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ViralRiskMitigation
A GLOBAL REGULATORY PERSPECTIVE
• GuidanceforRawMaterials
andCellLines
• PreventingContamination
• DetectingContamination
• ViralClearanceEvaluation
2 BioProcess International 16(10)si OctOber 2018 SponSored
T
he production of biological products using
animal cells and human operators always
will have the risk of microbial and viral
contamination. Manufacturers have
developed a multitiered approach — tailored to
individual processes — to prevent adventitious
viruses entering production processes, detect
contamination in raw materials and process
intermediates, and remove viruses in downstream
purification. This article provides an overview of
the global regulatory framework to ensure the viral
safety of biologics.
Contamination of BiologiCal ProduCts
Past contamination events have resulted in
corrective and preventative actions to reduce the
risk of viral contamination in biologics. A number
of viral contamination events have been reported
in different production processes.
Many of those events involved Chinese hamster
ovary (CHO) cells, a commonly used cell line for
monoclonal antibody (MAb) production, and in
some cases, bovine serum was identified as the
likely source of contamination. The most
frequently reported viral contamination of CHO
cells has been with minute virus of mice (MVM),
and the most likely sources were media
components such as glucose. Porcine trypsin was
the likely source of porcine circovirus
contamination of rotavirus vaccines.
Unfortunately, not all adventitious virus
contaminations are easily detected. For instance,
most insect viruses silently infect insect cells.
Nodavirus or rhabdovirus infections of insect cells
are common, and although scientists generally
believe that such viruses are not of concern to
humans, nodavirus can produce morbidity after
injection into suckling mice.
regulatory guidanCe
for raw materials and Cell lines
Box 1 lists regulatory guidance documents that
provide the framework for viral safety of raw
materials and cell lines used in biologic
production. The US FDA guidance on the
characterization and qualification of cell substrates
for viral vaccine production provides details of
viral detection assays and a rationale for why such
assays are used and which viruses are detected.
Earlier FDA guidance documents, such as the
1997 Points to Consider (PTC) on monoclonal
antibodies document, also contain useful
information. The 2010 World Health
Organization (WHO) technical report augments
the International Council for Harmonisation
Virus Risk Mitigation in the
Development of Monoclonal
Antibody Products
A Global Regulatory Perspective
Martin Wisher
Figure 1: Developing a comprehensive risk mitigation
strategy: a multifaceted approach
REMOVE
VIRAL
SAFETY
ASSURANCE
DETECT
PREVENT
Ensure
Safety of Raw
Materials and
Processes
Implement Robust
Clearance Technologies
Optimize
Sampling
and Test
Methodologies
OctOber 2018 16(10)si BioProcess International 3SponSored
(ICH) Q5A and Q5D documents on Quality of
Biotechnological Products. The approach outlined
in the 2015 edition of the Chinese pharmacopoeia
is similar to those of US FDA, ICH, and WHO
documents, with some differences in the specifics
of individual assays.
These guidance documents rely on a common
strategy of risk mitigation to ensure viral safety
built on three complementary approaches:
• preventing viral contamination by using high
quality raw materials in production
• using a panel of assays to detect the presence
of viral contaminants in raw materials, cell lines,
and process intermediates
• implementing virus reduction technologies in
the production process to improve the safety of
biological product (Figure 1).
Preventing Contamination
Preventing contamination of production processes is
the foundation of every viral safety strategy, and the
approach taken is different for each type of biologic
and for each process. Although each process is
unique, general principles can be applied to all
processes to reduce the risk of viral contamination.
Wherever possible, animal-derived cell culture
media components should be replaced with
recombinant proteins or animal-component–free
media alternatives. If animal-derived components
must be used, they should be sourced from regions
with risk of low bovine spongiform encephalopathy
(BSE). Because of the inherent risk of viral
contamination in biologics production, different
viral inactivation technologies have been developed
to treat high-risk cell culture components. Bovine
serum or porcine trypsin that cannot be replaced by
recombinant products should be gamma or UV
irradiated before use. EMA guidance documents (1,
2) and US 9 CFR (Animals and Animal Products)
describe general testing strategies.
If suitable for a production process, the
preferred option is to adopt chemically defined,
animal-derived-component–free media. Some
components that have a high-risk of rodent virus
contamination (e.g., glucose) can be treated with
high temperatures/short time (HTST) (e.g., at
102 °C for 10–15 seconds) to inactivate potential
parvovirus contaminants.
Virus filters have been developed with a
modified chemistry, enabling cost-effective
filtration of large volumes of chemically defined cell
culture media and feeds. Such barrier filters achieve
high levels of parvovirus removal and provide
sterilizing-grade filter performance for bacteria and
mycoplasma. Newer gene-editing technologies offer
different opportunities for viral safety: A CHO cell
line has been engineered without receptors to
MVM, thereby making it resistant to MVM
infection. Careful consideration of the different
options for sourcing, selection, and treatment of raw
materials used in upstream processes is an essential
part of all viral safety strategies.
DeteCting Contamination
Testing to detect viral contaminants in raw
materials, cell banks, and process intermediates is
an integral second component of every viral safety
strategy. Defining where and how much testing is
required can be challenging, and European
Pharmacopeia 5.1.7 (3) provides a useful risk-based
framework to identify viral contamination risks
and subsequent testing requirements.
Typically, a one-time characterization of the
master cell bank (MCB) is performed to confirm
no microbial or viral contaminants are detected,
and more limited testing is performed on working
Box 1: Guidance for Raw Materials
US Food and Drug Administration (US FDA)
• Guidance for Industry: Characterisation and
Qualifcation of Cell Substrates and Other
Biological Starting Materials Used in Production
of Viral Vaccines for the Prevention and
Treatment of Infectious Diseases, 2010
• Points to Consider in the Manufacturing and
Testing of Monoclonal Antibody Products
for Human Use, 1997
World Health Organization (WHO)
WHO Technical Report Series 978, Annex 3
Requirements for the Use of Animal Cells As In
Vitro Substrates for the Production of Biologicals,
2010
Chinese Pharmacopoeia
Requirements for Preparation and Control
of Animal Cell Substrates Used for
Production of Biologics, 2015
International Council for Harmonisation
of Technical Requirements for
Pharmaceuticals for Human Use (ICH)
ICH Q5A: Viral Safety Evaluation of
Biotechnology Products Derived from Cell Lines
of Human or Animal Origin, 1997
ICH Q5D: Derivation and Characterisation of Cell
Substrates Used for Production of Biotechnological/
Biological Products, 1997
European Medicines Agency
4 BioProcess International 16(10)si OctOber 2018 SponSored
cell banks (WCBs), which are a few passages
beyond an MCB. A one-time testing of end-of-
production cells (EOPC) or extended cell banks
also is expected because those cells represent
potential worst-case scenarios for amplification of
low-level contaminants that might have been
present but not detected in an MCB.
Specifics on when to test and how much testing
is required differs according to the region and
stage of clinical development. In Europe, EOPC
testing for well-characterized cell lines such as
CHO is not needed during clinical development
and is required only at the time of license
application. In the United States, EOPC testing is
required before initiating a phase 3 clinical trial.
Guidances in other regions are less clear, however
EOPC testing is generally performed.
The clear expectation is that no adventitious
virus will be detected in a cell bank
characterization. Rodent cell lines such as CHO
and baby hamster kidney (BHK) express
replication defective endogenous retrovirus
particles, whereas mouse myeloma cell lines (NS0,
Sp2/0) can express replicating retroviruses.
Testing of MCBs should confirm identity. For
recombinant cell lines, genetic stability also should
be confirmed before license application (Figure 2).
Testing also should confirm an MCB is free from
detectable bacteria, fungi, and mycobacterium
contamination.
