Prefilled Syringes: A Comprehensive Review of Design, Manufacturing, Clinical Benefits, and Future Trends

Authors

  • Aisha Siddiqua Gomal Center of Biochemistry & Biotechnology, Gomal University, Dera Ismail Khan, 29171, Khyber Pakhtunkhwa, Pakistan.
  • Tariq Khalil Faculty of Pharmacy, Gomal University, Dera Ismail Khan, 29171, Khyber Pakhtunkhwa, Pakistan.
  • Humaira Siddiqua Faculty of Pharmacy, Gomal University, Dera Ismail Khan, 29171, Khyber Pakhtunkhwa, Pakistan.

Keywords:

Biologics, Drug device combination products, Injectables, Prefilled syringes, Parenteral drug delivery, Pharmaceutical packaging

Abstract

Prefilled syringes (PFSs) are increasingly used as primary packaging systems for parenteral drug delivery due to their ability to enhance medication safety, dosing accuracy, and operational efficiency. As drug–device combination products, PFSs integrate the pharmaceutical formulation with a delivery system that is ready for administration, minimizing preparation steps at the point of care. Their adoption has been particularly prominent for biologics, vaccines, and emergency medicines. Despite these advantages, prefilled syringes present unique challenges related to material compatibility, extractables and leachables, injectability performance, and regulatory compliance. This review provides a comprehensive overview of prefilled syringe technology, including design and components, manufacturing processes, clinical and operational benefits, formulation considerations, challenges and limitations, regulatory aspects, and future trends.

References

. Muralidhara, B.K. and Wong, M., 2020. Critical considerations in the formulation development of parenteral biologic drugs. Drug Discovery Today, 25(3), pp.574-581.

. Heidt, B., Siqueira, W.F., Eersels, K., Diliën, H., van Grinsven, B., Fujiwara, R.T. and Cleij, T.J., 2020. Point of care diagnostics in resource-limited settings: A review of the present and future of PoC in its most needed environment. Biosensors, 10(10), p.133.

. Ingle, R.G. and Agarwal, A.S., 2014. Pre-filled syringe–a ready-to-use drug delivery system: a review. Expert Opinion on Drug Delivery, 11(9), pp.1391-1399.

. Zehrung, D. and Free, M.J., 2025. Advances in Drug and Vaccine Delivery for Low-and Middle-Income Healthcare Programs—The Case for Replacing Multi-Dose Vials with Prefilled Single-Dose Delivery Systems. Pharmacy, 13(6), p.180.

. Parenky, A.C., Wadhwa, S., Chen, H.H., Bhalla, A.S., Graham, K.S. and Shameem, M., 2021. Container closure and delivery considerations for intravitreal drug administration. AAPS PharmSciTech, 22(3), p.100.

. Nunes, P.S., Ohlsson, P.D., Ordeig, O. and Kutter, J.P., 2010. Cyclic olefin polymers: emerging materials for lab-on-a-chip applications. Microfluidics and nanofluidics, 9(2), pp.145-161.

. Parenky, A.C., Wadhwa, S., Chen, H.H., Bhalla, A.S., Graham, K.S. and Shameem, M., 2021. Container closure and delivery considerations for intravitreal drug administration. AAPS PharmSciTech, 22(3), p.100.

. Cui, J., Yang, J.X., Li, Y.G. and Li, Y.S., 2015. Synthesis of high performance cyclic olefin polymers (COPs) with ester group via ring-opening metathesis polymerization. Polymers, 7(8), pp.1389-1409.

. Chandra, T., Zebrowski, J.P. and Lenertz, L.Y., 2022. Safe handling of cannulas and needles in chemistry laboratories. ACS Chemical Health & Safety, 29(2), pp.175-183.

. Wang, Y., Li, H., Wu, L., Zhao, Z., Chen, Q. and Guo, J., 2025. Improving prefilled syringe injectability: influences of critical component attributes and human factors. European Journal of Pharmaceutics and Biopharmaceutics, p.114901.

. Sacha, G., Rogers, J.A. and Miller, R.L., 2015. Pre-filled syringes: a review of the history, manufacturing and challenges. Pharmaceutical development and technology, 20(1), pp.1-11.

. Jildeh, Z.B., Kirchner, P., Oberlaender, J., Vahidpour, F., Wagner, P.H. and Schöning, M.J., 2020. Development of a package-sterilization process for aseptic filling machines: A numerical approach and validation for surface treatment with hydrogen peroxide. Sensors and Actuators A: Physical, 303, p.111691.

. De Bardi, M., Müller, R., Grünzweig, C., Mannes, D., Boillat, P., Rigollet, M., Bamberg, F., Jung, T.A. and Yang, K., 2018. On the needle clogging of staked-in-needle pre-filled syringes: Mechanism of liquid entering the needle and solidification process. European Journal of Pharmaceutics and Biopharmaceutics, 128, pp.272-281.

. Levine, C., 2021. Validation of Primary Packaging, Inspection and Secondary Packaging Processes. In Handbook of Validation in Pharmaceutical Processes, Fourth Edition (pp. 549-566). CRC Press.

. Badkar, A., Wolf, A., Bohack, L. and Kolhe, P., 2011. Development of biotechnology products in pre-filled syringes: technical considerations and approaches. Aaps Pharmscitech, 12(2), pp.564-572.

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Published

2026-02-09

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Section

Review Paper
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