The Predictive Value of Non-Clinical Testing
5. Toxicology Studies
5.1. Repeated-Dose Toxicity
Maximum Duration of Clinical Trial |
Recommended Minimum Duration of Repeated-Dose Toxicity Studies to Support Clinical Trials |
|
Rodents |
Non-rodents |
|
Up to 2 weeks |
2 weeksa |
2 weeksa |
Between 2 weeks and 6 months |
Same as clinical trialb |
Same as clinical trialb |
Longer than 6 months |
6 monthsb,c |
9 monthsb,c,d |
a In the United States, extended single-dose toxicity studies can replace two week studies to support single-dose human trials. b In some circumstances, clinical trials longer than three months can start, if data are available from a 3-months rodent and a 3-months non-rodent study. On a case-by-case basis, this extension can be supported by chronic, in-life and necropsy data. c There can be cases where children are the primary population, and where existing animal studies have identified developmental concerns. In these cases, it can be appropriate to do long-term toxicity testing in juvenile animals. d In the EU, studies in non-rodents for six months are considered acceptable. However, where studies with a longer duration have been conducted, it is not appropriate to conduct an additional study of six months. |
Table 2: Recommended duration of repeated-dose toxicity studies to support the conduct of clinical trials. Table adapted from ICH (2009) M3(R2).
The recommended durations of repeated-dose toxicity studies needed to support a marketing authorisation application (MAA) are shown in Table 3 below.
Duration of Indicated Treatment |
Rodent |
Non-Rodent |
Up to 2 weeks |
1 month |
1 month |
More than 2 weeks to 1 month |
3 months |
3 months |
More than 1 month to 3 months |
6 months |
6 months |
More than 3 months |
6 monthsa |
9 monthsa,b |
a There can be cases where children are the primary population, and where existing animal studies have identified developmental concerns. In these cases, it can be appropriate to do long-term toxicity testing in juvenile animals b In the EU, studies in non-rodents for six months are considered acceptable. However, where studies with a longer duration have been conducted, it is not appropriate to conduct an additional study of six months. |
Table 3: Recommended duration of repeated-dose toxicity studies to support an MAA. Table adapted from ICH (2009) M3(R2).
Testing in both rodent and non-rodent animals is important to obtain as much data as possible on toxicity for a given medicine. Each "animal type" has features that can be transposed into human situations and that can help researchers understand the potential toxic effect of the medicine in humans.