Cellular compositions derived from prior organ donors and methods of manufacture and use thereof
Inventors
Assignees
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Abstract
The invention provides methods of making and using compositions for establishing mixed chimerism in a subject that include CD34+ cells and CD3+ cells derived from an apheresis product obtained from a subject that has previously donated a solid organ.
Core Innovation
The invention relates to cellular compositions and related methods to establish mixed chimerism in a recipient of a solid organ transplant from a donor. The approach uses donor-derived apheresis products comprising CD34+ cells and CD3+ cells, collected after the donor has donated the solid organ, and manufacturing a cellular product containing CD34+ cells and CD3+ cells from the collected apheresis product.
The manufacturing includes purification to enrich CD34+ cells while retaining CD3+ cells to produce a cellular product for establishing mixed chimerism. The enriched CD34+ portion can be mixed with a CD3+ portion, and alternatively the CD34+ portion and CD3+ portion can be handled as separate fractions in separate containers.
The document further describes that the donor-derived CD34+ cells and CD3+ cells can be used under HLA-matched or HLA-mismatched conditions for the solid organ transplant recipient. It also describes cryopreservation and containerization of the cellular product and subsequent administration to recipients after transplantation, with immunosuppression conditioning/withdrawal and monitoring to discontinue immunosuppressive therapy once mixed chimerism stabilizes.
Claims Coverage
The partial content identifies one independent claim, directed to a manufacturing method for producing a cellular product for establishing mixed chimerism using donor-derived apheresis products containing both CD34+ cells and CD3+ cells collected at a defined post-organ-donation time. The dependent claims refine manufacturing by CD34+ enrichment with CD3+ retention and optionally by mixing or separate handling, and further add HLA-matching/mismatching and time constraints for apheresis collection.
Post-organ-donation apheresis for mixed chimerism cellular product
Receiving at least one apheresis product comprising CD34+ cells and CD3+ cells obtained from a donor at least one day after the donor has donated the solid organ; and manufacturing the cellular product comprising CD34+ cells and CD3+ cells from the apheresis product.
CD34+ enrichment with CD3+ retention
Purifying to enrich CD34+ cells while retaining CD3+ cells as part of manufacturing the cellular product comprising CD34+ cells and CD3+ cells.
Mixing enriched CD34+ cells with retained CD3+ portion
Mixing an enriched amount of CD34+ cells with a second portion containing CD3+ cells.
HLA-matched CD34+ and CD3+ cells
Using HLA-matched CD34+ cells and CD3+ cells for a solid organ transplant recipient.
HLA-mismatched CD34+ and CD3+ cells
Using HLA-mismatched CD34+ cells and CD3+ cells for a solid organ transplant recipient.
Delayed apheresis collection threshold
Receiving at least one apheresis product collected from a donor at least four weeks after the donor has donated the solid organ.
Across the identified independent claim and refinements in the cited dependents, the claim coverage centers on manufacturing a mixed-chimerism cellular product from donor apheresis collected at least one day, or at least four weeks in a refinement, after solid organ donation, using CD34+ and CD3+ together, with optional CD34+ enrichment and retention of CD3+, and optional HLA-matched or HLA-mismatched usage.
Stated Advantages
Documented Applications
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