Live vaccine and method of manufacture

[0001] The present invention is in the field of virology and vaccine development and relates to an improved method of manufacture of a viral vaccine, particularly of a whole-virus vaccine, preferably of an attenuated live vaccine and to vaccines obtainable by the method.

[0002] The influenza hemagglutinin (HA) antigen is the major target for the protective immune responses of a host to the virus.

[0003] A common practice of recovering new viral isolates involves recovery from a nasal or throat swab or from a similar source, followed by cultivation of the isolates in embryonated chicken eggs. The virus adapts to its egg host and large scale production of the virus can be carried out in eggs. Such conventional methodology involving embryonated chicken eggs to produce Influenza vaccine is, however, extremely cumbersome, involving the handling of many thousands of eggs per week as well as extensive purification of the virus suspension derived from the allantoic fluid to ensure freedom from egg protein.

[0004] Another disadvantage in the use of chicken embryos for virus production lies in the fact that this substrate strongly favors the selection of virus variants that differ in their antigenic specificity from the wildtype virus and not rarely results in viruses that may not be suitable for vaccine production due to their altered phenotypes including, for instance, considerable reduction in immunogenicity.

[0005] Many attempts have therefore been undertaken in the art to utilize standard tissue culture technology with established mammalian cell lines, such as MDCK (Madin-Darby Canine Kidney) or Vero (African Green Monkey Kidney) cells, for virus production, particularly influenza virus production.

[0006] One of the difficulties in growing influenza strains in tissue cell culture arises from the necessity for proteolytic cleavage of the influenza hemagglutinin in the host cell. Cleavage of the virus HA precursor into the HA1 and HA2 subfragments, although not necessary for the assembly of the viral elements to form a complete virion, is required, however, to render the virion infective, i.e. to enable it to infect a new cell.

[0007] It has been reported. (e.g. Lazarowitz et al., Enhancement of the Infectivity of Influenza and B Viruses by Proteolytic Cleavage of the Hemagglutinin Polypeptide, Virology, 68:440-454, 1975) that the limited replication of several influenza A strains in standard cell cultures could be overcome by the addition of proteases like trypsin to the tissue culture medium. Yet, there remained difficulties in some cases, for instance when using Vero cells.

[0008] Kaverian and Webster (J Virol 69/4:2700-2703, 1995) report that in Vero cell cultures, and less pronounced in MDCK, swine kidney, or rhesus monkey kidney cell cultures, the trypsin activity in the medium rapidly decreased from the onset of incubation resulting in the failure of virus accumulation in the medium due to the lack of production of a sufficient number of infective virions. They concluded that a trypsin inhibiting factor was released from the Vero cells. They further showed that by repeated addition of trypsin reproduction of virus could be resumed and maintained for a number of reproduction cycles resulting in a much better virus yield.

[0009] Another way for efficient vaccine production was reported in U.S. Pat. No. 5,753,489 wherein serum-free medium was used for virus propagation in a number of different mammalian cells including MDCK and Vero cells. The method disclosed therein comprises growing vertebrate cells in serum-free medium, infecting the cell culture with a virus, incubating the cell culture infected with the virus, removing a portion of the virus-containing medium and contacting this portion. with a protease, thereafter adding to that portion a protease inhibitor and returning that portion to the cell culture. It is preferred therein to provide the steps of growing, infecting and incubating in a first vessel and the steps of trypsin-contacting and inhibitor-adding are performed in a second vessel connected with the first vessel in a loop so that the steps o can be performed in a closed cycle. This system allows to use trypsin or other proteolytic enzymes at much higher concentrations than those normally tolerated by cells in culture.

[0010] EP 0870508 reports a method to produce a viral antigen vaccine comprising infecting an animal cell line, optionally a Vero cell line, with virus, propagating virus in the cell culture, adding a nuclease enzyme to the cell culture shortly before the end of virus propagation to digest nucleic acid material released from the lysing host cells into the medium, harvesting the virus and obtaining viral antigens thereof by extraction in order to make the viral antigen vaccine. The patent is silent with regard to the kind of nutrient medium used for virus propagation and also with regard to the addition of a protease, usually required for the final processing of influenza virus hemagglutinin to get infectious virus. The method further requires various purification steps for providing a ready-for-use vaccine preparation.

[0011] It is known, however, that the nature the host substrate as well as the composition of the nutrient medium used for virus propagation may significantly affect immunogenicity and antigenicity of the virus progeny obtained therewith. Particularly, serum-containing media may not only decrease antigenicity of viral progeny but additionally may decrease protease activity in the medium, hence inhibit virus maturation, and subsequently require expensive steps of purification.

[0012] The present invention overcomes the drawbacks of the prior art. It relates to a simple and efficient process for isolating viruses from various sources and for producing viral progeny for use as vaccines, particularly live attenuated influenza vaccines, in under conditions where alterations in the surface antigens of the virus due to adaptive selection are minimized or entirely prevented.

[0013] It is also an object of the present invention to provide for a method for the production of viruses, particularly influenza viruses, that yields viral progeny that selectively agglutinates human erythrocytes but not chicken erythrocytes, and that preferably has antigenic properties identical with those of the initially inoculated virus strain, e.g. a primary clinical wildtype isolate.

[0014] In a preferred embodiment, the nucleic acid sequence of the HA gene and optionally of the NA gene of the propagated virus is identical with the one of the initially inoculated strain (e.g. an epidemic strain, primary clinical isolate of an infected patient).

[0015] It is another object of the invention to provide a method for efficient production of a whole-virus vaccine, particularly a live attenuated vaccine, in a single step procedure that does not require any chromatographic or other purification steps of the virus suspension harvested from the cell culture supernatant by centrifugation, particularly no protein separation or purification steps.

[0016] It is yet another object of the invention to provide attenuated, cold adapted and temperature sensitive influenza A and B strains and vaccines made thereof.

[0017] FIG. 1 is a graphic illustration of the time course of trypsin inactivation in the supernatant of a Vero cell culture.

[0018] FIG. 2 is a graphic illustration of the time course of trypsin inactivation in the supernatant of a MDCK cell culture.

[0019] Comparative experiments using embryonated eggs, MDCK and Vero cells clearly proved that the initially inoculated virus is likely to undergoe antigenic alteration during growth on any one of these substrates

[0020] Our experiments confirmed that the alterations are least or even absent for influenza virus strains grown on Vero cells in serum-free medium. Moreover, it turned out that influenza A viruses, at least strains of the H3N2 subtype, when multiplied on Vero cells in serum-free and protein-free medium exhibit a selectivity for agglutination of human erythrocytes but not for chicken erythrocytes. Also, they did not grow on eggs. This was a first indication that these Vero-grown viruses might be more identical with the wildtype virus of the corresponding clinical isolate than the ones grown on MDCK cells or eggs.

[0021] Indeed, comparison of the HA and NA gene sequences of wildtype isolates obtained from nasal swabs with the ones of the same viruses after growth on Vero and MDCK cells, respectively, revealed alterations in the HA or NA of MDCK-grown viruses relative to the HA or NA of the swab isolates or of the Vero-grown viruses or of both the swab isolates and the Vero-grown viruses.

[0022] Moreover, experimental data obtained from immunizations of ferrets with Vero- and MDCK-grown wildtype viruses indicate a far stronger virulence of the Vero-grown viruses compared to the MDCK-grown viruses. Also, the immunogenicity of the Vero-grown viruses tested in an animal trial on macaques was demonstrated to be significantly superior to the one of the viruses grown on MDCK cells or eggs.

[0023] These findings together provide strong evidence for the hypothesis that the process for the multiplication and propagation of viruses according to the present invention as hereinafter described in more detail yields viruses that are either unaltered compared to the initially inoculated (e.g. wildtype) virus or are modified to only a minor extent.

[0024] It is not only the avoidance of antigenic alterations that makes the present process of virus multiplication so unique, but it is also its striking simplicity which makes it extremely suitable for large scale industrial vaccine production.

[0025] Further experiments have shown that the source of trypsin (or trypsinogen) may be one additional factor that influences the overall yield of infective virions. Indeed, while the methods known in the art (e.g, Kaverin and Webster, J Virol 69/4:2700-2703, 1995; or U.S. Pat. No. 5,753,489) use either repeated addition of trypsin (Kaverin and Webster) or high trypsin concentrations (U.S. Pat. No. 5,753,489), the process according to the present invention applies only half or less of the trypsin concentrations reported in the prior art. Moreover, a single addition of as little as 0.5-10 g, preferably 2-5 g trypsin per ml to the cell culture medium prior to or at the beginning of incubation of the infected host cells is sufficient to reach optimal infective virus titers. Inactivation experiments revealed that porcine or human recombinant trypsins are far less susceptible to inactivation by Vero or MDCK cells than bovine trypsin. Since bovine trypsin is most commonly used in the art it is rather likely that prior art literature unless explicitly mentioning another trypsin source, implicitly refers to bovine trypsin only. This would also help to explain the modes and concentrations of trypsin application recited, for instance, in Kaverin et al. and in U.S. Pat. No. 5,753,489.

[0026] Using porcine or human rec trypsin or trypsinogen for initially supplementing the serum-free medium for Vero cell cultures according to the present invention therefore allows to use extremely low trypsin or trypsinogen concentrations and thus prevents the need of labor-intensive and costly purification steps after harvesting of the virus-containing supernatant.

[0027] Another step that contributes to make the present process simple and therefore attractive to vaccine manufacturers is the addition of a single dose of highly active endonuclease to the cell culture medium prior to or at the beginning of incubation of the infected Vero cells for virus propagation. This endonuclease, preferably Benzonase, is added once to the medium at a very low initial concentration of 2-30, preferably 5-15, Units per ml of medium and effectively clears the cell culture medium from free DNA and RNA originating mainly from the lysing or lysed host cells. The residual Benzonase enzyme concentration in the ready-for-use vaccine preparations obtained from the centrifuged supernatant remains at 5 ng or less per dose.

[0028] Benzonase is a trademark of Nycomed Pharma A/S Denmark and relates to an extracellular unspecific endonuciease obtained from Serratia marcescens. Benzonase is a genetically engineered endonuclease which degrades both DNA and RNA strands in many forms to small oligonucleotides. It promotes quick reduction of the viscosity of cell lysates, which facilitates ultracentrifugation. It reduces proteolysis and increases the yield in targeted protein and offers complete elimination of nucleic acids from, e.g. recombinant, proteins. It has an exceptionally high activity of 400,000 U/mg.

[0029] A third and important advantage of the present process is the factor time hence process costs. Due to the use of serum-free medium that does not contain proteins of animal origin and preferably no antibiotics, expensive and time-consuming purification procedures can be reduced to a minimum or even totally avoided. Also, because the addition of exogenous enzymes such as the protease (e.g. trypsin or trypsinogen) and nuclease (e.g. Benzonase) occurs once at the beginning of the virus propagation phase this saves plenty of time that the state-of-the-art methods require for post-incubation treatment of the virus-containing culture supernatant (e.g., HA activation, RNA/DNA digestion, protein purification, etc.).

[0030] Surprisingly, it turned out that the early addition of either or both of protease (e.g. trypsin or trypsinogen) and nuclease (e.g.Benzonase) to the virus-infected Vero-cell culture had no negative implications on the virus yield, which is probably due to the very low enzyme concentrations applicable in the process of the present invention.

[0031] The present process of virus propagation is useful for the multiplication of various kinds of viruses, particularly influenza A viruses of the H3N2 subtype, but is also suitable for the isolation and reproduction of any epidemic or laboratory influenza virus strain, regardless of the kind of virus inoculum (e.g., blood serum sample, nasal wash, nasal swab, pharyngeal swab, saliva, etc.). Using the principles of this process, a number of influenza A and B vaccines has been produced which are part of the present invention and which are characterized in more detail in the subsequent Examples.

[0032] Also, protective efficacy as well as vaccine safety have been confirmed for the vaccines made according to the present invention, as will be demonstrated in the Examples.

[0033] The term protein-free or free of non-serum proteins as used herein in connection with the method of virus multiplication or propagation according to the present invention shall mean free of any functionally active protein. It shall not exclude, however, non-functional peptides as may originate from protein hydrolysates such as yeast extract or soya extract. Unless stated otherwise, the term protein-free0 shall neither exclude the presence of a protease and a nuclease enzyme at the concentrations disclosed and claimed herein.

[0034] In a preferred embodiment, the present invention relates to a simple, reliable and highly economic method for the manufacture of a whole-virus vaccine, preferably of an attenuated live vaccine, comprising the steps of:

[0035] a) infecting African Green Monkey Kidney (Vero) cells with a desired virus, wherein the Vero cells have been grown in and separated from a serum-free medium that is also free of non-serum proteins;

[0036] b) combining the infected cells with a suitable serum-free cell culture medium that is also free of non-serum proteins except for a protease and a nuclease; and

[0037] c) incubating the cells in the presence of said protease and said nuclease to allow for production of infectious virus and, simultaneously, for digestion of nucleic acid material released to the cell culture medium;

[0038] d) harvesting infectious virus by collecting virus-containing supernatant obtained from centrifugation of the cell culture; and

[0039] e) preparing a vaccine thereof comprising subjecting the virus-containing supernatant to at least one processing step selected from the group consisting of filtering, concentrating, freezing, freeze-drying, and stabilizing by addition of a stabilizing agent.

[0040] It is preferred that the virus used for propagation has never had any contact to a host substrate other than a Vero cell line. This will ensure best results with regard to immunogenic and antigenic identity of the initial virus (e.g. nasal swab isolate) and the viral progeny obtained after propagation.

[0041] It is also preferred that the virus used for propagation, particularly for the manufacture of a whole-virus vaccine, preferably an influenza attenuated live vaccine, is an influenza virus selected from the group consisting of strains A/Sing/1/57ca, A/Sing/1/57ca/NS 87, A/Sing/1/57ca/NSPR8, A/Sing/1/57ca/NS124PR8, B/Vienna/1/99ca, B/Vienna/99/ca37 and any attenuated variants and reassortants derived from any one of these strains. The genetic characteristics of the preferred virus strains, e.g. master strains, are disclosed in full detail in the subsequent Examples.

[0042] In another embodiment, the present invention refers to a whole-virus vaccine itself, preferably to an attenuated live vaccine, which in its ready-for-use form comprises essentially unmodified, optionally filtered and/or concentrated, virus-containing supernatant of a serum-free and protein-free Vero cell culture used for production of said virus. It is particularly preferred that the vaccine is produced according to the method of the present invention as disclosed and claimed herein.

[0043] This one-step vaccine, which does not require further processing, e.g., purification steps other than centrifugation and/or conventional filtration (i.e. not gel filtration), is compliant with the requirements for FDA approval.

[0044] The term essentially unmodified as used herein with regard to virus-containing supernatant in vaccine preparations according to the present invention shall refer to the composition of the supernatant as is at the time of harvesting the propagated virus, i.e. to the composition of the soluble components and ingredients present in the liquid phase of the supernatant. Minor alterations of the composition of ingredients as may occur due to steps of, for example, filtration, sterile filtration, centrifugation, concentration, drying, or freeze-drying of the virus-containing supernatant, shall be regarded as falling within the scope of essentially unmodified. Also, the term shall not exclude the presence of preserving and/or stabilizing agents usually applied in the art to vaccine preparations.

[0045] The whole-virus vaccines of the present invention may be used for the prophylactic or therapeutic treatment of viral infections, particularly of influenza virus infections. They may be administered as known in the art, e.g. intravenously, subcutaneously, intramuscularly or, most preferably, intranasally. The virus strains disclosed herein and the vaccines made thereof may, however, also be used as vectors or shuttles to present heterologous antigens to the immune system, e.g. antigens of viral envelope proteins such HIV-1 or hepatitis antigens.

[0046] Further preferred embodiments are defined in the dependent claims.

[0047] In order that the invention described herein may be more fully understood, the following Examples are set forth. They are for illustrative purposes only and are not to be construed as limiting this invention in any respect.

[0048] Cultivation of Vero/SF (serum-free) cells:

[0049] SF-Medium: DMEM (Biochrom F0435), Ham's F12 (Biochrom F0815), 5 mM L-Gln, 0.1% SF-supplement (a) or (b); antibiotics (only for first passage of virus isolation).

[0050] SF-Supplement: protein hydrolysate of non-animal origin, without functional proteins such as insulin, transferrin or growth factors:

[0051] a) 62.5 g hy-soy/UF, Quest 5X59100, to 500 g HQ-water, filtered with PES 0.2 m filter;

[0052] b) 12.5 g hy-pep 1510, Quest, to 100 g HQ-water, filtered with PES 0.2 m filter.

[0053] The content of a deep frozen (liquid nitrogen) disinfected (70% ethanol) ampule of WCB Vero cells was thawed and added to 9 ml of cold serum-free (SF) medium in a 10 ml tube and centrifuged for 10 min at 1000 rpm (170 g). The pellet was resuspended in SF-medium to a total of 30 ml, transferred to a 80 cm² Roux bottle and incubated at 37 C. and 7% CO₂ for at least 15 min. Thereafter, the medium was removed and the cells were washed with approx. 0.1 ml/cm² PBS def.(PBS without Ca² and Mg²). Addition of trypsin/EDTA-solution (8-10 l/cm²; 0.1% trypsin/0.02% EDTA-solution) and incubation at room temperature for about 3 min. Detaching by gently pushing the Roux bottle against palm of the hand, addition of SF-medium and trypsin inhibitor (Sigma, T6522) at a quantity of about of volume of the trypsin/EDTA solution. Repartition of the cell suspension to Roux bottles or roller bottles, incubation at 37 C. and 9% CO₂.

[0054] MDCK cells were grown in DMEM/Ham's F122% FCS (heat inactivated); embryonated hen eggs were 11-12 days old and of SPF (specific pathogen free) origin.

[0055] Propagation of Virus Strains:

[0056] Old medium from roller bottles containing Vero cells was removed and cells were infected with virus by addition of 5 ml virus suspension in SF-medium to each roller bottle, resulting in an MOI (multiplicity of infection) of approximately 0.01. After incubation for 45 minutes at 33 C. the virus inoculum was removed with a pipette. 90 ml of SF-medium supplemented with 0.5-10, preferably 2-5 and most preferably 2 g/ml porcine trypsin (supplier: AvP) or human recombinant trypsin or trypsinogen (own production) and 0.5 g/l sodium bicarbonate were added to each roller bottle and the bottles incubated at 33 C. and 5% CO₂. For the production of attenuated live vaccine samples for use in animal testing and in human clinical trials the SF-medium was supplemented with trypsin and, additionally, with Benzonase at a concentration of 2-30, preferably 5-15, and most preferably 10 Units of Benzonase per ml of medium. Virus was harvested after 64 hours post infection by centrifugation of the culture supernatant for 5 min at 4000 rpm (3000 g) at 10 C. in 50 ml-tubes. The supernatant was pooled for each virus strain and stored at 4 C. Aliquots thereof were used for vaccine testing.

[0057] For storage purposes the virus preparations may be freeze-dried and stabilizer such as, for example, trehalose and lactalbumin enzymatic hydrolysate in HEPES buffer may be added. Reconstitution may be done with sterile water.

[0058]

TABLE 1
Trypsin inactivation in Vero vs. MDCK cell culture
	Vero/MDCK
	0 h	24 h	48 h	72 h
bovine trypsin	0.314/0.314	0.199/0.239	0.110/0.201	0.026/0.203
porcine trypsin	0.230/0.230	0.201/0.206	0.171/0.209	0.133/0.201
(high)
porcine trypsin	0.129/0.129	0.108/0.118	0.081/0.099	0.054/0.116
(low)
human rec	0.097/0.097	0.054/0.088	0.026/0.080	0.008/0.076
trypsin

[0059] Supernatants obtained from uninfected Vero cell cultures (grown in SF medium as described in Example 1) and MDCK cell cultures (grown in FCS-supplemented medium as described in Example 1) were tested for their capacity to inactivate trypsin of different origin that has been added to the supernatant at time 0 h at equal concentrations each. Porcine trypsin has been applied in two different qualities (obtained from different manufacturers), i.e. with high or low activity. The results are presented in Table 1 and in FIGS. 1 and 2.

[0060] The data unambiguously show that bovine trypsin is rapdily inactivated in Vero cell culture supernatant and less rapidly in MDCK cell culture supernatant. Porcine and human rec trypsin (manufactured in our laboratories) remain fully active in MDCK supernatants while they are gradually inactivated in Vero supernatants at approximately half or less of the velocity of bovine trypsin inactivation. The difference of the porcine trypsins tested is only in the starting OD-level at 247 nm, while the inactivation characteristics are essentially identical for both lots of porcine trypsin.

[0061] Virus propagation was carried out as described in Example 1 for the different host cell substrates. Each of the seven isolates recovered on Vero cells was reactive with human erythrocytes but not with chicken erythrocytes and none of them accumulated in embryonated eggs. On the other hand, all isolates recovered on MDCK cells were reactive both with chicken and human erythrocytes and were capable of growing in eggs. Although these differences were not seen in influenza A viruses of the H1N1 substype nor in influenza B isolates (see subsequent Tables 3 and 4), it may nevertheless be assumed that cultivation of influenza viruses on Vero cells will maintain antigenic properties more properly than cultivation on other substrates.

TABLE 2
Characteristics of H3N2 viruses isolated from clinical material on
Vero/SF cells
	HA titer with
Isolate	Antigenically	Isolated	chicken	human	Growth in
number	related to	on	erys	erys	eggs
A/47/96	A/Johannesburg/	Vero
	33/94	MDCK
A/7729/98	A/Sydney/5/97	Vero
		MDCK
A/1143/99	A/Sydney/5/97	Vero
		MDCK
A/1144/99	A/Sydney/5/97	Vero
		MDCK
A/1179/99	A/Sydney/5/97	Vero
		MDCK
A/1180/99	A/Sydney/5/97	Vero
		MDCK
A/1182/99	A/Sydney/5/97	Vero
		MDCK

[0062] From the data in Table 3 it appears that H1N1 influenza viruses may be less susceptible to adaptive selection, as the Vero and MDCK-grown isolates do not exhibit significant differences in their hemagglutination characteristics nor in their HA sequences. A similar conclusion may be drawn for the B isolates listed in Table 4.

[0063] The clinical starting material (e.g. serum samples, swabs) for virus isolation and replication was primarily obtained from:

[0064] 1. Institute of Virology, Vienna, Austria (Prof. F. Heinz) 1995/96, 1996/97

[0065] 2. Unit de Gntique Molculaire des Virus Respiratoires, Institute Pasteur, Paris, France (Prof. S. van der Werf) 1996/97

[0066] 3. Public Health Laboratory Service, London, UK (Dr. M. Zambon) 1996/97

[0067] 4. Laboratoire Central de Virologie, Hpitaux Universitaires de Genve, Geneva, Switzerland (Dr. W. Wunderli) 1996/97, 1997/98

[0068] 5. Virus Unit, Queen Mary Hospital, Hong Kong (Dr. W. L. Lim) 1997/98

TABLE 3
Characteristics of H1N1 viruses isolated from clinical material on
Vero/SF cells
	Changes
	HA titer with		in HA1 at
Isolate	Antigenically		chicken	human		position
number	related to	Isolated on	erys	erys	Growth in eggs	225
A/5389/95	A/Bayern/7/95	Vero				D
		MDCK				D
A/1035/98	A/Beijing/262/95	Vero				D
		MDCK				D
		Egg				G
		Swab				D
A/1131/98	A/Beijing/262/95	Vero				D
		MDCK				D
		Swab				D
A/1134/98	A/Beijing/262/95	Vero				D
		MDCK				D
		Egg				n.t.
		Swab				D

[0069]

TABLE 4
Characteristics of B viruses isolated from clinical material on Vero/SF cells
	Changes
	HA titer with		in HA1 at
Isolate	Antigenically		chicken	human		position
number	related to	Isolated on	erys	erys	Growth in eggs	198
B/4291/97	B/Beijing/184/93	Vero				identical
		MDCK
B/1/99	B/Beijing/184/93	Vero				T(g.s)
		MDCK				T(g.s)
		EGG				A
		Swab				T(g.s)
B/110/99	n.t.	Vero				identical
		MDCK
B/147/99	n.t.	Vero				identical
		MDCK
B/156/99	B/Beijing/184/93	Vero				identical
		MDCK
B/157/99	B/Beijing/184/93	Vero				identical
		MDCK

[0070]

TABLE 5
Amino acid changes in HA, NA and M proteins of H3N2 influenza
viruses isolated on different host systems
	Changes at positions
	HA	NA
Isolate number	128	129	229	133	218	220	136	151	M
A/47/96 Vero	T(g.s)
A/47/96 MDCK	A
A/7729/98 Vero		E	R
A/7729/98 MDCK		G	K
A/1143/99 Swab				N(g.s)	G		n.t	n.t	n.t
A/1143/99 Vero				N(g.s)	G			D	identical
A/1143/99 MDCK				D	E			G
A/1144/99 Swab	R	n.t	n.t
A/1144/99 Vero	R	identical	identical
A/1144/99 MDCK	G
A/1179/99 Swab	identical	n.t	n.t
A/1179/99 Vero		identical	identical
A/1179/99 MDCK
A/1180/99 Swab	identical	n.t	n.t	n.t
A/1180/99 Vero		Q		identical
A/1180/99 MDCK		R
A/1182/99 Swab	identical	n.t	n.t
A/1182/99 Vero		n.t	n.t
A/1182/99 MDCK		n.t	n.t

[0071] The results show that with some isolates there was no alteration of the HA sequence of Vero or MDCK propagated viruses over the HA sequence directly obtained from the swab material by PCR amplification. In some other isolates grown on MDCK cells the HA and/or NA sequences were deviating from the corresponding sequences obtained on Vero cells. The Vero-derived viruses did not show, however, any deviations in the HA sequence over the HA sequence of the swab isolates, where determined.

