Vigor Kim, Emerson John, Scott Robert, Cheek Julia, Barton Claire, Bax Heather J, Josephs Debra H, Karagiannis Sophia N, Spicer James F, Lentfer Heike
Biotherapeutics Development Unit, Cancer Research UK, South Mimms, Hertfordshire, EN6 3LD, U.K.
Cancer Research UK Centre for Drug Development, Cancer Research UK, London, EC1V 4AD, U.K.
Biotechnol Prog. 2016 Nov;32(6):1494-1502. doi: 10.1002/btpr.2359. Epub 2016 Oct 21.
The presence of impurities or contaminants in biological products such as monoclonal antibodies (mAb) could affect efficacy or cause adverse reactions in patients. ICH guidelines (Q6A and Q6B) are in place to regulate the level of impurities within clinical drug products. An impurity less often reported and, therefore, lacking regulatory guideline is beta-glucan. Beta-glucans are polysaccharides of d-glucose monomers linked by (1-3) beta-glycosidic bonds, and are produced by prokaryotic and eukaryotic organisms, including plants. They may enter manufacturing processes via raw materials such as cellulose-based membrane filters or sucrose. Here we report the detection of beta-glucan contamination of a monoclonal IgE antibody (MOv18), manufactured in our facility for a first-in-human, first-in-class clinical trial in patients with cancer. Since beta-glucans have potential immunostimulatory properties and can cause symptomatic infusion reactions, it was of paramount importance to identify the source of beta-glucans in our product and to reduce the levels to clinically insignificant concentrations. We identified beta-glucans in sucrose within the formulation buffer and within the housing storage buffer of the virus removal filter. We also detected low level beta-glucan contamination in two of four commercially available antibodies used in oncology. Both formulation buffers contained sucrose. We managed to reduce levels of beta-glucan in our product 10-fold, by screening all sucrose raw material, filtering the sucrose by Posidyne® membrane filtration, and by incorporating extra wash steps when preparing the virus removal filter. The beta-glucan levels now lie within a range that is unlikely to cause clinically significant immunological effects. © 2016 American Institute of Chemical Engineers Biotechnol. Prog., 32:1494-1502, 2016.
生物制品如单克隆抗体(mAb)中杂质或污染物的存在可能会影响疗效或导致患者出现不良反应。国际人用药品注册技术协调会(ICH)指南(Q6A和Q6B)旨在规范临床药品中的杂质水平。有一种较少被报道且因此缺乏监管指南的杂质是β-葡聚糖。β-葡聚糖是由d-葡萄糖单体通过(1-3)β-糖苷键连接而成的多糖,由原核生物和真核生物包括植物产生。它们可能通过基于纤维素的膜过滤器或蔗糖等原材料进入生产过程。在此我们报告了在我们的设施中为癌症患者进行的首次人体、同类首创临床试验生产的一种单克隆IgE抗体(MOv18)中检测到β-葡聚糖污染。由于β-葡聚糖具有潜在的免疫刺激特性并可引起有症状的输液反应,确定我们产品中β-葡聚糖的来源并将其水平降低到临床无显著意义的浓度至关重要。我们在制剂缓冲液中的蔗糖以及病毒去除过滤器的外壳储存缓冲液中发现了β-葡聚糖。我们还在肿瘤学中使用的四种市售抗体中的两种中检测到低水平的β-葡聚糖污染。两种制剂缓冲液都含有蔗糖。我们通过筛选所有蔗糖原材料、用Posidyne®膜过滤蔗糖以及在制备病毒去除过滤器时增加额外的洗涤步骤,成功将我们产品中的β-葡聚糖水平降低了10倍。现在β-葡聚糖水平处于不太可能引起临床显著免疫效应的范围内。© 2016美国化学工程师学会生物技术进展,32:1494 - 1502,2016。