Details

Autor(en) / Beteiligte

• Eichenbaum, G.
• Zhou, J.
• Kelley, M.F.
• Roosen, W.
• Costa-Giomi, P.
• Louden, C.
• Di Prospero, N.A.
• Pandina, G.
• Singh, J.B.
• Ford, L.
• Moyer, J.A.
• Nork, T.M.
• Ver Hoeve, J.N.
• Aguirre, G.D.

Titel

Implications of retinal effects observed in chronic toxicity studies on the clinical development of a CNS-active drug candidate

Ist Teil von

• Regulatory toxicology and pharmacology, 2014-07, Vol.69 (2), p.187-200

Ort / Verlag

Netherlands: Elsevier Inc

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• •Retinal effects were observed in nonclinical studies with a drug candidate.•Light induced retinal degeneration occurred in non-pigmented but not pigmented rats.•Reversible ERG effects with no histological correlates were observed in monkeys.•Results suggest that the effects are neuromodulatory and not neurotoxic.•Results supported safe testing in a clinical proof of concept study with monitoring. The development path described for JNJ-26489112 provides perspectives on interpretation of retinal effects observed in nonclinical studies and their implications for clinical development. JNJ-26489112 is a CNS-active investigational drug that has potential as a novel treatment for treatment-resistant and bipolar depression, epilepsy, and neuropathic/inflammatory pain. In a 6-month toxicity study in albino rats, retinal atrophy was observed at supratherapeutic exposures to JNJ-26489112. The histopathological changes and topography of the lesions were characteristic of light-induced damage specific to albino rats. The species/strain specificity is supported by an absence of any ocular effects in dogs and in pigmented and albino rats, housed under standard and reduced lighting, respectively. To further evaluate its potential to cause ocular effects, in vivo functional and structural ocular analyses were included in a 9-month monkey toxicity study. Reductions in rod- and cone-mediated electroretinograms were observed at supratherapeutic exposures but without any histopathologic changes. These data suggested that the effects of JNJ-26489112 in monkeys were neuromodulatory and not neurotoxic. Taken together, data related to the light-induced atrophy in albino rats and reversible neuromodulatory effects in monkeys, supported the safe evaluation of JNJ-26489112 in a clinical proof-of-concept study that included comprehensive functional and structural ocular monitoring.