Abstract
In the last decade, the advancement of stem cell research as a new therapeutic approach in the field of tissue engineering, regenerative medicine, cell and gene therapy had urged researchers to produce clinical grade cell and tissue products. The process of translation from research to clinical application requires strict control of the product to ensure its quality, safety and efficacy. These clinical grade cell and tissue-based products should be manufactured in a current good manufacturing practice (cGMP) facility that is designed and accredited by the regulatory body for the production of cell and tissue. cGMP is the practice regulations or system that is internationally recognised and enforced by the regulatory agencies, that control the authorisation and licensing of the manufactured products such as pharmaceuticals, food and beverages, cosmetics, medical devices, cell and tissue-based products. The quality management system is the crucial part of cGMP to control the manufacturing process (including critical materials, sample collection, processing, culturing, storage quality control testing and release of the cell therapy products), facility management (including design, environmental control and monitoring, maintenance, equipment, personnel access, cleaning), validation, personnel training, competency and also records. The cGMP facilities for cell and tissue therapy should be designed at a higher standard and following the pharmaceutical manufacturer in order to produce a safe and high-quality product for human use. The facility must be designed in a proper size of cleanroom with different class or grade (Grade A, B, C and D) areas depending on air purity and particles. The environmental control, monitoring and maintenance of the facility is critical to prevent contaminations and determines the operation efficiency. The standard operating procedures (SOP) for all related processes and procedures for the production of cell and tissue-based products should be developed and validated before the products can be manufactured and released for therapeutic use. In this chapter, we will discuss details on the cGMP quality system, facility management, manufacturing of the clinical grade cell and tissue-based products and ethical issues. All activities in the cGMP must be documented and audited regularly to maintain the consistency of the products and follow the standard guideline required by the regulator.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abou-El-Enein M, Römhild A, Kaiser D, Beier C, Bauer G, Volk H-D, Reinke P (2013) Good manufacturing practices (GMP) manufacturing of advanced therapy medicinal products: a novel tailored model for optimizing performance and estimating costs. Cytotherapy 15:362–383
Amariglio N, Hirshberg A, Scheithauer BW, Cohen Y, Loewenthal R, Trakhtenbrot L, Paz N, Koren-Michowitz M, Waldman D, Leider-Trejo L, Toren A, Constantini S, Rechavi G (2009) Donor-derived brain tumor following neural stem cell transplantation in an ataxia telangiectasia patient. PLoS Med 6:e1000029
AQM (2021) Document control explained, American Quality Management. https://aqmauditing.com/iso-9001-consulting/document-control/. Accessed 23 Apr 2021
ASQ (2020) Quality assurance & quality control. https://asq.org/quality-resources/quality-assurance-vs-control. Accessed 19 Mar 2021
Bedford P, Jy J, Collins L, Keizer S (2018) Considering cell therapy product “good manufacturing practice” status. Front Med (Lausanne) 5:118
Berkowitz AL, Miller MB, Mir SA, Cagney D, Chavakula V, Guleria I, Aizer A, Ligon KL, Chi JH (2016) Glioproliferative lesion of the spinal cord as a complication of “stem-cell tourism”. N Engl J Med 375:196–198
Burke SP, Henderson AD, Lam BL (2017) Central retinal artery occlusion and cerebral infarction following stem cell injection for baldness. J Neuroophthalmol 37:216–217
