DK157170B - CONCENTRATE OF ANTI-HAEMOFILE FACTOR VIII AND PROCEDURES FOR PRODUCING THEREOF - Google Patents

CONCENTRATE OF ANTI-HAEMOFILE FACTOR VIII AND PROCEDURES FOR PRODUCING THEREOF Download PDF

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DK157170B
DK157170B DK549483A DK549483A DK157170B DK 157170 B DK157170 B DK 157170B DK 549483 A DK549483 A DK 549483A DK 549483 A DK549483 A DK 549483A DK 157170 B DK157170 B DK 157170B
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peg
ahf
concentrate
factor viii
precipitate
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DK549483A
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DK549483D0 (en
DK157170C (en
DK549483A (en
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Mirella Ezban Rasmussen
Ole Nordfang
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Nordisk Insulinlab
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Priority to EP84901337A priority patent/EP0148843B2/en
Priority to AT84901337T priority patent/ATE49706T1/en
Priority to US06/673,753 priority patent/US4650858A/en
Priority to DE8484901337T priority patent/DE3481109D1/en
Priority to AU28101/84A priority patent/AU2810184A/en
Priority to PCT/DK1984/000019 priority patent/WO1984003628A1/en
Publication of DK549483A publication Critical patent/DK549483A/en
Priority to NO84844610A priority patent/NO169875C/en
Priority to FI844557A priority patent/FI80382C/en
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DK 157170 BDK 157170 B

Den foreliggende opfindelse angir et koncentrat af den anti-hæmofile Faktor VIII, ogsâ kaldet AHF, som er af den i krav l's indledning angivne art samt en fremgangs-mâde til fremstilling af et sâdant koncentrat.The present invention discloses a concentrate of the anti-hemophilic Factor VIII, also called AHF, which is of the kind set forth in the preamble of claim 1, and a method of preparing such concentrate.

5 Det er kendt, at blodets evne til at koagulere styres af et system af koagulationsproteiner, hvoraf AHF eller Faktor VIII er en vigtig komponent.It is known that the ability of blood to coagulate is controlled by a system of coagulation proteins, of which AHF or Factor VIII is an important component.

Personer med hæmofili-A eller bledersygdom har helt eller delvis mistet evnen til at producere AHF. Til 10 behandling af denne sygdom injiceres AHF-holdige præpa- rater, og det har derfor betydning at rade over præpara-ter indeholdende passende heje koncentrationer af AHF og med lavest muligt indhold af andre proteiner, sâsom fibrinogen og immunglobuliner.People with haemophilia-A or haemorrhagic disease have completely or partially lost the ability to produce AHF. For the treatment of this disease, AHF-containing preparations are injected, and it is therefore important to have preparations containing suitably high concentrations of AHF and with the lowest possible content of other proteins, such as fibrinogen and immunoglobulins.

15 Især ved behandling af inhibitorpatienter, d.v.s. patien ter, der producerer antistoffer mod AHF, og som derfor skal hâve præparatet tilfert i overskud, med heje doser af AHF, er det vigtigt, at den specifikke aktivitet (enh. AHF/mg protein) er hej, idet en tilfarsel af "andre 20 proteiner" i sterre mængder kan fremkalde uenskede bivirk- ninger. Ved 1 AHF enhed forstâs faktor VIII aktiviteten af 1 ml normalt blodplasma. Bivirkninger ved AHF-behand-ling forârsaget af immunglobuliner er f.eks. beskrevet af Tilsner et al., Münch. Med. Wschr. 124 (1982) nr.Especially in the treatment of inhibitor patients, i.e. for patients who produce antibodies against AHF and who therefore need to raise the preparation in excess, with high doses of AHF, it is important that the specific activity (unit of AHF / mg protein) is high, as a case of "other 20 proteins "in sterile amounts can cause unwanted side effects. By 1 AHF unit, factor VIII is understood to be the activity of 1 ml of normal blood plasma. Side effects of AHF treatment caused by immunoglobulins are e.g. described by Tilsner et al., Munich. With. Wschr. 124 (1982) no.

25 22, p. 553-557.25 22, pp. 553-557.

AHF udvindes normalt af det sâkaldte kryopræcipitat, der hovedsageligt bestâr af fibrinogen, albumin, IgG og IgM, mens AHF udgor mindre end 1¾ af den totale pro-teinmængde. Den specifikke aktivitet af et kryopræcipitat 30 er typisk 0,1 - 0,3 enh. AHF/mg protein.AHF is usually extracted by the so-called cryoprecipitate, which mainly consists of fibrinogen, albumin, IgG and IgM, while AHF accounts for less than 1¾ of the total protein. The specific activity of a cryoprecipitate 30 is typically 0.1-0.3 units. AHF / mg protein.

Det er kendt, at man kan fjerne en del af det unedvendige 2It is known that one can remove part of the unnecessary 2

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protein ved fældning med glycin eller polyethylenglycol (PEG). Eventuelt kan fældning udferes flere gange, ferst med det ene og derefter med det andet fældningsmiddel.protein by precipitation with glycine or polyethylene glycol (PEG). Optionally, precipitation can be carried out several times, with one and then with the other precipitant.

Det har sâledes lange været kendt at fælde AHF med ca.It has long been known to trap AHF by approx.

5 2 M glycin ved lav temperatur, jfr. Webster et al., se Amer. J. Med. Sc. 250, nr. 6, p. 643-650 (1965).5 2 M glycine at low temperature, cf. Webster et al., See Amer. J. Med. Sc. 250, No. 6, pp. 643-650 (1965).

Webster anvendte et kryopræcipitat, som oplostes i vand og fraktioneredes ved lav temperatur (< 10°C) med stigende koncentrationer af glycin indtil 2,3 molær. Ved denne 10 type fældning udnyttes, at AHF i kulden udfældes sammen med fibrinogen ved tilsætning af glycin. Herved opnâs ^ en specifik aktivitet pâ 0,3 - 0,5 enh. AHF/mg protein.Webster used a cryoprecipitate which was dissolved in water and fractionated at low temperature (<10 ° C) with increasing concentrations of glycine up to 2.3 molar. In this type of precipitation, it is utilized that AHF in the cold precipitates with fibrinogen by the addition of glycine. Thereby a specific activity of 0.3 - 0.5 unit is obtained. AHF / mg protein.

Fra beskrivfilsen til E'P ip.ate,ntskrift nr. 32655, er det 15 kendt, at mam ved .at gaanmeinfare fraktioneringen af genop- lest kryopræcipitat med 2M glycin som fældningsmiddel ved hejere temperaturer, sasom 30-45°C, ferst far udfældet en stor del af de andre proteiner, sâsom fibrinogen, sâledes at AHF forbliver i supernatanten, hvorfra det 20 kan tidvindes.From the description file to E'P ip.ate, specification 32655, it is known that by passing the fractionation of redissolved cryoprecipitate with 2M glycine as a precipitant at higher temperatures, such as 30-45 ° C, it is known precipitated a large proportion of the other proteins, such as fibrinogen, such that AHF remains in the supernatant from which it can be recovered.

Nâr PEG anvendes som fældningsmiddel, foretages hyppigst en fraktioneret PEG-fældning, hvor hovedparten af fibrino-genet og noget IgM fjernes ved fældning med lav PEG-koncentration ( 2—6?ô), hvorefter AHF udfældes fra den 25 albuminholdige supernatant med haj PEG-koncentration (5-15?ô). Sâdanntp PEG/PEG-fældninger er beskrevet af bl.a. Newman et' al., Brit,J,Haematology 2_1, 1972, p.When PEG is used as a precipitant, a fractional PEG precipitation is most often performed, with the majority of the fibrino gene and some IgM removed by low PEG concentration (2-6?), After which AHF is precipitated from the 25 albumin-containing supernatant with PEG concentration (5-15? ô). Such PEG / PEG precipitates are described by e.g. Newman et al., Brit, J, Haematology 2_1, 1972, p.

1; US patentskrift nr. 3.652.530; DK patentskrift. nr.1; U.S. Patent No. 3,652,530; DK patent. no.

146 895, FR patentskrift nr. 2.460.305, DK patentansogning 30 nr. 3602/81. Ved disse metoder opnâs et AHF-koncentrat med en specifik aktivitet pâ 1 - 3 enh./mg protein.146,895, FR Patent No. 2,460,305, DK Patent Application 30 No. 3602/81. By these methods, an AHF concentrate with a specific activity of 1-3 units / mg protein is obtained.

Ifolge US patentskrift nr. 4 027 013 (Bick et al.) befries en blanding indeholdende koagulerbart fibrinogen og Faktor VIII, der ud fra eksemplerne mâ antages at være genoplostAccording to U.S. Patent No. 4,027,013 (Bick et al.), A mixture containing coagulable fibrinogen and Factor VIII is released which, from the Examples, is believed to be dissolved.

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3 kryopræcipitat, for 90 % af fibrinogenindholdet ved fældning med en blokcopolymer af "Pluronic" typen, idet man i en mindre foretrukken udforelsesform, der forer til væsentligt lavere udbytter, ogsâ kan anvende PEG.3 cryoprecipitate for 90% of the fibrinogen content by precipitation with a block copolymer of the "Pluronic" type, while in a less preferred embodiment leading to substantially lower yields PEG can also be used.

5 Supernatanten fra den forste f ibrinogenfældning behandles derpâ med hojere koncentrationer af "Pluronic"^) til udfældning af faktor VIII og residualt fibrinogen.The supernatant from the first fibrinogen precipitate is then treated with higher concentrations of "Pluronic") to precipitate factor VIII and residual fibrinogen.

Det faktor VlII-holdige bundfald genoploses i mere koncen-treret form og behandles derpâ med et thrombinmimetisk 10 enzym, der angiveligt specifikt koagulerer den totale mængde residual fibrinogen, men ikke i væsentlig grad pâvirker faktor VIII's biologiske aktivitet. Dette sidste er dog ikke nærmere dokumenteret.The factor II-containing precipitate is redissolved in a more concentrated form and is then treated with a thrombin mimetic enzyme which reportedly specifically coagulates the total amount of residual fibrinogen but does not significantly affect the biological activity of factor VIII. However, this last is not further documented.

Det er vigtigt at bemærke, at Bick for at stabilisere 15 faktor VIII under den efterfolgende lyofilisering tilsæt- ter albumin, hvilket ikke er tilfældet ved lyofilisering af koncentratet ifolge opfindelsen.It is important to note that in order to stabilize factor VIII during subsequent lyophilization, Bick adds albumin, which is not the case with lyophilization of the concentrate according to the invention.

Processer med flertrinsfældninger, hvor mere end et fældningsmiddel anvendes, er ligeledes kendt. F.eks.Multistage precipitation processes in which more than one precipitant is used are also known. Eg.

20 kan glycinfældning ved lav temperatur udfores for eller efter PEG/PEG-fældninger, evt. kan glycinfældninger udfores bâde for og efter PEG/PEG-fældningerne. Dette er beskrevet i US patentskrift nr. 3 682 881 og US pa-tentskrift 3.631.018. Almindeligvis opnâs herved præpa-25 rater med en specifik aktivitet pâ 1 - 3 enh./mg protein.20, low temperature glycine precipitation may be carried out before or after PEG / PEG precipitation, optionally. For example, glycine precipitates can be performed both before and after the PEG / PEG precipitates. This is described in U.S. Patent No. 3,682,881 and U.S. Patent No. 3,631,018. Generally, preparations having a specific activity of 1 to 3 units / mg protein are thereby obtained.

Nâr der i denne sammenhæng fældes med glycin ved lav temperatur, udnyttes det AHF-holdige bundfald, d.v.s. at der ved efterfolgende PEG-fældninger pâ genoplost AHF-holdigt præcipitat kun er en lav koncentration af 30 glycin i oplosningen.When precipitated with glycine at low temperature in this context, the AHF-containing precipitate, i.e. that for subsequent PEG precipitates on dissolved AHF-containing precipitate there is only a low concentration of 30 glycine in the solution.

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Anvendes glycin ved hej temperatur i forbindelse med PEG-fældning, udf0res forst en glycinfældning, der efter-lader AHF i supernatanten, hvor koncentrationen af glycin er hoj, og derefter fældes AHF derfra med en PEG-fældning 5 ved ‘hej PEG-koncentration. Herved kan opnâs en specifik a.ktivitet pâ 1 - 3 enh./mg protein.If glycine is used at high temperature in conjunction with PEG precipitation, a glycine precipitate is first left, leaving AHF in the supernatant where the concentration of glycine is high, and then AHF is precipitated therefrom with a PEG precipitate 5 at 'high PEG concentration. Hereby a specific activity of 1 - 3 units / mg protein can be obtained.

Det ved denne type glycin/PEG-fældning opnâede koncentrat ligner et koncentrat opnâet ved PEG/PEG-fældning. Som det fremgâr af tabel 1, indeholder 1. fældningssuperna-10 tant mere IgM og IgG efter en varm fældning med 2 MThe concentrate obtained by this type of glycine / PEG precipitate is similar to a concentrate obtained by PEG / PEG precipitation. As shown in Table 1, the 1st precipitate supernatant contains more IgM and IgG after a warm 2 M precipitation

glycin end efter en fældning med lav PEG-koncentration (4%)· Efter slutfældningen med hoj PEG-koncentration (9¾) indeholder koncentratet fra glycin/PEG-fældningen imidlertid mindre IgM og IgG end koncentratet fra PEG/-15 PEG-fældningen.glycine than after a low PEG concentration (4%) · However, after the high PEG concentration (9¾), the glycine / PEG precipitate concentrate contains less IgM and IgG than the PEG / -15 PEG precipitate.

TABEL 1TABLE 1

Sammenliqninq mellem PEG/PEG- og varm qlycin/REG-fældninq af AHF fra qenoplest kryopræcipitatComparison of PEG / PEG and hot glycine / REG precipitation of AHF from cryoprecipitated cryoprecipitate

Fraktion_% AHF_% IgM % IgGFraction_% AHF_% IgM% IgG

Kryopræcipitat 100 100 100 1. "FEG, 4%, supernatant 72" 38 55 PEG/PEG, 4/i, 9¾ koncentrat 40 24 15 2M glycin supernatant 68 76 79 2M qlycin/PEG, 9%, koncentrat 36 18 8 Ârsagen hertil er ikke tidligere erkendt, men det ma antages, at den polære aminosyre i glycinsupernatanten virker indsaltende, især pâ basiske proteiner, sâledes at IgM og IgG ikke sa let udfældes med PEG alene. Det 20 ved glycin/PEG-fældningen opnâede koncentrat har dog stadig et uansket hajt indhold af fibrinogen, IgG og IgM, jfr. tabel 2 nedenfor.Cryoprecipitate 100 100 100 1. "FEG, 4%, supernatant 72" 38 55 PEG / PEG, 4 / i, 9¾ concentrate 40 24 15 2M glycine supernatant 68 76 79 2M qlycine / PEG, 9%, concentrate 36 18 8 Reason for this is not previously recognized, but it is believed that the polar amino acid in the glycine supernatant acts as a salting agent, especially on basic proteins, so that IgM and IgG are not readily precipitated by PEG alone. However, the concentrate obtained by the glycine / PEG precipitate still has an undesirably high content of fibrinogen, IgG and IgM, cf. Table 2 below.

