Formulation and delivery of monoclonal antibodies Flashcards
what do proteins and macromolecules consist of
4 polypeptide chains
describe the stability of proteins and macromolecules
not very stable compared to small drug molecules
what is the route of administration of infliximab
IV infusion
what is the route of administration of rituximab
IV infusion
what is the route of administration of tocilizumab
IV infusion, sc injection
what is the route of administration of abatacept
IV infusion
what is the route of administration of adalimumab
sc injection
what is the route of administration of golimumab
sc injection
what is the route of administration of certolizumab pegol
sc injection
what is the route of administration of etanercept
sc injection
what are the advantages of sc route for delivery of mabs
- Can self administer treatment following training
- better self management - useful to treat chronic diseases with frequent dosing
- can use prefilled syringes/pens/autoinjectors
- better patient comfort than IV infusion
- longer dosing interval - reduced healthcare costs
- reduced hospital visits
- increased compliance
what are the disadvantages of sc route for delivery of mabs
- limited volume can be delivered to sc space
- relatively high dose required
- need stable, highly concentrated antibody formulation
- can have high viscosity
- can increase injection force, time and pain at injection site
- can reduce compliance - can also adversely affect bioprocessing during manufacture
what are the challenges of high concentration formulation development
- high concentration
- >0.1 of solution volume is occupied by solute
- molecular size and distance between van Der waal surfaces is of a similar magnitude to size of molecule - refers to molecular proximity
- can result in interaction between proteins
- reversible self association, increase in viscosity, aggregation
what is viscosity at a macroscopic level
rate of transfer of momentum in a liquid
- how readily it pours
what is viscosity at a microscopic level
resistance to solute mobility
- how solute molecules move around relative to solvent molecules