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  1. Article ; Online: Healthcare center-based cell therapy laboratories supporting off-site manufactured cell therapies: The experiences of a single academic cell therapy laboratory.

    Dinh, Anh / Stroncek, David F

    Transfusion

    2024  Volume 64, Issue 2, Page(s) 357–366

    Abstract: Background: Healthcare center-based cell therapy laboratories (HC CTLs) evolved from solely processing hematopoietic stem cells for transplantation to manufacturing various advanced cellular therapies. With increasing interest in cellular therapy ... ...

    Abstract Background: Healthcare center-based cell therapy laboratories (HC CTLs) evolved from solely processing hematopoietic stem cells for transplantation to manufacturing various advanced cellular therapies. With increasing interest in cellular therapy applications, off-site manufactured products are becoming more common. HC CTLs play a critical role in supporting these products by shipping out cellular starting material (CSM) for further manufacturing and/or receiving, storing, and distributing final products. The experiences and challenges encountered by a single academic HC CTL in supporting these products are presented.
    Methods: All off-site manufacturing protocols supported before 2023 were reviewed. Collected data included protocol characteristics (treatment indication, product type), process logistics (shipping, receiving, storage, thawing, distribution, documentation), and product handling volumes (CSM shipping and final product infusions).
    Results: Between 2012 and 2022, 15 off-site manufactured cellular therapy early-phase, single- and multicenter clinical trials were supported. Trials were sponsored by academic/research and commercial entities. The number of protocols supported annually increased each year, with few ending. Products included cancer immunotherapies and gene therapies. Autologous CSM was collected and shipped, while autologous and allogeneic final products were received, stored, thawed, and distributed. Process differences among protocols included CSM shipping conditions, laboratory analyses, final product thaw conditions and procedures, number of treatments, and documentation.
    Discussion: HC CTLs must contend with several challenges in supporting off-site manufacturing protocols. As demand for cellular therapies increases, stakeholders should collaborate from the early phases of clinical trials to streamline processes and standardize procedures to increase value, improve safety, and reduce the burden on HC CTLs.
    MeSH term(s) Humans ; Laboratories ; Hematopoietic Stem Cells ; Cell- and Tissue-Based Therapy ; Immunotherapy ; Delivery of Health Care
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Multicenter Study ; Journal Article
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.17703
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Expanding the reach of commercial cell therapies requires changes at medical centers.

    Stroncek, David F / Zhang, Nan / Ren, Jiaqiang / Somerville, Rob / Dinh, Anh

    Journal of translational medicine

    2024  Volume 22, Issue 1, Page(s) 181

    Abstract: The clinical application of cell therapies is becoming increasingly important for the treatment of cancer, congenital immune deficiencies, and hemoglobinopathies. These therapies have been primarily manufactured and used at academic medical centers. ... ...

    Abstract The clinical application of cell therapies is becoming increasingly important for the treatment of cancer, congenital immune deficiencies, and hemoglobinopathies. These therapies have been primarily manufactured and used at academic medical centers. However, cell therapies are now increasingly being produced in centralized manufacturing facilities and shipped to medical centers for administration. Typically, these cell therapies are produced from a patient's own cells, which are the critical starting material. For these therapies to achieve their full potential, more medical centers must develop the infrastructure to collect, label, cryopreserve, test, and ship these cells to the centralized laboratories where these cell therapies are manufactured. Medical centers must also develop systems to receive, store, and infuse the finished cell therapy products. Since most cell therapies are cryopreserved for shipment and storage, medical centers using these therapies will require access to liquid nitrogen product storage tanks and develop procedures to thaw cell therapies. These services could be provided by the hospital pharmacy or transfusion service, but the latter is likely most appropriate. Another barrier to implementing these services is the variability among providers of these cell therapies in the processes related to handling cell therapies. The provision of these services by medical centers would be facilitated by establishing a national coordinating center and a network of apheresis centers to collect and cryopreserve the cells needed to begin the manufacturing process and cell therapy laboratories to store and issue the cells. In addition to organizing cell collections, the coordinating center could establish uniform practices for collecting, labeling, shipping, receiving, thawing, and infusing the cell therapy.
    MeSH term(s) Humans ; Academic Medical Centers ; Cell- and Tissue-Based Therapy
    Language English
    Publishing date 2024-02-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2118570-0
    ISSN 1479-5876 ; 1479-5876
    ISSN (online) 1479-5876
    ISSN 1479-5876
    DOI 10.1186/s12967-024-04966-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Point-of-care cell therapy manufacturing; it's not for everyone.

