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Impact of pneumatic tube transportation on the aggregation of monoclonal antibodies in clinical practice

Michaela Cohrs (UGent) , Nele Clottens (UGent) , Pieter Ramaut (UGent) , Kevin Braeckmans (UGent) , Stefaan De Smedt (UGent) , Tieneke Bauters (UGent) and Hristo Svilenov (UGent)
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Abstract
Postproduction handling and in-hospital transportation of antibody drugs cause mechanical stress, including interfacial and shear stress, that can induce antibody unfolding and aggregation. The handling practices differ significantly between hospitals and the impact on protein stability is unknown. For example, the mechanical stress caused by transport via pneumatic tube systems (PTS) on therapeutic antibody aggregation is a potential safety and quality gap. The aim of this study was to investigate whether mechanical stress and PTS transportation in a hospital cause aggregation of five commonly used antibody drugs diluted in infusion bags. Orthogonal analytical methods showed that the handling and PTS transportation in this hospital did not cause aggregation of the investigated mAbs. The absence of aggregation could be explained by the reduction of interfacial stress due to headspace removal from the infusion bags and a mechanical sensor indicated that there was also only a moderate amount of mechanical stress caused by transportation with this particular PTS. Although this case study focuses on five antibody drugs and the practices in one hospital, the work demonstrates how to evaluate whether other handling and transportation practices cause significant mechanical stress that could compromise the quality and safety of antibody drugs.
Keywords
Antibody drugs, Biopharmaceutics, Mechanical stress, Pneumatic tube system, Protein aggregation, Subvisible particles, Visible particles, NANOPARTICLE TRACKING ANALYSIS, PROTEIN AGGREGATION, QUALITY ATTRIBUTES, IMMUNOGENICITY, STRESS, CAVITATION, PRODUCT, PARTICLES, STABILITY, AGITATION

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MLA
Cohrs, Michaela, et al. “Impact of Pneumatic Tube Transportation on the Aggregation of Monoclonal Antibodies in Clinical Practice.” EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES, vol. 204, 2025, doi:10.1016/j.ejps.2024.106952.
APA
Cohrs, M., Clottens, N., Ramaut, P., Braeckmans, K., De Smedt, S., Bauters, T., & Svilenov, H. (2025). Impact of pneumatic tube transportation on the aggregation of monoclonal antibodies in clinical practice. EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES, 204. https://doi.org/10.1016/j.ejps.2024.106952
Chicago author-date
Cohrs, Michaela, Nele Clottens, Pieter Ramaut, Kevin Braeckmans, Stefaan De Smedt, Tieneke Bauters, and Hristo Svilenov. 2025. “Impact of Pneumatic Tube Transportation on the Aggregation of Monoclonal Antibodies in Clinical Practice.” EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES 204. https://doi.org/10.1016/j.ejps.2024.106952.
Chicago author-date (all authors)
Cohrs, Michaela, Nele Clottens, Pieter Ramaut, Kevin Braeckmans, Stefaan De Smedt, Tieneke Bauters, and Hristo Svilenov. 2025. “Impact of Pneumatic Tube Transportation on the Aggregation of Monoclonal Antibodies in Clinical Practice.” EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES 204. doi:10.1016/j.ejps.2024.106952.
Vancouver
1.
Cohrs M, Clottens N, Ramaut P, Braeckmans K, De Smedt S, Bauters T, et al. Impact of pneumatic tube transportation on the aggregation of monoclonal antibodies in clinical practice. EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES. 2025;204.
IEEE
[1]
M. Cohrs et al., “Impact of pneumatic tube transportation on the aggregation of monoclonal antibodies in clinical practice,” EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES, vol. 204, 2025.
@article{01JN0QVBRH9S603DEHPMY2ERWC,
  abstract     = {{Postproduction handling and in-hospital transportation of antibody drugs cause mechanical stress, including interfacial and shear stress, that can induce antibody unfolding and aggregation. The handling practices differ significantly between hospitals and the impact on protein stability is unknown. For example, the mechanical stress caused by transport via pneumatic tube systems (PTS) on therapeutic antibody aggregation is a potential safety and quality gap. The aim of this study was to investigate whether mechanical stress and PTS transportation in a hospital cause aggregation of five commonly used antibody drugs diluted in infusion bags. Orthogonal analytical methods showed that the handling and PTS transportation in this hospital did not cause aggregation of the investigated mAbs. The absence of aggregation could be explained by the reduction of interfacial stress due to headspace removal from the infusion bags and a mechanical sensor indicated that there was also only a moderate amount of mechanical stress caused by transportation with this particular PTS. Although this case study focuses on five antibody drugs and the practices in one hospital, the work demonstrates how to evaluate whether other handling and transportation practices cause significant mechanical stress that could compromise the quality and safety of antibody drugs.}},
  articleno    = {{106952}},
  author       = {{Cohrs, Michaela and Clottens, Nele and Ramaut, Pieter and Braeckmans, Kevin and De Smedt, Stefaan and Bauters, Tieneke and Svilenov, Hristo}},
  issn         = {{0928-0987}},
  journal      = {{EUROPEAN JOURNAL OF PHARMACEUTICAL SCIENCES}},
  keywords     = {{Antibody drugs,Biopharmaceutics,Mechanical stress,Pneumatic tube system,Protein aggregation,Subvisible particles,Visible particles,NANOPARTICLE TRACKING ANALYSIS,PROTEIN AGGREGATION,QUALITY ATTRIBUTES,IMMUNOGENICITY,STRESS,CAVITATION,PRODUCT,PARTICLES,STABILITY,AGITATION}},
  language     = {{eng}},
  pages        = {{9}},
  title        = {{Impact of pneumatic tube transportation on the aggregation of monoclonal antibodies in clinical practice}},
  url          = {{http://doi.org/10.1016/j.ejps.2024.106952}},
  volume       = {{204}},
  year         = {{2025}},
}

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