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考虑到日本研究工作组对 ICH S6 及相关问题的关注,以及寡核苷酸治疗药物非临床安全性评估的考虑因素:与生物制药的比较。

Considerations of the Japanese Research Working Group for the ICH S6 & Related Issues Regarding Nonclinical Safety Assessments of Oligonucleotide Therapeutics: Comparison with Those of Biopharmaceuticals.

机构信息

National Institute of Health Sciences, Kawasaki, Japan.

Pharmaceuticals and Medical Devices Agency (PMDA), Chiyoda-ku, Japan.

出版信息

Nucleic Acid Ther. 2021 Apr;31(2):114-125. doi: 10.1089/nat.2020.0879. Epub 2021 Jan 19.

Abstract

This white paper summarizes the current consensus of the Japanese Research Working Group for the ICH S6 & Related Issues (WGS6) on strategies for the nonclinical safety assessment of oligonucleotide-based therapeutics (ONTs), specifically focused on the similarities and differences to biotechnology-derived pharmaceuticals (biopharmaceuticals). ONTs, like biopharmaceuticals, have high species and target specificities. However, ONTs have characteristic off-target effects that clearly differ from those of biopharmaceuticals. The product characteristics of ONTs necessitate specific considerations when planning nonclinical studies. Some ONTs have been approved for human use and many are currently undergoing nonclinical and/or clinical development. However, as ONTs are a rapidly evolving class of drugs, there is still much to learn to achieve optimal strategies for the development of ONTs. There are no formal specific guidelines, so safety assessments of ONTs are principally conducted by referring to published white papers and conventional guidelines for biopharmaceuticals and new chemical entities, and each ONT is assessed on a case-by-case basis. The WGS6 expects that this report will be useful in considering nonclinical safety assessments and developing appropriate guidelines specific for ONTs.

摘要

本白皮书总结了日本 ICH S6 及相关问题研究工作组(WGS6)目前对于寡核苷酸类治疗药物(ONTs)非临床安全性评估策略的共识,特别是针对与生物技术药物(生物制药)的异同点。ONTs 与生物制药一样,具有高度的物种和靶标特异性。然而,ONTs 具有特征性的脱靶效应,与生物制药明显不同。ONTs 的产品特性在规划非临床研究时需要特别考虑。一些 ONTs 已获准用于人体,许多目前正在进行非临床和/或临床开发。然而,由于 ONTs 是一类快速发展的药物,仍有许多需要学习的地方,以实现 ONTs 开发的最佳策略。目前没有正式的具体指南,因此 ONTs 的安全性评估主要是通过参考已发表的白皮书和生物制药及新化学实体的常规指南,并根据每个 ONT 的具体情况进行评估。WGS6 希望本报告有助于考虑非临床安全性评估和制定针对 ONTs 的适当指南。

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