Gad Shayne Cox, Spainhour Charles B, Shoemake Catherine, Pallman Danielle R Stackhouse, Stricker-Krongrad Alain, Downing Philip A, Seals Richard E, Eagle Leslie Anne, Polhamus Kara, Daly Jennifer
Gad Consulting Services, Raleigh, NC, USA
Calvert Laboratories, Scott Township, PA, USA.
Int J Toxicol. 2016 Mar-Apr;35(2):95-178. doi: 10.1177/1091581815622442. Epub 2016 Jan 10.
Formulation of nonclinical evaluations is a challenge, with the fundamental need to achieve multiples of the clinical exposure complicated by differences in species and routes of administration-specific tolerances, depending on concentrations, volumes, dosing regimen, duration of each administration, and study duration. Current practice to approach these differences is based on individual experience and scattered literature with no comprehensive data source (the most notable exception being our 2006 publication on this same subject). Lack of formulation tolerance data results in excessive animal use, unplanned delays in the evaluation and development of drugs, and vehicle-dependent results. A consulting firm, a chemical company, and 4 contract research organizations conducted a rigorous data mining operation of vehicle data from studies dating from 1991 to 2015, enhancing the data from this author's 2006 publication (3 of the six 2015 contributors were also 2006 contributors). Additional data were found in the published literature. The results identified 108 single-component vehicles (and 305 combination formulations) used in more than 1,040 studies across multiple species (dog, primate, rat, mouse, rabbit, guinea pig, minipig, pig, chick embryo, and cat) by multiple routes for a wide range of study durations. The tabulated data include maximum tolerated use levels by species, route, duration of study, dose-limiting toxicity where reported, review of the available literature on each vehicle, guidance on syringe selection, volume and pH limits by route with basic guidance on nonclinical formulation development, and guidance on factors to be considered in nonclinical route selection.
非临床评估的制定是一项挑战,其根本需求是要达到临床暴露倍数,但由于物种差异以及给药途径特异性耐受性(取决于浓度、体积、给药方案、每次给药的持续时间和研究持续时间)而变得复杂。目前应对这些差异的做法是基于个人经验和零散的文献,没有全面的数据源(最显著的例外是我们2006年关于同一主题的出版物)。缺乏制剂耐受性数据会导致动物使用过度、药物评估和开发出现计划外延迟以及结果依赖于赋形剂。一家咨询公司、一家化学公司和4家合同研究组织对1991年至2015年研究中的赋形剂数据进行了严格的数据挖掘操作,对作者2006年出版物中的数据进行了补充(2015年的六位贡献者中有三位也是2006年的贡献者)。在已发表的文献中也发现了其他数据。结果确定了108种单一组分赋形剂(以及305种组合制剂),这些赋形剂在多个物种(狗、灵长类动物、大鼠、小鼠、兔子、豚鼠、小型猪、猪、鸡胚和猫)的1040多项研究中通过多种途径用于广泛的研究持续时间。列表数据包括按物种、途径、研究持续时间划分的最大耐受使用水平、报告的剂量限制毒性、对每种赋形剂现有文献的综述、注射器选择指南、按途径划分的体积和pH限制以及非临床制剂开发的基本指南,还有非临床途径选择中应考虑因素的指南。