Cat. no. 402.03D Rev. no. 004 002 Dynabeads® ClinExVivo™ CD3/CD28 Sterile Product For Research Use Only INDEX 1. INTENDED USE 2. PRODUCT DESCRIPTION 2.1 2.2 2.3 2.4 2.5 2.6 Principle of Isolation and Expansion Materials Supplied Storage and Stability Additional Materials Required Media Preparation Important Information 3. PROTOCOLS 3.1 Dynabeads Washing Protocol 3.2 Starting Material 3.3 Separation and Expansion of Cryopreserved Apheresis Cells 3.4 Separation and Expansion of Fresh (non-cryopreserved) Apheresis Cells 3.5 Procedures Incorporating Gene Transduction 4. GENERAL INFORMATION 4.1 4.2 4.3 4.4 Certification USA (Device Master File) Technical Service Precautions 5.1 5.2 5.3 5.4 Patents and Trademarks Intellectual Property Disclaimer Warranty Limited Use Label License 5. WARNINGS AND LIMITATIONS 6. REFERENCES 1. INTENDED USE Dynabeads ClinExVivo CD3/CD28 are intended for separation (1, 2) and ex vivo expansion (1, 5) of human T cells for cell-based clinical research. 2. PRODUCT DESCRIPTION Dynabeads ClinExVivo CD3/CD28 are uniform, superparamagnetic, sterile, non-pyrogenic polystyrene beads with affinity purified mouse anti-human CD3 and CD28 monoclonal antibodies covalently bound to the surface. Dynabeads ClinExVivo CD3/CD28 are produced according to cGMP under aseptic conditions in a fully validated Class 100 clean room using gamma irradiated Dynabeads. All processes are validated. Sterility and endotoxin tests are performed according to United States Pharmacopeia. 2.1 Principle of Isolation and Expansion Dynabeads ClinExVivo CD3/CD28 offer a simple method for isolation (1, 2), activation (3) and expansion (1, 5) of human T cells. Firstly, CD3+ T cells are separated and concentrated from the apheresis product by magnetic cell separation using Dynabeads ClinExVivo CD3/CD28 (1, 2). Following separation, the CD3+ T cells are cultured in the presence of the beads. By combining anti-CD3 and anti-CD28 antibodies on Dynabeads, the beads will provide both the primary and co-stimulatory signals that are required for activation and expansion of T cells (4). The activated T cells have been shown to produce IL2, GM-CSF, IFN-γ and TNF-� (1, 4, 5). T cells activated with these Dynabeads can be expanded 1001000 fold over a 9-14 day culture period (1). The T cell expansion process can be scaled up using a bioreactor-based process (5). It has been shown that the T cell expansion protocol can be optimized to include expansion of antigen-specific T cells (6). 2.2 Materials Supplied • 10 ml of Dynabeads ClinExVivo CD3/CD28. Supplied as a sterile suspension containing 4 x 108 Dynabeads/ml in phosphate buffered saline (PBS), pH 7.4, w/0.1% human serum albumin (HSA). 2.3 Storage and Stability When stored in unopened vials at 2-8°C, Dynabeads ClinExVivo CD3/CD28 are stable until the expiry date stated on the label. Keep Dynabeads in liquid suspension during storage and all handling steps, as drying will result in reduced performance. Resuspend well before use. 2.4 Additional Materials Required For clinical research procedures, the principal investigator is responsible for ensuring that use of all procedures, reagents, and equipment follow applicable guidelines, standards and regulations. The materials and equipment listed below are recom1 • L-glutamine, (Gibco) •• • •• HEPES buffer, (Gibco) TM (Gibco) L-glutamine, O pTmizer T-Cell Expansion SFM (Gibco) serum ® (Chiron) free1xformulationdesignedtosupporttheculIL-2, Proleukin HEPES buffer, (Gibco) tureandexpansionofhumanTcells(orequiva® (Chiron) 1-L Bags (Baxter Lifecell® or CellGenix Vuelife™) •• lent). IL-2, Proleukin ® or CellGenix ® or • 3-L Culture Bags (Baxter Lifecell CellGenix Vuelife™) 1-L Bags (Baxter Lifecell • L-glutamine, (Gibco) Vuelife™) ® 3-L Culture (Baxter Lifecell or CellGenix • HEPES buffer,Bags (Gibco) • Vuelife™) Sampling site ®coupler with female luer (Charter • IL-2, Proleukin (Chiron) Medical) Sampling site coupler with luerVuelife™) (Charter ® orfemale CellGenix •• 1-L Bags (Baxter Lifecell • Medical) Terumo TSCD® Sterile Tubing Welder • 3-L Culture Bags (Baxter Lifecell® or CellGenix 40µm - 80µm Filter (Pall) SterileTransfusion Tubing Welder •• Vuelife™) Terumo TSCD®In-line • 40µm 10-lead- 80µm harness sets (compatible with Terumo Filter •• Sampling site In-line couplerTransfusion with female luer(Pall) (Charter SCD 312 welder), (Charter Medical) • Medical) 10-lead harness sets (compatible with Terumo • SCD Hemostats tube clamp 312TSCD welder), (Charter Medical) ® Sterile Tubing Welder • Terumo •• Hemostats COBE 2991 Cell Washer Disposable Set tube clampTransfusion • 40µm - 80µm In-line Filter (Pall) (COBE/Gambro) or Cytomate Disposable Set •• 10-lead COBE 2991 Cell Washer Disposable Set (Baxter) harness sets (compatible with Terumo (COBE/Gambro) Cytomate Disposable Set SCD 312 welder), or (Charter Medical) • (Baxter) Cell mixer (e.g. Heidolph Polymax 2040) • Hemostats tube clamp •• Cell Plasma device Polymax (e.g. Thermogenesis mixerthawing (e.g. Heidolph 2040) • COBE MT202) 2991 Cell Washer Disposable Set • (COBE/Gambro) Plasma thawing or device (e.g. Disposable Thermogenesis Cytomate Set • MT202) Bioreactor (e.g. Wave Bioreactor) (Baxter) Bioreactor (e.g. Heidolph Wave Bioreactor) ••2.5Cell mixerPreparation (e.g. Polymax 2040) Media •2.5 Plasma device (e.g. Thermogenesis Buffer 1: thawing Media Preparation MT202) 2+ and Mg2+, with 5% heat inactiPBS without Ca Buffer 1: •vated Bioreactor Wave Bioreactor) Pooled (e.g. Human Serum (HS). PBS without Ca2+ and Mg2+, with 5% heat inactivated Pooled Human Serum (HS). 2.5 Media Preparation Incomplete Medium: Fig. 1: Schematic flow diagram for magnetic separation of CD3+ T cells with Dynabeads ClinExVivo Fig. 1: Schematic flow diagram for magnetic sepaCD3/CD28 and Dynal ClinExVivo™ MPC® ration of CD3+ T cells with Dynabeads ClinExVivo CD3/CD28 and Dynal ClinExVivo™ MPC® mended for use with the Dynabeads ClinExVivo CD3/CD28 procedures. Alternative materials and Fig. 1: Schematic for magnetic sepamended for use flow with diagram the Dynabeads ClinExVivo equipment may be used. + T cells with Dynabeads ClinExVivo ration of CD3 CD3/CD28 procedures. Alternative materials and Materials included, ™ butMPC are®required to CD3/CD28that andare Dynal ClinExVivo equipment may benot used. perform the procedures: Materials that are not included, but are required to mended for procedures: use with the Dynabeads ClinExVivo Epoxy – Cat. no.ClinExVivo 402.01D • Dynabeads perform the CD3/CD28 procedures. Alternative materials and MPC (Magnetic Particle concen• Dynabeads Dynal ClinExVivo ClinExVivo Epoxy – Cat. no. 402.01D •equipment may be used. trator) Cat. no. 121.02 MPC (Magnetic Particle concen•Materials Dynal ClinExVivo that are not included, but are required to • trator) Dynal MPC™-1 (Magnetic Particle concentrator) Cat. no. 121.02 perform the procedures: Cat. no. 120-01D Dynal MPC™-1 (Magnetic Particle ClinExVivo Epoxy – Cat. concentrator) no. 402.01D •• Dynabeads • Cat. PBS no. (Gibco ) [Note: PBS must be calcium and 120-01D ClinExVivo • Dynal magnesium free.]MPC (Magnetic Particle concen• trator) PBS (Gibco ) [Note: Cat. no. 121.02PBS must be calcium and • magnesium Anti-coagulant solution (e.g. ACD-A, Baxter) free.] • Dynal MPC™-1 (Magnetic Particle concentrator) Pooled Human solution Serum (e.g. (HS) ACD-A, (Cambrex or Valley •• Cat. Anti-coagulant Baxter) no. 120-01D Biomedical) heat inactivated at 56°C for 1 hour or Pooled Human SerumPBS (HS)must (Cambrex or Valley be calcium and •• PBS (Gibco ) [Note: [Note: autologous serum may autologous serum Biomedical) free.] heat inactivated at 56°C for 1 hour or magnesium be used, although significant donor to donor variautologous serum [Note: autologous serum may ation should besolution expected] • Anti-coagulant (e.g. ACD-A, be used, although significant donor toBaxter) donor variX-Vivoshould 15™ Medium, (Cambrex) •• Pooled Human (HS) (Cambrex or Valley ation be Serum expected] inactivated at 56°C for 1 hour or • Biomedical) X-Vivo 15™ heat Medium, (Cambrex) 2 autologous serum [Note: autologous serum may be used, although significant donor to donor vari2 ation should be expected] Buffer 1: theMedium: Combine following components and filter Incomplete 2+, protein through a sterile2+0.2 µmMg low binding filter. and with 5% heat PBS without Combine theCa following components and inactifilter vated Pooled Human Serum (HS). •through X-Vivo 15 or equivalent base medium with a final a sterile 0.2 µm low protein binding filter. concentration of the following components: • X-Vivo 15 or equivalent base medium with a final Incomplete Medium: • concentration 2 mM L-Glutamine. of the following components: TM Combine following components and serum filter OpTmizer the T-Cell Expansion SFM (Gibco) • 2 20mM mML-Glutamine. Hepes buffer. •through free1xformulationdesignedtosupporttheculture a sterile 0.2 µm low protein binding filter. • 20 5%mM heatHepes inactivated Human Serum (HS). andexpansionofhumanTcells(orequivalent). buffer. Pooled •• X-Vivo 15 or equivalent base medium with a final • concentration 5% heat inactivated Pooled Human Serum (HS). of the following components: Complete Medium: • 2 mM L-Glutamine. Prepare fresh Complete Medium every week by Complete Medium: •adding 20 mM 200Hepes IU/mLbuffer. IL-2 to the Incomplete Medium. Prepare fresh Complete Medium every week by •adding 5% heat inactivated Pooled Human (HS). Equilibrate Complete to roomSerum temperature 200 IU/mL IL-2Medium to the Incomplete Medium. prior to use. Equilibrate Medium: Complete Medium to room temperature Complete prior to use. 2.6 Important Information Prepare fresh Complete Medium every week by adding 200 IU/mL IL-2 to the Incomplete Medium. Follow universal precautions when working with 2.6 Important Information human serum, plasma,Medium or bloodtoproducts. All human Equilibrate Complete room temperature Follow universal precautions when working with samples must be treated as a potential source of prior to serum, use. human plasma, or blood products. All human HIV, HBV, and other blood borne pathogens. Gloves samples must be treated as a potential source of and a lab coat must be worn when working with 2.6 Information HIV, Important HBV, and other blood borne pathogens. Gloves human samples. Follow universal precautions and a lab coat must be worn when when working working with Materials contaminated with blood products be human serum, plasma, or blood products. Allmust human samples. decontaminated bytreated an approved chemicalsource method samples must be as a potential of Materials contaminated with blood products must be and disposed in labeled biohazard containers. HIV, HBV, and of other blood borne pathogens. Gloves decontaminated by an approved chemical method and a lab coat be worn whencontainers. working with and disposed of must in labeled biohazard human samples. Materials contaminated with blood products must be decontaminated by an approved chemical method Solution transfers that are not performed in a closed system, such as spike connections and open containers, must be performed under a class 100 biological safety cabinet (BSC) using aseptic techniques. The protocol below is specifically written to provide guidance for activation (3) and expansion (1, 5) of human T cells from cryopreserved apheresed products. Cultures may also be initiated from non-cryopreserved fresh samples, or samples derived from sources other than apheresis, such as Ficoll separated whole blood (1, 3), cord blood (2) or bone marrow (7). As each sample source and method of T cell or blood collection may vary, procedures may require specific modifications to maximize cell recovery, viability, activation and expansion. Such modifications must be determined empirically. Throughout the protocol below, points to consider will be provided for possible protocol variations that may be appropriate under certain experimental conditions, such as gene modification or working with particular disease tissues. recommended that freshly collected samples are cryopreserved and thawed prior to use. [Cryopreservation and subsequent thawing facilitates lysis of granulocytes and other cell types that can suppress T cell activation and expansion. This may be particularly important when working with samples from patients in certain disease states where granulocyte counts are elevated.] Alternatively, PBMC from freshly obtained leukapheresis product may be activated and expanded without cryopreservation. If fresh samples are used it is recommended to deplete monocytes with Dynabeads (12, 13). We recommend to use Dynabeads ClinExVivo Epoxy for monocyte depletion (see Section 3.4) For maximum activation and expansion of T cells in PBMC, magnetically capture CD3+ T cells prior to culture initiation (1, 2) (see Section 3.4.2). Magnetic concentration is not required if T cells or T cell subsets have been enriched prior to activation and expansion (e.g. purified CD4+ T cells) (8). 3. PROTOCOLS 3.3 Separation and Expansion of Cryopreserved Apheresis Cells 3.1 Dynabeads Washing Protocol 3.3.1 Thawing and Washing of Cryopreserved Apheresis Cells Vials of Dynabeads ClinExVivo CD3/CD28 are at negative pressure – liquid must be displaced with air and vice versa. 2. Thaw the bag(s) in a plasma thawing device or by equivalent methods. Points to note are listed in brackets ([…]) throughout the protocol below. These identify areas where modifications should be considered for specific circumstances. Wash Dynabeads ClinExVivo CD3/CD28 twice before use to avoid potential transfer of residual antibody. 1. Place one 10 ml vial of Dynabeads ClinExVivo CD3/CD28 on the MPC-1 for 1 min. 2. Aseptically remove the supernatant. 3. Remove the vial from the MPC-1. 4. Aseptically add 10 ml Buffer 1 to the vial and mix. 5. Place the vial on the MPC-1 for 1 min. 6. Aseptically remove the supernatant. 7. Repeat steps 4 to 6. 8. Resuspend the beads in 10 ml of Buffer 1 and keep the washed beads in a refrigerator until further use. 3.2 Starting Material The preferred starting material is cryopreserved human PBMC obtained from leukapheresis product (5). The starting material can also be enriched for specific T cell subsets, such as CD4+ T cells (8) or CD25+ T cells (9, 10, 11). For optimal T cell activation and expansion it is This procedure is for separation (1, 2) and expansion (1, 5) of 5x108 CD3+ T cells. Adjust the volumes accordingly when using higher/lower cell numbers. 1. Remove the required number of bags containing cryopreserved apheresis cells from liquid N2 vapour storage. 3. To prevent cell clumping, add anti-coagulant solution aseptically to thawed cells to a final concentration of 10%. 4. Slowly dilute the cell suspension 1:1 in Buffer 1. 5. Wash the cells in Buffer 1 according to the cell washer manufacturer’s recommendations. 6. Resuspend the cells in 50-60 ml of Buffer 1. If the volume exceeds 60 ml, perform a centrifugation step to reduce the volume. 7. Incubate the cells for 60 min in Buffer 1 at room temperature to allow dead or dying cells to aggregate and subsequently be removed via a blood filter as described below. 8. Filter the cells through an In-line Transfusion Filter with cut-off between 40-80 µm. The cells are now ready for further processing. 9. Remove 1 ml of the sample from the leukapheresis bag. Calculate the number of CD3+ T cells by flow cytometry, and determine the viability of the cells with trypan blue staining. 3 3.3.2 Magnetic Separation and Culture of CD3+ T Cells It has been shown that magnetic pre-selection of CD3+ T cells can improve subsequent T cell expansion (1, 2). The recommended standard procedure described below uses a ratio of three Dynabeads ClinExVivo CD3/CD28 per CD3+ T cell (Fig. 1). [If the starting sample contains less than 25% CD3+ T cells, replace Buffer 1 with Incomplete Medium in the procedures below.] 1. Dilute the cells to approx. 1 x 107 CD3+ T cells/ml in Buffer 1. For the standard procedure of processing 5 x 108 CD3+ T cells, dilute the sample in 50-60 ml of Buffer 1. T cell separation. Add 2. Use a 1L bag for 100 ml of air to the bag. CD3+ 3. Add 5 x 108 CD3+ T cells to the 1L bag in 50-60 ml Buffer 1. 4. Add 4.0 ml (corresponding to 1.6 x 109 Dynabeads) of washed Dynabeads ClinExVivo CD3/ CD28 per 5 x 108 CD3+ T cells and immediately proceed to the next step. 5. Place the bag on a cell mixer and mix for 30 min at room temperature to gently mix the cells and the Dynabeads. [If the starting sample contains less than 25% CD3+ T cells it may be beneficial to mix the sample for 1-2 hours in Incomplete Medium instead of Buffer 1. Optimise the mixing temperature between 4-25°C for each application.] 6. Prepare 150 ml of Buffer 1 in a 300 ml bag. 7. After mixing, remove the 1L bag from the mixer and drain 150 ml of Buffer 1 into the bag. [Note: Handle the 1L bag very gently, to not disrupt the bead/cell complexes.] Place the 1L bag directly on the Dynal ClinExVivo MPC. Adjust the magnet to a 60° angle. 8. Leave the bag on the Dynal ClinExVivo MPC for 1 min to capture the bead-bound CD3+ T cells. While on the magnet, open the 1L bag containing the captured cells and drain waste fluid out in waste bag via gravity. Remove the bag containing the captured cells from the magnet immediately after all waste fluid has been drained. 9. Immediately add approximately 300 ml Complete Medium to the 1L bag containing the captured cells and gently resuspend the cell/bead complexes. 10. Obtain a 3L bag 11. Transfer the cell/bead complexes from the 1L bag into a 3L bag. Wash the 1L bag with Complete Medium and transfer the residual cells to the 3L bag. 4 12. Repeat media wash of the 1L bag and transfer the residual cells to the 3L bag until the volume in the 3L bag has reached 1000 ml. 13. Place the 3L bag in an incubator at 37°C/ 5% CO2 until Day 3 of culture. [Note; Using a bioreactor, e.g. Wave Bioreactor, will increase expansion efficiency via perfusion and improved aeration (rocking). Whereas typical cell densities rarely exceed 2-3 x 106 T cells/ml in static cultures, bioreactor systems can readily maintain viable T cells at densities of 2-4 x 107 T cells/ml.] 14. Collect a sample of the non-captured cell fraction and manually count the number of non-captured cells. 15. Stain the non-captured cells for CD3 expression and evaluate by flow cytometry to calculate depletion efficacy. 3.3.3 Counting and Splitting of Cultures The cell concentration should be evaluated daily beginning on day 3 of culture. 1. Gently mix the bag to help dissociate cell/bead complexes and to resuspend the cells before removing 1-2 ml cell suspension for counting. 2. Again, mix the sample well to resuspend cells so as to ensure maximum dissociation of beads from cells. This will improve cell count accuracy. 3. Take an aliquot of cells and mix 1:1 with trypan blue staining solution and manually count on a hematocytometer (do not remove the Dynabeads before counting). Determine cell density and viability. [Caution: insufficient mixing of bead/cell complexes may result in cell count underestimates as they will not migrate efficiently under hemocytometer coverslips.] 4. Stain cells for CD3 expression and evaluate by flow cytometry to calculate the number of CD3+ T cells in the bag. 5. Determine the total cell volume by weighing the bag. 6. When CD3+ T cell density exceeds 1 x 106 cells/ ml, dilute the cells to approximately 0.5 x 106 CD3+ T cells/ml in Complete Medium. 7. Split the cultures to new 3L bags when needed. [Note: T cell growth typically slows as T cell concentrations increase above 1-2 x 106 T cells/ml, so adjust T cell numbers to ~0.5 x 106/ml to help maintain the cells in log phase growth.] 8. Repeat counting of cells daily and dilute cells in fresh Complete Medium to 0.5 x 106/ml. 3.3.4 Harvesting of Expanded CD3+ T Cells 1. Harvest cells on an optimal day for your application (usually day 8-12). 2. Remove the 3L bags from the incubator. Remove a sample from a representative number of bags for cell count and FACS analysis. Perform the cell counts as described above. per nucleated cell when monocyte levels are >15% of total PBMC. 4. Place the bag into a humidified incubator at 37°C/ 5% CO2 for one hour. 3. Remove the beads by passing the cell culture over the Dynal ClinExVivo MPC using gravitydriven flow. Determine the angle of the MPC empirically between 0-60°. To achieve a flow rate of up to 150 ml/min, the bags containing cells and beads must be suspended from the pole so that the fluid level is 85-90 cm above the cell collection bags. [During the one hour incubation, beads and cells come into contact via gravity at the bottom of the bag and monocytes will ingest beads.] 5. Perform a final bead removal twice by placing the bag on the Dynal ClinExVivo MPC. Adjust the magnet to a 60° angle. After 1 min, drain the cells into a new bag via gravity. 6. Allow ~50mL of Incomplete Medium to flow into the bag containing the bead:cell complexes. Mix well and transfer the medium containing residual cells to the bag containing unbound cells. 4. Concentrate the cells and washed using a cell washer. 6. Determination of residual beads can be performed as described in Reference 13. 3.3.5 Cryopreservation of Expanded CD3+ T Cells 1. Prepare cryopreservation medium and cryopreserve the expanded T Cells. 2. Store the final product of expanded T cells in the vapour phase of a liquid N2 storage unit. 3.4 Separation and Expansion of Fresh (non-cryopreserved) Apheresis Cells [Note: During thawing of cryopreserved PBMC, contaminating granulocytes tend to lyse, thereby diminishing inhibitory effects they may have upon T cell expansion (5). If working with fresh, non-cryopreserved samples, allow for contaminating granulocytes. It is recommended that for initiation of cultures with non-cryopreserved samples, the Magnetic Concentration method described above is employed (See 3.3.2). Overall T cell activation and expansion can be further improved by specifically depleting phagocytic cells, such as monocytes, using Dynabeads ClinExVivo Epoxy prior to magnetic concentration and culture initiation (12, 13). This is particularly useful when monocyte levels are >15% of total PBMC.] 1. Dilute PBMC to 5-10 x 106 cells/ml in Incomplete Medium (pre-warmed to 37°C). 