Formulation Considerations for Autologous T Cell Drug Products

Genetically modified autologous T cells have become an established immunotherapy in the fight against cancer. The manufacture of chimeric antigen receptor (CAR) and αβ-T cell receptor (TCR) transduced T cells poses unique challenges, including the formulation, cryopreservation and fill–finish steps,...

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Main Authors: Christopher F. van der Walle, Sonya Godbert, Gabriele Saito, Zein Azhari
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/8/1317
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author Christopher F. van der Walle
Sonya Godbert
Gabriele Saito
Zein Azhari
author_facet Christopher F. van der Walle
Sonya Godbert
Gabriele Saito
Zein Azhari
author_sort Christopher F. van der Walle
collection DOAJ
description Genetically modified autologous T cells have become an established immunotherapy in the fight against cancer. The manufacture of chimeric antigen receptor (CAR) and αβ-T cell receptor (TCR) transduced T cells poses unique challenges, including the formulation, cryopreservation and fill–finish steps, which are the focus of this review. With an increasing number of marketing approvals for CAR-T cell therapies, comparison of their formulation design and presentation for administration can be made. These differences will be discussed alongside the emergence of automated formulation and fill-finish processes, the formulation design space, Monte Carlo simulation applied to risk analysis, primary container selection, freezing profiles and thaw and the use of dimethyl sulfoxide and alternative solvents/excipients as cryopreservation agents. The review will conclude with a discussion of the pharmaceutical solutions required to meet the simplification of manufacture and flexibility in dosage form for clinical treatment.
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spelling doaj.art-7e281b717721464ab41da4ccbe7537432023-11-22T09:16:01ZengMDPI AGPharmaceutics1999-49232021-08-01138131710.3390/pharmaceutics13081317Formulation Considerations for Autologous T Cell Drug ProductsChristopher F. van der Walle0Sonya Godbert1Gabriele Saito2Zein Azhari3GSK R&D, Gunnels Wood, Stevenage, Herts SG1 2NY, UKGSK R&D, Gunnels Wood, Stevenage, Herts SG1 2NY, UKGSK R&D, Gunnels Wood, Stevenage, Herts SG1 2NY, UKGSK R&D, Gunnels Wood, Stevenage, Herts SG1 2NY, UKGenetically modified autologous T cells have become an established immunotherapy in the fight against cancer. The manufacture of chimeric antigen receptor (CAR) and αβ-T cell receptor (TCR) transduced T cells poses unique challenges, including the formulation, cryopreservation and fill–finish steps, which are the focus of this review. With an increasing number of marketing approvals for CAR-T cell therapies, comparison of their formulation design and presentation for administration can be made. These differences will be discussed alongside the emergence of automated formulation and fill-finish processes, the formulation design space, Monte Carlo simulation applied to risk analysis, primary container selection, freezing profiles and thaw and the use of dimethyl sulfoxide and alternative solvents/excipients as cryopreservation agents. The review will conclude with a discussion of the pharmaceutical solutions required to meet the simplification of manufacture and flexibility in dosage form for clinical treatment.https://www.mdpi.com/1999-4923/13/8/1317closed processfill–finishdesign spaceprimary containercryopreservationfreeze–thaw
spellingShingle Christopher F. van der Walle
Sonya Godbert
Gabriele Saito
Zein Azhari
Formulation Considerations for Autologous T Cell Drug Products
Pharmaceutics
closed process
fill–finish
design space
primary container
cryopreservation
freeze–thaw
title Formulation Considerations for Autologous T Cell Drug Products
title_full Formulation Considerations for Autologous T Cell Drug Products
title_fullStr Formulation Considerations for Autologous T Cell Drug Products
title_full_unstemmed Formulation Considerations for Autologous T Cell Drug Products
title_short Formulation Considerations for Autologous T Cell Drug Products
title_sort formulation considerations for autologous t cell drug products
topic closed process
fill–finish
design space
primary container
cryopreservation
freeze–thaw
url https://www.mdpi.com/1999-4923/13/8/1317
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