Specification
FIELD OF INVENTION
The present invention relates to field of live attenuated recombinant tetravalent dengue vaccines and
methods of producing stable compositions. Present invention specifically relates to a stable
composition and methods of using such a stable composition comprising live attenuated
recombinant dengue virus, stabilizer, bulking agent and optionally buffering agents, wherein the
live attenuated dengue virus is generated from A 30 and or A 31 deleted or mutated dengue strains.
More specifically, the present invention relates to stabilizers for freeze-dried live attenuated
immunogenic and/or vaccine compositions that may comprise, inter alia, dengue virus(es)! The
invention further relates to stabilized, freeze-dried live attenuated immunogenic and/or vaccine
compositions of, dengue virus(es), which may contain these stabilizers. Other aspects of the
invention are described in or are evident from the following disclosure, and are within the ambit of
the invention.
BACKGROUND OF THE INVENTION
Dengue virus (DENV) is a member of the Flavivirus genus of the Flaviviriade family which also
includes yellow fever virus (YFV), West Nile virus (WNV), Japanese encephalitis virus (JEV) and
tick-borne encephalitis virus. Flavivirus genome is single-stranded, positive-sense, RNA molecule
of 11 kilobases containing single open reading frame. The RNA is translated into a polyprotein that
is processed into at least 10 gene products: 3 structural proteins - Nucleocapsid or Core (C),
Premembrane (prM), & Envelope (E) & 7 nonstructural (NS) proteins - NS 1, 2A, 2B, 3, 4A, 4B, &
5. There are four antigenically distinct serotypes (DENV 1-4) based on neutralization assay. All the
serotypes are competent in causing asymptomatic manifestations as well as the more severe and
fatal DHF and DSS. DENV is transmitted to humans mainly by Aedes mosquitoes (Aedes aegypti
and Aedes albopictus). The prevalence of dengue disease is high especially in the Asia-Pacific
region and the Americas. All four DENV serotypes are now circulating in these areas. With
increased international travel and climate change, people are at risk of dengue infection beyond the
traditional tropical and subtropical areas. Dengue disease is becoming one of the most important
emerging vector-borne viral diseases. In the last 20 years dengue has spread rapidly and is endemic
in more than 100 countries. An estimated 50 million dengue infection cases occur globally with
around 500,000 cases of severe dengue and 20,000 deaths per year. Approximately, two-fifths of
the world's population is at risk from dengue infection. Hence, the prevention and treatment of
dengue fever is an important issue for the governments of many countries.
Dengue has become a huge burden both in terms of lives lost, particularly, children and also the
economic setback to the emerging economies of the world to contain the disease. A primary
infection with any of the serotypes would induce lifetime immunity against that particular serotype
but a subsequent infection with a different serotype can increase the severity of the disease due to a
phenomenon known as antibody dependent enhancement (ADE). Hence development of an
effective vaccine candidate catering to all the four serotypes, which would be safe and cost
effective, is of great significance particularly for children and young adults who are the most
susceptible.
An ideal dengue vaccine should satisfy several factors to be commercially feasible. First, the
vaccine must be protective against each of the four DENV serotypes to reduce the risk of ADE.
Second, the immunization should be safe and not cause unacceptable side-effects caused by crossreactive
antibodies or cross-reactive T cells. Third, the cost should be affordable to the individuals
who most need the vaccines. There are still several obstacles for the development .of dengue
vaccines. One is that the complicated pathogenesis is not fully understood. Another hindrance is the
lack of suitable animal models.
Currently there are no licensed vaccines available for dengue although there are vaccines available
for a number of closely related viruses. The World Health Organization has prioritized the
development of dengue vaccine and therapeutics for a long time. But so far due to unsuccessful
development of any kind of vaccine or treatment for containing dengue, the arrangements so far
pursued have been vector control and individual preventive steps which are tough to sustain and
also expensive. The vector control programs are not sufficient to control the spread of the Dengue
virus. In the absence of realistic alternatives, the development of a dengue vaccine has become a
public health imperative. Similar to other viral vaccines, the success or failure of candidate dengue
vaccines may well hinge on neutralizing antibody. Infection with a single DENV type results in a
life-long antibody response and solid protection to challenge with the same virus type but still
susceptible to other dengue serotypes.
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Live attenuated vaccine development efforts are considered one of the effective approaches. A wild
type dengue virus can be attenuated by serial passages in tissue culture to be used in humans
maintaining its ability to generate an immune response. In another embodiment a chimeric vaccine
candidate is generated by modification of a licensed yellow fever virus vaccine with dengue
proteins. Another important feature of a live attenuated vaccine is its ability to induce sustained
immune responses very closely mimicking a response in case of a natural infection. Several live
attenuated dengue vaccine candidates have been developed and evaluated in humans or non-human
primates. The first live attenuated dengue vaccine candidates were host range mutants developed by
serial passage of wild type dengue viruses in the brains of mice and selection of mutants attenuated
for humans (Kimura, R. & Hotta, S. 1944 Japanese J Bacteriology 1:96-99; Sabin, A.B. &
Schlesinger, R.W. 1945 Science 101:640; Wisseman, C.L. Jr. et al. 1963 An J Trop Med 12:620-
623). Although these candidate vaccine viruses were immunogenic in humans, their poor growth in
cell culture discouraged further development. Additional live attenuated DEN-1, DEN-2, DEN- 3,
and DEN-4 vaccine candidates have been developed by serial passage in tissue culture
(Angsubhakorn, S. et al. 1994 Southeast Asian J Trop Med Public Health 25:554-9; Bancroft, W.H.
et al. 1981 Infect Immuno 31:698-703; Bhamarapravati, N. et al. 1987 Bull World Health Organ
65:189-95; Eckels, K.H. et al. 1984 Am J Trop Med Hyg 33:684-9; 15Hoke, C.H. Jr. et al. 1990
Am J Trop Med Hyg 43:219-26; Kanesa-thasan, N. et al. 2001 Vaccine 19:3179-88) or by chemical
mutagenesis (McKee, K.T. Jr. et al. 1987 Am J Trop Med Hyg 36:435-42). It has proven very
difficult to achieve a satisfactory balance between attenuation and immunogenicity for each of the
four serotypes of dengue virus using these approaches and to formulate a tetravalent vaccine that is
safe and satisfactorily immunogenic against each of the four dengue viruses (Kanesa-thasan, N. et
al. 2001 Vaccine 19:3179-88; Bhamarapravati, N. & Sutee, Y. 2000 Vaccine 18 Suppl 2: 44-7).
The goal of immunization is to protect against dengue virus disease by the induction of a long-lived
neutralizing antibody response against each of the four serotypes. Simultaneous protection against
E all four serotypes is required, since an increase in disease severity can occur in persons with
preexisting antibodies to a heterotypic dengue virus. Such immunization can be achieved
S economically with a live, attenuated virus vaccine. Applicants have successfully developed such a
vaccine as reported in WO1993006214, WO2002095075, WO2003092592 and WO2008022196. At LU
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strains was brought about by a novel 30 nucleotide deletion in the untranslated region at the 3' end
of the viral genome. This deletion led to safe and complete attenuation of the virus strains with
decreased viremia as observed in several studies in monkeys and humans (Phase I studies, with
monovalent virus strains).
Immunogenic compositions and vaccine compositions comprising biological ingredients, such as
viruses, bacteria, parasites, fungi, proteins, polypeptides, glycoproteins, and especially, attenuated
live microorganisms, are markedly sensitive to the conditions by which they are prepared,
formulated and stored. Such biological ingredients can be modified and degraded by chemical
reactions (e.g. hydrolysis, deamination, Maillard's reaction), many of which are mediated by water.
Liquid water allows for molecular movements and can result in modification of protein
conformations in compositions comprising biological ingredients. By limiting access to water or by
removing water, a major factor of modification and degradation is reduced. Prior methods to confer
stability to biological ingredients have primarily involved freezing the water or removing water by
freeze-drying.
Dengue viruses are basically thermo-labile in nature and lose infectivity upon exposure to. higher
temperature. In. order to'maintain the viability of virus, ultra-storage (usually less that -60°C) is
required. Storage at such a low temperature is not a favorable option in field condition due to
supply chain related issues and higher cost associated with such storage temperatures. To be
successful in field conditions, the vaccine needs to be stable at 2-8°C. In order to impart thermostability
to virus, optimal quantity of various excipients, selected from the group of stabilizer,
bulking agents, vehicle and buffering agents is required.
Pivotal to the successful use and commercialization of vaccines is the manner by which they are
processed and formulated, to ensure stability and maintenance of efficacy under conditions in which
the vaccines are shipped and stored prior to use. Lyophilization is an approach involved in the
processing of some vaccine products, and is essentially a freeze-drying process that, under low
pressures, removes water through sublimation, and leaves the product as a dried cake with a small
amount of moisture. This process can be advantageous to vaccines, including live attenuated
dengue virus vaccines as described above, because such vaccines tend to be more stable in a low
moisture environment. A critical factor impacting the efficacy of the Lyophilization process is the
formulation of the vaccine. For example, it is desirable that the formulation, upon removal of water,
enhances the stability of the product. Typically, a vaccine formulation will contain any or all of the
following components: a bulking agent, a stabilizer, and optionally a buffer. The development of
effective and efficient processing methods and formulations is therefore of great importance to the
development of clinically useful and commercially successful vaccines, including live attenuated
dengue vaccines.
Despite advances in the area of vaccine formulations, there remains a distinct need for dengue live
attenuated vaccine formulations with improved stability and shelf-life. None of the compositions
known in prior art impart, the desired level of stability. The present invention addresses the unmet
need for a live attenuated dengue vaccine formulation with increased stability.
SUMMARY OF THE INVENTION
The present invention describes stable dengue vaccine compositions where the strains of dengue are
live attenuated and recombinant. More specifically the present invention describes stable
lyophilized dengue vaccine compositions where the strains of dengue are live attenuated and
recombinant.
The present invention relates to a stable composition comprising live attenuated recombinant
dengue virus, stabilizer, bulking agent and optionally buffering agents.
The present invention further relates to a method of preventing or treating a disease or condition in
a subject, the method comprising administering to the subject a composition comprising live,
attenuated recombinant dengue virus, stabilizer, bulking agent and optionally buffering agents.
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selected from the group consisting of: (a) a A30 mutation that removes the TL-2 homologous
structure in each of the dengue virus serotypes 1, 2, 3, and 4, and-nucleotides additional to the A30
mutation deleted from the 3'-UTR that removes sequence in the 5' direction as far as the 5* boundary
of the TL-3 homologous structure in each of the dengue virus serotypes 1, 2, 3, and 4; and (b) a
replacement of the 3'-UTR of a dengue virus of a first serotype with the 3'-UTR of a dengue virus
of a second serotype, optionally containing the A30 mutation and nucleotides additional to the A30
mutation deleted from the 3 -UTR.
The strains that are preferred for the formulations according to the instant invention are flavivirus
having a phenotype in which the viral genome is modified by the introduction of a mutation, singly
or in combination, taken from the group consisting of the mutations, of any of Table 1-37 of
WO02095075A1. More specifically temperature-sensitive, host-range restricted mutant flavivirus,
designated mutant 200, 201, wherein said virus comprises charge-cluster-to-alanine mutations at
amino acids 2687 and 2688 of the NS5 gene, where amino acid position is given for the polyprotein
of dengue virus type 4, optionally further comprising the A30 mutation. The strains according to the
current invention may be attenuated dengue virus comprising a mutation at nucleotide position
4995 of the NS3 gene; wherein said numbering is based upon a prototypical DEN4 isolate strain
814669 (Dominica 1981); wherein said mutation results in a nucleotide substitution from T to C;
and wherein said attenuated dengue virus is attenuated as compared to a wildtype dengue virus,
further optionally comprising a A30 mutation or attenuated dengue virus comprising a mutation
wherein the mutation results in the expression of an NS3 protein having an amino acid substitution
from serine or asparagine to proline at amino acid position 1632; wherein said numbering is based
upon a viral polypeptide encoded by a prototypical DEN4 isolate strain 814669 (Dominica 1981);
wherein said attenuated dengue virus is attenuated as compared to a wildtype dengue virus.
More specifically the instant invention relates to a immunogenic composition being tetravalent and
containing a common nucleotide deletion in the 3' untranslated region of dengue types 1, 2, 3, and
comprising a nucleic acid comprising a first nucleotide sequence encoding at least one structural
protein from a first dengue virus and a second nucleotide sequence encoding nonstructural proteins
from a second dengue virus, wherein the second dengue virus is attenuated by a deletion of about
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30 nucleotides from the 3' untranslated region of the dengue genome corresponding to the TL2
stem-loop structure, optionally comprising a mutation selected from the group consisting of
temperature sensitivity in Hero cells or the human liver cell line HuH-7, host cell, restriction in
mosquito cells or the human liver cell line HuH-7, host-cell adaptation for 25 improved replication
in Nero cells, or attenuation in mice or monkeys, the composition comprising a member selected
from the group consisting of: (1) rDEN130' rDEN230, rDEN3630, rDEN430, (2) rDEN1630,
rDEN2630, rDEN3630, rDEN4/lA30, (3) rDEN130, rDEN230, rDEN3630, rDEN4/2630, 30 (4)
rDEN'1630, rDEN230, rDEN3630, rDEN4/3630, (5) rDEN1630, rDEN2630, rDEN3/1630,
rDEN430, (6) rDEN1630, rDEN2630, rDEN3/130, rDEN4/1630,-118 (7) rDEN130, rDEN230,
rDEN3/130, rDEN4/2630, (8) rDEN1630, rDEN230, rDEN3/1630, rDEN4/3630, (9) rDEN130,
rDEN2630, rDEN3/2630, rDEN4630, (10) rDEN1630, rDEN2630, rDEN3/230, rDEN4/1630, 5
(11) rDEN1630, rDEN2630, rDEN3/2630, rDEN4/2630, (12) rDEN1630, rDEN2630,
rDEN3/2630, rDEN4/3630, (13) rDEN130, rDEN2630, rDEN3/4630, rDEN430, (14) rDEN130,
rDEN2630, rDEN3/4630, rDEN4/1630, (15) rDEN130, rDEN230, rDEN3/4630, rDEN4/2630, (16)
rDEN1630, rDEN230, rDEN3/430, rDEN4/3630, (17) rDEN1630, rDEN2/130, rDEN3630,
rDEN4630, (18) rDENlA30, rDEN2/130, rDEN3630, rDEN4/130, (19) rDEN130, rDEN2/130,
rDEN3630, rDEN4/2630,(20) rDEN1630, rDEN2/130, rDEN3630, rDEN4/3630, (21) rDEN1630,
rDEN2/1630, rDEN3/1630, rDEN430, (22) rDEN1630, rDEN2/130, rDEN3/1630, rDEN4/1630,
(23) rDEN130, rDEN2/130, rDEN3/1630, rDEN4/2630, (24) rDEN1630, rDEN2/130,
rDEN3/1630, rDEN4/3630, (25) rDEN130, rDEN2/1630, rDEN3/2630, rDEN4630, 20 (26)
rDEN1630, rDEN2/130, rDEN3/2630, rDEN4/1630, (27) rDEN130, rDEN2/130, rDEN3/2630,
rDEN4/2630, (28) rDEN1630, rDEN2/130, rDEN3/2630, rDEN4/3630, (29) rDEN1630,
rDEN2/1630, rDEN3/4630, rDEN430, (30) rDEN1630, rDEN2/1630, rDEN3/4630, rDEN4/130;
(31) rDEN1630, rDEN2/130, rDEN3/4630, rDEN4/2630, (32) rDEN130, rDEN2/lA30,
rDEN3/4630, rDEN4/3630, (33) rDEN1630, rDEN2/330, rDEN330, rDEN430, (34) rDEN1630,
rDEN2/330, rDEN330, rDEN4/1630, (35) rDEN130, rDEN2/330, rDEN3630, rDEN4/2630, 30
(36) rDEN1630, rDEN2/330, rDEN3630, rDEN4/330, (37) rDEN1630, rDEN2/3630, rDEN3/1630,
rDEN4630, (38) rDEN1630, rDEN2/330, rDEN3/1630, rDEN4/1630,-119 (39) rDEN130,
rDEN2/330, rDEN3/130, rDEN4/230, (40) rDEN1630, rDEN2/3630, rDEN3/130, rDEN4/3630,
(41) rDEN130, rDEN2/3630, rDEN3/2630, rDEN430, (42) rDEN1630, rDEN2/3630, rDEN3/2630,
rDEN4/1630, 5 (43) rDENlA30, rDEN2/330, rDEN3/2630, rDEN4/230, (44) rDEN1630,
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rDEN2/330, rDEN3/230, rDEN4/3630, (45) rDEN1630, rDEN2/330, rDEN3/430, rDEN4630,
(46) rDEN130, rDEN2/3630, rDEN3/4630, rDEN4/130, (47) rDEN1630, rDEN2/330,
rDEN3/4630, rDEN4/230, 10 (48) rDEN130, rDEN2/3630, rDEN3/4630, rDEN4/3630, (49)
rDEN130, rDEN2/430, rDEN330, rDEN4630, (50) rDEN1630, rDEN2/430, rDEN3630,
rDEN4/1630, (51) rDEN1630, rDEN2/4630, rDEN3630, rDEN4/230, (52) rDENBO,
rDEN2/430, rDEN330, rDEN4/3630, 15 (53) rDEN130, rDEN2/4630, rDEN3/1630, rDEN430,
(54) rDEN1630, rDEN2/430, rDEN3/130, rDEN4/1630, (55) rDEN1630, rDEN2/430,
rDEN3/1630, rDEN4/2630, (56) rDEN1630, rDEN2/4630, rDEN3/1630, rDEN4/3630, (57)
rDEN1630, rDEN2/430, rDEN3/2630, rDEN430, 20 (58) rDEN130, rDEN2/4630,
rDEN3/2630, rDEN4/130, (59) rDEN1630, rDEN2/4630, rDEN3/2630, rDEN4/2630, (60)
rDEN130, rDEN2/4630, rDEN3/2630, rDEN4/3630, (61) rDEN1630, rDEN2/430,
rDEN3/4630, rDEN4630, (62) rDEN1630, rDEN2/4630, rDEN3/430, rDEN4/1630, 25 (63)
rDEN1630, rDEN2/4630, rDEN3/4630, rDEN4/2630, (64) rDEN130, rDEN2/4A30,
rDEN3/430, rDEN4/330, (65) rDENl/2630, rDEN2630, rDEN3630, rDEN430, (66) rDENl/230,
rDEN2A30, rDEN3630, rDEN4/1630, (67) rDENl/2630, rDEN230, rDEN330, rDEN4/230, (68)
rDENl/2630, rDEN230, rDEN330, rDEN4/3630, (69) rDENl/230, rDEN230, rDEN3/1630,
rDEN4630, (70) rDENl/230, rDEN2630, rDEN3/1630, rDEN4/163O,-120 (71) rDENl/230,
rDEN230, rDEN3/1630, rDEN4/2630, (72) rDENl/230, rDEN2630, rDEN3/130, rDEN4/3630, (73)
rDENl/2630, rDEN2630, rDEN3/230, rDEN430, (74) rDENl/2/30, rDEN2630, rDEN3/230,
rDEN4/1630, 5 (75) rDENl/230, rDEN2630, rDEN3/2630, rDEN4/2630, (76) rDENl/2630,
rDEN2630, rDEN3/230, rDEN4/3630, (77) rDENl/2\30, rDEN2630, rDEN3/430, rDEN4630, (78)
rDENl/230, rDEN2630, rDEN3/430, rDEN4/1630, (79) rDENl/230, rDEN2630, rDEN3/430,
rDEN4/2630, 10 (80) rDENl/2A30, rDEN2630, rDEN3/430, rDEN4/3630, (81) rDENl/230,
rDEN2/130, rDEN3630, rDEN4630, (82) rDENl/230, rDEN2/1630, rDEN3630, rDEN4/1630, (83)
rDENl/2630, rDEN2/130, rDEN330, rDEN4/2630, (84) rDENl/230, rDEN2/1630, rDEN3630,
rDEN4/3630, 15 (85) rDENl/230, rDEN2/lA30, rDEN3/1630, rDEN4630, (86) rDENl/230,
rDEN2/1630, rDEN3/1630, rDEN4/1630, (87) rDENl/230, rDEN2/130, rDEN3/1630, rDEN4/2630,
(88) rDENl/230, rDEN2/130, rDEN3/1630, rDEN4/330, (89) rDENl/2A30, rDEN2/1630,
rDEN3/2630, rDEN4630, 20 (90) rDENl/230, rDEN2/130, rDEN3/230, rDEN4/130, (91)
rDENl/2630, rDEN2/1630, rDEN3/2630, rDEN4/230, (92) rDENl/230, rDEN2/1630, rDEN3/2630,
rDEN4/3630, (93) rDENl/2630, rDEN2/1630, rDEN3/430, rDEN4630, (94) rDENl/2\30,
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rDEN2/1630, rDEN3/430, rDEN4/1630, 25 (95) rDENl/230, rDEN2/1630, rDEN3/4630,
rDEN4/230, (96) rDENl/230, rDEN2/1630, rDEN3/430, rDEN4/3630,. (97) rDENl/230,
rDEN2/330, rDEN3630, rDEN4630, (98) rDENl/230, rDEN2/330, rDEN3\30, rDEN4/1630, (99)
rDENl/230, rDEN2/330, rDEN330, rDEN4/2630, 30 (100) rDENl/230, rDEN2/3630, rDEN3630,
rDEN4/3630, (101) rDENl/230, rDEN2/3630, rDEN3/1630, rDEN4630, (102) rDENl/230,
rDEN2/3630, rDEN3/1630, rDEN4/l 30,-121
(103)rDENl/2630,rDEN2/3630,rDEN3/1630,rDEN4/2630, (104)rDENl/2630,
rDEN2/3630,rDEN3/1630,rDEN4/3630, (105)rDENl/230,rDEN2/330,rDEN3/2630, rDEN430,
(106)rDENl/230,rDEN2/330,rDEN3/2630,rDEN4/130, 5 (107) rDENl/2630,
rDEN2/3630,rDEN3/2630,rDEN4/2630, (108)rDENl/2630,rDEN2/3630, rDEN3/2630, rDEN4/330,
(109)rDENl/2630,rDEN2/3630,rDEN3/4630,rDEN4630, (110)
rDENl/2630,rDEN2/3630,rDEN3/430,rDEN4/1630, (lll)rDENl/230, rDEN2/330,
rDEN3/430,rDEN4/2630, 10 (112) rDENl/230,rDEN2/330,rDEN3/430, rDEN4/330,
(113)rDENl/2630,rDEN2/4630,rDEN3630,rDEN4630, (114)rDENl/2630, . rDEN2/4630,
rDEN3630,rDEN4/1630, (115)rDENl/230,rDEN2/4630,rDEN3630, rDEN4/230, (116)
rDENl/2630,rDEN2/4630,rDEN3630,rDEN4/3630, 15 (117) rDENl/230,rDEN2/430,
rDEN3/130,rDEN4630, (118)rDENl/2630,rDEN2/4630, rDEN3/1630,rDEN4/130, (119)
rDENl/230,rDEN2/4630,rDEN3/1630,rDEN4/2630, (120)rDENl/2630, rDEN2/4630,
rDEN3/130,rDEN4/330, (121)rDENl/2630,rDEN2/4630,rDEN3/230, rDEN4630,
(122)rDENl/2630,rDEN2/430,rDEN3/2630,rDEN4/1630, (123)rDENl/230,
rDEN2/430,rDEN3/2630,rDEN4/230, (124)rDENl/2630,rDEN2/4630,rDEN3/230, rDEN4/330,
(125)rDENl/2630,rDEN2/4630,rDEN3/4630,rDEN430, ' (126)rDENl/230,
rDEN2/4630,rDEN3/430,rDEN4/1630, 25 (127) rDENl/230,rDEN2/4630,rDEN3/4630,
rDEN4/2630, (128)rDENl/230,rDEN2/4630,rDEN3/4630,rDEN4/3630, (129)
rDENl/3630,rDEN2630,rDEN3630,rDEN4630, (130)rDENl/330,rDEN2630,rDEN330,
rDEN4/1630, (131)rDENl/3630,rDEN230,rDEN3630,rDEN4/2630, 30 (132)
rDENl/3630,rDEN2630,rDEN3630,rDEN4/3630, (133)rDENl/3630,rDEN2630,
rDEN3/1630,rDEN4630, (134)rDENl/3630,rDEN230,rDEN3/1630,rDEN4/130,-122
(135)rDENl/3630,rDEN2630,rDEN3/130,rDEN4/230, (136)rDENl/330, rDEN2630,
rDEN3/1630,rDEN4/3630, (137)rDENl/3630,rDEN230,rDEN3/2630, rDEN4630> (138)
rDENl/3630,rDEN2630,rDEN3/2630,rDEN4/1630, 5 (139) rDENl/3630,rDEN2630,
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rDEN3/2630,rDEN4/230, (140)rDENl/3630,rDEN230, rDEN3/230,rDEN4/3630, (141)
rDENl/3630,rDEN2630,rDEN3/430,rDEN4630, (142) rDENl/3630,rDEN230,rDEN3/430,
rDEN4/1630, (143)rDENl/330,rDEN2630,rDEN3/4630,rDEN4/230, 10 (144)
rDENl/3630,rDEN2630,rDEN3/430,rDEN4/3630, (145)rDENl/330,rDEN2/1630,
rDEN3630,rDEN4630, (146)rDENl/330,rDEN2/1630,rDEN3630,rDEN4/1630, (147)
rDENl/3630,rDEN2/l 630,rDEN330,rDEN4/2630, (148)rDENl/330,rDEN2/l 630,
rDEN3630,rDEN4/330, 15 (149)rDENl/330,rDEN2/130,rDEN3/1630,rDEN4630, (150)
rDENl/330,rDEN2/1630,rDEN3/130,rDEN4/1630, (151)rDENl/3630, rDEN2/1630,
rDEN3/l 30,rDEN4/2630, (152)rDENl/3630,rDEN2/1630,rDEN3/l 30, rDEN4/330,
(153)rDENl/330,rDEN2/1630,rDEN3/2630,rDEN4630, 20 (154) rDENl/330,
rDEN2/1630,rDEN3/230,rDEN4/130, (155)rDENl/3630,rDEN2/130, rDEN3/2630, rDEN4/2630,
(156)rDENl/3630,rDEN2/130,rDEN3/230,rDEN4/3630, (157)
rDENl/330,rDEN2/130,rDEN3/4630,rDEN430, (158)rDENl/3630,rDEN2/1630,
rDEN3/430,rDEN4/1630, 25 (159)rDENl/330,rDEN2/1630,rDEN3/4630,rDEN4/230,
(160)rDENl/330,rDEN2/1630,rDEN3/4630,rDEN4/330, (161)rDENl/330,rDEN2/3630,
rDEN3630,rDEN4630, (162)rDENl/330,rDEN2/3630,rDEN330,rDEN4/130, (163)
rDENl/3630,rDEN2/3630,rDEN3630,rDEN4/2630, 30 (164)rDENl/3630, rDEN2/3630,
rDEN330,rDEN4/330, (165)rDENl/3630,rDEN2/3630,rDEN3/1630, rDEN4630, (166)
rDENl/330,rDEN2/330,rDEN3/130, rDEN4/1630,-123(167) rDENl/3630, rDEN2/3630,
rDEN3/1630, rDEN4/2630, (168) rDENl/330, rDEN2/330, rDEN3/1630, rDEN4/330, (169)
rDENl/330, rDEN2/330, rDEN3/230, rDEN430, (170) rDENl/330, rDEN2/330, rDEN3/230,
rDEN4/130, 5 (171) rDENl/330, rDEN2/3630, rDEN3/2630, rDEN4/2630, (172) rDENl/3630,
rDEN2/330, rDEN3/2630, rDEN4/330, (173) rDENl/3630, rDEN2/3630, rDEN3/4630, rDEN430,
(174) rDENl/330, rDEN2/3630, rDEN3/4630, rDEN4/130, (175) rDENl/3„\30, rDEN2/3A30,
rDEN3/4630, rDEN4/2630, 10 (176) rDENl/330, rDEN2/3630, rDEN3/4630, rDEN4/3630, (177)
rDENl/3630, rDEN2/4630, rDEN3630, rDEN4630, (178) rDENl/3630, rDEN2/4630, rDEN3630,
rDEN4/1630, (179) rDENl/3630, rDEN2/4630, rDEN3630, rDEN4/2630, (180) rDENl/3630,
rDEN2/4630, rDEN3630, rDEN4/330, 15 (181) rDENl/3630, rDEN2/4630, rDEN3/1630,
rDEN430, (182) rDENl/330, rDEN2/430, rDEN3/130, rDEN4/1630, (183) rDENl/3630,
rDEN2/4630, rDEN3/1630, rDEN4/2630, (184) rDENl/3630, rDEN2/4630, rDEN3/1630,
rDEN4/330, (185) rDENl/3630, rDEN2/4630, rDEN3/230, rDEN430, (186) rDENl/330,
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rDEN2/4630, rDEN3/230, rDEN4/1630, (187) rDENl/330, rDEN2/430, rDEN3/2630, rDEN4/230,
(188) rDENl/3630, rDEN2/430, rDEN3/230, rDEN4/330, (189) rDENl/3630, rDEN2/4630,
rDEN3/4630, rDEN4630, (190) rDENl/3630, rDEN2/430, rDEN3/4630, rDEN4/1630, (191)
rDENl/330, rDEN2/430, rDEN3/430, rDEN4/230, (192) rDENl/3630, rDEN2/4630, rDEN3/430,
rDEN4/330, (193) rDENI/4630, rDEN2630, rDEN3630, rDEN430, (194) rDENI/4630, rDEN2630,
rDEN330, rDEN4/1630, (195) rDENI/4630, rDEN230, rDEN3630, rDEN4/2630, (196)
rDENI/4630, rDEN230, rDEN330, rDEN4/3630, (197) rDENl/430, rDEN230, rDEN3/130,
rDEN4630, (198) rDENl/430, rDEN230, rDEN3/1630, rDEN4/1630, (199) rDENI/4630,
rDEN2630, rDEN3/130, rDEN4/230, (200) rDENl/4A30, rDEN2630, rDEN3/130, rDEN4/3630,
(201) rDENl/430, rDEN2630, rDEN3/2630, rDEN430, (202) rDENl/430, rDEN230, rDEN3/230,
rDEN4/130, 5 (203) rDENl/430, rDEN2630, rDEN3/2630, rDEN4/2630, (204) rDENl/4/30,
rDEN230, rDEN3/2630, rDEN4/330, (205) rDENI/4630, rDEN230, rDEN3/4630, rDEN4630,
(206) rDENI/4630, rDEN2630, rDEN3/4630, rDEN4/130, (207) rDENI/4630, rDEN2630,
rDEN3/4630, rDEN4/2630, 10 (208) rDENI/4630, rDEN230, rDEN3/4630, rDEN4/3630, (209)
rDENl/430, rDEN2/1630, rDEN3630, rDEN4630, (210) rDENI/4630, rDEN2/1630, rDEN330,
rDEN4/130, (211) rDENl/430, rDEN2/1630, rDEN330, rDEN4/2630, (212) rDENl/430,
rDEN2/1630, rDEN3630, rDEN4/3630, 15 (213) rDENI/4630, rDEN2/1630, rDEN3/1630,
