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Assessing the cardiotoxicity of 31 compounds using a multiplexed kinetic image cytometry (KIC)-based assay: Harnessing the predictive power of human iPSC-cardiomyocytes for early drug development 使用基于多路动态图像细胞术(KIC)的检测评估31种化合物的心脏毒性:利用人类ipsc -心肌细胞的预测能力进行早期药物开发
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107820
Ranor C.B. Basa , Randall S. Ingermanson , Filiberto Catalan-Perez , Ricardo Serrano , Ariel Wang , Alyson Smith , Jeffrey M. Hilton , Patrick M. McDonough , Cherie Handley , Lilian Harrison , Ameena Pascua , Mark Mercola , Jeffrey H. Price
Human-induced pluripotent stem cell (hiPSC) models are more species-relevant than animal models and are amenable to high-throughput scalability. Previously, our Kinetic Image Cytometry (KIC) proarrhythmia assay examining calcium kinetics in hiPSC-cardiomyocytes (CMs) had a clinical accuracy of ~90 % (Pfeiffer, et al., 2016); when augmented with deep learning, accuracy increased to 95 % (Serrano, et al., 2023). Expanding upon this work, we screened 31 compounds with known clinical effects (effector classes: sarcoplasmic reticulum/calcium release, plasma membrane/ion channel, mitochondrial/myosin, and negative controls) in a 7-point concentration-response format—bracketing clinical exposures—using a panel of patient-derived hiPSC-CMs. We loaded hiPSC-CMs with Cal-520 (a green-channel calcium indicator), BeRST-1 (a far red-channel membrane voltage dye), TMRM (a mitochondrial membrane potential dye), and Hoechst (for nuclei), then exposed them to test compounds acutely. We then acquired interleaved calcium and voltage movies at 60 Hz (30 Hz/channel) as well as single images of TMRM and Hoechst. Vala's image analysis software, CyteSeer, was used to simultaneously measure calcium/action potential (AP) kinetics on—and to derive contraction metrics from—those movies. Furthermore, we mathematically characterized and classified calcium/AP waveforms to quantify compound-induced cardiotoxic effects. Additionally, we assessed mitochondrial health (using TMRM fluorescence) as well as acute cytotoxicity (using nucleus morphology) in the same experiment. By multiplexing these readouts on a single-cell level, we were able to correctly classify 30/31 (96.8 %) compounds on the basis of earliest-observed adverse effects (if any) by primary effector class at clinically-relevant test concentrations. While the data were more complex than initially expected (e.g., due to pleiotropic clinical effects and/or multiple efficacy−/toxicity-related targets), this multiplexed approach has the potential to elucidate mechanistic classes or targets quickly; and some of the more unexpected results from our screen highlight the need for de-risking early in drug development using relatively inexpensive and highly scalable hiPSC models. A larger study is currently underway to examine a library of 300+ compounds in order to comprehensively validate and refine our multiplexed assay.
人诱导多能干细胞(hiPSC)模型比动物模型更具有物种相关性,并且具有高通量可扩展性。此前,我们的动态图像细胞术(KIC)检测hipsc -心肌细胞(CMs)中钙动力学的心律失常前检测的临床准确性为~90 % (Pfeiffer等,2016);当使用深度学习增强时,准确率提高到95% % (Serrano等,2023)。在此基础上,我们使用一组患者源性hiPSC-CMs,以7点浓度-反应格式筛选了31种具有已知临床效应的化合物(效应类:肌浆网/钙释放、质膜/离子通道、线粒体/肌球蛋白和阴性对照)。我们将Cal-520(一种绿色通道钙指示剂)、BeRST-1(一种远红色通道膜电压染料)、TMRM(一种线粒体膜电位染料)和Hoechst(用于细胞核)加载到hiPSC-CMs中,然后将它们暴露在测试化合物中。然后,我们在60 Hz(30 Hz/通道)下获得交错的钙和电压电影以及TMRM和Hoechst的单幅图像。Vala的图像分析软件CyteSeer被用于同时测量钙/动作电位(AP)动力学,并从这些电影中得出收缩指标。此外,我们在数学上表征和分类钙/AP波形,以量化化合物诱导的心脏毒性效应。此外,我们在同一实验中评估了线粒体健康(使用TMRM荧光)以及急性细胞毒性(使用细胞核形态学)。通过在单细胞水平上对这些读数进行多重处理,我们能够根据最早观察到的不良反应(如果有的话),根据主要效应物类别在临床相关测试浓度下对30/31(96.8% %)化合物进行正确分类。虽然数据比最初预期的更复杂(例如,由于多效性临床效应和/或多个疗效/毒性相关靶点),但这种多效性方法有可能快速阐明机制类别或靶点;从我们的筛选中得到的一些更意想不到的结果强调了在药物开发早期使用相对便宜和高度可扩展的hiPSC模型降低风险的必要性。目前正在进行一项更大的研究,以检查300多种化合物的文库,以全面验证和完善我们的多重分析。
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引用次数: 0
SmartHeart: An innovative high throughput assay to generate and assess cardiac micro tissues from hiPSCs answering to the current challenges of drug discovery smarheart:一种创新的高通量检测方法,用于从hipsc中生成和评估心脏微组织,以应对当前药物发现的挑战
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107821
Ahmed Khedher , Patricia Davidson , Pauline Thiebaud , Stijn Robben , Cyril Cerveau , Jamie Bhagwan , Mael Le Berre , Rita S.R. RIbeiro
