Novartis Presentation AWS

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Novartis Institutes for BioMedical Research / PK Sciences / Safety/ADME Bioanalysis

Comparison of LC-MS and LBA workflows and the impact of ADA on PK drug quantification Presenter: Jim Glick, Ph.D. Contributors: Adam Bentley, Yilin Feng, Gisela Peraus, Jie Zhang and Jimmy Flarakos November 12, 2017

Session description and objectives

• This presentation will provide an overview of different aspects of the LC-MS workflow applied to the analysis of protein therapeutics and their impact on drug quantification

• Review the different workflows applied to protein therapeutics

• Discuss issues related to the bioanalytical strategy for the application of LC-MS for protein therapeutics

• Cover real-world examples of LC-MS applied to protein therapeutics

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Biography and contact information •

24 years of analytical chemistry experience with the last 17 years in mass spectrometry



Former Director of Barnett Institute's Core Mass Spectrometry facility at Northeastern University



4 years at Novartis as a Sr. Investigator/Lab Head supporting preclinical and clinical small and large molecule programs



Contact me at [email protected]

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Comparison of LC-MS workflows Pellet Digestion LC-MS/MS workflow

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Immunoaffinity LC-MS/MS workflow

LC-MS workflow options • Pellet Digestion – solvent protein precipitation followed by trypsin digestion – Generic method – LC-MS/MS quantitation with a Fc region peptide (pre-clinical studies)

– Specific method – LC-MS/MS quantitation with a CDR region peptide (clinical studies)

• Immunocapture – capture and wash followed by on-bead digestion – Generic method – Capture reagent targeted to Fc region – mouse/goat/rabbit-anti-human-IgG Fc (preclinical studies)

– Specific method – Capture regent targeted to CDR region – anti-idiotypic (clinical studies)

• Solid phase extraction (SPE) clean-up may be added after each method to reduce matrix effects or improve sensitivity AAPS Workshop on LBA and LC-MS - 11/2017 5

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Typical LBA workflows Homogeneous bridging ELISA TMB substrate

MSD (ECL)

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Colored product

Gyros

Bioanalytical strategy considerations • What phase of development is the drug candidate? – Discovery vs. pre-clinical vs. clinical – – – – – –

Fit-for-purpose Throughput Sensitivity Validation Program timelines Cost

• What are you trying to measure? – – – – –

Combination studies (2 proteins vs. protein and small molecule) Generic methods vs. specific (Fc peptide vs. CDR) Capture scheme: drug vs. target capture Species matrix impact (rodent vs. cyno vs. human) Free vs. total drug

• What are you going to do with the data? – – – –

Candidate selection PK/PD assessment Toxicology Dose selection

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What is being measured by LC-MS/MS?

• LC-MS/MS typically believed it to be a total assay method – Immunoaffinity LC-MS/MS can be tailored to be either a free or total method depending on capture reagent

• Pellet digestion must be a total drug method BUT… Could it be measuring free drug...

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Case study 1 – NOV001, IgG mAb Comparison of LC-MS and LBA methods Pellet digestion

Immunoaffinity LC-MS/MS

Gyros

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Case study 1 – Concentration-Time profiles 2 doses (first dose shown), 3 animals/group A

B

C

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Case study 1 – Animal 1001 Comparisons of different methods

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Case study 1 - Cross Correlation Plots Regression calculated across the entire range

R2 = 0.9935

R2 = 0.9976

R2 = 0.9891

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Case study 2 – NOV002, IgG mAb

Influence of ADA on the Concentration-Time profile Immunoaffinity LC-MS/MS

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Case study 2 – NOV002, IgG mAb

Concentration-Time profile changes due to ADA C o n c e n tra tio n o f N O V 0 0 2 ( g /m L )

10000

1000

100 D o s e 1 ( m g /k g / w e e k ) D o s e 2 ( m g /k g / w e e k )

10

D o s e 3 ( m g /k g / w e e k ) 1

0 .1 0

6

12

18 T im e (d a y s )

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24

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Case study 2 – NVS002, IgG mAb

Detection of ADA in Dose 2 group animal 1003 10000

4

C o n c e n tr a tio n o f N O V 0 0 2 ( g / m L )

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3

100

2

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1

1

0 0

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18 T im e (d a y s )

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A n ti-N O V 0 0 2 a s s a y s ig n a l (O .D .)

D o s e 2 , A n im a l 1 0 0 3

Case study 3 – NVS002, IgG mAb

Influence of ADA on the Concentration-Time profile Pellet digestion

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Case study 3 – NOV002, IgG mAb

Concentration-Time profile changes due to ADA

C o n c e n tra tio n o f N O V 0 0 2 ( g /m L )

10000

1000 D o s e 1 ( m g /k g /w e e k ) D o s e 2 ( m g /k g /w e e k ) 100

10

1 1

8

43

45

T im e (d a y s )

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92

99

Case study 3 – NVS002, IgG mAb

Influence of ADA on the Concentration-Time profile 4

1000

3

100

2 D o s e 2 , A n im a l 2 0 0 2 D o s e 2 , A n im a l 2 0 0 3

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1

1

0 1

8

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T im e (d a y s p o s t-d o s e )

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92

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A n ti-N O V 0 0 2 a s s a y s ig n a l (O .D .)

C o n c e n tr a tio n o f N O V 0 0 2 ( g / m L )

10000

Case study 4 – NVS003, Fab construct Influence of dilution on the C-T profile of a biomarker

Immunoaffinity LC-MS/MS

• Method was setup as a multiplex assay (3 analytes) • Sample pre-dilution was required

NOV010 + BM1

NOV010-BM1 + BM1 + NOV003

NVS010-NVS003 + NOV003 + NOV010 + NOV10-BM1 + BM1

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Case study 4 – NOV003, Fab construct C o n c e n tr a tio n o f B io m a r k e r 1 (n g /m L )

Influence of dilution on the C-T profile of a biomarker •

3 .0

2 .5

1.6x

1.3x

2 .0

Biomarker levels after treatment were above basal level

Nominal • Sample predilution resulted basal in complex level dissociation

1 .5

1 .0



0 .5

Over-estimation of biomarker concentration

0 .0 0

4

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T im e ( h o u r s )

NVS010-NVS003 + NOV003 + NOV010 + NOV10-BM1 + BM1 20

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Case study 5 – NOV004, IgG mAb

Influence of soluble receptor and sample treatment on quantitation using pellet digestion LC-MS workflow

P e a k a re a ra tio o f N O V 0 0 4

0 .1 5

N o a c id d is s o c ia tio n

0 .1 0

c v

c v

c v

c v

c v

c v

0 .0 5

0 .0 0 0

5

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C o n c e n t r a t i o n o f s o l u b l e r e c e p t o r ( g /m L )

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• NOV004 (10 µM) incubated with increasing concentration of soluble receptor

A c id d is s o c ia tio n p r e - tr e a tm e n t

• Pellet digestion LCMS workflow used • Acid dissociation increases recovery of NVS004

Case study 5 – NOV004, IgG mAb

Influence of protein precipitation solvent on complex dissociation using pellet digestion LC-MS workflow

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Conclusions • LC-MS methods represent a complementary technique to LBA for large molecule quantitation

– Flexible options for quantitation, analyte and sensitivity are available – Sample handling needs to be considered in complex samples – Immunoaffinity LC-MS workflows need to be carefully evaluated

• LC-MS can measure free and total drug – – – –

Depends on the analyte of interest (soluble or receptor bound) Depends on the method selected (PD or IA) Depends on the reagents used (solvents and capture) Depends on the binding affinity for the target

• LC-MS and LBA have been shown to provide similar concentration results

– Discrepancies exist between the methods (both positive and negative bias of LC-MS results vs. LBA have been reported) – The intended use of the data can help drive the BA strategy AAPS Workshop on LBA and LC-MS - 11/2017 23

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Acknowledgements Safety/ADME colleagues Adam Bentley, Ann Draghi, Yilin Feng, Yunlin Fu, Xinliu Gao, Sagar Kawle, Shaoyong Li, Wenkui Li, Hui Lin, Irina Vinar, Bin Yang, Wei Zhou, Jie Zhang and Jimmy Flarakos

BxBA colleagues Gisela Peraus, Julie De Gagne, Carsten Krantz and Sebastian Spindeldreher

Preclinical Safety colleagues Serge Cote, Peter Hoffmann, Alexander Koch, Brain Stoll, and Nancy Yao

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Questions

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