4.5 Article

Variability of in vivo potency tests of Diphtheria, Tetanus and acellular Pertussis (DTaP) vaccines

Journal

VACCINE
Volume 39, Issue 18, Pages 2506-2516

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.vaccine.2021.03.078

Keywords

Assay variability; In vivo potency test; Diphtheria; Tetanus; Pertussis; 3Rs

Funding

  1. Innovative Medicines Initiative 2 Joint Undertaking [N-115924]
  2. Dutch Ministry of Agriculture, Nature and Fishery
  3. National Institute of Public Health & the Environment
  4. VAC2VAC

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The study quantified the variability of in vivo potency release assays for four DTaP products from different manufacturers, revealing a large range of CV which limits their value in ensuring potency consistency. Despite high variability in individual test results, DTaP batches showed great consistency in manufacturing processes across different batches.
For batch release of legacy vaccines such as DTaP, in vivo potency release assays are required. We quantified the variability of in vivo potency release assays for four DTaP (Diphtheria, Tetanus, acellular Pertussis) products of different manufacturers. With their large CV (Coefficients of Variance) ranging from 16% to 132%, these in vivo assays are of limited value to ensure their potency is consistent and similar to the clinical batches used for the marketing authorisation. Our data show that, although individual potency test results show high variability, the DTaP batches are manufactured with great consistency, because repeated potency testing yields similar averages for the different batches. The economic impact of variability of in vivo tests is significant since it may result in the need for greater amount of antigen than may be required or for repeating a test. For monitoring the consistency of potency, in vitro assays are superior to in vivo assays. Animal-free potency determination is common practice for newly developed vaccines under modern GMP quality systems. However, replacement of in vivo potency tests for legacy vaccines like DTaP is challenging and would require a 'reverse characterisation' strategy in which the antigens are further characterised at the level of drug substance and drug product to identify critical quality attributes (CQA) that can be tested with in vitro assays. Based on these an updated set of release tests without animal tests can be proposed. Our data can serve as benchmark for the innovative methods. (C) 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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