The focus of the present review is to address the use of protein crystals i
n formulation design. Although this idea has been present for some time, i.
e., insulin crystals were first reported back in 1920s, macromolecular crys
tallization has not received as much attention as the other methods for sta
bilizing protein drug candidates. The prospective potential of crystalline
protein formulations in light of new advances in the field of macromolecula
r crystallization was reviewed, and the basic concepts and the tools now av
ailable for developing protein crystals into drug formulations are introduc
ed. In addition, formulation challenges and regulatory demands, along with
examples of current applications of protein crystals, are presented.