96-10021. International Conference on Harmonisation; Guidance on Specific Aspects of Regulatory Genotoxicity Tests for Pharmaceuticals; Availability  

  • [Federal Register Volume 61, Number 80 (Wednesday, April 24, 1996)]
    [Notices]
    [Pages 18198-18202]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-10021]
    
    
    
    
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    Part II
    
    
    
    
    
    Department of Health and Human Services
    
    
    
    
    
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    Food and Drug Administration
    
    
    
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    International Conference on Harmonisation; Guidance on Specific Aspects 
    of Regulatory Genotoxicity Tests for Pharmaceuticals; Availability; 
    Notice
    
    Federal Register / Vol. 61, No. 80 / Wednesday, April 24, 1996 / 
    Notices
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Food and Drug Administration
    [Docket No. 94D-0324]
    
    
    International Conference on Harmonisation; Guidance on Specific 
    Aspects of Regulatory Genotoxicity Tests for Pharmaceuticals; 
    Availability
    
    AGENCY: Food and Drug Administration, HHS.
    
    ACTION: Notice.
    
    -----------------------------------------------------------------------
    
    SUMMARY: The Food and Drug Administration (FDA) is publishing a 
    guideline entitled ``Guidance on Specific Aspects of Regulatory 
    Genotoxicity Tests for Pharmaceuticals.'' This guideline was prepared 
    under the auspices of the International Conference on Harmonisation of 
    Technical Requirements for Registration of Pharmaceuticals for Human 
    Use (ICH). The guideline is intended to provide guidance on 
    genotoxicity testing for pharmaceuticals.
    
    DATES: Effective April 24, 1996. Submit written comments at any time.
    
    ADDRESSES: Submit written comments on the guidance to the Dockets 
    Management Branch (HFA-305), Food and Drug Administration, 12420 
    Parklawn Dr., rm. 1-23, Rockville, MD 20857. Copies of the guideline 
    entitled ``Guidance on Specific Aspects of Regulatory Genotoxicity 
    Tests for Pharmaceuticals'' are available from the Consumer Affairs 
    Branch (HFD-8) (previously the CDER Executive Secretariat Staff), 
    Center for Drug Evaluation and Research, Food and Drug Administration, 
    7500 Standish Pl., Rockville, MD 20855.
    
    FOR FURTHER INFORMATION CONTACT:
        Regarding the guideline: Robert E. Osterberg, Center for Drug 
    Evaluation and Research (HFD-520), Food and Drug Administration, 5600 
    Fishers Lane, Rockville, MD 20857, 301-443-4300.
    
        Regarding ICH: Janet J. Showalter, Office of Health Affairs (HFY-
    20), Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 
    20857, 301-827-0864.
    
    SUPPLEMENTARY INFORMATION: In recent years, many important initiatives 
    have been undertaken by regulatory authorities and industry 
    associations to promote international harmonization of regulatory 
    requirements. FDA has participated in many meetings designed to enhance 
    harmonization and is committed to seeking scientifically based 
    harmonized technical procedures for pharmaceutical development. One of 
    the goals of harmonization is to identify and then reduce differences 
    in technical requirements for drug development among regulatory 
    agencies.
        ICH was organized to provide an opportunity for tripartite 
    harmonization initiatives to be developed with input from both 
    regulatory and industry representatives. FDA also seeks input from 
    consumer representatives and others. ICH is concerned with 
    harmonization of technical requirements for the registration of 
    pharmaceutical products among three regions: The European Union, Japan, 
    and the United States. The six ICH sponsors are the European 
    Commission, the European Federation of Pharmaceutical Industries 
    Associations, the Japanese Ministry of Health and Welfare, the Japanese 
    Pharmaceutical Manufacturers Association, the Centers for Drug 
    Evaluation and Research and Biologics Evaluation and Research, FDA, and 
    the Pharmaceutical Research and Manufacturers of America. The ICH 
    Secretariat, which coordinates the preparation of documentation, is 
    provided by the International Federation of Pharmaceutical 
    Manufacturers Associations (IFPMA).
        The ICH Steering Committee includes representatives from each of 
    the ICH sponsors and the IFPMA, as well as observers from the World 
    Health Organization, the Canadian Health Protection Branch, and the 
    European Free Trade Area.
        In the Federal Register of September 22, 1994 (59 FR 48734), FDA 
    published a draft tripartite guideline entitled ``Notes for Guidance on 
    Specific Aspects of Regulatory Genotoxicity Tests.'' The notice gave 
    interested persons an opportunity to submit comments by December 6, 
    1994.
        After consideration of the comments received and revisions to the 
    guideline, a final draft of the guideline was submitted to the ICH 
    Steering Committee and endorsed by the three participating regulatory 
    agencies at the ICH meeting held in July 1995.
        The guideline recommends methods for testing and assessing the 
    genotoxic potential of pharmaceuticals. A companion document (S2B: 
    ``Genotoxicity: Standard Battery Tests'') providing guidance on a 
    ``core test battery'' is under development. These recommendations are 
    based on a retrospective review of relevant databases from the 
    international pharmaceutical industry and regulatory agencies in the 
    European Community, Japan, and the United States. Because these tests 
    have not been designed nor validated for biological products (e.g., 
    large molecules), they should not be routinely applied to such 
    products. When there is cause for concern, specific endpoints should be 
    identified and relevant tests should be developed and applied.
        In the past, guidelines have generally been issued under 
    Sec. 10.90(b) (21 CFR 10.90(b)), which provides for the use of 
    guidelines to state procedures or standards of general applicability 
    that are not legal requirements but are acceptable to FDA. The agency 
    is now in the process of revising Sec. 10.90(b). Although this 
    guideline does not create or confer any rights for or on any person, 
    and does not operate to bind FDA, it does represent the agency's 
    current thinking on recommended methods for testing and assessing the 
    genotoxic potential of pharmaceuticals.
        As with all of FDA's guidelines, the public is encouraged to submit 
    written comments with new data or other new information pertinent to 
    this guideline. The comments in the docket will be periodically 
    reviewed, and, where appropriate, the guideline will be amended. The 
    public will be notified of any such amendments through a notice in the 
    Federal Register.
        Interested persons may, at any time, submit written comments on the 
    guideline to the Dockets Management Branch (address above). Two copies 
    of any comments are to be submitted, except that individuals may submit 
    one copy. Comments are to be identified with the docket number found in 
    brackets in the heading of this document. The guideline and received 
    comments may be seen in the office above between 9 a.m. and 4 p.m., 
    Monday through Friday.
        The text of the guideline follows:
    
    Guidance on Specific Aspects of Regulatory Genotoxicity Tests for 
    Pharmaceuticals
    
    1. Introduction
    
        Guidelines for the testing of pharmaceuticals for genetic 
    toxicity have been established in the European Community (EEC, 1987) 
    and Japan (Japanese Ministry of Health and Welfare, 1989). FDA's 
    Centers for Drug Evaluation and Research and Biologics Evaluation 
    and Research (CDER and CBER) currently consider the guidance on 
    genetic toxicity testing provided by FDA's Center for Food Safety 
    and Applied Nutrition (58 FR 16536, March 29, 1993) to be applicable 
    to pharmaceuticals.
        The following notes for guidance should be applied in 
    conjunction with existing guidelines in the United States, the 
    European Community, and Japan. The recommendations below are derived 
    from considerations of historical information held within the 
    international pharmaceutical industry, the three regulatory bodies, 
    and the scientific literature. Where relevant, the
    
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    recommendations from the latest review of the Organization for 
    Economic Cooperation and Development (OECD) guidelines (OECD, 1994) 
    and the 1993 International Workshop on Standardisation of 
    Genotoxicity Test Procedures (Mutation Research, 312(3), 1994) have 
    been considered.
    
    2. Specific guidance and recommendations
    
    2.1 Specific guidance for in vitro tests
    
    2.1.1 The base set of strains used in bacterial mutation assays
    
        Current guidelines for the detection of bacterial mutagens 
    employ several strains to detect base substitution and frameshift 
    point mutations. The Salmonella typhimurium strains mentioned in 
    guidelines (normally TA1535, TA1537, TA98, and TA100) will detect 
    such changes at G-C (guanine-cytosine) sites within target histidine 
    genes. It is clear from the literature that some mutagenic 
    carcinogens also modify A-T (adenine-thymine) base pairs. Therefore, 
    the standard set of strains used in bacterial mutation assays should 
    include strains that will detect point mutations at A-T sites, such 
    as S. typhimurium TA102, which detects such mutations within 
    multiple copies of hisG genes, or Escherichia coli WP2 uvrA, which 
    detects these mutations in the trpE gene, or the same strain 
    possessing the plasmid (pKM101), which carries mucAB genes that 
    enhance error prone repair (see note 1). In conclusion, the 
    following base set of bacterial strains should be used for routine 
    testing: The strains cited below are all S. typhimurium isolates, 
    unless specified otherwise.
        1. TA98; 2. TA100; 3. TA1535; 4. TA1537 or TA97 or TA97a (see 
    note 2); 5. TA102 or E. coli WP2 uvrA or E. coli WP2 uvrA (pKM101).
        In order to detect cross-linking agents it may be preferable to 
    select S. typhimurium TA 102 or to add a repair proficient E. coli 
    strain, such as WP2 pKM101. It is noted that such compounds are 
    detected in assays that measure chromosome damage.
    
    2.1.2 Definition of the top concentration for in vitro tests
    
    2.1.2.1 High concentration for nontoxic compounds
    
        For freely soluble, nontoxic compounds, the desired upper 
    treatment levels are 5 milligrams (mg)/plate for bacteria and 5 mg/
    milliliter (mL) or 10 millimolar (mM) (whichever is the lower) for 
    mammalian cells.
    
    2.1.2.2 Desired level of cytotoxicity
    
        Some genotoxic carcinogens are not detectable in in vitro 
    genotoxicity assays unless the concentrations tested induce some 
    degree of cytotoxicity. It is also apparent that excessive toxicity 
    often does not allow a proper evaluation of the relevant genetic 
    endpoint. Indeed, at very low survival levels in mammalian cells, 
    mechanisms other than direct genotoxicity per se can lead to 
    ``positive'' results that are related to cytotoxicity and not 
    genotoxicity (e.g., events associated with apoptosis, endonuclease 
    release from lysosomes, etc.). Such events are likely to occur once 
    a certain concentration threshold is reached for a toxic compound.
        To balance these conflicting considerations, the following 
    levels of cytotoxicity are currently considered acceptable for in 
    vitro bacterial and mammalian cell tests (concentrations should not 
    exceed the levels specified in 2.1.2.1):
        (i) In the bacterial reverse mutation test, the highest 
    concentration of test compound is desired to show evidence of 
    significant toxicity. Toxicity may be detected by a reduction in the 
    number of revertants, a clearing or diminution of the background 
    lawn.
        (ii) The desired level of toxicity for in vitro cytogenetic 
    tests using cell lines should be greater than 50 percent reduction 
    in cell number or culture confluency. For lymphocyte cultures, an 
    inhibition of mitotic index by greater than 50 percent is considered 
    sufficient.
        (iii) In mammalian cell mutation tests, ideally the highest 
    concentration should produce at least 80 percent toxicity (no more 
    than 20 percent survival). Toxicity can be measured either by 
    assessment of cloning efficiency (e.g., immediately after 
    treatment), or by calculation of relative total growth, i.e., the 
    product of relative suspension growth during the expression period 
    and relative plating efficiency at the time of mutant selection. 
    Caution is due with positive results obtained at levels of survival 
    lower than 10 percent.
    
    2.1.2.3 Testing of poorly soluble compounds
    
        There is some evidence that dose-related genotoxic activity can 
    be detected when testing certain compounds in the insoluble range in 
    both bacterial and mammalian cell genotoxicity tests. This is 
    generally associated with dose-related toxicity (see note 3). It is 
    possible that solubilization of a precipitate is enhanced by serum 
    in the culture medium or in the presence of S9-mix constituents. It 
    is also probable that cell membrane lipid can facilitate absorption 
    of lipophilic compounds into cells. In addition, some types of 
    mammalian cells have endocytic activity (e.g., Chinese hamster V79, 
    CHO and CHL cells) and can ingest solid particles that may 
    subsequently disperse into the cytoplasm. An insoluble compound may 
    also contain soluble genotoxic impurities. It should also be noted 
    that a number of insoluble pharmaceuticals are administered to 
    humans as suspensions or as particulate materials.
        On the other hand, heavy precipitates can interfere with scoring 
    the desired parameter and render control of exposure very difficult 
    (e.g., where (a) centrifugation step(s) is (are) included in a 
    protocol to remove cells from exposure media) (see note 4), or 
    render the test compound unavailable to enter cells and interact 
    with DNA.
        The following strategy is recommended for testing relatively 
    insoluble compounds. The recommendation below refers to the test 
    article in the culture medium.
        If no cytotoxicity is observed, then the lowest precipitating 
    concentration should be used as the top concentration but not 
    exceeding 5 mg per plate for bacterial tests and 5 mg/mL or 10 mM 
    for mammalian cell tests. If dose-related cytotoxicity or 
    mutagenicity is noted, irrespective of solubility, then the top 
    concentration should be based on toxicity as described above. This 
    may require the testing of more than one precipitating concentration 
    (not to exceed the above stated levels). It is recognized that the 
    desired levels of cytotoxicity may not be achievable if the extent 
    of precipitation interferes with the scoring of the test. In all 
    cases, precipitation should be evaluated at the beginning and at the 
    end of the treatment period using the naked eye.
    
    2.2 Specific guidance for in vivo tests
    
    2.2.1 Acceptable bone marrow tests for the detection of clastogens in 
    vivo
    
        Tests measuring chromosomal aberrations in nucleated bone marrow 
    cells in rodents can detect a wide spectrum of changes in 
    chromosomal integrity. These changes almost all result from breakage 
    of one or more chromatids as the initial event. Breakage of 
    chromatids or chromosomes can result in micronucleus formation if an 
    acentric fragment is produced; therefore, assays detecting either 
    chromosomal aberrations or micronuclei are acceptable for detecting 
    clastogens (see note 5). Micronuclei can also result from lagging of 
    one or more whole chromosome(s) at anaphase and thus micronucleus 
    tests have the potential to detect some aneuploidy inducers (see 
    note 6).
        In conclusion, either the analysis of chromosomal aberrations in 
    bone marrow cells or the measurement of micronucleated polychromatic 
    erythrocytes in bone marrow cells in vivo is acceptable for the 
    detection of clastogens. The measurement of micronucleated immature 
    (e.g., polychromatic) erythrocytes in peripheral blood is an 
    acceptable alternative in the mouse, or in any other species in 
    which the inability of the spleen to remove micronucleated 
    erythrocytes has been demonstrated, or which has shown an adequate 
    sensitivity to detect clastogens/aneuploidy inducers in peripheral 
    blood (see note 7).
    
