“The toxicology package submitted by the applicant comprised studies in a single species (cynomolgus monkey) using the intended clinical routes of administration (intravenous and subcutaneous).”
Cynomolgus IL-23 binding similar to human (55 pM); rabbit >1000-fold lower; no mouse or rat binding
“Similar binding kinetics were demonstrated for cynomolgus monkey IL-23 with a calculated value of 55 pM, however, the binding affinity for rabbit IL-23 was > 1000 fold lower and no binding to mouse or rat IL-23 was detectable.”
No surrogate in toxicology; the clinical antibody was tested in cynomolgus monkeys (mouse surrogate LSN2479016 used only in efficacy models)
“Neutralization of IL-23 using a surrogate mouse antibody, LSN2479016, demonstrated efficacy in two murine models of inflammatory bowel disease.”
✓ VerifiedFDA multi-discipline review, p. 67Source ↗
Species: general tox
Cynomolgus monkey only
“The toxicology package submitted by the applicant comprised studies in a single species (cynomolgus monkey) using the intended clinical routes of administration (intravenous and subcutaneous).”
Cynomolgus monkey (enhanced pre- and postnatal development); fertility assessed in 6-month monkey study
“For the assessment of male and female fertility, sexually mature monkeys were used in the 6-month repeat dose toxicity study (Report 20043324).”
✓ VerifiedFDA multi-discipline review, p. 410Source ↗
Species: carcinogenicity
Not conducted: rodents not pharmacologically relevant
“Conventional rodent carcinogenicity studies were not conducted for the evaluation of the carcinogenic potential of mirikizumab as rodents are not a pharmacologically relevant species.”
✓ VerifiedFDA multi-discipline review, p. 74Source ↗
Surrogate used in
Yes: mouse surrogate anti-IL-23 antibody LSN2479016 for murine IBD efficacy models only
“As LY3074828 does not bind to rodent IL-23, a surrogate mouse antibody (LSN2479016) was developed to neutralize mouse IL-23 for use in preclinical disease models.”
✓ VerifiedFDA multi-discipline review, p. 370Source ↗