Key result
Analyzing pressure and flowmetry waveforms in rodents could clarify toxicological mechanisms and safety pharmacology.
Why the study?
Preclinical cardiovascular assessments are mostly limited to blood pressure and heart rate averages, whereas detailed waveform analysis could better predict drug-related toxicities.
Detailed waveform analysis of haemodynamic data in preclinical rodent models may improve the prediction of cardiovascular safety liabilities of novel therapeutics.
May refine preclinical CV safety screening; leaves open human translation pending prospective validation.
Animal models are essential for assessing cardiovascular responses to novel therapeutics. Cardiovascular safety liabilities represent a leading cause of drug attrition and better preclinical measurements are essential to predict drug-related toxicities. Presently, radiotelemetric approaches recording blood pressure are routinely used in preclinical in vivo haemodynamic assessments, providing valuable information on therapy-associated cardiovascular effects. Nonetheless, this technique is chiefly limited to the monitoring of blood pressure and heart rate alone. Alongside these measurements, Doppler flowmetry can provide additional information on the vasculature by simultaneously measuring changes in blood flow in multiple different regional vascular beds. However, due to the time-consuming and expensive nature of this approach, it is not widely used in the industry. Currently, analysis of waveform data obtained from telemetry and Doppler flowmetry typically examines averages or peak values of waveforms. Subtle changes in the morphology and variability of physiological waveforms have previously been shown to be early markers of toxicity and pathology. Therefore, a detailed analysis of pressure and flowmetry waveforms could enhance the understanding of toxicological mechanisms and the ability to translate these preclinical observations to clinical outcomes. In this review, we give an overview of the different approaches to monitor the effects of drugs on cardiovascular parameters (particularly regional blood flow, heart rate and blood pressure) and suggest that further development of waveform analysis could enhance our understanding of safety pharmacology, providing valuable information without increasing the number of in vivo studies needed.
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Daele et al. (2022) conducted a review in Cardiovascular safety pharmacology. Waveform analysis of telemetry and Doppler flowmetry was evaluated. Detailed analysis of pressure and flowmetry waveforms in preclinical rodent models could enhance the understanding of toxicological mechanisms and safety pharmacology.
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