Rat, baboon and pig using species-specific surrogate ceMSC
“The nonclinical program utilized multiple surrogate animal-derived ceMSC manufactured similarly to the clinical product.”
✓ VerifiedFDA pharmacology/toxicology review, p. 7Source ↗
Why that species
Species-matched allogeneic MSC model allogeneic administration and recipient immune interaction
“This approach was taken to model administration of allogeneic ceMSCs in humans and evaluate the interactions between the cell product and recipient immune system.”
✓ VerifiedFDA pharmacology/toxicology review, p. 7Source ↗
Surrogate molecule
Yes: rat, baboon, pig and dog culture-expanded MSC made similarly to remestemcel-L
“Nonclinical studies were conducted using human bone marrow-derived ceMSC and surrogate animal-derived ceMSC produced using an early manufacturing process.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Species: general tox
Rat (90-day repeat-dose IV) using species-specific rat ceMSC
“In a 90-day GLP repeat dose toxicity study, rats received 2×106, 10×106 or 20×106 rat ceMSC/kg administered in a 5mL/kg dosing volume by tail vein injection over a two-minute period”
✓ VerifiedFDA summary basis for approval, p. 13Source ↗
Species: DART
Not conducted (not warranted based on product characteristics and safety profile)
“Genotoxicity, carcinogenicity and reproductive and developmental toxicity studies were not performed for remestemcel-L. These studies are not warranted based on the product characteristics and safety profile.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Species: carcinogenicity
No carcinogenicity study; athymic mouse tumorigenicity study with human ceMSC (six weeks)
“In a tumorigenicity study in athymic mice, administration of human ceMSC from five separate donors was evaluated at dose levels up to 50x106 cells/kg. There was no evidence of neoplastic tissue formation attributable to ceMSC over the six-week duration of the study.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Surrogate used in
Yes: animal-derived ceMSC (rat, baboon, pig) manufactured similarly to the clinical product for safety pharmacology and toxicity
“The nonclinical program utilized multiple surrogate animal-derived ceMSC manufactured similarly to the clinical product.”
✓ VerifiedFDA pharmacology/toxicology review, p. 7Source ↗