Table 3.
Proposed QC tests and cutoffs for end-of-expansion, clinical canine CAR T cellular products
| Assessment | Method | Cutoff |
|---|---|---|
| Identity | ||
|
Flow cytometrya | Positive |
| Purity | ||
|
Flow cytometryb | > 3% |
|
Trypan Blue, flow cytometryb | > 90% viable |
|
Flow cytometryb | None |
|
Microscopy | None |
| Safety | ||
|
Gram stainingc | Negative |
|
MycoAlert (biochemical) testd | Negative |
|
RD114 qPCRe | Decreased to undetectable |
| Potency | ||
|
ELISAf | Positive |
CAR expression could be also confirmed by PCR.
The same flow cytometry panel used for day-4 and end-of-expansion assessment may be sufficient to determine the proportion of CAR+ cells, T cells and viable cells.
Gram staining can be performed in-house using commercially available kits, e.g., Remel™ Gram Staining Kit, Thermo Scientific™, cat# R40080, or at commercial microbiology laboratories, i.e., the microbiology laboratory at the University of Pennsylvania’s School of Veterinary Medicine.
Mycoplasma contamination can be quickly detected using a biochemical, luciferase-based assay that selectively detects the activity of mycoplasmal enzymes, e.g., MycoAlert Mycoplasma Detection Kit (Lonza).
Strategies to monitor for the emergence of Replication-Competent Retrovirus (RCR), including RD114 pseudotyped retrovirus in canines, have been previously described (Narushima et al., 2011). These may entail qPCR assays and should be performed on CAR T cell samples during manufacturing and after infusion on patient samples obtained at defined time points.
To assess IFNy release, we use the Canine IFN-gamma DuoSet ELISA kit, RnDSystems Cat# DY781B, according to the manufacture’s recommendations Canine-IFN-gamma-Duoset-ELISA. For an example of assay setup, please refer to (Panjwani et al., 2020).