The most underappreciated parameter in cell therapy process development is not your bioreactor, your media, or your activation protocol. It is the patient. Chantale Bernatchez has spent 20 years learning that lesson the hard way, watching the same manufacturing process succeed brilliantly with one donor and fail completely with the next. In this episode, she explains why starting material variability is the defining challenge of cell therapy manufacturing, and what it actually takes to build a process robust enough to survive it.
Chantale Bernatchez is Head of Process Development at CTMC, a joint venture between Resilience and MD Anderson Cancer Center. She holds a PhD in immunology and has spent two decades advancing T cell therapy from early research programs at MD Anderson to GMP-compliant clinical manufacturing. She holds four patents in adoptive cell therapy.
Key topics discussed:
- Personal journey: from immunology PhD in Quebec to cell therapy leadership in Houston (04:25)
- Evolution of TIL therapy at MD Anderson, including manufacturing innovations to overcome declining T cell yields (06:14)
- The fundamental differences between traditional medicines and cell-based immunotherapies (10:01)
- Unique manufacturing complexities for autologous therapies, including batch variability and process standardization (11:19)
- Strategies to address decreased cell fitness in heavily pretreated patients, including changes in cell activation and culture conditions (13:57)
- Key learnings from the CAR T and TIL manufacturing process: balancing process duration, cell fitness, and product yield (16:28)
- Mechanistic differences between CAR T and TIL therapies and their implications for efficacy and resistance (17:58)
- The limits and risks of automation in cell therapy manufacturing—balancing manual vs. automated processes (24:04)
- Why moving between manufacturing platforms raises challenges in comparability and clinical outcomes (25:44)
- The ongoing search for critical cell quality attributes that correlate with patient response (27:00)
In part two, Chantale goes deeper into next-generation approaches, technology transfer, and what needs to change to broadly expand patient access.
Smart insight: In cell therapy, manufacturing isn’t just a production step. It defines the therapy itself. Because each patient’s starting cells are unique, even subtle changes in the process can significantly alter clinical outcomes.
If you’re interested in exploring further the concepts we touched on—such as cell therapy manufacturing, process control, and scaling living therapies—take a look at these related discussions:
- Episodes 125 - 126: How to Enhance Cell Engineering Using Mechanical Intracellular Delivery with Armon Sharei
- Episodes 109 - 110: Spinning Like Earth: Designing Low-Shear Bioreactors for Better Cell Culture with Olivier Detournay
- Episodes 105 - 106: From Proteins to Cell Therapy: Why ATMPs Aren’t Just Complex Biologics with Oliver Kraemer
Connect with Chantale Bernatchez:
LinkedIn: www.linkedin.com/in/chantale-bernatchez-22b09511
CTMC website: www.ctmc.com
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