The International Conference on the Harmonisation
of technical requirements for the registration of pharmaceuticals
for human use (ICH) harmonised tripartite guideline (1997): testing
for carcinogenicity of pharmaceuticals.
Consideration of neonatal rodent bioassay
COC conclusion COC/99/C1 - May 1998
Introduction
1. The International Conference on the Harmonisation of Technical Requirements
for the Registration of Pharmaceuticals for human use (ICH) has agreed
that bioassay data from only one species, (i.e. the rat), would be required
for regulatory submissions. This would be supported by appropriate mutagenicity
and pharmacokinetic data and also information from one other study, that
supplements the long term carcinogenicity study and provides information
that is not readily available from the long term assay (1).The ICH guidelines
cite the use of a neonatal rodent tumourigenicity model as one appropriate
supporting study. Any decision regarding the use of this assay for pharmaceuticals
could have significant implications for other categories of chemical (e.g.
food additives, pesticides, industrial chemicals etc).
2. The Committee has recently reviewed the available information on a
number of short-term bioassays using transgenic mice, which are also cited
as suitable supporting studies in the ICH guidelines on the carcinogenicity
evaluation of pharmaceuticals. The COC concluded, in respect of these
short-term bioassays, that in view of the lack of appropriate validation
data, it would not be appropriate to use the data from short-term transgenic
bioassays considered (i.e. heterozygous p53+/- -deficient, Tg.AC,
and Tg Hras 2 models) to support regulatory decisions at the present
time(2).
3. The COC considered the available information on the neonatal rodent
carcinogenicity bioassay models at its March and May 1998 meetings. Conclusions
4. The following conclusions were finalised at the May 1998 COC meeting.
i) The Committee reviewed the available published information (2-6)
on the neonatal rat and mouse bioassays in the context of the proposal
by the ICH for human medicines that these tests could be used to supplement
information from pharmacokinetic, mutagenicity and one long-term rodent
(usually rat) carcinogenicity bioassay.
ii) Neonatal mouse and rat carcinogenicity bioassays have been shown to
identify genotoxic carcinogens. The Committee agreed that there were very
limited validation data on the neonatal mouse bioassay and even fewer
data regarding the neonatal rat bioassay. The available information showed
tumour yields with genotoxic carcinogens were highly dependent on the
strain of animal, age at start of treatment, and treatment protocol.
iii) Some published information highlighted particular problems with regard
to misclassification of carcinogens and non-carcinogens. There was also
evidence of considerable animal mortality during studies, which raised
animal welfare issues. Members also noted that there were potential difficulties
in extrapolating from results in neonatal animals derived from parenteral
dosing of the test material to other potential routes of human exposure.
iv) The Committee agreed that there were no validation data regarding
the use of short-term neonatal rodent bioassays for the identification
of non-genotoxic carcinogens. Furthermore, the use of appropriate mutagenicity
testing in addition to one carcinogenicity bioassay in a rodent species
would be expected to identify genotoxic carcinogens. Overall, the Committee
concluded that there was no current evidence to support the use of the
neonatal mouse or rat bioassays as apart of the regulatory testing strategy
for human medicines.
References
1. ICH (1997). International Conference on Harmonisation of Technical
Requirements for the Registration of Pharmaceuticals for human use (ICH).
Harmonised Tripartite Guideline. Testing for Carcinogenicity of Pharmaceuticals.
2. Blain. PG, Battershill JM, Venitt S, Cooper CC, and Fielder RJ (1998).
Consideration of short-term carcinogenicity tests using transgenic mouse
models. Mutation Research, 403, 259-263.
3. Flammang TJ, von Tungeln LS, Kadlubar FF and Fu PP. Neonatal mouse
bioassay for tumourigenicity: Alternative to the chronic rodent bioassay.
RegulatoryToxicology and Pharmacology, (1997), 26,230-240.
4. Odashima S (1976). The co-operative development in Japan of methods
for screening chemicals for carcinogenicity. In Screening tests for chemical
carcinogens, edited by Montesano R, Bartsch H and Tomatis L. IARC Scientific
Publications, 12, pp 61- 75, Lyon.
5. Fujii K (1991). Evaluation of the newborn mouse model for chemical
tumourigenesis. Carcinogenesis, 12, 1409-1415.
6. Sykora I and Vortel V (1993). Comparability of postnatal and long-term
tests for carcinogenicity. Neoplasma, 40, 321-327