WO2024222838A1 - Pharmaceutical composition comprising drug conjugate containing glucocorticoid receptor agonist - Google Patents
Pharmaceutical composition comprising drug conjugate containing glucocorticoid receptor agonist Download PDFInfo
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- WO2024222838A1 WO2024222838A1 PCT/CN2024/089959 CN2024089959W WO2024222838A1 WO 2024222838 A1 WO2024222838 A1 WO 2024222838A1 CN 2024089959 W CN2024089959 W CN 2024089959W WO 2024222838 A1 WO2024222838 A1 WO 2024222838A1
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- pharmaceutical composition
- antibody
- drug conjugate
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- 239000000244 polyoxyethylene sorbitan monooleate Substances 0.000 description 1
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 1
- 229920006389 polyphenyl polymer Polymers 0.000 description 1
- 229920005606 polypropylene copolymer Polymers 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 229940068977 polysorbate 20 Drugs 0.000 description 1
- 229920000053 polysorbate 80 Polymers 0.000 description 1
- 229940068968 polysorbate 80 Drugs 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- UUEIAEHLBMETSI-UHFFFAOYSA-M potassium butanedioic acid 4-hydroxy-4-oxobutanoate Chemical compound C(CCC(=O)O)(=O)[O-].C(CCC(=O)O)(=O)O.[K+] UUEIAEHLBMETSI-UHFFFAOYSA-M 0.000 description 1
- FHUOTRMCFQTSOA-UHFFFAOYSA-M potassium;acetic acid;acetate Chemical compound [K+].CC(O)=O.CC([O-])=O FHUOTRMCFQTSOA-UHFFFAOYSA-M 0.000 description 1
- BUCIWTBCUUHRHZ-UHFFFAOYSA-K potassium;disodium;dihydrogen phosphate;hydrogen phosphate Chemical compound [Na+].[Na+].[K+].OP(O)([O-])=O.OP([O-])([O-])=O BUCIWTBCUUHRHZ-UHFFFAOYSA-K 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- 229960004618 prednisone Drugs 0.000 description 1
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- 239000000651 prodrug Substances 0.000 description 1
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- 238000000746 purification Methods 0.000 description 1
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- MUPFEKGTMRGPLJ-ZQSKZDJDSA-N raffinose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO[C@@H]2[C@@H]([C@@H](O)[C@@H](O)[C@@H](CO)O2)O)O1 MUPFEKGTMRGPLJ-ZQSKZDJDSA-N 0.000 description 1
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- 229940043230 sarcosine Drugs 0.000 description 1
- 239000012679 serum free medium Substances 0.000 description 1
- 238000003998 size exclusion chromatography high performance liquid chromatography Methods 0.000 description 1
- 229940126586 small molecule drug Drugs 0.000 description 1
- 150000003384 small molecules Chemical class 0.000 description 1
- 235000015424 sodium Nutrition 0.000 description 1
- URGAHOPLAPQHLN-UHFFFAOYSA-N sodium aluminosilicate Chemical compound [Na+].[Al+3].[O-][Si]([O-])=O.[O-][Si]([O-])=O URGAHOPLAPQHLN-UHFFFAOYSA-N 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000002415 sodium dodecyl sulfate polyacrylamide gel electrophoresis Methods 0.000 description 1
- ZBTUYCUNQBRXOR-UHFFFAOYSA-L sodium succinate hexahydrate Chemical compound O.O.O.O.O.O.[Na+].[Na+].[O-]C(=O)CCC([O-])=O ZBTUYCUNQBRXOR-UHFFFAOYSA-L 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- UQZIYBXSHAGNOE-XNSRJBNMSA-N stachyose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO[C@@H]2[C@@H]([C@@H](O)[C@@H](O)[C@@H](CO[C@@H]3[C@@H]([C@@H](O)[C@@H](O)[C@@H](CO)O3)O)O2)O)O1 UQZIYBXSHAGNOE-XNSRJBNMSA-N 0.000 description 1
- 238000000528 statistical test Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 229960002317 succinimide Drugs 0.000 description 1
- 150000005846 sugar alcohols Chemical class 0.000 description 1
- 229940117986 sulfobetaine Drugs 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
- 210000001179 synovial fluid Anatomy 0.000 description 1
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- 229940095064 tartrate Drugs 0.000 description 1
- 229940104261 taurate Drugs 0.000 description 1
- XOAAWQZATWQOTB-UHFFFAOYSA-N taurine Chemical compound NCCS(O)(=O)=O XOAAWQZATWQOTB-UHFFFAOYSA-N 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
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- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 1
- 229940074410 trehalose Drugs 0.000 description 1
- SYSWJPSVYLUKCH-UHFFFAOYSA-H tricalcium;2-hydroxypropane-1,2,3-tricarboxylate;2-hydroxypropane-1,2,3-tricarboxylic acid Chemical compound [Ca+2].[Ca+2].[Ca+2].OC(=O)CC(O)(C(O)=O)CC(O)=O.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O SYSWJPSVYLUKCH-UHFFFAOYSA-H 0.000 description 1
- SPRBJFWIUVWXBT-UHFFFAOYSA-K tripotassium 2-hydroxypropane-1,2,3-tricarboxylate 2-hydroxypropane-1,2,3-tricarboxylic acid Chemical compound [K+].[K+].[K+].OC(=O)CC(O)(C(O)=O)CC(O)=O.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O SPRBJFWIUVWXBT-UHFFFAOYSA-K 0.000 description 1
- 150000004043 trisaccharides Chemical class 0.000 description 1
- GPRLSGONYQIRFK-MNYXATJNSA-N triton Chemical compound [3H+] GPRLSGONYQIRFK-MNYXATJNSA-N 0.000 description 1
- 238000000108 ultra-filtration Methods 0.000 description 1
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Definitions
- the present invention belongs to the field of pharmaceutical preparations, and in particular relates to a pharmaceutical composition containing a drug conjugate of a glucocorticoid receptor agonist.
- RA Rheumatoid arthritis
- TNF ⁇ tumor necrosis factor- ⁇
- IL-1 interleukins
- IL-6 interleukins
- IL-8 interleukins
- TNF ⁇ is one of the most important proinflammatory cytokines, which plays an important role in the development of RA, local inflammatory reactions and tissue damage.
- the TNF ⁇ inhibitors approved by the US FDA include: soluble receptor antagonist - Etanercept, human-mouse chimeric antibody - Infliximab, fully human monoclonal antibody - Adalimumab, ), fully human monoclonal antibody Golimumab and PEGylated humanized Fab' fragment Certolizumab pegol.
- TNF ⁇ inhibitors are still limited by the maximum efficacy they can achieve in patients, and more powerful and effective therapeutic agents need to be identified and developed. Patients treated with TNF ⁇ inhibitors may also develop immunogenic responses to the therapeutic agents, thereby limiting their effectiveness.
- Glucocorticoid receptor agonists are also relatively effective medicines for treating rheumatoid arthritis.
- glucocorticoid receptor agonists made in vivo by known cortisol, corticosterone, etc. and synthetic glucocorticoid receptor agonists such as dexamethasone, prednisone, and prednisolone.
- These glucocorticoid receptor agonists are owing to having steroid structure, and therefore are generally referred to as steroids, and are applied in the treatment of various diseases. But these steroids, due to their use, sometimes show side effects such as steroid peptic ulcer, steroid purpura, steroid pancreatitis, steroid diabetes, steroid cataract, steroid glaucoma.
- ADCs Antibody drug conjugates
- Most ADCs in preclinical and clinical development are used for oncology indications, where cytotoxic payloads target cancer cells expressing antigens.
- modulation of pathogenic cell activity through ADC-mediated delivery of bioactive small molecules is also attractive for non-oncology indications, leading to the widespread application of this technology.
- ADC has a more complex heterogeneous structure than antibodies, thus posing greater challenges to ADC preparations for therapeutic purposes.
- the present disclosure provides a pharmaceutical composition
- a pharmaceutical composition comprising an antibody drug conjugate, a buffer, a sugar and a surfactant, wherein the antibody drug conjugate has a structure as shown in formula (I):
- n 1 to 10;
- the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 80%.
- the range of average drug load (n) can be the average number of glucocorticoid receptor agonist drugs bound to each adalimumab antibody, and non-limiting examples include the average number of glucocorticoid receptor agonist drugs bound to each antibody as 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and any range between these point values.
- it can be 2-8, 2-7, 2-6, 2-5, 2-4, 3-4, 3-5, 3.5-4.7, 5-6, 5-7, 5-8 and 6-8.
- the average drug load (n) can be the mean of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.
- n is a decimal or an integer. In some embodiments, n is 1 to 8, or 3 to 5.
- the content of the component with a compound DAR of 4 in the antibody drug conjugate is greater than 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%.
- the buffer is selected from acetate buffer, citrate buffer, histidine buffer and succinate buffer. In some embodiments, the buffer is selected from acetic acid-sodium acetate, histidine-acetic acid, histidine-histidine hydrochloride, citric acid-sodium citrate, succinic acid-histidine and succinic acid-sodium succinate.
- the pH of the pharmaceutical composition is 3.5 to 6.0, non-limiting examples include 3.5, 3.6, 3.7, 3.8, 3.9, 4.0, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 5.0, 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.9 and 6.0, and any value between these points.
- the pH is between 3.5 and 5.5, or the pH is between 3.7 and 5.2.
- the buffer concentration in the pharmaceutical composition is 1 mM to 50 mM, non-limiting examples include 1 mM, 3 mM, 5 mM, 10 mM, 12 mM, 15 mM, 16 mM, 17 mM, 18 mM, 19 mM, 20 mM, 30 mM, 40 mM, 50 mM and any range between these points; in some embodiments, the buffer and concentration are 1 mM to 30 mM; in some embodiments, the buffer and concentration are 5 mM to 20 mM; in some embodiments, the buffer and concentration is 15 mM.
- the pharmaceutical composition further comprises a surfactant. It can be selected from polysorbate, poloxamer, polyhydroxyalkylene, Triton, sodium dodecyl sulfate, sodium lauryl sulfate, sodium octyl glucoside, lauryl-sulfobetaine, myristyl-sulfobetaine, linoleyl-sulfobetaine, stearyl-sulfobetaine, lauryl-sarcosine, myristyl-sarcosine, linoleyl-sarcosine, stearyl-sarcosine, linoleyl-betaine, myristyl-betaine, cetyl-betaine, lauryl amide Propyl-betaine, cocamidopropyl-betaine, linoleamidopropyl-betaine, myristamidopropyl-betaine, palmitamidopropyl
- the concentration of the surfactant in the pharmaceutical composition is 0.01 mg/mL to 10 mg/mL, or 0.1 mg/mL to 8 mg/mL, or 0.3 mg/mL to 5 mg/mL. In some embodiments, the concentration of the surfactant is 1 mg/mL.
- Non-limiting examples include 0.02 mg/mL, 0.05 mg/mL, 0.1 mg/mL, 0.2 mg/mL, 0.3 mg/mL, 0.4 mg/mL, 0.5 mg/mL, 0.6 mg/mL, 0.7 mg/mL, 0.8 mg/mL, 0.9 mg/mL, 1.0 mg /mL, 1.1 mg/mL, 1.2 mg/mL, 1.3 mg/mL, 1.4 mg/mL, 1.5 mg/mL, 1.6 mg/mL, 1.7 mg/mL, 1.8 mg/mL, 1.9 mg/mL, 2.0 mg/mL, 2.2 mg/mL, 2.4 mg/mL, 2.6 mg/mL, 2.8 mg/mL, 3.0 mg/mL, 4.0 mg/mL, 5.0 mg/mL, 6.0 mg/mL, 7.0 mg/mL, 8.0 mg/mL, 9.0 mg/mL, 10.0 mg/mL, and any range between these points.
- the aforementioned pharmaceutical composition further comprises sugar.
- the "sugar” disclosed herein comprises conventional compositions ( CH2O ) n and derivatives thereof, including monosaccharides, disaccharides, trisaccharides, polysaccharides, sugar alcohols, reducing sugars, non-reducing sugars, and the like.
- the sugar may be selected from glucose, sucrose, trehalose, ⁇ , ⁇ -trehalose dihydrate, lactose, fructose, maltose, dextran, glycerol, erythritol, glycerol, arabitol, sylitol, sorbitol, mannitol, melibiose, melezitose, raffinose, mannotriose, stachyose, maltose, lactulose, maltulose, sorbitol, maltitol, lactitol, iso-maltulose, and the like.
- the sugar is sucrose.
- the concentration of sugar in the aforementioned pharmaceutical composition is 25 mg/mL to 150 mg/mL, or 30 mg/mL to 120 mg/mL, non-limiting examples include 25 mg/mL, 30 mg/mL, 35 mg/mL, 40 mg/mL, 45 mg/mL, 50 mg/mL, 55 mg/mL, 60 mg/mL, 70 mg/mL, 80 mg/mL, 90 mg/mL, 100 mg/mL, 110 mg/mL, 120 mg/mL, 130 mg/mL, 140 mg/mL, 150 mg/mL, 160 mg/mL, 170 mg/mL, 180 mg/mL and any range between these points. In some embodiments, the concentration is 80 mg/mL.
- the aforementioned pharmaceutical composition further comprises amino acids, such as amino acids other than histidine for buffering, for enhancing the stability of the drug.
- amino acids include, but are not limited to, glycine, arginine, methionine, proline, lysine, and the like.
- the concentration of the amino acid in the aforementioned pharmaceutical composition is 1 mg/mL to 100 mg/mL
- non-limiting examples include 6 mg/mL, 6.5 mg/mL, 7 mg/mL, 7.2 mg/mL, 7.6 mg/mL, 7.8 mg/mL, 8 mg/mL, 8.5 mg/mL, 9 mg/mL, 10 mg/mL, 10.2 mg/mL, 11 mg/mL, 12 mg/mL, 13 mg/mL, 14 mg/mL, 15 mg/mL, 20 mg/mL, 25 mg/mL, 30 mg/mL, 35 mg/mL, 40 mg/mL, 45 mg/mL, 50 mg/mL, 60 mg/mL, 70 mg/mL, 80 mg/mL, 90 mg/mL, 100 mg/mL and any range between these points.
- the pharmaceutical composition of the present disclosure does not contain amino acids other than histidine for buffering. In some embodiments, the pharmaceutical composition of the present disclosure has excellent stability and does not require the addition of additional amino acids.
- the concentration of the antibody drug conjugate in the pharmaceutical composition is 1 mg/mL to 200 mg/mL based on protein concentration.
- Non-limiting examples include 1 mg/mL, 10 mg/mL, 11 mg/mL, 12 mg/mL, 13 mg/mL, 14 mg/mL, 15 mg/mL, 16 mg/mL, 17 mg/mL, 18 mg/mL, 19 mg/mL, 20 mg/mL, 21 mg/mL, 22 mg/mL, 23 mg/mL, 24 mg/mL, 25 mg/mL, 26 mg/mL, 27 mg/mL, 28 mg/mL, 29 mg/mL, 30 mg/mL, 40
- the concentration of the antibody drug conjugate is 10 mg/mL to 180 mg/mL, 30 mg/mL to 180 mg/mL, or 50 mg/mL to 150 mg/mL, based on protein concentration.
- the term "based on protein concentration” refers to the concentration of the antibody portion in the antibody drug conjugate.
- the pharmaceutical composition comprises:
- the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
- the pharmaceutical composition comprises:
- the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
- the pharmaceutical composition comprises:
- the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
- any of the foregoing pharmaceutical compositions is a liquid preparation.
- the liquid preparation or the reconstituted preparation disclosed herein has good stability.
- a stable liquid preparation includes a liquid preparation that exhibits desired characteristics after being stored at a temperature of 40° C. for 1 month.
- the antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 2-8°C for 3 months is ⁇ 96%, such as ⁇ 97%, ⁇ 98% or ⁇ 99%.
- the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 2-8°C for 3 months.
- the % antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 2-8°C for 6 months is ⁇ 96%, such as ⁇ 97%, ⁇ 98% or ⁇ 99%.
- the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 2-8°C for 6 months.
- the % antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 25° C. for 3 months is ⁇ 96%, such as ⁇ 97%, ⁇ 98% or ⁇ 99%.
- the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 25°C for 3 months.
- the present disclosure also provides a lyophilized formulation containing an antibody drug conjugate, wherein the formulation can form the pharmaceutical composition as described above after reconstitution.
- the lyophilized formulation is stable at 40°C for at least 7 days, at least 14 days, at least 28 days, or at least 30 days.
- the present disclosure also provides a lyophilized preparation comprising an antibody drug conjugate, wherein the lyophilized preparation is obtained by freeze-drying the pharmaceutical composition of the antibody drug conjugate as described above.
- the present disclosure also provides a method for preparing a lyophilized formulation containing an antibody drug conjugate, which comprises the step of freeze-drying the pharmaceutical composition as described above.
- the present disclosure also provides a reconstitution solution containing an antibody drug conjugate, wherein the reconstitution solution is prepared by The lyophilized preparation described above was reconstituted to obtain the above-mentioned product.
- the present disclosure also provides a method for preparing the above-mentioned reconstituted solution, which comprises the step of reconstituted the above-mentioned lyophilized preparation, and the solution used for reconstitution is selected from but not limited to water for injection, physiological saline or glucose solution.
- the lyophilized preparations disclosed herein can maintain good stability.
- the present disclosure also provides a product, which includes a container, wherein the pharmaceutical composition, lyophilized preparation or reconstituted solution as described above is contained in the container.
- the container is a neutral borosilicate glass tube injection bottle.
- the antibody-drug conjugates and/or pharmaceutical compositions comprising the antibody-drug conjugates described in the present disclosure can be used to lyse cells expressing surface TNF ⁇ (in vitro or in vivo) and/or to treat diseases or conditions characterized by increased TNF ⁇ (e.g., increased TNF ⁇ in synovial fluid).
- the antibody-drug conjugates and/or compositions can be used to inhibit cytokine release (in vitro or in vivo) and/or to treat autoimmune or inflammatory diseases.
- the antibody-drug conjugates and/or compositions are used to treat Crohn's disease.
- the antibody-drug conjugates and/or compositions are used to treat ulcerative colitis.
- the antibody-drug conjugates and/or compositions are used to treat rheumatoid arthritis (RA). In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat juvenile idiopathic arthritis (JA). In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat psoriatic arthritis (PsA). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat spondyloarthropathies, such as ankylosing spondylitis (AS) or axial spondyloarthritis (axSpA). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat adult Crohn's disease (CD).
- RA rheumatoid arthritis
- JA juvenile idiopathic arthritis
- PsA psoriatic arthritis
- the antibody-drug conjugate and/or composition is used to treat spondyloarthropathies, such as ankylosing
- the antibody-drug conjugate and/or composition is used to treat pediatric Crohn's disease. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat ulcerative colitis (UC). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat plaque psoriasis (Ps). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat hidradenitis suppurativa (HS). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat uveitis. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat Behcet's disease. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat psoriasis, including plaque psoriasis.
- the present disclosure provides a pharmaceutical composition that is more conducive to production and administration and has stable performance.
- the undesirable instability may include any one or more of the following: aggregation, deamidation (e.g., Asn deamidation), oxidation (e.g., Met oxidation), isomerization (e.g., Asp isomerization), clipping/hydrolysis/fragmentation (e.g., hinge region fragmentation), succinimide formation, unpaired cysteine, dissociation of toxins, etc.
- deamidation e.g., Asn deamidation
- oxidation e.g., Met oxidation
- isomerization e.g., Asp isomerization
- clipping/hydrolysis/fragmentation e.g., hinge region fragmentation
- succinimide formation unpaired cysteine, dissociation of toxins, etc.
- ADCs Antibody-drug conjugates are antibodies that are linked to biologically active cytotoxins or small molecule drugs with cell-killing activity through a linker unit.
- Drug loading or “drug loading” is also called the drug-to-antibody ratio (DAR), which is the amount of drug coupled to each antibody in the ADC.
- DAR drug-to-antibody ratio
- Compound drug loading or “compound DAR” refers to the specific amount of drug conjugated to each antibody in the ADC.
- the drug loading can be a value of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.
- the compound drug loading is an integer from 1 to 10.
- Average drug loading or “average drug loading” is also called average DAR, which is the average number of drugs coupled to each antibody in the ADC. It can be, for example, in the range of 1 to 10 drugs coupled to each antibody, and in certain embodiments, in the range of 1 to 8 drugs coupled to each antibody, preferably 2-8, 2-7, 2-6, 2-5, 2-4, 3-4, 3-5, 5-6, 5-7, 5-8 and 6-8.
- the drug loading can be the average of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.
- the average drug loading is an integer or decimal from 1 to 10.
- linker unit or “connection fragment” or “connection unit” refers to a chemical structure fragment or bond that is connected to an antibody or its antigen-binding fragment at one end and to a drug at the other end, and can also be connected to other linkers before being connected to the drug.
- Linkers including extenders, spacers, and amino acid units, can be synthesized by methods known in the art, such as those described in US20050238649A1.
- the linker can be a "cleavable linker" that facilitates release of the drug in the cell.
- an acid-labile linker e.g., hydrazone
- a protease-sensitive linker e.g., peptidase-sensitive
- a photolabile linker e.g., peptidase-sensitive linker
- a dimethyl linker e.g., a disulfide-containing linker
- drug linker fragment or “drug-linker fragment” refers to a fragment formed by linking a drug to a linker unit, which can be linked to an antibody via the other end of the linker unit.
- the glucocorticoid receptor agonist drug loading may be controlled by the following non-limiting methods, including:
- antibody described in the present disclosure is used in the broadest sense and covers various antibody structures, including but not limited to full-length antibodies and antibody fragments (or antigen-binding fragments, or antigen-binding portions), as long as they exhibit the desired antigen-binding activity.
- a natural complete antibody consists of a tetrapeptide chain structure formed by two identical heavy chains and two identical light chains connected by interchain disulfide bonds.
- the engineered antibodies or antigen-binding fragments disclosed herein can be prepared and purified by conventional methods.
- the cDNA sequences of the heavy chain and light chain can be cloned and recombined into the GS expression vector.
- the recombinant immunoglobulin expression vector can stably transfect CHO cells.
- the mammalian expression system will lead to glycosylation of antibodies, especially at the highly conserved N-terminal site of the Fc region.
- Positive clones are expanded in serum-free medium in a bioreactor to produce antibodies.
- the culture fluid that secretes antibodies can be purified by conventional techniques. For example, purification is performed using an A or G Sepharose FF column containing an adjusted buffer.
- Non-specifically bound components are washed away.
- the bound antibodies are then eluted using the pH gradient method, and the antibody fragments are detected by SDS-PAGE and collected.
- the antibodies can be filtered and concentrated by conventional methods. Soluble mixtures and polymers can also be removed by conventional methods, such as molecular sieves and ion exchange.
- the obtained product should be immediately frozen, such as -70°C, or freeze-dried.
- Buffer refers to a buffer that tolerates pH changes through the action of its acid-base conjugate components.
- buffers that control pH in an appropriate range include acetate, succinate, gluconate, histidine, oxalate, lactate, phosphate, citrate, tartrate, fumarate, glycylglycine, and other organic acid buffers.
- Hetidine buffer is a buffer containing histidine.
- histidine buffers include histidine-histidine hydrochloride, histidine-histidine acetate, histidine-histidine phosphate, histidine-histidine sulfate and the like, preferably histidine-histidine hydrochloride buffer.
- Histidine-histidine hydrochloride buffer can be prepared from histidine and hydrochloric acid, or from histidine and histidine hydrochloride.
- citrate buffer is a buffer including citrate ions.
- citrate buffers include citric acid-sodium citrate, citric acid-potassium citrate, citric acid-calcium citrate, citric acid-magnesium citrate, and the like.
- a preferred citrate buffer is citric acid-sodium citrate.
- succinate buffer is a buffer comprising succinate ions.
- succinate buffers include succinic acid-succinic acid sodium salt, succinic acid-succinic acid potassium salt, succinic acid-succinic acid calcium salt, etc.
- a preferred succinic acid buffer is succinic acid-succinic acid sodium salt.
- the succinic acid-succinic acid sodium salt can be prepared from succinic acid and sodium hydroxide, or from succinic acid and succinic acid sodium salt.
- Phosphate buffer is a buffer including phosphate ions.
- phosphate buffers include disodium hydrogen phosphate-sodium dihydrogen phosphate, disodium hydrogen phosphate-potassium dihydrogen phosphate, disodium hydrogen phosphate-citric acid, and the like.
- a preferred phosphate buffer is disodium hydrogen phosphate-sodium dihydrogen phosphate.
- Acetate buffer is a buffer including acetate ions.
- acetate buffers include acetate-sodium acetate, histidine-histidine acetate, acetate-potassium acetate, acetate-calcium acetate, acetate-magnesium acetate, etc.
- a preferred acetate buffer is acetate-sodium acetate.
- “Pharmaceutical composition” means a mixture containing one or more antibody drug conjugates described herein or their physiologically/pharmaceutically acceptable salts or prodrugs and other chemical components, such as physiologically/pharmaceutically acceptable carriers and excipients.
- the purpose of the pharmaceutical composition is to maintain the stability of the antibody active ingredient, promote administration to the organism, and facilitate the absorption of the active ingredient to exert biological activity.
- composition and “formulation” are not mutually exclusive.
- compositions described in the present disclosure are in the form of solutions, and unless otherwise specified, the solvent therein is water.
- “Lyophilized preparation” refers to a pharmaceutical composition in liquid or solution form or a preparation or pharmaceutical composition obtained after a liquid or solution preparation has been subjected to a vacuum freeze-drying step.
- the terms “about” and “approximately” refer to values within an acceptable error range for a specific value determined by a person of ordinary skill in the art, which value depends in part on how it is measured or determined (i.e., the limits of the measurement system). For example, “about” can mean within 1 or more than 1 standard deviation in each practice in the art. Alternatively, “about” or “substantially including” can mean a range of up to 20%. In addition, particularly for biological systems or processes, the term can mean up to an order of magnitude or up to 5 times the value. Unless otherwise stated, when a specific value appears in the application and claims, the meaning of "about” or “substantially including” should be assumed to be within an acceptable error range for the specific value.
- the numerical values in this disclosure are instrumental measurements or calculated values after instrumental measurements, and there is a certain degree of error. Generally speaking, plus or minus 10% is within the reasonable error range. Of course, the context in which the numerical value is used needs to be considered.
- the total impurity content which is a value with an error change of no more than plus or minus 10% after measurement, can be plus or minus 9%, plus or minus 8%, plus or minus 7%, plus or minus 6%, plus or minus 5%, plus or minus 4%, plus or minus 3%, plus or minus 2% or plus or minus 1%, preferably plus or minus 5%.
- the pharmaceutical composition disclosed herein can achieve a stable effect: a pharmaceutical composition in which the antibody drug conjugate substantially retains its physical stability and/or chemical stability and/or biological activity after storage; preferably, the pharmaceutical composition substantially retains its physical and chemical stability and its biological activity after storage.
- the storage period is generally selected based on the predetermined shelf life of the pharmaceutical composition.
- analytical techniques for measuring the stability of proteins or antibody drug conjugates which can measure the stability after storage at a selected temperature for a selected period of time.
- a stable formulation is one in which no significant changes are observed when stored at a refrigerated temperature (2-8°C) for at least 3 months, preferably 6 months, and more preferably 1 year.
- a stable liquid formulation includes a liquid formulation that exhibits desired characteristics after being stored at a temperature of 25°C for a period of 1 month, 2 months, or 3 months.
- a stable liquid formulation includes a liquid formulation that exhibits desired characteristics after being stored at a temperature of 40°C for a period of 10 days, 20 days, or 1 month.
- a typical example of stability As measured by SEC-HPLC, usually no more than about 10%, preferably no more than about 5%, of the antibody drug conjugate monomers aggregate or degrade.
- the formulation is a pale yellow, nearly colorless, clear liquid or colorless, or clear to slightly milky white.
- concentration, pH, and weight-gram molecular osmotic pressure concentration of the formulation have no more than ⁇ 10% variation.
- the antibody drug conjugate "retains its physical stability" in the pharmaceutical formulation if it shows no significant increase in aggregation, precipitation and/or denaturation as measured after visual inspection of color and/or clarity, or by UV light scattering, size exclusion chromatography (SEC) and dynamic light scattering (DLS). Changes in protein conformation can be evaluated by fluorescence spectroscopy (which determines protein tertiary structure) and by FTIR spectroscopy (which determines protein secondary structure).
- An antibody drug conjugate "retains its chemical stability" in a pharmaceutical formulation if the antibody drug conjugate does not show significant chemical alteration. By detecting and quantifying chemically altered forms of the protein, Chemical stability can be assessed.
- Degradation processes that often change the chemical structure of a protein include hydrolysis or truncation (assessed by methods such as size exclusion chromatography and CE-SDS), oxidation (assessed by methods such as peptide mapping coupled to mass spectrometry or MALDI/TOF/MS), deamidation (assessed by methods such as ion exchange chromatography, capillary isoelectric focusing, peptide mapping, isoaspartate measurement), and isomerization (assessed by measuring isoaspartate content, peptide mapping, etc.).
- An antibody drug conjugate "retains its biological activity" in a pharmaceutical formulation if the biological activity of the antibody drug conjugate at a given time is within a predetermined range of the biological activity exhibited when the pharmaceutical formulation is prepared.
- Substituted means that one or more hydrogen atoms, preferably up to 5, more preferably 1 to 3 hydrogen atoms in the group are replaced independently of each other by a corresponding number of substituents. It goes without saying that the substituents are only in their possible chemical positions, and the skilled person can determine (by experiment or theory) possible or impossible substitutions without undue effort. For example, amino or hydroxy groups with free hydrogens may be unstable when combined with carbon atoms with unsaturated (e.g. olefinic) bonds.
- carrier is used for the drugs disclosed herein and refers to a system that can change the way the drug enters the human body and its distribution in the body, control the release rate of the drug, and deliver the drug to the targeted organ.
- the drug carrier release and targeting system can reduce drug degradation and loss, reduce side effects, and improve bioavailability.
- polymer surfactants that can be used as carriers can self-assemble to form various forms of aggregates due to their unique amphiphilic structure, and preferred examples are micelles, microemulsions, gels, liquid crystals, vesicles, etc. These aggregates have the ability to encapsulate drug molecules and have good permeability to membranes, and can be used as excellent drug carriers.
- administering and “treating” as applied to an animal, a human, a laboratory subject, a cell, a tissue, an organ, or a biological fluid, refers to the contact of an exogenous drug, therapeutic agent, diagnostic agent, or composition with an animal, a human, a subject, a cell, a tissue, an organ, or a biological fluid.
- administering and “treating” can refer to, for example, treatment, pharmacokinetics, diagnosis, research, and experimental procedures. Treatment of cells includes contact of an agent with a cell, and contact of an agent with a fluid, wherein the fluid is in contact with the cell.
- administering and “treating” also mean in vitro and ex vivo treatment of, for example, a cell by an agent, a diagnostic, a combination composition, or by another cell.
- Treatment as applied to humans, veterinary medicine, or research subjects refers to therapeutic treatment, prophylactic or preventative measures, research and diagnostic applications.
- Treatment means administering an internal or external therapeutic agent, such as a composition comprising any of the binding compounds of the present disclosure, to a patient who has one or more symptoms of a disease for which the therapeutic agent is known to have a therapeutic effect.
- the therapeutic agent is administered in an amount effective to alleviate one or more disease symptoms in the patient or population being treated, to induce regression of such symptoms or to inhibit the progression of such symptoms to any clinically measurable degree.
- the amount of therapeutic agent effective to alleviate any specific disease symptom may vary according to a variety of factors, such as the disease state, age, and weight of the patient, and the ability of the drug to produce the desired therapeutic effect in the patient.
- the amount of therapeutic agent administered may be determined by any clinical assessment routinely used by a physician or other health care professional to evaluate the severity or progression of the symptom. Detection methods can evaluate whether disease symptoms have been alleviated. Although the embodiments of the present disclosure (e.g., treatment methods or products) may not be effective in alleviating each target disease symptom, they should alleviate the target disease symptoms in a statistically significant number of patients as determined by any statistical test known in the art, such as Student's t-test, chi-square test, U test according to Mann and Whitney, Kruskal-Wallis test (H test), Jonckheere-Terpstra test, and Wilcoxon test.
- Student's t-test chi-square test
- U test according to Mann and Whitney
- Kruskal-Wallis test H test
- Jonckheere-Terpstra test and Wilcoxon test.
- an "effective amount” includes an amount sufficient to ameliorate or prevent a symptom or condition of a medical disease.
- An effective amount also means an amount sufficient to allow or facilitate diagnosis.
- the effective amount for a particular patient or veterinary subject may vary depending on factors such as the condition to be treated, the patient's general health, the method, route and dosage of administration, and the severity of side effects.
- An effective amount may be the maximum dose or dosage regimen that avoids significant side effects or toxic effects.
- Dislacement refers to the replacement of the solvent system for dissolving the antibody protein or antibody drug conjugate, for example, using the buffer system of the stable preparation to replace the high salt or hypertonic solvent system containing the antibody protein or antibody drug conjugate by physical manipulation, so that the antibody protein or antibody drug conjugate is present in the stable preparation.
- the so-called physical manipulation method includes but is not limited to ultrafiltration, dialysis or centrifugation followed by re-dissolution.
- the antibody drug conjugate shown in formula (I) described herein can be prepared according to the method of WO2022166779.
- SEC% SEC monomer content percentage
- a monomer is the peak area of the main peak monomer in the sample, and A total is the sum of all peak areas).
- ⁇ SEC% SEC% of the preparation before stability placement - SEC% of the preparation after stability placement.
- a method of electrophoresis in which the gel is moved into a capillary tube as a supporting medium and the samples are separated according to their molecular weight at a certain voltage.
- R-CE% A main peak/A total ⁇ 100% (A main peak is the peak area of the light chain main peak + the heavy chain main peak in the sample, and A total is the sum of all peak areas.)
- ⁇ R-CE% R-CE% of the preparation before stability placement - R-CE% of the preparation after stability placement.
- the freezing point method is used to determine osmotic pressure. It is based on the fact that the freezing point depression value is proportional to the molar concentration of the solution. It uses a highly sensitive temperature sensing element to measure the freezing point of the solution and convert the electricity into osmotic pressure. Instrument manufacturer: Loser, model OM815.
- the protein used in the following examples is an antibody-drug conjugate ADC represented by formula (I).
- a 246nm the average absorbance of a single sample of the test solution at a wavelength of 246nm when the optical path is 1cm;
- a 280nm The average absorbance of a single sample of the test solution at a wavelength of 280nm when the optical path is 1cm;
- E mAb-280 The mass extinction coefficient of the protein at a wavelength of 280 nm is 1.463 g -1 cm -1 L;
- E mAb-246 The mass extinction coefficient of the protein at a wavelength of 246 nm is 0.619 g -1 cm -1 L;
- R the ratio of the toxin extinction coefficient at 246nm and 280nm, which is 5.20;
- C mAb protein concentration, mg/mL
- the protein in the sample was removed by ACN precipitation, the supernatant was taken and dried with nitrogen, and then re-dissolved.
- the toxins in the sample were separated according to their different polarities, and the toxin content in the sample was calculated by the linear equation formula of toxin standard concentration-peak area fitting.
- Measuring instrument waters ACQuity H-class UPLC
- the antibody drug conjugate shown in formula (I) was prepared according to the method of WO2022166779 to obtain an ADC with an average DAR value of approximately 4.0, which was a mixture of DAR 0 to DAR 8, wherein the content of the DAR4 component was approximately 70%.
- This antibody drug conjugate showed obvious phase separation in the range of 5.0 ⁇ pH ⁇ 7.5. When pH ⁇ 5.0 and pH ⁇ 7.5, the sample appearance was relatively good.
- the 15mM Tris-HCl system was selected for excipient and surfactant concentration screening. The specific prescription information is shown in Table 1.
- the prepared samples were filtered and aseptically filled into 2R vials.
- the samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and tested at 40°C-1W and 40°C-2W.
- the stability test results are shown in Table 2.
- F1, F2 and F3 are samples from different sources, so their DARs are different;
- the histidine-histidine hydrochloride pH 6.0 system was selected for surfactant type and concentration screening.
- a fine screening in the pH 5.7-6.3 range was carried out based on 100 mM Arg-HCl + 4% sucrose + 0.1% PF68.
- the specific prescription design is shown in Table 3.
- the prepared samples were filtered and aseptically filled into 2R vials.
- the samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C-1W and 40°C-2W.
- the stability test results are shown in Table 4.
- the purity test items of each prescription changed slightly, all within the acceptable range.
- the excipients were 100mM Arg-HCl+4% sucrose, and the surfactant was 0.1% PF68, the pH fluctuated in the range of 5.7-6.3, which had no significant effect on the stability of the preparation, and the preparation showed good robustness.
- the sample was freeze-dried to obtain a freeze-dried preparation of mixed DAR4.
- the freeze-dried product has a good appearance and good stability.
- the DAR 4 component in the mixture of DAR 0 to DAR 8 was separated and purified by an anion exchange chromatography column (filler: Poros 50HQ, eluent: phosphate buffered saline + Tris + citric acid / phosphate buffered saline + Tris + citric acid + sodium chloride) to obtain a purified antibody drug conjugate of formula (I), wherein the content of DAR4 component was 96%.
- the preparation of the antibody drug conjugate (ADC) of formula (I) was prepared according to the composition of Table 5.
- the prepared samples were filtered and aseptically filled into 2R vials.
- the samples were placed at 25°C and shaken at 300 rpm for 3 days (15 mM His-HCl pH 5.5 was not placed under shaking conditions due to sample quantity limitations), -35°C/room temperature freeze-thaw for 5 cycles, 40°C for 1W, and 40°C for 2W.
- the stability test results are shown in Table 6.
- the pure DAR4 ADC samples had good stability in 15 mM His-HCl pH 5.5 and pH 6.0 systems.
- the F1-F4 samples were freeze-dried, and the freeze-dried products had good appearance without collapse and shrinkage, but a large number of fine particles appeared in the samples after reconstitution.
- the prepared samples were filtered and aseptically filled into 2R vials.
- the samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C for 2W and 40°C for 4W.
- the stability test results are shown in Table 8.
- the ADC samples have good stability in both 15mM Succinic pH 5.0 and 15mM His-HCl pH 5.5 systems. Comparing F1 (15mM Succinic pH 5.0 + 8% Sucrose) and F2 (15mM Succinic pH 5.0 + 30mM Arg-HCl + 4% Sucrose), the purity of F1 without Arg-HCl has no significant difference compared with F2, and the appearance has been significantly improved.
- the prepared samples were filtered and aseptically filled into 2R vials.
- the samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C for 2W and 40°C for 4W.
- the stability test results are shown in Table 10.
- the ADC samples have good stability in the 15mM Succinic-His pH 5.0-6.0 system.
- the appearance of the low pH F1 formulation is improved compared to F2 and F3.
- the liquid preparation prepared by increasing the ADC concentration to 100 mg/mL in the 15 mM Succinic-His pH 5.0 system still had good stability.
- the mixed DAR4-50mg/ml lyophilized preparation and the pure DAR4-100mg/ml liquid preparation had good stability at 25°C3M and 5°C6M. Comparing the appearance of the reconstituted liquid preparation and the lyophilized preparation, the pure DAR4 preparation was still a colorless clear liquid even at a higher concentration of 100mg/ml.
- the mixed DAR4 lyophilized preparation was reconstituted at a concentration of 50mg/ml, without particles, but with strong opalescence, indicating that the purified DAR4 ADC can be made into a high-concentration liquid preparation and can be stably stored without lyophilization.
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Abstract
A pharmaceutical composition comprising a drug conjugate containing a glucocorticoid receptor agonist, comprising an antibody drug conjugate, a buffering agent, sugar, and a surfactant, wherein the antibody drug conjugate has the following structure: formula (I).
Description
本公开属于药物制剂领域,具体涉及一种含有糖皮质激素受体激动剂的药物偶联物的药物组合物。The present invention belongs to the field of pharmaceutical preparations, and in particular relates to a pharmaceutical composition containing a drug conjugate of a glucocorticoid receptor agonist.
类风湿关节炎(RA)是一种常见的关节炎,属于自身免疫疾病,在人群中的发病率为0.3-1%,如不及时治疗,可导致骨破坏和关节损伤。在RA发病中有多种促炎性细胞因子参与,如肿瘤坏死因子-α(TNFα)、白细胞介素如IL-1、IL-6、IL-8等。因此,抑制促炎性细胞因子的产生或阻断其生理作用,是目前RA研究领域的热点。近年来许多新研发的生物制剂可通过阻断或下调促炎性细胞因子的活性而控制病情的进展,如TNFα抑制剂、抗IL-6R抗体等目前认为,在诸多RA炎症反应的细胞因子中,TNFα是最重要的促炎性细胞因子之一,其在RA的病情发展、局部炎症反应和组织损伤中均起着重要作用。目前已被美国FDA批准的TNFα抑制剂包括:可溶性受体拮抗剂-依那西普(Etanercept),人鼠嵌合抗体-英夫利昔单抗(Infliximab),全人源单抗阿达木单抗(Adalimumab,),全人源单抗戈利木单抗(Golimumab)和聚乙二醇人源化Fab’片段赛妥珠单抗(Certolizumab pegol)。尽管它们在临床上取得了成功,但TNFα抑制剂仍然受限于它们在患者中可以达到的最大功效,需要鉴定和开发更强力有效的治疗剂。用TNFα抑制剂治疗的患者也可能对治疗剂产生免疫原性应答,从而限制其有效性。Rheumatoid arthritis (RA) is a common type of arthritis and an autoimmune disease with an incidence rate of 0.3-1% in the population. If not treated in time, it can lead to bone destruction and joint damage. There are a variety of proinflammatory cytokines involved in the pathogenesis of RA, such as tumor necrosis factor-α (TNFα), interleukins such as IL-1, IL-6, IL-8, etc. Therefore, inhibiting the production of proinflammatory cytokines or blocking their physiological effects is a hot topic in the current RA research field. In recent years, many newly developed biological agents can control the progression of the disease by blocking or downregulating the activity of proinflammatory cytokines, such as TNFα inhibitors, anti-IL-6R antibodies, etc. It is currently believed that among the many cytokines of RA inflammatory reactions, TNFα is one of the most important proinflammatory cytokines, which plays an important role in the development of RA, local inflammatory reactions and tissue damage. Currently, the TNFα inhibitors approved by the US FDA include: soluble receptor antagonist - Etanercept, human-mouse chimeric antibody - Infliximab, fully human monoclonal antibody - Adalimumab, ), fully human monoclonal antibody Golimumab and PEGylated humanized Fab' fragment Certolizumab pegol. Despite their clinical success, TNFα inhibitors are still limited by the maximum efficacy they can achieve in patients, and more powerful and effective therapeutic agents need to be identified and developed. Patients treated with TNFα inhibitors may also develop immunogenic responses to the therapeutic agents, thereby limiting their effectiveness.
糖皮质激素受体激动剂也是治疗类风湿关节炎较为有效的药物。作为代表性的糖皮质激素受体激动剂,已知皮质醇、皮质酮等在生物体内制成的糖皮质激素受体激动剂以及地塞米松、泼尼松、泼尼松龙等合成糖皮质激素受体激动剂。这些糖皮质激素受体激动剂由于具有类固醇结构,因此总称为类固醇类,应用在各种疾病的治疗中。但是,这些类固醇类由于其使用,有时会表现出类固醇消化性溃疡、类固醇紫斑、类固醇胰炎、类固醇糖尿病、类固醇白内障、类固醇青光眼等副作用。Glucocorticoid receptor agonists are also relatively effective medicines for treating rheumatoid arthritis. As representative glucocorticoid receptor agonists, glucocorticoid receptor agonists made in vivo by known cortisol, corticosterone, etc. and synthetic glucocorticoid receptor agonists such as dexamethasone, prednisone, and prednisolone. These glucocorticoid receptor agonists are owing to having steroid structure, and therefore are generally referred to as steroids, and are applied in the treatment of various diseases. But these steroids, due to their use, sometimes show side effects such as steroid peptic ulcer, steroid purpura, steroid pancreatitis, steroid diabetes, steroid cataract, steroid glaucoma.
抗体药物偶联物(antibody drug conjugate,ADC),是指单克隆抗体或者抗体片段通过稳定的化学接头化合物与具有生物活性的药物相连。临床前和临床开发中的大多数ADC都用于肿瘤适应症,其中细胞毒性有效载荷靶向表达抗原的癌细胞。但是,通过ADC介导的生物活性小分子的传递来调节病原性细胞活性对于非肿瘤学适应症也是有吸引力的,从而导致了该技术的广泛应用。Antibody drug conjugates (ADCs) are monoclonal antibodies or antibody fragments linked to biologically active drugs via stable chemical linker compounds. Most ADCs in preclinical and clinical development are used for oncology indications, where cytotoxic payloads target cancer cells expressing antigens. However, modulation of pathogenic cell activity through ADC-mediated delivery of bioactive small molecules is also attractive for non-oncology indications, leading to the widespread application of this technology.
ADC具有比抗体更复杂的异质结构,因此,对用于治疗目的ADC制剂提出了更大的挑战。截至2022年3月,全球共批准了14个ADC,考虑到稳定性问题,所有的ADC制剂目前均采用了冻干粉的形式,而非溶液形式。
ADC has a more complex heterogeneous structure than antibodies, thus posing greater challenges to ADC preparations for therapeutic purposes. As of March 2022, a total of 14 ADCs have been approved worldwide. Considering stability issues, all ADC preparations are currently in the form of lyophilized powders rather than solutions.
发明内容Summary of the invention
本公开提供一种药物组合物,包含抗体药物偶联物、缓冲剂、糖以及表面活性剂,其中所述抗体药物偶联物具有如式(I)所示的结构:
The present disclosure provides a pharmaceutical composition comprising an antibody drug conjugate, a buffer, a sugar and a surfactant, wherein the antibody drug conjugate has a structure as shown in formula (I):
The present disclosure provides a pharmaceutical composition comprising an antibody drug conjugate, a buffer, a sugar and a surfactant, wherein the antibody drug conjugate has a structure as shown in formula (I):
其中:in:
Ab为阿达木单抗;Ab is adalimumab;
n为1至10;n is 1 to 10;
其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于80%。Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 80%.
在一些实施方案中,平均药物载量(n)的范围可以是每个阿达木单抗抗体结合糖皮质激素受体激动剂药物的平均数,非限制性的实施例包括每个抗体结合糖皮质激素受体激动剂药物的平均个数为1、2、3、4、5、6、7、8、9、10以及这些点值之间的任意范围。例如可以是2-8,2-7,2-6,2-5,2-4,3-4,3-5,3.5~4.7,5-6,5-7,5-8和6-8。示例性的,平均药物载量(n)可以为1,2,3,4,5,6,7,8,9,10的均值。n是小数或整数。在一些实施方案中,n为1至8,或3至5。In some embodiments, the range of average drug load (n) can be the average number of glucocorticoid receptor agonist drugs bound to each adalimumab antibody, and non-limiting examples include the average number of glucocorticoid receptor agonist drugs bound to each antibody as 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and any range between these point values. For example, it can be 2-8, 2-7, 2-6, 2-5, 2-4, 3-4, 3-5, 3.5-4.7, 5-6, 5-7, 5-8 and 6-8. Exemplarily, the average drug load (n) can be the mean of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. n is a decimal or an integer. In some embodiments, n is 1 to 8, or 3 to 5.
在一些实施方案中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于81%、82%、83%、84%、85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%或99%。化合物DAR为4的组分越多,越有利于制剂的稳定。In some embodiments, based on the total amount of the antibody drug conjugate, the content of the component with a compound DAR of 4 in the antibody drug conjugate is greater than 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%. The more components with a compound DAR of 4, the more conducive to the stability of the formulation.
在一些实施方案中,所述缓冲剂选自醋酸盐缓冲剂、枸橼酸盐缓冲剂、组氨酸缓冲剂和琥珀酸盐缓冲剂。在一些实施方案中,所述缓冲剂选自醋酸-醋酸钠、组氨酸-醋酸、组氨酸-盐酸组氨酸、枸橼酸-枸橼酸钠、琥珀酸-组氨酸和琥珀酸-琥珀酸钠。In some embodiments, the buffer is selected from acetate buffer, citrate buffer, histidine buffer and succinate buffer. In some embodiments, the buffer is selected from acetic acid-sodium acetate, histidine-acetic acid, histidine-histidine hydrochloride, citric acid-sodium citrate, succinic acid-histidine and succinic acid-sodium succinate.
在一些实施方案中,所述药物组合物的pH为3.5至6.0,非限制性的实施例包括3.5、3.6、3.7、3.8、3.9、4.0、4.1、4.2、4.3、4.4、4.5、4.6、4.7、4.8、4.9、5.0、5.1、5.2、5.3、5.4、5.5、5.6、5.7、5.8、5.9和6.0,以及这些点值之间的任意
范围。在一些实施方案中,pH为3.5至5.5,或pH为3.7至5.2。In some embodiments, the pH of the pharmaceutical composition is 3.5 to 6.0, non-limiting examples include 3.5, 3.6, 3.7, 3.8, 3.9, 4.0, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 5.0, 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 5.7, 5.8, 5.9 and 6.0, and any value between these points. In some embodiments, the pH is between 3.5 and 5.5, or the pH is between 3.7 and 5.2.
在一些实施方案中,药物组合物中缓冲剂浓度为1mM至50mM,非限制性的实施例包括1mM、3mM、5mM、10mM、12mM、15mM、16mM、17mM、18mM、19mM、20mM、30mM、40mM、50mM以及这些点值之间的任意范围;在一些实施方案中,缓冲及浓度为1mM至30mM;在一些实施方案中,缓冲及浓度为5mM至20mM;在一些实施方案中,缓冲及浓度为15mM。In some embodiments, the buffer concentration in the pharmaceutical composition is 1 mM to 50 mM, non-limiting examples include 1 mM, 3 mM, 5 mM, 10 mM, 12 mM, 15 mM, 16 mM, 17 mM, 18 mM, 19 mM, 20 mM, 30 mM, 40 mM, 50 mM and any range between these points; in some embodiments, the buffer and concentration are 1 mM to 30 mM; in some embodiments, the buffer and concentration are 5 mM to 20 mM; in some embodiments, the buffer and concentration is 15 mM.
在一些实施方案中,药物组合物还包含表面活性剂。可选自聚山梨酯、泊洛沙姆、聚羟亚烃、Triton、十二烷基磺酸钠、月桂基磺酸钠、辛基糖甙钠、月桂基-磺基甜菜碱、肉豆蔻基-磺基甜菜碱、亚油基-磺基甜菜碱、硬脂基-磺基甜菜碱、月桂基-肌氨酸、肉豆蔻基-肌氨酸、亚油基-肌氨酸、硬脂基-肌氨酸、亚油基-甜菜碱、肉豆蔻基-甜菜碱、鲸蜡基-甜菜碱、月桂酰胺基丙基-甜菜碱、柯卡酰胺基丙基-甜菜碱、亚油酰胺基丙基-甜菜碱、肉豆蔻酰胺基丙基-甜菜碱、棕榈酰胺基丙基-甜菜碱、异硬脂酰胺基丙基-甜菜碱、肉豆蔻酰胺基丙基-二甲基胺、棕榈酰胺基丙基-二甲基胺、异硬脂酰胺基丙基-二甲基胺、甲基可可酰基钠、甲基油基牛磺酸钠、聚乙二醇、聚丙二醇和乙烯与丙烯二醇的共聚物等等。在一些实施方案中,表面活性剂是泊洛沙姆或聚山梨酯,例如泊洛沙姆188、聚山梨酯20、聚山梨酯80。In some embodiments, the pharmaceutical composition further comprises a surfactant. It can be selected from polysorbate, poloxamer, polyhydroxyalkylene, Triton, sodium dodecyl sulfate, sodium lauryl sulfate, sodium octyl glucoside, lauryl-sulfobetaine, myristyl-sulfobetaine, linoleyl-sulfobetaine, stearyl-sulfobetaine, lauryl-sarcosine, myristyl-sarcosine, linoleyl-sarcosine, stearyl-sarcosine, linoleyl-betaine, myristyl-betaine, cetyl-betaine, lauryl amide Propyl-betaine, cocamidopropyl-betaine, linoleamidopropyl-betaine, myristamidopropyl-betaine, palmitamidopropyl-betaine, isostearamidopropyl-betaine, myristamidopropyl-dimethylamine, palmitamidopropyl-dimethylamine, isostearamidopropyl-dimethylamine, methyl cocoyl sodium, methyl oleyl taurate sodium, polyethylene glycol, polypropylene glycol and copolymers of ethylene and propylene glycol, etc. In some embodiments, the surfactant is a poloxamer or a polysorbate, such as poloxamer 188, polysorbate 20, polysorbate 80.
在一些实施方案中,药物组合物中表面活性剂的浓度为0.01mg/mL至10mg/mL,或0.1mg/mL至8mg/mL,或0.3mg/mL至5mg/mL,在一些实施方案中,表面活性剂的浓度为1mg/mL,非限制性的实施例包括0.02mg/mL、0.05mg/mL、0.1mg/mL、0.2mg/mL、0.3mg/mL、0.4mg/mL、0.5mg/mL、0.6mg/mL、0.7mg/mL、0.8mg/mL、0.9mg/mL、1.0mg/mL、1.1mg/mL、1.2mg/mL、1.3mg/mL、1.4mg/mL、1.5mg/mL、1.6mg/mL、1.7mg/mL、1.8mg/mL、1.9mg/mL、2.0mg/mL、2.2mg/mL、2.4mg/mL、2.6mg/mL、2.8mg/mL、3.0mg/mL、4.0mg/mL、5.0mg/mL、6.0mg/mL、7.0mg/mL、8.0mg/mL、9.0mg/mL、10.0mg/mL、,以及这些点值之间的任意范围。In some embodiments, the concentration of the surfactant in the pharmaceutical composition is 0.01 mg/mL to 10 mg/mL, or 0.1 mg/mL to 8 mg/mL, or 0.3 mg/mL to 5 mg/mL. In some embodiments, the concentration of the surfactant is 1 mg/mL. Non-limiting examples include 0.02 mg/mL, 0.05 mg/mL, 0.1 mg/mL, 0.2 mg/mL, 0.3 mg/mL, 0.4 mg/mL, 0.5 mg/mL, 0.6 mg/mL, 0.7 mg/mL, 0.8 mg/mL, 0.9 mg/mL, 1.0 mg /mL, 1.1 mg/mL, 1.2 mg/mL, 1.3 mg/mL, 1.4 mg/mL, 1.5 mg/mL, 1.6 mg/mL, 1.7 mg/mL, 1.8 mg/mL, 1.9 mg/mL, 2.0 mg/mL, 2.2 mg/mL, 2.4 mg/mL, 2.6 mg/mL, 2.8 mg/mL, 3.0 mg/mL, 4.0 mg/mL, 5.0 mg/mL, 6.0 mg/mL, 7.0 mg/mL, 8.0 mg/mL, 9.0 mg/mL, 10.0 mg/mL, and any range between these points.
在一些实施方案中,前述药物组合物还包含糖。本公开的“糖”包含常规组合物(CH2O)n及其衍生物,包括单糖,二糖,三糖,多糖,糖醇,还原性糖,非还原性糖等等。所述的糖可选自葡萄糖,蔗糖,海藻糖,α,α-海藻糖二水合物,乳糖,果糖,麦芽糖,右旋糖苷,甘油,赤藻糖醇,丙三醇,阿拉伯糖醇,sylitol,山梨糖醇,甘露醇,密里二糖,松三糖,蜜三糖,甘露三糖,水苏糖,麦芽糖,乳果糖,麦芽酮糖,山梨醇,麦芽糖醇,乳糖醇,异-麦芽酮糖等等。在一些实施方案中,糖为蔗糖。In some embodiments, the aforementioned pharmaceutical composition further comprises sugar. The "sugar" disclosed herein comprises conventional compositions ( CH2O ) n and derivatives thereof, including monosaccharides, disaccharides, trisaccharides, polysaccharides, sugar alcohols, reducing sugars, non-reducing sugars, and the like. The sugar may be selected from glucose, sucrose, trehalose, α, α-trehalose dihydrate, lactose, fructose, maltose, dextran, glycerol, erythritol, glycerol, arabitol, sylitol, sorbitol, mannitol, melibiose, melezitose, raffinose, mannotriose, stachyose, maltose, lactulose, maltulose, sorbitol, maltitol, lactitol, iso-maltulose, and the like. In some embodiments, the sugar is sucrose.
在一些实施方案中,前述药物组合物中糖的浓度为25mg/mL至150mg/mL,或者30mg/mL至120mg/mL,非限制性的实施例包括25mg/mL、30mg/mL、35mg/mL、40mg/mL、45mg/mL、50mg/mL、55mg/mL、60mg/mL、70mg/mL、80mg/mL、90mg/mL、100mg/mL、110mg/mL、120mg/mL、130mg/mL、140mg/mL、
150mg/mL、160mg/mL、170mg/mL、180mg/mL以及这些点值之间的任意范围。在一些实施方案中,浓度为80mg/mL。In some embodiments, the concentration of sugar in the aforementioned pharmaceutical composition is 25 mg/mL to 150 mg/mL, or 30 mg/mL to 120 mg/mL, non-limiting examples include 25 mg/mL, 30 mg/mL, 35 mg/mL, 40 mg/mL, 45 mg/mL, 50 mg/mL, 55 mg/mL, 60 mg/mL, 70 mg/mL, 80 mg/mL, 90 mg/mL, 100 mg/mL, 110 mg/mL, 120 mg/mL, 130 mg/mL, 140 mg/mL, 150 mg/mL, 160 mg/mL, 170 mg/mL, 180 mg/mL and any range between these points. In some embodiments, the concentration is 80 mg/mL.
在一些实施方案中,前述药物组合物还包含氨基酸,例如除缓冲用组氨酸以外的氨基酸,用于增强药物的稳定性。可用的氨基酸包括但不限于甘氨酸、精氨酸、甲硫氨酸、脯氨酸、赖氨酸等。In some embodiments, the aforementioned pharmaceutical composition further comprises amino acids, such as amino acids other than histidine for buffering, for enhancing the stability of the drug. Available amino acids include, but are not limited to, glycine, arginine, methionine, proline, lysine, and the like.
在一些实施方案中,前述药物组合物中所述氨基酸的浓度为1mg/mL至100mg/mL,非限制性的实施例包括6mg/mL、6.5mg/mL、7mg/mL、7.2mg/mL、7.6mg/mL、7.8mg/mL、8mg/mL、8.5mg/mL、9mg/mL、10mg/mL、10.2mg/mL、11mg/mL、12mg/mL、13mg/mL、14mg/mL、15mg/mL、20mg/mL、25mg/mL、30mg/mL、35mg/mL、40mg/mL、45mg/mL、50mg/mL、60mg/mL、70mg/mL、80mg/mL、90mg/mL、100mg/mL以及这些点值之间的任意范围。In some embodiments, the concentration of the amino acid in the aforementioned pharmaceutical composition is 1 mg/mL to 100 mg/mL, non-limiting examples include 6 mg/mL, 6.5 mg/mL, 7 mg/mL, 7.2 mg/mL, 7.6 mg/mL, 7.8 mg/mL, 8 mg/mL, 8.5 mg/mL, 9 mg/mL, 10 mg/mL, 10.2 mg/mL, 11 mg/mL, 12 mg/mL, 13 mg/mL, 14 mg/mL, 15 mg/mL, 20 mg/mL, 25 mg/mL, 30 mg/mL, 35 mg/mL, 40 mg/mL, 45 mg/mL, 50 mg/mL, 60 mg/mL, 70 mg/mL, 80 mg/mL, 90 mg/mL, 100 mg/mL and any range between these points.
在一些实施方案中,本公开的药物组合物不包含除缓冲用组氨酸以外的氨基酸。在一些实施方案中,本公开的药物组合物稳定性优异,无需添加额外的氨基酸。In some embodiments, the pharmaceutical composition of the present disclosure does not contain amino acids other than histidine for buffering. In some embodiments, the pharmaceutical composition of the present disclosure has excellent stability and does not require the addition of additional amino acids.
在一些实施方案中,药物组合物中所述抗体药物偶联物浓度为以蛋白浓度计,1mg/mL至200mg/mL,非限制性的实施例包括1mg/mL、10mg/mL、11mg/mL、12mg/mL、13mg/mL、14mg/mL、15mg/mL、16mg/mL、17mg/mL、18mg/mL、19mg/mL、20mg/mL、21mg/mL、22mg/mL、23mg/mL、24mg/mL、25mg/mL、26mg/mL、27mg/mL、28mg/mL、29mg/mL、30mg/mL、40mg/mL、50mg/mL、60mg/mL、70mg/mL、80mg/mL、90mg/mL、100mg/mL、110mg/mL、120mg/mL、130mg/mL、140mg/mL、150mg/mL、160mg/mL、170mg/mL、180mg/mL、190mg/mL、200mg/mL以及这些点值之间的任意范围;在一些实施方案中,所述抗体药物偶联物浓度为以蛋白浓度计,10mg/mL至180mg/mL或30mg/mL至180mg/mL或50mg/mL至150mg/mL。所述的以蛋白浓度计,是指以抗体药物偶联物中的抗体部分的浓度计。In some embodiments, the concentration of the antibody drug conjugate in the pharmaceutical composition is 1 mg/mL to 200 mg/mL based on protein concentration. Non-limiting examples include 1 mg/mL, 10 mg/mL, 11 mg/mL, 12 mg/mL, 13 mg/mL, 14 mg/mL, 15 mg/mL, 16 mg/mL, 17 mg/mL, 18 mg/mL, 19 mg/mL, 20 mg/mL, 21 mg/mL, 22 mg/mL, 23 mg/mL, 24 mg/mL, 25 mg/mL, 26 mg/mL, 27 mg/mL, 28 mg/mL, 29 mg/mL, 30 mg/mL, 40 In some embodiments, the concentration of the antibody drug conjugate is 10 mg/mL to 180 mg/mL, 30 mg/mL to 180 mg/mL, or 50 mg/mL to 150 mg/mL, based on protein concentration. The term "based on protein concentration" refers to the concentration of the antibody portion in the antibody drug conjugate.
在一些实施方案中,所述的药物组合物,其包含:In some embodiments, the pharmaceutical composition comprises:
(a)以蛋白浓度计,10mg/mL至180mg/mL的所述抗体药物偶联物,(b)0.1mg/mL至8mg/mL的泊洛沙姆或聚山梨酯,(c)25mg/mL至150mg/mL的蔗糖,和(d)1mM至50mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为3.5至5.5,(a) based on protein concentration, 10 mg/mL to 180 mg/mL of the antibody drug conjugate, (b) 0.1 mg/mL to 8 mg/mL of poloxamer or polysorbate, (c) 25 mg/mL to 150 mg/mL of sucrose, and (d) 1 mM to 50 mM succinate-histidine buffer; the pH of the pharmaceutical composition is 3.5 to 5.5,
其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于85%。Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
在一些实施方案中,所述的药物组合物,其包含:In some embodiments, the pharmaceutical composition comprises:
(a)以蛋白浓度计,10mg/mL至180mg/mL的所述抗体药物偶联物,(b)0.3mg/mL至5mg/mL的泊洛沙姆或聚山梨酯,(c)30mg/mL至120mg/mL的蔗糖,和(d)5mM至20mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为3.7至5.2,
(a) based on protein concentration, 10 mg/mL to 180 mg/mL of the antibody drug conjugate, (b) 0.3 mg/mL to 5 mg/mL of poloxamer or polysorbate, (c) 30 mg/mL to 120 mg/mL of sucrose, and (d) 5 mM to 20 mM succinate-histidine buffer; the pH of the pharmaceutical composition is 3.7 to 5.2,
其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于85%。Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
在一些实施方案中,所述的药物组合物,其包含:In some embodiments, the pharmaceutical composition comprises:
(a)以蛋白浓度计,100mg/mL的所述抗体药物偶联物,(b)1mg/mL的泊洛沙姆,(c)80mg/mL的蔗糖,和(d)15mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为5.0,(a) based on protein concentration, 100 mg/mL of the antibody-drug conjugate, (b) 1 mg/mL of poloxamer, (c) 80 mg/mL of sucrose, and (d) 15 mM of succinate-histidine buffer; the pH of the pharmaceutical composition is 5.0,
其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于85%。Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 85%.
在一些实施方案中,前述任一项的药物组合物是液体制剂。本公开的液体制剂或者复溶后的制剂,具有较好的稳定性。进一步的,稳定的液体制剂包括这样的液体制剂:其在包括40℃的温度保存1个月后表现出期望的特征。In some embodiments, any of the foregoing pharmaceutical compositions is a liquid preparation. The liquid preparation or the reconstituted preparation disclosed herein has good stability. Further, a stable liquid preparation includes a liquid preparation that exhibits desired characteristics after being stored at a temperature of 40° C. for 1 month.
在一些实施方案中,本公开所述的药物组合物在2-8℃下储存3个月后,通过HP-SEC测量的抗体药物偶联物单体为≥96%,例如≥97%、≥98%或≥99%。In some embodiments, the antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 2-8°C for 3 months is ≥96%, such as ≥97%, ≥98% or ≥99%.
在一些实施方案中,本公开所述的药物组合物在将制剂在2-8℃下储存3个月后,通过HP-SEC测量不超过10%,例如不超过5%或不超过3%的抗体药物偶联物发生聚集或降解。In some embodiments, the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 2-8°C for 3 months.
在一些实施方案中,本公开所述的药物组合物在2-8℃下储存6个月后,通过HP-SEC测量的%抗体药物偶联物单体为≥96%,例如≥97%、≥98%或≥99%。In some embodiments, the % antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 2-8°C for 6 months is ≥96%, such as ≥97%, ≥98% or ≥99%.
在一些实施方案中,本公开所述的药物组合物在将制剂在2-8℃下储存6个月后,通过HP-SEC测量不超过10%,例如不超过5%或不超过3%的抗体药物偶联物发生聚集或降解。In some embodiments, the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 2-8°C for 6 months.
在一些实施方案中,本公开所述的药物组合物在25℃下储存3个月后,通过HP-SEC测量的%抗体药物偶联物单体为≥96%,例如≥97%、≥98%或≥99%。In some embodiments, the % antibody drug conjugate monomer measured by HP-SEC after storage of the pharmaceutical composition of the present disclosure at 25° C. for 3 months is ≥96%, such as ≥97%, ≥98% or ≥99%.
在一些实施方案中,本公开所述的药物组合物在将制剂在25℃下储存3个月后,通过HP-SEC测量不超过10%,例如不超过5%或不超过3%的抗体药物偶联物发生聚集或降解。In some embodiments, the pharmaceutical compositions of the present disclosure show no more than 10%, such as no more than 5% or no more than 3%, aggregation or degradation of the antibody drug conjugate as measured by HP-SEC after the formulation is stored at 25°C for 3 months.
本公开还提供一种含抗体药物偶联物的冻干制剂,其中所述制剂复溶后可形成如上所述的药物组合物。The present disclosure also provides a lyophilized formulation containing an antibody drug conjugate, wherein the formulation can form the pharmaceutical composition as described above after reconstitution.
在一些实施方案中,该冻干制剂于40℃稳定至少7天,至少14天,至少28天或至少30天。In some embodiments, the lyophilized formulation is stable at 40°C for at least 7 days, at least 14 days, at least 28 days, or at least 30 days.
本公开还提供一种包含抗体药物偶联物的冻干制剂,所述冻干制剂通过将如上所述的抗体药物偶联物的药物组合物冷冻干燥获得。The present disclosure also provides a lyophilized preparation comprising an antibody drug conjugate, wherein the lyophilized preparation is obtained by freeze-drying the pharmaceutical composition of the antibody drug conjugate as described above.
本公开还提供一种制备含抗体药物偶联物的冻干制剂的方法,其中包括将如上所述的药物组合物经冷冻干燥的步骤。The present disclosure also provides a method for preparing a lyophilized formulation containing an antibody drug conjugate, which comprises the step of freeze-drying the pharmaceutical composition as described above.
本公开还提供一种含抗体药物偶联物的复溶溶液,其中所述复溶溶液是通过
将如上所述的冻干制剂复溶制备获得。The present disclosure also provides a reconstitution solution containing an antibody drug conjugate, wherein the reconstitution solution is prepared by The lyophilized preparation described above was reconstituted to obtain the above-mentioned product.
本公开还提供制备上述复溶溶液的方法,其中包括将前述冻干制剂经复溶的步骤,其复溶所用溶液选自但不限于注射用水、生理盐水或葡萄糖溶液。The present disclosure also provides a method for preparing the above-mentioned reconstituted solution, which comprises the step of reconstituted the above-mentioned lyophilized preparation, and the solution used for reconstitution is selected from but not limited to water for injection, physiological saline or glucose solution.
本公开所述的冻干制剂能够保持良好的稳定性。The lyophilized preparations disclosed herein can maintain good stability.
本公开还提供一种制品,其包括容器,该容器中装有如上所述的药物组合物、冻干制剂或复溶溶液。在一些实施方案中,该容器为中性硼硅玻璃管制注射剂瓶。The present disclosure also provides a product, which includes a container, wherein the pharmaceutical composition, lyophilized preparation or reconstituted solution as described above is contained in the container. In some embodiments, the container is a neutral borosilicate glass tube injection bottle.
本公开所述的抗体-药物偶联物和/或包含抗体-药物偶联物的药物组合物可用于裂解表达表面TNFα的细胞(体外或体内)和/或用于治疗以增加的TNFα(例如,滑液中增加的TNFα)为特征的疾病或病症。在某些实施方案中,抗体-药物偶联物和/或组合物可用于抑制细胞因子释放(体外或体内)和/或用于治疗自身免疫性或炎性疾病。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗克罗恩病。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗溃疡性结肠炎。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗类风湿性关节炎(RA)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗幼年特发性关节炎(JA)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗银屑病关节炎(PsA)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗脊椎关节病,例如强直性脊柱炎(AS)或轴型脊椎关节炎(axSpA)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗成人克罗恩病(CD)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗小儿克罗恩病。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗溃疡性结肠炎(UC)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗斑块型银屑病(Ps)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗化脓性汗腺炎(HS)。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗葡萄膜炎。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗白塞斯病。在某些实施方案中,抗体-药物偶联物和/或组合物用于治疗银屑病,包括斑块型银屑病。The antibody-drug conjugates and/or pharmaceutical compositions comprising the antibody-drug conjugates described in the present disclosure can be used to lyse cells expressing surface TNFα (in vitro or in vivo) and/or to treat diseases or conditions characterized by increased TNFα (e.g., increased TNFα in synovial fluid). In certain embodiments, the antibody-drug conjugates and/or compositions can be used to inhibit cytokine release (in vitro or in vivo) and/or to treat autoimmune or inflammatory diseases. In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat Crohn's disease. In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat ulcerative colitis. In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat rheumatoid arthritis (RA). In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat juvenile idiopathic arthritis (JA). In certain embodiments, the antibody-drug conjugates and/or compositions are used to treat psoriatic arthritis (PsA). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat spondyloarthropathies, such as ankylosing spondylitis (AS) or axial spondyloarthritis (axSpA). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat adult Crohn's disease (CD). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat pediatric Crohn's disease. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat ulcerative colitis (UC). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat plaque psoriasis (Ps). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat hidradenitis suppurativa (HS). In certain embodiments, the antibody-drug conjugate and/or composition is used to treat uveitis. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat Behcet's disease. In certain embodiments, the antibody-drug conjugate and/or composition is used to treat psoriasis, including plaque psoriasis.
如本领域技术人员所熟知的,本公开中所述各个实施方案的一项、一些或所有特性可以进一步组合以形成本公开的其它实施方案。本公开的以上实施方案和通过组合得到的其他实施方案通过下面的详述进一步说明。As is well known to those skilled in the art, one, some or all of the features of the various embodiments described in the present disclosure may be further combined to form other embodiments of the present disclosure. The above embodiments of the present disclosure and other embodiments obtained by combination are further described by the following detailed description.
发明详述DETAILED DESCRIPTION OF THE INVENTION
本公开提供一种更利于生产和给药,性能稳定的药物组合物。其中,不期望的不稳定性可包括下列任何一项或多项:聚集、脱酰胺化(例如Asn脱酰胺化)、氧化(例如Met氧化)、异构化(例如Asp异构化)、剪裁(clipping)/水解/片段化(例如铰链区片段化)、琥珀酰亚胺形成、不成对的半胱氨酸、毒素的解离等。本公开所述的药物组合物可以在液体状态下保持长时间稳定。The present disclosure provides a pharmaceutical composition that is more conducive to production and administration and has stable performance. Among them, the undesirable instability may include any one or more of the following: aggregation, deamidation (e.g., Asn deamidation), oxidation (e.g., Met oxidation), isomerization (e.g., Asp isomerization), clipping/hydrolysis/fragmentation (e.g., hinge region fragmentation), succinimide formation, unpaired cysteine, dissociation of toxins, etc. The pharmaceutical composition described in the present disclosure can remain stable for a long time in a liquid state.
术语
the term
为了更容易理解本公开,以下具体定义了某些技术和科学术语。除非在本文中另有明确定义,本文使用的所有其它技术和科学术语都具有本公开所属领域的一般技术人员通常理解的含义。In order to make the present disclosure more easily understood, certain technical and scientific terms are specifically defined below. Unless otherwise explicitly defined herein, all other technical and scientific terms used herein have the meanings commonly understood by those of ordinary skill in the art to which the present disclosure belongs.
“抗体药物偶联物(antibody drug conjugate,ADC)是把抗体通过连接单元与具有生物活性的细胞毒素或具有细胞杀伤活性的小分子药物相连。“Antibody-drug conjugates (ADCs) are antibodies that are linked to biologically active cytotoxins or small molecule drugs with cell-killing activity through a linker unit.
“载药量”或“药物载量”也称药物抗体比例(Drug-to-Antibody Ratio,DAR),即ADC中每个抗体所偶联的药物的数量。“Drug loading” or “drug loading” is also called the drug-to-antibody ratio (DAR), which is the amount of drug coupled to each antibody in the ADC.
“化合物载药量”或者“化合物DAR”,即ADC中每个抗体所偶联的药物的具体数量。示例性的,载药量可以为1,2,3,4,5,6,7,8,9,10的值。例如,化合物载药量为1至10的整数。"Compound drug loading" or "compound DAR" refers to the specific amount of drug conjugated to each antibody in the ADC. Exemplary, the drug loading can be a value of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. For example, the compound drug loading is an integer from 1 to 10.
“平均载药量”或“平均药物载量”也称平均DAR,即ADC中每个抗体所偶联的药物的平均数量。其可在例如每个抗体偶联1至10个药物的范围内,并且在某些实施例中,在每个抗体偶联1至8个药物的范围内,优选自2-8,2-7,2-6,2-5,2-4,3-4,3-5,5-6,5-7,5-8和6-8。示例性的,载药量可以为1,2,3,4,5,6,7,8,9,10的均值。例如,平均载药量为1至10的整数或小数。"Average drug loading" or "average drug loading" is also called average DAR, which is the average number of drugs coupled to each antibody in the ADC. It can be, for example, in the range of 1 to 10 drugs coupled to each antibody, and in certain embodiments, in the range of 1 to 8 drugs coupled to each antibody, preferably 2-8, 2-7, 2-6, 2-5, 2-4, 3-4, 3-5, 5-6, 5-7, 5-8 and 6-8. Exemplarily, the drug loading can be the average of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10. For example, the average drug loading is an integer or decimal from 1 to 10.
术语“接头单元”或“连接片段”或“连接单元”是指一端与抗体或其抗原结合片段连接而另一端与药物相连的化学结构片段或键,也可以连接其他接头后再与药物相连。The term "linker unit" or "connection fragment" or "connection unit" refers to a chemical structure fragment or bond that is connected to an antibody or its antigen-binding fragment at one end and to a drug at the other end, and can also be connected to other linkers before being connected to the drug.
接头,包括延伸物、间隔物和氨基酸单元,可以通过本领域已知方法合成,诸如US20050238649A1中所记载的。接头可以是便于在细胞中释放药物的“可切割接头”。例如,可使用酸不稳定接头(例如腙)、蛋白酶敏感(例如肽酶敏感)接头、光不稳定接头、二甲基接头、或含二硫化物接头(Chari等,Cancer Research 52:127-131(1992);美国专利No.5,208,020)。Linkers, including extenders, spacers, and amino acid units, can be synthesized by methods known in the art, such as those described in US20050238649A1. The linker can be a "cleavable linker" that facilitates release of the drug in the cell. For example, an acid-labile linker (e.g., hydrazone), a protease-sensitive (e.g., peptidase-sensitive) linker, a photolabile linker, a dimethyl linker, or a disulfide-containing linker can be used (Chari et al., Cancer Research 52: 127-131 (1992); U.S. Patent No. 5,208,020).
术语“药物连接臂片段”或“药物-接头片段”是指药物与接头单元相连形成的片段,其可通过接头单元另一端与抗体相连。The term "drug linker fragment" or "drug-linker fragment" refers to a fragment formed by linking a drug to a linker unit, which can be linked to an antibody via the other end of the linker unit.
可以用以下非限制性方法控制糖皮质激素受体激动剂药物的载量,包括:The glucocorticoid receptor agonist drug loading may be controlled by the following non-limiting methods, including:
(1)控制连接药物连接臂片段和单抗的摩尔比,(1) Control the molar ratio of the drug linker fragment and the monoclonal antibody,
(2)控制反应时间和温度,(2) Control the reaction time and temperature,
(3)选择不同的反应试剂。(3) Select different reaction reagents.
本公开所用氨基酸三字母代码和单字母代码如J.biol.chem,243,p3558(1968)中所述。The three letter codes and one letter codes for amino acids used in this disclosure are as described in J. biol. chem, 243, p3558 (1968).
本公开所述的“抗体”以最广义使用,并且涵盖各种抗体结构,包括但不限于全长抗体和抗体片段(或抗原结合片段,或抗原结合部分),只要它们展现出期望的抗原结合活性。通常,天然的完整抗体由两条相同的重链和两条相同的轻链通过链间二硫键连接而成的四肽链结构。The "antibody" described in the present disclosure is used in the broadest sense and covers various antibody structures, including but not limited to full-length antibodies and antibody fragments (or antigen-binding fragments, or antigen-binding portions), as long as they exhibit the desired antigen-binding activity. Generally, a natural complete antibody consists of a tetrapeptide chain structure formed by two identical heavy chains and two identical light chains connected by interchain disulfide bonds.
本公开工程化的抗体或抗原结合片段可用常规方法制备和纯化。比如,编码重
链和轻链的cDNA序列,可以克隆并重组至GS表达载体。重组的免疫球蛋白表达载体可以稳定地转染CHO细胞。作为一种更推荐的现有技术,哺乳动物类表达系统会导致抗体的糖基化,特别是在Fc区的高度保守N端位点。阳性的克隆在生物反应器的无血清培养基中扩大培养以生产抗体。分泌了抗体的培养液可以用常规技术纯化。比如,用含调整过的缓冲液的A或G Sepharose FF柱进行纯化。洗去非特异性结合的组分。再用pH梯度法洗脱结合的抗体,用SDS-PAGE检测抗体片段,收集。抗体可用常规方法进行过滤浓缩。可溶的混合物和多聚体,也可以用常规方法去除,比如分子筛、离子交换。得到的产物需立即冷冻,如-70℃,或者冻干。The engineered antibodies or antigen-binding fragments disclosed herein can be prepared and purified by conventional methods. The cDNA sequences of the heavy chain and light chain can be cloned and recombined into the GS expression vector. The recombinant immunoglobulin expression vector can stably transfect CHO cells. As a more recommended existing technology, the mammalian expression system will lead to glycosylation of antibodies, especially at the highly conserved N-terminal site of the Fc region. Positive clones are expanded in serum-free medium in a bioreactor to produce antibodies. The culture fluid that secretes antibodies can be purified by conventional techniques. For example, purification is performed using an A or G Sepharose FF column containing an adjusted buffer. Non-specifically bound components are washed away. The bound antibodies are then eluted using the pH gradient method, and the antibody fragments are detected by SDS-PAGE and collected. The antibodies can be filtered and concentrated by conventional methods. Soluble mixtures and polymers can also be removed by conventional methods, such as molecular sieves and ion exchange. The obtained product should be immediately frozen, such as -70°C, or freeze-dried.
“缓冲剂”指通过其酸-碱共轭组分的作用而耐受pH变化的缓冲剂。将pH控制在适当范围中的缓冲剂的例子包括醋酸盐、琥珀酸盐、葡萄糖酸盐、组氨酸、草酸盐、乳酸盐、磷酸盐、枸橼酸盐、酒石酸盐、延胡索酸盐、甘氨酰甘氨酸和其它有机酸缓冲剂。"Buffer" refers to a buffer that tolerates pH changes through the action of its acid-base conjugate components. Examples of buffers that control pH in an appropriate range include acetate, succinate, gluconate, histidine, oxalate, lactate, phosphate, citrate, tartrate, fumarate, glycylglycine, and other organic acid buffers.
“组氨酸缓冲剂”是包含组氨酸的缓冲剂。组氨酸缓冲剂的实例包括组氨酸-盐酸组氨酸,组氨酸-醋酸组氨酸,组氨酸-磷酸组氨酸,组氨酸-硫酸组氨酸等缓冲剂,优选组氨酸-盐酸组氨酸缓冲剂。组氨酸-盐酸组氨酸缓冲剂可由组氨酸与盐酸配制而成,或者由组氨酸与盐酸组氨酸配制而成。"Histidine buffer" is a buffer containing histidine. Examples of histidine buffers include histidine-histidine hydrochloride, histidine-histidine acetate, histidine-histidine phosphate, histidine-histidine sulfate and the like, preferably histidine-histidine hydrochloride buffer. Histidine-histidine hydrochloride buffer can be prepared from histidine and hydrochloric acid, or from histidine and histidine hydrochloride.
“枸橼酸盐缓冲剂”是包括枸橼酸根离子的缓冲剂。枸橼酸盐缓冲剂的实例包括枸橼酸-枸橼酸钠、枸橼酸-枸橼酸钾、枸橼酸-枸橼酸钙、枸橼酸-枸橼酸镁等。优选的枸橼酸盐缓冲剂是枸橼酸-枸橼酸钠。"Citrate buffer" is a buffer including citrate ions. Examples of citrate buffers include citric acid-sodium citrate, citric acid-potassium citrate, citric acid-calcium citrate, citric acid-magnesium citrate, and the like. A preferred citrate buffer is citric acid-sodium citrate.
“琥珀酸盐缓冲剂”是包括琥珀酸根离子的缓冲剂。琥珀酸盐缓冲剂的实例包括琥珀酸-琥珀酸钠盐、琥珀酸-琥珀酸钾、琥珀酸-琥珀酸钙盐等。优选的琥珀酸盐缓冲剂是琥珀酸-琥珀酸钠盐。示例性的,所述的琥珀酸-琥珀酸钠可由琥铂酸与氢氧化钠配制而成,或由琥铂酸与琥珀酸钠盐配制而成。"Succinate buffer" is a buffer comprising succinate ions. Examples of succinate buffers include succinic acid-succinic acid sodium salt, succinic acid-succinic acid potassium salt, succinic acid-succinic acid calcium salt, etc. A preferred succinic acid buffer is succinic acid-succinic acid sodium salt. Exemplarily, the succinic acid-succinic acid sodium salt can be prepared from succinic acid and sodium hydroxide, or from succinic acid and succinic acid sodium salt.
“磷酸盐缓冲剂”是包括磷酸根离子的缓冲剂。磷酸盐缓冲剂的实例包括磷酸氢二钠-磷酸二氢钠、磷酸氢二钠-磷酸二氢钾、磷酸氢二钠-枸橼酸等。优选的磷酸盐缓冲剂是磷酸氢二钠-磷酸二氢钠。"Phosphate buffer" is a buffer including phosphate ions. Examples of phosphate buffers include disodium hydrogen phosphate-sodium dihydrogen phosphate, disodium hydrogen phosphate-potassium dihydrogen phosphate, disodium hydrogen phosphate-citric acid, and the like. A preferred phosphate buffer is disodium hydrogen phosphate-sodium dihydrogen phosphate.
“醋酸盐缓冲剂”是包括醋酸根离子的缓冲剂。醋酸盐缓冲剂的实例包括醋酸-醋酸钠、组氨酸-醋酸组氨酸、醋酸-醋酸钾、醋酸-醋酸钙、醋酸-醋酸镁等。优选的醋酸盐缓冲剂是醋酸-醋酸钠。"Acetate buffer" is a buffer including acetate ions. Examples of acetate buffers include acetate-sodium acetate, histidine-histidine acetate, acetate-potassium acetate, acetate-calcium acetate, acetate-magnesium acetate, etc. A preferred acetate buffer is acetate-sodium acetate.
“药物组合物”表示含有一种或多种本文所述抗体药物偶联物或其生理学上/可药用的盐或前体药物与其他化学组分的混合物,所述其他组分例如生理学/可药用的载体和赋形剂。药物组合物的目的是保持抗体活性成分的稳定性,促进对生物体的给药,利于活性成分的吸收进而发挥生物活性。"Pharmaceutical composition" means a mixture containing one or more antibody drug conjugates described herein or their physiologically/pharmaceutically acceptable salts or prodrugs and other chemical components, such as physiologically/pharmaceutically acceptable carriers and excipients. The purpose of the pharmaceutical composition is to maintain the stability of the antibody active ingredient, promote administration to the organism, and facilitate the absorption of the active ingredient to exert biological activity.
本公开中,“药物组合物”和“制剂”并不互相排斥。In the present disclosure, "pharmaceutical composition" and "formulation" are not mutually exclusive.
本公开中所述药物组合物的溶液形式,若无特殊说明,其中的溶剂均为水。
The pharmaceutical compositions described in the present disclosure are in the form of solutions, and unless otherwise specified, the solvent therein is water.
“冻干制剂”表示液体或溶液形式的药物组合物或液体或溶液制剂经真空冷冻干燥步骤之后获得的制剂或药物组合物。"Lyophilized preparation" refers to a pharmaceutical composition in liquid or solution form or a preparation or pharmaceutical composition obtained after a liquid or solution preparation has been subjected to a vacuum freeze-drying step.
本文所用术语“约”、“大约”是指数值在由本领域一般技术人员所测定的具体值的可接受误差范围内,所述数值部分取决于怎样测量或测定(即测量体系的限度)。例如,在本领域每一次实行中“约”可意味着在1内或超过1的标准差。或者,“约”或“基本上包含”可意味着至多20%的范围。此外,特别对于生物学系统或过程而言,该术语可意味着至多一个数量级或数值的至多5倍。除非另外说明,否则当具体值在本申请和权利要求中出现时,“约”或“基本上包含”的含义应该假定为在该具体值的可接受误差范围内。As used herein, the terms "about" and "approximately" refer to values within an acceptable error range for a specific value determined by a person of ordinary skill in the art, which value depends in part on how it is measured or determined (i.e., the limits of the measurement system). For example, "about" can mean within 1 or more than 1 standard deviation in each practice in the art. Alternatively, "about" or "substantially including" can mean a range of up to 20%. In addition, particularly for biological systems or processes, the term can mean up to an order of magnitude or up to 5 times the value. Unless otherwise stated, when a specific value appears in the application and claims, the meaning of "about" or "substantially including" should be assumed to be within an acceptable error range for the specific value.
本公开中数值为仪器测量值或仪器测量后计算值,存在一定程度的误差,一般而言,正负10%均属于合理误差范围内。当然需要考虑该数值所用之处的上下文,例如,总杂质的含量,该数值为测量后误差变化不超过正负10%,可以为正负9%、正负8%、正负7%、正负6%、正负5%、正负4%、正负3%、正负2%或正负1%,优选正负5%。The numerical values in this disclosure are instrumental measurements or calculated values after instrumental measurements, and there is a certain degree of error. Generally speaking, plus or minus 10% is within the reasonable error range. Of course, the context in which the numerical value is used needs to be considered. For example, the total impurity content, which is a value with an error change of no more than plus or minus 10% after measurement, can be plus or minus 9%, plus or minus 8%, plus or minus 7%, plus or minus 6%, plus or minus 5%, plus or minus 4%, plus or minus 3%, plus or minus 2% or plus or minus 1%, preferably plus or minus 5%.
本公开所述的药物组合物能够达到一种稳定的效果:其中的抗体药物偶联物在贮藏后基本上保留其物理稳定性和/或化学稳定性和/或生物学活性的药物组合物;优选地,药物组合物在贮藏后基本上保留其物理和化学稳定性以及其生物学活性。贮藏期一般基于药物组合物的预定保存期来选择。目前有多种测量蛋白质或抗体药物偶联物稳定性的分析技术,可测量在选定温度贮藏选定时间段后的稳定性。The pharmaceutical composition disclosed herein can achieve a stable effect: a pharmaceutical composition in which the antibody drug conjugate substantially retains its physical stability and/or chemical stability and/or biological activity after storage; preferably, the pharmaceutical composition substantially retains its physical and chemical stability and its biological activity after storage. The storage period is generally selected based on the predetermined shelf life of the pharmaceutical composition. There are currently a variety of analytical techniques for measuring the stability of proteins or antibody drug conjugates, which can measure the stability after storage at a selected temperature for a selected period of time.
稳定的制剂是在下述情况下没有观察到显著变化的制剂:在冷藏温度(2-8℃)保存至少3个月、优选6个月、更优选1年。另外,稳定的液体制剂包括这样的液体制剂:其在包括25℃的温度保存包括1个月、2个月、3个月在内的时段后表现出期望的特征。进一步的,稳定的液体制剂包括这样的液体制剂:其在包括40℃的温度保存包括10天、20天、1个月在内的时段后表现出期望的特征。稳定性的典型的例子:通过SEC-HPLC测得,通常不超过约10%、优选不超过约5%的抗体药物偶联物单体发生聚集或降解。通过视觉分析,制剂是淡黄色近无色澄明液体或者无色,或澄清至稍微乳白色。所述制剂的浓度、pH和重量克分子渗透压浓度具有不超过±10%变化。通常观察到不超过约10%、优选不超过约5%的减少。通常形成不超过约10%、优选不超过约5%的聚集。A stable formulation is one in which no significant changes are observed when stored at a refrigerated temperature (2-8°C) for at least 3 months, preferably 6 months, and more preferably 1 year. In addition, a stable liquid formulation includes a liquid formulation that exhibits desired characteristics after being stored at a temperature of 25°C for a period of 1 month, 2 months, or 3 months. Further, a stable liquid formulation includes a liquid formulation that exhibits desired characteristics after being stored at a temperature of 40°C for a period of 10 days, 20 days, or 1 month. A typical example of stability: As measured by SEC-HPLC, usually no more than about 10%, preferably no more than about 5%, of the antibody drug conjugate monomers aggregate or degrade. By visual analysis, the formulation is a pale yellow, nearly colorless, clear liquid or colorless, or clear to slightly milky white. The concentration, pH, and weight-gram molecular osmotic pressure concentration of the formulation have no more than ±10% variation. A decrease of no more than about 10%, preferably no more than about 5%, is usually observed. Aggregation of no more than about 10%, preferably no more than about 5%, is usually formed.
如果在目检颜色和/或澄清度后,或者通过UV光散射、尺寸排阻色谱法(SEC)和动态光散射(DLS)测得,抗体药物偶联物没有显示出显著的聚集增加、沉淀和/或变性,那么所述抗体药物偶联物在药物制剂中“保留它的物理稳定性”。蛋白构象的变化可以通过荧光光谱法(其确定蛋白三级结构)和通过FTIR光谱法(其确定蛋白二级结构)来评价。The antibody drug conjugate "retains its physical stability" in the pharmaceutical formulation if it shows no significant increase in aggregation, precipitation and/or denaturation as measured after visual inspection of color and/or clarity, or by UV light scattering, size exclusion chromatography (SEC) and dynamic light scattering (DLS). Changes in protein conformation can be evaluated by fluorescence spectroscopy (which determines protein tertiary structure) and by FTIR spectroscopy (which determines protein secondary structure).
如果抗体药物偶联物没有显示出显著的化学改变,那么所述抗体药物偶联物在药物制剂中“保留它的化学稳定性”。通过检测和定量化学上改变的形式的蛋白,
可以评估化学稳定性。经常改变蛋白化学结构的降解过程包括水解或截短(通过诸如尺寸排阻色谱法和CE-SDS等方法来评价)、氧化(通过诸如与质谱法或MALDI/TOF/MS结合的肽谱法等方法来评价)、脱酰胺作用(通过诸如离子交换色谱法、毛细管等电聚焦、肽谱法、异天冬氨酸测量等方法来评价)和异构化(通过测量异天冬氨酸含量、肽谱法等来评价)。An antibody drug conjugate "retains its chemical stability" in a pharmaceutical formulation if the antibody drug conjugate does not show significant chemical alteration. By detecting and quantifying chemically altered forms of the protein, Chemical stability can be assessed. Degradation processes that often change the chemical structure of a protein include hydrolysis or truncation (assessed by methods such as size exclusion chromatography and CE-SDS), oxidation (assessed by methods such as peptide mapping coupled to mass spectrometry or MALDI/TOF/MS), deamidation (assessed by methods such as ion exchange chromatography, capillary isoelectric focusing, peptide mapping, isoaspartate measurement), and isomerization (assessed by measuring isoaspartate content, peptide mapping, etc.).
如果抗体药物偶联物在给定时间的生物活性是在制备药物制剂时表现出的生物活性的预定范围内,那么所述抗体药物偶联物在药物制剂中“保留它的生物活性”。An antibody drug conjugate "retains its biological activity" in a pharmaceutical formulation if the biological activity of the antibody drug conjugate at a given time is within a predetermined range of the biological activity exhibited when the pharmaceutical formulation is prepared.
“任选”或“任选地”意味着随后所描述地事件或环境可以但不必发生,该说明包括该事件或环境发生或不发生的场合。例如,“任选包含1-3个抗体重链可变区”意味着特定序列的抗体重链可变区可以但不必须存在。"Optional" or "optionally" means that the event or environment described later can but need not occur, and the description includes occasions where the event or environment occurs or does not occur. For example, "optionally comprising 1-3 antibody heavy chain variable regions" means that the antibody heavy chain variable region of a specific sequence can but does not have to be present.
“取代的”指基团中的一个或多个氢原子,优选为最多5个,更优选为1~3个氢原子彼此独立地被相应数目的取代基取代。不言而喻,取代基仅处在它们的可能的化学位置,本领域技术人员能够在不付出过多努力的情况下确定(通过实验或理论)可能或不可能的取代。例如,具有游离氢的氨基或羟基与具有不饱和(如烯属)键的碳原子结合时可能是不稳定的。"Substituted" means that one or more hydrogen atoms, preferably up to 5, more preferably 1 to 3 hydrogen atoms in the group are replaced independently of each other by a corresponding number of substituents. It goes without saying that the substituents are only in their possible chemical positions, and the skilled person can determine (by experiment or theory) possible or impossible substitutions without undue effort. For example, amino or hydroxy groups with free hydrogens may be unstable when combined with carbon atoms with unsaturated (e.g. olefinic) bonds.
常规的药物组合物的制备见中国药典。The preparation of conventional pharmaceutical compositions is described in the Chinese Pharmacopoeia.
术语“载体”用于本公开的药物,是指能改变药物进入人体的方式和在体内的分布、控制药物的释放速度并将药物输送到靶向器官的体系。药物载体释放和靶向系统能够减少药物降解及损失,降低副作用,提高生物利用度。如可作为载体的高分子表面活性剂由于其独特的两亲性结构,可以进行自组装,形成各种形式的聚集体,优选的实例如胶束、微乳液、凝胶、液晶、囊泡等。这些聚集体具有包载药物分子的能力,同时又对膜有良好的渗透性,可以作为优良的药物载体。The term "carrier" is used for the drugs disclosed herein and refers to a system that can change the way the drug enters the human body and its distribution in the body, control the release rate of the drug, and deliver the drug to the targeted organ. The drug carrier release and targeting system can reduce drug degradation and loss, reduce side effects, and improve bioavailability. For example, polymer surfactants that can be used as carriers can self-assemble to form various forms of aggregates due to their unique amphiphilic structure, and preferred examples are micelles, microemulsions, gels, liquid crystals, vesicles, etc. These aggregates have the ability to encapsulate drug molecules and have good permeability to membranes, and can be used as excellent drug carriers.
“给予”和“处理”当应用于动物、人、实验受试者、细胞、组织、器官或生物流体时,是指外源性药物、治疗剂、诊断剂或组合物与动物、人、受试者、细胞、组织、器官或生物流体的接触。“给予”和“处理”可以指例如治疗、药物代谢动力学、诊断、研究和实验方法。细胞的处理包括试剂与细胞的接触,以及试剂与流体的接触,其中所述流体与细胞接触。“给予”和“处理”还意指通过试剂、诊断、结合组合物或通过另一种细胞体外和离体处理例如细胞。“处理”当应用于人、兽医学或研究受试者时,是指治疗处理、预防或预防性措施,研究和诊断应用。"Administering" and "treating" as applied to an animal, a human, a laboratory subject, a cell, a tissue, an organ, or a biological fluid, refers to the contact of an exogenous drug, therapeutic agent, diagnostic agent, or composition with an animal, a human, a subject, a cell, a tissue, an organ, or a biological fluid. "Administering" and "treating" can refer to, for example, treatment, pharmacokinetics, diagnosis, research, and experimental procedures. Treatment of cells includes contact of an agent with a cell, and contact of an agent with a fluid, wherein the fluid is in contact with the cell. "Administering" and "treating" also mean in vitro and ex vivo treatment of, for example, a cell by an agent, a diagnostic, a combination composition, or by another cell. "Treatment" as applied to humans, veterinary medicine, or research subjects refers to therapeutic treatment, prophylactic or preventative measures, research and diagnostic applications.
“治疗”意指给予患者内用或外用治疗剂,例如包含本公开的任一种结合化合物的组合物,所述患者具有一种或多种疾病症状,而已知所述治疗剂对这些症状具有治疗作用。通常,在受治疗患者或群体中以有效缓解一种或多种疾病症状的量给予治疗剂,以诱导这类症状退化或抑制这类症状发展到任何临床可测量的程度。有效缓解任何具体疾病症状的治疗剂的量(也称作“治疗有效量”)可根据多种因素变化,例如患者的疾病状态、年龄和体重,以及药物在患者产生需要疗效的能力。通过医生或其它专业卫生保健人士通常用于评价该症状的严重性或进展状况的任何临床
检测方法,可评价疾病症状是否已被减轻。尽管本公开的实施方案(例如治疗方法或制品)在缓解每个目标疾病症状方面可能无效,但是根据本领域已知的任何统计学检验方法如Student t检验、卡方检验、依据Mann和Whitney的U检验、Kruskal-Wallis检验(H检验)、Jonckheere-Terpstra检验和Wilcoxon检验确定,其在统计学显著数目的患者中应当减轻目标疾病症状。"Treatment" means administering an internal or external therapeutic agent, such as a composition comprising any of the binding compounds of the present disclosure, to a patient who has one or more symptoms of a disease for which the therapeutic agent is known to have a therapeutic effect. Typically, the therapeutic agent is administered in an amount effective to alleviate one or more disease symptoms in the patient or population being treated, to induce regression of such symptoms or to inhibit the progression of such symptoms to any clinically measurable degree. The amount of therapeutic agent effective to alleviate any specific disease symptom (also referred to as a "therapeutically effective amount") may vary according to a variety of factors, such as the disease state, age, and weight of the patient, and the ability of the drug to produce the desired therapeutic effect in the patient. The amount of therapeutic agent administered may be determined by any clinical assessment routinely used by a physician or other health care professional to evaluate the severity or progression of the symptom. Detection methods can evaluate whether disease symptoms have been alleviated. Although the embodiments of the present disclosure (e.g., treatment methods or products) may not be effective in alleviating each target disease symptom, they should alleviate the target disease symptoms in a statistically significant number of patients as determined by any statistical test known in the art, such as Student's t-test, chi-square test, U test according to Mann and Whitney, Kruskal-Wallis test (H test), Jonckheere-Terpstra test, and Wilcoxon test.
