取代动物试验提高人类安全性

Kathy Archibald, Robert Coleman, T. Drake
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引用次数: 10

摘要

对新药进行动物安全测试可以说是最难对非人类动物(以下简称动物)的使用提出挑战,原因有二:首先,这是政府要求的(监管测试);其次,保护患者是一个至关重要的目标,动物试验显然必须保护患者。动物实验在20世纪中期开始制度化(Parke, 1994),以应对早期的药物灾难,目的是防止进一步的悲剧。然而,即使是值得称赞的保护病人的目的也不能证明动物试验是正当的,除非它是确保药物安全的最有效手段。欧盟(EU)法律(欧洲议会,2010年,指令2010/63/EU)规定,如果非动物方法可以达到相同的目的,则不得使用动物。因此,至关重要的是要知道动物试验对药物安全性的预测有多好,以及是否有其他方法具有同样或更强的预测能力。除了预测价值的问题外,还必须考虑其他重要问题,包括不同方法在时间和成本方面的效率;如果动物的使用被认为具有不可替代的价值,那么使用动物的道德可接受性。是否应该用动物作为人类替代品进行安全性测试的问题是极具争议的;个人观点不一,从不使用动物
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Replacing Animal Tests to Improve Safety for Humans
Animal safety testing for new medicines is arguably the most difficult use of non-human animals (hereinafter referred to as animals) to challenge, for two reasons: first, it is required by governments (regulatory testing); second, pro­ tecting patients is a vital goal, and it seems intuitively obvious that animal tests must protect patients. Animal testing became institutionalized in the mid twentieth century (Parke, 1994) in response to early drug disasters, with the aim of preventing further tragedies. However, even the laudable aim of protecting patients cannot justify animal testing, unless it is the most effec­ tive means to ensure the safety of medicines. European Union (EU) law (Euro­ pean Parliament, 2010, Directive 2010/63/EU) states that animals must not be used if a non-animal method could achieve the same purpose. So, it is crucial to know how well animal tests predict the safety of medicines, and whether any other methods are equally or more predictive. In addition to the question of predictive value, other important issues must also be taken into consider­ ation, including the efficiency of different methods in terms of time and costs; and the ethical acceptability of using animals, if their use is deemed to be of irreplaceable value. The issue of whether animals should be used as human surrogates for safety testing is highly contentious; individual views range from no use of animals
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