Abstract
Host cell proteins (HCP) are process-related impurities that can
co-purify with therapeutic proteins. Some HCP impurities potentially can
have an impact on patient safety (immunogenicity or toxicity), efficacy,
and/or product quality. It is important to reduce the levels of HCP
impurities with a well-controlled manufacturing process and to monitor
levels with a suitable analytical assay. Biopharmaceutical companies are
now routinely using mass spectrometry (MS) to identify HCPs which are
present in process intermediates and potentially in bulk drug substances
and using the data to make decisions to continuously improve their
processes and mitigate the potential risk to patients. The timing for
the identification varies from one company to another. Some companies
perform identification of HCPs starting from the nonclinical stage of
development, while others perform HCP identification at later stages or
as a part of root cause analysis for identified HCP ELISA-related
issues, process, and product quality or safety concerns. No matter the
approach, a comprehensive risk assessment framework for identified HCPs
is needed to support decision-making during development and is expected
by regulators to ensure a safe and efficacious drug product. In this
paper the BioPhorum Development Group HCP Workstream has brought
together a team of industry experts to build upon existing risk
assessment frameworks (e.g., de Zafra et al., 2015) and develop
recommendations for assessment of clinical safety risks upon
identification of individual HCPs, incorporating regulatory
considerations and industry experience and using a real-world case study
to illustrate the use of the updated frameworks.