“Toripalimab does not cross-react with mouse or rat PD-1, so that toxicity studies were performed in cynomolgus monkeys, the only relevant species.”
✓ VerifiedFDA multi-discipline review, p. 90Source ↗
Why that species
Similar binding to human and cynomolgus PD-1 on primary T cells; no binding to mouse or rat PD-1
“Toripalimab did not bind to the ECD of mouse or rat PD-1. On primary T cells, toripalimab had similar binding to human and cynomolgus PD-1 with EC50 values of 3.5 and 4.3 nM, respectively.”
✓ VerifiedFDA multi-discipline review, p. 80Source ↗
Surrogate molecule
No surrogate; the clinical antibody was tested in cynomolgus monkey
“Toripalimab does not cross-react with mouse or rat PD-1, so that toxicity studies were performed in cynomolgus monkeys, the only relevant species.”
✓ VerifiedFDA multi-discipline review, p. 90Source ↗
Species: general tox
Cynomolgus monkey only (4-week and 26-week studies)
“Toripalimab does not cross-react with mouse or rat PD-1, so that toxicity studies were performed in cynomolgus monkeys, the only relevant species.”
✓ VerifiedFDA multi-discipline review, p. 90Source ↗
Species: DART
Not conducted; public information that anti-PD-1 antibodies may cause fetal harm
“no reproductive and development toxicity studies have been conducted as there is public information indicating that antibodies targeting PD-1 may cause fetal harm when administered to a pregnant woman, obviating the need for reproductive studies.”
✓ VerifiedFDA multi-discipline review, p. 94Source ↗
Species: carcinogenicity
Not conducted (ICH S6(R1); ICH S9 advanced cancer)
“No carcinogenicity studies were conducted. In accordance with ICH S6(R1) “Standard carcinogenicity bioassays are generally inappropriate for biotechnology-derived pharmaceuticals””
✓ VerifiedFDA multi-discipline review, p. 93Source ↗
Surrogate used in
No surrogate molecule; human PD-1 knock-in mice used for anti-tumor pharmacology with toripalimab
“Toripalimab had antitumor activity in human PD-1 knock-in (KI) mice generated by swapping mouse PD-1 exon 2 with human PD-1 exon 2 encoding the entire extracellular domain”
✓ VerifiedFDA multi-discipline review, p. 80Source ↗