Process for creating reference data for predicting concentrations of quality attributes
11568955 · 2023-01-31
Assignee
Inventors
- Brandon John Downey (Bend, OR, US)
- John Michael Schmitt (Bend, OR, US)
- Jeffrey Francis Breit (Visp, CH)
Cpc classification
G16B40/00
PHYSICS
C12M41/36
CHEMISTRY; METALLURGY
B01L2400/082
PERFORMING OPERATIONS; TRANSPORTING
B01L3/502
PERFORMING OPERATIONS; TRANSPORTING
C12M33/00
CHEMISTRY; METALLURGY
B01L2300/0867
PERFORMING OPERATIONS; TRANSPORTING
G16B5/00
PHYSICS
International classification
G16B5/00
PHYSICS
C12M1/34
CHEMISTRY; METALLURGY
G16B40/00
PHYSICS
Abstract
A process and system for efficiently producing reference data that can be fed into a predictive model for predicting quality attribute concentrations in cell culture processes. A perfusion bioreactor is operated at pseudo-steady-state conditions and one or more attribute influencing parameters are manipulated and changed over time. As the one or more attribute influencing parameters are manipulated, one or more quality attributes are monitored and measured. In one embodiment, multiple quality attributes are monitored and measured in parallel. The quality attribute information is recorded in conjunction with the changes in the attribute influencing parameters. This information is then fed to the predictive model for propagating cell cultures in commercial processes and maintaining the cell cultures within desired preset limits.
Claims
1. A process for creating reference data for predicting quality attribute values in a cell culture comprising; introducing a cell culture into a perfusion bioreactor; feeding a nutrient media to the perfusion bioreactor and withdrawing fluid media from the perfusion bioreactor; controlling a plurality of attribute influencing parameters in the perfusion bioreactor, the plurality of attribute influencing parameters having an impact on at least a first quality attribute in the cell culture, the plurality of attribute influencing parameters being controlled in the perfusion bioreactor in a manner so that the plurality of attribute influencing parameters in the perfusion bioreactor vary over time; determining a quantity of the first quality attribute over time in the cell culture as the plurality of attribute influencing parameters are changed; determining a quantity of a second quality attribute over time in the cell culture also as the plurality of attribute influencing parameters are changed; and wherein a first attribute influencing parameter and a second attribute influencing parameter are changed within the perfusion bioreactor in a step wise manner; wherein after each step wise change of the first attribute influencing parameter, the first quality attribute attains steady state within the perfusion bioreactor before a further step wise change is made and wherein after each step wise change of the second attribute influencing parameter, the second quality attribute attains steady state within the perfusion bioreactor before a further steep wise change is made; wherein the determined quantity of the first quality attribute over time and the determined second quality attribute quantity over time comprise reference data and wherein the process further comprises collecting the reference data in a manner so that the reference data is configured to be inputted into a controller that predicts future quantities of the first and second quality attributes over time in a downstream cell culture process, wherein the first and second quality attributes are selected from the group consisting of lactate, protein, glycan, a charge variant, an aggregate, disulfide oxidation, fragmentation, disulfide reduction, methionine oxidation, lysine variant, bispecific monoclonal antibody heterology, sequence variant, un-coded amino acid substitution, ammonia, viable cell density, cell size, cell viability, alanine, glutamine, and a disulfide shuffling variant, wherein the plurality of attribute influencing parameters are selected from the group consisting of pH, glutamate concentration, glucose concentration, asparagine concentration, temperature, mannose concentration, galactose concentration, N-acetyl mannosamine concentration, sucrose concentration, lysine concentration, methionine concentration, serine concentration, lipid concentration, vitamin concentration, manganese concentration, copper concentration, iron concentration, selenium concentration, dissolved oxygen, applied shear rate and nutrient feed rate.
2. The process as defined in claim 1, comprising the steps of: controlling at least three attribute influencing parameters in the perfusion bioreactor, the at least three attribute influencing parameters having an impact on the second quality attribute in the cell culture, the at least three attribute influencing parameters being controlled in the perfusion bioreactor in a manner so that at least three attribute influencing parameters in the bioreactor vary over time, wherein after each step wise change of a third attribute influencing parameter, a third quality attribute attains steady state within the perfusion bioreactor before a further step wise change is made.
3. The process as defined in claim 1, wherein the quantity of the first quality attribute and the quantity of the second quality attribute are determined simultaneously.
4. The process as defined in claim 1, wherein the reference data is configured to be inputted into a predictive model, the predictive model using the reference data to determine future concentrations of the first and second quality attributes in a second bioreactor of a downstream cell culture process.
5. The process as defined in claim 4, wherein the cell culture is propagated in a batch process.
6. The process as defined in claim 2, wherein the at least three attribute influencing parameters are fed to the perfusion bioreactor simultaneously.
7. The process as defined in claim 1, wherein the cell culture in the perfusion bioreactor has a cell density and wherein the cell density remains constant during the process.
8. The process as defined in claim 1, wherein the volume within the perfusion bioreactor remains constant during the process.
9. The process as defined in claim 1, wherein the reference data are collected during a period of time less than 48 hours from the perfusion bioreactor.
10. The process as defined in claim 2, wherein the at least three attribute influencing parameters are changed within the perfusion bioreactor in a sinusoidal manner.
11. The process as defined in claim 4, further comprising the steps of: determining a quantity of at least the first quality attribute in a cell culture; sending the quality attribute quantity to a controller, the controller including the predictive model that determines a future quantity of the quality attribute in the cell culture; and selectively changing at least one condition within the cell culture based upon the determined future quantity of the quality attribute in the cell culture for maintaining the quality attribute quantity within preset limits.
12. The process as defined in claim 11, wherein the cell culture is propagated in a batch process.
13. The process as defined in claim 1, wherein the cell culture comprises mammalian cells.
14. The process as defined in claim 1, wherein at least the first quality attribute is lactate, glycan, a charge variant, disulfide oxidation, disulfide reduction, methionine oxidation, lysine variant, ammonia, viable cell density, cell size, cell viability, alanine, glutamine, or a disulfide shuffling variant.
15. The process as defined in claim 1, wherein the plurality of attribute influencing parameters are pH, glutamate concentration, glucose concentration, asparagine concentration, temperature, mannose concentration, galactose concentration, N-acetyl mannosamine concentration, sucrose concentration, lysine concentration, methionine concentration, serine concentration, lipid concentration, vitamin concentration, manganese concentration, dissolved oxygen, or nutrient feed rate.
16. The process as defined in claim 1, wherein the determined quantity of the first quality attribute over time comprises a concentration of the first quality attribute over time and wherein the determined quantity of the second quality attribute over time comprises the concentration of the second quality attribute over time.
17. A process for creating reference data for predicting quality attribute values in a cell culture comprising; introducing a cell culture into a perfusion bioreactor; feeding a nutrient media to the perfusion bioreactor and withdrawing fluid media from the perfusion bioreactor; controlling a plurality of attribute influencing parameters in the perfusion bioreactor, the plurality of attribute influencing parameters having an impact on at least a first quality attribute in the cell culture, the plurality of attribute influencing parameters being controlled in the perfusion bioreactor in a manner so that the plurality of attribute influencing parameters in the perfusion bioreactor vary over time; determining a quantity of the first quality attribute over time in the cell culture as the plurality of attribute influencing parameters are changed; determining a quantity of a second quality attribute over time in the cell culture also as the plurality of attribute influencing parameters are changed; and wherein a first attribute influencing parameter and a second attribute influencing parameter are changed within the perfusion bioreactor in a step wise manner; wherein after each step wise change of the first attribute influencing parameter, the first quality attribute does not attain steady state within the perfusion bioreactor before a further step wise change is made and wherein after each step wise change of the second attribute influencing parameter, the second quality attribute does not attain steady state within the perfusion bioreactor before a further step wise change is made; wherein the determined quantity of the first quality attribute over time and the determined second quality attribute quantity over time comprise reference data and wherein the process further comprises collecting the reference data in a manner so that the reference data is configured to be inputted into a controller that predicts future quantities of the first and second quality attributes over time in a downstream cell culture process, wherein the first and second quality attributes are selected from the group consisting of lactate, protein, glycan, a charge variant, an aggregate, disulfide oxidation, fragmentation, disulfide reduction, methionine oxidation, lysine variant, bispecific monoclonal antibody heterology, sequence variant, un-coded amino acid substitution, ammonia, viable cell density, cell size, cell viability, alanine, glutamine, and a disulfide shuffling variant, wherein the plurality of attribute influencing parameters are selected from the group consisting of pH, glutamate concentration, glucose concentration, asparagine concentration, temperature, mannose concentration, galactose concentration, N-acetyl mannosamine concentration, sucrose concentration, lysine concentration, methionine concentration, serine concentration, lipid concentration, vitamin concentration, manganese concentration, copper concentration, iron concentration, selenium concentration, dissolved oxygen, applied shear rate and nutrient feed rate.
18. The process as defined in claim 17, comprising the steps of: controlling at least three attribute influencing parameters in the perfusion bioreactor, the at least three attribute influencing parameters having an impact on the second quality attribute in the cell culture, the at least three attribute influencing parameters being controlled in the perfusion bioreactor in a manner so that at least three attribute influencing parameters in the bioreactor vary over time, wherein after each step wise change of a third attribute influencing parameter, a third quality attribute attains steady state within the perfusion bioreactor before a further step wise change is made.
19. A process as defined in claim 17, wherein the quantity of the first quality attribute and the quantity of the second quality attribute are determined simultaneously.
20. A process as defined in claim 17, wherein the reference data is configured to be inputted into a predictive model, the predictive model using the reference data to determine future concentrations of the first and second quality attributes in a second bioreactor of a downstream cell culture process.
21. A process as defined in claim 20, wherein the cell culture is propagated in a batch process.
22. A process as defined in claim 18, wherein the at least three attribute influencing parameters are fed to the perfusion bioreactor simultaneously.
23. A process as defined in claim 17, wherein the cell culture in the perfusion bioreactor has a cell density and wherein the cell density remains constant during the process.
24. A process as defined in claim 17, wherein the volume within the perfusion bioreactor remains constant during the process.
25. A process as defined in claim 17, wherein the reference data are collected during a period of time less than 48 hours from the perfusion bioreactor.
26. A process as defined in claim 18, wherein the at least three attribute influencing parameters are changed within the perfusion bioreactor in a sinusoidal manner.
27. A process as defined in claim 20, further comprising the steps of: determining a quantity of at least the first quality attribute in a cell culture; sending the quality attribute quantity to a controller, the controller including the predictive model that determines a future quantity of the quality attribute in the cell culture; and selectively changing at least one condition within the cell culture based upon the determined future quantity of the quality attribute in the cell culture for maintaining the quality attribute quantity within preset limits.
28. A process as defined in claim 27, wherein the cell culture is propagated in a batch process.
29. A process as defined in claim 17, wherein the cell culture comprises mammalian cells.
30. A process as defined in claim 17, wherein at least the first quality attribute is lactate, glycan, a charge variant, disulfide oxidation, disulfide reduction, methionine oxidation, lysine variant, ammonia, viable cell density, cell size, cell viability, alanine, glutamine, or a disulfide shuffling variant.
31. A process as defined in claim 17, wherein the plurality of attribute influencing parameters are pH, glutamate concentration, glucose concentration, asparagine concentration, temperature, mannose concentration, galactose concentration, N-acetyl mannosamine concentration, sucrose concentration, lysine concentration, methionine concentration, serine concentration, lipid concentration, vitamin concentration, manganese concentration, dissolved oxygen, or nutrient feed rate.
32. A process as defined in claim 17, wherein the determined quantity of the first quality attribute over time comprises a concentration of the first quality attribute over time and wherein the determined quantity of the second quality attribute over time comprises the concentration of the second quality attribute over time.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) A full and enabling disclosure of the present disclosure is set forth more particularly in the remainder of the specification, including reference to the accompanying figures, in which:
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(8) Repeat use of reference characters in the present specification and drawings is intended to represent the same or analogous features or elements of the present invention.
DETAILED DESCRIPTION
(9) It is to be understood by one of ordinary skill in the art that the present discussion is a description of exemplary embodiments only, and is not intended as limiting the broader aspects of the present disclosure.
(10) In general, the present disclosure is directed to a process and system for producing a bioproduct. For example, the process or system of the present disclosure can be incorporated into a cell culture process that uses open loop or closed loop control for monitoring one or more quality attributes, such as one or more parameters in a bioreactor containing the cell culture, and then automatically changing or varying the flow of an attribute influencing parameter in order to improve the quality and/or amount of cells produced.
(11) The method and system of the present disclosure can be applied to any suitable cell culture product. For instance, the method of the present disclosure is particularly well suited to the production of biopharmaceuticals such as bio-therapeutic proteins. Bio-therapeutic proteins, for instance, are produced from genetically modified mammalian cells. In one embodiment, the cell cultures can be produced via recombinant gene expression in cell hosts. Such production can be from cell lines from established cultures, such as, for example, CHO, NSO, or PER.C6. These cells can express the protein of interest and subsequently secrete the protein into the media. It should be understood, however, that the process and techniques of the present disclosure are not limited to the production of proteins and that any suitable cell culture can be subjected to the controls described herein.
(12) In producing cell cultures, one goal is to lower product variability and increase product quality by increasing control of quality attributes within the cell culture. The quality attributes can be maintained within predefined ranges by manipulating attribute influencing parameters. Attribute influencing parameters are typically defined experimentally in the cell culture process by systematically manipulating recipe variables, such as media components and other culture conditions, and observing the ultimate outcome in the propagating cell culture.
(13) In the past, in order to control attribute influencing parameters so as to maintain quality attributes within preset limits, cell culture processes were propagated according to a predefined, tightly controlled recipe. The recipe was determined from laboratory scale experiments in order to produce cell cultures with a low degree of variation. Currently, greater emphasis is being placed on developing more aggressive open loop or closed loop control strategies where attribute influencing parameters are actively manipulated during the process within a defined range to achieve desired quality attribute properties. Unfortunately, however, successful application of quality attribute control requires constructing a control strategy that is labor intensive and time-consuming. For example, process optimization is typically carried out through many manually executed experiments followed by evaluation by those skilled in the art to understand the implications for process and media optimization. This approach takes a considerable amount of time and effort and often produces data that is not ideal for developing a product attribute quality control scheme.
(14) In this regard, the present disclosure is directed to a method and system for efficiently relating attribute influencing parameters to quality attributes in cell cultures in order to develop reference data for use in generating predictive models employed by model predictive controllers for automating the growth of cell cultures. According to the present disclosure, a cell culture is grown in a pseudo-steady-state perfusion bioreactor and subjected to changes in attribute influencing parameters, such as a concentration of various feed components, in order to determine, monitor and record changes in quality attributes over time.
(15) Use of a perfusion bioreactor in order to generate reference data relating to quality attributes can provide various advantages and benefits. The pseudo-steady-state perfusion bioreactor, for instance, allows independent manipulation of attribute influencing parameters, such as concentrations of media components, in a fashion that is more independent of the highly multivariate nature of cell culture processes. Thus, the use of a perfusion bioreactor can greatly simplify the detection of the effect of changing an attribute influencing parameter on a quality attribute. The pseudo-steady-state bioreactor also allows multiple manipulations of attribute influencing parameters to be carried out in sequence or simultaneously, without having to complete an entire batch process to detect the ultimate effect of the changes of the parameters on one or more quality attributes. Additionally, due to the fact that the perfusion bioreactor is at pseudo-steady-state, non-linearities, time-variants, and hysteresis effects can be detected by varying the order of the manipulations of the parameters and looking for changes in outcome of the quality attributes over time.
(16) In order to generate reference data in accordance with the present disclosure, one or more attribute influencing parameters can be changed within the perfusion bioreactor in a controlled manner. These changes can be used to record and obtain data on at least one quality attribute. Of particular advantage, multiple quality attributes can be monitored simultaneously within the perfusion bioreactor. For instance, in one embodiment, a single attribute influencing parameter can be changed over time which may impact multiple quality attributes that are also measured and recorded. Alternatively, two or more attribute influencing parameters can be changed over time in order to monitor the effects on multiple quality attributes in parallel. Thus, the perfusion bioreactor system of the present disclosure can obtain meaningful reference data for use in predictive models for more than one quality attribute simultaneously as the cell culture within the bioreactor reacts to changes in one or more parameters.
(17) The quality attribute monitored and controlled in accordance with the present disclosure can vary depending upon the particular application and the desired result. For instance, quality attributes that can be controlled include protein titer, lactate concentration, cell growth rate, and/or glycan composition. Glycan composition can include a degree of galactosylation, high mannose species, sialation and/or fucosylation. The quality attribute can also be glycan site occupancy. In another embodiment, the quality attribute being controlled may comprise a charge variant. For instance, the charge variant may relate to C-terminal lysine cleavage, deamidation, adduct formation, succinide formation, oxidation, C-terminal proline amidation, isomerization, and/or sialation. Still other quality attributes that can be controlled include aggregate concentration, clipping, disulfide oxidation, and a disulfide shuffling variant. Further quality attributes that can be monitored and controlled include fragmentation, disulfide shuffling, disulfide reduction, methionine oxidation, lysine variants, bispecific monoclonal antibody heterology, sequence variants and/or un-coded amino acid substitutions. The quality attribute can also be a process quality indicator such as ammonia concentration, viable cell density, cell size, cell viability, alanine concentration, and/or glutamine concentration.
(18) Referring to
(19) As shown in
(20) The perfusion bioreactor 10 can be made from various materials. For instance, the bioreactor 10 can be made from a metal, such as stainless steel, and can be designed to be reused. Alternatively, the perfusion bioreactor 10 may comprise a single use bioreactor made from a rigid polymer or a flexible polymer film. When made from a rigid polymer, for instance, the bioreactor walls can be free standing. Alternatively, the bioreactor 10 can be made from a flexible polymer film or shape conforming material that can be liquid impermeable and can have an interior hydrophilic surface. In one embodiment, the perfusion bioreactor 10 can be made from a flexible polymer film that is designed to be inserted into a rigid structure, such as a metal container for assuming a desired shape.
(21) The perfusion bioreactor 10 can have any suitable volume. For instance, the volume of the perfusion bioreactor 10 can be generally greater than about 50 ml, such as greater than about 500 ml. The volume of the perfusion bioreactor 10 is generally less than about 10 L, such as less than about 8 L, such as less than about 6 L, such as less than about 4 L, such as less than about 2 L.
(22) The perfusion bioreactor 10 can also include various over components and equipment, such as baffles, spargers, gas supplies, heat exchangers, and the like which allow for the cultivation and propagation of biological cells.
(23) The perfusion bioreactor 10 is designed so as to continuously receive various inputs, such as a nutrient media, and to continuously remove spent media so as to maintain pseudo-steady-state conditions within the cell culture contained within the bioreactor 10. For example, in one embodiment, the perfusion bioreactor 10 is operated so as to maintain a relatively constant volume of cell culture and media. For example, the perfusion bioreactor 10 can be operated so that the volume within the bioreactor does not vary by more than 10%, such as by no more than about 8%, such as by no more than about 5%, such as by no more than about 3%.
