Publication: Controlled Human Infection Studies: Proposals for guidance on how to design, develop and produce a challenge strain
Issued Date
2021-11-01
Resource Type
ISSN
10958320
10451056
10451056
Other identifier(s)
2-s2.0-85119924588
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Biologicals. Vol.74, (2021), 16-23
Suggested Citation
Isabelle Bekeredjian-Ding, Jean Hugues Trouvin, Hilde Depraetere, Carine La, Akamol E. Suvarnapunya, Alan Bell, Alex Mann, Pauline Meij, Jeffrey M. Bethony, Linda Schellhaas, Winfred Badanga Nazziwa, Eric Karikari-Boateng, Jetsumon Sattabongkot Prachumsri, Paula Salmikangas, Dean Smith, Peter Stjärnkvist, Wim Van Molle, Marc Baay, Pieter Neels Controlled Human Infection Studies: Proposals for guidance on how to design, develop and produce a challenge strain. Biologicals. Vol.74, (2021), 16-23. doi:10.1016/j.biologicals.2021.09.002 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/75968
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Title
Controlled Human Infection Studies: Proposals for guidance on how to design, develop and produce a challenge strain
Author(s)
Isabelle Bekeredjian-Ding
Jean Hugues Trouvin
Hilde Depraetere
Carine La
Akamol E. Suvarnapunya
Alan Bell
Alex Mann
Pauline Meij
Jeffrey M. Bethony
Linda Schellhaas
Winfred Badanga Nazziwa
Eric Karikari-Boateng
Jetsumon Sattabongkot Prachumsri
Paula Salmikangas
Dean Smith
Peter Stjärnkvist
Wim Van Molle
Marc Baay
Pieter Neels
Jean Hugues Trouvin
Hilde Depraetere
Carine La
Akamol E. Suvarnapunya
Alan Bell
Alex Mann
Pauline Meij
Jeffrey M. Bethony
Linda Schellhaas
Winfred Badanga Nazziwa
Eric Karikari-Boateng
Jetsumon Sattabongkot Prachumsri
Paula Salmikangas
Dean Smith
Peter Stjärnkvist
Wim Van Molle
Marc Baay
Pieter Neels
Other Contributor(s)
hVIVO Services Limited
Faculty of Tropical Medicine, Mahidol University
P95 CVBA
Paul-Ehrlich-Institut
Health Canada
Leids Universitair Medisch Centrum
Walter Reed Army Institute of Research
The George Washington University
Medical Product Agency Sweden
NDA Advisory Board
Sciensano
International Alliance for Biological Standardization
Food and Drugs Authority
European Vaccine Initiative
Uganda National Council for Science and Technology
Faculty of Tropical Medicine, Mahidol University
P95 CVBA
Paul-Ehrlich-Institut
Health Canada
Leids Universitair Medisch Centrum
Walter Reed Army Institute of Research
The George Washington University
Medical Product Agency Sweden
NDA Advisory Board
Sciensano
International Alliance for Biological Standardization
Food and Drugs Authority
European Vaccine Initiative
Uganda National Council for Science and Technology
Abstract
There is an increasing need to establish quality principles for designing, developing and manufacturing challenge agents as currently these agents are classified differently by various jurisdictions. Indeed, considerations for challenge agent manufacturing vary between countries due to differences in regulatory oversight, the categorization of the challenge agent and incorporation into medicinal/vaccine development processes. To this end, a whitepaper on the guidance has been produced and disseminated for consultation to researchers, regulatory experts and regulatory or advisory bodies. This document is intended to discuss fundamental principles of selection, characterization, manufacture, quality control and storage of challenge agents for international reference. In the development phase, CMC documentation is needed for a candidate challenge agent, while standard operating procedure documentation is needed to monitor and control the manufacturing process, followed by use of qualified methods to test critical steps in the manufacturing process, or the final product itself. These activities are complementary: GMP rules, which intervene only at the time of the routine manufacturing of batches, do not contribute to the proper development and qualification of the candidate product. Some considerations regarding suitability of premises for challenge manufacturing was discussed in the presentation dedicated to “routine manufacturing”.