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The Impact of Inadequate Temperature Storage Conditions on Aggregate and Particle Formation in Drugs Containing Tumor Necrosis Factor-Alpha Inhibitors
Journal article   Open access   Peer reviewed

The Impact of Inadequate Temperature Storage Conditions on Aggregate and Particle Formation in Drugs Containing Tumor Necrosis Factor-Alpha Inhibitors

N D Vlieland, M R Nejadnik, H Gardarsdottir, S Romeijn, A S Sediq, M L Bouvy, A C G Egberts, B J F van den Bemt and W Jiskoot
Pharmaceutical research, Vol.35(2), pp.42-11
02/01/2018
DOI: 10.1007/s11095-017-2341-x
PMCID: PMC5799349
PMID: 29404710
url
https://doi.org/10.1007/s11095-017-2341-xView
Published (Version of record) Open Access

Abstract

To measure aggregate and particle formation in tumor necrosis factor-alpha (TNF-α) inhibitors etanercept, adalimumab and certolizumab pegol product samples after exposure to freezing temperature conditions similar to storage conditions previously observed in patients' homes. TNF-α inhibitors in their original primary and secondary packaging were exposed to 32 freeze-thaw cycles (-10°C for 120min/5°C for 60 min) or continuous low storage temperature (-20°C for 96 h) before thawing at 2-8°C. Non-stressed products were used as controls. The products were analyzed by high pressure size exclusion chromatography (HP-SEC), dynamic light scattering (DLS), nanoparticle tracking analysis (NTA), micro-flow imaging (MFI) and second derivative ultraviolet (UV) spectroscopy. Ten out of twenty-one stressed product samples (47.6%) showed increased particle numbers in the submicron and micron size range when compared to controls. For each product, DLS, MFI and NTA detected an increase in particle level in at least one stressed syringe (both continuous freezing and freeze-thaw), whereas HP-SEC and UV spectroscopy showed no differences between stressed and non-stressed products. TNF-α inhibitors are relatively resistant to freezing temperatures similar to storage conditions previously observed in patients' homes. However, almost half of the stressed product samples showed formation of particles in the submicron and micron size range.
Adalimumab - chemistry Adalimumab - pharmacology Anti-Inflammatory Agents - chemistry Anti-Inflammatory Agents - pharmacology Biological Factors - chemistry Biological Factors - pharmacology Certolizumab Pegol - chemistry Certolizumab Pegol - pharmacology Chemistry, Pharmaceutical Drug Storage - standards Etanercept - chemistry Etanercept - pharmacology Freezing - adverse effects Particle Size Protein Aggregates Tumor Necrosis Factor-alpha - antagonists & inhibitors

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