Awwad Sahar, Angkawinitwong Ukrit
UCL School of Pharmacy, London WC1N 1AX, UK.
National Institute for Health Research (NIHR) Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London EC1 V9EL, UK.
Pharmaceutics. 2018 Jul 4;10(3):83. doi: 10.3390/pharmaceutics10030083.
Monoclonal antibodies (mAbs) are one of the most important classes of therapeutic proteins, which are used to treat a wide number of diseases (e.g., oncology, inflammation and autoimmune diseases). Monoclonal antibody technologies are continuing to evolve to develop medicines with increasingly improved safety profiles, with the identification of new drug targets being one key barrier for new antibody development. There are many opportunities for developing antibody formulations for better patient compliance, cost savings and lifecycle management, e.g., subcutaneous formulations. However, mAb-based medicines also have limitations that impact their clinical use; the most prominent challenges are their short pharmacokinetic properties and stability issues during manufacturing, transport and storage that can lead to aggregation and protein denaturation. The development of long acting protein formulations must maintain protein stability and be able to deliver a large enough dose over a prolonged period. Many strategies are being pursued to improve the formulation and dosage forms of antibodies to improve efficacy and to increase the range of applications for the clinical use of mAbs.
单克隆抗体(mAb)是最重要的治疗性蛋白质类别之一,用于治疗多种疾病(如肿瘤学、炎症和自身免疫性疾病)。单克隆抗体技术不断发展,以开发安全性日益提高的药物,确定新的药物靶点是新抗体开发的一个关键障碍。开发抗体制剂以提高患者依从性、节省成本和进行生命周期管理有很多机会,例如皮下制剂。然而,基于单克隆抗体的药物也有影响其临床应用的局限性;最突出的挑战是它们较短的药代动力学特性以及在制造、运输和储存过程中的稳定性问题,这些问题可能导致聚集和蛋白质变性。长效蛋白质制剂的开发必须保持蛋白质稳定性,并能够在较长时间内提供足够大的剂量。人们正在探索许多策略来改进抗体的制剂和剂型,以提高疗效并扩大单克隆抗体临床应用的范围。