Abstract
Safety pharmacology studies are performed during nonclinical drug development to identify and characterize, in relationship to exposure, potentially undesirable pharmacodynamic effects of a substance on physiological functions. A major objective of these studies is to assess the relevance of these pharmacodynamic activities for human safety. The International Conference on Harmonisation (ICH) issued guidelines describing nonclinical safety pharmacology testing strategies to detect effects on core systems, that is, cardiovascular, respiratory, and central nervous systems (ICH S7A), and risk of delaying ventricular repolarization (QT interval prolongation) (ICH S7B). An ICH Expert Working Group (EWG) took on the task of developing safety pharmacology guidelines and achieved step 4 with ICH S7A in 2001. Drug-induced delay in ventricular repolarization (QT interval prolongation) is the topic of a complementary guideline, ICH S7B, which had many of the same EWG members and achieved step 4 in 2005. The present chapter describes these guidelines along with background and context for the final recommendations in the guidelines.
This article reflects the personal opinions of the author and does not necessarily reflect those of the FDA.
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Notes
- 1.
FDA refers to these guidelines as guidances in accordance with FDA’s good guidance practice (62 FR 8961, February 27, 1997).
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Koerner, J.E., Siegl, P.K.S. (2013). Safety Pharmacology: Guidelines S7A and S7B. In: van der Laan, J., DeGeorge, J. (eds) Global Approach in Safety Testing. AAPS Advances in the Pharmaceutical Sciences Series, vol 5. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5950-7_11
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