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Updated: Dec 6, 2025

Using Reference Reagents to Confirm Robustness of Cytokine Release Assays for the Prediction of Monoclonal Antibody Safety
Published on: September 15, 2023
Collaborative study for the establishment of Etanercept Biological Reference Preparation Batch 1
M Wadhwa1, P Rigsby2, M-E Behr-Gross3
1National Institute for Biological Standards and Control (NIBSC), Biotherapeutics Division, Blanche Lane, South Mimms, Potters Bar, EN6 3QG, UK.
The first International Standard for Etanercept (TNF receptor II-Fc fusion protein) was established. Preparation 13/204 was confirmed as suitable for potency assays and adopted as the European Pharmacopoeia Biological Reference Preparation.
Area of Science:
- Biologics
- Pharmacopoeia Standards
- Immunology
Background:
- Etanercept, a TNF receptor II-Fc fusion protein, requires standardized potency assays.
- Establishing international and European reference standards is crucial for consistent biological drug evaluation.
Purpose of the Study:
- To evaluate candidate preparations for their suitability as a World Health Organization (WHO) International Standard (IS) and European Pharmacopoeia (Ph. Eur.) Biological Reference Preparation (BRP) for Etanercept.
- To assign an official potency to the established reference standard.
Main Methods:
- Three Etanercept preparations were formulated and lyophilized.
- Seven laboratories performed collaborative testing using an in vitro cell-based bioassay (TNF-α neutralisation) as per the Ph. Eur. monograph.
- Results were compared with other cell-based assays used in parallel studies.
Main Results:
- Candidate preparation 13/204 was successfully established as the first WHO IS for Etanercept.
- Preparation 13/204 was also deemed suitable and adopted as the Ph. Eur. BRP batch 1.
- An assigned potency of 10,000 IU per ampoule for TNF neutralisation activity was determined for preparation 13/204.
Conclusions:
- Preparation 13/204 is validated as the first WHO International Standard and Ph. Eur. Biological Reference Preparation for Etanercept.
- The established standard ensures reliable potency testing of Etanercept through standardized bioassays.
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