|
|

Title: Mucosal administration of substances to mammals
United States Patent: 6,017,513
Inventors: Betbeder; Didier (Aucamville, FR); Etienne;
Alain (Toulouse, FR); de Miguel; Ignacio (Plaisance du Touch, FR);
Kravtzoff; Roger (Fourquevaux, FR); Major; Michel (Toulouse, FR)
Assignee: Biovector Therapeutics, S.A. (Labege Cedex,
FR)
Appl. No.: 987436
Filed: December 9, 1997
Abstract
A novel method for the mucosal administration of a substance to a
mammal is provided. The method comprises contacting a mucosal surface of
the mammal with the substance in combination with a Biovector. The
Biovector has a core that comprises a natural polymer, or a derivative or
a hydrolysate of a natural polymer, or a mixture thereof. A preferred
natural polymer is a polysaccharide or an oligosaccharide. The core is
optionally coated with an amphiphilic compound, such as a lipid.
DETAILED DESCRIPTION OF THE INVENTION
In the description of the invention below, the following
interpretations will apply. The word "comprise" followed by an
element of the invention used in describing an embodiment of the invention
means that the embodiment includes, but is not necessarily limited to,
that element. The embodiment may include other members of the same element
or other elements as well. An element disclosed in the singular, i.e.
"substance," does not preclude the presence of more than one
element, i.e. "substances." All numbers are approximate, unless
the language of the specification or its context indicates otherwise.
It has unexpectedly been discovered that Biovectors, as described in
International PCT Application WO 94/23701, WO 94/20078, and WO 96/06638,
are particularly well suited for the mucosal administration of substances
to mammals, including farm animals, pet animals, laboratory animals, and
humans. The mucosa refers to the epithelial tissue that lines the internal
cavities of the body. For example, the mucosa comprises the alimentary
canal, including the mouth, esophagus, stomach, intestines, and anus; the
respiratory tract, including the nasal passages, trachea, bronchi, and
lungs; and the genitalia. For the purpose of this specification, the
mucosa will also include the external surface of the eye, i.e. the cornea.
The substance in combination with the Biovector may be added to any
mucosal surface. Some particularly suitable mucosal surfaces include, for
example, the nasal, buccal, oral, vaginal, ocular, auditory, pulmonary
tract, urethral, digestive tract, or rectal surface.
The cross-linked polysaccharide or oligosaccharide preferably binds
non-specifically to the mucosal surface. Applicants have unexpectedly
discovered that non-specifically binding polysaccharides and
oligosaccharides in accordance with the invention make superior carriers
for delivering substances to mucosal surfaces. This discovery is
surprising since, as mentioned above, European Patent 352 295 of Access
Pharmaceuticals reported the requirement for a multivalent binding agent
specific for endothelial surface determinants in carriers for drugs and
diagnostic agents.
Properties of Biovectors
The Biovector comprises a core of a natural hydrophilic polymer, such as,
for example, a cross-linked polysaccharide or a cross-linked
oligosaccharide, or a derivative or hydrolysate of a cross-linked
polysaccharide or a cross-linked oligosaccharide, or a mixture thereof.
The polysaccharide or oligosaccharide may be naturally cross-linked or may
be chemically cross-linked by methods known in the art. Some suitable
chemical cross-linking methods include, for example, contacting the
polysaccharide or oligosaccharide with a multi-functional agent, such as
epichlorohydrin or phosphorous oxychloride. The minimum molar ratio of
cross-linking agent to glucose residue may be, for example, 1:15, 1:12, or
1:10 in the case of phosphorous oxychloride and 1:50, 1:40, or 1:30 in the
case of epichlorohydrin. The maximum molar ratio of cross-linking agent to
glucose residue may be, for example, 1:0.5, 1:0.7, or 1:1 in the case of
phosphorous oxychloride and 1:2, 1:3, or 1:5 in the case of
epichlorohydrin. For epichlorohydrin, a preferred range of ratios of
cross-linking agent to glucose residue is 1:15 to 1:7. For phosphorous
oxychloride, a preferred range of ratios of cross-linking agent to glucose
residue is 1:7 to 1:2. When phosphorous oxychloride is used as the
multi-functional agent, the cross-linked product preferably comprises
approximately 0.1 to 3.0 mmole phosphate/gram, preferably 0.4 to 1.0 mmole
phosphate/gram, of final product.
Some suitable examples of naturally cross-linked polysaccharides include,
for example, cellulose and its derivatives. Some suitable examples of
chemically cross-linked polysaccharides include, for example,
epichlorohydrin cross-linked starch, i.e. degradable starch microspheres
(DSM), and epichlorohydrin cross-linked dextran, i.e. Sephadex.
The polysaccharides or oligosaccharides useful in the present invention
may be derived from any saccharide monomer. Glucose is the preferred
monosaccharide. The polymers or oligomers may be formed from the monomers
in either the .alpha. or .beta. orientation, and may be linked at the 1-4
or 1-6 positions of each saccharide unit The polysaccharides or
oligosaccharides preferably have a molecular weight between 1,000 to
2,000,000 daltons, preferably 2,000 to 100,000 daltons, and most
preferably 3,000 to 10,000 daltons.
The preferred polysaccharides are starch (glucose .alpha. 14 polymers) and
dextran (glucose .alpha. 1-6 polymers derived from bacteria). Starch is
especially preferred. Starch from any of the well known sources of starch
is suitable. Some suitable sources of starch include, for example, potato,
wheat, corn, etc. Other suitable polysaccharides include, for example,
pectins, amylopectins, chitosan, and glycosaminoglycan.
The cross-linked polysaccharides or oligosaccharides may also be
derivatives of hydrolysates of the cross-linked polysaccharides or
oligosaccharides mentioned above. Some preferred hydrolysates of starch
include, for example, acid hydrolyzed starch, such as dextrins, or enzyme
hydrolyzed starch, such as maltodextrins. The hydrolysis degree of the
polysaccharide or oligosaccharide is determined by the reducing power of
the hydrolysate, commonly expressed as the Dextrose Equivalent (DE) . The
DE range preferably varies between 2 to 20, preferably 2 to 12.
An ionic group (0 to 3 milliequivalents, preferably 0 to 2
milliequivalents, of ionic charge per gram) is optionally grafted to the
cross-linked polysaccharide or oligosaccharide. The ionic group may be an
anionic group or a cationic group. The Biovectors preferably have a
minimum of 0.2, 0.4, 0.6, or 0.8 milliequivalents of ionic charge per gram
of polysaccharide core, and a maximum of 1.2, 1.4, 1.6, or 1.8
milliequivalents of ionic charge per gram of polysaccharide core. Methods
are known in the art for grafting ionic groups to polysaccharides and
oligosaccharides.
The cross-linked polysaccharide or oligosaccharide may be made anionic by
grafting a negatively charged or acidic group. Some suitable anionic
groups grafted to the polysaccharide or oligosaccharide include, for
example, phosphate, sulfate, or carboxylate. The anionic group may be
grafted by treating the polysaccharide or oligosaccharide with an
activated derivative of a polyhydric acid, such as phosphoric acid,
sulfuric acid, succinic acid, or citric acid. Activated derivatives of
polyhydric acids include, for example, acyl halides, anhydrides, and
activated esters. The preferred anionic group is phosphate grafted via
treatment with phosphorous oxychloride. A Biovector to which a phosphate
group is grafted is referred to as SMBV-P.
The polysaccharide or oligosaccharide may be made cationic by grafting a
ligand that comprises a positively charged or basic group. Some suitable
cationic groups grafted to the polysaccharide or oligosaccharide include,
for example, quaternary ammonium ions, and primary, secondary, or tertiary
amines. Some suitable ligands that can be grafted to the polysaccharide or
oligosaccharide include, for example, choline,
2-hydroxypropyltrimethylammonium, 2-dimethylaminoethanol,
2-diethylaminoethanol, 2-dimethylaminoethylamine, and
2-diethylaminoethylamine. These ligands may be conveniently grafted to the
polysaccharide or oligosaccharide by methods known in the art, such as,
for example, by contacting the polysaccharide or oligosaccharide with a
suitable derivative of the respective alkyl group, such as a chloride,
bromide, iodide, or epoxide.
Another suitable method for grafting cationic groups to the polysaccharide
or oligosaccharide includes grafting a polyhydric acid, as described
above, and then using a free acid group, such as a free carboxylate group,
to graft the basic ligand via, for example, an amide or ester bond. Amino
acids are conveniently grafted this way. Some suitable examples of amino
acids include, for example, glycine, alanine, glutamic acid or aspartic
acid.
The preferred cationic group is quaternary ammonium. A Biovector to which
a quaternary ammonium group is grafted is referred to as SMBV-Q.
It should be noted that Illum et al., International Journal of
Pharmaceutics 39, 189-199 (1987), have reported finding no detectable
amount of model drugs released from a cationic dextran microsphere,
DEAE-Sephadex. Illum et al. attribute this lack of release to binding of
the model drug to the cationic binding sites in the microsphere matrix.
Applicants have, however, unexpectedly found efficient release of
substances from polysaccharides, to which cationic groups have been
grafted.
Optionally, the polysaccharide or oligosaccharide core of the Biovector is
covalently bonded to a layer of lipid compounds. The layer of lipid
compounds may coat the polysaccharide or oligosaccharide core either
partially or completely. The lipid layer preferably comprises natural
fatty acids, as described in International PCT Application WO 94/23701.
The cross-linked polysaccharide or oligosaccharide, either with or without
a lipid layer, may also optionally be partially or completely coated with
an outer layer one or more amphiphilic compounds. Such Biovectors are
referred to as light Biovectors or L-SMBV. Biovectors consisting only of a
core of cross-linked polysaccharide or oligosaccharide are referred to as
core Biovectors.
The amphiphilic coating preferably adheres to the cross-linked
polysaccharide or oligosaccharide, or to the optional lipid layer, by
means of non-covalent bonds, such as by means of ionic or hydrogen bonds.
The amphiphilic compounds suitable for the coating are selected to confer
a physico-chemical environment appropriate to the substance, the mode of
mucosal administration, and the desired effect.
The amphiphilic coating may comprise any amphiphilic compound that can be
adsorbed on the surface of the core of the Biovector. Preferably, the
amphiphilic coating comprises mainly a natural or synthetic phospholipid
or ceramide, or a mixture thereof.
The phosphate group of the phospholipid may optionally be grafted to ionic
or neutral groups. Some suitable phospholipids include, for example,
phosphatidyl choline, phosphatidyl hydroxycholine, phosphatidyl
ethanolamine, phosphatidyl serine, and phosphatidyl glycerol. A preferred
phospholipid is dipalmitoyl phosphatidylcholine (DPPC).
The amphiphilic coating may also comprise a derivative of a phospholipid
or ceramide. Some suitable derivatives of phospholipids include PEG-phospholipids,
and phospholipids grafted to other molecules or polymers.
The amphiphilic coating may also comprise other amphiphilic compounds,
either by themselves or in combination with the phospholipids, ceramides,
or derivatives described above. Some suitable examples of such other
amphiphilic compounds include poloxamers, modified polyoxyethylene, and
other detergents and surface active compounds.
Additional compounds and mixtures thereof may be added to the
phospholipids or ceramides in the amphiphilic coating. Some examples of
such additional compounds include fatty acids, steroids (such as
cholesterol), triglycerides, lipoproteins, glycolipids, vitamins,
detergents, and surface active agents.
The preparation of Biovectors may normally be conveniently carried out,
either as a simple one-step process (in case of a core Biovector) or a as
a two step process: the core is first prepared and then is coated with an
amphiphilic compound to create a light Biovector.
The size of the Biovector is an important element of the present
invention. For example, Illum et al. have emphasized the importance of
microspheres having a size larger than 10 .mu.m for nasal delivery. See
Illum et al., International Journal of Pharmaceutics 39, 189-199 (1987).
Applicants have, however, unexpectedly found that Biovectors much smaller
than 10 um are highly efficient carriers for administering substances to
the nasal mucosa, as well as to other mucosa. The Biovectors of the
present invention preferably have a minimum diameter of about 20 nm, more
preferably about 30 nm, and most preferably about 40 nm. The maximum size
of the Biovectors is about 200 nm, more preferably about 150 nm, and most
preferably about 100 nm. The optimal size of the Biovector is between
60-90 nm, and most optimally about 80 nm.
The relatively small size of the Biovectors confers various advantages,
making the Biovectors even more suitable for administration to the mucosa.
For example, the Biovectors have larger relative surfaces and volumes than
larger nanospheres and microspheres. In addition, the small size of the
Biovectors permit convenient sterilization by microfiltration, thereby
avoiding the need for preservatives.
The Biovectors can be administered in various forms. For example, the
Biovectors can be administered in dispersed form, such as suspensions or
gels. The Biovectors can also be produced in dry form by methods known in
the art, and administered in a suitable metered-dosing device.
For example, a suspension or gel of dispersed Biovectors can be dried by
lyophilization or spray drying. All light Biovectors, such as anionic and
cationic light Biovectors, as well as all core Biovectors, such as anionic
and cationic core Biovectors, can be dried. The Biovectors may be
administered in dry form, or may be resuspended (i.e. rehydrated) in a
suitable medium, preferably a pharmaceutically acceptable aqueous liquid
or gel, and administered. For the purposes of this application,
resuspended Biovectors mean Biovectors that have been dried and
resuspended in a suitable medium.
Substances for Mucosal Administration
The substance administered to a mammal in combination with a Biovector in
accordance with the present invention may be any substance that is
administered to a mammal. Some suitable substances include, for example,
therapeutic agents, prophylactic agents, and diagnostic agents. A
substance may be introduced for more than one purpose, such as, for
example, as combination therapeutic and prophylactic agents, prophylactic
and diagnostic agents, and therapeutic and diagnostic agents.
The therapeutic agent may be any composition of matter used in the
treatment of diseases and conditions that afflict mammals. Some suitable
examples of therapeutic agents include a radiopharmaceutical, an analgesic
drug, an anesthetic agent, an anorectic agent, an anti-anemia agent, an
anti-asthma agent, an anti-diabetic agent, an antihistamine, an
anti-inflammatory drug, an antibiotic drug, an antimuscarinic drug, an
anti-neoplastic drug, an antiviral drug, a cardiovascular drug, a central
nervous system stimulator, a central nervous system depressant, an
anti-depressant, an anti-epileptic, an anxyolitic agent, a hypnotic agent,
a sedative, an anti-psychotic drug, a beta blocker, a hemostatic agent, a
hormone, a vasodilator, a vasoconstrictor, a vitamin, etc.
The prophylactic agent that is administered to a mammal in combination
with a Biovector according to the invention may be any prophylactic agent
used for preventing or reducing the effect of any disease or condition
that afflicts mammals by any mechanism. For example, the prophylactic
agent may be an antigen used in a vaccine against a pathogen. The pathogen
may, for example, be a virus or a microorganism, such as a bacterium, a
yeast, or a fungus. The virus may, for example, be an influenza virus,
such as Haemophilus influenzae; a cytomegalovirus; HIV; a papilloma virus;
a respiratory syncytial virus; a poliomyelitis virus; a pox virus, such as
chicken pox virus (i.e. varicella zoster virus); a measles virus; an arbor
virus; a Coxsackie virus; a herpes virus, such as herpes simplex virus; a
hantavirus; a hepatitis virus, such as hepatitis A, B, C, D, E, or G
virus; a lyme disease virus, such as Borrelia burgdorferi; a mumps virus,
such as Paramyxovirus; or a rotavirus, such as A, B, or C rotavirus.
