Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 20th International Conference and Exhibition on Pharmaceutics & Novel Drug Delivery Systems Edinburgh, Scotland.

Day 1 :

Keynote Forum

John D Higgins

Merck Research Labs, USA

Keynote: A new and versatile method for preparing crystalline drug nanoparticle formulations

Time : 09:50-10:30

Conference Series Pharmaceutica 2019 International Conference Keynote Speaker John D Higgins photo
Biography:

John Higgins, PhD, received a BS in biochemistry from Albright College and his PhD in synthetic organic chemistry from Brown University. After completing a Postdoctoral Fellowship at the Sloan-Kettering Cancer Institute in NYC in the departments of Positron Emission Tomography and Neurology, he joined the Medicinal Chemistry Discovery group at Johnson Matthey Biomedical. There he worked on Pt-based antitumor drugs and diagnostic radio-imaging agents. He later moved on to drug development, in positions of increasing responsibility at Johnson & Johnson and Sanofi Aventis. For the past 15 years he and his teams have specialized in the areas of drug delivery and solid state chemistry, focused at the interface of drug discovery and development. His specific expertise in drug delivery focuses in the area of enhancing the solubility of insoluble compounds, where he has successfully introduced a wide range of methods into drug discovery space. More recently, he has been active in the design of prodrugs for improving physicochemical properties or targeting for specific disease states. Dr Higgins currently is a Senior Director and Global Technology Lead in the Discovery Pharmaceutical Sciences department at Merck Research Labs as well as an Adjunct Professor at the University of Pennsylvania School of Medicine, Dept. of Systems Pharmacology and Translational Therapeutics. Spanning his 28 year career, he is co-inventor on 13 US Patents and author of numerous publications and book chapters in the fields of organic, solid state & medicinal chemistry and drug delivery.

Abstract:

The birth of the nanoparticle (nanos) drug delivery field was seen over 20 years ago with the advent and application of simple oral crystalline nanoparticle formulations. This effective approach for enhancing oral absorption using aqueous suspensions of drug particles milled to sub-micron size is now employed in several marketed drug products. Originally, relatively large amounts of drug were required to make even prototype nano formulations. This made it difficult to investigate nanos in drug discovery or even early development space, where available drug quantities are limited. At Merck we have developed an innovative new method for generating nanos, using a LabRam high-frequency resonant mixer. This unique application of a LabRam allows us to prepare nanos at a wide range of scales, from stabilizer high throughput screen quantities in a 96 well plate format to liters. With this capability, we can now test nanos during the drug discovery lead optimization stages all the way to the preparation of long-term toxicology supplies and even clinical supplies. This lecture describes this new preparation method, which also has further applications to other formulation methodologies such as liposomes and nanoemulsions.

 

Conference Series Pharmaceutica 2019 International Conference Keynote Speaker David H Thompson photo
Biography:

David H Thompson received Bachelor Degree in Chemistry and Biology from the University of Missouri and a PhD Degree in Organic Chemistry from Colorado State University. After Postdoctoral studies at the Oregon Health and Sciences University, he joined the department of Chemical & Biological Sciences at the same institution as an Assistant Professor during 1987-1994 before moving to Purdue University where, he is currently a Professor of Chemistry and Head of the Medicinal Chemistry Group, Purdue Center for Cancer Research. He has published over 145 papers, many focused on the area of bioresponsive material development for drug delivery.

Abstract:

Bladder carcinoma is the most expensive tumor type to treat on a cost per patient basis from diagnosis to death. Intravesical bacillus Calmette Guerin (BCG) instillation is the only approved immunotherapy for treatment of superficial bladder carcinoma. Unfortunately, frequent relapses, high local morbidity and the risk of systemic mycobacterial infection are significant limitations of this therapeutic approach. BCG utilizes an adhesin protein known as fibronectin attachment protein that contains a critical peptide sequence for binding to bladder tumor cells. Previously, we have shown that multivalent peptide targeted liposomes promote fibronectin-integrin microaggregation and internalization via a caveolae dependent mechanism with a strict ï‚£70 nm size cutoff. Microfluidics offers the potential of formulating scale size controlled nanoparticles in a reproducible manner. Using a chemtrix flow reactor system, we have developed pH sensitive CpG lipid nanoparticles and organic solvent purified elastin like peptide complexes for targeted delivery of these oligonucleotides to activate cells expressing toll like receptor 9 (TLR)9 to mount an innate immune response characterized by the production of Th1 and proinflammatory cytokines. Since (TLR)9 receptors are located within intracellular acidic compartments, such as endosomes and lysosomes, these vehicles have been designed to release their CpG cargo after internalization. Data showing that these peptide targeted nanoparticles specifically bind to and are internalized by bladder tumor cells will be presented. Confocal studies have also been performed to track the cellular fate of these targeted carrier systems. Our findings show that only the pH-sensitive formulations are capable of releasing their payload after 12 h and stimulating a cytokine response. Collectively, our findings suggest that these peptide targeted immunostimulatory complexes may be at low-risk, highly efficient alternative to BCG immunotherapy.

