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`VOLUME 2.‘ MCILH Y DESIGN. SitHIUé-QHON AM) PROCESSING
`
`The AF for minimum dose, which oftentimes is the dose measured at an interior location, is
`given by
`
`
`
`(4)
`
`In equation (4), DM is the dose measured at the reference location and Dmin is the dose
`measured at the minimum dose location.
`
`It is important to note that when reference location dosimetry is used to monitor dose
`during routine processing of product, the minimum dose at an interior location is not measured
`rather it is calculated on the basis of a statistical relationship given by the AF. For this reason, it is
`standard practice to measure the dose distribution in more than one product load under the same
`processing conditions with three product loads considered the minimum number to be dose
`mapped. Statistical analysis of the data from three dose maps is used to evaluate reproducibility
`in the measured dose and uncertainty in the statistical relationship that is used to calculate the
`minimum dose. This estimate of statistical uncertainty in the calculated value of dose can be used
`to set process parameters for routine irradiation of the product.
`
`Dose Mapping Electron Beam
`Because of the much shorter radiation mean—free path of high—energy electrons in materials
`than high—energy photons and the fact that we are dealing with a beam of electrons, shielding
`and scattering effects introduced by localized heterogeneities within a carton of product or
`even within a unit of product in the carton can significantly affect the dose delivered to the
`product. For example, the range of 10 MeV electrons is approximately 5 cm in water and
`polymers that commonly serve as packaging materials and closure systems for pharmaceutical
`products. In a metal such as stainless steel, the range of 10 MeV electrons is less than 1 cm.
`Therefore, localized high-density regions can result in significant dose gradients within a small
`volume and shadowing of other regions in the carton of product. These factors need to be
`taken into account in the selection of the locations of dosimeters within the product load. There
`are no standard dose map grids as is sometimes the case for gamma or X—ray irradiation. Dose
`map grids in high—energy electron beam irradiation are unique to each product
`type. In
`electron beam irradiation,
`it is c0mmon practice to use reference location dosimetry for
`monitoring dose during routine proceSSing of product. An external surface such as the surface
`where the electron beam is incident on the product load may sometimes serve as the reference
`location or it may be at a fixed location adjacent to the product load and simply referred to as the
`monitoring location.
`In the case where the reference location is on an external surface,
`it
`sometimes may also represent the minimum dose zone, which would only require use of an AF
`to calculate the maximum dose delivered to the product load. To establish the reproducibility in
`dose delivered to the product load and estimate the uncertainty in the AF(s} that is used to
`calculate dose, multiple product loads, that is, typically three, are close mapped. The uncertainty
`in the dose measurement procets should be taken into account when setting process parameters.
`
`RADIATION CHEMISTRY
`
`Radiation Interactions with Parenteral Drug Products
`As we have seen, high—energy electrons injected intcI a drug product from a high—power
`accelerator or generated within the medium from Compton scattering of energetic photons are
`responsible for the changes in the properties of the drug product and its sterilization. These
`high~energy electrons, which typically have energies in the 1 to 10 MeV range, suddenly find
`themselves embedded in the surrounding medium. Atomic electrons of the atoms in the
`medium effectively shield the attractive force of the positive charges of the nuclei, and the
`high—energy electrons experience only the repulsiVe CotilOmbic force that
`is instantly
`established between them. The velocity of a ] MeV electron is of the order of magnitude
`1010 cm/ sec, which is close to the speed of light. The velocity of atomic electrons is on the
`Order of 100 times less. It takes about 10—17 secunds for a 1 MeV electron to cross a diameter of
`an atom. During that time an atomic electron remains practically stationary and ”feels” the
`rising and falling action of the repulsive Coulombic force created by the approaching and
`
`Regeneron Exhibit 1016.301
`
`
`
`HHUMHUN St'tHl'LMflHUN
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`287
`
`leaVing of the high—energy electron passing by. The momentum exchanged between the two
`electrons (the product of the electrostatic force and duration of the collision) is small
`in
`comparison with the kinetic energy of the incident electron but may be large in comparison
`with the binding energy of the orbital electron. If the exchanged energy exceeds the energy that
`binds the electron to an atom (ionization potential), ionization of that atom will occur, whereas
`the exchange of a smaller amount of energy will result in its excitation.
`Studies have shown that the energy exchange events in liquids and solids involve energy
`packets between 6 and 100 eV, the most probable being around 25 eV. This is true in simple
`molecules such as Water and cyclohexane (19), as well as in macromolecules such as DNA (20).
`Obviously all materials consisting of low—Z elements, including biological materials and Al’ls,
`absorb energy by similar mechanisms that occur with similar probabilities. The energy of 25 eV
`is sufficient for the creation of one or two ion pairs and one or two excited molecules in liquid
`water. The small element of volume within which energy deposition occurs and within which
`newly formed species are confined for a limited time is called a spur. Occasionally, a larger
`package of energy is absorbed forming a blob (100 500 eV) or a short sidetrack (500 eV 5 keV).
`Spurs outnumber blobs by about 50:] and short tracks by about 500:1. For cobalt—60 gamma
`rays and 1 MeV electrons in water, the partition of absorbed energy is approximately spurs:
`75%, blobs: 12%, and short tracks: 13% (21). Essentially the same distribution of probabilities
`exists in water vapor and ice underscoring the random character of primary interactions,
`irrespective of the phase. This leads to the estimate that the absorption of a 1 MeV electron
`creates about 25,000 spurs, 500 blobs, and 50 short tracks.
`The initial volume of a spur in water may be about ] nm3 (22), and the volumes of blobs
`and short tracks may be orders of magnitude_ larger, 10 and 100 nma, respectively. Together
`they may occupy the volume of the order 10° nrn3 containing about 10" molecules of water.
`Sterilization dose of 25 kGy is equivalent to the absorption of 1.56 x 1020 eV/ g requiring total
`absorption of 1.56 x 10'4 l—MeV electrons in l g of water. The absorption of this amount of
`energy would initially affect 1.56 x 102” molecules/g out of 3.3 X 1% molecules present in l g
`of water, or l
`in about 200. Allowing that more than 10 water molecules may be contained
`within a l rim3 spur reduces this estimate to less than one in 2000.
`The above picture is oversimplified:
`there is a distribution of spur sizes and some
`overlapping of spurs. Nevertheless,
`it teaches us that precursors of chemical change are
`initially inhomogeneously distributed only along the tracks of fast electrons while the rest of
`the volume remains unaffected. It also teaches us that a significant fraction of small molecules
`may initially escape ionization or excitation, but that larger molecules will not be spared of
`radiation acting directly. It is also obvious that in solutions, it is mostly solvent molecules that
`abSorb radiation energy resulting in the creation of reactive species. The initially inhomoge-
`neous distribution of primary products: electrons, positive ions, and excited molecules
`throughout the irradiated medium is one of the key features of radiation chemistry.
`Spatial inhomogeneity determines the earliest stage of radiation action, which is termed
`physical stage.
`It starts at 10—17 secOnds with the absorption of energy and extends to
`approximately l0_13 seconds until thermal equilibrium has been reached. The probability of
`interactions of electronic systems of atoms with photons and electrons during that stage is
`perfectly random. and nothing can be done to reduce it or to decrease the amount of ionization
`and excitation. The energy required for the creation of one ion pair in gas (W) is similar (25 30 eV}
`for a wide range of compounds {23), which forms the basis for the expectation that approximately
`the same number of ion pairs would initially be created, irrespective of the chemical nature of the
`substance. However, the amounts of radiation—ind ueed changes that become measurable at later
`stages greatly differ depending on the medium.
`
`Radiation Chemical Yield
`
`the
`In an empirical approach to quantify and compare chemical effects of irradiation,
`measured amounts of radiation—induced chemical changes have been normalized to dose. The
`quantity obtained in this way is called radiation chemical yield (G):
`
`C(Xi
`
`Regeneron Exhibit 1016.302
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`283
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`VOLUME 2: MCILH Y UESFGN. Si'tHltféflffON AM) PROCESSING
`
`where (300 is the radiation chemical yield of substance X created, destroyed, or altered; (300 is
`the concentration of substance X created, destroyed, or altered; p, the density; and D, the dose.
