Regulatory workshop on challenge strain development and GMP manufacture - a stakeholder meeting report
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Published version
Author(s)
Type
Journal Article
Abstract
Within the Innovative Health Initiative (IHI) Inno4Vac CHIMICHURRI project, a regulatory workshop was organised on the development and manufacture of challenge agent strains for Controlled Human Infection Model (CHIM) studies. Developers are often uncertain about which GMP requirements or regulatory guidelines apply but should be guided by the 2022 technical white paper "Considerations on the Principles of Development and Manufacturing Qualities of Challenge Agents for Use in Human Infection Models" (published by hVIVO, Wellcome Trust, HIC-Vac consortium members). Where those recommendations cannot be met, regulators advise following the "Principles of GMP" until definitive guidelines are available. Sourcing wild-type virus isolates is a significant challenge for developers. Still, it is preferred over reverse genetics challenge strains for several reasons, including implications and regulations around genetically modified organisms (GMOs). Official informed consent guidelines for collecting isolates are needed, and the characterisation of these isolates still presents risks and uncertainty. Workshop topics included ethics, liability, standardised clinical endpoints, selection criteria, sharing of challenge agents, and addressing population heterogeneity concerning vaccine response and clinical course. The organisers are confident that the workshop discussions will contribute to advancing ethical, safe, and high-quality CHIM studies of influenza, RSV and C. difficile, including adequate regulatory frameworks.
Date Issued
2024-02
Date Acceptance
2024-01-27
Citation
Biologicals, 2024, 85
ISSN
1045-1056
Publisher
Elsevier
Journal / Book Title
Biologicals
Volume
85
Copyright Statement
© 2024 The Authors. Published by Elsevier Ltd on behalf of International Alliance for Biological Standardization. This is an open access article under
the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38309984
Subjects
Challenge agents
CMC
GMP
Regulatory
Publication Status
Published
Coverage Spatial
England
Article Number
101746
Date Publish Online
2024-02-03