Evidence map›Paper›PMID 39379664›Full record

ArticlePharmaceutical research2024

Impact of Manufacturing Process and Compounding on Properties and Quality of Follow-On GLP-1 Polypeptide Drugs.

Morten Hach, Dorthe Kot Engelund, Simon Mysling, Jesper Emil Mogensen, Ole Schelde, Kim F Haselmann, Kasper Lamberth, Thomas Kvistgaard Vilhelmsen, Joan Malmstrøm, Kim Bonde Højlys-Larsen and 9 more

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Article in Pharmaceutical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Methyl Proton Spin Relaxation (Analytical chemistry · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Morten HachCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Dorthe Kot EngelundCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Simon MyslingCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Jesper Emil MogensenCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Ole ScheldeProduct Supply, Novo Nordisk A/S, Bagsværd, Denmark.
Kim F HaselmannGlobal Research Technologies, Novo Nordisk A/S, Måløv, Denmark.
Kasper LamberthGlobal Drug Discovery, Novo Nordisk A/S, Måløv, Denmark.
Thomas Kvistgaard VilhelmsenOral Pilot and Process Development, Novo Nordisk A/S, Måløv, Denmark.
Joan MalmstrømCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Kim Bonde Højlys-LarsenCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Tina Secher RasmussenCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Jonas Borch-JensenCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Rasmus Worm MortensenCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Thomas Marker Thams JensenProduct Supply, Novo Nordisk A/S, Bagsværd, Denmark.
Julie Regitze KestingCMC DP & Ana Development, Novo Nordisk A/S, Måløv, Denmark.
Andrei-Mircea CatarigMedical & Science, Diabetes 4, Novo Nordisk A/S, Søborg, Denmark.
Désirée J AsgreenDevelopment Product Portfolio, Novo Nordisk A/S, Søborg, Denmark.
Leif ChristensenDevelopment Product Portfolio, Novo Nordisk A/S, Søborg, Denmark.
Arne StabyDevelopment Product Portfolio, Novo Nordisk A/S, Søborg, Denmark. ast@novonordisk.com.ORCID http://orcid.org/0000-0003-0551-8936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prevalence of follow-on and compounded products of glucagon-like peptide-1 analogs is increasing. We assessed glucagon-like peptide-1 analogs semaglutide and liraglutide for purity, potential immunogenicity, and expected stability, by comparing a representative selection of commercially available follow-on drug substances (DSs) and drug products (DPs) with their corresponding originators.

methodsTests included several chromatography methods coupled with ultraviolet and mass spectrometry detectors, inductively coupled plasma optical emission spectroscopy, inductively coupled plasma mass spectrometry, nuclear magnetic resonance, dissolution analyses, in silico peptide/major histocompatibility complex II-binding prediction, and fibrillation assays.

resultsOverall, 16 injectable semaglutide, 8 oral semaglutide, and 2 injectable liraglutide follow-on products were analyzed alongside originator products. Compared with originator, follow-on injectable semaglutide DSs and DPs had new impurities and impurity patterns, including high molecular weight proteins, trace metals, anions, counterions, and residual solvents. Analyses showed that several commercialized follow-on oral semaglutide DPs had a markedly lower quantity of semaglutide than the label claim, while dissolution tests indicated different semaglutide and sodium N-(8-[2-hydroxybenzoyl] amino)caprylate (SNAC) release profiles, which may reduce bioavailability. Neoepitopes were identified in DS and DP semaglutide follow-ons, indicating potential immunogenicity. Fibrillation assays showed increased fibrillation tendency and reduced physical stability in liraglutide follow-on DP samples compared with originator.

conclusionThis study highlights that differences in the manufacturing processes of follow-on semaglutide and liraglutide (vs those used for originators) can result in several changes to the DSs and DPs. The impact of these changes on efficacy and safety outcomes remains unknown and should be investigated by clinical studies.

Indexed as

Drug CompoundingGlucagon-Like Peptide 1Glucagon-Like PeptidesLiraglutideAdministration, OralDrug ContaminationDrug StabilityHumansHypoglycemic AgentsSemaglutideGlucagon-Like Peptide 1Glucagon-Like PeptidesHypoglycemic AgentsLiraglutideSemaglutidecompoundingGLP-1liraglutidemanufacturingsemaglutide

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.