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Validation of an automated method for compounding monoclonal antibody patient doses

Case studies of Avastin® (bevacizumab), Remicade® (infliximab) and Herceptin® (trastuzumab)

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Pages 162-170 | Published online: 19 Dec 2012

Figures & data

Figure 1. Compounding of ready to administer infusion of mAbs.

Figure 1. Compounding of ready to administer infusion of mAbs.

Figure 2. Robotic arm principal movements.

Figure 2. Robotic arm principal movements.

Table 1. Results of testing the swirling protocol with Remicade® and Herceptin®

Figure 3. UV-Vis absorbance (A), 90° light-scattering (B), intrinsic fluorescence emission (C) and Nile red fluorescence microscopy as particles/ml (D) of Herceptin® and Remicade® solubilized using different procedures. Black, recommended manual procedure (I); blue, robotic procedure (II); red, recommended manual procedure with strong shaking (III); gray, placebo solution.

Figure 3. UV-Vis absorbance (A), 90° light-scattering (B), intrinsic fluorescence emission (C) and Nile red fluorescence microscopy as particles/ml (D) of Herceptin® and Remicade® solubilized using different procedures. Black, recommended manual procedure (I); blue, robotic procedure (II); red, recommended manual procedure with strong shaking (III); gray, placebo solution.

Figure 4. Effect of the solubilization procedure on the molar mass vs. time graphs with UV signals at 280 nm (solid lines) of Herceptin® (1.06 mg/ml mAb in 0.9% sodium chloride) and Remicade® (1.23 mg/ml mAb in 0.9% sodium chloride) with 0.9% sodium chloride in water and 200 ppm NaN3 as running buffer. Ten μl of each protein sample were injected three times. The antibody solutions were diluted with 0.9% sodium chloride just before the FFF measurements. Black: recommended manual procedure (I); blue: robotic procedure (II) and red: recommended manual procedure with strong shaking (III).

Figure 4. Effect of the solubilization procedure on the molar mass vs. time graphs with UV signals at 280 nm (solid lines) of Herceptin® (1.06 mg/ml mAb in 0.9% sodium chloride) and Remicade® (1.23 mg/ml mAb in 0.9% sodium chloride) with 0.9% sodium chloride in water and 200 ppm NaN3 as running buffer. Ten μl of each protein sample were injected three times. The antibody solutions were diluted with 0.9% sodium chloride just before the FFF measurements. Black: recommended manual procedure (I); blue: robotic procedure (II) and red: recommended manual procedure with strong shaking (III).

Figure 5. UV-Vis absorbance (A), 90° light-scattering (B), intrinsic fluorescence emission (C), and Nile red fluorescence microscopy as particles/ml (D) of Herceptin®, Remicade® and Avastin® solutions (samples solubilized as the recommended procedure) and after stress of the solution by aspiration-dispense through a 18G 2” 1.2 × 50 mm needle. Black, Time 0; blue, after 1× aspiration/dispense; green, after 5× aspiration/dispense; red, after 15× aspiration/dispense.

Figure 5. UV-Vis absorbance (A), 90° light-scattering (B), intrinsic fluorescence emission (C), and Nile red fluorescence microscopy as particles/ml (D) of Herceptin®, Remicade® and Avastin® solutions (samples solubilized as the recommended procedure) and after stress of the solution by aspiration-dispense through a 18G 2” 1.2 × 50 mm needle. Black, Time 0; blue, after 1× aspiration/dispense; green, after 5× aspiration/dispense; red, after 15× aspiration/dispense.

Figure 6. Effect of aspiration-dispense cycles on the molar mass (linear scale) vs. time graphs with UV signals at 280 nm (solid lines) of Herceptin® (1.06 mg/ml mAb in 0.9% sodium chloride), Remicade® (1.23 mg/ml mAb in 0.9% sodium chloride) and Avastin® (1.33 mg/ml mAb in 0.9% sodium chloride) with 0.9% sodium chloride in water and 200 ppm NaN3 as running buffer. Ten μl of each protein sample were injected once. The antibody solutions were stressed and then diluted with 0.9% sodium chloride just before the FFF measurements. Black, Time 0; blue, after 1× aspiration/dispense; green, after 5× aspiration/dispense; red, after 15× aspiration/dispense.

Figure 6. Effect of aspiration-dispense cycles on the molar mass (linear scale) vs. time graphs with UV signals at 280 nm (solid lines) of Herceptin® (1.06 mg/ml mAb in 0.9% sodium chloride), Remicade® (1.23 mg/ml mAb in 0.9% sodium chloride) and Avastin® (1.33 mg/ml mAb in 0.9% sodium chloride) with 0.9% sodium chloride in water and 200 ppm NaN3 as running buffer. Ten μl of each protein sample were injected once. The antibody solutions were stressed and then diluted with 0.9% sodium chloride just before the FFF measurements. Black, Time 0; blue, after 1× aspiration/dispense; green, after 5× aspiration/dispense; red, after 15× aspiration/dispense.

Figure 7. Effect of aspiration dispense cycles. Nile red fluorescence microscopy of Herceptin® solution (sample solubilized as the recommended procedure) before and after stress of the solution by aspiration-dispense through a 18G 2” 1.2 × 50 mm needle.

Figure 7. Effect of aspiration dispense cycles. Nile red fluorescence microscopy of Herceptin® solution (sample solubilized as the recommended procedure) before and after stress of the solution by aspiration-dispense through a 18G 2” 1.2 × 50 mm needle.

Table 2. Comparative table of the analytical techniques presented in this paper

Table 3. Field flow fractionation method for characterization of Avastin®, Remicade® and Herceptin® after dilution into the infusion bag

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