PHARMACEUTICAL COMPOSITION FOR ADMINISTRATION TO MUCOSAL SURFACES

Abstract: A pharmaceutical composition for administration to mucosal surfaces, which composition comprises a biologically active agent, a first amount of said agent being encapsulated within microspheres which comprise a polymer which has a molecular weight in excess of 94kDa and a maximum diameter of 20 mu m, and a second amount of said agent being in a form which has a higher bioavailability than said first amount. The composition is particularly useful for the intra-nasal administration of vaccines in a single shot vaccination.

Description: PHARMACEUTICAL COMPOSITION FOR ADMINISTRATION TO MUCOSAL SURFACES The present invention relates to a composition which is particularly useful for delivering pharmaceuticals such as vaccines to mucosal surfaces, for example intranasal formulations. The invention further comprises methods of treating individuals using the composition and methods of preparing the composition. A prime objective in the field of vaccination is the development of a non-parenteral immunisation regimen which facilitate induction of comparable levels of systemic immunity • to that elicited by conventional sub-cutaneous and intramuscular injections. The nasopharyngeal passages and pulmonary regions of the respiratory tract represent potential targets for the systemic delivery of peptidergic drugs and vaccines. The relative ease with which therapeutic agents can be inhaled, or introduced into the nose, make these modes of immunisation attractive in terms of probable patient compliance. Furthermore, respiratory mucosae offer certain morphological, physiological and immunological advantages over other non-parenteral sites in terms of immunisation, particularly against pathogenic entitities which affect or utilise mucosal surfaces as portals of entry. This is because effective vaccination against these pathogens normally requires mucosae to the adequately protected with locally produced antibodies of the secretory IgA (slgA) isotype. Whilst mucosal surfaces are usually poorly protected with IgA following parenteral administration of vaccines, it is now apparent that successful delivery of antigenic material to i munoresponsive elements in mucosa-associated lymphoid tissue (MALT) can result in vigorous stimulation of the mucosal arm of the immune system. By means of the common mucosal immune system (CMIS) it is feasible that several anotomically disparate mucosal surfaces could be protected through mucosal administration of a vaccine at a single site. Mucosal vaccination offers the added advantage that some degree of systemic immunity can be induced in concert with local responses due to translocation of antigenic material from sub- epithelial compartments to systemic immunoresponsive tissues such as the spleen. Despite the logistical and immunological factors which favour non-parenteral immunisation, simple mucosal application of antigenic proteins, for example in the gastrointestinal or respiratory tracts, is usually ineffectual in terms of vaccination. Enzymatic or chemical destruction, combined with poor absorption into sub-epithelial compartments dictate that mucosally administered vaccines usually require some form of adjuvant or delivery vehicle. One approach is to encapsulate antigenic material within icroparticulate polymeric carriers, such as poly-DL-lactide (P A) microspheres (Vaccine 1994, 12, 5-11) . Such procedures serve to protect labile vaccines from lu enal degradation and enhance adsorption into mucosal and systemic compartments (J.H. Eldridge et al., Seminars in Hematology, (1993) , 30, 16-25) . There is good evidence that microencapsulation may also adjuvantise by converting soluble antigenic molecules into particulate species, thus promoting vaccine uptake into antigen presenting cells (APC) (Y. Tabata et al., Adv. Polym. Sci. (1990), 94, 107-141, L. Vidard et al., J. Immunol. (1996), 156, 2809-2818, N. Van Rooijen, Immunol. Today (1990) 11, 436-439) or icrofold cells (M-cells) in lymphoid follicles (R.I. Walker et al . , Vaccine, 12, 387, 1994, D.T. O'Hagan et al, , Vaccine, 1989, 7, 421-424, P.G. Jenkins et al., J. Drug Targetting, 1995, 3, 79-81) . Although comparatively under-investigated; the intra-nasal (i.η.) route is an attractive one for the mucosal delivery of vaccinal entities. The nasal epithelium is accessible and is less exclusive to high molecular weight molecules. The thickness of the mucus blanket covering respiratory epithelium is relatively thin compared to that of other mucosae, for example the gut where it is in the region of 500 times thicker. Substantially reduced concentrations of proteolytic enzymes and extremes of pH exist in the respiratory tract compared with the gastrointestinal tract. Furthermore, it is now delineated that nasal associated lymphoids tissues (NALT) have a lymphoepithelium which, like that in the intestinal mucosa, contain M-cells for selective antigen uptake (P. Brandenburg, Immunology of the Lung and Upper Respiratory Tract, (ed. Bienenstock J.) McGraw-Hill, New York, 1984, 28-95) . Hence NALT plays an analogous role to other MALT, such as the gut associated lymphoid tissues (GALT) , in terms of antigen surveillance and induction of mucosal and systemic immunological responses. The use of high molecular weight polymers in the encapsulation of a tetanus vaccine for intramuscular administration has been described (Vaccine 1994, 12, 4, 299-306) . A formulation of microencapsulated ricin toxoid vaccine which is applied intranasally has also been described (Vaccine 1994, 14, 11 1031) . However, in that case, high molecular weight polymer microspheres (94KDa) were less effective than those prepared from a copolymer of lower molecular weight (72KDa) . The use of high molecular weight polymers (PLAlOOKDa) in the production of microspheres for use in generating immune responses against Yersinia pestis has been described previously in Immunology 1997, 92, Suppl. 1, 56 and J. Phar . Pharmacol. 1997, 49, Suppl 4, 85. In those cases however, multiple doses of the compositions were administered (i.e. and initial dose followed by either one or two booster doses) intranasally. It is desirable to minimise or eliminate the need for booster doses of pharmaceuticals such as vaccines. This is because it is inconvenient and costly to see patients on a repeated basis. Attempts have also been made to enhance the efficacy of pharmaceutical compositions such as vaccine compositions by use of adjuvants. US Patent No. 5,643,605 discloses methods and compositions in which principally adjuvants are encapsulated in low viscosity polymers to form microspheres having a median diameter of from about 20 to lOOμm. Such compositions will therefore include microspheres of greater than 20μm diameter. The applicants have found that a particular microencapsulated formulation produces high levels of ' efficacy when administered by way of a mucosal surface. For example, in the case of vaccines, these may generally be administered in a single dose, without the need for adjuvants. By "single dose" is meant that the pharmaceutical and in particular, a vaccine is applied without boosting. Thus the invention provides a pharmaceutical composition for administration to mucosal surfaces, which composition comprises an agent which is capable of generating a biological effect, a first amount of said agent being encapsulated within microspheres which comprise a polymer which has a molecular weight in excess of 94kDa and a maximum diameter of 20μm, and a second amount of said agent being in a form which has a higher bioavailability than said first amount. The biological effect is suitably one which generates a protective immune response such as a vaccine but other pharmaceutically active compounds may be employed. In particular, other suitable biologically active compounds are pharmaceuticals such as CNS active drugs, analgesics such as centrally acting analgesics, pain relievers such as morphine analogues, and hormones such as insulin. The higher bioavailability of the second amount of the active agent means that when it is administered, it is very swiftly incorporated into the system of the recipient. It therefore aids in achieving a fast and high immune response, which is then reinforced by the slower release of material from the microspheres. The high molecular weight polymeric microspheres tend to delay release of the agent encapsulated therewith. Suitably the said second amount of said agent is free in the composition or is at least partially adsorbed onto, or weakly associated with the surface of said microspheres. Alternatively, it may encapsulated in a readily dispersible microsphere or vesicle which either surrounds or is separate from the high molecular weight polymeric microspheres which form part of the composition of the invention. Suitably, the polymer has a molecular weight of lOOKDa or more. Suitably the polymer comprises a "structural polymer" which is water insoluble polymer, capable of forming structures such as microspheres. Such polymers may be consisted to be matrix materials and are soluble only in organic solvents . A particularly suitable polymer for use in the compositions of the invention comprises poly- (L-lactide) or PLA but other high molecular weight polymeric material such as poly (lactic/glycolic acid) PGLA may be employed. Structural polymers and in particular, PLA, of high crystallinity, for example which is more than 70% crystalline, are preferred. Such polymers are of high viscosity, for example with a viscosity of greater than 1.2dL/g, and more preferably in greater than 1.5dL/g. However preferably they comprise at least 70%, more preferably at least 80% and most preferably at least 95% of the high molecular weight polymers as described above. In particular, the polymer used is 100% high molecular weight PLA. The microspheres may optionally further comprise agents which stabilise emulsions such as polyvinylalcohol or methyl cellulose, and preferably polyvinylalcohol. Suitably the microspheres do not include low molecular weight structural polymers such low molecular weight PLA or PGLA as mentioned above . Microspheres of this type are quite small, having a maximum diameter of 20μm and have good flow characteristics. Suitably the microspheres have a mean diameter of at least 2μm, preferably from 2 to 15μm, more preferably from 2 to lOμm, or most preferably from from 4 to lOμm. In a particular embodiment, the microspheres have a mean diameter of about 6μm. The maximum diameter of the particles is suitably lOμm, preferably 7μm, and preferably is 6μm. The ratio of the first and second amounts of the agent used in the composition may vary depending upon the particular agents being employed, but in general, they will be in a ratio of from 1:2 to 2:1 and preferably at about 1:1. These compositions are effective in the administration of pharmaceuticals generally but in particular, for the administration of a biologically active agent which is capable of generating a protective immune response in an animal, particularly a mammal, to which it is administered. Examples of such agents include antigenic polypeptides as well as nucleic acid sequences which may encode these polypeptides and which are known as λ DNA" vaccines. Suitable polypeptides are sub-unit vaccines and others, such as diptheria toxoid, tetanus toxoid, Botulinun toxin FHc and Bacillus anthracis protective antigen (PA) . As used herein the expression "polypeptide" encompasses proteins or epitopic fragments thereof. Suitable polypeptides are sub-unit vaccines . In a preferred embodiment, the composition of the invention comprises a biologically active agent which is capable of generating a protective immune response against Yersinia pestis . The agent is suitably a sub-unit vaccine, for example as described in WO 96/28551. The vaccine described and claimed there comprises a combination of the V antigen of Y. pestis or an immunologically active fragment thereof or a variant of these, and the FI antigen of Y. pestis or an immunologically active fragment thereof or a variant of these. As used herein, the term "fragment" refers to a portion of the basic sequence which includes at least one antigenic determinant. These may be deletion mutants. One or more epitopic region of the sequence may be joined together. The expression "variant" refers to sequences of nucleic acids which differ from the base sequence from which they are derived in that one or more amino acids within the sequence are substituted for other amino acids. Amino acid substitutions may be regarded as "conservative" where an amino acid is replaced with a different amino acid with broadly similar properties . Non-conservative substitutions are where amino acids are replaced with amino acids of a different type. Broadly speaking, fewer non-conservative substitutions will be possible without altering the biological activity of the polypeptide . Suitably variants will be at least 60% homologous, preferably at least 75% homologous, and more preferably at least 90% homologous to the base sequence. In particular, the biologically active agent comprises a combination of the V antigen of Y. pestis, and the Fl antigen of Y. pestis or an immunologically active fragment thereof. Suitably, both antigens are present in the first and second amounts within the composition, preferably in equal proportions . It has been found that in a particularly preferred embodiment, each administration of microsphere preparation to a mouse contains from 30-50μg and most preferably about 40μg of each of said antigens. Preferably the dosage to humans and mammals would be of the same order in terms of mg/Kg. Although the vaccine composition of the invention may further comprise an adjuvant in order to enhance the immune response to the biologically active material administered, this has not been found to be necessary and so preferably such adjuvants are omitted from the compositions. Where used, suitable adjuvants include pharmaceutically acceptable adjuvants such as Freund' s incomplete adjuvant, alhydrogel, aluminium compounds and, preferably adjuvants which are known to up-regulate mucosal responses such as CTB, the non-toxic pentameric B subunit of cholera toxin (CT) or mutant heat-labile toxin (mLT) of E. coli . Other adjuvant types are described in International Patent Application Nos. WOOO/56282, WO00/56362 and WO00/56361. Compositions of the invention are particularly suitable for intranasal application. They may comprise microspheres per se which are optionally preserved, for example by lyophilisation, or the microspheres may be combined with a pharmaceutically acceptable carrier or excipient. Examples of suitable carriers include solid or liquid carriers as is understood in the art. In a particularly preferred embodiment of the invention, the composition comprises a suspension of the microspheres in a liquid carrier and in particular phosphate-buffered saline. The invention further provides a method of producing a pharmaceutical composition, which method comprises encapsulating pharmaceutically active agent in a polymeric material which has a high molecular weight, and in particular a molecular weight of lOOKDa or more, so as to form microspheres with a maximum diameter of 20μm, and thereafter combining said microspheres with a further amount of said agent in a more highly bioavailable form. The encapsulation is suitably achieved using a double emulsion solvent evaporation method, in which a first emulsion is formed with the pharmaceutically active agent, and the structural polymer, mixing this with an aqueous phase (suitably without structural polymer) to form a secondary emulsion, evaporating solvent and isolating small microspheres. In particular, the pharmaceutically active ingredient is dissolved or suspended in an aqueous solution which optionally includes an emulsifier such as PVA. The emulsifier, where present is suitably included at low concentrations for example of less than 5%w/v. This solution or suspension in then mixed with a solution of the high molecular weight structural polymer in an organic solvent such as dichloro ethane. A primary emulsion is then formed, in particular by sonication of the mixture. The primary emulsion in then added to a secondary aqueous phase, which preferably includes an emulsifier with vigorous stirring. Solvent is then preferably evaporated, conveniently at room .temperature. Microspheres can then be recovered, for example by centrifugation followed by lyophilisation. In particular, the method of the invention is a method of producing a prophylactic or therapeutic vaccine, which method comprises encapsulating an agent which is capable of producing a protective immune response in a polymeric material which has a high molecular weight, and in particular a molecular weight of lOOKDa or more, so as to form microspheres with a maximum diameter of less than 20um, and thereafter combining said microspheres with a further amount of said agent in a more highly bioavailable form. Methods of forming microspheres are well known in the art. They include emulsion techniques and spraydrying techniques, Microspheres of the invention are suitably prepared using a double emulsion solvent evaporation method. Briefly, the biologically active agent, suitably in a lyophilised state, is suspended in an aqueous solution of a polymer such as polyvinyl alcohol (PVA) and methylcellulose. A solution of the high molecular weight polymer in an organic solvent such as dichloromethane, is added with vigorous mixing. The resultant emulsion is then dropped into a secondary aqueous phase, also containing the polymer (PVA or the like) with vigorous stirring. After addition, the organic solvent is allowed to evaporate off and the resultant microspheres separated. Suitably the compositions are in unit dosage form. This will vary depending upon the nature of the active agent being employed, the nature of the patient, the condition being treated and other clinical factors. In general however, the composition of the invention will comprise approximately 2 to 10 wt% of active ingredient. The amount of high molecular weight polymer in the composition will be of the order of 70 to 98wt %. In use, a reasonable dosage for nasal administration would be of the order of from 0.05g to 0.2g. Compositions of the inventions include vaccine compositions, and in single dose vaccine compositions. In a further aspect, the invention provides a method of treating a mammal, which method comprises administration of an effective amount of a biologically active agent to a mammal in need thereof, wherein the biologically active agent is in the form of a composition as described above, to a mucosal surface, in particular a nasal surface. In particular, the method of the invention is a method of protecting a mammal against infection, which method comprises administration of an effective amount of a biologically active agent which is capable of generating a protective immune response in the form of a composition as described above in a single dose to a mucosal surface, in particular a nasal surface, of a mammal. The applicants have demonstrated that it is possible to protect experimental animals from inhalation challenge with Y. pestis using a single i.n. dose of a combined sub-unit vaccine in the form of a composition of the invention. The high molecular weight polymer utilised in the compositions of the invention appears to be particularly well suited to intra-nasal delivery. The invention will now be particularly described by way of example . Example 1 Preparation of Vaccine Composition The V antigen of Yersinia pestis was expressed as a fusion protein with glutathione-s-transferase (GST) in Escherischia coli . The V protein was cleaved from the fusion with factor Xa (Boehringer Mannheim UK Ltd) for 18 hours at 22°C and recombinant V protein was purified by affinity adsorption, as described by S. Leary et al. (Infect. Immun. 1995, 255, 193- 198) . The Fl antigen was precipitated from the supernatant of y. pestis grown at 37°C in a chemically defined medium (pH 7.4), by the addition of 40% (w/v) ammonium sulphate and purified by repeated resuspension and centrifugation of the pellet in 20mM Tris-HCl at pH8. Example 2 Microencapsulation of subunits Poly-L-lactide of molecular weight lOOKDa (Polysciences Inc. USA) was used in a modification of the double emulsion solvent evaporation method (Y. Ogawa et al., Chem. Pharm. Bull., 36 (1988) 1095-1103). Briefly, 4.2mg of V and 5.9mg of lyophilised Fl antigen was suspended in 0.5ml of an aqueous 2.5% solution of polyvinyl alcohol (PVA) 13-23KDa (88% hydrolysed) . This suspension was mixed with 250mg of poly-L- lactide of molecular weight lOOKDa dissolved in 5ml of HPLC grade dichloromethane (DCM) and the mixture sonicated for 2 minutes at 60W on ice. The resultant primary emulsion was added to a secondary aqueous phase (75ml) containing 5%w/v PVA 13-23KDa (88% hydrolysed) which was vigorously stirred using a Silverson homogeniser (Silverson, UK) at maximum speed for 8 minutes . The solvent was then allowed to evaporate at ambient temperature, and the resultant microspheres (MDVF)were recovered by ultra-centrifugation and then lyophilised. Lyophilised microspheres were characterised using standard procedures . In this way, the Fl and V proteins were co-encapsulated into each sphere, such that each milligram of spheres contained 18- 20μg of each protein (maximum 40μg of protein per milligram of microspheres) . Example 3 Characterisation of Microspheres Microsphere morphology was investigated using a scanning electron microscope (Cambridge Instruments UK, Stereoscan 90) . Particle size was determined by laser diffraction (Malvern Instruments Ltd., Shropshire UK). Formulated particles were found to have a volume mean diameter of 6μm. Microspheres were smooth and spherical when visualised using the scanning electron microscope. Example 4 Single dose intra-nasal delivery of microencapsulated Fl+V protects mice against challenge with Y.pestis Free Fl and V proteins were added to a suspension of MDVF microspheres from Example 2 in sterile saline. Dosage units were prepared comprising spheres containing 18-20μg of each protein (maximum 40μg of protein) and 20μg of each of the free proteins . Thus the total dose of Fl and V delivered was 40 μg per animal. Mice were dosed nasally on one occasion only with a suspension of these microspheres, delivered in a 50μl volume of phosphate- buffered saline. Control animals received Λ empty' spheres which had been made in the same way as above but without encapsulating protein and which had been admixed with sufficient free Fl and V proteins to give a total dose per mouse of 40μg F1+ 40μg V. Immunised mice were challenged sub-cutaneously at day 60 after the single priming dose with 10 4 cfu of virulent Y. pestis and at day 74 with 10 6 cfu Y. pestis. Survival of the immunised mice is shown in the table below. • Table Protection from parenteral challenge with Y.pestis GB following a single nasal dose of encapsulated Fl+V, with admixed free protein. It appeared that the formulation of the invention had the effect of delivering an initial Λ burst' of Fl+V immunogens, followed by a more gradual controlled release of the encapsulated protein which was effective in ensuring such good survival rates .

Claims: Claims 1. A pharmaceutical composition fpr administration to mucosal surfaces, which composition comprises an agent which is capable of generating a biological effect, a first amount of said agent being encapsulated within microspheres which comprise a polymer which has a molecular weight in excess of 94kDa and a maximum diameter of 20μm, and a second amount of said agent being in a form which has a higher bioavailability than said first amount. 2. A composition according to claim 1 wherein the agent which is capable of generating a biological effect is an agent which is capable of generating a protective immune response in an animal to which it is administered. 3. A composition according to claim 1 or claim 2 wherein said second amount of said agent is free in the composition or is at least partially adsorbed onto the surface of said microspheres. 4. A composition according to claim 1 or claim 2 wherein said second amount of said agent is encapsulated in a readily dispersible microsphere or vesicle. 5. A composition according to any one of the preceding claims wherein the polymer has a molecular weight of lOOKDa or more. 6. A composition according to any one of the preceding claims wherein the polymer comprises poly- (L-lactide) . 7. A composition according to any one of the preceding claims wherein the microspheres have a volume mean diameter of from 2- 15μm. 8. A composition according to claim 7 wherein the microspheres have a volume mean diameter of from 2-10μm. 9. A composition according to any one of the preceding claims wherein the microspheres have a 'maximum diameter of lOμm. 10. A composition according to any one of the preceding claims wherein the biologically active agent is capable of generating a protective immune response against Yersinia pestis . 11. A composition according to claim 10 wherein the biologically active agent comprises a combination of the V antigen of Y. pestis or an immunologically active fragment thereof, and the Fl antigen of Y. pestis or an immunologically active fragment thereof. 12. A composition according to any one of the preceding claims which is in unit dosage form. 13. A composition according to claim 9 wherein the unit dosage form comprises a single shot vaccine. 14. A composition according to any one of the preceding claims which is ' adapted for intranasal application. 15. A composition according to claim 14 which comprises a suspension of microspheres in phosphate-buffered saline. 16. A method of producing a pharmaceutical composition, which method comprises encapsulating a pharmaceutically active agent in a polymeric material which has a high molecular weight, so as to form microspheres with a mean diameter of less than 20μm, and thereafter combining said microspheres with a further amount of said agent in a more highly bioavailable form. 17. A method according to claim 16 which is a method of producing a prophylactic or therapeutic vaccine, and wherein the pharmaceutically active agent is capable of producing a protective immune response. 18. A method according to claim 16 or claim 17 wherein the encapsulation is effected using a double emulsion solvent evaporation method, in which a first emulsion is formed with the pharmaceutically active agent, and the structural polymer, mixing this with an aqueous phase (suitably without structural polymer) to form a secondary emulsion, evaporating solvent and isolating small microspheres. 19. A method of treating a mammal, which method comprises administration of an effective amount of a biologically active agent to a mammal in need thereof, wherein the biologically active agent is in the form of a composition according to any one of claims 1 to 15, to a mucosal surface. 20. A method according to claim 19 for protecting a mammal against infection, wherein the biologically active agent is an agent which is capable of generating a protective immune response. 21. A method according to claim 20 wherein the composition is administered in a single dose. 22. A method according to any one of claims 19 to 21 wherein the mucosal surface comprises an intranasal surface. 23. A pharmaceutical composition substantially as hereinbefore described with reference to the examples. 24. A method of protecting a mammal against infection substantially as hereinbefore described with reference to the examples .

Inventors: ALPAR HAZIRE OYA, EYLES JAMES EDWARD, WILLIAMSON ETHEL DIANE, ALPAR, HAZIRE, OYA, EYLES, JAMES, EDWARD, WILLIAMSON, ETHEL, DIANE
Applicants: ALPAR HAZIRE OYA, EYLES JAMES EDWARD, SECR DEFENCE, WILLIAMSON ETHEL DIANE, ALPAR, HAZIRE, OYA, EYLES, JAMES, EDWARD, THE SECRETARY OF STATE FOR DEFENCE, WILLIAMSON, ETHEL, DIANE
Application year: 2001
Main classification: A61K9
IPC codes: A61K9, A61K39, A61K45, A61K47, A61P31, A61P37