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Reevaluating safety pharmacology respiratory studies within the ICH S7A core battery: A multi-company evaluation of preclinical utility and clinical translation 重新评估 ICH S7A 核心电池中的安全药理学呼吸研究:临床前实用性和临床转化的多公司评估。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-09-16 DOI: 10.1016/j.yrtph.2024.105706
G.S. Friedrichs , M.M. Abernathy , D. Ackley , M. Clark , J.K. DaSilva , C.M. Foley , A. Greiter-Wilke , K.A Henderson , J.J. Kremer , B.H. Morimoto , S. Paglialunga , M.K. Pugsley , C.P. Regan , E.I. Rossman , J.A. Segretti , M. Traebert , H.M. Vargas , T.A. Wisialowski
Optimization of ICH safety guideline studies for inclusion into regulatory submissions is critical for resource conservation, animal use reduction, and efficient drug development. The ICH S7A guidance for Safety Pharmacology (SP) studies adopted in 2001 identified the core battery of studies to evaluate the acute safety of putative pharmaceutical molecules prior to First in Human (FIH) trials. To assess the utility of respiratory studies in predicting clinical AE's, seven pharmaceutical companies pooled preclinical and clinical respiratory findings. A large database of novel molecules included all relevant data from standard S7A respiratory (n = 459) and FIH studies (n = 309). The data were analyzed with respect to the progression of these molecules, clinical adverse event reporting of these same molecules, and achieved exposures. These S7A respiratory assay findings had no impact on compound progression, and only 12 of 309 drug candidates were ‘positive’ preclinically and reported a respiratory-related AE in clinical trials (i.e. cough, dyspnea, etc.), an overall incidence rate of 3.9%. Contingency tables/statistics support a lack of concordance of these preclinical assays. Overall, our extensive analysis clearly indicated that the preclinical respiratory assay fails to provide any prognostic value for detecting clinically relevant respiratory adverse events.
优化 ICH 安全性指南研究以纳入监管申请对于节约资源、减少动物使用和高效药物开发至关重要。2001 年通过的 ICH S7A 安全药理学(SP)研究指南确定了在首次人体试验(FIH)之前评估潜在药物分子急性安全性的核心研究系列。为了评估呼吸系统研究在预测临床 AE 方面的效用,七家制药公司汇集了临床前和临床呼吸系统研究结果。新型分子的大型数据库包括标准 S7A 呼吸系统研究(n = 459)和 FIH 研究(n = 309)的所有相关数据。分析数据涉及这些分子的进展、这些分子的临床不良事件报告以及达到的暴露量。这些 S7A 呼吸检测结果对化合物的进展没有影响,309 种候选药物中只有 12 种在临床前呈 "阳性",并在临床试验中报告了呼吸相关的 AE(如咳嗽、呼吸困难等),总发生率为 3.9%。或然率表/统计数据表明这些临床前检测结果缺乏一致性。总之,我们的大量分析清楚地表明,临床前呼吸测定无法为检测临床相关的呼吸不良事件提供任何预后价值。
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引用次数: 0
PBPK modeling demonstrates that exposure time adjustment is unnecessary for setting an acute manganese inhalation exposure guideline PBPK 模型表明,在制定急性锰吸入暴露指南时,无需对暴露时间进行调整
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-09-07 DOI: 10.1016/j.yrtph.2024.105698
Camarie S. Perry , Ann H. Verwiel , Tammie R. Covington , Deborah M. Proctor
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引用次数: 0
Food for thought — Paving the way for a UK roadmap towards optimum consumer safety: Development, Endorsement and Regulatory acceptance of New Approach Methodologies (NAMs) in Chemical Risk Assessment and Beyond 启发思考--为英国实现最佳消费者安全路线图铺平道路:化学品风险评估及其他领域新方法 (NAM) 的开发、认可和监管验收。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-09-07 DOI: 10.1016/j.yrtph.2024.105701
Olivia J. Osborne , Phil Botham , Cath Mulholland , Claire Potter , David Gott , Amie Adkin , Alan Boobis

Advances in biosciences, chemistry, technology, and computer sciences have resulted in the unparalleled development of candidate New Approach Methodologies over the last few years. Many of these are potentially invaluable in the safety assessment of chemicals, but very few have been adopted for regulatory decision making. There is an immediate opportunity to use NAMs in safety assessment where the vision is to be able to predict risk more rapidly, accurately, and efficiently to further assure consumer safety.

In order to achieve this, the UK Food Standards Agency (FSA) and the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) have developed a roadmap towards acceptance and integration of these new approach methodologies into safety and risk assessments for regulatory decision making. The roadmap provides a UK blueprint for the transition of NAMs from the research laboratory to their use in regulatory decision making. This will require close collaboration across disciplines (chemists, toxicologists, informaticians, risk assessors and others), and across chemical sectors, to develop, verify and utilise appropriate models. Linking up internationally, and harmonization will be fundamental.

过去几年来,生物科学、化学、技术和计算机科学的进步促使候选的 "新方法 "得到了空前的发展。其中许多方法在化学品安全评估中具有潜在的价值,但很少被监管决策所采用。目前,在安全评估中使用新方法的机会非常迫切,我们的愿景是能够更快速、准确、高效地预测风险,从而进一步确保消费者的安全。为了实现这一目标,英国食品标准局 (FSA) 和食品、消费品和环境中的化学品毒性委员会 (COT) 制定了一份路线图,旨在接受这些新方法并将其整合到安全和风险评估中,以利于监管决策。该路线图为英国提供了一个蓝图,将非吸收剂从研究实验室过渡到监管决策中使用。这将需要跨学科(化学家、毒理学家、信息学家、风险评估员等)和跨化学领域的密切合作,以开发、验证和利用适当的模型。国际间的联系和协调将是至关重要的。
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引用次数: 0
Safety assessment of protein A and derivation of a parenteral health-based exposure limit 蛋白质 A 的安全性评估和基于健康的肠道外接触限值的推导。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-09-06 DOI: 10.1016/j.yrtph.2024.105700
Jessica C. Graham , Sathanandam S. Anand , Joel Bercu , Lauren Besenhofer , Christina de Zafra , Yu Feng , Craig Fisher , Jedd Hillegass , Richard Hutchinson , Robert Jolly , Chandrika Moudgal , Tyler Nicholas , Daniela Olszova , Matthew Schmitz , Florian Semmelmann

Protein A (PA) is a bacterial cell wall component of Staphylococcus aureus whose function is to bind to Immunoglobulin G (IgG). Given its ability to bind IgG as well as its stability and resistance to harsh acidic and basic cleaning conditions, it is commonly used in the affinity chromotography purification of biotherapeutics. This use can result in levels of PA being present in a drug product and subsequent patient exposure. Interestingly, PA was previously evaluated in clinical trials as well as supporting nonclinical studies, resulting in a database that enables the derivation of a health-based exposure limit (HBEL). Given the widespread use of PA in the pharmaceutical industry, the IQ DruSafe Impurities Safety Working Group (WG) evaluated the available information with the purpose of establishing a harmonized parenteral HBEL for PA. Based on this thorough, collaborative evaluation of nonclinical and clinical data available for PA, a parenteral HBEL of 1.2 μg/kg/dose (60 μg/dose for a 50 kg individual) is expected to be health protective for patients when it is present as an impurity in a biotherapeutic.

蛋白 A (PA) 是金黄色葡萄球菌的一种细菌细胞壁成分,其功能是与免疫球蛋白 G (IgG) 结合。鉴于其结合 IgG 的能力及其稳定性和对苛刻的酸性和碱性清洗条件的耐受性,它常用于生物治疗药物的亲和层析纯化。这种使用会导致药物产品中的 PA 含量达到一定水平,从而使患者接触到 PA。有趣的是,PA 以前曾在临床试验和支持性非临床研究中进行过评估,从而形成了一个数据库,可用于推导基于健康的暴露限值 (HBEL)。鉴于 PA 在制药行业的广泛使用,IQ DruSafe 杂质工作组(WG)对现有信息进行了评估,目的是为 PA 建立一个统一的肠外 HBEL。根据对 PA 现有的非临床和临床数据进行的全面合作评估,当 PA 作为杂质存在于生物治疗药物中时,预计 1.2 μg/kg/dose 的肠外 HBEL(50 公斤体重的人为 60 μg/dose)可保护患者的健康。
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引用次数: 0
Aspects of complexity in quality and safety assessment of peptide therapeutics and peptide-related impurities. A regulatory perspective 多肽疗法和多肽相关杂质质量与安全评估的复杂性。监管视角。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-09-06 DOI: 10.1016/j.yrtph.2024.105699
Cristiano Colalto

