Evidence map›Paper›PMID 42059005›Full record

ReviewRegenerative therapy2026

From production to bedside: A tiered QC framework for regulatory alignment and analytical comparability in decentralized CGT.

Sagi Nahum, Devanshi Doshi, Cris Kosnik, Emiko Jeffries, Kristine Nishida, Vered Caplan, Heiko von der Leyen

Abstract readReview
In one paragraph

Review in Regenerative therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Sagi NahumCellVira LLC, Germantown, MD, USA.
Devanshi DoshiCellVira LLC, Germantown, MD, USA.
Cris KosnikOrgenesis Maryland LLC, Germantown, MD, USA.
Emiko JeffriesCellVira LLC, Germantown, MD, USA.
Kristine NishidaCellVira LLC, Germantown, MD, USA.
Vered CaplanOrgenesis Inc., Germantown, MD, USA.
Heiko von der LeyenOrgenesis Inc., Germantown, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decentralized and point-of-care (PoC) manufacturing is reshaping cell and gene therapy (CGT) by bringing production closer to patients. This model offers advantages, including reduced vein-to-vein times, streamlined logistics, and greater flexibility for patient-specific treatments, with the potential to improve affordability and broaden access. However, it introduces new quality control (QC) challenges that are central to ensuring product safety, potency, and consistency. Autologous CGTs, typically produced as single patient lots with limited shelf lives and compressed release timelines, require QC systems capable of delivering reliable results within hours for critical quality attributes (CQA) such as identity, potency, sterility, and safety. In both autologous and allogeneic settings, variability in starting material, shortages of trained personnel, and a lack of standardized assays across sites complicate consistency and hinder data pooling in multicenter trials. Hospital-based facilities also require enhanced infrastructure, harmonized procedures, and digital oversight to sustain network-wide comparability. Emerging solutions emphasize automation, validated rapid-testing platforms, and methods that minimize reliance on highly specialized expertise to accelerate batch release and improve reproducibility across distributed networks. Regulatory agencies are updating frameworks for modular and Point-of-Care (PoC) models, emphasizing flexibility while maintaining rigorous standards. Here, we outline a tiered QC model designed to maintain product comparability and enable timely release. QC has become the defining challenge of decentralized CGT manufacturing. However, implementing robust strategies, assay harmonization, and validated rapid-release methods can ensure uniform product quality across distributed sites, so that every patient, regardless of treatment site, receives safe, effective, and timely therapy.

Indexed as

Automation-enabled modular manufacturingDecentralized manufacturingNetwork-wide QMS harmonizationQC decentralization strategyRapid-release analyticsTiered QC model

Identifiers

PMID42059005
PMCPMC13123365

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.