PMID- 29355621 OWN - NLM STAT- MEDLINE DCOM- 20190318 LR - 20190318 IS - 1873-4995 (Electronic) IS - 0168-3659 (Linking) VI - 273 DP - 2018 Mar 10 TI - In vitro model for predicting bioavailability of subcutaneously injected monoclonal antibodies. PG - 13-20 LID - S0168-3659(18)30025-7 [pii] LID - 10.1016/j.jconrel.2018.01.015 [doi] AB - Monoclonal antibodies (mAbs), which are now more frequently administered by subcutaneous (SC) injection rather than intravenously, have become a tremendously successful drug format across a wide range of therapeutic areas. Preclinical evaluations of mAbs to be administered by SC injection are typically performed in species such as mice, rats, minipigs, and cynomolgus monkeys to obtain critical information regarding formulation performance and prediction of PK/PD outcomes needed to select clinical doses for first-in-human studies. Despite extensive efforts, no preclinical model has been identified to date that accurately predicts clinical outcomes for these SC injections. We have addressed this deficiency with a novel in vitro instrument, termed Scissor, to model events occurring at the SC injection site and now further validated this approach using a set of eight mAbs for which clinical PK/PD outcomes have been obtained. Diffusion of these mAbs from the Scissor system injection cartridge into a large volume physiological buffer, used to emulate mAb movement from the SC injection site into the systemic circulation, provided distinct profiles when monitored over a 6h period. Curve-fitting analysis of these profiles using the Hill equation identified parameters that were used, along with physicochemical properties for each mAb, in a partial least squares analysis to define a relationship between molecule and formulation properties with clinical PK outcomes. The results demonstrate that parameters of protein charge at neutral pH and isoelectric point (pI) along with combined formulation properties such as viscosity and mAb concentration can dictate the movement of the mAb from the injection cartridge to infinite sink compartment. Examination of profile characteristics of this movement provided a strong predictive correlation for these eight mAbs. Together, this approach demonstrates the feasibility of this in vitro modelling strategy as a tool to identify drug and formulation properties that can define the performance of SC injected medicines and provide the potential for predicting clinical outcomes that could be useful for formulation selection and a first-in-human clinical dosing strategy. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Bown, Hanne Kinnunen AU - Bown HK AD - School of Medicine, Pharmacy and Health, Division of Pharmacy, Durham University, Stockton-on-Tees TS17 6BH, UK. FAU - Bonn, Catherine AU - Bonn C AD - School of Medicine, Pharmacy and Health, Division of Pharmacy, Durham University, Stockton-on-Tees TS17 6BH, UK. FAU - Yohe, Stefan AU - Yohe S AD - Drug Delivery, Genentech, Inc., South San Francisco, CA 94080, USA. FAU - Yadav, Daniela Bumbaca AU - Yadav DB AD - Preclinical and Translational Pharmacokinetics, Genentech, Inc., South San Francisco, CA 94080, USA. FAU - Patapoff, Thomas W AU - Patapoff TW AD - Early Stage Formulation Development, Genentech, Inc., South San Francisco, CA 94080, USA. FAU - Daugherty, Ann AU - Daugherty A AD - Drug Delivery, Genentech, Inc., South San Francisco, CA 94080, USA. FAU - Mrsny, Randall J AU - Mrsny RJ AD - Department of Pharmacy and Pharmacology, University of Bath, Bath, UK. Electronic address: Rjm37@bath.ac.uk. LA - eng GR - BB/L013770/1/Biotechnology and Biological Sciences Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180206 PL - Netherlands TA - J Control Release JT - Journal of controlled release : official journal of the Controlled Release Society JID - 8607908 RN - 0 (Antibodies, Monoclonal) SB - IM MH - Animals MH - Antibodies, Monoclonal/*administration & dosage/*pharmacokinetics MH - Biological Availability MH - *Drug Delivery Systems MH - Humans MH - Injections, Subcutaneous MH - Macaca fascicularis MH - Mice MH - *Models, Biological MH - Rats MH - Swine MH - Swine, Miniature OTO - NOTNLM OT - Formulation design OT - Monoclonal antibody OT - Subcutaneous injection OT - in vitro model EDAT- 2018/01/23 06:00 MHDA- 2019/03/19 06:00 CRDT- 2018/01/23 06:00 PHST- 2017/09/12 00:00 [received] PHST- 2018/01/13 00:00 [revised] PHST- 2018/01/16 00:00 [accepted] PHST- 2018/01/23 06:00 [pubmed] PHST- 2019/03/19 06:00 [medline] PHST- 2018/01/23 06:00 [entrez] AID - S0168-3659(18)30025-7 [pii] AID - 10.1016/j.jconrel.2018.01.015 [doi] PST - ppublish SO - J Control Release. 2018 Mar 10;273:13-20. doi: 10.1016/j.jconrel.2018.01.015. Epub 2018 Feb 6.