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Process Development and Large-Scale GMP Production for Lentiviral (LV) vectors Luca Alberici, CBO Margherita Neri, USP DEV Manager Francesca Bellintani DSP DEV Manager Leading the way in Cell & Gene therapy

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Page 1: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

Process Development and Large-Scale GMP Production for Lentiviral (LV) vectors

Luca Alberici,

CBO

Margherita Neri,

USP DEV Manager

Francesca Bellintani

DSP DEV Manager

Leading the way in Cell & Gene therapy

Page 2: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020

This document may contain forward-looking statements that reflect the current views of the Company on future events based

on information available as of today’s date. Forecasts and estimates are generally identified by words such as "possible",

"should", "forecast", "expected", "estimated", "believe", "intend", "plan", "objective" or by the negative form of these

expressions or other variations thereof or by the use of comparable terminology. Although the Company believes that its

expectations are based on reasonable assumptions, these forward-looking statements are subject to numerous risks and

uncertainties that are beyond Managers’ control, including scientific, business, economic and financial factors, which could

cause actual results to differ materially from those projected in the forward-looking statements. The Company assumes no

obligation to publicly update and revise forecasts and estimates following the availability of new information, future events or

other factors, without prejudice to compliance with applicable laws. All subsequent forecasts and estimates, whether oral or

written, attributable to the Company or any persons acting on its behalf, are expressly qualified, in their entirety, by these

cautionary statements. This document does not constitute an offer or invitation to subscribe for or purchase any securities of

MolMed S.p.A The official manager responsible for preparing the Company’s financial reports, Salvatore Calabrese, herewith

attests, pursuant to Article 154-bis, paragraph 2 of the Legislative Decree 58/1998 (“Testo Unico della Finanza”), that the

accounting disclosure contained in this press release matches documentary evidence, corporate books, and accounting records.

2

Disclaimer

Page 3: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020

1. Company Presentation

2. LV Upstream production in CFs and bioreactor

3. LV Downstream processing

3

Agenda

Page 4: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020

MolMed is a pure player in the Cell&Gene arena

4

Milan, Italy

Focusing on innovative cell and gene therapies that can meet the therapeutic needs in the treatment of

tumors and rare diseases, with a clear and solid

industrial project based on research, developmentand production excellence

CDMO Business, with 35+ Programs developed with our Partners

R&D Business on our Autologous Product CAR-T CD44v6

Page 5: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 5

CDMO business experience in manufacturing of vector and modified cells

Client Client Patient

Vectors deliveredto the Client

Vectors for Cell Transduction in MolMed

Page 6: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 6

Viral Vector Manufacturing

Cell Engineering

Development/Feasibility Tech transfer/Engineering GMP manufacturing

LV/RV 48L Cell Factories – adhesion

LV/RV 200L bioreactor - adhesion

Development/Feasibility Tech transfer/Engineering GMP manufacturing

LV/RV T-Cell Transduction

LV CD34+ Cell Transduction

Current manufacturing platforms

Page 7: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 7

Milan Site (San Raffaele)

Bresso Site

Excellent GMP capacity with more than 230 scientists and support staff

1,500 SQM (16,000 SQF) and 6 grade B/C suites

2003: Authorized GMP manufacturing facility for Clinical programs

2015: Authorized GMP manufacturing facility for Commercial products

3,300 SQM (36,000 SQF) and >20 Grade B/C suites

Authorized for GMP manufacturing and QC for the production of clinical and commercial products

Recently authorized Stream#2, for further services and new collaborations

Page 8: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 8

Development and manufacturing partners in EU and US geographies

8+ International Service Partners

2 Commercial Cell-Engineered Products in EU

2 Commercial Viral Vectors in EU

15+ Cell-Engineering programs for EU&US

20+ Viral Vectors programs for EU&US

35+ Programs currently in Development and GMP

300+ Treated Patients (autologous)

220+ Manufactured GMP Vectors

30+ C&G Clinical Trials Supplied in EU&US

Track Record

Page 9: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 9

Ready Proprietary

Processes for vectors

and cells engineering

25yrs Experience in

proprietary projects

now available for

CDMO collaborations

High GMP manufacturing

Capacity thanks to new

facility in Milan area

Recognized Flexibility in

accommodating Partners’

requests

1st Approved Facility for

C&G therapies

160 QC tests internalized, ensuring

reduction in time and cost

Strenghts of MolMed CDMO

Page 10: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020

1. Company Presentation

2. LV Upstream production in CFs and bioreactor

3. LV Downstream processing

10

Agenda

Page 11: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 11

Development Tech transfer/engineering GMP manufacturing

48L CF LVV process - adhesion

Current vector manufacturing processes – Cell factories 48L

Page 12: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 12

Cell line adherent HEK293T

Culture Area 24CF (15.2m2)

Harvest 48L

DSP Purification and concentration

Process currently in GMP for clinical and commercial application

More than 100 batches manufactured in GMP

LV production process – 48L Cell Factories

Cell thawing and expansion

Harvest

Transfection

Clarification/prefiltration

Benzonase addition

Anion exchange DEAE resin

TFF concentration

Gel filtration

Sterile filtration and filling

Page 13: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 13

Bulk Final

TU/mL4.1x107

±2.2x107

6.5x108

±4.6x108

ngP24/mL481

±1857428

±4109

LV production process – 48L Cell Factories - Productivity

Infectious viral titer Physical Viral Titer

BULK

FINAL

Page 14: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 14

LV production process – 48L Cell Factories - Residuals

RemovalContaminants

HCP >99%

Total DNA >99%

BSA >99%

HCP Total DNA BSA

BULK

FINAL

Page 15: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 15

Current vector manufacturing processes – Bioreactor 200L

Development Tech transfer/engineering GMP manufacturing

200L disposable bioreactor - adehsion

iCellis system allows the development of fully cGMP compliant manufacturing processes for LV

vectors compliant with commercial vector application

Vectors produced in iCellis systems:

are qualitative comparable to CF clinical batches

batch size is cost-effective in terms of number of patients treated versus cost of production and QC

high reproducibility of genetically modified cells batches

Page 16: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 16

LVV production in iCELLis 500: process flow chart

Adherent HEK293T

DNA Transfection

Cell thawing and expansion

Harvest

Benzonase addition

Clarification/prefiltration

Anion exchange chromatography

Concentration and diafiltration

Sterile filtration and filling

Full Scale

Scale down

ÄKTA Pilot and Axichrom column

KrosFlo System

ÄKTA Ready and pre-packed column

ÄKTA Ready FluxSystem

iCellis 500

iCellis Nano

Page 17: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 17

LVV production in iCELLisnano: development data USP

0.0E+00

5.0E+06

1.0E+07

1.5E+07

2.0E+07

2.5E+07

3.0E+07

3.5E+07

4.0E+07

0.0E+00

1.0E+10

2.0E+10

3.0E+10

4.0E+10

5.0E+10

6.0E+10

7.0E+10

1 5 9 13 17 21 25 29 33 37 41 45 49 53 4 8 12 16 20 24 28 32 36 40 44

TU/m

L

To

tal T

U

run

TU tot TU/mliCELLis nano 0.53m2iCELLis nano 1.06m2

Productivity on bulk supernatant

Conditions optimization permitted to increase system productivity of 3-4 fold

Page 18: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 18

LVV production in iCELLis 500: development data USP

Scale up in iCellis500 runs confirmed system scalabilityLinearity in production using different packed-bed surface areas

0

50

100

150

200

250

300

350

400

450

0.0E+00

1.0E+07

2.0E+07

3.0E+07

4.0E+07

5.0E+07

6.0E+07

66m2 133m2 #1 133m2 #2 Average nano runs

ngP

24

/mL

TU/m

L

TU/mL iCellis 500 TU/mL iCellis nano ctrl ngP24/mL iCellis 500 ngP24/mL iCellis nano ctrl

0.53m20.53m2

1.06m2

1.06m21.06m2

4.1x1012Total TU 1.1x1013 1.0x1013

Page 19: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 19

From Upstream to Downstream

Adherent vs Suspension cell

culture

Transient transfection vs stable

producer

Serum containing vs serum free

culture medium

Addition of USP additives

Cell supernatant vs cell lysate

Residual HCPs and DNA levels

Residual BSA presence

Additives removal

Clarification strategy:

Centrifugation /TFF / NFF

Chromatography:

Ion exchange

Size exclusion

Affinity

Other ligands

TFF:

Ultrafiltration

Diafiltration

Culture Conditions Residual Levels Downstream Strategies

Upstream process parameters can impact the desing of Downstream processing

Page 20: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 20

LVV purification from clarified bulk

Process designed to remove main contaminants and to have the same level of quality of CF vector

67% vector recovery98% HCP removal>88% DNA removal

Anion exchange chromatography• Captures and concentrates LV• Removes HCP • Removes DNA contaminants • Removes BSA

Concentration and diafiltration (TFF)• Concentrates LV• Reduces HCP• Reduces small DNA contaminants• Reduces BSA

Sterile filtration and filling• Bioburden reduction and sterile filtration• Filling in target vials/bottles/bags

57% vector step recovery>99% HCP removal44% DNA removal

75% vector step recovery>99% HCP removal74% DNA removal

Page 21: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 21

LVV purification from clarified bulk

24% 30%*

*Process yield calculated applied downstream scale down model

45% 58%

0.0E+00

2.0E+12

4.0E+12

6.0E+12

8.0E+12

1.0E+13

1.2E+13

Bulk Post-clarification Final

tota

l TU

iCellis 66m2

0.0E+00

2.0E+12

4.0E+12

6.0E+12

8.0E+12

1.0E+13

1.2E+13

Bulk Post-clarification Final

tota

l TU

iCellis 133m2

Yield

Total Process yield is very high and consistent

Page 22: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 22

Comparison LVV production in iCELLis500 vs standard CF process

0 20 40 60 80 100

CF

iCellis500

Trasduction effciency (%)

Transduction efficiency on T-Cells

VCN2.3 ± 0.3

VCN3.8 ± 0.1

Total TU/batchInfectious viral titer on Final Filled vector

Infectious viral titer on bulk supernatant

0.0E+00

1.0E+07

2.0E+07

3.0E+07

4.0E+07

5.0E+07

6.0E+07TU

/mL

0.0E+00

1.0E+08

2.0E+08

3.0E+08

4.0E+08

5.0E+08

6.0E+08

7.0E+08

8.0E+08

TU

/mL

0.0E+00

2.0E+11

4.0E+11

6.0E+11

8.0E+11

1.0E+12

1.2E+12

1.4E+12

1.6E+12

1.8E+12

2.0E+12

Tota

l TU

5 Fold increase in total vector TU and

same potency on primary cells

Page 23: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 23

Characterization of LVV produced in iCellis – Impurities profile

0

500

1000

1500

2000

2500

3000

iCellis500 iCellis nano CF

ng/

mL

Total DNA

0

500

1000

1500

2000

2500

3000

3500

4000

iCellis500 iCellis nano CF

ng/

mL

Host Cell Proteins

0

200

400

600

800

1000

1200

1400

1600

1800

2000

iCellis500 iCellis nano CF

µg/

mL

Residual BSA

No

td

etec

tab

le

No

td

etec

tab

le

No

td

etec

tab

le

LLOQLLOQ

No

td

etec

tab

le

No

td

etec

tab

le

No

td

etec

tab

le

No

td

etec

tab

le

Improved impurities profile for vector produced in bioreactor

Page 24: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020 24

From vector to patients

Patients treated with 1 batch of manufactured vector:

Considering to transduce about 1X109 T cells/pt and 0.7X109 CD34+ cells/pt

~ 90 patientsT-cells transduction at MOI 4

~ 10 patientsCD34 cells transduction at MOI 50

~ 400 patients

~ 50 patients

CF Bioreactor

Page 25: Process Development and Large-Scale GMP Production for ... · Bulk Post-clarification Final U iCellis 66m2 0.0E+00 2.0E+12 4.0E+12 6.0E+12 8.0E+12 1.0E+13 1.2E+13 Bulk Post-clarification

MolMed Webinar, June 2020

Thank you for your attention!

Luca AlbericiCBO

e-mail:

[email protected]

Margherita NeriUSP DEV Manager

e-mail:

[email protected]

Francesca BellintaniDSP DEV Manager

e-mail: [email protected]