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Formâlet med den foreliggende opfindelse er at tilveje-bringe et hajrent, direkte lyofiliserbart AHF-koncentrat, 5 der har en sa haj oplaselighed og specifik aktivitet, at det kan indgives intravenast i injektionsdoser pâ 1000 enheder oplast i 2-5 ml injektionsmedium, og som indeholder faktor VlII-kompleksets anden bestanddel faktor VIII: RP, der virker stabiliserende pâ'den koagu-lationsaktive faktor V111 :C- 10The object of the present invention is to provide a shark pure, directly lyophilizable AHF concentrate having a shark solubility and specific activity that it can be administered intravenously in injection doses of 1000 units loaded in 2-5 ml injection medium and as contains factor VIII: second component of factor VIII: RP, which stabilizes on coagulation active factor V111: C-10

Dette opnâs ved AHF-koncentratet ifalge opfindelsen, der er ejendommeligt ved det i krav 1' kendetegnende del anfarte. Et sâdant koncentrat kan ifalge opfindelsen fremstilles som angivet i krav 2's kendetegnende del.This is achieved by the AHF concentrate according to the invention, which is peculiar to the part characterized in claim 1 '. Such a concentrate according to the invention can be prepared as set forth in the characterizing part of claim 2.

15 Det bemærkes, at der ikke er en entydig sammenhæng mellem et AHF-koncentrats specifikke aktivitet og dets oplaselig-hed, idet sidstnævnte afhænger af arten af avrige prote-iner, især fibrinogen, men at en haj specifik aktivitet ait andet lige ogsâ vil indebære en haj oplaselighed.It should be noted that there is no clear correlation between the specific activity of an AHF concentrate and its solubility, the latter being dependent on the nature of other proteins, especially fibrinogen, but that a shark specific activity would otherwise also involve a shark solubility.

20 Fra US patentskrift nr. 4 361 509 (Zimmermann et al.) kendes ganske vist et faktor VIII:C præparat, fremstillet ud fra plasma eller kommercielle faktor VIII koncentrater og som er befriet for faktor VIIIîRP ved direkte immun-adsorption pâ en sajle af agarosegel, hvortil der er 25 koblet monoclonale antistoffer, der udviser haj affini- tet over for faktor VIII:RP, men dog binder sâvel faktor V111 : C som VIIIîRP, og efterfalgende desorption af faktor VIII.-C med en calciumholdig buffer. Zimmermann's Faktor V111 :C koncentrat udviser en meget haj specifik aktivi- 30 tet (ca. 2300 enh./mg) og en meget haj oplaselighed (545-1172 enh./mg) i vandige injektionsmedier, men er som nævnt til forskel fra koncentratet ifalge opfindelsen ogsâ befriet for faktor VIIIîRP.20 U.S. Patent No. 4,361,509 (Zimmermann et al.) Discloses a Factor VIII: C preparation prepared from plasma or commercial Factor VIII concentrates and which is liberated from Factor VIIIIRP by direct immune adsorption on a column of agarose gel to which there are 25 monoclonal antibodies coupled showing shark affinity for factor VIII: RP, yet binding both factor V111: C and VIIIîRP, and subsequent desorption of factor VIII.-C with a calcium-containing buffer. Zimmermann's Factor V111: C concentrate exhibits a very shark specific activity (about 2300 units / mg) and a very shark solubility (545-1172 units / mg) in aqueous injection media, but is different from the concentrate as mentioned. according to the invention also exempted from factor VIIIRP.

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Opfindelsen er baseret pâ den overraskende erkendelse, at man kan opnâ et særlig rent AHF-præparat, indeholden-de sâvel faktor VIIIïC som VIIIîRP, men sam i det væsent-lige er befriet for andre proteiner, især immunglobuli-5 ner, ved at fraktionere et kryopræcipitat med PEG pâ en sèdan mâde, at der farst udfældes en væsentlig del, fortrinsvis mindst 80 %, af fibrinogenet, og at der i et efterfalgeade trin fældes med mere PEG i nærværel-se af et indsaltningsmiddel. Tilsætningen af indsalt-10 ningsmidle.t medfarer ikke i sig selv udfældninger, men pâ gxund af t i 1 s t ed e v æ r e1 s e n af indsaltningsmldlet modi-ficexies betiin.ge'lsexrue umdex den e.fierf algemde 'P'EG-fæld-ning, 3.81^4¾¾ at der opnâs en skarpere fraktionering, dvs. et renexe AHF-koncentrat med en haj specifik aktivi-15 tet, jfr. Tabel 2 nedenfor. Den haje renhed bevirker at .præparatet har en oplaselighed pâ 200-500 enheder faktor VIIIîC (AHF) pr. ml. Da en normal injektionsdo-sis er 1000 enheder, kan man sâledes najes med ca. 2-5 *nl injektionsmedium. Da oplaseligheden af de bedste 20 pâ markedet værende AHF-præparater angines at være 40- 50 enheder pr. ml svarende til et in jektionsv/olumen pâ 25-20 ml, medfarer præparatet ifalge opfindelsen sâledes en meget betydelig lettelse for patienten.The invention is based on the surprising realization that a particularly pure AHF preparation can be obtained, containing both factor VIIIiC and VIIIiRP, but substantially free of other proteins, especially immunoglobulins, by fractionation. a cryoprecipitate with PEG in such a way that a substantial portion, preferably at least 80%, of the fibrinogen is precipitated and that in a subsequent step, more PEG is precipitated in the presence of a salting agent. The addition of the salting agent does not in itself entail precipitations, but on the basis of ten first years of the salting agent modi-ficexies serving the yellow exdex the eiffer general 'P'EG trap -ing, 3.81 ^ 4¾¾ to obtain a sharper fractionation, i.e. a renexe AHF concentrate with a shark specific activity, cf. Table 2 below. The high purity means that the composition has a solubility of 200-500 units of factor VIIIiC (AHF) per day. ml. As a normal injection dose is 1000 units, it can thus be sealed with approx. 2-5 * nl injection medium. Since the solubility of the best 20 AHFs on the market is stated to be 40-50 units per unit. According to the invention, the preparation thus provides a very significant relief for the patient.

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7 TABEL 27 TABLE 2

Effekt af qlycintilsætninq under PEG/PEG-fældninq fra qenoplast kryopræcipitatEffect of Glycine Addition during PEG / PEG Precipitation from Genoplast Cryoprecipitate

Procès_AHF enh./mq % IgG % IgM % Fibr.Process_AHF unit / mq% IgG% IgM% Fibr.

Kryopræcipitat 0,32 100 100 100 4% PEG/9% PEG 2,53 15 24 1 2M glycin/9/°ô PEG 2,27 8 18 2 4K PEG/12 % PEG + 2M glycin 4,36 4 13 0,5Cryoprecipitate 0.32 100 100 100 4% PEG / 9% PEG 2.53 15 24 1 2M glycine / 9 / ° ô PEG 2.27 8 18 2 4K PEG / 12% PEG + 2M glycine 4.36 4 13 0, 5

Ved fældningen ifalge opfindelsen er glycin sâledes anvendt som indsaltningsmiddel, idet det stabiliserer de uanskede proteiner ved at holde dem i oplasning, hvorimod de hidtil kendte metoder udnytter glycins udsal-5 tende effekt pâ fibrinogen/AHF. Ved anvendelse af ind saltningsmiddel under en PEG/PEG-fældning i henhold til krav 2 opnâs altsa en mere selektiv udfældning af AHF.Thus, in the precipitation of the invention, glycine is used as a salting agent, stabilizing the unwanted proteins by holding them in solution, whereas the known methods utilize the saline effect of glycine on fibrinogen / AHF. Thus, using a salting agent during a PEG / PEG precipitation according to claim 2, a more selective precipitation of AHF is obtained.

Uden at ville være bundet til nogen bestemt teori antages 10 det, at indsaltningsmidlets virkning beror pâ, at det forager forskellen i overfladeladning mellem Faktor VIII og de avrige proteiner, navnlig IgG.Without being bound by any particular theory, it is assumed that the effect of the salting agent is due to the difference in surface charge between Factor VIII and the other proteins, in particular IgG.

Det er vigtigt at fjerne hovedparten af fibrinogenet i farste trin, fordi AHF-præparatet ellers ville være 15 stærkt forurenet med fibrinogen, og fordi tilstedeværelsen af fibrinogen i andet trin vil modvirke indsaltnings-effekten og hindre en selektiv udfældning af Faktor VIII.It is important to remove most of the fibrinogen in the first stage because otherwise the AHF preparation would be highly contaminated with fibrinogen and because the presence of fibrinogen in the second step would counteract the salting effect and prevent a selective precipitation of Factor VIII.

