Negative in Ames, in vitro chromosomal aberration and mouse bone marrow micronucleus assays
“Cipepofol was not genotoxic in a standard battery of genotoxicity assays, testing negative in an in vitro Ames assay, in the in vitro chromosomal aberration assay, and in the in vivo bone marrow micronucleus test in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Carcinogenicity
Not conducted
“The carcinogenic potential of cipepofol has not been evaluated.”
✓ VerifiedFDA multi-discipline review, p. 211Source ↗
Instead of carcinogenicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Instead of genotoxicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
DRG histopathology
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Reproductive & developmental
Rat FEED: increased post-implantation loss from resorptions, likely related to maternal hypoxia secondary to anesthesia
“It appears that the significantly increased post-implantation loss was mainly driven by increased resorption. Similar, but not significant and not dose-dependent, effects were observed in the FEED study in rats with every other day IV dosing. The reproductive effects observed in the FEED studies are likely related to maternal hypoxia secondary to anesthesia.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Safety pharmacology
Dog CV study: transient hypotension and QTcF increase during anesthesia
“Temporary cardiovascular (CV) effects during anesthesia, including reduced blood pressure and ECG changes such as an increase in QTcF, were observed in the cardiovascular safety pharmacology study and a single-dose toxicology study in dogs.”
✓ VerifiedFDA multi-discipline review, p. 202Source ↗
Genotox: Ames
Negative
“Cipepofol was not genotoxic in a standard battery of genotoxicity assays, testing negative in an in vitro Ames assay, in the in vitro chromosomal aberration assay, and in the in vivo bone marrow micronucleus test in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Genotox: in vitro mammalian
In vitro chromosomal aberration assay: negative
“Cipepofol was not genotoxic in a standard battery of genotoxicity assays, testing negative in an in vitro Ames assay, in the in vitro chromosomal aberration assay, and in the in vivo bone marrow micronucleus test in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Genotox: in vivo
Mouse bone marrow micronucleus: negative
“Cipepofol was not genotoxic in a standard battery of genotoxicity assays, testing negative in an in vitro Ames assay, in the in vitro chromosomal aberration assay, and in the in vivo bone marrow micronucleus test in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Carcinogenicity model
Not conducted (acute-use indication)
“Carcinogenicity studies are not required to approve a drug product indicated for acute use.”
✓ VerifiedFDA multi-discipline review, p. 227Source ↗
Carcinogenicity timing
Not required for an acute-use product
“Carcinogenicity studies are not required to approve a drug product indicated for acute use.”
✓ VerifiedFDA multi-discipline review, p. 227Source ↗
hERG / QT
Dog QTcF increase during anesthesia, at or below human exposure at maximum induction dose
“Temporary cardiovascular effects during anesthesia, including reduced blood pressure and electrocardiogram (ECG) changes such as an increase in QTcF interval, were observed in the cardiovascular safety pharmacology study and in a single-dose toxicology study in dogs. QTc prolongation occurred at or below the human exposure at the maximum human induction dose.”
✓ VerifiedFDA multi-discipline review, p. 39Source ↗
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative