Patent Application
20240293530
The present disclosure is generally related to influenza vaccine compositions useful for stimulating immune responses against influenza.
The substantial global burden of seasonal influenza has been well documented. In the US alone, around 140,000 to 10,000 hospitalizations and 12,000 to 56,000 deaths are attributable to influenza annually, with older adults accounting for a disproportionate 62% of hospitalizations and 72% of mortality. Seasonal influenza vaccination has been the mainstay of prevention efforts and has been universally recommended in the US since 2010.
However, recent developments, including a severe 2017-2018 A (H3N2) predominant US influenza season, illustrate poor vaccine effectiveness in at least Australia, Canada, and the US. Other issues such as antigenic mismatch associated with egg-based influenza vaccines, and the persistent challenge of antigenic drift also represent the need to provide more effective vaccination strategies.
Therefore, there is continuing interest in producing vaccines against influenza viruses and there remains an ongoing need to produce effective vaccines, particularly using recombinant egg-protein free approaches.
The present disclosure provides multivalent influenza compositions. The compositions stimulate immune responses against multiple influenza strains. Advantageously, the immune responses may include broadly neutralizing antibodies directed to variants of the strains different from those used to prepare the compositions. Influenza mutations result in “drifted strains,” and the disclosed compositions provide protection against “drifted strains”. In addition, the compositions exhibit excellent stability and may be stored for extended periods and may be produced in pre-filled syringes that are ready to administer. In some aspects, a pre-filled syringe (PFS) may already contain adjuvant and influenza antigen and may be stored for extended periods. Compositions disclosed herein need not be refrigerated (2-8° C.), showing good stability at higher temperatures (e.g room temperature, about 25° C.). The compositions disclosed herein therefore offer excellent convenience as well as excellent immune responses
In particular aspects, nanoparticles containing influenza antigens are co-formulated into vaccine compositions by mixing with ISCOM Matrix adjuvant (also referred to herein as “Matrix”) for a time to form HaSMaNs (Hemagglutinin Saponin Matrix Nanoparticles) prior to administration to a subject. Compositions containing HaSMaNs exhibit good stability and immunogenicity and are thus well-suited for packaging, in pre-filled syringes, for example. Indeed, the HaSMaNs are more stable than the detergent core nanoparticles. Thermal stability measured by differential scanning calorimetry was better by about 1 degree For HaSMaNs compared to detergent core nanoparticles. Previously, approaches to using ISCOM Matrix adjuvant involved combining the vaccine composition with the adjuvant at the bed-side immediately prior to administration. In particular aspects, the compositions disclosed herein eliminate that requirement, thus providing improved methods of inducing immune responses. It was surprisingly discovered that formation of the HaSMaNs varies depending on the influenza type. HaSMaNs typically form when the compositions contain hemagglutinin (HA) proteins from Type A influenza strains, but do not form when the HA proteins are from Type B influenza strains.
In some embodiments, the ISCOM matrix adjuvant in the multivalent influenza composition is Matrix M, a combination of two types of Matrix, a first type, Matrix A containing saponin Fraction A (also referred to herein as Fraction A Matrix), and a second type, Matrix C, containing saponin Fraction C (also referred to herein as Fraction C Matrix). In certain aspects, Matrix M may contain at least about 85% (w/w) Fraction A Matrix, with the remainder as Fraction C Matrix. Unless referred to otherwise the Matrix M used herein contains Fraction A Matrix and Fraction C Matrix at a ratio of 85:15 (w/w), also referred to herein as Matrix M1.
In some embodiments, each influenza HA protein in the quadrivalent nanoparticle influenza composition can be from a different influenza strain. In some embodiments, at least one strain can be a sub-type A strain or a sub-type B strain. In some embodiments, the sub-type A strain may be complexed to the Matrix M adjuvant but the sub-type B strains are not.
While multivalent compositions are envisaged by this disclosure, particularly for use in seasonal vaccines, monovalent vaccine compositions may also be produced with HaSMaNs for use, for example, to vaccinate against pandemic influenza strains that arise from time to time.
Stability, particularly room temperature stability, is a valuable property because it reduces or eliminates the need for cold chain storage, making distribution cheaper and easier to achieve. Advantageously, the multivalent compositions disclosed herein are stable for extended periods of time, for example up to 3 months, up to 6 months, up to 12 months and at room temperature (i.e., about 25° C.) for these periods. The excellent stability, particularly when formulated with Matrix M adjuvant, means that the vaccine compositions are suited for delivery to clinical settings in a ready-to-administer format; for example, prefilled syringe formulations.
As used herein, and in the appended claims, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “a protein” can refer to one protein or to mixtures of such protein, and reference to “the method” includes reference to equivalent steps and/or meods known to those skilled in the art, and so forth.
As used herein, the term “adjuvant” refers to a compound that, when used in combination with an immunogen, augments or otherwise alters or modifies the immune response induced against the immunogen. Modification of the immune response may include intensification or broadening the specificity of either or both antibody and cellular immune responses.
As used herein, the term “about” or “approximately” when preceding a numerical value indicates the value plus or minus a range of 10%. For example, “about 100” encompasses 90 and 110.
As used herein, the terms “immunogen,” “antigen,” and “epitope” refer to substances such as proteins, including glycoproteins, and peptides that are capable of eliciting an immune response.
As used herein, an “immunogenic composition” is a composition that comprises an antigen where administration of the composition to a subject results in the development in the subject of a humoral and/or a cellular immune response to the antigen.
As used herein, “Quad-NIV,” “QuadNIV” or “quadrivalent nanoparticle influenza vaccine” thereof refers to influenza vaccine formulations containing antigens from four influenza virus strains.
As used herein, the terms “bedside mix.” “bedside formulations,” “bedside vaccine compositions,” “bedside vials,” “bedside vial formulations” refer to vaccine formulations that are prepared immediately prior to administration. Such vaccine formulations contain viral antigens and adjuvants that are separately stored in different containers and are administered to a subject (e.g., either administering two consecutive injections, or combining the antigens and the adjuvants into one injection prior to administration).
As used herein, the terms “co-formulation mix,” “co-formulation,” “co-formulation vaccine compositions,” “prefilled syringes,” “pre-mix,” refer to vaccine formulations that are prepared for short to long-term storage prior to the time of administration to a subject. Such vaccine formulations contain a combination of influenza antigens and ISCOM matrix adjuvant in the same container and prepared under conditions sufficient to form HaSMaNs (Hemagglutinin Saponin Matrix Nanoparticles).
The terms “treat,” “treatment,” and “treating,” as used herein, refer to an approach for obtaining beneficial or desired results, for example, clinical results. For the purposes of this disclosure, beneficial or desired results may include inhibiting or suppressing the initiation or progression of an infection or a disease; ameliorating, or reducing the development of, symptoms of an infection or disease; or a combination thereof.
“Prevention,” as used herein, is used interchangeably with “prophylaxis” and can mean complete prevention of an infection or disease, or prevention of the development of symptoms of that infection or disease; a delay in the onset of an infection or disease or its symptoms; or a decrease in the severity of a subsequently developed infection or disease or its symptoms.
As used herein an “effective dose” or “effective amount” refers to an amount of an immunogen sufficient to induce an immune response that reduces at least one symptom of pathogen infection. An effective dose or effective amount may be determined e.g., by measuring amounts of neutralizing secretory and/or serum antibodies, e.g., by plaque neutralization, complement fixation, enzyme-linked immunosorbent (ELISA), microneutralization assay, and HAI titers.
