US20020041884A1 - Adenovirus formulations - Google Patents
Adenovirus formulations Download PDFInfo
- Publication number
- US20020041884A1 US20020041884A1 US09/799,937 US79993701A US2002041884A1 US 20020041884 A1 US20020041884 A1 US 20020041884A1 US 79993701 A US79993701 A US 79993701A US 2002041884 A1 US2002041884 A1 US 2002041884A1
- Authority
- US
- United States
- Prior art keywords
- formulation
- virus
- concentration
- range
- sucrose
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
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Definitions
- the present invention relates to viral formulations and related pharmaceutical products for use in gene therapy and/or vaccine applications.
- Especially preferred viral formulations disclosed herein are liquid adenovirus formulations, which show improved stability when stored in about the 2-8° C. range while also being compatible with parenteral administration.
- These formulations may comprise a buffer, a sugar, a salt, a divalent cation, a non-ionic detergent, as well as a free radical scavenger and/or chelating agent to inhibit free radical oxidation.
- An especially preferred stabilized virus formulation disclosed herein is a formulation based on inclusion of one or a combination of excipients that inhibit free radical oxidation, which are shown herein to increase stability of adenovirus formulations over commercially acceptable periods of time in about the 2-8° C. range.
- Adenovirus vectors are currently considered one of the leading approaches for gene delivery/therapy. Because of the great potential for adenoviruses in the field of gene therapy, there remains a need for virus formulations that are suitable for human parenteral use, and have a 1-2 year shelf-life at 2-8° C. Although the U.S. military has developed live adenovirus vaccines for human use, they were lyophilized formulations delivered as oral dosage forms in enteric coated capsules (Chanock, et al., 1966, J. Am. Med. Assoc.
- WO99/41416 discloses virus formulations which contain glycerol, sodium phosphate, Tris, sucrose, MgCl 2 , and polysorbate 80. The most stable formulation reported lost 0.52 logs of infectivity in one year at 4C.
- WO98/02522 discloses virus formulations with concentrations of sucrose from about 0.75M to 1.5M sucrose. Such a formulation would not be acceptable for human parenteral use.
- the present invention relates to stabilized virus formulations and related pharmaceutical products for use in gene therapy and/or vaccine applications.
- a preferred viral formulation may related to liquid formulations which comprise a recombinant adenovirus, formulations which show improved viral stability when stored in about the 2-8° C. range and higher while also being compatible with parenteral administration. These formulations may comprise a buffer, a sugar, a salt, a divalent cation, a non-ionic detergent, as well as additional components which enhance stability of the included virus, including but not limited to a free radical scavenger and/or a chelating agent.
- the adenoviral-based formulations of the present invention are amenable to prolonged storage at 2° C. to 8° C.
- the recombinant viruses of the present invention which show enhanced storage stability include but are not limited to adenovirus, adeno-associated virus, retroviruses, herpes virus, vaccinia virus, rotovirus, pox viruses.
- the preferred virus is an adenovirus, including but not limited to human Ad5, Ad2, Ad6, Ad24 serotypes, and especially recombinant adenoviral virus for use in human gene therapy or human gene-based vaccination technology, including a prophylactic or therapeutic application utilizing such a gene-based vaccination technology.
- the formulations of the present invention are (i) optimally a buffered solution and further comprise (ii) a minimal amount of at least one non-ionic surfactant; (iii) a divalent cation; (iv) a cryoprotectant; (v) a salt, and (vi), preferably inclusion of one or more additional excipients that act as inhibitors of free radical oxidation.
- the formulations of the present invention rely on a useful range of total osmolarity which promotes long term stability at temperatures of 2-8° C., or higher, while also making the formulation useful for parenteral, and especially intramuscular, injection.
- a first embodiment of the present invention relates to a series of adenovirus formulations (including but not limited to a recombinant adenovirus) which comprise Tris as the buffer, sucrose as the cryoprotectant, NaCl as the salt, MgCl 2 as the divalent cation and either Polysorbate-80 or Polysorbate-40 as the surfactant.
- adenovirus formulations including but not limited to a recombinant adenovirus
- a second embodiment of the present invention relates to inclusion of one or more inhibitors of free radical oxidation, including both metal ion chelators and hydroxyl radical scavengers, which are shown herein to enhance short and long term stability of the virus formulations described herein (again, including but not limited to an adenovirus, including a recombinant adenovirus containing a transgene, or portion thereof, which is useful in gene therapy and/or gene vaccination technology). Therefore, a preferred embodiment of the present invention is a viral formulation which contains one or more components which act as an inhibitor of free radical oxidation. It is shown herein that addition of these components enhance long term stability at temperatures up through the 2-8° C.
- the present invention relates to a virus formulation which contains at least one inhibitor of free radical oxidation which effectively enhances stability of the virus-containing formulation. While the exemplified adenovirus-based formulations such as A113 represent a preferred formulation, these formulations in no way suggest a limitation to additional formulations and methods of use based on alternative formulations components.
- a third core embodiment of the present invention comprises inclusion, alone or in combination with free radical oxidation inhibitors, an effective amount of plasmid DNA, which is shown to effectively increase the long term stability of a virus formulation and conditions as described throughout this specification. Therefore, the present invention also relates to a virus formulation which contains an amount of a nucleic acid such that addition of the nucleic acid effectively enhances stability of the virus-containing formulation.
- FIG. 1 shows the effects of one freeze/thaw cycle (from ⁇ 70° C. to 5° C.) on the recovery/stability of Ad5gag in formulations A101 through A107.
- FIG. 2 shows the effect of 1 to 3 freeze/thaw cycles on the recovery/stability of Ad5gag in formulations A101 through A107.
- FIG. 3 shows the loss of infectivity of Ad5gag in formulations A101 through A107.
- FIG. 4 shows the effect of 12 freeze/thaw cycles on the stability of Ad5gag in A105 at 10 8 , 10 10 and 10 11 vp/mL.
- FIG. 5 shows the effect that freezing, thawing and a 15° C. incubation have on the infectivity of Ad5gag in A105.
- FIG. 6 shows short-term stability (72 hours) of Ad5gag in formulations A102, A105, A106 and A107 at 1 ⁇ 10 7 vp/nL and 1 ⁇ 10 9 vp/nL.
- FIG. 7 shows short-term stability (up to 28 days) of Ad5gag in formulations A105, A106 and A107 at 2-8° C.
- FIG. 8 shows short-term stability (up to 28 days) of Ad5gag in formulations A105, A106 and A107 at 15° C.
- FIG. 9 shows short-term stability (up to 28 days) of Ad5gag in formulations A105, A106 and A107 at 25° C.
- FIG. 10 shows short-term stability (up to 28 days) of Ad5gag in formulations A105, A106 and A107 at 37° C.
- FIG. 11 shows an Arrhenius plot of Ad5gag inactivation at pH 7.4 and pH 8.6.
- FIG. 12 shows the effect of pH on Ad5gag infectivity at 2-8° C., 15° C. and 25° C.
- FIG. 13 shows the effect of pH on the long-term stability (up to 12 months) of Ad5gag at 15° C. and 25° C.
- FIG. 14 shows the effect of pH on the long-term stability (12 months) of Ad5gag at 2-8° C.
- FIG. 15 shows the effect of MgCl 2 on Ad5gag stability at 2-8° C., 15° C. and 30° C.
- FIG. 16 shows the effect of MgCl 2 concentration on Ad5gag stability at 30° C.
- FIG. 17 shows the effect of polysorbate-80 (PS-80) on the stability of Ad5gag at 2-8° C., 15° C. and 30° C.
- FIG. 18 shows the effect of polysorbate-80 (PS-80) concentration on the stability of Ad5gag at 2-8° C., 15° C. and 30° C.
- FIG. 19 shows the effect of polysorbate-80 (PS-80) concentration on the stability of Ad5gag at 25° C. and 30° C. for one month.
- FIG. 20 shows the effect of polysorbate type (PS-80 and PS-40) on the stability of Ad5gag at 25° C. and 30° C.
- FIG. 21 shows the effect of virus concentration on stability at 37° C.
- FIG. 22 shows the effect of ascorbic acid and iron on Ad5gag stability.
- FIG. 23 shows the effect of oxidation inhibitors on Ad5gag stability at 2-8° C., 15° C. and 30° C.
- FIG. 24 shows the stability of Ad5gag at ⁇ 70° C. and ⁇ 15° C., between 10 7 and 10 9 vp/mL.
- FIG. 25 shows the stability of Ad5gag in A105 at ⁇ 70° C. at 10 9 vp/mL and 10 11 vp/mL.
- FIG. 26 shows the stability of Ad5gag in A105 at ⁇ 15° C. at 10 9 vp/mL and 10 11 vp/mL.
- FIG. 27 shows the effect of combining PS-80 and EDTA/Ethanol on Ad5gag stability at 25° C. and 30° C. for 1 month.
- FIG. 28 shows the effect of various oxidations inhibitors on Ad5gag stability at 1 and 2 months at 30° C. as shown with formulations A113, A132, A133, A134, A135, A136 and A137.
- FIG. 29 shows the long-term stability of Ad5gag in selected formulations after 18 months of storage at 2-8° C.
- FIG. 30 shows the long-term stability of Ad5gag in additional selected formulations after one year of storage at 2-8° C.
- FIG. 31 shows the stability of Ad5gag in selected formulations after 9 months of storage at 2-8° C. and 15° C.
- FIG. 32 shows the stability of Ad5gag in selected formulations of the present invention compared to Ad5gag stability in formulations disclosed by Transgene and Schering-Plough, after 9 months of storage at 2-8° C. and 15° C.
- the present invention relates to formulations which stabilize a respective virus component and to related pharmaceutical products, preferably for use in gene therapy and/or vaccine applications.
- a preferred stabilized virus containing formulation disclosed herein is liquid adenovirus formulation, which shows improved stability when stored in about the 2-8° C. range and higher while also being compatible with parenteral administration.
- a respective virus such as a recombinant adenovirus
- a respective virus may comprise a buffer, a sugar, a salt, a divalent cation, a non-ionic detergent, as well as additional components which enhance stability to the added virus, including but not limited to a free radical scavenger and/or a chelating agent (i.e., an inhibitor of free radical oxidation).
- a free radical scavenger i.e., an inhibitor of free radical oxidation
- a chelating agent i.e., an inhibitor of free radical oxidation
- the formulations which comprise various concetrations of adenovirus are amenable to prolonged storage at 2° C. to 8° C. and higher for periods up to at least one to two years.
- the virus formulations which may show enhanced long term storage stability include but are not necessarily limited to adenovirus, adeno-associated virus, retroviruses, herpes virus, vaccinia virus, rotovirus, pox viruses.
- the preferred virus is a human adenovirus, especially a serotype from a subgroup which shows negligible or no tumor growth in animals, such as subgroup C (Ad1, Ad2, Ad5 and Ad6), subgroup D (Ad8, Ad9, Ad10, Ad13, Ad15, Ad17, Ad19, Ad20, Ad22, Ad23, Ad24, Ad25, Ad26, Ad27, Ad28, Ad29, Ad30, Ad32, Ad33, Ad36, Ad37, Ad38, Ad39, Ad42, Ad43, Ad44, Ad45, Ad46, and Ad4) and subgroup E (Ad4).
