This document outlines the OECD guidelines for carcinogenicity testing. It discusses the objectives of carcinogenicity studies which include identifying carcinogenic properties, target organs, time to appearance of neoplasms, and establishing a no-observed-adverse-effect level. It describes the typical procedure which involves administering the test substance daily to rodents and observing them for signs of toxicity and tumor development. Key aspects covered are test animals, dose levels, duration of study, observations, pathology examination, and reporting of results and test conditions.
Dermal Irritation and Dermal Toxicity Studies Dinesh Gangoda
Dermal irritation and Corrosion test guidelines 204.
Dermal irritation is the production of reversible damage of the skin following the application of a test chemical for up to 4 hours.
Corrosive reactions are typified by ulcers, bleeding, bloody scabs, and, by the end of observation at 14 days, by discolouration due to blanching of the skin, complete areas of alopecia, and scars. Histopathology should be considered to evaluate questionable lesions. [1]
Dermal corrosion is the production of irreversible damage of the skin; namely, visible necrosis through the epidermis and into the dermis, following the application of a test chemical for up to four hours.[2]
REFERENCES
OECD/OCDE, Test No. 404: ‘‘Acute Dermal Irritation/Corrosion’’, 28 July 2015 OECD Publishing, peris, Page no, 1- 8.
Robert A., Turner., Screening Methods in Pharmacology; 1st edition; Academic press an imprint of Elsevier, pp, 279- 281.
OECD Guideline for testing of chemicals (1981). ‘‘Repeated Dose Dermal Toxicity’’, 21/28- day Study.
Dermal Irritation and Dermal Toxicity Studies Dinesh Gangoda
Dermal irritation and Corrosion test guidelines 204.
Dermal irritation is the production of reversible damage of the skin following the application of a test chemical for up to 4 hours.
Corrosive reactions are typified by ulcers, bleeding, bloody scabs, and, by the end of observation at 14 days, by discolouration due to blanching of the skin, complete areas of alopecia, and scars. Histopathology should be considered to evaluate questionable lesions. [1]
Dermal corrosion is the production of irreversible damage of the skin; namely, visible necrosis through the epidermis and into the dermis, following the application of a test chemical for up to four hours.[2]
REFERENCES
OECD/OCDE, Test No. 404: ‘‘Acute Dermal Irritation/Corrosion’’, 28 July 2015 OECD Publishing, peris, Page no, 1- 8.
Robert A., Turner., Screening Methods in Pharmacology; 1st edition; Academic press an imprint of Elsevier, pp, 279- 281.
OECD Guideline for testing of chemicals (1981). ‘‘Repeated Dose Dermal Toxicity’’, 21/28- day Study.
REPRODUCTIVE TOXICITY STUDIES, Definition
Introduction, OECD guidelines for reproductive toxicity studies
Principle of the test, Description of Method, Procedure, Experimental Schedule, Data and Reporting, Results, Male Fertility Toxicological Studies
Ms. I. Sai Reddemma.
Department of Pharmacology
The basic aspects of drug discovery starts from target discovery and validation further going to lead identification and optimization. In this particular slide discussion is regarding the target discovery and the tools that have been utilized in this process.
Regulatory guidelines for conducting toxicity studies by ichAnimatedWorld
ICH is the “International Conference on Harmonization of
Technical Requirements for Registration of Pharmaceuticals for
Human Use”
ICH is a joint initiative involving both regulators and research based industry representatives of the EU, Japan and the US in
scientific and technical discussions of the testing procedures required
to assess and ensure the safety, quality and efficacy of medicines
This presentation enlists all the studies which are required before submission of IND. It include IND introduction , time period of study ,flowchart showing preclinical studies...
IND (Investigational New Drug) industrial perspectiveAYESHA NAZEER
Describing the Industry's/sponsor's/drug manufacturers' perspective of the Investigational New Drug Application (IND) program based on the survey conducted by the Office Of Inspector General (OIG).
Acute eye irritation test as per OECD guidelinesmadhvi Chaubey
toxicological testing studies as per OECD guidline.
Toxicology is the branch of biology, chemistry and medicine concerned with the study of the adverse effects of chemicals on living organisms.
As per OECD test no. 405 : acute eye irritation test should be done as according to the procedure mentioned under guideline's section.
REPRODUCTIVE TOXICITY STUDIES, Definition
Introduction, OECD guidelines for reproductive toxicity studies
Principle of the test, Description of Method, Procedure, Experimental Schedule, Data and Reporting, Results, Male Fertility Toxicological Studies
Ms. I. Sai Reddemma.