    2.2.2 Use of male/female rodents in bone marrow micronucleus tests
    
        Extensive studies of the activity of known clastogens in the 
    mouse bone marrow micronucleus test have shown that, in general, 
    male mice are more sensitive than female mice for micronucleus 
    induction (see note 8). Quantitative differences in micronucleus 
    induction have been identified between the sexes, but no qualitative 
    differences have been described. Where marked quantitative 
    differences exist, there is invariably a difference in toxicity 
    between the sexes. If there is a clear qualitative difference in 
    metabolites between male and female rodents, then both sexes should 
    be used. Similar principles can be applied for other established in 
    vivo tests (see note 9). Both rats and mice are deemed acceptable 
    for use in the bone marrow micronucleus test (see note 10).
        In summary, unless there are obvious differences in toxicity or 
    metabolism between male and female rodents, males alone are 
    sufficient for use in bone marrow micronucleus tests. If gender-
    specific drugs are to be tested, animals of the corresponding sex 
    should normally be used.
    
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    2.3 Guidance on the evaluation of test results
    
        Comparative trials have shown conclusively that each in vitro 
    test system generates both false negative and false positive results 
    in relation to predicting rodent carcinogenicity. Genotoxicity test 
    batteries (of in vitro and in vivo tests) detect carcinogens that 
    are thought to act primarily via a mechanism involving direct 
    genetic damage, such as the majority of known human carcinogens. 
    Therefore, these batteries may not detect nongenotoxic carcinogens. 
    Experimental conditions, such as the limited capability of the in 
    vitro metabolic activation systems, can also lead to false negative 
    results in in vitro tests. The test battery approach is designed to 
    reduce the risk of false negative results for compounds with 
    genotoxic potential, while a positive result in any assay for 
    genotoxicity does not necessarily mean that the test compound poses 
    a genotoxic/carcinogenic hazard to humans.
    
    2.3.1 Guidance on the evaluation of in vitro test results
    
    2.3.1.1 In vitro positive results
    
        The scientific literature gives a number of conditions that may 
    lead to a positive in vitro result of questionable relevance. 
    Therefore, any in vitro positive test result should be evaluated for 
    its biological relevance taking into account the following 
    considerations (this list is not exhaustive, but is given as an aid 
    to decision-making):
        (i) Is the increase in response over the negative or solvent 
    control background regarded as a meaningful genotoxic effect for the 
    cells?
        (ii) Is the response concentration-related?
        (iii) For weak/equivocal responses, is the effect reproducible?
        (iv) Is the positive result a consequence of an in vitro 
    specific metabolic activation pathway/in vitro specific active 
    metabolite (see also note 12)?
        (v) Can the effect be attributed to extreme culture conditions 
    that do not occur in in vivo situations, e.g., extremes of pH; 
    osmolality; heavy precipitates, especially in cell suspensions (see 
    note 4)?
        (vi) For mammalian cells, is the effect only seen at extremely 
    low survival levels (see section 2.1.2.2 for acceptable levels of 
    toxicity)?
        (vii) Is the positive result attributable to a contaminant (this 
    may be the case if the compound shows no structural alerts or is 
    weakly mutagenic or mutagenic only at very high concentrations)?
        (viii) Do the results obtained for a given genotoxic endpoint 
    conform to that for other compounds of the same chemical class?
    
    2.3.1.2 In vitro negative results
    
        For in vitro negative results, special attention should be paid 
    to the following considerations (the examples given are not 
    exhaustive, but are given as an aid to decision-making): Does the 
    structure or known metabolism of the compound indicate that standard 
    techniques for in vitro metabolic activation (e.g., rodent liver S9) 
    may be inadequate? Does the structure or known reactivity of the 
    compound indicate that the use of other test methods/systems may be 
    appropriate?
    
    2.3.2 Guidance on the evaluation of in vivo test results
    
        In vivo tests, by their nature, have the advantage of taking 
    into account absorption, distribution, and excretion, which are not 
    factors in in vitro tests, but are relevant to human use. In 
    addition, metabolism is likely to be more relevant in vivo compared 
    to the systems normally used in vitro. There are a few validated in 
    vivo models accepted for assessment of genotoxicity. These include 
    the bone marrow or peripheral blood cytogenetic assays. If a 
    compound has been tested in vitro with negative results, it is 
    usually sufficient to carry out a single in vivo cytogenetics assay.
        For a compound that induces a biologically relevant positive 
    result in one or more in vitro tests (see section 2.3.1.1), a 
    further in vivo test in addition to the in vivo cytogenetic assay, 
    using a tissue other than the bone marrow/peripheral blood, can 
    provide further useful information. The target cells exposed in vivo 
    and possibly the genetic end point measured in vitro guide the 
    choice of this additional in vivo test. However, there is no 
    validated, widely used in vivo system that measures gene mutation. 
    In vivo gene mutation assays using endogenous genes or transgenes in 
    several tissues of the rat and mouse are at various stages of 
    development. Until such tests for mutation become accepted, results 
    from other in vivo tests for genotoxicity in tissues other than the 
    bone marrow can provide valuable additional data but the assay of 
    choice should be scientifically justified (see note 11).
        If in vivo and in vitro test results do not agree, then the 
    differences should be considered/explained on a case-by-case basis 
    (see sections 2.3.1.1, 2.3.2.1, and note 12).
        In conclusion, the assessment of the genotoxic potential of a 
    compound should take into account the totality of the findings and 
    acknowledge the intrinsic values and limitations of both in vitro 
    and in vivo tests.
    
