Title of Invention


Abstract The present invention refers to a procedure for the large-scale amplification of human lymphocytic cell lines for therapeutic use, consisting of a homogeneous culture system. The claimed invention also refers to the production of therapeutic doses of lymphocytic cells cultured homogeneously.
The field of the invention concerns the in vitro cell culture and the large-scale expansion of isolated human cells. Prior art
An approach to the anti-tumour therapy is based on the use of ex vivo isolated cell lines or cells endowed with cytotoxic activity.
In the early '90, a number of T-lymphocyte cell lines derived from children with acute T-ceJJ lymphoblastic leukemia, named TALL, were isolated. They include T-cell lines TALL-104, TALL-107, TALL-103/2, described by O'Connor et al (Blood, J99V77^t534-4545J and by Cesano and Santoli (In Vitro Cell. Dev. Biol., 1992, 28: 648-656). They exhibit such interesting characteristics that they are now successfully used in the treatment of tumours in animal models and in man (Cesano ef a/., BJood J991. 87:393-403; Cesano et a/., Cancer Res., 1996, 56: 3021-3029,4JS.5,272,0S2; US 5,683,690; US 5,702,702).
TALL cell lines are endowed with cytotoxic, specifically anti-tumour, activity and are active against different types of tumours: the main characteristic of these cells is that they are MHC non-restricted (Cesano et a/., J. Immunol., 1993, 151: 2943-2957) and, therefore, can be administered to any patient, independently of the histocompatibility antigens phenotype. Furthermore, unlike some types of cytotoxic lymphocytes, such as for example TIL and LAK, TALL cell lines do not need, after in vivo administration, a concomitant treatment with iymphokines. This is a further advantage of said cells, since the simultaneous administration of Iymphokines has several drawbacks.
Moreover, TALL lymphocytes have been successfully tested in a variety of tumours. These are the reasons why they are considered an interesting therapeutic alternative. However, the cell expansion systems used so far are iimiting because the cells prepared for adoptive immunotherapy derive from cultures grown in single flasks, as described in Cesano et al., Cancer Res., 1996 56: 4444-4452 and Visonneau et ai, Clin. Cancer Res., 1997, 3: 1789-1797, although large-scale cell cultures apparatuses like those used in the preparation of

monoclonal antibodies and recombinant proteins have long been utilised.
Therefore, a large-scale culture system suitable for cells of this type is highly
It is an object of the present invention to provide a process for the TALL
lymphocytes large-scale expansion and growth based on the use of a
homogeneous culture system. The expression "large-scale amount of TALL
lymphocytes* refers to 1x109 cells at least.
In particular, the fermentoror homogeneous system us^d In the claimed process
is a cell-factory, preferably consisting of a stack of 10 chancers: The lymphocytes
that may be expanded according to the present procedure are selected 1rom the
group consisting of TALL-104, T7VLL-107/TALl^^
Aqfcording to a further embodiment the invert
- sampling said process i)ased on the sealing of the-iRlifng:>:a^m^^'^g^'$i^ich
£ airate^y^ least: a^ saraplfcig ^chamber contairflhga£ numbei^^ls sufficient for
* siampllns^: ^ v --
Description of the drawings
Figure 1 is a chart illustrating the glucose levels and the cellular density of TALL
cells grown in flask.
The following parameters were determined in 15 flasks of TALL: cells number/ml. (-
♦-) and glucose levels (full bar).
Detailed description of the invention
The invention refers to a procedure tor the large-scale expansion of TALL
[yrpphnrytP^ whprpin at tetef 1vin9 rails are cultured in a hnmngenpnns system
preferably consisting of a single fermentation unit.
TALL (T-cell acute lymphoblastic leukemia) lymphocytes are cytotoxic T-lymphocyte lines derived from a pediatric patient with lymphoblastoid leukemia and include TALL-104, TALL-107, TALL-103/2 lines, as described in O'Connor et a/., Blood, 1991, 77,1534:1545, and Cesano and Santoli, In Vitro Cell. Dev. Biol., Edfl92. 28: 648-656). The preferred cell line Is TALL-104. TALL cells may also be
I Mini . I .»i" ' iSP**"-.- ".ft
modified genetically.

They have so far been exclusively amplified in single flasks up to an obtainable maximum of approx. 1x10£ cells/T175 flask.
Therefore, the preparation of bags containing therapeutically effective quantities of cells comprised in the range from 105 to 1012 cells, preferably from 1x107 to 1x101C and still more preferably from 1x108 to 2.5x109 involved, until now, the simultaneous amplification of a large number of single flasks. According to the definitions of the invention the growth in single flasks represents a heterogeneous culture system since each flask represents a different culture microenvironment. Consequently, and in accordance with FDA's guidelines: "Guidance "^--Industry: Guidance for human somatic cell therapy and gene therapy" (CBER, March 1998, Point III) of the US Department of Health - which recommends-a separate control of each mixture of cells prepared in an independent "system - the cells derived from each single flask according to the prior art methods'represent different lots and, therefore, are to be controlled independeptiy. It follows that the development of a homogeneous culture system of cellsfor therapeutic use, and especially of TALL cells, represents an enormous advantage also as far as lot controls are concerned.
Furthermore, the amplification in a heterogeneous system, which consists of a number of single flasks, may bring about high risks of contamination due to the repeated handling operations to be performed by the operator. TALL cells usually grow in suspension but, surprisingly, they cannot be amplified or expanded in known systems for the industrial scale-up of cells of this type, e.g. spinner flask or miniPERM. Therefore, when the amount of cells to be produced exceeds 109, such as for example for the production of therapeutic doses of 2.5x109 cells at least, the steps of cell - expansion become extremely complex since the largest flasks (T175) commercially available allow the obtainment of 1.5-2x108 TALL cells at maximum.
The applicant has surprisingly found that said cells can be efficiently grown and expanded in a homogeneous system such as a cell-factory which is normally used for anchorage-dependent cells. Conversely, the spinner flask or other fermentors conventionally used for the large-scale growth of cells in suspension, e.g.

hybridoma cells exhibiting growth characteristics similar to TALL cells: result to be inappropriate.
The expression Targe-scafe production" means the production of at least 1x109
TALL cells in a homogeneous system.
In the procedure of the invention, the data referred to the number of cells have a
tolerance of approx. 5%, which represents the possible error in the cell count
determined in Burker's chamber. For example, the indication of 1x106 cells actually
refers to a number of c6lis of 0.95x106 to 1.05x106. The error of measurement is
variable and depends on the method of measurement adopted.
According to the procedure of the invention, the TALL expansion in a cell-factory is
preferably :^C€«e^ consisting in a series of volumetric
expansions in the same flaskiwherein for flask is intended a cell culture container)
by means of successiveadditions of fresh complete medium to the culture and by
transfer passages of the whole culture into higher-volume flasks and finally into the
highest-volume and largest-surface flasks commercially available such as the
T175 flasks.
According to a preferred feature of the present invention, the pre-expansion is
performed until obtaining about 3-4 x 108 total cells of which about 2-2.5x108 cells
are used for the inoculation into each cell-factory and about 1-1.5x108 cells are in
parallel maintained in T175 culture flasks.
Splitting of the cell culture, performed to bring back the cellular density values to
the optimal inoculum values, i.e. 0.7 to 1x108 cells/ml, is referred to herein as
"passage". At this density the cells rapidly reach a density of approx. 2.5x109
Pre-amplification is preferably carried out in a complete medium, more preferably
IMDM, containing 2 mM glutamine, foetal bovine serum (FBS) in concentration
Prom 2 to 20%, preferably 5%, and cytokines, preferably interieukins, and more
preferably IL-2 or IL-15. IL-2 is preferably added in an amount of 100 lU/ml every
48-72 hrs. In the homogeneous system, the medium of the amplification phase is
he same asthat^jpl^e pre-amplification phase, but foetal bovine serum is
eplaced, at';l^st'pa^^;-By human serum AB. Said replacement can also be
>erformed before cell V transfer to the homogeneous cell culture system, for

example in the last passages of the pre-amplification phase. IMDM may be
replaced by other culture media, such as for example RPMl, Ham's-F12, etc. The
medium is preferably antibiotic-free.
A medium preferably IMDM containing 2 mM glutamine but antibiotic-free is
referred to herein as "complete medium"; it may be supplemented with FBS or
human serum.
interleukins, preferably IL-2 or IL-15, are added to the cell culture medium every
48 to 72 hrs, in a final concentration of 50 to 150 lU/ml, more preferably of 1O0
The cells.are.incubated at 37°C and in an air mixture comprising preferably from 5
to 12% CO2 preferably 10% C02, preferably 10% C02. All passages envisaging
cells or culture media handling operations are performed in sterile conditions, e.g.
in a vertical laminar flow Biohazard hood (class 100).
According to-a particularly preferred embodiment, the pre-amplification culture is
started frpqi aJrozertMCB (Master Cell Bank) culture tube or vial, stored in liquid
jritrogen and containing 1x1 D7 to 2x107 cells/tube/ml which is thawed out in a
thermostatic bath at.37°C.
The vial content is added, in a laminar flow hood, with an 8 to 10 times higher
volume of cold thawing solution (complete IMDM comprising 20% FBS). The cells
are centrifuged (at 1500 rpm for 10 min). Once the supernatant has been
aspirated off, the cell pellet is added with 10 ml complete medium and
resuspended cells are caused to pass into a T25 flask. IL-2, diluted with complete
medium, is added to a final concentration of about 100 lU/ml. When the cell
density obtained is such that the cells occupy the whole flask surface, as observed
under an inverted microscope, the cell culture is expanded in twice the medium
volume (and amplified in two T25 flasks). For this purpose, an equal volume of
fresh medium is added and the culture is split into two equal flasks to restore the
optimal cellular density (inoculum cellular density), which generally ranges from
0.7 to 1x106 cells/ml, and wherein the volume of each flask corresponds to the
initial volume.
To maintain an optimal gas exchange in the culture medium, the optimal cell
culture medium volume in a T25 flask is comprised from 7 to 12 ml, preferably 10

ml; of a T75 flask it is from 20 to 60 mi, preferably 40 ml; of a T175 flask it is from 40 to 200 ml. The above volumes are approximate and are referred to optima! cellular density conditions.
After thawing, the optimal cellular density is usually reached after 3 to 7 days, preferably after 5 days. After approx. 3 days, the cells are caused to pass from 2 T25 flasks into 2 T75ilasks; the cells left in the flask, if any, are harvested; IL-2 is added to the fresh medium according to the above indicated concentration. After approx. 3 days, the cells are caused to pass from 2 T75 flasks into 2 T175 flasks. The cells left in T75 flasks, if any, are harvested with washing in complete medium tp reach a final volume of 40 ml and added with IL-2 in proportion. After 2-3 days, the cells are caused to pass from 2 T175 flasks into 4 20 mi T175 flasks, whereto the same ^volume of complete medium and IL-2 in proportion are immediately added. After 2 days, the cells are caused to pass from 4 T175 flasks into 8 T175 flasks. Each T175 flask is added with approx. 20 ml complete medium and iL-2 io-proportion. After approx. 2 days, the 8 T175 flasks are added with approx The final harvest volume of T175 flask usually ranges from 140 to 180 ml. The pre- '
amplification phase is completed after approx. 15 days with a number of cells
ranging from 0.9x109 to 1.1x109 (which value generally corresponds to 8 T175
flasks, each containing 160 ml cell suspension) in a medium containing human
serum in a final concentration comprised from 2% to 5%, preferably from 3% to
A%j_a™l9P!l9^ serum (FBS) in a final concentration from 0 to 5%,
preferably from 1.5% to 3%.
The passage from the medium containing FBS to the medium containing human serum preferably occurs during the two last passages of the pre-amplification phase in flask, preferably T175, preferably by successive dilutions of the culture containing FBS with fresh medium containing human serum. Inoculum into cell-factory is performed with a number of cells ranging from 1.5 to 2.5x107/chamber in e volume ranging from 1/6 to 1/10; preferably 1/8, of the cell-

factory final volume capacity. For the inoculum into a 10-chamber cell-factory having a final capacity of 2 litres, the inoculum is performed with 1.5 to 2.5x10e in a medium volume from 200 to 330 ml, preferably 230 to 270 ml, immediately added with the same volume of fresh complete medium containing 10% max, preferably 5%, human serum and cytokins, preferably interleukins, more preferably IL-2 or IL-15, still more preferably IL-2, in a final concentration from 80 to 120 lU/ml, preferably 100 lU/ml.
Every 3-5 days, preferably every 4 days, during which time the cells generally duplicate, a volume of complete medium corresponding to that contained in the cell-factory is added to continue the cell expansion and growth up to a max final volume of 2 litres/tGHChamber cell-factory and to a number of cells of 1.5 to 2.5 x 109. TJie amplification of TALL cells in cell-factory requires the addition of fresh medium containing human serum in an amount of 10% max, preferably from 3 to . 7%, more preferably from 4 to 6%, still more preferably of 5%. Therefore, in the amplification phase in the homogeneous culture system according to the invention, preferably no or little Jpetal bovine serum is used. Traces of FBS, if any, which maybe present at the end of the process of the invention are the result of successive dilutions of medium containing FBS with the medium containing human serum.
Briefly, according to a procedure general scheme, both in the pre-amplification phase in flask and in the expansion phase in the homogeneous system, the cellular density, at the inoculum is never below 0.7x106 cells/ml (which value corresponds to the value obtainable by splitting the cell culture into 2 or into 3 every 48-72 hrs) and is preferably 0.75x106/ml. Conversely, in the final growth phase, shortly before cells harvesting, it never exceeds 2x106 and is preferably 1.5x10%!!.
The volumes and the number of cells according to the process of the invention - in which the inoculum is performed into a 40-chamber cell-factory with a medium max capacity of 8 litres and capable of supplying a total amount of cells grown in a single homogeneous system of approx. 8-10 x 109, have been proportionally calculated,

According to the process of the present invention, at least one bag containing the highest therapeutic dose of TALL cells, i.e. 2.5 x109 cells (bags containing 1x108 to 2.5x109 cells), can be produced by a homogeneous culture system. Therefore, according to a further embodiment of the invention, the process embraces also the preparation of frozen bags of TALL lymphocytes in an amount of at least 1x109, characterized by fhe^fact said that TALL cells are expanded in a homogeneous culture system: Thei>ags used have a variable volume and, therefore, contain different therapeutic doses of cells. Bags for freezing and for infusion are preferably used, more preferably Baxter Cryocyte's bags.
To prepare bags "for therapeutic use, cells from the cell-factory at the harvest, are placed in a 50 ml sterile tube and irradiated, according to methods known to the art, in a beta particte"acc6lerator (betatron). The method has been validated so as to supply the'same amount of particles as that supplied by a traditional source, such as Cs137. The method using the betatron has the advantage that it is not radibactive and brings about a uniform irradiation of the solution. Once irradiated, the cells are centrifuged (at 1500 rpm for 10 min). At this point, a sample of cells is withdrawn for qualitative tests.
The irradiated cells together with the final suspension components and the sterile bags are placed in a laminar flow hood. The cells are resuspended in the freezing solution consisting of Rimso 50 (50% DMSO) (20%) and of 5% human albumin (80%) in 8 to 30 ml medium, more preferably in 10 to 25 ml complete medium containing TALL cell doses in the range of 1x108 to 2.5x109. Preferably, the cellular density in the bag ranges from 106 to 108 cells/ml. The irradiated cells may be stored at 4°C for no more than 24 hrs before freezing.
The €eH concentration 4s-evatuated by count, under a microscope, in Burker's chamber, or by other methods known to those skilled in the art. Bags are filled in sterile conditions.
Once the bags have been filled, they are sealed, e.g. by hot sealing, transversally to the bag filling collet, in two, preferably three points, to create one or preferably two chambers which contain cells, and wherein such cells are called "authentic samples" for the purpose of the present invention. The cells aliquots contained in the two bag collet portions are separate but derive from the same culture batch.

According to a preferred embodiment of the invention, the volume of the cells
suspension contained in the collet chambers ranges from 0.1 to 1 ml, preferably
0.3 ml, and the number of cells/chamber is sufficient for at least a series of
appropriate quality and/or sterility controls. The cells of the chamber/s
corresponding to the authentic samples, may be easily withdrawn without opening
the whole bag. —-...-
Said chambers containing the "authentic samples", the method of sealing the bag
collet in one or more points and the method of formation of the bag authentic
samples are further objects of the present invention.
The bags for cryogreservaiion and infusion are frozen at -80°C.
it is a further object r of the present invention to provide a process for the
prepacation-of-frozen bags of TALL lymphocytes in an amount of at least 1x109
cells, wherein said amount derives from a single homogeneous culture system.
The quajity controls on cells amplified according to the process of the invention
may,/be^p^oiroedL, before freezing upon cells harvesting from the homogeneous
culture system as well as after freezing, and are meant for checking the stability of
the properties, such as the per cent amounts of immunologic markers and the
biological activity of the TALL cells finished product. The cells produced according
to the invention are stable also after freezing.
The quality controls preferably comprise the following measurements performed
according to methods known to the art:
- viability, preferably determined by the Trypan Blue exclusion test; it must be 80% min;
- biological activity, preferably determined by a cytotoxicity test (adenylate-kinase measurement), although alternative tests may also be used; it must be higher than a 60% lysis of target cells, K562, in a 10/1 ratio;
- endotoxin levels, preferably determined by the Lymulus Amebocyte Lysate colourimetric test; they must be £0.5 EU/mL;
- immunologic markers phenotype, preferably determined -by immunofluorescence (FACS), which must give values of at least 90% for the markers known as CD3*, CD8\ CD56+;

- proliferation, preferably performed by the 3H-TdR incorporation test: the proliferation measured after 72 hrs at least must be higher than or equal to twice the background value. According to the method of the present invention, the parameter measured such as the percent of immunologic markers, the biological activity, and the activity of metabolic markers, such as for example the glucose level of the culture medium, are less variable in eel! grown in the homogenous system than those measured on cells grown in a heterogeneous culture system.
In fact, in the cell-factory homogeneous culture system, the percentage of immunologic markers expressed on TALL cells is at least 90%, more preferably at least 95% more preferably at least 98%, for CD3+ and CD56+; and at least 90%, moreitfeferably at least 93% for CD8+, whereas it is lower for cells grown in flask. The value of CD56* marker expression which results preferably at least 95% min, preferably at least 97%, is higher in the process of the invention than in cells grown in the heterogeneous flask system. Also the biological activity determined by the cytotoxicity Test on iarget cells, which are usually preferably K562, is higher than the acceptable limit and is always higher than 70% compared to the control which consists of an appropriate number of cells where lysis has been completely induced. According to a further embodiment the invention comprises the TALL lymphocytes, preferably TALL 104, obtainable according to the process of the invention.
Also the glucose levels measured proves that the metabolic conditions of the cells are more homogeneous in cells grown in cell-factory according to the process of the invention with respect to those grown in flasks (Figure 1): in fact, while the measurements Jniiask give glucose concentrations ranging from 300 to 400 mg/dl, the measurements in cell-factory give values ranging from 350 to 380 mg/dl. According to a simplified embodiment, the process of the invention comprises any TALL cell culture pre-amplification phase performed according to methods known to the art, comprising an inoculum in cell-factory of 2x107 cells/chamber, in an initial volume of 1/10 to 1/6 of the cell-factory final volume, and a cell-amplification phase in cell-factory, jreferably in a 10-chamber cell-factory (with a final capacity of approx. 2 L), with a total inoculum of approximately 2x108 cells in about 250 ml.

Under the conditions adopted in the present procedure, in the large-scale expansion in cell-factory, the ratio of minimum inoculum density to the maximum recovery density at the end of the expansion cycle is optimised* In fact, according to the method of the present invention, at the end of the expansion cycle the number of cells is approx. ten times greater (from 1.5 to 2.5x108 cells to 1.5 to 2.5x109 cells), whereas the volume is only 8 times higher. The further advantages of the homogeneous culture system are: 1) elimination of the cell growth heterogeneity conditions, 2) reduced number of handling operations and, consequently, reduced possibility of contamination, 3) reduced man-hours and personnel costs. -
A further advantage bt the procedure according to the invention, which derives from a reduced contamination risk in respect of culture systems in multiple flasks, is the use of an antibiotic-free culture medium.
A still further advantage bf the procedure according to the invention is the use of a human serum "concentration preferably of 10% max. Therefore, according to the procedure of the invention, a satisfactory cell amplification is obtained with a " human seriirri concentration preferably ranging from 4 to 6%. Therefore, by performing the expansion phase in cell-factory, the whole procedure for the preparation of the bag for the therapeutic use of TALL is optimised and is suitable for large-scale application.
The advantages of the TALL expansion method according to the present invention may be summarized as follows: i) the quality controls are limited to a single sampling unit which corresponds to a single production unit (cell-factory); conversely, the possibility of contamination increases when the expansion is obtained by amplification in a much greater number of single fermentation units, worked"~~st ^iffeTenf^imes"and, consequently, liable to increased risks of contamination; ii) the use of a limited number of bioreactors results in ca. 30% time-saving and a 25% cost reduction.
It is to be noted thai according to the methods already known to the art for this type of cells, the amount of 2.5x109 cells, corresponding to approx. 25 108 cell bags or to 1 2.5x10e cell bag was obtained with 35 T175 and with a volume of complete medium of 2.8 L. It follows that, by the method according to the present

invention, the saving in raw materials (human serum, medium, cytokines] is as high as approx. 30%.
A further advantage is obtained on the number of controls conducted on the final lots, which consist of 1x108 cells max in the heterogeneous system known to the art and of a 10 times greater number in the lot produced by the homogeneous system described in the present invention. In practice, this means that the number of controls is 10 times lower. Experimental examples
1. Materials
FlasksisFalcon, Beckton Dikinson;
cell factory: cat _No. 164327 or 170009, Nunc A/S, Denmark;
culture- medium--Iseeve's Modified Dulbecco Medium, Biowhittaker 12-722,
supplemented with glutamine;
CM {Complete Medium) containing glutamine and serum;
foetal bovine serum: Biowhittaker, USA;
human serum, type AB, Biowhittaker;
IL-2 Proleukin 1, Chiron;
saline solution: phosphate buffered saline, Biowhittaker;
human albumin (5%), Farma Biagini;
RIMSO 50, Baxter;
bags for cryopreservation and infusion, Cryocyte Baxter.
2. Methods
All cell cultures were performed in a sterile environment, in Biohazard's hood. At every-addftronorwithdrawal, inlet spouts were disinfected with isopropanol or with
the flame.
2.1. Medium preparation
Serum lots were uncomplemented in a thermostatic bath at 56X for 1h. Uncomplemented serum bottles were kept at 4°C and used within one month from the date of uncomplementation.
2.2. Complete medium for the pre-amplification phase

A 500 ml IMDM bottle was added with uncomplemented FBS (50 mi); the bottle was identified with the lot. The complete medium was stored at 4°C and heated to room temperature before use. The complete medium was used within one month from the date of preparation.
2.3. Complete medium for scale up in cell-factory
A 500 ml JMDM bottle was added with 25 ml uncomplemented human serum AB. The medium was stored at 4°C and heated to room temperature before use. The complete medium was used within one month from the date of preparation.
2.4. IL-2 preparation
Interieukin J[18xlQ? lU/yiai) was resuspended in 20 ml PBS to obtain approx. 9x105 lU/ml. The resulting solution was filtered through 0.22 pm filters and the vials were dispensed in 1 ml .aliqupfs. The aliquots were stored at -80°C. This solution (1 ml)^was diluted with complete medium, corresponding to the medium of point 2.2. for the pre-ampiification phase, then with a medium corresponding to point 23. for the amplification phase, to obtain a 104 lU/ml .solution. Said solutionjwas added to the cell suspension, by diluting same (1/100) with the culture medium.
2.5. Process controls
Bioburden: The microbial contamination was determined on the complete medium used to grow TALL cell lines (IMDM + supplemented serum). The resulting medium was filtered through a membrane with 0.45 pm pores, the filter was removed by a sterile lancet and placed in an appropriate medium for the visualisation of the micro-organisms contamination (the medium used was Tryptic soy agar). The filter was laid on the plate. The presence of moulds was detected after incubation at 20'25°CJo^3 days at least and the presence of bacteria was detected after further incubation at 30-35X for at least 3 days. Plates were visually inspected to check the growth of micro-organisms (100 CFU AT maximum).
Microbiologic monitoring: The hoods used for TALL processing were controlled to check whether micro-organisms, if any, were present during the procedure. While the operator was working on the cells (pouring, bags filling), a Petri dish with TSB agar was exposed in the hood, covered upon process completion, and

incubated at 20-25cC for 3 days at least to detect the presence of moulds and at 30-35°C for 3 days at least to detect the presence of bacteria. Micro-organisms were found during sampling in two cases of flasks handling operations, whereas no contamination was detected in the cell-factories handling operations. Example 1. Laboratory-scale thawing and amplification A thawing solution consisting of IMDM medium supplemented with .20% FBS was prepared and kept ai4cC before use.
An ampoule containing frozen cells was taken from the nitrogen drum, thawed appropriately, and diluted (1:10) with the thawing medium. The cells were centrifuged at a lowrrate for 10'. The pellet was resuspended in 10 ml complete medium, caused to pass into a T25 flask, and added with IL-2 up to a concentration of 100 UJ/ml.-
__The cells.wereJnQub^BdL/at 37°C for 5 days in an environment containing 10% C02.
After a 5-day incubation, the cells were split (1:2) in a fresh medium containing the same concentration of iaterleukin 2 and allowed to grow to confluence, which was maintained for 2 days. The cells were gently removed from the flask and caused to pass into a T75 flask containing a final medium volume of 20 ml and the same IL-2 concentration (100 lU/ml). Once confluence had been reached in approx. 2-3 days, the cells were allowed to stand for 2 further days and then amplified in a T175 flask with a final medium volume of 40 ml and IL-2 (100 lU/ml). Two days later, further 40 ml of interleukin complete medium was added; the cells were allowed to grow for 2 further days and split (1:2) into 2 other T175 flasks in a final volumeof80ml/T175.
„_The ceJIsJi^jphoiogy^ examined under a microscope. Then the
cells were brought to a final volume of 150 ml/flask in 5% complete medium (IMDM containing human serum AB) and added with IL-2 in proportion. The cells were split (1:2) into the same number of T175 flasks in a final volume of 150 ml.
Example.2. TALL cells dynamic growth in miniPERM fermentor and spinner flask

The cells were thawed, cultured in T25 and amplified up to a number of 7x105 cells/ml for inoculation into 0.5 L spinner flask or in miniPERM. ' Some measurements meant to set up the growth parameters were performed in flask T75: the cells were split when they reached a concentration of at least 1x106/ml. To maintain a high cell viability (90% min) and a higher cell splitting rate, the cells dilution was never below 7x105 cells/ml and the cells growth never exceeded 2x106/ml. At the max cell concentration, the glucose level was approx. 320-380 mg/ml In T175, in 80 ml final volume, a concentration of 1.25x106 cells/mJ, corresponding to a total of approx. 100x106 cells/flask, was obtained. It was assessed that, for a higher viability during freezing/thawing, the minimum number of cells/vial had to be higher than 1.2x107. It was also observed that cells frozen in the logarithmic growth phase, on their turn reached the logarithmic growth phase after thawing, within 9-10 days, whereas the cells frozen in other growth cycle phases exhibited a higher time lag (10-12 days). Spinner flask. The 0.5 L spinner flask had 300 ml working volume. Inoculation was performed with 1.5 x107 cells; spinning was set at 3 rpm; cell viability was measured 48 hrs later and was found to equal 50%. 120 hrs later, all cells were dead.
Furthermore, 3 amplification tests were performed in MiniPERM (a bioreactor with a high surface in respect of its volume, ideal for the expansion of cells in suspension, such as hybridoma cells) using 10% C02 and adopting the following specific conditions:
- inoculation with 7x107 cells in 30 ml at 10 rpm. The cell viability started decreasing already after 48 hrs and all cells were dead after 4 days. In the second test, the spinning rate was decreased to 5 rpm. On the third day of growth, the cell viability was 52%; on the 6th day all cells were dead. In the third test, the inoculation was decreased to 3x107 cells and the spinning rate was decreased to 4 rpm. Although all cells had died off within the 5th culture day, on the 2nd day the cell viability was still fairly high (80%); this suggested how important spinning is to cells survival.

