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毒理病理学论坛:日本制药行业在非临床安全性评估中使用人类疾病动物模型的现状——意见书

Toxicologic Pathology Forum: Current Status on the Use of Animal Models of Human Disease in the Pharmaceutical Industry in Japan in Nonclinical Safety Assessment-Opinion Paper.

作者信息

Tomohiro Masayuki, Okabe Takeshi, Kimura Yasushi, Kinoshita Kiyoshi, Maeda Mitsunori, Mitobe Yuko, Motoyama Keiko, Yonezawa Riichiro, Sasaki Shoji, Fujiwara Michio, Watanabe Kazuto

机构信息

1 Non-Clinical Evaluation Expert Committee, Drug Evaluation Committee, Japan Pharmaceutical Manufacturers Association, Chuo-ku, Tokyo, Japan.

2 Novartis Pharma K.K., Minato-ku, Tokyo, Japan.

出版信息

Toxicol Pathol. 2019 Feb;47(2):108-120. doi: 10.1177/0192623318816669. Epub 2019 Jan 13.

Abstract

In nonclinical safety studies for new drug development, healthy animals have been commonly used. However, in some cases, the use of animal models of human disease is considered to be more favorable in evaluating risks in patients. To elucidate the current status of the use of animal models for nonclinical safety assessment, an internal questionnaire from the Japan Pharmaceutical Manufacturers Association and surveys (questionnaire period: August 27 to September 30, 2015) of both common technical documents and review reports of approved drugs (approval period: May 1999 to May 2017) disclosed by the Pharmaceutical and Medical Devices Agency were conducted. Although there were some concerns and limitations raised, the survey results revealed that animal models have been used in nonclinical safety assessment on a case-by-case basis and that nonclinical safety studies using animal models were included in the data packages of several approved drugs in Japan. The survey results also revealed that nonclinical safety studies using animal models have become more frequent in the past few years. In almost all cases, useful information, such as signs of toxicity under disease conditions and mechanisms of toxic change, was obtained from the results of nonclinical studies using animal models. Note: This is an opinion article submitted to the Toxicologic Pathology Forum. It represents the views of the author(s). It does not constitute an official position of the Society of Toxicologic Pathology, British Society of Toxicological Pathology, or European Society of Toxicologic Pathology, and the views expressed might not reflect the best practices recommended by these Societies. This article should not be construed to represent the policies, positions, or opinions of their respective organizations, employers, or regulatory agencies.

摘要

在新药研发的非临床安全性研究中,通常使用健康动物。然而,在某些情况下,使用人类疾病动物模型被认为在评估患者风险方面更具优势。为阐明动物模型在非临床安全性评估中的使用现状,日本制药商协会开展了内部问卷调查,并对药品和医疗器械局披露的已批准药物(批准时间:1999年5月至2017年5月)的通用技术文件和审评报告进行了调查(问卷期:2015年8月27日至9月30日)。尽管存在一些担忧和局限性,但调查结果显示,动物模型已在非临床安全性评估中逐案使用,并且在日本,几种已批准药物的数据包中包含了使用动物模型的非临床安全性研究。调查结果还显示,在过去几年中,使用动物模型的非临床安全性研究变得更加频繁。几乎在所有情况下,从使用动物模型的非临床研究结果中都获得了有用信息,如疾病状态下的毒性迹象和毒性变化机制。注意:这是一篇提交给毒理病理学论坛的观点文章。它代表作者的观点。它不构成毒理病理学会、英国毒理病理学会或欧洲毒理病理学会的官方立场,所表达的观点可能并不反映这些学会推荐的最佳实践。本文不应被解释为代表其各自组织、雇主或监管机构的政策、立场或观点。

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