TW200808345A - Intranasal or inhalational administration of virosomes - Google Patents
Intranasal or inhalational administration of virosomes Download PDFInfo
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- TW200808345A TW200808345A TW096109319A TW96109319A TW200808345A TW 200808345 A TW200808345 A TW 200808345A TW 096109319 A TW096109319 A TW 096109319A TW 96109319 A TW96109319 A TW 96109319A TW 200808345 A TW200808345 A TW 200808345A
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Abstract
Description
200808345 九、發明說明: 【發明所屬之技術領域】 發明領域 本發明涉及,例如,用於滅活流感疫苗的組合物以及 -5給藥方式,其中,單次鼻内或吸入給藥獲得了與臨床保護 正相關的全身性免疫應答。 【先前技術】 發明背景 • 用於通過鼻内或口咽途徑,以及使用滅活流感抗原針 10對流感進行免疫的多種觀念已作爲皮下或肌肉内免疫的非 注射(無針頭needle-less)替代途徑被研究。已在動物模型中 産生了支持非注射手段的實驗數據。得到動物數據支持 的、使用滅活流感抗原(例如化學方式滅活的完整病毒粒子 (vims particles),或者被進一步加工的病毒組分,例如被切 15 開的病毒,或者經純化的表面抗原血球凝集素(HA)和/或神 — 經氨酸酶(NA))以通過鼻内途徑進行免疫的思路包括:使用 鲁 佐劑或免疫刺激劑(immime stimulator)與滅活流感抗原組 合,或者需要多次免疫。佐劑是能增強與其混合的抗原的 免疫原性的任何物質。在人類中,通過鼻内途徑抵抗流感 2〇 的成功疫苗接種僅報導過:(a)活的(經冷改造的毒株)流感 疫苗(FluMist™,Medlmmime Vaccines Inc)(參考文獻1、2、 3),(b)病毒顆粒型流感疫苗,其佐有大腸桿菌(e. coli)的熱 不穩定毒素(heat labile toxin)(NasalFlu,Berna Biotech200808345 IX. OBJECTS OF THE INVENTION: FIELD OF THE INVENTION The present invention relates to, for example, a composition for inactivating an influenza vaccine and a 5-administration method in which a single intranasal or inhalation administration is obtained. Clinical protection is a positively related systemic immune response. [Prior Art] Background of the Invention • Various concepts for immunizing influenza by intranasal or oropharyngeal route, as well as the use of inactivated influenza antigen needle 10, have been used as a non-injection (needle-less) replacement for subcutaneous or intramuscular immunization. The pathway was studied. Experimental data supporting non-injection methods have been generated in animal models. Obtaining animal data-supported use of inactivated influenza antigens (eg, chemically inactivated vims particles, or further processed viral components, such as viruses that are cleaved, or purified surface antigen blood cells) The idea of lectin (HA) and/or divine-alaninase (NA) to immunize by intranasal route includes: using a rumo adjuvant or an immunostimulant (immime stimulator) in combination with inactivated influenza antigen, or Multiple immunizations. An adjuvant is any substance that enhances the immunogenicity of an antigen to be mixed therewith. In humans, successful vaccination against influenza 2 by intranasal routes has only been reported: (a) live (cold-modified strain) influenza vaccine (FluMistTM, Medlmmime Vaccines Inc) (Refs. 1, 2, 2) 3), (b) Viral granule influenza vaccine with heat labile toxin of E. coli (NasalFlu, Berna Biotech)
Ltd)(參考文獻4)或(c)使用高劑量抗原和重複疫苗接種(參 5 200808345 考文獻5、10、11)。雖然活疫苗能誘導滿意的免疫應答, 但其能變成活病毒的特定性質導致了額外的安全顧慮,由 於需要在上呼吸道附近的病毒複製,這可能會誘導出副作 用。此外,所需的貯藏條件也限制了這些産品的商業化。 5使用用大肪杯HLT作爲佐劑的鼻内流感疫苗與面癱 (Bell’s Palsy)之間的強烈相關性導致佐有HLT的病毒顆粒 疫苗從市場撤出(參考文獻6)。 流感疫苗在給定人群中的療效可通過下述方法來評 估:評定接種後産生的抗流感抗體的數量相關的免疫原性 10參數。這些免疫原性參數通常被稱爲CHMP標準,其用於對 滅活流感疫苗進行每年重新許可認證(參考文獻7)。至今爲 止,通過使用滅活疫苗的一次單次鼻内施予,不加佐劑(其 是疫苗中的附加成分,其不來自將用疫苗來預防的感染性 试劑’並且是爲了增強對抗原的免疫應答的目的被加入到 15疫苗配方製劑中),就達到這些免疫學要求或者CHMP標準 (參考文獻7)的、對人類抵抗流感的成功免疫尚未有記載。 因此,人們認識到,在本領域中仍有對下述滅活流感疫苗 組合物的需求,所述組合物能在單次鼻内給藥之後誘導滿 意的全身性免疫反應,並且不含佐劑,且通過所述單次給 20 藥能達到CHMP標準(參考文獻7)。 所述“CHMP標準”按照下文所述被定義。在 CHMP(Committee for Medicinal Products for Human Use)的 Note for Guidance on Harmonisation of Requirements for Influenza Vaccines中,定義了下述血清學參數,以評定滅活 200808345 流感疫苗的免疫原性·· -血清保護率,其中血清保護被定義爲紅血球凝聚抑 制(Haemagglutination Inhibition,HI)效價 >40, -血清轉化率,其中血清轉化被定義爲接種前m效價 5 <10,接種後HI效價>40,或者,接種前ΉΙ效價>1〇以及m 效價至少4倍的增加, -平均倍數增加值,這是對個體内增加的幾何平均值 (即’接種後HI效價/接種前hi效價)。 針對流感疫苗免疫原性的CHMP要求是:對於疫苗中 10三種中的每種而言,達到下述標準中的至少一項:Ltd) (Reference 4) or (c) High dose antigen and repeated vaccination (Ref. 5 200808345, references 5, 10, 11). Although live vaccines can induce a satisfactory immune response, the specific nature of their ability to become live viruses leads to additional safety concerns that may trigger side effects due to the need for viral replication in the vicinity of the upper respiratory tract. In addition, the required storage conditions also limit the commercialization of these products. 5 The strong correlation between the intranasal flu vaccine with the large fat cup HLT as an adjuvant and the Bell's Palsy resulted in the withdrawal of the HLT-containing viral particle vaccine from the market (Reference 6). The efficacy of influenza vaccines in a given population can be assessed by assessing the immunogenicity of the number of anti-influenza antibodies produced after vaccination. These immunogenic parameters are commonly referred to as the CHMP standard, which is used for annual re-licensing of inactivated influenza vaccines (Reference 7). So far, by using a single intranasal administration of an inactivated vaccine, no adjuvant (which is an additional component in the vaccine, which is not derived from an infectious agent to be prevented by a vaccine) and is intended to enhance the antigen The purpose of the immune response was added to the 15 vaccine formulation), and the successful immunization against human influenza against these immunological requirements or the CHMP standard (Reference 7) has not been documented. Thus, it is recognized that there remains a need in the art for inactivated influenza vaccine compositions that are capable of inducing a satisfactory systemic immune response after a single intranasal administration, and without adjuvants. And the CHMP standard can be achieved by the single administration of 20 drugs (Reference 7). The "CHMP standard" is defined as described below. In the Note for Guidance on Harmonisation of Requirements for Influenza Vaccines of CHMP (Committee for Medicinal Products for Human Use), the following serological parameters are defined to assess the immunogenicity of the inactivated 200808345 influenza vaccine. Among them, seroprotection is defined as Haemagglutination Inhibition (HI) titer > 40, - seroconversion rate, wherein seroconversion is defined as m titer 5 < 10 before inoculation, HI titer after inoculation > 40 , or, before vaccination ΉΙ potency > 1 〇 and m valence at least 4 times increase, - average multiple increase value, which is the geometric mean of the increase within the individual (ie 'HI after vaccination / before vaccination hi potency). The CHMP requirement for the immunogenicity of influenza vaccines is that for each of the 10 vaccines, at least one of the following criteria is met:
平均倍數增加值 >2.5 本發明還應用於兒童,從他們顯示出,他們以與成年 人相當的方式作出免疫應答(參考文獻8)。本發㈣應用於 老年個體。老年人爲超過60歲的。 15 【發明内容】 發明描述 乂令人吃驚地,以及與臨床前齧齒類數據和關於人類臨 床經歷的文獻相反地,我們發現,對於歲年齡多 言,用包含重構流感病毒外殼的滅活流感疫苗進行 20内接種後,人類的免疫應答達到了針對流感疫苗=二 部三個CHMP標準。-次單次鼻内施予是:爲達到針對滅 活流感疫苗免疫原性的上述CHMP標準,通、尚—、 、千 、k —個或兩個 7 200808345 鼻孔進行疫苗配方製劑的接種,而無需重複施予疫苗配方 製劑。-次單次疫苗施予(通過鼻、吸入、口服、皮下或肌 7途徑)通常是下述接種安排,其不包括:在本領域作爲初 次(pnmmg)和強化(boosting)而已知的、以數天或數周的時 5間間隔對疫苗的多次施予。被設計爲鼻内或吸入給藥配方 衣劑的配方製劑包含一種或多種活性組分和賦形劑的混合 物,疋彳女照允許鼻内或吸入給藥的方式製備的。本發明提 供了一種方法,用於誘導達到CHMP標準的全身性免疫應 答(循環的免疫球蛋白或產生抗體的B細胞),有利地,所述 10方法用對病毒顆粒流感疫苗的單次鼻内或吸入給藥來進 行。本發明還提供了一種方法,用於誘導局部或粘膜免疫 應^所述應答包括枯膜膜表面上作爲IgA已知的分泌免 疫球蛋白的增加,有利地,所述方法用對病毒顆粒流感疫 田的單次鼻内或吸入給藥來進行。鼻内施予之後對特異性 15 kG和IgA應答的誘導涉及鼻腔中淋巴組織的活性(參考文 獻12)。此類組織作爲鼻相關淋巴組織(NALT)已知,其還 被顯不爲用於細胞免疫應答的粘膜誘導位點(參考文獻 13)。因爲已知病毒顆粒具有誘導細胞内免疫應答的可能性 (芩考文獻14、15),因此本發明還提供了誘導特異性細胞 20 毒性淋巴細胞(CTL)的方法。 病毒顆粒(virosome)是含有病毒糖蛋白的脂質雙層。通 苇通過用去垢劑從帶包膜病毒提取膜蛋白和脂類,接著通 過除去所述去垢劑來重構特徵性雙層來生産病毒顆粒。本 發明還提供了流感病毒顆粒的組合物,其包含重構的流感 8 200808345 病毒外膜(具體而言,不再加脂類,並且不加免疫刺激劑(通 常稱爲佐劑)的免疫調節劑而重構),用於通過氣溶膠進行接 種,所述氣溶膠通過一個或兩個鼻孔施予鼻咽或口咽的粘 膜,以獲得抵抗流感的全身性和局部免疫性。通過吸入進 5行的單次施予也是可行的。單次口服粘膜施予也是可行的。 可從滅活病毒來製備重構流感病毒顆粒,可以用不可 透析的去垢劑對滅活病毒加以溶解,通過吸附到疏水珠粒 上來除去所述去垢劑。製備物可包含一種或多種流感抗原 的經過純化的懸浮液,所述流感抗原選自血球凝集素 10 (HA)、神經氨酸酶(NA)、血球凝集素的衍生物和神經氨酸 酶的衍生物。可以在病毒脂類(含有低水平的内毒素和卵清 蛋白)構成的膜中,對病毒膜蛋白血球凝集素和神經氨酸酶 進行重構(見參考文獻9)。血清凝集素和/或神經氨酸酶的衍 生物是具有經修飾的氨基酸序列和/或結構的血球凝集素 15和/或神經氨酸酶分子。氨基酸可例如被刪除、替換或添加 到序列中。此外,糖基化方式可被改變。衍生物保留有導 入宿主時誘導免疫應答的能力。 可在例如含有胚胎的雞蛋中,或在附著的細胞或懸浮 液中的細胞的細胞培養物中培養用於製備重構病毒顆粒的 20流感病毒。病毒例如可以是野生型的或重配的(reass〇rtant) 或經過遺傳修飾的毒株。病毒類型可例如是任何流感A*B 亞型,包括流行性的毒株。 本發明還提供疫苗。術語疫苗應被理解爲具有免疫活 性的藥物製備物。在某些實施方式中,疫苗可包含病原性 9 200808345 微生物的無害變體或衍生物,例如,刺激免疫系統産生針 對真實病原體的抵抗。.在某些實施方式中,疫苗施予宿主 時例如能誘導適應性免疫。疫苗可含有病原體戒病原體組 分的已死亡或削弱形式,例如病原體的抗原性組分。疫苗 5製備物可還含有藥物載體,可針對疫苗將由其被施予的特 定模式對载體加以設計,例如針對鼻内或吸入給藥設計的 藥物载體。流感疫苗可包含一種或多種未變性流感抗原, 其一種或多種能誘導對流感特異的免疫應答。 本’X明k供了含流感病毒顆粒的組合物,所述流感病 10毒顆粒包含所述病毒的重構外殼,其中所述組合物被設計 爲鼻内或吸入給藥配方製劑。本發明還提供了其中病毒顆 粒包含流感抗原血球凝集素和/或神經氨酸酶或其衍生物 的所述組合物。本發明還提供了其中病毒外殼完全從病毒 粒子獲得的所述組合物。本發明還提供了其中沒有脂類從 15外界來源向重構病毒顆粒加入的所述組合物。本發明還提 供了其中沒有向所述組合物加入單獨的佐劑和/或免疫刺 激劑的所述組合物。本發明還提供了其中向個體的單次鼻 内或吸入給藥能誘導全身性免疫應答的所述組合物。本發 明還提供了其中向個體的單次鼻内或吸入給藥還能誘導局 2〇部免疫應答的所述組合物。本發明還提供了向個體的單次 vr内或吸人給藥還能誘導細胞毒性淋巴細胞應答的所述組 σ物本毛明還提供了其中誘導全身性免疫應答和/或局部 免疫應答和/或細胞毒性淋巴細胞應答的能力在人類中顯 示的所述組合物。本發明還提供了其中免疫應答包含針對 10 200808345 抓感抗原血球凝集素和/或神經氨酸酶或其衍生物的免疫 1答的所述組合物。在—種優選的實施方式中,本發明還 提供了其中免疫應答達到用於流感疫苗的cHMp標準的所 述、、且口物。本發明還提供了其中免疫應答提供下述中的一 5種或夕種的所述組合物··對成年人而言〉观和/或對老年人 而口 60/〇的血清保護率,遠十對成年人〉體。和/或針對老年 人30%的血轉化率,以及針對成年人>2·5和/或針對老年 人>2.0的平均倍數增加值。在一種特別優選的實施方式 I本!X明通提供了其中每種病毒毒株每次鼻内或吸入給 10藥的血球减木素劑1等於或低於%Μ的所述組合物。最 ^本么明還提供了其中組合物是包含用於鼻内或吸入給 藥的藥物載體的疫苗配方製劑的所述組合物。 本發明還提供了包含病毒的重構外殼的流感病毒顆粒 用於衣k用於鼻内或吸入給藥的組合物的用途。本發明還 15提供了、這樣的所述用途:其中,流感病毒顆粒包含流感抗 原血球凝集素和/或神經氨酸酶或其衍生物。本發明還提供 了 k樣的所述料:其巾,病毒外殼完全從流感病毒粒子 獲得。本發明還提供了這樣的所述用途:其中,沒有脂類 從外界來源向重構病毒顆粒加入。本發明還提供了這樣的 2〇所述用途·其中,沒有向所述組合物加入單獨的佐劑和/或 免疫刺激劑。本發明還提供了這樣的所述用途··其中,向 個體料次鼻内或吸入給藥足以誘導全身性免疫應答。本 I明還提供了思樣的所述用途··其中,向個體的單次鼻内 或吸入給藥適誘導局部免疫應答。本發明還提供了這樣的 11 200808345 所述用途:复Average multiple increase value > 2.5 The present invention is also applied to children, from which they have shown that they make an immune response in a manner comparable to that of an adult (Reference 8). This issue (4) is applied to elderly individuals. The elderly are over 60 years old. 15 SUMMARY OF THE INVENTION Description of the Invention 乂 Surprisingly, and contrary to preclinical rodent data and literature on human clinical experience, we have found that for age-old, inactivated influenza containing a reconstituted influenza virus envelope After the vaccine was vaccinated within 20 weeks, the human immune response reached the three CHMP criteria for influenza vaccine = two. - The single intranasal administration is: in order to achieve the above-mentioned CHMP standard for the immunogenicity of the inactivated influenza vaccine, the inoculation of the vaccine formulation is carried out in the nostrils of the Tong, Shang-, Qian, Qian, k or one of the 7 200808345 There is no need to repeatedly administer the vaccine formulation. - Single single dose administration (by nasal, inhalation, oral, subcutaneous or muscle 7 routes) is generally the following vaccination schedule, which does not include: known in the art as primary (pnmmg) and boosting, Multiple doses of the vaccine were administered at intervals of 5 days or weeks. Formulations designed for intranasal or inhalation formulation include a mixture of one or more active ingredients and excipients which are prepared for intranasal or inhalation administration. The present invention provides a method for inducing a systemic immune response (circulating immunoglobulin or antibody-producing B cells) that meets the CHMP standard, advantageously, the method 10 uses a single intranasal injection of a viral particle influenza vaccine Or by inhalation administration. The present invention also provides a method for inducing local or mucosal immunity, wherein the response comprises an increase in secretory immunoglobulin known as IgA on the surface of the membrane, advantageously using the virus against influenza virus A single intranasal or inhaled administration of the field is carried out. Induction of specific 15 kG and IgA responses following intranasal administration involves lymphoid activity in the nasal cavity (Ref. 12). Such tissues are known as nasal associated lymphoid tissue (NALT), which is also not shown to be a mucosal induction site for cellular immune responses (Ref. 13). Since virus particles are known to have the possibility of inducing an intracellular immune response (References 14, 15), the present invention also provides a method of inducing specific cell 20 toxic lymphocytes (CTL). A viral particle is a lipid bilayer containing a viral glycoprotein. Viral particles are produced by extracting membrane proteins and lipids from the enveloped virus with a detergent, followed by removal of the characteristic bilayer by removal of the detergent. The invention also provides a composition of influenza virus particles comprising a reconstituted influenza 8 200808345 viral outer membrane (specifically, no lipids are added, and immunomodulation without an immunostimulant (commonly referred to as an adjuvant) Reconstituted with the agent) for inoculation by aerosol, which is administered to the mucosa of the nasopharynx or oropharynx through one or both nostrils to obtain systemic and local immunity against influenza. A single administration by inhalation into 5 rows is also possible. A single oral mucosal administration is also feasible. The reconstituted influenza virus particles can be prepared from the inactivated virus, and the inactivated virus can be dissolved with a non-dialyzable detergent to remove the detergent by adsorption onto the hydrophobic beads. The preparation may comprise a purified suspension of one or more influenza antigens selected from the group consisting of hemagglutinin 10 (HA), neuraminidase (NA), a derivative of hemagglutinin and a neuraminidase derivative. The viral membrane proteins hemagglutinin and neuraminidase can be reconstituted in a membrane composed of viral lipids (containing low levels of endotoxin and ovalbumin) (see Reference 9). The derivative of serum lectin and/or neuraminidase is a hemagglutinin 15 and/or neuraminidase molecule having a modified amino acid sequence and/or structure. Amino acids can, for example, be deleted, replaced or added to the sequence. In addition, the glycosylation pattern can be altered. Derivatives retain the ability to induce an immune response when introduced into a host. The 20 influenza virus used to prepare the reconstituted virus particles can be cultured in, for example, an egg containing an embryo, or a cell culture of cells in an attached cell or suspension. The virus may, for example, be a wild-type or reass〇rtant or a genetically modified strain. The type of virus can be, for example, any influenza A*B subtype, including epidemic strains. The invention also provides a vaccine. The term vaccine is to be understood as a pharmaceutical preparation having immunological activity. In certain embodiments, the vaccine may comprise a non-hazardous variant or derivative of the pathogenic 9 200808345 microorganism, for example, stimulating the immune system to produce resistance to a real pathogen. In certain embodiments, the vaccine is administered, e.g., to induce adaptive immunity. The vaccine may contain a dead or weakened form of the pathogen or pathogen component, such as an antigenic component of the pathogen. The vaccine 5 preparation may further comprise a pharmaceutical carrier which may be designed for the particular mode in which the vaccine will be administered, e.g., a pharmaceutical carrier designed for intranasal or inhalation administration. The influenza vaccine may comprise one or more undenatured influenza antigens, one or more of which induce an immune response specific for influenza. The present invention provides a composition comprising influenza virus particles comprising a reconstituted outer shell of the virus, wherein the composition is designed to be administered intranasally or by inhalation formulation. The present invention also provides the composition wherein the virus particles comprise influenza antigen hemagglutinin and/or neuraminidase or a derivative thereof. The invention also provides such compositions wherein the viral envelope is completely obtained from viral particles. The present invention also provides such compositions in which no lipids are added from 15 external sources to the reconstituted viral particles. The present invention also provides such compositions in which no separate adjuvant and/or immunostimulant is added to the composition. The invention also provides such compositions wherein a single intranasal or inhaled administration to an individual induces a systemic immune response. The present invention also provides such compositions wherein a single intranasal or inhalation administration to an individual can also induce a local ankle immune response. The present invention also provides that the group of sigma cumin, which also induces a cytotoxic lymphocyte response in a single vr or inhalation to an individual, also provides a systemic immune response and/or a local immune response. / or the ability of a cytotoxic lymphocyte response to show the composition in humans. The present invention also provides such a composition wherein the immune response comprises an immune response against 10 200808345 Sonic antigen hemagglutinin and/or neuraminidase or a derivative thereof. In a preferred embodiment, the invention also provides said, wherein the immune response meets the cHMp criteria for influenza vaccines. The present invention also provides a composition in which the immune response provides one or five of the following compositions, the seroprotection rate of the adult and the oral 60/〇 for the elderly, far Ten pairs of adults. And/or 30% blood conversion rate for elderly people, and an average multiple increase value for adults > 2.5 and/or for elderly people > 2.0. In a particularly preferred embodiment I! X Mingtong provides the composition in which the blood lignin agent 1 of each of the virus strains is intranasally or inhaled to give 10 drugs equal to or less than % Μ. Most preferably, the composition is a composition wherein the composition is a vaccine formulation comprising a pharmaceutical carrier for intranasal or inhaled administration. The invention also provides the use of influenza virus particles comprising a reconstituted outer shell of a virus for use in compositions for intranasal or inhaled administration. The invention also provides the use of wherein the influenza virus particle comprises influenza antigen hemagglutinin and/or neuraminidase or a derivative thereof. The present invention also provides a k-like material: its towel, the viral outer shell is completely obtained from influenza virus particles. The invention also provides such use wherein no lipid is added to the reconstituted viral particle from an external source. The present invention also provides such use as described above, wherein no separate adjuvant and/or immunostimulant is added to the composition. The present invention also provides such a use wherein, intranasal or inhalation administration to an individual is sufficient to induce a systemic immune response. The use of the present invention is also provided by the present invention in which a single intranasal or inhalation administration to an individual induces a local immune response. The invention also provides the use of such 11 200808345: complex
ίο 15 胞毒性淋pf ’向個體的單次鼻内或吸人給藥還誘導細 其中,接/胞應答。本發明還提供了這樣的所述用途: 述用途藥的個體是人類。本發明還提供了這樣的所 或神细/導的域應答包含針對流感㈣血軸集素和/ 方式其魅㈣免錢答。在—種優選的實施 誘導達s本t明還提供了這樣的所述用途,其中,組合物 提供了=針對流感疫苗的CHMP標準的免疫應答。本發明還 種所述用途,其中,免疫應答提供下述中的一 =夕種的崎組合物:對成年人而言>70%和/或對老年人 而。6〇/°的血清保護率,針對成年人>40%和/或針對老年 。的血π轉化率,以及針對成年人>2.5和/或針對老年 〇的平均倍數增加值。在-種特別優選的實施方式 中—本發明遠提供了這樣的所述用途,其中,每種病毒毒 母人内或吸入給樂的血球凝集素被施予劑量等於或低The single intranasal or inhaled administration of cytotoxic cytotoxic pf' to an individual also induces fine, in response to a cell response. The invention also provides such use: The individual of the drug of use is a human. The present invention also provides such a fine/guided domain response containing a flu (4) hemaginary agglutinin and/or a fascinating (four) free money answer. In a preferred embodiment, the induction is also provided by the use wherein the composition provides an immune response to the CHMP standard for influenza vaccines. The invention further employs the use, wherein the immune response provides a composition of the following: a composition of the species: > 70% for adults and/or for the elderly. Serum protection rate of 6 〇 / ° for adults > 40% and / or for the elderly. The blood π conversion rate, as well as the average fold increase for adults > 2.5 and / or for senile sputum. In a particularly preferred embodiment, the present invention provides such a use in which the hemagglutinin of each viral virulence or inhaled is administered at a dose equal to or lower.
於3〇以。最後,本發明還提供了其中製造的組合物是疫苗 配方製劑的所述用途。 目此,在-種實施方式中,本發明提供了包含病毒的 重構外殼的流感病毒麵的組合物,其中,所述病毒外殼 完全從流感病毒粒子獲得,其中,沒有從外界來源向重構 20病毒顆粒加入脂類,其中,病毒顆粒包含流感抗原血球凝 集素和/或神經氨酸酶或其衍生物,其中,沒有向所述組合 物加入單獨的佐劑和/或免疫刺激劑,以及其中,所述組合 物作爲鼻内或吸入給藥配方製劑來設計,所述組合物特徵 在於,所述配方製劑向人類的單次鼻内或吸入給藥能誘導 12 200808345 抵抗所述流感抗原的全身性免疫應答和/或局部免疫應 答,所述全身性應答能符合用於流感疫苗的CHMP標準,以 及其中,每種病毒毒株每次鼻内或吸入給藥的血球凝集素 劑量等於或低於# g。 5 根據另一種貝施方式,本發明提供了包含病毒的重構At 3 〇. Finally, the invention also provides said use wherein the composition produced is a vaccine formulation. Accordingly, in one embodiment, the invention provides a composition comprising an influenza virus surface of a reconstituted outer shell of a virus, wherein the viral outer shell is obtained entirely from influenza virions, wherein no reconstitution from an external source is made 20 virus particles are added to the lipid, wherein the viral particles comprise influenza antigen hemagglutinin and/or neuraminidase or a derivative thereof, wherein no separate adjuvant and/or immunostimulant is added to the composition, and Wherein the composition is designed as an intranasal or inhaled formulation, the composition being characterized in that a single intranasal or inhaled administration of the formulation to humans induces 12 200808345 resistance to the influenza antigen. A systemic immune response and/or a local immune response that is consistent with the CHMP criteria for influenza vaccines, and wherein the hemagglutinin dose per intranasal or inhaled dose of each viral strain is equal to or low At #g. 5 According to another Beth mode, the present invention provides reconstruction including viruses
外殼的流感病毒顆粒用於製造用於鼻内或吸入給藥的組合 物的用途,其中,所述病毒外殼完全從流感病毒粒子獲得, 其中,沒有從外界來源向重構病毒顆粒加入脂類,其中, 病毒顆粒包含流感抗原血球凝集素和/或神經氨酸酶或其 10衍生物,其中,沒有向所述組合物加入單獨的佐劑和/或免 疫刺激劑,所述流感病毒顆粒用於製造用於鼻内或吸入給 藥的組合物的用途的特徵在於,所述組合物向人類的單次 鼻内或吸入給藥足以誘導抵抗所述流感抗原的全身性免疫 應答和/或局部免疫應答,所述應答能達到針對流感疫苗的 CHMP標準,以及其中,每種病毒毒株每次鼻内或吸入給藥 的血球凝集素劑量等於或低於30/z g。 20 根據另-種實施方式^ _種包含流感病 毒顆粒的組合㈣疫苗配方製劑,所料I難包含所述 病毒的重構外殼,其中,所述病毒核完錢流感病毒粗 子獲得,其中,沒有從外界來源向重構病人脂類, 其中’病毒齡包含域抗原血球㈣素和/或神經氨酸酶 或其衍生物,其中,沒有向所述組合物加入單獨的佐劑和/ 或免疫刺激劑,其中,疫苗特徵在於,針料人類的單次 鼻内或吸人給藥來設計疫苗’並且,其巾,每種病毒毒株 13 200808345 每次鼻内或吸入給藥的血球凝集素劑量等於或低於3〇 # g。有利地,所述配方製劑的所述單次鼻内或吸入給藥能在 所述人類中誘導全身性和/或局部免疫應答。根據本發明還 提供了包含一定量的用於單次鼻内或吸入給藥的所述疫苗 5 配方製劑的設備。 每種病毒毒株每次鼻内或吸入給藥的血球凝集素的根 據本發明的應用劑量還可以低於或等於25^8、20//g、15 、l〇#g 或 5 vg。 引用的文獻 10 (1) Maassab HF. Adaptation and growth characteristics of influenza virus at 25〇C,Nature 213, 612-14(1967) (2) Maassab HF. Bryant ML. The development of live attenuated cold-adapted influenza virus vaccine for humans.The use of a shell of influenza virus particles for the manufacture of a composition for intranasal or inhalation administration, wherein the viral envelope is obtained entirely from influenza virions, wherein no lipids are added to the reconstituted viral particles from an external source, Wherein the viral particle comprises influenza antigen hemagglutinin and/or neuraminidase or a 10 derivative thereof, wherein no separate adjuvant and/or immunostimulant is added to the composition, the influenza virus particle is used for The use of a composition for the manufacture of intranasal or inhaled administration is characterized in that a single intranasal or inhalation of the composition to a human is sufficient to induce a systemic immune response and/or local immunity against the influenza antigen. In response, the response can achieve the CHMP criteria for influenza vaccines, and wherein the hemagglutinin dose of each viral strain administered intranasally or by inhalation is equal to or lower than 30/zg. 20 According to another embodiment, a combination of influenza virus particles (4) a vaccine formulation, which is difficult to contain a reconstituted outer shell of the virus, wherein the virus is obtained by obtaining a virus, and wherein There is no reconstitution of patient lipids from external sources, where 'viral age contains domain antigen hepatocytes (tetra) and/or neuraminidase or derivatives thereof, wherein no separate adjuvant and/or immunization is added to the composition A stimulant, wherein the vaccine is characterized in that a single intranasal or inhaled administration of a human is designed to design a vaccine 'and its towel, each viral strain 13 200808345, each intranasal or inhaled hemagglutinin The dose is equal to or lower than 3〇# g. Advantageously, said single intranasal or inhaled administration of said formulation formulation induces a systemic and/or local immune response in said human. Also provided in accordance with the invention is an apparatus comprising a quantity of the vaccine formulation formulation for single intranasal or inhalation administration. The hemagglutinin administered intranasally or by inhalation of each virus strain may also be used at a dose lower than or equal to 25^8, 20//g, 15, 〇#g or 5 vg according to the present invention. Citation 10 (1) Maassab HF. Adaptation and growth characteristics of influenza virus at 25〇C, Nature 213, 612-14 (1967) (2) Maassab HF. Bryant ML. The development of live attenuated cold-adapted influenza virus Vaccine for humans.
