Didier Lefebvre
Research Fellow, Drug Delivery Sciences Abbvie
Didier Lefebvre, PhD, joined the Pharma division of Abbott (now AbbVie) in 2002 following a postdoc at Bell Labs and R&D experience in the automotive sector and Academia. He quickly came to be seen as an interdisciplinary expert, leveraging skills in pharmaceutical formulation and medical devices. Over the past several years, Didier has proposed, and received support, to explore new approaches to improve the therapeutic index of company assets. He is now co-leading proof-of-concept preclinical studies to determine transability from in-vivo models to humans. These studies range from improving drug exposure to solid tumors, harnessing cerebrospinal fluid circulation to treat hard-to-reach areas of the brain, and exploring new physics-based methods to alter the biology of target tissues to make them more responsive to drug treatments. Earlier significant efforts include the development of diverse dosage forms with attributes ranging from bioavailability enhancement, extended release, tamper resistance and drug release through polymer biodegradation. Didier also made significant contributions to establishing US-based hot melt extrusion capabilities following a two-year assignment abroad. In the field of medical devices, Didier led projects including needle-free Injectors, a reusable auto-injector platform, a dermal applicator, and infusion pump designs for Vyalev. He also partnered with Commercial and Discovery teams to evaluate “Point of Care” test devices to personalize dosing, screen for, and mitigate side effects.
Seminars
- Achieving therapeutic levels in subcortical areas for the treatment of motor disorders is a daunting challenge in gene therapy
- This study compares bolus versus extended intracerebroventricular (ICV) administration schedules for delivering AAV vectors in cynomolgus macaques. Using a stereotactically implanted infusion system, animals received the same total vector dose either as two quick infusions or as eight smaller infusions over four hours
- The extended schedule led to greater gene expression in several brain regions, as well as peripheral tissues, suggesting that prolonged ICV infusion can enhance the distribution and expression of AAV-delivered genes in the CNS
- These findings support further exploration of extended infusion protocols to improve AAV gene therapy
- CNS tumors, including newly diagnosed glioblastoma (GBM) and brain metastases, represent a significant commercial opportunity in an area of urgent unmet medical need. The incidence of brain metastases is increasing, in part because advances in treatment for cancers such as colorectal, pancreatic, breast, and lung cancer are extending patient survival and allowing more time for disease to spread to the brain
- Many promising anticancer molecules are under development, but achieving effective concentration without causing toxicity remains a daunting challenge because of the blood brain barrier
- We compare several strategies for drug delivery to the brain for the treatment of CNS tumors, delineate their respective advantages and limitations, and assess the outstanding challenges that remain to be addressed, including technical, adoption-related, and supply chain-related barriers