Thymic atrophy and lymph node erythrophagocytosis and foamy macrophages in monkeys
“Additional findings were noted in the thymus (atrophy), lymph nodes (erythrophagocytosis, foamy macrophages), and kidneys (basophilic casts, dilation, hyperplasia, vacuolation).”
✓ VerifiedFDA multi-discipline review, p. 78Source ↗
Biodistribution & persistence
Wide distribution in rats; melanin binding in eye and skin; choroid plexus accumulation, crosses the blood-brain barrier
“Taletrectinib was distributed throughout rat tissues. There was notable distribution of taletrectinib to melanin-containing tissues of the eyeball and skin. Taletrectinib also accumulated in the choroid plexus region of the brain indicating the drug can cross the blood brain barrier.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Modality-specific risk
Embryofetal toxicity (labeled warning)
“Because taletrectinib can cause fetal harm, the review team recommends an embryofetal toxicity warning.”
✓ VerifiedFDA multi-discipline review, p. 47Source ↗
Anti-drug antibodies: animals
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.
Anti-drug antibodies: patients
Not applicable (small molecule)
“Immunogenicity The Applicant’s Position: Not applicable. The FDA’s Assessment: Not applicable.”
✓ VerifiedFDA multi-discipline review, p. 248Source ↗