Rev.Med.Virol. 1999 Oct-Dec;9(4):237-44 15Rev.Med.Virol. 1999 Oct-Dec;9(4):237-44 15
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Linder T, Spyr C,Steffen R. Use of the inactivated intranasal influenza vaccine and the risk of Bell ’ s palsy in Switzerland. N Engl J Med? 2004 Feb 26;350(9):896-903 鲁 (7) Note for Guidance on Harmonisation of 10 Requirements for Influenza Vaccines. EMEA/CpMP/B WP/214/96 15Linder T, Spyr C, Steffen R. Use of the inactivated intranasal influenza vaccine and the risk of Bell 's palsy in Switzerland. N Engl J Med? 2004 Feb 26;350(9):896-903 Lu (7) Note for Guidance on Harmonisation of 10 Requirements for Influenza Vaccines. EMEA/CpMP/B WP/214/96 15
20 (8) Daubeney,P.,Taylor,CJ·, McGaw,J·,Brown, Brown,E.M·,Ghosal,S·,Keeton,B.R·,Palache,B·,Kerstens, R. Immunogenicity and tolerability of a trivalent influenza subunit vaccine (InfluvacR) in high-risk children aged 6 months to 4 years. BJCP 1997 March, 51(2): 87-90 (9) Stegmann,T·,Morselt,H.W.M·,Booy,F.P·,Van Breemen,J.F.L·,Scherphof,G_,Wilschut, J. Functional reconstitution of influenza viris envelopes. EMBO Journal 1987, 6(9): 2651-2659 (10) Treanor J5 Nolan C,O’ Brien D,Burt D,Lowell G, Linden J, Fries L. Intranasal administration of a proteosome-influenza vaccine is well-tolerated and induces serum and nasal secretion influenza antibodies in healthy 15 200808345 human subjects. Vaccine 2006; 24(3): 2 54-62 (11) Read R.C·,Naylor S.C· Potter C.W·,Bond J” Jabbal-Gill I·,Fisher A.,Ilium L·,Jennings R· Effective nasal influenza vaccine delivery using chitosan. Vaccine 5 2005; 23(35): 4 367-7420 (8) Daubeney, P., Taylor, CJ·, McGaw, J., Brown, Brown, EM, Ghosal, S., Keeton, BR., Palache, B., Kerstens, R. Immunogenicity and tolerability of a Trivalent influenza subunit vaccine (InfluvacR) in high-risk children aged 6 months to 4 years. BJCP 1997 March, 51(2): 87-90 (9) Stegmann, T·, Morselt, HWM·, Booy, FP·, Van Breemen, JFL·, Scherphof, G_, Wilschut, J. Functional reconstitution of influenza viris envelopes. EMBO Journal 1987, 6(9): 2651-2659 (10) Treanor J5 Nolan C, O' Brien D, Burt D, Lowell G , Linden J, Fries L. Intranasal administration of a proteosome-influenza vaccine is well-tolerated and induces serum and nasal secretion influenza antibodies in healthy 15 200808345 human subjects. Vaccine 2006; 24(3): 2 54-62 (11) Read RC·, Naylor SC· Potter CW·, Bond J” Jabbal-Gill I·, Fisher A., Ilium L·, Jennings R· Effective nasal influenza vaccine delivery using chitosan. Vaccine 5 2005; 23(35): 4 367- 74
(12) Kuper CF? Koornstra PJ? Hameleers DM? Biewenga J? Spit BJ9 Duijvestein AM? van Breda Vriesman PJ? Sminia T. The role of nasopharyngeal lymphoid tissue. Immunol. Today 1992 13:219-24 10 (13) Zuercher AW,Coffin SE,Thurnheer MC,Fundova P,(12) Kuper CF? Koornstra PJ? Hameleers DM? Biewenga J? Spit BJ9 Duijvestein AM? van Breda Vriesman PJ? Sminia T. The role of nasopharyngeal lymphoid tissue. Immunol. Today 1992 13:219-24 10 (13) Zuercher AW , Coffin SE, Thurnheer MC, Fundova P,
Cebra JJ. Nasal-associated lymphoid tissue is mucosal inductive site for virus-specific humoral and cellular immune responses. J. Immunol. 2002 168:1796-803 (14) Huckriede A? Bimgener L? Stegmann T9 Daemen T? 15 Mederna J? Palache AM, Wilschut J. The virosome concept for influenza vaccines. Vaccine 2005 23(Suppl 1): S26-38 (15) Gliick R? Burri KG, Metcalfe I, Adjuvant and antigen delivery properties of virosomes. Curr. Drug Deliv. 2005 2:395-400 20 【實施方式】 實施例1 在8周齡的BALB/C小鼠中的LPP病毒顆粒疫苗;次優HA劑 量水平上,對多種HA/LPP比例的鼻内比較 流感血清陰性雌性Balb/c小鼠組成的組(每組1〇只)通 16 200808345 過鼻内施予獲得LPP(脂肽)-病毒顆粒疫苗’其HA/LPP比例 爲1:1.5、1:0.7、1:0.4、1:〇(即沒有LPP) ’並且每份劑量具 有2//g的HA。此外,10只雌性小鼠的對照組獲得〇#gHA/ ' 劑量(載體的鼻内施予)。 • 5 製備含有LPP的病毒顆粒的四種製備物。簡言之,通過 離心對30-40%蔗糖溶液中的滅活流感病毒進行沈澱。重新 懸浮病毒,溶解於含有去垢劑八聚乙二醇單十二烷基醚 (OEG)的緩衝液中。隨後,通過超離心除去病毒核殼體。將 # 含有OEG的上清液分爲4等分體積,加入不同量的含OEG缓 10 衝液中的脂肽P3CSK4(P3CSK4 : N-棕櫚醯-S-[2,3-雙(棕櫚 醯氧H2RS)-丙基]-[R]-半胱氨醯-[S]-絲氨醯-[S]-賴氨醯 _[S]_賴氨醯-[S]-賴氨醯-[S]-賴氨酸)。用含OEG的緩衝液調 節體積。通過吸附到疏水樹脂上除去OEG。這導致了含LPP 的病毒顆粒的形成,在它們膜中含有HA和NA以及(可選地) 15 重構的病毒泡囊在它們膜中含有LPP。OEG去除之後,將病 毒顆粒濾經孔徑爲0.22//m的PVDF膜。 _ 起始原料爲20 mg的HA,其來自甲型流感 /Wyoming/3/2003 X-147(類A/Fujian/411/200(H3N2)毒株), 含有252 LU·内毒素/100 HA。溶解後,按照表1所概述 20 的製備4批。 表1病毒顆粒的製備 批次 作爲起始原料的HA 的量(mg) 加入的P3CSK4 的量(mg) HA/LPP 比例 VIR-2004-11 5 7.5 1:1.5 VIR-2004-12 5 3.5 1:0.7 VIR-2004-13 5 2.0 1:0.4 VIR-2004-14 5 0 1:0 17 200808345 載體由 5 mM Hepes、145 mM NaCh 1 mM EDTA(pH 7 4) 構成。對組E(見表2)來說,將載體濾經孔徑爲〇22“m的 PVDF膜。按照表2所述,針對鼻内免疫,將製備的4批病毒 顆粒稀釋至200//g/ml的濃度,針對肌内免疫,稀釋至们“ g/ml的濃度,分裝進lml的小瓶(每組2瓶)。按照表4所概述 的來使用這些疫苗組。 表2疫苗的製備 組號 製備 A VIR-2004-11 B VIR-2004-12 C VIR-2004-13 D VIR-2004-14 E 載體* 1 mM EDTA(pH 7.4)Cebra JJ. Nasal-associated lymphoid tissue is mucosal inductive site for virus-specific humoral and cellular immune responses. J. Immunol. 2002 168:1796-803 (14) Huckriede A? Bimgener L? Stegmann T9 Daemen T? 15 Mederna J? Palache AM, Wilschut J. The virosome concept for influenza vaccines. Vaccine 2005 23(Suppl 1): S26-38 (15) Gliick R? Burri KG, Metcalfe I, Adjuvant and antigen delivery properties of virosomes. Curr. Drug Deliv. 2005 2:395-400 20 [Embodiment] Example 1 LPP virus particle vaccine in 8 week old BALB/C mice; intranasal comparison of various HA/LPP ratios to influenza sera negative at suboptimal HA dose level Group of female Balb/c mice (1 group per group) passed 16 200808345 Intranasal administration of LPP (lipopeptide)-viral vaccines with a HA/LPP ratio of 1:1.5, 1:0.7, 1 : 0.4, 1: 〇 (ie no LPP) 'and each dose has 2 / / g of HA. In addition, a control group of 10 female mice obtained a dose of 〇#gHA/' (intranasal administration of the vehicle). • 5 Preparation of four preparations of LPP-containing viral particles. Briefly, the inactivated influenza virus in a 30-40% sucrose solution was precipitated by centrifugation. The virus was resuspended and dissolved in a buffer containing the detergent octaethylene glycol monododecyl ether (OEG). Subsequently, the viral nucleocapsid was removed by ultracentrifugation. The #0 containing OEG supernatant was divided into 4 equal volumes, and different amounts of lipopeptide P3CSK4 containing OEG buffer 10 were added (P3CSK4: N-palmium-S-[2,3-double (palm oxime H2RS) )-propyl]-[R]-cysteine-[S]-serine-[S]-lysine_[S]_lysine-[S]-lysine-[S] -Lysine). Adjust the volume with OEG-containing buffer. The OEG is removed by adsorption onto a hydrophobic resin. This results in the formation of LPP-containing viral particles containing HA and NA in their membranes and (optionally) 15 reconstituted viral vesicles containing LPP in their membranes. After the OEG was removed, the virus particles were filtered through a PVDF membrane having a pore size of 0.22 / / m. _ Starting material is 20 mg of HA from influenza A/Wyoming/3/2003 X-147 (class A/Fujian/411/200 (H3N2) strain) containing 252 LU·endotoxin/100 HA. After dissolution, prepare 4 batches according to 20 as outlined in Table 1. Table 1 Preparation of virus particles Batch of HA as starting material (mg) Amount of P3CSK4 added (mg) HA/LPP ratio VIR-2004-11 5 7.5 1:1.5 VIR-2004-12 5 3.5 1: 0.7 VIR-2004-13 5 2.0 1:0.4 VIR-2004-14 5 0 1:0 17 200808345 The vector consisted of 5 mM Hepes, 145 mM NaCh 1 mM EDTA (pH 7 4). For group E (see Table 2), the vector was filtered through a PVDF membrane with a pore size of 〇22"m. The 4 batches of virus particles prepared were diluted to 200//g for intranasal immunization as described in Table 2. The concentration of ml, for intramuscular immunization, was diluted to "g/ml concentration and dispensed into 1 ml vials (2 bottles per group). These vaccine sets were used as outlined in Table 4. Table 2 Preparation of vaccines No. Preparation A VIR-2004-11 B VIR-2004-12 C VIR-2004-13 D VIR-2004-14 E Vector* 1 mM EDTA (pH 7.4)
10 對配方製劑的分析 針對表3所示的若干種變數來分析用於本研究的配方 製劑。 表3對於用於製備疫苗的病毒顆粒的分析數據 待分析物 VIR-2004-11 VIR-2004-12 VIR-2004-13 VIR-2004-14 蛋白質(mg/ml)a 1.7 1.6 1.5 1.4 ΗΑ( β g/ml)b 776 759 697 757 石粦脂(mmol/l)c 0.658 0.692 0.658 0.682 内毒素(每100 /z g HA 的 I.U.)d 3.1 1.5 1.9 1.0 卵清蛋白(每100 μ g HA的 // g)e 0.047 0.050 0.055 0.050 純度f 主要是HA 主要是HA 主要是HA 主要是HA Lowry試驗,原理:用域式硫酸j _*Folin-cioc ;alteu紛試劑處 L理之後,蛋 來4定蛋2質含量10 Analysis of Formulations The formulations used in this study were analyzed for several variables shown in Table 3. Table 3 Analytical data for virus particles used to prepare vaccines. Analyte VIR-2004-11 VIR-2004-12 VIR-2004-13 VIR-2004-14 Protein (mg/ml) a 1.7 1.6 1.5 1.4 ΗΑ (β g/ml)b 776 759 697 757 Stone resin (mmol/l)c 0.658 0.692 0.658 0.682 Endotoxin (IU per 100 /zg HA) d 3.1 1.5 1.9 1.0 Ovalbumin (per 100 μg HA // g)e 0.047 0.050 0.055 0.050 Purity f Mainly HA Mainly HA Mainly HA Mainly HA Lowry test, principle: use domain type sulfuric acid j _*Folin-cioc; alteu regules after L treatment, egg to 4 eggs 2 content
Lowry, OH, NJ RosebLowry, OH, NJ Roseb
Rosebrough, AL Farr, and RJ Randall. J. Biol. Chem. 193:265. 1951. 15Rosebrough, AL Farr, and RJ Randall. J. Biol. Chem. 193:265. 1951. 15
Biochem. 89: 31. 1978.Biochem. 89: 31. 1978.
