• Approach to AMR

    Antimicrobial resistance (AMR) refers to the phenomenon in which pathogenic microorganisms, such as bacteria, acquire resistance to antibiotic agents, rendering these drugs ineffective. In recent years, the increase in AMR has become a significant social issue. The primary factors contributing to the rise in AMR include the excessive administration of antibiotics and the inappropriate use of antibiotics, such as patients discontinuing medication at their own discretion. Additionally, the release of antibiotics into the environment from manufacturing plants is considered one of the causes of resistant bacteria, making it important to implement countermeasures from various perspectives.

     

    As a company that has provided antibiotics to society for more than half a century, the SHIONOGI Group (“SHIONOGI”) strictly manages the release of antibiotics into the environment during the manufacturing process. Recognizing AMR as a global threat, SHIONOGI is expanding its antibiotic environmental emission management not only within its own group but also throughout the entire supply chain and regularly checks compliance status.

Targets and Results

Medium- and Long-Term Targets

SHIONOGI aims to ensure that all manufacturing processes for antibiotics handled by SHIONOGI obtain the international certification “BSI Kitemark™ for Minimized Risk of AMR” from the British Standards Institution (BSI) by fiscal year 2035. Through third-party evaluation, this initiative is intended to objectively guarantee that antibiotics are manufactured responsibly with consideration for AMR occurrence and to clearly demonstrate this to stakeholders.

 

Furthermore, to reduce the environmental impact during the manufacturing process of antibiotics, SHIONOGI conducts audits (AMR audits) and provides feedback to its own group factories and suppliers (Table 1) that handle antibiotics and their drug substances/intermediates, aiming to achieve proper management of antibiotic environmental emissions throughout the supply chain.

Initiatives for AMR

Acquisition of BSI Kitemark™ for Minimized Risk of AMR Certification

At the Kanegasaki Plant of Shionogi Pharma, a production group company of the SHIONOGI Group, an audit for the “BSI Kitemark™ for Minimized Risk of AMR” was conducted for the manufacturing process of the active pharmaceutical ingredient and formulation of “Cefiderocol,” a treatment for multidrug-resistant Gram-negative bacterial infections, based on the medium- and long-term targets. As a result, in October 2025, the Kanegasaki Plant became the first pharmaceutical manufacturing facility in Japan to obtain this certification.

BSI Kitemark™ for Minimized Risk of AMR

AMR Audits

AMR audits at SHIONOGI are conducted based on the “Antibiotic Manufacturing Standard” *1 established by the AMR Industry Alliance (AMRIA) *2. These audits confirm the existence of management systems, status of wastewater and solid waste management, and compliance with environmental emission standards, thereby ensuring a global standard for controlling and managing antibiotic release into the environment.
Table 1: Audit Targets for Antibiotic Drug Substances Handled by SHIONOGI

In addition to the existing categories of ‘Drug products’ and ‘APIs’, we have added ‘Primary Packaging’ and revised the labeling method accordingly.

APIs of antimicrobials

Manufacturing site

Manufacturing process

APIs

Drug products

Primary packaging

Flomoxef

SHIONOGI

Company A(Japan)

 

Cefcapene pivoxil

SHIONOGI

Latamoxef

SHIONOGI

Doripenem

SHIONOGI

Company B(Japan)

 

Cefiderocol

SHIONOGI

Company I(Italy)

 

● 

Sulfamethoxazole/trimethoprim

Company C(Japan)

 

Company F(India)

 

 

Company G(India)

 

 

Metronidazole

Company D(Japan)

 

Company H(Italy)

 

 

Company E has been removed as it is no longer a supplier to SHIONOGI.

 

*1   AMRIA (External link)

At the Davos meeting held in September 2016, we signed the “AMR Industry Roadmap” together with 12 leading companies. The signatory companies proactively manage their own groups and contractors, establish a roadmap for AMR countermeasures, and provide management methods for environmental emissions to all antibiotic manufacturers to suppress AMR occurrence. This activity has now developed into the AMRIA, which includes many companies that handle antibiotics.

ロゴマーク

*2  Antibiotic Manufacturing Standard (External link)

In May 2025, the Standard was revised to add “primary packaging” to the previously targeted pharmaceutical and formulation processes. Accordingly, when planning AMR audits from fiscal year 2026 onward, suppliers entrusted only with primary packaging will also be audit targets.

Table 2: Supplier Audit Results (Results up to FY2024)
Supplier Management system Wastewater management Solid waste material management Conformity to discharge limits
Company A
Company B
Company C
Company D
Company F
Company G
Company H
Company I

Company E has been removed as it is no longer a supplier to SHIONOGI.

○: Conforms to the “Standard”
△: Partially non-conforming to the “Standard”; corrective actions are being implemented
×: Multiple non-conformities with the “Standard”; corrective actions are being implemented

It has been confirmed that wastewater from the manufacturing process of all five items at the Kanegasaki Plant complies with the discharge limits in the receiving environment
Diagram of supplier audit status
*3 The Kanegasaki Plant is the only site within the SHIONOGI Group that manufactures antibiotics.

Efforts to Control and Manage Antibiotic Release

At the Kanegasaki Plant, SHIONOGI’s flagship antibiotic manufacturing facility, wastewater generated during the manufacturing process is treated for antibiotic inactivation in each manufacturing building as part of efforts to control and manage emissions. The treated wastewater is discharged via the wastewater treatment facility at the site.

 

In addition, the concentration of antibiotics in the wastewater discharged from the site is evaluated annually based on the AMRIA Standard. For all five antibiotic products currently manufactured at the Kanegasaki Plant, the concentration in the wastewater is below the “environmental emission standard value”*4, indicating that there is no impact when released into the natural environment. Concentration evaluation is conducted using direct measurement by high-performance liquid chromatography and mass balance calculation based on the manufacturing volume and wastewater volume.

 

If any abnormality is detected, the wastewater is temporarily diverted to an emergency storage tank and is collected and treated to prevent discharge into the natural environment.

 

External specialists collect and incinerate the solid waste generated from the antibiotic manufacturing process, ensuring that antibiotics are not released into the environment via solid waste.

 

For antibiotics manufactured by suppliers, AMR audits have confirmed compliance with environmental emission standards for three out of four products manufactured by four domestic companies. Corrective actions are being implemented for one product at one company where compliance was not confirmed. Similarly, for four products manufactured by four overseas companies, compliance has been confirmed for three products at three companies, and corrective actions are underway for one product at one company. SHIONOGI will continue to conduct AMR audits for domestic and overseas suppliers and verify compliance with environmental emission standards.

Antimicrobials release control and management
*4 The environmental emission standard value for antibiotics in plant wastewater is set based on either the predicted no-effect concentrations published by AMRIA or the recommended value of 0.05 μg/L for pharmaceuticals not listed. For details, please refer to this website (External link).

Panel Participation in “One Health—AMR and the Environment”

In June 2024, Gareth Morgan (Global Head, Portfolio Management and AMR Policy) of Shionogi Inc. participated as a panelist in the BSI-sponsored webinar event “One Health—AMR and the Environment.” He explained SHIONOGI’s efforts to control and manage the release of antibiotics from its manufacturing plants and the status of AMR audits for related suppliers to an audience of antibiotic manufacturers and suppliers.

 

“One Health—AMR and the Environment” (External link)

Participation in “One Health – AMR and the environment”