Negative in Ames, in vitro chromosome aberration and in vivo micronucleus assays
“Nerandomilast was negative for mutagenic and clastogenic potential in a complete battery of genotoxicity assays (e.g., in vitro Ames assay, in vitro chromosome aberration assay, and an in vivo mammalian micronucleus assay).”
104-week rat and 26-week Tg.rasH2 mouse: no carcinogenic potential
“Nerandomilast showed no evidence of carcinogenic potential when administered for 26 weeks to transgenic mice (Tg.rasH2) or for 104 weeks to rats up to dose levels of 60 (male)/ 100 (female) and 2 mg/kg/day, respectively.”
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 and rabbit EFD: embryofetal loss in rats at 6 mg/kg/day (5-fold MRHD AUC); none in rabbits at 15 mg/kg/day
“Embryofoetal lethality in the form of prenatal embryo-foetal loss (post-implantation loss due to early resorptions) was observed in rats at 6 mg/kg/day (5-fold human AUC exposure at the MRHD) but was not observed in rats at 3 mg/kg/day (3-fold human AUC exposure at the MRHD) or in rabbits at 15 mg/kg/day (4-fold human AUC, unbound exposure at the MRHD).”
No relevant adverse findings in GLP core battery; dose-dependent chronotropic heart-rate effect in minipigs, not clinically relevant
“No relevant adverse findings were associated with nerandomilast administration in the additional GLP core battery safety pharmacology assessments. A dose-dependent chronotropic effect on heart rate was observed in minipigs but was not considered clinically relevant.”
“Nerandomilast was not mutagenic or clastogenic in the following assays: in vitro bacterial reverse mutation assay (Ames test), in vitro chromosomal aberration assay in human peripheral blood lymphocytes, and in vivo rat micronucleus assay.”
Chromosomal aberration assay in human peripheral blood lymphocytes: negative
“Nerandomilast was not mutagenic or clastogenic in the following assays: in vitro bacterial reverse mutation assay (Ames test), in vitro chromosomal aberration assay in human peripheral blood lymphocytes, and in vivo rat micronucleus assay.”
Rat micronucleus: negative (bone marrow toxicity at high dose)
“However, in an in vivo rat micronucleus assay, bone marrow toxicity was observed based on a significant decrease in immature erythrocytes at 1000/500 mg/kg (i.e., males/females) at 24 and 48 hr postdose.”
26-week Tg.rasH2 mouse and 104-week rat: no carcinogenic potential
“Nerandomilast showed no evidence of carcinogenic potential when administered for 26 weeks to transgenic mice (Tg.rasH2) or for 104 weeks to rats up to dose levels of 60 (male)/ 100 (female) and 2 mg/kg/day, respectively.”
26-week Tg rasH2 mouse and 104-week rat completed before the marketing application
“Nerandomilast showed no evidence of carcinogenic potential when administered for 26 weeks to transgenic mice (Tg.rasH2) or for 104 weeks to rats up to dose levels of 60 (male)/ 100 (female) and 2 mg/kg/day, respectively.”
“The nerandomilast IC50 at hERG channels expressed in HEK293 cells was determined to be >10µM, since the highest tested concentration of 10µM nerandomilast blocked less than 30% of the hERG tail current amplitude.”
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative