Central Biorepository

Central Biorepository

1

Facility

The RePORT India Central Biorepository was established in 2016 at the Indian Council of Medical Research-National Institute for Research in Tuberculosis (ICMR-NIRT), Chennai, with support from the Department of Biotechnology, and became fully operational in April 2017.

2

Goal

The goal of the Central Biorepository (CBR) is to receive, store and disseminate high quality biospecimens with well characterized data to support future research in Tuberculosis (TB).

3

Process

Clinical research sites across India collect biological specimens from cohorts of active TB patients and their household contacts, process them on-site and ship them to the CBR. The CBR receives and stores these biospecimens at appropriate temperatures following ‘best practices’.

Samples

state of the art facility presently houses more than 25000 samples

Sputum

Mycobacterium tuberculosis isolates

saliva

whole blood for DNA

whole blood for RNA

plasma

quantiferon supernatants

urine

vials of peripheral blood mononuclear cells (PBMC)

Cohort A

Active Pulmonary TB

Mtb isolate subculture for storage

Z   Baseline
V   Visit 1
V   Visit 2
V   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Whole blood (PAXgene) for storage

Z   Baseline
Z   Visit 1
Z   Visit 2
Z   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Whole blood (plasma & PBMC) for storage

Z   Baseline
Z   Visit 1
Z   Visit 2
Z   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Whole blood for storage (genetic analyses)

Z   Baseline
V   Visit 1
Z   Visit 2
Z   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Saliva for storage (genetic analyses)

Z   Baseline
V   Visit 1
V   Visit 2
Z   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Urine for storage

Z   Baseline
Z   Visit 1
Z   Visit 2
Z   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Sputum for storage

Z   Baseline
Z   Visit 1
Z   Visit 2
V   End of TX (-4/+6 wks)
V   6 mth Post TX (-4/+6 wks)
Z   TX F/R/W

Cohort B

Household Contacts

Mtb isolate subculture for storage

V   Baseline
V   Month 4 – 6
V   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Sputum for storage

V   Baseline
V   Month 4 – 6
V   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Whole blood (PAXgene) for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Whole blood (PBMC, Plasma) for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Whole blood (IGRA) for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Whole blood (genetic analyses) for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Saliva (genetic analyses) for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Urine for storage

Z   Baseline
Z   Month 4 – 6
Z   Month 12 (+/- 2 mths)
Z   TB Activation Evaluation

Facility

Ultra low deep freezers and Liquid Nitrogen Storage systems for appropriate storage of biospecimen along with a back-up 125 KVA diesel generator for uninterrupted power supply, fire safety alarms and fire extinguishers

7 air-conditioners to maintain appropriate room temperature for efficient operation of the storage systems

Biothermics temperature probes linked with a central server to monitor the temperature of storage equipment 24×7 and send out deviation alerts to the staff

Access control system for restricted access and essential safety equipment like oxygen deficiency monitors

Sample inventory and sample management at the CBR is done through FreezerPRO, a web-based secure software tool for accessing sample details with restricted access

The CBR also has a dedicated sample collection aids/kits storage ware-house for stocking and distribution of specimen collection supplies to the clinical research sites

Peripheral Blood Mononuclear Cell (PBMC)

External Quality Assurance (EQA) Program

The in-country peripheral blood mononuclear cell (PBMC) External Quality Assurance (EQA) Program for RePORT India was established in a project mode to support the Indian labs undertaking sample processing and storage for the RePORT India TB Consortium. With the support and training provided by the team from the Immunology Quality Assurance Program of Duke Human Vaccine Institute, USA, the NIRT PBMC EQA Program was initiated in April 2017. After successful prequalification of the participating sites, quarterly surveys have been implemented since the beginning of 2018. The EQA team also support the training of lab personnel in PBMC isolation and cryopreservation and help sites with troubleshooting and corrective action as and when required.

Team

The Biorepository is manned by an excellent team of lab personnel well trained in Good Clinical Practice (GCP), Good Clinical Practice (GCLP) and International Air Transport Association (IATA) regulations, besides biorepository management (receiving, segregating and storing biospecimens) and online inventory management. The staff strictly adhere to Standardized Operating Procedures specific to each task and apply strict quality control measures in every aspect of Biorepository maintenance. The biorepository team also coordinates between the Clinical Research Sites and Shipping agencies for timely shipment of samples as well as supplies.

Hanna Luke Elizabeth

Hanna Luke Elizabeth

Ph.D., HOD of HIV/AIDS, ICMR-NIRT

Amsaveni S

Amsaveni S

M.V.Sc., PGD.Z. CRDF Global

Murugesan S

Murugesan S

M.Sc., Technical Officer, Department of HIV/AIDS, ICMR-NIRT

Sathyamurthi P

Sathyamurthi P

M.Sc., Technical Officer, Department of HIV/AIDS, ICMR-NIRT

Karthika C

Karthika C

M.Sc., Project Technical Assistant, Department of HIV/AIDS, ICMR-NIRT