gene therapy / cell therapy / stem cells – regulations for the "new biologics"

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WRT&A 1 Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics" William R. Tolbert, Ph.D. AOAC-SCS Regulatory & Compliance Conference Friday March 30, 2007 – 10:50 AM

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Page 1: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

WRT&A1

Gene Therapy / Cell Therapy / Stem Cells –

Regulations for the "New Biologics"

William R. Tolbert, Ph.D.AOAC-SCS Regulatory & Compliance

Conference

Friday March 30, 2007 – 10:50 AM

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Applications of FDA Authority Through Product-Centric Centers

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Review of Cell-Based Products

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Products Regulated in OCTGT

Somatic cell therapies

Tumor Vaccines Gene therapies Xenotransplantat

ion Combination

products

Devices used for cell/tissues

Unique assisted reproduction (ooplasmtransfer)

Anti-idiotype antibodies

Tissue and tissue based products

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Somatic cell therapiesGene therapies

Cell therapies are products composed of human or animal cells, or from physical parts of those cells.

Gene therapies introduce genetic material into the body to replace a defective or missing gene, or to treat or cure a disease medical condition.

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Gene Therapy

Ex Vivo

Donor/Recipient

Cell

Cell

DNA

Ex Vivo

Donor/Recipient

Cell

DNA

In Vitro Manipulation

In Vivo

Donor Recipient

Cell DNA

Virus/Vector

In Vivo

Donor Recipient

Cell DNA

Virus/Vector

In Vitro Manipulation

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Vectors for delivery

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Autologous cells transduced with vector

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Somatic Cell TherapyAutologous

Donor/Recipient

Cell

Cell

Cell

In Vitro Manipulation

Allogeneic

Recipient

Cell

Cell

In Vitro ManipulationCord Blood Donor

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Xenotransplantation

Xenotransplantation is any procedure that involves the transplantation, implantation, or infusion into a human recipient of either (a) live cells, tissues, or organs from a nonhuman animal source, or (b) human body fluids, cells, tissues or organs that have had ex vivo contact with live nonhuman animal cells, tissues or organs.

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Xenotransplantation – Not Feasible

Recipient

Cell

CellAnimal DonorAnimal Donor

In Vitro Manipulation

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The Pre-2005 Regulatory Environment for Manufacturing

21 CFR PART 11—ELECTRONIC RECORDS; ELECTRONIC SIGNATURES [Computer Use]

21 CFR PART 58—GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES [GLPs]

21 CFR PARTs 210-211—CURRENT GOOD MANUFACTURING PRACTICE [cGMPs]

21 CFR PARTs 600-680—BIOLOGICAL PRODUCTS

21 CFR PART 820—QUALITY SYSTEM REGULATION [Medical Device GMPs]

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How are Cell-Based Products Different?

Potential for adventitious agents in starting material - possible lack of adequate methods for testing or removal.

Requirement for “aseptic processing”

Inability to effectively “sterilize” the product and often implantation must occur before testing is complete.

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FDA Driving Forces & Challenges for Cell Products

Previous approach (pre 1997) fragmented inadequate inadequate

New products (e.g. stem cells, tissue-engineered, etc.)

New manufacturing technologies, degree of manipulation

Increasing public health concern Increasing demand for cells and tissues Public confidence in products - expectation for

expectation for safe & effective product Industry standards not always followed, not

enforceable

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Cell and Tissue Characteristics

Autologous vs. Allogeneic Viable vs. Nonviable Banked vs. Unbanked Homologous vs. Non-homologous function Minimal vs. More than minimal

manipulation Structural vs. Systemic function Combination product– device, biologic or

drug

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FDA Regulation of Cellularand Tissue-based Products

Human cells, tissues, or cellular or tissue-based products based products [HCT/P’s] Articles containing human cells or tissues that

are intended for transplantation, infusion or transfer into a human recipient

Not including vascularized organs, allogeneic bone marrow transplantation, transfusable blood/blood components, xenotransplantation

Provides a unified, comprehensive regulatory framework

Provides a tiered regulatory approach level of regulation proportional to the degree of

risk

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New FDA Regulation 21 CFR 1271:  PART 1271— HUMAN CELLS,

TISSUES, AND CELLULAR AND TISSUE-BASED PRODUCTS Subpart A—General Provisions Subpart B—Procedures for Registration and Listing Subpart C—Donor Suitability Subpart D—Current Good Tissue Practice (cGTPs) Subpart E—Additional Requirements for

Establishments Described in § 1271.10 (PHS 361 Products)

Subpart F—Inspection and Enforcement of Establishments Described in § 1271.10 (PHS 361 Products)

Final Rule is effective May 25, 2005.

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21 CFR Part 1271“A Line in the Sand”

Regulated As

HCT/P’s under Section 351 of PHS Act

(Biologics or Devices -Must prove safety and

efficacy)

HCT/P’s under Section 361 of PHS Act

(Only for prevention of communicable disease –

No proof of efficacy)

· More than minimally manipulated

· Intended for Non-Homologous Use

· Systemic effect dependent upon metabolic activity (Allogeneic, except close relative)

· Clinical effect is systemic or dependent upon the metabolic activity of the cells for its primary function

· Combined with a device, drug or biologic

· Generally, HCT/P’s recovered, processed, stored, or distributed by methods not intended to change tissue function or characteristics

· Minimally manipulated, homologous use, metabolic tissue for self or close blood relative, or for reproductive use

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Regulatory Requirements for HCT/P’s

“A Line in the Sand”

cGMPs Biologics cGTPs

cGTPs cGTPs cGTPs

QSRs Biologics cGTPs

Tissue CellularTherapeutic

TissueEngineering(Combination of Cells and Device)

Requirements

Premarket Approval

351 PHS Act , FD&CIND, IDE, BLA, PMA

Marketing NotificationFD&C 361 PHS Act

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“361” HCT/Ps (Human cells, tissue and cellular and tissue based products)

Regulated solely under section 361 of the Public Health Service Act and 21 CFR Part 1271 (or 1270)

(“Below the line products”) Traditional: bone, tendons, corneas, Newly regulated: reproductive, autologous cord

blood Part 1271 fully effective May 25, 2005, for all

HCT/Ps recovered after that date Cell based products that meet the Part 1271 limits Human heart valves and dura mater now

regulated solely under 361/1271 if not more than minimally manipulated

No market notification or approval required.

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21 CFR 1271.10 (“Below the line”)

HCT/P regulated solely under section 361 of PHS Act and regulations in part 1271 if it meets all of the following criteria:(1) HCT/P is minimally manipulated(2) HCT/P is intended for homologous

use only, as reflected by the labeling, advertising, or other indications of the manufacturer’s objective intent

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21 CFR 1271.10 (“Below the line”)

(3) Manufacture of HCT/P does not involve the combination of the cell or tissue with another article, except for water, crystalloids, or a sterilizing, preserving, or storage agent, provided that the addition of water, crystalloids, or the sterilizing, preserving, or storage agent does not raise new clinical safety concerns with respect to the HCT/P

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21 CFR 1271.10 (“Below the line”)

(4) Either:(i) HCT/P does not have a systemic effect and

is not dependent upon the metabolic activity of living cells for its primary function; or

(ii) HCT/P has a systemic effect or is dependent upon the metabolic activity of living cells for its primary function, and is for:(a) Autologous use(b) allogeneic use in a first-degree or second-degree

blood relative, or(c )reproductive use

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Minimal Manipulation

(1) For structural tissue, processing that does not alter the original relevant characteristics of the tissue relating to the tissue’s utility for reconstruction, repair, or replacement; and

(2) For cells or nonstructural tissues, processing that does not alter the relevant biological characteristics of the cells or tissues

Guidance for Industry and FDA Staff: Minimal Manipulation for Structural Tissue Jurisdiction Update(www.fda.gov/cber/gdlns/minimaljur.htm)

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Homologous Use

The repair, reconstruction, replacement, or supplementation of a recipient’s cells or tissues with an HCT/P that performs the same basic function or functions in the recipient as in the donor.

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“351” HCT/Ps (Human cells, tissue and cellular and tissue based products)

Regulated under sections 361 and 351 of the PHS Act and under the FDC Act “Above the line” – do not meet all Part

1271 definition limits for “361” products Traditional: Cell based products requiring

compliance with Parts 210, 211 and Parts 600

Subject to routine FDA inspections Requires market approval licensing

(IND/BLA)

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21 CFR Part 1271Establishment Registration and Listing

Requires establishments to register with FDA and list HCT/P’s Exclusions for some (e.g., storage,

carriers, contractors engaging only in recovery and transport)

Lists criteria to determine if HCT/P’s regulated solely under 361 PHS Act

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21 CFR Part 1271Donor Eligibility

Screening and testing of most cell and tissue donors for relevant communicable diseases Exception for autologous donor/ sexually intimate

partner Donor must be eligible prior to HCT/P

administration Free of risk factors & clinical evidence of

communicable disease Acceptable test results Limited exception to use when eligibility

determination not completed urgent medical need, w/o other comparable HCTP

available Limited use of HCT/P from an ineligible donor

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21 CFR Part 1271Good Tissue Practices (cGTPs)

Procedures and controls to prevent introduction, transmission and spread of communicable disease by HCT/P’s communicable disease agents – prior to and

during manufacturing Organized around core requirements, with

supporting requirements Follow all GTP requirements applicable to

function performed Requirement for a Quality Program

Flexibility to determine how to meet requirements

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cGTP Basics Methods, facilities, and controls for

manufacturing to prevent infectious disease contamination

Broad goals applicable to the wide range of HCT/Ps

Establishments have the flexibility to determine how to meet goals through their own procedures

Requires a quality program to prevent, detect, and correct deficiencies that could increase communicable disease risk

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21 CFR Part 1271

Inspection and Enforcement Applicability

Above the line (351 HCT/Ps) – Same as for other Biologics and Devices (Clinical, Pre Approval, Post Approval)

Below the line (361 HCT/Ps) – New requirements specified (Any time after registration)

Inspections May include your establishment, facilities, equipment, finished

and unfinished materials, containers, processes, HCT/Ps, procedures, labeling, records, files, papers, and controls required to be maintained under Part 1271.

May question the personnel of the establishment as necessary to determine compliance

May take samples, may review and copy any records required to be kept under this part, and may use other appropriate means to record evidence of objectionable observations

The inspection may be made with or without prior notification The frequency of inspection will be at the agency’s discretion

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CBER’s Bioresearch Monitoring Branch

Conduct pre-approval data audit inspections Investigate complaints Answer questions about Good Clinical

Practices Help evaluate concerns about data integrity

Clinical investigators Sponsor/Monitor/CROs IRBs GLP/Nonclinical Labs

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CBER is assigning more inspections of

ongoing studies under IND/IDE

Cell therapies Gene transfer Vaccines Blood products Devices

For FY 2005, CBER inspected 50 sites enrolling pediatric subjects

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FY 2006 HCT/P Inspections

Type of HCT/P establishment

Number of

Inspections

Hours/ Inspecti

on

Reproductive tissues

87 45.7

Cord blood stem cells Peripheral blood stem cells

36 42.8

All other HCT/Ps 234 44.1

Total 354

Page 35: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

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Human Stem Cells Stem Cell-Based Therapies – Stem

cells, directed to differentiate into specific cell types, offer the possibility of a renewable source of replacement cells and tissues to treat diseases including, spinal cord injury, burns, heart disease “Adult” Stem Cells – Less pluipotent,

immune rejection issues “Embryonic” Stem Cells – More pluipotent,

ethical / political issues

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Bone marrow stroma/Mesenchymal stem cellsFacilitate hematopoietic reconstitution

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Human Embryonic Stem Cell Lines

Issues Receiving Attention: Media used for culturing hES cells is routinely

supplemented with bovine serum (concern over BSE/TSE, vCJD) as well as other animal-derived ancillary products.

Characterization of therapies derived from hES cells as xenotransplantation products: use of irradiated murine embryonic fibroblast feeder layers.

Published technical report in Nature Medicine: Human embryonic stem cells express a nonhuman immunogenic sialic acid (Neu5Gc).

Karyotypic / genetic stability of long-term hES cell cultures

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Human Embryonic Stem Cell Lines Human ES Cell Lines Established on Non-

Human Feeder Cell Layers Fit the definition of xenotransplantation as

defined in CBER Guidance for Industry issued April 2003.

FDA DOES NOT intend xenotransplantation requirements to preclude use of hES cell lines in human clinical trials.

For stem cell products derived from hES cell lines raised on non-human feeder layers it may be necessary to demonstrate that the hES cell line is free from infectious agents that may pose a risk for transmission to recipients. (Adventitious agent testing is equally important when feeder layers are comprised of human cells)

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Cell Therapy Product Characterization

Morphologic evaluation Unique biochemical markers Gene and protein expression analysis Cellular impurities profile Biologic activity/Potency Identity: HLA, other unique marker

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Product Safety and Efficacy

Safety Issues: Sterility (bacterial, fungal, mycoplasma) Purity Identity Segregation and tracking

Efficacy Issues: Potency Stability

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Cell Therapy Preclinical Assessment: Activity and Safety

Cell Fate Post Transplant Post transplant survival Cell migration Cell differentiation Cell phenotype expression Anatomic/functional integration into

host physiology Tumorigenic / proliferative potential

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Cell Therapy Preclinical Assessment: Animal Models

Animal Models Use of existing models (i.e., EAE model) to

“predict predict” activity & safety Incorporate activity & toxicity endpoints in an

animal model of disease Comparative anatomy & pathophysiology to humans Consider the route of administration/delivery system Immune tolerance to human cells….or use of analogous cells from animals

Understand abilities & limitations of model(s) used

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Cell Therapies: Characterization Issue: Key questions for safety and

effectiveness What are the critical characteristics to

measure: Genes (30,000 30,000-40,000/cell) Proteins? (40,000/cell) Secreted molecules? (5,000/cell) Microenvironment?

Can Can’t measure everything! How to identify what matters?

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Manufacturing Facilities

Capacity Issues Patient-Specific vs. Allogeneic Processing Time Quarantine Issues

Aseptic Processing for All Steps Labor Intensive High Level of Support Requirements Scheduling Issues

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Open vs. Closed Manufacturing Systems

FDA Cleared or Approved Sterile Tube Connecting Device (STCD) – Tubing Welders Developed for the Blood industry.

STCDs may be used for interconnecting sterile bag systems for cell and gene therapy applications.

Page 49: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

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Example Facility

Standard Cell Therapy Unit 150 ft2, 2 Operators Capacity 25 to 100

Products / Year Clinical Facility

6 Units – 5,000 ft2 (18%) Capacity 150 – 600

Products / Year Commercial Facility

24 Units – 25,000 ft2 (15%)

Capacity 600 – 2,400 Products/Year

Page 50: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

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WRT&A50

Page 51: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

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Ovr/Und CO2

Incubator

Microscop

e

Microscop

e

Microscop

e

Dou

ble

Doo

r R

efri

gera

tor

LaboratoryCasework

Table

Fre

ezer

Cent

LaboratoryCasework

Lab

orat

ory

Cas

ewor

k

Sink

Laboratory

Casew

ork

Sink

6ftBiosafety

Ovr/UndMicro

IncubatorComputer

Microscop

e

- 80 C FreezerRetain Samples

- 80

C F

reez

erR

etai

n S

ampl

es

IPA

Bench

MirrorSoiledGowns

Clean

Gow

ns

K

PT

CellIrradiation

123RScintillation

CounterHarvester

6ftBiosafety

Computer

Microscop

e

Computer

Microscope

Ovr/Und CO2

Incubator

Irradiator

Degown161

IPA

Mirror

SoiledGowns

K

Gown

SS

Wire

Shelving

Bench

Toilet

Sin

k ToiletUrinal

Sin

k

Tow

els

Tow

els

Women's Lockers156

Men's Lockers155

Toilet

Cle

an S

crub

s LockersLockers

Lockers

Lockers

Lockers

Lockers

Bench

BenchDir

ty

Scr

ubs

Cle

an S

crub

s LockersLockers

Lockers

Lockers

Lockers

Lockers

Bench

BenchDir

ty

Scr

ubs

Computer

Microscope

Lab

orat

ory

Cas

ewor

k

Em

ProductRelease/Package

158

Ship -Receive

159

Fre

eze

r

StainlessT

able

PT

Cab

inet

Com

puterS

tainless Table

PT

Com

puter

Cab

inet

K

Mechanical Room C151

QuarantineStorage 152D

oubl

e D

oor

Ref

rige

rato

r

Freezer

Dou

ble

Doo

r R

efri

gera

tor

Dou

ble

Doo

r R

efri

gera

tor

Shelving

Shelving

Shelving

Class100 WS

Computer

Double Door Refrigerator

Double Door Refrigerator

She

lvin

g

Freezer

Shelving

ComputerShelving

Double Door Refrigerator

Car

t

Car

t

Cart

Cart

Table

Patient

Receive

Donor

Receive

Double Door Refrigerator

Dou

ble

Doo

r R

efri

gera

tor

Dou

ble

Doo

r R

efri

gera

tor

Com

puterT

ableC

omputer

Bench

Clean

Gow

nsIPA

Mirror

Clean Closet157S

ink

Sink

Cabinet

SoiledGowns

Clean Gowns IPA

Em

Equipment Layout

CO2 CO2N2N2 N2 CO2 CO2N2

BiohazWaste

BiohazWaste

BiohazWaste

BiohazWaste

RadioWaste

RadioWaste

RadioWaste

BiohazWaste

CO2 CO2

PT

CO2

Incub

CO2

Incub

CO2

Incub

PT

Cen

tC

ent

Cen

tC

ent

Com

pute

r

WRT&A51

Page 52: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

ReceivingRm 114

18.5' x 10.0'

Media TestingRm 159A10.0' x 9.0'

EnvironmentalMonitoringRm 159B

12.0' x 9.0'

Clean C

orridor BR

m 104 11.5' x 6.0'

Clean C

orridor B R

m 104 46.0' x 6.0'

Administration CubiclesRm 190

14.0' x 20.5'

QA ManagerOffice

Rm 17411.0' x 8.0'

Women's ToiletRm 187

12.0' x 11.7'Toilet Toilet Toilet

Men's ToiletRm 186

12.0' x 11.7'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Gown / DegownRm 170

10.0' x 8.0'

SterilityTesting A Rm 172

10.0' x 23.0'

SterilityTesting B Rm 173

10.0' x 23.0'

Access C

orridor C R

m 102 101.0' x 6.0'

QC Lab 3Flow Cytometer

Rm 16812.0' x 30.0'

QC Lab 1Flow Cytometer

Rm 16212.0' x 30.0'

Patient CellIrradiation

Rm 1579.0' x 9.0'

Clean C

orridor BR

m 104 23.0' x 6.0'

Clean C

orridor B R

m 104 50.0' x 6.0'

Clean C

orridor BR

m 104 12.5' x 6.0'

Personnel Entry Rm 12018.5' x 8.5'

Acc

ess

Cor

rido

r A

Rm

100

59.

5' x

6.0

'

Acc

ess

Cor

rido

r A

Rm

100

57.

5' x

6.0

'

Cle

an C

orri

dor

A R

m 1

03 3

1.0'

x 6

.0'

Cle

an C

orri

dor

A R

m 1

03 3

7.0'

x 6

.0'

Cle

an C

orri

dor

A R

m 1

03 4

4.0'

x 6

.0'

Gown Corridor B Rm 107 52.0' x 6.0'

Pro

duct

ion

4R

m 1

29 1

9.0'

x 8

.0'

Pro

duct

ion

5R

m 1

30 1

9.0'

x 8

.0'

Pro

duct

ion

3R

m 1

28 1

9.0'

x 8

.0'

Pro

duct

ion

2R

m 1

27 1

9.0'

x 8

.0'

Production Support A 133 52.0' x 11.0'

Gown Corridor A Rm 106 49.0' x 6.0'

R D

uct

R D

uct

R D

uct

R D

uct

Degown ARm 132

6.0' x 9.0'

Pro

duct

ion

1R

m 1

26 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PT PT PT

Pro

duct

ion

6R

m 1

31 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PTPTPT

Pro

duct

ion

10R

m 1

37 1

9.0'

x 8

.0'

Pro

duct

ion

11R

m 1

38 1

9.0'

x 8

.0'

Pro

duct

ion

9R

m 1

36 1

9.0'

x 8

.0'

Pro

duct

ion

8R

m 1

35 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

DegownB

Rm 1476.0'

x 10.0'

Pro

duct

ion

7R

m 1

34 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PT PT PT

Pro

duct

ion

12R

m 1

39 1

9.0'

x 8

.0'

PT

R D

uct

R D

uct

R D

uct

R D

uct

PTPT R Duct

R Duct

Pro

duct

ion

16R

m 1

44 1

9.0'

x 8

.0'

Pro

duct

ion

17R

m 1

45 1

9.0'

x 8

.0'

Pro

duct

ion

15R

m 1

43 1

9.0'

x 8

.0'

Pro

duct

ion

14R

m 1

42 1

9.0'

x 8

.0'

Production Support B 148 52.0' x 11.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

13R

m 1

41 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

18R

m 1

46 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

22R

m 1

53 1

9.0'

x 8

.0'

Pro

duct

ion

23R

m 1

54 1

9.0'

x 8

.0'

Pro

duct

ion

21R

m 1

52 1

9.0'

x 8

.0'

Pro

duct

ion

20R

m 1

51 1

9.0'

x 8

.0'

Gown Corridor C Rm 108 49.0' x 6.0'

R D

uct

R D

uct

R D

uct

R D

uct

Degown CRm 156

9.0' x 6.0'

Pro

duct

ion

19R

m 1

50 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

24R

m 1

55 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

R Duct

R Duct

Access Corridor B Rm 101 135.5' x 6.0'

Clean Corridor C Rm 105 78.0' x 6.0'

GownC

Rm 1496.0'

x 12.5'

GownB

Rm 1406.0'

x 12.5'

GownA

Rm 1256.0'

x 12.0'

Women's ToiletRm 117

11.5' x 12.5'ToiletToilet Toilet

Men's ToiletRm 115

11.5' x 12.5'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Women's LockerRm 119

18.5' x 24.0'

Men's LockerRm 113

18.5' x 24.0'C

lean

Cor

rido

r A

Rm

103

19.