“有效量”包含足以改善或预防医学疾病的症状或病症的量。有效量还意指足以允许或促进诊断的量。用于特定患者或兽医学受试者的有效量可依据以下因素而变化:例如,待治疗的病症、患者的总体健康情况、给药的方法途径和剂量以及副作用严重性。有效量可以是避免显著副作用或毒性作用的最大剂量或给药方案。An "effective amount" includes an amount sufficient to ameliorate or prevent a symptom or condition of a medical disease. An effective amount also means an amount sufficient to allow or facilitate diagnosis. The effective amount for a particular patient or veterinary subject may vary depending on factors such as the condition to be treated, the patient's general health, the method, route and dosage of administration, and the severity of side effects. An effective amount may be the maximum dose or dosage regimen that avoids significant side effects or toxic effects.
“置换”是指溶解抗体蛋白或抗体药物偶联物的溶剂体系的置换,例如,使用稳定制剂的缓冲体系经物理操作方式将含抗体蛋白或抗体药物偶联物的高盐或高渗溶剂体系置换,从而使抗体蛋白或抗体药物偶联物存在于稳定制剂中。所称物理操作方式包括但不限于超滤、透析或离心后复溶。"Displacement" refers to the replacement of the solvent system for dissolving the antibody protein or antibody drug conjugate, for example, using the buffer system of the stable preparation to replace the high salt or hypertonic solvent system containing the antibody protein or antibody drug conjugate by physical manipulation, so that the antibody protein or antibody drug conjugate is present in the stable preparation. The so-called physical manipulation method includes but is not limited to ultrafiltration, dialysis or centrifugation followed by re-dissolution.
以下结合实施例进一步描述本公开,但这些实施例并非是对本公开范围的限制。本公开实施例中未注明具体条件的实验方法,通常按照常规条件,如参照冷泉港实验室出版的《抗体技术实验手册》,《分子克隆手册》;或按照原料或商品制造厂商所建议的条件。未注明具体来源的试剂,为市场购买的常规试剂。The present disclosure is further described below in conjunction with examples, but these examples are not intended to limit the scope of the present disclosure. Experimental methods in the examples of the present disclosure that do not specify specific conditions are usually carried out under conventional conditions, such as the Antibody Technology Laboratory Manual and the Molecular Cloning Manual published by the Cold Spring Harbor Laboratory; or under the conditions recommended by the raw material or product manufacturer. Reagents that do not specify specific sources are conventional reagents purchased from the market.
本文所述的如式(I)所示的抗体药物偶联物可依照WO2022166779的方法制备。The antibody drug conjugate shown in formula (I) described herein can be prepared according to the method of WO2022166779.
制剂制备与检测过程中使用的设备及结果计算方法如下:The equipment used in the preparation and testing process and the calculation method of the results are as follows:
SEC分子排阻色谱法:SEC Size Exclusion Chromatography:
根据凝胶孔隙的孔径大小与高分子样品分子的线团尺寸间的相对关系而对溶质进行分离的分析的方法。An analytical method that separates solutes based on the relative relationship between the pore size of the gel and the coil size of the polymer sample molecule.
SEC%(SEC单体含量百分比)=A单体/A总×100%(A单体为样品中主峰单体的峰面积,A总为所有峰面积之和)。ΔSEC%=稳定性放置前制剂的SEC%-稳定性放置后制剂的SEC%。SEC% (SEC monomer content percentage) = A monomer/A total × 100% (A monomer is the peak area of the main peak monomer in the sample, and A total is the sum of all peak areas). ΔSEC% = SEC% of the preparation before stability placement - SEC% of the preparation after stability placement.
SEC测定用仪器:安捷伦1260;柱子:waters,XBridge Protein BEHSEC(300×7.8mm 3.5μm)SEC instrument: Agilent 1260; column: waters, XBridge Protein BEH SEC (300×7.8mm 3.5μm)
R-CE毛细管凝胶电泳:R-CE capillary gel electrophoresis:
将凝胶移到毛细管中作为支持介质进行的一种电泳,并在一定的电压下根据样品分子量的大小进行分离的方法。
A method of electrophoresis in which the gel is moved into a capillary tube as a supporting medium and the samples are separated according to their molecular weight at a certain voltage.
R-CE%=A主峰/A总×100%(A主峰为样品中轻链主峰+重链主峰的峰面积,A总为所有峰面积之和。)ΔR-CE%=稳定性放置前制剂的R-CE%-稳定性放置后制剂的R-CE%。R-CE% = A main peak/A total × 100% (A main peak is the peak area of the light chain main peak + the heavy chain main peak in the sample, and A total is the sum of all peak areas.) ΔR-CE% = R-CE% of the preparation before stability placement - R-CE% of the preparation after stability placement.
CE测定用仪器:Sciex PA800 plusCE test instrument: Sciex PA800 plus
渗透压测定:Osmolality determination:
冰点法测定渗透压,以冰点下降值与溶液的摩尔浓度成正比例关系为基础,采用高灵敏度感温元件,测定溶液结冰点,通过电量转化为渗透压。仪器厂家罗泽Loser,型号OM815。The freezing point method is used to determine osmotic pressure. It is based on the fact that the freezing point depression value is proportional to the molar concentration of the solution. It uses a highly sensitive temperature sensing element to measure the freezing point of the solution and convert the electricity into osmotic pressure. Instrument manufacturer: Loser, model OM815.
蛋白浓度:Protein concentration:
以下实施例所采用的蛋白为式(I)所示的抗体药物偶联物ADC。The protein used in the following examples is an antibody-drug conjugate ADC represented by formula (I).
蛋白的浓度测定用仪器:紫外可见分光光度计,型号:Nano Drop One。Instrument for determining protein concentration: UV-visible spectrophotometer, model: Nano Drop One.
用以下公式对供试品蛋白浓度进行计算:
A246nm=(Cdrug×Edrug-246+CmAb×EmAb-246)×l
A280nm=(Cdrug×Edrug-280+CmAb×EmAb-280)×l
The protein concentration of the test article was calculated using the following formula:
A 246nm = (C drug × E drug-246 + C mAb × E mAb-246 ) × l
A 280nm = (C drug × E drug-280 + C mAb × E mAb-280 ) × l
A246nm=(Cdrug×Edrug-246+CmAb×EmAb-246)×l
A280nm=(Cdrug×Edrug-280+CmAb×EmAb-280)×l
The protein concentration of the test article was calculated using the following formula:
A 246nm = (C drug × E drug-246 + C mAb × E mAb-246 ) × l
A 280nm = (C drug × E drug-280 + C mAb × E mAb-280 ) × l
即:
Right now:
Right now:
式中,A246nm:供试品溶液单份样品在光程为1cm时在246nm波长处的吸光度平均值;Where, A 246nm : the average absorbance of a single sample of the test solution at a wavelength of 246nm when the optical path is 1cm;
A280nm:供试品溶液单份样品在光程为1cm时在280nm波长处的吸光度平均值;A 280nm : The average absorbance of a single sample of the test solution at a wavelength of 280nm when the optical path is 1cm;
EmAb-280:蛋白在280nm波长处的质量消光系数,为1.463g-1cm-1L;E mAb-280 : The mass extinction coefficient of the protein at a wavelength of 280 nm is 1.463 g -1 cm -1 L;
EmAb-246:蛋白在246nm波长处的质量消光系数,为0.619g-1cm-1L;E mAb-246 : The mass extinction coefficient of the protein at a wavelength of 246 nm is 0.619 g -1 cm -1 L;
R:毒素消光系数在246nm和280nm的比值,为5.20;R: the ratio of the toxin extinction coefficient at 246nm and 280nm, which is 5.20;
CmAb:蛋白的浓度,mg/mL;C mAb : protein concentration, mg/mL;
l:光程长度,cm(此处光程为1cm)。l: optical path length, cm (the optical path here is 1 cm).
若供试液经过稀释,则蛋白浓度为:C(mg/mL)=CmAb×N,N为稀释倍数。If the test solution is diluted, the protein concentration is: C (mg/mL) = C mAb × N, where N is the dilution factor.
游离毒素测定(RP-UPLC反相法):Free toxin determination (RP-UPLC reverse phase method):
将样品中的蛋白用ACN沉淀除去,取上清氮气吹干后复溶,根据样品中的毒素的极性不一样进行分离,再通过毒素标准品浓度-峰面积拟合的线性方程公式计算样品中的毒素含量。The protein in the sample was removed by ACN precipitation, the supernatant was taken and dried with nitrogen, and then re-dissolved. The toxins in the sample were separated according to their different polarities, and the toxin content in the sample was calculated by the linear equation formula of toxin standard concentration-peak area fitting.
测定仪器:waters ACQuity H-class UPLC;Measuring instrument: waters ACQuity H-class UPLC;
色谱柱:waters BioResolve RP mAb Polyphenyl,2.7μm,4.6*100mm
Column: Waters BioResolve RP mAb Polyphenyl, 2.7μm, 4.6*100mm
实施例1.混合DAR4制剂辅料和表面活性剂筛选Example 1. Screening of adjuvants and surfactants for mixed DAR4 formulations
依照WO2022166779的方法制备式(I)所示的抗体药物偶联物,得到平均DAR值约为4.0的ADC,其为DAR 0~DAR 8的混合物,其中DAR4组分的含量约为70%。The antibody drug conjugate shown in formula (I) was prepared according to the method of WO2022166779 to obtain an ADC with an average DAR value of approximately 4.0, which was a mixture of DAR 0 to DAR 8, wherein the content of the DAR4 component was approximately 70%.
此抗体药物偶联物在5.0<pH<7.5范围内出现明显相分离,当pH≤5.0和pH≥7.5时,样品外观相对较好。选择15mM Tris-HCl体系进行辅料和表面活性剂浓度筛选。具体处方信息见表1。This antibody drug conjugate showed obvious phase separation in the range of 5.0<pH<7.5. When pH≤5.0 and pH≥7.5, the sample appearance was relatively good. The 15mM Tris-HCl system was selected for excipient and surfactant concentration screening. The specific prescription information is shown in Table 1.
表1辅料和表面活性剂筛选处方设计表
Table 1 Excipient and surfactant screening prescription design table
Table 1 Excipient and surfactant screening prescription design table
将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置25℃,300rpm振摇3天、-35℃/室温冻融5轮、40℃-1W、40℃-2W,考察稳定性结果见表2。The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and tested at 40°C-1W and 40°C-2W. The stability test results are shown in Table 2.
表2辅料和表面活性剂筛选结果
Table 2 Screening results of excipients and surfactants
Table 2 Screening results of excipients and surfactants
注1:CY=淡黄色;SO=强乳光;P+(少量颗粒);Note 1: CY = light yellow; SO = strong opalescence; P+ (a small amount of particles);
注2:F1、F2和F3为不同来源样品,故DAR有差异;Note 2: F1, F2 and F3 are samples from different sources, so their DARs are different;
综合外观、SEC、RCE和DAR结果,F1~F3冻融5cycle均产生少量颗粒;考虑到ADC样品剂型为冻干粉,对处方F2、F3样品进行冻干,复溶后两组处方呈现强乳光,且均产生大量颗粒,表明ADC在15mM Tris-HCl pH8.0体系制成冻干品后稳定性较差。Based on the results of appearance, SEC, RCE and DAR, F1-F3 produced a small amount of particles after 5 cycles of freeze-thaw. Considering that the ADC sample dosage form was lyophilized powder, the F2 and F3 samples were lyophilized. After reconstitution, the two groups of prescriptions showed strong opalescence and produced a large number of particles, indicating that the stability of ADC was poor after being made into lyophilized products in 15mM Tris-HCl pH8.0 system.
实施例2.混合DAR4制剂pH细筛及表面活性剂种类和浓度筛选
Example 2. pH screening of mixed DAR4 formulations and screening of surfactant types and concentrations
根据15mM Tris-HCl体系辅料和表面活性剂筛选和冻干复溶的结果及ADC的DAR值分布和pI分布,选择组氨酸-盐酸组氨酸pH6.0体系进行表面活性剂种类和浓度筛选,同时在100mM Arg-HCl+4%蔗糖+0.1%PF68基础上进行了pH5.7-6.3范围细筛,具体处方设计见表3。According to the results of excipient and surfactant screening and freeze-drying reconstitution in the 15 mM Tris-HCl system and the DAR value distribution and pI distribution of ADC, the histidine-histidine hydrochloride pH 6.0 system was selected for surfactant type and concentration screening. At the same time, a fine screening in the pH 5.7-6.3 range was carried out based on 100 mM Arg-HCl + 4% sucrose + 0.1% PF68. The specific prescription design is shown in Table 3.
表3 pH细筛及表面活性剂种类和浓度筛选处方设计表
Table 3 pH fine screening and surfactant type and concentration screening prescription design table
Table 3 pH fine screening and surfactant type and concentration screening prescription design table
将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置25℃,300rpm振摇3天、-35℃/室温冻融5轮、40℃-1W、40℃-2W,考察稳定性结果见表4。The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C-1W and 40°C-2W. The stability test results are shown in Table 4.
表4 pH细筛及表面活性剂种类和浓度筛选结果
Table 4 pH fine screening and surfactant type and concentration screening results
Table 4 pH fine screening and surfactant type and concentration screening results
注:CY=淡黄色;SO=强乳光;P+(少量颗粒);
Note: CY = light yellow; SO = strong opalescence; P+ (a small amount of particles);
综合外观、SEC、RCE和DAR结果,各处方纯度检项略有变化,均在可接受范围内,F5(0.2%PF68)冻融5轮出现少量颗粒,其余各处方无颗粒产生。因此,最终确定pH/buffer为15mM组氨酸-盐酸组氨酸pH6.0体系,辅料为100mM Arg-HCl+4%蔗糖,表面活性剂为0.1%PF68。同时在15mM组氨酸-盐酸组氨酸体系,辅料为100mM Arg-HCl+4%蔗糖,表面活性剂为0.1%PF68时,pH在5.7-6.3区间内波动,对制剂稳定性无显著影响,制剂表现出较好的稳健性。将样品进行冻干,得到混合DAR4的冻干制剂。冻干品外观良好,稳定性较好。Based on the appearance, SEC, RCE and DAR results, the purity test items of each prescription changed slightly, all within the acceptable range. A small amount of particles appeared in F5 (0.2% PF68) after 5 rounds of freeze-thaw, and no particles were produced in the other prescriptions. Therefore, the pH/buffer was finally determined to be 15mM histidine-histidine hydrochloride pH6.0 system, the excipients were 100mM Arg-HCl+4% sucrose, and the surfactant was 0.1% PF68. At the same time, in the 15mM histidine-histidine hydrochloride system, the excipients were 100mM Arg-HCl+4% sucrose, and the surfactant was 0.1% PF68, the pH fluctuated in the range of 5.7-6.3, which had no significant effect on the stability of the preparation, and the preparation showed good robustness. The sample was freeze-dried to obtain a freeze-dried preparation of mixed DAR4. The freeze-dried product has a good appearance and good stability.
实施例3.纯DAR4制剂pH/Buffer和ADC浓度筛选Example 3. Pure DAR4 formulation pH/Buffer and ADC concentration screening
采用阴离子交换层析柱(填料为Poros 50HQ,洗脱液:磷酸缓冲盐+Tris+枸橼酸/磷酸缓冲盐+Tris+枸橼酸+氯化钠)将DAR 0~DAR 8的混合物中DAR 4的组分分离纯化,得到纯化后的式(I)所示的抗体药物偶联物,其中DAR4组分的含量为96%。根据表5组成制备式(I)所示的抗体药物偶联物(ADC)的制剂。The DAR 4 component in the mixture of DAR 0 to DAR 8 was separated and purified by an anion exchange chromatography column (filler: Poros 50HQ, eluent: phosphate buffered saline + Tris + citric acid / phosphate buffered saline + Tris + citric acid + sodium chloride) to obtain a purified antibody drug conjugate of formula (I), wherein the content of DAR4 component was 96%. The preparation of the antibody drug conjugate (ADC) of formula (I) was prepared according to the composition of Table 5.
表5 pH/Buffer和ADC浓度筛选处方设计表
Table 5 pH/Buffer and ADC concentration screening prescription design table
Table 5 pH/Buffer and ADC concentration screening prescription design table
将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置25℃,300rpm振摇3天(15mM His-HCl pH5.5处方由于样品量限制,未放置振摇条件)、-35℃/室温冻融5轮、40℃1W、40℃2W,考察稳定性结果见表6。The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 25°C and shaken at 300 rpm for 3 days (15 mM His-HCl pH 5.5 was not placed under shaking conditions due to sample quantity limitations), -35°C/room temperature freeze-thaw for 5 cycles, 40°C for 1W, and 40°C for 2W. The stability test results are shown in Table 6.
