A Generic Kit-Based Approach for Quantifying Monoclonal Antibody Drugs Through Direct Digestion of Discovery Study Samples

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A Generic Kit-Based Approach for Quantifying Monoclonal Antibody Drugs Through Direct Digestion of Discovery Study Samples Mary Lame, Hua Yang, Sherri Naughton, and Erin Chambers Waters Corporation, Milford, MA, USA APPLICATION BENEFITS Simple, standardized approach to protein quantification; broadly applicable optimized digest kit eliminates method development; samples are ready for LC-MS analysis in 46 hours WATERS SOLUTIONS ProteinWorks express Direct Digest Kit (p/n 1863688) Intact mab Check Standard (p/n 1866552) ACQUITY UPLC Peptide BEH C 18, 3Å 1.7 μm, 2.1 mm x 15 mm Column (p/n 1863687) ACQUITY UPLC Xevo TQ-S Mass Spectrometer ProteinWorks µelution SPE Clean-up Kit (p/n 186834) KEY WORDS Monoclonal antibody, infliximab, Remicade, protein quantification, express Direct Digest, ProteinWorks, adalimumab, Humira, bevacizumab, Avastin, trastuzumab, Herceptin INTRODUCTION Over the past 51 years, there has been a significant shift towards a greater of biologics in pharmaceutical pipelines. 1 However, the industry finds itself in the middle of patent expiry for many of the critical monoclonal antibody and other protein-based drugs, with patent expiration dates ranging from ~21222. 2 This has resulted in a focus on protein quantification in bioanalytical labs, innovator pharma and CRO s as well as biomarker research labs. While immunoassay (IA) methods are sensitive and simple to execute, poor reagent reproducibility, lack of standardization, cross-reactivity, limited linear dynamic range, and other short-comings have led the drive to convert to LC-MS. These LC-MS workflows however, encompass a multitude of sub-segments, each having many steps. Those that are common to most workflows may include affinity purification, denaturation, reduction, alkylation, digestion, and SPE clean-up (each requiring optimization). Such traditional protein quantification protocols often require as much as a day and half for completion. Furthermore, the margin and possibility of error is significant within each individual step. There is a strong need for simpler, more standardized workflows which enable scientists to complete sample preparation and start an analytical run by mid-day. At the same time, ideally using generic, kitted methods, assay sensitivity must be high enough to accurately and precisely quantify low enough levels of the target protein to make critical decisions in discovery. The typical workflow complexity as shown in Figure 1, often leads to errors and poor reproducibility or sensitivity. In this application note, we have used the ProteinWorks express Direct Digest Kit to simplify and streamline the workflow process using the same universal protocol and reagents for all monoclonal antibody drugs tested. Infliximab, bevacizumab, trastuzumab, and adalimumab (Figures 25) in plasma were directly digested, and peptides extracted using SPE in under 4 hours total time. This enabled data to begin to be acquired the same day, with several 96-well plates being run by the following morning. 1

E X P E R IM E N TA L Sample description Infliximab, adalimumab, bevacizumab, or trastuzumab were spiked into human plasma. 35 µl plasma samples were then prepared for LC-MS analysis using the ProteinWorks express Direct Digest Kit and Protocol. After digestion, signature peptides were cleaned-up using the ProteinWorks µelution SPE Clean-up Kit and Protocol. Method conditions LC System: Detection: ACQUITY UPLC Xevo TQ-S Mass Spectrometer, ESI+ Column: ACQUITY UPLC Peptide BEH C 18, 3Å, 1.7 µm, 2.1 mm x 15 mm Column temp.: 55 C Sample temp.: 1 C Injection volume: 1 µl Mobile phase A:.1 formic acid in water Mobile phase B:.1 formic acid in acetonitrile Gradient: Gradient: Flow rate Time Profile (ml/min) (min) A B Curve.3. 1 6.3 1. 1 6.3 7. 5 5 6.3 8. 1 9 6 Capillary (kv): 3 Cone (V): 3 Source offset (V): 5 Source temp. ( C): 15 Desolvation temp. ( C): 6 Cone gas flow (L/hr): 15 Desolvation gas flow (L/hr): 1 Collision gas flow (ml/min):.15 Nebulizer gas flow (Bar): 7 Protein Peptide MRM transition Cone voltage (V) Collision energy (ev) Infliximab SINSATHYAESVK 469.6>63.8 4 1 Bevacizumab FTFSLDTSK 523.3>797.48 16 14 Adalimumab APYTFGQGTK 535.3>91.44 4 24 Trastuzumab FTISADTSK 485.2>721.4 28 2 murine mab MNSLQTDDTAK (ISTD) 612.3>978.56 2 2 Table 1. MRM conditions for infliximab, adalimumab, trastuzumab, bevacizumab, and the murine mab internal standard. 2

Figure 1. Typical protein bioanalysis workflow. RESULTS AND DISCUSSION In a pre-clinical setting, there is an emphasis on simple, broadly applicable, generic protocols as method development time and expertise are at a premium. Multiple signature peptides were used to quantify 4 different monoclonal antibody drugs in human plasma using direct digestion and the ProteinWorks express Direct Digest Kit. For each protein, sensitivity, linearity, accuracy and precision data all met typical method validation requirements using the same broadly applicable ProteinWorks Kit. Through a direct digest of a 35 µl plasma sample, quantification limits ranged from 25 ng/ml2.5 µg/ml for the 4 monoclonal antibody-based drugs. Standard curves were linear over 3.54 orders of magnitude with the average accuracies for standard curve points typically within 9515. Summary statistics from standard curves for infliximab, adalimumab, trastuzumab, and bevacizumab are shown in Table 2 below. Protein Peptide Std. curve range Weighting Linear fit (r 2 ) Mean accuracy of all points Infliximab SINSATHYAESVK.2525 1/X.996 11.74 Bevacizumab FTFSLDTSK.55 1/X.999 1. Adalimumab APYTFGQGTK 2.55 1/X 2.997 99.99 Trastuzumab FTISADTSK 2.55 1/X 2.997 1.1 Table 2. Linear dynamic range, weighting, and average accuracy for standard curves for infliximab, adalimumab, trastuzumab, and bevacizumab in plasma digested and extracted using the ProteinWorks express Direct Digest Kit. 3

Remicade Light chain [2]: DILLTQSPAILSVSPGERVSFSCRASQFVGSSIHWYQQRTNGSPRLLIKYASESMSGIPSRFSGSGSGTDFTLSINTVESEDIADYYCQQSH SWPFTFGSGTNLEVKTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKAD YEKHKVYACEVTHQGLSSPVTKSFNRGEC Remicade Heavy chain [2]: EVKLEESGGGLVQPGGSMKLSCVASGFIFSNHWMNWVRQSPEKGLEWVAEIRSKSINSATHYAESVKGRFTISRDDSKSAVYLQMNSLRTED TGVYYCSRNYYGSTYDYGQGTTLTVSXASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSL SSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDP EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQV SLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK Conserved region: blue variable regions: red CDR regions: green Unique signature Generic signature Van Dongen et al. 61st ASMS, MP525 Minneapolis, Minnesota, USA 9-13 June 213. Formula: C 6428 H 9912 N 1694 O 1987 S 46 Molecular Weight: ~ 149.1 kd http://www.drugbank.ca/drugs/db65 Figure 2. Structures of the monoclonal antibody-based drug infliximab (Remicade). Conserved region Surrogate Peptides Anti-HER2 Light chain DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYSASFLYSGVPS RFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQGTKVEIKRTVAAPSVFIFPP SDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC Anti-HER2 Heavy chain EVQLVESGGGLVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRY ADSVKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDYWGQGTLVTVSS ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSS GLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPPKSCDKTHTCPPCPAPELLG GPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRD ELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK Unique Signature Generic Signature Formula: C 647 H 112 N 1726 O 213 S 42 Molecular Weight: ~ 145.5 kda (claims are 148 package insert) http://www.drugbank.ca/drugs/db72 Figure 3. Structures of the monoclonal antibody-based drug trastuzumab (Herceptin). 4

Bevacizumab light chain DIQMTQSPSSLSASVGDRVTITCSASQDISNYLNWYQQKPGKAPKVLIYFTSSLHSGVPSRFSGSGSGTDFTLTIS SLQPEDFATYYCQQYSTVPWTFGQGTKVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDN ALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC Bevacizumab heavy chain EVQLVESGGGLVQPGGSLRLSCAASGYTFTNYGMNWVRQAPGKGLEWVGWINTYTGEPTYAADFKRRFTFSLDTSK STAYLQMNSLRAEDTAVYYCAKYPHYYGSSHWYFDVWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGTALGCLVK DYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKVEPKSCDKTH TCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTY RVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS REEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHE ALHNHYTQKSLSLSPGK Unique Signature Generic Signature Drug Bank Formula: C 6538 H 134 N 1716 O 233 S 44 Molecular Weight: ~ 149. kd http://www.drugbank.ca/drugs/db65 Figure 4. Structures of the monoclonal antibody-based drug bevacizumab (Avastin). Light chain: DIQMTQSPSSLSASVGDRVTITCRASQGIRNYLAWYQQKPGKAPKLLIYAASTLQSGVPS RFSGSGSGTDFTLTISSLQPEDVATYYCQRYNRAPYTFGQGTKVEIKRTVAAPSVFIFPP SDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSK ADYEKHKVYACEVTHQGLSSPVTKSFNRGEC Heavy chain: EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQAPGKGLEWVSAITWNSGHIDY ADSVEGRFTISRDNAKNSLYLQMNSLRAEDTAVYYCAKVSYLSTASSLDYWGQGTLVTVS SASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQS SGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPKSC DKTHTCPPCPAPELLG GPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRD ELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSR WQQGNVFSCSVMHEALHNHYTQKSLSLSPGK Unique Signature Generic Signature C 6428 H 9912 N 1694 O 1987 S 46 Protein average weight 14419.3 Drug Bank http://www.drugbank.ca/drugs/db51 Figure 5. Structures of the monoclonal antibody-based drug adalimumab (Humira). 5

