Jl. Cleland et al., RECOMBINANT HUMAN GROWTH-HORMONE POLY(LACTIC-CO-GLYCOLIC ACID) MICROSPHERE FORMULATION DEVELOPMENT, Advanced drug delivery reviews, 28(1), 1997, pp. 71-84
The development of a sustained release formulation of recombinant huma
n growth hormone (rhGH) has focused on a depot preparation using the b
iodegradable polymer, poly(lactic-co-glycolic acid) (PLGA), for micros
phere production. These formulations have been designed to assure the
maintenance of protein integrity both during the microencapsulation pr
ocess and upon subsequent release in vitro and in vivo. In addition, a
nimal models were developed to assess both the in vivo release kinetic
s and the potency of the released protein. These studies emphasized th
e importance of obtaining a correlation between the in vivo and in vit
ro release at an early stage of development. Juvenile rhesus monkey st
udies revealed that continuous rhGH administration resulted in a great
er total insulin-like growth factor-I (IGF-I) response than daily rhGH
administration, indicating that a continuous rhGH dose may provide co
mparable efficacy to daily dosing at a lower total dose of rhGH. The u
se of a conventional water-in-oil-in-water process yielded a triphasic
release of biologically active and non-immunogenic rhGH, while the no
vel cryogenic process achieved a continuous release of rhGH that is bi
ologically active and non-immunogenic. The rhGH PLGA formulation produ
ced by the novel cryogenic process was manufactured under aseptic GMP
conditions and was shown to be safe in growth hormone-deficient adults
. This protein and these studies should serve as a model for the futur
e development of PLGA formulations for therapeutic proteins. (C) 1997
Elsevier Science B.V.