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Immunogenicity

Immunogenicity

Problem Statement

There is a lack of patient derived real-life clinical data to understand the clinical relevance of immunogenicity via the SC route of administration. Even the data that exists from current clinical trials does not delve deep into onset, kinetics and maturation of response following different routes of delivery. In general, there are no harmonized, industry-wide accepted in vitro or preclinical in vivo models through which multiple proteins have been tested to make comparisons across different datasets and draw broad conclusions. Harmonized models would allow correlation of the drug product attributes with safety/adverse events related to SC delivery as well as build the understanding around if immunogenic events due to SC delivery lead to long term immune response and memory. ​

Desired Future State

Clear understanding of Immunogenicity after SC administration, both local and systemic, including product characteristics from pre-clinical testing to clinical outcomes in patients; Ability to reliably predict and control immunogenicity after SC administration (e.g., injection site reactions, long-term tolerability, etc.) of therapeutics.

Biggest Accomplishments in 2023

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  • Workshop: PEGS Boston User Group
     “SC Administration and Immunogenicity Risk: Current Understanding and Future Considerations for Novel Modalities”
  • Manuscript Strategy & Outline
      • Small teams identified with authoring responsibilities
      • Manuscript ~20% completed
  • Increased membership engagement
      • Capitalized on workshop momentum, have approximately doubled the number of attendees on subteam calls in 2023

Impact of 2023 Tactics: Immunogenicity Sub-Team

The Immunogenicity Subteam of the SC Consortium had a highly collaborative 2023. In May, the team hosted an in-person workshop (user group) alongside the 2023 PEGs Boston meeting where industrial and academic subject matter experts shared the latest in the field with respect to immunogenicity concerns after SC administration of protein therapeutics.  The meeting and the discussions that followed have helped shaped the current problem statements that the subteam will begin tackling in 2024. The team is currently summarizing the output from the workshop in a manuscript which should be published in 2024.

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