jean-christophe genin, ebf 19-nov-2020 bioanalytical ......a rational approach was used to evaluate...
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Lifecycle of a Bioanalytical Assay : Technical and Communication Challenges From a Real Case Study
Jean-Christophe Genin, EBF 19-Nov-2020Bioanalytical Manager - Hoffmann-La Roche
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Clinical Context & BA Strategy
Chronology of Events: From Development to Samples Analysis
Lessons Learned
Our Strategy at Roche
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Clinical Context
• Characterization of the pharmacokinetics (PK), pharmacodynamics (PD) and immunogenicity for a First in Human study.
• Our compound of interest is a recycling and antigen sweeping monoclonal antibody (mAb) that binds to its target and thereby blocks its conversion to a mature form.
The Sweeping Antibody® is a Recycling Antibody® that has been further engineered to bind to FcRn at neutral pH.
SMART-Ig® (Sweeping Antibody®) | CHUGAI PHARMACEUTICAL CO., LTD.http://www.chugai-pharm.co.jp/english/ir/rd/technologies_popup2.html
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Bioanalytical Package : Our Choice
Mature target
Soluble dimeric target
Drug
Anti-drug antibodyTransformation to mature targetXTotal Mature Target Assay
BM or Target assays
PK assay
Immunogenicity
Free soluble Target Assay
Total soluble Target Assay
Free PK Assay
Total PK Assay
ADA Assay
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PD Strategy : Why Total & Free assays ?
- Aim of Total PD assay : The drug has sweeping properties. The total soluble target assay should confirm this “sweeping” to show concentrations decrease compared to baseline.
- Aim of the Free PD assay : As endogenous level of soluble target allows it, development of a free PD assay was chosen to prove the target engagement and evaluate the amount of active soluble target still available.
Main challenge is to have really sensitive PD assays
Proprietary Innovative Antibody Engineering Technologies in Chugai Pharmaceuticalhttps://www.chugai-pharm.co.jp/cont_file_dl.php?f=FILE_1_36.pdf&src=[%0],[%1]&rep=139,36
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Clinical Context & BA Strategy
Chronology of Events: From Development to Samples Analysis
Lessons Learned
Our Strategy at Roche
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PD Assays - Development Plan
• Setup Total and Free soluble target assay with high sensitivity.
• If possible independent from high sensitive assay platforms.
• Combined Assay Protocol for Total and Free assay to narrow down complexity in validation and reagent supply.
• Request to analyze placebo samples in both assay.
Plan taking into account future assays transfer to a preferred CRO partner
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PD Assays - A combined approach
Pre-incubation in a normalization buffer (1:1) containing drug of interest
Streptavidin-coated Microplate
Biotinylated anti-soluble target antibody
Drug
DIG conjugated drug
HRP conjugated anti-DIG antibody
Substrate
ASSAY FORMAT PRE-TREATMENT
Protein A/G spin column Soluble target
Quantitative depletion of IgG & Drug (IgG)
Sample of interest
Unbound soluble target
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PD Assays – Performance Comparison
Target engagement >99%BLQ for higher drug concentrations
Free soluble target assayDrug interference
Total soluble target assayAbsence of Drug interference
LLOQ : 60.0 pg/mL LLOQ : 240 pg/mL
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Bioanalytical Scientist
Bioanalytical Manager
Preferred CRO Partner• Study Director• Scientist(s) from
Development Team
PD Assays - Transfer to a Preferred CRO Partner
• Preferred CRO Partner located on a different continent
• Test procedure and Pipetting scheme were shared prior to the kick-off meeting
• Kick-off Meeting organized with the preferred CRO partner via TC with :
– Description and explanation of the method and critical points to consider
– Data from assay development/qualification shown (but not shared)
– Discussion about technical points
Roche - Munich
Roche - Basel
Other Continent
Successful Assay Transfer
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Plan & Timelines
Assay Transfer
Kick-off Assay Transfer
2019
Assay Validation
Clinical Sample analysis2020
Q1 Q2 Q3 Q4
June
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Assay Validation
Validation Parameter Validation Results
Calibration range 60.0 pg/mL to 28000 pg/mL
LLOQ 60.0 pg/mL
ULOQ 28000 pg/mL
Precision Intra-assay precision: 1.9 to 11.7%Inter-assay precision: 2.7 to 19.4%
Accuracy Intra-assay accuracy: 5.7 to 14.2%Inter-assay accuracy: -26.5 to 13.6%
Drug Interference 50.0 µg/mL drug interferes with endogenous QCs
Short and Long term stability 24h at RT42 days at -20°C and -70°C
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Plan & Timelines
Assay Transfer
Kick-off Assay Transfer
2019
Assay Validation
Clinical Sample analysis2020
Q1 Q2 Q3 Q4
June
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Samples analysis : The importance of Placebo samples
• First samples analysis... First questions...
Under-estimation of the level of soluble target measured in the Free assay
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Plan & Timelines
Assay Transfer
Kick-off Assay Transfer
2019
Assay Validation
Clinical Sample analysis2020
Q1 Q2 Q3 Q4
June
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Troubleshooting : Rational Approach
Is the issue with total or free PD assay ?
Is there a robustness issue with the assay ?
Is the assay procedure properly followed ?
Would we observed the same in our internal lab
?
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Troubleshooting : First answers
• At Roche Lab., simulation of potential «failures» (modification of pH values and dilutions...) on the assay:à Assay is really robust.
