Module 9 2021
23/03/2021
Nonclinical Toxicology
Goal of studies • Help define safe dose of antigen/adjuvant • Identify unknown or potential adverse effects Choice of studies • In vitro and in vivo • Depends on target population (e.g. women of childbearing potential? *) • Local tolerance/ Systemic tolerability • *Developmental and Reproductive toxicity
Follow guidelines on the conduct of toxicity studies ICH- CHMP- FDA National regulations (NR) and on the nonclinical evaluation of vaccines: WHO-CHMP-FDA National regulations (NR)
Not applicable or only case to case: -safety pharmacology -Genotoxicity -Carcinogenicity
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Standard timing of nonclinical pharmacology and toxicology studies
Prior to FTIH
Prior to PH II/ III
Prior to submission
Justify antigen and adjuvant use (POC) Select and justify species for toxicity testing [Genotoxicity] Repeat dose toxicity including local and systemic tolerance. Support safe clinical dose Characterise immune response MOA of vaccine [Developmental and reproductive toxicity] [studies to confirm comparability of manufacturing or formulation changes]
[ = on case to case basis]
Note - Separate non-clinical testing of adjuvant alone is also required
FTIH = First Time In Human; POC = Proof of Concept; PH = Phase; MOA = Mode Of Action
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