Som indsaltningsmiddel ved fremgangsmâden ifalge opfin-20 delsen benyttes hensigtsmæssigt en aminosyre, især basiske aminosyrer, fortrinsvis lysin eller arginin tilsat i form af hydrochloridet. André anvendelige aminosyrer er f.eks. histidin, samt polære aminosyrer, sâsom serin, glutaminsyre, glycin og £-aminohexansyre. André anvendeligeAs the salting agent of the process according to the invention, an amino acid, especially basic amino acids, preferably lysine or arginine added in the form of the hydrochloride is suitably used. Other useful amino acids are e.g. histidine, as well as polar amino acids such as serine, glutamic acid, glycine and β-aminohexanoic acid. André usable

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8 indsaltningsmidler er kulhydrater, fortrinsvis mono-eller disaccharider f.eks. glucose, og saccharose, men ogsâ oligosaccharider samt sukkeralkoholer, f.eks. sor-bitol og glycerol.8 salts are carbohydrates, preferably mono- or disaccharides e.g. glucose, and sucrose, but also oligosaccharides and sugar alcohols, e.g. sorbitol and glycerol.

5 En oversigt er givet i Tabel 3.5 An overview is given in Table 3.

TABEL 3TABLE 3

Effekt af indsaltningsmidler pâ PEG/PEG-fældninq af AHF fra qenoplest kryopræcipitatEffect of Salts on PEG / PEG Precipitation of AHF from Genoplated Cryoprecipitate

Indsaltningsmiddel Spec. aktivitet % udbytte af _enh. /mq_AHF fra plasmaDesiccant Spec. activity% yield of _enh. / mq_AHF from plasma

Intet 2,53 18 2M glycin 4,36 17 0,5M lysin, HCl 8,4 18 0,5M arginin, HCl 7,0 14 l,OH £. -aminohexansyre 5,0 10 1,5M glucose 3,85 18 1,0M saccharose 5,35 20Nothing 2.53 18 2M glycine 4.36 17 0.5M lysine, HCl 8.4 18 0.5M arginine, HCl 7.0 14 l, OH £. -aminohexanoic acid 5.0 10 1.5M glucose 3.85 18 1.0M sucrose 5.35 20

Det foretrukne indsaltningsmiddel er lysin-HCl. Pâ teg-ningen er^vist lysins indflydelse pâ PEG/PEG-fældning af AHF udtrykt som henholdsvis enh. AHF/mg protein (fig.The preferred salting agent is lysine HCl. In the drawing, the influence of lysine on PEG / PEG precipitation of AHF is expressed as unit, respectively. AHF / mg protein (fig.

1) og “ή udbytte i forhold til kryopræcipitatet ved for-10 skellige lysinkoncentrationer (fig. 2). Lysin tilsættes fortri-n.3-v.is i koncentrationer pâ Q,.l - 0,9, især 0,..3 - 0,8, helst 0,5 - 0,7 tnol/1.1) and ή yield relative to the cryoprecipitate at different lysine concentrations (Fig. 2). Lysine is added advantageously at levels of Q, L - 0.9, especially 0, 3 - 0.8, most preferably 0.5 - 0.7 tnol / l.

Som det fremgâr af fig. 1 er der proportionalitet mellem tilsa’t" lysinmængde og specifik aktivitet af slutprod-uk-15 tet, men selv smâ lysinmængder har en klar effekt. Som det ses af fig. 2 falder udbyttet af AHF ved den anvendte PEG-koncentration imidlertid, hvis der anvendes mere end 0,75M lysin, idet denne mængde lysin ogsâ virker indsaltende pâ AHF.As can be seen from FIG. 1, there is proportionality between the added lysine amount and specific activity of the final product, but even small amounts of lysine have a clear effect. However, as seen in Fig. 2, the yield of AHF decreases at the PEG concentration used if more than 0.75M lysine is used, as this amount of lysine also acts as salts on AHF.

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Et andet foretrukket indsaltningsmiddel er arginin-HCl h vis indflydelse pê PEG/PEG-fældningen af AHF fremgâr af nedenstâende tabel 4, hvoraf det ses, at tilfreds-stillende udbytter opnâs ved koncentrationer pâ 0,2 5 - 0,8. Under hensyn til udbyttet er den foretrukne mængde 0,3 - 0,5, især 0,4 mol/1.Another preferred salting agent is arginine HCl, with some influence on the PEG / PEG precipitation of AHF as shown in Table 4 below, from which it is seen that satisfactory yields are obtained at concentrations of 0.2 5 - 0.8. Considering the yield, the preferred amount is 0.3 - 0.5, especially 0.4 mol / l.

TABEL 4TABLE 4

Arqinins indflydelse pâ PEG/PEG-fældninq af AHF Mol arqinin/1 % udbytte fra plasma enh. AHF/mq protein 0 20 2,3 0,2 20 4,9 0,4 17 6,4 0,6 14 6,1 0,8 4 4,6The effect of arginine on PEG / PEG precipitation of AHF Mol arginine / 1% yield from plasma unit. AHF / mq protein 0 20 2.3 0.2 20 4.9 0.4 17 6.4 0.6 14 6.1 0.8 4 4.6

De anvendte koncentrationer af PEG og indsaltningsmiddel samt pH under fældningen afhænger især af det anvendte indsaltningsmiddel, idet det som generel regel kan siges, 10 at de mere ladede indsaltningsmidler kan anvendes i mindre koncentrationer. Den valgte indsaltningsmiddelkon-centration hviler pâ et kompromis, idet man ved haje koncentrationer kan reducere IgG-mængden næsten fuldstæn-digt, men samtidig indsaltes ogsâ en del Faktor VIII, 15 hvorved udbyttet reduceres.The concentrations of PEG and the salting agent used, as well as the pH during the precipitation, depend in particular on the salting agent used, as it can generally be said that the more loaded salting agents can be used in smaller concentrations. The chosen saline concentration is compromised, because at high concentrations the IgG amount can be almost completely reduced, but at the same time part of factor VIII is also salted, thereby reducing the yield.

Ved fremgangsmâden ifalge opfindelsen anvendes PEG med en molekylvægt pâ 200-20.000, fortrinsvis 2.000-12.000, især 3.000-6.000, men PEG 3000 foretrækkes. PEG-koncen-trationen i det farste fældningstrin er 2-6 vægt-%, 20 fortrinsvis ca. 4 vægt-% og i det andet trin 6-20 vægt-%, fortrinsvis ca. 12 vægt-%. pH under farste fældningstrin kan være 6,0 - 8,5, fortrinsvis 6,2 - 6,6, især ca.In the process of the invention, PEG having a molecular weight of 200-20,000, preferably 2,000-12,000, especially 3,000-6,000, is used, but PEG 3000 is preferred. The PEG concentration in the farthest precipitation step is 2-6% by weight, preferably about 20%. 4% by weight and in the second step 6-20% by weight, preferably approx. 12% by weight. The pH during the first precipitation step may be 6.0 - 8.5, preferably 6.2 - 6.6, especially approx.

6,4, og under andet trin 5,0 - 8,5, fortrinsvis 6,0 - 6,6, især ca. 6,3.6.4, and in the second step 5.0 - 8.5, preferably 6.0 - 6.6, in particular approx. 6.3.

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ίοίο

Temperaturen i det farste fældningstrin kan være 6 -22 °C, fortrinsvis 18 - 22 °C. I andet fældningstrin er temperaturen ogsâ fortrinsvis 18 - 22 °C (stuetempera-tur ).The temperature in the farthest precipitation step may be 6 -22 ° C, preferably 18 - 22 ° C. In the second precipitation step, the temperature is also preferably 18 to 22 ° C (room temperature).

5 Ved udvindingen af det omhandlede Faktor VIII koncentrat kan man anvende kryopræcipitat fra humant blodplasma eller andre Faktor VlII-holdige blodfraktioner, ligesom man kan anvende plasmafraktioner fra dyrearter, eksempel-vis svin.In the extraction of the present Factor VIII concentrate, cryoprecipitate from human blood plasma or other Factor II-containing blood fractions can be used, as well as plasma fractions from animal species, for example pigs.