0' x

6.0

'

Product ReleasePackagingRm 124

18.5' x 15.0'

CleanCloset

Rm 1225.8' x 10.0'

Janitor'sCloset

Rm 1215.8' x 10.0'

Ready Supplies AKit Assembly

Rm 110 18.5' x 20.0'Release Supplies Rm 109 18.5' x 25.5'

Quarantine Supplies Rm 111 18.5' x 18.5'

Truck DockRm 116

18.5' x 20.0'

ShippingRm 118

18.5' x 10.0'

Mechanical AreaRm 123

18.5' x 24.5'

Cold Room112

9.0' x 14.0'

Car

tP

ass

Th

ru

Car

tP

ass

Th

ru

Women's ToiletRm 165

12.5' x 11.7'ToiletToilet Toilet

Men's ToiletRm 164

12.5' x 11.7'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Surrogate Culture 1Rm 161 19.5' x 12.0'

PT

Surrogate Culture 2Rm 163 19.5' x 12.0'

Surrogate Culture 3Rm 167 19.5' x 12.0'

PT

Surrogate Culture 4Rm 169 19.5' x 12.0'

PT

QC Lab 2Blastogenesis

Rm 16612.0' x 12.0'

QC MicrobiologyRm 160

25.5' x 11.5'

Radio Isotope LabRm 171

21.5' x 8.0'

K

K

K

K

K

K

K

K

K

K

K

QA DocumentVault

Rm 17511.0' x 14.5'

PurchasingManagerOffice

Rm 19711.0' x 8.0'

QA / RA / Purchasing CubiclesRm 196

27.0' x 31.5'

Medical DirectorOffice

Rm 20111.0' x 9.0'

QA ManagerOffice

Rm 19811.0' x 8.0'

Copy / FaxRm 199

11.0' x 5.0'

Production / QC / EngineeringCubiclesRm 179

29.0' x 26.0'

FacilitiesDirectorOffice

Rm 1809.0' x 10.0'

Production DirectorOffice

Rm 17814.5' x 8.5'

Copy / FaxRm 181

9.0' x 5.0'

ProductionMangersOffice

Rm 17611.5' x 8.5'

ProductionMangersOffice

Rm 17711.5' x 8.5'

QC DirectorOffice

Rm 1829.0' x 10.0'

Training / ConferenceRm 193

20.5' x 15.5'

BreakroomRm 183

22.5' x 19.5'

HR ManagerOffice

Rm 19511.0' x 8.0'

HR AssistantOffice

Rm 19411.0' x 7.0'

IMS ManagerOffice

Rm 1849.0' x 10.0'

ComputerCenter

Rm 1859.0' x 9.0'

Plant ManagerOffice

Rm 19211.0' x 12.0'

ExecutiveAssistantOfficeRm 19111.0' x 8.0'

ReceptionRm 188

19.0' x 8.5'

Janitor's ClosetRm 189

12.5' x 6.0'

QA DirectorOffice

Rm 20011.0' x 9.0'

6.0'

x 9

.0'

6.0'

x 1

6.0'

K

K

K

E

K

6.0'

x 1

9.5'

K

K

Facility Room Layout - Total Dimensions 188.5' x 134.0'E

E

E E

R D

uct

R D

uct

PT PT PT PT PT PT

PT PT PT PT PT PT

PT

CartPassThru

RetainSamplesRm 158

6.0' x12.0'

Access Corridor A Rm 100 31.0' x 6.0'

K

PT

WRT&A52

Page 53: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

ReceivingRm 114

18.5' x 10.0'

Media TestingRm 159A10.0' x 9.0'

EnvironmentalMonitoringRm 159B12.0' x 9.0'

Clean C

orridor BR

m 104 11.5' x 6.0'

Clean C

orridor B R

m 104 46.0' x 6.0'C

omputer

Com

puterCom

pute

rCom

puterCom

pute

r

Com

puterCom

pute

rCom

puterCom

pute

rCom

puterCom

pute

r

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

StainlessTable

Flo

wC

ytom

eter

Administration CubiclesRm 190

14.0' x 20.5'

QA ManagerOffice

Rm 17411.0' x 8.0'

Women's ToiletRm 187

12.0' x 11.7'Toilet Toilet Toilet

Men's ToiletRm 186

12.0' x 11.7'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Gown / DegownRm 170

10.0' x 8.0'

SterilityTesting A Rm 172

10.0' x 23.0'

SterilityTesting B Rm 173

10.0' x 23.0'

Access C

orridor C R

m 102 101.0' x 6.0'

QC Lab 3Flow Cytometer

Rm 16812.0' x 30.0'

QC Lab 1Flow Cytometer

Rm 16212.0' x 30.0'

Patient CellIrradiation

Rm 1579.0' x 9.0'

Clean C

orridor BR

m 104 23.0' x 6.0'

Clean C

orridor B R

m 104 50.0' x 6.0'

Clean C

orridor BR

m 104 12.5' x 6.0'

Personnel Entry Rm 12018.5' x 8.5'

Acc

ess

Cor

rido

r A

Rm

100

59.

5' x

6.0

'

Acc

ess

Cor

rido

r A

Rm

100

57.

5' x

6.0

'

Cle

an C

orri

dor

A R

m 1

03 3

1.0'

x 6

.0'

Cle

an C

orri

dor

A R

m 1

03 3

7.0'

x 6

.0'

Cle

an C

orri

dor

A R

m 1

03 4

4.0'

x 6

.0'

Gown Corridor B Rm 107 52.0' x 6.0'

Pro

duct

ion

4R

m 1

29 1

9.0'

x 8

.0'

Pro

duct

ion

5R

m 1

30 1

9.0'

x 8

.0'

Pro

duct

ion

3R

m 1

28 1

9.0'

x 8

.0'

Pro

duct

ion

2R

m 1

27 1

9.0'

x 8

.0'

Production Support A 133 52.0' x 11.0'

Gown Corridor A Rm 106 49.0' x 6.0'

R D

uct

R D

uct

R D

uct

R D

uct

Degown ARm 132

6.0' x 9.0'

Pro

duct

ion

1R

m 1

26 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PT PT PT

Pro

duct

ion

6R

m 1

31 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PTPTPT

Pro

duct

ion

10R

m 1

37 1

9.0'

x 8

.0'

Pro

duct

ion

11R

m 1

38 1

9.0'

x 8

.0'

Pro

duct

ion

9R

m 1

36 1

9.0'

x 8

.0'

Pro

duct

ion

8R

m 1

35 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

DegownB

Rm 1476.0'

x 10.0'

Pro

duct

ion

7R

m 1

34 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

PT PT PT

Pro

duct

ion

12R

m 1

39 1

9.0'

x 8

.0'

PT

R D

uct

R D

uct

R D

uct

R D

uct

PTPT R Duct

R Duct

Pro

duct

ion

16R

m 1

44 1

9.0'

x 8

.0'

Pro

duct

ion

17R

m 1

45 1

9.0'

x 8

.0'

Pro

duct

ion

15R

m 1

43 1

9.0'

x 8

.0'

Pro

duct

ion

14R

m 1

42 1

9.0'

x 8

.0'

Production Support B 148 52.0' x 11.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

13R

m 1

41 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

18R

m 1

46 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

22R

m 1

53 1

9.0'

x 8

.0'

Pro

duct

ion

23R

m 1

54 1

9.0'

x 8

.0'

Pro

duct

ion

21R

m 1

52 1

9.0'

x 8

.0'

Pro

duct

ion

20R

m 1

51 1

9.0'

x 8

.0'

Gown Corridor C Rm 108 49.0' x 6.0'

R D

uct

R D

uct

R D

uct

R D

uct

Degown CRm 156

9.0' x 6.0'

Pro

duct

ion

19R

m 1

50 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

Pro

duct

ion

24R

m 1

55 1

9.0'

x 8

.0'

R D

uct

R D

uct

R D

uct

R D

uct

R Duct

R Duct

Access Corridor B Rm 101 135.5' x 6.0'

Clean Corridor C Rm 105 78.0' x 6.0'

GownC

Rm 1496.0'

x 12.5'

GownB

Rm 1406.0'

x 12.5'

GownA

Rm 1256.0'

x 12.0'

Women's ToiletRm 117

11.5' x 12.5'ToiletToilet Toilet

Men's ToiletRm 115

11.5' x 12.5'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Women's LockerRm 119

18.5' x 24.0'

Men's LockerRm 113

18.5' x 24.0'