As used herein, the term “vaccine” refers to an immunogenic composition, such as an immunogen derived from a pathogen, which is used to induce an immune response against the pathogen that provides protective immunity (e.g., immunity that protects a subject against infection with the pathogen and/or reduces the severity of the disease or condition caused by infection with the pathogen). The protective immune response may include formation of antibodies and/or a cell-mediated response. Depending on context, the term “vaccine” may also refer to a suspension or solution of an immunogen that is administered to a subject to produce protective immunity
As used herein, the term “subject” includes humans and other animals. Typically, the subject is a human. For example, the subject may be an adult, a teenager, a child (2 years to 14 years of age), an infant (1 month to 24 months), or a neonate (up to 1 month). In some aspects, the adults are seniors about 65 years or older, or about 60 years or older. In typical aspects, the adults are about 60 to about less than 75 years old, or at least about 75 years old. In some aspects, the subject is a pregnant woman or a woman intending to become pregnant. In other aspects, subject is not a human; for example a non-human primate; for example, a baboon, a chimpanzee, a gorilla, or a macaque. In certain aspects, the subject may be a pet, such as a dog or cat.
As used herein, the term “pharmaceutically acceptable” means being approved by a regulatory agency of a U.S. Federal or a state government or listed in the U.S. Pharmacopeia, European Pharmacopeia or other generally recognized pharmacopeia for use in mammals, and more particularly in humans. These compositions can be useful as a vaccine and/or antigenic compositions for inducing a protective immune response in a vertebrate.
The compositions disclosed herein comprise two types of nanoparticles. A first type, referred to as detergent-core nanoparticles are essentially as described previously. See U.S. Ser. No. 15/257,436, which is incorporated herein by reference for all purposes. Briefly, these nanoparticles are produced in insect cells by expressing HA proteins using baculovirus expression systems and then extracting the HA proteins with detergent. During purification, the first detergent is changed for a second detergent, typically a non-ionic detergent resulting in nanoparticles having a non-ionic detergent core which the terminal portion of the HA protein, in trimer form, is embedded into.
A second type of nanoparticle is referred to herein as a HaSMaN (Hemagglutinin Saponin Matrix Nanoparticle.)
In particular embodiments, the detergent core nanoparticles are composed of multiple protein trimers surrounding a non-ionic detergent core. For example, each nanoparticle may contain 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or 15 trimers. In some embodiments, each nanoparticle contains 2 to 6 trimers. In particular embodiments, each nanoparticle contains 2 to 9 trimers.
The HA proteins are associated with the non-ionic detergent-containing core of the nanoparticle. Typically, the detergent is selected from polysorbate-20 (PS20), polysorbate-40 (PS40), polysorbate-60 (PS60), polysorbate-65 (PS65) and polysorbate-80 (PS80). The presence of the detergent facilitates formation of the nanoparticles by forming a core that organizes and presents the antigens. Thus, in certain embodiments, the nanoparticles contain the antigens assembled into multi-oligomeric glycoprotein-PS80 protein-detergent nanoparticles with the head regions projecting outward and hydrophobic regions and PS80 detergent forming a central core surrounded by the antigens. In particular embodiments, the non-ionic detergent in influenza vaccine compositions is PS80. The detergent core nanoparticles range in Z-ave size from about 25 nm to about 30 nm. Once the detergent core nanoparticles are combined with Matrix M for a time, however, the HaSMaNs are formed and those are slightly larger than detergent core nanoparticles, about 50 nm to 60 nm. Particle size (Z-ave) is measured by dynamic light scattering (DLS) using a Malvern Zetasizer, unless otherwise specified.
The detergent-core nanoparticles and HaSMaNs of the present disclosure are non-naturally occurring products, the components of which do not occur together in nature. Generally, the methods disclosed herein use a detergent exchange approach wherein a first detergent is used to isolate a protein and then that first detergent is exchanged for a second detergent to form the nanoparticles.
The glycoprotein antigens, typically HA, in the nanoparticles are typically produced by recombinant expression in host cells. Typically, the glycoproteins are expressed in insect host cells using a baculovirus system. In preferred embodiments, the baculovirus is a cathepsin-L knock-out baculovirus. In other preferred embodiments, the baculovirus is a chitinase knock-out baculovirus. In yet other preferred embodiments, the baculovirus is a double knock-out for both cathepsin-L and chitinase. High level expression may be obtained in insect cell expression systems. Non limiting examples of insect cells are, Spodoptera frugiperda (Sf) cells, e.g. Sf9, Sf21, Trichoplusia ni cells, e.g. High Five cells, and Drosophila S2 cells. Preferably, the cells are Sf9 cells, or a derivative thereof.
Typical transfection and cell growth methods can be used to culture the cells. Vectors, e.g., vectors comprising polynucleotides that encode fusion proteins, can be transfected into host cells according to methods well known in the art. For example, introducing nucleic acids into eukaryotic cells can be achieved by calcium phosphate co-precipitation, electroporation, microinjection, lipofection, and transfection employing polyamine transfection reagents.
Methods to grow host cells include, but are not limited to, batch, batch-fed, continuous and perfusion cell culture techniques. Cell culture means the growth and propagation of cells in a bioreactor (a fermentation chamber) where cells propagate and express protein (e.g. recombinant proteins) for purification and isolation. Typically, cell culture is performed under sterile, controlled temperature and atmospheric conditions in a bioreactor. A bioreactor is a chamber used to culture cells in which environmental conditions such as temperature, atmosphere, agitation and/or pH can be monitored. In one embodiment, the bioreactor is a stainless steel chamber. In another embodiment, the bioreactor is a pre-sterilized plastic bag (e.g. Cellbag®, Wave Biotech, Bridgewater, N.J.). In other embodiment, the pre-sterilized plastic bags are about 50 L to 3500 L bags.
After growth of the host cells, the protein may be harvested from the host cells using detergents and purification protocols. Once the host cells have grown for 48 to 96 hours, the cells are isolated from the media and a detergent-containing solution is added to solubilize the cell membrane, releasing the protein in a detergent extract. Triton X-100 and tergitol, also known as NP-9, are each preferred detergents for extraction. The detergent may be added to a final concentration of about 0.1% to about 1.0%. For example, the concentration may be about 0.1%, about 0.2%, about 0.3%, about 0.5%, about 0.7%, about 0.8%, or about 1.0%. In certain embodiments, the range may be about 0.1% to about 0.3%. Preferably, the concentration is about 0.5%.
