1/6 HNSTD in cynomolgus monkey cited as rationale for species choice; actual FIH calculation not detailed
“The cynomolgus monkey was selected as nonclinical species for safety evaluation of loncastuximab tesirine, given the greater predictive value of PK data generated in this species for humans, potential for reduced impact of antidrug antibody (ADA) formation on drug exposure, and the proven utility of 1/6th highest non‐severely toxic dose (HNSTD) for setting clinical starting doses with ADCs.”
✓ VerifiedFDA multi-discipline review, p. 49Source ↗
NOAEL / key findings
No NOAEL stated; 13-week monkey kidney and testis findings at all doses (≥0.075 mg/kg); skin hyperpigmentation dose-limiting; bone marrow, lung
“Also, adverse findings in male reproductive organs were present at 0.6 mg/kg only in the 4‐week study and at all doses (≥ 0.075 mg/kg) in the 13‐week study.”
✓ VerifiedFDA multi-discipline review, p. 51Source ↗