2022
DOI: 10.3389/ftox.2022.866737
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Revision of ICH S8 Needed?

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Cited by 2 publications
(3 citation statements)
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“…The qualification threshold of individual peptide impurities is decided by virtue of their presence in the API during clinical trials and toxicology research. ICH S8 guidelines suggest immunotoxicity testing for pharmaceuticals; however, peptides and other biologics were not considered 12 . The USFDA final guidance provides recommendations for structural characterization and impurity level monitoring in synthetic generic peptides with respect to RLD 2 .…”
Section: Regulatory and Qc Considerations For Enantiomeric Impuritiesmentioning
confidence: 99%
“…The qualification threshold of individual peptide impurities is decided by virtue of their presence in the API during clinical trials and toxicology research. ICH S8 guidelines suggest immunotoxicity testing for pharmaceuticals; however, peptides and other biologics were not considered 12 . The USFDA final guidance provides recommendations for structural characterization and impurity level monitoring in synthetic generic peptides with respect to RLD 2 .…”
Section: Regulatory and Qc Considerations For Enantiomeric Impuritiesmentioning
confidence: 99%
“…All human pharmaceuticals pass through a regulated process and must demonstrate safety in immunotoxicity studies prior to clinical trials 65 ; however, there are limitations to pre-clinical testing for immunosuppressant risk. 66 While profound immunosuppression carries intrinsic risk when the immune system is less able to detect and destroy cancer cells and oncogenic viruses, risk for cancer following exposure to immunosuppression is most strongly associated with patient characteristics at the time of treatment. 67,68 Traditional systemics for AD are considered non-selective immunosuppressants, and their pharmacologic activity may pose a hazard for developing specific cancer types.…”
Section: % Agreementmentioning
confidence: 99%
“…While data from phase 3 clinical trials of systemic treatments for AD show no signals for increased cancer rates (Table S6), these studies do not have sufficient follow‐up time and are underpowered to detect alteration of cancer incidence. All human pharmaceuticals pass through a regulated process and must demonstrate safety in immunotoxicity studies prior to clinical trials 65 ; however, there are limitations to pre‐clinical testing for immunosuppressant risk 66 . While profound immunosuppression carries intrinsic risk when the immune system is less able to detect and destroy cancer cells and oncogenic viruses, risk for cancer following exposure to immunosuppression is most strongly associated with patient characteristics at the time of treatment 67,68 …”
Section: Data Summariesmentioning
confidence: 99%