“Toxicity studies with eptinezumab were conducted in rats, cynomolgus monkeys and rabbits. These species are considered pharmacologically relevant based on the affinity and functional activity of eptinezumab against CGRP from these species.”
High affinity and specificity for rat, rabbit, monkey and human α- and β-CGRP; no off-target binding to related peptides
“Eptinezumab has high affinity and specificity for rat, rabbit, monkey, and human α- and β-CGRP without off target binding to amylin, calcitonin, adrenomedulin, or intermedin/ adrenomedulin-2.”
✓ VerifiedFDA pharmacology/toxicology review, p. 8Source ↗
Surrogate molecule
No surrogate; the clinical antibody was tested in rat, rabbit and cynomolgus monkey
“Toxicity studies with eptinezumab were conducted in rats, cynomolgus monkeys and rabbits.”
Rat and cynomolgus monkey (up to 28 days in both; chronic study in monkey only)
“General toxicity of eptinezumab was evaluated in single-dose and repeat-dose studies in rats and cynomolgus monkeys. Short-term studies (up to 28 days) were conducted in both species while the chronic toxicity was evaluated in cynomolgus only.”
Rat (fertility, EFD, pre- and postnatal development) and rabbit (EFD)
“A standard battery of reproductive and developmental toxicology studies was conducted in Sprague-Dawley rat (fertility and early embryonic development, embryofetal development (EFD), and pre- and postnatal development) and New Zealand White rabbit (EFD).”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Species: carcinogenicity
Not conducted; rodent studies not required because rat anti-drug antibodies precluded meaningful long-term studies
“(A chronic toxicity study in a second species (rat) and rodent carcinogenicity studies were not required, primarily because of data demonstrating development of anti-drug antibodies in rat that precluded conduct of meaningful long-term studies.)”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Surrogate used in
No surrogate used; eptinezumab cross-reacts and was tested in rat, monkey and rabbit
“Toxicity studies with eptinezumab were conducted in rats, cynomolgus monkeys and rabbits. These species are considered pharmacologically relevant based on the affinity and functional activity of eptinezumab against CGRP from these species.”