Glycosylation profile and biological activity of Remicade® compared with Flixabi® and Remsima®

As biosimilars enter the market, comparisons of product quality are needed. Manufacturing differences may lead to differences in critical quality attributes, which affect efficacy. Therefore, critical quality attributes (structure and biological activity) of Remicade (R) and of 2 biosimilar products (Flixabi (R)/Renflexis (R) and Remsima (R)/Inflectra (R)) were determined. We assessed binding to tumor necrosis factor in a fluorescence competitive binding assay; potency in a luciferase reporter gene assay; percentages of galactosylated glycan, afucose plus high mannosylated glycans, and charged glycan; Fc gamma RIIIa (CD16) binding (assessed by 3 methods); and antibody-dependent cell-mediated cytotoxicity (ADCC) in the NK92-CD16a cell line and in peripheral blood mononuclear cells (PBMC). The results of Fab-related activity were similar for all products. Compared with Remicade (R), Flixabi (R) had a lower percentage of charged glycan, and Remsima (R) had a higher percentage of galactosylated glycan and a lower percentage of afucose plus high mannosylated glycans. Whereas Remsima (R) and Remicade (R) are expressed in a Sp2/0 cell line, Flixabi (R) is expressed in a CHO cell line. Despite this difference, galactosylated glycans from the 3 products were not correlated with the expression system. The results of all 3 methods used in this study indicated that Fc gamma RIIIa binding was lower with Remsima (R) than with Remicade (R). The percentage of ADCC in NK92-CD16a cells was lower with Remsima (R) and higher with Flixabi (R) compared with Remicade (R), but was similar for all 3 products in PBMC. Surface expression of CD16 was 5.7-fold greater on NK92-CD16a cells than on PBMC. Combined percentages of afucosylated and high mannosylated glycans were positively correlated with Fc gamma RIIIa binding and ADCC in NK92-CD16 cells, while no correlation was observed in PBMC.