Abstract
CONFERENCE PROCEEDING Proceedings of the PDA/FDA Adventitious Viruses in Biologics: Detection and Mitigation Strategies Workshop in Bethesda, MD, USA; December 1–3, 2010
Guest Editors: Arifa Khan (Bethesda, MD), Patricia Hughes (Bethesda, MD) and Michael Wiebe (San Francisco, CA)
Adventitious viruses are a major safety concern in biological products. This paper discusses various sources of virus contamination and approaches to develop a comprehensive detection and mitigation strategy for product safety. Additionally, general safety concerns related to adventitious agents in biologics and current testing recommendations by the Center for Biologics Evaluation and Research for demonstrating the absence of adventitious agents in viral vaccines will be presented. The limitations of the conventional assays and the need for and consideration of new technologies for broad detection of novel agents will also be discussed.
- Adventitious agents
- Virus detection assays
- Viral vaccines
- Cell substrates
- Biological products
- Product safety
Introduction
Adventitious viruses are a major safety concern for a variety of products in the U.S. Food and Drug Administration. In the Center for Biologics Evaluation and Research (CBER), this includes vaccines and allergenic extracts regulated by the Office of Vaccines Research and Review; somatic cell and gene therapy products, tissue and tissue-based products, xenotransplantation products, and tumor vaccines and immunotherapy products regulated by the Office of Cell Therapy and Gene Therapy; and whole blood, blood components, blood derivatives, and blood substitutes as well as antivenoms, immune globulins, and immune Fabs regulated by the Office of Blood Research and Review. Adventitious viruses are also an important safety concern in products regulated by other Centers such as recombinant proteins (monoclonal antibodies, cytokines, growth factors, enzymes, and hormones) and naturally-derived protein products (for example urokinase, pancreatic enzyme products, and hyaluronidase) regulated by the Center for Drug Evaluation and Research; collagen, implants, and growth factors (e.g., bone morphogenetic proteins) regulated by the Center for Devices and Radiological Health; foods regulated by the Center for Food Safety and Applied Nutrition; and animal drugs and animal feed additives regulated by the Center for Veterinary Medicine. For all products, rigorous efforts are made to identify the potential sources of virus contamination and to implement strategies for reducing the risk of virus introduction during product manufacture.
Biological products can be grouped into two general categories based upon manufacturing conditions as regards viral inactivation: non-inactivated products, which are minimally-moderately purified and can include complex biological products such as live attenuated and viral-vector vaccines and gene therapy vector products; and inactivated products, which are moderate-highly purified and can include well-characterized biotechnologically-derived products such as recombinant proteins and therapeutic antibodies. It should be noted that although general recommendations and guidances are published for adventitious agent testing of biological products, product-specific and regulatory guidance should be sought from the relevant Office/Center based upon the product and the intended clinical use.
Sources of Adventitious Virus Contamination and Mitigation Strategies
There are various sources of adventitious virus contamination in biologics (1): (a) the source materials (such as virus seed, cell substrate, or biological raw materials for cell culture, e.g., serum and trypsin) may contain naturally occurring exogenous or endogenous viruses or may have become infected with viruses if the donor species was naturally exposed to infectious agents or possibly from animal vaccines; (b) viruses may be acquired during cell culture passage by cross-contamination from infectious materials in the laboratory or other cell production facilities, environment, or by use of nonqualified animal-derived raw materials, as well as arise de novo by recombination; and (c) potential introduction of viruses can also occur during product manufacture due to handling, equipment, or environmental exposure, and due to possible activation of endogenous retroviruses or reactivation of latent DNA viruses by manufacturing conditions and reagents used to enhance product yield.
A comprehensive detection and mitigation strategy for product safety can consist of a three-prong approach aimed at (a) minimizing the risk of introduction of virus contamination in the starting materials for production, (b) assessing the potential for introduction of virus contaminants during product manufacture, and (c) maximizing virus clearance by including steps for effective inactivation and/or removal of any contaminating viruses.
The risk of virus contamination in the upstream processes may be reduced by use of qualified critical biological raw materials. This can be done by extensive testing of the biological starting materials such as cell substrates, vaccine virus seeds, vector virus preparations, donors/tissues, and others for known and unknown agents and by use of certified/tested animal-derived biological materials required for cell growth, differentiation, and selection (e.g., serum, trypsin, antibodies, media/media components, and growth factors).
Evaluation for virus contamination during manufacturing by developing a comprehensive plan for in-process testing of known and novel viruses may provide assurance to a great extent for demonstrating the absence of adventitious viruses in bulk/production lots.
The risk of virus contamination in downstream manufacturing can be mitigated by designing efficient validated processes to (1) reduce potential adventitious virus load, (2) inactivate potentially contaminating viruses in the final product, and (3) demonstrate reduction of residual cell substrate materials.
Detection of Adventitious Viruses
Testing for virus contamination is critical for demonstrating product safety. This is particularly important for novel cell substrates, which may contain unexpected and unindentified agents, and for demonstrating the safety of non-inactivated products, since there are no virus inactivation and removal steps in their manufacturing. Regulatory authorities generally recommend extensive adventitious agent testing at different stages of the manufacturing process targeting steps of potential introduction of virus contamination, and using various sensitive and broad detection assays (2–13). The routine tests for adventitious viruses currently recommended by CBER are detailed in Table I, and examples of some of the viruses detected in the different assays are indicated in Table II. These include general and specific virus detection assays for testing different virus families. However, the use of novel cell substrates and new technologies for product development, and discoveries of previously unknown viruses pose challenges for these conventional assays (Tables III and IV). Therefore, additional tests may be recommended to demonstrate the safety of novel cell substrates (14). These include chemical induction assays using drugs with different mechanisms of virus activation to evaluate latent and occult viruses in novel cell substrates (15, 16) and in vivo oncogenicity assays to evaluate oncogenic viruses in tumorigenic cell substrates. Some general features of these assays are described in Table V. Recently, new, sequence-based technologies have emerged for broad virus detection (17–21). The methods used to discover novel viruses and sequences of previously unknown viruses—massively parallel or deep sequencing, virus microarrays, or long-range polymerase chain reaction (PCR) with mass spectrometry—warrant further consideration and evaluation for their applicability to the testing of biological products (Table VI).
Routine Tests for Adventitious Viruses
Viruses Detected by Different Test Methods
Advantages and Limitations of Conventional Assays for Virus Detection
Challenges for Current Assays for Adventitious Virus Detection
Additional Assays for Adventitious Virus Testing of Novel Cell Substrates
Some Considerations for Introducing New Virus Detection Technologies
Conflict of Interest Declaration
The author declares no competing interests.
Acknowledgments
I thank Andrew Lewis and Amy Rosenberg for review of the paper.
- © PDA, Inc. 2011