Table 2.

Microcosting itemized list showing the manufacturing costs for gene therapy

Microcosting list of gene therapy manufacturing costs for 73 patients*
TaskTotal labor costSuppliesOther expensesTotal direct cost in US$
 Viral production cell licensing fee $15 166 $74 000 $20 000 $109 166 
 Quality assurance master batch production records and associated documentation $32 921 $300 $0 $33 221 
 Drug substance  cGMP manufacturing  Quality control  Quality assurance  $394 698 $75 037 $81 371  $2 297 770 $57 015 $14 000  $0 $339 500 $0  $2 692 467 $471 552 $68 977 
 Drug product     
  cGMP manufacturing $17 198 $18 750 $0 $95 771 
  Quality control $8628 $7950 $9500 $26 078 
  Quality assurance $13 395 $50 $0 $13 445 
 36-Mo stability study $37 271 $37 100 $21 000 $95 371 
 Total direct costs $675 685 $2 507 335 $390 000 $3 573 019 
Microcosting list of gene therapy manufacturing costs for 73 patients*
TaskTotal labor costSuppliesOther expensesTotal direct cost in US$
 Viral production cell licensing fee $15 166 $74 000 $20 000 $109 166 
 Quality assurance master batch production records and associated documentation $32 921 $300 $0 $33 221 
 Drug substance  cGMP manufacturing  Quality control  Quality assurance  $394 698 $75 037 $81 371  $2 297 770 $57 015 $14 000  $0 $339 500 $0  $2 692 467 $471 552 $68 977 
 Drug product     
  cGMP manufacturing $17 198 $18 750 $0 $95 771 
  Quality control $8628 $7950 $9500 $26 078 
  Quality assurance $13 395 $50 $0 $13 445 
 36-Mo stability study $37 271 $37 100 $21 000 $95 371 
 Total direct costs $675 685 $2 507 335 $390 000 $3 573 019 
Gene therapy manufacturing cost per dose calculations and assumptions
VariableCalculationsValue
 Batch size (L) None 200 
 Yield per liter of bioreactor volume None 2.50E+13 
 Total no. of batches None 10 
 Total vg titer from total no. of batches Batch size (L) × yield per liter bioreactor volume × total no. of batches 5.00E+16 
 vg dose/kg None 8.00E+12 
 Patient weight at 18 y per kg None 75.6 
 vg per dose based on patient weight vg dose/kg × patient weight (kg) 6.05E+14 
 Total no. of patient doses ([Total no. of vials – vials needed for testing + 10% extra] × total vg/vial)/vg per dose based on patient weight 73.042 
 Fill volume per vial (mL) None 5.3 
 Concentration of drug product (vg/mL) None 3.00E+12 
 Total vg/vial Fill volume per vial (mL) × concentration of drug product (vg/mL) 1.59E+13 
 Total no. of vials Total vg from total no. of batches/total vg/vial 3144.65 
 Vials needed for testing None 333 
 Vials needed for testing + 10% extra None 366.3 
 Direct cost per dose ($) Total direct cost/total no. of patient doses $48 917 
 Cost per dose ($) Direct cost per dose ($) × 1.58 $77 289 
Gene therapy manufacturing cost per dose calculations and assumptions
VariableCalculationsValue
 Batch size (L) None 200 
 Yield per liter of bioreactor volume None 2.50E+13 
 Total no. of batches None 10 
 Total vg titer from total no. of batches Batch size (L) × yield per liter bioreactor volume × total no. of batches 5.00E+16 
 vg dose/kg None 8.00E+12 
 Patient weight at 18 y per kg None 75.6 
 vg per dose based on patient weight vg dose/kg × patient weight (kg) 6.05E+14 
 Total no. of patient doses ([Total no. of vials – vials needed for testing + 10% extra] × total vg/vial)/vg per dose based on patient weight 73.042 
 Fill volume per vial (mL) None 5.3 
 Concentration of drug product (vg/mL) None 3.00E+12 
 Total vg/vial Fill volume per vial (mL) × concentration of drug product (vg/mL) 1.59E+13 
 Total no. of vials Total vg from total no. of batches/total vg/vial 3144.65 
 Vials needed for testing None 333 
 Vials needed for testing + 10% extra None 366.3 
 Direct cost per dose ($) Total direct cost/total no. of patient doses $48 917 
 Cost per dose ($) Direct cost per dose ($) × 1.58 $77 289 

vg, viral genomes.

*

The number of patients has been rounded down from 73.042. Calculations above show how the number was derived.

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