rDEN4630, (214) rDENl/430, rDEN2/1630, rDEN3/130, rDEN4/1630, (215) rDENI/4630,
rDEN2/1630, rDEN3/130, rDEN4/230, (216) rDENl/4A30, rDEN2/1630, rDEN3/130, rDEN4/330,
(217) rDENl/430, rDEN2/1630, rDEN3/230, rDEN4430, 20 (218) rDENI/4630, rDEN2/1630,
rDEN3/230, rDEN4/1630, (219) rDENI/4630, rDEN2/1630, rDEN3/230, rDEN4/2630, (220)
rDENl/430, rDEN2/1630, rDEN3/230, rDEN4/3630, (221) rDENI/4630, rDEN2/1630, rDEN3/430,
rDEN4630, (222) rDENI/4630, rDEN2/1630, rDEN3/4630, rDEN4/130, (223) rDENl/430,
rDEN2/1630, rDEN3/430, rDEN4/2630, (224) rDENl/430, rDEN2/1630, rDEN3/4630,
rDEN4/3A30, (225) rDENl/430, rDEN2/3630, rDEN330, rDEN4630, (226) rDENl/430,
rDEN2/3630, rDEN330, rDEN4/130, (227) rDENl/430, rDEN2/3630, rDEN3630, rDEN4/2630, 30
(228) rDENl/430, rDEN2/3630, rDEN3630, rDEN4/3630, (229) rDENl/430, rDEN2/3630,
° rDEN3/1630, rDEN430, (230) rDENI/4630, rDEN2/330, rDEN3/130, rDEN4/1630,-125 (231)
rDENI/4630, rDEN2/3630, rDEN3/1630, rDEN4/2630, (232) rDENI/4630, rDEN2/330,
QJ rDEN3/1630, rDEN4/330, (233) rDENI/4630, rDEN2/330, rDEN3/2630, rDEN4630, (234)
S rDENI/4630, rDEN2/330, rDEN3/2630, rDEN4/130, 5 (235) rDENI/4630, rDEN2/3630,
£0
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rDEN3/230, rDEN4/230, (236) rDENl/4630, rDEN2/3630, rDEN3/230, rDEN4/330, (237) •
rDENl/4630, rDEN2/3630, rDEN3/430, rDEN4630, (238) rDENl/4A30, rDEN2/3630, rDEN3/430,
rDEN4/130, (239) rDENl/430, rDEN2/330, rDEN3/430, rDEN4/230, 10 (240) rDENl/4630,
rDEN2/3630, rDEN3/430, rDEN4/330, (241) rDENl/4630, rDEN2/430, rDEN3630, rDEN4630,
(242) rDENl/4630, rDEN2/4630, rDEN3630, rDEN4/1630, (243) rDENl/4630, rDEN2/4630,
rDEN3630, rDEN4/230, (244) rDENl/430, rDEN2/4630, rDEN3630, rDEN4/3630, (24.5)
rDENl/4630, rDEN2/4630, rDEN3/1630, rDEN430, (246) rDENl/42\30, rDEN2/4630,
rDEN3/1630, rDEN4/130, (247) rDENl/4630, rDEN2/430, rDEN3/130, rDEN4/230,. (248)
rDENl/4630, rDEN2/4630, rDEN3/130, rDEN4/330, (249) rDENl/430, rDEN2/4630, rDEN3/2630,
rDEN4630, (250) rDENl/430, rDEN2/4630, rDEN3/2630, rDEN4/1630, (251) rDENl/430,.
rDEN2/4630, rDEN3/2630, rDEN4/230, (252) rDENl/430, rDEN2/4630, rDEN3/230, rDEN4/330,
(253) rDENl/4630, rDEN2/4630, rDEN3/430, rDEN4630, (254) rDENl/4A30, rDEN2/43Q,
rDEN3/4630, rDEN4/130, (255) rDENl/4630, rDEN2/46305 rDEN3/430, rDEN4/2630, and (256)
rDENl/4630, rDEN2/4630, rDEN3/4630, rDEN4/330.
Lyophilization, or the process of freeze-drying, is a commonly used technique to remove water in
the preparation of dehydrated products. Generally, "freeze-drying" an aqueous composition
involves three steps. First, the aqueous composition is frozen under conditions of low temperature.
Secondly, the frozen water is removed by sublimation under conditions of reduced pressure and low
temperature. At this stage, the composition.usually contains about 15% water. Third, the residual
water is further removed by desorption under conditions of reduced pressure and higher
temperatures. At the end of the Lyophilization process, a freeze-dried product, also called a
"pastille" or "cake" is produced. The freeze-dried product contains very low residual water (from
about 0.2% to about 5% weight/weight) and dry material in a predominantly amorphous form.
However, substantial loss of immunogenic activity of biological ingredients are observed during the
preparation stages, such as before and during Lyophilization, and also during storage of
immunogenic compositions and vaccine compositions. The integrity of biological ingredients must
be safeguarded to ensure that the immunization efficiency of immunogenic compositions and
vaccine compositions is retained. The immunogenic activity of biological ingredients is measured
by the ability to induce and stimulate an immunologic response when administered to a host or
subject.
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To limit the manipulation of subjects and the number of administrations, there is a strong need in
the art to provide multivalent immunogenic compositions or vaccine compositions. By definition, a
multivalent immunogenic composition or vaccine composition comprises more than one active
immunogenic component originating from, or derived from, the same or at least two different
pathogens. Viruses from different genera can vary in stability during the freeze-drying step and
subsequent storage period, resulting in a loss of viability or infectivity. In the case of viruses such
as dengue, the commonly administered active immunogenic components are live attenuated viruses.
To efficiently stimulate the immune system, live attenuated viruses must replicate in the immunized
subject. Loss of viability or infectivity can occur during the process of freeze-drying multivalent
immunogenic compositions or vaccine compositions, during storage of the compositions, or before
administration of the compositions after reconstitution. Thus, stabilizers have been added to such
freeze-dried compositions. However, to obtain multivalent immunogenic compositions or vaccine
compositions that retain their infectivity and/or viability, a stabilizer that is able to preserve
viability and infectivity of different live attenuated pathogens would be particularly advantageous.
Vaccine and immunogenic compositions have had a tremendous impact on public health by
reducing morbidity and mortality from a variety of virulent pathogens. However, unintended side
effects arising from additives in immunogenic compositions and vaccine compositions continue to
pose a potential risk.that may outweigh any protective and therapeutic attributes of immunogenic
compositions and vaccine compositions.
The present invention addresses the need in the art by providing, inter alia, optimized formulations
with stabilizers for freeze-dried live attenuated immunogenic compositions or vaccine
compositions, which may comprise live attenuated recombinant dengue virus. These stabilizers may
gj preserve viability and infectivity of these dengue viruses, notably during the freeze-drying process
and during a long period of storage of the freeze-dried products at refrigerated temperatures and at
room temperature for sufficient period of time to allow the short term excursion from cold chain.
| Importantly, the presently claimed stabilizers for freeze-dried stabilized live attenuated
o
^ immunogenic compositions or vaccine compositions of dengue virus are safe and suitable for
CN injection to subjects after reconstitution.
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Accordingly, the present invention provides, in one aspect, a stabilizer for a freeze-dried live
attenuated recombinant dengue virus immunogenic composition or vaccine composition, which
may comprise protein stabilizer, selected from but not restricted to human serum albumin and/or
collagen or hydrolyzed collagen or gelatin or hydrolyzed'gelatin, The composition may further
comprise sugar stabilizer selected from but not restricted to sucrose, mannitol, sorbitol, trehalose,
dextran's. Specifically the present invention provides vaccine composition comprising live
attenuated dengue virus wherein, the stability of the composition is enhanced by presence of human
serum albumin and/or collagen or gelatin or their hydrolyzed versions.