Moscheck, CM. Quantitation of Protein. Methods in Enzymology 182: 50-69 (1990). Hartree, EF. Anal Biochem 48: 422-427 (1972) 18 20 200808345 bPhEur:專題文章2053和2·7·1節 e原理:每個磷脂含有單個磷原子,其可用於對磷脂進行定 量。通過高氯酸來破壞磷脂,通過鉬酸鹽配合産生的 5 磷酸鹽/酯,鉬酸鹽被抗壞血酸還原産生藍色的産物。 用分光光度計在812 nm處測定顏色。通過包括碟酸校 準物來對樣品中磷脂的量加以定量。Moscheck, CM. Quantitation of Protein. Methods in Enzymology 182: 50-69 (1990). Hartree, EF. Anal Biochem 48: 422-427 (1972) 18 20 200808345 bPhEur: Feature Articles 2053 and 2·7·1 Section e Principle: Each phospholipid contains a single phosphorus atom that can be used to quantify phospholipids. The phospholipid is destroyed by perchloric acid, and the 5 phosphate/ester produced by the combination of molybdate, the molybdate is reduced by ascorbic acid to produce a blue product. The color was measured at 812 nm using a spectrophotometer. The amount of phospholipid in the sample is quantified by including a dish acid calibration.
Ames BN. Assay of inorganic phosphate, total phosphate and phosphatases. Meth. EnzymoL 1966; 8:115-118 10 Bottcher CJF5 van Gent CM & Pries C. A rapid and sensitive sub-micro phosphorus determination. Anal. Chim. Acta 1961; 24:203-204 dPh. Eur. 2.6.14 6卵清蛋白ELISA是直接的三明治式酶免疫方法,其中使用 15 用於捕捉的被固定的多克隆抗卵清蛋白抗體以及抗印 清蛋白-HRP結合物作爲檢測系統。對結合物和樣品進 行同時培養。通過洗滌步驟去除未結合的組分。將底 物(TMB和氏〇2)加入到孔中。通過藍色的顯色來指示孔 中特異性結合的結合物的存在。向底物中加入硫酸來 20 終止反應,其導致産物中顏色變化爲黃色。在450 nm 讀取吸光度(OD)。爲獲得最優結果,使用62〇 處的 參照濾光器。從試驗中包括的卵清蛋白標準(〇.3-2〇 〇 ng/ml)的應答來製造標準曲線。未知樣品的濃度從標準 曲線内插來讀取。 19 200808345 f根據專題文章0869和2053 :通過聚丙烯醯胺凝膠電泳來檢 查單價合併的(monovalent pooled)收集物的純度。電 泳:按照Ph.Eur2.2.31來進行。 測試系統 — 5 測試動物 使用七組動物,每組十隻雌性Balb/c小鼠 (BALB/cAnNCrl) 〇 在處理的一開始,小鼠爲8-9周齡,重量爲17-19 g。 # 在第0天和第14天用單價LPP病毒顆粒流感疫苗 10 (A/Wyoming)對動物進行鼻内接種,在第二次接種後21天進 行屍體檢查。 鼻内·測試物質被鼻内接種(10//1,分成兩個鼻孔上進 行),這用在背部輕度異氟烷/〇2/N2〇麻醉的動物進行。 表4處理安排 組號 施予途徑 A 鼻内 B 鼻内 C 鼻内 D 鼻内~ E 鼻内 2 //居11八,11八、1^?比例爲〇:〇 疫苗配方製劑 2 #羟11八’11八、〇>?比例爲1:0.7 01-10 11-20Ames BN. Assay of inorganic phosphate, total phosphate and phosphatases. Meth. EnzymoL 1966; 8:115-118 10 Bottcher CJF5 van Gent CM & Pries C. A rapid and sensitive sub-micro phosphorus determination. Anal. Chim. Acta 1961 24:203-204 dPh. Eur. 2.6.14 6 Ovalbumin ELISA is a direct sandwich enzyme immunization method in which 15 immobilized polyclonal anti-ovalbumin antibodies and anti-printing proteins are used for capture - The HRP conjugate is used as a detection system. The conjugate and the sample are simultaneously cultured. Unbound components are removed by a washing step. The substrate (TMB and 〇2) was added to the wells. The presence of a conjugate that specifically binds in the well is indicated by the color development of the blue. Sulfuric acid was added to the substrate to terminate the reaction, which resulted in a yellow color change in the product. The absorbance (OD) was read at 450 nm. For best results, use a reference filter at 62〇. A standard curve was prepared from the response of the ovalbumin standard (〇.3-2〇 ng/ml) included in the test. The concentration of the unknown sample is interpolated from the standard curve. 19 200808345 f According to feature articles 0869 and 2053: the purity of the monovalent pooled collection was examined by polypropylene gel electrophoresis. Electric swimming: Follow Ph.Eur 2.2.31. Test System - 5 Test Animals Seven groups of animals, each group of ten female Balb/c mice (BALB/cAnNCrl) were used. At the beginning of the treatment, the mice were 8-9 weeks old and weighed 17-19 g. # On-day vaccination of animals with monovalent LPP virion vaccine 10 (A/Wyoming) on day 0 and day 14 and necropsy 21 days after the second vaccination. The intranasal test substance was inoculated intranasally (10//1, divided into two nostrils), which was performed on animals anesthetized with mild isoflurane/〇2/N2〇 on the back. Table 4 treatment arrangement group number administration route A intranasal B intranasal C intranasal D intranasal ~ E intranasal 2 / / 11 18, 11 eight, 1 ^? ratio is 〇: 〇 vaccine formulation 2 # hydroxy 11 Eight '11 eight, 〇>? ratio is 1:0.7 01-10 11-20
41·50 15 2私宮只八,11八、〇^比例爲1:1」 在第一次接種之前以及第一次接種14天之後,在異氟 烧/ο2/ν2ο麻醉下收集眼寫血樣。第35天,處死動物,收集 血樣(在〇2/C〇2麻醉下通過腹部大動脈或心臟穿刺放血41·50 15 2 Private Palace only eight, 11 eight, 〇 ^ ratio is 1:1" Before the first vaccination and 14 days after the first vaccination, collect blood samples under isoflurane / ο2 / ν2 o anesthesia . On the 35th day, the animals were sacrificed and blood samples were collected (Blood by abdominal aorta or cardiac puncture under 〇2/C〇2 anesthesia)
集來自全部樣品的血清,深度冷柬,於低於」m宁存在聚 20 丙浠管中直到進行處理。 K 流感病毒使紅血球細胞⑽Cs)凝集,在存在足夠的病 20 200808345 毒特異性抗體時這會被阻止。該現象提供了血細胞凝集抑 制(HI)試驗的基礎,該試驗被用於探測和定量血清中的特異 性抗病毒抗體。將血清加入到流感病毒和火雞RBCs中。對 若干稀釋液加以測試(效價分析)。Η丨效價被定義爲仍能抑制 5 血細胞凝集的最高稀釋度的倒數。按下文所述來計算幾何 平均值效價(GMT): 1)對各個log(效價)進行計算,得到兩次重複的算術乎 均值: [log(效價 ο+log(效價2)]/2 10 2)計算各個log(效價)的算術平均值 3)GMT(組)=10 EXP(組平均值l〇g(效價)) 統計學分析 通過接種組和天數,使用幾何平均值效價來概括Hi妹 價。通過線性回歸來分析經log轉化的第35天組的HI效價’ 15以研究疫苗中LPP的量與GMT之間的劑量應答關係。 結果 HI效價分析 GMTtf於表5中。 表5幾何平均值效價 組 施予途徑 HA/LPP 比例 第0天 第14天 第 A 鼻内 1:1.5 5 8 B 鼻内 1:0.7 5 6 161^ C 鼻内 1:0.4 5 7 D 鼻内 1:0 5 7 E 鼻内 0:0 5 5 第0天,在小鼠中不能探測到HA特異性抗體(即,所有 21 200808345 HI效價<10)。 第14天,在通過鼻内途徑(i.n·)接種的小鼠中的大多數 中不能探測到HA特異性抗體。所有效價口10,除了組A中 , 的一隻小鼠(HI效價:80)、組C中的一隻小鼠(HI效價:35) * 5 和組D中的一隻小鼠(HI效價:160)之外。 第35天,觀察到了 HA特異性抗體産生中的劑量應答, 即,向疫苗中加入更多的LPP導致更高的抗體效價。 通過線性回歸在組間比較(經log轉換的)第35天的HI效 • 價。適合的回歸斜率高度顯著(P < 0.0001)。因此,觀察到 10的疫苗中的LPP含量與GMT之間的劑量應答關係在統計上 是顯著的。 結論: 用無佐劑的重構流感病毒顆粒對小鼠進行重複鼻内接 種不誘導可被測量到的全身性免疫應答。以同樣HA劑量水 15平(2//g HA/劑量),採用上升的lpp劑量,用佐以Lpp的重 構流感病毒顆粒進行的重複鼻内接種顯示出了 Lpp劑量依 ® 賴型免疫應答。與本發明完全相反(見下面的實施例2),這 些數據之前被認爲支持本領域的公認結論,即,使用免疫 刺激劑(在這種情況下LPP)對於用滅活流感疫苗進行鼻内 20接種是必要的,即使流感抗原(HA)存在於重構病毒顆粒中。 實施例2 雙盲、隨機、平行的組研究,以研究脂肽佐劑的安全性及 其對於病毒顆粒亞基流感疫苗療效的效果(在年齡-丨8和 Φ40的健康年輕成年人中鼻内運送之後) 22 200808345 用含有每毒株150 meg HA/mL和315 meg LPP/mL的、 佐有LPP(脂肽)的重構流感病毒顆粒以0.2 ml的劑量體積 (每個鼻孔〇·1 ml)對健康人類志願者進行鼻内接種。用含有 . 每毒株150 meg HA/mL的、沒有LPP的重構流感病毒顆粒以 5 0.2 ml的劑量體積(每個鼻孔〇·ι mi)對類似的組進行鼻内接 種。研究目的是在男人中驗證小鼠中展示的觀點,即,爲 在用滅活流感疫苗進行鼻内接種後獲得滿意的全身性免疫 應答,需要使用佐劑(例如LPP)。 # 研究設計: 10 這是在年齡>18和S40的健康年輕個體中進行的雙盲、 隨機平行組研究。該研究在一個研究中心進行:Swiss Phamia Contract Ltd”瑞士巴塞爾。原理的研究者是Μ· Seiberlmg博士。研究具有兩個部分。在部分〗中,在12個個 體中評定佐有LPP的病毒顆粒亞基流感疫苗的安全性。用 15 LPP_RVM(LPP重構的病毒膜;流感疫苗_表面抗原,滅活 的’病毒顆粒-佐有LPP)接種九個個體,用RVM(流感疫苗_ ® 表面抗原,滅活的,病毒顆粒·)來接種三個個體。在研究的 部分π中,在一百個個體中(每組5〇個)評定Lpp_RVM的療效 和安全性。 20 研究在健康個體中進行。此外,在研究開始前三年, 參與研究的部分Π的個體都沒有針對流感進行接種 。這通過 儘里減小具有預先存在的針對流感的抗體的個體的數目, 增加了部分II中研究人群的同質性。 部分I = 23 ,8〇8345 , 在接種前14天(第1次訪問),在個體已經給出贊成意見 針姆包括和排除標準對他或她加以篩選,並對他或她 進订身體檢查。在該次訪問中,採集鼻上皮細胞的樣品用 5於細胞學分析,用糖精試驗來測量基線纖毛(cilia)活性。 在第2次訪問(第1天),取4-6 mL血樣,用於標準血液學 刀析’取6-1〇 mL血樣用於標準生物化學分析,並評定生命 體征。經過隨機化後,用兩種疫苗配方製劑之一來接種個 體’在接種之後個體就地停留第一個24小時,以監測立即 産生的局部和全身性反應以及不利的事件。在接種後第四 1〇 和一十四小時評定生命體征。此外,24小時後,取兩份血 樣用於標準血液學(4-6 mL)和生物化學(6-10 mL)分析;接 種後,採集鼻上皮細胞的樣品用於細胞學分析,用糖精試 驗進行接種後纖毛活性分析。向個體發放調查問卷(調查問 卷I),讓他們帶回家,評定下一天(第3天)的局部和全身性 15反應。 個體必須在他們被釋放回家後兩周回到研究點:第3 次訪問(第4天)。在該次就診中,評定局部和全身性反應, 記錄前次和本次就診之間發生的任何自發不利事件。此外 取兩份血樣用於標準血液學(4-6 mL)和生物化學(6·ι〇 mL) 20 分析,並評定生命體征。 在第一次接種後兩周,在第15天,個體回到研究點(第 4次訪問)。在該次就診中,收集鼻上皮細胞的樣品用於細 胞學分析,用糖精試驗測量纖毛活性,記錄第3次訪問和第 4次訪問間發生的不利事件。 24 200808345 部分II : 在第一次采血和鼻洗出物(wash)採樣前^天丨第“欠訪 問)’在個體已經給出贊成意見後,針對包括和排除標準對 他或她加以篩選,通過身體檢查來檢測他或她的健康。 5 在第2次訪問(-1天;該就診可以與第1次就診合併進 仃)’取6_1〇眺血樣用於基線血細胞凝集抑制(m)效價測 疋並且取血樣進行標準血液學(4-6 mL)和標準生物化學 mL)刀析。收集鼻洗出物樣品用於測定基線鼻gA抗體 效價。 10 ίγ 天’在第3次訪問(第1天),在對生命體征的評定之 後,對個體進行隨機化,用鼻流感疫苗的兩種配方製劑之 一的單一劑量進行接種。在接種後的第一個小時中,就地 監測任何立即的局部反應、全身性反應和不利事件。之後, 重新評定生命體征,個體獲得調查問卷帶回家,在接種後 15的第一個七天,記錄每天的局部和全身性反應。 兩周後(第4次訪問;第15天),取6-10 mL血樣用於HI 效價測定,取兩份額外血樣用於標準血液學(4 _ 6 m L)和生物 化學(6_l〇mL)分析,取鼻洗出物樣品用於鼻IgA抗體效價分 析0 20 效果評定 爲坪定效果’在第1天(基線)和第15天收集血樣和鼻洗 出物樣品。 血樣 收集6-10 mL血,以測定血細胞凝集抑制(HI)抗體效 25 200808345 價。1血液收集和凝固之後(室溫下至少30分鐘),分離血清, 並保持冷凍(-20°C),直到進行效價分析。以雙份重複進行 抗體效價分析。樣品的效價是兩次測定的幾何平均值。接 種前和接種後的血清被同時進行效價分析。 