2. Wash Dynabeads ClinExVivo Epoxy as described above for Dynabeads ClinExVivo CD3/CD28 (see 3.1). 3. Add Dynabeads ClinExVivo Epoxy to the PBMC at a 1-2 beads per total nucleated cells in a sterile culture bag. It may be preferred to use 2 beads 5. Remove the bag of cells and beads from the incubator after 1 hour. Gently mix the cells and beads before removing Dynabeads ClinExVivo Epoxy and any cells that have ingested beads using a Dynal ClinExVivo MPC. Adjust the primary magnet to a 60° angle and transfer non-captured cells to a new 1L bag using gravity. 7. Count the cells in the bag, stain for CD3 and evaluate by flow cytometry to calculate the number of CD3+ T cells in the sample. 8. Adjust the cell concentration to 1 x 107 CD3+ T cells/ml in Incomplete Medium. 9. Perform capture of CD3+ T cells as described above (Section 3.3.2). [Note: magnetic concentration should be done in Incomplete Medium in place of Buffer 1 after monocyte/phagocytic cell depletion using Dynabeads ClinExVivo Epoxy.] 10. Following capture of CD3+ T cells, prepare cells for culture initiation as described in Section 3.3.2. 11. Place the bag with cells and Dynabeads ClinExVivo CD3/CD28 in an incubator at 37°C/ 5% CO2 until Day 3 of culture. 12. Count and split cell culture as described above (Section 3.3.3). 3.5 Procedures Incorporating Gene Transduction Typically, for all culture conditions described earlier, T cells from normal donor samples begin cycling and start to divide between day 2 and 3 of culture (4, 8). Day 1, 2 and/or 3 are recommended as optimal days for transduction using lentivirus based vectors (14). Magnetic removal of beads prior to transduction will diminish overall cell expansion, but should not affect viability. Leaving beads in during the retroviral transduction process should be acceptable for most transduction applications. [Note: T cells obtained from patients with various diseases and/or undergoing various treatments may be slower at entering cell cycle and cell division may not commence until 1, 2 or even 3 days later than typically observed for samples from healthy donors. For example, T cells from patients with HIV infection 5 may be slower to start cell cycling, as may be sammay slower to cell as ples be from patients undergoing chemotherapy, or may be slower to start start cell cycling, cycling, as may may be be samsamples from patients chemotherapy, or patients certainundergoing kinds of cancer (e.g. chronic ples fromwith patients undergoing chemotherapy, or patients with certain cancer lymphocytic (1, 8,of Thus(e.g. it is chronic imporpatients withleukemia) certain kinds kinds of15). cancer (e.g. chronic lymphocytic leukemia) (1, 8, 15). Thus it important to monitor T cell activation markers, as lymphocytic leukemia) (1, 8, 15). Thus it is issuch important monitor cell activation markers, as CD25,to well asT to determine optimal tant toas monitor Tcell celldivision activation markers, such such as CD25, well division optimal splittingas and timingto gene modificatiCD25, asschedules well as as cell cell division tofordetermine determine optimal splitting schedules on.] splitting schedules and and timing timing for for gene gene modificatimodification.] on.] 4. GENERAL INFORMATION 4. GENERAL INFORMATION 4. INFORMATION 4.1GENERAL Certification 4.1 Certification 4.1 Certification Invitrogen Dynal AS conforms to the Quality Invitrogen Dynal conforms to Quality Systems 9001:2000 ISO Invitrogen Standard Dynal AS ASISO conforms to the theand Quality Systems Standard ISO and 13485:2003 with the following scope: Systems Standard ISO 9001:2000 9001:2000 and ISO ISO 13485:2003 with the 13485:2003 with the following following scope: scope: "Development, manufacturing, marketing and sales ®, Dynabeads® marketing "Development, manufacturing, and and associated proof Dynospheres "Development, ® manufacturing,® marketing and sales sales associated proof Dynospheres ducts to customers that work within immunology, ®,, Dynabeads ® and Dynabeads and associated proof Dynospheres ducts to work immunology, biological and clinicalthat research, cell based therapy ducts to customers customers that work within within immunology, biological and clinical diagnostics." and in vitro biological and clinical research, research, cell cell based based therapy therapy in diagnostics." and in vitro vitro diagnostics." and In the United States, Dynabeads ClinExVivo ClinExVivo In the States, Dynabeads CD3/CD28 is available for use in clinical trials under ClinExVivo In the United United States, Dynabeads CD3/CD28 is available for an approved or IDE. CD3/CD28 is IND available for use use in in clinical clinical trials trials under under an an approved approved IND IND or or IDE. IDE. 4.2 USA (Device Master File) 4.2 USA Master File) 4.2 USA (Device (Device Master A Device Master File is heldFile) with the United States A Device Master File is held with United Food & Drug Administration which willStates assist A Device Master File is held (FDA), with the the United States Food Drug Administration which will users & application (FDA), for FDA approvals on Food &with Drugtheir