Choudhary A (2016) Quality management system (QMS). https://www.pharmaguideline.com/2016/10/quality-management-system-qms.html. Accessed 10 Feb 2021
Dawson S (2014) Document control in ISO 9001:2008, Core Business Solutions, Inc. https://www.thecoresolution.com/4-2-3-document-control-in-iso-90012008. Accessed 23 Apr 2021
Dietz AB, Padley DJ, Gastineau DA (2007) Infrastructure development for human cell therapy translation. Clinical Pharmacol Ther 82:320–324
Djemal KK (1999) Document control and document management. Commun Dis Public Health 2:301–302
Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop D, Horwitz E (2006) Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy 8:315–317
Easterbrook C, Maddern G (2008) Porcine and bovine surgical products: Jewish, Muslim, and Hindu perspectives. Arch Surg 143:366–370. discussion 70
Escano CS (2021) GMP: good manufacturing practices, SafetyCulture. https://safetyculture.com/topics/gmp/. Accessed 5 May 2021
Fagioli F, Ferrero I (2015) Mesenchymal stem cell manufacturing for clinical use. J Prog Stem Cell Transplant 117
Frost S (2019) Meaning of job description, Chron. https://work.chron.com/meaning-job-description-6819.html. Accessed 4 May 2021
Galvez P, Clares B, Bermejo M, Hmadcha A, Soria B (2014) Standard requirement of a microbiological quality control program for the manufacture of human mesenchymal stem cells for clinical use. Stem Cells Dev 23:1074–1083
Giancola R, Bonfini T, Iacone A (2012) Cell therapy: cGMP facilities and manufacturing. Muscles Ligaments Tendons J 2:243–247
GMP7.com (2019) GMP validation. In: GMP7.com
Gopalan N, Nor SNM, Mohamed MS (2020) Regulation of stem cell technology in Malaysia: current status and recommendations. Sci Eng Ethics 26:1–25
Gouveia BG, Rijo P, Goncalo TS, Reis CP (2015) Good manufacturing practices for medicinal products for human use. J Pharm Bioallied Sci 7:87–96
Guadix JA, López-Beas J, Clares B, Soriano-Ruiz JL, Zugaza JL, Gálvez-Martín P (2019) Principal criteria for evaluating the quality, safety and efficacy of hMSC-based products in clinical practice: current approaches and challenges. Pharmaceutics 11:552
Institute of Food Science & Technology (2018) Food and drink—good manufacturing practice: a guide to its responsible management. Wiley-Blackwell
ISO (2003) ISO 14698-1:2003—cleanrooms and associated controlled environments—biocontamination control—Part 1: general principles and methods. https://www.iso.org/standard/25015.html. Accessed 31 May 2021
ISO (2015) ISO 14644-1:2015—cleanrooms and associated controlled environments—Part 1: classification of air cleanliness by particle concentration. https://www.iso.org/standard/53394.html. Accessed 31 May 2021
Jabr F (2012) In the flesh: the embedded dangers of untested stem cell cosmetics unapproved procedures and skin care products endanger consumers and clinical research. www.scientificamerican.com/article/stem-cell-cosmetics/
Jochems CE, van der Valk JB, Stafleu FR, Baumans V (2002) The use of fetal bovine serum: ethical or scientific problem? Altern Lab Anim 30:219–227
Khairul AK, Manira M, Seet WT, Ahmad Irfan AW, Ruszymah BHI (2012) Process development for the production of human cell and tissue in accordance to good manufacturing practice: our experience in UKM medical centre. Regen Res 1:56–60
Kolkundkar U, Gottipamula S, Majumdar AS (2014) Cell therapy manufacturing and quality control: current process and regulatory challenges. J Stem Cell Res Ther 4:1–10
Kuriyan AE, Albini TA, Townsend JH, Rodriguez M, Pandya HK, Leonard RE 2nd, Parrott MB, Rosenfeld PJ, Flynn HW Jr, Goldberg JL (2017) Vision loss after intravitreal injection of autologous “stem cells” for AMD. N Engl J Med 376:1047–1053
Lee T-L, Lysaght T, Lipworth W, Hendl T, Kerridge I, Munsie M, Stewart C (2017) Regulating the stem cell industry: needs and responsibilities. Bull World Health Organ 95:663
Li Y, Verter F, Wang B, Gu N (2019) Regulations on cell therapy products in China: a brief history and current status. Regen Med 14:791–803
Lynch L (2020) 8 reasons why refresher training is a good idea, LearnDash. https://www.learndash.com/8-reasons-why-refresher-training-is-a-good-idea/. Accessed 5 May 2021
Majumder, M, Olsen T (2018) Standardizing human mscs as critical raw materials in cell therapy products: streamlining clinical translation. Cell/Gene therapies, November-December 2018 featured report, supply chain. https://bioprocessintl.com/manufacturing/cell-therapies/standardizing-human-mscs-as-critical-raw-materials-in-cell-therapy-products-streamlining-clinical-translation/
Martin PG, Gonzalez MB, Martinez AR, Lara VG, Naveros BC (2012) Isolation and characterization of the environmental bacterial and fungi contamination in a pharmaceutical unit of mesenchymal stem cell for clinical use. Biologicals 40:330–337
Martín PG, Martinez AR, Lara VG, Naveros BC (2014) Regulatory considerations in production of a cell therapy medicinal product in Europe to clinical research. Clin Exp Med 14:25–33
Matthews KR, Iltis AS (2015) Unproven stem cell-based interventions and achieving a compromise policy among the multiple stakeholders. BMC Med Ethics 16:75
Mead WJ (2012) Dietary supplement good manufacturing practices: preparing for compliance. Informa Healthcare, New York
Medcalf N, Hourd P, Chandra A, Williams DJ (2014) Quality assurance and GMP in the manufacture of cell-based therapeutics. In: Stem book ed, The stem cell research community, stembook. https://doi.org/10.3824/stembook.1.99.1
Mellor DJ, Gregory NG (2003) Responsiveness, behavioural arousal and awareness in fetal and newborn lambs: experimental, practical and therapeutic implications. N Z Vet J 51:2–13
Mendicino M, Fan Y, Griffin D, Gunter KC, Nichols K (2019) Current state of US Food and Drug Administration regulation for cellular and gene therapy products: potential cures on the horizon. Cytotherapy 21:699–724
Moore I (2009) Manufacturing cosmetic ingredients according to good manufacturing practice principles. In: Lintner K (ed) Personal care and cosmetic technology, global regulatory issues for the cosmetics industry. William Andrew Publishing
Nagai S (2019) Flexible and expedited regulatory review processes for innovative medicines and regenerative medical products in the US, the EU, and Japan. Int J Mol Sci 20:3801
Nally JD (2007) Good manufacturing practices for pharmaceuticals. CRC Press, Boca Raton
NPRA (2021) National Pharmaceutical Regulatory Agency, Ministry of Health Malaysia. https://npra.gov.my/. Accessed 3 Feb 2021
PIC/S (2018) Guide to good manufacturing practice for medicinal products (annex 1)
PIC/S (2021) Pharmaceutical inspection co-operation scheme. https://picscheme.org. Accessed 2 Feb 2021
Ra JC, Shin IS, Kim SH, Kang SK, Kang BC, Lee HY, Kim YJ, Jo JY, Yoon EJ, Choi HJ (2011) Safety of intravenous infusion of human adipose tissue-derived mesenchymal stem cells in animals and humans. Stem Cells Dev 20:1297–1308
Ramakrishna S, Tian L, Wang C, Liao S, Teo WE (2015) Medical devices: regulations, standards and practices. Elsevier Science
Ridgway A, Agbanyo F, Wang J, Rosu-Myles M (2015) Regulatory oversight of cell and gene therapy products in Canada. In: Regulatory aspects of gene therapy and cell therapy products, pp 49–71
Rosemann A, Vasen F, Bortz G (2019) Global diversification in medicine regulation: insights from regenerative stem cell medicine. Sci Cult 28:223–249
Saei Arezoumand K, Alizadeh E, Pilehvar-Soltanahmadi Y, Esmaeillou M, Zarghami N (2017) An overview on different strategies for the stemness maintenance of MSCs. Artif Cells Nanomed Biotechnol 45:1255–1271
Salmikangas P, Menezes-Ferreira M, Reischl I, Tsiftsoglou A, Kyselovic J, Borg JJ, Ruiz S, Flory E, Trouvin J-H, Celis P (2015) Manufacturing, characterization and control of cell-based medicinal products: challenging paradigms toward commercial use. Regen Med 10:65–78
Schneider F, Maurer C, Friedberg RC (2017) International Organization for Standardization (ISO) 15189. Ann Lab Med 37:365–370
Seet WT, Manira M, Khairul Anuar K, Chua KH, Ahmad Irfan AW, Ng MH, Aminuddin BS, Ruszymah BH (2012) Shelf-life evaluation of bilayered human skin equivalent, MyDerm. PLoS One 7:e40978
Seet WT, Ahmad Irfan AW, Manira M, Khairul AK, Ruszymah BHI (2013) Quality management of a GMP laboratory for human cell and tissue therapy: our experience in UKM medical centre. Regen Res 2:50–54
Seet WT, Ahmad Irfan AW, Manira M, Khairul AK, Ruszymah BHI (2014) Quality control for the manufacturing of MyDerm™, a bilayered tissue engineered human skin substitute for clinical application. Regen Res 3:90–91
Serra M, Roseti L, Bassi A (2014) Media fill for validation of a good manufacturing practice-compliant cell production process. In: Stem cells and good manufacturing practices. Springer
Sivakumar V (2015) Managing consumable materials in pharma sector. http://www.pharmabiz.com/NewsDetails.aspx?aid=89954&sid=9. Accessed 23 Apr 2021
Sullivan A, Elshenawy S, Ades A, Sawyer T (2019) Acquiring and maintaining technical skills using simulation: initial, maintenance, booster, and refresher training. Cureus 11:e5729
Teng CW, Foley L, O’Neill P, Hicks C (2014) An analysis of supply chain strategies in the regenerative medicine industry—implications for future development. Int J Prod Econ 149:211–225
TGA (2021) The therapeutic goods administration, Department of Health, Australia. https://www.tga.gov.au/. Accessed 3 Feb 2021
Tiwari SS, Desai PN (2018) Unproven stem cell therapies in india: regulatory challenges and proposed paths forward. Cell Stem Cell 23:649–652
Torre ML, Lucarelli E, Guidi S, Ferrari M, Alessandri G, De Girolamo L, Pessina A, Ferrero I, Gruppo Italiano Staminali Mesenchimali (2015) Ex vivo expanded mesenchymal stromal cell minimal quality requirements for clinical application. Stem Cells Dev 24:677–685
Turner L (2015a) US stem cell clinics, patient safety, and the FDA. Trends Mol Med 21:271–273
Turner LG (2015b) Federal regulatory oversight of US clinics marketing adipose-derived autologous stem cell interventions: insights from 3 new FDA draft guidance documents. Mayo Clin Proc 90:567–571
Turner LG (2015c) US clinics marketing unproven and unlicensed adipose-derived autologous stem cell interventions. Regen Med 10:397–402
Ude CC, Seet WT, Sharen Aini S, Aminuddin BS, Ruszymah BHI (2018) Shelf life evaluation of clinical grade chondrogenic induced aged adult stem cells for cartilage regeneration. Sci Rep 8:4345
US FDA (2011) FDA guidance for industry, process validation: general principles and practices
US FDA (2020) Chemistry, manufacturing, and control (CMC) information for human gene therapy investigational new drug applications (INDs)—guidance for industry. United States
US FDA (2021) United States Food and Drug Administration. https://www.fda.gov. Accessed 2 Feb 2021
Wikipedia (2021) Quality assurance. https://en.wikipedia.org/wiki/Quality_assurance. Accessed 19 Mar 2021
World Health Organization (2002) WHO good manufacturing practices for sterile pharmaceutical products, QAS/09.925 Rev1
Wuchter P, Bieback K, Schrezenmeier H, Bornhäuser M, Müller LP, Bönig H, Wagner W, Meisel R, Pavel P, Tonn T (2015) Standardization of good manufacturing practice–compliant production of bone marrow–derived human mesenchymal stromal cells for immunotherapeutic applications. Cytotherapy 17:128–139
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Seet, W.T., Mat Afandi, M.A., Shamsuddin, S.A., Lokanathan, Y., Ng, M.H., Maarof, M. (2022). Current Good Manufacturing Practice (cGMP) Facility and Production of Stem Cell. In: Khan, F.A. (eds) Stem Cell Production. Springer, Singapore. https://doi.org/10.1007/978-981-16-7589-8_3
Download citation
DOI: https://doi.org/10.1007/978-981-16-7589-8_3
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-7588-1
Online ISBN: 978-981-16-7589-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)