Nonclinical precedent Request an invite

How long were the pivotal tox studies for approved monoclonal antibodies?

From the FDA and EMA reviews of all 117 approved monoclonal antibodies. Each answer links to the regulator's own sentence.

Check my plan against these
Short answer
Median longest pivotal study: 26 weeks (range 1–52).
Up to 4 weeks12/117
5–13 weeks15/117
14–26 weeks69/117
Over 26 weeks18/117
No in vivo tox study2/117
Not stated1/117
0413263952 wk+3+56+3

Precedent by precedent

117 approved monoclonal antibodies, with the reviewers' own words.

Alhemo

concizumab · TFPI
Longest pivotal study
52 weeks
“In a 52-week repeat dose toxicity study in sexually mature Cynomolgus monkeys, animals received 0.5, 1 or 9 mg concizumab/kg/day for 52 weeks.”
✓ VerifiedEMA assessment report, p. 36Source ↗
Pivotal GLP studies
Monkey studies up to 52 weeks; 26-week study: SC 3 or 9 mg/kg/day or IV 30 mg/kg/week, 13-week recovery
“In a 26-week repeat dose toxicology study in sexually mature Cynomolgus monkeys, animals were given 0, 3 or 9 mg concizumab/kg/day s.c. or 30 mg/kg/week i.v. with a 13-week recovery period.”
✓ VerifiedEMA assessment report, p. 36Source ↗

Cimzia

certolizumab pegol · TNF-α
Longest pivotal study
52 weeks
“The pivotal repeat dose toxicity studies consisted of a 26-week repeat-dose toxicity study and a 52-week immunotoxicity study, both performed in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 14Source ↗
Pivotal GLP studies
Cynomolgus monkey 26-week SC (10, 100 mg/kg/week) and 52-week SC immunotoxicity study (50, 100 mg/kg/week)
“The animals were administered 10 and 100 mg/kg/week s.c. certolizumab pegol and 50 and 100 mg/kg/week s.c. in the 26- and 52- week study, respectively.”
✓ VerifiedEMA assessment report, p. 14Source ↗

Prolia

denosumab · RANKL
Longest pivotal study
52 weeks
“In 6/12-Month Repeated-dose Study in Monkeys (102090) denosumab was administrated at doses of 0, 1, 10, and 50 mg/kg.”
✓ VerifiedEMA assessment report, p. 16Source ↗
Pivotal GLP studies
Cynomolgus monkey 1-month and 6/12-month SC studies, once monthly at 0, 1, 10, 50 mg/kg
“SC injection, 0, 1, 10 and 50 mg/kg once/month for 6 or 12 months)”
✓ VerifiedEMA assessment report, p. 15Source ↗

Crysvita

burosumab · FGF23
Longest pivotal study
40 weeks
“In repeat-dose toxicity studies in rabbits up to 14 weeks, and in adult and juvenile cynomolgus monkeys up to 40 weeks, a spectrum of effects related to the primary pharmacology of burosumab was observed.”
✓ VerifiedEMA assessment report, p. 26Source ↗
Pivotal GLP studies
Rabbit repeat-dose up to 14 weeks; adult and juvenile cynomolgus monkey studies up to 40 weeks
“In repeat-dose toxicity studies in rabbits up to 14 weeks, and in adult and juvenile cynomolgus monkeys up to 40 weeks, a spectrum of effects related to the primary pharmacology of burosumab was observed.”
✓ VerifiedEMA assessment report, p. 26Source ↗

Cyramza

ramucirumab · VEGFR2
Longest pivotal study
39 weeks
“The Applicant submitted 5-week and 39-week GLP-compliant toxicity studies in cynomolgus monkeys.”
✓ VerifiedFDA pharmacology/toxicology review, p. 18Source ↗
Pivotal GLP studies
GLP monkey 5-week IV (0, 4, 12, 40 mg/kg, Days 1, 15, 22, 29) and 39-week IV weekly (0, 5, 16, 50 mg/kg)
“In the 5-week study, ramucirumab was administered by intravenous infusion on Days 1, 15, 22, and 29 at dose levels of 0, 4, 12, and 40 mg/kg. In the 39-week study, ramucirumab was administered by intravenous infusion weekly at dose levels of 0, 5, 16, and 50 mg/kg.”
✓ VerifiedFDA pharmacology/toxicology review, p. 19Source ↗

Ebglyss

lebrikizumab · IL-13
Longest pivotal study
39 weeks
“Safety pharmacology parameters were included in the 6- and 39-week intravenous and/or 13-week subcutaneous repeat-dose toxicology studies in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 50Source ↗
Pivotal GLP studies
GLP cynomolgus monkey repeat-dose studies of 6 weeks, 13 weeks and 9 months
“GLP-compliant repeat-dose studies of 6 weeks, 13 weeks and 9 months in duration were conducted in cynomolgus monkeys to evaluate the toxicity and TK of lebrikizumab.”
✓ VerifiedEMA assessment report, p. 23Source ↗

Erbitux

cetuximab · EGFR
Longest pivotal study
39 weeks
“The pivotal repeat-dose toxicity study is a 39 week study in Cynomolgus monkeys (study 070-087).”
✓ VerifiedEMA assessment report, p. 11Source ↗
Pivotal GLP studies
39-week IV cynomolgus study: 12/38/120 mg/kg initial dose, then weekly 7.5/24/75 mg/kg
“The initial doses and subsequent weekly doses were 12 and 7.5 mg/kg for the low dose group, 38 and 24 mg/kg for the intermediate dose group, and 120 and 75 5 mg/kg for the high dose group.”
✓ VerifiedEMA assessment report, p. 11Source ↗

Fasenra

benralizumab · IL-5Rα
Longest pivotal study
39 weeks
“In the pivotal 39-week toxicity study, cynomolgus monkeys (6/sex/group) received 0 (IV/SC), 10 (IV), 25 (IV), or 30 (SC) mg/kg benralizumab once every 2 weeks for a total of 20 doses.”
✓ VerifiedFDA pharmacology/toxicology review, p. 39Source ↗
Pivotal GLP studies
39-week cynomolgus study: 10 or 25 mg/kg IV, or 30 mg/kg SC, every 2 weeks (20 doses)
“In the pivotal 39-week toxicity study, cynomolgus monkeys (6/sex/group) received 0 (IV/SC), 10 (IV), 25 (IV), or 30 (SC) mg/kg benralizumab once every 2 weeks for a total of 20 doses.”
✓ VerifiedFDA pharmacology/toxicology review, p. 39Source ↗

Humira

adalimumab · TNF-α
Longest pivotal study
39 weeks
“Repeat dose toxicity studies of 4 weeks (32 – 157 mg/kg bw) and 39 weeks (32- 215 mg/kg bw) duration were performed.”
✓ VerifiedEMA assessment report, p. 7Source ↗
Pivotal GLP studies
Cynomolgus monkey 4-week (32-157 mg/kg) and 39-week (32-215 mg/kg) repeat-dose studies
“Repeat dose toxicity studies of 4 weeks (32 – 157 mg/kg bw) and 39 weeks (32- 215 mg/kg bw) duration were performed.”
✓ VerifiedEMA assessment report, p. 7Source ↗

Ilumya

tildrakizumab · IL-23 p19
Longest pivotal study
39 weeks
“Toxicity of tildrakizumab was evaluated in repeated dose studies of 3-months and 9 months treatment duration.”
✓ VerifiedEMA assessment report, p. 23Source ↗
Pivotal GLP studies
Cynomolgus monkey 3-month IV/SC Q2W and 9-month SC Q2W repeat-dose studies
“In the 3-months study, the NOAEL was 140 mg/kg following either IV or SC administration every 2 weeks; in the 9-months study, the NOAEL was 100 mg/kg SC Q2W.”
✓ VerifiedEMA assessment report, p. 24Source ↗

Lartruvo

olaratumab · PDGFRα
Longest pivotal study
39 weeks
“Olaratumab was evaluated in GLP-compliant repeat-dose toxicology studies in cynomolgus monkeys of up to 39 weeks in duration.”
✓ VerifiedFDA multi-discipline review, p. 29Source ↗
Pivotal GLP studies
GLP monkey studies, weekly IV infusion for 5, 13 and 39 weeks with 7- or 8-week recovery
“by i.v. infusion over 5, 13 and 39 weeks, followed by recovery periods of 7 or 8 weeks.”
✓ VerifiedEMA assessment report, p. 21Source ↗

Leqembi

lecanemab · Amyloid-β protofibrils
Longest pivotal study
39 weeks
“In the 39-week study (0, 15, 50, and 100 mg/kg/week) (with 2-week recovery)”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗
Pivotal GLP studies
4-week and 39-week cynomolgus monkey studies
“The pivotal (4- and 39-week) toxicity studies of lecanemab were conducted in cynomolgus monkey”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗

Saphnelo

anifrolumab · IFNAR1
Longest pivotal study
39 weeks
“Repeat-dose toxicity of anifrolumab was evaluated in cynomolgus monkeys in 4-weeks and 39-weeks GLP toxicity studies with an additional recovery period of 7 or 12 weeks, respectively.”
✓ VerifiedEMA assessment report, p. 32Source ↗
Pivotal GLP studies
Cynomolgus monkey 4-week IV and 39-week IV/SC weekly GLP studies
“Repeat-dose toxicity of anifrolumab was evaluated in cynomolgus monkeys in 4-weeks and 39-weeks GLP toxicity studies with an additional recovery period of 7 or 12 weeks, respectively.”
✓ VerifiedEMA assessment report, p. 32Source ↗

Taltz

ixekizumab · IL-17A
Longest pivotal study
39 weeks
“Once weekly subcutaneous injections of ixekizumab for 9 months in cynomolgus monkeys caused no adverse compound-related clinical signs at ≤5 mg/kg/week.”
✓ VerifiedFDA pharmacology/toxicology review, p. 19Source ↗
Pivotal GLP studies
GLP cynomolgus monkey studies: up to 8-week weekly IV and 39-week weekly SC, with recovery groups
“General toxicity studies used intravenous dosing for up to 8 weeks and subcutaneous dosing up to 39 weeks with recovery groups for high dose and controls.”
✓ VerifiedEMA assessment report, p. 26Source ↗

Tepezza

teprotumumab · IGF-1R
Longest pivotal study
39 weeks
“Adult monkeys have been dosed for up to 39 weeks. Juvenile monkeys were tested in two separate studies (both 13 weeks).”
✓ VerifiedFDA pharmacology/toxicology review, p. 21Source ↗
Pivotal GLP studies
GLP cynomolgus monkey IV studies: 7-week (twice weekly), 13-week and 39-week (once weekly, up to 75 mg/kg), plus 13-week juvenile
“Teprotumumab was administered at doses up to 75 mg/kg, with a frequency of 2x/wk in the initial 7-wk study, and 1x/wk in the longer 13-wk and 39-wk studies.”
✓ VerifiedEMA assessment report, p. 24Source ↗

Trogarzo

ibalizumab · CD4
Longest pivotal study
39 weeks
“Repeated intravenous exposure to ibalizumab was studied up to 2 months in rhesus monkeys and up to 9 months in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 29Source ↗
Pivotal GLP studies
IV repeat-dose studies in rhesus monkeys (up to 2 months) and cynomolgus monkeys (up to 9 months)
“Repeated intravenous exposure to ibalizumab was studied up to 2 months in rhesus monkeys and up to 9 months in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 29Source ↗

Zinbryta

daclizumab · IL-2Rα (CD25)
Longest pivotal study
39 weeks
“Toxicity studies of daclizumab were conducted in monkeys with up to 39 weeks duration.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Pivotal GLP studies
Cynomolgus 13-week, 39-week and 9-month SC studies, dosed every 2 weeks, with 3-month recovery
“The pivotal studies were 13- and 39-week studies and a 9-month study. All were conducted with DAC HYP, administered Q2W by subcutaneous injection, and included 3-month recovery periods.”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗

Arzerra

ofatumumab · CD20
Longest pivotal study
30 (7 months)
“populations of NK cells, which are central to immune surveillance, did not change during pivotal repeat dose studies of up to 7 months duration.”
✓ VerifiedEMA assessment report, p. 20Source ↗
Pivotal GLP studies
Pivotal monkey IV infusion studies of 4 weeks and 7 months; a cycled IV study and a short SC study also run
“some safety pharmacology end points, such as cardiovascular and renal parameters and body temperature, were evaluated as part of the pivotal 4 week and 7 month repeat dose toxicity studies in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 14Source ↗

Actemra

tocilizumab · IL-6R
Longest pivotal study
26 weeks
“Toxicity studies have shown tocilizumab to be well tolerated in cynomolgus monkeys, both as single intravenous (IV) doses up to 100 mg/kg and when given in multiple IV doses up to 50 mg/kg/day for 4 weeks or at IV doses up to 100 mg/kg/week for 6 months.”
✓ VerifiedEMA assessment report, p. 16Source ↗
Pivotal GLP studies
Cynomolgus monkey IV studies: 4-week daily up to 50 mg/kg/day and 6-month weekly up to 100 mg/kg/week
“Toxicity studies have shown tocilizumab to be well tolerated in cynomolgus monkeys, both as single intravenous (IV) doses up to 100 mg/kg and when given in multiple IV doses up to 50 mg/kg/day for 4 weeks or at IV doses up to 100 mg/kg/week for 6 months.”
✓ VerifiedEMA assessment report, p. 16Source ↗

Adakveo

crizanlizumab · P-selectin
Longest pivotal study
26 weeks
“26-Week Intravenous Injection Toxicity and Toxicokinetic Study (Seven Doses) with SelG1 in Cynomolgus Monkeys with a 4-Week Recovery Phase/8259995”
✓ VerifiedFDA multi-discipline review, p. 38Source ↗
Pivotal GLP studies
GLP cynomolgus studies: 4-week IV every 2 weeks up to 25.2 mg/kg; 26-week IV every 4 weeks up to 50 mg/kg
“Monkeys received crizanlizumab intravenously, once every 2-weeks up to 25.2 mg/kg in the 4-week study and once every 4-weeks up to 50 mg/kg in the 26-week study.”
✓ VerifiedFDA multi-discipline review, p. 30Source ↗

Adbry

tralokinumab · IL-13
Longest pivotal study
26 weeks
“The no observed adverse effect level (NOAEL) for tralokinumab in cynomolgus monkeys was 90 mg/kg/week in the 13-week SC toxicology study and 100 mg/kg/week in the 26-week IV toxicology study.”
✓ VerifiedFDA integrated review, p. 131Source ↗
Pivotal GLP studies
Cynomolgus monkey 4-, 13- and 26-week weekly IV studies; 4- and 13-week weekly SC studies
“The repeat dose toxicity studies included 4-, 13- and 26-weeks studies with weekly IV dosing at levels up to 100 mg/kg and weekly SC injections of up to 350 mg/injection for 4- and 13-weeks.”
✓ VerifiedEMA assessment report, p. 25Source ↗

Aduhelm

aducanumab · Aggregated amyloid-β
Longest pivotal study
26 weeks
“There were no clear drug-related adverse effects in the GLP 6-month study of ch12F6A (0, 10, 40, or 250 mg/kg/week IV) or aducanumab (250 mg/kg/week IV) in aged Tg2576 mice.”
✓ VerifiedFDA pharmacology/toxicology review, p. 48Source ↗
Pivotal GLP studies
Chronic Tg2576 mouse study with murine analog ch12F6A; 4-week monkey and 13-week Tg2576 mouse studies
“toxicity of the murine analog (ch12F6A) was tested in the Tg2576 mouse; shorter-duration toxicity studies were conducted in monkey (4-week) and Tg2576 mouse (13-week).”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗

Aimovig

erenumab · CGRP receptor
Longest pivotal study
26 weeks
“In the pivotal 3- and 6-month toxicity study with 15-week recovery period, SC doses of 0, 25, and 150 mg/kg were administered 2x per week (4/sex/group).”
✓ VerifiedFDA pharmacology/toxicology review, p. 33Source ↗
Pivotal GLP studies
Monkey: 1-month IV with 4-month recovery; combined 3- and 6-month study; enhanced pre- and postnatal development study
“the pivotal (1- mo/acute IV + 4-month recovery; combined 3- and 6-month; enhanced pre- and postnatal development [ePPND]) studies were adequate by design and conduct”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗

Ajovy

fremanezumab · CGRP
Longest pivotal study
26 weeks
“Repeat-dose toxicity studies with the duration of 1 month and 3 months were conducted both in rats and monkeys; the pivotal 26-week study was only conducted in monkeys.”
✓ VerifiedEMA assessment report, p. 23Source ↗
Pivotal GLP studies
Sprague-Dawley rat 1- and 3-month; cynomolgus monkey 1-, 3- and 6-month
“The pivotal (GLP) toxicity studies were conducted in Sprague-Dawley rat (1- and 3-month) and cynomolgus monkey (1-, 3-, and 6-month).”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗

Andembry

garadacimab · Factor XIIa
Longest pivotal study
26 weeks
“The Applicant characterized the toxicity profile of garadacimab by conducting 4-week mouse and 26-week monkey toxicology studies with garadacimab using the IV and SC routes.”
✓ VerifiedFDA integrated review, p. 111Source ↗
Pivotal GLP studies
GLP 4-week CD-1 mouse and 26-week cynomolgus monkey studies, IV and SC; immunogenicity precluded longer mouse studies
“The Applicant characterized the toxicity profile of garadacimab by conducting 4-week mouse and 26-week monkey toxicology studies with garadacimab using the IV and SC routes. Immunogenicity in mice precluded conducting longer toxicology studies in this species.”
✓ VerifiedFDA integrated review, p. 111Source ↗

Avastin

bevacizumab · VEGF-A
Longest pivotal study
26 weeks
“Additionally, a 26-week iv with a 12-week recovery was conducted in adult cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 15Source ↗
Pivotal GLP studies
Cynomolgus monkey IV 4- and 13-week (twice weekly) and 26-week studies with 12-week recovery
“Twice weekly iv administration of rhuMAbVEGF for 4 or 13 weeks were carried out in young adult to adult cynomolgus monkeys [91]. Additionally, a 26-week iv with a 12-week recovery was conducted in adult cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 15Source ↗

Benlysta

belimumab · BLyS (BAFF)
Longest pivotal study
26 weeks
“The toxicology of repeat IV administration of belimumab was assessed in two GLP toxicology studies in cynomolgus monkeys of 4 weeks and 6 months duration, respectively.”
✓ VerifiedEMA assessment report, p. 18Source ↗
Pivotal GLP studies
GLP IV cynomolgus monkey studies of 4 weeks and 6 months
“The toxicology of repeat IV administration of belimumab was assessed in two GLP toxicology studies in cynomolgus monkeys of 4 weeks and 6 months duration, respectively.”
✓ VerifiedEMA assessment report, p. 18Source ↗

Bimzelx

bimekizumab · IL-17A/IL-17F
Longest pivotal study
26 weeks
“The Applicant has conducted repeat dose toxicity studies in cynomolgus monkeys with weekly doses administered by subcutaneous injection for up to 26 weeks, followed by a treatment-free recovery period of up to 21 weeks”
✓ VerifiedFDA multi-discipline review, p. 205Source ↗
Pivotal GLP studies
Cynomolgus monkey weekly SC repeat-dose studies up to 26 weeks with up to 21-week recovery
“The Applicant has conducted repeat dose toxicity studies in cynomolgus monkeys with weekly doses administered by subcutaneous injection for up to 26 weeks, followed by a treatment-free recovery period of up to 21 weeks”
✓ VerifiedFDA multi-discipline review, p. 205Source ↗

Briumvi

ublituximab · CD20
Longest pivotal study
26 weeks
“General toxicology studies of up to 26 weeks’ duration were conducted in cynomolgus monkeys.”
✓ VerifiedFDA pharmacology/toxicology review, p. 50Source ↗
Pivotal GLP studies
GLP 4-, 13- and 26-week intravenous toxicity studies in cynomolgus monkeys
“The sponsor conducted 4-, 13-, and 26-week GLP intravenous toxicity studies in cynomolgus monkey.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗

Cablivi

caplacizumab · von Willebrand factor (A1 domain)
Longest pivotal study
26 weeks
“In the pivotal 26-week repeat-dose toxicity study in Cynomolgus monkey Cmax- and AUC-levels were 1.5-1.7 times higher in males.”
✓ VerifiedEMA assessment report, p. 28Source ↗
Pivotal GLP studies
GLP repeat-dose studies in guinea pigs and cynomolgus monkeys (IV or SC) designed for continuous target saturation
“Repeat-dose toxicity studies were conducted with caplacizumab in guinea-pigs and Cynomolgus monkeys by i.v. or s.c. routes and designed to achieve continuous maximal target occupancy (target saturation)”
✓ VerifiedEMA assessment report, p. 27Source ↗

Cinqair

reslizumab · IL-5
Longest pivotal study
26 weeks
“In toxicology studies up to 6 months duration, no target organs of toxicity were identified in either mice or monkeys at an IV dose up to 25 mg/kg once every 4 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Pivotal GLP studies
6-month IV studies in mice and cynomolgus monkeys, up to 25 mg/kg once every 4 weeks
“In toxicology studies up to 6 months duration, no target organs of toxicity were identified in either mice or monkeys at an IV dose up to 25 mg/kg once every 4 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗

Cosentyx

secukinumab · IL-17A
Longest pivotal study
26 weeks
“In the pivotal cynomolgus monkey study, AIN457 derived from CHO cells was administered intravenously (15, 50, 150 mg/kg/week; 4/sex/group) for 26 weeks followed by a 13-week recovery period”
✓ VerifiedFDA pharmacology/toxicology review, p. 22Source ↗
Pivotal GLP studies
Cynomolgus 26-week IV study (15, 50, 150 mg/kg/week) followed by 13-week recovery
“In the pivotal cynomolgus monkey study, AIN457 derived from CHO cells was administered intravenously (15, 50, 150 mg/kg/week; 4/sex/group) for 26 weeks followed by a 13-week recovery period”
✓ VerifiedFDA pharmacology/toxicology review, p. 22Source ↗

Dupixent

dupilumab · IL-4Ra
Longest pivotal study
26 weeks
“Repeated dose studies of up to 26 weeks duration were conducted with REGN646 in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 20Source ↗
Pivotal GLP studies
REGN646 in cynomolgus monkeys: 5-week IV infusion, 13-week SC, and 6-month IV and SC studies
“The three pivotal repeat dose toxicity studies, including a 5-week intravenous infusion (IV), a 13-week subcutaneous (SC) and a 6-month IV and SC studies, were conducted with REGN646”
✓ VerifiedFDA pharmacology/toxicology review, p. 6Source ↗

Emgality

galcanezumab · CGRP
Longest pivotal study
26 weeks
“The pivotal (GLP) subcutaneous (SC) toxicity studies (6-week + 9-week recovery, 3-month + 6-week recovery, and 6-month) were conducted in Sprague-Dawley rat and cynomolgus monkey.”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗
Pivotal GLP studies
Rat and cynomolgus monkey SC: 6-week (+9-week recovery), 3-month (+6-week recovery) and 6-month studies
“The pivotal (GLP) subcutaneous (SC) toxicity studies (6-week + 9-week recovery, 3-month + 6-week recovery, and 6-month) were conducted in Sprague-Dawley rat and cynomolgus monkey.”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗

Enjaymo

sutimlimab · Complement C1s
Longest pivotal study
26 weeks
“A 26-week toxicity study was conducted in cynomolgus monkeys intravenously administered sutimlimab at 60 and 180 mg/kg/week.”
✓ VerifiedFDA pharmacology/toxicology review, p. 6Source ↗
Pivotal GLP studies
Cynomolgus monkey 5-week (up to 100 mg/kg/week) and 26-week (up to 180 mg/kg/week) IV studies with 8-week recovery
“Sutimlimab has been evaluated in repeat-dose studies in cynomolgus monkey for 5 (up to 100 mg/kg/week) and 26 weeks (up to 180 mg/kg/week) with 8 weeks of recovery.”
✓ VerifiedEMA assessment report, p. 25Source ↗

Enspryng

satralizumab · IL-6R
Longest pivotal study
26 weeks
“In general toxicity studies in monkey, weekly subcutaneous doses of up to 50 mg/kg for 4 or 26 weeks resulted in no notable toxicity or effects on male (sperm analysis) and female (menstrual cycle) reproductive parameters and organs.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Pivotal GLP studies
Cynomolgus monkey 4- and 26-week studies, weekly SC up to 50 mg/kg; monkey ePPND
“In general toxicity studies in monkey, weekly subcutaneous doses of up to 50 mg/kg for 4 or 26 weeks resulted in no notable toxicity or effects on male (sperm analysis) and female (menstrual cycle) reproductive parameters and organs.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗

Entyvio

vedolizumab · α4β7-integrin
Longest pivotal study
26 weeks
“repeated dose IV toxicology (14-day, 13-week, 26-week) in Cynomolgus monkeys and rabbits (3-month)”
✓ VerifiedFDA pharmacology/toxicology review, p. 155Source ↗
Pivotal GLP studies
3- and 6-month IV monkey studies (10, 30, 100 mg/kg every two weeks); 3-month IV rabbit study (30, 100 mg/kg)
“A 3-month IV toxicology study was conducted with MLN0002 in New Zealand white rabbits at 30 and 100 mg/kg and 3- and 6-month IV toxicology studies were conducted with MLN0002 in Cynomolgus monkeys at 10, 30 and 100 mg/kg administered once every two weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 11Source ↗

Evenity

romosozumab · Sclerostin
Longest pivotal study
26 weeks
“Romosozumab has been evaluated in repeat-dose toxicity studies in rats (up to 26 weeks with 14 weeks recovery) and in monkeys (up to 26 weeks with 14 weeks recovery).”
✓ VerifiedEMA assessment report, p. 35Source ↗
Pivotal GLP studies
Repeat-dose studies up to 26 weeks (14-week recovery) in rats and monkeys; rat carcinogenicity and reproductive studies
“The program includes repeat-dose studies up to 26 weeks with 14 weeks recovery in rats and monkeys; reproductive toxicity studies in rats, a carcinogenicity study in rats”
✓ VerifiedEMA assessment report, p. 35Source ↗

Evkeeza

evinacumab · ANGPTL3
Longest pivotal study
26 weeks
“Evinacumab was administered once-weekly to sexually mature male and female cynomolgus monkeys (4 to 8 years old) for 26 weeks via SC injection at 10, 30, or 100 mg/kg/week or IV injection at 100 mg/kg/week, followed by a 13-week recovery.”
✓ VerifiedFDA pharmacology/toxicology review, p. 30Source ↗
Pivotal GLP studies
Pivotal 13-week rat and 26-week cynomolgus monkey studies
“All studies were previously reviewed, and the results of pivotal 13-week rat and 26-week monkey studies are summarized below.”
✓ VerifiedFDA pharmacology/toxicology review, p. 28Source ↗

Exdensur

depemokimab · IL-5
Longest pivotal study
26 weeks
“A GLP-compliant repeat dose toxicity study in cynomolgus monkeys receiving depemokimab 10mg/kg and 100 mg/kg once every 3 months for 26 weeks has been performed.”
✓ VerifiedEMA assessment report, p. 47Source ↗
Pivotal GLP studies
GLP cynomolgus monkey 26-week SC study (10, 100 mg/kg every 13 weeks, 2 doses); 4-week single-dose study
“In the 26-week toxicology study conducted in monkeys, doses of 10 (low dose [LD]) and 100 (high dose [HD]) mg/kg were administered to adult male and female monkeys (4/sex/group) once every 13 weeks for a total of 2 doses.”
✓ VerifiedFDA multi-discipline review, p. 74Source ↗

Gazyva

obinutuzumab · CD20
Longest pivotal study
26 weeks
“The route of application was IV (9, 13 and 26-weeks duration) and SC (4-week), thus reflecting the clinical route of administration in the pivotal 26-week study.”
✓ VerifiedEMA assessment report, p. 33Source ↗
Pivotal GLP studies
Weekly-dosed monkey studies: IV 9, 13 and 26 weeks (37 weeks of recovery after the 13- and 26-week studies); SC 4 weeks
“The route of application was IV (9, 13 and 26-weeks duration) and SC (4-week), thus reflecting the clinical route of administration in the pivotal 26-week study. A 37-week treatment free period was included after the 13 week and 26 week IV studies, respectively.”
✓ VerifiedEMA assessment report, p. 33Source ↗

Herceptin

trastuzumab · HER2
Longest pivotal study
26 weeks
“The repeated-dose toxicity evaluation of trastuzumab is based on a four-week study in rhesus monkeys and 12- and 26-week studies in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 8Source ↗
Pivotal GLP studies
4-week rhesus monkey; 12- and 26-week cynomolgus monkey repeat-dose studies
“The repeated-dose toxicity evaluation of trastuzumab is based on a four-week study in rhesus monkeys and 12- and 26-week studies in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 8Source ↗

Hympavzi

marstacimab · TFPI
Longest pivotal study
26 weeks
“the toxicity and toxicokinetics of marstacimab were examined in male and female Crl:WI(Han) rats (n=15 per sex in vehicle and dosing groups, and n=3 (vehicle) and 4 (test-article) per sex in test-article TK satellite groups) via intravenous injections of 0, 60, 180, or 1000 mg/kg/week for 26 weeks.”
✓ VerifiedEMA assessment report, p. 42Source ↗
Pivotal GLP studies
GLP repeat-dose studies in cynomolgus monkeys (up to 3 months) and Wistar Han rats (up to 6 months)
“Wistar Han rats and Cynomolgus monkeys in GLP-compliant repeat-dose studies of up to 3 months (monkeys) or 6 months (rats) in duration.”
✓ VerifiedEMA assessment report, p. 34Source ↗

Ilaris

canakinumab · IL-1β
Longest pivotal study
26 weeks
“In the second study 26 weeks of treatment were followed by 6 weeks of recovery.”
✓ VerifiedEMA assessment report, p. 13Source ↗
Pivotal GLP studies
Marmoset IV twice-weekly studies at 0, 10, 30, 100 mg/kg: 4-week and 26-week
“In two IV repeat-dose studies canakinumab was given twice a week at doses of 0, 10, 30 and 100 mg/kg. In the first study, a 4-week treatment period was followed by 8 weeks of recovery.”
✓ VerifiedEMA assessment report, p. 13Source ↗

Imaavy

nipocalimab · FcRn
Longest pivotal study
26 weeks
“In the 26-week study, weekly 15-minute IV infusions of 0, 20, 100, or 300 mg/kg (3/sex/group, main; 2/sex/group, recovery) resulted in transient tremors and reddened skin.”
✓ VerifiedFDA integrated review, p. 154Source ↗
Pivotal GLP studies
GLP cynomolgus monkey IV repeat-dose studies of 4 and 26 weeks, with recovery
“Pivotal GLP-compliant repeat-dose studies consisted of 4- and 26-week studies in which”
✓ VerifiedEMA assessment report, p. 36Source ↗

Imjudo

tremelimumab · CTLA-4
Longest pivotal study
26 weeks
“Following repeat administration at doses up to 50 mg/kg for either 1‐month (5 doses) or 6‐months (26 doses), signs comprised intermittent diarrhea”
✓ VerifiedFDA multi-discipline review, p. 41Source ↗
Pivotal GLP studies
1-month and 6-month IV cynomolgus monkey studies, weekly dosing at 5, 15 and 50 mg/kg
“The toxicokinetics of tremelimumab was evaluated in cynomolgus monkeys following IV administrations of tremelimumab in a single‐dose (10, 30, and 100 mg/kg), 1 month (5, 15, and 50 mg/kg/week;) and 6 month (5, 15, and 50 mg/kg/week) toxicologic studies”
✓ VerifiedFDA multi-discipline review, p. 39Source ↗

Kevzara

sarilumab · IL-6R
Longest pivotal study
26 weeks
“Four monkeys/sex/group were sacrificed after the 26-week dosing period and the remaining 2 monkeys/sex/group were sacrificed after a 12-week recovery period.”
✓ VerifiedFDA pharmacology/toxicology review, p. 46Source ↗
Pivotal GLP studies
GLP cynomolgus repeat-dose studies: IV for up to 6 months and SC for 3 months
“The toxicity profile of sarilumab was evaluated in a number of GLP compliant repeat-dose toxicology studies in Cynomolgus monkeys by the intravenous (IV) route of administration for up to 6 months in duration and by the SC route for 3 months duration.”
✓ VerifiedFDA pharmacology/toxicology review, p. 46Source ↗

Keytruda

pembrolizumab · PD-1
Longest pivotal study
26 weeks
“consisted of pivotal 1-month and 6-month repeat-dose chronic toxicity studies both with 4-month recovery periods in Cynomolgus monkey”
✓ VerifiedEMA assessment report, p. 22Source ↗
Pivotal GLP studies
Pivotal 1-month and 6-month repeat-dose cynomolgus monkey studies, each with 4-month recovery
“consisted of pivotal 1-month and 6-month repeat-dose chronic toxicity studies both with 4-month recovery periods in Cynomolgus monkey”
✓ VerifiedEMA assessment report, p. 22Source ↗

Libtayo

cemiplimab · PD-1
Longest pivotal study
26 weeks
“The Applicant evaluated the safety of cemiplimab in cynomolgus monkeys in GLP-compliant repeat-dose toxicology studies of up to 26 weeks duration.”
✓ VerifiedFDA multi-discipline review, p. 30Source ↗
Pivotal GLP studies
Cynomolgus monkey studies of 4, 13 (fertility) and 26 weeks
“The toxicity of cemiplimab was evaluated in the repeat dose toxicity studies of 4, 13 and 26-weeks duration in monkeys. The 13-week study was dedicated to evaluation of fertility endpoints.”
✓ VerifiedEMA assessment report, p. 36Source ↗

Loqtorzi

toripalimab · PD-1
Longest pivotal study
26 weeks
“The FDA agrees that there were no toripalimab-related adverse effects up to doses of 100 mg/kg on male or female cynomolgus monkeys treated once weekly for 26 weeks.”
✓ VerifiedFDA multi-discipline review, p. 91Source ↗
Pivotal GLP studies
GLP cynomolgus monkey 4-week IV Q2W (10-100 mg/kg, 7-week recovery) and 26-week IV weekly studies
“In the 4-week GLP-compliant (Q2W) repeat- dose study (10, 30, 100 mg/kg) with a 7-week recovery period, toripalimab was well tolerated at doses up to 100 mg/kg.”
✓ VerifiedFDA multi-discipline review, p. 90Source ↗

Lucentis

ranibizumab · VEGF-A
Longest pivotal study
26 weeks
“All repeat-dose toxicity studies were performed in Cynomolgus monkeys, a reasonable choice of species, in studies up to 26-weeks duration.”
✓ VerifiedEMA assessment report, p. 10Source ↗
Pivotal GLP studies
GLP monkey studies up to 26 weeks; bilateral 50 µl intravitreal injections every 2 weeks, up to 2.0 mg/eye
“Ranibizumab was administered bilaterally by 50 µl IVT injections every 2nd week at doses of up to 2.0 mg/eye.”
✓ VerifiedEMA assessment report, p. 10Source ↗

Nemluvio

nemolizumab · IL-31RA
Longest pivotal study
26 weeks
“Dose and frequency of dosing: 0 (vehicle), 1, 5, and 25 mg/kg, once every two weeks for 26 weeks (14 doses in total)”
✓ VerifiedFDA integrated review, p. 105Source ↗
Pivotal GLP studies
GLP cynomolgus monkey SC repeat-dose studies of 3 and 6 months, biweekly dosing
“Pivotal repeat-dose toxicity studies were conducted in cynomolgus monkeys, with treatment durations of 3 and 6 months.”
✓ VerifiedFDA integrated review, p. 105Source ↗

Niktimvo

axatilimab · CSF-1R
Longest pivotal study
26 weeks
“a GLP-compliant 13-week repeat-dose toxicity study with a 26-week recovery period in sexually mature cynomolgus monkeys, and a GLP-compliant, 26-week, repeat-dose toxicity study with an 8-week recovery in the cynomolgus monkey.”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗
Pivotal GLP studies
GLP 13-week (sexually mature, 26-week recovery) and 26-week (8-week recovery) cynomolgus monkey studies
“a GLP-compliant 13-week repeat-dose toxicity study with a 26-week recovery period in sexually mature cynomolgus monkeys, and a GLP-compliant, 26-week, repeat-dose toxicity study with an 8-week recovery in the cynomolgus monkey.”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗

Nucala

mepolizumab · IL-5
Longest pivotal study
26 weeks
“In toxicology studies up to 6 months duration, no target organs of toxicity were identified at a SC dose of 10 mg/kg or intravenous (IV) doses of 10-100 mg/kg administered once every 4 weeks for a total of 7 doses.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Pivotal GLP studies
Cynomolgus monkey 6-month study: 10 mg/kg SC or 10/100 mg/kg IV once every 4 weeks, 7 doses
“In a 6-month toxicology study, Cynomolgus monkeys received mepolizumab (SB240563) at a subcutaneous dose of 10 mg/kg or an intravenous dose of 10 or 100 mg/kg once every 4 weeks for a total of 7 doses”
✓ VerifiedFDA pharmacology/toxicology review, p. 59Source ↗

Omvoh

mirikizumab · IL-23 p19
Longest pivotal study
26 weeks
“Two six-month toxicity studies were conducted in cynomolgus monkeys, one by IV (twice weekly) and the other by SC (once weekly) routes of administration.”
✓ VerifiedFDA multi-discipline review, p. 66Source ↗
Pivotal GLP studies
GLP monkey 4-week IV/SC study, 6-month weekly SC study and 6-month twice-weekly IV study
“The pivotal studies included a 4-week repeat dose toxicity study which used both subcutaneous and intravenous routes of administration, and two 6-month repeat dose toxicity studies, one using weekly subcutaneous injections and the second using twice weekly intravenous injections.”
✓ VerifiedEMA assessment report, p. 26Source ↗

Pasatru

garetosmab · Activin A
Longest pivotal study
26 weeks
“In a chronic (26-week) monkey study, garetosmab caused reversible, non-adverse minimal to moderate seminiferous tubule degeneration that did not impact sperm function.”
✓ VerifiedFDA integrated review, p. 59Source ↗
Pivotal GLP studies
Cynomolgus monkey 26-week IV study, once weekly, up to 50 mg/kg, with reproductive organ and fertility endpoints
“Reproductive organs and fertility-related parameters were assessed in sexually mature cynomolgus monkeys in a 26-week study in which garetosmab was administered intravenously once weekly at doses up to 50 mg/kg”
✓ VerifiedFDA integrated review, p. 111Source ↗

Perjeta

pertuzumab · HER2
Longest pivotal study
26 weeks
“tolerability and the 6-month (Q weekly dosing x 26 weeks) repeat-dose toxicity studies in cynomolgus monkeys.”
✓ VerifiedFDA pharmacology/toxicology review, p. 6Source ↗
Pivotal GLP studies
26-week GLP IV monkey study, once weekly, with 8-week recovery
“Study title: Twenty-six week intravenous toxicity and toxicokinetic study with pertuzumab in cynomolgus monkeys with an 8-week recovery period”
✓ VerifiedFDA pharmacology/toxicology review, p. 30Source ↗

Piasky

crovalimab · Complement C5
Longest pivotal study
26 weeks
“A 6-Month Intermittent Subcutaneous or Intravenous Administration Toxicity Study of SKY59 (Crovalimab) in Mature Cynomolgus Monkeys Followed by a 6-Month Recovery Period (Study 1082669)”
✓ VerifiedFDA integrated review, p. 178Source ↗
Pivotal GLP studies
26-week GLP monkey study: SC 10, 40, 100 mg/kg weekly after a 100 mg/kg IV dose, plus IV 160 mg/kg group
“Crovalimab was administered SC at dose levels of 10, 40, and 100 mg/kg QW for 26 weeks after a single IV injection of 100 mg/kg on Day 1 of the study and was administered to an additional group IV at a dose level of 160 mg/kg.”
✓ VerifiedEMA assessment report, p. 28Source ↗

Portrazza

necitumumab · EGFR
Longest pivotal study
26 weeks
“In the 26-week study, monkeys were treated at dose levels of 0, 6, 19, or 60 mg/kg weekly for 26 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 12Source ↗
Pivotal GLP studies
Cynomolgus monkey IV studies with weekly dosing for 5 weeks and 26 weeks
“Monkeys were administered necitumumab weekly for 5 or 26 weeks to investigate the safety of the antibody.”
✓ VerifiedFDA pharmacology/toxicology review, p. 4Source ↗

Poteligeo

mogamulizumab · CCR4
Longest pivotal study
26 weeks
“Dose and frequency of dosing: 0, 2.5, 10, or 40 mg/kg; test article was administered once weekly for 26 weeks”
✓ VerifiedFDA multi-discipline review, p. 30Source ↗
Pivotal GLP studies
GLP cynomolgus monkey 26-week once-weekly IV study (2.5, 10, 40 mg/kg), plus 4-week study
“In the 26-week study, mogamulizumab was administered IV at doses of 2.5, 10, or 40 mg/kg once weekly. Mogamulizumab was well-tolerated, and no adverse mogamulizumab-related changes were observed.”
✓ VerifiedFDA multi-discipline review, p. 23Source ↗

Praluent

alirocumab · PCSK9
Longest pivotal study
26 weeks
“The primary nonclinical toxicity studies of alirocumab were conducted in rats and monkeys for up to 6 months duration with weekly subcutaneous and intravenous dosing.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Pivotal GLP studies
Rat and monkey studies up to 6 months, weekly SC and IV dosing
“The primary nonclinical toxicity studies of alirocumab were conducted in rats and monkeys for up to 6 months duration with weekly subcutaneous and intravenous dosing.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗

Remicade

infliximab · TNF-α
Longest pivotal study
26 (mouse surrogate antibody)
“A 6 months toxicity study with an anti-mouse TNFα monoclonal antibody (chimeric V1q muG2a, which has functional characteristics similar to infliximab) was submitted in year 2001.”
✓ VerifiedEMA assessment report, p. 8Source ↗
Pivotal GLP studies
CD-1 mouse study with surrogate cV1q, 25 weekly IV doses of 10 or 40 mg/kg; short chimpanzee studies
“In this study, CD-1 mice were given 25 weekly i.v. doses of 10 or 40 mg/kg cV1q. No cV1q treatment-related mortality or clinical signs of toxicity were observed.”
✓ VerifiedEMA assessment report, p. 8Source ↗

Repatha

evolocumab · PCSK9
Longest pivotal study
26 weeks
“Evolocumab was administered to monkeys (6/sex/dose) at 0, 3, 30 and 300 mg/kg/week for 26 weeks via subcutaneous injection.”
✓ VerifiedFDA pharmacology/toxicology review, p. 59Source ↗
Pivotal GLP studies
Hamster up to 3 months and cynomolgus monkey up to 6 months, once-weekly SC
“The primary nonclinical toxicity studies of evolocumab were conducted in hamsters for up to 3 months and monkeys for up to 6 months duration with once weekly subcutaneous dosing.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗

Rystiggo

rozanolixizumab · FcRn
Longest pivotal study
26 weeks
“General toxicity studies of 4-, 13- and 26-weeks’ duration were conducted in cynomolgus monkey administered up to 150 mg/kg UCB7665 by SC injection every 3 days.”
✓ VerifiedFDA integrated review, p. 161Source ↗
Pivotal GLP studies
Cynomolgus monkey 4-, 13- and 26-week studies, up to 150 mg/kg SC every 3 days; monkey ePPND
“General toxicity studies of 4-, 13- and 26-weeks’ duration were conducted in cynomolgus monkey administered up to 150 mg/kg UCB7665 by SC injection every 3 days.”
✓ VerifiedFDA integrated review, p. 161Source ↗

Siliq

brodalumab · IL-17RA
Longest pivotal study
26 weeks
“Cynomolgus monkeys dosed with 0, 10, 25 or 90 mg/kg/dose SC brodalumab weekly for six months were observed with mild skin changes and histopathology (MD and HD), increased neutrophil counts (HD) and decreased albumin/globulin ratios (MD and HD).”
✓ VerifiedFDA pharmacology/toxicology review, p. 21Source ↗
Pivotal GLP studies
Pivotal 6-month weekly SC cynomolgus study (0, 10, 25, 90 mg/kg/dose); shorter monkey studies supportive
“In the pivotal repeat dose cynomolgus monkey toxicity study, animals dosed with 0, 10, 25 or 90 mg/kg/dose SC brodalumab weekly for six months were observed with mild skin changes and histopathology (MD and HD)”
✓ VerifiedFDA pharmacology/toxicology review, p. 32Source ↗

Simponi

golimumab · TNF-α
Longest pivotal study
26 weeks
“In the 6-month subcutaneous study, using doses up to 50 mg/kg, no adverse effects due to golimumab treatment were seen on standard parameters.”
✓ VerifiedEMA assessment report, p. 14Source ↗
Pivotal GLP studies
Cynomolgus monkey IV and SC repeat-dose studies, once or twice weekly, up to 50 mg/kg, for up to 6 months
“following single or repeated dosing of cynomolgus monkeys via intravenous or subcutaneous administration at doses up to 50 mg/kg once or twice weekly for up to 6 months.”
✓ VerifiedEMA assessment report, p. 13Source ↗

Skyrizi

risankizumab · IL-23 p19
Longest pivotal study
26 weeks
“BI 655066: A 26-Week subcutaneous toxicity and toxicokinetics study in Cynomolgus monkeys with an 8-week recovery period”
✓ VerifiedFDA multi-discipline review, p. 53Source ↗
Pivotal GLP studies
Cynomolgus monkey: 4-week IV (up to 50 mg/kg/week) or SC (20 mg/kg/week); 26-week SC up to 50 mg/kg/week
“Repeat dose toxicity of risankizumab was evaluated in a four-week study after IV administration of up to 50 mg/kg/week and at 20 mg/kg/week after SC administration, and in a 26 week chronic study with subcutaneous doses of up to 50 mg/kg/week.”
✓ VerifiedEMA assessment report, p. 23Source ↗

Soliris

eculizumab · Complement C5
Longest pivotal study
26 weeks
“A twenty-six week study evaluated the toxicity of BB5.1 mAb.”
✓ VerifiedEMA assessment report, p. 9Source ↗
Pivotal GLP studies
26-week IV study of surrogate BB5.1 in CD-1 mice, once or twice weekly (30 or 60 mg/kg/week)
“Crl:CD-1®(ICR) BR mice received by IV route BB5.1 mAb at 0 mg/kg twice weekly, 30 mg/kg once weekly, or 30 mg/kg twice weekly (resulting in dose levels of 0, 30 and 60 mg/kg/week respectively).”
✓ VerifiedEMA assessment report, p. 9Source ↗

Spevigo

spesolimab · IL-36R
Longest pivotal study
26 weeks
“BI 674304 was evaluated in a pivotal 26-week repeat-dose general toxicity study in CD-1 mice.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗
Pivotal GLP studies
26-week CD-1 mouse study with surrogate BI 674304, IV twice weekly at 10 and 50 mg/kg
“BI 674304 was evaluated in a pivotal 26-week repeat-dose general toxicity study in CD-1 mice. BI 674304 was administered via intravenous injection, twice weekly, at the doses of 0, 10, and 50 mg/kg.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗

Stelara

ustekinumab · IL-12/23 p40
Longest pivotal study
26 weeks
“CNTO 1275 (STELARA, ustekinumab) was dosed SC twice weekly to 3 dose groups of cynomolgus monkeys of 8/sex/group at doses of 22.5 or 45 mg/kg for 13 or 26 weeks.”
✓ VerifiedEMA assessment report, p. 13Source ↗
Pivotal GLP studies
Cynomolgus monkey studies: IV up to 45 mg/kg weekly for 1 month; SC up to 45 mg/kg twice weekly for 6 months
“Repeat-dose toxicity studies showed that CNTO 1275 (STELARA, ustekinumab) is generally well tolerated following IV doses up to 45 mg/kg/week for up to 1 month (Studies T-099-003 and T-099-004), and following twice-weekly SC doses up to 45 mg/kg for 6 months (Study T-2001-004).”
✓ VerifiedEMA assessment report, p. 13Source ↗

Sylvant

siltuximab · IL-6
Longest pivotal study
26 weeks
“Repeat dose toxicology studies of 3-months or 6-months duration with extended recovery periods were conducted using weekly IV infusion administration of 9.6 or 46 mg/kg/dose siltuximab alone or in combination with IL-2 administration.”
✓ VerifiedFDA pharmacology/toxicology review, p. 16Source ↗
Pivotal GLP studies
Cynomolgus monkey 3- and 6-month studies, weekly IV infusion 9.6 or 46 mg/kg, plus 3-month combination study with IL-2
“Repeat dose toxicology studies of 3-months or 6-months duration with extended recovery periods were conducted using weekly IV infusion administration of 9.6 or 46 mg/kg/dose siltuximab alone or in combination with IL-2 administration.”
✓ VerifiedFDA pharmacology/toxicology review, p. 16Source ↗

Takhzyro

lanadelumab · Plasma kallikrein
Longest pivotal study
26 weeks
“The 27 lanadelumab doses administered in the 6-month study in juvenile to adolescent cynomolgus monkeys (2.7-3.3 years) receiving lanadelumab doses 5, 25 or 50 mg/kg/week were well-tolerated.”
✓ VerifiedEMA assessment report, p. 26Source ↗
Pivotal GLP studies
SC studies: up to 4 weeks in rat (4-week recovery) and 6 months in cynomolgus monkey
“Studies up to 4 weeks duration (with 4-week recovery) and 6 months were performed in rats and monkey respectively.”
✓ VerifiedEMA assessment report, p. 24Source ↗

Tecentriq

atezolizumab · PD-L1
Longest pivotal study
26 weeks
“In GLP-compliant toxicology studies, Cynomolgus monkeys received atezolizumab at doses up to 50 mg/kg/week given SC for 8 weeks or administered IV for up to 26 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 55Source ↗
Pivotal GLP studies
GLP cynomolgus monkey studies: 8-week SC and IV, and 26-week IV, weekly up to 50 mg/kg
“In GLP-compliant toxicology studies, Cynomolgus monkeys received atezolizumab at doses up to 50 mg/kg/week given SC for 8 weeks or administered IV for up to 26 weeks.”
✓ VerifiedFDA pharmacology/toxicology review, p. 55Source ↗

Tezspire

tezepelumab · TSLP
Longest pivotal study
26 weeks
“A 6-month SC and IV study in cynomolgus monkeys (once weekly dosing) represented the pivotal toxicology study to support the marketing approval of tezepelumab.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗
Pivotal GLP studies
4 GLP cynomolgus monkey repeat-dose studies of up to 6 months
“The tezepelumab non-clinical safety package included 4 GLP cynomolgus monkey repeat-dose toxicology studies of up to 6 months in duration”
✓ VerifiedEMA assessment report, p. 26Source ↗

Tysabri

natalizumab · α4-integrin
Longest pivotal study
26 weeks
“Chronic toxicity studies of repeated doses of natalizumab over a 26-week period, followed by a 17 week dose-free period in cynomolgus monkeys”
✓ VerifiedEMA assessment report, p. 10Source ↗
Pivotal GLP studies
Weekly IV infusion for six months in adult and juvenile cynomolgus monkeys; shorter alternate-day IV monkey studies; rhesus combination study with Avonex
“A six-month toxicity study with natalizumab as weekly intravenous infusion in juvenile cynomologus monkeys with a 17-week recovery period”
✓ VerifiedEMA assessment report, p. 10Source ↗

Ultomiris

ravulizumab · Complement C5
Longest pivotal study
26 weeks
“The No Observed Adverse Effect Level (NOAEL) for BB5.1 mAb administered to CD‐1 mice via IV injection twice weekly for 26 weeks was determined to be 60 mg/kg/week, the highest dose tested.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Pivotal GLP studies
GLP 26-week IV mouse study with surrogate antibody, once or twice weekly, 30 or 60 mg/kg/week
“In the 26‐week repeat‐dose study, mice were administered once or twice weekly by intravenous (IV) injection resulting in doses of 30 or 60 mg/kg/week.”
✓ VerifiedFDA multi-discipline review, p. 29Source ↗

Uplizna

inebilizumab · CD19
Longest pivotal study
26 weeks
“Inebilizumab was administered to huCD19Tg mice (24/sex/group) by IV injection weekly for 26 weeks at dose levels of 0, 3, or 30 mg/kg.”
✓ VerifiedFDA pharmacology/toxicology review, p. 16Source ↗
Pivotal GLP studies
huCD19 Tg mouse 1-, 3- and 6-month weekly IV studies up to 30 mg/kg; additional 3-month SC study
“General toxicology studies were conducted in huCD19Tg mouse with durations of 1, 3, and 6 months in which inebilizumab was administered weekly by IV injection at doses up to 30 mg/kg. (A second 3-month study was conducted using SC administration.)”
✓ VerifiedFDA pharmacology/toxicology review, p. 38Source ↗

Vectibix

panitumumab · EGFR
Longest pivotal study
26 weeks
“These studies had a dosing duration from 4 weeks to 6 months, and all used once-a-week dosing.”
✓ VerifiedEMA assessment report, p. 8Source ↗
Pivotal GLP studies
Monkey IV studies of 4 weeks to 6 months, once-weekly dosing
“These studies had a dosing duration from 4 weeks to 6 months, and all used once-a-week dosing.”
✓ VerifiedEMA assessment report, p. 8Source ↗

Veopoz

pozelimab · Complement C5
Longest pivotal study
26 weeks
“Thirteen- and 26-week repeat-dose toxicity studies were conducted with pozelimab in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 38Source ↗
Pivotal GLP studies
GLP 13-week monkey study: IV 5, 20, 100 mg/kg or SC 100 mg/kg once weekly; plus 26-week IV study
“Dose and frequency of dosing: IV: 5, 20, 100 mg/kg; SC: 100 mg/kg; once weekly”
✓ VerifiedFDA multi-discipline review, p. 39Source ↗

Voyxact

sibeprenlimab · APRIL
Longest pivotal study
26 weeks
“A 26-week IV study (25 to 100 mg/kg biweekly) showed no adverse effects at the highest dose of 100 mg/kg/dose.”
✓ VerifiedFDA integrated review, p. 100Source ↗
Pivotal GLP studies
Cynomolgus 26-week IV (25-100 mg/kg biweekly) and 26-week SC (25-100.5 mg/kg biweekly) GLP studies
“A 26-week IV study (25 to 100 mg/kg biweekly) showed no adverse effects at the highest dose of 100 mg/kg/dose. A 26-week study with SC dosing (25 to 100.5 mg/kg biweekly) demonstrated a similar safety profile”
✓ VerifiedFDA integrated review, p. 100Source ↗

Vyepti

eptinezumab · CGRP
Longest pivotal study
26 weeks
“The Division agreed that only a monkey chronic (6-month) study was needed (email correspondence, April 4, 2013).”
✓ VerifiedFDA pharmacology/toxicology review, p. 8Source ↗
Pivotal GLP studies
Cynomolgus monkey 28-day IV Q2W (up to 100 mg/kg) and 6-month IV Q2W (up to 150 mg/kg)
“In monkey, eptinezumab was tested in 28-day (0, 10, 30, and 100 mg/kg IV Q2W) and 6-month (0, 20, 50, and 150 mg/kg Q2W) studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 3Source ↗

Xolair

omalizumab · IgE
Longest pivotal study
26 weeks
“Juvenile (8- to 10-month old) Cynomolgus monkeys received sc doses of 50 or 250 mg/kg omalizumab weekly for 26 weeks.”
✓ VerifiedEMA assessment report, p. 10Source ↗
Pivotal GLP studies
Monkey 4-week and 6-month IV/SC studies, three times weekly, 0.1-5.0 mg/kg; juvenile monkey 26-week SC weekly study
“a 4-week iv/sc study with a 4-week recovery period, dosing three times weekly in the range 0.1-5.0 mg/kg, and a 6- month iv/sc study with an 8-week recovery period, dosing three times weekly in the range 0.1-5.0 mg/kg.”
✓ VerifiedEMA assessment report, p. 9Source ↗

Yartemlea

narsoplimab · MASP-2
Longest pivotal study
26 weeks
“A Repeat-Dose Toxicity and Toxicokinetic Study in Cynomolgus Monkeys Administered OMS721 by Subcutaneous and/or Intravenous Injection Once Weekly for 26 Weeks with a 10-Week Recovery”
✓ VerifiedFDA integrated review, p. 223Source ↗
Pivotal GLP studies
Repeat-dose studies in mice (up to 4 weeks) and cynomolgus monkeys (up to 26 weeks); mouse and rabbit reproductive studies
“including safety pharmacology studies, repeat-dose toxicity studies in mice and monkeys for durations up to 4 and 26 weeks, respectively, reproductive toxicity studies in mice and rabbits”
✓ VerifiedFDA integrated review, p. 179Source ↗

Yervoy

ipilimumab · CTLA-4
Longest pivotal study
26 weeks
“In a 6-month toxicity study in cynomolgus monkeys, ipilimumab in a dose of 10 mg/kg with monthly intervals (4 times over these 6 months) was not associated with adverse drug-related toxicity”
✓ VerifiedEMA assessment report, p. 24Source ↗
Pivotal GLP studies
GLP cynomolgus monkey IV studies: 1-month weekly, 10-week weekly, and 6-month monthly 10 mg/kg
“ipilimumab generally did not result in adverse toxicities in any other monkeys when administered IV at doses up to 30 mg/kg for 1 week, 10 mg/kg administered weekly for 1 month, 1 mg/kg weekly for 10 weeks, or 10 mg/kg monthly for up to 6 months.”
✓ VerifiedEMA assessment report, p. 21Source ↗

Ocrevus

ocrelizumab · CD20
Longest pivotal study
24 weeks
“In the longest duration study (Study #04-0192-0134), monkeys received ocrelizumab every three weeks for 24 weeks (total of 8 total doses) at doses of 50 or 100 mg/kg IV.”
✓ VerifiedFDA pharmacology/toxicology review, p. 24Source ↗
Pivotal GLP studies
Chronic monkey study 04-0192-0134: IV bolus 0, 50 or 100 mg/kg every 3 weeks, with recovery groups
“In the pivotal chronic toxicity study (04-0192-0134), ocrelizumab was administered to cynomolgus monkeys (4/sex/group for main study; 2/sex C and HD for recovery) by IV bolus injection at doses of 0, 50, and 100 mg/kg every 3 weeks”
✓ VerifiedFDA pharmacology/toxicology review, p. 9Source ↗

Tremfya

guselkumab · IL-23 p19
Longest pivotal study
24 weeks
“Five-week SC and IV and 24-week SC toxicology studies were conducted in young adult to adult cynomolgus monkeys administered guselkumab SC at doses of 10 or 50 mg/kg, once per week for 5 or 24 weeks”
✓ VerifiedFDA multi-discipline review, p. 65Source ↗
Pivotal GLP studies
Cynomolgus monkey study: weekly IV/SC for 5 weeks (phase 1) or SC for 24 weeks (phase 2), up to 50 mg/kg
“Once weekly administration of guselkumab via the IV and SC route for 5 weeks (phase 1) or SC 24 weeks (phase 2) up to 50 mg/kg”
✓ VerifiedEMA assessment report, p. 25Source ↗

Kisunla

donanemab · Amyloid-β (N3pG)
Longest pivotal study
22 weeks
“The dosing period was approximately 5 months.”
✓ VerifiedFDA pharmacology/toxicology review, p. 17Source ↗
Pivotal GLP studies
GLP monkey 6-week weekly IV; GLP PDAPP mouse (mE8c) 6-week and ~5-month weekly SC
“In the pivotal (GLP) studies, mE8c was administered to 12- to 15-month-old PDAPP mice weekly for 6 weeks (0, 10, 30, or 100 mg/kg SC) or 5 months (0, 30, or 100 mg/kg SC).”
✓ VerifiedFDA pharmacology/toxicology review, p. 20Source ↗

Bavencio

avelumab · PD-L1
Longest pivotal study
13 weeks
“Thus, the toxicity of avelumab was evaluated in a GLP-compliant, 13-week toxicology study in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 40Source ↗
Pivotal GLP studies
13-week cynomolgus monkey IV study, once weekly 20, 60 or 140 mg/kg, 2-month recovery; plus 1-month monkey study
“Non-clinical data reveal no special hazard for humans based on conventional studies of repeated dose toxicity in Cynomolgus monkeys administered intravenously doses of 20, 60 or 140 mg/kg once a week for1 month and 3 months, followed by a 2-month recovery period after the 3-month dosing period.”
✓ VerifiedEMA assessment report, p. 30Source ↗

Danyelza

naxitamab · GD2
Longest pivotal study
13 weeks
“Y-mAbs conducted a GLP-compliant 13-week toxicology study in nude rats.”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗
Pivotal GLP studies
GLP 13-week IV nude rat study: 4 cycles of 3 doses (Days 1, 3, 5) at 10 or 50 mg/kg
“Rats received intravenous naxitamab for 4 cycles of 3 treatment days per cycle (every other day on Days 1, 3, and 5) at doses of 0, 10, or 50 mg/kg.”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗

Gamifant

emapalumab · IFN-γ
Longest pivotal study
13 weeks
“In a 13-week study, monkeys received weekly intravenous (IV) doses up to 200 mg/kg.”
✓ VerifiedFDA multi-discipline review, p. 24Source ↗
Pivotal GLP studies
Cynomolgus monkey 8-week and 13-week repeat-dose toxicity studies
“No adverse effects on male or female reproductive organs were observed in the 8- or 13-week repeat-dose toxicity studies in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 43Source ↗

Imfinzi

durvalumab · PD-L1
Longest pivotal study
13 weeks
“Two GLP repeat-dose IV toxicity studies were conducted with durvalumab, a 4-week (Study VMM0008) and a 13-week (Study VMM0033) repeat-dose toxicity study.”
✓ VerifiedEMA assessment report, p. 30Source ↗
Pivotal GLP studies
Monkey 4-week and 13-week studies: loading dose 30, 60 or 200 mg/kg, then weekly 15, 30 or 100 mg/kg
“in both studies a loading dose (double the maintenance dose) of 30, 60, or 200 mg/kg durvalumab was administered on Day 1, and followed by 4 or 13 weekly doses of 15, 30, or 100 mg/kg, respectively.”
✓ VerifiedEMA assessment report, p. 30Source ↗

Jemperli

dostarlimab · PD-1
Longest pivotal study
13 weeks
“The Applicant evaluated the safety of dostarlimab in cynomolgus monkeys in GLP‐compliant repeat‐dose toxicity studies of up to 13 weeks duration.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗
Pivotal GLP studies
Cynomolgus monkey 4-week and 13-week once-weekly IV studies at 10, 30 and 100 mg/kg
“The single dose and repeat dose studies of 4- and 13-week duration were all performed with similar dose levels of dostarlimab (10, 30 and 100 mg/kg).”
✓ VerifiedEMA assessment report, p. 42Source ↗

Margenza

margetuximab · HER2
Longest pivotal study
13 weeks
“Dose and frequency of dosing: 0, 15, 50, and 100 mg/kg/dose; once weekly for 13 consecutive weeks (13 doses)”
✓ VerifiedFDA multi-discipline review, p. 44Source ↗
Pivotal GLP studies
GLP cynomolgus monkey 6-week (up to 150 mg/kg/dose) and 13-week (up to 100 mg/kg/dose) repeat-dose studies
“The Applicant conducted GLP-compliant 6-week (doses up to 150 mg/kg/dose) and 13-week (doses up to 100 mg/kg/dose) repeat-dose toxicology studies of margetuximab in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 37Source ↗

Monjuvi

tafasitamab · CD19
Longest pivotal study
13 weeks
“The safety of tafasitamab was evaluated in GLP-compliant 8- and 13-week general toxicology studies in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 34Source ↗
Pivotal GLP studies
Cynomolgus monkey 8-week IV study (2, 10, 50 mg/kg every 2 weeks) and 13-week IV study (10, 30, 100 mg/kg weekly)
“once every two weeks at 2, 10 or 50 mg/kg in the 8-week study, or once every week at 0, 10, 30 or 100 mg/kg in the 13-week study.”
✓ VerifiedFDA multi-discipline review, p. 35Source ↗

Opdivo

nivolumab · PD-1
Longest pivotal study
13 weeks
“In the 3-month toxicity study in cynomolgus monkeys, IV doses of nivolumab were administered 2QW (for a total of 27 doses) at dose levels of 0 (vehicle control), 10, or 50 mg/kg.”
✓ VerifiedEMA assessment report, p. 33Source ↗
Pivotal GLP studies
Pivotal 1- and 3-month IV repeat-dose studies in cynomolgus monkeys
“Pivotal 1- and 3-month IV repeat-dose toxicity studies of nivolumab alone were conducted in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 38Source ↗

Penpulimab

penpulimab · PD-1
Longest pivotal study
13 weeks
“The Applicant evaluated the safety of penpulimab in cynomolgus monkeys in GLP-compliant repeat-dose toxicology studies of up to 13 weeks duration.”
✓ VerifiedFDA multi-discipline review, p. 41Source ↗
Pivotal GLP studies
GLP monkey IV infusion studies (6-week and 13-week), 4, 15 or 60 mg/kg once every two weeks
“In 6-week repeat-dose toxicity study, no apparent toxicity was observed in cynomolgus monkeys following intravenous infusion of penpulimab at 4, 15, or 60 mg/kg once every two weeks for 6 weeks.”
✓ VerifiedFDA multi-discipline review, p. 52Source ↗

Tevimbra

tislelizumab · PD-1
Longest pivotal study
13 weeks
“The Applicant performed a first repeat-dose toxicology study in monkeys (P14-057-CD), where 0/3/10/30 mg/kg tislelizumab was administered IV once biweekly for 13 weeks to 6 animals/sex/group followed by a 6-week recovery period”
✓ VerifiedEMA assessment report, p. 27Source ↗
Pivotal GLP studies
Cynomolgus monkey 13-week IV studies, 3-60 mg/kg every 2 weeks (7 doses)
“In repeat-dose toxicology studies in cynomolgus monkeys with intravenous dose administration for 13 weeks at doses of 3, 10, 30 or 60 mg/kg every 2 weeks for 13 weeks (7 dose administrations)”
✓ VerifiedEMA assessment report, p. 30Source ↗

Unloxcyt

cosibelimab · PD-L1
Longest pivotal study
13 weeks
“Slow bolus intravenous injection via a saphenous vein once weekly for 13 weeks (14 doses) at a dose volume of 2 mL/kg.”
✓ VerifiedFDA multi-discipline review, p. 48Source ↗
Pivotal GLP studies
GLP 4-week and 13-week repeat-dose studies in cynomolgus monkeys, once-weekly IV slow bolus, 10-week recovery for 13-week study
“CK-301: Once Weekly Intravenous Slow Bolus Injection Toxicity and Toxicokinetic Study in Cynomolgus Monkeys for 13 Weeks with a 10-Week Recovery Phase”
✓ VerifiedFDA multi-discipline review, p. 55Source ↗

Vyloy

zolbetuximab · Claudin 18.2
Longest pivotal study
13 weeks
“Pivotal toxicology studies with zolbetuximab included a 13-week GLP repeat-dose study in mice and a 4-week GLP repeat-dose study in cynomolgus monkey with once weekly intravenous administration.”
✓ VerifiedFDA multi-discipline review, p. 52Source ↗
Pivotal GLP studies
GLP 13-week mouse and 4-week cynomolgus monkey studies, once weekly IV
“Pivotal toxicology studies with zolbetuximab included a 13-week GLP repeat-dose study in mice and a 4-week GLP repeat-dose study in cynomolgus monkey with once weekly intravenous administration.”
✓ VerifiedFDA multi-discipline review, p. 52Source ↗

Zynyz

retifanlimab · PD-1
Longest pivotal study
13 weeks
“The Applicant evaluated the toxicity of retifanlimab in a 13-week GLP-compliant repeat-dose toxicology study in cynomolgus monkeys.”
✓ VerifiedFDA multi-discipline review, p. 29Source ↗
Pivotal GLP studies
GLP cynomolgus monkey 4-week (0-150 mg/kg, 10-week recovery) and 13-week (0-100 mg/kg) studies, weekly IV infusion
“Pivotal repeat-dose toxicity studies with retifanlimab in cynomolgus monkeys include a 4-week study (doses: 0, 10, 40, or 150 mg/kg) with a 10-week recovery period (T19-01-03) and a 13 week study (doses: 0, 5, 20, 100 mg/kg; T18 02-10).”
✓ VerifiedEMA assessment report, p. 46Source ↗

Rituxan

rituximab · CD20
Longest pivotal study
8 weeks
“Weekly dose of rituximab up to 20 mg/kg (= 276 mg/m2 ) was generally well tolerated over up to 8 weeks of treatment in a further GLP toxicity study in Cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 6Source ↗
Pivotal GLP studies
GLP cynomolgus monkey study, weekly IV up to 20 mg/kg for up to 8 weeks
“Weekly dose of rituximab up to 20 mg/kg (= 276 mg/m2 ) was generally well tolerated over up to 8 weeks of treatment in a further GLP toxicity study in Cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 6Source ↗

Darzalex

daratumumab · CD38
Longest pivotal study
6 weeks
“The toxicology program for daratumumab consisted of a GLP 6-week repeat-dose toxicity study in chimpanzees”
✓ VerifiedEMA assessment report, p. 15Source ↗
Pivotal GLP studies
GLP 6-week chimpanzee study, weekly IV infusion, 91-105-day recovery
“The nonclinical PK of daratumumab was evaluated in the 6-week repeat-dose toxicology study in chimpanzees administered weekly as an IV infusion, and followed by a 91 to 105-day recovery period.”
✓ VerifiedEMA assessment report, p. 20Source ↗

Beyfortus

nirsevimab · RSV F protein
Longest pivotal study
4 weeks
“Dose and frequency of dosing Weekly for 4 weeks (5 injections total)”
✓ VerifiedFDA integrated review, p. 157Source ↗
Pivotal GLP studies
GLP 4-week cynomolgus monkey study, weekly IV (50 or 300 mg/kg) or IM (300 mg), 5 doses, with recovery period
“In the 4-week toxicity study with a 25-week recovery period once weekly i.v. or i.m. administration (5 doses total) of nirsevimab of 0, 300 mg/kg/week i.v. or 0 and 300 mg/kg/week i.m (6 monkeys/sex/group) or 50 mg/kg/week i.v.”
✓ VerifiedEMA assessment report, p. 33Source ↗

Campath

alemtuzumab · CD52
Longest pivotal study
4 weeks
“In a previous CHMP scientific advice, the 30-day toxicity testing was considered sufficient to cover the clinical schedule for alemtuzumab treatment, i.e. administration on 5 consecutive days followed by administration on 3 consecutive days after one year.”
✓ VerifiedEMA assessment report, p. 26Source ↗
Pivotal GLP studies
Two cynomolgus monkey repeat-dose studies: daily dose escalation over a month and a dose-ranging tolerability pilot
“Two repeat dose studies were conducted in cynomolgus monkeys.”
✓ VerifiedEMA assessment report, p. 21Source ↗

Ebanga

ansuvimab · Zaire ebolavirus glycoprotein
Longest pivotal study
4 weeks
“A 4-Week Intravenous Toxicity Study With an 8-Week Recovery Period in Rhesus Monkeys (Study #1016-1363):”
✓ VerifiedFDA integrated review, p. 86Source ↗
Pivotal GLP studies
GLP 4-week IV repeat-dose study in rhesus monkeys, with recovery groups
“A 4-Week Intravenous Toxicity Study With an 8-Week Recovery Period in Rhesus Monkeys (Study #1016-1363):”
✓ VerifiedFDA integrated review, p. 86Source ↗

Praxbind

idarucizumab · Dabigatran
Longest pivotal study
4 weeks
“The nonclinical toxicology studies were designed to evaluate the potential toxicity of idarucizumab in rats and monkeys in GLP studies of up to 4- and 2-weeks of daily treatment, respectively.”
✓ VerifiedEMA assessment report, p. 17Source ↗
Pivotal GLP studies
GLP daily IV studies: rat up to 4 weeks; rhesus monkey up to 2 weeks, with or without dabigatran etexilate
“The nonclinical toxicology studies were designed to evaluate the potential toxicity of idarucizumab in rats and monkeys in GLP studies of up to 4- and 2-weeks of daily treatment, respectively.”
✓ VerifiedEMA assessment report, p. 17Source ↗

Simulect

basiliximab · IL-2Rα (CD25)
Longest pivotal study
4 weeks
“Pharmacokinetics of SDZ CIH 621 following single or multiple administration were studied in rhesus and cynomolgous monkeys in a 4-weeks intravenous toxicity studies.”
✓ VerifiedEMA assessment report, p. 6Source ↗
Pivotal GLP studies
4-week IV rhesus monkey study, 0.5 to 4.5 mg/kg every 4th day; plus cynomolgus embryo-fetal study
“Repeated dose toxicity study has been performed in monkeys (4 weeks intravenous in the rhesus monkey with an 8 week treatment, doses at 0.5 to 4.5 mg/kg every 4th day).”
✓ VerifiedEMA assessment report, p. 6Source ↗

Unituxin

dinutuximab · GD2
Longest pivotal study
4 weeks
“The safety of dinutuximab was evaluated in a 28-day repeat-dose toxicology study in rats.”
✓ VerifiedFDA pharmacology/toxicology review, p. 12Source ↗
Pivotal GLP studies
GLP 4-week IV rat study (4 days on, 3 days off weekly) with 6-week recovery
“Rats were administered dinutuximab at doses significantly higher than the clinically recommended dose for 4 weeks (4 days on, 3 days off/week) with a 6-week”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗

Raxibacumab

raxibacumab · B. anthracis protective antigen
Longest pivotal study
3 weeks
“Healthy cynomolgus macaques administered 3 intravenous doses or 3 subcutaneous doses of 40 mg/kg raxibacumab once every 12 days”
✓ VerifiedUS prescribing informationSource ↗
Pivotal GLP studies
Healthy cynomolgus monkey: 3 IV or SC doses of 40 mg/kg every 12 days, or single IM dose; 120-day follow-up
“Healthy cynomolgus macaques administered 3 intravenous doses or 3 subcutaneous doses of 40 mg/kg raxibacumab once every 12 days, or a single intramuscular dose (40 mg/kg) of raxibacumab, showed no adverse effects, including no effects up to 120 days post-dosing.”
✓ VerifiedUS prescribing informationSource ↗

Sarclisa

isatuximab · CD38
Longest pivotal study
3 weeks
“Because an appropriate species for preclinical safety testing could not be identified, toxicology studies with isatuximab were limited to a repeat-dose (once weekly for 3 weeks) toxicity study in cynomolgus monkeys (preceded by a small exploratory study)”
✓ VerifiedFDA multi-discipline review, p. 54Source ↗
Pivotal GLP studies
GLP 3-week cynomolgus monkey IV study, 20, 50 or 100 mg/kg/week, once weekly
“The weekly repeated intravenous administration of isatuximab for 3 weeks to cynomolgus monkeys at doses of 20, 50 or 100 mg/kg/week resulted in no isatuximab-related findings in any parameters and in any groups.”
✓ VerifiedFDA multi-discipline review, p. 54Source ↗

Zinplava

bezlotoxumab · C. difficile toxin B
Longest pivotal study
3 weeks
“No findings of toxicological significance were observed in the single (4 weeks) or repeat-dose toxicity studies (2 or 3 weeks studies) performed with bezlotoxumab and/or actoxumab.”
✓ VerifiedEMA assessment report, p. 19Source ↗
Pivotal GLP studies
Mouse single-dose (4-week observation) and 2- and 3-week repeat-dose studies, bezlotoxumab alone or with actoxumab
“No findings of toxicological significance were observed in the single (4 weeks) or repeat-dose toxicity studies (2 or 3 weeks studies) performed with bezlotoxumab and/or actoxumab.”
✓ VerifiedEMA assessment report, p. 19Source ↗

Enflonsia

clesrovimab · RSV F protein (site IV)
Longest pivotal study
2 weeks
“MK-1654 (clesrovimab) nonclinical safety studies included a good laboratory practice (GLP) 2- week IV/IM repeat-dose toxicology study in Wistar Han rats with a 4-week recovery period”
✓ VerifiedFDA integrated review, p. 119Source ↗
Pivotal GLP studies
GLP 2-week Wistar Han rat study: IV 0, 30, 100, 300 mg/kg every 3 days; IM 0 or 25 mg/kg on Days 1 and 13
“IV (Groups 2 to 5): 0, 30, 100, 300 mg/kg once every 3 days (Days 1, 4, 7, 10, 13) IM (Group 1 and 6): 0, 25 mg/kg on Days 1 & 13”
✓ VerifiedFDA integrated review, p. 176Source ↗

Anthim

obiltoxaximab · B. anthracis PA
Longest pivotal study
1 (dosing on Days 1, 4 and 7 in rats)
“In the definitive study, 8 rats/sex/group were administered vehicle (saline), 3, 10, or 30 mg/kg by IV injection on Days 1, 4, and 7.”
✓ VerifiedFDA pharmacology/toxicology review, p. 100Source ↗
Pivotal GLP studies
Definitive GLP rat study: 3, 10, 30 mg/kg IV on Days 1, 4, 7; plus monkey IV infusion safety pharmacology/toxicology study
“In the definitive study, 8 rats/sex/group were administered vehicle (saline), 3, 10, or 30 mg/kg by IV injection on Days 1, 4, and 7.”
✓ VerifiedFDA pharmacology/toxicology review, p. 100Source ↗

Tzield

teplizumab · CD3
Longest pivotal study
1 weeks
“One GLP repeated dose toxicology study of 6 days duration with 6 weeks of recovery have been performed in CD-1 mice (study 7608-797).”
✓ VerifiedEMA assessment report, p. 42Source ↗
Pivotal GLP studies
GLP 6-day CD-1 mouse study with surrogate antibody (SC and IV) plus recovery; no chronic studies
“One GLP repeated dose toxicology study of 6 days duration with 6 weeks of recovery have been performed in CD-1 mice (study 7608-797).”
✓ VerifiedEMA assessment report, p. 42Source ↗

Empliciti

elotuzumab · SLAMF7
Longest pivotal study
0 (no repeat-dose toxicity studies)
“Repeat-dose toxicity studies of elotuzumab were not conducted due to the lack of a relevant toxicology species or a valid transgenic mouse model.”
✓ VerifiedFDA pharmacology/toxicology review, p. 47Source ↗
Pivotal GLP studies
No repeat-dose studies; single-dose IV rhesus monkey study (0, 30, 100 mg/kg), rabbit local tolerance, human TCR
“A single dose of intravenously infused elotuzumab (0, 30, or 100 mg/kg) was well tolerated in rhesus monkeys with no clinical signs at any dose.”
✓ VerifiedFDA pharmacology/toxicology review, p. 12Source ↗

Synagis

palivizumab · RSV F protein
Longest pivotal study
0 (no repeat-dose studies; single-dose only)
“Studies on repeated dose toxicity, effects on the reproduction, embryo-foetal & perinatal toxicity, mutagenic potential, oncogenic/carcinogenic potential and ecotoxicity/environmental risk assessment were not considered necessary by the applicant and were not performed.”
✓ VerifiedEMA assessment report, p. 5Source ↗
Pivotal GLP studies
No repeat-dose studies; single IV dose in Sprague Dawley rats (14-day observation) and cynomolgus monkeys; no toxicity
“A single dose toxicity study of palivizumab administered to Sprague Dawley rats via intravenous injection including assessment of clinical signs, body weight changes, food consumption, ophthalmoscopy, haematology, clinical and anatomic pathology until 14 days post injection gave no indication of toxicity”
✓ VerifiedEMA assessment report, p. 5Source ↗

Beovu

brolucizumab · VEGF-A
Longest pivotal study
Not stated in public reviews
Pivotal GLP studies
Three GLP repeat-dose intravitreal studies in cynomolgus monkeys (N-10-104, N-12-042, N-14-007)
“3 GLP repeat-dose studies (Study N-10-104, Study N-12-042 and Study N-14-007) were conducted with the GMP material to determine the potential ocular toxicity, tolerability, and systemic exposure of brolucizumab in Cynomolgus monkeys after repeated IVT injections.”
✓ VerifiedEMA assessment report, p. 29Source ↗