Keynote Forum

Ewa J Kleczyk

Symphony Health, USA

Keynote: Is your machine learning algorithm worth the pharmaceutical industry?

Time : 11:35-12:15

Conference Series Pharmaceutica 2019 International Conference Keynote Speaker Ewa J Kleczyk photo
Biography:

Dr Ewa Kleczyk is a Vice President leading the Client Analytics group at Symphony Health. Ewa has more than 15 years of experience in pharmaceutical market research, having worked on both primary & secondary side of the market research area. With her broad experience in commercial effectiveness, digital & media analytics, as well as forecasting & promotional impact measurement, she is one of the industry recognized leaders in the pharmaceutical marketing research area. Ewa is also a highly sought-after conference speaker with her experience speaking at the leading industry conferences, including PMSA, PMRG & DTC Perspectives. She also has published in multiple academic & industry journals and is a board member of several peer-reviewed publications, including the PMSA Journal. Ewa has been an active advocate of mentoring future women leaders of the pharma industry for which she has been recognized with multiple leadership awards, including HBA’s ‘Rising Star’ & ‘Luminary’ recognitions. Ewa has earned her PhD in Economics from Virginia Tech and has been a part-time graduate faculty in the School of Economics at the University of Maine.

Abstract:

The holy grail in health care is not fancier technology and tools, it is physician and patient behavior change. Machine learning will truly come of age when it can systematically and reliably do one of two things – improve the decision- making of clinicians and patients or improve their efficiency in carrying out the actions that follow from those decisions” (Jean Drouin, M.D., Founder and CEO - Clarify Health Solutions, 2018).
The quote above presents well the current state of machine learning in the healthcare industry. Every aspect of the area seems to be influenced by some set of models and their results; however, with now almost every analytics organization leveraging machine learning algorithms to provide insights into healthcare decision-making processes, there is an ever-increasing need for establishing a set of guidelines for machine learning research to aid data scientists with the ability to validate and replicate the applied algorithms and models.
         The discussion has been often focused on how to accurately identify at-risk patients to aid their disease education, diagnoses, and treatment, but also how to accurately attribute the patient population to physicians to ensure proper care for these patients. The application of such algorithms span from personal promotion triggering to addressable TV targeting, and patient journey / treatment identification. Often healthcare data along with sociodemographic variables are leveraged  to  predict  at- risk patients or their specific treatment pathways, noting the variables of significance that predict those currently in the at-risk group or their next treatment steps. However, more and more data scientists question the relevance, validity,  and directionality of the machine learning algorithm insights. Given the fact that someone’s diagnosis or treatment pathway might be impacted by the insights from the algorithms, there is an increased need for these models to be scrutinized and validated, when leveraged in the decision-making process. For example, can being on a diabetes medication be a predictor of breast cancer diagnosis or is it merely descriptors of the selected patient cohort that can help inform, but not predict the outcome?
            Further, questions are being posed on the ability to replicate results from the machine learning algorithms. Can an independent third party using the same data and assumptions arrive at the same results / final set of algorithms? Validation of the research has come to question in the recent couple of years, with a few cases of un- successful applications of the machine learning algorithms (i.e. IBM Watson (Mary Chris Jaklevic, 2017)). As a result, there is a growing concern in the scientific community about applying these techniques in certain areas of the healthcare industry due to the pitfalls listed above.
           Trying to think through on how to improve the process at-risk patient prediction along with the ability to validate and replicate the modeling outcomes, this presentation will review case studies in which we propose techniques and business reasonings to inform objective evaluation of the algorithms and their application in healthcare. We will outline selected benchmark rules that we think can help in validation of the research, along with examples of applications for case studies with the validated outcomes. As a result, the audience will be able to learn and then apply same rules and techniques when working on machine learning projects to ensure the results are not only informed in science and valid but can also be replicated if needed by others.
 

Keynote Forum

Ewa J Kleczyk

Symphony Health, USA

Keynote: Is your machine learning algorithm worth the pharmaceutical industry?

Time : 09:00-09:30

Conference Series Pharmaceutica 2019 International Conference Keynote Speaker Ewa J Kleczyk photo
Biography:

Dr Ewa Kleczyk is a Vice President leading the Client Analytics group at Symphony Health. Ewa has more than 15 years of experience in pharmaceutical market research, having worked on both primary & secondary side of the market research area. With her broad experience in commercial effectiveness, digital & media analytics, as well as forecasting & promotional impact measurement, she is one of the industry recognized leaders in the pharmaceutical marketing research area. Ewa is also a highly sought-after conference speaker with her experience speaking at the leading industry conferences, including PMSA, PMRG & DTC Perspectives. She also has published in multiple academic & industry journals and is a board member of several peer-reviewed publications, including the PMSA Journal. Ewa has been an active advocate of mentoring future women leaders of the pharma industry for which she has been recognized with multiple leadership awards, including HBA’s ‘Rising Star’ & ‘Luminary’ recognitions. Ewa has earned her PhD in Economics from Virginia Tech and has been a part-time graduate faculty in the School of Economics at the University of Maine.

Abstract:

The holy grail in health care is not fancier technology and tools, it is physician and patient behavior change. Machine learning will truly come of age when it can systematically and reliably do one of two things – improve the decision- making of clinicians and patients or improve their efficiency in carrying out the actions that follow from those decisions” (Jean Drouin, M.D., Founder and CEO - Clarify Health Solutions, 2018).
The quote above presents well the current state of machine learning in the healthcare industry. Every aspect of the area seems to be influenced by some set of models and their results; however, with now almost every analytics organization leveraging machine learning algorithms to provide insights into healthcare decision-making processes, there is an ever-increasing need for establishing a set of guidelines for machine learning research to aid data scientists with the ability to validate and replicate the applied algorithms and models.
         The discussion has been often focused on how to accurately identify at-risk patients to aid their disease education, diagnoses, and treatment, but also how to accurately attribute the patient population to physicians to ensure proper care for these patients. The application of such algorithms span from personal promotion triggering to addressable TV targeting, and patient journey / treatment identification. Often healthcare data along with sociodemographic variables are leveraged  to  predict  at- risk patients or their specific treatment pathways, noting the variables of significance that predict those currently in the at-risk group or their next treatment steps. However, more and more data scientists question the relevance, validity,  and directionality of the machine learning algorithm insights. Given the fact that someone’s diagnosis or treatment pathway might be impacted by the insights from the algorithms, there is an increased need for these models to be scrutinized and validated, when leveraged in the decision-making process. For example, can being on a diabetes medication be a predictor of breast cancer diagnosis or is it merely descriptors of the selected patient cohort that can help inform, but not predict the outcome?
            Further, questions are being posed on the ability to replicate results from the machine learning algorithms. Can an independent third party using the same data and assumptions arrive at the same results / final set of algorithms? Validation of the research has come to question in the recent couple of years, with a few cases of un- successful applications of the machine learning algorithms (i.e. IBM Watson (Mary Chris Jaklevic, 2017)). As a result, there is a growing concern in the scientific community about applying these techniques in certain areas of the healthcare industry due to the pitfalls listed above.
           Trying to think through on how to improve the process at-risk patient prediction along with the ability to validate and replicate the modeling outcomes, this presentation will review case studies in which we propose techniques and business reasonings to inform objective evaluation of the algorithms and their application in healthcare. We will outline selected benchmark rules that we think can help in validation of the research, along with examples of applications for case studies with the validated outcomes. As a result, the audience will be able to learn and then apply same rules and techniques when working on machine learning projects to ensure the results are not only informed in science and valid but can also be replicated if needed by others.
 

