Fiche publication


Date publication

décembre 2025

Journal

Bone marrow transplantation

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BENSOUSSAN Danièle , Dr FERRAND Christophe , Dr DESCHAMPS Marina , Dr GALAINE Jeanne , Dr REPPEL Loïc


Tous les auteurs :
Chartral U, Galaine J, Giverne C, Auxenfans C, Reppel L, Marton C, Thiant S, Clémenceau B, Derenne S, Sabatier F, Veran J, Moisan A, Rouard H, Tertrais K, Dachy G, Demerle C, Calmels B, Chabannon C, Forcade E, Viel S, Bensoussan D, de Vos J, Galy A, De Oliveira C, Boucher H, Magrin E, Fabreguettes JR, Cavazzana M, Larghero J, Deschamps M, Martinet J, Boyer O, Ferrand C, Yakoub-Agha I, Diana JS

Résumé

Academic autologous cell manufacturing offers key advantages, including cost-effectiveness, accessibility, and flexibility. However, the management of Raw Materials, Reagents, and Consumables (RMRCs) is essential for ensuring product purity, safety, and effectiveness. Variations in RMRC quality can increase production costs and result in batch failures. This work from the GMP-Bioproduction group of the French Consortium in Advancing Cancer Cell and Gene Therapy (UNITC) outlines a multicenter study conducted from 2022 to 2024 across all 11 French academic cell and gene therapy facilities producing Advanced Therapy Medicinal Products, evaluating current RMRC management practices. The study highlights significant challenges, including supply shortages, reference changes, and inconsistent quality controls. While RMRC-related non-conformities accounted for only 6.8% of total issues, they frequently required complex procedural adjustments, resulting in added financial and operational burdens. Despite differences in production scale and ATMP types, all centers consistently evaluated the criticality of RMRC, reflecting strong alignment in risk assessment practices. To address these issues, the study proposes recommendations, including a unified RMRC risk classification system, harmonized quality assurance processes. These actions aim to strengthen regulatory compliance, enhance collaboration across academic centers, and improve the overall resilience of academic decentralized CAR-T cells manufacturing in France.

Référence

Bone Marrow Transplant. 2025 12 11;: