Guide To Viral Vector Production: From Bench to Bedside. Faster.
Viral vector technologies are taking center stage in the development of novel vaccines and therapies to combat a wide spectrum of human diseases. Efficient development of safe, cost-effective, and robust methods for viral vector manufacture is therefore of vital importance for patients to benefit from these potentially life changing new medicines.
Can I use my cell line for clinical production? What is the quickest route to clinical trials? How can we effectively de-risk and accelerate viral vector development? These are just a few of the many questions we address in this go-to resource for anyone navigating the complexities of viral vector process development, scale-up, and cGMP manufacturing.
Viral vector technologies
The use of viral vectors in vaccines and targeted therapies is revolutionizing the way we tackle some of nature’s most intractable human diseases and infectious pathogens. From rare diseases to cancer to COVID-19: viral vectors are becoming indispensible weapons in the armory of drug modalities?
What are viral vectors
Viral vectors are viruses that have been engineered in the lab to efficiently infect target cells and deliver a genetic payload. These properties make them highly attractive for a wide variety of clinical applications.
When genetically engineered with the code for an immunogenic antigen, viral vectors essentially hijack the cell’s own machinery to produce large amounts of the antigen, which is then effectively presented to the host immune system. This makes them an attractive platform for development of novel prophylactic and therapeutic viral vector vaccines.
Viral vectors also offer tremendous promise for the development of novel cell and gene therapies. An estimated 70% of gene therapy trials worldwide involve the use of viral vectors.
The scope of viral vector technology further extends to the development of oncolytic viruses, a rapidly evolving class of anticancer agents that are tailored to specifically target cancer cells for destruction, working in combination with the patient’s immune system.
Viral vector vaccines
The rising global threat of infectious diseases and cancers has been a major driver in the evolution of next-generation vaccines.
Milestones in preventative and therapeutic viral vector vaccines
Viral vector technologies in particular have emerged as an enabling platform for vaccine development. Notably, the technology gave rise to the first FDA-approved vaccine for Ebola virus in late 2019, and in December 2020 the first viral vector vaccines for SARS-CoV-2 / COVID-19 were granted emergency use authorization (EUA) less than a year after the genetic sequence for SARS-CoV-2 was shared.
Milestones like these, underpinned by significant progress in addressing safety and scale-up challenges over the past few years, are paving the way to more widespread adoption of viral vectors in vaccine development.
Table 1. Human clinical trials in progress with viral vectored vaccines1,2
Virus Vector | Phase I Clinical Trial |
Adenoviruses (Ad) | |
ChAd3 (Chimpanzee adenovirus) | Ebola Zaire, Hepatitis C, Ebola Sudan, Ebola Marburg |
ChAdOx (Chimpanzee adenovirus) | Tuberculosis, Chikungunya, MERS-CoV |
Ad5 (Adenovirus type 5) | Cystic fibrosis, HIV, Ebola Zaire |
VXA (Replication-deficient Ad5) | Respiratory syncytial virus, Norovirus, Influenza |
rAd26 (Recombinant Ad 26) | HIV, Ebola Zaire |
Ad35 | Tuberculosis, HIV |
Ad4 | HIV, Anthrax |
Alphaviruses | |
VEE Replicon (Venezuelan equine encephalitis) | CMV |
Measles Virus (MeV) | |
Measles virus | COVID-19 |
Poxviruses | |
MVA (Modified vaccinia virus Ankara) | Ebola, HIV, Hepatitis C, MERS-CoV |
FPV (Fowlpox vector) | HIV |
ALVAC (canarypox vector) | HIV |
Vesicular Stomatitis Virus (VSV) | |
Replication-competent VSV rVSV | HIV Lassa virus |
Virus Vector | Phase II Clinical Trial |
Adenoviruses | |
ChAdOx1 | Malaria, SARS-CoV-2 |
Poxviruses | |
MVA | CMV, Tuberculosis |
Gene and cell therapies
According to the Alliance for Regenerative Medicine, at the end of 2020 there were 1,220 ongoing regenerative medicine and advanced gene and cell therapy trials worldwide.3 Of these, 152 were in phase 3 clinical trials, in line with EMA and FDA predictions that by 2025 the annual rate of cell and gene therapy approvals will reach 10-20 per year.
Valued at $4.4 billion in 2020, the global gene and cell therapy market is projected to reach $15.48 billion by 2025 at a growth rate of 28.7%.4 Viral vectors are playing a central role in this rapidly expanding market.
Although in vivo gene therapies have had their ups and downs recently, there are over 400 viral vector gene therapy assets in preclinical and clinical phases of development.5 The vast majority of these utilize adenovirus, adeno-associated virus (AAV), and lentivirus vectors.
While cancer is by far the predominant disease area, viral vector gene and cell therapies are under investigation for a wide variety of other indications including cardiovascular and monogenic disorders, as well as metabolic, inflammatory, neurological and ocular diseases.
In late 2020, two new viral vector-based therapies gained regulatory approval: Libmeldy (Orchard Therapeutics), approved by the European Medical Agency for treatment of metachromatic leukodystrophy (MLD), and Tecartus (Kite), the first CAR-T treatment approved by the FDA for relapsed or refractory mantle cell lymphoma. This was followed in February 2021 by FDA approval of Breyanzi, a lentiviral vector-based CAR-T therapy for relapsed or refractory Large B-cell Lymphoma.
Viral vectors in gene therapy trials globally
Data source: Gene Therapy Clinical Trials Worldwide database, The Journal of Gene Medicine, John Wileys and Sons LTD.
Oncolytic viruses
Targeted eradication of cancer cells using oncolytic viruses is another exciting and constantly evolving application area for viral vector technologies.
Oncolytic viruses are able to selectively infect, replicate in and lyse cancer cells and/or deliver a genetic payload, leaving healthy cells untouched. In addition to directly mediating cell death, virus-induced lysis of the target cell can activate cytotoxic T cells. This wakes up the immune system to actively seek out and destroy tumor cells.
Many different virus families and subfamilies have been investigated for use in oncolytic therapies, including: adenovirus, coxsackievirus, herpes simplex, vaccinia, measles, reovirus and parvovirus. This diversity presents a potential manufacturing challenge in terms of the breadth of manufacturing strategies and capabilities required.
Roadmap for viral vector process development
While global markets for viral vector vaccines and therapies continue to expand, the journey from bench to clinic is rarely straightforward. Strategic end-to-end planning of the entire process development journey is an important first step to avoid common development and scale-up pitfalls, mitigate risks across the development program, and identify the most cost-effective strategies for each stage of development.
Viral vector process development road map
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