[關(guān)鍵詞]
[摘要]
致癌試驗(yàn)的目的是考察藥物在動(dòng)物體內(nèi)的潛在致癌作用,從而評(píng)價(jià)其可能對(duì)人類(lèi)的相關(guān)風(fēng)險(xiǎn),是非臨床藥物安全性評(píng)價(jià)的主要內(nèi)容之一。嚙齒動(dòng)物致癌試驗(yàn)的結(jié)果與人類(lèi)安全性評(píng)估的相關(guān)性經(jīng)常引起爭(zhēng)議,可能需要做進(jìn)一步的研究來(lái)探討其作用方式,以幫助確定是否存在對(duì)人類(lèi)的潛在致癌性。當(dāng)嚙齒動(dòng)物致癌試驗(yàn)出現(xiàn)陽(yáng)性結(jié)果時(shí),可能需要進(jìn)行進(jìn)一步的毒性病理學(xué)研究探討其作用機(jī)制,來(lái)評(píng)估與人類(lèi)的相關(guān)性。簡(jiǎn)要介紹動(dòng)物致癌試驗(yàn)結(jié)果與人類(lèi)相關(guān)性的必要性、致癌試驗(yàn)基于作用方式與人類(lèi)風(fēng)險(xiǎn)評(píng)估無(wú)關(guān)的腫瘤、致癌試驗(yàn)基于作用方式與人類(lèi)風(fēng)險(xiǎn)評(píng)估可能無(wú)關(guān)的腫瘤,以期為我國(guó)非臨床藥物致癌試驗(yàn)的結(jié)果分析和藥物評(píng)價(jià)研究提供一定參考。
[Key word]
[Abstract]
The objective of carcinogenicity study is to identify the potential carcinogenesis in animals and to assess the relevant risks in humans of drugs, which is one of the major components of nonclinical safety evaluation of drugs. The relevance between the results of rodent carcinogenicity studies and assessment of human safety are often the cause for debate. Further toxicologic pathology research may be needed to investigate the mode of action, which contribute to confirm the presence or the lack of potential carcinogenesis for humans. When rodent carcinogenicity study shows positive results, further studies may be needed to investigate the mechanism of action to assess the correlation with humans. This article gives brief introduction of the need for evaluating the relevance between study results in animals and human safety in carcinogenicity study, some tumors in carcinogenicity study not relevant to humans, some tumors in carcinogenicity study possibly not relevant to humans based on mode of action, in order to provide some references for the result analysis of nonclinical carcinogenicity study and drug evaluation research in China.
[中圖分類(lèi)號(hào)]
[基金項(xiàng)目]
江蘇省新藥一站式高效非臨床評(píng)價(jià)公共服務(wù)平臺(tái)建設(shè)項(xiàng)目(BM2021002)