Comparison of Strategies in Development and Manufacturing of Low Viscosity, Ultra-High Concentration Formulation for IgG1 Antibody.

✅ 全文

IgG1抗体低黏度、超高浓度制剂开发与生产策略的比较

作者 Deokar Vaibhav; Sharma Alok; Mody Rustom; Volety Subrahmanyam M 期刊 Journal Of Pharmaceutical Sciences 发表日期 2020 卷/期/页码 Vol. 109(12) ISSN 1520-6017 DOI 10.1016/j.xphs.2020.09.014 类型 原创研究 (Original Research)

📄 中文摘要 Chinese Abstract

中文
单克隆抗体(mAbs)是用于治疗多种危及生命疾病的高特异性治疗剂。然而,许多已获批的单克隆抗体需要高剂量(每次给药>100 mg),由于制剂浓度和稳定性的限制,通常需要静脉输注或多次皮下注射。这些给药途径降低了患者的依从性并增加了医疗成本。近期研究致力于开发超高浓度制剂(≥150 mg/mL),以通过单次皮下注射在较小体积内递送更大剂量的药物。本研究的重点是开发和比较一种低粘度、超高浓度(~200 mg/mL)IgG1抗体制剂的制备策略,该制剂适用于自我给药。

📋 英文结构化总结 English Structured Summary

全文整理

EN

Background:

Monoclonal antibodies (mAbs) are highly specific therapeutic agents used to treat various life-threatening diseases. However, many approved mAbs require high doses (>100 mg per dose), often necessitating intravenous infusion or multiple subcutaneous injections due to limitations in formulation concentration and stability. These administration routes reduce patient compliance and increase healthcare costs. Recent advances aim to develop ultra-high concentration formulations (≥150 mg/mL) that enable delivery of larger doses in smaller volumes via a single subcutaneous injection. This study focuses on developing and comparing manufacturing strategies for a low-viscosity, ultra-high concentration (~200 mg/mL) IgG1 antibody formulation suitable for self-administration.

Methods:

Three manufacturing approaches were evaluated: tangential flow filtration (TFF), spray drying (SPD), and spray freeze drying (SFD). IgG1 was concentrated to ~200 mg/mL using TFF with Ultracel® 30 kDa ‘D screen’ cassettes. Polysorbate 20 was removed prior to concentration using SDR Hyper D resin to prevent membrane fouling and excipient imbalance. For SPD and SFD, IgG1 was processed into dry powder and reconstituted in 30% v/v propylene glycol to achieve ~200 mg/mL. Viscosity modifiers (e.g., proline, glycine, salts) were screened to reduce viscosity below 20 cP. Stability was assessed under real-time (5°C), accelerated (25°C/60% RH), and stress (40°C/75% RH) conditions over 6–18 months using SE-HPLC, CE-HPLC, peptide mapping, CD spectroscopy, and sub-visible particle analysis.

Results:

TFF with ‘D screen’ membranes successfully concentrated IgG1 to ~200 mg/mL, overcoming limitations of conventional ‘A screen’ membranes. Proline reduced viscosity from ~21.9 cP to ~11.3 cP at 25°C without compromising stability. In contrast, SPD- and SFD-reconstituted formulations in 30% propylene glycol exhibited high viscosities (~80–93 cP), exceeding acceptable limits for subcutaneous injection. Stability data showed SPD-derived IgG1 had significantly increased high and low molecular weight impurities (6.8% HMW, 6.7% LMW at 6 months under accelerated conditions), while SFD and TFF formulations maintained impurity levels comparable to control. Secondary structure analysis via circular dichroism confirmed no conformational changes across all methods.

Data Summary:

At 200 mg/mL, IgG1 formulated with proline via TFF had a viscosity of 11.3 cP at 25°C, glide force of 5.7 N, and break-loose force of 5.1 N—within acceptable ranges for subcutaneous delivery. After 6 months at 25°C/60% RH, HMW impurities were 1.8% (TFF), 3.3% (SFD), and 6.8% (SPD), versus 3.6% for control. Monomer content remained highest in TFF (94.5%) and SFD (91.9%) formulations. Sub-visible particles (≥10 μm) after 18 months at 5°C were 910 (TFF), 1,185 (SFD), and 1,403 (SPD) per mL, indicating better physical stability for TFF and SFD versus SPD.

Conclusions:

Tangential flow filtration using ‘D screen’ membranes is the preferred method for manufacturing ultra-high concentration (~200 mg/mL) IgG1 formulations, especially when combined with proline as a viscosity modifier. Spray freeze drying offers a viable alternative for long-term dry-state storage with minimal impact on stability upon reconstitution. Spray drying, despite enabling powder formation, leads to significant degradation under reconstitution conditions and is less suitable for stable ultra-high concentration formulations. The study demonstrates that low-viscosity, high-concentration IgG1 can be achieved without compromising structural integrity or chemical stability.

Practical Significance:

This research provides scalable, cost-effective manufacturing strategies for developing ultra-high concentration antibody formulations that enable single-injection subcutaneous delivery of high-dose therapeutics. Such formulations improve patient compliance, reduce administration frequency, and support self-care in chronic disease management, particularly for conditions like cancer, autoimmune disorders, and osteoporosis requiring high-dose mAb therapy.

📋 中文结构化总结 Chinese Structured Summary

中文

背景:

单克隆抗体(mAbs)是用于治疗多种危及生命疾病的高特异性治疗剂。然而,许多已获批的单克隆抗体需要高剂量(每次给药>100 mg),由于制剂浓度和稳定性的限制,通常需要静脉输注或多次皮下注射。这些给药途径降低了患者的依从性并增加了医疗成本。近期研究致力于开发超高浓度制剂(≥150 mg/mL),以通过单次皮下注射在较小体积内递送更大剂量的药物。本研究的重点是开发和比较一种低粘度、超高浓度(~200 mg/mL)IgG1抗体制剂的制备策略,该制剂适用于自我给药。

方法:

评估了三种制备工艺:切向流过滤(TFF)、喷雾干燥(SPD)和喷雾冷冻干燥(SFD)。使用Ultracel® 30 kDa 'D screen'膜包通过TFF将IgG1浓缩至~200 mg/mL。在浓缩前使用SDR Hyper D树脂去除聚山梨酯20,以防止膜污染和辅料失衡。对于SPD和SFD,将IgG1加工成冻干粉,然后用30% v/v丙二醇复溶以达到~200 mg/mL的浓度。筛选粘度调节剂(如脯氨酸、甘氨酸、盐类)以将粘度降低至20 cP以下。在实时条件(5°C)、加速条件(25°C/60% RH)和应力条件(40°C/75% RH)下,通过SE-HPLC、CE-HPLC、肽图分析、圆二色谱和亚可见颗粒分析,在6-18个月内评估稳定性。

结果:

使用'D screen'膜的TFF成功将IgG1浓缩至~200 mg/mL,克服了传统'A screen'膜的局限性。脯氨酸在25°C下将粘度从~21.9 cP降低至~11.3 cP,且不影响稳定性。相比之下,在30%丙二醇中复溶的SPD和SFD制剂表现出高粘度(~80-93 cP),超过了皮下注射的可接受限度。稳定性数据显示,在加速条件下6个月后,SPD制备的IgG1高分子量和低分子量杂质显著增加(6.8% HMW,6.7% LMW),而SFD和TFF制剂的杂质水平与对照品相当。通过圆二色谱进行的二级结构分析证实所有方法均未引起构象变化。

数据总结:

在200 mg/mL浓度下,通过TFF制备并添加脯氨酸的IgG1在25°C下的粘度为11.3 cP,滑动力为5.7 N,启动力为5.1 N——均在皮下递送的可接受范围内。在25°C/60% RH条件下6个月后,高分子量杂质分别为:TFF 1.8%、SFD 3.3%、SPD 6.8%,对照品为3.6%。TFF(94.5%)和SFD(91.9%)制剂的单体含量最高。在5°C下18个月后,亚可见颗粒(≥10 μm)分别为:TFF 910个/mL、SFD 1,185个/mL、SPD 1,403个/mL,表明TFF和SFD的物理稳定性优于SPD。

结论:

使用'D screen'膜的切向流过滤是制备超高浓度(~200 mg/mL)IgG1制剂的首选方法,尤其是与脯氨酸作为粘度调节剂联合使用时。喷雾冷冻干燥提供了长期干粉储存的可行替代方案,复溶后对稳定性的影响最小。喷雾干燥虽然能够形成粉末,但在复溶条件下会导致显著降解,不太适合稳定的超高浓度制剂。本研究表明,低粘度、高浓度的IgG1可以在不损害结构完整性或化学稳定性的前提下实现。

实际意义:

本研究为开发超高浓度抗体制剂提供了可扩展、经济高效的制备策略,使高剂量治疗药物能够通过单次皮下注射递送。此类制剂提高了患者依从性,减少了给药频率,并支持慢性病管理中的自我护理,特别是对于需要高剂量单克隆抗体治疗的癌症、自身免疫性疾病和骨质疏松症等疾病。

📖 英文全文 English Full Text

EN

J Pharm Sci J Pharm Sci 3815 pheelsevier Journal of Pharmaceutical Sciences 0022-3549 1520-6017 pmc-is-collection-domain yes pmc-collection-title Elsevier - PMC COVID-19 Collection PMC7491461 PMC7491461.1 7491461 7491461 32946895 10.1016/j.xphs.2020.09.014 S0022-3549(20)30512-8 1 Research Article Pharmaceutical Biotechnology Comparison of Strategies in Development and Manufacturing of Low Viscosity, Ultra-High Concentration Formulation for IgG1 Antibody Deokar Vaibhav a ∗ Sharma Alok a Mody Rustom a Volety Subrahmanyam M. b a Lupin Limited (Biotechnology Division), A-401, G.O. Square Mall, Sr. No. 249/50, Wakad, Pune 411057, India b Department of Pharmaceutical Biotechnology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education (Deemed University), Manipal 576104, Karnataka, India ∗ Corresponding author. Lupin Limited (Biotechnology Division), A-401, G.O. Square Mall, Sr. No. 249/50, Near Mankar Chowk, Wakad, Pune 411057. 12 2020 15 9 2020 109 12 365155 3579 3589 29 4 2020 26 7 2020 8 9 2020 15 09 2020 16 09 2020 05 02 2021 © 2020 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved. 2020 American Pharmacists Association® Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. Monoclonal antibodies requiring higher doses for exerting therapeutic effect but having lower stability, are administered as dilute infusions, or as two (low concentration) injections both resulting in reduced patient compliance. Present research summarizes impact of manufacturing conditions on ultra-high concentration (≥150 mg/mL) IgG1 formulation, which can be administered as one subcutaneous injection. IgG1 was concentrated to ~200 mg/mL using tangential flow filtration (TFF). Alternatively, spray dried (SPD) and spray freeze dried (SFD) IgG1, was reconstituted in 30%v/v propylene glycol to form ultra-high concentration (~200 mg/mL) injectable formulation. Reconstituted, SPD and SFD IgG1 formulations, increased viscosity beyond an acceptable range for subcutaneous injections (<20 cP). Formulations developed by reconstitution of SPD IgG1, demonstrated increase in high and low molecular weight impurities, at accelerated and stressed conditions. Whereas, the stability data suggested reconstituted SFD IgG1 was comparable to control IgG1 formulation concentrated by TFF. Also, formulation of IgG1 diafiltered with proline using TFF, reduce viscosity from ~21.9 cP to ~11 cP at 25 °C and had better stability. Thus, conventional TFF technique stands to be one of the preferred methods for manufacturing of ultra-high concentration IgG1 formulations. Additionally, SFD could be an alternative method for long term storage of IgG1 in a dry powder state. Keywords High concentration IgG antibody(s) Monoclonal antibody(s) Injectable(s) Protein formulation(s) Tangential flow filtration Viscosity modifiers Spray drying Spray freeze-drying pmc-status-qastatus 0 pmc-status-live yes pmc-status-embargo no pmc-status-released yes pmc-prop-open-access yes pmc-prop-olf no pmc-prop-manuscript no pmc-prop-legally-suppressed no pmc-prop-has-pdf yes pmc-prop-has-supplement yes pmc-prop-pdf-only no pmc-prop-suppress-copyright no pmc-prop-is-real-version no pmc-prop-is-scanned-article no pmc-prop-preprint no pmc-prop-in-epmc yes Introduction Due to inherent specificity and potential therapeutic activity, monoclonal antibodies have proven to be one of the most efficient therapeutic agents in treatment of several life threatening disorders. 1

, 2 By April 2020, about 84 different antibodies have been approved by European Medical Agency (EMA) and US FDA for various indications. However, majority of the approved antibodies require higher doses (>100 mg per dose) to demonstrate desired therapeutic effect. Some antibodies at higher concentrations can show limited stability in aqueous solutions, and are manufactured as lyophilized products which are further reconstituted, prior to administration as intravenous infusion (IV). 3

, 4 Lyophilization further increases manufacturing cost. At times, antibodies with larger dose and having poor stability at higher concentration, are injected as two injections at a time ( Table 1

). All these circumstances together result in reduced patient compliance and adds to the cost of administration. 5 , 6 , 7

Table 1 Commercialized High Dose Antibody Formulations (>100 mg Dose) Which are Administered as Two Injections for Single Therapeutic Dose. Therapeutic Protein Brand Name Single Therapeutic Dose Concentration Injection Volume Number of Injections for Single Dose certolizumab-pegol Cimzia® 400 mg 200 mg/mL 1.0 mL two secukinumab Cosentyx® 300 mg 150 mg/mL 1.0 mL two erenumab Aimovig® 140 mg 70 mg/mL 1.0 mL two galcanezumab-gnlm Emgality® 240 mg 120 mg/mL 1.0 mL two romosozumab Evenity® 210 mg 90 mg/mL 1.17 mL two Recent advances in antibody therapeutics are mainly focused on development of high concentration antibody formulations (>100 mg/mL concentration) which can administer higher doses in smaller injection volumes. Herceptin SC® 600 mg (5 mL injection volume) and Rituxan® SC 1600 mg (13.4 mL injection volume), are two such examples of recent developments in high concentration antibody formulations (at ~120 mg/mL), and require specialized pumps and auto-devices for subcutaneous delivery, increasing cost of administration. Thus, there is need to develop low viscosity, ultra-high concentration antibody formulations which are stable, cost effective and capable of self-administering larger doses as a single sub-cutaneous injection. 8

Antibodies approved in past 35 years for various indications like multiple myeloma, metastatic breast cancer, migraine, osteoporosis etc., having doses >100 mg and concentration ≥100 mg/mL, are summarized in Fig. 1

. These formulations are commercialized as liquid and/or lyophilized presentations. Fig. 1 also includes presentations with large doses, having low active ingredient concentration and are administered as larger volumes by diluting into IV solution. Thus, Fig. 1 highlights potential antibodies which can be developed into ultra-high concentration (>150 mg/mL) formulations. 3 , 4 , 5

, 9 Fig. 1 List of monoclonal antibody formulations with high concentrations (>100 mg/mL) or having higher doses (≥100 mg) which can be developed into ultra-high concentration antibody formulation. In recent years there has been lot of research on stabilization and viscosity behavior of high concentration antibody formulations. 10

, 11 However, there is less research on challenges associated in manufacturing of ultra-high concentration antibody formulations and head-to-head comparative evaluation of their manufacturing methods. Challenges in manufacturing of such antibody formulations are mainly associated with increased viscosity, which exceeds the capabilities of existing manufacturing practices and parenteral delivery systems. Although widely used, tangential flow filtration (TFF) system may have limitation of membrane fouling due to higher viscosity. Hence, alternative membrane geometry and methods to reduce viscosity should be evaluated. Concentration step by TFF also results variation in excipient content (e.g., concentration of polysorbates, buffer and excipient offset etc.) which may impact the stability of concentrated antibody formulation. Hence, alternate strategies and manufacturing methods for ultra-high concentration should be evaluated. Shire 12 has discussed alternate strategies like lyophilization at high concentration and reconstitution to generate high concentration antibody formulation. High concentration antibody formulations using spray drying technique has been demonstrated by Ginkanga et al. 13 with stability for 3 months at 40 °C in dry state. However, stability post reconstitution has not been discussed. Present research is mainly focused on scalable manufacturing strategies to develop ultra-high concentration (>150 mg/mL), low viscosity (<20 cps) antibody formulation suitable for single subcutaneous administration, and provides comparative evaluation of their impact on chemical and structural stability of biosimilar IgG1. 2

, 9 Antibody used in the study is a lyophilized biosimilar IgG1 molecule and its commercially available formulation variants are: i. Lyophilized formulation of 440 mg dose at ~22 mg/mL concentration for IV administration. ii. Aqueous formulation of 600 mg dose at ~120 mg/mL co-formulated with hyaluronidase and injection volume of ~5 mL for subcutaneous administered using auto device over a period of 5 min.

This paper summarizes research performed in development of ultra-high concentration antibody formulation (≥150 mg/mL) having biosimilar IgG1 molecule at ~200 mg/mL, resulting in dose of ~600 mg in an injection volume of ~3.0 mL per injection. Such a formulation could be administered as a single subcutaneous injection instead of using conventional methods of administration. The techniques used for concentration of IgG1 are tangential flow filtration (TFF), spray drying (SPD) and spray freeze drying (SFD). Material and Methods All experiments were performed by using a biosimilar IgG1 molecule as a model protein to develop alternative strategies to manufacture ultra-high concentration antibody formulations. IgG1 drug substance (DS) used in this study was manufactured at Lupin Limited (Biotechnology Division), India and is referred as IgG1 hereafter. The IgG1 DS used in the study contains IgG1 at ~22 mg/mL concentration as active pharmaceutical ingredient, 10 mM of histidine and histidine HCl as buffering agent at pH 6.0; 19 mg/mL of α, α-trehalose as stabilizer and 0.86% w/v of polysorbate 20 as surfactant. The recommended storage temperature for IgG1 was −20 °C and was thawed to room temperature before further processing. Storage of IgG1 DS at −20 °C, did not result in crystallization of trehalose. This observation was in agreement to earlier research by Jena et al. 14 which demonstrated crystallization of trehalose at −18 °C only after annealing, which is absent during bulk storage of IgG1 DS at −20 °C. Thus, there was no impact of trehalose crystallization on long term storage of IgG1DS at −20 °C. The excipients used in the study were Ph.Eur. and USP compliant. l -histidine (P/N:1.04352, >99.0% pure) and l -histidine monohydrochloride monohydrate (P/N:1.04354, >99.0% pure), l -arginine hydrochloride (P/N:1.01544, >98.5% pure), ammonium chloride (P/N:1.01142, >99.5% pure), sodium chloride (P/N:1.37017, >99.5% pure), magnesium chloride (P/N:1.02367, >99.0% pure), calcium chloride (P/N:1.37101, >99.0% pure), glycine (P/N:1.03669, >99.0% pure), proline (P/N:1.07430, >99.0% pure) and propylene glycol (P/N:1.07478, ≥99.5% pure) were procured form Merck KGaA, Germany. Polysorbate 20 (P/N: JT4116) was procured from JT Baker, USA and α, α-trehalose monohydrate (P/N: T-104-4, >99.0% pure) was procured form Pfanstiehl Inc., USA. Methods Concentration of IgG1 by Tangential Flow Filtration (TFF) Ultracel® 30 kDa membrane with D screen (make: Merck Millipore KGaA, Germany, P/N: P3C030D01), commercially available in 0.11 m 2 format was used for concentrating IgG1 from ~20 mg/mL (1×) to ~200 mg/mL (10×) and diafiltration. ~6000 mL IgG1 DS, without polysorbate 20 at ~20 mg/mL, was ~10 fold concentrated at ~1.5 bar transmembrane pressure (TMP) during concentration. Determination of Protein Content Protein content of IgG1 was determined using UV spectrophotometer (make: Shimadzu, model: UV-1800) at 280 nm. The samples were analyzed by diluting to ~0.5 mg/mL, based on the concentration folds. (e.g., initial IgG1 volume of ~500 mL is reduced to ~250 mL, results in 2 fold concentration. Further concentration will result in reduction of retentate volume to 125 mL in which is 4 fold concentration, and so on). Histidine Quantification Histidine quantification was performed using SeQuant® ZIC®- HILIC 5 μm, 200 Å, 250 mm × 2.1 mm column (Merck KGaA, Germany; P/N:150458) at 30 °C. A mobile phase of 70% acetonitrile (Merck KGaA, Germany; P/N:100030), 30% 10 mM ammonium acetate (Merck KGaA, Germany; P/N: 101116), pH 5.0 was used in an isocratic mode at 0.5 mL/min flow rate for 15 min at 206 nm. With this method three amino acids can be detected namely: glycine (3.2 min), histidine (5.0 min) and arginine (5.7 min). 15 , 16 , 17

Method for Removal of Polysorbate 20 from IgG1 Polysorbate 20 was removed by passing IgG1 through SDR Hyper D resin (Pall Life Sciences, USA; P/N: 20033–023) in flow through mode, using Akta Prime™ FPLC system (GE Life Sciences, USA). ~206 mL SDR Hyper D resin was packed in XK50/30 column and IgG1 was loaded at a flowrate of ~25 mL/min. This resulted in selective binding of polysorbate 20, and IgG1 without polysorbate 20 was obtained as flow-through. 18 Required amount of polysorbate 20 was later added in final formulation after concentration and diafiltration step. Viscosity Measurements Viscosity of the formulations was estimated using a rolling ball and capillary based micro-viscometer (model: Lovis 2000 M/ME, Anton Paar GmbH Austria) having temperature controller. The capillary made of glass with i.d. of 1.62 mm was used for viscosity estimation and the angle of rotation was 20°–70°. Glide Force and Break Loose Force Estimation Glide force estimation of samples was performed using Universal Testing Machine (UTM) (model: UTM LS-1; make: Lloyds, USA) having a 20 N load cell. IgG1 samples were filled into EZ Fill™ 1 mL USP type 1 glass syringes with 27 Gauge, thin wall staked needle having ½ inch length and 3 bevels (make: Nuova Ompi, Italy; P/N: 7600001.7439) and were placed on the stage of UTM testing machine. The friction test was performed in compression mode with preload of 0.5 N at speed of 21 mm/min, followed by test speed or extension rate of 100 mm/min up to length of 26 mm. 19

Spray Drying (SPD) of IgG1 and Reconstitution to Form Ultra-High Concentration Antibody Formulation A lab scale spray dryer was used for SPD of IgG1. IgG1 DS at 20 mg/mL with polysorbate 20 was spray dried using a spray dryer (model: Spray Mate™; make: JISL, India) having nozzle i.d. of 0.5 mm. The feed flow rate was ~4 mL/min at an air pressure of ~27 psig. The feed nozzle temperature was at 180 °C and the air flow rate was ~10 LPM. Powder of IgG1 from cyclone separator was collected and sealed in air tight vials. Spray dried powder was reconstituted into small volumes of sterile water for injection (WFI) or alternative vehicles to achieve IgG1 concentration of ~200 mg/mL. 13

Spray Freeze Drying (SFD) of IgG1 and Reconstitution to Form Ultra-High Concentration Antibody Formulation Spray freeze drying (SFD) was performed by spraying of IgG1 into liquid nitrogen and flash freezing followed by bulk freeze drying in a lyophilizer. An aliquot of 200 mL IgG1 at a concentration of 20 mg/mL with polysorbate 20, was sprayed on the surface of liquid nitrogen from a height of 30 cm, using a 0.5 mm spray nozzle pressurized by compressed nitrogen at ~30 psig. The spray frozen IgG1 thus obtained was loaded on lyophilizer (model: Lab Scale™; make: LSI, India) having pre cooled shelf at −45 °C. Further, the spray frozen IgG1 was freeze dried to achieve the powder of IgG1 and reconstituted similar to spray dried powder to achieve concentration of IgG1 approximately 200 mg/mL. 20

, 21 Size Exclusion Chromatography (SE HPLC) The high and low molecular weight impurities, were determined by SE HPLC analysis using a Yarra™ 3 μm SEC-3000 column of 300 mm × 7.8 mm dimensions (make: Phenomenex, USA, P/N:00H-4513-K0) in an isocratic mode. The column was equilibrated at 0.5 mL/min with mobile phase containing 80 mM sodium phosphate, pH 6.8 with 0.3 M sodium chloride at a column oven temperature of 25 °C. IgG1 samples were diluted to 0.5 mg/mL using mobile phase and detected at 280 nm. The column load for this method was 25 μg of IgG1. Cation-Exchange Chromatography (CE HPLC) for Charge Variant Analysis Analysis of acidic and basic charge variants of IgG1 samples was performed using a cation-exchange chromatography using a HPLC system (make: Shimadzu, Japan; model: LC-2010CHT), in a gradient mode. The IgG1 samples were diluted to 1 mg/mL in mobile phase A containing 20 mM of MES (make: Merck KGaA, Germany, P/N:1.37074) buffer pH 6.8 and a column load of 50 μg was injected on ProPac™ WCX-10 analytical cation-exchange column (4 mm × 250  mm) (make: ThermoScientific, USA; P/N: 054993) at a column temperature of 40 °C. The IgG1 charge variants were eluted using 35% mobile phase B containing 20 mM of MES buffer pH 6.8 and 200 mM sodium chloride at a flow rate of 1 mL/min. Peptide Mapping for Determination of Oxidation and Deamidation of IgG1 Oxidized and deamidated species of IgG1 were determined by peptide mapping under reduced conditions using quantitative UHPLC-MS technique. IgG1 samples at 2 mg/mL were treated with 0.25% w/w of RapiGest SF™ (make: Waters, USA; P/N: 186002123) at 25 °C for 1 h followed by reduction with 10 mM dithiothreitol (DTT) (make: Sigma Aldrich, USA; P/N: D0632) for 1 h. Samples were alkylated using 20 mM imidoacetamide (make: Sigma Aldrich, USA; P/N: I6125) for 1 h at 25 °C. Further the samples were digested enzymatically with Trypsin (make: ThermoFisher Scientific, USA; P/N: 90058) for 12 h at 37 °C followed by GluC (make: ThermoFisher Scientific, USA, P/N: 90054) for 10 h at 25 °C. The reaction was arrested by addition of 1% v/v of formic acid (Mass grade) and samples were centrifuged at 12500 RPM for 25 min at 25 °C. The reduced supernatant was further diluted to 0.2 mg/mL using acetonitrile with 0.1% (v/v) trifluroacetic acid of LC/MS grade (make: Merck, P/N: 1.59014) and 10 μL of this sample was analyzed (n = 3) on Acclaim™ VANQUISH™ C18 column, of 2.2 μm particle size and dimensions of 2.1  mm × 250 mm (P/N 074812-V) using Vanquish Flex Binary UHPLC system and further analyzed on Q Exactive™ Plus Hybrid Quadrupole-Orbitrap™ Mass Spectrometer (all from Thermo Scientific, USA). The data for samples was analyzed by using Xcalibur 4.0 and BioPharma Finder 3.0 software. Sub-Visible Particle Analysis of IgG1 Samples by Flow Imaging Microscopy Micron sized sub-visible particles of IgG1 were quantified using Micro-Flow Imaging™ (MFI) (make: Protein Simple, USA; model: 5200). Before every analysis sufficient amount of WFI was primed through the flow path to get a particle free base line. Sample volumes of 0.51 mL were analyzed at a flow rate of 0.17 mL/min and software MFI View Analysis Suite™ version 1.4.0, (Protein Simple, CA, USA) was used for data analysis. Circular Dichroism (CD) Spectroscopy Circular dichroism (CD) measurements were recorded using CD spectrophotometer (make: Jasco, Japan; model J −1500). The far-UV CD spectra (195–260 nm) for ultra-high concentration IgG1 from different manufacturing process were collected at 20 °C using a quartz cell of 0.1 cm path length and protein concentration of 0.2 mg/mL. After accumulation of 3 scans at a scan rate of 1 nm per second, the scans were subsequently corrected by subtracting formulation buffer as blank. Secondary structural components were calculated by CDNN software using molecular mass of 148.4 kDa and total number of 1328 amino acids. Results and Discussion Concentration by Tangential Flow Filtration (TFF) IgG1 was concentrated to ~200 mg/mL using Ultracel® 30 kDa Pellicon® 3 cassettes (Merck Millipore) having ‘D screen’ geometry. Preliminary experimentation on concentration of IgG1 using Pellicon Biomax® (PES) 30 kDa Membrane (‘A screen’ membrane) could achieve concentration only up to 100–120 mg/mL (data not included). Ultracel® ‘D screen’ cassettes was able to achieve higher viscosity and higher concentrations under existing processing limits and conditions conventionally used for Pellicon Biomax® cassettes having ‘A screen’ geometry. Polysorbates are normally added to final concentrated DS due their propensity to concentrate on TFF membranes. This can pose a risk of aggregate formation due to absence polysorbate during concentration step. Also, preliminary experiments suggested that polysorbate 20 present in the IgG1 was concentrated during the concentration and diafiltration step when Biomax® cassettes ‘A screen’ geometry was used. This increase in polysorbate 20 concentration would result in inconsistency with respect to TFF process and formulation composition. Hence, polysorbate 20 was removed by passing IgG1 through SDR Hyper D resin in flow through mode ( supporting data Fig. 1 ). IgG1 thus obtained without polysorbate 20 was used for further concentration to ~200 mg/mL using TFF system with D screen cassette. Polysorbate 20 was added to IgG1 after concentration. Alternatively, to address this challenge of polysorbate 20 concentration, surfactants like sodium deoxycholate can be evaluated while developing ultra-high concentration antibody formulations. According to Malarkani et al. 22 and Albani et al. 23 sodium deoxycholate does not concentrate during TFF and helps to prevent any aggregation due to shear during concentration/diafiltration step. Also, sodium deoxycholate is routinely used in pharmaceutical injections and vaccines. 24 , 25 , 26 , 27 , 28 , 29

Excipient concentration in final DS differs from initial formulation buffer during concentration and diafiltration of proteins. This is either due to volume of exclusion, preferential hydration or charge dependent Donnan membrane effect. Thus, it is necessary to quantify the excipient concentration after concentration or diafiltration step. IgG1 samples withdrawn at different concentration folds were analyzed for protein content and excipient content during concentration of IgG1. It was observed that trehalose content was unchanged during the concentration process, thus rejecting the volume of exclusion hypothesis. But histidine content significantly reduced as the IgG1 was concentrated to ~200 mg/mL ( supporting data Fig. 2 ). In this case, reduction of histidine content could be possible due to Donnan membrane effect, wherein the charged proteins are retained by semipermeable membrane and electrostatic interactions result in an unequal distribution of charged solutes across the membrane, resulting in buffer and pH off sets. Miao et al. 30 in their work on concentration/diafiltration for antibodies demonstrated low histidine concentration in retentate because of repulsive charge interactions between positively-charged histidine molecules and positively-charged protein molecules. Miranda et al. 31 demonstrated that IgG1 has an isoelectric point of 8.7. Based on observations of Stoner et al. 32 and Teerters et al. 33 it can be concluded that, histidine with isoelectric point of 7.6 will be positively charge at pH 6.0. IgG1 with isoelectric point of 8.7 will also have net positive charge at pH 6.0, thus resulting in electrostatic repulsion during diafiltration step. As a result of histidine expulsion in permeate, change in pH of concentrated IgG1 at ~200 mg/mL was observed to increase from 6.0 to 6.5. Thus, diafiltration of IgG1 followed by concentration step results in buffer offset. Hence, strategies like diafiltration with higher buffer strength to compensate for buffer off-set while targeting higher IgG1 concentration, or addition of required histidine, histidine-HCl after diafiltration, or performing concentration step at lower pH ~5.5 (by adding more histidine-HCl in initial stage) followed by diafiltration to achieve target pH of ~6.0 after diafiltration, needs to be evaluated. Alternatively, buffering agents like citrate, phosphate or combinations thereof, which are negatively charged at pH 6.0, should be considered while formulating such antibody formulations. The concentrated IgG1 thus obtained was analyzed for histidine content and required amount of histidine was added to achieve the target concentration. IgG1 DS from above process was further used for developing low viscosity IgG1 formulation at ~200 mg/mL, for subcutaneous administration. Selection of Viscosity Modifying Agents Roberts et al. 34 reported that salts and amino acids, reduce viscosity of protein formulation based on their ionic strength. Also, they are generally regarded as safe in injectable and were screened to develop low viscosity formulation within acceptable range for subcutaneous injection (i.e. <20 cP). Salts screened as viscosity reducing agents were sodium chloride, ammonium chloride, calcium chloride, magnesium chloride. Whereas, amino acids screened during the study were l -arginine hydrochloride, glycine and proline. The concentration of these viscosity reducing agents was such that the resultant osmolality of solution would be within internal osmolality target range of ~300 ± 20 mOsmols/kg. About 13 mL IgG1 DS was buffer exchanged with formulation buffer containing viscosity modifiers, using a 10 kDa membrane. Further, these buffer exchanged formulations were filled in EZ Fill™ USP type 1 prefillable syringe (PFS) barrels (make: Nuova Ompi, Italy; P/N:7600001.7439) with Flurotech® coated stopper (make: West, P/N:9000001.6075) and were charged on stability. The viscosity data clearly indicates that IgG1 formulations containing viscosity modifiers showed lower viscosity at 5 °C and 25 °C ( Fig. 2

). Calcium chloride showed significant impact on viscosity IgG1 followed by proline and glycine. However, osmolality of formulation containing calcium chloride was too high (~380 mOsmols/kg) than the targeted isotonic range (300 ± 20 mOsmols/kg). As concluded by Roberts et al. 34 this could be due to ionic interactions resulting in accumulation of negative charged chloride ions with positively charged protein and expulsion of positive calcium ions at pH 6.0. If the amount of calcium chloride is reduced to match the target osmolality, the viscosity would increase as impact on viscosity is inversely proportional to concentration of viscosity modifier. Hence, calcium chloride was ruled out as potential viscosity modifying agent. The osmolality of IgG1 at 200 mg/mL was marginally lower than the IgG1 at 20 mg/mL concentration and could be attributed to the loss of histidine in permeate during the diafiltration process. The impact of viscosity modifiers on viscosity of IgG1 at ~200 mg/mL concentration is summarized in Table 2