- subgroup C Ad1, Ad2, Ad5 and Ad6
- subgroup D Ad8, Ad9, Ad10, Ad13, Ad15, Ad17, Ad19, Ad20
- adenovirus classification scheme see Fundamental Virology, 3 rd Edition, Ch. 30 @ page 980, Ed. Fields, et al. 1996, Lippincott-Raven.
- serotypes are selected C serotypes Ad5, Ad2, and Ad6 and subgroup D serotype Ad24.
- the skilled artisan may adapt the formulations dislcosed herein to non-exemplified adenovirus serotyoes as well as other viruses.
- the present invention relates to the use of these formulations to stabilize alternative purified virus, and to the compositions thereof.
- the formulations of the present invention provide stability to adenovirus at varying degrees of virus concentration and may be administered to a variety of vertebrate organisms, preferably mammals and especially humans.
- the stabilized viral formulations of the present invention are preferably recombinant adenovirus-based compositions, wherein administed as a vaccine, for example, may offer a prophylactic advantage to previously uninfected individuals and/or provide a therapeutic effect by reducing viral load levels within an infected individual, thus prolonging the asymptomatic phase of a particular microbial infection, such as an HIV infection.
- a preferred aspect of the invention is a recombinant adenovirus formulation (i.e., an adenovirus containing a whole or a portion of a transgene which is expressed within the target host subsequent to host administration, such as in any mammalian/human gene therapy- or gene vaccination-based methodology available to the skilled artisan) which shows enhanced stability characteristics described herein with a virus concentration in the range from about 1 ⁇ 10 7 vp/mL (virus particles/millileter) to about 1 ⁇ 10 13 vp/mL.
- a more preferred range is from about 1 ⁇ 10 9 to 1 ⁇ 10 12 vp/mL, with an especially preferred virus concentration being from about 1 ⁇ 10 11 to 1 ⁇ 10 12 vp/mL.
- compositions of the formulations of the present invention are administered to an individual in amounts sufficient to treat, prevent or diagnose the respective disorder.
- the effective amount for human administration may, of course, vary according to a variety of factors such as the individual's condition, weight, sex and age. Other factors include the mode of administration.
- the amount of expressible DNA to be administered to a human recipient will depend on the strength of the transcriptional and translational promoters used in the recombinant viral construct, and, if used as a vaccine, on the immunogenicity of the expressed gene product, as well as the level of pre-existing immunity to a virus such as adenovirus.
- the formulations of the present invention are optimally a buffered solution.
- virus formulations of the present invention in a physiologically acceptable buffer, preferably but not necessarily limited to a formulation buffered with Tris (tromethamine), histidine, phosphate, citrate, succinate, acetate, glycine, and borate, within a pH range including but not limited to about 7.0 to about 9.0, preferably a pH range from about 7.5 to about 8.5. Tris is preferred in the exemplified formulations disclosed herein.
- An additional aspect of the formulations of the present invention relates to a formulation which comprises a minimal amount of at least one non-ionic surfactant added to reduce adsorption to container surfaces as well as possibly providing increased virus stabilization.
- Non-ionic surfactants for use in the formulations of the present invention include but are not limited to polyoxyethylene sorbitan fatty acid esters, including but not limited to Polysorbate-80 (Tween 80®), Polysorbate-60 (Tween 60®), Polysorbate-40 (Tween 40®) and Polysorbate-20 (Tween 20®), polyoxyethylene alkyl ethers, including but not limited to Brij 58®, Brij 35®, as well as others such as Triton X-100®, Triton X-114®, NP40®, Span 85 and the Pluronic series of non-ionic surfactants (e.g., Pluronic 121).
- An additional component which further stabilizes the added viral component comprise the addition of at least one salt of a divalent cation, including but not necessarily limited to MgCl 2 , CaCl 2 and MnCl 2 .
- the preferred divalent cations are MgCl 2 and CaCl 2 at a concentration ranging from about 0.1 mM to about 5 mM.
- cryoprotectant Another component which contributes to virus stabilization over large temperature ranges and for prolonged storage periods is a cryoprotectant, especially at concentrations amenable to human administration.
- Cyroprotectants include but are not necessarily limited to addition of polyhydroxy hydrocarbons such as sorbitol, mannitol, glycerol and dulcitol and/or disaccharides such as sucrose, lactose, maltose or trehalose.
- An additional component of the formulations of the present invention which enhance viral stability comprise a salt, including but not necessarily limited to sodium chloride, sodium sulfate, and ammonium sulfate, present at an ionic strength which is physiologically acceptable to the host.
- a salt including but not necessarily limited to sodium chloride, sodium sulfate, and ammonium sulfate, present at an ionic strength which is physiologically acceptable to the host.
- a purpose of inclusion of a salt in the formulation is to attain the desired ionic strength or osmolarity. Contributions to ionic strength may come from ions produced by the buffering compound as well as from the ions of non-buffering salts.
- a centerpiece of the formulations of the present invention which enhance viral stability relate to inclusion of components that act as inhibitors of free radical oxidation.
- virus stability in a pharmaceutical formulation may be effected by the type of buffer, salt concentration, pH, light exposure, temperature storage and the such. It is also shown herein that components which may inhibit free radical oxidation further enhance the stability characteristics of the core adenoviral formulations disclosed herein.
- Free radical oxidation inhibitors which may be utilized include but are not necessarily limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (TEOA), mannitol, histidine, glycerol, sodium citrate, inositol bexaphosphate, tripolyphosphate, succinic and malic acid, desferal, ethylenediamine-Di(o-hydoxy-phenylacetic acid (EDDHA) and diethylenetriaminepenta-acetic acid (DTPA), or specific combinations thereof. It is preferred that the inhibitor of free radical oxidation be either an EDTA/EtOH combination, EtOH alone, or triethanolamine (TEOA).
