Abstract

An improved detergent-free process has been developed to produce vaccine based on native outer membrane vesicles (NOMV) against Neisseria meningitidis serogroup B. Performance was evaluated with the NonaMen vaccine concept, which provides broad coverage based on nine distinct PorA antigens. Scalable aseptic equipment was implemented, replacing undesirable steps like ultracentrifugation, inactivation with phenol, and the use of preservatives. The resulting process is more consistent and gives a higher yield than published reference processes, enabling NOMV production at commercial scale. Product quality met preliminary specifications for 9 consecutive batches, and an ongoing study confirmed real-time stability up to 12 months after production. As the NOMV had low endotoxic activity and induced high bactericidal titres in mice, they are expected to be safe and effective in humans. The production process is not limited to NonaMen and may be applicable for other N. meningitidis serogroups and other gram-negative pathogens. The current results therefore facilitate the late-stage development and clinical evaluation of NOMV vaccines.

Highlights

  • Neisseria meningitidis is a human pathogen that causes acute meningitis and septicemia with high fatality rates [1]

  • Outbreaks of serogroup B meningococcal disease in Norway, New Zealand, and Cuba were successfully controlled with outer membrane vesicle (OMV) vaccines, which was a milestone for the application of OMV in vaccinology [2,3,4,5]

  • Our results show that this new process provides a robust production platform for the late-stage development and clinical evaluation of native outer membrane vesicles (NOMV) vaccines

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Summary

Introduction

Neisseria meningitidis is a human pathogen that causes acute meningitis and septicemia with high fatality rates [1]. Outbreaks of serogroup B meningococcal disease in Norway, New Zealand, and Cuba were successfully controlled with outer membrane vesicle (OMV) vaccines, which was a milestone for the application of OMV in vaccinology [2,3,4,5]. The outer membrane porin A protein (PorA) is the dominant protective antigen but varies among strains [6,7]. Coverage has been increased by complementing multiple PorAs with other antigens, like fHbp or FetA [12,13,14]. The use of OMV-based vaccines remains a promising approach for the control of serogroup B meningococcal disease [18]

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