表6 pH/Buffer和ADC浓度筛选结果
Table 6 pH/Buffer and ADC concentration screening results
Table 6 pH/Buffer and ADC concentration screening results
注:CL=无色;LO=微乳光;N/A=未检测;Note: CL = colorless; LO = slightly opalescent; N/A = not detected;
综合外观、SEC、RCE结果,纯DAR4 ADC样品在15mM His-HCl pH5.5和pH6.0体系中稳定性均较好。对F1-F4样品进行冷冻干燥,冻干品外观良好,无塌陷缩底,但复溶后样品出现大量细小颗粒。Based on the results of appearance, SEC, and RCE, the pure DAR4 ADC samples had good stability in 15 mM His-HCl pH 5.5 and pH 6.0 systems. The F1-F4 samples were freeze-dried, and the freeze-dried products had good appearance without collapse and shrinkage, but a large number of fine particles appeared in the samples after reconstitution.
实施例4.纯DAR4制剂pH/Buffer和辅料筛选Example 4. Pure DAR4 Preparation pH/Buffer and Excipient Screening
根据pH/Buffer和ADC浓度筛选的结果,降低Arg-HCl浓度和制剂体系pH,选择15mM Succinic pH 5.0和15mM His-HCl pH 5.5体系进行辅料筛选,具体处方设计见表7。According to the results of pH/Buffer and ADC concentration screening, the Arg-HCl concentration and the pH of the formulation system were lowered, and 15mM Succinic pH 5.0 and 15mM His-HCl pH 5.5 systems were selected for excipient screening. The specific prescription design is shown in Table 7.
表7 pH/Buffer和辅料筛选处方设计表
Table 7 pH/Buffer and excipient screening prescription design table
Table 7 pH/Buffer and excipient screening prescription design table
将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置25℃,300rpm振摇3天、-35℃/室温冻融5轮、40℃2W、40℃4W,考察稳定性结果见表8。The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C for 2W and 40°C for 4W. The stability test results are shown in Table 8.
表8 pH/Buffer和辅料筛选结果
Table 8 pH/Buffer and excipient screening results
Table 8 pH/Buffer and excipient screening results
注:CL=无色;T=澄明;LO=微乳光;Note: CL = colorless; T = clear; LO = slightly opalescent;
综合外观、SEC、RCE结果,ADC样品在15mM Succinic pH 5.0和15mM His-HCl pH 5.5体系均具有较好的稳定性。对比F1(15mM Succinic pH 5.0+8%Sucrose)和F2(15mM Succinic pH 5.0+30mM Arg-HCl+4%Sucrose),不加Arg-HCl的F1处方纯度项与F2相比无明显差异,外观有明显的改善。Based on the results of appearance, SEC, and RCE, the ADC samples have good stability in both 15mM Succinic pH 5.0 and 15mM His-HCl pH 5.5 systems. Comparing F1 (15mM Succinic pH 5.0 + 8% Sucrose) and F2 (15mM Succinic pH 5.0 + 30mM Arg-HCl + 4% Sucrose), the purity of F1 without Arg-HCl has no significant difference compared with F2, and the appearance has been significantly improved.
实施例5.纯DAR4制剂pH筛选Example 5. pH Screening of Pure DAR4 Formulations
根据pH/Buffer和辅料筛选的结果,选择15mM Succinic-His体系,辅料为8%Sucrose,pH范围5.0-6.0进行pH细筛,具体处方设计见表9。According to the results of pH/Buffer and excipient screening, the 15 mM Succinic-His system was selected, the excipient was 8% Sucrose, and the pH range was 5.0-6.0 for pH fine screening. The specific prescription design is shown in Table 9.
表9 pH细筛处方设计表
Table 9 pH fine sieve prescription design table
Table 9 pH fine sieve prescription design table
将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置25℃,300rpm振摇3天、-35℃/室温冻融5轮、40℃2W、40℃4W,考察稳定性结果见表10。The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 25°C, shaken at 300 rpm for 3 days, frozen and thawed at -35°C/room temperature for 5 cycles, and at 40°C for 2W and 40°C for 4W. The stability test results are shown in Table 10.
表10 pH细筛结果
Table 10 pH fine screening results
Table 10 pH fine screening results
注:CL=无色;T=澄明;LO=微乳光;Note: CL = colorless; T = clear; LO = slightly opalescent;
综合外观、SEC、RCE结果,ADC样品在15mM Succinic-His pH 5.0-6.0体系均具有较好的稳定性。低pH F1处方的外观相较于F2、F3有改善。Based on the results of appearance, SEC, and RCE, the ADC samples have good stability in the 15mM Succinic-His pH 5.0-6.0 system. The appearance of the low pH F1 formulation is improved compared to F2 and F3.
实施例6.纯DAR4制剂处方确认Example 6. Confirmation of pure DAR4 formulation prescription
根据pH/Buffer和辅料筛选的结果,选择15mM Succinic-His(pH 5.0),80g/L蔗糖,1g/L泊洛沙姆188,100mg/mL ADC进行处方考察。将制备好的样品过滤,无菌灌装至2R西林瓶中。样品放置40℃2W、40℃4W,考察稳定性结果见表11。According to the results of pH/Buffer and excipient screening, 15mM Succinic-His (pH 5.0), 80g/L sucrose, 1g/L poloxamer 188, 100mg/mL ADC were selected for prescription investigation. The prepared samples were filtered and aseptically filled into 2R vials. The samples were placed at 40℃ for 2W and 40℃ for 4W. The stability results are shown in Table 11.
表11处方确认结果
Table 11 Prescription confirmation results
Table 11 Prescription confirmation results
注:CL=无色;T-LO=澄明至微乳光;LOD=检测限;Note: CL = colorless; T-LO = clear to slightly opalescent; LOD = limit of detection;
综合外观、SEC、RCE结果,在15mM Succinic-His pH 5.0体系,将ADC浓度升高至100mg/mL制得的液体制剂仍具有较好的稳定性。Based on the results of appearance, SEC, and RCE, the liquid preparation prepared by increasing the ADC concentration to 100 mg/mL in the 15 mM Succinic-His pH 5.0 system still had good stability.
实施例7.ADC制剂稳定性考察Example 7. Study on the stability of ADC preparations
考察实施例6纯DAR4液体制剂的稳定性,结果如下表。The stability of the pure DAR4 liquid preparation of Example 6 was investigated, and the results are shown in the following table.
表12纯DAR4 ADC制剂稳定性结果
Table 12 Stability results of pure DAR4 ADC formulations
Table 12 Stability results of pure DAR4 ADC formulations
考察实施例2制得的混合DAR4的冻干制剂的稳定性,结果如下表。The stability of the lyophilized preparation of mixed DAR4 prepared in Example 2 was investigated. The results are shown in the following table.
表13混合DAR4 ADC制剂稳定性结果
Table 13 Mixed DAR4 ADC formulation stability results
Table 13 Mixed DAR4 ADC formulation stability results
结果表明,混合DAR4-50mg/ml冻干品制剂和纯DAR4-100mg/ml液体制剂25℃3M、5℃6M均具有较好稳定性。对比液体制剂和冻干品复溶外观,纯DAR4制剂即使在较高浓度100mg/ml仍然为无色澄明液体,混合DAR4冻干品复溶后浓度为50mg/ml,无颗粒产生,但是有较强的乳光,表明纯化后的DAR4 ADC可制成高浓度液体制剂,无需冻干即可稳定保存。
The results showed that the mixed DAR4-50mg/ml lyophilized preparation and the pure DAR4-100mg/ml liquid preparation had good stability at 25℃3M and 5℃6M. Comparing the appearance of the reconstituted liquid preparation and the lyophilized preparation, the pure DAR4 preparation was still a colorless clear liquid even at a higher concentration of 100mg/ml. The mixed DAR4 lyophilized preparation was reconstituted at a concentration of 50mg/ml, without particles, but with strong opalescence, indicating that the purified DAR4 ADC can be made into a high-concentration liquid preparation and can be stably stored without lyophilization.
Claims (17)
- 一种药物组合物,包含抗体药物偶联物、缓冲剂、糖以及表面活性剂,其中所述抗体药物偶联物具有如式(I)所示的结构:
A pharmaceutical composition comprising an antibody-drug conjugate, a buffer, a sugar and a surfactant, wherein the antibody-drug conjugate has a structure as shown in formula (I):
其中:in:Ab为阿达木单抗;Ab is adalimumab;n为1至10,优选为1至8,更优选为3至5;n is 1 to 10, preferably 1 to 8, more preferably 3 to 5;其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分的含量大于80%,优选大于85%,更优选大于90%。Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 80%, preferably greater than 85%, and more preferably greater than 90%. - 根据权利要求1所述的药物组合物,其中所述药物组合物的pH为3.5至6.0,优选pH为3.5至5.5,更优选pH为3.7至5.2。The pharmaceutical composition according to claim 1, wherein the pH of the pharmaceutical composition is 3.5 to 6.0, preferably the pH is 3.5 to 5.5, and more preferably the pH is 3.7 to 5.2.
- 根据权利要求1所述的药物组合物,其中所述缓冲剂选自枸橼酸盐缓冲剂、组氨酸缓冲剂和琥珀酸盐缓冲剂,更优选组氨酸-盐酸组氨酸、枸橼酸-枸橼酸钠、琥珀酸-组氨酸和琥珀酸-琥珀酸钠。The pharmaceutical composition according to claim 1, wherein the buffer is selected from citrate buffer, histidine buffer and succinate buffer, more preferably histidine-histidine hydrochloride, citrate-sodium citrate, succinate-histidine and succinate-sodium succinate.
- 根据权利要求3所述的药物组合物,其中缓冲剂的浓度为1mM至50mM,优选为1mM至30mM,更优选为15mM。The pharmaceutical composition according to claim 3, wherein the concentration of the buffer is 1 mM to 50 mM, preferably 1 mM to 30 mM, more preferably 15 mM.
- 根据权利要求1-4任意一项所述的药物组合物,其中所述表面活性剂为聚山梨酯或泊洛沙姆。The pharmaceutical composition according to any one of claims 1 to 4, wherein the surfactant is polysorbate or poloxamer.
- 根据权利要求5所述的药物组合物,其中所述表面活性剂浓度为0.01mg/mL至10mg/mL,优选0.1mg/mL至8mg/mL,更优选为0.3mg/mL至5mg/mL。 The pharmaceutical composition according to claim 5, wherein the surfactant concentration is 0.01 mg/mL to 10 mg/mL, preferably 0.1 mg/mL to 8 mg/mL, and more preferably 0.3 mg/mL to 5 mg/mL.
- 根据权利要求1至6中任一项所述的药物组合物,其中所述糖为蔗糖。The pharmaceutical composition according to any one of claims 1 to 6, wherein the sugar is sucrose.
- 根据权利要求7所述的药物组合物,其中所述糖浓度为25mg/mL至150mg/mL,优选为30mg/mL至120mg/mL,更优选为80mg/mL。The pharmaceutical composition according to claim 7, wherein the sugar concentration is 25 mg/mL to 150 mg/mL, preferably 30 mg/mL to 120 mg/mL, and more preferably 80 mg/mL.
- 根据权利要求1至8中任一项所述的药物组合物,其中所述药物组合物不包含除缓冲用组氨酸以外的氨基酸。The pharmaceutical composition according to any one of claims 1 to 8, wherein the pharmaceutical composition does not contain amino acids other than histidine for buffering.
- 根据权利要求1至9中任一项所述的药物组合物,其中所述药物组合物为液体制剂。The pharmaceutical composition according to any one of claims 1 to 9, wherein the pharmaceutical composition is a liquid preparation.
- 根据权利要求1至10中任一项所述的药物组合物,其中所述抗体药物偶联物浓度为以蛋白浓度计,1mg/mL至200mg/mL,The pharmaceutical composition according to any one of claims 1 to 10, wherein the concentration of the antibody drug conjugate is 1 mg/mL to 200 mg/mL based on protein concentration,优选地,所述抗体药物偶联物浓度为以蛋白浓度计,10mg/mL至180mg/mL,Preferably, the concentration of the antibody drug conjugate is 10 mg/mL to 180 mg/mL in terms of protein concentration.更优选地,所述抗体药物偶联物浓度为以蛋白浓度计,50mg/mL至150mg/mL。More preferably, the concentration of the antibody drug conjugate is 50 mg/mL to 150 mg/mL based on protein concentration.
- 根据权利要求1至11中任一项所述的药物组合物,其包含:The pharmaceutical composition according to any one of claims 1 to 11, comprising:(a)以蛋白浓度计,10mg/mL至180mg/mL的所述抗体药物偶联物,(b)0.1mg/mL至8mg/mL的泊洛沙姆或聚山梨酯,(c)25mg/mL至150mg/mL的蔗糖,和(d)1mM至50mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为3.5至5.5,(a) based on protein concentration, 10 mg/mL to 180 mg/mL of the antibody drug conjugate, (b) 0.1 mg/mL to 8 mg/mL of poloxamer or polysorbate, (c) 25 mg/mL to 150 mg/mL of sucrose, and (d) 1 mM to 50 mM succinate-histidine buffer; the pH of the pharmaceutical composition is 3.5 to 5.5,其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于90%;Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a DAR of 4 in the antibody-drug conjugate is greater than 90%;优选的,所述的药物组合物包含:Preferably, the pharmaceutical composition comprises:(a)以蛋白浓度计,10mg/mL至180mg/mL的所述抗体药物偶联物,(b)0.3mg/mL至5mg/mL的泊洛沙姆或聚山梨酯,(c)30mg/mL至120mg/mL的蔗糖,和(d)5mM至20mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为3.7至5.2,(a) based on protein concentration, 10 mg/mL to 180 mg/mL of the antibody drug conjugate, (b) 0.3 mg/mL to 5 mg/mL of poloxamer or polysorbate, (c) 30 mg/mL to 120 mg/mL of sucrose, and (d) 5 mM to 20 mM succinate-histidine buffer; the pH of the pharmaceutical composition is 3.7 to 5.2,其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于90%;Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a DAR of 4 in the antibody-drug conjugate is greater than 90%;更优选的,所述的药物组合物包含:More preferably, the pharmaceutical composition comprises:(a)以蛋白浓度计,100mg/mL的所述抗体药物偶联物,(b)1mg/mL的泊洛沙姆,(c)80mg/mL的蔗糖,和(d)15mM的琥珀酸-组氨酸缓冲剂;所述药物组合物的pH为5.0,(a) based on protein concentration, 100 mg/mL of the antibody-drug conjugate, (b) 1 mg/mL of poloxamer, (c) 80 mg/mL of sucrose, and (d) 15 mM of succinate-histidine buffer; the pH of the pharmaceutical composition is 5.0,其中,基于抗体药物偶联物的总量,所述抗体药物偶联物中化合物DAR为4的组分含量大于90%。 Wherein, based on the total amount of the antibody-drug conjugate, the content of the component with a compound DAR of 4 in the antibody-drug conjugate is greater than 90%.
- 一种含抗体药物偶联物的冻干制剂,其中所述冻干制剂复溶后可形成权利要求1至12中任一项所述的药物组合物。A lyophilized preparation containing an antibody drug conjugate, wherein the lyophilized preparation can form the pharmaceutical composition according to any one of claims 1 to 12 after being reconstituted.
- 一种含抗体药物偶联物的冻干制剂,其中所述冻干制剂通过将权利要求1至12中任一项所述的药物组合物冷冻干燥获得。A lyophilized preparation containing an antibody drug conjugate, wherein the lyophilized preparation is obtained by freeze-drying the pharmaceutical composition according to any one of claims 1 to 12.
- 一种含抗体药物偶联物的复溶溶液,其中所述复溶溶液是通过将权利要求13或14所述的冻干制剂复溶制备获得。A reconstituted solution containing an antibody drug conjugate, wherein the reconstituted solution is prepared by reconstituted the lyophilized preparation according to claim 13 or 14.
- 一种制品,其包括容器,该容器中装有如权利要求1至12中任一项所述的药物组合物、权利要求13或14所述的冻干制剂或权利要求15所述的复溶溶液。A product comprising a container containing the pharmaceutical composition according to any one of claims 1 to 12, the lyophilized preparation according to claim 13 or 14, or the reconstituted solution according to claim 15.
- 根据权利要求1至12中任一项所述的药物组合物、根据权利要求13或14所述的冻干制剂、根据权利要求15所述的复溶溶液或权利要求16所述制品在制备用于治疗免疫性疾病的药物中的用途,所述免疫性疾病优选自类风湿性关节炎、幼年特发性关节炎、银屑病性关节炎、强直性脊柱炎、成人克罗恩病、小儿克罗恩病、溃疡性结肠炎、化脓性汗腺炎、葡萄膜炎、白塞病、脊柱关节病和银屑病。 Use of the pharmaceutical composition according to any one of claims 1 to 12, the lyophilized preparation according to claim 13 or 14, the reconstituted solution according to claim 15 or the preparation according to claim 16 in the preparation of a medicament for treating an immune disease, wherein the immune disease is preferably selected from rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, adult Crohn's disease, pediatric Crohn's disease, ulcerative colitis, suppurative hidradenitis, uveitis, Behcet's disease, spondyloarthropathies and psoriasis.
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