Cynomolgus monkey and PDAPP transgenic mouse (surrogate antibody)
“toxicity studies were conducted in cynomolgus monkey (6-week IV donanemab) to assess for any off-target toxicity, and in the PDAPP transgenic mouse model (6-week and 6-month SC mE8c, a murine surrogate) to assess for relevant on-target effects”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Why that species
Not pharmacologically active in normal animals; monkey for off-target toxicity, amyloid-bearing PDAPP mice for on-target effects
“Donanemab is not pharmacologically active in normal rodent or nonrodent; therefore, toxicity studies were conducted in cynomolgus monkey (6-week IV donanemab) to assess for any off-target toxicity”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Surrogate molecule
Yes: murine analog mE8c, used for repeat-dose toxicity studies in PDAPP transgenic mice
“These studies used mE8c, the murine analog of donanemab, to avoid immunogenicity that would be expected with donanemab, a humanized antibody, in mouse.”
✓ VerifiedFDA pharmacology/toxicology review, p. 20Source ↗
“toxicity studies were conducted in cynomolgus monkey (6-week IV donanemab) to assess for any off-target toxicity, and in the PDAPP transgenic mouse model (6-week and 6-month SC mE8c, a murine surrogate) to assess for relevant on-target effects”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Species: DART
Not conducted (age of indicated population)
“Developmental and reproductive toxicity studies were not conducted based on the age of the indicated population.”
✓ VerifiedFDA pharmacology/toxicology review, p. 20Source ↗
Species: carcinogenicity
Not conducted: target absent in wild-type rodents; transgenic rodent studies not feasible
“Carcinogenicity studies of donanemab were not conducted because its target, human AβN3pE-x peptide, is not present in wild-type rodents, and carcinogenicity studies in transgenic rodents are not feasible.”
✓ VerifiedFDA pharmacology/toxicology review, p. 18Source ↗
Surrogate used in
Yes: murine analog mE8c in aged PDAPP mice for 6-week and 5-month toxicity studies
“These studies used mE8c, the murine analog of donanemab, to avoid immunogenicity that would be expected with donanemab, a humanized antibody, in mouse. In the pivotal (GLP) studies, mE8c was administered to 12- to 15-month-old PDAPP mice weekly for 6 weeks (0, 10, 30, or 100 mg/kg SC) or 5 months (0, 30, or 100 mg/kg SC).”
✓ VerifiedFDA pharmacology/toxicology review, p. 20Source ↗