2013
DOI: 10.2131/jts.38.581
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Potentials and limitations of nonclinical safety assessment for predicting clinical adverse drug reactions: correlation analysis of 142 approved drugs in Japan

Abstract: -The objective of this study was to elucidate the range of abilities of nonclinical safety assessment for predicting adverse drug reactions (ADRs) in humans. The dataset included 1256 ADRs with an incidence rate of 5% or more collected from 142 drugs approved in Japan from 2001 to 2010 (excluding anticancer agents and vaccines). Gastrointestinal, neurological and hepatobiliary ADRs were relatively common, followed by hematological, cutaneous, systemic and cardiovascular ADRs in the dataset. The analysis reveal… Show more

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Cited by 65 publications
(44 citation statements)
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“…Unfortunately, the concordance of clinical chemistry or other biomarkers was not directly compared to establish concordance between preclinical and clinical studies; Several groups advised more use of biomarkers in preclinical and clinical studies [10]. In a subsequent study, adverse drug reactions in each target organ from compounds approved in Japan from 2001–2010 were found to be 48 % concordant between preclinical toxicology studies and humans while changes in laboratory parameters displayed a 30-70 % correlation [11]. It is evident that additional endpoints indicative of organ toxicities that are translatable and/or predictive from preclinical species to human are necessary to improve the safety of compounds in preclinical drug development and clinical trials.…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunately, the concordance of clinical chemistry or other biomarkers was not directly compared to establish concordance between preclinical and clinical studies; Several groups advised more use of biomarkers in preclinical and clinical studies [10]. In a subsequent study, adverse drug reactions in each target organ from compounds approved in Japan from 2001–2010 were found to be 48 % concordant between preclinical toxicology studies and humans while changes in laboratory parameters displayed a 30-70 % correlation [11]. It is evident that additional endpoints indicative of organ toxicities that are translatable and/or predictive from preclinical species to human are necessary to improve the safety of compounds in preclinical drug development and clinical trials.…”
Section: Introductionmentioning
confidence: 99%
“…7 However, such assays using rodent neurons have limitations in predicting the clinical efficacy and neurotoxicity of the candidates due to species differences. 8,9 Thus, using human neurons is a solution to overcome the issue. After the advent of human embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs), as well as the development of neural differentiation methods, human neurons derived from these stem cells have been applied to the MEA system for the assessment of human neuronal networks.…”
Section: Introductionmentioning
confidence: 99%
“…Species differences in DILI are well-recognized [19,20]. The concordance between preclinical animal safety data and human clinical liver toxicity is less than 60%, based on a survey of 150 development compounds.…”
Section: Introductionmentioning
confidence: 99%