US3790665A - Injectable adjuvant,method of preparing same and compositions including such adjuvant - Google Patents

Injectable adjuvant,method of preparing same and compositions including such adjuvant Download PDF

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US3790665A
US3790665A US00222282A US3790665DA US3790665A US 3790665 A US3790665 A US 3790665A US 00222282 A US00222282 A US 00222282A US 3790665D A US3790665D A US 3790665DA US 3790665 A US3790665 A US 3790665A
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adjuvant
water
injectable
oil
carbopol
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A Carlson
M Glass
S Donahue
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HAVER LOCKHART LABOR Inc
HAVER LOCKHART LABOR INC US
Bayer Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/39Medicinal preparations containing antigens or antibodies characterised by the immunostimulating additives, e.g. chemical adjuvants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55516Proteins; Peptides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55555Liposomes; Vesicles, e.g. nanoparticles; Spheres, e.g. nanospheres; Polymers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55566Emulsions, e.g. Freund's adjuvant, MF59
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants
    • A61K2039/55583Polysaccharides

Definitions

  • a medicinal composition comprising an injectable active substance or agent combined with a novel adjuvant therefor capable of enhancing the effect of the agent.
  • the adjuvant in its preferred form includes a macromolecular synthetic resin complexing material such as an acrylic acid polymer cross-linked with a polyallyl saccharide, and an emulsion system therefor including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water in oil or oil in water emulsion carrier.
  • the adjuvant is useful with various medicinal agents including antigens, hot.- mones or drug and serums of the type which will complex with the synthetic resin material.
  • This invention relates to an adjuvant system for injectable medicinal compositions and is directed to the preparation and provision of an adjuvant which will increase the residual effectiveness of various types of medicinal agents without producing toxic or undesirable side effects such as lesions or indurations.
  • the adjuvant is especially useful with medicinal agents such as antigens, serums and other chemotherapeutic materials which contain N atoms.
  • the adjuvant has the unique property of undergoing relatively slow but substantially complete dissociation in the hosts tissues and at the same time causing the medicinal agent incorporated therewith to be released to the host substantially at the rate of dissociation and absorption of the adjuvant.
  • the adjuvant gives both a depot and a routing effect in combination. By virtue of the depot action, the rate at which the medicament is released is controlled and because of the routing effect, the agent is directed toward those areas of the host most favorable to its utilization.
  • the term adjuvant in this context is used to designate a substance that operates as a binder, carrier or suspending vehicle for immunogens and other medicinal agents alone or in combination, the function of which is to increase the effectiveness of the agent or the immunogenic response from an immieuxic agent by virtue of the retardation and slowing down of the absorption of such immunogens or medicinal agents into the hosts system while at the same time routing the agents to those areas where they are the most efficiently utilized. In this manner a significantly greater prophylatic or therapeutic activity is at tained.
  • the adjuvant should not only be capable of slow dispersion and absorption in the host but preferably should bind the immunogen or medicinal agent and release the active material to the host over an extended period as the adjuvant composition itself is absorbed and dissociated by the hosts system.
  • the term medicinal agen is employed in a broad sense and encompasses agents which are useful in the prevention, cure or alleviation of disease or the prevention of some physiological condition or occurrence such as pregnancy.
  • the adjuvant system is most useful with medicinal agents of the type which contain N atoms.
  • a number of carriers for the general purposes outlined have been proposed in the past, and have included, e.g., metallic oxides (i.e., aluminum hydroxide), alum, inorganic chelates of salts, gelatins, various paraffin-type oils, synthesized resins, alginates, mucoid and polysaccharide compounds, caseinates, and blood-derived substances such as fibrin clots. None of these materials have been found entirely satisfactory because in certain instances they have adverse effects on the host and in other cases have undesirable pharmaceutical properties.
  • the synthesized oils and petroleum derivatives may be particularly undesirable, in spite of relatively slow dispersion thereof in the body, inasmuch as they frequently are broken down into aromatic hydrocarbons, which may, in fact, be carcinogenic. Furthermore, these substances have been found to be capable of producing sterile abcesses and also may never be completely eliminated by the body.
  • the primary object of this invention to provide an adjuvant for injectable medicinal agents which is operable to significantly increase the residual effective ness of the medicinal agent in the composition without producing deleterious toxic, allergenic or antigenic responses.
  • Another important object of the invention is to provide an improved injectable adjuvant for medicinal agents which does not have the attendant detrimental effects associated with previously known adjuvants and exhibits sufii-cient depot action to retard release of the active ingredient while at the same time performing a routing function to direct the release medicament to sites in the hosts body where most effective use of the agent can take place.
  • a still further important object of the invention is to provide an injectable liquid substance having a medicinal agent therein of the type having N atoms and combined with an adjuvant therefor which is capable of increasing the residual effectiveness of the agent at least in part by virtue of the fact that the adjuvant includes a slowly utilizable macromolecular synthetic resin material capable of forming a complex with the medicinal agent at the N atoms thereon to tightly hold the agent and thereby only slowly release such agent in vivo substantially at the rate of dispersion and absorption of the complexing material.
  • an important object of the invention is to provide an adjuvant wherein is included an emulsion system for the synthetic resin complexing material which is not only capable of assuring complete dispersion of the material in the liquid portion of the injectable substance, but also serves a routing function to direct the released medicament to the most favorable sites for utilization thereof while at the same time being completely dispersible in and dissociatable by the hosts system.
  • an object of the invention is to provide an improved adjuvant especially useful in connection with protein and mucopolysaccharide immunogens by virtue of the utilization in the adjuvant formulation of a polymer of acrylic acid cross-linked with polyallyl sucrose and which is capable of complexing with the amine groups of an immunogen or other active agent having N atoms to cause the latter to be released to the host upon injection of the composition substantially at the rate of dispersion and dissociation of the resin material- Also an object of the invention is to provide an injectable medicinal composition wherein the concentration of the medicinal agent in the formulation may be varied as desired without requiring significant changes in the adjuvant to accommodate dilferent active agent concentrations.
  • a very important object of the invention is to provide an improved adjuvant for injectable medicinal compositions which not only controls the rate of release of the active agent at the site of injection but also functions to provide the effect of mobile depots of the medicinal agent or depots at sites other than the injection site, e.g., the cells of the macrophage and/or lympocyte series in the hosts system.
  • the improved adjuvant makes possible a potentiated antibody response of the hosts body to a single injection of an antigen.
  • Another important object of the invention is to provide an injectable immunological composition wherein the shelf stability and protection against high and low temperature extremes are increased by virtue of the utilization of a cross-linked acrylic acid-polyallyl saccharide polymer capable of forming a complex with the antigenic agent.
  • An incident of such complex formation is protection of the immunogen against deterioration caused by oxidizing or reducing agents, unfavorable temperature, or pH conditions and free radicals.
  • the adjuvant of the present invention is especially useful in connection with immunogens such as vaccines, injectable formulations of this type will be described first.
  • other medicinal agents may be incorporated with the novel adjuvant composition and superior potentiated results obtained.
  • the medicinal agent should be of the type having N atoms available for bonding to certain constituents of the adjuvant. Exemplary of these materials are hormones, antigens, serums and chemotherapeutics.
  • the adjuvant is made up of two major systems. It includes: (a) a macromolecular synthetic resin and complexing material having free carboxyl and hydroxyl sites capable of bonding with the medicinal agent at the N atoms thereon to hold the agent to the resin; and an emulsion system for the synthetic resin complexing material and capable of assuring relatively complete dispersion of the resin in the liquid portion of a final complete injectable composition.
  • an ingredient having amine groups which are capable of combining with the free carboxyl and hydroxyl groups which remain after combination of the resin with the medicinal agent may be included in the formulation if desired to limit the abiltiy of the resin to bond to the hosts tissues in those cases where the active agent has insufiicient N available to tie up substantially all of the available bonding sites of the resin phase.
  • the adjuvant comprises the combination of: Carbopol 9341, B. F. Goodrich Chemical Co., defined in the literature as a polymer of acrylic acid crosslinked with polyallyl sucrose; and an emulsifier containing either a nonionic or amphoteric, nontoxic surfactant or mixtures thereof in a Water in oil or oil in Water emulsion carrier. Admixture of the constituents under ambient conditions is the only procedure necessary to prepare the material.
  • Carbopol 934P is described in detail in US. Pat. No. 2,909,462 and although the polymer containing polyallyl sucrose is preferred, satsifactory results can also be obtained by using acrylic acid polymers cross-linked with other equivalent polysaccharides.
  • the letter P in Carbopol 934P is used to designate the pharmaceutical grade of the product. In certain formulations, Carbopol 941 gives somewhat better results and has a better overall appearance than Carbopol 934P.
  • the emulsion system used with the polymer described above should be either a nontoxic, nonionic or nontoxic, amphoteric surfactant, or mixtures thereof in an oil in water or water in oil emulsion carrier.
  • the nature of the emulsion carrier is somewhat dependent on the type or types of surfactants used. Variations of the proportions of the surfactant or surfactants is permissible but preferably should be chosen as to type and used in respective concentrations to give an HLB number within the range of about 3 to about 16. Where surfactants are used for dispersing oil in water, the final HLB number should be above 6. In the case where surfactants are used of the type for dispersing Water in oil, the final HLB number should be below 6.
  • Exemplary surfactants useful in carrying out the preferred concepts on this invention include nontoxic, noniom'c surfactants available from the Industrial Chemicals Department of Atlas Powder Company, Wilmington, Delaware, e.g. for oil in water emulsions: Tween 80 (polyoxethylene sorbitan monooleateHLB 15); Arlacel 80 (sorbitan monooleate-HLB 4.3); Tween 20 (polyoxethylene sorbitan monolaurate--HLB 16.7); Arlacel 20 (sorbitan monostearate-HLB 8.6); Myrj 45 (polyoxethylene stearate-HLB 11.1); Arlacel 40 (sorbitan monopa1mitateHLB 6.7); Myrj 53 (polyoxyethylene stearateHLB 17.9); Span 85 (sorbitan trioleateHLB 1.8); Myrj 52 (polyoxethylene stearate-HLB 16.9); Span 20 (sorbitan monolaurate-HLB 8.6); G-1790
  • Carbowax 154'0 polyethylene glycolsHLB aprox. 7
  • Pluronics 62 addition products of ethylene oxide to polypropylene glycolsHLB approx. 7; in the case of oil in water emulsions.
  • Miranol DS an amphotylic fatty acid derived combination of monocarboxylates, dicarboxylates and sulfonates-HLB approx. 7
  • the general formula of Miranol DS may be represented as:
  • Nontoxic, nonionic or amphoteric surfactants such as those listed above when used in oil in water, or water in oil emulsion carriers are chosen should be used in amounts which assure emulsion stability (2. minimum of three weeks), desirable pharmaceutical elegance, nontoxic (no discernible adverse reactions) and adjuvancy. It has been found that with the surfactants mentioned, these properties are obtained when the final HLB of the emulsifier system is within the noted range of about 3 to about 16.
  • cottonseed oil is the prfeerred oil for preparing the carrier
  • other nontoxic oils are also usable such as olive oil and peanut oil.
  • exemplary active immunogenic agents include Clostridium chauvoei; Clostridiu-m septicum; Erysipelothrix insidious; Leptospiria anterogens; streptoccus equi; Clostridium sordellia; Clostridium novyi; and Clostridium hemolyticum.
  • Toxoid antigens which can be combined with the adjuvant include Clostridium perfringens (Types C and D); and Clostridium tetani.