10 Fremgangsmâden ifalge opfindelsen skal i det falgende fiorklaries nærmere ved hjælp af nogle eksempler, der fogsâ illustrerer ©ipairibejdningen af koncentratet. Til præparatfremstililng kan MF-opliBS’ningBn om ansket under-kastes en varmebehandling i 10 timer ved 6ΐΡ0 i .nærværelse 15 af en passende stabilisator sâsom en blanding af glycin og saccharose for at opnâ en hepatitissikring og/eller om ansfiet lyofiliseres. .The process according to the invention will be described in more detail below with the aid of some examples which illustrate the preparation of the concentrate. For preparation, the MF solution may be subjected to heat treatment for 10 hours at 6 ° C in the presence of a suitable stabilizer such as a mixture of glycine and sucrose to obtain hepatitis protection and / or lyophilized. .

EKSEMPEL 1EXAMPLE 1

Kryopræcipitat fra 600 ml human blodplasma indeholdende 20 240 enheder Faktor VIII:C genoplases i 28 ml citrat/glu- cosepuffer og befries for prothrombinkomplex ved adsorp-tion med^ftl^O^. Derefter tilsættes 4 vægt-% PEG 3000. pH indstilles til 6,4 med 0,5 M HCl, og blandingen inkube-res 30 minutter ved stuetemperatur. Udfældet protein 25 fjernes ved centrifugering, og lysin-HCl tilsættes til en kanc-entration pa-0,55 mol/1. Yderligere 8 vægt-?ô· PEG 3000 tilsættes, og pH justeres til 6,3 med 0,1 M NaOH. Efter inkubation 45 minutter ved stuetemperatur isoleres bundfaldet ved centrifugering og genoplases 30 i citrat/glucose-NaCl, pH 7,8. Det genoplaste bundfald, der i.ndeholdt 112 enheder faktor VIII :C og 9 mg total-protein, har sâledes en specifik aktivitet pâ 12 enheder Faktor VIII:C (A H F) pr. mg protein, og udbyttet af FaktorCryoprecipitate from 600 ml of human blood plasma containing 20,240 units Factor VIII: C is replated in 28 ml of citrate / glucose buffer and freed from prothrombin complex by adsorption with ft ftll ^ O ^. Then 4 wt% PEG 3000 is added. The pH is adjusted to 6.4 with 0.5 M HCl and the mixture is incubated for 30 minutes at room temperature. Precipitated protein 25 is removed by centrifugation and lysine HCl is added to a cancer entry of 0.55 mol / l. An additional 8% by weight of PEG 3000 is added and the pH is adjusted to 6.3 with 0.1 M NaOH. After incubation for 45 minutes at room temperature, the precipitate is isolated by centrifugation and resuspended in citrate / glucose-NaCl, pH 7.8. Thus, the recharged precipitate containing 112 units of factor VIII: C and 9 mg of total protein has a specific activity of 12 units of factor VIII: C (A H F). mg of protein, and the yield of Factor

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11 fra plasma er 20%. Der blev ikke foretaget oploselig-hedsbestemmelse, men det ma antages at oploseligheden er mindst 200 enheder Faktor VIII:C/ml,, jvf. eksempel 5 og 6.11 from plasma is 20%. No solubility determination was made, but it is assumed that the solubility is at least 200 units Factor VIII: C / ml, cf. Examples 5 and 6.

5 Disse resultater er optaget i nedenstâende tabel 5 sam- men med resulater fra sammenligningsforspg uden lysintil-sætning. Tabellen viser, at der ved fremgangsmâden ifal-ge opfindelsen kan opnâs en væsentlig forogelse i specifik aktivitet og en reduktion af indholdet af immunglobulin 10 G i forhald til PEG/PEG fældninger uden tilstedeværelse af indsaltningsmiddel.5 These results are listed in Table 5 below, together with results from comparison trials without the addition of light. The table shows that the process according to the invention can achieve a significant increase in specific activity and a reduction of the content of immunoglobulin 10 G in relation to PEG / PEG precipitates without the presence of salts.

EKSEMPEL 2 30 ml kryooplesning opnâet analogt med eksempel 1 og adsorberet med M^Q^, tilsættes 4 vægtprocent PEG 3000.EXAMPLE 2 30 ml of cryo-reading obtained analogously to Example 1 and adsorbed with M 2 Q 4, 4% by weight of PEG 3000 is added.

15 p'M iadstilles til 6,4_med 0,5 M HCl, og blandingen inku-ber-es 30 imimutter ved stuetemperatur. Udfældet protein fjernes ved centrifugering, og "indsaltningsmiddel" tilsættes. Herefter tilsættes yderligere 8 vægt-% PEG 3000, og pH justeres til 6,3- med 0,1 M NaOH. Efter inkiu-20 bation 45 minutter ved stuetemperatur isoleres bundfaldet ved centrifugering og genoploses i citrat/glucose-NaCl, pH 7,8.15 µM is allowed to 6.4 with 0.5 M HCl, and the mixture is incubated 30 imimutes at room temperature. Precipitated protein is removed by centrifugation and "saline" is added. Then an additional 8% by weight of PEG 3000 is added and the pH is adjusted to 6.3- with 0.1 M NaOH. After incubation for 45 minutes at room temperature, the precipitate is isolated by centrifugation and redissolved in citrate / glucose-NaCl, pH 7.8.

Tabel 6 angiver de opnâede resultater for forskellige indsaltningsmidler. Der blev ikke foretaget opleselig-25 hedsbestemmelser, men det antages at oploseligheden er mindst 200 enheder Faktor VIII:C/ml,, jvf. eksempel 5 og 6.Table 6 shows the results obtained for various salts. No solubility determinations were made, but it is assumed that the solubility is at least 200 units Factor VIII: C / ml, cf. Examples 5 and 6.

DK 157170 BDK 157170 B

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DK 157170 BDK 157170 B

13 EKSEMPEL 3EXAMPLE 3

Kryopræcipitat fra 2,5 1 plasma genoploses i 100 ml citrat/glucosepuffer og befries for prothrombinkomplex ved adsorption med Al^O^. Der tilsættes 4 vægt-% PEG 5 3000. pH indstilles til 6,4 med 0,5M HCl, og blandingen inkuberes 30 mlnutter ved stuetemperatur. Udfældet pro-tein fjernes ved centrifugering, og arginin-HCl tilsættes til en koncentration pà 0,40 mol/1. Yderligere 8 vægt-S PEG 3000 tilsættes, og pH justeres til 6,3 med 0,1M 10 NaOH. Efter inkubation 45 minutter ved stuetemperatur isoleres bundfaldet ved. oentrifugering og genopleses i 20 ml citrat/saccharose/NaCl, pH 7,8. Koncentratet indeholder 360 enheder Faktor VIII:C og 52 mg protein (specifik aktivitet 7 enh./mg). Der blev ikke foretaget 15 bestemmelse af oploseligheden af koncentratet, men der antages at være mindst 200 enheder/ml jvf. eksempel 5 og 6.Cryoprecipitate from 2.5 L plasma is redissolved in 100 ml citrate / glucose buffer and freed from prothrombin complex by adsorption with Al 2 O 2. 4% by weight of PEG 5,000 is added. The pH is adjusted to 6.4 with 0.5M HCl and the mixture is incubated 30 mlnuts at room temperature. Precipitated precipitate is removed by centrifugation and arginine HCl is added to a concentration of 0.40 mol / l. An additional 8 weight S PEG 3000 is added and the pH is adjusted to 6.3 with 0.1M 10 NaOH. After incubation 45 minutes at room temperature, the precipitate is isolated by. centrifugation and redissolve in 20 ml of citrate / sucrose / NaCl, pH 7.8. The concentrate contains 360 units of Factor VIII: C and 52 mg of protein (specific activity 7 units / mg). No determination of the solubility of the concentrate was made, but it is assumed to be at least 200 units / ml, cf. Examples 5 and 6.

EKSEMPEL 4EXAMPLE 4

Kryopræcipitat fra 2,5 1 plasma genoplases i 100 ml 20 citrat/glucosepuffer jpg befries for prothrombinkomplex ved adsorption med A^O^. Der tilsættes 4 vægt-?ô PEG 3000. pH indstilles til 6,4 med 0,5M HCl, og blandingen inkuberes 30 minutter ved stuetemperatur. Udfældet protein fjernes ved centrifugering, og lysin-HCl tilsættes til 25 en koncentration pâ 0,55 mol/1. Yderligere 8 vægt-?i PEG 3000 tilsættes, og pH justeres til 6,3 med 0,1M NaOH. Eftei inkubation 45 min. ved stuetemperatur isoleres bundfaldet ved centrifugering og genoploses i 5 ml ci-trat/saccharose/NaCl, pH 7,8. Koncentratet indeholder 30 460 enh. Faktor VIII:C og 30 mg protein (specifik aktivi tet 15 enh./mg). Der blev ikke foretaget bestemmelse af oploseligheden af koncentratet, men der antages at være mindst 200 enheder/ml jvf. eksempel 5 og 6.Cryoprecipitate from 2.5 L of plasma is recharged in 100 ml of 20 citrate / glucose buffer jpg liberated for prothrombin complex by adsorption with A ^ O ^. 4 weight of PEG 3000 is added. The pH is adjusted to 6.4 with 0.5M HCl and the mixture is incubated for 30 minutes at room temperature. Precipitated protein is removed by centrifugation and lysine-HCl is added to a concentration of 0.55 mol / l. An additional 8% by weight of PEG 3000 is added and the pH is adjusted to 6.3 with 0.1M NaOH. After incubation 45 min. at room temperature, the precipitate is isolated by centrifugation and redissolved in 5 ml of citrate / sucrose / NaCl, pH 7.8. The concentrate contains 30 460 units. Factor VIII: C and 30 mg of protein (specific activity 15 units / mg). No solubility of the concentrate was determined, but it is assumed to be at least 200 units / ml, cf. Examples 5 and 6.

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14 EK5EMPEL 5EXAMPLE 5

Kryopræcipitat fra 80 kg plasma genopleses i 2500 ml citrat-puffer og befries for prothrombinkomplex ved adsorption med A^O^· Der tilsættes 4 vægt-% PEG 3000.Cryoprecipitate from 80 kg of plasma is redissolved in 2500 ml of citrate buffer and freed from prothrombin complex by adsorption with A ^ O ^ · 4% by weight of PEG 3000 is added.

5 pH indstilles til 6,4 med 0,5 M HCl, og blandingen inku-berer 30 minutter ved stuetemperatur. Udfældet protein fjernes ved centrifugering, og lysin- HCl tilsættes til en koncentration pâ 0,55 mol/1. Yderligere 8 vægt-% PEG 3000 tilsættes, og pH justeres til 6,3 med 0,1 M 10 NaOH. Efter inkubation pâ 45 min. ved stuetemperatur isoleres bundfaldet ved centrifugering og genoploses i 60 ml citrat/saccharose/NaCl. Oplssningen sterilfil-treres og dispenseres i 15 hætteglas. Efter frysning og frysetorring indeholder hvert hætteglas 1000 enh.The pH is adjusted to 6.4 with 0.5 M HCl and the mixture incubates for 30 minutes at room temperature. Precipitated protein is removed by centrifugation and lysine HCl is added to a concentration of 0.55 mol / l. An additional 8% by weight of PEG 3000 is added and the pH is adjusted to 6.3 with 0.1 M 10 NaOH. After incubation for 45 min. at room temperature, the precipitate is isolated by centrifugation and redissolved in 60 ml of citrate / sucrose / NaCl. The solution is sterile filtered and dispensed into 15 vials. After freezing and freeze drying, each vial contains 1000 units.

15 AHF, med en specifik aktivitet pâ 37 enh./mg protein.15 AHF, with a specific activity of 37 units / mg protein.

Da de i ait 15.000 enheder AHF er udvundet af 60 ml oplosning, kan det fastslâs, at oploseligheden er mindst 250 enheder/ml.As they are a total of 15,000 units of AHF extracted from 60 ml of solution, it can be stated that the solubility is at least 250 units / ml.

EKSEMPEL 6 20 Kryopræcipitat fra 13 1 plasma genoploses i 525 ml ci- trat/glucosebuffer og befries for prothrombinkomplex ved adsorption med A^O^. Der tilsættes 4 vægt-% PEG 3000. pH indstilles til 6,4 med 0,5M HCl og blandingen inkuberes 30 minutter ved stuetemperatur.Udfældet protein 25 fjernes ved centr’ifugering og lysin-HCl tilsættes til en koncentration pâ 0,55 mol/1. Yderligere 8 vægt-% PEG 3000 tilsættes og pH justeres til 6,3 med 0,1 M NaOH. Efter inkubation 45 min ved stuetemperatur isoleres bundfaldet ved centrifugering og genoploses i 2,1 ml 30 citrat/saccharose/NaCl, pH 7,8. Koncentratet, som er pâ 3,1 ml, indeholder 2180 enh. FVIIIîC og 81 mg protein oploseligheden er sâledes 703 enh/ml og den specifikkeEXAMPLE 6 Cryoprecipitate from 13 L of plasma is redissolved in 525 ml of citrate / glucose buffer and freed from prothrombin complex by adsorption with A ^ O ^. 4% by weight of PEG 3000 is added. The pH is adjusted to 6.4 with 0.5M HCl and the mixture is incubated for 30 minutes at room temperature. Precipitated protein 25 is removed by centrifugation and lysine HCl is added to a concentration of 0.55 mol / ml. first An additional 8% by weight of PEG 3000 is added and the pH is adjusted to 6.3 with 0.1 M NaOH. After 45 min of incubation at room temperature, the precipitate is isolated by centrifugation and redissolved in 2.1 ml of 30 citrate / sucrose / NaCl, pH 7.8. The 3.1 ml concentrate contains 2180 units. Thus, FVIIIîC and 81 mg of protein solubility are 703 units / ml and the specific

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15 aktivitet 27 enh/mg.Activity 27 units / mg.

EKSEMPEL 7 I dette eksempel undersoges det, hvorvidt den indsalte-de virkning af glycin kunne forbedres ved tilsætning 5 af NaCl, der hæver ionstyrken, og hvorvidt NaCl, der er et kendt indsaltningsmiddel, alene har tilstrækkelig indsaltende virkning under en PEG-fældning til at fore til et koncentrat ifolge opfindelsen.EXAMPLE 7 In this example, it is examined whether the salted-in effect of glycine could be enhanced by the addition of NaCl, which raises the ionic strength, and whether NaCl, a known salting agent, has sufficient salting effect alone during a PEG precipitation to to a concentrate according to the invention.

For yderligere at variere procesbetingelserne valgtes 10 det at gennemfore fældningen ved lav temperatur (6-9 °C).To further vary the process conditions, it was chosen to effect the precipitation at low temperature (6-9 ° C).

50 g kryopræcipitat genoploses i 200 ml dest. t^O ved stuetemperatur. 12,3 ml 1,3 % A^0^ og 7,9 g PEG 3000 (3 % ) tilsættes. pH justeres til 6,7 med IM HAc ag blan-dingen nedkoles til 9 °C. Efter nedkoling fjernes bundfald 15 ved centrifugering 15 min ved 9 °C. Yderligere 8¾ PEG, 2M glycin (13 %) og 14 % NaCl tilsættes, hvorefter pH justeres til 5,7 ôg”’b landingen nedkoles til 6 °C. Burad-faldet isoleres ved centrifugering i 15 min ved 6 °C og genoploses i 50 ml (1/5 kryo vol.) 5mM citrat, 0,13 20 M NaCl, 0,1 M glycin pH 7,3.50 g of cryoprecipitate is redissolved in 200 ml of dest. t ^ O at room temperature. 12.3 ml of 1.3% A₂O ^ and 7.9 g of PEG 3000 (3%) are added. The pH is adjusted to 6.7 with the IM HAc agitated to 9 ° C. After cooling down, precipitate 15 is removed by centrifugation for 15 minutes at 9 ° C. An additional 8¾ PEG, 2M glycine (13%) and 14% NaCl are added, after which the pH is adjusted to 5.7 deg and the mixture is cooled down to 6 ° C. The burad drop is isolated by centrifugation for 15 min at 6 ° C and redissolved in 50 ml (1/5 cryo vol.) Of 5 mM citrate, 0.13 20 M NaCl, 0.1 M glycine pH 7.3.