    2.3.2.1 Principles for demonstration of target tissue exposure for 
    negative in vivo test results
    
        In vivo tests have an important role in genotoxicity test 
    strategies. The significance of in vivo results in genotoxicity test 
    strategies is directly related to the demonstration of adequate 
    exposure of the target tissue to the test compound. This is 
    especially true for negative in vivo test results and when in vitro 
    test(s) have shown convincing evidence of genotoxicity. Although a 
    dose sufficient to elicit a biological response (e.g., toxicity) in 
    the tissue in question is preferable, such a dose could prove to be 
    unattainable since dose-limiting toxicity can occur in a tissue 
    other than the target tissue of interest. In such cases, 
    toxicokinetic data can be used to provide evidence of 
    bioavailability. If adequate exposure cannot be achieved, e.g., with 
    compounds showing very poor target tissue availability, extensive 
    protein binding, etc., conventional in vivo genotoxicity tests may 
    have little value.
        The following recommendations apply to bone marrow cytogenetic 
    assays; as examples, if other target tissues are used, similar 
    principles should be applied.
        For compounds showing positive results in any of the in vitro 
    tests employed, demonstration of in vivo exposure should be made by 
    any of the following measurements:
        (i) By obtaining a significant change in the proportion of 
    immature erythrocytes among total erythrocytes in the bone marrow, 
    at the doses and sampling times used in the micronucleus test or by 
    measuring a significant reduction in mitotic index for the 
    chromosomal aberration assay.
        (ii) Evidence of bioavailability of drug-related material either 
    by measuring blood or plasma levels (see note 13).
        (iii) By direct measurement of drug-related material in bone 
    marrow.
        (iv) By autoradiographic assessment of tissue exposure.
        For methods (ii) to (iv), assessments should be made 
    preferentially at the top dose or other relevant doses using the 
    same species/strain and dosing route used in the bone marrow assay.
        If in vitro tests do not show genotoxic potential, in vivo 
    (systemic) exposure should be demonstrated and can be achieved by 
    any of the methods above, but can also be inferred from the results 
    of standard absorption, distribution, metabolism, and excretion 
    studies in rodents.
    
    2.3.2.2 Detection of germ cell mutagens
    
        With respect to the detection of germ cell mutagens, results of 
    comparative studies have shown that, in a qualitative sense, most 
    germ cell mutagens are likely to be detected as such in somatic cell 
    tests and negative results of in vivo somatic cell genotoxicity 
    tests generally indicate the absence of germ cell effects (see note 
    14).
    
    3. Notes
    
        (1) Relevant examples of genotoxic carcinogens that are detected 
    if bacterial strains with A-T target mutations are included in the 
    base set can be found in the literature (e.g., Levin et al., 1983; 
    Wilcox et al., 1990). Analysis of the data base held by the Japanese 
    Ministry of Labour on 5,526 compounds (and supported by smaller data 
    bases held by various pharmaceutical companies) has shown that 
    approximately 7.5 percent of the bacterial mutagens identified are 
    detected by E. coli WP2 uvrA, but not by the standard set of four 
    Salmonella strains. Although animal carcinogenicity data are not 
    available on these compounds, it is likely that such compounds would 
    carry the same carcinogenic potential as mutagens inducing changes 
    in the standard set of Salmonella strains.
        (2) TA1537, TA97, and TA97a all contain cytosine runs at the 
    mutation sensitive site within the relevant target histidine loci 
    and show similar sensitivity to frameshift mutagens that induce 
    deletion of bases in these frameshift hotspots. There was consensus 
    agreement at the International Workshop on Standardisation of 
    Genotoxicity Procedures, Melbourne, 1993 (Gatehouse et al., 1994) 
    that all three strains could be used interchangeably.
        (3) Laboratories in Japan carrying out genotoxicity tests have 
    much experience in testing precipitates and have identified examples 
    of substances that are clearly genotoxic only in the precipitating 
    range of
    
