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Workgroup report: review of genomics data based on experience with mock submissions--view of the CDER pharmacology toxicology Nonclinical Pharmacogenomics Subcommittee.


Over the past few years, both the U.S. Food and Drug Administration (FDA FDA
abbr.
Food and Drug Administration


FDA,
n.pr See Food and Drug Administration.

FDA,
n.pr the abbreviation for the Food and Drug Administration.
) and the pharmaceutical industry have recognized the potential importance of pharmacogenomics and toxicogenomics to drug development. To resolve the uncertainties surrounding the use of microarray technology and the presentation of genomics data for regulatory purposes, several pharmaceutical companies and genomics technology providers have provided the FDA with reports of genomics studies that included supporting toxicology data (e.g., serum chemistry, histopathology his·to·pa·thol·o·gy
n.
The science concerned with the cytologic and histologic structure of abnormal or diseased tissue.


Histopathology
The study of diseased tissues at a minute (microscopic) level.
). These studies were not associated with any active drug application and were exploratory or hypothesis generating in nature. For training purposes, these reports were reviewed by the Nonclinical Pharmacogenomics Subcommittee consisting of the Center for Drug Evaluation and Research The Center for Drug Evaluation and Research is a division of the FDA that deals with the approval of drugs. CDER reviews New Drug Applications to ensure that the drugs are safe and effective. It is one of five Centers at the United States Food and Drug Administration.  pharmacology and toxicology researchers and reviewers. In this article, we describe some of these submissions and report on our assessment of data content, format, and quality control metrics that were useful for evaluating these nonclinical genomics submissions, specifically in relation to the proposed MIAME/MINTox (minimum information about a microarray experiment/minimum information needed for a toxicology experiment) recommendations. These genomics submissions allowed both researchers and regulators to gain experience in the process of reviewing and analyzing toxicogenomics data. The experience will allow development of recommendations for the submission and review of these data as the state of the science evolves. Key words: data visualization See information visualization. , electronic data files, MIAME/MINTox, mock submission content, quality control metrics, toxicogenomics. doi: 10.1289/ehp.8318 available via http://dx.doi.org/[Online 3 November 2005]

**********

To share and gain expertise in toxicogenomics and to develop a framework for reviewing data, pharmacology and toxicology reviewers and researchers within the U.S. Food and Drug Administration (FDA) Center for Drug Evaluation and Research (CDER CDER Center for Drug Evaluation and Research (US FDA)
CDER Centre de Développement des Energies Renouvelables (French)
CDER Client Development and Evaluation Report
) formed the Nonclinical Pharmacogenomics Subcommittee (NPSC NPSC National Physical Science Consortium
NPSC National Processing Service Center
NPSC National Police Shooting Championships
NPSC Nagaland Public Service Commission (India)
NPSC National Producers Service Company
) (CDER 2004). The NPSC has reviewed data from several "mock submissions" of nonclinical studies Nonclinical or Pre-Clinical studies are research studies that are conducted, typically on animals, before a permit for a clinical trial on humans can be obtained. Pre-clinical studies serve a vital role in the drug discovery and development processes.  that were voluntarily submitted to the committee or to review divisions. The term "mock submissions" is used in this report as opposed to "voluntary submissions" discussed in the FDA pharmacogenomics data submissions guidance (FDA 2005b), which are to be reviewed by the FDA Interdisciplinary Pharmacogenomics Review Group (CDER 2005a, 2005b). From this work, the NPSC gained insight into toxicogenomics data submissions and identified areas that might need additional consideration before full integration of this technology into routine drug development. In this article we summarize the most useful portions and identify potentially unnecessary details in these mock submissions and provide insight as to how CDER reviewers assess submissions of pharmacogenomics data.

General Description of Mock Submissions

The NPSC examined in detail three mock submissions that addressed different uses of pharmacogenomics data during drug development. The topics addressed by the mock submissions were a) microarray data quality using a data set generated for a single compound, b) assessment in a single tissue of the effects of several compounds in a pharmacological class, and c) use of a proprietary database to help classify a compound of unknown toxicity. None of the submissions involves a compound that is the subject of an active investigational new drug (IND) or new drug application (NDA (Non Disclosure Agreement) An agreement signed between two parties that have to disclose confidential information to each other in order to do business. In general, the NDA states why the information is being divulged and stipulates that it cannot be used for any ). Further, these studies were not conducted under Good Laboratory Practice (GLP See gateway location protocol. ) regulations for nonclinical studies regulations (FDA 2002), and deviations from GLP were not described in the submissions. The NPSC did not judge the scientific merit of the conclusions reached by the sponsor of each mock submission but rather considered the experimental design, organization of data, and adequacy of the information available to support the hypothesis, including the relationship of the genomics data to the general toxicology data.

The NPSC evaluated the content of the mock submissions using the framework for reporting microarray data outlined by the Microarray Gene Expression Data (MGED MGED Microarray Gene Expression Data
MGED Multidevice Graphics Editor
) Society in their proposals of the minimum information about a microarray experiment (MIAME MIAME Minimal Information About A Microarray Experiment
MIAME Minimum Information About a Microarray Experiment
) (Brazma et al. 2001; MGED Society 2002). The fields specified in MIAME present a foundation for content necessary for review of pharmacogenomics data. More recently, a framework for reporting biological investigations across "omics" technologies has been initiated through the MGED Society that includes an investigational design description checklist, a discipline-specific checklist [e.g., MINTox (minimum information needed for a toxicology experiment)], and a technology-based checklist (e.g., MIAME) (MGED Society 2004). The mock submissions were not specifically prepared according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 the MIAME/MINTox recommendations; however, one submission was prepared to conform to Verb 1. conform to - satisfy a condition or restriction; "Does this paper meet the requirements for the degree?"
fit, meet

coordinate - be co-ordinated; "These activities coordinate well"
 the specifications of the draft pharmacogenomics guidance (FDA 2003).

We describe in detail the three submissions in the sections that follow, with the sponsor's conclusions and the NPSC comments for each submission. Table 1 summarizes the formats for various parameters used in each submission.

Submission 1: Assessment of Data Quality for Microarray Studies on a Single Agent

Submission description. The mechanism of action of a compound purported to reduce cholesterol levels by inhibiting HMG-CoA (3-hydroxy-3-methylglutaryl coenzyme A coenzyme A
n. Abbr. CoA
A coenzyme present in all living cells that functions as an acyl group carrier and is necessary for fatty acid synthesis and oxidation, pyruvate oxidation, and other acetylation.
) reductase reductase /re·duc·tase/ (-tas) a term used in the names of some of the oxidoreductases, usually specifically those catalyzing reactions important solely for reduction of a metabolite.  was investigated in female rats. The compound was administered daily by oral garage at three dose levels for 1 month. Observations and measurements included clinical assessments (including body weights and food consumption), serum chemistry, macroscopic macroscopic /mac·ro·scop·ic/ (mak?ro-skop´ik) gross (2).

mac·ro·scop·ic or mac·ro·scop·i·cal
adj.
1. Large enough to be perceived or examined by the unaided eye.

2.
 and microscopic evaluations of kidney and liver, and quantitative polymerase chain reaction Quantitative polymerase chain reaction (qPCR) is a modification of the polymerase chain reaction used to rapidly measure the quantity of DNA, complementary DNA or ribonucleic acid present in a sample.  (qPCR) of HMG-CoA reductase Noun 1. HMG-CoA reductase - a liver enzyme that is responsible for producing cholesterol
5-hydroxy-3-methylglutaryl-coenzyme A reductase

reductase - an enzyme that catalyses the biochemical reduction of some specified substance
 and cytochrome cytochrome (sī`təkrōm'), protein containing heme (see coenzyme) that participates in the phase of biochemical respiration called oxidative phosphorylation.  P450 (CYP CYP

In currencies, this is the abbreviation for the Cyprus Pound.

Notes:
The currency market, also known as the Foreign Exchange market, is the largest financial market in the world, with a daily average volume of over US $1 trillion.
) 1B1 and CYP2B CYP2B Cytochrome P450 2B 2 gene expression in rat liver. The report included all the data except for the histopathological findings in kidney and liver. Detailed protocols for microarray assay steps from RNA RNA: see nucleic acid.
RNA
 in full ribonucleic acid

One of the two main types of nucleic acid (the other being DNA), which functions in cellular protein synthesis in all living cells and replaces DNA as the carrier of genetic
 isolation to array scanning were provided in the submission. Gene expression analysis of liver samples collected 1, 7, or 30 days after drug administration was performed using Affymetrix (Santa Clara Santa Clara, city, Cuba
Santa Clara (sän`tä klä`rä), city (1994 est. pop. 217,000), capital of Villa Clara prov., central Cuba.
, CA) Rat Genome U34 Microarrays. Only the concurrent control and high-dose groups were analyzed for gene expression changes.

The submission addressed the potential use of controls to monitor different steps in microarray experiments. Although labeling controls to monitor the efficiency of target preparation were not included in the mock data set, the sponsor included proprietary data on the use of polyadenylated transcripts of three Bacillus subtilis Noun 1. Bacillus subtilis - a species of bacillus found in soil and decomposing organic matter; some strains produce antibiotics
Bacillus globigii, grass bacillus, hay bacillus
 genes (lys, phe, and thr, GenBank accession nos. X17013, M24537, X04603, respectively; http://www.ncbi.nih. gov/GenBank) to illustrate how this information might be incorporated in an actual microarray data submission. Hybridization hybridization /hy·brid·iza·tion/ (hi?brid-i-za´shun)
1. crossbreeding; the act or process of producing hybrids.

2. molecular hybridization

3.
 controls to determine the sensitivity and quality of hybridizations included the measurement of BioB, BioC, and BioD genes (GeneBank accession no. J04423; http://www.ncbi.nih. gov/GenBank/) of the Escherichia coli Escherichia coli (ĕsh'ərĭk`ēə kō`lī), common bacterium that normally inhabits the intestinal tracts of humans and animals, but can cause infection in other parts of the body, especially the urinary tract.  biotin biotin: see vitamin; coenzyme.
biotin

Organic compound, part of the vitamin B complex, essential for growth and well-being in animals and some microorganisms.
 synthesis pathway and the ere recombinase re·com·bi·nase
n.
An enzyme that catalyzes genetic recombination.



recombinase

a function of the recA protein in Escherichia coli
 gene for Pl bacteriophage (GeneBank accession no. X03453; http://www.ncbi.nih.gov/ GenBank/). Data from these hybridization controls were provided in tabular and graphic form, including an analysis of the dynamic range. The sponsor also discussed the possible use of batch controls to monitor technical variability and equipment controls to ensure microarray image quality.

The submission included a comprehensive section on quality control (QC) metrics. The sponsor provided examples based on their general laboratory experience to demonstrate the possible use of QC metrics for RNA and cRNA because these metrics were unavailable for the submitted data set. RNA quality was assessed by 28S:18S ratios and percent area (defined as the percentage of the total RNA population that is derived from the 18S and 28S rRNA bands). For cRNA, in vitro in vitro /in vi·tro/ (in ve´tro) [L.] within a glass; observable in a test tube; in an artificial environment.

in vi·tro
adj.
In an artificial environment outside a living organism.
 transcription yield and the ratio of absorbance absorbance /ab·sor·bance/ (-sor´bans)
1. in analytical chemistry, a measure of the light that a solution does not transmit compared to a pure solution. Symbol .

2.
 at 260 and 280 nm were proposed as QC metrics. QC metrics generated by Affymetrix Microarray Suite 5.0 (MAS5: Affymetrix) software from scanned images (i.e., background, noise, scaling factor, percent absent, 3':5' ratios) were used to assess the quality of the hybridizations.

These metrics informed a paradigm for rejection of array data. Further, hybridization images were inspected for signal level, presence of image defects, and appropriate grid alignment at the edges and corners. Reproducibility between biological replicate hybridizations (correlation, detection call agreement, and < 2-fold signal value difference) was presented as a scatter plot See scatter diagram.  and in tabular form Same as table view with respect to printed output. . The bias in the data due to scanning of control and treated samples on different days was identified through examination of the data for the hybridization controls. The bias was mitigated by using a permutation One possible combination of items out of a larger set of items. For example, with the set of numbers 1, 2 and 3, there are six possible permutations: 12, 21, 13, 31, 23 and 32.

(mathematics) permutation - 1.
 analysis to reduce the number of false positives and by considering the biological relevance of the differentially expressed genes.

Sponsor's conclusions. Analysis of changes in liver gene expression was conducted to further understand the pharmacological mechanism of action of the compound through examination of its primary genomics target in the cholesterol biosynthesis Biosynthesis

The synthesis of more complex molecules from simpler ones in cells by a series of reactions mediated by enzymes. The overall economy and survival of the cell is governed by the interplay between the energy gained from the breakdown of compounds
 pathway. The compound showed no significant treatment-related toxicity in the liver at the tested doses. A heat map was generated to compare samples collected from treated and control animals at different time points after drug administration. The heat map illustrated possible co-regulated genes that clustered by direction and extent of regulation at each time point. Changes in expression levels of genes encoding enzymes from relevant biochemical pathways were shown in figures and discussed in the text. The data were consistent with current understanding of cholesterol biosynthesis.

NPSC comments. The content and organization of the mock submission were a collaborative exercise between the NPSC and the sponsor. A preliminary technical plan was presented to the NPSC and followed by a draft proposal before the final mock submission. The sponsor submitted very extensive information on laboratory and informatics infrastructure. Such extensive information may not need to be included in all genomics data submissions where a summary is generally sufficient. However, this information should be well documented and available on request, possibly as part of a device master file or standard operating procedures standard operating procedure Medtalk A technique, method or therapy performed 'by the book,' using a standard protocol meeting internally or externally defined criteria; a formal, written procedure that describes how specific lab operations are to be performed.  (SOPs). Although the text of the submission contained information allowing a reviewer to trace a sample from the animal source to its corresponding array data set, it would have been helpful for the sponsor to provide a key in electronic file format to link these files.

The sponsor submitted a comprehensive section on QC measurements. The NPSC concluded that these parameters appeared adequate. The electronic files were organized to be consistent with FDA guidance (FDA 1999). The NPSC noted the importance of electronic data sets, even for subsets of genes. The utility and suitability of particular electronic formats will depend on whether these files are used to populate To plug in chips or components into a printed circuit board. A fully populated board is one that contains all the devices it can hold.  a database with data-mining capabilities or as a data repository See repository. . In the review of electronic microarray data, the NPSC noted the need for user-friendly software tools to analyze and visualize data. It was apparent that reviewers will need appropriate training and software to effectively manipulate microarray-associated data.

The NPSC observed that, in general, the protocols for the in-life portion of toxicogenomics studies should follow practices used for standard toxicity studies. These include the use of both sexes (unless there is scientific justification to limit the study to one sex) and using appropriate doses of drug. The number of replicates and power needed will vary depending upon the sponsor's intended claim and the experimental objectives (Simon et al. 2002). However, in order to perform some minimal statistical analysis, at least three animals per sex per time point are generally needed. Often, it may be necessary to use doses of drug large enough to induce the toxicity or pharmacologic activity that is related to the genomics target being studied. Gene expression changes that are critical to the sponsor's argument may be confirmed with qPCR on a limited number of genes. The NPSC believed that this strengthened the experimental data in this submission, considering the limited experience with gene expression data and the continuing evolution of the technology. Differences between sample collection methods (transverse vs. longitudinal sectioning) for histopathology and genomics analysis were not explained and could be considered a complicating factor in an analysis. The NPSC also agreed that it would facilitate review if the animal data portions of toxicogenomics studies were submitted in the format of a standard GLP toxicology study.

In general, the NPSC agreed that sufficient data were available to support the mechanism of compound action proposed by the sponsor. The NPSC considered the use of clustering analysis to identify co-regulated genes to be primarily hypothesis generating. Pharmacogenomics data that explore the presumptive pre·sump·tive  
adj.
1. Providing a reasonable basis for belief or acceptance.

2. Founded on probability or presumption.



pre·sump
 mechanism of action of a compound may enhance traditional toxicology studies.

Submission 2: Assessment in a Single Tissue of the Effects of Several Compounds in a Class

Description. The potential human liver toxicity of compounds used to treat dyslipidemia was evaluated by treating male cynomolgus monkeys with one of three drugs. The test articles included two marketed peroxisome Peroxisome

An intracellular organelle found in all eukaryotes except the archezoa (original lifeforms). In electron micrographs, peroxisomes appear round with a diameter of 0.1–1.
 proliferator [alpha]-agonists (PPAR PPAR Peroxisome Proliferator Activated Receptor
PPAR Physical Partitions
[alpha]; fenofibrate and ciprofibrate) and a proprietary PPAR panagonist compound (PPARpan) with activity on PPAR [alpha], [gamma] and [sigma] receptors. A vehicle control was also included. In the definitive study, monkeys (four per group) were treated for 15 days with a single dose of PPARpan or several dose levels for fenofibrate or ciprofibrate, respectively. Doses for fenofibrate and ciprofibrate in the 15-day study were based on a 4-day dose-range-finding study. In vivo in vivo /in vi·vo/ (ve´vo) [L.] within the living body.

in vi·vo
adj.
Within a living organism.



in vivo adv.
 study observations included clinical evaluations (including body weight and food consumption), clinical chemistry and hematology, and toxicokinetics. At necropsy necropsy /nec·rop·sy/ (nek´rop-se) examination of a body after death; autopsy.

nec·rop·sy
n.
See autopsy.



necropsy

examination of a body after death. See also autopsy.
, organ weights were determined and macroscopic evaluation conducted. The sponsor used SOPs in conducting the toxicology portion of the study. The livers were examined using both light microscopy and transmission electron microscopy “TEM” redirects here. For other uses, see TEM (disambiguation).

Transmission electron microscopy (TEM) is an imaging technique whereby a beam of electrons is transmitted through a specimen, then an image is formed, magnified and directed to appear either
 (TEM TEM

1. transmission electron microscope.

2. triethylenemelamine.

3. transmissible encephalopathy of mink.
). Enzymatic activity of components of [beta]-oxidation pathways was also assessed in these samples.

Liver sections were collected for toxicogenomics analysis from all animals. RNA was isolated and the expression profile was examined using the manufacturer's standard protocols with Affymetrix GeneChip HGU HGU Human Genetics Unit (UK)
HGU Hak Guna Usaha (Indonesia)
HGU Hospital General Universitario (Spanish)
HGU Hepatic Glucose Uptake
95Av2 arrays. The mock submission provided limited information about the protocols because these protocols are publicly available. Samples reported included control and high-dose animals from the range-finding study and all animals in the definitive study.

Sponsor's conclusions. To further understand the toxicity associated with PPARpan, the sponsor analyzed microarray data using principal component analysis (PCA (tool, programming) PCA - A dynamic analyser from DEC giving information on run-time performance and code use. ) to examine the relationship between control and treatment groups in both the 4-day dose-range-finding study and the 15-day definitive study. The samples from animals treated for 4 and 15 days clustered differently. The sponsor attributed these differences to technical factors based on a similar separation among 4-and 15-day control animals. One 15-day control animal clustered away from other samples in the same treatment group and thus appeared to be an outlier outlier /out·li·er/ (out´li-er) an observation so distant from the central mass of the data that it noticeably influences results.

outlier

an extremely high or low value lying beyond the range of the bulk of the data.
. Ciprofibrate-treated samples clustered more tightly by dose level than fenofibrate-treated samples and demonstrated more pronounced dose-response alterations in gene expression. The single-dose level of PPARpan induced a modest alteration in gene expression. Using PCA, PPARpan effects appeared similar to those of the higher dose levels of fenofibrate.

The sponsor assumed that the human-based probe sets with a MAS5 detection call of "present" were hybridizing to the correct homologous homologous /ho·mol·o·gous/ (ho-mol´ah-gus)
1. corresponding in structure, position, origin, etc.

2. allogeneic.


ho·mol·o·gous
adj.
1.
 monkey sequence and that the data were interpretable because the objective was to compare gene expression between control and treated groups. Previous studies have demonstrated that cRNA from macaque macaque (məkäk`), name for Old World monkeys of the genus Macaca, related to mangabeys, mandrills, and baboons. All but one of the 19 species are found in Asia from Afghanistan to Japan, the Philippines, and Borneo.  and rhesus monkeys effectively hybridizes with a human Affymetrix GeneChip (Chismar et al. 2002; Enard et al. 2002), although a recent study (Gilad et al. 2005) found a large effect of sequence divergence on hybridization signal. The sponsor concluded that some of the interanimal variability seen in this study may be due to greater genetic heterogeneity of monkeys compared with laboratory rodents and to imperfect hybridization of monkey cRNA to the human array.

Treatment-related effects were noted in clinical observations and serum chemistry, particularly at the highest doses. Liver changes reported at some or all drug-treatment groups included hypertrophy hypertrophy (hīpûr`trəfē), enlargement of a tissue or organ of the body resulting from an increase in the size of its cells. Such growth accompanies an increase in the functioning of the tissue. , increased liver weights, eosinophilia eosinophilia /eo·sin·o·phil·ia/ (e?o-sin?o-fil´e-ah) abnormally increased eosinophils in the blood.

e·o·sin·o·phil·i·a
n.
An increase in the number of eosinophils in the blood.
 and granularity of the cytoplasm cytoplasm: see protoplasm.
cytoplasm

Portion of a eukaryotic cell outside the nucleus. The cytoplasm contains all the organelles (see eukaryote).
, and single-cell necrosis consistent with apoptotic cell apoptotic cell Cell biology A dense, eosinophilic, pyknotic cell surrounded by a thin clear space, often lying within epithelium, which is due to apoptosis  death. This last finding was not observed with PPARpan. TEM evaluation indicated that all compounds increased peroxisome and mitochondria number as well as mitochondrial mitochondrial

pertaining to mitochondria.


mitochondrial RNAs
a unique set of tRNAs, mRNAs, rRNAs, transcribed from mitochondrial DNA by a mitochondrial-specific RNA polymerase, that account for about 4% of the total cell RNA that
 area. Activity of some enzymes of [beta]-oxidation was increased in livers of ciprofibrate- and fenofibrate-treated animals. Further interpretation of the gene expression results, for example, regarding induction of apoptosis apoptosis
 or programmed cell death

Mechanism that allows cells to self-destruct when stimulated by the appropriate trigger. It may be initiated when a cell is no longer needed, when a cell becomes a threat to the organism's health, or for other reasons.
, has subsequently been performed by the sponsor (Cariello et al. 2005).

NPSC comments. The initial submission consisted of separate toxicology and gene expression study reports of the same experiments. Although some experimental data such as animal treatment and husbandry husbandry

careful management of e.g. animals. Implies thrifty, humane, caring. See also animal husbandry.
 were available through cross-reference to other protocols, this submission would have been easier to review if it had been organized as an integrated report using a format like MIAME/MINTox. Data for QC metrics were provided in the submission, but graphical presentation of some metrics would have aided the review. The toxicology data were very helpful in interpreting the difference in gene expression results between the PPAR[alpha] compounds and PPARpan. The electron microscopy electron microscopy

Technique that allows examination of samples too small to be seen with a light microscope. Electron beams have much smaller wavelengths than visible light and hence higher resolving power.
 and morphometry mor·phom·e·try
n.
Measurement of the form of organisms or of their parts.



morpho·met
 analysis of peroxisomes and mitochondria provided additional detail relevant to the toxicogenomics assessment.

Inclusion of electronic files in the mock submission made it possible to independently analyze the sponsor's results. The NPSC used Spotfire software (Spotfire Inc., Somerville, MA) to analyze the microarray data from the 4- and 15-day experiments. The NPSC chose not to analyze these data sets together because the significant technical variation between them might confound con·found  
tr.v. con·found·ed, con·found·ing, con·founds
1. To cause to become confused or perplexed. See Synonyms at puzzle.

2.
 the analysis of biological relatedness between PPARpan and PPAR[alpha] agonists. Cariello et al. (2005) noted that poor-quality RNA was obtained from one control animal and that the arrays from the 4-day non-GLP study and the 15-day GLP study were processed on different days by different individuals. However, the arrays for the controls and treated groups for each day were processed together. Therefore, the results for the treated groups can be compared separately with the results for the appropriate control.

PCA by the NPSC of individual samples from the 15-day experiment showed that most samples did not form tight clusters within their treatment groups (Figure 1). This indicated that gene changes at the low dose were as likely to be related to biological and technical variation as to drug treatment. In contrast, a clear dose-related separation was observed for the ciprofibrate treatment. In this analysis, PPARpan samples clustered in the same region of the PCA as the control and low-dose treatment samples. This differed from the sponsor's conclusions, which were derived from an analysis using both 4- and 15-day treatment groups. Additionally, the NPSC concluded that the control animal in the 15-day experiment identified as an outlier by the sponsor did not appear to be more distant from other control samples in the PCA when compared with other dose group distance variations. Although PCA is a valuable method to inspect sample homogeneity and general treatment-related changes in gene expression data, it is a subjective and relative method of analysis. Additional analyses of the data (e.g., using heat maps, pathway analysis) would have been useful to provide more support for the conclusions. These analyses have subsequently been performed and published by the sponsors (Cariello et al. 2005).

[FIGURE 1 OMITTED]

Although cross-species hybridization is not an ideal approach, there are limitations in the available arrays for specific animal models. The sponsor acknowledged this fact and attempted to address it by providing confirmatory evidence with additional studies. With the advent of arrays for additional laboratory species, including the monkey, this technical challenge is not expected to be a major regulatory concern in the future.

Despite the technical problems encountered and the different conclusions reached by the sponsor and the NPSC, this submission provided an example of the incorporation of gene expression analysis into an overall assessment of the potential toxicity of a new drug entity compared with a known drug class. Such an integrated submission potentially could be used to support a possible mechanism of action or to distinguish compounds within a pharmacologic class.

Submission 3: Assessment of Toxicity of a Test Compound by Comparison with a Reference Database

Description. The potential toxicity of a selective serotonin reuptake inhibitor selective serotonin reuptake inhibitor
n.
SSRI.


Selective serotonin reuptake inhibitor (SSRI)
A class of antidepressants that work by blocking the reabsorption of serotonin in the brain, raising the levels of
 (SSRI SSRI selective serotonin reuptake inhibitor.

SSRI
n.
Selective serotonin reuptake inhibitor; a class of drugs that inhibit the reuptake of serotonin in the central nervous system, used to treat depression and other
) was assessed in male rats treated daily for 5 days with vehicle and two dose levels of a test compound. One dose was a nontoxic pharmacologic dose pharmacologic dose Pharmacology A supraphysiologic dose of a substance–eg, mineralocorticoids, normally present in the body, to produce a 'pharmacologic' effect , whereas the high dose was equivalent to maximum tolerated dose based on decreases in body weight gain. The results of molecular pharmacology assays, clinical observations (including body weights and food consumption), clinical chemistry and hematology, selected organ weights, necropsy observations, and liver histopathology were provided for four time points (6 hr to 6 days after the first dose was administered). Liver samples from individual animals were obtained and processed separately for microarray analysis. Gene expression studies were conducted using CodeLink RU1 Expression BioArrays (Amersham Biosciences, Piscataway, NJ). Expression data for three to six animals per time point per treatment group dosed for 1, 3, and 5 days were analyzed and compared with a contextual reference database of microarray data for approximately 600 compounds. The sponsor provided access to its proprietary database to allow NPSC members to independently confirm the gene expression findings.

Sponsor's conclusions. The toxicogenomics analysis indicated that the SSRI was relatively nonhepatotoxic, as confirmed by the histopathology findings. The sponsor defined a drug signature as "a small set of genes that delineates a property of one class of compounds from another or from vehicle controls." The use of drug signature analysis confirmed several effects of the SSRI class that were observed using traditional pharmacology and toxicology assays (ion channel ion channel
n.
See channel.
 blocking and serum creatinine creatinine /cre·at·i·nine/ (kre-at´i-nin) an anhydride of creatine, the end product of phosphocreatine metabolism; measurements of its rate of urinary excretion are used as diagnostic indicators of kidney function and muscle mass.  increase). Signature analysis suggested potential safety risks of perturbed per·turb  
tr.v. per·turbed, per·turb·ing, per·turbs
1. To disturb greatly; make uneasy or anxious.

2. To throw into great confusion.

3.
 blood pressure regulation and phospholipidosis, but ancillary data Ancillary data (commonly abbreviated as ANC data), in the context of television systems, refers to a means which by non-video information (such as audio, other forms of essence, and metadata) may be embedded within the serial digital interface.  were not available to confirm these findings.

NPSC comments. This mock submission demonstrated the use of a contextual database containing genomics data annotated with toxicity data for the interpretation of the potential toxicity of an SSRI. The comparison of the pharmacology data and gene signature profile for this SSRI with similar compounds in the database also provided an example of gene profile specificity. In this example, independent verification of matches to some gene signatures was provided by clinical chemistry and molecular pharmacology assay results. Matches to other gene signatures could only suggest potential toxicities, as these are not probable valid biomarkers. The signatures would require additional experiments for confirmation. Potential toxicities suggested by gene signatures would be addressed in different sections of full IND/NDA submissions (e.g., safety pharmacology and histopathology in a longer toxicology study). The submission contained adequate information on sample and array quality assessment and on the statistical analyses that were applied to the data. The NPSC agreed that sufficient data were available to support the hypothesis proposed by the sponsor.

The opportunity for the NPSC to access and be trained on the database provided an in-depth understanding of the use of a contextual database to generate gene expression signatures. Voluntary submissions may be a suitable route for sponsors to introduce FDA reviewers to similar approaches that use large data sets to generate gene signatures. The NPSC anticipates increased use of contextual databases as a resource for the generation of gene expression signatures or motifs that could eventually become validated biomarkers of toxicity. However, the gene components of these signatures would need to be available for review by regulators if not generally accepted, that is, a known valid biomarker, as defined by the FDA pharmacogenomics guidance (FDA 2005b).

Other Submissions Containing Pharmacogenomics Data

The NPSC is aware of several nonclinical pharmacogenomics submissions provided as part of IND and NDA submissions. These gene expression studies were designed to explore the pharmacology of the pharmaceutical or as an additional tool to investigate an observed toxicity. As described by the FDA pharmacogenomics guidance (FDA 2005b), most of these submissions likely would have qualified as voluntary submissions to the IND or as synopses to the NDA because they were exploratory studies in which no regulatory decisions were or could have been made. The sponsors were not using the pharmacogenomics data to make claims regarding safety or efficacy. The submissions did not involve either known or probable valid biomarkers. MIAME/MINTox criteria were not used in these submissions. All submissions were provided as paper reports, making it difficult to assess drug-related effects on gene expression. Most of these submissions reported only a subset of affected genes, which may be acceptable, although all data should be available upon request. In the opinion of the NPSC, submission of the data in an electronic format would have facilitated review of these analyses. Some of these studies were inadequately designed. Issues included insufficient numbers of animals per group per time point, too few time points, use of pooled tissue samples, and lack of QC metrics (e.g., demonstration of RNA purity). Adequate documentation and evaluation of these parameters will be important for future regulatory submissions.

Conclusions

The application of pharmacogenomics and toxicogenomics in drug development has primarily been used in compound selection and for identification of possible biomarkers of safety or efficacy. The NPSC anticipates that as confidence grows in the technology and guidelines for its use in a regulatory context are further delineated, sponsors will increasingly use it to address issues of regulatory importance. These may include studies of a drug's mechanism of action or further investigation of a specific toxicity observed in a clinical or nonclinical study. The mock submissions described here serve as a basis for dialog within and outside the FDA to address how data are to be submitted, what data should be submitted, and what regulatory decisions are likely to be made with the data submitted.

A structure such as that described by MIAME/MINTox (MGED Society 2004) would be useful for review of genomics data within the context of a drug approval submission. MIAME/MINTox is a checklist of information important for independent review of genomics data within a biological context. Genomics data submissions were easier to review when integrated into a standard toxicology report format. It would be useful to include pathway analysis and other gene annotations with lists of gene changes. Confirmation of gene changes by secondary analysis (e.g., PCR PCR polymerase chain reaction.

PCR
abbr.
polymerase chain reaction


Polymerase chain reaction (PCR) 
) may be included to support conclusions drawn from the genomics expression analysis. The need for such confirmation may depend on the sponsor's claim and its impact on the safe use of the drug being tested. If genomics data were part of a standard IND/NDA submission, any additional toxicity suggested by these data would be addressed in the standard safety pharmacology studies and in longer toxicology studies typically performed during drug development.

Analyses such as PCA were helpful for identifying general similarities or differences among samples within or across treatment groups. Information not normally included in most submissions of toxicology data and not specified in MIAME/MINTox, such as information on laboratory informatics and equipment settings, may not be needed for review but should be available upon request. For example, information on array design description for commercially available arrays may not be necessary, but specifications should be provided for custom arrays. Quality metrics that were used for technical evaluation The study and investigations by a developing agency to determine the technical suitability of material, equipment, or a system for use in the Military Services. See also operational evaluation.  of the microarrays in these submissions were generally acceptable, but additional standards may be necessary for use of gene expression analysis in nonclinical toxicology assessments during drug development. It is not clear how much information regarding technical variation and equipment efficiency will be needed in a regulatory submission.

The mock submissions were a useful tool for the NPSC to gain experience in how to best review toxicogenomics data. Additional voluntary genomics data submissions as described in the pharmacogenomics guidance (FDA 2005b) are encouraged so that the best practices for handling these data can continue to be developed. Many issues remain to be addressed. These include but are not limited to the amount of data needed to support a study's conclusion, methods for the statistical evaluation of microarray data, the complexity of pathway analysis, and the need to make decisions concurrently with advances in related disciplines such as cell biology Cell biology

The study of the activities, functions, properties, and structures of cells. Cells were discovered in the middle of the seventeenth century after the microscope was invented.
 and molecular medicine.

The FDA has co-hosted several workshops on pharmacogenomics and drug development with groups representing pharmaceutical manufacturers and the biological industry. Additional workshops are planned in the near future. Consortia have been formed to continue dialogue between regulators, industry groups, and academicians on these topics under the umbrella of organizations such as the International Life Sciences Institute (ILSI ILSI International Life Sciences Institute
ILSI Incorporated Law Society of Ireland
) through the ILSI-Health and Environmental Sciences Institute initiative (Pennie et al. 2004). The Clinical Data Interchange Standards Consortium Clinical Data Interchange Standards Consortium (CDISC) is a non-profit organization, whose mission is "to develop and support global, platform-independent data standards that enable information system interoperability to improve medical research and related areas of  nonclinical working group is developing hypothetical case examples to address specific toxicity issues, with the goal of enhancing the development and acceptance of toxicogenomics data standards (Lord and Papoian 2004). In time, this ongoing dialogue and additional opportunities to review genomics data promise to lead to a more rapid development program for novel pharmaceuticals, as envisioned by the FDA's Critical Path Initiative (FDA 2004).

Received 13 May 2005; accepted 3 November 2005.

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John K. Leighton, (1) Paul Brown For the politician, see Paul Brown (Georgia politician).

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, (1) Amy Ellis, (1) Patricia Harlow, (1) Wafa Harrouk, (1) P. Scott Pine, (2) Timothy Robison, (1) Lilliam Rosario, (1) and Karol Thompson (2)

(1) Office of New Drugs, and (2) Office of Pharmaceutical Science, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland Not to be confused with Silver Springs.
Silver Spring is an urbanized, unincorporated area in Montgomery County, Maryland, USA. After Baltimore and Columbia, Silver Spring is the third most populous Census Designated Place in Maryland.
, USA

Address correspondence to J.K. Leighton, Office of Oncology Drug Products, U.S. FDA, Building 22, Room 2118, 10903 New Hampshire New Hampshire, one of the New England states of the NE United States. It is bordered by Massachusetts (S), Vermont, with the Connecticut R. forming the boundary (W), the Canadian province of Quebec (NW), and Maine and a short strip of the Atlantic Ocean (E).  Ave., Silver Spring, MD 20993-0002 USA. Telephone (301) 796-2330. Fax: (301) 796-9867. E-mail: leightonj@ fda.hhs.gov

The views expressed in this article are those of the authors and do not necessarily reflect the views of the U.S. Food and Drug Administration.

We thank Expression Analysis, GlaxoSmithKline, Iconix, and Schering-Plough for providing the mock submissions for review. We also thank past and present members of the Nonclinical Pharmacogenomics Subcommittee for their contribution.

The authors declare they have no competing financial interests.
Table 1. Format of content in the mock submissions.

Parameter                                 Submission 1

Study design             Supplied in both MS Word and PDF formats

Toxicology               In SAS transport files

Microarray platform      Affymetrix GeneChip (rat genome U34
                         arrays)

Microarray protocol      Affymetrix EXP files
information

QC metrics               Affymetrix RPT files and RNA QC metrics
                         (see text)

Raw expression data      Array images as low-resolution figures in
                         Word document

Processed expression     Provided in XML, CHIP, CEL, and SAS
data                     transport files

Interpreted expression   Subsets of significantly changes genes in
data                     MS Excel files; affected pathways in
                         MS PowerPoint files

Statistical analysis     Affymetrix MAS5 using two different data
                         normalization algorithms

Notable inclusions       A detailed description of the statistical
                         preprocessing of expression data, filtering,
                         normalization, and modeling methods

Parameter                                 Submission 2

Study design             In PDF file

Toxicology               Complete reports, including TEM, in PDF files

Microarray platform      Affymetrix GeneChip (human HGU95Av2
                         arrays)

Microarray protocol      Not provided
information

QC metrics               Results from Affymetrix RPT files combined
                         in a single TXT file

Raw expression data      Not provided

Processed expression     MAS5 signals and detection calls
data

Interpreted expression   PCA results provided as bitmaps and
data                     interpreted in PDF file

Statistical analysis     Rosetta Resolver (version 3.2) (p-values,
                         fold-change, and other parameters)

Notable inclusions       A separate tab-delimited text file contained
                         data for all probe sets with a prvalue < 0.05

Parameter                                 Submission 3

Study design             In MS Word document

Toxicology               In MS Word document, molecular
                         pharmacology results also provided

Microarray platform      CodeLink RU1 Expression BioArrays (rat)

Microarray protocol      In MS Word document
information

QC metrics               Agilent Bioanalyzer electropherograms, QC
                         metrics for RNA and arrays, and correlation
                         to historic control data provided in
                         MS PowerPoint and MS Excel files

Raw expression data      Array images provided as TIFFS

Processed expression     Provided in TXT files
data

Interpreted expression   Two-dimensional hierarchical clustering,
data                     Pearson's correlation, linear discriminant
                         signature analysis, pathway analysis

Statistical analysis     Tools in proprietary database

Notable inclusions       Contextual gene expression and drug
                         signature analysis; electronic file
                         tracking key

Abbreviations: EXP, experiment information file; MS, Microsoft; PDF,
portable document format; RPT, report file; TEM, transmission electron
microscopy; TIFF, tagged image file format; TXT, text file.
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