“Consistent with the ICH S6 guidance, genetic toxicology studies were not conducted or required for dinutuximab.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Carcinogenicity
Not conducted (advanced cancer); carcinogenic potential considered low
“Carcinogenicity studies were not required to support the licensing application for a product intended to treat advanced human cancer”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Instead of carcinogenicity
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.
Instead of genotoxicity
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.
DRG histopathology
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.
Reproductive & developmental
Not conducted (pediatric population); no reproductive organ effects in rat repeat-dose study at high exposures
“In the repeat-dose toxicity studies, administration of dinutuximab in male and female rats resulted in no adverse effects on reproductive organs at exposures that were at least 60 fold higher than those observed clinically.”
Single-dose CV/respiratory study in cynomolgus monkeys: increased heart rate and blood pressure, shortened PR/QT, QTc unaffected
“Increases in blood pressure and heart rate along with corresponding findings of shortened PR and QT intervals in ECG evaluations were noted, though QTc intervals were unaffected.”
✓ VerifiedFDA pharmacology/toxicology review, p. 11Source ↗
Genotox: Ames
Not conducted (ICH S6)
“Consistent with the ICH S6 guidance, genetic toxicology studies were not conducted or required for dinutuximab.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Genotox: in vitro mammalian
Not conducted (ICH S6)
“Consistent with the ICH S6 guidance, genetic toxicology studies were not conducted or required for dinutuximab.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Genotox: in vivo
Not conducted (ICH S6)
“Consistent with the ICH S6 guidance, genetic toxicology studies were not conducted or required for dinutuximab.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Carcinogenicity model
Not conducted (advanced cancer indication)
“Carcinogenicity studies were not required to support the licensing application for a product intended to treat advanced human cancer and are neither planned nor expected as post-marketing requirements at this time.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Carcinogenicity timing
Not required for advanced cancer; not planned as a postmarketing requirement
“Carcinogenicity studies were not required to support the licensing application for a product intended to treat advanced human cancer and are neither planned nor expected as post-marketing requirements at this time.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
hERG / QT
No hERG (antibody); single-dose monkey CV study: increased heart rate, no clear QTc change
“In this study increases in heart rate were observed, consistent with tachycardia noted clinically, however, no clear changes in QTc, respiratory rate, or blood gas parameters were noted.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