Negative in Ames, in vitro chromosome aberration and rat bone marrow micronucleus; positive in vitro micronucleus (likely aneugenic)
“In genotoxicity studies, deuruxolitinib was negative in the Ames test, an in vitro chromosome aberration assay, and an in vivo rat bone marrow micronucleus assay. It was positive in an in vitro micronucleus assay.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Carcinogenicity
6-month rasH2 mouse and 2-year rat oral studies: not carcinogenic
“Deuruxolitinib was not carcinogenic in a 6-month oral transgenic mouse carcinogenicity study or a 2-year oral rat carcinogenicity study.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Instead of carcinogenicity
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.
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 EFD: lower fetal weight and skeletal malformations at 60 mg/kg/day without significant maternal toxicity
“In an embryo-fetal toxicity study in rats, lower fetal weight and increased skeletal malformations were noted at 60 mg/kg/day, with no significant maternal toxicity observed.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Safety pharmacology
Dog CV study: 10 mg/kg caused mild transient BP decrease, heart rate increase and QT interval decrease
“a single oral dose of 10 mg/kg deuruxolitinib induced mild transient decreases in blood pressure, which correlated with mild transient increases in heart rate and decreases in QT interval.”
✓ VerifiedFDA multi-discipline review, p. 47Source ↗
Genotox: Ames
Negative
“In genotoxicity studies, deuruxolitinib was negative in the Ames test, an in vitro chromosome aberration assay, and an in vivo rat bone marrow micronucleus assay.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Genotox: in vitro mammalian
In vitro chromosome aberration negative; in vitro micronucleus positive (potential aneugenic effect)
“It was positive in an in vitro micronucleus assay. The positive response could be due to a potential aneugenic effect.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Genotox: in vivo
Rat bone marrow micronucleus: negative
“In genotoxicity studies, deuruxolitinib was negative in the Ames test, an in vitro chromosome aberration assay, and an in vivo rat bone marrow micronucleus assay.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
Carcinogenicity model
2-year oral rat; 6-month oral Tg.rasH2 mouse; not carcinogenic
“Deuruxolitinib was not carcinogenic when administered orally to Sprague Dawley rats once daily for 2 years or to Tg.rasH2 mice once daily for 6 months.”
✓ VerifiedFDA multi-discipline review, p. 55Source ↗
Carcinogenicity timing
6-month Tg.rasH2 mouse and 2-year rat completed before the marketing application
“Deuruxolitinib was not carcinogenic in a 6-month oral transgenic mouse carcinogenicity study or a 2-year oral rat carcinogenicity study.”
✓ VerifiedFDA multi-discipline review, p. 45Source ↗
hERG / QT
hERG IC50-based margin at least 3900x free exposure at 8 mg BID; no QTc prolongation
“Also, the corresponding safety margin for free deuruxolitinib based on the in vitro hERG assay deuruxolitinib IC50 ƌĞƐƵůƚ ŽĨ ϭϱϯ ʅD, is at least 3900 times higher than the systemic exposure of 8-mg BID dose.”
✓ VerifiedFDA multi-discipline review, p. 66Source ↗
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative