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Title:
West nile DNA vaccine
United States Patent: 7,648,706
Issued: January 19, 2010
Inventors: Chu; Hsien-Jue
(Overland Park, KS)
Assignee: Wyeth LLC
(Madison, NJ)
Appl. No.: 11/589,528
Filed: October 30, 2006
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Covidien Pharmaceuticals Outsourcing
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Abstract
The present invention provides a safe and
effective vaccine composition against West Nile virus disease. An
immunogenically active component of West Nile virus or plasmid DNA, an
adjuvant such as a metabolizable oil, and a pharmacologically acceptable
carrier are formulated into an immunizing vaccine. The invention also
provides a method for the prevention or amelioration of West Nile disease,
such as encephalitis, in equidae by administering the vaccine composition
herein set forth.
Description of the
Invention
FIELD OF THE INVENTION
The present invention relates to safe and effective West Nile Virus
vaccines, and to methods of administering same to mammals, in particular
horses.
BACKGROUND OF THE INVENTION
Known as a Flavivirus, the West Nile virus was first identified in 1937 in
Africa and first found in North America in 1999. Migratory birds are
considered the primary means whereby infection is spread within and
between countries. The virus is transmitted by mosquitoes that have
acquired infection by feeding on viremic birds. The virus is then
amplified during periods of adult mosquito blood-feeding. Infected
mosquitos then transmit the virus to humans and animals upon feeding
thereon.
West Nile virus is the causative agent for West Nile Virus disease,
particularly West Nile encephalitis, predominately in humans, other
mammals and birds. The chief concern in both the United States and foreign
countries is the lack of effective treatment for West Nile virus disease.
Anti-inflammatory drugs are used to combat swelling of central nervous
system tissues, but beyond that no medical intervention is available. Nor
is there believed to be a suitable vaccine known to prevent the infection.
To date, preventing contact with carriers appears to be the only means of
controlling the West Nile virus.
What is therefore needed in the art is to provide a safe and effective
equine West Nile virus vaccine composition. The vaccine composition should
be sufficiently safened so as to be suitable for administration even to
pregnant mares without adverse effect.
Also needed is a method for the prevention or amelioration of West Nile
Virus disease, particularly West Nile encephalitis, in equidae and other
mammals.
SUMMARY OF THE INVENTION
The present invention provides a safened vaccine composition which
comprises: an effective immunizing amount of an immunogenically active
component selected from the group consisting of an inactivated whole or
subunit West Nile virus, an antigen derived from said virus, DNA derived
from said virus, and a mixture thereof; an immunogenically stimulating
amount of a metabolizable oil; and a pharmacologically acceptable carrier.
The present invention also provides a method for the prevention or
amelioration of West Nile encephalitis in equidae which comprises
administering to said equidae a safened vaccine composition which
comprises an effective immunizing amount of an immunogenically active
component selected from the group consisting of an inactivated whole or
subunit West Nile virus, an antigen derived from said virus, DNA derived
from said virus, and a mixture thereof; an immunogenically stimulating
amount of a metabolizable oil; and a pharmacologically acceptable carrier.
Also provided as part of the invention is a safe and effective West Nile
Virus vaccine suitable for use in horses which comprises an
immunogenically active component selected from the group consisting of an
inactivated whole or subunit West Nile virus, an antigen derived from said
virus, DNA derived from said virus, and a mixture thereof; an
immunogenically stimulating amount of a metabolizable oil; and a
pharmacologically acceptable carrier.
In a further embodiment, the invention describes a vaccine composition
comprising at least about at least about 1.times.10.sup.4 TCID.sub.50 per
unit dose of inactivated West Nile virus, or a component thereof, and
about 4% to 10% vol/vol of a metabolizable oil comprising about 1 to 3%
polyoxyethylene-polyoxypropylene block copolymer, about 2 to 6% of
squalane and about 0.1 to 0.5% of polyoxyethylene sorbitan monooleate.
Further provided is a safened and effective West Nile virus vaccine for
equidae, comprising at least about 1.times.10.sup.6 TCID.sub.50 per unit
dose of killed or inactivated West Nile virus, and at least about 1% vol/vol
of an adjuvant comprising at least one metabolizable oil and at least one
wetting or dispersing agent.
The invention also sets forth a vaccine regimen for horses, comprising two
dosage units of killed or inactivated West Nile virus, wherein each said
dosage unit comprises about 0.5 to 5 milliliters of a composition
containing at least about 5.times.10.sup.7 TCID.sub.50 of said virus and
about 1 to 10% vol/vol of an adjuvant, said adjuvant comprising at least
one metabolizable oil and at least two nonionic surfactants, and further
wherein said dosage unit comprises a pharmacologically acceptable carrier.
Also provided as part of the invention is an equine vaccine containing
West Nile plasmid DNA in an amount of about 50 to 3,000 micrograms per
dose, together with one or more adjuvants and a suitable carrier. A
vaccine regimen would comprise administering at least about one dose of
this composition, and desirably at least about 2 doses, to horses for
immunization against West Nile virus disease.
Further, objects and features of the invention will become apparent from
the detailed description and the claims set forth herein below.
DETAILED DESCRIPTION OF THE INVENTION
Scientists believe that the West Nile virus follows the same pattern of
infection found with other mosquito-transmitted viruses. When an infected
mosquito bites an equid, the virus enters the skin or tissues just below
the bite site, where it is picked up by the circulation. The virus can
multiply in the bloodstream, and the equid may develop a fever, which
often goes undetected because there are no other signs of illness at the
time. However, once the virus has invaded the nervous system, clinical
signs appear within one to three days. Most affected equidae, such as
horses, first exhibit signs of posterior weakness or paralysis and poor
coordination. Depression and related behavior changes may accompany the
physical changes. In severe cases, tremors, convulsions, paddling of the
limbs and paralysis may develop. Severe neurological problems and
mortality have also been observed. To date, no vaccine known to prevent
West Nile virus in equidae is available; and the only means of controlling
the West Nile virus appears to be the prevention of contact with a
carrier.
It has now been found that a safe and effective vaccine composition which
comprises an effective immunizing amount of an immunogenically active
component selected from the group consisting of an inactivated whole or
subunit West Nile virus, an antigen derived from said virus, DNA derived
from said virus, plasmid West Nile virus DNA, plasmid with sequence
inserts of said virus, and a mixture thereof; an immunogenically
stimulating amount of an adjuvant, in particular a metabolizable oil; and
a pharmacologically acceptable carrier may be administered to equidae,
particularly horses, to prevent or ameliorate West Nile Virus disease such
as encephalitis.
DNA derived from the West Nile virus may be obtained via isolation from
sources such as the fluids or tissues of equine or avian species diagnosed
to have West Nile encephalitis. Such sources include cerebral spinal fluid
or sections of spinal cord or brain. DNA may also be obtained using other
available techniques such as plasmid technology. For example, suitable
cells of an organism, e.g. E. coli, may be transformed with a plasmid
containing West Nile protein sequence inserts to obtain a master seed. The
master seed may then be cultured and passaged. Transformed cells
containing the West Nile DNA may then be harvested, and the DNA isolated
and obtained using techniques available to the skilled artisan.
Whole or subunit West Nile virus may be isolated from infected animals
using conventional techniques. Samples of the virus may also be obtained
from tissue culture collections which maintain a depository for organisms
such as West Nile. At the American Type Culture Collection (ATCC), for
example, the West Nile virus has been deposited under ATCC No.s VR-82,
VR-1267 and VR-1267 AF.
Whole or subunit West Nile virus may be inactivated by conventional
inactivating means, for example chemical inactivation using chemical
inactivating agents such as binary ethyleneimine, beta-propiolactone,
formalin, gluteraldehyde, sodium dodecyl sulfate, or the like or a mixture
thereof, preferably formalin. Said virus may also be inactivated by heat
or psoralen in the presence of ultraviolet light. (Live, attenuated West
Nile virus may also be used in certain embodiments, but this is perhaps
much less preferred.)
Whole or subunit West Nile virus may be maintained or grown in mouse
brains or in suitable tissue culture media, such as optiMEM (LTI, Grand
Island, N.Y.) or MEM media, or in cells known in the art such as African
green monkey kidney (Vero) cells or baby hamster (BHK) cells, preferably
Vero cells. Said virus may then be separated from the tissue culture or
cell media using conventional techniques such as centrifugation,
filtration or the like.
A preferred West Nile virus isolate may be obtained from the National
Veterinary Services Laboratory (part of the United States Department of
Agriculture) in Ames, Iowa as strain VM-2. The virus strain may be plaque
purified up to three times, and passaged to X+5 in Vero cells.
As used herein the term "immunogenically active" designates the ability to
stimulate an immune response, i.e., to stimulate the production of
antibodies, particularly humoral antibodies, or to stimulate a
cell-mediated response. For example, the ability to stimulate the
production of circulating or secretory antibodies or the production of a
cell-mediated response in local mucosal regions, (e.g., intestinal mucosa),
peripheral blood, cerebral spinal fluid or the like.
The effective immunizing amount of the immunogenically active component
may vary and may be any amount sufficient to evoke an immune response and
provide immunological protection against West Nile Virus disease. Amounts
wherein a dosage unit comprises at least about 1.times.10.sup.4
TCID.sub.50 of killed or inactivated whole or subunit virus cells or
antigen or DNA cells derived therefrom or a mixture thereof, preferably at
least about 1.times.10.sup.6 TCID.sub.50, are suitable. Even more
preferably, at least about 1.times.10.sup.7 TCID.sub.50 per dosage unit
may be utilized. It is especially desirable that at least about
5.times.10.sup.7 TCID.sub.50 of killed or inactivated whole or subunit
West Nile virus cells or antigen or DNA cells derived therefrom or a
mixture thereof be used in the vaccine composition of the invention. In
certain embodiments, as much as 1.times.10.sup.9 TCID.sub.50 and more may
be utilized. A range of about 1.times.10.sup.4 TCID.sub.50 to about
1.times.10.sup.8 TCID.sub.50 may also be utilized.
In a further embodiment of the invention, it is contemplated that about 50
to 3,000 micrograms (.mu.g or 10.sup.-6 grams) of West Nile plasmid DNA
may be utilized in one dosage unit of the vaccine composition. More
preferably, about 100 to 1,000 .mu.g may be used, with about 100 to 250 .mu.g
of plasmid DNA being more preferred.
At least one dosage unit per animal is contemplated herein as a
vaccination regimen. In some embodiments, two or more dosage units may be
especially useful. A dosage unit may typically be about 0.1 to 10
milliliters of vaccine composition, preferably about 0.5 to 5 milliliters,
and even more preferably about 1 to 2 milliliters, with each dosage unit
containing the heretofore described quantity of virus or virus component.
The skilled artisan will quickly recognize that a particular quantity of
vaccine composition per dosage unit, as well as the total number of dosage
units per vaccination regimen, may be optimized, so long as an effective
immunizing amount of the virus or a component thereof is ultimately
delivered to the animal.
The West Nile virus vaccine composition of the invention may also contain
one or more adjuvants. As used herein the term "adjuvant" refers to any
component which improves the body's response to a vaccine. The adjuvant
will typically comprise about 0.1 to 50% vol/vol of the vaccine
formulation of the invention, more preferably about 1 to 50% of the
vaccine, and even more desirably about 1 to 20% thereof. Amounts of about
4 to 10% may be even more preferred.
Suitable adjuvants can include immunostimulating oils such as certain
metabolizable oils. Metabolizable oils suitable for use in the composition
of the invention include oil emulsions, e.g., SP oil (hereinafter
described), Emulsigen (MPV Laboratories, Ralston, NZ), Montanide
264,266,26(Seppic SA, Paris, France), as well as peanut oil and other
vegetable-based oils, squalane (shark liver oil) or other metabolizable
oil which can be shown to be suitable as an adjuvant in veterinary vaccine
practice.
In addition, the adjuvant may include one or more wetting or dispersing
agents in amounts of about 0.1 to 25%, more preferably about 1 to 10%, and
even more preferably about 1 to 3% by volume of the adjuvant. Particularly
preferred as wetting or dispersing agents are non-ionic surfactants.
Useful non-ionic surfactants include polyoxyethylene/polyoxypropylene
block copolymers, especially those marketed under the trademark
PLURONIC.RTM. and available from BASF Corporation (Mt. Olive, N.J.). Other
useful nonionic surfactants include polyoxyethylene esters such as
polyoxyethylene sorbitan monooleate, available under the trademark TWEEN
80.RTM.. It may be desirable to include more than one, e.g. at least two,
wetting or dispersing agents in the adjuvant as part of the vaccine
composition of the invention.
Other components of the adjuvant may include such preservative compounds
as formalin and thimerosal in amounts of up to about 1% vol/vol of the
adjuvant.
As an adjuvant, SP oil is preferred. As used in the specification and
claims, the term "SP oil" designates an oil emulsion comprising a
polyoxyethylene-polyoxypropylene block copolymer, squalane,
polyoxyethylene sorbitan monooleate and a buffered salt solution. In
general, the SP oil emulsion will comprise about 1 to 3% vol/vol of block
copolymer, about 2 to 6% vol/vol of squalane, more particularly about 3 to
6% of squalane, and about 0.1 to 0.5% vol/vol of polyoxyethylene sorbitan
monooleate, with the remainder being a buffered salt solution.
When utilized, immunogenically stimulating amounts of SP oil as adjuvant
in the vaccine composition of the invention may vary according to the
immunogenically active component, the degree of potential infectious
exposure, method of administration of the vaccine composition, the age and
size of the equid, or the like. In general, amounts of about 1% to 50% vol/vol,
preferably about 4% to 10% vol/vol, and more preferably about 4% to 5% vol/vol
of SP oil are suitable.
In general, it is believed that a live virus vaccine may potentially lack
sufficient safety in a given target host, and that a killed or inactivated
virus vaccine may potentially lack the ability to stimulate a sufficiently
effective immunologic response. Commonly, an adjuvant or immunogenically
stimulating compound is used in combination with a killed or inactivated
virus in a vaccine composition to obtain acceptable efficacy. However,
safety to the target host is often compromised by the addition of an
adjuvant. For example, pregnant animals many times have been known to have
a significantly higher rate of miscarriage after being administered a
killed or inactivated virus vaccine that contains an adjuvant.
It has now been found that when a suitable adjuvant, e.g. a metabolizable
oil preferably such as SP oil, is used in combination with an
immunogenically active component as described hereinabove, the resultant
West Nile vaccine composition is safened for use in equidae, particularly
horses, even for use in pregnant mares, while demonstrating important
efficacy as well. Thus, the invention achieves the concomitant goals of
effective immunization and safety, especially for pregnant animals. This
combination of active immunogen and adjuvant is unheralded in the art.
Pharmacologically acceptable carriers suitable for use in the vaccine
composition of the invention may be any conventional liquid carrier
suitable for veterinary pharmaceutical compositions, preferably a balanced
salt solution or other water-based solution suitable for use in tissue
culture media. Other available carriers may also be utilized.
Additional excipients available in the art may also be included in the
vaccine composition according to the various embodiments heretofore
described. For example, pH modifiers may be utilized.
The components of the vaccine composition of the invention as heretofore
described, including the carrier, may be combined together using available
techniques.
In addition to the immunogenically active component of West Nile virus as
described hereinabove as active ingredient, it is contemplated that the
vaccine composition of the invention may also contain other active
components such as an antipathogenic component directed against rabies
virus, Eastern equine encephalitis virus, Western equine encephalitis
virus, Venezuelan equine encephalitis virus, equine herpes virus such as
EHV-1 or EHV-4, Ehrlichia risticii, Streptococcus equi, tetanus toxoid,
equine influenza virus (EIV), or the like or a combination thereof. The
quantities of one or more of these viruses may be determined from efficacy
literature in the art, or determined using available techniques.
In one embodiment of the invention the immunogenically active component of
the invention may be incorporated into liposomes using known technology
such as that described in Nature, 1974, 252, 252-254 or Journal of
Immunology, 1978, 120, 1109-13. In another embodiment of the invention,
the immunogenically active component of the invention may be conjugated to
suitable biological compounds such as polysaccharides, peptides, proteins,
or the like, or a combination thereof.
In a preferred embodiment of the invention, the inventive vaccine
composition may be formulated in dosage unit form as heretofore described
to facilitate administration and ensure uniformity of dosage. Formulation
may be effected using available techniques, such as those applicable to
preparations of emulsions.
The inventive vaccine composition may be administered parenterally, for
example, intramuscularly, subcutaneously, intraperitoneally, intradermally
or the like, preferably intramuscularly; or said composition may be
administered orally or intranasally.
Accordingly, the present invention also provides a method for the
prevention or amelioration of West Nile encephalitis in equidae,
preferably horses, which comprises administering to said equidae a safened
vaccine composition as described hereinabove.
In actual practice, the vaccine composition of the invention is
administered parenterally, subcutaneously, orally, intranasally, or by
other available means, preferably parenterally, more preferably
intramuscularly, in effective amounts according to a schedule which may be
determined by the time of anticipated potential exposure to a carrier of
the West Nile virus. In this way, the treated animal may have time to
build immunity prior to the natural exposure. By way of non-limiting
example, a typical treatment schedule or dosing regimen may include
parenteral administration, preferably intramuscular injection of one
dosage unit, at least about 2-8 weeks prior to potential exposure. At
least two administrations are preferred, for example one dosage unit at
about 8 weeks and a second dosage unit at about 3-5 weeks prior to
potential exposure of the treated animal. As heretofore set forth, a
dosage unit will typically be within the range of about 0.1 to 10
milliliters of vaccine composition containing the previously described
amounts of active and percentages of adjuvant and inactive(s) as set
forth. A dosage unit within the range of about 0.5 to 5 milliliters is
perhaps more preferred, with about 1 to 2 milliliter(s) being particularly
preferred.
Claim 1 of 20 Claims
1. A vaccine composition which comprises:
an effective immunizing amount of West Nile plasmid DNA, wherein said
plasmid DNA is pCBWN; an immunogenically stimulating amount of a
metabolizable oil; and a pharmacologically acceptable carrier. ____________________________________________
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