Dengue vaccine unit dose and administration thereof

a dengue and vaccine technology, applied in the direction of antibacterial agents, antibacterial medical ingredients, dsdna viruses, etc., can solve the problems of sudden high fever, debilitating and painful symptoms, nausea, vomiting and skin rashes,

Pending Publication Date: 2022-07-21
TAKEDA VACCINES INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The vaccine effectively protects against all four dengue serotypes, reducing the risk of severe disease and hospitalization, with a simplified dosing schedule and broad applicability, including in seronegative individuals and young children, enhancing outbreak control and global health security.

Problems solved by technology

However, the limited viral replication is sufficient to express the full repertoire of viral antigens and can generate potent and long-lasting immune responses to the virus.
Dengue virus infections can lead to debilitating and painful symptoms, including a sudden high fever, headaches, joint and muscle pain, nausea, vomiting and skin rashes.
In the most severe cases, DHF and DSS can be life threatening.
Infection with one dengue virus serotype results in life-long protection from re-infection by that serotype, but does not prevent secondary infection by one of the other three dengue virus serotypes.
In fact, previous infection with one dengue virus serotype may lead to an increased risk of severe disease (DHF / DSS) upon secondary infection with a different serotype.
One further disadvantage of the only currently approved dengue vaccine, Dengvaxia®, is that it must only be given to people who have had a positive test result showing a previous infection with dengue virus (EPAR), i.e. individuals with known serostatus for dengue.
Thus, individuals with unknown serostatus for dengue cannot be vaccinated with Dengvaxia®.
The disease is closely associated with unsafe water or food, inadequate sanitation and poor personal hygiene.
Unlike hepatitis B and C, hepatitis A infection does not cause chronic liver disease and is rarely fatal, but it can cause debilitating symptoms and fulminant hepatitis (acute liver failure), which is often fatal.
The disease can lead to significant economic and social consequences in communities.
The risk of becoming ill during international travel depends on many factors, such as the region of the world visited, the length of the trip, and the diversity of planned activities.
Contracting measles during pregnancy increases fetal risk.
Most commonly, this risk involves premature labor and moderately increases rates of spontaneous abortion and of low birth weight.
If the infection occurs in a woman in early pregnancy however, the virus may cross the placenta to reach the fetus, in which the infection can induce birth defects.
These defects may be serious and permanent and include congenital heart disease, cataract formation, deafness and mental retardation.
The bacteria produce toxins that interfere with muscle contractions, resulting in the typical signs of muscle spasms.
It affects the brain and nervous system and causes extremely painful muscle spasms, usually all over the body.
The diphtheria toxin causes a membrane of dead tissue to build up over the throat and tonsils, making breathing and swallowing difficult.
Diphtheria is a very contagious infection and the bacteria usually spread between people by direct contact or through the air, but it may also be spread by contaminated objects.
Pertussis, or whooping cough, caused by the bacterium Bordetella pertussis is an airborne disease that results in an extremely contagious respiratory infection that can lead to severe breathing problems, especially in infants.
Pertussis first appears like an ordinary cold, but then causes intense, uncontrollable coughing spells which can cause difficulty breathing, vomiting, and disturbed sleep.
A person may cough so hard that they vomit, break ribs, or become very tired from the effort.
Pertussis can affect people of all ages, but can be very serious and even deadly, for babies less than a year old.
It invades the nervous system, and can cause total paralysis in a matter of hours.
There is no cure for polio, it can only be prevented.
Hib also causes potentially severe inflammatory infections of the face, mouth, blood, epiglottis, joints, heart, bones, peritoneum, and trachea.
Although this problem occurs worldwide the burden of Hib disease was considerably higher in resource-poor countries, prior to the introduction of the vaccine into their national immunization programs.
Hib disease is observed in all parts of the world but is difficult to confirm because it requires prompt laboratory investigation in patients that have not received prior antibiotic treatment.
Yet, elderly adults are at increased risk of developing severe dengue and DHF / DSS compared to younger subjects (Liu et al.
Subjects with DHF may present with severe manifestations of plasma leakage and hemorrhage.
Prolonged shock is the main factor associated with complications including massive gastrointestinal hemorrhage that can lead to death.

Method used

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  • Dengue vaccine unit dose and administration thereof
  • Dengue vaccine unit dose and administration thereof
  • Dengue vaccine unit dose and administration thereof

Examples

Experimental program
Comparison scheme
Effect test

example 1

on of the Dengue Virus Strains

[1292]The methods used to generate the chimeric dengue strains TDV-1, -3 and -4 were standard molecular cloning and DNA engineering methods and are described in Huang et al. (2003) J. Virology 77(21): 11436-11447. The following well-known methods were used to construct and introduce the prM-E genes of dengue serotypes 1, 3 and 4 into the TDV-2 backbone: Reverse-transcriptase PCR (RT-PCR), PCR, restriction enzyme digestion, DNA fragment ligation, bacterial transformations by electroporation, plasmid DNA preparations, in vitro transcription by T7 RNA polymerase, and transfection of Vero cells by electroporation.

[1293]After growing and purifying the different dengue serotypes separately as described in Huang et al. (2013) PLOS Neglected Dis, 7(5):e2243, they are mixed in the concentrations provided in Table 5. The mixture of dengue serotypes is present in a dengue vaccine composition and combined with a composition of pharmaceutically acceptable excipients...

example 2

ralization Test

[1294]Immunogenicity was measured by a microneutralization assay to each one of the four dengue serotypes with titers defined as the dilution resulting in a 50% reduction in plaque values (MNT50). Briefly, on day 1 Vero cells were seeded on 96-well assay plates in DMEM and 10% FBS at a density of 2.5×105 cells / ml and incubated at 37° C. for 24 hours. On day 2 serial dilutions of the heat-inactivated antibody-containing test and control sera samples (dilutions range 1:10 to 1:20480) were prepared and mixed with a constant concentration of dengue viruses, in particular DENV-1 strain 16007, DENV-2 strain 16681, DENV-3 strain 16562 and DENV-4 strain 1036, (target 60-80 pfu / well) in a 96 well microtiter plate and incubated overnight at 2-8° C. to enable the neutralization of the virus by the antibodies present in the sera. After the incubation the mixture of virus and antibodies was transferred onto the 96 well plates with Vero cells and the plates were incubated at 37° C....

example 3

Trial Comparing Two Different Unit Doses

[1300]A descriptive Phase II, double-blind, randomized, and controlled trial in 351 subjects aged 21 to 45 years living in Singapore was performed comparing two different formulations of a tetravalent dengue vaccine. Subjects were randomized (1:1), stratified by baseline dengue serostatus, into two treatment groups: groups 1 received one subcutaneous (SC) dose of HD-TDV and group 2 received one subcutaneous dose of TDV. The dengue vaccine formulations were prepared as described in Example 1. The concentration of the four dengue serotypes in the HD-TDV vaccine (high dose tetravalent dengue vaccine) and in the TDV vaccine (corresponding to the unit dose of the invention as described herein) is outlined in Table 5.

TABLE 5Unit doses used in the trial.Comparative 0.5 mL comprising TDV-1, TDV-2, TDV-3 and TDV-4 containing 3.2 × 104 unit dosePFU, 1.3 × 105 PFU, 2.5 × 105 PFU, and 4 × 105 PFU, respectively. (HD-TDV)Administered by subcutaneous injecti...

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Abstract

The invention relates to a unit dose of a dengue vaccine composition and methods and uses for preventing dengue disease and methods for stimulating an immune response to all four dengue virus serotypes in a subject or subject population. The unit dose of a dengue vaccine composition includes constructs of each dengue serotype, such as TDV-1, TDV-2, TDV-3 and TDV-4, at various concentrations in order to improve protection from dengue infection.

Description

CROSS REFERENCE TO RELATED APPLICATION[0001]This application is a 35 U.S.C. § 371 United States National Phase Application of, and claims priority to PCT Application No. PCT / US2019 / 049749, filed Sep. 5, 2019, which is a Continuation of U.S. application Ser. No. 16 / 295,611, filed on Mar. 7, 2019. PCT Application No. PCT / US2019 / 049749, claims the benefit of priority from European Application No. 19161184.7 filed on Mar. 7, 2019, European Application No. 19154334.7 filed on Jan. 29, 2019, European Application No. 18192701.3 filed on Sep. 5, 2018, European Application No. 18192711.2 filed on Sep. 5, 2018, European Application No. 18192717.9 filed on Sep. 5, 2018, European Application No. 18192776.5 filed on Sep. 5, 2018, European Application No. 18192787.2 filed on Sep. 5, 2018, European Application No. 18192793.0 filed on Sep. 5, 2018, European Application No. 18192800.3 filed on Sep. 5, 2018, European Application No. 18192814.4. The entire contents of these applications are incorporat...

Claims

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Application Information

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Patent Type & AuthorityApplications(United States)
IPC IPC(8): A61K35/76
CPCA61K35/76A61P31/14C12N2770/24134C12N2770/24122C12N2770/32434C12N2710/20034A61K2039/545A61K2039/572A61K2039/575A61K2039/70A61P31/04C12N2770/24171A61K2039/5254A61K39/0018A61K39/12Y02A50/30A61K39/295A61K2039/5252A61K2039/55
InventorWALLACE, DEREKLEFEVRE, INGE
OwnerTAKEDA VACCINES INC