- the combination with other components may determine the effectiveness of the free radical oxidation inhibitor.
- the combination of EDTA/EtOH is shown to be very effective at increasing stability, while DTPA (alone) in the absence of MgCl 2 also enhances stability. Therefore, the skilled artisan may “mix and match” various components, in some cases a scavenger and a chelator are required, while other formulations only a chelator may be required. Preferably, the choice of chelator will determine whether or not the addition of a scavenger is needed. Additional free radical scavengers and chelators are known in the art and apply to the formulations and methods of use described herein.
- the formulations of the present invention which enhance viral stability rely on a useful range of total osmolarity which both promotes long term stability at temperature of 2-8° C., or higher, while also making the formulation useful for parenteral, and especially intramuscular, injection.
- the effective range of total osmolarity (the total number of molecules in solution) is from about 200 mOs/L to about 800 mOs/L, with a preferred range from about 250 mOs/L to about 450 mOs/L.
- An especially preferred osmolarity for the formulations disclosed herein is about 300 mOs/L.
- a salt free formulation may contain from about 5% to about 25% sucrose, with a preferred range of sucrose from about 7% to about 15%, with an especially preferred sucrose concentration in a salt free formulation being from 10% to 12%.
- a salt free sorbitol-based formulation may contain sorbitol within a range from about 3% to about 12%, with a preferred range from about 4% to 7%, and an especially preferred range is from about 5% to about 6% sorbitol in a salt-free formulation.
- Salt-free formulations will of course warrant increased ranges of the respective cryoprotectant in order to maintain effective osmolarity levels.
- an effective range of a sucrose-based solution in 75 mM NaCl is from about 2% about 7.5% sucrose, while a sorbitol-based solution in 75 mM NaCl is from about 1% to about 4% sorbitol.
- the present invention relates to a formulation containing an adenovirus, such as a recombinant adenovirus for use in gene therapy and/or gene vaccination applications, with show increased viral stability properties and which at least contain a buffer, a salt, a sugar and a surfactant.
- an adenovirus such as a recombinant adenovirus for use in gene therapy and/or gene vaccination applications, with show increased viral stability properties and which at least contain a buffer, a salt, a sugar and a surfactant.
- a particular embodiment of the present invention relates to such a recombinant adenovirus formulation which comprises Tris as the buffer, sucrose as the cryoprotectant, NaCl as the salt, MgCl 2 as the divalent cation and either Polysorbate-80 or Polysorbate40 as the surfactant.
- the formulation is buffered with Tris to a range from about pH 7.5 to about pH 8.5; sucrose is added within a range upwards of a weight to volume percentage of 10, depending upon the salt concentration; the salt being NaCl which is added at concentration within a range of upwards of 250 mM NaCl, complementing the sucrose concentration such that total osmolarity ranges from about 200 mOs/L to about 800 mOs/L; the divalent cation is MgCl 2 in a range from about 0.1 mM to about 10 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 1% or Polysorbate-40 at a concentration from about 0.001% to about 1%.
- the formulation is buffered with about 1 mM to about 10 mM Tris to a range from about pH 7.5 to about pH 8.5; sucrose is present in a weight to volume range of about 2% to about 8% and NaCl is present from a range of about 25 mM to about 250 mM, the sucrose and NaCl concentrations being complementary such that the total osmolarity ranges from about 200 mOs/L to about 800 mOs/L; the divalent cation is MgCl 2 in a range from about 0.1 mM to about 5 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.25% or Polysorbate40 at a concentration from about 0.001% to 0.25%.
- the formulation is buffered with about 2.5 mM to about 7.5 mM Tris to a pH of about 8.0; sucrose is present in a weight to volume range of about 2% to about 8% and NaCl is present from a range of about 25 mM to about 250 mM, the sucrose and NaCl contributing to a total osmolarity range from about 250 mOs/L to about 450 mOs/L; the divalent cation is MgCl 2 in a range from about 0.5 mM to about 2.5 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.1% or Polysorbate40 at a concentration from about 0.001% to 0.1%.
- the formulation is buffered with about 5.0 mM Tris to a pH of about 8.0; sucrose is present in a weight to volume range of about 4% to about 6% and NaCl is present from a range of about 50 mM to about 100 mM, the sucrose and NaCl contributing to a total osmolarity range from about 250 mOs/L to about 450 mOs/L; the divalent cation is MgCl 2 in a range from about 1 mM to about 2 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.1% or Polysorbate-40 at a concentration from about 0.001% to 0.1%.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of about 5%; NaCl is present at about 75 mM, with the total osmolarity at about 300 mOs/L; MgCl 2 in at about 1 mM to 2 mM, and either Polysorbate-80 is present at a concentration of about 0.02% or Polysorbate-40 at a concentration of about 0.005%.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 310 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%.
- This formulation is herein designated A105.
- PS-80 ranges to at least 0.1%, as opposed to A105, where PS-80 is found at 0.005%.
- This formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, MgCl 2 is at 1 mM, and Polysorbate-80 is present at a concentration of 0.1%.
- This formulation is herein designated A111.
- Another embodiment of the present invention is exemplified by a formulation buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, MgCl 2 at 1 mM, and Polysorbate-40 is present at a concentration of 0.005%.
- This formulation is herein designated A128, as shown in Example 1.
- the present invention further relates recombinant adenovirus formulations which omit at least one component of the above-disclosed component, including but not limited to formulation A108 (no divalent cation) or formulation A109 (no surfactant).
- An essential quality of the present invention is the finding that non-reducing free radical scavengers and/or chelators are important for maximizing both short and long term stability of viral formulations, especially recombinant adenoviral formulations disclosed herein.
