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Abstracts / Toxicology Letters 189S (2009) S57–S273 S157 Y21 The European IMI SAFE-T Consortium: Qualification of transla- tional safety biomarkers Frank Dieterle 1,, Ina Schuppe-Koistinen 2 , Neus Prats 3 , Lauren Brown 4 , Patrice Cacoub 5 , Thierry Poynard 5 , Joe Keenan 6 , Thomas Krahn 7 , Arno Kalkuhl 8 , Ulf Neumann 9 , Teresa Padro 10 , Thomas Joos 11 , Karin Briner 12 , Jean-Marc Vidal 13 , John Hasselden 14 , Huesseyin Firat 15 , Landry Cochard 16 , Nicole Schneierhahn 17 , Denise Robinson-Gravatt 18 , Lucette Doesegger 19 , Nadir Arber 20 1 Novatis, Translational Sciences, Basel, Switzerland, 2 AstraZeneca, Sweden, Sweden, 3 Almirall, Barcelona, Spain, 4 Amgen, Brussels, Belgium, 5 AP-HP, Paris, France, 6 Argutus, Dublin, Ireland, 7 Bayer Schering, Wuppertal, Germany, 8 Boehringer-Ingelheim, Biberach, Germany, 9 Charite, Berlin, Germany, 10 CSIC-ICCC, Barcelona, Spain, 11 EDI-RBM, Reutlingen, Germany, 12 Eli Lilly, Hampshire, United Kingdom, 13 EMEA, London, United Kingdom, 14 GSK, Brentford, United Kingdom, 15 Firalis, Huingue, France, 16 InterfacEurope, Brussels, Belgium, 17 NMI, Reutlingen, Germany, 18 Pfizer, Sandwich, United Kingdom, 19 Roche, Basel, Switzerland, 20 SMC Tel-Aviv, Tel Aviv, Israel A lack of specific and sensitive mechanistic safety markers and their respective assays for human samples is regularly delaying drug development programs. This is especially the case when a histo-pathological signal is seen in preclinical toxicology studies which cannot be adequately monitored in humans. For example, current standards to monitor the safety of the kidney (Serum Cre- atinine, BUN) are late and insensitive and can only be increased when 50–60% of the kidney function is lost. In the case of liver safety, current standards (AST, ALT, Bilirubin) are not specific and do not predict who will recover and who will develop fulminant liver disease. Furthermore, currently no accepted clinical safety markers are available to detect and monitor drug-induced vascular injury in human. The SAFE-T Consortium (Safer and Faster Evidence-based Trans- lation), which is part of the Innovative Medicine Initiative (IMI), which is composed of 10 pharma companies, six academic centers of excellence, four SMEs and the European Medicine Agency, will establish a scientific biomarker qualification strategy and apply it in clinical biomarker studies for the translation, performance test- ing and eventual regulatory qualification of safety biomarkers for drug-induced kidney, liver and vascular injury (DIKI, DILI and DIVI). In this presentation, the background of this consortium, the objectives, strategies and different steps and milestones are pre- sented such as: Definition of scientific clinical qualification processes for safety biomarker qualification in clinical development with health authorities. Characterization of the needs for new clinical biomarkers com- pared to current standards and criteria to be met in all three organ areas (pathologies). Assay development procedures: fit for purpose for exploratory phase, multiplexed and GLP-validated for confirmatory phase. Establishing baseline values and their variability in healthy sub- jects and various patient populations. Defining and running protocols to measure the performance of these biomarkers against current standards in clinical studies and hospital units with expected drug-induced injuries and in patients with relevant diseases (exploratory and confirmatory phase for all three organs). Setting up a common database and biosample repository to be able to build up on any new data set upcoming in the future and to investigate further upcoming biomarker candidates. Qualification of appropriate markers for regulatory decision mak- ing in clinical contexts together with heath authorities. Gaining mechanistic understanding when needed via pre-clinical studies. It is expected that this consortium will strongly influence the science and the regulatory acceptance of safety biomarker to sup- port drug development and ultimately to improve patients’ health and safety. Selected for Oral Presentation. doi:10.1016/j.toxlet.2009.06.764 Y22 Cardiac biomarker evaluation following Isoprenaline adminis- tration in the minipig Cécilia Gerhardy , Anne Reiniche, Olivier Boucheix, Jean-Paul Briffaux, Hélène Voute MDS, Drug Safety Assessment, L’Arbresle, France The objective of the study was to investigate the pertinence of var- ious biomarkers of cardiac toxicity in the minipig. Four Göttigen 10-month-old male minipigs were used. A Millar catheter pressure transducer was inserted into the left ventricle via the left carotid artery of each minipig. The left jugular vein was catheterised with a polyethylene 6F catheter for blood sam- pling. The minipigs were maintained under general anaesthesia with isoflurane in oxygen throughout the experiment. All minipigs were given Isoprenaline hydrochloride. The first animal received 0.5 mg/kg as an intravenous bolus injection. Two animals received 6 mg/kg infused intravenously over 1 h. The remaining animals received 0.5 mg/kg by the subcutaneous route. The left ventricular pressure and electrocardiogram (lead II derivation) were continuously recorded using Notocord-hem v.3.4 software. Blood samples were taken before dosing and at vari- ous time-points up to 150 min after dosing and used for clinical chemistry determinations. The parameters evaluated included troponin I, serum amyloid A (SAA), aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT) and creatine kinase (CK). A histopathological examination of the heart was performed for all animals. The serum levels of troponin I increased following administra- tion of Isoprenaline and were closely correlated with the degree of cardiac injury indicated in the ECG and histopathology findings. SAA, ALAT and CK showed a high inter-individual variability and were thus poorly indicative of cardiac toxicity. ASAT activity was increased, but this enzyme is not specific to cardiac tissue. doi:10.1016/j.toxlet.2009.06.765

The European IMI SAFE-T Consortium: Qualification of translational safety biomarkers

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Page 1: The European IMI SAFE-T Consortium: Qualification of translational safety biomarkers

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toSAA, ALAT and CK showed a high inter-individual variability andwere thus poorly indicative of cardiac toxicity. ASAT activity wasincreased, but this enzyme is not specific to cardiac tissue.

doi:10.1016/j.toxlet.2009.06.765

Abstracts / Toxicology L

21he European IMI SAFE-T Consortium: Qualification of transla-

ional safety biomarkers�

rank Dieterle 1,∗, Ina Schuppe-Koistinen 2, Neus Prats 3, Laurenrown 4, Patrice Cacoub 5, Thierry Poynard 5, Joe Keenan 6,homas Krahn 7, Arno Kalkuhl 8, Ulf Neumann 9, Teresa Padro 10,homas Joos 11, Karin Briner 12, Jean-Marc Vidal 13, Johnasselden 14, Huesseyin Firat 15, Landry Cochard 16, Nicolechneierhahn 17, Denise Robinson-Gravatt 18, Lucetteoesegger 19, Nadir Arber 20

Novatis, Translational Sciences, Basel, Switzerland, 2 AstraZeneca,weden, Sweden, 3 Almirall, Barcelona, Spain, 4 Amgen, Brussels,elgium, 5 AP-HP, Paris, France, 6 Argutus, Dublin, Ireland, 7 Bayerchering, Wuppertal, Germany, 8 Boehringer-Ingelheim, Biberach,ermany, 9 Charite, Berlin, Germany, 10 CSIC-ICCC, Barcelona, Spain,

1 EDI-RBM, Reutlingen, Germany, 12 Eli Lilly, Hampshire, Unitedingdom, 13 EMEA, London, United Kingdom, 14 GSK, Brentford,nited Kingdom, 15 Firalis, Huingue, France, 16 InterfacEurope,russels, Belgium, 17 NMI, Reutlingen, Germany, 18 Pfizer, Sandwich,nited Kingdom, 19 Roche, Basel, Switzerland, 20 SMC Tel-Aviv, Telviv, Israel

lack of specific and sensitive mechanistic safety markers andheir respective assays for human samples is regularly delayingrug development programs. This is especially the case when aisto-pathological signal is seen in preclinical toxicology studieshich cannot be adequately monitored in humans. For example,

urrent standards to monitor the safety of the kidney (Serum Cre-tinine, BUN) are late and insensitive and can only be increasedhen 50–60% of the kidney function is lost. In the case of liver

afety, current standards (AST, ALT, Bilirubin) are not specific and doot predict who will recover and who will develop fulminant liverisease. Furthermore, currently no accepted clinical safety markersre available to detect and monitor drug-induced vascular injury inuman.

The SAFE-T Consortium (Safer and Faster Evidence-based Trans-ation), which is part of the Innovative Medicine Initiative (IMI),

hich is composed of 10 pharma companies, six academic centersf excellence, four SMEs and the European Medicine Agency, willstablish a scientific biomarker qualification strategy and apply itn clinical biomarker studies for the translation, performance test-ng and eventual regulatory qualification of safety biomarkers forrug-induced kidney, liver and vascular injury (DIKI, DILI and DIVI).

In this presentation, the background of this consortium, thebjectives, strategies and different steps and milestones are pre-ented such as:

Definition of scientific clinical qualification processes for safetybiomarker qualification in clinical development with healthauthorities.Characterization of the needs for new clinical biomarkers com-pared to current standards and criteria to be met in all three organareas (pathologies).Assay development procedures: fit for purpose for exploratoryphase, multiplexed and GLP-validated for confirmatory phase.Establishing baseline values and their variability in healthy sub-jects and various patient populations.

Defining and running protocols to measure the performance ofthese biomarkers against current standards in clinical studiesand hospital units with expected drug-induced injuries and inpatients with relevant diseases (exploratory and confirmatoryphase for all three organs).

189S (2009) S57–S273 S157

Setting up a common database and biosample repository to beable to build up on any new data set upcoming in the future andto investigate further upcoming biomarker candidates.Qualification of appropriate markers for regulatory decision mak-ing in clinical contexts together with heath authorities.Gaining mechanistic understanding when needed via pre-clinicalstudies.

It is expected that this consortium will strongly influence thecience and the regulatory acceptance of safety biomarker to sup-ort drug development and ultimately to improve patients’ healthnd safety.

Selected for Oral Presentation.

oi:10.1016/j.toxlet.2009.06.764

22ardiac biomarker evaluation following Isoprenaline adminis-ration in the minipig

écilia Gerhardy ∗, Anne Reiniche, Olivier Boucheix, Jean-Paulriffaux, Hélène Voute

MDS, Drug Safety Assessment, L’Arbresle, France

he objective of the study was to investigate the pertinence of var-ous biomarkers of cardiac toxicity in the minipig.

Four Göttigen 10-month-old male minipigs were used. A Millaratheter pressure transducer was inserted into the left ventricleia the left carotid artery of each minipig. The left jugular veinas catheterised with a polyethylene 6F catheter for blood sam-ling. The minipigs were maintained under general anaesthesiaith isoflurane in oxygen throughout the experiment.

All minipigs were given Isoprenaline hydrochloride. The firstnimal received 0.5 mg/kg as an intravenous bolus injection. Twonimals received 6 mg/kg infused intravenously over 1 h. Theemaining animals received 0.5 mg/kg by the subcutaneous route.

The left ventricular pressure and electrocardiogram (lead IIerivation) were continuously recorded using Notocord-hem v.3.4oftware. Blood samples were taken before dosing and at vari-us time-points up to 150 min after dosing and used for clinicalhemistry determinations. The parameters evaluated includedroponin I, serum amyloid A (SAA), aspartate aminotransferaseASAT), alanine aminotransferase (ALAT) and creatine kinase (CK).histopathological examination of the heart was performed for all

nimals.The serum levels of troponin I increased following administra-

ion of Isoprenaline and were closely correlated with the degreef cardiac injury indicated in the ECG and histopathology findings.