WO2024020470A1 - PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aβ ANTIBODIES AND USES THEREOF - Google Patents
PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aβ ANTIBODIES AND USES THEREOF Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- A61K39/39591—Stabilisation, fragmentation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/12—Carboxylic acids; Salts or anhydrides thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/14—Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/08—Solutions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/94—Stability, e.g. half-life, pH, temperature or enzyme-resistance
Definitions
- the disclosure relates to pharmaceutical solutions of certain anti-N3pGlu Ap antibodies and to uses thereof, including use in the treatment of Alzheimer’s disease.
- Treatment of a disease using an antibody therapeutic typically comprises administering a pharmaceutical formulation of the antibody to a subject in need thereof.
- Each individual component, concentration thereof, ratio thereof relative to other components, and/or characteristic thereof can affect the suitability of the formulation for manufacturing, distribution, and/or storage (among other functional characteristics essential for therapeutic function).
- a specific adjustment may provide a beneficial impact to a given aspect of the formulation, the same adjustment may also negatively impact other aspects of the formulation.
- surfactants may impart beneficial properties to a formulation of an antibody, including a surfactant (such as polyoxyethylene (20) sorbitan monooleate) in a pharmaceutical formulation of an antibody can also lead to the formation of antibody aggregates, which is undesirable.
- the inventors of the present application identified unique and unexpected properties of the anti-N3pGlu antibodies discussed herein, including that lyophilized antibody preparations of antibodies were unsuitable for manufacturing, distribution, and storage due to unacceptable levels of protein aggregation, whereas the aqueous pharmaceutical solutions of the non-lyophilized antibodies were surprisingly suitable for manufacturing, distribution, and storage as well as maintaining the essential functional characteristics of the antibodies for therapeutic use.
- Lyophilization is often used to ensure the stability of a protein drug product and its suitability for manufacturing, distribution, and storage, especially for therapeutic antibodies delivered in high doses and antibodies that have demonstrated challenging stability characteristics including cloud point, aggregation, and discoloration.
- Lyophilization of a protein drug product is generally a more stable presentation, wherein, e g., the lyophilized drug product is more resistant to stresses experienced during distribution of a pharmaceutical drug product (e.g., during packing, transporting, and/or storage of the pharmaceutical drug product).
- lyophilization has been described as “the method of choice for long term storage of monoclonal antibodies because lyophilized antibodies are much more stable than they are in solution.” See Johnson, M., “Antibody Storage and Antibody Shelf Life,” Mater.
- vials were prepared that contained a lyophilized formulation of the anti-N3pGlu antibodies discussed herein.
- the vials initially contained an intact lyophilized cake with no powder present in the shoulder of the vial.
- those vials After being subjected to physical stresses designed to simulate the global distribution shipping environment, those vials exhibited a shrunken lyophilized cake and/or a broken lyophilized cake and powder in the shoulder of the vial, properties that were deemed undesirable.
- lyophilized formulations of the anti-N3pGlu antibodies discussed herein were prepared and placed into vials, and the vials were subjected to physical stresses designed to simulate the global distribution shipping environment.
- the vials were stored at -20°C, 5°C, 25°C, and 40°C, and samples were periodically taken, reconstituted with water for injection, and analyzed for subvisible particles (SVP) by microflow imaging (MFI).
- SVP subvisible particles
- MFI microflow imaging
- Samples from vials that were subjected to physical stresses designed to simulate the global distribution shipping environment consistently displayed higher levels of SVP (particles sized greater than or equal to 2 urn and 5 pm) after 1 month (and all subsequent timepoints measured) relative to samples from vials that were not subjected to those physical stresses. Again, these properties were deemed undesirable.
- samples of lyophilized formulations demonstrated aggregation, a problem that is typically compounded by, for example, one or more of shipping stress, freeze-thaw stress
- a need exists for a pharmaceutical composition comprising the antibodies of the present disclosure that provides improved stability suitable for manufacturing, distribution, storage, and administration to patients for intended therapeutic benefit.
- the present disclosure satisfies that need by providing pharmaceutical solutions of the anti-N3pGlu A
- aspects of the disclosure relate to the development of pharmaceutical solutions comprising antibodies that exhibit improved stability upon storage over time.
- the improved stability upon storage over time is a surprising result associated with embodiments of the disclosed pharmaceutical solutions. Indeed, the art teaches that sufficient stabilization of biomolecules often cannot be achieved in the liquid state. See Langford, A., et al., “Drying Technologies for Biotechnology and Pharmaceutical Applications” (Introduction), Wiley (2020).
- lyophilization and not aqueous solution formulation, is the method of choice for long term storage of monoclonal antibodies because lyophilized antibodies are much more stable than they are in solution.
- aqueous solution water serves as a medium that results in significant molecular mobility and conformational perturbations and acts as a catalyst for chemical degradation that can promote instability during storage and shipping.
- aspects of the disclosure relate to pharmaceutical solutions that exhibit improved stability, including improved stability over a period of weeks, months, or years when stored at from 5°C to 35°C, such as at 5°C, 25°C, or 35°C.
- aspects of the disclosure also relate to pharmaceutical solutions that are suitable for administration to human patients for the treatment or prevention of a disease, including, but not limited to, Alzheimer’s disease.
- aspects of the disclosure relate to a pharmaceutical solution comprising an antibody of the disclosure, a buffer, a tonicity agent, a surfactant, and an optional excipient.
- aspects of the disclosure also relate to pharmaceutical solutions comprising an antibody of the disclosure, a buffer, a tonicity agent, a surfactant, and an optional excipient that exhibit one or more of improved antibody stability, improved solution stability, improved solution purity, improved antibody solubility, and suitability for intended therapeutic benefit.
- aspects of the disclosure also relate to pharmaceutical solutions comprising an antibody of the disclosure, a buffer, a tonicity agent, a surfactant, and an optional excipient that are suitable as a drug product for administration to a patient.
- aspects of the disclosure also relate to pharmaceutical solutions comprising an antibody of the disclosure, one or more buffers, one or more tonicity agents, one or more surfactants, and one or more optional excipients wherein the pharmaceutical solution exhibits one or more of reduced polyoxyethylene (20) sorbitan monooleate hydrolysis, reduced polyoxyethylene (20) sorbitan monooleate oxidation, reduced levels of free oleic acid and/or total oleic acid, and reduced levels of free radicals.
- AD Alzheimer’s disease
- prodromal AD mild AD
- moderate AD moderate AD
- severe AD Down’s syndrome
- cerebral amyloid angiopathy diseases characterized by deposition of Ap, including, but not limited to, diseases such as Alzheimer’s disease (AD) (including, but not limited to, preclinical AD, prodromal AD, mild AD, moderate AD, and severe AD), Down’s syndrome, and cerebral amyloid angiopathy.
- AD Alzheimer’s disease
- preclinical AD including, but not limited to, preclinical AD, prodromal AD, mild AD, moderate AD, and severe AD
- Down’s syndrome and cerebral amyloid angiopathy.
- FIG. 1 A depicts changes in the percentage of the main peak from an initial time, as measured by size-exclusion chromatography (SEC), for different exemplary pharmaceutical solutions.
- SEC size-exclusion chromatography
- FIG. 1 B depicts changes in the percentage of high molecular weight species (% HMW) from an initial time, as measured by size-exclusion chromatography, for different exemplary pharmaceutical solutions.
- FIG. 1 C depicts changes in the percentage of low molecular weight species (% LMW), as measured by size-exclusion chromatography, for different exemplary pharmaceutical solutions.
- FIG. 2A depicts differences (A) in % donanemab as measured by non-reducing capillary electrophoresis - sodium dodecyl sulfate (CE-SDS) for different exemplary pharmaceutical solutions.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 2B depicts differences (A) in the largest % related substance (“RS”) as measured by non-reducing CE-SDS chromatography for different exemplary pharmaceutical solutions.
- FIG. 3 depicts differences (A) in purity, as measured by reducing capillary electrophoresis - sodium dodecyl sulfate (CE-SDS), for different exemplary pharmaceutical solutions as a function of temperature and time.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 4A depicts > 10 pm particulate matter results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 4B depicts > 25 pm particulate matter results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 5A depicts %main peak (monomer) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from freeze-thaw experiments.
- FIG. 5B depicts %high molecular weight species (%HMW) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from freeze-thaw experiments.
- %HMW %high molecular weight species
- FIG. 5C depicts %low molecular weight species (%LMW) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from freeze-thaw experiments.
- %LMW %low molecular weight species
- FIG. 6A depicts > 10 pm particulate matter results as measured by light obscuration for different exemplary pharmaceutical solutions with varying amounts of polysorbate from freeze-thaw experiments.
- FIG. 6B depicts > 25 pm particulate matter results as measured by light obscuration for different exemplary pharmaceutical solutions with varying amounts of polysorbate from freeze-thaw experiments.
- FIG. 7 A depicts %main peak (monomer) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- FIG. 7B depicts %high molecular weight species (%HMW) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- %HMW %high molecular weight species
- FIG. 7C depicts %low molecular weight species (%LMW) results as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- %LMW %low molecular weight species
- FIG. 8 depicts %intact donanemab results as measured by non-reducing capillary electrophoresis - sodium dodecyl sulfate (CE-SDS) data for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 9 depicts %purity as measured by reducing capillary electrophoresis - sodium dodecyl sulfate (CE-SDS) for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 10A depicts > 10 pm particulate matter results as measured by light obscuration for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- FIG. 10B depicts > 25 pm particulate matter results as measured by light obscuration for different exemplary pharmaceutical solutions with varying amounts of polysorbate from agitation experiments.
