DK2809349T3

DK2809349T3 - Immunogen sammensætning

Info

Publication number: DK2809349T3
Application number: DK13743463.5T
Authority: DK
Inventors: Subhash Vinayak Kapre; Sambhaji Shankar Pisal
Original assignee: Serum Institute Of India Pvt Ltd
Priority date: 2012-01-30
Filing date: 2013-01-29
Publication date: 2019-02-18
Also published as: US20140377302A1; KR20140123553A; JP6042455B2; CA2863178C; US9198977B2; HUE040914T4; EP2809349A4; WO2013114268A1; EP2809349B1; SI2809349T1; KR101897317B1; ES2707294T3; MX2014009250A; SG11201404447WA; CA2863178A1; CN104302315A; BR112014018815B1; BR112014018815A8; RU2014134288A; CN104302315B

Description

DESCRIPTION

BACKGROUND OF THE INVENTION

[0001] Neisseria meningitidis (meningococcus) is a Gram negative human pathogen. It colonizes the pharynx, causing meningitis and, occasionally, septicemia in the absence of meningitis. It is closely related to N. gonorrhoeae, although one feature that clearly differentiates meningococcus is the presence of a polysaccharide capsule that is present in all pathogenic meningococci. Based on the organism's capsular polysaccharide, twelve serogroups of N. meningitidis have been identified (A, B, C, Η, I, K, L, 29E, W135, X, Y and Z).

[0002] Serogroup A ('MenA') is most common cause of epidemic disease in sub-Saharan Africa. Serogroups B & C are responsible for the majority of cases in developed countries, with the remaining cases being caused by serogroups W135 &Y.

[0003] The vaccine utilizing the polysaccharide (PS)alone have relatively low immunogenicity. To overcome the relatively low immunogenicity of polysaccharide, PS vaccines are conjugated to protein carriers to increase immunogenicity and provide long-term protection in young children. Many meningococcal conjugate vaccines are already approved and marketed throughout the world. Examples of such vaccines, known as "Neisseria meningitidis conjugates" are monovalent meningococcal A conjugate (MenAfriVac), monovalent meningococcal C conjugate (Meningitec) and quadrivalent A C Y W meningococcal conjugates (Menveo & Menactra).

[0004] As well as being used for classification, the capsular polysaccharide has been used for vaccination. An injectable tetravalent vaccine of capsular polysaccharides from serogroups A, C, Y & W135 has been known for many years and is licensed for human use. Although effective in adolescents and adults, it induces a poor immune response and short duration of protection and cannot be used in infants. Mencevax ACWY™ and Menomune™ both contain 50pg of each purified polysaccharide once reconstituted from their lyophilised forms. The capsular saccharides of serogroups A, C, W135 & Y have also been combined in the form of conjugates to give tetravalent vaccines e.g. the unadjuvanted Menactra™ product. Also conjugated serogroup A polysaccharide have been approved for human use as MenAfriVac™, serogroup C oligosaccharides have been approved for human use as Menjugate™, Meningitec™ and NeisVac-C™.

[0005] N. meningitidis serogroup X strains were first described in the 1960s and have been isolated from a few cases of invasive meningococcal diseases in North America, Europe, Australia, and China. Outbreaks of N. meningitidis serogroup X strains have been reported in Niger, western Kenya, and northern Ghana. N. meningitidis serogroup X strains were reported to be very efficient in colonization among military recruits in the United Kingdom.Refer Abdullah Kilic et al ;Neisseria meningitidis Serogroup X Sequence Type 767 in Turkey;Journal Of Clinical Microbiology, Nov. 2010, p. 4340-4341 ;Vol. 48, No. 11 [0006] It was reported that repeated mass vaccination in many African countries might have contributed to colonization by and meningococcal diseases due to serogroup X strains and might result in a changed profile of meningococcal disease Refer Gagneux, S. P et al ;Prospective study of a serogroup X Neisseria meningitidis outbreak in northern Ghana.J. Infect. Dis. 185:618-626;2002.

[0007] The capsular polysaccharides of serogroup B, C, Y, and W135 meningococci are composed of sialic acid derivatives. Serogroup B and C meningococci express (a 2-8)- and (a 2-9 239)-linked polysialic acid, respectively, while alternating sequences of D-glucose or D-galactose and sialic acid are expressed by serogroup Y and W135 N. meningitidis. In contrast, the capsule of serogroup A meningococci is composed of (a 1-6)-linked N-acetylmannosamine 6-phosphate , while N. meningitidis serogroup X synthesizes capsular polymers of (a 1-4)-linked N-acetylglucosamine 1-phosphate.Refer Yih-Ling Tzeng et al ;Genetic Basis for Biosynthesis of the (134)-Linked N-Acetyl-D-Glucosamine 1-Phosphate Capsule of Neisseria meningitidis Serogroup X; Infection And Immunity, Dec. 2003, p. 6712-6720 ;Vol. 71, No. 12.

