Navigating the Combination

Parth Kothari and Jonathan Amaya-Hodges

Navigating the Combination is the podcast for pharmaceutical and biotech professionals tackling one of the industry's most complex challenges: bringing drug-device combination products to market. Hosted by Parth Kothari and Jonathan Amaya-Hodges of Suttons Creek - the device team for pharma - each episode draws on 650+ combined years of experience and 120+ successful launches to cut through the complexity of combination product development, from device selection and regulatory strategy to OEM alignment, quality systems, and FDA submissions. Whether you're a VP of Regulatory Affairs weighing your submission strategy, a program director managing a complex OEM relationship, or an executive trying to protect a multi-million-dollar drug investment, this podcast gives you the insight, clarity, and confidence to make the right calls - right the first time.

Episodes

  1. Aug 11

    SE01 E03 Revolutionizing Drug Packaging | Matt Wills

    The container a drug product lives in has always mattered, but as biologics and gene therapies push the limits of sensitivity and complexity, it matters a great deal more. Matt Wills has spent over a decade at the intersection of material science and primary packaging, and in this episode he breaks down what is actually happening at the drug contact surface — and why that surface, not the bulk material, is where the real compatibility story plays out. He explains why glass is hitting its limits with certain advanced formulations, what is lost and gained in a switch to plastic, and how PECVD-based coating technology is opening up a third option that was not on the table a decade ago.The conversation goes well beyond material selection. Matt walks through how siliconisation introduces risk that teams often underestimate, why container closure integrity failures are rarely a single-component problem, and why the weakest link in a syringe system is so often the interface between components rather than any component in isolation. He also introduces the concept of maintaining a common drug contact surface across the entire manufacturing chain — from API storage through to the final filled container — and what that approach could mean for bridging studies, regulatory validation, and the speed at which programmes can progress.Key takeaways: The drug contact surface is the critical parameter in container selection, not the bulk material — glass, plastic, and hybrid containers all behave differently at that surface layer, and understanding the mechanism of interaction is what drives root cause investigationsGlass remains robust and well-characterised, but faces real limitations at high pH (risk of delamination), in complex formulations, and in design flexibility for combination product integrationPlastic offers more design freedom and better compatibility with auto injectors and on-body devices, but introduces trade-offs including oxygen barrier performance and different CCI behaviour at cold storage temperaturesPECVD-based coatings (such as SiO2's technology) allow the drug contact surface to be engineered independently of the bulk container, combining glass-like inertness with the design flexibility of plastic — but regulatory data, while growing, is still newer than glassSiliconisation solves a real engineering problem but introduces its own risk profile; the question is not whether silicone oil is harmful, but whether its interaction with a specific molecule is acceptable and controllable — and whether an alternative lubrication system might be easier to design around.Container closure integrity is a pass-fail requirement, not a nice-to-have — Teflon-coated plungers can compromise CCI at cold storage conditions due to differential shrinkage rates, and this needs to be understood before committing to a systemThe syringe is a multi-component system, not a single unit — plunger, barrel, siliconisation, needle geometry, and luer design all interact, and optimising components in isolation without understanding their interfaces is where programmes run into troubleMaintaining a common drug contact surface across the full manufacturing chain (API storage, processing, final container) can reduce validation unknowns, support bridging arguments, and shift the focus from reproving drug-surface interaction to proving like-for-like equivalence between container sizes. Connect with Matt Wills on LinkedIn: https://www.linkedin.com/in/mattswills/ Visit SiO2 Materials Science: https://sio2med.com/Subscribe to Navigating the Combination for more conversations on primary packaging, drug-device integration, and the science behind combination product development.I hope you enjoy this episode! Give it a like, share, and subscribe to not miss the content coming your way weekly.– Parth & Jonathan and the Navigating the Combination podcast team Connect with Parth Kothari on LinkedIn: https://www.linkedin.com/in/parthjkothari/ Connect with Jonathan Amaya-Hodges on LinkedIn: https://www.linkedin.com/in/jonathanwhodges/ Visit the Suttons Creek website here: https://suttonscreek.comListen to Navigating the Combination on these podcast platforms: Spotify: https://open.spotify.com/show/033HRTwEj7aFLx9K8ZEsVGApple Podcasts: https://podcasts.apple.com/us/podcast/navigating-the-combination/id6786238670Amazon Podcasts: https://music.amazon.com/podcasts/12169e2d-2323-41db-bdb4-8a8e7841c799 #navigatingthecombination #suttonscreek #combinationproducts #drugdelivery #pharmaconsulting #regulatoryaffairs #medicaldevices #biotech #pharmabiotech #fdaregulation #drugdevicedevelopment #lifesciences #combinationproductdevelopment #pharmapodcast #devicestrategyNavigating the Combination is the podcast for pharmaceutical and biotech professionals tackling one of the industry's most complex challenges: bringing drug-device combination products to market. Hosted by Parth Kothari and Jonathan Amaya-Hodges of Suttons Creek - the device team for pharma - each episode draws on 650+ combined years of experience and 120+ successful launches to cut through the complexity of combination product development, from device selection and regulatory strategy to OEM alignment, quality systems, and FDA submissions.Whether you're a VP of Regulatory Affairs weighing your submission strategy, a program director managing a complex OEM relationship, or an executive trying to protect a multi-million-dollar drug investment, this podcast gives you the insight, clarity, and confidence to make the right calls - right the first time.