  • Bio-Pharmaceutics | Pharmaceutical Formulation | Smart Drug Delivery Systems | Novel Drug Delivery Systems | Pharmaceutical Nanotechnology
Location: Edinburgh, Scotland
Speaker

Chair

John D Higgins

Merck Research Labs, USA

Session Introduction

Tirasak Pasharawipas

Rangsit University, Thailand

Title: The keys to manufacturing viral vaccines for individual human population

Time : 12:15-12:45

Biography:

Tirasak Pasharawipas completed his PhD from Faculty of Microbiology, Mahidol University, Bangkok, Thailand. He has his Postdoctoral training at Neuro Virology and Cancer biology Center, Temple University, Philadelphia. At present, he is a Full Professor in Microbiology and Immunology, Graduate Program of Medical Technology, Rangsit University, Thailand. He is interested in various academic subjects of science and liberal arts in addition to music and sports. His scientific fields mainly focus in viral and cellular interaction, bacteriophage and viral diseases in invertebrate animals. However, his research interests expand to viral vaccines, autoimmune disease and cancer biology including the relationship of MHC molecules to some specific diseases and viral vaccines. He enjoys being a reviewer for several journals and an advisor to develop young medical scientists with the wish that they would co-operate and succeed to solve all the problematic diseases, now and then, in a proper way with genuine scientific thinking.

Abstract:

The success to use subunit viral vaccine to prevent a particular viral infection is very limit. This is different from the time when the entire Cowpox virus was originally used for vaccination to prevent the smallpox viral epidemic over a thousand years ago in China before approved in a scientific way by Edward Jenner although immunity was not known. Knowledge of immunology has been profoundly discovered now-a-days. With a thought of safety reason to prevent side effects, subunit viral vaccine becomes the major choice for manufacturing viral vaccine. However, many kinds of viral vaccines could not reach our accomplishment. There is a question why viral vaccines cannot be effective for everybody. This is a question that we need to revise our knowledge and manipulate in the right direction for the viral vaccine production. To prevent a viral infection, a body must produce a protective antibody to prevent the particular viral particle to attach the viral receptor on a target cell. Theoretically, adaptive immunity needs induction not only by a particular antigen but also our cellular molecule called major histocompatibility complex (MHC) to form a complex molecule with its appropriate epitope to activate a specific receptor of T cell. There are two classes of MHC molecules called class I and class II. MHC class I is required for inducing cytotoxic T cell while MHC class II is for helper T cell. Helper T cell plays a key role to induce an effective stage of acquired immunity including a specific protective antibody. To produce the viral-specific antibody, MHC class II plays a key role to induce helper T cell and then B cell to synthesize a specific antibody. Since the MHC gene alleles are highly polymorphic so the possibility that individuals have the same gene alleles might be one in a million which, mostly, can be found in those who are an identical twin. Accordingly, a subunit viral vaccine, which contains a limit number of epitopes, would reduce a capacity of an antigen presenting cell, such as a dendritic cell, to process some epitopes to induce the particular helper T cell clones. Subsequently, in some people, the corresponding B cell clones cannot synthesize the specific antibody to neutralize the particular infectious viral particle. Moreover, the success of vaccination might require other different thoughts. We might need to understand more about the viral receptor on the target cells. There was a proposal of an inducible viral receptor concept which can be applied to protect viral infection as an additional strategy to produce the effective viral vaccines. Accordingly, this presentation will present the novel approach to develop the viral vaccine for everybody.

Biography:

Adwan S has completed his PhD from Queens University Belfast School of Pharmacy. He is working as Assistant Professor at Zarqa University School of Pharmacy. His research interest involves investigation of novel technologies and drug delivery systems for the treatment of otic and ophthalmic diseases.

 

Abstract:

Ocular drug delivery is currently one of the most challenging areas in modern drug delivery due to the unique anatomy and physiology of the eye and the presence of the ocular barriers. Accordingly, novel drug delivery methods have been investigated to enhance ocular drug permeation and increase the intraocular bioavailability. In this project, P.L.E.A.S.E. (Precise Laser Epidermal System; Pantec Biosolutions AG) laser technology was investigated, for the first time, to enhance ocular drug permeation. Two effects were revealed after laser treatment of ocular tissues. At high fluenes, micropores were created with scare formation around the pores due to the photo thermal effect of laser radiation. Lower fluences showed the formation of shallow pores and the disruption of the collagenous structure of ocular tissues. The effect of increasing the fluence and density of applied laser was investigated. Confocal microscopy studies revealed more intense dye distribution of rhodamine B, FITC-Dextran 70 kDa and FITC-Dextran 150 kDa after laser application. The transscleral and transcorneal permeation of rhodamine B was increased after laser application of 8.9 J/cm2 fluence and increasing the density of laser application. The transscleral water loss studies showed increased water loss after laser application which was decreased after 6 hours of application. As a conclusion, fractional ER: YAG laser is a promising and safe microporation technique that can be used to enhance the permeation of topically applied drugs. Tissue imaging, permeation, distribution studies and transscleral water loss studies showed that the laser application at low energies is promising for enhancing ocular drug permeation.

 

Speaker
Biography:

Dimitrios A Lamprou is reader in Pharmaceutical Engineering and MSc Programme Director at the School of Pharmacy at Queen's University Belfast (UK) and Visiting Researcher at University of Strathclyde (Glasgow, UK). He has experience of teaching in higher education, conducting research and has 60+ publications, 200+ conference abstracts, 70+ oral/invited presentations) and securing national and international funding (£2M+). He is Secretary at the United Kingdom and Ireland Controlled Release Society (UKICRS), external PhD viva examiner for UK and International Institutions, and referees for journals, publishers and research funding bodies. His group is applying aspects of Pharmaceutical Technology to a range of areas such as cancer, antimicrobial resistance and nanomedicine development. The group research interests focused on four distinct areas like biosurface engineering, electrospinning, microfluidics and pharmaceutical 3D printing and bioprinting.

Abstract:

The talk will cover the challenges and opportunities in pharmaceutics by adopting new formulation technologies to bring new products into the market. 3D printing and electrospinning are an example of technologies that have been widely used in other industries, however are new to pharmaceutical manufacturing. Therefore, the use of these techniques in drug delivery and tissue engineering applications, including the use of state of the art techniques (e.g. FastScan AFM, ToF-SIMS, nanoCT) will be discussed. The first part will focus on the preparation of drug-loaded polymeric electrospun nanofibers. The purpose of this study is to examine any potential effects, chemical and mechanical, of drug loaded electrospun nano fiber scaffolds. Biodegradable polyesters that commonly used in biomedical applications for controlled release and targeted drug delivery was loaded and electrospun with different types of drugs. The electrospun fibres were characterised through various methods in order to measure the drug efficacy, antibacterial properties and drug-polymer interactions. There are a number of different applications within medicine that require materials to be developed with the optimal characteristics, such as their strength, rate of degradation and porosity as well as their shapes and sizes. 3D printing process was patented in 1986, however only recently have been utilised in the field of pharmaceutical printing. Therefore, in the second part, 3D printed systems (e.g. microneedles, rings and tablets) of various designs with high drug payloads that have been formulated using advanced additive technologies and characterised using advanced characterisation techniques will be discussed.

 

Biography:

Faongchat Jarintanan has completed her PhD from Srinakharinwirot University at Thailand in 2010. During the academic year 1998-2018, she is the Lecturer in Molecular Genetic and Hematology at Faculty of Medical Technology, Rangsit University. She got grant for research at Hiroshima University to study development of production system for foreign protein by exploiting transgenic green algae in 2003. She has research focuses on  natural product, cell culture, bioprinting with cells and SNPs gene of Alzheimer's disease.

Abstract:

Colon cancer  is the most common cancer worldwide. Recently, natural products have been used for the treatment of cancer and becoming an important research area for drug discovery. Terrein, a fungal metabolite derived from Aspergillus terreus, has been shown to have a variety of biological activities to exhibit selective anticancer activity in human including colon cancer. However, cytotoxic effects of terrrein against human colon cancer cell lines have never been studied. Therefore, the present study was observed the cytotoxic effects of terrein by using the MTT assay. The sensitivity was evaluated by comparing the effect to COLO205 cells with vero cells for 24h. The results of MTT assay showed that terrein was cytotoxic to COLO205 with IC50 at 0.05 mM, but not to normal Vero epithelial cell line. The induction of cell death was further investigated by observing the cellular morphology of nuclei using Hoechst 33342 staining, a DNA specific dye.  The result showed that the treated cancer cells had increased of nuclear condensation and fragmentation with 0.05, 0.15, 0.2, 0.25, 0.3 mM at 6 h by observing under the phase contrast inverted microscopy. These data supported that the mode of cell death induction of terrein possibly activated via apotosis mechanism. Thus, terrein is an interesting compound that might be a development for colon cancer treatment. However, investigation through the mechanism of action is needed.

 

Biography:

Julia Matsuieva is a PhD researcher at the University of Wroclaw, Poland. Her scientific interests are on pricing strategies on the pharmaceutical market, local legal requirement for drug pricing, access to the medicines, quality life of people, generic medicines. She is the author of scientific publications in Poland, Ukraine and Slovakia. Her Doctoral thesis is dedicated to the consumer’s behavior in the Polish pharmaceutical market.

 

Abstract:

Pharmaceutical industry plays a major role in the country’s economic development. Though, in the European countries there are general regulations (Directives) and the pharmaceutical market of each country is unique because it has its own statutory regulation, economic and demographical factors influencing it. Polish pharmaceutical market has its own features and peculiarities. This is the only market in the European Union, where advertising of pharmacies is prohibited.
 
Statement of the Problem: Since, January 1 2012, by art. 94a of the Pharmaceutical Law Act issued on May 12, 2011, it is forbidden to advertise pharmacies, pharmacy points and their activities in Poland. The ban, which was in force until the end of 2011, applied only to the advertising of pharmacies, which is related to reimbursable drugs or drugs with the same name as covered by a refund. The current Pharmaceutical Law applies to all activities of pharmacies. Nevertheless, Polish pharmaceutical law does not define the term advertising of pharmacy and its activities, however, it is indicated that every action is directed to the public, aiming to boost sales of medicinal products and medical devices offered by a given institution. Such, a definition of advertising is understood very broadly in practice and can be misleading for all participants of the market. The pharmacies are not allowed to issue newsletters about price cuts, participate in loyalty programs and use promotional information in the name (e.g., cheap medicines). The Supreme Administrative Court recognized that encourage using the sphygmomanometer is also a form of pharmacy advertising, although the law allow to provide information regarding the address of the institution and its working hours. The entry into force of the above law violates the legal norms of the European Union. Moreover, at the beginning of the year 2018, the Presidium of the Supreme Medical Council appealed to the Polish Minister of Health with a petition to consider a total ban on advertising of OTC drugs for that reason Polish pharmaceutical market is on the verge of global change. The purpose of this study is to describe the existing situation in the Polish pharmaceutical market to indicate the gaps and to highlight its controversial nature.
 
Methodology & Theoretical Orientation: The framework of study contains legal practice and statutory regulations overview. 
 
Findings: Polish pharmaceutical regulations are not compliant with EU regulations; strict regulation has increased price competition in the Polish pharmaceutical market. 
 
Conclusion & Significance: The applications resulting from the Court of Justice of the EU ruling and the cited Pharmaceutical Law should be taken into account by the country authorities in the course of work on the major amendment to the Pharmaceutical Law. A good solution would be for example, to introduce a pharmacy advertisement definition and its activity as well as a catalog of non-advertising activities. This would protect the role of pharmacies as health care facilities, and at the same time enabling an action aimed at the welfare of patients.
 

Tirasak Pasharawipas

Rangsit University, Thailand

Title: Future approaches concerning vitamin B12 deficiency in elderly

Time : 16:35-17:05

Biography:

Tirasak Pasharawipas completed his PhD from Faculty of Microbiology, Mahidol University, Bangkok, Thailand. He has his Postdoctoral training at Neuro Virology and Cancer biology Center, Temple University, Philadelphia. At present, he is a Full Professor in Microbiology and Immunology, Graduate Program of Medical Technology, Rangsit University, Thailand. He is interested in various academic subjects of science and liberal arts in addition to music and sports. His scientific fields mainly focus in viral and cellular interaction, bacteriophage and viral diseases in invertebrate animals. However, his research interests expand to viral vaccines, autoimmune disease and cancer biology including the relationship of MHC molecules to some specific diseases and viral vaccines. He enjoys being a reviewer for several journals and an advisor to develop young medical scientists with the wish that they would co-operate and succeed to solve all the problematic diseases, now and then, in a proper way with genuine scientific thinking.

Abstract:

Vitamin B12 or cobalamin is essential for the major parts of the human body which are nerves, blood, and skeletal system. The major source of vitamin B12 is animal products. Vitamin B12 deficiency is common in vegan and vegetarians but the reports also become increased in elderly while human-life span keeps proliferating. There are more than 20 forms of vitamin B12 analogues but only two forms account as the natural active forms in the human body. Besides insufficient consumption of the vitamin B12, ingestion, transportation and the activity of the cobalamin in a body are also the causes of the deficiency. This presentation will give an overview concerning vitamin B12 and the known causes of its deficiency. However, the mechanism and homeostasis of vitamin B12 are truly complicated. Accordingly, the opinions for future approaches to study for developing the key information of the vitamin B12 for the general application in public health care will be proposed.