Human Growth Hormone Market is expected to grow by $ 1.16 bn during 2022-2026 progressing at a CAGR of 5.44% during the forecast period -... - April 12th, 2022 [April 12th, 2022]
- Progressive Left Ventricular Outflow Tract Stenosis in a Noonan Syndrome Patient With Severe Hypertrophic Cardiomyopathy During Growth Hormone... - April 12th, 2022 [April 12th, 2022]
- How Much Insulin to Take: Easy Chart and Explanation - Healthline - April 12th, 2022 [April 12th, 2022]
- Growth hormone - PubMed - December 30th, 2021 [December 30th, 2021]
- Kenai Farms CBD Gummies Reviews (Price 2022) Cost & Website Review | Best CBD Gummies for Anxiety - Journal of the San Juan Islands - December 30th, 2021 [December 30th, 2021]
- 5 Benefits Of HIIT - How To Do High-Intensity Interval Training - Women's Health - December 20th, 2021 [December 20th, 2021]
- Cancer Therapeutics and Biotherapeutics Market: Increasing occurrence of different types of cancer to drive the market - BioSpace - November 6th, 2021 [November 6th, 2021]
- Elite HRT Publishes Information on Zomacton - Business Wire - October 14th, 2021 [October 14th, 2021]
- Global Human Growth Hormone Market Witness an Outstanding Growth and Strong Revenue and Forecast to 2030 | AnkeBio Co., Ltd, Ascendis Pharma A/S, BTG,... - October 14th, 2021 [October 14th, 2021]
- Charges Against Okagbare And Her Quest For Vindication - thewillnigeria - October 14th, 2021 [October 14th, 2021]
- NBA will not randomly test players for marijuana again this season - MLive.com - October 14th, 2021 [October 14th, 2021]
- Blessing Okagbare charged with use of two banned substances - AW - Athletics Weekly - October 14th, 2021 [October 14th, 2021]
- Hormone Replacement Therapy Market Rise in Sustainability Around The World 2021 2030 - Taiwan News - October 5th, 2021 [October 5th, 2021]
- This Recent Biologics IPO Could Be Heading Toward a Gain of 60% or More - Motley Fool - October 5th, 2021 [October 5th, 2021]
- The Top 5 Biosimilar Articles for the Week of August 23 - The Center for Biosimilars - August 28th, 2021 [August 28th, 2021]