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Engineering a blood processing facility for viral safety Presented by Cameron Roberts, Senior Engineer 7 February, 2018

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Engineering a blood processing facility for viral safety

Presented by Cameron Roberts, Senior Engineer

7 February, 2018

Slide 2 © PharmOut 2016

Introduction

Engineering a blood processing facility for viral safety

1. What are viruses?

2. Why is viral safety important?

3. What level of risk is acceptable

4. Starting materials of human or animal origin

5. Challenges of removing viruses from biological materials

6. Inactivate and remove residual viruses during processing

7. Adhere to GMP in all production steps

8. Impact on facility and process design

9. Case study

Slide 3 © PharmOut 2016

What are viruses?

In context of manufacturing medicines from human or animal sources:

• Virus don’t replicate or metabolise outside of host cell

• Genetic structure (e.g. DNA or RNA)

• Not living organism as unable to reproduce

• Causative agent of disease

• Risk of transmission to patient

• Usually species specific

• Viruses are very small

Slide 4 © PharmOut 2016

Virus risks in human blood plasma

Virus Structure

Hepatitis A Non-enveloped single stranded RNA 28-30nm

Hepatitis B Enveloped double stranded DNA 40-45 nm

Hepatitis C Enveloped single stranded RNA 40-50 nm

HIV Enveloped single stranded RNA 80-130 nm

Slide 5 © PharmOut 2016

Challenges of removing viruses from biological materials

Generally biologicals (animal or human origin) are:

• Of limited supply hence desirable to maximise yield

• Costly to collect and test

• Variable risks over geography, population and time

• Sensitive to temperature, pH and mechanical shear

• Sterile medicines processed aseptically

To achieve viral safety it is desirable to:

• Minimise virus risks in starting material

• Achieve viral reduction without reducing product yield

• Prevent re-contamination after each viral reduction step

Slide 6 © PharmOut 2016

Swiss Cheese Model: Blood Products

Slide 7 © PharmOut 2016

Limitation of selection / screening

Viral safety steps not related to facility design:

• Select donors (or controlled herds)

• Screen donations - sampling and testing individuals

• Pool testing

• Manage post donation events

Limitations:

• Reliable test for know nucleic acid (NAT) or antibodies

• Window between donor infection and detectable test

• QC testing of finished product unlikely to detect low concentration of virus

So manufacturing steps are essential for viral safety

Slide 8 © PharmOut 2016

Viral safety: Inactivate and remove residual viruses during processing

Examples of inactivating and removing viruses during processing:

1. Virus inactivation

• Heat treatment: pasteurisation, lyophilisation

• Low pH incubation

• Solvent detergent

2. Virus removal

• Nano-filtration

• Chromatography

Two or more steps required

Viral clearance studies required

Slide 9 © PharmOut 2016

Viral inactivation procedures

Slide 10 © PharmOut 2016

Viral removal procedures

Slide 11 © PharmOut 2016

Viral inactivation example: Pasteurisation

Bulk Pasteurisation of human albumin:

• Heat treatment

• Temperature: 60 +/- 0.5 °C

• Duration: 10-11 hours continuously

• Demonstrated safety with respect to hepatitis viruses and HIV

• Need to demonstrate process parameters

Challenges in process tank design

Slide 12 © PharmOut 2016

Pasteurisation Process Steps

Process step Challenge

Set up Viral decontamination prior to use

Clean in Place Effective viral decontamination (sodium hydroxide concentration, time and temperature)

Steam in Place System designed for steam pressure, vacuum and temperature

Charging product Risk of unpasteurised product falling into tank after pasteurisation

Heat up phase Even temperature, mild agitation, whole tank

Pasteurisation As above 60+/-0.5°C

Cool down

Transfer Prevent re-contamination

Slide 13 © PharmOut 2016

Pasteurisation tank design

T

T

T

Process Control

Slide 14 © PharmOut 2016

Viral safety: Adhere to GMP in all production steps

GMP is critical to viral safety

Key Considerations:

1. Starting material is main contamination source

2. Identify process steps to reduce viral load in product

3. Multiple viral reduction steps required

4. Processing after viral reduction steps to prevent recontamination

Cross contamination technical measures (EU GMP Chapter 5)

Slide 15 © PharmOut 2016

Process and Facility Design

Process and Facility Design considerations:

1. Dedicated process equipment (especially centrifuges, ultrafiltration and chromatography are difficult to clean)

2. Closed or single use equipment

3. Separate “safety zones” after each viral reduction step

4. Separate entrances

5. Separate air handling units

6. Separate cleaning equipment (manual, CIP, room)

7. Personnel, product, equipment and waste flow

8. Multidiscipline team

Diafiltration to Clarification

Post-Chromatography to Filling

Purification to Chromatography

Buffer Preparation

Dispensary

MAL Starting Materials

HPW, CIP etc.

MAL Packaging Materials

MAL Packaging Materials

PAL to Grade D

PAL to Grade C to Chromatography

PAL to Grade C Post Chromatography

Cell Separation

BWB transfer

Packaging Materials

Warehouse Starting Materials

Cool Room

Wash room

Storage room

Corridor

MAL Filled bags

Personnel flow

Material flow

Process flow

CNC

Interconnecting Spaces

P/T

Slide 17 © PharmOut 2016

Architectural Layout

Slide 18 © PharmOut 2016

Process design: P&ID development

Slide 19 © PharmOut 2016

Layout with Process Equipment 3D

Slide 20 © PharmOut 2016

HVAC Schematic

Slide 21 © PharmOut 2016

Separate Air Handling Units

Slide 22 © PharmOut 2016

Clean Room Ductwork Layout

Slide 23 © PharmOut 2016

Conclusion

Viral safety involves:

• Selection and testing of starting materials

• Demonstrated viral reduction steps

• Cross functional design team

Viral reduction steps dictate:

• Handling of product after viral reduction

• Layout of facility

• Facility design and operation to prevent re-contamination

Slide 24 © PharmOut 2016

Thank you.Any Questions?

Cameron Roberts

[email protected]

Senior Engineering