High concentration formulations of adalimumab
The present invention relates to aqueous pharmaceutical compositions comprising a high concentration (i.e., greater than 50 milligrams per milliliter) of adalimumab (including antibody proteins considered or intended as “biosimilar” or “bio-better” variants of commercially available adalimumab) suitable for long-term storage, and methods of manufacture of the compositions; methods of their administration; and articles containing the same.
1. A stable aqueous pharmaceutical composition comprising:
a concentration of adalimumab greater than about 50 mg/mL and less than or equal to about 200 mg/mL; and
ionic excipients, wherein the ionic excipients comprise about 10 mM to 50 mM of histidine, about 13 mM to 140 mM of NaCl, and about 90 mM to 240 mM of glycine, wherein the ionic excipients contribute to the composition having conductivity greater than 2.5 mS/cm;
wherein the composition has: an osmolarity of about 140 to about 400 mOsm/L; a pH of about 5 to about 6; and a viscosity equal to or less than about 20 cP, and
the composition is stable for two weeks at 40° C., and for four weeks at 25° C.
2. The composition of claim 1 , wherein the composition is suitable for administration to a subject.
3. The composition of claim 1 , wherein the composition is isotonic, has a concentration of adalimumab of about 100 to about 200 mg/mL, and is free, or substantially free, of citrate buffer.
4. The composition of claim 1 , wherein the composition has a viscosity equal to or less than about 15 cP.
5. The composition of claim 1 , wherein the composition comprises mannitol, sorbitol, trehalose, or a combination thereof.
6. The composition of claim 1 , wherein the composition comprises sucrose, lactose, glucose, maltose, or a combination thereof.
7. The composition of claim 1 , wherein the composition comprises a surfactant selected from polysorbate 20, polysorbate 80, SDS, poloxamer 188 (Pluronic® F68), or a combination thereof, wherein the surfactant has a concentration of about 0.01% w/v to about 5% w/v.
8. The composition of claim 1 , wherein the composition is free, or substantially free, of polyol.
9. The composition of claim 1 , wherein the composition is free, or substantially free, of surfactant.
10. The composition of claim 1 , wherein the composition is free, or substantially free, of buffer.
11. The composition of claim 1 , wherein the composition is free, or substantially free, of both polyol and surfactant.
12. The composition of claim 1 , wherein the ionic excipient is a physiologically acceptable salt, and the composition is free, or substantially free, of (i) buffer; (ii) polyol; (iii) surfactant; (iv) both polyol and surfactant; or (v) polyol, surfactant, and buffer.
13. The composition of claim 1 , wherein the composition has a viscosity less than 2 cP.
14. The composition of claim 1 , wherein the composition is stable at 2° C. to 8° C. (i) for at least three months; (ii) for at least six months; or (iii) for at least one year.
15. The composition of claim 1 prepared by modifying a pre-existing adalimumab formulation having a pH of about 5 to about 6 and no more than about 50 mg/mL of adalimumab, wherein the modification consists solely of increasing the concentration of adalimumab in the pre-existing formulation to a concentration of at least 100 mg/mL, without altering the identity or concentration of any excipients present in the pre-existing formulation.