  • Viral type antigens include Encephalomyelitis (WEE and EEE); Foot Mouth Disease Virus (FMVD); Encephalomyelitis (WEE), Encephalomyelitis (BBB) and Clostridium tetani in combination; Bovine virus diarrhea (BVD); Infectious bovine rhinotracheaitis (IBR); Parainfiuenza (P1 and measles virus.
  • Usable serums include tetanus antiserum, and Clostridium perfringens (Types B, C and D) in serum form.
  • Adrenalin is one of a number of hormones which may be combined with the adjuvant system previously described.
  • EXAMPLE I 1-10 ml. emulsion system (oil-water-surfactants) 0.1 gm. Carbopol 934P 100 ml. q.s. distilled water (HLB approximately 12) Best results have been obtained using the following proportions of constituents in the adjuvant:
  • EXAMPLE II 1 ml. emulsion system (oil-water-surfactants) 0.2 gm. Carbopol 934P 100 ml. q.s. distilled Water
  • emulsion system oil-water-surfactants
  • Carbopol 934P 100 ml. q.s. distilled Water
  • the amount of adjuvant combined with the medicinal agent should be varied depending upon the characteristics of the particular product and whether or not a suspension is desired.
  • the final injectable composition will contain from 10% to by weight of an adjuvant preparation of the preferred relative proportions.
  • Sufiicient adjuvant should be added to cause a substantially homogeneous suspension to be formed which is not so viscous that it will not readily flow through standard size hollow needles (14 to 26 gauge).
  • Carbopol 934P is thought to have the property of forming chemical and/or physical bonds with protein and mucopolysaccharide antigens, as well as other compositions containing N atoms, holding them in a moderately viscous menstruum which slowly releases certain bound components under in vivo physiological condi tions. It is theorized that because of the high van der Waal cohesive forces and hydrogen bonding tendencies exhibited by Carbopol 934P toward most proteins, it forms loose hydrogen bonds as well as carboxyl bonds with compounds containing N atoms available for bond sites.
  • the Carbopol 934P provides a more stable antigenic complex which serves to decrease the rate of metabolic degradation of the antigenic complex by enzymes (lyotropic and proteolytic enzymes) by the leucocytes at the site of inoculation (e.g., polymorphonuclear neutrophils).
  • enzymes lyotropic and proteolytic enzymes
  • the leucocytes at the site of inoculation (e.g., polymorphonuclear neutrophils).
  • Immunological competent cells are then attracted to the site of the injection or mobile depots so that they can form antibodies in response to the antigenic stimulation.
  • Carbopol 934P antigenic complex is more accessible to lymphocytes and is more resistant to enzymation degration by neutrophils.
  • One of the biggest problems in immunology and essentially one of the basic functions of an adjuvant is to protect the antigen composition from rapid neutrophil deterioration.
  • the large molecules formed by the resin-antigen combination thus serve to protect the antigenic material from rapid enzymatic deterioration.
  • Carbopol 934P in powder form may be brought into aqueous suspension at pHs on the alkaline side of neutrality.
  • the viscosity increases manyfold when a pH of 8 is reached; but by using an emulsifier in the system it is possible to increase the concentration and aqueous stability of the adjuvant containing Carbopol 934P without causing gelation at pH levels of 7 to 8.
  • An increase in the pH of Carbopol 934P in aqueous suspension to pHs in the range of 7 to 8 not only causes the viscosity to increase but also probably results in the resin forming loose bonds with water.
  • an emulsifier such as the emulsion systems described makes it possible to dissolve more Carbopol 934P in aqueous solution without gelation than is the case when such emulsifier is omitted. This apparently causes a lower water binding tendency and it is possible therefore to increase the protein or amine load substantially above that of solutions just containing Carbopol 934P alone.
  • Carbopol 934P has some emulsion stabilizing properties. Thus, the hydrophile-lipophile balence does not appear to be as critical when Carbopol 934P is used.
  • An amine dye such as phenylenediamine may be used to trace the dispersion route of an adjuvant as disclosed herein, through the system of a host.
  • a small quantity of this dye (1 mg./ 1,000 ml.) was added to an adjuvant composition such as Example II.
  • the dye because of its amine sites, bonded tightly to the Carbopol 934P resin, allowing the total adjuvant menstruum to be traced after injection into the body. All injections were made subcutaneously and ten animals (mice) were used in the experiment. The phenylenediamine was slowly removed from the subcutaneous injection site in each animal as the days passed.
  • Carbopol 934? has some stabilizing eifect on proteins and it has now been found that it also stabilizes antigens. For example, it has been established that there was no loss in antigenic potency of a vaccine having a quantity of adjuvant of Example III therein when the product was stored at 37 C. for one month. This result is to be contrasted with the fact that antigens without protection deteriorate logarithmically under high temperature conditions.
  • Carbopol 934P to stabilize antigens is believed to occur in at least the following ways: (1) protection against kinetic energy (heat); (2) protection from free radicals; (3) protection from deterioration caused by water of crystallization of freezing; and (4) Carbopol 934P is believed to preclude or minimize antigenic deterioration due to oxidation and reduction.
  • Carbopol 934 has the property of protecting aqueous solutions from the free radical deterioration because of the way in which most free radicals are picked up by the resin itself thereby preserving and protecting other labile substances present in the menstruum. In most aqueous and saline solutions, normal room conditions cause micromolecular collisions of molecules which produce aging because of kinetic deterioration. When Carbopol 934P is added to a composition not only does the kinetic energy decrease in the system, but the substances which become bound to the resin are thereby protected by the large molecule attached thereto.
  • Carbopol 934P assists in the formation of a stable emulsion also serves to insure that the injectable product remains in a'truly homogeneous state and thus approximately equal amounts of the actual materials are distributed throughout each milliliter of the aqueous suspension.
  • vaccines containing the adjuvant of Example III do not freeze at temperatures as low as --30 C. It is generally thought that Carbopol 934P will freeze at about l0 F. but even so it does not actually freeze because in this particular case water is bound to the molecules of the resin.
  • Carbopol 934P also serves to stabilize the emulsion state of the adjuvant, and helps suspend any unbound antigen in the menstruum when used in the proper amounts, thus making a homogeneous preparation.
  • Carbopol 934P has the property of holding the antigen in the tissues longer than would normally be the case, thus creating a depot effect. This in itself provides an adjuvant eifect attributable to a potentiated reaction similar to that induced by small repeated doses of vaccine administered over a span of time.
  • Carbopol 934P also increases the viscosity of the injected vaccine, this in itself serves to slow the absorption rate of the antigen from the injection site, thereby producing an adjuvant effect by virtue of the fact that access of body fluids to the bound and unbound antigens contained within the innoculant is restricted.
  • Carbopol 934P provides high viscosity and adhesive characteristics with less irritation, providing it is properly loaded with antigens or other amine compounds than is the case with common parenterally injectable compositions, such as normal saline and distilled Water.
  • the combination of an emulsifier which Carbopol 9341 makes it possible to dissolve larger amounts of resin in the menstruum than would otherwise be the case, thereby making the total process of producing the adjuvant easier and faster.
  • the increased amount of resin made soluble by use of the emulsifier makes it possible to load more antigen into the preparation and also to increase the viscosity to levels that allow more thorough suspension of any surplus (unbound) antigen, as well as the necessary electrostatic tension to provide a good holding agent in the tissues.
  • the emulsifier of Example III has a sensitive hydrophile-lipophile balance (HLB) of 12. This balance provides the necessary emulsion stability with a high level of homogeneity for large polymer molecules such as Carbopol 934P.
  • the emulsifier combination disclosed herein consist of nonionic or amphoteric emulsifiers. Because of this, as well as because of the small quantity of these nonionic or amphoteric surfactants utilized in the total menstruum, there is very little, if any, tissues damage due to ion imbalance in the tissue. Also, very little oil is required in the adjuvant and this also minimizes any sterile abcesses that might be produced. In addition, the recommended oils are relatively readily metabolized by the host. Thus, Carbopol 934P and the N atom containing compound (e.g., antigen, gelatin, collagen and/or other N containing compound) which forms a depot effect, represent one phase of the adjuvant.
  • N atom containing compound e.g., antigen, gelatin, collagen and/or other N containing compound
  • Another phase is represented by the emulsified nature of the adjuvant which routes the antigen, when released, to the lymphatic immune system.
  • the result is a two-phase adjuvant: 1) depot; and (2) dispersion to the lymphatic system.
  • an emulsifier to Carbopol 93 4P makes possible the raising of the total menstruum to pH 7.0 or above without gelation which facilitates injection.
  • carboxyl-hydroxyl groups can be neutralized by chemical bonding with amine groups of various chemical compounds such as: 1) protein antigens; (2) collagen (preferably reconstituted); (3) gelatin; (4) basic amino acids; (5) epinephrine or other catecholamines; (6) peptides; (7) synthetic amines or polyamines; or (8) peptide (amino-group-containing) antibiotics such as penicillin, neomycin sulfate, polymixin B sulfate and streptomycin.
  • amine groups of various chemical compounds such as: 1) protein antigens; (2) collagen (preferably reconstituted); (3) gelatin; (4) basic amino acids; (5) epinephrine or other catecholamines; (6) peptides; (7) synthetic amines or polyamines; or (8) peptide (amino-group-containing) antibiotics such as penicillin, neomycin sulfate, polymixin B sulfate and streptomycin.
  • sufiicient amine-containing substances as noted above may be added to neutralize most of the free hydroxyl or carboxyl groups.
  • the selected compound or material depends upon the nature of the final product. For example, reconstituted collagen is ideally suited in many cases where the injection is to be made subcutaneously since it is a natural relatively nonantigenic substance at this subcutaneous site and there- 10 fore tends to bond to the natural collagen, thus adding to the adjuvant effect by mechanically interfering with the dispersion of the antigen.
  • Purified or reconstituted collagen is an essentially nonallergenic protein since it does not contain significant amounts of tryptophane nor tyrosine; hence, it does not cause significant tissue reactions. Furthermore, reconstituted collagen does not stimulate a significant secondary antigenic response which would compete with that of the antigen.
  • Example II set forth operable emulsion systems for use in the present adjuvant within the range specified in Example II and give outstanding emulsion stability, pharmaceutical elegance and adjuvancy without deleterious toxicity.
  • Example IV hereunder representative surfactant combinations are set forth for oil in water emulsions.
  • EXAMPLE VI I. Conduct of in vivo titration experiment A. Methods and Materials 1. Antigen-Western equine encephalomyelitis virus was propagated, conventional procedures.
  • Emulsifiers Both oil in water and water in oil emulsifiers were prepared using surfactants of the non-ionic and arnphoteric types as specifically identified in the table of this example.
  • Adjuvants were prepared using various emulsifiers and Carbopol 934P with concentrations of 1.0% on a volume basis and 0.2 gm. percent basis respectively.
  • Vaccine-adjuvant preparation Inactivated western equine encephalomyelitis viris antigen with a titer of 10 per ml. was added to each adjuvant preparation in ratios of 90:10, 75:25, 50:50 v./v.
  • Vaccination schedule 1-13 gram female mice were used for vaccination and each set of preparations were studied singularly. Thirty mice per dilution (90 mice total) were vaccinated on day 1 using 0.25 ml. dose administered subcutaneously in the rear flank. These animals were boostered in a similar manner on day 28. On day 35 these mice and a set of nonvaccinated controls were challenged as follows:
  • Challenge-Live WEE virus CWEE-B'G 3/3/71 was prepared and stored at -80 C. in 5 ml. aliquots. One vial of this material was unfrozen for each set of mice to be challenged. Half log dilutions from 4.5 to 10-6.5 were made in sterile PBS.