Further the protein stabilizer may be selected from the group of low molecular weight gelatin,
hydrolyzed gelatin, collagen, hydrolyzed collagen, recombinant gelatin, recombinant collagen,
hydrolyzed collagen derivatives, protein hydrolysates, succinylated gelatin, fish gelatin, bovine
gelatin, pork gelatin, avian gelatin. Further the albumin may be selected from the group of human
serum albumin, bovine serum albumin and recombinant albumin. In a most preferred embodiment
the vaccine is tetravalent. In further preferred embodiment, the dengue virus strains used in the
vaccines according to the present invention carry A 30 mutations. In still further preferred
embodiments, the dengue strains are selected from dengue virus type 1, dengue virus type 2, dengue
virus type 3, dengue virus type 4. In still other preferred embodiments, one or more strains of
dengue are chimeric comprising dengue 1 backbone or dengue 2 backbone or dengue 3 backbone or
dengue 4 backbone. In certain preferred embodiments, the dengue strains have a phenotype which
is temperature sensitivity in Vero cells or the human liver cell line HuH-7.
In a preferred embodiment, the present invention provides a vaccine composition comprising live
attenuated recombinant dengue virus wherein, the stability of the composition is enhanced by
presence of human serum albumin and/or collagen or gelatin. In more preferred embodiments,
£ human serum albumin and/or collagen or gelatin are present in an amount of 10 to 30 mg/0.5 ml. In
other preferred embodiment, human serum albumin is present in an amount of 10 to 30 mg/0.5 ml
or 10 to 15 mg/0.5 ml, more specifically 12.5 mg/0.5 ml or 10mg/0.5 ml. In another preferred
embodiment, collagen or gelatin is present in an amount of 1 to 30 mg/0.5 ml, more specifically 15
mg/0.5 ml. In other specifically preferred embodiments collagen or gelatin is present in an amount
w of 12 to 25 mg/0.5 ml, more specifically 15 mg/0.5 ml or 22 mg/0.5 ml.
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In a particularly preferred embodiment the vaccine is tetravalent in terms of live attenuated
recombinant dengue virus. In another preferred embodiment, the dengue virus carries A 30
mutations and/or A 31 mutations. In the most preferred embodiment, the dengue strains are selected
from dengue virus type 1, dengue virus type 2, dengue virus type 3, dengue virus type 4. In some
vaccines within the scope of the current invention, one or more strains of dengue are chimeric
comprising dengue 1 backbone or dengue 2 backbone or dengue 3 backbone or dengue 4 backbone.
In further embodiments, the dengue strains have a phenotype which is temperature sensitivity in
Vero cells or the human liver cell line HuH-7. In most preferred embodiments, the dengue strains
are propagated in VERO cells.
In a most preferred embodiment present invention provides a stable lyophilized tetravalent vaccine
composition comprising Dengue virus serotype 1 (rDEN 1A30), Dengue virus serotype 2 (rDEN
2/4A30), Dengue virus serotype 3 (rDEN 3A30/31), Dengue virus serotype 4 (rDEN 4A30),
wherein, the stability of the composition is enhanced by presence of human serum albumin and/or
collagen or gelatin. In specific selections the dengue virus is present at a dose of not less than 3.0
logi0PFUper0.5ml.
In other preferred embodiments, the vaccines according to the current invention further comprising
bulking agents and/or buffering agents. More specifically the bulking agent is selected from a group
comprising of lactose, sucrose, mannitol, trehalose and the like and the buffering agents are selected
from a group comprising of Potassium dihydrogen phosphate, Di-potassium hydrogen phosphate,
monosodium glutamate and the like. Some vaccines could further comprise supplemental media.
In more preferred embodiments, the present invention provides vaccines wherein the final pH of the
™ composition is about 6.0 - 8.0.
^ In another preferred embodiment, the dengue virus is present at a dose of not less than 3.0 logio
o PFUper0.5ml
In another embodiment, the stabilizer may further comprise lactose, sucrose, mannitol, trehalose,
3 dextran, maltodextrin, polyvinylpyrrolidone, hydroxyethyl starch, or combinations thereof.
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A stabilized vaccine obtained by reconstituting the lyophilized vaccine is also within the scope of
the present invention.
In yet another embodiment, the present invention further provides buffering agents for use in the
compositions of the invention, which are selected from a group comprising of Potassium
dihydrogen phosphate, Di-potassium hydrogen phosphate, monosodium glutamate and the like.
In preferred embodiments the compositions according to the present invention include supplemental
media like Dulbecco's Modified Eagle's Medium and Leibovitz L-15 Medium.
Preferred pH of the final vaccine is in the range of 6.0 to 8.0, most preferably is in the range of
7.0±0.5.
More specifically the instant invention relates to a stable tetravalent immunogenic composition
comprising a) a first attenuated virus that is immunogenic against dengue serotype 1, b) a second
attenuated virus that is immunogenic against dengue serotype 2, c) a third attenuated virus that is
immunogenic against dengue serotype 3, and d) a fourth attenuated virus that is immunogenic
against dengue serotype 4, wherein each of a), b), c) and d) comprises a nucleic acid comprising i)
a first nucleotide sequence encoding at least one structural protein from a first dengue virus, ii) a
second nucleotide sequence encoding nonstructural proteins from the first dengue virus or a second
dengue virus, and iii) a 3' untranslated region, wherein the.3' untranslated region contains a deletion
of about 30 nucleotides corresponding to the TL2 stem-loop structure, and wherein both the 3'
untranslated region and the second nucleotide sequence encoding nonstructural proteins are from
either the first dengue virus or the second dengue virus. In certain preferred aspects of the
invention, the present invention provides vaccine composition according to any of the preceding
% claims wherein the dengue strains are propagated in VERO cells.
In a preferred embodiment according to the present invention the stable compositions according to
^ the current invention comprises of live attenuated vaccine candidate viruses selected from Dengue
o virus type 1 (rDENl A30-1545 and/or rDEN 1/4A30), Dengue virus type 2 (rDEN2A30-7169
and/or rDEN2/4A30-1495, 7163), Dengue virus type 3 (rDEN3/4A30 and/or rDEN3-3'D4A30
and/or rDEN3A30/31), Dengue virus type 4 (rDEN4A30-7132, 7163, 8308 and/or rDEN4A30-200,
201 and/or rDEN4A30-4995.
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In a particularly preferred embodiment, the present invention is directed to the below formulation
Table 1 - •' "
mm, mm.
i.
2.
3.
4.
N ^ e oift^
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Excipients * '•' . * • ^Ax • • ;'V.:-
1.
2.
3.
4.
5.
6.
7,
8.
Human serum albumin
Lactose monohydrate
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Dulbecco's Modified Eagle's Medium
Sterile Water for injection
Quantity (Per dose of 0.5 ml)
. NLT3.01og,0PFU'
NLT3.01og,oPFUr
NLTlOlogioPFU1
NLT3.01og10PFU'
Range
10 to 15 mg
25 to 50 mg
3 to 25 mg
~ 260 ^g
~ 630 ^g
~ 460 ^g
~ 500 \ig
Q.s. to 0.5 ml
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* Cell substrate used for propagation: VERO cells
^FU: Plaque forming units
In another preferred embodiment the current invention provides the below formulation:
Table 2
S.No.
1.
2.
Name of the component
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Quantity (Per dose of 0.5 ml)
NLT3.01og,0PFU'
NLT3.01og,oPFU'
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3.
4.
SNamelot tfa component
Dengue vims serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Excipients
1.
2.
3.
4.
5.
6.
7.
8.
9.
Gelatin
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Dulbecco's Modified Eagle's Medium
Sterile Water for injection
Quantity (Per dose of 0.5 ml)
NLT3.01ogi0PFU1
NLTS.OlogjoPFU1
v Range
10 to 30 mg
• 5 to 25 mg
4 to 16 mg
25 to 60 mg
. ~260ug
~ 630 ug
~ 460 ug
~ 500 ug
Q.s. to 0.5 ml
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* Cell substrate used for propagation: VERO cells
!PFU: Plaque forming units
EXAMPLES
Example 1
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 3 below:
Table 3
SN
1.
2.
3.
Name of the component
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3 A30/31)*
Quantity (Per dose of 0.5 ml)
NLT3.01og,0PFU'
NLTS.OlogioPFU1
NLT3.01ogioPFU'
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4; Dengue virus serotype 4 (rDEN 4A30)*
mmrnmm^^ &i$-'^^^^^^W^^<^
NLT3.0-logi0PFU.
%v«mr^}
ftliliSfi
1.
2.
3.
4.
5.
6.
7.
8.
9.
-V-S!
Hydrolyzed Gelatin
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
• • 2 2 mg-
15 mg;.
. 8mg
37;5 mg
260 jig
630-jxg
460 |ag
500 jig
. Q.s. to 0.5. ml
* Cell substrate.-used for propagation: VERO cells PFU: Plaque fprming.units
Formulation of bulk vaccine_ 1 _ _ ^ „; ,^_ _^,;, ^
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 &.4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, hydrolyzed Gelatin was transferred to Water for Injection (WFI) in a
glass bottle and was allowed to disperse to make a clear solution. To the above solution, remaining
excipients > {Mannitol, \ Trehalose, Sucrose, Potassium dihydrogen. phosphate (KH2PO4), Dipotassium
hydrogen phosphate (K2HPO4), Monosodium glutamate and Dulbecco's Modified
Eagle's Medium} were added, one after the other. The pH of blend was adjusted to 7.0±0.2 using
1.0 N HC1 / 1.0 N NaOH solution. The resultant blend was filtered using 0.2 (j, sterilizing grade
filter and was chilled to*a temperature range of 5±3° C. Afterwards, calculated quantities of specific
dengue virus (serotype 1, 2, 3 & 4) were added to the blend and sterile, water for injection was
added to make up the volume. If required the pH was adjusted again in the range of 7.0±0.2.
-27 -"
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•CO
CO
•o
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• - B — , 5 . • W . i l u . i . 1M. B.i,l
,.' ••/B.-1-J-..-i- . J S = ^ F P?
Lyophilization Process of bulk vaccine
The final bulk vaccine was filled into USP type I, tubular glass vials and the trays containing half
stoppered vaccine vials were placed in lyophilizer. The Lyophilization was performed at following
parameters:-
• The vials were frozen at a temperature in the range of-40 °C and -60 °C for 8 hrs
« The primary drying "was carried out at a temperature of about -50 °C to about -15 °C,
^vacuum in a.range of about 20 mtorr to about 800 mtorr for about 50 hrs:
• The secondary drying.>vas carried out at a temperature of about +0 °C to about +30 °C,
vacuum in a range of about 20 mtorr to about 800 mtorr for about 15 hrs.
After completion of process, the vials were stoppered, sealed, labeled and stored at 2-8°C in a cold
room. . ^ •
Testing Results: The testing results of above example are as follow:
Stability results of Dengue Tetravalent Vaccine, Live Attei^a^j(^cojml^n
Table 4
£&•'.
| 'WJj-^r^^'WM ^'^^^^i^Pf V^» :^
^SfcmrkWm% m0mW • *&
m*
t^mWm;;mmW*m.m,
->%}•- ;&.:.. *:«r-2%vf«:.
rDEN 1A30
rDEN 2/4A30
rDEN 3A30/31
rDEN 4A30
0.00
0.00
0.10
0.00
0.40
0.00
0.10
0.00
0.80
0.30
0.10
0.40
*Note : If the results of subsequent time interval are higher than or equal to the initial then the loss
of titre is consider as 0
Stability results of Dengue Tetravalent Vaccine, Live Attenuated (Recombinant, Lyophilized)
- 2 8 "
& •
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'cv? • J . T u J.>ii.i.,7 ^ u ^ - . I J JV '.ag; ,;' ,J,M x*-,rfT
Table 5
Serotype
Name
rDEN 1A30
rDEN
2/4A30
rDEN
3A30/31
rDEN 4A30
Loss of Titre (Logio Pfu/0.5 ml) at different storage conditions for Dengue
Tetravalent Vaccine (Lyophilized)
15 days
0.40
0.00
0.10
0.00
25±2°C
1
Month
0.80
0.20
0.10
0.20
2
Months
0.60
0.00
0.60
0.20
2-8°C
1
Month
0.30
0.00
0.10
0.00
3
Months
0.50
0.00
0.10
0.10
6
Months
0.40
0.10
0.10
0.20
9
Months
0.60
0.20
0.20
0.10
12
Months
. 0.40
0.00
0.20
0.10
*Note: If the results of subsequent time interval are higher than or equal to the initial then the loss
of titre is consider as 0
Stability Results of Final bulk (liquid)
Table 6
Serotype
Name
rDEN 1A30
rDEN
2/4A30
rDEN
3A30/31
rDEN 4A30
Loss of Titre (Logio Pfu/0.5 ml) at storage of 2-8°C for Dengue Vaccine Final
# bulk solution ... *
lday
0.20
0.20
0.10
0.20
2 days
0.10
0.30
0.20
0.20
3 days
0.10
0.20
0.70
0.20
4 days
0.40
0.30
0.70
0.40
-29-
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Sr^
I.
Example 2 ,
' Composition: The qualitativearid quantitative composition of the Dengue Tetravalent Vaccine, •
Live Attenuated (Recombinant, Lyophilized) is presented in Table 7 below:
Table 7 .."'
r-Sft
1.
2.
3.
4.
Dengue virus serotype l~(r-DEN1 A30)!
Dengue virus serotype 2 (rDEN 2/4A3 0)*
Dengue virus serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A3 0)*
' s l ^ Z ^ ^ ^ # a i M l i
v-*w
4:»p|Wti|pRej|a^^pf|ml|p
.NLT3.01og,oPF¥.1
NLT4.0.1og10PFU.. ..
NLT 3.0 logic,PFU1...
NLT3.01ogiGPFUl..
1.
2.
3.
4.
s:
6.
7.
8.
9.
Gelatin
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate .
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
*WmfW ?
22 nig
.L0-mg-
5mg
'. 55 mg
'260-jig
630 ^g
460 jig-
750 |ag
Q.s. to 0.5 ml
* Cell substrate used for propagation: VERO cells PFU: Plaque forming units
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, Gelatin was transferred to Water for.Injection (WFI) in a glass bottle
and was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KH2PO4), Di-potassium
hydrogen phosphate (K2HPO4), Monosodium glutamate and Dulbecco's Modified Eagle's Medium}
^ — _ _ — „ — : _—_—— : — ^ 3 0 ^ — . — _ _ - _ ~, :. -^
'.' ' .
X
CD
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o Li.
«»^, m. ^
o CN
-J
LU
Q
•
CN
CN
^
CO
CN
to
CO
m ^-
r4 •»$&**: v *
1.
2.
3.
4.
Hydrolyzed Gelatin
Mannitol
Trehalose
Sucrose
Quantity (Per dose of 0.5 ml)
NLTS.OlogjoPFU1
NLT3.01ogioPFU'
NLTS.OlogioPFU1
NLTS.OlogioPFU1
Range
22 mg
12 mg
10 mg
35 mg
CO
CN
CO
CO
10
CO
o
CN
-32-
00
CN
ii
IEr^
SN
5.
6.
7.
8.
9.
Name of the component
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Sterile Water for Injection
,1 1 ___, o .. T , ™ - ^ _ n I n ^ T T . m . '
Quantity (Per dose of 0.5 ml)
-270 fig
~ 630 ng
~ 480 |ag
~ 850 fig
Q.s. to 0.5 ml
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m
CO
o
CN
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, Hydrolyzed Gelatin was transferred to Water for Injection (WFI) in a
glass bottle and was allowed to disperse to make a clear solution. To the above solution, remaining
excipients {Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KH2PO4), Dipotassium
hydrogen phosphate (K2HPO4), Monosodium glutamate and Leibovitz L-15 Medium}
were added, one after the other. The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N
NaOH solution. The resultant blend was filtered using 0.2 \x sterilizing grade filter and was chilled
to a temperature range of 5±3° C. Afterwards, calculated quantities of specific dengue virus
(serotype 1, 2, 3 & 4) were added to the blend and sterile water for injection was added to make up
the volume. If required the pH was adjusted again in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in Example 1.
Example 5
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 10 below:
- 3 3 -
00
CN
Table 10
SN
1.
2.
3.
4.
Name of the component
Dengue virus serotype 1 (rDEN 1 A3 0)*
Dengue virus serotype 2 (rDEN 2/4A3O)*5
Dengue virus serotype 3 (rDEN 3 A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Excipients
1.
2.
3.
4.
5.
6.
7.
8.
9.
ale / n .
Gelatin
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Sterile Water for Injection
11 __1_ A„ A_ . . J J? _ .- T r r n A 11 I n r r r . m
Quantity (Per dose of 0.5 ml)
NLTS.OlogioPFU1-
- . • NLTS.OlogioPFU1-
NLTS.OlogioPFU1
NLTS.OlogioPFU1
Range
15 mg
12 mg
10 mg
55 mg
~ 270 \ig
~ 630 |ig
~ 480 ^ig
~ 850 \ig
Q.s. to 0.5 ml
CD
G)
Q.
CD
CN
E
3 .
o
LL
o
CN
_J
LU
Q
CN
CN
CO
CN
CO
CO
10
CO
o
CN
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, Gelatin was transferred to Water for Injection (WFI) in a glass bottle
and was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KH2PO4), Di-potassium
hydrogen phosphate (K^HPCU),,Monosodium glutamate and Leibovitz L-15 Medium} were added,
one after the other. The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N NaOH
solution. The resultant blend was filtered using 0.2 \x sterilizing grade filter and was chilled to a
temperature range of 5±3° C. Afterwards, calculated quantities of specific dengue virus (serotype 1,
-34-
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CN
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CN
CN
CO
CN
CO
CO
m
CO
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CN
Q.
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CO
CO
CN
g-? • j - -ii-a- ry.s w j-i i it-; ^^i±
2, 3 & 4) were added to the blend and sterile water for injection was added to make up the volume.
If required the pH was adjusted again in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in Example 1.
Example 6
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 11 below:
Table 11 .
SSI
1.
2.
3.
4.
:.Name''^
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3 A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Excipierits - . - . - , - •
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Hydrolyzed Gelatin
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
11 „ . ! . _ * * . . . J T _.• ... w r ^ n n „_ l n r i T . m
Quantity (Per dose of 0.5 ml)
NLT3.0..1og10PFU1 . .
NLT4.01ogi0PFU'
NLT3.01og,oPFU'
NLT3.01ogioPFU.'. •
Range
22 mg
20 mg
10 mg
37.5 mg
~270|ig
~ 630 ng
~ 480 |ag
~850|ag
-500 |ag
Q.s. to 0.5 ml
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 &. 4 with solution containing stabilizer, buffers and bulking agents.
-35-
V
—t
*«**-
\ - jL*.V
-a-i - B - .11 II ..J-fJ ,n, ^.H
B •—fl lli.fl ftj. •inB .lift.
CD
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CN
E
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Q
CN
CN
CO
CN
CO
CO
m
CO
o
CN
i
Q.
