“These results support the monkey as the only pharmacologically relevant species.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Why that species
Binds CTLA-4 on stimulated human and cynomolgus T cells; no binding to mouse, rat, hamster or rabbit T cells
“At a concentration of 10 µg/mL, tremelimumab bound human and cynomolgus T cells treated with phytohemagglutinin (PHA) to stimulate expression of CTLA‐4, but did not bind mouse, rat, hamster, or rabbit PHA‐stimulated T cells”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Surrogate molecule
No surrogate; the clinical antibody was tested in cynomolgus monkeys
“The Applicant evaluated the safety of tremelimumab administered intravenously, the intended route of administration, using cynomolgus monkeys in GLP‐compliant 1‐ and 6‐month repeat‐dose toxicology studies.”
✓ VerifiedFDA multi-discipline review, p. 32Source ↗
Species: general tox
Cynomolgus monkey only (1- and 6-month repeat-dose studies)
“The Applicant evaluated the safety of tremelimumab administered intravenously, the intended route of administration, using cynomolgus monkeys in GLP‐compliant 1‐ and 6‐month repeat‐dose toxicology studies.”
✓ VerifiedFDA multi-discipline review, p. 32Source ↗
Species: DART
Cynomolgus monkey (embryo-fetal development during organogenesis)
“Once weekly IV administration of tremelimumab to pregnant monkeys during the period of organogenesis did not result in maternal toxicity or embryo‐fetal development toxicity at doses ≤30 mg/kg (approximately ≤4 times the clinical AUC);”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗
Species: carcinogenicity
Not conducted (generally not appropriate for antibody therapies)
“The Applicant did not conduct carcinogenicity or genetic toxicology studies as they are generally not appropriate for antibody therapies.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗
Surrogate used in
Yes, pharmacology only: murine anti-mouse CTLA-4 surrogates in syngeneic tumour models; toxicology used tremelimumab
“demonstrating pharmacological activity of murine surrogates for tremelimumab and durvalumab in mouse syngeneic tumour models”