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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

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