Delivery of drugs by inhalation for the treatment of respiratory disease is
well established. The primary advantage of local delivery is the achieveme
nt of efficacy while minimizing systemic side effects. With the respiratory
tract as the target organ, biologics are likely to benefit even more by di
rect delivery because their transport between the blood circulation and the
airway tissue and lumen is limited. This may result in better safety and e
fficacy, as well as improved economics since much lower doses may be effect
ive compared to systemic administration. Protecting biologies against degra
dation during storage and aerosol generation may require the use of new typ
es of formulations and inhalation systems with which they can be efficientl
y and reproducibly delivered. Examples of current clinical status of biolog
ics delivered to the lung are provided.