Both preliminary fermentation tests had demonstrated that T-ALL cells could not grow in the traditional large-scale growth conditions commonly used for cells in suspension or anchorage-independent. Example 3. Large-scale TALL amplification in cell-factory A cell suspension (250 ml), obtained from the growth in T175 as per Example 1 and containing approx. 0.8x106 cells/ml, were inoculated into a 10-chamber cell-factory; the same amount of complete medium was added. Four days later, complete medium was added (500 ml x 3 times) up to a total volume of 2 L. The cell-factory was emptied into 250 ml sterile vials - which were centrifuged -and washed with sterile PBS; the cells were recovered in vials and centrifuged again. Eight days after inoculation, the cells recovered from a cell-factory were approx. 2.35 x109. ~Jn a typical- production cycle in a 10-chamber cell-factory, 72 inoculations and amplifications from a single MCB (Master Cell Bank) frozen vial were performed. Total duration: 120 days, total cell culture: 144 litres. The cells obtained were approx. 1.44x 1011.
Table 1 shows the data obtained from a fermentation in a 10-chamber cell-factory and in a 40-chamber cell-factory, respectively.
Table 1 - Yields obtained in a 10-chamber cell-factory and in a 40-chamber cell-factory

The cell-factory cells content was combined in a 50 mi sterile vial and irradiated, as known, in a beta particle accelerator (betatron). The method had been validated so as to supply the same amount of particles as that supplied by a traditional source, such as Cs137. The method using the betatron has the advantage that it is not radioactive and brings about a uniform irradiation of the solution.

-Bags.preparation.Jjuc&jrradiated, the cells were centrifuged (at 1500 rpm for 10 min). A sample of cells was withdrawn for qualitative tests and stored at 4°C before freezing.
The irradiated cells, together with the final suspension components and the sterile bags, were, placed in a laminar flow hood. The cells were resuspended in the freezing solution, which consisted of Rimso 50 (50% DMSO) (20%) and 5% human' albumin (80%), depending on the amount of cells necessary for a therapeutic dose; TheceHs were counted under a microscope in Burker's chamber and the bags were filled with the appropriate volume in sterile conditions. Once the :bags had been Jilled^ the filling collet was sealed in three points; each bag thus rfofrnedran-aythentic sample.
: The^cell-facfory ->-4fiadfation > bags cycle was repeated a number of times sufficientlo^djtefettie^timber of cells required by the lot. Sterility controls
Bioburden sterility controls, microbiological monitoring and mycoplasma monitoring were contiguously performed on media and hoods. Example 4. Controls on the finished product and comparison between laboratory-scale and large-scale growth
Measurement of glucose levels: the glucose levels were measured on a sample of 15 flasks (out of the 35 flasks corresponding to the amount of cells in a cell-factory) upon cells harvesting for bag preparation. As shown in Figure 1, the glucose concentration and the number of cells are highly variable; conversely, in a 10-chamber cell-factory, upon harvesting (after 6-10 days) glucose shows one value (approx. 380 mg/dl) and the cells have one density (2x109/ml). The different glucose levels and the different cell concentrations found in flask are indicative of non-homogeneous metabolic conditions: in fact, high glucose levels in the medium correlate with a low metabolic activity of the cell culture, whereas low glucose ievels correspond to a high metabolic activity of the cell culture. Final product quality control

The controls listed in Table 2 were performed on irradiated cells. The acceptability limits of the values are reported in the column on the right. Table 2

Viability test
The determination was performed by diluting 100 pi cell suspension before
bagging with a 100 pi Trypan Blue solution. After an appropriate dilution, a control
was performed under a microscope by counting the dyed cells in Burker's
Biological activity
The determination of cytotoxicity was performed on the cell suspension, before
bagging, with a kit Toxilight™ (BioWhittaker LT07-217). The method is based on
the measurement of adenylate-kinase by bioluminescence. Adenylate-kinase is released from the cells when they lose the membrane integrity and converts the substrate "ADP into ATP in the presence of Mg++, thus allowing its measurement. The determination was performed by plating 105 target cells, K562, onto e many-well microplate; cells prepared according to the method were added, in amounts of 106, 5x105 and 2.5x105, to obtain T/K {or effector/target) ratios equal to 10.5 and 2.5, respectively.
Once the target cells were incubated overnight, the % lysis of K562 produced by cells prepared according to the method of the present invention, was always >70% of the maximum consisting of a sample of 105 K562 cells iysed by ultrasounds.

The endotoxins content was determined on a sample with collets prepared as
mentioned above, at neutral pH, using a kit for the chromogenic LAL test and
applying the method described in European Pharmacopoeia, 4th Edition, 2002, pp.
The phenotype determination by measurement of the cell markers before bagging
was performed by immunofluorescence (FACS) with appropriate immunologic
markers (CD3+, CD8+, CD56+) available from Molmed's Quality Control Labs.

Table 3 - Phenotypic markers of T-ALL cells grown in flask and in cell-factory upon cells harvesting
pre: pre-irradiation; post: post-irradiation; avg: average.
Proliferation test
The absence of T-ALL proliferation was determined by measuring the
incorporation of tritiated thymidine. A sample of the cell suspension taken before
bagging was incubated in microplates at different concentrations in complete
medium (IMDM + serum + IL-2) for 4 days. 3H-TdR (2 pCi/ml, 50 pi/well) was
added. After 3-hr incutatton at 37°C, the radioactivity was measured. The cpm
referred to TALL cells must be Table 3 shows the data concerning the proliferation of a cell batch grown in flask
and in cell factory, respectively.
Table 4 reports the data concerning the measurement (on different preparations)
of the presence of immunologic markers, of cell viability, sterility and
contamination by mycoplasma, if any, after culture irradiation.

New Set of Claims
1. A process for the expansions of TALL lymphocytes, wherein at least 1x10' cefis are grown in homogeneous conditions in a single fermentation unit.
2. The process as claimed in claim 1, wherein said fermentation unit is for anchorage dependent cells.
3. The process as claimed in claim 1, wherein said fermentation unit is a multi-chamber stack.
4. The process as claimed in claim 3, wherein said fermentation unit is a Cell-
5. The process as claimed in claim 3, wherein the expansion in the homogeneous system is preceded by a process of pre - expansion in flask until obtaining a number of ceils from 0.7 to 1x10s.
6. The process as claimed in claim 5, wherein the cellular density of the inoculum is at least 0.7x106 celis/ml and is preferably equal to 0.75x10* cells/ml and, at the harvest time, the density is lower than 2x106 cells/ml, preferably than 1x106,
7. The process as claimed in claim 4, wherein the Cell-Factory™ is a 10-chamber unit.
8. The process as claimed in claim 1, wherein TALL lymphocytes are selected from the group consisting of; TALL-104, TALL-107, TALL-103/2 cell lines, optionally genetically modified.
9. Process according to claim 8 wherein TALL are TALL-104 lymphocytes.

10. The process as claimed in any of claims 1 to 9, wherein the complete culture medium in the cell-factory amplification phase also comprises 10% max human serum, preferably in the range of 4 to 6%, still more preferably of 5%, optionally foetal serum in a concentration of 0 to 10% and interleukin in a concentration of 100lU/ml.
11. The process as claimed in claim 10, wherein interieukin-2 is added to the cell culture every 48-90 hrs,
12. The process as claimed in claim 10, wherein the cell growth in the
homogeneous system Takes piace in an antibiotic-free culture medium.

13. A process for the preparation of frozen bags of TALL lymphocytes in an
amount of at ieast 1x109 ceils, characterized in the fact it comprises the process
according to claims 1-12.
14. Process as claimed in claim 13, wherein the bag is sealed transversaliy to the
bag filling collet at least in two points to create at least a sampling chamber
containing a cell culture volume ranging from 0,1 to 1 mi, physically separated
from the culture contained in the bag to perform quality controls.
15.Process for the preparation of a therapeutic dose of at least 1x10* TALL lymphocytes in a homogeneous culture characterized in the fact it comprises- the process according to claims 1-12. 15. The process as claimed in claim 15, wherein the lymphocytes are TALL-104.
17. TALL lymphocytes obtainable according to the process of claims 1 - 12
wherein said lymphocytes are characterised by a CD3" and CD8+ immunologic
markers expression of 98% min, preferably £99%, and by the CD56* marker
expression of 95% at least, preferably >97%.
18. TALL lymphocytes according to claim 17 characterised by a biological activity,
determined by a cytotoxicity assay on appropriate target cells, equal to at least
70% of the control.







0805-chenp-2007-form 1.pdf

0805-chenp-2007-form 26.pdf

0805-chenp-2007-form 3.pdf

0805-chenp-2007-form 5.pdf


619-CHE-2007 FORM-13 12-12-2013.pdf

805-CHENP-2007 AMENDED CLAIMS 02-12-2013.pdf

805-CHENP-2007 AMENDED CLAIMS 10-12-2013.pdf


805-CHENP-2007 CORRESPONDENCE OTHERS 10-12-2013.pdf


805-CHENP-2007 FORM-13 10-12-2013.pdf

805-CHENP-2007 FORM-3 02-12-2013.pdf

805-CHENP-2007 FORM-5 02-12-2013.pdf

805-CHENP-2007 OTHER PATENT DOCUMENT 10-12-2013.pdf

805-CHENP-2007 OTHERS 02-12-2013.pdf

FORM 13.pdf

Petition- 137.pdf

Patent Number 258232
Indian Patent Application Number 805/CHENP/2007
PG Journal Number 51/2013
Publication Date 20-Dec-2013
Grant Date 19-Dec-2013
Date of Filing 26-Feb-2007
Applicant Address C/O PROF. HOLSTLAAN 6,NL- 5656 AA, EINDHOVEN,
# Inventor's Name Inventor's Address
PCT International Classification Number G09G 3/34
PCT International Application Number PCT/IB2005/052459
PCT International Filing date 2005-07-21
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 04103667.4 2004-07-29 EUROPEAN UNION