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Advancing Alternatives to Animal Testing lnteragency Coordinating Committee on the Validation of Alternative Methods Moving Beyond Animal Data as the Gold Standard Nicole Kleinstreuer Deputy Director, NICEATM SACATM 5-6 September, 2018 Agency for Toxic Substances and Disease Registry Consumer Product Safety Commission Department of Agriculture Department of Defense Department of Energy Department of the Interior Department of Transportation Environmental Protection Agency Food and Drug Administration National Institute for Occupational Safety and Health National Institutes of Health National Cancer Institute National Institute of Environmental Health Sciences Institute National Institute of Standards and Technology Occupational Safety and Health Administration

Moving Beyond Animal Data as the Gold Standard...Moving Beyond Animal Data as the Gold Standard Nicole Kleinstreuer Deputy Director, NICEATM SACATM 5-6 September, 2018 Agency for Toxic

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  • Advancing Alternatives to Animal Testing

    lnteragency Coordinating Committee on the Validation of Alternative Methods

    Moving Beyond Animal Data as the Gold Standard

    Nicole Kleinstreuer Deputy Director, NICEATM

    SACATM 5-6 September, 2018

    Agency for Toxic Substances and Disease Registry • Consumer Product Safety Commission • Department of Agriculture Department of Defense • Department of Energy • Department of the Interior • Department of Transportation

    Environmental Protection Agency • Food and Drug Administration • National Institute for Occupational Safety and Health National Institutes of Health • National Cancer Institute • National Institute of Environmental Health Sciences Institute • National

    Institute of Standards and Technology • Occupational Safety and Health Administration

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

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    922 22NOVEMSER2Dll VOl.3'2 SCIENa ~oe~ --

    HOVI SLOPPY SCIENCE

    CREATES WORTHLESS

    CURES, CRUSHES HOPE,

    AND WASTES BILLIONS

    RICHARD HARRIS

    Sloppy reporting on animal, studies proves hard to change Scientists appear LO ignore guidelines adopted 7 years ago

    califd ARR.IVE guidclint's-$b0rt i>r AnimaJ It~~: Reporting ¢I In Vi,,:, l-~mtnl$. ~ has no(Offlda11)' endor&ed Ulffl\ but cnroungcs ilulhors to ro1JIJ)ly.) But 7 )~ars i._r, $l,1

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    QAssay 0 Key Event Node [jdAR Agonist Pathway td AR Antagonist Pathway Q Interference (assay- or node-specific examples) ~: i A4 7

    Cofactor Recruitment AS

    ~ ~:.::::.:~~::~~:::;~~;on ~=~::~~;,;;,;~; ~ ~ Protein Production

    R2 (N1, N2, NS) ~ AR Antagonist Pathway R1 ( N1-N4) t:ii AR Agonist Pathway

    Studies

    Systematic Review Process

    V Reference Data

    Validation Workflow Importance of Curated Reference Data

    Kleinstreuer et al. 2018 RTX in press

  • lnteragency Coordinating Committee on the Validation of Alternative Methods

    Addressing Data QualityEx: Rat oral acute toxicity LD50 Database

    Data source Number of LD50 values Number of

    unique chemicals

    ECHA ChemProp 5,533 2,136

    NLM HSDB 3,981 2,205

    JRC AcutoxBase 637 138

    NLM ChemIDplus 13,072 12,977

    NICEATM PAI 364 293

    OECD eChemPortal 10,119 2,290

    • Identify transcription errors (e.g. 20005000 mg/kg, >10 mg/kg, confidence intervals as values)

    • Manual curation of highly variable chemicals; identify source data

  • In omm1ttee o Y oordinating C . ion of Alternaf n the Validaf 0 S

    Defining a Confidence Range Bootstrapping of the standard deviations for repeattest chemicals identified a 95% confidence interval for LD50 values of ±0.31 log10(mg/kg)

    LD50 (log10(mg/kg))

  • lnteragency Coordinating Committee on the Validation of Alternative Methods

    Variation in Classification Ex: ECHA Ocular Data

    CASRN ECHA Data 100-41-4 Not Irritating 100-41-4 Category 2A 100-74-3 Category 1 100-74-3 Category 2A 102-06-7 Category 1 102-06-7 Category 2

    10213-78-2 Category 1 10213-78-2 Category 2A

    103-50-4 Not Irritating 103-50-4 Category 2B

    10361-93-0 Category 1 10361-93-0 Category 2A

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    rt7:'\,A I i(,:f _ . - ~ ; . ' -~ , 1 • , .,,,..,,,;,,;., i- .. "{q,-_l . ,.,,.H/Y

    - . 'I ,

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Prior Type 1 2A 2B Non Total

    1 73% 16 .1 % 0.4% : 10.4%) 46 .-

    / - ' 2A 4 .2% 32.9% 3.5% s9Ao/v 138 2B 0 .2% 4% 15.5%

    , - - ' '-80.2%,.; 86

    Non 1.1 % 3.5% 1.5% 93.9% 400

    Reproducibility of Animal Data Ocular Potency Categorization

    Conditional probability of Draize evaluations given a previous test result

    491 substances with at least two Draize studies and extractable eye irritation category in REACH registrations 2008-2014

    Leuchtefeld et al. 2017

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    How to Benchmark Alternative Models

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Interim Science Policy: Use of Alternative Approaches for Skin Sensitization as a Replacement for Laboratory

    Animal Testing

    DRAFr FOR PUBLIC COMMENT April 4, 2018

    EPA's Office of Chemical Safety and Pollution Prevention:

    Office of Pesticide Programs Office of Pollution Prevention and Toxics

    Test Chemical

    Concordant?

    concordance Classify

    based on2/3 concordance

    Test Chemical

    Positive,-----

    P06itiw

    Nonsensitizer

    How to Benchmark Alternative Models Animal data reproducibility as threshold for

    performance

    Defined Approaches (AOP WoE and KE 1/3 STS) accepted by EPA based on comparison to LLNA

    (mouse) data

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Development of Predictive Models for Acute Oral Toxicity

    • Use large database of rat oral LD50 values to train (and test) QSAR models to predict acute oral systemic toxicity

    • 32 groups from the US, Europe, and Asia responded with 135 models for LD50, EPA and GHS categories, and binary nontoxic vs all others and very toxic vs all others.

    • Models were qualitatively and quantitatively assessedand combined into consensus models.

    • Consensus model performance compared with animal test reproducibility for binary, categorical, and quantitative models

    https://ntp.niehs.nih.gov/go/tox-models

    https://ntp.niehs.nih.gov/go/tox-models

  • Oral LDSO: Reproducibility

    Sensitivity Specificity

    63% 99% 81%

    96% 82% 89%

    74% 91% 82%

    66% 92% 79%

    LDSO 0.8 0.42 I

    . . \ .. ~ ' . . I I . --

    ~ -~ A): . --... ; ~ . ~ w~ .. ",_ ~ -' -~--~ . . ,,,. . -- .

    Consensus Model Performance (Tr/Ts Avg)

    Specificity

    77% 95% 86%

    82% 92% 87%

    62% 94% 78%

    54% 92% 73%

    RMSE

    0.74 0.42

    Predictive Models for Acute Toxicity: Performance

    vs Animal Data

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Communicating Variability to Stakeholders

    Review ,._ • ..,,, _...., ir .. ,.,.,u n _ __...,..,u,,.,_ ~ - W i • ,o loll ~""' " " " • .JIU'l.i/"'• •1'1. ' 11

    A Cura ted DatabaSE of Rcds nt Uterotraphic Bioact ivit y f#CUW C. Kwi11sll~u,:v, 1 P,itzi·i,, C. C'-'fler,' Di.viil G. Aiko,~' Jcn1t- Sllid l.d, ' Jci.ivqi,ffl Jornrftan T. Hamm, ' and It's mm M. C..iu Y:

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    Oisclai•cr: Ille 'Acws C){f)f'Ci~ i n this crtlcfc arc e,t-.0$C of tflc .:,.:;Mor.: and 4o not r,ccc~ad,· reflect th:-11.tews or p,;ili'cles of t11s- t,.S. Em•Jronmento1 Protea1'on ll;ency or rhe Na;k,nal tmrm.ires of H~a.ldt. Mt-ritNR fJ/!l'W~ '"''" ~ (JI ~,;.,,nm aiciclµ,-1Ko.1....,,.ts ,Jo;:: 1ic,t CQf1;;;l.:W!r: M~'o,s;:m rtt! o, ,ct c,nrn ~1Mr!io1i jv, ~,a

    hl ~ .. ,1,, 20-11 , U',: ln tiirt i g~l'K\'CUU:dirl• l iri11Cu,nm illw ( 0 1 u·1~ 1/c li~ • lou11 UI All..,, .-1. liw M~Uluh (IW IAM] published t he •str.alciiC A.oa:Sn ap fo r Est.1blish r,c- New Approoc,r~ to h a l .. t11c t hc s ~~cty o~ Chem icals and Mtd ic,11 P'T,oduc::; 1n the Unit ed ~utc:s~ [ICC'IA!.4 20 UI). Cro-n•ai cncv f : dcfa w or1o:e,oups have been establ s:i"ed to mplernent : r s roadmap fot 1rar1ous oo:

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Recent Workshop: Modelers + Regulators

    Predictive Models for Acute Oral

    Systemic Toxicity

    William H. Natcher Conference Center National Institutes of Health, Bethesda, Maryland

    April 11 – 12, 2018

    Attendees in-person: 89; webcast: 215

  • Model Accessibility and Transparency

    Chcriisby Das~ board

    Bispheno1 £.~ SC-QC'r.71 DT.X31D70201e2

    ~ R':'!UIG

    ,,._,..1..,.r,11,n"m\'......,~"· liacL......,•w-Lr •""'- ~'J•'- 0M!O

    au-,v.o,cJ1,c,,c,;t1•lill-N\LVl\1"•

    l,',H.twtll': !.25

    (PERA Models LogP: Odanol-Water

    .l.lgoph ................ n

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    How to Benchmark Alternative Models

    Human data and human biology as the gold standard

    C. Chandrasekera/CCAAM

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    ~II -----~

    How to Benchmark Alternative Models Example: Skin Sensitization

    Chemical Structure & Properties

    Molecular Initiating Event

    Cellular Response

    Organ Response Organism Response

    Metabolism Penetration

    Electrophilic substance

    Covalent interaction with skin proteins

    • Induction of inflammatory cytokines and surface molecules

    • Mobilisation of DCs

    • Activation of inflammatory cytokines

    • Induction of cytoprotective genes

    • Histocompatibility complexes presentation by DCs

    • Activation of T cells • Proliferation of activated T-cells

    • Inflammation upon challenge with allergen

    Dendritic Cells (DCs)

    Keratinocytes responses

    Key Event 1

    Key Event 2

    Key Event 3 Key Event 4 Adverse

    Outcome T-cell proliferation

    TG442C

    TG442E

    TG442D

    QSAR

    QSAR

    Defined Approaches (DAs) combine in vitro and in silico data using simple decision trees or machine learning algorithms to predict skin sensitization.

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    \.ht:mical ~ truclure & Properties

    tAcle culor lnd,at ,ng l:.vent

    How to Benchmark Alternative Models Example: Skin Sensitization

    All non-animal defined approaches evaluated perform as well orbetter than the mouse at predicting human skin sensitization:

    Hazard: 74% (mouse) vs. 75-85% (DAs)

    3-class Potency: 59% (mouse) vs. 55-69% (DAs)

  • Drug Oisi::C/r/12f'y Today•Vdtffl€' 00.Ntrnbef00•Jtrie 2018

    Te,1.ier lt11pro,-etl tr,111.dt1tio11 ofrese,1rcl1 is 11ee1.led to i11for,11 st1f"e ,utd effective tln,g ,le,-rlopme11l. fl,ls u:111 rt.•,111lre ,, brot1,I coll,1bor,1tfre t•lfort, opt·11 ,l,llo 5,lli,rlug, ,u,,I

    1,rloritV~•,I f1111di11g for l1111m111-relet.•,111t n •., e,1rd1.

    Summary of major recommendations

    A true shift in paradigm will require greater emphasis to be placedRecommen

    - lnteragency Coordinating Committee on the Validation of Alternative Methods

    on human relevance, from top-down funding decisions to datapathway-b generation, to building of databases and/or knowledge

    research management tools. Lindsay J. M~rsha111,_c~ International and interagency collaboration is critical: formal Suzanne C. F1tzpatr1ck· II b . b • • · I d f d. b d. ,..,man.Sod,tyO,tema_.__..,... co a oration etween maJor organizat1ona an un mg o 1es ~1:::.."!'".,..,.,,_..,_~c..... 1o should be established. etthtsdl,. MOlOl17,USA

    'Nadonal T°"""'logy"'°ll"""l-..gonc) F d' h Id b • •t• d & h• h b d........,.,........,.,,...........,H.... un mg s ou e pnon 1ze ,or researc mg uman- ase ~-:;::-:=:::':!•''""'0 ""' biology (versus 'improved' animal models) and promoting open Fai lures In the CUm!nt para, access data. soarin g research and develot

    app10vais. 0ver9(111>ofnew, Human data should be collected in collaborative, open-access t he level of Phase 2/3 c linic,

    unexplalnedtoxldty.Arece high-quality databases. researd, inst!tutlons, reguJa • • nongovernmental o rganir.al Common reporting formats and common ontologies should be be better applied to underst • • • • d isco~-ery. Recommendatio, established for collecting and collating human biology :~:.~~=::::.:: information, from different 'omics technologies to human clinical

    data. ::,;~.!~...ttnen, o1blu1oru, There is a need to establish formal processes for cross-sector dlinse lnt~ntkmsrt':maln ~lushoc • •

    ,esu,ch•nd-lopmentfo,asu< commun1cat1on. numba or new drugs apprm·cd pt:r

    >""""inc, 1950 1z~ Mo., lhan 9( There is an immediate need for the creation of case studies to regulatO?y ~roval, mainly ,lJ .i. re

    bnd ZOOl, wing dau I

    ::;,:;;:i~::::·::i:.=:~!.:'. based approaches in the context of translation and human disease lowsuc=rn,.. (S(). lt l>d

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    OECD/OCDE 492 AdqJ!ed:

    25 Juru,2018

    OECD GUIDELINE FOR TIIE TESTING OF CIIEMICALS

    R•rnmlrncl,d huwau Corn,a-lik, Epitl.i,limn (Rl,CE) 1,,1 w,lhuJ fu,. identifying: cla.em.ic.ah not requ.i1;ng dusification aad labe-Iling for eye

    i.ni.tation or se-riow eye damage

    Il\TRODt:CTI0'.'1

    1. $qriGw 'Y" Jam.ig" refers to the pr oductiOJI cf tim:e duu3e i:i the- ~Y-!, o~ serious i:•hysical dec1y of ;.1:iiion., foilcv."iDg application of a test chemical m ch~ amerior surface of thP P..~'P, ,.,,}ii r.h ii:; nnt fnl ly ..-~~nil:1,- u·ithin )1 ,fayi:; nf :q,rl r.lltinn, si:; M f.iw.d hy rh"' {J. itP.,n Nil.liuus C-k ,ln.lly Hi1u.11uu..it.cd S~ tUl.l uf Cla..-.:s.ificaliuu nu.l I.a~ uf Chcw.il.::d~ (INCTH") (1) Al~, ar.c-.nnti,e 1n liN ITHS, RJ,'11!' ;mtnfit)JJ. iP."P..tt. to th~ p1ndir.tinn nf chmgcs in the CJC folbwiag the application of • ic:!>t c.hcm.ical to the m krior sufac.e o f the eye. wtuc-.h are fitly revemtle witb.m 11 dJys of a.pp.11.cat!oil. 1 ~ t clem:cili mdu:.mg xrious eye dama~c arc du3ificd u UN GHS Category 1, while tho3C i».duci.J:g eye irrrtation ue cbs~ifie:I as UN GHS Cate,:«y 2. Tes: chemicals aot cLts;ified for eye ilritation or terioru eye d.:am:at e :are de.f~ :a;: thol~ th.at do not ~et i:he requireme:::i.t~ for classukaion as lN GHS Cu~~ry 1 or 1 (2A or 2B) i.e., they are refmed to as UN OHS Nn CaiP.tnry

    J . Th! uee~s:mut o)f ElP:r.oue: eye dam35e/ey! initatio:a bse: ::ypic-ally involve.cl the \!£Es cf labontory animals (OECD :'est C-u:deline (fG) 4C5; ad•>ped iii '.981 and revised U: 1Q:t7. :-O'.)'), ?Cll') jlnd ) 017) (?) The chnit:P.n:t'hP most :-1:p:rropri~P.tf!sf mflth!ld :wul lhf! 1:sf! l.'f LLis T =~t Oa.id,£.i.u.c sluu.111.ie :il:t:U Ul. the lunl~'d gf Llx OECD O ii:Lw.a: 0 1XU1.UCLI u.t. an Integrated Appmaches on -:es ting an:i Assessment OAT A) for Serious Eye Damal e and E)-c inittition (3}.

    3. Tb:is T~st Guidcl.inc dcscn"b~ an i,j , ·itro rroced:u-c a llow~ the i

  • lnteragency Coordinating Committee on the Validation of Alternative Methods

    Eye Irritation Classification:

    OECD TG 492 Proficiency Chemicals vs. Sigma SDS

    Chemical Name CASRN OECD TG 492 SDS (in vivo data) (in vivo data)

    Methythioglycolate 2365-48-2 Category 1 Category 2A 2,5-Dimethyl-2,5-hexanediol

    110-03-2 Category 1 Not classified

    1-Ethyl-3-methylimidazolium ethylsulphate

    342573-75-5 Not Classified Category 1

    Diethyl toluamide 134-62-3 Category 2B Category 2A Camphene 79-92-5 Category 2B Category 2A

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Secretome ~ ~

    -w ~ ~ ,

    »f ~ ~ .~ ~

    Mechanistic Mapping of HTS Assays Example: Developmental Toxicity

    Human Teratogenic Mechanisms

    • Endocrine disruption

    • Oxidative stress

    • Vascular disruption

    II

    • 'a • - -. -· ---- - - - -- -• t .1 I I; ; :, 1 IT 1 It t;,

    --..,..-10-t ,__, • ._'II __ ,t.,, ~--••,_t -tO ... I ""5..,.,~1••1

    ~ '" ~ --~ - 1- 'r- 1-~---•-~1 -10111111 ,.._.. __ 10-'IIJ •-10t -•O

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Sustaining pmliteratlve

    signaling

    Evading grow1h

    svppressors

    Inducing Activating angiogenesrs invasion &

    metastasis

    Enab'1ng replicative 1mmortal1ty

    ./ /

    5. Oxidative stress

    4. Epigenetic alt erations

    1. M etabolic activation

    I 0

    6. Induces inflammation

    10. Cell death/ proliferation

    8. Nuclear receptors

    0.2 0 .4

    ToxPi Score

    0.6 0.8

    Mechanistic Mapping of HTS Assays Example: Carcinogenicity

    Hallmarks of Cancer & Characteristics of Carcinogens • Inflammation

    • Oxidative stress

    • Genotoxicity/instablitiy

    • Angiogenesis

    • Immortalization/proliferation

    • Immunosuppression

    • Invasion/metastasis

    • Specific receptor- or enzyme-mediated

    Hanahan & Weingberg 2011; Smith et al. 2016; Guyton et al. 2018; Chiu et al. 2018

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Prior

    Posterior

    Risk + Human-Relevant Mechanistic Information (from HTS assays, 3D organotypic systems, QSAR models, targeted animal studies, etc.)

    + Exposure Data and Population Genetics (from biomonitoring studies, high-throughput

    transcriptomics, GWAS studies, etc.)

    0.1 1 10 % Population

    Addressing Risk Probabilistically

  • - lnteragency Coordinating Committee on the Validation of Alternative Methods

    Challenges • Scientific – Considering population/genetic variability

    – Incorporating metabolic competence

    – Developing complex systems models

    – Reporting and collection of reference data

    • Non-scientific – Increasing awareness, education, and training

    – Cross-sector communication

    – Funding for human-centric research and education

    Moving Beyond Animal Data as the Gold StandardThe Reproducibility CrisisValidation Workflow�Importance of Curated Reference DataAddressing Data Quality�Ex: Rat oral acute toxicity LD50 DatabaseDefining a Confidence RangeVariation in Classification�Ex: ECHA Ocular DataReproducibility of Animal DataReproducibility of Animal Data�Ocular Potency CategorizationHow to Benchmark Alternative ModelsHow to Benchmark Alternative ModelsDevelopment of Predictive Models for �Acute Oral ToxicitySlide Number 12Communicating Variability to StakeholdersPredictive Models for Acute Oral Systemic ToxicityModel Accessibility and TransparencyHow to Benchmark Alternative ModelsHow to Benchmark Alternative ModelsHow to Benchmark Alternative ModelsSummary of Major RecommendationsExample: Eye IrritationEye Irritation Classification: �OECD TG 492 Proficiency Chemicals vs. Sigma SDSMechanistic Mapping of HTS AssaysMechanistic Mapping of HTS AssaysAddressing Risk ProbabilisticallyChallengesTableforNK.pdfPredictive Modes for Acute Toxicity: Performance