“Genotoxicity studies are generally not necessary to support marketing of biotechnology-derived pharmaceuticals such as tafasitamab as discussed in the ICH S6 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Carcinogenicity
Not conducted (advanced cancer, ICH S9)
“Carcinogenicity studies are not necessary to support the marketing of therapeutics intended to treat patients with advanced cancer as discussed in the ICH S9 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
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
No DART studies (given with teratogen lenalidomide); weight-of-evidence: possible neonatal B-cell depletion; no reproductive-organ effects in 13-week monkey study
“Based on a prior agreement with the FDA, the Applicant did not conduct reproductive and developmental toxicity studies with tafasitamab since tafasitamab is administered in combination with lenalidomide, a known teratogen and embryo-fetal toxicant.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Safety pharmacology
Incorporated into 8- and 13-week monkey studies (CV, respiratory, CNS); no findings of concern
“Monitoring of safety pharmacology parameters for vital organ functions (cardiovascular, respiratory and central nervous system) was incorporated into the 8-week and 13-week repeat-dose toxicology studies in cynomolgus monkeys”
“Genotoxicity studies are generally not necessary to support marketing of biotechnology-derived pharmaceuticals such as tafasitamab as discussed in the ICH S6 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Genotox: in vitro mammalian
Not conducted (ICH S6)
“Genotoxicity studies are generally not necessary to support marketing of biotechnology-derived pharmaceuticals such as tafasitamab as discussed in the ICH S6 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Genotox: in vivo
Not conducted (ICH S6)
“Genotoxicity studies are generally not necessary to support marketing of biotechnology-derived pharmaceuticals such as tafasitamab as discussed in the ICH S6 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Carcinogenicity model
Not conducted (advanced cancer, ICH S9)
“Carcinogenicity studies are not necessary to support the marketing of therapeutics intended to treat patients with advanced cancer as discussed in the ICH S9 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Carcinogenicity timing
Not required (advanced cancer, ICH S9)
“Carcinogenicity studies are not necessary to support the marketing of therapeutics intended to treat patients with advanced cancer as discussed in the ICH S9 guidance document.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
hERG / QT
No ECG, arrhythmia or blood pressure effects in pivotal monkey toxicity studies
“Administration of tafasitamab was not associated with electrocardiographic evidence of cardiotoxicity, arrhythmogenesis, or effects on blood pressure when evaluated as part of the pivotal toxicity studies.”
✓ VerifiedFDA multi-discipline review, p. 50Source ↗