TABLE 6
Immunogenicity of Vero-, MDCK- and
Egg-derived viruses for macaques
Animal	Virus for	Dose,
number	immunization	PFU/ml	Serum HI titers
96	A/Vienna/47/96 V	5 104	256
88	A/Vienna/47/96 V	5 104	128
15	A/Vienna/47/96 V	1.0 106	128
95	A/Vienna/47/96 V	1.0 106	256
93	A/Vienna/47/96 M	1.0 106	16
128	A/Johannesburg/33/94 E	5 106	32
110	A/Vienna/157/97 V	5 104	128
78	A/Wuhan/359/95 E	5 106	32
The Macaques were immunized i.n. in the absence of anesthesia with 1 ml of virus suspension
VVero- isolated virus
MMDCK- isolated viruses
Eegg isolated viruses

[0072]

TABLE 7
Virulence of Vero- and MDCK- derived variants
of A/Vienna/47/96 wt virus for ferrets
		Number of
	Virus	animals with
	dose,	fever on day
	Viruses	PFU/ml	1	2	3
	A/Vienna/47/96 Vero	2 102	FF	FFF
		1 103	FFF	FFF
	A/Vienna/47/96 MDCK	5 102
		5 103		FF
		5 104	FF	F	F
	Animals were immunized i.n. under ether narcosis with 1 ml of virus suspension.
	Nnormal temperature from 38.1 C. to 39.9 C.;
	Ffever, more than 40.0 C.

[0073] The most surprising, yet important result in Table 6 is the very low immunogenicity of MDCK-derived A/Vienna/47/96 virus compared with the corresponding Vero-derived virus. It is no particular surprise that the egg-derived viruses show only poor immunogenicity.

[0074] Similarly, the results listed in Table 7 indicate that Vero-derived viruses are less, if at all, altered by adaptive selection on their host substrate in comparison to MDCK-derived viruses. This means that relative to the MDCK-derived viruses the Vero-derived viruses maintain more or even all of the immunologically relevant, particularly antigenic, properties of the original virus.

[0075] The process described in Example 1 was also used for the production of vaccine samples for animal testing and human clinical studies. It is understood that the process of virus propagation described therein also encompasses variations that could be suggested or applied by a person of ordinary skills in the art without inventive input and as long as the variations do not change the sense of the present invention as described herein and in the claims.

[0076] Vaccine samples containing one or more of the preferred influenza A or B wildtype strains, master strains or reassortant strains (that are subsequently described in more detail) were exclusively produced using the continuous Vero cell line as the host cell system (unless for purposes of comparison with samples obtained from other host substrates) in serum-free medium additionally supplemented with the nutritional ingredients and enzymes as described in Example 1.

[0077] Some methods suitable for modifying wildtype viruses including the methods of attenuation (e.g., temperature sensitivity), cold adaptation and reassortment are known in the art and extensively reviewed, for instance, in WO 99/64068.

[0078] Further characteristics of the two most preferred influenza A and B master strain candidates useful for attenuated live vaccine production, e.g., by 6/2 reassortment with the HA and NA genes of actual epidemic influenza viruses recommended by the WHO, are given in the following Tables 8-13.

TABLE 8
Characteristics of master strain candidates
for live influenza vaccines
	Influenza A
	A/Singapore/1/57/ca	Influenza B
	H2N2	B/Vienna/1/99/ca
Passage	A/Singapore/1/57 wt	B/Vienna/1/99 wt
history	egg derived H2N2	Vero derived
	20 passages at 37 C. on	1 additional passage at 33 C.
	Vero/SF cells	on Vero/SF cells
	25 passages at 25 C. on	22 passages at 25 C.
	Vero/SF cells	on Vero/SF cells
Method of	Serial passages at optimal	Serial passages at optimal and
attenuation	and suboptimal temperature	suboptimal temperature on
	on heterologous system	heterologous system
Phenotypic	temperature sensitive (ts)	temperature sensitive (ts)
markers	cold adapted (ca)	cold adapted (ca)
	very low reproduction in	very low reproduction in
	mouse lungs	mouse lungs
Genotypic	Mutations: 13 (8 coding)	Mutations: 5 (3 coding)
markers	PB2 3 (2 coding)	PB2 0
	PB1 2 (1 coding)	PB1 1
	PA 4 (3 coding)	PA 0
	NP 1	NP 2 (1 coding)
	M 2 (2 coding)	M 1
	NS 1	NS 1

[0079]

TABLE 9
Full Sequence of the 8 genome segments and of the 10
corresponding proteins of strain A/Singapore/1/57/ca
A/Singapore/1/57/ca (H2N2)
RNA	Nucleotide sequence
segment	(cDNA)	Protein	Amino acid sequence
1	SEQ ID No. 1	PB2	SEQ ID No. 9
2	SEQ ID No. 2	PB1	SEQ ID No. 10
3	SEQ ID No. 3	PA	SEQ ID No. 11
4	SEQ ID No. 4	HA	SEQ ID No. 12
5	SEQ ID No. 5	NP	SEQ ID No. 13
6	SEQ ID No. 6	NA	SEQ ID No. 14
7	SEQ ID No. 7	M1	SEQ ID No. 15
		M2	SEQ ID No. 16
8	SEQ ID No. 8	NS1	SEQ ID No. 17
		NS2	SEQ ID No. 18
cacold adapted

[0080] It shall be noted, however, that the genome segments No. 4 and 6, i.e., the HA and NA genes, are not required to characterize the influenza A master strain candidates, because these genes will be exchanged for the corresponding genes of actual epidemic influenza viruses (as mentioned hereinbefore). The features important for the safety of a vaccine, e.g. temperature sensitivity, or features that allow intranasal administration of a vaccine, namely cold adaptation (because the average temperature in a nose is lower than the usual body temperature), are primarily caused by mutations in the remaining 6 genome segments.

[0081] The following Table 10 lists the mutations in the genome segments of A/Singapore/1/57/ca compared to the corresponding wildtype strain A/Singapore/1/57/wt.

TABLE 10
Mutations in the genome segments of attenuated, temperature
sensitive, cold adapted influenza strain A/Singapore/1/57/ca
compared to A/Singapore/1/57/wt strain
RNA		Nucleotides		Amino acids
seg-	Length	changed		Length	changed
ment	(nds)	position	wt	ca	Protein	(aa)	position	wt	ca
1	2341	252	a	g	PB2	771
		581*	t	c			185	I	T
		1046*	g	t			340	R	I
2	2341	1279*	t	a	PB1	757	419	L	I
		1965	a	c
3	2233	707*	a	t	PA	716	228	I	N
		1425	t	a
		1537*	a	g			505	V	I
		1819*	g	c			598	Q	E
5	1565	210	g	a	NP	506
7	1027	327*	g	a	M1	252	101	R	K
		499*	g	c			158	Q	R
					M2	97
8	890	813	a	g	NS1	237
					NS2	121
Total number of mutations - 13 (8 coding)
*coding mutations

[0082] Preferred variants of A/Sing1/57/ca comprise the ones listed in the following Table 11, wherein means del or delta and stands for a mutant that contains at least one deletion in its NS gene segment.

TABLE 11
Preferred variants of A/Sing/1/57/ca
	A/Sing/1/57/ca	Sing ca/NS 87	Sing ca/NSPR8	Sing ca/NS124PR8
PB2 (Sing ca*)
PB1 (Sing ca*)
PA (Sing ca*)
HA
NP (Sing ca*)
NA
M1, 2 (Sing ca*)
NS1, 2 (Sing ca*)
NS1, 2 (PR8**)
Phenotypes
ca
ts
IFN-induct.		/
IFN-sensit
*genome segment originating from A/Singapore/1/57/ca
**genome segment originating from influnza A/PR8/34
ca - cold adapted; ts - temperature sensitive; aa - amino acid(s)
IFN-induct. - strain causes interferon release in host substrates that are able of IFN production, as well as in animal or human immune systems upon administration.
IFN-sensit. - strain is sensitive towards interferon; replication in IFN producing systems is reduced or stopped.
Sing ca/NS 87 - strain A/Singapore/1/57/ca containing deletion of 87 amino acids in NS1 gene at aa position 36-123.
Sing ca/NSPR8 - strain A/Singapore/1/57/ca containing the NS gene segment from A/PR8/34 (herein also abbreviated PR8) which contains a deletion of the entire NS1 gene.
Sing ca/NS124PR8 - strain A/Singapore/1/57/ca containing the NS gene segment from A/PR8/34 which contains a stop codon at aa position 124 of the NS1 gene.
/ means that the phenotype needs further clarification and can not yet be unambiguously defined.

[0083] The following Tables 12, 13 and 13A refer to preferred influenza B master strain candidates and to variations and reassortants, respectively, thereof.

TABLE 12
Full Sequence of the 8 genome segments and of the 11
corresponding proteins of strain B/Vienna/1/99/ca
B/Vienna/1/99/ca
	Nucleotide sequence
RNA segment	(cDNA)	Protein	Amino acid sequence
1	SEQ ID No. 19	PB2	SEQ ID No. 27
2	SEQ ID No. 20	PB1	SEQ ID No. 28
3	SEQ ID No. 21	PA	SEQ ID No. 29
4	SEQ ID No. 22	HA0	SEQ ID No. 30
5	SEQ ID No. 23	NP	SEQ ID No. 31
6	SEQ ID No. 24	NB	SEQ ID No. 32
		NA	SEQ ID No. 33
7	SEQ ID No. 25	M1	SEQ ID No. 34
		BM2	SEQ ID No. 35
8	SEQ ID No. 26	NS1	SEQ ID No. 36
		NS2	SEQ ID No. 37
cacold adapted

[0084] The original strain B/Vienna/1/99 was isolated on Vero cell culture grown with serum-free medium in February 1999 in Vienna, Austria from a 12 year old female with acute influenza. It was rated as B/Beijing/184/93-like by the Center for Disease Control (CDC), Atlanta, USA. After an additional passage at 33 C. the wildtype straindesignated as B/Vienna/1/99 wtwas attenuated by 22 serial passages at 25 C. using the same cell culture system. The plaque purification was done at 25 C. for the first and at 33 C. for the following four rounds. The derived plaque purified clone was amplified and stored at 70 C., designated as B/Vienna/1/99 ca or briefly BV22. The identity as a B/Beijing/184/93-like virus was confirmed by HI-assay with standard anti-serum from NIBSC.

TABLE 13
Mutations in B/Vienna/1/99/ca (BV22) compared to
B/Vienna/1/99/wt (BVie) 1. passage on Vero/SF
	Protein
Segment	(length in
(lenght in	Nucleotides changed	amino	Amino acids changed
nucleotides)	Position	BVie	BV22	acids)	Position	BVie	BV22
1 (2396)				PB2 (770)
2 (2369)	594	T	C	PB1 (752)
3 (2305)				PA (726)
4 (1882)	457	G	A	HA0 (584)	142	A	T
	1299	G	T		422	K	N
	1595	G	A		521	G	E
5 (1844)	128	C	T	NP (560)	23	S	F
	330	T	C
6 (1557)				NB (100)
	823	G	A	NA (466)	257	R	Q
	1135	T	C		361	I	T
7 (1190)				M1 (248)
	831	A	G	BM2	21	M	V
				(109)
8 (1097)	116	G	A	NS1 (281)	25	A	T
				NS2 (122)

[0085]

TABLE 26
Characterization of B/Vienna/1/99 wt according to
Los Alamos National Library influenza database (db)
(Web-adress: www.flu.lanl.gov)
B/Vienna/1/99	Accession
wt gene	Nr. amino	Accession Nr.
coding for	acid seq.	nucleotide seq	Remarks
PB2, segment 1	ISDACH017	ISDNCHB017	in db listed as segment 2
PB1, segment 2	ISDACH016	ISDNCHB016	in db listed as segment 1
PA, segment 3	ISDACH015	ISDNCHB015
HA, segment 4	ISDACH018	ISDNCHB018
NP, segment 5	ISDACH013	ISDNCHB013
NA, segment 6	ISDACH012	ISDNCHB012
M, segment 7	ISDACH011	ISDNCHB011
NS, segment 8	ISDACH014	ISDNCHB014

[0086] In addition, further passaging of strain B/Vienna/1/99 ca for 15 additional passages (i.e. a total of 37 passages on serum-free Vero cell culture) resulted in a mutant B/Vienna/1/99 ca37 (abbreviated BV37) with properties even superior to the ones of BV22. This mutant contains an increased number of mutations vis--vis BV22 and appears to be the currently most promising candidate for the production of a whole-virus vaccine, particularly for an attenuated influenza live vaccine, based on a non-recombinant influenza virus mutant. The additional mutations are listed in Table 13A below:

TABLE 13 A
Mutations for BV22 and BV37 compared to B/Vienna/1/99 wt 1st
passage on Vero/SF
Segment	Protein
(lenght in	Nucleotides changed	(length in amino	Amino acids changed
nucleotides)	Pos.	BVie	BV22	BV37	acids)	Pos.	BVie	BV22	BV37
1 (2396)					PB2 (770)
2 (2369)	594	T	C	C	PB1 (752)
(BV37: 2370)	2348			A
3 (2305)					PA (726)
4 (1882)	457	G	A*	A*	HA0 (584)	142	A	T	T
	1122	C	C	A		363	F	F	L
	1299	G	T	G		422	K	N	K
	1595	G	A	A		521	G	E	E
5 (1844)	128	C	T	T	NP (560)	23	S	F	F
	212	C	C	T		51	P	P	L
	330	T	C	C
6 (1557)					NB (100)
	823	G	A	G	NA (466)	257	R	Q	R
	1135	T	C	C		361	I	T	T
7 (1190)	24	G	G	A	M1 (248)
	831	A	G	G
	831	A	G	G	BM2	21	M	V	V
	1029	A	A	G	(109)	87	I	I	V
8 (1097)	116	G	A	A	NS1 (281)	25	A	T	T
					NS2 (122)
Comparison with influenza sequence database 13.2.2001 (www.flu-lanl.gov):
a) unique mutations underlined in bold type;
b) mutations common with:
*B/Lee/40, B/Osaka/70, B/Kadoma/1076/99 (resulting amino acid: I)
B/Lee/40, B/Osaka/70
often: B/Lee/40, B/Ann Arbor/1/66 ca & wt, B/Singapore/222/79, B/North Dakota/83, B/Norway/1/84, B/Ibaraki/2/85, B/Ann Arbor/1/86, B/Victoria/2/87, B/Aichi/5/88
B/Kanagawa/73

[0087] It shall be understood that the influenza A and B master strains according to the present invention shall not be limited to the features and genetic characteristics explicitly listed in the tables herein but shall also comprise minor variations thereof as long as such variations are in the sense of the present invention and do not subtantially alter any one of the functional features of the virus.

[0088] Such variations may occur, for instance, due to additional steps of virus multiplication or propagation (e.g. for the purpose of obtaining material for sequence analyses).

[0089] Moreover, the gene sequences listed herein include the primer sequences (located at the beginning and at the end of each genome segment) that were used along with the present invention, which primer sequences may differ from the corresponding true sequences of the viral genome segments of either or both the wildtype and the attenuated virus strains.

[0090] The subsequent data confirm temperature sensitivity and vaccine safety for influenza vaccines manufactured according to the present invention, e.g., as described in Example 1.

TABLE 14
Antibody response of mice after one intranasal immunisation
without narcosis
		Number of		Protection after
	Viruses	responders1	GMT3	challenge2
	PR8/Sing ca - 2/6	0/6	<4	5/6
	PR8/Sing ca - NS	4/6	6.7	5/6
	PR8-wt	5/6	16.0	5/6
	1number of animals with positive HI titer > 1:4
	2number of animals without detectable virus in the lungs
	3Geometric mean titer of antibodies in serum
	PR8wt - influenza strain A/PR/8/34 wildtype (H1N1), pathogenic for mice
	PR8/Sing ca-2/6 - is the reassortant between attenuated influenza strain A/Sing/1/57 ca and PR8 wt, containing 2 genes (HA and NA) from PR8wt virus and all other genes from A/Sing/1/57 ca.
	PR8/Sing-NS contains HA and NA genes from PR8wt, five genes from A/Sing/1/57 ca and the NS gene of PR8 origin lacking the NS1 coding sequence (NS1 deletion or knockout).

[0091]

TABLE 15
Antibody response and protection of mice after intranasal
immunisation with different variants of A/Singapore/1/57
virus (under narcosis)
	Responders1
	1-st	2-nd	GMT after	Protection
	immunisa-	immunisa-	two	after
Viruses	tion	tion	immunisations	challenge4
A/Sing/1/57/wt va2	9/9	9/9	103.9	9/9
A/Sing/1/57/ca3	8/10	10/10	55.7	8/10
A/Sing/57/NS 87	1/10	10/10	27.9	8/10
1number of animals with positive HI titer > 1:4
2vaVero-adapted
3cacold-adapted
4number of animals without detectable virus in the lungs

[0092]

TABLE 16
Reproduction of wt, va and ca variants of
A/Singapore/1/57 in mouse lungsa
	Virus titer in mouse lungs post
	infection on day, PFU/mlb
	Viruses	2	4	6
	A/Singapore/1/57/wt	1.6 106	2.2 105	1.4 103
	A/Singapore/1/57/wt va	2.5 106	2.1 106	1.0 102
	A/Singapore/1/57/ca	<10	<10	<10
	aMice were infected i.n. with 50 l of virus fluid with a titer 1.0 106 PFU/ml.
	bPFU/ml of 10% tissue suspension, titrated on MDCK cells.

[0093]

TABLE 17
Virulence of wt and ca variants of
A/Singapore/1/57 virus for ferrets
	Number of animals with fever
	post infection on day
	Viruses	1	2	3
	A/Singapore/1/57 wt	FFF	NNN	NNN
	A/Singapore/1/57 ca	NNN	NNN	NNN
	Rectal temperature of animals was recorded twice a day and characterized as follows:
	N - normal temperature from 38.1 C. to 39.9 C.
	F - fever, more than 40.0 C.
	Each group consisted of 3 animals, which were immunized i.n. under ether narcosis with 1 ml of virus fluid with a titer of 2 106 PFU/ml.

[0094]

TABLE 18
Reproduction of 2/6 reassortant of A/Hong Kong/1035/98
wt and A/Singapore/1/57/ca in mouse lungsa
	Virus titer in mouse lungs on
	day 2-6 post infection, PFU/mlb
Viruses	2	4	6
A/Hong Kong/1035/98 wt	6.8 104	2.0 104	<10
H1N1
A/Singapore/1/57/ca	<10	<10	<10
A/Hong Kong/1035/98 wt
aMice were infected i.n. under ether narcosis with 50 l of virus fluid.
bPFU/ml of 10% tissue suspension, titrated on Vero/SF cells, data are given as mean value for 6 mice (the lungs of each animal were treated separately).
The reassortant contains the HA and NA genes from A/Hong Kong/1035/98 wt wildtype and the other 6 genes from A/Singapore/1/57/ca.

[0095]

TABLE 19
Virulence of 6/2 reassortant of A/Vienna/47/96 wt and
A/Singapore/1/57/ca for ferrets
	Virus	Number of animals with fever on day
Viruses	subtype	1	2	3	Rhinitisb
Master strain
A/Singapore/1/57/ca	H2N2	NNN	NNN	NNN
Epidemic virus
A/Vienna/47/96 wt	H3N2	NNN	FFF	FFF
Reassortant
A/Singapore/1/57/ca	H3N2	NNN	NNN	NNN
Vienna/47/96 wt
Animals were immunized i.n. under ether narcosis with 1 ml of virus, 2 106 PFU/ml.
N - normal temperature from 38:1 C. to 39.9 C.;
F fever, more than 40.0 C.
b - severe rhinitis
absence of rhinitis

[0096] The results presented in Tables 16 to 19 clearly demonstrate the safety of the vaccines containing the attenuated, temperature sensitive master strain or, in case of reassortants, of the vaccines based on the reassorted viruses composed of the backbone of the attenuated, temperature sensitive master strain (6 genes) and the HA and NA genes from, e.g., the pathogenic wildtype strain A/Hong Kong/1035/98 wt.

TABLE 20
Ts and ca phenotype of B/Vienna/1/99
	PFU/ml on
	Vero cells at	PFU/ml on MDCK cells at
Virus	25 C.	33 C.	39 C.
B/Vienna/1/99 wt	<300	4 106	4 105
B/Vienna/1/99 ca (BV22)	1 106	2.4 106	<20

[0097]

TABLE 21
Genetic stability of the ts phenotype of B/Vienna/1/99 ca
	PFU/ml on MDCK cells at
	Virus	33 C.	39 C.
	B/Vienna/1/99 wt	4 106	4 105
	B/Vienna/1/99 ca (BV22)	2.4 106	<20
	B/Vienna/1/99 ca (BV22)	8 105	<20
	after 5 passages at 33 C.

