REMOVAL/NEUTRALIZATION OF HEPATITIS-A VIRUS DURING MANUFACTURE OF HIGH-PURITY, SOLVENT/DETERGENT FACTOR-VIII CONCENTRATE

Recent reports have suggested an increased risk of type A viral hepatitis in hemophilic patients treated with high purity factor VIII concentrates prepared using ion exchange chromatography coupled with solvent/detergent treatment for inactivation of viruses. To determine the capacity for removal or inactivation of hepatitis A virus during the factor VIII manufacturing process, human plasma and various factor VIII production intermediates were spiked with cell culture-propagated virus and subjected to scaled down conditions mimicking the manufacture of solvent/ detergent factor VIII. The combination of antibody-mediated neutralization, cryoprecipitation, anion exchange chromatography, and lyophilization in the absence of sucrose resulted in a minimal reduction of 5.5 to 8.55 log(10) in the infectivity of hepatitis A virus. (C) 1994 Wiley-Liss, Inc.