FV111 og proteinindholdet i det genoploste koncentrat var lav. Derfor blev det med varierende NaCl- og glycin-koncentrationer undersogt, om indsaltningen som forven-tet skyldes glycin. Som det fremgâr af nedenstâende DK 157170 B '; 16 tabel, udfældes FVIII kun i ringe grad uden NaCl. NaCl tilsætning alene medfarer imidlertid ikke eget protein-udfældning (som PEG tilsætning). Tværtimod virker NaCl i haj grad indsaltende. Ved den lave temperatur medvir-5 ker glycin til at fælde FVIII, men den heje specifikke aktivitet kan ikke opnâs uden NaCl tilsætning.FV111 and the protein content of the redissolved concentrate were low. Therefore, with varying NaCl and glycine concentrations, it was investigated whether the salting expected was due to glycine. As can be seen from DK 157170 B 'below; 16 Table, FVIII precipitates only slightly without NaCl. However, NaCl addition alone does not cause its own protein precipitation (such as PEG addition). On the contrary, NaCl appears to be saline-like. At the low temperature, glycine helps to precipitate FVIII, but the high specific activity cannot be achieved without NaCl addition.

Effekt af glycin og varierende NaCl koncentration % + 13 % glycin -glycinEffect of glycine and varying NaCl concentration% + 13% glycine-glycine

NaCl__ mg* » FVIII :C Spec. akt. mg* % FVIII :C spec.akt.NaCl__ mg * »FVIII: C Spec. act. mg *% FVIII: C spec.

protein udbytte enh/mg protein udbytte enh/mg 0 5,86 5 0,22 6,50 14,4 0,58 5 3,96 26 1,74 10 2,26 58 6,73 3,89 15,9 1,07 12 2,18 41 4,90 14 0,88 17 5,02 2,82 5,2 0,49protein yield unit / mg protein yield unit / mg 0 5.86 5 0.22 6.50 14.4 0.58 5 3.96 26 1.74 10 2.26 58 6.73 3.89 15.9 1 , 07 12 2.18 41 4.90 14 0.88 17 5.02 2.82 5.2 0.49

Kryopræc. 100 0,58 38 PEG/Kryopræc. 100 0.58 38 PEG /

Al^O^ super natant 73 0,77 * bestemt som E^qq EKSEMPEL 8 (Bestemmelse af faktor VIII :RP-indholdet)Al 3 O supernatant 73 0.77 * determined as E ^ qq EXAMPLE 8 (Determination of factor VIII: RP content)

Det fremgâr af Zimmermann, US patentskrift nr. 4 361 509 10 at der for at opnâ en adskillelse af de to komponenter 1 Faktor VIII komplexet ma tages tilflugt til specifikke rensningsmetoder, sâsom immunadsorption eller ion-bytningskromatografi.It is apparent from Zimmermann, U.S. Patent No. 4,361,509, 10 that in order to achieve the separation of the two components 1 Factor VIII complex must be resorted to specific purification methods, such as immunosorption or ion exchange chromatography.

I de foregâende eksempler hvor der som udgangsmateriale 15 anvendes (oplast) kryopræcipitat, der sâledes indeholder 17In the foregoing Examples, where starting material 15 is used (uploaded) cryoprecipitate thus containing 17

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—r * i—R * i

Faktor Vlll-komplexet, foretages der pâ intet tidspunkt sâdanne rensninger, og det er derfor ev/ident for gennem-snitsfagmanden, at de i eksemplerne opnâede Faktor VIII koncentrater stadig indeholder sâvel koagulationsaktivt 5 Faktor VIII:C som von Willebrand-faktoren Faktor VIII:RP.In the Factor VIII complex, such purifications are not carried out at any time, and it is therefore evident to the average skilled person that the Factor VIII concentrates obtained in the Examples still contain both coagulation active Factor VIII: C as the von Willebrand Factor Factor VIII: RP.

Imidlertid blev der ikke gennemfort mâlinger af Faktor VIΓΙ:RP-indholdet og det er derfor ikke muligt at ind-foje talværdier herfor i de eksisterende eksempler.However, no measurements of Factor VIΓΙ: RP content were made and it is therefore not possible to include numerical values for this in the existing examples.

Der er imidlertid gennemfort Faktor VIII:C og Faktor 10 VIIIrRP bestemmelse pâ en række AHF-præparater ifelge opfindelsen, der forhandles under betegnelsen ''NORDIOCTif^ og som er fremstillet analogt med eksempel 5, altsâ i enhedsdoser pâ 1000 enheder Faktor VIII:C (+ 20?ô).However, Factor VIII: C and Factor 10 VIIIrRP have been carried out on a number of AHF preparations according to the invention, which are marketed under the designation "NORDIOCTif" and prepared analogously to Example 5, ie in unit doses of 1000 units Factor VIII: C ( + 20?).

Der opnâedes felgende resultater:The following results were obtained:

Præparat FVIII:RP, Enh/dosis FVIIIîC, Enh/dosis 44102 727 847 44203 936 1028 44301 82'5 1161 44302 942 1109 44401 566 909 44402 808 1034 15 FVIII-RP er bestemt ved raketimmunelektroforese med antistof fra DAKO (A 082). Som standard er anvendt en pool af normal plasma (<bl Enh FVIII-RP/-ml).Preparation FVIII: RP, Enh / Dose FVIIIîC, Enh / Dose 44102 727 847 44203 936 1028 44301 82'5 1161 44302 942 1109 44401 566 909 44402 808 1034 15 FVIII-RP is determined by rocket immune electrophoresis with A antibody D By default, a pool of normal plasma (<bl Enh FVIII-RP / ml) is used.

FVIIIîC er bestemt ved et-trinskoagulationsassay. Som standard er anvendt en pool af normal .plasma (yi Enh 20 FVIIIîC/ml).FVIIIîC is determined by one-step coagulation assay. By default, a pool of normal plasma (y in Enh 20 FVIIIîC / ml) is used.

Claims (9)

1. Koncentrat af den antihæmofîle faktor VIII (AHF) i det væsentlige fri for denatueret AHF og andre i ud-gangsmaterialet for koncentratet tilstedeværende plas-maproteiner, men ikke for faktor VIII:RP, k e n d e-5 t e g n e t ved, at det udviser en opleselighed i et vandigt injektionsmedium pâ 200 - 500 enheder AHF/ml og en speeifik aktivitet pâ 3,85 - 50 enheder AHF/mg protein stammende fra udgangsmaterialet for koncentratet og at det kan fremstilles ved rensning af en oplesning 10 af et kryopræcipitat fra blodplasma eller en anden faktor VlII-holdig blodfraktion, til fjernelse af prothrombin og pâfolgende fraktionering med polyethylenglycol, PEG, omfattende et trin til udfældning af hovedparten af fibrinogen ved hjælp af 2-6 vægt-% PEG 200-20.000 og 15 et efterfolgende trin, ved hvilket supernatanten fra den ferstnævnte PEG-fældning fældes med 6-20 vægt-% PEG 20-20.000 i nærværelse af et indsaltningsmiddel valgt blandt aminosyrer, fortrinsvis basiske, kulhydrater og sukkeralkoholer, hvorpâ det udskilte bundfald med 20 koncentre.ret indhold af AHF udvindes.1. Concentrate of the anti-haemophilic factor VIII (AHF) substantially free of denatured AHF and others in the plasma proteins present in the concentrate, but not of factor VIII: RP, know the e-5 by showing a solubility in an aqueous injection medium of 200 - 500 units of AHF / ml and a specific activity of 3.85 - 50 units of AHF / mg of protein derived from the starting material of the concentrate and that it can be prepared by purifying a solution 10 of a cryoprecipitate from blood plasma or a second factor VII-containing blood fraction, for removing prothrombin and subsequent fractionation with polyethylene glycol, PEG, comprising a step of precipitating the majority of fibrinogen by 2-6% by weight of PEG 200-20,000 and a subsequent step, at which the supernatant from the aforementioned PEG precipitate is precipitated by 6-20 wt.% PEG 20-20,000 in the presence of a salting agent selected from amino acids, preferably basic, carbohydrates and sugar alcohol. is where the separated precipitate with 20 concentrate content of AHF is extracted. 2. Fremgangsmâde til fremstilling af et AHF-koncentrat ifolge krav 1 eller 2 hvorved en oplosning af et kryopræcipitat fra blodplasma eller en anden faktor VIII-holdig blodfraktion renses til fjernelse af prothrombin 25 og dernæst fraktioneres med polyethylenglycol, PEG, omfattende et trin til udfældning af hovedparten af fibrinogen ved hjælp af 2-6 vægt-% PEG 200-20.000 og et efterfolgende trin til udfældning af AHF, kende-t e g n e t ved, at supernatanten fra den forstnævnte 30 PEG-fældning fældes med 6-20 vægt-% PEG 200-20.000 i nærværelse af et indsaltningsmiddel valgt blandt aminosyrer, fortrinsvis basiske, kulhydrater og sukkeralkoholer, hvorpâ det udskilte bundfald med koncentreret indhold af AHF udvindes. DK 157170BA process for preparing an AHF concentrate according to claim 1 or 2 wherein a solution of a cryoprecipitate from blood plasma or other factor VIII-containing blood fraction is purified to remove prothrombin 25 and then fractionated with polyethylene glycol, PEG, comprising a step of precipitation. of the majority of fibrinogen by 2-6 wt% PEG 200-20,000 and a subsequent step of precipitating AHF, which is suitable in that the supernatant from the aforementioned 30 PEG precipitate is precipitated by 6-20 wt% PEG 200-20,000 in the presence of a salting agent selected from amino acids, preferably basic, carbohydrates and sugar alcohols, upon which the precipitated precipitate with concentrated AHF content is recovered. DK 157170B 3. Fremgangsmâde ifelge krav 3, kendetegnet ved, at der som indsaltningsmiddel anvendes lysin-HCl eller arginin-HCl.Process according to claim 3, characterized in that lysine-HCl or arginine-HCl is used as a salting agent. 4. Fremgangsmâde ifalge krav 3, kendetegnet 5 ved, at der som indsaltningsmiddel anvendes et kulhydrat, fortrinsvis et mono- eller disaccharid.A process according to claim 3, characterized in that a carbohydrate, preferably a mono- or disaccharide, is used as a salting agent. 5. Fremgangsmâde ifalge krav 5, kendetegnet ved, at der som indsaltningsmiddel anvendes saccharose.Process according to claim 5, characterized in that sucrose is used as a salting agent. 6. Fremgangsmâde ifalge krav 3-6, kendeteg- 10 net ved, at der ved fældningen i farste trin tilsættes PEG til en koncentration pâ ca. 4 vægt-?i af oplasningen.6. A process according to claims 3-6, characterized in that, in the first step, the PEG is added to a concentration of approx. 4 weight of the solution. 7. Fremgangsmâde ifalge krav 3-7, kendetegnet ved, at der i andet fældningstrin tilsættes PEG svarende til en totalkoncentration pâ ca. 12 vægt-?ô.Method according to claims 3-7, characterized in that in the second precipitation step PEG corresponding to a total concentration of approx. 12 weight-? Ô. 8. Fremgangsmâde ifalge krav 4, kendetegnet ved, at der tilsættes lysin-HCl eller arginin-HCl i en mængde svarende til en lysin- eller arginin-koncen-tration pâ 0,1 - 0,9, fortrinsvis '0,3 - 0,8 mol/1.Process according to claim 4, characterized in that lysine-HCl or arginine-HCl is added in an amount corresponding to a lysine or arginine concentration of 0,1 - 0,9, preferably 0,3 - 0. , 8 mol / l. 9. Fremgangsmâde ifalge krav 3-9, kendeteg-20 net ved, at pH under farste fæMningstrin er 6,0 - 8,5, fortrinsvis 6,2 - 6,6, især ca. 6,4, og under andet fældningstrin er 5,0 - 8,5, fortrinsvis 6,0 - 6,6 især ca. 6,3.A process according to claims 3-9, characterized in that the pH during the first precipitation step is 6.0 - 8.5, preferably 6.2 - 6.6, especially approx. 6.4, and during the second precipitation step are 5.0 - 8.5, preferably 6.0 - 6.6, in particular approx. 6.3.
DK549483A 1983-03-21 1983-12-01 Concentrate of the anti-haemophilic Factor VIII and method of preparation thereof DK157170C (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
DK549483A DK157170C (en) 1983-05-09 1983-12-01 Concentrate of the anti-haemophilic Factor VIII and method of preparation thereof
PCT/DK1984/000019 WO1984003628A1 (en) 1983-05-09 1984-03-20 A concentrate of the antihemophilic factor viii and a process for producing it
AU28101/84A AU2810184A (en) 1983-03-21 1984-03-20 Koncentrat af den anti-haemofile faktor v111 samt fremgangsmade til fremstilling deraf
AT84901337T ATE49706T1 (en) 1983-05-09 1984-03-20 ANTIHAEMOPHILIA FACTOR VIII CONCENTRATE AND ITS MANUFACTURING PROCESS.
US06/673,753 US4650858A (en) 1983-03-21 1984-03-20 Concentrate of the antihemophilic factor VIII and a process for producing it
DE8484901337T DE3481109D1 (en) 1983-05-09 1984-03-20 ANTIHAEMOPHILIA FACTOR VIII CONCENTRATE AND THEIR PRODUCTION METHOD.
EP84901337A EP0148843B2 (en) 1983-03-21 1984-03-20 A concentrate of the antihemophilic factor viii and a process for producing it
NO84844610A NO169875C (en) 1983-05-09 1984-11-20 PROCEDURE FOR PREPARING A CONCENTRATE OF THE ANTI-HEMOFILE FACTOR VIII
FI844557A FI80382C (en) 1983-05-09 1984-11-20 FOERFARANDE FOER FRAMSTAELLNING AV ETT KONCENTRAT AV ANTIHEMOTILFAKTORN.

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
DK127483 1983-05-09
DK127483A DK127483D0 (en) 1983-05-09 1983-05-09 PROCEDURE FOR PREPARING A CONCENTRATE OF THE ANTI-HEMOFILE FACTOR VIII
DK549483 1983-12-01
DK549483A DK157170C (en) 1983-05-09 1983-12-01 Concentrate of the anti-haemophilic Factor VIII and method of preparation thereof
DK64684 1984-02-14
DK64684A DK64684A (en) 1983-05-09 1984-02-14 PROCEDURE FOR PREPARING A CONCENTRATE OF THE ANTI-HAEMOFILE FACTOR VIII

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DK549483D0 DK549483D0 (en) 1983-12-01
DK549483A DK549483A (en) 1984-09-22
DK157170B true DK157170B (en) 1989-11-20
DK157170C DK157170C (en) 1996-08-12

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DK549483A DK157170C (en) 1983-03-21 1983-12-01 Concentrate of the anti-haemophilic Factor VIII and method of preparation thereof
DK64684A DK64684A (en) 1983-03-21 1984-02-14 PROCEDURE FOR PREPARING A CONCENTRATE OF THE ANTI-HAEMOFILE FACTOR VIII

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DK157170C (en) 1996-08-12
DK64684D0 (en) 1984-02-14
DK64684A (en) 1984-11-10
DK549483A (en) 1984-09-22

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