PRODUCT CHARACTERIZATION IN CELLULAR THERAPY STANDARDS IN FLOW CYTOMETRY OVERVIEW • Reproducibility & Variability in Pre-Clinical Research • Standards, Practices & Policies in Flow Cytometry (FCM) • Case Study: FCM for stem cell enumeration in Hematopoietic Stem Cell Therapy FROM PRE-CLINICAL RESEARCH TO INDUSTRY • Cellular Therapy recently entered biopharmaceutical sector • Cost-Benefit • Quality Assurance & Control • Product characterization for cell-based products in Cellular Therapy • Reliable • Accurate • Relevant characteristics Kindly provided by CELL (PRODUCT) CHARACTERIZATION • • • • • Cell count Viability Cell surface markers Intracellular markers Cell cycle / DNA content • • • • • Cell size Gene expression Enzymatic activity Oxidative burst MDR CELL CHARACTERIZATION BY FLOW CYTOMETRY • EXTENSIVE • COMPLEX • EXPENSIVE • VARIABLE STANDARDS, PRACTICES & POLICIES IN FCM, TODAY • Reagents (antibodies) • Data file format • Reporting (publications) • Training & Proficiency • HLDA Workshops (1982) • FCS files (1984) • MIFlowCyt (2008) • International Flow Cytometry Certification Examination (2011) • Calibration & Measurements • Instrument setup • Immunophenotyping “(still) in progress” VARIABILITY IN FLOW CYTOMETRY DUE TO: • Sample preparation • Reagents • Instrument • Instrument setup • Data analysis • Data interpretation “What aspect of FCM contributes most to variability?” Main concerns for FCM in Industry/Biotech: - Analysis - Instrument - Calibration - Measurement 1995, ISHAGE: STEM CELL ENUMERATION CMTE CASE STUDY • CD34 antigen expressed on the surface of almost all hematopoietic stem cells • Absolute number of CD34+ cells shown to correlate with engraftment potential in hematopoietic stem cell therapy • An accurate CD34+ cell count can help optimize the timing of apheresis collection • Flow cytometric enumeration of CD34+ cells – ANALYSIS, REAGENTS EXISTING STANDARD REFERENCE MATERIAL IN FCM • INSTRUMENT SETUP e.g. Rainbow Calibration Particles (RCP-30-5A) • PROCESS CONTROL e.g. Stem-Trol (KG1 cells) • DATA ANALYSIS e.g. Stem-Control (stabilized normal PBMCs) • Provides a standard, single-platform flow cytometric method for enumerating CD34+ cells in PB, Leukapheresis, BM and CB • Step-by-step instructions with figures for demonstrating data analysis according to ISHAGE guidelines CD34+ Cell Enumeration System Suitability Reference Standard • RS is made from mobilized peripheral blood collected by apheresis of a G-CSF mobilized donor. • Contains human leukocytes, erythrocytes and CD34+ cells that have been fixed and lyophilized • Stable reference standard with CD34 and CD45 staining comparable to fresh G-CSF mobilized peripheral blood cells • Well-defined cell count and range assigned from a multi-laboratory collaborative study • Reconstitutes in water and is ready to use. No lysis steps required USE OF USP CD34+ CELL ENUMERATION SYSTEM SUITABILITY REFERENCE STANDARD • Used as a system suitability standard to assess the reagents used and ensure the correct gating during data (acquisition and) analysis for enumeration of CD34+ cells • Results should fall within the range provided in the USP CD34+ Cell Enumeration System Suitability RS certificate. MAIN POINTS • Challenges for FCM in commercial cellular therapy • Calibration & Measurements • Some reference materials for calibration, process control and analysis in use in FCM • but no ‘standard’ • CD34+ cell enumeration by FCM, now standard for commercial cell therapy • USP Chapter <127> • USP CD34+ cell enumeration system suitability reference standard
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