Biological
drug products are formulated with excipients to maintain
stability over the shelf life of the product. Surfactants are added
to the drug product to stabilize air–water interfaces known
to induce protein aggregation. Early formulation development is focused
on maintaining protein conformation and colloidal stability over the
course of the drug product shelf life but rarely considers stability
through dose preparation and administration. Specifically, intravenous
(IV) bag preparation exposes the therapeutic protein to a different
solution environment concurrently diluting the stabilizing excipients
that had been added to the drug product formulation. Mixing in IV
bags can generate dynamic changes in the air–water interfacial
area known to cause protein aggregation if not sufficiently protected.
Therefore, understanding the surfactant requirements for drug product
end-to-end stability in early formulation development provides critical
information for a right-first-time approach to drug product formulation
and robust clinical preparation. The goal of these studies was to
understand if interfacial properties of proteins could predict surfactant
formulation requirements for end-to-end stability. Specifically, the
interfacial properties of five proteins were measured in 0.9% saline
and 5% dextrose. Furthermore, shaking studies were conducted to identify
the minimum surfactant concentration required to prevent subvisible
and visible particle formulation in each diluent. The impact of surfactant
type and concentration on particle generation and size was explored.
A mathematical model was generated to predict the minimum surfactant
concentration required to prevent interface-driven aggregation in
each diluent based on the change in surface pressure upon exposure
of the protein to the interface. The model was tested under typical
IV-preparation conditions with experimental output closely matching
the model prediction. By employing this model and better understanding
the role of surfactants in interfacial stability, drug product development
can generate robust end-to-end large molecule formulations across
shelf life, dose preparation, and administration.
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