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Advances in Approaches to
  Food and Drug Safety
      Assessment

                William Slikker, Jr., PhD, ATS
          National Center for Toxicological Research
             U.S. Food and Drug Administration
                     Jefferson, Arkansas

The views expressed in this presentation do not necessarily reflect those of the FDA.
                                                                                        1
NCTR is Unique


Established in January 1971 by Executive
Order as a non-regulatory national
resource owned and managed within
DHHS by FDA to conduct integrated
toxicological research and foster
interagency, academic, and industrial
collaboration in support of risk assessment
needs related to public health.



                                              2
NCTR Vision
NCTR is an internationally recognized FDA research center that
provides innovative, vital scientific technology, training, and
technical expertise to improve public health.
NCTR—in partnership with researchers from government,
academia, and industry—develops, refines, and applies current
and emerging technologies to improve safety evaluations of
FDA-regulated Products.
NCTR fosters international and intragovernmental cooperation
to improve and protect public health and enhance the quality of
life for the American people.


                                                                  3
Department of Health and Human Services
              Food and Drug Administration
        National Center for Toxicological Research



                         HHS

        …        NIH      FDA        CDC       …

CBER   CDER     CDRH   CFSAN   CTP    CVM     NCTR   ORA



                                                      4
FDA Strategic Goals
Strengthen FDA for today and tomorrow
– Science foundation
– Partnerships and communication
Improve Patient and Consumer Safety
– Strengthen science foundation
– Provide patients access to risk benefit information
Increase Access to New Medical and Food Products
– Critical Path to Personalized Nutrition and Medicine
Improve the Quality and Safety of Manufactured
Products and the Supply Chain
– Modernize science-based standards and tools to provide high quality
  manufacturing processing and duplication

                                                                        5
NCTR Strategic Goals
Innovative toxicology for
regulatory decisions
Promote personalized
medicine and nutrition
Bioinformatics
Food safety
Mentorship/training



                               6
NCTR/FDA Research Strategy
Focus research resources on:
 – Regulatory issues to enhance decision making
 – Technical innovations to speed FDA-regulated
   product review and safety assessment




                                                  7
Primate          9 BSL-3       ARL Bld.         FDA Disaster       NTP/FDA Photx.
Laboratories        Suites                         Recovery           Laboratories
                                 FDA Nano
                                Core Facility
Bio-Imaging
  Center




                                                         Dietary
  General Animal                                       Preparation
    Housing

       Visitor Housing                                   23 Pathology
                                                         Laboratories




82 Accredited animal and 123 experimental laboratories / 1M sq ft. in 30 buildings
                                                                                      8
Department of Health and Human Services
                                    Food and Drug Administration
                            National Center for Toxicological Research
                                                           Office of the Director
                                                          William Slikker, Jr. Ph.D.




                           Office of Research                                                   Coordinating Council


                                                                                                                    Jeanne F. Anson
      Fred Beland, Ph.D.                       Jim Kaput, Ph.D.                Paul Howard, Ph.D.
                                                                                                                NCTR Executive Officer &
        Dir., Division of               Dir., Division of Personalized            Assoc. Dir. for
                                                                                                             Assoc. Dir. for Office of Planning
    Biochemical Toxicology                   Nutrition & Medicine             Scientific Coordination
                                                                                                                & Resource Management



      Martha Moore, Ph.D.                  Donna Mendrick, Ph.D.           Thomas F. Flammang, Ph.D.               Margaret Miller, Ph.D.
   Dir., Division of Genetic &                Dir., Division of                 Senior Advisor                        Assoc. Dir. for
   Reproductive Toxicology                  Systems Toxicology                    for Science                      Regulatory Activities



                                            Jeff Carraway, DVM                 Jennings Partridge                  Vicky Ross-Barsh,
       Carl Cerniglia, Ph.D.
                                              Dir., Division of             Assoc. Dir. for Regulatory                Assoc. Dir. for
 Dir., Division of Microbiology
                                            Veterinary Services           Compliance & Risk Management        Executive Programs & Services




        Merle Paule, Ph.D.
Dir., Division of Neurotoxicology
                                                                                                                                      9
Advancing FDA Science
Nanotechnology
Food Safety
Critical Path
Bio-imaging
Nutrition and Obesity
Regulatory Science
Bioinformatics

                               10
ArrayTrack™: An Integrated Solution for
            Omics Research

                     Clinical and
                   nonclinical data
                                               OH



                                       HO           H

Microarray data                       Chemical data
                  ArrayTrack™

Proteomics data                        Public data


                  Metabolomics data
                                                        11
Results from the MicroArray Quality
          Control (MAQC) Study
Six research papers
published in Nature Biotechnology on Sept and
Oct 2006

   MAQC Main Paper
   Validation of Microarray Results
   RNA Sample Titrations
   One-color vs. Two-color Microarrays
   External RNA Controls
   Rat Toxicogenomics Validation                Nat. Biotechnol. 24(9) and 24(10s), 2006




            137 Participants from 51 Organizations

                                                                                     12
An Array of FDA Endeavors
Integrated Nature of VGDS, ArrayTrack™, MAQC, and Best Practice Document




                     E-Submission
                 VGDS             MAQC




                       ArrayTrack™
                                                                      13
Bio-Imaging at FDA




                     14
Bio-Imaging at NCTR/FDA




MicroPET         Biospec MRI
23 cm bore      7 Telsa, 30 cm bore

                                      15
Pediatric Anesthetics
Ketamine, a non-competitive NMDA receptor
antagonist, has been used as a general pediatric
anesthetic for surgical procedures in infants.
Ketamine is one of the most commonly used agents
for mild sedation in pediatric emergency
departments, endoscopy suites, catheterization
laboratories, radiology suites, and intensive care
units.



                                                     16
A Control (24-hr)



    B Ketamine (24-hr)



    C Control (24-hr)




    D Ketamine (24-hr)



    E Control (24-hr)
      Control (24- hr)
E
    F Ketamine (24-hr)




                         Slikker et al., 2007   17
25


                                                                                 *




                              Caspase 3-Positive Neuronal Cells
                                                                                                          Control



Effects of                                                                                *               Ketamine-infused
                                                                       20




ketamine-
                                                                       15




induced
                                                                       10




anesthesia
                                                                        5




on the
                                                                        0



                                                                      300



frontal                                                                         *
                Silver-staining (Grain Density)

                                                                      250




cortex of the                                                         200




developing
                                                                      150



                                                                                         *
monkey
                                                                      100



                                                                      50



                                                                       0


                                                                       25
                              Fluoro-Jade C-Positive Neuronal Cells




                                                                       20
                                                                                 *        *
                                                                       15




                                                                       10




                                                                        5


                                                                                                                             Slikker et al.,
                                                                                                                                 2007
                                                                        0

                                                                            GD 122    PND 5     PND 35      PND 5
                                                                            (24-hr)   (24-hr)   (24-hr)     (3-hr)                    18
(B)




(C)




      Zou et al., 2009
                         19
A




B




C




    Slikker et al., 2007
                           20
Dorsal



         Left                                   Right



                          Ventral

Drs. Xuan Zhang (NCTR), Marc Berridge (UAMS), Tucker Patterson,
Glenn Newport, Cheng Wang, and Merle Paule (NCTR)
                                                                  21
Dynamic Uptake of [18F]-AnnexinV

                   4
                                                                         Control
                                                                         Ketamine



                   3
      SUV Ratio




                   2




                   1




                   0
                       0   10    20   30   40   50   60   70   80   90    100   110   120

                                                 Time (s)




N=7               SUV=total radioactivity in ROI x body weight / injection dose             22
Nanotechnology at NCTR, ARL/ORA

Nanotechnology
“Will eventually impact all Centers of the FDA”
– Component of regulated products
– Contaminant in regulated products
– Challenge to our safety assessment paradigm

Nanotechnology Working Group
– Coordinate NCTR’s and ARL/ORA’s participation in FDA’s nanotechnology
  effort

Nanotechnology Core Facility
– Support NCTR research efforts and serve as FDA core




                                                                          23
Nanotechnology at NCTR, ARL/ORA
                         Overall Strategy


Research projects requested by FDA Centers (protocol-based studies)
– FDA resources
– through NTP IAG
– through CRADA, MOU, etc


   Support/Resources                  Engage/Dialogue
   – NCTR/ORA Nanotechnology          – FDA            – NNI
     Core Facility                    – NTP/NIEHS      – OECD
   – UALR                             – EPA            – DOD
   – UAMS                             – SOT
   – UA
                                                                      24
Nanotechnology Core Facility

Resources (on site, purchased, or funds available)
–   Transmission electron microscope (TEM)
–   HPLC with light scatter detection
–   Confocal microscopy (fluorescence detection)
–   Confocal microscopy (Raman and FTIR detection)
–   High resolution darkfield microscopy (hyperspectral detection)
–   Atomic force microscope
–   Particle size analyzers (1 nm -1 mm)
–   Inductively coupled plasma mass spectrometer (ICP-MS)
–   BET material surface analyzer
–   Wavelength dispersive X-ray fluorescence spectrometer
–   Sample preparation for electron microscopy



                                                                     25
Collaborations with Agencies/Universities/
                    Research Facilities
IAGs                                             CRADAs
– Environmental Protection Agency (EPA)          – Argus Research Laboratories
– Federal Aviation Administration (FAA)          – Primedica Corp
– National Institute of Environmental Health     – AstraZeneca
  Science (NIEHS)                                – Litmus
– National Cancer Institute (NCI)                – LLCPI
– National Institutes of Health (NIH)/National   – Pfizer, Inc.
  Institute of Environmental Health Science      – RxGen, Inc.
  (NIEHS)
                                                 – SAS Institutes, Inc.
– Environmental Protection Agency
  (EPA)/National Health and Environmental        – Sigma Tau Research, Inc.
  Effects Research Laboratory (NHEERL)           – University of Illinois
– National Institutes of Health (NIH)/National   – University of Arkansas at Little
  Institute of Child Health and Human              Rock
  Development (NICHD)                            – University of Arkansas for
– National Institutes of Health (NIH)/National     Medical Sciences
  Toxicology Program (NTP)                                                       26
FDA/NIEHS IAG
..…to conduct comprehensive toxicological assessments on selected FDA and
NIEHS high priority chemicals nominated to the National Toxicology Program…

FDA Nominations                            NTP/NIEHS Nominations
   Chloral Hydrate (CFSAN)                    Endocrine Active Chemicals
   Fumonisin B1 (CFSAN)                        – Methoxychlor
   Malachite Green (CVM)                       – Genistein (CFSAN)
   Urethane/Ethanol (CFSAN)                    – Nonylphenol (CDER)
   Riddelliine (CFSAN)                         – Vinclozolin
   α & β Hydroxy Acids (CFSAN)*                – Ethinyl Estradiol (CDER)
    – Glycolic Acid                           Riddelliine (CFSAN/Adducts)
    – Salicylic Acid                          Aloe vera (NCI-Oral & Dermal)
   Ephedra (NCI/ODS - CFSAN)                  AIDS Therapeutics
   Retinyl Palmitate (CFSAN)                   – Zidovudine (AZT)
   Ketamine (CDER)                             – Nevirapine (NVP)
   Bisphenol A (CFSAN)                         – Lamivudine (3TC)
   Acrylamide (CFSAN)                          – Nelfinavir (NFV)
   Bitter Orange (CFSAN)                       – Efavirenz
   Usnic Acid (CFSAN)                         Glucosomine/Chrondroitin
   Di-(2-ethylhexyl) Phthalate                (CFSAN)
   (CBER/CDRH)                                AZT P53 ko Mouse Study (CDER)
   Permanent Makeup Pigments
   (CFSAN)
                                                                          27
FDA and kFDA Collaboration
The letter of agreement was signed
NCTR/FDA and NITR/KFDA Joint Workshop on
Toxicogenomics - July 15-16, 2009
– kFDA Participants: Drs. Sue Nie Park, Hong-Ki Min, Ki-Suk
  Park, Ho-Sang Jeong, and Wan-Seob Cho
Collaborative projects
– Liver Toxicity Knowledge Base (Dr. Weida Tong at NCTR
  and Dr. Ho-Sang Jeong at kFDA)




                                                              28
FDA Science


          CFSAN



CBER                 CDER


           NCTR

ORA                  CDRH



           CVM

                            29

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2009 korea slikker_korea_발표용(1)

  • 1. Advances in Approaches to Food and Drug Safety Assessment William Slikker, Jr., PhD, ATS National Center for Toxicological Research U.S. Food and Drug Administration Jefferson, Arkansas The views expressed in this presentation do not necessarily reflect those of the FDA. 1
  • 2. NCTR is Unique Established in January 1971 by Executive Order as a non-regulatory national resource owned and managed within DHHS by FDA to conduct integrated toxicological research and foster interagency, academic, and industrial collaboration in support of risk assessment needs related to public health. 2
  • 3. NCTR Vision NCTR is an internationally recognized FDA research center that provides innovative, vital scientific technology, training, and technical expertise to improve public health. NCTR—in partnership with researchers from government, academia, and industry—develops, refines, and applies current and emerging technologies to improve safety evaluations of FDA-regulated Products. NCTR fosters international and intragovernmental cooperation to improve and protect public health and enhance the quality of life for the American people. 3
  • 4. Department of Health and Human Services Food and Drug Administration National Center for Toxicological Research HHS … NIH FDA CDC … CBER CDER CDRH CFSAN CTP CVM NCTR ORA 4
  • 5. FDA Strategic Goals Strengthen FDA for today and tomorrow – Science foundation – Partnerships and communication Improve Patient and Consumer Safety – Strengthen science foundation – Provide patients access to risk benefit information Increase Access to New Medical and Food Products – Critical Path to Personalized Nutrition and Medicine Improve the Quality and Safety of Manufactured Products and the Supply Chain – Modernize science-based standards and tools to provide high quality manufacturing processing and duplication 5
  • 6. NCTR Strategic Goals Innovative toxicology for regulatory decisions Promote personalized medicine and nutrition Bioinformatics Food safety Mentorship/training 6
  • 7. NCTR/FDA Research Strategy Focus research resources on: – Regulatory issues to enhance decision making – Technical innovations to speed FDA-regulated product review and safety assessment 7
  • 8. Primate 9 BSL-3 ARL Bld. FDA Disaster NTP/FDA Photx. Laboratories Suites Recovery Laboratories FDA Nano Core Facility Bio-Imaging Center Dietary General Animal Preparation Housing Visitor Housing 23 Pathology Laboratories 82 Accredited animal and 123 experimental laboratories / 1M sq ft. in 30 buildings 8
  • 9. Department of Health and Human Services Food and Drug Administration National Center for Toxicological Research Office of the Director William Slikker, Jr. Ph.D. Office of Research Coordinating Council Jeanne F. Anson Fred Beland, Ph.D. Jim Kaput, Ph.D. Paul Howard, Ph.D. NCTR Executive Officer & Dir., Division of Dir., Division of Personalized Assoc. Dir. for Assoc. Dir. for Office of Planning Biochemical Toxicology Nutrition & Medicine Scientific Coordination & Resource Management Martha Moore, Ph.D. Donna Mendrick, Ph.D. Thomas F. Flammang, Ph.D. Margaret Miller, Ph.D. Dir., Division of Genetic & Dir., Division of Senior Advisor Assoc. Dir. for Reproductive Toxicology Systems Toxicology for Science Regulatory Activities Jeff Carraway, DVM Jennings Partridge Vicky Ross-Barsh, Carl Cerniglia, Ph.D. Dir., Division of Assoc. Dir. for Regulatory Assoc. Dir. for Dir., Division of Microbiology Veterinary Services Compliance & Risk Management Executive Programs & Services Merle Paule, Ph.D. Dir., Division of Neurotoxicology 9
  • 10. Advancing FDA Science Nanotechnology Food Safety Critical Path Bio-imaging Nutrition and Obesity Regulatory Science Bioinformatics 10
  • 11. ArrayTrack™: An Integrated Solution for Omics Research Clinical and nonclinical data OH HO H Microarray data Chemical data ArrayTrack™ Proteomics data Public data Metabolomics data 11
  • 12. Results from the MicroArray Quality Control (MAQC) Study Six research papers published in Nature Biotechnology on Sept and Oct 2006 MAQC Main Paper Validation of Microarray Results RNA Sample Titrations One-color vs. Two-color Microarrays External RNA Controls Rat Toxicogenomics Validation Nat. Biotechnol. 24(9) and 24(10s), 2006 137 Participants from 51 Organizations 12
  • 13. An Array of FDA Endeavors Integrated Nature of VGDS, ArrayTrack™, MAQC, and Best Practice Document E-Submission VGDS MAQC ArrayTrack™ 13
  • 15. Bio-Imaging at NCTR/FDA MicroPET Biospec MRI 23 cm bore 7 Telsa, 30 cm bore 15
  • 16. Pediatric Anesthetics Ketamine, a non-competitive NMDA receptor antagonist, has been used as a general pediatric anesthetic for surgical procedures in infants. Ketamine is one of the most commonly used agents for mild sedation in pediatric emergency departments, endoscopy suites, catheterization laboratories, radiology suites, and intensive care units. 16
  • 17. A Control (24-hr) B Ketamine (24-hr) C Control (24-hr) D Ketamine (24-hr) E Control (24-hr) Control (24- hr) E F Ketamine (24-hr) Slikker et al., 2007 17
  • 18. 25 * Caspase 3-Positive Neuronal Cells Control Effects of * Ketamine-infused 20 ketamine- 15 induced 10 anesthesia 5 on the 0 300 frontal * Silver-staining (Grain Density) 250 cortex of the 200 developing 150 * monkey 100 50 0 25 Fluoro-Jade C-Positive Neuronal Cells 20 * * 15 10 5 Slikker et al., 2007 0 GD 122 PND 5 PND 35 PND 5 (24-hr) (24-hr) (24-hr) (3-hr) 18
  • 19. (B) (C) Zou et al., 2009 19
  • 20. A B C Slikker et al., 2007 20
  • 21. Dorsal Left Right Ventral Drs. Xuan Zhang (NCTR), Marc Berridge (UAMS), Tucker Patterson, Glenn Newport, Cheng Wang, and Merle Paule (NCTR) 21
  • 22. Dynamic Uptake of [18F]-AnnexinV 4 Control Ketamine 3 SUV Ratio 2 1 0 0 10 20 30 40 50 60 70 80 90 100 110 120 Time (s) N=7 SUV=total radioactivity in ROI x body weight / injection dose 22
  • 23. Nanotechnology at NCTR, ARL/ORA Nanotechnology “Will eventually impact all Centers of the FDA” – Component of regulated products – Contaminant in regulated products – Challenge to our safety assessment paradigm Nanotechnology Working Group – Coordinate NCTR’s and ARL/ORA’s participation in FDA’s nanotechnology effort Nanotechnology Core Facility – Support NCTR research efforts and serve as FDA core 23
  • 24. Nanotechnology at NCTR, ARL/ORA Overall Strategy Research projects requested by FDA Centers (protocol-based studies) – FDA resources – through NTP IAG – through CRADA, MOU, etc Support/Resources Engage/Dialogue – NCTR/ORA Nanotechnology – FDA – NNI Core Facility – NTP/NIEHS – OECD – UALR – EPA – DOD – UAMS – SOT – UA 24
  • 25. Nanotechnology Core Facility Resources (on site, purchased, or funds available) – Transmission electron microscope (TEM) – HPLC with light scatter detection – Confocal microscopy (fluorescence detection) – Confocal microscopy (Raman and FTIR detection) – High resolution darkfield microscopy (hyperspectral detection) – Atomic force microscope – Particle size analyzers (1 nm -1 mm) – Inductively coupled plasma mass spectrometer (ICP-MS) – BET material surface analyzer – Wavelength dispersive X-ray fluorescence spectrometer – Sample preparation for electron microscopy 25
  • 26. Collaborations with Agencies/Universities/ Research Facilities IAGs CRADAs – Environmental Protection Agency (EPA) – Argus Research Laboratories – Federal Aviation Administration (FAA) – Primedica Corp – National Institute of Environmental Health – AstraZeneca Science (NIEHS) – Litmus – National Cancer Institute (NCI) – LLCPI – National Institutes of Health (NIH)/National – Pfizer, Inc. Institute of Environmental Health Science – RxGen, Inc. (NIEHS) – SAS Institutes, Inc. – Environmental Protection Agency (EPA)/National Health and Environmental – Sigma Tau Research, Inc. Effects Research Laboratory (NHEERL) – University of Illinois – National Institutes of Health (NIH)/National – University of Arkansas at Little Institute of Child Health and Human Rock Development (NICHD) – University of Arkansas for – National Institutes of Health (NIH)/National Medical Sciences Toxicology Program (NTP) 26
  • 27. FDA/NIEHS IAG ..…to conduct comprehensive toxicological assessments on selected FDA and NIEHS high priority chemicals nominated to the National Toxicology Program… FDA Nominations NTP/NIEHS Nominations Chloral Hydrate (CFSAN) Endocrine Active Chemicals Fumonisin B1 (CFSAN) – Methoxychlor Malachite Green (CVM) – Genistein (CFSAN) Urethane/Ethanol (CFSAN) – Nonylphenol (CDER) Riddelliine (CFSAN) – Vinclozolin α & β Hydroxy Acids (CFSAN)* – Ethinyl Estradiol (CDER) – Glycolic Acid Riddelliine (CFSAN/Adducts) – Salicylic Acid Aloe vera (NCI-Oral & Dermal) Ephedra (NCI/ODS - CFSAN) AIDS Therapeutics Retinyl Palmitate (CFSAN) – Zidovudine (AZT) Ketamine (CDER) – Nevirapine (NVP) Bisphenol A (CFSAN) – Lamivudine (3TC) Acrylamide (CFSAN) – Nelfinavir (NFV) Bitter Orange (CFSAN) – Efavirenz Usnic Acid (CFSAN) Glucosomine/Chrondroitin Di-(2-ethylhexyl) Phthalate (CFSAN) (CBER/CDRH) AZT P53 ko Mouse Study (CDER) Permanent Makeup Pigments (CFSAN) 27
  • 28. FDA and kFDA Collaboration The letter of agreement was signed NCTR/FDA and NITR/KFDA Joint Workshop on Toxicogenomics - July 15-16, 2009 – kFDA Participants: Drs. Sue Nie Park, Hong-Ki Min, Ki-Suk Park, Ho-Sang Jeong, and Wan-Seob Cho Collaborative projects – Liver Toxicity Knowledge Base (Dr. Weida Tong at NCTR and Dr. Ho-Sang Jeong at kFDA) 28
  • 29. FDA Science CFSAN CBER CDER NCTR ORA CDRH CVM 29