Some of the major themes of this update relate to drug product (DP) functional quality and manufacturing consistency including:
🔎 Optimal CAR detection is direct (and functional?): "We recommend direct detection of the CAR to determine the percentage of CAR-positive cells" (Page 11)
🎯 Higher bar for cross-reactivity studies potentially including "tissue cross-reactivity studies using a monoclonal antibody or fusion protein with the same antigen recognition domain" (Page 21)
✅ CQA identification / lot acceptance criteria: "we recommend that acceptance criteria be refined to ensure batches are well-defined and consistently manufactured." (Page 6)
⚔ Minimization of recombination events (Page 3) and independent confirmation of efficacy (Page 15) for multi-CAR product.
Additional points:
🚫 If pre-treated with another CAR-therapy, “evaluation of the previously administered CAR T cell levels in the cellular starting material may be appropriate” (Page 4) -- which may remain difficult for competing companies to accomplish unless target antigen multimers are used!
👋 TCR repertoire analysis of pre-transduced cells may be a benefit to ensure consistent downstream biological activity: "Thus, nonclinical evaluation may include examination of uncontrolled proliferation, in vitro and in vivo testing for T cell clonality, karyotypic analysis, TCR repertoire analysis, and specificity for viral antigens through ex vivo stimulation and recognition assay" (Page 22)
#KlickmerCART #fda
The latest FDA Guidance recommends the direct detection of the CAR to determine the percentage of CAR-positive cells.
Did you know that Dextramer® reagents may provide a sensitive solution for direct detection and quantification of CAR-positive cells by flow cytometry?
Using Dextramer® technology, our Custom Solutions and Services team can work with you to develop custom antigen multimers for detection of CAR-T cells.
Read the latest FDA Guidance for Industry released recently on “Considerations for the Development of Chimeric Antigen Receptor (CAR) T Cell Products” via the link in the comments.
#CARTTherapy #fda
#CellTherapy
#Immunotherapy
#flowcytometry