A Scale-Up/-Down Platform for Fast-Paced Upstream Process Development of rAAV-Based Gene Therapies

The field of bioprocess development has witnessed remarkable advancements in recent years driven by increasing demand for biopharmaceuticals, including gene-therapy products such as recombinant adenoassociated virus (rAAV) vectors. To date, global regulatory bodies have approved several rAAV-based gene therapies, and multiple clinical trials are ongoing as forecasts project significant growth over the next five to 10 years (1).

The field of rAAV production continues to be dominated by platforms using human embryonic kidney (HEK) and insect cells. For instance, uniQure’s proprietary platform is based on insect-cell production and a baculovirus expression vector system (BEVS) (2–5). As the gene-therapy clinical pipeline expands, ensuring efficient, cost-effective, and scalable processes for viral-vector production becomes critical (1). Central to that endeavor are scale-down models and fast-paced scale-up.

Scale-down models are small-scale representations that are designed to mimic key process parameters, conditions, and challenges encountered at production scale (6). Such models are instrumental in providing insights into process performance, identifying potential bottlenecks, and enabling process improvements without the need for large-scale, resource-intensive trials. Thus, scale-down models have become an indispensable tool in the biotechnology industry for developing, understanding, optimizing, and validating bioprocesses (7, 8).

Multiple bioreactor systems have demonstrated consistent scalability across bench, pilot, and commercial production scales for biopharmaceuticals, including cell and gene therapy (CGT) products (9–12). The availability of such equipment shows that scaling up from benchtop to commercial manufacturing is not only possible, but also well-established in the industry.

Fast-paced scale-up refers to bridging the gap between laboratory-scale experiments and full-scale production in the shortest time frame. Several biopharmaceutical companies have adopted that philosophy as a result of implementing learnings from the successful deployment of SARS-CoV-2 vaccines in record times (13, 14). A fast-paced approach is possible largely due to abundant internal know-how, platform-based approaches (7, 15), and high-throughput experimentation and analytics.

In that respect, high-throughput miniaturized bioreactors offer a cutting-edge solution to the problem of data generation toward expediting process development. Herein, we explore the pivotal role of such systems in scaling up processes, optimizing gene-therapy production, and streamlining biomanufacturing processes based on insect cells. Our objective is to establish a representative scale-down model of our current production bioreactor to support a platform capable of hastening commercial manufacturing of potentially lifesaving and life-transforming therapies. We propose a relatively unconventional approach to process development by providing data that support the possibility of bypassing small-scale studies and scaling up directly from minibioreactors to pilot/commercial scales for rAAV production.

Materials and Methods

Regime Analysis: In the context of gene-therapy scale-up/-down, the regime-analysis approach serves as a fundamental tool for assessing and characterizing the behavior of bioprocesses at different scales, mainly the production-scale bioreactor, which is the target operation to be studied (16–18). This analytical approach facilitates comprehension of both critical time constants and the influences of different parameters and operating conditions on process performance. It guides efforts to scale down processes into benchtop and high-throughput bioreactors while helping process engineers to select optimal operating spaces at commercial and intermediate production scales.

Several critical time constants are used during model characterization to ensure accurate representation of bioreactor performance at a larger scale (8). Key parameters to address during model design include power input per unit volume (P/VL), impeller-tip speed (vtip), superficial gas velocity (vsg), and rate of overlay gas flow (fov). We conducted a literature survey to gather sufficient empirical correlations for performing a regime analysis, and we selected the most appropriate time constants for model design and testing (4, 8–12, 16–36).

Scaling up cell-culture processes in stirred-tank bioreactors (STRs) requires careful consideration of equipment capabilities in terms of mass, temperature, and momentum transfer — which can be characterized using the well-documented oxygen mass-transfer coefficient (kLa), heat-transfer coefficient (U), and mixing time (θm), respectively (19–21). In addition, process engineers need a fair understanding of a host cell line’s biological properties, such as its shear resistance, death rate (kD), and growth rate (µmax) (22–24, 26). One consideration for processes involving BEVs is that host cells are known to undergo physiological changes after baculovirus infection (4, 25, 27, 37). An additional complication for scale-up design is that many of the variables described above have interdependencies (Figure 1). For example, media composition influences cell performance, which in turn can affect STR capacity for mass transfer.

22-10-FR-Pavlistova-F1.png

Cell Expansion in Shake Flasks: The insect cell line used throughout this study was cultivated in single-use shake flasks with working volumes ranging from 125 mL to 2 L. We applied standard conditions reported in literature (4, 5, 38, 39).

Cell Growth and rAAV Production in STRs: We performed different studies to establish STR operating conditions for our scale-down models. Specifically, we investigated settings for dissolved-oxygen–concentration (%DOsat) cascade and proportional–integral–derivative (PID) control parameters to match performance in terms of cell growth and rAAV production across scales. Published experimental conditions for growing insect cells and producing rAAV in STRs served as a starting point for process optimization (38–40). We assessed cell growth experimentally at high-throughput (<0.5 L), benchtop (<5 L), and technology-transfer scales (<100 L). Different iterations in operational parameters were selected based on our earlier regime analysis, with data obtained at pilot scale (>100 L) serving as our target for optimization. After selecting successful conditions, we challenged the rAAV production process at all scales to validate its scalability, demonstrating similar performance in the form of statistically comparable (95% confidence in a t test) product yield and main product critical quality attributes (CQAs), namely, infectivity and empty to full capsid (E:F) ratios.

Results and Discussion

Selection of scale-up/-down factors is a critical aspect of bioprocess development because that process ensures successful transition from systems such as high-throughput (milliliter-scale) and benchtop (liter-scale) bioreactors to vessels of larger scales (e.g., hectoliter scale). During technology transfer from benchtop- (<5 L) to commercial-scale (>200 L) rAAV production, determination of biological and operational factors becomes paramount.

We needed data about STR geometry (e.g., tank diameter and impeller number and diameter), physiochemical properties (density and heat capacity), operating conditions (stirring and aeration rates), and cell-inoculation density to compare our operational regime across scales. Key process parameters such as oxygen mass transfer and power consumption were calculated using empirical correlations that we found during our literature survey. Our choice of scaling factors was guided, on one hand, by the theoretical assessment provided by the regime analysis and, on the other, by experimental validation. Parameter selection hinged on results from different experimental iterations, and experiments were guided largely by findings from the regime analysis and learnings obtained during performance matching across scales (based on cell growth and rAAV production). Although we did not leverage such tools, we encourage use of artificial intelligence (AI) and machine learning (ML) to speed up scale-down endeavors and decrease the experimental workload — e.g., by using approaches outlined in Alavijeh et al. (41).

That said, empirical confirmation of operational conditions and predictions from the regime analysis was an essential part of our process. For instance, experimental results highlighted concerns relating to bioreactor control, specifically the selection of nonscalable PID control parameters. Consideration of such factors was critical to ensuring performance matching (Figure 2). We performed PID tuning and validation using a mix of empirical testing and traditional tuning methods and modeling, as discussed by Harcum et al. (42).

22-10-FR-Pavlistova-F2.png

Cell Proliferation at Different Scales: After selecting scalable operational conditions, we monitored insect-cell growth during STR cultivation with the goal of demonstrating similar performance across scales, measured as a statistically similar growth rate (95% confidence interval in a t test) (Figure 3). The obtained data suggest that specific growth rates were calculated with <5% deviation between scales, confirming that the selected operating conditions provided a similar environment for cell proliferation.

22-10-FR-Pavlistova-F3.jpg

We observed some minor differences in dead-cell counts. In practical terms, those differences did not influence cell growth and rAAV production, but we performed additional experiments to identify potential root causes. We attribute the differences in cell-death profiles mainly to the presence of a microsparger in the larger-scale cultivation vessel, as opposed to an L-shaped sparger in the benchtop and high-throughput vessels (11).

22-10-FR-Pavlistova-F4.jpg

Small, high-energy bubbles are known to influence cell-viability levels during cultivation (43–45). Figure 4 shows the experimental demonstration confirming our hypothesis that differences in the dead-cell counts can be attributed to hydrodynamic stress generated when oxygen is added through a microsparger for %DOsat control. The higher viability observed with the microsparger-equipped vessel (the orange line in Figure 4) is associated with cell lysis due to hydrodynamic stress. Dead cells are unable to repair their biological structures, making them prone to lysis and less detectable than needed using traditional cell-counting methods. On the other hand, the vessel equipped with a ring sparger showed lower cell viability. Our data suggest that a ring sparger kept dead cells intact because it exerted lower hydrodynamic stress than did the microsparger. These results accord with literature reporting that small bubbles are linked to high-energy explosions that result in cell damage and concomitant cell death (46).

