Signal management in pharmacovigilance and human risk assessment of CpG 7909, integrating embryo-fetal and post-natal developmental toxicity studies in rats and rabbits

Reprod Toxicol. 2018 Jan:75:110-120. doi: 10.1016/j.reprotox.2017.09.006. Epub 2017 Sep 23.

Abstract

The potential reproductive and developmental toxicity of the synthetic oligodeoxynucleotide (ODN) CpG 7909, a component of GSK's AS15 immunostimulant, was examined in rat and rabbit studies following intermittent intramuscular injections. Previous studies using subcutaneous and intraperitoneal injections in mice, rats and rabbits revealed that CpG ODNs induced developmental effects. To analyze the safety signal, GSK conducted additional animal studies using the intended clinical route of administration. CpG 7909 injections were administered intramuscularly to rats or rabbits 28 and 14days before pairing, on 4 or 5 occasions during gestation, and on lactation day 7. The No Observed Adverse Effect Level for female fertility, embryo-fetal and pre- and post-natal development was 4.2mg/kg in both species, approximately 500-fold higher than the anticipated human dose. In conclusion, the anticipated risk to humans is considered low for sporadic intramuscular exposure to CpG 7909.

Keywords: CpG 7909; Immunostimulant; Rabbit; Rat; Reproductive toxicity; Safety signal.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dose-Response Relationship, Drug
  • Embryonic Development / drug effects*
  • Female
  • Fetal Development / drug effects*
  • Immunologic Factors / administration & dosage
  • Immunologic Factors / toxicity*
  • Injections, Intramuscular
  • Male
  • No-Observed-Adverse-Effect Level
  • Oligodeoxyribonucleotides / administration & dosage
  • Oligodeoxyribonucleotides / toxicity*
  • Pharmacovigilance*
  • Pregnancy
  • Prenatal Exposure Delayed Effects / chemically induced*
  • Rabbits
  • Rats, Sprague-Dawley
  • Risk Assessment
  • Species Specificity
  • Toxicity Tests

Substances

  • Immunologic Factors
  • Oligodeoxyribonucleotides
  • ProMune