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单克隆抗体的慢性毒理学研究设计:减少使用非人类灵长类动物的意义。

The design of chronic toxicology studies of monoclonal antibodies: implications for the reduction in use of non-human primates.

机构信息

National Centre for Replacement, Refinement and Reduction of Animals in Research, Gibbs Building, 215 Euston Rd., London NW1 2BE, UK.

出版信息

Regul Toxicol Pharmacol. 2012 Mar;62(2):347-54. doi: 10.1016/j.yrtph.2011.10.016. Epub 2011 Nov 6.

Abstract

The changing environment of monoclonal antibody (mAb) development is impacting on the cost of drug development and the use of experimental animals, particularly non-human primates (NHPs). The drive to reduce these costs is huge and involves rethinking and improving nonclinical studies to make them more efficient and more predictive of man. While NHP use might be unavoidable in many cases because of the exquisite specificity and consequent species selectivity of mAbs, our increasing knowledge base can be used to improve drug development and maximise the output of experimental data. Data on GLP regulatory toxicology studies for 58mAbs were obtained from 10 companies across a wide range of therapeutic indications. These data have been used to investigate current practice and identify study designs that minimise NHP use. Our analysis shows that there is variation in the number of animals used for similar studies. This information has been used to develop practical guidance and make recommendations on the use of science-based rationale to design studies using fewer animals taking into account the current regulatory guidance. There are eight recommendations intended to highlight areas for consideration. They include guidance on the main group size, the inclusion of recovery groups and the number of dose groups used in short and long term chronic toxicology studies.

摘要

单克隆抗体 (mAb) 开发的环境变化正在影响药物开发的成本和实验动物的使用,尤其是非人类灵长类动物 (NHP)。降低这些成本的动力非常大,需要重新思考和改进非临床研究,使其更高效,并能更好地预测人类。虽然由于 mAb 的高度特异性和随之而来的物种选择性,在许多情况下可能不可避免地需要使用 NHP,但我们不断增加的知识库可以用于改进药物开发并最大限度地提高实验数据的产出。从 10 家公司获得了针对 58 种 mAb 的 GLP 监管毒理学研究数据,这些公司涵盖了广泛的治疗适应症。这些数据用于调查当前的实践并确定可最大程度减少 NHP 使用的研究设计。我们的分析表明,类似研究中使用的动物数量存在差异。该信息已用于制定实用指南,并就使用基于科学的原理设计研究提出建议,这些研究考虑到了当前的监管指南,使用更少的动物。有八项建议旨在突出需要考虑的领域。它们包括关于主要组大小、恢复期组纳入和短期和长期慢性毒理学研究中使用的剂量组数量的指导。

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