The Toxicologist - Society of Toxicology
The Toxicologist - Society of Toxicology
The Toxicologist - Society of Toxicology
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hence more physiologically relevant predictors <strong>of</strong> in vivo toxicity, which recommends<br />
them as the in vitro model <strong>of</strong> choice for pre-clinical toxicity testing.<br />
Reference 1. Marroquin et al., 2007 Tox Sci 97<br />
1081 IMPACT AND FREQUENCY OF DIFFERENT<br />
TOXICITIES THROUGHOUT THE PHARMACEUTICAL<br />
LIFE CYCLE.<br />
W. S. Redfern 1 , L. Ewart 1 , T. G. Hammond 1 , R. Bialecki 2 , L. Kinter 2 , S.<br />
Lindgren 3 , C. E. Pollard 1 , R. Roberts 1 , M. G. Rolf 1 and J. P. Valentin 1 . 1 Global<br />
Safety Assessment, AstraZeneca, Macclesfield, Cheshire, United Kingdom, 2 Global<br />
Safety Assessment, AstraZeneca, Wilmington, DE and 3 Global Safety Assessment,<br />
AstraZeneca, Sodertalje, Sweden.<br />
Prioritisation <strong>of</strong> safety assessment resources according to impact and prevalence <strong>of</strong><br />
toxicities is <strong>of</strong>ten based on opinion, anecdotal examples, recent issues with specific<br />
projects, and regulatory focus. Evidence-based decision-making requires reliable<br />
data on drug-induced toxicities across a range <strong>of</strong> organs/categories. We have collated<br />
information from published reviews across the following categories <strong>of</strong> toxicity:<br />
cardiovascular (CV), nervous system (N), respiratory (RES), gastrointestinal (GI),<br />
renal (REN), hepatotox (HEP), musculoskeletal (MSK), haematology/bone marrow<br />
(HBM), immunotox/photosensitivity (IMT/PTS), reprotox (RTX), genetic<br />
tox (GTX), and carcinogenicity (CNG). Some datasets relate to frequency <strong>of</strong> candidate/marketed<br />
drugs associated with the toxicity; others contain data on prevalence<br />
<strong>of</strong> the toxicity in subjects/patients, as follows. 1. Nonclinical attrition (based<br />
on 88 CDs stopped): CV (27%) > N (14%); RTX (13% > HBM; IMT/PTS (7%)<br />
> GTX (5%) > MSK (4%) > GI; CNG (3%) > REN;RESP (2% each). 2. Phase I<br />
serious ADRs (based on 43 events in 1,015 subjects): N (28%) > GI (23%) ><br />
IMT/PTS (16%) > CV (9%) > HEP (7%) > HBM (2%). 3. Clinical development<br />
– causes <strong>of</strong> attrition (based on 82 CDs stopped): N; CV; HEP (21%) > IMT/PTS<br />
(11%) > REN (9%) > GI (5%) > HBM (4%). 4. Marketed drugs - serious ADRs<br />
(based on 21,298 patients): N (39%) > IMT/PTS (34%) > CV (15%) > GI (14%)<br />
> HBM (10%) > RESP (8%) > MSK (3%) > REN (2%). 5. Marketed drugs - withdrawals<br />
(based on 47 drugs withdrawn 1975-07): CV (45%) > HEP (32%) ><br />
HBM (9%) > N;GI;REN;RES (2%). <strong>The</strong>se data require cautious interpretation,<br />
but are a first step to assessing frequency and impact <strong>of</strong> different drug-induced adverse<br />
effects throughout drug discovery, development and marketing. Sources: 1.<br />
ADD (2006) 1;53-65; 2. EJCP (1998) 54;13-20; 3. RegTP (2000) 32;56-67; 4.<br />
JAMA (2006) 296;1858-66; 5. DDT (2009) 14;162-67.<br />
1082 THE USE OF IMPLANTATION OF TRANSPONDERS IN<br />
TG.RASH2 MODELS FOR CARCINOGENICITY<br />
ASSESSMENT: THE USE OF SUBCUTANEOUS<br />
IMPLANTATION OF TRANSPONDERS IN TG.RASH2<br />
MODELS FOR CARCINOGENICITY ASSESSMENT.<br />
M. Paranjpe, M. Wenk and E. A. Zahalka. <strong>Toxicology</strong>, BioReliance Corp,<br />
Rockville, MD.<br />
Subcutaneous implantation <strong>of</strong> transponders is a commonly used method for animal<br />
identification in preclinical studies. Sufficient toxicity data is available to support<br />
the use <strong>of</strong> these implants in various conventionally used rodent strains that are commonly<br />
used in toxicology studies. However, robust data is not available to support<br />
the use subcutaneous transponders in the emerging transgenic models,such as the<br />
Tg.rasH2 mice. This mouse model is commonly used in 26-week carcinogenicity<br />
studies, and the objective <strong>of</strong> this study is to determine if implantation <strong>of</strong> transponders<br />
increases the incidence <strong>of</strong> tumors in this model over a 26-week period. Forty<br />
Tg.rasH2 mice per sex (8±2 weeks) were implanted with microchip transponder<br />
subcutaneously, and an additional 20 males and 25 females were used as a trocar<br />
control group (not implanted with the transponder, but subjected to subcutaneous<br />
injection procedure). Mice were necropsied 26 weeks post-implantation <strong>of</strong> the<br />
transponder. <strong>The</strong> primary endpoints <strong>of</strong> the study were macroscopic and microscopic<br />
analyses <strong>of</strong> implantation (injection) sites. No gross lesions were noted at the<br />
skin site <strong>of</strong> injection (SOI) in transponder-implanted or trocar control mice at<br />
necropsy. <strong>The</strong> skin SOI <strong>of</strong> trocar control mice was considered to be within normal<br />
limits for all mice. Histopathological evaluation revealed that the transponder-implanted<br />
skin SOI was within normal limits for 14/40 males and 12/40 females. In<br />
the transponder-implanted animals, skin cavity formation was noted in the dermis<br />
<strong>of</strong> 25/40 male and 27/40 female mice, and connective tissue surrounding these cavities<br />
was compressed in 24/40 males and 26/40 females. Fibrosis, <strong>of</strong> minimal to<br />
mild intensity, was noted in the dermis directly surrounding the cavities in some <strong>of</strong><br />
these mice. No tumors were observed at the SOI in any <strong>of</strong> the mice at all groups. It<br />
is therefore, concluded that the use <strong>of</strong> transponders in the Tg.rasH2 mice would<br />
not negatively impact the outcome <strong>of</strong> a 26-week carcinogenicity study.<br />
1083 METHODS FOR SUCCESSFUL CONDUCT OF<br />
CHRONIC TOXICOLOGY INTRAVENOUS TAIL VEIN<br />
INJECTION STUDIES IN RATS.<br />
R. Gendron, C. Parente, S. Y. Smith and C. Copeman. <strong>Toxicology</strong>, Charles River<br />
Laboratories, Preclinical Services (PCS-MTL), Senneville, QC, Canada. Sponsor: M.<br />
Vézina.<br />
Performing rodent chronic toxicology studies via daily intravenous injection can be<br />
challenging. Appropriate experimental procedures as well as consideration for the<br />
dose volume and properties <strong>of</strong> the formulation to be administered are required.<br />
Studies were conducted at PCS-MTL using phosphate buffered saline or 0.9%<br />
saline administered by daily slow bolus intravenous injection (tail vein) for up to<br />
182 consecutive days. <strong>The</strong> rats were between Day 21 post partum and 7 weeks old<br />
at the start <strong>of</strong> dosing. Animals were restrained using the Horizontal Cylinder (claw<br />
type) device as per PCS-MTL standard operating procedures. Rats were placed in<br />
the restrainer and adjustments made as necessary so as not to restrict chest expansion<br />
for breathing. To facilitate injection, a heating device, the Hot Pad, was used<br />
to dilate the caudal vein. If the injection site was compromised, dosing was suspended<br />
for up to 6 consecutive days to allow sufficient recovery. To minimize the<br />
severity <strong>of</strong> any skin lesion along the tail and/or to aid recovery at the injection site,<br />
calamine lotion was occasionally used as an antipruritic agent. Dosing holidays<br />
were required for 12% <strong>of</strong> the animals (26 rats from a total <strong>of</strong> 210 animals) with a<br />
maximum <strong>of</strong> 19 non-consecutive days (10% <strong>of</strong> the total number <strong>of</strong> doses) without<br />
dose administration for any given animal over the 182 days <strong>of</strong> dosing. Damage to<br />
an injection site such that dosing was no longer possible requiring that the animal<br />
was removed from the study occurred in 3% <strong>of</strong> animals. Two animals necessitated<br />
surgical intervention for amputation <strong>of</strong> a portion <strong>of</strong> the tail; however, dosing was<br />
still successfully maintained. In conclusion, it was demonstrated that with appropriate<br />
care <strong>of</strong> the injection site, rats starting as young as Day 21 post partum can<br />
successfully be dosed by daily intravenous injection via the tail vein for up to 26<br />
consecutive weeks.<br />
1084 ATRIOVENTRICULAR (AV) VALVULAR INJURY CAUSED<br />
BY A VASCULAR ENDOTHELIAL GROWTH FACTOR<br />
RECEPTOR (VEGFR) INHIBITOR IN RATS APPEARS TO<br />
BE RODENT SPECIFIC.<br />
S. Ottinger 1 , T. Salcedo 1 , W. Freebern 1 , R. Westhouse 2 , S. Martin 1 , J. Li 2 , D.<br />
Li 2 , A. Fletcher 1 , H. Fang 1 , W. Foster 2 , R. Zidell 1 , S. Chen 2 , P. Levesque 2 , B.<br />
Car 2 , G. Schulze 1 and T. Reilly 1 . 1 Drug Safety Evaluation, Bristol-Myers Squibb,<br />
Syracuse, NY and 2 Discovery <strong>Toxicology</strong>, Bristol-Myers Squibb, Lawrenceville, NJ.<br />
VEGFR inhibition is a useful therapeutic strategy for treatment <strong>of</strong> a variety <strong>of</strong> cancer<br />
types, but has also been associated with a battery <strong>of</strong> unintended effects. In a rat<br />
6 month oral toxicity study with a VEGFR inhibitor, dose-dependent increases in<br />
incidence and/or severity <strong>of</strong> AV valve thickening and hypercellularity were noted<br />
beginning at 3 months at doses <strong>of</strong> 20, 110, 200/160 mg/kg/day, which progressed<br />
to a valvulopathy characterized by endothelial loss and fibrin deposition (with or<br />
without proliferation <strong>of</strong> mesenchymal cells) in some males at 110 and 200/160<br />
mg/day. Conversely, through 1 year <strong>of</strong> daily dosing with exposures overlapping<br />
those noted in rats, monkeys showed no evidence <strong>of</strong> valvular injury, including no<br />
effects on echocardiograms, clinical biomarkers <strong>of</strong> cardiac injury or histopathologic<br />
effects on the AV valves. In separate telemetry studies, rats had a robust increase (up<br />
to 22 mmHg) in blood pressure (BP) following treatment with the VEGFR inhibitor<br />
while there was only a minimal increase in BP in monkeys, generally within<br />
normal fluctuation <strong>of</strong> controls. Detailed transcriptional examination <strong>of</strong> right and<br />
left AV valves in the rat heart, upstream <strong>of</strong> lesion development (ie, after 3 days and<br />
1 month <strong>of</strong> dosing), failed to demonstrate a direct mechanistic based effect, but did<br />
suggest effects on inflammatory and extracellular matrix related transcripts. It has<br />
been reported that rodents have a spontaneous age-related endocardial myxomatous<br />
change in heart valves that is similar to some cases <strong>of</strong> drug induced valvulopathy.<br />
Based on these data, the valvulopathy induced by this VEGFR inhibitor appears<br />
to be secondary to sustained increases in BP and a drug-related reduced ability<br />
for valvular repair that exacerbated a rodent-specific predisposition to valvular injury<br />
with little relevance to higher-order species, including humans.<br />
1085 COMBINATIONAL TREATMENT OF GAP<br />
JUNCTIONAL ACTIVATOR AND TAMOXIFEN IN<br />
BREAST CANCER CELLS.<br />
T. A. Nguyen, G. Gakhar and D. H. Hua. Diagnostic Medicine, Kansas State<br />
University, Manhattan, KS.<br />
Tamoxifen is a drug <strong>of</strong> choice for endocrine-responsive breast tumor patients.<br />
However, tamoxifen resistance has become a major concern for the treatment <strong>of</strong><br />
breast cancer. Combinational therapies <strong>of</strong> tamoxifen and different drugs are being<br />
SOT 2010 ANNUAL MEETING 231