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Published on: September 30, 2021
Glycoengineered factor IX variants with improved pharmacokinetics and subcutaneous efficacy.
1Biologics Research, Bayer Healthcare Pharmaceuticals, San Francisco, CA, USA.
Glycoengineering enhances factor IX (FIX) for hemophilia B treatment. Novel glycosylation sites improve subcutaneous bioavailability and efficacy, potentially enabling less frequent dosing.
Area of Science:
- Biotechnology
- Protein Engineering
- Pharmacology
Background:
- Hemophilia B treatment requires frequent intravenous factor IX (FIX) infusions due to rapid clearance.
- Subcutaneous administration of FIX is desirable but limited by poor bioavailability.
Purpose of the Study:
- To identify optimal positions for novel glycosylation sites on FIX.
- To enhance FIX pharmacokinetics (PK) and bioavailability for subcutaneous delivery.
- To maintain coagulation activity while improving FIX properties.
Main Methods:
- Screened 251 variants with additional N-linked glycosylation sites in vitro.
- Evaluated PK profiles of selected FIX variants in mice.
- Combined optimal variants and assessed their PK and efficacy in a hemophilia B mouse model.
Main Results:
- Selected FIX variants showed improved PK and maintained activity.
- Combining three novel N-glycan sites with the 338A variant significantly enhanced FIX.
- Optimized FIX exhibited 4.5-fold reduced clearance and 2.4-fold increased subcutaneous bioavailability.
- Efficacy was demonstrated at a fivefold lower dose compared to wild-type FIX.
Conclusions:
- Glycoengineering successfully improved FIX subcutaneous PK and efficacy.
- This approach offers potential advantages for subcutaneous FIX dosing in hemophilia B patients.
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