Optimising IVIG Manufacturing Around Established Precipitation Techniques Yu-Wen Wu1, Jérôme Champagne2, Magali Toueille2, Rob Noel3, René Gantier4, Thierry Burnouf1,5 1Institute of Medical Biomaterials and Tissue Engineering, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan 2Pall Life Sciences, Cergy, France 3Pall Life Sciences, Portsmouth, UK 4Pall Life Sciences, Westborough, MA, USA 5Human Protein Process Sciences (HPPS), Lille, France INTRODUCTION KEY AIMS Plasma-derived IVIG purification processes combine precipitation techniques and chromatographic separation, providing: KEY RESULTS ► Development of a very efficient IVIG process ► Efficient and streamlined process developed for IVIG purification: ► Higher IVIG yield and purity than ethanol fractionation only ► Keep combination of precipitation and ion exchange chromatography techniques ► Cost effective contaminant removal through precipitation ► Improved IVIG yield of recovery and purity – Combined caprylic acid precipitation and two CEX/AEX chromatography steps – High IgG yield of recovery (> 85% total) – High IgG final purity (> 99.5%; IgA < 0.5%; IgM and Factor XI undetectable) – No significant loss of any IgG sub-class – No UF/DF nor hold step between CEX and AEX steps ► High reduction level of IgA, IgM and Factor XI However: ► Trace of contaminants (IgA, IgM or Factor XI) may remain with potential for adverse events (e.g., anaphylactic shock1,2 or thrombogenicity3) ► Maintain IgG sub-class distribution ► Minimal number of hold steps/buffer exchanges ► Additional step on Mustang® S membrane adsorber can provide robust Factor XI removal to processes starting with Fraction II + III STRATEGY FOR PROCESS DEVELOPMENT Cryo-precipitation Cryo-poor plasma Caprylic acid precipitate Caprylic acid precipitation Caprylic acid supernatant pH 5.5, 13 mS/cm DoE 1: Load pH/conductivity on CEX (S HyperCel™ sorbent) pH 4.0 – 5.5, 2 – 13 mS/cm DoE 2: Elution pH/conductivity on CEX (S HyperCel sorbent) pH 6.0 – 8.0, 2 – 20 mS/cm Spiking Factor XI, 1 IU/mL ........................................................ ........................................ High Throughput 96-Well Plate Chromatography Plasma Cryo-precipitate ........................................................ ........................................ Pre-Chromatography Processing Chromatography on Column / Capsule Yield and Contaminant Removal Post-caprylic acid Post-S HyperCel sorbent Post-HyperCel STAR AX sorbent IgG Recovery (% load) – 92 92 % Total Ig IgG 79.7 96.8 99.8 IgA 16.6 2.4 0.2 IgG3 2 2 2 IgG4 9 8 8 IgM 3.7 0.8 BDL BDL: Below Detection Limit CEX bind / elute mode (S HyperCel sorbent) Load pH 4.5, 8 mS/cm Elution pH 8.0, 12 mS/cm AEX FT mode (HyperCel STAR AX sorbent) Load pH 8.0, 12 mS/cm Post-caprylic acid Post-S HyperCel sorbent Post-HyperCel STAR AX sorbent % Total IgG Sub-Classes IgG1 IgG2 69 19 70 19 70 19 IgG sub-class distribution more closely resembles plasma than other published IVIG distributions. A possible explanation is the different binding mechanism associated with the HyperCel STAR AX adsorbent compared to DEAE- or Q- adsorbents. CEX bind / elute mode (S HyperCel sorbent) Load pH 4.5, 8 mS/cm Elution pH 8.0, 12 mS/cm DoE 3: Load pH and conductivity (Mustang® S capsule) Load pH 6.0 – 8.5 Load cond. 3 – 30 mS/cm IgG Load (mg/mL sorbent) – 30 125 AEX FT mode (HyperCel STAR AX sorbent) Load pH 8.0, 12 mS/cm Post-Mustang S Capsule IgG Load (mg/mL sorbent) 55 IgG Recovery (% load) 95 Factor XI (ng/mL) 4.7 Factor XI Reduction (fold) 26 Adjustment pH 6.0 12.7 mS/cm CEX FT mode (Mustang S capsule) Load pH 6.0, 12.7 mS/cm PROPOSED IVIG PURIFICATION PROCESS STREAMS A: Combined caprylic acid precipitation and streamlined CEX/AEX chromatography steps B: Mustang S capsule option to remove FXI from II + III fraction Implication for Process Scale-up (5000 L batch, starting with Fraction II+III paste)* A B Fraction II + III paste containing 75 kg IgG Plasma Cohn fractionation Extraction tank 1. Carbone, J., Adverse reactions and pathogen safety of intravenous Immunoglobulin. Curr. Drug Saf. 2 (2007) 9-18. 7000–8000L pH 4.0–6.0 + Filter aid DAY 1 Seitz® Supra 80P Depth Filtration Cryoprecipitate Cryoprecipitation Fraction II + III Caprylic acid supernatant CEX bind /elute mode S HyperCel sorbent AEX FT mode HyperCel STAR AX sorbent DAY 2 Caprylic acid precipitation Pure IVIG 3. Wolberg, A.S., et al., Am. J. Hematol. 65 (2000) 30-34. S HyperCel™ Sorbent 140 cm diameter column, volume 270 L pH 4.0–6.0 load 450 cm/hr, 9 cycles elution pH 8.0, 12 mS/cm HyperCel STAR AX Sorbent 100 cm diameter column, volume 110 L Load = S HyperCel elution (flow through) 400 cm/hr, 5 cycles In-process pH adjust from 8.0 to 6.0 Bioburden Reduction on Supor EAV or ECV Membrane Mustang® S Capsules Parallel /series configuration CEX bind /elute mode S HyperCel sorbent Flow through 10 MV/min Ultipor® DVD Virus Prefilter CEX FT mode Mustang S capsule Pure IVIG DAY 4 AEX FT mode HyperCel STAR AX sorbent 2. Katz, U., Achiron, A., Sherer, Y., and Shoenfeld, Y., Safety of intravenous immunoglobulin (IVIG) therapy. Autoimmun. Rev. 6 (2007) 257-9. Bioburden Reduction on Supor EAV or ECV Membrane DAY 3 Caprylic acid precipitate Bioburden Reduction on Supor EAV or ECV Membrane S/D or low pH incubation tank Cryo-poor plasma References Pegasus™ SV4 Virus Filter Cartridge UF/DF Omega™ Membrane Cassette Fluorodyne® II DFL / Fluorodyne EX EDF Sterilising Filtration Formulation and Fill *Proposed process based on data collected during this study Contact: +800.717.7255 (USA) • +41 (0)26 350 53 00 (Europe) • +65 6389 6500 (Asia/Pacific) • E-mail: biopharm@pall.com • Web: www.pall.com/biopharm • © 2013, Pall Corporation. Pall, , Fluorodyne, HyperCel, Mustang, Omega, Pegasus, Seitz, Ultipor and Supor are trademarks of Pall Corporation. ® indicates a trademark registered in the USA. 10/13, GN13.8830