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Quartz crystal microbalance as an assay to detect anti-drug antibodies for the immunogenicity assessment of therapeutic biologics

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Abstract

Because of their biological origins, therapeutic biologics can trigger an unwanted deleterious immune response with some patients. The immunogenicity of therapeutic biologics can affect drug efficacy and patient safety by the production of circulating anti-drug antibodies (ADA). In this study, quartz crystal microbalance (QCM) was developed as an assay to detect ADA. Etanercept (Enbrel®) was covalently grafted to dextran-modified QCM surfaces. Rabbits were immunized with etanercept to generate ADA. Results showed the QCM assay could detect purified ADA from rabbits at concentrations as low as 50 ng/mL, within the sensitivity range of ELISA. The QCM assay could also assess the ADA isotype. It was shown that the ADA were composed of the IgG isotype, but not IgM, as expected. Furthermore, it was shown that QCM surfaces that had been used to detect ADA could be regenerated in glycine-HCl solution and reused. The QCM assay was also demonstrated to detect ADA in crude serum samples. Serum was collected from the rabbits and analyzed before and after etanercept immunization. ADA were clearly detected in serum from rabbits after immunization, but not in serum before immunization. Serum from patients administered with etanercept for rheumatoid arthritis (RA) treatment was also analyzed and compared to serum from healthy donors. Sera from 10 RA patients were analyzed. Results showed one of the RA patient serum samples may have ADA present. In conclusion, QCM appears to be a viable assay to detect ADA for the immunogenicity assessment of therapeutic biologics.

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Acknowledgements

We would like to acknowledge Dr. Brian Granda for his advice.

Funding

The authors are grateful to the Québec Consortium for Drug Discovery (CQDM, Consortium québécois sur la découverte du médicament) for their financial support of this work.

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Correspondence to Patrick Vermette.

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The collection of all serum samples was done in accordance with approval of the Ethical Committee of the Université de Sherbrooke (Dossier # 2015-490). Work with rabbits was performed in accordance with internal ethical guidelines of Biomatik.

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The authors declare that they have no conflict of interest.

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Dubiel, E.A., Fülöp, T., Vigier, S. et al. Quartz crystal microbalance as an assay to detect anti-drug antibodies for the immunogenicity assessment of therapeutic biologics. Anal Bioanal Chem 409, 7153–7167 (2017). https://doi.org/10.1007/s00216-017-0674-2

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