JPWO2020191270A5 - - Google Patents

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JPWO2020191270A5
JPWO2020191270A5 JP2021556435A JP2021556435A JPWO2020191270A5 JP WO2020191270 A5 JPWO2020191270 A5 JP WO2020191270A5 JP 2021556435 A JP2021556435 A JP 2021556435A JP 2021556435 A JP2021556435 A JP 2021556435A JP WO2020191270 A5 JPWO2020191270 A5 JP WO2020191270A5
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pharmaceutical formulation
stable liquid
liquid pharmaceutical
antibody
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JP2022526292A (en
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Priority claimed from PCT/US2020/023795 external-priority patent/WO2020191270A1/en
Publication of JP2022526292A publication Critical patent/JP2022526292A/en
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安定な液体医薬製剤であって:
(i)ヒトインターロイキン-33(hIL-33)に特異的に結合するヒト抗体であって、それぞれ、配列番号4、6および8のアミノ酸配列を含む重鎖相補性決定領域HCDR1、HCDR2およびHCDR3、および、それぞれ、配列番号12、14および16のアミノ酸配列を含む軽鎖相補性決定領域LCDR1、LCDR2およびLCDR3領域を含む、前記ヒト抗体;
(ii)緩衝液であって、1mM~40mMの濃度での酢酸塩またはヒスチジンである、前記緩衝液;
(iii)アミノ酸であって、30mM~110mMの濃度でのアルギニンまたはグルタミン酸である、前記アミノ酸;
(iv)熱安定剤であって、1%w/v~20%w/vの濃度でのスクロースである、前記熱安定剤;ならびに
(v)有機共溶媒であって、0.01%w/v~0.15%w/vの濃度での界面活性剤である、前記有機共溶媒、
を含む、前記安定な液体医薬製剤。
A stable liquid pharmaceutical formulation comprising:
(i) a human antibody that specifically binds to human interleukin-33 (hIL-33), the heavy chain complementarity determining regions HCDR1, HCDR2 and HCDR3 comprising the amino acid sequences of SEQ ID NOS: 4, 6 and 8, respectively; , and light chain complementarity determining region LCDR1, LCDR2 and LCDR3 regions comprising the amino acid sequences of SEQ ID NOs: 12, 14 and 16, respectively;
(ii) a buffer, said buffer being acetate or histidine at a concentration of 1 mM to 40 mM;
(iii) an amino acid, said amino acid being arginine or glutamic acid at a concentration of 30 mM to 110 mM;
(iv) a heat stabilizer which is sucrose at a concentration of 1% w/v to 20% w/v; and (v) an organic co-solvent which is 0.01% w/v. the organic co-solvent, which is a surfactant at a concentration of /v to 0.15% w/v;
The stable liquid pharmaceutical formulation comprising:
前記緩衝液が、1mM~20mMの濃度での酢酸塩またはヒスチジンである、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein said buffer is acetate or histidine at a concentration of 1 mM to 20 mM. 前記熱安定剤が、1%w/v~10%w/vの濃度でのスクロースである、請求項1に
記載の安定な液体医薬製剤。
2. The stable liquid pharmaceutical formulation of Claim 1, wherein said heat stabilizer is sucrose at a concentration of 1% w/v to 10% w/v.
前記界面活性剤が、ポリソルベート80である、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein said surfactant is polysorbate 80. 前記抗体が、1mg/ml~200mg/mlの濃度で存在する、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein said antibody is present in a concentration of 1 mg/ml to 200 mg/ml. 前記抗体が、15mg/ml~150mg/mlの濃度で存在する、請求項5に記載の安定な液体医薬製剤。 6. The stable liquid pharmaceutical formulation of claim 5, wherein said antibody is present in a concentration of 15 mg/ml to 150 mg/ml. 前記抗体が、配列番号2の前記アミノ酸配列を含む重鎖可変領域(HCVR)、および配列番号10の前記アミノ酸配列を含む軽鎖可変領域(LCVR)を含む、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid of claim 1, wherein said antibody comprises a heavy chain variable region (HCVR) comprising said amino acid sequence of SEQ ID NO:2 and a light chain variable region (LCVR) comprising said amino acid sequence of SEQ ID NO:10. Pharmaceutical formulation. 前記抗体が、ヒトIgG重鎖定常領域を有する、請求項7に記載の安定な液体医薬製剤。 8. The stable liquid pharmaceutical formulation of claim 7, wherein said antibody has a human IgG heavy chain constant region. 前記重鎖定常領域が、アイソタイプIgG1のものである、請求項8に記載の安定な液体医薬製剤。 9. The stable liquid pharmaceutical formulation of claim 8, wherein said heavy chain constant region is of isotype IgGl. 前記重鎖定常領域が、アイソタイプIgG4のものである、請求項8に記載の安定な液体医薬製剤。 9. The stable liquid pharmaceutical formulation of claim 8, wherein said heavy chain constant region is of isotype IgG4. 前記抗体が、配列番号18のアミノ酸配列を含む重鎖、および配列番号20のアミノ酸配列を含む軽鎖を含む、請求項7に記載の安定な液体医薬製剤。 8. The stable liquid pharmaceutical formulation of Claim 7, wherein said antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO:18 and a light chain comprising the amino acid sequence of SEQ ID NO:20. (i)約15mg/ml~約150mg/mLの前記抗体、(ii)約5mM~約15mMの酢酸塩、(iii)約60mM~約80mMのアルギニン塩酸塩、(iv)約3%w/v~約7%w/vのスクロース、および(v)約0.06%w/v~約0.1%w/vのポリソルベート80を含む、請求項1に記載の安定な液体医薬製剤。 (i) about 15 mg/ml to about 150 mg/mL of said antibody, (ii) about 5 mM to about 15 mM acetate, (iii) about 60 mM to about 80 mM arginine hydrochloride, (iv) about 3% w/v 2. The stable liquid pharmaceutical formulation of claim 1, comprising from to about 7% w/v sucrose, and (v) from about 0.06% w/v to about 0.1% w/v polysorbate 80. (i)約15mg/ml±1.5mg/mlの前記抗体、(ii)約10mM±2mMの酢酸塩、(iii)約70mM±14mMのアルギニン塩酸塩、(iv)約5%w/v±1%w/vのスクロース、および(iv)約0.08%±0.016%w/vのポリソルベート80を含む、請求項1に記載の安定な液体医薬製剤。 (i) about 15 mg/ml ± 1.5 mg/ml of said antibody, (ii) about 10 mM ± 2 mM acetate, (iii) about 70 mM ± 14 mM arginine hydrochloride, (iv) about 5% w/v ± 2. The stable liquid pharmaceutical formulation of claim 1, comprising 1% w/v sucrose, and (iv) about 0.08% ± 0.016% w/v polysorbate 80. (i)約75mg/ml±5mg/mlの前記抗体、(ii)約10mM±2mMの酢酸塩、(iii)約70mM±14mMのアルギニン塩酸塩(iv)約5%w/v±1%w/vのスクロース、および(iv)約0.08%±0.016%w/vのポリソルベート80を含む、請求項1に記載の安定な液体医薬製剤。 (i) about 75 mg/ml ± 5 mg/ml of said antibody, (ii) about 10 mM ± 2 mM acetate, (iii) about 70 mM ± 14 mM arginine hydrochloride (iv) about 5% w/v ± 1% w /v of sucrose, and (iv) about 0.08% ± 0.016% w/v of polysorbate 80. (i)約150mg/ml±15mg/mlの前記抗体、(ii)約10mM±2mMの酢酸塩、(iii)約70mM±14mMのアルギニン塩酸塩(iv)約5%w/v±1%w/vのスクロース、および(iv)約0.08%±0.016%w/vのポリソルベート80を含む、請求項1に記載の安定な液体医薬製剤。 (i) about 150 mg/ml ± 15 mg/ml of said antibody, (ii) about 10 mM ± 2 mM acetate, (iii) about 70 mM ± 14 mM arginine hydrochloride (iv) about 5% w/v ± 1% w /v of sucrose, and (iv) about 0.08% ± 0.016% w/v of polysorbate 80. 前記製剤の前記pHが、5.2~5.4である、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of Claim 1, wherein said pH of said formulation is between 5.2 and 5.4. 前記製剤の前記pHが、約5.3である、請求項16に記載の安定な液体医薬製剤。 17. The stable liquid pharmaceutical formulation of Claim 16, wherein said pH of said formulation is about 5.3. (i)15±1.5mg/ml~150±15mg/mlの濃度でヒトインターロイキン-33(hIL-33)に特異的に結合するヒト抗体であって、それぞれ、配列番号4、6、および8のアミノ酸配列を含むHCDR1、HCDR2、およびHCDR3領域を含むHCVR、ならびにそれぞれ、配列番号12、14、および16のアミノ酸配列を含むLCDR1、LCDR2、およびLCDR3領域を含む、前記ヒト抗体と、
(ii)10mM±2mMの酢酸塩と、
(iii)70mM±14mMのアルギニン塩酸塩と、
(iv)5%w/v±1%w/vのスクロースと、
(iv)約0.08%±0.016%w/vのポリソルベート80とを含む、安定な液体医薬製剤であって、
5.1~5.5のpHを有する、前記安定な液体医薬製剤。
(i) a human antibody that specifically binds human interleukin-33 (hIL-33) at a concentration of 15±1.5 mg/ml to 150±15 mg/ml, comprising SEQ ID NOS: 4, 6, and HCVR comprising HCDR1, HCDR2 and HCDR3 regions comprising the amino acid sequence of 8 and LCDR1, LCDR2 and LCDR3 regions comprising the amino acid sequences of SEQ ID NOs: 12, 14 and 16, respectively;
(ii) 10 mM ± 2 mM acetate;
(iii) 70 mM ± 14 mM arginine hydrochloride;
(iv) 5% w/v ± 1% w/v sucrose;
(iv) about 0.08% ± 0.016% w/v polysorbate 80;
Said stable liquid pharmaceutical formulation, having a pH of 5.1-5.5.
前記抗体が、配列番号2の前記アミノ酸配列を含む重鎖可変領域(HCVR)、および配列番号10の前記アミノ酸配列を含む軽鎖可変領域(LCVR)を含む、請求項18に記載の安定な液体医薬製剤。 19. The stable liquid of claim 18, wherein said antibody comprises a heavy chain variable region (HCVR) comprising said amino acid sequence of SEQ ID NO:2 and a light chain variable region (LCVR) comprising said amino acid sequence of SEQ ID NO:10. Pharmaceutical formulation. 前記抗体が、ヒトIgG重鎖定常領域を有する、請求項19に記載の安定な液体医薬製剤。 20. The stable liquid pharmaceutical formulation of claim 19, wherein said antibody has a human IgG heavy chain constant region. 前記重鎖定常領域が、アイソタイプIgG1のものである、請求項20に記載の安定な液体医薬製剤。 21. The stable liquid pharmaceutical formulation of claim 20, wherein said heavy chain constant region is of isotype IgGl. 前記重鎖定常領域が、アイソタイプIgG4のものである、請求項20に記載の安定な液体医薬製剤。 21. The stable liquid pharmaceutical formulation of claim 20, wherein said heavy chain constant region is of isotype IgG4. 前記抗体が、配列番号18のアミノ酸配列を含む重鎖、および配列番号20のアミノ酸配列を含む軽鎖を含む、請求項19に記載の安定な液体医薬製剤。 20. The stable liquid pharmaceutical formulation of Claim 19, wherein said antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO:18 and a light chain comprising the amino acid sequence of SEQ ID NO:20. (i)15±1.5mg/ml~150±15mg/mlの濃度でヒトインターロイキン-33(hIL-33)に特異的に結合するヒト抗体であって、配列番号18のアミノ酸配列を含む重鎖、および配列番号20のアミノ酸配列を含む軽鎖を含む、前記ヒト抗体と、
(ii)10mM±2mMの酢酸塩と、
(iii)70mM±14mMのアルギニン塩酸塩と、
(iv)5%w/v±1%w/vのスクロースと、
(iv)約0.08%±0.016%w/vのポリソルベート80とを含む、安定な液体医薬製剤であって、
5.1~5.5のpHを有する、前記安定な液体医薬製剤。
(i) a human antibody that specifically binds to human interleukin-33 (hIL-33) at a concentration of 15±1.5 mg/ml to 150±15 mg/ml, said antibody comprising the amino acid sequence of SEQ ID NO:18; a human antibody comprising a chain and a light chain comprising the amino acid sequence of SEQ ID NO:20;
(ii) 10 mM ± 2 mM acetate;
(iii) 70 mM ± 14 mM arginine hydrochloride;
(iv) 5% w/v ± 1% w/v sucrose;
(iv) about 0.08% ± 0.016% w/v polysorbate 80;
Said stable liquid pharmaceutical formulation, having a pH of 5.1-5.5.
前記抗体のネイティブ形態の少なくとも90%が、サイズ排除-超高速液体クロマトグラフィー(SE-UPLC)によって決定される場合、5℃で2か月の保存後に回収される、請求項1に記載の安定な液体医薬製剤。 2. The stability of claim 1, wherein at least 90% of the native form of said antibody is recovered after 2 months of storage at 5°C as determined by size exclusion-ultra performance liquid chromatography (SE-UPLC). liquid pharmaceutical formulation. 前記抗体の前記ネイティブ形態の少なくとも95%が、SE-UPLCによって決定される場合、5℃で2か月の保存後に回収される、請求項25に記載の安定な液体医薬製剤。 26. The stable liquid pharmaceutical formulation of Claim 25, wherein at least 95% of said native form of said antibody is recovered after 2 months of storage at 5°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも99%が、SE-UPLCによって決定さ
れる場合、5℃で2か月の保存後に回収される、請求項26に記載の安定な液体医薬製剤。
27. The stable liquid pharmaceutical formulation of Claim 26, wherein at least 99% of said native form of said antibody is recovered after 2 months of storage at 5°C as determined by SE-UPLC.
前記抗体の前記ネイティブ形態の少なくとも95%が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に回収される、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein at least 95% of said native form of said antibody is recovered after 9 months of storage at -20°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも97.5%が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に回収される、請求項28に記載の安定な液体医薬製剤。 29. The stable liquid pharmaceutical formulation of Claim 28, wherein at least 97.5% of said native form of said antibody is recovered after 9 months of storage at -20°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも99%が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に回収される、請求項29に記載の安定な液体医薬製剤。 30. The stable liquid pharmaceutical formulation of claim 29, wherein at least 99% of said native form of said antibody is recovered after 9 months of storage at -20°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも95%が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に回収される、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein at least 95% of said native form of said antibody is recovered after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも97.5%が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に回収される、請求項31に記載の安定な液体医薬製剤。 32. The stable liquid pharmaceutical formulation of claim 31, wherein at least 97.5% of said native form of said antibody is recovered after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記抗体の前記ネイティブ形態の少なくとも99%が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に回収される、請求項32に記載の安定な液体医薬製剤。 33. The stable liquid pharmaceutical formulation of claim 32, wherein at least 99% of said native form of said antibody is recovered after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、5℃で2か月の保存後に2%以下の高分子量(HMW)種を含む、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of Claim 1, wherein said formulation contains no more than 2% high molecular weight (HMW) species after storage at 5°C for 2 months as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、5℃で2か月の保存後に1%以下のHMW種を含む、請求項34に記載の安定な液体医薬製剤。 35. The stable liquid pharmaceutical formulation of claim 34, wherein said formulation contains 1% or less HMW species after 2 months of storage at 5°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、5℃で2か月の保存後に0.6%以下のHMW種を含む、請求項35に記載の安定な液体医薬製剤。 36. The stable liquid pharmaceutical formulation of Claim 35, wherein said formulation contains no more than 0.6% HMW species after storage at 5°C for 2 months as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に2%以下のHMW種を含む、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of claim 1, wherein said formulation contains no more than 2% HMW species after 9 months of storage at -20°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に1%以下のHMW種を含む、請求項37に記載の安定な液体医薬製剤。 38. The stable liquid pharmaceutical formulation of Claim 37, wherein said formulation contains 1% or less HMW species after 9 months of storage at -20°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、-20℃で9か月の保存後に0.5%以下のHMW種を含む、請求項38に記載の安定な液体医薬製剤。 39. The stable liquid pharmaceutical formulation of Claim 38, wherein said formulation contains no more than 0.5% HMW species after 9 months of storage at -20°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に2%以下のHMW種を含む、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of Claim 1, wherein said formulation contains no more than 2% HMW species after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に1%以下のHMW種を含む、請求項40に記載の安定な液体医薬製剤。 41. The stable liquid pharmaceutical formulation of claim 40, wherein said formulation contains no more than 1% HMW species after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記製剤が、SE-UPLCによって決定される場合、2~8℃で9か月の保存後に0.7%以下のHMW種を含む、請求項41に記載の安定な液体医薬製剤。 42. The stable liquid pharmaceutical formulation of claim 41, wherein said formulation contains no more than 0.7% HMW species after 9 months of storage at 2-8°C as determined by SE-UPLC. 前記製剤が、約15cポアズ未満の粘度を示す、請求項1に記載の安定な液体医薬製剤。 2. The stable liquid pharmaceutical formulation of Claim 1, wherein said formulation exhibits a viscosity of less than about 15 cPoise. ガラスバイアルに含まれる、請求項1~43のいずれか一項に記載の安定な液体医薬製剤。 44. The stable liquid pharmaceutical formulation of any one of claims 1-43, contained in a glass vial. シリンジに含まれる、請求項1~43のいずれか一項に記載の安定な液体医薬製剤。 44. The stable liquid pharmaceutical formulation of any one of claims 1-43, contained in a syringe. 前記シリンジが、フルオロカーボンコーティングされたプランジャを含む、請求項45に記載の安定な液体医薬製剤。 46. The stable liquid pharmaceutical formulation of Claim 45, wherein said syringe comprises a fluorocarbon coated plunger. 前記シリンジが、低タングステンシリンジである、請求項45に記載の安定な液体医薬製剤。 46. The stable liquid pharmaceutical formulation of claim 45, wherein said syringe is a low tungsten syringe. 事前充填されたシリンジである、請求項45に記載の安定な液体医薬製剤。 46. The stable liquid pharmaceutical formulation of Claim 45, which is a pre-filled syringe. 事前充填された固定針(staked needle)シリンジである、請求項45に記載の安定な液体医薬製剤。 46. The stable liquid pharmaceutical formulation of claim 45, which is a prefilled staked needle syringe. 大容量装置またはボーラス注射器に含まれる、請求項1~43のいずれか一項に記載の安定な液体医薬製剤。 44. The stable liquid pharmaceutical formulation of any one of claims 1-43 contained in a large volume device or bolus syringe. ペン送達装置に含まれる、請求項1~43のいずれか一項に記載の安定な液体医薬製剤。 44. The stable liquid pharmaceutical formulation of any one of claims 1-43 contained in a pen delivery device. 自動注射器送達装置に含まれる、請求項1~43のいずれか一項に記載の安定な液体医薬製剤。 44. The stable liquid pharmaceutical formulation of any one of claims 1-43 contained in an auto-injector delivery device. 請求項1~43のいずれか一項に記載の安定な液体医薬製剤を含む、ペンまたは自動注射器送達装置。 A pen or auto-injector delivery device comprising a stable liquid pharmaceutical formulation according to any one of claims 1-43. 使い捨てペン送達装置である、請求項53に記載の送達装置。 54. The delivery device of Claim 53, which is a disposable pen delivery device. 再利用可能なペン送達装置である、請求項53に記載の送達装置。 54. The delivery device of Claim 53, which is a reusable pen delivery device. 請求項1~43のいずれか一項に記載の安定な液体医薬製剤を含む、容器。 A container containing a stable liquid pharmaceutical formulation according to any one of claims 1-43. (i)請求項1~43のいずれか一項に記載の安定な液体医薬製剤を含む容器、および(ii)前記安定な液体医薬製剤の使用のためのラベリングを含む、キット。 44. A kit comprising (i) a container containing the stable liquid pharmaceutical formulation of any one of claims 1-43, and (ii) labeling for the use of said stable liquid pharmaceutical formulation. 前記ラベリングが、前記安定な液体医薬製剤の皮下投与を列挙する、請求項57に記載のキット。 58. The kit of claim 57, wherein said labeling recites subcutaneous administration of said stable liquid pharmaceutical formulation. 前記ラベリングが、前記安定な液体医薬製剤の静脈内投与を列挙する、請求項57に記載のキット。 58. The kit of claim 57, wherein said labeling recites intravenous administration of said stable liquid pharmaceutical formulation. 前記抗IL-33抗体が、1mg~500mgの量で存在する、請求項1~43のいずれか一項に記載の安定な液体医薬製剤を含む、単位剤形。 A unit dosage form comprising the stable liquid pharmaceutical formulation of any one of claims 1-43, wherein said anti-IL-33 antibody is present in an amount of 1 mg to 500 mg. 前記抗IL-33抗体が、約150mgの量で存在する、請求項60に記載の単位剤形。 61. The unit dosage form of claim 60, wherein said anti-IL-33 antibody is present in an amount of about 150 mg. 前記抗IL-33抗体が、約300mgの量で存在する、請求項60に記載の単位剤形。 61. The unit dosage form of claim 60, wherein said anti-IL-33 antibody is present in an amount of about 300 mg. 前記安定な液体医薬製剤が、シリンジに含まれる、請求項60に記載の単位剤形。 61. The unit dosage form of claim 60, wherein said stable liquid pharmaceutical formulation is contained in a syringe. 前記シリンジが、事前充填されたシリンジである、請求項63に記載の単位剤形。 64. The unit dosage form of claim 63, wherein said syringe is a pre-filled syringe. 請求項1~43のいずれか一項に記載の安定な液体医薬製剤を含む、安全システム送達装置。 A safety system delivery device comprising the stable liquid pharmaceutical formulation of any one of claims 1-43. 手動操作によって伸長するように構成された安全スリーブを含む、請求項65に記載の安全システム送達装置。 66. The safety system delivery device of claim 65, including a safety sleeve configured to be extended by manual manipulation. 前記安定な液体医薬製剤の注射後に自動的に伸長するように構成された安全スリーブを含む、請求項65に記載の安全システム送達装置。 66. The safety system delivery device of claim 65, comprising a safety sleeve configured to automatically extend after injection of the stable liquid pharmaceutical formulation.
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