Abstract
Degarelix is a gonadotropin-releasing hormone (GnRH) receptor antagonist. Upon contact with physiological fluid, degarelix undergoes quick gelation and forms a depot at the site of injection providing sustained release. The molecular gelling kinetics is a critical physiochemical quality attribute of degarelix products that may impact drug delivery. However, high-resolution and drug substance (DS)-specific analytical methods for characterizing gelling kinetics of degarelix are still lacking. Accordingly, the current study focused on developing NMR-based methods to characterize in vitro initial aggregation of degarelix in Firmagon® drug product (DP). The high-precision real-time NMR method was demonstrated to quickly differentiate lot to lot differences in degarelix aggregation kinetics, and to reveal the effects of degarelix concentration, pH, salt, and temperature on the kinetics. The results could be useful for quality assurance of degarelix products and facilitate complex generic drug development. The real-time NMR method developed here could also be adopted to other complex DPs that have varied aggregation and release properties.
Abbreviations
- EQ:
-
Equivalent
- DP:
-
Drug product
- DS:
-
Drug substance
- CV:
-
coefficient of variation
References
Jiang G, Stalewski J, Galyean R, Dykert J, Schteingart C, Broqua P, et al. GnRH Antagonists: a new generation of long acting analogues incorporating p-ureido-phenylalanines at positions 5 and 6. J Med Chem. 2001;44(3):453–67.
Broqua P, Riviere PJ-M, Conn PM, Rivier JE, Aubert ML, Junien J-L. Pharmacological profile of a new, potent, and long-acting gonadotropin-releasing hormone antagonist: degarelix. J Pharmacol Exp Ther. 2002;301(1):95–102.
Jiang G, Gavini E, Dani BA, Murty SB, Schrier B, Thanoo BC, et al. Identification and determination of GnRH antagonist gelling at injection site. Int J Pharm. 2002;233(1):19–27.
Powell MF, Fleitman J, Sanders LM, Si VC. Peptide liquid crystals: inverse correlation of kinetic formation and thermodynamic stability in aqueous solution. Pharm Res. 1994;11(9):1352–4.
Maji SK, Schubert D, Rivier C, Lee S, Rivier JE, Riek R. Amyloid as a depot for the formulation of long-acting drugs. PLoS Biol. 2008;6(2):e17.
Eckstein N, Haas B. Clinical pharmacology and regulatory consequences of GnRH analogues in prostate cancer. Eur J Clin Pharmacol. 2014;70(7):791–8.
ASSESSMENT REPORT FOR FIRMAGON. European Medicines Agency; 2008. Contract No.: EMEA/CHMP/635761/2008.
Xing L, Fan W, Chen N, Li M, Zhou X, Liu S. Amyloid formation kinetics of hen egg white lysozyme under heat and acidic conditions revealed by Raman spectroscopy. J Raman Spectrosc. 2019;50(5):629–40.
Jarvis JA, Kirkpatrick A, Craik DJ. 1H NMR analysis of fibril-forming peptide fragments of transthyretin. Int J Pept Protein Res. 1994;44(4):388–98.
Xie T, Fang H, Ouyang W, Angart P, Chiang M-J, Bhirde AA, et al. The ELISA detectability and potency of pegfilgrastim decrease in physiological conditions: key roles for aggregation and individual variability. Sci Rep. 2020;10(1):2476.
Cox SJ, Rodriguez Camargo DC, Lee Y-H, Ivanova MI, Padmini V, Reif B, et al. Small molecule induced toxic human-IAPP species characterized by NMR. bioRxiv. 2019:853549.
Karamanos TK, Kalverda AP, Thompson GS, Radford SE. Mechanisms of amyloid formation revealed by solution NMR. Prog Nucl Magn Reson Spectrosc. 2015;88-89:86–104.
Svane ASP, Jahn K, Deva T, Malmendal A, Otzen DE, Dittmer J, et al. Early stages of amyloid fibril formation studied by liquid-state NMR: the peptide hormone glucagon. Biophys J. 2008;95(1):366–77.
Guryanov I, Orlandin A, Viola A, Biondi B, Badocco D, Formaggio F, et al. Overcoming chemical challenges in the solid-phase synthesis of high-purity GnRH antagonist degarelix. Part 1. Org Process Res Dev. 2019;23(12):2746–53.
Chen K, Long DS, Lute SC, Levy MJ, Brorson KA, Keire DA. Simple NMR methods for evaluating higher order structures of monoclonal antibody therapeutics with quinary structure. J Pharm Biomed Anal. 2016;128:398–407.
Saha S, Deep S. Protein aggregation: elucidation of the mechanism and determination of associated thermodynamic and kinetic parameters. Curr Phys Chem. 2014;4(1):114–36.
Patil SM, Li V, Peng J, Kozak D, Xu J, Cai B, et al. A simple and noninvasive DOSY NMR method for droplet size measurement of intact oil-in-water emulsion drug products. J Pharm Sci. 2019;108(2):815–20.
Schwach G, Nilsson A, Gottschalk Boving TE, Rasmussen JH, Mornstam B, Tsirk A, et al., inventors; Ferring B V, assignee. Manufacture of degarelix patent US 10765721. 2020 Sep 8 2020.
Meisl G, Kirkegaard JB, Arosio P, Michaels TCT, Vendruscolo M, Dobson CM, et al. Molecular mechanisms of protein aggregation from global fitting of kinetic models. Nat Protoc. 2016;11(2):252–72.
Marek PJ, Patsalo V, Green DF, Raleigh DP. Ionic strength effects on amyloid formation by amylin are a complicated interplay among Debye screening, ion selectivity, and Hofmeister effects. Biochemistry. 2012;51(43):8478–90.
Singhal M. Physical techniques to overcome the cutaneous barrier: how iontophoresis and fractional laser ablation change the delivery kinetics of drugs 2018.
Acknowledgements
This project was supported, in part, by an appointment (S.M.P) to the Research Participation Program at the CDER administered by the Oak Ridge Institute for Science and Education (ORISE) through an interagency agreement between the U.S. Department of Energy and the U.S. FDA.
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Patil, S.M., Qin, B., Wang, Y. et al. A Real-Time NMR Method for Measurement of In Vitro Aggregation Kinetics Of Degarelix Drug Products. AAPS PharmSciTech 22, 73 (2021). https://doi.org/10.1208/s12249-021-01948-5
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DOI: https://doi.org/10.1208/s12249-021-01948-5