  • mice were anesthetized with ether. Challenge consisted of 0.03 ml. administered intracerebrally.
  • NI neutralization index
  • Hernagglutination inhibition test A. Methods and Materials 1.
  • Vaccine The vaccine preparations with adjuvants used in this experiment were the same as those used in the previous test.
  • mice Animals-1 1-13 gram female mice were used for vaccination. Control mice Weighed 18-20 grams.
  • mice per dilution were vaccinated on day 1 using .25 ml. dose administered subcutaneously in the rear flank. These animals were boostered on day 28 in the same fashion. On day 35 these mice were bled from the heart. Equal amounts of serum from each of the mice in the set was pooled for the hemagglutination inhibition test; these samples were stored at 4 C. until the day of the test.
  • Standard microtiter method was employed using the previously mentioned sera, antigen, diluent (BABS), and goose cells.
  • the goose cells were further diluted in pH 6.4 veranol acid dextrose (VAD), 1 part 8% goose cells and 23 parts VAD.
  • VAD veranol acid dextrose
  • Final dilutions were: 1:10, 1:20, 1:40, 1:80, 1:160, 1:320, 1:640, and seriu-rn control.
  • the vaccine without adjuvant afforded little protection in vivo and gave a negative HAI.
  • the adjuvant-vaccine preparations elicited various amounts of increased antibody titer as indicated in the table.
  • Clostridium chauvoei septicum bacterin 1 Preparation of bacteria Several known antigenic strains of the species above were grown and inactivated according to conventional standard procedures. 2. Preparation of experimental bacterins Six experimental bacterins were prepared as follows from a production batch:
  • guinea pigs 350 to 450-gram guinea pigs were used in the test, divided into 16 groups of guinea pigs each. Two of the groups of 5 guinea pigs each were set aside as controls. Each sub-lot was broken down into two groups of 5 guinea pigs each. Each group of guinea pigs (except controls) was then inoculated subcutaneously with 0.25 cc. and 0.5 cc. (each sublot contained one group which received 0.25 cc. and one group that received 0.5 cc.) bacterin. Seven days later, all principals received a booster inoculation. Fourteen days later all principals and controls received a 10LD dose of standard Clostridium chauvoei F spore.
  • Sub-lots B and C were made from unconcentrated material, and sublot F was concentrated 50% with alum.
  • Clostridium perfringens type C toxoid' 1. Preparation of toxoid Clostridium perfringens type C was grown and inactivated according to conventional production procedures. The cells were removed by centrifugation and the supernate was filtered through a sterilizing bacteriological filter. 2. Preparation of experimental toxoid 15 liters of toxoid was divided into five 3-liter batches and treated in the following manner:
  • Lot Sub- N 0. lot Description 2. A 3 liters of 0" toxoid containing 10% adjuvant HL.”
  • Leptospira Icterohemorrhagiue canicola bacterin Percent 1.
  • Leptospira icterohemorrhagiae canicola bacterin 50 Adjuvant HL 50 2.
  • Leptospira icterohemorrhagiae canicola bacterin 50 Aluminum hydroxide 10 Saline 40 The test was a comparison of the antibody (agglutinins) response in guinea pigs of these two experimental bacterins.
  • guinea pigs were used for each of the preparations. The dose per animal was 1.0 ml. injected subcutaneously. Preinoculation sera were negative.
  • Carbopol 934P titration with Epinephrine Equal amounts of Carbopol 934P and Epinephrine, both at 1:1000 strength were combined and 0.15 cc. doses injected into the ears of rabbits close to the posterior auricular vein. -It was found that the Carbopol 934P bound the Epinephrine, but released it after three hours and continued releasing the material for about 24 hours. Measurement was made by counting the branches of the central artery visible when a light was placed behind the Massachusetts eastern equine encephalomyelitis and Rockefeller western equine encephalomyelitis.
  • the pH of the solution is preferably brought to substantially 7.0 by addition of sodium hydroxide thereto if necessary since the complexing resin gives a pH of about 4.
  • a liquid injectable antigenic antibody producing immunogen composition comprising:
  • an adjuvant for said antigenic antibody producing immunogen substance to increase the residual eflectiveness thereof said adjuvant including a polymer of acrylic acid cross-linked with polyallyl sucrose, an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water and oil emulsion carrier comprised of about 40% or 50% each of water and nontoxic vegetable oil,
  • said nonionic surfactant is selected from the group consisting of sorbitan monooleate, polyoxyethylene sorbitan monooleate, sorbitan monolaurate, polyoxyethylene stearate, sorbitan monopalmitate, sorbitan moonstearate,
  • amphoteric surfactant is an ampholytic, fatty acid derived surfactant capable of dispersing oil in water.
  • An injectable antigenic composition as set forth in claim 21 wherein for each one part by volume of said emulsion system, there is provided 0.2 gram percent weight to volume of said polymer and 20 parts by volume of reconstituted collagen.
  • a liquid adjuvant for constitution with water to an injectable antigenic composition comprising the combination with an injectable antigen of:
  • a polymer of acrylic acid cross-linked with polyallyl sucrose an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a nontoxic vegetable oil for constitution with water to form a water and oil emulsion carrier,
  • amphoteric surfactant comprises an ampholytic, fatty acid derived surfactant capable of dispersing oil in water.
  • a process for producing antibodies in the body of a mammal at a controlled rate comprising injecting into the mammal a quantity of a liquid antigenic composition including:
  • an adjuvant for said antibody producing antigenic immunogen including a polymer of acrylic acid cross-linked with polyallyl sucrose, an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water and oil emulsion carrier comprised of about 40% or 50% each of water and nontoxic vegetable oil, there being from about 0.1 to 1 gram percent weight to volume of said polymer and from about 1 to volume to volume of said emulsion system in the adjuvant.
  • a process for producing antibodies in the body of a mammal by injecting therein an injectable antibody producing antigenic immunogen substance as set forth in 24 claim 38 wherein is provided for about 10% to about of said adjuvant with respect to the substance on a volume to volume basis.
  • a process for producing antibodies in the body of a mammal by injecting therein an injectable antibody producing antigenic immunogen substance as set forth in claim 38 wherein is provided about 25% of said adjuvant with respect to the substance on a volume to volume basis.

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Abstract

A MEDICINAL COMPOSITION COMPRISING AN INJECTABLE ACTIVE SUBSTANCE OR AGGENT COMBINED WITH A NOVEL ADJUVANT THEREFOR CAPABLE OF ENHANCING THE EFFECT OF THE AGENT, THE ADJUVANT IN ITS PREFERRED FORM INCLUDES A MACROMOLECULAR SYNTHETIC RESIN COMPLEXING MATERIAL SUCH AS AN ACRYLIC ACID POLYMER CROSS-LINKED WITH A POLYALLYL SACCHARIDE, AND AN EMULSION SYSTEM THEREFOR INCLUDING A SURFACTANT SELECTED FROM THE GROUP CONSISTING OF NONIONIC AND AMPHOTERIC NONTOXIC SURFACTANTS, AND A WATER IN OIL OR OIL IN WATER EMULSION CARRIER. THE ADJUVANT IS USEFUL WITH VARIOUS MEDICAL AGENTS INCLUDING ANTIGENS, HORMONES OR DRUG AND SERUMS OF THE TYPE WHICH WILL COMPLEX WITH THE SYNTHETIC RESIN MATERIAL.

Description

United States Patent flice 3,790,665 Patented Feb. 5, 1974 U.S. Cl. 42481 40 Claims ABSTRACT OF THE DISCLOSURE A medicinal composition comprising an injectable active substance or agent combined with a novel adjuvant therefor capable of enhancing the effect of the agent. The adjuvant in its preferred form includes a macromolecular synthetic resin complexing material such as an acrylic acid polymer cross-linked with a polyallyl saccharide, and an emulsion system therefor including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water in oil or oil in water emulsion carrier. The adjuvant is useful with various medicinal agents including antigens, hot.- mones or drug and serums of the type which will complex with the synthetic resin material.
CROSS REFERENCE This is a continuation-in-part of our copending application Ser. No. 707,671, filed Feb. 23, 1968, now U.S. Pat. No. 3,639,577, granted Feb. 1, 1972 and entitled Injectable Adjuvant, Method of Preparing Same and Compositions Including Such Adjuvant.
This invention relates to an adjuvant system for injectable medicinal compositions and is directed to the preparation and provision of an adjuvant which will increase the residual effectiveness of various types of medicinal agents without producing toxic or undesirable side effects such as lesions or indurations. The adjuvant is especially useful with medicinal agents such as antigens, serums and other chemotherapeutic materials which contain N atoms.
The adjuvant has the unique property of undergoing relatively slow but substantially complete dissociation in the hosts tissues and at the same time causing the medicinal agent incorporated therewith to be released to the host substantially at the rate of dissociation and absorption of the adjuvant. Although the manner in which the adjuvant functions in vivo is not fully understood, it is believed that the adjuvant gives both a depot and a routing effect in combination. By virtue of the depot action, the rate at which the medicament is released is controlled and because of the routing effect, the agent is directed toward those areas of the host most favorable to its utilization.
It has long been known that the eifectiveuess of some injectable medicinal agents, and particularly materials such as immunogens, may be significantly increased when the agent is combined with an adjuvant which is capable of retarding the rate of release of active agent to the hosts system. In this way an effect is obtained which is comparable to the administration of many small doses injected periodically at regular intervals. Thus, the term adjuvant in this context is used to designate a substance that operates as a binder, carrier or suspending vehicle for immunogens and other medicinal agents alone or in combination, the function of which is to increase the effectiveness of the agent or the immunogenic response from an immungenic agent by virtue of the retardation and slowing down of the absorption of such immunogens or medicinal agents into the hosts system while at the same time routing the agents to those areas where they are the most efficiently utilized. In this manner a significantly greater prophylatic or therapeutic activity is at tained.
In the selection of such an adjavant many factors must be taken into consideration to insure a retarded rate of release in the most efiicient manner with minimum toxic, allergenic, and irritating or other undesirable effects imposed on the host. Thus, the adjuvant should not only be capable of slow dispersion and absorption in the host but preferably should bind the immunogen or medicinal agent and release the active material to the host over an extended period as the adjuvant composition itself is absorbed and dissociated by the hosts system. As used herein, the term medicinal agen is employed in a broad sense and encompasses agents which are useful in the prevention, cure or alleviation of disease or the prevention of some physiological condition or occurrence such as pregnancy. As will be explained, the adjuvant system is most useful with medicinal agents of the type which contain N atoms.
A number of carriers for the general purposes outlined have been proposed in the past, and have included, e.g., metallic oxides (i.e., aluminum hydroxide), alum, inorganic chelates of salts, gelatins, various paraffin-type oils, synthesized resins, alginates, mucoid and polysaccharide compounds, caseinates, and blood-derived substances such as fibrin clots. None of these materials have been found entirely satisfactory because in certain instances they have adverse effects on the host and in other cases have undesirable pharmaceutical properties.
Alum, the metallic oxides and chelates of salts have been associated with the production of sterile abcesses. Other researchers have claimed that it is doubltful if such chemicals are ever completely removed from the body through the hosts natural processes, thus leaving an inorganic debris as a residuum. Moreover, while these salts and oxides appear to be low in toxicity, there exists the possibility that they may be phagocytized by the cells of the reticuloendothelial system (littoral cells and sinusoidal cells of the liver and spleen) as part of the insoluble debris. There is evidence that such debris may be physically harmful to the various filter mechanisms of the body, e.g., the liver, spleen and kidneys.
The synthesized oils and petroleum derivatives may be particularly undesirable, in spite of relatively slow dispersion thereof in the body, inasmuch as they frequently are broken down into aromatic hydrocarbons, which may, in fact, be carcinogenic. Furthermore, these substances have been found to be capable of producing sterile abcesses and also may never be completely eliminated by the body.
With respect to fully denatured animal-derived substances, such as gelatin, the primary objection thereto is not the deleterious effect of the substance on its host, but rather that dispersion of the gelatin from the site of injection throughout the body of the host may be too rapid to qualify as an efiicient absorption retarding vehicle; hence a poor adjuvant. Thus, whenever gelatin is used as a carrier, the gelatin is usually pretreated with tannning agents or other inorganic compounds to retard rapid dispersion of the material throughout the body. These supplements may prove deleterious. The fate of such materials in the body of the host is not completely understood but the possibility exists that the formation of insoluble debris can result. Finally, with substances such as gelatin, which have a tendency to swell when introduced parenterally, under in vivo conditions, unpleasant mechanical side effects including discomfort and swelling may be produced.
Because blood-derived fibrin substances have been found to elicit immune responses in the body of the host, use of such substances as adjuvants is undesirable because of immunogenic dangers. It is common knowledge that certain similarities exist in the fibrins, fibrinogens and thrombins derived from various species of animals thereby increasing the likelihood of immune or allergenic response when such materials are used. Although a few of the above described vehicles have been previously used or suggested as adjuvants, in part at least because of their attributes of relatively slow dispersion from the site of injection, they possess characteristics which make for poor control of their rate of intrahost dispersion.
In our copending application there is broadly disclosed an adjuvant, method of preparing the same and compositions including such adjuvant. However, the claims of such application are limited to the working example disclosed. The purpose of the present application is to dis close additional working examples of the invention to support broader claims and to delineate the full scope of the present discovery.
It is, therefore, the primary object of this invention to provide an adjuvant for injectable medicinal agents which is operable to significantly increase the residual effective ness of the medicinal agent in the composition without producing deleterious toxic, allergenic or antigenic responses.
Another important object of the invention is to provide an improved injectable adjuvant for medicinal agents which does not have the attendant detrimental effects associated with previously known adjuvants and exhibits sufii-cient depot action to retard release of the active ingredient while at the same time performing a routing function to direct the release medicament to sites in the hosts body where most effective use of the agent can take place.
A still further important object of the invention is to provide an injectable liquid substance having a medicinal agent therein of the type having N atoms and combined with an adjuvant therefor which is capable of increasing the residual effectiveness of the agent at least in part by virtue of the fact that the adjuvant includes a slowly utilizable macromolecular synthetic resin material capable of forming a complex with the medicinal agent at the N atoms thereon to tightly hold the agent and thereby only slowly release such agent in vivo substantially at the rate of dispersion and absorption of the complexing material.
Also an important object of the invention is to provide an adjuvant wherein is included an emulsion system for the synthetic resin complexing material which is not only capable of assuring complete dispersion of the material in the liquid portion of the injectable substance, but also serves a routing function to direct the released medicament to the most favorable sites for utilization thereof while at the same time being completely dispersible in and dissociatable by the hosts system.
It is also an important object of the invention to provide an adjuvant including a synthetic resin complexing material as described wherein an ingredient may be included having amine groups reactable with remaining free hydroxyl and carboxyl groups on the complexing material to thus limit the ability of the material to bond to the hosts tissues and thereby avoid any tendency for the resin to cause the formation of lesions and indurations at the area of injection.
Also an object of the invention is to provide an improved adjuvant especially useful in connection with protein and mucopolysaccharide immunogens by virtue of the utilization in the adjuvant formulation of a polymer of acrylic acid cross-linked with polyallyl sucrose and which is capable of complexing with the amine groups of an immunogen or other active agent having N atoms to cause the latter to be released to the host upon injection of the composition substantially at the rate of dispersion and dissociation of the resin material- Also an object of the invention is to provide an injectable medicinal composition wherein the concentration of the medicinal agent in the formulation may be varied as desired without requiring significant changes in the adjuvant to accommodate dilferent active agent concentrations.
A very important object of the invention is to provide an improved adjuvant for injectable medicinal compositions which not only controls the rate of release of the active agent at the site of injection but also functions to provide the effect of mobile depots of the medicinal agent or depots at sites other than the injection site, e.g., the cells of the macrophage and/or lympocyte series in the hosts system. In addition, it is an object to provide an adjuvant as described wherein depot action is provided at the injection site by the viscosity of the adjuvant formulation. Thus, with an immunogen, the improved adjuvant makes possible a potentiated antibody response of the hosts body to a single injection of an antigen.
Another important object of the invention is to provide an injectable immunological composition wherein the shelf stability and protection against high and low temperature extremes are increased by virtue of the utilization of a cross-linked acrylic acid-polyallyl saccharide polymer capable of forming a complex with the antigenic agent. An incident of such complex formation is protection of the immunogen against deterioration caused by oxidizing or reducing agents, unfavorable temperature, or pH conditions and free radicals.
Since the adjuvant of the present invention is especially useful in connection with immunogens such as vaccines, injectable formulations of this type will be described first. However, as will be made clear, other medicinal agents may be incorporated with the novel adjuvant composition and superior potentiated results obtained. However, for best performance, the medicinal agent should be of the type having N atoms available for bonding to certain constituents of the adjuvant. Exemplary of these materials are hormones, antigens, serums and chemotherapeutics.
The adjuvant is made up of two major systems. It includes: (a) a macromolecular synthetic resin and complexing material having free carboxyl and hydroxyl sites capable of bonding with the medicinal agent at the N atoms thereon to hold the agent to the resin; and an emulsion system for the synthetic resin complexing material and capable of assuring relatively complete dispersion of the resin in the liquid portion of a final complete injectable composition. Alternatively, an ingredient having amine groups which are capable of combining with the free carboxyl and hydroxyl groups which remain after combination of the resin with the medicinal agent may be included in the formulation if desired to limit the abiltiy of the resin to bond to the hosts tissues in those cases where the active agent has insufiicient N available to tie up substantially all of the available bonding sites of the resin phase.
In its preferred form, the adjuvant comprises the combination of: Carbopol 9341, B. F. Goodrich Chemical Co., defined in the literature as a polymer of acrylic acid crosslinked with polyallyl sucrose; and an emulsifier containing either a nonionic or amphoteric, nontoxic surfactant or mixtures thereof in a Water in oil or oil in Water emulsion carrier. Admixture of the constituents under ambient conditions is the only procedure necessary to prepare the material.
Carbopol 934P is described in detail in US. Pat. No. 2,909,462 and although the polymer containing polyallyl sucrose is preferred, satsifactory results can also be obtained by using acrylic acid polymers cross-linked with other equivalent polysaccharides. The letter P in Carbopol 934P is used to designate the pharmaceutical grade of the product. In certain formulations, Carbopol 941 gives somewhat better results and has a better overall appearance than Carbopol 934P. However, it is necessary to rather carefully determine that the free hydroxyl and carboxyl sites of the material have been loaded with N atoms, either from the active agent or an N atom containing additive, than is the case with Carbopol 934P to more effectively assure that irritation of the hosts tissue at the injection site is avoided.
The emulsion system used with the polymer described above should be either a nontoxic, nonionic or nontoxic, amphoteric surfactant, or mixtures thereof in an oil in water or water in oil emulsion carrier. The nature of the emulsion carrier is somewhat dependent on the type or types of surfactants used. Variations of the proportions of the surfactant or surfactants is permissible but preferably should be chosen as to type and used in respective concentrations to give an HLB number within the range of about 3 to about 16. Where surfactants are used for dispersing oil in water, the final HLB number should be above 6. In the case where surfactants are used of the type for dispersing Water in oil, the final HLB number should be below 6.
Exemplary surfactants useful in carrying out the preferred concepts on this invention include nontoxic, noniom'c surfactants available from the Industrial Chemicals Department of Atlas Powder Company, Wilmington, Delaware, e.g. for oil in water emulsions: Tween 80 (polyoxethylene sorbitan monooleateHLB 15); Arlacel 80 (sorbitan monooleate-HLB 4.3); Tween 20 (polyoxethylene sorbitan monolaurate--HLB 16.7); Arlacel 20 (sorbitan monostearate-HLB 8.6); Myrj 45 (polyoxethylene stearate-HLB 11.1); Arlacel 40 (sorbitan monopa1mitateHLB 6.7); Myrj 53 (polyoxyethylene stearateHLB 17.9); Span 85 (sorbitan trioleateHLB 1.8); Myrj 52 (polyoxethylene stearate-HLB 16.9); Span 20 (sorbitan monolaurate-HLB 8.6); G-1790 (polyoxyethylene lanolin derivatives-HLB 11); G-1471 (polyoxyethylene sorbitol lanolin derivatives HLB 16); G-144l (polyoxyethylene sorbitol lanolin derivatives HLB 14); Span 80 (sorbitan monoleate-HLB 4.3); G-1471 (polyoxyethylene sorbitol lanolin derivatives- HLB 16); G-1702 (polyoxyethylene sorbitol beeswax derivativesHLB 5); Tween 81 (polyoxyethylene sorbitan monooleate-HLB G-1726 (polyoxyethylene sorbitol beeswax derivativesHLB 5 Brij 30 (polyoxyethylene lauryl ethers--HLB 9.5); Brij 35 (polyoxyethylene lauryl ethers-HLB 16.9); and for water in oil emulsions, Span 80; Arlacel 85 (sorbitan sesquioleate-HLB 3.7); Tween 61 (polyoxyethylene sorbitan monostearate-HLB 9.6); Arlacel 83 (sorbitan sesquioleate-HLB 3.7); and Span 85. Union Carbide and Carbon Corporation, New York, New York, nontoxic, nonionic Carbowax and Pluronics surfactants can likewise be used, with particularly good results being obtained from Carbowax 154'0 (polyethylene glycolsHLB aprox. 7) where it is desired to employ either an oil in water or a water in oil emulsion carrier, and Pluronics 62 (addition products of ethylene oxide to polypropylene glycolsHLB approx. 7); in the case of oil in water emulsions. An especially useful amphoteric surfactant for an oil in water emulsion carrier has been found to be Miranol DS (an amphotylic fatty acid derived combination of monocarboxylates, dicarboxylates and sulfonates-HLB approx. 7). The general formula of Miranol DS may be represented as:
, Nontoxic, nonionic or amphoteric surfactants such as those listed above when used in oil in water, or water in oil emulsion carriers are chosen should be used in amounts which assure emulsion stability (2. minimum of three weeks), desirable pharmaceutical elegance, nontoxic (no discernible adverse reactions) and adjuvancy. It has been found that with the surfactants mentioned, these properties are obtained when the final HLB of the emulsifier system is within the noted range of about 3 to about 16.
Although cottonseed oil is the prfeerred oil for preparing the carrier, other nontoxic oils are also usable such as olive oil and peanut oil.
Many types of medicinal agents may be incorporated with the adjuvant of this invention. In the antigen category, exemplary active immunogenic agents include Clostridium chauvoei; Clostridiu-m septicum; Erysipelothrix insidious; Leptospiria anterogens; streptoccus equi; Clostridium sordellia; Clostridium novyi; and Clostridium hemolyticum. Toxoid antigens which can be combined with the adjuvant include Clostridium perfringens (Types C and D); and Clostridium tetani. Viral type antigens include Encephalomyelitis (WEE and EEE); Foot Mouth Disease Virus (FMVD); Encephalomyelitis (WEE), Encephalomyelitis (BBB) and Clostridium tetani in combination; Bovine virus diarrhea (BVD); Infectious bovine rhinotracheaitis (IBR); Parainfiuenza (P1 and measles virus. Usable serums include tetanus antiserum, and Clostridium perfringens (Types B, C and D) in serum form. Adrenalin is one of a number of hormones which may be combined with the adjuvant system previously described.
