“Spesolimab does not bind to IL36R in common nonclinical species. Therefore, BI 674304, a surrogate monoclonal antibody that specifically binds to mouse IL36R was developed to assess the pharmacology and toxicology of IL36R inactivation in mice.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Why that species
No binding to mouse, rat, minipig, rhesus, marmoset or hamster IL-36R; very low affinity and poor potency in cynomolgus monkey
“spesolimab did not bind to IL36R from the mouse, mini pig, rhesus money, marmoset, rat, or hamster, and had very low affinity to IL36R from cynomolgus monkey.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Surrogate molecule
Yes: rat-mouse chimeric anti-mouse receptor antibody BI 674304, used for repeat-dose toxicity and DART studies in mice
“BI 674304 was evaluated in a battery of nonclinical studies that included evaluation of PK, immunotoxicity, repeat-dose toxicity, and reproductive and developmental toxicology.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Species: general tox
Mouse (CD-1) with surrogate anti-mouse IL36R antibody BI 674304
“BI 674304 was evaluated in a pivotal 26-week repeat-dose general toxicity study in CD-1 mice.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Species: DART
Mouse (full DART programme) with surrogate BI 674304
“A full Developmental and reproductive toxicology (DART) programme was performed with BI 674304.”
Not conducted; weight-of-evidence from chronic surrogate mouse data, literature and clinical data
“Carcinogenicity was assessed based on data from chronic dosing of BI 674304 in mice, scientific literature on the potential role of IL36R in tumor promotion, and clinical data from spesolimab clinical trials.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Surrogate used in
Yes: mouse-specific anti-IL36R surrogate BI 674304 for PK, immunotoxicity, repeat-dose and DART studies
“BI 674304 was evaluated in a battery of nonclinical studies that included evaluation of PK, immunotoxicity, repeat-dose toxicity, and reproductive and developmental toxicology.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