This document summarizes the guidelines for pharmacological and toxicological screening as outlined in Schedule Y of the Drugs and Cosmetics Act of India. It discusses the various types of animal toxicity studies that must be conducted, including acute, repeated-dose, reproductive, developmental and local toxicity studies. Parameters to be monitored and number of animals required are provided. Toxicity studies should follow GLP guidelines and include dose selection, administration route, duration of study, and observation of clinical signs and pathological examination. The goal is to assess the safety of new drugs and establish their safe dose levels before clinical trials.
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.
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
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.
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
Toxicity is the science dealing with properties, action, toxicity, fatal dose detection or interpretation of result of toxicological analysis & treatment of poison.
Toxicity studies helps to avoid adverse effect and enhance the safety of drug.
This slide provides the information about toxicity screening on experimental animals.
Alternative methods to animals testing are the development and implementation of test method that avoid use of live animals or use of less animals in method.
The council directive on protection of animals used for experiments and scientific purpose in article 23
“The commission and member states should encourage
research into development and validation of alternative methods which could provide the same level of information as that obtained in experiment using animals but which involves less animal”.
Alternative methods able to do:
Reduce Refine Replace
collectively called as “The 3Rs Principle”.
Needs for alternative methods
Because in laboratory animals may be:
Poisoned.
Deprived of food water and sleep.
Applied with skin and eye irritants.
Subjected to psychological stress.
Deliberately infected with the infected disease.
Safety pharmacology is a branch of pharmacology with its aim to predict the potential clinical risk profile of new chemical entities (NCEs).
It has the ability to predict the potential off-target drug effects on major organ systems which are associated with exposure in the therapeutic range and above.
As an essential part of the spectrum of drug discovery and development, safety pharmacology studies are generally conducted to determine the relative drug effect on main organs, including respiratory system, central nervous system, and cardiovascular system.Safety pharmacology is an essential part of the drug development process that aims to identify and predict adverse effects prior to clinical trials.
SP studies are described in the international conference on harmonization (ICH) S7A and S7B Guidelines.
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.
Toxicity is the science dealing with properties, action, toxicity, fatal dose detection or interpretation of result of toxicological analysis & treatment of poison.
Toxicity studies helps to avoid adverse effect and enhance the safety of drug.
This slide provides the information about toxicity screening on experimental animals.
Alternative methods to animals testing are the development and implementation of test method that avoid use of live animals or use of less animals in method.
The council directive on protection of animals used for experiments and scientific purpose in article 23
“The commission and member states should encourage
research into development and validation of alternative methods which could provide the same level of information as that obtained in experiment using animals but which involves less animal”.
Alternative methods able to do:
Reduce Refine Replace
collectively called as “The 3Rs Principle”.
Needs for alternative methods
Because in laboratory animals may be:
Poisoned.
Deprived of food water and sleep.
Applied with skin and eye irritants.
Subjected to psychological stress.
Deliberately infected with the infected disease.
Safety pharmacology is a branch of pharmacology with its aim to predict the potential clinical risk profile of new chemical entities (NCEs).
It has the ability to predict the potential off-target drug effects on major organ systems which are associated with exposure in the therapeutic range and above.
As an essential part of the spectrum of drug discovery and development, safety pharmacology studies are generally conducted to determine the relative drug effect on main organs, including respiratory system, central nervous system, and cardiovascular system.Safety pharmacology is an essential part of the drug development process that aims to identify and predict adverse effects prior to clinical trials.
SP studies are described in the international conference on harmonization (ICH) S7A and S7B Guidelines.
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.
Ich (s5 r2) The International Council for Harmonisationof Technical Requireme...AMIT KUMAR
GUIDLINES FOR REPRODUCTIVE TOXICOLOGY,Strategies for reproductive toxicity assessment,The International Council for Harmonisation,of Technical Requirements for Pharmaceuticals for Human Use
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
Assignment on Toxicokinetics- Toxicokinetic evaluation in preclinical studies, saturation kinetics Importance and applications of toxicokinetic studies. Alternative methods to animal toxicity testing.
