Opportunities to Apply the 3Rs in Safety Assessment Programs

Abstract Before a potential new medicine can be administered to humans it is essential that its safety is adequately assessed. Safety assessment in animals forms an integral part of this process, from early drug discovery and initial candidate selection to the program of recommended regulatory tests in animals. The 3Rs (replacement, reduction, and refinement of animals in research) are integrated in the current regulatory requirements and expectations and, in the EU, provide a legal and ethical framework for in vivo research to ensure the scientific objectives are met whilst minimizing animal use and maintaining high animal welfare standards. Though the regulations are designed to uncover potential risks, they are intended to be flexible, so that the most appropriate approach can be taken for an individual product. This article outlines current and future opportunities to apply the 3Rs in safety assessment programs for pharmaceuticals, and the potential (scientific, financial, and ethical) benefits to the industry, across the drug discovery and development process. For example, improvements to, or the development of, novel, early screens (e.g., in vitro, in silico, or nonmammalian screens) designed to identify compounds with undesirable characteristics earlier in development have the potential to reduce late-stage attrition by improving the selection of compounds that require regulatory testing in animals. Opportunities also exist within the current regulatory framework to simultaneously reduce and/or refine animal use and improve scientific outcomes through improvements to technical procedures and/or adjustments to study designs. It is important that approaches to safety assessment are continuously reviewed and challenged to ensure they are science-driven and predictive of relevant effects in humans.

[1]  J J DeGeorge,et al.  Changes to ICH Guideline M3: New and Revised Guidance on Nonclinical Safety Studies to Support Human Clinical Trials and Marketing Authorization , 2011, Clinical pharmacology and therapeutics.

[2]  R. M. Owen,et al.  An analysis of the attrition of drug candidates from four major pharmaceutical companies , 2015, Nature Reviews Drug Discovery.

[3]  COMMITTEE FOR MEDICINAL PRODUCTS FOR HUMAN USE (CHMP) REFLECTION PAPER NON-CLINICAL AND CLINICAL DEVELOPMENT OF SIMILAR MEDICINAL PRODUCTS CONTAINING RECOMBINANT INTERFERON ALFA DRAFT AGREED BY BIOSIMILAR MEDICINAL PRODUCTS WORKING PARTY (BMWP) October 2007 ADOPTION BY CHMP FOR RELEASE FOR CONSULTAT , 2009 .

[4]  Karl-Ludwig Laugwitz,et al.  Induced pluripotent stem cell-derived cardiomyocytes for drug development and toxicity testing. , 2014, Pharmacology & therapeutics.

[5]  Nicola Fasdelli,et al.  An optimised neurobehavioural observation battery integrated with the assessment of cardiovascular function in the beagle dog. , 2009, Journal of pharmacological and toxicological methods.

[6]  Luis G ValerioJr In silicotoxicology models and databases as FDA Critical Path Initiative toolkits , 2011 .

[7]  Fiona Sewell,et al.  Recommendations from a global cross-company data sharing initiative on the incorporation of recovery phase animals in safety assessment studies to support first-in-human clinical trials. , 2014, Regulatory toxicology and pharmacology : RTP.

[8]  GUIDELINE ON SIMILAR BIOLOGICAL MEDICINAL PRODUCTS CONTAINING BIOTECHNOLOGY-DERIVED PROTEINS AS ACTIVE SUBSTANCE: NON-CLINICAL AND CLINICAL ISSUES , 2011 .

[9]  Stuart Creton,et al.  Pharmaceutical toxicology: designing studies to reduce animal use, while maximizing human translation. , 2013, Regulatory toxicology and pharmacology : RTP.

[10]  Michael Hay,et al.  Clinical development success rates for investigational drugs , 2014, Nature Biotechnology.

[11]  Minoru Nishida,et al.  Potentials and limitations of nonclinical safety assessment for predicting clinical adverse drug reactions: correlation analysis of 142 approved drugs in Japan. , 2013, The Journal of toxicological sciences.

[12]  D. Morton,et al.  A systematic approach for establishing humane endpoints. , 2000, ILAR journal.

[13]  M Markert,et al.  Comparison of electrocardiographic analysis for risk of QT interval prolongation using safety pharmacology and toxicological studies. , 2009, Journal of pharmacological and toxicological methods.

[14]  C. Schneider,et al.  Biosimilars entering the clinic without animal studies , 2014, mAbs.

[15]  Fiona Sewell,et al.  A global pharmaceutical company initiative: an evidence-based approach to define the upper limit of body weight loss in short term toxicity studies. , 2013, Regulatory toxicology and pharmacology : RTP.

[16]  Sally Robinson,et al.  Target organ profiles in toxicity studies supporting human dosing: an assessment of recovery and chronic dosing. , 2014, Regulatory toxicology and pharmacology : RTP.

[17]  M. Pangalos,et al.  Lessons learned from the fate of AstraZeneca's drug pipeline: a five-dimensional framework , 2014, Nature Reviews Drug Discovery.

[18]  Neil Spooner,et al.  Overcoming the barriers to the uptake of nonclinical microsampling in regulatory safety studies. , 2014, Drug discovery today.

[19]  Fiona Sewell,et al.  A global initiative to refine acute inhalation studies through the use of ‘evident toxicity’ as an endpoint: Towards adoption of the fixed concentration procedure , 2014 .

[20]  Rob Wallis,et al.  Zebrafish assays as early safety pharmacology screens: paradigm shift or red herring? , 2008, Journal of pharmacological and toxicological methods.

[21]  Richard Morrison,et al.  Exploratory drug safety: a discovery strategy to reduce attrition in development. , 2009, Journal of pharmacological and toxicological methods.

[22]  Jennifer Sims,et al.  The design of chronic toxicology studies of monoclonal antibodies: implications for the reduction in use of non-human primates. , 2012, Regulatory toxicology and pharmacology : RTP.

[23]  Luis G Valerio,et al.  In silico toxicology for the pharmaceutical sciences. , 2009, Toxicology and applied pharmacology.

[24]  Lloyd H. Michael,et al.  The Guide for the Care and Use of Laboratory Animals. , 2016, ILAR journal.

[25]  Sally Robinson,et al.  Assessment of toxicological effects of blood microsampling in the vehicle dosed adult rat. , 2014, Regulatory toxicology and pharmacology : RTP.

[26]  Robert Ives,et al.  Bitter tastant responses in the amoeba Dictyostelium correlate with rat and human taste assays. , 2015, ALTEX.

[27]  Gareth J Waldron,et al.  Reducing safety-related drug attrition: the use of in vitro pharmacological profiling , 2012, Nature Reviews Drug Discovery.

[28]  Thomas Trautmann,et al.  Optimizing the experimental environment for dog telemetry studies. , 2006, Journal of pharmacological and toxicological methods.

[29]  Jean-Pierre Valentin,et al.  Functional assessments in repeat-dose toxicity studies: the art of the possible , 2013 .

[30]  Nicola Powles-Glover,et al.  Assessment of haematological and clinical pathology effects of blood microsampling in suckling and weaned juvenile rats. , 2014, Regulatory toxicology and pharmacology : RTP.

[31]  Chun-Qi Li,et al.  Zebrafish models for assessing developmental and reproductive toxicity. , 2014, Neurotoxicology and teratology.

[32]  Robert L Tanguay,et al.  Advancements in zebrafish applications for 21st century toxicology. , 2016, Pharmacology & therapeutics.

[33]  Paul Baldrick,et al.  Safety evaluation to support First-In-Man investigations II: toxicology studies. , 2008, Regulatory toxicology and pharmacology : RTP.

[34]  T. Colatsky,et al.  A New Perspective in the Field of Cardiac Safety Testing through the Comprehensive In Vitro Proarrhythmia Assay Paradigm , 2016, Journal of biomolecular screening.

[35]  T. Jeneskog,et al.  Pain and distress in laboratory rodents and lagomorphs: Report of the Federation of European Laboratory Animal Science Associations (FELASA) Working Group on Pain and Distress accepted by the FELASA Board of Management November 1992 , 1994, Laboratory animals.

[36]  Allison Vitsky,et al.  STP Best Practices for Evaluating Clinical Pathology in Pharmaceutical Recovery Studies , 2016, Toxicologic pathology.

[37]  Sally Robinson,et al.  A European pharmaceutical company initiative challenging the regulatory requirement for acute toxicity studies in pharmaceutical drug development. , 2008, Regulatory toxicology and pharmacology : RTP.

[38]  Sally Robinson,et al.  Are acute toxicity studies required to support overdose for new medicines? , 2009, Regulatory toxicology and pharmacology : RTP.

[39]  Neil Spooner,et al.  Reducing pre-clinical blood volumes for toxicokinetics: toxicologists, pathologists and bioanalysts unite. , 2014, Bioanalysis.