`The unit of C200 is mol/l but an older unit {molecules/100 eV) is still sometimes used
`(1 mol/] =— 9.65 x 10" molecules/ 100 eV). The knowledge of C values allows the fraction of
`molecules affected by irradiation of 1 kg of some substance to be estimated as:
`
`(6)
`%=103XG[X)XDXM
`Where C is molar concentration of the neat substance and M is its molecular mass. The larger
`fraction of molecules will be affected by the larger dose and the larger is the molecule. In
`water, (300 accounting for all interactions could be on the order of 1 pmol/], which, for the
`dose of 25 kCy, gives (300/ C
`4.5 x 10—4, or about one out of 2000 molecules, which
`fortuitously well compares with the previous estimate.
`If there were no influence of the medium on the initially produced ion pairs, C(ions) in
`all media would be 100/ W, that is 3
`4/100 eV (Aw 0.3 0.4- umol/D. However, measured values
`of radiation chemical yields of primary species electrons, ions, and excited molecules strongly
`depend on the time of measurement and the nature of the medium. This means that they are
`modified by the medium during the intervening interval of
`temporal evolution called
`physicochemical stage that extends from 10'
`[3 to 10 1” seconds.
`
`Liquid Formulations—Hadiolysis of Water
`The understanding of physicochemical processes occurring at early stages of radiation action
`helps in devising meaningful ways to mitigate radiation—induced damage to the parenteral
`drug product. Parenteral drugs in solid form or a dry state respond rather favorably to
`radiation. However, liquid formulations particularly those aqueous in nature present more
`challenges. The peculiarities of aqueous radiation chemistry are discussed in this section.
`An important reaction occurring during physicochemical stage in liquid water is the
`fastest known chemical reaction:
`
`H20+ + H10 —* HaOJr + ’OH
`
`(7)
`
`which generates the strongest known oxidizing species, hydroxyl radical. It can oxidize any
`molecule with which it comes in contact and is mainly responsible for the radiation—induced
`damage of solutes in irradiated aqueous solutions. Another route for the formation of hydroxyl
`radical is the dissociation of excited water molecules that becomes possible in the same time
`window with the onset of molecular vibrations:
`
`H20‘ —- H' + 'OH
`
`(8)
`
`On the same timescale, the reorientation of dipolar molecules leads to the solvation of charged
`species, notably the free electron becomes hydrated in water, which, as the strongest reducing
`species known, can affect radiation sterilization of aqueous solutions of reducible substances.
`During that time frame radiation—induced species react within spurs or escape from the
`spurs by diffusion into the bulk where homogeneous distribution of reactive species is
`eventually established. The recombination of radical species gives stable molecular products:
`
`H'+H' —‘ H2
`
`'OH + 'OH —~ H20:
`
`(9)
`
`(10}
`
`which, however, are of little concern for radiation sterilization of solutions.
`During the physicochemical stage, dielectric properties of the medium have the strongest
`modifying effect on radiation chemical yields of charged species. Dielectric constant of the
`medium determines the critical distance at which the Coulombic attractive force of the ion pair
`equals the thermal energy that drives them apart. Only those electrons that escape the
`recombination with the parent ion become solvated and eventually participate in the bulk
`reactions.
`In a polar liquid like water the probability that an electron will escape the
`recombination with its parent ion steeply increases with the increase of the initial electron—ion
`
`Regeneron Exhibit 1016.303
`
`
`
`HAUM HUN Sl'tHl'tMflHUN
`
`289
`
`separation distaHCe. Therefore, free ion yield is high in water and polar liquids and low in
`nonpolar liquids.
`At
`the beginning of the chemical stage radiation chemical yields (in umol/J) are as
`follows: GVOH} — 0.28, Gt'H} -_— 0.06 and C(eaq_)
`-_ 0.27. Until
`this moment,
`the only
`modifying action on these yields was that of the medium itself, and no additives could have
`altered them. As it now comes to chemical reactions with the components of the medium, the
`complex interplay of ionization potentials, electron affinities, bond dissociation energies, and
`chemical reactivities of the involved species finally determine the outcome of the chemical
`stage on nanosecond to micro and millisecond timescales.
`The extremely high rate constant of the reaction given by equation (7) and the high
`molarity of neat water even in concentrated solutions make the reactions given by equations (7)
`and (8) unavoidable. Any attempts to mitigate in advance ill effects of hydroxyl radical induced
`oxidations must admit the impossibility to prevent its formation and recognize that the first
`opportunity to convert it into a more innocuous species occurs only after it has been already
`formed.
`
`The hydroxyl radical can oxidize any molecule with which it comes in contact and is
`mainly responsible for radiation—induced damage of solutes in irradiated aqueous solutions. If
`the substance of interest, an API, reacts with 'OH radical with the rate constant it”, giving an
`unwanted product 1”, it is possible to find a c0mpound S with a preferably higher reactivity
`with 'OH (rate constant kg), which acts as a scavenger and which does not give P. The hydroxyl
`radical is thus given two channels to react:
`API+°OH —.~ P
`
`(‘11)
`
`S+'Ol—l—.~noP
`
`(12)
`
`Radiation chemical yield of unwanted product P, C(I’) is given by the ratio of probabilities of
`'OH reacting in the channel giving P to the overall probability of 'OH reaction:
`
`Gun
`
`Gt'OHjA-AmlAl’llflkAp;|API] +k5|5n
`
`(13)
`
`C(P) will be at minimum the higher the product kSIS], that is, the more reactive scavenger and
`the higher its concentration. The same formalism is applicable to all other reactive species.
`The hydrated electron and hydrogen atom may be considered a basic and an acidic form,
`respectively, of a reducing species in the rad iolysis of water. Their interconversion is possible
`because the respective chemical equilibria are strongly shifted to the right. In acidic media,
`hydrated electrons are converted into H' atoms:
`
`eat] + I—]3()r _' H. + H20
`
`whereas in basic media all H' become eaq';
`
`H’ +0H‘ -—- eaq' + H30
`
`(14}
`
`(15)
`
`Using scavengers that specifically react only with the oxidizing or the reducing radicals, it is
`possible to achieve the presence of only one kind of radicals. In a reducing medium hydroxyl
`radicals are converted into H' atoms:
`
`'OH + H1 — H' + H20
`
`(16)
`
`while in an aqueous solution saturated with N20 (0.02 mole/ L), cm," are converted into 'UH:
`
`em] + N20 + H20 —— 'OH + OH + N2
`
`{17}
`
`Tertiary butanol efficiently removes 'OH and slowly reacts with H', while other alcohols (e.g.,
`isopropanol) remove both H' and “OH. At the same time alcohols do not react with em".
`
`Aqueous (Liquid and Frozen} Parenterals
`The absorption of radiation energy in a crystalline solid is not focused on a single atom, but a
`collective excitation involving many electrons spread throughout the crystal lattice is induced.
`
`Regeneron Exhibit 1016.304
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`290
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`VOLUMt 2.‘ MGM! Y UESJ'GN. Si'tHi'Ué-CIHON AND PROCESSING
`
`The energy that would have been localized on an individual chemical bond in an isolated
`molecule in gas or in a molecule in solution is distributed over many bonds in a crystal.
`Consequently, radiation chemical yield of decomposition in a crystalline matrix is lower than
`in solution, which is in turn lower than that in gas, Cg,“ > (3"un } 650m.
`The buildup of free radicals in solids at low doses proceeds proportionally to dose, then
`the rate of their accumulation decreases until the concentration reaches the limiting value. The
`limiting concentration is reached when sufficient free radicals are produced within each
`other's migration volume so that they can recombine. The upper value of the recombination
`radius critical for permanent trapping in a solid is considered to be about 1 nm (24).
`The uptake of radiation energy by a medium is essentially proportional to the total
`number of electrons (valence and bound) present in a unit volume, that is, proportional to the
`mass of material exposed to irradiation. On irradiation of solutions most energy is deposited in
`the solvent. [n irradiated aqueous solutions, reactive species enq ', H‘, and 'OH produced by
`radiolysis of water react with any dissolved substances that act as their scavengers and
`consequently stiffer chemical changes. Radiation—induced effects that occur as a consequence
`of the absorption of energy in the target compound are termed direct effects, whereas those
`that occur in the reactions between a target compound and reactive species produced in a
`solvent are termed indirect effects.
