Division of Molecular Pharmaceutics and Drug Delivery, College of Pharmacy, The University of Texas at Austin, Austin, TX, 78712, USA.
Formulation Development Department, Regeneron Pharmaceuticals, Tarrytown, NY, USA.
Pharm Res. 2021 Oct;38(10):1793-1804. doi: 10.1007/s11095-021-03111-y. Epub 2021 Oct 25.
Bacteriophage (phage) therapy has re-gained attention lately given the ever-increasing prevalence of multi-drug resistance 'super-bugs'. To develop therapeutic phage into clinically usable drug products, the strategy of solidifying phage formulations has been implemented to diversify the dosage forms and to overcome the storage condition limitations for liquid phage formulations.
In our work, we hypothesize and tested that an advanced technology, thin film freeze-drying (TFFD), can be used to produce phage containing dry powders without significantly losing phage viability. Here we selected T7 phage as our model phage in a preliminary screening study.
We found that a binary excipient matrix of sucrose and leucine at ratios of 90:10 or 75:25 by weight, protected phage from the stresses encountered during the TFFD process. In addition, we confirmed that incorporating a buffer system in the formulation significantly improved the survival of phage during the initial freezing step and subsequent sublimation step in the solidifying processes. The titer loss of phage in SM buffer (Tris/NaCl/MgSO4) containing formulation was as low as 0.19 log plaque forming units, which indicated that phage function was well preserved after the TFFD process. The presence of buffers markedly reduced the geometric particle sizes as determined by a dry dispersion method using laser diffraction, which indicated that the TFFD phage powder formulations were easily sheared into smaller powder aggregates, an ideal property for facilitating a variety of topical drug delivery routes including pulmonary delivery through dry powder inhalers, nebulization after reconstitution, and intranasal or wound therapy, etc. CONCLUSION: From these findings, we show that introducing buffer system can stabilize phage during dehydration processes, and TFFD, as a novel particle engineering method, can successfully produce phage containing powders that possess the desired properties for bioactivity and potentially for inhalation therapy.
鉴于多药耐药“超级细菌”的日益流行,噬菌体(噬菌体)治疗最近重新引起了人们的关注。为了将治疗性噬菌体开发成临床可用的药物产品,已经实施了固化噬菌体制剂的策略,以多样化剂型并克服液体噬菌体制剂的储存条件限制。
在我们的工作中,我们假设并测试了一种先进的技术,即薄膜冷冻干燥(TFFD),可以用于生产不含明显降低噬菌体活力的含噬菌体干粉。在这里,我们选择 T7 噬菌体作为初步筛选研究的模型噬菌体。
我们发现,蔗糖和亮氨酸的二元赋形剂基质以重量比 90:10 或 75:25 保护噬菌体免受 TFFD 过程中遇到的压力。此外,我们证实,在配方中加入缓冲液系统可显著提高噬菌体在固化过程中的初始冷冻步骤和随后的升华步骤中的存活率。在含有 SM 缓冲液(Tris/NaCl/MgSO4)的制剂中噬菌体的滴度损失低至 0.19 对数噬菌斑形成单位,这表明噬菌体功能在 TFFD 后得到了很好的保留。缓冲液的存在显着降低了通过干分散法使用激光衍射测定的几何颗粒尺寸,这表明 TFFD 噬菌体粉末制剂很容易被剪切成更小的粉末聚集体,这是促进各种局部药物递送途径的理想特性,包括干粉吸入器通过干粉吸入,重建后的雾化以及鼻内或伤口治疗等。结论:从这些发现中,我们表明在脱水过程中引入缓冲液系统可以稳定噬菌体,并且 TFFD 作为一种新型的颗粒工程方法,可以成功地生产出具有生物活性和潜在吸入治疗所需特性的含噬菌体粉末。