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
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The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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Schedule Y Regulation For Animal Toxicity Studies
1. SEMINAR I
PHARMACOLOGICALAND TOXICOLOGICAL SCREENING
PRESENTED BY - CERIN MAREENA PHILIP
M PHARM IIND SEMESTER(2019)
DEPARTMENT OF PHARMACOLOGY
KMCH COLLEGE OF PHARMACY
COIMBATORE
PRESENTED TO - DR.G.VENKATESH M.PHARM., PH.D.
ASSOCIATE PROFESSOR
DEPARTMENT OF PHARMACOLOGY
KMCH COLLEGE OF PHARMACY
COIMBATORE
3. CONTENT
• Drugs and cosmetics act
• Schedule Y
• Appendices in schedule Y
• Appendices III. Animal toxicology
General principle
Laboratory parameters to be included in toxicity studies.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
3
4. THE DRUGS AND COSMETICS ACT, 1940
• An Act to regulate import, manufacture, distribution and sale of drugs and cosmetics.
• Passed by the Indian Parliament.
• It extends to the whole of India.
• Both the Act and the Rules came into force from April 1947
• Schedule(organized plan for matters to be attended ) are from A to Y
• The primary objective of the act is to ensure that the drugs and cosmetics sold in India are
safe, effective and conform to state quality standards.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
5. SCHEDULE Y
• Schedule Y for India is a law and not a mere guideline.
• The current regulator (CDSCO – Central Drugs Standard Control Organization)
enforced law in India. Headed by , DCGI (Drugs Controller General Of India)
• The enforcement that came into existence in 1988 was an essential provision for
providing support to the upscale of generic pharma scenic present in those days.
• Revised version of schedule y in line with ICH-GCP standard was put forth in
1995.
• Ammended version of schedule y was released with the recent advancements in
its operations in 2005 .
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
5
6. • APPENDICES IN SCHEDULE Y
• I. Data required for import/manufacture/ conduct Clinical Trial of new drugs
IA. Drugs approved in other country
• II. Format for clinical study reports(ICH E6)
• III. Animal toxicology
• IV. Animal pharmacology
• V. Informed consent
• VI. FDC
• VII. Undertaking by the investigator
• VIII. Ethics committee
• IX. Stability testing
• X. Proposed protocol
• XI. SAE Reporting
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7. • ANIMAL TOXICOLOGY (NON-CLINICAL TOXICITY STUDIES)
• 1. General Principles
• Toxicity studies should comply with the norms of good laboratory practice (GLP).
• Should be performed by suitably trained and qualified staff employing properly
calibrated and standardized equipment of adequate size and capacity.
• Studies should be done as per written protocols with modifications (if any)
verifiable retrospectively. Standard operating procedures (sops) should be followed
for all managerial and laboratory tasks related to these studies.
• Test substances and test systems (in-vitro or in-vivo) should be properly
characterized and standardized.
• All documents belonging to each study, including its approved protocol, raw data,
draft report, final report, and histology slides and paraffin tissue blocks should be
preserved for a minimum of 5 years after marketing of the drug.
• Studies should be conducted to assess the systemic exposure achieved in animals
and its relationship to dose level and the time course of the toxicity study.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
8. • Other objectives of toxicokinetic studies include obtaining data and contribute to
the assessment of the relevance of these findings to clinical safety, to support the
choice of species and treatment regimen in nonclinical toxicity studies
• 1.1 Systemic Toxicity Studies
• 1.1.1 Single-dose Toxicity Studies: These studies should be carried out in 2
rodent species (mice and rats) using the same route as intended for humans. At
least one more route should be used in one of the species to ensure systemic
absorption of the drug.
