“Pivotal nonclinical studies of sarilumab were conducted in Cynomolgus monkeys by intravenous and SC dosing since only monkeys were identified as a relevant species for sarilumab in a series of pharmacology studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Why that species
Binds human and cynomolgus IL-6Ra (KD 54 and 123 pM); no binding to murine IL-6Ra
“Sarilumab binds human and Cynomolgus monkey IL-6Rα with an equilibrium dissociation constant (Kd) of 54 pM and 123 pM, respectively, but no binding of sarilumab to the murine IL-6Rα was observed.”
✓ VerifiedFDA pharmacology/toxicology review, p. 46Source ↗
Surrogate molecule
Yes: murine anti-mouse IL-6Ra surrogate REGN844, used for mouse fertility and juvenile toxicity studies
“Fertility and juvenile toxicity studies were also conducted in mice with an analogous monoclonal antibody (REGN844).”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Species: general tox
Cynomolgus monkey only
“Pivotal nonclinical studies of sarilumab were conducted in Cynomolgus monkeys by intravenous and SC dosing since only monkeys were identified as a relevant species for sarilumab in a series of pharmacology studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Species: DART
Cynomolgus monkey (ePPND) and mouse (fertility, with surrogate REGN844)
“The reproductive and developmental toxicity of sarilumab was evaluated in an enhanced pre- and postnatal development (ePPND) study in cynomolgus monkeys. Further, a murine surrogate monoclonal antibody to sarilumab that binds mouse IL-6Rα (i.e., REGN844) was developed and used for a fertility study in mice.”
✓ VerifiedFDA pharmacology/toxicology review, p. 58Source ↗
Species: carcinogenicity
Not conducted: rodent study not feasible due to species specificity
“Based on species specificity, a rodent carcinogenicity study with sarilumab was not considered feasible. The Executive Carcinogenicity Assessment Committee (ECAC) concurred that a carcinogenicity study was not feasible.”
✓ VerifiedFDA pharmacology/toxicology review, p. 57Source ↗
Surrogate used in
Yes: mouse surrogate REGN844 for fertility and juvenile toxicity studies
“Fertility and juvenile toxicity studies were also conducted in mice with an analogous monoclonal antibody (REGN844).”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