Particularly good results have been obtained with vaccines against
influenza virus and HIV.
A bacterium against which a vaccine according to the present invention is
effective may be any bacterium capable of causing disease in mammals. For
example, the bacterium may be a member of the genus Neisseria, such as N.
gonorrhoeae and N. meningitidis; Aerobacter; Pseudomonas; Porphyromonas,
such as P. gingivalis; Salmonella; Escherichia, such as E. coli;
Pasteurella; Shigella; Bacillus; Helibacter, such as H. pylori;
Corynebacterium, such as C. diphteriae; Clostridium, such as C. tetanii;
Mycobacterium, such as M. tuberculosis and M. leprae; Yersinia, such as Y.
pestis; Staphylococcus; Bordetella, such as B. pertussis; Brucella, such
as B. abortus; Vibrio, such as V. cholerae; and Streptococcus, such as
mutants Streptococci.
Other pathogens against which a vaccine according to the present invention
is effective include, for example, a member of the genus Plasmodium, such
as the species that causes malaria; a member of the genus Schisostoma,
such as the species that causes Schisostomiasis or Bilharzia; and a member
of the genus Candida, such as C. albicans.
The substance that can be combined with a Biovector may be a diagnostic
agent. The diagnostic agent may be any composition of matter that is
introduced into a mammal for the purpose of detecting any disease or
condition, or to detect the concentration of a different substance added
to the mammal, such as a drug or a vaccine. For example, the diagnostic
agent may be a contrast agent or an imaging agent, including a magnetic
imaging agent, that is capable of detecting an organ or other internal
part of the body of the mammal. Alternatively, the diagnostic agent may be
capable of detecting irregularities within the mammal, such as
irregularities of the cornea, the respiratory tract, the digestive tract,
the auditory canal, the urethra, the rectum, or any other part of a mammal
containing a mucosal membrane.
For the above purposes, the diagnostic agent is advantageously labeled
with a detectable group. The detectable group may, for example, be a
radioactive group; a fluorescent group, such as, for example, fluorescene;
a visible group, such as, for example, a marker dye; or a magnetic group,
preferably suitable for magnetic resonance imaging.
The substance to be delivered in combination with a Biovector may, for
example, be a small chemical molecule or a biological molecule. A small
chemical molecule is usually a non-polymeric molecule that may or may not
occur naturally in the mammal to which it is administered. The small
chemical molecule may, for example, be an organic molecule, an inorganic
molecule, or an organo-metallic molecule. Some examples of small chemical
molecules include steroids, porphyrins, nucleotides, nucleosides, etc. as
well as mixtures, and derivatives thereof.
Biovectors are particularly effective in delivering biological molecules
to the mucosa For the purposes of this specification, a biological
molecule is a polymer of a type that occurs in nature, or a monomer or
moiety thereof. Such polymers typically comprise monomers such as amino
acids, nucleosides, nucleotides, and saccharides, and mixtures thereof.
Some structural classes of biological molecules include, for example,
amino acids, peptides, proteins, glycoproteins, and lipoproteins;
proteoglycans; monosaccharides, oligosaccharides, polysaccharides, and
lipopolysaccharides; fatty acids, including eicosanoids; lipids, including
triglycerides, phospholipids, and glycolipids.
Additional biological molecules that can be delivered to the mucosa by
means of Biovectors include nucleotides, nucleosides, and nucleic acid
molecules, including DNA and RNA polymers and oligomers. The nucleic acids
may be, for example, ribozymes and antisense oligonucleotides. Nucleic
acids may be administered for their own diagnostic or therapeutic
potential, or for their ability to be expressed in connection with gene
therapy.
Some functional classes of biological molecules include, for example,
cytokines, growth factors, enzymes, antigens, (including epitopes of
antigens and haptens), antibodies, hormones (including both natural and
synthetic hormones and their derivatives), co-factors, receptors,
enkephalins, endorphins, neurotransmitters, and nutrients. Some specific
examples of biological molecules include, for example, insulin, an
interferon, such as an .alpha.-, .beta.-, or .gamma.-interferon; an
interleukin, such as any of IL-1 to IL-15; any of the interleukin
receptors, such as IL-1 receptor; calcitonin; growth factors, such as
erythropoietin, thrombopoietin, epidermal growth factor, and insulin-like
growth factor-1.
Administration of the substance in accordance with the present invention
may be accompanied by one or more supplementary compound for enhancing the
activity, properties, or marketability of the substance. For example,
adjuvants that enhance the absorption efficiency of the mucosa are known
in the art. Some examples of such mucosa absorption enhancers include, for
example, bile salts, such as sodium glycocholate, and surfactants, such as
polyoxyethylene-9-lauryl ether. Adjuvants for enhancing the immunogenicity
of antigens are also known. Some examples of immunogenicity enhancers
include, for example, MPL, Quil A, QS 21, LPS, endotoxins, CTB, and BCG.
Some additional supplementary compounds include, for example,
disinfectants, preservatives, surfactants, stabilizing agents, chelating
agents, and coloring agents.
Another important feature of the present invention is the flexibility in
administering substances to the mucosa. For example, unlike most other
pharmaceutical carriers, the present invention provides for the delivery
of more than one substance per Biovector to be delivered to a mucosal
surface.
There is also flexibility in where the one, or more than one, substance is
located in the Biovector. For example, the one, or more than one,
substance may be located in the inner core of the cross-linked
polysaccharide or oligosaccharide. Alternatively, the one, or more than
one, substance may be located at the outer surface of the cross-linked
polysaccharide or oligosaccharide.
If the cross-linked polysaccharide or oligosaccharide is coated with an
amphiphilic layer, the one, or more than one, substance may be located in
the inner core of the amphiphilic compound layer. Alternatively, the one,
or more than one, substance may be located at the outer surface of the
amphiphilic compound layer.
If more than one substance per Biovector is administered to a mammal, some
or all of the substances may be located in the same part of the Biovector.
Alternatively, some or all of the substances may be located in the
different parts of the Biovector.
Methods are known for directing substances to various parts of Biovectors.
See International PCT Application WO94/20078.
As with other carriers, the substance may be pre-loaded in a Biovector,
and the loaded Biovector stored prior to administration to the mammal.
Preferably, however, the substance is post-loaded on an empty Biovector
just prior to packaging or, such as in the case of labile substances for
example, the Biovector may be used as the dilution media for entraping the
substance just prior to administration to the mammal. Methods are known
for pre-loading and post-loading Biovectors. See, for example,
International PCT Applications WO 94/20078, WO 94/23701, and WO 96/06638
of Biovector Therapeutics S.A.
Advantages of Mucosal Administration with Biovectors
Some of the advantages of the mucosal administration of substances to
mammals may be seen by reference to the examples below. These advantages
are described for illustrative reasons only. The present invention is not,
however, in any way limited by the examples.
As shown in the experiment described in Example II, for example, the ionic
groups permit the mode of administration of Biovectors to be varied
according to the requirements of a particular case. The protocol is
described in detail in Example II. Briefly, three cationic formulations
and three anionic formulations of 14 C-labeled Biovectors were
administered intranasally to rats. At various times, the rats were
sacrificed, and the percent of the label remaining in the nasal cavity and
in the plasma was determined.
The results of this experiment, which are shown in FIG. 1, demonstrated
that approximately 30% of the dose of three cationic Biovectors
administered intranasally to rats remained in the nasal cavity five
minutes after administration, and was still present after twelve hours.
The good mucoadhesion of the cationic Biovectors increased the residence
time of the Biovector in the target mucosa. The increased residence time
is important where increased bioavailability or a local effect of the
administered substance is desired. A local effect of the administered
substance is desired under a variety of circumstances.
For example, a local effect is desired when an antibiotic or antiviral
drug is administered to treat a local bacterial or viral infection.
Alternatively, a local effect is desired when a vaccine is administered to
protect a mammal against a mucosal infection by a microorganism or virus.
A third example of a situation where one desires a local effect is the
administration of a diagnostic agent to image an organ that contains a
mucosal membrane.
By contrast, the anionic Biovectors (SMBV-P1, SMBV-P2, and SMBV-P3), which
exhibit comparable initial mucoadhesion (five minutes), have a more rapid
clearance from the nasal mucosa than the cationic Biovectors. With the
anionic Biovectors, less than 10% of the dose remaining five minutes after
administration was found in the nasal cavities three hours after
administration. There was no significant variation for the three anionic
formulations tested.
A significant amount of labeled anionic Biovectors was, however, found in
the plasma three hours and, to a lesser extent, six hours after nasal
administration of SMBV-P1, SMBV-P2, and SMBV-P3, respectively. See Example
II and FIG. 2. Therefore, anionic Biovectors are of particular use when a
systemic response is desired.
In general, there are advantages in using positively charged Biovectors
for administering Biovectors that have enhanced mucosal residency times.
There are advantages in administering negatively charged Biovectors that
have enhanced ability to pass through the mucosa to the blood stream. The
advantages of both charge types of Biovectors can be combined by
administering a mixture of a positively charged Biovector and a negatively
charged Biovector.
The results of Example III confirm that in-vivo behavior of anionic
Biovectors (SMBV-P1, SMBV-P2, and SMBV-P3) is different from that of
cationic Biovectors (SMBV-Q1, SMBV-Q2, and SMBV-Q3). In this experiment,
rats treated in accordance with the protocol of Example 2 were sacrificed
after twelve hours, and the 14 C remaining in various organs
was measured.
As expected, the relatively large amounts of 14 C from cationic
Biovectors found in the nasal cavities, nasal cavity washings, and bronchi
indicate an increased residence time of cationic Biovectors in the mucosa
in which, or near which, the Biovectors are administered. For the anionic
Biovectors, the significant amount of 14 C found in the liver
and kidney demonstrates the increased trans-mucosal passage of the
Biovectors into the bloodstream.
The large amount of 14 C from both cationic and anionic
Biovectors found in the small and large intestine indicates that
elimination of Biovectors following nasal administration occurred through
the digestive tract. The increase in the residence time of Biovectors in
the digestive tract is especially significant for the oral administration
of antigens associated with Biovectors in the case of oral vaccination.
Further evidence for the good mucoadhesion of the cationic Biovectors is
demonstrated by the results shown in Example IV. In this experiment,
fluorescein-labeled cationic light Biovectors as either dispersed or
resuspended suspensions were administered intranasally to rats.
Approximately 20% of the resuspended Biovectors adhere to the mucosa upon
administration, and the same amount remains for at least twelve hours. The
dispersed Biovectors do not adhere to the nasal mucosa after three hours,
except at low levels. Approximately one third of the administered
fluorescent Biovectors are still found in suspension in the nasal washing
five minutes after administration, but none is found six hours later.
Example V provides important evidence of the superiority of Biovectors in
the mucosal administration of vaccines. In this experiment, a comparison
was made between the intranasal (i.n.) administration of a monovalent
split antigen of hemagglutinin (HA) and neuraminidase (N) prepared from
viral membranes in cationic light Biovectors with the intranasal and
subcutaneous (s.c.) administration of antigen alone. The experiment
demonstrates that the antigen administered i.n. in a Biovector is able to
elicit a superior mucosal and seric response.