In recent years, a number of therapeutic peptides have been authorized in the EU market, and several others are in the clinical development phase or under assessment for full dossier or generic applications. Quality and safety guidelines specific to peptides are limited, and some aspects have to be considered. In particular, concerns relate to the analytical investigation for impurities and the toxicological assessment of these substances. The guidelines and the compendial pharmacopoeias provide certain references but that may be questionable if interpreted according to whether therapeutic peptides are considered chemical or biological entities, large or small. The characterization of peptide-related impurities cannot follow the small molecule approach but should consider aspects closely linked to the complex mechanisms of action that these large molecules can exert in the human body. Although direct genotoxic mechanisms cannot be excluded, hazardous interactions on biological systems cannot be ruled out, as in the case of natural peptide toxins and their specific interactions with cellular or membrane targets. From a regulatory perspective, only after specific risk identification and characterization should an equally specific safety threshold in relation to potential toxicity be defined.

近年来,一些治疗肽已获准进入欧盟市场,还有一些肽正处于临床开发阶段,或正在接受完整档案或非专利申请的评估。专门针对肽的质量和安全指南非常有限,有些方面必须加以考虑。特别是对这些物质的杂质分析调查和毒理学评估。指南和药典提供了一些参考,但如果按照治疗肽是化学实体还是生物实体、是大还是小来解释,则可能会有问题。肽相关杂质的特征描述不能沿用小分子方法,而应考虑与这些大分子在人体内的复杂作用机制密切相关的方面。虽然不能排除直接的基因毒性机制,但也不能排除对生物系统的有害相互作用,如天然肽毒素及其与细胞或膜靶点的特定相互作用。从监管的角度来看,只有在进行了具体的风险识别和特征描述之后,才能确定与潜在毒性相关的同样具体的安全阈值。
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引用次数: 0
Letter to the editors regarding “Inter-laboratory validation of bioaccessibility testing for metals” by Henderson et al. (2014) 就 "金属的生物可及性测试的实验室间验证 "致编辑的信,作者:.
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-08-22 DOI: 10.1016/j.yrtph.2024.105688
P.E. Rasmussen, P. Huntsman, T.M. Singer, M.N. Jacobs, C.C. Trevithick-Sutton
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引用次数: 0
Biomonitoring of 2,4-dichlorophenoxyacetic acid (2,4-D) herbicide: A global view 2,4-二氯苯氧乙酸(2,4-D)除草剂的生物监测:全球视野。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-08-19 DOI: 10.1016/j.yrtph.2024.105687
Denali Boon , Carol J. Burns

We conducted a literature review of urinary 2,4-D in populations not associated with a herbicide application. Of the 33 studies identified, the median/mean concentrations were similar for children, adults, and pregnant women regardless of geography. Individuals with highest concentrations may have had opportunities to directly contact 2,4-D outside of an application. Most studies were conducted in populations in North America and did not examine potential sources of 2,4-D, or what factors might influence higher or lower urinary 2,4-D concentrations. In the future, prioritizing the examination of 2,4-D biomonitoring in other regions and collecting information on sources and factors influencing exposures would better our understanding of 2,4-D exposures globally. In all the studies reviewed the concentrations of urinary 2,4-D observed were orders of magnitude below the US regulatory endpoints, suggesting that people are not being exposed to 2,4-D at levels high enough to result in adverse health effects.

我们对与施用除草剂无关的人群尿液中的 2,4-D 进行了文献综述。在已确定的 33 项研究中,儿童、成人和孕妇的中位数/平均浓度相似,与地域无关。浓度最高的人可能有机会在施用除草剂之外直接接触 2,4-D。大多数研究都是在北美地区的人群中进行的,没有研究 2,4-D 的潜在来源,也没有研究哪些因素可能会影响尿液中 2,4-D 浓度的高低。今后,优先审查其他地区的 2,4-D 生物监测情况,并收集有关影响暴露的来源和因素的信息,将有助于我们更好地了解全球的 2,4-D 暴露情况。在所审查的所有研究中,观察到的尿液中 2,4-D 的浓度都低于美国监管终点的数量级,这表明人们接触 2,4-D 的水平并没有高到足以对健康造成不良影响的程度。
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引用次数: 0
Prenatal developmental toxicity studies of allyl alcohol in rats and rabbits 工作标题:烯丙醇对大鼠和兔子的产前发育毒性研究。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-08-14 DOI: 10.1016/j.yrtph.2024.105684
Wade Barranco , Jefferson Fowles , Erik K. Rushton

Allyl alcohol (C3H6O; prop-2-en-1-ol; CAS RN 107-18-6; EINECS 203-470-7) is used as an intermediate/monomer in polymerization reactions producing chemicals/optical resins or as a coupling/cross-linking agent for unsaturated polyester and alkyd resins. Human exposure to allyl alcohol (AA) is restricted to workplace manufacturing facilities where it is used in enclosed systems, which limits release and impact on environmental receptors. To address regulatory questions about possible developmental toxicity, two OECD Guideline studies were conducted. A rat developmental toxicity study found fetal and maternal toxicity, in the form of resorptions and decreased body weight and food consumption, but no teratogenic effects. A rabbit developmental toxicity study was subsequently conducted upon request by the European Chemical Agency in 2011 under the REACH program and likewise reported maternal toxicity in the form of reductions in body weight gain and food consumption, but neither fetal toxicity or teratogenic effects. The results of both studies are presented and compared in this paper. Based on our review of the collective results of these studies, AA is considered non-teratogenic, yet does elicit increased post-implantation loss and reduced fetal body weight, possibly resulting from concomitant maternal toxicity. Based on the results of these studies, a maternal and developmental toxicity No Observed Adverse Effect Level of 10 mg/kg/day was apparent for both species.

烯丙醇(C3H6O;丙-2-烯-1-醇;化学文摘社编号:107-18-6;欧洲现存化学物质清单编号:203-470-7)在生产化学品/光学树脂的聚合反应中用作中间体/单体,或用作不饱和聚酯和醇酸树脂的偶联剂/交联剂。人类对烯丙基醇(AA)的接触仅限于在封闭系统中使用的工作场所生产设施,这限制了对环境受体的释放和影响。为了解决可能存在的发育毒性监管问题,我们进行了两项经合组织指南研究。一项大鼠发育毒性研究发现,该物质对胎儿和母体有毒性,表现为再孕、体重和食物消耗量下降,但没有致畸作用。随后,应欧洲化学品管理局的要求,我们于 2011 年根据 REACH 计划开展了一项兔子发育毒性研究,同样发现了母体毒性,表现为体重增加和食物消耗量减少,但未发现胎儿毒性或致畸效应。本文对这两项研究的结果进行了介绍和比较。根据我们对这些研究的综合结果的审查,AA 被认为不会致畸,但确实会引起着床后丢失率增加和胎儿体重下降,这可能是由于同时存在的母体毒性造成的。根据这些研究的结果,两个物种的母体和发育毒性 "未观察到的不良效应水平 "均为 10 毫克/千克/天。
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引用次数: 0
Toxicity reference values for force health protection: Provisional occupational exposure guidelines 部队健康保护毒性参考值:暂定职业接触准则》。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-08-14 DOI: 10.1016/j.yrtph.2024.105686
Lisa M. Sweeney , Teresa R. Sterner

Force Health Protection programs in the U.S. Air Force endeavor to sustain the operational readiness of the warfighters. We have previously identified hundreds of chemical substances of interest and toxicity reference value (TRV) knowledge gaps that constrain risk based-decision-making for potential exposures. Multiple approaches to occupational TRV estimation were used to generate possible guideline values for 84 compounds (18% of the substances of interest). These candidate TRVs included values from international databases, chemical similarity (nearest neighbor) approaches, empirical adjustments to account for duration differences, quantitative activity relationships, and thresholds of toxicological concern. This present work describes derivation of provisional TRVs from these candidate values. Rodent bioassay-derived long-term worker Derived No-Effect Levels (DNELs) were deemed presumptively the most reliable, but only 19 such DNELs were available for the 84 substances with TRV gaps. In the absence of DNELs, the quality of the approaches and consistency among candidate values were key elements of the weight of evidence used to select the most suitable guideline values. The use of novel nearest-neighbor approaches, empirical adjustment of short term TRVs, and occupational exposure bands were found to be options that would allow occupational TRV estimation with reasonable confidence for nearly all substances evaluated.

