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Title:
Encapsulated vaccines for the oral vaccination and boostering of fish and
other animals
United States Patent: 7,998,502
Issued: August 16, 2011
Inventors: Harel; Moti
(Pikesville, MD)
Assignee: Advanced
Bionutrition Corp. (Columbia, MD)
Appl. No.: 12/409,607
Filed: March 24, 2009
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Covidien Pharmaceuticals Outsourcing
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Abstract
The invention relates to a composition
comprising a pharmaceutically active agent and a bioadhesive delivery
system that provides for the oral delivery of a vaccine to animals,
particularly aquatic animals.
Description of the
Invention
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to a composition comprising a
pharmaceutically active agent, such as, but not limited to, an immunogenic
agent (e.g., a vaccine), and a bioadhesive delivery system, that allows
the oral administration and delivery of the pharmaceutically active agent
essentially unaltered to the intestinal mucosa.
2. Background of Related Art
Orally delivered pharmaceutically active agents present a significant
problem in transiting an animal's stomach, an organ whose contents
represent a harsh digestive environment consisting of low pH and enzymes
specifically designed to denature proteins. As a consequence, orally
delivered bacterin or subunit vaccines have not been proven to be
efficacious since the antigens are generally modified by the stomach prior
to presentation to the immuno-responsive cells of the gut mucosa. A number
of approaches have been tested to provide an oral delivery vehicle that
would transit the stomach but most have been unsuccessful at the
commercial scale. One approach involves the transient changing of the
stomach pH, neutralizing gastric enzymes and stimulating the mucosal
immune response.
In 2003 about 200 million fish were vaccinated in Chile, primarily for
Yersiniosis, Salmonid Ricketsial Septicaemia, and Invectious Pancreatic
Necrosis (Bravo, 2007). Of the more than 20 vaccines for aquacultured fish
were brought to the Chilean market from 1999-2003, none were orally
delivered vaccines.
Salmon Rickettsial Septicaemia (SRS) is a pathology of salmonid fish
caused by the intracellular bacterium Piscrickettsia salmonis and is a
major infectious disease in the Chilean salmon industry with annual losses
exceeding 20%. Unlike other bacterial diseases, the anti-SRS vaccination
is not as effective in preventing the disease or in reducing the need for
post-infection medication. This is because of a gradual diminishing of the
SRS immunogenicity in the vaccinated fish. Boostering the vaccine at a
later stage should allow the continued protection of the animals
throughout the entire commercial growing period. However, it is extremely
difficult and economically impractical to provide parenteral vaccine
boosters to large animals in the grow-out net pens.
Almost all existing vaccines are delivered to aquatic animals by
injection, which is traumatic, inconvenient, time consuming, expensive,
has a number of side effects, and may fail to induce an appropriate
immunogenic response in mucosal tissues. Thus, a method and system for
delivery that avoids these disadvantages would be advantageous.
Perhaps the most well known antigen delivery systems are those derived
from the linear polymeric esters of lactic acid and glycolic acid (i.e.,
poly DL-lactide-co-glycolide, PLGA, reviewed by Wu (Wu, 2004). In such
systems, immunogenic subunit vaccine components have been captured in
poly-acrylate and poly-glycolide/lactide beads or liposome-like vesicles
through processes utilizing volatile organic solvents such as
dichloromethane or chloroform. The solvents are used to form emulsions of
polymer solutions or dried lipid films. Encapsulation of antigens into
PLGA microcapsules affords a number of advantages including rapid
degradation by hydrolysis and subsequent penetration of the Peyer's
Patches (concentrated sites of lymphocytic tissue in the intestinal mucosa
of higher vertebrates but not in fish). A major disadvantage of PLGA
microcapsules is the requisite use of organic solvents. Contact with
organic solvents can inactivate or reduce the efficacy of the vaccine by
altering the immunogenicity of surface proteins critical to induction of
humoral or cellular immune responses. Additionally, Poly-acrylate and
poly-glycolide/lactide processes typically result in microbeads with
extremely low immunogen or antigen capture efficiency.
Polymer microspheres and lamellar particles (e.g., liposomes) have been
employed for the improved parenteral and mucosal administration of
antigens. Because vaccines themselves may not be efficiently recognized
and taken up by mucosal lymphocytes, they typically need to be
co-administered with penetration enhancers or adjuvants. Different classes
of polymer mixtures are known for potential use as Mucoadhesives (Malik et
al., 2007). These include synthetic polymers such as poly (acrylic acid) (PAA),
hydroxypropyl methylcellulose and poly(methylacrylate) derivatives, as
well as naturally occurring polymers such as hyaluronic acid and chitosan.
Chitosan has been used for a variety of applications as a biomaterial for
tissue engineering, wound healing, and as an excipient for drug delivery
(Chopra et al., 2006; Dang and Leong, 2006). Chitosan has occasionally
been tested as an adjuvant for mucosal application (Kim et al., 2007), but
it is typically applied directly to a mucosal surface such as intranasal
application in order to obtain IgA response in the nasopharyngeal mucosa
of terrestrial animals (Kang et al., 2007). However, the use of chitosan
in vaccine delivery remains very limited due to poor physicochemical
characteristics such as a high transition temperature and interfacial free
energy, resulting in a suboptimal interaction with mucosal surfaces and
loose interpenetration and interdiffusion of the polymer. This problem is
further compounded when used for poikilotheric lower vertebrates like
salmonid fish. Chitosan also has the additional disadvantage of a low
mechanical strength and solubility.
Thus, there remains a need for effective systems and processes for
microencapsulation of immunogenic substances with polymers having superior
adhesive and cohesive properties.
SUMMARY OF THE INVENTION
The present invention overcomes the shortcomings of the above-discussed
encapsulation systems, wherein the present invention discloses a
composition designed for an oral delivery of a primary and or booster
vaccination that can be used for animals housed in the not only in
hatchery but also grow-out pens. The exceptional mucoadhesive properties
of compositions of the present invention provide a successful method of
transmucosal drug delivery, especially for lower vertebrates with less
developed digestive system and no Peyer's Patches such as fish.
One aspect of the present invention provides for a bioadhesive delivery
system comprising a composition including a cationic polysaccharide, a
neutral polysaccharide in combination with a pharmaceutically active
agent, such as an immunogenic agent. Surprisingly, the immunogenic agent
when administered with the cationic polysaccharide and neutral
polysaccharide results in a similar or better immunologic induction than
parenteral administration of the pharmaceutically active agent.
Another aspect of the present invention provides for a composition
comprising a cationic polysaccharide, a neutral polysaccharide in
combination with a pharmaceutically active agent, wherein the cationic
polysaccharide is chitosan and the neutral polysaccharide is a fructan,
and more preferably, an inulin or fragments thereof.
A further aspect of the present invention provides for oral delivery of a
pharmaceutically active agent, such as an antigen, wherein the
pharmaceutically active agent is released at the site of action (i.e., the
Gut Associated Lymphoid Tissue; GALT) along the foregut and hindgut of the
animal. Importantly, the delivery vehicle comprising a cationic
polysaccharide, a neutral polysaccharide in combination with the
pharmaceutically active agent, further provides protection of the antigen
during transit through the stomach of the animal and then provides a
gradual dissolution, corresponding to the hindgut transit time of about 2
hours, and permits reproducible release of the antigen therein.
A still further aspect of the present invention provides for a method of
producing a bioadhesive delivery vehicle for vaccination of animals, such
as aquatic animals, wherein the delivery vehicle is in a form of dry
microparticles comprising an immunogenic agent embedded or impregnated in
a composite matrix of cross-linked chitosan, oligosaccharides, saccharides.
Any applicable oligosaccharides may be used in the composition. Common
oligosaccharides include fructo-oligosaccharides (FOS), galacto-oligosaccharides
(GOS), and inulins. In a preferred embodiment of the invention, the method
comprises producing a bioadhesive delivery vehicle containing an SRS
vaccine for use in salmonid fish.
Another aspect of the present invention provides for a feed regime wherein
animals are fed a bioadhesive delivery vehicle comprising a cationic
polysaccharide, a neutral polysaccharide in combination with a
pharmaceutically active agent, for the oral vaccination of animals. In a
preferred embodiment, the vaccinated animal is a fish and, in a more
preferred embodiment the fish are salmonids and the oral vaccination, or
booster, is to prevent the disease known as SRS.
A still further aspect of the present invention provides for a composition
for stablilizing and delivery of a pharmaceutically active agent to the
gut, the composition comprising chitosan and inulin in combination with an
emulsifier/sugar complex, wherein the emulsifier/sugar complex comprises
lecithin and is in an amount sufficient to mediate the interaction between
inulin and the hydrophobic amine residues of chitosan.
Another aspect of the present invention provides for a method of preparing
a composition for oral delivery of a pharmaceutically active ingredient
comprising: a) preparing an acidic aqueous solution comprising at least
one bioadhesive polymer, wherein the bioadhesive polymer is chitosan and
the acidic solution has a pH low enough to gelatinize the chitosan; b)
combining an oligosaccharide, such as inulin, into the solution with the
gelatinized chitosan to form a inulin-chitosan solution; c) combining an
emulsifier with a sugar, wherein the sugar and emulsifer form a
sugar/emulsifier complex; d) introducing the sugar/emulsifier complex into
the inulin-chitosan solution to form a smooth emulsion while maintaining
the acidic pH of the solution; e) adding a pharmaceutically active agent
into the smooth emulsion; and f) precipitating the emulsion into a
phosphate containing cross-linking solution.
DETAILED DESCRIPTION OF THE INVENTION
The present invention provides an improved immunogenic substance for oral
delivery. The invention is based on the discovery of unexpected synergetic
properties of a complex mixture of chitosan and a fructan.
Fructans or fructosans are oligosaccharides or polysaccharides comprising
a sequence of anhydrofructose units optionally combined with one [lacuna]
more different saccharide residues of the fructose. Fructans can be linear
or branched. Fructans can be products obtained directly from a plant or
microbial source or else products with a chain length which has been
modified (increased or reduced) by splitting, synthesis or hydrolysis, in
particular of the enzymatic variety. Fructans generally have a degree of
polymerization from 2 to approximately 1 000 and preferably from 3 to
approximately 60.
The fructan is preferably used in an amount of between 0.01 and 20% by
weight with respect to the total weight of the composition. More
preferably, this amount is between 0.05 and 15% by weight with respect to
the total weight of the composition and more preferably between 1 and 10%
by weight.
The preferred fructans are inulins. Inulins refer to a group of
naturally-occurring fructose-containing oligosaccharides. Because inulin
fiber is resistant to digestion in the upper gastrointestinal tract (i.e.,
the stomach), it reaches the large intestine essentially intact, where it
can be digested by indigenous bacteria. Inulins generally consist of
chains of polyfructose in which the fructose units are connected to each
other mostly or exclusively by .beta.-(2-1) linkages. Inulin occurs in
nature, in general, as a polydisperse mixture of polyfructose chains, most
of which terminate in one glucosyl unit. They are derived from the roots
of chicory (Cichorium intybus), the dahlia and Jerusalem artichokes.
Additonally, inulin can be obtained from bacterial syntheses or can be
made in vitro by enzymatic synthesis starting from sucrose. It has been
shown that inulin stimulates mucosal immunity and seems to improve
efficacy of a Salmonella vaccine in mice (Benyacoub et al., 2008).
Although the mechanism of action is unclear, several studies have proposed
that inulin may induce changes in colonic epithelium by stimulating
proliferation in the crypts, increasing the concentration of polyamines,
changing the profile of mucins, and/or modulating endocrine as well as
immune functions (Roberfroid, 2005). The average degree of polymerisation
of inulins marketed as nutritional supplements is 10 to 12. Inulins
stimulate the growth of Bifidobacterium species in the large intestine.
Fructooligosaccharides or FOS typically refer to short-chain
oligosaccharides comprised of D-fructose and D-glucose, containing from
three to five monosaccharide units. FOS, also called neosugar and
short-chain FOS, are produced on a commercial scale from sucrose using a
fungal fructosyltransferase enzyme. FOS are resistant to digestion in the
upper gastrointestinal tract. They act to stimulate the growth of
Bifidobacterium species in the large intestine.
Chitosan is a linear cationic polysaccharide which is gelled or
crosslinked in the presence of anions, such as citrate, phosphate or
sulfate. Chitosan has also been shown to possess useful properties such as
non-toxicity, high biocompatibility and non-antigenicity. While chitosan
is itself largely insoluble in water, solubility markedly increases if the
pH is shifted towards the acid condition. To obtain an appreciable polymer
concentration, it is therefore necessary to prepare the solution or
dispersion with simultaneous use of an acid. To be able to more easily
remove this acid from the composition later, it turned out that the acid
should have a low boiling point, namely preferably maximally 140.degree.
C., in particular maximally 120.degree. C., especially preferred maximally
100.degree. C., and most preferably maximally 80.degree. C., such as
hydrogen chloride, hydrogen bromide, trifluoracetic acid, formic acid and
acetic acid. Other suitable are also acids forming a lower-boiling binary
azeotrope with water, such as acetic acid or propionic acid.
Chitosan can be obtained through the deacetylation of chitin, the major
compound of exoskeletons in crustaceans. Chitosan
[a-(1.about.4)-2-amino-2-deoxy-.beta.-D-glucan], a mucopolysaccharide
closely related to cellulose, exhibits chemical properties that are
determined by the molecular weight, degree of deacetylation, and
viscosity. Chitosan can form microparticles and nanoparticles that can
encapsulate large amounts of antigens (van der Lubben et al., 2001; Davis,
2006). In the acidic environment of the stomach, chitosan retains its
positive charges that hold the particle together. It has been shown that
ovalbumin loaded chitosan microparticles can be taken up by the Peyer's
Patches of the gut associated lymphoid tissue of higher vertebrates.
Additionally, after co-administering chitosan with antigens in nasal
vaccination studies in a strong enhancement of both mucosal and systemic
immune responses in mice was observed (van der Lubben et al., 2001).
Preparation of the Bioadhesive Delivery System specific to gut mucosa: An
aqueous solution or suspension of a pharmaceutically active agent (e.g.,
an immunogenic agent, including, but not limited to vaccines) and, if
desired, an adjuvant including, but not limited to beta glucan,
lipopolysaccharide, aluminium salts, squalene and/or virosomes, is
dissolved or suspended in an aqueous solution of a suitable mucoadhesive
polymer such as, but not limited to, chitosan and a suitable
oligosaccharide such as, but not limited to, inulin. The resulting
solution/suspension is then dispersed directly or by atomization into an
aqueous cross-linking solution containing water-soluble phosphate salts.
Upon contact, a salt exchange reaction (cross-linking) takes place,
resulting in the formation of beads or capsules in which the
pharmaceutically active agent is retained. The resulting suspension of
microparticles containing the encased pharmaceutically active agent is
then collected, dried, and milled if necessary to form particles having a
size range from 10-1000 micron. Details of the preparation are set out in
the series of steps described below:
Step (a): Preparation of complex mucoadhesive hydrogel. A mucoadhesive
polymer such as chitosan, at a concentration of 1 to 10% (w/w), is
dispersed in 1-5 N acetic acid solution at a temperature range of 20 to
65.degree. C. until all polymer granules are fully dissolved. Preferably,
the chitosan is at least 85% deacetylated. Additionally it is preferred
that the pH is of the acidic aqueous solution is from about 2 to about 4.
The gelatinization of the polymer granules is required in order to prepare
a microparticle possessing the immunogenic property.
In embodiments of the invention, indigestible short chain oligosaccharide
components are also be added at a concentration of from about 1 to 30%
(w/w) to improve protection of the antigen from stomach acidity, bile
acids and proteases and increase the intestinal adsorption of the antigen.
Examples of applicable materials include, but not limited to, chitosan
oligosaccharide (COS), inulin, fructooligosaccharides (FOS), and dextrin.
These absorption-increasing components may dissolve more readily in
intestinal juices than other matrix materials. Consequently, permeability
and biodegradability of the matrix polymer can be increased, resulting in
an improved release of the pharmaceutically active agent at the desired
location in the GALT of the intestinal mucosa.
