Department of Radiation Oncology, University of Maryland, School of Medicine, Baltimore, MD, USA.
Health Phys. 2012 Oct;103(4):340-2. doi: 10.1097/HP.0b013e318261175a.
The single, overarching goal of the National Institute of Allergy and Infectious Diseases (NIAID)-sponsored Consortium, Medical Countermeasures Against Radiological Threats (MCART), is the development of medical countermeasures (MCM) to treat the key sequelae of the acute radiation syndrome (ARS) and the delayed effects of acute radiation exposure (DEARE). In addition, a parallel goal is to evaluate the toxicity and efficacy of decorporating agents that will reduce the whole-body burden of internalized radionuclides. MCM must be developed within the criteria of the U.S. Food and Drug Administration's (FDA) "animal rule" (AR) and the subsequent Guidance document for animal models that addresses essential elements to demonstrate efficacy under the animal rule; .The FDA AR underscores the requisite design and conduct of validated animal models as paramount in defining the regulatory pathway to licensure of MCM to treat personnel exposed to potentially lethal doses of radiation that define the major sequelae of the ARS and DEARE.
国家过敏和传染病研究所(NIAID)赞助的联盟“医学应对放射性威胁(MCART)”的唯一总体目标是开发医学对策(MCM),以治疗急性辐射综合征(ARS)的主要后遗症和急性辐射暴露的延迟效应(DEARE)。此外,一个平行的目标是评估解毒剂的毒性和疗效,这些解毒剂将减少体内放射性核素的全身负担。MCM 必须符合美国食品和药物管理局(FDA)“动物规则”(AR)和随后的动物模型指南的标准,该指南解决了根据动物规则证明疗效的基本要素;。FDA 的 AR 强调了设计和进行经过验证的动物模型的必要性,这是定义将 MCM 用于治疗可能暴露于潜在致死剂量辐射的人员的监管途径的关键,这些辐射定义了 ARS 和 DEARE 的主要后遗症。