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Updated: Apr 6, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Impact analysis of ICH S9 on non-clinical development of anticancer drugs
Milton Bonelli1, Francesca Di Giuseppe2, Sonja Beken3
1European Medicines Agency (EMA), 30 Churchill Place, E3 2PY, London, UK.
Abstract:
Cancer presents a major healthcare challenge worldwide, with several millions new cases a year, and represents a therapeutic area with a high need for new drugs. To respond to this, the parties of the International Conference for Harmonization agreed in 2007 to develop a guideline on nonclinical requirements for oncology therapeutics' development (ICH S9), which came into effect in early 2010. This guideline includes recommendations to facilitate and accelerate the development and marketing of cancer therapeutic agents for serious and life threatening malignancies and aims to address this need through a refinement and a reduction in the use of experimental animals, following the 3Rs principles. To assess the impact of ICH S9 on drug development and reduction of animal use, we performed an analysis of Marketing Authorization Applications at the European Medicines Agency relevant to the period in which the development of the guideline was approaching the final steps and its early implementation period. From the analysis performed, a consistent trend towards a decrease in the average number of non-clinical studies performed (-40.7%) and number of animals used per development program (-58.1%) for new chemical entities has been detected, highlighting increasing compliance by companies to the recommendations of ICH S9.
Insights
The International Council for Harmonisation S9 guideline reduced animal testing in oncology drug development. New chemical entity programs saw a 40.7% decrease in non-clinical studies and a 58.1% drop in animal use.
Area of Science:
- Oncology
- Drug Development
- Regulatory Science
Background:
- Cancer is a global health challenge requiring novel therapeutics.
- The International Council for Harmonisation S9 guideline was developed to streamline oncology drug development.
- The guideline promotes the 3Rs principles (Replacement, Reduction, Refinement) to minimize animal use.
Purpose of the Study:
- To evaluate the impact of the International Council for Harmonisation S9 guideline on non-clinical study requirements and animal usage in oncology drug development.
- To assess the adoption of ICH S9 recommendations by pharmaceutical companies.
Main Methods:
- Analysis of Marketing Authorization Applications submitted to the European Medicines Agency.
- Comparison of non-clinical study numbers and animal usage before and after ICH S9 implementation.
- Focus on new chemical entities for oncology therapeutics.
Main Results:
- A significant decrease in the average number of non-clinical studies per development program (-40.7%).
- A substantial reduction in the average number of animals used per development program (-58.1%).
- Evidence of increasing industry compliance with ICH S9 recommendations.
Conclusions:
- The ICH S9 guideline has successfully reduced the extent of non-clinical testing and animal use in oncology drug development.
- The guideline facilitates faster development and marketing of life-saving cancer therapeutics.
- Continued adherence to ICH S9 is expected to further optimize drug development processes and animal welfare.
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