Vaccination in newborns and infants
The present invention relates to vaccines comprising at least one mRNA encoding at least one antigen for use in the treatment of a disease in newborns and/or infants, preferably exhibiting an age of not more than 2 years, preferably of not more than 1 year, more preferably of not more than 9 months or even 6 months, wherein the treatment comprises vaccination of the newborn or infant and eliciting an immune response in said newborn or infant. The present invention is furthermore directed to kits and kits of parts comprising such a vaccine and/or its components and to methods applying such a vaccine or kit.
1. A method for stimulating a protective antigen specific immune response in an infant subject comprising, administering to the subject a first effective amount of a composition comprising a purified mRNA encoding a viral antigen, said mRNA comprising a 5′ cap and a polyA tail, wherein said mRNA is complexed with a cationic or polycationic compound, wherein the subject is an infant subject being no more than 2 years of age and wherein the composition is administered by injection and wherein the viral antigen is an influenza hemagglutinin (HA) virus antigen, or an antigenic fragment thereof.
2. The method of claim 1 , wherein the subject is about 3 months to 2 years of age.
3. The method of claim 2 , wherein the subject is no more than 1 year of age.
4. The method of claim 3 , wherein the subject is no more than 6 months of age.
5. The method of claim 1 , wherein the composition is administered by intradermal or intramuscular injection.
6. The method of claim 5 , wherein the composition is administered by intramuscular injection.
7. The method of claim 1 , wherein the cationic or polycationic compound comprises a cationic lipid.
8. The method of claim 1 , wherein the mRNA comprises a backbone modification, a sugar modification, or a base modification.
9. The method of claim 8 , wherein the mRNA comprises a base modification.
10. The method of claim 1 , further comprising administering an adjuvant to the subject.
11. The method of claim 10 , wherein the adjuvant is an immunostimulatory RNA (isRNA).
12. The method of claim 1 , wherein the antigen-specific immune response comprises production of antigen-specific antibodies.
13. The method of claim 12 , wherein the antigen-specific immune response comprises an antigen-specific Th1 immune response.
14. The method of claim 1 , wherein the composition further comprises a mRNA encoding at least a second viral antigen or an antigenic fragment thereof.
15. The method of claim 1 , further comprising administering at least a second dose of the composition to the subject.
16. The method of claim 15 , wherein the second dose of the composition is administered at least 10 days after the first administration.
17. The method of claim 1 , wherein the composition further comprises polyethyleneglycol.
18. A method for stimulating a protective antigen specific immune response in an infant subject comprising, administering to the subject an effective amount of a composition comprising a purified mRNA encoding, a viral antigen, said mRNA comprising: a 5′ cap, a polyA tail, and at least one base modification, said composition comprising a cationic lipid, wherein the subject is an infant subject being no more than 2 years of age and wherein the composition is administered by intramuscular injection wherein the viral antigen is an influenza hemagglutinin (HA) virus antigen, or an antigenic fragment thereof.
19. The method of claim 1 , wherein the G/C content of the mRNA encoding the viral antigen is increased compared to an original RNA sequence encoding the antigen.
20. The method of claim 19 , wherein the G/C content of the mRNA encoding the viral antigen is increased by at least 15% compared to an original RNA sequence encoding the antigen.
21. The method of claim 1 , wherein the cationic or polycationic compound is a polypeptide.
22. The method of claim 21 , wherein the polypeptide is protamine.
23. The method of claim 1 , wherein the viral antigen is full length HA.
24. The method of claim 18 , wherein the viral antigen is a full length HA virus antigen.
25. The method of claim 18 , wherein the G/C content of the mRNA encoding the viral antigen is increased compared to an original RNA sequence encoding the antigen.
26. The method of claim 25 , wherein the G/C content of the mRNA encoding the viral antigen is increased by at least 15% compared to an original RNA sequence encoding the antigen.
27. The method of claim 18 , wherein the subject is about 3 months to 2 years of age.
28. The method of claim 27 , wherein the subject is no more than 1 year of age.
29. The method of claim 18 , wherein the subject is no more than 6 months of age.
30. The method of claim 27 , wherein the composition further comprises polyethyleneglycol.
31. The method of claim 18 , wherein the composition further comprises a mRNA encoding at least a second viral antigen or an antigenic fragment thereof.