The specific embodiment
Liquid of the present invention and lyophilizing FSH or FSH and LH preparation have performance or stability improved or that be more suitable for, are used for the male and female infertility treatment.These preparations and goods also are applicable to injection and interchangeable transfer system, such as but not limited to nose, lung, stride mucosa, percutaneous, oral, subcutaneous, intramuscular or parenteral slow release transfer system.In a particularly preferred embodiment, preparation of the present invention is used for subcutaneous and/or intramuscular injection.Owing to stop or reduced active or stable forfeiture, perhaps owing to improved operational efficiency or desirability (for example having improved wherein one of use pattern, frequency, dosage, comfort level, convenience, inside and outside biological activity or the like at least), so FSH provided by the present invention or FSH compare with known commercially available prod with LH variant solution and preparation, the time of doing the trick has obtained prolongation in vivo.
Follicule-stimulating hormone (FSH) used herein or FSH refer to the FSH that obtains as the total length mature protein, include but not limited to recombinant production or the people FSH or " hFSH " that obtain from people source (for example menopausal women urine) separation.The protein sequence of human glucoprotein α subunit is shown in SEQ ID NO:1, and the protein sequence of people FSH β subunit is shown in SEQ ID NO:2.
Term " FSH variant " refers to and comprises between aminoacid sequence, glycosylation pattern or subunit and to connect different with people FSH but show active those molecules of FSH.CTP-FSH for example, it is the Recombinant FSH of a long-acting modification, is made up of wild type α-subunit and hybridization type β-subunit, wherein the β of the carboxyl terminal peptide of hCG and FSH-subunit C-terminal merges, and sees (Endocrinology such as LaPolt; 1992,131,2514-2520) or (Development and characterization of a long-actingrecombinant hFSH agonist such as Klein; Human Reprod.2003,18, description 50-56).Also comprise strand CTP-FSH, it is a single chain molecule, is made up of following sequence (from N-terminal to C-terminal):
βFSH | βhCG-CTP(113-145) | αFSH |
Wherein, β FSH represents β-subunit of FSH, and β hCG CTP (113-145) represents the carboxyl terminal peptide of hCG, and α FSH represents α-subunit of FSH, describes and to see Klein etc. 5.Other FSH variants comprise α-and/or β-subunit on contain the FSH molecule of additional glycosylation site, referring to the claim 10 of WO 01/58493 (Maxygen), particularly WO 01/58493 and 11 described those; And the FSH molecule with S-S key between subunit, referring to WO 98/58957.
FSH variant used herein also comprises the carboxyl-terminal deletion of β-subunit, and they are shorter than the total length mature protein shown in the SEQ ID NO:2.The carboxyl-terminal deletion of people's β-subunit is shown in SEQ ID NO:3,4 and 5.The carboxyl terminal variant and the known α-subunit that should be appreciated that the β chain form dimer, thereby form FSH variant heterodimer.
FSH heterodimer or FSH variant heterodimer all can be by suitable method productions, for example recombinant technique, obtain from the natural origin isolated or purified, or by chemosynthesis, or its combination in any.
The use of term " reorganization " is meant FSH, LH or FSH and the LH variant that adopts recombinant DNA technology (for example referring to WO 85/01958) to produce.The FSH genome of some species α and β subunit or cDNA clone's sequence 6 have been known.For example, a kind of method of utilizing recombinant technique to express FSH or LH is by coding FSH or the α of LH and the DNA sequence transfection eukaryotic cells of β subunit, and no matter it still is on two carriers that each subunit with single promoter is contained in a carrier, describes and see European Patent Application No. EP 0 211 894 and EP 0 487 512.Another example that utilizes recombinant technique to produce FSH or LH is to insert allos with homologous recombination to regulate fragment, this fragment links to each other with the endogenous sequence operability of the subunit of coding FSH or LH, describes and sees European Patent Application No. EP 0 505 500 (Applied ResearchSystems ARS Holding NV).
FSH that the present invention uses or FSH variant not only can be by comprising the recombination method production that mammalian cell is implemented, and can for example originate that the urine purification obtains by other biological.Acceptable method comprises those of following document description: Hakola, K.Molecular and Cellular Endocrinology, 127:59-69,1997; Keene etc., J.Biol.Chem., 264:4769-4775,1989; Cerpa-Poljak etc., Endocrinology, 132:351-356,1993; Dias etc., J.Biol.Chem., 269:25289-25294,1994; Flack etc., J.Biol.Chem., 269:14015-14020,1994; Valove etc., Endocrinology, 135:2657-2661,1994, and United States Patent (USP) 3,119,740 and 5,767,067.
Luteotropic hormone used herein or LH refer to the LH that obtains as the total length mature protein, include but not limited to recombinant production or the people LH or " hLH " that obtain from people source (for example menopausal women urine) separation.The protein sequence of human glucoprotein α subunit is shown in SEQ ID NO:1, and the protein sequence of people LH β subunit 7 is shown in SEQ ID NO:6.LH recombinates in a preferred embodiment.
Term " LH variant " refers to and comprises between aminoacid sequence, glycosylation pattern or subunit and to connect different with people LH but show active those molecules of LH.
LH heterodimer or LH variant heterodimer all can be by suitable method productions, for example recombinant technique, obtain from the natural origin isolated or purified, or by chemosynthesis, or its combination in any.
Term " administration " or " giving " refer to be sent into preparation of the present invention in the patient body who needs treatment disease or disease.
Term " patient " refers to the mammal of accepting disease or treatment for diseases.Without any restriction, patient can be people, sheep, pig, horse, cattle, rabbit or the like.
" render a service or effect " ability that refers to FSH preparation or mix preparation initiation FSH dependency biological respinse with the active relevant term of FSH, for example record the weight of ovary increase or aeg's ovarian follicular growth with Steelman-Pohley analytic process 8.Aeg's ovarian follicular growth situation can be estimated by ultrasound wave, for example stimulates the follicle number of the about 16mm of the 8th per day diameter.Estimate the biological activity of FSH with respect to acceptable FSH standard.
" render a service or effect " ability that refers to LH preparation or mix preparation initiation LH dependency biological respinse, for example seminal vesicle weightening finish method 9 with the active relevant term of LH.Estimate the biological activity of LH with respect to acceptable LH standard.
Term " aqueous diluent " refers to the liquid flux that contains water.The aqueous solvent system can only be made up of water, also can be by water and one or more miscible solvent composition, and can contain soluble solute as sugar, buffer, salt or other excipient.Nonaqueous solvent commonly used is such as organic alcohol of short chain such as methanol, ethanol, propanol, such as chain ketones such as acetone, such as polyhydric alcohol such as glycerol.
That term " isotonic agent " refers to physiological tolerance and bring the suitable Zhang Du of preparation and cross the chemical compound of the cell membrane that contacts with preparation to stop the water net flow.Usually be used as isotonic agent (concentration is known) with chemical compounds such as glycerol.Other suitable isotonic agents include but not limited to aminoacid or protein (for example glycine or albumin), salt (for example sodium chloride) and sugar (for example glucose, sucrose and lactose).
Term " bacteriostatic " or " antibacterial " refer to chemical compound or the compositions that adds as antibacterial in preparation.The storage preparation that the present invention contains FSH or FSH variant or FSH and LH preferably meets the particularly legal or regulation guide of implementing about commerce of the anticorrosion effectiveness of the product of confession human of multipurpose product.For example, antibacterial comprises phenol, metacresol, paracresol, orthoresol, chlorocresol, benzyl alcohol, alkyl paraben class (as methyl ester, ethyl ester, propyl ester, butyl ester or the like), benzalkonium chloride, benzethonium chloride, sodium dehydroacetate and thimerosal.
It is safe and compound solution with the effect in the desirable pH value scope of pH value at said preparation of keeping or control preparation to preparation in the application on pharmacy or the veterinary that term " buffer " or " physiologically acceptable buffer " refer to known.The control pH value includes but not limited to following chemical compound at moderate acid pH value to the buffer accepted of medium basic pH value: phosphate, acetate, citrate, arginine, TRIS and histidine." TRIS " refers to 2-amino-2-methylol-1, ammediol and pharmaceutically acceptable salt thereof.Preferred buffer is phosphate buffer normal saline and acceptable salt thereof.
Term " phosphate buffer " refers to the solution that contains phosphoric acid or phosphate and transferred to desirable pH value.Usually, phosphate buffer is from phosphoric acid or phosphate (including but not limited to sodium phosphate and potassium phosphate) preparation.Some phosphate have been known in this area, for example sodium dihydrogen phosphate and potassium dihydrogen phosphate, disodium-hydrogen and potassium phosphate,monobasic and sodium phosphate and potassium phosphate.Known that phosphate is that hydrate with salt exists.The pH value scope of phosphate buffer is very wide, and for example about pH4 better is the scope of about pH5 to about pH9 to the scope of about pH10, is more preferably the scope of about pH6 to about pH8, preferably about pH7.0.
Term " bottle " general reference is fit to preserve with the sealed, sterile state reservoir of solid or liquid form FSH.For example, the bottle that herein uses comprises that ampoule, injection tube, bubble wrap or other are fit to by syringe, pumping (comprise etc. ooze), conduit, percutaneous plaster, lung or stride mode such as mucosa injection FSH is delivered to the intravital reservoir of patient.Be fit to parenteral, lung, to stride bottle that mucosa and transdermal administration packaging product use known to those skilled in the art and confirm.
Term " stability " refers to physics, chemistry and the conformational stability (comprising keeping of biopotency) of FSH and LH in the preparation of the present invention.The chemical degradation of protein molecule or the polymer, the heterodimer that assemble to form the higher order of magnitude are dissociated at least a bioactive other structural modifications of the included FSH polypeptide of single aggressiveness, de-glycosylation, glycosylation modified, oxidation (particularly α-subunit oxidation) or any minimizing the present invention, can both cause the protein formulation instability.
Term " stable " solution or preparation are meant such solution or preparation: the degree of aspects such as protein degradation wherein, modification, gathering, loss of bioactivity is to control acceptably, and the unacceptable increase that can not become along with the time.Preferably, preparation kept active and at least about the LH activity of 80% labelling at least about the FSH of 80% labelling in 6 months under about 2-8 ℃ temperature under better about 4-5 ℃ of temperature.The FSH activity can measure 5 by Steelman-Pohley ovary weightening finish bioanalysis.The LH activity can measure 10 by the seminal vesicle bioanalysis that increases weight.
Term " treatment " refers to patient's administration, tracking, processing and/or nursing, wherein this patient to be given FSH and/or LH purpose be the physiological reaction that stimulates follicle or testis or any FSH and/or LH to regulate.Therefore, treatment can include but not limited to give FSH and/or LH to induce or to improve sperm quality, stimulate the man to discharge testosterone or stimulate women's follicular development or induced ovulation.
Term " multiple dose use " comprises that the use of the FSH preparation of single bottle, ampoule or injection tube or FSH and LH preparation surpasses once, for example inject 2,3,4,5,6 times or more than.Preferably, at least about in 12 hours, 24 hours, 48 hours equal times, in about 12 days time, inject at most.Also can inject, for example every injection in 6,12,24,48 or 72 hours by interval.
Proteinic " salt " is acid or base addition salts.These salt are preferably between proteinic any or a plurality of charged group and physiologically acceptable avirulence cation or the anion and form.For example, organic salt and inorganic salt comprise by acid such as hydrochloric acid, sulphuric acid, sulfonic acid, tartaric acid, fumaric acid, hydrobromic acid, glycolic, citric acid, maleic acid, phosphoric acid, succinic acid, acetic acid, nitric acid, benzoic acid, ascorbic acid, p-methyl benzenesulfonic acid, benzenesulfonic acid, LOMAR PWA EINECS 246-676-2, propanoic acid, carbonic acid, perhaps by the salt of preparations such as ammonium, sodium, potassium, calcium or magnesium.
The inventor has been found that described surfactant is selected from the epoxy ethane-epoxy propane block polymer the mixture of FSH and FSH and LH and surfactant mixed preparing, preferred Pluronic
F77, Pluronic F87, Pluronic F88, preferred especially Pluronic F68 (BASF, Pluronic F68 also claims Poloxamer 188), they can obtain stable formulation, and effective ingredient (FSH or FSH and the LH) forfeiture that the absorption of bottle and/or transporter (for example syringe, pump, conduit etc.) surface is caused reduces to minimum.
The present invention finds that also the mixture of FSH and FSH and LH and surfactant mixed preparing, described surfactant is selected from the epoxy ethane-epoxy propane block polymer, preferred Pluronic
F77, Pluronic F87, Pluronic F88, preferred especially Pluronic F68 (BASF, Pluronic F68 also claims Poloxamer 188), they can obtain stable formulation, owing to antibacterial such as metacresol and phenol have been arranged have been avoided sedimentation problem.When TWEEN 20 uses with metacresol or phenol, precipitate, form muddiness or milky solution.
General stream Buddhist nun gram (Pluronic) surfactant is oxirane (EO)-expoxy propane (PO) block polymer.Expoxy propane (PO) is embedded between two oxirane (EO) section, is sandwich shape.
The Pluronic surfactant can be synthetic by two-step method:
1. add expoxy propane with control mode in two hydroxyls in propylene glycol, produce hydrophobe with desired molecular weight; And
2. adding oxirane is clipped between two hydrophilic groups described hydrophobe.
Pluronic
The polyoxyethylene of F77 (hydrophilic) percentage rate is 70%, and hydrophobe (polyoxypropylene) molecular weight is about 2,306Da.
Pluronic
The polyoxyethylene of F87 (hydrophilic) percentage rate is 70%, and hydrophobe (polyoxypropylene) molecular weight is about 2,644Da.
Pluronic
The polyoxyethylene of F88 (hydrophilic) percentage rate is 80%, and hydrophobe (polyoxypropylene) molecular weight is about 2,644Da.
Pluronic
The polyoxyethylene of F68 (hydrophilic) percentage rate is 80%, and hydrophobe (polyoxypropylene) molecular weight is about 1,967Da.
The typical performance of Pluronic F77 is as follows:
Mean molecule quantity: 6600;
Molten/pour point: 48 ℃;
20 ℃ of physical form: solid;
25 ℃ of viscosity (Brookfield) cps:480[liquid, 60 ℃ of pastes, 77 ℃ of solids];
25 ℃ of surface tension, dynes/cm;
0.1% concentration: 47.0
0.01% concentration: 49.3
0.001% concentration: 52.8
25 ℃ of interfacial tensions, dynes/cm (with respect to Nujol);
0.1% concentration: 17.7
0.01% concentration: 20.8
0.01% concentration: 25.5
25 ℃ of Draves wetting times (second)
1.0% concentration:>360
0.1% concentration:>360
Foam height
Ross Miles method, 0.1%, mm50 ℃: 100
Ross Miles method, 0.1%, mm26 ℃: 47
Dynamically, 0.1%, mm, 400ml/min:>600
Cloud point in the aqueous solution, ℃
1% concentration:>100
10% concentration:>100
HLB (hydrophile-lipophile balance): 25
The typical performance of Pluronic F87 is as follows:
Mean molecule quantity: 7700;
Molten/pour point: 49 ℃;
20 ℃ of physical form: solid;
25 ℃ of viscosity (Brookfield) cps:700[liquid, 60 ℃ of pastes, 77 ℃ of solids];
25 ℃ of surface tension, dynes/cm;
0.1% concentration: 44.0
0.01% concentration: 47.0
0.001% concentration: 50.2
25 ℃ of interfacial tensions, dynes/cm (with respect to Nujol);
0.1% concentration: 17.4
0.01% concentration: 20.3
0.01% concentration: 23.3
25 ℃ of Draves wetting times (second)
1.0% concentration:>360
0.1% concentration:>360
Foam height
Ross Miles method, 0.1%, mm50 ℃: 80
Ross Miles method, 0.1%, mm26 ℃: 37
Dynamically, 0.1%, mm, 400ml/min:>600
Cloud point in the aqueous solution, ℃
1% concentration:>100
10% concentration:>100
HLB (hydrophile-lipophile balance): 24
The typical performance of Pluronic F88 is as follows:
Mean molecule quantity: 11400;
Molten/pour point: 54 ℃;
20 ℃ of physical form: solid;
25 ℃ of viscosity (Brookfield) cps:23.0[liquid, 60 ℃ of pastes, 77 ℃ of solids];
25 ℃ of surface tension, dynes/cm;
0.1% concentration: 48.5
0.01% concentration: 52.6
0.001% concentration: 55.7
25 ℃ of interfacial tensions, dynes/cm (with respect to Nujol);
0.1% concentration: 20.5
0.01% concentration: 23.3
0.01% concentration: 27.0
25 ℃ of Draves wetting times (second)
1.0% concentration:>360
0.1% concentration:>360
Foam height
Ross Miles method, 0.1%, mm50 ℃: 80
Ross Miles method, 0.1%, mm26 ℃: 37
Dynamically, 0.1%, mm, 400ml/min:>600
Cloud point in the aqueous solution, ℃
1% concentration:>100
10% concentration:>100
HLB (hydrophile-lipophile balance): 28
The typical performance of Pluronic F68 is as follows:
Mean molecule quantity: 8400;
Molten/pour point: 52 ℃;
20 ℃ of physical form: solid;
25 ℃ of viscosity (Brookfield) cps:1000[liquid, 60 ℃ of pastes, 77 ℃ of solids];
25 ℃ of surface tension, dynes/cm;
0.1% concentration: 50.3
0.01% concentration: 51.2
0.001% concentration: 53.6
25 ℃ of interfacial tensions, dynes/cm (with respect to Nujol);
0.1% concentration: 19.8
0.01% concentration: 24.0
0.01% concentration: 26.0
25 ℃ of Draves wetting times (second)
1.0% concentration:>360
0.1% concentration:>360
Foam height
Ross Miles method, 0.1%, mm50 ℃: 35
Ross Miles method, 0.1%, mm26 ℃: 40
Dynamically, 0.1%, mm, 400ml/min:>600
Cloud point in the aqueous solution, ℃
1% concentration:>100
10% concentration:>100
HLB (hydrophile-lipophile balance): 29
Preparation of the present invention also can use has other polymer similar to those performances of listing above.Preferred surfactants is Pluronic F68 and surfactant with similar performance.
The contained Pluronic surfactant of preparation, Pluronic F68 particularly, concentration preferably to be enough in the desirable storage life (for example 6 to 12 or to 24 months) and keep FSH and/or LH stability, this concentration also will be enough to prevent absorb such as bottle, syringe or injection tube surface and causes the protein forfeiture.
Preferably, Pluronic surfactant in the liquid preparation, particularly Pluronic F68, concentration at about 0.01mg/ml to about 1mg/ml scope, more about 0.05mg/ml to about 0.5mg/ml scope, better at about 0.2mg/ml extremely in about 0.4mg/ml scope, preferably about 0.1mg/ml.
The concentration (w/w) of follicule-stimulating hormone (FSH) (FSH) is preferably every milligram of about 0.1 to 10 microgram of preparation total amount in the lyophilized formulations.In one embodiment, the concentration of follicule-stimulating hormone (FSH) (FSH) is every milligram of about 0.3 to 5 microgram of preparation total amount.In another embodiment, the concentration of follicule-stimulating hormone (FSH) (FSH) is every milligram of about 0.37 to 2 microgram of preparation total amount.
The concentration (w/w) of luteotropic hormone (LH) is preferably every milligram of about 0.1 to 3 microgram of preparation total amount in the lyophilized formulations.In one embodiment, the concentration of luteotropic hormone (LH) is every milligram of about 0.1 to 1 microgram of preparation total amount.In another embodiment, the concentration of luteotropic hormone (LH) is every milligram of about 0.1 to 0.6 microgram of preparation total amount.
In containing the liquid preparation of FSH, comprise the reconstruct preparation, the FSH concentration of described preparation preferably at about 150IU/ml to about 2, in the 000IU/ml scope, better at about 300IU/ml to about 1, in the 500IU/ml scope, good especially be at about 450IU/ml to about 750IU/ml scope, preferably about 600IU/ml.
In containing the liquid preparation of LH, comprise the reconstruct preparation, the LH concentration of described preparation preferably at about 50IU/ml to about 2, in the 000IU/ml scope, better at about 150IU/ml to about 1, in the 500IU/ml scope, good especially be at about 300IU/ml to about 750IU/ml scope, preferably about 625IU/ml.
In the preparation that contains FSH and LH, the ratio of FSH and LH (FSH: LH, IU: IU, FSH records with rat ovary weightening finish analytic process, LH records with rat seminal vesicle weightening finish analytic process) preferably in about 6: 1 to about 1: 6 scopes, better in about 4: 1 to about 1: 2 scopes, good especially is in about 3: 1 to about 1: 1 scopes, best 1: 1 and 2: 1.
The concentration of lyophilized formulations internal surfactants (as Pluronic F68) is about 0.001 to 0.1 milligram of every milligram of preparation total amount preferably, is more preferably about 0.01 to 0.075 milligram of every milligram of preparation total amount.
Preferably, the Pluronic surfactant of reconstruct preparation, particularly the concentration of Pluronic F68 at about 0.01mg/ml to about 1mg/ml scope, better at about 0.05mg/ml to about 0.5mg/ml scope, good especially be at about 0.2mg/ml to about 0.4mg/ml scope, preferably about 0.1mg/ml.
FSH and LH be preferably by recombinant technique production, particularly with one or more carrier transfection Chinese hamster ovary cell of the DNA of the human glucoprotein α-subunit that contains coding FSH or LH and β-subunit, and reuse this cells produce FSH and LH.Coding for alpha-and the DNA of β-subunit can be present on the identical or different carrier.
Recombinant FSH and LH have some advantages with respect to their urine homologue.Use the cultivation of reconstitution cell and isolation technics can keep the concordance of producing in batches.On the contrary, the characteristic (as purity, glycosylation pattern, sialylated and subunit oxidation) of urine FSH and LH differs greatly between different batch process the in batches.Because Recombinant FSH and LH can keep higher concordance and purity between in batches, so (isoelectric focussing, IEF) etc. technology is easy to these hormones are identified and quantitative analysis employing such as isotope electron focusing.Evaluation and the quantitative analysis of Recombinant FSH and LH are easy, also can realize carrying out filling toward a large amount of hormones of bottle filling (fill-by-mass) rather than by biologic test.
Preferably, the pH of FSH preparation of the present invention is about 6.0 to about 8.0 scopes, better about 6.8 to about 7.8 scopes, comprises about pH7.0, pH7.2 and 7.4.Preferred buffer is a phosphate buffer, and preferred equilibrium ion is sodium or potassium ion.The phosphoric acid brine buffer solution has been well known in the art, for example Dulbecco ' s phosphoric acid brine buffer solution.The concentration of buffer can be about 5mM, 9.5mM, 10mM, 50mM, 100mM, 150mM, 200mM, 250mM and 500mM in total solution.Preferably, the about 10mM of buffer concentration.Particularly preferred situation is a 10mM pH7.0 phosphate buffer.
Preferably, the pH of FSH of the present invention and LH mixture preparation is about 6.0 to about 9.0 scopes, better about 6.8 to about 8.5 scopes, comprises about pH7.0, pH8.0 and 8.2, preferably about pH8.0.
The present invention relates to liquid preparation and lyophilized formulations that can reconstruct, wherein (reconstruct) solvent is an injection water.Liquid preparation can be single agent or multi-agent.The present invention is used for the liquid of multi-agent purpose and lyophilizing FSH and/or LH preparation and preferably contains a kind of antibacterial, for example phenol, metacresol, paracresol, orthoresol, chlorocresol, benzyl alcohol, alkyl paraben class (as methyl ester, ethyl ester, propyl ester, butyl ester or the like), thymol, benzalkonium chloride, benzethonium chloride, sodium dehydroacetate and thimerosal.Particularly preferably be phenol, benzyl alcohol and metacresol, be more preferably benzyl alcohol and metacresol, preferably metacresol.The consumption of antibacterial is that the concentration that obtains can be kept preparation effectively do not have antibacterial (being fit to injection) basically during the multi-agent injection, and the described multi-agent injection phase can about 12 or 24 hours to about 12 or 14 days, better about 6 days to 12 days.Preferably, the concentration of antibacterial in about 0.1% (antibacterial/solvent, mass/mass) to about 2.0% scope, better about 0.2% to about 1.0% scope.For benzyl alcohol, its preferred concentration is 0.9%.For phenol, its preferred concentration about 0.5%.For metacresol, about 0.3% (for example about 3mg/ml in WFI) of its preferred concentration.
In a preferred embodiment, the invention provides a kind of composition of liquid medicine, it preferably uses as multi-agent, contains FSH or its variant, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol.
In another preferred embodiment, the invention provides a kind of composition of liquid medicine, it preferably uses as multi-agent, contains LH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol.
In another preferred embodiment, the invention provides a kind of composition of liquid medicine, it preferably uses as multi-agent, contains FSH and LH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol.Preferably, the ratio of FSH and LH (FSH: LH) about 2: 1 to about 1: 1.
In another preferred embodiment, the invention provides a kind of method for preparing composition of liquid medicine, described compositions is preferably used as multi-agent, and described method comprises that formation contains the aqueous solution of FSH or its variant, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol, and WFI.
In another preferred embodiment, the invention provides a kind of method for preparing composition of liquid medicine, described compositions is preferably used as multi-agent, and described method comprises that formation contains the aqueous solution of LH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol and WFI.
In another preferred embodiment, the invention provides a kind of method for preparing composition of liquid medicine, described compositions is preferably used as multi-agent, and described method comprises that formation contains the aqueous solution of FSH and LH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol and WFI.
In a preferred embodiment again, the invention provides a kind of preparation packaged pharmaceuticals method for compositions, described method comprises distributes the solution that contains FSH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol.
In a preferred embodiment again, the invention provides a kind of preparation packaged pharmaceuticals method for compositions, described method comprises distributes the solution that contains FSH and LH, surfactant and antibacterial, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol.
In a preferred embodiment again, the invention provides a kind of goods that pharmaceutically use for the people, these goods comprise a bottle that contains the solution of FSH or FSH variant, surfactant and antibacterial, wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol; And illustrate that this solution can use the back to preserve about 24 hours or above printed instructions first.Preferably, printed instructions illustrates that this solution can use the back to preserve maximum approximately 12 or 14 days first.
In a preferred embodiment again, the invention provides a kind of goods that pharmaceutically use for the people, these goods comprise a bottle that contains the solution of FSH and LH and surfactant and antibacterial, wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, antibacterial is selected from metacresol and phenol, preferred metacresol; And illustrate that this solution can use the back to preserve about 24 hours or above printed instructions first.Preferably, printed instructions illustrates that this solution can use the back to preserve maximum approximately 12 or 14 days first.
In a special preferred embodiment, preparation contains metacresol and Pluronic F68.The inventor is surprised to find that the preparation that contains Pluronic F68 can not produce precipitation in the presence of metacresol, uses other surfactants then can see deposited phenomenon.
Before using first, promptly open before bottle, ampoule or the injection tube sealing, preparation of the present invention can be preserved at least about 6 months, 12 months or 24 months.The storage of preparation will be away from high light (be better than most and be stored in the dark) before using first, and the about 2-8 of storage temperature ℃, better about 4-5 ℃.
In one embodiment, the invention provides a kind of lyophilized formulations of reconstruct, it preferably uses as multi-agent, contains FSH or its variant and surfactant, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, preferred Pluronic F68.
In another specific embodiment, the invention provides a kind of lyophilized formulations of reconstruct, it preferably uses as multi-agent, contains LH and surfactant, and wherein surfactant is selected from Pluronic
F77, PluronicF87, Pluronic F88 and Pluronic F68, preferred Pluronic F68.
In another specific embodiment, the invention provides a kind of lyophilized formulations of reconstruct, it preferably uses as multi-agent, contains FSH and LH and surfactant, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68, preferred Pluronic F68.Preferably, the ratio of FSH and LH (FSH: LH) about 2: 1 to about 1: 1.
In another specific embodiment, the invention provides a kind of method for preparing lyophilized formulations, described lyophilized formulations preferably uses as multi-agent after reconstruct, and described method comprises that formation contains FSH or its variant and surfactant mixtures, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68; And make described mixture lyophilizing.
In another specific embodiment, the invention provides a kind of method for preparing lyophilized formulations, described lyophilized formulations preferably uses as multi-agent after reconstruct, and described method comprises that formation contains LH and surfactant mixtures, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68; And make described mixture lyophilizing.
In another specific embodiment, the invention provides a kind of method for preparing lyophilized formulations, described lyophilized formulations preferably uses as multi-agent after reconstruct, and described method comprises that formation contains FSH and LH and surfactant mixtures, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, PluronicF88 and Pluronic F68; And make described mixture lyophilizing.
In a preferred embodiment again, the invention provides a kind of preparation packaged pharmaceuticals method for compositions, described method comprises a freeze-dried mixture that contains FSH and surfactant is dispensed in the container that wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68.
In the preferred embodiment, the invention provides a kind of preparation packaged pharmaceuticals method for compositions again, described method comprises that a freeze-dried mixture that contains LH and surfactant is dispensed in the container, and wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68.
In a preferred embodiment again, the invention provides a kind of preparation packaged pharmaceuticals method for compositions, described method comprises a freeze-dried mixture that contains FSH and LH and surfactant is dispensed in the container that wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and PluronicF68.
In a preferred embodiment again, the invention provides a kind of goods that pharmaceutically use for the people, these goods comprise first container or the bottle that contain lyophilizing FSH or FSH variant and surfactant, wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68.Second container or bottle contain the diluent that reconstruct is used, preferred water and antibacterial, and described antibacterial is selected from metacresol and phenol, is preferably metacresol.
In a preferred embodiment again, the invention provides a kind of goods that pharmaceutically use for the people, these goods comprise first container or the bottle that contain lyophilizing LH or LH variant and surfactant, wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68.Second container or bottle contain the diluent that reconstruct is used, preferred water and antibacterial, and described antibacterial is selected from metacresol and phenol, is preferably metacresol.
In a preferred embodiment again, the invention provides a kind of goods that pharmaceutically use for the people, these goods comprise first container or the bottle that contain lyophilizing FSH or FSH variant and LH or LH variant and surfactant, wherein surfactant is selected from Pluronic
F77, Pluronic F87, Pluronic F88 and Pluronic F68.Second container or bottle contain the diluent that reconstruct is used, preferred water and antibacterial, and described antibacterial is selected from metacresol and phenol, is preferably metacresol.
In a special preferred embodiment, the solvent that is used for reconstruct contains metacresol.The inventor is surprised to find that the lyophilized formulations that contains Pluronic F68 produces precipitation when be reconstructed Shi Buhui with the diluent that contains metacresol, uses other surfactants (as Tween) then can see deposited phenomenon.
Lyophilized formulations of the present invention can be preserved at least about 6 months, 12 months or 24 months.The storage of preparation will be away from high light (be better than most and be stored in the dark) before using first, about 25 ℃ of storage temperature, preferably about 2-8 ℃, better about 4-5 ℃.
After liquid or reconstruct multi-agent preparation used first, it can preserve use at least about 24 hours, preferably at least about 4,5 or 6 days, and better maximum 12 or 14 days.Preparation better is stored in below 10 ℃ using the back to suit to be stored in (for example about below 25 ℃) below the room temperature first, better is stored in 2-8 ℃, preferably is stored in 5-0 ℃.
Preferably, preparation of the present invention contains antioxidant, for example methionine, sodium sulfite, ethylenediaminetetraacetic acid (EDTA) salt, Yoshinox BHT (BHT) and Butylated hydroxyanisole (BHA).Methionine preferably.Antioxidant prevents that FSH and LH (particularly α-subunit) from oxidation taking place.
The methionine concentration of liquid and/or reconstruct preparation is about 0.01 to about 1.0mg/ml scope, better about 0.05 to about 0.5mg/ml scope, and preferably about 0.1mg/ml.
Preferably, preparation of the present invention with sugar alcohol as stabilizing agent and tonicity contributor, for example sucrose, glucose, lactose, mannitol and/or glycerol.Sucrose preferably, the about 60mg/ml of its preferred concentration.
As mentioned above, the invention provides the liquid preparation that uses as single agent and multi-agent, it or contain antibacterial or add antibacterial during the reconstruct preparation.Preparation of the present invention is fit to pharmacy or the veterinary uses.
As mentioned above, a preferred embodiment of the present invention provides a kind of goods, it contains packaging material and bottle, described bottle contains FSH or FSH variant, LH or FSH and LH, Pluronic F68 and the antibacterial in aqueous diluent, described antibacterial is selected from phenol and metacresol, randomly can add buffer and/or other excipient, wherein said packaging material comprise and show that this solution can use the back to preserve about 24 hours or above printed instructions first.The present invention also comprises a kind of goods, it contains packaging material and bottle, described bottle contains FSH of the present invention or FSH variant formulations, and wherein said packaging material comprise printed instructions, illustrates that to patient use solvent reconstruct FSH or FSH variant can preserve 24 hours or above solution to form.
As mentioned above, a preferred embodiment of the present invention provides a kind of goods, and it contains packaging material and bottle, and described bottle contains lyophilizing FSH or FSH variant, LH or LH variant or FSH and LH, Pluronic F68.Antibacterial in second container comprises the diluent that is selected from phenol and metacresol, randomly can add other excipient, and wherein said packaging material comprise and show that this solution can use the back to preserve 24 hours or above printed instructions first.
The scope of preparation internal protein hormone of the present invention produces the quantity of about 1.0 μ g/ml to about 50mg/ml concentration after comprising reconstruct, but low and higher concentration all is feasible, depend on and plan the medium send into, for example the proteohormone content of pharmaceutical solutions according to percutaneous plaster, lung, to stride mucosa or infiltration or micro pump delivery method be different.Proteohormone concentration suits at about 5.0 μ g/ml to about 2mg/ml scope, and better about 10.0 μ g/ml are preferably in about 50 μ g/ml to about 200 μ g/ml scopes to about 1mg/ml scope.
The scope of preparation internal protein hormone of the present invention produces the quantity of about 1.0 μ g/ml to about 50mg/ml concentration after comprising reconstruct, but low and higher concentration all is feasible, depend on and plan the medium send into, for example the proteohormone content of pharmaceutical solutions according to percutaneous plaster, lung, to stride mucosa or infiltration or micro pump delivery method be different.Proteohormone concentration suits at about 5.0 μ g/ml to about 2mg/ml scope, and better about 10.0 μ g/ml are preferably in about 50 μ g/ml to about 200 μ g/ml scopes to about 1mg/ml scope.
Preferably, preparation of the present invention 24 months packings in the phase (before using first) keep at least about 80%FSH activity and/or LH activity.The FSH activity can be measured by Steelman-Pohley ovary weightening finish bioanalysis
5The LH activity can be measured by rat seminal vesicle weightening finish bioanalysis.
Liquid preparation of the present invention can be by such method preparation, described method comprises to be made solid FSH or FSH variant, LH or FSH and LH compound, Pluronic F68 and is selected from phenol and the mixing of the antibacterial of metacresol, perhaps dissolves FSH or FSH variant, LH or FSH and LH mixture (" protein "), Pluronic F68 and be selected from phenol and the antibacterial of metacresol in aqueous diluent.Utilize conventional dissolving and combination process can carry out mixing and their dissolvings in aqueous diluent of each constituent.In order to prepare suitable preparation, for example, the FSH of measured quantity that will be in buffer or FSH variant, LH or FSH and LH mixture are with Pluronic F68 in buffer and be selected from phenol and the combination of the antibacterial of metacresol, and the quantity of Pluronic F68 and antibacterial enough provides protein, Pluronic F68 and the antibacterial of desired concn.Then, the solution that obtains is dispensed in bottle, ampoule, the injection tube.Those of ordinary skills can do various variations to the method.For example, the addition sequence of each component, whether need to use the temperature and the pH of additional additives, preparation preparation, all of these factors taken together can be according to the administration concentration that adopts and mode and optimization.
In a preferred embodiment of the invention, liquid preparation of the present invention is made like this: each storing solution of the preparation whole components of said preparation (for example sodium phosphate buffer, sucrose, TWEEN, methionine, FSH and/or LH) concentration known, and the cubical content five equilibrium contained " mother solution " with final preparation same composition with formation." mother solution " the most handy Duropore
(Millipore) 0.22 micron PDF membrane filtration to remove microorganism, distributes each aliquot to enter each container, for example bottle, ampoule or injection tube then.
Lyophilized formulations of the present invention is made by following method: this method comprises FSH or FSH variant, LH or LH variant or FSH and LH mixture, Pluronic F68 and other excipient such as antioxidant and/or buffer mixing, and makes described mixture carry out lyophilizing.Use routine techniques to mix each component and lyophilizing.For example, prepare appropriate formulation, the FSH of measured quantity or FSH variant, LH or LH variant or FSH and LH mixture are mixed with Pluronic F68, resulting mixture is by lyophilizing, and bottle, ampoule or injection tube are gone in reallocation.Those of ordinary skills can make various variations to the method.For example, the addition sequence of each component, whether need to use the temperature and the pH of additional additives, preparation preparation, all of these factors taken together can be according to the administration concentration that adopts and mode and optimization.
Also available generally acknowledged device gives preparation of the present invention.For example comprise single bottle system, described system comprises that transmission is such as EasyJect
, Gonal-F
Pen, Humaject
, NovoPen
, B-D
Pen, AutoPen
And OptiPen
Pen injector device Deng solution.
The claimed product of the present invention comprises packaging material.This comprises material except the desired information of statutory body is provided, and the service condition of product also is provided.Packaging material of the present invention furnish an explanation for patient: get two bottle products (wet/do), then FSH or FSH variant are joined in the aqueous diluent wiring solution-forming and will use this solution in 24 hours or above time.For single bottle of solution product, its label show this solution can use first the back preserved about 24 hours or more than, preferably be no more than 12 or 14 days.The claimed product of the present invention can be for using on people's pharmaceutical applications.
The preparation that offers invalid stable preservation is a settled solution.But this solution single uses also repeatedly reuse, and is enough one or more cycles of patient, therefore more convenient than existing therapeutic scheme.
Described herein stable or preserve FSH in preparation or the solution or FSH variant, LH or FSH and LH mixture and can pass through various carrying methods, comprise subcutaneous or intramuscular injection, percutaneous, lung, stride mucosa, implantation, osmotic pumps, injection tube, micro pump, oral or other well known to a person skilled in the art that mode gives patient of the present invention.
The embodiment that below provides only illustrates the preparation of preparation of the present invention and component.Scope of the present invention does not should be understood to and is limited to these embodiment.
Embodiment 1
Comparative formulations
Material
Title | Manufacturer |
The r-hFSH bulk solution that candidate's preparation is used | Laboratoires Serono SA |
D-mannitol (DAB, Ph Eur, BP, FU, USP, FCC, E421) | Merck |
Sucrose (DAB, PhEur, BP, NF) | Merck |
NaCl(ACS,ISO) | Merck |
Na
2HPO
42H
2O (analytical pure)
| Merck |
NaH
2PO
4H
2O (analytical pure)
| Merck |
Title | Manufacturer |
Benzyl alcohol (analytical pure) | Merck |
Metacresol (synthetic using) | Merck |
TWEEN 20 (polysorbate20) (synthetic using) | Merck |
Pluronic F68(Poloxamer 188) | Sigma |
L-methionine (biochemistry is used) | Merck |
Orthophosphoric acid 85% (Ph Eur, BP, NF) | Merck |
1.5mL glass injection tube | SFAM (siliconed at Aguettant) |
A type rubber | West Company |
The Crim lid | Aguettant |
Filter-the Durapore of Millex-GV injector drive | Millipore |
Durapore filter membrane 0.22 μ m GV | Millipore |
20mL plastic injector Plastipak | Becton Dickinson |
The filtration steelframe | Sartorius |
Equipment
The HPLC system | Detector models: 486 or 490 controller models: 600S pump type: 626 Autosampler models: 717 | Waters | 2 |
Acidometer | Model: 654 | Metrohm | 1 |
Osmometer | 030-D | Osmomat | | 1 |
Following experimental evaluation the following parameters of big volume preparation:
The compatibility of surfactant and antibacterial
The oxidation of α-subunit
Preparation is the multiple dose preparation, contains TWEEN 20 or Pluronic F68 and antibacterial.Estimate following antibacterial:
Benzyl alcohol 0.9%
Metacresol 0.3%
Phenol 0.5%
The concentration range of TWEEN 20 and Pluronic F68 is as follows:
TWEEN 20:10 to 100 μ g/g
Pluronic F68:10 to 100 μ g/g
Following table 1 is listed the solution of preparation.
Table 1: comparative formulations |
ID# | Na
2HPO
4 2H
2O (mg/g)
| NaH
2PO
4 H
2O (mg/g)
| r-hFSH
* | Pluronic F68 (μg/g) | TWEEN 20 (μg/g) | Antibacterial | Excipient (mg/g) |
1P | 1.11 | 0.45 | 600IU/g | 10 | - | 0.5% phenol | Sucrose 70.6 |
2P | 1.11 | 0.45 | 600IU/g | 10 | - | 0.5% phenol | Mannitol 38.7 |
3P | 1.11 | 0.45 | 600IU/g | 100 | - | 0.5% phenol | Sucrose 70.6 |
4P | 1.11 | 0.45 | 600IU/g | 100 | - | 0.5% phenol | Mannitol 38.7 |
5P | 1.11 | 0.45 | 600IU/g | - | 10 | 0.5% phenol | Sucrose 70.6 |
6P | 1.11 | 0.45 | 600IU/g | - | 10 | 0.5% phenol | Mannitol 38.7 |
7 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.9% benzyl alcohol | NaCl6.0 |
8 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.9% benzyl alcohol | Sucrose 62.3 |
9 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.9% benzyl alcohol | Mannitol 34.1 |
10 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.3% metacresol | NaCl7.6 |
11 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.3% metacresol | Sucrose 78.0 |
Table 1: comparative formulations |
ID# | Na
2HPO
4 2H
2O (mg/g)
| NaH
2PO
4 H
2O (mg/g)
| r-hFSH
* | Pluronic F68 (μg/g) | TWEEN20 (μg/g) | Antibacterial | Excipient (mg/g) |
12 | 1.11 | 0.45 | 600IU/g | - | 100 | 0.3% metacresol | Mannitol 42.7 |
13 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.9% benzyl alcohol | NaCl6.0 |
14 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.9% benzyl alcohol | Sucrose 62.3 |
15 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.9% benzyl alcohol | Mannitol 34.1 |
16 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.3% metacresol | NaCl7.6 |
17 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.3% metacresol | Sucrose 78.0 |
18 | 1.11 | 0.45 | 600IU/g | - | 10 | 0.3% metacresol | Mannitol 42.7 |
19 | 1.11 | 0.45 | 600IU/g | 100 | - | 0.9% benzyl alcohol | NaCl6.0 |
20 | 1.11 | 0.45 | 600IU/g | 100 | - | 0.9% benzyl alcohol | Sucrose 62.3 |
21 | 1.11 | 0.45 | 600IU/g | 100 | - | 0.9% benzyl alcohol | Mannitol 34.1 |
22 | 1.11 | 0.45 | 600IU/g | 100 | - | 0.3% metacresol | NaCl7.6 |
23 | - | 0.45 | 600IU/g | 100 | - | 0.3% metacresol | Sucrose 78.0 |
24 | 1.11 | 0.45 | 600IU/g | 100 | - | 0.3% metacresol | Mannitol 42.7 |
25 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.9% benzyl alcohol | NaCl6.0 |
26 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.9% benzyl alcohol | Sucrose 62.3 |
27 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.9% benzyl alcohol | Mannitol 34.1 |
28 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.3% metacresol | NaCl7.6 |
29 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.3% metacresol | Sucrose 78.0 |
30 | 1.11 | 0.45 | 600IU/g | 10 | - | 0.3% metacresol | Mannitol 42.7 |
*Add FSH in the preparation and be based on the biopotency of FSH but not protein content.
Preparation is carried out visual inspection, find that TWEEN20 can not reinstate with metacresol and phenol one, this is because contain TWEEN20 and metacresol or contain TWEEN20 and the FSH preparation of phenol presents milky suspension.On the contrary, the FSH preparation that contains Pluronic F68 can not produce such problem when using with metacresol and phenol, and promptly Pluronic F68 can use with phenol and metacresol.The combination of FSH and Pluronic F68 and antioxidant
Estimate following antioxidant suppresses α-subunit oxidation in the presence of Pluronic F68 ability:
Methionine: 10 to 100 μ g/g
Ascorbic acid: 10 to 100 μ g/g
Be used as tonicity agent with sucrose and mannitol, add 100 μ g/g TWEEN 20 or Pluronic surfactants.
Table 2 is listed the preparation of preparation.
Table 2. contains or does not contain the comparative formulations of methionine |
ID# | Na
2HPO
4 2H
2O (mg/g)
| NaH
2PO
4 H
2O (mg/g)
| RhFSH | Pluroni c F68 (μg/g) | TWEEN (μg/g) | Ascorbic acid (μ g/g) | Methionine (μ g/g) | Antibacterial | Excipient |
31 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | 0.3% metacresol | Sucrose |
32 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | 0.3% metacresol | Mannitol |
33 | 1.11 | 0.45 | 600IU/g | - | 100 | - | - | 0.9% benzyl alcohol | Sucrose |
34 | 1.11 | 0.45 | 600IU/g | - | 100 | - | - | 0.9% benzyl alcohol | Mannitol |
35 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | 0.9% benzyl alcohol | Sucrose |
36 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | 0.9% benzyl alcohol | Mannitol |
37 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 10 | 0.3% metacresol | Sucrose |
38 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 10 | 0.3% metacresol | Mannitol |
39 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | 0.3% metacresol | Sucrose |
40 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | 0.3% metacresol | Mannitol |
41 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | 0.3% metacresol | Sucrose |
42 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | 0.3% metacresol | Mannitol |
43 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | 0.3% metacresol | Sucrose |
44 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | 0.3% metacresol | Mannitol |
45 | 1.11 | 0.45 | 600IU/g | - | 100 | - | 10 | 0.9% benzyl alcohol | Sucrose |
Table 2. contains or does not contain the comparative formulations of methionine |
ID# | Na
2HPO
4 2H
2O (mg/g)
| NaH
2PO
4 H
2O (mg/g)
| RhFSH | Pluroni c F68 (μg/g) | TWEEN (μg/g) | Ascorbic acid (μ g/g) | Methionine (μ g/g) | Antibacterial | Excipient |
46 | 1.11 | 0.45 | 600IU/g | - | 100 | - | 10 | 0.9% benzyl alcohol | Mannitol |
47 | 1.11 | 0.45 | 600IU/g | - | 100 | - | 100 | 0.9% benzyl alcohol | Sucrose |
48 | 1.11 | 0.45 | 600IU/g | - | 100 | - | 100 | 0.9% benzyl alcohol | Mannitol |
49 | 1.11 | 0.45 | 600IU/g | - | 100 | 10 | - | 0.9% benzyl alcohol | Sucrose |
50 | 1.11 | 0.45 | 600IU/g | - | 100 | 10 | - | 0.9% benzyl alcohol | Mannitol |
51 | 1.11 | 0.45 | 600IU/g | - | 100 | 100 | - | 0.9% benzyl alcohol | Sucrose |
52 | 1.11 | 0.45 | 600IU/g | - | 100 | 100 | - | 0.9% benzyl alcohol | Mannitol |
53 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 10 | 0.9% benzyl alcohol | Sucrose |
54 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 10 | 0.9% benzyl alcohol | Mannitol |
55 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | 0.9% benzyl alcohol | Sucrose |
56 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | 0.9% benzyl alcohol | Mannitol |
57 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | 0.9% benzyl alcohol | Sucrose |
58 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | 0.9% benzyl alcohol | Mannitol |
59 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | 0.9% benzyl alcohol | Sucrose |
60 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | 0.9% benzyl alcohol | Mannitol |
61 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | Phenol | Sucrose |
62 | 1.11 | 0.45 | 600IU/g | 100 | - | - | - | Phenol | Mannitol |
63 | 1.11 | 0.45 | 600IU/g | - | - | - | - | Phenol | Sucrose |
64 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 10 | Phenol | Mannitol |
65 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | Phenol | Sucrose |
66 | 1.11 | 0.45 | 600IU/g | 100 | - | - | 100 | Phenol | Mannitol |
67 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | Phenol | Sucrose |
68 | 1.11 | 0.45 | 600IU/g | 100 | - | 10 | - | Phenol | Mannitol |
69 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | Phenol | Sucrose |
70 | 1.11 | 0.45 | 600IU/g | 100 | - | 100 | - | Phenol | Mannitol |
In preparation, add FSH and be based on the biopotency of FSH but not protein content.
Every kind of preparation is got 20g, makes Falcon polypropylene test tube, and filters through the filter Durapore of 3cm20.22 μ m Millex-GV injector drive, analyzes the numerical value of t=0 then.Solution is stored in 40 ℃,
Test according to following scheme:
Analytical test | T=0 | 1 week | 2 weeks | 3 weeks | 4 weeks |
Analyze the reversed-phase HPLC (%) of oxidation α subunit | X | X | X | X | X |
Exclusion-HPLC (μ g/g) that quantification of protein is analyzed | X | X | X | X | X |
Exclusion-the HPLC of free subunit qualitative analysis | X | X | X | X | X |
(X): expression is tested
Reversed-phase HPLC discloses, contain in the preparation of FSH, Pluronic F68, metacresol and methionine (concentration is 10 and 100 μ g/ml), when said preparation when 40 ℃ store, the α of its FSH-subunit oxidation is compared with the preparation that does not contain methionine greatly and is reduced, and sees Fig. 1.According to the meansigma methods of two experiments, do not contain that oxidation α-subunit percentage rate is to be that 4.0, the 2 weeks were 7.1 in 2.3, the 1 weeks in the preparation of methylthio-aminoacids when T=0.Contain that oxidation α-subunit percentage rate is to be that 3.2, the 2 weeks were 3.8 in 2.0, the 1 weeks in the preparation of 10 μ g/ml methylthio-aminoacids when T=0.Contain that oxidation α-subunit percentage rate is to be that 1.7, the 2 weeks were 1.3 in 1.8, the 1 weeks in the preparation of 100 μ g/ml methylthio-aminoacids when T=0.
Embodiment 2
The Recombinant FSH liquid list agent formulation that is used for subcutaneous or intramuscular injection
According to the result of embodiment 1, prepare following preparation.
The component 1 to 7 that table 3 is listed is to make as the equivalent standard solution in WFI.In mixer, add the aliquot of every kind of solution, form in " mother solution ".This mother solution is dispensed in the bottle, contains 10.9 micrograms (150IU) or 5.45 micrograms (75IU) FSH.
Because used Recombinant FSH,, can realize a large amount of filling FSH (fill-by-mass) like this rather than carry out filling by biologic test so biological activity is consistent with specificity.
The component of the single agent liquid preparation of table 3.FSH |
Component # | Title | 150IU FSH | 75IU FSH | |
1 | RhFSH (μ g/ bottle) | 10.9(150IU) | 5.45(75IU) |
2 | Sucrose (mg/ bottle) | 15.00 | 7.50 |
3 | NaH
2PO
4·H
2O (mg/ bottle)
| 0.111 | 0.0555 |
4 | Na
2HPO
4·2H
2O (mg/ bottle)
| 0.273 | 0.1365 |
5 | Pluronic F68 (mg/ bottle) | 0.025 | 0.0125 |
6 | Methionine (mg/ bottle) | 0.025 | 0.0125 |
7 | Metacresol (mg/ bottle) | 0.75 | 0.375 |
8 | pH | 7.0 | 7.0 |
9 | WFI | Be assigned to 1ml in right amount | Be assigned to 0.5ml in right amount |
Filling and sealed vial under aseptic condition.These preparations at room temperature can be preserved maximum 2 years.
Embodiment 3
The Recombinant FSH liquid multi-agent preparation that is used for subcutaneous or intramuscular injection
According to the result of embodiment 1, prepare following multi-agent preparation.
The component 1 to 7 that table 4 is listed is to make as the equivalent standard solution in WFI.In mixer, add the aliquot of every kind of solution, form in " mother solution ".This mother solution is dispensed in the bottle, contains 22.2 micrograms (305IU), 33.3 micrograms (458IU) and 66.7 micrograms (916IU) FSH.The preparation that obtains carries totally 300,450 and 900IU FSH.
Filling and sealing injection tube under aseptic condition.These multi-agent preparations can better be preserved down at about 4-5 ℃ in about 2-8 ℃, until using the back to preserve maximum 2 years first.After using first, injection tube should better be preserved down at about 4-5 ℃ at about 2-8 ℃, and storage life can be 24 hours, 2 days, perhaps maximum 12 or 14 days.
The component of table 4.FSH multi-agent liquid preparation |
Component # | Title | 300IU FSH | 450IU FSH | 900IU FSH | |
1 | RhFSH (μ g/ injection tube) | 22.2(305IU) | 33.3(458IU) | 66.7(916IU) |
2 | Sucrose (mg/ injection tube) | 30.0 | 45.0 | 90.0 |
3 | NaH
2PO
4·H
2O (mg/ injection tube)
| 0.225 | 0.337 | 0.675 |
4 | Na
2HPO
4·2H
2O (mg/ injection tube)
| 0.555 | 0.832 | 1.665 |
5 | Pluronic F68 (mg/ bottle) | 0.050 | 0.075 | 0.150 |
6 | Methionine (mg/ bottle) | 0.050 | 0.075 | 0.150 |
7 | Metacresol (mg/ bottle) | 1.50 | 2.25 | 4.50 |
8 | pH | 7.0 | 7.0 | 7.0 |
9 | WFI | Be assigned to 0.5ml in right amount | Be assigned to 0.75ml in right amount | Be assigned to 1.5ml in right amount |
Embodiment 4
The reorganization LH liquid list agent formulation that is used for subcutaneous or intramuscular injection
Prepare following preparation.
The component 1 to 7 that table 5 is listed is to make as the equivalent standard solution in WFI.In mixer, add the aliquot of every kind of solution, form in " mother solution ".This mother solution is dispensed in the bottle, contains 3 micrograms (75IU) LH.The preparation that obtains is carried single agent 75IU LH.
Because used reorganization LH,, can realize a large amount of filling LH (fill-by-mass) like this rather than carry out filling by biologic test so biological activity is consistent with specificity.
The component of the single agent liquid preparation of table 5.LH |
Component # | Title | LH 75IU | |
1 | RhLH (μ g/ bottle) | 3.0 |
2 | Sucrose (mg/ bottle) | 52.5 |
3 | NaH
2PO
4·H
2O (mg/ bottle)
| 0.052 |
4 | Na
2HPO
4·2H
2O (mg/ bottle)
| 0.825 |
5 | Pluronic F68 (mg/ bottle) | 0.0125 |
6 | Methionine (mg/ bottle) | 0.125 |
7 | Metacresol (mg/ bottle) | 0.375 |
9 | WFI | Be assigned to 0.5ml in right amount |
Filling and sealed vial under aseptic condition.These preparations at room temperature can be preserved maximum 2 years.
Embodiment 5
The Recombinant FSH and LH (2: 1) the liquid multi-agent preparation that are used for subcutaneous or intramuscular injection
Prepare following FSH and LH multi-agent preparation, wherein FSH: LH is 2: 1.
The component 1 to 8 that table 6 is listed is to make as the equivalent standard solution in WFI.The aliquot that adds every kind of solution in mixer is mixed them and is formed " mother solution ".Having needs, and adds the pH to 8.0 that sodium hydroxide or hydrochloric acid are transferred mother solution.This mother solution is dispensed in the injection tube, contains 18.3 micrograms (457IU) LH and 66.7 micrograms (916IU) FSH, divide 6 doses with, every dose contains 150IU FSH; 9.2 microgram (230IU) LH and 33.3 micrograms (458IU) FSH, divide 3 doses with, every dose contains 150IU FSH; 6.1 microgram (152.5IU) LH and 22.23 micrograms (305IU) FSH, divide 2 doses with, every dose contains 150IUFSH.
Filling and sealing injection tube under aseptic condition.These multi-agent preparations can better be preserved down at about 4-5 ℃ in about 2-8 ℃, until using the back to preserve maximum 2 years first.After using first, injection tube should better be preserved down at about 4-5 ℃ at about 2-8 ℃, and storage life can be 24 hours, 2 days, perhaps maximum 12 or 14 days.
The component of table 6.FSH and LH (2: 1) multi-agent liquid preparation |
Component # | Title | | 6 doses | 3 doses | 2 doses |
1 | RhLH (μ g/ injection tube) | 18.3(457IU) | 9.2(230IU) | 6.1(152.5IU) |
2 | RhFSH (μ g/ injection tube) | 66.7(916IU) | 33.3(458IU) | 22.23(305IU) |
3 | Sucrose (mg/ injection tube) | 115.5 | 57.75 | 38.5 |
4 | H
3PO
4(mg/ injection tube)
| 1.35 | 0.735 | 0.49 |
5 | NaOH (mg/ injection tube) | Be assigned to pH 8.0 in right amount | Be assigned to pH 8.0 in right amount | Be assigned to pH 8.0 in right amount |
6 | Pluronic F68 (mg/ injection tube) | 375.0 | 187.5 | 125.0 |
7 | Methionine (μ g/ injection tube) | 225 | 112.5 | 75.0 |
8 | Metacresol (mg/ injection tube) | 4.5 | 2.25 | 1.5 |
9 | pH | 8.0 | 8.0 | 8.0 |
10 | WFI | Be assigned to 1.5 ml in right amount | Be assigned to 0.75ml in right amount | Be assigned to 0.5 ml in right amount |
Embodiment 6
The Recombinant FSH and LH (1: 1) the liquid multi-agent preparation that are used for subcutaneous or intramuscular injection
Prepare following FSH and LH multi-agent preparation, wherein FSH: LH is 1: 1.
The component 1 to 8 that table 7 is listed is to make as the equivalent standard solution in WFI.The aliquot that adds every kind of solution in mixer is mixed them and is formed " mother solution ".Having needs, and adds the pH to 8.0 that sodium hydroxide or hydrochloric acid are transferred mother solution.This mother solution is dispensed in the injection tube, contains 36.6 micrograms (914IU) LH and 66.7 micrograms (916IU) FSH, divide 6 doses with, every dose contains 150IU FSH; 18.4 microgram (460IU) LH and 33.3 micrograms (458IU) FSH, divide 3 doses with, every dose contains 150IU FSH; 12.2 microgram (152.5IU) LH and 22.23 micrograms (305IU) FSH, divide 2 doses with, every dose contains 150IUFSH.
Filling and sealing injection tube under aseptic condition.These multi-agent preparations can better be preserved down at about 4-5 ℃ in about 2-8 ℃, until using the back to preserve maximum 2 years first.After using first, injection tube should better be preserved down at about 4-5 ℃ at about 2-8 ℃, and storage life can be 24 hours, 2 days, perhaps maximum 12 or 14 days.
The component of table 7.FSH and LH (1: 1) multi-agent liquid preparation |
Component # | Title | | 6 doses | 3 doses | 2 doses |
1 | RhLH (μ g/ injection tube) | 36.6(914IU) | 18.4(460IU) | 12.2(305IU) |
2 | RhFSH (μ g/ injection tube) | 66.7(916IU) | 33.3(458IU) | 22.23(305IU) |
3 | Sucrose (mg/ injection tube) | 115.5 | 57.75 | 38.5 |
4 | H
3PO
4(mg/ injection tube)
| 1.35 | 0.735 | 0.49 |
5 | NaOH (mg/ injection tube) | Be assigned to pH 8.0 in right amount | Be assigned to pH 8.0 in right amount | Be assigned to pH 8.0 in right amount |
6 | Pluronic F68 (mg/ bottle) | 375.0 | 187.5 | 125.0 |
7 | Methionine (μ g/ injection tube) | 225 | 112.5 | 75.0 |
8 | Metacresol (mg/ injection tube) | 4.5 | 2.25 | 1.5 |
9 | pH | 8.0 | 8.0 | 8.0 |
10 | WFI | Be assigned to 1.5 ml in right amount | Be assigned to 0.75ml in right amount | Be assigned to 0.5 ml in right amount |
Embodiment 7
The liquid multi-agent stability of formulation experiment of FSH and LH mixture
7.1. the reversed-phase HPLC of analysing protein content
Utilize protein content in the preparation of reversed-phase HPLC method evaluation embodiment 5 (6 doses).
Said preparation is stored in 4 ℃, at time 0 point, preservation 1,2,3 and its protein content (FSH and LH) of mensuration after 6 months.The results are shown in Table 8, represents with every gram solvent microgram FSH or LH.
7.2. oxidation α-subunit analysis
Utilize reversed-phase HPLC (RP-HPLC) method to measure oxidation α-subunit percentage rate in the preparation of embodiment 5.
Said preparation is stored in 4 ℃, at time 0 point, preservation 1,2,3 and its oxidation α-subunit percentage rate of mensuration after 6 months.The results are shown in Table 8.
7.3.FSH the body inner analysis
Utilize Steelman-Pohley ovary weightening finish bioanalysis, time 0 point, 4 ℃ preserve 1,2,3 and 6 months after FSH activity in the preparation of test implementation example 5 (6 doses).The results are shown in Table 8, represents with every gram solvent iu (IU).
7.4.LH the body inner analysis
Utilize rat seminal vesicle weightening finish bioanalysis, time 0 point, 4 ℃ preserve 1,2,3 and 6 months after LH activity in the preparation of test implementation example 5 (6 doses).The results are shown in Table 8, represents with every gram solvent iu (IU).
7.5. the evaluation of free subunit (rFSH+rLH)
By free subunit percentage rate in the preparation of SDS-PAGE evaluation embodiment 5.
Said preparation is stored in 4 ℃, time 0 point, preserve 1,2,3 and 6 months after measure.The result represents with the percentage rate that accounts for total protein (rFSH+rLH), lists in the table 8.
7.6. the evaluation of aggregation
With reference to the evaluation methodology of the described free subunit of above-mentioned 7.5 parts,, measure the percentage rate that high molecular gathering thing accounts for total protein (rFSH+rLH) but change into by aggregation percentage rate in the preparation of SDS-PAGE evaluation embodiment 5.Mensuration is in time 0 point, preservation 1,2,3 and carries out after 6 months.The results are shown in Table 8.
7.7. visible particle
Time 0 point, 4 ℃ preserve 3 and 6 months after the granule of preparation of visual assessment embodiment 5.The results are shown in Table 8.
7.8.pH value
Time 0 point, 4 ℃ preserve 1,2,3 and 6 months after measure the pH value of the preparation of embodiment 5.The results are shown in table 8.
Table 8. time 0 point, 4 ℃ preserve 1,2,3 and 6 months after the analytical parameters of FSH and LH (2: 1) liquid preparation |
Analytical test | Time | 0 point | 1 month | 2 months | 3 months | 6 months |
RP-HPLC measures | 46.50 | 46.98 | 46.71 | 46.31 | 44.98 |
RFSH content (microgram/g) | | | | | |
The rLH content that RP-HPLC measures (microgram/g) | 11.74 | 11.81 | 12.68 | 12.67 | 13.21 |
Oxidation α-subunit % | 2.29 | 2.17 | 2.08 | 2.48 | 2.95 |
The body inner analysis 553 (IU/g) of FSH | 566 | Do not do test | Do not do test | Do not do test | 578 (23 weeks) |
The body inner analysis (IU/g) of LH | 331 | Do not do test | Do not do test | 311 | 286 |
Free subunit (the rFSH+rLH of SDS-PAGE; %) | ≤5 | Do not do test | Do not do test | ≤5 | ≤ 5 (23 weeks) |
SDS-PAGE aggregation (rFSH+rLH; %) | ≤2 | Do not do test | Do not do test | >3 | 4 |
Visible particle | No | Do not do test | Do not do test | No | No |
pH | 8.262 | 8.215 | 8.216 | 8.188 | 8.283 |
Embodiment 8
FSH and LH lyophilizing multi-agent preparation
Preparation contains two the lyophilized formulations A and the B of following component:
Preparation A
FSH μg32.75(450I.U.)
LH μg9.0(225I.U.)
Sucrose mg15.0
NaH
2PO
4H
2O mg0.052
Na
2HPO
42H
2O mg0.825
Pluronic F-68 mg0.05
L-methionine mg0.05
Preparation B
FSH μg65.5(900I.U.)
LH μg18.0(450I.U.)
Sucrose mg30.0
NaH
2PO
4H
2O mg0.104
Na
2HPO
42H
2O mg1.65
Pluronic F68 mg0.10
L-methionine mg0.10
Preparation method comprises directly mixes drug substance with each composition, filter the solution and the lyophilizing filtrate that obtain.
Each step of preparation method below is described:
-in gas-mixing balance container, add WFI, disodium phosphate dihydrate, biphosphate sodium-hydrate, sucrose, 5%Pluronic F68 and L-methionine, stirred 10 minutes, until dissolving fully.
-check pH value, with NaOH 10% or dilution H
3PO
4Transfer solution to last pH7.00 ± 0.2.
-in the mixture of above-mentioned preparation, add FSH and LH, stirred the solution that obtains gently 10 minutes.
-check pH value once more, with NaOH10% or dilution H
3PO
4Transfer solution to last pH7.0 ± 0.1.
-with 0.22 μ m Durapore membrane filtration solution, specific filtration resistance is no more than 15g/cm
2, feeding nitrogen, nitrogen gas pressure is below 1.5atm.
-solution is collected in the sterilized in advance flask.
-toward glass container filling filtrate, stopper and the bottle after the filling placed on the rustless steel plate beyond the Great Wall.
-plate is placed on the freeze dryer, freeze-drying prods, the lyophilizing circulation is as follows:
About 20 minutes of+4 ℃ of balances.
Transferring backing temp is-25 ℃, keeps 2 hours.
Transferring backing temp is-15 ℃, keeps 1 hour.
Transferring backing temp is-45 ℃, keeps 3 hours.
Transferring condenser temperature is-65 ℃.
The vessel evacuation.
When vacuum arrives 7 * 10
-2During mBar, backing temp is increased to-10 ℃, kept 4 hours.
In 8 hours, backing temp is risen to+35 ℃, be retained to this loop ends (14 hours).
Suspend evacuation, charge into nitrogen to vessel.
Automated system by freeze dryer adds stopper.
The bottle that adds stopper with suitable gland device sealing.
Preparation A and B are stored in 25 ± 2 ℃, test their stability and biological activity as follows.Before the analysis, with containing 0.3% metacresol each component of injection water reconstruct as antibacterial.
Stable and bioactive method of testing is as follows:
The body inner analysis of FSH: the FSH activity of utilizing Steelman-Pohley ovary weightening finish bioanalysis test formulation.
The body inner analysis of LH: the LH activity of utilizing rat seminal vesicle weightening finish bioanalysis test formulation.
Oxidation α-subunit analysis: utilize reversed-phase HPLC (RP-HPLC) method to measure oxidation α-subunit percentage rate.
The evaluation of free subunit (rFSH+rLH): estimate free subunit percentage rate by SDS-PAGE.
The evaluation of aggregation:, estimate the aggregation percentage rate by SDS-PAGE with reference to the evaluation methodology of above-mentioned free subunit.
Regulation according to European Pharmacopoeia is carried out biologic test." menotrophin " monograph is seen in concrete test.
Table 9 briefly provides the preparation A stability analytical test result relevant with biological activity.These numerical value are measured at following 4 test points: after time 0 point, 25 ± 2 ℃ of preservations 1,3 and 6 months.
Table 9
Test | Time | 0 point | 1 month | 3 months | 6 months |
Biological activity I.U.FSH | 416 | 420 | 415 | 417 |
Biological activity I.U.LH | 276 | 250 | 259 | 270 |
The % oxidation product | 1.95 | 1.81 | 1.95 | 1.57 |
% dimer/aggregation | <2 | <2 | <2 | <2 |
The free subunit of % | <5 | <5 | <5 | <5 |
Table 10 briefly provides the preparation B stability analytical test result relevant with biological activity.These numerical value are measured at following 4 test points: after time 0 point, 25 ± 2 ℃ of preservations 3,6 and 9 months.
Table 10
Test | Time | 0 point | 3 months | 6 months | 9 months |
Biological activity I.U.FSH | 821 | 850 | 830 | 838 |
Biological activity I.U.LH | 570 | 564 | 580 | 622 |
The % oxidation product | 1.0 | 0.9 | 1.0 | 1.0 |
% dimer/aggregation | <2 | <2 | <2 | <2 |
The free subunit of % | <5 | <5 | <5 | <5 |
Can draw from table 9 and 10, the biological activity of preparation A and B still keeps finely after storing 9 months.These preparations have advantages of higher stability.
How Recombinant FSH and reorganization LH quantity can't influence high stability.
Sequence:
SEQ ID NO.1: human glucoprotein α-subunit;
SEQ ID NO.2:hFSH β-subunit
SEQ ID NO.3:hFSH β-subunit variant 1
SEQ ID NO.4:hFSH β-subunit variant 2
SEQ ID NO.5:hFSH β-subunit variant 3
SEQ ID NO.6:hLH β-subunit
<110〉Ares Trading S.A.
<120〉liquid pharmaceutical formulation of FSH and LH and non-ionic surface active agent