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    concentrations. These compounds include polymers and mixtures of 
    compounds, some polycyclic hydrocarbons, some phenylene diamines, 
    heptachlor, etc. Collaborative studies with some of these compounds 
    have shown that they may be detectable in the soluble range; 
    however, it does seem clear that genotoxic activity increases well 
    into the insoluble range. A discussion of these factors is given in 
    the report of the in vitro subgroup of the International Workshop on 
    Standardisation of Genotoxicity Procedures, Melbourne, 1993 
    (Kirkland, 1994).
        (4) Testing compounds in the precipitating range is 
    problematical with respect to defining the exposure periods for 
    assays where the cells grow in suspension. After the defined 
    exposure period, the cells are normally pelleted by centrifugation 
    and are then resuspended in fresh medium without the test compound. 
    If a precipitate is present, the compound will be carried through to 
    the later stages of the assay, making control of exposure 
    impossible. If such cells are used, e.g., human peripheral 
    lymphocytes or mouse lymphoma cells, it is reasonable to use the 
    lowest precipitating concentration as the highest tested.
        (5) As the mechanisms of micronucleus formation are related to 
    those inducing chromosomal aberrations (e.g., Hayashi et al., 1984 
    and 1994; Hayashi, 1994), both micronuclei and chromosomal 
    aberrations can be accepted as assay systems to screen for 
    clastogenicity induced by test compounds. Comparisons of data where 
    both the mouse micronucleus test and rat bone marrow metaphase 
    analysis have been carried out on the same compounds have shown 
    impressive correlation both qualitatively, i.e., detecting 
    clastogenicity, and quantitatively, i.e., determination of the 
    lowest clastogenic dose. Even closer correlations can be expected 
    where the data are generated in the same species.
        (6) Although micronuclei can arise from lagging whole 
    chromosomes following interaction of a compound with the spindle 
    apparatus, the micronucleus test may not detect all aneuploidy 
    inducers. Specific aneuploidy assays may become available in the 
    near future. One approach is the evolving rapid and sensitive 
    technique for identifying individual (rodent) chromosomes in 
    interphase nuclei, e.g., via fluorescence in situ hybridization 
    (FISH).
        (7) The peripheral blood micronucleus test in the mouse using 
    acridine orange supravital staining was originally introduced by 
    Hayashi et al. (1990). The test has been the subject of a major 
    collaborative study by the Japanese Collaborative Study Group for 
    the Micronucleus Test (Mutation Research, 278, 1992, Nos. 2/3). The 
    tests were carried out in CD-l mice using 23 test substances of 
    various modes of action. Peripheral blood sampled from the same 
    animal was examined 0, 24, 48, and 72 hours (or longer) after 
    treatment. As a rule one chemical was studied by 2 different 
    laboratories (46 laboratories took part). All chemicals were 
    detected as inducers of micronuclei. There were quantitative 
    differences between laboratories but no qualitative differences. 
    Most chemicals gave the greatest response 48 hours after treatment. 
    Thus, the results suggest that the peripheral blood micronucleus 
    assay using acridine orange supravital staining can generate 
    reproducible and reliable data to evaluate the clastogenicity of 
    chemicals. Based on these data, the International Workshop on 
    Standardisation of Genotoxicity Procedures, Melbourne, 1993, 
    concluded that this assay is equivalent in accuracy to the bone 
    marrow micronucleus assay (Hayashi et al., 1994). The application of 
    the peripheral blood micronucleus assay to rats is under validation 
    by the Japanese Collaborative Study Group for the Micronucleus Test.
        (8) A detailed collaborative study was carried out indicating 
    that, in general, male mice were more sensitive than female mice for 
    micronucleus induction; where differences were observed, they were 
    only quantitative and not qualitative (The Collaborative Study Group 
    for the Micronucleus Test, 1986). This analysis has been extended by 
    a group considering the micronucleus test at the International 
    Workshop on Standardisation of Genotoxicity Procedures, Melbourne, 
    1993. Having analyzed data on 53 in vivo clastogens (and 48 
    nonclastogens), the same conclusions were drawn (Hayashi et al., 
    1994).
        (9) As the induction of micronuclei and chromosomal aberrations 
    are related, it is reasonable to assume that the same conditions can 
    be applied when using male animals in bone marrow chromosomal 
    aberration assays. The peripheral blood micronucleus test has been 
    validated only in male rodents (The Collaborative Study Group for 
    the Micronucleus Test, 1992) as has the ex vivo unscheduled DNA 
    synthesis (UDS) test (Kennely et al., 1993; Madle et al., 1994).
        (10) Both the rat and mouse are suitable species for use in the 
    micronucleus test with bone marrow. However, data are accumulating 
    to show that some species-specific carcinogens are species-specific 
    genotoxins (e.g., Albanese et al., 1988). When more data have 
    accumulated there may be a case for carrying out micronucleus tests 
    in both the rat and the mouse.
        (11) Apart from the cytogenetic assays in bone marrow cells, a 
    large data base for in vivo assays exists for the liver UDS assay 
    (Madle et al., 1994). A review of the literature shows that a 
    combination of the liver UDS test and the bone marrow micronucleus 
    test will detect most genotoxic carcinogens with few false positive 
    results (Tweats, 1994). False negative results with this combination 
    of assays have been generated for some unstable genotoxic compounds 
    and certain aromatic amines that are problematical for most existing 
    in vivo screens (Tweats, 1994). Therefore, further in vivo testing 
    should not be restricted to liver UDS tests as other assays may be 
    more appropriate (e.g., 32P postlabeling; DNA strand-breakage 
    assays, etc.), depending on the compound in question. It is 
    important to recognize that for these in vivo endpoints, their 
    relationship to mutation is not precisely known.
        (12) Examples to consider regarding the differences between in 
    vitro and in vivo test results have been described in the literature 
    (e.g., Ashby, 1983). They include: (i) An active metabolite produced 
    in vitro may not be produced in vivo, (ii) an active metabolite may 
    be rapidly detoxified in vivo but not in vitro, and (iii) rapid and 
    efficient excretion of a compound may occur in vivo.
        (13) The bone marrow is a well-perfused tissue and it can be 
    deduced, therefore, that levels of drug-related materials in blood 
    or plasma will be similar to those observed in bone marrow. This is 
    borne out by direct comparisons of drug levels in the two 
    compartments for a large series of different pharmaceuticals 
    (Probst, 1994). Although drug levels are not always the same, there 
    is sufficient correlation for measurements in blood or plasma to be 
    adequate for validating bone marrow exposure.
        (14) There may be specific types of mutagens, e.g., aneuploidy 
    inducers, that act preferentially during meiotic gametogenesis 
    stages. There is no conclusive experimental evidence to date for the 
    existence of such substances.
    