Cardiac adverse events are among the top reasons for discontinuing drugs in early clinical phase studies, where drugs with cardiotoxic liabilities are responsible for one third of regulatory failures. These alarming statistics highlight the widespread occurrence and significant financial burden of ineffective drugs that proceed from preclinical animal studies. Despite advancements in cardiac bioengineering, challenges remain regarding physiological relevance, cost, and throughput. To address these challenges, an innovative 3D cardiac model, the SmartHeart (SH), was developed. This model facilitates the self-assembly and maturation of ring-shaped cardiac tissues and allows for precise in-situ measurements of various parameters (e.g. contraction stress, strain, beating metrics, membrane action potential and calcium signaling). The technology is based on standard 96-well plates coated with a structured hydrogel, which features an array of conical-shaped microwells, each surrounding a central pillar. Within less than 48 h after cell seeding, the tissues (composed of iPSC-derived ventricular cardiomyocytes (Axol) and fibroblasts) demonstrated rhythmic contractions. The contractility stress and strain as well as the beating rate of the tissues were quantified by monitoring the variation of the central pillar's area with known stiffness (12 kPa) with time. After 14 days, the tissues presented morphological signs of maturation and were exposed to several classical drugs. The presence of isoproterenol caused a positive inotropic and chronotropic response. A negative inotropic response was induced by nifedipine and the tissues became quiescent when exposed to high doses of mexiletine, which is consistent with its known pharmacological effects as a sodium channel blocker. The hydrogel's optical transparency allows compatibility with high-resolution image-based techniques. This includes the use of voltage-sensitive fluorescent dyes, such as FluoVolt that showed an intensity spike just before the tissue contraction. Likewise, cellular spatial organization and intracellular morphology, e.g. cardiomyocyte cytoskeletal fiber elongation and striation, showing signs of maturation, could be visualized using immunofluorescence. In conclusion, the SmartHeart 3D-cardiac model provides an advanced solution to the ongoing challenges in drug discovery by enabling precise, real-time monitoring of cardiac tissue function and maturation. This innovative platform offers robust and relevant readouts for high-throughput and high-content screening, significantly enhancing the assessment of drug efficacy and safety.
在早期临床阶段研究中,心脏不良事件是停药的主要原因之一,在早期临床阶段研究中,具有心脏毒性的药物造成了三分之一的监管失败。这些令人震惊的统计数据突出了临床前动物研究中无效药物的广泛发生和巨大的经济负担。尽管心脏生物工程取得了进步,但在生理学相关性、成本和吞吐量方面仍然存在挑战。 为了应对这些挑战,开发了一种创新的3D心脏模型,即smarheart (SH)。该模型有助于环状心脏组织的自组装和成熟,并允许精确的原位测量各种参数(例如收缩应力、应变、跳动指标、膜动作电位和钙信号)。该技术基于涂有结构水凝胶的标准96孔板,其特征是一系列锥形微孔,每个微孔围绕中心柱。在细胞播种后不到48 h内,组织(由ipsc衍生的心室心肌细胞(Axol)和成纤维细胞组成)表现出节律性收缩。通过监测已知刚度(12 kPa)的中心柱面积随时间的变化,量化组织的收缩应力、应变和跳动率。 14 天后,组织出现成熟的形态学迹象,并暴露于几种经典药物。  异丙肾上腺素的存在引起正性肌力和变时反应。硝苯地平引起负性肌力反应,当暴露于高剂量美西汀时,组织变得静止,这与已知的美西汀作为钠通道阻滞剂的药理作用一致。 水凝胶的光学透明性允许与基于高分辨率图像的技术兼容。这包括使用电压敏感的荧光染料,如FluoVolt,它在组织收缩之前显示出强度峰值。同样,细胞的空间组织和细胞内形态,如心肌细胞的细胞骨架纤维伸长和条纹,显示成熟的迹象,可以使用免疫荧光可视化。 总而言之,smarheart 3d心脏模型通过精确、实时监测心脏组织功能和成熟度,为药物发现中的持续挑战提供了先进的解决方案。这个创新的平台为高通量和高含量筛选提供了可靠和相关的读数,显著提高了药物疗效和安全性的评估。
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引用次数: 0
Evaluation of laser optoporation-induced action-potential-like measurements on iPSC-cardiomyocytes and the assessment of drug-induced effects on APD and contractility 评价激光手术诱导的ipsc心肌细胞动作电位样测量及药物诱导对APD和收缩性的影响
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107812
Jin Chang
Physiological relevance and accuracy in cardiac safety pharmacology studies is of the utmost importance, as supported by the recent changes in ICH guidelines and the CiPA committee's efforts. Although most of the studies focused on hERG-affecting molecules and the arrhythmic risk related to Action Potential elongation, iPSC-derived cardiomyocytes have the potential to be a more thorough assay with more physiological relevance. In this study, we demonstrate how laser optoporation technology opens transient nanopores within the cell's membrane and allows for Action Potential (AP) recordings from cardiac cells and compare the results to traditional MEA-based Field Potential Measurements. In particular, we show how the response to a potassium channel blocker (dofetilide) is comparable when looking at the APD90(>30 % increase) but that the APD30 is shortened (>10 % decrease) which we would not be able to measure with traditional MEA. The response to an Ica blocker (Nifedipine) reveals how the drug affects the depolarization currents, which can not be measured with traditional MEA. In addition, Beta-adrenergic (isoproterenol) receptor response demonstrated how the AP-amplitude remains unchanged while the contractility is increased (>30 %). We also show how the technology is non-invasive and label-free, allowing for reliable and stable measurements over 3 weeks, and how the results are comparable to previous validated data. With these results, we suggest further exploration of this technique in its use in safety pharmacology to predict cardiotoxic effects, potentially serving as an upgrade on previous technology which was limited to Field Potential Duration elongation effects.
