Lyophilized Monoclonal Antibody Formulation for TTR Stabilization
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Solution Overview
Problem
Current treatments for transthyretin-mediated amyloidosis lack effective solutions for stabilizing native TTR tetramers and preventing misfolding and aggregation, leading to tissue damage and organ dysfunction.
Innovation Solution
Pharmaceutical formulations comprising a monoclonal antibody with specific heavy and light chain variable regions, combined with buffers, sugars, and surfactants, are developed to stabilize TTR and prevent aggregation, including a lyophilized form for reconstitution and administration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional treatments are used for transthyretin-mediated amyloidosis, then current therapeutic options are limited, but the ability to stabilize native TTR tetramers and prevent misfolding and aggregation is insufficient
Solution Approach 1:
The patent develops formulations with optimized parameters including pH (5.0-6.5), buffer concentration (20 mM), sugar concentration (205-260 mM), and surfactant concentration (0.01-1% w/w) to stabilize TTR tetramers and prevent aggregation across different disease forms
Solution Approach 2:
The invention creates a composite pharmaceutical formulation combining monoclonal antibody (25-75 mg/mL), buffer (citrate, histidine, phosphate or succinate), sugar (sucrose or trehalose), and surfactant (polysorbate 20, 80 or poloxamer 188) to achieve synergistic stabilization of TTR and prevention of aggregation
2Reliability
If high concentration of antibody is used to improve therapeutic effect, then treatment efficacy increases, but formulation stability and solubility become more difficult to maintain
Solution Approach 1:
The patent optimizes formulation parameters including pH (5.0-6.5), ionic strength, and excipient concentrations to maintain antibody stability and solubility at therapeutic concentrations (25-75 mg/mL), preventing aggregation while maintaining efficacy
3Duration of action of stationary object
If lyophilized formulation is developed for improved storage and handling, then stability during storage increases, but reconstitution process and potential for aggregation are introduced
Solution Approach 1:
The patent incorporates stabilizing excipients (sugar at 205-260 mM, surfactant at 0.01-1% w/w, and buffer at 20 mM) into the lyophilized formulation before storage, so that upon reconstitution, these pre-positioned components immediately prevent aggregation and maintain antibody stability
Solution Approach 2:
The formulation uses sugar (sucrose or trehalose) and surfactant as intermediary substances that mediate between the antibody and the reconstitution environment, preventing direct aggregation pathways while the antibody re dissolves
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The formulations effectively stabilize TTR, reduce aggregation, and provide a stable and effective treatment for transthyretin-mediated amyloidosis, offering a prophylactic and therapeutic option for patients with or at risk of the disease.
Implementation Method 1
a sugar present at a concentration within the range from about 205 mM to about 260 mM, wherein the sugar is sucrose or trehalose
Implementation Method 2
a buffer present at a concentration of about 20 mM, wherein the buffer is citrate, histidine, phosphate or succinate; wherein the formulation is characterized by a pH within the range from about 5.0 to about 6.5
Implementation Method 3
a surfactant present at a concentration within the range from about 0.01% to about 1% by weight; wherein the surfactant is polysorbate 20, polysorbate 80 or poloxamer 188
Implementation Method 4
The invention provides pharmaceutical formulations that comprise... wherein the formulation is characterized by a pH within the range from about 5.0 to about 6.5
Data Source
AI summary
The invention provides antibody formulations and methods useful for prophylaxis or treatment of transthyretin-related amyloidosis.