. Fig. 2 Impact of various viscosity reducing agents on viscosity of ultra-high Concentration IgG1 DS. Table 2 Impact of Viscosity Modifying Agents on pH, Osmolality, Viscosity, Injection Forces and Accelerated (25 °C/60% RH) Stability of IgG1 DS Formulation at ~200 mg/mL Concentration up to 6 Months. Excipients Used as Viscosity Modifiers (and their Concentration in mg/mL) pH Osmolality (mOsmols/kg) Viscosity in cps at 25 °C Injection Forces (N) % High Molecular Weight Impurities % Monomer % Low Molecular Weight Impurities Glide Force Break-Loose Force Day 0 3 Month 6 Month Day 0 3 Month 6 Month Day 0 3 Month 6 Month IgG1 Drug Substance at ~200 mg/mL (NIL) 6.07 70 21.9 9.5 5.5 0.4 1.9 2.0 99.4 96.4 93.8 0.2 1.7 4.2 Arginine HCl (54.7 mg/mL) 6.03 285 16.7 3.8 3.0 0.6 1.0 1.3 99.4 93.3 90.0 0.0 5.7 8.7 Ammonium chloride (13.9 mg/mL) 6.06 300 13.4 4.5 2.3 0.7 1.4 1.4 99.4 92.8 84.8 0.0 5.8 13.7 Sodium chloride (15.2 mg/mL) 6.07 303 15.0 5.4 2.7 0.7 1.1 1.4 99.2 93.5 87.7 0.1 5.4 11.0 Magnesium chloride (25 mg/mL) 6.07 285 19.9 5.3 2.5 1.3 1.1 1.2 98.7 93.7 88.0 0.0 3.9 10.7 Calcium chloride (14.4 mg/mL) 6.14 380 11.1 4.8 2.6 1.7 2.0 2.1 98.2 96.5 94.0 0.1 1.6 3.9 Glycine (9.8 mg/mL) 6.27 291 13.6 4.2 5.0 0.7 1.7 1.4 99.3 96.3 95.1 0.1 2.0 3.5 Proline (15 mg/mL) 6.20 320 11.3 5.7 5.1 0.6 1.3 1.4 99.3 97.0 94.7 0.1 1.8 3.9 Impact of Viscosity Modifiers on Stability of Ultra-High Concentration IgG1 at 200 mg/mL From 6 months stability data, it was observed that all formulations containing viscosity modifiers were stable at real time conditions (5 °C). At accelerated conditions (25 °C ± 2 °C/60% RH), formulations with l -arginine hydrochloride, ammonium chloride, and sodium chloride and magnesium chloride as viscosity modifiers showed significant increase in low molecular weight (LMW) impurities. None of viscosity modifier had any adverse impact on high molecular weight (HMW) impurities. The formulations containing calcium chloride, glycine and proline did not show significant increase in LMW impurities at accelerated conditions. Formulation containing calcium chloride showed marginal increase in HMW species. Whereas, formulations containing proline and glycine were more stable as compared to the other viscosity modifying agents. The purity of IgG1 with proline and glycine formulations was promising after 6 months at accelerated conditions (25 °C ± 2 °C/60% RH) ( Table 2 ). In order to optimize the formulation composition and to determine their interaction effects, a DoE study with Response Surface Methodology (RSM) considering Central Composite Rotatable Design (CCRD) was performed using Design Expert® Software ( supporting data Figs. 4 and 5 ). Based on observations from DoE study, IgG1 formulation with proline was selected for further studies. Impact of Viscosity Modifiers on Injection Forces and Pain Dias et al. 35 demonstrated that tolerability of high volume subcutaneous injection of ~3.5 mL viscous placebo buffer (like a typical protein formulation), administered over 1 min was associated with more pain than a 1.2 mL bolus injection. The pain was lesser compared to bolus injection when the same viscous placebo buffer was administered over 10 min. Another study evaluating impact of viscosity of monoclonal antibody formulation, injection volume and injection flow rate on SC injection tolerance, Dias et al. 35 concluded that injection volume of up to 3 mL having viscosity up to 15–20 cP, are well tolerated without pain, when administered into the abdomen, within 10 s. 2 Also, for patients with normal dexterity, the limit of viscosity for SC administration is up to 20 cps. Thus, based on conclusions of Berteau et al. 2 and Dias et al. 35 there is a possibility that ~3.0 mL IgG1 at ~200 mg/mL with proline having viscosity ~11–12 cP could be administered over a period of 5–10 min, with less pain. Prasetyono et al. 37 reported that, clinically the moment of pushing the piston sliding inside the syringe plays a crucial role in potential pain resulted by flowing solution inside the tissue. The speed of gliding piston correlates with the flow of the fluid infiltrating the tissue i.e. greater speed results in more pain by stimulating the nerve endings compared to slow flowing injection. Siew et al. 36 and ISO guidance 38 describe that injection of solution requires two types of forces as parameters of injectability, i.e. the initial force when piston of syringe is pushed; known as plunger-stopper ‘break loose force‘ and the maintenance force required to keep pushing the piston in a sustained way; known as dynamic ‘gliding force’. Both injections forces are affected by the diameter of needle and syringe, as well as viscosity of the solution. However, keeping the container closer system (prefilled syringe and needle) constant, the glide force and break loose force should be impacted by viscosity of the solution. It can be observed that IgG1 at 200 mg/mL having viscosity >20 cP has glide force of ~9.5 N and break loose force is 5.5 N ( Table 2 ). Addition of viscosity modifiers resulted in viscosity below 20 cP with average break loose force of ~4.8 N and an average glide force of ~3.3 N, which can be considered as tolerable injection force with respect to pain perception. Spray Drying (SPD) and Spray Freeze Drying (SFD) of IgG1 Ginkanga B. et al. 13 demonstrated that manufacturing of high-concentration antibody formulations by spray drying has no process limitations with respect to concentration step. However, their study mainly focused on bulk storage of spray dried antibody and further formulation to high concentration drug product followed by stability in reconstituted state has not been evaluated. The spray drying (SPD) process involved spraying of IgG1 solution at high pressure through a heated nozzle (180 °C) followed by drying in a chamber with a flow of hot air flow (80 °C). Thus, the quality attributes of the antibody may get impacted during the drying process. An alternative to SPD, spray freeze drying (SFD) process which involves flash freezing of IgG1 in liquid nitrogen followed by bulk freeze drying can be explored. Faghihi et al. 39 and Yowa et al. 40 describe this process as more subtle for proteins and is commercially viable option, but less studied in manufacturing of high-concentration antibody formulations. The spray dried powder of IgG1 had higher bulk density (was heavier) as compared to spray freeze dried IgG1 powder. Thus, SFD IgG may be difficult for handling during dispensing and compounding process, posing the risk of airborne cross contamination. Table 3 summarizes formulation composition of IgG1, total solids per mL of IgG1 and % recovery obtained from SPD and SFD processes. The recovery of IgG1 dry powder was higher (>90%) in case of SPD process as compared to (~85%) SFD process. Lower recovery observed in SFD process can be attributed to process loss in an open system as compared to spray drier which had closed system. Impact of SPD and SFD on the morphology of IgG1 is summarized in supporting data Fig. 3 and Table 4 . Table 3 Formulation Composition for IgG1 and Percentage Recovery From Spray Drying and Spray Freeze Drying. % Recovery Calculations Parameter Spray Drying (SPD) Spray Freeze Drying (SFD) Volume processed in mL 270 275.0 a Total solids input in mg 5373.5 5472.5 Total solids obtained in mg 4988.2 4660.7 % Recovery 92.8% 85.2% a NOTE: Based on total solid of 19.9 mg/mL according to formulation composition of IgG1 DS. Reconstitution of Spray Dried and Spray Freeze Dried IgG1 to Form Ultra-High Concentration Antibody Formulation Wang et al., 41 Srinivasan et al. 43 and Yang et al. 42 demonstrated the feasibility of preparing crystal forms or amorphous particulate suspension at high-concentration protein formulations was demonstrated. Crystal formation of three different monoclonal antibodies was demonstrated at 150 mg/mL. It was observed that the viscosity of infliximab was highest amongst the three, at 275 cP. However, its equivalent crystalline suspension had a viscosity of less than 40 cP. They also demonstrated that aqueous solution of γ-globulin at 300 mg/mL have viscosity of 370 cP at 25 °C. Suspensions of γ-globulin in a number of organic solvents like ethanol, methanol, isopropanol, 1, 4-butanediol, propylene glycol, benzyl benzoate, PEG200, ethyl acetate, toluene, acetonitrile, etc.) exhibited viscosities up to 38 times lower than those of the corresponding aqueous solutions. This demonstrates a possibility of developing high concentration antibody formulations by suspending SPD and SFD formulation in non-aqueous vehicles. Propylene Glycol (PG) is one such solvent which is used widely used pharmaceutical injections ( supporting data table 1 ). Although widely used, there have been concerns for usage of 30% v/v of PG. However, systemic toxicity (resulting in confusion, lactic acidosis and acute kidney injury) due to metabolic acidosis from PG metabolism is rare and is reported only in case of acute ingestion or intravenous intoxications at extremely high doses (>600 mg/dL or >1600 g over 7 days or up to >200 g/day as continuous infusion). As per toxicological assessment by Anderson, 44 only critically ill patients (having functional impairment of liver and kidney) and premature infants could be sensitive to PG. Rare, idiosyncratic clinical responses have been reported for mild local irritancy. This also has been supported by conclusive reviews from authoritative bodies like US FDA 45 and EMEA. 46 As per the US FDA 45 and EMEA report 46 the Permitted Daily Exposures (PDE) for PG is 50 mg/kg body weight for adults (considering average weight of adult, male ~75 kg and female ~60 kg) and maximum daily dose of 500 mg/kg body weight is considered safe with no noticeable effects, whatever is the duration and route of administration (except inhalation).Considering 3.0 mL subcutaneous/intramuscular dose of IgG1 in 30% PG, and considering average body weight of 60 kg, the maximum daily dose of PG would be ~15.6 mg/kg body weight. This is well below allowable maximum daily dose. Thus, 30% PG can be considered as alternative vehicle for reconstitution of IgG1 powders obtained from SPD and SFD processes. Also, the composition of spray dried and spray freeze dried IgG1 powder is identical and, reconstitution of IgG1 powder from SPD and SFD process in WFI would result in IgG1 at ~200 mg/mL (without any viscosity modifier), but having higher viscosity ( Fig. 2 ). Thus, with an anticipation to form colloidal suspension of IgG1, 30%v/v of PG was selected as an alternative vehicle for reconstitution of spray dried and spray freeze dried IgG1 for manufacturing of low viscosity, ultra-high concentration IgG1 formulation for intramuscular or subcutaneous administration. The commercially available formulation variant of IgG1 has a dose of 600 mg for subcutaneous injection. Preliminary experiments suggested that reconstitution of ~2 g of spray dried or spray freeze dried IgG1 powder into ~3.0 mL of WFI, resulted in IgG1 at ~200 mg/mL concentration. Thus, reconstitution of spray dried or spray freeze dried IgG1 powder into 3.0 mL of 30% v/v of PG would result in colloidal suspension at 200 mg/mL of IgG1 with a dose of 600 mg. The reconstitution time of SPD IgG1 in WFI and 30% PG was higher ( supporting data table 2 ). Comparative Evaluation of Formulations Manufactured by Different Process The IgG1 (200 mg/mL) with proline as viscosity modifier (manufactured by TFF) and IgG1 (200 mg/mL) reconstituted in 30% v/v PG in IgG1 formulation buffer (manufactured by SPD and SFD) were filled in 3.5 mL USP type 1 glass syringe having tamper evident OVS® closure (make: Schott Kaisha, India; P/N: SB00303). Spray dried and spray freeze dried IgG1, reconstituted in 30 %v/v of PG resulted in a clear but highly viscous solution, instead of a colloidal suspension. The viscosity of SFD sample was ~80 cps and that for SPD samples was ~93 cps when measured at 25 °C.The solution of spray freeze dried IgG1 in 30% v/v of PG was almost colorless, while spray dried IgG1 in 30% v/v of PG had brownish discoloration. These formulations were charged on stability at real time (5 °C), accelerated (25 °C ± 2 °C/60% RH) and stress conditions (40 °C ± 5 °C/75% RH) along with IgG1 at 200 mg/mL (without any viscosity modifier and without 30% PG) as control sample and were compared for impact of manufacturing conditions on stability. Table 4 summarizes impact of processing conditions on accelerated stability of IgG1 up to 6 months and impact of processing conditions and excipient change on other quality attributes like acidic and basic charge variants, oxidized, deamidation impurities, and sub-visible particulate analysis, under real time conditions. Table 4 Comparative Stability of Formulations from Different Manufacturing Processes (Tangential Flow Filtration, Spray Drying and Spray Freeze Drying) at Accelerated Conditions (25 °C/60% RH) up to 6 Months and Impact of Processing Conditions, Excipient Change on Charge Variants, Oxidation, Deamidation and Sub-Visible Particles at Real Time Conditions up to 18 Months. Stability Indicating Parameters Time Point IgG1 at 200 mg/mL Without Viscosity Modifier (Control) IgG1 at 200 mg/mL With Proline From Tangential Flow Filtration (TFF) IgG1 at 200 mg/mL in 30% PG From Spray Freeze Drying (SFD) IgG1 at 200 mg/mL in 30% PG From Spray Drying (SPD) Purity by SE HPLC (25 °C/60% RH)  % High Molecular Weight (HMW) impurities Day 0 0.7 0.6 0.5 0.5 6 month 3.6 1.8 3.3 6.8  % Monomer Day 0 99.0 99.3 98.7 99 6 month 92.7 94.5 91.9 86.5  % Low Molecular Weight (LMW) impurities Day 0 0.3 0.1 0.8 0.5 6 month 3.8 3.7 4.8 6.7 Charge Variants by CEX HPLC (5°C)  % Acidic variants 18th month 25.6 26.7 24.6 25.8  % Main Form 68.1 66.7 68.6 67.5  % Basic Variants 6.3 6.8 6.9 6.7 a Oxidized species LC-MS-MS % Abundance (5°C)  HC Met 255 HC-Met-ox-255 18th month 2.2 (±0.3) 2.1 (±0.4) 2.2 (±0.4) 2.4 (±0.2)  HC Met 431 HC-Met-ox-431 1.8 (±0.1) 1.7 (±0.1) 1.7 (±0.3) 1.8 (±0.3) a Deamidation species LC-MS-MS peptide mapping % Abundance (5°C)  LC-Asn-30: LC-deamid-30 18th month 1.0 (±0.1) 1.0 (±0.1) 1.0 (±0.2) 1.2 (±0.2)  HC-Asn-55: HC-deamid-55 4.6 (±0.3) 4.7 (±0.2) 3.9 (±0.2) 3.7 (±0.5)  HC-Asp-102: HC-isoAsp-102 11.1 (±0.1) 11.3 (±0.4) 10.2 (±0.8) 13.8 (±1.2)  HC-Asp-283: HC-isoAsp-283 1.0 (±0.1) 1.3 (±0.2) 1.1 (±0.3) 1.1 (±0.2)  HC-Asn-387,392,393:HC-deamid-387,392,393 1.1 (±0.1) 1.0 (±0.1) 1.4 (±0.4) 1.0 (±0.3) b Sub-visible particle analysis by micro flow imaging (MFI) (5°C)  ≥ 2 μm particles per mL 18th month 8569 10,565 10,932 13,588  ≥ 5 μm particles per mL 3100 4764 5784 7536  ≥ 10 μm particles per mL 707 910 1185 1403  ≥ 25 μm particles per mL 86 92 103 137 a (n = 3, mean = ±S.D.). b (n = 3). Impact of manufacturing conditions on conformational changes in secondary structure of IgG1 in ultra-high concentration formulations, was evaluated by analyzing formulations from different manufacturing techniques using far UV CD. Lyophilized IgG1 (reconstituted in WFI and having identical composition to SPD and SFD IgG1 powder) was used as additional control sample to compare structural changes due to processing. The formulation composition of IgG1 used in SPD and SFD process is identical and head-to-head comparison between these two processes can be established after reconstitution in 30% PG. From Table 4 , it can be observed that, although the SPD and SFD formulations have identical composition, there is significant increase in % HMWs for formulation obtained from SPD process. Whereas formulation from SFD process is relatively stable and comparable to control sample (without 30% PG). It was observed that acidic and basic variants were not impacted by SPD and SFD conditions nor by adding 30% PG, and were comparable to TFF and control sample. Also, at real time conditions up to 18 months (in presence of 30% PG), there was no significant difference in oxidation of HC-Met 255 and HC-Met 431 and deamidation impurities of IgG1 in comparison with control. This could be because the pH of formulations, IgG1 SPD (pH = 6.2) and IgG1 SFD (pH = 6.1) (containing 30% PG) was within the target range of 6.0 ± 0.3. The sub-visible particle analysis by flow imaging microscopy demonstrated marginally higher particles in IgG1 formulation from SPD process on reconstitution with 30% PG. The particles form SPD process were dark as compared to other strategies and had mixed morphology of both round shaped and elongated particles ( supporting data table 4 ). However, IgG1 formulation from SFD process had relatively lower sub-visible particles and were comparable to control formulation. As both IgG1 SPD and IgG1 SFD have identical composition, the rise in particulates in IgG1 SPD formulation can be attributed to processing conditions and not to the presence of 30% PG. Thus, it can be concluded that differences in quality attributes of SE HPLC and sub visible particulates are due to impact of processing conditions and presence of 30% PG does not have any impact on stability of ultra-high concentration IgG1. Formulation from TFF additionally has proline, as viscosity reducing agent. It can be seen from the 6 month accelerated (25 °C ± 2 °C/60% RH) stability data ( Table 2 ), that proline does not enhance the stability of IgG1DS. Stability profile of IgG1 without proline (B00) and with proline (B07) is equivalent and comparable under accelerated conditions up to 6 Months. Hence, proline is just a viscosity reducing agent and not stabilizing agent. Thus, it can be concluded that presence of proline or 30% PG does not have any impact on stability of IgG1 at 200 mg/mL, even under accelerated conditions up to 6 months, and formulations from different manufacturing process having these variations can be compared for studying the impact of manufacturing conditions on stability of ultra-high concentration IgG1 at 200 mg/mL. From the stability data at accelerated conditions up to 6 months ( Table 4 ) and stressed conditions up to 4 weeks (data not shown) it was observed that, in formulations developed by reconstitution of spray dried IgG1, both HMW and LMW impurities increased (~6.7%) with time. This could be due to severe processing conditions which involved atomization at high nozzle temperature of 180 °C. However, in case of spray freeze dried and reconstituted IgG1, there was significantly less (~3.3%) HMW impurities and were almost comparable to IgG1 control at 200 mg/mL. Thus, SFD could be a potential method for manufacturing of bulk dried powders of IgG1 formulations with no significant impact on purity. For the IgG1 concentrated by TFF and having proline as viscosity modifying agent, LMW impurities were comparable to control at accelerated conditions but had lesser HMWs (~1.78%). CD spectra of control sample (IgG1 without proline and without PG) showed zero intensity at 206 nm, minimum intensity at 217 nm and a broad shoulder at ~228 nm which indicates presence of β-sheet as predominant structure ( Table 5

