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JLAXXX10.1177/2211068214554612Journal of Laboratory AutomationPeris-Vicente et al.
Review Article
Journal of Laboratory Automation
Abstract
Classical microbiological methods currently have unacceptably long cycle times. Rapid microbiological methods have
been available on the market for decades and have been applied by the clinical and food industries. However, their
implementation in the pharmaceutical industry has been hampered by stringent regulations on validation and comparison
with classical methods. To encourage the implementation of these methodologies, they must be validated to assess that the
results are straightforward. A comparison with traditional methods should be also performed. In this review, information
about the validation of rapid microbiological methods reported in the literature is provided as well as an explanation of
the difficulty of validation of these methods. A comparison with traditional methods is also discussed. This information is
useful for industries and laboratories that can potentially implement these methods.
Keywords
analysis, guideline, laboratory, microorganism, validation
To apply these methods, the operator must prove that Biologics Evaluation and Research/FDA, from the U.S.
RMMs provide the same assurance of effectiveness of the bio- Department of Health and Human Services. FDA guidance
logical product as traditional methods do. A validation guide exposes a recommendation to test the suitability of the vali-
should be followed to indicate the protocol is needed to assess dation of the RMMs, but it has not law level.3
the usefulness of the method. Several guides have been sug- This guide proposes recommendations for manufactur-
gested and can be applied to validation of RMMs, such as the ers and users for validation and sterility testing of therapy
Guides for Industry: Validation of Growth-Based Rapid and gene therapy products, as well as growth-based RMMs.
Microbiological Methods for Sterility Testing of Cellular and However, the guideline is not directly applicable to human
Gene Therapy Products, described by the Food and Drug cells, tissues, or cellular and tissue products.3
Administration (FDA)3; Guidance for Industry PAT—A The guidance applies to the following products.
Framework for Innovative Pharmaceutical Development,
Manufacturing, and Quality Assurance, September 20046; and 1. Somatic cell therapy products: Autologous or allo-
Presidential Task Force on Best Practices in Microbiological geneic cells that have been propagated, expanded,
Methodology performed by AOAC International, 2006.7 These selected, pharmacologically treated, or otherwise
guides require detailed information on all of the validation altered in biological characteristics ex vivo, to be
parameters: accuracy, precision, ruggedness, specificity, limit administered to humans and applicable to the pre-
of quantification (LOQ), limit of detection (LOD), linearity, vention, treatment, cure, diagnosis, or mitigation of
range, equivalence, and quality by design. An analytical meth- disease or injuries.8
odology is accepted if the validation parameters are under 2. Gene therapy products: All products that mediate
those guideline requirements. their effects by transcription and/or translation of
Although RMMs are now routinely used in limited set- transferred genetic material and/or by integrating
tings, such as clinical testing, they have not been compre- into the host genome and that are administered as
hensively validated for use in a variety of manufacturing nucleic acids, viruses, or genetically engineered
settings. Cell-based products present especially challenging microorganisms. The products may be used to mod-
manufacturing issues, as these products often introduce ify cells in vivo or transferred to cells ex vivo prior
additional product or process variables that would likely to administration to the recipient.9
affect the test outcome. These variables should be consid-
ered in a validation study to demonstrate that the method is Guidance for Industry PAT—A Framework for Innovative
suitable for its intended product and application. Pharmaceutical Development, Manufacturing, and Quality
The aim of this work is to discuss the two main guides Assurance was developed by the U.S. Department of Health
proposed to validate RMMs: the Guidance for Industry: and Human Services, FDA, in September 2004. The guide
Validation of Growth-Based RMMs for Sterility Testing and is intended to describe a regulatory framework (process
Gene Therapy Products and the Guidance for Industry analytical technology [PAT]) that will encourage industry
PAT—A Framework for Innovative Pharmaceutical and research laboratories to develop and implement innova-
Development, Manufacturing, and Quality Assurance focus- tive pharmaceutical development, manufacturing, and qual-
ing on the description of the applied validation protocol. The ity assurance. Working with existing regulations, the agency
ability to recover and detect organisms from the product and has developed an innovative approach for helping the phar-
demonstrate their viability by multiplication in liquid media maceutical industry address anticipated technical and regu-
must be evaluated. The guidance has been developed for latory issues and questions.6
RMMs with qualitative results (e.g., detection of microor- The Presidential Task Force on Best Practices in
ganisms). Reliance on validated sterility testing methods is a Microbiological Methodology was performed by AOAC
critical element in assuring the safety of a product. Validation International in September 2006.7 This guide is devoted to
of most methods for final product testing, including those the validation microbiological methods for the industry and
assessing sterility, is required under 21 CFR 211.165(e) and refers to laboratories working in the field of food safety,
21 CFR 11.194(a).4 Validation of critical methods proves that quality assurance, clinical diagnostics, veterinary diagnos-
the methods are suitable for their intended purpose, to mea- tics, and engineering.7
sure the quantity of microorganisms in the sample, and pro-
vides assurance about the accuracy and reproducibility.
Validation Procedure
The final objective of validation of an analytical method is
Description of the Guides to demonstrate that it is suitable for its intended purpose.
Guidance for Industry:Validation of Growth-Based Rapid Thus, RMMs must be compared with traditional methods to
Microbiological Methods for Sterility Testing and Gene prove that they are equivalent or even that they provide less
Therapy Products has been developed by the Center for uncertainty.10
Peris-Vicente et al. 261
consider are cell concentration, media, and additives, as well as (e.g., worst case, matrix approach). Revalidation of the
preservation and antimicrobial agents, with a bacteriostatic or RMM should be performed whenever there are changes in
fungistatic effect. Several matrix compositions should be the process that could potentially inhibit (e.g., the addition
tested to validate the method for multiple sample types of the of antimicrobials) or enhance detection of viable microor-
same cellular product. ganisms. Verification of critical parameters of the test
The application of RMMs must be validated for in-pro- method postprocess, or product changes using the microor-
cess and final product in a cell culture production. The cell ganisms most difficult to detect, can serve as an indication
culture medium can contain antibiotics in different stages of of the need to revalidate the method. Validation of the steril-
the in-process, which might contain a preservation agent as ity test should be performed on all new products.3
well as a higher cell concentration. Thus, the different steps
of cell production must be separately validated because of
their different compositions.
Advantages of RMMs
To validate the performance of a commercially available The implementation of RMMs also provides interesting
testing system, studies using characteristic organisms under economic features, because of the significant reductions in
prescribed assay conditions should be performed, and the time to result over conventional methods. Normally, the
results should be compared with those provided by the production cycle is stopped or a product is kept until
supplier. checking the absence of contamination. If the time to
In the validation study design, the potential for the materi- result is shortened, the product would be more rapidly
als being tested to generate false-positive or false-negative released. Moreover, RMMs allow continuous sampling
results should be evaluated using the appropriate controls. and data collection and provide time-sensitive outputs and
This will depend on the product matrix, additives and preser- real-time data analysis. Therefore, more screenings and
vatives, and unique characteristics of the product. For exam- repeat tests could be performed in all stages of production,
ple, if a freshly isolated cellular product is tested for sterility improving the surveillance process.13 Real-time control
using a detection method based on CO2 production, then the and early warning of contamination are essential before
same freshly isolated cellular product should serve as a con- introducing raw materials and other product components
trol to determine whether uncontaminated cells generate lev- to the process, validating manufacturing, or distributing
els of CO2 that would produce a false-positive result. The use finished products.14
of additional positive and negative controls containing prod- RMMs involves an easy-to-handle protocol, with a neg-
uct components, but not cells, is also recommended.3 ligible production of waste, minimal operator variability,
reduced staff training requirement, and possibility of auto-
mation. They also facilitate research through generating
Comparison between RMMs and Traditional earlier results. Moreover, the shorter analysis time reduces
Methods the probability of contamination, improving the robustness.
To compare RMMs and traditional methods, the same amount A shorter time to result facilitates replication of an analysis
of potential microbial contaminants as microorganisms indi- if a contamination or a strange result occurs. Thus, RMMs
cated in the previous section are inoculated in cell cultures can improve manufacturing consistency by permitting
(measured in CFU/volume). The ability of both methods to faster implementation of corrective actions and fostering
identify the microorganisms is tested, together with recovery, opportunities to improve the safety of the process. Moreover,
detection limit, and assay performance. Several dilutions of RMMs also show improved sensitivity, efficiency, selectiv-
microorganisms are tested (10–99 CFU/sample), in order to ity, accuracy, high throughput, and low false-positive rate,
evaluate the usefulness of RMMs at the main working con- leading to higher efficiency.13 These features of RMMs pro-
centration levels of microorganisms.3 vide an opportunity to assess the significance of viable but
nonculturable or stressed microorganisms.15,16
Revalidation Method
Any changes in product manufacturing, including formula- Application of Validation of RMMs
tion, or changes in the RMMs that can potentially inhibit or The Milliflex Quantum method is an RMM based in fluo-
enhance detection of viable microorganisms need to revali- rescence detection for the quantification of microorgan-
date the RMMs. Changes in cell types, harvesting proce- isms. The culture media are prefilled tryptic soy agar plates,
dures, culture media, additives, critical processing steps, or R2A plates, and Sabouraud dextrose agarplates. The authors
postprocessing handling can potentially affect the detection have validated this methodology for the analysis of contami-
of viable microorganisms. Initial validation can be designed nants in water. The tested microorganisms were the following
to minimize the effect of some changes by designing assay American Type Culture Collection (ATCC) strains (TM):
conditions that encompass known or proposed changes Candida albicans (10231D-5), Aspergillus brasiliensis
Peris-Vicente et al. 263
(16404D-2), Staphylococcus epidermidis (12228D-5), work has been supported by a project from the University Jaume I
Ralstonia pickettii (27511), Brevundimonas diminuta (19146), (project P1.1B2012-36).
Staphylococcus aureus (700699D-5), Pseudomonas aerugi-
nosa (47085D-5), Bacillus subtilis (23857D-5), and Escherichia References
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Meder et al.12 This method was compared with a compendial Sterile Drug Products Produced by Aseptic Processing—
method. Current Good Manufacturing Practice (September 2004).
http://www.fda.gov/cber/guidelines.html (accessed May 14,
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Quantum and traditional method. 4. United States Pharmacopeia 28 and National Formulary 23
•• Accuracy was 90% to 112%. (USP 28 NF 23), Sterility Tests, General Chapter 71, 2005;
pp 1–13.
•• Linearity was found at r2 > 0.96 between 4 to 10
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PAT—A Framework for Innovative Pharmaceutical
The validated RMM and the compendial method were Development, Manufacturing, and Quality Assurance
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RMMs offer evident improvements in comparison with
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RMMs provide significant improvements with the same 9. Food and Drug Administration. Guidance for Industry:
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.fda.gov/BiologicsBloodVaccines/GuidanceCompliance
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Declaration of Conflicting Interests
on Harmonisation (ICH) Guidance; Q2(R1), Validation of
The authors declared no potential conflicts of interest with respect Analytical Procedures: Text and Methodology (November
to the research, authorship, and/or publication of this article. 2005). http://www.ich.org/fileadmin/Public_Web_Site/ICH_
Products/Guidelines/Quality/Q2_R1/Step4/Q2_R1__
Guideline.pdf (accessed May 14, 2014).
Funding 11. ICH Expert Working Group. The International Conference
The authors disclosed receipt of the following financial support on Harmonisation (ICH) Guidance; Q9, Quality Risk
for the research, authorship, and/or publication of this article: This Management (June 2006). http://www.ich.org/fileadmin/
264 Journal of Laboratory Automation 20(3)