NZ622654B2 - Antibody formulations - Google Patents
Antibody formulations Download PDFInfo
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- NZ622654B2 NZ622654B2 NZ622654A NZ62265412A NZ622654B2 NZ 622654 B2 NZ622654 B2 NZ 622654B2 NZ 622654 A NZ622654 A NZ 622654A NZ 62265412 A NZ62265412 A NZ 62265412A NZ 622654 B2 NZ622654 B2 NZ 622654B2
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- antibody
- formulation
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- amino acid
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- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
- A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
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- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
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- A—HUMAN NECESSITIES
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- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
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- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
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Abstract
Discloses an aqueous formulation comprising an anti-IL13 antibody (Lebrikizumab), wherein the concentration of antibody in the formulation is at least 100 mg/mL and the viscosity of the formulation is less than 15 centipoise (cP) at 25°C, wherein the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDRH2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6, wherein the sequences are as defined in the complete specification. Rs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDRH2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6, wherein the sequences are as defined in the complete specification.
Description
ANTIBODY FORMULATIONS
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims the benefit of priority of provisional U.S. Application No.
61/553,916 filed October 31, 2011, which is hereby incorporated by reference in its entirety.
FIELD
Formulations comprising an anti-IL-13 antibody are disclosed, including
pharmaceutical formulations and methods of using such formulations.
SEQUENCE LISTING
The instant application contains a Sequence Listing which has been submitted in
ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII
copy, created on October 4, 2012, is named P4786R1W.txt and is 22,776 bytes in size.
BACKGROUND
The interleukin (IL)-13 is a pleiotropic T helper cell subclass 2 (Th2) cytokine. It has
been postulated that IL13 may play a more significant role than other Th2 cytokines in effector
functions associated with the symptoms of asthma (Corry, Curr. Opin. Immunol., 11: 610
(1999)). Humanized anti-IL-13 antibodies have been described. See, e.g., Intn’l Pub. No.
2005/062967. One particular anti-IL13 antibody, lebrikizumab, has been clinically investigated
for the treatment of patients with poorly controlled asthma. Certain of those results have been
described in Corren et al., N Engl J Med 365(12):1088-98 (2011).
Because proteins, including antibodies, are larger and more complex than traditional
organic and inorganic drugs (e.g., possessing multiple functional groups in addition to complex
three-dimensional structures), the formulation of such proteins poses special problems. For a
protein to remain biologically active, a formulation must preserve intact the conformational
integrity of at least a core sequence of the protein's amino acids while at the same time
protecting the protein's multiple functional groups from degradation. Degradation pathways for
proteins can involve chemical instability (e.g., any process which involves modification of the
protein by bond formation or cleavage resulting in a new chemical entity) or physical instability
(e.g., changes in the higher order structure of the protein). Chemical instability can result from
deamidation, racemization, hydrolysis, oxidation, beta elimination or disulfide exchange.
Physical instability can result from denaturation, aggregation, precipitation or adsorption, for
example. The three most common protein degradation pathways are protein aggregation,
deamidation and oxidation. Cleland et al Critical Reviews in Therapeutic Drug Carrier Systems
(4): 307-377 (1993).
High concentration (e.g., > 100 mg/mL) liquid antibody formulations are desirable,
for example, for routes of therapeutic administration or for therapeutic applications where small
volumes of drug product are advisable, for example, for subcutaneous injection. High
concentration antibody formulations, however, pose numerous challenges and problems. One
problem is instability due to the formation of particulates. With reconstituted liquid
formulations, this problem has been addressed through the use of surfactants (e.g., a
polysorbate), but surfactants are sometimes thought unsuitable for liquid formulations, because
they render further processing difficult. Moreover, surfactants further do not reduce the
increased viscosity caused as a result of numerous intermolecular interactions from the
macromolecular nature of antibodies.
Although surfactants have been shown to significantly reduce the degree of
particulate formation of proteins, they do not address the problem of increased viscosity that
makes difficult the manipulation and administration of concentrated antibody formulations.
Antibodies tend to form viscous solutions at high concentration because of their
macromolecular nature and potential for intermolecular interactions. Moreover,
pharmaceutically acceptable sugars are often used as stabilizers. Such sugars can enhance the
intermolecular interactions, thereby increasing the viscosity of the formulation. Highly viscous
formulations are difficult to manufacture, draw into a syringe and inject subcutaneously. The use
of force in manipulating the viscous formulations leads to excessive frothing, which can lead to
denaturation and inactivation of active biologics.
Certain formulations for high concentration antibodies have been described. See,
e.g., Intn’l Pub. Nos. 2006/065746 and 2002/30463. Those publications do not specifically
describe high concentration anti-IL13 antibodies.
It would be highly advantageous to have formulations comprising an anti-IL-13
antibody having extended stability and low viscosity at high antibody concentrations. High
antibody concentration formulations having such properties would be highly advantageous for
certain routes of administration, e.g., for subcutaneous administration. The formulations
provided herein address these needs and provide other useful benefits and/or at least provide
the public with a useful choice.
[0009a] All references cited herein, including patent applications and publications, are
incorporated by reference in their entirety for any purpose.
In this specification where reference has been made to patent specifications, other
external documents, or other sources of information, this is generally for the purpose of
providing a context for discussing the features of the invention. Unless specifically stated
otherwise, reference to such external documents is not to be construed as an admission that such
documents, or such sources of information, in any jurisdiction, are prior art, or form part of the
common general knowledge in the art.
SUMMARY
The compositions of the invention are based, at least in part, on the discovery that
anti-IL13 antibody described herein, lebrikizumab, can be formulated at high concentration (>
100 mg/mL) in a histidine buffer containing polyol and surfactant and that such high antibody
concentration formulation is of low viscosity, has extended physical and chemical stability and
maintains potency. Compositions or formulations of the invention are useful for, e.g., the
treatment of asthma and other lung disorders such as idiopathic pulmonary fibrosis and certain
allergic, autoimmune and other inflammatory disorders. In addition, such formulation can be
packaged into subcutaneous administration devices as described herein with maintenance of, for
example, product stability and other desirable attributes.
[0011a] Accordingly, in one aspect, the present invention relates to an aqueous formulation
comprising an anti-IL13 antibody, wherein the concentration of antibody in the formulation is at
least 100 mg/mL and the viscosity of the formulation is less than 15 centipoise (cP) at 25°C,
wherein the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino
acid sequence of SEQ ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ ID NO.: 2,
and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs,
CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid
sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6.
[0011b] In another aspect the invention relates to an aqueous formulation comprising an anti-
IL13 antibody in a histidine acetate buffer, pH 5.4 to 6.0, wherein the histidine acetate
concentration in the buffer is between 5 mM and 40 mM and wherein the concentration of
antibody in the formulation is at least 100 mg/mL, wherein the anti-IL13 antibody comprises
three heavy chain CDRs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDR-
H2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid
sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid
sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and
CDR-L3 having the amino acid sequence of SEQ ID NO.: 6.
[0011c] In another aspect the invention relates to an article of manufacture comprising a
formulation of the invention, and a subcutaneous administration device.
[0011d] In another aspect the invention relates to the use of the formulation of the invention
in the manufacture of a medicament for treating asthma in a patient.
[0011e] In another aspect the invention relates to the use of the formulation of the invention
in the manufacture of a medicament for treating idiopathic pulmonary fibrosis in a patient.
[0011f] Certain statements that appear below are broader than what appears in the
statements of the invention above. These statements are provided in the interests of providing
the reader with a better understanding of the invention and its practice. The reader is directed to
the accompanying claim set which defines the scope of the invention.
Also described is a formulation comprising an anti-IL13 antibody. In certain
embodiments, the concentration of antibody in the formulation is at least 100 mg/mL and the
viscosity of the formulation is less than 15 centipoise (cP) at 25°C. In another embodiment, the
anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid
sequence of SEQ ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ ID NO.: 2, and
CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-
L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence
of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6. In one
embodiment, the anti-IL13 antibody comprises a heavy chain variable region having the amino
acid sequence of SEQ ID NO.: 7. In one embodiment, the anti-IL13 antibody comprises a light
chain variable region having the amino acid sequence of SEQ ID NO.: 9. In one embodiment,
the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID
NO.: 10. In one embodiment, the anti-IL13 antibody comprises a light chain having the amino
acid sequence of SEQ ID NO.: 14. In one embodiment, the anti-IL13 antibody comprises a
heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7 and a light chain
variable region having the amino acid sequence of SEQ ID NO.: 9. In one embodiment, the
anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10
and a light chain having the amino acid sequence of SEQ ID NO.: 14. In one embodiment, the
concentration of antibody is 125 mg/mL. In one embodiment, the concentration of antibody is
150 mg/mL.
In another aspect, the formulation comprises histidine acetate buffer, ph 5.4 to 6.0,
and the histidine acetate concentration in the buffer is between 5 mM and 40 mM. In certain
embodiments, the formulation comprises a polyol and a surfactant and the concentration of the
polyol in the formulation is between 100 mM and 200 mM and the concentration of the
surfactant in the formulation is between 0.01% and 0.1%. In certain embodiments, the polyol is
sucrose and the surfactant is polysorbate 20. In certain embodiments, the histidine acetate
buffer is pH 5.7 and the histidine acetate concentration in the buffer is 20mM, and the
concentration of sucrose in the formulation is 175 mM and the concentration of polysorbate 20
is 0.03%. In one embodiment, the concentration of antibody is 125 mg/mL or 150 mg/mL. In
one embodiment, the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having
the amino acid sequence of SEQ ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ
ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light
chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the
amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ
ID NO.: 6.
In yet another aspect, the formulation comprises an anti-IL13 antibody in a histidine
acetate buffer, pH 5.4 to 6.0, and the histidine acetate concentration in the buffer is between 5
mM and 40 mM and the concentration of antibody in the formulation is at least 100 mg/mL. In
certain embodiments, the formulation further comprises a polyol and a surfactant, and the
concentration of the polyol in the formulation is between 100 mM and 200 mM and the
concentration of the surfactant in the formulation is between 0.01% and 0.1%. In one
embodiment, the polyol is sucrose and the surfactant is polysorbate 20. In one embodiment, the
histidine acetate buffer is pH 5.7 and the histidine acetate concentration in the buffer is 20mM,
and wherein the concentration of sucrose in the formulation is 175 mM and the concentration of
polysorbate 20 is 0.03%. In one embodiment, the anti-IL13 antibody comprises three heavy
chain CDRs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDR-H2 having the
amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ
ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID
NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the
amino acid sequence of SEQ ID NO.: 6. In one embodiment, the anti-IL13 antibody comprises
a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7. In one
embodiment, the anti-IL13 antibody comprises a light chain variable region having the amino
acid sequence of SEQ ID NO.: 9. In one embodiment, the anti-IL13 antibody comprises a
heavy chain having the amino acid sequence of SEQ ID NO.: 10. In one embodiment, the anti-
IL13 antibody comprises a light chain having the amino acid sequence of SEQ ID NO.: 14. In
one embodiment, the anti-IL13 antibody comprises a heavy chain variable region having the
amino acid sequence of SEQ ID NO.: 7 and a light chain variable region having the amino acid
sequence of SEQ ID NO.: 9. In one embodiment, the anti-IL13 antibody comprises a heavy
chain having the amino acid sequence of SEQ ID NO.: 10 and a light chain having the amino
acid sequence of SEQ ID NO.: 14. In one embodiment, the formulation has a viscosity of less
than 15 centipoise (cP) at 25°C. In one embodiment, the concentration of antibody is 125
mg/mL. In one embodiment, the concentration of antibody is 150 mg/mL.
In still another aspect, a formulation comprising an antiIL-13 antibody having
extended stability is provided. In certain embodiments, the antibody concentration is at least
100 mg/mL and the viscosity is less than 15 centipoise (cP) at 25°C. In one embodiment, the
antiIL-13 antibody is stable for at least one year at 5°C. In one embodiment, the antiIL-13
antibody is stable for at least two years at 5°C. In one embodiment, the anti-IL13 antibody is
stable for three years at 5°C. In one embodiment, the anti-IL13 antibody is stable for at least
four weeks at 25°C, or at least 8 weeks at 25°C, or at least 12 weeks at 25°C, or for 26 weeks at
4°C. In one embodiment, the formulation comprises histidine acetate buffer, ph 5.4 to 6.0, and
the histidine acetate concentration in the buffer is between 5 mM and 40 mM. In one
embodiment, the formulation further comprises a polyol and a surfactant, and the concentration
of the polyol in the formulation is between 100 mM and 200 mM and the concentration of the
surfactant in the formulation is between 0.01% and 0.1%. In one embodiment, the polyol is
sucrose and the surfactant is polysorbate 20. In one embodiment, the histidine acetate buffer is
pH 5.7 and the histidine acetate concentration in the buffer is 20mM, and the concentration of
sucrose in the formulation is 175 mM and the concentration of polysorbate 20 is 0.03%. In one
embodiment, the concentration of antibody is 125 mg/mL or 150 mg/mL. In one embodiment,
the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid
sequence of SEQ ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ ID NO.: 2, and
CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-
L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence
of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6.
In yet another aspect, a formulation comprising an anti-IL13 antibody having
extended stability in 20 mM histidine acetate buffer, pH 5.7, 175 mM sucrose, 0.03% polysorbate
is provided. In one embodiment, the concentration of antibody in the formulation is 125
mg/mL and the viscosity of the formulation is less than 15 centipoise (cP) at 25°C. In one
embodiment, the concentration of antibody in the formulation is 150 mg/mL and the viscosity
of the formulation is less than 15 centipoise (cP) at 25°C. In one embodiment, the anti-IL13
antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid sequence of SEQ
ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having
the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the
amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID
NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6. In one embodiment,
the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence
of SEQ ID NO.: 7 and a light chain variable region having the amino acid sequence of SEQ ID
NO.: 9. In one embodiment, the anti-IL13 antibody comprises a heavy chain having the amino
acid sequence of SEQ ID NO.: 10 and a light chain having the amino acid sequence of SEQ ID
NO.: 14.
In still a further aspect, an article of manufacture comprising a subcutaneous
administration device is provided. In certain embodiments, the subcutaneous administration
device delivers to a patient a flat dose of an anti-IL13 antibody. In one embodiment, the flat
dose is 37.5 mg of anti-IL13 antibody. In one embodiment, the flat dose is 75 mg of anti-IL13
antibody. In one embodiment, the flat dose is 125 mg of anti-IL13 antibody. In one
embodiment the flat dose is 150 mg of anti-IL13 antibody. In certain embodiments, the anti-
IL13 antibody is lebrikizumab. The anti-IL 13 antibody in the subcutaneous administration
device is formulated in a buffer and other excipients as described above such that it is provided
in a stable pharmaceutical formulation. In certain embodiments, the subcutaneous
administration device is a prefilled syringe comprising a glass barrel, a plunger rod comprising a
plunger stopper and a needle. In certain embodiments, the subcutaneous administration device
further comprises a needle shield and optionally a needle shield device. In certain embodiments,
the volume of formulation contained in the prefilled syringe is 0.3 mL, 1 mL, 1.5 mL, or 2.0 mL.
In certain embodiments, the needle is a staked-in needle comprising a 3-bevel tip or a 5-bevel
tip. In certain embodiments, the needle is between 25 gauge (G) and 30G and is between 1/2
inch long and 5/8 inch long. In one embodiment, the subcutaneous administration device
comprises a prefilled 1.0 mL low tungsten borosilicate glass (type I) syringe and a stainless steel
-bevel 27G 1/2 inch long thin-wall staked-in needle. In certain embodiments, the
subcutaneous administration device comprises a rigid needle shield. In certain embodiments, the
rigid needle shield comprises a rubber formulation having low zinc content. In one
embodiment, the needle shield is rigid and comprises an elastomeric component, FM27/0, and
rigid polypropylene shield. In certain embodiments, the plunger rod comprises a rubber plunger
stopper. In certain embodiments, the rubber plunger stopper comprises 4023/50 rubber and
FluroTec® ethylene-tetrafluoroethylene (ETFE) coating. In certain embodiments, the
subcutaneous administration device comprises a needle safety device. Exemplary needle safety
devices include, but are not limited to, Ultrasafe Passive® Needle Guard X100L (Safety Syringes,
Inc.) and Rexam Safe n Sound (Rexam).
In yet another aspect, a method of treating asthma in a patient is provided. In certain
embodiments, the method comprises administering to the patient an effective amount of any of
the above formulations. In certain embodiments, the effective amount is 0.3 mL, one-half mL,
one mL or two mL, or about 0.3 mL, about one-half mL, about one mL or about two mL. In
another aspect, a method of treating idiopathic pulmonary fibrosis in a patient is provided. In
certain embodiments, the method comprises administering to the patient an effective amount of
any of the above formulations. In certain embodiments, the effective amount is one-half mL,
one mL or two mL, or about one-half mL, about one mL or about two mL.
In still yet another aspect, methods of administering subcutaneously a formulation
comprising and anti-IL13 antibody are provided. Such methods comprise administering
subcutaneously any of the anti-IL13 antibody formulations described above. In certain
embodiments, the methods comprise a subcutaneous administration device according to any of
the devices described above.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 shows the rate of anti-IL13 antibody monomer degradation per week as a
function of pH as described in Example 1.
Figure 2 shows increases in solution turbidity at 350 nm of anti-IL13 antibody
solutions as a function of pH during storage at 30°C as described in Example 1.
Figure 3 shows changes in low molecular weight (LMW) soluble fragments and high
molecular weight (HMW) aggregates measured by non-reduced CE-SDS during storage at 30°C
as a function of pH as described in Example 1.
Figure 4 shows the rates of acidic variants (AV) and basic variant (peak 1) (BV)
formation at 30°C as a function of pH as described in Example 1. Charge variant formation rate
is expressed as %/week shown on the vertical axis.