- FIG. 11 A depicts a sample of an exemplary pharmaceutical solution at an initial time zero.
- FIG. 11 B depicts the sample of an exemplary pharmaceutical solution of FIG. 15A after storage at -5°C for 24 hours.
- FIG. 12A depicts size exclusion chromatography (SEC) data (monomer content) for different exemplary pharmaceutical solutions.
- SEC size exclusion chromatography
- FIG. 12B depicts size exclusion chromatography (SEC) data (total aggregates content) for different exemplary pharmaceutical solutions.
- SEC size exclusion chromatography
- FIG. 13A depicts reducing CE-SDS data (% purity) for different exemplary pharmaceutical solutions.
- FIG. 13B depicts reducing CE-SDS data (% total aggregates) for different exemplary pharmaceutical solutions.
- FIG. 14A depicts non-reducing CE-SDS data (% purity) for different exemplary pharmaceutical solutions.
- FIG. 14B depicts non-reducing CE-SDS data (% total aggregates) for different exemplary pharmaceutical solutions.
- FIG. 15 depicts free oleic acid (%FOA) data as measured by HPLC-UV for different exemplary pharmaceutical solutions.
- FIG. 16A depicts subvisible particles > 2 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 16B depicts subvisible particles > 5 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 17A depicts subvisible particles > 2 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 17B depicts subvisible particles > 5 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 17C depicts particulate matter > 10 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 17D depicts > 25 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 18A depicts > 10 pm results as measured by light obscuration in particles per container for different exemplary pharmaceutical solutions.
- FIG. 18B depicts > 25 pm results as measured by light obscuration in particles per container for different exemplary pharmaceutical solutions.
- FIG. 19A depicts subvisible particles > 2 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- MFI microflow imaging
- FIG. 19B depicts subvisible particles 2 5 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- MFI microflow imaging
- FIG. 20A depicts > 10 pm particulate matter results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- FIG. 20B depicts > 25 pm particulate matter results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- FIG. 21A depicts %monomer as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- SEC size exclusion chromatography
- FIG. 21 B depicts %total aggregates as measured by size exclusion chromatography data (SEC) for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- SEC size exclusion chromatography data
- FIG. 22A depicts %purity as measured by non-reduced capillary electrophoresis - sodium dodecyl sulfate (CE-SDS) for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 22B depicts %total fragments as measured by non-reduced capillary electrophoresis - sodium dodecyl sulfate (CE-SDS) for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- CE-SDS capillary electrophoresis - sodium dodecyl sulfate
- FIG. 22C depicts %total aggregates as measured by non-reduced capillary electrophoresis - sodium dodecyl sulfate (CE-SDS for different exemplary pharmaceutical solutions subjected to an ISTA-3A shipping test.
- CE-SDS non-reduced capillary electrophoresis - sodium dodecyl sulfate
- FIG. 23A depicts %monomer as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions.
- FIG. 23B depicts %total aggregates as measured by size exclusion chromatography (SEC) for different exemplary pharmaceutical solutions.
- FIG. 24A depicts %purity as measured by reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 24B depicts %total fragments as measured by reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 24C depicts %total aggregates as measured by reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 25A depicts %purity as measured by non-reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 25B depicts %total fragments as measured by non-reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 25C depicts %total aggregates as measured by non-reduced CE-SDS for different exemplary pharmaceutical solutions.
- FIG. 26A depicts total oleic acid content as measured by HPLC-UV for different exemplary pharmaceutical solutions.
- FIG. 26B depicts free oleic acid content as measured by HPLC-UV for different exemplary pharmaceutical solutions.
- FIG. 27A depicts subvisible particles > 2 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 27B depicts subvisible particles > 5 pm results as measured by microflow imaging (MFI) in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 28A depicts subvisible particles > 2 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 28B depicts subvisible particles > 5 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 28C depicts particulate matter > 10 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 28D depicts particulate matter > 25 pm results as measured by light obscuration in particles per mL for different exemplary pharmaceutical solutions.
- FIG. 29A depicts particulate matter > 10 pm results as measured by light obscuration in particles per container for different exemplary pharmaceutical solutions.
- FIG. 29B depicts particulate matter > 25 pm results as measured by light obscuration in particles per container for different exemplary pharmaceutical solutions.
- compositions and processes may be understood more readily by reference to the following detailed description taken in connection with the accompanying figures, which form a part of this disclosure.
- the term “pharmaceutical” refers to a composition (e.g., a solution) that is, within the scope of sound medical judgment, suitable for use in contact with the tissues of subjects (e.g., human beings) without excessive toxicity, irritation, allergic response, and/or other problems or complications, commensurate with a reasonable benefit/risk ratio.
- the pharmaceutical solution comprises an aqueous medium.
- Exemplary aqueous media include water, such as water for injection, and saline.
- the aqueous medium may include one or more buffers as discussed elsewhere herein.
- the pharmaceutical solution contains undissolved particles.
- a pharmaceutical solution of an antibody comprises an antibody, a buffer, a tonicity agent, a surfactant, and an optional excipient.
- the antibody is present in a pharmaceutical solution according to the disclosure at a concentration of from 0.1 mg/mL to 1 ,000 mg/mL, such as from about 1 mg/mL to about 500 mg/mL, from about 1 mg/mL to about 300 mg/mL, from about 1 mg/mL to about 150 mg/mL, from about 1 mg/mL to about 100 mg/mL, from about 1 mg/mL to about 50 mg/mL, from about 1 mg/mL to about 40 mg/mL, from about 100 mg/mL to about 300 mg/mL (such as 200 mg/mL), from about 150 mg/mL to about 250 mg/mL, from about 125 mg/mL to about 275 mg/mL, from about 5 mg/mL to about 75 mg/mL, from about 5 mg/mL to about 50 mg/mL, from about 10 mg/mL to about 30 mg/mL, from about 10 mg/mL to about 25 mg/mL, or from about 15 mg/mL
- the antibody is present in a pharmaceutical solution according to the disclosure at a concentration of from 16.0 mg/mL to 19.0 mg/mL. In some embodiments, the antibody is present in a pharmaceutical solution according to the disclosure at a concentration of from 16.28 mg/mL to 18.73 mg/mL. In some embodiments, the antibody is present in a pharmaceutical solution according to the disclosure at a concentration of from 16.63 mg/mL to 18.38 mg/mL.
- compositions of antibodies according to the disclosure can be prepared using the humanized monoclonal anti-N3pGlu antibodies disclosed herein.
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been purified.
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been subjected to one or more purification schemes (/.e., a scheme for purifying a monoclonal antibody) as described in “Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use,” U.S. Department of Health and Human Services, Food and Drug Administration, Center for Biologies Evaluation and Research (Feb. 28, 1997).
- a purification scheme comprises one or more of the following: (a) production techniques that prevent the introduction of, and/or that eliminate, contaminants, including but not limited to animal proteins and materials, DNA, endotoxins, pyrogens, culture media constituents, components that may leach from columns, and viruses; (b) incorporation of one or more steps known to remove or inactivate retroviruses in excess of an endogenous particle load (where applicable), including, but not limited to, one or more robust virus removal/inactivation operations, which are those operations that have been shown to work well under a variety of conditions (e.g., pH or ionic strength of column buffers) with a variety of monoclonal antibodies (e.g., low pH, heat, solvent and/or detergent treatments, and filtration); (c) demonstration of the ability of the purification scheme to remove adventitious agents and other contaminants, by means of a clearance study; (d) limits that are prospectively set on the number of times a purification component (e.g., a chromati), or the like.
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been purified to be free of non-immunoglobulin (Ig) contaminants or to contain less than 5% non-lg contaminants by weight, less than 4% non-lg contaminants by weight, less than 3% non-lg contaminants by weight, less than 2% non-lg contaminants by weight, or less than 1 % non-lg contaminants by weight.
- a monoclonal anti- N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared is not fragmented, not aggregated, and/or otherwise not modified (e.g., by loss of carbohydrate side chains).
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been subjected to tests for one or more of the following: (a) protein quantity; (b) potency; (c) purity (e.g., as determined by electrophoretic migration of the antibody in both native and reduced states on polyacrylamide gels, with comparison to a reference standard); (d) sterility; (e) one or more tests for endotoxins (e.g., a Limulus Amebocyte Lysate (LAL) assay); (f) an identity test; (g) moisture, where appropriate; (h) preservative, where appropriate; (i) excipients, where appropriate; and (j) pH, where appropriate
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been subjected to one or more tests for stability.
- a monoclonal anti- N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared has been subjected to a stability testing program that includes tests for one or more of (a) physico-chemical integrity (e.g., fragmentation and/or aggregation), (b) potency, (c) sterility, (d) moisture (where appropriate); (e) pH (where appropriate); and (f) preservative stability (where appropriate).
- a monoclonal anti-N3pGlu antibody from which a pharmaceutical solution of an antibody is prepared is subjected to one or more tests for assuring biological activity (e.g., quantitative in vitro potency assays).
- N3pGlu A0 Antibodies to N3pGlu A0 are known in the art and have applications in treating or preventing disease.
- anti-N3pGlu Ap antibodies are identified and disclosed (along with methods for making and using such antibodies) in U.S. Patent No. 8,679,498 B2 (which is hereby incorporated by reference in its entirety).
- donanemab which is disclosed in U.S. Patent No. 8,679,498, is an antibody directed at the pyroglutamate modification of the third amino acid of amyloid beta (N3pGlu Ap) epitope that is present only in brain amyloid plaques.
- “donanemab” refers to an anti-N3pGlu Ap antibody comprising a light chain variable region (LCVR), wherein the LCVR comprises SEQ ID NO: 1 , a heavy chain variable region (HCVR), wherein the HCVR comprises SEQ ID NO: 2, a light chain (LC), wherein the LC consists of SEQ ID NO: 3, a heavy chain (HC), wherein the HC consists of SEQ ID NO: 4, a light chain complementarity determining region 1 (LCDR1 ) of SEQ ID NO: 5, a light chain complementarity determining region 2 (LCDR2) of SEQ ID NO: 6, a light chain complementarity determining region 3 (LCDR3) of SEQ ID NO: 7, a heavy chain complementarity determining region 1 (HCDR1 ) of SEQ ID NO: 8, a heavy chain complementarity determining region 2 (HCDR2) of SEQ ID NO: 9, and a heavy chain complementarity determining region 3 (HCDR3) of SEQ ID NO: 10.
- LCVR light
- the antibody is an anti-N3pGlu Ap IgG antibody having a kappa light chain.
- an anti-N3pGlu Ap antibody includes a kappa light chain and IgG heavy chain.
- an anti-N3pGlu Ap antibody is of the human lgG1 isotype.
- the antibody is an anti-N3pGlu Ap antibody comprising a LCVR and a HCVR, wherein said LCVR comprises a LCDR1 of SEQ ID NO: 5, a LCDR2 of SEQ ID NO: 6, and a LCDR3 of SEQ ID NO: 7, and said HCVR comprises a HCDR1 of SEQ ID NO: 8, a HCDR2 of SEQ ID NO: 9, and a HCDR3 of SEQ ID NO: 10.
- said antibody comprises a LCVR, wherein the LCVR comprises SEQ ID NO: 1 , and/or a HCVR, wherein the HCVR comprises SEQ ID NO: 2.
- said antibody comprises a LC, wherein the LC comprises SEQ ID NO: 3, and/or a HC, wherein the HC comprises SEQ ID NO: 4.
- said antibody comprises a LCVR, wherein the LCVR consists of SEQ ID NO: 1 , and/or a HCVR, wherein the HCVR consists of SEQ ID NO: 2.
- said antibody comprises a LC, wherein the LC consists of SEQ ID NO: 3, and/or a HC, wherein the HC consists of SEQ ID NO: 4.
- the antibody is a humanized anti-N3pGlu antibody.
- a pharmaceutical solution comprising an anti-N3pGlu Ap antibody, a buffer, a tonicity agent, a surfactant, and an optional excipient.
- a pharmaceutical solution comprising an anti-N3pGlu A antibody, a buffer, a tonicity agent, a surfactant, and an optional excipient, wherein the pH is from 5.0 to 7.5.
- an “optional excipient” is an agent that, within the scope of sound judgment, may be included in a pharmaceutical solution according to the disclosure, where the agent, when included in the pharmaceutical solution, is suitable for use in contact with the tissues of subjects (e.g., human beings) without excessive toxicity, irritation, allergic response, and/or other problems or complications, commensurate with a reasonable benefit/risk ratio, and where the agent has properties other than, but not necessarily excluding, properties of a “buffer,” a “tonicity agent,” and/or a “surfactant,” as those terms are defined elsewhere herein.
- Non-limiting examples of optional excipients include agents disclosed in, for example, Remington: The Science and Practice of Pharmacy, 22nd Edition, Lippincott Williams & Wilkins, Philadelphia, PA. (2013), and/or other editions thereof.
- excipients include diluents, binders, disintegrants, controlled release agents, emulsifiers, encapsulating agents, and coating agents.
- a pharmaceutical solution according to the disclosure may be prepared using an antibody that has been lyophilized. Nevertheless, it is also to be understood that, in some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution is prepared using an antibody that has not been lyophilized or has never been lyophilized. In some embodiments of a pharmaceutical solution according to the disclosure, the antibody in the pharmaceutical solution is not reconstituted from lyophilized material.
- the total concentration of the buffer is from 0.1 mM to 1 ,000 mM, such as from about 1 mM to about 1 ,000 mM, from about 10 to about 1 ,000 mM, from about 10 mM to about 100 mM, from about 100 mM to about 250 mM, from about 175 mM to about 225 mM, from about 5 mM to about 50 mM, from about 10 mM to about 75 mM, from about 75 mM to about 175 mM, from about 10 mM to about 250 mM, from about 1 mM to about 100 mM, from about 1 mM to about 50 mM, from about 1 mM to about 40 mM, from about 1 mM to about 30 mM (such as 10 mM), from about 2.5 mM to about 100 mM (such as 5 mM), from about 3 mM to about 75 mM, from 3
- a pharmaceutical solution of the disclosure comprises an anti-N3pGlu Ap antibody at a concentration of from 1 to 40 mg/mL, the anti- N3pGlu Ap antibody comprising (a) a light chain variable region (LCVR) comprising an LCDR1 of SEQ ID NO: 5, an LCDR2 of SEQ ID NO: 6, an LCDR3 of SEQ ID NO: 7, and (b) a heavy chain variable region (HCVR) comprising an HCDR1 of SEQ ID NO: 8, an HCDR2 of SEQ ID NO: 9, and an HCDR3 of SEQ ID NO: 10, a buffer in an amount of from 1 mM to 30 mM, a tonicity agent in an amount of from 1 % to 20% weight by volume (w/v), a surfactant in an amount of from 0 005% weight by volume to 0.06% weight by volume, and an optional excipient.
- LCVR light chain variable region
- HCVR heavy chain variable region
- the LCVR of the anti-N3pGlu Ap antibody comprises SEQ ID NO: 1
- the HCVR of the anti-N3pGlu Ap antibody comprises SEQ ID NO: 2.
- the anti-N3pGlu Ap antibody comprises a light chain (LC) comprising SEQ ID NO: 3, and/or a heavy chain (HC) comprising SEQ ID NO: 4.
- a “buffer” is an agent that acts to regulate the pH of a composition, but a “buffer” may also provide other functions in a composition (e.g., affecting the tonicity of the composition).
- a “buffer” may be a “buffer system.”
- the term “a single buffer system” as used herein is to be understood to refer to an agent that acts to regulate the pH of a composition, wherein the agent comprises two or more components, such as an acid compound and its conjugate base.
- a representative, non-limiting example of a single buffer system is benzoic acid, which can exist in solution as a combination of benzoic acid and benzoate anion.
- the buffer comprises an organic acid, an inorganic acid, an amino acid, and combinations thereof. In some embodiments of a pharmaceutical solution according to the disclosure, the buffer comprises a salt of an organic acid, a salt of an inorganic acid, and an amino acid, and combinations thereof.
- organic acids include citric acid, acetic acid, ascorbic acid, carbonic acid, tartaric acid, gluconic acid, succinic acid, phthalic acid, fumaric acid, malic acid, maleic acid, glutamic acid, benzoic acid, salicylic acid, toluenesulfonic acid, methanesulfonic acid, stearic acid, and lactic acid.
- Non-limiting examples of inorganic acids include hydrochloric acid, hydrobromic acid, phosphoric acid, nitric acid, and sulfuric acid.
- Non-limiting examples of amino acids include arginine, lysine, histidine, ornithine, isoleucine, leucine, alanine, glycine, glutamic acid, aspartic acid.
- the buffer comprises citric acid or a salt thereof, acetic acid or a salt thereof, ascorbic acid or a salt thereof, carbonic acid or a salt thereof, tartaric acid or a salt thereof, gluconic acid or a salt thereof, succinic acid or a salt thereof, phosphoric acid or a salt thereof, phthalic acid or a salt thereof, arginine or a salt thereof, lysine or a salt thereof, histidine or a salt thereof, ornithine or a salt thereof, isoleucine or a salt thereof, leucine or a salt thereof, alanine or a salt thereof, glycine or a salt thereof, glutamic acid or a salt thereof, and aspartic acid or a salt thereof.
- the buffer comprises citric acid or a salt thereof and histidine or a salt thereof.
- the buffer is a buffer system, as that term is defined elsewhere herein.
- the total amount of the one or more tonicity agents is from 0.01 % w/v to about 30% w/v, such as from about 1 % w/v to about 20% w/v, from about 1 % w/v to about 15% w/v, from about 5% w/v to about 15% w/v (such as 8% w/v), from about 1 % w/v to about 10% w/v, from about 5% w/v to about 10% w/v, or from about 3% w/v to about 10% w/v.
- the total amount of the one or more tonicity agents is from 0 01 mM to about 1 ,000 mM, such as from about 1 mM to about 500 mM, from about 1 mM to about 300 mM, from about 1 mM to about 250 mM, from about 50 mM to about 300 mM, from about 50 mM to about 150 mM, from about 100 mM to about 200 mM, from about 50 mM to about 200 mM, from about 1 mM to about 25 mM, from about 50 mM to about 200 mM, from about 2.5 mM to about 15 mM, from about 2.5 mM to about 25 mM, or from about 75 mM to about 175 mM.
