Napolitano Mariasanta, Olsen Arne Agerlin, Nøhr Anne Mette, Eichler Hermann
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo Reference Regional Center for Thrombosis and Hemostasis, Hematology Unit, Palermo, Italy.
Novo Nordisk A/S, Biopharm Manufacturing Development, Gentofte, Denmark.
J Blood Med. 2021 Jan 25;12:9-20. doi: 10.2147/JBM.S284060. eCollection 2021.
The stability under high-temperature conditions of factor VIII (FVIII) concentrates for replacement therapy is of critical importance to patients, particularly those who reside in, or travel to, regions with high ambient temperatures. Concerns about product stability may limit or prevent access to treatment for patients and may limit their ability to live a close-to-normal life. This study evaluated the effect of hot and humid storage conditions on the long-term stability of the recombinant FVIII products, turoctocog alfa and turoctocog alfa pegol.
Turoctocog alfa samples were assessed for stability at 30°C for 9 months or 40°C for 3 months following storage at 5°C for 21 or 27 months, respectively, while turoctocog alfa pegol samples were assessed at 30°C for 12 months or 40°C for 3 months following storage at 5°C for 18 or 27 months, respectively. In addition, turoctocog alfa and turoctocog alfa pegol dry powders were evaluated for stability at 5°C/ambient humidity (AH) for 30 months, 30°C/75% relative humidity (RH) for 12 months and 40°C/75% RH for 6 months. Both studies utilized a range of product strengths. Key stability assessments included oxidized forms, potency, water content and high molecular weight protein (HMWP).
Both turoctocog alfa and turoctocog alfa pegol remained stable following storage at 40°C/75% RH for 3 months, and at single temperatures (5°C/AH, 30 and 40°C/75% RH), without any major increase in HMWP or any impairment of potency or water content.
Turoctocog alfa and turoctocog alfa pegol offer stability at 40°C for up to 3 months without jeopardizing the quality of each product. These stability characteristics may offer patients flexibility with product storage and daily use.
用于替代疗法的凝血因子 VIII(FVIII)浓缩物在高温条件下的稳定性对患者至关重要,尤其是那些居住在或前往环境温度较高地区的患者。对产品稳定性的担忧可能会限制或阻碍患者获得治疗,并可能限制他们过上接近正常生活的能力。本研究评估了炎热潮湿储存条件对重组 FVIII 产品(重组人凝血因子 VIII 和聚乙二醇化重组人凝血因子 VIII)长期稳定性的影响。
重组人凝血因子 VIII 样品分别在 5°C 储存 21 或 27 个月后,评估其在 30°C 下 9 个月或 40°C 下 3 个月的稳定性;聚乙二醇化重组人凝血因子 VIII 样品分别在 5°C 储存 18 或 27 个月后,评估其在 30°C 下 12 个月或 40°C 下 3 个月的稳定性。此外,还评估了重组人凝血因子 VIII 和聚乙二醇化重组人凝血因子 VIII 干粉在 5°C/环境湿度(AH)下 30 个月、30°C/75%相对湿度(RH)下 12 个月和 40°C/75%RH 下 6 个月的稳定性。两项研究均使用了一系列产品规格。关键稳定性评估包括氧化形式、效价、水分含量和高分子量蛋白(HMWP)。
重组人凝血因子 VIII 和聚乙二醇化重组人凝血因子 VIII 在 40°C/75%RH 下储存 3 个月以及在单一温度(5°C/AH、30 和 40°C/75%RH)下储存后均保持稳定,HMWP 没有任何大幅增加,效价或水分含量也没有任何损害。
重组人凝血因子 VIII 和聚乙二醇化重组人凝血因子 VIII 在 40°C 下可稳定保存长达 3 个月,而不会损害每种产品的质量。这些稳定性特征可为患者在产品储存和日常使用方面提供灵活性。