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Promises and challenges of a decentralized CAR T-cell manufacturing model.

作者信息

Shah Manan, Krull Ashley, Odonnell Lynn, de Lima Marcos J, Bezerra Evandro

机构信息

Department of Hematology, the James Cancer Hospital and Solove Research Institute, Ohio State University, Columbus, OH, United States.

Department of Cell Therapy Manufacturing and Engineering, the James Cancer Hospital and Solove Research Institute, Ohio State University, Columbus, OH, United States.

出版信息

Front Transplant. 2023 Sep 5;2:1238535. doi: 10.3389/frtra.2023.1238535. eCollection 2023.


DOI:10.3389/frtra.2023.1238535
PMID:38993860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11235344/
Abstract

Autologous chimeric antigen receptor-modified T-cell (CAR T) products have demonstrated un-precedent efficacy in treating many relapsed/refractory B-cell and plasma cell malignancies, leading to multiple commercial products now in routine clinical use. These positive responses to CAR T therapy have spurred biotech and big pharma companies to evaluate innovative production methods to increase patient access while maintaining adequate quality control and profitability. Autologous cellular therapies are, by definition, manufactured as single patient batches, and demand has soared for manufacturing facilities compliant with current Good Manufacturing Practice (cGMP) regulations. The use of a centralized production model is straining finite resources even in developed countries in North America and the European Union, and patient access is not feasible for most of the developing world. The idea of having a more uniform availability of these cell therapy products promoted the concept of point-of-care (POC) manufacturing or decentralized production. While this strategy can potentially decrease the cost of manufacturing, the challenge comes in maintaining the same quality as currently available centrally manufactured products due to the lack of standardized manufacturing techniques amongst institutions. However, academic medical institutions and biotech companies alike have forged ahead innovating and adopting new technologies to launch clinical trials of CAR T products produced exclusively in-house. Here we discuss POC production of CAR T products.

摘要

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[2]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
CAR-T cells targeting IL-1RAP produced in a closed semiautomatic system are ready for the first phase I clinical investigation in humans.

Curr Res Transl Med. 2023

[2]
CLIC-01: Manufacture and distribution of non-cryopreserved CAR-T cells for patients with CD19 positive hematologic malignancies.

Front Immunol. 2022

[3]
Recent Advances in the Development of Bioreactors for Manufacturing of Adoptive Cell Immunotherapies.

Bioengineering (Basel). 2022-12-15

[4]
Should we adopt an automated de-centralized model of chimeric antigen receptor- T cells manufacturing for low-and middle-income countries? A real world perspective.

Front Oncol. 2022-12-1

[5]
CAR T-cell therapies in China: rapid evolution and a bright future.

Lancet Haematol. 2022-12

[6]
Chimeric Antigen Receptor Structure and Manufacturing of Clinical Grade CAR Engineered Cells using Different Bioreactors.

Hematol Oncol Stem Cell Ther. 2022-11-7

[7]
Decentralized manufacturing of anti CD19 CAR-T cells using CliniMACS Prodigy®: real-world experience and cost analysis in India.

Bone Marrow Transplant. 2023-2

[8]
Point-of-care CAR T-cell therapy as salvage strategy for out-of-specification tisagenlecleucel.

Leuk Lymphoma. 2022-12

[9]
Anti-CD19 CAR T cell therapy for refractory systemic lupus erythematosus.

Nat Med. 2022-10

[10]
Lisocabtagene maraleucel versus standard of care with salvage chemotherapy followed by autologous stem cell transplantation as second-line treatment in patients with relapsed or refractory large B-cell lymphoma (TRANSFORM): results from an interim analysis of an open-label, randomised, phase 3 trial.

Lancet. 2022-6-18

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