1. Translation of a standardized manufacturing protocol for mesenchymal stromal cells: A systematic comparison of validation and manufacturing data
- Author
-
Hubert Schrezenmeier, Sølve Hellem, Pierre Layrolle, Cecilie Gudveig Gjerde, Ramin Lotfi, M Wiesneth, Aymen Bushra Ahmed, Markus Rojewski, Sixten Körper, Kamal Mustafa, Luc Sensebé, and Elena Veronesi
- Subjects
Male ,0301 basic medicine ,Oncology ,Cancer Research ,Cell Culture Techniques ,CD34 ,Cell Count ,Translational Research, Biomedical ,translational medicine ,0302 clinical medicine ,Immunology and Allergy ,Cells, Cultured ,Genetics (clinical) ,Aged, 80 and over ,Colony-forming unit ,education.field_of_study ,advanced therapy medicinal products ,Cell Differentiation ,karyotyping ,Middle Aged ,Reference Standards ,Tissue Donors ,3. Good health ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Female ,mesenchymal stromal cells ,Adult ,medicine.medical_specialty ,Adolescent ,Cell Survival ,Immunology ,Population ,Bone Marrow Cells ,Good Manufacturing Practice ,Young Adult ,03 medical and health sciences ,Internal medicine ,medicine ,cell production ,Humans ,quality control ,Bone regeneration ,education ,Dental alveolus ,Aged ,Cell Proliferation ,Transplantation ,business.industry ,Mesenchymal stem cell ,Mesenchymal Stem Cells ,Cell Biology ,Clinical trial ,030104 developmental biology ,Karyotyping ,Bone marrow ,business - Abstract
Background Many data are available on expansion protocols for mesenchymal stromal cells (MSCs) for both experimental settings and manufacturing for clinical trials. However, there is a lack of information on translation of established protocols for Good Manufacturing Practice (GMP) from validation to manufacturing for clinical application. We present the validation and translation of a standardized pre-clinical protocol for isolation and expansion of MSCs for a clinical trial for reconstitution of alveolar bone. Methods Key parameters of 22 large-scale expansions of MSCs from bone marrow (BM) for validation were compared with 11 expansions manufactured for the clinical trial “Jaw bone reconstruction using a combination of autologous mesenchymal stromal cells and biomaterial prior to dental implant placement (MAXILLO1)” aimed at reconstruction of alveolar bone. Results Despite variations of the starting material, the robust protocol led to stable performance characteristics of expanded MSCs. Manufacturing of the autologous advanced therapy medicinal product MAXILLO-1-MSC was possible, requiring 21 days for each product. Transport of BM aspirates and MSCs within 24 h was guaranteed. MSCs fulfilled quality criteria requested by the national competent authority. In one case, the delivered MSCs developed a mosaic in chromosomal finding, showing no abnormality in differentiation capacity, growth behavior or surface marker expression during long-term culture. The proportion of cells with the mosaic decreased in long-term culture and cells stopped growth after 38.4 population doublings. Conclusions Clinical use of freshly prepared MSCs, manufactured according to a standardized and validated protocol, is feasible for bone regeneration, even if there was a long local distance between manufacturing center and clinical site. Several parameters, such as colony forming units fibroblasts (CFU-F), percentage of CD34+ cells, cell count of mononuclear cells (MNCs) and white blood cells (WBCs), of the BM may serve as a predictive tool for the yield of MSCs and may help to avoid unnecessary costs for MSC manufacturing due to insufficient cell expansion rates.
- Published
- 2019
- Full Text
- View/download PDF