Negative in Ames, in vitro human lymphocyte micronucleus and in vivo rat micronucleus assays
“Danicopan was not genotoxic in the Ames bacterial reverse mutation assay, in vitro micronucleus assay in human peripheral blood lymphocytes, or in the in vivo micronucleus assay in rats.”
6-month TgRasH2 mouse and 2-year rat: not carcinogenic (rat exposure 15-23x MRHD)
“Danicopan was not carcinogenic in the 6-month carcinogenicity study in the TgRasH2 mouse model. Danicopan was not carcinogenic in the 2-year rat carcinogenicity study at exposures 15- to 23-times the exposure at the MRHD (based on AUC).”
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
Rabbit (pharmacologically active): no embryo-fetal effects up to 18x and no postnatal effects up to 9x MRHD exposure
“There were no effects on early embryonic development and fetal development in NZW rabbits (where danicopan is pharmacodynamically active) up to a mean maternal systemic exposure 18-times the exposure at the MRHD (based on AUC) or during post-natal development up to a mean maternal systemic exposure 9-times the exposure at the MRHD (based on AUC).”
Dog telemetry (single doses up to 500 mg/kg): no hemodynamic or ECG effects
“A cardiovascular safety assessment of danicopan was conducted in conscious telemetry-instrumented male beagle dogs after single oral (gavage) doses up to 500 mg/kg and no effects on hemodynamic or electrocardiogram endpoints were observed for up to 24 hrs postdosing (ACH-15-072, GLP-compliant).”
“Danicopan demonstrated no potential for genotoxicity in a bacterial reverse mutation (Ames) assay, an in vitro micronucleus assay employing human peripheral blood lymphocytes, and in a 28-day in vivo bone marrow micronucleus assessment in male and female WH rats.”
Negative: in vitro micronucleus in human peripheral blood lymphocytes
“Danicopan demonstrated no potential for genotoxicity in a bacterial reverse mutation (Ames) assay, an in vitro micronucleus assay employing human peripheral blood lymphocytes, and in a 28-day in vivo bone marrow micronucleus assessment in male and female WH rats.”
“Danicopan demonstrated no potential for genotoxicity in a bacterial reverse mutation (Ames) assay, an in vitro micronucleus assay employing human peripheral blood lymphocytes, and in a 28-day in vivo bone marrow micronucleus assessment in male and female WH rats.”
2-year rat and 6-month TgRasH2 mouse; both negative (rat at 15-23x MRHD AUC)
“Danicopan was not carcinogenic in the 6-month carcinogenicity study in the TgRasH2 mouse model. Danicopan was not carcinogenic in the 2-year rat carcinogenicity study at exposures 15- to 23-times the exposure at the MRHD (based on AUC).”
“An IC50 for the inhibitory effect of danicopan on hERG potassium channel current could not be calculated but was estimated to be greater than 10µM. Based on the in vitro protein binding data, the highest danicopan concentration assessed in this assay (10µM) is 106-fold higher than the estimated free-fraction concentration of danicopan (0.094µM) at the MRHD (200 mg, TID).”
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative