349 results
WHO guideline title | Product | TRS | Test name | Test category | 3Rs approach | Toggle to view all updates |
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Guidelines on the quality, safety and efficacy of dengue tetravalent vaccines (live, attenuated) |
Dengue fever vaccines
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979 Annex 2
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Tests in experimental animals
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Neurovirulence
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Original textTests in suckling mice: the virulence of different vaccine candidates in mice will depend on the strains of virus and mouse. Novel vaccines that reach the clinical phase of development in many cases were tested for neurovirulence in suckling and adult mice during the preclinical phase of development. New textThe potential neurovirulence of a new vaccine strain should be assessed during preclinical development and a risk analysis carried out based on available scientific data and information. If molecular consistency has been demonstrated during characterisation, then assessment of neurovirulence may be omitted for subsequent viral seed lots and/or routine manufacturing. For existing products where animal neurovirulence testing is currently prescribed, this test can be waived when safety and genetic stability of the product are sufficiently assured. This can be established by historical / (pre-) clinical, and pharmacovigilance data, and by data generated with nucleic acid amplification and sequencing techniques, to support the molecular consistency of the virus and for the establishment of a link between genetic sequences and in vivo phenotypes. For all products, a risk-based approach should be performed taking into consideration the genetic features and molecular consistency of the strain (sequence evaluated at different manufacturing steps, determined with traditional or new sequencing technologies) and the nature of the vaccine (attenuated, chimeric, genetically modified), to assess whether a neurovirulence assay is required and what animal model is most suitable. If an in vivo assay is scientifically justified, it should be established at what level (Master Seed Lot, Working Seed Lot, monovalent bulk) the test should be performed to avoid unnecessary duplication. |
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Guidelines on the quality, safety and efficacy of dengue tetravalent vaccines (live, attenuated) |
Dengue fever vaccines
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979 Annex 2
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Test for haemadsorbing viruses
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Adventitious agents
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Reduction - Limit to one species
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Original textAt the end of the observation period, a fraction of control cells comprising not less than 25% of the total should be tested for the presence of haemadsorbing viruses, using guinea-pig red blood cells. New textAt the end of the observation period a fraction of culture comprising not less than 25% of the total should be tested for the presence of haemadsorbing viruses, using red blood cells from guinea-pig or other suitable red blood cells. It is not necessary to use red blood cells from multiple species. If the red blood cells have been stored prior to use in the haemadsorption assay, the duration of storage should not have exceeded 7 days and the temperature of storage should have been in the range of 2–8 °C. |
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Guidelines on the quality, safety and efficacy of dengue tetravalent vaccines (live, attenuated) |
Dengue fever vaccines
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979 Annex 2
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Test for consistency of virus characteristics
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Miscellaneous
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Original textAssays for the attenuation of dengue/yellow fever recombinants and other vaccine viruses, if appropriate, include tests in suckling mice….The test for consistency may be omitted as a routine test once the consistency of the production process has been demonstrated on a significant....number of batches in agreement with the NRA. Where there is a significant change in the manufacturing process, the test should be reintroduced. New textA suitable assay for the attenuation of dengue/yellow fever recombinants and other vaccine viruses should be carried out. |
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Guidelines on the quality, safety and efficacy of dengue tetravalent vaccines (live, attenuated) |
Dengue fever vaccines
|
979 Annex 2
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General safety
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GST
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Original textEach filling lot should be tested for unexpected toxicity (sometimes called abnormal toxicity) using a general safety test approved by the NRA. This test may be omitted for routine lot release once consistency of production has been established to the satisfaction of the NRA and when good manufacturing practices are in place. Each lot, if tested, should pass a general safety test. New textThis needs to be removed as per WHO TRS 1016, 2019 page No 32-33
ReferencesBiologicals. 2020 Jul; 66: 17–20.
doi: 10.1016/j.biologicals.2020.05.003
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Animals and cell cultures used for production
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Miscellaneous
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Original textA.3.1.1 - Hamsters and gerbils for cell cultures New textA.3.1.3 - Continuous cell lines. This approach for manufacture should be the prefered option for new vaccines. Introductory text A.3.1. should make this point.
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Suitable tests for detecting viruses
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Adventitious agents
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NGS
Cell culture method
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Original textSuitable tests for detecting viruses in calf or newborn calf serum New textA strategy for testing adventitious viruses in vaccines must be developed based on a risk assessment. Relevant culture methods and/or specific molecular biology or broad molecular methods should be part of the overall testing package with the agreement of the NRA. In vivo tests may only be used if the risk assessment indicates that this test provides an additional risk mitigation taking into account the overall testing package.ReferencesBiologicals 2020 Sep;67:94-111. doi: 10.1016/j.biologicals.2020.06.002. Epub 2020 Jul 11.
"Gombold et al , 2014 “Systematic evaluation of in vitro and in vivo adventitious virus assays for the detection of viral contamination of cell banks and biological products”
Vaccine 2014 May 19;32(24):2916-26. doi: 10.1016/j.vaccine.2014.02.021. Epub 2014 Mar 25.
Charlebois R. L. et al, 2020 . “Sensitivity and breadth of detection of high-throughput sequencing for adventitious virus detection”
npj Vaccines volume 5, Article number: 61 (2020) "
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Strain of virus
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Miscellaneous
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Original textVaccine production shall be based on hantavirus strains associated with human disease. The strains used to produce seed lots shall be approved by the national control authority and shall yield safe and immunogenic vaccines when the vaccine has been inactivated. They shall be identified by historical records, infecticity tests, serological tests and animal responses to inoculation New textVaccine production shall be based on hantavirus strains associated with human disease. The strains used to produce seed lots shall be approved by the NRA and shall yield safe and immunogenic vaccines when the vaccine has been inactivated. |
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Tests on virus seed lots
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Adventitious agents
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NGS
Cell culture method
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Original textTests for adventitious viruses - each virus seed lot shall be tested for adventitious agents after neutralization with a specific anti-hantavirus serum. New textA strategy for testing adventitious viruses in vaccines must be developed based on a risk assessment. Relevant culture methods and/or specific molecular biology or broad molecular methods should be part of the overall testing package with the agreement of the NRA. In vivo tests may only be used if the risk assessment indicates that this test provides an additional risk mitigation taking into account the overall testing package.ReferencesBiologicals 2020 Sep;67:94-111. doi: 10.1016/j.biologicals.2020.06.002. Epub 2020 Jul 11.
"Gombold et al , 2014 “Systematic evaluation of in vitro and in vivo adventitious virus assays for the detection of viral contamination of cell banks and biological products”
Vaccine 2014 May 19;32(24):2916-26. doi: 10.1016/j.vaccine.2014.02.021. Epub 2014 Mar 25.
Charlebois R. L. et al, 2020 . “Sensitivity and breadth of detection of high-throughput sequencing for adventitious virus detection”
npj Vaccines volume 5, Article number: 61 (2020) "
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Virus content
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Virus content
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Original textThe virus content of each single harvest shall be determined, before any purification, by intracerebral injection of suckling mice of two days of age or in sensitive cell cultures. New textThe virus content of each single harvest shall be determined, before any purification, in sensitive cell cultures. If a cell culture method is not available or suitable an alternative method may be used following approval by the NRA. |
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Haemorrhagic fever with renal syndrome (HFRS) vaccines (inactivated) |
Haemorrhagic fever vaccines
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848 Annex 2
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Inactivation of virus
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Toxicity
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Original textOption (B) - Each of at least 10 mice of two days old is innoculated intracerebrally….. New textEach undiluted bulk suspension shall be tested for inactivation of the virus by an in vitro method approved by the NRA (e.g. immunoassay for hantaviral antigen following inoculation of test sample into a suitable cell culture). If an in vivo inactivation assay is conducted, it should be specifically justified and approved by the NRA. |