A paradigm shift in life-science regulation
What are regulatory bodies saying?
Dr. Zietek: Our regulatory system has been based on animal testing for a very long time, and it’s huge. It’s not easy to change things. We will have to change a lot to replace animal experiments. We need to change the entire regulatory framework.
You don't have the same endpoints. For example, you can't look at increase in liver size, but you can look at adverse outcome pathways (AOPs). You can look at molecular markers which can be an even better approach to assess certain toxicity.
So you need new endpoints. You need a combination of NAMs. Also, the fact that people used to talk about a one-to-one replacement. Replacing a certain animal test with a single in-vitro method.
That this is not the solution. You cannot do that, and we will not do that. It will be batteries of NAMs. This is what will happen.
We have approaches like IATA (Integrated Approaches to Testing and Assessment), and next-generation risk assessment (NGRA) that combine Omics, KI, in-silico, in-chemico, and in-vitro, etc.
But this needs to be human based.
Because what would you do if your NAM-based testing showed you that a drug is safe and then a certain animal test in a mouse showed toxicity?
There are ways to get there, but we need to create confidence. And this is one of the central issues that we are working on. We are working to create confidence.
It seems that we need to map what combination of NAM experiments we could do that would give us the same, or better, indication as certain animal tests.
Dr. Zietek: Yes, we need whole approaches that have in vitro, organoid models, and organ-on-a-chip models and combine this data with computational analyses.
What is an end point for?
It’s to be certain that something is, for example, not toxic for reproduction.
You can take mouse models and you can do cruel experiments on them, but they won’t be very reliable because the reproductive system is highly species specific. We have better human endometrium in-vitro 3D models. And these should be part of the pipeline. They should be part of the testing.
The problem that the industry has is a company will submit a NAM-based dossier, let's say to ECHA or EMA. And then the agencies say that they still would like to have some animal experiments to be performed during the registration process.
Final thoughts?
Dr. Zietek: The most important thing is that that we realize that non-animal methods and 3D culture enable safer testing and better disease modelling for humans, and they make more economic sense.
This is an innovative field. The EU should focus on these technologies and promote them because there’s a big market.
These are the technologies of the future.
Read Dr. Zietek’s full interview here.