WO2014039903A2 - Stable aqueous formulations of adalimumab - Google Patents

Stable aqueous formulations of adalimumab Download PDF

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Publication number
WO2014039903A2
WO2014039903A2 PCT/US2013/058618 US2013058618W WO2014039903A2 WO 2014039903 A2 WO2014039903 A2 WO 2014039903A2 US 2013058618 W US2013058618 W US 2013058618W WO 2014039903 A2 WO2014039903 A2 WO 2014039903A2
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WO
WIPO (PCT)
Prior art keywords
composition
buffer
adalimumab
stabilizer
concentration
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2013/058618
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English (en)
French (fr)
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WO2014039903A3 (en
Inventor
Mark Manning
Robert W. PAYNE
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Coherus Oncology Inc
Original Assignee
Coherus Biosciences Inc
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Priority to CN201380058126.8A priority Critical patent/CN104768576A/zh
Priority to EP19216514.0A priority patent/EP3701968A1/en
Priority to LTEP13835291.9T priority patent/LT2892550T/lt
Priority to EA201590518A priority patent/EA029215B1/ru
Priority to BR112015004984A priority patent/BR112015004984A2/pt
Priority to KR1020217010005A priority patent/KR102362829B1/ko
Priority to PL13835291T priority patent/PL2892550T3/pl
Priority to RS20200310A priority patent/RS60226B1/sr
Priority to EP13835291.9A priority patent/EP2892550B1/en
Priority to CA2884182A priority patent/CA2884182C/en
Priority to SI201331693T priority patent/SI2892550T1/sl
Priority to SG11201501715QA priority patent/SG11201501715QA/en
Priority to HRP20200434TT priority patent/HRP20200434T1/hr
Priority to KR1020157008873A priority patent/KR102238677B1/ko
Priority to ES13835291T priority patent/ES2784861T3/es
Application filed by Coherus Biosciences Inc filed Critical Coherus Biosciences Inc
Priority to DK13835291.9T priority patent/DK2892550T3/da
Priority to HK15111401.3A priority patent/HK1210601B/en
Priority to KR1020227004460A priority patent/KR20220025196A/ko
Priority to PE2019002434A priority patent/PE20191815A1/es
Priority to MX2015003007A priority patent/MX2015003007A/es
Priority to AU2013312300A priority patent/AU2013312300A1/en
Priority to SM20200147T priority patent/SMT202000147T1/it
Priority to JP2015531261A priority patent/JP6463268B2/ja
Priority to UY0001035351A priority patent/UY35351A/es
Publication of WO2014039903A2 publication Critical patent/WO2014039903A2/en
Publication of WO2014039903A3 publication Critical patent/WO2014039903A3/en
Priority to IL237583A priority patent/IL237583B/en
Anticipated expiration legal-status Critical
Priority to AU2018208699A priority patent/AU2018208699A1/en
Priority to CY20201100247T priority patent/CY1123407T1/el
Priority to AU2020202912A priority patent/AU2020202912A1/en
Priority to IL277652A priority patent/IL277652B2/en
Ceased legal-status Critical Current

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    • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
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    • A61K9/0012—Galenical forms characterised by the site of application
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    • C—CHEMISTRY; METALLURGY
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    • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/24—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
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    • C07K2317/94—Stability, e.g. half-life, pH, temperature or enzyme-resistance

Definitions

  • the present invention relates to aqueous pharmaceutical compositions suitable for long-term storage of adalimumab (including antibody proteins considered or intended as "biosimilar” or “bio-better” variants of commercially available adalimumab), methods of manufacture of the compositions, methods of their administration, and kits containing the same.
  • adalimumab including antibody proteins considered or intended as "biosimilar” or “bio-better” variants of commercially available adalimumab
  • Tumor necrosis factor alpha is a naturally occurring mammalian cytokine produced by various cell types, including monocytes and macrophages in response to endotoxin or other stimuli. TNFa is a major mediator of inflammatory, immunological, and pathophysiological reactions (Grell, M., et al. (1995) Cell, 83: 793-802).
  • Soluble TNFa is formed by the cleavage of a precursor transmembrane protein (Kriegler, et al. (1988) Cell 53: 45-53), and the secreted 17 kDa polypeptides assemble to soluble homotrimer complexes (Smith, et al. (1987), J. Biol. Chem. 262: 6951 -6954; for reviews of TNF, see Butler, et al. (1986), Nature 320:584; Old (1986), Science 230: 630). These complexes then bind to receptors found on a variety of cells.
  • Binding produces an array of pro-inflammatory effects, including (i) release of other pro-inflammatory cytokines such as interleukin (IL)-6, IL-8, and IL-1 , (ii) release of matrix metalloproteinases and (iii) up-regulation of the expression of endothelial adhesion molecules, further amplifying the inflammatory and immune cascade by attracting leukocytes into extravascular tissues.
  • pro-inflammatory cytokines such as interleukin (IL)-6, IL-8, and IL-1
  • IL-8 interleukin-8
  • IL-1 interleukin-1
  • matrix metalloproteinases IL-1
  • up-regulation of the expression of endothelial adhesion molecules further amplifying the inflammatory and immune cascade by attracting leukocytes into extravascular tissues.
  • TNFa has been shown to be up-regulated in a number of human diseases, including chronic diseases such as rheumatoid arthritis (RA), inflammatory bowel disorders, including Crohn's disease and ulcerative colitis, sepsis, congestive heart failure, asthma bronchiale and multiple sclerosis.
  • RA rheumatoid arthritis
  • TNFa is also referred to as a proinflammatory cytokine.
  • Physiologically, TNFa is also associated with protection from particular infections (Cerami. et al. (1988), Immunol. Today 9:28).
  • TNFa is released by macrophages that have been activated by lipopolysaccharides of Gram-negative bacteria. As such, TNFa appears to be an endogenous mediator of central importance involved in the development and pathogenesis of endotoxic shock associated with bacterial sepsis.
  • Adalimumab (Humira®, AbbVie, Inc.) is a recombinant human lgG1 monoclonal antibody specific for human TNF. This antibody is also known as D2E7.
  • Adalimumab consists of 1330 amino acids and has a molecular weight of approximately 148 kilodaltons. Adalimumab has been described and claimed in U.S. Pat. No. 6,090,382, the disclosure of which is hereby incorporated by reference in its entirety.
  • Adalimumab is usually produced by recombinant DNA technology in a mammalian cell expression system, such as, for example, Chinese Hamster Ovary cells.
  • Adalimumab binds specifically to TNFa and neutralizes the biological function of TNF by blocking its interaction with the p55 and p75 cell surface TNF receptors.
  • the invention provides stable aqueous formulations comprising adalimumab that allow its long term storage.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab comprising a stabilizer comprising at least one member selected from the group consisting of a polyol and a surfactant; and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 4 to about 8 and preferably about 5 to about 6, and wherein said buffer does not comprise a combination of citrate and phosphate, and preferably does not comprise any citrate buffer.
  • the stabilizer preferably comprises both polyol and surfactant.
  • the invention provides a stable aqueous pharmaceutical composition
  • buffer As used herein the term buffer, buffer system, or buffering agent, and like terminology, is intended to denoted buffer components that introduce buffer capacity in the formulation in addition to any buffering capacity offered by the protein itself, hence the term “buffer”, etc, is not intended to include the protein itself as a self buffering entity.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab comprising at least one member selected from a polyol and a surfactant, wherein said composition has a pH of about 4 to about 8, and preferably about 5 to about 6, and wherein said composition is substantially free of a buffer.
  • the invention provides a stable aqueous pharmaceutical composition
  • the composition (i) does not contain the buffer combination of citrate and phosphate; and (ii) the buffer is at least one member selected from the group consisting of histidine and succinate; and (iii) the polyol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab a surfactant
  • a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 4 to 8 and preferably about 5 to about 6, and wherein said composition is substantially free of polyol.
  • the composition (i) does not contain the buffer combination of citrate and phosphate; and (ii) the buffer is at least one member selected from the group consisting of histidine and succinate, including combinations thereof.
  • the composition may optionally further comprise a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • the amino acid stabilizer may be selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • the salt stabilizer may be selected from the group consisting of sodium chloride and sodium sulfate.
  • the metal ion stabilizer may be selected from the group consisting of zinc, magnesium and calcium.
  • adalimumab formulations containing the stabilizers mentioned above also do not contain buffer systems in which phosphate buffer and citrate buffer are present in combination, and, most preferably contains buffer systems free or substantially free of citrate buffer.
  • the optional additional stabilizer present in this embodiment is not sodium chloride, or comprises sodium chloride present in amounts not to exceed about 100 mM, and comprises at least one of arginine and glycine, including combinations of the two amino acids;
  • the buffer when present, contains no citrate, or at least no citrate and phosphate combination, but is instead at least one of histidine and succinate, including combinations thereof; and
  • the stabilizer when it includes a polyol is preferably mannitol in amounts exceeding about 150 mM.
  • the invention is directed to an aqueous, buffered pharmaceutical composition
  • adalimumab and a buffer
  • the composition is free or substantially free of a buffer combination that comprises both a citrate buffer and a phosphate buffer; and (ii) the composition exhibits long term stability.
  • compositions exhibiting long term stability, said composition comprising: (i) adalimumab; (ii) a buffer selected from the group consisting of histidine buffer, succinate buffer, and combinations thereof; (iii) a polysorbate or poloxamer surfactant, or combinations thereof; and (iv) one or both of the following: (a) a stabilizer selected from the group consisting of glycine, alanine, glutamate, arginine, methionine, EDTA, sodium chloride, sodium sulfate, metal ions, and combinations thereof; and (b) a polyol selected from sorbitol, mannitol, and trehalose, or combinations thereof.
  • the formulation may also include a sugar, such as sucrose.
  • the invention is an aqueous, buffered pharmaceutical composition
  • adalimumab and a buffer, wherein (i) the composition is free or substantially free of a polyol; and (ii) the composition exhibits long term stability.
  • the invention is directed to an aqueous, buffered pharmaceutical composition
  • adalimumab and a buffer, wherein (i) the composition is free or substantially free of surfactant; and (ii) the composition exhibits long term stability.
  • Another embodiment of the inventions concerns an aqueous pharmaceutical composition
  • adalimumab wherein: (i) the composition is free or substantially free of buffer; and (ii) the composition exhibits long term stability.
  • the adalimumab formulation of the present invention comprises, consists of, or consists essentially of, adalimumab, histidine buffer as the sole buffer in the formulation, glycine (or arginine, or combinations thereof) as the sole stabilizer among the non-surfactant stabilizers referenced earlier, and polysorbate 80.
  • the amount of adalimumab is 20 to 150 mg/ml; the amount of histidine buffer is up to about 50 mM; the amount of glycine is up to about 300 mM; and the amount of polysorbate 80 is in the range of about 0.01 to about 0.2 wt %.
  • this formulation may include up to about 100 mM NaCI.
  • the present invention also contemplates modification of this formulation to combine the histidine buffer with one or more of citrate, acetate, phosphate, maleate, tartrate buffers.
  • the adalimumab formulation of the present invention comprises, consists of, or consists essentially of, adalimumab, histidine buffer as the sole buffer, mannitol (or sorbitol or trehelose), and polysorbate 80, and further being free or substantially free of the non-surfactant stabilizers (e.g. glycine, arginine, etc.) referenced above.
  • non-surfactant stabilizers e.g. glycine, arginine, etc.
  • the amount of adalimumab is 20 to 150 mg/ml; the amount of histidine buffer is up to about 50 mM; the amount of polyol is up to about 300 mM; and the amount of polysorbate 80 is in the range of about 0.01 to about 0.2 wt %.
  • this formulation may include up to about 100 mM NaCI.
  • the present invention also contemplates modification of this formulation to combine the histidine buffer with one or more of citrate, acetate, phosphate, maleate, tartrate buffers.
  • the invention is directed to a method for enhancing long term stability in an aqueous, buffered adalimumab formulation, comprising one or more of the steps of: (a) incorporating histidine buffer, succinate buffer, or a combination thereof, in the formulation based on empirical data indicating that such buffers contribute to the stability of the formulation to a greater extent than other buffers or buffer combinations; or (b) incorporating glycine, arginine or a combination thereof as stabilizers in the formulation, based upon empirical data indicating that such stabilizer contribute to the stability of the formulation to a greater extent than other stabilizers; or (c) substantially excluding the presence of buffer or buffer combinations comprising citrate buffer (especially buffer combinations comprising both citrate and phosphate) based upon empirical data indicating that such buffer or buffer combinations perform poorly in terms of stabilizing the formulation in comparison to other buffers.
  • the method may further comprise the selection of PS 80 as a surfactant based on empirical data indicating that PS 80 imparts better thermal stability to the adalimumab formulation than other surfactants, including PS 20.
  • the method is useful to obtain a formulation of adalimumab that exhibits long term stability comparable to or better than commercially available adalimumab formulations marketed under the trademark Humira®.
  • the invention is directed to a method for treating an inflammatory condition in a subject which comprises administering to such subject any of the adalimumab formulation embodiments as described herein.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab optionally a buffer, a stabilizer selected from the group consisting of an amino acid, a salt, EDTA, and a metal ion, and wherein said composition has a pH of about 4 to about 8, and preferably 5 to about 6, and wherein said composition is either substantially free of both polyol and surfactant.
  • the buffer not include the combination of citrate and phosphate; (ii) the buffer is selected from the group consisting of histidine and succinate; and (iii) the stabilizer does not comprise sodium chloride, but instead is at least one member selected from the group consisting of arginine and glycine.
  • Important aspects of the present invention in certain embodiments include (i) that sorbitol and trehalose are discovered to be significantly better stabilizers of adalimumab formulations than mannitol, unless mannitol is used at concentrations in excess of about 200-300 mM in which case the three are generally equivalent; (ii) arginine and glycine (and combinations) are discovered to be significantly better stabilizers of adalimumab formulations than sodium chloride; and; (iii) when buffers are used in the formulation, it is discovered that the combination of citrate and phosphate is surprisingly significantly poorer in stabilizing adalimumab than other buffers such as succinate, histidine, phosphate and tartrate.
  • a polyol is a sugar alcohol; and even more preferably, the sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • the invention has discovered, as noted above, a distinct stabilization advantage in using sorbitol or trehalose instead of mannitol, unless mannitol is used at concentrations in excess of about 200mM, in which case mannitol, sorbitol and trehalose are generally equivalent. At concentrations below about 200 mM, mannitol has been found to be a poorer stabilizer than sorbitol or trehalose in an adalimumab formulation.
  • a surfactant is a polysorbate or poloxamer; and even more preferably PS 80, PS 40, PS20, Pluronic F-68 and combinations.
  • PS 80 a polysorbate or poloxamer
  • PS 80 a polysorbate or poloxamer
  • PS 80 a polysorbate or poloxamer
  • PS 40 a polysorbate or poloxamer
  • PS20 a polysorbate or poloxamer
  • Pluronic F-68 Pluronic F-68 and combinations.
  • Fig. 1 is a bar chart of stability of various adalimumab formulations as determined by size exclusion chromatography (SEC).
  • Fig. 2 is a bar chart of stability of various adalimumab formulations as determined by reversed phase (RP) high performance liquid chromatography (HPLC).
  • RP reversed phase
  • HPLC high performance liquid chromatography
  • Fig. 3 is a graph of a partial least squares (PLS) model 1 demonstrating effect of citrate/phosphate on stability.
  • Fig. 4 is a graph of a PLS model 2 demonstrating effect of citrate/phosphate on stability.
  • Fig. 5 is a graph of a PLS model 1 demonstrating effect of histidine/glycine on stability.
  • Fig. 6 is a graph of a PLS model 1 demonstrating effect of arginine/sorbitol on stability.
  • Fig. 7 is a graph of a PLS model 1 demonstrating effect of pH/histidine on stability.
  • Fig. 8 is a graph of a PLS model 2 demonstrating effect of pH/histidine on stability.
  • Fig. 9 is a graph of a PLS model 2 demonstrating effect of trehalose/PS80 on stability.
  • Fig. 10 is a graph of a PLS model 2 demonstrating effect of mannitol/PS80 on stability.
  • Fig. 1 1 is a graph of a PLS model 1 demonstrating effect of mannitol/NaCI on stability.
  • Fig. 12 is a graph of a PLS model 1 demonstrating effect of EDTA/methionine on stability.
  • Fig. 13 is a graph of a PLS model A demonstrating effect of citrate and phosphate on stability.
  • Fig. 14 is a graph of a PLS model A demonstrating effect of pH and histidine buffer on stability.
  • Fig. 15 is a graph of a PLS model A demonstrating effect of glycine and arginine on stability.
  • Fig. 16 is a graph of a PLS model A demonstrating effect of NaCI and polysorbate 80 (PS 80) on stability.
  • Fig. 17 is a graph of a PLS model B demonstrating effect of citrate and phosphate on stability.
  • Fig. 18 is a graph of a PLS model B demonstrating effect of pH and histidine buffer on stability.
  • Fig. 19 is a graph of a PLS model B demonstrating effect arginine and glycine on stability.
  • Fig. 20 is a graph of a PLS model B demonstrating effect of PS80 and mannitol on stability.
  • Fig. 21 is a graph of a PLS model B demonstrating effect of EDTA and NaCI on stability.
  • Fig. 22 is a graph of a PLS model B demonstrating effect of succinate buffer and histidine buffer on stability.
  • Fig. 23 is a graph of a PLS model C demonstrating effect of citrate and phosphate on stability.
  • Fig. 24 is a graph of a PLS model C demonstrating effect of pH and histidine buffer on stability.
  • Fig. 25 is a graph of a PLS model C demonstrating effect of arginine and glycine on stability.
  • Fig. 26 is a graph of a PLS model C demonstrating effect of mannitol and PS 80 on stability.
  • Fig. 27 is a graph of a PLS model C demonstrating effect of PS 80 and NaCI on stability.
  • Fig. 28 is a graph of a PLS model C demonstrating effect of pH and protein concentration on stability.
  • Adalimumab is synonymous with the active pharmaceutical ingredient in Humira® as well as protein considered or intended as biosimilar or bio- better variants thereof.
  • Adalimumab is a recombinant human lgG1 monoclonal antibody specific for human TNF.
  • Adalimumab is also known as D2E7.
  • Adalimumab has two light chains, each with a molecular weight of approximately 24 kilodaltons (kDa) and two lgG1 heavy chains each with a molecular weight of approximately 49 kDa. Each light chain consists of 214 amino acid residues and each heavy chain consists of 451 amino acid residues.
  • adalimumab consists of 1330 amino acids and has a total molecular weight of approximately 148 kDa.
  • the term adalimumab is also intended to encompass so-called bio-similar or bio-better variants of the adalimumab protein used in commercially available Humira®.
  • a variant of commercial Humira® may be acceptable to the FDA when it has essentially the same pharmacological effects as commercially available Humira®, even though it may exhibit certain physical properties, such as glycosylation profile, that may be similar if not identical to Humira®.
  • adalimumab also encompasses adalimumab with minor modifications in the amino acid structure (including deletions, additions, and/or substitutions of amino acids) or in the glycosylation properties, which do not significantly affect the function of the polypeptide.
  • the term “adalimumab” encompasses all forms and formulations of Humira®, including but not limited to concentrated formulations, injectable ready-to- use formulations; formulations reconstituted with water, alcohol, and/or other ingredients, and others.
  • human TNFa (which may be abbreviated as hTNFa, or simply hTNF), as used herein, is intended to refer to a human cytokine that exists as a 17 kD secreted form and a 26 kD membrane associated form, the biologically active form of which is composed of a trimer of noncovalently bound 17 kD molecules.
  • hTNFa The structure of hTNFa is described further in, for example, Pennica, D., et al. (1984) Nature 312:724-729; Davis, J. M., et al. (1987) Biochemistry 26:1322-1326; and Jones, E. Y., et al. (1989) Nature 338:225-228.
  • human TNFa is intended to include recombinant human TNFa (rhTNFa), which can be prepared by standard recombinant expression methods or purchased commercially (R & D Systems, Catalog No. 210-TA, Minneapolis, Minn.).
  • rhTNFa recombinant human TNFa
  • antibody refers to immunoglobulin molecules comprised of four polypeptide chains, two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds.
  • Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as HCVR or VH) and a heavy chain constant region.
  • the heavy chain constant region is comprised of three domains, CH1 , CH2 and CH3.
  • Each light chain is comprised of a light chain variable region (abbreviated herein as LCVR or VL) and a light chain constant region.
  • the light chain constant region is comprised of one domain, CL.
  • VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR).
  • CDR complementarity determining regions
  • FR framework regions
  • Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to carboxy-terminus in the following order: FR1 , CDR1 , FR2, CDR2, FR3, CDR3, FR4.
  • the formulation contains an antibody with CDR1 , CDR2, and CDR3 sequences like those described in U.S. Pat. Nos. 6,090,382; 6,258,562, and 8,216,583.
  • An antibody or antigen-binding portion thereof may be part of a larger immunoadhesion molecule, formed by covalent or noncovalent association of the antibody or antibody portion with one or more other proteins or peptides.
  • immunoadhesion molecules include use of the streptavidin core region to make a tetrameric scFv molecule (Kipriyanov, S. M., et al. (1995) Human Antibodies and Hybridomas 6:93-101 ) and use of a cysteine residue, a marker peptide and a C- terminal polyhistidine tag to make bivalent and biotinylated scFv molecules (Kipriyanov, S. M., et al. (1994) Mol.
  • Antibody portions such as Fab and F(ab') 2 fragments, can be prepared from whole antibodies using conventional techniques, such as papain or pepsin digestion, respectively, of whole antibodies.
  • antibodies, antibody portions and immunoadhesion molecules can be obtained using standard recombinant DNA techniques, as described herein.
  • isolated antibody refers to an antibody that is substantially free of other antibodies having different antigenic specificities (e.g., an isolated antibody that specifically binds hTNFa is substantially free of antibodies that specifically bind antigens other than hTNFa).
  • An isolated antibody that specifically binds hTNFa may, however, have cross-reactivity to other antigens, such as TNFa molecules from other species.
  • an isolated antibody may be substantially free of other cellular material and/or chemicals.
  • glycosyl refers to an amino acid whose codons are GGT, GGC, GGA, and GGG.
  • arginine refers to an a-amino acid whose codons are CCU, CCC, CCA, and CCG.
  • amino acid refers to an amino acid whose codons are GCT, GCC,
  • GCA GCA
  • GCG GCG
  • methionine refers to an amino acid whose codon is ATG.
  • glycosyl refers to an amino acid whose codons are GAA and
  • sugar refers to monosaccharides, disachharides, and polysaccharides.
  • sugars include, but are not limited to, sucrose, glucose, dextrose, and others.
  • polyol refers to an alcohol containing multiple hydroxyl groups.
  • examples of polyols include, but are not limited to, mannitol, sorbitol, and others.
  • metal ion refers to a metal atom with a net positive or negative electric charge.
  • metal ion also includes sources of metal ions, including but not limited to metal salts.
  • long-term storage or “long term stability” is understood to mean that the pharmaceutical composition can be stored for three months or more, for six months or more, and preferably for one year or more, most preferably a minimum stable shelf life of at least two years.
  • long term storage and “long term stability” further include stable storage durations that are at least comparable to or better that the stable shelf typically required for currently available commercial formulations of adalimumab, without losses in stability that would render the formulation unsuitable for its intended pharmaceutical application.
  • Long-term storage is also understood to mean that the pharmaceutical composition is stored either as a liquid at 2-8° C, or is frozen, e.g., at -20°C, or colder. It is also contemplated that the composition can be frozen and thawed more than once.
  • stable with respect to long-term storage is understood to mean that adalimumab contained in the pharmaceutical compositions does not lose more than 20%, or more preferably 15%, or even more preferably 10%, and most preferably 5% of its activity relative to activity of the composition at the beginning of storage.
  • substantially free means that either no substance is present or only minimal, trace amounts of the substance are present which do not have any substantial impact on the properties of the composition. If reference is made to no amount of a substance, it should be understood as “no detectable amount”.
  • mammal includes, but is not limited to, a human.
  • pharmaceutically acceptable carrier refers to a non-toxic solid, semisolid or liquid filler, diluent, encapsulating material, formulation auxiliary, or excipient of any conventional type.
  • a pharmaceutically acceptable carrier is non- toxic to recipients at the dosages and concentrations employed and is compatible with other ingredients of the formulation.
  • composition refers to a mixture that usually contains a carrier, such as a pharmaceutically acceptable carrier or excipient that is conventional in the art and which is suitable for administration into a subject for therapeutic, diagnostic, or prophylactic purposes. It may include a cell culture in which the polypeptide or polynucleotide is present in the cells or in the culture medium.
  • a carrier such as a pharmaceutically acceptable carrier or excipient that is conventional in the art and which is suitable for administration into a subject for therapeutic, diagnostic, or prophylactic purposes. It may include a cell culture in which the polypeptide or polynucleotide is present in the cells or in the culture medium.
  • compositions for oral administration can form solutions, suspensions, tablets, pills, capsules, sustained release formulations, oral rinses or powders.
  • treatment refers to any administration or application of remedies for disease in a mammal and includes inhibiting the disease, arresting its development, relieving the disease, for example, by causing regression, or restoring or repairing a lost, missing, or defective function; or stimulating an inefficient process.
  • the term includes obtaining a desired pharmacologic and/or physiologic effect, covering any treatment of a pathological condition or disorder in a mammal.
  • the effect may be prophylactic in terms of completely or partially preventing a disorder or symptom thereof and/or may be therapeutic in terms of a partial or complete cure for a disorder and/or adverse affect attributable to the disorder.
  • It includes (1 ) preventing the disorder from occurring or recurring in a subject who may be predisposed to the disorder but is not yet symptomatic, (2) inhibiting the disorder, such as arresting its development, (3) stopping or terminating the disorder or at least its associated symptoms, so that the host no longer suffers from the disorder or its symptoms, such as causing regression of the disorder or its symptoms, for example, by restoring or repairing a lost, missing or defective function, or stimulating an inefficient process, or (4) relieving, alleviating or ameliorating the disorder, or symptoms associated therewith, where ameliorating is used in a broad sense to refer to at least a reduction in the magnitude of a parameter, such as inflammation, pain and/or tumor size.
  • a parameter such as inflammation, pain and/or tumor size.
  • disease refers to any condition, infection, disorder or syndrome that requires medical intervention or for which medical intervention is desirable. Such medical intervention can include treatment, diagnosis and/or prevention.
  • an effective amount of the polypeptide of the invention for administration to the living subject is an amount that prevents and/or treats an integrin av33-mediated disease.
  • the exact amount will depend on the purpose of the treatment, and will be ascertainable by one skilled in the art using known techniques. As is known in the art, adjustments for systemic versus localized delivery, age, body weight, general health, sex, diet, time of administration, drug interaction and the severity of the condition may be necessary, and will be ascertainable with routine experimentation by those skilled in the art.
  • adalimumab When pharmaceutical compositions containing adalimumab (Humira®), including aqueous and lyophilized formulations of adalimumab are stored on a long- term basis, the activity of adalimumab can be lost or decreased due to aggregation and/or degradation.
  • the present invention provides aqueous formulations of adalimumab that allow stable long-term storage of adalimumab, so that adalimumab is stable over the course of storage either in liquid or frozen states.
  • the provided formulations do not require any extra steps such as rehydrating.
  • compositions of the present invention comprise adalimumab.
  • adalimumab is a recombinant human lgG1 monoclonal antibody specific for human tumor necrosis factor (TNF). This antibody is also known as D2E7.
  • Adalimumab consists of 1330 amino acids and has a molecular weight of approximately 148 kilodaltons. Adalimumab has been described and claimed in U.S. Pat. No. 6,090,382.
  • the term “adalimumab” is also intended to mean so-called “bio-similar” and “bio-better” versions of the active adalimumab protein present in commercially available Humira®.
  • Adalimumab suitable for storage in the present pharmaceutical composition can be produced by standard methods known in the art.
  • U.S. Patents 6,090,382 and 8,216,583 describe various methods that a skilled artisan could use to prepare adalimumab protein for use in the formulations of the present invention. These methods are incorporated by reference herein.
  • adalimumab can be prepared by recombinant expression of immunoglobulin light and heavy chain genes in a host cell.
  • adalimumab Purification of the expressed adalimumab can be performed by any standard method.
  • adalimumab is produced intracellular ⁇ , the particulate debris is removed, for example, by centrifugation or ultrafiltration.
  • supernatants from such expression systems can be first concentrated using standard polypeptide concentration filters.
  • Protease inhibitors can also be added to inhibit proteolysis and antibiotics can be included to prevent the growth of microorganisms.
  • Adalimumab can be purified using, for example, hydroxyapatite chromatography, gel electrophoresis, dialysis, and affinity chromatography, and any combination of known or yet to be discovered purification techniques, including but not limited to Protein A chromatography, fractionation on an ion-exchange column, ethanol precipitation, reverse phase HPLC, chromatography on silica, chromatography on heparin SEPHAROSET®, an anion or cation exchange resin chromatography (such as a polyaspartic acid column), chromatofocusing, SDS- PAGE, and ammonium sulfate precipitation.
  • Protein A chromatography fractionation on an ion-exchange column, ethanol precipitation, reverse phase HPLC, chromatography on silica, chromatography on heparin SEPHAROSET®, an anion or cation exchange resin chromatography (such as a polyaspartic acid column), chromatofocusing, SDS- PAGE, and ammonium s
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab comprising a stabilizer comprising at least one member selected from the group consisting of a polyol and a surfactant; and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 4 to about 8, and preferably about 5 to about 6, and wherein said buffer does not comprise a combination of citrate and phosphate.
  • the stabilizer preferably comprises both polyol and surfactant.
  • the pharmaceutical composition can comprise one, or any combination of two or more buffers, as long as it does not comprise both citrate and phosphate.
  • the surfactant may be any pharmaceutically acceptable surfactant, preferably polysorbates (e.g., polysorbate 80) or poloxamers (e.g., Pluronic F-68).
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab compositions which comprise only one buffer (as opposed to two or more buffers) are more stable than adalimumab compositions comprising both a citrate buffer and a phosphate buffer.
  • adalimumab can be present at a concentration from about 20 to about 150 mg/ml, more preferably from about 20 to about 100 mg/ml, and even more preferably from about 30 to about 50 mg/ml.
  • the buffer is present at a concentration from about 5 mM to about 50 mM.
  • the pH of the compositions is between about 5 and about 6.
  • the single buffer compositions of the invention may further comprise a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • the amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine, most preferably glycine, arginine and methionine.
  • the salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • the metal ion is selected from the group consisting of zinc, magnesium and calcium.
  • the compositions of the invention may further comprise a surfactant.
  • the surfactant is a polysorbate surfactant or a poloxamer surfactant.
  • Polysorbate surfactants include polysorbate 80, polysorbate 40 and polysorbate 20.
  • a preferred polysorbate surfactant is polysorbate 80.
  • Poloxamer surfactants include poloxamer 188 (also available commercially as Pluronic F-68).
  • the surfactant is polysorbate 80.
  • the single buffer composition may further comprise a polyol.
  • the polyol is a sugar alcohol; and even more preferably, the sugar alcohol is mannitol, sorbitol or trehalose.
  • the single buffer adalimumab composition may also comprise a sugar, preferably sucrose, glucose or dextrose.
  • the invention provides a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and succinate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and histidine at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and either tartrate, maleate or acetate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab comprising at least one member selected from a polyol and a surfactant, wherein said composition has a pH of about 4 to about 8 and preferably about 5 to about 6, and wherein said composition is substantially free of a buffer.
  • the term "free of buffer” should be understood to allow inclusion of the inherent buffering effect of the protein itself.
  • the stabilizers referenced above may also be present (e.g. glycine, arginine and combinations thereof).
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab a polyol
  • a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 4 to about 8 and preferably about 5 to about 6, and wherein said composition is free or substantially free of a surfactant.
  • the composition does not contain the buffer combination of citrate and phosphate; and (ii) the buffer is at least one member selected from the group consisting of histidine and succinate; and (iii) the polyol is not mannitol at concentrations less than about 150 mM, but instead is selected from the group consisting of mannitol at concentrations exceeding about 150 mM, sorbitol and trehalose.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab a surfactant
  • a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 4 to about 8, and preferably about 5 to about 6, and wherein said composition is substantially free of polyol.
  • the composition (i) does not contain the buffer combination of citrate and phosphate; and (ii) the buffer is at least one member selected from the group consisting of histidine and succinate.
  • the composition may further comprise a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • the amino acid stabilizer may be selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • the salt stabilizer may be selected from the group consisting of sodium chloride and sodium sulfate.
  • the metal ion stabilizer may be selected from the group consisting of zinc, magnesium and calcium.
  • adalimumab formulations containing the stabilizers mentioned above also do not contain buffer systems in which phosphate buffer and citrate buffer are present in combination.
  • the optional additional stabilizer present in this embodiment is not sodium chloride, and comprises at least one or both of arginine and glycine;
  • the buffer, when present, contains no citrate and phosphate combination but is instead at least one of histidine and succinate; and
  • the stabilizer when it includes a polyol is not mannitol unless in amounts greater than about 150 mM, and may also include trehalose and sorbitol.
  • the amount of mannitol is greater than about 150 mM, and most preferably greater than about 200 mM.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab optionally a buffer, a stabilizer selected from the group consisting of an amino acid, a salt, EDTA, and a metal ion, and wherein said composition has a pH of about 4 to about 8, and preferably about 5 to about 6, and wherein said composition is free or substantially free of a polyol and surfactant.
  • the buffer not include the combination of citrate and phosphate; (ii) the buffer is selected from the group consisting of histidine and succinate; and (iii) the stabilizer does not comprise sodium chloride, but instead is at least one member selected from the group consisting of arginine and glycine. It is also preferred that the buffer is free or substantially free of citrate buffer, as we have discovered that it is generally poorer in terms of stability contribution than other buffers, such as histidine and succinate.
  • the buffer preferably does not contain a combination of citrate and phosphate, or is free or substantially free of citrate buffer ;
  • the buffer preferably is at least one member selected from the group consisting of histidine and succinate; and
  • the stabilizer preferably does not include sodium chloride, or if present is controlled to levels less than about 100 mM;
  • the stabilizer is at least one member selected from the group consisting of arginine and glycine, including combinations thereof; and
  • the polyol is preferably not mannitol (unless mannitol is present in amounts greater than about 150 mM and preferably greater than about 200 mM) but may include sorbitol and trehalose.
  • mannitol When using polyols for stabilization, mannitol is discovered herein to be destabilizing in comparison to sorbitol and trehalose unless the mannitol is present in amounts generaly above about 150 to 200mM.
  • sodium chloride is destabilizing compared to arginine or glycine, but we observe some stabilization when the levels of sodium chloride are controlled to less than about 100 mM and preferably less than about 75 mM.
  • adalimumab is present in the composition of the present invention at a concentration from about 20 to about 150 mg/ml, more preferably from about 20 to about 100 mg/ml, and even more preferably from about 30 to about 50 mg/ml.
  • Buffer if present, is present at a concentration from about 5 mM to about 50 mM.
  • Surfactant if present, is preferably a polysorbate (PS).
  • the polysorbate is polysorbate 80 (PS 80).
  • Poloxamer surfactants are also suitable (e.g., Pluronic® F-68).
  • the polyol if present, is a sugar alcohol.
  • the sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose, and most preferably sorbitol and trehalose.
  • the polyol is at a concentration from about 1 to about 10%, more preferably, from about 2 to about 6%, and even more preferably from about 3 to 5%, wherein said values are weight by volume (w/v) of the total composition.
  • a stabilizer when present, can be selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • the amino acid can be selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • the salt may be selected from the group consisting of sodium chloride and sodium sulfate.
  • the metal ion may be selected from the group consisting of zinc, magnesium and calcium. Glycine and arginine are particularly preferred stabilizers.
  • Zinc, magnesium and calcium when present for stabilization, may be at a concentration from about 1 mM to about 100 mM, and more preferably from about 1 to about 10 mM.
  • Glycine, or arginine, or combinations thereof, if present for stabilization is at a total concentration of up to about 300 mM, and preferably about 150 to 300 mM.
  • Methionine if present for stabilization, is present at a concentration from about 1 to about 10 mg/ml, more preferably from about 1 mg/ml to about 5 mg/ml.
  • Sodium chloride if present for stabilization, is at a concentration from about 5 to about 150 mM, more preferably, from about 20 to about 140 mM, and even more preferably less than about 100 mM.
  • Sodium sulfate if present if present for stabilization, is at a concentration from about 5 to about 150 mM, more preferably, from about 20 to about 120 mM, and even more preferably from about 60 to about 100 mM.
  • EDTA if present for stabilization, is present at a concentration from about 0.01 % to about 0.05%, more preferably from about 0.05% to about 0.25%, and even more preferably from about 0.08% to about 0.2%.
  • the pH of the composition is from about 5 to about 5.5; and even more preferably is about 5.2 to 5.4.
  • the invention provides a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, sorbitol or trehalose at a concentration from about 1 to 10 % weight by volume, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM to about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and provided said composition is free or substantially free of citrate/phosphate buffer combination.
  • citrate as the poorest of buffers, and preferably avoid it although it is still within the scope of the invention to formulate stable formulations of adalimumab that include citrate buffer, if not the combination thereof
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, sorbitol or trehalose at a concentration from about 1 to 10 % weight by volume, and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM to about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a surfactant and, optionally, and preferably, free or substantially free of citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, glycine at a concentration from about 20 to about 200 mM, and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM to about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is free or substantially free polyol; surfactant (e.g. PS8) is preferably, but optionally present; and the composition is, optionally, and preferably, free or substantially free of citrate/phosphate buffer combination.
  • surfactant e.g. PS8
  • the composition is, optionally, and preferably, free or substantially free of citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, arginine or glycine at a concentration from about 1 to about 250 mM, and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM and about 50 mM wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of polyol.
  • Surfactant e.g. PS80
  • the composition is, optionally, and preferably, free or substantially free of citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM and about 50 mM wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is free or substantially free of a polyol.
  • Surfactant e.g. PS80
  • the composition is, optionally, and preferably, free or substantially free of citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and at least one of succinate, histidine, phosphate, tartrate, maleate or citrate buffer, at a concentration from about 5 mM and about 50 mM wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is free or substantially free of a polyol and, optionally, and preferably, free or substantially free of citrate/phosphate buffer.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml
  • polysorbate 80 at a concentration from about 1 to about 50 ⁇
  • sorbitol or trehalose at a concentration from about 1 to about 10 % weight by volume
  • EDTA at a concentration from about 0.01 % to about 0.5%
  • succinate at least one of succinate, histidine, phosphate, tartrate, maleate or citrate, as a sole buffer, at a concentration from about 5 mM and about 50 mM wherein said composition has a pH of about 5 to about 5.5, and wherein the composition is free, or substantially free of citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml
  • polysorbate 80 at a concentration from about 1 to about 50 ⁇
  • sorbitol or trehalose at a concentration from about 1 to about 10 % weight by volume
  • methionine at a concentration from about 1 to about 10 mg/ml, %
  • at least one of succinate, histidine, phosphate, tartrate, maleate or citrate at a concentration from about 5 mM and about 50 mM wherein said composition has a pH of about 5 to about 5.5, wherein the composition is free or substantially free of any citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml
  • polysorbate 80 at a concentration from about 1 to about 50 ⁇
  • mannitol sorbitol or trehalose (preferably sorbitol) at a concentration from about 1 to about 10 % weight by volume
  • amino acid that is preferably one and not both of (a) arginine at a concentration from about 1 to about 250 mg/ml, and (b) glycine at a concentration of about 20 to 200 mg/ml, and histidine buffer or succinate buffer at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5; and wherein the composition is free or substantially free of any citrate/phosphate buffer combination.
  • the invention provides a stable aqueous pharmaceutical composition
  • adalimumab at a concentration from about 20 and about 150 mg/ml
  • polysorbate 80 at a concentration from about 1 to about 50 ⁇
  • arginine at a concentration from about 1 to about 250 mg/ml
  • glycine at a concentration of about 20 to 200 mg/ml
  • histidine buffer or succinate buffer at a concentration from about 5 mM to about 50 mM
  • said composition has a pH of about 5 to about 5.5 and is free or substantially free of polyol; and, optionally, wherein the composition is preferably free of any citrate/phosphate buffer combination.
  • adalimumab formulations of the present invention were prepared in eight separate blocks of experiments, referred to herein as "Block A” through “Block H.” Each block had 12 to 16 different formulations that were exposed to accelerated storage conditions, 1 week at 40°C and 2 weeks at 25°C. For each time point the chemical and physical stability of the adalimumab protein was measured by SEC, RP, UV, pH, CE-IEF and CE-SDS.
  • Humira® Block A experiments used adalimumab present in commercially available Humira®.
  • Humira® material was dialyzed as follows: 100 ⁇ _ of Humira® was placed into Mini Dialysis units with a 3.5 MWCO and dialyzed in 1 L of formulation buffer for 24 hours at 4 to 8°C. A few samples did experience a small increase in volume due to the dialysis, but never to extent that the concentration of the polysorbate 80 dropped below the CMC (critical micelle concentration).
  • the protein concentration for each formulation was measured by UV absorbance spectroscopy, using an calculated experimental molar absorptivity based on reported concentration of Humira®, 50 mg/mL.
  • the protein concentration was adjusted by using a spin concentrator. The sample was placed in the spin concentrator and rotated at 14,000 RPM for 30 to 60 sees. The protein concentration was then checked with UV. After the targeted protein concentration around 50 mg/mL was reached the samples were filtered through a 0.22 ⁇ sterile filter into sterile vials in a biosafety hood. The samples were then placed on stability at 40°C for one and two weeks.
  • pH Measurements The pH each sample was measured using a micro-pH probe. Before the start of analysis the pH probe was calibrated with three pH standards ordered from fisher. The pH values of the stability samples were measured by transferring 60 ⁇ _ of each stability sample to 100 ⁇ _ PCR tube. The micro-pH probe was then submerged into the sample and after the value stabilized it was recorded.
  • UV Absorbance Spectroscopy UV Absorbance Spectroscopy was used to measure the protein concentration in the samples.
  • the mole extinction coefficient at 280 nm for bulk substance was 1 .6355 mg/mL, which was determined experiential.
  • the protein concentrations of the all formulations for LB-140 were measured using a cell path length of 0.0096 cm. Below is the analysis parameters used for LB-140.
  • the RP HPLC method was found to be stability indicating and was used to analyze LB-140 stability samples. Below is a summary of the RP method parameter used for the analysis of the LB-140.
  • CE-IEF Analysis Capillary isoelectric focusing (clEF) was conducted as described in the PA 800 plus Application Guide published by Beckman Coulter. A more detailed description can be found in a research article published by Mack et al 1 . All analyses were conducted using a Beckman Coulter P/ACE MDQ system (Beckman Coulter, Inc.; Brea, CA) operated at ambient temperature with a 30 cm total length (20 cm effective) neutral capillary. The neutral capillary was prepared by immobilizing poly(acrylamide) to the capillary wall using a method described by Gao et al.
  • 2 clEF samples were prepared by mixing the protein of interest at 0.25 mg/mL with a mixture of 3M urea-clEF gel containing ampholyte, cathodic stabilizer, anodic stabilizer, and pi markers.
  • Sample was pressure injected at 9.5 psi into the capillary for 4.1 min, after which time it was focused by applying a voltage of 25 kV for 15 min between analyte and catholyte. This step was followed by chemical mobilization at 30 kV for 30 min between analyte and chemical mobilizer.
  • the pi markers and the protein of interest were detected with absorbance at 280 nm during the mobilization step.
  • the pi of the protein was calculated from the resultant regression equation of pi vs. first peak moment obtained from the pi standards.
  • CE-SDS Analysis Analysis by CE-SDS was conducted under reducing conditions utilizing a method adapted from the SOP published by Beckman-Coulter for determining IgG purity/heterogeneity. Briefly, the antibody was diluted with DDI water to 6 mg/mL, denatured by adding sample buffer (0.1 M Tris/1 .0% SDS, pH 8.0), and reduced via addition of 2-mercaptoethanol; the final antibody concentration was 1 .2 mg/mL. Denaturing and reduction was facilitated by heating the sample at 70° C for 10 min. The sample was cooled for 10 min at room temperature prior to analysis. A centrifuge step (300g, 5 min) was employed prior to heating the sample and directly after the cooling it.
  • sample buffer 0.1 M Tris/1 .0% SDS, pH 8.0
  • 2-mercaptoethanol 2-mercaptoethanol
  • CE analysis was conducted using a Beckman Coulter P/ACE MDQ system operated at ambient temperature with a 30 cm total length (20 cm effective, 50 ⁇ i.d.) capillary. Prior to sample introduction, the capillary was sequentially rinsed with 0.1 M NaOH, 0.1 M HCL, DDI water, and SDS-gel buffer solution. Sample was injected electrokinetically at 5 kV for 30s followed by separation at 30 kV for 30 min. For both injection and separation, the instrument was operated in reverse polarity mode. Antibody fragments were detected using absorbance at 214 nm (4 Hz acquisition) and time-normalized areas reported for measured peaks.
  • the present invention in one of its embodiments is directed to adalimumab formulations exhibiting long term stability, wherein a buffer combination of citrate and phosphate is avoided in favor of at least one buffer selected from the group consisting of histidine, phosphate, succinate and tartrate. Acetate is also a 5 suitable replacement for the citrate phosphate buffer combination.
  • the purity of these stored samples was checked using RP HPLC ( Figure 2). As with SEC, the citrate formulation exhibited the poorest stability, while all of the other buffers did as well or better than the buffer combination found in commercially available adalimumab (Humira®).
  • BLOCK B A second study (“BLOCK B”) was conducted examining just changes in the buffer species, where the pH (5.2) was not changed, as outlined in the table below labeled "BLOCK B Study Design.
  • Humira® the commercially available formulation for Humira® was used as a control, while all of the other formulations employed a proprietary adalimumab biosimilar protein.
  • Table B-1 summarizes the percent monomer for the Block B formulations (as well the percentage amount of an impurity determined to be a fragment of the adalimumab protein).
  • Block C A large-scale formulation screening study was carried out in the studies conducted in Block C (See Table C, below). Samples were stored for one week at 40 C (hereinafter referenced as “t1 ”) or two weeks at 25 C (hereinafter referenced as “t2"). These conditions were used throughout the remainder of our studies, so this terminology will be employed throughout the present detailed discussion.
  • Block C was designed to expand on the buffer assessment conducted in Block B. In addition, it examined glycine (Gly) and/or arginine (Arg) as possible stabilizers in place of mannitol and/or NaCI (Table C). Note that the buffer system used in the Humira® product employs the 8 mM citrate/18 mM phosphate buffer, which is the composition of Formulation 1 of Block C. In this case, a proprietary adalimumab biosimilar protein was used for formulation 1 of Block C, instead of adalimumab protein obtained from commercially available Humira®.
  • Histidine is suitable as a preferred buffer in terms of formulation stability, and that glycine or arginine, or combinations thereof, are also stability enhancing components for inclusion in an adalimumab formulation.
  • CE-SDS is essentially the CE version of SDS-PAGE slab gels. This method indicates that the relative areas of the LC peak do decrease when stored at elevated temperatures (Table C-5), while the amount of new peaks (cumulatively called Other') increases. Altogether, these changes are usually less than 2% for any of the formulations. There are some samples where the percentage of 'Other' is in the 4-6% range, but these are likely artifacts.
  • Block D Another set of formulations were evaluated as "Block D.” Sixteen formulations were designed to evaluate other stabilizers as alternatives to mannitol, such as sorbitol and trehalose (See Table D). Block D also examined using mannitol or NaCI as the sole tonicity agent, instead of using a mixture of the two excipients. The pH stability of the formulations was quite good, although the actual initial pH values were slightly lower than the target values for some formulations (Table D-1 ).
  • the RP data indicates that either citrate or phosphate provides better stability than the combination used in Humira® (Table D-3). Again, the avoidance of the citrate/phosphate combination represents an important feature of our invention. It could not have been known or predicted that citrate alone, or phosphate alone would provide better formulation stability than the commercial buffer system comprising a combination of citrate and phosphate.
  • the clEF analyses were run for Block D samples (Table D-4 above). As before, there is some decrease in the intensity of the main peak, but no new peaks are observed. In some cases, there is some small increase in the intensity of the more acidic peaks. The decreases in the main peak appear to be greater at t1 than at t2, suggesting that degradation at 5° C would be almost imperceptible.
  • This block of formulations was designed to evaluate the stability of formulations at different pH levels. If a buffer is not specified, acetate buffer (10 mM) was employed (Table E). A secondary objective was to evaluate Gly and Arg at higher concentrations and in combination as alternative stabilizers to mannitol and NaCI.
  • CE-SDS results show large increases in new peaks, with the Other category increasing to 15-20% for low pH samples at t1 (Table E-4).
  • the most stable formulation by CE-SDS appears to be Formulation 1 1 , which contains both Gly and Arg as the tonicity modifiers/stabilizers.
  • Block F studies were intended to investigate the stability for His- containing formulation using either mannitol, Gly or Arg as the sole tonicity modifier (Table F below). It also served as an opportunity to evaluate additives such as EDTA and methionine (Met), which can be effective at slowing oxidation. In addition, one high citrate concentration and one high phosphate concentration formulation were examined.
  • the pH values were all slightly lower than the target value of pH 5.2 (Table F-1 ).
  • the pH does change by about 0.1 units for most of the formulations when measured at t1 .
  • Block G formulation studies examined a variety of formulations with combinations of Gly and Arg as the primary stabilizers (Table XXXIV). In addition, two other surfactants (Pluronic F-68 and polysorbate 20, PS 20) were evaluated in addition to PS 80. Finally, a range of PS 80 concentrations was evaluated. 10746P00041PC
  • Block H formulations focused on three aspects of the adalimumab formulation: (1 ) higher protein concentrations, (2) formulations with no buffers present (other than the protein), and (3) the use of various buffer combinations beside citrate-phosphate (See Table H).
  • Block H formulations Stability of Block H formulations was monitored using SEC and RP HPLC. There is little loss in monomer content, with Formulation 1 appearing to be the least stable by SEC (Table H-2). At 100 mg/ml of adalimumab biosimilar API the histidine- buffered formulation containing Gly and Arg appears to be quite stable. In general, the best buffer combination appears to be His-succinate (Formulations 7 and 12). Buffer-free formulations with Gly and Arg show acceptable stability as well (Table H- 2). The RP HPLC data indicate that the buffer-free formulations (4 and 5) may not do quite as well as shown by SEC (Table H-3), with measurable decreases in purity, but are believed to be satisfactory for obtaining a formulation having long term stability.
  • the CE-SDS data detect the least change in Formulation 12, which is a His- succinate formulation (Table H-4).
  • the largest change at t1 occurs with Formulation 7, which is also a His-succinate formulation, but using mannitol and NaCI as the tonicity modifiers.
  • PLS partial least squares
  • a variable within the X- matrix contributes heavily to the construction of a given PC, then it is ranked as being significant.
  • regression coefficients can be calculated for each variable in the X-matrix for a given model, where a model is the composite of a certain number of PCs in order to provide an adequate description of the Y-matrix.
  • PLS takes information from the X- matrix, calculates the desired number of PCs, and constructs a suitable model.
  • the model that includes all of the samples is termed a calibration model [1 ,2].
  • the overall coefficient of determination (r 2 ) indicates the quality of the model. All PLS calculations were conducted using Unscrambler ® software (CAMO, Corvallis, OR).
  • a PLS analysis done with a single variable in the Y-matrix is termed PLS1 analysis. Building a model that fits multiple variables in the Y-matrix is called PLS2 analysis.
  • a full cross validation was performed on all calibration models using standard techniques. Briefly, one sample is removed at a time, the data set is recalibrated, and a new model is constructed. This process is repeated until all of the calibration samples are removed once and quantified as a validation model. Therefore, the first set, containing all samples is referred to as the calibration set and the one after cross-validation as the validation set.
  • the jack-knife algorithm See, Martens et al) was used to determine statistical significance for any factor used in constructing the PLS models described above.
  • Figure 3 contains a depiction of the monomer content at t1 (model 1 ) as a function of citrate and phosphate concentrations.
  • the pH has been fixed at 5.2.
  • the model indicated that phosphate and citrate by themselves were weak destabilizers (not to statistical significance), along with tartrate and maleate.
  • succinate which is structurally similar to citrate, tartrate and maleate, was a weak stabilizer.
  • the only buffer found to be a significant stabilizer was histidine. None of these findings could have been predicted based on the literature or examination of the chemical structure of each buffer.
  • the model also indicated that when citrate and phosphate buffer are used together, the formulation is least stable. If one only uses a single buffer, especially phosphate, stability improves. This is surprising, as phosphate has little or no buffer capacity at pH 5.2, while citrate buffer does. None of this behavior could have been predicted based on what was known in the art.
  • Figure 4 contains a depiction of the monomer content at t2 (model 2).
  • a model was constructed using the monomer content by SEC at t2 as the endpoint.
  • This model also demonstrated that the stability is lowest when citrate and phosphate are used together. The lowest stability was shown when citrate is above 10 mM and phosphate is between 5 and 15 mM. Stability improves when the citrate concentration is lowered and/or phosphate concentration is lowered or raised.
  • Figure 5 is a PLS model 1 showing the effect of histidine and glycine on the stability of formulations. It contains a depiction of the monomer content at t1 (model 1 ). This model indicated that the combination of histidine and glycine yielded very good stability results. Both histidine (His) and glycine (Gly) were determined to be stabilizers. The lowest stability on the response surface (shown in blue) is when there is the lowest concentration of His and Gly. The effect of His on stability is greater, with 20 mM His provjding comparable stabilization to 120 mM Gly (note the opposite corners of the graph). The model indicates that there will be an additive benefit to stability by using both excipients, with the highest stability occurring when the His concentration is 20 mM and the Gly concentration is 120 mM.
  • Figure 6 is a PLS model 1 showing the effect of arginine and sorbitol on the stability of formulations. It contains a depiction of the monomer content at t1 (model 1 ). This model indicated that arginine was a good stabilizer, while sorbitol was a poor stabilizer. Likewise, arginine (Arg) provides a degree of stabilization that is similar to that found for Gly. The poorest stability as indicated by this model is when the Arg concentration is low and the sorbitol concentration is low (the blue area of the graph). As the concentrations of each excipient are increased, the monomer content at t1 is increased.
  • Figure 7 is a PLS model 1 showing the effect of pH and histidine on the stability of formulations. It contains a depiction of the monomer content at t1 (model 1 ). This model indicated that histidine appears to be the best buffer, while pH should preferably be at 5 or higher for best stability.
  • Figure 8 is a PLS model 2 showing the effect of pH and histidine on the stability of formulations. It contains a depiction of the monomer content at t2 (model 2). This model indicated that histidine appears to be the best buffer, while pH should preferably be at 5 or higher for best stability. The results indicate that the optimal pH is near 5.2. Of all of the buffers that were examined, histidine provides the greatest degree of stabilization. This response surface illustrates two important points. First, the stability appears to be maximal near pH 5.2, falling off at a higher and lower pH. Second, histidine is shown to provide a significant increase in stability. When histidine is used at 20 mM, it provides a marked increase in stability over lower buffer concentrations. In fact, the effect appears to be non-linear, with more stabilization occurring from 10 to 20 mM than from 0 to 10 mM. Further, the loss in stability is more abrupt at higher pH than at lower pH.
  • Figure 9 is a PLS model 2 showing the effect of trehalose and PS80 on the stability of formulations. It contains a depiction of the monomer content at t2. This model indicated that trehalose appears to be a weak stabilizer, while PS80 improves thermal stability.
  • the response surface shown in Figure 9 indicates that PS 80 is a potent stabilizer for protecting adalimumab against thermal stress, with a concentration of 0.1 % providing maximal stability. The concentration of PS 80 has not been varied other than at 0 and 0.1 %. By comparison, this model shows that the stabilization effect of trehalose is quite small, certainly less than what was seen with sorbitol.
  • PLS Model 2 Figure 10.
  • Figure 10 is a PLS model 2 showing the effect of mannitol and PS80 on the stability of formulations. It contains a depiction of the monomer content at t2 (model 2). This model indicated that mannitol appears to be a destabilizer, while PS80 improves thermal stability.
  • the PLS model using monomer content by SEC at t2 allows one to examine the relative effects of any of the factors included in the model. As the mannitol concentration increases, the overall stability decreases. By comparison, the impact of PS80 on the stability is rather small.
  • Figure 1 1 is a PLS model 1 showing the effect of mannitol and NaCI on the stability of formulations. It contains a depiction of the monomer content at t1 (model 1 ). This model indicated that mannitol and NaCI both appear to be destabilizers. The stability, as indicated by the monomer content at t1 , is lowest when the mannitol concentration is anywhere below 150 mM. Likewise, addition of NaCI also diminishes the stability of adalimumab.
  • Figure 12 is a PLS model 1 showing the effect of EDTA and methionine on the stability of formulations. It contains a depiction of the monomer content at t1 . In the case of EDTA, the stability decreases slightly as the concentration of this additive increases. In contrast, addition, of Met appears to improve stability.
  • the first PLS model (PLS Model A) used difference in monomer content at t1 as the endpoint.
  • the model employed three PCs and had a correlation coefficient for the calibration set of 0.83 and a r-value of 0.67 for the validation set. It was a quadratic model including pH-buffer and buffer-buffer interaction terms.
  • the model quality is acceptable, considering the correlation coefficients of the calibration and validation sets.
  • the overall correlation coefficients for the various factors included in the model are summarized in Table J. Note that the quadratic and interaction terms are not listed here. As the endpoint is the difference in monomer content, one wishes to minimize this value. Thus, stabilizers exhibit negative correlation coefficients, while destabilizers have positive r-values. Of the stabilizers, His, Gly, Arg, and PS 80 are the most potent, although mannitol and succinate also have a stabilizing effect (Table J). Meanwhile, there are some significant destabilizers, such as NaCI, citrate, and phosphate.
  • the Krause '583 patent describes the citrate-phosphate buffer system as being integral to product stability. Our studies show this not to be the case. The poorest stability would occur when these two buffers were used in combination and the effect would get worse as the buffer concentrations increase, according to this model ( Figure 3[1 ]).
  • the response surface indicates that the phosphate and citrate are equally destabilizing, contrary to some earlier observations, but the quantitative nature of these surfaces must be considered with some care as they include data from all of the formulations from Blocks B through H.
  • the final response surface shown for PLS Model A is for the effect of NaCI and PS 80 ( Figure 16). It shows that the stability of adalimumab decreases upon addition of NaCI, especially above 100 mM. Meanwhile, PS 20 provides significant stability when used above 0.04%.
  • the second PLS model (PLS Model B) used the monomer content at t1 and at t2 as the endpoints.
  • the model employed four PCs and had a correlation coefficient for the calibration set of 0.82 and a r-value of 0.67 for the validation set. It was a quadratic model including pH-buffer and buffer-buffer interaction terms. In terms of model quality, this is comparable to the first PLS Model A described above.
  • the endpoints for PLS Model B are the total monomer contents at both t1 and t2. Therefore, one will wish to maximize these values. This means that stabilizers with have positive correlation coefficients and destabilizers will display negative r- values (Table K). As with the previous model, citrate, phosphate, and NaCI are significant destabilizers. On the other hand, His, Gly Arg, and PS 20 are potent stabilizers. In this model, trehalose, sorbitol and mannitol have very little effect. The primary differences are that pH is now a significant factor and that EDTA is a significant destabilizer, while Met appears to be a stabilizer as well.
  • a stable formulation could be comprised of 240 mM mannitol and 0.1 % PS 80 at pH 5.2.
  • NaCI is a destabilizer of adalimumab, especially when the concentration reach 100 mM or above, as shown in this response surface ( Figure 21 ). While only a few formulations were tested that included EDTA, it appears that this excipient is destabilizing, unless the concentration were ⁇ 0.1 %. We also note that the effect of Met was favorable with respect to stability, but it did not prove to be a significant effect, probably because relatively few examples were evaluated.
  • the final response surface from the PLS Model B to be considered is the effect of succinate and His (Figure 22).
  • the model did include all relevant buffer- buffer interactions. This surface shows that succinate has little or even deleterious effects on its own (see the front edge of the plot). However, in conjunction with His it proves to increase the overall stability (e.g., note that back edge of the surface). Therefore, a His-succinate buffer system appear to be the most favorable of all of the buffer combinations tested to date.
  • the third PLS model C used the difference in percent purity by RP HPLC at t1 as the endpoint.
  • the model employed two PCs and had a correlation coefficient for the calibration set of 0.86 and a r-value of 0.67 for the validation set. It was a quadratic model including pH-buffer and buffer-buffer interaction terms. In terms of model quality, this is very similar to the previous model.
  • PLS Model C demonstrates that RP HPLC is stability-indicating, even though the sensitivity may be less than for SEC.
  • the model finds that both phosphate and citrate are destabilizing, with the effect of phosphate being statistically significant (Table LI).
  • acetate is a strong destabilizer as is EDTA.
  • Gly and Arg are shown to be stabilizers, but the effects are not deemed to be statistically significant. Only His was found to be a significant stabilizer (along with protein concentration). Discussion of PLS Model C-Fiqure 23
  • the optimal pH appears to be 5.2 ⁇ 0.2.
  • the citrate-phosphate combination is inferior to nearly any other buffer system evaluated, hence an important aspect of the present invention is the avoidance of this combined buffer system altogether.
  • the best single buffer appears to be His, while a His-succinate buffer also offers very good stability. Even buffer-free systems, which rely on the ability of the protein to buffer the formulation, appear to have acceptable stability profiles under accelerated stress conditions.
  • both Arg and Gly elicit very good stabilization of adalimumab. They both work better than mannitol.
  • Mannitol does appear to be a stabilizer, however we have discovered that if used it should be at the highest possible concentrations, but in any event exceeding about 150 mM, ad most preferably at or exceeding about 200 mM.
  • NaCI is clearly a destabilizer, especially when the concentrations exceed 75-100 mM; hence, NaCI, if present should be controlled to levels below about 75 mM.
  • Other polyols, such as sorbitol and trehalose appear to work about as well as mannitol and therefore may be substituted for mannitol if desired.
  • polysorbate 80 provides significant protection against thermal stress. While the mechanism of stabilization is not known, it appears that other surfactants tested (PS 20 and F-68), do not appear to be nearly as effective as PS 80. Hence the selection of PS80 versus PS 20 is a preferred feature of the present invention.
  • Formulations according to the present invention preferably contain contain at least 0.04% (w/v) PS 80.
  • formulations of the invention may also include other buffers (unless they are specifically excluded in the description of the specific embodiments of the invention), tonicity modifiers, excipients, pharmaceutically acceptable carriers and other commonly used inactive ingredients of the pharmaceutical compositions.
  • a tonicity modifier is a molecule that contributes to the osmolality of a solution.
  • the osmolality of a pharmaceutical composition is preferably adjusted to maximize the active ingredient's stability and/or to minimize discomfort to the patient upon administration. It is generally preferred that a pharmaceutical composition be isotonic with serum, i.e., having the same or similar osmolality, which is achieved by addition of a tonicity modifier.
  • the osmolality of the provided formulations is from about 180 to about 420 mOsM.
  • the osmolality can be either higher or lower as specific conditions require.
  • tonicity modifiers suitable for modifying osmolality include, but are not limited to amino acids (not including arginine) (e.g., cysteine, histidine and glycine), salts (e.g., sodium chloride or potassium chloride) and/or sugars/polyols (e.g., sucrose, sorbitol, maltose, and lactose).
  • amino acids not including arginine
  • cysteine e.g., cysteine, histidine and glycine
  • salts e.g., sodium chloride or potassium chloride
  • sugars/polyols e.g., sucrose, sorbitol, maltose, and lactose.
  • the concentration of the tonicity modifier in the formulation is preferably between about 1 mM to about 1 M, more preferably about 10 mM to about 200 mM.
  • Tonicity modifiers are well known in the art and are manufactured by known methods and available from commercial suppliers.
  • Suitable tonicity modifiers may be present in the compositions of the invention unless they are specifically excluded in the description of the specific embodiments of the invention.
  • Excipients also referred to as chemical additives, co-solutes, or co-solvents, that stabilize the polypeptide while in solution (also in dried or frozen forms) can also be added to a pharmaceutical composition.
  • Excipients are well known in the art and are manufactured by known methods and available from commercial suppliers.
  • excipients include but are not limited to sugars/polyols such as: sucrose, lactose, glycerol, xylitol, sorbitol, mannitol, maltose, inositol, trehalose, glucose; polymers such as: serum albumin (bovine serum albumin (BSA), human SA or recombinant HA), dextran, PVA, hydroxypropyl methylcellulose (HPMC), polyethyleneimine, gelatin, polyvinylpyrrolidone (PVP), hydroxyethylcellulose (HEC); non-aqueous solvents such as: polyhydric alcohols, (e.g., PEG, ethylene glycol and glycerol) dimethysulfoxide (DMSO) and dimethylformamide (DMF); amino acids such as: proline, L-serine, sodium glutamic acid, alanine, glycine, lysine hydrochloride, s,
  • Suitable excipients may be present in the compositions of the invention unless they are specifically excluded in the description of the specific embodiments of the invention.
  • concentration of one or more excipients in a formulation of the invention is/are preferably between about 0.001 to 5 weight percent, more preferably about 0.1 to 2 weight percent.
  • the invention provides a method of treating a mammal comprising administering a therapeutically effective amount of the pharmaceutical compositions of the invention to a mammal, wherein the mammal has a disease or disorder that can be beneficially treated with adalimumab.
  • the mammal is a human.
  • Diseases or disorders that can be treated with the provided compositions include but are not limited to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Wegener's disease (granulomatosis), Crohn's disease (or inflammatory bowel disease), chronic obstructive pulmonary disease (COPD), Hepatitis C, endometriosis, asthma, cachexia, psoriasis, and atopic dermatitis.
  • Additional diseases or disorders that can be treated with the compositions of the present invention include those described in U.S. Patent Nos. 6,090,382 and 8,216,583 the relevant portions of which are incorporated herein by reference.
  • compositions may be administered to a subject in need of treatment by injection systemically, such as by intravenous injection; or by injection or application to the relevant site, such as by direct injection, or direct application to the site when the site is exposed in surgery; or by topical application.
  • the invention provides a method of treatment and/or prevention of rheumatoid arthritis comprises administering to a mammal in need thereof a therapeutically effective amount of one of the provided adalimumab compositions.
  • the therapeutically effective amount of the adalimumab in the provided compositions will depend on the condition to be treated, the severity of the condition, prior therapy, and the patient's clinical history and response to the therapeutic agent.
  • the proper dose can be adjusted according to the judgment of the attending physician such that it can be administered to the patient one time or over a series of administrations.
  • the effective adalimumab amount per adult dose is from about 1 -500 mg/m 2 , or from about 1 -200 mg/m 2 , or from about 1 -40 mg/m 2 or about 5-25 mg/m 2 .
  • a flat dose may be administered, whose amount may range from 2-500 mg/dose, 2-100 mg/dose or from about 10-80 mg/dose.
  • an exemplary dose range is the same as the foregoing described dose ranges or lower and preferably administered two or more times per week at a per dose range of 25-100 mg/dose.
  • an acceptable dose for administration by injection contains 80-100 mg/dose, or alternatively, containing 80 mg per dose.
  • adalimumab is administered at 40 mg by a single subcutaneous (SC) injection.
  • an improvement in a patient's condition will be obtained by administering a dose of up to about 100 mg of the pharmaceutical composition one to three times per week over a period of at least three weeks. Treatment for longer periods may be necessary to induce the desired degree of improvement. For incurable chronic conditions the regimen may be continued indefinitely. For pediatric patients (ages 4-17), a suitable regimen may involve administering a dose of 0.4 mg/kg to 5 mg/kg of adalimumab, one or more times per week.
  • the pharmaceutical formulations of the invention may be prepared in a bulk formulation, and as such, the components of the pharmaceutical composition are adjusted to be higher than would be required for administration and diluted appropriately prior to administration.
  • the pharmaceutical compositions can be administered as a sole therapeutic or in combination with additional therapies as needed.
  • the provided methods of treatment and/or prevention are used in combination with administering a therapeutically effective amount of another active agent.
  • the other active agent may be administered before, during, or after administering the pharmaceutical compositions of the present invention.
  • Another active agent may be administered either as a part of the provided compositions, or alternatively, as a separate formulation.
  • Administration of the provided pharmaceutical compositions can be achieved in various ways, including parenteral, oral, buccal, nasal, rectal, intraperitoneal, intradermal, transdermal, subcutaneous, intravenous, intra-arterial, intracardiac, intraventricular, intracranial, intratracheal, intrathecal administration, intramuscular injection, intravitreous injection, and topical application.
  • compositions of this invention are particularly useful for parenteral administration, i.e., subcutaneously, intramuscularly, intravenously, intraperitoneal, intracerebrospinal, intra-articular, intrasynovial, and/or intrathecal.
  • Parenteral administration can be by bolus injection or continuous infusion.
  • Pharmaceutical compositions for injection may be presented in unit dosage form, e.g., in ampoules or in multi-dose containers, with an added preservative.
  • compositions of the present invention are suitable for administration using these new methods, e.g., Inject-ease®, Genject®, injector pens such as GenPen®, and needleless devices such as MediJector® and BioJector®.
  • the present pharmaceutical composition can also be adapted for yet to be discovered administration methods. See also Langer, 1990, Science, 249:1527-1533.
  • compositions can also be formulated as a depot preparation.
  • Such long acting formulations may be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection.
  • the formulations may be modified with suitable polymeric or hydrophobic materials (for example as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
  • compositions may, if desired, be presented in a vial, pack or dispenser device which may contain one or more unit dosage forms containing the active ingredient.
  • the dispenser device can comprise a syringe having a single dose of the liquid formulation ready for injection.
  • the syringe can be accompanied by instructions for administration.
  • the present invention is directed to a kit or container, which contains an aqueous pharmaceutical composition of the invention.
  • concentration of the polypeptide in the aqueous pharmaceutical composition can vary over a wide range, but is generally within the range of from about 0.05 to about 20,000 micrograms per milliliter ( g/ml) of aqueous formulation.
  • the kit can also be accompanied by instructions for use.
  • a stable aqueous pharmaceutical composition containing adalimumab, using a single buffer, and substantially free of a surfactant may be prepared as follows:
  • Each solid formulation component may be weighed to the amount required for a given volume of formulation buffer. These components may then be combined into a beaker or vessel capable of carrying and measuring the given volume of formulation buffer. A volume of deionized water equal to approximately 3 ⁇ 4 of the target given formulation buffer may be added to the beaker, and the components may be solublized through use of a magnetic stir bar. The pH of the buffer may be adjusted to the target formulation pH using 1 molar sodium hydroxide and/or 1 molar hydrogen chloride. The final formulation buffer volume may then be raised to the target volume through the addition of deionized water. The solution may then be mixed with a magnetic stir bar after final water addition.
  • Adalimumab solution may then be placed in dialysis material housing (such as Thermo Scientific Slide-A-Lyzer MINI Dialysis Unit 10,000 MWCO), which may then be placed in contact with the desired formulation buffer for 12 hours at 4°C.
  • dialysis material housing such as Thermo Scientific Slide-A-Lyzer MINI Dialysis Unit 10,000 MWCO
  • Formulation buffer volume to protein solution volume ratio should be no less than 1000:1 .
  • the dialysis housing and protein solution it contains may then be placed in a second, equal volume of formulation buffer for an additional 12 hours at 4°C.
  • Resulting adalimumab solution may then be removed from the dialysis material housing, and the concentration of adalimumab may then be determined using ultraviolet spectroscopy.
  • Adalimumab concentration may then be adjusted to the desired level using centrifugation (such as Amicon Ultra 10,000 MWCO Centrifugal Concentrators) and/or dilution with formulation buffer.
  • a sample composition of the invention is represented in Table 1 below:
  • composition disclosed in Table 1 does not contain a combination of citrate and phosphate buffer. It also does not require the presence of a surfactant.
  • compositions of examples 2 and 3 have long term stability and do not contain a combination of citrate and phosphate buffer, and do not require the presence of a surfactant.
  • Adalimumab active ingredient 50 mg/ml
  • compositions disclosed in Examples 4(a) through 4(f) above will afford stability without need for polyol and without need for a combined buffer system.
  • additional buffers may be employed in combination with the histidine and succinate buffers disclosed herein (e.g, acetate, citrate, maleate, tartrate, and phosphate buffers); provided the formulation does not use a buffer combination of citrate and phosphate.
  • Adalimumab active ingredient 50 mg/ml
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, a surfactant, and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 5 to about 6, and wherein said buffer does not comprise both of citrate and phosphate.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a surfactant, wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a buffer.
  • composition of any of embodiments A-G, wherein said surfactant is a polysorbate.
  • said polysorbate is polysorbate 80.
  • composition of embodiment K wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment L wherein said mannitol is at a concentration from about 1 to 10 % weight by volume of the total composition.
  • composition of any of embodiments A-0 further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment P wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment P, wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • composition of embodiment P, wherein said metal ion is selected from zinc, magnesium and calcium.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, mannitol at a concentration from about 1 to 10 % weight by volume, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of phosphate.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a surfactant.
  • composition of embodiment BB wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment CC wherein said mannitol is at a concentration from about 1 to 10 % weight by volume of the total composition.
  • composition of any of embodiments CC-FF further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment GG wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment GG wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, mannitol at a concentration from about 1 to 10 % weight by volume, and citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a surfactant.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a buffer, a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion, and wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a polyol.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion
  • composition of embodiment LL, wherein said stabilizer is selected from the group consisting of an amino acid, a salt, EDTA and a metal ion.
  • composition of embodiment SS wherein said amino acid is selected from the group consisting of glycine, alanine and arginine.
  • composition of embodiment SS wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • composition of embodiment TT wherein said glycine is at a concentration from about 20 to about 200 mM.
  • AAA The composition of embodiment UU, wherein said sodium chloride is at a concentration from about 5 to about 150 mM.
  • BBB The composition of embodiment AAA, wherein said sodium chloride is at a concentration from about 20 to about 140 mM.
  • EEE The composition of embodiment UU, wherein said sodium chloride is at a concentration from about 20 to about 120 mM.
  • composition of embodiment EEE, wherein said sodium chloride is at a concentration from about 60 to about 100 mM.
  • composition of any of embodiments LL-FF further comprising a surfactant.
  • composition of embodiment GGG, wherein said surfactant is a polysorbate is a polysorbate.
  • composition of embodiment HHH, wherein said polysorbate is polysorbate 80.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, glycine at a concentration from about 20 to about 200 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, arginine at a concentration from about 1 to about 250 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH from about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, polysorbate 80 at a concentration from about 1 to 50 ⁇ , citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, a surfactant, a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion, and a buffer selected from the group consisting of citrate, phosphate, succinate, tartrate and maleate, wherein said composition has a pH from about 5 to about 6.
  • TTT The composition of any of embodiments NNN-SSS, wherein said buffer is at a concentration from about 5 mM and about 20 mM.
  • UUU The composition of any of embodiments NNN-TTT, wherein said buffer is at a concentration from about 10 mM and about 20 mM.
  • composition of embodiment XXX, wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • AAAA The composition of any of embodiments XXX-ZZZ, wherein said mannitol is at a concentration from about 2 to 6 % weight by volume of the total composition.
  • FFFF FFFF.
  • EDTA is at a concentration from about 0.08% to about 0.2%.
  • GGGG The composition of any of embodiments NNN-BBBB, wherein said stabilizer is methionine.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ , mannitol at a concentration from about 1 to 10 % weight by volume, EDTA at a concentration from about 0.01 % to about 0.5%, citrate at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ , mannitol at a concentration from about 1 to 10 % weight by volume, methionine at a concentration from about 1 to about 10 mg/ml, citrate at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a buffer selected from the group consisting of citrate, phosphate, succinate, tartrate and maleate, wherein said composition has a pH of about 3.5.
  • composition of embodiment SSSS wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment TTTT wherein said mannitol is at a concentration from about 1 to about 10 % weight by volume of the total composition.
  • composition of any of embodiments LLLL-WWWW further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment XXXX, wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment XXXX wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate. AAAAA.
  • composition of any of embodiments TTTT-AAAAA further comprising a surfactant.
  • composition of embodiment CCCCC, wherein said polysorbate is polysorbate 80.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, a surfactant, and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 5 to about 6, and wherein said buffer does not comprise both of citrate and phosphate.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a surfactant, wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a buffer.
  • composition of embodiment K wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment L wherein said mannitol is at a concentration from about 1 to 10 % weight by volume of the total composition.
  • composition of any of embodiments A-0 further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment P wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment P, wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • composition of embodiment P, wherein said metal ion is selected from zinc, magnesium and calcium.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, mannitol at a concentration from about 1 to 10 % weight by volume, polysorbate 80 at a concentration from about 1 to 50 ⁇ , and citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of phosphate.
  • UA stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a buffer selected from the group consisting of citrate, phosphate, succinate, histidine, tartrate and maleate, wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a surfactant.
  • composition of embodiment U wherein said adalimumab is at a concentration from about 20 and about 150 mg/ml.
  • composition of embodiment BB wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment CC wherein said mannitol is at a concentration from about 1 to 10 % weight by volume of the total composition.
  • GG The composition of any of embodiments U-FF further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • EDTA ethylenediaminetetraacetic acid
  • composition of embodiment GG wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment GG wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, mannitol at a concentration from about 1 to 10 % weight by volume, and citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a surfactant.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a buffer, a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion, and wherein said composition has a pH of about 5 to about 6, and wherein said composition is substantially free of a polyol.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion
  • composition of embodiment LL, wherein said stabilizer is selected from the group consisting of an amino acid, a salt, EDTA and a metal ion.
  • composition of embodiment TT wherein said amino acid is selected from the group consisting of glycine, alanine and arginine.
  • composition of embodiment TT wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • composition of embodiment TT wherein said glycine is at a concentration from about 20 to about 200 mM.
  • composition of embodiment TT wherein said arginine is at a concentration from about 1 to about 250 mM.
  • AAA The composition of embodiment UU, wherein said sodium chloride is at a concentration from about 5 to about 150 mM.
  • BBB The composition of embodiment AAA, wherein said sodium chloride is at a concentration from about 20 to about 140 mM.
  • CCC The composition of embodiment AAA, wherein said sodium chloride is at a concentration from about 75 to about 125 mM.
  • EEE The composition of embodiment UU, wherein said sodium chloride is at a concentration from about 20 to about 120 mM.
  • composition of embodiment EEE, wherein said sodium chloride is at a concentration from about 60 to about 100 mM.
  • composition of any of embodiments LL-FF further comprising a surfactant.
  • composition of embodiment GGG, wherein said surfactant is a polysorbate is a polysorbate.
  • composition of embodiment HHH, wherein said polysorbate is polysorbate 80.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, glycine at a concentration from about 20 to about 200 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, arginine at a concentration from about 1 to about 250 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH from about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, sodium chloride at a concentration from about 5 to about 150 mM, polysorbate 80 at a concentration from about 1 to 50 ⁇ , citrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of a polyol.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, a surfactant, a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion, and a buffer selected from the group consisting of citrate, phosphate, succinate, tartrate and maleate, wherein said composition has a pH from about 5 to about 6.
  • TTT The composition of any of embodiments NNN-SSS, wherein said buffer is at a concentration from about 5 mM and about 20 mM.
  • composition of embodiment XXX, wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • AAAA The composition of any of embodiments YYY-ZZZ, wherein said mannitol is at a concentration from about 2 to 6 % weight by volume of the total composition.
  • BBBB he composition of any of embodiments YYY-AAAA, wherein said mannitol is at a concentration from about 3 to 5 % weight by volume of the total composition.
  • GGGG The composition of any of embodiments NNN-BBBB, wherein said stabilizer is methionine. HHHH. The composition of embodiment GGGG, wherein said methionine is at a concentration from about 1 to about 10 mg/ml.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ , mannitol at a concentration from about 1 to 10 % weight by volume, EDTA at a concentration from about 0.01 % to about 0.5%, citrate at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ , mannitol at a concentration from about 1 to 10 % weight by volume, methionine at a concentration from about 1 to about 10 mg/ml, citrate at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5.
  • a stable aqueous pharmaceutical composition comprising adalimumab, a polyol, and a buffer selected from the group consisting of citrate, phosphate, succinate, tartrate and maleate, wherein said composition has a pH of about 3.5.
  • composition of embodiment SSSS wherein said sugar alcohol is selected from the group consisting of mannitol, sorbitol and trehalose.
  • composition of embodiment TTTT wherein said mannitol is at a concentration from about 1 to about 10 % weight by volume of the total composition.
  • composition of any of embodiments LLLL-WWWW further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment XXXX, wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment XXXX, wherein said salt is selected from the group consisting of sodium chloride and sodium sulfate.
  • AAAAA The composition of embodiment XXXX, wherein said metal ion is selected from zinc, magnesium and calcium.
  • BBBBB. The composition of any of embodiments LLLL-AAAAA further comprising a surfactant.
  • composition of embodiment CCCCC, wherein said polysorbate is polysorbate 80.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ ; polyol selected from sorbitol, mannitol or trehalose at a concentration from about 1 to about 10 % weight by volume, and at least one amino acid stabilizer selected from the group consisting of (a) arginine at a concentration from about 1 to about 250 mg/ml and (b) glycine at a concentration of about 20 to 200 mg/ml, and histidine buffer or succinate buffer at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5.
  • composition of embodiment EEEEE wherein the polyol is sorbitol, and the composition is free or substantially free of any citrate/phosphate buffer combination, and the formulation comprises arginine or glycine, but not both.
  • GGGGG A stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 1 to about 50 ⁇ , arginine at a concentration from about 1 to about 250 mg/ml, glycine at a concentration of about 20 to 200 mg/ml, and histidine buffer or succinate buffer at a concentration from about 5 mM and about 50 mM, and wherein said composition has a pH of about 5 to about 5.5 and said composition is free or substantially free of polyol.
  • HHHHH The composition of embodiment GGGGG wherein the the composition is free or substantially free of any citrate/phosphate buffer combination.
  • a stable aqueous pharmaceutical composition comprising adalimumab and a single buffer.
  • composition of embodiment A, wherein said single buffer is selected from the group consisting of succinate, histidine, citrate, phosphate, tartrate and maleate.
  • composition of any of the preceding embodiments, wherein said composition has a pH of about 5 to about 6.
  • composition of any of the preceding embodiments, wherein said adalimumab contained in said pharmaceutical compositions does not lose more than 20% of its activity relative to activity of the composition at the beginning of storage.
  • composition of any of the preceding embodiments, further comprising a surfactant further comprising a surfactant.
  • composition of embodiment E, wherein said surfactant is a polysorbate.
  • composition of embodiment F wherein said polysorbate is polysorbate 80.
  • composition of any of the preceding embodiments, further comprising a polyol comprising a polyol.
  • composition of embodiment H, wherein said polyol is a sugar alcohol.
  • composition of embodiment I, wherein said sugar alcohol is sorbitol is sorbitol.
  • composition of any of the preceding embodiments further comprising a sugar.
  • sugar is selected from the group consisting of sucrose and trehalose.
  • composition of any of embodiments A-N further comprising a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • a stabilizer selected from the group consisting of an amino acid, a salt, ethylenediaminetetraacetic acid (EDTA) and a metal ion.
  • composition of embodiment O wherein said amino acid is selected from the group consisting of glycine, alanine, glutamate, arginine and methionine.
  • composition of embodiment O wherein said metal ion is selected from zinc, magnesium and calcium.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 0.01 % w/v to 0.5% w/v by weight of the total formulation, and succinate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 0.01 % w/v to 0.5% w/v by weight of the total formulation, and histidine at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • a stable aqueous pharmaceutical composition comprising adalimumab at a concentration from about 20 and about 150 mg/ml, polysorbate 80 at a concentration from about 0.01 % w/v to 0.5% w/v by weight of the total formulation, and tartrate at a concentration from about 5 mM and about 50 mM, wherein said composition has a pH of about 5 to about 5.5, and wherein said composition is substantially free of any other buffers.
  • a method of treating a mammal comprising administering to said mammal a therapeutically effective amount of the composition of any of preceding embodiments, wherein said mammal has a disease or disorder that can be beneficially treated with adalimumab.
  • said disease or disorder is selected from the group consisting of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Wegener's disease (granulomatosis), Crohn's disease (or inflammatory bowel disease), chronic obstructive pulmonary disease (COPD), Hepatitis C, endometriosis, asthma, cachexia, psoriasis, and atopic dermatitis.
  • said disease or disorder is selected from the group consisting of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Wegener's disease (granulomatosis), Crohn's disease (or inflammatory bowel disease), chronic obstructive pulmonary disease (COPD), Hepatitis C, endometriosis, asthma, cachexia, psoriasis, and atopic dermatitis.

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JP2015531261A JP6463268B2 (ja) 2012-09-07 2013-09-06 安定水性アダリムマブ製剤
DK13835291.9T DK2892550T3 (da) 2012-09-07 2013-09-06 Stabile vandige formuleringer af adalimumab
LTEP13835291.9T LT2892550T (lt) 2012-09-07 2013-09-06 Stabilios adalimumabo vandeninės kompozicijos
EA201590518A EA029215B1 (ru) 2012-09-07 2013-09-06 Стабильные водные составы адалимумаба
BR112015004984A BR112015004984A2 (pt) 2012-09-07 2013-09-06 formulações aquosas estáveis de adalimumab
KR1020217010005A KR102362829B1 (ko) 2012-09-07 2013-09-06 아달리무맙의 안정한 수성 제형
PL13835291T PL2892550T3 (pl) 2012-09-07 2013-09-06 Stabilne wodne formulacje adalimumabu
RS20200310A RS60226B1 (sr) 2012-09-07 2013-09-06 Stabilne vodene formulacije adalimumaba
EP13835291.9A EP2892550B1 (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
CA2884182A CA2884182C (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
KR1020227004460A KR20220025196A (ko) 2012-09-07 2013-09-06 아달리무맙의 안정한 수성 제형
SG11201501715QA SG11201501715QA (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
HRP20200434TT HRP20200434T1 (hr) 2012-09-07 2013-09-06 Stabilne vodene formulacije adalimumaba
KR1020157008873A KR102238677B1 (ko) 2012-09-07 2013-09-06 아달리무맙의 안정한 수성 제형
ES13835291T ES2784861T3 (es) 2012-09-07 2013-09-06 Formulaciones acuosas estables de adalimumab
CN201380058126.8A CN104768576A (zh) 2012-09-07 2013-09-06 稳定的阿达木单抗水性制剂
HK15111401.3A HK1210601B (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
EP19216514.0A EP3701968A1 (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
SI201331693T SI2892550T1 (sl) 2012-09-07 2013-09-06 Stabilne vodne formulacije adalimumaba
PE2019002434A PE20191815A1 (es) 2012-09-07 2013-09-06 Formulaciones acuosas estables de adalimumab
MX2015003007A MX2015003007A (es) 2012-09-07 2013-09-06 Formulaciones acuosas estables de adalimumab.
AU2013312300A AU2013312300A1 (en) 2012-09-07 2013-09-06 Stable aqueous formulations of adalimumab
SM20200147T SMT202000147T1 (it) 2012-09-07 2013-09-06 Formulazioni acquose stabili di adalimumab
UY0001035351A UY35351A (es) 2012-09-07 2014-02-26 Formulaciones acuosas estables de adalimumab
IL237583A IL237583B (en) 2012-09-07 2015-03-05 Stable aqueous formulations of adlimumab
AU2018208699A AU2018208699A1 (en) 2012-09-07 2018-07-26 Stable aqueous formulations of adalimumab
CY20201100247T CY1123407T1 (el) 2012-09-07 2020-03-18 Σταθερες υδατικες φαρμακοτεχνικες μορφες της αδαλιμουμαμπης
AU2020202912A AU2020202912A1 (en) 2012-09-07 2020-05-01 Stable aqueous formulations of adalimumab
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