The Nonhuman Primate in Nonclinical Drug Development and Safety Assessment
By Joerg Bluemel, Sven Korte, Emanuel Schenck and Gerhard Weinbauer
The Nonhuman Primate in Drug Development and Safety Assessment PDF is a valuable reference dedicated to compiling the latest research on nonhuman primate models in nonclinical safety assessment, regulatory toxicity testing and translational science. By covering important topics such as study planning and conduct, inter-species genetic drift, pathophysiology, animal welfare legislation, safety assessment of biologics and small molecules, immunotoxicology and much more, this book provides scientific and technical insights to help you safely and successfully use nonhuman primates in pharmaceutical toxicity testing. A comprehensive yet practical guide, this book is intended for new researchers or practicing toxicologists, toxicologic pathologists and pharmaceutical scientists working with nonhuman primates, as well as graduate students preparing for careers in this area.
Covers important topics such as species selection, study design, experimental methodologies, animal welfare and the 3Rs (Replace, Refine and Reduce), social housing, regulatory guidelines, comparative physiology, reproductive biology, genetic polymorphisms and more
Includes practical examples on techniques and methods to guide your daily practice
Offers a companion website with high-quality color illustrations, reference values for safety assessment and additional practical information such as study design considerations, techniques and procedures and dosing and sampling volumes
I: Genetics of Nonhuman Primate Species Commonly Used in Drug Development
Chapter 1: Diversity and Evolutionary History of Macaques with Special Focus on Macaca mulatta and Macaca fascicularis
Abstract
Acknowledgements
Macaques
The Phylogenetic Position of Macaques Among Primates
Evolutionary History of Macaques
Taxonomic and Genetic Diversity of Rhesus and Long-Tailed Macaques
Conclusion
Chapter 2: Evolutionary History and Genetic Variation of Macaca mulatta and Macaca fascicularis
Abstract
Origin and Dispersal of Cynomolgus Macaques
Origin and Dispersal of Rhesus Macaques
Genetic Diversity in Rhesus and Cynomolgus Macaques
Implications of Ancestral Divergence and Disease Susceptibility
NHP Genomic Studies
Genomic Sequence Analysis and Evolutionary Implications
Comparing Linkage Disequilibrium between Taxa
Introgression During Admixture Between Two Taxa
Genomic Discovery of Candidate Risk Alleles
Functional Allele Comparison in Rhesus and Cynomolgus Macaques
G Protein-Coupled Receptor Gene Variation in Rhesus and Cynomolgus Macaques
Genetic Variation and Drug Safety Testing
Gene Expression Variation
Solute Carriers of Organic Anions Sequence Variation in Cynomolgus Macaques
The Macaque Cytochrome P450 Gene Family
Immune Response Variation as a Variable in Drug Safety Testing
Conclusion
Chapter 3: Genetic Variation of the Major Histocompatibility Complex in Macaca mulatta and Macaca fascicularis
Abstract
Acknowledgments
General Aspects of the Major Histocompatibility Complex
The MHC of M. mulatta and M. fascicularis
MHC Disease Associations
Conclusion
Chapter 4: Genetic Variations in the Macaca fascicularis Genome Related to Biomedical Research
Abstract
Introduction: Animal Models and Drug Testing
Copy Number Variations in the Genome of M. fascicularis
Conclusion
II: Comparative Physiology of Nonhuman Primate Species Used in Nonclinical Safety Assessment and Drug Development
Chapter 5: Basic Physiology of Macaca fascicularis
Abstract
History and Introduction
Appearance and Morphology
Hematology
Serum Chemistry
Reproduction and Development
Cardiovascular
Hepatic and Urinary
Other Organ Systems
Endemic Diseases and Susceptibility
Behavior
Chapter 6: Basic Physiology of Macaca mulatta
Abstract
General Biology
Gastrointestinal Tract and Nutrition
Cardiovascular System
Respiratory System
Neurologic System and Special Senses
Development and Reproduction
Urinary System
Lymphatic System
Endocrine System
Chapter 7: Basic Physiology of Callithrix jacchus
Abstract
General Biology
Gastrointestinal Tract and Nutrition
Complete Blood Count
Cardiovascular System
Respiratory System
Development and Reproduction
Conclusion
Chapter 8: Comparative Physiology, Growth, and Development
Abstract
Introduction
Comparative Genetics
Comparative Growth and Development
Comparative Cardiovascular Physiology
Comparative Renal Physiology
Comparative Respiratory Physiology
Neurobiology
Visual System
Chapter 9: Implications and Limitations of Reference Values and Historical Data for the Interpretation of Nonhuman Primate Toxicology Studies
Abstract
Introduction
Utility of Reference Intervals for Nonhuman Primate Safety Studies
Limitations of Reference Intervals for Safety Assessment
III: Pathophysiology of Nonhuman Primate Species Used in Nonclinical Safety Assessment and Drug Development
Chapter 10: Nonhuman Primate Diseases of Relevance in Drug Development and their Impact on the Interpretation of Study Findings
Abstract
Introduction
Viral Infections
Bacterial Infections
Parasitic Infections
Fungal Infections
Conclusion
Chapter 11: Consequences and Indicators of Test Article-Related Immune Suppression in Nonhuman Primates
Abstract
Introduction
Selection of the NHP as the Nonclinical Safety Species for Immunomodulatory Drugs
Immunologically Relevant End Points in Standard Toxicology Studies of NHPs
Specialized Immunologic End Points in NHPs
Differential Diagnosis of On-Target, Off-Target, and Stress-Related Effects on the Immune System
Clinically Apparent Manifestations of Immune Suppression in NHPs Observed in Nonclinical Safety Studies: Case Examples
Identification of a Risk for Clinically Adverse Immune Suppression: Impact on Further Development
Conclusion
Chapter 12: Toxicologic Pathology and Background Lesions of Nonhuman Primates
Abstract
Introduction
The Art and Practice of Toxicologic Pathology
Common Background Microscopic Changes in NHPs
Conclusion
Chapter 13: Nonhuman Primate Models of Human Disease
Abstract
Introduction
Type 2 Diabetes Mellitus, Cardiovascular Disease, and Metabolic Syndrome
Diseases of Aging
Female Reproductive Conditions
Immunosuppressive Conditions
Malaria
IV: The 3 Rs and Animal Welfare
Chapter 14: Opportunities for Implementing the 3 Rs in Drug Development and Safety Assessment Studies Using Nonhuman Primates
Abstract
Introduction
Study Design Considerations to Minimize Nonhuman Primate Use
Refinement of Husbandry and Procedures to Improve Animal Welfare and Quality of Science
Chapter 15: Training and Selection of (Mature) Nonhuman Primates for European Housing
Abstract
Introduction
Training of (Mature) Monkeys for European Housing
Selection of (Mature) Monkeys for European Housing
V: The Role of Nonhuman Primates in Safety Assessment/regulatory Toxicology
Chapter 16: Nonclinical Toxicology Testing Strategies and Applicable International Regulatory Guidelines for Using Nonhuman Primates in the Development of Biotherapeutics
Abstract
Introduction
Species of NHPs Used in Nonclinical Toxicity Studies
Overview of Nonclinical Toxicity Testing Strategy Using NHPs and Applicable International Regulatory Guidelines
Species Selection
In Vivo Pharmacology/Toxicology Studies
Considerations for Safety Pharmacology Assessment
Considerations for Developmental and Reproductive Toxicity Testing
Other Considerations for Using NHPs in Nonclinical Testing Programs
Conclusion
Chapter 17: Alternatives to the Use of Nonhuman Primates in Regulatory Toxicology
Abstract
Introduction
Conventional Nonrodent Species as Alternatives to NHPs
Conventional Rodent Species as Alternatives to NHPs
Genetically Modified Rodent or Nonrodent Species as Alternatives to NHPs
Specific Animal Models for Targets Only Present in Humans/Human Disease
Alternative Lower-Order Species
Omission of Regulatory Toxicity Animal Studies If No Suitable Models Exist (Alternatives to In Vivo Testing)
VI: Translational Aspects for the Use of Nonhuman Primates in Drug Development
Chapter 18: Pharmacokinetics of Human Therapeutics Characterized in Nonhuman Primates
Abstract
Nonhuman Primate Pharmacokinetic Study Designs
NHP PK Study Results
Determinants for PK in NHPs
Other Special PK Studies Using NHPs
PK Analysis of Data Obtained from NHPs
Species Difference and Prediction for Human PK
VII: Nonhuman Primate-specific Aspects of Standard Toxicology Studies
Chapter 19: Advantages and Limitations of Commonly Used Nonhuman Primate Species in Research and Development of Biopharmaceuticals
Abstract
Introduction
Use of NHPs in Research and Development
Evaluation of Reproductive and Developmental Toxicity
Evaluation of Immune Functions
Conclusion
Chapter 20: Nonhuman Primate Health Screening During Acclimation/Prestudy Conditioning
Abstract
Abbreviations
Introduction
Animal Sourcing
Qualification of Animals at the Source
Quarantine of Animals in the Source Country
Transportation to the Test Facility
Quarantine in the Receiving Country
Acclimation
Study Selection
Socialization
Summary of Animal Sourcing and Acclimation
Chapter 21: Study Design Considerations, Technical Procedural Aspects, Scheduling, and Dosing Sampling Volumes
Abstract
Introduction
Animal Welfare, Care, and Use
Applicable Guidelines and Regulations
Justification of the Test System
Chapter 22: Functional Assessments in Nonhuman Primate Toxicology Studies to Support Drug Development
Abstract
Acknowledgements
Introduction
Application to Specific Organ Functions
Conclusion
Chapter 23: Considering the Use of Callithrix jacchus
Abstract
Introduction
Evolutionary Origin of the Common Marmoset
Consequences of Phylogenetic Distance
Use of Marmosets in Reproductive and Regenerative Research
Practical Considerations
Use of Marmosets in Toxicological and Pharmacological Studies
Chapter 24: Considerations on Immunogenicity
Abstract
Introduction
Effect on PK and PD
Impact on Safety
Strategies to Minimize Effect
Methods to Measure Antibodies Against Protein Therapeutics
Conclusion
VIII: Special Toxicity Testing with Nonhuman Primates
Chapter 25: Developmental and Reproductive Toxicity Testing
Abstract
Introduction
Which NHP Model?
Fertility and Early Embryonic Development Study
Embryo-Fetal Development
Prenatal and Postnatal Development
Group Size and “3 R” Considerations
Relevance of ADAs
Placenta: Target Organ and Transport
Data Interpretation Challenges Associated with Background Changes in Pregnant NHPs
Conclusion
Chapter 26: Juvenile Animal Studies and Experience
Abstract
Introduction and Regulatory Considerations
The Use of Nonhuman Primates for Juvenile Toxicity Testing
Organ Systems that Are Well Developed in Macaques at Birth or by 6 Months of Age
Organ Systems that Show Significant Development Beyond 6 Months of Age
Rationale for Not Conducting a Nonclinical Study Using NHPs
Rationale for Conducting a Nonclinical Study in NHPs
Conclusion
Chapter 27: Immunotoxicology Testing of Monoclonal Antibodies in Macaca fascicularis: From Manufacturing to Preclinical Studies
Abstract
Immunotoxicology Regulatory Considerations
Product- and Process-Related Factors and Immunogenicity
State-of-the-Art Immunotoxicology Testing Preclinical Study Designs
Developmental Immunotoxicology Testing
Chapter 28: Ophthalmological Investigations in Toxicity Studies
Abstract
Introduction
General Considerations
Chapter 29: The Use of Nonhuman Primates in Cardiovascular Safety Assessment
Abstract
Acknowledgements
Introduction
Basic Cardiovascular Physiology
Cardiovascular Evaluation Approaches and Methods
Conclusion
Chapter 30: Respiratory Function Measurements in Nonhuman Primates
Abstract
Introduction
Strategy for Respiratory Function Assessment
Methodologies for Assessing Respiratory Functions
Chapter 31: Central Nervous System Assessment in Nonhuman Primates: Behavioral Assessment, Neurological (Electroencephalography, Nerve Conduction), Abuse Liability, and Cognitive Assessment
Abstract
Observation/General Behavior
Electrophysiological Assessment
Cognitive Assessment
Abuse Liability Potential
Conclusion
Chapter 32: Skeletal Assessments in the Nonhuman Primate
Abstract
Introduction to Skeletal Assessments in the Nonhuman Primate NHPs
NHP Bone Morphology and Physiology
Bone Densitometry
Bone Biomechanics
The Role of Biomarkers in Skeletal Assessment
Bone Histology and Histomorphometry
Implementing Skeletal Assessments in Drug Development Programs
Chapter 33: Considerations for Special Administration Techniques
Abstract
Introduction
Major Considerations
Considerations in Practice
Conclusion
IX: Future Trends in Primate Toxicology
Chapter 34: Considerations Regarding the Future Use of Nonhuman Primates to Support the Clinical Development of Biopharmaceuticals
Abstract
Introduction
Background
Regulatory Guidance
Improving Predictive Value
Species Selection
Study Design: General Toxicity
Reproductive/Developmental Toxicity
Immunogenicity
Product Class-Specific Considerations
Disease-Specific Considerations
Potential Impact of Scientific Innovation on the Use of NHPs