5 鼻洗出物樣品Serum from all samples was collected, deep-cold, and placed in a poly-20 tube until it was processed. The K flu virus agglutinates red blood cells (10)Cs), which is prevented in the presence of sufficient disease 20 200808345 toxic specific antibodies. This phenomenon provides the basis for a hemagglutination inhibition (HI) assay that is used to detect and quantify specific antiviral antibodies in serum. Serum was added to influenza virus and turkey RBCs. Several dilutions were tested (potency analysis). Η丨 valence is defined as the reciprocal of the highest dilution that still inhibits 5 hemagglutination. Calculate the geometric mean titer (GMT) as described below: 1) Calculate each log (potency) to get the arithmetic mean of two replicates: [log (potency ο+log (potency 2)] /2 10 2) Calculate the arithmetic mean of each log (potency) 3) GMT (group) = 10 EXP (group mean l〇g (potency)) Statistical analysis by vaccination group and number of days, using geometric mean Potency to summarize the price of Hi sister. The HI titer of the log transformed day 35 group was analyzed by linear regression to study the dose response relationship between the amount of LPP in the vaccine and GMT. Results HI titer analysis GMTtf is shown in Table 5. Table 5 Geometric mean titer group Administration route HA/LPP ratio Day 0 Day 14 Day A Intranas 1:1.5 5 8 B Intranas 1:0.7 5 6 161^ C Intranas 1:0.4 5 7 D Nasal Within 1:0 5 7 E Intranasal 0:0 5 5 On day 0, HA-specific antibodies were not detected in mice (ie, all 21 200808345 HI titers < 10). On day 14, no HA-specific antibodies were detected in most of the mice vaccinated by the intranasal route (i.n.). The effective price of 10, except for one mouse in group A (HI titer: 80), one mouse in group C (HI titer: 35) * 5 and one mouse in group D (HI titer: 160). On day 35, a dose response in the production of HA-specific antibodies was observed, i.e., the addition of more LPP to the vaccine resulted in higher antibody titers. The HI effect price on day 35 of the log-transformed comparison between groups by linear regression. A suitable regression slope is highly significant (P < 0.0001). Therefore, the dose-response relationship between the LPP content and the GMT in the vaccine of 10 was observed to be statistically significant. Conclusion: Repeated intranasal inoculation of mice with unadjuvanted reconstituted influenza virus particles does not induce a systemic immune response that can be measured. Lpp dose-dependent immune response was demonstrated by repeated intranasal vaccination with Lpp-reconstituted influenza virus particles at the same HA dose of water 15 (2//g HA/dose) with increasing lpp dose . Contrary to the present invention (see Example 2 below), these data were previously considered to support the accepted conclusions in the art that the use of immunostimulants (in this case LPP) for intranasal inactivated influenza vaccines 20 vaccination is necessary even if the influenza antigen (HA) is present in the reconstituted virus particles. Example 2 A double-blind, randomized, parallel group study to study the safety of lipopeptide adjuvants and their efficacy against the efficacy of viral particle subunit influenza vaccines (intranasal in healthy young adults of age - 丨8 and Φ40) After shipment) 22 200808345 Reconstituted influenza virus particles containing LPP (lipopeptide) containing 150 meg HA/mL and 315 meg LPP/mL per strain in a dose volume of 0.2 ml (1 ml per nostril) Intranasal inoculation of healthy human volunteers. A similar group was intranasally inoculated with a reconstituted influenza virus particle containing 150 meg HA/mL per strain at a dose volume of 5 0.2 ml (each nostril ι·ι mi). The aim of the study was to validate the view expressed in mice in men that an adjuvant (e.g., LPP) is required to obtain a satisfactory systemic immune response after intranasal vaccination with an inactivated influenza vaccine. #研究设计: 10 This is a double-blind, randomized, parallel-group study of healthy young individuals of age >18 and S40. The study was conducted at a research center: Swiss Phamia Contract Ltd. Basel, Switzerland. The researcher of the principle is Dr. Seiberlmg. The study has two parts. In the section, the virus particles with LPP are evaluated in 12 individuals. Safety of subunit influenza vaccine. Inoculate nine individuals with 15 LPP_RVM (LPP-reconstituted viral membrane; influenza vaccine_surface antigen, inactivated 'viral particles-with LPP), using RVM (flu vaccine_ ® surface antigen Inactivated, viral particles·) to inoculate three individuals. In the part of π of the study, the efficacy and safety of Lpp_RVM was assessed in one hundred individuals (5 per group). 20 Study in healthy individuals In addition, in the three years prior to the start of the study, some of the individuals involved in the study did not vaccinate against the flu. This increased the number of individuals with pre-existing antibodies against influenza by increasing the number of individuals in the II study population. The homogeneity. Part I = 23, 8〇8345, 14 days before the vaccination (1st visit), in the individual has given the approval of the needle inclusion and exclusion criteria to screen him or her And he or she has a physical examination. In this interview, a sample of nasal epithelial cells was collected for 5 cytological analysis, and a saccharin test was used to measure baseline cilia activity. Days), taking 4-6 mL of blood samples for standard hematology analysis. Take 6-1〇mL blood samples for standard biochemical analysis and assess vital signs. After randomization, use one of the two vaccine formulations. To inoculate the individual's individual stay in place for the first 24 hours after vaccination to monitor immediate local and systemic reactions as well as adverse events. Vital signs were assessed at 4 and 14 hours after inoculation. After 24 hours, two blood samples were taken for standard hematology (4-6 mL) and biochemical (6-10 mL) analysis; after inoculation, samples of nasal epithelial cells were collected for cytological analysis and inoculated with saccharin test. Post-Ciliary Activity Analysis. Issue questionnaires (investigations I) to individuals and bring them home to assess local and systemic 15 responses on the next day (Day 3). Individuals must return two weeks after they are released home. Research point Visit 3 (Day 4). In this visit, assess local and systemic reactions, record any spontaneous adverse events that occurred between the previous and current visits. Also take two blood samples for standard hematology ( 4-6 mL) and biochemistry (6·ι〇mL) 20 analysis and assessment of vital signs. Two weeks after the first vaccination, on the 15th day, the individual returned to the study site (4th visit). In this visit, samples of nasal epithelial cells were collected for cytological analysis, ciliary activity was measured by saccharin test, and adverse events occurred between the 3rd visit and the 4th visit were recorded. 24 200808345 Part II: Blood collection in the first time And before the nasal wash (sampling) ^天丨 "under-visit" - after the individual has given a consensus, he or she is screened for inclusion and exclusion criteria, and his or her health is checked by physical examination. . 5 On the 2nd visit (-1 day; the visit can be combined with the first visit) 'take 6_1〇眺 blood sample for baseline hemagglutination inhibition (m) titer and take blood samples for standard hematology ( 4-6 mL) and standard biochemical mL) knife analysis. Nasal wash samples were collected for determination of baseline nasal gA antibody titers. 10 ίγ days On the third visit (Day 1), after the assessment of vital signs, the individuals were randomized and vaccinated with a single dose of one of the two formulations of the nasal flu vaccine. Any immediate local reactions, systemic reactions, and adverse events were monitored in situ during the first hour after inoculation. Afterwards, the vital signs were reassessed and the individual was taken home with the questionnaire and local and systemic responses were recorded daily for the first seven days after vaccination. Two weeks later (4th visit; day 15), 6-10 mL of blood samples were taken for HI titer determination, and two additional blood samples were taken for standard hematology (4 _ 6 m L) and biochemistry (6 _ 〇 mL) analysis, nasal wash samples were taken for nasal IgA antibody titer analysis. 0 20 Effect evaluation for pingding effect ' Blood samples and nasal wash samples were collected on day 1 (baseline) and day 15. Blood samples 6-10 mL of blood were collected to determine the hemagglutination inhibition (HI) antibody effect 25 200808345 price. 1 After blood collection and coagulation (at least 30 minutes at room temperature), serum was separated and kept frozen (-20 ° C) until titer analysis. Antibody titer analysis was performed in duplicate. The titer of the sample is the geometric mean of the two measurements. Pre- and post-inoculation sera were simultaneously analyzed for potency. 5 nasal wash samples
爲收集鼻洗出物樣品,於一個鼻孔,在鼻鏡檢查控制 下’應用6 mL預熱的鹽水(37。〇)。個體被要求將頭傾6〇。角, 使得洗液可以流動。收集的洗液應用於第二個鼻孔,其在 相同的條件下被洗滌。向樣品中加入防腐溶液(樣品體積的 10 1/100)。防腐溶液含有10 mg/ml溶解於1〇〇 mM Tris HC1緩衝 液中的牛血清白蛋白,PH8。通過低速離心(800 xg,1〇分 鐘)來直接澄清樣品,將其分爲小份(以避免今後對樣品的重 複解凍)’將其放置在乾冰上,直到轉移進。 15 20 通過ELISA來測定鼻洗滌樣品中的私水平,用 Wilc_試驗來進行統計分析。流感疫苗在%孔板中被用 作塗敷抗原。通過與封閉緩衝液—起溫育來封閉非特異性 、、”位點料洗丨物以㈣緩驗兩倍轉(每份樣品工2 份稀釋幻,用於將流感特異性抗體吸_%孔板的抗原 在”酶、。《的抗人抗體(結合有馬辣根過氧化物酶或驗 性碟酸酶卜起溫育之前對96孔板加以洗務。通過絲除去 ί結ί的以減1料力认胁岐觸底物之後測 里光搶度來測定減毒株特異性抗體的量。 疫苗配方製劑 用於本項研究。兩種配 兩種不同的流感疫苗配方製劑 26 200808345 方製劑都含有WHO爲2005年南半球推薦的病毒抗原2,其劑 ΐ水平爲每0.2 ml的劑量每毒株30 meg。 -A/New Caledonia/20/99/(HlNl)樣毒株 -A/Wellington/1/2004(H3N2)樣毒株 5 - B/Shanghai/361/2002樣毒株 簡言之,通過離心對30-40%蔗糠溶液中的滅活流感病 毒進行沈澱。重新懸浮病毒,溶解於含有去垢劑,八聚乙 二醇單十二烷基醚(OEG)的緩衝液中。隨後,通過超離心除 去病毒核殼體。用含OEG緩衝液中的脂肽P3CSK4來調節含 10 〇EG的上清液,或者在不含LPP的重構病毒膜的情況下,僅 用含OEG的緩衝液來調節(P3CSK4 : N-棕櫚醯-S-[2,3-雙(棕 櫊醯氧H2RS)·丙基HR]-半胱氨醯-[S]-絲氨醯-[S]-賴氨醯 -[S]·賴氨醯-[S]-賴氨醯-[S]-賴氨酸)。通過吸附到疏水樹脂 上除去OEG。這導致了含LPP或不含LPP的病毒膜(在膜中含 15 有HA和NA以及可選地在膜中含有LPP的重構病毒泡囊)的 形成。OEG去除之後,將病毒顆粒濾、經孔徑爲0.22//m的 PVDF 膜。 對於病毒的每種毒株而言,製備具有或不具有LPP的單 獨的製備物(表6)。加入的LPP的量相應於l:0.7(w/w)的 20 HA/LPP比例。 27 200808345 表6病毒顆粒的製備 批次 LPP 病毒毒株 VIR-2005-09 存在 乙型流感 /Jiangsu/10/2003 VIR-2005-11 存在 甲型流感/New Caledonia/20/1999 IVR-116 reassortant VIR-2005-13 存在 曱型流感/Wellington/1/2004 IVR-139 reassortant VIR-2005-10 不存在 乙型流感 /Jiangsu/10/2003 VIR-2005-12 不存在 甲型流感/New Caledonia/20/1999 IVR-116 reassortant VIR-2005-14 不存在 甲型流感/Wellington/1/2004 IVR-139 reassortant 表7對配方製劑的分析To collect nasal wash samples, apply 6 mL of pre-warmed saline (37 〇) in one nostril under nose control. Individuals are required to tilt their heads 6 times. The angle allows the lotion to flow. The collected lotion was applied to the second nostril, which was washed under the same conditions. A preservative solution (10 1/100 of the sample volume) was added to the sample. The preservative solution contained 10 mg/ml bovine serum albumin, pH 8 dissolved in 1 mM Tris HC1 buffer. The sample was directly clarified by low speed centrifugation (800 xg, 1 〇 minutes) and divided into small portions (to avoid repeated thawing of the sample in the future). Place it on dry ice until it is transferred. 15 20 The private level in the nasal wash samples was determined by ELISA and statistical analysis was performed using the Wilc_ test. The influenza vaccine was used as a coating antigen in a % well plate. By blocking the non-specific, "site wash" with the blocking buffer to (4) double-test (two copies per sample), used to absorb influenza-specific antibodies _% plate The antigen is washed in a 96-well plate before the "antigen," anti-human antibody (in combination with horseradish peroxidase or an assay phytase). The amount of antibodies specific for attenuated strains was determined by measuring the sensation of the substrate after the substrate was touched. The vaccine formulation was used in this study. Two formulations with two different influenza vaccine formulations 26 200808345 Contains WHO's recommended viral antigen 2 for the southern hemisphere in 2005, with a dose level of 30 meg per strain of 0.2 ml per dose. -A/New Caledonia/20/99/(HlNl)-like strain-A/Wellington/1 /2004(H3N2)-like strain 5 - B/Shanghai/361/2002-like strain Briefly, the inactivated influenza virus in 30-40% of the cane toxin solution was precipitated by centrifugation. The virus was resuspended and dissolved in the containing Detergent, in octaethylene glycol monododecyl ether (OEG) buffer. Subsequently, the virus is removed by ultracentrifugation. Nuclear capsid. The supernatant containing 10 〇 EG was adjusted with the lipopeptide P3CSK4 in OEG buffer or in the case of a reconstituted viral membrane without LPP, only with OEG-containing buffer (P3CSK4) : N-palm 醯-S-[2,3-double (brown oxime H2RS)·propyl HR]-cysteine-[S]-serine-[S]-lysine-[S ] lysine-[S]-lysine-[S]-lysine). OEG is removed by adsorption onto a hydrophobic resin. This results in a viral membrane containing LPP or no LPP (15 in the membrane) Formation of HA and NA and optionally reconstituted viral vesicles containing LPP in the membrane. After OEG removal, the virions were filtered through a PVDF membrane with a pore size of 0.22/m. For the time, a separate preparation with or without LPP was prepared (Table 6). The amount of LPP added corresponds to a ratio of 20 HA/LPP of 1:0.7 (w/w). 27 200808345 Table 6 Batch of preparation of virus particles Sub-LPP virus strain VIR-2005-09 Influenza B/Jiangsu/10/2003 VIR-2005-11 Influenza A/New Caledonia/20/1999 IVR-116 reassortant VIR-2005-13 Influenza type flu/ Wellington/1/2004 IVR-139 reassortant VIR- 2005-10 No influenza B/Jiangsu/10/2003 VIR-2005-12 No influenza A/New Caledonia/20/1999 IVR-116 reassortant VIR-2005-14 No influenza A/Wellington/1/ 2004 IVR-139 reassortant Table 7 Analysis of Formulations
待分析物 VIR- 2005-09 VIR- 2005-10 VIR- 2005-11 VIR- 2005-12 VIR- 2005-13 VIR- 2005-14 蛋白質 (mg/ml)a 1.51 1.54 1.86 1.83 1.37 1.18 HA( β g/ml)b 805 854 711 784 704 644 磷脂 (mmol/l)c 0.494 0.563 0.820 1.03 0.717 0.695 内毒素(每 100 //g HA 的 I.U.)d <0.4 <0.4 <0.4 <0.4 <0.4 <0.5 卵清蛋白(每 100 β g HA 的W)e 0.068 0.088 0.037 0.036 0.132 0.126 純度f 主要是 HA 主要是 HA 主要是 HA 主要是 HA 主要是 HA 主要是 HA aLowry試驗,原理:用域式硫酸銅和Folin-ciocalteu紛 試劑處理之後,蛋白質形成藍色。使用白蛋白BSA標準作 爲參考,從750 nm處的吸光度來測定蛋白質含量。Analyte VIR- 2005-09 VIR- 2005-10 VIR- 2005-11 VIR- 2005-12 VIR- 2005-13 VIR- 2005-14 Protein (mg/ml) a 1.51 1.54 1.86 1.83 1.37 1.18 HA( β g /ml)b 805 854 711 784 704 644 phospholipid (mmol/l)c 0.494 0.563 0.820 1.03 0.717 0.695 endotoxin (IU per 100 //g HA) d <0.4 <0.4 <0.4 <0.4 <0.4 0.4 <0.5 Ovalbumin (W per 100 β g HA) e 0.068 0.088 0.037 0.036 0.132 0.126 Purity f Mainly HA Mainly HA Mainly HA Mainly HA Mainly HA Mainly HA aLowry test, principle: use domain After treatment with copper sulphate and Folin-ciocalteu reagent, the protein forms a blue color. The protein content was determined from the absorbance at 750 nm using the albumin BSA standard as a reference.
Lowry, OH? NJ Rosebrough, AL Farr, and RJ Randall. J. Biol. Chem. 193:265. 1951. 10 Oostra,GM,NS Mathewson,and GN Catravas. Anal.Lowry, OH? NJ Rosebrough, AL Farr, and RJ Randall. J. Biol. Chem. 193:265. 1951. 10 Oostra, GM, NS Mathewson, and GN Catravas. Anal.
Biochem. 89: 31. 1978.Biochem. 89: 31. 1978.
Stoscheck, CM. Quantitation of Protein. Methods in Enzymology 182: 50-69 (1990).Stoscheck, CM. Quantitation of Protein. Methods in Enzymology 182: 50-69 (1990).
Hartree, EF. Anal Biochem 48: 422-427 (1972). 28 200808345 bPhEur :專題文章2053和2·7·1節 °原理:每個磷脂含有單個構原子’其可用於對構脂進 行定量。通過高氯酸來破壞磷脂’通過翻酸鹽配合産生的填酸 " 鹽/酯,鉬酸鹽被抗壞血酸還原産生藍色的産物。用分光光度計 -5 在812 nm處測定顏色。通過包括磷酸校準物來對樣品中磷脂的 量加以定量。Hartree, EF. Anal Biochem 48: 422-427 (1972). 28 200808345 bPhEur: Feature Article 2053 and Section 2.7.1 ° Principle: Each phospholipid contains a single constitutive atom' which can be used to quantify the lipid. The phospholipids are destroyed by perchloric acid. The acid salt produced by the combination of the acid salt and the molybdate is reduced by ascorbic acid to produce a blue product. The color was measured at 812 nm using a spectrophotometer -5. The amount of phospholipid in the sample is quantified by including a phosphate calibrator.
