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Therapeutics


The modern challenges of cell therapy While cell therapies show great promise in bringing innovative and much needed treatments to patients, there are a number of key issues currently limiting their broader adoption. Safety concerns over the administration of live cells to patients, uncertainties over the way in which these therapies should be regulated, unknown downstream effects and the need for sufficient investment to fully com- mercialise research are all challenges that must be overcome in order to accelerate further develop- ment of cell therapies. Because of the huge potential for variability


within treatments, an additional challenge in cell therapy is the need for robust manufacturing pro- cesses that consistently deliver safe and effective products. Cell therapy manufacturing processes can range from the simple expansion of autologous cells that will be administered back to patients, to the complex genetic manipulation of allogeneic cells that could be stored and banked for the treat- ment of multiple patients. The regulations sur- rounding cell therapies must therefore be suffi- ciently broad to cover this wide range of therapeu- tic processes, while still safeguarding product safe- ty and quality. From a manufacturing point of view, autologous cell therapies can be more challenging to produce


Drug Discovery World Summer 2018


than allogeneic cell therapies, as each dose is a sin- gle batch and is derived from a different source. This presents problems for cell culture, as cells from different patients will behave in distinct ways and source material will contain a variety of cell types with various growth and differentiation capabilities. Additionally, if the cells are stored together there is an increased risk of contamination across batches. In contrast to autologous cell cultures, allogene-


ic cell therapy manufacturing processes are less prone to cross-contamination as they are usually derived from a single large batch. However, other manufacturing challenges remain. Maintaining product consistency throughout the different stages of development is often a difficult task as there are many variables that can affect cell growth. As such, developers of cell therapy prod- ucts must consistently monitor their processes and adopt the best cell culture methods to ensure that products are produced with the desired critical quality attributes.


Avoiding contamination in cell cultures Underpinning the major advances in cell therapy research is the need for robust cell culture condi- tions. Contamination of cell culture experiments is one of the most common problems encountered in


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