“The pivotal studies were conducted in cynomolgus monkey, the only pharmacologically relevant species.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Why that species
Cross-reacts with cynomolgus IL-6R but not mouse or rat IL-6R
“Satralizumab showed cross-reactivity in cynomolgus monkey but not in mice or rats. Based on these data, monkey was selected as the relevant species for nonclinical testing of satralizumab.”
No surrogate; the clinical antibody was tested in cynomolgus monkeys (mouse homolog judged not feasible due to immunogenicity)
“Carcinogenicity studies of satralizumab were not conducted because satralizumab does not bind to rat or mouse IL-6R, and the use of a mouse homolog antibody was determined not to be feasible because of immunogenicity.”
✓ VerifiedFDA pharmacology/toxicology review, p. 41Source ↗
Species: general tox
Cynomolgus monkey only
“The pivotal studies were conducted in cynomolgus monkey, the only pharmacologically relevant species.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Species: DART
Cynomolgus monkey (ePPND, 0, 2 and 50 mg/kg/week SC)
“In the ePPND study, administration of satralizumab (0, 2, and 50 mg/kg/week SC) to pregnant females resulted in a dose-dependent reduction in the antibody responses to antigenic challenge in infants.”
✓ VerifiedFDA pharmacology/toxicology review, p. 7Source ↗
Species: carcinogenicity
Not conducted (no rat or mouse IL-6R binding; mouse homolog not feasible)
“Carcinogenicity studies of satralizumab were not conducted because satralizumab does not bind to rat or mouse IL-6R, and the use of a mouse homolog antibody was determined not to be feasible because of immunogenicity.”
✓ VerifiedFDA pharmacology/toxicology review, p. 41Source ↗
Surrogate used in
No surrogate used; mouse homolog antibody judged not feasible because of immunogenicity
“Carcinogenicity studies of satralizumab were not conducted because satralizumab does not bind to rat or mouse IL-6R, and the use of a mouse homolog antibody was determined not to be feasible because of immunogenicity.”
✓ VerifiedFDA pharmacology/toxicology review, p. 41Source ↗