CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Basics of advanced therapy medicinal product development in academic pharma and the role of a GMP simulation unit.
Basics of advanced therapy medicinal product development in academic pharma and the role of a GMP simulation unit.
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继已获批的CAR-T 细胞产品在美国和欧盟成功商业化上市之后,由基于细胞的先进治疗药品(ATMPs)组成的T细胞癌症免疫疗法的产品开发进一步获得了动力。由于其复杂特征,与经典生物药物如小分子药物相比,活细胞产品的药理学特性更难以界定。尽管有许多新的先进技术可促进ATMP生产,但从研究级向符合药品生产质量管理规范(cGMP)的临床级生产的转化,需要一个彻底的产品开发过程,以便在全面临床GMP生产后,治疗产品仍能保持与研究环境中最初开发时相同的产品特性和活性。在不同GMP设施之间转移已完全开发的GMP级生产工艺同样如此。这种从研究到GMP级生产的产品开发,以及已建立的符合GMP规程在设施之间的技术转移过程,都具有挑战性。在这篇综述中,我们重点介绍与产品开发、生产工艺和产品分析相关的一些主要障碍,以及这些障碍如何阻碍ATMP的快速可及性。
我们阐述学术界,也称为“学术制药”的作用,以及GMP生产和GMP模拟设施在通过缩短开发时间并保持最终生产成本合理来推动创新方面的附加价值。
Following successes of authorized chimeric antigen receptor T-cell products being commercially marketed in the United States and European Union, product development of T-cell-based cancer immunotherapy consisting of cell-based advanced therapy medicinal products (ATMPs) has gained further momentum. Due to their complex characteristics, pharmacological properties of living cell products are, in contrast to classical biological drugs such as small molecules, more difficult to define.
Despite the availability of many new advanced technologies that facilitate ATMP manufacturing, translation from research-grade to clinical-grade manufacturing in accordance with Good Manufacturing Practices (cGMP) needs a thorough product development process in order to maintain the same product characteristics and activity of the therapeutic product after full-scale clinical GMP production as originally developed within a research setting.
The same holds true for transferring a fully developed GMP-grade production process between different GMP facilities. Such product development from the research to GMP-grade manufacturing and technology transfer processes of established GMP-compliant procedures between facilities are challenging. In this review, we highlight some of the main obstacles related to the product development, manufacturing process, and product analysis, as well as how these hinder rapid access to ATMPs.
We elaborate on the role of academia, also referred to as 'academic pharma', and the added value of GMP production and GMP simulation facilities to keep innovation moving by reducing the development time and to keep final production costs reasonable.
在 PubMed 查看 → 出版商原文(DOI) 全文 PDF(PMC)· 可下载 治疗专题与资料阅读指南 资料来源与翻译说明 报告译文或资料问题 →
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