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Toxicity tests in animals are grounded on two main assumptions: first, the effects observed in laboratory animals can be extrapolated to humans, especially when adjusted for body surface area; second, high-dose exposure in animals is essential to identify potential human hazards from lower doses. This is based on the quantal dose-response concept, which faces the challenge of extrapolating results from relatively few test animals to much larger human populations. For example, a 0.01% incidence...
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Calculating drug dosage and accumulation in multiple-dose regimens is crucial for achieving therapeutic efficacy while avoiding toxicity. This involves determining the plasma drug concentrations over time to optimize dosing schedules. The principle of superposition is fundamental in this process, allowing for the prediction of drug concentration in plasma following multiple doses based on single-dose data.The principle of superposition asserts that the plasma concentration-time curves from...
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Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
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Studies that assess how a drug is absorbed, distributed, metabolized, and excreted (ADME) at toxic doses are termed toxicokinetics. Understanding toxicokinetics helps predict adverse drug reactions (ADRs) and manage toxicity in humans.Toxicokinetics differs from pharmacokinetics mainly in the dose levels studied, with toxicokinetics focusing on higher toxic doses. The kinetics at these levels can be non-linear due to altered physiological processes. Toxicodynamics examines the relationship...
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Bioavailability Study Design: Single Versus Multiple Dose Studies01:11

Bioavailability Study Design: Single Versus Multiple Dose Studies

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Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
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Drug Toxicity: Overview01:00

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Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...
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Lessons learned from read-across case studies for repeated-dose toxicity.

Terry W Schultz1, Mark T D Cronin2

  • 1The University of Tennessee, College of Veterinary Medicine, 2407 River Drive, Knoxville, TN, 37996-4543, USA.

Regulatory Toxicology and Pharmacology : RTP
|June 29, 2017
PubMed
Summary
This summary is machine-generated.

Read-across predictions for chronic health endpoints require robust justification of chemical similarity. Toxicokinetic and toxicodynamic data are essential for reducing uncertainty in these complex health assessments.

Keywords:
Case studiesRead-acrossRegulatory acceptanceRepeated-dose toxicitySimilarityUncertainty

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Area of Science:

  • Toxicology and chemical risk assessment
  • Pharmacokinetics and pharmacodynamics
  • New Approach Methodologies (NAMs)

Background:

  • Read-across is a method used to predict the toxicity of chemicals based on data from similar substances.
  • Uncertainty in read-across predictions can arise from data quality, quantity, and the justification of similarity.
  • Chronic health endpoints present particular challenges for read-across due to complex biological mechanisms.

Purpose of the Study:

  • To evaluate case studies on read-across predictions for chronic health endpoints.
  • To identify and analyze sources of uncertainty in the read-across process.
  • To determine the key factors influencing the reliability of read-across predictions.

Main Methods:

  • Analysis of existing case studies focusing on read-across for chronic health endpoints.
  • Assessment of uncertainty factors, including data quality, quantity, and similarity justifications.
  • Evaluation of the role of chemical, toxicokinetic, and toxicodynamic similarity.

Main Results:

  • Chemical similarity alone is often insufficient for justifying read-across, particularly for chronic health endpoints.
  • Toxicokinetic (e.g., ADME) and toxicodynamic similarity are crucial for reliable read-across predictions.
  • New Approach Methodologies (NAMs) like in vitro and in silico tools can strengthen toxicodynamic similarity arguments.
  • Metabolism-related toxicokinetic data frequently drives overall uncertainty in read-across assessments.

Conclusions:

  • Read-across predictions for chronic health endpoints necessitate strong evidence of toxicokinetic and toxicodynamic similarity.
  • Addressing uncertainty requires comprehensive evaluation of scientific arguments and supporting data.
  • NAMs offer valuable data for improving the reliability of read-across, especially for toxicodynamic aspects.