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Vaccine • June 2008<br />

A quantitative risk assessment<br />

of exposure to adventitious agents<br />

in a cell culture-derived subunit influenza vaccine<br />

Author information<br />

Gregersen JP.<br />

Novartis Behring, Marburg, Germany<br />

jens-peter.gregersen@novartis.com<br />

Abstract<br />

A risk-assessment model has demonstrated the ability of a new cell culture-based<br />

vaccine manufacturing process to reduce the level of any adventitious agent to a<br />

million-fold below infectious levels. The cell culture-derived subunit influenza<br />

vaccine (OPTAFLU), Novartis Vaccines and Diagnostics) is produced using Madin-Darby<br />

canine kidney (MDCK) cells to propagate seasonal viral strains, as an<br />

alternative to embryonated chicken-eggs. As only a limited range of mammalian<br />

viruses can grow in MDCK cells, similar to embryonated eggs, MDCK cells can<br />

act as an effective filter for a wide range of adventitious agents that might be introduced<br />

during vaccine production. However, the introduction of an alternative<br />

cell substrate (for example, MDCK cells) into a vaccine manufacturing process<br />

requires thorough investigations to assess the potential for adventitious agent risk<br />

in the final product, in the unlikely event that contamination should occur. The<br />

risk assessment takes into account the entire manufacturing process, from initial<br />

influenza virus isolation, through to blending of the trivalent subunit vaccine and<br />

worst-case residual titres for the final vaccine formulation have been calculated<br />

for >20 viruses or virus families. Maximum residual titres for all viruses tested<br />

were in the range of 10(-6) to 10(-16) infectious units per vaccine dose. Thus, the<br />

new cell culture-based vaccine manufacturing process can reduce any adventitious<br />

agent to a level that is unable to cause infection.<br />

“... the ability of a new<br />

cell culture-based vaccine manufacturing process<br />

to reduce the level of any adventitious agent<br />

to a million-fold below infectious levels.”<br />

http://www.ncbi.nlm.nih.gov/pubmed/18485545

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