The preferred ranges of the constituents of the adjuvauts are as follows:
EXAMPLE I 1-10 ml. emulsion system (oil-water-surfactants) 0.1 gm. Carbopol 934P 100 ml. q.s. distilled water (HLB approximately 12) Best results have been obtained using the following proportions of constituents in the adjuvant:
EXAMPLE II 1 ml. emulsion system (oil-water-surfactants) 0.2 gm. Carbopol 934P 100 ml. q.s. distilled Water One particularly useful adjuvant and which is claimed in application Ser. No. 707,671 referred to above contains:
EXAMPLE III Adjuvant "HL 2.5 ml. polyoxyethylene sorbitan monooleate (Tween 80, Atlas Powder Co.)
2.5 ml. sorbitan monolaurate (Span 20, Atlas Powder 50 m1. cottonsesed oil 100 ml. q.s. distilled water (HLB approximately 12) Variation of the proportions of the emulsion system is permissible within limits. However, in the emulsifier system of Example III the HLB factor preferably should be maintained within the range of about 11.2 to approximately 12. This is the formulation used in Examples 1 to 5 set forth hereinafter.
The amount of adjuvant combined with the medicinal agent should be varied depending upon the characteristics of the particular product and whether or not a suspension is desired. Generally, the final injectable composition will contain from 10% to by weight of an adjuvant preparation of the preferred relative proportions. Sufiicient adjuvant should be added to cause a substantially homogeneous suspension to be formed which is not so viscous that it will not readily flow through standard size hollow needles (14 to 26 gauge).
Carbopol 934P is thought to have the property of forming chemical and/or physical bonds with protein and mucopolysaccharide antigens, as well as other compositions containing N atoms, holding them in a moderately viscous menstruum which slowly releases certain bound components under in vivo physiological condi tions. It is theorized that because of the high van der Waal cohesive forces and hydrogen bonding tendencies exhibited by Carbopol 934P toward most proteins, it forms loose hydrogen bonds as well as carboxyl bonds with compounds containing N atoms available for bond sites. Thus, for example, in the case of immunogenic compositions, the Carbopol 934P provides a more stable antigenic complex which serves to decrease the rate of metabolic degradation of the antigenic complex by enzymes (lyotropic and proteolytic enzymes) by the leucocytes at the site of inoculation (e.g., polymorphonuclear neutrophils). Immunological competent cells are then attracted to the site of the injection or mobile depots so that they can form antibodies in response to the antigenic stimulation.
It is believed that the Carbopol 934P antigenic complex is more accessible to lymphocytes and is more resistant to enzymation degration by neutrophils. One of the biggest problems in immunology and essentially one of the basic functions of an adjuvant is to protect the antigen composition from rapid neutrophil deterioration. The large molecules formed by the resin-antigen combination thus serve to protect the antigenic material from rapid enzymatic deterioration.
Normally, only small amounts of Carbopol 934P in powder form may be brought into aqueous suspension at pHs on the alkaline side of neutrality. The viscosity increases manyfold when a pH of 8 is reached; but by using an emulsifier in the system it is possible to increase the concentration and aqueous stability of the adjuvant containing Carbopol 934P without causing gelation at pH levels of 7 to 8. An increase in the pH of Carbopol 934P in aqueous suspension to pHs in the range of 7 to 8 not only causes the viscosity to increase but also probably results in the resin forming loose bonds with water. This holds the Carbopol 934P in suspension and increases the electrostatic tension of the colloidal suspension to the point where its viscosity substantially increases. Additions of proteins or organic molecules to Carbopol 934P during this time causes the viscosity to drop. It is likely that organic molecules such as proteins and amines have a higher binding coeflicient to the free bonding sites of the resin than does water. Water is, therefore, pushed out and the viscosity of the total menstruum is lowered.
Use of an emulsifier such as the emulsion systems described makes it possible to dissolve more Carbopol 934P in aqueous solution without gelation than is the case when such emulsifier is omitted. This apparently causes a lower water binding tendency and it is possible therefore to increase the protein or amine load substantially above that of solutions just containing Carbopol 934P alone. Carbopol 934P has some emulsion stabilizing properties. Thus, the hydrophile-lipophile balence does not appear to be as critical when Carbopol 934P is used.
An amine dye such as phenylenediamine may be used to trace the dispersion route of an adjuvant as disclosed herein, through the system of a host. In one such test, a small quantity of this dye (1 mg./ 1,000 ml.) was added to an adjuvant composition such as Example II. The dye, because of its amine sites, bonded tightly to the Carbopol 934P resin, allowing the total adjuvant menstruum to be traced after injection into the body. All injections were made subcutaneously and ten animals (mice) were used in the experiment. The phenylenediamine was slowly removed from the subcutaneous injection site in each animal as the days passed. By the seventh day following inoculation, less than one-third of the material could be found at the site of injection. The kidneys, liver and spleen of one of the test animals were removed and no dye was detected in these organs. By the fourteenth day, no dye that could be visually observed was present in any of the animals. This experiment shows that an amine dye having approximately the same bond potential for Carbopol 934? as proteinaceous antigens, is held by the synthetic resin and slowly released from the Carbopol 934P bond. The mechanism of this release is not fully understood but probably is attributable not only to a raise in pH (alkalinity of the tissues) and uncoupling by enzyme action, but also degradation by the tissues of the body to cause the bound dye to be slowly given up to the animals system.
It has previously been suggested that Carbopol 934? has some stabilizing eifect on proteins and it has now been found that it also stabilizes antigens. For example, it has been established that there was no loss in antigenic potency of a vaccine having a quantity of adjuvant of Example III therein when the product was stored at 37 C. for one month. This result is to be contrasted with the fact that antigens without protection deteriorate logarithmically under high temperature conditions. The ability of Carbopol 934P to stabilize antigens is believed to occur in at least the following ways: (1) protection against kinetic energy (heat); (2) protection from free radicals; (3) protection from deterioration caused by water of crystallization of freezing; and (4) Carbopol 934P is believed to preclude or minimize antigenic deterioration due to oxidation and reduction.
Carbopol 934? has the property of protecting aqueous solutions from the free radical deterioration because of the way in which most free radicals are picked up by the resin itself thereby preserving and protecting other labile substances present in the menstruum. In most aqueous and saline solutions, normal room conditions cause micromolecular collisions of molecules which produce aging because of kinetic deterioration. When Carbopol 934P is added to a composition not only does the kinetic energy decrease in the system, but the substances which become bound to the resin are thereby protected by the large molecule attached thereto. In the case of antigens and other substances, the fact that Carbopol 934P assists in the formation of a stable emulsion also serves to insure that the injectable product remains in a'truly homogeneous state and thus approximately equal amounts of the actual materials are distributed throughout each milliliter of the aqueous suspension. Insofar as protection against freezing is concerned, it has been determined that vaccines containing the adjuvant of Example III do not freeze at temperatures as low as --30 C. It is generally thought that Carbopol 934P will freeze at about l0 F. but even so it does not actually freeze because in this particular case water is bound to the molecules of the resin. It is known that bound water has dilficulty in forming crystals and that actual crystal formation is necessary prior to what is designated mechanical freezing. In the present system most of the water is tied up with the resin and mechanical freezing, which is the major deteriorative force at low temperatures on antigens, is avoided. Carbopol 934P also serves to stabilize the emulsion state of the adjuvant, and helps suspend any unbound antigen in the menstruum when used in the proper amounts, thus making a homogeneous preparation. In addition, Carbopol 934P has the property of holding the antigen in the tissues longer than would normally be the case, thus creating a depot effect. This in itself provides an adjuvant eifect attributable to a potentiated reaction similar to that induced by small repeated doses of vaccine administered over a span of time.
Since Carbopol 934P also increases the viscosity of the injected vaccine, this in itself serves to slow the absorption rate of the antigen from the injection site, thereby producing an adjuvant effect by virtue of the fact that access of body fluids to the bound and unbound antigens contained within the innoculant is restricted. As an injection menstruum. Carbopol 934P provides high viscosity and adhesive characteristics with less irritation, providing it is properly loaded with antigens or other amine compounds than is the case with common parenterally injectable compositions, such as normal saline and distilled Water.
The combination of an emulsifier which Carbopol 9341 makes it possible to dissolve larger amounts of resin in the menstruum than would otherwise be the case, thereby making the total process of producing the adjuvant easier and faster. The increased amount of resin made soluble by use of the emulsifier makes it possible to load more antigen into the preparation and also to increase the viscosity to levels that allow more thorough suspension of any surplus (unbound) antigen, as well as the necessary electrostatic tension to provide a good holding agent in the tissues. The emulsifier of Example III has a sensitive hydrophile-lipophile balance (HLB) of 12. This balance provides the necessary emulsion stability with a high level of homogeneity for large polymer molecules such as Carbopol 934P.
Incorporation of an emulsifier as set forth in Example I into the composition makes an emulsion of the adjuvant vaccine, and because of this emulsified state it appears to be routed to the lymphatic system where it may contact the lymphoid series cells (in lymph glands), which can absorb the antigen by pinocytosis. Since the locus of the immune reaction resides chiefly in the cells of the lymphocyte series, such a routing is highly desirable. Other adjuvants reside at the site of injection until phagocytized by neutrophils. These neutrophils destroy part of the antigen by enzymic degradation, and the rest finally finds its way to the lymphatic system. The present system results in a more efficient utilization of the antigen. The emulsifier combination disclosed herein consist of nonionic or amphoteric emulsifiers. Because of this, as well as because of the small quantity of these nonionic or amphoteric surfactants utilized in the total menstruum, there is very little, if any, tissues damage due to ion imbalance in the tissue. Also, very little oil is required in the adjuvant and this also minimizes any sterile abcesses that might be produced. In addition, the recommended oils are relatively readily metabolized by the host. Thus, Carbopol 934P and the N atom containing compound (e.g., antigen, gelatin, collagen and/or other N containing compound) which forms a depot effect, represent one phase of the adjuvant. Another phase is represented by the emulsified nature of the adjuvant which routes the antigen, when released, to the lymphatic immune system. The result is a two-phase adjuvant: 1) depot; and (2) dispersion to the lymphatic system. Also, as previously indicated, the addition of an emulsifier to Carbopol 93 4P makes possible the raising of the total menstruum to pH 7.0 or above without gelation which facilitates injection.
Since remaining unreacted free hydroxyl or carboxyl groups of the Carbopol 934'P molecules may bind to the hosts tissues at the injection site and could cause irritation or induration, it is sometimes desirable to minimize this possibility, particularly when the antigen or other medicinal agent does not possess sufficient N atoms to tie up enough of the free sites of the Carbopol to avoid an irritating effect therefrom. These carboxyl-hydroxyl groups can be neutralized by chemical bonding with amine groups of various chemical compounds such as: 1) protein antigens; (2) collagen (preferably reconstituted); (3) gelatin; (4) basic amino acids; (5) epinephrine or other catecholamines; (6) peptides; (7) synthetic amines or polyamines; or (8) peptide (amino-group-containing) antibiotics such as penicillin, neomycin sulfate, polymixin B sulfate and streptomycin.
