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Related Experiment Videos

Immune function tests for hazard identification: a paradigm shift in drug development.

Elizabeth R Gore1

  • 1Department of Safety Assessment, GlaxoSmithKline Pharmaceuticals, King of Prussia, PA 19406, USA. elizabeth.r.gore@gsk.com

Basic & Clinical Pharmacology & Toxicology
|April 21, 2006
PubMed
Summary

Regulatory requirements for immune function testing in drug development are debated. Optimization of T-cell dependent antibody response (TDAR) assays is ongoing to improve preclinical immunotoxicity risk assessments.

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Area of Science:

  • Pharmacology
  • Immunotoxicology
  • Regulatory Science

Background:

  • Regulatory agencies mandated routine immune function testing in preclinical drug development in 2000.
  • This mandate aimed to identify unintended immunosuppression but sparked debate due to differing international approaches.
  • Uncertainty regarding the predictive value of these tests prompted investigation by the International Council for Harmonisation (ICH).

Purpose of the Study:

  • To review the debate surrounding the necessity and utility of immune function tests in preclinical drug development.
  • To explore recommendations for optimizing T-cell dependent antibody response (TDAR) assays.
  • To enhance the sensitivity and predictability of immunotoxicity risk assessments.

Main Methods:

  • Evaluation of T-cell dependent antibody response (TDAR) using Sheep Red Blood Cell (SRBC) plaque assay.

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  • Assessment of modified ELISA methods for TDAR using SRBC or keyhole limpet hemocyanin (KLH) as antigens.
  • Analysis of industry-wide survey data on the impact of pharmaceuticals on immune function.
  • Main Results:

    • A preliminary survey indicated that few pharmaceuticals impact immune function without affecting standard toxicology parameters.
    • Ongoing optimization of TDAR assays is crucial for establishing best practices.
    • The International Council for Harmonisation (ICH) is expected to issue guidelines that will influence future testing protocols.

    Conclusions:

    • The appropriateness of routine immune function testing remains a subject of discussion.
    • Optimizing TDAR methodology is essential for reliable preclinical immunotoxicity evaluations.
    • Further standardization and validation are needed to ensure the predictive value of immune function tests in drug development.