• This route should depend on the nature of the drug. A limit of 2g/kg (or 10 times
the normal dose that is intended in humans, whichever is higher) is recommended
for oral dosing. minimum lethal dose (MLD) and maximum tolerated dose
(MTD) should be established. target organ of toxicity should also be determined.
• Mortality should be observed for up to 7 days after parenteral administration and
up to 14 days after oral administration.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
9. • 1.1.2 Repeated-dose Systemic Toxicity Studies:
• These studies should be carried out in at least two mammalian species, of
which one should be a non-rodent. Dose ranging studies should precede the 14-
, 28-, 90- or 180- day toxicity studies. If a species is known to metabolize the
drug in the same way as humans, it should be preferred for toxicity studies.
• In repeated-dose toxicity studies the drug should be administered 7 days by the
route intended for clinical use. Wherever applicable, a control group of animals
given the vehicle alone should be included, and three other groups should be
given graded doses of the drug.
• The lowest dose should not cause observable toxicity, but should be
comparable to the intended therapeutic dose in humans or a multiple of it .
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
10. NUMBER OF ANIMAL REQUIRED FOR
REPEATED DOSE TOXICITY STUDIES
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
11. PARAMETERS TO
BE MONITERED
IN LONG TERM
TOXICITY STUDIES
Signs of
intoxication,
Body weight, Food
intake
Blood
biochemistry,
Hematology, Urine
analysis,
Organ
weights, Gross and
microscopic
examination of
organs and tissues.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
12. 1.2 Male Fertility Study
• Species: (One rodent)
• Dose selection: from the 14 or 28-day toxicity study in rat.
• Groups: Three dose groups. 6 adult male animals in each group.
• Dosing interval: Test substance by the intended route of clinical use for
min 28 days & max 70 days before they are paired with female animals
of proven fertility. Drug treatment of the male animals should continue
during pairing.
• Parameters: (i) Females getting thus pregnant should be examined for
their fertility index after day 13 of gestation. (ii) Weights of each testis
and epididymis. (iii) Sperms from one epididymis- their motility and
morphology.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
13. 1.3 Female Reproduction And Developmental
Toxicity Studies
• Carried out for all drugs to be used in women of child bearing age.
• Species: (one rodent)
• Dose selection: administered to both males and females, beginning a sufficient number of
days before mating
• Groups: 15 males and 15 females per dose. Control and the treated groups should be of
similar size.
• Dosing interval: Three graded doses. The route of administration should be the same as
intended for therapeutic use.
• Drug treatment should continue during mating and, subsequently, during the gestation
period.
• Dams should be allowed to litter and their medication should be continued till the weaning
of pups.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
14. • signs of intoxication,abnormalities, if any.
• effect on body weight,
• effect on food intake,
• examination of uterus, ovaries and uterine contents,
• number of corpors lutea,
• implantation sites, resorptions (if any);
• the fetuses, the total number, gender, bodylength, weight
and gross/ visceral/ skeletal
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
15. 1.3.2 Teratogenicity Study
• Species: One rodent & a non-rodent (rabbit)
• Dose selection: Drug administered throughout the period of
organogenesis, using three dose levels. The route of administration
should be the same as intended for human therapeutic use.
• Groups: The control and the treated groups should consist of at least
20 pregnant rats (or mice) and 12 rabbits, on each dose level.
• All fetuses should to be subjected to gross examination, Skeletal
abnormalities and visceral abnormalities.
• Observation parameters should include
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
16. Observations
should be
carried out
for
Clinical signs
of
intoxication
Food
intake,Body
weight
Survival,
Growth
parameter
Length of
gestation,
Parturition
Post-partum
health &
gross
pathology of
affected
organ
Progress of
gestation/
parturition
periods
Mating
behavior
al
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
17. 1.3.3Perinatal Study
• Carried out for the drugs to be given to pregnant or nursing mothers
for long periods or if adverse effects on fetal development are there.
