Illustrative Potency Assay Examples from Approved Therapies

Adv Exp Med Biol. 2023:1420:139-149. doi: 10.1007/978-3-031-30040-0_9.

Abstract

Advanced therapy medicinal products (ATMP) encompass a new type of drugs resulting from the manipulation of genes, cells, and tissues to generate innovative medicinal entities with tailored pharmaceutical activity. Definition of suitable potency tests for product release are challenging in this context, in which the active ingredient is composed of living cells and the mechanism of action often is poorly understood. In this chapter, we present and discuss actual potency assays used for the release of representative commercial ATMP from each category of products (namely, KYMRIAH® (tisagenlecleucel), Holoclar® (limbal epithelial stem cells), and PROCHYMAL®/RYONCIL™ (remestemcel-L)). We also examine concerns related to the biological relevance of selected potency assays and challenges ahead for harmonization and broader implementation in compliance with current quality standards and regulatory guidelines.

Keywords: Approved ATMP; CAR T-cell potency; CAR T-cell therapy; Cell therapies; Compliance; Epithelial stem cells; Gene therapies; Hematopoietic stem cells; Immunotherapy; Tissue engineering.