Although toxicology studies should always be conducted in pharmacologically relevant species, the specificity of many biopharmaceuticals can present challenges in identification of a relevant species. In certain cases, that is, when the clinical product is active only in humans or chimpanzees, or if the clinical candidate is active in other species but immunogenicity limits the ability to conduct a thorough safety assessment, alternative approaches to evaluating the safety of a biopharmaceutical must be considered. Alternative approaches, including animal models of disease, genetically modified mice, or use of surrogate molecules, may improve the predictive value of preclinical safety assessments of species-specific biopharmaceuticals, although many caveats associated with these models must be considered. Because of the many caveats that are discussed in this article, alternative approaches should only be used to evaluate safety when the clinical candidate cannot be readily tested in at least one relevant species to identify potential hazards.

译文

:尽管毒理学研究应始终在药理学上相关的物种中进行,但许多生物药物的特异性可能会给鉴定相关物种带来挑战。在某些情况下,即当临床产品仅在人类或黑猩猩中具有活性,或者如果临床候选者在其他物种中具有活性,但是免疫原性限制了进行彻底安全性评估的能力,则可以使用替代方法来评估生物药品的安全性必须考虑。替代方法,包括疾病的动物模型,转基因小鼠或替代分子的使用,可以提高对物种特异性生物药物进行临床前安全性评估的预测价值,尽管必须考虑与这些模型相关的许多警告。由于本文讨论了许多警告,因此仅当无法在至少一个相关物种中对临床候选者进行便捷测试以识别潜在危害时,才应使用替代方法来评估安全性。

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