Cle

an C

orri

dor

AR

m 1

03 1

9.0'

x 6

.0'

Product ReleasePackagingRm 124

18.5' x 15.0'

CleanCloset

Rm 1225.8' x 10.0'

Janitor'sCloset

Rm 1215.8' x 10.0'

Ready Supplies AKit Assembly

Rm 110 18.5' x 20.0'Release Supplies Rm 109 18.5' x 25.5'

Quarantine Supplies Rm 111 18.5' x 18.5'

Truck DockRm 116

18.5' x 20.0'

ShippingRm 118

18.5' x 10.0'

Mechanical AreaRm 123

18.5' x 24.5'

Cold Room112

9.0' x 14.0'

Car

tP

ass

Th

ru

Car

tP

ass

Th

ru

Women's ToiletRm 165

12.5' x 11.7'ToiletToilet Toilet

Men's ToiletRm 164

12.5' x 11.7'

Sink

ToiletUrinal Urinal

Sink

SinkSink

Surrogate Culture 1Rm 161 19.5' x 12.0'

PT

Surrogate Culture 2Rm 163 19.5' x 12.0'

Surrogate Culture 3Rm 167 19.5' x 12.0'

PT

Surrogate Culture 4Rm 169 19.5' x 12.0'

PT

QC Lab 2Blastogenesis

Rm 16612.0' x 12.0'

QC MicrobiologyRm 160

25.5' x 11.5'

Radio Isotope LabRm 171

21.5' x 8.0'

K

K

K

K

K

K

K

K

K

K

K

QA DocumentVault

Rm 17511.0' x 14.5'

PurchasingManagerOffice

Rm 19711.0' x 8.0'

QA / RA / Purchasing CubiclesRm 196

27.0' x 31.5'

Medical DirectorOffice

Rm 20111.0' x 9.0'

QA ManagerOffice

Rm 19811.0' x 8.0'

Copy / FaxRm 199

11.0' x 5.0'

Production / QC / EngineeringCubiclesRm 179

29.0' x 26.0'

FacilitiesDirectorOffice

Rm 1809.0' x 10.0'

Production DirectorOffice

Rm 17814.5' x 8.5'

Copy / FaxRm 181

9.0' x 5.0'

ProductionMangersOffice

Rm 17611.5' x 8.5'

ProductionMangersOffice

Rm 17711.5' x 8.5'

QC DirectorOffice

Rm 1829.0' x 10.0'

Training / ConferenceRm 193

20.5' x 15.5'

BreakroomRm 183

22.5' x 19.5'

HR ManagerOffice

Rm 19511.0' x 8.0'

HR AssistantOffice

Rm 19411.0' x 7.0'

IMS ManagerOffice

Rm 1849.0' x 10.0'

ComputerCenter

Rm 1859.0' x 9.0'

Plant ManagerOffice

Rm 19211.0' x 12.0'

ExecutiveAssistantOfficeRm 19111.0' x 8.0'

ReceptionRm 188

19.0' x 8.5'

Janitor's ClosetRm 189

12.5' x 6.0'

QA DirectorOffice

Rm 20011.0' x 9.0'

6.0'

x 9

.0'

6.0'

x 1

6.0'

K

K

K

E

K

6.0'

x 1

9.5'

K

K

Facility Equipment Layout - Total Dimensions 188.5' x 134.0'E

E

E E

Towels

Towels

LaboratoryCasework

Flow

Cytom

eter L

aboratoryC

asework

Flow

Cytom

eter

LaboratoryCasework

Flo

wC

ytom

eter

S

ink

Double D

oor R

efrigerator

LaboratoryCasework

SS Wire Shelving

Computer

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WRT&A53

Page 54: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

WRT&A54

Paradigm for Delivery of Patient-Specific Products

Massive Single Plant Problems with In-coming Patient Cells/Tissue Problems with Product Distribution No Real Economy of Scale

Production Units in Major Hospitals Optimum for Patient-Specific Transportation Issues Problems with Quality Oversight and Technical

Expertise; Facility Issues Multiple Regionally Located Plants

Concentrate Expertise and Quality Oversight Feasible Receiving and Shipping of Cells/Products

Page 55: Gene Therapy / Cell Therapy / Stem Cells – Regulations for the "New Biologics"

WRT&A55

WR Tolbert & AssociatesConsultants to the

Biopharmaceutical Industry

11483 Cypress Woods DriveSan Diego, CA 92131-3535

858-693-8163

[email protected] / www.wrtolbert.com