Three-dimensional printing of medicines: Challenges and regulatory perspectives

Vigil Sanit Debate, Rio de Janeiro, 2025, v.13: e02445 | Published on: 23/10/2025

Authors

DOI:

https://doi.org/10.22239/2317-269X.02445

Keywords:

Three-dimensional Printing, Medicine, Food Legislation, Health Regulation, Regulatory

Abstract

Introduction: The application of three-dimensional printing technology (3DP) has gained notoriety as an alternative to the traditional manufacturing model in the production of medicines, enabling the development of personalized medicines for each patient. Objective: To consolidate the currently available information regarding the regulatory perspectives on the use of 3DP in pharmaceutical manufacturing and to discuss the challenges that must be addressed to enable its broad adoption. Method: This work consists of an integrative literature review in the National Library of Medicine (PubMed) and Web of Science covering the period from December 2019 to December 2024, which approaches the regulatory basis that guide the application of 3DP in the medicine production, in comparison with the traditional production methods, and what are the main gaps and challenges associated with these regulations. Results: The evaluated articles highlight the need of establishing specific regulations focused on the quality and manufacturing sites of medications produced by 3DP, to enable their adoption as an option for supplying personalized medicines. The results reported in this review show that the US Food and Drug Administration (FDA), European Medicines Agency (EMA), and Medicines & Healthcare products Regulatory Agency (MHRA) have adopted monitoring of new technologies and advising institutions as a way of enabling the introduction of these medicines in the market and prepare new regulations. Conclusions: The information in this article serves as a preliminary basis to understand the existing regulatory challenges in relation to 3DP of medicines and provide a vision of the scenarios that are being proposed for this technology insertion.

 

Downloads

Download data is not yet available.

Author Biographies

References

1. Norman J, Madurawe RD, Moore CMV, Khan MA, Khairuzzaman A. A new chapter in pharmaceutical manufacturing: 3D-printed drug products. Adv Drug Deliv Rev.2017;108:39–50. https://doi.org/10.1016/j.addr.2016.03.001

2. US Food & Drug Administration – FDA. Technical considerations for additive manufactured medical devices: guidance for industry and food and drug. Rockville: US Food & Drug Administration; 2017[acesso 2 jan 2021]. Disponível em: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/technical-considerations-additive-manufactured-medical-devices

3. Vithani K, Goyanes A, Jannin V, Basit AW, Gaisford S, Boyd BJ. An overview of 3D printing technologies for soft materials and potential opportunities for lipid-based drug delivery systems. Pharm Res. 2018;36(1).https://doi.org/10.1007/s11095-018-2531-1

4. Lamichhane S, Bashyal S, Keum T, Noh G, Seo JE, Bastola R et al. Complex formulations, simple techniques:can 3D printing technology be the Midas touch in pharmaceutical industry? Asian J Pharm Sci. 2019;14(5):465-79. https://doi.org/10.1016/j.ajps.2018.11.008

5. Kulkarni VR, Saha T, Raj Giri B, Lu A, Das SC, Maniruzzaman M. Recent advancements in pharmaceutical 3D printing industry. J Drug Deliv Sci Technol. 2024;100.https://doi.org/10.1016/j.jddst.2024.106072

6. Trenfield SJ, Goyanes A, Telford R, Wilsdon D, Rowland M, Gaisford S et al. 3D printed drug products: non-destructive dose verification using a rapid pointand-shoot approach. Int J Pharm. 2018;549(1-2):283-92.https://doi.org/10.1016/j.ijpharm.2018.08.002

7. Xu X, Awad A, Robles-Martinez P, Gaisford S, Goyanes A, Basit AW. Vat photopolymerization 3D printing for advanced drug delivery and medical device applications. J Control Release. 2021;329:743-57.https://doi.org/10.1016/j.jconrel.2020.10.008

8. Seoane-Viaño I, Januskaite P, Alvarez-Lorenzo C, Basit AW, Goyanes A. Semi-solid extrusion 3D printing in drug delivery and biomedicine: personalised solutions for healthcare challenges. J Control Release. 2021;332:367-89.https://doi.org/10.1016/j.jconrel.2021.02.027

9. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53.

10. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. An Intern Med. 2018;169(7):467-73.https://doi.org/10.7326/M18-0850

11. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5(1). https://doi.org/10.1186/s13643-016-0384-4

12. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372.https://doi.org/10.1136/bmj.n71

13. Rahman J, Quodbach J. Versatility on demand: the case for semi-solid micro-extrusion in pharmaceutics. Adv Drug Deliv Rev. 2021;172:104-26. https://doi.org/10.1016/j.addr.2021.02.013

14. Charoo NA, Barakh Ali SF, Mohamed EM, Kuttolamadom MA, Ozkan T, Khan MA et al. Selective laser sintering 3D printing–an overview of the technology and pharmaceutical applications. Drug Dev Ind Pharm. 2020;46(6):869-77.https://doi.org/10.1080/03639045.2020.1764027

15. Pawar R, Pawar A. 3D printing of pharmaceuticals: approach from bench scale to commercial development. Futur J Pharm Sci.2022;8(1):1-7. doi: https://doi.org/10.1186/s43094-022-00439-z

16. Tracy T, Wu L, Liu X, Cheng S, Li X. 3D printing: innovative solutions for patients and pharmaceutical industry. Int J Pharm. 2023;631:1-13. https://doi.org/10.1016/j.ijpharm.2022.122480

17. Al-Litani K, Ali T, Robles Martinez P, Buanz A. 3D printed implantable drug delivery devices for women’s health: formulation challenges and regulatory perspective. Adv Drug Deliv Rev. 2023;198.https://doi.org/10.1016/j.addr.2023.114859

18. Parhi R. A review of three-dimensional printing for pharmaceutical applications: quality control, risk assessment and future perspectives. J Drug Deliv Sci Technol. 2021;64.https://doi.org/10.1016/j.jddst.2021.102571

19. Parhi R, Jena GK. An updated review on application of 3D printing in fabricating pharmaceutical dosage forms. Drug Deliv Transl Res. 2022;12(10):2428-62.https://doi.org/10.1007/s13346-021-01074-6

20. Awad A, Goyanes A, Basit AW, Zidan AS, Xu C, Li W et al. A review of state-of-the-art on enabling additive manufacturing processes for precision medicine. J Manuf Sci Eng. 2023;145(1):1-20. https://doi.org/10.1115/1.4056199

21. Saxena A, Malviya R. 3D printable drug delivery systems: next-generation healthcare technology and regulatory aspects. Curr Pharm Design. 2023;29(35):2814–26.https://doi.org/10.2174/0113816128275872231105183036

22. Deng M, Wu S, Ning M. 3D printing for controlled release Pharmaceuticals: Current trends and future directions. Int J Pharm. 2025;669.https://doi.org/10.1016/j.ijpharm.2024.125089

23. Domsta V, Seidlitz A. 3D-printing of drug-eluting implants: an overview of the current developments described in the literature. Molecules. 2021; 26(13).doi: https://doi.org/10.3390/molecules26134066

24. Ragelle H, Rahimian S, Guzzi EA, Westenskow PD, Tibbitt MW, Schwach G et al. Additive manufacturing in drug delivery: Innovative drug product design and opportunities for industrial application. Adv Drug Deliv Rev. 2021;178.https://doi.org/10.1016/j.addr.2021.113990

25. Farin M, Maisha JT, Gibson I, Arafat MT. Additive manufacturing: a bespoke solution for drug delivery. Rapid Prot J.2024;30(9):1717-36.https://doi.org/10.1108/RPJ-09-2023-0326

26. Milliken RL, Quinten T, Andersen SK, Lamprou DA. Application of 3D printing in early phase development of pharmaceutical solid dosage forms. Int J Pharm. 2024;653.https://doi.org/10.1016/j.ijpharm.2024.123902

27. Gupta Dk, Ali MH, Ali A, Jain P, Anwer MK, Iqbal Z et al. 3D printing technology in healthcare: applications, regulatory understanding, IP repository and clinical trial status. J Drug Target. 2022;30(2):131-50.https://doi.org/10.1080/1061186X.2021.1935973

