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Application note

Development and validation of


the use of anti-idiotypic Affimer®
binders to trastuzumab in a
pharmacokinetic assay

Summary

• Anti-idiotypic Affimer reagents specific to the trastuzumab antibody were generated and fully validated
within 3 months.
• Performance and sensitivity of the Affimer-based assay was not affected by a complex human serum
background, with no matrix effects observed.
• A high level of assay reproducibility was achieved for four separate batches of the Affimer binder.

Introduction

The continuing rise in the number of innovator and Relying upon the use of recombinant protein ligands
biosimilar biotherapeutics approaching the market to interact with specific biotherapeutics within pre-
has generated an increased need for anti-idiotypic clinical and clinical samples is dependent upon there
tools for their analysis and validation.1 Current being a consistent, reproducible and affordable supply
options for the development of bioanalytical methods of this protein. Yet, for many recombinant proteins
include the use of natural ligands or the generation both reproducibility and supply are often variable, and
of specific anti-idiotypic binders as capture reagents. the cost of supply can prove prohibitively expensive.2

Affimer application note - Development and validation of the use of 1


anti-idiotypic Affimer binders to trastuzumab in a pharmacokinetic assay
The alternative, of using anti-idiotypic reagents to identify the trastuzumab target at clinically relevant
measure biotherapeutics levels in pharmacokinetic concentrations5, 6 while displaying no matrix effects
(PK) assays, requires that these tools be highly specific, in human serum and without the requirement for
highly reproducible and fast to develop. Identifying a affinity maturation.
specific biotherapeutic antibody within pre-clinical and
clinical samples requires the anti-idiotypic reagent to
specifically bind the drug antibody within a complex
Identifying Anti-idiotypic
background of human serum, containing up to a Affimer binders
million-fold excess of natural IgG.3
Affimer binders identified from phage libraries were
The need for a consistent, reproducible supply of any uniquely specific for the therapeutic monoclonal
anti-idiotypic reagent selected is critical to ensure antibody trastuzumab. Specificity was achieved
that the drug development process can continue using positive selection to the trastuzumab target
without the additional pressures of having to undergo and negative selection against several alternative
extensive batch-to-batch normalisation or developing therapeutic antibodies (adalimumab, bevacizumab
new reagents during this process.2 Furthermore, and rituximab) and natural human immunoglobulin G
as the speed to market for many biotherapeutics is (hIgG). The phage selection output was subsequently
critical to their value, being able to rapidly develop screened via our high throughput, bead-based
these anti-idiotypic reagents is of key importance to primary screen to identify Affimer binders that
avoid unnecessary delays in the development process. selectively bound only to the trastuzumab target.
Yet, many antibodies and antibody fragments offered Affimer binders that displayed any level of selectivity
as reagents in this field require either immunisation for the control antibodies were discarded.
and/or affinity maturation, involving extensive
development times. Sequencing of the trastuzumab selective Affimer
binders identified 16 unique sequences, which
Affimer proteins are engineered affinity proteins were taken forward into further ELISA validation as
that present a target-binding variable region in an potential anti-idiotypic reagents. The best binder was
analogous manner to that of the monoclonal antibody subsequently selected for assay development.
binding site. Selected from large phage libraries
according to their desired binding properties these
proteins can be engineered to meet each of the
Affimer reagents detect
essential constraints in the development of anti- trastuzumab at clinically
idiotypic reagents, offering rapid development of
highly specific, high affinity recombinant reagents that
relevant concentrations
can be produced in simple prokaryotic systems with
Analysis of the target sensitivity and assay performance
a high level of consistency. Here we demonstrate the
of the selected Affimer binder was achieved by
development and characterisation of an Affimer binder
incorporation of the reagent as a capture reagent within
specific to the therapeutic antibody, trastuzumab,
an ELISA. Affimer binders were passively adsorbed
completed within a 3-month timeframe. Trastuzumab
onto ELISA plates and the trastuzumab target antibody
is a humanised monoclonal antibody directed
present in solution over the concentration range 1.95-
against the human epidermal growth factor 2 (HER2),
2000 ng/mL, with detection via a horseradish peroxidase
for the treatment of HER2-overexpressing breast
tagged Fc-specific IgG antibody (Fig. 1).
cancer.4 Our Affimer binders are able to specifically

Affimer application note - Development and validation of the use of 2


anti-idiotypic Affimer binders to trastuzumab in a pharmacokinetic assay
1.5 standard curve for trastuzumab over the broad
concentration range investigated, no interaction
with any of the other three therapeutic monoclonal
OD (450-630 nm)

1.0
antibodies with the Affimer capture reagent was
observed at any concentration (Fig. 2). This highlights
the unique specificity of the anti-idiotypic Affimer
0.5 Her2
Trastuzumab Affimer reagent for trastuzumab, demonstrating the lack
mlgG2b
of requirement for affinity maturation with Affimer
0.0 technology.
1 10 100 1000 10000

Trastuzumab (ng/mL)

1.5
Assay Parameters
Functional assay range 30-1600 ng/mL

OD (450-630 nm)
Intra-assay precision (CV) 5.2-10.7% 1.0

Inter-assay precision (CV) 8.7%


Bias <5% Trastuzumab
0.5 Adalilumab
Figure 1: Anti-trastuzumab Affimer binders show excellent sensitivity to Bevacizumab
the therapeutic antibody target comparable to the natural ligand, HER2. Rituximab
(a) Capture ELISA data using anti-trastuzumab Affimer reagents passively
adsorbed onto ELISA plate (at a concentration of 1ug/mL) showed detection
of the trastuzumab antibody target over the clinically relevant concentration 0.0
range, performing in line with the natural HER2 ligand. (b) The parameters of 1 10 100 1000 10000
the Affimer-based ELISA assay for trastuzumab demonstrate a broader dynamic
Antibody conc (ng/mL)
range than for current commercially available antibody-based assays.5,6

Antibody target Limit of detection


The Affimer binder coated surface was able to
Trastuzumab 30 ng/mL
successfully capture the trastuzumab target in
Adalilumab n.d.
line with the performance of the HER2 positive
Bevacizumab n.d.
control, down to a lower concentration of 30 ng/mL,
Rituximab n.d.
demonstrating that trastuzumab can be accurately
and precisely quantified using the selected Affimer Figure 2: The anti-trastuzumab Affimer reagent is highly specific for the
trastuzumab therapeutic antibody target. Across a broad target concentration
reagent. As expected, the mouse IgG2b negative range the trastuzumab antibody was accurately detected by the Affimer
reagent, but no interaction was observed with any of the three alternative
control showed no interaction with trastuzumab. therapeutic antibodies analysed.

The observed assay range for the Affimer-based assay


shows a much broader dynamic range compared to
the majority of available trastuzumab ELISA assays.5, 6 The sample environment does
This allows a wider range of samples to be analysed
within a single assay, increasing convenience and
not impact upon Affimer-based
reducing the need for repetition, thus reducing cost. assay performance
The degree of specificity of the Affimer reagent for While the anti-idiotypic Affimer reagents were able to
the trastuzumab target was investigated by assessing readily identify trastuzumab against the background
its binding to trastuzumab and the three alternative of PBS buffer, for use in PK applications it is important
therapeutic antibodies used as part of the screening that any anti-idiotypic binder is able to specifically rec-
process. Evaluation of binding via the ELISA assay ognise the biotherapeutic target within human serum
demonstrated that whilst the Affimer showed a typical samples. To assess the performance of our Affimer

Affimer application note - Development and validation of the use of 3


anti-idiotypic Affimer binders to trastuzumab in a pharmacokinetic assay
4
binder within such a complex sample background we
performed a capture ELISA with the trastuzumab target
3
present in 10% human serum (Fig. 3).

OD (450-630 nm)
2
ELISA plates coated with anti-trastuzumab Affimer
reagents were able to detect the trastuzumab 10% serum
antibody in solution over the clinically relevant 1 No serum

concentration range 1.95-2000 ng/mL,5, 6 against a


background of 10% human serum with no matrix 0
1 10 100 1000 10000
effects observed. Indeed, the sensitivity of the Affimer Trastuzumab (ng/mL)
reagents for the trastuzumab target did not show
Figure 3: Capture ELISAs demonstrate the anti-trastuzumab Affimer
any significant difference between the buffer and reagent specifically identifies the therapeutic antibody at clinically relevant
concentrations against a complex human serum background. No significant
human serum matrices analysed, demonstrating their difference was observed in target sensitivity between the buffer and
serum matrices.
robustness to the assay environment and overcoming
any need for the advanced preparation of samples.
2.0

Batch-to-batch reproducibility is 1.5


OD (450-630 nm)

assured with Affimer reagents


1.0

Low batch-to-batch variability is an inherent Affimer batch 1


0.5 Affimer batch 2
characteristic of Affimer reagent production due Affimer batch 3
Affimer batch 4
to their robust and simple bacterial manufacturing
0.0
process. This is key to the production of anti-idiotypic 1 10 100 1000 10000

reagents and allows any drug development process Trastuzumab (ng/mL)

to progress without the need for reagent batch-


to-batch normalisation. To illustrate this benefit of M C 1 2 3 4
188 kDa
the anti-trastuzumab binders, we generated four
98 kDa
separate batches of the anti-trastuzumab Affimer
62 kDa M. MW Marker
binder and compared their purity, concentration and 49 kDa
C. 2µg BSA Control
1. Affimer batch 1
performance in a capture ELISA against a background 38 kDa 2. Affimer batch 2
3. Affimer batch 3
4. Affimer batch 4
of 10% human serum (Fig. 4). Minimal batch-to-batch 28 kDa
17 kDa
variation was observed, demonstrating the high level
14 kDa
of reproducibility of Affimer reagents and offering the
6 kDa
necessary assurance of supply for critical reagents in
3 kDa
the bioanalysis of potential therapeutics during the
clinical trials process.
Figure 4: Anti-idiotypic Affimer reagents show high batch-to-batch reproducibility.
(a) SDS-PAGE analysis of four separate batches of the anti-trastuzmab Affimer
binder. (b) Performance of the various batches of anti-trastuzumab Affimer
binder in a capture ELISA shows minimal variation between different batches.

Affimer application note - Development and validation of the use of 4


anti-idiotypic Affimer binders to trastuzumab in a pharmacokinetic assay
Summary 3. Ashton Acton Q. (2013) Antibodies- Advances in
Research and Application: 2013 Edition. Atlanta,
Anti-idiotypic Affimer reagents that can be used Georgia: ScholarlyEditions.
in PK assays can be developed in less than three 4. Gianni L, Dafni U, Gelber RD, Azambuja E,
months. They offer a broad dynamic range and Muehlbauer S, Goldhirsch A, Untch M, Smith I,
high specificity and sensitivity with no detectable Baselga J, Jackisch C, Cameron D et al. (2011)
interference from serum matrices. Additionally, they Treatment with trastuzumab for 1 year after
can be produced consistently and reproducibly and adjuvant chemotherapy treatment in patients with
therefore are good potential critical reagents for HER2-positive early breast cancer: a 4 year follow
clinical assay development. up of a randomised controlled trial. Lancet Oncol.
12(3):236-244.
5. Cardinali B, Lunardi G, Millo E, Damonte G,
References Profumo A, Gori S, Iacono G, Levaggi A, Del Mastro
L. (2014) Trastuzumab quantification in serum: a
1. Ecker D, Jones SD, Levine HL. (2015) The
new, rapid, robust ELISA assay based on a mimetic
therapeutic monoclonal antibody market. MAbs.
peptide that specifically recognizes trastuzumab.
7(1):9-14.
Anal Bioanal Chem. 406(18):4557-4561.
2. Staack RF, Stracke JO, Stubenrauch K, Vogel R,
6. Damen CW, de Groot ER, Heij M, Boss DS,
Schleypen J, Papadimitriou A. (2011) Quality
Schellens JH, Rosing H, Beijnen JH, Aarden LA.
requirements for critical assay reagents used
(2009) Development and validation of an enzyme-
in bioanalysis of therapeutic proteins: what
linked immunosorbent assay for the quantification
bioanalysts should know about their reagents.
of trastuzumab in human serum and plasma. Anal.
Bioanalysis. 3(5):523-534.
Biochem. 391(2):114-120.

Affimer® is a registered trade mark of Avacta.

Avacta Unit 20, Ash Way, Thorp Arch Estate, Wetherby, LS23 7FA, United Kingdom

Tel: +44 (0) 1904 21 7070 www.avacta.com @Affimers ‘Avacta Life Sciences’

Affimer application note - Development and validation of the use of 5


anti-idiotypic Affimer binders to trastuzumab in a pharmacokinetic assay

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