Testing an MCB for viruses requires different
testing methods, including broad specificity in
vitro and in vivo assays, with methods that are
targeted to specific viruses or types of viruses.
Testing plans are tailored to individual specifics of
each production process and depend on the cell
line, origin of raw materials used in production,
and production history. An important component
of MCB characterization is screening for the
presence of retroviruses. They can be detected by
performance of infectivity assays (cocultivation
assays), detection of an integrated provirus using
specific polymerase chain reactions (PCRs),
expression of retrovirus reverse transcriptase
activity (RTase, PERT assay), and presence of
retrovirus particles using transmission electron
microscopy (TEM).
Selecting which assay to use depends on the
cell line being characterized. Rodent cells (CHO,
murine myeloma) are known to express retrovirus
particles, so cells should be screened using
infectivity and TEM assays, with an RTase assay
used only if both other assays are negative. By
contrast, human cells should not express
retroviruses, so they should be screened using
PERT, PCR, and TEM assays, with an infectivity
assay used only if any assay produces equivocal
results.
The in vitro virus assay is the most commonly
used broad-specificity assay for adventitious virus
Figure 2: Master cell bank (MCB) characterization
Broad specifcity
in vitro/in vivo assays
Species specifc
human, simian, rodent,
canine, bovine, porcine
Retroviruses
PERT, PCR, TEM, infectivity
PURITY
Bacteria,
Fungi-sterility
assay,
Mycobacteria
Mycoplasma
Spiroplasma
Virus
GENETIC
STABILITY
IDENTITY
OctOber 2018 16(10)si BioProcess International 5SponSored
detection. It is used to screen cell banks and
batches of bulk harvest for the presence of viral
contaminants. Monolayers of at least three
different detector cell lines are inoculated with a
test article (cell lysate from cell bank or bulk
harvest). Following extended incubation, the
inoculated cells are screened for the presence of
viral cytopathic effect and haemadsorption
activity, and the cell supernatant screened for
haemagglutinating activity.
The relative sensitivity of such broad-specificity
in vitro and in vivo virus assays was the subject of
an extensive study with many different viruses (4)
and was motivated by the desire to determine
whether an in vivo test added value to viral safety
testing. The sensitivity of an in vitro virus assay was
evaluated with 15 combinations of cells and viruses
at 14-day and 28-day incubation end-points.
Results indicated that the 28-day in vitro assay was
more sensitive than the 14-day assay for all
combinations of viruses. Although the 1993 US
FDA Points to Consider in the Characterization of Cell
lines used to Produce Biologicals and 1997 Points to
Consider in the Manufacture and Testing of
Monoclonal Antibody Products state that a time of 14
days is a minimum requirement for an in vitro virus
assay, more recent FDA and WHO regulatory
guidelines (5, 6) recommend performing a 28-day
assay, at least for cell banks. If manufacturers use a
14-day in vitro virus assay, then the US FDA
expects justification for why using a less-sensitive
assay does not present a risk to patient safety.
Overall, when researchers compared the relative
sensitivity of in vivo and in vitro assays, they
found that for all but two of the viruses tested, the
in vitro virus assay was more sensitive than the in
vivo assay.
It’s important to note that the results of this
study were used as justification for modifying
requirements for animal testing for virus in
recently published European Pharmacopoeia
documents. EP 2.6.16 proposes viral testing
strategies built on risk assessment and limits in
vivo testing to suckling mice (7). That guidance
also indicates in vivo testing is required only if it
mitigates risk and advocates consideration of
newer technologies such as next-generation
sequencing (NGS) as an alternative to in vivo or
specific nucleic acid tests (NAT). The document
also suggests NGS could be an alternative or
supplement to in vitro virus tests, if local
regulatory authorities agree.
Similarly, EP 5.2.3 discusses the utility of NGS
as an alternative test for virus detection and
eliminates the requirement for in vivo testing with
adult mice and guinea pigs (8). Although these
recommendations apply to testing for vaccine
production, the general approaches are applicable
for many instances of biologics testing: risk-based
assessments for viral safety and implementation of
newer virus testing methods as an alternative or
supplement to traditional assays.
Those changes to the European Pharmacopeia,
mean there is no unified global position on
regulatory expectations for in vivo adventitious
virus testing. That is likely to remain the case
until ICH Q5A is modified because this guidance
stipulates an in vivo assay using suckling mice,
adult mice, and embryonated eggs for detection of
adventitious virus (Box 2).
Limitation of Detection assays
A number of factors can affect the ability of all
assays to detect virus contamination. All virus
tests have a limit of detection (LOD) that affects
how such tests determine whether low
concentrations of adventitious agents are present.
Assay sensitivity depends on the amount of sample
Box 2: Regulatory Guidance on
Adventitious Agent Testing
US FDAGuidance
Recommends adult mice (20 observed for
21 days), suckling mice (20, observed for
total 28 days with passage at 14 days),
embryonated eggs (allantoic and yolk sac
inoculation with passage), Guinea pigs (42
days observation to detect Mycobacterium)
WHO
Recommends adult mice (20 observed for 28
days), suckling mice (20, observed for 28
days but no passage at 14 days), Guinea pigs
(but can be replaced by in vitro method for
Mycobacterium), embryonated eggs (but
only if testing avian cell lines or novel cell
substrates)
EP 5.2.3
Recommends inoculation of suckling mice
(>10, observed for 28 days) only if
assessment indicates that it provides risk
mitigation taking into account the overall
testing package. Embryonated eggs are
required only for avian cell substrates.
Assays to detect adventitious viruses; all documents
aligned in recommending use of live cells or cell lysate
(at 107
cells/mL in conditioned medium)
In Vivo assay
Viral Safety Assurance
for mAbs: Prevent,
Detect, Remove
Current and Future Solutions
A viral contamination can shut down a biopharmaceutical plant for months impacting manufacturing operations, causing
significant business disruption and ultimately threatening drug supply. Fortunately, a range of technologies are available today
to help prevent viral contamination and assure an efficient and safe biopharmaceutical production process.
Downstream processing separates the protein of interest from cell
culture harvest and results in a purified, concentrated molecule with
low levels of impurities. Various technologies with a variety of base
media, ligands and formats offer multiple options for purification.
Although purification is the primary goal, reliable virus removal is also
required to meet the viral safety needs of the downstream process.
Downstream chromatographic purification
Flexible prefiltration options enable increased mass loading on virus filters to
meet the demands of today’s biomanufacturers. Robust viral clearance
should be maintained during virus filtration following planned or unplanned
process interruptions, assuring performance and consistency of this critical
virus reduction operation.
Downstream virus filtration
Viral safety solutions that remove virus from monoclonal antibody and recombinant protein production
are well understood.
2 Traditional Solutions
Fig.2 Expected viral clearance by manufacturing unit operation, log reduction value (LRV).
Miesegaes G., Lute, S., Brorson K., (2010) Analysis of Viral Clearance Unit Operations for Monoclonal Antibodies. Biotechnology and Bioengineering Vol 106, No 2, June 1 2010 p 238-246
Parvovirus LRV
Retrovirus LRV
1-3
1-5
<1
>5
~1
~2-3
2-5
~4-5
>4
>5
Affinity
Chromatography
Low pH
Cation Exchange
Chromatography
Anion Exchange
Chromatography
Virus
Filtration
A Constant Process Threat
1 Adventitious Viruses
Potential loss of
revenue due to a
contamination
1Viral particle per liter
is sufficient to infect
biopharmaceutical
manufacturing
of unprocessed bulk drug
substance samples tested
positive for viral
contamination during
in vitro screening
assays
0.04%
$
200-300
million
Fig.1 Reported major viral contamination events in biopharmaceutical manufacturing
1999
Reovirus
1993
MVM
1988
EHDV
2006
MVM
2008
Vesivirus
1994
MVM
2004
Cache Valley 2010
PCV-1
2000
Cache Valley
2009
MVM
Vesivirus
2003
Cache Valley
Vesivirus
A diverse range of new technologies further minimizes the risk of introducing viral contamination into biopharmaceutical
production, including virus-resistant engineered CHO cell lines, novel filters designed specifically for cell culture media, and
innovative technologies for sensitive detection of unknown viruses. More traditional virus filtration technologies have been
augmented by new prefiltration options enabling more efficient processing of a broader range of feed streams.
3 What’s next to minimize risks?
Fig.3 Viral safety assurance
A risk mitigation strategy that includes the prevention, detection, and
removal of viral contamination will help ensure process safety.
Fig.4 Various technologies help minimize viral contamination risks throughout the process
Cell CultureExpression System Raw Materials Media Preparation
• Low pH/chemical
inactivation
• Chromatography
• Virus filtration
Remove
• PCR testing
• In vitro testing
• Next Generation
Sequencing (NGS)
• Adventitious virus testing
• Next Generation
Sequencing (NGS)
Detect
• Genetic
modification
of host cell
• Virus barrier filtration
• High Temperature, Short
Time (HTST) Treatment
Prevent
Purification
• Chemically defined
raw materials
• Treatment of
high-risk components
Detect
Next Generation
Sequencing opens doors for
more rapid, sensitive detection
of viral contaminants
Remove
Prefilters remove plugging
species from mAb processes
significantly improving capacity
of the filtration device while
maintaining high parvovirus
removal and flux.
Prevent
Gene Editing Technology
created engineered CHO cell
lines that are resistant to MVM,
one of the main viral
contaminants in the industry.
New barrier technologies like
filtration products designed
for cell culture media offer
easy to use and implement
solutions for risk reduction.
The life science business of Merck KGaA, Darmstadt, Germany
operates as MilliporeSigma in the U.S. and Canada.
MilliporeSigma and the vibrant M are trademarks of Merck KGaA, Darmstadt, Germany or its affiliates. All other trademarks are the property of their
respective owners. Detailed information on trademarks is available via publicly accessible resources.
© 2018 Merck KGaA, Darmstadt, Germany and/or its affiliates. All Rights Reserved. Lit. No. MS_FL2621EN00 Ver. 1.0
Learn more
www.emdmillipore.com/virus-prevent-detect-remove
8 BioProcess International 16(10)si OctOber 2018 SponSored
that can be analyzed in that assay as a proportion
of the total amount of material. For in vitro tests,
particular cell lines can be more or less susceptible
to infection by known or novel viruses. Some
materials may interfere with the ability of an assay
to detect viruses or cytotoxic to detector cells used
in an assay. A negative test result does not indicate
that an adventitious agent is absent, but rather it
indicates that an adventitious agent is below the
assay LOD. Another limitation of detection assays
is that they generally are designed to detect
specific virus pathogens, which means you often
find only what you’re looking for.
Testing for virus is performed on an MCB,
cells at maximum use, and bulk harvest. Typically,
a minimum of three lots of bulk harvest are tested
for bioburden, mycoplasma, and viruses using an
in vitro virus assay before clinical trials. Those
assays are performed on each batch of bulk harvest
as part of routine process quality control. For
rodent cells, the amount of expressed retrovirus
particles is determined by TEM or quantitative
PCR assays.
The most recent European Pharmacopoeia
chapter (EP 5.2.3) notes the availability of new
sensitive molecular technologies with broad
detection capabilities such as massively parallel
sequencing (MPS), degenerate PCR for whole
virus families, oligonucleotide arrays, and mass
spectrometry (8). As mentioned above, these
methods can be used either as an alternative to in
vivo or specific NAT or as a supplement/
alternative to in vitro culture with approval from
national regulators.
NGS sometimes is called high-throughput
sequencing, deep sequencing, or MPS. NGS
generates high millions or billions of sequencing
reads from a nucleic acid library template. Those
reads are then analyzed using powerful
bioinformatics computing processing and
compared with databases of known sequences. A
critical component of NGS is computational
analysis of data. Initially, poor-quality reads are
eliminated from the analysis, and then a multistep
basic local alignment search tool (BLAST)
analysis is performed — where reads from
different mammalian cell housekeeping genes act
as controls to determine breadth and depth of
sequence coverage. Sequences of expected
components then are subtracted, enabling analysis
of cell line samples to focus on any adventitious
virus sequences.
An NGS interest group with members from
industry and regulatory agencies is developing
some practical guidance and standards for NGS
and bioinformatics analysis. In addition, an
ongoing study is evaluating the relative sensitivity
of NGS testing for viral detection. The power of
NGS may not be increased sensitivity but rather
Box 3: Regulatory Guidance Documents
ICH Q5A: Quality of Biotechnological Products: Viral
Safety Evaluation of Biotechnology Products Derived
from Cells Lines of Human or Animal Origin,
CPMP/ICH/295/95
Guideline on Virus Safety Evaluation of Biotechnological
Investigational Medicinal Products, EMEA/CHMP/BW-
P/398498
Note for Guidance on Viral Validation Studies: The
Design, Contribution, and Interpretation of Studies
Validating the Inactivation and Removal of Viruses.
CPMP/BWP/268/95
Points to Consider in the Manufacture and Testing of
Monoclonal Antibody Products for Human Use.
FDA/CBER, 1997
Points to Consider in the Characterization of Cell
Lines Used to Produce Biologicals, FDA/CBER, 1993
Figure 3: Typical monoclonal antibody purification process
Unprocessed
Bulk
Capture
Column
Purifcation
Column
Polishing
Column
Low pH
Inactivation
Nanofltration
An “Effective
Step”
(Enveloped
Viruses)
Contributes
to Clearance
(Enveloped/
Nonenveloped
Viruses)
An “Effective
Step”
(Enveloped/
Nonenveloped
Viruses)
Purifed
Bulk
OctOber 2018 16(10)si BioProcess International 9SponSored
broad specificity and ability to detect sequences of
novel or unknown viruses. New technologies such
as NGS and broad sensitivity NAT assays can be
integrated into viral safety testing plans to ensure
the safety of biologics for patients.
Removal StepS and viRal CleaRanCe
Although careful practices and comprehensive
testing can reduce the risk of viral contamination,
such actions by themselves generally are
insufficient to ensure viral safety. For monoclonal
antibodies, robust clearance technologies are
implemented during processing to inactivate or
remove viruses. The ability of these processes to
effectively inactivate or remove viruses is assessed
in viral clearance studies.
Rodent cells (e.g., CHO cells) produce
retrovirus-like particles. These particles are
defective and cannot integrate into the genome of
a cell and replicate. Although the risk is small, it is
possible that these retrovirus-like particles
recombine with retrovirus sequences in the human
genome to generate a new human retrovirus. This
is a theoretical risk, but it can be mitigated if
manufacturers can demonstrate sufficient
retroviral clearance in production processes.
Clearance studies provide indirect evidence that
a production process has the capacity to inactivate
or remove novel or yet-undetermined virus
contaminants. Guidance documents that discuss
viral clearance assessments are summarized in the
Box 3. Most monoclonal antibody viral clearance
studies evaluate clearance across a limited number
of steps in a downstream process. Those steps are
selected based on their potential to clear virus.
Typically, steps that will inactivate viruses (e.g.,
low pH) and remove potential viral contaminants
(e.g., nanofiltration) are evaluated. It is important
that the processes evaluated have independent or
orthogonal mechanisms of virus inactivation and
removal. Figure 3 shows the operations in a
standard monoclonal antibody purification process
and their likely contribution to viral clearance.
Requirements for viral clearance testing depend
on the stage of clinical development. In the
European Union, duplicate clearance studies are
performed before phase 1 trials using two viruses:
an enveloped virus (e.g., murine leukemia virus,
which is a model for retrovirus particles) and a
small, nonenveloped virus (usually a parvovirus
such as minute virus of mice, MVM). Two
different, orthogonal steps are typically evaluated
using worst-case parameters. The US FDA
requires testing with at least murine retrovirus and
mentions that studies with parvovirus are useful
but not essential for early phase clinical trials.
Before licence application and usually during
Phase 3 trials, clearance of a full virus panel is
evaluated in duplicate tests across multiple process
steps. Such studies can include robustness studies
of those effective steps, column sanitization, and
studies with new and aged resin (Figure 4).
evaluating CleaRanCe data
Understanding the results of clearance studies
provides manufacturers with information to make
risk-based decisions on the safety of their
downstream processes. For example, Figure 5
shows two inactivation steps, both of which achieve
over five logs of reduction. However, one step
Figure 4: Viral clearance study design at different stages of clinical development
• Retrovirus
• Parvovirus
• Two orthogonal steps
• Risk assessment
• Duplicate study (EU)
• Four virus panel
• Evaluation of multiple
process steps
• Robustness studies
• Column sanitization
(carry over)
• New/Aged resin studies
• Risk assessment
• Duplicate study
X-Murine Leukemia Virus
Retrovirus, Enveloped, RNA
Pseudorabies virus
Herpes virus, Enveloped, DNA
Reovirus
Reovirus, Non-Enveloped, RNA
Mouse Minute Virus
Parvovirus, Non-Enveloped, DNA
Rodent-derived Cell Line
PHASE
1/2
PHASE
3/BLA
10 BioProcess International 16(10)si OctOber 2018 SponSored
shows rapid inactivation, and the other achieves it
10 minutes before the normal hold time of that
step. The step that provides rapid inactivation has a
higher virus safety risk-mitigation element because
there is a longer period of inactivation.
For evaluating clearance across chromatography
columns, biomanufacturers expect that in addition
to the clearance levels there is an understanding of
where a virus is partitioning. If a virus is not in
product eluate, is it in the flow-through and wash,
or bound to the column? This infectivity mass
balance might be possible for nonenveloped
viruses, but it is unlikely to be good for enveloped
virus because of viral inactivation in buffers or test
temperatures. Clearance across an entire process is
the sum of the log reduction from a number of
orthogonal steps. Figure 6 shows typical levels of
viral reduction that might be achieved for different
steps in a monoclonal antibody production process.
Recent changes to US FDA expectations for
viral clearance are outlined in Box 4. Clearance
evaluations with aged protein A resin studies are
no longer required because studies have
demonstrated no change in virus removal
capabilities with resin age. Recently this approach
has been agreed to by European regulators. In
addition, a standard has been developed in the
United States for low pH inactivation of rodent
retroviruses that enables claiming a five-log
reduction in virus if the step operation is
performed within a specific operating window.
For virus-removal filters, the log reduction
factor achieved with parvovirus can be
extrapolated to larger viruses without performing
a clearance study. However, adopting this
approach can limit overall reduction claims for
retrovirus removal. Those recommendations have
not been published but were presented by Kurt
Brorson from US FDA at the PDA Virus Safety
meeting in 2015 (9).
Box 4: US FDA New Viral Clearance
Validation Approaches
Discontinuation of the need for aged Protein A resin
studies in late-phase virus removal studies
• Data show no reduction in Murine Leukemia
(MuLV) removal with >200 cycles of use
Use of retrovirus-like particle (RVLP) quantitative
PCR to track RVLPs during capture chromatography
in lieu of small-scale validation using MuLV
• Requires high expression of RVLPs by CHO cells
Use of ASTM E2888-12 as a modular claim for low pH
inactivation of rodent retrovirus instead of
performing validation studies
Can claim 5 log10
reduction factor if
• Temperature >15° C; Time >30 min; pH <3.6;
<500 mM NaCl; protein <25 g/L; glycine, citrate,
or acetate bufer
For virus removing flters, extrapolate the log
reduction factor (LRF) for parvovirus (e.g. Minute
Virus of Mice, MMV) to larger viruses
• This may limit claims for MuLV LRF
Figure 5: Inactivation: same overall clearance, but different inactivation kinetics
Time (Minutes)
Log10
VirusTiter
>5.3 Log10
Reduction
7
6
5
4
3
2
1
0
0 20 40 60 80 100
Assurance of viral safety
OctOber 2018 16(10)si BioProcess International 11SponSored
Summary
Biotechnologically derived medicinal products
have a very good safety record with no viral
contamination of final products. This strong
record is a result of the incorporation of virus risk-
mitigation strategies throughout production
processes. Such strategies include preventing entry
of contaminants into upstream processes,
implementing sensitive testing for contaminants in
raw materials and process intermediates, and
incorporating virus removal and inactivation steps
into downstream purification processes. Increased
awareness of potential contaminants helps
manufacturers to define testing strategies and the
need for the clearance operations, which
consequently should lead to improved safety
assurance for patients.
referenceS
1 EMA/CHMP/BWP/814397/2011: Guideline on the
Use of Porcine Trypsin Used in the Manufacture of Human
Biological Medicinal Products. European Medicines Agency:
London, UK, September 2014.
2 EMA/CHMP/BWP/457920/2012 rev 1. Guideline on
the Use of Bovine Serum in the Manufacture of Human Biological
Medicinal Products. London, UK, May 2013.
3 European Pharmacopoeia 5.1.7: Viral Safety. EDQM
Council of Europe: Strasbourg, France.
4 Gumbold J, et al. Systematic Evaluation of In Vitro
and In Vivo Adventitious Virus Assays for the Detection of
Viral Contamination of Cell Banks and Biological Products.
Vaccine 32, 2014: 2916–2926 .
5 Guidance for Industry: Characterization and Qualification
of Cell Lines and Other Biological Materials Used in the
Production of Viral Vaccines for Infectious Disease. Food and
Drug Administration: Rockville, MD, 2010.
6 Recommendations for the Evaluation of Animal Cell
Substrates for the Manufacture of Biological Medicinal Products
and for the Characterisation of Cell Banks. Technical Report
Series 978, Annex 3. World Health Organization, 2013.
7 European Pharmacopoeia 2.6.16: Tests for Extraneous
Agents in Viral Vaccines for Human Use, 2010
8 European Pharmacopoeia 5.2.3: Cell Substrates for the
Production of Vaccines for Human Use.
9 Brorson K. FDA Update: Office of Biotechnology Products.
PDA Europe Virus and TSE Safety Forum, 2015. c
Martin Wisher is senior regulatory consultant focusing
on the BioReliance® portfolio of MilliporeSigma; martin.
wisher@sial.com.
MilliporeSigma and BioReliance are trademarks of Merck
KGaA, Darmstadt, Germany, or its affiliates. All other
trademarks are the property of their respective owners.
Detailed information on trademarks is available via
publicly accessible resources. The life science business of
Merck KGaA, Darmstadt, Germany, operates as
MilliporeSigma in the United States and Canada.
Figure 6: Downstream virus clearance technologies
Parvovirus LRVa
1–3
Retrovirus 1–5
Parvovirus LRVb
<1
Retrovirus >5
Parvovirus LRVa
~1–5
Retrovirus ~2–5
Parvovirus LRVb
>4
Retrovirus >5
Virus Flow-Through
Protein A
Chromatography
Virus Inactivation
Low pH
Virus Binding
Chromatography
Size Exclusion Virus
Nano-Filtration
a Remington, et. al. Viral Clearance By Protein A, Anion Exchange and Cation Exchange Chromatography Steps. Amer. Pharm. Review. 2015
b
Merck KGAa Darmstadt Germany data
BioReliance®
Biosafety Testing
The life science business
of Merck KGaA, Darmstadt,
Germany operates as
MilliporeSigma in the
U.S. and Canada.
© 2018 Merck KGaA, Darmstadt, Germany
and/or its afliates. All Rights Reserved.
MilliporeSigma, the vibrant M, and
BioReliance are trademarks of Merck KGaA,
Darmstadt, Germany or its afliates. All
other trademarks are the property of their
respective owners. Detailed information
on trademarks is available via publicly
accessible resources.
MS_AD2172EN
EXPLORE
CONFIDENCE
For an unparalleled experience throughout the
life cycle of your therapy, BioReliance®
world-
class biosafety solutions ofer a full range of
GMP cell banking services, cell line and virus
bank characterization, viral clearance and lot
release testing. MilliporeSigma’s complete
biosafety testing solutions, paired with our
long-standing reputation for quality and
expertise, will give you the mission-critical
capabilities to bring safe, life-changing
medicines to market.
Let’s Explore What’s Next at
EMDMillipore.com/Explore
and BioReliance.com

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ViralRiskMitigationStrategies

  • 1. ViralRiskMitigation A GLOBAL REGULATORY PERSPECTIVE • GuidanceforRawMaterials andCellLines • PreventingContamination • DetectingContamination • ViralClearanceEvaluation
  • 2. 2 BioProcess International 16(10)si OctOber 2018 SponSored T he production of biological products using animal cells and human operators always will have the risk of microbial and viral contamination. Manufacturers have developed a multitiered approach — tailored to individual processes — to prevent adventitious viruses entering production processes, detect contamination in raw materials and process intermediates, and remove viruses in downstream purification. This article provides an overview of the global regulatory framework to ensure the viral safety of biologics. Contamination of BiologiCal ProduCts Past contamination events have resulted in corrective and preventative actions to reduce the risk of viral contamination in biologics. A number of viral contamination events have been reported in different production processes. Many of those events involved Chinese hamster ovary (CHO) cells, a commonly used cell line for monoclonal antibody (MAb) production, and in some cases, bovine serum was identified as the likely source of contamination. The most frequently reported viral contamination of CHO cells has been with minute virus of mice (MVM), and the most likely sources were media components such as glucose. Porcine trypsin was the likely source of porcine circovirus contamination of rotavirus vaccines. Unfortunately, not all adventitious virus contaminations are easily detected. For instance, most insect viruses silently infect insect cells. Nodavirus or rhabdovirus infections of insect cells are common, and although scientists generally believe that such viruses are not of concern to humans, nodavirus can produce morbidity after injection into suckling mice. regulatory guidanCe for raw materials and Cell lines Box 1 lists regulatory guidance documents that provide the framework for viral safety of raw materials and cell lines used in biologic production. The US FDA guidance on the characterization and qualification of cell substrates for viral vaccine production provides details of viral detection assays and a rationale for why such assays are used and which viruses are detected. Earlier FDA guidance documents, such as the 1997 Points to Consider (PTC) on monoclonal antibodies document, also contain useful information. The 2010 World Health Organization (WHO) technical report augments the International Council for Harmonisation Virus Risk Mitigation in the Development of Monoclonal Antibody Products A Global Regulatory Perspective Martin Wisher Figure 1: Developing a comprehensive risk mitigation strategy: a multifaceted approach REMOVE VIRAL SAFETY ASSURANCE DETECT PREVENT Ensure Safety of Raw Materials and Processes Implement Robust Clearance Technologies Optimize Sampling and Test Methodologies
  • 3. OctOber 2018 16(10)si BioProcess International 3SponSored (ICH) Q5A and Q5D documents on Quality of Biotechnological Products. The approach outlined in the 2015 edition of the Chinese pharmacopoeia is similar to those of US FDA, ICH, and WHO documents, with some differences in the specifics of individual assays. These guidance documents rely on a common strategy of risk mitigation to ensure viral safety built on three complementary approaches: • preventing viral contamination by using high quality raw materials in production • using a panel of assays to detect the presence of viral contaminants in raw materials, cell lines, and process intermediates • implementing virus reduction technologies in the production process to improve the safety of biological product (Figure 1). Preventing Contamination Preventing contamination of production processes is the foundation of every viral safety strategy, and the approach taken is different for each type of biologic and for each process. Although each process is unique, general principles can be applied to all processes to reduce the risk of viral contamination. Wherever possible, animal-derived cell culture media components should be replaced with recombinant proteins or animal-component–free media alternatives. If animal-derived components must be used, they should be sourced from regions with risk of low bovine spongiform encephalopathy (BSE). Because of the inherent risk of viral contamination in biologics production, different viral inactivation technologies have been developed to treat high-risk cell culture components. Bovine serum or porcine trypsin that cannot be replaced by recombinant products should be gamma or UV irradiated before use. EMA guidance documents (1, 2) and US 9 CFR (Animals and Animal Products) describe general testing strategies. If suitable for a production process, the preferred option is to adopt chemically defined, animal-derived-component–free media. Some components that have a high-risk of rodent virus contamination (e.g., glucose) can be treated with high temperatures/short time (HTST) (e.g., at 102 °C for 10–15 seconds) to inactivate potential parvovirus contaminants. Virus filters have been developed with a modified chemistry, enabling cost-effective filtration of large volumes of chemically defined cell culture media and feeds. Such barrier filters achieve high levels of parvovirus removal and provide sterilizing-grade filter performance for bacteria and mycoplasma. Newer gene-editing technologies offer different opportunities for viral safety: A CHO cell line has been engineered without receptors to MVM, thereby making it resistant to MVM infection. Careful consideration of the different options for sourcing, selection, and treatment of raw materials used in upstream processes is an essential part of all viral safety strategies. DeteCting Contamination Testing to detect viral contaminants in raw materials, cell banks, and process intermediates is an integral second component of every viral safety strategy. Defining where and how much testing is required can be challenging, and European Pharmacopeia 5.1.7 (3) provides a useful risk-based framework to identify viral contamination risks and subsequent testing requirements. Typically, a one-time characterization of the master cell bank (MCB) is performed to confirm no microbial or viral contaminants are detected, and more limited testing is performed on working Box 1: Guidance for Raw Materials US Food and Drug Administration (US FDA) • Guidance for Industry: Characterisation and Qualifcation of Cell Substrates and Other Biological Starting Materials Used in Production of Viral Vaccines for the Prevention and Treatment of Infectious Diseases, 2010 • Points to Consider in the Manufacturing and Testing of Monoclonal Antibody Products for Human Use, 1997 World Health Organization (WHO) WHO Technical Report Series 978, Annex 3 Requirements for the Use of Animal Cells As In Vitro Substrates for the Production of Biologicals, 2010 Chinese Pharmacopoeia Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics, 2015 International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) ICH Q5A: Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin, 1997 ICH Q5D: Derivation and Characterisation of Cell Substrates Used for Production of Biotechnological/ Biological Products, 1997 European Medicines Agency
  • 4. 4 BioProcess International 16(10)si OctOber 2018 SponSored cell banks (WCBs), which are a few passages beyond an MCB. A one-time testing of end-of- production cells (EOPC) or extended cell banks also is expected because those cells represent potential worst-case scenarios for amplification of low-level contaminants that might have been present but not detected in an MCB. Specifics on when to test and how much testing is required differs according to the region and stage of clinical development. In Europe, EOPC testing for well-characterized cell lines such as CHO is not needed during clinical development and is required only at the time of license application. In the United States, EOPC testing is required before initiating a phase 3 clinical trial. Guidances in other regions are less clear, however EOPC testing is generally performed. The clear expectation is that no adventitious virus will be detected in a cell bank characterization. Rodent cell lines such as CHO and baby hamster kidney (BHK) express replication defective endogenous retrovirus particles, whereas mouse myeloma cell lines (NS0, Sp2/0) can express replicating retroviruses. Testing of MCBs should confirm identity. For recombinant cell lines, genetic stability also should be confirmed before license application (Figure 2). Testing also should confirm an MCB is free from detectable bacteria, fungi, and mycobacterium contamination. Testing an MCB for viruses requires different testing methods, including broad specificity in vitro and in vivo assays, with methods that are targeted to specific viruses or types of viruses. Testing plans are tailored to individual specifics of each production process and depend on the cell line, origin of raw materials used in production, and production history. An important component of MCB characterization is screening for the presence of retroviruses. They can be detected by performance of infectivity assays (cocultivation assays), detection of an integrated provirus using specific polymerase chain reactions (PCRs), expression of retrovirus reverse transcriptase activity (RTase, PERT assay), and presence of retrovirus particles using transmission electron microscopy (TEM). Selecting which assay to use depends on the cell line being characterized. Rodent cells (CHO, murine myeloma) are known to express retrovirus particles, so cells should be screened using infectivity and TEM assays, with an RTase assay used only if both other assays are negative. By contrast, human cells should not express retroviruses, so they should be screened using PERT, PCR, and TEM assays, with an infectivity assay used only if any assay produces equivocal results. The in vitro virus assay is the most commonly used broad-specificity assay for adventitious virus Figure 2: Master cell bank (MCB) characterization Broad specifcity in vitro/in vivo assays Species specifc human, simian, rodent, canine, bovine, porcine Retroviruses PERT, PCR, TEM, infectivity PURITY Bacteria, Fungi-sterility assay, Mycobacteria Mycoplasma Spiroplasma Virus GENETIC STABILITY IDENTITY
  • 5. OctOber 2018 16(10)si BioProcess International 5SponSored detection. It is used to screen cell banks and batches of bulk harvest for the presence of viral contaminants. Monolayers of at least three different detector cell lines are inoculated with a test article (cell lysate from cell bank or bulk harvest). Following extended incubation, the inoculated cells are screened for the presence of viral cytopathic effect and haemadsorption activity, and the cell supernatant screened for haemagglutinating activity. The relative sensitivity of such broad-specificity in vitro and in vivo virus assays was the subject of an extensive study with many different viruses (4) and was motivated by the desire to determine whether an in vivo test added value to viral safety testing. The sensitivity of an in vitro virus assay was evaluated with 15 combinations of cells and viruses at 14-day and 28-day incubation end-points. Results indicated that the 28-day in vitro assay was more sensitive than the 14-day assay for all combinations of viruses. Although the 1993 US FDA Points to Consider in the Characterization of Cell lines used to Produce Biologicals and 1997 Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products state that a time of 14 days is a minimum requirement for an in vitro virus assay, more recent FDA and WHO regulatory guidelines (5, 6) recommend performing a 28-day assay, at least for cell banks. If manufacturers use a 14-day in vitro virus assay, then the US FDA expects justification for why using a less-sensitive assay does not present a risk to patient safety. Overall, when researchers compared the relative sensitivity of in vivo and in vitro assays, they found that for all but two of the viruses tested, the in vitro virus assay was more sensitive than the in vivo assay. It’s important to note that the results of this study were used as justification for modifying requirements for animal testing for virus in recently published European Pharmacopoeia documents. EP 2.6.16 proposes viral testing strategies built on risk assessment and limits in vivo testing to suckling mice (7). That guidance also indicates in vivo testing is required only if it mitigates risk and advocates consideration of newer technologies such as next-generation sequencing (NGS) as an alternative to in vivo or specific nucleic acid tests (NAT). The document also suggests NGS could be an alternative or supplement to in vitro virus tests, if local regulatory authorities agree. Similarly, EP 5.2.3 discusses the utility of NGS as an alternative test for virus detection and eliminates the requirement for in vivo testing with adult mice and guinea pigs (8). Although these recommendations apply to testing for vaccine production, the general approaches are applicable for many instances of biologics testing: risk-based assessments for viral safety and implementation of newer virus testing methods as an alternative or supplement to traditional assays. Those changes to the European Pharmacopeia, mean there is no unified global position on regulatory expectations for in vivo adventitious virus testing. That is likely to remain the case until ICH Q5A is modified because this guidance stipulates an in vivo assay using suckling mice, adult mice, and embryonated eggs for detection of adventitious virus (Box 2). Limitation of Detection assays A number of factors can affect the ability of all assays to detect virus contamination. All virus tests have a limit of detection (LOD) that affects how such tests determine whether low concentrations of adventitious agents are present. Assay sensitivity depends on the amount of sample Box 2: Regulatory Guidance on Adventitious Agent Testing US FDAGuidance Recommends adult mice (20 observed for 21 days), suckling mice (20, observed for total 28 days with passage at 14 days), embryonated eggs (allantoic and yolk sac inoculation with passage), Guinea pigs (42 days observation to detect Mycobacterium) WHO Recommends adult mice (20 observed for 28 days), suckling mice (20, observed for 28 days but no passage at 14 days), Guinea pigs (but can be replaced by in vitro method for Mycobacterium), embryonated eggs (but only if testing avian cell lines or novel cell substrates) EP 5.2.3 Recommends inoculation of suckling mice (>10, observed for 28 days) only if assessment indicates that it provides risk mitigation taking into account the overall testing package. Embryonated eggs are required only for avian cell substrates. Assays to detect adventitious viruses; all documents aligned in recommending use of live cells or cell lysate (at 107 cells/mL in conditioned medium) In Vivo assay
  • 6. Viral Safety Assurance for mAbs: Prevent, Detect, Remove Current and Future Solutions A viral contamination can shut down a biopharmaceutical plant for months impacting manufacturing operations, causing significant business disruption and ultimately threatening drug supply. Fortunately, a range of technologies are available today to help prevent viral contamination and assure an efficient and safe biopharmaceutical production process. Downstream processing separates the protein of interest from cell culture harvest and results in a purified, concentrated molecule with low levels of impurities. Various technologies with a variety of base media, ligands and formats offer multiple options for purification. Although purification is the primary goal, reliable virus removal is also required to meet the viral safety needs of the downstream process. Downstream chromatographic purification Flexible prefiltration options enable increased mass loading on virus filters to meet the demands of today’s biomanufacturers. Robust viral clearance should be maintained during virus filtration following planned or unplanned process interruptions, assuring performance and consistency of this critical virus reduction operation. Downstream virus filtration Viral safety solutions that remove virus from monoclonal antibody and recombinant protein production are well understood. 2 Traditional Solutions Fig.2 Expected viral clearance by manufacturing unit operation, log reduction value (LRV). Miesegaes G., Lute, S., Brorson K., (2010) Analysis of Viral Clearance Unit Operations for Monoclonal Antibodies. Biotechnology and Bioengineering Vol 106, No 2, June 1 2010 p 238-246 Parvovirus LRV Retrovirus LRV 1-3 1-5 <1 >5 ~1 ~2-3 2-5 ~4-5 >4 >5 Affinity Chromatography Low pH Cation Exchange Chromatography Anion Exchange Chromatography Virus Filtration A Constant Process Threat 1 Adventitious Viruses Potential loss of revenue due to a contamination 1Viral particle per liter is sufficient to infect biopharmaceutical manufacturing of unprocessed bulk drug substance samples tested positive for viral contamination during in vitro screening assays 0.04% $ 200-300 million Fig.1 Reported major viral contamination events in biopharmaceutical manufacturing 1999 Reovirus 1993 MVM 1988 EHDV 2006 MVM 2008 Vesivirus 1994 MVM 2004 Cache Valley 2010 PCV-1 2000 Cache Valley 2009 MVM Vesivirus 2003 Cache Valley Vesivirus
  • 7. A diverse range of new technologies further minimizes the risk of introducing viral contamination into biopharmaceutical production, including virus-resistant engineered CHO cell lines, novel filters designed specifically for cell culture media, and innovative technologies for sensitive detection of unknown viruses. More traditional virus filtration technologies have been augmented by new prefiltration options enabling more efficient processing of a broader range of feed streams. 3 What’s next to minimize risks? Fig.3 Viral safety assurance A risk mitigation strategy that includes the prevention, detection, and removal of viral contamination will help ensure process safety. Fig.4 Various technologies help minimize viral contamination risks throughout the process Cell CultureExpression System Raw Materials Media Preparation • Low pH/chemical inactivation • Chromatography • Virus filtration Remove • PCR testing • In vitro testing • Next Generation Sequencing (NGS) • Adventitious virus testing • Next Generation Sequencing (NGS) Detect • Genetic modification of host cell • Virus barrier filtration • High Temperature, Short Time (HTST) Treatment Prevent Purification • Chemically defined raw materials • Treatment of high-risk components Detect Next Generation Sequencing opens doors for more rapid, sensitive detection of viral contaminants Remove Prefilters remove plugging species from mAb processes significantly improving capacity of the filtration device while maintaining high parvovirus removal and flux. Prevent Gene Editing Technology created engineered CHO cell lines that are resistant to MVM, one of the main viral contaminants in the industry. New barrier technologies like filtration products designed for cell culture media offer easy to use and implement solutions for risk reduction. The life science business of Merck KGaA, Darmstadt, Germany operates as MilliporeSigma in the U.S. and Canada. MilliporeSigma and the vibrant M are trademarks of Merck KGaA, Darmstadt, Germany or its affiliates. All other trademarks are the property of their respective owners. Detailed information on trademarks is available via publicly accessible resources. © 2018 Merck KGaA, Darmstadt, Germany and/or its affiliates. All Rights Reserved. Lit. No. MS_FL2621EN00 Ver. 1.0 Learn more www.emdmillipore.com/virus-prevent-detect-remove
  • 8. 8 BioProcess International 16(10)si OctOber 2018 SponSored that can be analyzed in that assay as a proportion of the total amount of material. For in vitro tests, particular cell lines can be more or less susceptible to infection by known or novel viruses. Some materials may interfere with the ability of an assay to detect viruses or cytotoxic to detector cells used in an assay. A negative test result does not indicate that an adventitious agent is absent, but rather it indicates that an adventitious agent is below the assay LOD. Another limitation of detection assays is that they generally are designed to detect specific virus pathogens, which means you often find only what you’re looking for. Testing for virus is performed on an MCB, cells at maximum use, and bulk harvest. Typically, a minimum of three lots of bulk harvest are tested for bioburden, mycoplasma, and viruses using an in vitro virus assay before clinical trials. Those assays are performed on each batch of bulk harvest as part of routine process quality control. For rodent cells, the amount of expressed retrovirus particles is determined by TEM or quantitative PCR assays. The most recent European Pharmacopoeia chapter (EP 5.2.3) notes the availability of new sensitive molecular technologies with broad detection capabilities such as massively parallel sequencing (MPS), degenerate PCR for whole virus families, oligonucleotide arrays, and mass spectrometry (8). As mentioned above, these methods can be used either as an alternative to in vivo or specific NAT or as a supplement/ alternative to in vitro culture with approval from national regulators. NGS sometimes is called high-throughput sequencing, deep sequencing, or MPS. NGS generates high millions or billions of sequencing reads from a nucleic acid library template. Those reads are then analyzed using powerful bioinformatics computing processing and compared with databases of known sequences. A critical component of NGS is computational analysis of data. Initially, poor-quality reads are eliminated from the analysis, and then a multistep basic local alignment search tool (BLAST) analysis is performed — where reads from different mammalian cell housekeeping genes act as controls to determine breadth and depth of sequence coverage. Sequences of expected components then are subtracted, enabling analysis of cell line samples to focus on any adventitious virus sequences. An NGS interest group with members from industry and regulatory agencies is developing some practical guidance and standards for NGS and bioinformatics analysis. In addition, an ongoing study is evaluating the relative sensitivity of NGS testing for viral detection. The power of NGS may not be increased sensitivity but rather Box 3: Regulatory Guidance Documents ICH Q5A: Quality of Biotechnological Products: Viral Safety Evaluation of Biotechnology Products Derived from Cells Lines of Human or Animal Origin, CPMP/ICH/295/95 Guideline on Virus Safety Evaluation of Biotechnological Investigational Medicinal Products, EMEA/CHMP/BW- P/398498 Note for Guidance on Viral Validation Studies: The Design, Contribution, and Interpretation of Studies Validating the Inactivation and Removal of Viruses. CPMP/BWP/268/95 Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use. FDA/CBER, 1997 Points to Consider in the Characterization of Cell Lines Used to Produce Biologicals, FDA/CBER, 1993 Figure 3: Typical monoclonal antibody purification process Unprocessed Bulk Capture Column Purifcation Column Polishing Column Low pH Inactivation Nanofltration An “Effective Step” (Enveloped Viruses) Contributes to Clearance (Enveloped/ Nonenveloped Viruses) An “Effective Step” (Enveloped/ Nonenveloped Viruses) Purifed Bulk
  • 9. OctOber 2018 16(10)si BioProcess International 9SponSored broad specificity and ability to detect sequences of novel or unknown viruses. New technologies such as NGS and broad sensitivity NAT assays can be integrated into viral safety testing plans to ensure the safety of biologics for patients. Removal StepS and viRal CleaRanCe Although careful practices and comprehensive testing can reduce the risk of viral contamination, such actions by themselves generally are insufficient to ensure viral safety. For monoclonal antibodies, robust clearance technologies are implemented during processing to inactivate or remove viruses. The ability of these processes to effectively inactivate or remove viruses is assessed in viral clearance studies. Rodent cells (e.g., CHO cells) produce retrovirus-like particles. These particles are defective and cannot integrate into the genome of a cell and replicate. Although the risk is small, it is possible that these retrovirus-like particles recombine with retrovirus sequences in the human genome to generate a new human retrovirus. This is a theoretical risk, but it can be mitigated if manufacturers can demonstrate sufficient retroviral clearance in production processes. Clearance studies provide indirect evidence that a production process has the capacity to inactivate or remove novel or yet-undetermined virus contaminants. Guidance documents that discuss viral clearance assessments are summarized in the Box 3. Most monoclonal antibody viral clearance studies evaluate clearance across a limited number of steps in a downstream process. Those steps are selected based on their potential to clear virus. Typically, steps that will inactivate viruses (e.g., low pH) and remove potential viral contaminants (e.g., nanofiltration) are evaluated. It is important that the processes evaluated have independent or orthogonal mechanisms of virus inactivation and removal. Figure 3 shows the operations in a standard monoclonal antibody purification process and their likely contribution to viral clearance. Requirements for viral clearance testing depend on the stage of clinical development. In the European Union, duplicate clearance studies are performed before phase 1 trials using two viruses: an enveloped virus (e.g., murine leukemia virus, which is a model for retrovirus particles) and a small, nonenveloped virus (usually a parvovirus such as minute virus of mice, MVM). Two different, orthogonal steps are typically evaluated using worst-case parameters. The US FDA requires testing with at least murine retrovirus and mentions that studies with parvovirus are useful but not essential for early phase clinical trials. Before licence application and usually during Phase 3 trials, clearance of a full virus panel is evaluated in duplicate tests across multiple process steps. Such studies can include robustness studies of those effective steps, column sanitization, and studies with new and aged resin (Figure 4). evaluating CleaRanCe data Understanding the results of clearance studies provides manufacturers with information to make risk-based decisions on the safety of their downstream processes. For example, Figure 5 shows two inactivation steps, both of which achieve over five logs of reduction. However, one step Figure 4: Viral clearance study design at different stages of clinical development • Retrovirus • Parvovirus • Two orthogonal steps • Risk assessment • Duplicate study (EU) • Four virus panel • Evaluation of multiple process steps • Robustness studies • Column sanitization (carry over) • New/Aged resin studies • Risk assessment • Duplicate study X-Murine Leukemia Virus Retrovirus, Enveloped, RNA Pseudorabies virus Herpes virus, Enveloped, DNA Reovirus Reovirus, Non-Enveloped, RNA Mouse Minute Virus Parvovirus, Non-Enveloped, DNA Rodent-derived Cell Line PHASE 1/2 PHASE 3/BLA
  • 10. 10 BioProcess International 16(10)si OctOber 2018 SponSored shows rapid inactivation, and the other achieves it 10 minutes before the normal hold time of that step. The step that provides rapid inactivation has a higher virus safety risk-mitigation element because there is a longer period of inactivation. For evaluating clearance across chromatography columns, biomanufacturers expect that in addition to the clearance levels there is an understanding of where a virus is partitioning. If a virus is not in product eluate, is it in the flow-through and wash, or bound to the column? This infectivity mass balance might be possible for nonenveloped viruses, but it is unlikely to be good for enveloped virus because of viral inactivation in buffers or test temperatures. Clearance across an entire process is the sum of the log reduction from a number of orthogonal steps. Figure 6 shows typical levels of viral reduction that might be achieved for different steps in a monoclonal antibody production process. Recent changes to US FDA expectations for viral clearance are outlined in Box 4. Clearance evaluations with aged protein A resin studies are no longer required because studies have demonstrated no change in virus removal capabilities with resin age. Recently this approach has been agreed to by European regulators. In addition, a standard has been developed in the United States for low pH inactivation of rodent retroviruses that enables claiming a five-log reduction in virus if the step operation is performed within a specific operating window. For virus-removal filters, the log reduction factor achieved with parvovirus can be extrapolated to larger viruses without performing a clearance study. However, adopting this approach can limit overall reduction claims for retrovirus removal. Those recommendations have not been published but were presented by Kurt Brorson from US FDA at the PDA Virus Safety meeting in 2015 (9). Box 4: US FDA New Viral Clearance Validation Approaches Discontinuation of the need for aged Protein A resin studies in late-phase virus removal studies • Data show no reduction in Murine Leukemia (MuLV) removal with >200 cycles of use Use of retrovirus-like particle (RVLP) quantitative PCR to track RVLPs during capture chromatography in lieu of small-scale validation using MuLV • Requires high expression of RVLPs by CHO cells Use of ASTM E2888-12 as a modular claim for low pH inactivation of rodent retrovirus instead of performing validation studies Can claim 5 log10 reduction factor if • Temperature >15° C; Time >30 min; pH <3.6; <500 mM NaCl; protein <25 g/L; glycine, citrate, or acetate bufer For virus removing flters, extrapolate the log reduction factor (LRF) for parvovirus (e.g. Minute Virus of Mice, MMV) to larger viruses • This may limit claims for MuLV LRF Figure 5: Inactivation: same overall clearance, but different inactivation kinetics Time (Minutes) Log10 VirusTiter >5.3 Log10 Reduction 7 6 5 4 3 2 1 0 0 20 40 60 80 100 Assurance of viral safety
  • 11. OctOber 2018 16(10)si BioProcess International 11SponSored Summary Biotechnologically derived medicinal products have a very good safety record with no viral contamination of final products. This strong record is a result of the incorporation of virus risk- mitigation strategies throughout production processes. Such strategies include preventing entry of contaminants into upstream processes, implementing sensitive testing for contaminants in raw materials and process intermediates, and incorporating virus removal and inactivation steps into downstream purification processes. Increased awareness of potential contaminants helps manufacturers to define testing strategies and the need for the clearance operations, which consequently should lead to improved safety assurance for patients. referenceS 1 EMA/CHMP/BWP/814397/2011: Guideline on the Use of Porcine Trypsin Used in the Manufacture of Human Biological Medicinal Products. European Medicines Agency: London, UK, September 2014. 2 EMA/CHMP/BWP/457920/2012 rev 1. Guideline on the Use of Bovine Serum in the Manufacture of Human Biological Medicinal Products. London, UK, May 2013. 3 European Pharmacopoeia 5.1.7: Viral Safety. EDQM Council of Europe: Strasbourg, France. 4 Gumbold J, et al. Systematic Evaluation of In Vitro and In Vivo Adventitious Virus Assays for the Detection of Viral Contamination of Cell Banks and Biological Products. Vaccine 32, 2014: 2916–2926 . 5 Guidance for Industry: Characterization and Qualification of Cell Lines and Other Biological Materials Used in the Production of Viral Vaccines for Infectious Disease. Food and Drug Administration: Rockville, MD, 2010. 6 Recommendations for the Evaluation of Animal Cell Substrates for the Manufacture of Biological Medicinal Products and for the Characterisation of Cell Banks. Technical Report Series 978, Annex 3. World Health Organization, 2013. 7 European Pharmacopoeia 2.6.16: Tests for Extraneous Agents in Viral Vaccines for Human Use, 2010 8 European Pharmacopoeia 5.2.3: Cell Substrates for the Production of Vaccines for Human Use. 9 Brorson K. FDA Update: Office of Biotechnology Products. PDA Europe Virus and TSE Safety Forum, 2015. c Martin Wisher is senior regulatory consultant focusing on the BioReliance® portfolio of MilliporeSigma; martin. wisher@sial.com. MilliporeSigma and BioReliance are trademarks of Merck KGaA, Darmstadt, Germany, or its affiliates. All other trademarks are the property of their respective owners. Detailed information on trademarks is available via publicly accessible resources. The life science business of Merck KGaA, Darmstadt, Germany, operates as MilliporeSigma in the United States and Canada. Figure 6: Downstream virus clearance technologies Parvovirus LRVa 1–3 Retrovirus 1–5 Parvovirus LRVb <1 Retrovirus >5 Parvovirus LRVa ~1–5 Retrovirus ~2–5 Parvovirus LRVb >4 Retrovirus >5 Virus Flow-Through Protein A Chromatography Virus Inactivation Low pH Virus Binding Chromatography Size Exclusion Virus Nano-Filtration a Remington, et. al. Viral Clearance By Protein A, Anion Exchange and Cation Exchange Chromatography Steps. Amer. Pharm. Review. 2015 b Merck KGAa Darmstadt Germany data
  • 12. BioReliance® Biosafety Testing The life science business of Merck KGaA, Darmstadt, Germany operates as MilliporeSigma in the U.S. and Canada. © 2018 Merck KGaA, Darmstadt, Germany and/or its afliates. All Rights Reserved. MilliporeSigma, the vibrant M, and BioReliance are trademarks of Merck KGaA, Darmstadt, Germany or its afliates. All other trademarks are the property of their respective owners. Detailed information on trademarks is available via publicly accessible resources. MS_AD2172EN EXPLORE CONFIDENCE For an unparalleled experience throughout the life cycle of your therapy, BioReliance® world- class biosafety solutions ofer a full range of GMP cell banking services, cell line and virus bank characterization, viral clearance and lot release testing. MilliporeSigma’s complete biosafety testing solutions, paired with our long-standing reputation for quality and expertise, will give you the mission-critical capabilities to bring safe, life-changing medicines to market. Let’s Explore What’s Next at EMDMillipore.com/Explore and BioReliance.com