  2. Jul 28

    SE01 E02 The Combination Product Blind Spot | Nathan Kast

    In this episode, Parth Kothari and Jonathan Amaya-Hodges sit down with Nathan Kast, a seasoned combination product professional whose career has spanned SHL, Becton Dickinson, and now Stevanato Group. Nathan shares how he stumbled into the drug delivery space entirely by accident, why being a great mentee matters more than finding a great mentor, and what it actually takes to build the kind of supplier-pharma relationships that get therapies to patients faster.The conversation digs into one of the most persistent gaps in the industry: the tendency of smaller and mid-sized pharma companies to treat drug containment and delivery systems as packaging rather than as integrated parts of the development process. Nathan breaks down why that mindset is rational but costly, how pricing pressures and supply chain regionalisation are reshaping device strategy, and why standardisation is rapidly becoming table stakes rather than a differentiator. A candid, experience-driven episode for anyone working at the intersection of device development and pharmaceutical commercialisation.Key takeaways: Being a good mentee — staying humble, open to mistakes, and eager to learn — is what attracts strong mentors, not the other way aroundSmaller pharma companies often treat drug delivery systems as packaging rather than as integrated development components, leading to costly late-stage surprisesFraming decisions around total cost of ownership (TCO) helps pharma partners see the downstream risks of deferring device integration conversationsTrue supplier-pharma partnership means transparent dialogue about constraints on both sides — not just pushing risk downstreamSupply chain regionalisation post-COVID is accelerating, and pharma is now making strategic asset-level decisions about what to near-shore versus centraliseDevice differentiation has largely shifted from a competitive advantage to a reliability and scalability question — it's now table stakes for at-home carePharma companies are splitting into two camps: those adopting standardised platform devices from suppliers, and those building proprietary internal platforms across their whole portfolioUnderstanding why a request is being made — not just what is being asked — leads to better outcomes for everyone in the development chain Connect with Nathan Kast on LinkedIn: https://www.linkedin.com/in/nathan-kast-4568641b/ I hope you enjoy this episode! Give it a like, share, and subscribe to not miss the content coming your way weekly.– Parth & Jonathan and the Navigating the Combination podcast team Connect with Parth Kothari on LinkedIn: https://www.linkedin.com/in/parthjkothari/ Connect with Jonathan Amaya-Hodges on LinkedIn: https://www.linkedin.com/in/jonathanwhodges/ Visit the Suttons Creek website here: https://suttonscreek.com Listen to Navigating the Combination on these podcast platforms: Spotify: https://open.spotify.com/show/033HRTwEj7aFLx9K8ZEsVGApple Podcasts: https://podcasts.apple.com/us/podcast/navigating-the-combination/id6786238670Amazon Podcasts: https://music.amazon.com/podcasts/12169e2d-2323-41db-bdb4-8a8e7841c799 #navigatingthecombination #suttonscreek #combinationproducts #drugdelivery #pharmaconsulting #regulatoryaffairs #medicaldevices #biotech #pharmabiotech #fdaregulation #drugdevicedevelopment #lifesciences #combinationproductdevelopment #pharmapodcast #devicestrategyNavigating the Combination is the podcast for pharmaceutical and biotech professionals tackling one of the industry's most complex challenges: bringing drug-device combination products to market. Hosted by Parth Kothari and Jonathan Amaya-Hodges of Suttons Creek - the device team for pharma - each episode draws on 650+ combined years of experience and 120+ successful launches to cut through the complexity of combination product development, from device selection and regulatory strategy to OEM alignment, quality systems, and FDA submissions.Whether you're a VP of Regulatory Affairs weighing your submission strategy, a program director managing a complex OEM relationship, or an executive trying to protect a multi-million-dollar drug investment, this podcast gives you the insight, clarity, and confidence to make the right calls - right the first time.

  3. Jul 14

    SE01 E01 From Medical Devices to Combination Products: Navigating FDA, Reliability, and Quality Leadership | Jeff Gensler

    Welcome to the first episode of the Navigating the Combination podcast!  When Jeff Gensler walked into Pfizer Meridian on day one, FDA had left the building just a week earlier. What followed — a warning letter response, 15 FDA meetings in four months, a CDRH site audit, and an agency directive to redesign the entire product — was a challenge, but also an opportunity for in-depth examination of the company’s quality systems. In this episode, Jeff joins Parth and Jonathan to unpack those early days, the gaps he found between pharma and device quality thinking, and how that experience shaped his entire approach to process capability, CAPA, and compliance.Jeff breaks down why the transition from attribute to variable data is so much more than a methodology switch — and shares a real example of how catching a single worn mould cavity early saved millions of dollars in scrapped components. He also makes the case for why quality professionals need to stop speaking compliance-only and start building business cases that leadership can actually act on. Now Chief Quality Officer at Exela Pharma Sciences, Jeff reflects on what the shift to the CDMO space looks like, where the industry is heading, and why he believes quality is becoming a competitive advantage rather than a cost center.  Key takeaways:Pharma and device quality systems differ fundamentally in CAPA philosophy - pharma treats CAPA as actions from investigations, while device uses it systemically for trend violations and major issues Switching from attribute to variable data requires process improvement work first — you'll surface capability gaps that were invisible before Variable data allows earlier detection of process drift, as demonstrated by catching a degraded mould cavity before a single out-of-spec part was produced Quality improvements need a business case, not just a compliance argument — linking changes to cost savings significantly increases the chance of leadership buy-in Process validation should go deeper than IQ/OQ/PQ checkboxes — centring processes within OQ limits prevents failures down the line Continuous process monitoring catches variation sources that a three-lot PQ simply cannot represent CDMOs are often out of sight with FDA — building a proactive quality culture internally is both a compliance strategy and a market differentiator Run towards the fires — warning letters, drug shortages, and enforcement actions are where quality professionals learn the most, fastest Connect with Jeff Gensler on LinkedIn: https://www.linkedin.com/in/jeff-gensler-67a54a1a/.   If this episode gave you something useful, give it a like, share it with someone navigating the combination product space, and subscribe so you don't miss what's coming next. I hope you enjoy this episode! Give it a like, share, and subscribe to not miss the content coming your way weekly.– Parth & Jonathan and the Navigating the Combination podcast team Connect with Parth Kothari on LinkedIn: https://www.linkedin.com/in/parthjkothari/ Connect with Jonathan Amaya-Hodges on LinkedIn: https://www.linkedin.com/in/jonathanwhodges/ Visit the Suttons Creek website here: https://suttonscreek.com Listen to Navigating the Combination on these podcast platforms: Spotify: https://open.spotify.com/show/033HRTwEj7aFLx9K8ZEsVGApple Podcasts: https://podcasts.apple.com/us/podcast/navigating-the-combination/id6786238670Amazon Podcasts: https://music.amazon.com/podcasts/12169e2d-2323-41db-bdb4-8a8e7841c799 #navigatingthecombination #suttonscreek #combinationproducts #drugdelivery #pharmaconsulting #regulatoryaffairs #medicaldevices #biotech #pharmabiotech #fdaregulation #drugdevicedevelopment #lifesciences #combinationproductdevelopment #pharmapodcast #devicestrategyNavigating the Combination is the podcast for pharmaceutical and biotech professionals tackling one of the industry's most complex challenges: bringing drug-device combination products to market. Hosted by Parth Kothari and Jonathan Amaya-Hodges of Suttons Creek - the device team for pharma - each episode draws on 650+ combined years of experience and 120+ successful launches to cut through the complexity of combination product development, from device selection and regulatory strategy to OEM alignment, quality systems, and FDA submissions.Whether you're a VP of Regulatory Affairs weighing your submission strategy, a program director managing a complex OEM relationship, or an executive trying to protect a multi-million-dollar drug investment, this podcast gives you the insight, clarity, and confidence to make the right calls - right the first time.

About

Navigating the Combination is the podcast for pharmaceutical and biotech professionals tackling one of the industry's most complex challenges: bringing drug-device combination products to market. Hosted by Parth Kothari and Jonathan Amaya-Hodges of Suttons Creek - the device team for pharma - each episode draws on 650+ combined years of experience and 120+ successful launches to cut through the complexity of combination product development, from device selection and regulatory strategy to OEM alignment, quality systems, and FDA submissions. Whether you're a VP of Regulatory Affairs weighing your submission strategy, a program director managing a complex OEM relationship, or an executive trying to protect a multi-million-dollar drug investment, this podcast gives you the insight, clarity, and confidence to make the right calls - right the first time.