Lyophilized formulations for factor XA antidote
The present disclosure relates to solutions and methods of preparing lyophilized formulations of factor Xa (fXa) antidotes. A suitable aqueous formulation suitable for lyophilization can include a fXa antidote, a solubilizing agent, and a stabilizer, wherein the formulation does not collapse during lyophilization.
1. A lyophilized composition prepared by lyophilizing an aqueous formulation, wherein: the aqueous formulation comprises a stabilizer, from 25 mM to 110 mM arginine, and a two-chain polypeptide comprising a first chain comprising the amino acid sequence of SEQ ID NO. 4, and a second chain comprising the amino acid sequence of SEQ ID NO. 5, wherein the polypeptide cannot assemble into a prothrombinase complex; the aqueous formulation has a pH from 7.7 to 7.9; the stabilizer comprises from 5.5% to 7.5% sucrose (w/v); and the molar ratio of the stabilizer to the polypeptide is at least 100, and wherein the aqueous formulation does not include mannitol.
2. The composition of claim 1 , wherein the aqueous formulation comprises from 40 mM to 50 mM arginine and 20 mg/mL of the polypeptide.
3. The composition of claim 1 , wherein the aqueous formulation comprises from 90 mM to 110 mM arginine at least 30 mg/mL of the polypeptide.
4. The composition of claim 3 , wherein the aqueous formulation comprises 45 mg/mL of the polypeptide.
5. The composition of claim 1 , wherein the aqueous formulation comprises 40 mg/mL of the polypeptide.
6. The composition of claim 1 , wherein the polypeptide comprises an amino acid residue that is modified to be different from natural amino acids.
7. The composition of claim 1 , wherein the first chain comprises the amino acid sequence of SEQ ID NO. 2, and the second chain comprises the amino acid sequence of SEQ ID NO. 3.
8. The composition of claim 7 , wherein residue Asp29 of the first chain is modified to (3R)-3-hydroxyAsp.
9. The composition of claim 1 , wherein the polypeptide comprises at least an intra- chain disulfide bond for each of the first and second chains.
10. A lyophilized composition prepared by lyophilizing an aqueous formulation, wherein: the aqueous formulation comprises about 45 mM arginine, about 6% sucrose (w/v), 0% mannitol, and a two-chain polypeptide comprising a first chain comprising the amino acid sequence of SEQ ID NO. 4, and a second chain comprising the amino acid sequence of SEQ ID NO. 5, wherein the polypeptide cannot assemble into a prothrombinase complex; and the aqueous formulation has a pH of about 7.8.
11. A lyophilized composition prepared by lyophilizing an aqueous formulation, wherein: the aqueous formulation comprises about 100 mM arginine, about 6% sucrose (w/v), 0% mannitol, and a two-chain polypeptide comprising a first chain comprising the amino acid sequence of SEQ ID NO. 4, and a second chain comprising the amino acid sequence of SEQ ID NO. 5, wherein the polypeptide cannot assemble into a prothrombinase complex; and the aqueous formulation has a pH of about 7.8.
12. The composition of claim 11 , wherein the two-chain polypeptide has modifications to the Gla domain and the active site as compared to the wild-type fXa protein, is able to bind to a fXa inhibitor but does not assemble into a prothrombinase complex.
13. The composition of claim 1 , which has a glass transition temperature from about −27° C. to about −37° C.
14. The composition of claim 1 , wherein the aqueous formulation further comprises a surfactant and a buffer.
15. A method of preparing the lyophilized composition of claim 1 , comprising lyophilizing an aqueous formulation, wherein:
the aqueous formulation comprises a stabilizer, from 25 mM to 110 mM arginine, and the polypeptide;
the aqueous formulation has a pH from 7.7 to 7.9;
the stabilizer comprises from 5.5% to 7.5% sucrose (w/v); and
the molar ratio of the stabilizer to the polypeptide is at least 100, and wherein the aqueous formulation does not include mannitol.
16. A method of reducing bleeding in a subject undergoing anticoagulant therapy with a factor Xa inhibitor comprising administering to the subject a solution prepared by dissolving the composition of claim 1 in an aqueous solvent.
17. The method of claim 16 , wherein the factor Xa inhibitor is apixaban, rivaroxaban or betrixaban.
18. The composition of claim 1 , which comprises at least 15 mg/mL of the polypeptide.