LV10195B - Composition for stabilizing blood plasma during pasteurization and pasteurized plasma solution for therapeutic use - Google Patents
Composition for stabilizing blood plasma during pasteurization and pasteurized plasma solution for therapeutic use Download PDFInfo
- Publication number
- LV10195B LV10195B LVP-93-113A LV930113A LV10195B LV 10195 B LV10195 B LV 10195B LV 930113 A LV930113 A LV 930113A LV 10195 B LV10195 B LV 10195B
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- Prior art keywords
- plasma
- composition
- composition according
- concentration
- lysine
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/0005—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts
- A61L2/0011—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts using physical methods
- A61L2/0023—Heat
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Medicinal Chemistry (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Pharmacology & Pharmacy (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Biomedical Technology (AREA)
- Diabetes (AREA)
- Dermatology (AREA)
- Hematology (AREA)
- Molecular Biology (AREA)
- Epidemiology (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Medicinal Preparation (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- External Artificial Organs (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
The invention relates to a composition intended to stabilise blood plasma during pasteurisation, the blood plasma being whole or devoid of cryoproteins. The composition according to the invention makes it possible to pasteurise very large quantities of plasma (of the order of 60 litres). The invention also relates to the method for pasteurisation of the plasma using the stabilising composition. The pasteurised plasma obtained is intended for therapeutic use.
Description
LV 10195
Composition for stabilizing blood plasma during pasteurization and pasteurized plasma solutlon for therapeutic use.
The invention relates to a composition permitting the stabilization of blood plasma during pasteurization, a process using the said composition and the plasma Solutions thus obtained, intended, in particular, for plasma filling treatments or blood coagulation factor substitution treatments.
Total or cryoprotein-free human plasma is stili used in "filling treatments" for persons suffering from severe burns or serious injuries, or those who have undergone major surgery, that is to say in ali cases in which patients experience heavy fluid losses.
For this type of treatment, use is generally made of plasma fr.om individual donations by healthy subjects who have undergone prior Controls, to preclude any risks of transmission of virai diseases. This procedure does not make it possible, however, to eliminate ali the risks of contamination by viruses in the pre-serological stage, in particular the different hepatitis and AIDS viruses.
It thus stili seems important to continue developing virai inactivation methods and stabilizing compositions that preserve the essential biological functions of the plasma.
It has been demonstrated that the Hepatitis B virus is totally inactivated by heating at 60°C for 10 hours, in the presence of 0/5 M of sodium citrate (Tabor et al. Thromobosis Res. 22, 1981, 233-238). Hovever, this treatment leads to a loss of biological activity for certain proteīns in the plasma (Tabor et al. and Barrowcliffe et al. Fr. J. Hematology 55, 1983, 37-46).
It has proved possible to subject different proteīns of therapeutic value, purified from blood plasma, to conventional pasteurization at 60°C for 10 hours in the presence of various stabilizing aģents. It is noted, however, that compositions that stabilizē one biological activity may have absolutely no effect on another.
These different items of experimental data have given rise to the impression that virai inactivation of total plasma (fresh plasma or frozen fresh plasma) or cryoprotein-free plasma could not be achieved by pasteurization.
However, as there exists a medical requirement for total plasma, the Applicant has sought to develop compositions ensuring simultaneous protection of biological activity from denatiration in the course of pasteurization for ali the factors of therapeutic value contained in the plasma.
Thus, in French patent application No. 90 08375, the Applicant showed that a mixture of sorbitol, heparin. 2 LV 10195 lysine and CaCl2 efficiently stabilized the biological activity of the plasma factors during the pasteurization process.
However, owing the presence of heparin in this stabilizing mixture, and thus in the final preparation, patients already undergoing heparin treatment cannot be injected with this plasma.
That is why the Applicant has sought for another composition performing the same stabilizing function.
Having previosly observed that sorbitol afforded a certain degree of protection from thermal denaturation/ but with results that varied from one plasma sample to another, and with low efficiency, the Applicant sought for different additives which, by being mixed with the sorbitol, would increase its stabilizing power, and, in particular, it obtained good results by adding a quantity of saccharose approximating to 50% of the quantity of sorbitol.
On the other hand, as the CaCl2 was observed to be unstable in the course of prolonged heating, it was replaced by calcium gluconate which possesses good resistance to pasteurizing conditions.
Furthermore, the addition of trisodium citrate enhanced the protecting effect of the mixture, provided that its concentration was carefully adjusted, as too small a dose permits spontaneous coagulation of the plasma, while too large a dose slows down the subsequent activity of the coagulation factors during therapeutic use of the plasma.
Finally, at least two amino acids, preferably lysine and arginine, are added to the mixture. 3
The stabilizing composition according to the invention is thus composed of a mixture of sorbitol, saccharose, calcium gluconate, trisodium citrate, lysine and arginine. The following concentrations of the different additives are used for one liter of initial plasma to be pasteurized: -sorbitol, 800 to 1,400 g, and preferably 1,300 g -saccharose, 400 to 600 g, and preferably 514 g and preferably 4 mM and preferably 15 mM and preferably 5 g and preferably 5 g -calcium gluconate, 3 to 5 mM, -trisodium citrate, 8 to 25 mM, -lysine, 1 to 10 g, -arginine, 1 to 10 g,
The composition according to the invention is added to the fresh plasma, or to the frozen and thawed fresh plasma, or to the plasma free of the proteīns of the cryoprecipitate, before said plasma is subjected to pasteurization by heating at 60°C ± 1°C, in a liquid State, for 10 hours.
After pasteurization, the temperature is gradually lowered to 20°C and the solution is subjected to dialysis in order to remove the sorbitol and the saccharose. The dialysis buffer is at a pH of 7,5 and contains 10 mM of trisodium citrate, 4 mM of calcium gluconate, 0,1 M of sodium chloride, lysine at a concentration of 10 g/1 and arginine at a concentration of 3 g/1. Dialysis buffers of different compositions can also be used according to requirements. The solution is then concentrated to restore the physiological dose of the plasma proteīns. The resulting solution undergoes clarifying filtration, and then sterilizing filtration, and is then dispensed and deep frozen or freeze dried. 4 LV 10195
The invention also relates to the plasma pasteurizing process which includes the addition to the plasma of the composition according to the invention, prior to its heating, and then dialysis of the pasteurized plasma against the buffer as defined hereabove.
This process is particularly advantageous because it can be applied to large batches of plasma from several separate harvests and can range from 1 liter to several hundreds of literes. The pasteurization of batches in the order of 60 liters or more, after the appropriate Controls have been conducted, thus enables the consistant biochemical quality of the product to be guaranteed.
The invention also relates to the pasteurized plasma Solutions obtained using the process according to the invention, the said Solutions including total plasma or plasma free of certain proteīns (such as the proteīns of the cryoprecipitate) and intended for therapeutic use, either to replace total plasma or to compensate for a deficiency in a particular blood factor.
The composition and the process according to the invention can also be applied to plasma of animal origin. They can be advantageously applied, for example, to bovine foetal serum used as an additive for celi cultures intended more particularly for the preparation of therapeutic products.
The following example describes a form of embodiment of the invention without, however, limiting its scope. 5 LV 10195
Example
The following mixture is added to sixty liters of thawed plasma, vith gentle stirring: quantity per litre of initial plasma sorbitol 1,300 g saccharose 514 g calcium gluconate 4 mM trisodium citrate 15 mM lysine 5 g arginine 5 g
Pasteurization is carried out in a thermostatically controlled tank by heating at 60°C for 10 hours.
After pasteurizing, the temperature is gradually lowered to 20°C, and then the solution is subjected to dialysis to remove the sorbitol and the saccharose.
Dialysis is carried out, for example, using a cassette-based ultrafiltration systeni (Pellicon (R)) .
The composition of the dialysis buffer is as follows:
-trisodium citrate 10 mM -lysine 10 mM -arginine 3 g/i -calcium gluconate 4 mM -sodium chloride 0, 1 M
Removal of the sorbitol is checked by enzymatic analysis, applied to the finished product. 6
Dialysis can be followed, as applicable, by concentration using the same equipment to restore the coagulation factor yields to approximately 1 U/ml, as in a good quality therapeutic plasma. The product is dialyzed at an osmotic pressure of 370 mosmol/1 and at a pH of 7 to 7.5.
The product is then sterilized by filtration, for example using a Millipack(R) 40 (Millipore (R)) with 0.22 μιη pores. Then the product is dispensed in plastic bags or bottles for deep freezing or freeze drying.
The efficiency of pasteurization in virai inactivation was evaluated for an assortment of viruses recommended by the "group of experts in biotechnology/pharmacology of the European authorities for the validation of processes of elimination and virai inactivation of biological products".
The results are set out in the following table: VĪRUS GENOME STRUCTURE REDUCTION OF INFECTIVI TY (LOG 10) DURATION HIV RNA E >5 <10 min. POLIO SABIN 1 RNA NE >6,23 <5 hours VACCINE DNA E >4.30 <1 hour HERPES DNA E >4.15 <5 hours AUJESZKY PARAINFLUENZA RNA E >6,30 <2 hours ΤΥΡΕ 3 REOVIRUS ΤΥΡΕ 3 RNA NE >3,28 <10 hours SINDBIS RNA E >5,74 <5 hours 7 LV 10195 E=with an envelope NE= non enveloped
The results of the quality Controls carried out on 6 consecutive pilot batches are given in the following tables.
Table II. Recovery of blood factors CONCENTRATION (u/ml) YIELD (%) Proteins (g/1) 60,0 ± 106 93 + 2 Factor VIII:c (IU/ml) 1,10 ± 0,26 94 ± 7 Factor VIII:c (chromogenic) 0,70 ± 0,09 83 ± 13 Factor V:c 1,12 ± 0,25 83 ± 4 Factor XI:c 0,98 ± 0,06 88 ± 7 Factor IX:c 0,64 ± 0,10 59 ± 7 Factor VII:c 0,65 ± 0,5 67 ± 6 Fibrinogen Ag (g/1) 3,10 ± 0,28 92 ± 5 Clottable fibrinogen Ag (g/1) 2,50 ± 0,17 92 + 3 Antithrombin III activity (g/1) 0,99 ± 0,04 92 ± 3 Alpha-l-antitrypsin activxty (g/1) 0,96 ± 0,10 92 ± 3 APTT 35-38 seconds 8
Table III. Quality control; absence of and degradation products CONCENTRATION (U/l) Thrombin <0,01 PKA (%) <2 Kallikrein (%) <3 Factor IXa (U/ml) <0,1 Factor Xa (U/ml) <0,1 Factor VIIb/FVIIa 0,97 Proteolytic activity (S.2288-OD/mn) 0,03 Fibrinogen degradation products (ng/ml) <250
Table IV. In vivo quality control on animals
Tests on rats: -Blood pressure <-2% -Heart beats unchanged -Txicicity (intraveinous injection-25 ml/kg) absence of toxicity Tests on rabbits: -pyrogenicity non-pyrogenic
The plasma pasteurized in the presence of the stabilizing composition defined hereabove complies with the standards laid down for therapeutic use. 9 LV 10195 filAIMfl 1 Composition for stabilizing blood plasma during pasteurization, characterized in that it is composed of a mixure of sorbitol, saccharose, calcium gluconate, trisodium citrate, lysine and arginine. 2. Composition according to claim 1, characterized in that the sorbitol concentration is between 800 and 1/400 g/litre of initial plasma. 3. Composition according to claim 2, characterized in that the sorbitol concentration is 1,300 g/1. 4. Composition according to any one of claims 1 to 3, characterized in that the saccharose concentration is between 400 and 600 g/1. 5. Composition according to claim 4, characterized in that the saccharose concentration is 514 g/1. 6. Composition according to any one of claims 1 to 5, characterized in that the compos.ed of a mixure of i r\ sorbitol, saccharose, calcium gluconate concentration is between 3 and 5 mM. 7. Composition according to claim 6, characterized in that the calcium gluconate concentration is 4 mM. 8. Composition according to any one of claims 1 to 7, characterized in that the trisodium citrate concentration is between 8 and 25 mM. 9. Composition according to claim 8/ characterized in that the calcium gluconate concentration is 15 mM. 10. Composition according to any one of claims 1 to 7, characterized in that the lysine and arginine concentrations is between 1 and 10 g/1. 11. Composition according to claim 10, characterized in that the lysine and arginine concentrations are 5 g/1. 12. Process for pasteurizing blood plasma, characterized in that it includes the addition to the plasma of the composition according to any one of claims 1 to 11 prior to the heating step, and then removal of the sugars from the said composition, after the heating step, by dialysis against a buffer containing trisodium citrate, calcium gluconate, sodium chloride, lysine and arginine. 13. Process according to claim 12, characterized in that the dialysis buffer contains 10 mM of trisodium citrate, 4 mM of calcium gluconate, 0,1 M of sodium chloride, 10 g/1 of lysine and 3 g/1 of arginine. 11 LV 10195 14. Process according to claim 12 or 13, characterized in that it is applicable to volumes of plasma of between 1 litre and several hundreds of litres. 15. Total plasma for therapeutic use, characterized in that it has been pasteurized using the process according to any one of claims 12 to 14. 16. Cryoprecipitated plasma supernatant for therapeutic use, characterized in that it has been pasteurized using the process according to any one of claims 12 to 14. 17. Plasma or serum of animal origin, characterized in that it has been pasteurized using the process according to any one of claims 12 to 14.
