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Pyrogenicity of phage active pharmaceutical ingredients used for personalized therapy in Belgium - PubMed

7 hours ago
  • #Quality Control
  • #Pyrogenicity Testing
  • #Phage Therapeutics
  • Assessment of pyrogenicity is critical for phage-based therapeutic products, especially for intravenous administration.
  • Current endotoxin tests (LAL and rFC) capture only part of immune-activating potential; the Monocyte Activation Test (MAT) offers physiological relevance by detecting responses to endotoxins and non-endotoxin pyrogens.
  • The study found low pyrogenicity in tested phage active pharmaceutical ingredients (pAPIs), with most batches below 1000 EU/ml.
  • A two-tiered quality control strategy is proposed: using rFC for initial endotoxin screening and MAT to assess pyrogenic potential as perceived by the human immune system.
  • MAT supports interpretation of complex pyrogenic signals without overruling rFC, aligning with ethical 3Rs principles for animal use reduction.