). These results were consistent with the structure reported for native IgG1 molecule by Pabari et al. 47 and Lee et al. 48

Table 5 Comparison of Wavelength at Zero Intensity, Spectra Minima and Broad Shoulder for IgG1 DS From Different Manufacturing Processes. Description of Formulation Wavelength in nm Zero Intensity Spectra Minima Broad Shoulder IgG1 DS at 200 mg/mL (Control) 209.2 217.3 227.2 IgG1 Lyophilized (Control) 209.4 218.2 227.7 IgG1 Spray Freeze Dried 209.6 217.4 227.5 IgG1 Spray Dried 209.8 217.3 228.1 IgG1 from TFF 209.6 215.5 228.1 IgG1DS from SPD, SFD and TFF, has wavelength at zero intensity, spectra minima and broad shoulder; comparable with IgG1 controls (without proline and without PG and lyophilized IgG1) ( Fig. 3 and Table 5 ). Although there is increase in HMW impurities in SPD IgG1, but there is no co-relation with any change in the secondary structure. The secondary structure analysis summarized in Table 6 confirmed that β-sheet was the predominant structure (48% β-sheet, 5.5% α-helix and 34% was random coil). As demonstrated by Schüle et al. 49 and Ng et al. 50 the variation in secondary structure of high concentration IgG1 from different manufacturing conditions was within the error of the measurement technique(i.e. 3–4%) suggesting that there is no significant impact of difference in excipients and manufacturing conditions on secondary structure of ultra-high concentration IgG1. Therefore, IgG1 concentrated up to 200 mg/mL by different manufacturing techniques and having difference of excipients (proline in formulation from TFF and 30% PG in formulation from SPD and SFD) and manufacturing conditions (e.g., nozzle temperature of 180 °C) does not lead to any change in the secondary structure of IgG1. This confirms that IgG1 remains chemically and conformationally intact when exposed to stresses of above mentioned manufacturing conditions. Fig. 3 Circular Dichroism (CD) spectra for ultra-high concentration formulations of IgG1 DS manufactured form different manufacturing techniques like Lyophilization, Spray Drying, Spray Freeze Drying and Tangential Flow Filtration (TFF). Table 6 Secondary Structure Analysis of Ultra-High Concentration IgG1 DS Manufactured From Different Manufacturing Techniques Using Circular Dichroism (CD). Secondary Structural Components IgG1 Control DS IgG1 Lyo Reconstituted in Water for Injection IgG1 SFD Reconstituted in 30% Propylene Glycol IgG1 SPD Reconstituted in 30% Propylene Glycol IgG1 TFF With Proline α-Helix 5.8% 5.3% 5.5% 5.2% 5.9% β-sheet: Antiparallel 42.2% 42.3% 42.8% 42.7% 42.4% β-sheet: Parallel 6.1% 5.8% 5.9% 5.9% 5.5% β turn 14.3% 15.0% 14.5% 14.8% 15.9% Random Coil 33.5% 33.6% 32.9% 33.9% 34.6% Accuracy ± 3%. (n = 3). Conclusion A low viscosity ultra-high concentration IgG1 formulation at 200 mg/mL was successfully developed by using TFF process. The limitation of conventionally used ‘A’ Screen membrane to achieve maximum IgG1 concentration up to ~120 mg/mL was circumvented using ‘D’ screen membrane (Ultracel® 30 kDa Pellicon® 3). IgG1 was concentrated up to ~200 mg/mL Ultracel® 30 kDa Pellicon® 3 (‘D’ screen membrane). To overcome concentration of polysorbate 20, using SDR hyper D resin in flow through mode resulted in IgG1 without polysorbate 20. Alternatively, stability of IgG1 with surfactants like sodium deoxycholate can be evaluated as they do not concentrate on TFF membranes and can be used as alternative to polysorbates. The challenge of buffer off set observed with buffers like histidine can be addressed calculating the strength of required buffering system to achieve target buffer concentration or by use of excipients with charge opposite to that of IgG1. Viscosity of IgG1 formulation was reduced to ~11cps by adding proline to concentrated IgG1. Considering <20 cps as acceptable viscosity for subcutaneous administration, the maximum tolerable injection force at lower viscosity values was observed to be < 5 N. Ultra-high concentration formulations manufactured from alternate strategies like SPD and SFD were compared with those manufactured from TFF process. The difference in formulation composition (i.e. presence of proline in TFF based formulation versus presence of 30%PG in formulations reconstituted from SPD and SFD) was not significant from stability data at accelerated conditions up to 6 months and did not have any impact on other quality attributes like oxidation, deamidation and sub visible particles, at real time conditions up to 18 months. This was supported by secondary structural analysis by circular dichroism suggesting that the differences observed in stability and sub-visible particles is only due to difference in processing conditions and not due to difference of excipients. Thus, the formulations from different process can be compared for stability at accelerated conditions. Reconstitution of IgG1DS powders in 30% v/v of PG did not form any colloidal suspension but formed a clear viscous solution. SFD IgG1 reconstituted in 30% v/v of PG showed comparable stability to control. However, higher viscosity post reconstitution in 30% PG would make it difficult for subcutaneous administration. Thus, further scope of work in this area involves evaluation of alternative solvents for reconstitution of IgG1 powder from SFD technique. From the comparative evaluation of different methods, TFF stands to be the most preferred method for manufacturing of high concentration antibody formulation. This is followed by SFD which can be a potential method for manufacturing of bulk dried powders of IgG1 with no significant impact on purity. Declaration of Interests None. References 1 Das N. Commercializing high-concentration mAbs Biopharm Int 29 11 2016 47 49 2 Berteau C. 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Multimedia Component 1 Acknowledgement Authors of this article acknowledge authorities of Lupin Limited and Manipal Academy of Higher Education (Deemed University) for supporting this research under Lupin-Manipal ASCENT PhD program and express sincere gratitude for financial support extended by Lupin Limited for this research. Authors are thankful to Dr. Basu from Lupin for his support on particulate analysis. Authors are also thankful to Merck-Millipore (Bioprocess Division) for providing ‘D’ screen cassette as a generous gift for concentration of IgG1. Authors also express their sincere gratitude to Dr. Bhambure, National Chemical Laboratory, Pune for extending timely support on peptide mapping analysis, despite hurdles due to COVID-19 pandemic. Appendix A Supplementary data to this article can be found online at https://doi.org/10.1016/j.xphs.2020.09.014 .

📖 中文全文 Chinese Full Text

中文

# 翻译

**期刊信息**

J Pharm Sci | Journal of Pharmaceutical Sciences | 0022-3549 | 1520-6017

**文章编号:** PMC7491461

**文章类型:** 研究论文

**领域:** 药物生物技术

**文章标题:** 低粘度、超高效浓度IgG1抗体开发与制造策略的比较研究

**作者:**

Deokar Vaibhav^a*,Sharma Alok^a,Mody Rustom^a,Volety Subrahmanyam M.^b

^a Lupin Limited(生物技术部),印度浦那

^b 马尼帕尔高等教育学院(认定大学)马尼帕尔药物科学学院药物生物技术系,印度卡纳塔克邦马尼帕尔

*通讯作者

**收稿日期:** 2020年4月29日 | **修回日期:** 2020年7月26日 | **接受日期:** 2020年9月8日 | **在线发表:** 2020年9月15日

© 2020 美国药师协会®。由Elsevier Inc.出版。保留所有权利。

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**摘要**

需要较高剂量才能发挥治疗效果但稳定性较低的单克隆抗体,通常以稀释输注液或两次(低浓度)注射的方式给药,这两种方式均导致患者依从性降低。本研究总结了制造条件对超高效浓度(≥150 mg/mL)IgG1制剂的影响,该制剂可作为单次皮下注射给药。采用切向流过滤(TFF)将Ig1浓缩至约200 mg/mL。另外,将喷雾干燥(SPD)和喷雾冷冻干燥(SFD)的IgG1用30% v/v丙二醇复溶,形成超高效浓度(~200 mg/mL)的可注射制剂。复溶后的SPD和SFD IgG1制剂的粘度超出了皮下注射的可接受范围(<20 cP)。通过复溶SPD IgG1开发的制剂,在加速和强制条件下高分子量和低分子量杂质均有所增加。而稳定性数据表明,复溶的SFD IgG1与通过TFF浓缩的对照IgG1制剂相当。此外,使用TFF以脯氨酸进行渗滤的IgG1制剂,在25°C下将粘度从约21.9 cP降低至约11 cP,且具有更好的稳定性。因此,传统TFF技术是制造超高效浓度IgG1制剂的首选方法之一。此外,SFD可作为IgG1长期储存的替代方法。

**关键词:** 高浓度IgG抗体;单克隆抗体;注射剂;蛋白质制剂;切向流过滤;粘度调节剂;喷雾干燥;喷雾冷冻干燥

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## 引言

由于其固有的特异性和潜在的治疗活性,单克隆抗体已被证明是治疗多种危及生命的疾病最有效的治疗药物之一。^1,^2 截至2020年4月,欧洲药品管理局(EMA)和美国FDA已批准约84种不同抗体用于各种适应症。然而,大多数已批准的抗体需要较高剂量(>100 mg/剂)才能达到预期的治疗效果。一些抗体在较高浓度下在水溶液中稳定性有限,因此被制成冻干产品,在作为静脉输注(IV)给药前进行复溶。^3,^4 冻干进一步增加了制造成本。有时,剂量较大且在较高浓度下稳定性较差的抗体,需要一次注射两针(表1)。所有这些情况共同导致患者依从性降低,并增加了给药成本。^5,^6,^7

**表1 商业化高剂量抗体制剂(>100 mg剂量),单次治疗剂量需注射两针**

| 治疗蛋白 | 商品名 | 单次治疗剂量 | 浓度 | 注射体积 | 单次剂量注射次数 | |---|---|---|---|---|---| | 赛妥珠单抗-聚乙二醇 | Cimzia® | 400 mg | 200 mg/mL | 1.0 mL | 两次 | | 司库奇尤单抗 | Cosentyx® | 300 mg | 150 mg/mL | 1.0 mL | 两次 | | 依瑞奈尤单抗 | Aimovig® | 140 mg | 70 mg/mL | 1.0 mL | 两次 | | 加兰珠单抗 | Emgality® | 240 mg | 120 mg/mL | 1.0 mL | 两次 | | 罗莫索单抗 | Evenity® | 210 mg | 90 mg/mL | 1.17 mL | 两次 |