Administration (FDA), which will assist assist users with application for on their clinical trials. If cross-referencing the Device users with their their application for FDA FDA approvals approvals on their clinical If the Master File istrials. of interest to an Investigational New their clinical trials. If cross-referencing cross-referencing the Device Device Master File of an New Drug (IND) Application orto other applications, please Master File is is of interest interest to an Investigational Investigational New Drug (IND) Application or other applications, please contact Invitrogen Dynal sponsor’s and/or Drug (IND) Application or with otherthe applications, please contact Invitrogen Dynal with the and/or investigator’s full name and address, along with procontact Invitrogen Dynal with the sponsor’s sponsor’s and/or investigator’s full name and address, along with project name and aim. This information is required by investigator’s full name and address, along with project name aim. This required Invitrogen Dynal to issue a Letter of is Authorisation, ject name and and aim. This information information is required by by Invitrogen Dynal to Letter of informing the FDA who aahas been authorised to Invitrogen Dynal to issue issue Letter of Authorisation, Authorisation, informing the FDA who has been authorised to cross-reference the Master File for IND appliinforming the FDA who has beentheir authorised to cross-reference the cation. cross-reference the Master Master File File for for their their IND IND appliapplication. cation. 4.3 Technical Service 4.3 Technical Service 4.3 Technical Service Dynal AS for further techPlease contact Invitrogen Please contact Invitrogen Dynal nical information at www.invitrogen.com Please contact Invitrogen Dynal AS AS for for further further techtechnical information at www.invitrogen.com nical information at www.invitrogen.com Certificate of Analysis (CoA) is available upon Certificate of request. Certificate of Analysis Analysis (CoA) (CoA) is is available available upon upon request. request. 4.4 Precautions 4.4 Precautions 4.4 Precautions Material Safety Data Sheet (MSDS) is available at Material http://www.invitrogen.com. Material Safety Safety Data Data Sheet Sheet (MSDS) (MSDS) is is available available at at http://www.invitrogen.com. http://www.invitrogen.com. 5. WARNINGS AND LIMITATIONS 5. WARNINGS AND LIMITATIONS 5. LIMITATIONS ForWARNINGS research useAND only/not involving the generation For research only/not of T cells for use in therapy. For research use only/not involving involving the the generation generation of T cells in of cells for for use usecells in therapy. therapy. If Tmammalian are used in this procedure, If mammalian cells used this appropriate laboratory guidelines followed. If mammalian cells are are used in inmust thisbeprocedure, procedure, appropriate laboratory guidelines must Detailed information on such guidelines can be appropriate laboratory guidelines must be be followed. followed. Detailed on guidelines can obtained information from: Protection of Laboratory Detailed information on such such guidelines Workers can be be obtained from: Laboratory from Instrument Biohazardsof and Infectious Workers Disease obtained from: Protection Protection of Laboratory Workers from from Instrument Instrument Biohazards Biohazards and and Infectious Infectious Disease Disease 6 6 6 Transmitted by Blood, Body fluids and Tissue: Transmitted by Body fluids and Approved Guideline: M29-A; 1-56238-339-6; Transmitted by Blood, Blood, BodyISBN fluids and Tissue: Tissue: Approved Guideline: http//:www.nccls.org. Approved Guideline: M29-A; M29-A; ISBN ISBN 1-56238-339-6; 1-56238-339-6; http//:www.nccls.org. http//:www.nccls.org. Handle all samples as if capable of transmitting disHandle samples as of disease. Allall should be performed wearing gloves Handle allwork samples as if if capable capable of transmitting transmitting disease. All be and appropriate protection. ease. All work work should should be performed performed wearing wearing gloves gloves and and appropriate appropriate protection. protection. 5.1 Trademarks and Patents 5.1 Trademarks and Patents ®, Dynabeads ®, ClinExVivo 5.1 Trademarks and Patents ™ and Dynal MPC™ Dynal ®, Dynabeads®, ClinExVivo™ and Dynal MPC™ Dynal are either registered trademarks of ® ® andtrademarks Dynal MPC™ Dynal , Dynabeads , ClinExVivo™ or are either trademarks trademarks of Invitrogen Dynal AS, Oslo, Norway.or registration are either registered registered trademarks orAny trademarks of Invitrogen Dynal AS, Any or trademark symbols usedNorway. herein denote the regiInvitrogen Dynal AS, Oslo, Oslo, Norway. Any registration registration or trademark used denote registration statussymbols of trademarks in the Unitedthe States. or trademark symbols used herein herein denote the registration status of trademarks in the Trademarks may may not be other stration status of or trademarks in registered the United UnitedinStates. States. Trademarks countries. may Trademarks may or or may may not not be be registered registered in in other other countries. Ficoll® is a registered trademark of GE Healthcare countries. ® Ficoll Bio-Sciences ® is is aa registered registered trademark trademark of of GE GE Healthcare Healthcare Ficoll Bio-Sciences Bio-Sciences Proleukin® is a registered trademark of Chiron ® is a registered trademark of Chiron Proleukin Corporation ® is a registered trademark of Chiron Proleukin Corporation Corporation X-vivo 15™ is a trademark of Cambrex. X-vivo 15™ of Cambrex. ® isis X-vivo is aaa trademark trademark Cambrex. of Baxter registeredoftrademark Lifecell15™ ® is a registered trademark of Baxter Lifecell International Inc. ® Lifecell is a registered trademark of Baxter International Inc. ® ® International is a registered trademark of Terumo Terumo TSCDInc. TerumoTSCD isaregisteredtrademarkofTerumo ® isJapan. TM aa registered trademark of Terumo Terumo TSCD KK Corporation, OpTmizer T-cell KK Corporation, ® registered trademark of ExspanTerumo Terumo TSCD isJapan. sionSFMisatrademarkofInvitrogenCorporation. KK KK Corporation, Corporation, Japan. Japan. 