心脏安全药理学研究的生理学相关性和准确性至关重要,最近ICH指南的变化和CiPA委员会的努力支持了这一点。虽然大多数研究都集中在影响heg的分子和与动作电位延伸相关的心律失常风险上,但ipsc衍生的心肌细胞有可能成为一种更彻底的检测方法,具有更多的生理相关性。在这项研究中,我们展示了激光光穿孔技术如何在细胞膜内打开瞬态纳米孔,并允许从心脏细胞中记录动作电位(AP),并将结果与传统的基于mea的场电位测量结果进行比较。特别是,我们展示了在观察APD90(>;30 %增加)时,对钾通道阻滞剂(多非利特)的响应是如何可比的,但APD30缩短了(>;10 %减少),这是我们无法用传统的MEA测量的。对Ica阻滞剂(硝苯地平)的反应揭示了药物如何影响传统MEA无法测量的去极化电流。此外,β -肾上腺素能(异丙肾上腺素)受体反应表明,当收缩力增加时,ap振幅保持不变(>30 %)。我们还展示了该技术如何是非侵入性和无标签的,允许在3 周内进行可靠和稳定的测量,以及结果如何与先前验证的数据相比较。根据这些结果,我们建议进一步探索该技术在安全药理学中的应用,以预测心脏毒性效应,可能作为先前仅限于场电位持续时间延长效应的技术的升级。
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引用次数: 0
Inferring ion channel block from rabbit Purkinje fiber action potential recordings 从家兔浦肯野纤维动作电位记录推断离子通道阻滞
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107816
Luca Del Core , Marcel Mohr , Jean-Marie Chambard , Véronique Ballet , Ambroise Garry , Friedemann Schmidt , Gary R. Mirams
Mathematical action potential (AP) models describe the changes in the membrane voltage due to a complex interplay between ionic currents, and their interactions with drug compounds. These models can guide preclinical risk assessments for drug-induced cardiac arrhythmia and extract more information from animal-based experiments. The rabbit Purkinje fiber has been used in preclinical studies, as it includes the major currents present in human ventricular myocytes. A recently proposed mathematical AP model of the rabbit Purkinje fiber, combined with ion channel screening data, predicted drug effects on AP changes, with an agreement of up to 80 % (Mohr et al., 2022). To explain the 20 % mismatch, we first improve the original AP model by re-calibrating its parameters to fit control AP traces. Subsequently we test our inference method in terms of uncertainty quantification of the control parameters. Finally, we compare the calibrated model and the original model in terms of prediction of AP %-changes induced by reference drug compounds with well-studied channel block properties and low measurement error (sd < 10). Preliminary results indicate that after calibrating the ionic conductances, the correlation between observed and predicted %-change in APD50 (APD90) increased from −0.1 (0.04) to 0.43 (0.34). We are currently working on fitting model predictions to experimental AP changes in the presence of a new set of compounds, to infer the block of various ion channels, in terms of 50 % inhibitory concentration (IC50). The aim is to perform an experimental test for any computationally inferred IC50s which have not been measured, particularly for those drug compounds whose action potential changes are not explained by the existing ion channel screening data.
数学动作电位(AP)模型描述了由于离子电流之间的复杂相互作用以及它们与药物化合物的相互作用而引起的膜电压的变化。这些模型可以指导药物性心律失常 的临床前风险评估和 从动物实验中提取更多信息。兔浦肯野 纤维 已被用于临床前研究,因为它包含人类心室肌细胞中存在的主要电流。最近提出的兔浦肯野纤维 的AP数学模型,结合离子通道筛选数据,预测了药物对AP变化的影响,一致性高达80% % (Mohr et al., 2022)。为了解释20 %的不匹配,我们首先通过重新校准其参数来改进原始AP模型,以拟合控制AP轨迹。随后,我们在控制参数的不确定性量化方面测试了我们的推理方法。最后,我们将校正后的模型与原始模型进行比较,以预测通道阻滞性质研究充分且测量误差低的参比药物化合物引起的AP %-变化(sd <; 10)。初步结果表明,校正离子电导后,APD50 (APD90)的观测值与预测值的%-变化相关性从- 0.1(0.04)增加到0.43(0.34)。我们目前正致力于拟合模型预测在一组新化合物存在下的实验AP变化,以50 %抑制浓度(IC50)来推断各种离子通道的阻断。目的是对尚未测量的任何 计算 推断的 ic50进行实验测试,特别是对那些动作电位变化无法由现有离子通道筛选数据解释的药物化合物。
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引用次数: 0
Correlation electrical repolarization and membrane hERG abundance in iPSC cardiomyocytes induced by chronic drugs actions on channel trafficking 慢性药物对通道运输作用诱导iPSC心肌细胞电复极化和膜hERG丰度的相关性
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107818
Niall MacQuaide , Taylor Watters , Shahrum G. Ghasemi , Lewis Hamilton , Mark Bryant , Godfrey L. Smith
The acute effects of drugs (~1 h) on the electrical activity, particularly those related to hERG block have been extensively studied in iPSC-derived cardiomyocytes (iPSC -CMs). However, long-term (>12 h) drug exposure can also lead to slowly developing actions on hERG channels that result in QT prolongation, the most common are drugs that inhibit hERG trafficking to the surface membrane and cause an acquired long QT phenotype. The aim of the study is to assess the ability of iPSC-CM based assays to study the action of drugs known to inhibit hERG trafficking over a longer period using serum-free solutions. The following functional cellular parameters were measured over 72 h at 24 h intervals: (i) action potential duration (ii) contractile kinetics (iii) iPSC -CM monolayer integrity (iv) plasmalemma integrity (iv) membrane hERG expression. We used iCell2 (FujiFilm-CDI) iPSC -CMs, which we plated on a 96well plate and incubated in a serum free media. We performed automated image and signal analysis using a proprietary analysis platform (CellOPTIQ®- Clyde Biosciences). We tested 6 concentrations of Pentamidine and Arsenic Trioxide (ATO) which are both known to affect hERG trafficking and assessed chronic toxicity, electrophysiological, metabolic dysfunction. Pentamidine showed obvious prolongation of APD90 in the clinical range (1-3 μM) after 72 h and after 24 h at higher concentration (3-10 μM). ATO induced APD prolongation at 1-3 μM but shortening at 10 μM indicating mixed ion channel trafficking or metabolic effects. Western blot analysis of the membrane fraction showed significant downregulation of hERG expression of cells exposed to 48 h of 1 μM pentamidine. This work demonstrates the utility of chronic studies of IPSC-CMs to study the medium-long term actions of drugs on the hERG activity. The associated biochemical assays can confirm the extent to which reduction of hERG expression in the plasmalemmal membrane is responsible for the action.
