Botulinum toxin neurotoxic components formulations
The invention provides for the use of a presynaptic neurotoxin (for example a bacterial neurotoxin such as botulinum toxin A) for the manufacture of a medicament for the treatment of cerebral palsy in juvenile patients. The juvenile patients are preferably juveniles of up to 6 years in age.
1 - 16 . (canceled)
17 . A vacuum dried, sterile, lyophilised, powdered formulation for therapeutic use in humans comprising:
(a) the neurotoxic component of a botulinum toxin purified from a complex of non-toxic proteins and haemagglutinins, wherein the neurotoxic component has a molecular weight of about 150 kilodaltons and comprises a short polypeptide chain of about 50 kD and a larger polypeptide chain of about 100 kD;
(b) saline, and;
(c) pasteurised human serum albumin.
18 . A method for making a neurotoxic component botulinum toxin formulation comprising the steps of:
(a) establishing a culture of an anaerobic bacterium of Clostridium botulinum;
(b) growing a culture of the Clostridium botulinum in a fermenter;
(c) harvesting a botulinum toxin type A mixture from the fermenter, wherein the botulinum toxin type A harvested comprises;
(i) a neurotoxic polypeptide component with
( 1 ) a molecular weight of about 150 kilodaltons,
( 2 ) a short polypeptide chain of about 50 kD, and
( 3 ) a larger polypeptide chain of about 100 kD,
( 4 ) the two chains being linked together by a disulphide bridge,
(ii) a complex comprising
( 5 ) non-toxic proteins and
( 6 ) haemagglutinins,
( 7 ) the complex having a molecular weight of about 900 kD;
(d) purifying the botulinum toxin type A neurotoxic component from the fermented mixture;
(e) adding human serum albumin as a stabilizer to the botulinum toxin type A;
(f) adding saline as a tonicity adjusting agent to the botulinum toxin type A to form a solution;
(g) sterile filtering the solution;
(h) vacuum drying the solution to form a powder;
(i) reconstituting the powder with sterile unpreserved normal saline to form a sterile, pyrogen-free aqueous solution or dispersion of a botulinum toxin type A neurotoxic component.
19 . A product made by the method of claim 18.