28. BG PK, Mehrotra S, Marques SM, Kumar L, Verma R. 3D printing in personalized medicines: A focus on applications of the technology. Mat Today Comm. 2023;35.https://doi.org/10.1016/j.mtcomm.2023.105875

29. Simon MC, Laios K, Nikolakakis I, Papaioannou TG. Three-dimensional printing technology in drug design and development: feasibility, challenges, and potential applications. J Pers Med. 2024;14(11).https://doi.org/10.3390/jpm14111080

30. Algorri M, Abernathy MJ, Cauchon NS, Christian TR, Lamm CF, Moore CMV. Re-envisioning pharmaceutical manufacturing: increasing agility for global patient access. J Pharm Sci. 2022;111(3):593-607.https://doi.org/10.1016/j.xphs.2021.08.032

31. Vass P, Akdag DS, Broholm GE, Kjaer J, Humphreys AJ, Ehmann F. Enabling technologies driving drug research and development. Front Med. 2023;10.https://doi.org/10.3389/fmed.2023.1122405

32. Alzhrani RF, Alyahya MY, Algahtani MS, Fitaihi RA, Tawfik EA. Trend of pharmaceuticals 3D printing in the Middle East and North Africa (MENA) region: an overview, regulatory perspective and future outlook. Saudi Pharm J.2024;32(6). https://doi.org/10.1016/j.jsps.2024.102098

33. Medicines & Healthcare Products Regulatory Agency (UK). Government response to consultation on proposals to support the regulation of medicines manufactured at the point of care. London, 2023[acesso 3 jan 2025]. Disponível em: https://www.gov.uk/government/consultations/point-of-care-consultation/outcome/government-responseto-consultation-on-proposals-to-support-the-regulation-ofmedicines-manufactured-at-the-point-of-care

34. Seoane-Viaño I, Xu X, Ong JJ, Teyeb A, Gaisford S, Campos-Álvarez A et al. A case study on decentralized manufacturing of 3D printed medicines. Int J Pharm X.2023;5. https://doi.org/10.1016/j.ijpx.2023.100184

35. Jewell CM, Stones JA. Rise of the (3D printing) machines in healthcare. Int J Pharm. 2024;661.https://doi.org/10.1016/j.ijpharm.2024.124462

36. Jørgensen AK, Ong JJ, Parhizkar M, Goyanes A, Basit AW. Advancing non-destructive analysis of 3D printed medicines. Trends Pharmacol Sci. 2023;44(6):379-93.https://doi.org/10.1016/j.tips.2023.03.006

37. Seoane-Viaño I, Ong JJ, Basit AW, Goyanes A. To infinity and beyond: strategies for fabricating medicines in outer space. Int J Pharm X. 2022;4:1-22.https://doi.org/10.1016/j.ijpx.2022.100121

38. O’Donovan A, Duncan JC, Li KY, Del-Nevo L, Gill A, Peak M et al. The use of special-order products in England between 2012 and 2020: an insight into the need for point-of-care manufacturing. nt J Pharm. 2023;637.https://doi.org/10.1016/j.ijpharm.2023.122801

39. Anwar-Fadzil AFB, Yuan Y, Wang L, Kochhar JS, Kachouie NN, Kang L. Recent progress in three-dimensionally-printed dosage forms from a pharmacist perspective. J Pharm Pharmacol.2022;74(10):1367-90. https://doi.org/10.1093/jpp/rgab168

40. Kreft K, Fanous M, Möckel V. The potential of three-dimensional printing for pediatric oral solid dosage forms. Acta Pharm.2024;74(2):229-48.https://doi.org/10.2478/acph-2024-0012

41. Beer N, Hegger I, Kaae S, Bruin ML, Genina N, Alves TL et al. Scenarios for 3D printing of personalized medicines: a case study. Explor Res Clin Soc Pharm. 2021;4.https://doi.org/10.1016/j.rcsop.2021.100073

42. Beer N, Kaae S, Genina N, Sporrong SK, Alves TL, Hoebert J et al. Magistral compounding with 3D printing: a promising way to achieve personalized medicine. Ther Innov Regul Sci. 2023;57(1):26-36.https://doi.org/10.1007/s43441-022-00436-7

43. Mahmood MA. 3D printing in drug delivery and biomedical applications: a state-of-the-art review.Compounds. 2021;1(3):94-115.https://doi.org/10.3390/compounds1030009

44. Pitzanti G, Mathew E, Andrews GP, Jones DS, Lamprou DA. 3D printing: an appealing technology for the manufacturing of solid oral dosage forms. J Pharm Pharmacol.2022;74(10):1427-49. https://doi.org/10.1093/jpp/rgab136

45. Swain SK, Jena BR, Parhi R. Recent developments and applications of 3D-printing technology in pharmaceutical drug delivery systems: a new research direction and future trends. Curr Pharm Des. 2025;31(1):2-25.https://doi.org/10.2174/0113816128309717240826101647

46. Sultana N, Ali A, Waheed A, Aqil M. 3D Printing in pharmaceutical manufacturing: Current status and future prospects. Mat Today Comm. 2024;38.https://doi.org/10.1016/j.mtcomm.2023.107987

47. Deon M, Santos J, Andrade DF, Beck RCR. A critical review of traditional and advanced characterisation tools to drive formulators towards the rational development of 3D printed oral dosage forms. Int J Pharm. 2022;628:1-22.https://doi.org/10.1016/j.ijpharm.2022.122293

48. Lafeber I, Ruijgrok EJ, Guchelaar HJ, Schimmel KJM. 3D printing of pediatric medication: the end of bad tasting oral liquids? A scoping review. Pharmaceutics. 2022;14(2).https://doi.org/10.3390/pharmaceutics14020416

49. Lima LG, Lima EC, Viçosa AL, Silva LC. 3D printing of medicines: benefits of personalization, regulatory challenges, and perspectives for healthcare optimization. J Hosp Pharm Health Serv. 2024;15(2):1-3.https://doi.org/10.30968/rbfhss.2024.152.1176

50. Englezos K, Wang L, Tan ECK, Kang L. 3D printing for personalised medicines: implications for policy and practice. Int J Pharm. 2023;635:1-10.https://doi.org/10.1016/j.ijpharm.2023.122785

51. US Food & Drug Administration - FDA. About advanced manufacturing for public health emergency preparedness and response. Silver Spring: US Food & Drug Administration;2023[acesso 06 jan 2025. Disponível em: https://www.fda.gov/emergency-preparedness-and-response/ocet-advancedmanufacturing/about-advanced-manufacturing-publichealth-emergency-preparedness-and-response

52. Agência Nacional de Vigilância Sanitária - Anvisa. Portaria N° 1.100, de 28 de setembro de 2023. Institui a política de inovação da Agência Nacional de Vigilância Sanitária (Anvisa). Diário Oficial União. 2 out 2023

53. Agência Nacional de Vigilância Sanitária - Anvisa. Edital de chamamento conjunto Nº 1, de 5 de abril de 2024. Edital de Chamamento para participação de interessados em Projeto-piloto para avaliação regulatória de medicamento fitoterápico, medicamento sintético novo, e produto biológico de interesse em serviços de saúde no Brasil. Diário Oficial União. 9 abr 2024.

54. Agência Nacional de Vigilância Sanitária - Anvisa. Resolução RDC Nº 67, de 8 de outubro de 2007. Dispõe sobre boas práticas de manipulação de preparações magistrais e oficinais para uso humano em farmácias. Diário Oficial União. 9 out 2007.

Published

2025-12-12

Issue

Section

Review Article

How to Cite

Three-dimensional printing of medicines: Challenges and regulatory perspectives: Vigil Sanit Debate, Rio de Janeiro, 2025, v.13: e02445 | Published on: 23/10/2025. (2025). Health Surveillance under Debate: Society, Science & Technology , 13, 1-12. https://doi.org/10.22239/2317-269X.02445