Roy Susmita, Parveen Mehnaz, Bala Asis, Sur Debjeet
Haldia Institute of Pharmacy, ICARE Complex, Haldia Purba Medinipur 721657, India.
Division of Pharmacology, Guru Nanak Institute of Pharmaceutical Science and Technology, 157/F Nilgunj Road, Panihati, Kolkata 700114, India.
ACS Pharmacol Transl Sci. 2025 Apr 9;8(5):1188-1204. doi: 10.1021/acsptsci.4c00661. eCollection 2025 May 9.
Preclinical research has traditionally utilized laboratory animals to elucidate the safety, tolerability, pharmacokinetics, and pharmacodynamics of new chemical entities prior to human trials. The use of animal models has been pivotal in advancing scientific knowledge and medical breakthroughs, contributing significantly to our understanding of the complex biological processes and human diseases. However, many promising treatments that have demonstrated efficacy in animal studies have failed to translate to human subjects during clinical trials. Consequently, animal testing faces ethical concerns and criticism regarding its predictive reliability for human responses. This has led to the development of 3R principles (Replacement, Reduction, Refinement), introduced in 1959, advocating for alternative methods and improved animal welfare in research. Furthermore, regulatory frameworks and recent legislation, such as the 2022 FDA Modernisation Act, emphasize modern scientific alternatives to traditional animal testing. Emerging approaches, known as the 3Cs-cell culture, computer simulation, and phase 0 clinical trials-offer promising nonanimal solutions that could accelerate drug development and address ethical concerns, potentially rendering preclinical research more humane and efficient.
临床前研究传统上利用实验动物在人体试验之前阐明新化学实体的安全性、耐受性、药代动力学和药效学。动物模型的使用在推动科学知识和医学突破方面发挥了关键作用,为我们理解复杂的生物过程和人类疾病做出了重大贡献。然而,许多在动物研究中显示出疗效的有前景的治疗方法在临床试验期间未能转化为人体试验。因此,动物试验面临着关于其对人类反应预测可靠性的伦理问题和批评。这导致了1959年引入的3R原则(替代、减少、优化)的发展,倡导在研究中采用替代方法并改善动物福利。此外,监管框架和近期立法,如2022年《美国食品药品监督管理局现代化法案》,强调采用现代科学替代传统动物试验的方法。新兴方法,即所谓的3C——细胞培养、计算机模拟和0期临床试验——提供了有前景的非动物解决方案,可以加速药物开发并解决伦理问题,有可能使临床前研究更人道、更高效。