Martins Fernando, Ribeiro Maria H L
Faculty of Pharmacy, Universidade de Lisboa, Av. Prof. Gama Pinto, 1649-003, Lisboa, Portugal.
Stemamatters S.A., 4805-017, Guimarães, Portugal.
Stem Cell Rev Rep. 2025 Apr;21(3):645-679. doi: 10.1007/s12015-024-10838-9. Epub 2025 Jan 17.
The discovery of induced pluripotent stem cells (iPSCs) and protocols for their differentiation into various cell types have revolutionized the field of tissue engineering and regenerative medicine. Developing manufacturing guidelines for safe and GMP-compliant final products has become essential. Allogeneic iPSCs-derived cell therapies are now the preferred manufacturing alternative. This option requires the establishment of clinical-grade master cell banks of iPSCs. This study aimed at reviewing the Quality and Regulatory requirements from the two main authorities in the world-Europe (EMA) and the United States (FDA)-regarding the manufacture of clinical grade master cell banks (iPSCs). The minimum requirements for iPSCs to be used in first-in-human clinical trials were also reviewed, as well as current best practices currently followed by iPSC bank manufacturers for final product characterisation. The methodology used for this work was a review of various sources of information ranging from scientific literature, published guidance documents available on the EMA and FDA websites, GMP and ICH guidelines, and applicable compendial monographs. Manufacturers of iPSCs cell banks looking to qualify them for clinical use are turning to the ICH guidelines and trying to adapt their requirements. Specifically with the impact of the field of iPSC cell banks, the following areas should be subject to guidance and harmonisation: i) expression vectors authorized for iPSC generation; ii) minimum identity testing; iii) minimum purity testing (including adventitious agent testing); and iv) stability testing. Current ICH guidelines for biotechnological/biological products should be extended to cover cell banks used for cell therapies.
诱导多能干细胞(iPSC)的发现及其分化为各种细胞类型的方案彻底改变了组织工程和再生医学领域。制定安全且符合药品生产质量管理规范(GMP)的最终产品制造指南已变得至关重要。异基因iPSC衍生的细胞疗法现已成为首选的制造方式。这种选择需要建立iPSC的临床级主细胞库。本研究旨在回顾世界上两个主要监管机构——欧洲(欧洲药品管理局,EMA)和美国(美国食品药品监督管理局,FDA)——关于临床级主细胞库(iPSC)制造的质量和监管要求。还回顾了用于首次人体临床试验的iPSC的最低要求,以及iPSC库制造商目前在最终产品表征方面遵循的最佳实践。这项工作所采用的方法是对各种信息来源进行综述,这些信息来源包括科学文献、EMA和FDA网站上发布的指南文件、GMP和国际人用药品注册技术协调会(ICH)指南以及适用的药典专论。希望使其iPSC细胞库符合临床使用标准的制造商正在参考ICH指南并努力调整其要求。特别是考虑到iPSC细胞库领域的影响,以下几个方面应得到指导和协调:i)用于生成iPSC的授权表达载体;ii)最低限度的身份测试;iii)最低限度的纯度测试(包括外源因子测试);以及iv)稳定性测试。当前针对生物技术/生物制品的ICH指南应加以扩展,以涵盖用于细胞疗法的细胞库。