在iPSC来源的心肌细胞(iPSC -CMs)中,药物(~1 h)对电活动的急性影响,特别是与hERG阻滞相关的影响已经被广泛研究。然而,长期(>12 h)药物暴露也可导致hERG通道上缓慢发展的作用,从而导致QT延长,最常见的是抑制hERG转运到表面膜并导致获得性长QT表型的药物。该研究的目的是评估基于iPSC-CM的检测方法在使用无血清溶液较长时间内研究已知抑制hERG贩运的药物的作用的能力。在72 h内以24 h间隔测量以下功能细胞参数:(i)动作电位持续时间(ii)收缩动力学(iii) iPSC -CM单层完整性(iv)质膜完整性(iv)膜hERG表达。我们使用iCell2 (FujiFilm-CDI) iPSC -CMs,我们将其镀在96孔板上,在无血清培养基中培养。我们使用专有的分析平台(CellOPTIQ®- Clyde Biosciences)进行自动图像和信号分析。我们测试了六种浓度的喷他脒和三氧化二砷(ATO),这两种浓度都已知会影响hERG的运输,并评估了慢性毒性、电生理和代谢功能障碍。喷他脒在72 h和24 h后(3-10 μM)均能明显延长APD90在临床范围(1-3 μM)。ATO诱导APD在1-3 μM处延长,但在10 μM处缩短,表明混合离子通道运输或代谢作用。Western blot分析显示,暴露于1 μM喷他脒48 h后,细胞的hERG表达显著下调。这项工作证明了IPSC-CMs的慢性研究在研究药物对hERG活性的中长期作用方面的实用性。相关的生化分析可以确认hERG在质膜中表达减少的程度。
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引用次数: 0
Intravenous self-administration – Valid experimental designs to evaluate the abuse potential of psychedelics, entactogens and drugs with novel mechanisms 静脉内自我给药——评估致幻剂、致幻剂和具有新机制的药物滥用潜力的有效实验设计
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107793
David J. Heal , Jane Gosden , Sharon L. Smith
Intravenous self-administration (IVSA) evaluates whether a CNS drug-candidate produces rewarding effects that could cause psychological dependence in patients and lead to its diversion for abuse. The model was originally developed to investigate powerful reinforcers like opiates and stimulants. For that reason, IVSA is not well adapted to detect the abuse potential of a new generation of drugs with moderate/low abuse potential. Using experience gained from conducting IVSA experiments with many types of drugs of abuse and novel drug-candidates, we offer insights on obtaining translationally predictive results from IVSA experiments, and technical refinements to increase the sensitivity and granularity of the findings. All experiments were conducted in mildly food-restricted, male, Sprague-Dawley rats with implanted with intravenous catheters. Standard IVSA tests were conducted on low fixed ratio (FR) schedules (FR3 or FR5), not FR10 as recommended in CDER/FDA guidance (CDER/FDA, 2017). As a technical refinement, the relative reinforcing effect was assessed by break-point determination on a progressive ratio (PR) schedule of reinforcement. All break-points were determined across a range of reinforcing drug doses to ensure the maximum reinforcing effect was identified. Moderate reinforcers, MDMA (entactogen), butorphanol (κ-agonist/μ-partial agonist), and (−)pentazocine (κ-agonist/μ-antagonist) produced break-points between 25 and 33 lever-presses/infusion. Weak reinforcers, WIN55,212 (CB1/CB2 agonist), diazepam, midazolam and methohexital (all GABA-A receptor positive allosteric modulators [PAMs]) produced mean break-points of 17–22 lever-presses/infusion. In contrast, powerful reinforcers like the opioids, eg heroin, remifentanil, oxycodone, and stimulants, eg cocaine, methylphenidate, supported mean break-points ranging between 41 and 98 lever‑presses/infusion. The break-point for saline (non-reinforcing control) was 10.4 ± 0.8 lever-presses/infusion. The results were used to design and conduct successful IVSA evaluations on cannabidiol (CBD), ulotaront and samidorphan on a FR3 schedule, difelikefalin, dasotraline, centanafadine, and soticlestat on a FR5 schedule, and PR/break-point determinations on samidorphan and naloxone. CNS drug development is in an era where new entactogens, psychedelics and drugs with novel mechanisms are undergoing clinical evaluation. Refinements to IVSA testing that we advocate have proven value based on experiments with known substances of abuse and novel drug-candidates.
静脉内自我给药(IVSA)评估一种中枢神经系统候选药物是否产生可能引起患者心理依赖并导致其转向滥用的奖励效应。该模型最初是为了研究阿片类药物和兴奋剂等强效强化剂而开发的。因此,IVSA不能很好地适应于检测具有中等/低滥用潜力的新一代药物的滥用潜力。 利用从对多种滥用药物和新型候选药物进行IVSA实验中获得的经验,我们提供了从IVSA实验中获得翻译预测结果的见解,以及技术改进以提高结果的敏感性和粒度。 所有实验均在轻度食物限制的雄性Sprague-Dawley大鼠中进行,并植入静脉导管。标准IVSA测试是在低固定比(FR)表(FR3或FR5)上进行的,而不是CDER/FDA指南中推荐的FR10 (CDER/FDA, 2017)。作为一项技术改进,通过 断点确定的渐进比(PR)补强计划来评估相对补强效果。 所有的断点都是在一系列强化药物剂量范围内确定的,以确保确定最大的强化效果。 中等强化剂、MDMA (entacto原)、butorphanol (κ-激动剂/μ-部分激动剂)和(−)pentazocine (κ-激动剂/μ-拮抗剂)在25 - 33次杠杆按压/输注之间产生断点。弱强化剂、win55212 (CB1/CB2激动剂)、地西泮、咪达唑仑和甲氧己ital(均为GABA-A受体阳性变构调节剂[PAMs])产生17-22次杠杆按压/输注的平均断点。相比之下,像阿片类药物(如海洛因、瑞芬太尼、羟考酮)和兴奋剂(如可卡因、哌醋甲酯)这样的强效强化剂支持41 - 98次杠杆按压/输注之间的平均断点。生理盐水(非强化对照)的断点为10.4 ± 0.8杠杆按压/输注。结果用于设计并进行成功的IVSA评估大麻二酚(CBD), ulotaront和samidorphan (FR3),异花素,dasotraline, centanafadine和soticlestat (FR5),以及samidorphan和naloxone的PR/断点测定。 中枢神经系统药物开发正处于一个新的致幻剂、致幻剂和具有新机制的药物正在进行临床评估的时代。我们提倡的IVSA测试的改进已经通过对已知滥用物质和新型候选药物的实验证明了其价值。
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引用次数: 0
Validation of in vivo QT ICH E14/S7B Q&A guidance in minipig 小型猪体内QT ICH E14/S7B问答指南的验证
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107778
Rachael Hardman , Joyce Obeng , Jill Nichols , Karim Melliti
The E14/S7B Q&A guidelines introduce the concept of “double negative” (negative hERG and negative in vivo QTc) non-clinical data which can be used along with negative Phase 1 clinical QTc data to substitute for a clinical Thorough QT study in specific cases (Q&As 5.1 and 6.1). The non-clinical data are to be generated using “best practice” designs in order to support data quality and consistency across the industry. For the in vivo QT assay, best practice recommendations require characterization of individual study sensitivity, verification of independence QTc from heart rate, demonstration of test facility sensitivity and pharmacological translation to human using a positive control. We have previously validated E14/S7B Q&A compliant in vivo QT assays in dog and non-human primate. The objective of this work was to perform the validation in the minipig as the third non-rodent species commonly used for cardiovascular safety assessment. A positive control telemetry study was performed with moxifloxacin (30, 120, 300 mg/kg) using a double Latin square crossover study design (n = 8), followed by an ascending dose design (n = 5). A single PK sample was drawn during the telemetry phase, and a separate full PK phase was included at all dose levels for PK/PD assessment to determine translation to human. Moxifloxacin-induced increases in QTc were observed, with a maximal increase at the highest dose of 86 and 67 msec for the double cross-over and ascending dose designs, respectively. Smallest statistically detectable differences (SSDD) for QTc were 11 msec for the double cross-over and 10 msec for the ascending dose design. Based on the free plasma exposures and magnitude of the QTc effects from the crossover data, a 10 msec effect was observed at 0.77× of the free moxifloxacin concentration known to produce a 10 msec QTc effect in human. In conclusion, we have validated an E14/S7B Q&A compliant in vivo QT assay in the minipig for both cross-over and ascending dose designs and shown good translation to human, completing the Labcorp™ offering for in-vivo E14/S7B Q&A compliant studies.