[0098] The strain BV22 was passaged five times at high MOI on Vero cells. Then the ts-phenotype was controlled again. The strain remained tmperature senssitive as can be seen in Table 21.

TABLE 22
Virulence of B/Vienna/1/99 ca and wt in mouse lungs
	PFU/ml* at day post infection
Virus	organ	2	3	4
B/Vienna/1/99 ca	lung	<20	<20	<20
(BV22)	nose	1 102	1 102	20
B/Vienna/1/99 wt	lung	8 104	7 103	4.4 103
	nose	3.8 104	3.4 104	1.4 104
*9 OF1 mice per strain were immunized intranasally under ether narcosis with 105 PFU. At the indicated days post infection 3 mice per group were sacrificied. Lungs and nasal turbinates were homogenized for a 10% (w/v) suspension in PBS def. A plaque assay of the suspensions was performed.

[0099] The data show that moderate reproduction of the ca master strain candidate BV22 was possible in the nasal mucosa while the ts property of the virus prevented reproduction in the lungs.

TABLE 23
Ts and ca phenotype of the reassortant influenza b strain
	PFU/ml on MDCK cells at
	Virus	33 C.	39 C.
	B/Vienna/1/99 wt	4 106	4 105
	B/USSR/69 wt	1.6 106	4 104
	B/Vienna/1/99 ca (BV22)	1.4 106	<20
	BV22 B/USSR/69 (6/2)	8 106	<20

[0100] A 6/2 reassortant strain containing HA and NA of the wild type influenza strain B/USSR/69 wt and the other 6 genome segments from B/Vienna/1/99 ca (BV22) was established. The origin of the hemagglutinin was tested by HI-assay, all other genome segments by RT-PCT and restriction analysis using methods known in the art.

TABLE 24
Virulence of the reassortant influenza B strain in mouse lungs
	PFU/ml* at day post infection
Virus	organ	2	3	4
B/Vienna/1/99 ca	lung	<20	<20	<20
(BV22)	nose	<20	1 102	40
B/USSR/69 wt	lung	1.8 105	4 105	2.4 104
	nose	1.6 105	2 105	1.6 105
BV22 B/USSR/69 wt	lung	<20	<20	<20
(6/2)	nose	2.8 103	2 103	4 102
*9 OF1 mice per strain were immunized intranasally under ether narcosis with 105 PFU. At the indicated days post infection 3 mice per group were sacrificied. Lungs and nasal turbinates were homogenized for a 10% (w/v) suspension in PBS def. A plaque assay of the suspensions was performed.

[0101] The following vaccines (in the form of nasal sprays) were produced according to the present invention (e.g. as described in Example 1) for intranasal delivery. Composition per ml (after reconstitution of freeze-dried material):

[0102] (1) Placebo: 2SF-medium, 40 mM HEPES buffer, 8% lactalbumin enzymatic hydrolysate, 4% trehalose;

[0103] (2) Vero-Vac H1: A/Beijing/262/95 (H1N1)-like preparation comprising 4.310⁷ TCID₅₀ of 6/2 reassortant A/Singapore/1/57/ca with A/Hong Kong/1035/98; 2 culture supernatant, 40 mM HEPES buffer, 8% lactalbumin enzymatic hydrolysate, 4% trehalose;

[0104] (3) Vero Vac H3: A/Sidney/5/97 (H3N2)-like preparation comprising 2.110⁷ TCID₅₀ of 6/2 reassortant A/Singapore/1/57/ca with A/SW/7729/98; 2 culture supernatant, 40 mM HEPES buffer, 8% lactalbumin enzymatic hydrolysate, 4% trehalose;

[0105] (4) Russian trivalent vaccine (live influenza vaccine for adults):

	A/17/Beijing/95/25 (H1N1)	1.1 108	EID50
	A/17/Sidney/97/76 (H3N2)	2.3 107	EID50
	B/60/Petersburg/95/20	1.1 107	EID50

[0106] (5) Monovalent Vero vaccine BV22: B/Beijing/184/93like preparation comprising 210⁶ TCID₅₀ of master strain candidate B/Vienna/1/99/ca (BV22); 2 culture supernatant, 40 mM HEPES buffer, 8% lactalbumin enzymatic hydrolysate, 4% trehalose;

[0107] The vaccines were administrated to 13 volunteers per each vaccination group. 550 l of reconstituted vaccine (or placebo, respectively) were given intranasally to each patient on day 0 and for a second time on day 221. The results are summarized in Table 25 below.

[0108] Safety Results:

[0109] The total number of adverse events (AE) during five days after the first and second vaccination was 14 including 9 mild and 4 moderate AE. Only one volunteer showed severe AE, comprising an increase in body temperature up to 38.8 C. within 3 hours after the first vaccination without any local or systemic symptoms. During the next four hours his temperature became normal again. After the first vaccinations 7 AE were observed, One of them was local and six were systemic. After the second vaccination 2 local and 5 systemic AE were observed.

[0110] No significant difference in terms of safety was revealed between the groups of the study including the one with placebo. No serious AE related to the vaccination were observed except for the one mentioned above. Two of the moderate AE occurred in the H3N2 group (temperature elevation up to 37.6 and acute pharyngitis on day 3 in one volunteer; nasal obstruction, discomfort in the throat on day 22-24 and temperature elevation up to 37.5 C. in another volunteer), and one in the H1N1 group (pain in the throat, rhinitis from day 22-26, temperature elevation up to 37-37.8 C. between days 22-24).

TABLE 25
Response of seronegative volunteers to Vero Vac vaccines and to a
trivalent Russian cold-adapted egg derived vaccine
	% of volunteers
	with at least 4-fold
	increase of serum
	HAI antibody titre
	Virus dose, TCID50/ml or	No. of	to antigens
No	Vaccine for immunization	EID50/ml	volunteers	H1N1	H3N2	B
1	Placebo		13		(8)
2	Vero Vac H1 (H1N1)	4.3 107	13	38
3	Vero Vac H3 (H3N2)	2.1 107	13		67
4	Russian trivalent vaccine:		13
	A/17/Beijing/95/25 H1N1	1.1 108		46
	A/17/Sidney/97/76 H3N2	2.3 107			8
	B/60/Petersburg/95/20	1.1 107				31
5	Vero vaccine BV22	2 106	13			33
(8) patient developed spontaneous infection during course of study.

[0111] The results obtained from the clinical study thus confirm a very good safety of the vaccines produced according to the present invention and using the preferred influenza A and B master strain candidates of the present invention.