5.2 Intellectual Property Disclaimer 5.2 Intellectual Property Disclaimer 5.2 Intellectual Property Invitrogen Dynal will not be Disclaimer responsible for violatiInvitrogen Dynal will not be responsible for violations or patent infringements may occur the Invitrogen Dynal will not bethat responsible forwith violations or patent infringements that may occur with use of our products. ons or patent infringements that may occur with the the use use of of our our products. products. 5.3 Warranty 5.3 Warranty 5.3 The Warranty products are warranted to the original purchaThe are the purchaser only to conform to the to quantity and contents The products products are warranted warranted to the original original purchaser only conform the stated onto vial andto labels forand the contents duration ser only tothe conform toouter the quantity quantity and contents stated on vial labels for duration of the stated life. outer Invitrogen stated on the theshelf vial and and outer labelsDynal's for the theobligation duration of stated shelf Invitrogen Dynal's obligation andthe purchaser's this of thethe stated shelf life. life.exclusive Invitrogenremedy Dynal'sunder obligation and the purchaser's exclusive remedy under warranty is limited exclusive either toremedy replacement, at and the purchaser's under this this warranty limited either at Invitrogen is Dynal's expense, products which warranty is limited either ofto toanyreplacement, replacement, at Invitrogen Dynal's expense, of products shall be defective manufacture, whichwhich shall Invitrogen Dynal's in expense, of any any and products which shall be in and be returned to Invitrogen Dynal, transportation preshall be defective defective in manufacture, manufacture, and which which shall shall be returned to Dynal, transportation paid, or at Invitrogen Dynal's option, refund ofprethe be returned to Invitrogen Invitrogen Dynal, transportation prepaid, or Invitrogen purchase paid, or at atprice. Invitrogen Dynal's Dynal's option, option, refund refund of of the the purchase price. purchase Claims forprice. merchandise damaged in transit must be Claims for merchandise submitted to the carrier.damaged Claims for merchandise damaged in in transit transit must must be be submitted to carrier. submitted to the the carrier. This warranty shall not apply to any products which This shall not to products which shall warranty have been outside Invitrogen This warranty shallaltered not apply apply to any any products Dynal, which shall have outside nor shall apply altered to any products which haveDynal, been shall haveit been been altered outside Invitrogen Invitrogen Dynal, nor shall apply to which have been subjected misuse or products mishandling. OTHER nor shall it it to apply to any any products whichALL have been subjected to or ALL OTHER WARRANTIES, EXPRESSED, IMPLIED OR STATUTOsubjected to misuse misuse or mishandling. mishandling. ALL OTHER WARRANTIES, EXPRESSED, IMPLIED OR RY, ARE HEREBY SPECIFICALLY EXCLUDED, INCLUWARRANTIES, EXPRESSED, IMPLIED OR STATUTOSTATUTORY, ARE HEREBY SPECIFICALLY EXCLUDED, INCLUDING BUT NOT LIMITED TO WARRANTIES MERRY, ARE HEREBY SPECIFICALLY EXCLUDED,OF INCLUDING BUT TO OF CHANTABILITY OR FITNESS FOR A PARTICULAR DING BUT NOT NOT LIMITED LIMITED TO WARRANTIES WARRANTIES OF MERMERCHANTABILITY OR A PURPOSE. Invitrogen Dynal's FOR maximum liability is CHANTABILITY OR FITNESS FITNESS FOR A PARTICULAR PARTICULAR PURPOSE. Dynal's liability is limited in allInvitrogen events to the pricemaximum of the products sold PURPOSE. Invitrogen Dynal's maximum liability is limited in of products sold by Invitrogen Dynal.to NOprice EVENT SHALL INVITROlimited in all all events events toINthe the price of the the products sold by Invitrogen Dynal. IN EVENT INVITROGEN DYNAL BE LIABLE FOR ANYSHALL SPECIAL, INCIby Invitrogen Dynal. IN NO NO EVENT SHALL INVITROGEN GEN DYNAL DYNAL BE BE LIABLE LIABLE FOR FOR ANY ANY SPECIAL, SPECIAL, INCIINCI- DENTAL OR CONSEQUENTIAL DAMAGES. Some states do not allow limits on warranties, or on remedies for breach in certain transactions. In such states, the limits set forth above may not apply. 