• Species: One rodent species (preferably rat)
• Dose selection: should be administered throughout the last trimester of
pregnancy and continued throughout lactation and weaning.
• Groups: 4 groups, each having 15 rat.
• Animals should be sacrificed at the end of the study.
• Observation parameters should include
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
18. •(Dams) body weight,
• food intake,
• general signs of intoxication,
• progress of gestation/ parturition periods and gross pathology (if any);
•pups, the clinical signs, sex-wise distributiondose groups, body
weight, growth parameters, gross examination, survival and autopsy (if
needed) and where necessary, histopathology.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
19. 1.4 Local toxicity
• Required when route of administration is some special route (other than oral) in
humans.
• Applied to an appropriate site (e.g., skin or vaginal mucous membrane) to determine
local effects in a suitable species.
• Typical study designs includes three dose levels and untreated and/ or vehicle control,
preferably with use of 2 species.
• Dermal toxicity study
• Photo-allergy or dermal
• photo-toxicity
• Vaginal Toxicity Test
• Rectal Tolerance Test
• Parentral Drugs
• Ocular toxicity studies
• Inhalation
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
20. (i) Dermal toxicity study:
• done in rabbit and rat.
• clinical dosage,several fold higher than the clinical dosage form
should be used.
• Porous gauze dressing should be used to hold liquid material in place.
• Period of application may vary from 7 to 90 days depending on the
clinical duration of use.
• Local signs (erythema,oedema and eschar formation) as well as
histological examination of sites of application should be used for
evaluation of results.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
21. (ii) Photo-allergy or dermal photo-toxicity:
• It should be tested by Armstrong/ Harber Test in guinea pig.
• Pretest in 8 animals should screen 4concentrations(WITHOUT UV)
• Observations recorded at 24 and 48 hours should be used to ascertain highest
nonirritant dose.
• Main test should be performed with 10 test animals and 5 controls.(WITH UV)
• Induction with the dose selected from pretest should use 0.3 ml/patch for 2 hour ±15
min. followed by 10 J/cm2 of UV exposure.
• This should be repeated on day 0, 2,4,7,9 and 11 of the test.
• Animals should be challenged with the same concentration of test substance
between day 20 to 24 of the test with a similar 2-hour application followed by
exposure to 10 J/cm2 of UV light.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
22. iii)Vaginal Toxicity Test:
• Study is to be done in rabbit or dog.
• Test substance should be applied topically (vaginal mucosa) in the
form of pessary, cream or ointment. Six to ten animals per dose group
should be taken.
• Higher concentrations or several daily applications of test substance
should be done to achieve multiples of daily human dose.
• The minimum duration of drug treatment is 7 days (more according to
clinical use), Subject to a maximum of 30 days.
• Observation parameters should include swelling, closure of introitus
and histopathology of vaginal wall.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
23. (iv) Rectal Tolerance Test:
• Rabbits or dogs. Six to ten animals per dose group should be taken.
• Formulation in volume comparable to human dose (or the maximum
possible volume) should be applied once or several times daily,
• The minimum duration of application is 7 days (more according to
clinical use), Subject to a maximum of 30 days.
• Observation parameters should include clinical signs of pain, blood
and/or mucus in faeces, condition of anal region/sphincter, gross and
(if required) histological examination of rectal mucosa.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
24. (v) Parenteral Drugs:
• For products meant for intravenous or intramuscular or subcutaneous
or intradermal
• Injection the sites of injection in systemic toxicity studies should be
specially examined grossly and
• Microscopically. If needed, reversibility of adverse effects may be
determined on a case to case basis.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
25. (vi) Ocular toxicity studies (for products
meant for ocular instillation):
• These studies should be carried out in two Species, albino rabbit
• Liquids, ointments, gels or soft contact lenses (saturated with drug)
should be used.
• Duration of the final study will depend on the proposed length of human
exposure Subject to a maximum of 90 days.
• At least two different concentrations exceeding the human dose should
be used for demonstrating the margin of safety.
• In acute studies, one eye should be used for drug administration and the
other kept as control.
• A separate control group should be included in repeated-dose studies.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
26. (vii) Inhalation toxicity studies:
• The studies are to be undertaken in one rodent and one non-rodent
species using the formulation that is to be eventually proposed to be
marketed.
• Acute, subacute and chronic toxicity studies should be performed
Gases and vapors should be given in whole body exposure chambers.
• Three dose groups and a control (plus vehicle control, if needed) are
required.
• Duration of exposure may vary subject to a maximum of 6 hours per
day and five days a week. Food and water should be withdrawn during
the period of exposure to test substance.
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DEPARTMENT OF PHARMACOLOGY-KMCH COLLEGE OF
PHARMACY
27. 1.5Allergenicity/ Hypersensitivity:
• Standard tests include guinea pig maximization test (GPMT) and local lymph node
assay (LLNA) in mouse. Any one of the two may be done
• (i) Guinea Pig Maximization Test: The test is to be performed in two steps; first,
determination of maximum nonirritant and minimum irritant doses, and second, the
main test.
• 4 dose levels should be tested by the same route in a batch of 4 male and 4 female
animals
• A minimum of 6 male and 6 female animals per group should be used in the main
study.
• If there is no response, re-challenge should be done 7-30 days after the primary
challenge.
• Erythema and oedema should be used as evaluation criteria.
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28. • (ii) Local Lymph Node Assay: Mice used in this test should be of the same
sex, either only males or only females.
• Drug treatment is to be given on ear skin. Three graded doses, the highest
being maximum nonirritant dose plus vehicle control should be used. A
minimum of 6 mice per group should be used.
• Test material should be applied on ear skin on three consecutive days and on
day 5, the draining auricular lymph nodes should be dissected out 5 hours
after I.V. 3H-thymidine or bromo-deoxy-uridine (BrdU).
• Increase in 3H-thymidine or BrdU incorporation should be used as the
criterion for evaluation of results.
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29. 1.6 Genotoxicity
• Genotoxic compounds, shall be presumed to be trans-species
carcinogens, implying a hazard to humans.
• Such compounds need not be Subjected to long term carcinogenicity
studies.
• However, if such a drug is intended to be administered for chronic
illnesses or otherwise over a long period of time - a chronic toxicity
study (up to one year) may be necessary to detect early tumorigenic
effects.
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30. • iIn-vitro exposure (with and without metabolic activation, S9 mix) should be done at
a minimum of 5 log dose levels. “Solvent” and “positive” control should be used.
• Positive control may include 9-amino-acridine, 2-nitrofluorine, sodium azide and
mitomycin C, respectively, in the tester strains . Each set should consist of at least
three replicates.
• (ii) In-vitro cytogenetic assay : The desired level of toxicity for in vitro cytogenetic
tests using cell lines should be greater than 50% reduction in cell number or culture
confluency.
• For lymphocyte cultures, an inhibition of mitotic index by greater than 50% is
considered sufficient. It should be performed in on human lymphocyte in culture.
• In-vitro exposure (with and without metabolic activation, S9 mix) should be done
using a minimum of 3 log doses. “Solvent” and “positive” control should be
included.
• A positive control like Cyclophosphamide with metabolic activation and Mitomycin
C for without metabolic activation should be used.
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31. • (iii) In-vivo micronucleus assay: One rodent species (preferably mouse) is
needed.
• Route of administration of test substance should be the same as intended for
humans.
• Five animals per sex per dose groups should be used. At least three dose levels,
plus “solvent” and “positive” control should be tested.
• A positive control like mitomycin C or cyclophosphamide should be used.
Dosing should be done on day 1 and 2 of study followed by sacrifice of animals
6 hours after the last injection.
• Bone marrow from both the femora should be taken out, flushed with fetal
bovine serum (20 min.), pelletted and smeared on glass slides.
• Giemsa-MayGruenwald staining should be done and increased number of
micronuclei in polychromatic erythrocytes (minimum 1000) should be used as
the evaluation criteria.
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32. • (iv) In-vivo cytogenetic assay: One rodent species (preferably rat) is to
be used.
• Route of administration of test substance should be the same as
intended for humans.
• Five animals/sex/dose groups should be used. At least three dose
levels, plus “solvent” and “positive” control should be tested.
• Positive control may include cyclophosphamide.
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33. 1.7 Carcinogenicity
• Carcinogenicity studies should be done in a rodent species (preferably rat). Mouse
may be employed only with proper scientific justification. The selected strain of
animals should not have a very high or very low incidence of spontaneous tumors.
• Each dose group and concurrent control group not intended to be sacrificed early
should contain atleast 50 animals of each sex.
• At least three dose levels should be used. The highest dose should be sub-lethal,
and it should not reduce the life span of animals by more than 10% of expected
normal. The lowest dose should be comparable to the intended human therapeutic
dose or a multiple of it.
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34. • An untreated control and (if indicated) a vehicle control group should be
included.
• The drug should be administered 7 days a week for a fraction of the life span
comparable to the fraction of human life span
• Generally, the period of dosing should be 24 months for rats and 18 months
for mice.
• Observations should include macroscopic changes observed at autopsy and
detailed histopathology of organs and tissues.
• More than 6 months
• Drugs used frequently in an intermittent Manner in the treatment of chronic
or recurrent conditions.
• Structure-activity relationship suggests carcinogenic risk.
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35. 1.8 ANIMAL TOXICITY REQUIREMENTS FOR CLINICAL
TRIALS AND MARKETING OF NEW DRUG
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37. Laboratory parameters to be included in
toxicity studies.
• Hematological parameters
• Urine analysis Parameters
• Blood Biochemical Parameters
• Gross and Microscopic Pathology
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41. GROSS AND MICROSCOPIC PATHOLOGY
• * Organs marked with an asterisk should be weighed.
• () Organs listed in parenthesis should be examined if indicated by the nature of the drug or
observed effects.
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42. For Phase I studies: -
• Systemic toxicity Studies
• Single dose toxicity studies
• Dose Ranging studies
• Repeated dose systemic studies of appropriate duration to support the
duration of proposed human exposure.
• – Male Fertility study
• – In-vitro Genotoxicity tests
• Relevant local toxicity studies
• Allergenicity/hypersensitivity tests
• Photo-allergy or dermal photo-toxicity test
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43. Phase II Clinical Trials
• Non-clinical safety data (listed previously) already submitted while
obtaining the permissions for phase I trial, with appropriate references.
• Directly starting phase II trial – complete details of the non-clinical
safety data needed for obtaining permission for phase-I trial
• Repeat dose systemic toxicity studies of appropriate duration to
support the duration of proposed human exposure.
• In-vivo genotoxicity tests
- Segment II reproductive/developmental toxicity study
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44. Phase III Clinical Trials
• Summary of non-clinical safety and phase I and phase II trials data
already submitted while obtaining the permissions
• Directly starting phase III trial – complete details of the non-clinical
safety data needed for obtaining permission for phase-I trial and phase II
• Repeat dose systemic toxicity studies of appropriate duration to support
the duration of proposed human Exposure
• Reproductive/developmental toxicity studies. (Female reproduction or
teratogenic toxicity)
• Carcinogenicity studies ( when there is a cause for concern or when the
drug is to be used for more than 6 Months)
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45. Phase IV Clinical Trials
• Summary of all the non-clinical safety data already submitted while
obtaining the permissions or Phase I and Phase II trials with appropriate
references
•Application Of Good Laboratory Practices
(GLP)
• The animal studies be conducted in an accredited laboratory. Where the
safety pharmacology studies are part of toxicology studies, these studies
should also be conducted in an accredited laboratory.
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