Gee A P, Sumstad D, Stanson J, Watson P, Proctor J, Kadidlo D, Koch E, Sprague J, Wood D, Styers D, McKenna D, Gallelli J, Griffin D, Read E J, Parish B, Lindblad R
Center for Cell and Gene Therapy (CAGT), Baylor College of Medicine, Texas Children's Hospital, Houston, Texas 77030, USA.
Cytotherapy. 2008;10(4):427-35. doi: 10.1080/14653240802075476.
Rapid-release testing reduces the waiting period for administration of time-sensitive cell-therapy products. Current assay systems are labor intensive and time consuming. The Endosafe portable test system (PTS) is a chromogenic Limulus amebocyte lysate (LAL) portable endotoxin detection system that provides quantitative results in approximately 15 min. To evaluate Endosafe performance with cell-therapy products, side-by-side testing of traditional LAL systems and the Endosafe system was conducted at the Production Assistance for Cellular Therapies (PACT) facilities and the National Institutes of Health's Department of Transfusion Medicine, USA.
Charles River Laboratories provided each center with a PTS reader and two commercially prepared lyophilized reference standard endotoxin (RSE) vials. All samples tested with the Endosafe system used 0.05-5.0 endotoxin unit/mL (EU/mL) sensitivity cartridges provided by Charles River. Each vial was reconstituted with LAL water and tested in triplicate using the Endosafe and in-house LAL methods. Subsequently, each center tested the endotoxin content of standard dilutions of cell-therapy products, thus creating paired test results for each sample. Additionally, fabricated endotoxin-positive samples containing varying concentrations of endotoxin were prepared and shipped to all centers to perform blinded testing.
Valid paired results, based on each center's LAL method and the Endosafe system criteria, were analyzed. Endotoxin detection between paired results was equivalent in most cases.
The Endosafe system provided reliable results with products typically produced in cell-therapy manufacturing facilities, and would be an appropriate test on which to base the release of time-sensitive cell-therapy products.
快速释放检测可缩短对时间敏感的细胞治疗产品给药的等待期。当前的检测系统劳动强度大且耗时。Endosafe便携式检测系统(PTS)是一种显色鲎试剂(LAL)便携式内毒素检测系统,可在约15分钟内提供定量结果。为了评估Endosafe系统在细胞治疗产品方面的性能,在美国细胞治疗生产援助(PACT)设施和美国国立卫生研究院输血医学部对传统LAL系统和Endosafe系统进行了并行检测。
查尔斯河实验室为每个中心提供了一台PTS读数仪和两个商业制备的冻干参考标准内毒素(RSE)小瓶。所有使用Endosafe系统检测的样品均使用查尔斯河提供的灵敏度为0.05 - 5.0内毒素单位/毫升(EU/mL)的试剂盒。每个小瓶用LAL水复溶,并使用Endosafe系统和内部LAL方法进行一式三份检测。随后,每个中心检测细胞治疗产品标准稀释液的内毒素含量,从而为每个样品生成配对检测结果。此外,制备了含有不同浓度内毒素的人工内毒素阳性样品,并运送到所有中心进行盲法检测。
根据每个中心的LAL方法和Endosafe系统标准,对有效的配对结果进行了分析。在大多数情况下,配对结果之间的内毒素检测结果相当。
Endosafe系统对细胞治疗生产设施中通常生产的产品提供了可靠的结果,并且将是对时间敏感的细胞治疗产品放行进行检测的合适方法。