- tonicity agent is an agent that affects the osmotic pressure of a composition, but a “tonicity agent” may also provide other functions in a composition (e.g., buffering the pH of the composition).
- the tonicity agent is selected from a sugar, an amino acid, a salt, and combinations thereof. In some embodiments, the tonicity agent is selected from a monosaccharide, a disaccharide, a polysaccharide, and combinations thereof.
- the tonicity agent is chosen from sodium chloride, arginine or a salt thereof, lysine or a salt thereof, histidine or a salt thereof, methionine or a salt thereof, ornithine or a salt thereof, isoleucine or a salt thereof, leucine or a salt thereof, alanine or a salt thereof, glycine or a salt thereof, glutamic acid, aspartic acid, sucrose, fructose, glucose, maltose, trehalose, galactose, mannose, sorbose, lactose, cellobiose, mannitol, lactitol, xylitol, sorbitol, maltitol, and combinations thereof.
- the tonicity agent is sodium chloride.
- the tonicity agent is sucrose.
- the pharmaceutical solution of an antibody comprises a single tonicity agent.
- a “surfactant” is an agent that reduces the surface tension of an aqueous composition, but a “surfactant” may also provide other functions in a composition (e.g., buffering the pH of the composition).
- the surfactant is selected from polyoxyethylene sorbitan esters, poloxamers, and combinations thereof.
- the surfactant is selected from polyoxyethylene (20) sorbitan monolaurate, polyoxyethylene (20) sorbitan monopalmitate, polyoxyethylene (20) sorbitan monostearate, polyoxyethylene (20) sorbitan monooleate, poloxamer 188, and combinations thereof.
- the surfactant is selected from polyoxyethylene (20) sorbitan monolaurate, polyoxyethylene (20) sorbitan monopalmitate, polyoxyethylene (20) sorbitan monostearate, polyoxyethylene (20) sorbitan monooleate, a poloxamer, and combinations thereof. In some embodiments, the surfactant is polyoxyethylene (20) sorbitan monooleate.
- the surfactant is present in an amount of from about 0.001 % weight by volume to about 10% weight by volume, such as from about 0.001 % weight by volume to about 1 % weight by volume, from about 0.005% weight by volume to about 0.03% weight by volume (such from 0.005% weight by volume to 0.030% weight by volume), from about 0.005% weight by volume to about 0.1 % weight by volume, from about 0.01 % weight to about 0.5% weight by volume, from about 0.01 % weight by volume to about 0.25% weight by volume, from about 0.01 % weight by volume to about 0.20% weight by volume, from about 0.01 % weight by volume to about 0.03% weight by volume (such as from 0.010% weight by volume to 0.030% weight by volume), from about 0.10% weight by volume to about 0.30% weight by volume, from about 0.01 % weight by volume to about 0.05% weight by volume, from about 0.01 % weight by volume to about 0.03% weight by volume, from about 0.001 % weight by volume to about 10% weight by volume
- a pharmaceutical solution according to the disclosure does not comprise one or more of sodium chloride, trehalose, and mannitol. In some embodiments, a pharmaceutical solution according to the disclosure does not comprise one or more of glycine, a poloxamer (e.g., Poloxamer 188), and polyoxyethylene (20) sorbitan monolaurate.
- the pH of the solution is from 4 0 to 10.0, such as from 5.0 to 9.0, from 5.0 to 8.0, from 5.0 to 7.5, from 5.0 to 7.0, from 5.2 to 6.4, from 5.3 to 6.3, from 5.5 to
- the pH of the solution is 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8 0, 8.5, 9.0, 9.5, or 10.0. In some embodiments, the pH of the solution is 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.9, 6.0, 6.1 , 6.2, 6.3, 6.4, or 6.5.
- the pH of the solution is from about 4.0 to about 10.0, such as from about 5.0 to about 9.0, from about 5.0 to about 7.5, from about 5.0 to about 7.0, from about 5.2 to about 6.4, from about 5.5 to about 7.5, from about 5.5 to about 6.5, from about 5.75 to about 6.25, from about 5.8 to about 6.2, or from about 5.9 to about 6.1.
- the pH of the solution is about 4.0, about 4.5, about 5.0, about
- the pH of the solution is about 5.3, about 5.4, about 5.5, about 5.6, about 5.7, about 5 8, about 5.9, about 6.0, about 6.1 , about 6.2, about 6.3, about 6.4, or about 6.5.
- the pH of a pharmaceutical solution according to the disclosure is retained at one or more of the pH values or ranges described herein using one or more of the buffers described herein.
- the present disclosure encompasses a pharmaceutical solution comprising an anti-N3pGlu A[3 antibody at a concentration of from 1 to 40 mg/mL, the anti-N3pGlu Ap antibody comprising (a) a light chain variable region (LCVR) comprising an LCDR1 of SEQ ID NO: 5, an LCDR2 of SEQ ID NO: 6, an LCDR3 of SEQ ID NO: 7, and (b) a heavy chain variable region (HCVR) comprising an HCDR1 of SEQ ID NO: 8, an HCDR2 of SEQ ID NO: 9, and an HCDR3 of SEQ ID NO: 10, a buffer in an amount of from 1 mM to 30 mM, a tonicity agent in an amount of from 1 % to 20% weight by volume, a surfactant in an amount of from 0.005% weight by volume to 0.06% weight by volume, and an optional excipient.
- LCVR light chain variable region
- HCVR heavy chain variable region
- the present disclosure encompasses a pharmaceutical solution comprising an anti-N3pGlu Ap antibody at a concentration of 17.5 mg/mL, a buffer comprising citric acid or a salt thereof in an amount of 10 mM; a tonicity agent comprising sucrose in an amount of 8% w/v; and a surfactant comprising polyoxyethylene (20) sorbitan monooleate in an amount of 0.02% w/v; wherein the anti-N3pGlu Ap comprises an LCVR of SEQ ID NO: 1 and/or an HCVR of SEQ ID NO: 2; wherein, optionally, the anti-N3pGlu Ap comprises an LC of SEQ ID NO: 3 and/or an HC of SEQ ID NO: 4.
- the pharmaceutical solution comprises not more than 0.12 EU/mg of bacterial endotoxins, as determined according to European Pharmacopeia (Ph. Eur.) Chapter 2.6.32.
- the pharmaceutical solution has an osmolality of not less than 255 mOsm/kg and not more than 345 mOsm/kg, as determined according to European Pharmacopeia (Ph. Eur.) Chapter 2.2.35 and/or USP ⁇ 785>.
- the pharmaceutical solution has a color that is not more intensely colored than Color Standard Y3, BY3, or B3, as determined according to European Pharmacopeia (Ph. Eur.) Chapter 2.2.2.
- the pharmaceutical solution has a clarity that is not more than 60 NTU (Nephelometric Turbidity Units), as determined according to European Pharmacopeia (Ph. Eur.) Chapter 2.2.1 .
- NTU Nephelometric Turbidity Units
- the term “about,” as used herein, refers to any value that is within 10% of the recited value. In some embodiments, the term “about” refers to any value that is within 5% of the recited value. In some embodiments, the term “about” refers to any value that is within 1 % of the recited value.
- the pharmaceutical solution comprises an anti-N3pGlu A
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 94% relative to total antibody peak area after the pharmaceutical solution has been stored at about 35°C for 3 months.
- percentages refer to the peak area percent (% area).
- Size exclusion chromatography assesses the total amount of high molecular weight species (HMW) (also referred to as aggregates) and low molecular weight (LMW) species (fragments) present in a sample.
- HMW high molecular weight species
- LMW low molecular weight
- the pharmaceutical solution exhibits a total antibody monomer content, as measured by size exclusion chromatography, of at least 94% relative to total antibody peak area after the pharmaceutical solution has been stored at about 25°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 94% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 95% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total antibody monomer content, as measured by size exclusion chromatography, of at least 97%> relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 97.5%> relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 95% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 29 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 29 months.
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96.0% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 29 months.
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 94% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 95% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- the pharmaceutical solution exhibits a total antibody monomer content, as measured by size exclusion chromatography, of at least 97% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 97.5% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 95% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 29 months.
- the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 29 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits an antibody monomer content, as measured by size exclusion chromatography, of at least 96.0% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 29 months.
- the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 6% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 5% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 4% relative to total antibody peak area after the pharmaceutical solution has been stored at about 25°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 3% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 29 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 2% relative to total antibody peak area after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 4% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 29 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 3% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 29 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by size exclusion chromatography, of less than 2% relative to total antibody peak area after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.03% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.03% weight by volume after the pharmaceutical solution has been stored at about 5°C for 29 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of from 0.01 % weight by volume to 0.03% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of from about 0.01 % weight by volume to about 0 03% weight by volume after the pharmaceutical solution has been stored at about 5°C for 29 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC- UV) using an internal standard, of less than about 0.015% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- HPLC- UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC- UV) using an internal standard, of less than about 0.015% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 29 months.
- HPLC- UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC- UV) using an internal standard, of less than about 0.005% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- HPLC- UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC- UV) using an internal standard, of less than 0.0025% weight by volume after the pharmaceutical solution has been stored at about 5°C for 29 months.
- HPLC- UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.0025% weight by volume after the pharmaceutical solution has been stored at 2-8°C for 29 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.0025% weight by volume after the pharmaceutical solution has been stored at about 5°C for 3 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.0025% weight by volume after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC- UV) using an internal standard, of less than 0.001 % weight by volume after the pharmaceutical solution has been stored at about 5°C for 29 months.
- HPLC- UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.005% weight by volume after the pharmaceutical solution has been stored at about 5°C for 29 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution comprises polyoxyethylene (20) sorbitan monooleate and the pharmaceutical solution exhibits a difference in the amount of total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, when the pharmaceutical solution has been stored at about 5°C for 3 months compared to when the pharmaceutical solution has been stored at about 5°C for 29 months that is less than 0.0025% weight by volume.
- HPLC-UV high performance liquid chromatography with UV detection
- 3 antibody comprises polyoxyethylene (20) sorbitan monooleate, and the pharmaceutical solution exhibits a total free oleic acid content, as measured by high performance liquid chromatography with UV detection (HPLC-UV) using an internal standard, of less than 0.0025% weight by volume after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- HPLC-UV high performance liquid chromatography with UV detection
- the pharmaceutical solution exhibits a purity, as measured by nonreducing capillary electrophoresis sodium dodecyl sulfate (CE-SDS), of at least 85 area % after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by non-reducing CE-SDS, of at least 90 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months.
- CE-SDS capillary electrophoresis sodium dodecyl sulfate
- the pharmaceutical solution exhibits a purity, as measured by non-reducing CE-SDS, of at least 90.5 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by non-reducing CE-SDS, of at least 89.0 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by non-reducing CE-SDS, of at least 92 area % after the pharmaceutical solution has been stored at about 5°C for 6 months.
- the pharmaceutical solution exhibits a purity, as measured by non- reducing CE-SDS, of at least 90.5 area % after the pharmaceutical solution has been stored at about 5°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by non-reducing CE-SDS, of at least 89.0 area % after the pharmaceutical solution has been stored at about 5°C for 6 months.
- the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 90 area % after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 94 area % after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 95 area % after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 95 area % after the pharmaceutical solution has been stored at about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 94 area % after the pharmaceutical solution has been stored at about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 92 area % after the pharmaceutical solution has been stored at about 35°C for 3 months.
- the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 94 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 94 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a purity, as measured by reducing CE-SDS, of at least 96 area % after the pharmaceutical solution has been stored at about 5°C for 3 months
- the pharmaceutical solution exhibits a difference in purity, as measured by reducing CE-SDS, from when the pharmaceutical solution has been stored at about 5°C for 3 months to when the pharmaceutical solution has been stored at about 5°C for 6 months, that is less than 5 area %. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a difference in purity, as measured by reducing CE-SDS, from when the pharmaceutical solution has been stored at about 5°C for 3 months to when the pharmaceutical solution has been stored at about 5°C for 6 months, that is less than 3 area %.
- the pharmaceutical solution exhibits a total aggregate content, as measured by reducing CE-SDS, of less than 4 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by reducing CE-SDS, of less than 4 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by reducing CE-SDS, of less than 3 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content, as measured by reducing CE-SDS, of less than 3 area % after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content, as measured by reducing CE-SDS, of less than 5 area % after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 4% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 4% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 2% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 2% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1.5% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1.5% relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 1 % relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1 % relative to total antibody peak area, as measured by size exclusion chromatography, after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 9 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 8.5 area %, as measured by nonreducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 7.5 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 4 area %, as measured by nonreducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 4 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 2 area %, as measured by nonreducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 2 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution exhibits a total aggregate content of less than 1 .5 area %, as measured by nonreducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1.5 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at about 5°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1 area %, as measured by non- reducing CE-SDS, after the pharmaceutical solution has been stored at 2-8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution exhibits a total aggregate content of less than 1 area %, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored at about 5°C for 3 months.
- the pharmaceutical solution contains less than 10,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 6,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months.
- the pharmaceutical solution contains less than 2,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months.
- the pharmaceutical solution contains less than 2,000 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 2,000 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months.
- the pharmaceutical solution contains less than 1 ,000 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 1 ,000 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured using microflow imaging, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 29 months.
- the pharmaceutical solution contains less than 3,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a high accuracy liquid particle counter (HIAC), after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 1 ,500 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 1 ,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 750 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 500 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 250 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 100 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 75 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 3,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 1 ,500 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 1 ,000 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 750 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 500 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 250 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 100 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 75 particulates per milliliter, wherein the particulates are sized greater than 2 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 800 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 500 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 200 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 200 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 100 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 75 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 800 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 500 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 200 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 200 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 100 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 75 particulates per milliliter, wherein the particulates are sized greater than 5 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at 2- 8°C for 3 months.
- the pharmaceutical solution contains less than 125 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 50 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 25 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 20 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 15 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 5 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C, about 25°C, or about 35°C for 3 months.
- the pharmaceutical solution contains less than 25 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 25 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C for 29 months.
- the pharmaceutical solution contains less than 3 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C or about 25°C for 6 months. In some embodiments of a pharmaceutical solution according to the disclosure, the pharmaceutical solution contains less than 3 particulates per milliliter, wherein the particulates are sized greater than 10 pm, as measured by light obscuration using a HIAC, after the pharmaceutical solution has been stored at about 5°C for 29 months.
- a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 3% over 4 weeks of storage for at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 2% over 4 weeks of storage for at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 1 % over 4 weeks of storage for at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 3% over 4 weeks of storage for at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 2% over 4 weeks of storage for at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a UV absorbance at 550 nm that varies by less than ⁇ 1 % over 4 weeks of storage for at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 0.1 % to about 25% after storage for 4 weeks at about 5°C, such as a change in protein content as measured by UV absorbance at 280 nm from 0.1 %, 0.2%, 0.3%, 0.4%, 0.5%, 0.6%, 0.7%, 0.8%, 0.9%, 1 %, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, about 10%, about 15%, about 20%, or about 25% after storage for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm of from 0.4% to 25% after storage for 4 weeks at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 0.4% to about 13% after storage for 4 weeks at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 1 % to about 13% after storage for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from 0.1 % to 25% after storage for 4 weeks at 2-8°C, such as a change in protein content as measured by UV absorbance at 280 nm from 0.1 %, 0.2%, 0.3%, 0.4%, 0.5%, 0.6%, 0.7%, 0.8%, 0.9%, 1 %, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, about 15%, about 20%, or about 25% after storage for 4 weeks at 2- 8°C.
- a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 0.4% to about 25% after storage for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 0.4% to about 13% after storage for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits a change in protein content as measured by UV absorbance at 280 nm from about 1 % to about 13% after storage for 4 weeks at 2- 8°C.
- a pharmaceutical solution according to the disclosure has at least 92% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure has at least 93% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure has at least 94% of the anti- N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure has at least 93.1 %, 93.2%, 93.3%, 93.4%, 93.5%, 93.6%, 93.7%, 93.8%, or 93.9% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure has from 93.3% to 93.8% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure has at least 92% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure has at least 93% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure has at least 94% of the anti- N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure has at least 93.1 %, 93.2%, 93.3%, 93.4%, 93.5%, 93.6%, 93.7%, 93.8%, or 93.9% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure has from 93.3% to 93.8% of the anti-N3pGlu antibody appearing in a main chromatographic peak (monomer), when analyzed by size exclusion chromatography, after storage for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 15 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits not more than a 12.5 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure exhibits not more than an 11 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 2-8°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits not more than a 10 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 10.0 area %, 10.1 area %, 10 2 area %, 10.3 area %, 10.4 area %, 10.5 area %, 10.6 area %, 10.7 area %, 10.8 area %, or 10.9 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 2-8°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 15 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at 5°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 12.5 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at about 5°C. In some embodiments, a pharmaceutical solution according to the disclosure exhibits not more than an 11 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 10 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at about 5°C.
- a pharmaceutical solution according to the disclosure exhibits not more than a 10.0 area %, 10.1 area %, 10 2 area %, 10.3 area %, 10.4 area %, 10.5 area %, 10.6 area %, 10.7 area %, 10.8 area %, or 10.9 area % decrease in the amount of the anti-N3pGlu antibody, as measured by non-reducing CE-SDS, after the pharmaceutical solution has been stored for 4 weeks at about 5°C.
- the pharmaceutical solution comprises an anti-N3pGlu A
- one or more of features (a)-(k) exist before and after storage of the pharmaceutical solution.
- the pharmaceutical solution comprises an anti-N3pGlu A
- one or more of features (a)-(g) exist before and after storage of the pharmaceutical solution
- the pharmaceutical solution comprises an anti-N3pGlu Ap antibody, a buffer, a tonicity agent, a surfactant, and an optional excipient in amounts that are sufficient in combination for the pharmaceutical solution to exhibit one or more of:
- one or more of features (a)-(e) exist before and after storage of the pharmaceutical solution
- the pharmaceutical solution comprises an anti-N3pGlu A
- aspects of the disclosure also relate to a vessel comprising a pharmaceutical solution according to the disclosure.
- the vessel is a vial, a syringe (e.g. , a pre-filled syringe), a bag, or a tube.
- a patient or, interchangeably, a “subject” is a human (also referred to as a “human patient” or, interchangeably, a “human subject”).
- Pharmaceutical solutions of the disclosure may be administered to a subject at risk for, or exhibiting, diseases or disorders as described herein by parental routes (e.g., subcutaneous, intravenous, intraperitoneal, intramuscular).
- parental routes e.g., subcutaneous, intravenous, intraperitoneal, intramuscular.
- administration is by a subcutaneous and/or intravenous route.
- the antibody e.g., the anti-N3pGlu Ap antibody
- a treatment comprises restraining, slowing, or stopping the progression or severity of an existing symptom, condition, disease, or disorder in a subject.
- a treatment comprises reduction of amyloid beta in the brain of a human patient.
- compositions e.g., a composition that is a pharmaceutical solution according to the disclosure
- compositions e.g., compositions that are pharmaceutical solutions according to the disclosure
- prevention means prophylactic administration of the antibody to an asymptomatic subject or a subject with pre-clinical disease (e.g., pre-clinical Alzheimer’s disease) to prevent onset or progression of the disease.
- pre-clinical disease e.g., pre-clinical Alzheimer’s disease
- aspects of the disclosure pertain to treating a disease characterized by deposition of amyloid beta (Ap) and/or a disease characterized by amyloid beta (Ap) deposits.
- the disclosure pertains to a method of treating a disease characterized by deposition of amyloid beta (A ) and/or a disease characterized by amyloid beta (Ap) deposits by administering a therapeutically effective amount of a pharmaceutical solution according to the disclosure to a patient in need thereof.
- the terms “disease characterized by deposition of amyloid beta (Ap)” or a “disease characterized by amyloid beta (A ) deposits” are used interchangeably and refer to a disease that is pathologically characterized by Ap deposits in the brain or in brain vasculature. This includes diseases such as Alzheimer’s disease (AD), Down’s syndrome, and cerebral amyloid angiopathy. In some embodiments, the Alzheimer’s disease is preclinical AD, prodromal AD, mild AD, moderate AD, or severe AD.
- a method of treating a disease characterized by deposition of amyloid beta (AP) and/or a disease characterized by amyloid beta (AP) deposits according to the disclosure comprises administering a pharmaceutical solution according to the disclosure obtained from a vessel according to the disclosure to a patient in need thereof.
- a human patient in need thereof is administered one or more doses of a pharmaceutical solution according to the disclosure.
- administering a “dose” refers to administering a quantity of a pharmaceutical solution according to the disclosure.
- dose may nevertheless be expressed in terms of the amount of antibody rather than the amount of the pharmaceutical solution.
- a reference to administering, for example, a dose of 100 mg of antibody refers to administering, for example, 10 mL of a pharmaceutical solution of antibody where the pharmaceutical solution has a concentration of 10 mg antibody per 1 mL solution (also referred to as a concentration of 10 mg/mL) or to administering, for example, 5 mL of a pharmaceutical solution of antibody where the pharmaceutical solution has a concentration of 20 mg antibody per 1 mL solution (also referred to as a concentration of 20 mg/mL).
- references to administering an antibody refer to administering a pharmaceutical solution (according to the present disclosure) of that antibody.
- methods of treatment according to the disclosure comprise administering, to a patient, one or more doses of about 100 mg to about 10,000 mg of anti-N3pGlu Ap antibody, such as one or more doses of 100 mg, 150 mg, 200 mg, 250 mg, 300 mg, 350 mg, 400 mg, 450 mg, 500 mg, 550 mg, 600 mg, 650 mg, 700 mg, 750 mg, 800 mg, 850 mg, 900 mg, 950 mg, or 1 ,000 mg or more of antibody.
- methods of treatment according to the disclosure comprise administering, to a patient, one or more doses of anti-N3pGlu A antibody that has not been lyophilized.
- the subject is administered one or more first doses of the antibody.
- the one or more first doses are administered to the human subject such that each first dose is administered once every four weeks.
- the first dose is administered to the subject once.
- the first dose is administered to the subject twice wherein each first dose is administered once every four weeks.
- the first dose is administered to the subject three times wherein each first dose is administered once every four weeks.
- the subject is administered one or more second doses of the antibody.
- the one or more second doses comprise greater than about 700 mg to about 1400 mg of the antibody (e.g., of an anti-N3pGlu A
- the subject is administered one or more second doses of greater than about 700 mg to about 1400 mg of the antibody (e.g., of anti-N3pGlu A
- a dose may also be expressed in terms of mg/kg.
- mg/kg means an amount, in milligrams, of antibody or drug administered to a subject based on his or her bodyweight in kilograms.
- a dose is given at one time.
- a 10 mg/kg dose of antibody for a patient weighing 70 kg would be a single 700 mg dose of antibody given in a single administration.
- a 20 mg/kg dose of antibody for a patient weighing 70 kg would be a 1400 mg dose of antibody given at a single administration.
- the first dose is from about 1 mg/kg to about 10 mg/kg of antibody.
- the patient is administered up to three first doses of about 1 mg/kg to about 10 mg/kg.
- the patient is administered one first dose, two first doses, or three first doses of about 1 mg/kg to about 10 mg/kg. In some embodiments, the patient is administered three first doses of about 10 mg/kg once every four weeks. In some embodiments, the first dose is about 1 mg/kg, about 2 mg/kg, about 3 mg/kg, about 4 mg/kg, about 5 mg/kg, about 6 mg/kg, about 7 mg/kg, about 8 mg/kg, about 9 mg/kg or about 10 mg/kg. In some embodiments, the antibodies, methods, dosing regimens, and/or uses of the present disclosure result in reduction of amyloid beta in the brain of a human patient.
- administration of a pharmaceutical solution according to the disclosure results in a reduction in the amount of amyloid beta in the brain of a human patient of at least 5%. In some embodiments, administration of a pharmaceutical solution according to the disclosure results in a reduction in the amount of amyloid beta in the brain of a human patient of about 5%, about 10%, about 15%, about 20%, about 25%, about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99%, or more.
- API Active pharmaceutical ingredient
- Turbidity of the solution is determined by measuring the absorbance at 550 nm
- the pH of an antibody solution impacts properties including, but not limited to, the solubility of the antibody in the solution.
- the solubility of the antibody in the solution is an important parameter because it influences the amount of solution that must be administered to a patient (/.e., the dose) in order to deliver a given amount of antibody and achieve the target biological effect in the patient.
- the pH of an antibody solution affects the stability of the solution (e.g., that the antibody may degrade in the solution more rapidly at a first pH than at a second, different pH). Given the importance of pH, a pH rate-profile stability study was conducted to examine solution pH conditions for donanemab. The experimental design is presented in Table 3.
- the thawed bulk drug substance (10mM citrate, 150 mM NaCI, pH 6.5; 57.5 mg/mL) was dialyzed against the 10mM citrate buffers using 30,000 MWCO Slide-a-lyzers cassettes. Dialysis was performed at 2-8°C and buffers were exchanged each day. Following buffer exchange, the protein concentration in each solution was measured and diluted to the pre-defined concentration (approximately 50 mg/mL for F4 and 2 mg/mL for the other solutions); final solutions were filtered using 0,22 m syringe filters.
- the filtered solutions were filled into 20R glass vials which were then stoppered and sealed. Vials of each solution were stored under defined storage conditions in the relevant stability chambers (e.g., 5 ⁇ 3°C, 25 ⁇ 2°C/60 ⁇ 5%RH, and 40 ⁇ 2°C/75 ⁇ 5%RH).
- the testing schedule is listed in Table 4.
- Samples were tested for purity (SEC and CE-SDS Reduced and Non- Reduced), protein content (UV assay at 280 nm), insoluble particulate matter (light obscuration and visual appearance), turbidity (A550), pH. Approximately 1 mL of each solution was sent for thermal stability (calorimetry).
- the stability of the donanemab solutions was assessed after freezing and thawing for up to 3 times.
- Samples were tested for soluble aggregation (SEC), insoluble particulate matter (light obscuration and visual appearance), protein content (UV assay at 280 nm), aggregation (DLS), turbidity (A550) and pH.
- SEC soluble aggregation
- insoluble particulate matter light obscuration and visual appearance
- protein content UV assay at 280 nm
- DLS aggregation
- A550 turbidity
- the stability of donanemab was assessed after agitating on a rotary shaker at 100 rpm at room temperature for 24 and 48 hours. This speed allowed a small oscillation of the solution inside the vials.
- the solutions with the same matrices and the same dialysis procedure as those in freeze thaw study were analyzed (see Table 5). After 0.22 pm filtration, the solutions were split into 10R vials filled each with 5 mL of each solution, stoppered and sealed. The testing schedule is listed in Table 7.
- Donanemab BDS was dialyzed into appropriate buffers (same dialysis procedure followed for freeze thaw and agitation study), concentrated using Amicon® Ultra 30 K centrifugal filter units, filled in a 5 mL glass vial, stoppered, sealed, and stored at - 5°C on a pre-cooled lyophilizer shelf. After 24 hours, the sample was visually observed for phase separation. If no phase separation occurred, the sample was subjected to additional physical stability testing at 5°Cfor 1 week. The testing schedule was as listed in Table 8.
- the results obtained from the storage temperature of 40°C / 75% RH were considered more significant than the ones obtained from the 2°C-8°C storage conditions.
- the SEC chromatograms showed a shoulder after the main peak which was identified as a fragment of donanemab and therefore it was included in the %low molecular weight species (% LMW) or fragments.
- % LMW %low molecular weight species
- FIG.1 and Table A.3 of Appendix A provide additional SEC data for solutions at different pHs.
- % Donanemab refers only to the % area of the peak identified as the intact monoclonal antibody.
- FIG. 2A, FIG. 2B, and Table A.4 of Appendix A provide additional details regarding the pH study.
- Soluble aggregates increased slightly in all samples after freeze and thaw treatment. As shown in FIG. 6A and FIG. 6B, after the third freeze / thaw cycle, the number of particles/mL increased generally for each solution at each investigated size.
- Donanemab was chemically stable after rotating for 2 days. Likewise, soluble aggregation was minimal following agitation for all samples. Solutions with Polysorbate 80 had the fewest number of particles/mL with respect to solutions without it, mainly for 10 pm size (FIG. 10A and FIG. 10B). Refer also to Table A.20 of Appendix A.
- the foregoing results suggested a benefit from including 0.01 % (w/v) polysorbate 80 in solutions comprising donanemab to protect donanemab from physical instability associated with mixing.
- a solution comprising 10 mM citrate buffer, 0.01 % (w/v) polysorbate 80, and at pH 6.0 provides a stable solution of donanemab.
- Table A.21 of Appendix A for a summary of the freeze thaw and agitation study results.
- FIG. 11 A and FIG. 11 B show a snapshot of the samples. This same sample clarified upon equilibration to room temperature.
- the sample was stored at 2-8°C for 1 week and then analyzed.
- the donanemab solution remained yellow colored throughout the study. No phase separation was observed after 24 h storage. After 1 week storage at 2°C - 8°C the solution was clear with particles and a filament in solution. A slight decrease of the UV assay was detected. Without wishing to be bound by theory, the result of the absorbance (Abs) at 550 nm may have been affected by the yellow color of the solution. No pH variation was observed.
- the SEC results were in line with the results obtained in the previous studies on less concentrated donanemab solutions.
- phase separation was not observed at a concentration of approximately 125 mg/mL.
- the initial prototype solution screening study evaluated thirteen prototypes with various donanemab concentrations, tonicity agents, buffer systems, and surfactant levels.
- Donanemab solutions were prepared, and 20 mL vials were filled with 14 mL of solution, to provide a worst-case scenario for headspace and potential susceptibility to oxidation and agitation.
- Vials were stoppered, capped, and sealed, and stored in the upright storage condition at 5°C, 25°C and 35°C conditions for 3 months (with the exception of ‘R2’ and ‘R13’ solutions at 10 and 17.5 mg/mL described in the next section, which were only stored at 5°C and 35°C due to material constraints). Vials were also subjected to an ISTA 3A shipping stress evaluation. A subset of the solutions of interest were selected based on the 3-month data and retains were tested after 29 months of storage.
- PS20 refers to polysorbate 20 (polyoxyethylene (20) sorbitan monolaurate).
- PS80 refers to polysorbate 80 (polyoxyethylene (20) sorbitan monooleate).
- Example 1 it is believed that the pH of the antibody solution impacts properties of the solution and/or of the antibody in solution.
- the results of that Example suggested that antibody stability in solution may be maximized by preparing the solution at a pH of from 5.5 to 6.0 Taking that information into account, in the present Example, the solutions were prepared at a target pH of 6.0. Table 11. donanemab Initial Solution Prototype Screening Study
- the concentration of the antibody in solution affects the stability of the solution.
- impurities such as enzymes (e.g., esterases).
- impurities may promote (e.g., catalyze) processes that lead to solution degradation and/or the formation of particulate matter.
- a higher concentration of the antibody in solution correlates to a higher concentration of trace impurities (e.g., enzymes) and, therefore, to a greater possibility that solution degradation occurs and/or that particulate matter forms in solution, each of which is undesirable.
- trace impurities e.g., enzymes
- trace amounts of esterases may catalyze the hydrolysis of polyoxyethylene (20) sorbitan monooleate and generate free oleic acid, which, in turn, may cause accumulation of particulate matter.
- antibody concentration is one of many factors that impacts solution stability.
- antibody concentration was a variable examined in the present study. Specifically, a donanemab concentration range of 10 to 50 mg/mL was studied. The 50 mg/mL concentration (R3) was expected to provide a worst-case for potential particulate growth over time, as an earlier-examined lyophilized formulation showed a trend of increased particulates growth as a function of donanemab concentration
- Use of a 50 mg/mL donanemab solution concentration could enable a single vial to be used for a clinical dose of 700 mg.
- the 10 and 25 mg/mL concentrations were selected as the lower and upper ends of the range expected for a feasible solution formulation, to mitigate the risk of particulate growth and provide an acceptable stability profile.
- the 17.5 mg/mL concentration (R13) was selected as a midpoint between the lower and upper ends of the expected acceptable solution range.
- a clinical dose of 700 mg could be administered from two, 20-mL drug product vials.
- the nature of the buffer of the antibody solution can impact the stability of the solution and/or the antibody therein.
- polyoxyethylene (20) sorbitan monooleate is susceptible to oxidation.
- oxidation of polyoxyethylene (20) sorbitan monooleate generates free radical species that can attack the antibody and cause protein alteration and/or degradation
- oxidation of polyoxyethylene (20) sorbitan monooleate leads to an increase in the amount of free oleic acid in solution, which, in turn, causes an increase in particulate matter formation in the solution.
- certain buffers may reduce or prevent oxidation of polyoxyethylene (20) sorbitan monooleate.
- the choice of the one or more buffers used in the antibody solution can impact the stability of the antibody solution by reducing or preventing alteration and/or degradation of the antibody and/or reducing or preventing particulate matter formation.
- several prototype solutions evaluated a 10 mM citrate buffer system to minimize antibody matrix changes between an earlier-examined lyophilized formulation and the studied solutions.
- the nature of the one or more tonicity agents present in the antibody solution can impact the stability of the solution and/or the antibody therein.
- certain tonicity agents can act as cryoprotectants to prevent the degradation of the antibody during the freeze-thaw process.
- the choice of the one or more buffers used in the antibody solution can impact the stability of the antibody solution.
- several solutions evaluated a 10% w/v sucrose level. A previous lyophilized formulation had utilized sucrose at 8% w/v to provide isotonic conditions.
- Prototypes R4 and R6 evaluated glycine in combination with sucrose or mannitol, respectively, to provide an alternative to the 10% w/v sucrose level.
- Prototype R8 evaluated the addition of methionine to mitigate any potential oxidative-related chemical degradation observed in prior forced degradation studies.
- Solutions R7 and R9 evaluated trehalose and sodium chloride as alternative tonicity agents to sucrose. After 29 months of storage at 5°C, solution vial retains for the lead prototype and selected prototypes from the initial study were evaluated. Based on the extended 5°C storage condition and acceptable chemical and physical property data, the sucrose-based solution formulation was modified to provide isotonic conditions (reducing the sucrose from 10% w/v to 8% w/v).
- the nature and/or concentration of the one or more surfactants present in the antibody solution can impact the stability of the solution and/or the antibody therein.
- a higher concentration of PS80 is associated with a greater number of free radical species (which are themselves formed by oxidation of PS80, as discussed above), whereas a lower concentration of PS80 is associated with a lower number of free radical species.
- free radical species may attack the antibody and cause protein alteration and/or degradation.
- prototype solution vials were also subjected to an ISTA-3A shipping evaluation to understand if there was any susceptibility to particulate growth as a result of shipping stress conditions. Generation of particulates had been observed after exposing various lyophilized formulations to ISTA-3A shipping conditions.
- CE-SDS reduced data show that the two solutions containing glycine had higher % purity losses and corresponding higher total aggregates/non-reducible species levels, relative to all other solutions, at the 3-month 25°C and 35°C storage conditions. All solutions had a similar stability profile for total fragments. Without wishing to be bound by theory, these results suggested that including glycine in solutions may have a deleterious effect on the long-term stability of the solution.
- Non-reducing CE-SDS data (FIG. 14A and FIG. 14B) showed similar main peak purity and total aggregate stability profiles for all solutions.
- the 10 mM histidine solution showed lower total aggregates at all temperature conditions after 3 months, relative to all other solutions.
- the solution containing 7.5 mM histidine showed less total aggregate growth than other solutions, but higher levels than the 10 mM histidine formulation, providing evidence that the presence of increased histidine levels in the DP matrix may prevent aggregate formation.
- FIG. 15 shows that the free oleic acid (FOA) in solutions containing sodium chloride and 10 mM histidine was higher after 3 months of storage at the 25°C and 35°C temperature conditions, than all other solutions containing 0.02% w/v PS80. Greater than 25% of the TOA level was present as FOA in these solutions after 3 months at 25°C, suggesting a higher susceptibility of these solutions to PS80 hydrolysis.
- FOA free oleic acid
- esterases contained in solutions of the antibodies may catalyze the hydrolysis of PS80 to yield free oleic acid.
- esterases contained in solutions of the antibodies may catalyze the hydrolysis of PS80 to yield free oleic acid.
- increased amounts of free oleic acid in solutions of the antibodies lead to the formation of more particulate materials.
- the solution containing PS20 showed an increase in free lauric acid after 3 months at 25°C, approaching similar levels to those observed for the 10 mM histidine- based solution (approximately 25% of the total existing in the free state).
