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Original scientific paper

https://doi.org/https://doi.org/10.2478/acph-2026-0013

Freeze-dried kit formulation and physicochemical assessment of a daratumumab-based radiopharmaceutical

PAULINA APOSTOLOVA ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia
MARIJA ATANASOVA LAZAREVA ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia; University Institute of Positron Emission Tomography, 1000 Skopje, North Macedonia
KATARINA DAVALIEVA ; Research Centre for Genetic Engineering and Biotechnology “Georgi D Efremov”, Macedonian Academy of Sciences and Arts, 1000 Skopje, North Macedonia
MARIJA AREV ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia
DINO KARPICAROV ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia
PETRE MAKRESKI ; Institute of Chemistry, Faculty of Natural Sciences and Mathematics, Ss. Cyril and Methodius University in Skopje, 1000 Skopje, North Macedonia
IRENA SLAVESKA SPIREVSKA ; Replek Farm Ltd., 1000 Skopje, North Macedonia
IVANA MITREVSKA ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia; Quality Assurance, ALKALOID AD Skopje, 1000 Skopje, North Macedonia
ALEKSANDAR DIMOVSKI ; Research Centre for Genetic Engineering and Biotechnology “Georgi D Efremov”, Macedonian Academy of Sciences and Arts, 1000 Skopje, North Macedonia
SANJA VRANJEŠ-ĐURIĆ ; VINČA Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 11000 Belgrade, Serbia
EMILIJA JANEVIK-IVANOVSKA ; Faculty of Medical Sciences, Goce Delcev University, 2000 Stip, North Macedonia *

* Corresponding author.


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Abstract

Daratumumab is a fully human anti-CD38 monoclonal antibody with strong potential as a targeting vector for therapeutic radionuclides. This study aimed to develop a freeze-dried daratumumab immunoconjugate kit by selecting a suitable chelator (DOTA-NHS, p-SCN-Bn-DOTA, or p-SCN-Bn-1B4M-DTPA) for the 177Lu-labelling, optimising the freeze-drying formulation, and evaluating the physicochemical properties and purity profiles. Conjugation performed in carbonate buffer at elevated temperature enhanced chelator incorporation and supported the selection of daratumumab-p-SCN-Bn-DOTA as the most suitable candidate, achieving radiolabelling yield up to 99.8 % without additional purification. Among the evaluated freeze-dried formulations, a saline-based, buffer-free sucrose-mannitol formulation containing polysorbate 20 (S.F5) provided the most favourable characteristics, including minimal residual moisture and the highest monomer purity with non-detectable HMWS species under the applied SE-HPLC conditions. ATR-FTIR and Raman spectroscopy confirmed preservation of the antibody structural integrity after conjugation and freeze-drying. In an in vitro study using human serum, [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA maintained higher radiochemical purity for 168 h than [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA, indicating greater stability. These results support the feasibility of a ready-to-use freeze-dried daratumumab-p-SCN-Bn-DOTA kit for the 177Lu-labelling.

Keywords

daratumumab, immunoconjugate, 177Lu-radiopharmaceutical, ready-to-use kit formulation, freeze-drying, physicochemical characterization

Hrčak ID:

347204

URI

https://hrcak.srce.hr/347204

Publication date:

30.6.2026.

Visits: 0 *




INTRODUCTION

Recent advances in cancer therapy have demonstrated the central role of monoclonal antibodies (mAbs), both as stand-alone therapeutics and as а key component of innovative combination strategies (1). Beyond their immunological functions, mAbs can serve as selective carriers for therapeutic radionuclides, an approach known as radioimmunoconjugate (RIC) therapy. This strategy allows targeted delivery of radionuclide-conjugated antibodies to tumour cells, while minimising radiation exposure to surrounding healthy tissues (2). The clinical value of this concept has been previously established and confirmed by 90Y-ibritumomab tiuxetan and 131I-tositumomab (3, 4).

Multiple myeloma is a malignant clonal plasma cell disorder characterised by a biologically and clinically heterogeneous spectrum ranging from asymptomatic (smouldering) to symptomatic disease, defined by the presence of myeloma-defining events, including CRAB features and SLiM biomarkers. Despite advances in classification and risk stratification, multiple myeloma remains challenging to treat due to its biological heterogeneity, the development of resistance to standard therapies, and the cumulative toxicity of conventional chemotherapy (5–7).

Daratumumab, a fully human IgG1κ monoclonal antibody (Darzalex, approved for i.v. administration by the EMA in 2016; Darzalex Faspro, approved for s.c. administration by the FDA in 2020), and isatuximab, a humanised IgG1 monoclonal antibody (Sarclisa, approved for i.v. administration by the EMA in 2020), target CD38, a transmembrane ectoenzyme highly expressed on multiple myeloma cells (8–11). Their antitumor activity is mediated through multiple immune-dependent mechanisms, including antibody-dependent cellular cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), antibody-dependent cellular phagocytosis (ADCP), and direct induction of apoptosis. Both agents exhibit a comparable, generally manageable safety profile characterised by infusion-related reactions, infections, and hematologic toxicities (12–16).

Beyond its use as a native antibody, daratumumab has also been investigated as a vector for targeted radionuclide therapy. Preclinical studies with β-emitting 177Lu-DOTA-daratumumab, α-emitting 225Ac-daratumumab, and 212Pb-daratumumab have demonstrated enhanced antitumor effects in disseminated multiple myeloma models (17–19). For diagnostic application, conjugates with positron-emitting radionuclides, such as 89Zr-DFO-daratumumab and 64Cu-DOTA-daratumumab, have enabled specific immunoPET imaging of CD38-positive malignancies (20, 21). Furthermore, the integration of diagnostic and therapeutic radionuclides within a single vector molecule constitutes the basis of the theranostic approach, a key concept in modern precision medicine, that embodies the principle of “see what you treat and treat what you see” (22). Paired 89Zr/177Lu-daratumumab has demonstrated the potential of a theranostic approach that integrates immunoPET imaging with targeted radioimmunotherapy in preclinical studies (23).

In this context, a freeze-dried kit formulation offers a practical strategy for standardised preparation of antibody-based immunoconjugates, enabling reproducible radiolabelling at the point of use. Overall, these findings provide a strong rationale for the present study, which aims to develop a daratumumab-based immunoconjugate kit suitable for 177Lu labelling. These chelators were selected to represent both macrocyclic (DOTA) and acyclic (DTPA-based) systems commonly used for radiometal labelling of antibodies, enabling comparison of radiolabelling efficiency, complex stability, and impact on antibody integrity. The physicochemical properties and structural integrity of the immunoconjugate were evaluated using chromatographic, spectroscopic, and electrophoretic techniques, as well as radiolabelling efficiency.

EXPERIMENTAL

Conjugation of daratumumab with BFCs

The commercially available antibody daratumumab (400 mg/20 mL solution for i.v. injection, Janssen Biologics B.V., The Netherlands) was purified by repeated ultrafiltration (30 min, 5000 rpm) on a 30 kDa cut-off filter (Amicon® Ultra, Merck KGaA, Germany). Buffer exchange was performed with 0.1 mol L–1 phosphate buffer (pH 8.0). Three commercially available bifunctional chelators (BFCs), p-SCN-Bn-DOTA (2-(4-isothiocyanatobenzyl)-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid), DOTA-NHS ester (1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid mono-N-hydroxysuccinimide ester) and p-SCN-Bn-1B4M-DTPA (2-(4-isothiocyanatobenzyl)-6-methyl-diethylene-triamine pentaacetic acid), were evaluated to identify the most suitable chelator for subsequent 177Lu-labelling.

Conjugation reactions were performed using 20-, 30-, and 50-fold molar excess of each BFC. According to the first protocol, the reaction mixtures were gently shaken and incubated at 4 °C for 16 h (24). In a second protocol, the phosphate buffer was replaced with 0.1 mol L–1 carbonate buffer at pH 8.5, and the samples were incubated at 37 °C for 1.5 h (18). After completion of the reaction, the resulting immunoconjugates were purified by repeated ultrafiltration (30 min, 5000 rpm) using 0.15 mol L–1 ammonium acetate (pH 7.0) to remove the unbound chelator. The final immunoconjugate concentration was determined spectrophotometrically at 280 nm (UV-1600PC, VWR, USA).

Freeze-drying formulations (F1-F5)

Two batches, each comprising five formulations, were prepared and adjusted to the immunoconjugate concentration of 1 mg mL–1. In both batches, formulations F1 and F2 differed only in buffer strength, and both contained 1 % (m/V) mannitol as a bulking agent. All remaining formulations were buffer-free. Formulations F3 and F4 contained mannitol and sucrose at different ratios, whereas formulation F5 additionally included polysorbate 20 as a surfactant. Ultra-pure water produced in-house (TKA MicroPure-ST system, Germany) was used as the main solvent for the first batch (Batch W.F1-5). In the second batch (Batch S.F1-5), the identical formulations were prepared using 0.9 % (m/V) saline solution (Alkaloid A.D., North Macedonia) as the main solvent. The detailed composition of all formulations, expressed as molar ratios, is provided in Table I.

Table I. Composition of freeze-drying formulations

Formulation 10.1 mol L–1 PBS, pH = 8.0; 1 % (m/V) mannitol
Formulation 20.01 mol L–1 PBS, pH = 8.0; 1 % (m/V) mannitol
Formulation 3Sucrose:mAb = 1:450; mannitol:sucrose = 2:1
Formulation 4Sucrose:mAb = 1:450; mannitol:sucrose = 4:1
Formulation 5Sucrose:mAb = 1:450; mannitol:sucrose = 2:1; 0.02 % (V/V) polysorbate 20

Batch W: ultra-pure water as solvent

Batch S: 0.9 % NaCl as solvent

Determination of chelator-to-antibody ratio (CAR)

The average number of chelator molecules conjugated per antibody (chelator-to-antibody ratio, CAR) was determined by matrix-assisted laser desorption/ionisation time-of-flight (MALDI–TOF) mass spectrometry using an Axima Performance (Shimadzu, Japan).

The pure freeze-dried antibody and various preparations of bifunctional chelating agents were suspended in 1 mL of ultrapure H2O and washed 3 times using Amicon® 30 kDa (Merck) to remove salts. The pure samples were reduced to 20 μL, and 80 μL of resuspension solution (30 % ACN/70 % 0.1 mol L–1 TFA) was added. An aliquot of 1 μL of the final sample was applied to the sample target and immediately covered by 1 μL of matrix (20 mg mL–1 sinapinic acid in 50 % ACN/50 % 0.1 mol L–1 TFA). Operational conditions for the MALDI-TOF instrument were set as follows: mode of operation – linear, polarity – positive, max laser rep rate 1, laser power 85, pulsed extraction 150000, acquisition mass range 100–300,000 Da. Peak processing parameters were as follows: peak width 80 chans, chosen to accommodate the relatively broad peak shapes characteristic of linear mode measurements, smoothing method – average, peak detection method – gradient centroid.

Freeze-drying protocol

Freeze-drying was performed using a FreeZone 6 liter freeze dryer equipped with a stoppering tray (Labconco, USA). Type I glass vials containing 1 mL of each formulation were partially stoppered with 13-mm butyl rubber stoppers and loaded on precooled shelves at 4 °C. The shelf-temperature, chamber pressure, hold times for each segment, and a graphical representation are summarised in Table II and Fig. S1.

Table II. Freeze-drying protocol parameters (temperature, ramp rate, and hold time) for each segment

SEGMENT 1Freezing: –40 °C
Ramping 1 °C min–1
Hold 3 h
SEGMENT 2Annealing: –10 °C
Ramping 0.5 °C min–1
Hold 2 h
SEGMENT 3Freezing: –40 °C
Ramping 1 °C min–1
Hold 1.5 h
SEGMENT 4Primary drying: –10 °C
Ramping 0.15 °C min–1
Hold 18 h
SEGMENT 5Secondary drying: +25 °C
Ramping 0.15 °C min–1
Hold 8 h
Total cca 50 hours

Freeze-dried immunoconjugates sample analysis

Physicochemical and structural characterisation was performed to evaluate the quality of the freeze-dried immunoconjugates and to assess the impact of the formulations and freeze-drying process on the final product.

Product appearance and reconstitution time

The freeze-dried formulations were photographed in a black photo box, and their macroscopic appearance was visually assessed. Reconstitution time was determined by dissolving the products in 1 mL of 0.9 % (m/V) saline.

Residual moisture

Residual moisture, as a key quality attribute of the freeze-dried product, was determined by Karl Fischer volumetric titration using a Compact V20S titrator (Mettler Toledo, USA). Samples of ~20 mg were prepared under controlled-humidity conditions at 25 ºC. Sample handling time was minimised, and vials were opened immediately before analysis to reduce moisture uptake.

Purity

The purity and aggregation profile were analysed by size-exclusion high-performance liquid chromatography (SE-HPLC) using a Waters Alliance e-2695 system coupled with a UV/Vis Waters 2489 detector (Waters Corporation, USA). Isocratic elution was performed on an XBridge Premier Protein SEC column (250 Å, 2.5 μm, 7.8 i.d. × 300 mm) at 25 °C, for 25 minutes. The mobile phase consisted of 50 mmol L–1 phosphate buffer (pH 6.8), 150 mmol L–1 NaCl, 50 mmol L–1 KCl, with 10 % (V/V) ACN, at a flow rate of 0.5 mL min–1. A volume of 10 µL of reconstituted sample was injected after filtration through a low protein-binding PVDF membrane filter. Data were processed in Empower 3 software.

Structure integrity – ATR-FTIR and Raman

To assess secondary structural changes, Fourier-transform infrared (FTIR) spectra of freeze-dried samples were recorded using a Cary 630 equipped with a diamond attenuated total reflection (ATR) accessory (Agilent Technologies, USA) in the 2000–400 cm–1 spectral range. Spectral resolution was set to 4 cm–1 with 64 accumulated scans. MicroLabPC software was used for data acquisition and initial spectral processing. The placebo sample was recorded under the same conditions.

In parallel, Raman spectroscopy was used to further verify the higher structural integrity of the immunoconjugates, following a previously published protocol (25).

Electrophoresis

Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) was performed using the MultiGel Long system (Biometra, USA) under reducing and non-reducing conditions. Freeze-dried immunoconjugate and daratumumab (control) were reconstituted in 0.9 % saline and mixed with loading buffer. For reducing conditions, β-mercaptoethanol was added to the samples, and the samples were heated at 95 °C for 5 minutes. Non-reducing samples were incubated at 30 °C without β-mercaptoethanol. A prestained protein ladder (10–180 kDa, Thermo Fisher Scientific, USA) served as the molecular mass standard.

Discontinuous gels were prepared as 4 % stacking gel and either a 12 % (reducing) or a 6 % (non-reducing) resolving gel, using an acrylamide/bis-acrylamide solution (29:1). Proteins were visualised by staining with Coomassie Brilliant Blue R-250 followed by destaining until a clear background was obtained.

Radiolabelling and in vitro stability

Radiolabelling was performed after reconstitution of the freeze-dried samples in various solvents: a solution of ascorbic acid (0.1 g mL–1), 0.1 mol L–1 sodium acetate and saline. The pH was adjusted to 4.5, and the immunoconjugates were labelled by adding approximately 11–20 MBq n.c.a. 177LuCl3 in aqueous 0.04 mol L–1 HCl (EndolucinBeta 40 GBq mL–1, ITM, Germany n.c.a), at 37 °C with gentle shaking, for a period of 60 minutes.

The labelling efficiency was estimated by the ratio of total-to-labelled antibody radioactivity with [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA as a representative sample, by instant thin-layer chromatography (iTLC) using silica gel (SG) strips (Agilent Technologies) and 0.1 mol L–1 sodium acetate buffer (pH 4.5) as the mobile phase. Aliquots (10 µL) were spotted, and the chromatograms were scanned with a Scan-RAM radio-TLC scanner (LabLogic Group, UK) and analysed using Laura 6 software. The same iTLC procedure was used to determine the radiochemical yield of the labelled product.

Subsequently, the in vitro stability of [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA and [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA were assessed in human serum at room temperature. Samples were examined every 24 h up to 168 h, and radiochemical purity was determined as previously described.

RESULTS AND DISCUSSION

To achieve efficient radiolabelling, the average CAR was first determined as a key predictor of conjugation efficiency (26). Accordingly, the CAR number was quantified by MALDI-TOF and compared across BFCs, molar excesses and conjugation conditions, and was related to the 177Lu radiolabelling yield of the daratumumab-immunoconjugates. Based on a previously published approach for daratumumab, the initial conjugation was performed using a 10-fold molar excess of DOTA-NHS in phosphate buffer (pH 8.0) (21). However, neither the conjugation reaction nor the subsequent radiolabelling provided satisfactory results. Therefore, additional conjugations were performed using macrocyclic p-SCN-Bn-DOTA, DOTA-NHS, and an acyclic p-SCN-Bn-1B4M-DTPA, with 20-, 30- and 50-fold molar excesses for each of the three BFCs, and extended to different conditions, using a carbonate buffer (pH 8.5).

The results presented in Table III and Fig. 1 clearly demonstrate that a carbonate buffer and elevated temperature (37 °C) with gentle shaking, compared with a phosphate buffer, improved conjugation, resulting in consistently higher CAR values. Under these conditions, daratumumab-DOTA-NHS showed low CAR overall, with the highest value at a 50-fold excess (reaching a CAR value of 0.46 in carbonate buffer pH 8.5), indicating that lower ratios may not give efficient labelling. Considering the published findings that optimal CAR range is commonly within 1–3 (26–28), daratumumab-p-SCN-Bn-DOTA conjugates prepared at 20- and 30-fold molar excess were selected for formulation and further experiments. Although daratumumab-p-SCN-Bn-1B4M-DTPA showed a similarly low CAR, the 20- and 30-fold excesses were selected for further evaluation, whereas the 50-fold excess was excluded because its CAR was comparable to that of the 30-fold excess. Furthermore, a related immunoconjugate (daratumumab-p-SCN-Bn-CHX-DTPA) has been reported using only a 5- to 10-fold excess, supporting that a high excess is not desired (23).

Table III. Average CAR values of daratumumab immunoconjugates

ImmunoconjugateConjugation in phosphate buffer (pH 8.5)Conjugation in carbonate buffer (pH 8.5)
Daratumumab-DOTA-NHS 1:200.000.18
Daratumumab-DOTA-NHS 1:300.000.10
Daratumumab-DOTA-NHS 1:500.200.46
Daratumumab-p-SCN-Bn-DOTA 1:201.272.31
Daratumumab-p-SCN-Bn-DOTA 1:301.752.66
Daratumumab-p-SCN-Bn-DOTA 1:502.763.77
Daratumumab-p-SCN-Bn-1B4M-DTPA 1:200.400.36
Daratumumab-p-SCN-Bn-1B4M-DTPA 1:300.650.76
Daratumumab-p-SCN-Bn-1B4M-DTPA 1:500.780.85
image1.png

Fig. 1. MALDI-TOF MS of daratumumab-p-SCN-Bn-DOTA conjugates in: a) phosphate buffer and b) carbonate buffer. Numbers shown refer to the centre of the peaks. Peaks with ~75 kDa are the doubly charged molecular ions displaying the half-MWs daratumumab-p-SCN-Bn-DOTA conjugates.

Overall, MALDI-TOF comparison of native daratumumab and its corresponding immunoconjugates showed CAR values ranging from 0 to 3.77, and only immunoconjugates prepared under selected molar ratios were taken forward for characterisation.

The impact of formulation composition and applied freeze-drying protocol on residual moisture was first evaluated. As shown in Table IV, the percentage of residual moisture varies with formulation composition, notably between the water- and saline-based F2-5 formulations. The water-based batch consistently showed higher moisture levels (5.10–6.06 %), while the saline-based batch exhibited lower moisture levels (1.90–5.01 %). This trend suggests that the presence of saline facilitates freezing and drying, thereby more efficiently removing residual water, as indicated by Matejtschuk et al. (29).

Table IV. Residual moisture in freeze-dried formulations

Residual moisture (%)
FormulationBatch WBatch S
F15.545.01
F25.602.73
F36.062.17
F46.052.83
F55.101.90

Formulation F1 showed residual moisture of ~5 % in both batches, which is in line with a buffer-mannitol system where 1 % mannitol predominantly acts as a crystalline bulking agent. To minimise the risk of pH shifts, formulation F2 consists of reduced buffer concentration (10 mmol L–1) while retaining 1 % mannitol (30). Moisture remained unchanged in W.F2 but decreased to 2.73 % in S.F2, confirming that the presence of NaCl favours drying and results in lower residual moisture. To further protect the antibody integrity and reduce moisture, formulations F3-F5 were prepared without buffer salts (31). In these buffer-free formulations, sucrose was added at different ratios to modulate mannitol crystallisation, and in F5, polysorbate 20 was added as a surfactant (32). These optimisations resulted in significantly lower moisture in S.F5, reaching a desirable level below 3 % (33).

Complete reconstitution was defined as the time required to obtain a clear solution, without visible particles, upon gentle swirling. Under these criteria, all formulations reconstituted rapidly (≤ 30 s) in saline, confirming the literature findings for low protein concentrations and formulations containing a crystalline bulking agent (34). The initial macroscopic appearance of the freeze-dried formulations resembles a compact cake, which readily collapses into a powder-like appearance after minimal agitation. This indicates limited cake robustness under the applied freeze-drying protocol and formulation composition, despite achieving the desired dryness. Nevertheless, the integrity of the formulations was confirmed by subsequent analytical characterisation, indicating that the observed collapse did not adversely affect product quality.

As a preliminary experiment, radiolabelling with 177Lu was performed on all freeze-dried, water- and saline-based daratumumab immunoconjugates. Among the tested conjugates, the 30-fold daratumumab-p-SCN-Bn-DOTA showed the highest radiolabelling yield (99.8 %), with no observable difference between the batches. Based on these results, the subsequent evaluation of formulation-related effects on the antibody purity was limited to the 30-fold daratumumab-p-SCN-Bn-DOTA conjugate and assessed by SE-HPLC.

SE-HPLC results of the reconstituted formulations showed batch-dependent differences in purity between water- and saline-based preparations. Quantification was based on peak-area normalisation, and the results were expressed as relative percentages of the main peak, low-molecular-weight species (LMWS, fragments), and high-molecular-weight species (HMWS, aggregates). The purity results are summarised in Table V, and corresponding overlay chromatograms are presented in Fig. 2. Taken together, HMWS formation was identified as the primary selection criterion, whereas LMWS levels remained consistently low and stable, and monomer content remained above 95.00 % (35). Aggregates were detected in the first two formulations in both batches, with HMWS levels ranging from 4.80–5.90 % for F1 and 6.67–8.55 % for F2. In contrast, formulations F3 and F5 exhibited the highest purity profile, with monomer contents above 98.00 % in both batches, non-detectable HMWS, and minimal LMWS. The immunoconjugate in F4 remained predominantly as a monomer in water, with no detectable HMWS, but showed a slight HMWS formation in saline. These purity profiles highlight F3 and F5 as the most promising candidates for subsequent experiments and for optimising radiolabelling efficiency.

image2.png

Fig. 2. Overlay SE-HPLC chromatograms: a) W.F1-5 and b) S.F1-5 batches. The main monomer peak at tR ≈ 13 min, HMWS at tR ≈ 9 and 11 min, and LMWS at tR ≈ 14 min.

Table V. Purity profile of water-based (W) and saline-based (S) batches

FormulationMain monomer (%)High molecular weight species (%)Low molecular weight species (%)
WSWSWS
193.8694.985.904.800.240.22
293.0191.236.678.550.230.22
399.7699.75n.d.an.d.0.240.25
499.7398.90n.d.0.850.270.25
599.7699.75n.d.n.d.0.240.25

a n.d. – non-detectable (no peak observed in the predefined HMWS retention-time region under the applied SE-HPLC conditions)

Based on the results for formulation composition, residual moisture and purity, the saline-based formulation containing mannitol:sucrose (2:1) and polysorbate 20 (S.F5) was selected as the promising formulation for further evaluation.

As mentioned above, based on CAR, five candidates: 50-fold daratumumab-DOTA-NHS, 20- and 30-fold daratumumab-p-SCN-Bn-DOTA, and 20- and 30-fold daratumumab-p-SCN-Bn-1B4M-DTPA, were examined. For radiolabelling optimisation, 0.1 mol L–1 sodium acetate (pH 4.5) was selected as the reaction solvent for subsequent radiolabelling experiments based on overall performance. The results from the 50-fold daratumumab-DOTA–NHS showed a low radiolabelling yield (< 30 %). The 20-fold [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA yielded 86.0 %, whereas the 30-fold reached 99.8 %. The radiolabelling yield for both daratumumab-p-SCN-Bn-1B4M-DTPA immunoconjugates exceeded 98.0 %, and the lower chelator excess was preferred to minimize chemical modification of the antibody, while also reducing excess reagent use and associated chemical waste, in line with green chemistry considerations (Fig. 3).

image3.png

Fig. 3. Representative radiochromatograms of: a) 50-fold [177Lu]Lu-daratumumab-DOTA-NHS; b) 30-fold [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA and c) 20-fold [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA.

The radiolabelling yield for both compounds, 30-fold [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA and 20-fold [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA, exceeded 98.0 %. Because of the high radiochemical purity and minimal presence of free 177Lu3+, no additional purification was required, and both were used in subsequent in vitro stability evaluation.

The in vitro stability of the two radioimmunoconjugates, [177Lu]Lu-daratumumab-p-SCN-Bn-DOTA and [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA, was assessed by measuring the percentage of radioactivity bound to the antibody relative to the initial value at the start of the incubation. More than 95.93 % of the 177Lu remained attached to daratumumab-DOTA-SCN within 168 hours. In contrast, [177Lu]Lu-daratumumab-p-SCN-Bn-1B4M-DTPA showed significantly lower stability, with a notable decrease already after 48 hours, and only 51.91 % of the activity remaining bound to the antibody after one physical half-life of 177Lu.

The labelling efficiency was evaluated by incubation of the daratumumab-p-SCN-Bn-DOTA conjugate with 177LuCl3 for a period of 5–60 min at 37 °C with gentle shaking. The developed iTLC chromatograms showed clear separation between the radiolabeled immunoconjugate retained at the origin (Rf = 0) and [177Lu]Lu-p-SCN-Bn-DOTA migrating toward the solvent front (Rf = 1), and free [177Lu]Lu3+ (Rf = 0.3–0.5).

Time-dependent incubation experiments showed an increase in labelling efficiency over time, reaching a plateau at 50–60 min, indicating effective coordination of the metal under the applied conditions (Fig. 4).

image4.png

Fig. 4. 177Lu-labelling efficiency of daratumumab-p-SCN-Bn-DOTA (representative measurements).

To verify that the antibody structure remains intact after conjugation and freeze-drying, ATR-FTIR spectra were evaluated, focusing on the Amide I (1700–1600 cm–1) and Amide II (1580–1510 cm–1) regions. Since excipient composition and residual moisture can significantly affect the mid-IR region, particularly where the water bending vibration overlaps with the Amide I band, placebo spectra were acquired as a control and used for spectral subtraction to improve interpretation of the protein bands. To further enhance band resolution, the second Savitzky-Golay derivative spectra were processed (36). The analysis of the Amide I band showed that the spectra of the purified freeze-dried daratumumab and the daratumumab-p-SCN-Bn-DOTA immunoconjugate were almost identical between 1700 and 1600 cm–1 (Figs. S2, S3). In the second derivative spectra (Fig. 5), the dominant component remained centred around 1640 cm–1 and no new assignments were identified, suggesting that the β-sheet-rich secondary structure of the IgG was preserved after both conjugation and freeze-drying. Importantly, no additional components in the 1610–1620 cm–1 region, commonly associated with aggregation-related intermolecular β-sheet formation, were observed.

image5.png

Fig. 5. Second derivative spectra.

Raman spectra were evaluated in the Amide I (1600–1700 cm–1) and Amide III (1200–1350 cm⁻¹) regions to confirm the structural integrity. Importantly, neither relevant peak shifts nor new bands were observed in the spectra of the purified, freeze-dried daratumumab and the daratumumab-p-SCN-Bn-DOTA immunoconjugate, which are sensitive to changes in secondary structure (Fig. 6).

image6.png

Fig. 6. Representative Raman spectra of: a) purified daratumumab and b) daratumumab-p-SCN-Bn-DOTA immunoconjugate.

Overall, the findings from both ATR-FTIR and Raman spectroscopy indicate that conjugation of DOTA-SCN and freeze-drying did not result in detectable structural changes or antibody aggregation.

To further confirm antibody integrity and distinguish fragmentation from aggregation, SDS-PAGE was performed under both reducing and non-reducing conditions. Protein bands were evaluated to assess the integrity of the intact antibody (~150 kDa) and its heavy (~50 kDa) and light (~25 kDa) chains. Under reducing conditions, all samples showed the expected heavy- and light-chain bands, with no additional LMWS. Under non-reducing conditions, a dominant band at ~150 kDa corresponding to intact IgG was observed, with no evident high-molecular-weight bands. Finally, the electrophoretic profiles support preserved structural integrity of the immunoconjugates, consistent with the SE-HPLC and vibrational spectroscopic findings (Fig. S4).

CONCLUSIONS

Conjugation conditions for daratumumab were optimised in carbonate buffer for both BFCs: p-SCN-Bn-DOTA and p-SCN-Bn-1B4M-DTPA. Daratumumab-p-SCN-Bn-DOTA was selected for further physicochemical characterisation based on its 177Lu radiolabelling yield and improved in vitro stability compared with the p-SCN-Bn-1B4M-DTPA analogue. The quality assessment of freeze-drying formulations showed that excipient and solvent selection strongly influence product characteristics. A saline-based, buffer-free sucrose-mannitol formulation containing polysorbate 20 (S.F5) showed the most favourable characteristics with low residual moisture, rapid reconstitution, and non-detectable HMW species.

From a pharmaceutical perspective, these findings support the development of a ready-to-use radiopharmaceutical kit and provide the basis for extending the approach to other diagnostic and therapeutic radionuclides. In addition, the developed formulation contributes to the translational advancement of theranostic strategies. Future work will focus on long-term stability evaluation, supported by predictive modelling approaches, and in vivo validation.

Supplementary materials are available upon request.

Acronyms. – ADCC – antibody-dependent cellular cytotoxicity, ADCP – antibody-dependent cellular phagocytosis, BFC – bifunctional chelator, CAR – chelator-to-antibody ratio, CDC – complement-dependent cytotoxicity, FTIR – Fourier transform infrared spectroscopy, HMWS – high molecular weight species, iTLC – instant thin-layer chromatography, LMWS – low molecular weight species, mAb – monoclonal antibody, PBS – phosphate-buffered saline, RCP – radiochemical purity, RIC – radioimmunoconjugate, SDS-PAGE – sodium dodecyl sulfate-polyacrylamide gel electrophoresis, SE-HPLC – size exclusion high-performance liquid chromatography.

Acknowledgements. – The authors acknowledge the institutional support and access to facilities provided by the Faculty of Medical Sciences, Goce Delcev University, Stip, North Macedonia.

Funding. – This work was supported by the International Atomic Energy Agency (IAEA) CRP F22077 and by the Science Fund of the Republic of Serbia (Grant No. 7282, RADIOMAG).

Conflict of interest. – The authors declare no conflict of interest.

Author’s contribution. – Conceptualization, P.A., M.A.L., and E.J.I.; methodology, P.A., S.V.Đ., and E.J.I.; investigation, P.A., M.A.L., K.D., M.A., D.K., P.M., I.S.S.; writing, original draft preparation, P.A. and M.A.L.; writing, review and editing, P.A., M.A.L., K.D., M.A., D.K., P.M., I.M., A.D., S.V.Đ., and E.J.I.; project administration, E.J.I.; supervision, S.V.Đ. and E.J.I. All authors have read and agreed to the published version of the manuscript.

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Notes

[1] *Correspondence; e-mail: emilija.janevik@ugd.edu.mk


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