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The Toxicologist - Society of Toxicology

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2466 CRITICAL EVALUATION OF ANIMAL ALTERNATIVE<br />

TESTS FOR THE IDENTIFICATION OF ENDOCRINE<br />

ACTIVE SUBSTANCES.<br />

F. Busquet 1 , S. Belanger 2 , R. Davi 3 , B. Demeneix 4 , J. Denny 5 , M. Embry 6 , M.<br />

Léonard 7 , M. McMaster 8 , L. Ortego 9 , P. Renner 10 , D. Villeneuve 5 and S.<br />

Scholz 10 . 1 JRC, IHCP, ECVAM, European Commission, Ispra, Italy, 2 Procter &<br />

Gamble, Cincinnati, OH, 3 ExxonMobil, Annandale, NJ, 4 Muséum National<br />

d’Histoire Naturelle, CNRS, Paris, France, 5 U.S. EPA, Duluth, MN, 6 ILSI HESI,<br />

Washington, DC, 7 L’Oréal Recherche Avancée, Aulnay sous Bois, France,<br />

8 Environment Canada, Burlington, ON, Canada, 9 Bayer CropScience, Research<br />

Triangle Park, NC and 10 UFZ, Leipzig, Germany.<br />

In the past 20 years considerable progress in animal alternatives accompanied by<br />

advances in the toxicological sciences and new emphases on aquatic vertebrates has<br />

occurred. A significant amount <strong>of</strong> current research is targeted to evaluate alternative<br />

test methods that may reduce, replace or refine (3Rs) the use <strong>of</strong> animals, while ensuring<br />

human and environmental health and safety. In 2009, the US EPA began<br />

implementation <strong>of</strong> the Endocrine Disruptor Screening Program which includes<br />

Tier 1 screening assays in fish and frog species which are closely aligned with the<br />

OECD test guideline series 229 and 231. However, these assays use a large number<br />

<strong>of</strong> animals and are quite long in duration relative to an ideal screening assay. As the<br />

Tier 1 assays screen and prioritize a large number <strong>of</strong> chemicals for possible endocrine<br />

activity shorter-term tests would be advantageous. In order to identify potential<br />

alternatives, a literature search was conducted and a database with alternatives<br />

to fish and frog tests testing methodologies assembled. Data from 1995 to<br />

present were collected related to the detection/testing <strong>of</strong> estrogen-, androgen-, and<br />

thyroid-active chemicals in the following test systems: cell lines, primary cells,<br />

fish/frog embryos, yeast, bacteria, cell free systems, and ‘omics technologies. A critical<br />

analysis was performed to (1) determine the strengths and limitations <strong>of</strong> each<br />

alternative assay identified and (2) present conclusions regarding chemical specificity,<br />

sensitivity, and correlation with in vivo data. A summary <strong>of</strong> the most promising<br />

alternative assays will be presented.<br />

2467 THE OECD FISH TESTING FRAMEWORK PROJECT.<br />

L. Touart 1 , G. Ankley 2 , M. Embry 3 , A. Gourmelon 4 , T. Iguchi 5 , G. Maack 6 , P.<br />

Matthiessen 7 , J. Wheeler 8 and C. Willett 9 . 1 OCSPP/Office <strong>of</strong> Science Coordination<br />

and Policy, U.S. EPA, Washington, DC, 2 Office <strong>of</strong> Research and Development,<br />

NHEERL, Mid-Continent Ecology Division, U.S. EPA, Duluth, MN, 3 ILSI Health<br />

and Environmental Sciences Institute, Washington, DC, 4 Organisation for Economic<br />

Cooperation and Development (OECD), Paris, France, 5 National Institute for Basic<br />

Biology (NIBB), Okazaki, Japan, 6 Umweltbundesamt (UBA), Dessau, Germany,<br />

7 Consultant, Ulverston, United Kingdom, 8 Syngenta, Bracknell, United Kingdom<br />

and 9 PETA, Norfolk, VA.<br />

A project in the OECD Test Guidelines Programme for considering aspects <strong>of</strong> a<br />

Fish Testing Framework was initiated in mid-2009, with the United States as the<br />

lead country. <strong>The</strong> objectives <strong>of</strong> the project are to review the regulatory needs and<br />

data requirements for fish testing and appraise the currency and comprehensiveness<br />

<strong>of</strong> existing fish OECD Test Guidelines. In addition, the project aims to support animal<br />

welfare concerns by identifying unnecessary test methods, minimizing the<br />

number <strong>of</strong> in vivo fish tests and numbers <strong>of</strong> fish used, and ensuring the optimal use<br />

<strong>of</strong> data derived from in vivo studies. A September 2010 workshop held at Jealott’s<br />

Hill in the United Kingdom with participation from 50 experts was organized by<br />

OECD with the goal <strong>of</strong> producing a Fish Testing Framework guidance document<br />

that provides a detailed discussion <strong>of</strong> issues, relevant endpoints, and the recommendation<br />

for a harmonized testing framework for fish. <strong>The</strong> workshop participants also<br />

reviewed existing and proposed OECD fish-related Test Guidelines and proposed<br />

recommendations for deleting, adding, and updating these tests. This presentation<br />

will highlight the outcome <strong>of</strong> the September workshop and discuss the developed<br />

framework document.<br />

2468 DE-RISKING THE POTENTIAL FOR<br />

CARDIOVASCULAR TOXICITY OF TYPE 2 DIABETIC<br />

DRUGS: PRECLINICAL AND CLINICAL STRATEGIES.<br />

A. S. Bass 1 and P. K. H<strong>of</strong>fmann 2 . 1 Global Safety Assessment, Merck & Co.,<br />

Kenilworth, NJ and 2 Preclinical Safety, Novartis, East Hanover, NJ.<br />

Discovery <strong>of</strong> effective therapies for the treatment <strong>of</strong> Type 2 Diabetes (T2D) remains<br />

an important and critical unmet medical need for society. As with the development<br />

<strong>of</strong> most new pharmaceuticals, the risk <strong>of</strong> failure <strong>of</strong> a compound to achieve<br />

marketing authorization remains high. As a result, the pharmaceutical industry has<br />

placed a strong commitment in implementing strategies that de-risk the chance <strong>of</strong><br />

failure when a compound is selected for development. This commitment is reflected<br />

in the increasing complexity <strong>of</strong> safety evaluations and dedication <strong>of</strong> resources<br />

as a compound advances through development. Ultimately, the experiences<br />

gained over the course <strong>of</strong> this time informs whether the de-risking strategy pursued<br />

has been effective. As shown in the area <strong>of</strong> development <strong>of</strong> T2D drugs, the knowledgebase<br />

upon which decisions are made is limited because scientists do not fully<br />

understand the relationship <strong>of</strong> different therapeutics for T2D to unwanted cardiovascular<br />

toxicities. However, standard models <strong>of</strong> cardiovascular toxicity have been<br />

established and provide some reassurance <strong>of</strong> a compound’s safety. In those cases,<br />

though, where there is evidence <strong>of</strong> a relationship, investigators still cannot say how<br />

well their preclinical models and early clinical phase monitoring predict the observed<br />

outcome when a therapy is given over a life-time. Against this backdrop a debate<br />

<strong>of</strong> best practices in cardiovascular safety testing will ensue based on a current<br />

understanding <strong>of</strong> the state <strong>of</strong> science in the areas <strong>of</strong> safety pharmacology, toxicology-pathology,<br />

and clinical pharmacology. Ultimately, our panel <strong>of</strong> experts will advocate<br />

for integration <strong>of</strong> information emerging from each <strong>of</strong> these scientific disciplines<br />

that will lead to de-risking the potential adverse cardiovascular outcomes <strong>of</strong><br />