When the bond sites of Carbopol 934P are not fully occupied by antigens, then in order to protect the hosts tissues from irritation, sufiicient amine-containing substances as noted above may be added to neutralize most of the free hydroxyl or carboxyl groups. The selected compound or material depends upon the nature of the final product. For example, reconstituted collagen is ideally suited in many cases where the injection is to be made subcutaneously since it is a natural relatively nonantigenic substance at this subcutaneous site and there- 10 fore tends to bond to the natural collagen, thus adding to the adjuvant effect by mechanically interfering with the dispersion of the antigen. Purified or reconstituted collagen is an essentially nonallergenic protein since it does not contain significant amounts of tryptophane nor tyrosine; hence, it does not cause significant tissue reactions. Furthermore, reconstituted collagen does not stimulate a significant secondary antigenic response which would compete with that of the antigen.
A preferred procedure for producing reconstituted collagen for use in the adjuvant is detailed in the process flow sheet set forth in the drawing hereof. Other procedures are outlined in US. Pat. No. Re. 26,963.
The following examples set forth operable emulsion systems for use in the present adjuvant within the range specified in Example II and give outstanding emulsion stability, pharmaceutical elegance and adjuvancy without deleterious toxicity. In Example IV hereunder representative surfactant combinations are set forth for oil in water emulsions.
Undiluted Percent- Initial Final HLB age HLB HLB 1 Tween 15.0 3 4.5 7.5
Arlacel 80. 4. 3 7 3.0 7. 5
2 Tween 80 15.0 4 6.0 8.6
Arlacel 80- 4. 3 6 2. 6 8. 6
a Tween 80 15.0 5 7.5 9.7
Arlacel 80 4. 3 5 2. 2 9. 7
4 Tween 80..... 15.0 6 9.0 10.7
Arlacel 80.--" 4. 3 4 1. 7
5 Tween 80..- 15. 0 7 10. 5 11. 8
Arlacel 80. 4. 3 3 1. 3
6 Tween 80.-- 15.0 8 12.0 12.9
Arlaeel 80.-.. 4. 3 2 9 7 Tween 20.-...- 16.7 5 8.3 12.6
rlacel 20. 8. 6 5 4. 3
8 Tween 20 16.7 6 10.0 13.4
Arlacel 20. 8. 6 4 3. 4
9 Tween 20---" 16.7 7 11.6 14.1
Arlacel 26. 8. 6 3 2. 5
10 Tween 20.--" 16.7 8 13.4 15.1
Arlaeel 20"--. 8. 6 2 1. 7
11 Myrj 45 11.1 3 3.3 7.9
Arlacel 40-.. 6. 7 7 4. 6
12 Myrj 45 11.1 4 4.4 8.4
Arlacel 40-. 6. 7 6 4. 0
13 Mylj 45.- 11.1 5 5.5 8.9
Arlacel 40- 6. 7 5 3. 4
14 Myrj 45 11.1 6 6.7 9.4
Arlacel 40- 6. 7 4 2. 7
15 Myrj 45 11.1 7 7.7 9.7
Arlacel 40. 6. 7 3 2. 0
16 Myrj 45 11.1 8 8.8 10. 1
Arlacel 40- 6. 7 2 1. 3
17 Myrj 53 17.9 3 5.4 11.6
Arlacel 20-- 8. 6 7 6. 2
18 Mylj 53 17.9 4 7. 2 12.4
Arlacel 20--- 8. 6 6 5. 2
19 Myrj 53 17.9 5 9.0 13.3
Arlacel 20..-.. 8. 6 5 4. 3
20 Myrj 53-- 17.9 6 10.7 14.1
Arlaeel 20---" 8. 6 4 3. 4
21 Myrj 53 17.9 7 12.4 15.0
lacel 8.6 3 2.6
22 Myrj 53 17.9 8 15.0 16.7
Arlacel 20. 8. 6 2 1. 7
23 Myn' 45 11.1 6 6.6 7.3
Span 1. 8 4 7 24 Myrj 45 11.1 7 7.7 8.3
Span 85 1. 8 3 5 26 Myrj 45 11.1 9 9.9 10.1
Span 85 1. 8 1 2 Although the above examples disclose preferred combinations of surfactants to obtain preferred HLB numbers, it is to be recognized that at least certain of the surfactants as well as nonionic equivalents thereof may be used singly so long as they have a useful HLB factor and the Pluronics and Carbowax surfactants previously mentioned are examples along with the arnphoteric sulfonated surface active agent, Miranol DS.
A number of representative surfactant systems of Examples IV and V were subjected to in vitro titration and hemagglutination inhibition tests in accordance with the following protocol.
EXAMPLE VI I. Conduct of in vivo titration experiment A. Methods and Materials 1. Antigen-Western equine encephalomyelitis virus was propagated, conventional procedures.
2. Emulsifiers.Both oil in water and water in oil emulsifiers were prepared using surfactants of the non-ionic and arnphoteric types as specifically identified in the table of this example.
3. Adjuvants.-Adjuvants were prepared using various emulsifiers and Carbopol 934P with concentrations of 1.0% on a volume basis and 0.2 gm. percent basis respectively.
4. Vaccine-adjuvant preparation.Inactivated western equine encephalomyelitis viris antigen with a titer of 10 per ml. was added to each adjuvant preparation in ratios of 90:10, 75:25, 50:50 v./v.
5. Vaccination schedule.1 1-13 gram female mice were used for vaccination and each set of preparations were studied singularly. Thirty mice per dilution (90 mice total) were vaccinated on day 1 using 0.25 ml. dose administered subcutaneously in the rear flank. These animals were boostered in a similar manner on day 28. On day 35 these mice and a set of nonvaccinated controls were challenged as follows:
Challenge dilution Vaceinates Controls One week later these animals were observed and deaths recorded.
6. Challenge-Live WEE virus CWEE-B'G 3/3/71, was prepared and stored at -80 C. in 5 ml. aliquots. One vial of this material was unfrozen for each set of mice to be challenged. Half log dilutions from 4.5 to 10-6.5 were made in sterile PBS.
Before challenge, mice were anesthetized with ether. Challenge consisted of 0.03 ml. administered intracerebrally.
7. Results.The table hereunder summarizes the results of this study. The neutralization index (NI) is the difference between control LD and vaccinate LD (at similar dilutions) expressed as an exponent of 10. This was done in order to compensate for differences in challenge virus from one vial to another.
14 The following conclusions can be drawn from the table below. First, the adjuvant preparations of oil in water and water in oil using nonionie and amphoteric surfactants are compatible with Carbopol 934P. Second, a decrease in antigenic material coupled with an increase in adjuvant concentration resulted in an increase in the immunogenic response in general as shown by the percent survivors and neutralization index (NI).
II. Hernagglutination inhibition test A. Methods and Materials 1. Vaccine.The vaccine preparations with adjuvants used in this experiment were the same as those used in the previous test.
2. Animals-1 1-13 gram female mice were used for vaccination. Control mice Weighed 18-20 grams.
3. Schedule-5 mice per dilution were vaccinated on day 1 using .25 ml. dose administered subcutaneously in the rear flank. These animals were boostered on day 28 in the same fashion. On day 35 these mice were bled from the heart. Equal amounts of serum from each of the mice in the set was pooled for the hemagglutination inhibition test; these samples were stored at 4 C. until the day of the test.
4. Test:
(2) Acetone extraction of serum samples:
To .2 ml. samples of the above pooled sera was added .8 ml. isotonic saline and 2.4 ml. acetone. After mixing, the samples were centrifuged at 1500 rpm. for 6 minutes at 4 C. The supernate was discarded, .2 ml. acetone was added to the samples, mixed and incubated at room temperature for 1 hour. After incubation, the samples were again centrifuged and the supernate was discarded. The samples were then dried in a -30 psi. vaccine for 1 hour. 1.25 ml. bovine albumin borate saline (BABS) and .6 ml. of 8% goose cells were then added and mixed intermittently for 1 hour, for removing nonspecific agglutinin. Absorption continued overnight at 4 C. The following day, samples were centrifuged and the supemate was heat inactivated at 56 for 30 minutes. This was stored at 4 as 1:10 acetone treated serum.
(2) (b) Diluent:
The standard diluent used was .4% bovine albumin borate saline (BABS). (c) Antigen:
A lyophilized western equine encophalomyelitis virus, originally from newborn mouse brain, was reconstituted with BABS. From previous tests, it has been determined that the antigen was to be used at a 1:80 dilution.
(d) Microtiter HAI:
Standard microtiter method was employed using the previously mentioned sera, antigen, diluent (BABS), and goose cells. The goose cells were further diluted in pH 6.4 veranol acid dextrose (VAD), 1 part 8% goose cells and 23 parts VAD. Final dilutions were: 1:10, 1:20, 1:40, 1:80, 1:160, 1:320, 1:640, and seriu-rn control.
5. Results-The tabular comparison hereunder of the challenge experiment with the HAI titration shows that NI and HAI results are comparable.
The vaccine without adjuvant afforded little protection in vivo and gave a negative HAI. The adjuvant-vaccine preparations elicited various amounts of increased antibody titer as indicated in the table.
TABLE OF EXAMPLE VI Antigen Carbopol Surfae- Chall. to 93 taut, dose Survi- Adiuvant preparation antigen adjuvant, grams grams (mouse), Survivors vors, HAI Encephadmyelitis (WEE) v /v. percent percent LD principals percent NI titer Volume:
Tween 20, 7% 90/1 5. 84 20/25 80 12. 10 Arlacel 20, 8% 75/25 5. 84 23/25 92 21. 9 80 Cottonseed 011, 50/50 5. 84 23/25 92 21. 9 80 Water, 40 7 HLB 14.1 Carbopol 9341 .2 gm. percent. Volume:
HLB 11.6 Carbopol 934]? 0.2 gm. percent .11
90/10 0. 10 0. 42 18/25 72 .3 40 75/25 0. 25 5. 42 21/ 25 84 64. 80 011, 50 a 50/50 0.50 6. 42 17/25 68 1. 4 160 Water, 40 LB 9 2 Carbopo1934P 0.2 gm. percent 90/10 0. 2 0. 0. 08 19/25 76 17. 4 10 75/25 0. 5 0. 25 6. 08 20/25 80 23. 0 40 5 50/50 1. 0 0. 50 608 21/25 84 38. 1 40 Water, 40 HLB 11.4 Carbopol 9341 0.2 gm. percent Volume:
Lanolin G-1441 5% 90/10 84 25. 8 80 Span 80 5% 75/25 88 38.1 80 50 50/50 so 22. 4 40 Water, 407 Carbopol 9341 0.2 gm. percent Volume:
Beeswax G-1702, 5% 90/10 0. 2 0.10 6. 34 18/25 72 21. 40 Tween 81, 5 75/25 0. 5 0. 25 6. 34 16/25 64 14 1 10 011, 50% 50/50 1. 0 0.50 6.34 19/25 70 35. 0 40 Water, 40 HLB 7 5 Carbopol 9341 0.2 gm. percent.
Volume:
Brilc 35, 90/10 0. 2 0. 10 0. 34 19/25 76 40 Bri] 75/25 0. 5 0. 25 6. 34 19/25 7 6 28. 4 Oil, 5 o /50 1. 0 0. 50 6. 34 16/ 25 64 14. 8 40 Water, 40 HLB 14. carbopol 9341 0.2 gm. percent--- HLB 3.1 Carbopol 934P 0.2 gm. percent.
Volume:
Tween 61 3% 90/10 0. 2 0. 10 6. 25 18/ 25 17.8 20 Arlacel 85, 75/25 0. 5 0. 25 6. 25 18/ 25 72 21. 4 20 wglxer, 5 o 50/ 10 1. 0 0.50 6. 25 17/25 68 13. 2 20 LB 4 9 Carbopol 9341 0.2 gm. percent.
Volume:
Tween 61, 4 c 90/ 10 0. 2 0. 10 0. 08 /25 84 27. 0 40 Span 85, 2% 72/25 0. 5 0. 25 6. 08 24/25 96 38. 0 Arlacel 83 3 50/50 1. 0.50 0. 08 25/25 100 38. 0 160 Water, 50 Oil, 40%
/10 0. 2 0. 10 6. 31 18/25 72 20. 4 160 75/25 0. 5 0. 25 6. 31 21/25 84 6 40 Span 85, 7% 50/50 1. 0 0. 50 6. 31 21/25 84 7 40 Water, 50%.--. 011, 40%..
HLB 2 0 Garbopol 9341 0.2 gm. percent..-
Volume:
Pluronics, 10%-... 90/10 0. 2 0. 10 83 113/25 72 10.3 10 5 75/25 0.5 0.25 5. 83 21/25 84 14.8 20 Water, 40%. 50/50 1 0 0.50 5.85 18/25 72 .75 10 HLB7n Carbopol 9341 0.2 gm. percent.
Volume:
Oarbowax 1540 10% 90/10 0 2 0. 10 6. 08 19/25 76 17. 8 10 Water, 50%- 75/25 0 5 0. 25 6. 08 25/25 38. 0 80 Oil, 40%. 50/50 1. 0 0. 50 6. 08 19/25 76 20. 4 40 Carbop01934P 0.2 gm. percent.
Volume:
Mlranol, 10% 90/10 0. 2 0. 10 20 20/25 80 29. 5 40 Water, 5 75/25 0.5 0. 25 6. 20 15/25 60 30. 9 20 Oil, 40% 50/50 1. 0 0. 50 6. 20 19/25 76 21. 0 40 Oarbopol 9341 0.2 gm. percent.--.. Vaccine without adiuvant Encephalomyelitis (WEE) (titer 7.2) antigen 0. 34 12/25 48 5.14 10 1 7 Specific examples of antigenic compositions containing the adjuvant of Example HI are set forth hereunder along with tests supporting the potentiated results obtained from the use of such adjuvant.
EXAMPLE NO. VII
Clostridium chauvoei septicum bacterin 1. Preparation of bacteria Several known antigenic strains of the species above were grown and inactivated according to conventional standard procedures. 2. Preparation of experimental bacterins Six experimental bacterins were prepared as follows from a production batch:
Description 200 ml. of inactivated bacterial suspension was allowed to settle. 20 ml. of supernate was siphoned oil and replaced with 20 ml. of adjuvant HL".
200 ml. of Formalin-inaetivated bacterial suspension was centrifuged at 2,500 rpm. The supernate was discarded. To the packed cells adjuvant HL was added to restore the product to its original volume (200 ml.).
200 ml. of inactivated product was allowed to settle. 100 ml. was siphoned off. The 100 m1. of supernate was used as fluid base for Carbopol 9341 constituent in the adjuvant HL". The 100 ml. of complete adjuvant containing the supernate was added to the product, restoring to original volume.
200 ml. of inactivated product was allowed to settle, and 20 ml. of supernate was siphoned 011. To 180 ml. of product, 20 m1. of 1% alum phosphate was added to bring the final volume to 200 1111.
200ml. of product without any adjuvant or concentration. 200 ml. of product concentrated to 100 ml. with alum.
3. Conduct of experiment:
350 to 450-gram guinea pigs were used in the test, divided into 16 groups of guinea pigs each. Two of the groups of 5 guinea pigs each were set aside as controls. Each sub-lot was broken down into two groups of 5 guinea pigs each. Each group of guinea pigs (except controls) was then inoculated subcutaneously with 0.25 cc. and 0.5 cc. (each sublot contained one group which received 0.25 cc. and one group that received 0.5 cc.) bacterin. Seven days later, all principals received a booster inoculation. Fourteen days later all principals and controls received a 10LD dose of standard Clostridium chauvoei F spore.
1 Alive over principals challenged. 1 Sub-lots B and C were made from unconcentrated material, and sublot F was concentrated 50% with alum.
Nora-Controls; Challenge material1:50,000, 0/5 A/P, survival- 0%: Challenge materia11:500,000, 1/5 A/P, survival20%.
EXAMPLE NO. VIII Clostridium perfringens type C toxoid' 1. Preparation of toxoid Clostridium perfringens type C was grown and inactivated according to conventional production procedures. The cells were removed by centrifugation and the supernate was filtered through a sterilizing bacteriological filter. 2. Preparation of experimental toxoid 15 liters of toxoid was divided into five 3-liter batches and treated in the following manner:
Lot Sub- N 0. lot Description 2. A 3 liters of 0" toxoid containing 10% adjuvant HL."
2. B 3 liters of G toxoid containing 50% adjuvant HL" (1,500 ml. toxoid plus 1,500 ml. adjuvant HL.
2. C 3 liters of C toxoid containing 10% Al(OH) g"-.. g 3 liters of "C" toxoid, no adjuvant was added.
3 liters of 0" toxoid bacterin (containing cells) was concentrated to 1,500 ml. with Al(OH) 20 30 40 50 60 Units A-UJ .U. A.U. A.U. .U. obtained 5/5 5/5 5/5 5/5 0/5 50 A..U. 5/5 5/5 5/5 4/5 0/5 40 A.U. 5/5 5/5 5/5 3/5 0/5 40 A.U. 4/5 3/5 0/5 0/5 0/5 20 All. 5/5 5/5 5/5 5/5 5/0 50 A.U.
1 International Antitoxin Units. I Alive over principals.
NOTE.Controls10LI-, 1/5; 10Lo, 5/5.
EXAMPLE NO'. IX
Leptospira Icterohemorrhagiue canicola bacterin Percent 1. Leptospira icterohemorrhagiae canicola bacterin 50 Adjuvant HL 50 2. Leptospira icterohemorrhagiae canicola bacterin 50 Aluminum hydroxide 10 Saline 40 The test was a comparison of the antibody (agglutinins) response in guinea pigs of these two experimental bacterins.
Six guinea pigs were used for each of the preparations. The dose per animal was 1.0 ml. injected subcutaneously. Preinoculation sera were negative.
Sera taken three weeks post inoculation were tested 19 20 by the agglutination-lysis test with the following ear. In contrast when plain Epinephrine was injected in results: equal amounts, the effect started immedlately and lasted Ioterohemorrhagiae Ganicola Guinea pigNo. Adjuvant 1:10 1:50 1:250 1:1,250 1:.s,250 1:10 1:50 1:250 1:1,250 1:6,250
1 tHL 4 3 2 4+ 4+ 3+ 2+ 1+ i932: 4- 2+ 2 4+ 4+ 4+ 3+ 1+ 3+ 1+ =1: 4+ 4+ 3+ 1+ 1+ 2+ 2+ i 4+ 3+ 2+ :i: 2+ 1+ 4+ 2+ 2+ 1+ 3+ 3+ 2+ i 4+ 3+ 1+ 4+:
2 1 3+ 2+ :1: 1i 4+ 4+ 2+ 1+ 5: 4+ 2+ a; a 21 a a 2+ :i: 4+ 3+ 1+ H EXAMPLE X from two to three hours. These tests at least partly verify Bivalent encephalomyelitis vaccine, TCO
1. Preparation of virus Encephalomyelitis virus strains, *Massachusetts EEE and Rockefeller WEE, were harvested from tissue culture fluid following conventional standard procedures. The tissues culture fluid was inactivated with formalin and stored at plus 5 C. 2. Preparation of experimental vaccines A single lot of inactivated virus was divided into three equal volumes. Three experimental vaccines were prepared as follows:
Lot Sub- No. lot Description 1....- A 9 m1. of EEE inactivated tissue culture fluid and 9 ml.
of WEE inactivated tissue culture fluid were combirlietd with 2 ml. of twenty percent (20%) of hydrolyzed e a in.
l-.... B 9 of EEE inactivated tissue culture fluid and 9 m1.
! WEE inactivated tissue culture fluid were combined with 2 ml. 01 ten percent (10%) adjuvant HL".
1..... O 10 ml. of EEE inactivated tissue culture fluid and 10 ml. of WEE inactivated tissue culture fluid were combined without an adjuvant.
Alive over Percent EEE fraction only principals survival Vaccine A (gelatin) 4/5 80 Vaccine B (10% adjuvant HL) /5 100 Vaccine C (no adjuv t) 2/5 40 Controls; 0/5 0 Controls; 10".--- 2/5 40 "The Western test was terminated as a "no test prior to completion due to respiratory or non-specific disease in the test animals.
EXAMPLE N0. XI
Carbopol 934P titration with Epinephrine Equal amounts of Carbopol 934P and Epinephrine, both at 1:1000 strength were combined and 0.15 cc. doses injected into the ears of rabbits close to the posterior auricular vein. -It was found that the Carbopol 934P bound the Epinephrine, but released it after three hours and continued releasing the material for about 24 hours. Measurement was made by counting the branches of the central artery visible when a light was placed behind the Massachusetts eastern equine encephalomyelitis and Rockefeller western equine encephalomyelitis.
the fact that amino compounds such as Epinephrine bind to Carbopol 934P and are then released slowly in a physiological environment of approximately pH 7.4.
Similar tests were conducted on erysipelas bacterin with equivalent results being obtained.
Although not described in detail above, it is to be understood that in preparation of an injectable medicinal composition in accordance with this invention, the pH of the solution is preferably brought to substantially 7.0 by addition of sodium hydroxide thereto if necessary since the complexing resin gives a pH of about 4.
Having thus described the invention, what is claimed as new and desired to be secured by Letters Patent is:
1. A liquid injectable antigenic antibody producing immunogen composition comprising:
an injectable antigenic substance; and
a sufiicient amount of an adjuvant for said antigenic antibody producing immunogen substance to increase the residual eflectiveness thereof, said adjuvant including a polymer of acrylic acid cross-linked with polyallyl sucrose, an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water and oil emulsion carrier comprised of about 40% or 50% each of water and nontoxic vegetable oil,
there being from about 0.1 to 1 gram percent weight to volume of said polymer and from about 1 to 10% volume to volume of said emulsion system in said adjuvant.
2. An injectable antigenic composition as set forth in claim 1 wherein said antigenic antibody producing substance is an immunogen.
3. An injectable antigenic composition as set forth in claim 2 wherein said immunogen substance is a bacterial type antigen.
4. An injectable antigenic composition as set forth in claim 2 wherein said substance is a toxoid type antigen.
5. An injectable antigenic composition as set forth in claim 2 wherein said substance is a viral type antigen.
6. An injectable antigenic composition as set forth in claim 1 wherein a drug or tracer dye is included with said injectable antigenic antibody producing immunogen substance.
7. An injectable antigenic composition as set forth in claim 1 wherein said substance is a toxoid.
8. An injectable antigenic composition as set forth in claim 1 wherein said carrier comprises an oil in water emulsion.
9. An injectable antigenic composition as set forth in claim 1 wherein said carrier comprises a water in oil emulsion.
10. An injectable antigenic composition as set forth in claim 1 wherein said nonionic surfactant is selected from the group consisting of sorbitan monooleate, polyoxyethylene sorbitan monooleate, sorbitan monolaurate, polyoxyethylene stearate, sorbitan monopalmitate, sorbitan moonstearate, sorbitan trioleate, polyoxyalkylene sorbitol lanolin derivatives, polyoxyalkylene lanolin derivatives, polyoxyalkylene sorbitol beeswax derivatives, polyoxyethylene sorbitol, polyoxyethylene lauryl ethers, polyethylene glycols, and mixtures thereof, and said carrier comprises an oil in water emulsion.
11. An injectable antigenic composition as set forth in claim 1 wherein said nonionic surfactant is selected from the group consisting of sorbitan monooleate, sorbitan trioleate, sorbitan sesquioleate, polyoxyethylene sorbitan moonstearate, sorbitan monolaurate, polyethylene glycols, and the addition product of ethylene oxide to propylene glycols, and mixtures thereof, and said carrier comprises a water in oil emulsion.
12. An injectable antigenic composition as set forth in claim 1 wherein said amphoteric surfactant is an ampholytic, fatty acid derived surfactant capable of dispersing oil in water.
13. An injectable antigenic composition as set forth in claim 1 wherein said amphoteric surfactant comprises CaHiOH and said carrier comprises an oil in water emulsion.
14. An injectable antigenic composition as set forth in claim 1 wherein the nontoxic vegetable oil in said oil and water emulsion is selected from the group consisting of cottonseed oil, olive oil and peanut oil.
15. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system in the adjuvant includes on a relative volume basis, 50% nontoxic vegetable oil, 40% water, 7% polyoxyethylene sorbitan monooleate and 3% sorbitan monolaurate, and about 0.2 gram percent weight to volume of said polymer as provided therein.
16. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system in the adjuvant includes on a relative volume basis, 50% nontoxic vegetable oil, 40% water, 8% polyoxyethylene stearate and 2% sorbitan trioleate, and about 0.2 gram percent weight to volume of said polymer is provided therein.
17. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system in the adjuvant includes on a relative volume basis, 50% water, 40% nontoxic vegetable oil, 3% sorbitan trioleate and 3% sorbitan sesquioleate, and 4% polyoxyethylene sorbitan monostearate, and about 0.2 gram percent weight to volume of said polymer is provided therein.
18. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system in the adjuvant includes on a relative volume basis, 50% water, 40% nontoxic vegetable oil, 1% of polyoxyethylene sorbitan monostearate and 2% sorbitan sesquioleate, and 7% sorbitan trioleate, and about 0.2 gram percent weight to volume of said polymer is provided therein.
19. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system in the adjuvant includes on a relative volume basis, 50% nontoxic vegetable oil, 40% water, 10% of an ampholytic fatty acid derived surfactant capable of dispersing oil and water, and about 0.2 gram percent weight to volume of said polymer is provided therein.
20. An injectable antigenic composition as set forth in claim 1 wherein is further included reconstituted collagen or gelatin adjuvant.
21. An injectable antigenic composition as set forth in claim 20 wherein said ingredient is reconstituted collagen.
22. An injectable antigenic composition as set forth in claim 20 wherein said ingredient is gelatin.
23. An injectable antigenic composition as set forth in claim 20 wherein said antigen is an inactivated virus or bacterin.
24. An injectable antigenic composition as set forth in claim 20 wherein said antigen is an inactivated bacterin or toxoid derived from bacteria.
25. An injectable antigenic composition as set forth in claim 21 wherein for each one part by volume of said emulsion system, there is provided 0.2 gram percent weight to volume of said polymer and 20 parts by volume of reconstituted collagen.
26-. An injectable antigenic composition as set forth in claim 20 wherein said antigen is an inactivated equine encephalomyelitis virus.
27. An injectable antigenic composition as set forth in claim 20 wherein said antigen is an inactivated bivalent western and eastern equine encephalomyelitis virus.
28. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system includes an oil in water emulsion carrier and the surfactant or surfactants used therein have an effective HLB number above 6.
29. An injectable antigenic composition as set forth in claim 1 wherein said emulsion system includes a water in oil emulsion carrier and the surfactant or surfactants used therein have an effective HLB number below 6.
30. An injectable antigenic composition as set forth in claim 1 wherein is provided from about 10% to about of said adjuvant with respect to the antigenic antibody producing immunogen substance on a volume to volume basis.
31. An injectable antigenic composition as set forth in claim 1 wherein is provided about 25% of said adjuvant with respect to the substance on a volume to volume basis.
32. A liquid adjuvant for constitution with water to an injectable antigenic composition comprising the combination with an injectable antigen of:
a polymer of acrylic acid cross-linked with polyallyl sucrose, an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a nontoxic vegetable oil for constitution with water to form a water and oil emulsion carrier,
there being from about 0.1 to 1 gram percent weight to volume of said polymer and from about 1 to 10% volume to volume of said emulsion system in said adjuvant.
33. A liquid adjuvant as set forth in claim 30 wherein 1s included a quantity of reconstituted collagen.
34. A liquid adjuvant as set forth in claim 32 wherein said nonionic surfactant is selected from the group conslsting of sorbitan monooleate, polyoxyethylene sorbitan monooleate, sorbitan monolaurate, polyxyethylene stearate, sorbitan monopalmitate, sorbitan monostearate, sorbitan trioleate, polyoxyalkylene sorbitol lanolin derivatives, polyoxyalkylene lanolin derivatives, polyoxyalkylene sorbitol beeswax derivatives, polyoxyethylene sorbitol, polyoxyethylene lauryl ethers, polyethylene glycols, and mixtures thereof, and said carrier comprises an oil in water emulsion.
35. A liquid adjuvant as set forth in claim 32 wherein said nonionic surfactant is selected from the group consisting of sorbitan monoleate, sorbitan trioleate, sorbitan sesquioleate, polyoxyethylene sorbitan monostearate, sorbitan monolaurate, polyethylene glycols, and the addition product of ethylene oxide to propylene glycols, and mixtures thereof, and said carrier comprises a nontoxic vegetable oil for constitution with water to form a water in oil emulsion.
36. A liquid adjuvant as set forth in claim 32 wherein amphoteric surfactant comprises an ampholytic, fatty acid derived surfactant capable of dispersing oil in water.
37. A liquid adjuvant as set forth in claim 32 wherein said amphoteric surfactant comprises and said carrier comprises a nontoxic vegetable oil for constitution with water to form an oil in water emulsion. 38. A process for producing antibodies in the body of a mammal at a controlled rate comprising injecting into the mammal a quantity of a liquid antigenic composition including:
an injectable antibody producing antigenic immunogen;
and a sufiicient amount of an adjuvant for said antibody producing antigenic immunogen to increase the residual effectiveness thereof, said adjuvant including a polymer of acrylic acid cross-linked with polyallyl sucrose, an emulsion system including a surfactant selected from the group consisting of nonionic and amphoteric nontoxic surfactants, and a water and oil emulsion carrier comprised of about 40% or 50% each of water and nontoxic vegetable oil, there being from about 0.1 to 1 gram percent weight to volume of said polymer and from about 1 to volume to volume of said emulsion system in the adjuvant. 39. A process for producing antibodies in the body of a mammal by injecting therein an injectable antibody producing antigenic immunogen substance as set forth in 24 claim 38 wherein is provided for about 10% to about of said adjuvant with respect to the substance on a volume to volume basis.
40. A process for producing antibodies in the body of a mammal by injecting therein an injectable antibody producing antigenic immunogen substance as set forth in claim 38 wherein is provided about 25% of said adjuvant with respect to the substance on a volume to volume basis.
References Cited UNITED STATES PATENTS 3,639,577 2/1977 Urton et a1. 42489 3,178,350 4/1965 Lund 424-89 XV 3,099,601 7/1963 Davis et al- 42492 3,469,003 9/ 1960 Hardy 42489 3,579,633 5/ 1971 Thomson 42492 3,083,142 3/1963 Howell et a1. 42492 3,384,544 5/1968 Walton et al. 424-89 XX 3,492,399 1/ 1970 Prigal 42489 XV 3,149,036 9/ 1964 Woodhour et a1. 42489 3,100,178 8/ 1963 McLean et a1. 424-92 XV 3,330,731 7/1967 Mehaffey 42481 XV OTHER REFERENCES Secard, Carbopol Pharmaceuticals, Drug and Cosmetic Industry, 90(1), January 1962, 4 pp.
Secard, Carbopol Cosmetics, Drug and Cosmetic Industry, 89(6), 1961 6 pp.
SHEP K. ROSE, Primary Examiner US. Cl. X.R. 42488, 89, 92
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US4619827A (en) * 1985-10-07 1986-10-28 Neogen Corporation Method for administering equine vaccines and compositions therefor
US4650677A (en) * 1983-06-06 1987-03-17 Duphar International Research B.V. Method of preparing adjuvanted live attenuated vaccines and adjuvanted live attenuated vaccines thus obtained
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US4726947A (en) * 1978-03-10 1988-02-23 Matsui Toatsu Chemicals, Inc. Bacterial cell extract, process for preparing same, antitumor preparation containing same, and adjuvant preparation containing same
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US4824671A (en) * 1986-03-24 1989-04-25 Reuter Laboratories, Inc. In vitro method for producing infective bacterial spores and spore-containing insecticidal compositions
WO1987005928A1 (en) * 1986-03-24 1987-10-08 Reuter Laboratories, Inc. In vitro method for producing infective bacterial spores and spore-containing insecticidal compositions
US20090191226A2 (en) * 1989-05-25 2009-07-30 Novartis Vaccines And Diagnostics, Inc. Adjuvant formulation comprising a submicron oil droplet emulsion
US6299884B1 (en) 1989-05-25 2001-10-09 Chiron Corporation Adjuvant formulation comprising a submicron oil droplet emulsion
US6451325B1 (en) * 1989-05-25 2002-09-17 Chiron Corporation Adjuvant formulation comprising a submicron oil droplet emulsion
US20030147898A1 (en) * 1989-05-25 2003-08-07 Gary Van Nest Adjuvant formulation comprising a submicron oil droplet emulson
US5585103A (en) * 1991-07-25 1996-12-17 Idec Pharmaceutical Corporation Induction of cytotoxic T-lymphocyte responses
US20040197331A1 (en) * 1991-07-25 2004-10-07 Biogen Idec Inc. Induction of cytotoxic T-lymphocyte responses
US5665363A (en) * 1994-02-18 1997-09-09 Innovac Co. Inoculation of animals with dried, pelleted biological materials
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US5744137A (en) * 1995-02-06 1998-04-28 The United States Of America As Represented By The Secretary Of The Agriculture Oil emulsion vaccines prepared with animal, vegetable, and synthetic oils using a mixture of nonionic surfactants
US20040141986A1 (en) * 1995-03-29 2004-07-22 Parizek Richard E. Multicomponent vaccine containing clostridial and non-clostridial organisms in a low dose
US6713068B1 (en) 1998-03-03 2004-03-30 Merial Live recombined vaccines injected with adjuvant
US7507416B2 (en) 1998-03-03 2009-03-24 Merial Limited Live recombined vaccines injected with adjuvant
US20060057163A1 (en) * 1998-03-03 2006-03-16 Audonnet Jean-Christophe F Live recombined vaccines injected with adjuvant
US20100062018A1 (en) * 2000-12-19 2010-03-11 Wyeth Mycoplasma hyopneumoniae bacterin vaccine
US20070134269A1 (en) * 2000-12-19 2007-06-14 Hsien-Jue Chu Mycoplasma hyopneumoniae bacterin vaccine
US7622124B2 (en) 2000-12-19 2009-11-24 Wyeth Mycoplasma hyopneumoniae bacterin vaccine
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US8187588B2 (en) 2000-12-19 2012-05-29 Wyeth Llc Mycoplasma hyopneumoniae bacterin vaccine
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