`
`Effect of Tcmpemfm'e
`Direct effects are not expected to depend 0n tempera ture. The effects of elevated temperature
`(in chemical reactions of reactive species in solution that are responsible for the indirect effect
`can be described by the Arrhenius equation. As the activation energies are rather small
`(6 30 kaol), the effects on reaction rate constants are also not large. The effects of reduced
`temperature are more dramatic because a significant increase of solution viscosity impedes the
`diffusion of reactive species, which leads to their spending more time close to their respective
`places of origin and ultimately,
`to their enhanced recombination. For example, radiation
`chemical yield of em," is reduced by a factor of 10 on reducing the temperature from 5 to
`55C (25) and that of the hydroxyl radical by a factor of 60 on reducing the temperature from
`20 to
`40C (26}. The yields of products derived from electron or hydroxyl radical attack at
`these temperatures in ice would be reduced by about 90% and 993%, respectively, compared
`to fluid solutions. Because of the reduced mobility at low—temperature reactions, damaging to
`solute would be possible only at solute concentrations high enough to have solute molecules in
`a region of reactive species formation, which we have estimated to be one in 2000 water
`molecules. However, even at low temperature, larger molecules such as proteins cannot escape
`direct effects.
`
`Effect of Oxygen
`its
`Oxygen normally does not react with stable cempounds at room temperature, but
`paramagnetic properties make it reactive with free radicals, which are also paramagnetic
`Species created by irradiation of APIs, exeipients, or solvents:
`
`R' + 02 —~ R00'
`
`(18)
`
`The most simple route for creating free radicals directly is the dissociation of an excited
`molecule R—H yielding a hydrogen atom and a free radical residue R':
`
`(R H)’—aR'+H'
`
`(19)
`
`In an indirect radiation action. the abstraction of a hydrogen atom by H' or '0H radicals
`formed in the radiolysis of water or dissociative electron attachment by a molecule R X,
`containing a strongly electronegative substituent X, also yield free radicals:
`
`R H +'OH —~ [2' + H20
`
`R x‘i‘eaq _'R.+X—
`
`(20}
`
`{21)
`
`Regeneron Exhibit 1016.305
`
`
`
`HAUMHUFJ Sl'tHitiZAHUN
`
`291
`
`Doubly allylic hydrogen atoms, such as found in polyunsaturated fatty acids, are
`partiailarly weakly bound to the backbone of a molecule, which makes these locations
`especially vulnerable to oxidation. Peroxyl—free radicals formed by the reaction given by
`equation (18) propagate a chain reaction:
`ROO' + R H - ROOH + R'
`
`(22}
`
`which continue to produce damage of an oxidizable substance as long as there is a steady
`supply of oxygen.
`Oxidation is one of the major causes of drug instability, even without radiation. The ill
`effects of oxidation can be avoided by the exclusion of oxygen that underscores the importance
`of packaging and closure systems. It can also be prevented by the use of compounds that
`interfere with the propagation of radical chains by competing with the reaction given by
`equation (22), which are known as antioxidants. An antioxidant molecule A H itself possesses
`a weakly bound hydrogen atom, the abstraction of which produces free radical A', that is more
`stable (less reactive} than R' and that therefore cannot further propagate the chain reaction:
`ROO’ + A H ._-, ROOH + A'
`(23)
`
`More detailed aspects of stabilization of pharmaceuticals to oxidative degradation can be
`found in (27).
`
`RADIATION EFFECTS
`
`When considering the effects of radiation on a parenteral drug product, it is important to take
`into account all elements of
`the drug product
`that may be exposed to the radiation
`environment. This includes the container, closure systems, and packaging materials. If the
`drug product was previoust sterilized using a modality other than radiation, some materials
`that were selected because of physical—chemical features or tribological attributes may not be
`radiation compatible, which would entail selection of different materials for the radiation
`sterilization process. Therefore, whenever possible it is important to select the modality of
`sterilization early in the development of a new drug product.
`
`ContainerlC|osure Systems and Packaging
`Most materials that are found in container] closure systems and packaging consist of different
`types of polymers and glass. In the evaluation of the effects of radiation on these materials, it is
`important to take into account possible changes in mechanical properties, radiation—induced
`discoloration, and biocompatibility. Because glass is amorphous, its mechanical properties are
`unchanged when exposed to radiation. However, most glass materials discolor in varying
`degrees when exposed to radiation, which may not be acceptable from the standpoint of
`aesthetics or possibly functicmal reasons. The degree of discoloration depends on the type and
`amount of impurities in the glass, which are a source for radiation—induced stable conjugated
`chromophores. Some types of glass such as cerium oxide glass show less discoloration than
`borosilicate glass when exposed to radiation (8). A very high purity glass material such as
`synthetic fused silica also will not discolor when irradiated. Polymers fall into three general
`classes that include therm0plastics, thermosets, and elastomers. Thermoplastics are the class of
`polymers that are commonly selected for containment of a drug product, and closure systems
`are usually elastomeric in nature. A large compendium of information on the effects of
`radiation on these classes of polymers can be found in published references and from the
`manufacturers of the polymers themselves (28,29). Only a few polymers are not radiation
`compatible and should not be used if radiation is the choice for sterilization. Polyacetals, for
`example, Delrin and Celoon, polytetrafluoroethylene, that is, Teflon, and natural polypropy—
`lene are not radiation tolerant and should be avoided. Polypropylene auto—oxidizes and will
`continue to degrade following irradiation. A radiation—stabilized polypropylene with
`antioxidants may be used in some applications. Two elastomers that are not radiation tolerant
`and should be avoided are butyl rubber and a fluoroelastomer. For example, butyl rubber is
`friable and will shed particulates. It is important to note that a poor choice in the selection of
`the polymer is not the only reason a part may fail when it is exposed to radiation. Improper
`
`Regeneron Exhibit 1016.306
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`VOLUME 2.‘ MCILH Y UESJ'GN. SitHlUé-CIHON AM) PHOCIESSWG
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`processing of a polymer or incorrect design may lead to failure of a part that is irradiated even
`though the polymer is considered radiation compatible. For example, thermoplastics are often
`fabricated using an injection molding process.
`If
`the conditions for fabrication are not
`optimum, for example, temperature during the mold process, the final part may contain
`residual tensile stresses. Irradiation leads to breakage of molecular bonds in the polymer.
`Because of the presence of residual tensile stresses, crazing and microcracking of the polymer
`may occur. In the design of a part, stress raisers should also be avoided, for example, avoid
`sharp corners in design of the Part.
`
`Radiation Efiects—Excipiems, Biopolymers, and APIs
`Excipients are used to promote pharmacological action of an AP] by formulation of the drug
`product in a viable delivery system. Examples of excipients, some of which may appear in
`parenteral medications, include gum Arabic, talc, starch, and paraffin. The principal effects of
`radiation that need to be taken into account are change in color, change in pH, and lowering of
`viscosiqr. I’ast studies have shown that excipients should respond favorably up to doses
`required to sterilize the drug product, that is, 25 kGy or less (30}. [.055 of viscosity may be of
`some concern in some cases. In particular, some thickening agents may stiffer a significant loss
`in viscosity at relatively low doses of radiation. Radiation—induced chain scissions in the
`aliphatic molecular structure of the cellulose component significantly lowers its molecular
`weight with a concomitant decrease in the viscosity of the thickening agent. Addition of a
`radical scavenger may significantly improve the radiation stability of the thickening agent.
`Biopolymers are used for controlled drug release (Cl—JR) and controlled drug delivery
`(CDD) of APIs following parentral administration (31). Biopolymers react to radiation in a
`manner similar to other polymers. There is a possibility of chain scissions, cross- linking, and
`formation of free radicals. The principal changes of concern from irradiation of biopolymers
`include change in color and physical properties, which may lead to a change in the drug
`release characteristics of the biopolymer. For example, polyester polymers such as polytlactic
`acid) (PLA) and copolymer poly(lactic acid—co—glycolic acid) (PLGA) are routinely used in
`CDR/CDD applications. Radiation will reduce the molecular weight of these polymers, with
`the percentage reduction increasing with increase in absorbed dose. For drug products that
`have low levels of microbiological contamination, it is possible to set an acceptable minimum
`dose that satisfies the desired SAL while maintaining a maximum dose that keeps the
`reduction in molecular weight within acceptable limits.
`The principal effects of radiation on an API are formation of small amounts of
`degradation by-products and possible changes in the chemical—physical properties of the API
`including pH, color, and viscosity. The radiation—induced degradation by—products may
`produce toxic extractables that need to be taken into account
`in the evaluation of the
`biocompatibility of the APl. Changes in the chemical—physical properties of the API could
`affect the efficacy of the drug product, that is, its potency. Because a vast variety of chemical
`entities may appear as the APIs,
`it
`is almost impossible to accurately predict radiation
`sensitivity of individual compounds. Previous work on particular or related molecules may
`inform and guide the assessment of radiation stability of an API.
`The effects of irradiation on drugs have been attracting the attention of researchers over
`the past 60 years. Bibliometric count finds about 1400 references until the year 2000, peaking
`in the seventies. This literature has been periodically reviewed and a compilation of results
`from the selection of 217 papers on some 380 APIs has recently been published in form of an
`encyclopedia (32). Most of the included drugs and excipients are used in sterile product
`formulations suitable for parenteral administration. The material included in another more
`recent review (33} is partially overlapping with the former one giving, in addition, an insight
`into the more recent work, mainly originating from the authors’ group. These data may
`provide clues to the parameters affecting the radiation stability of a drug, the types of possible
`radiolytic damage, and radiation chemical yields of stable radiolytic products under a variety
`of irradiation conditions. Together with radiation chemistry principles expounded in the
`previous section,
`these data can help the optimization of key parameters to reduce the
`radiolytic degradation of water~based parenteral drug products. APl’s in a dry formulation, for
`
`Regeneron Exhibit 1016.307
`
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`
`HHUMHUN SltHlUfliHUN
`
`293
`
`example, powder or freeze dried, are being successfully terminally sterilized on a commercial
`level using radiation. Parenteral medications in a liquid form present a greater challenge.
`
`IHFIADIATION 0F SPECIFIC DRUG PRODUCTS
`Vaccines
`
`The use of radiation to inactivate a pathogen in the preparation of a vaccine was explored at an
`early point in the evolution of the radiation sterilization industry (34). These early studies were
`typically conducted at relatively high doses of radiation,
`that
`is, >25 kGy, which was
`considered necessary to inactivate the pathogen. Even so, some successes were obserVed
`wherein sterility was achieved while the antigenic properties of the vaccine were preserved.
`Most of these studies appear to only have advanced to a preclinical stage. Over the past several
`years, there has been a renewed interest in the use of radiation in the preparation of vaccines.
`The reemergence of certain infectious diseases such as tuberculosis may have stimulated this
`renewed interest
`in vaccines that are prepared using irradiation. Dependent on the
`microorganism, the dose of radiation to inactivate the pathogen may be relatively low. For
`example, researchers at the University of California, San Diego, have shown that Listeria
`moimcyfngcnes, a bacterial pathogen, was inactivated at doses as low as 6 kGy and the
`irradiated vaccine still triggered long—term immunity in the vaccinated animals (35). However,
`viral pathogens, which typically have significantly higher 010 values than bacterial pathogens,
`may require much higher doses of radiation, that is, greater than 25 kGy, to inactivate the
`pathogen. On the basis of studies that have been conducted over the past several years, a
`significant advantage of radiation in the preparation of vaccines may reside in the possible
`formulation of vaccines in a dry state, for example, freeze dried (36). A vaccine that is prepared
`in this manner could possibly be stored for long periods of time in an unrefrigerated state,
`shipped world wide to a 10cation of need, and reconstituted on site.
`
`Proteins
`
`Protein drugs are specific, exert their effects at low concentrations, and their virtually limitless
`number enables their use to influence a large variety of biological processes. Therapeutic
`proteins include monoclonal antibodies, growth factors, cytokines, soluble receptors,
`hormones, and proteins that block the function of a variety of infectious agents. Specific
`functions of proteins in the body strOngly depend on their structures.
`Proteins are characterized by four levels of structural organization. Primary structure of
`proteins is defined by the amino acid sequence. The ability of antigenic structures to elicit
`immune response is mostly a sequence-dependent property. At
`this (primary) level of
`structural organization, proteins are rather stable to irradiation. Together with the fact that a
`considerable degree of denaturation can be tolerated in vaccines,
`this enables the use of
`radiation in the preparation of vaccines.
`Increasing complexity of structures generally brings about their increased susceptibility
`to mechanical, thermal, and chemical stresses. Consequently, terminal sterilization techniques,
`including heat, gas, and radiation, have traditionally