Claims (17)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9201604A FR2687317B1 (en) | 1992-02-13 | 1992-02-13 | COMPOSITION FOR STABILIZING BLOOD PLASMA DURING PASTEURIZATION AND PASTEURIZED PLASMATIC SOLUTION FOR THERAPEUTIC USE. |
Publications (2)
Publication Number | Publication Date |
---|---|
LV10195A LV10195A (en) | 1994-10-20 |
LV10195B true LV10195B (en) | 1995-04-20 |
Family
ID=9426597
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
LVP-93-113A LV10195B (en) | 1992-02-13 | 1993-02-10 | Composition for stabilizing blood plasma during pasteurization and pasteurized plasma solution for therapeutic use |
Country Status (20)
Country | Link |
---|---|
EP (1) | EP0556096B1 (en) |
JP (2) | JP4010573B2 (en) |
AT (1) | ATE171074T1 (en) |
BR (1) | BR9300524A (en) |
CA (1) | CA2089446C (en) |
CZ (1) | CZ285573B6 (en) |
DE (1) | DE69321007T2 (en) |
DK (1) | DK0556096T3 (en) |
EE (1) | EE03091B1 (en) |
ES (1) | ES2121065T3 (en) |
FI (1) | FI103380B (en) |
FR (1) | FR2687317B1 (en) |
HU (1) | HU210026B (en) |
LT (1) | LT3226B (en) |
LV (1) | LV10195B (en) |
NO (1) | NO306532B1 (en) |
PL (1) | PL174098B1 (en) |
RU (1) | RU2112522C1 (en) |
SK (1) | SK280665B6 (en) |
UA (1) | UA27102C2 (en) |
Families Citing this family (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE9501189D0 (en) * | 1995-03-31 | 1995-03-31 | Pharmacia Ab | Protein formulation |
US5616159A (en) * | 1995-04-14 | 1997-04-01 | Corning Incorporated | Method of forming high purity fused silica having high resistance to optical damage |
US6619073B2 (en) | 1996-03-05 | 2003-09-16 | Corning Incorporated | Method of increasing the initial transmittance of optical glass |
US6114107A (en) * | 1996-06-14 | 2000-09-05 | Biostore New Zealand Limited | Composition comprising raffinose, TMAO, sodium citrate and methods for the preservation of living tissues |
US5827640A (en) * | 1996-06-14 | 1998-10-27 | Biostore New Zealand Limited | Methods for the preservation of cells and tissues using trimethylamine oxide or betaine with raffinose or trehalose |
US6037116A (en) * | 1996-06-14 | 2000-03-14 | Biostore New Zealand, Ltd. | Compositions comprising betaine, sodium citrate and sodium chloride and methods for the preservation of biological materials |
US6361933B1 (en) | 1996-06-14 | 2002-03-26 | Biostore New Zealand Limited | Solutions for the preservation of tissues |
US5879875A (en) * | 1996-06-14 | 1999-03-09 | Biostore New Zealand | Compositions and methods for the preservation of living tissues |
US5962213A (en) * | 1996-06-14 | 1999-10-05 | Biostore New Zealand Limited | Compositions and methods for the preservation of living tissues |
WO1997047192A1 (en) * | 1996-06-14 | 1997-12-18 | Biostore New Zealand Limited | Compositions and methods for the preservation of living tissues |
US6915665B2 (en) | 2000-10-31 | 2005-07-12 | Corning Incorporated | Method of inducing transmission in optical lithography preforms |
US20060019234A1 (en) * | 2004-07-22 | 2006-01-26 | Shanbrom Technologies, Llc | Modern blood banking employing improved cell preservation composition |
ES2264403B1 (en) * | 2006-06-22 | 2007-11-01 | Grifols S.A. | HEMATIES SUSPENSION MEDIA. |
DE102011056142A1 (en) * | 2011-12-07 | 2013-06-13 | Manfred Rüdinger | Metabolizable salts and their use in diagnostics and therapy |