[40]  J. Campillo,et al.  Individual housing influences certain biochemical parameters in the rat , 1997, Laboratory animals.

[41]  A. Olaharski,et al.  The Use of Minipigs for Preclinical Safety Assessment by the Pharmaceutical Industry , 2016, Toxicologic pathology.

[42]  Sally Robinson,et al.  Opportunities to minimise animal use in pharmaceutical regulatory general toxicology: a cross-company review. , 2011, Regulatory toxicology and pharmacology : RTP.

[43]  Elizabeth Thomas,et al.  Evaluation of blood microsampling techniques and sampling sites for the analysis of drugs by HPLC-MS. , 2011, Bioanalysis.

[44]  Ruth A. Roberts,et al.  Development and use of in vitro alternatives to animal testing by the pharmaceutical industry 1980–2013 , 2015 .

[45]  A. Holmes,et al.  Assessing drug safety in human tissues — what are the barriers? , 2015, Nature Reviews Drug Discovery.

[46]  John Fitzpatrick,et al.  CONCEPT PAPER , 2009 .

[47]  Hajime Kojima,et al.  A global initiative to refine acute inhalation studies through the use of 'evident toxicity' as an endpoint: Towards adoption of the fixed concentration procedure. , 2015, Regulatory toxicology and pharmacology : RTP.

[48]  Jorrit J Hornberg,et al.  Exploratory toxicology as an integrated part of drug discovery. Part II: Screening strategies. , 2014, Drug discovery today.

[49]  Agisilaos Chartsias,et al.  Rodent Big Brother: A home cage automated behavioural monitoring system for safety pharmacology and toxicology studies , 2016 .

[50]  S. Everitt,et al.  Effects of isolation and food restriction begun at 50 days on the development of age-associated renal disease in the male Wistar rat. , 1983, Archives of gerontology and geriatrics.

[51]  D. Newell,et al.  Evaluation of rodent-only toxicology for early clinical trials with novel cancer therapeutics , 1999, British Journal of Cancer.

[52]  Hugo M Vargas,et al.  Safety pharmacology investigations in toxicology studies: an industry survey. , 2013, Journal of pharmacological and toxicological methods.

[53]  Hannu Raunio,et al.  In Silico Toxicology – Non-Testing Methods , 2011, Front. Pharmacol..

[54]  Rebecca A. B. Burton,et al.  Human-based approaches to pharmacology and cardiology: an interdisciplinary and intersectorial workshop , 2015, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[55]  T. Monticello Drug Development and Nonclinical to Clinical Translational Databases , 2015, Toxicologic pathology.

[56]  Liudmila Polonchuk,et al.  Scientific review and recommendations on preclinical cardiovascular safety evaluation of biologics. , 2008, Journal of pharmacological and toxicological methods.

[57]  I. Kola,et al.  Can the pharmaceutical industry reduce attrition rates? , 2004, Nature Reviews Drug Discovery.

[58]  Brian Dean,et al.  Balancing Blood Sample Volume with 3Rs: Implementation and Best Practices for Small Molecule Toxicokinetic Assessments in Rats. , 2016, ILAR journal.

[59]  Ian Ragan,et al.  Preclinical development of monoclonal antibodies , 2009, mAbs.

[60]  A. Rowan Guide for the Care and Use of Laboratory Animals , 1979 .

[61]  Nicola Fasdelli,et al.  An integrated cardiovascular and neurobehavioural functional assessment in the conscious telemetered cynomolgus monkey. , 2010, Journal of pharmacological and toxicological methods.

[62]  M. M. Boggiano,et al.  Effect of a cage divider permitting social stimuli on stress and food intake in rats , 2008, Physiology & Behavior.

[63]  Icilio Cavero,et al.  Comprehensive in vitro Proarrhythmia Assay, a novel in vitro/in silico paradigm to detect ventricular proarrhythmic liability: a visionary 21st century initiative , 2014, Expert opinion on drug safety.

[64]  R. Kaiser,et al.  Telemetric assessment of social and single housing: Evaluation of electrocardiographic intervals in jacketed cynomolgus monkeys. , 2015, Journal of pharmacological and toxicological methods.

[65]  Sebastian Hoffmann,et al.  Food for thought ... on in silico methods in toxicology. , 2009, ALTEX.

[66]  R. C. Garner,et al.  Practical experience of using human microdosing with AMS analysis to obtain early human drug metabolism and PK data. , 2010, Bioanalysis.

