What Are Cell & Gene Therapies?
Cell & gene therapies are a group of treatments that utilize cells or genes to treat various diseases, most often studied in cancers, autoimmune, and rare diseases. Regulatory authorities such as the FDA regulate cell & gene therapy products and grant the market authorization of several products for patient use (1). Here’s a brief overview:
Cell therapies:
Cell therapies involve using living cells to replace or repair damaged or diseased cells in the body. This can be done in several ways, such as:
- Immune cell therapies: Using immune cells, such as T cells or NK cells to fight diseases like haematological malignancies and multiple myeloma. Chimeric antigen receptor T cell therapy (CAR-T) is one example often evaluated by Cerba Research.
- Stem cell transplants: Replacing impaired cells with healthy or healthy cells derived from stem cells.
- Cell-based tissue engineering: Using cells to create artificial tissues or organs.
Gene therapies:
Gene therapies involve using genes to treat genetic disorders by:
- Replacing defective or missing genes with healthy copies.
- Inactivating faulty genes.
- Introducing new genes to help fight a disease.
Gene therapies can be administered using various techniques, including viral vectors, gene editing methods like CRISPR/Cas9, or by using gene-modified cells. Examples of gene therapies are for inherited disorders like hemophilia and spinal muscular atrophy (1, 2).
Did you know that Cerba Research was involved in the market authorization of 4 CGTs including 3 chimeric antigen receptor T cell therapy (CAR-T) products? Check out our wide range of integrated specialty and safety testing capabilities below and get in touch to learn more.
Your Next-generation Cell & Gene Therapy Development Partner
The fast-paced cell & gene therapy landscape brings the potential for health improvements for patients waiting for appropriate personalized treatments. As such, cell & gene therapy biotech and pharma communities face the challenge of bringing novel therapeutics to the market within tight deadlines. Meeting the demands of cell & gene therapy development at the clinical translational stage of the drug development process requires a strategic partner capable of dealing with highly complex clinical trial designs and laboratory tests. The industry needs highly customized laboratory solutions for their next-generation cell & gene therapy developments to deal with this complexity.
We Perform Specialty Testing In ~95% Of Our Cell & Gene Therapy Portfolio
Cerba Research is uniquely positioned to support your CGT trial with a wide range of in-house laboratory solutions depending on your specific indication. Thanks to our expertise in assay development, validation, customization capabilities, robust kit building, sample management, and logistics, we have executed upon about 60 CGT trials since 2018 and growing. Cerba Research performed cell & gene therapy trials in indications such as multiple myeloma, acute myeloid leukemia, colorectal cancer and epidermolysis bullosa amongst others.
Additionally, Cerba Research can offer tailor-made solutions for your CAR-T and other cell & gene therapies and help you design and validate specialty-based assays aligned with the industry’s complex FDA guidance for the industry as outlined below.
Patient inclusion / exclusion
Immunogenicity testing after screening
Patient inclusion / exclusion
Immunogenicity testing after screening
Adeno-associated virus (AAV) neutralizing antibody (NAb) screening assays
Vector copy number / pharmacokinetics (PK) monitoring
Gene expression
Vector shedding
Biodistribution
Replication
Vector / viral integration sites
T cell receptor (TCR) / B cell receptor (BCR) repertoire profiling
Patient inclusion / exclusion testing after screening
Cytokine release syndrome assessment via our customizable 37-plex mesoscale discovery panel
Intracellular cytokine detection by flow cytometry
T-cell immune response
B-cell immune response
Functional analysis
Immunophenotyping
PD biomarkers
Presence of CAR-T cells
Immunohistochemistry (IHC)
NanoString GeoMx
PK / PD / immunogenicity
We offer customized assay design and fit-for-purpose validation. Cerba Research works with the biotech and pharma communities as a fully integrated partner, using its knowledge and scientific expertise to help sponsors shape testing protocols and identify the right testing strategy to secure successful outcomes. Upon initial validation in the EU or US region, assays can be transferred and implemented around the globe, according to the need of the trial. Cerba Research offers a full suite of immunology, genetics, genomics, and flow cytometry assay solutions as indicated below.
Central Laboratory & Clinical Trial Logistics For Cell & Gene Therapy Development
Our unique combined specialty laboratory and central lab services offer the best of both worlds, allowing our customers to have one partner for all test services. From choosing the most appropriate geographies and labs to our best-in-class logistic network, securing the integrity of samples. Cerba Research’s fully integrated specialty logistic portfolio includes the following:
• Accessibility to a global network of laboratories capable of performing complex specialty testing for cell & gene therapies.
• Global PBMC / BMMC isolation network, securing sample viability and integrity for further downstream analysis.
• Samples are monitored 24/7, temperature-controlled, and transported to reach their destination on time.
• Kit manufacturing, assembly, and worldwide distribution to support your CGT trial.
• Highly customized global logistics solutions for complex cell & gene therapy development challenges.
Adeno-associated Virus 9 (AAV9) Testing
At Cerba, we are performing routine anti-AAV9 antibody testing. The anti-AAV9 human IgG ELISA-based testing is intended for an in vitro semi-quantitative estimation of anti-AAV9 IgG antibodies titers directed against AAV9 capsid particles present in the patient’s serum sample. This assay is intended to assess the presence of anti-AAV9 antibodies in patients (including newborns and infants) diagnosed with spinal muscular atrophy (SMA), a rare genetic disease affecting the central and peripheral nervous system and voluntary muscle movement (2). Antibody titer levels are used to make an appropriate treatment decision, as high titers prohibit administering an appropriate gene therapy.
Cerba Research is your go-to partner for tailored logistic solutions for your next-generation of cell & gene therapies. Here, you can read more about our capabilities to set up and operationalize a highly customized gene therapy targeting SMA.
Immunogenicity In CGT Trials
Our clients are supported from pre-clinical to post-market authorization with our in-depth biologics and biosimilar experience. We offer long-standing scientific expertise in PK and immunogenicity (antibody-drug antibodies (ADAs) and NAbs) with a standardized or customized approach as per your vision.
Our focus extends from monoclonal antibodies to cell & gene therapies and more. In addition, we are Good Laboratory Practice (GLP), the College of American Pathologists (CAP), and Clinical Laboratory Improvement Amendments (CLIA) accredited for your regulatory requirements.
References
1. U.S. Food & Drug Administration: Approved cellular and gene therapy products. URL [Approved Cellular and Gene Therapy Products | FDA].
2. Orphanet. URL [Orphanet].
3. U.S. Food & Drug Administration: Cellular & gene therapy guidances. URL [Cellular & Gene Therapy Guidances | FDA].
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