T2D drugs.<br />

2469 ADVERSE CARDIOVASCULAR RISK ASSOCIATED<br />

WITH THERAPEUTICS FOR TYPE 2 DIABETES:<br />

CHALLENGES TO IDENTIFYING ACCURATE,<br />

PREDICTIVE PRECLINICAL MODELS OF TOXICITY.<br />

A. S. Bass. Global Safety Assessment, Merck & Co., Kenilworth, NJ.<br />

A large comprehensive outcome trial <strong>of</strong> the cardiovascular risk posed by drugs for<br />

the treatment <strong>of</strong> Type 2 diabetes is now required by the FDA in support <strong>of</strong> marketing<br />

authorization. <strong>The</strong> challenges for preclinical scientists is to identify a compound’s<br />

risk as early as possible, but no later than early clinical development, in an<br />

effort to mitigate the high probability <strong>of</strong> attrition and focus resources on those molecules<br />

with the best chance <strong>of</strong> success. While the adversities <strong>of</strong> certain pharmaceuticals<br />

have been chronicled over the last several years, mechanisms for these adverse<br />

events are not necessarily well understood. This uncertainty poses a challenge for<br />

the scientist to identifying predictive models <strong>of</strong> cardiovascular risk. An additional<br />

challenge is that in many cases, the investigator is to predict a cardiovascular event<br />

that only emerges following years to decades <strong>of</strong> treatment. <strong>The</strong> fact is that not all<br />

cardiovascular adverse events <strong>of</strong> drugs for the treatment <strong>of</strong> T2 diabetes will be<br />

amendable to detection in preclinical assays. Accepting these challenges though, the<br />

preclinical scientist understands many <strong>of</strong> the mechanisms <strong>of</strong> pharmacodynamic and<br />

structural cardiovascular toxicity can be accurately modeled using sophisticated<br />

methodologies that may also be applied to clinical monitoring for potential untoward<br />

cardiovascular events. Thus, the issues related to the safe and expeditious progression<br />

<strong>of</strong> drugs for the treatment <strong>of</strong> Type 2 diabetes through development have<br />

moved the preclinical safety pharmacologist, toxicologist-pathologist and the clinical<br />

pharmacologist to focus their efforts on developing integrated strategies that rely<br />

on established models and technologies <strong>of</strong> monitoring for cardiovascular safety <strong>of</strong><br />

newly emerging molecules. <strong>The</strong> purpose <strong>of</strong> this talk is to introduce the challenges <strong>of</strong><br />

identifying cardiovascular risk in preclinical and clinical study <strong>of</strong> new molecules for<br />

the treatment <strong>of</strong> Type 2 diabetes and to suggest ways <strong>of</strong> mitigating that risk, setting<br />

the backdrop to the workshop presentations.<br />

2470 MODELING CARDIOVASCULAR TOXICITY OF<br />

THERAPIES FOR TYPE 2 DIABETES IN VITRO.<br />

P. H<strong>of</strong>fmann. Novartis, East Hanover, NJ. Sponsor: P. Bentley.<br />

Modeling cardiovascular toxicity in vitro provides the highest capacity means <strong>of</strong><br />

screening molecules in an early stage <strong>of</strong> discovery and development. Furthermore,<br />

there are several in vitro models that emulate and predict the risk <strong>of</strong> cardiovascular<br />

toxicity in human following exposure to a new molecule. However, the lack <strong>of</strong> an<br />

understanding <strong>of</strong> the mechanisms associated with the cardiovascular toxicity <strong>of</strong> a<br />

life-time <strong>of</strong> therapy hinders the application <strong>of</strong> these models to predicting such a result.<br />

<strong>The</strong> solution to this dilemma is to apply those models <strong>of</strong> cardiovascular risk<br />

that have been established and to secondarily attempt to identify mechanisms <strong>of</strong><br />

toxicity specific to treatments for Type 2 diabetic drugs and to develop models that<br />

emulate this condition as a basis for excluding those chemicals with a potential for<br />

undesirable properties.<br />

SOT 2011 ANNUAL MEETING 529

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