Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Repeat-dose tox before first-in-human
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.
First-in-human starting dose
Not explicitly stated; mouse repeat-dose 1x10^10 VP gives ~5-fold safety factor over clinical 5x10^11 PU dose
“Repeat administration of a dose level approximately 5-fold higher than the intended clinical dose, assuming a 60-kilogram adult of 5x1011 PU (1x1010 VP/mouse/dose) of PRGN-2012 once weekly on Days 0, 7, and 14 was well tolerated in WT C57BL/6 mice with no safety findings reported at termination after 21 Days.”
✓ VerifiedFDA pharmacology/toxicology review, p. 4Source ↗
Longest repeat-dose systemic studies
Longest repeat-dose study and recovery
3-week mouse (C57BL/6) SC study, once weekly; non-GLP; recovery phase not stated
“Local tolerance and systemic toxicity were assessed as part of the repeat dose toxicity study of PRGN-2012 in wild type (WT) C57BL/6 mice. PRGN-2012 or GC46.empty vector was administered once weekly for three weeks at 1×1010 VP/administration.”
✓ VerifiedFDA summary basis for approval, p. 13Source ↗
Pivotal GLP studies
Single non-GLP repeat-dose SC mouse study (1x10^10 VP weekly x3, Days 0/7/14, sacrifice Day 21)
“GLP Status No”
✓ VerifiedFDA pharmacology/toxicology review, p. 12Source ↗
DART package
Species: DART
Not conducted (not warranted given product characteristics and nonclinical safety profile)
“No biodistribution (BD), genotoxicity, carcinogenicity, reproductive and developmental toxicity, juvenile, nor dedicated local tolerance studies of PRGN-2012 were conducted. These studies are not warranted based on the product characteristics and nonclinical safety profile of PRGN-2012.”
✓ VerifiedFDA pharmacology/toxicology review, p. 4Source ↗
Reproductive & developmental
Not conducted (predictable local adenovector biodistribution, species C-like vector); reviewer agreed
“This reviewer agrees with the rationale provided by the applicant for not conducting developmental and reproductive toxicology studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 13Source ↗
PPND / ePPND: when
Not conducted; reviewer agreed with the applicant's rationale
“This reviewer agrees with the rationale provided by the applicant for not conducting developmental and reproductive toxicology studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 13Source ↗
Carcinogenicity
Species: carcinogenicity
Not conducted
“No biodistribution (BD), genotoxicity, carcinogenicity, reproductive and developmental toxicity, juvenile, nor dedicated local tolerance studies of PRGN-2012 were conducted.”
✓ VerifiedFDA pharmacology/toxicology review, p. 4Source ↗
Carcinogenicity model
Not conducted (adenovectors non-integrating; insertional mutagenesis not a major concern)
“Per the applicant, studies were not conducted to evaluate carcinogenicity as adenovectors are non-integrating. Therefore, the risk for insertional mutagenesis is not a major concern.”
✓ VerifiedFDA pharmacology/toxicology review, p. 14Source ↗
Carcinogenicity timing
Not required; reviewer agreed with rationale for not conducting
“This reviewer agrees with the rationale provided by the applicant for not conducting carcinogenicity/tumorigenicity studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 14Source ↗