Stability and Formulation of Biologics Flashcards

1
Q

Why are Biologics so sensitive?

A

Because the structure gets disrupted by physical (handling, agitation) or chemical (pH, oxygen) changes

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2
Q

What are the chemical factors that cause protein instability?

A

-Proteolysis: proteases cutting peptide bonds

-Deamidation: pH and temperature-driven -> loss of -NH2 to aspartic acid or iso-aspartic acid

-Oxidation: O2-driven (catalyzed by metal ion)
-> Methionine to Metsulfoxide
-> Cysteine: -SH groups into -S-S- (more in extracellular space; inside the cell are more antioxidants neutralizing free radicals)

-Disulfide bridge scrambling: change of -S-S- position with an adjacent -SH group

-Isomerization: aging-driven: L to D-form -> change the 3D structure (stereoisomer: essential functional group won’t fit to the receptor anymore bc it is positioned in the opposite direction)

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3
Q

What are physical factors that cause protein instability?

A

-Disturbance of the tertiary structure by stress/shearing
-Stress: pH, temp., light, oxidation, mechanical, freeze/thaw, buffers
-f.e. shaking -> hydrophobic regions get exposed to water and will come closer together until they form aggregates

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4
Q

What are the physical challenges for biologics in syringes?
(Sources of Instability)

A

-Silicone oil (lubricant): after applying shear the hydrophobic regions get exposed to water -> now they bind to the hydrophobic silicon oil to hide from the water -> triggering aggregation

-Tungsten (metal in the needle) leaching out of the needle -> contaminates the drug

-Small needles: the smaller the radius, the greater the force that needs to be applied to move the liquid -> disrupt protein structure -> AGGREGATION
(Poisieulles equation: small diameter, more resistance, more force needed)

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5
Q

Why do misfolded proteins adsorb to the glass instead of water?

A

Because the surface tension between the glass and the protein is less than the surface tension between the protein and water

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6
Q

Why are biologics gently swirled rather than shaken?

A

-shearing exposes the core
-when exposed to water proteins are more stable on the glass interface or when they clump together (hydrophobic regions coming together)
-shaking triggers AGGREGATION

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7
Q

What are the consequences of Aggregation?

A

-Loss of potency -> Proteins are not able to bind to a substrate in the aggregated form

-Aggregates trigger anti-drug-antibodies (immune reaction)

-> ADAs can neutralize the drug, as well as the native secreted protein (insulin ADAs neutralizing native insulin)

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8
Q

What is the role of surfactants and inorganic salts in biological drugs?

A

SURFACTANTS
-surfactants have a hydrophilic and hydrophobic end
-they create a layer between the surface of the liquid and the glass of the vial -> reducing the surface tension and instability -> preventing aggregation

INORGANIC SALTS
-adjusting tonicity

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9
Q

Role of sugars and amino acids in a biological drug formulation

A

-Amino acids: Inhibit aggregation (L-arginine), buffer (L-histidine), antioxidant, specific interaction with proteins

-Sugars: increase interfacial tension in lipid bilayers -> providing protection (f.e. in lyophilization), increase solubility

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10
Q

Role of Proteins and Antioxidants

A

Proteins like Albumin or Gelatin prevent adsorption of the biological drug, bc they will adsorb to the plastic surface of the vial instead of the drug

Antioxidants: chelating agents (binding to metal ions) preventing oxidation

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11
Q

How does pH affect the Solubility of a protein drug?

A

-pH changes the ionization of specific functional groups of the protein drug
-> Change the Solubility
->may form interactions they are not supposed to

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12
Q

EXAM: Understand the graph
Why does the concentration of the growth hormone changes with pH?

A

Depending on the pKa and pH a functional group may or not be ionized

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13
Q

At which point is a protein drug the least ionized?

A

At its Isoelectric point, where the protein has no charge

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14
Q

Which pH would be chosen if the solubility is high at pH 3 and pH 6 if a soluble drug is preferred?

A

-pH 6 because it is closer to the physiological pH 7

-use a buffer that keeps the drug at the preferred pH!

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15
Q

Why do non-glycosylated proteins tend to aggregate, and how can drugs be formulated to counteract aggregations?

A

-Because glycosylation has OH groups (polar) allowing them to interact with water -> non-glycosylated proteins interact less with water -> so they are more prone to clump together and aggregate

-amino acids like Arginine (Alteplase) improve solubility (MOA is unknown)

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16
Q

How do surfactants work?

A

-occupy air-water interface -> exposure of proteins to air is reduced

-convert hydrophilic regions to more hydrophilic -> surfactants interact with the hydrophobic regions and with water (bridging both)

17
Q

How can proteins that are prone to oxidation (Methionine group), can be protected?

A

-Add extra Methionine to the formulation -> the extra Methionine gets oxidized instead of the Methionine on the protein drug (Met acting as an antioxidant)

-O2 as source of oxidants -> replace air (O2) with Argon

-oxidants that require metal ions can be blocked with chelating agents (EDTA)

18
Q

What are examples of Antimicrobial preservatives?

A

-used for multi-dose container
-Phenol, meta-cresol, Benzyl alcohol, chlorobutanol

19
Q

Which preservatives show incompatibilities?

A

-Phenol is incompatible with Insulin
-M-cresol is incompatible with polysorbates (Tween/Span)
-Benzyl alcohol should not be used for neonatal patient

20
Q

How can moisture impact the function of a protein?

A

-For example in freeze-dried hemoglobin
-with exposure to moisture Hemogline gets oxidized to Methemoglobin which is not able to carry oxygen as efficient

21
Q

How are medical products lyophilized?

A

3 stages
-Freeze down the semiclosed vial (reducing chemical reactivity)
-apply vacuum -> in the 1st drying phase 90% of the water sublimates
-slightly increase the temperature during 2nd drying phase: remaining water that is trapped in the protein will be removed
-PACKAGING and LABELING