A METHOD FOR THE PURIFICATION OF IMMUNOGLOBULINS
FIELD OF THE INVENTION
The present invention is generally in the field of purification of immunoglobulins from a source solution and more specifically concerns purification of immunoglobulins utilizing ion-exchange resins.
BACKGROUND OF THE INVENTION
Therapeutic and prophylactic specific and non specific immune serum globulins (ISG) preparations are well known and have been available for many years. These preparations are used in passive immunization and in the treatment of a variety of infections. ISG is presently obtained in commercial quantities using variations of a blood plasma fractionation technique developed by Cohn et al. in the 1940's based on a cold ethanol precipitation technique (McCue et al, Review of Infectious Diseases, 8(4);5374-5381, (1986)). ISG has been administered intramuscularly (IM) and more recently intravenously (IV), the latter method of administration provides numerous advantages and has gained acceptance as the preferred method of administration. Initial attempts to render ISG safe and effective for IV administration (F/IG) focused on eliminating its anticomplement activity. The production of clinically safe and efficacious intravenous Immunoglobulins (IVIg) without side reactions which derived either from the formation of aggregates, the presence of anti-complement activity or form the prekalikrein activator was behind the driving force to produce improves formulation based on modification of the production procedure.
The final formulation has been supplemented in various commercial product with 10% sucrose, glucose, PEG or Tween 80. However, all the products containing salt were lyophilized and had to be reconstituted before use. Only a few products are in a liquid form. These products have very low ionic strength and are supplemented with 10% maltose. The final pH ranges from 4.2-5.5. During the 15 year of production of IVIg, the trend of manufacturing has been to move out of either chemically modified molecule by acid treatment (Uemura, Y., J. Exp. Med, 141(3 ):337-349 (1983)) or by enzymatic digestion by trypsin in low pH. All these modifications were proved to be inferior to natural intact Immunoglobulins.
Although ISG products (both IMG and IVIG) have been considered generally safe, there has been a growing need to assure patients that ISG products do not transmit active viruses such as those associated with hepatitis or, HIV which is associated with Acquired Immune Deficiency Syndrome (AIDS). There are many citations in the literature that Cohn fraction II, the main source of Immunoglobulins used in the 80s was contaminated with Hepatitis C. Based on the above findings, a new method for virus inactivation was developed by the New York Blood Center. The method is based on the virucidal effect of an organic solvent combined with an nonionic detergent (US 4,481,189 and US 4,315,919). The high amount of both the detergent and the organic solvent is toxic, therefore both have to be removed from the final formulation.
Various ways were designed to remove the impurities of the solvent and detergent from the formulation, for example, EP A-0 366346, EP -A0 239859, EP-A-0 322786 and EP-A- 0 131 740 (Horowitz et al.) disclose using mineral oil for purification purposes. In another publication the solvent was removed by mineral oil and the detergent Triton X-100 was removed by C-18 hydrophilic column (EU 92111947 to Gehringer et al.).
Another approach for removal of the organic solvent and the nonionic detergent was by absorbing the immunoglobulins on an anion exchange resin such as DEAE (McCue et al, Supra; Hans R. Friedli, Pharmacotherapy Supp., 7(2):36-40, (1987)). During the absorption process the pH of the resin has to be adjusted to a pH of about 7-9. The purification by anion exchange resins has the disadvantages of loss of IgG sub-classes 3 and 4, as compared to the source solution. In addition purification by anion exchange resins causes the purified gamma-globulins to aggregate, which aggregates have to be eventually disassociated by digestion with trypsin and pepsin, resulting in an Ig molecule of reduced efficacy. The yield of purification by anion exchange resins is usually in the range of 75 to 85% since a large amount of the immunoglobulins are not absorbed on the anion exchange resin and are thus discarded.
A slight modification of the purification by anion exchange resin utilizing a single column DEAE Sephendex (procedure was developed A.D. Friesa et al, Vox Sang, 48:201-212 (1985)) wherein the purification proceeds by sequential chromotographies on two cross-linked agarose gel anion exchanges, thus enabling repeated in column recycling. However, the other disadvantages of purification of immunoglobulins by anion exchange resins, namely, loss of IgG subclasses 3 and 4 and aggregation are evident also in this modification. It would have been highly desirable to provide a method for purifying immunoglobulins which would give a high yield of immuno-globulins, produce purified immunoglobulins having an IgG sub class 3 and 4 ratio which is similar to the ratio in the source solution and which method would not cause aggregate of the purified immunoglobulins.
SUMMARY OF THE INVENTION
The present invention is based on the surprising finding that cation exchange resins, preferably pre-conditioned with a pH lower than 4.5, can leave a retinue of relatively large quantities of immunoglobulins as compared to anionic
resins. According to the finding of the invention, it was discovered that by using cation-exchange resins, essentially all the solvent/detergent was eliminated. A further finding was that the elution at higher salt concentration and pH above 7.5 releases (eluted) all the immunoglobulins G heavy chain subclasses, notably IgG subclass 3 and 4, so that the purified immunoglobulins have a sub-class ratio similar to that of the source solution.
Thus, the present invention provides a method for the purification of immunoglobulins from a source solution comprising: contacting the source solution with a cation exchange resin; and - eluting the immunoglobulins bound to said cation exchange resin.
The term "immunoglobulin" refers to immunoglobulins in particularly IgG of all sub-classes.
The purification may be from any source solution such as: Cohn Fraction Paste II, PEG precipitated plasma supernatant, DEAE purified plasma effluent, ammonium sulfate precipitate of plasma or serum.
Preferably, the purification is from a Cohn Fraction III, i.e. from a fraction obtained from blood plasma by a cold ethanol precipitation technique as specified in Technical Procedure I, hereinafter.
The method comprises contacting the source solution with a cation exchange resin. The term "cation exchange resin" refers to a highly polymerized synthetic organic compound consisting of a large, non-diffusable anion and a simple, difϊusable cation, which latter can be exchanged for a cation in the medium in which the resin is placed. Examples of cation exchange resins are any kind of matrix fiinctionalized with a carboxy, sulfo, sulfoalkyl, cyano and phenyl groups. The cation exchange compound may be bound to any type of solid support including any matrix resins.
Preferably, the cation exchange resin is constructed in the form of a chromatographic column and the method includes passing the source solution
through the cation exchange chromatographic column which leads to binding of the immunoglobulins to the cation exchange resins.
Preferably, prior to contact of the source solution with the cation exchange resin, for example prior to passing the source solution through the cation exchange chromatographic column, the resin is pre-treated with an acidic solution. In -accordance with the present invention, it was surprisingly found that such pre-treatment facilitates binding of the immunoglobulins to the resins, increases the capacity of the cation exchange resin, and the yield of the whole process, from about 30 mg per ml of resin to 50 mg of SP resin. The concept of utilizing pof the ion-exchange resin by acidic solution, is contrary to the state of the art concept of using neutral ion exchange membranes. Ion exchange resins are usually cleaned by acid followed by base or vice versa. However, in most of the procedures for protein purification the resin is equilibrated before loading the protein with neutral or very close to neutral pH. This has been done in order to avoid any harm to the protein. Inventors of the present invention have surprisingly found that this equilibration is in very narrow margins. pHs lower than 3.5 caused the immunoglubulin to be absorbed on the resin without ability to release it even with high salt at high pHs. However, at a pH between 3.8 to 4.5 elution was close to 100% of the loaded protein without forming aggregates. Equilibration at subsequently higher pH causes reduction of the amounts of immunoglobulins absorbed to the column. The pre-treatment should be by rinsing the cation exchange resin with a solution having a pH of 3.5-5.5, preferably 4.0 to 4.5, most preferably of 4.5.
The immunoglobulins are removed or "eluted" from the cation exchange resin, by rinsing it with a solution having a high salt concentration, usually in the range of 0.3 molar 1.5 molar, preferably 0.45 to 0.65 molar, most preferably 0.5 molar and having a pH in the range of 6.0-9.0, preferably 6.5 to 7.5, most preferably a pH of 7.0.
In accordance with the present invention, it is preferable to treat the source solution, prior to contact with a cation exchange resin, with an nonionic detergent and an organic solvent, in order to inactivate viruses present in the source solution, as specified in U.S. 4,481,189, and U.S. 4,315,919, the contents of which are incorporated herein by references. Examples of orgamc solvents are: Tri-n-Butylphosphate or Tri-n-Propylphosphate. Examples of nonionic detergents are: Triton X-100, Tween 20, Tween 80, sodium cholate and NEMO. Preferably, the source solution should be incubated with a solvent/detergent in an acidic pH, at a pH in the range of 5.1 to 5.4, preferably a pH of 5.2 for several o hours at low temperatures such as 4°C.
The cationic exchange chromatography serves to remove virtually all the solvent/detergent reagents. However, if it is desired to remove also various hydrophobic lipids, or lipoprotein impurities which are present in the source solution, it is possible also to pass the immunoglobulins eluted from the 5 cation exchange resins through a hydrophobic column, preferably a hydrophobic column having a substantially smaller volume than the volume of the cation exchange column, for example, 7 to 12 times smaller preferably about 10 times smaller.
More specifically, the present invention provides a method for the 0 purification of immunoglobulins from Cohn Fraction III solution comprising: (i) diafiltratring the Cohn Fraction III solution against water; (ii) adjusting the pH of the diafiltrated solution to a pH of 5.1 to 5.4; (iii) contacting the solution obtained in (ii) with an organic solvent and a detergent; 5 (iv) passing the solution obtained in (iii) through a cation exchange chromatographic column; (v) eluting the immunoglobulins absorbed on the column by passing a solution having a salt concentration of 0.3 M - 1.5 M and a pH of 6.0-7.0.
(vi) diafiltrating the elute of step (v) against water: and optionally (vii) passing the eluted immunoglobulin obtained in step (vi) through a hydrophobic column which is 7 to 12 times smaller than the cation exchange column.
BRIEF DESCRIPTION OF THE DRAWING
Fig. 1 shows a schematic flow chart for the preparation of Cohn Fraction III.
DETAILED DESCRIPTION OF THE INVENTION TECHNICAL PROCEDURE I
The following is a general flow chart for the preparation of an immunoglobulin containing fraction beginning from frozen plasma:
Omr-IgG-am IV Production Flow Chart
Fig. 1 shows a schematic representation of the preparation of Cohn Fraction III.
EXAMPLES
Example 1 The effect of various buffers used for conditioning and elution on the concentration of IgG purified on an SP column
A. Technical procedure
10 L of Cohn fraction III Batch No. GoFooAN / B262551 produced by Omrix biopharmaceutical Plasma Fractionation Institute (Rehovot, Israel) was concentrated to 550 ml by ultrafiltration and then dialyzed against 6 volumes of DDW to reduce the salt and the ethanol concentration. Lipid coated viruses were inactivated by addition of 0.3% Tri-n-butyl-phosphate and 1% triton-x-100. The mixture was incubated at 4°C for 4 hours, after which the solution was diluted to 50 mg per ml (Table 1).
Table 1
Preparation of concentrate Fraction πi from Batch
No. GoFooAN/ B262551 with solvent detergent (SD) for the purification on a SP column
The combined mixture was loaded on a pre-conditioned FPLC (Pharmacia, Sweden) mounted with a 16 mm column loaded with 74 ml Fractogel SP (TosoHaas, Japan) resin, which is a hydrophilic methacrylate copolymer matrix functionalized with a sulphopropyl (-CH2CH
2CH
2SO3) group. This 470x16 column as the same bed height as the large scale column. The Fractogel SP column was pre-conditioned with 2 column volumes of various buffers as specified in Table 2 below, the Immunoglobulin (concentrated Cohn Fraction III prepared according to Fig. 1) mixture with the solvent detergent reagent was loaded at a rate of 1 ml/min. followed by running various elusion buffers as specified in Table 2 below. After the elusion of the SD from the mixture the protein was eluted from the SP column by various elution buffers (see Table 2).
Table 2
Various combination of preconditioning and elusion buffer used to load and elute a mixture of Cohn fraction IH concentrate +SD on a Fractogel SP column
The results obtained utilizing the preconditioning and elution buffers of Table 2 are summarized herein below in Table 3.
(Column spend is the fluids which are not bound to the resin and which run through the column while loading the solution onto the column.)
As can be seen from the above Table, purifying immunoglobulins on a cation exchange resin SP Fractogel column resulted in a high recovery yield if appropriate pre-conditioning and elution solutions were used. It was found that acetic acid can not replace the citrate as a conditioner for the SP fractogel column, and that increasing the pH with various buffers does not significantly change the elution volume (one usually is trying to keep pH low as possible). Alkaline buffers did not improve the procedure and should be avoided in order to ensure that the IgG is not harmed, since it is well established that high salt concentrations and high pH causes aggregation of immunoglobulins.
Example 2 The effect on recovery and elution volume of Immunoglobulin G using three types of cationic exchange resins A. Technical procedure
1.75 g of Cohn fraction III produced by Omrix was mixed 0.3% Tri-n-butyl-phosphate (TNBP) and 1% tritαn-x-100. The mixture was incubated at 4°C for 4 hours, after which the solution was diluted to
50 mg/per ml with WFI. The mixture was than loaded on a 35 ml (50 mg protein per ml of resin) column containing one of the following cation-exchange resins.
1. CM0511-CM-Toyopearl 650(M) - from Tosoh corporation Tokyo, Japan - CH2COO (carboxymethyl).
2. SP0611- SP-Toyopearl 650 (M) - from Tosoh corporation Tokyo, Japan - CH2CH2CH2SO3 (sulphopropyl).
3. SPM0711- SP Sepharose Fast Flow form Pharmacia Uppsala, Sweden (sulphopropyl).
All three columns were conditioned with 50 mM citric acid pH 4.0 and the protein was eluted with 50 mM sodium Citrate and 450 mM sodium chloride.
B. Results:
The results are shown in Table 4 below.
Table 4
As can be seen, the recovery in the SP resin was better than the CM resin. The lower elusion volume was found in the SP-Toyopearl 650 (M) from Toso.
The ionic strength of the cationic residue has a significant effect on the gel capacity. The operating mechanism of ion exchange chromatography is by reversible bidning of charged molecules. Binding
strength is governed by the degree of charge on the substrate - the pKa of the ion exchange matrix, and the aqueous solution properties pH and ionic strength. There are four principle types of ion exchangers: strong anion, weak anion, strong cation and weak cation. This assortment of matrices recognizes the specific ionization properties (pi) that differentiate one protein from another and also distinguish localized charge differences of proteins with the same pi.
The pKa of SP resins is 2.3 and for all the CM resin is 4.2. The ion exchange capacity is 0.08-0.12 meq/ml resin for CM resin and 0.13-0.17 meq/ml resin for the SP resin.
Example 3 Recovery of Immunoglobulin G Heavy Chain Subclasses in a cationic exchange chromatography process
A. Technical procedure
Five manufacturing processes of the full immunoglobulin purification procedure starting from Fraction III filtrate and ending up in a final container containing 5% protein were tested for the Immunoglobulin G subclasses of the heavy chain by using the immuno-diffusion antigen test by ICN USA (IgG AccraAssay form ICN Biomedicals, USA). In each procedure a simple agarose immunodifflision assay was carried out against a specific antigen against all of its classes. The same process was used in each of the runs in order to establish reproducibility.
B. Results
Recoveries of the various subclasses were close to 100% as compared to the starting material Fraction III filtrate (See Table 5).
Table 5
Recovery of IgG heavy chain subclasses in the process of IVIg
As can be seen, the subclasses IgG distribution of the immunoglobulins in the preparation purified on the SP resin is the same as in the starting material indicating that the purification method of the invention, utilizing cation exchange resins, does not result in loss of IgG subclasses 3 and 4. This being in contrast to a significant IgG subclass 3 and 4 loss evident in purification procedures utilizing anion-exchange resins.
Example 4 Removal of triton x-100 by chromatography on a
SP-Toyopearl 650
A major factor in choosing purification techniques is the ability of the technique to completely remove essentially all of the detergent, (such as X-100), which was added in order to eliminate viruses.
A. Technical procedure
Intravenous immunoglobulin solution was prepared from frozen human plasma by means of Cohn method Fraction III followed by additional purification and virus inactivation steps (McCue et al, supra).
Fraction III which contains about 3-5 mg/ml protein and 17% ethanol was concentrated by Diafiltration to 60-70 mg/ml and the salt and the ethanol were removed by 6 volumes of Diafiltration against water. The pH was adjusted to 5.2 and solution was treated by solvent / detergent (S/D) solution comprising: 0.3% Tri (n-butyl) phosphate, 1% Triton X-100 for 6 hours at 4°C. The S/D reagents were removed by cationic exchange chromatography on a 200 ml SP Toyopearl 650 resin (Tosohaas Corporation, Tokyo, Japan (-CH2CH2CH2SO3) sulphopropyl functional group) at low pH (4.0). At this pH, the positively charged IVIg is bound to the column, allowing the removal of the >97 of the Triton X-100 in the column spend.
The IVIg was removed from the cationic resin by increasing the salt concentration to 0.35 molar sodium chloride and increasing the pH to 7.0. Removal of salt and concentration of protein to about 70 mg/ml was than followed by Diafiltration against water. In order to remove the lipids or lipoproteins from the IVIg solution the solution was passed through a an hydrophobic column (C-18 resin) which is 10 times smaller than the cationic column or with a ratio of 500 mg protein per ml of resin. The IVIg protein was then incubated for 22 hours at 37°C at pH 4.0 in the presence of 10% maltose in order to reduce the aggregates of Immunoglobulins. This preparation was than subjected to an addition Diafiltration against water followed by final formulation of the balk material. The final formulation consists of 10% maltose and 50 mg/ml protein at pH 5.2 . The sterile filtered bulk product is then filled in 50 ml aliquots which was stored at room temperature.
B. Results
The experiment was conducted in two replicates. It can be noted in the results demonstrated in Table 6 below that the SP column removed more than 97% of the detergent triton x-100 from the product.
Additional 1-2% was removed by the Diafiltration. The removal by the hydrophobic column was negligible.
Table 6
Removal of triton x-100 from Immunoglobulin preparation. (Upper table RUN20 and the lower RUN21)
As can be seen from Table 6, the cationic exchange chromatography step is highly efficient in removing the detergent reagents that are added for the purpose of viral inactivation. More than 95% Triton levels were reduced by the cationic exchange chromatography. The following step of Diafiltration, brought the levels below the limits specified by the toxicological studies which are > than 50 PPM of Triton X-100 and 30 PPM of TnBP in the final product of 5 mg/ml. so that even without purification on
a hydrophobic column Triton levels were reduced to a medically acceptable level. Therefore it can be concluded that the hydrophobic chromatography on the C18 column is not essential but rather optional and was performed solely for the elimination of hydrophobic lipid or lipoproteins, and not for elimination of the solvent or detergent.
Example 5 Validation of solvent/detergent removal
A. Technical procedure
The source material for IVIg was Cohn Fraction III. The fraction which contains about 3-5 mg/ml protein and 17% ethanol was concentrated by Diafiltration to 60-70 mg/ml. The salt and the ethanol were removed by the ration of 6 volumes of Diafiltration against water.
The pH was adjusted to 5.2 and solution is treated by sol- vent/detergent (0.3%) Tri (n-butyl) phosphate, 1% Triton X-100 for 6 hours at 4°C).
The S/D reagents were removed by cationic exchange chromatography. At low pH (4.0) the positively charged IVIg is bound to the column. The IVIg is removed from the cationic resin by increasing the salt concentration and increasing the pH to 7.0. Concentration of the protein to 70 mg/ml and removal of salt is done by Diafiltration against water.
In order to remove the lipids or the lipoprotein from "the IVIg solution, the solution is passed through a hydrophobic column which is 10 times smaller than the cationic column.
B. Results
By utilizing the above procedure > 98% of the solvent/detergent were removed in the column spend.
The following is a flow chart describing the manufacturing process.
