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Vrednotenje viskoznosti in sile injiciranja visokokoncentriranih formulacij z monoklonskimi protitelesi
ID Hostnik, Manica (Author), ID Bjelošević Žiberna, Maja (Mentor) More about this mentor... This link opens in a new window, ID Ahlin Grabnar, Pegi (Comentor)

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Abstract
Zdravila z monoklonskimi protitelesi (mAb) zaradi visoke specifičnosti in učinkovitosti predstavljajo pomembno skupino zdravil v razvoju in na trgu. Vedno več jih je na voljo za subkutano (SC) aplikacijo, saj le-ta predstavlja številne prednosti za bolnike. SC aplikacija narekuje uporabo visokokoncentriranih formulacij z mAb, kar povzroči zvišanje viskoznosti formulacij in vodi k uporabi višjih sil injiciranja ter pojavu bolečine pri bolnikih. Na znižanje sile injiciranja, kljub visoki viskoznosti formulacij, lahko vplivamo z ustrezno izbiro igle in brizge za aplikacijo. V magistrski nalogi smo proučili vpliv koncentracije mAb na viskoznost formulacij. Formulacijam smo spektrofotometrično določili koncentracijo mAb in jim z uporabo viskozimetra-reometra na čipu izmerili viskoznost. Viskoznost formulacij se povišuje z višanjem koncentracije mAb zaradi krajše razdalje med molekulami in posledično nastankom več medmolekulskih interakcij med njimi. Razvili in optimizirali smo metodo za merjenje sile injiciranja tekočin različnih viskoznosti na analizatorju teksture TA.XTplusC. V sklopu optimizacije metode smo z izračunom relativnega standardnega odklona dokazali, da metoda daje ponovljive rezultate. Za potrebe razvoja metode merjenja sile injiciranja smo najprej preverili vpliv koncentracije saharoze na viskoznost vodne raztopine in dokazali trend naraščanja viskoznosti z naraščajočo koncentracijo saharoze. Pri optimizaciji meritev na analizatorju teksture smo proučili vpliv viskoznosti vodnih raztopin saharoze, velikost brizge in velikost premera igle na silo injiciranja. Z višanjem viskoznosti saharoze, je naraščala sila injiciranja vodne raztopine. Prav tako smo ugotovili, da manjši kot je notranji premer igle, višje so potrebne sile injiciranja. Slednje smo razložili z upoštevanjem Hagen-Poiseuillovega zakona, ki pravi, da je sila injiciranja neposredno odvisna od upora tekočine proti toku. Upora tekočine proti toku po brizgi in igli je manj, ko je viskoznost tekočine manjša in ko je velikost premera igle večja. V nadaljevanju smo pri vrednotenju sile injiciranja formulacij z mAb prišli do enakih ugotovitev kot pri vodnih raztopinah saharoze, in sicer da z višanjem koncentracije mAb, narašča tudi sila injiciranja, pri nekaterih formulacijah tudi preko zgornje meje sile za ustrezno SC aplikacijo.

Language:Slovenian
Keywords:monoklonska protitelesa, subkutana aplikacija, viskoznost, analizator teksture, sila injiciranja
Work type:Master's thesis/paper
Organization:FFA - Faculty of Pharmacy
Year:2025
PID:20.500.12556/RUL-174224 This link opens in a new window
Publication date in RUL:30.09.2025
Views:485
Downloads:145
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Secondary language

Language:English
Title:Evaluation of viscosity and injection force of highly concentrated monoclonal antibody formulations
Abstract:
Drugs with monoclonal antibodies (mAb) represent an important group of therapeutics in both development and on the market due to their high specificity and efficacy. More and more of them are available for subcutaneous (SC) application, since they represent numerous advantages for patients. SC application dictates the use of highly concentrated mAb formulations, which increase the viscosity of the formulations and lead to higher necessary injection forces and the occurrence of pain in patients. The reduction of injection force, despite the high viscosity of the formulations, can be influenced by the appropriate choice of needle and syringe used for application. In the master's thesis, we studied the influence of mAb concentration on the viscosity of formulations. The mAb concentration of the formulations was determined using a spectrophotometry method and the viscosity was measured using a viscometer-rheometer on a chip. The viscosity of the formulations increases with increasing mAb concentration due to shorter distance between molecules and more intermolecular interactions between them. We developed and optimized a method for measuring the injection force of liquids with different viscosities on the TA.XTplusC texture analyzer. As part of method optimization, we demonstrated that the method gives repeatable results by calculating the relative standard deviation. For the purposes of developing a method for measuring the injection force, we first checked the influence of sucrose concentration on the viscosity of the aqueous solution and demonstrated a trend of increasing viscosity with increasing sucrose concentration. When optimizing measurements on the texture analyzer, we studied the influence of the viscosity of aqueous sucrose solutions, the size of the syringe and the size of the needle diameter on the injection force. With increasing sucrose viscosity, the injection force of the aqueous solution increased. We also found that the smaller the inner diameter of the needle, the higher the injection force required. We explained this by considering the Hagen-Poiseuille law, which states that the injection force directly depends on the resistance of the fluid to flow. The resistance of fluid to flow through the syringe and needle is smaller when the fluid viscosity is lower and the needle diameter is larger. Afterward, when evaluating the injection force of formulations with mAb, we concluded the same as with aqueous sucrose solutions, namely that with increasing mAb concentration, the injection force also increases, in some formulations even beyond the upper limit for appropriate SC administration.

Keywords:monoclonal antibodies, subcutaneous application, viscosity, texture analyzer, injection force

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