Thus, the total IgG, specific IgG and inhibitory hemagglutination were at
the same order of magnitude when the antigen was administered i.n. in a
Biovector compared to antigen administered s.c. alone. However, the
antigen/Biovector formulation induces the production of circulating and
secretory IgA, while the antigen alone administered s.c. or i.n., for
practical purposes, did not.
Moreover, the ratio of specific IgG to total IgG in the nasal washing was
twice as high when the antigen was administered i.n. in a Biovector than
when the antigen was administered alone s.c. A higher ratio means that the
immune response is expected to be more specific and more protective. While
not wishing to be bound by any theory, applicants believe that membrane
antigens such as those used in this experiment are presented by the outer
layer of the Biovector, creating a lipid surrounding favorable for
presenting the antigen to the immune system.
The experiment described in Example VI compares the effect of different
formulations of the gp160 protein of HIV on the mucosal immune response of
rabbits. The protein was administered with two formulations of a
positively charged light Biovector, a dispersed formulation and an
resuspended formulation. As a control, the protein was administered in
combination with a potent mucosal adjuvant, subunit B of cholera toxin (CTB).
In each of the three cases, a series of immunizations were made at thirty
day intervals. The first two immunizations were vaginal, the second two
immunizations were oral, and the final immunization was intramuscular.
The results showed that the Biovectors were at least as efficient as CTB
in inducing specific IgA secretions in the vagina and in saliva ten days
after the second vaginal administration, (D40). The resuspended
SMBVs induced a 50% increase of the IgAs when compared to formulations of
the antigen with CTB or in dispersed SMBV.
It should be noted that vaginal administration of the antigen induced
secretion of :specific IgAs in the saliva as well as in the vagina. Thus,
the antigen, which entered the MALT (mucosal-associated lymphoid tissue)
at the vaginal level, induced the secretion of IgAs in situ. In addition,
the Biovector formulations were able to stimulate a robust IgA response in
the saliva by entering the so-called "common mucosal immune
system."
The experiment described in Example VII compares the intranasal
immunization of mice with influenza hemagglutinin in a control formulation
with that of four formulations of light Biovectors: dispersed and
positively charged, dispersed and negatively charged, resuspended and
positively charged, and resuspended and negatively charged. The effect of
pre-loading and post-loading each Biovector formulation on the relative
serum IgG titer after 28 days was measured. In addition, a comparison of
the relative titer obtained by administering the pre-loaded Biovectors to
animals that were awake with that obtained by administering the pre-loaded
Biovectors to animals that were anesthetized was made.
As expected, the control subunit antigen without any carrier or adjuvant
is not very immunogenic when administered intranasally to mice, either
anesthetized or awake. Of the SMBV subgroups, the positively charged and
dispersed Biovectors showed a significant improvement (by more than an
order of magnitude) of the titer over those obtained with the antigen
alone or other Biovector formulations. Both the pre-loaded and post-loaded
Biovectors have generally comparable effects. This versatility of the
Biovector can be of particular interest, allowing either a mixing of the
active substance with the Biovector upon administration, or integration of
the active substance with the Biovector prior to its use.
Surprisingly, the anesthetized animals did not show a significant increase
in antibody titers, suggesting that the deposition, if any, of the antigen
in the lower respiratory tract or the lung had little biological effect.
Claim 1 of 48 Claims
1. A method for the mucosal administration of a substance
to a mammal, the method comprising contacting a mucosal surface of the
mammal with the substance in combination with a Biovector core, wherein
the Biovector core comprises a natural polymer or a hydrolysate of a
natural polymer, or a mixture thereof, and wherein the core is uncoated;
or is partially or completely coated with no more than one layer, the
layer comprising a lipid compound covalently bonded to the core, or an
amphiphilic compound.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|