Lynch Anthony M, Wilcox Phillip
GlaxoSmithKline R&D, Park Road, Ware, Hertfordshire SG12 0DP, UK.
Exp Toxicol Pathol. 2011 Mar;63(3):209-14. doi: 10.1016/j.etp.2009.12.001. Epub 2010 Jan 8.
Based on current regulatory guidelines a substantial proportion of drug development portfolios within the pharmaceutical industry trigger the requirements for photosafety testing i.e. absorb light in the range 290-700 nm, and are either applied locally/topically, or 'reach' (EMEA)/'significantly partition to' (FDA) the skin or eyes. There has been growing concern within the pharmaceutical industry over recent years regarding the performance of the in vitro photosafety tests with respect to in vivo predictivity (in animals and in humans). Therefore, the Safety Ad hoc Group (SAHG) of the European Federation of Pharmaceutical Industries and Associations (EFPIA) commissioned a survey of member companies to better understand the triggers for photosafety testing and how in vitro hazard characterisation translated to in vivo risk (both in animal models and in humans). Data were collated for 361 compounds from 10 EFPIA member companies and the results of the phototoxicity survey are reported. Based on these results, it appears that the in vitro photosafety assays are substantially over predicting animal photosafety hazard in vivo and also human photosafety risk in the clinic. This raises concern regarding the use of in vitro photosafety assays for the assessment of chemical photosafety of pharmaceuticals for regulatory purposes. At the very least, a review of the current guidance documents for the photosafety evaluation of pharmaceuticals should be undertaken urgently.
根据现行监管指南,制药行业内相当一部分药物研发项目符合光安全性测试的要求,即能吸收290 - 700纳米范围内的光,且要么局部/外用给药,要么“到达”(欧洲药品管理局)/“显著分布于”(美国食品药品监督管理局)皮肤或眼睛。近年来,制药行业对体外光安全性测试在体内预测性(在动物和人类中)方面的表现日益关注。因此,欧洲制药工业协会联合会(EFPIA)的安全特别工作组(SAHG)委托对成员公司进行一项调查,以更好地了解光安全性测试的触发因素,以及体外危害特征如何转化为体内风险(在动物模型和人类中)。整理了来自10家EFPIA成员公司的361种化合物的数据,并报告了光毒性调查结果。基于这些结果,体外光安全性测定似乎在很大程度上高估了动物体内的光安全性危害以及临床中人类的光安全性风险。这引发了对将体外光安全性测定用于监管目的评估药物化学光安全性的担忧。至少,应立即对现行的药物光安全性评估指导文件进行审查。