At the same time, QC statistics (summarized in Table 3 below) also easily met regulatory guidelines, 3 with average precision values well under 15, and averaging in the single digits. For a typical discovery study, detection limits ~1 µg/ml are common for monoclonal antibody type drugs. Using the ProteinWorks express Direct Digest kit, these limits are easily obtained for all 4 drugs evaluated. Low QC chromatograms are shown in Figure 6 which demonstrate that adequate sensitivity is achieved with a single universal protocol and the kit. In this study, the single universal digest protocol and SPE method designed for tryptic peptides eliminated the need for discovery-stage method development. The fact that the kit was able to accurately and precisely quantify 4 monoclonal antibody drugs in plasma without the need for optimization demonstrates its broad applicability and utility in an environment where time is critical and experience with protein bioanalysis may be limited. Furthermore, the application of a kit with lot-traceable, pre-measured reagents ensures that methods may be seamlessly transferred across sites and labs, or analysts. Protein Peptide Infliximab SINSATHYAESVK.333 3.816 36.75 359.31.1.98.576 19.892 3.1 2.56 1.6 5.54 95. 19. 13.1 12.6 Bevacizumab FTFSLDTSK.356 3.393 38.461 369.788.4.196 1.282 28.66 1.8 5.78 3.33 7.59 11.7 96.9 19.9 15.6 Adalimumab APYTFGQGTK 3.978 36.567 38.963.57 1.23 18.143 14.34 2.8 4.76 113.7 14.5 18.8 Trastuzumab FTISADTSK 3.663 39.182 374.8.67 2.389 14.1 1.82 6.1 3.75 14.7 112. 16.9 Table 3. Statistics for QC samples of infliximab, adalimumab, trastuzumab, and bevacizumab in plasma digested and extracted using the ProteinWorks express Direct Digest Kit. 6

1 APYTFGQGTK 384 535.3>91.44 (Humira APYTFGQGTK LC) 2.45e4 1 FTFSLDTSK 11154 523.3>797.48 (Avastin FTFSLDTSK HC) 5.1e5 1 SINSATHYAESVK 4637 469.6>63.8 (Remicade SINSATHYAESVK) 1.1e6 1 FTISADTSK 6 485.2>721.4 (Herceptin FTISADTSK HC) 2.79e4 Time Figure 6. Low QC chromatograms (3.5 µg/ml) for bevacizumab, adalimumab, infliximab, and trastuzumab. CONCLUSIONS The ProteinWorks express Direct Digest Kit was successfully used to purify and simultaneously quantify infliximab, adalimumab, bevacizumab, and trastuzumab from a typical set of standard curve and QC samples in rat plasma. Quantification limits of 25 ng/ml to 2.5 µg/ml for each antibody were readily achieved, while maintaining excellent linearity and precision. The total sample prep time including digestion and SPE was just over 3 hours. The standardized, kit-based approach enables inexperienced users to immediately obtain meaningful data in discovery studies in order to make time sensitive and critical project decisions. References 1. Dalzell, Managed Care, October 213. 2. McKinsey and Company; Data Source: Evaluate Pharma, US Patent Expiration Dates. 3. FDA Guidance for Industry for Bioanalytical Method Validation, CDER. Waters, The Science of What s Possible, ACQUITY UPLC, Xevo, and MassLynx are registered trademarks of Waters Corporation. ProteinWorks is a trademark of Waters Corporation. All other trademarks are the property of their respective owners. 215 Waters Corporation. Produced in the U.S.A. November 215 725541EN AG-PDF Waters Corporation 34 Maple Street Milford, MA 1757 U.S.A. T: 1 58 478 2 F: 1 58 872 199 www.waters.com