抗体治疗药物的最新进展主要集中在开发高浓度抗体制剂(>100 mg/mL),以便在较小注射体积中给予较高剂量。Herceptin SC® 600 mg(5 mL注射体积)和Rituxan® SC 1600 mg(13.4 mL注射体积)是高浓度抗体制剂(约120 mg/mL)近期发展的两个例子,需要使用专用泵和自动装置进行皮下给药,增加了给药成本。因此,需要开发低粘度、超高效浓度的抗体制剂,该制剂稳定、经济高效,且能够以单次皮下注射的方式自行给予较大剂量。^8

过去35年中批准用于多发性骨髓瘤、转移性乳腺癌、偏头痛、骨质疏松症等各种适应症的抗体,剂量>100 mg且浓度≥100 mg/mL的,总结于图1。这些制剂以液体制剂和/或冻干制剂形式商业化。图1还包括剂量较大、活性成分浓度较低、通过稀释到较大体积的IV溶液中给药的制剂。因此,图1强调了可开发为超高效浓度(>150 mg/mL)制剂的潜在抗体。^3,^4,^5,^9

**图1 高浓度(>100 mg/mL)或较高剂量(≥100 mg)的单克隆抗体制剂列表,可开发为超高效浓度抗体制剂**

近年来,关于高浓度抗体制剂的稳定化和粘度行为已有大量研究。^10,^11 然而,关于超高效浓度抗体制剂制造相关挑战及其制造方法的头对头比较研究较少。此类抗体制剂的制造挑战主要与粘度增加有关,这超出了现有制造实践和注射输送系统的能力。尽管切向流过滤(TFF)系统被广泛使用,但由于粘度较高,可能存在膜污染的限制。因此,应评估替代膜几何结构和降低粘度的方法。TFF浓缩步骤还会导致辅料含量变化(例如聚山梨酯浓度、缓冲液和辅料偏移等),这可能影响浓缩抗体制剂的稳定性。因此,应评估超高效浓度的替代策略和制造方法。Shire^12 讨论了在高浓度下冻干并复溶以生成高浓度抗体制剂等替代策略。Ginkanga等人^13 已证明使用喷雾干燥技术制备高浓度抗体制剂,在40°C干燥状态下稳定性可达3个月。然而,复溶后的稳定性尚未讨论。本研究主要聚焦于可放大的制造策略,以开发超高效浓度(>150 mg/mL)、低粘度(<20 cps)的抗体制剂,适用于单次皮下给药,并对其对生物类似药IgG1的化学和结构稳定性的影响进行比较评估。^2,^9

本研究中使用的抗体为冻干生物类似药IgG1分子,其市售制剂变体包括:i. 440 mg剂量的冻干制剂,浓度约22 mg/mL,用于IV给药。ii. 600 mg剂量的水溶液制剂,浓度约120 mg/mL,与透明质酸酶共配制,注射体积约5 mL,使用自动装置在5分钟内皮下给药。

本文总结了在开发超高效浓度抗体制剂(≥150 mg/mL)方面进行的研究,其中生物类似药IgG1分子浓度约200 mg/mL,每剂注射体积约3.0 mL,剂量约600 mg。这种制剂可作为单次皮下注射给药,替代传统的给药方法。用于IgG1浓缩的技术包括切向流过滤(TFF)、喷雾干燥(SPD)和喷雾冷冻干燥(SFD)。

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## 材料与方法

所有实验均使用生物类似药IgG1分子作为模型蛋白,以开发制造超高效浓度抗体制剂的替代策略。本研究中使用的IgG1原料药(DS)由印度Lupin Limited(生物技术部)生产,以下称为IgG1。研究中使用的IgG1 DS含有约22 mg/mL的IgG1作为活性药物成分,10 mM组氨酸和盐酸组氨酸作为pH 6.0的缓冲剂;19 mg/mL α,α-海藻糖作为稳定剂,0.86% w/v聚山梨酯20作为表面活性剂。IgG1的推荐储存温度为-20°C,使用前解冻至室温。IgG1 DS在-20°C储存不会导致海藻糖结晶。该观察结果与Jena等人^14 的早期研究一致,该研究表明海藻糖仅在-18°C退火后才结晶,而在IgG1 DS于-20°C的散装储存过程中不存在退火。因此,海藻糖结晶对IgG1 DS在-20°C长期储存没有影响。研究中使用的辅料符合欧洲药典和美国药典标准。

L-组氨酸、L-组氨酸盐酸盐一水合物、L-精氨酸盐酸盐、氯化铵、氯化钠、氯化镁、氯化钙、甘氨酸、脯氨酸和丙二醇均购自德国Merck KGaA。聚山梨酯20购自美国JT Baker,α,α-海藻糖一水合物购自美国Pfanstiehl Inc.。

### 方法

**切向流过滤(TFF)浓缩IgG1**

使用Ultracel® 30 kDa D筛网膜(Merck Millipore KGaA,德国),以0.11 m²规格市售,用于将IgG1从约20 mg/mL(1×)浓缩至约200 mg/mL(10×)并进行渗滤。约6000 mL不含聚山梨酯20的IgG1 DS(约200 mg/mL),在浓缩过程中以约1.5 bar的跨膜压(TMP)进行约10倍浓缩。

**蛋白质含量测定**

使用紫外分光光度计(Shimadzu,UV-1800型)在280 nm处测定IgG1的蛋白质含量。根据浓缩倍数将样品稀释至约0.5 mg/mL进行分析。

**组氨酸定量**

使用SeQuant® ZIC®-HILIC 5 μm, 200 Å, 250 mm × 2.1 mm色谱柱(Merck KGaA,德国)在30°C下进行组氨酸定量。流动相为70%乙腈、30% 10 mM乙酸铵(pH 5.0),以0.5 mL/min流速等度洗脱15 min,检测波长206 nm。该方法可检测三种氨基酸:甘氨酸(3.2 min)、组氨酸(5.0 min)和精氨酸(5.7 min)。^15,^16,^17

**从IgG1中去除聚山梨酯20的方法**

通过将IgG1以流穿模式流过SDR Hyper D树脂(Pall Life Sciences,美国),使用Akta Prime™ FPLC系统(GE Life Sciences,美国)去除聚山梨酯20。将约206 mL SDR Hyper D树脂装入XK50/30色谱柱,以约25 mL/min流速上样IgG1。这导致聚山梨酯20选择性结合,不含聚山梨酯20的IgG1作为流穿液获得。^18 在浓缩和渗滤步骤后,将所需量的聚山梨酯20加入最终制剂中。

**粘度测定**

使用基于滚球和毛细管的微粘度计(Lovis 2000 M/ME,Anton Paar GmbH,奥地利)估算制剂的粘度,该设备配有温控器。使用内径1.62 mm的玻璃毛细管测定粘度,旋转角度为20°–70°。

**滑动力和启动力估算**

使用万能试验机(UTM)(Lloyds,UTM LS-1型,美国),配备20 N载荷传感器,对样品进行滑动力估算。将IgG1样品装入EZ Fill™ 1 mL USP I型玻璃注射器,配有27号薄壁堆叠针(½英寸长,3个斜面,Nuova Ompi,意大利),置于UTM测试机平台上。摩擦试验以压缩模式进行,预载0.5 N,速度21 mm/min,随后以100 mm/min的测试速度或延伸率运行至26 mm长度。^19

**IgG1的喷雾干燥(SPD)及复溶形成超高效浓度抗体制剂**

使用实验室规模喷雾干燥器对IgG1进行SPD。将含聚山梨酯20的20 mg/mL IgG1 DS使用喷雾干燥器(JISL,Spray Mate™型,印度)进行喷雾干燥,喷嘴内径0.5 mm。进料流速约4 mL/min,空气压力约27 psig。进料喷嘴温度180°C,空气流速约10 LPM。从旋风分离器收集IgG1粉末并密封在气密小瓶中。将喷雾干燥粉末复溶于小体积注射用水(WFI)或替代溶媒中,以达到约200 mg/mL的IgG1浓度。^13

**IgG1的喷雾冷冻干燥(SFD)及复溶形成超高效浓度抗体制剂**

喷雾冷冻干燥(SFD)通过将IgG1喷入液氮中快速冷冻,随后在冻干机中进行散装冷冻干燥来完成。将200 mL含聚山梨酯20的20 mg/mL IgG1等分试样,使用0.5 mm喷雾喷嘴在约30 psig压缩氮气压力下从30 cm高度喷至液氮表面。将获得的喷雾冷冻IgG1装入冻干机(LSI,Lab Scale™型,印度),预冷层架温度为-45°C。进一步对喷雾冷冻的IgG1进行冷冻干燥以获得IgG1粉末,与喷雾干燥粉末类似进行复溶,以达到约200 mg/mL的IgG1浓度。^20,^21

**体积排阻色谱(SE HPLC)**

使用Yarra™ 3 μm SEC-3000色谱柱(300 mm × 7.8 mm,Phenomenex,美国),以等度模式通过SE HPLC分析测定高分子量和低分子量杂质。色谱柱在0.5 mL/min流速下用含80 mM磷酸钠(pH 6.8)和0.3 M氯化钠的流动相平衡,柱温箱温度25°C。将IgG1样品用流动相稀释至0.5 mg/mL,在280 nm处检测。该方法的上样量为25 μg IgG1。

**阳离子交换色谱(CE HPLC)电荷变异体分析**

使用HPLC系统(Shimadzu,LC-2010CHT型,日本),以梯度模式进行阳离子交换色谱分析IgG1样品的酸性和碱性电荷变异体。将IgG1样品在含20 mM MES缓冲液(pH 6.8)的流动相A中稀释至1 mg/mL,50 μg上样量注入ProPac™ WCX-10分析型阳离子交换色谱柱(4 mm × 250 mm,ThermoScientific,美国),柱温40°C。使用含20 mM MES缓冲液(pH 6.8)和200 mM氯化钠的35%流动相B,以1 mL/min流速洗脱IgG1电荷变异体。

**肽图分析测定IgG1的氧化和脱酰胺**

在还原条件下使用定量UHPLC-MS技术,通过肽图分析测定IgG1的氧化和脱酰胺物种。将2 mg/mL的IgG1样品用0.25% w/w RapiGest SF™(Waters,美国)在25°C处理1 h,随后用10 mM二硫苏糖醇(DTT,Sigma Aldrich,美国)还原1 h。用20 mM碘乙酰胺(Sigma Aldrich,美国)在25°C烷基化1 h。随后用胰蛋白酶(ThermoFisher Scientific,美国)在37°C酶切12 h,再用GluC(ThermoFisher Scientific,美国)在25°C酶切10 h。加入1% v/v甲酸(质谱级)终止反应,样品在12500 RPM离心25 min(25°C)。将还原的上清液用含0.1%(v/v)三氟乙酸(LC/MS级,Merck)的乙腈进一步稀释至0.2 mg/mL,取10 μL该样品(n = 3)在Acclaim™ VANQUISH™ C18色谱柱(2.2 μm粒径,2.1 mm × 250 mm)上使用Vanquish Flex Binary UHPLC系统进行分析,随后在Q Exactive™ Plus Hybrid Quadrupole-Orbitrap™质谱仪(均为Thermo Scientific,美国)上进行分析。使用Xcalibur 4.0和BioPharma Finder 3.0软件分析样品数据。

**流式成像显微镜对IgG1样品的亚可见颗粒分析**

使用微流成像(MFI)(Protein Simple,5200型,美国)对IgG1的微米级亚可见颗粒进行定量。每次分析前,用足量WFI冲洗流路以获得无颗粒基线。在0.17 mL/min流速下分析0.51 mL样品体积,使用MFI View Analysis Suite™软件1.4.0版(Protein Simple,美国)进行数据分析。

**圆二色性(CD)光谱**

使用CD分光光度计(Jasco,J-1500型,日本)记录圆二色性(CD)测量。在20°C下使用0.1 cm光径的石英比色皿,收集不同制造工艺的超高效浓度IgG1的远紫外CD光谱(195–260 nm),蛋白质浓度为0.2 mg/mL。在1 nm/秒扫描速率下累积3次扫描后,通过减去制剂缓冲液作为空白进行校正。使用CDNN软件,以148.4 kDa分子质量和1328个氨基酸总数计算二级结构组分。

---

## 结果与讨论

### 切向流过滤(TFF)浓缩

使用Ultracel® 30 kDa Pellicon® 3卡式膜包(Merck Millipore),采用"D筛网"几何结构,将IgG1浓缩至约200 mg/mL。使用Pellicon Biomax®(PES)30 kDa膜("A筛网"膜)浓缩IgG1的初步实验仅能达到100–120 mg/mL的浓度(数据未包含)。Ultracel® "D筛网"卡式膜包在常规用于"A筛网"几何结构Pellicon Biomax®卡式膜包的加工限值和条件下,能够实现更高的粘度和更高的浓度。