RU2639446C1 (en) * | 2016-11-23 | 2017-12-21 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Ярославский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Method for storage of blood plasma containing drugs with unstable phenolic hydroxiles |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3045153A1 (en) * | 1980-11-29 | 1982-07-08 | Behringwerke Ag, 3550 Marburg | METHOD FOR THE PRODUCTION OF BLOOD COagulation FACTORS AND THE PREPARATION OF FACTORS IX AND X THEREFORE PRODUCED |
DE3230849A1 (en) * | 1982-08-19 | 1984-02-23 | Behringwerke Ag, 3550 Marburg | PASTEURIZED HUMAN FIBRINOGEN (HF) AND METHOD FOR THE PRODUCTION THEREOF |
DE3237512A1 (en) * | 1982-10-09 | 1984-04-12 | Behringwerke Ag, 3550 Marburg | METHOD FOR PASTEURIZING ANTIHAEMOPHILIC CRYOPRAEZIPITATE (AHK) AND ANTIHAEMOPHILE CRYOPRAECIPITATE PRODUCED THEREOF |
US4470968A (en) * | 1983-01-13 | 1984-09-11 | Miles Laboratories, Inc. | Pasteurized therapeutically active blood coagulation factor concentrates |
JPS59134730A (en) * | 1983-01-20 | 1984-08-02 | Green Cross Corp:The | Heat treatment of viii factor of blood clotting |
DE3330770A1 (en) * | 1983-08-26 | 1985-03-14 | Behringwerke Ag, 3550 Marburg | METHOD FOR PASTEURIZING HUMAN PLASMA |
FR2650508A1 (en) * | 1989-08-01 | 1991-02-08 | Fondation Nale Transfusion San | PASTEURIZED ADHESIVE FOR JOINING HUMAN OR ANIMAL TISSUES |
FR2664165B1 (en) | 1990-07-03 | 1992-10-16 | Lille Transfusion Sanguine | COMPOSITION FOR STABILIZING BLOOD PLASMA DURING PASTEURIZATION. |
-
1992
- 1992-02-13 FR FR9201604A patent/FR2687317B1/en not_active Expired - Fee Related
-
1993
- 1993-02-04 EP EP93400279A patent/EP0556096B1/en not_active Expired - Lifetime
- 1993-02-04 DE DE69321007T patent/DE69321007T2/en not_active Expired - Lifetime
- 1993-02-04 ES ES93400279T patent/ES2121065T3/en not_active Expired - Lifetime
- 1993-02-04 AT AT93400279T patent/ATE171074T1/en not_active IP Right Cessation
- 1993-02-04 DK DK93400279T patent/DK0556096T3/en active
- 1993-02-09 CZ CZ93161A patent/CZ285573B6/en not_active IP Right Cessation
- 1993-02-09 BR BR9300524A patent/BR9300524A/en not_active Application Discontinuation
- 1993-02-10 LV LVP-93-113A patent/LV10195B/en unknown
- 1993-02-10 SK SK82-93A patent/SK280665B6/en not_active IP Right Cessation
- 1993-02-11 NO NO930473A patent/NO306532B1/en not_active IP Right Cessation
- 1993-02-11 PL PL93297699A patent/PL174098B1/en not_active IP Right Cessation
- 1993-02-12 JP JP04609393A patent/JP4010573B2/en not_active Expired - Fee Related
- 1993-02-12 FI FI930630A patent/FI103380B/en not_active IP Right Cessation
- 1993-02-12 HU HU9300377A patent/HU210026B/en not_active IP Right Cessation
- 1993-02-12 LT LTIP338A patent/LT3226B/en not_active IP Right Cessation
- 1993-02-12 CA CA002089446A patent/CA2089446C/en not_active Expired - Fee Related
- 1993-06-15 UA UA93002940A patent/UA27102C2/en unknown
-
1994
- 1994-05-23 EE EE9400005A patent/EE03091B1/en not_active IP Right Cessation
-
1998
- 1998-02-12 RU RU93004727A patent/RU2112522C1/en not_active IP Right Cessation
-
2006
- 2006-08-02 JP JP2006211141A patent/JP4472672B2/en not_active Expired - Lifetime
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