[0008] W02008/102173 discloses multivalent N. meningitidis polysaccharide conjugate vaccines, wherein the finding was that saccharides from outer membrane vesicles (OMVs) should be used.

[0009] The existing meningococcal conjugate vaccines are based on A C Y W135 polysaccharides. The increase in incidence of MenX disease in African Meningitis Belt in the last 5 years [1,4] warrants development and introduction of a MenX polysaccharide conjugate vaccine in selected areas of the region to prevent and control future epidemics. Though has been reported earlier. Inspite of availability of comprehensive seroprevalence and structural data for meningococcal X, a commercially viable conjugate vaccine including X polysaccharide is yet to be developed due to extremely limited success on purification, conjugation and formulation stability aspects for the same. This provides an additional challenge for successfully addressing and controlling various parameters, especially when employing a scalable conjugation process for the large-scale manufacture of Neisseria meningitidis conjugates containing Neisseria meningitidis X polysaccharide.

[0010] The present invention arises from the surprising discovery that it is possible to prepare a monovalent or multivalent immunogenic composition based on conjugates of meningococcal polysaccharide from serogroup X by utilizing a scalable and efficient conjugation process.

SUMMARY OF THE INVENTION

[0011] The present invention relates to N.meningitidis X saccharide-carrier protein conjugates prepared by a conjugation reaction comprising of i)sizing of polysaccharide ii)CPPT based activation of sized polysaccharide having average molecular weight between 100-150 Kda, at a pH between 9 to 9.5 iii)ADH addition after a duration of about 2 to 5 minutes followed by incubation period of 4-20 hrs and iv)reacting ADH activated polysaccharide with purified non-activated carrier protein in a ratio between 0.75 - 1.5 in presence of MES buffer and EDAC followed by incubation period of 3 -4 hrs, characterized in that the conjugation reaction is carried at 2-8°C resulting in a conjugate yield from 20% to about 30% and having saccharide to protein ratio from 0.2 to about 0.6 in final conjugate.

[0012] Alternatively, N.meningitidis X saccharide-carrier protein conjugates can also be prepared by a conjugation reaction comprising of i)sizing of polysaccharide ii)CPPT based activation of sized polysaccharide having average molecular weight between 100-150 Kda, at a pH between 9 to 9.5 iii)addition of ADH activated carrier protein in a saccharide:protein ratio between 0.5 - 2 after 2-3 minutes followed by incubation period of 2 to 20 hrs characterized in that the conjugation reaction is carried at 22°C to 25°C resulting in a conjugate yield from 5% to about 10%.

[0013] Accordingly, the instant invention relates to multivalent meningococcal polysaccharide protein conjugate composition comprising capsular saccharide from serogroups X and capsular saccharide A, C, W135 and Y wherein ijpolysaccharides AC W135 X are sized mechanically whereas polysaccharide Y is sized chemically, iijall saccharide are conjugated to carrier protein via a linker with a cyanylation conjugation chemistry iiijall saccharide to protein ratios in final conjugates are between 0.2 - 0.6 and iv) atleast two different carrier proteins selected from the group consisting of TT, DT and CRM 197 are utilized.

DESCRIPTION OF THE DRAWINGS

[0014]

Fig ure 1: Overlay of conjugation reaction when Men X Ps (215 KDa) conjugated to Hydrazine derivatized TT

Fig ure 2: Purified Conjugate when Men X Ps (215 KDa) conjugated to Hydrazine derivatized TT

Fig ure 3: Overlay of conjugation reaction when Men X Ps(326 KDa) conjugated to ADH derivatized TT

Fig ure 4: Purified Conjugate when Men X Ps(326 KDa) conjugated to ADH derivatized TT

Fig ure 5: Overlay of conjugation reaction when Men X Ps (120 KDa)conjugated to ADH derivatized TT

Fig ure 6: Purified Conjugate when Men X Ps(120 KDa) conjugated to ADH derivatized TT

Fig ure 7: Chromatogram of Native Meningococcal X polysaccharide.

Fig ure 8: Overlay of conjugation reaction when Men X Ps(510 KDa) activated with ADH and conjugated to purified TT.

Fig ure 9: Purified Conjugate when Men X Ps(510 KDa) activated with ADH and conjugated to purified TT.

Fig ure 10: Overlay of conjugation reaction when Men X Ps(250 KDa) activated with ADH and conjugated to purified TT.

Fig ure 11: Purified Conjugate when Men X Ps(250 KDa) activated with ADH and conjugated to purified TT.

DETAILED DESCRIPTION OF THE INVENTION

[0015] "Multivalent immunogenic compositions" refer to :

Described herein is Composition I comprising (a)a conjugate of (i) the capsular saccharide of serogroup A N meningitidis and (ii) tetanus toxoid; (b) a conjugate of (i) capsular saccharide of serogroup C N meningitidis and (ii) tetanus toxoid; (c) a conjugate of (i) capsular saccharide of serogroup Y N. meningitidis and (ii) diphtheria toxoid;(d) a conjugate of (i) capsular saccharide of serogroup W135 N.meningitidis and (ii) tetanus toxoid; and (d) a conjugate of (i) capsular saccharide of serogroup X N meningitidis and (ii) tetanus toxoid.