美国空军的部队健康保护计划致力于维持作战人员的战备状态。我们之前已经确定了数百种相关化学物质和毒性参考值(TRV)知识缺口,这些知识缺口限制了对潜在暴露进行基于风险的决策。我们采用多种方法对职业 TRV 进行估算,为 84 种化合物(占相关物质的 18%)生成了可能的指导值。这些候选 TRV 值包括来自国际数据库的数值、化学相似性(近邻)方法、考虑持续时间差异的经验性调整、定量活动关系以及毒理学阈值。本研究介绍了从这些候选值推导出的临时 TRV 值。啮齿动物生物测定得出的长期工人衍生无效应水平(DNEL)被认为是最可靠的,但对于存在 TRV 缺口的 84 种物质来说,只有 19 个这样的 DNEL。在没有 DNEL 的情况下,方法的质量和候选值之间的一致性是用于选择最合适指导值的证据权重的关键因素。我们发现,使用新的近邻方法、对短期 TRV 进行经验调整以及职业接触带等方法,可以对几乎所有受评估物质的职业 TRV 进行有合理可信度的估算。
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引用次数: 0
Toxicity reference values (TRVs) for force health protection: Gap identification and TRV prediction 保护部队健康的毒性参考值 (TRV):差距识别和 TRV 预测。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-08-13 DOI: 10.1016/j.yrtph.2024.105685
Lisa M. Sweeney , Teresa R. Sterner

The mission of the Force Health Protection (FHP) program of the U.S. Air Force (USAF), sustaining the readiness of warfighters, relies on determinations of acceptable levels of exposure to a wide array of substances that USAF personnel may encounter. In many cases, exposure details are limited or authoritative toxicity reference values (TRVs) are unavailable. To address some of the TRV gaps, we are integrating several approaches to generate health protective exposure guidelines. Descriptions are provided for identification of chemicals of interest for USAF FHP (467 to date), synthesis of multiple TRVs to derive Operational Exposure Limits (OpELs), and strategies for identifying and developing candidate values for provisional OpELs when authoritative TRVs are lacking. Rodent bioassay-derived long-term Derived No Effect Levels (DNELs) for workers were available only for a minority of the substances with occupational TRV gaps (19 of 84). Additional occupational TRV estimation approaches were found to be straightforward to implement: Tier 1 Occupational Exposure Bands, cheminformatics approaches (multiple linear regression and novel nearest-neighbor approaches), and empirical adjustment of short term TRVs. Risk assessors working in similar contexts may benefit from application of the resources referenced and developed in this work.

美国空军(USAF)部队健康保护(FHP)计划的任务是维持作战人员的战备状态,这依赖于对美国空军人员可能接触到的各种物质的可接受接触水平的确定。在许多情况下,暴露详情有限,或者没有权威的毒性参考值 (TRV)。为了填补 TRV 方面的一些空白,我们正在整合多种方法,以生成保护健康的暴露指南。本文介绍了如何确定美国空军 FHP 所关注的化学物质(迄今已有 467 种)、如何综合多个 TRV 值以得出操作接触限值 (OpEL),以及如何在缺乏权威 TRV 值的情况下确定和开发临时 OpEL 的候选值。只有少数存在职业 TRV 缺口的物质(84 种物质中的 19 种)可以通过啮齿动物生物测定得出工人的长期衍生无效应水平 (DNEL)。其他职业 TRV 估算方法被认为可以直接实施:第 1 级职业接触带、化学信息学方法(多元线性回归和新型近邻方法)以及短期 TRV 的经验调整。在类似情况下工作的风险评估人员可能会从应用这项工作中参考和开发的资源中受益。
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引用次数: 0
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Regulatory Toxicology and Pharmacology
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