Not conducted; not applicable to a therapeutic protein
“Genetic toxicity studies were not applicable for this therapeutic biologic protein.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Carcinogenicity
Not conducted (rodents not pharmacologically relevant); risk assessment accepted by CDER ECAC
“Carcinogenicity studies were not conducted since rodents are not pharmacologically relevant species. AstraZeneca submitted a carcinogenicity risk assessment that was evaluated by the CDER Executive Carcinogenicity Assessment Committee.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
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
Monkey ePPND: not teratogenic; NOAEL for maternal toxicity and teratogenicity 30 mg/kg
“Benralizumab was not teratogenic in cynomolgus monkeys. The NOAEL for maternal toxicity and teratogenicity was identified at 30 mg/kg.”
✓ VerifiedFDA pharmacology/toxicology review, p. 39Source ↗
Safety pharmacology
Incorporated into monkey toxicity studies (cardiovascular, respiratory, CNS) up to 30 mg/kg; no toxicity
“These studies included assessment of potential effect of benralizumab on cardiovascular, respiratory and central nervous systems, following single and repeated subcutaneous and intravenous doses, up to 30 mg/kg. There was no indication of toxicity in these evaluations.”
Not conducted (not applicable to a therapeutic protein)
“Genetic toxicity studies were not applicable for this therapeutic biologic protein.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Genotox: in vitro mammalian
Not conducted (not applicable to a therapeutic protein)
“Genetic toxicity studies were not applicable for this therapeutic biologic protein.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Genotox: in vivo
Not conducted (not applicable to a therapeutic protein)
“Genetic toxicity studies were not applicable for this therapeutic biologic protein.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Carcinogenicity model
Not conducted; no binding to murine IL-5Rα makes a 2-year rodent bioassay inappropriate
“Since benralizumab does not bind to murine IL-5Rα, direct assessment of carcinogenic risk of benralizumab in a classic 2-year rodent bioassay was not appropriate.”
✓ VerifiedFDA pharmacology/toxicology review, p. 157Source ↗
Carcinogenicity timing
Not required (agreed by CDER Executive Carcinogenicity Assessment Committee)
“AstraZeneca submitted a carcinogenicity risk assessment that was evaluated by the CDER Executive Carcinogenicity Assessment Committee. The Committee agreed that a carcinogenicity study was not required.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
hERG / QT
No hERG assay; no abnormal ECG findings in monkey toxicity study
“There were no abnormal ECG findings in any animals on study.”
✓ VerifiedFDA pharmacology/toxicology review, p. 141Source ↗