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Toxicology services
                                                                                           General toxicology:
                                                                                             - Rodents
                                                                                             - Non-rodents: dogs, NHPs and minipigs
                                                                                           Infusion
                                                                                                                                                                        Global expertise, Local response
                                                                                           Inhalation
                                                                                           Dermal
                                                                                           Ocular
                                                                                           Immunotoxicology
                                                                                           Reproductive toxicology including minipigs and NHPs
CiToxLAB Group companies                       Also represented by                         Carcinogenicity studies also in rasH2 and p53+/- mice
CiToxlab France                                Media Services Ltd Japan                    Genetic toxicology: ICH compliant package
 Phone 	 +33 (0)2 32 29 26 26                   Phone	    +81 3 3666 9915
                                                                                           In vitro toxicology : BCOP, MUSST, DPRA, Photo 3T3, Episkin™
 Email 	 contact.france@citoxlab.com            Email 	   citoxlab@mediaservices-jp.com    Agrochemical / Chemical / REACH
 B.P. 563, 27005 Evreux cedex - France          Fuji 16 Bldg 7F                            QSAR
                                                1-11-2 Nihonbashi Kayabacho, Chuo-ku,      Physical chemistry
CiToxlab North America                          Tokyo 103-0025 - Japan
                                                                                           Ecotoxicology: wide range of test species
 Phone 	 +1 888 353 2240
 Email 	 contact.northamerica@citoxlab.com     Croen Research Inc.
                                                Phone	 +82 31 888 9390
                                                                                          Safety pharmacology
 445, Armand-Frappier Blvd,
 Laval, Quebec H7V 4B3 - Canada                 Email	ycpark@croen.co.kr                   CV telemetry / ECG / BP
                                                Advanced Institutes of Convergence         Jacketed External Telemetry (JET) / ECG / BP
CiToxlab Hungary                                Technology - B-6th Fl., 864-1,
                                                                                           Respiratory / plethysmography / JET telemetry
                                                lui-dong, Yeongtong-gu,
 Phone	    +36 88 545-300
 Email 	   contact.hungary@citoxlab.com
                                                Suwon-si - Gyeonggi-do, 443-270, Korea     CNS / EEG
 Veszprém, Szabadságpuszta, 8200 - Hungary
                                                                                           Early safety pharmacology
                                               Partner company                            DMPK and biomarkers
CiToxlab Scantox
 Phone	    +45 56 86 15 00                     Stemina                                     Radiolabelled DMPK: in all species
 Email 	   contact.scantox@citoxlab.com
                                                Phone	 +1 608 204 0104                     Bioanalysis LC-MS/MS, GC-MS/MS, LC-ICP/MS, ELISA, RIA
 Hestehavevej 36A, Ejby                         E-mail	info@stemina.com                    Toxicogenomics, miRNA: Affymetrix™ / Accredited service
 DK-4623 Lille Skensved - Denmark               Website	www.stemina.com
                                                                                           provider
                                                504 South Rosa Road, Suite 150
atlanbio                                        Madison, Wisconsin 53719                   Immunology: 10-color flow cytometer, Luminex, Mesoscale
 Phone	 +33 (0)2 51 10 01 00
 Email 	 atlanbio@atlanbio.com                                                            Specialized expertises
 Website	www.atlanbio.com
                                                                                           Juvenile studies including minipigs




                                                                                                                                                          - June 2012
 1 Rue Graham Bell - Z.I de Brais B.P 40309,
 44605 Saint Nazaire Cedex - France
                                                                                           Fertility studies in rodents and NHPs
                                                                                           Radiation safety and efficacy studies
                                                                                           Tissue Cross Reactivity: human and animal tissue banks
                                                                                           Gene therapy vector biodistribution via qPCR
                                                                                           ES cell testing: devTOX™ and cardioTOX™ (with Stemina)
                                                                                           Lead optimization and predictive toxicology services:
                                                                                           Leadscreen™



                                                                                                                                                                                 www.citoxlab.com
CiToxlab Scantox
                         CiToxlab France
                                atlanbio
                                              CiToxlab Hungary
CiToxlab North America                                        Croen Research Inc.
           Stemina                                                                  Media Services Ltd Japan
CiToxLAB, our newly established group, created through the merger of CiT and LAB Research, provides
a comprehensive range of preclinical and specialty services from our facilities in France, Canada,
Denmark and Hungary. With a combined capacity in excess of 800 employees, 27 000 rodents, 5 000
non-rodents, including 1 200 non-human primates on-site, and purpose built facilities of 60, 000 m2
(645, 000 ft ), the new group is a major global player in the preclinical outsourcing arena.
            2


Our broad range of GPL and non GLP nonclinical services combined with our 40 years of experience
are at the service of our customers to meet the demands of today’s complex global marketplace. We
can provide you with accelerated product development, expansion into new markets, risk mitigation,
reduced regulatory delays and improved quality.
Reports from our four facilities have been successfully used by our clients in support of marketing
authorization and new product approval submissions around the world, including to the European
(EMA, ECHA), US (FDA and EPA) and Japanese (MHLW and MAFF) regulatory authorities.
CiToxLAB is committed to the humane treatment of the research animals entrusted to our care.
We guarantee they will be treated with the highest standards of respect and compassion, and particular
attention is accorded to housing conditions, social interaction and enrichment of their environment.
CiToxLAB's ethics committees have established and rigorously enforce our ethics charter for Laboratory
Animals. All employees must continuously demonstrate their commitment to animal welfare and are
required to sign our ethics charter as a condition of initial and continuing employment.
Since 2004, our high ethical standards have been recognized by accreditation from the American
Association of Laboratory Animal Care (AAALAC).
As a highly qualified service provider, we also strive to be flexible, accomodating and respond as
quickly as possible to each of your individual needs.
Our objective can be summarized by our claim:




              CiToxLAB: Global expertise, Local response.
                                                                                                         1
Our commitment to animal welfare
    CiToxLAB is committed to the humane treatment of the research animals entrusted to our care. We
    guarantee that animals will be treated with the highest standards of respect and compassion, and
    particular attention is accorded to housing conditions, social interaction and enrichment of their
    environment.
    AAALAC recognition has been obtained for most of our sites.




    Ethical commitment                         Housing and enrichment                    Staff
    CiToxLAB’s ethics committees have          CiToxLAB always complies with the         CiToxLAB employs highly qualified and
    established and rigorously enforce our     highest standards of animal care          trained staff, who receives continuous
    ethics charter for laboratory animals.     and use.                                  training in order to reinforce their skills
    All employees are encouraged               CiToxLAB has a well defined housing       and provide updates on the latest
    to continually demonstrate their           policy which was designed to ensure       techniques for animal well-being
    commitment to animal welfare and           animal well-being in accordance with      optimization.
    are asked to sign our ethics charter       regulations and current scientific         
    as a condition of initial and continuing   knowledge. Animals are group housed       CiToxLAB         employs         trained
    employment.                                and kept under appropriate conditions     veterinarians with relevant experience
    CiToxLAB employs independent               to facilitate the expression of species   in laboratory animals, and who
    attending veterinarians, dedicated to      behavior.                                 are committed to monitoring and
    animal care. CiToxLAB is particularly                                                improving the animal care and use
    committed to the 3Rs to minimize                                                     program.
    animal use, to enhance their well-
    being and to use alternative methods                                                 Our ethics committees include
    whenever possible. Laboratory animals                                                veterinarians and laypersons. They
    are not exposed to unnecessary                                                       review all study protocols to ensure
    distress or pain. Endpoints for the                                                  that CiToxLAB complies with its ethical
    removal of animals from a study are                                                  commitments.
    defined for all studies.




2
General Toxicology (Acute to Chronic)
With over 40 years of experience, the toxicity testing capabilities of CiToxLAB
comprise a vast array of designs, ranging from acute single dose studies
to carcinogenicity studies, including specialty dose routes such as inhalation and
infusion. All studies are fully GLP compliant in accordance with current guidelines or
custom-designed for particular needs.
CiToxLAB’s four facilities are located in France, North America, Denmark and
Hungary. We offer close to 60,   000  2 of vivarium and supporting laboratories
                                     m
for the conduct of general and specific toxicology studies on: pharmaceuticals,
biotechnology products and medical devices. Our clients include an impressive list
of major pharmaceutical and biotech companies.




Study types                        Species                             Routes of administration
    Acute toxicology                Rat                                Oral
    Subchronic toxicology           M
                                       ouse (including                  I
                                                                          nhalation (including
    Chronic toxicology               genetically modified mice           intratracheal and intranasal)
    Cyto- and genotoxicity           for carcinogenicity and            Intravenous
    Immunotoxicity                   immunological investigations)      Continuous intravenous infusion
    Carcinogenicity                 Rabbit                             Subcutaneous
    Reproductive toxicology         Guinea Pig                         Dermal
    Genomics                        Hamster                            Intradermal
    In vitro toxicology             Dog                                Intramuscular
    Tissue Cross Reactivity         Minipig                            Intraperitoneal
    ADME and Pharmacokinetics       Domestic pig                       Intravaginal and Intraurethral
    Lead optimization                on-human primate
                                      N                                  Intrarectal
    Wound Healing                    (Cynomolgus                        Intravesicular
                                      and Rhesus NHP)                     cular (including subretinal
                                                                          O
                                                                          and intravitreal)
                                                                         Intrathecal
                                                                         Intraarticular




                                                                                                            3
Rodent Toxicology
    Rodents are the species of choice for the safety testing of chemicals, foods and many pharmaceuticals.
    All four CiToxLAB facilities offer a wide variety of rodent protocols, from single dose to carcinogenicity
    studies. CiToxLAB works with all major suppliers to obtain a range of conventional and genetically
    modified strains. Our study directors and pathologists have extensive experience in the interpretation
    of in vivo and post-life data from rats, mice and other rodent species.




    Study types                         Infrastructure                      Routes of administration
      Acute toxicology                     H
                                              ousing capacity for 27 000      Oral gavage
      Short-term immunotoxicity             rodents                           Dietary
      Subchronic                                                              Intravenous
      Chronic                          Species                                I
                                                                                nhalation (including intranasal,
      S
        kin sensitization and            Rat                                  nose-only exposure system)
       photoirritation                    M
                                            ouse (including genetically      Continuous intravenous infusion
      Repeat dose                                                            Subcutaneous
                                           modified mice)
      Carcinogenicity                                                        Dermal
                                          Guinea pig
                                                                              Intradermal
                                          Hamster
    Staff                                                                     Intramuscular
                                                                              Intraperitoneal
    Over 800 staff, including:
                                                                               cular (including subretinal
                                                                                O
      Project managers
      Study directors
                                                                                and intravitreal)
                                                                              Endoscope-assisted
      Immunologists
      Veterinary surgeons
                                                                                administration
      Pathologists
      Toxicologists
      Animal technicians
       nalytical and bioanalytical
       A
       experts
      Regulatory specialists




4
Dog Toxicology
The dog is the most common non-rodent species used for the safety testing of
medicinal products and chemicals. Such studies are routinely performed at all
four CiToxLAB facilities. The animals are housed and handled in accordance with
the latest international regulations, and animals are socialized whenever possible.
Dogs are available from a variety of approved suppliers.




Study types                        Infrastructure                    Specialties
  Acute toxicology                  O
                                       ver 130 rooms designed for      P
                                                                          ermanent dog colonies
  Short-term immunotoxicity          dog housing                        for telemetry and
  Subchronic                         ousing capacity for 1 600+
                                      H                                  pharmacokinetics
  Chronic                            dogs                              odel development services
                                                                         M
  Safety pharmacology                                                 Intraperitoneal
  Pharmacokinetics                                                   Intravaginal and intraurethral
    and Toxicokinetics                                                 Intrarectal
  Efficacy                                                            Intravesicular
                                                                        cular (including subretinal
                                                                         O
Staff                                                                    and intravitreal)
                                                                       Intrathecal
Over 800 staff, including:
                                                                       Intraarticular
  Project managers
  Study directors
  Immunologists
  Veterinary surgeons
  Pathologists
  Toxicologists
  Animal technicians
   nalytical and bioanalytical
   A
   experts
  Regulatory specialists




                                                                                                         5
Non-human primate Toxicology
    Non-human primate (NHP) studies are required for the safety testing of medicinal agents (including
    biotechnology products) that cannot be evaluated in other non-rodent species due to species-
    specific differences in pharmacology or metabolism. The CiToxLAB facilities in France and North
    America offer studies in Cynomolgus and Rhesus NHP. Only purpose-bred NHP are used, and these
    are obtained from approved breeders in four different countries. The on-site pathologists are familiar
    with the spontaneous lesions that can occur in the animals from each source. An extensive panel of
    biomarkers has been validated for use in toxicology studies.




    Study types                        Infrastructure                           Routes of administration
      Acute toxicology                  O
                                           ver 100 rooms designed for             Oral (gavage, capsules, pills)
      Short-term immunotoxicity          non-human primate housing                I
                                                                                    ntravenous (bolus or
      Subchronic                         ousing capacity for 1 800
                                          H                                         continuous
      Chronic                            non-human primates                        infusion ; also available with
      Safety pharmacology                ultiple state-of-the-art surgical
                                          M                                         vascular access port “ cath-in-
      Pharmacokinetics                  suites                                    cath ”)
         Toxicokinetics                                                          Subcutaneous
      Efficacy                        Strains                                    Dermal
                                         C
                                           ynomolgus (Mauritius, China,          Intradermal
    Staff                                 Vietnam, Philippines)                   Intramuscular
                                         Rhesus (China)                          Intraperitoneal
    Over 800 staff, including:
                                                                                  Intranasal
      Project managers
                                                                                  Intravaginal and intraurethral
      Study directors
                                                                                  Intrarectal
      Immunologists
                                                                                   cular (including subretinal
                                                                                    O
      Veterinary surgeons
      Pathologists
                                                                                    and intravitreal)
                                                                                  Endoscope-assisted
      Toxicologists
      Animal technicians
                                                                                    administration
       nalytical and bioanalytical
       A                                                                            (e.g. directly into the
       experts                                                                      duodenum)
      Regulatory specialists




6
Minipig Toxicology
The minipig is a good laboratory animal model for many aspects of human
physiology and metabolism. For this reason, it is becoming increasingly popular
as an alternative to the dog or non-human primate for non-rodent safety testing.
The CiToxLAB facility in Denmark has routinely performed studies in minipigs
since they pioneered the use of this species in the 1980s. Minipig studies are also
available at our CiToxLAB France, North America and Hungary facilities.




Study types                          Specialty studies                     Safety pharmacology
    Acute toxicology                 ermal
                                      D       and wound healing            studies
    Subchronic                      	The skin structure and the             Implanted telemetry for
                                                                               
    Chronic                           physiology of the epidermis in          cardiovascular monitoring
    R
      eproductive and embryofetal     the minipig resembles that of           (DSI system)
    Local tolerance                   humans more closely than in            Jacketed External Telemetry
                                                                               
    Implantation                      any other species. Sparse hair          (JET) for monitoring
                                       covering makes the minipig              cardiovascular and respiratory
Infrastructure                         very suitable for dermal                functions (Ponemah, DSI systems)
  3
    3 rooms designed for              administration of test articles.       Functional Observational
                                                                               

   minipig housing                                                             Battery (FOB)
                                      Juvenile
   ousing capacity for 800+
   H
   minipigs                          	 Juvenile studies are required
                                        for pediatric indications by
                                        Regulatory Authorities. The FDA
Routes of administration                now offers patent extensions
   Oral                               for products for which the
     - Gavage                           indications are expanded to
     - Capsule                          include children.
     - Dietary admixture
  Intravenous                      C
                                       ontinuous infusion
     - Bolus                          and intravenous
     - Continuous infusion           	Minipigs are very amenable
  Intraocular                         to intravenous procedures,
  Subcutaneous                        both short- and long-term.
  Intramuscular                       We perform both continuous
   ll other standard routes
     A                                 infusion and vascular access port
                                       studies in minipigs.
                                                                                                                  7
Our services




                                             Study Types



                                                             Routes of
                                                           Administration
                                                           and Know-How
                                     Reach
    Mechanistic
    Toxicology




                   Bioanalysis and
                  Pharmacokinetics




8
9
Efficacy Models
Study types




              CiToxLAB offers a wide range of efficacy models in support of drug discovery. Development of new
              models is undertaken by a team of experts, including veterinary surgeons, immunologists, physiologists,
              pharmacologists, toxicologists and animal health technologists. Proof-of-principle and screening studies
              are individually designed and conducted according to strict norms of quality, while providing the
              flexibility required according to the stage of development.
              CiToxLAB has access to a large network of industry-recognized experts to enhance the range of
              efficacy models that we offer by providing expertise in dermatology, electrocardiology, radio-oncology,
              ophthalmology, pharmacophysiology and many other fields of preclinical research.
              Imaging technologies are a cornerstone of our efficacy models, with ultrasonography, CT-scan, magnetic
              resonance imaging, fluoroscopy and digital radiography ; all available for the optimal assessment of
              scientific endpoints. 


              Available efficacy models                                                           Infrastructure
              Rodents                                  Rabbits                                       Multiple surgical suites
               Sepsis                                  Arterial restenosis                         S
                                                                                                       eparate areas for pre- and
                                                                                                      post‑operative care
                kin burn
                S                                       Heptanol induced corneal ulcer
               Hypoxemic (in mice)                     Hemostasis                               Equipment
               Vascular permeability (in mice)        Multi-Species                               X-ray
               Tumor                                   Dialysis in pigs and dogs                 Fluoroscopy
              Non-human primates                         ndoscopy (gastroscopy,
                                                         E                                         Ultrasound

               Anemia                                  duodenoscopy and colonoscopy)             Micro-isolator caging
                                                         in dogs, minipigs, pigs and non-human     Laminar hoods
                one marrow flow cytometry analysis
                 B                                       primates
                elemetry and cytokine profiling
                 T                                                                                 Microsurgery
                                                         ndotoxemic shock with core body
                                                         E
                                                         temperature measurements using            DEXA
              Dogs
                                                         telemetry  cytokine profiling
               Anesthetized hypoxemic
                                                         astric emptying time in dogs,
                                                         G
               Cardiac pacing
                                                         non-human primates and rats
               Atrial effective refractory period
                                                         lomerular filtration rate using
                                                         G
                                                         CT‑Scan in dogs and pigs




                                                                                                                                                   — June 2012
                                                        ntravesical (urinary bladder)
                                                         I
                                                         in rats, dogs, minipigs and non-human
                                                         primates
                                                         ound healing in mice, rats, rabbits,
                                                         W
                                                         pigs and minipigs
                                                         hole body irradiation in dogs,
                                                         W
                                                         non‑human primates and rats
                                                        Biomedical devices




                                                                                                                                     www.citoxlab.com
Genetic Toxicology
Study types




              CiToxLAB group provides over 25 years of experience and expertise in the performance of standard
              genotoxicity studies in our modern facility, along with testing of pharmaceuticals, biopharmaceuticals,
              cosmetics, industrial chemicals, agrochemicals, feed and food additives, as well as other types of test
              item including medical devices. We can make the appropriate recommendations on how to proceed on
              a case-by-case basis and how to test even the most unusual products.
              Our tests comply with the latest versions of the guidelines issued by the ICH and OECD and are performed
              in accordance with the current OECD Good Laboratory Practice regulations to ensure their acceptability
              to regulatory authorities worldwide.


              Study types
              GLP Genotoxicity:                            Screening Genotoxicity:
                acterial reverse mutation test
                B                                          We offer screening versions of the
                (the Ames test) - OECD 471                 genotoxicity tests, which are useful
                ammalian chromosome aberration
                M                                          during the early development of new
                (cytogenetic) in vitro test using          products. These can be designed to
                cultured human lymphocytes                 meet the specific requirements of each
                OECD 473                                   Sponsor.
                ammalian cell gene mutation in vitro
                M                                           Mini-Ames
                test using mouse lymphoma                   BlueScreen™
                L5178Y tk +/- cells - OECD 476              Mini-micronucleus
                ammalian erythrocyte micronucleus
                M
                in vivo test in mice and rats - OECD 474




                                                                                                                                       — June 2012
                                                                                                                         www.citoxlab.com
In vitro Toxicology
Our tests comply with latest versions of the guidelines issued by the ICH and OECD and are performed in accordance
with the current OECD Good Laboratory Practice regulations to ensure their acceptability to regulatory authorities
worldwide.


Study types                                                                    Reporting
Cytotoxicity                           Cutaneous penetration                 All in vitro toxicology reports are
	 - Acute toxicology                    	 -  utomized process using dynamic
                                            A                                  optimized to be available within 2
                                            Frantz cells                       weeks after the end of the experimental
	 -  echanistic toxicology (e.g.
    M                                                                          phases.
    oxidative stress)
                                           Immunotoxicology
                                        	    - ADCC
Skin or eye irritation and corrosion   	    - Chemotaxis
	 - BCOP                                	    - Lymphocyte proliferation
	 - 3D models                           	    - NK assay

Skin sensitization
	 - Peptide reactivity
	 - MUSST assay

Phototoxicity
	 - 3T3NRU
	 - 3D skin models
Safety Pharmacology
Study types




              CiToxLAB is an industry leader in GLP-compliant safety pharmacology, offering fully-validated test
              systems to support international regulatory requirements (e.g. ICH S7A  ICH S7B). A large, dedicated
              team of experienced veterinary scientists and surgeons is involved in all aspects of validation and
              study conduct and is supported by a network of recognized experts in cardiovascular, respiratory and
              central nervous system physiology and pharmacology. CiToxLAB offers a variety of large and small
              animal models, using state-of-the-art technologies, to complete the safety pharmacology core battery
              of studies. Supplementary or follow-up studies are offered using tailored solutions for comprehensive
              pharmacodynamic investigations.
              Our colonies of pre-instrumented telemetered dogs, minipigs and non-human primates allow us to
              provide optimal timelines using well-established conscious animal models. Validated computerized ECG analysis
              combined with expert review by board certified veterinary cardiologists ensure that electrocardiographic and
              hemodynamic data are thoroughly and expertly evaluated. Our team benefits from over twenty-five years of
              experience using various models for in-depth cardiovascular investigations.
              In-house data, obtained with various positive control drugs, is also available to better assess pharmacodynamic
              responsiveness, sensitivity and reproducibility of the cardiovascular, respiratory and neurological safety
              pharmacology models.


              Safety pharmacology core battery            Early safety pharmacology                  Supplemental safety
               C
                 ardiovascular system in conscious        hERG                                     pharmacology studies
                dogs, NHP and minipigs                      nesthetized guinea pig or rabbit:
                                                            A                                         G
                                                                                                        astrointestinal safety pharmacology
                espiratory system in conscious
                R                                           ECG, ABP, LVP and QA                       in rats, dogs and non-human primates
                rats (head-out or whole body                                                           enal function models in rats, dogs
                                                                                                       R
                plethysmography), dogs, NHP and           Follow-up studies                            and non-human primates
                minipigs                                   F
                                                             ully instrumented cardiovascular
                entral nervous system (Modified Irwin
                C                                           models in anesthetized dogs,             Equipment and infrastructure
                Screen or Functional Observational          non‑human primates and minipigs           D
                                                                                                        ata Science International telemetry
                Battery (FOB) in rats, mice, dogs and       ulmonary arterial pressure in dogs
                                                            P                                          system (Ponemah)
                NHP)                                        and non-human primates                     MKA Technologies  Notocord
                                                                                                       E
                                                            omplete respiratory mechanics in
                                                            C                                         ndustry’s largest telemetry system
                                                                                                       I
              Safety pharmacology endpoints
                                                            anesthetized dogs and non-human
              integrated in toxicology studies                                                         ans Rudolph  Scireq respiratory
                                                                                                       H
                                                            primates                                   system
                 E
                   xtensive expertise with
                                                            lood gases and blood pH in all
                                                            B




                                                                                                                                                   — June 2012
                  biotechnology-derived drug                                                           edicated rooms for safety
                                                                                                       D
                                                            species                                    pharmacology
                  candidates and cancer drugs
                                                            lectroencephalography (EEG) by
                                                            E                                         Multiple surgical suites
                 Jacketed External Telemetry (JET):        telemetry in dogs and non-human
                                                            primates                                  Imaging (X-ray and fluoroscopy)
              	   -  espiratory system in conscious
                    R
                    rats (head-out or whole body            lectroretinography (ERG) in rabbits,
                                                            E
                    plethysmography), dogs, NHP and         dogs and non-human primates
                    minipigs
              	   -  OB in rodents, dogs, NHP and
                    F
                    minipigs




                                                                                                                                     www.citoxlab.com
Juvenile Toxicology
Study types




              A Pediatric Investigation Plan (PIP) is now an essential component of marketing authorization
              applications for all new drugs in Europe and North America, whether or not the medicine is intended
              for use in children. Where drugs are intended to be administered to children, the PIP should include
              appropriate studies in animals at a stage of development that is relevant to the human population who
              will be exposed.
              CiToxLAB has extensive experience of conducting juvenile toxicity studies in accordance with the
              requirements of the FDA and EMA.


                                                                                                 CiToxLAB Scantox (Denmark)
                                                                                                 is the global leader in juvenile
                                                                                                 minipig studies

              Available species                           Available techniques in rodents        Available techniques
               Rat                                        B
                                                             ehavioral tests: 3-T, Morris and    I
                                                                                                   mplanted vascular access ports for
               Mouse                                       Cincinnati mazes                       intravenous administration from 7 days
                                                           mmune assessments:
                                                            I                                      of age
               Rabbit
                                                            lymphocyte subsets, cytokine           phthalmoscopy from 3-4 weeks old
                                                                                                   O
               Minipig
                                                            determinations, functional tests      ECG from 7 days old
               Dog
                                                            etailed histopathology of CNS
                                                            D                                     Clinical pathology from 7 days old
               Non-human primate                           and immune system
                                                                                                   wice-daily toxicokinetic sampling
                                                                                                   T
                                                           Bone densitometry (in vivo)            from 7 days old and 5 times-daily from
              All species can be dosed from 4 to 7
              days of age by the oral or subcutaneous                                              21 days of age
              routes. In rats, the intravenous route is                                            ests for learning and memory are
                                                                                                   T
              feasible from about 10 days of age.                                                  being developed
                                                                                                 Please enquire for details.




                                                                                                                                             — June 2012
                                                                                                                               www.citoxlab.com
DART: Developmental And Reproductive Toxicology
An integrated evaluation of potential risks to reproduction and development is an essential component of marketing
authorization applications for all new drugs. CiToxLAB offers this expertise.
With over 40 years of experience and expertise, CiToxLAB can perform a full range of reproductive and
developmental toxicity studies in accordance with current international guidelines (ICH, OECD, US EPA, etc) for
pharmaceutical, biopharmaceutical, veterinary, chemical, agrochemical, food and consumer products.
CiToxLAB has comprehensive historical control databases (rat and rabbit fetuses as well as fetal abnormalities in
minipigs). This extensive experience allows our staff to conduct standard studies as well as highly specific custom
projects.


Study types                                  Routes of administration                      T
                                                                                             oxicokinetics, pharmacokinetics:
•  ertility and early embryonic
  F                                            O
                                                 ral: gavage, dietary admixture,           parental blood samples, fetal tissues,
  development to implantation (ICH S5,          drinking water                              fetal blood, amniotic fluid, milk
  segment I)                                                                                valuation of visceral/soft tissues:
                                                                                            E
                                              ntravenous: bolus, slow injection,
                                                I
  ffects on embryo-fetal development
  E                                             continuous infusion, cycles (vascular       fresh visceral dissection or fixed
  (ICH S5, segment II)                          access port)                                tissues (examination of rat, rabbit and
                                                                                            minipig fetal head)
  ffects on pre- and post‑natal
  E                                            ther parental routes: subcutaneous,
                                                O
                                                                                            valuation of effects on the skeleton:
                                                                                            E
  development, including maternal               intradermal, intramuscular,
  function (ICH segment III)                    intraperitoneal                             single or double staining, X-ray, DXA,
                                                                                            pQCT, microCT, clinical chemistry,
  ultigeneration (OECD)
  M                                           Dermal                                      histomorphometry
  xtended one-generation
  E                                            ther routes: please consult
                                                O                                           enomics: a large variety of tissues
                                                                                            G
  exually mature non-rodents with
  S                                                                                         can be collected and analyzed (PCR,
  male or female reproductive function       Specialty services                             Affymetrix micro-chips)
  parameters (treatment at a specific        We offer a range of possible options
  time of the cycle possible)                that can be included in routine studies      Support services
  terotropic assays (juvenile or
  U                                          or in tailored studies, in order to meet      D
                                                                                             edicated customized unit for the
  castrated)                                 specific needs.                                preparation of dosage forms
  ershberger assays (juvenile or
  H                                            eurobehavioral testing
                                               N                                            nalytical chemistry for formulation
                                                                                            A
  castrated)                                 	 - FOB                                        analysis (results obtained prior to
                                             	 -  earning and memory: our state-
                                                  L                                         administration)
Species                                           of-the-art facilities and equipment       tatistical analysis
                                                                                            S
  R
    odent (rat and mouse) and                    include multiple T mazes: 3T or 9T
   non‑rodent (rabbit) species required           (Cincinnati water maze) and Morris
   by international guidelines. Historical        water maze (circular pool of water,
   data for different strains                     no T)
 Minipig                                      S
                                                  perm analysis (rodent and non-
  on-human primate
   N                                             rodent) including motility, morphology
   (Macaca fascicularis):                        and concentration
   available 2012 (ICH S5, segment II)       Histopathology
                                             	 -  ale reproductive organs including
                                                 M
                                                 testicular staging
                                             	 -  emale reproductive organs
                                                 F
                                                 including estrous cycle staging
Carcinogenicity
Study types




              For products where prolonged or lifetime exposure may occur in humans, it is always necessary to
              consider performing carcinogenicity studies. CiToxLAB has performed more than 100 carcinogenicity
              studies. The traditional study designs involve exposure of rodents to the test item for up to two years,
              with an extensive pathological examination at the end of the study to detect any tumours that may be
              present in the tissues of the animals. CiToxLAB has more than a dozen board certified pathologists.


              Discipline                                 Species                                 Specialty services
              CiToxLAB routinely performs these          The choice of animal strain and diet    In ICH guideline S1B, the
              studies using all of the standard          is very important. CiToxLAB routinely   possibility of using alternative models
              guidelines, including those of the         uses:                                   for carcinogenicity testing is described.
              EU (CPMP), ICH, FDA, EPA, JMHW,             Wistar Han rats                       An extensive evaluation of these models
              JMAFF and OECD. The basic design                                                   was performed under the auspices of
                                                          CD-1 mice
              of the study is similar for all of these                                           the International Life Sciences Institute
              guidelines, although for agrochemicals      Sprague-Dawley rats                   (ILSI) of the Health and Environmental
              and industrial chemicals it is possible                                            Sciences Institute (HESI), Washington
              to combine one of the carcinogenicity                                              DC. The use of some of the models is
              studies with the long-term chronic                                                 becoming more common, particularly
              toxicity study.                                                                    for submissions to the US FDA.

                                                                                                 CiToxLAB has been very active in the
                                                                                                 evaluation of these models as part of
                                                                                                 the ILSI program.

                                                                                                 CiToxLAB can offer the following
                                                                                                 models:
                                                                                                  p53+/- mouse model
                                                                                                  Tg-rasH2 mouse model




                                                                                                                                              — June 2012
                                                                                                                                www.citoxlab.com
Biocompatibility of medical devices
Study types




              CiToxLAB offers extensive services in medical device testing, principally safety/compatibility testing
              according to ISO 10993 including custom-designed testing programs for each device we are asked to
              assess. With over 20 years of experience in designing packages, our experts take into consideration
              the various guidelines, the nature and construction of the device, its use, and its mode and duration of
              patient contact.


              Study types                                                                            Species
              CiToxLAB can perform all standard             T
                                                              est for systemic toxicity (acute or    Rabbit
              biocompatibility tests. In addition,           repeated exposure)
                                                                                                      Guinea pig
              customized tests can be designed and          Genotoxicity
                                                                                                      Mouse
              validated, as necessary.                     	 - Ames test (OECD 471)
                                                                                                      Rat
                                                           	 - Gene mutation test (OECD 476)
                                                                                                      Minipig
              Cytotoxicity test (in vitro)
                                                                                                      Hamster
              Sensitization test                           Implantation test
              	 - Local lymph node assay                   	 -  uscular or subcutaneous
                                                                M
              	 -  uinea pig maximization test
                  G                                             implantation in rabbits
                  (GPMT)                                    Hemolysis and coagulation tests
                                                             arcinogenicity and reproductive
                                                             C
              Irritation                                    toxicity tests
              	 -  ingle or cumulative exposure
                  S
                  in accordance with the intended
                  clinical use
              	 - Intracutaneous reactivity
              	 -  opical (skin, buccal cavity, vagina,
                  T
                  urethra, rectum)




                                                                                                                                       — June 2012
                                                                                                                         www.citoxlab.com
Histopathology
Study types




              CiToxLAB histology laboratories can offer all routine procedures, along with special techniques such as
              immunohistochemical and fluorescence staining on paraffin, frozen or plastic blocks.
              State-of-the-art equipment including GLP-validated software (Provantis, Pathdata, Bone, Cell D) are
              dedicated to histology operations.
              Our team of certified and experienced veterinarians, pathologists and technical staff has a wealth of
              expertise in evaluating the safety of pharmaceutical, veterinary pharmaceutical, biotechnological,
              medical device, chemical, agrochemical, food and consumer products, in rodents and non-rodents.




              Proficient routine expertise

              Necropsy:                                    Histology:                                 Pathology:
                killed prosectors
                S                                           Highly experienced staff                   xperienced board certified
                                                                                                         E
                hole and upper body perfusion
                W                                            rgan trimming according to RITA-like
                                                             O                                           veterinary pathologists (ACVP
                in rodent and non-rodent species             instructions for rodent species             and ECVP)
                                                             rgan trimming according to RITA-like
                                                             O                                          valuation of a wide range of studies
                                                                                                         E
                pecial collection procedures for
                S
                immunohistochemistry, genomics,              instructions for non-rodent species         in rodents and non-rodents, from
                neurotoxicology and electron                                                             acute to chronic oral administration,
                                                             onsistent presentation of tissues on
                                                             C
                microscopy                                                                               injection/infusion, dermal, inhalation,
                                                             slides                                      irradiation and local (incl. wound
                uick and careful tissue collection for
                Q                                            araffin, frozen and methacrylate
                                                             P                                           healing) toxicity, developmental
                RNA or DNA extraction                        embedding                                   and reproductive, intravesical and
                one collection for histomorphometry
                B                                            tandardized and special staining
                                                             S                                           carcinogenicity studies
                nline data acquisition (organ weights
                O                                            procedures                                 lossary defined according to the
                                                                                                         G
                and gross observations)                      araffin, plastic and cryosectioning
                                                             P                                           international recommendations for
                                                                                                         terminology
                                                            mmunohistochemical and
                                                             I
                                                             fluorescence staining of paraffin          istorical control data from rodents
                                                                                                         H
                                                             embedded or frozen tissues                  and non-rodents for use with
                                                                                                         toxicology and carcinogenicity studies




                                                                                                                                                    — June 2012
                                                                                                        outine internal peer review
                                                                                                         R
                                                                                                       Immunotoxicology
                                                                                                        esticular and ovarian staging
                                                                                                         T
                                                                                                        istomorphometry to quantify tissue
                                                                                                         H
                                                                                                         changes
                                                                                                        nline data acquisition
                                                                                                         O
                                                                                                        igital imaging, high resolution
                                                                                                         D
                                                                                                         photographs, telepathology
                                                                                                        oard certified pathologists may read
                                                                                                         B
                                                                                                         or review your slides at your facility



                                                                                                                                      www.citoxlab.com
Histopathology (CNTD)


Specific expertise
Tissue Cross Reactivity:                      Tissue collection for RNA                    Bone and joint research:
CiToxLAB offers high quality in vitro         or DNA extraction:                           CiToxLAB provides a complete set of
Tissue Cross Reactivity (TCR) for the         CiToxLAB provides a complete set of          services (in vivo and ex vivo) for the
immunohistochemistry screening of             services in molecular pathology and          evaluation of the effects of products
therapeutic antibodies.                       genomics (transcriptomics).                  on the skeleton (pharmacological and
                                                                                           toxicological effects).
 S
   tandard preliminary and definitive         S
                                                 pecifically trained team in order to:
  protocols, GLP or non-GLP, performed        	 -  ollect the tissues in a very short
                                                   C                                        B
                                                                                              one densitometry: standard
  according to FDA recommendations                 time to avoid RNA degradation             radiology, DXA, pQCT, micro-CT
  tate-of-the-art equipment: Ventana
  S                                           	 -  recise trimming procedures
                                                   P                                         lastic embedding
                                                                                             P
  Discovery XT® and DAKO® autostainer              to avoid contamination with               tate-of-the-art histomorphometry
                                                                                             S
  Link 48 to maximize repeatability                adjacent tissues                          with validated software for
  ull range of frozen normal human
  F                                             xtensive list of tissues in rodent and
                                                E                                            measurement of static and dynamic
  tissues available from multiple donors        non-rodent species                           parameters
  with patient history                                                                       omplete set of blood and urine bone
                                                                                             C
                                                iToxLAB offers molecular pathology
                                                C
  ull range of frozen normal animal
  F                                             services with real-time PCR (rt-PCR)         markers in rodent and non-rodent
  tissues available from several species        and quantitative PCR (Q-PCR)                 species
  including Cynomolgus, Rhesus, dog,
  rat, mouse, rabbit, or minipig
                                                                                           Image analysis:
  rozen pathological tissues available
  F
  as positive controls                                                                      H
                                                                                              istomorphometry is performed using
                                                                                             validated computerized image analysis
  igh resolution photographs to
  H
                                                                                             software to efficiently quantify the
  illustrate the representative staining in
                                                                                             user-defined changes for a wide range
  your GLP audited report
                                                                                             of parameters
  emi-quantitative evaluation by a
  S
                                                                                             rained technical staff under the
                                                                                             T
  board certified veterinary pathologist
                                                                                             supervision of pathologists
 nternal peer review
  I
                                                                                             LP or non GLP projects
                                                                                             G
                                                                                             ultiple digital image workstations
                                                                                             M
                                                                                            
                                                                                             Comprehensive reports with statistical
                                                                                             analysis if required
Immunology Services
Routes of Administration and Know-How




                                        Several facilities in the CiToxLAB group offer immunology services and provide industry‑leading
                                        expertise in the conduct of GLP-compliant immunotoxicology evaluations. Our experts are abreast of
                                        the evolving regulatory requirements and are able to offer guidance in study and program design.


                                        Assessment of autoimmunity                  Study types                                 Support services
                                         A
                                           ssays for anti-dsDNA and                 E
                                                                                       xtended histopathological                I
                                                                                                                                  mmunogenicity analysis,
                                          anti‑nuclear antibodies                     examination of lymphoid tissues and         including development
                                          arkers of TH2 activation in rodents
                                          M                                           organs                                      of antidrug antibody and
                                          prone to developing autoimmune              -dependent antibody responses
                                                                                      T                                           neutralizing antibody assays
                                          reactions                                   (KLH)                                       ioanalytical immunoassays for
                                                                                                                                  B
                                          creening for other auto-antibodies in
                                          S                                          mmunophenotyping for quantitation
                                                                                      I                                           toxicokinetic and pharmacodynamic
                                          nonclinical toxicology studies              of lymphocyte lineages or biomarker         studies
                                                                                      expression                                  issue cross reactivity studies on a
                                                                                                                                  T
                                        Adverse immunostimulation                     ell mediated immunity (NK and CTL
                                                                                      C                                           full panel of frozen human and animal
                                        Our experts can advise on how to              Cytotoxicity)                               tissues in support of monoclonal
                                        proceed in this rapidly evolving area of                                                  antibodies and other ligand binding
                                                                                     mmunohistochemical staining for cell
                                                                                      I
                                        concern                                                                                   therapeutics
                                                                                      lineage and apoptosis markers in fixed
                                                                                      tissues                                     rug activity assays in support of
                                                                                                                                  D
                                         Panels of cytokines
                                                                                                                                  toxicology species justification
                                         nflammation biomarkers (CRP,
                                          I                                         Pseudoallergic reactions                      uantitative gene expression for
                                                                                                                                  Q
                                          fibrinogen, etc.)
                                                                                     Direct histamine release                    biomarker analysis
                                        Species commonly used                        Complement activation                       iodistribution and genomic
                                                                                                                                  B
                                        Non-human primate, dog, rat, mouse                                                        integration analysis of nucleic acid
                                                                                    Contact hypersensitivity                      therapeutics
                                        and minipig.
                                                                                     LLNA                                        iodistribution and drug activity
                                                                                                                                  B
                                                                                     Magnusson-Kligman and Buehler               assays for enzyme products
                                                                                     Photo-LLNA                                  iodistribution of cell-based
                                                                                                                                  B
                                                                                                                                  therapeutics with PCR,
                                                                                                                                  immunohistochemistry and flow
                                                                                    CiToxLAB offers the full range of
                                                                                                                                  cytometry.
                                                                                    immunology-based support services
                                                                                    necessary for the development of
                                                                                    biotechnology-derived therapeutics,
                                                                                                                                Infrastructure
                                                                                    along with the experience and expertise      BSL2 capable




                                                                                                                                                                             — June 2012
                                                                                    necessary to conduct any required            M
                                                                                                                                   odern laboratories in Europe and
                                                                                    immunotoxicology studies.                     North America
                                                                                    Whether developing a protein, nucleic        Dedicated, separate rooms for:
                                                                                    acid or cell-based therapeutic, our
                                                                                                                                	 - Tissue culture
                                                                                    staff can provide full support, from
                                                                                    toxicology species justification, through   	 - Molecular biology
                                                                                    assay development, to final report          	 - General immuno-assays
                                                                                    submission.




                                                                                                                                                               www.citoxlab.com
Dermal Studies
Routes of Administration and Know-How




                                        With more than 25 years of experience in the use of minipigs, supported by scientific staff with many
                                        years of experience in the pharmaceutical industry, and specialized in dermal products, CiToxLAB is your
                                        ideal partner for the development of drugs intended for dermal use.
                                        From 2003 to 2011, CiToxLAB performed approximately 300 minipig studies, including 50 by the dermal
                                        route. We have also performed 15 dermal studies in rats.
                                        We offer wound healing studies to investigate the efficacy and safety of dermal drugs, and during the
                                        last 6 years we have performed approximately 35 wound healing studies in minipigs.
                                        In addition to the following studies, CiToxLAB offers a full first-in-man support service, plus a full range
                                        of studies to support Phase II and III clinical trials.


                                        Species                                 Study types                               Product types
                                         Minipig                               (specific to dermal application)           Gels
                                         Rabbit                                  Toxicology – acute to chronic           Creams
                                         Rat                                    Local tolerance                          Ointments
                                         Mouse                                  Sensitization                           Patches
                                                                                   (local lymph node assay and guinea
                                         Guinea pig                                                                       Transdermal devices
                                                                                   pig maximization)
                                                                                 Phototoxicity
                                                                                  harmacokinetic (transdermal
                                                                                   P
                                                                                   absorption and bioavailability)
                                                                                 Safety pharmacology
                                                                                  fficacy (including tensile strength
                                                                                   E
                                                                                   measurements)




                                                                                                                                                                     — June 2012
                                                                                                                                                       www.citoxlab.com
Inhalation Toxicology Services
CiToxLAB group offers studies by inhalation in Canada and Hungary. These studies may be performed in rodents,
dogs and non-human primates.


Study types                                Current infrastructure                      Technology and equipment
Nose-only and oronasal                     Studies are performed in purpose-built      Rodent exposure
 Single dose                              laboratories with back-up systems
                                           (pumps, ventilation, generators, etc.).     Nose-only exposure using a directed
 Subchronic                                                                           flow (flow-past) system that minimizes
                                           The facilities are also equipped as
 Chronic                                  follows:                                    test item requirements:
                                                                                         revents re-breathing
                                                                                         P
Aerosol generations of                     Seven rodent suites (nose-only)
                                                                                         estraint designed to minimize
                                                                                         R
                                             ach containing 5 or 6 exposure units
                                             E                                           thermal stress
 Liquids
                                             (accommodates sham control, vehicle
 Powders                                                                                aintains homogeneous breathable
                                                                                         M
                                             control and 4 test item dose levels)
 Gases
                                                                                         atmosphere at all levels of the
                                            Each unit can accommodate up to             inhalation tower
                                             80 rodents
Species                                                                                  ach exposure unit can accommodate
                                                                                         E
                                             ach unit physically and spatially
                                             E                                           up to 80 animals
 Rodent                                     separated (walk-in ventilated hoods)
 Dog                                                                                  Large animal exposure
                                           Five large animal suites (oronasal)
 Non-human primate                                                                    Oronasal exposure using a directed flow
                                             ach containing up to 4 exposure units
                                             E                                         (flow-past) system that minimizes test
Experience and staff                        Each unit can accommodate up to           item requirements:
                                             8 animals                                   revents re-breathing
                                                                                         P
 C
   iToxLAB has over 25 years of
  experience with various animal species     hysical and spatial separation of
                                             P                                           ach exposure unit can accommodate
                                                                                         E
  given single or repeated nose-only         control group exposure units to             up to 8 animals and can be used with
  and oronasal exposure to liquids or        prevent cross-contamination                 various species
  powders.                                   xposure masks available for various
                                             E                                         In addition, the system can
  he inhalation teams at CiToxLAB are
  T                                          species (e.g. dog)                        accommodate various generating
  also supported by our experienced                                                    equipment depending on test item (e.g.
  board certified pathologists and                                                     clinical nebulizers and dust generators)
  analytical and bioanalytical teams,
  who work closely with the inhalation                                                 Supporting services
  experts.
                                                                                        A
                                                                                          nalytical and bioanalytical (HPLC and
                                                                                         LC-MS/MS)
                                                                                        Pathology
                                                                                        Immunology
                                                                                        Toxicokinetics
                                                                                         fficacy animal models (COPD,
                                                                                         E
                                                                                         asthma, nicotine)
Continuous Intravenous Infusion
Routes of Administration and Know-How




                                        CiToxLAB offers acute to chronic continuous intravenous infusion in all major laboratory species. Our staff
                                        includes industry-recognized experts with wide experience in the design, conduct and interpretation of
                                        continuous intravenous infusion studies.
                                        This extensive experience of the intravenous infusion of biotechnology-derived and other pharmaceutical
                                        products, allows us to provide our clients with guidance on optimal vehicles, formulation conditions, pH
                                        and osmolality ranges, and maximum and minimum recommended infusion rates and volumes, as well as
                                        providing input on drug compatibility, background pathology and other issues unique to the intravenous
                                        infusion delivery route.


                                        Species
                                         Minipig
                                         Rabbit
                                         Rat
                                         Mouse
                                         Guinea pig




                                                                                                                                                                    — June 2012
                                                                                                                                                      www.citoxlab.com
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
Discover our citoxlab nonclinical services
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Discover our citoxlab nonclinical services