Department of Pharmacology
The basic aspects of drug discovery starts from target discovery and validation further going to lead identification and optimization. In this particular slide discussion is regarding the target discovery and the tools that have been utilized in this process.
Regulatory guidelines for conducting toxicity studies by ichAnimatedWorld
ICH is the “International Conference on Harmonization of
Technical Requirements for Registration of Pharmaceuticals for
Human Use”
ICH is a joint initiative involving both regulators and research based industry representatives of the EU, Japan and the US in
scientific and technical discussions of the testing procedures required
to assess and ensure the safety, quality and efficacy of medicines
This presentation enlists all the studies which are required before submission of IND. It include IND introduction , time period of study ,flowchart showing preclinical studies...
IND (Investigational New Drug) industrial perspectiveAYESHA NAZEER
Describing the Industry's/sponsor's/drug manufacturers' perspective of the Investigational New Drug Application (IND) program based on the survey conducted by the Office Of Inspector General (OIG).
Acute eye irritation test as per OECD guidelinesmadhvi Chaubey
toxicological testing studies as per OECD guidline.
Toxicology is the branch of biology, chemistry and medicine concerned with the study of the adverse effects of chemicals on living organisms.
As per OECD test no. 405 : acute eye irritation test should be done as according to the procedure mentioned under guideline's section.
Assignment on Toxicokinetics- Toxicokinetic evaluation in preclinical studies, saturation kinetics Importance and applications of toxicokinetic studies. Alternative methods to animal toxicity testing.
The identification of the carcinogenic properties of a chemical, resulting in an increased incidence of neoplasms, increased proportion of malignant neoplasms or a reduction in the time to appearance of neoplasms, compared with concurrent control groups.
The identification of target organ(s) of carcinogenicity.
The identification of the time to appearance of neoplasms.
Characterisation of the tumour dose-response relationship.
animal toxicity tests are useful in finding the right dose for drugs to be used in humans. this ppt contains the method of toxicity studies and different types of toxicity studies.
A review on stages of drug development and alternative methods for animal stu...Frinto Francis
Various Stages of drug development, anaesthesia ,euthanasia, animals used for preclinical analysis, clinical trials, alternative methods for animal testing, blood withdrawal methods, ethical guidelines
Stereochemistry is the systematic presentation of a specific field of science and technology that traditionally requires a short preliminary excursion into history. Stereochemistry is the ‘chemistry of space ‘, that is stereochemistry deals with the spatial arrangements of atoms and groups in a molecule.
Stereochemistry can trace its roots to the year 1842 when the French chemist Louis Pasteur made an observation that the salts of tartaric acid collected from a wine production vessel have the ability to rotate plane-polarized light, whereas the same salts from different sources did not have this ability. This phenomenon is explained by optical isomerism.
Artificial Intelligence in Diabetes Care GOPAL KHODVE
Artificial intelligence (AI) is a fast-growing field and its applications to diabetes, a global pandemic, can reform the approach to diagnosis and management of this chronic condition. Principles of machine learning have been used to build algorithms to support predictive models for the risk of developing diabetes or its consequent complications.
Infectious Disease by Gopal Khodve.pptxGOPAL KHODVE
Infectious diseases are disorders caused by organisms — such as bacteria, viruses, fungi or parasites. Many organisms live in and on our bodies. They're normally harmless or even helpful. But under certain conditions, some organisms may cause disease.
Some infectious diseases can be passed from person to person. Some are transmitted by insects or other animals. And you may get others by consuming contaminated food or water or being exposed to organisms in the environment.
Signs and symptoms vary depending on the organism causing the infection, but often include fever and fatigue. Mild infections may respond to rest and home remedies, while some life-threatening infections may need hospitalization.
Many infectious diseases, such as measles and chickenpox, can be prevented by vaccines. Frequent and thorough hand-washing also helps protect you from most infectious diseases.
What are infectious diseases?
Infectious diseases are illnesses caused by harmful organisms (pathogens) that get into your body from the outside. Pathogens that cause infectious diseases are viruses, bacteria, fungi, parasites and, rarely, prions. You can get infectious diseases from other people, bug bites and contaminated food, water or soil.
What’s the difference between infectious diseases and noninfectious diseases?
Infectious diseases are caused by harmful organisms that get into your body from the outside, like viruses and bacteria. Noninfectious diseases aren’t caused by outside organisms, but by genetics, anatomical differences, getting older and the environment you live in. You can’t get noninfectious diseases from other people, by getting a bug bite or from your food.
The flu, measles, HIV, strep throat, COVID-19 and salmonella are all examples of infectious diseases. Cancer, diabetes, congestive heart failure and Alzheimer’s disease are all examples of noninfectious diseases.
What are the types of infectious diseases?
Infectious diseases can be viral, bacterial, parasitic or fungal infections. There’s also a rare group of infectious diseases known as transmissible spongiform encephalopathies (TSEs).
Viral infections. Viruses are a piece of information (DNA or RNA) inside of a protective shell (capsid). Viruses are much smaller than your cells and have no way to reproduce on their own. They get inside your cells and use your cells’ machinery to make copies of themselves.
Bacterial infections. Bacteria are single-celled organisms with their instructions written on a small piece of DNA. Bacteria are all around us, including inside of our body and on our skin. Many bacteria are harmless or even helpful, but certain bacteria release toxins that can make you sick.
Fungal infections. Like bacteria, there are many different fungi. They live on and in your body. When your fungi get overgrown or when harmful fungi get into your body through your mouth, your nose or a cut in your skin, you can get sick.
Parasitic infections.
Artificial intelligence (AI) is a fast-growing field and its applications to diabetes, a global pandemic, can reform the approach to diagnosis and management of this chronic condition. Principles of machine learning have been used to build algorithms to support predictive models for the risk of developing diabetes or its consequent complications. Digital therapeutics have proven to be an established intervention for lifestyle therapy in the management of diabetes. Patients are increasingly being empowered for self-management of diabetes, and both patients and health care professionals are benefitting from clinical decision support. AI allows a continuous and burden-free remote monitoring of the patient's symptoms and biomarkers. Further, social media and online communities enhance patient engagement in diabetes care. Technical advances have helped to optimize resource use in diabetes. Together, these intelligent technical reforms have produced better glycemic control with reductions in fasting and postprandial glucose levels, glucose excursions, and glycosylated hemoglobin. AI will introduce a paradigm shift in diabetes care from conventional management strategies to building targeted data-driven precision care.
Blood test normal values and it's importanceGOPAL KHODVE
Laboratory tests check a sample of your blood, urine, or body tissues. A technician or your doctor analyzes the test samples to see if your results fall within the normal range. The tests use a range because what is normal differs from person to person. Many factors affect test results. These include
Your sex, age and race
What you eat and drink
Medicines you take
How well you followed pre-test instructions
Your doctor may also compare your results to results from previous tests. Laboratory tests are often part of a routine checkup to look for changes in your health. They also help doctors diagnose medical conditions, plan or evaluate treatments, and monitor diseases.
Eicosanoids, from the Greek eicosa (“twenty”) are formed from precursor essential fatty acids that contain 20 carbons
Eicosanoids and PAF lipids function as signaling molecules in many biological processes, including the regulation of vascular tone, renal function, hemostasis, parturition, GI mucosal integrity, and stem cell function.
Eicosanoids are the most universally distributed autacoids in the body.Practically every cell and tissue is capable of synthesizing one or more types of PGs or LTs
Angina pectoris is the medical term for chest pain or discomfort due to coronary heart disease. It occurs when the heart muscle doesn't get as much blood as it needs. This usually happens because one or more of the heart's arteries is narrowed or blocked, also called ischemia.
Enzyme Linked Immunosorbent Assay (ELISA) is a very sensitive immunochemical technique which is used to access the presence of specific protein (antigen or antibody) in the given sample and it’s quantification.
It is also called solid-phase enzyme immunoassay as it employs an enzyme linked antigen or antibody as a marker for the detection of specific protein.
ELISA has been used as a diagnostic tool in medicine, plant pathology and in the food industry as a quality control check.
Ureases (EC 3.5.1.5), functionally, belong to the superfamily of amidohydrolases and phosphodiesterase.
Nickel containing metalloenzyme.
Ureases are found in numerous bacteria, fungi, algae, plants, and some invertebrates, as well as in soils, as a soil enzyme.
Not synthesized by animals.
James B. Sumner in 1926, Noble Prize in Chemistry in 1946.
Urease catalyzes the hydrolysis of urea to from ammonia and
Carbon dioxide
A variety of viruses and bacteria can cause upper respiratory tract infections including acute bronchitis, the common cold, influenza, and respiratory distress syndromes.
• Defining most of these patient diseases is difficult because the presentations connected with upper respiratory tract infections (URIs) commonly overlap and their causes are similar.
• Upper respiratory tract infections can be defined as self-limited irritation and swelling of the upper airways with associated cough with no proof of pneumonia, lacking a separate condition to account for the patient symptoms, or with no history of COPD/emphysema/chronic bronchitis. Influenza Viruses
• Small hairs (cilia) in the sinuses fail to properly move mucus out. This may be due to some medical conditions.
• Colds and allergies may cause too much mucus to be made or block the opening of the sinuses.
• A deviated nasal septum, nasal bone spur, or nasal polyps may block the opening of the sinuses.
Why should you do the Skin Prick Test?
SPT is an essential test procedure to find sensitization in IgE-mediated allergic disease in subjects with Hay fever (allergic rhinitis), asthma, rhinoconjunctivitis, Dermatitis (eczema), anapylaxis, urticaria, atopic eczema and food and drug allergy.
Procedure for skin prick test
This is not a painful test. A needle(lancet) is used to prick your skin during the test which is not at all painful or you lose any blood. Follow are the steps of the test.
• Your skin is cleaned by alcohol
• A nurse/technician marked your skin and put a drop of allergen beside every mark
• Using a lancet the technician pricks your skin to allow a tiny amount of the solution to enter just below the surface
• Now you should wait for a specific amount of time. Usually 30 min.
• Now your allergist checks the marks for a observes your skin for signs of allergic reactions. If you are allergic to one of the substances tested, you’ll develop a raised, red, itchy bump (wheal) that may look like a mosquito bite. A nurse will then measure the bump’s size.
• After the recording of the result, the nurse/technician clean your testing surface with alcohol
THE FUTURE OF NANOMEDINE
Nanomedicine is the medical application of nanotechnology. Nanomedicine ranges from the medical applications of nanomaterials and biological devices, to nanoelectronic biosensors, and even possible future applications of molecular nanotechnology such as biological machines. Current problems for nanomedicine involve understanding the issues related to toxicity and environmental impact of nanoscale materials (materials whose structure is on the scale of nanometers, i.e. billionths of a meter).
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
3. INTRODUCTION
The objectives of carcinogenicity studies covered by this test guideline include:
• To identification of the carcinogenic properties of a chemical,
• To identification of target organ(s) of carcinogenicity
• To identification of the time to appearance of neoplasms Characterization of the tumor dose-response relationship
• To Identification of a no-observed-adverse-effect level (NOAEL) or point of departure for establishment of a
Benchmark Dose (BMD)
• To Extrapolation of carcinogenic effects to low dose human exposure levels
The Organization for Economical and Co-operation Development (OECD) was used for testing of chemicals.
The original OECD guideline 451 for carcinogenicity study was adopted in 1981.
Major carcinogenicity study is done on rodents
Mainly there route of administration : oral , dermal and inhalation.
3
4. PRINCIPLE
• The test substance is administered daily in graduated doses.
• Observed closely for the signs of toxicity and for the development of neoplastic lesions.
• Died or killed animals are necropsied and at the conclusion of surviving animals are also killed and
necropsied.
Route of
administration
Oral
Intradermal Inhalation 4
5. DESCRIPTION OF METHOD
Rats and mice have been preferred
experimental models because of
their relatively short life span, their
widespread use in pharmacological-
and toxicological studies, their
susceptibility to tumor induction,
and the availability of sufficiently
characterised strains.
Young healthy adult animals of
commonly used laboratory strains
should be employed.
Animals may be housed individually,
or may be caged in small groups of
same sex. Individual sometime.
Temperature in room 22C(± 3C).
Humidity at least 30% not < 70%.
Lighting 12hr dark & 12hr light.
Feeding diet, unlimited supply of
drinking water. Diet should meet
all the nutritional requirements of
species tested meet the nutritional
requirements of the animals.
Healthy animals, not been subjected
to previous experimental procedures.
Test animals should be characterised
as to species, strain, source, sex,
weight and age.
Animals randomly assigned to the
control and treatment groups.
Each animal assigned a unique
identification number, and
permanently marked with this
number by tattooing, microchip
implant, or other suitable method.
5
6. PROCEDURE
Duration of
study
The duration of the study will
normally be 24 months for rodents,
representing the majority of
the normal life span of the animals to
be used. Shorter or longer study
durations may be used, dependent
on the lifespan of the strain of the
animal species in the study
Dose groups
and dosage
Guidance on all aspects of dose
selection and dose level spacing
is provided in Guidance
Document No. 116 (7). At least
three dose levels and a
concurrent control should be
used.
Number and
sex of animals
Both sexes should be
used. A sufficient number
of animals should be used
so that a thorough
biological and statistical
evaluation is possible.
The study may make provision
for interim kills, e.g., at 12
months, to provide information
on progression of neoplastic
changes and mechanistic
information, if scientifically
justified.
Provision for interim
kills and satellite
(sentinel) groups
The route and method of
administration is dependent on the
purpose of the study, the
physical/chemical properties of the test
chemical, its bioavailability and the
predominant route and
method of exposure of humans.
Preparation of
doses and
administration
of test chemical
6
7. OBSERVATIONS
• All animals should be checked for morbidity or mortality, usually at the beginning and the end of each day,
including at weekends and holidays.
• Animals should additionally be checked once a day for specific signs of toxicological relevance.
• Particular attention should be paid to tumor development; and the time of tumor onset, location,
dimensions, appearance, and progression of each grossly visible or palpable tumor should be recorded.
7
OBSERVATION
BODY WEIGHT
WATER
CONSUMPTION
FOOD
CONSUMPTION
HEAMATOLOGY URINE
8. 8
Body weight,
food/water
consumption
• Measurements of weight, food
consumption, water
consumption(at least once a week
for the first 13 weeks and at least
monthly thereafter)
Hematology
• Blood samples should be taken
from a named site, for example by
cardiac puncture or from the retro-
orbital sinus under anesthesia
• stored, if applicable, under
appropriate conditions.
• Blood smears may also be prepared
for examination, particularly if bone
marrow appears to be the target
organ
Observation study
9. PATHOLOGY
GROSS NECROPSY-
• Done in all animals except sentinel and other satellite animals.
• Careful examination of external body surface, all cavities,
orifices and their contents are done.
• Organ weights are not part of carcinogenetic study as to
geriatric changes and tumor causes variation.
• In satellite study, organs should be collected within 1year after
initiation of study.
• Both paired organs needs to be preserved.
• Target organs based on known properties of test compound
should be preserved.
• In dermal route of administration, oral organs and skin is
preserved.
• In inhalation study, TG412 and TG413 recommendations are
followed to preserve respiratory tissues.
Histopathology-
• All tissues from high dose and control group.
• All tissues of died/killed animals.
• All tissues showing macroscopic abnormalities, tumors.
• Both organs of paired organs.
9
10. DATA & REPORTING
DATA-
• Individual experimental animals data of all evaluated parameters are presented.
• Summarised data in tabular form are presented for each test group including no. of animals used, no. of animals died,
signs of toxicity, onset, duration and severity of toxicity, lesions etc.
• Mean and SD are evaluated.
• Historical control data should be from same laboratory and same age and strain of animal generated during 5years
preceding the studying.
• Proper statistical method and data should be selected during design of study.
TEST REPORTS-
•Physical nature,
purity
•Identification data
•Source
•Batch number
•Certificate of
chemical analysis
• Justification for
choice of
vehicle (other
than water).
•Strain with
justification
•Number, age, sex
•Source, diet, housing
condition
•Weight of each
animals.
TEST CHEMICAL VEHICLE TEST ANIMAL
• Rationale for route of administration and dose selection.
• Statistical methods.
• Test chemical formulation details.
• Analytical data on concentration, homogeneity and
stability of preparations.
• route for inhalation studies.
• Actual doses and conversion factors.
• Food and water quality details
TEST
CONDITIONS
10
11. 1
2
3
4
General
Clinical findings
Necropsy data
Histopathology
Survival data; Body weight changes; Food consumption, calculations of food
efficiency, if made, and water consumption; Toxicokinetic data if available;
Ophthalmoscopy; Hematology; Clinical chemistry (if available);
Signs of toxicity; Incidence (and, if scored, severity) of any
abnormality; Nature, severity, and duration of clinical observations
(whether transitory or permanent);
Terminal body weight;
Organ weights and their ratios, if applicable;
Necropsy findings; Incidence and severity of
abnormalities
Non neoplastic histopathological findings;
Neoplastic histopathological findings;
Correlation between gross and
microscopic findings
RESULTS
11