PMID- 28508264 OWN - NLM STAT- MEDLINE DCOM- 20180306 LR - 20181113 IS - 1179-190X (Electronic) IS - 1173-8804 (Print) IS - 1173-8804 (Linking) VI - 31 IP - 3 DP - 2017 Jun TI - Biological Safety of a Highly Purified 10% Liquid Intravenous Immunoglobulin Preparation from Human Plasma. PG - 251-261 LID - 10.1007/s40259-017-0222-9 [doi] AB - BACKGROUND: A highly purified 10% liquid intravenous immunoglobulin, IQYMUNE((R)), has been developed using an innovative manufacturing process including an affinity chromatography step for the removal of anti-A and anti-B hemagglutinins. OBJECTIVES: The pathogen (viruses and prions) clearance efficacy of the manufacturing process and its robustness for critical steps were investigated. METHODS: The manufacturing process of IQYMUNE((R)) includes two dedicated complementary virus reduction steps: solvent/detergent (S/D) treatment and 20 nm nanofiltration as well as two contributing steps, namely caprylic acid fractionation and anion-exchange chromatography. The clearance capacity and robustness of these steps were evaluated with a wide range of viruses (enveloped and non-enveloped) and with a model of human transmissible spongiform encephalopathies (TSEs). RESULTS: The IQYMUNE((R)) manufacturing process demonstrated a high and robust virus removal capacity with global reduction factors (RFs) of relevant and model viruses: >/=14.8 log(10) for human immunodeficiency virus type 1 (HIV-1), >/=16.9 log(10) for bovine viral diarrhoea virus (BVDV)/Sindbis virus, >/=15.7 log(10) for pseudorabies virus (PRV), >/=12.8 log(10) for encephalomyocarditis virus (EMCV) and 11.0 log(10) for porcine parvovirus (PPV). The process also exhibited a high removal capacity for the TSE agent with an overall RF of >/=12.9 log(10) due to the complementary actions of the caprylic acid fractionation, anion-exchange chromatography and nanofiltration steps. CONCLUSION: Data from virus and prion clearance studies fully support the high safety profile of IQYMUNE((R)), with a minimal reduction of 11 log(10) for the smallest and most resistant non-enveloped virus, PPV, and more than 12 log(10) for the TSE agent. FAU - Goussen, Caroline AU - Goussen C AUID- ORCID: 0000-0002-4744-670X AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Simoneau, Steve AU - Simoneau S AD - LFB BIOMEDICAMENTS, 3 avenue des Tropiques, BP 40305, 91958, Courtaboeuf Cedex, France. FAU - Berend, Soline AU - Berend S AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Jehan-Kimmel, Christine AU - Jehan-Kimmel C AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Bellon, Anne AU - Bellon A AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Ducloux, Celine AU - Ducloux C AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - You, Bruno AU - You B AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Paolantonacci, Philippe AU - Paolantonacci P AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Ollivier, Monique AU - Ollivier M AD - LFB BIOMEDICAMENTS, 3 avenue des Tropiques, BP 40305, 91958, Courtaboeuf Cedex, France. FAU - Burlot, Ludovic AU - Burlot L AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Chtourou, Sami AU - Chtourou S AD - LFB BIOTECHNOLOGIES, Les Ulis, France. FAU - Flan, Benoit AU - Flan B AD - LFB BIOMEDICAMENTS, 3 avenue des Tropiques, BP 40305, 91958, Courtaboeuf Cedex, France. flan@lfb.fr. LA - eng PT - Journal Article PL - New Zealand TA - BioDrugs JT - BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy JID - 9705305 RN - 0 (Caprylates) RN - 0 (Hemagglutinins) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Prions) RN - 0 (Solvents) RN - OBL58JN025 (octanoic acid) SB - IM MH - Animals MH - Caprylates/chemistry MH - Chromatography, Affinity/methods MH - Cricetinae MH - Drug Contamination/prevention & control MH - Hemagglutinins/chemistry MH - Humans MH - Immunoglobulins, Intravenous/*chemistry/pharmacology MH - Plasma/*chemistry MH - Prion Diseases/drug therapy/virology MH - Prions/drug effects MH - Solvents/chemistry MH - Virus Inactivation/drug effects MH - Viruses/drug effects PMC - PMC5443886 COIS- FUNDING: Financial support for the conduct of the studies and preparation of the manuscript was provided by LFB. CONFLICTS OF INTEREST: The authors (CG, SS, SB, AB, CD, BY, PP, MO, LB, SC and BF) declare that they are employees of LFB, a pharmaceutical company that manufactures and commercialises IQYMUNE. CJ-K was employed by LFB at the time the experiments were carried out and the manuscript was prepared. ETHICAL APPROVAL: Viral and prion clearance studies were carried out in accordance with the principles of Good Laboratory Practice (as required by international regulatory guidelines) with a specialised Contract Research Organisation. Applicable international, national and/or institutional guidelines for the care and use of animals were followed at the place where animal studies were conducted. EDAT- 2017/05/17 06:00 MHDA- 2018/03/07 06:00 PMCR- 2017/05/15 CRDT- 2017/05/17 06:00 PHST- 2017/05/17 06:00 [pubmed] PHST- 2018/03/07 06:00 [medline] PHST- 2017/05/17 06:00 [entrez] PHST- 2017/05/15 00:00 [pmc-release] AID - 10.1007/s40259-017-0222-9 [pii] AID - 222 [pii] AID - 10.1007/s40259-017-0222-9 [doi] PST - ppublish SO - BioDrugs. 2017 Jun;31(3):251-261. doi: 10.1007/s40259-017-0222-9.