Immunogenicity assessment in non-clinical studies.

Curr Opin Microbiol

Clinical Immunology, Amgen, Inc., Thousand Oaks, CA 91320, United States.

Published: June 2012

AI Article Synopsis

  • The recent ICH S6 guidance suggests that testing for anti-drug antibodies (ADAs) in preclinical studies for biopharmaceuticals might not always be necessary, as most protein therapeutics trigger significant ADA responses anyway.
  • High levels of the therapeutic protein can make it difficult to accurately detect ADAs, and findings of ADAs in preclinical tests don’t reliably predict immunogenicity in clinical settings.
  • There are various methods for assessing ADAs, including immunoassays and biological assays, each with their own pros and cons, and in some cases, such as with intravenous mAb therapeutics, ADAs can form immune complexes that pose safety risks.

Article Abstract

Recent ICH S6 guidance on preclinical safety evaluation of biotechnology derived biopharmaceuticals indicates that testing for anti-drug antibodies is not always required to establish the safety of a protein therapeutic. Most human protein therapeutics will induce a rapid and robust anti-drug antibody response in preclinical studies and the presence of high levels of circulating drug complicates the detection of anti-drug antibodies. The presence of anti-drug antibodies in preclinical studies does not predict if a protein therapeutic will be immunogenic in the clinic. When testing for anti-drug antibodies is warranted, there are a variety of analytical procedures that can be utilized, although each of these methods has advantages as well as limitations. Immunoassays can be used to identify if antibodies are present that bind to the therapeutic, and when necessary, biological assays can be used to identify if those antibodies neutralize the effect of the therapeutic. Under certain circumstances including intravenous dosing of a mAb therapeutic, anti-drug antibodies can form large immune complexes that can result in a safety issue. The value of immunogenicity data in preclinical studies is to aid in interpretation of other study data when necessary.

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Source
http://dx.doi.org/10.1016/j.mib.2012.05.015DOI Listing

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