• Total soluble target assay cross-analysis between Roche BA lab and Preferred CRO partner :– 8 selected healthy volunteers coming from Roche BA lab:à100% samples within +/- 30% difference - 26 study samples (1 placebo + 1 treated patient): à 81% samples within +/- 30% difference (69% within +/- 20% difference)
Assay is robust and Total PD analysis is consistent between both labs
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Troubleshooting : Focus on Free PD Assay
Placebo patient
Better correlation between level of total and free soluble target measured
About 30% difference in level of free soluble target measured at both sites
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Troubleshooting : Focus on Free PD Assay
Treated patient
Fraction of free soluble target is overestimated by around 20% at the preferred CRO partner
* Based on level of total soluble target measured
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Troubleshooting : Focus on Free PD Assay
Spiked level of drug [ng/mL] Fraction of Free soluble target (Mean %)
1000 ~ 50
2500 ~ 25
5000 ~ 12
8400 ~ 3
From Assay development, we know...
From the Clinical study, we get...
Soluble target level within the range of 1100 – 4300 pg/mL
Free assay works as expected at Roche Lab.
Samples Drug level measured with PK assay (ng/mL)
Fraction of Free soluble target (%) measured at
Roche Lab Preferred CRO Partner
4 5920 12 31
12 5060 11 34
13 4900 19 46
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Troubleshooting : Visit at our Preferred CRO Partner
• 2 Days visit– Day 1 : Observation of the assay procedure performed at the CRO lab.– Day 2 : If required, Roche Scientist will perform the assay
• After Day 1, the issue was immediately identified :– Our preferred CRO partner used a different interpretation of the mixing procedure for the spin column :«Samples were added to the spin column and gently mixed by hand (i.e. not inverted nor mixed with vortex) prior the 15 minutes incubation step and centrifugation. 50 µL of the assay buffer was added similarly and then centrifuged».
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PD Assays - Pre-Treatment step Procedure
100 µL
calibrator or Sample
Gentle mix and incubation for 15 min
Eluat I=100µL Eluat I + II= 150µL
Remove and discard bottom cap
Centrifugation 1 min at 1000 rcf
50 µL
Assay Buffer
Gentle mix and
Centrifugation 1 min at 1000 rcf
IgG not fully depleted from sample
§ Cap place back tightly
§ Mix with vortex
§ Loosen cap before centrifugation
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Troubleshooting : Visit at our Preferred CRO Partner
Spiked level of drug [ng/mL] Fraction of Free soluble target (Mean %)
1000 ~ 50
2500 ~ 25
5000 ~ 12
8400 ~ 3
17%
41%
5000 ng/mL
The different mixing procedure interpretation generated a partial IgG depletion
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Troubleshooting : Conclusion
A rational approach was used to evaluate the situation :
– The issue was not due to a lack of robustness of the assay– The Total PD assay performed the same way at both labs– The Free PD assay gave different results at both labs– Visit at the preferred CRO lab helped to identify the different pre-treatment procedure
followed– The issue would have been difficult to identify without a visit on site
Small “detail”… Big impact
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Impact : Delay on Clinical Samples Analysis
Visit at the CRO
Data comparison from placebo & pre-dose samples analysed with free & total PD assays:
- 236 data compared
- 175 data within acceptance criteria* (74%)
- 61 data outside acceptance criteria*% difference between both values ≤+/-30%
Assay Transfer
Kick-off Assay Transfer
2019
Assay Validation
Clinical Sample analysis2020
Q1 Q2 Q3 Q4
June
Troubleshooting
Oct/Nov
Q1 Q2
Assay Re-validation
Clinical Sample Re-Analysis
Mar May
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Clinical Context & BA Strategy
Chronology of Events: From Development to Samples Analysis
Lessons Learned
Our Strategy at Roche
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Lesson Learned : Communication is KEY!
Many information to share during an assay transfer. Focus should be made on critical aspects:
- Identify all critical steps, potential weaknesses of the BA method during development
- Describe and report details in relevant documents (development report, slides...)
- Be as precise as possible during Assay transfer initiation
- Spend time to explain and follow up to be sure the implementation is successful
- In this specific case, it would have been important to include cross-evaluation of QCs samples as part of the assay transfer
- Ideally, a face to face transfer is recommended but probably more and more challenging... (alternative could be video recording ?)
Never assume the exact same procedure will be followed by different operators.Assay transfer is only one step of the assay life cycle...
better way
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Lesson Learned : Interpretation can be different…
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Assay Lifecycle Complexity…
• Develop and qualify the method
• Know the robustness and critical steps
Initial Lab
• Requalify the assay
Lab 1• Validate the assay
based on regulatory requirements
Lab 2
• Samples analysis
Lab 3
Issue
Troubleshooting
Assays can be used on a long period of time :
- Different labs/companies
- Different operators
Key elements :
- To have a good and deep understanding of the assay
- Consider the first assay transfer as critical
- Clear and standardized transfer/training procedure
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Clinical Context & BA Strategy
Chronology of Events: From Development to Samples Analysis
Lessons Learned
Our Strategy at Roche
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Our Assay Transfer Strategy at Roche
Bioanalytical ScientistsDevelopment and Qualification of BA methods
Bioanalytical ManagerFull regulatory BA support for the all project lifecycle
Point of ContactProject Manager and/or Principal Scientist and/or Lab associate...
Kick-Off Meeting- technical discussion (critical steps, relevant
questions...)
- lines of communication
- timelines
- acceptance criteria for a successful assay transfer
- planned experiments
- planning of the required reagents
Transfer Package - Method Description
- Method Development summary
- Method transfer plan
Assay Transfer- Regular meeting
- Data review
- Go/no GO decision to move to Validation
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Acknowledgments
RICM (Roche Innovation Center Munich):
Gregor Jordan, Miriam Moheysen-Zadeh,Uwe Dahl,Roland Staack,Julia Henrich
RICB (Roche Innovation Center Basel):
Florence Guilhot,Jasna Canadi,Matthew Barfield
External CRO Partner
To our different contacts for their great collaboration and openness
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Doing now what patients need next