22-10-FR-Pavlistova-F5.jpg

rAAV Production at Different Scales: After implementing operational conditions that matched cell-proliferation levels across the small (high-throughput, benchtop, and technology-transfer) and pilot/commercial scales, we further challenged our scale-down model to investigate whether production of different rAAV targets would result in similar performance. Figure 5 plots relative values for productivity (viral genomes per milliliter, vg/mL) and E:F ratios for three rAAV products processed at high-throughput, benchtop, and technology-transfer scales, with results from the high-throughput processes set at 100%. We observed nonsignificant variability (95% confidence, t test) across scales.

Similarly, we tracked the performance of a single rAAV product from high-throughput to pilot/commercial scale, assessing relative values for productivity (vg/mL), E:F ratios, and infectivity (genome copies per infectious unit, gc/IU) with high-throughput values set as 100%. Results were consistent with our previous data, with nonsignificant variability across all scales (Figure 6). Thus, we confirmed that operational conditions selected for the different small-scale bioreactors accurately represented those for the pilot/commercial scale.

22-10-FR-Pavlistova-F6.jpg

The above results enable us to propose a new development pathway toward shortening timelines for rAAV production. Traditional approaches rely on small-scale experiments followed by confirmatory studies in different iterations at a larger scale. In our proposed workflow, initial studies can be performed at a high-throughput scale, then move directly to technology-transfer scale and further to pilot testing. Bypassing bench-scale and technology-transfer confirmation studies could shorten the development pathway by up to 20% — from 20 to 16 weeks — with significant decreases in development costs (Figure 7).

22-10-FR-Pavlistova-F7.jpg

Conclusions

Typical challenges to scaling cell-culture processes include defining and understanding the key phenomena that match performance across scales. Our work suggests that a good starting point is applying a combination of rational and empirical approaches. On one hand, the classical tool of regime analysis and other mathematical models helped us to constrain the design space of our cell-culture operation. On the other hand, empirical approaches for tuning PID controllers and matching bioreactor performance were essential to the endeavor of developing and validating a scale-down model based on the performance of a large-scale STR.

The data presented suggest that operational conditions selected for high-throughput and bench scales achieved similar outcomes in larger-scale (technology-transfer and pilot/commercial) bioreactors, as shown by the statistically insignificant variability in productivity levels, E:F ratios, and infectivity levels of different rAAV products.

We believe that developing well-characterized and validated scale-down models at high-throughput scale (mL) will be essential to establishing a platform approach to process development and to accelerating time to market for rAAV products. The possibility of testing many conditions in a design-of-experiments (DoE) format in combination with empirical validation of scalability — and using no additional studies at intermediate bioreactor scales — would account for much of the substantial reductions in timelines and development costs.

Acknowledgments

Experimental support, cell-growth data, and rAAV production data at technology-transfer scale were kindly provided by Sara Botas Sanmartin, Jeroen Verbruggen, Joyce Ijspelder, Maaike Steenkamp, Marsha Haneveld, Giorgio Rainone, Milja Pesic, Rupali Desai, Yang Jiang, and Tangir Ahamed, all part of the process development team of uniQure B.V. in Amsterdam, the Netherlands. Pilot-scale and (semi)commercial data were shared by the manufacturing science and technology (MSAT) team at uniQure Inc. in Lexington, MA, USA. Monika Golinska, Nasser Sadr, and their teams supported scalability assessment with analysis of the rAAV product and process intermediates.  

Author Contributions

Pavlištová performed data analysis and drafted the manuscript. Correia and Molina Gil performed critical experiments and supported them with data analysis. Van de Waterbeemd, Ljubovic-Couteau, and Streefland challenged and reviewed the experimental data and manuscript content. Cueto-Rojas designed experiments, challenged and reviewed data, and drafted this manuscript.

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Corresponding author Tereza Pavlištová is a junior scientist in the Drug Substance Development department at uniQure B.V., Paasheuvelweg 25A, 1105BP, Amsterdam, the Netherlands; [email protected]. Maria João Alves Correia is a senior bioprocess technologist, Alejandro Molina Gil is a biotechnologist, Edina Ljubovic-Couteau is senior director of global drug substance development, Bas van de Waterbeemd is director of drug substance development, and Mathieu Streefland is vice president, all in the Global Process Development department of uniQure B.V. Now with Koppert Biological Systems, Hugo F. Cueto-Rojas was associate director and team lead of drug-substance development at uniQure at the time of writing.

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