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Roundtable Report – Infectious Disease Clinical Trials: Navigating Innovation & Rising Complexity

COVID-19 accelerated infectious disease R&D, but timelines and funding are now normalizing. Persistent operational barriers remain, and improved surveillance and communication are needed to enhance vaccine development and trial efficiency.

Our roundtable report from the World Vaccine Congress 2024 discusses the evolving landscape for infectious disease clinical trials, the operational barriers for therapeutics and vaccine development, and why improving epidemiologic surveillance and communication are critical to strengthening site and patient enrollment in clinical trials.

Panelists

Nele Langenaken

General Manager, Cerba Research

Chijioke Bennett

Senior Director, Clinical Development, Novavax

Grace Chen

Vaccine Development Consultant

Trina Racine

Director, Vaccine Development, VIDO

John Rex

Chief Medical Officer, F2G

Roxana Rustomjee

Senior Director, Clinical Development, Infectious Diseases, BioNTech

Janelle Hart

Managing Editor, Custom Content, Citeline (Moderator)

Nele Langenaken – General Manager, Cerba Research

Chijioke Bennett – Senior Director, Clinical Development, Novavax

Grace Chen – Vaccine Development Consultant

Trina Racine – Director, Vaccine Development, VIDO

John Rex – Chief Medical Officer, F2G

Roxana Rustomjee – Senior Director, Clinical Development, Infectious Diseases, BioNTech

Janelle Hart – Managing Editor, Custom Content, Citeline (Moderator)

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Case Study – Evidence For The Utility Of AI In Ki-67 Quantification In Solid Tumors

Although it is an important biomarker in oncology (mostly in breast and prostate), Ki-67 immunohistochemistry (IHC) analysis has yet to be standardized. Working groups have provided guidelines for Ki-67 scoring in different cancer types to limit pathologist’s variability.

Digital analysis solutions to assist scoring with image analysis or artificial intelligence (AI) have recently emerged in the evaluation of Ki-67 as rapid and robust solutions. In this context, we compared the results of Ki-67 scoring performed with Aiforia Platform ® (AI platform) and Halo ® (image analysis supervised software) against three independent pathologists on various solid tumors.

Discover more about this in the case study.

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Poster – Development And Validation Of Flow Cytometry Assays For Autologous And Allogenic CAR T In Global Clinical Programs

The advancement in cell and gene therapies, particularly chimeric antigen receptor (CAR) T cell therapy, marks a significant breakthrough. A prevalent approach in current CAR T cell therapies involves using the patient’s own modified T cells, known as autologous CAR T cells. However, due to their cost-effectiveness and ready availability, there is an increasing shift towards next-generation allogeneic CAR T cells in clinical trials. These allogeneic CAR T cells are derived from healthy donors and engineered for therapeutic use.

Innovative Techniques for CAR T Cell Detection and Monitoring

For the detection and monitoring of CAR T cells in patients, two main techniques are employed: PCR and flow cytometry. Flow cytometry, however, stands out for its ability to determine the phenotype of CAR T cells. This feature of flow cytometry is vital for assessing the expansion and persistence of CAR T cells in patients, aligning with the FDA’s draft guidance recommendations. The role of flow cytometry extends beyond detection to playing a pivotal role in monitoring CAR T cells during clinical trials. It enables investigators to gain deeper insights into the behavior of CAR T cells post-infusion and their interaction with the patient’s endogenous immune system. Understanding these dynamics is crucial for evaluating the efficacy and safety of CAR T cell therapies.

In summary, flow cytometry is not just a tool for detection; it is a critical component in the advancement and monitoring of CAR T cell therapies, offering invaluable insights into the therapeutic potential and interaction of these engineered cells within the patient’s immune system.

In this poster, first presented at ESCCA 2023, discover how Cerba Research has implemented both autologous and allogenic CAR T assays.

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Case Study – Revolutionizing Flow Cytometry: The Development Of A Ki-67 Expressing Cell Mimic For Advanced Assay Validation

In the rapidly evolving landscape of immuno-oncology research, Cerba Research has set a new standard with its latest project in collaboration with Slingshot Biosciences. This case study delves into the critical challenges and innovative solutions in the realm of flow cytometry and assay validation. At the heart of this groundbreaking project was the development of a Ki-67 expressing cell mimic, a crucial tool for advancing flow cytometry assays.

Overcoming The Scarcity Of Ki-67 Expressing Cells

Addressing a significant gap in the market, this collaboration aimed to overcome the limitations posed by the scarcity of Ki-67 expressing cells in standard biological samples. The synergy between Cerba Research’s expertise in clinical trial services and Slingshot Biosciences’ cutting-edge technology led to the creation of a custom-made Ki-67 cell mimic.

This solution not only met but exceeded the expectations in assay validation, showcasing a leap forward in flow cytometry techniques. This case study highlights the transformative impact of this project, marking a milestone in assay validation and flow cytometry applications in clinical research.

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Presentation – Translating Scientific Challenges Into Scientific Challenges Into Preclinical Research Solution