Step (b): Complex formation of the mucoadhesive material and a short chain
oligosaccharide. Without wishing to be bound by theory, it is believed
that the processes described herein yield a novel complex composition
mediated by an emulsifier/sugar complex and comprising polysaccharides and
oligosaccharides in the form of a complex matrix having an insoluble
microparticle nature. The emulsifier and sugar molecules mediate the
interaction between hydroxyl residues of the short chain oligosaccharide
and hydrophobic amine residues of the cationic polysaccharide. Generally,
the emulsifiers can be, but are not limited to, any of monoglycerides,
sorbitan esters, propylene glycol esters, lecithin, polysorbates and
sucrose esters of medium and long chain saturated fatty acids, and the
sugars will be any mono- or disaccharides such as, but not limited to
glucose, fructose, or sucrose. A solution comprising an emulsifier/sugar
mediating mixture (containing 0.5 to 12.5% w/w emulsifier and 5-30% w/w
sugar) is added to the gelatinized mucoadhesive polysaccharide and short
chain oligosaccharide solution at a temperature range of from 20 to
65.degree. C. and pH 3-5 until a smooth and stable emulsion has formed.
This emulsion is stabilized by the interaction between positive charge of
the cationic polysaccharide, the emulsifier and hydroxyl groups of the
short chain oilgosaccharides. The increased hydrophobicity and elasticity
of the mucoadhesive polysaccharide and emulsifier helps delay or prevent
penetration of water or gastric juices into the matrix once formed into
microparticles. The acidity of the product slurry is then gradually
increased to pH 6.2 by the addition of base such as, but not limited to
sodium hydroxide.
Step (c): Addition of immunogenic substance and cross-linking reaction. A
solution comprising a pharmaceutically active agent. such as, but not
limited to, an immunogen or immunogenic antigen is dissolved into the
slurry described in Step (b) above, and the composition can be dried to
produce a powder by a number of art-recognized methods including, but not
limited to, low temperature spray drying, belt drying, freeze drying, drum
drying or flash drying. In a preferred embodiment, the dispersion is
passed through a tube or needle ranging from 10 um to 1,000 um in diameter
to fall dropwise or in a continuous stream into a cross-linked solution
containing 1-10% sodium triphosphate in water. Alternatively, the slurry
can be spray-atomized into an aqueous solution containing 1-10% sodium
triphosphate. Wet particles can be harvested from the cross-linking bath
by any suitable means well known in the art (e.g., filtration,
centrifugation, etc) and mixed with any acceptable thickening agent such
as methylcellulose, pectin, alginate, xanthan gum, carboxymethyl
cellulose, hydroxypropyl cellulose, and the like, and sprayed onto feed
pellets (i.e., top-coated). Alternatively, the wet particles can be dried
using conventional processes well known in the art such as, but not
limited to, vacuum drying, spray drying, and tunnel drying, milled to the
appropriate size class if necessary, and then mixed with fish oil or other
edible oils prior to application to a standard commercially available feed
by top-coating using methods known in the art.
Feeding strategy for oral vaccination: Juvenile fish having a mature
immune system (for Atlantic Salmon generally at about 0.5 g) are ready to
be orally vaccinated. However the instant invention provides a flexible
strategy that also allows the vaccination of, or boosting the immunogenic
response of larger fish and other animals. To effectively induce the
immunogenic response, the fish or other animals should be orally fed in a
single event at a similar or greater dose of immunogen that is usually
provided by injection. To maximize the fish immunogencity and depending
the on Immunogen type, fish size and responsiveness, this single feeding
event may be repeated (e.g., every three days for up to ten feeding
events).
Claim 1 of 11 Claims
1. A composition for oral administration
to an animal for intestinal delivery of a pharmaceutically active agent,
said composition comprising: a) at least one bioadhesive polymer selected
from the group consisting of chitosan, hyaluronic acid, cationic guar, and
combinations thereof; wherein the bioadhesive polymer is present at a
concentration of between 1% and 10%; b) at least one oligosaccharide
selected from the group consisting of inulin, fructooligosaccharide and
dextrin, wherein the oligosaccharide is present at a concentration of
between 1% and 50%; c) at least one mediating compound having both
hydrophilic and lipophilic properties, wherein the mediating compound
comprises an emulsifier/sugar complex containing 0.5 to 12.5% w/w
emulsifier and 5-30% w/w sugar, and d) a pharmaceutically active agent.
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