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Replication competent retrovirus testing (RCR) in the National Gene Vector Biorepository: No evidence of RCR in 1,595 post-treatment peripheral blood samples obtained from 60 clinical trials.


ABSTRACT: The clinical impact of any therapy requires the product be safe and effective. Gammaretroviral vectors pose several unique risks, including inadvertent exposure to replication competent retrovirus (RCR) that can arise during vector manufacture. The US FDA has required patient monitoring for RCR, and the National Gene Vector Biorepository is an NIH resource that has assisted eligible investigators in meeting this requirement. To date, we have found no evidence of RCR in 338 pre-treatment and 1,595 post-treatment blood samples from 737 patients associated with 60 clinical trials. Most samples (75%) were obtained within 1 year of treatment, and samples as far out as 9 years after treatment were analyzed. The majority of trials (93%) were cancer immunotherapy, and 90% of the trials used vector products produced with the PG13 packaging cell line. The data presented here provide further evidence that current manufacturing methods generate RCR-free products and support the overall safety profile of retroviral gene therapy.

SUBMITTER: Cornetta K 

PROVIDER: S-EPMC10014217 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Replication competent retrovirus testing (RCR) in the National Gene Vector Biorepository: No evidence of RCR in 1,595 post-treatment peripheral blood samples obtained from 60 clinical trials.

Cornetta Kenneth K   Yao Jing J   House Kimberley K   Duffy Lisa L   Adusumilli Prasad S PS   Beyer Rachel R   Booth Claire C   Brenner Malcolm M   Curran Kevin K   Grilley Bambi B   Heslop Helen H   Hinrichs Christian S CS   Kaplan Rosandra N RN   Kiem Hans-Peter HP   Kochenderfer James J   Kohn Donald B DB   Mailankody Sham S   Norberg Scott M SM   O'Cearbhaill Roisin E RE   Pappas Jennifer J   Park Jae J   Ramos Carlos C   Ribas Antonio A   Rivière Isabelle I   Rosenberg Steven A SA   Sauter Craig C   Shah Nirali N NN   Slovin Susan F SF   Thrasher Adrian A   Williams David A DA   Lin Tsai-Yu TY  

Molecular therapy : the journal of the American Society of Gene Therapy 20221214 3


The clinical impact of any therapy requires the product be safe and effective. Gammaretroviral vectors pose several unique risks, including inadvertent exposure to replication competent retrovirus (RCR) that can arise during vector manufacture. The US FDA has required patient monitoring for RCR, and the National Gene Vector Biorepository is an NIH resource that has assisted eligible investigators in meeting this requirement. To date, we have found no evidence of RCR in 338 pre-treatment and 1,59  ...[more]

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