| Literature DB >> 32486889 |
Amita Datta-Mannan1, Selina Estwick2, Chen Zhou, Hiuwan Choi3, Nicole E Douglass4, Derrick R Witcher3, Jirong Lu3, Catherine Beidler3, Rohn Millican3.
Abstract
Many therapeutic monoclonal antibodies (mAbs) were initially developed for intravenous (IV) administration. As a means to improve mAb drug-ability and the patient experience, subcutaneous (SC) administration is an increasingly important delivery route for mAbs. Unlike IV administration, bioavailability limitations for antibodies have been reported following SC injection and can dictate whether a mAb is administered via this parenteral route. The SC bioavailability of antibodies has been difficult to predict, and it can be variable and partial, with values ranging from ~50% to 100%. The mechanisms leading to the incomplete bioavailability of some mAbs relative to others are not well understood. There are some limited data that suggest the physiochemical properties inherent to a mAb can contribute to its SC absorption, bioavailability, and in vivo fate. In this study, we evaluated the integrated influence of multiple mAb physiochemical factors on the SC absorption and bioavailability of six humanized mAbs in both rats and cynomolgus monkeys. We demonstrate the physiochemical properties of mAbs are critical to their rate and extent of SC absorption. The combination of high positive charge and hydrophobic interaction significantly reduced the rate of the evaluated mAb's SC absorption and bioavailability. Reduction or balancing of both these attributes via re-engineering the mAbs restored desirable properties of the molecules assessed. This included reduced association with SC tissue, improvements in mAb absorption from the SC space and overall SC bioavailability. Our findings point to the importance of evaluating the relative balance between various physiochemical factors, including charge, hydrophobicity, and stability, to improve the SC drug-ability of mAbs for selecting or engineering mAbs with enhanced in vivo absorption and bioavailability following SC administration.Entities:
Keywords: Subcutaneous absorption; charge; chemical properties; disposition; drug-ability; hydrophobicity; monoclonal antibody; nonspecific binding; pharmacokinetics; physiochemical characterization; subcutaneous bioavailability; thermal stability
Mesh:
Substances:
Year: 2020 PMID: 32486889 PMCID: PMC7531508 DOI: 10.1080/19420862.2020.1770028
Source DB: PubMed Journal: MAbs ISSN: 1942-0862 Impact factor: 5.857
General description of the mAbsa
| Platform | mAb | mAb | Charge-based interaction potential | Hydrophobic-based interaction potential | Taggb | TMDD In ratsc | TMDD in cynomolgus monkeysc |
|---|---|---|---|---|---|---|---|
| 1 | 1P | IgG1 | +++ | - | - | - | - |
| 1RE | IgG1 | ++ | - | - | - | - | |
| 2 | 2P | IgG4 | ++++++++ | ++ | ++ | - | + |
| 2RE | IgG4 | ++++ | ++ | + | - | + | |
| 3 | 3P | IgG4 | ++ | +++ | ++ | - | - |
| 3RE | IgG4 | + | + | - | - | - |
aAll the molecules are humanized IgGs. The ‘+’ and ‘-‘signs indicate the presence and absence of a characteristic, respectively. The number of ‘+’ symbols within the charge- and hydrophobic-based interaction potential columns are intended to provide a qualitative perspective of the relative preponderance of each characteristic across and within the mAb platforms. Quantitative values for the charge- and hydrophobic-based interaction potential are in Table 2. bTagg is the temperature of aggregation onset. cTMDD = target-mediated drug disposition.
Biophysical and FcRn binding properties of the mAbsa
| Platform | mAb | FcRn Kd (nM) at pH 6 | HpnIP (%) | HIP | Zeta potential (mV) | pI | Tagg (°C) | Tm onset (°C) | Tm (°C) | ||
|---|---|---|---|---|---|---|---|---|---|---|---|
| CH2 | CH3 | Fab | |||||||||
| 1 | 1P | 105 ± 5 | 51.8 | 1.3 | 6.2 ± 1.4 | 8.8 | 64.2 ± 0.5 | 61.1 | 67 | 83 | 70 |
| 1RE | 98 ± 10 | 28.3 | 0.7 | 9.5 ± 0.2 | 9.1 | 64.5 ± 0.2 | 61.7 | 70 | 83 | 70 | |
| 2 | 2P | 93 ± 4 | 100 | 16.0 | 10.5 ± 1.4 | 9.2 | 52.4 ± 2.1 | 56.6 | 69 | 72 | 76 |
| 2RE | 121 ± 15 | 58.1 | 20.1 | 9.7 ± 1.9 | 9.5 | 59.6 ± 1.1 | 62.0 | 69 | 73 | 76 | |
| 3 | 3P | 101 ± 7 | 31.6 | 100 | 9.4 ± 0.8 | 8.3 | 55.6 ± 2.3 | 58.9 | 69 | 73 | 68 |
| 3RE | 113 ± 4 | 18.6 | 11.7 | 9.7 ± 0.6 | 8.5 | 63.9 ± 2.7 | 62.2 | 69 | 73 | 78 | |
aFcRn Kd represents cynomolgus monkey FcRn binding affinity at pH 6. Abbreviations: HpnIP, relative heparin-binding interaction potential; HIP, relative hydrophobic interaction potential; pI, isoelectric point; Tagg, temperature of aggregation onset; Tm onset, onset of tertiary structure unfolding.
Rat pharmacokinetic parameters of the mAbs
| Platform | mAb | Route | Dose^ (mg/kg) | Cmax (μg/mL) | Tmax | AUC0-inf (hr*μg/mL) | CL or CL/F (mL/hr/kg) | T1/2 | ka# | %F |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 1P | IV | 1 | 22.4 ± 3.7 | NA | 1345.5 ± 252.5 | 0.62 ± 0.22 | 163 ± 79 | NA | NA |
| SC | 1 | 5.0 ± 1.0 | 96 ± 0 | 1294.9 ± 134.9 | 0.78 ± 0.08 | 133 ± 28 | 0.009 ± 0.001 | 108 ± 17 | ||
| 1RE | IV | 1 | 32 ± 3.8 | NA | 1513 ± 229 | 0.37 ± 0.03 | 96 ± 9 | NA | NA | |
| SC | 1 | 10.0 ± 1 | 64 ± 37 | 2176 ± 159 | 0.3 ± 0.1 | 221 ± 101 | 0.021 ± 0.012 | 144 ± 11 | ||
| 2 | 2P | IV | 1 | 10.6 ± 1.3 | NA | 210 ± 52 | 4.5 ± 0.98 | 117 ± 9 | NA | NA |
| SC | 1 | 0.2 ± 0 | 72 ± 72 | 39 ± 25 | 6.4 ± 7.0 | 1375.2 ± 1550.0 | 0.036 ± 0.006 | 25 ± 4a | ||
| 2RE | IV | 1 | 21.7 ± 0.8 | NA | 928 ± 49 | 0.97 ± 0.07 | 108 ± 9 | NA | NA | |
| SC | 1 | 3.0 ± 0.3 | 104 ± 55 | 564 ± 152 | 1.5 ± 0.8 | 158 ± 81 | 0.012 ± 0.003 | 61 ± 16 | ||
| 3 | 3P | IV | 1 | 36.9 ± 1.7 | NA | 2088 ± 224 | 0.48 ± 0.06 | 129 ± 14.2 | NA | NA |
| SC | 1 | 3.0 ± 1.0 | 104 ± 60 | 699 ± 168 | 0.1 ± 0.2 | 210 ± 62 | 0.038 ± 0.016 | 33 ± 8 | ||
| 3RE | IV | 1 | 47.5 ± 6.8 | NA | 3200 ± 121 | 0.21 ± 0.04 | 174 ± 21 | NA | NA | |
| SC | 1 | 9.5 ± 1.0 | 120 ± 0 | 1816 ± 490 | 0.5 ± 0.2 | 154 ± 32 | 0.013 ± 0.004 | 57 ± 17 |
Cmax, maximal observed serum concentration; Tmax, time of maximal observed serum concentration; AUC0-inf, area under the serum concentration curve from time zero extrapolated to infinite time; CL, clearance following IV administration; CL/F, apparent clearance as a function of bioavailability following SC administration; T1/2, elimination half-life; ka, rate of SC absorption; %F, SC bioavailability. All PK parameters were determined from non-compartmental pharmacokinetic analyses unless otherwise noted.
aDetermined from two compartment pharmacokinetic analyses.
NA = not applicable. ^N = 3/timepoint with serial sampling unless otherwise noted. N = 2 for %F reporting only (standard deviation for illustrative purposes only).
Cynomolgus monkey pharmacokinetic parameters of the mAbs
| Platform | mAb | Route | Dose^ (mg/kg) | Cmax (μg/mL) | Tmax (hr) | AUC0-∞ (hr*μg/mL) | CL or CL/F (mL/hr/kg) | T1/2 (hr) | ka#(1/hr) | %F |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 1P | IV | 1 | 24.0 ± 0.6 | NA | 2910 ± 587 | 0.35 ± 0.08 | 278 ± 76 | NA | NA |
| SC | 1 | 4.0 ± 0.7 | 48 ± 24 | 1492 ± 201 | 0.68 ± 0.10 | 248 ± 23 | 0.033 ± 0.006 | 51 ± 7 | ||
| 1RE | IV | 1 | 26.9 ± 2.4 | NA | 4264 ± 1242 | 0.25 ± 0.06 | 382 ± 162 | NA | NA | |
| SC | 1 | 12.6 ± 2.6 | 24 ± 0 | 3187 ± 111 | 0.31 ± 0.01 | 235 ± 53 | 0.021 ± 0.003 | 75 ± 3 | ||
| 3 | 3P | IV | 1 | 27 ± 1.3 | 0.17 ± 0.12 | 1832 ± 231 | 0.56 ± 0.7 | 271.8 ± 55.9 | NA | NA |
| SC | 1 | 3.4 ± 1.3 | 60 ± 17 | 837 ± 452 | 1.4 ± 0.8 | 214.5 ± 102.9 | 0.094 ± 0.002 | 46 ± 6 | ||
| 3RE | IV | 1 | 25.54 ± 3.6 | NA | 3473 ± 2048 | 0.35 ± 0.21 | 213.2 ± 141.2 | NA | NA | |
| SC | 1 | 7.92 ± 0.4 | 132 ± 50.9 | 3907 ± 2406 | 0.32 ± 0.19 | 337.8 ± 48.2 | 0.049 ± 0.003 | 100a ± 8 |
Cmax, maximal observed serum concentration; Tmax, time of maximal observed serum concentration; AUC0-∞, area under the serum concentration curve from time zero extrapolated to infinite time; CL, clearance following IV administration; CL/F, apparent clearance as a function of bioavailability following SC administration; T1/2, elimination half-life; ka, rate of SC absorption; %F, SC bioavailability. NA = not applicable. ^N = 3 cynomolgus monkeys/time point. All PK parameters were determined from non-compartmental pharmacokinetic analyses unless otherwise noted.
aDetermined from two compartment pharmacokinetic analyses.
Figure 1.Subcutaneous tissue association of the Platform 1 and 3 parent and re-engineered molecules following a single administration of 0.1 mg/kg of each 125I labeled mAb. Data show the relative SC tissue association of each re-engineered mAb relative to their respective parental mAb. The 1-h post dose time point skin punctures radioactive count for each mAb was considered 100% bound for data normalization purposes. The 6-h post dose collected radioactivity data were compared reported as a fraction of the percent bound relative to the 1-h post dose time point for calculation, data processing and loss of mAb from the SC site reporting over time. Data are the average of two independent SC tissue assessment from two cynomolgus monkeys for each mAb.
Figure 2.Correlation plots of the rat pharmacokinetic parameters following SC administration of mAbs 1P and 1RE in Platform 1, mAbs 2P and 2RE in Platform 2 and mAbs 3P and 3RE in Platform 3. Correlation plots for the (a) CL/F, (b) SC bioavailability, (c) rate of SC absorption (ka), (d) Cmax and (e) Tmax with the physiochemical properties HpnIP, HIP, Tagg and Tm onset.
Figure 3.Correlation plots of the cynomolgus monkey pharmacokinetic parameters following SC administration of mAbs 1P and 1RE in Platform 1 and mAbs 3P and 3RE in Platform 3. Correlation plots for the (a) CL/F, (b) SC bioavailability, (c) rate of SC absorption (ka), (d) Cmax and (e) Tmax with the physiochemical properties HpnIP, HIP, Tagg and Tm onset.
Correlation scores for the relationship of the physiochemical parameters with the PK of the mAbs assessed following a single IV administration to ratsa
| PK parameter | ||||
|---|---|---|---|---|
| Physiochemical | IV | IV | IV | IV |
| HpnIP | High | High | High | Low |
| HIP | High | High | High | Low |
| Tagg | Low | Low | Medium | Medium |
| Tm onset | Low | Low | Medium | Low |
aCorrelation score rankings of high, medium, and low are defined by data from the determination of the correlation coefficient values (r2) derived from the linear regression best line fit of each physiochemical parameter with each PK parameter. High r2 values ranged from 0.71- to 1.0. Medium r2 values ranged from 0.51 to 0.70. Low r2 values were <0.50.
Correlation scores for the relationship of the physiochemical parameters with the PK of the mAbs assessed following a single SC administration to cynomolgus monkeysa
| PK parameter | |||||||
|---|---|---|---|---|---|---|---|
| Physiochemical | SC | SC | SC | SC | SC | SC | SC |
| HpnIP | Low | Low | Low | Low | Low | Low | Low |
| HIP | Low | Medium | Low | High | Medium | High | Low |
| Tagg | Medium | Low | High | High | Low | High | Medium |
| Tm onset | Medium | Low | High | High | Medium | Medium | High |
aCorrelation score rankings of high, medium and low are defined by data from the determination of the correlation coefficient values (r2) derived from the linear regression best line fit of each physiochemical parameter with each PK parameter. High r2 values ranged from 0.71- to 1.0. Medium r2 values ranged from 0.51 to 0.70. Low r2 values were <0.50.
Correlation scores for the relationship of the physiochemical parameters with the PK of the mAbs assessed following a single SC administration to ratsa
| PK parameter | |||||||
|---|---|---|---|---|---|---|---|
| Physiochemical | SC | SC | SC | SC | SC | SC | SC |
| HpnIP | Medium | Low | Medium | High | Medium | Low | Low |
| HIP | Medium | Low | Medium | High | Medium | Low | Low |
| Tagg | High | Low | High | Medium | Medium | Medium | Medium |
| Tm onset | Medium | Low | Medium | Medium | Medium | High | Low |
aCorrelation score rankings of high, medium, and low are defined by data from the determination of the correlation coefficient values (r2) derived from the linear regression best line fit of each physiochemical parameter with each PK parameter. High r2 values ranged from 0.71- to 1.0. Medium r2 values ranged from 0.51 to 0.70. Low r2 values were <0.50.
Correlation scores for the relationship of the physiochemical parameters with the PK of the mAbs assessed following a single IV administration to cynomolgus monkeysa
| PK parameter | ||||
|---|---|---|---|---|
| Physiochemical | IV | IV | IV | IV |
| HpnIP | Medium | Low | Low | Low |
| HIP | Medium | Low | Low | Low |
| Tagg | Low | High | High | Low |
| Tm onset | Low | High | High | Low |
aCorrelation score rankings of high, medium, and low are defined by data from the determination of the correlation coefficient values (r2) derived from the linear regression best line fit of each physiochemical parameter with each PK parameter. High r2 values ranged from 0.71- to 1.0. Medium r2 values ranged from 0.51 to 0.70. Low r2 values were <0.50.