[0016] Also described is Composition II comprising (a)a conjugate of (i) the capsular saccharide of serogroup A N meningitidis and (ii) tetanus toxoid; (b) a conjugate of (i) capsular saccharide of serogroup C N meningitidis and (ii)CRM 197; (c) a conjugate of (i) capsular saccharide of serogroup Y N. meningitidis and (ii) tetanus toxoid;(d) a conjugate of (i) capsular saccharide of serogroup W135 N.meningitidis and (ii)CRM 197; and (d) a conjugate of (i) capsular saccharide of serogroup X N meningitidis and (ii)CRM197.

[0017] Further described is Composition III comprising (a)a conjugate of (i) the capsular saccharide of serogroup A N meningitidis and (ii)CRM 197; (b) a conjugate of (i) capsular saccharide of serogroup C N meningitidis and (ii)CRM 197; (c) a conjugate of (i) capsular saccharide of serogroup Y N. meningitidis and (ii) tetanus toxoid;(d) a conjugate of (i) capsular saccharide of serogroup W135 N.meningitidis and (ii)CRM 197; and (d) a conjugate of (i) capsular saccharide of serogroup X N meningitidis and (ii)tetanus toxoid charachterized in that conjugates containing tetanus toxoid as carrier protein are found to enhance immunogenicity of conjugates containing CRM 197 as carrier protein.

[0018] The present invention relates to composition IV comprising (a)a conjugate of (i) the capsular saccharide of serogroup A N meningitidis and (ii)tetanus toxoid; (b) a conjugate of (i) capsular saccharide of serogroup C N meningitidis and (ii)CRM 197; (c) a conjugate of (i) capsular saccharide of serogroup Y N. meningitidis and (ii) CRM197;(d) a conjugate of (i) capsular saccharide of serogroup W135 N.meningitidis and (ii)CRM 197; and (d) a conjugate of (i) capsular saccharide of serogroup X N meningitidis and (ii)tetanus toxoid as characterized in the claims.

[0019] Also described is Composition V comprising (a)a conjugate of (i) the capsular saccharide of serogroup AN meningitidis and (ii)CRM 197; (b) a conjugate of (i) capsular saccharide of serogroup C N meningitidis and (ii)CRM197; (c) a conjugate of (i) capsular saccharide of serogroup Y N. meningitidis and (ii) CRM197;(d) a conjugate of (i) capsular saccharide of serogroup W135 N.meningitidis and (ii)CRM197; and (d) a conjugate of (i) capsular saccharide of serogroup X N meningitidis and (ii)tetanus toxoid.

[0020] Accordingly in a first embodiment, the composition can comprise of serogroup A, C, Y, W135 and X saccharide at an amount of 0.5-10pg ,0.5-5pg or 0.5-2pg per 0.5 ml dose.

[0021] Another aspect of first embodiment is that said composition can comprise of 10 pg of serogroup A saccharide, 5pg of serogroup C saccharide, 5pg of serogroup W135 saccharide, 5pg of serogroup Y saccharide and 5pg of serogroup X saccharide.

[0022] Alternatively said multivalent immunogenic composition can comprise of 5 pg of serogroup A saccharide, 5pg of serogroup C saccharide, 5pg of serogroup W135 saccharide, 5pg of serogroup Y saccharide and 5pg of serogroup X saccharide.

[0023] Accordingly in a second embodiment, said one or more N.meningitidis saccharide conjugates can optionally be adsorbed onto aluminium hydroxide, aluminium phosphate or a mixture of both or unadsorbed onto adjuvant.

[0024] One aspect of second embodiment is that aluminium salt adjuvant can be added at an amount of 20-300pg,20-200pg,25-150pg of Al+++ per 0.5 ml dose.

[0025] Another aspect of second embodiment is that aluminium salt adjuvant can be added at an amount of 25-125pg of Al+++ per 0.5 ml.

[0026] A third embodiment of the instant invention is that said composition can comprise of a preservative selected from thiomersal and 2-phenoxyethanol.

[0027] One aspect of third embodiment is that said can further comprise of sodium phosphate, sodium chloride or combination thereof.

[0028] A fourth embodiment of the instant invention is that said multivalent immunogenic composition can be in a buffered liquid form or in a lyophilized form.

[0029] One aspect of fourth embodiment is that said lyophilized immunogenic composition can comprise of a stabilizer combination selected from a) 2 to 5% (w/v) Trehalose, 0.25 to 0.75% sodium citrate; b) 2 to 5% (w/v) Sucrose and 0.25 to 0.75% sodium citrate; c) 2 to 5% (w/v) Sucrose,2 to 5% (w/v) Lactose and 0.25 to 0.75% sodium citrate;and d) 2 to 5% (w/v) Trehalose ,2 to 5% (w/v) Lactose and 0.25 to 0.75% sodium citrate.

[0030] Another aspect of the fourth embodiment is that said lyophilized immunogenic composition can further comprise a buffer selected from Tris and phosphate.

[0031] Accordingly in a fifth embodiment, said polysaccharides A C W and X can be mechanically sized to have an average molecular weight between 100-600 Kda, 100-400 Kda, preferably 100-200 Kda, most preferably 100-150 Kda. Mechanical sizing methods like homogenization, microfluidization and high pressure cell disruption are preferred.

[0032] In another aspect of fifth embodiment, said polysaccharide Y can be sized to have an average molecular weight between 90-110 KDa, by a method selected from acid hydrolysis, alkaline degradation, oxidation by periodate, ozonolysis , enzymatic hydrolysis, sonication , electron beam fragmentation.Preferably, chemical sizing is by using sodium acetate at a temperature from 60 to 80°C.

[0033] Each of the N. meningitidis saccharides is conjugated to the carrier protein via a hetero or homo-bifunctional linker with cyanylation conjugation chemistry.

[0034] Said sized polysaccharide is activated by utilizing a cyanylation reagent other than CDAP and selected from a group of l-cyano- 4- pyrrolidinopyridinium tetrafluoroborate (CPPT), 1- cyano-imidazole (1-CI), 1-cyanobenzotriazole (1-CBT), or 2- cyanopyridazine -3(2H)one (2-CPO), or a functional derivative or modification thereof.

[0035] In another aspect, said activated polysaccharide or carrier protein, particularly polysaccharide is reacted with hydrazine, carbohydrazide, hydrazine chloride, a dihydrazide, a mixture thereof, preferably with adipic acid dihydrazide.

[0036] Hydrazide groups can be introduced into proteins through the carboxyl groups of aspartic acid and glutamic acid residues on the protein using a carbodiimide reaction, for example, by reaction with hydrazine, carbohydrazide, succinyl dihydrazide, adipic acid dihydrazide, hydrazine chloride (e.g., hydrazine dihydrochloride) or any other dihydrazides in the presence of EDC. EDC is employed as a catalyst to activate and modify the protein reactant with hydrazine or the dihydrazide. Any water-soluble carbodiimide including EDC can be used as a catalyst. EDC-catalyzed proteins generally have a tendency to polymerize and precipitate. See Schneerson et al., Infect. Immun. 1986, 52:519-528; Shafer et al., Vaccine 2000; 18(13): 1273-1281; and Inman et al., Biochemistry 1969; 8:4074-4082.

Also described herein are multivalent meningococcal polysaccharide protein conjugate compositions contains polysaccharides from A, B, C, Η, I, K, L, 29E, W135, Y and Z conjugated individually to two or more different types of carrier proteins. The capsular saccharides are chosen from meningococcal serogroups A, C, W135 Y and X, such that the compositions include saccharides from 1, 2, 3, 4,or 5 of these five serogroups. Specific compositions comprise saccharides from: serogroups A& X; serogroups X & W135; serogroups X & Y; serogroups C & X;serogroups AY & X; serogroups C, X & W135; serogroups X, Y & W135; serogroups A,C & X;serogroups Y,C & X;serogroups A,W & X;serogroups Y &W135 & C & X;serogroups Y & W135 & A & X;serogroups C & W135 & A & X;serogroups Y & C & A & X; serogroups A & C & Y & W135 & X.

[0037] Carrier proteins described herein can be selected from a group of but not limited to CRM 197,diphtheria toxoid, tetanus toxoid, pertussis toxoid, E. coli LT, E: coli ST, and exotoxin A from Pseudomonas aeruginosa, outer membrane complex c (OMPC), porins, transferrin binding proteins, pneumolysin, pneumococcal surface protein A (PspA), pneumococcal adhesin protein (PsaA), pneumococcal surface proteins BVH-3 and BVH-11, protective antigen (PA) of Bacillus anthracis and detoxified edema factor (EF) and lethal factor (LF) of Bacillus anthracis, ovalbumin, keyhole limpet hemocyanin (KLH), human serum albumin, bovine serum albumin (BSA) and purified protein derivative of tuberculin (PPD).Preferably, combinations of carrier proteins to be utilized comprise tetanus toxoid & diphtheria toxoid,CRM197 & tetanus toxoid.

[0038] In another aspect of third embodiment, conjugation reaction utilizes linkers selected from the group consisting of adipic acid dihydrazide, ε-aminohexanoic acid, chlorohexanol dimethyl acetal, D-glucuronolactone, cystamine and p-nitrophenylethyl amine.

[0039] After conjugation, conjugates can be purified from unreacted protein and polysaccharide by any standard techniques including, inter alia, size exclusion chromatography, density gradient centrifugation, ultrafiltration, hydrophobic interaction chromatography or ammonium sulfate fractionation. See, e.g., P. W. Anderson, et. al. (1986). J. Immunol. 137: 1181-1186. See also H. J.

Jennings and C. Lugowski (1981) J. Immunol. 127: 1011-1018.

[0040] In one embodiment, said immunogenic composition of the instant invention can further comprise of an additional non-meningococcal polysaccharide protein conjugate, wherein said polysaccharides and oligosaccharides for use can be selected from but not limited to pneumococcal polysaccharides of serogroups 1,2, 3, 4,5, 6A, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, and 33F; Haemophilus influenzae type b polysaccharide polyribosylribitol phosphate, group B streptococcal polysaccharides of serotypes III and V and Salmonella typhi Vi polysaccharide. Other polysaccharides of pneumococcal and group B streptococcal serotypes are also suitable for use herein, as are other T-independent polysaccharide and oligosaccharide antigens, for example, polysaccharides or oligosaccharides derived from group A streptococcus, Staphylococci, Enterococci, Klebsiella pneumoniae, E. coli, Pseudomonas aeruginosa, and Bacillus anthracis. While bacterial polysaccharides and oligosaccharides are particularly preferred, gram (-) bacterial lipopolysaccharides and lipooligosaccharides and their polysaccharide and oligosaccharide derivatives, and viral polysaccharides and oligosaccharides can also be employed.

[0041] Compositions of the invention may be presented and packaged in various ways. The compositions may be presented in vials, or they may be presented in ready-filled syringes. The syringes may be supplied with or without needles. A syringe will include a single dose of the composition, whereas a vial may include a single dose or multiple doses. Injectable compositions will usually be liquid solutions or suspensions. Alternatively, they may be presented in solid form (e.g. freeze-dried) for solution or suspension in liquid vehicles prior to injection.

Examples:

Example 1:

Preparation of Meningococcal X polysaccharide a) Fermentation and Purification of Meningococcal X Polysaccharide [0042] Meningococcal X polysaccharides are obtained from N.meningitidis strains (8210 & 9601) by utilizing a suitable fermentation medium in a continuous fed-batch fermentation mode under optimal fermentor conditions.Further Meningococcal X capsular polysaccharides are typically prepared by a process comprising the steps of CTAB based precipitation , Ethanol(96%)treatment followed by depth filtration , carbon filtration , CaCl2 precipitation, Ethanol (96%)treatment and ultrafiltration. b) Sizing of Meningococcal X Polysaccharide [0043] Purified Meningococcal X polysaccharides were subjected to 1-2 passes of mechanical sizing (Constant systems cell disruptor)in WFI at a pressure of about 30-40 kpsi.

Example 2:

Conjugation of Meningococcal X polysaccharide to carrier protein. a) Meningococcal X Polysaccharide of varying average molecular weight conjugated to hydrazine derivatized tetanus toxoid(TT)

[0044] Comparative Example: Firstly homogenized Polysaccharide of X (Strain 9601), Average molecular weight 215kD on SEC HPLC, (30 mg/ml) 45 mg was activated with 90 mg CDAP (dissolved 100mg/ml in acetonitrile), pH of mixture was adjusted to 9.5 with 1M NaOH,. Then after 3 min hydrazine activated TT (30mg/ml in 1M NaCI) 67.5 was added to the reaction. The reaction was monitored on HPLC and continued upto 18 hrs. After 18 hrs reaction was quenched by addition of glycine and crude conjugate was purified by diafiltration 300kD TFF membrane in Tris 10mM pH 7.2. Shodex columns SB-804 HQ and SB-805 HQ were used sequentially with PBS as mobile phase at 1 ml/min flow rate. Polysaccharide concentration and protein concentration were determined by phosphorous assay and modified Lowry assay respectively.

[0045] Secondly Polysaccharide of X (Strain 8210), average molecular weight 326 kD on SEC HPLC, (24 mg/ml in 2M NaCI) 60 mg was activated with 150 mg CPPT (dissolved 114mg/ml in acetonitrile)and pH of mixture was adjusted to 9.5 with 2.5M NaOH,. Then after 3 min ADH activated TT (37mg/ml in 2M NaCI) 37.5mg was added to the reaction and the reaction was monitored on HPLC and continued upto 5 hrs. After 5 hrs reaction was quenched by addition of glycine and crude conjugate was purified by diafiltration with 500kD TFF membrane in 10mM PBS followed by Tris 10mM pH 7.2.

[0046] Further Polysaccharide of X (Strain 8210), having average molecular weight 120 kD on SEC HPLC, (20 mg/ml in 1M NaCI) 200 mg was activated with 400 mg CPIP (dissolved 114mg/ml in acetonitrile), and pH of mixture was adjusted to 9.5 with 1M NaOH.Then after 3 min ADH activated TT (30mg/ml) 150 mg was added to the reaction. The reaction was monitored on HPLC and continued upto 4 hrs. After 4 hrs reaction was quenched by addition of glycine and crude conjugate was purified by diafiltration with 300kD TFF membrane in 10mM PBS followed by Tris 10mM pH 7.2. b) Meningococcal X Polysaccharide of varying average molecular weight activated with ADH and conjugated to purified non-activated tetanus toxoid(TT) [0047] Firstly Polysaccharide of X (Strain 8210) having average molecular weight 510kD on SEC HPLC (27 mg/ml in 2M NaCI) 200 mg was activated with 400 mg CPPT (dissolved 114mg/ml in acetonitrile) and pH of mixture was adjusted to 9.5 with 2.5M NaOH. Then after 3 min, ADH 1.5g (100mg/ml in carbonate buffer) was added and reaction was continued upto 4 hrs. After 4 hrs glycine was added and reaction mixture was diafiltered on 8kD TFF membrane. Further ADH-Men X polysaccharide was concentrated. To 44 mg of this(7.5mg/ml), purified TT (37.5 mg/ml in 0.9% NaCI) and MES pH 6.0 buffer were added so that final buffer strength of MES was 100mM, followed by addition of 37.5 mg EDAC (dissolved in 100mM MES, pH 6.0). The reaction was continued for 4 hrs and monitored on HPLC. Unbound polysaccharide was removed by Gel filtration Chromatography using Toyopearl HW65 resin on Akta Chromatography System.(GE Amersham).The fractions were collected and pooled based on peak profile and saccharide-protein ratio.

[0048] Secondly,Polysaccharide of X (Strain 8210)having average molecular weight 250kD on SEC HPLC was concentrated to 18 mg/ml in 2M NaCI. A quantity of 200 mg was activated with 296 mg CPPT (dissolved 114mg/ml in acetonitrile) and pH of mixture was adjusted to 9.5 with 2.5M NaOH. Then after 3 min ADH 1.12g (100mg/ml in carbonate buffer) was added and reaction was continued upto 4 hrs. After 4 hrs glycine was added and reaction mixture was diafiltered on 8kD TFF membrane. ADH-Men X polysaccharide was then concentrated. Further to 200 mg of this (7.5mg/ml), purified TT (36.7 mg/ml in 0.9% NaCI) and MES pH 6.0 buffer were added so that final buffer strength of MES was 100mM, followed by addition of 200 mg EDAC (dissolved in 100mM MES, pH 6.0). The reaction was continued for 4 hrs and monitored on HPLC. The crude conjugate was purified by diafiltration 500kD TFF membrane in 10mM PBS followed by Tris 10mM pH 7.2. Table 1 Meningococcal X polysaccharide-protein Conjugation

[0049] Above data indicates that final conjugate yield of about 20 to 30% can be obtained by utilizing i) Meningococcal X polysaccharide of Avg Mw of about 100 to 200 kDa , ii)ADH activated Meningococcal X polysaccharide iii) non-activated TT iv) saccharide:protein ratio between 0.5 to 2 during conjugation reaction v) CPPT as cyanylation reagent and vi) conjugation reaction incubation at 2 to 8°C vi) saccharide:protein ratio between 0.2 to 0.6 in final conjugate.

Example 3:

Conjugation of Meningococcal A,C,Y,W135 polysaccharide to carrier protein CRM197.

[0050] Purified Meningococcal polysaccharides A C Y W135 having average Mw between 100 to 200 were conjugated to CRM197 in a saccharide:protein ratio of less than 1 by utilizing a suitable cyanylation reagent(CDAP or CPPTj.The conjugates were further purified by diafiltration on 300kD TFF with 50 volumes of 10mM PBS and 50 volume of 10mM Tris.

Comparative Example 4:

Lyophilization & Formulation of Men A C Y W135 & X conjugate containing two different carrier proteins [0051] Lyophilized formulations containing N.meningitidis conjugates, sodium citrate and Tris buffer in various combinations with trehalose,sucrose and lactose were prepared wherein free polysaccharide content was within limits and moisture content was less than 2%.Said stabilizer combination was selected from a) 2 to 5% (w/v) Trehalose, 0.25 to 0.75% sodium citrate; b) 2 to 5% (w/v) Sucrose and 0.25 to 0.75% sodium citrate; c) 2 to 5% (w/v) Sucrose,2 to 5% (w/v) Lactose and 0.25 to 0.75% sodium citrate;and d) 2 to 5% (w/v) Trehalose ,2 to 5% (w/v) Lactose and 0.25 to 0.75% sodium citrate.

Table 2

Table 3

Table 5

Table 6

Comparative Example 5:

Biological activity of Meningococcal monovalent and multivalent conjugate composition containing Men X saccharide conjugate.

[0052] Each formulation was immunized into six female Swiss Albino Mice of 16-20 g body weight. Mice were immunized subcutaneously on Day 0, 14 and 28. Each mouse was bled after 1 & 2 week post second immunization (Day 21 and Day 35).

[0053] Titration of antibody was done by bead based assay and SBA. Pre-immunization serum samples from all six mice were mixed to prepare a single pool serum for each formulation from study 4 onwards and also postimmunization serum sample from six mice all belonging to Swiss Albino strain for each formulation were mixed to prepare pool1, 2 & 3 using serum from Mouse1+2, 3+4 and 5+6, respectively. Each of the pools was analyzed for total IgG titers (Multiplexed bead based assay) and functional antibody titers (SBA).

Table 7

Table 9 -------

Table 11

Table 12

Table 13

Table 14

Table 15

Table 16

[0054] Above mice immunogenicity data indicates that liquid and lyophilized compositions of monovalent X-tetanus toxoid conjugate and multivalent conjugates containing X-tetanus toxoid conjugate are found to be immunogenic. Further monovalent liquid composition containing 1 pg of X- tetanus toxoid conjugate, sodium chloride, thiomersal and 125 pg Al+++ gives optimal immunogenic response. Also liquid multivalent composition of 0.5 ml containing A-CRM197, C-CRM197, Y-tetanus

toxoid, W-CRM197 and X-tetanus toxoid conjugates with 1 pg each of all 5 saccharides, sodium chloride, thiomersal and 25pg Al+++ gives optimal immunogenic response. Thus in this pentavalent conjugate composition, conjugates containing tetanus toxoid as carrier protein are found to enhance immunogenicity of conjugates containing CRM 197 as carrier protein.

REFERENCES CITED IN THE DESCRIPTION

This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

Patent documents cited in the description • WQ2008102173A [OOPS]

Non-patent literature cited in the description • ABDULLAH KILIC et al.Neisseria meningitidis Serogroup X Sequence Type 767 in TurkeyJournal Of Clinical Microbiology, 2010, vol. 48, 114340-4341 [0005] • GAGNEUX, S. P et al.Prospective study of a serogroup X Neisseria meningitidis outbreak in northern GhanaJ. Infect. Dis., 2002, vol. 185, 618-626 [POPS] • YIH-LING TZENG et al.Genetic Basis for Biosynthesis of the (134)-Linked N-Acetyl-D-Glucosamine 1-Phosphate Capsule of Neisseria meningitidis Serogroup Xlnfection And Immunity, 2003, vol. 71, 126712-6720 [0007] . SCHNEERSON et al.Infect. Immun., 1986, vol. 52, 519-528 [00361 . SHAFER etal.Vaccine, 2000, vol. 18, 131273-1281 [00361 • INMAN et al.Biochemistry, 1969, vol. 8, 4074-4082 [9935] • P. W. ANDERSONJ. Immunol., 1986, vol. 137, 1181-1186 [0039] . H. J. JENNINGSC. LUGOWSKIJ. Immunol., 1981, vol. 127, 1011-1018 [00391

Claims

1. Immunogen sammensætning omfattende et N. meningitidis X polysaccharid-proteinkonjugat og yderligere saccharidkonjugat(er) omfattende et N. meningitidis kapsulært saccharid afledt fra serogrupper A, C, W135 og Y, hvor sammensætningen omfatter (a) et konjugat af (i) det kapsulære saccharid af serogruppe A N. meningitidis og (ii) tetanustoxoid; (b) et konjugat af (i) kapsulært saccharid af serogruppe C N. meningitidis og (ii) CRM197; (c) et konjugat af (i) kapsulært saccharid af serogruppe Y N. meningitidis og (ii) CRM197;(d) et konjugat af (i) kapsulært saccharid af serogruppe W135 N. meningitidis og (ii) CRM197; og (d) et konjugat af (i) kapsulært saccharid af serogruppe X N. meningitidis og (ii) tetanustoxoid, hvor hver af N. meningitidis-sacchariderne er konjugeret til bærerproteinet via en hetero- eller homo-bifunktionel linker med cyanyleringskonjugeringskemi, hvor nævnte cyanyleringsreagent er valgt fra en gruppe af 1-cyano- 4-pyrrolidinopyridinium tetrafluorborat (CPPT), 1-cyano-imidazol (1-CI), 1-cyanobenzotriazol (1-CBT), eller 2-cyanopyridazin-3(2H)on (2-CPO).

2. Immunogen sammensætning ifølge krav 1, hvor hvert kapsulære polysaccharid har en gennemsnitsstørrelse på mellem 100 og 600 KDa.

3. Immunogen sammensætning ifølge krav 2, hvor hvert kapsulære polysaccharid har en gennemsnitsstørrelse på mellem 100 og 300 KDa.

4. Immunogen sammensætning ifølge krav 3, hvor hvert kapsulære polysaccharid har en gennemsnitsstørrelse på mellem 100 og 200 KDa.

5. Immunogen sammensætning ifølge krav 1, hvor mindst 3 N.meningitidis-polysaccharider fra serogrupper A, C, W135 og X efter dimensionering har en gennemsnitsstørrelse på mellem 100 og 150 KDa.

6. Immunogen sammensætning ifølge krav 5, hvor dimensioneringen er ved anvendelse af højtryk-celledisruptionssystem.

7. Immunogen sammensætning ifølge krav 1, hvor N. meningitidis-polysaccharid fra serogrupper Y efter kemisk dimensionering haren gennemsnitsstørrelse på mellem 90 og 110 KDa.

8. Immunogen sammensætning ifølge krav 7, hvor den kemiske dimensionering er ved anvendelse af natriumacetat ved en temperatur fra 60 til 80 °C.

9. Immunogen sammensætning ifølge krav 1, hvor linkeren er ADH.

10. Immunogen sammensætning ifølge krav 1, hvor N.meningitidis X saccharid-tetanustoxoid-konjugaterne fremstilles ved en konjugeringsreaktion omfattende i) dimensionering af polysaccharid ii) CPPT-baseret aktivering af dimensioneret polysaccharid med gennemsnitlig molekylevægt mellem 100-150 Kda, ved en pH mellem 9 til 9,5 iii) ADH-tilsætning efter en varighed på omkring 2 til 3 minutter efterfulgt af inkuberingsperiode på 4-20 timer, iv) diafiltrering for at fjerne ureageret ADH og v) at reagere ADH-aktiveret polysaccharid med oprenset ikke-aktiveret bærerprotein i et forhold mellem 0,75 -1,5 i tilstedeværelsen af MES buffer og EDAC efterfulgt af inkuberingsperiode på 3-4 timer, kendetegnet ved, at konjugeringsreaktionen udføres ved en temperatur mellem 2-8 °C og forhold af saccharid til protein i endeligt konjugat er mellem 0,2 til 0,6.

11. Immunogen sammensætning ifølge krav 1, hvor N. meningitidis X saccharid-tetanustoxoid-konjugater fremstilles ved en konjugeringsreaktion omfattende af i) dimensionering af polysaccharid ii) CPPT-baseret aktivering af dimensioneret polysaccharid med gennemsnitlig molekylevægt mellem 100-150 Kda, ved en pH mellem 9 til 9,5 iii) tilsætning af ADH-aktiveret bærerprotein i et saccharid:protein-forhold mellem 0,5-2 efter 2-3 minutter efterfulgt af inkuberingsperiode på 2 til 20 timer kendetegnet ved, at konjugeringsreaktionen udføres ved 22 °C til omkring 25 °C og forhold af saccharid til protein i endeligt konjugat er mellem 0,2 til 0,6.

12. Immunogen sammensætning ifølge krav 1, omfattende serogruppe A,C,Y,W135 og X saccharid ved en mængde på 0,5-10 pg, 0,5-5 pg eller 0,5-2 pg per 0,5 ml dosis.

13. Immunogen sammensætning ifølge krav 12, omfattende 10 pg af serogruppe A saccharid, 5 pg af serogruppe C saccharid, 5 pg af serogruppe W135 saccharid, 5 pg af serogruppe Y saccharid og 5 pg af serogruppe X saccharid.

14. Immunogen sammensætning ifølge krav 12, omfattende 5 pg af serogruppe A saccharid, 5 pg af serogruppe C saccharid, 5 pg af serogruppe W135 saccharid, 5 pg af serogruppe Y saccharid og 5 pg af serogruppe X saccharid.

15. Immunogen sammensætning ifølge krav 12, hvor et eller flere N. meningitidis saccharid-konjugater er adsorberet på aluminiumhydroxid, aluminiumphosphat eller en blanding af begge eller ikke-adsorberet på adjuvant.

16. Immunogen sammensætning ifølge krav 15, omfattende et trin at tilsætte aluminiumsaltadjuvant i en mængde på 20-300 pg, 20-200 pg, 25-150 pg af Al+++ per 0,5 ml dosis.

17. Immunogen sammensætning ifølge krav 16, omfattende et trin at tilsætte aluminiumsaltadjuvant i en mængde på 25-125 pg af Al+++ per 0,5 ml.

18. Immunogen sammensætning ifølge krav 17, yderligere omfattende et konserveringsmiddel valgt fra thiomersal og 2-phenoxyethanol.

19. Immunogen sammensætning ifølge krav 18, hvor sammensætningen omfatter natriumphosphat, natriumchlorid eller kombination deraf.

20. Immunogen sammensætning ifølge et hvilket som helst af de foregående krav, hvor saccharid-konjugaterne er i en bufferet flydende form.

21. Immunogen sammensætning ifølge kravene 1-19, hvor saccharid-konjugaterne er i lyofiliseret form.

22. Lyofiliseret immunogen sammensætning ifølge krav 21, omfattende en stabiliseringskombination valgt fra a) 2 til 5 % (w/v) Trehalose, 0,25 til 0,75 % natriumcitrat; b) 2 til 5 % (w/v) Sucrose og 0,25 til 0,75 % natriumcitrat; c) 2 til 5 % (w/v) Sucrose, 2 til 5 % (w/v) Lactose og 0,25 til 0,75 % natriumcitrat; og d) 2 til 5 % (w/v) Trehalose, 2 til 5 % (w/v) Lactose og 0,25 til 0,75 % natriumcitrat.

23. Lyofiliseret immunogen sammensætning ifølge krav 22, yderligere omfattende en buffer valgt fra Tris og phosphat.

24. Den immunogene sammensætning ifølge kravene 1-23 til anvendelse i immunisering af en human vært mod sygdom forårsaget af Neisseria meningitidis-infektion.