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Monday, 07/17/2023 8:17:12 AM

Monday, July 17, 2023 8:17:12 AM

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Critical New FDA Guidance for Biologic License Applications and Its Impact on $NWBO DCVax.

Three days ago, the FDA released new guidance on Manufacturing Changes and Comparability for Human Cellular and Gene Therapy Products (HCT/Ps) link. This document details the framework for documenting changes in manufacturing processes and validating their effects on product comparability. Without the FDA having decided on this guidance, the company would have had a difficult time submitting such a complicated BLA. Now it can make sure that it has dotted all its i's and crossed all its t's.

(1)
Imminent Submission: Northwest Biotherapeutics (NWBO) is in the advanced stages of preparing a Biologic License Application (BLA) to the FDA’s Center for Biologics Evaluation and Research (CBER) for its innovative DCVax therapy. This is evidenced by Les Goldman's comments on the Big Biz Show last week saying that the company had completed 1.7 million pages of submission materials and was now just checking it for consistency before submitting it to the UK, Canada, Germany, and a fourth site where patients had been treated (obviously the FDA).

(2)
Tissue Agnostic Submission: Given DCVax's wide-ranging potential, NWBO's submission is expected to be tissue agnostic, encompassing its use across various types of tissues. This makes sense given that there were now 700k extra pages compared to the estimate that the CEO gave at the December Annual Meeting, and indicates that the company has added something extremely substantive to the application, likely tissue agnostic data and Eden technology.

(3)
Manufacturing Change: NWBO is planning to transition the manufacturing process of DCVax to Flaskworks Eden technology. This move is key to improving efficiency, reducing costs, and enhancing consistency.

(4)
Importance of Guidance: Submitting a BLA for DCVax, especially with the new manufacturing changes, would be challenging without the detailed roadmap provided by the FDA's latest guidance.

(5)
Economical Manufacturing: Flaskworks Eden technology will make the production of DCVax less expensive, directly impacting the economic viability and potential affordability of the therapy.

(6)
Precise Tuning: The new manufacturing method offers a more fine-tuned process, allowing for a more consistent quality in DCVax's production, which could lead to improved patient outcomes.

(7)
Reduced Contamination Risk: Flaskworks Eden technology is designed to minimize the risk of contamination, further ensuring the safety and effectiveness of DCVax.

(8)
Navigating Regulations: The FDA guidance provides invaluable insights into how to navigate the regulatory landscape when implementing manufacturing changes, giving NWBO a clear path to demonstrate the comparability of DCVax post-manufacturing change.

(9)
Moving Forward: With the FDA's new guidance, NWBO can confidently proceed with its manufacturing changes, ensuring that
DCVax remains at the forefront of advancements in HCT/Ps and bringing hope to countless patients in need.

In conclusion, the new FDA guidance document has a pivotal role in facilitating major improvements in the manufacturing process for cellular therapy products like DCVax. NWBO can now confidently move forward with its submission.

A summary of the ten points from the FDA guidance that are relevant are below.

(1)
Scope of Guidance: The document provides comprehensive guidance for changes in the manufacturing process of Human Cellular and Gene Therapy Products (HCT/Ps). This guidance is applicable for NWBO's DCVax therapy, which falls under the category of HCT/Ps.

(2)
Manufacturing Changes: The FDA considers anything that alters the manufacturing process, such as changes to facilities, equipment, materials, manufacturing processes, or test methods, as manufacturing changes. NWBO’s plan to transition to Flaskworks Eden technology for DCVax production falls under this category.

(3)
Comparability Assessments: To ensure the product’s safety, purity, and potency remain unaffected, the FDA requires comparability assessments when manufacturing changes are made. NWBO will need to undertake such assessments for DCVax.

(4)
Analytical Tests: The guidance highlights the need for appropriate analytical tests to support a comparability argument. NWBO should use these to demonstrate DCVax remains the same after the manufacturing change.

(5)
Risk-Based Approach: The FDA recommends a risk-based approach to assess the potential impact of a manufacturing change on product quality. NWBO should adhere to this approach while assessing Flaskworks Eden technology's impact on DCVax.

(6)
Pre-Change and Post-Change Comparisons: Demonstrating comparability involves the collection and comparison of data before and after the manufacturing change. NWBO will need to provide such data on DCVax.

(7)
Clinical Studies: In certain cases, additional clinical studies may be required to demonstrate comparability. The need for this will depend on the results of NWBO’s comparability assessment for DCVax.

(8)
Communication with FDA: The guidance encourages early and ongoing communication with the FDA when planning significant changes. This point emphasizes the importance of NWBO maintaining an open dialogue with the FDA during their transition to Flaskworks Eden technology.

(9)
Documentation Requirements: Detailed documentation of the manufacturing change and its impact on the HCT/P is necessary. NWBO will need to compile comprehensive reports for the FDA.

(10)
Regulatory Submission: Depending on the extent of the manufacturing change, a new BLA or a supplement to an existing BLA may be required. As NWBO is submitting a new BLA for DCVax, this guidance is crucial to ensure the application is properly structured.


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