CD
CO
CO
CN
For preparing the solution, Hydrolyzed Gelatin was transferred to Water for Injection (WFI) in a
glass bottle and was allowed to disperse to make a clear solution. To the above solution, remaining
excipients {Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KH2PO4), Dipotassium
hydrogen phosphate (K2HPO4), Monosodium glutamate, Dulbecco's Modified Eagle's
Medium and Leibovitz L-15 Medium} were added, one after the other. The pH of blend was
adjusted to .7.0±0.2 using 1.0 N HCl / 1.0 N NaOH solution. The resultant blend was filtered using
0.2 \i sterilizing grade filter and was chilled to a temperature range of 5±3° C. Afterwards,.
calculated quantities of specific dengue virus (serotype 1, 2, 3 & 4) were added to the blend and
sterile water for injection was added to make up the volume. If required the pH was adjusted again
in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in Example 1.
Example 7
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 12 below:
Table 12
SNJ
1.
2. .'
3.
4.
Name of the component
Dengue virus serotype 1 (rDEN 1A30)* .
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
lExcipients
1.
2.
3.
4.
5.
6.
Human serum albumin
Lactose monohydrate
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Quantity (Per dose of 0.5 ml)
NLTS.OlogioPFU1
NLTS.OlogioPFU1
NLTS.OlogioPFU1
NLTS.OlogioPFU1
Range
12.5 mg
37.5 mg
5mg
~ 260 ^g
~ 630 \xg
~ 460 jig
-36-
- ^ : ;
SN
7.
8.
Name of the component
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
Quantity (Per dose of 0.5 ml)
~ 500 ug
Q.s. to 0.5 ml
* Cell substrate used for propagation: VERO cells 'PFU: Plaque forming units
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, lactose monohydrate was transferred to Water for Injection (WFI) in a
glass bottle and was allowed to disperse to make a clear solution. To the above solution, remaining
excipients {Sucrose, Potassium dihydrogen phosphate (KH2P04), Di-potassium hydrogen
phosphate (K2HPO4), Monosodium glutamate and Dulbecco's Modified Eagle's Medium} were
added, one after the other. The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N NaOH
solution. The resultant blend was filtered using 0.2 \x sterilizing grade filter and was chilled to a
temperature range of 5±3° C. Afterwards; calculated quantities of sterile human serum albumin
solution were added to the blend followed by addition of specific dengue virus (serotype 1, 2, ,3 &
4). The Sterile Water For Injection (SWFI) was added to make up the volume. If required the pH
was adjusted again in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine
The final: bulk vaccine was filled into USP type I, tubular glass vials and the trays containing half
stoppered vaccine vials were placed in lyophilizer. The Lyophilization was performed at following
parameters >
• The vials were frozen at a temperature in the range of-40 °C and -60 °C for 8 hrs
• The primary drying was carried out at a temperature of about -50 °C to about -15 °C,
vacuum in a range of about 20 mtorr to about 800 mtorr for about 50 hrs.
oT • The secondary drying was carried out at a temperature of about +0 °C to about +30 °C,
vacuum in a range of about 20 mtorr to about 800 mtorr for about 15 hrs.
After completion of process, the vials were stoppered, sealed, labeled and stored at 2-8°C in a cold
room..
Testing Results: The testing results of above example are as follow:
- 3 7 -
a
CD
5
Stability results of Dengue Tetravalent Vaccine, Live Attenuated (Recombinant, Lyophilized)
Table 13
?&%$%
mm • J W * ! ^ ' ; 1 : y*i
rDEN 1A30 0:10 0.40 0.90
V -.
rDEN 2/4A30 0.00 0.40 0.80
rDEN 3A30/31 0.30 0.70 1.00
rDEN 4A30 0.00 0.40 0.90
*Note:.If the results of subsequent time interval are higher than or.equal to the initial then the loss
of titre is consider as 0
0)
re
Q .
CD
CM
E
o
LL
o
CN|
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CN|
CM
CO
CNJ
<>
Quantity (Per dose of 0.5 ml)
NLT3.01ogi0PFU
1.
2.
3.
4.
5.
6.
7.
8.
Human serum albumin
Lactose monohydrate
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Sterile^Water for Injection
Range
10 mg
25 mg
6.5 mg
260 ^ig
630 |ag
480 |ig
900 ng .
Q.s. to 0.5 ml
* Cell substrate used for propagation: VERO cells PFU: Plaque forming units
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents. For preparing
the solution, lactose monohydrate was transferred to Water for Injection (WFI) in a glass bottle and
was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Sucrose, Potassium dihydrogen phosphate (KH2P04), Di-potassium hydrogen phosphate
(K2HPO4), Monosodium glutamate and Leibovitz L-15 Medium} were added, one after the other.
The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N NaOH solution; The resultant
blend was filtered using 0.2 \x sterilizing grade filter and was chilled to a temperature range of 5±3°
C. Afterwards; calculated quantities of sterile human serum albumin solution were added to the
blend followed by addition of specific dengue virus (serotype 1, 2, 3 & 4). The Sterile Water For
Injection (SWFI) was added to make up the volume. If required the pH was adjusted again in the
range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in Example 1.
- 4 1 -
V
N ,
1
• JI. -a n -r- = :i -;-• * n * n „ n. „ R. •;: h n n -
Example 10
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 18 below:
Table 18
. • • . . - > ?&
i.
2.
3.
4.
-flak'A?
TK^-^-ydfc". w;;xfrC-v
Dengue virus serolype 1 (rDEN 1 A30);
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A30)1*
Excipients A - v. ^ V - ^ " ^
1.
2.
3.
4.
5.
6.
7.
8.
Human serum albumin
Lactose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Sterile Water for Injection
Quantity (Per dose of 0.5 ml)
NLT3.01ogioPFU
NLTS.OlogioPFU1 -
NLTS.OlogioPFU1
NLTS.Olog^PFU1
Range
14 mg
40 mg
25 mg
280 jig
640 |ig
440 \xg
500 ^ig
Q.s. to 0.5 ml
* Cell substrate used for propagation: VERO cells PFU: Plaque forming units
CD
G)
Q.
CD
CN
E
3 .
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CN
_J
LU
Q
CN
CN
CO
CN
CO
CO
m
CO
o
CN
Q.
CD
CO
00
CN
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents. For preparing
the solution, lactose monohydrate was transferred to Water for Injection (WFI) in a glass bottle and
was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Sucrose, Potassium dihydrogen phosphate (KH2PO4), Di-potassium hydrogen phosphate
(K2HPO4), Monosodium glutamate and Leibovitz L-15 Medium} were added, one after the other.
-42-
CD
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Q.
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CN
E
o
LL
o
CN
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LU
Q
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CN
CO
CN
CO
CO
m
CO
o
CN
3p^f Am: 1 —m i -v^-» -it. "J ,l""ll iry- -n—v
" •• n •iP h.J -ft,
The pH of blend was adjusted to 7.0±0.2 using LG N HCl / 1.0 N NaOH solution. The resultant
blend was filtered using 0.2 |i sterilizing grade filter and was chilled to a temperature range of 5±3°
C. Afterwards; calculated quantities of sterile human serum albumin solution were added to the
blend followed by addition of specific dengue virus (serotype 1, 2, 3 & 4). The Sterile Water For
Injection (SWFI) was added to make up the volume. If required the pH was adjusted again in the
range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in Example 1.
All patents, publications and abstracts cited above are incorporated herein by reference in their
entirety.
Although only a few embodiments of the present invention have been described herein, it should be
understood that the present invention can be embodied in many other specific forms without
departing from the spirit or scope of the invention as claimed herein. Accordingly, the present
examples and embodiments are to be considered as illustrative and not restrictive, and the invention
is not to be limited to the details given herein.
EXAMPLE 11
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 19 below:
Table 19
"SN '•'
1.
2.
3.
4.
IName^itile cbmpbrifentJi ^ ^p",if^ *^^''V-V:'--."-"/:^^'1";*^ -"'.
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3 A3 0/31)*
Dengue virus serotype 4 (rDEN 4A30)*
SExcipients ^
1.
2.
3.
4.
5.
6.
7.
Hydrolyzed Collagen
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Quantity (Per dose of 0*5 ml)
NLTS.OlogioPFU1
NLTS.OlogmPFU1
NLTS.OlogioPFU1
NLTS.OlogioPFU1
Range
22 mg
15 mg
8mg
37.5 mg
~ 260 \xg
-630 jag
~ 460 \xg
- 4 3 -
00
CM
N.
V
SN
8.
9.
Name of the component
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
Quantity (Per dose of 0.5 ml)
500 (ig
Q.s. to 0.5 ml
CD
G)
Q.
CD
CN
E
o
LL
o
CN
_J
LU
Q
CN
CN
CO
CN
CO
CO
CO
o
CN
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents as elaborated in
the table above. For preparation of solution, hydrolyzed collagen was transferred to water for
injection (WFI) in a glass bottle and was allowed to disperse to make a clear solution. To the above
solution, remaining excipients {Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate
(KH2P04), Di-potassium hydrogen phosphate (K2HP04), Monosodiurn glutamate and Dulbecco's
Modified Eagle's Medium} were added, one after the other. The pH of blend was adjusted to
7.0±0.2 using 1.0 N HC1 / 1.0 N NaOH solution. The resultant blend was filtered using 0.2 \x
sterilizing grade filter and was chilled to a temperature range of 5±3° C. Afterwards, calculated
quantities of specific dengue virus (serotype 1, 2, 3 & 4) were added to the blend and sterile water
for injection was added to make up the volume. If required the pH was adjusted again in the range
of7.0±0.2.
Lyophilization Process of bulk vaccine
The final bulk vaccine was filled into USP type I, tubular glass vials and the trays containing half
stoppered vaccine vials were placed in lyophilizer. The lyophilization was performed at following
parameters:-
• The vials were frozen at a temperature in the range of-40 °C and -60 °C for 8 hrs
• The primary drying was carried out at a temperature of about -50 °C to about -15 °C,
vacuum in a range of about 20 mtorr to about 800 mtorr for about 50 hrs.
• The secondary drying was carried out at a temperature of about +0 °C to about +30 °C,
vacuum in a range of about 20 mtorr to about 800 mtorr for about 15 hrs.
After completion of process, the vials were stoppered, sealed, labeled and stored at 2-8°C in a cold
room.
Testing Results: The testing results of above example are as follow:
Stability results of Dengue Tetravalent Vaccine, Live Attenuated (Recombinant, Lyophilized)
-44-
00
CM
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Table 20
Serotype Name
rDEN 1A30
rDEN 2/4A30
rDEN 3A30/31
rDEN4A30
Loss of titre (Logio Pfu/0.5 ml) for different serotypes in Dengue
Tetravalent Vaccine
37±2°C/7 days
0.47
0.38
0.17
0.12
37±2?C/14 days
0.42
- 0.34 •
0.17
0.34
*Note : If the results of subsequent time interval are higher than or equal to the initial then the loss
of titre is considered as 0
Stability results of Dengue Tetravalent Vaccine, Live Attenuated (Recombinant, Lyophiliized)
Table 21
Serotype
Name
rDEN 1A30
rDEN
2/4A30
rDEN
3A30/31
rDEN 4A30
Loss of Titre (Logio Pfu/0.5 ml) at different storage conditions for Dengue
Tetravalent Vaccine (Lyophilized)
25±2°C
15 days
0.00
0.17
0.03
0.15
1 Month
0.17
0.72
0.13
0.69
2 Months
0.98
0.70
0.78
0.39
2-8°C
1 Month
0.12
0.38
0.00
0.09
3 Months
;... 0.07
0.10
0.00
0.09
-'^Months--
0.07
0.31
0.06
0.00
12
Months
0.12
0.29
0.20
0.09
*Note: If the results of subsequent time interval are higher than or equal to the initial then the loss
of titre is consider as 0
EXAMPLE 12
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 22 below
Table 22
SN
1.
2.
3.
4.
Name of the component
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3 A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Excipients
1. Collagen
Quantity (Per dose of 0.5 ml)
NLTS.OlogioPFU1
, NLT4.01og,0PFU1
NLTlOlogioPFU1
NLT 3.0 logio PFU1
Range
22 mg
-45-
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CD
G)
Q.
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CN
£'
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LL
o
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Q
CN
CN
CO
CN
CO
CO
m
CO
o
CN
Q.
CD
CO
CO
CN
SN
2.
3.
4.
5.
6.
7.
8.
9.
Name of the component
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Dulbecco's Modified Eagle's Medium
Sterile Water for Injection
11 __i_ A_ A __ j x- _.• „. T7rn^ __ii InrTin.
Quantity (Per dose of 0.5 ml)
10 mg
5mg
55 mg
~ 260 |ig
-630 |ag
~ 460 |ig
~ 750 \ig
Q.s. to 0.5 ml
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents.
For preparing the solution, Collagen was transferred to Water for Injection (WFI) in a glass bottle
and was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KH2PO4), Di-potassium
hydrogen phosphate (K2HPO4), Monosodium glutamate and Dulbecco's Modified Eagle's Medium}
were added, one after the other. The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N
NaOH solution. The resultant blend was filtered using 0.2 ^i sterilizing grade filter and was chilled
to a temperature range of 5±3° C. Afterwards, calculated quantities of specific dengue virus
(serotype 1, 2, 3 & 4) were added to the blend and sterile water for injection was added to make up
the volume. If required the pH was adjusted again in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in previous example.
Example 13
Composition: The qualitative and quantitative composition of the Dengue Tetravalent Vaccine,
Live Attenuated (Recombinant, Lyophilized) is presented in Table 23 below.
Table 23
SN
1.
2.
3.
4.
Name of the component
Dengue virus serotype 1 (rDEN 1A30)*
Dengue virus serotype 2 (rDEN 2/4A30)*
Dengue virus serotype 3 (rDEN 3A30/31)*
Dengue virus serotype 4 (rDEN 4A30)*
Quantity (Per dose of 0.5 ml)
NLT3.01ogioPFU'
NLT 4,0 logio PFU1
NLT3.01ogi0PFU'
NLT3.01og,0PFU'
-46-
SN Name of the component
Excipients
1.
2.
3.
4.
5.
6.
7.
8.
9.
Hydrolyzed Collagen .
Mannitol
Trehalose
Sucrose
Potassium dihydrogen phosphate (KH2PO4)
Di-potassium hydrogen phosphate (K2HPO4)
Monosodium glutamate
Leibovitz L-15 Medium
Sterile Water for Injection
Quantity (Per dose of 0.5 ml)
Range
15 mg
12 mg
10 mg
55 mg
~270ng
~ 630 ng
~480^g
~ 850 ng
Q.s. to 0.5 ml
* Cell substrate used for propagation: VERO cells PFU: Plaque forming units
Formulation of bulk vaccine
The tetravalent formulation was prepared by mixing live attenuated, recombinant Dengue virus of
serotype. 1, 2, 3 & 4 with solution containing stabilizer, buffers and bulking agents. For preparing
the solution, hydrolyzed collagen vvas transferred to Water for Injection (WFI) in a glass bottle and
was allowed to disperse to make a clear solution. To the above solution, remaining excipients
{Mannitol, Trehalose, Sucrose, Potassium dihydrogen phosphate (KFbPC^), Di-potassium
hydrogen phosphate (K2HP04), Monosodium glutamate and Leibovitz L-15 Medium} were added,
one after the other. The pH of blend was adjusted to 7.0±0.2 using 1.0 N HC1 / 1.0 N NaOH
solution. The resultant blend was filtered using 0.2 \x sterilizing grade filter and was chilled to a
temperature range of 5±3° C. Afterwards, calculated quantities of specific dengue virus (serotype 1,
2, 3 & 4) were added to the blend and sterile water for injection was added to make up the volume.
If required the pH was adjusted again in the range of 7.0±0.2.
Lyophilization Process of bulk vaccine: As defined in previous example.
We Claim
1. A vaccine composition comprising live attenuated recombinant dengue virus wherein, the
stability of the composition is enhanced by presence of human serum albumin and/or gelatin
or hydrolyzed gelatin and/or collagen or hydrolyzed collagen.
2. A vaccine composition according to claim 1 which is tetravalent in terms of live attenuated
recombinant dengue virus.
3. A vaccine composition according to claim 1 or 2 wherein the dengue virus carry A 30
mutation and/or A 31 mutation.
4. A vaccine composition according to claim 1 or 3, wherein the dengue strains are selected
from dengue virus type 1, dengue vims type 1, dengue virus type 3, dengue virus type 4.
5. A vaccine composition according to any of the preceding claims wherein one or more
strains of dengue are chimeric comprising dengue 1 backbone or dengue 2 backbone or
dengue 3 backbone or dengue 4 backbone.
6. A vaccine composition according to any of the preceding claims wherein the dengue strains
have a phenotype which is temperature sensitivity in Vero cells or the human liver cell line
HuH-7.
7. A vaccine composition according to any of the preceding claims further comprising bulking
agents and /or buffering agents.^
8. A vaccine composition according to claim 7, wherein the bulking agent is selected from a
group comprising of lactose, sucrose, mannitol, trehalose and the like.
9. A vaccine composition according to claim 7, wherein the buffering agents are selected from
a group comprising of Potassium dihydrogen phosphate, Di-potassium hydrogen phosphate,
monosodium glutamate and the like.
10. A vaccine composition according to claims, 1, 7-9 further comprising supplemental media.
11. A vaccine composition according to any of the preceding claims wherein the final pH of the
composition is about 6-7.
12. A vaccine composition according to any of the preceding claims wherein the said
composition is lyophilized.
13. A vaccine according to any of the preceding claims wherein the dengue strains are
propagated in VERO cells.
14. A vaccine according to any of the preceding claims wherein the dengue virus is present at a
dose of 3.0 logioPFUper 0.5 ml
15. A stabilized vaccine obtained by reconstituting the lyophilized vaccine of claim 12.
16. A vaccine composition according to claim 1, wherein human serum albumin and/or gelatin
or hydrolyzed gelatin are present in an amount of I to 30mgs/0.5 ml and/or collagen or
hydrolyzed collagen are present in an amount of 1 to 30 mgs/0.5 ml.
17. A vaccine composition according to claim 16 wherein human serum albumin is present in an
amount of 10-15 mg/0.5 ml.
18. A vaccine composition according to claim 17, wherein human serum albumin is present in
an amount of 12.5 mg/0.5 ml or 10 mg/0.5 ml.
19. A vaccine composition according to claim 16 wherein gelatin or hydrolyzed gelatin is
present in an amount of 12-25 mg/0.5 ml.
20. A vaccine composition according to claim 19, wherein gelatin or hydrolyzed gelatin is
present in an amount of 22 mg/0.5 ml or 15 mg/0.5 ml.
21. A vaccine composition according to claim 16 wherein collagen or hydrolyzed collagen is
present in an amount of 12-25 mg/0.5 ml.
22. A vaccine composition according to claim 21 wherein collagen or hydrolyzed collagen is
present in an amount of 22 mg/0.5 ml or 15 mg/0.5 ml.
23. A stable lyophilized tetravalent vaccine composition comprising Dengue virus serotype 1
(rDEN 1A30), Dengue virus serotype 2 (rDEN 2/4A3 0), Dengue virus serotype 3 (rDEN
3A30/31), Dengue virus serotype 4 (rDEN 4A30), wherein, the stability of the composition
is enhanced by presence of human serum albumin and/or hydrolyzed gelatin.
24. A stable lyophilized tetravalent vaccine composition according to claim 23, where the
dengue virus is present at a dose of not less than 3.0 logi0PFU per 0.5 ml.
25. A stable lyophilized tetravalent vaccine composition according to the formula as represented
in Tables 1 to 23
26. A method of preventing disease caused by dengue virus in a subject comprising
administering an effective amount of the vaccine according to any of the preceding claims to
the subject.
27. A vaccine kit comprising a first container containing a stabilized vaccine composition
according to claims 1-25 and a second container containing an aqueous solution for the
reconstitution of the vaccine.