Factors impacting the SC bioavailability of therapeutic antibodies

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1 Factors impacting the SC bioavailability of therapeutic antibodies How can we improve it? Saileta Prabhu 19 May 2014

2 SC bioavailability (%) of therapeutic antibodies in humans varies to a large extent 2 mab-a mab-b Adalimumab mab-c mab-d mab-e Isotype? FcRn? CL? Formulation? Charge? Zheng, 2012

3 Objectives for today 3 Physical, chemical, and biological factors influence SC PK and bioavailability of therapeutic mabs? Leverage our knowledge to improve SC PK/F

4 Outline: Factors impacting SC PK/ bioavailability 4 Site Molecule Patient Product

5 Outline: Factors impacting SC PK/ Site: SC space bioavailability 5 Properties of SC tissue Capillary & lymph permeability and flow Sites of administration Volume Tissue response to needle injection Site Patient Molecule Product

6 Site of administration: SC space 6

7 Chemical and physiological features of SC tissue 7 Hyaluronic acid Chondroitin sulfate Collagen fibers Kinnunen and Mrsny, 2014

8 Vascular and lymphatic system involved in transport of antibodies in SC tissue 8 McLennan, 2005

9 mab solubility, stability and/or function may be impacted prior to SC absorption 9 Kinnunen and Mrsny, 2014

10 Does site of administration impact bioavailability? 10 Limited data to draw conclusions Golimumab SC profile in humans Serum Golimumab Concentration (u g/ml)" 1 0" SC: Upper Arm (N=18) 8" SC: Abdomen (N=18) SC: Thigh (N=18) 6" 4" 2" 0" 0" 7" 14" 21" 28" 35" 42" 49" 56" 63" 70" Xu, 2010 Rituximab SC PK parameters in rats Foot Ab Back Bioavailability, % Tmax, days Fig. 4 Pharmacokinetic parameters calculated for rituximab administered by SC injection to rats by noncompartmental analysis. (a) T max and (b) bioavailability (grey bars) and dose normalized C max (black bars). * significantly different from injection at the back (p<0.05). # significantly different from injection of 10 and 40 mg/kg (p<0.05). a b Kagan, 2012 C max /Dose

11 Outline: Factors impacting SC PK/ bioavailability Properties of SC tissue Capillary/lymph permeability Sites of administration Volume Tissue response to needle injection Site Patient Molecule Product Size, weight Isotype FcRn binding Charge Hydrophobicity Solubility Aggregates Immunogenicity 11

12 Antibodies are a heterogeneous product with complex 3Dstructures Fab: CDR Antigen Binding Fc: Effector functions FcRn-Recycling Possible variants due to process or product changes Pyro- Glu (2) Deamida3on (3 x 2) Methionine oxida3on (2 x 2) Glyca3on (2 x 2) Glycosyla3on variants (5) Sialyla3on (5) C- term Lys (2) 2 x 6 x 4 x 4 x 5 x 5 x 2 = million Fab/CDR = specificity, MOA and antigen-mediated clearance Fc= FcγR and complement binding, effector function and recycling Adapted from Kozlowski and Swann,

13 FcRn appears to impact SC bioavailability in mouse 13 I253A.H435A IV WT N434Y N434H FcRn binding; BA (70%) compared to wild type (50%); whereas FcRn; BA (5%) as compared to wild type (50%) FcRn++ WT SC I253A.H435A WT N434Y N434H FcRn-- Balthasar et al. unpublished Deng, 2012

14 No impact of FcRn affinity on SC bioavailability in Cyno IV PK profiles SC PK profiles 14 Datta-Mannan, 2014

15 Changes in amino acid residues can impact the charge of IgG1 antibodies 15 WT (pi ~7) mutate Lysà Ala (pi ~ 3) mutate Asp,Gluà Ala (pi ~10) Main peak Poten?al sources of charge variants: C- terminal lysine N- terminal glutamine Methionine oxida3on Sialyla3on D. McDonald, J. Wang, V. Ling Boswell et al, 2010

16 Variants differing by 2 AA show 2-fold difference in clearance in cyno following IV administration 16 mab A WT V1 Seq changes in red XXSNXXX XXRKXXX Antibody Concentration ( µ g/ml) Cyno WT WT mg/kg mg/kg WT 3.0 mg/kg mg/kg v1 0.3 mg/kg v1 3.0 mg/kg Time (days) Dongwei Li

17 Impact of charge on PK and distribution 17 PK and tissue distribution profile in rats following single IV administration of 5B3 variants 1000 Concentration ( µ g/ml) h5b serum pi6.1 h5b plasma h5b serum pi8.6 h5b plasma 5B3-pI B3 variant-pi 8.61 Time (days ) Tissue concentrations on day 3-post dose Andy Boswell, Rong Deng, Bob Kelley

18 pi changes > 1 reported to influence PK of IgG4 mab following administration in mice 18 pi pi Igawa et al, 2010

19 Can we leverage our limited knowledge to improve SC PK/F? Properties of SC tissue Capillary/lymph permeability Sites of administration Volume Tissue response to needle injection Size/wt FcRn binding Charge, hydrophobicity Solubility Aggregates Immunogenicity 19 Site Molecule Tolerability Inter-individual variability Device-related factors Patient Product Formulation ph Volume Viscosity Excipients Dose/regimen

20 Acknowledgements 20 Le Dao Yanan Zheng Daniela Bumbaca Sean Joseph Wendy Putnam Andy Boswell Wolfgang Richter Amita Joshi Paul Fielder

21 Appendix Subtitle Goes Here

22 Kinetic Approach for Lymphatic Trafficking by Combining Visual and Quantitative Assessment Visual Assessment Quantitative Assessment gred Axial LN Inguinal LN 75µL anti-gd-alexa680 infused ID at 5µl/min Real time evaluation by Near-IR optical lymphatic imaging in a healthy mouse obtained seconds after anti-gd-alexa infusion Peripheral lymph flow of anti-gd-alexa is used to quantify the lymphatic transport kinetics based on its rate of appearance in two regional (Inguinal and axial) lymph nodes 10 9 Study interactions between molecular properties/formulation components/injection factors and physiological processes df/f Intensity Inguinal Node Time-course of the fluorescence intensity PMB and Bio-Medical Imaging groups Time (s) m1-anti-gd Alexa-Free Dye m2-anti-gd m3-anti-gd 22

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