Planning Split-Apheresis Designs for Demonstrating Comparability of Cellular and Gene Therapy Products

Richard Burdick, Jeff Hofer, Andrew Karl, Heath Rushing
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Abstract

A recent FDA draft guidance discusses statistical considerations for demonstrating comparability of cell and gene therapy products and processes. One experimental study described in the guidance is the split-apheresis design. The FDA draft guidance recommends a paired data analysis for such a design. This paper demonstrates that the paired analysis is under powered for some quality attributes for practical sample sizes of three to five donors unless a significant portion of variability is attributed to donor. Addition of historic lots from the pre-change process can increase the power for these attributes. This paper provides appropriate statistical methods for including this information.

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为证明细胞和基因治疗产品的可比性而规划分隔设计
美国食品及药物管理局最近的一份指南草案讨论了证明细胞和基因治疗产品及过程可比性的统计注意事项。指导意见中描述的一项实验研究是分次抽血设计。FDA 指南草案建议对这种设计进行配对数据分析。本文表明,对于三至五名供体的实际样本量而言,配对分析对某些质量属性的支持不足,除非很大一部分变异性归因于供体。如果加入更换前过程中的历史批次,则可提高这些属性的分析能力。本文提供了适当的统计方法来纳入这些信息。
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