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Peer-reviewedCC BY 4.0NPJ Microgravity

On-demand peptide therapeutics for multi-year space exploration: analysis of clinical and operational relevance and recombinant production feasibility

  1. 1School of Pharmacy, University of Nottingham, Nottingham, UK
  2. 2David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA USA
  3. 3Stanford University School of Medicine, Stanford, CA USA

Abstract

Future crewed expeditions beyond Earth will span multiple years, requiring a transition away from Earth-dependent pharmaceutical supply chains. Medications degrade more rapidly in space due to radiation exposure and storage constraints, while transporting large quantities of temperature-controlled biologics is logistically impractical. These challenges necessitate the development of self-sufficient, in-situ medical capabilities for deep space missions. This study evaluates the operational and clinical relevance (OCR) and recombinant production feasibility (RPF) of peptide therapeutics for on-demand manufacturing during long-duration spaceflight. Building on established astropharmacy databases and literature, 26 peptide-based medications relevant to spaceflight were identified and ranked using ten predefined OCR and RPF criteria. OCR criteria included regulatory status, shelf stability, storage requirements, NASA Human Research Roadmap risk/impact score, and purification requirements. RPF criteria included amino acid chain length, prior recombinant production, functional assay availability, dosing requirements, and post-translational modification complexity. All criteria were scored from 0-2 points. Teriparatide achieved the highest overall score (17/20), followed by abaloparatide and amylin (16/20). Several therapeutics, including angiotensin II, daptomycin, GLP-1 agonists, G-CSF, GM-CSF, and salmon calcitonin, also demonstrated potential (14/20). This study identifies peptide therapeutics as promising candidates for in-situ production and provides a structured framework to guide future astropharmacy development.

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BibTeX
@article{donovan2026ondemand,
  title = {{On-demand peptide therapeutics for multi-year space exploration: analysis of clinical and operational relevance and recombinant production feasibility}},
  author = {John J. Donovan and Isaac Ericson and Andrew Wenthe and Katalin Kovacs and Jonas Emsley and Philip M. Williams},
  journal = {NPJ Microgravity},
  year = {2026},
  month = jul,
  doi = {10.1038/s41526-026-00630-z},
  url = {https://doi.org/10.1038/s41526-026-00630-z},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - On-demand peptide therapeutics for multi-year space exploration: analysis of clinical and operational relevance and recombinant production feasibility
AU  - John J. Donovan
AU  - Isaac Ericson
AU  - Andrew Wenthe
AU  - Katalin Kovacs
AU  - Jonas Emsley
AU  - Philip M. Williams
PY  - 2026
DA  - 2026/07/01
JO  - NPJ Microgravity
DO  - 10.1038/s41526-026-00630-z
UR  - https://doi.org/10.1038/s41526-026-00630-z
AB  - Future crewed expeditions beyond Earth will span multiple years, requiring a transition away from Earth-dependent pharmaceutical supply chains. Medications degrade more rapidly in space due to radiation exposure and storage constraints, while transporting large quantities of temperature-controlled biologics is logistically impractical. These challenges necessitate the development of self-sufficient, in-situ medical capabilities for deep space missions. This study evaluates the operational and clinical relevance (OCR) and recombinant production feasibility (RPF) of peptide therapeutics for on-demand manufacturing during long-duration spaceflight. Building on established astropharmacy databases and literature, 26 peptide-based medications relevant to spaceflight were identified and ranked using ten predefined OCR and RPF criteria. OCR criteria included regulatory status, shelf stability, storage requirements, NASA Human Research Roadmap risk/impact score, and purification requirements. RPF criteria included amino acid chain length, prior recombinant production, functional assay availability, dosing requirements, and post-translational modification complexity. All criteria were scored from 0-2 points. Teriparatide achieved the highest overall score (17/20), followed by abaloparatide and amylin (16/20). Several therapeutics, including angiotensin II, daptomycin, GLP-1 agonists, G-CSF, GM-CSF, and salmon calcitonin, also demonstrated potential (14/20). This study identifies peptide therapeutics as promising candidates for in-situ production and provides a structured framework to guide future astropharmacy development.
SN  - 2373-8065
ER  -