Negative in Ames (parent and ARV-473), in vitro human lymphocyte micronucleus and in vivo rat micronucleus assays
“Vepdegestrant and its major metabolite ARV-473 did not induce mutations in the bacterial reverse mutation (Ames) assay. Vepdegestrant was not clastogenic in the in vitro human lymphocyte micronucleus assay or in the in vivo micronucleus study in rats.”
✓ VerifiedFDA multi-discipline review, p. 49Source ↗
Carcinogenicity
6-month rasH2 mouse: no statistically significant ovarian tumors up to 800 mg/kg/day
“Administration of ARV-471 did not result in statistically significant ovarian tumors in transgenic rasH2 mice at daily doses up to 800 mg/kg/day for 6 months.”
✓ VerifiedFDA multi-discipline review, p. 73Source ↗
Reproductive & developmental
Pilot rat EFD: embryo-fetal mortality at ≥30 mg/kg/day (0.3x human AUC)
“Oral administration of vepdegestrant resulted in embryo-fetal mortality (increased resorptions, post-implantation loss and reduced number of live fetuses) at ≥30 mg/kg/day (0.3 times the human AUC at the recommended dose).”
✓ VerifiedFDA multi-discipline review, p. 49Source ↗
Safety pharmacology
No adverse cardiovascular, respiratory or FOB effects in rats and dogs
“Vepdegestrant did not demonstrate adverse cardiovascular, respiratory, or functional observational battery (FOB) effects in standalone safety pharmacology studies or repeated-dose toxicology studies in rats and dogs at the tested doses.”
✓ VerifiedFDA multi-discipline review, p. 48Source ↗
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative