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Is 1R the new 3Rs? 
Thomas Hartung & CAAT team
• Better science 
• Less animals 
• Human relevance 
• Faster and cheaper results 
• Refinement 
• Information, Grants 
• Think tank 
• New tools, quality control 
• EU branch, policy program 
• Stakeholder consensus 
Scientific American 2005
Henry Spira 
and the start of CAAT
Funding from industry, philanthropy and research funding agencies 
The Bernice Barbour 
Foundation 
…and individuals
CAAT-Europe 2010 
US Policy program 2006 
EU center of excellence 
transatlantic cooperation 
EU Policy program 2012 
Daneshian et al. (2010) Altex, 27, 63 – 69.
Russell 
and 
Burch 
In vitro 
testing 
Validation 
Tox-21c 
Toward humane 
science 
CAAT 
ECVAM
Alternative methods as the solution 
55 years anniversary of the 
3Rs concept 
A societal compromise to 
continuously 
Reduce 
Refine 
Replace 
Rex Burch & to overcome animal testing. 
Bill Russel
Animal use for 
toxicology 
Work for alternatives 
addressing toxicology 
Need for 
expansion 
Lighthouse 
function
About 50 cent of 
every dollar spent 
by consumers is 
for products 
developed or 
safety-controlled 
by animal testing
$3 trillion $3 trillion 
Animal testing 
at $3 billion per year 
$200 billion $3 trillion
1R only? 
Read-across 
Replace 
Refine 
The 4th R? 
Reduce* 
*pesticides
The most important R – Relevance ! 
…, which holds true first of all for the animal test
Protected 
against minute 
amounts of 
pesticides 
Natural 
pesticides 
10,000x more, 
35 of 63 
carcinogenic 
Genotoxic: sugar 
Protected against 
TCDD in eggs 
Same calculation 
for alcohol: 
One glass per 
345 years 
Genotoxic: salt 
23 of 31 
tested coffee 
ingredients 
carcinogenic 
Enjoy!!!
R22 harmful if swallowed 
(LD50 = 150-200mg/kg in rats) 
R 36 irritant to eyes 
R 37 respiratory irritant 
R 38 irritant to skin 
Not carcinogenic, 
but co-carcinogen (promotor) 
Unclear mutagenicity 
Embryonic malformations in 
cat, dog, rat, mice, rabbit, 
monkey 
If this gives you 
headache, 
take an aspirin! 
Unlikely to be brought to the 
market today
There is some 
good reason for 
regulating new 
products….
More and more innovative 
products with even more 
new chemicals….
43 –36%0% w einllt etersspteedc icehse cmoircraellsation 8% somewhat tested chemicals 
100,000+ chemicals in consumer products
Every time has its 
technologies… 
If it’s true that knowledge doubles every 
seven years in the life sciences,… 
…we now have more than 1000fold more 
knowledge than at the time, when current 
toxicity tests were designed.
All models are wrong, some are useful (G. Box) 
naive not less naive 
60%
My “welcome present” at ECVAM 
The 7th amendment of the Cosmetics Directive 2003 
• Marketing ban if 
testing finished 
products or not using 
ECVAM-validated 
methods since 2004 
• Phasing out 
ingredient testing 
with test and 
marketing bans in 
2009 and 2013 
• Critical need for 
alternatives 
The wrong “victim”, but 
I am happy to have one!
3R Success stories 
OECD acceptance of 
validated methods: 
• 1999-2001 
- Refine: Painless test 
for skin sensitisation 
- Reduce: Animal 
numbers for acute tox. 
from 45 to 8 
• 2004 - 2010 
- Replace: 
- phototoxicity 
- skin / eye corrosion / 
irritation
Toxicological Endpoints Status 
Skin Corrosion, acute 
phototoxicity, sensitization 
(LLNA) 
OECD accepted before 
2002 
Aquatic ecotoxicity 2010 OECD 
accepted 
Skin Absorption / 
Penetration 
2004 OECD 
accepted 
Skin Irritation 2010 OECD accepted 
Genotoxicity (MNT) 2010 OECD 
accepted 
Eye Irritation (BCOP, ICE) 2010 OECD accepted 
Sensitization (rLLNA) 2010 OECD accepted 
Carcinogenicity (CTA) Under discussion 
Pipeline: sensitization in vitro, embryotoxicity, endocrine disrupters, 
photogenotox, eye irritation, acute tox dose estimate 
Source: ECEAE
Traditional 3Rs methods 
will not be the solution to 
the problem 
• Little perspective for 
complex endpoints 
• 2/3 fail validation 
• hardly solved the 
cosmetics 7th amendment 
challenge for 2009, no way 
for 2013
http://en.wikipedia.org/wiki/Organ-on-a-chip 
Human on Chip Approach 
• Prompted by DoD need for 
medical countermeasure 
evaluation 
• Could overcome many test 
shortcomings, especially using 
stem cells 
Stem cells & 
Organo-typic 
culture & High-content 
• NAS panel 
• $200 million program 
• CAAT InfoDay 2012 
• CAAT workshop 3D in 2012 
• 10 May 2013 conference FDA / NIH 
/ DARPA / CAAT 
• GCCP for iPSC workshop to come
Limitations of in vitro models 
 Mycoplasma 
 Dedifferentiation favored by 
growth conditions and cell 
selection 
 Cells are bored to death 
 Lack of oxygen 
 Lack of metabolism and 
defense 
 Unknown fate of test 
compounds in culture 
 Tumor origin of many cells 
 Cell identity 
ALTEX 2013, 30:275-291
How to improve the predictive value of cell cultures 
Good Cell Culture Practice 
Functional 
endpoints / 
biomarker 
= mechanism 
Human (stem) cells 
High-content 
= wholesome 
characterization 
High-throughput 
= replicates & many 
comparisons 
Organo-typic 
culture 
Integrated 
Testing 
Strategies
Coecke et al. ‘Good Cell Culture 
Practice draft Guidance Document’, 
ATLA 33, 261-287, 2005 
1. characterisation and maintenance 
of essential characteristics 
2. quality assurance 
3. recording 
4. reporting 
5. safety 
6. education and training 
7. ethics
Workshop on GCCP for iPSC 
In preparation
Chemical Universe 
The galaxy of 
Human toxicity 
The galaxy of 
Rat toxicity 
At maximum 
tolerated dose
Chemical Universe 
The galaxy of 
Human toxicity 
The galaxy of 
Rat toxicity 
At maximum 
tolerated dose, 
without mixtures and 
individual differences
Chemical Universe 
The galaxy of 
Human toxicity 
Covering with a 
battery of 
reductionist 
tests
Chemical Universe 
The galaxy of 
Human toxicity 
Covering with a 
Integrated 
Testing 
Strategy
• ITS development sensitization & 
eye irritation 
• Commissioned whitepaper 
Jaworska & Hoffmann 
• WORKSHOP 2013
Mechanistic 
& evidence-based 
toxicology
‘Omics’ Image analysis 
Robotised / automated 
testing 
High content High through-put 
Information rich 
Bioinformatics & 
Data-mining 
Knowledge on 
pathways 
Systems Toxicology
Mapping the Human Toxome by Systems Toxicology 
Endocrine disruption 
Hewitt et al., 2005. Science, 307:1572-1573 
• Use “omics” to map PoT for endocrine disruption 
• Develop software tools 
• Identify PoT 
• Develop a process for PoT annotation, validation 
• Establish public database on PoT. 
www.humantoxome.com
32 articles / reports published 
2 commissioned articles in 
preparation 
5 workshop reports pending 
In vitro publication standards 
5+ workshops planned 
Ambassadors 
Bas Blaauboer 
Alan Goldberg 
Thomas Hartung 
Marcel Leist
Scientific roadmap for the future of animal-free 
systemic toxicity testing 
May 2011: EC report on status of alternatives 
Sep 2011: Independent review by 19 international experts 
Oct 2011: Five white paper on the way forward 
Consensus workshop with 35 experts 
Feb 2012: Roadmap published 
Mar 2012: Stakeholder Forum in Brussels (150 experts) 
May 2013: Stakeholder Forum in Washington (200 experts)
30-31 May 2013
New tests need a QA sparring partner: 
21st Century Validation for 21st Century Tests 
Limitations of 
current validation 
approaches: 
ALTEX 27 (2010) 253-263 
• Time-consuming 
• Non-systematic 
• Focus on prediction of animal 
data 
Advantages of 
an EBT 
Approach: 
• Faster 
• Systematic 
• Can focus on mechanistic 
relevance
2006-7: Publication / 1st conference 
Mar 2011: US EBTC 
Oct 2011: Secretariat at CAAT 
www.ebtox.com 
Jan 2012: First conference hosted by EPA 
Jun 2012: EU EBTC 
Diverse working groups 
Jul 2013: IUTOX, Seoul, Korea 
Sep 2013: EuroTox, Interlaken, Switzerland 
Systematic reviews increasingly embraced 
by EPA/IRIS, NTP and EFSA 
21 Nov 2014: Forum Systematic Reviews, 
Baltimore
Frontloading of toxicology / Green Toxicology 
InfoDays 
Green Toxicology 
“fail early, fail cheap” 
Connecticut, Dec 2012 
Anticipate human or 
regulatory problems? 
Baltimore, Nov 2013 
Zurich, Switzerland 
23 Oct 2014 
“test early, develop clean” 
SoT 2015, San Diego 
Green Toxicology
ALTEX 2014, 31:243-249
Next ALTEX 
CAAT Read-across Initiative 
International Steering Group & Whitepaper 
Workshop in Baltimore 12-14 Jan 2015 
“Good Read-across Practice” 
Stakeholder Fora in Brussels & Washington end 2015
Read-across-21c • Negative vs. 
positive read-across 
• Support by 
biological data not 
only structure 
• Expression of 
uncertainty 
• Local validity 
• Application to 
complex mixtures 
“Test-across”, 2007
Alternative approaches have become one of the most dynamic 
areas of toxicology – “3Rs Plus, not 1R” 
• Embracing latest technologies 
• Emerging new concepts 
• International harmonization and collaboration 
• Spanning cross industrial sectors 
• A role model for all life sciences as to quality assurance, 
assessment of predictive capacity and humane science
Combine the drivers of 
change from EU and US 
EU: legislation, funding, 
integrated testing, 
organizations 
US: technologies, Tox- 
21c, TSCA reauthor.
Systemic Tox 
Many industries 
Many countries 
Limited implementation 
Proof-of-principle 
Better cell culture 
Tox-21c 
Integrated Tests 
Mechanistic Tox 
Read-across 
Evidence-based T. 
Green Toxicology
Stop …just arguing take what whether we have the and glass exploit of 
the 
opportunity!!! 
alternatives is half full or half empty…
The difficulty lies, not in the new ideas, 
but in escaping from the old ones. 
John Maynard Keynes 
(1883 - 1946)

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Hartung - Lush Prize Conference 2014

  • 1. Is 1R the new 3Rs? Thomas Hartung & CAAT team
  • 2. • Better science • Less animals • Human relevance • Faster and cheaper results • Refinement • Information, Grants • Think tank • New tools, quality control • EU branch, policy program • Stakeholder consensus Scientific American 2005
  • 3. Henry Spira and the start of CAAT
  • 4. Funding from industry, philanthropy and research funding agencies The Bernice Barbour Foundation …and individuals
  • 5. CAAT-Europe 2010 US Policy program 2006 EU center of excellence transatlantic cooperation EU Policy program 2012 Daneshian et al. (2010) Altex, 27, 63 – 69.
  • 6. Russell and Burch In vitro testing Validation Tox-21c Toward humane science CAAT ECVAM
  • 7. Alternative methods as the solution 55 years anniversary of the 3Rs concept A societal compromise to continuously Reduce Refine Replace Rex Burch & to overcome animal testing. Bill Russel
  • 8. Animal use for toxicology Work for alternatives addressing toxicology Need for expansion Lighthouse function
  • 9. About 50 cent of every dollar spent by consumers is for products developed or safety-controlled by animal testing
  • 10. $3 trillion $3 trillion Animal testing at $3 billion per year $200 billion $3 trillion
  • 11. 1R only? Read-across Replace Refine The 4th R? Reduce* *pesticides
  • 12. The most important R – Relevance ! …, which holds true first of all for the animal test
  • 13. Protected against minute amounts of pesticides Natural pesticides 10,000x more, 35 of 63 carcinogenic Genotoxic: sugar Protected against TCDD in eggs Same calculation for alcohol: One glass per 345 years Genotoxic: salt 23 of 31 tested coffee ingredients carcinogenic Enjoy!!!
  • 14. R22 harmful if swallowed (LD50 = 150-200mg/kg in rats) R 36 irritant to eyes R 37 respiratory irritant R 38 irritant to skin Not carcinogenic, but co-carcinogen (promotor) Unclear mutagenicity Embryonic malformations in cat, dog, rat, mice, rabbit, monkey If this gives you headache, take an aspirin! Unlikely to be brought to the market today
  • 15. There is some good reason for regulating new products….
  • 16. More and more innovative products with even more new chemicals….
  • 17. 43 –36%0% w einllt etersspteedc icehse cmoircraellsation 8% somewhat tested chemicals 100,000+ chemicals in consumer products
  • 18. Every time has its technologies… If it’s true that knowledge doubles every seven years in the life sciences,… …we now have more than 1000fold more knowledge than at the time, when current toxicity tests were designed.
  • 19. All models are wrong, some are useful (G. Box) naive not less naive 60%
  • 20. My “welcome present” at ECVAM The 7th amendment of the Cosmetics Directive 2003 • Marketing ban if testing finished products or not using ECVAM-validated methods since 2004 • Phasing out ingredient testing with test and marketing bans in 2009 and 2013 • Critical need for alternatives The wrong “victim”, but I am happy to have one!
  • 21. 3R Success stories OECD acceptance of validated methods: • 1999-2001 - Refine: Painless test for skin sensitisation - Reduce: Animal numbers for acute tox. from 45 to 8 • 2004 - 2010 - Replace: - phototoxicity - skin / eye corrosion / irritation
  • 22. Toxicological Endpoints Status Skin Corrosion, acute phototoxicity, sensitization (LLNA) OECD accepted before 2002 Aquatic ecotoxicity 2010 OECD accepted Skin Absorption / Penetration 2004 OECD accepted Skin Irritation 2010 OECD accepted Genotoxicity (MNT) 2010 OECD accepted Eye Irritation (BCOP, ICE) 2010 OECD accepted Sensitization (rLLNA) 2010 OECD accepted Carcinogenicity (CTA) Under discussion Pipeline: sensitization in vitro, embryotoxicity, endocrine disrupters, photogenotox, eye irritation, acute tox dose estimate Source: ECEAE
  • 23. Traditional 3Rs methods will not be the solution to the problem • Little perspective for complex endpoints • 2/3 fail validation • hardly solved the cosmetics 7th amendment challenge for 2009, no way for 2013
  • 24. http://en.wikipedia.org/wiki/Organ-on-a-chip Human on Chip Approach • Prompted by DoD need for medical countermeasure evaluation • Could overcome many test shortcomings, especially using stem cells Stem cells & Organo-typic culture & High-content • NAS panel • $200 million program • CAAT InfoDay 2012 • CAAT workshop 3D in 2012 • 10 May 2013 conference FDA / NIH / DARPA / CAAT • GCCP for iPSC workshop to come
  • 25. Limitations of in vitro models  Mycoplasma  Dedifferentiation favored by growth conditions and cell selection  Cells are bored to death  Lack of oxygen  Lack of metabolism and defense  Unknown fate of test compounds in culture  Tumor origin of many cells  Cell identity ALTEX 2013, 30:275-291
  • 26. How to improve the predictive value of cell cultures Good Cell Culture Practice Functional endpoints / biomarker = mechanism Human (stem) cells High-content = wholesome characterization High-throughput = replicates & many comparisons Organo-typic culture Integrated Testing Strategies
  • 27. Coecke et al. ‘Good Cell Culture Practice draft Guidance Document’, ATLA 33, 261-287, 2005 1. characterisation and maintenance of essential characteristics 2. quality assurance 3. recording 4. reporting 5. safety 6. education and training 7. ethics
  • 28. Workshop on GCCP for iPSC In preparation
  • 29. Chemical Universe The galaxy of Human toxicity The galaxy of Rat toxicity At maximum tolerated dose
  • 30. Chemical Universe The galaxy of Human toxicity The galaxy of Rat toxicity At maximum tolerated dose, without mixtures and individual differences
  • 31. Chemical Universe The galaxy of Human toxicity Covering with a battery of reductionist tests
  • 32. Chemical Universe The galaxy of Human toxicity Covering with a Integrated Testing Strategy
  • 33. • ITS development sensitization & eye irritation • Commissioned whitepaper Jaworska & Hoffmann • WORKSHOP 2013
  • 35. ‘Omics’ Image analysis Robotised / automated testing High content High through-put Information rich Bioinformatics & Data-mining Knowledge on pathways Systems Toxicology
  • 36. Mapping the Human Toxome by Systems Toxicology Endocrine disruption Hewitt et al., 2005. Science, 307:1572-1573 • Use “omics” to map PoT for endocrine disruption • Develop software tools • Identify PoT • Develop a process for PoT annotation, validation • Establish public database on PoT. www.humantoxome.com
  • 37. 32 articles / reports published 2 commissioned articles in preparation 5 workshop reports pending In vitro publication standards 5+ workshops planned Ambassadors Bas Blaauboer Alan Goldberg Thomas Hartung Marcel Leist
  • 38. Scientific roadmap for the future of animal-free systemic toxicity testing May 2011: EC report on status of alternatives Sep 2011: Independent review by 19 international experts Oct 2011: Five white paper on the way forward Consensus workshop with 35 experts Feb 2012: Roadmap published Mar 2012: Stakeholder Forum in Brussels (150 experts) May 2013: Stakeholder Forum in Washington (200 experts)
  • 40. New tests need a QA sparring partner: 21st Century Validation for 21st Century Tests Limitations of current validation approaches: ALTEX 27 (2010) 253-263 • Time-consuming • Non-systematic • Focus on prediction of animal data Advantages of an EBT Approach: • Faster • Systematic • Can focus on mechanistic relevance
  • 41. 2006-7: Publication / 1st conference Mar 2011: US EBTC Oct 2011: Secretariat at CAAT www.ebtox.com Jan 2012: First conference hosted by EPA Jun 2012: EU EBTC Diverse working groups Jul 2013: IUTOX, Seoul, Korea Sep 2013: EuroTox, Interlaken, Switzerland Systematic reviews increasingly embraced by EPA/IRIS, NTP and EFSA 21 Nov 2014: Forum Systematic Reviews, Baltimore
  • 42. Frontloading of toxicology / Green Toxicology InfoDays Green Toxicology “fail early, fail cheap” Connecticut, Dec 2012 Anticipate human or regulatory problems? Baltimore, Nov 2013 Zurich, Switzerland 23 Oct 2014 “test early, develop clean” SoT 2015, San Diego Green Toxicology
  • 44. Next ALTEX CAAT Read-across Initiative International Steering Group & Whitepaper Workshop in Baltimore 12-14 Jan 2015 “Good Read-across Practice” Stakeholder Fora in Brussels & Washington end 2015
  • 45. Read-across-21c • Negative vs. positive read-across • Support by biological data not only structure • Expression of uncertainty • Local validity • Application to complex mixtures “Test-across”, 2007
  • 46. Alternative approaches have become one of the most dynamic areas of toxicology – “3Rs Plus, not 1R” • Embracing latest technologies • Emerging new concepts • International harmonization and collaboration • Spanning cross industrial sectors • A role model for all life sciences as to quality assurance, assessment of predictive capacity and humane science
  • 47. Combine the drivers of change from EU and US EU: legislation, funding, integrated testing, organizations US: technologies, Tox- 21c, TSCA reauthor.
  • 48. Systemic Tox Many industries Many countries Limited implementation Proof-of-principle Better cell culture Tox-21c Integrated Tests Mechanistic Tox Read-across Evidence-based T. Green Toxicology
  • 49. Stop …just arguing take what whether we have the and glass exploit of the opportunity!!! alternatives is half full or half empty…
  • 50. The difficulty lies, not in the new ideas, but in escaping from the old ones. John Maynard Keynes (1883 - 1946)