Challenges in developing a flexible, multi-user manufacturing space to accelerate to the clinic Julie Kerby, Head of Manufacturing Development Mar 2017 Why are flexible facilities interesting? 672+ companies worldwide 185 Europe & Israel 112 Asia 349 North America 10 South America 1 Africa Data from Alliance for Regenerative medicine and Informa Sciences SOTI 2015 15 Australia & New Zealand Why are flexible facilities interesting? Data from Alliance for Regenerative medicine and Informa Sciences SOTI 2015 Why are flexible facilities interesting? Data from Alliance for Regenerative medicine and Informa Sciences SOTI 2015 The UK landscape 51 clinical trials in the UK in 2015 41 in 2014 UK Cell and gene therapy manufacturing sector 2016 >4000m2 total cleanroom footprint 6 gene therapy manufacturers 102 cleanrooms 16 cell therapy manufacturers 391 full time employees 22 facilities >11000m2 total facility footprint 4 multi- 386 full time functional (cell employees and gene) A network of 22 GMP facilities, supplying over 4000m2 of licensed total cleanroom space and a 391 strong workforce with a diverse track record for a range of projects Manufacturing facility choice • • • • CMO Tech transfer Know-how Scheduling Comparability Owner operated • Capitol investment • Technical expertise • Capacity Large-scale cell and gene therapy manufacturing centre Considerations in design Quality Scale Location Flexibility Quality Risk Management Fundamental to any GMP facility Up to you to demonstrate appropriate control and risk management Codified approach and toolkits Eudralex Volume 4 (framework) etc Complexity elevated in some regards with multi products Question: Controls between batches for single products within the same facility have to demonstrate prevention of cross-contamination. Is it different to preventing cross-contamination with a different batch of autologous product? Risk has to be understood and controlled 11 Initiate Quality Risk Management Process Risk Assessment Risk Identification Risk Analysis Risk Evaluation Risk Communication Risk Control Risk Reduction Risk Acceptance Output / Result of the Quality Risk Management Process Risk Review Review Events Risk Management Tools unacceptable "Quality Risk Management is a systematic process for the assessment, control, communication and review of risks to the quality of the medicinal product across the product lifecycle." ICH Q9 QRM in reality for CGT multi product centre Future proofed Client expectations EU/US GMP requirements Multi-user Risk Based Approach Client confidentiality QMS & QA interface Multi-product including Viral vectors QRM in reality Future proofed Pragmatic Lean Solutions Client expectations Proportionate Physical vs Operational Active Process EU/US GMP requirements Multi-user Risk based approach Client confidentiality QMS & QA interface Multi-product including Viral vectors Refresh of business model Flexibility for multiple ATMP processes and products Containment for simultaneous ATMP and viral vector manufacture Collaborators will occupy one or more modules Collaborators use their own production staff Collaborators use their own Process and Control documentation EU GMP compliance Risk elements Personnel External (production) environment Support areas Human starting materials, raw materials and supplies QC samples Cleanroom modules Grade A/B processing environment Waste Product 16 Resulting operational control strategies Complete physical segregation of Grade B / C modules Containment for simultaneous ATMP and viral vector manufacture Simultaneous multiple collaborator occupancy and product manufacture Product segregation QC (IPC) segregation Logistics – incoming and dispatch Know-how and I.P. protection Data segregation Serviced QC space plus segregated space Core QMS with well defined interfaces with collaborator QMS Design, build and inspection process Use it to better control risk Stages of build Specification (URS) Build Commission Qualification • Building/facilities • Equipment Process validation MHRA inspection stages Planning meetings Pre-building inspection Planning meetings • To discuss strategy, design and operation • Planning complete • Full set of drawings • To discuss strategy, design and operation During build site visits • To review progress • Discuss changes/deviations Facility commissioned • Phased inspections Facility and equipment qualification • First formal inspection Completion • Approval inspection Outputs of our risk based approach Flexible module layout • 500L STR • Allogenic • Viral vectors • Static systems • USP and DSP • Min. 6 Autologous processes • Tissue products Flexible module layout • 500L STR • Allogenic • Viral vectors • Static systems • USP and DSP • Min. 6 Autologous processes • Tissue products Flexible module layout • 500L STR • Allogenic • Viral vectors • Static systems • USP and DSP • Min. 6 Autologous processes • Tissue products QA Controlled quality Manufacturing centre overarching quality systems Inspection and testing QP / QMS Client quality and manufacturing systems Raw materials testing and release Cyro and warehousing Logistics controls Facility License GMP trained operators Manufacturing records Batch release Quality technical agreement Quality / technical agreement Details technical aspects of the contract between two parties Defines the responsibilities in place between both parties Inspectable by MHRA Will cover QMS Elements (Deviations, complaints, OOS/OOT, product recall, complaints etc.) Material sourcing Roles and Responsibilities Manufacturing modules Shared areas QP agreements Conclusion Conclude Quality Risk Management has to be applied to all facilities Assess, understand, manage risk Ongoing-process Reduces chance of failing to manage risk Use physical and operational solutions Physical often better but be pragmatic Regular and open communication with MHRA Cell and Gene Therapy Catapult 12th Floor Tower Wing Guy’s Hospital Great Maze Pond London SE1 9RT +44 (0)20 3728 9500 [email protected] ct.catapult.org.uk Twitter: @CTCatapult Introduction 30
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