In other aspects, different first detergents may be used to isolate the protein from the host cell. For example, the first detergent may be Bis(polyethylene glycol bis[imidazoylcarbonyl]), nonoxynol-9, Bis(polyethylene glycol bis[imidazoyl carbonyl]), Brij® 35, Brij®56, Brij® 72, Brij® 76, Brij® 92V, Brij® 97, Brij® 58P. Cremophor@ EL, Decaethyleneglycol monododecyl ether, N-Decanoyl-N-methylglucamine, n-Decyl alpha-Dglucopyranoside, Decyl beta-D-maltopyranoside, n-Dodecanoyl-N-methylglucamide, nDodecyl alpha-D-maltoside, n-Dodecyl beta-D-maltoside, n-Dodecyl beta-D-maltoside, Heptaethylene glycol monodecyl ether, Heptaethylene glycol monododecyl ether, Heptaethylene glycol monotetradecyl ether, n-Hexadecyl beta-D-maltoside, Hexaethylene glycol monododecyl ether, Hexaethylene glycol monohexadecyl ether, Hexaethylene glycol monooctadecyl ether, Hexaethylene glycol monotetradecyl ether, Igepal CA-630,Igepal CA-630, Methyl-6-0-(N-heptylcarbamoyl)-alpha-D-glucopyranoside, Nonaethylene glycol monododecyl ether, N-Nonanoyl-N-methylglucamine, N-NonanoyIN-methylglucamine, Octacthylene glycol monodecyl ether, Octaethylene glycolmonododecyl ether, Octaethylene glycol monohexadecyl ether, Octaethylene glycol monooctadecyl ether, Octaethylene glycol monotetradecyl ether, Octyl-beta-D glucopyranoside, Pentaethylene glycol monodecyl ether, Pentaethylene glycol monododecyl ether, Pentaethylene glycol monohexadecyl ether, Pentaethylene glycol monohexyl ether, Pentaethylene glycol monooctadecyl ether, Pentaethylene glycol monooctyl ether, Polyethylene glycol diglycidyl ether, Polyethylene glycol ether W-1, Polyoxyethylene 10 tridecyl ether, Polyoxyethylene 100 stearate, Polyoxyethylene 20 isohexadecyl ether, Polyoxyethylene 20 oleyl ether, Polyoxyethylene 40 stearate, Polyoxyethylene 50 stearate, Polyoxyethylene 8 stearate, Polyoxyethylene bis(imidazolyl carbonyl), Polyoxyethylene 25 propylene glycol stearate, Saponin from Quillaja bark, Span® 20, Span® 40, Span@ 60, Span@ 65, Span® 80, Span® 85, Tergitol Type 1S-S-12, Tergitol Type 15-S-30, Tergitol Type 15-S-5, Tergitol Type 15-S-7, Tergitol Type 15-S-9, Tergitol Type NP-10, Tergitol Type NP-4, Tergitol Type NP-40, Tergitol, Type NP-7 Tergitol Type NP-9, Tergitol Type TMN-10, Tergitol Type TMN-6, Triton X-100 or combinations thereof.
The nanoparticles may then be isolated from cellular debris using centrifugation. In some embodiments, gradient centrifugation, such as using cesium chloride, sucrose and iodixanol, may be used. Other techniques may be used as alternatives or in addition, such as standard purification techniques including, e.g., ion exchange, affinity, and gel filtration chromatography.
For example, the first column may be an ion exchange chromatography resin, such as Fractogel® EMD TMAE (EMD Millipore), the second column may be a lentil (Lens culinaris) lectin affinity resin, and the third column may be a cation exchange column such as a Fractogel® EMD SO3 (EMD Millipore) resin. In other aspects, the cation exchange column may be an MMC column or a Nuvia C Prime column (Bio-Rad Laboratories, Inc). Preferably, the methods disclosed herein do not use a detergent extraction column; for example a hydrophobic interaction column. Such a column is often used to remove detergents during purification but may negatively impact the methods disclosed here.
To form detergent-core nanoparticles, the first detergent, used to extract the protein from the host cell is substantially replaced with a second detergent to arrive at the nanoparticle structure. NP-9 is a preferred extraction detergent. Typically, the nanoparticles do not contain detectable NP-9 when measured by HPLC. The second detergent is typically selected from the group consisting of PS20, PS40, PS60, PS65, and PS80. Preferably, the second detergent is PS80.
In particular aspects, detergent exchange is performed using affinity chromatography to bind glycoproteins via their carbohydrate moiety. For example, the affinity chromatography may use a legume lectin column. Legume lectins are proteins originally identified in plants and found to interact specifically and reversibly with carbohydrate residues. See, for example, Sharon and Lis, “Legume lectins—a large family of homologous proteins,” FASEB J. 1990 November;4(14):3198-208; Liener, “The Lectins. Properties, Functions, and Applications in Biology and Medicine,” Elsevier, 2012. Suitable lectins include concanavalin A (con A), pea lectin, sainfoin lect, and lentil lectin. Lentil lectin is a preferred column for detergent exchange due to its binding properties. Lectin columns are commercially available; for example, Capto Lentil Lectin, is available from GE Healthcare. In certain aspects, the lentil lectin column may use a recombinant lectin. At the molecular level, it is thought that the carbohydrate moieties bind to the lentil lectin, freeing the amino acids of the protein to coalesce around the detergent resulting in the formation of a detergent core providing nanoparticles having multiple copies of the antigen, e.g., glycoprotein oligomers which can be dimers, trimers, or tetramers anchored in the detergent.
The detergent, when incubated with the protein to form the nanoparticles during detergent exchange, may be present at up to about 0.1% (w/v) during early purification steps.
Typically the influenza detergent core nanoparticles are prepared individually as a monovalent, single strain product. For example, the non-ionic detergent (e.g., PS80) may be about 0.03% to about 0.5%. In a particular aspect, a monovalent drug substance may contain about 1.5 mg/ml of protein measured by A280 and about 0.12% PS80, providing a molar ratio of about 40:1. In particular quadrivalent compositions, the protein concentration may be about 0.48 mg/mL, as measured by single radial immunodiffusion assay (SRID), and the calculated amount of PS80 is about 0.04%.
Detergent exchange may be performed with proteins purified as discussed above and purified, frozen for storage, and then thawed for detergent exchange.
HaSMaNs disclosed herein are produced by incubating the detergent-core nanoparticles with an ISCOM Matrix adjuvant comprising a saponin fraction, cholesterol and a phospholipid.
Typically, about 24 to 48 hours at 4° C. or 25° C. incubation is required for formation. Formation of HaSMaNs is promoted by higher temperatures. See e.g.
The HA glycoproteins used as influenza antigens may be from any influenza virus strain. Human influenza Type A and Type B viruses cause seasonal epidemics of disease almost every winter in the United States. Influenza Type A viruses are divided into subtypes based on two proteins on the surface of the virus: the hemagglutinin (HA) and the neuraminidase (NA).
The HA protein may be selected from the sub-types H1, H2, H3, H4, H5, H6, H7, H8, H9, H10, H11, H12, H13, H14, H15, H16, H17, and H18. Phylogenetically, the influenza is split into groups. For HA, Group 1 contains H1, H2, H5, H6, H8, H9, H11, H12, H13, H16, H17, and H18 and group 2 contains H3, H4, H7, H10, H14, and H15.
In certain aspects, the influenza nanoparticles are trypsin-resistant nanoparticles produced using neutral pH purification. Trypsin resistance is achieved by neutral pH range of above 6.9 to 8.5 during purification and formulation of the HA nanoparticles. Trypsin resistant influenza glycoproteins and trypsin resistant influenza nanoparticles; and methods of making thereof are described in detail in U.S. application Ser. No. 15/819,962, the contents of which are incorporated herein by reference in its entirety for all purposes.
Typically the antigen is a full-length wild type sequence, however, the antigen may be a variation or mutant of the wild type antigen. In certain aspects, the antigen may share identity to a disclosed antigen; for example, the percentage identity may be at least 80%, at least 90%, at least 95%, at least 97%, or at least 98%. Percentage identity can be calculated using the alignment program ClustalW2, available at www.ebi.ac.uk/Tools/msa/clustalw2/. The following default parameters may be used for Pairwise alignment: Protein Weight Matrix=Gonnet; Gap Open=10; Gap Extension=0.1.
Other variants may be used. HA is a homotrimer with each monomer consisting of ˜550 amino acid residues. Each monomer of HA has been conceptually divided into three domains: the ectodomain of ˜515 residues constitutes the extraviral part of the molecule; a single stretch of 27 residues defines the transmembrane (TM) domain; and ˜10 residues constitute the cytoplasmic tail (CT) While some changes may be made to the antigens, formation of both detergent core nanoparticles and HaSMaNs requires an intact transmembrane domain (TM). Thus, in particular examples, a modified HA protein sequence comprises 100% identity (i.e. is wild type) over the TM and CT domains with some flexibility in the remaining ectodomain portion, where identity may be at least 90% or at least 95%. The domains may be identified by homology to the amino acid sequences of the TM domains and CT of Japan/305/57 HA shown in
Advantageously, the disclosed nanoparticle influenza vaccine formulations are stable and are suitable for long-term storage. The formulations provided herein may be particularly suitable for the co-formulation strategies (i.e., where antigens and matrix adjuvant are combined well in advance of administration; for example, in a pre-filled syringe). As disclosed herein, co-formulation influenza vaccine strategies may provide advantages to clinical practice and may be a cost effective alternative to the currently used bedside mix formulations.
In some embodiments, influenza antigens in the co-formulated vaccine compositions are stable when the compositions are stored up to 12 months. While the vaccine compositions may be stored at 2-8° C. they show excellent stability at 25° C.
The stability of pre-mix (co-formulated) formulations can be evaluated by methods and protocols known in the art. The stability can be measured by the levels of degradation of vaccine antigens and by immunogenicity of the vaccines. The stability can be examined by evaluating the thermostability of viral antigens in the vaccines.
The stability of vaccine formulations at room temperature (25° C.) for extended period is advantageous for cost effective vaccine strategies, especially for areas where cold chain distribution and storage may be limited. As stated in the WHO's guidelines for evaluating the stability of vaccines, controlled temperature chain during manufacturing, distribution, and storage is important to ensure the efficacy of vaccines (“Guidelines on the stability evaluation of vaccines for controlled use in a temperature chain; available at www.who.int/biologicals/WHO_CTC_first_draft_22_Dec_2014_amended.pdf).
Without being bound by theory, it is thought that the HaSMaN structure may contribute to the stability of co-formulated vaccine formulations. (see
This improved thermal stability contributes to vaccine shelf-life. In particular aspects, the vaccine formulations may be stable for up to 6 months, or up to 12 months. A tested sample is considered to be “stable” in the context of this disclosure if the HAI titer against the tested sample after 12 months storage at 2-8° C. is not statistically different from a freshly prepared sample; and if Single Radial Immunodiffusion (SRID) assays give a value of at least about 70% after 12 months storage at 2-8° C. Analysis of the statistical significance of HAI titer measurements was done in the following manner. The geometric mean titer (GMT) and associated 95% confidence intervals (CI) were calculated by group. The mean of the log10 transformed titer measurements by HAI were compared between groups using the Tukey HSD analysis with JMP13 software. A p-value <0.05 indicates a statistically significant difference between two compared groups.
Compositions disclosed herein may be used either prophylactically or therapeutically The disclosure includes methods for preventing infection of influenza virus. The methods involve administering to the subject a therapeutic or prophylactic amount of the immunogenic compositions of the disclosure. Preferably, the pharmaceutical composition is a vaccine composition that provides a protective effect. In aspects, the protective effect may include amelioration of a symptom associated with infection in a percentage of the exposed population. For example, the composition may prevent or reduce one or more influenza symptoms selected from: fever fatigue, muscle pain, headache, and sore throat, compared to an untreated subject.
The vaccine compositions may contain various excipients, pharmaceutically acceptable buffers, and the like. For example, the pharmaceutically acceptable buffers in the vaccine compositions may contain one or more of sodium phosphate, sodium chloride, histidine, arginine hydrochloride and trehalose. Sodium phosphate may be present at about 10 mM to about 50 mM, about 15 mM to about 30 mM. In particular cases, about 25 mM sodium phosphate is present. Histidine may be present in a range from about 0.1% (w/v) to about 2.5% (w/v); for example, histidine may be present at about 0.1% (w/v), about 0.5% (w/v), about 0.7% (w/v), about 1% (w/v), about 1.5% (w/v), about 2% (w/v), or about 2.5% (w/v).
Sodium chloride may be in a range from about 50 mM to about 300 mM. Typically, sodium chloride, when present in a composition, is about 150 mM.
Arginine hydrochloride may be present at about 50 mM to about 200 mM, about 80 mM to about 150 mM, or about 100 mM to about 180 mM. In particular cases, about 100 mM arginine hydrochloride is present.
Trehalose may be present in a range from about 1% to about 10%; for example, at about 1%, about 2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9%, or about 10%.
The pH range for influenza vaccine composition is typically near neutral and are maintained above pH 6.9 during purification and in the compositions. For example, the pH of buffers and compositions may be about pH 7.2 to about pH 7.8, more preferably about 7.2 to about 7.5. In particular aspects, the pH is about pH 7.5. pH levels below 6.9 are avoided because they negatively impact the stability of the HA structure.
In certain embodiments, the compositions disclosed herein may be combined with one or more adjuvants to enhance an immune response. In other embodiments, the compositions are prepared without adjuvants, and are thus available to be administered as adjuvant-free compositions.
The immunogenicity of a particular composition may be enhanced by the use of non-specific stimulators of the immune response, known as adjuvants. Effective amounts of adjuvants have long been used to promote a generalized increase in immunity against antigens (e g., U.S. Pat. No. 4,877,611). Immunization protocols have used adjuvants to stimulate responses for many years, and as such, adjuvants are well known to one of ordinary skill in the art. Some adjuvants affect the way in which antigens are presented. For example, the immune response is increased when protein antigens are precipitated by alum. Emulsification of antigens also prolongs the duration of antigen presentation. The inclusion of any adjuvant described in Vogel et al., “A Compendium of Vaccine Adjuvants and Excipients (2nd Edition),” herein incorporated by reference in its entirety for all purposes, is envisioned within the scope of this disclosure.
While various adjuvants may be included, the HaSMaNs are produced using an ISCOM matrix adjuvant, which retains its adjuvant effective activity after administration to a subject. Accordingly, in some aspects, no additional adjuvant may be added into a formulation. As noted above, this formulation approach, allows for the preparation of pre-filled syringes containing vaccine without the requirement for bed-side mixing of antigen with adjuvant.
ISCOM matrix is prepared using saponin fractions. Saponins are glycosides derived from the bark of the Quillaja saponaria Molina tree. Typically, saponin is prepared using a multi-step purification process resulting in multiple fractions. As used, herein, the term “a saponin fraction from Quillaja saponaria Molina” is used generically to describe a semi-purified or defined saponin fraction of Quillaja saponaria or a substantially pure fraction thereof.
Several approaches for producing saponin fractions are suitable. Fractions A, B, and C are described in U.S. Pat. No. 6,352,697 and may be prepared as follows. A lipophilic fraction from Quil A, a crude aqueous Quillaja saponaria Molina extract, is separated by chromatography and eluted with 70% acetonitrile in water to recover the lipophilic fraction. This lipophilic fraction is then separated by semi-preparative HPLC with elution using a gradient of from 25% to 60% acetonitrile in acidic water. The fraction referred to herein as “Fraction A” or “QH-A” is, or corresponds to, the fraction, which is eluted at approximately 39% acetonitrile. The fraction referred to herein as “Fraction B” or “QH-B” is, or corresponds to, the fraction, which is eluted at approximately 47% acetonitrile The fraction referred to herein as “Fraction C” or “QH-C” is, or corresponds to, the fraction, which is eluted at approximately 49% acetonitrile. Additional information regarding purification of Fractions is found in U.S. Pat. No. 5,057,540. When prepared as described herein, Fractions A, B and C of Quillaja saponaria Molina each represent groups or families of chemically closely related molecules with definable properties. The chromatographic conditions under which they are obtained are such that the batch-to-batch reproducibility in terms of elution profile and biological activity is highly consistent.
Other saponin fractions have been described. Fractions B3, B4 and B4b are described in EP 0436620. Fractions QA1-QA22 are described EP03632279 B2, Q-VAC (Nor-Feed, AS Denmark), Quillaja saponaria Molina Spikoside (Isconova AB, Ultunaallén 2B, 756 51 Uppsala, Sweden). Fractions QA-1, QA-2, QA-3, QA-4, QA-5, QA-6, QA-7, QA-8, QA-9, QA-10, QA-11, QA-12, QA-13, QA-14, QA-15, QA-16, QA-17, QA-18, QA-19, QA-20, QA-21, and QA-22 of EP 0 3632 279 B2, especially QA-7, QA-17, QA-18, and QA-21 may be used. They are obtained as described in EP 0 3632 279 B2, especially at page 6 and in Example 1 on page 8 and 9.
The saponin fractions described herein and used for forming adjuvants are often substantially pure fractions; that is, the fractions are substantially free of the presence of contamination from other materials. In particular aspects, a substantially pure saponin fraction may contain up to 40% by weight, up to 30% by weight, up to 25% by weight, up to 20% by weight, up to 15% by weight, up to 10% by weight, up to 7% by weight, up to 5% by weight, up to 2% by weight, up to 1% by weight, up to 0.5% by weight, or up to 0.1% by weight of other compounds such as other saponins or other adjuvant materials.
Other saponin fractions, such as QS-7 and QS-21 fractions, their production and their use is described in U.S Pat. Nos. 5,057,540; 6,231,859; 6,352,697; 6,524,584; 6,846,489; 7,776,343, and 8,173,141. These fractions may be used in the methods and compositions disclosed herein.
Matrix particle adjuvants disclosed herein may be used to produce HaSMaNs or used as discrete particles for their adjuvant properties. An ISCOM matrix comprises at least one saponin fraction and a lipid. The lipid is at least a sterol, such as cholesterol. In particular aspects, the lipid is a phospholipid. The ISCOM matrix complexes may also contain one or more other immunomodulatory (adjuvant-active) substances, not necessarily a glycoside, and may be produced as described in EP0436620B1.
The saponin fraction may be fraction A, fraction B, or fraction C of Quillaja saponaria, a semipurified preparation of Quillaja saponaria, a purified preparation of Quillaja saponaria, or any purified sub-fraction e.g., QA 1-21.
The matrix particles may contain mixtures of saponin fractions or a particle may be formed using only one saponin fraction. Compositions disclosed herein may contain multiple particles wherein each particle contains only one saponin fraction. That is, certain compositions may contain one or more different types of ISCOM-matrix where each individual particle contains one saponin fraction from Quillaja saponaria Molina, wherein the saponin fraction in one particle is different from the saponin fraction in the other complex particles.
In particular aspects, one type of saponin fraction or a crude saponin fraction may be integrated into one ISCOM matrix particle and another type of substantially pure saponin fraction, or a crude saponin fraction, may be integrated into another ISCOM matrix particle. A composition or vaccine may comprise at least two types of complexes or particles each type having one type of saponins integrated into physically different particles.
In the compositions, mixtures of ISCOM matrix particles may be used in which one saponin fraction Quillaja saponaria Molina and another saponin fraction Quillaja saponaria Molina are separately incorporated into different ISCOM matrix complex particles and/or ISCOM complex particles.
The ISCOM matrix that each have one saponin fraction may be present in composition at any combination of weight %. In particular aspects, a composition may contain 0.1% to 99.9% by weight, 5% to 95% by weight, 10% to 90% by weight, 15% to 85% by weight, 20% to 80% by weight, 25% to 75% by weight, 30% to 70% by weight, 35% to 65% by weight, 40% to 60% by weight, 45% to 55% by weight, 40 to 60% by weight, or 50% by weight, of an ISCOM matrix containing a first saponin fraction with the remaining portion made up by an ISCOM matrix containing a different saponin fraction. In some aspects, the remaining portion is one or more ISCOM matrix particle containing only one saponin fraction. In other aspects, the ISCOM matrix particle may contain more than one saponin fraction.
In preferred compositions, the saponin fraction in a first ISCOM matrix is Fraction A (a “Fraction A Matrix”) and the saponin fraction in a second ISCOM matrix or ISCOM complex particle is Fraction C (a “Fraction C Matrix”). Thus, preferred compositions comprise, as an adjuvant, a Fraction A Matrix adjuvant and a Fraction C Matrix adjuvant. The amounts of each Matrix in the composition may vary. For example, the amount of Fraction A Matrix may be about 80% (w/w), about 85% (w/w), about 90% (w/w), about 92% (w/w), or about 95% (w/w) with the remainder Fraction C Matrix. An example of a suitable 85:15 Fraction A Matrix and Fraction C Matrix combination (referred to herein as Matrix M or Matrix M1) may be sourced from Novavax AB, Uppsala, Sweden as Matrix-M™.
In some aspects, Matrix-M may be used as an adjuvant in the compositions provided herein. In some aspects, Matrix-M may be used as the only adjuvant in the nanoparticle influenza vaccine composition provided herein.
In some embodiments, the amount of Matrix-M per dose administered may range from about 20 μg to about 140 μg; for example about 20 μg, about 30 μg, about 40 μg, about 50 μg, about 60 μg, about 70 μg, about 75 μg, about 80 μg, about 90 μg, about 100 μg, about 110 μg, about 120 μg, about 130 μg, or about 140 μg. In particular aspects the adjuvant may be present at about 50 μg to about 75 μg.
Exemplary adjuvants include complete Freund's adjuvant (a non-specific stimulator of the immune response containing killed Mycobacterium tuberculosis), incomplete Freund's adjuvants and aluminum hydroxide adjuvant. Other adjuvants comprise GMCSP, BCG, MDP compounds, such as thur-MDP and nor-MDP, CGP (MTP-PE), lipid A, and monophosphoryl lipid A (MPL), MF-59, RIBI, which contains three components extracted from bacteria, MPL, trehalose dimycolate (TDM) and cell wall skeleton (CWS) in a 2% squalene/Tween® 80 emulsion. In other preferred aspects, Alum such as 2% Alhydrogel (Al(OH)3) is used. In some aspects, the adjuvant may be a paucilamellar lipid vesicle, for example, Novasomes®. Novasomes® are paucilamellar nonphospholipid vesicles ranging from about 100 nm to about 500 nm. They comprise Brij 72, cholesterol, oleic acid and squalene. Novasomes have been shown to be an effective adjuvant (see, U.S. Pat. Nos. 5,629,021, 6,387,373, and 4,911,928.
Compositions disclosed herein may be administered via a systemic route or a mucosal route or a transdermal route or directly into a specific tissue. As used herein, the term “systemic administration” includes parenteral routes of administration. In particular, parenteral administration includes subcutaneous, intraperitoneal, intravenous, intramuscular, or intrasternal injection. Typically, the compositions are administered by intramuscular injection. In particular aspects, the compositions may be administered mucosally. As used herein, the term “mucosal administration” includes oral, intranasal, intravaginal, intra-rectal, and intra-tracheal.
The compositions may be administered to a subject in need thereof, typically a human.
Compositions may be administered on a single dose schedule or a multiple dose schedule. Multiple doses may be used in a primary immunization schedule or in a booster immunization schedule. In a multiple dose schedule the various doses may be given by the same or different routes e.g., a parenteral prime and mucosal boost, a mucosal prime and parenteral boost, etc. In some aspects, a follow-on boost dose is administered about 2 weeks, about 3 weeks, about 4 weeks, about 5 weeks, or about 6 weeks after the prior dose.
In some embodiments, at least one strain out of the four strains in the quadrivalent influenza vaccine compositions is a type A strain. For example, a quadrivalent influenza vaccine can contain three type A strains and one type B strain.
The total amount of the influenza HA in the vaccine compositions may range from of about 25 μg to about 200 μg, about 30 μg to about 150 μg, about 50 μg to about 100 μg, about 45 μg to about 180 μg, about 60 μg to about 190 μg, or about 100 μg to about 200 μg. In certain embodiments, the amount of the influenza HA protein in the vaccine composition may be in the range of about 5 μg per strain to about 80 μg per strain, about 10 μg per strain to about 75 μg per strain, about 15 μg per strain to about 70 μg per strain, about 20 μg per strain to about 65 μg per strain, about 25 μg per strain to about 60 μg per strain, about 30 μg per strain to about 55 μg per strain, about 35 μg per strain to about 50 μg per strain, about 15 μg per strain to about 60 μg per strain. Advantageously, the compositions exhibit stability up to 9 to 12 months such that the amount remaining, as measured by SRID, is a substantial percentage of the initial amount; for example, at least about 70%, at least about 75%, or at least about 80% of the initial amount.
In some embodiments, the disclosure provides co-formulation (i.e., prefilled syringes or pre-mix) strategies for nanoparticle influenza vaccine compositions. Typical influenza vaccine administration strategies currently being utilized are bedside mix formulations. That is, vaccine compositions and adjuvants are stored separately and are mixed prior to administration. Pre-mix, co-formulation, or prefilled syringe strategies for influenza vaccine are less common due to the concerns of the stability of the influenza antigens and their subsequent immunogenic capabilities. The present disclosure provides nanoparticle influenza vaccine compositions that can be pre-mixed and stored in advance. The disclosed vaccination strategies and formulations may improve the efficiency of vaccination and may reduce the risks of bedside mixing errors, while maintaining the overall safety and immunogenicity.
The present disclosure provides methods of preventing influenza infection. Immunogenicity of the nanoparticle influenza vaccines disclosed herein may be determined using suitable approaches, including performing HAI assays or by measuring neutralizing antibodies. In some embodiments, the immunogenicity of the nanoparticle influenza vaccines may be compared to a commercially available influenza vaccine composition. As used herein, “commercially available influenza vaccine composition” can be any influenza vaccine compositions that are available for medical uses. For example, the commercially available influenza vaccine composition can be formulated for a trivalent or a quadrivalent injection. In some aspects, the formulation for an injection can comprise the inactivated form of the virus. In another example, the commercially available influenza vaccine composition can be formulated for a nasal spray. In some aspects, the formulation for a nasal spray can comprise attenuated or weakened forms of the virus.
The composition disclosed herein provide non-inferior immune responses compared to other vaccines, in particular commercially available vaccines, including Afluria Quadrivalent, Fluarix Quadrivalent, FluLaval Quadrivalent, Fluzone Quadrivalent, Flucelvax Quadrivalent, Fluzone Intradermal Quadrivalent, Afluria, Fluvirin, Fluad, Fluzone High-Dose, Flublok Quadrivalent, Flublok, and FluMist Quadrivalent.
Advantageously, the compositions disclosed herein induce neutralizing antibodies that bind to a strain that has drifted (i.e. undergone slight mutation) relative to the sequence used in the virus within the same sub-type of influenza. In particular aspects, one, two, three four, or all of the strains used in the compositions induce neutralizing antibodies against one drifted strain, against two drifted strains, against three drifted strains, against four drifted strains, or against five drifted strains. Without being bound by theory it is thought that the presence of the Matrix adjuvant in the compositions promotes exposure of additional antigens, providing broadened protection against the drifted strain. Similarly, formation of the HaSMaNs following incubation with Matrix adjuvant with the sub-type A HA proteins is thought to contribute to this process.
Importantly, the HaSMaNs are at least as immunogenic as detergent-core nanoparticles. For instance, as shown in Table 6 below, the HAI titer against A/Michigan at day 35 for 1.5 μg pre-mix formulations was about 538 at 25° C., whereas the HAI titer against A/Michigan for 1.5 μg bedside mix formulations was about 453 at 25° C. In another example shown in Table 8, the HAI titer against A/Hong Kong at day 35 for 1.5 μg pre-mix formulations was about 538 at 25° C., whereas the HAI titer against A/Michigan for 1.5 μg bedside mix formulations was about 494 at −60° C. Similar immunogenicity among pre-mix formulations and bedside mix formulations further suggests that pre-mix formulations are stable at room temperature. In addition, the present pre-mix formulations stored at room temperature surprisingly can have similar immunogenicity compared with bedside mix formulations that are incubated at −60° C.
A variety of containers may be used to store and transport the pre-mix formulations, including syringes for single administrations and plastic ampules. In some instances, plastic ampules can be manufactured using the blow-fill-seal manufacturing technique or method. In general, the blow-fill-seal (BFS) manufacturing method includes extruding a plastic material (e.g., resin) to form a parison, which is then placed into a mold and cut to size. A filling needle or mandrel is then used to inflate the plastic, which in turn, results in a hollow ampule that substantially conforms to the shape of the mold. Once inflated, a desired volume of liquid can be injected into the ampule, the filling needle or mandrel can be removed, and the ampule can be sealed. Accordingly, BFS can be an automated process that can be performed in a sterile environment without direct human intervention.
In some instances, the ability to aseptically manufacture sterile ampules containing a desired liquid can make BFS manufactured ampules particularly well suited for the pharmaceutical industry. BFS technology, however, has not been compatible with all pharmaceutical liquids, products, etc. For example, some known BFS manufacturing methods include delivering the liquid or product into the ampule while the plastic is still relatively hot, which can result in adverse effects to temperature sensitive liquids and/or products such as vaccines, biologics, etc. Advances in cool BFS technology, however, have increased the variety of suitable products, liquids, etc. allowing some vaccines, biologics, and/or other temperature sensitive pharmaceuticals to be contained in BFS ampules.
In some instances, a BFS ampule can have a size, shape, and/or configuration that is at least partially based on a desired use and/or a desired pharmaceutical liquid or dosage that the ampule is configured to contain. For example, some known BFS ampules can include a pierce through top, a twist-off top, a top including a male or female luer, and/or the like. Some known BFS ampules can have a size and/or shape based on volume of the liquid or dosage configured to be disposed therein. In addition, some known BFS ampules can be manufactured in a strip of multiple, temporarily connected ampules, which can increase manufacturing, packaging, and/or storing efficiencies and/or the like.
All patents, patent applications, references, and journal articles cited in this disclosure are expressly incorporated herein by reference in their entireties for all purposes.
HA proteins from a single strain were expressed in Sf9 cells via baculovirus infection and allowed to grow for 48-96 hours before harvesting. The HA proteins were then harvested by detergent extraction and turned into detergent core nanoparticles during purification. Briefly, the TMAE column was pre-equilibrated with buffer composed of 25 mM Tris, pH 8.0, 1.5M sodium chloride, 0.02% NP9. Sample was loaded at ≤90 cm/hr (24 min residence time) and then washed with EQ buffer (25 mM Tris, pH 8.0, 50 mM sodium chloride or 81 mM sodium chloride (A, B strains respectively), 0.02% NP-9). The purified sample was then eluted using 1.5 CV EQ buffer.
For A strains, Nanofiltration was performed for the product from the TMAE column followed by application onto a Lentil lectin affinity chromatography column pre-equilibrated with buffer composed of 25 mM Tris, 50 mM and 107 mM Sodium Chloride (for A and B strains respectively), 0.02% (w/v) NP-9, pH 8.0 for 3 CV (Flow Rate: 150 cm/h). Sample was loaded at 4 min resident time. After loading, washing was performed with 3 CV of the Lentil Lectin equilibration buffer. The product was eluted with 25 mM Sodium Phosphate, pH 7.5, 200 mM Sodium Chloride, 500 mM Methyl-α-D-Mannopyranoside, 0.01% (w/v) PS80, pH 7.5 by collecting 2 CV's at 75 cm/hr and 8 minute residence time.
For B strains, TMAE column product was further purified using Capto Blue column. The column was equilibrated with 25 mM Tris, pH 8.0, 107 mM Sodium Chloride, 0.02% (w/v) NP-9 followed by loading the TMAE product with a flow rate of 225 cm/hr at 4 minute residence time and collection with 2 CV of equilibration buffer. Nanofiltration was performed for the product from the Capto Blue column followed by application onto a Lentil lectin affinity chromatography column pre-equilibrated with buffer composed of 25 mM Tris, 50 mM and 107 mM Sodium Chloride (for A and B strains respectively), 0.02% (w/v) NP-9, pH 8.0 for 3 CV (Flow Rate: 150 cm/h). Sample was loaded at 4 min resident time. After loading, washing was performed with 3 CV of the Lentil Lectin equilibration buffer. The product was eluted with 25 mM Sodium Phosphate, pH 7.5, 200 mM Sodium Chloride, 500 mM Methyl-α-D-Mannopyranoside, 0.01% (w/v) PS80, pH 7.5 by collecting 2 CV's at 75 cm/hr and 8 minute residence time.
The Lentil Lectin products for both A and B strains were concentrated to target HA concentration and then buffer exchanged to the final Drug Substance formulation buffer. Concentration and buffer exchange was performed by ultrafiltration and diafiltration.
To evaluate the stability of co-formulating the Quad-NIV and ISCOM matrix adjuvant (Matrix M) in pre-filled syringes and to understand the physical, chemical and biological properties of such a vaccine, formulations were prepared as shown in Table 1 below. The tested vaccine compositions were assigned to three groups: (1) glass bedside vials containing HA antigens only, (2) pre-filled syringes (PFS) containing HA vaccine antigens co-formulated with Matrix M1, and (3) PFS containing HA vaccine antigens. Glass vials for the bedside mix and the PFS were purchased commercially (Schott).
In addition, protein stability for the bedside vial groups; and PFS groups with or without Matrix M, stored at 4° C. or 25° C. for 3 months, was examined using non-reduced SDS-PAGE assays (
These data show that PFS co-formulation vaccine strategies would be feasible with respect to the stability. Storage of PFS co-formulation vaccines at both 4° C. and 25° C. is feasible. The presence of Matrix M1 and the duration of the storage time (for example, 3 months) did not negatively impact the stability of vaccine formulations, confirming that formation of the HaSMaNs does not interfere with protein stability over extended periods of time.
Protein stability was tested by conducting the SRID assay for various influenza A strains and B strains formulated in PFS groups. The SRID assay was performed at 2-8° C. (e.g., 4° C.) at T=0, 2 weeks, 1 month, 3 months, 6 months, 9 months and 12 months; and at 25° C. at T=0, 2 weeks, 1 month, 3 months and 6 months.
The SRID immunoreactivity results of PFS with Matrix M were similar to, or better than, the SRID immunoreactivity results of PFS without Matrix M. The data show that the general trend of immunoreactivity with time upon storage at 25° C. does not noticeably differ from the results observed at 4° C. The absence of notable changes in vaccine immunoreactivity indicates that the Quad-NIV PFS formulations are stable at various temperatures for at least up to 6 months. The stability of Quad-NIV PFS formulations at room temperature (25° C.) provides advantageously cost effective vaccine strategies because the PFS formulations would not need long-term refrigeration or be limited to low temperature handling. These data further show that mass production of stable, pre-mixed vaccines (comprising influenza antigens and Matrix M) long before vaccination at clinics is a feasible approach.
Ferret studies were performed to compare the immunogenicity of various test vaccine strategies (bedside and co-formulations) with the commercially available flu vaccines.
#The results depicted in FIGS. 7-10 correspond to day 42.
For the Quad-NIV formulations, A/Michigan/45/2015-H1N1 strains, A/Hong Kong/4801/2014-H3N2 strains, B/Brisbane/60/2008 strains, B/Phuket/3073/2013 strains were used. For Fluzone HD (TIV; Sanofi Pasteur), A/Michigan/45/2015-H1N1, A/HongKong/4801/2014-H3N2, and B/Brisbane/60/2008 were used. For Fluzone HD (QIV; Sanofi Pasteur), A/Michigan/45/2015-H1N1, A/HongKong/4801/2014-H3N2, B/Brisbane/60/2008, and B/Phuket/3073/2013 were used. For Fluad (TIV; Seqirus), A/Singapore/GP1908/2015 (A/Michigan/45/2015-H1N1 like), A/HongKong/4801/2014-H3N2 and B/Brisbane/60/2008 were used. For Flublok (QIV; Protein Sciences), A/Michigan/45/2015-H1N1, A/HongKong/4801/2014-H3N2, B/Brisbane/60/2008 and B/Phuket/3073/2013 were used. For Flucelvax (QIV; Seqirus), A/Singapore/GP1908/2015 (A/Michigan/45/2015-H1N1 like), A/Singapore/GP2050/2015 (A/Hong Kong/4801/2014-H3N2 like), B/Hong Kong/259/2010 (B/Brisbane/60/08-like), and B/Utah/9/2014 (B/Phuket/3073/2013-like) were used.
The ferrets were immunized at day 0 and day 21 of the study. Blood was drawn on the day before the start of the study, on day 21 and on day 42 of the study. HAI assay was conducted using human red blood cells to evaluate the immunogenicity of tested formulations in the ferrets. The experimental protocols are known in the art and are discussed above. The following HAI reagents were used in the assay as the reference influenza antigens in the VLP forms: (1) A/Michigan 45/15 (BV #001), (2) A/HongKong/4801/14 (BV #1808), (3) B/Bris/60/08 (BV #714), (4) B/Phuket/3073/13 (BV #1659), (5) A/Switzerland/9715293/13 (BV #1660), (6) A/Singapore/2016 (BV #2165), (7) A/Texas/50/2012 (BV #1324), (8) A/Victoria/36/11 (BV #1577) and (9) A/Perth/16/09. Methods of making the influenza antigen VLPs are disclosed, for example, in the U.S. patent application Ser. No. 15/901,000, herein incorporated by reference in its entirety for all purposes.
All commercially available influenza vaccines had lower HAI titers compared with all Quad-NIV formulations in the presence of Matrix M, regardless of the dosing regimens, the types of formulations (i.e., bedside and co-formulations). See
In summary, Quad-NIV formulations can elicit more robust immunogenic effects in ferrets for all tested influenza strains disclosed herein compared with the commercial vaccines, while the differences are more significant with the presence of Matrix M in the formulations. The Quad-NIV co-formulations (pre-mixed) containing HaSMaN had similar immunogenicity compared with the Quad-NIV bedside formulations. Among the co-formulation groups, formulations stored at 4° C. and at 25° C. generally had very similar immunogenicity.