(24) There are various different ways in order to remove spent media from the perfusion bioreactor 10 without depleting the biological cells. For instance, in one embodiment, the perfusion bioreactor can include attachment devices, such as capillary fibers or membranes, which the cells bind to for preventing their release. In other embodiments, the perfusion bioreactor 10 can include a filtration system that maintains a desired cell density with the bioreactor. By continuously removing spent media from the perfusion bioreactor 10 and replacing it with new media, nutrient levels can be controlled and maintained for varying the growing conditions within the bioreactor. In addition, cell waste can be removed in a controlled fashion to avoid toxicity.
(25) The perfusion bioreactor 10 can include a plurality of ports. The ports can allow supply lines and feed lines into and out of the bioreactor 10 for adding and removing fluids and other materials. In addition, the one or more ports may be for connecting to one or more probes for monitoring conditions within the perfusion bioreactor 10. In addition, the perfusion bioreactor 10 can be placed in association with a load cell for measuring the mass of the culture within the bioreactor.
(26) In the embodiment illustrated in
(27) As shown in
(28) The nutrient media can also contain one or more vitamins. Vitamins that may be contained in the nutrient media include group B vitamins, such as B12. Other vitamins include vitamin A, vitamin E, riboflavin, thiamine, biotin, and mixtures thereof. The nutrient media can also contain one or more fatty acids and one or more lipids. For example, a nutrient media feed may include cholesterol, steroids, and mixtures thereof. A nutrient media may also supply proteins and peptides to the bioreactor. Proteins and peptides include, for instance; albumin, transferrin, fibronectin, fetuin, and mixtures thereof. A growth medium within the present disclosure may also include growth factors and growth inhibitors, trace elements, inorganic salts, hydrolysates, and mixtures thereof, Trace elements that may be included in the growth medium include trace metals. Examples of trace metals include cobalt, nickel, and the like.
(29) In the embodiment illustrated
(30) In addition to ports 14, 16, 18 and 20, the perfusion bioreactor 10 can include various other ports for adding materials to the bioreactor, removing materials from the bioreactor or testing various conditions within the bioreactor. For instance, in one embodiment, the perfusion bioreactor 10 can include feed gas ports in order to feed gases such as carbon dioxide and/or oxygen into the bioreactor 10. In addition, the perfusion bioreactor 10 can include a pH sensor, a dissolved oxygen sensor, or various other monitoring and control components. pH and dissolved oxygen, for instance, can be measured inline and can be continuously or periodically monitored as one or more attribute influencing parameters within the bioreactor are changed or varied.
(31) In addition, as shown in
(32) As shown in
(33) As shown in
(34) The perfusion bioreactor system as shown in
(35) Cell free samples obtained from the sampling device 30 can be analyzed for various different parameters and quality attributes. For instance, a cell free permeate can be analyzed for various components. In addition, in one embodiment, the sampling and testing system 26 can also be used to analyze protein content in a sample. For instance, a cell free sample obtained from the cell free sampling device 30 can be fed to a protein column 32. One suitable protein separation column is the mAb Select protein-A column sold by GE. Samples obtained from the protein column 32 can then be transferred to a chilled sample rack 34 for protein quality analysis.
(36) In accordance with the present disclosure, the perfusion bioreactor system as shown in
(37) Each attribute influencing parameter is varied in the perfusion bioreactor 10 over time. The manner in which the attribute influencing parameter is changed or varied depends upon various factors. In general, the change in the attribute influencing parameter is in magnitude. For instance, if the attribute influencing parameter is a component within the nutrient media or fed separately to the perfusion bioreactor 10, the attribute influencing parameter is changed by varying the feed rate of the parameter to the reactor. If the attribute influencing parameter is pH, on the other hand, the change can be a change in pH by adding or removing from the perfusion bioreactor 10 a suitable acid or base.
(38) Each attribute influencing parameter that is changed and manipulated within the perfusion bioreactor 10 can vary depending upon various factors and the quality attribute being monitored. In general, each attribute influencing parameter can be changed and varied within the reactor according to any suitable recipe that will provide reliable information regarding one or more quality attributes. For example, in one embodiment, the magnitude of each attribute influencing parameter being manipulated in the perfusion bioreactor 10 can vary from a minimum magnitude to a maximum magnitude. Alternatively, the magnitude of the attribute influencing parameter can vary in more of a random fashion changing between lower magnitudes and higher magnitudes over time.
(39) In one embodiment, one or more attribute influencing parameters are varied within the perfusion bioreactor 10 in a stepwise manner. For instance, referring to
(40) Referring to
(41) In accordance with the present disclosure, more than one attribute influencing parameter can be manipulated and changed within the perfusion bioreactor 10 simultaneously. For instance, referring to
(42) While the attribute influencing parameters are being manipulated and measurements are being taken regarding one or more quality attributes, the perfusion bioreactor 10 can operate at pseudo-steady-state. Operating the perfusion bioreactor 10 at steady-state conditions allows for independent manipulation of the attribute influencing parameters in a fashion that is more independent of the highly multivariate nature of the cell culture process, allowing for data generation of multiple quality attributes independently and in parallel. For example, the perfusion bioreactor 10 can be operated such that the cell density of the cell culture remains relatively constant. For instance, the cell density can be maintained in a state that mirrors an intermediate stage of the cell culture during a cell culture batch process. For example, in one embodiment, the cell density and the conditions within the bioreactor can be maintained at conditions that are similar to about day 4 to about day 10, such as from about day 5 to about day 8 of a batch process. In an alternative embodiment, the perfusion bioreactor can be operated at a relatively high cell density.
(43) In one embodiment, the cell density can vary by no more than about 20% (±20%), such as vary by no more than about 15%, such as vary by no more than about 10%, such as vary by no more than about 5% during the process. In one particular embodiment, for instance, the cell density can be maintained at generally greater than about 500,000 cells/mL, such as greater than about 800,000 cells/mL, such as greater than about 1,000,000 cells/mL, such as greater than about 10,000,000 cells/m L, such as greater than about 50,000,000 cells/mL, such as greater than about 80,000,000 cells/mL and generally less than about 200,000,000 cells/mL, such as less than about 150,000,000 cells/mL, such as less than about 100,000,000 cells/mL, such as less than about 50,000,000 cells/mL, such as less than about 30,000,000 cells/mL. It should be understood, however, that the cell density can vary widely and is dependent upon the type of cells being propagated within the bioreactor. The above ranges for instance, are particularly well suited when processing the mammalian cells.
(44) In addition to maintaining a relatively constant cell density, the perfusion bioreactor 10 can also be operated so as to maintain a relatively constant volume. For instance, the volume can vary by no more than about 20%, such as by no more than about 15%, such as by no more than about 10%, such as by no more than about 5%, such as by no more than about 2% during the process. In one embodiment, the nutrient feed rate can be held at a constant rate and the cell-free permeate and the effluent 14 and/or pump 22 can be manipulated to hold reactor volume constant. In one embodiment, for instance, a controller can maintain a relatively constant volume within the bioreactor by measuring vessel weight and manipulating the pump rate to achieve a particular setpoint. Simultaneously, the controller or a different controller can control the cell density based upon capacitance values obtained from the biomass sensor 24 and then manipulating the pump rate to maintain the cell density within preset ranges.
(45) Of particular advantage, the system and process of the present disclosure for obtaining meaningful quality attribute data can occur very efficiently and in a relatively short amount of time. For instance, the attribute influencing parameters can be manipulated and information regarding one or more quality attributes can be obtained in a period of time of less than about 4 days, such as less than about 3 days, such as less than about 48 hours, such as even in an amount of time less than about 30 hours. Data is generated in an amount of time of at least about 12 hours, such as at least about 24 hours.
(46) As described above, during the process, one or more quality attributes are monitored and measured. In one embodiment, for instance, at least two, such as at least three, such as at least four quality attributes are monitored and measured in parallel during the process. For instance, from about two to about eight, such as from about two to about six quality attributes can be measured simultaneously. The measurements can be continuously or periodically while the attribute influencing parameters are varied. Information obtained regarding the quality attributes can then be used as reference data in a predictive model for controlling conditions within a commercial bioreactor process, such as in a batch process.
(47) Many different quality attributes can be monitored and measured during the process. Examples of quality attributes that can be monitored include, for instance, lactate concentration, protein amount or concentration, glycan composition, a charge variant, an aggregate, disulfide oxidation, a disulfide shuffling variant, and the like.
(48) The reference data produced according to the process of the present disclosure can be used in any suitable predictive model. In one embodiment, the data can be fed into machine learning tools that can identify patterns in the data for optimizing feed rates or other process conditions during the propagation of a cell culture. Ultimately, the reference data can be used to improve the predictability of cell culture processes for producing cell cultures with improved properties and increased titer.
(49) Referring to
(50) The controller can include a control model that, based upon inputted data, is capable of forecasting quality attribute concentrations in the future as the cell culture continues to propagate. In one embodiment, for instance, the controller can provide an early warning system that produces a percent probability as to whether the cell culture in the bioreactor 10 is within preset limits. The controller can also include a predictive model that accurately predicts future quality attribute concentrations. For instance, in one embodiment, the controller 60 can forecast quality attribute concentration trajectories that predict concentrations through the entire incubation period until a cell culture is harvested. In one embodiment, the controller 60 can also be configured to suggest or automatically implement corrective actions in case one or more quality attributes are outside preset limits. In accordance with the present disclosure, the controller contains reference data obtained from the process in
(51) The controller 60 may comprise one or more programmable devices or microprocessors. The controller 60 can be in communication with one or more feeds and with one or more effluents. The controller can be in communication with various sensors and probes, such as a pH sensor, a dissolved oxygen sensor, and gas supplies that feed gas to the bioreactor 50. The controller 60 can be configured to increase or decrease the flow of materials into and out of the bioreactor 50 based upon calculated future concentrations of quality attributes. The controller 60 can operate in an open loop manner or in a closed loop manner.
(52) As shown in
(53) The controller 60 can also include a predictive model. The predictive model can determine future quality attribute concentration trajectories over the entire incubation period. In addition, the predictive controller can be configured to predict how changes in one or more conditions within the bioreactor 50 over a specified control horizon will affect concentrations over a specified prediction horizon. For example, as shown in
(54) The reference data produced from the process of the present disclosure can dramatically improve operation of the classification model and the predictive model. For example, the reference data can include quality attribute concentration trajectories in cell cultures as one or more attribute influencing parameters are varied. This information can greatly improve the predictability of the controller 60.
(55) The predictive model can run simulations and make determinations based on using various multivariate methods. In one embodiment, for instance, the concentration trajectories can be determined by minimizing or optimizing the variations of the attribute influencing parameters in the predictive model in order to minimize weighted squared deviations of quality attribute concentration predictions from prescribed reference trajectories and weighted squared deviations and changes in each of the manipulated variables. This optimization can be performed subject to linear inequality constraints depending upon the amount of each manipulated variable can change over time.
(56) In one embodiment, the predictive model can include a predictive control algorithm that employs reduced-order linear models such as a reduced order time varying autoregressive exogenous model (ARX model). Techniques that may be used in the predictive model include a neural network, support vector machines, latent variable modeling including partial least squares analysis. In addition, decision trees and linear discriminant analysis can be used.
(57) In one embodiment, at least two multivariate methods are incorporated into the predictive model. For instance, the predictive model can include at least two of the neural network model, support vector machines, and latent variant modeling in determining concentration predictions.
(58) In one embodiment, the predictive model is a nonlinear ARX model that includes model regressors and a nonlinearity estimator. The nonlinearity estimator can include both linear and nonlinear functions that act on the model regressors to give the model output.
(59) In order to control quality attribute concentrations in the future, one or more conditions within the bioreactor can be changed. For example, one or more attribute influencing parameters within the bioreactor can be selectively controlled in order to control quality attribute concentrations. The condition being changed can include pH, carbohydrate concentrations such as glucose concentration, amino acid concentration, such as glutamate concentration and/or asparagine concentration, or the like. The pH of the cell culture can be changed by adding an acid or base to the cell culture, such as feeding carbon dioxide gas through the sparger and/or adding sodium bicarbonate to the cell culture. Carbohydrate concentration and/or amino acid concentration within the cell culture can be changed and modified by changing the nutrient media fed being feed to the bioreactor 50.
(60) Of particular advantage, the controller 60 can also include a robust predictive model that can not only be scalable for different bioreactor types and bioreactor volumes, but can also be effective against multiple and diverse cell lines. For instance, the predictive model uses more than one multivariate technique, such as when using two multivariate techniques or three multivariate techniques making the model well suited for use across multiple cell lines.
(61) In addition to monitoring one or more attribute influencing parameters, the controller can control various other process conditions. For instance, the controller can be in communication and control thermocirculators, load cells, control pumps, and receive information from various sensors and probes. For instance, the controller may control and/or monitor the oxygen tension, the temperature, the agitation conditions, the pressure, foam levels, and the like. For example, the controller can receive temperature information and control fluids being feed to a water jacket surrounding the bioreactor for increasing or decreasing temperature.
(62) Through the process of the present disclosure, cell cultures can be grown with excellent product characteristics. For instance, cell cultures can be grown with excellent viability characteristics. For example, viability can be measured by dividing the viable cell count with the total cell count, which are two parameters that can both be measured during the process. Cell cultures can be grown in accordance with the present disclosure having a viability ratio as described above of greater than about 0.6, such as greater than about 0.7, such as greater than about 0.8, such as greater than about 0.9. In fact, the viability ratio can be greater than about 0.94, such as greater than about 0.96, such as greater than about 0.98.
(63) The system of the present disclosure for creating and generating reference data can have many different configurations and can be completely automated. Referring to
(64) The system illustrated in
(65) The perfusion bioreactor 110 can also include a plurality of influent ports, such as ports 118 and 120. Influent ports 120, for instance, can be used to feed gases into the perfusion bioreactor 110. Gasses can include, for instance, oxygen, carbon dioxide, air, or mixtures thereof. The influent port 120 can be in communication with a sparger 121 that distributes the gases throughout the cell culture contained within the perfusion bioreactor 110.
(66) The influent port 118, on the other hand, can be used to feed fluids, such as liquids, suspensions, emulsions, and the like into the perfusion bioreactor 110. For example, as shown, the influent port 118 is in fluid communication with a media supply 123 which can feed media to the perfusion bioreactor 110 using a pump 125.
(67) In accordance with the present disclosure, the system illustrated in
(68) In order to manipulate the attribute influencing parameters being fed to the perfusion bioreactor 110, the system can include an input controller 146. The input controller 146 can control the flow control devices 141, 143 and 145 for controlling and manipulating the quantity of the attribute influencing parameters being fed to the perfusion bioreactor 110. In one embodiment, for instance, the input controller 146 can be configured to feed to the perfusion bioreactor 110 a plurality of attribute influencing parameters from the component inputs 140, 142 and 144 according to a recipe that will influence quality attributes within the cell culture. In this manner, one or more quality attributes can be monitored and measured as the attribute influencing parameters are varied. A relationship can then be established between a quality attribute and one or more attribute influencing parameters.
(69) As described above, in one embodiment, the input controller may only control a single attribute influencing parameter that may have an effect on multiple quality attributes. Alternatively, the input controller 146 may control a plurality of attribute influencing parameters that have an effect or influence a plurality of quality attributes. By carefully controlling the manner in which the attribute influencing parameters are varied using the input controller 146, correlations can be made between the attribute influencing parameters and the quality attributes for producing reference data that can be used in downstream cell culture systems.
(70) In order to monitor and record quality attribute information, the system illustrated in
(71) The sample collection subsystem 182, on the other hand, is for collecting samples from the bioreactor that are cell free. For instance, the system can include a cell retention device 136 placed in combination with a permeate pump 137. A reactor scale 139 can be in communication with the permeate pump 137 for maintaining steady state within the perfusion bioreactor 110 by maintaining the amount of cell culture contained within the bioreactor within preset limits.
(72) As shown in
(73) The system database 190 can be configured to store the collected reference data in a media configured to transfer the reference data to a controller. The controller can then use the reference data for controlling downstream cell culture systems in accordance with the present disclosure.
(74) In one embodiment, multiple systems as shown in
(75) The devices, facilities and methods described herein are suitable for culturing any desired cell line including prokaryotic and/or eukaryotic cell lines. Further, in embodiments, the devices, facilities and methods are suitable for culturing suspension cells or anchorage-dependent (adherent) cells and are suitable for production operations configured for production of pharmaceutical and biopharmaceutical products—such as polypeptide products, nucleic acid products (for example DNA or RNA), or cells and/or viruses such as those used in cellular and/or viral therapies.
(76) In embodiments, the cells express or produce a product, such as a recombinant therapeutic or diagnostic product. As described in more detail below, examples of products produced by cells include, but are not limited to, antibody molecules (e.g., monoclonal antibodies, bispecific antibodies), antibody mimetics (polypeptide molecules that bind specifically to antigens but that are not structurally related to antibodies such as e.g. DARPins, affibodies, adnectins, or IgNARs), fusion proteins (e.g., Fc fusion proteins, chimeric cytokines), other recombinant proteins (e.g., glycosylated proteins, enzymes, hormones), viral therapeutics (e.g., anti-cancer oncolytic viruses, viral vectors for gene therapy and viral immunotherapy), cell therapeutics (e.g., pluripotent stem cells, mesenchymal stem cells and adult stem cells), vaccines or lipid-encapsulated particles (e.g., exosomes, virus-like particles), RNA (such as e.g. siRNA) or DNA (such as e.g. plasmid DNA), antibiotics or amino acids. In embodiments, the devices, facilities and methods can be used for producing biosimilars.
(77) As mentioned, in embodiments, devices, facilities and methods allow for the production of eukaryotic cells, e.g., mammalian cells or lower eukaryotic cells such as for example yeast cells or filamentous fungi cells, or prokaryotic cells such as Gram-positive or Gram-negative cells and/or products of the eukaryotic or prokaryotic cells, e.g., proteins, peptides, antibiotics, amino acids, nucleic acids (such as DNA or RNA), synthesized by the eukaryotic cells in a large-scale manner. Unless stated otherwise herein, the devices, facilities, and methods can include any desired volume or production capacity including but not limited to bench-scale, pilot-scale, and full production scale capacities.
(78) Moreover and unless stated otherwise herein, the devices, facilities, and methods can include any suitable reactor(s) including but not limited to stirred tank, airlift, fiber, microfiber, hollow fiber, ceramic matrix, fluidized bed, fixed bed, and/or spouted bed bioreactors. As used herein, “reactor” can include a fermentor or fermentation unit, or any other reaction vessel and the term “reactor” is used interchangeably with “fermentor.” For example, in some aspects, an example bioreactor unit can perform one or more, or all, of the following: feeding of nutrients and/or carbon sources, injection of suitable gas (e.g., oxygen), inlet and outlet flow of fermentation or cell culture medium, separation of gas and liquid phases, maintenance of temperature, maintenance of oxygen and CO2 levels, maintenance of pH level, agitation (e.g., stirring), and/or cleaning/sterilizing. Example reactor units, such as a fermentation unit, may contain multiple reactors within the unit, for example the unit can have 1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, or 100, or more bioreactors in each unit and/or a facility may contain multiple units having a single or multiple reactors within the facility. In various embodiments, the bioreactor can be suitable for batch, semi fed-batch, fed-batch, perfusion, and/or a continuous fermentation processes. Any suitable reactor diameter can be used. In embodiments, the bioreactor can have a volume between about 100 mL and about 50,000 L. Non-limiting examples include a volume of 100 mL, 250 mL, 500 mL, 750 mL, 1 liter, 2 liters, 3 liters, 4 liters, 5 liters, 6 liters, 7 liters, 8 liters, 9 liters, 10 liters, 15 liters, 20 liters, 25 liters, 30 liters, 40 liters, 50 liters, 60 liters, 70 liters, 80 liters, 90 liters, 100 liters, 150 liters, 200 liters, 250 liters, 300 liters, 350 liters, 400 liters, 450 liters, 500 liters, 550 liters, 600 liters, 650 liters, 700 liters, 750 liters, 800 liters, 850 liters, 900 liters, 950 liters, 1000 liters, 1500 liters, 2000 liters, 2500 liters, 3000 liters, 3500 liters, 4000 liters, 4500 liters, 5000 liters, 6000 liters, 7000 liters, 8000 liters, 9000 liters, 10,000 liters, 15,000 liters, 20,000 liters, and/or 50,000 liters. Additionally, suitable reactors can be multi-use, single-use, disposable, or non-disposable and can be formed of any suitable material including metal alloys such as stainless steel (e.g., 316L or any other suitable stainless steel) and Inconel, plastics, and/or glass.
(79) In embodiments and unless stated otherwise herein, the devices, facilities, and methods described herein can also include any suitable unit operation and/or equipment not otherwise mentioned, such as operations and/or equipment for separation, purification, and isolation of such products. Any suitable facility and environment can be used, such as traditional stick-built facilities, modular, mobile and temporary facilities, or any other suitable construction, facility, and/or layout. For example, in some embodiments modular clean-rooms can be used. Additionally and unless otherwise stated, the devices, systems, and methods described herein can be housed and/or performed in a single location or facility or alternatively be housed and/or performed at separate or multiple locations and/or facilities.
(80) By way of non-limiting examples and without limitation, U.S. Publication Nos. 2013/0280797; 2012/0077429; 2011/0280797; 2009/0305626; and U.S. Pat. Nos. 8,298,054; 7,629,167; and 5,656,491, which are hereby incorporated by reference in their entirety, describe example facilities, equipment, and/or systems that may be suitable.
(81) In embodiments, the cells are eukaryotic cells, e.g., mammalian cells. The mammalian cells can be for example human or rodent or bovine cell lines or cell strains. Examples of such cells, cell lines or cell strains are e.g. mouse myeloma (NSO)-cell lines, Chinese hamster ovary (CHO)-cell lines, HT1080, H9, HepG2, MCF7, MDBK Jurkat, NIH3T3, PC12, BHK (baby hamster kidney cell), VERO, SP2/0, YB2/0, YO, C127, L cell, COS, e.g., COS1 and COS7, QC1-3,HEK-293, VERO, PER.C6, HeLA, EBI, EB2, EB3, oncolytic or hybridoma-cell lines. Preferably the mammalian cells are CHO-cell lines. In one embodiment, the cell is a CHO cell. In one embodiment, the cell is a CHO-K1 cell, a CHO-K1 SV cell, a DG44 CHO cell, a DUXB11 CHO cell, a CHOS, a CHO GS knock-out cell, a CHO FUT8 GS knock-out cell, a CHOZN, or a CHO-derived cell. The CHO GS knock-out cell (e.g., GSKO cell) is, for example, a CHO-K1 SV GS knockout cell. The CHO FUT8 knockout cell is, for example, the Potelligent® CHOK1 SV (Lonza Biologics, Inc.). Eukaryotic cells can also be avian cells, cell lines or cell strains, such as for example, EBx® cells, EB14, EB24, EB26, EB66, or EBvl3.
(82) In one embodiment, the eukaryotic cells are stem cells. The stem cells can be, for example, pluripotent stem cells, including embryonic stem cells (ESCs), adult stem cells, induced pluripotent stem cells (iPSCs), tissue specific stem cells (e.g., hematopoietic stem cells) and mesenchymal stem cells (MSCs).
(83) In one embodiment, the cell is a differentiated form of any of the cells described herein. In one embodiment, the cell is a cell derived from any primary cell in culture.
(84) In embodiments, the cell is a hepatocyte such as a human hepatocyte, animal hepatocyte, or a non-parenchymal cell. For example, the cell can be a plateable metabolism qualified human hepatocyte, a plateable induction qualified human hepatocyte, plateable Qualyst Transporter Certified™ human hepatocyte, suspension qualified human hepatocyte (including 10-donor and 20-donor pooled hepatocytes), human hepatic kupffer cells, human hepatic stellate cells, dog hepatocytes (including single and pooled Beagle hepatocytes), mouse hepatocytes (including CD-1 and C57BI/6 hepatocytes), rat hepatocytes (including Sprague-Dawley, Wistar Han, and Wistar hepatocytes), monkey hepatocytes (including Cynomolgus or Rhesus monkey hepatocytes), cat hepatocytes (including Domestic Shorthair hepatocytes), and rabbit hepatocytes (including New Zealand White hepatocytes). Example hepatocytes are commercially available from Triangle Research Labs, LLC, 6 Davis Drive Research Triangle Park, N.C., USA 27709.
(85) In one embodiment, the eukaryotic cell is a lower eukaryotic cell such as e.g. a yeast cell (e.g., Pichia genus (e.g. Pichia pastoris, Pichia methanolica, Pichia kluyveri, and Pichia angusta), Komagataella genus (e.g. Komagataella pastoris, Komagataella pseudopastoris or Komagataella phaffii), Saccharomyces genus (e.g. Saccharomyces cerevisae, cerevisiae, Saccharomyces kluyveri, Saccharomyces uvarum), Kluyveromyces genus (e.g. Kluyveromyces lactis, Kluyveromyces marxianus), the Candida genus (e.g. Candida utilis, Candida cacaoi, Candida boidinii,), the Geotrichum genus (e.g. Geotrichum fermentans), Hansenula polymorpha, Yarrowia lipolytica, or Schizosaccharomyces pombe, Preferred is the species Pichia pastoris. Examples for Pichia pastoris strains are X33, GS115, KM71, KM71H; and CBS7435.
(86) In one embodiment, the eukaryotic cell is a fungal cell (e.g. Aspergillus (such as A. niger, A. fumigatus, A. orzyae, A. nidula), Acremonium (such as A. thermophilum), Chaetomium (such as C. thermophilum), Chrysosporium (such as C. thermophile), Cordyceps (such as C. militaris), Corynascus, Ctenomyces, Fusarium (such as F. oxysporum), Glomerella (such as G. graminicola), Hypocrea (such as H. jecorina), Magnaporthe (such as M. orzyae), Myceliophthora (such as M. thermophile), Nectria (such as N. heamatococca), Neurospora (such as N. crassa), Penicillium, Sporotrichum (such as S. thermophile), Thielavia (such as T. terrestris, T. heterothallica), Trichoderma (such as T. reesei), or Verticillium (such as V. dahlia)).
(87) In one embodiment, the eukaryotic cell is an insect cell (e.g., Sf9, Mimic™ Sf9, Sf21, High Five™ (BT1-TN-5B1-4), or BT1-Ea88 cells), an algae cell (e.g., of the genus Amphora, Bacillariophyceae, Dunaliella, Chlorella, Chlamydomonas, Cyanophyta (cyanobacteria), Nannochloropsis, Spirulina, or Ochromonas), or a plant cell (e.g., cells from monocotyledonous plants (e.g., maize, rice, wheat, or Setaria), or from a dicotyledonous plants (e.g., cassava, potato, soybean, tomato, tobacco, alfalfa, Physcomitrella patens or Arabidopsis).
(88) In one embodiment, the cell is a bacterial or prokaryotic cell.
(89) In embodiments, the prokaryotic cell is a Gram-positive cells such as Bacillus, Streptomyces Streptococcus, Staphylococcus or Lactobacillus. Bacillus that can be used is, e.g. the B. subtilis, B. amyloliquefaciens, B. licheniformis, B. natto, or B. megaterium. In embodiments, the cell is B. subtilis, such as B. subtilis 3NA and B. subtilis 168. Bacillus is obtainable from, e.g., the Bacillus Genetic Stock Center, Biological Sciences 556, 484 West 12th Avenue, Columbus Ohio 43210-1214.
(90) In one embodiment, the prokaryotic cell is a Gram-negative cell, such as Salmonella spp. or Escherichia coli, such as e.g., TG1, TG2, W3110, DH1, DHB4, DH5a, HMS 174, HMS174 (DE3), NM533, C600, HB101, JM109, MC4100, XL1-Blue and Origami, as well as those derived from E. coli B-strains, such as for example BL-21 or BL21 (DE3), all of which are commercially available.
(91) Suitable host cells are commercially available, for example, from culture collections such as the DSMZ (Deutsche Sammlung von Mikroorganismen and Zellkulturen GmbH, Braunschweig, Germany) or the American Type Culture Collection (ATCC).
(92) In embodiments, the cultured cells are used to produce proteins e.g., antibodies, e.g., monoclonal antibodies, and/or recombinant proteins, for therapeutic use. In embodiments, the cultured cells produce peptides, amino acids, fatty acids or other useful biochemical intermediates or metabolites. For example, in embodiments, molecules having a molecular weight of about 4000 daltons to greater than about 140,000 daltons can be produced. In embodiments, these molecules can have a range of complexity and can include posttranslational modifications including glycosylation.
(93) In embodiments, the protein is, e.g., BOTOX, Myobloc, Neurobloc, Dysport (or other serotypes of botulinum neurotoxins), alglucosidase alpha, daptomycin, YH-16, choriogonadotropin alpha, filgrastim, cetrorelix, interleukin-2, aldesleukin, teceleulin, denileukin diftitox, interferon alpha-n3 (injection), interferon alpha-nl, DL-8234, interferon, Suntory (gamma-1a), interferon gamma, thymosin alpha 1, tasonermin, DigiFab, ViperaTAb, EchiTAb, CroFab, nesiritide, abatacept, alefacept, Rebif, eptoterminalfa, teriparatide (osteoporosis), calcitonin injectable (bone disease), calcitonin (nasal, osteoporosis), etanercept, hemoglobin glutamer 250 (bovine), drotrecogin alpha, collagenase, carperitide, recombinant human epidermal growth factor (topical gel, wound healing), DWP401, darbepoetin alpha, epoetin omega, epoetin beta, epoetin alpha, desirudin, lepirudin, bivalirudin, nonacog alpha, Mononine, eptacog alpha (activated), recombinant Factor VIII+VWF, Recombinate, recombinant Factor VIII, Factor VIII (recombinant), Alphnmate, octocog alpha, Factor VIII, palifermin, Indikinase, tenecteplase, alteplase, pamiteplase, reteplase, nateplase, monteplase, follitropin alpha, rFSH, hpFSH, micafungin, pegfilgrastim, lenograstim, nartograstim, sermorelin, glucagon, exenatide, pramlintide, iniglucerase, galsulfase, Leucotropin, molgramostirn, triptorelin acetate, histrelin (subcutaneous implant, Hydron), deslorelin, histrelin, nafarelin, leuprolide sustained release depot (ATRIGEL), leuprolide implant (DUROS), goserelin, Eutropin, KP-102 program, somatropin, mecasermin (growth failure), enlfavirtide, Org-33408, insulin glargine, insulin glulisine, insulin (inhaled), insulin lispro, insulin deternir, insulin (buccal, RapidMist), mecasermin rinfabate, anakinra, celmoleukin, 99 mTc-apcitide injection, myelopid, Betaseron, glatiramer acetate, Gepon, sargramostim, oprelvekin, human leukocyte-derived alpha interferons, Bilive, insulin (recombinant), recombinant human insulin, insulin aspart, mecasenin, Roferon-A, interferon-alpha 2, Alfaferone, interferon alfacon-1, interferon alpha, Avonex' recombinant human luteinizing hormone, dornase alpha, trafermin, ziconotide, taltirelin, diboterminalfa, atosiban, becaplerm in, eptifibatide, Zemaira, CTC-111, Shanvac-B, HPV vaccine (quadrivalent), octreotide, lanreotide, ancestirn, agalsidase beta, agalsidase alpha, laronidase, prezatide copper acetate (topical gel), rasburicase, ranibizumab, Actimmune, PEG-Intron, Tricomin, recombinant house dust mite allergy desensitization injection, recombinant human parathyroid hormone (PTH) 1-84 (sc, osteoporosis), epoetin delta, transgenic antithrombin III, Granditropin, Vitrase, recombinant insulin, interferon-alpha (oral lozenge), GEM-21S, vapreotide, idursulfase, omnapatrilat, recombinant serum albumin, certolizumab pegol, glucarpidase, human recombinant Cl esterase inhibitor (angioedema), lanoteplase, recombinant human growth hormone, enfuvirtide (needle-free injection, Biojector 2000), VGV-1, interferon (alpha), lucinactant, aviptadil (inhaled, pulmonary disease), icatibant, ecallantide, omiganan, Aurograb, pexigananacetate, ADI-PEG-20, LDI-200, degarelix, cintredelinbesudotox, Favld, MDX-1379, ISAtx-247, liraglutide, teriparatide (osteoporosis), tifacogin, AA4500, T4N5 liposome lotion, catumaxomab, DWP413, ART-123, Chrysalin, desmoteplase, amediplase, corifollitropinalpha, TH-9507, teduglutide, Diamyd, DWP-412, growth hormone (sustained release injection), recombinant G-CSF, insulin (inhaled, AIR), insulin (inhaled, Technosphere), insulin (inhaled, AERx), RGN-303, DiaPep277, interferon beta (hepatitis C viral infection (HCV)), interferon alpha-n3 (oral), belatacept, transdermal insulin patches, AMG-531, MBP-8298, Xerecept, opebacan, AIDSVAX, GV-1001, LymphoScan, ranpirnase, Lipoxysan, lusupultide, MP52 (beta-tricalciumphosphate carrier, bone regeneration), melanoma vaccine, sipuleucel-T, CTP-37, Insegia, vitespen, human thrombin (frozen, surgical bleeding), thrombin, TransMlD, alfimeprase, Puricase, terlipressin (intravenous, hepatorenal syndrome), EUR-1008M, recombinant FGF-I (injectable, vascular disease), BDM-E, rotigaptide, ETC-216, P-113, MBI-594AN, duramycin (inhaled, cystic fibrosis), SCV-07, OPI-45, Endostatin, Angiostatin, ABT-510, Bowman Birk Inhibitor Concentrate, XMP-629, 99 mTc-Hynic-Annexin V, kahalalide F, CTCE-9908, teverelix (extended release), ozarelix, rornidepsin, BAY-504798, interleukin4, PRX-321, Pepscan, iboctadekin, rhlactoferrin, TRU-015, IL-21, ATN-161, cilengitide, Albuferon, Biphasix, IRX-2, omega interferon, PCK-3145, CAP-232, pasireotide, huN901-DMI, ovarian cancer immunotherapeutic vaccine, SB-249553, Oncovax-CL, OncoVax-P, BLP-25, CerVax-16, multi-epitope peptide melanoma vaccine (MART-1, gp100, tyrosinase), nemifitide, rAAT (inhaled), rAAT (dermatological), CGRP (inhaled, asthma), pegsunercept, thymosinbeta4, plitidepsin, GTP-200, ramoplanin, GRASPA, OBI-1, AC-100, salmon calcitonin (oral, eligen), calcitonin (oral, osteoporosis), examorelin, capromorelin, Cardeva, velafermin, 131I-TM-601, KK-220, T-10, ularitide, depelestat, hematide, Chrysalin (topical), rNAPc2, recombinant Factor V111 (PEGylated liposomal), bFGF, PEGylated recombinant staphylokinase variant, V-10153, SonoLysis Prolyse, NeuroVax, CZEN-002, islet cell neogenesis therapy, rGLP-1, BIM-51077, LY-548806, exenatide (controlled release, Medisorb), AVE-0010, GA-GCB, avorelin, ACM-9604, linaclotid eacetate, CETi-1, Hemospan, VAL (injectable), fast-acting insulin (injectable, Viadel), intranasal insulin, insulin (inhaled), insulin (oral, eligen), recombinant methionyl human leptin, pitrakinra subcutancous injection, eczema), pitrakinra (inhaled dry powder, asthma), Multikine, RG-1068, MM-093, NBI-6024, AT-001, PI-0824, Org-39141, Cpn10 (autoimmune diseases/inflammation), talactoferrin (topical), rEV-131 (ophthalmic), rEV-131 (respiratory disease), oral recombinant human insulin (diabetes), RPI-78M, oprelvekin (oral), CYT-99007 CTLA4-Ig, DTY-001, valategrast, interferon alpha-n3 (topical), IRX-3, RDP-58, Tauferon, bile salt stimulated lipase, Merispase, alaline phosphatase, EP-2104R, Melanotan-II, bremelanotide, ATL-104, recombinant human microplasmin, AX-200, SEMAX, ACV-1, Xen-2174, CJC-1008, dynorphin A, SI-6603, LAB GHRH, AER-002, BGC-728, malaria vaccine (virosomes, PeviPRO), ALTU-135, parvovirus B19 vaccine, influenza vaccine (recombinant neuraminidase), malaria/HBV vaccine, anthrax vaccine, Vacc-5q, Vacc-4x, HIV vaccine (oral), HPV vaccine, Tat Toxoid, YSPSL, CHS-13340, PTH(1-34) liposomal cream (Novasome), Ostabolin-C, PTH analog (topical, psoriasis), MBRI-93.02, MTB72F vaccine (tuberculosis), MVA-Ag85A vaccine (tuberculosis), FARA04, BA-210, recombinant plague FIV vaccine, AG-702, OxSODrol, rBetV1, Der-p1/Der-p2/Der-p7 allergen-targeting vaccine (dust mite allergy), PR1 peptide antigen (leukemia), mutant ras vaccine, HPV-16 E7 lipopeptide vaccine, labyrinthin vaccine (adenocarcinoma), CML vaccine, WT1-peptide vaccine (cancer), IDD-5, CDX-110, Pentrys, Norelin, CytoFab, P-9808, VT-111, icrocaptide, telbermin (dermatological, diabetic foot ulcer), rupintrivir, reticulose, rGRF, HA, alpha-galactosidase A, ACE-011, ALTU-140, CGX-1160, angiotensin therapeutic vaccine, D-4F, ETC-642, APP-018, rhMBL, SCV-07 (oral, tuberculosis), DRF-7295, ABT-828, ErbB2-specific immunotoxin (anticancer), DT3SSIL-3, TST-10088, PRO-1762, Combotox, cholecystokinin-B/gastrin-receptor binding peptides, 111In-hEGF, AE-37, trasnizumab-DM1, Antagonist G, IL-12 (recombinant), PM-02734, IMP-321, rhIGF-BP3, BLX-883, CUV-1647 (topical), L-19 based radioimmunotherapeutics (cancer), Re-188-P-2045, AMG-386, DC/1540/KLH vaccine (cancer), VX-001, AVE-9633, AC-9301, NY-ESO-1 vaccine (peptides), NA17.A2 peptides, melanoma vaccine (pulsed antigen therapeutic), prostate cancer vaccine, CBP-501, recombinant human lactoferrin (dry eye), FX-06, AP-214, WAP-8294A (injectable), ACP-HIP, SUN-11031, peptide YY [3-36] (obesity, intranasal), FGLL, atacicept, BR3-Fc, BN-003, BA-058, human parathyroid hormone 1-34 (nasal, osteoporosis), F-18-CCR1, AT-1100 (celiac disease/diabetes), JPD-003, PTH(7-34) liposomal cream (Novasome), duramycin (ophthalmic, dry eye), CAB-2, CTCE-0214, GlycoPEGylated erythropoietin, EPO-Fc, CNTO-528, AMG-114, JR-013, Factor XIII, aminocandin, PN-951, 716155, SUN-E7001, TH-0318, BAY-73-7977, teverelix (immediate release), EP-51216, hGH (controlled release, Biosphere), OGP-I, sifuvirtide, TV4710, ALG-889, Org-41259, rhCC10, F-991, thymopentin (pulmonary diseases), r(m)CRP, hepatoselective insulin, subalin, L19-IL-2 fusion protein, elafin, NMK-150, ALTU-139, EN-122004, rhTPO, thrombopoietin receptor agonist (thrombocytopenic disorders), AL-108, AL-208, nerve growth factor antagonists (pain), SLV-317, CGX-1007, INNO-105, oral teriparatide (eligen), GEM-OS1, AC-162352, PRX-302, LFn-p24 fusion vaccine (Therapore), EP-1043, S pneumoniae pediatric vaccine, malaria vaccine, Neisseria meningitidis Group B vaccine, neonatal group B streptococcal vaccine, anthrax vaccine, HCV vaccine (gpE1+gpE2+MF-59), otitis media therapy, HCV vaccine (core antigen+ISCOMATRIX), hPTH(1-34) (transdermal, ViaDerm), 768974, SYN-101, PGN-0052, aviscumnine, BIM-23190, tuberculosis vaccine, multi-epitope tyrosinase peptide, cancer vaccine, enkastim, APC-8024, GI-5005, ACC-001, TTS-CD3, vascular-targeted TNF (solid tumors), desmopressin (buccal controlled-release), onercept, and TP-9201.
(94) In some embodiments, the polypeptide is adalimumab (HUMIRA), infliximab (REMICADE™), rituximab (RITUXAN™/MAB THERA™) etanercept (ENBREL™), bevacizumab (AVASTIN™), trastuzumab (HERCEPTIN™), pegrilgrastim (NEULASTA™), or any other suitable polypeptide including biosimilars and biobetters.
(95) Other suitable polypeptides are those listed below and in Table 1 of US2016/0097074:
(96) TABLE-US-00001 TABLE I Protein Product Reference Listed Drug interferon gamma-1b Actimmune ® alteplase; tissue plasminogen activator Activase ®/Cathflo ® Recombinant antihemophilic factor Advate human albumin Albutein ® Laronidase Aldurazyme ® Interferon alfa-N3, human leukocyte Alferon N ® derived human antihemophilic factor Alphanate ® virus-filtered human coagulation factor IX AlphaNine ® SD Alefacept; recombinant, dimeric fusion Amevive ® protein LFA3-Ig Bivalirudin Angiomax ® darbepoetin alfa Aranesp ™ Bevacizumab Avastin ™ interferon beta-1a; recombinant Avonex ® coagulation factor IX BeneFix ™ Interferon beta-1b Betaseron ® Tositumomab BEXXAR ® antihemophilic factor Bioclate ™ human growth hormone BioTropin ™ botulinum toxin type A BOTOX ® Alemtuzumab Campath ® acritumomab; technetium-99 labeled CEA-Scan ® alglucerase; modified form of beta- Ceredase ® glucocerebrosidase imiglucerase; recombinant form of beta- Cerezyme ® glucocerebrosidase crotalidae polyvalent immune Fab, ovine CroFab ™ digoxin immune fab [ovine] DigiFab ™ Rasburicase Elitek ® Etanercept ENBREL ® epoietin alfa Epogen ® Cetuximab Erbitux ™ algasidase beta Fabrazyme ® Urofollitropin Fertinex ™ follitropin beta Follistim ™ Teriparatide FORTEO ® human somatropin GenoTropin ® Glucagon GlucaGen ® follitropin alfa Gonal-F ® antihemophilic factor Helixate ® Antihemophilic Factor; Factor XIII HEMOFIL adefovir dipivoxil Hepsera ™ Trastuzumab Herceptin ® Insulin Humalog ® antihemophilic factor/von Willebrand Humate-P ® factor complex-human Somatotropin Humatrope ® Adalimumab HUMIRA ™ human insulin Humulin ® recombinant human hyaluronidase Hylenex ™ interferon alfacon-1 Infergen ® eptifibatide Integrilin ™ alpha-interferon Intron A ® Palifermin Kepivance Anakinra Kineret ™ antihemophilic factor Kogenate ® FS insulin glargine Lantus ® granulocyte macrophage colony- Leukine ®/ stimulating factor Leukine ® Liquid lutropin alfa for injection Luveris OspA lipoprotein LYMErix ™ Ranibizumab LUCENTIS ® gemtuzumab ozogamicin Mylotarg ™ Galsulfase Naglazyme ™ Nesiritide Natrecor ® Pegfilgrastim Neulasta ™ Oprelvekin Neumega ® Filgrastim Neupogen ® Fanolesomab NeutroSpec ™ (formerly LeuTech ®) somatropin [rDNA] Norditropin ®/Norditropin Nordiflex ® Mitoxantrone Novantrone ® insulin; zinc suspension; Novolin L ® insulin; isophane suspension Novolin N ® insulin, regular; Novolin R ® Insulin Novolin ® coagulation factor VIIa NovoSeven ® Somatropin Nutropin ® immunoglobulin intravenous Octagam ® PEG-L-asparaginase Oncaspar ® abatacept, fully human soluable fusion Orencia ™ protein muromomab-CD3 Orthoclone OKT3 ® high-molecular weight hyaluronan Orthovisc ® human chorionic gonadotropin Ovidrel ® live attenuated Bacillus Calmette-Guerin Pacis ® peginterferon alfa-2a Pegasys ® pegylated version of interferon alfa-2b PEG-Intron ™ Abarelix (injectable suspension); Plenaxis ™ gonadotropin-releasing hormone antagonist epoietin alfa Procrit ® Aldesleukin Proleukin, IL-2 ® Somatrem Protropin ® dornase alfa Pulmozyme ® Efalizumab; selective, reversible T-cell RAPTIVA ™ blocker combination of ribavirin and alpha interferon Rebetron ™ Interferon beta 1a Rebif ® antihemophilic factor Recombinate ® rAHF/ antihemophilic factor ReFacto ® Lepirudin Refludan ® Infliximab REMICADE ® Abciximab ReoPro ™ Reteplase Retavase ™ Rituxima Rituxan ™ interferon alfa-2.sup.a Roferon-A ® Somatropin Saizen ® synthetic porcine secretin SecreFlo ™ Basiliximab Simulect ® Eculizumab SOLIRIS (R) Pegvisomant SOMAVERT ® Palivizumab; recombinantly produced, Synagis ™ humanized mAb thyrotropin alfa Thyrogen ® Tenecteplase TNKase ™ Natalizumab TYSABRI ® human immune globulin intravenous 5% and Venoglobulin-S ® 10% solutions interferon alfa-n1, lymphoblastoid Wellferon ® drotrecogin alfa Xigris ™ Omalizumab; recombinant DNA-derived Xolair ® humanized monoclonal antibody targeting immunoglobulin-E Daclizumab Zenapax ® ibritumomab tiuxetan Zevalin ™ Somatotropin Zorbtive ™ (Serostim ®)
(97) In embodiments, the polypeptide is a hormone, blood clotting/coagulation factor, cytokine/growth factor, antibody molelcule, fusion protein, protein vaccine, or peptide as shown in Table 2.
(98) TABLE-US-00002 TABLE 2 Exemplary Products Therapeutic Product type Product Trade Name Hormone Erythropoietin, Epoein-α Epogen, Procrit Darbepoetin-α Aranesp Growth hormone (GH), Genotropin, Humatrope, Norditropin, somatotropin NovIVitropin, Nutropin, Omnitrope, Protropin, Siazen, Serostim, Valtropin Human follicle-stimulating Gonal-F, Follistim hormone (FSH) Human chorionic Ovidrel gonadotropin Luveris Lutropin-α GlcaGen Glucagon Geref Growth hormone releasing ChiRhoStim (human peptide), SecreFlo hormone (GHRH) (porcine peptide) Secretin Thyrogen Thyroid stimulating hormone (TSH), thyrotropin Blood Factor VIIa NovoSeven Clotting/Coagulation Factor VIII Bioclate, Helixate, Kogenate, Factors Recombinate, ReFacto Factor IX Antithrombin III (AT-III) Benefix Protein C concentrate Thrombate III Ceprotin Cytokine/Growth Type I alpha-interferon Infergen factor Interferon-αn3 (IFNαn3) Alferon N Interferon-β1a (rIFN- β) Avonex, Rebif Interferon-β1b (rIFN- β) Betaseron Interferon-γ1b (IFN γ) Actimmune Aldesleukin (interleukin Proleukin 2(IL2), epidermal Kepivance theymocyte activating Regranex factor; ETAF Anril, Kineret Palifermin (keratinocyte growth factor; KGF) Becaplemin (platelet- derived growth factor; PDGF) Anakinra (recombinant IL1 antagonist) Antibody molecules Bevacizumab (VEGFA Avastin mAb) Erbitux Cetuximab (EGFR mAb) Vectibix Panitumumab (EGFR Campath mAb) Rituxan Alemtuzumab (CD52 Herceptin mAb) Orencia Rituximab (CD20 chimeric Humira Ab) Enbrel Trastuzumab (HER2/Neu Remicade mAb) Amevive Abatacept (CTLA Ab/Fc Raptiva fusion) Tysabri Adalimumab (TNFα mAb) Soliris Etanercept (TNF Orthoclone, OKT3 receptor/Fc fusion) Infliximab (TNFα chimeric mAb) Alefacept (CD2 fusion protein) Efalizumab (CD11a mAb) Natalizumab (integrin α4 subunit mAb) Eculizumab (C5mAb) Muromonab-CD3 Other: Insulin Humulin, Novolin Fusion Hepatitis B surface antigen Engerix, Recombivax HB proteins/Protein (HBsAg) vaccines/Peptides HPV vaccine Gardasil OspA LYMErix Anti-Rhesus(Rh) Rhophylac immunoglobulin G Fuzeon Enfuvirtide Spider silk, e.g., fibrion QMONOS
(99) In embodiments, the protein is multispecific protein, e.g., a bispecific antibody as shown in Table 3.
(100) TABLE-US-00003 TABLE 3 Bispecific Formats Name (other names, Proposed Diseases (or sponsoring BsAb mechanisms of Development healthy organizations) format Targets action stages volunteers) Catumaxomab BsIgG: CD3, Retargeting of T Approved in Malignant (Removab ®, Triomab EpCAM cells to tumor, Fc EU ascites in Fresenius mediated EpCAM positive Biotech, Trion effector tumors Pharma, functions Neopharm) Ertumaxomab BsIgG: CD3, HER2 Retargeting of T Phase I/II Advanced solid (Neovii Biotech, Triomab cells to tumor tumors Fresenius Biotech) Blinatumomab BiTE CD3, CD19 Retargeting of T Approved in Precursor B-cell (Blincyto ®, AMG cells to tumor USA ALL 103, MT 103, Phase II and ALL MEDI 538, III DLBCL Amgen) Phase II NHL Phase I REGN1979 BsAb CD3, CD20 (Regeneron) Solitomab (AMG BiTE CD3, Retargeting of T Phase I Solid tumors 110, MT110, EpCAM cells to tumor Amgen) MEDI 565 (AMG BiTE CD3, CEA Retargeting of T Phase I Gastrointestinal 211, MedImmune, cells to tumor adenocancinoma Amgen) RO6958688 BsAb CD3, CEA (Roche) BAY2010112 BiTE CD3, PSMA Retargeting of T Phase I Prostate cancer (AMG 212, cells to tumor Bayer; Amgen) MGD006 DART CD3, CD123 Retargeting of T Phase I AML (Macrogenics) cells to tumor MGD007 DART CD3, gpA33 Retargeting of T Phase I Colorectal (Macrogenics) cells to tumor cancer MGD011 DART CD19, CD3 (Macrogenics) SCORPION BsAb CD3, CD19 Retargeting of T (Emergent cells to tumor Biosolutions, Trubion) AFM11 (Affimed TandAb CD3, CD19 Retargeting of T Phase I NHL and ALL Therapeutics) cells to tumor AFM12 (Affimed TandAb CD19, CD16 Retargeting of Therapeutics) NK cells to tumor cells AFM13 (Affimed TandAb CD30, Retargeting of Phase II Hodgkin's Therapeutics) CD16A NK cells to Lymphoma tumor cells GD2 (Barbara T cells CD3, GD2 Retargeting of T Phase I/II Neuroblastoma Ann Karmanos preloaded cells to tumor and Cancer Institute) with BsAb osteosarcoma pGD2 (Barbara T cells CD3, Her2 Retargeting of T Phase II Metastatic breast Ann Karmanos preloaded cells to tumor cancer Cancer Institute) with BsAb EGFRBi-armed T cells CD3, EGFR Autologous Phase I Lung and other autologous preloaded activated T cells solid tumors activated T cells with BsAb to EGFR- (Roger Williams positive tumor Medical Center) Anti-EGFR- T cells CD3, EGFR Autologous Phase I Colon and armed activated preloaded activated T cells pancreatic T-cells (Barbara with BsAb to EGFR- cancers Ann Karmanos positive tumor Cancer Institute) rM28 (University Tandem CD28, Retargeting of T Phase II Metastatic Hospital scFv MAPG cells to tumor melanoma Tübingen) IMCgp100 ImmTAC CD3, peptide Retargeting of T Phase I/II Metastatic (Immunocore) MHC cells to tumor melanoma DT2219ARL 2 scFv CD19, CD22 Targeting of Phase I B cell leukemia (NCI, University linked to protein toxin to or lymphoma of Minnesota) diphtheria tumor toxin XmAb5871 BsAb CD19, (Xencor) CD32b NI-1701 BsAb CD47, CD19 (NovImmune) MM-111 BsAb ErbB2, (Merrimack) ErbB3 MM-141 BsAb IGF-1R, (Merrimack) ErbB3 NA (Merus) BsAb HER2, HER3 NA (Merus) BsAb CD3, CLEC12A NA (Merus) BsAb EGFR, HER3 NA (Merus) BsAb PD1, undisclosed NA (Merus) BsAb CD3, undisclosed Duligotuzumab DAF EGFR, Blockade of 2 Phase I and II Head and neck (MEHD7945A, HER3 receptors, Phase II cancer Genentech, ADCC Colorectal Roche) cancer LY3164530 (Eli Not EGFR, MET Blockade of 2 Phase I Advanced or Lily) disclosed receptors metastatic cancer MM-111 HSA body HER2, Blockade of 2 Phase II Gastric and (Merrimack HER3 receptors Phase I esophageal Pharmaceuticals) cancers Breast cancer MM-141, IgG-scFv IGF-1R, Blockade of 2 Phase I Advanced solid (Merrimack HER3 receptors tumors Pharmaceuticals) RG7221 CrossMab Ang2, VEGF Blockade of 2 Phase I Solid tumors (RO5520985, A proangiogenics Roche) RG7716 (Roche) CrossMab Ang2, VEGF Blockade of 2 Phase I Wet AMD A proangiogenics OMP-305B83 BsAb DLL4/VEGF (OncoMed) TF2 Dock and CEA, HSG Pretargeting Phase II Colorectal, (Immunomedics) lock tumor for PET or breast and lung radioimaging cancers ABT-981 DVD-Ig IL-1α, IL-1β Blockade of 2 Phase II Osteoarthritis (AbbVie) proinflammatory cytokines ABT-122 DVD-Ig TNF, IL- Blockade of 2 Phase II Rheumatoid (AbbVie) 17A proinflammatory arthritis cytokines COVA322 IgG- TNF, IL17A Blockade of 2 Phase I/II Plaque psoriasis fynomer proinflammatory cytokines SAR156597 Tetravalent IL-13, IL-4 Blockade of 2 Phase I Idiopathic (Sanofi) bispecific proinflammatory pulmonary tandem cytokines fibrosis IgG GSK2434735 Dual- IL-13, IL-4 Blockade of 2 Phase I (Healthy (GSK) targeting proinflammatory volunteers) domain cytokines Ozoralizumab Nanobody TNF, HSA Blockade of Phase II Rheumatoid (ATN103, proinflammatory arthritis Ablynx) cytokine, binds to HSA to increase half-life ALX-0761 Nanobody IL-17A/F, Blockade of 2 Phase I (Healthy (Merck Serono, HSA proinflammatory volunteers) Ablynx) cytokines, binds to HSA to increase half-life ALX-0061 Nanobody IL-6R, HSA Blockade of Phase I/II Rheumatoid (AbbVie, Ablynx; proinflammatory arthritis cytokine, binds to HSA to increase half-life ALX-0141 Nanobody RANKL, Blockade of Phase I Postmenopausal (Ablynx, HSA bone resorption, bone loss Eddingpharm) binds to HSA to increase half-life RG6013/ACE910 ART-Ig Factor IXa, Plasma Phase II Hemophilia (Chugai, Roche) factor X coagulation
(101) These and other modifications and variations to the present invention may be practiced by those of ordinary skill in the art, without departing from the spirit and scope of the present invention, which is more particularly set forth in the appended claims. In addition, it should be understood that aspects of the various embodiments may be interchanged both in whole or in part. Furthermore, those of ordinary skill in the art will appreciate that the foregoing description is by way of example only, and is not intended to limit the invention so further described in such appended claims.