聚山梨酯通常因其在TFF膜上的浓缩倾向而被添加至最终浓缩的DS中。这可能在浓缩步骤中因缺乏聚山梨酯而带来聚集形成的风险。此外,初步实验表明,当使用"A筛网"几何结构的Biomax®卡式膜包时,IgG1中存在的聚山梨酯20在浓缩和渗滤步骤中发生浓缩。聚山梨酯20浓度的增加将导致TFF过程和制剂组成的不一致性。因此,通过将IgG1以流穿模式流过SDR Hyper D树脂去除聚山梨酯20(支持数据图1)。将由此获得的不含聚山梨酯20的IgG1用于使用D筛网卡式膜包的TFF系统进一步浓缩至约200 mg/mL。浓缩后将聚山梨酯20添加至IgG1中。

或者,为解决聚山梨酯20浓缩的挑战,可在开发超高效浓度抗体制剂时评估脱氧胆酸钠等表面活性剂。根据Malarkani等人^22 和Albani等人^23 的研究,脱氧胆酸钠在TFF过程中不发生浓缩,有助于防止浓缩/渗滤步骤中因剪切力导致的任何聚集。此外,脱氧胆酸钠常规用于药物注射剂和疫苗中。^24–29

### 蛋白质浓缩/渗滤过程中辅料浓度的变化

在蛋白质浓缩和渗滤过程中,最终DS中的辅料浓度与初始制剂缓冲液不同。这是由于体积排阻、优先水化或电荷依赖的唐南膜效应所致。因此,有必要在浓缩或渗滤步骤后对辅料浓度进行定量。在IgG1浓缩过程中,对不同浓缩倍数下取出的IgG1样品进行蛋白质含量和辅料含量分析。观察到海藻糖含量在浓缩过程中未发生变化,因此排除了体积排阻假说。但随着IgG1浓缩至约200 mg/mL,组氨酸含量显著降低(支持数据图2)。

在此情况下,组氨酸含量的降低可能是由于唐南膜效应所致,其中带电蛋白质被半透膜截留,静电相互作用导致带电溶质在膜两侧的不均匀分布,从而引起缓冲液和pH偏移。Miao等人^30 在抗体浓缩/渗滤的研究中证明,由于带正电的组氨酸分子与带正电的蛋白质分子之间的排斥性电荷相互作用,截留物中组氨酸浓度较低。Miranda等人^31 证明IgG1的等电点为8.7。根据Stoner等人^32 和Teerters等人^33 的观察可以得出结论,等电点为7.6的组氨酸在pH 6.0下带正电。等电点为8.7的IgG1在pH 6.0下也具有净正电荷,因此在渗滤步骤中产生静电排斥。

由于组氨酸在渗透液中被排出,观察到浓缩至约200 mg/mL的IgG1的pH从6.0上升至6.5。因此,IgG1渗滤后接浓缩步骤会导致缓冲液偏移。因此,需要评估的策略包括:使用更高缓冲强度的渗滤以在目标更高IgG1浓度时补偿缓冲液偏移,或在渗滤后添加所需量的组氨酸、盐酸组氨酸,或在较低pH(约5.5)下进行浓缩步骤(通过在初始阶段添加更多盐酸组氨酸),随后进行渗滤以在渗滤后达到约6.0的目标pH。或者,在配制此类抗体制剂时,应考虑在pH 6.0下带负电的缓冲剂,如柠檬酸盐、磷酸盐或其组合。

对由此获得的浓缩IgG1进行组氨酸含量分析,添加所需量的组氨酸以达到目标浓度。将上述工艺获得的IgG1 DS进一步用于开发约200 mg/mL的低粘度IgG1制剂,用于皮下给药。

### 粘度调节剂的选择

Roberts等人^34 报道,盐和氨基酸根据其离子强度降低蛋白质制剂的粘度。此外,它们通常被认为是注射剂中安全的,因此被筛选用于开发皮下注射可接受范围内的低粘度制剂(即<20 cP)。作为降粘度剂筛选的盐包括氯化钠、氯化铵、氯化钙、氯化镁。研究中筛选的氨基酸包括L-精氨酸盐氨酸、甘氨酸和脯氨酸。这些降粘度剂的浓度应使溶液的最终渗透压处于约300 ± 20 mOsmols/kg的目标范围内。

使用10 kDa膜将约13 mL IgG1 DS与含粘度调节剂的制剂缓冲液进行缓冲液交换。随后,将这些缓冲液交换后的制剂填充入EZ Fill™ USP I型预灌封注射器(PFS)套筒(Nuova Ompi,意大利),使用FluroTech®涂层胶塞(West),并进行稳定性考察。

粘度数据清楚地表明,含粘度调节剂的IgG1制剂在5°C和25°C下显示出较低的粘度(图2)。氯化钙对IgG1粘度的影响最为显著,其次是脯氨酸和甘氨酸。然而,含氯化钙的制剂的渗透压(~380 mOsmols/kg)远高于目标等渗范围(300 ± 20 mOsmols/kg)。正如Roberts等人^34 所结论的,这可能是由于在pH 6.0下离子相互作用导致带负电的氯离子与带正电的蛋白质积累,以及带正电的钙离子被排出。如果减少氯化钙的量以匹配目标渗透压,粘度将会增加,因为粘度影响与粘度调节剂的浓度成反比。因此,氯化钙被排除作为潜在的粘度调节剂。

200 mg/mL IgG1的渗透压略低于20 mg/mL浓度的IgG1,这可归因于渗滤过程中组氨酸在渗透液中的损失。粘度调节剂对约200 mg/mL浓度下IgG1粘度的影响总结于表2。

**图2 各种降粘度剂对超高效浓度IgG1 DS粘度的影响**

**表2 粘度调节剂对约200 mg/mL浓度IgG1 DS制剂的pH、渗透压、粘度、注射力和加速(25°C/60% RH)稳定性(长达6个月)的影响**

| 用作粘度调节剂的辅料(及其浓度,mg/mL) | pH | 渗透压(mOsmols/kg) | 25°C粘度(cps) | 注射力(N) | | SE HPLC纯度(25°C/60% RH) | | | | | | |---|---|---|---|---|---|---|---|---|---|---|---| | | | | | 滑动力 | 启动力 | %HMW | | | %单体 | | | %LMW | | | | | | | | | | 0天 | 3个月 | 6个月 | 0天 | 3个月 | 6个月 | 0天 | 3个月 | 6个月 | | IgG1原料药~200 mg/mL(无添加) | 6.07 | 70 | 21.9 | 9.5 | 5.5 | 0.4 | 1.9 | 2.0 | 99.4 | 96.4 | 93.8 | 0.2 | 1.7 | 4.2 | | 精氨酸HCl(54.7 mg/mL) | 6.03 | 285 | 16.7 | 3.8 | 3.0 | 0.6 | 1.0 | 1.3 | 99.4 | 93.3 | 90.0 | 0.0 | 5.7 | 8.7 | | 氯化铵(13.9 mg/mL) | 6.06 | 300 | 13.4 | 4.5 | 2.3 | 0.7 | 1.4 | 1.4 | 99.4 | 92.8 | 84.8 | 0.0 | 5.8 | 13.7 | | 氯化钠(15.2 mg/mL) | 6.07 | 303 | 15.0 | 5.4 | 2.7 | 0.7 | 1.1 | 1.4 | 99.2 | 93.5 | 87.7 | 0.1 | 5.4 | 11.0 | | 氯化镁(25 mg/mL) | 6.07 | 285 | 19.9 | 5.3 | 2.5 | 1.3 | 1.1 | 1.2 | 98.7 | 93.7 | 88.0 | 0.0 | 3.9 | 10.7 | | 氯化钙(14.4 mg/mL) | 6.14 | 380 | 11.1 | 4.8 | 2.6 | 1.7 | 2.0 | 2.1 | 98.2 | 96.5 | 94.0 | 0.1 | 1.6 | 3.9 | | 甘氨酸(9.8 mg/mL) | 6.27 | 291 | 13.6 | 4.2 | 5.0 | 0.7 | 1.7 | 1.4 | 99.3 | 96.3 | 95.1 | 0.1 | 2.0 | 3.5 | | 脯氨酸(15 mg/mL) | 6.20 | 320 | 11.3 | 5.7 | 5.1 | 0.6 | 1.3 | 1.4 | 99.3 | 97.0 | 94.7 | 0.1 | 1.8 | 3.9 |

### 粘度调节剂对200 mg/mL超高效浓度IgG1稳定性的影响

从6个月的稳定性数据观察到,所有含粘度调节剂的制剂在实时条件(5°C)下均稳定。在加速条件(25°C ± 2°C/60% RH)下,以L-精氨酸盐酸盐、氯化铵、氯化钠和氯化镁作为粘度调节剂的制剂显示出低分子量(LMW)杂质显著增加。没有任何粘度调节剂对高分子量(HMW)杂质产生不良影响。含氯化钙、甘氨酸和脯氨酸的制剂在加速条件下未显示LMW杂质显著增加。含氯化钙的制剂显示HMW物种略有增加。而含脯氨酸和甘氨酸的制剂与其他粘度调节剂相比更稳定。脯氨酸和甘氨酸制剂的纯度在加速条件(25°C ± 2°C/60% RH)6个月后表现良好(表2)。

为优化制剂组成并确定其交互效应,使用Design Expert®软件进行响应面法(RSM)的中心复合旋转设计(CCRD)实验设计(DoE)研究(支持数据图4和5)。根据DoE研究的观察结果,选择含脯氨酸的IgG1制剂进行进一步研究。

### 粘度调节剂对注射力和疼痛的影响

Dias等人^35 证明,约3.5 mL粘性安慰剂缓冲液(类似于典型蛋白质制剂)大容量皮下注射在1分钟内给药的耐受性与比1.2 mL推注注射更多的疼痛相关。当相同的粘性安慰剂缓冲液在10分钟内给药时,疼痛较推注注射更少。另一项评估单克隆抗体制剂粘度、注射体积和注射流速对SC注射耐受性影响的研究中,Dias等人^35 得出结论,当在腹部10秒内给药时,注射体积达3 mL、粘度达15–20 cP的注射耐受性良好,无疼痛。^2 此外,对于具有正常灵巧性的患者,SC给药的粘度上限为20 cps。

因此,基于Berteau等人^2 和Dias等人^35 的结论,约3.0 mL含脯氨酸的IgG1(约200 mg/mL,粘度约11–12 cP)有可能在5–10分钟内以较少疼痛给药。Prasetyono等人^37 报道,临床上推动注射器内活塞滑动的时刻对组织内流动溶液造成的潜在疼痛起关键作用。活塞滑动的速度与渗入组织的流体流速相关,即与缓慢流动的注射相比,更快的速度通过刺激神经末梢导致更多疼痛。Siew等人^36 和ISO指南^38 描述,溶液注射需要两种类型的力作为可注射性参数,即推动注射器活塞时的初始力(称为柱塞-胶塞"启动力")和以持续方式推动活塞所需的维持力(称为动态"滑动力")。这两种注射力均受针头和注射器直径以及溶液粘度的影响。然而,在容器封闭系统(预灌封注射器和针头)保持不变的情况下,滑动力和启动力应受溶液粘度的影响。

可以观察到,粘度>20 cP的200 mg/mL IgG1的滑动力约为9.5 N,启动力为5.5 N(表2)。添加粘度调节剂后粘度降至20 cP以下,平均启动力约4.8 N,平均滑动力约3.3 N,这可视为相对于疼痛感知可耐受的注射力。

### IgG1的喷雾干燥(SPD)和喷雾冷冻干燥(SFD)

Ginkanga B.等人^13 证明,通过喷雾干燥制造高浓度抗体制剂在浓缩步骤方面没有工艺限制。然而,他们的研究主要侧重于喷雾干燥抗体的散装储存,而进一步配制为高浓度药品后的复溶状态稳定性尚未评估。喷雾干燥(SPD)工艺涉及在高压下通过加热喷嘴(180°C)喷雾IgG1溶液,随后在热空气流(80°C)的腔室中干燥。因此,抗体的质量属性可能在干燥过程中受到影响。

作为SPD的替代方案,可探索喷雾冷冻干燥(SFD)工艺,该工艺涉及将IgG1在液氮中快速冷冻,随后进行散装冷冻干燥。Faghihi等人^39 和Yowa等人^40 将该工艺描述为对蛋白质更温和且商业上可行的选择,但在高浓度抗体制剂制造中研究较少。

IgG1的喷雾干燥粉末具有更高的堆密度(更重),相比喷雾冷冻干燥的IgG1粉末。因此,SFD IgG在分配和配液过程中可能难以处理,存在空气传播交叉污染的风险。

表3总结了IgG1的制剂组成、每mL IgG1的总固体量以及SPD和SFD工艺的回收率。SPD工艺的IgG1干粉回收率较高(>90%),而SFD工艺约为85%。SFD工艺中观察到的较低回收率可归因于开放系统中的工艺损失,而喷雾干燥器为封闭系统。SPD和SFD对IgG1形态的影响总结于支持数据图3和表4。

**表3 IgGG1的制剂组成及喷雾干燥和喷雾冷冻干燥的回收率**

| 参数 | 喷雾干燥(SPD) | 喷雾冷冻干燥(SFD) | |---|---|---| | 处理体积(mL) | 270 | 275.0^a | | 总固体输入量(mg) | 5373.5 | 5472.5 | | 总固体获得量(mg) | 4988.2 | 4660.7 | | 回收率 | 92.8% | 85.2% |

^a 注:根据IgG1 DS的制剂组成,总固体为19.9 mg/mL。

### 喷雾干燥和喷雾冷冻干燥IgG1的复溶以形成超高效浓度抗体制剂

Wang等人^41、Srinivasan等人^43 和Yang等人^42 证明了在高浓度蛋白质制剂中制备晶体形式或无定形颗粒悬浮液的可行性。在150 mg/mL下证明了三种不同单克隆抗体的晶体形成。观察到其中英夫利昔单抗的粘度最高,为275 cP。然而,其等效晶体悬浮液的粘度低于40 cP。他们还证明了300 mg/mL的γ-球蛋白水溶液在25°C下的粘度为370 cP。γ-球蛋白在多种有机溶剂(如乙醇、甲醇、异丙醇、1,4-丁二醇、丙二醇、苯甲酸苄酯、PEG200、乙酸乙酯、甲苯、乙腈等)中的悬浮液表现出比相应水溶液低达38倍的粘度。

这证明了通过将SPD和SFD制剂悬浮在非水溶媒中来开发高浓度抗体制剂的可能性。丙二醇(PG)是一种广泛用于药物注射剂的溶剂(支持数据表1)。尽管广泛使用,但对使用30% v/v PG存在担忧。然而,由PG代谢引起的代谢性酸中毒导致的全身毒性(导致意识模糊、乳酸酸中毒和急性肾损伤)极为罕见,仅在急性摄入或极高剂量静脉中毒(>600 mg/dL或7天内>1600 g或连续输注高达>200 g/天)的情况下有报道。根据Anderson^44 的毒理学评估,只有危重患者(肝肾功能受损)和早产儿可能对PG敏感。已有轻度局部刺激的罕见特异性临床反应报道。这也得到了美国FDA^45 和EMEA^46 等权威机构结论性综述的支持。根据美国FDA^45 和EMEA报告^46,PG的每日允许暴露量(PDE)为成人50 mg/kg体重(考虑成人平均体重,男性约75 kg,女性约60 kg),最大每日剂量500 mg/kg体重被认为安全,无论给药途径和持续时间如何(吸入除外)。

考虑到3.0 mL IgG1在30% PG中皮下/肌肉内给药,以及平均体重60 kg,PG的最大每日剂量约为15.6 mg/kg体重。这远低于允许的最大每日剂量。因此,30% PG可被视为SPD和SFD工艺获得的IgG1粉末复溶的替代溶媒。

此外,喷雾干燥和喷雾冷冻干燥的IgG1粉末组成相同,将SPD和SFD工艺获得的IgG1粉末在WFI中复溶将得到约200 mg/mL的IgG1(不含任何粘度调节剂),但具有较高的粘度(图2)。因此,预期形成IgG1胶体悬浮液,选择30% v/v PG作为复溶喷雾干燥和喷雾冷冻干燥IgG1的替代溶媒,用于制造低粘度、超高效浓度的IgG1制剂,用于肌肉内或皮下给药。

IgG1的市售制剂变体皮下注射剂量为600 mg。初步实验表明,将约2 g喷雾干燥或喷雾冷冻干燥的IgG1粉末在约3.0 mL WFI中复溶,得到约200 mg/mL的IgG1浓度。因此,将喷雾干燥或喷雾冷冻干燥的IgG1粉末在3.0 mL 30% v/v PG中复溶,将得到200 mg/mL IgG1的胶体悬浮液,剂量为600 mg。SPD IgG1在WFI和30% PG中的复溶时间较长(支持数据表2)。

### 不同工艺制造的制剂的比较评估

将含脯氨酸作为粘度调节剂的IgG1(200 mg/mL,通过TFF制造)和在30% v/v PG中复溶的IgG1(200 mg/mL,通过SPD和SFD制造)填充入3.5 mL USP I型玻璃注射器,配有防拆封OVS®封闭装置(Schott Kaisha,印度)。

在30% v/v PG中复溶的喷雾干燥和喷雾冷冻干燥IgG1得到的是透明但高粘度的溶液,而非胶体悬浮液。在25°C下测量,SFD样品的粘度约为80 cps,SPD样品的粘度约为93 cps。喷雾冷冻干燥的IgG1在30% v/v PG中的溶液几乎无色,而喷雾干燥的IgG1在30% v/v PG中呈棕色变色。

将这些制剂与200 mg/mL IgG1(不含任何粘度调节剂和30% PG)作为对照样品,在实时(5°C)、加速(25°C ± 2°C/60% RH)和强制条件(40°C ± 5°C/75% RH)下进行稳定性考察,比较制造条件对稳定性的影响。

表4总结了加工条件对IgG1加速稳定性(长达6个月)的影响,以及加工条件和辅料变化在实时条件下对其他质量属性(如酸性和碱性电荷变异体、氧化、脱酰胺杂质和亚可见颗粒分析)的影响(长达18个月)。

**表4 不同制造工艺(切向流过滤、喷雾干燥和喷雾冷冻干燥)制剂在加速条件(25°C/60% RH)下长达6个月的比较稳定性,以及加工条件、辅料变化对实时条件下电荷变异体、氧化、脱酰胺和亚可见颗粒的影响(长达18个月)**

| 稳定性指示参数 | 时间点 | 200 mg/mL IgG1无粘度调节剂(对照) | 200 mg/mL IgG1含脯氨酸(TFF) | 200 mg/mL IgG1在30% PG中(SFD) | 200 mg/mL IgG1在30% PG中(SPD) | |---|---|---|---|---|---| | **SE HPLC纯度(25°C/60% RH)** | | | | | | | %高分子量(HMW)杂质 | 0天 | 0.7 | 0.6 | 0.5 | 0.5 | | | 6个月 | 3.6 | 1.8 | 3.3 | 6.8 | | %单体 | 0天 | 99.0 | 99.3 | 98.7 | 99 | | | 6个月 | 92.7 | 94.5 | 91.9 | 86.5 | | %低分子量(LMW)杂质 | 0天 | 0.3 | 0.1 | 0.8 | 0.5 | | | 6个月 | 3.8 | 3.7 | 4.8 | 6.7 | | **CEX HPLC电荷变异体(5°C)** | | | | | | | %酸性变异体 | 第18个月 | 25.6 | 26.7 | 24.6 | 25.8 | | %主峰 | | 68.1 | 66.7 | 68.6 | 67.5 | | %碱性变异体 | | 6.3 | 6.8 | 6.9 | 6.7 | | **氧化物种LC-MS-MS %丰度(5°C)** | | | | | | | HC Met 255 → HC-Met-ox-255 | 第18个月 | 2.2 (±0.3) | 2.1 (±0.4) | 2.2 (±0.4) | 2.4 (±0.2) | | HC Met 431 → HC-Met-ox-431 | | 1.8 (±0.1) | 1.7 (±0.1) | 1.7 (±0.3) | 1.8 (±0.3) | | **脱酰胺物种LC-MS-MS肽图%丰度(5°C)** | | | | | | | LC-Asn-30 → LC-deamid-30 | 第18个月 | 1.0 (±0.1) | 1.0 (±0.1) | 1.0 (±0.2) | 1.2 (±0.2) | | HC-Asn-55 → HC-deamid-55 | | 4.6 (±0.3) | 4.7 (±0.2) | 3.9 (±0.2) | 3.7 (±0.5) | | HC-Asp-102 → HC-isoAsp-102 | | 11.1 (±0.1) | 11.3 (±0.4) | 10.2 (±0.8) | 13.8 (±1.2) | | HC-Asp-283 → HC-isoAsp-283 | | 1.0 (±0.1) | 1.3 (±0.2) | 1.1 (±0.3) | 1.1 (±0.2) | | HC-Asn-387,392,393 → HC-deamid-387,392,393 | | 1.1 (±0.1) | 1.0 (±0.1) | 1.4 (±0.4) | 1.0 (±0.3) | | **微流成像(MFI)亚可见颗粒分析(5°C)** | | | | | | | ≥2 μm颗粒/mL | 第18个月 | 8569 | 10,565 | 10,932 | 13,588 | | ≥5 μm颗粒/mL | | 3100 | 4764 | 5784 | 7536 | | ≥10 μm颗粒/mL | | 707 | 910 | 1185 | 1403 | | ≥25 μm颗粒/mL | | 86 | 92 | 103 | 137 |

^a (n = 3,平均值 = ±S.D.)。^b (n = 3)。

通过远紫外CD分析不同制造工艺的制剂,评估制造条件对超高效浓度制剂中IgG1二级结构构象变化的影响。将冻干IgG1(在WFI中复溶,组成与SPD和SFD IgG1粉末相同)作为额外对照样品,以比较加工引起的结构变化。SPD和SFD工艺中使用的IgG1制剂组成相同,在30% PG中复溶后可在两种工艺之间建立头对头比较。

从表4可以观察到,尽管SPD和SFD制剂组成相同,但通过SPD工艺获得的制剂的%HMW显著增加。而通过SFD工艺的制剂相对稳定,与对照样品(不含30% PG)相当。

观察到酸性和碱性变异体不受SPD和SFD条件或添加30% PG的影响,与TFF和对照样品相当。此外,在长达18个月的实时条件下(含30% PG),HC-Met 255和HC-Met 431的氧化以及IgG1的脱酰胺杂质与对照相比无显著差异。这可能是因为制剂的pH值,IgG1 SPD(pH = 6.2)和IgG1 SFD(pH = 6.1)(含30% PG)在6.0 ± 0.3的目标范围内。

通过流式成像显微镜进行的亚可见颗粒分析显示,SPD工艺在30% PG中复溶的IgG1制剂中颗粒略高。SPD工艺的颗粒呈深色,与其他策略相比具有圆形和伸长颗粒的混合形态(支持数据表4)。然而,SFD工艺的IgG1制剂中亚可见颗粒相对较低,与对照制剂相当。

由于IgG1 SPD和IgG1 SFD组成相同,IgG1 SPD制剂中颗粒的增加可归因于加工条件,而非30% PG的存在。因此可以得出结论,SE HPLC和亚可见颗粒的质量属性差异是由于加工条件的影响,30% PG对超高效浓度IgG1的稳定性没有任何影响。

来自TFF的制剂还含有脯氨酸作为降粘度剂。从6个月加速(25°C ± 2°C/60% RH)稳定性数据(表2)可以看出,脯氨酸并未增强IgG1 DS的稳定性。无脯氨酸(B00)和有脯氨酸(B07)的IgG1稳定性谱在长达6个月的加速条件下相当且可比较。因此,脯氨酸仅是降粘度剂而非稳定剂。

因此可以得出结论,脯氨酸或30% PG的存在对200 mg/mL IgGG1的稳定性没有任何影响,即使在长达6个月的加速条件下也是如此,具有这些变化的不同制造工艺的制剂可用于研究制造条件对超高效浓度IgG1在200 mg/mL下稳定性的影响。

从长达6个月加速条件(表4)和长达4周强制条件(数据未显示)的稳定性数据观察到,在通过复溶喷雾干燥IgG1开发的制剂中,HMW和LMW杂质均随时间增加(约6.7%)。这可能是由于在180°C高喷嘴温度下雾化等严苛的加工条件所致。然而,在喷雾冷冻干燥并复溶的IgG1情况下,HMW杂质显著较少(约3.3%),几乎与200 mg/mL的IgG1对照相当。因此,SFD可能是制造IgG1制剂散装干粉的一种潜在方法,对纯度无显著影响。

对于通过TFF浓缩并以脯氨酸作为粘度调节剂的IgG1,在加速条件下LMW杂质与对照相当,但HMW较少(约1.78%)。

对照样品(不含脯氨酸和PG的IgG1)的CD光谱在206 nm处显示零强度,在217 nm处显示最小强度,在约228 nm处显示宽肩峰,表明β-折叠为主要结构(表5)。这些结果与Pabari等人^47 和Lee等人^48 报道的天然IgG1分子结构一致。

**表5 不同制造工艺IgG1 DS的零强度波长、光谱最小值和宽肩峰的比较**

| 制剂描述 | 零强度波长(nm) | 光谱最小值(nm) | 宽肩峰(nm) | |---|---|---|---| | IgG1 DS 200 mg/mL(对照) | 209.2 | 217.3 | 227.2 | | IgG1冻干(对照) | 209.4 | 218.2 | 227.7 | | IgG1喷雾冷冻干燥 | 209.6 | 217.4 | 227.5 | | IgG1喷雾干燥 | 209.8 | 217.3 | 228.1 | | IgG1来自TFF | 209.6 | 215.5 | 228.1 |

来自SPD、SFD和TFF的IgG1 DS的零强度波长、光谱最小值