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Manufacturing CAR T Therapies: A Review of Methods, Controls, and Innovations for Scalable, Accessible Treatments. 制造CAR - T疗法:可扩展、可获得治疗的方法、控制和创新综述。
Q3 Medicine Pub Date : 2026-03-17 DOI: 10.5731/pdajpst.2025-000059.1
Jose A Caraballo-Oramas

Chimeric antigen receptor (CAR) T cell therapies have transformed the treatment of hematologic malignancies, providing meaningful clinical outcomes for patients with limited therapeutic options. However, the complexity of these therapies presents significant manufacturing challenges that could affect cost, scalability, and accessibility. Early CAR T production relied on highly manual, variable processes developed in academic settings, while current commercial manufacturing has moved toward more structured and standardized platforms. This review examines how that transition unfolded, with particular attention to changes in process design, analytical control strategies, and quality systems that support more robust manufacturing operations. Rather than individual technologies, the literature emphasizes increased levels of maturity in process controls as the defining feature of progress in manufacturing. Improvements in unit operations have helped enable more predictable scale-out of therapies, reinforcing the role of manufacturing in translating scientific innovation into consistent clinical delivery.

嵌合抗原受体(CAR) T细胞疗法已经改变了血液系统恶性肿瘤的治疗,为治疗选择有限的患者提供了有意义的临床结果。然而,这些疗法的复杂性带来了重大的制造挑战,可能会影响成本、可扩展性和可及性。早期的CAR - T生产依赖于在学术环境中开发的高度手动的可变流程,而目前的商业制造已经转向更加结构化和标准化的平台。这篇综述探讨了这种转变是如何展开的,特别关注工艺设计、分析控制策略和质量系统的变化,这些变化支持更稳健的制造操作。而不是个别的技术,文献强调在过程控制成熟度的提高水平作为制造业进步的定义特征。单元操作的改进有助于实现更可预测的治疗扩展,加强了制造业在将科学创新转化为一致的临床交付方面的作用。
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引用次数: 0
Study of LAL and Recombinant Cascade Reagents Methods for Bacterial Endotoxin Testing in Pharmaceutical Products. LAL和重组级联试剂法检测药品细菌内毒素的研究。
Q3 Medicine Pub Date : 2026-03-17 DOI: 10.5731/pdajpst.2025-000073.1
Dr Prasad Thota, Piyush Kumar, Dr Anil Kumar Teotia, Anshika Kaushik, Roshni Rajpali, Dr Manoj Pandey, Dr Meenakshi Dahiya, Dr V Kalaiselwan

The bacterial endotoxin method uses amoebocyte lysate reagents from the horseshoe crab (Limulus polyphemus or Tachypleus tridentatus) to detect and quantify bacterial endotoxin in injectable medications and medical devices. Two types of recombinant reagents have been introduced by various manufacturers, and the equivalency of these results to natural Limulus Amoebocyte Lysate (LAL) reagents has been recently assessed by the United States, European, and Japanese Pharmacopoeia. Recombinant reagents and amoebocyte lysate reagents appear to be highly comparable, according to several investigations.Limulus Amoebocyte Lysate assays are currently the gold standard. LAL is used in vitro for the precise detection of endotoxins and is based on the endotoxin-activated Factor C-mediated clotting cascade. In our quality control laboratory, we tested several categories of drug samples using different compendial methods for detection of bacterial endotoxin method that provides reliable and consistent results. Since 2024, a bacterial endotoxin test based on recombinant cascade reagent (rCR), the endotoxin sensor recombinant factor C, factor B, and pro-clotting enzyme inside of LAL, has been used as an animal-free alternative to LAL. The non-animal derived reagents rCR, which uses cloned genes from the genome of the Limulus polyphemus horseshoe crab to detect and measure bacterial endotoxins.In addition to providing ethical and environmental benefits over traditional LAL assays, rCR eliminates interfering Horseshoe Crab blood components, allowing for extremely specific endotoxin detection. For rCR test performance in routine setting, a comparative study was conducted of compendial bacterial endotoxin testing by LAL with alternates animal-free reagents rCR and summarize the evidence presented by using analysis of different categories of pharmaceutical products. According to the compendial endotoxin testing requirements, all results were acceptable. When the rCR assay was applied rather of the LAL test, no interference was seen in certain samples. In this study, that rCR and LAL are equivalent and comparable.

细菌内毒素法使用马蹄蟹(鲎)的变形虫细胞裂解试剂检测和定量注射药物和医疗器械中的细菌内毒素。不同的制造商已经推出了两种类型的重组试剂,最近美国、欧洲和日本药典评估了这些结果与天然鲎试剂(LAL)的等效性。根据几项调查,重组试剂和阿米巴细胞裂解试剂似乎具有高度可比性。鲎试剂是目前的金标准。LAL在体外用于内毒素的精确检测,是基于内毒素活化因子c介导的凝血级联。在质控实验室,我们采用不同的药典方法对几类药品样品进行了细菌内毒素检测,结果可靠一致。自2024年以来,基于重组级联试剂(rCR)、内毒素传感器重组因子C、因子B和LAL内部的促凝酶的细菌内毒素检测已被用作LAL的无动物替代方法。非动物源性试剂rCR,利用鲎基因组克隆基因检测细菌内毒素。与传统的LAL测定法相比,rCR除了具有伦理和环境方面的优势外,还消除了马蹄蟹血液成分的干扰,从而实现了极具特异性的内毒素检测。针对常规环境下rCR检测的性能,对LAL法与替代无动物试剂rCR法进行药典细菌内毒素检测的比较研究,并通过对不同类别药品的分析总结证据。根据药典内毒素检查要求,所有结果均可接受。当应用rCR试验而不是LAL试验时,在某些样品中没有看到干扰。在本研究中,rCR和LAL是等价的,具有可比性。
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引用次数: 0
Determination of Trace Nitrosamines in Plastic Pharmaceutical Packaging Materials. 塑料医药包装材料中痕量亚硝胺的测定。
Q3 Medicine Pub Date : 2026-03-17 DOI: 10.5731/pdajpst.2025-000072.1
Lukas Jost, Frank Sprau, Lukas Thörner, Annie Wan, Payden Trujillo, Shiwei Zhou, Lucas Shaner, Ethan Li, Bilig Sechin, Lars Gläser, David Young, Percy Kampeis, Weichun Yang

Nitrosamines are classified as probable (IARC Group 2A) or possible (IARC Group 2B) human carcinogens, capable of inducing tumors even at very low concentrations (nanogram per liter levels). Regulatory considerations specifically affect Large Volume Parenteral (LVP) products due to the high application volume combined with very low allowable intake limits. These compounds have already attracted significant attention for elastomer materials like rubber. A recent FDA communication highlighted the particular importance of infusion bags, given their unique nature. In this study, over 300 batches of plastic materials, used for LVP packaging, were tested and trace levels of nitrosamines at ng/L scale were detected in several plastic granules and films. These results indicated the importance of nitrosamine profiling during raw material qualifications for LVP products.

亚硝胺被归类为可能的(IARC 2A组)或可能的(IARC 2B组)人类致癌物,即使在极低浓度(每升纳克含量)下也能诱发肿瘤。监管方面的考虑特别影响了大剂量静脉注射(LVP)产品,因为大剂量的应用结合了非常低的允许摄入量限制。这些化合物已经引起了橡胶等弹性体材料的极大关注。FDA最近的一份通报强调了输液袋的特殊重要性,因为它们具有独特的性质。本研究对300多批用于LVP包装的塑料材料进行了检测,在几种塑料颗粒和塑料薄膜中检测出微量亚硝胺含量为ng/L。这些结果表明亚硝胺分析在LVP产品原料鉴定中的重要性。
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引用次数: 0
Pinch Force Endurance and Usability Considerations for Pre-filled Syringe Designs Used by Chronic Obstructive Pulmonary Disease Patients. 慢性阻塞性肺疾病患者使用的预填充注射器设计的捏力耐力和可用性考虑。
Q3 Medicine Pub Date : 2026-03-17 DOI: 10.5731/pdajpst.2025-000049.1
Xueke Wang, Jaclyn Baron, Joanna So, Laura Morton, James Hoare, Julian Dixon, Sherri Biondi

Background Prefilled syringes (PFS) are commonly used for self-administered injectable drugs, particularly for chronic conditions. A critical design factor is the injection force needed to depress the plunger, which varies by drug viscosity and syringe mechanics. This is especially important for patients with potential strength limitations. Human factors studies help evaluate these physical demands to ensure PFS can be used safely and effectively across diverse users. Assessing both maximum force capabilities and endurance provides key insights for optimizing syringe design and minimizing patient discomfort.Objectives This study evaluated Chronic Obstructive Pulmonary Disease (COPD) patients' experience with PFS samples of varying injectability (injection force and duration) and measured pinch force endurance-an indicator for PFS physical demand. Those insights aimed to guide PFS design for users with strength limitations.Methods 42 COPD patients performed simulated injections using three PFS samples (28N, 38N, 47N force) and rated perceived demand. They also gripped a surrogate PFS device at 28N and maximum force to measure endurance. Data predicted the 5th percentile pinch force endurance for COPD patients.Results The estimated COPD patients' 5th percentile pinch force endurance at 28N was 16 seconds, while their maximum pinch force endurance was around 4.4 seconds. Males pinched and held 28N longer than females, but no gender difference was observed at the maximum force. Endurance decreased as required force approached maximum capacity (consistent with Rohmert's Curve).Conclusions PFS usage can be challenging for users with strength limitations. A 28N force was sustainable for 16 seconds for 95% of COPD patients. Developers should minimize injection force where possible and accommodate varied injection styles-lower forces improve endurance, aiding users with reduced strength. These findings support designing accessible PFS for diverse populations.

预充式注射器(PFS)通常用于自我给药的注射药物,特别是慢性疾病。一个关键的设计因素是压下柱塞所需的注射力,该注射力随药物粘度和注射器力学而变化。这对于有潜在力量限制的患者尤其重要。人为因素研究有助于评估这些物理需求,以确保PFS可以安全有效地用于不同的用户。评估最大力量能力和耐力为优化注射器设计和最大限度地减少患者不适提供了关键见解。目的:本研究评估慢性阻塞性肺疾病(COPD)患者使用不同注射性(注射力和持续时间)的PFS样品的体验,并测量捏力耐力- PFS身体需求的指标。这些见解旨在为有力量限制的用户指导PFS设计。方法42例COPD患者分别使用3种PFS样品(28N、38N、47N力)进行模拟注射,并评定感知需求。他们还在28N和最大力的情况下抓住一个替代PFS装置来测量耐力。数据预测了COPD患者的第5百分位捏力耐力。结果慢性阻塞性肺病患者在28N时的第5百分位捏力耐力为16秒,最大捏力耐力约为4.4秒。雄性比雌性长捏28N,但在最大力度上没有观察到性别差异。耐力随着所需的力接近最大容量而下降(与Rohmert曲线一致)。结论:对于力量受限的患者,PFS的使用具有挑战性。对于95%的COPD患者,28N的力可以持续16秒。开发人员应该尽可能减少注射力,并适应不同的注射方式——较低的注射力可以提高耐力,帮助用户减少注射力。这些发现支持为不同人群设计可访问的PFS。
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引用次数: 0
Does Disinfection Influence your Environmental Monitoring Data or Does your Environmental Monitoring Data Influence your Disinfection Protocols? Poster presented at PDA Microbiology Conference 2025. 消毒会影响你的环境监测数据还是环境监测数据会影响你的消毒方案?在PDA微生物学会议2025上发表的海报。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.26112
Nyssa-Marie Finegan

The answer to this question is yes, and yes. The two subjects co-exist within pharmaceutical manufacturing in aseptic and sterile environments. This poster will highlight how environmental monitoring and disinfection provide continuous trending, process improvement, and final product evaluations. The processes need to be designed to identify outliers (biological and numerical) and objectionable organisms and assess cleaning protocols based on data collected. The information acquired through environmental monitoring and disinfectant efficacy studies helps to determine effective Root Cause Analysis and Corrective Action when issues with contamination are encountered. The processes, when performed and evaluated consistently will ensure that manufacturing environments are in a state of control and the products manufactured in sterile and aseptic environments are pure, safe, and effective.

这个问题的答案是肯定的,而且是肯定的。这两个课题在无菌和无菌环境下的制药生产中共存。这张海报将强调环境监测和消毒如何提供持续趋势、过程改进和最终产品评估。需要设计这些过程来识别异常值(生物和数值)和有害生物,并根据收集的数据评估清洁方案。通过环境监测和消毒剂功效研究获得的信息有助于在遇到污染问题时确定有效的根本原因分析和纠正措施。当这些工艺的执行和评价一致时,将确保生产环境处于受控状态,在无菌和无菌环境中生产的产品是纯净、安全、有效的。
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引用次数: 0
Evaluation of The Mango System for Rapid Recovery of Microorganisms: Poster presented at PDA Microbiology Conference 2025. 芒果系统对微生物快速回收的评估:在2025年PDA微生物学会议上发表的海报。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.26117
Lia Jeffrey, Krzysztof Paczesny, Lara Pebley, Christopher Burgos, Lovette Jenkins, Jessica Hankins, Amy McDaniel

The Mango system was evaluated by spiking Fluid A with seven different microorganisms: Clostridium sporogenes ATCC 11437, Cutibacterium acnes ATCC 6919, Staphylococcus aureus ATCC 6538, Bacillus spizizenii ATCC 6633, Aspergillus brasiliensis ATCC 16404, Pseudomonas paraeruginosa ATCC 9027, and Candida albicans ATCC 10231. For each microorganism, two replicates were prepared on spread plates, Oasis TSA cartridges, and Mango Cartridges. Each microorganism was tested three times by three different analysts. The inoculated control plates (Oasis and spread plates onto TSA medium) were incubated at 30-35°C for 24h to 7 days. The Mango test plates were incubated for 16-160h.The study provides comparative data on the time to detection and recovery rates for the tested microorganisms. The results indicated that the Mango system consistently showed faster time to detection for aerobic organisms than traditional methods, however incubation time and conditions were microorganism-dependent, particularly for anaerobic bacteria such as C. sporogenes and C. acnes. In addition, this study showed that the rates of recovery between the Mango and traditional systems were equivalent and provides data on the filterability of different matrices. The findings indicate that the Mango system has potential to rapidly and consistently recovery microorganisms from biopharmaceutical samples.

用7种不同的微生物对芒果系统进行了评价:产孢梭菌ATCC 11437、痤疮表皮杆菌ATCC 6919、金黄色葡萄球菌ATCC 6538、尖孢芽孢杆菌ATCC 6633、巴西曲霉ATCC 16404、副铜绿假单胞菌ATCC 9027和白色念珠菌ATCC 10231。对于每种微生物,分别在涂布板、Oasis TSA试剂盒和Mango试剂盒上制备两个重复。每种微生物由三位不同的分析人员检测三次。接种后的对照板(Oasis和涂布板上的TSA培养基)在30-35℃下孵育24小时至7天。芒果培养皿孵育16-160h。该研究提供了被测微生物的检测时间和回收率的比较数据。结果表明,与传统方法相比,Mango系统始终显示出更快的好氧生物检测时间,但培养时间和条件是微生物依赖的,特别是对厌氧细菌,如孢子孢杆菌和痤疮杆菌。此外,本研究表明芒果和传统系统之间的回收率是等效的,并提供了不同基质的过滤能力的数据。研究结果表明,芒果系统具有快速和一致地从生物制药样品中回收微生物的潜力。
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引用次数: 0
Detection of Bacillus Subtilis Endopores Using an Online Water Bioburden Analyzer: Poster presented at PDA Microbiology Conference 2025. 使用在线水生物负荷分析仪检测枯草芽孢杆菌内孔:在PDA微生物学会议2025上发表的海报。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.26129
Kim Perkins, Amanda Picazzo, Deja Van Vliet

Bacterial endospores represent a significant challenge to the pharmaceutical industry due to their presence in the environment, resistance to many commonly used inactivation procedures, and difficulty in culturing using traditional plating methods. This may result in the inadvertent release of contaminated products that may present health concerns for the patient. As a result, the use of a bio-fluorescent particle counter (BFPC) may prove advantageous for the detection of both water-borne and air-borne spores as their detection is not dependent on traditional culturing methods. In this study, we investigate the ability of an online water bioburden analyzer (OWBA), a specific class of BFPC, to detect Bacillus subtilis spores in pharmaceutical-grade water and present the results as auto-fluorescence units (AFU's) per B. subtilis spore. The spores were a commercial grade spore preparation and were previously quantified per manufacture recommendations. The results show that the OWBA can detect B. subtilis spores with an accuracy of 1.25 AFU per spore. The limit of detection was determined to be 1 spore/mL with a linearity greater than 0.9025 up to a concentration of 100 spores/mL. This data shows that OWBA's are a rapid and effective tool for the detection of bacterial endospores in pharmaceutical waters.

由于细菌内生孢子存在于环境中,对许多常用的灭活程序具有抗性,并且难以使用传统的电镀方法进行培养,因此对制药工业构成了重大挑战。这可能会导致无意中释放出受污染的产品,从而可能给患者带来健康问题。因此,使用生物荧光粒子计数器(BFPC)可能有利于检测水传播和空气传播的孢子,因为它们的检测不依赖于传统的培养方法。在这项研究中,我们研究了在线水生物负荷分析仪(OWBA)检测药用级水中枯草芽孢杆菌孢子的能力,并将结果显示为每个枯草芽孢杆菌孢子的自动荧光单位(AFU)。孢子是商业级孢子制剂,以前根据生产建议进行了量化。结果表明,OWBA检测枯草芽孢杆菌的准确率为1.25 AFU /孢子。检测限为1个孢子/mL,在浓度为100个孢子/mL前线性大于0.9025。这一数据表明,OWBA是一种快速有效的检测制药用水中细菌内生孢子的工具。
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引用次数: 0
Understanding the Impacts and Science Behind Disinfectant Residue: Poster presented at PDA Microbiology Conference 2025. 了解消毒剂残留背后的影响和科学:在2025年PDA微生物会议上发表的海报。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.26120
Dan Klein

EU GMP Annex I, Section 4.36 specifically states that "Cleaning programs should effectively remove disinfectant residues". Although residue in controlled environments, and disinfectant residue in particular, has been around since the advent of cleanroom disinfection, there is currently an increased sensitivity towards understanding and mitigating cleanroom residues.This talk will focus on the science and microbiology of scientific residues including potential impact on rotational sporicides, the likelihood of trapping microorganisms and best practices for addressing residue in the cleanroom. The active ingredients and surfactants that make up disinfectant residue are not inherently bad, but instead key components of a complex formulation. By understanding the nature of disinfectant residue and their impacts, continuous improvements can be made to optimize an overall cleaning and disinfection program.

EU GMP附录I第4.36节明确规定“清洁程序应有效去除消毒剂残留物”。尽管自洁净室消毒出现以来,受控环境中的残留,特别是消毒剂残留一直存在,但目前对理解和减轻洁净室残留的敏感性有所提高。本次讲座将重点讨论科学残留物的科学和微生物学,包括对轮作杀孢剂的潜在影响,捕获微生物的可能性以及在洁净室中处理残留物的最佳实践。构成消毒剂残留物的活性成分和表面活性剂本身并不是有害的,而是复杂配方的关键成分。通过了解消毒剂残留的性质及其影响,可以不断改进以优化整体清洁和消毒方案。
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引用次数: 0
2025 in Review. 回顾2025年。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.02611
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引用次数: 0
Automating Endotoxin Testing in a GMP Environment: Poster Presented at PDA Microbiology Conference 2025. 自动化内毒素检测在GMP环境:海报提交在PDA微生物会议2025。
Q3 Medicine Pub Date : 2026-02-28 DOI: 10.5731/pdajpst.2026.26139
Katharina Stoib

Roche has implemented an automated endotoxin system (Lonza PyroTec® PRO) in commercial Quality Control microbiology.The key drivers for the implementation were to reduce ergonomic risk, save time and resources, increase data integrity, simplify training, digitalization, digital data flow and increase the right-first-time rate.The strategic approach to implementation and conclusions from routine testing shall be shared and discussed.

罗氏在商业质量控制微生物学中实施了自动内毒素系统(Lonza PyroTec®PRO)。实施的关键驱动因素是降低人体工程学风险、节省时间和资源、提高数据完整性、简化培训、数字化、数字数据流和提高正确的首次率。应分享和讨论实施的战略方法和常规检测的结论。
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引用次数: 0
期刊
PDA Journal of Pharmaceutical Science and Technology
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