August 18th, 2023
This article details the manufacturing process for chimeric antigen receptor T cells for clinical use, specifically using an automated cell processor capable of performing viral transduction and cultivation of T cells. We provide recommendations and describe pitfalls that should be considered during the process development and implementation of an early-phase clinical trial.
The advantage of our protocol is that it is a semi-automated closed system that still offers flexibility. The labor-intensive steps are replaced by the automation, which is run by a computer, and because it's run by a computer, the user can customize their protocol. This is also all done in a closed system.
We found that the sort of stem cell laboratories that are commonly present in hospitals have the capability to produce clinical grade CAR T-cells at significantly lower cost than commercial alternatives. We think that our process could be easily adapted to make CAR-T cells specific for other targets, and also to manufacture other types of cell and gene therapies. Our team is poised to explore other CAR T-cell targets and new gene therapies.
On a broader scale, cell and gene therapies are rapidly expanding and we are excited to continue to support and innovate in this exciting field. Begin by turning on the instrument and selecting the T-cell transduction process from the touchscreen interface. Click Run to initiate the procedure and follow the onscreen instructions provided.
On the perimeter input screen, input the operator initials, tubing set lot number, and expiration date. Next, select Full Process on the process setup screen. Now choose two vials of selection reagent for the CD4 CD8 selection method.
Install the tubing set, ensuring that all lower connections are tightly set, and complete the upper and lower integrity tests by following the instructions on the touch screen. Now attach the medium and processing buffer bags per the onscreen guidance and begin the automatic priming of the tubing set. Once the Transfer Cell Product screen appears, transfer the thawed T-cell product to a 150 milliliter transfer bag and sterile-weld it to the application bag of the tubing set.
Next, use a quality control pouch to obtain a sample from the application bag and perform a cell count using a hematology analyzer. Connect the CD4 and CD8 reagent vials to the tubing set and start the selection process for T-cell enrichment. After enrichment, remove a sample of the selected cells from the reapplication bag's quality control pouch.
Enter the desired cell concentration and starting number. Now attach a vial of the activation reagent, according to onscreen instructions, then set the carbon dioxide concentration to 5%in the culture chamber temperature to 39 degrees Celsius. Establish the activity matrix using the enhanced feeding protocol as a starting point, and modify individual steps to your specific optimized protocol.
In this case, set the transduction activity time to 24 hours after seeding and the culture wash to 48 hours after transduction. Set the activate shaker time to begin 30 minutes after starting the culture wash. Delete any medium bag exchange and waste bag exchange activities as they are no longer required.
Then press Okay on the screen to initiate cultivation. Allow the instrument to automatically pump the required volume from the reapplication bag into the culture chamber. Prepare the calculated vector volume in a 20 milliliter reagent bag with a cold medium to reach a final volume of 10 milliliters.
Adjust the activity matrix to set the transduction time to two minutes into the future and press Okay to initiate the transduction activity. Sterile-weld the vector bag to the tubing set, following the onscreen instructions. Modify the activity matrix according to the actual transduction start time, with the culture wash scheduled 48 hours after transduction.
Schedule the time of Activate Shaker to 30 minutes after the culture wash. Finally, ensure the media exchange occurs in the afternoon at 2:00 PM on day six. Press the Sample button and follow the onscreen instructions to acquire a quality control sample from the active culture.
Divide the sample into three one-milliliter aliquots for various analyses. Prepare the final formulation buffer, saving a portion for the cryoprotectant preparation later. Next, adjust the activity matrix, setting the End of Culture to two minutes in the future.
Attach the final formulation buffer to the tubing set and begin harvest. Seal off and remove the target cell bag. This bag contains the CAR T-cells ready for infusion or cryopreservation.
CAR T runs of the clinical trial was 46%This indicates that the TCT process effectively promoted cell expansion. The cell viability of the final product was between 88 to 94%and the CD3 T-cell purity was 89 to 93%Endotoxin, mycoplasma, sterility, replication competent lentivirus, and residual leukemic cells were not detectable.
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This article details a semi-automated process for manufacturing chimeric antigen receptor T cells (CAR T-cells) for clinical use. The method utilizes an automated cell processor for viral transduction and cultivation, offering flexibility and cost-effectiveness compared to commercial alternatives.