Quality Department, CBG-MEB (Medicines Evaluation Board), Utrecht, The Netherlands.
Medicines and Healthcare products Regulatory Agency, Hertfordshire, UK.
Expert Rev Vaccines. 2023 Jan-Dec;22(1):369-377. doi: 10.1080/14760584.2023.2198601.
There are rational arguments to replace existing potency and safety assays for batch release testing of vaccines with more advanced non-animal techniques to measure critical quality attributes. However, the introduction of alternatives to replace release assays of authorized vaccines is challenging.
This report describes the hurdles encountered in substituting assays and ways to overcome these and provides arguments why more advanced alternatives are superior, not only as a tool to monitor the quality of vaccines but also from a practical, economical, and ethical point of view. The rational arguments provided for regulatory acceptance can support a strategy to replace/substitute any batch release test if an appropriate non-animal testing strategy is available.
For several vaccines, release assays have been replaced leading to an optimized control strategy. For other vaccines, new assays are being developed that can expect to be introduced within 5-10 years. From a scientific, logistical, and animal welfare perspective, it would be beneficial to substitute all existing in vivo batch release assays for vaccines. Given the challenges related to development, validation, and acceptance of new methods, and considering the relatively low prices of some legacy vaccines, this cannot be done without government incentives and supportive regulatory authorities from all regions.
用更先进的非动物技术来测量关键质量属性,替代现有的效力和安全性检测方法,以用于疫苗批次放行检测,这具有合理的依据。然而,引入替代方法来替代已授权疫苗的放行检测却颇具挑战。
本报告描述了在替代检测方法时遇到的障碍,以及克服这些障碍的方法,并提供了为什么更先进的替代方法不仅优越,不仅作为监测疫苗质量的工具,而且从实际、经济和伦理的角度来看也是如此的理由。为了获得监管部门的认可而提供的合理论据,可以支持在有适当的非动物检测策略的情况下,替代/取代任何批次放行检测的策略。
对于几种疫苗,已经用替代方法替代了放行检测,从而优化了控制策略。对于其他疫苗,正在开发新的检测方法,预计将在 5-10 年内推出。从科学、物流和动物福利的角度来看,用所有现有的替代体内批次放行检测来替代疫苗是有益的。考虑到开发、验证和接受新方法的相关挑战,以及一些传统疫苗相对较低的价格,若没有政府激励措施和所有地区的支持性监管部门,这是不可能实现的。