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Immunogenicity assessment in non-clinical studies.

Steven J Swanson1, Jeanine Bussiere

  • 1Clinical Immunology, Amgen, Inc., Thousand Oaks, CA 91320, United States. swanson@amgen.com

Current Opinion in Microbiology
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Preclinical anti-drug antibody testing for protein therapeutics is not always necessary. Data from these studies may not predict clinical immunogenicity but can aid in interpreting other safety data when needed.

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Area of Science:

  • Biopharmaceutical development
  • Drug safety evaluation
  • Immunogenicity assessment

Background:

  • International Council for Harmonisation S6 guidance suggests anti-drug antibody (ADA) testing is not always required for protein therapeutic safety.
  • High drug concentrations in preclinical studies can interfere with ADA detection.
  • Preclinical ADA responses do not reliably predict clinical immunogenicity.

Purpose of the Study:

  • To evaluate the necessity and utility of preclinical anti-drug antibody testing for biopharmaceuticals.
  • To discuss the interpretation and limitations of immunogenicity data in preclinical drug development.
  • To highlight potential safety concerns related to immune complex formation.

Main Methods:

  • Review of current regulatory guidance (ICH S6).
  • Discussion of analytical procedures for ADA detection (immunoassays, biological assays).
  • Consideration of immune complex formation and its safety implications.

Main Results:

  • Preclinical ADA testing is not universally required.
  • ADA detection can be challenging due to high drug levels.
  • Preclinical immunogenicity data has limited predictive value for clinical outcomes.
  • Certain conditions, like IV mAb dosing, can lead to safety issues via immune complexes.

Conclusions:

  • Preclinical ADA testing should be selectively applied based on specific study needs.
  • The primary value of preclinical immunogenicity data lies in interpreting other study findings.
  • Understanding potential safety risks, such as immune complex formation, is crucial.