Evidence map›Paper›PMID 25990108›Full record

ArticleJournal of translational medicine2015

Preclinical good laboratory practice-compliant safety study to evaluate biodistribution and tumorigenicity of a cartilage advanced therapy medicinal product (ATMP).

Matthias Zscharnack, Christoph Krause, Gabriela Aust, Christian Thümmler, Frank Peinemann, Thomas Keller, Jeske J Smink, Heidrun Holland, Jeremy S Somerson, Jens Knauer and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Cartilage · 2019
    Article
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  11. Article
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  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Matthias ZscharnackTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. mzscharnack@gmail.com.
Christoph KrauseTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Christoph.Krause@medizin.uni-leipzig.de.
Gabriela AustResearch Laboratories, Department of Surgery, University of Leipzig, Leipzig, Germany. Gabriela.Aust@medizin.uni-leipzig.de.
Christian ThümmlerTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Christian.Thuemmler@bbz.uni-leipzig.de.
Frank PeinemannTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Frank.Peinemann@bbz.uni-leipzig.de.
Thomas KellerACOMED Statistik, Leipzig, Germany. tk@acomed-statistik.de.
Jeske J Sminkco.don AG, Teltow, Germany. j.smink@codon.de.
Heidrun HollandTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Heidrun.Holland@medizin.uni-leipzig.de.
Jeremy S SomersonDepartment of Orthopaedics, University of Texas HSC San Antonio, San Antonio, USA. jeremysomerson@gmail.com.
Jens KnauerFraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany. jens.knauer@izi.fraunhofer.de.
Ronny M SchulzTranslational Centre for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany. Ronny.Schulz@bbz.uni-leipzig.de.
Jörg LehmannFraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany. joerg.lehmann@izi.fraunhofer.de.
Leipzig University · DEFraunhofer Institute for Cell Therapy and Immunology · DEStatistisches Bundesamt · DEThe University of Texas at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical development of advanced therapy medicinal products (ATMPs), a new class of drugs, requires initial safety studies that deviate from standard non-clinical safety protocols. The study provides a strategy to address the safety aspects of biodistribution and tumorigenicity of ATMPs under good laboratory practice (GLP) conditions avoiding cell product manipulation. Moreover, the strategy was applied on a human ATMP for cartilage repair.

methodsThe testing strategy addresses biodistribution and tumorigenicity using a multi-step analysis without any cell manipulation to exclude changes of test item characteristics. As a safeguard measurement for meeting regulatory expectations, the project design and goals were discussed continuously with the regulatory authority using a staggered scientific advice concept. Subsequently, the strategy was applied to co.don chondrosphere® (huChon spheroid), a tissue-engineered matrix-free ATMP of human normal chondrocytes. In both the biodistribution and tumorigenicity studies, huChon spheroids were implanted subcutaneously into 40 immunodeficient mice. Biodistribution was studied 1 month after implantation. A skin disc containing the huChon spheroid, two surrounding skin rings and selected organs were analyzed by validated, gender-specific, highly-sensitive triplex qPCR and by immunohistochemistry (IHC).

resultsNo human DNA was detected in distant skin rings and analyzed organs. IHC revealed no direct or indirect indications of cell migration. Tumorigenicity was assessed 6 months after huChon spheroid implantation by palpation, macroscopic inspection, histology and IHC. No mice from the huChon spheroid group developed a tumor at the implantation site. In two mice, benign tumors were detected that were negative for HLA-ABC, suggesting that they were of spontaneous murine origin.

conclusionsIn summary, the presented strategy using a multi-step analysis was confirmed to be suitable for safety studies of ATMPs.

Indexed as

LaboratoriesAnimalsCaco-2 CellsCartilageChondrocytesFemaleGenetic TherapyHumansKaryotypingMaleMiceMice, Inbred NODMice, SCIDNeoplasm TransplantationNIH 3T3 CellsPatient Safety

Identifiers

PMID25990108
PMCPMC4445304
OpenAlexW2120120660

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.