  • 1. Toxicology services General toxicology: - Rodents - Non-rodents: dogs, NHPs and minipigs Infusion Global expertise, Local response Inhalation Dermal Ocular Immunotoxicology Reproductive toxicology including minipigs and NHPs CiToxLAB Group companies Also represented by Carcinogenicity studies also in rasH2 and p53+/- mice CiToxlab France Media Services Ltd Japan Genetic toxicology: ICH compliant package Phone +33 (0)2 32 29 26 26 Phone +81 3 3666 9915 In vitro toxicology : BCOP, MUSST, DPRA, Photo 3T3, Episkin™ Email contact.france@citoxlab.com Email citoxlab@mediaservices-jp.com Agrochemical / Chemical / REACH B.P. 563, 27005 Evreux cedex - France Fuji 16 Bldg 7F QSAR 1-11-2 Nihonbashi Kayabacho, Chuo-ku, Physical chemistry CiToxlab North America Tokyo 103-0025 - Japan Ecotoxicology: wide range of test species Phone +1 888 353 2240 Email contact.northamerica@citoxlab.com Croen Research Inc. Phone +82 31 888 9390 Safety pharmacology 445, Armand-Frappier Blvd, Laval, Quebec H7V 4B3 - Canada Email ycpark@croen.co.kr CV telemetry / ECG / BP Advanced Institutes of Convergence Jacketed External Telemetry (JET) / ECG / BP CiToxlab Hungary Technology - B-6th Fl., 864-1, Respiratory / plethysmography / JET telemetry lui-dong, Yeongtong-gu, Phone +36 88 545-300 Email contact.hungary@citoxlab.com Suwon-si - Gyeonggi-do, 443-270, Korea CNS / EEG Veszprém, Szabadságpuszta, 8200 - Hungary Early safety pharmacology Partner company DMPK and biomarkers CiToxlab Scantox Phone +45 56 86 15 00 Stemina Radiolabelled DMPK: in all species Email contact.scantox@citoxlab.com Phone +1 608 204 0104 Bioanalysis LC-MS/MS, GC-MS/MS, LC-ICP/MS, ELISA, RIA Hestehavevej 36A, Ejby E-mail info@stemina.com Toxicogenomics, miRNA: Affymetrix™ / Accredited service DK-4623 Lille Skensved - Denmark Website www.stemina.com provider 504 South Rosa Road, Suite 150 atlanbio Madison, Wisconsin 53719 Immunology: 10-color flow cytometer, Luminex, Mesoscale Phone +33 (0)2 51 10 01 00 Email atlanbio@atlanbio.com Specialized expertises Website www.atlanbio.com Juvenile studies including minipigs - June 2012 1 Rue Graham Bell - Z.I de Brais B.P 40309, 44605 Saint Nazaire Cedex - France Fertility studies in rodents and NHPs Radiation safety and efficacy studies Tissue Cross Reactivity: human and animal tissue banks Gene therapy vector biodistribution via qPCR ES cell testing: devTOX™ and cardioTOX™ (with Stemina) Lead optimization and predictive toxicology services: Leadscreen™ www.citoxlab.com
  • 2. CiToxlab Scantox CiToxlab France atlanbio CiToxlab Hungary CiToxlab North America Croen Research Inc. Stemina Media Services Ltd Japan
  • 3. CiToxLAB, our newly established group, created through the merger of CiT and LAB Research, provides a comprehensive range of preclinical and specialty services from our facilities in France, Canada, Denmark and Hungary. With a combined capacity in excess of 800 employees, 27 000 rodents, 5 000 non-rodents, including 1 200 non-human primates on-site, and purpose built facilities of 60, 000 m2 (645, 000 ft ), the new group is a major global player in the preclinical outsourcing arena. 2 Our broad range of GPL and non GLP nonclinical services combined with our 40 years of experience are at the service of our customers to meet the demands of today’s complex global marketplace. We can provide you with accelerated product development, expansion into new markets, risk mitigation, reduced regulatory delays and improved quality. Reports from our four facilities have been successfully used by our clients in support of marketing authorization and new product approval submissions around the world, including to the European (EMA, ECHA), US (FDA and EPA) and Japanese (MHLW and MAFF) regulatory authorities. CiToxLAB is committed to the humane treatment of the research animals entrusted to our care. We guarantee they will be treated with the highest standards of respect and compassion, and particular attention is accorded to housing conditions, social interaction and enrichment of their environment. CiToxLAB's ethics committees have established and rigorously enforce our ethics charter for Laboratory Animals. All employees must continuously demonstrate their commitment to animal welfare and are required to sign our ethics charter as a condition of initial and continuing employment. Since 2004, our high ethical standards have been recognized by accreditation from the American Association of Laboratory Animal Care (AAALAC). As a highly qualified service provider, we also strive to be flexible, accomodating and respond as quickly as possible to each of your individual needs. Our objective can be summarized by our claim: CiToxLAB: Global expertise, Local response. 1
  • 4. Our commitment to animal welfare CiToxLAB is committed to the humane treatment of the research animals entrusted to our care. We guarantee that animals will be treated with the highest standards of respect and compassion, and particular attention is accorded to housing conditions, social interaction and enrichment of their environment. AAALAC recognition has been obtained for most of our sites. Ethical commitment  Housing and enrichment Staff CiToxLAB’s ethics committees have CiToxLAB always complies with the CiToxLAB employs highly qualified and established and rigorously enforce our highest standards of animal care trained staff, who receives continuous ethics charter for laboratory animals. and use. training in order to reinforce their skills All employees are encouraged CiToxLAB has a well defined housing and provide updates on the latest to continually demonstrate their policy which was designed to ensure techniques for animal well-being commitment to animal welfare and animal well-being in accordance with optimization. are asked to sign our ethics charter regulations and current scientific   as a condition of initial and continuing knowledge. Animals are group housed CiToxLAB employs trained employment. and kept under appropriate conditions veterinarians with relevant experience CiToxLAB employs independent to facilitate the expression of species in laboratory animals, and who attending veterinarians, dedicated to behavior. are committed to monitoring and animal care. CiToxLAB is particularly improving the animal care and use committed to the 3Rs to minimize program. animal use, to enhance their well- being and to use alternative methods Our ethics committees include whenever possible. Laboratory animals veterinarians and laypersons. They are not exposed to unnecessary review all study protocols to ensure distress or pain. Endpoints for the that CiToxLAB complies with its ethical removal of animals from a study are commitments. defined for all studies. 2
  • 5. General Toxicology (Acute to Chronic) With over 40 years of experience, the toxicity testing capabilities of CiToxLAB comprise a vast array of designs, ranging from acute single dose studies to carcinogenicity studies, including specialty dose routes such as inhalation and infusion. All studies are fully GLP compliant in accordance with current guidelines or custom-designed for particular needs. CiToxLAB’s four facilities are located in France, North America, Denmark and Hungary. We offer close to 60,  000  2 of vivarium and supporting laboratories m for the conduct of general and specific toxicology studies on: pharmaceuticals, biotechnology products and medical devices. Our clients include an impressive list of major pharmaceutical and biotech companies. Study types Species Routes of administration  Acute toxicology   Rat  Oral  Subchronic toxicology  M ouse (including  I nhalation (including  Chronic toxicology genetically modified mice intratracheal and intranasal)  Cyto- and genotoxicity for carcinogenicity and  Intravenous  Immunotoxicity immunological investigations)  Continuous intravenous infusion  Carcinogenicity  Rabbit  Subcutaneous  Reproductive toxicology  Guinea Pig  Dermal  Genomics  Hamster  Intradermal  In vitro toxicology  Dog  Intramuscular  Tissue Cross Reactivity  Minipig  Intraperitoneal  ADME and Pharmacokinetics  Domestic pig  Intravaginal and Intraurethral  Lead optimization  on-human primate N  Intrarectal  Wound Healing (Cynomolgus  Intravesicular and Rhesus NHP)  cular (including subretinal O and intravitreal)  Intrathecal  Intraarticular 3
  • 6. Rodent Toxicology Rodents are the species of choice for the safety testing of chemicals, foods and many pharmaceuticals. All four CiToxLAB facilities offer a wide variety of rodent protocols, from single dose to carcinogenicity studies. CiToxLAB works with all major suppliers to obtain a range of conventional and genetically modified strains. Our study directors and pathologists have extensive experience in the interpretation of in vivo and post-life data from rats, mice and other rodent species. Study types Infrastructure Routes of administration  Acute toxicology  H ousing capacity for 27 000  Oral gavage  Short-term immunotoxicity rodents  Dietary  Subchronic  Intravenous  Chronic Species  I nhalation (including intranasal,  S kin sensitization and  Rat nose-only exposure system) photoirritation  M ouse (including genetically  Continuous intravenous infusion  Repeat dose  Subcutaneous modified mice)  Carcinogenicity  Dermal  Guinea pig  Intradermal  Hamster Staff  Intramuscular  Intraperitoneal Over 800 staff, including:  cular (including subretinal O  Project managers  Study directors and intravitreal)  Endoscope-assisted  Immunologists  Veterinary surgeons administration  Pathologists  Toxicologists  Animal technicians  nalytical and bioanalytical A experts  Regulatory specialists 4
  • 7. Dog Toxicology The dog is the most common non-rodent species used for the safety testing of medicinal products and chemicals. Such studies are routinely performed at all four CiToxLAB facilities. The animals are housed and handled in accordance with the latest international regulations, and animals are socialized whenever possible. Dogs are available from a variety of approved suppliers. Study types Infrastructure Specialties  Acute toxicology  O ver 130 rooms designed for  P ermanent dog colonies  Short-term immunotoxicity dog housing for telemetry and  Subchronic  ousing capacity for 1 600+ H pharmacokinetics  Chronic dogs  odel development services M  Safety pharmacology  Intraperitoneal  Pharmacokinetics  Intravaginal and intraurethral and Toxicokinetics  Intrarectal  Efficacy  Intravesicular  cular (including subretinal O Staff and intravitreal)  Intrathecal Over 800 staff, including:  Intraarticular  Project managers  Study directors  Immunologists  Veterinary surgeons  Pathologists  Toxicologists  Animal technicians  nalytical and bioanalytical A experts  Regulatory specialists 5
  • 8. Non-human primate Toxicology Non-human primate (NHP) studies are required for the safety testing of medicinal agents (including biotechnology products) that cannot be evaluated in other non-rodent species due to species- specific differences in pharmacology or metabolism. The CiToxLAB facilities in France and North America offer studies in Cynomolgus and Rhesus NHP. Only purpose-bred NHP are used, and these are obtained from approved breeders in four different countries. The on-site pathologists are familiar with the spontaneous lesions that can occur in the animals from each source. An extensive panel of biomarkers has been validated for use in toxicology studies. Study types Infrastructure Routes of administration  Acute toxicology   O ver 100 rooms designed for  Oral (gavage, capsules, pills)  Short-term immunotoxicity non-human primate housing  I ntravenous (bolus or  Subchronic  ousing capacity for 1 800 H continuous  Chronic non-human primates infusion ; also available with  Safety pharmacology  ultiple state-of-the-art surgical M vascular access port “ cath-in-  Pharmacokinetics suites cath ”) Toxicokinetics  Subcutaneous  Efficacy Strains  Dermal  C ynomolgus (Mauritius, China,  Intradermal Staff Vietnam, Philippines)  Intramuscular  Rhesus (China)  Intraperitoneal Over 800 staff, including:  Intranasal  Project managers  Intravaginal and intraurethral  Study directors  Intrarectal  Immunologists  cular (including subretinal O  Veterinary surgeons  Pathologists and intravitreal)  Endoscope-assisted  Toxicologists  Animal technicians administration  nalytical and bioanalytical A (e.g. directly into the experts duodenum)  Regulatory specialists 6
  • 9. Minipig Toxicology The minipig is a good laboratory animal model for many aspects of human physiology and metabolism. For this reason, it is becoming increasingly popular as an alternative to the dog or non-human primate for non-rodent safety testing. The CiToxLAB facility in Denmark has routinely performed studies in minipigs since they pioneered the use of this species in the 1980s. Minipig studies are also available at our CiToxLAB France, North America and Hungary facilities. Study types Specialty studies Safety pharmacology  Acute toxicology  ermal D and wound healing studies  Subchronic The skin structure and the  Implanted telemetry for  Chronic physiology of the epidermis in cardiovascular monitoring  R eproductive and embryofetal the minipig resembles that of (DSI system)  Local tolerance humans more closely than in  Jacketed External Telemetry  Implantation any other species. Sparse hair (JET) for monitoring covering makes the minipig cardiovascular and respiratory Infrastructure very suitable for dermal functions (Ponemah, DSI systems)  3 3 rooms designed for administration of test articles.  Functional Observational minipig housing Battery (FOB)  Juvenile  ousing capacity for 800+ H minipigs Juvenile studies are required for pediatric indications by Regulatory Authorities. The FDA Routes of administration now offers patent extensions  Oral for products for which the - Gavage indications are expanded to - Capsule include children. - Dietary admixture  Intravenous C ontinuous infusion - Bolus and intravenous - Continuous infusion Minipigs are very amenable  Intraocular to intravenous procedures,  Subcutaneous both short- and long-term.  Intramuscular We perform both continuous  ll other standard routes A infusion and vascular access port studies in minipigs. 7
  • 10. Our services Study Types Routes of Administration and Know-How Reach Mechanistic Toxicology Bioanalysis and Pharmacokinetics 8
  • 11. 9
  • 12. Efficacy Models Study types CiToxLAB offers a wide range of efficacy models in support of drug discovery. Development of new models is undertaken by a team of experts, including veterinary surgeons, immunologists, physiologists, pharmacologists, toxicologists and animal health technologists. Proof-of-principle and screening studies are individually designed and conducted according to strict norms of quality, while providing the flexibility required according to the stage of development. CiToxLAB has access to a large network of industry-recognized experts to enhance the range of efficacy models that we offer by providing expertise in dermatology, electrocardiology, radio-oncology, ophthalmology, pharmacophysiology and many other fields of preclinical research. Imaging technologies are a cornerstone of our efficacy models, with ultrasonography, CT-scan, magnetic resonance imaging, fluoroscopy and digital radiography ; all available for the optimal assessment of scientific endpoints.  Available efficacy models Infrastructure Rodents Rabbits  Multiple surgical suites  Sepsis  Arterial restenosis  S eparate areas for pre- and post‑operative care  kin burn S  Heptanol induced corneal ulcer  Hypoxemic (in mice)  Hemostasis Equipment  Vascular permeability (in mice)  Multi-Species  X-ray  Tumor  Dialysis in pigs and dogs  Fluoroscopy Non-human primates  ndoscopy (gastroscopy, E  Ultrasound  Anemia duodenoscopy and colonoscopy)  Micro-isolator caging in dogs, minipigs, pigs and non-human  Laminar hoods  one marrow flow cytometry analysis B primates  elemetry and cytokine profiling T  Microsurgery  ndotoxemic shock with core body E temperature measurements using  DEXA Dogs telemetry cytokine profiling  Anesthetized hypoxemic  astric emptying time in dogs, G  Cardiac pacing non-human primates and rats  Atrial effective refractory period  lomerular filtration rate using G CT‑Scan in dogs and pigs — June 2012  ntravesical (urinary bladder) I in rats, dogs, minipigs and non-human primates  ound healing in mice, rats, rabbits, W pigs and minipigs  hole body irradiation in dogs, W non‑human primates and rats  Biomedical devices www.citoxlab.com
  • 13. Genetic Toxicology Study types CiToxLAB group provides over 25 years of experience and expertise in the performance of standard genotoxicity studies in our modern facility, along with testing of pharmaceuticals, biopharmaceuticals, cosmetics, industrial chemicals, agrochemicals, feed and food additives, as well as other types of test item including medical devices. We can make the appropriate recommendations on how to proceed on a case-by-case basis and how to test even the most unusual products. Our tests comply with the latest versions of the guidelines issued by the ICH and OECD and are performed in accordance with the current OECD Good Laboratory Practice regulations to ensure their acceptability to regulatory authorities worldwide. Study types GLP Genotoxicity: Screening Genotoxicity:  acterial reverse mutation test B We offer screening versions of the (the Ames test) - OECD 471 genotoxicity tests, which are useful  ammalian chromosome aberration M during the early development of new (cytogenetic) in vitro test using products. These can be designed to cultured human lymphocytes meet the specific requirements of each OECD 473 Sponsor.  ammalian cell gene mutation in vitro M  Mini-Ames test using mouse lymphoma  BlueScreen™ L5178Y tk +/- cells - OECD 476  Mini-micronucleus  ammalian erythrocyte micronucleus M in vivo test in mice and rats - OECD 474 — June 2012 www.citoxlab.com
  • 14. In vitro Toxicology Our tests comply with latest versions of the guidelines issued by the ICH and OECD and are performed in accordance with the current OECD Good Laboratory Practice regulations to ensure their acceptability to regulatory authorities worldwide. Study types Reporting Cytotoxicity Cutaneous penetration All in vitro toxicology reports are - Acute toxicology - utomized process using dynamic A optimized to be available within 2 Frantz cells weeks after the end of the experimental - echanistic toxicology (e.g. M phases. oxidative stress)  Immunotoxicology - ADCC Skin or eye irritation and corrosion - Chemotaxis - BCOP - Lymphocyte proliferation - 3D models - NK assay Skin sensitization - Peptide reactivity - MUSST assay Phototoxicity - 3T3NRU - 3D skin models
  • 15. Safety Pharmacology Study types CiToxLAB is an industry leader in GLP-compliant safety pharmacology, offering fully-validated test systems to support international regulatory requirements (e.g. ICH S7A ICH S7B). A large, dedicated team of experienced veterinary scientists and surgeons is involved in all aspects of validation and study conduct and is supported by a network of recognized experts in cardiovascular, respiratory and central nervous system physiology and pharmacology. CiToxLAB offers a variety of large and small animal models, using state-of-the-art technologies, to complete the safety pharmacology core battery of studies. Supplementary or follow-up studies are offered using tailored solutions for comprehensive pharmacodynamic investigations. Our colonies of pre-instrumented telemetered dogs, minipigs and non-human primates allow us to provide optimal timelines using well-established conscious animal models. Validated computerized ECG analysis combined with expert review by board certified veterinary cardiologists ensure that electrocardiographic and hemodynamic data are thoroughly and expertly evaluated. Our team benefits from over twenty-five years of experience using various models for in-depth cardiovascular investigations. In-house data, obtained with various positive control drugs, is also available to better assess pharmacodynamic responsiveness, sensitivity and reproducibility of the cardiovascular, respiratory and neurological safety pharmacology models. Safety pharmacology core battery Early safety pharmacology Supplemental safety  C ardiovascular system in conscious  hERG pharmacology studies dogs, NHP and minipigs  nesthetized guinea pig or rabbit: A  G astrointestinal safety pharmacology  espiratory system in conscious R ECG, ABP, LVP and QA in rats, dogs and non-human primates rats (head-out or whole body  enal function models in rats, dogs R plethysmography), dogs, NHP and Follow-up studies and non-human primates minipigs  F ully instrumented cardiovascular  entral nervous system (Modified Irwin C models in anesthetized dogs, Equipment and infrastructure Screen or Functional Observational non‑human primates and minipigs  D ata Science International telemetry Battery (FOB) in rats, mice, dogs and  ulmonary arterial pressure in dogs P system (Ponemah) NHP) and non-human primates  MKA Technologies Notocord E  omplete respiratory mechanics in C  ndustry’s largest telemetry system I Safety pharmacology endpoints anesthetized dogs and non-human integrated in toxicology studies  ans Rudolph Scireq respiratory H primates system  E xtensive expertise with  lood gases and blood pH in all B — June 2012 biotechnology-derived drug  edicated rooms for safety D species pharmacology candidates and cancer drugs  lectroencephalography (EEG) by E  Multiple surgical suites  Jacketed External Telemetry (JET): telemetry in dogs and non-human primates  Imaging (X-ray and fluoroscopy) - espiratory system in conscious R rats (head-out or whole body  lectroretinography (ERG) in rabbits, E plethysmography), dogs, NHP and dogs and non-human primates minipigs - OB in rodents, dogs, NHP and F minipigs www.citoxlab.com
  • 16. Juvenile Toxicology Study types A Pediatric Investigation Plan (PIP) is now an essential component of marketing authorization applications for all new drugs in Europe and North America, whether or not the medicine is intended for use in children. Where drugs are intended to be administered to children, the PIP should include appropriate studies in animals at a stage of development that is relevant to the human population who will be exposed. CiToxLAB has extensive experience of conducting juvenile toxicity studies in accordance with the requirements of the FDA and EMA. CiToxLAB Scantox (Denmark) is the global leader in juvenile minipig studies Available species Available techniques in rodents Available techniques  Rat  B ehavioral tests: 3-T, Morris and  I mplanted vascular access ports for  Mouse Cincinnati mazes intravenous administration from 7 days  mmune assessments: I of age  Rabbit lymphocyte subsets, cytokine  phthalmoscopy from 3-4 weeks old O  Minipig determinations, functional tests  ECG from 7 days old  Dog  etailed histopathology of CNS D  Clinical pathology from 7 days old  Non-human primate and immune system  wice-daily toxicokinetic sampling T  Bone densitometry (in vivo) from 7 days old and 5 times-daily from All species can be dosed from 4 to 7 days of age by the oral or subcutaneous 21 days of age routes. In rats, the intravenous route is  ests for learning and memory are T feasible from about 10 days of age. being developed Please enquire for details. — June 2012 www.citoxlab.com
  • 17. DART: Developmental And Reproductive Toxicology An integrated evaluation of potential risks to reproduction and development is an essential component of marketing authorization applications for all new drugs. CiToxLAB offers this expertise. With over 40 years of experience and expertise, CiToxLAB can perform a full range of reproductive and developmental toxicity studies in accordance with current international guidelines (ICH, OECD, US EPA, etc) for pharmaceutical, biopharmaceutical, veterinary, chemical, agrochemical, food and consumer products. CiToxLAB has comprehensive historical control databases (rat and rabbit fetuses as well as fetal abnormalities in minipigs). This extensive experience allows our staff to conduct standard studies as well as highly specific custom projects. Study types Routes of administration  T oxicokinetics, pharmacokinetics: • ertility and early embryonic F  O ral: gavage, dietary admixture, parental blood samples, fetal tissues, development to implantation (ICH S5, drinking water fetal blood, amniotic fluid, milk segment I)  valuation of visceral/soft tissues: E  ntravenous: bolus, slow injection, I  ffects on embryo-fetal development E continuous infusion, cycles (vascular fresh visceral dissection or fixed (ICH S5, segment II) access port) tissues (examination of rat, rabbit and minipig fetal head)  ffects on pre- and post‑natal E  ther parental routes: subcutaneous, O  valuation of effects on the skeleton: E development, including maternal intradermal, intramuscular, function (ICH segment III) intraperitoneal single or double staining, X-ray, DXA, pQCT, microCT, clinical chemistry,  ultigeneration (OECD) M  Dermal histomorphometry  xtended one-generation E  ther routes: please consult O  enomics: a large variety of tissues G  exually mature non-rodents with S can be collected and analyzed (PCR, male or female reproductive function Specialty services Affymetrix micro-chips) parameters (treatment at a specific We offer a range of possible options time of the cycle possible) that can be included in routine studies Support services  terotropic assays (juvenile or U or in tailored studies, in order to meet  D edicated customized unit for the castrated) specific needs. preparation of dosage forms  ershberger assays (juvenile or H  eurobehavioral testing N  nalytical chemistry for formulation A castrated) - FOB analysis (results obtained prior to - earning and memory: our state- L administration) Species of-the-art facilities and equipment  tatistical analysis S  R odent (rat and mouse) and include multiple T mazes: 3T or 9T non‑rodent (rabbit) species required (Cincinnati water maze) and Morris by international guidelines. Historical water maze (circular pool of water, data for different strains no T)  Minipig  S perm analysis (rodent and non-  on-human primate N rodent) including motility, morphology (Macaca fascicularis): and concentration available 2012 (ICH S5, segment II) Histopathology - ale reproductive organs including M testicular staging - emale reproductive organs F including estrous cycle staging
  • 18. Carcinogenicity Study types For products where prolonged or lifetime exposure may occur in humans, it is always necessary to consider performing carcinogenicity studies. CiToxLAB has performed more than 100 carcinogenicity studies. The traditional study designs involve exposure of rodents to the test item for up to two years, with an extensive pathological examination at the end of the study to detect any tumours that may be present in the tissues of the animals. CiToxLAB has more than a dozen board certified pathologists. Discipline Species Specialty services CiToxLAB routinely performs these The choice of animal strain and diet In ICH guideline S1B, the studies using all of the standard is very important. CiToxLAB routinely possibility of using alternative models guidelines, including those of the uses: for carcinogenicity testing is described. EU (CPMP), ICH, FDA, EPA, JMHW,  Wistar Han rats An extensive evaluation of these models JMAFF and OECD. The basic design was performed under the auspices of  CD-1 mice of the study is similar for all of these the International Life Sciences Institute guidelines, although for agrochemicals  Sprague-Dawley rats (ILSI) of the Health and Environmental and industrial chemicals it is possible Sciences Institute (HESI), Washington to combine one of the carcinogenicity DC. The use of some of the models is studies with the long-term chronic becoming more common, particularly toxicity study. for submissions to the US FDA. CiToxLAB has been very active in the evaluation of these models as part of the ILSI program. CiToxLAB can offer the following models:  p53+/- mouse model  Tg-rasH2 mouse model — June 2012 www.citoxlab.com
  • 19. Biocompatibility of medical devices Study types CiToxLAB offers extensive services in medical device testing, principally safety/compatibility testing according to ISO 10993 including custom-designed testing programs for each device we are asked to assess. With over 20 years of experience in designing packages, our experts take into consideration the various guidelines, the nature and construction of the device, its use, and its mode and duration of patient contact. Study types Species CiToxLAB can perform all standard  T est for systemic toxicity (acute or  Rabbit biocompatibility tests. In addition, repeated exposure)  Guinea pig customized tests can be designed and  Genotoxicity  Mouse validated, as necessary. - Ames test (OECD 471)  Rat - Gene mutation test (OECD 476)  Minipig Cytotoxicity test (in vitro)  Hamster Sensitization test  Implantation test - Local lymph node assay - uscular or subcutaneous M - uinea pig maximization test G implantation in rabbits (GPMT)  Hemolysis and coagulation tests  arcinogenicity and reproductive C Irritation toxicity tests - ingle or cumulative exposure S in accordance with the intended clinical use - Intracutaneous reactivity - opical (skin, buccal cavity, vagina, T urethra, rectum) — June 2012 www.citoxlab.com
  • 20. Histopathology Study types CiToxLAB histology laboratories can offer all routine procedures, along with special techniques such as immunohistochemical and fluorescence staining on paraffin, frozen or plastic blocks. State-of-the-art equipment including GLP-validated software (Provantis, Pathdata, Bone, Cell D) are dedicated to histology operations. Our team of certified and experienced veterinarians, pathologists and technical staff has a wealth of expertise in evaluating the safety of pharmaceutical, veterinary pharmaceutical, biotechnological, medical device, chemical, agrochemical, food and consumer products, in rodents and non-rodents. Proficient routine expertise Necropsy: Histology: Pathology:  killed prosectors S  Highly experienced staff  xperienced board certified E  hole and upper body perfusion W  rgan trimming according to RITA-like O veterinary pathologists (ACVP in rodent and non-rodent species instructions for rodent species and ECVP)  rgan trimming according to RITA-like O  valuation of a wide range of studies E  pecial collection procedures for S immunohistochemistry, genomics, instructions for non-rodent species in rodents and non-rodents, from neurotoxicology and electron acute to chronic oral administration,  onsistent presentation of tissues on C microscopy injection/infusion, dermal, inhalation, slides irradiation and local (incl. wound  uick and careful tissue collection for Q  araffin, frozen and methacrylate P healing) toxicity, developmental RNA or DNA extraction embedding and reproductive, intravesical and  one collection for histomorphometry B  tandardized and special staining S carcinogenicity studies  nline data acquisition (organ weights O procedures  lossary defined according to the G and gross observations)  araffin, plastic and cryosectioning P international recommendations for terminology  mmunohistochemical and I fluorescence staining of paraffin  istorical control data from rodents H embedded or frozen tissues and non-rodents for use with toxicology and carcinogenicity studies — June 2012  outine internal peer review R  Immunotoxicology  esticular and ovarian staging T  istomorphometry to quantify tissue H changes  nline data acquisition O  igital imaging, high resolution D photographs, telepathology  oard certified pathologists may read B or review your slides at your facility www.citoxlab.com
  • 21. Histopathology (CNTD) Specific expertise Tissue Cross Reactivity: Tissue collection for RNA Bone and joint research: CiToxLAB offers high quality in vitro or DNA extraction: CiToxLAB provides a complete set of Tissue Cross Reactivity (TCR) for the CiToxLAB provides a complete set of services (in vivo and ex vivo) for the immunohistochemistry screening of services in molecular pathology and evaluation of the effects of products therapeutic antibodies. genomics (transcriptomics). on the skeleton (pharmacological and toxicological effects).  S tandard preliminary and definitive  S pecifically trained team in order to: protocols, GLP or non-GLP, performed - ollect the tissues in a very short C  B one densitometry: standard according to FDA recommendations time to avoid RNA degradation radiology, DXA, pQCT, micro-CT  tate-of-the-art equipment: Ventana S - recise trimming procedures P  lastic embedding P Discovery XT® and DAKO® autostainer to avoid contamination with  tate-of-the-art histomorphometry S Link 48 to maximize repeatability adjacent tissues with validated software for  ull range of frozen normal human F  xtensive list of tissues in rodent and E measurement of static and dynamic tissues available from multiple donors non-rodent species parameters with patient history  omplete set of blood and urine bone C  iToxLAB offers molecular pathology C  ull range of frozen normal animal F services with real-time PCR (rt-PCR) markers in rodent and non-rodent tissues available from several species and quantitative PCR (Q-PCR) species including Cynomolgus, Rhesus, dog, rat, mouse, rabbit, or minipig Image analysis:  rozen pathological tissues available F as positive controls  H istomorphometry is performed using validated computerized image analysis  igh resolution photographs to H software to efficiently quantify the illustrate the representative staining in user-defined changes for a wide range your GLP audited report of parameters  emi-quantitative evaluation by a S  rained technical staff under the T board certified veterinary pathologist supervision of pathologists  nternal peer review I  LP or non GLP projects G  ultiple digital image workstations M  Comprehensive reports with statistical analysis if required
  • 22. Immunology Services Routes of Administration and Know-How Several facilities in the CiToxLAB group offer immunology services and provide industry‑leading expertise in the conduct of GLP-compliant immunotoxicology evaluations. Our experts are abreast of the evolving regulatory requirements and are able to offer guidance in study and program design. Assessment of autoimmunity Study types Support services  A ssays for anti-dsDNA and  E xtended histopathological  I mmunogenicity analysis, anti‑nuclear antibodies examination of lymphoid tissues and including development  arkers of TH2 activation in rodents M organs of antidrug antibody and prone to developing autoimmune  -dependent antibody responses T neutralizing antibody assays reactions (KLH)  ioanalytical immunoassays for B  creening for other auto-antibodies in S  mmunophenotyping for quantitation I toxicokinetic and pharmacodynamic nonclinical toxicology studies of lymphocyte lineages or biomarker studies expression  issue cross reactivity studies on a T Adverse immunostimulation  ell mediated immunity (NK and CTL C full panel of frozen human and animal Our experts can advise on how to Cytotoxicity) tissues in support of monoclonal proceed in this rapidly evolving area of antibodies and other ligand binding  mmunohistochemical staining for cell I concern therapeutics lineage and apoptosis markers in fixed tissues  rug activity assays in support of D  Panels of cytokines toxicology species justification  nflammation biomarkers (CRP, I Pseudoallergic reactions  uantitative gene expression for Q fibrinogen, etc.)  Direct histamine release biomarker analysis Species commonly used  Complement activation  iodistribution and genomic B Non-human primate, dog, rat, mouse integration analysis of nucleic acid Contact hypersensitivity therapeutics and minipig.  LLNA  iodistribution and drug activity B  Magnusson-Kligman and Buehler assays for enzyme products  Photo-LLNA  iodistribution of cell-based B therapeutics with PCR, immunohistochemistry and flow CiToxLAB offers the full range of cytometry. immunology-based support services necessary for the development of biotechnology-derived therapeutics, Infrastructure along with the experience and expertise  BSL2 capable — June 2012 necessary to conduct any required  M odern laboratories in Europe and immunotoxicology studies. North America Whether developing a protein, nucleic  Dedicated, separate rooms for: acid or cell-based therapeutic, our - Tissue culture staff can provide full support, from toxicology species justification, through - Molecular biology assay development, to final report - General immuno-assays submission. www.citoxlab.com
  • 23. Dermal Studies Routes of Administration and Know-How With more than 25 years of experience in the use of minipigs, supported by scientific staff with many years of experience in the pharmaceutical industry, and specialized in dermal products, CiToxLAB is your ideal partner for the development of drugs intended for dermal use. From 2003 to 2011, CiToxLAB performed approximately 300 minipig studies, including 50 by the dermal route. We have also performed 15 dermal studies in rats. We offer wound healing studies to investigate the efficacy and safety of dermal drugs, and during the last 6 years we have performed approximately 35 wound healing studies in minipigs. In addition to the following studies, CiToxLAB offers a full first-in-man support service, plus a full range of studies to support Phase II and III clinical trials. Species Study types Product types  Minipig (specific to dermal application)  Gels  Rabbit  Toxicology – acute to chronic  Creams  Rat  Local tolerance  Ointments  Mouse  Sensitization  Patches (local lymph node assay and guinea  Guinea pig  Transdermal devices pig maximization)  Phototoxicity  harmacokinetic (transdermal P absorption and bioavailability)  Safety pharmacology  fficacy (including tensile strength E measurements) — June 2012 www.citoxlab.com
  • 24. Inhalation Toxicology Services CiToxLAB group offers studies by inhalation in Canada and Hungary. These studies may be performed in rodents, dogs and non-human primates. Study types Current infrastructure Technology and equipment Nose-only and oronasal Studies are performed in purpose-built Rodent exposure  Single dose laboratories with back-up systems (pumps, ventilation, generators, etc.). Nose-only exposure using a directed  Subchronic flow (flow-past) system that minimizes The facilities are also equipped as  Chronic follows: test item requirements:  revents re-breathing P Aerosol generations of Seven rodent suites (nose-only)  estraint designed to minimize R  ach containing 5 or 6 exposure units E thermal stress  Liquids (accommodates sham control, vehicle  Powders  aintains homogeneous breathable M control and 4 test item dose levels)  Gases atmosphere at all levels of the  Each unit can accommodate up to inhalation tower 80 rodents Species  ach exposure unit can accommodate E  ach unit physically and spatially E up to 80 animals  Rodent separated (walk-in ventilated hoods)  Dog Large animal exposure Five large animal suites (oronasal)  Non-human primate Oronasal exposure using a directed flow  ach containing up to 4 exposure units E (flow-past) system that minimizes test Experience and staff  Each unit can accommodate up to item requirements: 8 animals  revents re-breathing P  C iToxLAB has over 25 years of experience with various animal species  hysical and spatial separation of P  ach exposure unit can accommodate E given single or repeated nose-only control group exposure units to up to 8 animals and can be used with and oronasal exposure to liquids or prevent cross-contamination various species powders.  xposure masks available for various E In addition, the system can  he inhalation teams at CiToxLAB are T species (e.g. dog) accommodate various generating also supported by our experienced equipment depending on test item (e.g. board certified pathologists and clinical nebulizers and dust generators) analytical and bioanalytical teams, who work closely with the inhalation Supporting services experts.  A nalytical and bioanalytical (HPLC and LC-MS/MS)  Pathology  Immunology  Toxicokinetics  fficacy animal models (COPD, E asthma, nicotine)
  • 25. Continuous Intravenous Infusion Routes of Administration and Know-How CiToxLAB offers acute to chronic continuous intravenous infusion in all major laboratory species. Our staff includes industry-recognized experts with wide experience in the design, conduct and interpretation of continuous intravenous infusion studies. This extensive experience of the intravenous infusion of biotechnology-derived and other pharmaceutical products, allows us to provide our clients with guidance on optimal vehicles, formulation conditions, pH and osmolality ranges, and maximum and minimum recommended infusion rates and volumes, as well as providing input on drug compatibility, background pathology and other issues unique to the intravenous infusion delivery route. Species  Minipig  Rabbit  Rat  Mouse  Guinea pig — June 2012 www.citoxlab.com