P. Johansen et al., Towards clinical testing of a single-administration tetanus vaccine based on PLA/PLGA microspheres, VACCINE, 19(9-10), 2000, pp. 1047-1054
The availability of single-administration vaccines would assist in the cont
rol of global mortality caused by infectious diseases where protection can
be achieved only upon repeated immunisations with appropriate vaccines. Bio
degradable microspheres of poly(lactide-co-glycolide) have been studied pre
-clinically for this purpose and shown to be promising for several protein
and sub-unit antigens. In view of preparing a microsphere-based tetanus vac
cine for clinical trials, final candidate vaccine-formulations were pre-cli
nically optimised here. Specifically, the importance of particular material
s and processing for the induction of neutralising antibodies in guinea pig
s were examined. The most efficacious vaccines were small-sized(< 5 <mu>m),
co-adjuvanted with admired alum and fabricated from fast-degrading polymer
s. Interestingly, the immunogenicity was less influenced by the type of ant
igen-stabilising excipient, the number of microsphere populations mixed tog
ether, or the microencapsulation technology, i.e. spray-drying versus coace
rvation, used. On the basis of these, we plan to prepare clinical samples f
or safety and immunogenicity testing in man. (C) 2000 Elsevier Science Ltd.
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