RT Journal Article SR Electronic T1 Advances in Large Volume Subcutaneous Injections: A Pilot Tolerability Study of an Innovative Needle-Free Injection Platform JF PDA Journal of Pharmaceutical Science and Technology JO PDA J Pharm Sci Technol FD Parenteral Drug Association (PDA) SP pdajpst.2021.012670 DO 10.5731/pdajpst.2021.012670 A1 Kelley, E. Lynne A1 Fernandes, Andrea A1 Pelletier, Marc A1 Takami, Eri Ashley A1 Emery, Christine A1 Dyer, Bobby A1 Jacoski, Mary V. A1 Lozko, Valery A1 Burgess, Bart A1 Smith, Richard H. YR 2022 UL http://journal.pda.org/content/early/2022/03/16/pdajpst.2021.012670.abstract AB Many medical conditions require chronic treatment with subcutaneous injectable biologics often exceeding 1.0 mL. However, subcutaneous administration of volumes of 1.5-2.0 mL using a standard needle and syringe or auto-injector proves challenging, and patients often must administer two separate injections of up to 1.0 mL to achieve their full dose or endure injection times in excess of 10 seconds, if using a mechanical autoinjector. In addition, needle-based injections often cause patient anxiety and discomfort. In this letter we describe an approach to meet these needs with a needle-free medication delivery device capable of rapidly delivering up to 2.0 mL with minimal discomfort. A pilot study was conducted with this needle-free injection system to evaluate the delivery of a 2.0 mL volume in human subjects. The results demonstrated that injections of up to 2.0 mL were well tolerated, and often preferred over two separate 1.0 mL injections using the needle-free injection system.