Ames negative; positive in vitro micronucleus; negative in vivo rat comet and bone marrow micronucleus assays
“Imlunestrant was not mutagenic in the Ames bacterial reverse mutation assay. Imlunestrant produced chromosomal damage in the in vitro micronucleus assay but did not cause chromosomal damage or DNA strand breaks in vivo when tested up to 2000 mg/kg in the rat comet and bone marrow micronucleus assays.”
✓ VerifiedFDA multi-discipline review, p. 70Source ↗
Carcinogenicity
Not conducted (advanced cancer indication); studies ongoing for other indications
“Carcinogenicity studies have not been conducted to support the advanced cancer indication for imlunestrant but are ongoing to support other indications.”
✓ VerifiedFDA multi-discipline review, p. 70Source ↗
Reproductive & developmental
Rat EFD: embryo-fetal death at ≥0.3 mg/kg and malformations at ≥3 mg/kg, below human exposure
“resulted in embryo-fetal mortality at ≥ 0.3 mg/kg and structural abnormalities at ≥ 3 mg/kg at maternal exposures that were below the human AUC0-24 at the recommended dose.”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗
Safety pharmacology
No cardiovascular, CNS or respiratory effects in 4-week and 3-month monkey studies
“Imlunestrant had no effect on the cardiovascular, central nervous, and respiratory systems of monkeys in 4-week or 3-month toxicology repeat-dose toxicology studies.”
✓ VerifiedFDA multi-discipline review, p. 46Source ↗
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative