Trend Report

The Rise of Large-Volume Injectors in a Patient-Centric Era

  • How large-volume auto-injectors and wearable on-body delivery systems are converting IV-only biologics to convenient home-administered subcutaneous formats — and what it means for primary packaging components
  • What the formulation science and device innovation enabling large-volume SC delivery up to 20mL looks like today — from permeation enhancers to cyclic olefin polymers and ultra-thin-wall needle design
  • How Datwyler's expanded NeoFlex™ plunger platform — engineered for syringes and pharmaceutical cartridges up to 20mL — is purpose-built for the biological cleanliness, E&L, and fill/finish integration requirements of next-generation large-volume injectable delivery

Status Published
Format Trend Report
Language English
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Resource Overview

What makes large-volume injectors a new standard for patient-centric biologic delivery

Large-volume subcutaneous injection — now feasible up to 20mL thanks to permeation enhancer technologies and wearable on-body delivery systems — is converting IV-only biologics to convenient home-administered formats. More than 90% of US patients already choose the SC form of drugs like daratumumab over the IV alternative, and a pipeline analysis shows that 15% of all biopharmaceuticals in development could qualify as large-volume SC candidates, predominantly monoclonal antibodies targeting oncology, autoimmune, and cardiovascular indications.

This 2025 trend report by Datwyler traces the evolution of the large-volume injectable landscape — from standard 1mL auto-injectors through today's 5mL handheld devices and wearable on-body delivery systems for volumes up to 20mL — and examines what this shift demands from the elastomeric components at the heart of these systems.

KEY TOPICS COVERED

The formulation science enabling large-volume SC delivery

Delivering high-dose or high-viscosity biologics subcutaneously requires formulation innovation alongside device engineering. Halozyme's ENHANZE hyaluronidase platform and Elektrofi's Hypercon concentrated microparticle suspension technology are among the enabling approaches examined in this report, alongside advances in drug container materials — including cyclic olefin polymers (COP/COC) and ultra-thin-wall needle design — that together make large-volume SC administration clinically and practically viable.

Pipeline analysis: which biologics are large-volume SC candidates

The report provides a pipeline analysis of the large-volume SC landscape, identifying the therapeutic areas and molecule types most likely to drive adoption — with oncology, autoimmune, and cardiovascular indications representing the largest share of mAb candidates currently in development that could qualify for SC conversion.

Elastomeric component requirements for large-volume applications

Large-volume auto-injectors and wearable devices place unique demands on elastomeric plunger components. Complete fluoropolymer coating is critical to prevent rubber shedding, avoid swelling in oily suspension formulations, eliminate silicone dependency, and maintain container closure integrity across transport and extreme temperature conditions in 5–20mL formats. Consistent glide force across larger formats and a simplified extractables and leachables profile — achieved when the same contact material is used for both plunger and combiseal — are equally critical considerations.

NeoFlex™ plunger platform for large-volume delivery

Datwyler's expanded NeoFlex™ plunger platform is engineered for prefilled syringes and pharmaceutical cartridges up to 20mL, manufactured in globally harmonized FirstLine® facilities, and available in steam- or gamma-sterilized ready-to-use formats. The non-fluorosurfactant fluoropolymer coating is designed to meet the biological cleanliness, fill/finish integration, and extractables and leachables profile requirements of next-generation large-volume injectable drug delivery systems.

WHO THIS REPORT IS FOR

This report is designed for formulation scientists, packaging engineers, drug delivery device teams, regulatory affairs professionals, and business development leads evaluating primary packaging component solutions for large-volume subcutaneous biologics in auto-injector and wearable on-body delivery platforms.

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Helpful Information

Frequently Asked Questions

What does this report cover?
This 2025 trend report examines how large-volume auto-injectors and wearable on-body delivery systems are transforming biologic drug administration — covering the formulation science enabling large-volume SC delivery, pipeline analysis of large-volume SC candidates, elastomeric component requirements for 5–20mL delivery formats, and how Datwyler's NeoFlex™ plunger platform is engineered for this growing market segment.
What is a large-volume injector?
A large-volume injector (LVI) is a drug delivery device capable of administering doses of 5mL or more subcutaneously — volumes previously exclusive to IV infusion. They range from handheld auto-injectors for doses up to around 5mL to wearable on-body delivery systems (OBDS) for volumes up to 20mL that adhere to the body and deliver the dose over several minutes while the patient goes about their daily life.
What is a wearable on-body delivery system?
A wearable on-body delivery system (OBDS) is a device that adheres to the patient's body and delivers large subcutaneous volumes — typically 5–20mL — over an extended period. Because these devices must actuate reliably under real-world conditions including varying temperature and storage history, the primary packaging components inside them — particularly elastomeric plunger seals — must maintain consistent break-loose and glide force performance and container closure integrity throughout shelf life and delivery.
What are the key elastomeric component requirements for large-volume injectable delivery?
Large-volume auto-injectors and wearable devices require plunger seals with complete fluoropolymer coating to prevent rubber shedding and avoid swelling in oily suspension formulations; consistent glide force across larger formats such as 10mL and 20mL pharmaceutical cartridges; container closure integrity across transport and extreme temperature conditions; no siliconization requirement; and a simplified extractables and leachables profile. When the same contact material is used for both plunger and combiseal, the extractables and leachables assessment is simplified — a meaningful efficiency in drug development.
What is the NeoFlex™ plunger platform and which formats does it cover?
NeoFlex™ is Datwyler's coated plunger platform engineered for large-volume injectable drug delivery. It covers prefilled syringes and pharmaceutical cartridges up to 20mL — including V9555 for 10mL large-volume auto-injectors, V9547 for 5–10mL on-body pharmaceutical cartridges, and V9621 for 20mL on-body pharmaceutical cartridges. All formats are manufactured in globally harmonized FirstLine® facilities and available in steam- or gamma-sterilized ready-to-use configurations.
Who should read this report?
This report is designed for formulation scientists, packaging engineers, drug delivery device teams, regulatory affairs professionals, and business development leads evaluating primary packaging component solutions for large-volume subcutaneous biologics in auto-injector and wearable on-body delivery platforms.
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