“the murine surrogate molecule BB5.1 was administered to mice due to lack of pharmacologic activity of ALXN1210 in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Why that species
No binding or pharmacologic activity against C5 of any non-human species, per epitope mapping, sequence alignment and in vitro assays
“Neither ALXN1210 nor eculizumab exhibit detectable pharmacological activity against any non‐human species tested, as was predicted by epitope mapping studies and sequence alignments of human and non‐human C5 molecules, and confirmed by in vitro binding and activity studies.”
✓ VerifiedFDA multi-discipline review, p. 32Source ↗
Surrogate molecule
Yes: murine anti-mouse C5 antibody BB5.1, used for all mouse repeat-dose and reproductive toxicity studies
“the murine surrogate molecule BB5.1 was administered to mice due to lack of pharmacologic activity of ALXN1210 in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Species: general tox
CD-1 mouse with murine surrogate anti-C5 antibody BB5.1
“For the following studies in the toxicology package, the murine surrogate molecule BB5.1 was administered to mice due to lack of pharmacologic activity of ALXN1210 in mice.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Species: DART
Mouse with surrogate BB5.1 (fertility, EFD, pre/postnatal)
“Animal reproductive toxicology studies have not been conducted with ravulizumab, but were conducted in mice with a murine surrogate complement inhibitory antibody, BB5.1.”
Yes: murine anti-mouse C5 BB5.1 for 26-week repeat-dose and all reproductive studies
“A GLP‐ compliant 26‐week repeat‐dose toxicity study, and GLP‐compliant reproductive and developmental toxicology studies, were performed in mice using a surrogate murine anti‐ mouse C5 mAb (BB5.1).”
✓ VerifiedFDA multi-discipline review, p. 29Source ↗