- a critical preferred embodiment of the present invention is a viral formulation which contains one or more components which act as an inhibitor of free radical oxidation. It is shown herein that addition of these components enhance long term stability at temperatures up through the 2-8° C. range, or higher, when compared to core formulations which do not contains these inhibitors. In addition, these formulations are compatible with parenteral administration. The increased stability of these formulations shows that oxidation is a major pathway of adenovirus inactivation which results in a loss of infectivity during storage.
- the present invention relates to a recombinant adenoviral formulation buffered with Tris to a range from about pH 7.5 to about pH 8.5; sucrose is added within a range upwards of a weight to volume percentage of 10, depending upon the salt concentration; the salt being NaCl which is added at concentration within a range of upwards of 250 mM NaCl, complementing the sucrose concentration such that total osmolarity ranges from about 200 mOs/L to about 800 mOs/L; the divalent cation is MgCl 2 in a range from about 0.1 mM to about 10 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 2% or Polysorbate-40 at a concentration from about 0.001% to about 1%, wherein the formulation further comprises one or more components described herein which inhibit free radical oxidation, including but not limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (EtOH
- the formulation is buffered with about 1 mM to about 10 mM Tris to a range from about pH 7.5 to about pH 8.5; sucrose is present in a weight to volume range of about 2% to about 8% and NaCl is present from a range of about 25 mM to about 250 mM, the sucrose and NaCl concentrations being complementary such that the total osmolarity ranges from about 200 mOs/L to about 800 mOs/L; the divalent cation is MgCl 2 in a range from about 0.1 mM to about 5 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.25% or Polysorbate-40 at a concentration from about 0.001% to 0.5%, wherein the formulation further comprises one or more components described herein which inhibit free radical oxidation, including but not limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (EtOH), EDTA, an EDTA
- the formulation is buffered with about 2.5 mM to about 7.5 mM Tris to a pH of about 8.0; sucrose is present in a weight to volume range of about 2% to about 8% and NaCl is present from a range of about 25 mM to about 250 mM, the sucrose and NaCl contributing to a total osmolarity range from about 250 mOs/L to about 450 mOs/L; the divalent cation is MgCl 2 in a range from about 0.5 mM to about 2.5 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.1% or Polysorbate-40 at a concentration from about 0.001% to 0.05%, wherein the formulation further comprises one or more components described herein which inhibit free radical oxidation, including but not limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (TEOA), mannitol
- EtOH ethanol
- EDTA an
- the formulation is buffered with about 5.0 mM Tris to a pH of about 8.0; sucrose is present in a weight to volume range of about 4% to about 6% and NaCl is present from a range of about 50 mM to about 100 mM, the sucrose and NaCl contributing to a total osmolarity range from about 250 mOs/L to about 450 mOs/L; the divalent cation is MgCl 2 in a range from about 1 mM to about 2 mM, and the surfactant is either Polysorbate-80 at a concentration from about 0.001% to about 0.1% or Polysorbate40 at a concentration from about 0.001% to 0.01%, wherein the formulation further comprises one or more components described herein which inhibit free radical oxidation, including but not limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (TEOA), mannitol, histidine, glyce
- EtOH ethanol
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of about 5%; NaCl is present at about 75 mM, with the total osmolarity at about 300 mOs/L; MgCl 2 in at about 1 mM, and either Polysorbate-80 is present at a concentration of about 0.02% or Polysorbate-40 at a concentration of about 0.005%, wherein the formulation further comprises one or more components described herein which inhibit free radical oxidation, including but not limited to ethanol (EtOH), EDTA, an EDTA/ethanol combination, triethanolamine (TEOA), mannitol, histidine, glycerol, sodium citrate, inositol hexaphosphate, tripolyphosphate, succinic and malic acid, desferal, ethylenediamine-Di(o-hydoxy-phenylacetic acid (EDDHA)
- At least one non-reducing free radical scavenger may be added to concentrations which effectively enhance stability of the core formulation.
- Especially useful ranges include (i) EDTA from about 1 ⁇ M to about 500 ⁇ M, preferably in a range from about 50 ⁇ M to about 250 ⁇ M, and an especially preferred concentration of at or around 100 ⁇ M; (ii) ethanol from about 0.1% to about 5.0%, preferably in a range from about 0.25% to about 2.0%, and an especially preferred amount totaling at or around 0.5%; (iii) DTPA from about 1 ⁇ M to about 500 ⁇ M, preferably in a range from about 50 , ⁇ M to about 250 ⁇ M, and an especially preferred concentration at or around 100 ⁇ M; (iv) CaCl 2 from about 0.1 mM to about 10 mM, preferably in a range from about 0.5 mM to about 5 mM, and an especially preferred concentration at or around 1 M; and, (v)
- inhibitors of free radical oxidation may also be added in various combinations, including but not limited to two scavengers (e.g., 113), a sole (e.g., A114), or possible a sole scavenger in the absence of another component, such as a divalent cation (e.g., A116).
- two scavengers e.g., 113
- a sole e.g., A114
- a sole scavenger in the absence of another component, such as a divalent cation (e.g., A116).
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/l; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M and ethanol at 0.5%.
- This formulation is designated A113, as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 310 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, and triethanolamine (TEOA) is present at 1 mM.
- This formulation is herein designated A114, as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 350 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, and sodium citrate at 10 mM.
- This formulation is herein designated A115, also as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, Polysorbate-80 is present at a concentration of 0.005%, and DTPA at 100 ⁇ M.
- This formulation is herein designated A116, also as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris-HCI, at pH 8.0; sucrose is present in a weight to volume range of 5% (146 mM); NaCl is present at 75 mM, MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, and mannitol is present at 3% (w/v).
- This formulation is herein designated A121.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, MgCl 2 at 1 mM, Polysorbate-80 is present at a concentration of 0.005%, and ethanol is present at a concentration of 0.5% (A132) and 1.0% (A134).
- Another embodiment shows a formulation buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 310 mOs/L; MgCl 2 at 1 mM, Polysorbate-80 is present at a concentration of 0.005%, and EDTA at 100 ⁇ M.
- This formulation is herein designated A133, also as shown in Example 1.
- Another preferred embodiment shows a formulation buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 500 mOs/L; MgCl 2 at 1 mM, Polysorbate-80 is present at a concentration of 0.005%, EDTA at 100 ⁇ M and ethanol 1.0%.
- This formulation is herein designated A135, also as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 1 mM, Polysorbate-80 is present at a concentration of 0.1%, EDTA at 100 ⁇ M and ethanol 0.5%.
- This formulation is herein designated A136, also shown in Example 1.
- a preferred divalent cation such as MgCl 2 with a difference divalent cation, CaCl 2 .
- Such a substitution may relate to any of the formulations disclosed herein.
- An example of such a substitution is formulation A120, which comprises 5.0 mM Tris-HCl, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, Polysorbate-80 at 0.005%, EDTA at 100 ⁇ M, ethanol at 0.5% and CaCl 2 at 1 mM.
- Formulation A120 is shown in Example 1.
- the present invention further relates recombinant adenovirus formulations which omit at least one component of the above-disclosed components, including but not limited to formulation A116 (excipient: DTPA at 100 ⁇ M; no divalent cation), formulation A117 (excipients: EDTA at 100 ⁇ M and EtOH at 0.5%; no divalent cation), formulation A118 (triethanolamine at 1.0 mM; no divalent cation), formulation A119 (excipient: sodium citrate at 10 mM; no divalent cation).
- formulation A116 excipient: DTPA at 100 ⁇ M; no divalent cation
- formulation A117 excipients: EDTA at 100 ⁇ M and EtOH at 0.5%
- formulation A118 triethanolamine at 1.0 mM; no divalent cation
- formulation A119 excipient: sodium citrate at 10 mM; no divalent cation.
- the present invention further relates to a recombinant viral formulation which additionally comprises plasmid DNA at a concentration from about 0.01 mg/ml to about 10 mg/ml.
- plasmid DNA effectively increases the stability of a recombinant virus formulation, such as the recombinant adenovirus exemplified herein. Therefore, plasmid DNA may be added to any core formulations (e.g., A105 and A128, which do not contain additional excipients such as free radical oxidation inhibitors), as well as core formulations comprising such excipients.
- a preferred concentration range for the plasmid DNA is from about 0.5 mg/l to about 5.0 mg/ml, with an additionally preferred plasmid DNA concentration at 1 mg/ml.
- the formulation is buffered with about 5.0 mM Tris-HCl, at pH 8.0; sucrose is present in a weight to volume range of 5% (146 mM); NaCl is present at 75 mM, MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, and plasmid DNA is present at 1 mg/ml.
- This formulation is herein designated A137.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M, ethanol is present at 0.5% and plasmid DNA is present at 1 mg/mL.
- This formulation is designated A138, as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 8.0; mannitol is present in a weight to volume of 2.7% (147 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M and ethanol at 0.5%.
- This formulation is designated A149, as shown in Example 1.
- Another embodiment shows a formulation buffered with about 5.0 mM Tris, at pH 8.0; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M, ethanol is present at 0.5% and histidine is present at 5 mM.
- This formulation is designated A151a, as shown in Example 1.
- Another embodiment of the present invention disclosed a formulation buffered with about 5.0 mM Tris, at pH 7.5 at 30° C.; while sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 1 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M, ethanol is present at 0.5% and histidine is present at 5 mM.
- This formulation is designated A151b, as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 7.5 at 30° C.; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 2 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M, ethanol is present at 0.5%, histidine is present at 5 mM and triethanolamine is present at 5 mM.
- This formulation is designated A152, as shown in Example 1.
- the formulation is buffered with about 5.0 mM Tris, at pH 7.5 at 30° C.; sucrose is present in a weight to volume of 5% (146 mM); NaCl is present at 75 mM, with the total osmolarity approximately 400 mOs/L; MgCl 2 at 2 mM, and Polysorbate-80 is present at a concentration of 0.005%, EDTA is present at 100 ⁇ M, ethanol is present at 0.5%, histidine is present at 5 mM, triethanolamine is present at 5 mM and glycerol is present at 5% (v/v).
- This formulation is designated A153, as shown in Example 1.
- the dosage regimen utilizing the compounds of the present invention is selected in accordance with a variety of factors including type, level of pre-existing immunity to adenovirus, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; the route of administration; the renal, hepatic and cardiovascular function of the patient; and the particular compound thereof employed.
- a physician or veterinarian of ordinary skill can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition.
- Optimal precision in achieving concentrations of drug within the range that yields efficacy without toxicity requires a regimen based on the kinetics of the drug's availability to target sites. This involves a consideration of the distribution, equilibrium, and elimination of a drug.
- the formulated recombinant viruses described herein may also be formulated with an adjuvant or adjuvants which may increase immunogenicity of the expressed transgene.
- adjuvants are known in the art and are available for use, including but not limited to saponin, monophosphoryl lipid A, non-ionic block copolymers composed of polyoxyethylene and polyoxypropylene or other compounds which increase immunogenicity of expressed transgene.
- Another adjuvant for use with the recombinant viruses described herein are one or more forms of an aluminum phosphate-based adjuvant wherein the aluminum phosphate-based adjuvant possesses a molar PO 4 /Al ratio of approximately 0.9.
- An additional mineral-based adjuvant may be generated from one or more forms of a calcium phosphate.
- These mineral-based compounds for use as DNA vaccines adjuvants are disclosed in PCT International Application No. PCT/US98/02414 (WO 98/35562), which is hereby incorporated by reference.
- the recombinant virus formulations described herein are administered to the vertebrate host (preferably a mammalian host and especially a human recipient) by any means known in the art, such as enteral and parenteral routes.
- routes of delivery include but are not limited to intramuscular injection, intraperitoneal injection, intravenous injection, inhalation or intranasal delivery, oral delivery, sublingual administration, subcutaneous administration, transdermal administration, transcutaneous administration, percutaneous administration or any form of particle bombardment, such as a biolostic device such as a “gene gun” or by any available needle-free injection device.
- the preferred methods of delivery of the recombinant viruses described herein are intramuscular injection and needle-free injection. An especially preferred method is intramuscular delivery.
- the present invention also relates to methods of stabilizing virus formulation which comprises generating virus-containing formulations disclosed herein, such formulations which result in improved viral stability when stored in about the 2-8° C. range and higher while also being compatible with parenteral administration, especially patenteral administration to humans. Therefore, these prescribed methods relate to the disclosed, and especially, the exemplified virus-containing formulations of the present invention.
- the present invention relates to a method of stabilizing a virus formulation which comprises adding at least one inhibitor of free radical oxidation to the formulation, such that the resultant formulation shows improved stability in about the 2-8° C. range and higher while also being compatible with parenteral administration.
- the present invention relates to a method of stabilizing a virus formulation which comprises adding a nucleic acid to the formulation, such that the resultant formulation also shows improved stability in about the 2-8° C. range and higher while also being compatible with parenteral administration. Therefore, the present invention relates to a method of stabilizing a virus formulation which comprises preserving the virus of interest, preferably a recombinant virus, in any of the formulations described herein, and especially methods which comprise preservation of the virus by addition of at least one one inhibitor of free radical oxidation and/or addition a nucleic acid to the formulation, such that the resultant formulation also shows improved stability in about the 2-8° C. range and higher while also being compatible with parenteral administration.
- Ad5gag FL HIV-gag transgene
- TCID50 Adenovirus Infectivity Assay is a method for titrating the infectivity of adenovirus, using a TCID 50 end-point dilution method in a 96-well format. Cells in each well of the 96-well plate that are infected with adenovirus are revealed using a vital staining method based on the Tetrazolium dye (MTS). The amount of color formation per well is correlated with the quantity of living cells, which reflects the extent of adenovirus replication.
- TMS Tetrazolium dye
- QPA Adenovirus Infectivity Assay The QPA assay is a procedure for the rapid quantitation of adenovirus infectivity based on the use of Q-PCR technology to quantitate accumulated adenoviral genomes 24 hours after infection of cells.
- Formulation numbers represent exemplified formulations which, along with accompanying stability data, support the claims appended hereto.
- Form. # Description A101 10 mM Tris, 10% glycerol (v/v), 1 mM MgCl 2 , pH 7.5 A102 6 mM phosphate, 150 mM NaCl, 10% glycerol (v/v), pH 7.2 A103 6 mM phosphate, 150 mM NaCl, pH 7.2 A104 5 mM Tris, 150 mM NaCl, 1 mM MgCl 2 , 0.005% PS-80, pH 8.0 A105 5 mM Tris, 75 mM NaCl, 5% sucrose (w/v), 1 mM MgCl 2 , 0.005% PS-80, pH 8.0 A106 5 mM Tris, 14% sucrose (w/v), 1 mM MgCl 2 , 0.005% PS-80, pH 8.0 A107 5 mM Tris
- FIG. 1 shows the effects of one freeze/thaw cycle (from ⁇ 70° C. to 5° C.) on the recovery/stability of Ad5gag in the initial seven formulations, as measured by the QPA assay.
- the results indicate that Ad5gag lost significant amounts of infectivity, or was adsorbed to the glass vial, in the two formulations that did not contain a cryoprotectant (A103 and A104).
- a freeze/thaw study was also preformed to determine the effect of freezing and thawing a large aliquot of Ad5gag in A105, to simulate the handling of clinical bulks prior to filling.
- 600 mL of Ad5gag in A105 at 10 8 vp/mL was frozen at ⁇ 70° C.
- the sample was then thawed at 2-8° C. and assayed for infectivity by QPA.
- the aliquot was incubated further at 15° C. for 20 hours, to simulate handling of clinical materials during a filling operation, then assayed again.
- the results shown in FIG. 5 indicate that the freezing, thawing and 15° C. incubation did not have a significant affect on the infectivity of Ad5gag in A105.
- Ad5gag in A102, A105, A106 and A107 was also determined at both 10 7 and 10 9 vp/mL by QPA after 6 months of storage at ⁇ 15° C.
- Ad5gag was formulated in a buffer containing 75 mM NaCl, 5% sucrose, 1 M MgCl 2 , 0.005% PS-80 and either 20 mM Tris or 20 mM Bis-tris-propane as the buffer.
- the Tris buffered solutions were adjusted to pH 8.6 at each temperature (37, 30, 25 and 15° C.) while the Bis-tris-propane buffered formulations were adjusted to pH 7.4.
- Ad5gag was formulated at 10 9 and 10 11 vp/mL in A105 and placed on stability at 37° C. Infectivity was determined after 3, 7, 10, 14 and 21 days. The results, shown in FIG. 21, clearly indicate that Ad5gag concentration did not have a significant effect of stability at 37° C.
- Ad5gag is very susceptible to free radical oxidation induced by both ascorbic acid (in A125) and iron. These results also suggested that it was likely that free radical oxidation may be a major mechanism of inactivation for Ad5gag in A105.
- Ad5gag in A105 is an acceptable frozen liquid formulation for storage at either ⁇ 70° C. or ⁇ 15° C. (see FIG. 24). Moreover, the stability of Ad5gag in A105 is higher than in any of the other initial candidate formulations (A102-A104, A106, A107). The loss of Ad5gag infectivity in A105 at 2-8° C. will be approximately 0.37-0.44 logs/year, suggesting that further improvements in recombinant adenovirus stability are warranted.
- Table 1 shows the estimated rate of infectivity loss of exemplified adenoviral formulations.
- the rate of infectivity loss of various formulations is shown, based on 6 months of stability data at both 2-8° C. and 15° C. Although the 2-8° C. stability data was generated at the intended storage condition the infectivity losses were very small and difficult to measure accurately. Therefore, the rate of infectivity loss was also estimated from an extrapolation of the 15° C. stability data and the activation energy for Ad5gag inactivation using the pH 7.4 pathway (the most conservative extrapolation). The slope of the Arrhenius plot for the pH 7.4 inactivation pathway (see FIG.
- Ad5gag should have a shelf life 3.3 times as long at 5° C. as it does at 15° C.
- TABLE 2 Estimated rate Estimated rate of infectivity loss of infectivity loss Ad5gag (logs/year) (based (logs/year) (based formulation on 6 month 2-8° C. data) on 6 month 15° C. data) A105 0.37 0.44 A111 0.14 0.18 A113 ⁇ 0.1 0.14 A114 ⁇ 0.1 0.28 A115 0.14 0.36 A116 ⁇ 0.1 0.14 A117 ⁇ 0.1 0.19 A120 ⁇ 0.1 0.13
- Ad5gag inactivation is a major mechanism of Ad5gag inactivation during storage has paved the way for the design of additional Ad5gag formulations much more stable than Ad5gag in A105.
- a formulation containing 100 ⁇ M EDTA and 0.5% ethanol in an A105 base shows enhanced stability at 2-8° C. and is an especially preferred formulation of the present invention.
- FIG. 29 The long-term stability of Ad5gag in twelve different formulations is shown in FIG. 29. These data show the log loss of Ad5gag infectivity after 18 months in storage at 2-8° C. Based on these data the loss of Ad5gag infectivity in A105 was 0.33 logs/year, close to the estimate made in Example 10 above using the data from FIG. 23. These data clearly show that the addition of free radical oxidation inhibitors (in formulations A113, A114, A116-A121) enhance the stability of adenovirus during storage at 2-8° C.
- Ad5gag in A135 was also found to be more stable than in A105 and A113, suggesting that the optimal concentration of ethanol in A113 may be near 1%.
- the variability of the QPA assay is ⁇ 0.15 logs it is not clear whether the other tested formulations are more stable than A105.
- Adenovirus formulations have recently been disclosed in PCT publication number WO 98/02522 (Transgene) and WO 99/41416 (Schering-Plough).
- WO 98/02522 Transgene
- WO 99/41416 Stchering-Plough
- Ad5gag in A105, A111, A113, A136 one formulation from WO 98/02522 (TG#2) and five formulations from WO 99/41416 (SP#1-SP#5), at 10 8 vp/mL, as described below.
- SP#1 1.7 mg/ml Sodium Phosphate Monobasic Dihydrate, 1.7 mg/ml Tris, 0.4 mg/ml MgCl 2 , 20mg/ml Sucrose, 0.15 mg/ml PS-80, 100 mg/ml Glycerol, pH 7.53;
- SP#2 1.7 mg/ml Sodium Phosphate Monobasic Dihydrate, 1.7 mg/ml Tris, 0.4 mg/ml MgCl 2 , 20mg/ml Sucrose, 0.15 mg/ml PS-80, 100 mg/ml Glycerol, pH 7.36;
- SP#3 1.7 mg/ml Sodium Phosphate Monobasic Dihydrate, 1.7 mg/ml Tris, 0.4 mg/ml MgCl2, 20mg/ml Sucrose, 100 mg/ml Glycerol, pH 7.6;
- SP#4 1.7 mg/ml Sodium Phosphate Monobasic Dihydrate, 1.7 mg/ml Tris, 0.4 mg/ml MgCl2, 20mg/ml Sucrose, 100 mg/ml Glycerol, pH 7.37;
- SP#5 1.7 mg/ml Sodium Phosphate Monobasic Dihydrate, 1.7 mg/ml Tris, 0.4 mg/ml MgCl2, 20mg/ml Sucrose, 5.8 mg/ml NaCl, 100 mg/ml Glycerol, pH 7.53.
- FIG. 32 shows the data after 9 months of storage at 2-8° C. and 15° C.
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| US09/799,937 US20020041884A1 (en) | 2000-03-07 | 2001-03-06 | Adenovirus formulations |
| US10/791,503 US7351415B2 (en) | 2000-03-07 | 2004-03-02 | Adenovirus formulations |
| US11/071,095 US7456009B2 (en) | 2000-03-07 | 2005-03-03 | Adenovirus formulations |
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| US18744000P | 2000-03-07 | 2000-03-07 | |
| US09/799,937 US20020041884A1 (en) | 2000-03-07 | 2001-03-06 | Adenovirus formulations |
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Also Published As
| Publication number | Publication date |
|---|---|
| CA2399321A1 (en) | 2001-09-13 |
| US20040166122A1 (en) | 2004-08-26 |
| EP1263461A4 (en) | 2009-08-12 |
| WO2001066137A1 (en) | 2001-09-13 |
| EP2420247A1 (en) | 2012-02-22 |
| JP2003525909A (ja) | 2003-09-02 |
| CA2799545A1 (en) | 2001-09-13 |
| JP5118798B2 (ja) | 2013-01-16 |
| CA2399321C (en) | 2013-04-30 |
| EP1263461A1 (en) | 2002-12-11 |
| US7351415B2 (en) | 2008-04-01 |
| AU4346101A (en) | 2001-09-17 |
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