The ELISA Detectability and Potency of Pegfilgrastim Decrease in Physiological Conditions: Key Roles for Aggregation and Individual Variability

• Published in: Scientific reports Vol. 10; no. 1; p. 2476
• Main Authors: Xie, Tao, Fang, Hui, Ouyang, Weiming, Angart, Phillip, Chiang, Meng-Jung, Bhirde, Ashwinkumar A., Sheikh, Faruk, Lynch, Patrick, Shah, Ankit B., Patil, Sharadrao M., Chen, Kang, Shen, Meiyu, Agarabi, Cyrus, Donnelly, Raymond P., Brorson, Kurt, Schrieber, Sarah J., Howard, Kristina E., Rogstad, Sarah M., Frucht, David M.
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 12.02.2020; Nature Publishing Group
• Subjects: 101/6; 13/1; 13/106; 13/95; 631/61/51/2314; 692/4028/67/1059/153; 82/16; 82/29; 82/6; 96/100; 96/21; Animals; BASIC BIOLOGICAL SCIENCES; Biological activity; Biological Variation, Individual; Cell Line, Tumor; Cell Proliferation; Chemotherapy; Colony-stimulating factor; Enzyme-Linked Immunosorbent Assay - standards; Filgrastim - pharmacokinetics; Gel electrophoresis; Granulocyte colony-stimulating factor; Humanities and Social Sciences; Humans; Immune reconstitution; Leukocytes (granulocytic); Light scattering; Mice; multidisciplinary; Pharmacokinetics; Phosphorylation; Physiology; Polyethylene Glycols - pharmacokinetics; Science; Science (multidisciplinary); Sodium lauryl sulfate; Stat3 protein; STAT3 Transcription Factor - metabolism
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-59346-z

PEGylated recombinant human granulocyte colony stimulating factor (pegfilgrastim) is used clinically to accelerate immune reconstitution following chemotherapy and is being pursued for biosimilar development. One challenge to overcome in pegfilgrastim biosimilar development is establishing pharmacokinetic (PK) similarity, which is partly due to the degree of PK variability. We herein report that commercially available G-CSF and PEG ELISA detection kits have different capacities to detect pegfilgrastim aggregates that rapidly form in vitro in physiological conditions. These aggregates can be observed using SDS-PAGE, size-exclusion chromatography, dynamic light scattering, and real-time NMR analysis and are associated with decreased bioactivity as reflected by reduced drug-induced cellular proliferation and STAT3 phosphorylation. Furthermore, individual variability in the stability and detectability of pegfilgrastim in human sera is also observed. Pegfilgrastim levels display marked subject variability in sera from healthy donors incubated at 37 °C. The stability patterns of pegfilgrastim closely match the stability patterns of filgrastim, consistent with a key role for pegfilgrastim’s G-CSF moiety in driving formation of inactive aggregates. Taken together, our results indicate that individual variability and ELISA specificity for inactive aggregates are key factors to consider when designing and interpreting studies involving the measurement of serum pegfilgrastim concentrations.