E14/S7B Q&;A指南引入了“双阴性”(hERG阴性和体内QTc阴性)非临床数据的概念,可与临床1期QTc阴性数据一起使用,以替代特定病例的临床彻底QT研究(Q&As 5.1和6.1)。非临床数据将使用“最佳实践”设计生成,以支持整个行业的数据质量和一致性。对于体内QT测定,最佳实践建议需要对个体研究敏感性进行表征,验证QTc与心率的独立性,证明测试设备的敏感性,并使用阳性对照对人类进行药理学翻译。 我们之前已经在狗和非人灵长类动物中验证了E14/S7B Q&;A符合体内QT测定。这项工作的目的是在小型猪中进行验证,作为第三种非啮齿动物,通常用于心血管安全性评估。采用双拉丁方交叉研究设计(n = 8)对莫西沙星(30、120、300 mg/kg)进行阳性对照遥测研究,然后采用递增剂量设计(n = 5)。在遥测阶段抽取一个单一的PK样本,并在所有剂量水平下包括一个单独的完整的PK阶段,以进行PK/PD评估,以确定对人的转化。 观察到莫西沙星诱导的QTc增加,在双交叉和上升剂量设计中,最高剂量分别为86和67 msec时最大增加。双交叉组QTc的最小统计可检测差异(SSDD)为11 msec,上升剂量组为10 msec。根据自由血浆暴露和交叉数据中QTc效应的大小,在已知产生10 msec QTc效应的游离莫西沙星浓度的0.77倍时,观察到10 msec效应。总之,我们已经在小型猪身上验证了E14/S7B Q&;A兼容的体内QT试验,用于交叉和上升剂量设计,并显示出良好的人类翻译,完成了Labcorp™提供的E14/S7B Q&;A兼容的体内研究。
{"title":"Validation of in vivo QT ICH E14/S7B Q&A guidance in minipig","authors":"Rachael Hardman ,&nbsp;Joyce Obeng ,&nbsp;Jill Nichols ,&nbsp;Karim Melliti","doi":"10.1016/j.vascn.2025.107778","DOIUrl":"10.1016/j.vascn.2025.107778","url":null,"abstract":"<div><div>The E14/S7B Q&amp;A guidelines introduce the concept of “double negative” (negative hERG and negative in vivo QTc) non-clinical data which can be used along with negative Phase 1 clinical QTc data to substitute for a clinical Thorough QT study in specific cases (Q&amp;As 5.1 and 6.1). The non-clinical data are to be generated using “best practice” designs in order to support data quality and consistency across the industry. For the in vivo QT assay, best practice recommendations require characterization of individual study sensitivity, verification of independence QTc from heart rate, demonstration of test facility sensitivity and pharmacological translation to human using a positive control. We have previously validated E14/S7B Q&amp;A compliant in vivo QT assays in dog and non-human primate. The objective of this work was to perform the validation in the minipig as the third non-rodent species commonly used for cardiovascular safety assessment. A positive control telemetry study was performed with moxifloxacin (30, 120, 300 mg/kg) using a double Latin square crossover study design (<em>n</em> = 8), followed by an ascending dose design (<em>n</em> = 5). A single PK sample was drawn during the telemetry phase, and a separate full PK phase was included at all dose levels for PK/PD assessment to determine translation to human. Moxifloxacin-induced increases in QTc were observed, with a maximal increase at the highest dose of 86 and 67 msec for the double cross-over and ascending dose designs, respectively. Smallest statistically detectable differences (SSDD) for QTc were 11 msec for the double cross-over and 10 msec for the ascending dose design. Based on the free plasma exposures and magnitude of the QTc effects from the crossover data, a 10 msec effect was observed at 0.77× of the free moxifloxacin concentration known to produce a 10 msec QTc effect in human. In conclusion, we have validated an E14/S7B Q&amp;A compliant in vivo QT assay in the minipig for both cross-over and ascending dose designs and shown good translation to human, completing the Labcorp™ offering for in-vivo E14/S7B Q&amp;A compliant studies.</div></div>","PeriodicalId":16767,"journal":{"name":"Journal of pharmacological and toxicological methods","volume":"135 ","pages":"Article 107778"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are current rat studies sensitive to detect blood pressure changes per the new FDA draft clinical blood pressure guidance? 根据新的FDA临床血压指南草案,目前的大鼠研究对检测血压变化是否敏感?
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107777
Kamila J. Sadko , Derek J. Leishman , Hannah Garver , Gregory Fink , Marc B. Bailie , Adam Lauver
Released in 2022, the FDA's draft guidance “Assessment of Pressor Effects of Drugs”, proposes that a dedicated clinical study for chronic use drugs should be powered to rule out a potential systolic arterial blood pressure (BP) increase of 3 mmHg over 24 h. Given the resource commitment of clinical studies, sensitive nonclinical prediction of potentially meaningful BP increases would be valuable. This study aimed to determine the utility of long-term rat studies for detecting acute and chronic blood pressure changes. We hypothesized that studies using rats have adequate stability and variability to detect BP changes ≥3 mmHg over several weeks. Available data from a historic rodent assessment of 80 days duration (N = 9) in vehicle treated Sprague Dawley rats was used. The data were assessed for minimal detectable differences (MDDs), least significant differences (LSDs), and changes from baseline for all BP measures in light and dark 12 h, days, and weeks. Day 15 was used as the reference day and Day 43 as the comparison for day-to-day and light and dark changes from baseline to simulate a 4-week study with a week-long baseline assessment. In week comparison, week 2 was compared to week 5. A one-way t-test was conducted against an assumed mean difference of 0 to evaluate for significance. Study average difference from baseline for the dark cycle were 1.80 ± 1.42 (mean ± standard deviation), 1.99 ± 1.34, and 1.86 ± 1.25 mmHg for diastolic (Dia), systolic (Sys), and mean arterial pressure (MAP), respectively. Light cycle differences were 0.54 ± 1.23, −0.04 ± 1.101, and 0.143 ± 0.91 mmHg for Dia, Sys, and MAP . Day-to-day differences of 1.21 ± 1.29, 0.89 ± 1.12, and 0.931 ± 1.01 mmHg for Dia, Sys, and MAP were seen. Week-to-week differences were − 2.55 ± 1.47 mmHg for Sys, 2.30 ± 1.29 mmHg for MAP, and 1.87 ± 1.22 mmHg for Dia. Results were not significantly different from 0. Overall, rats demonstrated small insignificant changes from baseline in their blood pressure measures across a longitudinal study. The low variability observed was sufficient to encourage further evaluation of the minimal detectable differences which is currently underway.
