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Thermostable Lyophilized Ebola Vaccine Formulations Carly Fleagle Chisholm, PhD University of Colorado - Boulder Center for Pharmaceutical Biotechnology Department of Chemical and Biological Engineering September 20 th ,2016 1

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Thermostable Lyophilized Ebola Vaccine Formulations

Carly Fleagle Chisholm, PhD

University of Colorado - Boulder

Center for Pharmaceutical Biotechnology

Department of Chemical and Biological Engineering

September 20th,2016 1

Cold chain requirements for vaccines

Current licensed vaccines require transport and storage under a tightly-controlled cold chain

Cold chain requirements are costly and particularly difficult to maintain in developing countries

2

Ebola outbreaks occur in countries where maintaining the cold chain is challenging

2014 Ebola outbreak in West Africa

Total cases = 28,652 Total deaths= 11,325 3

No licensed vaccines against Ebola virus infections are currently available

We need a thermally stable vaccine!

4

Lyophilization can be used to develop thermostable vaccines and could

eliminate the need for a cold chain

5

Freezing-induced aggregation: A challenge for lyophilization of adjuvant-containing vaccines

Freezing typically causes aggregation of aluminum salt particles in vaccine formulations and can lead to losses in vaccine efficacy

Particle diameter (m)

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Prior to freeze-thaw

Post freeze-thaw

Clausi et al., J. Pharm. Sci., Vol. 97, (6), 2008 6

Aggregation of aluminum salt adjuvants during freezing can be avoided by using high concentrations of glass-forming excipients or faster cooling rates

Clausi et al., J. Pharm. Sci., Vol. 97, (6), 2008

2D Graph 2

Trehalose Concentration (w/v%)

0 2 4 6 8 10 12 14

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Shelf Cooled 0.5 C/min; Thawed

Shelf Cooled 3.5 C/min; ThawedImmersion in Liquid Nitrogen; ThawedSpray Frozen; ThawedShelf Cooled 3.5 C/min; Dried

Processing:

7

Development of a thermostable Ebola vaccine

Formulations of the key antigen, Ebola glycoprotein, were prepared in liquid and lyophilized forms

Vaccine Formulation 0.1 mg/mL Ebola glycoprotein 10 mM ammonium acetate pH 7 9.5% (w/v) trehalose ± 0.5 mg/mL aluminum hydroxide (alum)

Lyophilized using fast cooling

Vaccine stability was tested after 12 weeks of incubation at 40°C

Vaccine potency was determined by measurement of antibody responses against Ebola glycoprotein in mouse models

Feldmann et al. 1999

8

Ebola glycoprotein is thermally unstable in liquids

9

Protein aggregation and degradation was minimized in lyophilized Ebola glycoprotein vaccine formulations

10

Minimal aggregation of alum particles was observed after lyophilization of Ebola vaccine formulations

Formulation Mean particle diameter (ESD)

Liquid E-GP +alum 2.7 ± 0.1 µm

Lyo E-GP +alum 4.7 ± 0.1 µm

*Particle size was determined using microflow digital imaging with FlowCAM® 11

Near-native tertiary structure of Ebola glycoprotein was retained in all lyophilized formulations even after 12 weeks of incubation

Unfolded protein

native protein

12

Ebola vaccines are equally potent in liquid and lyophilized forms

- ALUM + ALUM 13

More importantly, lyophilized Ebola glycoprotein vaccines are stable for 12 weeks at 40°C

- ALUM + ALUM 14

Conclusions

Using high trehalose concentrations and fast cooling, aggregation of aluminum salt particles can be avoided in lyophilized Ebola vaccines

Lyophilized Ebola vaccines are stable at 40°C eliminating the need for a cold chain

15

Acknowledgments

University of Colorado- Boulder

Theodore Randolph

Taek Jin Kang, Dongguk University-Seoul

Milly Dong

Kasey Lewis

University of Hawaii- Manoa

Axel Lehrer

Oreola Donini

Funded by Soligenix, Inc.