    4. Glossary
    
        Aneuploidy: Numerical deviation of the modal number of 
    chromosomes in a cell or organism.
        Base substitution: The substitution of one or more base(s) for 
    another in the nucleotide sequence. This may lead to an altered 
    protein.
        Cell proliferation: The ability of cells to divide and to form 
    daughter cells.
        Clastogen: An agent that produces structural changes of 
    chromosomes, usually detectable by light microscopy.
        Cloning efficiency: The efficiency of single cells to form 
    clones. Usually measured after seeding low numbers of cells in a 
    suitable environment.
        Culture confluency: A quantification of the cell density in a 
    culture (cell proliferation is usually inhibited at high degrees of 
    confluency).
        Frameshift mutation: A mutation (change in the genetic code) in 
    which one base or two adjacent bases are added (inserted) or deleted 
    to the nucleotide sequence of a gene. This may lead to an altered or 
    truncated protein.
        Gene mutation: A detectable permanent change within a single 
    gene or its regulating sequences. The changes may be point 
    mutations, insertions, or deletions.
        Genetic endpoint: The precise type or type class of genetic 
    change investigated (e.g., gene mutations, chromosomal aberrations, 
    DNA-repair, DNA-adduct formation, etc.).
        Genetic toxicity, genotoxicity: A broad term that refers to any 
    deleterious change in the genetic material regardless of the 
    mechanism by which the change is induced.
        Micronucleus: Particle in a cell that contains microscopically 
    detectable nuclear DNA; it might contain a whole chromosome(s) or a 
    broken centric or acentric part(s) of chromosome(s). The size of a 
    micronucleus is usually defined as being less than 1/5 but more than 
    1/20 of the main nucleus.
        Mitotic index: Percentage of cells in the different stages of 
    mitosis among the cells not in mitosis (interphase) in a preparation 
    (slide).
        Plasmid: Genetic element additional to the normal bacterial 
    genome. A plasmid might be inserted into the host chromosome or form 
    an extrachromosomal element.
    
    [[Page 18202]]
    
        Point mutations: Changes in the genetic code, usually confined 
    to a single DNA base pair.
        Polychromatic erythrocyte: An immature erythrocyte in an 
    intermediate stage of development that still contains ribosomes and, 
    as such, can be distinguished from mature normochromatic 
    erythrocytes (lacking ribosomes) by stains selective for ribosomes.
        Survival (in the context of mutagenicity testing): Proportion of 
    cells in a living stage among dead cells, usually determined by 
    staining and colony counting methods after a certain treatment 
    interval.
        Unscheduled DNA synthesis (UDS): DNA synthesis that occurs at 
    some stage in the cell cycle (other than S-phase) in response to DNA 
    damage. It is usually associated with DNA excision repair.
    
    5. References
    
        Albanese, R., E. Mirkova, D. Gatehouse, and J. Ashby, ``Species-
    specific response to the rodent carcinogens, 1,2-dimethylhydrazine 
    and 1,2-dibromochloropropane in rodent bone marrow micronucleus 
    assays,'' Mutagenesis, 3:35-38, 1988.
        Ashby, J., ``The unique role of rodents in the detection of 
    possible human carcinogens and mutagens,'' Mutation Research, 
    115:177-213, 1983.
        EEC, ``Notes for Guidance for the Testing of Medicinal Products 
    for their Mutagenic Potential,'' Official Journal European 
    Community, L73, 1987.
        Gatehouse, D., S. Haworth, T. Cebula, E. Gocke, L. Kier, T. 
    Matsushima, C. Melcion, T. Nohmi, T. Ohta, S. Venitt, and E. Zeiger, 
    ``Report from the working group on bacterial mutation assays: 
    International workshop on standardisation of genotoxicity test 
    procedures,'' Mutation Research, 312:217-233, 1994.
        Hayashi, M., T. Sofuni, and M. Ishidate, Jr., ``Kinetics of 
    micronucleus formation in relation to chromosomal aberration in 
    mouse bone marrow,'' Mutation Research, 127:129-137, 1984.
        Hayashi, M., T. Morita, Y. Kodama, T. Sofuni, and M. Ishidate, 
    Jr., ``The micronucleus assay with mouse peripheral blood 
    reticulocytes using acridine orange-coated slides,'' Mutation 
    Research, 245:245-249, 1990.
        Hayashi, M., R. R. Tice, J. T. MacGregor, D. Anderson, D. H. 
    Blakey, M. Kirsch-Volders, F. B. Oleson, Jr., F. Pacchierotti, F. 
    Romagna, H. Shimada, S. Sutou, and B. Vannier, ``In vivo rodent 
    erythrocyte micronucleus assay,'' Mutation Research, 312(3):293-304, 
    1994.
        Hayashi, M., ``Acceptability of in vivo MN and CA tests,'' in 
    Proceedings of the Second International Conference on Harmonisation 
    (ICH 2), edited by P. F. D'Arcy and D. W. G. Harron, Greystoke Books 
    Ltd., N. Ireland, pp. 232-237, 1994.
        Japanese Ministry of Health and Welfare, Guidelines for toxicity 
    studies of drugs, 1989.
        Kenelly, J. C., R. Waters, J. Ashby, P. A. Lefevre, B. 
    Burlinson, D. J. Benford, S. W. Dean, and I. deG. Mitchell, ``In 
    vivo rat liver UDS assay,'' in Supplementary Mutagenicity Tests, 
    UKEMS Recommended Procedures, edited by D. J. Kirkland and M. Fox, 
    Cambridge University Press, pp. 52-77, 1993.
        Kirkland, D., ``Report of the in vitro sub-group. International 
    workshop on standardisation of Genotoxicity Test Procedures,'' 
    Mutation Research, 312:211-215, 1994.
        Levin, D. E., M. Hollstein, M. F. Christman, E. A. Schwiers, and 
    B. N. Ames, ``A new Salmonella tester strain (TA102) with A-T base 
    pairs at the site of mutation detects oxidative mutagens,'' 
    Proceedings of the National Academy of Sciences of the USA, 79:7445-
    7449, 1982.
        Madle, S., S. W. Dean, U. Andrae, G. Brambilla, B. Burlinson, D. 
    J. Doolittle, C. Furihata, T. Hertner, C. A. McQueen, and H. Mori, 
    ``Recommendations for the performance of UDS tests in vitro and in 
    vivo,'' Mutation Research, 312:263-285, 1994.
        OECD Guidelines for Genetic Toxicology (1983, 1984, 1986) 
    Published by OECD, Paris; latest revisions discussed at ad hoc 
    expert committee meeting, Rome, September 1994.
        Probst, G., ``Validation of target tissue exposure for in vivo 
    tests,'' in Proceedings of the Second International Conference on 
    Harmonisation (ICH 2), edited by P. F. D'Arcy and D. W. G. Harron, 
    Greystoke Books Ltd., N. Ireland, pp. 249-252, 1994.
        The Collaborative Study Group for the Micronucleus Test, CSGMT, 
    ``Sex difference in the micronucleus test,'' Mutation Research, 
    172:151-163, 1986.
        The Collaborative Study Group for the Micronucleus Test, CSGMT, 
    ``Micronucleus test with mouse peripheral blood erythrocytes by 
    acridine orange supravital staining: The summary report of the 5th 
    collaborative study by CSGMT/JEMS: MMS,'' Mutation Research, 278:83-
    98, 1992.
        Tweats, D. J., ``Follow-up of in vitro positive results,'' in 
    Proceedings of the Second International Conference on Harmonisation 
    (ICH 2), edited by P. F. D'Arcy and D. W. G. Harron, Greystoke Books 
    Ltd., N. Ireland, pp. 240-244, 1994.
        Wilcox, P., A. Naidoo, D. J. Wedd, and D. G. Gatehouse, 
    ``Comparison of Salmonella typhimurium TA102 with Escherichia coli 
    WP2 tester strains,'' Mutagenesis, 5:285-291, 1990.
    
        Dated: April 15, 1996.
    William K. Hubbard,
    Associate Commissioner for Policy Coordination.
    [FR Doc. 96-10021 Filed 4-23-96; 8:45 am]
    BILLING CODE 4160-01-F
    
    

Document Information

Effective Date:
4/24/1996
Published:
04/24/1996
Department:
Food and Drug Administration
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Action:
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Document Number:
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Dates:
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Pages:
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Docket Numbers:
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