FDA于2022年发布的指南草案“药物降压效应评估”建议,应针对慢性用药进行专门的临床研究,以排除24 h内潜在的收缩压(BP)升高3 mmHg的可能性。鉴于临床研究的资源承诺,敏感的非临床预测潜在有意义的血压升高将是有价值的。本研究旨在确定长期大鼠研究对检测急性和慢性血压变化的效用。我们假设使用大鼠的研究具有足够的稳定性和可变性,可以在数周内检测血压变化≥3 mmHg。本研究使用的是一项历史啮齿类动物评估的数据,该评估为80 天持续时间(N = 9)。评估数据的最小可检测差异(mdd),最小显著差异(lsd),以及在光照和黑暗12 h,天数和周内所有BP测量值与基线的变化。第15天作为参考日,第43天作为对照日,对比从基线开始的昼夜变化,模拟为期4周的研究,并进行为期一周的基线评估。在周比较中,将第2周与第5周进行比较。假设平均差为0,进行单向t检验以评估显著性。研究黑暗周期是1.80的平均差异从基线 ±1.42 (平均 ± 标准差),1.99 ± 1.34,和1.86 ±1.25  毫米汞柱,舒张压(Dia)、收缩压(Sys)和平均动脉压(MAP),分别。Dia、Sys和MAP的光周期差异分别为0.54 ± 1.23、- 0.04 ± 1.101和0.143 ± 0.91 mmHg。Dia、Sys和MAP的日差异分别为1.21 ± 1.29、0.89 ± 1.12和0.931 ± 1.01 mmHg。周而复始的差异 −  2.55±1.47  Sys mmHg, 2.30±1.29  毫米汞柱的地图,和1.87 ±1.22 Dia 毫米汞柱。结果与0无显著差异。总体而言,在一项纵向研究中,大鼠的血压测量值与基线相比发生了微不足道的变化。观察到的低变异性足以鼓励对目前正在进行的可检测到的最小差异进行进一步评价。
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引用次数: 0
Current practices on the measurement of electrocardiogram and hemodynamic parameters in non–rodent species in regulatory safety assessment studies 在监管安全性评估研究中测量非啮齿动物的心电图和血流动力学参数的现行做法。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-06-19 DOI: 10.1016/j.vascn.2025.107765
Jean-Pierre Valentin , Todd Bourcier , Xuan Chi , Annie Delaunois , C. Michael Foley , Kim A. Henderson , Pierre Lainee , Derek J. Leishman , Dingzhou Li , Emma Pawluk , Michael K. Pugsley , Sridharan Rajamani , Christopher P. Regan , Michael G. Rolf , Rebecca Ross , Eric I. Rossman , Stephen D. Tichenor , Inmaculada C. Villar , Todd A. Wisialowski , Jean Wu , Hugo M. Vargas
<div><h3>Introduction</h3><div>Cardiovascular (CV) parameters<sup>1</sup> such as blood pressure (BP), electrocardiogram (ECG), and heart rate (HR) are recorded in non-rodent non-clinical safety studies to support drug development. However, measurement quality varies depending on the methodology used, including restraint-based or telemetry (implanted or jacketed) techniques. Measurement quality, in this context, refers to the <em>sensitivity and reliability</em> of CV measurements in affecting baseline values of measured CV parameters and in detecting pharmacological effects. This retrospective multifaceted analysis evaluated the impact of recording methods on baseline CV parameters and their statistical and pharmacological sensitivities in detecting drug-induced CV effects.</div></div><div><h3>Methods</h3><div>Data were collected from three sources: (i) 495 studies from seven pharmaceutical sponsors (2015–2023), (ii) FDA-approved drugs (47 NCEs, 26 NBEs from 2022 to 2023), and (iii) two major CROs (2020−2023). Studies were conducted in dogs, non-human primates (NHP), or minipigs, with treatment durations of up to 52 weeks. Additionally, literature-based and proprietary data were analyzed to assess baseline CV values and methodology sensitivity. A survey was conducted to evaluate statistical analysis practices in these studies.</div></div><div><h3>Results</h3><div>All 3 datasets showed that the ECG is collected in most repeat dose toxicology studies, but not BP; the findings were largely independent on the modality (i.e., NCE versus NBE) or the indication (i.e., oncology vs. non-oncology). The choice and usage of ECG and BP methods is highly sponsor-dependent, with restraint-based methods for individual sponsors ranging from 0 to 100 %. FDA data showed that telemetry-based methods are predominantly used in short, single dose toxicology/safety pharmacology studies for NCEs. Subsequent studies of longer duration employ predominantly restraint-based snapshot methods. CRO data showed that approximately 30 % of toxicology studies do not include ECGs; however, when an ECG is recorded it is primarily collected in restrained animals using a snapshot approach. BP is infrequently recorded, regardless of methodology, in repeat dose toxicology studies. The de novo analysis and literature-based search showed that baseline BP/HR values were highly variable with consistently higher means under restraint compared to telemetry methods. The root mean square errors for BP/HR were larger under restrained conditions, in both species. Under restrained conditions, the use of fixed formulae for HR-corrected QT resulted in inconsistent QTc values across sponsor and CROs. The survey showed that statistical analysis of ECG/BP data was infrequently performed under restrained conditions in contrast to telemetry-based methods. Proprietary and published case studies showed that drug-induced BP elevation or QTc prolongation observed clinically and in NHP or dog using telemetry
简介:心血管(CV)参数,如血压(BP)、心电图(ECG)和心率(HR)记录在非啮齿动物的非临床安全性研究中,以支持药物开发。然而,测量质量取决于所使用的方法,包括基于约束或遥测(植入或夹套)技术。在这种情况下,测量质量是指CV测量在影响所测CV参数基线值和检测药理作用方面的灵敏度和可靠性。这项回顾性的多方面分析评估了记录方法对基线CV参数的影响,以及它们在检测药物诱导CV效应时的统计学和药理学敏感性。方法:数据收集自三个来源:(i)来自7家制药赞助商的495项研究(2015-2023年),(ii) fda批准的药物(47个nce, 26个nbe, 2022 -2023年),(iii)两个主要的cro(2020-2023年)。研究在狗、非人类灵长类动物(NHP)或迷你猪中进行,治疗时间长达52 周。此外,还分析了基于文献和专有数据,以评估基线CV值和方法敏感性。我们进行了一项调查来评估这些研究中的统计分析实践。结果:所有3个数据集显示,大多数重复剂量毒理学研究都收集了心电图,但没有收集BP;研究结果在很大程度上独立于治疗方式(即NCE与NBE)或适应症(即肿瘤与非肿瘤)。ECG和BP方法的选择和使用高度依赖于申办者,个体申办者基于约束的方法范围从0到100% %。FDA数据显示,基于遥测的方法主要用于nce的短期单剂量毒理学/安全药理学研究。后续更长时间的研究主要采用基于约束的快照方法。CRO数据显示,大约30% %的毒理学研究不包括心电图;然而,当记录心电图时,主要是使用快照方法在受限的动物中收集。不论采用何种方法,在重复剂量毒理学研究中,BP很少被记录。从头开始分析和基于文献的检索表明,与遥测方法相比,基线BP/HR值变化很大,在约束条件下均值始终较高。在抑制条件下,两种动物的血压/心率均方根误差都较大。在受限条件下,使用固定的hr校正QT公式导致发起者和cro之间的QTc值不一致。调查显示,与基于遥测的方法相比,在受限条件下很少对ECG/BP数据进行统计分析。专利和已发表的病例研究表明,在基于约束的条件下,在临床和NHP或遥测犬中观察到的药物引起的血压升高或QTc延长并不能可靠地检测到,这突出了RB方法在CV安全性评估中的局限性。数据表明,动物约束降低了检测CV效应的药理学和统计学敏感性。结论:心电图和血压记录方法的不同取决于申办者的偏好、经验和/或机构实践以及科学原理。文献和案例研究证实了基于约束的方法的局限性。随着ICH S7A/S7B的发展,有必要重新审视CV评估实践,以与科学、技术、监管和3r考虑相一致,最终改进监管安全评估的最佳实践。
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引用次数: 0
Safety Pharmacology: Achieving a quarter century milestone as a scientific discipline 安全药理学:作为一门学科实现了四分之一个世纪的里程碑
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI: 10.1016/j.vascn.2025.108391
Michael K. Pugsley , Brett R. Winters , Stephen D. Tichenor , Simon Authier , Yevgeniya E. Koshman , Krystle G. Correll , Michael J. Curtis
This editorial prefaces the annual themed issue on those methods with application to safety pharmacology (SP) in the Journal of Pharmacological and Toxicological Methods (JPTM). Highlighted content is derived from the 2024 Safety Pharmacology Society (SPS) meeting held in San Diego, CA, USA. The meeting showcased 122 posters, many of which are reproduced as abstracts published in JPTM. The manuscripts predominantly reflect updates to core battery safety evaluation and data analysis methods and include areas of novel investigation within SP. The results from several surveys including an updated salary survey by the SPS, current industry practices on neurotoxicity by the ACT, SPS and STP and results on the need to revisit the ICH S7A guidance on safety and secondary pharmacology by EFPIA, JPMA, and PhRMA provide timely updates. Other manuscripts include in vitro assessment methods for sodium channel block using MEA arrays, and a comparison of the in vitro effects of positive control drugs on the hERG channel current using different testing procedures. In vivo cardiovascular manuscripts include an overview of surgical telemetry implantation methods, utility of automated blood sampling methods in SP studies, evaluation of the performance characteristics for common QTc data collection methods, and an evaluation of a clinically used wearable ECG device for use in SP studies. There is also an overview of the impact of respiratory SP and a comprehensive review and comparison of current practices regarding methodological approaches used to acquire CV data in repeat-dose non-rodent toxicology studies. The 21 years of consecutive themed issues on SP methods attends to the importance of methods evaluation and the contribution of SP to the process of methods evaluation.
这篇社论是《药理学和毒理学方法杂志》(JPTM)关于这些方法在安全药理学(SP)中的应用的年度主题问题的序言。突出显示的内容来自于在美国加利福尼亚州圣地亚哥举行的2024年安全药理学学会(SPS)会议。会议展示了122张海报,其中许多被复制为JPTM上发表的摘要。这些手稿主要反映了核心电池安全性评估和数据分析方法的更新,包括SP内的新研究领域。几项调查的结果,包括SPS的最新薪酬调查,ACT、SPS和STP关于神经毒性的当前行业实践,以及EFPIA、JPMA和PhRMA关于需要重新审视ICH S7A安全性和二级药理学指南的结果,提供了及时的更新。其他手稿包括使用MEA阵列的钠通道阻断体外评估方法,以及使用不同测试程序比较阳性对照药物对hERG通道电流的体外影响。体内心血管手稿包括手术遥测植入方法的概述,自动血液采样方法在SP研究中的应用,常见QTc数据收集方法的性能特征评估,以及用于SP研究的临床使用的可穿戴ECG设备的评估。本文还概述了呼吸性SP的影响,并对在重复给药的非啮齿动物毒理学研究中获取CV数据的方法学方法进行了全面的回顾和比较。连续21年的SP方法主题议题,体现了方法评价的重要性以及SP对方法评价过程的贡献。
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Journal of pharmacological and toxicological methods
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