Toxicology and Biodistribution: The Clinical Value of Animal Biodistribution Studies
Beatriz Silva Lima1,2, Mafalda Ascensão Videira1
1Universidade de Lisboa, Faculdade de Farmácia, iMED.ULisboa, Lisboa 1649003, Portugal.
Abstract:
Since the human genome decoding, understanding and identification of genetic disturbances behind many diseases, including cancer, are intensively increasing. Scientific and technological advances in this area trigger the search for therapeutic (curative) approaches targeting the correction of gene disturbances. Gene therapy medicinal products (GTMPs) emerge in this context, bringing new challenges for their characterization. Compared to small molecules, biodistribution is fundamental to identifying target organs and anticipating safety and efficacy, may be integrated into safety and pharmacology studies, and may eventually be anticipated based on specificities of vectors and constructs. This review describes and discusses the requirements for nonclinical development and evaluation of GTMPs versus conventional ones and the needs and challenges of constructing nonclinical packages that assure GTMPs' human safety from early development, taking into consideration usefulness and/or limitations of many conventional, preclinical models. The experience gained in the European context is referenced.
Insights
This review discusses the nonclinical development of gene therapy medicinal products (GTMPs), focusing on characterization, biodistribution, and safety evaluation. It highlights challenges and strategies for ensuring human safety from early development stages.
Area of Science:
- Pharmacology
- Genetics
- Biotechnology
Background:
- Advancements in human genome decoding increase understanding of genetic disturbances in diseases like cancer.
- Gene therapy medicinal products (GTMPs) offer curative approaches by targeting gene correction.
- Characterizing GTMPs presents unique challenges compared to conventional therapeutics.
Purpose of the Study:
- To review and discuss nonclinical development requirements for GTMPs.
- To address the needs and challenges in evaluating GTMP safety and efficacy.
- To consider the utility and limitations of preclinical models for GTMPs.
Main Methods:
- Review of existing literature and regulatory guidelines.
- Comparative analysis of nonclinical development for GTMPs versus conventional drugs.
- Discussion of biodistribution studies and their role in safety and efficacy assessment.
Main Results:
- Biodistribution is crucial for GTMPs, informing safety and efficacy.
- Nonclinical packages for GTMPs require careful construction to ensure human safety.
- Conventional preclinical models have limitations for GTMP evaluation.
Conclusions:
- Ensuring GTMP human safety necessitates tailored nonclinical development strategies.
- Understanding vector and construct specificities is key to anticipating GTMP behavior.
- European regulatory context provides valuable experience for GTMP development.
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