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Korjuny: genotox, carcinogenicity and repro: done or skipped?

catumaxomab · EpCAM x CD3
Genotoxicity
Not conducted (ICH S6(R1))
“Genotoxicity studies have not been performed according to ICH S6(R1).”
✓ VerifiedEMA assessment report, p. 38Source ↗
Carcinogenicity
Not conducted (ICH S6); no proliferation of EpCAM+ or CD3+ cells in vitro
“Standard carcinogenicity studies are generally inappropriate for biotechnology-derived pharmaceuticals according to ICH S6.”
✓ VerifiedEMA assessment report, p. 38Source ↗
Reproductive & developmental
Not conducted (no relevant species; late-stage malignancy)
“Studies to investigate reproductive and developmental toxicity have not been performed due to the lack of an appropriate animal species, the intended patient population with late-stage malignant disease.”
✓ VerifiedEMA assessment report, p. 38Source ↗
Safety pharmacology
No dedicated studies; inferred from BiLu studies, human tissue cross-reactivity and in vitro hepatocytes
“Due to the restricted specificity of catumaxomab for human target antigens, safety aspects were assessed in vivo using the surrogate antibody BiLu in a secondary PD study and as part of a toxicology study (see Toxicology section).”
✓ VerifiedEMA assessment report, p. 34Source ↗

Same question, other bispecifics

Bizengri

zenocutuzumab · HER2 x HER3
Not conducted (ICH S6(R1))

Blincyto

blinatumomab · CD19 x CD3
Not conducted (ICH S6(R1); protein of natural amino acids)

Columvi

glofitamab · CD20 x CD3
Not conducted (ICH S6(R1))

Elrexfio

elranatamab · BCMA x CD3
Not conducted (ICH S6(R1))

Epkinly

epcoritamab · CD20 x CD3
Not conducted (ICH S6(R1), ICH S9)

Hemlibra

emicizumab · FIXa x FX
Not conducted (ICH S6)

Imdelltra

tarlatamab · DLL3 x CD3
Not conducted (ICH S6(R1))

Kimmtrak

tebentafusp · CD3 x gp100 (TCR fusion)
Not conducted (fusion protein; ICH S6/S9)

Lunsumio

mosunetuzumab · CD20 x CD3
Not conducted (ICH S6(R1))

Lynozyfic

linvoseltamab · BCMA x CD3
Not conducted (antibody not expected to interact with DNA)

Ordspono

odronextamab · CD20 x CD3
Not conducted (antibody not expected to interact with DNA)

Removab

catumaxomab · EpCAM x CD3
Not conducted (not submitted; biologic, no relevant model)

Rybrevant

amivantamab · EGFR x MET
Not conducted (not appropriate for antibodies)

Talvey

talquetamab · GPRC5D x CD3
Not conducted (ICH S6; biotechnology-derived product)

Tecvayli

teclistamab · BCMA x CD3
Not conducted (ICH S6(R1))

Vabysmo

faricimab · VEGF-A x Ang-2
Not conducted (ICH S6(R1))

Ziihera

zanidatamab · HER2 x HER2 (biparatopic)
Not conducted (ICH S6(R1), ICH S9)

Summary across all 18 bispecifics →