AU2012233033B2 - Methods and compositions for the production of high concentration alloxazine solutions - Google Patents

Abstract

Methods are provided for preparation of compositions having an enhanced level of soluble alloxazine, as compared to compositions prepared using conventional techniques. Compositions and a riboflavin form having higher solubility in solution is also provided. 3725503.1 (GHMatters) P77322.AU.2 3-O .12

Description

AUSTRALIA Patents Act 1990 COMPLETE SPECIFICATION Standard Patent Applicant: Terumo BCT Biotechnologies, LLC Invention Title: Methods and compositions for the production of high concentration alloxazine solutions The following statement is a full description of this invention, including the best method for performing it known to us: METHODS AND COMPOSITIONS FOR THE PRODUCTION OF HIGH CONCENTRATION ALLOXAZINE SOLUTIONS CROSS-REFERENCE TO RELATED APPLICATIONS The entire disclosure in the complete specification of our Australian Patent 5 Application No. 2007210149 is by this cross-reference incorporated into the present specification. BACKGROUND a. Field Methods and compositions for increasing the solubility of alloxazines in a 10 solution, as well as inactivating pathogens in biological fluids, are provided. A new form of riboflavin with increased solubility is also provided. b. Related Art Contamination of whole blood or blood products with infectious microorganisms such as HIV, hepatitis and other viruses as well as bacteria present a serious health hazard for 15 those who must receive transfusions of whole blood or administration of various blood products or blood components. Such blood components include red blood cells, blood plasma, Factor VIII, plasminogen, fibronectin, anti-thrombin III, cryoprecipitate, human plasma protein fraction, albumin, immune serum globulin, prothrombin complex, plasma growth hormones, and other components isolated from blood. 20 One solution for providing safe blood or blood products to a recipient is to screen the blood or blood product (herein the terms "blood" and "blood product" are used interchangeably) for contaminates prior to using the material in a patient. When a blood product tests positive for a particular pathogen, the blood product is removed from circulation and destroyed. However, blood screening procedures may fail to detect pathogenic 25 contaminates due to inadequate specificity or sensitivity, for example, a blood product is screened for the presence of hepatitis C, when the blood is infected with West Nile Virus, or the blood product is screened for hepatitis C but the virus is present in an amount below the detection sensitivity of the particular screening methodology. In these situations, the blood screener will leave the blood in circulation noting that it does not contain a detectable level of 2 3725503_1 (GHMatters) P77322.AU.2 3-Oci-12 hepatitis C contamination, where in reality the blood product really has West Nile Virus contamination or a level of hepatitis C contamination that will still damage the health of the recipient. A second solution for providing a safe blood product to a recipient is to 5 "sterilize" the material prior to use in the recipient. One particularly useful blood product "sterilization" method is to add at least one photosensitizer directly to the blood product. Some types of photosensitizers have a high affinity for nucleic acid. Typically, nucleic acid in a blood product is associated with pathogen presence, allowing the photosensitizer to be preferentially targeted to the pathogen within the blood product. Blood product is then 10 irradiated at an appropriate wavelength, for the photosensitizer, for transfer of the absorbed energy from the photosensitizer to an energy acceptor, i.e., the energy is transferred to the pathogen's nucleic acid. Essentially all pathogens within a blood product be destroyed using this treatment, otherwise, a recipient will receive contaminated blood and be at risk of being infected by the particular pathogen. The amount or level of photosensitizer available within 15 the blood product is a significant aspect of ensuring destruction of pathogens in a sample. The usefulness of photosensitizer driven destruction of microorganisms is based partly on the amount or concentration of photosensitizer in effective contact with the microorganism, and partly on the "light dose" that reaches those photosensitizers in order to activate the compound and cause killing of the microorganism. In general, the light dose is 20 maximized in order to activate the photosensitizer, but not cause damage to the surrounding blood or fluid products, i.e., erythrocytes, platelets, etc. However, providing a sufficient amount of photosensitizer to a blood product so as to provide effective killing or inactivation of pathogens in a defined volume of material has proven difficult. In particular, the solubility (measured by its Ksp) of different 25 photosensitizers has limited the amount of photosensitizer that can be added to a blood product. In preparing a photosensitizer for use in a blood product, the solid photosensitizer must first be combined with a solvent to put the material into solution, and then the solution is added to the product at a ratio that does not adversely affect the osmolality of the blood 3 3725503_1 (GHMatters) P77322AU.2 3-0d-12 product. This has conventionally provided the limit on how much photosensitizer can be added to a blood product during a "sterilization" treatment. Dilute quantities of photosensitizers can result in potentially inefficient killing and treatment of pathogens. Therefore, it would be beneficial in the sterilization treatment of 5 blood product to have highly concentrated photosensitizer solutions that are added to the blood product in small amounts and yet provide adequate levels of photosensitizer to the sample to ensure pathogen inactivation. Further, new photosensitizers and forms of photosensitizers are sought after to provide additional tools in the treatment of blood products. New photosensitizers and forms thereof can provide improved energy transfer 10 from the new compound to the blood born pathogen as well as modified solubility characteristics for inclusion with the blood products. The disclosure has been developed against this backdrop. It is to be understood that, if any prior art publication is referred to herein, such reference does not constitute an admission that the publication forms a part of the common 15 general knowledge in the art, in Australia or any other country. SUMMARY In one aspect, methods for increasing the concentration of an alloxazine in an aqueous medium to above the alloxazine's typical saturation point at ambient temperature and pressure are provided. An aqueous medium having a temperature greater than or equal to 20 80'C is added to an amount of alloxazine to form an alloxazine solution exceeding the saturation point of the alloxazine at room temperature (22*C) and atmospheric pressure (1 atmosphere). The solution is then cooled to produce an aqueous medium having a concentration of alloxazine above the alloxazine's typical saturation point at ambient temperature and pressure. 25 In various embodiments, the aqueous medium can have an acidic pH (e.g. a pH of from about 4 to about 5), and/or a temperature of between about 80'C to about 90*C. The aqueous medium can include a salt, such as a monovalent salt. In certain embodiments, the 4 37255013 (GHMatters) P77322AU.2 3-Od-12 alloxazine is riboflavin. The alloxazine solution can further be sterilized, such as at a pressure of greater than I atmosphere and at a temperature of at least 120*C. In another aspect, a riboflavin derivative form is provided. The riboflavin derivative form has a correlation coefficient equal to or less than 0.95 at a wavelength of 525 5 nm and/or an absorbance profile as a function of concentration that differs from soluble riboflavin at wavelengths above 500 nm. In further embodiments, the riboflavin derivative form is produced by the process of combining riboflavin in a aqueous medium having an acidic pH and having a temperature of greater than about 80'C, then cooling the riboflavin solution. 10 In another aspect, compositions for treating a biological fluid, such as a blood product, are provided. In one variation, the composition comprises a soluble alloxazine, such as riboflavin, above the saturation point at I atmosphere and 22'C of at least 120 pLM soluble alloxazine, and a monovalent salt. In a further variation, the soluble alloxazine is a concentration of at least 500 pM. In a further variation, the soluble alloxazine is about 580 15 piM. The monovalent salt can provide a salinity of at least 0.9%. In further variations, the composition can include sodium bicarbonate, and/or can have a pH of from about 4 to about 5. In other aspects, methods of inactivating pathogens in biological fluids are provided. A composition having a concentration of alloxazine solution is added to the 20 biological fluid to inactivate pathogens. In various embodiments, the concentration of soluble alloxazine is at least 100 ptM, 250 tM, at least 500 pM, or about 580 pM. In other embodiments, the biological fluid is a blood product. BRIEF DESCRIPTION OF THE DRAWINGS Figs. 1 A, I B and 1 C illustrate the absorbance (Figs A and B) and correlation 25 coefficient (C) characteristics of riboflavin derivative form alpha prepared in accordance with embodiments described herein. 5 37255031 (GHMatters) P77322.AU-2 3-Oc-12 DETAILED DESCRIPTION Various embodiments provide improved photosensitizer compositions, and in particular improved alloxazine compositions, having increased solubility, and therefore enhanced concentration. The solubility and concentration of the resulting alloxazine 5 solutions are above the solubility and concentration of alloxazines outside of solution. The resulting alloxazine solutions provide a larger quantity of alloxazine to be added to a pathogen-containing biological fluid, resulting in increased pathogen inactivation. A riboflavin derivative form having a higher saturation point than untreated riboflavin is also provided. 10 Definitions The following definitions are provided to facilitate understanding of certain terms used frequently herein and are not meant to limit the scope of the present disclosure. In the claims which follow and in the description of the invention, except where the context requires otherwise due to express language or necessary implication, the word 15 "comprise" or variations such as "comprises" or "comprising" is used in an inclusive sense, i.e. to specify the presence of the stated features but not to preclude the presence or addition of further features in various embodiments of the invention. As used herein, "biologic fluid" refers to any fluid(s) found in the body of an animal, and preferably a mammal. Typically, biologic fluids do not have large numbers of 20 materials that contain nucleic acid. For example, a biologic fluid as disclosed herein includes blood products. "Blood product" refers to blood and all blood constituents, blood components and therapeutic protein compositions containing proteins derived from blood. As used herein, "alloxazine" refers to all alloxazines and isoalloxazines, as well as natural and synthetic derivatives thereof, and includes, but is not limited to: 7,8-dimethyl 25 1 0-ribityl isoalloxazine (riboflavin or Vitamin B-2), 7,8,1 0-trimethylisoalloxazine (lumiflavin), 7,8-dimethylalloxazine (lumichrome), isoalloxazine-adenine dinucleotide (flavin adenine dinucleotide [FAD]), and alloxazine mononucleotide (e.g., flavine mononucleotide [FMN]). 6 37255031 (GHMalters) P77322.AU.2 3-0d-12 As used herein, "pathogen" refers to an organism that infects and has the potential to cause disease in a host. In particular, pathogens are typically bacterial or viral in nature. As described herein, the terms pathogen and microorganism are interchangeable. As used herein, the term "inactivation of a pathogen" means partially or 5 completely preventing the pathogen from replicating, either by killing the pathogen or otherwise interfering with the pathogen's ability to reproduce. As used herein, the term "eradicating a pathogen" means completely preventing all pathogens from replicating. As used herein, "aqueous medium" refers to any medium where the solvent is water. 10 As used herein, "nucleic acid" ("NA") refers to both a deoxyribonucleic acid (DNA), ribonucleic acid (RNA), and peptide nucleic acid (PNA), as well as modified and/or functionalized versions thereof. Similarly, the term nucleotide as used herein includes individual units of ribonucleic acid and deoxyribonucleic acid as well as nucleoside and nucleotide analogs, and modified nucleotides such as labeled nucleotides. Nucleotide also 15 includes non-naturally occurring analog structures, such as those in which the sugar, phosphate, and/or base units are absent or replaced by other chemical structures. The term nucleotide also includes individual peptide nucleic acid (PNA) units (Nielsen et al., Bioconjug. Chem. (1994) 5(1):3-7) and locked nucleic acid (LNA) units (Braasch and Corey, Chem. Biol. (2001) 8(1):1-7). 20 As used herein, "peak wavelength" refers to light emitted in a narrow range centered around a wavelength having a particular peak intensity. As used herein, "solubility" refers to the mass of a substance contained in a solution which is in equilibrium with an excess of the substance. Under these conditions the solution is said to be saturated. The Ksp of a substance is the product of the concentrations 25 of the ions of a substance, in a saturated solution of the substance. 7 3725503_1 (GHMattes) P77322.AU.2 3-Od-12 Photosensitizers and Methods of Inactivating Pathogens Alloxazines are photosensitizers that bind to nucleic acids. Photosensitizers typically bind nonspecifically to nucleic acid molecules and inactivate nucleic acid containing microorganisms by interfering with, and thereby preventing, replication of the 5 organism's nucleic acid. Photosensitizers are activated through illumination with a specific wavelength of light, specific for the photosensitizer, which causes an energy transfer from the photosensitizer to an energy acceptor, e.g., a nucleic acid base pair. In general, photosensitizer specificity is based on close proximity of the photosensitizer to the microorganism's nucleic acid, which results in binding of the photosensitizer to the 10 pathogen's nucleic acid. Photosensitizers are most useful when the biologic fluid to be treated is devoid, or has limited numbers, of non-pathogenic nucleic acid molecules, i.e., when the nucleic acid present in a biological fluid is due primarily to a pathogen's presence, and not due to other cells within the same sample. So, for example, a typical treatment process of a biologic fluid 15 includes addition of the photosensitizer to a blood product potentially contaminated with a pathogenic organism. If pathogen reduction of blood and/or blood components is desired, additives which act as photosensitizers upon exposure to light can be used in conjunction with the methods, compounds, and compositions described herein. Such additives include 20 endogenous photosensitizers. The term "endogenous" means naturally found in a human or mammalian body, either as a result of synthesis by the body or because of ingestion as an essential foodstuff (e.g. vitamins) or formation of metabolites and/or byproducts in vivo. Examples of such endogenous photosensitizers are alloxazines such as 7,8 dimethyl-10-ribityl isoalloxazine (riboflavin), 7,8,10-trimethylisoalloxazine (lumiflavin), 7,8 25 dimethylalloxazine (lumichrome), isoalloxazine-adenine dinucleotide (flavin adenine dinucleotide [FAD]), alloxazine mononucleotide (also known as flavin mononucleotide [FMN] and riboflavin-5-phosphate), their metabolites and precursors. The term "alloxazine" includes isoalloxazines. Endogenously-based derivative photosensitizers include 8 3725503_1 (GHMaters) P77322.AUJ2 3-Od-12 synthetically derived analogs and homologs of endogenous photosensitizers which may have or lack lower (1-5) alkyl or halogen substituents of the photosensitizers from which they are derived, and which preserve the function and substantial non-toxicity thereof. When endogenous photosensitizers are used, particularly when such photosensitizers are not 5 inherently toxic or do not yield toxic photoproducts after photoradiation, no removal or purification step is required after decontamination, and treated product can be directly returned to a patient's body or administered to a patient in need of its therapeutic effect. When photosensitizers are exposed to light of a particular wavelength, they absorb energy resulting in the photolysis of the photosensitizer and any nucleic acid bound to 10 the photosensitizer. Efficacy of the photosensitizer depends on both the concentration of the photosensitizer incorporated by the pathogen and on the illumination dose (since the excited photosensitizer is the active agent in destroying the pathogen). In general, a photochemical dose, therefore, is equal to the concentration of the photosensitizer added to the fluid and the light dose. 15 The light dose is based on providing maximal destruction to pathogenic organisms without adversely affecting the biological fluid of interest. Peak wavelength, as defined herein, refers to light emitted in a narrow range centered around a wavelength having a particular peak intensity. In one embodiment, visible light may be centered around a wavelength of approximately 470 nm, and have maximal intensity at approximately 200 nm 20 to about 550 nm. In an alternative embodiment, the light may be centered around 308 nm, and have maximal intensity at approximately 280 nm to about 370 nm. Note that the term "light source" or "radiation" refers to an emitter of radiant energy, and may include energy in the visible and/or ultraviolet range. As noted above, it is difficult to improve a photosensitizer dose within a target fluid by altering the light dose, as a stronger or more 25 efficient light dose will likely adversely affect the stability of other constituents within the fluid, i.e., lyse erythrocytes within a blood product sample. As has been previously described in US Patent Publication 20050112021 (Hlavinka et al., May 26, 2005), incorporated herein by reference, photosensitizer is added to target fluids, and the resulting fluid mixture exposed to photoradiation of the appropriate 9 3725503_1 (GHMatters) P77322.AU.2 3-Oct-12 peak wavelength and amount to activate the photosensitizer, but less than that which would cause significant non-specific damage to the biological components or substantially interfere with biological activity of other proteins present in the fluid. Pathogens can be inactivated or eradicated by adding a solution or composition 5 having at least 120 pM soluble alloxazine to a biological fluid. The solutions or compositions can be adjusted to desired alloxazine concentrations above the untreated concentration at 1 atmosphere and 22*C by the methods described herein. The increased solubility and concentration of the alloxazine solutions allows a larger quantity of alloxazine to be added to pathogen-containing biological fluids. This results in increased pathogen 10 inactivation. Microorganisms which may be eradicated or inactivated using photosensitizers as described herein include, but are not limited to, viruses (both extracellular and intracellular), bacteria, bacteriophages, fungi, blood-transmitted parasites, and protozoa. Illustrative viruses include human acquired immunodeficiency virus (HIV), hepatitis A, hepatitis B, hepatitis C, 15 sinbis virus, cytomegalovirus, vesicular stomatitis virus, herpes simplex virus (Type I and Type II), West nile virus, human T-lymphotropic retroviruses, HTLV-III, lymphadenopathy virus LAV/IDAV, parvovirus, transfusion-transmitted (TT) virus, Epstein-Barr virus, as the like. Bacteriophages which may be eradicated or inactivated using photosensitizers, include, but are not limited to .PHI.X174, .PHI.6, lambda bacteriophage, R17, T 4 , T 2 and the like. 20 Bacteria which may be eradicated using photosensitizers, include, but are not limited to, P. aeruginosa, S. aureus, S. epidermis, L. monocytogenes, Escherichia coli, K. pneumonia, S.marcescens and the like. Methods of Preparing Alloxazine Compositions Methods for increasing the concentration of an alloxazine in an aqueous medium 25 to above the alloxazine's ordinary saturation point are also provided. In one embodiment, an amount of an alloxazine that exceeds the saturation point of the alloxazine is added to an aqueous medium that has a temperature greater than or equal to 80'C. When the solution is cooled, the alloxazine in the resulting alloxazine solution exceeds the saturation point of the 10 3725503_1 (GHMatters) P77322.AU2 3-Od-12 alloxazine. The alloxazine can be added to the aqueous medium before or while the medium is heated. The alloxazines are stable in solution over time, and are not super-saturated in the aqueous solution. Alloxazines can be purchased commercially. Crystalline alloxazine, e.g., 5 riboflavin (7,8-dimethyl- 1 0-ribityl isoalloxazine), FMN, FAD, lumichrome, etc, regardless of the particular form, can be obtained from Merck, see for example The Merck Index, 10 th edition, 1983. An amount of alloxazine is measured for combination with a solvent such as an aqueous medium or a combination of aqueous medium and a non-polar solvent. For 10 example, the saturation point concentration of the alloxazine riboflavin at 22*C and I atmosphere pressure was measured to be 114 pM. The concentration of the alloxazine prepared by the methods described herein is significantly higher than the original dissolved concentration. The final alloxazine concentration can be targeted to be equal to and/or greater than 120pM , 150pM , 200liM , 250 ptM, 300 ptM, 350 pM, 400 pM, 450 pM, 500 15 ptM, 550 pM, 580 pM, 600 pM, or 650 tM. In certain embodiments, the concentration of alloxazine is targeted to be approximately 500 pM ± 12.5 pM. The pH of the solvent also can be adjusted. For example, the pH can be adjusted to an acidic pH (i.e. less than or equal to 6.5). The solvent pH can be modified to be less than or equal to a maximum pH of 6.5, 6.0, 5.5, 5.0, 4.5, 4.0, 3.5, 3.0 or 2.5, and optionally greater 20 than or equal to a minimum pH of 2.5, 3.0, 3.5, 4.0, 4.5. 5.0. 5.5, or 6.0. For example, the pH can be modified to between 4.0 and 5.0. Any acid can be used to modify the pH, including for example, hydrochloric acid (HCI), sulfuric acid (H 2

SO

4 ), citric acid (C 6

H

8 0 7 ) and acetic acid (CH 3 COOH). Common bases can also be used to modify the pH, including sodium hydroxide (NaOH) and sodium bicarbonate (NaHCO 3 ). 25 A monovalent salt, e.g., NaCl, can be combined with the solvent to provide a salinity of about 0.9%. In addition, the solution can be prepared to include about 200 mM sodium acetate (NaAc). The sodium acetate is typically included for end-use in blood products, where 10-20 mM NaAc is used within the blood product for platelet stability and 11 3725$03_1 (GHMatters) P77322.AU.2 3-Oct-12 activity Bertulini et al., Transfusion (1992) 32:152; Murphy, Blood (1995) 85:1929. As above, the NaAc can be added with the alloxazine and salt of independent of the alloxazine and salt. The order of addition is not critical to the production of the alloxazine containing solvent. 5 Under conventional alloxazine solution production, only about the equivalent of a 114 pM solution will be produced due to the materials marginal solubility. i.e., Ksp. The concentration of the alloxazine can be targeted to a specific level higher than the typical saturation concentration, as discussed supra. The aqueous medium is heated to a given temperature. For example, the aqueous 10 medium can be heated to a minimum temperature of greater than or equal to 60 0 C, 65 0 C, 70-C, 75-C, 80*C, 85*C, 90 0 C, or 95'C, and optionally a maximum temperature of less than or equal to 95*C, 90*C, 85*C, 80'C, 75'C, 70*C, or 65*C. In certain variations, the temperature of between about 80 0 C to about 90 0 C. The solution can be mixed for a period of time, such as for at least ten to sixty minutes, to allow the alloxazine to dissolve. 15 Heated and mixed solution is then autoclaved in flexible plastic bags, or other like containers, under enhanced steam, pressure and temperature. No volume constraints are placed on the solution. In particular, the solution is heated to between about 60*C and about 100*C, and preferably about 75 0 C to about 85*C, and a pressure of between about 1 atm and about 4 atm (50psi), under high steam conditions. 20 The compositions can be stored for later use. For example, sodium acetate can be added to the composition. The composition can be dispensed into sterilization vessels, for example, polypropylene bags, which can then be heated (to e.g. 120'C-130*C) for an appropriate period of time and steam sterilizing the composition in a light-occluded manner. The alloxazine solutions prepared in this manner can be used in the treatment of 25 biologic fluids and such as blood products. Alloxazine containing solutions have enhanced solubility and stability as compared to alloxazine solutions not prepared using the methods described herein. 12 3725503.1 (GHMatter) P77322AU 2 3-Oc-12 The compositions, as prepared by methods described herein, are then added directly to the biological fluid, such as a blood product. In certain embodiments, approximately 35 ml of 500 ptM alloxazine solution is added per 170 ml to 365 ml blood product. The addition of the alloxazine composition to the blood product is in distinct 5 comparison to previous technologies, which require a much more dilute combination of alloxazine into the blood product. Riboflavin Derivative Forms The method of preparing the riboflavin by heating and then cooling in solution creates a riboflavin derivative form that has increased solubility at room temperature as 10 compared to untreated riboflavin. The compound has been termed riboflavin derivative alpha. Riboflavin derivative alpha can be used as in the sterilization treatment of biological fluids. Riboflavin derivative alpha is a highly soluble form of riboflavin created by heating under acidic conditions. The chemical structure and activity of the riboflavin 15 derivative form is the same as that of untreated riboflavin. Without being limited to a specific theory, the riboflavin derivative form appears to be an altered conformation of riboflavin that excludes water from the hydration sphere. Such a conformational change allows the riboflavin to act as an organic solvent, thereby allowing increased solubility of riboflavin in solution. The spectroscopic data is consistent with solubilizing riboflavin in a 20 more hydrophobic environment. Riboflavin derivative alpha is stable over time, and is not a supersaturated solution. At least some portion of the riboflavin material derived from the methods described herein contain riboflavin derivative alpha. Riboflavin derivative alpha can be present exclusively or as part of a combination of riboflavin or with other alloxazine 25 compounds. The compound is highly stable at room temperature and can be stored for extended periods of time, while retaining high activity for use in the treatment of biologic fluids. As shown below in the Examples, riboflavin derivative alpha provides an altered or modified absorbance profile as a function of concentration at wavelengths above 500 nm. 13 3725503_1 (GHMatter) P77322 AU.2 3-Oct-12 A modified absorbance profile for riboflavin derivative alpha, as compared to untreated riboflavin, indicates that this new derivative of riboflavin is present (see Beer's law, A=Fbc, where A is absorbance, c is the molar absorptivity, b is the path length of the sample, i.e., cuvette and c is the concentration of the compound in solution). 5 The methods, compositions and devices disclosed herein may also be used to make vaccines, reduce prions in a fluid, in IV fluids containing biologically active proteins other than those derived from blood may also be treated by the methods, compounds and compositions described herein. 14 37255031 (GhMatters) P77322.AU.2 3-OcI-12 Examples The present disclosure will be more readily understood by reference to the following examples, which are provided by way of illustration and are not intended as limiting. 5 Example: 1: Batch Manufacture of Highly Soluble Riboflavin Procedure for Compounding of Bulk Solution: The following procedure is performed in a clean room. For a given desired bulk volume of manufactured riboflavin solution, enough solid riboflavin and sodium chloride are measured and dispensed into a tank filled with 80'C water to produce a solution having 500 10 kM ± 12.5 pM riboflavin and approximately 153.6 mM ± 3.6 mM. In particular, a 1000 L batch would consist of 0.1882 kg riboflavin and 9.0 kg sodium chloride. Note that the riboflavin and sodium chloride can be added simultaneously or individually in either order of addition. More particularly, the sodium chloride is added to the WFI (injection quality 15 water or "water for injection") WFI is at a temperature of 80*C, and the pH adjusted with 0.1M HCl to 5.0 ± 0.1. The riboflavin is then added and the solution and mixed for about 15 minutes. Again note that the order of addition between the sodium chloride and riboflavin is irrelevant. The temperature of the solution is maintained at about 80*C. A quality control analysis was performed to determine purity of the composition. 20 Procedure for Filing Bags and Steam Sterilization: The above solution was then filtered through a Durapore 10" 0.45 pm in-line filter. The filtered bulk solution is next transferred to a filling machine where the solution is dispensed into 35 ml labeled PVC bags. The bags were then wrapped in a polypropylene vacuum overwrap prior to steam sterilization using an overkill method. 25 The overkill method was performed pursuant to ISO 11134:1994, entitled Sterilization of heath care products - Requirements for validation and routine control 15 3725503_1 (GHMatters) P77322.AU.2 3-Oc-12 Industrial moist heat sterilization. The ISO provides a guideline for the preparation of medical products using steam sterilization techniques. The sterilization cycle includes heating the solution to 121 C for approximately 15 minutes at a pressure of 4 atm in the polypropylene bags. The bags were then steam 5 sterilized by placing them in a labeled foil pouch to prevent light exposure to the solution (avoids photodegradation of riboflavin). A sample was then tested using a finished goods test - the sample complied with the following parameters: riboflavin, 500 ± 25 pM; lumichrome, <75 pM; sodium chloride, 154 ± 7 mM; sub visible particles, >10 pm (6000/container), >25 pm (600/container); pH, 4.0-5.1; endotoxins, <0.5 EU/ml; and sterility, 10 s 10-6 (sterility assurance level (SAL) for fluid pathway). Example 2: Riboflavin Derivative Alpha The riboflavin derivative, termed riboflavin alpha was prepared using the procedures described above in Example 1. To confirm that the material contained riboflavin, the composition was tested for absorbance at 2 nm to 5 nm intervals between the wavelengths 15 of 490 nm and 530 nm. Absorbance numbers were then entered into Beer's law (A=6bc) where A is absorbance, F is the molar absorptivity for riboflavin, b is the path length of the sample, i.e., cuvette and c is the concentration of the compound in solution. Concentration was solved for at each absorbance and plotted as shown in Figures 1 A, I B and 1 C. The slope of the line of Absorbance versus concentration equals the molar absorptivity (s). 20 Interestingly, when the data from Figure IC was measured for its correlation coefficient, i.e., concentration plotted for each wavelength and a correlation coefficient prepared, a substantial deviation was identified for wavelengths above 500 nm, and particularly at 510 nm. The data in Figure IC illustrates that a distinct riboflavin derivative form exists in the tested composition, which is therefore prepared using the methods 25 described herein. This derivative has been termed riboflavin derivative alpha. 16 3725503_1 (GHMatters) P77322.AU.2 3-Oci-12 Example 3 Riboflavin (approximately 70 mg) was added to saline (approximately 200mL) and continuously mixed on a hot plate. The container was covered, and the solution was mixed for 40 minutes. The solution was filtered through a 0.2 micron filter. The filtered 5 solution was diluted 1:10 and its absorbance was measured. The riboflavin concentration was determined to be 540 pM. The spectrum showed no evidence of riboflavin decomposition. 3 mL of the riboflavin and 147 mL saline were combined. The absorbance was measured, and the concentration was determined to be 9.9 pM. 30 mL of the 10 riboflavin/saline solution was transferred to each of four 75 cm 2 flasks, which were irradiated two at a time. The concentrations of riboflavin solutions were determined to be 515 pM and 528 pM, above the 114 p.M concentration of untreated riboflavin dissolved into solution at ambient temperature and pressure. 15 Example 4 The concentration stability of riboflavin was measured over a period of time to determine its stability. Various preparation of riboflavin were prepared. Riboflavin was dissolved in aqueous medium at 22*C, and its concentration was 20 measured at 114 pM. Samples 1-3 were prepared by adding 10 mg riboflavin to 100 mL saline, heating at 37*C for 30 minutes, mixing on a stir-plate for 20 minutes, and filtering through a 20 micron filter. Sample 4 was made by adding 10 mg riboflavin to 100 mL saline, heating, and 25 filtering through a 0.2 micron filter. 17 3725503_1 (GHMatters) P77322.AU.2 3-Od-12 Sample 5 was prepared by adding 20 mg riboflavin to 100 mL saline, heating while mixing for 30 minutes, and filtering through a 0.2 micron filter. Sample 6 was prepared by adding 5mg riboflavin to 10 mL saline, heating in a water bath at 60'C for 30 minutes, shaking vigorously for 30 seconds, and filtering through a 5 0.2 micron filter. The concentration stability of riboflavin compositions are shown for each preparation. The riboflavin concentration of each experimental heat treated riboflavin sample is above that of the unheated control sample. Further, the concentration remains stable over a period of time when stored at ambient temperature and pressure. 10 Table I Sample Riboflavin Concentration Day 0 Riboflavin Concentration Day 5 (piM) (pM) Control 114 114 1 154 153 2 149 146 3 144 144 4 217 218 5 389 352 6 473 not measured It is understood for purposes of this disclosure that various changes and modifications may be made to the invention that are well within the scope of the invention. Numerous other changes may be made which will readily suggest themselves to those skilled 18 37255031 (GHMatOrs) P77322 AU.2 3-Oc-12 in the art and which are encompassed in the spirit of the methods, compounds and compositiosn disclosed herein. The specification contains numerous citations to patents, patent applications, and publications, each is hereby incorporated by reference for all purposes. 19 37255031 (GHMatters) P77322 AU.2 3-Od-12

Claims (17)

1. A method for inactivating a pathogen in a biological fluid, the method comprising: adding an amount of an alloxazine to an aqueous medium consisting of about 0.9% sodium chloride, wherein the aqueous medium has a pH of between about 4 and about 5, and 5 wherein the amount of alloxazine added exceeds a saturation point of the alloxazine at I atmosphere and 22'C; heating the aqueous medium, after adding the alloxazine, to a temperature between about 80'C and about 90*C; and cooling the aqueous medium to produce an aqueous medium having a concentration 0 of soluble alloxazine above the alloxazine's saturation point; adding the cooled aqueous medium to the biological fluid to produce a fluid mixture; and exposing the fluid mixture to an amount of photoradiation to activate the alloxazine that inactivates the pathogen. 5

2. The method of claim 1, wherein the concentration of soluble alloxazine in the aqueous medium is at least 120 pM.

3. The method of claim 1 or claim 2 wherein the concentration of soluble alloxazine in the aqueous medium is at least 250 pM.

4. The method of any one of claims 1 to 3 wherein the concentration of soluble 20 alloxazine in the aqueous medium is at least 350 ptM.

5. The method of any one of claims 1 to 4 wherein the concentration of soluble alloxazine in the aqueous medium is at least 500 pM.

6. The method of any one of claims I to 5 wherein the concentration of soluble alloxazine in the aqueous medium is about 580 pM. 20

3725503.1 (GHMatters) P77322.AU.2 20-Mar-13

7. The method of any one of claims I to 6, wherein the biological fluid comprises a blood product.

8. The method of any one of claims 1 to 7, wherein the alloxazine comprises riboflavin. 5

9. The method of any one of claims 1 to 7, wherein the alloxazine comprises one or more from the group consisting of: lumiflavin, lumichrome, flavin adenine dinucleotide, and flavin mononucleotide.

10. The method of any one of claims I to 9, further comprising filtering the cooled aqueous medium before adding the cooled aqueous medium to the biological fluid. [0

11. The method of claim 10, further comprising transferring the filtered aqueous medium to a bag.

12. The method of claim 11, further comprising sterilizing the filtered aqueous medium in the bag under pressure at a temperature of at least 120*C.

13. The method of claim 12, wherein the sterilizing comprises sterilizing with .5 steam.

14. The method of any one of claims 1 to 13, wherein the photoradiation comprises radiant energy in a visible range.

15. The method of any one of claims I to 13, wherein the photoradiation comprises radiant energy in an ultraviolet range. 20

16. The method of any one of claims I to 15, wherein the pathogen comprises one or more viruses selected from the group consisting of: extracellular virus and intracellular virus.

17. The method of claim 1, substantially as hereinbefore described with reference to the examples and figures. 21 3725503_1 (GHMatiers) P77322 AU.2 20-Ma,-13