Figure 5 shows the rates of basic variant (peak 2) (BV2) formation and main peak
(MP) loss at 30°C as a function of pH as described in Example 1. Charge variant formation rate
is expressed as %/week shown on the vertical axis.
Figure 6 shows a rheological characterization of anti-IL13 antibody as a function of
antibody concentration and solution pH as described in Example 1. Solution viscosity is
expressed in centipoise (cP) at 25°C shown on the vertical axis.
Figure 7 shows a rheological characterization of different monoclonal antibodies
over a wide range of concentrations as described in Example 1. Solution viscosity is expressed
in centipoise (cP) at 25°C shown on the vertical axis.
Figure 8 shows the quantification of visual appearance of anti-IL13 and anti-CD20
antibody solutions as a function of concentration using 90 degree nephelometry as described in
Example 1.
Figure 9 shows turbidity measurements (A350) for anti-IL13 and anti-CD20 antibody
solutions as a function of mAb concentration as described in Example 1.
Figure 10 shows anti-IL13 antibody solution turbidity as a function of concentration
and pH as described in Example 1.
Figure 11 shows subvisible particulate counts in anti-IL13 and anti-CD20 antibody
solutions as a function of mAb concentration as described in Example 1.
Figure 12 shows measurements of nephelometric, turbidimetric, and static light
scattering of 125 mg/mL solution of anti-IL13 antibody as described in Example 1.
Figure 13 summarizes the temperature dependence of solution opalescence at
different pH conditions for anti-IL13 antibody at 125 mg/mL and at 204 mg/mL as described in
Example 1.
Figure 14 summarizes the thermal melting transition peaks observed for two partially
resolved peaks in the capillary DSC as a function anti-IL13 formulation composition and
solution pH as described in Example 1.
Figure 15 summarizes the measured osomotic second virial coefficients (B ) for anti-
IL13 antibody as a function of solution pH with samples in simple buffers as indicated and
measured from 0.1-1.0 mg/mL as described in Example 1.
Figure 16 shows the measured osmotic second virial coefficients for anti-IL13
antibody as a function of formulation composition and pH over the range of 1.0-10 mg/mL as
described in Example 1.
Figure 17 shows the measured static light scattering intensity vs. concentration for
each of the anti-IL13 and anti-CD20 antibodies in comparison to the hard sphere (HS) model as
described in Example 1.
Figure 18 shows static light scattering data for anti-IL13 antibody as a function of
formulation pH represented as apparent molecular weights observed at concentrations up to 200
mg/mL as described in Example 1.
Figure 19 shows the apparent molecular weights of anti-IL13 and anti-CD20
antibodies in solution at high concentrations up to 200 mg/mL as described in Example 1.
Figure 20 shows shear viscosity measured for anti-IL13 and anti-CD20 under
respective formulation conditions at 25°C as described in Example 1.
DETAILED DESCRIPTION
Unless defined otherwise, technical and scientific terms used herein have the same
meaning as commonly understood by one of ordinary skill in the art to which this invention
belongs. Singleton et al., Dictionary of Microbiology and Molecular Biology 2nd ed., J. Wiley
& Sons (New York, N.Y. 1994), and March, Advanced Organic Chemistry Reactions,
Mechanisms and Structure 4th ed., John Wiley & Sons (New York, N.Y. 1992), provide one
skilled in the art with a general guide to many of the terms used in the present application.
CERTAIN DEFINITIONS
For purposes of interpreting this specification, the following definitions will apply
and whenever appropriate, terms used in the singular will also include the plural and vice versa.
In the event that any definition set forth below conflicts with any document incorporated herein
by reference, the definition set forth below shall control.
As used in this specification and the appended claims, the singular forms “a,” “an”
and “the” include plural referents unless the context clearly dictates otherwise. Thus, for
example, reference to “a protein” or an “antibody” includes a plurality of proteins or antibodies,
respectively; reference to “a cell” includes mixtures of cells, and the like.
The term "pharmaceutical formulation" refers to a preparation which is in such form
as to permit the biological activity of the active ingredient to be effective, and which contains no
additional components which are unacceptably toxic to a subject to which the formulation
would be administered. Such formulations are sterile. "Pharmaceutically acceptable" excipients
(vehicles, additives) are those which can reasonably be administered to a subject mammal to
provide an effective dose of the active ingredient employed.
A "sterile" formulation is aseptic or free or essentially free from all living
microorganisms and their spores.
A "frozen" formulation is one at a temperature below 0°C. Generally, the frozen
formulation is not freeze-dried, nor is it subjected to prior, or subsequent, lyophilization. In
certain embodiments, the frozen formulation comprises frozen drug substance for storage (in
stainless steel tank) or frozen drug product (in final vial configuration).
A "stable" formulation is one in which the protein therein essentially retains its
physical stability and/or chemical stability and/or biological activity upon storage. In certain
embodiments, the formulation essentially retains its physical and chemical stability, as well as its
biological activity upon storage. The storage period is generally selected based on the intended
shelf-life of the formulation.
As used herein, a formulation having “extended stability” means one in which the
protein therein essentially retains its physical stability, chemical stability, and biological activity
upon storage at 5°C for one year or more. In certain embodiments, the storage is at 5°C for two
years or more. In certain embodiments, the storage is at 5°C for up to three years.
A protein "retains its physical stability" in a pharmaceutical formulation if it shows
no signs or very little of aggregation, precipitation and/or denaturation upon visual examination
of color and/or clarity, or as measured by UV light scattering or by size exclusion
chromatography.
A protein "retains its chemical stability" in a pharmaceutical formulation, if the
chemical stability at a given time is such that the protein is considered to still retain its biological
activity as defined below. Chemical stability can be assessed by detecting and quantifying
chemically altered forms of the protein. Chemical alteration may involve size modification (e.g.
clipping) which can be evaluated using size exclusion chromatography, SDS-PAGE and/or
matrix-assisted laser desorption ionization/time-of-flight mass spectrometry (MALDI/TOF
MS), for example. Other types of chemical alteration include charge alteration (e.g. occurring as
a result of deamidation) which can be evaluated by ion-exchange chromatography or imaged
capillary isoelectric focusing (icIEF), for example.
An antibody "retains its biological activity" in a pharmaceutical formulation, if the
biological activity of the antibody at a given time is within about 10% (within the errors of the
assay) of the biological activity exhibited at the time the pharmaceutical formulation was
prepared as determined in an antigen binding assay or a potency assay, for example.
Herein, "biological activity" of a monoclonal antibody refers to the ability of the
antibody to bind to antigen. It can further include antibody binding to antigen and resulting in a
measurable biological response which can be measured in vitro or in vivo. Such activity may be
antagonistic or agonistic.
A "deamidated" monoclonal antibody is one in which one or more asparagine
residues thereof has been derivitized, e.g. to an aspartic acid or an iso-aspartic acid.
An antibody which is "susceptible to deamidation" is one comprising one or more
residues which has been found to be prone to deamidate.
An antibody which is "susceptible to aggregation" is one which has been found to
aggregate with other antibody molecule(s), especially upon freezing and/or agitation.
An antibody which is "susceptible to fragmentation" is one which has been found to
be cleaved into two or more fragments, for example at a hinge region thereof.
By "reducing deamidation, aggregation, or fragmentation" is intended preventing or
decreasing the amount of deamidation, aggregation, or fragmentation relative to the monoclonal
antibody formulated at a different pH or in a different buffer.
The antibody which is formulated is essentially pure and desirably essentially
homogeneous (e.g., free from contaminating proteins etc). "Essentially pure" antibody means a
composition comprising at least about 90% by weight of the antibody, based on total weight of
the composition, or at least about 95% by weight. "Essentially homogeneous" antibody means a
composition comprising at least about 99% by weight of antibody, based on total weight of the
composition.
By "isotonic" is meant that the formulation of interest has essentially the same
osmotic pressure as human blood. Isotonic formulations will generally have an osmotic pressure
from about 250 to 350 mOsm. Isotonicity can be measured using a vapor pressure or ice-
freezing type osmometer, for example.
As used herein, "buffer" refers to a buffered solution that resists changes in pH by
the action of its acid-base conjugate components.
A "histidine buffer" is a buffer comprising histidine ions. Examples of histidine
buffers include histidine chloride, histidine acetate, histidine phosphate, histidine sulfate,
histidine succinate, etc. In one embodiment, the histidine buffer is histidine acetate. In one
embodiment, the histidine acetate buffer is prepared by titrating L-histidine (free base, solid) with
acetic acid (liquid). In certain embodiments, the histidine buffer or histidine-acetate buffer is
between pH 4.5 to 6.5. In certain embodiments, the histidine buffer or histidine-acetate buffer is
between pH 5.4 to 6.0. In one embodiment, the buffer has a pH of 5.6. In one embodiment,
the buffer has a pH of 5.7. In one embodiment, the buffer has a pH of 5.8.
Herein, a "surfactant" refers to a surface-active agent, typically a nonionic surfactant.
Examples of surfactants herein include polysorbate (for example, polysorbate 20 and,
polysorbate 80); poloxamer (e.g. poloxamer 188); Triton; sodium dodecyl sulfate (SDS); sodium
laurel sulfate; sodium octyl glycoside; lauryl-, myristyl-, linoleyl-, or stearyl-sulfobetaine; lauryl-,
myristyl-, linoleyl- or stearyl-sarcosine; linoleyl-, myristyl-, or cetyl-betaine; lauroamidopropyl-,
cocamidopropyl-, linoleamidopropyl-, myristamidopropyl-, palmidopropyl-, or
isostearamidopropyl-betaine (e.g. lauroamidopropyl); myristamidopropyl-, palmidopropyl-, or
isostearamidopropyl-dimethylamine; sodium methyl cocoyl-, or disodium methyl oleyl-taurate;
and the MONAQUAT™ series (Mona Industries, Inc., Paterson, N.J.); polyethyl glycol,
polypropyl glycol, and copolymers of ethylene and propylene glycol (e.g. Pluronics, PF68 etc);
etc. In one embodiment, the surfactant is polysorbate 20.
A "preservative" is a compound which can be optionally included in the formulation
to essentially reduce bacterial action therein, thus facilitating the production of a multi-use
formulation, for example. Examples of potential preservatives include octadecyldimethylbenzyl
ammonium chloride, hexamethonium chloride, benzalkonium chloride (a mixture of
alkylbenzyldimethylammonium chlorides in which the alkyl groups are long-chain compounds),
and benzethonium chloride. Other types of preservatives include aromatic alcohols such as
phenol, butyl and benzyl alcohol, alkyl parabens such as methyl or propyl paraben, catechol,
resorcinol, cyclohexanol, 3-pentanol, and m-cresol. In one embodiment, the preservative herein
is benzyl alcohol.
A "polyol" is a substance with multiple hydroxyl groups, and includes sugars
(reducing and nonreducing sugars), sugar alcohols and sugar acids. A polyol may optionally be
included in the formulation. In certain embodiments, polyols herein have a molecular weight
which is less than about 600 kD (e.g. in the range from about 120 to about 400 kD). A "reducing
sugar" is one which contains a hemiacetal group that can reduce metal ions or react covalently
with lysine and other amino groups in proteins and a "nonreducing sugar" is one which does not
have these properties of a reducing sugar. Examples of reducing sugars are fructose, mannose,
maltose, lactose, arabinose, xylose, ribose, rhamnose, galactose and glucose. Nonreducing sugars
include sucrose, trehalose, sorbose, melezitose and raffinose. Mannitol, xylitol, erythritol,
threitol, sorbitol and glycerol are examples of sugar alcohols. As to sugar acids, these include L-
gluconate and metallic salts thereof. Where it is desired that the formulation is freeze-thaw
stable, the polyol is typically one which does not crystallize at freezing temperatures (e.g. -200C)
such that it destabilizes the antibody in the formulation. In one embodiment, the polyol is a
nonreducing sugar. In one such embodiment, the nonreducing sugar is sucrose.
As used herein, “asthma” refers to a complex disorder characterized by variable and
recurring symptoms, reversible airflow obstruction (e.g., by bronchodilator) and bronchial
hyperresponsiveness which may or may not be associated with underlying inflammation.
Examples of asthma include aspirin sensitive/exacerbated asthma, atopic asthma, severe asthma,
mild asthma, moderate to severe asthma, corticosteroid naïve asthma, chronic asthma,
corticosteroid resistant asthma, corticosteroid refractory asthma, newly diagnosed and untreated
asthma, asthma due to smoking, asthma uncontrolled on corticosteroids and other asthmas as
mentioned in J Allergy Clin Immunol (2010) 126(5):926-938.
As used herein, “treatment” refers to clinical intervention in an attempt to alter the
natural course of the individual or cell being treated, and can be performed before or during the
course of clinical pathology. Desirable effects of treatment include preventing the occurrence or
recurrence of a disease or a condition or symptom thereof, alleviating a condition or symptom of
the disease, diminishing any direct or indirect pathological consequences of the disease,
decreasing the rate of disease progression, ameliorating or palliating the disease state, and
achieving remission or improved prognosis.
An "effective amount" refers to an amount effective, at dosages and for periods of
time necessary, to achieve the desired therapeutic or prophylactic result. A “therapeutically
effective amount” of a therapeutic agent may vary according to factors such as the disease state,
age, sex, and weight of the individual, and the ability of the antibody to elicit a desired response
in the individual. A therapeutically effective amount is also one in which any toxic or
detrimental effects of the therapeutic agent are outweighed by the therapeutically beneficial
effects.
An “individual,” “subject” or “patient” is a vertebrate. In certain embodiments, the
vertebrate is a mammal. Mammals include, but are not limited to, primates (including human
and non-human primates) and rodents (e.g., mice and rats). In certain embodiments, a mammal
is a human.
A "medicament" is an active drug to treat a disease, disorder, and/or condition.
"Antibodies" (Abs) and "immunoglobulins" (Igs) refer to glycoproteins having
similar structural characteristics. While antibodies exhibit binding specificity to a specific
antigen, immunoglobulins include both antibodies and other antibody-like molecules which
generally lack antigen specificity. Polypeptides of the latter kind are, for example, produced at
low levels by the lymph system and at increased levels by myelomas.
The terms "antibody" and “immunoglobulin” are used interchangeably in the
broadest sense and include monoclonal antibodies (e.g., full length or intact monoclonal
antibodies), polyclonal antibodies, monovalent antibodies, multivalent antibodies, multispecific
antibodies (e.g., bispecific antibodies so long as they exhibit the desired biological activity) and
may also include certain antibody fragments (as described in greater detail herein). An antibody
can be chimeric, human, humanized and/or affinity matured.
The terms “full length antibody,” “intact antibody” and “whole antibody” are used
herein interchangeably to refer to an antibody in its substantially intact form, not antibody
fragments as defined below. The terms particularly refer to an antibody with heavy chains that
contain the Fc region.
"Antibody fragments" comprise a portion of an intact antibody, preferably
comprising the antigen binding region thereof. Examples of antibody fragments include Fab,
Fab', F(ab') , and Fv fragments; diabodies; linear antibodies; single-chain antibody molecules; and
multispecific antibodies formed from antibody fragments.
Papain digestion of antibodies produces two identical antigen-binding fragments,
called “Fab” fragments, each with a single antigen-binding site, and a residual “Fc” fragment,
whose name reflects its ability to crystallize readily. Pepsin treatment yields an F(ab’) fragment
that has two antigen-combining sites and is still capable of cross-linking antigen.
“Fv” is a minimum antibody fragment which contains a complete antigen-binding
site. In one embodiment, a two-chain Fv species consists of a dimer of one heavy- and one
light-chain variable domain in tight, non-covalent association. Collectively, the six CDRs of an
Fv confer antigen-binding specificity to the antibody. However, even a single variable domain
(or half of an Fv comprising only three CDRs specific for an antigen) has the ability to recognize
and bind antigen, although at a lower affinity than the entire binding site.
The Fab fragment contains the heavy- and light-chain variable domains and also
contains the constant domain of the light chain and the first constant domain (CH1) of the
heavy chain. Fab’ fragments differ from Fab fragments by the addition of a few residues at the
carboxy terminus of the heavy chain CH1 domain including one or more cysteines from the
antibody hinge region. Fab’-SH is the designation herein for Fab’ in which the cysteine
residue(s) of the constant domains bear a free thiol group. F(ab’) antibody fragments originally
were produced as pairs of Fab’ fragments which have hinge cysteines between them. Other
chemical couplings of antibody fragments are also known.
The term "monoclonal antibody" as used herein refers to an antibody obtained from
a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising
the population are identical except for possible mutations, e.g., naturally occurring mutations,
that may be present in minor amounts. Thus, the modifier “monoclonal” indicates the character
of the antibody as not being a mixture of discrete antibodies. In certain embodiments, such a
monoclonal antibody typically includes an antibody comprising a polypeptide sequence that
binds a target, wherein the target-binding polypeptide sequence was obtained by a process that
includes the selection of a single target binding polypeptide sequence from a plurality of
polypeptide sequences. For example, the selection process can be the selection of a unique clone
from a plurality of clones, such as a pool of hybridoma clones, phage clones, or recombinant
DNA clones. It should be understood that a selected target binding sequence can be further
altered, for example, to improve affinity for the target, to humanize the target binding sequence,
to improve its production in cell culture, to reduce its immunogenicity in vivo, to create a
multispecific antibody, etc., and that an antibody comprising the altered target binding sequence
is also a monoclonal antibody contemplated herein. In contrast to polyclonal antibody
preparations which typically include different antibodies directed against different determinants
(epitopes), each monoclonal antibody of a monoclonal antibody preparation is directed against a
single determinant on an antigen. In addition to their specificity, monoclonal antibody
preparations are advantageous in that they are typically uncontaminated by other
immunoglobulins.
The modifier “monoclonal” indicates the character of the antibody as being obtained
from a substantially homogeneous population of antibodies, and is not to be construed as
requiring production of the antibody by any particular method. For example, the monoclonal
antibodies to be used in accordance with the present invention may be made by a variety of
techniques, including, for example, the hybridoma method (e.g., Kohler et al., Nature, 256: 495
(1975); Harlow et al., Antibodies: A Laboratory Manual, (Cold Spring Harbor Laboratory Press,
2 ed. 1988); Hammerling et al., in: Monoclonal Antibodies and T-Cell Hybridomas 563-681
(Elsevier, N.Y., 1981)), recombinant DNA methods (see, e.g., U.S. Patent No. 4,816,567), phage
display technologies (see, e.g., Clackson et al., Nature, 352: 624-628 (1991); Marks et al., J. Mol.
Biol. 222: 581-597 (1992); Sidhu et al., J. Mol. Biol. 338(2): 299-310 (2004); Lee et al., J. Mol. Biol.
340(5): 1073-1093 (2004); Fellouse, Proc. Natl. Acad. Sci. USA 101(34): 12467-12472 (2004); and
Lee et al., J. Immunol. Methods 284(1-2): 119-132(2004), and technologies for producing human or
human-like antibodies in animals that have parts or all of the human immunoglobulin loci or
genes encoding human immunoglobulin sequences (see, e.g., WO98/24893; WO96/34096;
WO96/33735; WO91/10741; Jakobovits et al., Proc. Natl. Acad. Sci. USA 90: 2551 (1993);
Jakobovits et al., Nature 362: 255-258 (1993); Bruggemann et al., Year in Immunol. 7:33 (1993);
U.S. Patent Nos. 5,545,807; 5,545,806; 5,569,825; 5,625,126; 5,633,425; 5,661,016; Marks et al.,
Bio.Technology 10: 779-783 (1992); Lonberg et al., Nature 368: 856-859 (1994); Morrison, Nature
368: 812-813 (1994); Fishwild et al., Nature Biotechnol. 14: 845-851 (1996); Neuberger, Nature
Biotechnol. 14: 826 (1996) and Lonberg and Huszar, Intern. Rev. Immunol. 13: 65-93 (1995).
The monoclonal antibodies herein specifically include "chimeric" antibodies in which
a portion of the heavy and/or light chain is identical with or homologous to corresponding
sequences in antibodies derived from a particular species or belonging to a particular antibody
class or subclass, while the remainder of the chain(s) is identical with or homologous to
corresponding sequences in antibodies derived from another species or belonging to another
antibody class or subclass, as well as fragments of such antibodies, so long as they exhibit the
desired biological activity (U.S. Patent No. 4,816,567; and Morrison et al., Proc. Natl. Acad. Sci.
USA 81:6855-9855 (1984)).
"Native antibodies" refer to naturally occurring immunoglobulin molecules with
varying structures. For example, native IgG antibodies are heterotetrameric glycoproteins of
about 150,000 daltons, composed of two identical light chains and two identical heavy chains
that are disulfide-bonded. From N- to C-terminus, each heavy chain has a variable region (VH),
also called a variable heavy domain or a heavy chain variable domain, followed by three constant
domains (CH1, CH2, and CH3). Similarly, from N- to C-terminus, each light chain has a
variable region (VL), also called a variable light domain or a light chain variable domain,
followed by a constant light (CL) domain. The light chain of an antibody may be assigned to
one of two types, called kappa ( κ) and lambda ( λ), based on the amino acid sequence of its
constant domain.
The term “variable region” or “variable domain” refers to the domain of an antibody
heavy or light chain that is involved in binding the antibody to antigen. The variable domains of
the heavy chain and light chain (VH and VL, respectively) of a native antibody generally have
similar structures, with each domain comprising four conserved framework regions (FRs) and
three hypervariable regions (HVRs). (See, e.g., Kindt et al. Kuby Immunology, 6th ed., W.H.
Freeman and Co., page 91 (2007).) A single VH or VL domain may be sufficient to confer
antigen-binding specificity. Furthermore, antibodies that bind a particular antigen may be
isolated using a VH or VL domain from an antibody that binds the antigen to screen a library of
complementary VL or VH domains, respectively. See, e.g., Portolano et al., J. Immunol.
150:880-887 (1993); Clarkson et al., Nature 352:624-628 (1991).
A “humanized” antibody refers to a chimeric antibody comprising amino acid
residues from non-human HVRs and amino acid residues from human FRs. In certain
embodiments, a humanized antibody will comprise substantially all of at least one, and typically
two, variable domains, in which all or substantially all of the HVRs (e.g., CDRs) correspond to
those of a non-human antibody, and all or substantially all of the FRs correspond to those of a
human antibody. A humanized antibody optionally may comprise at least a portion of an
antibody constant region derived from a human antibody. A “humanized form” of an antibody,
e.g., a non-human antibody, refers to an antibody that has undergone humanization.
The term “hypervariable region” or “HVR,” as used herein, refers to each of the
regions of an antibody variable domain which are hypervariable in sequence and/or form
structurally defined loops (“hypervariable loops”). Generally, native four-chain antibodies
comprise six HVRs; three in the VH (H1, H2, H3), and three in the VL (L1, L2, L3). HVRs
generally comprise amino acid residues from the hypervariable loops and/or from the
“complementarity determining regions” (CDRs), the latter being of highest sequence variability
and/or involved in antigen recognition. Exemplary hypervariable loops occur at amino acid
residues 26-32 (L1), 50-52 (L2), 91-96 (L3), 26-32 (H1), 53-55 (H2), and 96-101 (H3). (Chothia
and Lesk, J. Mol. Biol. 196:901-917 (1987).) Exemplary CDRs (CDR-L1, CDR-L2, CDR-L3,
CDR-H1, CDR-H2, and CDR-H3) occur at amino acid residues 24-34 of L1, 50-56 of L2, 89-97
of L3, 31-35B of H1, 50-65 of H2, and 95-102 of H3. (Kabat et al., Sequences of Proteins of
Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda,
MD (1991).) With the exception of CDR1 in VH, CDRs generally comprise the amino acid
residues that form the hypervariable loops. CDRs also comprise “specificity determining
residues,” or “SDRs,” which are residues that contact antigen. SDRs are contained within
regions of the CDRs called abbreviated-CDRs, or a-CDRs. Exemplary a-CDRs (a-CDR-L1, a-
CDR-L2, a-CDR-L3, a-CDR-H1, a-CDR-H2, and a-CDR-H3) occur at amino acid residues 31-
34 of L1, 50-55 of L2, 89-96 of L3, 31-35B of H1, 50-58 of H2, and 95-102 of H3. (See
Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008).) Unless otherwise indicated, HVR
residues and other residues in the variable domain (e.g., FR residues) are numbered herein
according to Kabat et al., supra.
A “human antibody” is one which comprises an amino acid sequence corresponding
to that of an antibody produced by a human and/or has been made using any of the techniques
for making human antibodies as disclosed herein. Such techniques include screening human-
derived combinatorial libraries, such as phage display libraries (see, e.g., Marks et al., J. Mol. Biol.,
222: 581-597 (1991) and Hoogenboom et al., Nucl. Acids Res., 19: 4133-4137 (1991)); using
human myeloma and mouse-human heteromyeloma cell lines for the production of human
monoclonal antibodies (see, e.g., Kozbor J. Immunol., 133: 3001 (1984); Brodeur et al., Monoclonal
Antibody Production Techniques and Applications, pp. 55-93 (Marcel Dekker, Inc., New York, 1987);
and Boerner et al., J. Immunol., 147: 86 (1991)); and generating monoclonal antibodies in
transgenic animals (e.g., mice) that are capable of producing a full repertoire of human antibodies
in the absence of endogenous immunoglobulin production (see, e.g., Jakobovits et al., Proc. Natl.
Acad. Sci USA, 90: 2551 (1993); Jakobovits et al., Nature, 362: 255 (1993); Bruggermann et al.,
Year in Immunol., 7: 33 (1993)). This definition of a human antibody specifically excludes a
humanized antibody comprising antigen-binding residues from a non-human animal.
An “affinity matured” antibody is one with one or more alterations in one or more
CDRs thereof which result in an improvement in the affinity of the antibody for antigen,
compared to a parent antibody which does not possess those alteration(s). In one embodiment,
an affinity matured antibody has nanomolar or even picomolar affinities for the target antigen.
Affinity matured antibodies are produced by procedures known in the art. Marks et al.
Bio/Technology 10:779-783 (1992) describes affinity maturation by VH and VL domain shuffling.
Random mutagenesis of HVR and/or framework residues is described by: Barbas et al. Proc Nat.
Acad. Sci. USA 91:3809-3813 (1994); Schier et al. Gene 169:147-155 (1995); Yelton et al. J.
Immunol. 155:1994-2004 (1995); Jackson et al., J. Immunol. 154(7):3310-9 (1995); and Hawkins et al,
J. Mol. Biol. 226:889-896 (1992).
A “blocking antibody” or an “antagonist antibody” is one which inhibits or reduces a
biological activity of the antigen it binds. Certain blocking antibodies or antagonist antibodies
partially or completely inhibit the biological activity of the antigen.
The “class” of an antibody refers to the type of constant domain or constant region
possessed by its heavy chain. There are five major classes of antibodies: IgA, IgD, IgE, IgG, and
IgM, and several of these may be further divided into subclasses (isotypes), e.g., IgG1, IgG2,
IgG3, IgG4, IgA1, and IgA2. The heavy chain constant domains that correspond to the
different classes of immunoglobulins are called α, δ, ε, γ, and μ, respectively.
As used herein, “anti-IL13 antibody,” also referred to as lebrikizumab, means a
humanized IgG4 antibody that binds human IL13. In one embodiment, the anti-IL13 antibody
comprises three heavy chain CDRs, CDR-H1 (SEQ ID NO.: 1), CDR-H2 (SEQ ID NO.: 2),
and CDR-H3 (SEQ ID NO.: 3). In one embodiment, the anti-IL13 antibody comprises three
light chain CDRS, CDR-L1 (SEQ ID NO.: 4), CDR-L2 (SEQ ID NO.: 5), and CDR-L3 (SEQ
ID NO.: 6). In one embodiment, the anti-IL13 antibody comprises three heavy chain CDRs and
three light chain CDRs, CDR-H1 (SEQ ID NO.: 1), CDR-H2 (SEQ ID NO.: 2), CDR-H3
(SEQ ID NO.: 3), CDR-L1 (SEQ ID NO.: 4), CDR-L2 (SEQ ID NO.: 5), and CDR-L3 (SEQ
ID NO.: 6). In one embodiment, the anti-IL13 antibody comprises a variable heavy chain
region, VH, having an amino acid sequence selected from SEQ ID NOs. 7 and 8. In one
embodiment, the anti-IL13 antibody comprises a variable light chain region, VL, having the
amino acid sequence of SEQ ID NO.: 9. In one embodiment, the anti-IL13 antibody comprises
a variable heavy chain region, VH, having an amino acid sequence selected from SEQ ID NOs.
7 and 8 and a variable light chain region, VL, having an amino acid sequence of SEQ ID NO.: 9.
In one embodiment, the anti-IL13 antibody comprises a heavy chain having the amino acid
sequence of SEQ ID NO.: 10 or SEQ ID NO.: 11 or SEQ ID NO.: 12 or SEQ ID NO.: 13. In
one embodiment, the anti-IL13 antibody comprises a light chain having the amino acid sequence
of SEQ ID NO.: 14. In one embodiment, the anti-IL13 antibody comprises a heavy chain
having an amino acid sequence selected from SEQ ID NO.: 10, SEQ ID NO.: 11, SEQ ID
NO.: 12, and SEQ ID NO.: 13 and a light chain having the amino acid sequence of SEQ ID
NO.: 14. Anti-IL13 antibodies are further described in Intn’l Pub. No. 2005/062967.
An "isolated" biological molecule, such as a nucleic acid, polypeptide, or antibody, is
one which has been identified and separated and/or recovered from at least one component of
its natural environment.
Reference to “about” a value or parameter herein includes (and describes)
embodiments that are directed to that value or parameter per se. For example, description
referring to “about X” includes description of “X.”
A “subcutaneous administration device” refers to a device which is adapted or
designed to administer a drug, for example a therapeutic antibody, or pharmaceutical
formulation by the subcutaneous route. Exemplary subcutaneous administration devices
include, but are not limited to, a syringe, including a pre-filled syringe, an injection device,
infusion pump, injector pen, needleless device, and patch delivery system. A subcutaneous
administration device administers a certain volume of the pharmaceutical formulation, for
example about 1.0 mL, about 1.25 mL, about 1.5 mL, about 1.75 mL, or about 2.0 mL.
A “package insert” or “label” is used to refer to instructions customarily included in
commercial packages of therapeutic products or medicaments, that contain information about
the indications, usage, dosage, administration, contraindications, other therapeutic products to be
combined with the packaged product, and/or warnings concerning the use of such therapeutic
products or medicaments and the like.
A "kit" is any manufacture (e.g., a package or container) comprising at least one
reagent, e.g., a medicament for treatment of asthma or other lung disorder. In certain
embodiments, the manufacture is promoted, distributed, or sold as a unit for performing the
methods described herein.
A "target audience" is a group of people or an institution to whom or to which a
particular medicament is being promoted or intended to be promoted, as by marketing or
advertising, especially for particular uses, treatments, or indications, such as individual patients,
patient populations, readers of newspapers, medical literature, and magazines, television or
internet viewers, radio or internet listeners, physicians, drug companies, etc.
The term "serum sample" refers to any serum sample obtained from an individual.
Methods for obtaining sera from mammals are well known in the art.
The term “whole blood” refers to any whole blood sample obtained from an
individual. Typically, whole blood contains all of the blood components, e.g., cellular
components and plasma. Methods for obtaining whole blood from mammals are well known in
the art.
The "amount" or "level" of a biomarker associated with an increased clinical benefit
to a patient suffering from a certain disease or disorder, or predictive of response to a particular
therapeutic agent or treatment regimen, is a detectable level in a biological sample. These can be
measured by methods known to one skilled in the art and also disclosed herein. The expression
level or amount of biomarker assessed can be used to determine the response or the predicted
response to a treatment or therapeutic agent.
The terms "level of expression" or "expression level" in general are used
interchangeably and generally refer to the amount of an amino acid product or protein in a
biological sample. "Expression" generally refers to the process by which gene-encoded
information is converted into the structures present and operating in the cell. Therefore, as used
herein, "expression" of a gene may refer to transcription into a polynucleotide, translation into a
protein, or even posttranslational modification of the protein.
[0097a] The term “comprising” as used in this specification and claims means “consisting at
least in part of”. When interpreting statements in this specification, and claims which include
the term “comprising”, it is to be understood that other features that are additional to the
features prefaced by this term in each statement or claim may also be present. Related terms
such as “comprise” and “comprised” are to be interpreted in similar manner.
ASTHMA AND OTHER LUNG DISEASES AND CERTAIN ALLERGIC,
AUTOIMMUNE AND OTHER INFLAMMATORY DISEASES
Asthma is described as a chronic pulmonary disease that involves airway
inflammation, hyperresponsiveness and obstruction. Physiologically, airway hyperresponsiveness
is documented by decreased bronchial airflow after bronchoprovocation with methacholine or
histamine. Other triggers that provoke airway obstruction include cold air, exercise, viral upper
respiratory infection, cigarette smoke, and respiratory allergens. Bronchial provocation with
allergen induces a prompt early phase immunoglobulin E (IgE)-mediated decrease in bronchial
airflow followed in many patients by a late-phase IgE-mediated reaction with a decrease in
bronchial airflow for 4-8 hours. The early response is caused by acute release of inflammatory
substances, such as histamine, PGD¬2¬, leukotriene, tryptase and platelet activating factor
(PAF), whereas the late response is caused by de novo synthesized pro-inflammatory cytokines
(e.g. TNF α, IL4, IL13) and chemokines (e.g. MCP-1 and MIP-1 α) (Busse et al. In: Allergy:
Principles and Practice, Ed. Middleston, 1173 (1998)). In chronic asthmatic patients, persistent
pulmonary symptoms are mediated by the heightened response of Th2 cells. Th2 cytokines are
believed to play a vital role in the disease (Larche et al., J. Allergy Clin. Immunol., 111: 450
(2003)), in particular, IL13 and IL4 produced by Th2 cells with NK phenotype (NKT) in the
airway as indicated in a model of asthma in rodents (Akbari et al., Nature Med., 9: 582 (2003)).
The gross pathology of asthmatic airways displays lung hyperinflation, smooth muscle
hypertrophy, lamina reticularis thickening, mucosal edema, epithelial cell sloughing, cilia cell
disruption, and mucus gland hypersecretion. Microscopically, asthma is characterized by the
presence of increased numbers of eosinophils, neutrophils, lymphocytes, and plasma cells in the
bronchial tissues, bronchial secretions, and mucus. Initially, there is recruitment of leukocytes
from the bloodstream to the airway by activated CD4+ T-lymphocytes. The activated T-
lymphocytes also direct the release of inflammatory mediators from eosinophils, mast cells, and
lymphocytes. In addition, the Th2 cells produce IL4, IL5, IL9 and IL13. IL4, in conjunction with
IL13, signals the switch from IgM to IgE antibodies.
Cross-linking of membrane-bound IgE molecules by allergen causes mast cells to
degranulate, releasing histamine, leukotrienes, and other mediators that perpetuate the airway
inflammation. IL5 activates the recruitment and activation of eosinophils. The activated mast
cells and eosinophils also generate their cytokines that help to perpetuate the inflammation.
