药物药物诱导的甲状腺瘤在老鼠中的人类相关性,标签影响和致癌性研究要求
1Research and Development, Drug Safety R&D, Pfizer, Cambridge, Massachusetts, USA.
Journal of applied toxicology : JAT
|March 14, 2025
概括
甲状腺瘤在老鼠中很常见,但通常与人类无关,特别是当药物诱导的肝酶变化引起时. 监管审查通常得出结论,这些发现对人类没有风险.
科学领域:
- 毒理学 毒理学 毒理学
- 药理学 药理学是指药理学的学科.
- 致癌性研究 致癌性研究
背景情况:
- 甲状腺瘤在老老鼠中很常见,卵泡和C细胞腺瘤的发病率很高.
- 由于甲状腺激素代谢的物种特异性差异,动物中甲状腺卵泡瘤的药物诱导增加通常被认为与人类无关.
研究的目的:
- 在老鼠的致癌性研究中审查与甲状腺瘤相关的已批准药物.
- 总结这些发现如何在美国和欧洲的产品标签和人类风险评估中传播.
主要方法:
- 审查已批准的药物标签和人类风险评估.
- 对甲状腺瘤的2年老鼠致癌性研究数据的分析.
- 评估动物甲状腺发现对人类的翻译相关性.
主要成果:
- 鼠类甲状腺毛囊细胞瘤,通常与肝酶诱导有关,在监管评估中经常被认为与人类无关.
- 甲状腺C细胞瘤在老鼠中很常见,GLP-1激动剂的显着增加被观察到,这证明了人类相关性的持续安全监测.
结论:
- 由于甲状腺激素清除增加的甲状腺毛囊细胞增生,应使用综合的非临床和临床数据评估人类相关性.
- 考虑人类相关性的证据权重方法对于解释致癌性研究结果至关重要,与ICH指南保持一致.
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