Development and validation of a monocyte activation test for the control/safety testing of an OMV-based meningococcal

Caroline Vipond1, Janet Sutherland2, Karin Nordgren2

  • 1Department of Bacteriology, The National Institute for Biological Standards and Control, Blanche Lane, Potters Bar EN6 3QG, UK.

Vaccine
|June 17, 2019
PubMed

Insights

The monocyte activation test (MAT) offers a reliable alternative to the rabbit pyrogen test (RPT) for pyrogen testing in vaccines like Bexsero. This validated method ensures vaccine safety by accurately measuring pyrogenic content.

Area of Science:

  • Biotechnology
  • Immunology
  • Vaccine Development

Background:

  • The traditional rabbit pyrogen test (RPT) faces challenges in accurately assessing pyrogenic material in certain vaccines, such as meningococcal vaccines (e.g., Bexsero).
  • Bexsero contains high levels of endotoxin, lipoproteins, and porins, making it intrinsically pyrogenic and difficult to evaluate using the RPT.
  • Inter-laboratory variations in RPT led to issues in batch release, with some batches incorrectly identified as unsafe.

Purpose of the Study:

  • To adapt and validate a monocyte activation test (MAT) as a reliable alternative to the RPT for pyrogen testing of vaccines.
  • To establish a robust in-house specification and decision-making procedure for the MAT, ensuring accurate pyrogen content assessment.
  • To enable the certification of vaccine batches with pyrogenic content equal to or less than those proven safe in clinical trials.

Main Methods:

  • Adaptation and validation of a monocyte activation test (MAT) at the National Institute for Biological Standards and Control (NIBSC).
  • Development of an in-house specification and a multi-donor decision procedure for the MAT.
  • Implementation of a reference comparison method with an upper limit of 1.8 relative pyrogen units (RPU) for batch assessment.

Main Results:

  • The MAT was successfully validated as an alternative pyrogen testing method.
  • A clear decision procedure was established: batches pass if initial four donors show ≤1.8 RPU; if one donor exceeds, seven of eight must be ≤1.8 RPU; two donors exceeding 1.8 RPU results in failure.
  • This method allows for the reliable certification of vaccine batches based on their pyrogenic content.

Conclusions:

  • The monocyte activation test (MAT) provides a more accurate and reproducible method for pyrogen testing of vaccines like Bexsero compared to the RPT.
  • The validated MAT procedure ensures that vaccine batches are certified as safe, minimizing the risk of incorrect rejection.
  • This advancement in pyrogen testing contributes to the quality control and safety assurance of biological products.

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