Ames BN. Assay of inorganic phosphate, total phosphate and phosphatases. Meth. Enzymol. 1966; 8:115-118 • Bottcher CJF, van Gent CM & Pries C. A rapid and 10 sensitive sub-micro phosphorus determination. Anal. Chim. Acta 1961; 24:203-204 dPh· Eur· 2.6.14, e卵清蛋白ELISA是直接的三明治式酶免疫方法,其中 使用用於捕捉的被固定的多克隆抗卵清蛋白抗體以及抗卵 15 清蛋白-HRP結合物作爲檢測系統。對結合物和樣品進行同 時培養。通過洗滌步驟去除未結合的組分。將底物(TMB和 馨 H202)加入到孔中。通過藍色的顯色來指示孔中特異性結合 的結合物的存在。向底物中加入硫酸來終止反應,其導致 産物中顏色變化爲黃色。在450 rnn讀取吸光度(OD)。爲獲 20 得最優結果,使用620 nm處的參照濾光器。從試驗中包括 的卵清蛋白標準(〇·3-20.0 ng/ml)的應答來製造標準曲線。未 知樣品的濃度從標準曲線内插來讀取。 f根據專題文章0869和2053 :通過聚丙烯醯胺凝膠電泳 來檢查單價合併的收集物的純度。電泳:按照Ph.Eur 2.2.31 29 200808345 來進行。 效果 通過Wilcoxon’s排名總和試驗以0.05的兩側顯著水 平’在兩個接種組之間對第15天每種病毒毒株的經i〇g轉化 5 的HI抗體效價與第15天的鼻IgA抗體效價加以比較。 還通過對每種病毒毒株和每個接種組計算下述三個參 數來分析第15天的HI抗體效價。 -血清保護率,其中血清保護被定義爲紅血球凝聚抑 制(HI)效價^40, 10 -血清轉化率,其中血清轉化被定義爲接種前hi效價 <10 ’接種後HI效價>40,或者,接種前HI效價210以及HI 效價至少4倍的增加, -平均倍數增加值,即,HI效價倍數增加的幾何平均 值。 15 根據預方案(Pre-protocol)和治療意向(intem-t0_treat)的 原理對效果數據加以分析。但是,鑒於這是所謂的原理驗 證型研究,預方案分析被認爲是基本的一種。治療意向的 樣品由被接種個體的一些接種後效果數據組成。預方案樣 品由完成了方案並且沒有發生主要的方案偏差的被接種個 20體組成。主要的偏差包括(不限於):包含或排除標準的偏 差’禁藥使用等。此外,實驗室驗證的並發流感感染的個 體以及失去了基本效果數據的個體也被從預方案樣品中排 除。無論從方案樣品中排除的個體是否是之前決定的,研 究數據庫都不是盲的。 30 200808345 結果 表8用病毒顆粒流感疫苗(RVM)進行鼻内接種後對體 液免疫應答的CHMP評估 ____ 血清保護率 / 統計學 Α(Η3Ν2)樣 A(H1N1)樣 B樣 〆 LPP-RVM (N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43)〆 接種後(第15天) 血清保護 > 是 η(%) 48(100%) 42(97.7%) 41(85.4%) 38(88.4%) 35(72.9%) 35(81.4%)_ 否 η(%) 0 1(2.3%) 7(14.6%) 5(11.6%) 13(27.1%) 8(18.6%)_ 總 數 Ν 48 43 48 43 48 43 RVM :病毒顆粒流感疫苗 5 LPP-RVM :佐有脂肽的病毒顆粒流感疫苗Ames BN. Assay of inorganic phosphate, total phosphate and phosphatases. Meth. Enzymol. 1966; 8:115-118 • Bottcher CJF, van Gent CM & Pries C. A rapid and 10 sensitive sub-micro phosphorus determination. Anal. Chim Acta 1961; 24:203-204 dPh· Eur· 2.6.14, e ovalbumin ELISA is a direct sandwich enzyme immunoassay in which immobilized polyclonal anti-ovalbumin antibodies and anti-antigens are used for capture. 15 Albumin-HRP conjugate as a detection system. Simultaneous culture of the conjugate and sample. Unbound components are removed by a washing step. The substrate (TMB and fragrant H202) was added to the wells. The presence of a conjugate that specifically binds in the well is indicated by the color development of the blue. Sulfuric acid was added to the substrate to terminate the reaction, which resulted in a yellow color change in the product. The absorbance (OD) was read at 450 rnn. To get the best results for 20, use a reference filter at 620 nm. A standard curve was prepared from the response of the ovalbumin standard (〇·3-20.0 ng/ml) included in the test. The concentration of the unknown sample was interpolated from the standard curve to read. f According to feature articles 0869 and 2053: the purity of the monovalent pooled collection was examined by polypropylene gel electrophoresis. Electrophoresis: Follow Ph. Eur 2.2.31 29 200808345. The effect was determined by the Wilcoxon's ranking sum test with a significant level of 0.05 on both sides' between the two vaccinated groups on day 15 for the HI antibody titer of each of the viral strains on day 15 and the nasal IgA antibody on day 15 The titer is compared. The HI antibody titer at day 15 was also analyzed by calculating the following three parameters for each virus strain and each vaccination group. - seroprotection rate, wherein seroprotection is defined as erythrocyte aggregation inhibition (HI) titer ^40, 10 - seroconversion, wherein seroconversion is defined as pre-vaccination hi titer <10 'inoculation HI titer> 40, or, before the inoculation, the HI titer 210 and the HI titer increase by at least 4 times, the average fold increase value, that is, the geometric mean of the increase in the HI titer multiple. 15 The effect data was analyzed according to the principles of Pre-protocol and intem-t0_treat. However, since this is a so-called principle verification study, pre-plan analysis is considered to be a basic one. The treatment-intended sample consisted of some post-inoculation effect data from the inoculated individual. The pre-planned sample consisted of 20 inoculated bodies that had completed the protocol and did not have major program bias. The main deviations include (not limited to): inclusion or exclusion of standard deviations, banned drug use, etc. In addition, laboratory-confirmed individuals with concurrent influenza infections and individuals who lost data on basic effects were also excluded from the pre-program samples. The study database is not blind, regardless of whether the individuals excluded from the protocol sample were previously determined. 30 200808345 Results Table 8 CHMP assessment of humoral immune response after intranasal vaccination with viral particle flu vaccine (RVM) seroprotection rate / statistical Α (Η3Ν2) sample A (H1N1)-like B-like 〆 LPP-RVM ( N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43)〆 After inoculation (Day 15) Serum protection> Yes η(%) 48(100%) 42(97.7%) 41(85.4%) 38(88.4%) 35(72.9%) 35(81.4%)_ No η(%) 0 1(2.3%) 7(14.6 %) 5(11.6%) 13(27.1%) 8(18.6%)_ Total Ν 48 43 48 43 48 43 RVM: Viral flu vaccine 5 LPP-RVM: Viral flu vaccine with lipopeptide
表8用病毒顆粒流感疫苗(RV Μ)進行鼻内接種後對體 液免疫應答的C Η Μ Ρ評估(續) 血清轉化J ψ 統計學 Α(Η3Ν2)樣 Α(Η1Ν1)樣 B樣 LPP-RVM (Ν=48) RVM (Ν=43) LPP-RVM (N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43) 接種後(第15天) 血异 =轉化 是 η(%) 37(77.1%) 25(58.1%) 25(52.1%) 33(76.7%) 24(50.0%) 22(51.2%) 否 η(%) 11(22.9%) 18(41.9%) 23(47.9%) 10(23.3%) 24(50.0%) 21(48.8%) "Ιέ 數 Ν 48 43 48 43 48 43 RVM :病毒顆粒流感疫苗 10 LPP-RVM ·佐有脂狀的病毒顆粒流感疫苗 31 200808345 表8用病毒顆粒流感疫苗(RVM)進行鼻内接種後對體 5 液免疫應答的CHMP評估(續) HI抗體效價的平均倍數增加值 " : -- 統計學 A(H3N2)樣 A(H1N1)樣 B樣 LPP-RVM RVM LPP-RVM RVM LPP-RVM RVM (N=48) (N=43) (N=48) (N=43) (N=48) (N=43) 接種後(第15天) 平均值增加倍數 N 48 43 48 43 48 43 平均值* 12.14 8.52 4.78 10.07 3,64 4.51 注:*幾何平均值 RVM :病毒顆粒流感疫苗 LPP-RVM .佐有脂肤的病毒顆粒流感疫苗 表9鼻洗出物IgA效價(GMT) H3N2 H1N1 B LPP-RVM N=48 RVM N=43 LPP-RVM N=48 RVM N=43 LPP-RVM N-48 RVM N=43 第1天 93.88 96.45 80.93 85.97 65.84 55.21 第15天 104.51 126.96 89.16 96.94 87.93 102.10Table 8 C Η Ρ Ρ evaluation of humoral immune response after intranasal vaccination with viral particle influenza vaccine (RV Μ) (continued) Seroconversion J ψ Statistical Α (Η3Ν2) Α (Ν1Ν1) Sample B-like LPP-RVM (Ν=48) RVM (Ν=43) LPP-RVM (N=48) RVM (N=43) LPP-RVM (N=48) RVM (N=43) After inoculation (Day 15) Blood = Conversion Yes η(%) 37(77.1%) 25(58.1%) 25(52.1%) 33(76.7%) 24(50.0%) 22(51.2%) No η(%) 11(22.9%) 18(41.9%) 23 (47.9%) 10 (23.3%) 24 (50.0%) 21 (48.8%) "Ιέ Number Ν 48 43 48 43 48 43 RVM: Viral flu vaccine 10 LPP-RVM · Contains fatty virus flu Vaccine 31 200808345 Table 8 CHMP assessment of body 5 immune response after intranasal vaccination with viral particle flu vaccine (RVM) (continued) Average fold increase in HI antibody titer " : -- Statistics A (H3N2) Sample A (H1N1)-like B-like LPP-RVM RVM LPP-RVM RVM LPP-RVM RVM (N=48) (N=43) (N=48) (N=43) (N=48) (N=43) After inoculation (Day 15) Average increase multiples N 48 43 48 43 48 43 Average * 12.14 8.52 4.78 10.07 3,64 4.51 Note: * Geometric mean RVM: Viral particles Sense vaccine LPP-RVM. Virus-borne influenza vaccine with lipoproteins Table 9 Nasal wash-off IgA titer (GMT) H3N2 H1N1 B LPP-RVM N=48 RVM N=43 LPP-RVM N=48 RVM N=43 LPP-RVM N-48 RVM N=43 Day 1 93.88 96.45 80.93 85.97 65.84 55.21 Day 15 104.51 126.96 89.16 96.94 87.93 102.10
結言叙 出人意料地,以及與用同樣的疫苗批次獲得的臨床前 10 數據(實施例1)和WO 04/110486以及臨床數據(Gluck U, Gebbers JO, Gluck R, Phase 1 evaluation of intranasalThe conclusions are unexpected, as well as preclinical data obtained with the same vaccine batch (Example 1) and WO 04/110486 and clinical data (Gluck U, Gebbers JO, Gluck R, Phase 1 evaluation of intranasal
virosomal influenza vaccine with and without Escherichia coli heat-labile toxin in adult volunteers. J Virol. 1999 Sep; 73(9):7780-6)相反地,在用無佐劑的重構病毒顆粒流感疫苗 15 僅進行一次接種的人類群體中,觀察到了令人滿意的、達 到針對流感疫苗的CHMP標準的全身性免疫應答。Virosomal influenza vaccine with and without Escherichia coli heat-labile toxin in adult volunteers. J Virol. 1999 Sep; 73(9): 7780-6) Conversely, the reconstituted viral particle influenza vaccine 15 with no adjuvant is only performed once In the vaccinated human population, a satisfactory systemic immune response to meet the CHMP criteria for influenza vaccines was observed.
【圖式簡單說明;J (無) 【主要元件符號說明】 (無) 32[Simple description of the figure; J (none) [Description of main component symbols] (none) 32
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HK (1) | HK1128077A1 (en) |
MX (1) | MX2008012046A (en) |
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MX2008012046A (en) | 2009-01-22 |
HK1128077A1 (en) | 2009-10-16 |
CN101405027A (en) | 2009-04-08 |
UA93236C2 (en) | 2011-01-25 |
ZA200807880B (en) | 2009-09-30 |
TWI397419B (en) | 2013-06-01 |
CN101405027B (en) | 2013-01-02 |
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