Restimulation of cryopreserved tumor infiltrating lymphocytes
The present disclosure provides methods for re-stimulating TIL populations that lead to improved phenotype and increased metabolic health of the TILs and provides methods of assaying for TIL populations to determine suitability for more efficacious infusion after re-stimulation.
1. A cryopreserved tumor infiltrating lymphocyte (TIL) composition comprising a therapeutic population of TILs, wherein the cryopreserved TIL composition is produced by the method comprising:
(a) performing a first expansion by (i) thawing a cryopreserved tumor digest comprising a first population of TILs from a tumor that was resected from a subject, digested after the resection, and cryopreserved after the digestion, and (ii) culturing the first population of TILs in a cell culture medium comprising IL-2 to produce a second population of TILs, wherein the tumor digest was prepared by incubating a sample of the tumor that was resected from the subject in an enzymatic media;
(b) performing a second expansion by supplementing the cell culture medium of the second population of TILs with additional IL-2, OKT-3, and antigen presenting cells (APCs), to produce a third population of TILs, wherein the third population of TILs is a therapeutic population of TILs, and wherein the second expansion is performed for about 7 to 14 days in order to obtain the therapeutic population of TILs;
(c) harvesting the therapeutic population of TILs obtained from step (b);
(d) admixing the harvested therapeutic population of TILs from step (c) with a cryopreservation media to form an admixture; and
(e) cryopreserving the admixture from step (d) using a cryopreservation process to produce a cryopreserved TIL composition.
2. The cryopreserved TIL composition according to claim 1 , wherein the cryopreservation media comprises a cryopreservant.
3. The cryopreserved TIL composition according to claim 2 , wherein the cryopreservant is DMSO.
4. The cryopreserved TIL composition according to claim 3 , wherein the cryopreservation media comprises 5% DMSO.
5. The cryopreserved TIL composition according to claim 1 , wherein the method further comprises disrupting the tumor sample mechanically so as to dissociate the tumor sample.
6. The cryopreserved TIL composition according to claim 5 , wherein the method further comprises purifying the disassociated tumor sample using a density gradient separation.
7. The cryopreserved TIL composition according to claim 1 , wherein the enzymatic media comprises DNase.
8. The cryopreserved TIL composition according to claim 7 , wherein the enzymatic media comprises 30 units/mL of DNase.
9. The cryopreserved TIL composition according to claim 1 , wherein the enzymatic media comprises collagenase.
10. The cryopreserved TIL composition according to claim 9 , wherein the enzymatic media comprises 1.0 mg/mL of collagenase.
11. The cryopreserved TIL composition according to claim 1 , wherein the cell culture medium is CTS Optimizer.
12. The cryopreserved TIL composition according to claim 1 , wherein the APCs comprise peripheral blood mononuclear cells (PBMCs).
13. The cryopreserved TIL composition according to claim 1 , wherein the first expansion is performed within from about 3 to 11 days.
14. The cryopreserved TIL composition according to claim 1 , wherein steps (a) through (e) are performed within about 24 days.
15. The cryopreserved TIL composition according to claim 1 , wherein step (a) further comprises adding the thawed tumor digest into a closed system prior to culturing the first population of TILs.
16. The cryopreserved TIL composition according to claim 1 , wherein the transition from step (a) to step (b), the transition from step (b) to step (c), or the transition from step (c) to step (d) occurs without opening the system.
17. The cryopreserved TIL composition according to claim 1 , wherein the transition from step (a) to step (b) occurs without opening the system.
18. The cryopreserved TIL composition according to claim 1 , wherein the transition from step (b) to step (c) occurs without opening the system.
19. The cryopreserved TIL composition according to claim 1 , wherein the transition from step (c) to step (d) occurs without opening the system.
20. The cryopreserved TIL composition according to claim 1 , wherein step (a) further comprises adding the thawed tumor digest into a closed system prior to culturing the first population of TILs, wherein the transition from step (a) to step (b) occurs without opening the system, wherein the transition from step (b) to step (c) occurs without opening the system, and wherein the transition from step (c) to step (d) occurs without opening the system.