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INNOSC Theranostics and
            Pharmacological Sciences                                             Preclinical study of GBpoietin biosimilar



            Janssen (USA). Ethylenediaminetetraacetic acid (EDTA)   plan and procedures were approved by the internal ethical
            was purchased from Merck (USA).                    review board of Globe Biotech Limited, complying with
                                                               local ethical regulations. No treatment randomization and
            2.2. Formulation of GBpoietin ®                    blinding methods were used in the study and sample sizes

            The sample was formulated using formulation buffer   were determined by the resource equation method.
            (L-glycine,  sodium  chloride,  sodium  phosphate,
            Polysorbate 80, water for injection; pH: 6.8 – 7.2) and   2.4. Single-dose toxicity assay
            AKTA Flux S (GE Healthcare, USA). After sterile filtration   A total of 36 Wister rats, including both male and female,
            through a 0.22-micron PES Sartopore 2 filter (Sartorius   were used for the study comprising four treatment groups,
            Stedim,  Germany),  the pre-formulated  bulk  sample  was   a placebo group, and a control group – each group consists
            transferred to quality control (QC) for testing as per   of three male and three female rats. The four treatment
            the specification. The sterile, pre-formulated bulk drug   groups were assigned to either normal (500 IU/kg) or toxic
            substance was then transferred to a fill-finish facility in a   dose  (1500  IU/kg)  to  assess  the  toxicological  similarity
                                                                                  ®
            2D single-use bag (Sartorius Stedim, France) for filling and   of GBpoietin  to Eprex . Treatment-1 and Treatment-2
                                                                         ®
            packaging while maintaining a temperature of 4 – 8°C. The   were injected with normal and toxic doses of GBpoietin ,
                                                                                                            ®
            sterile 1 mL empty long syringes (Schott, Switzerland) were   respectively, while Treatment-3 and Treatment-4 were
            filled using automatic combo filling and closing machine   injected with normal and toxic doses of Eprex , respectively.
                                                                                                  ®
            (Tofflon, China) at 1  mL volume for dose preparation.   The placebo group was injected with 100 µL of formulation
            The pre-filled syringes were packaged (blistered) using the   buffer used for GBpoietin  and Eprex . The control
                                                                                                 ®
                                                                                      ®
            HM-AV Plus blister machine (Hoonga, The Republic of   group was not given any injection, serving as a negative
            Korea). After blistering completion, the drug product was   control of the study. Two days before dosing, whole blood
            stored at 4 – 8°C. Finally, the pre-filled syringes were tested   (approximately 200 µL) was collected in 2% EDTA from
            for QC as per the specification and transferred to the pre-  each rat for the complete blood count (CBC) analysis.
            clinical (animal) study center, maintaining a temperature   Similarly, whole  blood  was  also  collected after  the  last
            of 4 – 8°C, for the toxicology study.              dosing at day 14 for the CBC analysis. Pharmacodynamic
                                                               (PD)  endpoints  including  RBC  count,  white  blood  cell
            2.3. Animal selection                              (WBC) count, hemoglobin (HGB) level, platelet (PLT)
            Wistar  rats  (Rattus norvegicus)  were  used  for  the   count, hematocrit (HCT) level, mean corpuscular volume
            single-  and repeated-dose safety and toxicity studies.   (MCV), mean corpuscular hemoglobin (MCH), and
            A total of 75 Wistar male and female rats (10 – 15 weeks   mean corpuscular  hemoglobin  concentration (MCHC)
            old) were selected and isolated 5 days before the dosing.   were  measured  for  all  test  subjects  before  injection and
            After attentive monitoring and conditioning, 36 rats   on the last day of the 14-day study using BK-6190-Vet
            (18 males and 18 females) were subjected to single-dose   auto hematology analyzer (Biobase, Germany). Similarly,
            toxicity analysis and 24 rats (12  males and 12  females)   alanine  aminotransferase  (ALT)/glutamic  pyruvic
            were subjected to repeated-dose toxicity analysis. The   transaminase (GPT), aspartate aminotransferase (AST)/
            temperature of the experimental animal room was 26 ±   serum glutamic-oxaloacetic transaminase (sGOT), and
            2°C and the relative humidity was 60 ± 5%. The room was   blood urea nitrogen (BUN) assays were performed on
            an HVAC-controlled ISO class 7 room with 70% fresh air   blood serum using a semi-automatic chemistry analyzer
                                                                                                            ®
            intake and full exhaust. The rats were individually housed   (Biobase, Germany) to assess the toxic effect of GBpoietin
            in a polypropylene cage with proper water and feed and   and Eprex  on the liver and kidney. Body temperature and
                                                                       ®
            kept under 12 h of the day-night cycle. The target weight   weight were also measured during the whole study period.
            of male animals was 185 ± 20 g and female animals were   A necropsy of representative subjects from each treatment,
            175 ± 20 g. In the entire experiment, 20% of additional   placebo, and control groups was done to check for
            animals (males and females) were used as substitutes for   abnormalities in the kidney, lung, liver, spleen, and heart.
            the excluded animals. Healthy young adult animals were   During the necropsy, external surfaces, all orifices, cranial
            used. Females were nulliparous and non-pregnant. At the   cavities, external surfaces of the brain and spinal cord,
            beginning of the study, each animal was between 10 and   thoracic, abdominal, and pelvic cavities, cervical tissues,
            15 weeks old. The weight difference of animals used was   and organs were also examined. Finally, histopathological
            minimal, not exceeding ± 20% of the mean weight for each   evaluation was carried out to find any pathological
            sex. These animals were used to replace any individuals   significance like degeneration or cellular necrosis in the rat
            that were excluded during the study periods. The study   internal organs such as the kidney, liver, lung, and spleen.



             Volume 8 Issue 2 (2025)                        57                               doi: 10.36922/itps.5797
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