Flow Chart of the manufacturing process with In-process Controls
PRODUCTION STEP SAMPLE NO. PARAMETERS RANGE
Fraction III IgOl
Ethanol 16-18%
Protein 3-5 mg/ml
I 02 LAL
UF filtration against water
Ig03
(the concentration can be stored up to 4 weeks) Protein 50-60 mg/ml
TVC <104 CFU/ml
(Goal: removal of ethanol and salts) Ethanol >1% Adjustment of pH with 0.5 N NaOH Osmolarity > 40 meq/1 pH admustment before SD addition
Ig04
Protein 60-70 mg/ml pH 5.1-5.3
Addition of S/D reagents 0.3% TnBP, 1% Triton X-100 6 hours incubation at 6 — 2 C
(virus inactivation by SD)
► I 05
Triton X-100 > 0.9% TnBP >0.27%
Dilution of the SD containing solution to low protein containing ► Ig06
Protein <50 mg/ml pH 5.1-5.3
Wash the column with sodium
Citrate pH = 4.0 (G2)
LAL test
Loading on Cationic exchange SP-column (A)
Elute the column with (G3)
{Goal: Elimination of S/D product and further purification) ► Ig07
Protein 20-30 mg/ml Triton X- 100 Qualitative TnBP < 100 μg/ml pH 5.0-6.0
Ultralfϊltration/diafiltration I 08 LAL test
Concentration of the filtrate up to 50-70 mg/ml and difiltration against 6 volumes of water
{Goal: Elimination of sodium salts and concentrating the elute) ► Ig09
Protein 50-70 mg/ml pH 4.5-5.5
Triton X- 100 < 10 μg/ml TnBP < 10 μg/ml
Sodium < 20 meq/L
Osmolarity <30m Osmol kg LAL teins)
Protein 20-30 mg/ml
PH 4.0-5.0 pH 4.5-5.5
Triton X- 100 < 10 μg/ml density 0.95-1.051
Wash column SDR with ethanol (25-100%) and 2-Propanol
Addition of Maltose up to 10%
Protein 50-70 g/l density > 1.03 osmolarity >280mOsmol K
Incubation 22 h at 37°C (Goal: Elimination of polymers)
Igl3
TVC < 104 CFU/ml
Ultrafiltration Diafiltration Igl4 LAL test
Concentration of the filtrate up to 60-70 mg/ml and difiltration against 3 volume of water Addition of maltrost ► Igl5 pH 3.9-4.05
Osmolarity 200-300
Protein >50 g/l density > 1.03 pH adjustment at 5.3-5.5 by NaOH 0.1 M
Addition of Maltrose 10%
(Goal: Adjustment ofpH)
► Igl6
Osmolarity 300 to 400
Sodium < 20 meq/1
Protein 45-55 g/l\
pH 5.3-5.5 density > 1.03
Filtration up to 0.2 μm
Sterile filtration
Purified bulk product Preparation of finished product
Filling, Labeling, Storage at 2-6°C Quality Control Release
This study was performed by removing the samples from the process steps of normal production batches, processed according to the Standard Manufacturing Procedure.
C. In process analysis
Quantitative determination of Triton X-100 was carried out by HPLC, while quantitative determination of TNBP was carried out by GC. Cl. Sampling method and sampling labeling
A sample from the S/D treated product was collected half an hour after the administration of the mixture. The product sampled was eluted in the final step of column A. A sample from the product which passed diafiltration was then collected and mixed well for 10 mins. before collection. A sample from the effluent of the column B was collected while noting the total weight of the vessel. Initially the effluent from the column loading was collected while continuing to collect until the absorbency reaches 5%. The volume of the solution collected was determined, the sample was mixed four times and 10 ml samples were obtained for TNPP and Triton. The samples were frozen at -18°C or colder until ready for assaying.
Table 7
C2 Results
The results are shown in the tables below
Batch Run 200b
Table 8
Removal of TNBP from IVIg
n.d. non-detectable (limit of detection = 2 μg/ml)
Table 9 - Removal of Triton X-100 from IVIg
C3 Batch Run 200b
Table 10 - Removal of TNBP from IVIg
Table 11 - Removal of Triton X-100 from IVIg
C4 Analysis of imput and output of solvent reagents of batch No. RUN 200b
Table 12
C5 Analysis of input and output of solvent reagents of batch No. RUN 200a
Table 13
From the above results, it can be seen that the cationic exchange chromatography step is highly efflciient in removing the solvent Detergent reagents that are added at the virus inactivation step. In the two trial batches, both the TNBP and Triton levels were reduced by greater than 99.8% to levels below the specified limits in the final product of 5 Vml and the tables of the SD elimination show consistency of the purification steps from batch to batch. Furthermore, it was proved that the hydrophobic column has only a marginal role in the solvent detergent removal and therefore it serves the sole purpose of elimination of lipids and lipoprotein from the product.
Example 6 Analysis of a batch of purified immunoglobulins
A batch of purified immunoglobulins prepared as above was transferred to Tel Ha Shomer Laboratory (Israel) for analysis.
Analysis of impurities indicated that the anti-complementary activity and prekallicrein activator were below limit levels indicating that the batches are suitable for clinical use.
Purified immunoglobulins prepared as described above were stored for 12 months at 4°C and at room temperature. Parameters tested remained stable during the year's storage at both temperatures.
Example 7 Clinical trial
8 children suffering from Hypogammaglobalinemia (lack of immunoglobulins) and 6 children suffering from multiple sclerosis were administered with a batch No. B-23161 prepared according to the method of the invention.
No abnormal results were evident hours after administration nor two weeks after administration.