Buckley L A, Benson K, Davis-Bruno K, Dempster M, Finch G L, Harlow P, Haggerty H G, Hart T, Kinter L, Leighton J K, McNulty J, Roskos L, Saber H, Stauber A, Tabrizi M
Eli Lilly and Company, DC 1940, Lilly Corporate Center, Indianapolis, IN 46285, USA.
Int J Toxicol. 2008 Jul-Aug;27(4):303-12. doi: 10.1080/10915810802367016.
Robust assessments of the nonclinical safety profile of biopharmaceuticals are best developed on a scientifically justified, case-by-case basis, with consideration of the therapeutic molecule, molecular target, and differences/similarities between nonclinical species and humans (ICH S6). Significant experience has been gained in the 10 years ensuing since publication of the ICH S6 guidance. In a PhRMA-FDA-sponsored workshop, "Nonclinical Aspects of Biopharmaceutical Development," industry and US regulatory representatives engaged in exploration of current scientific and regulatory issues relating to the nonclinical development of biopharmaceuticals in order to share scientific learning and experience and to work towards establishing consistency in application of general principles and approaches. The proceedings and discussions of this workshop confirm general alignment of strategy and tactics in development of biopharmaceuticals with regard to such areas as species selection, selection of high doses in toxicology studies, selection of clinical doses, the conduct of developmental and reproductive toxicity (DART) studies, and assessment of carcinogenic potential. However, several important aspects, including, for example, appropriate use of homologues, nonhuman primates, and/or in vitro models in the assessment of risk for potential developmental and carcinogenic effects, were identified as requiring further scientific exploration and discussion.
生物制药非临床安全性概况的稳健评估最好在科学合理、逐案分析的基础上开展,同时考虑治疗性分子、分子靶点以及非临床物种与人类之间的差异/相似性(ICH S6)。自ICH S6指南发布后的十年间积累了丰富经验。在制药研究和制造商协会(PhRMA)与美国食品药品监督管理局(FDA)联合主办的“生物制药开发的非临床方面”研讨会上,行业代表和美国监管机构代表探讨了与生物制药非临床开发相关的当前科学和监管问题,以便分享科学知识和经验,并努力在应用一般原则和方法方面达成一致。本次研讨会的会议记录和讨论证实,在生物制药开发的物种选择、毒理学研究高剂量选择、临床剂量选择、发育和生殖毒性(DART)研究开展以及致癌潜力评估等领域,战略和策略总体上是一致的。然而,几个重要方面,例如在评估潜在发育和致癌效应风险时同源物、非人灵长类动物和/或体外模型的恰当使用,被确定需要进一步的科学探索和讨论。