[67]  Jean-Pierre Valentin,et al.  Social housing of non-rodents during cardiovascular recordings in safety pharmacology and toxicology studies , 2016, Journal of pharmacological and toxicological methods.

[68]  Martin F. Wilks,et al.  The value of acute toxicity studies to support the clinical management of overdose and poisoning: a cross-discipline consensus. , 2010, Regulatory toxicology and pharmacology : RTP.

[69]  Melvin E Andersen,et al.  Adverse Outcome Pathways can drive non-animal approaches for safety assessment , 2015, Journal of applied toxicology : JAT.

[70]  Axel Kornerup Hansen,et al.  How do rats respond to playing radio in the animal facility? , 2011, Laboratory animals.

[71]  Sally Robinson,et al.  Reducing attrition in drug development: smart loading preclinical safety assessment. , 2014, Drug discovery today.

[72]  Thomas Singer,et al.  The application of 3D cell models to support drug safety assessment: opportunities & challenges. , 2014, Advanced drug delivery reviews.

[73]  Trevor C. Y. Kwok,et al.  A small-molecule screen in C. elegans yields a new calcium channel antagonist , 2006, Nature.

[74]  P Klír,et al.  Physiological changes in laboratory rats caused by different housing. , 1984, Physiologia Bohemoslovaca.

[75]  Sally Robinson,et al.  Reduction in dog numbers in regulatory one-month toxicology studies without compromising scientific quality: Challenging the status quo , 2010 .

[76]  P Smith,et al.  Concordance of the toxicity of pharmaceuticals in humans and in animals. , 2000, Regulatory toxicology and pharmacology : RTP.

[77]  Huub Schellekens,et al.  Contribution of animal studies to evaluate the similarity of biosimilars to reference products. , 2015, Drug discovery today.

[78]  R C MacPhail,et al.  The IPCS collaborative study on neurobehavioral screening methods. , 1997, Fundamental and applied toxicology : official journal of the Society of Toxicology.

[79]  Jin Ren,et al.  Effects of group housing on ECG assessment in conscious cynomolgus monkeys. , 2015, Journal of pharmacological and toxicological methods.

[80]  Luis G Valerio,et al.  In silico toxicology models and databases as FDA Critical Path Initiative toolkits , 2011, Human Genomics.

[81]  Hannu Raunio,et al.  In Vivo-In Vitro-In Silico Pharmacokinetic Modelling in Drug Development , 2011, Clinical pharmacokinetics.

[82]  Jennifer Sims,et al.  Waiving in vivo studies for monoclonal antibody biosimilar development: National and global challenges , 2016, mAbs.

[83]  Paul Baldrick,et al.  Safety evaluation of biological drugs: what are toxicology studies in primates telling us? , 2011, Regulatory toxicology and pharmacology : RTP.

[84]  D J Gallacher,et al.  Best practice in the conduct of key nonclinical cardiovascular assessments in drug development: current recommendations from the Safety Pharmacology Society. , 2012, Journal of pharmacological and toxicological methods.

[85]  K. Strange,et al.  Drug Discovery in Fish, Flies, and Worms. , 2016, ILAR journal.

[86]  Jean-Pierre Valentin,et al.  Impact and prevalence of safety pharmacology-related toxicities throughout the pharmaceutical life cycle , 2010 .

[87]  Sally Robinson,et al.  Target organ toxicities in studies conducted to support first time in man dosing: an analysis across species and therapy areas. , 2013, Regulatory toxicology and pharmacology : RTP.

[88]  N Parrott,et al.  Physiologically based pharmacokinetic modeling in drug discovery and development: A pharmaceutical industry perspective , 2015, Clinical pharmacology and therapeutics.

[89]  Gerhard Nahler,et al.  Committee for Proprietary Medicinal Products (CPMP) , 2009 .

[90]  A. Ebert,et al.  Exploiting pluripotent stem cell technology for drug discovery, screening, safety, and toxicology assessments. , 2014, Advanced drug delivery reviews.

[91]  H. Richardson,et al.  An in vivo large-scale chemical screening platform using Drosophila for anti-cancer drug discovery , 2012, Disease Models & Mechanisms.

[92]  W. Russell,et al.  Ethical and Scientific Considerations Regarding Animal Testing and Research , 2011, PloS one.

[93]  Jean-Pierre Valentin,et al.  Non-invasive telemetric electrocardiogram assessment in conscious beagle dogs. , 2009, Journal of pharmacological and toxicological methods.