Table 3 shows the mouse study design for examining the immunogenicity and the stability of pre-mixed PFS vaccine formulations and bedside mixed vaccines. PFS formulations were stored at 4° C. for 3 months. For bedside mixed vaccines, the viral antigens were stored at −60° C. for 3 months and mixed with the Matrix M adjuvant right before administration.
Immunizations were intramuscularly administered on day 0 and day 21. Blood samples were collected on the day before the study began and again on day 42 of the study (or day 21 post-second immunization) for immunogenicity analyses. The immunogenicity was determined based on Hemagglutination inhibition (HAI) responses to the following influenza A and B strains: (1) A/Hong Kong/4801/2014; (2) A/Michigan/45/2015; (3) B/Brisbane/60/2008; and (4) B/Phuket/3073/2013. HAI were measured as described in Manual for the laboratory diagnosis and virological surveillance of influenza (World Health Organization 2011, Accessed Feb. 15, 2018, at:
www.who.int/influenza/gisrs_laboratory/manual_diagnosis_surveillance_influenza/en/, which are incorporated by references for those disclosures.
Groups 1 to 14 were prepared as shown in Table 4 below. For pre-mix groups, HA nanoparticles and Matrix M (85:15 w/w of Fraction A matrix and Fraction C matrix) were combined and stored at 4° C. for 6 months or 12 months, or at 25° C. for 6 months prior to administration. For bedside mix groups, HA was stored at 25° C. or frozen at −60° C. for 6 months or frozen at −60° C. at 12 months, then combined with Matrix M immediately before administration to the mouse. The HA protein nanoparticles contained HA from the following strains A/Michigan H1N1, A/Hong Kong-H3N2 B/Brisbane, and B/Phuket.
1High
2Low
1High dose: 120 μg/mL/strain (480 μg HA total) + 100 μg/mL Matrix.
2Low dose: 30 μg/mL/strain HA (120 μg HA total) + 100 μg/mL Matrix.
3The 12 month stability study did not include samples stored at 25° C.
We measured HAI titers against each of the four strains
The data show that bedside mix vaccines and pre-mix vaccines produce similar immunogenicity in mice even after 6 months or 12 months storage by the measurements of HAI titers. The study also confirmed that the presence of Matrix M was beneficial for generating greater immune responses. Matrix M, even when stored for extended periods, does not change the immunogenicity of the tested Quad-NIV formulations.
Pre-mixed formulations at 25° C. had similar immunogenic capabilities compared with bedside mix formulations at 25° C. For instance, the 1.5 μg pre-mix groups stored at 4° C. or 25° C. elicited similar HAI titer response against A/Michigan strain on day 21 (Table 5; GMT: 57 vs. 67, respectively). Combined with the stability of the pre-mix formulations stored at 25° C. for extended periods, the vaccines are thus especially useful for settings where cold-chain storage may be limited or absent.
The data shown in
The data confirm that the HaSMaN particles, formed with type A HA proteins, are at least as effective at inducing immune responses as HA nanoparticles with a detergent core not in HaSMaN form. The data shows that the interaction of HA nanoparticles with Matrix to form the HaSMaN does not negatively impact either the adjuvant effect of the Matrix or the immunogenicity of the HA protein itself. While HA nanoparticles appear to preserve stability of the HA protein by insertion in the detergent core, the data thus suggests that the HaSMaN particles may provide some protection for the HA protein structure and may also positively impact presentation to the immune system, without requiring the HA protein embedded in the detergent core.
The quadrivalent compositions that were previously tested for stability in mice in Example 6 were analyzed by analytical ultracentrifugation (AUC) to measure sedimentation velocity (SV) to determine particle size.
As previously described,
Next, we viewed a time-course of various samples described below under TEM to visually assess formation of HaSMaNs under the different conditions. Table 13 below shows the sample conditions and time points for testing the nanoparticle structures of pre-mix Quad-NIV formulations (high dose, HD and low dose, LD) by using TEM. The mark “X” indicates the sample conditions available for each time point. In addition, LD formulations were tested under various temperatures at 1 month (
These data show that HaSMaN formation requires upwards of about 4 hour co-incubation of the HA nanoparticles with Matrix M1. All conditions show HaSMaN formation within 48 hours. The formed HaSMaN particles are stable for extended periods. HaSMaN formation develops earlier with higher temperature and lower dosing amounts of the Quad-NIV.
This suggests that pre-filled syringe formulations containing HaSMaNs may be stored at room temperature, or higher (e.g., 37° C.), which will avoid costs for low temperature storage and shipping, and prevent potential inconsistencies of mixing and preparing the vaccines right before vaccination in the clinic.
The stability of Quad-NIV formulations described in Examples 6 and 7 was examined by DSC assay. 120 μg/mL/strain Quad-NIV with 100 μg/mL Matrix M1 was prepared in buffers containing 25 mM NaPi, 150 mM NaCl, 100 mM Arginine, 5% Trehalose, 0.03% PS80 at pH 7.S. All Quad-NIV samples were incubated at 4° C. for 3 months, 6 months or 12 months; or 25° C. for 3 months or 6 months. The DSC scan was conducted from 4° C. to 120° C. at 1° C. per minute and the molar heat capacities (Cp: kJ/mol.k) of Quad-NIV were measured.
DSC profiles and Tm are a measure of the thermal stability of a protein. The results show that the formation of HaSMaNs increases the Tm of the HA protein by about 0.5° C. to about 1° C., thereby improving the thermal stability of the HA protein in the HaSMaN compared to a detergent-core nanoparticle.
We investigated the ability of HA glycoproteins from different influenza strains to form HaSMaNs. Detergent-core nanoparticles were prepared and purified as described in Example 1 for the following strains: Type A: A/Hunan, A/Guangdong (both H7N9 sub-type) and A/Panama and A/Hong Kong/4801/2014 (both H3N2 subtype) and for Type B: B/Brisbane/60/2008.
The nanoparticles were mixed with Matrix M (85:15 w/w of Fraction A matrix and Fraction C matrix) for up to 4 weeks. The final HA concentration was 120 μg/mL (60 μg each A strain +60 μg each B strain in 0.5 mL). Free nHA was measured. Results are shown in
These data suggest that Type A strain HA glycoproteins form HaSMaNs but that Type B strain HA glycoproteins do not. We also tested an HA glycoprotein fusion protein having a foldon on the C terminal. The presence of the foldon blocked HaSMaN formation, indicating that the C-terminal must be free to permit the HA glycoprotein to form HaSMaNs.
This application is a continuation application of U.S. patent application Ser. No. 17/534,659, filed Nov. 24, 2021, which is a divisional application of U.S. patent application Ser. No. 16/357,876, filed Mar. 19, 2019, now U.S. Pat. No. 11,278,612, which claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application No. 62/644,623, filed Mar. 19, 2018; and U.S. Provisional Patent Application No. 62/787,980, filed Jan. 3, 2019, the contents of each of which are incorporated herein by reference in their entireties for all purposes. The application also incorporates herein by reference the contents of U.S. application Ser. No. 15/257,436, filed Sep. 6, 2016; and U.S. application Ser. No. 15/819,962, filed Nov. 21, 2017, in their entireties for all purposes.
| Number | Date | Country | |
|---|---|---|---|
| 62787980 | Jan 2019 | US | |
| 62644623 | Mar 2018 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 16357876 | Mar 2019 | US |
| Child | 17534659 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 17534659 | Nov 2021 | US |
| Child | 18403182 | US |
