“The nonclinical safety program supporting the clinical development and approval of doxecitine and doxribtimine included repeat-dose oral toxicity studies in mice (up to 4 weeks), rats (up to 6 months), and dogs (up to 3 months)”
Shared mitochondrial TK2 and cytosolic nucleoside pathways and conserved mitochondrial genomes analogous to humans
“The studies, conducted in alignment with ICH guidelines, utilized mouse, rat, rabbit, and dog models, leveraging shared mitochondrial TK2 nucleoside phosphorylation and cytosolic nucleoside pathways, as well as conserved mitochondrial genomes and incorporation pathways analogous to those in humans.”
Mouse (4 weeks), rat (6 months) and dog (3 months)
“The nonclinical safety program supporting the clinical development and approval of doxecitine and doxribtimine included repeat-dose oral toxicity studies in mice (up to 4 weeks), rats (up to 6 months), and dogs (up to 3 months)”
“reproductive and developmental toxicity assessment including a fertility and early embryonic development study in rats, embryofetal development studies in both rats and rabbits, and a juvenile animal study in rats”
Not conducted; 26-week Tg-rasH2 mouse study to be done postapproval
“To address the remaining nonclinical data gaps, the Applicant will conduct the following postapproval studies: a 9-month dog study and a 26-week carcinogenicity study in Tg-rasH2 mice with doxecitine and doxribtimine”
No surrogate used; the clinical nucleosides were tested in species sharing human TK2 and nucleoside pathways
“The studies, conducted in alignment with ICH guidelines, utilized mouse, rat, rabbit, and dog models, leveraging shared mitochondrial TK2 nucleoside phosphorylation and cytosolic nucleoside pathways, as well as conserved mitochondrial genomes and incorporation pathways analogous to those in humans.”