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制药行业对人用药品研发中长期毒理学测试的看法。

The industry view on long-term toxicology testing in drug development of human pharmaceuticals.

作者信息

Van Cauteren H, Bentley P, Bode G, Cordier A, Coussement W, Heining P, Sims J

机构信息

Novartis, Basle, Switzerland.

出版信息

Pharmacol Toxicol. 2000;86 Suppl 1:1-5. doi: 10.1034/j.1600-0773.2000.d01-1.x.

Abstract

The approach to chronic toxicity testing over the past decade is reviewed and assessed in the light of developing ICH guidelines. The 1990's have seen a general acceptance that studies with a maximal duration of 6 months in rodents are all that is required for adequate safety assessment of developmental pharmaceutical agents. However, controversy has arisen concerning the most appropriate duration for chronic toxicity testing in non-rodents. Initial suggestions that 6 months duration was sufficient have been countered by findings noted in 12-month studies that were not seen in shorter-term studies. Retrospective analysis of available data eventually lead to a subsequent ICH recommendation that studies of 9 months duration would be now acceptable. However, until recently the FDA position on this recommendation was unclear and an analysis of industry practices since the ICH recommendation was made in 1997 has shown that the 9-month guideline is not widely applied. Recent clarification by the FDA will probably result in a continued but limited use of this alternative. An industry view on the future of chronic toxicology testing in rodents and non-rodents is presented.

摘要

根据国际协调会议(ICH)不断发展的指导原则,对过去十年慢性毒性试验的方法进行了回顾和评估。20世纪90年代普遍认为,对研发中的药物制剂进行充分的安全性评估,在啮齿动物中进行最长为期6个月的研究就足够了。然而,关于非啮齿动物慢性毒性试验的最合适时长出现了争议。最初认为6个月时长就足够的观点,遭到了12个月研究中所发现的、短期研究中未出现的结果的反驳。对现有数据的回顾性分析最终导致ICH随后建议,现在9个月时长的研究是可以接受的。然而,直到最近,FDA对该建议的立场仍不明确,对1997年ICH建议发布以来行业实践的分析表明,9个月的指导原则并未得到广泛应用。FDA最近的澄清可能会导致这种替代方法继续但有限地使用。本文还介绍了行业对啮齿动物和非啮齿动物慢性毒理学试验未来的看法。

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