The Arthritis Program, Krembil Research Institute, University Health Network, Toronto, Canada; Cell Therapy Program, University Health Network, Toronto, Canada.
The Arthritis Program, Krembil Research Institute, University Health Network, Toronto, Canada; Cell Therapy Program, University Health Network, Toronto, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Canada.
Cytotherapy. 2017 Dec;19(12):1529-1536. doi: 10.1016/j.jcyt.2017.09.004. Epub 2017 Oct 20.
Cell therapy products (CTP) typically require full sterility, endotoxin and Mycoplasma testing before product release. Often this is not feasible with fresh cells, and sponsors may rely on rapid microbiological methods (RMM). RMM must be qualified in-house using the sponsor's facilities, equipment, consumables, cells and matrices to meet regulatory approval. Herein, we present a cost-effective strategy to conduct an in-house abbreviated qualification of a commercially available RMM kit to meet Health Canada regulatory requirements.
We performed an abbreviated qualification using a polymerase chain reaction (PCR)-based Mycoplasma testing method involving assay sensitivity and ruggedness, based on an experimental plan that was pre-approved by Health Canada. Briefly, investigational CTPs were tested in-house using a PCR-based Mycoplasma detection kit. Assay sensitivity was determined using a 10-fold dilution series of genomic DNA of only two Mycoplasma species, Mycoplasma arginini and Mycoplasma hominis in the absence of CTP-matrix as the kit had been previously validated against nine species. Matrix interference was measured by testing independent CTP samples. Testing by different operators on different days measured ruggedness.
The RMM Mycoplasma qualification exceeded sensitivity (4 genome copies per reaction for M. arginini and 0.12 genome copies per reaction for M. hominis) and met ruggedness requirements without matrix interference, as required by the Pharmacopoeial guidelines (Ph. Eur. 2.6.7 and USP <1223>).
Our approach represents a minimal qualification that can be performed by an academic institution while ensuring regulatory compliance for implementing RMM testing for in-process and product-release testing of CTPs.
细胞治疗产品(CTP)通常需要在产品放行前进行全面的无菌性、内毒素和支原体检测。对于新鲜细胞来说,这通常是不可行的,因此赞助商可能依赖于快速微生物学方法(RMM)。RMM 必须在内部使用赞助商的设施、设备、耗材、细胞和基质进行资格认证,以满足监管批准。在此,我们提出了一种经济有效的策略,用于对市售的 RMM 试剂盒进行内部简化资格认证,以满足加拿大卫生部的监管要求。
我们使用基于聚合酶链反应(PCR)的支原体检测方法进行了简化资格认证,该方法涉及assay 灵敏度和稳健性,基于加拿大卫生部预先批准的实验计划。简而言之,使用基于 PCR 的支原体检测试剂盒对内部研究性 CTP 进行了检测。assay 灵敏度是通过在不存在 CTP 基质的情况下使用仅两种支原体物种(Mycoplasma arginini 和 Mycoplasma hominis)的基因组 DNA 进行 10 倍稀释系列来确定的,因为该试剂盒已经针对九种物种进行了验证。基质干扰通过测试独立的 CTP 样本来测量。不同操作人员在不同日期进行测试以测量稳健性。
RMM 支原体资格认证超过了灵敏度要求(M. arginini 为每个反应 4 个基因组拷贝,M. hominis 为每个反应 0.12 个基因组拷贝),并且在没有基质干扰的情况下满足了稳健性要求,这是药典指南(Ph. Eur. 2.6.7 和 USP <1223>)所要求的。
我们的方法代表了一种最低限度的资格认证,可以由学术机构执行,同时确保符合法规要求,用于实施 RMM 测试,以对 CTP 的过程中和产品放行测试进行测试。