- the solution containing poloxamer showed no indication of losses over the storage time at 5°C.
- FIG. 16A, FIG. 16B, FIG. 17A, FIG. 17B, FIG. 17C, FIG. 17D, FIG 18A, and FIG. 18B depict particulate data (MFI and light obscuration) for studied solutions.
- particulate data remained low at the 3-month timepoint for all temperatures.
- the solutions containing glycine, methionine, and 10 mM histidine showed slightly elevated 10- and 25-micron particle count light obscuration data, compared to other solutions.
- ISTA-3A testing is used to examine the effect of vibrations, shocks, and other stress that may be encountered during the handling and/or transportation of a material in a package distribution system.
- a test material is subjected to drops, vibrations, and impacts.
- damage to a test material is cumulative.
- an acceleration factor may be used. Without wishing to be bound by theory, it is believed that use of an acceleration factor enables trading an increase in power for an increase in time.
- ISTA-3A shipping exposure data for the tested solutions including data regarding particulates of various sizes as measured by microflow imaging (MFI), regarding particulates of various sizes as measured by light obscuration using a high accuracy liquid particle counter (HIAC), regarding percent monomer content as measured by size exclusion chromatography, regarding total aggregate content as measured by size exclusion chromatography, regarding purity as measured by non-reducing CE-SDS, regarding percent fragment content as measured by non-reducing CE-SDS, and regarding percent aggregates as measured by non-reducing CE-SDS, are presented in FIG. 19A, FIG. 19B, FIG. 20A, FIG. 20B, FIG. 21A, FIG. 21 B, FIG. 22A, FIG. 22B, and FIG. 22C.
- MFI microflow imaging
- HIAC high accuracy liquid particle counter
- the data did not indicate substantive differences in chemical attributes or particulate counts between control samples of the solutions (which were not subjected to the ISTA-3A shipping test) and samples that were subjected to the ISTA-3A shipping test, except for the solution containing poloxamer.
- the solution containing poloxamer exhibited a several-fold increase in particles > 2 pm and particles > 5 pm, as measured by MFI.
- these results suggested that the solutions containing poloxamer as the (or a) surfactant may be less amenable to packaging and shipping.
- the solutions did not show any substantial increase in particle formation.
- the foregoing chemical and stability performance data of the tested solutions suggested that the presence of histidine, methionine, sodium chloride, and/or glycine in the solution may have a negative impact on one or more chemical properties, particulate growth, and/or solution and/or antibody stability
- the foregoing data suggested that the combination of a 17.5 mg/mL anti-N3pGlu A antibody concentration, in citrate buffer containing 10% w/v sucrose and 0.02% w/v PS80, provided an ideal solution in terms of utility and stability.
- the chemical and particulates data for the antibody solution comprising that combination of ingredients were comparable to an earlier- examined lyophilized antibody matrix, yet the antibody solution comprising that combination exhibited superior stability over time compared to that earlier-examined lyophilized antibody matrix.
- FIG. 23A to FIG. 29B Chemical and physical property data for the two additional solutions and for a solution (identified as R13) comprising 17.5 mg/mL donanemab in 10 mM citrate, containing 0 02% PS80, and containing 10% w/v sucrose, the latter solution being shown for comparison to the two additional solutions, are illustrated in FIG. 23A to FIG. 29B.
- Samples of solutions P1 and P2 were stored at 5°C for 1 , 3, and 6 months and at 25°C for 1 , 3, and 6 months.
- Samples of solution R13 were stored at 5°C for 3 and 29 months and at 35°C for 3 months. The collected data that are illustrated in FIG. 23A to FIG.
- 29B include percent monomer content as measured by size exclusion chromatography, percent total aggregate content as measured by size exclusion chromatography, purity as measured by reducing CE-SDS, percent fragment content as measured by reducing CE-SDS, percent aggregates as measured by reducing CE-SDS, purity as measured by non-reducing CE-SDS, percent fragment content as measured by non-reducing CE-SDS, percent aggregates as measured by non-reducing CE-SDS, total oleic acid, free oleic acid, particulates of various sizes as measured by microflow imaging (MFI), and particulates of various sizes as measured by light obscuration using a high accuracy liquid particle counter (HIAC).
- MFI microflow imaging
- HIAC high accuracy liquid particle counter
- Peptide mapping by LC-MS was performed for selected solutions after storage at 29 months storage at 5°C.
- the solutions in citrate matrix at 10, 17.5 and 25 mg/mL (R2, R13, and R8, respectively) and a histidine-based solution at 25 mg/mL (R10) were compared against a reference standard.
- Table 12 provides the peptide mapping results.
- citrate-based solutions were considered comparable to the reference standard in overall peptide map profiles. All solutions had reduced incomplete pyroglutamate and Des Gly Amidation degradant levels compared to the reference standard.
- these peptide mapping results suggested that incorporating a citrate buffer into the solution of anti-N3pGlu A
- these results suggested that incorporating histidine into the solution of anti- N3pGlu Ap antibody had a deleterious effect on antibody degradation.
- CE-SDS capillary electrophoresis with sodium dodecyl sulfate
- CEX cation exchange chromatography
- HPLC-UV high-performance liquid chromatography-ultraviolet spectroscopy
- icIEF imaged capillary isoelectric focusing
- SEC size-exclusion chromatography
- UV ultraviolet spectroscopy.
- end of shelf-life refers to test results throughout storage up to and including 24 months that meet the end-of-shelf-life specifications.
- EGITVY SEQ ID NO: 11 Nucleotide Sequence for SEQ ID NO: 1 ; Light Chain Variable Region (LCVR)
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| CA3261418A CA3261418A1 (en) | 2022-07-21 | 2023-07-20 | Pharmaceutical solutions of anti-n3pglu a.beta. antibodies and uses thereof |
| IL318102A IL318102A (en) | 2022-07-21 | 2023-07-20 | Pharmaceutical solutions of anti-n3pglu aβ antibodies and uses thereof |
| PE2025000205A PE20250785A1 (en) | 2022-07-21 | 2023-07-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3PGLU Aß ANTIBODIES AND THEIR USES |
| JP2025502865A JP2025525587A (en) | 2022-07-21 | 2023-07-20 | Pharmaceutical solution of anti-N3pGlu Aβ antibody and its use |
| CR20250023A CR20250023A (en) | 2022-07-21 | 2023-07-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aß ANTIBODIES AND USES THEREOF |
| KR1020257005184A KR20250037554A (en) | 2022-07-21 | 2023-07-20 | Pharmaceutical solution of anti-N3pGlu Aβ antibody and its use |
| MA71558A MA71558A (en) | 2022-07-21 | 2023-07-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3 PGLU A BETA ANTIBODIES AND THEIR USES |
| EP23755273.2A EP4558166A1 (en) | 2022-07-21 | 2023-07-20 | Pharmaceutical solutions of anti-n3 pglu a beta antibodies and uses thereof |
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| AU2023309007A AU2023309007A1 (en) | 2022-07-21 | 2023-07-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aβ ANTIBODIES AND USES THEREOF |
| CONC2025/0000508A CO2025000508A2 (en) | 2022-07-21 | 2025-01-17 | Pharmaceutical solutions of anti-n3pglu aβ antibodies and their uses |
| DO2025000005A DOP2025000005A (en) | 2022-07-21 | 2025-01-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aß ANTIBODIES AND THEIR USES. |
| MX2025000820A MX2025000820A (en) | 2022-07-21 | 2025-01-20 | PHARMACEUTICAL SOLUTIONS OF ANTI-N3pGlu Aβ ANTIBODIES AND USES THEREOF |
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| US20130142806A1 (en) * | 2010-08-12 | 2013-06-06 | Eli Lilly And Company | ANTI-N3pGlu AMYLOID BETA PEPTIDE ANTIBODIES AND USES THEREOF |
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| US20130142806A1 (en) * | 2010-08-12 | 2013-06-06 | Eli Lilly And Company | ANTI-N3pGlu AMYLOID BETA PEPTIDE ANTIBODIES AND USES THEREOF |
| US8679498B2 (en) | 2010-08-12 | 2014-03-25 | Eli Lilly And Company | Anti-N3PGLU amyloid beta peptide antibodies and uses thereof |
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| WANG W ET AL: "ANTIBODY STRUCTURE, INSTABILITY, AND FORMULATION", JOURNAL OF PHARMACEUTICAL SCIENCES, AMERICAN CHEMICAL SOCIETY AND AMERICAN PHARMACEUTICAL ASSOCIATION, US, vol. 96, no. 1, 1 January 2007 (2007-01-01), pages 1 - 26, XP009084505, ISSN: 0022-3549, DOI: 10.1002/JPS.20727 * |
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| AU2023309007A1 (en) | 2025-01-30 |
| AR129994A1 (en) | 2024-10-23 |
| DOP2025000005A (en) | 2025-02-28 |
| JP2025525587A (en) | 2025-08-05 |
| TW202421188A (en) | 2024-06-01 |
| CN119604302A (en) | 2025-03-11 |
| CO2025000508A2 (en) | 2025-02-04 |
| KR20250037554A (en) | 2025-03-17 |
| CR20250023A (en) | 2025-02-17 |
| PE20250785A1 (en) | 2025-03-14 |
| EP4558166A1 (en) | 2025-05-28 |
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| MX2025000820A (en) | 2025-03-07 |
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