These repeated cycles of inflammation in the lungs with injury to the pulmonary tissues followed
by repair may produce long-term structural changes ("remodeling") of the airway
Moderate asthma is currently treated with a daily inhaled anti-inflammatory-
corticosteroid or mast cell inhibitor such as cromolyn sodium or nedocromil plus an inhaled
beta2-agonist as needed (3-4 times per day) to relieve breakthrough symptoms or allergen- or
exercise-induced asthma. Cromolyn sodium and nedocromil block bronchospasm and
inflammation, but are usually effective only for asthma that is associated with allergens or
exercise and typically, only for juvenile asthmatics. Inhaled corticosteroids improve
inflammation, airways hyperreactivity, and obstruction, and reduce the number of acute
exacerbations. However, it takes at least a month before effects are apparent and up to a year
for marked improvement to occur. The most frequent side effects are hoarseness and oral
fungal infection, i.e., candidiasis. More serious side effects have been reported, e.g., partial
adrenal suppression, growth inhibition, and reduced bone formation, but only with the use of
higher doses. Beclomethasone, triamcinolone, and flunisolide probably have a similar potency;
whereas budesonide and fluticasone are more potent and reportedly have fewer systemic side
effects.
Even patients with mild disease show airway inflammation, including infiltration of
the mucosa and epithelium with activated T cells, mast cells, and eosinophils. T cells and mast
cells release cytokines that promote eosinophil growth and maturation and the production of
IgE antibodies, and these, in turn, increase microvascular permeability, disrupt the epithelium,
and stimulate neural reflexes and mucus-secreting glands. The result is airways hyperreactivity,
bronchoconstriction, and hypersecretion, manifested by wheezing, coughing, and dyspnea.
Traditionally, asthma has been treated with oral and inhaled bronchodilators. These
agents help the symptoms of asthma, but do nothing for the underlying inflammation.
Recognition during the last decade or of the importance of inflammation in the etiology of
asthma has led to the increased use of corticosteroids, but many patients continue to suffer from
uncontrolled asthma.
In addition to asthma, other diseases that may be treated by the formulations of the
inventions include allergy, autoimmune disease, or other inflammatory diseases. Other allergic
diseases include allergic rhinitis, atopic dermatitis, food hypersensitivity and urticaria; immune-
mediated skin diseases include bullous skin diseases, erythema multiform and contact dermatitis;
autoimmune disease include psoriasis, rheumatoid arthritis, juvenile chronic arthritis;
inflammatory bowel disease (i.e., ulcerative colitis, Crohn's disease); other diseases associated
with IL13 include idiopathic interstitial pneumonia, goblet cell metaplasia, inflammatory and
fibrotic lung diseases such as cystic fibrosis, gluten-sensitive enteropathy, and Whipple's disease;
immunologic diseases of the lung such as eosinophilic pneumonia, idiopathic pulmonary fibrosis
and hypersensitivity pneumonitis; chronic obstructive pulmonary disease, RSV infection, uvelitis,
scleroderma, osteoporosis, and Hodgkin's lymphoma.
Idiopathic pulmonary fibrosis (IPF) is disorder amenable to treatment with the
formulations of the invention. IPF is a restrictive lung disease characterized by progressive
interstitial fibrosis of lung parenchyma, affecting approximately 100,000 patients in the United
States (Raghu et al., Am J Respir Crit Care Med 174:810-816 (2006)). This interstitial fibrosis
associated with IPF leads to progressive loss of lung function, resulting in death due to
respiratory failure in most patients. The median survival from the time of diagnosis is 2-3 years
(Raghu et al., Am J Respir Crit Care Med 183:788-824 (2011)). The etiology and key molecular and
pathophysiological drivers of IPF are unknown. The only treatment shown to prolong survival
in IPF patients is lung transplantation (Thabut et al., Annals of internal medicine 151:767-774
(2009)). Lung transplantation, however, is associated with considerable morbidity, not all IPF
patients are appropriate candidates for it, and there is a relative paucity of suitable donor lungs.
Despite numerous attempts, no drug therapies to date have been shown to substantially prolong
survival in a randomized, placebo-controlled interventional trial in IPF patients, although some
interventions have appeared to slow the rate of lung function decline in some patients (Raghu et
al., Am J Respir Crit Care Med 183:788-824 (2011); Richeldi et al., The New England J. of Med.
365:1079-1087 (2011)).
Although the prognosis for all IPF patients is dire, there is considerable heterogeneity
in disease trajectory (Raghu et al., Am J Respir Crit Care Med 183:788-824 (2011)). Some patients
exhibit a relatively indolent course, losing lung function at a relatively constant rate over as long
as 10 years or more, while others experience a more rapid decline in lung function, succumbing
to death within a year or two of diagnosis. In addition, some patients suffer from acute
exacerbations of the disease, typically characterized by sudden dramatic decreases in lung
function. Generally, these patients do not fully recover after the acute event and often die
during or shortly after an exacerbation. This heterogeneity in disease trajectory suggests that
different IPF patients may have different pathophysiological factors underlying their disease,
which may be differentially susceptible to molecularly targeted therapeutics such as formulations
of the invention.
Eosinophilic inflammation is associated with a variety of illnesses, both allergic and
non-allergic (Gonlugur (2006) Immunol. Invest. 35(1):29-45). Inflammation is a restorative
response of living tissues to injury. A characteristic of inflammatory reactions is the
accumulation of leukocytes in injured tissue due to certain chemicals produced in the tissue itself.
Eosinophil leukocytes accumulate in a wide variety of conditions such as allergic disorders,
helminthic infections, and neoplastic diseases (Kudlacz et al., (2002) Inflammation 26: 111–119).
Eosinophil leukocytes, a component of the immune system, are defensive elements of mucosal
surfaces. They respond not only to antigens but to parasites, chemicals, and trauma.
Tissue eosinophilia occurs in skin diseases such as eczema, pemphigus, acute
urticaria, and toxic epidermal necrolysis as well as in atopic dermatitis ([Rzany et al., 1996]).
Eosinophils accumulate in the tissue and empty granule proteins in IgE-mediated allergic skin
reactions ([Nielsen et al., 2001]). Eosinophils combined with mast cells are likely to cause joint
inflammation (Miossec et al., 1997). Eosinophilic inflammation sometimes accompanies joint
trauma. Synovial fluid eosinophilia can be associated with diseases such as rheumatoid arthritis,
parasitic disease, hypereosinophilic syndrome, Lyme disease, and allergic processes, as well as
hemarthrosis and arthrography ([Atanes et al., 1996]). Eosinophilic inflammation can affect
bones as well ([Yetiser et al., 2002]). Examples of eosinophilic muscle disease include
eosinophilic perimyositis, eosinophilic polymyositis, and focal eosinophilic myositis ([Lakhanpal
et al., 1988]). Eosinophilic inflammations affecting skeletal muscles may be associated with
parasite infections or drugs or features of some systemic disorders of hypereosinophilia (e.g.,
idiopathic hypereosinophilic syndrome and eosinophilia-myalgia syndrome. Eosinophils
participate in the inflammatory response to epitopes recognized by autoimmune antibodies
([Engineer et al., 2001]). Connective tissue diseases may lead to neutrophilic, eosinophilic, or
lymphocytic vascular inflammations ([Chen et al., 1996]). Tissue and peripheral blood
eosinophilia can occur in active rheumatismal diseases. Elevation of serum ECP levels in
ankylosing spondylitis, a kind of connective tissue disease, suggests that eosinophils are also
involved in the underlying process (Feltelius et al., 1987). Wegener's granulomatosis can rarely
present with pulmonary nodules, pleural effusion, and peripheral blood eosinophilia ([Krupsky et
al., 1993]).
Peripheral blood eosinophilia of at least 400/mm3 can occur in 7% of cases of
systemic sclerosis, 31% of cases of localized scleroderma, and 61% of cases of eosinophilic
fasciitis ([Falanga and Medsger, 1987]). Scleroderma yields an inflammatory process closely
resembling Meissner's and Auerbach's plexuses and consists of mast cells and eosinophil
leukocytes in the gastrointestinal system. Eosinophil-derived neurotoxins can contribute to
gastrointestinal motor dysfunction, as occurs in scleroderma ([de Schryver Kecskemeti and
Clouse, 1989]).
Eosinophils can accompany localized ([Varga and Kahari, 1997]) or systemic
([Bouros et al., 2002]) connective tissue proliferation. They can incite fibrosis by inhibiting
proteoglycan degradation in fibroblasts ([Hernnas et al., 1992]), and fibroblasts mediate
eosinophil survival by secreting GM-CSF ([Vancheri et al., 1989]). Eosinophils can be found in
nasal ([Bacherct et al., 2001]), bronchial ([Arguelles and Blanco, 1983]), and gastrointestinal polyp
tissues ([Assarian and Sundareson, 1985]). Likewise, eosinophils can be localized in
inflammatory pseudotumors (myofibroblastic tumor). Eosinophils often accompany
inflammatory pseudotumors in the orbital region, in which case the condition can mimic
angioedema or allergic rhinoconjunctivitis ([Li et al., 1992]).
Eosinophilic inflammation can be found in tissue trauma (e.g., as a result of surgery
or injury). Eosinophilic inflammation can also be associated with cardiovascular illnesses (e.g.,
eosinophilic myocarditis, eosinophilic coronary arteritis, ischemic heart disease, acute myocardial
infarction, cardiac rupture). Necrotic inflammatory processes can also involve eosinophilic
inflammation (polymyositis, coronary artery dissection, necrotizing lesions of neuro-Behcet’s
disease, dementia, cerebral infarction).
CERTAIN THERAPEUTIC AGENTS
A therapeutic agent for the treatment of asthma and other lung diseases is provided
herein. In one embodiment, therapeutic agent is an anti-IL13 antibody, also referred to as
lebrikizumab. Lebrikizumab as an IgG4 antibody. In one embodiment, the anti-IL13 antibody
comprises three heavy chain CDRs, CDR-H1 (SEQ ID NO.: 1), CDR-H2 (SEQ ID NO.: 2),
and CDR-H3 (SEQ ID NO.: 3). In one embodiment, the anti-IL13 antibody comprises three
light chain CDRS, CDR-L1 (SEQ ID NO.: 4), CDR-L2 (SEQ ID NO.: 5), and CDR-L3 (SEQ
ID NO.: 6). In one embodiment, the anti-IL13 antibody comprises three heavy chain CDRs and
three light chain CDRs, CDR-H1 (SEQ ID NO.: 1), CDR-H2 (SEQ ID NO.: 2), CDR-H3
(SEQ ID NO.: 3), CDR-L1 (SEQ ID NO.: 4), CDR-L2 (SEQ ID NO.: 5), and CDR-L3 (SEQ
ID NO.: 6). In one embodiment, the anti-IL13 antibody comprises a variable heavy chain
region, VH, having an amino acid sequence selected from SEQ ID NOs. 7 and 8. In one
embodiment, the anti-IL13 antibody comprises a variable light chain region, VL, having the
amino acid sequence of SEQ ID NO.: 9. In one embodiment, the anti-IL13 antibody comprises
a variable heavy chain region, VH, having an amino acid sequence selected from SEQ ID NOs.
7 and 8 and a variable light chain region, VL, having an amino acid sequence of SEQ ID NO.: 9.
In one embodiment, the anti-IL13 antibody comprises a heavy chain having the amino acid
sequence of SEQ ID NO.: 10 or SEQ ID NO.: 11 or SEQ ID NO.: 12 or SEQ ID NO.: 13. In
one embodiment, the anti-IL13 antibody comprises a light chain having the amino acid sequence
of SEQ ID NO.: 14. In one embodiment, the anti-IL13 antibody comprises a heavy chain
having an amino acid sequence selected from SEQ ID NO.: 10, SEQ ID NO.: 11, SEQ ID
NO.: 12, and SEQ ID NO.: 13 and a light chain having the amino acid sequence of SEQ ID
NO.: 14. Anti-IL13 antibodies are further described in Intn’l Pub. No. 2005/062967.
In another aspect, an anti-IL-13 antibody comprises a heavy chain variable domain
(VH) sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%
sequence identity to the amino acid sequence of SEQ ID NO.: 8. In certain embodiments, a VH
sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity
contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the
reference sequence, but an anti-IL-13 antibody comprising that sequence retains the ability to
bind to human IL-13. In certain embodiments, a total of 1 to 10 amino acids have been
substituted, altered inserted and/or deleted in SEQ ID NO.: 8. In certain embodiments,
substitutions, insertions, or deletions occur in regions outside the CDRs (i.e., in the FRs).
Optionally, the anti-IL13 antibody comprises the VH sequence in SEQ ID NO.: 8, including
post-translational modifications of that sequence.
In another aspect, an anti-IL-13 antibody is provided, wherein the antibody
comprises a light chain variable domain (VL) having at least 90%, 91%, 92%, 93%, 94%, 95%,
96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of SEQ ID NO.:
9. In certain embodiments, a VL sequence having at least 90%, 91%, 92%, 93%, 94%, 95%,
96%, 97%, 98%, or 99% identity contains substitutions (e.g., conservative substitutions),
insertions, or deletions relative to the reference sequence, but an anti-IL-13 antibody comprising
that sequence retains the ability to bind to IL-13. In certain embodiments, a total of 1 to 10
amino acids have been substituted, inserted and/or deleted in SEQ ID NO.: 9. In certain
embodiments, the substitutions, insertions, or deletions occur in regions outside the CDRs (i.e.,
in the FRs). Optionally, the anti-IL-13 antibody comprises the VL sequence in SEQ ID NO.: 9,
including post-translational modifications of that sequence.
In yet another embodiment, the anti-IL-13 antibody comprises a VL region having at
least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the
amino acid sequence of SEQ ID NO.: 9 and a VH region having at least 90%, 91%, 92%, 93%,
94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence of
SEQ ID NO.: 8.
CERTAIN MOLECULAR BIOMARKERS
In certain instances, biomarkers, e.g., serum biomarkers, are quantitated in a
biological sample obtained from a patient as a means of selecting patients for treatment with a
given therapeutic agent. U.S. Application Nos. 61/459760, 61/465425, 61/484650, and
61/574485 (“Diagnosis and Treatments Related to TH2 Inhibition) describe a periostin assay
and methods selecting patients for treatment with the anti-IL13 antibody formulations described
herein.
GENERAL TECHNIQUES FOR FORMULATIONS
Formulations comprising anti-IL13 antibodies may be prepared and analyzed using
certain excipients and techniques known in the art and as further described herein. In certain
embodiments, the antibody to be formulated has not been subjected to prior lyophilization and
the formulation of interest herein is an aqueous formulation. In certain embodiments, the
antibody is a full length antibody. In one embodiment, the antibody in the formulation is an
antibody fragment, such as an F(ab') 2, in which case problems that may not occur for the full
length antibody (such as clipping of the antibody to Fab) may need to be addressed. The
therapeutically effective amount of antibody present in the formulation is determined by taking
into account the desired dose volumes and mode(s) of administration, for example. From about
0.1 mg/mL to about 250 mg/mL, or from about 10 mg/mL to about 200 mg/mL or from about
50 mg/mL to about 175 mg/mL is an exemplary antibody concentration in the formulation. In
one embodiment, the anti-IL13 antibody is formulated at a concentration of 125 mg/mL. In
one embodiment, the anti-IL13 antibody is formulated at a concentration of 150 mg/mL.
An aqueous formulation is prepared comprising the antibody in a pH-buffered
solution. In certain embodiments, the buffer of has a pH in the range from about 4.5 to about
6.5. In certain embodiments the pH is in the range from pH of 5.0 to 6.0, or in the range from
pH 5.25 to 5.75, or in the range from pH 5.3 to 5.6. In certain embodiments, the formulation
has a pH of 5.6 or about 5.6. In certain embodiments, the formulation has a pH of 5.7 or about
.7. In certain embodiments, the formulation has a pH of 5.8 or about 5.8. Examples of buffers
that will control the pH within this range include acetate (e.g. histidine acetate, arginine acetate,
sodium acetate), succinate (such as histidine succinate, arginine succinate, sodium succinate),
gluconate, citrate and other organic acid buffers and combinations thereof. The buffer
concentration can be from about 1 mM to about 600 mM, depending, for example, on the buffer
and the desired isotonicity of the formulation. In certain embodiments, the contain histidine in
the concentration from about 5 mM to 40 mM. In one embodiment, the buffer is 20 mM
histidine acetate, pH 5.7. In certain embodiments, the buffer is 20 mM histidine succinate, pH
.7.
A surfactant can optionally be added to the antibody formulation. Exemplary
surfactants include nonionic surfactants such as polysorbates (e.g. polysorbates 20, 80 etc) or
poloxamers (e.g. poloxamer 188). The amount of surfactant added is such that it reduces
aggregation of the formulated antibody and/or minimizes the formation of particulates in the
formulation and/or reduces adsorption. For example, the surfactant may be present in the
formulation in an amount from about 0.001% to about 0.5%, or from about 0.005% to about
0.2%, or from about 0.01% to about 0.1%. In one embodiment, the surfactant is polysorbate 20
present in the formulation in an amount of 0.03%.
In one embodiment, the formulation contains the above-identified agents (e.g.,
antibody, buffer, and surfactant) and is essentially free of one or more preservatives, such as
benzyl alcohol, phenol, m-cresol, chlorobutanol and benzethonium Cl. In one embodiment, the
formulation does not comprise a preservative. In another embodiment, a preservative may be
included in the formulation, particularly where the formulation is a multidose formulation. The
concentration of preservative may be in the range from about 0.1% to about 2%, or from about
0.5% to about 1%. One or more other pharmaceutically acceptable carriers, excipients or
stabilizers such as those described in Remington's Pharmaceutical Sciences 16th edition, Osol, A.
Ed. (1980) may be included in the formulation provided that they do not adversely affect the
desired characteristics of the formulation. Acceptable carriers, excipients or stabilizers are
nontoxic to recipients at the dosages and concentrations employed and include; additional
buffering agents; co-solvents; anti-oxidants including ascorbic acid and methionine; chelating
agents such as EDTA; metal complexes (e.g. Zn-protein complexes); biodegradable polymers
such as polyesters; and/or salt-forming counterions.
While the various descriptions of chelators herein often focus on EDTA, it will be
appreciated that other metal ion chelators are also contemplated herein. Metal ion chelators are
well known by those of skill in the art and include, but are not necessarily limited to
aminopolycarboxylates, EDTA (ethylenediaminetetraacetic acid), EGTA (ethylene glycol-
bis(beta-aminoethyl ether)-N,N,N',N'-tetraacetic acid), NTA (nitrilotriacetic acid), EDDS
(ethylene diamine disuccinate), PDTA (1,3-propylenediaminetetraacetic acid), DTPA
(diethylenetriaminepentaacetic acid), ADA (beta-alaninediacetic acid), MGCA
(methylglycinediacetic acid), etc. Additionally, some embodiments herein comprise
phosphonates/phosphonic acid chelators. In certain embodiments, the formulation contains
methionine.
Tonicity agents, sometimes known as “stabilizers” are present to adjust or maintain
the tonicity of a liquid composition. When used with large, charged biomolecules such as
proteins and antibodies, they are often termed “stabilizers” because the can interact with the
charged groups of the amino acid side chains, thereby lessening the potential for inter and intra-
molecular interactions. Tonicity agents can be present in any amount between 0.1% to 25% by
weight, or 1 to 5%, taking into account the relative amounts of the other ingredients. Tonicity
agents include polyhydric sugar alcohols, thrihydric or higher sugar alcohols, such as glycerin,
erythritol, arabitol, xylitol, sorbitol and mannitol.
Additional stabilizers include a broad range of excipients which range in function
from bulking agents to solubility enhancers, to agents preventing denaturation or adherence to
the container wall. Stabilizers can be present in the range from 0.1 to 10,000 parts per weight
active protein or antibody. Typical stabilizers include: polyhydric sugar alcohols (enumerated
above); amino acids such as alanine, glycine, glutamine, asparagine, histidine, arginine, lysine,
ornithine, leucine, 2-phenylalanine, glutamic acid, threonine, etc.; organic sugars or sugar
alcohols such as sucrose, lactose, lactitol, trehalose, stachyose, mannose, sorbose, xylose, ribose,
ribitol, myoinisitose, myoinisitol, galactose, galactitol, glycerol, cyclitols (e.g., inositol),
polyethylene glycol; sulfur containing reducing agents, such as urea, glutathione, thioctic acid,
sodium thioglycolate, thioglycerol, α-monothioglycerol and sodium thio sulfate; low molecular
weight proteins such as human serum albumin, bovine serum albumin, gelatin or other
immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; monosaccharides (e.g.,
xylose, mannose, fructose, glucose; disaccharides (e.g., lactose, maltose, sucrose); trisaccharides
such as raffinose; and polysaccharides such as dextrin or dextran.
Non-ionic surfactants or detergents (also known as “wetting agents”) are present to
help solubilize the therapeutic agent as well as to protect the therapeutic protein against
agitation-induced aggregation, which also permits the formulation to be exposed to shear surface
stress without causing denaturation of the active therapeutic protein or antibody. Non-ionic
surfactants are present in a range of about 0.05 mg/ml to about 1.0 mg/ml, preferably about
0.07 mg/ml to about 0.2 mg/ml.
Suitable non-ionic surfactants include polysorbates (20, 40, 60, 65, 80, etc.),
polyoxamers (184, 188, etc.), Pluronic® polyols, Triton®, polyoxyethylene sorbitan monoethers
(Tween®-20, Tween®-80, etc.), lauromacrogol 400, polyoxyl 40 stearate, polyoxyethylene
hydrogenated castor oil 10, 50 and 60, glycerol monostearate, sucrose fatty acid ester, methyl
celluose and carboxymethyl cellulose. Anionic detergents that can be used include sodium lauryl
sulfate, dioctyle sodium sulfosuccinate and dioctyl sodium sulfonate. Cationic detergents include
benzalkonium chloride or benzethonium chloride.
Various analytical techniques for measuring protein stability are available in the art
and are reviewed in Peptide and Protein Drug Delivery, 247-301, Vincent Lee Ed., Marcel
Dekker, Inc., New York, N.Y., Pubs. (1991) and Jones, A. Adv. Drug Delivery Rev. 10: 29-90
(1993), for example. Stability can be measured at a selected temperature for a selected time
period. In certain embodiments, the formulation is stable at about 40°C for at least about 2-4
weeks, and/or stable at about 5°C for at least 3 months, and/or stable at about 5°C for at least
six months, and/or stable at about 5°C for at least 12 months and/or stable at about -20°C for
at least 3 months or at least 1 year. In certain embodiments, the formulation is stable at about
°C for least 6 months and/or stable at about 25°C for 12 months, and/or stable at about 5°C
for 6 months, and/or stable at about 5°C for 12 months, and/or stable at about -20°C for at
least 6 months, and/or stable at about -20°C for at least 12 months, and/or stable at 5°C or -
°C for at least two years. In certain embodiments, the formulation is stable following freezing
(to, e.g., -70°C) and thawing of the formulation, for example following 1, 2 or 3 cycles of
freezing and thawing. Stability can be evaluated qualitatively and/or quantitatively in a variety of
different ways, including evaluation of aggregate formation (for example using size exclusion
chromatography, by measuring turbidity, and/or by visual inspection); by assessing charge
heterogeneity using cation exchange chromatography, image capillary isoelectric focusing (icIEF)
or capillary zone electrophoresis; amino-terminal or carboxy-terminal sequence analysis; mass
spectrometric analysis; SDS-PAGE analysis to compare reduced and intact antibody; peptide
map (for example tryptic or LYS-C) analysis; evaluating biological activity or antigen binding
function of the antibody; etc. Instability may involve any one or more of: 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(s), N-terminal extension, C-terminal processing, glycosylation
differences, etc.
The formulations to be used for in vivo administration should be sterile. This is
readily accomplished by filtration through sterile filtration membranes, prior to, or following,
preparation of the formulation.
A therapeutic agent can be administered in accordance with known methods, such as
intravenous administration as a bolus or by continuous infusion over a period of time, by
intramuscular, intraperitoneal, intracerobrospinal, subcutaneous, intra-articular, intrasynovial,
intrathecal, oral, topical, or inhalation routes. Optionally, administration may be performed
through mini-pump infusion using various commercially available devices.
The formulation herein may also contain more than one active compound as
necessary for the particular indication being treated, preferably those with complementary
activities that do not adversely affect each other. Alternatively, or in addition, the composition
may comprise a cytotoxic agent, cytokine or growth inhibitory agent. Such molecules are
suitably present in combination in amounts that are effective for the purpose intended.
The active ingredients may also be entrapped in microcapsules prepared, for
example, by coacervation techniques or by interfacial polymerization, for example,
hydroxymethylcellulose or gelatin-microcapsules and poly-(methylmethacylate) microcapsules,
respectively, in colloidal drug delivery systems (for example, liposomes, albumin microspheres,
microemulsions, nano-particles and nanocapsules) or in macroemulsions. Such techniques are
disclosed in Remington's Pharmaceutical Sciences 18th edition, supra.
Sustained-release preparations may be prepared. Suitable examples of sustained-
release preparations include semipermeable matrices of solid hydrophobic polymers containing
the antibody, which matrices are in the form of shaped articles, e.g. films, or microcapsules.
Examples of sustained-release matrices include polyesters, hydrogels (for example, poly(2-
hydroxyethyl-methacrylate), or poly(vinylalcohol)), polylactides (U.S. Patent No. 3,773,919),
copolymers of L-glutamic acid and γ-ethyl-L-glutamate, non-degradable ethylene-vinyl acetate,
degradable lactic acid-glycolic acid copolymers such as the LUPRON DEPOTTM (injectable
microspheres composed of lactic acid-glycolic acid copolymer and leuprolide acetate), and poly-
D-(-)hydroxybutyric acid. Microencapsulation of recombinant proteins for sustained release
has been successfully performed with human growth hormone (rhGH), interferon- (rhIFN-),
interleukin-2, and MN rpg 120. Johnson et al., Nat. Med. 2: 795-799 (1996); Yasuda et al.,
Biomed. Ther. 27: 1221-1223 (1993); Hora et al., Bio/Technology 8: 755-758 (1990); Cleland,
"Design and Production of Single Immunization Vaccines Using Polylactide Polyglycolide
Microsphere Systems," in Vaccine Design: The Subunit and Adjuvant Approach, Powell and
Newman, eds., (Plenum Press: New York, 1995), pp. 439-462; WO 97/03692; WO 96/40072;
WO 96/07399; and U.S. Pat. No. 5,654,010.
The sustained-release formulations of these proteins may be developed using poly
lactic-coglycolic acid (PLGA) polymer due to its biocompatibility and wide range of
biodegradable properties. The degradation products of PLGA, lactic and glycolic acids, can be
cleared quickly within the human body. Moreover, the degradability of this polymer can be
adjusted from months to years depending on its molecular weight and composition. Lewis,
"Controlled release of bioactive agents from lactide/glycolide polymer", in Biodegradable
Polymers as Drug Delivery Systems (Marcel Dekker; New York, 1990), M. Chasin and R. Langer
(Eds.) pp. 1-41.
While polymers such as ethylene-vinyl acetate and lactic acid-glycolic acid enable
release of molecules for over 100 days, certain hydrogels release proteins for shorter time
periods. When encapsulated antibodies remain in the body for a long time, they may denature or
aggregate as a result of exposure to moisture at 37°C, resulting in a loss of biological activity and
possible changes in immunogenicity. Rational strategies can be devised for stabilization
depending on the mechanism involved. For example, if the aggregation mechanism is
discovered to be intermolecular S-S bond formation through thio-disulfide interchange,
stabilization may be achieved by modifying sulfhydryl residues, lyophilizing from acidic
solutions, controlling moisture content, using appropriate additives, and developing specific
polymer matrix compositions.
Liposomal or proteinoid compositions may also be used to formulate the proteins or
antibodies disclosed herein. See U.S. Patent Nos. 4,925,673 and 5,013,556.
Stability of the proteins and antibodies described herein may be enhanced through
the use of non-toxic “water-soluble polyvalent metal salts”. Examples include Ca2+, Mg2+,
Zn2+, Fe2+, Fe3+, Cu2+, Sn2+, Sn4+, Al2+ and Al3+. Example anions that can form water
soluble salts with the above polyvalent metal cations include those formed from inorganic acids
and/or organic acids. Such water-soluble salts have a solubility in water (at 20°C) of at least
about 20 mg/ml, alternatively at least about 100 mg/ml, alternative at least about 200 mg/ml.
Suitable inorganic acids that can be used to form the "water soluble polyvalent metal
salts" include hydrochloric, acetic, sulfuric, nitric, thiocyanic and phosphoric acid. Suitable
organic acids that can be used include aliphatic carboxylic acid and aromatic acids. Aliphatic
acids within this definition may be defined as saturated or unsaturated C2-9 carboxylic acids (e.g.,
aliphatic mono-, di- and tri-carboxylic acids). For example, exemplary monocarboxylic acids
within this definition include the saturated C2-9 monocarboxylic acids acetic, proprionic, butyric,
valeric, caproic, enanthic, caprylic pelargonic and capryonic, and the unsaturated C2-9
monocarboxylic acids acrylic, propriolic methacrylic, crotonic and isocrotonic acids. Exemplary
dicarboxylic acids include the saturated C2-9 dicarboxylic acids malonic, succinic, glutaric, adipic
and pimelic, while unsaturated C2-9 dicarboxylic acids include maleic, fumaric, citraconic and
mesaconic acids. Exemplary tricarboxylic acids include the saturated C2-9 tricarboxylic acids
tricarballylic and 1,2,3-butanetricarboxylic acid. Additionally, the carboxylic acids of this
definition may also contain one or two hydroxyl groups to form hydroxy carboxylic acids.
Exemplary hydroxy carboxylic acids include glycolic, lactic, glyceric, tartronic, malic, tartaric and
citric acid. Aromatic acids within this definition include benzoic and salicylic acid.
Commonly employed water soluble polyvalent metal salts which may be used to help
stabilize the encapsulated polypeptides described herein include, for example: (1) the inorganic
acid metal salts of halides (e.g., zinc chloride, calcium chloride), sulfates, nitrates, phosphates and
thiocyanates; (2) the aliphatic carboxylic acid metal salts (e.g., calcium acetate, zinc acetate,
calcium proprionate, zinc glycolate, calcium lactate, zinc lactate and zinc tartrate); and (3) the
aromatic carboxylic acid metal salts of benzoates (e.g., zinc benzoate) and salicylates.
In certain embodiments, an anti-IL13 antibody is administered using, for example, a
self-inject device, autoinjector device, or other device designed for self-administration. In certain
embodiments, an anti-IL13 antibody is administered using a subcutaneous administration device.
Various self-inject devices and subcutaneous administration devices, including autoinjector
devices, are known in the art and are commercially available. Exemplary devices include, but are
not limited to, prefilled syringes (such as BD HYPAK SCF®, READYFILL , and STERIFILL
TM TM
SCF from Becton Dickinson; CLEARSHOT copolymer prefilled syringes from Baxter; and
Daikyo Seiko CRYSTAL ZENITH® prefilled syringes available from West Pharmaceutical
Services); disposable pen injection devices such as BD Pen from Becton Dickinson; ultra-sharp
and microneedle devices (such as INJECT-EASE and microinfuser devices from Becton
Dickinson; and H-PATCH available from Valeritas) as well as needle-free injection devices
(such as BIOJECTOR® and IJECT® available from Bioject; and SOF-SERTER® and patch
devices available from Medtronic). Certain embodiments of subcutaneous administration
devices are described further herein. Co-formulations or co-administrations with such self-inject
devices or subcutaneous administration devices of an anti-IL13 antibody with at least a second
therapeutic compound are envisioned.
RECOMBINANT METHODS
Antibodies may be produced using recombinant methods and compositions, e.g., as
described in U.S. Patent No. 4,816,567. In one embodiment, isolated nucleic acid encoding an
anti-IL13 antibody described herein is provided. Such nucleic acid may encode an amino acid
sequence comprising the VL and/or an amino acid sequence comprising the VH of the antibody
(e.g., the light and/or heavy chains of the antibody). In a further embodiment, one or more
vectors (e.g., expression vectors) comprising such nucleic acid are provided. In a further
embodiment, a host cell comprising such nucleic acid is provided. In one such embodiment, a
host cell comprises (e.g., has been transformed with): (1) a vector comprising a nucleic acid that
encodes an amino acid sequence comprising the VL of the antibody and an amino acid sequence
comprising the VH of the antibody, or (2) a first vector comprising a nucleic acid that encodes
an amino acid sequence comprising the VL of the antibody and a second vector comprising a
nucleic acid that encodes an amino acid sequence comprising the VH of the antibody. In one
embodiment, the host cell is eukaryotic, e.g. a Chinese Hamster Ovary (CHO) cell or lymphoid
cell (e.g., Y0, NS0, Sp20 cell). In one embodiment, a method of making an anti-IL13 antibody is
provided, wherein the method comprises culturing a host cell comprising a nucleic acid encoding
the antibody, as provided above, under conditions suitable for expression of the antibody, and
optionally recovering the antibody from the host cell (or host cell culture medium).
For recombinant production of an anti-IL13 antibody, nucleic acid encoding an
antibody, e.g., as described above, is isolated and inserted into one or more vectors for further
cloning and/or expression in a host cell. Such nucleic acid may be readily isolated and
sequenced using conventional procedures (e.g., by using oligonucleotide probes that are capable
of binding specifically to genes encoding the heavy and light chains of the antibody).
Suitable host cells for cloning or expression of antibody-encoding vectors include
prokaryotic or eukaryotic cells described herein. For example, antibodies may be produced in
bacteria, in particular when glycosylation and Fc effector function are not needed. For
expression of antibody fragments and polypeptides in bacteria, see, e.g., U.S. Patent Nos.
,648,237, 5,789,199, and 5,840,523. (See also Charlton, Methods in Molecular Biology, Vol. 248
(B.K.C. Lo, ed., Humana Press, Totowa, NJ, 2003), pp. 245-254, describing expression of
antibody fragments in E. coli.) After expression, the antibody may be isolated from the bacterial
cell paste in a soluble fraction and can be further purified.
In addition to prokaryotes, eukaryotic microbes such as filamentous fungi or yeast
are suitable cloning or expression hosts for antibody-encoding vectors, including fungi and yeast
strains whose glycosylation pathways have been “humanized,” resulting in the production of an
antibody with a partially or fully human glycosylation pattern. See Gerngross, Nat. Biotech.
22:1409-1414 (2004), and Li et al., Nat. Biotech. 24:210-215 (2006).
Suitable host cells for the expression of glycosylated antibody are also derived from
multicellular organisms (invertebrates and vertebrates). Examples of invertebrate cells include
plant and insect cells. Numerous baculoviral strains have been identified which may be used in
conjunction with insect cells, particularly for transfection of Spodoptera frugiperda cells.
Plant cell cultures can also be utilized as hosts. See, e.g., US Patent Nos. 5,959,177,
6,040,498, 6,420,548, 7,125,978, and 6,417,429 (describing PLANTIBODIESTM technology for
producing antibodies in transgenic plants).
Vertebrate cells may also be used as hosts. For example, mammalian cell lines that
are adapted to grow in suspension may be useful. Other examples of useful mammalian host cell
lines are monkey kidney CV1 line transformed by SV40 (COS-7); human embryonic kidney line
(293 or 293 cells as described, e.g., in Graham et al., J. Gen Virol. 36:59 (1977)); baby hamster
kidney cells (BHK); mouse sertoli cells (TM4 cells as described, e.g., in Mather, Biol. Reprod.
23:243-251 (1980)); monkey kidney cells (CV1); African green monkey kidney cells (VERO-76);
human cervical carcinoma cells (HELA); canine kidney cells (MDCK; buffalo rat liver cells (BRL
3A); human lung cells (W138); human liver cells (Hep G2); mouse mammary tumor (MMT
060562); TRI cells, as described, e.g., in Mather et al., Annals N.Y. Acad. Sci. 383:44-68 (1982);
MRC 5 cells; and FS4 cells. Other useful mammalian host cell lines include Chinese hamster
ovary (CHO) cells, including DHFR- CHO cells (Urlaub et al., Proc. Natl. Acad. Sci. USA
77:4216 (1980)); and myeloma cell lines such as Y0, NS0 and Sp2/0. For a review of certain
mammalian host cell lines suitable for antibody production, see, e.g., Yazaki and Wu, Methods in
Molecular Biology, Vol. 248 (B.K.C. Lo, ed., Humana Press, Totowa, NJ), pp. 255-268 (2003).
Assays
Anti-IL13 antibodies provided herein may be identified, screened for, or
characterized for their physical/chemical properties and/or biological activities by various assays
known in the art.
Binding assays and other assays
In one aspect, an anti-IL13 antibody is tested for its antigen binding activity, e.g., by
known methods such as ELISA, Western blot, etc.
In another aspect, competition assays may be used to identify an antibody that
competes with anti-IL13 antibody for binding to IL13. In certain embodiments, such a
competing antibody binds to the same epitope (e.g., a linear or a conformational epitope) that is
bound by lebrikizumab or another anti-IL13 antibody specified herein. Detailed exemplary
methods for mapping an epitope to which an antibody binds are provided in Morris (1996)
“Epitope Mapping Protocols,” in Methods in Molecular Biology vol. 66 (Humana Press,
Totowa, NJ).
In an exemplary competition assay, immobilized IL13 is incubated in a solution
comprising a first labeled antibody that binds to IL13 (e.g., lebrikizumab) and a second unlabeled
antibody that is being tested for its ability to compete with the first antibody for binding to IL13.
The second antibody may be present in a hybridoma supernatant. As a control, immobilized
IL13 is incubated in a solution comprising the first labeled antibody but not the second
unlabeled antibody. After incubation under conditions permissive for binding of the first
antibody to IL13, excess unbound antibody is removed, and the amount of label associated with
immobilized IL13 is measured. If the amount of label associated with immobilized IL13 is
substantially reduced in the test sample relative to the control sample, then that indicates that the
second antibody is competing with the first antibody for binding to IL13. See Harlow and Lane
(1988) Antibodies: A Laboratory Manual ch.14 (Cold Spring Harbor Laboratory, Cold Spring
Harbor, NY).
Activity assays
In one aspect, assays are provided for identifying anti-IL-13 antibodies having
biological activity. Biological activity may include, e.g., activity in asthma. Antibodies having
such biological activity in vivo and/or in vitro are also provided. In certain embodiments, an
antibody as described herein is tested for such biological activity.
Articles of Manufacture and Kits
An article of manufacture is provided which contains the formulation and provides
instructions for its use. The article of manufacture comprises a container. Suitable containers
include, for example, bottles, vials (e.g. dual chamber vials), syringes (such as single or dual
chamber syringes) and test tubes. The container may be formed from a variety of materials such
as glass or plastic. The container holds the formulation and the label on, or associated with, the
container may indicate directions for reconstitution and/or use. The label may further indicate
that the formulation is useful or intended for subcutaneous administration. The container
holding the formulation may be a multi-use vial, which allows for repeat administrations (e.g.
from 2-6 administrations) of the reconstituted formulation. The article of manufacture may
further comprise a second container comprising a suitable diluent (e.g. BWFI). Upon mixing of
the diluent and the lyophilized formulation, the final protein concentration in the reconstituted
formulation will generally be at least 50 mg/ml. The article of manufacture may further include
other materials desirable from a commercial and user standpoint, including other buffers,
diluents, filters, needles, syringes, and package inserts with instructions for use.
In certain embodiments, an article of manufacture comprising a subcutaneous
administration device is provided which delivers to a patient a flat dose of an anti-IL13 antibody,
wherein the flat dose is for example, but not limited to, 37.5 mg, 75 mg, or 125 mg, or 150 mg.
In certain embodiments, the anti-IL13 antibody is lebrikizumab. The anti-IL 13 antibody in the
subcutaneous administration device is formulated in a buffer, for example, histidine pH 5.7, and
other excipients, for example, sucrose and polysorbate, such that it is provided in a stable
pharmaceutical formulation. In certain embodiments, the subcutaneous administration device is
a prefilled syringe comprising a glass barrel with needle and optionally, a needle shield and also
optionally, a needle shield device. In certain embodiments, the volume contained in the syringe
is 0.5 mL, 1 mL, 1.5 mL, or 2.0 mL or about 0.5 mL, about 1 mL, about 1.5 mL, or about 2.0
mL. In certain embodiments, the needle is a staked-in needle comprising a 3-bevel tip or a 5-
bevel tip. In certain embodiments, the needle is between 25 gauge (G) and 30G. In certain
embodiments, the needle is between 1/2 inch long and 5/8 inch long. In one embodiment, the
subcutaneous administration device comprises a prefilled 1.0 mL low tungsten borosilicate glass
(type I) syringe and a stainless steel 5-bevel 27G 1/2 inch long thin-wall staked-in needle. In
certain embodiments, the subcutaneous administration device comprises a rigid needle shield. In
certain embodiments, the rigid needle shield comprises a rubber formulation having low zinc
content, for example, FM27/0 (Daetwyler) and comprises a rigid polypropylene shield. In
certain embodiments, the plunger rod comprises a rubber plunger stopper. In certain
embodiments, the rubber plunger stopper comprises 4023/50 rubber and FluroTec® ethylene-
tetrafluoroethylene (ETFE) coating (West Pharmaceutical Services, Inc.). In certain
embodiments, the subcutaneous administration device comprises a needle safety device.
Exemplary needle safety devices include, but are not limited to, Ultrasafe Passive® Needle
Guard X100L (Safety Syringes, Inc.) and Rexam Safe n Sound (Rexam).
Additional devices suitable for subcutaneous delivery include for example, but not
TM TM
limited to, an injection device such as INJECT-EASE and GENJECT devices; an infusion
TM TM
pump such as ACCU-CHECK ; an injector pen such as GENPEN ; a needleless device such
TM TM
as MEDDCTOR and BIOJECTOR ; an autoinjector and a subcutaneous patch delivery
system.
Kits will typically comprise the container described above and one or more other
containers comprising materials desirable from a commercial and user standpoint, including
buffers, diluents, filters, needles, syringes, and package inserts with instructions for use. A label
may be present on the container to indicate that the composition is used for a specific therapy.
EXAMPLES
The following are examples of the formulations and methods of the invention. It is
understood that various other embodiments may be practiced, given the general description
provided above.
Example 1
Materials and Methods
Material and Sample Preparation Procedures
Except for anti-IL13, which is a humanized IgG4 monoclonal antibody, all other
antibodies used in the experiments described below were humanized IgG1 monoclonal
antibodies. Monoclonal antibodies were expressed in Chinese hamster ovarian (CHO) cell lines,
and purified by a series of standard chromatography steps, including protein A and ion exchange
chromatography methods. The purified antibodies were obtained as concentrated solutions from
tangential flow filtration with added solution buffers and stabilizers. These were the stock
antibody solutions used as starting materials for the studies described below.
These stock mAb starting materials were stored at 2-8˚C until further use. Additional
preparation of mAb solutions included dialysis against low ionic strength buffer and filtration
through 0.22 μm modified PVDF (polyvinylidene fluoride) filters (Millipore Steriflip, Millipore
Corp., MA) to remove large particulates. Typically, mAb concentrations of 140- 150 mg/mL
after dialysis were obtained. To obtain higher mAb concentrations, 10 mL of mAb was
concentrated with Amicon YM30 Centriprep (Millipore Corp, MA) concentrators centrifuged at
2700 rpm. Final mAb concentrations in the dialyzed and centrifugally concentrated preparations
were determined by using gravimetric dilutions and absorptivities at 280 nm (A280) and
measurement of UV absorption at 280 nm using an Agilent diode array Spectrophotometer
model 8453 with a 1 cm path length quartz cuvette. Extinction coefficients were determined by
quantitative amino acid analysis.
Monoclonal antibody solutions for light scattering experiments were prepared in 20
mL scintillation vials over 0.5- 275 mg/mL by gravimetric dilution of known stock solution
concentrations in a laminar flow hood. All scintillation vials were carefully cleaned with
deionized water and dried in a stream of filtered compressed nitrogen gas. Before addition to
protein solutions, all buffer and reagent solutions were additionally filtered through 0.10 um
Whatman Anotop 25 filters. After preparation or dilution of the samples, mAb solutions were
mixed to homogeneity and allowed to reach thermal and chemical equilibrium at controlled
room temperature for 2 hours. Protein solutions were centrifuged at room temperature for 20-30
minutes at 3000 rpm to remove adventitious dust and bubbles from the solutions prior to use for
light scattering. The higher concentration solutions (mAb > 170 mg/mL) were centrifuged for
greater lengths of time until the light scattering signal showed a minimum of noise. Exterior
surfaces of scintillation vials were lightly coated with silicone oil to reduce undesired scattering
from vial surface defects. Samples prepared as above were directly placed in the light scattering
instrument for measurements.
Determination of B by Multi-Angle Light Scattering
Sample preparation for light scattering utilized 20 mL Teflon®-lined septum cap
vials which were cleaned with MilliQ water and dried under a stream of filtered nitrogen gas.
Sample of various concentrations were prepared by taking an appropriate volume of the stock
mAb solution at approximately 80 mg/mL, diluting first to approximately 8 mg/mL with the
appropriate buffer, and then performing a final dilution with 20 mL of 0.2 μm filtered buffer. A
total of eight protein concentrations (0.05-1.1 mg/mL mAb) for each buffer condition were
equilibrated for 14-18 hours at room temperature prior to initiating measurements. All
measurements were made as a series of solutions of increasing protein concentrations, with each
experiment performed in triplicate. An Agilent solvent degasser and isocratic pump (Agilent,
Palo Alto, CA), with a 25 mm Millipore (Millipore, Billerica, MA) solvent filter (PVDF, 0.1 µm),
were used with a continuous flow rate of 0.5 mL/min. Sample injection was automated with a
Gilson GX281 (Gilson, Inc., Middleton WI) liquid handling unit configured with a 2 mL
injection loop and a Wyatt Technology Deutschland inline micro-filter with 0.1 µm, 10 mM
PVDF membrane. Concentration and light scattering measurements were conducted in series,
with an Agilent MWD UV detector measuring at 280nm, followed by the 18-angle EOS MALS
detector (Wyatt Technology Corporation, Santa Barbara, CA) with gain reduced to 21x. Data
were acquired and processed in Astra™ 4.90.07 (WTC) software, with further analysis conducted
by exporting slice results. Plots of K*c/R(θ=0)/K*c/ or 1/M vs. concentration with linear
Wapp
regression fitting of data give slope = 2B , and an intercept of 1/M , the weight average
2 w0
molecular weight at infinite dilution.
High Concentration Multi-angle Static Light Scattering (SLS)
An 18- angle Dawn EOS light scattering detector with a 30 mW solid state laser (λ =
690 nm) from Wyatt Technology (Santa Barbara, CA) was used for all static light scattering
measurements with a water-cooled Peltier temperature controller set at 23˚C. The instrument
was calibrated with 99.9% Toluene (Chromatography grade). For a typical scintillation vial
experiment, a detector gain setting of 1x was used for all photodiodes, at fixed angles of 38˚ to
148˚. Since the radius of gyration (Rg) of anti-CD11a is less than 10 nm, a dilute solution (1-2
mg/mL) of anti-CD11a was used at each salt concentration to normalize the angular dependency
of the photodiodes relative to the 90˚ detector using a photodiode detector gain setting of 21x at
the end of each experiment. Measurement of static light scattering intensity was conducted as a
function of mAb concentration from 0.5 mg/mL to 275 mg/mL, and as a function of NaCl
concentration (0 – 600 mM). Scattering data for each sample/vial was collected over an interval
of 5-10 minutes with a data collection frequency of 12 points/minute. Astra 4.90.07 Software
(Wyatt Technology Corporation, Santa Barbara, CA) was used to acquire and process the static
light scattering data, with a dn/dc value of 0.185 applied to calculations which could be exported
as slice results. Further analysis and calculations with the exported results were conducted in
Microsoft Excel, Origin v7.5, and MATLAB R14. For high concentration light scattering data, it
was often easier to interpret the results in the format of M vs. mAb concentration, where
Wapp
increases in molecular weight corresponded to the presence of concentration dependent
reversible self-association. (See, e.g., Scherer, T. M., et al. The Journal of Physical Chemistry B
114(40): 12948-12957 (2010); Minton, A. P., J Pharm Sci 96(12): 3466-9 (2007); Minton, A. P.
Biophysical Journal 93(4): 1321-1328 (2007).
Turbidity by UV Spectroscopy
The turbidities for tested protein solutions from the high concentration light
scattering experiments and for protein solutions from the pH Screen experiment (each, as
further described below) were measured at ambient temperature by using an Agilent 8453
Spectrophotometer. The turbidity was calculated as the average of the absorbance at wavelength
350 nm where the sum of the absorbance values over the wavelength range 340 nm to 360 nm at
nm increments was divided by 5. The measurements of protein solutions were performed in a
small volume quartz cuvette with a 1 cm pathlength. Absorbance at 690 nm was also recorded.
Capillary Differential Scanning Calorimetry (DSC) Charaterization of Melting Temperature (Tm)
Protein thermal conformational stability was assessed by using a MicroCal Capillary
Differential Scanning Calorimeter. MAbs were diluted to1 mg/mL in buffer. Five hundred
microliters of the protein and its matching buffer were loaded into a 96 well plate. The heat
capacity was monitored as the temperature was increased from 15 to 95 ºC at a scan rate of 60
ºC/hr. VPViewer 2000 Cap DSC was used to acquire the data and MicroCal, LLC DSC Data
Analysis was used to analyze data. See Yadav, S. et al., J Pharm Sci. 99(3):1152-68 (2010).
Nephelometry
Nephelometric measurements were made using a HACH (Model 2100AN IS)
Laboratory Turbidimeter Instrument with 90 degree detection of scattered intensity. The
detector was calibrated with Formazin standard 4000 nephelometric turbidity unit (NTU) stock
solution, with 0-0.5 relative turbidity standard concentration. Samples were placed in cuvettes
and measured in duplicate reporting mean NTU of the sample.
Rheology
Viscosities of samples were measured with a MCR300 rheometer (Anton Paar,
Ashland, VA) using a cone and plate measuring system. Samples were loaded onto the lower
measuring plate and were allowed to come to thermal equilibrium at 25°C. A solvent trap was
used to prevent solvent evaporation. The sample went through two cycles of shear-rate sweeps
-1 -1 -1
(each cycle includes ramping up from 10 sec to 1000 sec , holding at 1000 sec for 1 minute,
-1 -1
ramping down from 1000 sec to 10 sec ). There is one 1-minute resting time between the
cycles. The reported value is the average of the two shear rate sweeps of one sample at 1000
sec . The error bar represents the standard deviation of the two runs in units of milliPascal-
second (mPas). The sample was under shear stress for 2 minutes total at 1000 sec . We chose
-1 -1
1000 sec because the viscosity is relatively independent of shear rates in this range (200 sec <
shear rate < 2000 sec ). The viscosity difference between two aliquots of one sample was within
±0.5mPa at 1000 sec . The duration of measurement at each shear rate was optimized using
US200 software (Anton Paar, Ashland, VA).
Cloud Temperature Determination
For a system that undergoes liquid-liquid phase separation (LLPS), decreasing the
temperature results in the formation of droplets of one liquid phase in the other phase. The
temperature at which these droplets are formed is termed the cloud temperature, and may be
experimentally determined either by microscopy or by monitoring the transmissibility of the
solution. For the experiments described here, the cloud temperature was determined by
monitoring the loss in transmissibility at 600 nm as a function of temperature in an Aviv 14DS
spectrophotometer (Aviv Biomedical, Lakewood, NJ). A 5 mm square cuvette was filled with
approximately 0.6 mL of the antibody solution. The temperature was decreased from 25°C to
0°C in 0.5°C steps using a thermoelectric chiller. The sample was equilibrated for 10 minutes at
each temperature prior to recording the transmission. The cloud temperature was designated as
the temperature at which the % transmissibility decreased to 50% of the starting value (Asherie,
2004). The Tc for anti-IL13 phase separation at different protein concentrations and in different
study solutions were measured by using an Aviv Biomedical Model 14S UV-Vis
Spectrophotometer. The percent transmittance vs temperature data was collected with a
temperature scan from 25ºC to 0ºC at a step size of - 0.5ºC, equilibration time of 600 seconds,
and a wavelength of 600 nm. Measurements of protein solutions were performed in a quartz
cuvette with a 1 cm pathlength.
Size Exclusion Chromatography
Size exclusion chromatography was used to quantitate aggregates and fragments.
This assay utilized a TSK G3000 SWXLTM, 7.8X300 mm column and ran on an HP 1100TM
HPLC system at 25°C. Samples were diluted to 2 mg/mL with the mobile phase and injection
volume was 25 µL. The mobile phase was 0.2 M K HPO , 0.25 M KCl, at pH 6.2 and the
protein was eluted at a steady flow rate of 0.5 mL/min for 30 minutes. The eluent absorbance
was monitored at 280 nm. Integration was done using HP CHEMSTATIONM software.
Imaged capillary isoelectric focusing (icIEF)
Samples were assayed using icIEF to quantify charge (acidic and basic) variants of
anti-IL13 antibody stability samples. This method used a fluorocarbon coated capillary
(Convergent Bioscience) in a iCE280 Analyzer (Convergent Bioscience) with a PrinCE
microinjector. Solutions of anolyte and catholyte were purchased from GE Healthcare
Biosciences; solutions of pI markers were purchased from Convergent Bioscience).
Capillary Electrophoresis-Sodium Dodecyl Sulfate (CE-SDS)
CE-SDS was carried out using a Beckman P/ACE MDQ or PA800 capillary
electrophoresis system, capable of capillary temperature control from 20 to 40 + 2°C, with LIF
detector at 488 nm excitation.
Anti-IL13 Antibody Potency Assay
The biological activity or potency of anti-IL13 antibody solutions was assessed using
a cell culture assay which measured the ability of anti-IL13 antibody solutions to inhibit IL-13
induced luciferase expression in the human bronchial epithelial cell line, L-Beas-2B cells
(available from ATCC, ATCC Cat. No. CRL-9609™). Varying concentrations of anti-IL13
antibody standard, control, and samples were mixed with a fixed concentration of IL-13 (e.g.,
rhu-IL13, Peprotech, Cat. No. 200-13) and added to a 96-well plate seeded with L-Beas-2B cells
at a concentration of 2 x 10 cells/mL. Following incubation, expression of luciferase was
quantitated using a luminescent luciferase substrate according to manufacturer’s instructions
(Bright-Glo Luciferase Assay System, Promega Cat. No. E2620, E2650, or Brite-Lite Plus,
Perkin Elmer Cat. No. 6016761). Dilution curves for each antibody solution were generated and
compared to reference material. The results were expressed in relative luminescence units
(RLU). A Relative Potency Estimate was calculated using the method of least squares and a
Parallel Line Analysis program. The % Specific Activity was calculated by multiplying the
Relative Potency Estimate by the Specific Activity of Reference Material.
Anti-IL13 antibody (lebrikizumab) amino acid sequences
The table below shows the amino acid sequences of the CDR-H1, CDR-H2, CDR-
H3, CDR-L1, CDR-L2, and CDR-L3 regions of lebrikizumab, along with VH, VL, heavy chain
sequences and light chain sequences. As indicated in Table 1 below, VH and the heavy chain
may include an N-terminal glutamine and the heavy chain may also include a C-terminal lysine.
As is well known in the art, N-terminal glutamine residues can form pyroglutamate and C-
terminal lysine residues can be clipped during manufacturing processes.
Table 1. Anti-IL13 antibody (lebrikizumab) amino acid sequences
Ala Tyr Ser Val Asn
CDR-H1
(SEQ ID
NO.: 1)
Met Ile Trp Gly Asp Gly Lys Ile Val Tyr Asn Ser Ala Leu Lys Ser
CDR-H2
(SEQ ID
NO.:2)
Asp Gly Tyr Tyr Pro Tyr Ala Met Asp Asn
CDR-H3
(SEQ ID
NO.: 3)
Arg Ala Ser Lys Ser Val Asp Ser Tyr Gly Asn Ser Phe Met His
CDR-L1
(SEQ ID
NO.: 4)
Leu Ala Ser Asn Leu Glu Ser
CDR-L2
(SEQ ID
NO.: 5)
Gln Gln Asn Asn Glu Asp Pro Arg Thr
CDR-L3
(SEQ ID
NO.: 6)
Val Thr Leu Arg Glu Ser Gly Pro Ala Leu Val Lys Pro Thr Gln
Thr Leu Thr Leu Thr Cys Thr Val Ser Gly Phe Ser Leu Ser Ala Tyr
(SEQ ID
Ser Val Asn Trp Ile Arg Gln Pro Pro Gly Lys Ala Leu Glu Trp Leu
NO.: 7)
Ala Met Ile Trp Gly Asp Gly Lys Ile Val Tyr Asn Ser Ala Leu Lys
Ser Arg Leu Thr Ile Ser Lys Asp Thr Ser Lys Asn Gln Val Val Leu
Thr Met Thr Asn Met Asp Pro Val Asp Thr Ala Thr Tyr Tyr Cys Ala
Gly Asp Gly Tyr Tyr Pro Tyr Ala Met Asp Asn Trp Gly Gln Gly Ser
Leu Val Thr Val Ser Ser
Gln Val Thr Leu Arg Glu Ser Gly Pro Ala Leu Val Lys Pro Thr Gln
Thr Leu Thr Leu Thr Cys Thr Val Ser Gly Phe Ser Leu Ser Ala Tyr
(SEQ ID
Ser Val Asn Trp Ile Arg Gln Pro Pro Gly Lys Ala Leu Glu Trp Leu
NO.: 8)
Ala Met Ile Trp Gly Asp Gly Lys Ile Val Tyr Asn Ser Ala Leu Lys
Ser Arg Leu Thr Ile Ser Lys Asp Thr Ser Lys Asn Gln Val Val Leu
Thr Met Thr Asn Met Asp Pro Val Asp Thr Ala Thr Tyr Tyr Cys Ala
Gly Asp Gly Tyr Tyr Pro Tyr Ala Met Asp Asn Trp Gly Gln Gly Ser
Leu Val Thr Val Ser Ser
Asp Ile Val Met Thr Gln Ser Pro Asp Ser Leu Ser Val Ser Leu Gly
Glu Arg Ala Thr Ile Asn Cys Arg Ala Ser Lys Ser Val Asp Ser Tyr
(SEQ ID
Gly Asn Ser Phe Met His Trp Tyr Gln Gln Lys Pro Gly Gln Pro Pro
NO.: 9)
Lys Leu Leu Ile Tyr Leu Ala Ser Asn Leu Glu Ser Gly Val Pro Asp
Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser
Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Gln Asn Asn
Glu Asp Pro Arg Thr Phe Gly Gly Gly Thr Lys Val Glu Ile Lys Arg
VTLRESGPA LVKPTQTLTL TCTVSGFSLS AYSVNWIRQP PGKALEWLAM
H Chain
IWGDGKIVYN SALKSRLTIS KDTSKNQVVL TMTNMDPVDT ATYYCAGDGY
(SEQ ID
YPYAMDNWGQ GSLVTVSSAS TKGPSVFPLA PCSRSTSEST AALGCLVKDY
NO.: 10)
FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTKTYT
CNVDHKPSNT KVDKRVESKY GPPCPPCPAP EFLGGPSVFL FPPKPKDTLM
ISRTPEVTCV VVDVSQEDPE VQFNWYVDGV EVHNAKTKPR EEQFNSTYRV
VSVLTVLHQD WLNGKEYKCK VSNKGLPSSI EKTISKAKGQ PREPQVYTLP
PSQEEMTKNQ VSLTCLVKGF YPSDIAVEWE SNGQPENNYK TTPPVLDSDG
SFFLYSRLTV DKSRWQEGNV FSCSVMHEAL HNHYTQKSLS LSLG
QVTLRESGPA LVKPTQTLTL TCTVSGFSLS AYSVNWIRQP PGKALEWLAM
H Chain
IWGDGKIVYN SALKSRLTIS KDTSKNQVVL TMTNMDPVDT ATYYCAGDGY
(SEQ ID
YPYAMDNWGQ GSLVTVSSAS TKGPSVFPLA PCSRSTSEST AALGCLVKDY
NO.: 11)
FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTKTYT
CNVDHKPSNT KVDKRVESKY GPPCPPCPAP EFLGGPSVFL FPPKPKDTLM
ISRTPEVTCV VVDVSQEDPE VQFNWYVDGV EVHNAKTKPR EEQFNSTYRV
VSVLTVLHQD WLNGKEYKCK VSNKGLPSSI EKTISKAKGQ PREPQVYTLP
PSQEEMTKNQ VSLTCLVKGF YPSDIAVEWE SNGQPENNYK TTPPVLDSDG
SFFLYSRLTV DKSRWQEGNV FSCSVMHEAL HNHYTQKSLS LSLG
VTLRESGPA LVKPTQTLTL TCTVSGFSLS AYSVNWIRQP PGKALEWLAM
H Chain
IWGDGKIVYN SALKSRLTIS KDTSKNQVVL TMTNMDPVDT ATYYCAGDGY
(SEQ ID
YPYAMDNWGQ GSLVTVSSAS TKGPSVFPLA PCSRSTSEST AALGCLVKDY
NO.: 12)
FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTKTYT
CNVDHKPSNT KVDKRVESKY GPPCPPCPAP EFLGGPSVFL FPPKPKDTLM
ISRTPEVTCV VVDVSQEDPE VQFNWYVDGV EVHNAKTKPR EEQFNSTYRV
VSVLTVLHQD WLNGKEYKCK VSNKGLPSSI EKTISKAKGQ PREPQVYTLP
PSQEEMTKNQ VSLTCLVKGF YPSDIAVEWE SNGQPENNYK TTPPVLDSDG
SFFLYSRLTV DKSRWQEGNV FSCSVMHEAL HNHYTQKSLS LSLGK
QVTLRESGPA LVKPTQTLTL TCTVSGFSLS AYSVNWIRQP PGKALEWLAM
H Chain
IWGDGKIVYN SALKSRLTIS KDTSKNQVVL TMTNMDPVDT ATYYCAGDGY
(SEQ ID
YPYAMDNWGQ GSLVTVSSAS TKGPSVFPLA PCSRSTSEST AALGCLVKDY
NO.: 13)
FPEPVTVSWN SGALTSGVHT FPAVLQSSGL YSLSSVVTVP SSSLGTKTYT
CNVDHKPSNT KVDKRVESKY GPPCPPCPAP EFLGGPSVFL FPPKPKDTLM
ISRTPEVTCV VVDVSQEDPE VQFNWYVDGV EVHNAKTKPR EEQFNSTYRV
VSVLTVLHQD WLNGKEYKCK VSNKGLPSSI EKTISKAKGQ PREPQVYTLP
PSQEEMTKNQ VSLTCLVKGF YPSDIAVEWE SNGQPENNYK TTPPVLDSDG
SFFLYSRLTV DKSRWQEGNV FSCSVMHEAL HNHYTQKSLS LSLGK
DIVMTQSPDS LSVSLGERAT INCRASKSVD SYGNSFMHWY QQKPGQPPKL
L Chain
LIYLASNLES GVPDRFSGSG SGTDFTLTIS SLQAEDVAVY YCQQNNEDPR
(SEQ ID
TFGGGTKVEI KRTVAAPSVF IFPPSDEQLK SGTASVVCLL NNFYPREAKV
NO.: 14)
QWKVDNALQS GNSQESVTEQ DSKDSTYSLS STLTLSKADY EKHKVYACEV
THQGLSSPVT KSFNRGEC
Results
Physical and Chemical Stability of Anti-IL13 Antibody Formulations at various pH
Buffers with varying pH were made using either 20 mM histidine acetate or 20 mM
sodium phosphate to cover the pH range 5.4 – 7.8. The histidine acetate buffers covered the pH
range of 5.4 – 6.0 and the sodium phosphate buffers covered the pH range of 6.6 – 7.8. For
each buffer pH, the following were held constant: anti-IL13 antibody concentration at 150
mg/ml, 175 mM sucrose and 0.3 mg/mL (0.03%) polysorbate 20.
Antibody solutions were stored in vials for the time periods and at the temperatures
indicated in Table 2 below. At various times, indicated by “X” in Table 2, samples were assayed
by various methods to assess physical stability, including SEC, A350 turbidity and non-reducing
CE-SDS, and chemical stability, including icIEF.
Table 2. Stability timepoints and conditions used to determine physical and chemical stability
anti-IL13 antibody solutions.
Weeks at Storage
Temperature Condition
week 0 1 2 4 6 8 12
-70°C X
2-8°C X X
°C X X X X X X
Figure 1 shows the percent monomer loss per week in buffers at the indicated pH as
determined by SEC. As shown in Fig. 1, % monomer loss was lower in the lower pH range than
in the higher pH range, with the lowest % monomer loss at pH 5.7, which showed a %
monomer loss/week of 0.056.
Another physical stability assay measured changes in turbidity (as determined by
A350) over time at 30°C as a function of pH. As shown in Fig. 2, the initial turbidities and
changes are higher for the buffers between pH5.4 – 6.0 than at the higher pH ranges. In Fig. 2,
neat turbidity is A350 = 1/T where T is transmitted light intensity at 350 nm with a specified
path length of 1 cm.
A third physical stability assay measured increases in low molecular weight (LMW)
soluble fragments and high molecular weight (HMW) aggregates in anti-IL13 antibody solutions
during six weeks of storage at 30°C as a function of pH. As shown in Fig. 3, fragmentation rates
and aggregation rates were lowest in the lower pH range, pH 5.4 – 6.6.
We also assessed chemical stability using icIEF to determine changes in the rate of
acidic and basic variant formation over time at 30°C as a function of pH (Fig. 4) and changes in
the rate of basic variant and main peak loss over time at 30°C as a function of pH (Fig. 5). As
shown in Fig. 4, the rate of acidic variant was lowest in the low pH range and highest in the high
pH range, while the rate of basic variant (BV1 peak) was lowest in the high pH range and highest
in the low pH range. The results shown in Fig. 5 indicate that main peak loss was minimized
between pH 5.4 – 6.0.
To determine whether pH affected solution viscosity, we performed rheological
characterization of different anti-IL13 antibody concentrations (ranging from 0 to 200 mg/mL
antibody) at varying pH (ranging from pH 5.5 – 7.2). Each solution had 175mM sucrose and 0.3
mg/mL polysorbate 20. The results are shown in Fig. 6. Those results indicate that a consistent
viscosity profile was maintained regardless of solution pH for a given antibody concentration. In
particular, the results showed that viscosity at higher antibody concentrations were not
influenced by pH.
Taken together, the data presented in Figs. 1-6 show that there was a shallow
gradient for most physical and chemical changes at pH 5.4 – 6.0. The 20mM histidine acetate
buffer at pH 5.7 was therefore chosen for subsequent studies and formulation assessment.
Rheological Characterization of high Concentration Monoclonal Antibody Solutions
To explore whether the viscosity observed (< 15 cP at 25°C) for the anti-IL13
antibody formulated at 150 mg/mL in 20 mM histidine acetate pH 5.7, 175 mM sucrose, 0.3
mg/mL polysorbate 20 would be generally observed for various different antibodies, we tested
the viscosity of three additional antibodies in similar formulations at 150 mg/mL. Such a
viscosity profile as observed for the anti-IL13 antibody is desirable for manufacturing at high
antibody concentration and for certain routes of drug administration, for example, subcutaneous
injection. As shown in Fig. 7, anti-IL13 antibody maintained a viscosity profile similar to the
anti-CD11a antibody with viscosity of < 15 cP at 25°C. In contrast, the anti-CD20 antibody and
the mAb-1 antibody showed quite different viscosity profiles. The viscosity of the anti-CD20
antibody at 150 mg/mL was > 15 cP at 25°C, while mAb-1 could not be formulated at 150
mg/mL in this buffer formulation due to significant problems with viscosity as can be seen in
Fig. 7. Fig. 7 shows that the viscosity of mAb-1 at 125 mg/mL was > 45 cP at 25°C.
Accordingly, it is clear from this data the different antibodies have different rheological
characteristics when formulated at 150 mg/mL in 20 mM histidine acetate pH 5.7, 175 mM
sucrose, 0.3 mg/mL polysorbate 20.
Characterization of Visual Appearance and Opalescence
We characterized the visual appearance and opalescence of the anti-IL13 antibody
formulation in comparison to an anti-CD20 antibody formulation using 90 degree nephelometry
and measurements of A350 turbidity. Figure 8 shows the quantification of visual appearance of
the two different antibody formulations in nephelometric turbidity units (NTU). In Fig. 8, R1,
R2, R3, and R4 refer to reference standards with R4 having the highest degree of visual
opalescense and R1 having the lowest. The measurements of A350 turbidity for the anti-IL13
and anti-CD20 antibodies are shown in Fig. 9. As shown in Fig. 9, for each antibody
formulation, turbidity increased with increasing protein concentration. The results shown in
these figures demonstrate that two different measurements of visual appearance for two
antibodies have different trends, especially at higher protein concentrations due to differences in
what is intrinsically measured. The data also show that the measurement trends are consistent
between these two antibodies which appear to have elevated solution opalescence.
We also examined anti-IL13 antibody concentration as a function of concentration
and pH. The results are shown in Fig. 10. Solutions showing the greatest turbidity were in the
vicinity of the mAb isoelectric point (pI).
While not being bound by theory, we interpret these results to indicate that the
absorbance at 350 nm wavelength (turbidity) increased with increasing protein concentration due
to the absorption of light by the protein absorption band, with maxima around 280 nm due to
the broad tail of this peak. A second contributing factor to the increased A350 vs concentration
of mAb solutions was the non-linear increase in light scattering, reducing the total transmitted
light.
In addition, we assessed subvisible particle counts as a function of mAb
concentration and those results are shown in Fig. 11. No significant increase in subvisible
particulate > 2 μm in size was observed by HIAC light obscuration analysis indicating that
particulate matter > 2 μm does not contribute to the opalescence or turbidity of anti-IL13
antibody solutions. Figure 12 shows measurements of nephelometric, turbidimetric and static
light scattering of 125 mg/mL solution of anti-IL13 antibody when the antibody solutions were
filtered with increasingly small pore sizes (down to 0.1 μm or 100 nm). These results shown in
Figs. 11 and 12 collectively indicate that the anti-IL13 antibody solution and drug product
formulation appearance are not determined by subvisible or submicron particulate matter
inducing concentration dependence of light scattering.
Next, we investigated the dependence of solution appearance as a function of
solution pH at 125 mg/mL and 204 mg/mL. Solution appearance was assessed using a
temperature scan of the transmitted light intensity at 600 nm. The results are shown in Fig. 13
and indicate that anti-IL13 antibody solution opalescence, which remained constant as a function
of decreasing temperature, was not due to critical phenomena such as liquid-liquid phase
separation, where solution components have divergent solubility and form two separate phases
of distinct composition. This suggests that solution homogeneity (phase separation) across a
range of typical storage and/or exposure temperatures is not influenced by temperature despite
the initial solution opalescence/visual appearance (at room temperature).
Thermal Stability (T ) Studies
melt
We measured the thermal melting transition peaks for two partially resolved peaks in
the capillary differential scanning calorimeter as a function of formulation composition and
solution pH. The results are shown in Fig. 14. As shown in Fig. 14, a maxima in melting
transition behavior for anti-IL13 as a function of pH was observed between pH 6.0 -7.5. The
prevailing scientific opinion is that the lower the melting transition occurs, the lower the
expected physical stability of the system upon storage for any duration. See, e.g., Chi et al.,
Protein Science 12(5):903-913 (2003); Chi et al., Pharmaceutical Research 20(9): 1325-1336
(2003); Goldberg et al., J. Pharm. Sciences 100(4):1306-1315 (2011). Thus, the physical stability
data shown herein for the anti-IL13 antibody formulation (pH 5.7) was surprising and
unexpected.
Colloidal Stability
Colloidal stability was measured by static light scattering using dilute solutions of
antibody (between 0.10 -1 mg/mL) as well as light scattering at antibody concentrations
exceeding 200 mg/mL. Colloidal stability refers to the solution behavior of macromolecules
suspended in solution, and allows one to investigate the equilibrium, time averaged interactions
between macromolecules such as monoclonal antibodies. Without being bound by theory, when
interactions are repulsive, then the solution composition can be expected to remain stable. Net
attractive interactions between solute molecules occur, however, and are generally associated
with phase transitions and protein solubility problems.
We measured osmotic second virial coefficients (B ) for anti-IL13 antibody (at
concentrations ranging from 0.1 to 1.0 mg/mL) as a function of solution pH with samples in
simple buffers. Note that in Figs. 15 and 16, values above 0 are positive osmotic second virial
coefficients which indicate net repulsive interactions and values below 0 are negative osmotic
second virial coefficients which indicate net attractive intermolecular interactions. The data in
Fig. 15 shows that anti-IL13 antibody had attractive interactions across the pH range, but that
the strongest attractive interactions occurred between pH 5.5- 6.5. For the results shown in Fig.
16, formulation additives were added to the solutions at different pHs. As can be seen in Fig.
16, the measured osmotic second virial coefficients at pH 5.5-6.5 remained negative and
therefore attractive. Measurements of light scattering with a multi-angle light scattering detector
across the range of concentrations 1- 200 mg/mL extrapolating intensities to scattering angle of
0 are shown in Fig. 17. These data revealed that the scattered intensity profile was highly similar
to that observed for the HACH nephelometer (compare Fig. 8 to Fig.17). Both instruments
measure the scattered light intensity, and therefore the Rayleigh scattering. This scattering
dominates in solutions free of particulates and is caused by small density and concentration
fluctuations of the solution that are also dependent on the interactions between the scattering
molecules. The decrease in scattered light intensity occurs when the molecules are increasingly
in close contact with one another and their positions in time/ space become correlated resulting
in destructive interference of scattered light (See, e.g., Bettelheim et al., Biophysical Journal 41(1):
29-33 (1983); Xia et al., Biophysical Journal 66(3_Pt_1): 861-872 (1994); and Xia et al.,
Biophysical Journal 41(1): 29-33 (1996). Figure 18 shows static light scattering data for anti-IL13
antibody as a function of formulation pH. The data in Fig. 18 are represented as apparent
molecular weights observed at antibody concentrations up to 200 mg/mL. The data shown in
Fig. 18 indicated weak (pH 7.2) to moderately attractive colloidal (pH 6.5) interactions and anti-
IL13 antibody self-association across the concentration range, relative to the theoretical
scattering for a simple hard sphere species model of mAb excluded volume (dashed line in Fig.
18).
Both anti-IL13 and anti-CD20 showed comparable levels of turbidity caused by
attractive colloidal interactions and mAb self association as shown in Fig. 19. Surprisingly, such
attractive colloidal interactions did not manifest as high viscosities (e.g., > 15 cP at 150 mg/mL)
or rheological problems with the formulation for anti-IL13 antibody as shown in Fig. 20. The
colloidal interactions for anti-CD20 antibody, however, did have an effect on solution rheology,
resulting not only in solution opalescence (Fig. 8) but also high viscosities of > 15 cP at 25°C
and 150 mg/mL (Fig. 20).
Long Term Physical, Chemical, and Potency Stability
To test long term stability and potency, anti-IL13 antibody was formulated at 125
mg/mL in 20mM histidine acetate pH 5.7, 175 mM sucrose and 0.3 mg/mL polysorbate 20 and
then subjected to various storage conditions. Vials were stored at either 5°C or 25°C for the
number of weeks shown in Table 3 (up to 156 weeks at 5°C and up to 26 weeks at 25°C). At
each time point as indicated in Table 3, samples were analyzed for color appearance and clarity
(CAC), pH, and the indicated chemical or physical stability measurement. In addition, biological
activity (potency) was also assessed at each time point. As indicated by the data shown in Table
3, the anti-IL13 antibody formulated at 125 mg/mL in 20mM histidine acetate pH 5.7, 175 mM
sucrose and 0.3 mg/mL polysorbate 20 maintained potency and demonstrated good chemical
and physical stability at 5°C for the entire 156 weeks (three years) and at 25°C for the entire 26
weeks. These data confirm that this formulation maintains the desired chemical, physical and
potency attributes of the anti-IL13 antibody for an extended period of time.
Table 3. Stability and conditions used to determine long term physical, chemical, and potency
stability of anti-IL13 antibody.
Storage
Temp Time Visual pH SEC icIEF CE-SDS Strength Osmolality Potency
% % Main % Main
( C) CAC Monomer Peak Peak
(Weeks) (mg/mL) (mOsm/kg) (% Specific Activity)
-70 T= 0 0 SY, LIQ, SOPL 5.6 99.5 72 98 119 267 101
4 SY, LIQ, SOPL 5.6 99.5 74 98 128 268 98
8 SY, LIQ, SOPL 5.6 99.5 74 98 124 270 NT
12 SY, LIQ, SOPL 5.6 99.5 74 98 125 265 98
26 SY, LIQ, SOPL 5.8 99.3 73 98 125 264 99
39 SY, LIQ, SOPL 5.8 99.4 74 98 123 265 95
52 SY, LIQ, SOPL 5.7 99.3 72 98 122 269 102
78 SY, LIQ, SOPL 5.7 99.2 72 98 125 266 95
104 SY, LIQ, SOPL 5.7 99.1 73 98 124 275 100
130 SY, LIQ, SOPL 5.8 99.3 72 98 124 273 93*
156 SY, LIQ, SOPL 5.8 99.1 71 98 125 268 94
1 SY, LIQ, SOPL 5.6 99.5 71 98 125 264 NT
2 SY, LIQ, SOPL 5.7 99.4 72 98 124 265 NT
4 SY, LIQ, SOPL 5.7 99.2 71 97 123 264 102
8 SY, LIQ, SOPL 5.7 99.1 68 97 125 268 98
12 SY, LIQ, SOPL 5.7 99.0 62 97 123 270 94
26 SY, LIQ, SOPL 5.8 98.7 57 96 129 268 91
CAC: Color Appearance and Clarity
SY = Slightly Yellow
LIQ = Liquid
SOPL = Slightly Opalescent
Conclusions
We have shown that anti-IL13 antibody has been successfully formulated at pH and
solution conditions with excipients that promote both the long term chemical and physical
stability and maintain potency. Specifically, that formulation comprised antibody at
concentrations of 100 mg/mL and above, including 125 mg/mL and 150 mg/mL, in 20mM
histidine acetate pH5.7, 175 mM sucrose and 0.3 mg/mL polysorbate 20. Surprisingly, we found
that the formulation had a desirable viscosity profile of < 15 cP at 25°C. Such a viscosity profile
is desirable for manufacturability and also for ease of administration e.g., for subcutaneous
injection where a high concentration of drug product in a small volume is optimal for several
reasons including patient comfort and compliance. We observed that other antibodies in the
same or similar formulation had an undesirable viscosity profile of > 15 cP at 25°C, which
highlights the unpredictability of the viscosity profile for anti-IL13 antibody formulations.
In addition, two often used criteria for protein formulation selection include thermal
stability and colloidal stability (See Chi et al., Protein Science 12(5):903-913 (2003); Chi et al.,
Pharmaceutical Research 20(9): 1325-1336 (2003)). Thermal analysis of unfolding temperatures
of anti-IL13 antibody solutions suggested that the physical stability at conditions pH 5.4- 6.0
would not be optimal for physical stability of the antibody formulation. Colliodal stability
analysis of anti-IL13 antibody solutions also suggested that the formulation conditions in the pH
range 5.5- 6.5 would be least desirable to maintain low aggregation rates. Yet, surprisingly, as
shown by the data presented here, anti-IL13 antibody formulated at pH 5.7 demonstrated good
physical stability over an extended period of time at 5°C and also under accelerated conditions.
It was also surprising that product stability under these conditions was superior to that observed
at higher pHs, both physically and chemically, even though there was lower thermal melting
transitions and colloidal stability. While the formulated anti-IL13 antibody solution appearance
(and turbidity) was more opalescent in the selected formulation conditions than in certain
unselected conditions, the molecular properties and formulation composition maintained
optimal stability under both real time and accelerated storage conditions, maintained potency,
and provided the desired solution rheological properties for delivery of high concentrations of
drug product in a small volume.
Subcutaneous Administration Device
A subcutaneous administration device comprising a prefilled syringe with needle, a
plunger with plunger stopper, a needle shield and a needle safety device for administration of the
anti-IL13 formulation described above was selected by evaluating a variety of commercially-
available components. For example, the components evaluated included glass cane, formed
syringes with staked-in needle, plungers and plunger stoppers, rigid needle shields and needle
safety devices.
The various components were evaluated in various combinations according to
methods known to one skilled in the art for the effects on formulation properties including, but
not limited to, stability, and other considerations such as patient comfort and convenience,
which includes factors such as the impact of needle gauge and internal needle diameter on
injection time and glide forces when the formulation has certain viscosities as described herein.
These studies led us to select as an optimal subcutaneous administration device for the
administration of lebrikizumab formulated at high concentration as described herein a prefilled
1.0 mL low tungsten borosilicate glass (type I) syringe and a stainless steel 5-bevel 27G 1/2 inch
thin-wall staked-in needle with a rigid needle shield comprising FM27/0 (Daetwyler) and a rigid
polypropylene shield. In addition, the plunger rod comprised a rubber plunger stopper
comprising 4023/50 rubber and FluroTec® ethylene-tetrafluoroethylene (ETFE) coating (West
Pharmaceutical Services, Inc.). The subcutaneous administration device also comprised a needle
safety device, Ultrasafe Passive® Needle Guard X100L (Safety Syringes, Inc.). The
subcutaneous administration device detailed above is referred to below as a staked-in needle
prefilled syringe or “SIN PFS.”
To demonstrate comparable stability of the lebrikizumab drug product in a vial to the
selected SIN PFS, we evaluated GMP drug substance hand-filled into 2 cc vials or 1 mL SIN
PFS at 40°C/ambient relative humidity. We assessed degradation rates as characterized by
changes in the monomer by size exclusion chromatography (SEC) as well as changes in percent
main peak by imaged capillary isoelectric focusing (ICIEF) and capillary electrophoresis sodium
dodecyl sulfate (CE-SDS).
These studies revealed that after storage at 40°C for 4 weeks, there were no
significant differences in the decrease in monomer as measured by SEC between vials and SIN
PFS (each showing 0.6%-0.9% decrease) or in the decrease in percent main peak (each showing
18-21% decrease as measured by ICIEF and 0.9%-1.5% decrease as measured by CE-SDS). In
addition, the chromatographic profiles were comparable to each other and no new peaks were
observed in the SIN PFS samples compared to the vial samples.
There were slight differences in degradation rates (0.5%-0.6% increase in high
molecular weight species for the vial vs. 0.8% increase in high molecular weight species for the
SIN PFS after 4 weeks at 40°C). This slight difference was considered unlikely to affect product
quality during real time storage.
Accordingly, we conclude that the data described above show that the stability of
high concentration lebrikizumab drug product formulated as described above in vials is
comparable to that in the selected SIN PFS described above.
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Claims (35)
1. An aqueous formulation comprising an anti-IL13 antibody, wherein the concentration of antibody in the formulation is at least 100 mg/mL and the viscosity of the formulation is less than 15 centipoise (cP) at 25°C, wherein the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDR- H2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6.
2. The formulation of claim 1, wherein the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7.
3. The formulation of claim 1, wherein the anti-IL13 antibody comprises a light chain variable region having the amino acid sequence of SEQ ID NO.: 9.
4. The formulation of claim 2, wherein the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10.
5. The formulation of claim 3, wherein the anti-IL13 antibody comprises a light chain having the amino acid sequence of SEQ ID NO.: 14.
6. The formulation of claim 1, wherein the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7 and a light chain variable region having the amino acid sequence of SEQ ID NO.: 9.
7. The formulation of claim 6, wherein the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10 and a light chain having the amino acid sequence of SEQ ID NO.: 14.
8. The formulation of any one of claims 1 to 7, wherein the concentration of antibody is 125 mg/mL.
9. The formulation of any one of claims 1 to 7, wherein the concentration of antibody is 150 mg/mL.
10. The formulation of any one of claims 1 to 9, comprising histidine acetate buffer, pH 5.4 to 6.0, wherein the histidine acetate concentration in the buffer is between 5 mM and 40
11. The formulation of claim 10, further comprising a polyol and a surfactant, wherein the concentration of the polyol in the formulation is between 100 mM and 200 mM and the concentration of the surfactant in the formulation is between 0.01% and 0.1%.
12. The formulation of claim 11, wherein the polyol is sucrose and the surfactant is polysorbate 20.
13. The formulation of claim 12, wherein the histidine acetate buffer is pH 5.7 and the histidine acetate concentration in the buffer is 20mM, and wherein the concentration of sucrose in the formulation is 175 mM and the concentration of polysorbate 20 is 0.03%.
14. An aqueous formulation comprising an anti-IL13 antibody in a histidine acetate buffer, pH 5.4 to 6.0, wherein the histidine acetate concentration in the buffer is between 5 mM and 40 mM and wherein the concentration of antibody in the formulation is at least 100 mg/mL, wherein the anti-IL13 antibody comprises three heavy chain CDRs, CDR-H1 having the amino acid sequence of SEQ ID NO.: 1, CDR-H2 having the amino acid sequence of SEQ ID NO.: 2, and CDR-H3 having the amino acid sequence of SEQ ID NO.: 3, and three light chain CDRs, CDR-L1 having the amino acid sequence of SEQ ID NO.: 4, CDR-L2 having the amino acid sequence of SEQ ID NO.: 5, and CDR-L3 having the amino acid sequence of SEQ ID NO.: 6.
15. The formulation of claim 14, further comprising a polyol and a surfactant, wherein the concentration of the polyol in the formulation is between 100 mM and 200 mM and the concentration of the surfactant in the formulation is between 0.01% and 0.1%.
16. The formulation of claim 15, wherein the polyol is sucrose and the surfactant is polysorbate 20.
17. The formulation of claim 16, wherein the histidine acetate buffer is pH 5.7 and the histidine acetate concentration in the buffer is 20mM, and wherein the concentration of sucrose in the formulation is 175 mM and the concentration of polysorbate 20 is 0.03%.
18. The formulation of any one of claims 14 to 17, wherein the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7.
19. The formulation of any one of claims 14 to 17, wherein the anti-IL13 antibody comprises a light chain variable region having the amino acid sequence of SEQ ID NO.: 9.
20. The formulation of claim 18, wherein the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10.
21. The formulation of claim 19, wherein the anti-IL13 antibody comprises a light chain having the amino acid sequence of SEQ ID NO.: 14.
22. The formulation of any one of claims 14 to 17, wherein the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7 and a light chain variable region having the amino acid sequence of SEQ ID NO.: 9.
23. The formulation of claim 22, wherein the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10 and a light chain having the amino acid sequence of SEQ ID NO.: 14.
24. The formulation of any one of claims 14 to 23, which has a viscosity of less than 15 centipoise (cP) at 25°C.
25. The formulation of any one of claims 14 to 24, wherein the concentration of antibody is 125 mg/mL.
26. The formulation of any one of claims 14 to 24, wherein the concentration of antibody is 150 mg/mL.
27. The formulation of any one of claims 1 to 26, wherein the formulation has extended stability.
28. The formulation of claim 27, wherein the antiIL-13 antibody is stable for at least one year at 5°C.
29. The formulation of claim 28, wherein the antiIL-13 antibody is stable for at least two years at 5°C.
30. The formulation of claim 29, wherein the anti-IL13 antibody is stable for three years at 5°C.
31. The formulation of claim 27, wherein the anti-IL13 antibody is stable for at least four weeks at 25°C, or at least 8 weeks at 25°C, or at least 12 weeks at 25°C, or for 26 weeks at 4°C.
32. The formulation of claim 1, comprising 175 mM sucrose and 0.03% polysorbate 20, wherein the concentration of said antibody in the formulation is 125 mg/mL and wherein said antibody has extended stability in 20 mM histidine acetate buffer, pH 5.7.
33. The formulation of claim 32, wherein the anti-IL13 antibody comprises a heavy chain variable region having the amino acid sequence of SEQ ID NO.: 7 and a light chain variable region having the amino acid sequence of SEQ ID NO.: 9.
34. The formulation of claim 33, wherein the anti-IL13 antibody comprises a heavy chain having the amino acid sequence of SEQ ID NO.: 10 and a light chain having the amino acid sequence of SEQ ID NO.: 14.
35. The formulation of claim 1, comprising 175 mM sucrose and 0.03% polysorbate 20, wherein the concentration of said antibody in the formulation is 150 mg/mL and wherein said antibody has extended stability in 20 mM histidine acetate buffer, pH 5.7.
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US61/553,916 | 2011-10-31 | ||
PCT/US2012/062572 WO2013066866A1 (en) | 2011-10-31 | 2012-10-30 | Antibody formulations |
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