    Stroncek, David F / Somerville, Robert P T / Highfill, Steven L

    Journal of translational medicine

    2022  Volume 20, Issue 1, Page(s) 34

    Abstract: The use of cellular therapies to treat cancer, inherited immune deficiencies, hemoglobinopathies and viral infections is growing rapidly. The increased interest in cellular therapies has led to the development of reagents and closed-system automated ... ...

    Abstract The use of cellular therapies to treat cancer, inherited immune deficiencies, hemoglobinopathies and viral infections is growing rapidly. The increased interest in cellular therapies has led to the development of reagents and closed-system automated instruments for the production of these therapies. For cellular therapy clinical trials involving multiple sites some people are advocating a decentralized model of manufacturing where patients are treated with cells produced using automated instruments at each participating center using a single, centrally held Investigational New Drug Application (IND). Many academic centers are purchasing these automated instruments for point-of-care manufacturing and participation in decentralized multiple center clinical trials. However, multiple site manufacturing requires harmonization of product testing and manufacturing in order to interpret the clinical trial results. Decentralized manufacturing is quite challenging since all centers should use the same manufacturing protocol, the same or comparable in-process and lot release assays and the quality programs from each center must work closely together. Consequently, manufacturing cellular therapies using a decentralized model is in many ways more difficult than manufacturing cells in a single centralized facility. Before an academic center decides to establish a point-of-care cell processing laboratory, they should consider all costs associated with such a program. For many academic cell processing centers, point-of-care manufacturing may not be a good investment.
    MeSH term(s) Cell- and Tissue-Based Therapy ; Humans ; Neoplasms ; Point-of-Care Systems
    Language English
    Publishing date 2022-01-15
    Publishing country England
    Document type Letter ; Research Support, N.I.H., Intramural
    ZDB-ID 2118570-0
    ISSN 1479-5876 ; 1479-5876
    ISSN (online) 1479-5876
    ISSN 1479-5876
    DOI 10.1186/s12967-022-03238-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Scaling up and scaling out: Advances and challenges in manufacturing engineered T cell therapies.

    Song, Hannah W / Somerville, Robert P / Stroncek, David F / Highfill, Steven L

    International reviews of immunology

    2022  Volume 41, Issue 6, Page(s) 638–648

    Abstract: Engineered T cell therapies such as CAR-T cells and TCR-T cells have generated impressive patient responses in previously incurable diseases. In the past few years there have been a number of technical innovations that enable robust clinical ... ...

    Abstract Engineered T cell therapies such as CAR-T cells and TCR-T cells have generated impressive patient responses in previously incurable diseases. In the past few years there have been a number of technical innovations that enable robust clinical manufacturing in functionally closed and often automated systems. Here we describe the latest technology used to manufacture CAR- and TCR-engineered T cells in the clinic, including cell purification, transduction/transfection, expansion and harvest. To help compare the different systems available, we present three case studies of engineered T cells manufactured for phase I clinical trials at the NIH Clinical Center (CD30 CAR-T cells for lymphoma, CD19/CD22 bispecific CAR-T cells for B cell malignancies, and E7 TCR T cells for human papilloma virus-associated cancers). Continued improvement in cell manufacturing technology will help enable world-wide implementation of engineered T cell therapies.
    MeSH term(s) Humans ; Receptors, Antigen, T-Cell/genetics ; Immunotherapy, Adoptive ; T-Lymphocytes ; Neoplasms/therapy ; B-Lymphocytes
    Chemical Substances Receptors, Antigen, T-Cell
    Language English
    Publishing date 2022-04-29
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ZDB-ID 632825-8
    ISSN 1563-5244 ; 1545-5858 ; 0883-0185
    ISSN (online) 1563-5244 ; 1545-5858
    ISSN 0883-0185
    DOI 10.1080/08830185.2022.2067154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Overcoming Challenges in Process Development of Cellular Therapies.

    Highfill, Steven L / Stroncek, David F

    Current hematologic malignancy reports

    2019  Volume 14, Issue 4, Page(s) 269–277

    Abstract: Purpose of the review: Cellular therapy using chimeric antigen receptor (CAR) T cells as a treatment option for patients with lymphoma and leukemia has proven to be remarkably efficacious. This success has sparked the development of new cellular therapy ...

    Abstract Purpose of the review: Cellular therapy using chimeric antigen receptor (CAR) T cells as a treatment option for patients with lymphoma and leukemia has proven to be remarkably efficacious. This success has sparked the development of new cellular therapy products for numerous indications. Similar to pharmaceutical products, challenges exist at nearly every stage of process development; however, the unique nature of a cellular therapy product can present exceptional challenges that are just beginning to emerge. The purpose of this review is to explore some of the most common challenges experienced during the early phases of development of CAR T cell products and to provide suggestions for navigating these challenges.
    Recent findings: Recent articles focused on CAR T cells are highlighted with special attention on aspects that relate to CAR T cell process development and clinical manufacturing. We examine the various stages of process development for CAR T cells and outline some of the obstacles that must be overcome in order to move from pre-clinical development into clinical manufacturing. As the field of CAR T cell therapy continues to grow, it is important to quickly move new CAR T cell products into and through early phase clinical trials and to ensure that the result of these trials can be adequately compared. Having laboratory and clinical investigators and GMP manufacturing facilities aligned on the numerous aspects of new product development will facilitate this process.
    MeSH term(s) Animals ; Antibodies/immunology ; Antigen-Presenting Cells/immunology ; Antigen-Presenting Cells/metabolism ; Batch Cell Culture Techniques ; Bioreactors ; Cell Culture Techniques ; Cell Engineering/methods ; Cell Separation/methods ; Cell- and Tissue-Based Therapy/adverse effects ; Cell- and Tissue-Based Therapy/methods ; Cell- and Tissue-Based Therapy/standards ; Cytokines/metabolism ; Gene Transfer Techniques ; Genetic Engineering/methods ; Humans ; Immunotherapy, Adoptive ; Receptors, Antigen, T-Cell/genetics ; Receptors, Antigen, T-Cell/metabolism ; Receptors, Chimeric Antigen/genetics ; Receptors, Chimeric Antigen/metabolism ; T-Lymphocytes/immunology ; T-Lymphocytes/metabolism
    Chemical Substances Antibodies ; Cytokines ; Receptors, Antigen, T-Cell ; Receptors, Chimeric Antigen
    Language English
    Publishing date 2019-07-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2229765-0
    ISSN 1558-822X ; 1558-8211
    ISSN (online) 1558-822X
    ISSN 1558-8211
    DOI 10.1007/s11899-019-00529-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Blood Research: hematology and beyond.

    Stroncek, David F

    Blood research

    2013  Volume 48, Issue 1, Page(s) 1–2

    Language English
    Publishing date 2013-03-26
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2711910-5
    ISSN 2288-0011 ; 2287-979X
    ISSN (online) 2288-0011
    ISSN 2287-979X
    DOI 10.5045/br.2013.48.1.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Improving CAR T cell therapy by optimizing critical quality attributes.

    Reddy, Opal L / Stroncek, David F / Panch, Sandhya R

    Seminars in hematology

    2020  Volume 57, Issue 2, Page(s) 33–38

    Abstract: Whether as a cure or bridge to transplant, chimeric antigen receptor (CAR)-T cell therapies have shown dramatic outcomes for the treatment of hematologic malignancies, and particularly relapsed/refractory B cell leukemia and lymphoma. However, these ... ...

    Abstract Whether as a cure or bridge to transplant, chimeric antigen receptor (CAR)-T cell therapies have shown dramatic outcomes for the treatment of hematologic malignancies, and particularly relapsed/refractory B cell leukemia and lymphoma. However, these therapies are not effective for all patients, and are not without toxicities. The challenge now is to optimize these products and their manufacture. The manufacturing process is complex and subject to numerous variabilities at each step. These variabilities can affect the critical quality attributes of the final product, and this can ultimately impact clinical outcomes. This review will focus on optimizing the manufacturing variables that can impact the safety, purity, potency, consistency and durability of CAR-T cells.
    MeSH term(s) Hematologic Neoplasms/immunology ; Hematologic Neoplasms/therapy ; Humans ; Immunotherapy, Adoptive/methods ; Receptors, Antigen, T-Cell/therapeutic use
    Chemical Substances Receptors, Antigen, T-Cell
    Language English
    Publishing date 2020-07-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 206923-4
    ISSN 1532-8686 ; 0037-1963
    ISSN (online) 1532-8686
    ISSN 0037-1963
    DOI 10.1053/j.seminhematol.2020.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Transfusion Support in Patients with Hematologic Disease: New and Novel Transfusion Modalities.

    Panch, Sandhya R / Savani, Bipin N / Stroncek, David F

    Seminars in hematology

    2019  Volume 56, Issue 4, Page(s) 227–228

    Language English
    Publishing date 2019-12-11
    Publishing country United States
    Document type Editorial
    ZDB-ID 206923-4
    ISSN 1532-8686 ; 0037-1963
    ISSN (online) 1532-8686
    ISSN 0037-1963
    DOI 10.1053/j.seminhematol.2019.11.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Point-of-care cell therapy manufacturing; it’s not for everyone

    David F. Stroncek / Robert P. T. Somerville / Steven L. Highfill

    Journal of Translational Medicine, Vol 20, Iss 1, Pp 1-

    2022  Volume 3

    Abstract: Abstract The use of cellular therapies to treat cancer, inherited immune deficiencies, hemoglobinopathies and viral infections is growing rapidly. The increased interest in cellular therapies has led to the development of reagents and closed-system ... ...

    Abstract Abstract The use of cellular therapies to treat cancer, inherited immune deficiencies, hemoglobinopathies and viral infections is growing rapidly. The increased interest in cellular therapies has led to the development of reagents and closed-system automated instruments for the production of these therapies. For cellular therapy clinical trials involving multiple sites some people are advocating a decentralized model of manufacturing where patients are treated with cells produced using automated instruments at each participating center using a single, centrally held Investigational New Drug Application (IND). Many academic centers are purchasing these automated instruments for point-of-care manufacturing and participation in decentralized multiple center clinical trials. However, multiple site manufacturing requires harmonization of product testing and manufacturing in order to interpret the clinical trial results. Decentralized manufacturing is quite challenging since all centers should use the same manufacturing protocol, the same or comparable in-process and lot release assays and the quality programs from each center must work closely together. Consequently, manufacturing cellular therapies using a decentralized model is in many ways more difficult than manufacturing cells in a single centralized facility. Before an academic center decides to establish a point-of-care cell processing laboratory, they should consider all costs associated with such a program. For many academic cell processing centers, point-of-care manufacturing may not be a good investment.
    Keywords Cell therapy ; Gene therapy ; Cancer immunotherapy ; Point-of-care manufacturing ; Decentralized manufacturing ; Medicine ; R
    Subject code 629
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Gene therapy simplified.

    Ren, Jiaqiang / Stroncek, David F

    Blood

    2016  Volume 128, Issue 18, Page(s) 2194–2195

    MeSH term(s) Genetic Therapy ; Humans
    Language English
    Publishing date 2016-11-03
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood-2016-09-736983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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