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Lucentis: which tox species, and why?

ranibizumab · VEGF-A
Species
Cynomolgus monkey (repeat-dose); rabbit for single-dose ocular studies
“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 ↗
Why that species
Monkey and human VEGF very similar or identical; high activity on monkey VEGF expected, sufficient for intraocular use
“It is however agreed that it is likely that the monkey and human protein sequence are very similar, or even identical and a high activity on monkey VEGF is expected. For intraocular administration, this is considered sufficient.”
✓ VerifiedEMA assessment report, p. 8Source ↗
Surrogate molecule
No surrogate; the clinical antibody fragment was tested in cynomolgus monkeys
“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 ↗

Same question, other monoclonal antibodies

Actemra

tocilizumab · IL-6R
Cynomolgus monkey only

Adakveo

crizanlizumab · P-selectin
Cynomolgus monkey only

Adbry

tralokinumab · IL-13
Cynomolgus monkey only

Aduhelm

aducanumab · Aggregated amyloid-β
Cynomolgus monkey and transgenic Tg2576 mouse (murine surrogate and aducanumab); rat for reproductive studies

Aimovig

erenumab · CGRP receptor
Cynomolgus monkey only

Ajovy

fremanezumab · CGRP
Rat and cynomolgus monkey (chronic study in monkey only)

Alhemo

concizumab · TFPI
Cynomolgus monkey only (rabbit used for efficacy and PK/PD)

Andembry

garadacimab · Factor XIIa
Mouse and cynomolgus monkey

Anthim

obiltoxaximab · B. anthracis PA
Rat and cynomolgus monkey

Arzerra

ofatumumab · CD20
Cynomolgus monkey only

Avastin

bevacizumab · VEGF-A
Cynomolgus monkey and rabbit

Bavencio

avelumab · PD-L1
Cynomolgus monkey only

Benlysta

belimumab · BLyS (BAFF)
Cynomolgus monkey only

Beovu

brolucizumab · VEGF-A
Cynomolgus monkey only

Beyfortus

nirsevimab · RSV F protein
Cynomolgus monkey only

Bimzelx

bimekizumab · IL-17A/IL-17F
Cynomolgus monkey only

Briumvi

ublituximab · CD20
Cynomolgus monkey only

Cablivi

caplacizumab · von Willebrand factor (A1 domain)
Guinea pig and cynomolgus monkey

Campath

alemtuzumab · CD52
Cynomolgus monkey (general toxicity); huCD52 transgenic mouse (reproductive toxicity)

Cimzia

certolizumab pegol · TNF-α
Cynomolgus monkey (main species)

Cinqair

reslizumab · IL-5
Mouse and cynomolgus monkey

Cosentyx

secukinumab · IL-17A
Cynomolgus monkey only

Crysvita

burosumab · FGF23
Rabbit and cynomolgus monkey

Cyramza

ramucirumab · VEGFR2
Cynomolgus monkey only

Danyelza

naxitamab · GD2
Nude rat (athymic) only

Darzalex

daratumumab · CD38
Chimpanzee (pivotal); cynomolgus monkey with surrogate antibody (supportive)

Dupixent

dupilumab · IL-4Ra
Cynomolgus monkey only (surrogate REGN646); mouse fertility study with surrogate REGN1103

Ebanga

ansuvimab · Zaire ebolavirus glycoprotein
Rhesus monkey only

Ebglyss

lebrikizumab · IL-13
Cynomolgus monkey only

Emgality

galcanezumab · CGRP
Rat and cynomolgus monkey

Empliciti

elotuzumab · SLAMF7
None relevant; only a single-dose rhesus monkey study for off-target toxicity

Enflonsia

clesrovimab · RSV F protein (site IV)
Rat only

Enjaymo

sutimlimab · Complement C1s
Cynomolgus monkey only

Enspryng

satralizumab · IL-6R
Cynomolgus monkey only

Entyvio

vedolizumab · α4β7-integrin
Rabbit and cynomolgus monkey

Erbitux

cetuximab · EGFR
Cynomolgus monkey (pivotal); supporting 4-week rat study

Evenity

romosozumab · Sclerostin
Rat and cynomolgus monkey

Evkeeza

evinacumab · ANGPTL3
Cynomolgus monkey, rat and rabbit

Exdensur

depemokimab · IL-5
Cynomolgus monkey only

Fasenra

benralizumab · IL-5Rα
Cynomolgus monkey only

Gamifant

emapalumab · IFN-γ
Cynomolgus monkey only

Gazyva

obinutuzumab · CD20
Cynomolgus monkey only

Herceptin

trastuzumab · HER2
Rhesus and cynomolgus monkey

Humira

adalimumab · TNF-α
Cynomolgus monkey only (pivotal repeat-dose)

Hympavzi

marstacimab · TFPI
Rat and cynomolgus monkey

Ilaris

canakinumab · IL-1β
Marmoset monkey only (plus mouse with surrogate antibody)

Ilumya

tildrakizumab · IL-23 p19
Cynomolgus monkey only

Imaavy

nipocalimab · FcRn
Cynomolgus monkey only

Imfinzi

durvalumab · PD-L1
Cynomolgus monkey only

Imjudo

tremelimumab · CTLA-4
Cynomolgus monkey only

Jemperli

dostarlimab · PD-1
Cynomolgus monkey only

Kevzara

sarilumab · IL-6R
Cynomolgus monkey only

Keytruda

pembrolizumab · PD-1
Cynomolgus monkey only

Kisunla

donanemab · Amyloid-β (N3pG)
Cynomolgus monkey and PDAPP transgenic mouse (surrogate antibody)

Lartruvo

olaratumab · PDGFRα
Cynomolgus monkey only

Leqembi

lecanemab · Amyloid-β protofibrils
Cynomolgus monkey only

Libtayo

cemiplimab · PD-1
Cynomolgus monkey only

Loqtorzi

toripalimab · PD-1
Cynomolgus monkey only

Margenza

margetuximab · HER2
Cynomolgus monkey only

Monjuvi

tafasitamab · CD19
Cynomolgus monkey only

Nemluvio

nemolizumab · IL-31RA
Cynomolgus monkey only

Niktimvo

axatilimab · CSF-1R
Cynomolgus monkey only

Nucala

mepolizumab · IL-5
Cynomolgus monkey (clinical antibody); mouse with surrogate antibody for fertility/EFD

Ocrevus

ocrelizumab · CD20
Cynomolgus monkey only

Omvoh

mirikizumab · IL-23 p19
Cynomolgus monkey only

Opdivo

nivolumab · PD-1
Cynomolgus monkey only

Pasatru

garetosmab · Activin A
Rat and cynomolgus monkey

Penpulimab

penpulimab · PD-1
Cynomolgus monkey only

Perjeta

pertuzumab · HER2
Cynomolgus monkey only

Piasky

crovalimab · Complement C5
Cynomolgus monkey only

Portrazza

necitumumab · EGFR
Cynomolgus monkey only

Poteligeo

mogamulizumab · CCR4
Cynomolgus monkey only

Praluent

alirocumab · PCSK9
Rat and cynomolgus monkey

Praxbind

idarucizumab · Dabigatran
Rat and rhesus monkey

Prolia

denosumab · RANKL
Cynomolgus monkey only

Raxibacumab

raxibacumab · B. anthracis protective antigen
Healthy rabbit and cynomolgus monkey

Remicade

infliximab · TNF-α
Chimpanzee (limited studies) and mouse (surrogate anti-mouse TNF-α antibody)

Repatha

evolocumab · PCSK9
Hamster and cynomolgus monkey

Rituxan

rituximab · CD20
Cynomolgus monkey only

Rystiggo

rozanolixizumab · FcRn
Cynomolgus monkey only

Saphnelo

anifrolumab · IFNAR1
Cynomolgus monkey only

Sarclisa

isatuximab · CD38
Cynomolgus monkey only (non-binding species, off-target toxicity assessment)

Siliq

brodalumab · IL-17RA
Cynomolgus monkey only

Simponi

golimumab · TNF-α
Cynomolgus monkey only (mouse surrogate for supportive studies)

Simulect

basiliximab · IL-2Rα (CD25)
Rhesus and cynomolgus monkey (primates only)

Skyrizi

risankizumab · IL-23 p19
Cynomolgus monkey only

Soliris

eculizumab · Complement C5
Mouse (surrogate antibody) only

Spevigo

spesolimab · IL-36R
Mouse (surrogate antibody) only

Stelara

ustekinumab · IL-12/23 p40
Cynomolgus monkey only

Sylvant

siltuximab · IL-6
Cynomolgus monkey only (fertility in mice with surrogate antibody)

Synagis

palivizumab · RSV F protein
No repeat-dose studies; single-dose studies in rat and cynomolgus monkey only

Takhzyro

lanadelumab · Plasma kallikrein
Rat and cynomolgus monkey (monkey only for chronic study)

Taltz

ixekizumab · IL-17A
Cynomolgus monkey only

Tecentriq

atezolizumab · PD-L1
Cynomolgus monkey (pivotal); mouse pilot study

Tepezza

teprotumumab · IGF-1R
Cynomolgus monkey only

Tevimbra

tislelizumab · PD-1
Cynomolgus monkey only

Tezspire

tezepelumab · TSLP
Cynomolgus monkey only

Tremfya

guselkumab · IL-23 p19
Cynomolgus monkey only

Trogarzo

ibalizumab · CD4
Rhesus and cynomolgus monkey

Tysabri

natalizumab · α4-integrin
Cynomolgus monkey (repeat-dose); guinea pig and monkey for reproductive toxicity

Tzield

teplizumab · CD3
Mouse (surrogate antibody) for repeat-dose and DART; single-dose chimpanzee study with teplizumab

Ultomiris

ravulizumab · Complement C5
Mouse (surrogate antibody) only

Unituxin

dinutuximab · GD2
Rat (repeat-dose) and cynomolgus monkey (single-dose safety pharmacology)

Unloxcyt

cosibelimab · PD-L1
Cynomolgus monkey only

Uplizna

inebilizumab · CD19
Human CD19 transgenic mouse only

Vectibix

panitumumab · EGFR
Cynomolgus monkey only

Veopoz

pozelimab · Complement C5
Cynomolgus monkey only; not evaluated in rodents

Voyxact

sibeprenlimab · APRIL
Cynomolgus monkey only

Vyepti

eptinezumab · CGRP
Rat, cynomolgus monkey and rabbit

Vyloy

zolbetuximab · Claudin 18.2
Mouse and cynomolgus monkey

Xolair

omalizumab · IgE
Cynomolgus monkey (pivotal); 4-week mouse study also conducted

Yartemlea

narsoplimab · MASP-2
Mouse and cynomolgus monkey

Yervoy

ipilimumab · CTLA-4
Cynomolgus monkey only

Zinbryta

daclizumab · IL-2Rα (CD25)
Cynomolgus monkey only

Zinplava

bezlotoxumab · C. difficile toxin B
Mouse only

Zynyz

retifanlimab · PD-1
Cynomolgus monkey only

Summary across all 117 monoclonal antibodies →