A comparison of the removal of parvovirus B19 and model...
Transcript of A comparison of the removal of parvovirus B19 and model...
A comparison of the removal of parvovirus B19 and model parvoviruses from plasma products by virus filtration
Shirley Stagg, Samantha Fernando, Amy Shackell, Peter Roberts, Joan DaltonBio Products Laboratory, Elstree UK
A comparison of the removal of parvovirus B19 and model parvoviruses from plasma products by virus filtration
Shirley Stagg, Samantha Fernando, Amy Shackell, Peter Roberts, Joan DaltonBio Products Laboratory, Elstree UK
Virus Envelope Nucleic acid Size (nm)
HIV + RNA 80-100
WNV + RNA 80-100
HBV + DNA 40-50
HCV + RNA 40-50
HAV - RNA 25-30
B19 - DNA 18-24
Viruses of Concern
Parvovirus B19
• High prevalence• High levels of viraemia• Can be asymptomatic• Mini pool screening to reduce
contamination (<104 IU/ml)• <104 IU/ml may not be infective
Animal models
• Canine parvovirus (CPV)• Porcine parvovirus (PPV)• Minute virus of mice (MVM)• Bovine parvovirus (BPV)
SusceptibilityClearance technique B19 Animal model
Solvent / detergent - -
Pasteurisation +++ ++
Dry heat treatment +++ ++
Low pH +++ +/-
Filtration ? ?
Virus inactivation / removal techniques
Filtration ProtocolVirus Spiked Product
~100 mL
Spiked load
sample
0.1µm filtration(to remove aggregates)
Load
VIRUS FILTRATION
Filtrate
Product
Collected in fractions
Measurement of B19 and CPV• B19
• Qiagen QIAamp MinElute Virus Spin Extraction Kit • Roche LightCycler Parvovirus B19 Quantification
Kit• CPV
• Plaque assay (A-72 –cells)• TCID50
11.8 log
A B C
LRV
B19 in
B19 out
>7.2 >5.9 5.4
<4.6 log
10.6 log 10.4 log
<4.7 log 5.0 log
Coagulation factors
Planova15N
6.3 log
A B C
LRV
CPV in
CPV out
3.2 4.1 3.7
3.1 log
6.3 log 6.8 log
2.2 log 3.1 log
Coagulation factors
Planova15N
Robustness of parvovirus removal from IVIG
• Filter – Pall Ultipor DV20 filter• Parameters
• Pressure (Bar)• Protein concentration (mg/ml)• pH• Load (L/m2)
Effect of pressure on DV20 filtration
0
1
2
3
4
5
6
7
Log
Viru
s R
emov
al
Fr 1 Fr 2 Fr 3 Fr 4
B19 3 BarB19 3.3 barCPV 3 barCPV 3.3 bar
Effect of pH on DV20 filtration
0
1
2
3
4
5
6
Log
Viru
s R
emov
al
Fr 1 Fr 2 Fr 3
B19 pH 4.4B19 pH 5.1CPV pH 4.4CPV pH 5.1
Effect of protein concentration on DV20 removal
0
1
2
3
4
5
6
7
Log
Viru
s R
emov
al
Fr 1 Fr 2 Fr 3 Fr 4
B19 0g/l B19 10 g/lB19 14 g/lCPV 0g/lCPV 10g/lCPV 14 g/l
• Is it just CPV?• Size of particles• Presence of antibodies• Aggregation• B19 plasma sample• Filter
Factors to be considered:
Removal of parvovirus from buffer by DV20 filtration
0
1
2
3
4
5
6
Log
Viru
s R
emov
al
Fr 1 Fr 2 Fr 3
B19CPVPPV
Size of virus particles?
• No obvious difference in size of particles• 18 – 24 nm in size• B19 has “smoother” surface, may even be
slightly smaller• Difference in source
• PPV & CPV - tissue culture grown• B19 – from +plasma donation
Effect of protein concentration on DV20 removal
0
1
2
3
4
5
6
7
Log
Viru
s R
emov
al
Fr 1 Fr 2 Fr 3 Fr 4
B19 0g/l B19 10 g/lB19 14 g/lCPV 0g/lCPV 10g/lCPV 14 g/l
IgM measurement
• Biotrin Parvovirus B19 IgM Enzyme Immunoassay Kit
• Cut off value: 0.344
Donor 01
Donor 08
Donor 13
Donor 14
Donor 15
Donor 16
0.090 0.072 0.058 0.062 0.060 0.905
Aggregation of virus stocks
• No loss of B19 over 0.1µm pre-filtration of stock
• Aggregation also assessed by Planova35N filtration
Influence of B19 spike
0
1
2
3
4
5
6
Log
Viru
s R
emov
al
Fr 1 Fr 2
Donor 01Donor 14Donor 15
• Removal of B19 from buffer by DV20 filtration
Filter Virus Solution Log Virus Removal
B19 IgG 5.3
A
B19 3.1
PPV 1.9
BufferCPV 1.7B
Buffer >5.8
>4.6
>4.3
>4.3
>5.5PPV Buffer
>7.3
IgGCPV
Preliminary data from alternative filters
Regulatory Question
• the applicant has shown that this filter is less effective against canine parvovirus which is the same size and shape as human B 19. Does the applicant have any theories as to why the two viruses were not similarly cleared by the filter?
Conclusions/theories• B19 is removed to a greater extent than CPV or PPV
• Viruses are the same size• Virus stocks are not aggregated• Could not demonstrate abs• Different B19+ plasma samples gave similar results• B19 may bind to some other factor in plasma e.g. globoside?
• The use of animal parvoviruses represents a true worst case challenge to filters• Removal influenced by virus stocks, solution being filtered,
filter type
Company Filter Construction material Claims (LRV)
Planova 15N>6.2 parvovirus
>6.7 polio
Planova 20N>4.3 parvovirus
>5.4 EMC
Planova 35N>5.9 BVDV>7.3 HIV
Viresolve NFP Modified PVDF >4 φX-174 bacteriophage
Ultipor DV20>3 PP7 bacteriophage
>6 PR772 bacteriophageModified PVDF
[triple layer]Pall
Ultipor DV50 >6 PR772 bacteriophage
Viresolve NFR Polyether Sulphone >6 RetrovirusMillipore
Viresolve Pro Polyether Sulphone[double layer] >4 MVM
Sartorius Virosart CPVPolyether Sulphone
[double layer]>4 PR772 bacteriophage
>6 Retrovirus
CuprammoniumRegenerated Cellulose
Asahi-Kasei
Manufacturer’s literature + Burnouf T & Radosevich, M., Haemophilia (2003), 9, 24-37