5.4 Limited Use Label License No. 5: Invitrogen Technology - The purchase of this product conveys to the buyer the non-transferable right to use the purchased amount of the product and components of the product in research conducted by the buyer (whether the buyer is an academic or for-profit entity). The buyer cannot sell or otherwise transfer (a) this product (b) its components or (c) materials made using this product or its components to a third party or otherwise use this product or its components or materials made using this product or its components for Commercial Purposes. The buyer may transfer information or materials made through the use of this product to a scientific collaborator, provided that such transfer is not for any Commercial Purpose, and that such collaborator agrees in writing (a) not to transfer such materials to any third party, and (b) to use such transferred materials and/or information solely for research and not for Commercial Purposes. Commercial Purposes means any activity by a party for consideration and may include, but is not limited to: (1) use of the product or its components in manufacturing; (2) use of the product or its components to provide a service, information, or data; (3) use of the product or its components for therapeutic, diagnostic or prophylactic purposes; or (4) resale of the product or its components, whether or not such product or its components are resold for use in research. Invitrogen Corporation will not assert a claim against the buyer of infringement of patents owned or controlled by Invitrogen Corporation which cover this product based upon the manufacture, use or sale of a therapeutic, clinical diagnostic, vaccine or prophylactic product developed in research by the buyer in which this product or its components was employed, provided that neither this product nor any of its components was used in the manufacture of such product. If the purchaser is not willing to accept the limitations of this limited use statement, Invitrogen is willing to accept return of the product with a full refund. No. 305: Invitrogen T Cell Expansion Technology The use of this product for ex vivo activation or expansion of human T-cells is covered under various patents owned and licensed from the U.S. Navy, the University of Michigan and the Dana Farber Cancer Institute and is sold for research use only. This product is not to be used for activation or expansion of T-cells modified through gene transfer to specifically modify the T-cells to produce secreted or cell-surface membrane-bound proteins not normally expressed in significant levels by such T-cells, unless the proteins directly enable the selection, or directly modify or preserve the function, of the T-cells. Modifications that are acceptable would include, for example, introducing genes that direct expression of cell-surface bound proteins that bind the T-cell to specific target cells. For information on purchasing a license to this product for purposes other than research, contact Licensing Department, Invitrogen Corporation, 1600 Faraday Avenue, Carlsbad, California 92008. Phone (760) 603-7200. Fax (760) 602-6500. Email: [email protected] 6. REFERENCES 1. Bonyhadi M et al. (2005) In vitro engagement of CD3 and CD28 corrects T cell defects in chronic lymphocytic leukaemia. J Immunol. 174:23662375. 2. Parmar S et al. (2006) Ex vivo expanded umbilical cord blood T cells maintain naive phenotype and TCR diversity. Cytotherapy 8:149-157. 3. Coito S et al. (2004) Retrovirus-mediated gene transfer in human primary T lymphocytes induces an activation- and transduction/selectiondependent TCR-B variable chain repertoire skewing of gene-modified cells. Stem Cells and Development 13:71-81. 4. Levine BL et al. (1997) Effects of CD28 costimulation on long-term proliferation of CD4+ T cells in the absence of exogenous feeder cells. J Immunol. 159: 5921-5930. 5. Hami L et al. (2003) Comparison of a static process and a biorector-based process for the GMP manufacture of autologous Xcellerated T cells for clinical trials. BioProcessing Journal 2:1-10. 6. Kalamasz D et al. (2004) Optimization of human T-cell expansion ex vivo using magnetic beads conjugated with ani-CD3 and anti-CD28 antibodies. J Immunother. 27:405-418. 7. Noonan K et al. (2005) Activated marrow-infiltrating lymphocytes effectively target plasma cells and their clonogenic precursors. Cancer Res 65:2026-2034. 8. Levine BL et al. (1996) Antiviral effect and ex vivo CD4+ T cell proliferation in HIV-positive patients as a result of CD28 costimulation. Science 272:1939-1943. 9. Earle KE et al. (2005) In vitro expanded human CD4+CD25+ regulatory T cells suppress effector T cell proliferation. Clinical Immunology 115:3-9. 10. Godfrey WR et al. (2004) In vitro-expanded human CD4+CD25+ T-regulatory cells can markedly inhibit allogeneic dendritic cell-stimulated MLR cultures. Blood 104:453-461. 7 11. Godfrey WR et al. (2005) Cord blood CD4+CD25+-derived T regulatory cell lines express FoxP3 protein and manifest potent suppressor function. Blood 105:750-758. 12. Porter DL et al. (2006) A phase 1 trial of donor lymphocyte infusions expanded and activated ex vivo via CD3/CD28 costimulation. Blood 107:1325-1331. 13. Levine BL et al. (1998) Large-scale production of CD4+ T cells from HIV-1-infected donors after CD3/CD28 costimulation. J Hematother. 7:437448. 14. Bondanza A et al. (2006) Suicide gene therapy of graft-versus-host disease induced by central memory human T lymphocytes. Blood 107: 1828-1836. 15. Mitsuyasu RT et al. (2000) Prolonged survival and tissue trafficking following adoptive transfer of CD4ζ gene-modified autologous CD4+ and CD8+ T cells in human immunodeficiency virusinfected subjects. Blood 96:785-793. Invitrogen Dynal is a part of the Invitrogen Group. Contact details for your local Invitrogen sales office/technical support can be found at http://www.invitrogen.com/contact ©Copyright2008InvitrogenDynalAS,Oslo,Norway. © Copyright 2007 Invitrogen Dynal AS, Oslo, Norway. Allrightsreserved. All rights reserved. SPEC-05371 Revised: 02.2007 Printed: 02.2007 8
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