METISOX

Regulatory Toxicology ยท Carcinogenicity Risk Assessment

Make the case for your next carcinogenicity study decision.

Build a scientifically grounded case for whether a two-year carcinogenicity study is needed.

Metisox integrates the available evidence under the ICH S1B(R1) Weight of Evidence approach to assess carcinogenic potential in humans. Our experts connect target biology, pharmacology and toxicology findings to help you determine whether the evidence supports avoiding a long-term study, points to the need for further investigation, or leaves the risk uncertain.

Get an integrated scientific assessment, identify evidence gaps and build a documented rationale for regulatory consultation.

Discuss your CRA

Answer the questions that shape your development plan

Is a two-year carcinogenicity study necessary?

ICH S1B(R1) enables an integrated Weight of Evidence assessment to inform decisions about long-term carcinogenicity studies. Metisox evaluates the available evidence to help you build a rationale for your next step.

What does the evidence say about human risk?

We connect findings across biological mechanisms, animal studies and human data to assess whether observed effects are likely to be relevant to humans.

What evidence is missing?

Our assessment identifies uncertainties and knowledge gaps that may require additional data or investigative studies.

How do we support regulatory discussions?

We deliver a structured, expert-written Weight of Evidence assessment that documents the scientific rationale behind your conclusions and supports regulatory consultation.

One integrated assessment. Six key evidence domains.

Our experts evaluate the totality of relevant evidence in line with ICH S1B(R1), rather than relying on an individual study or finding.

Target biology

Biological function, expression, pathways and the mechanisms that may influence carcinogenic potential.

Secondary pharmacology

Target selectivity, interaction networks and off-target activity that may contribute to safety risks.

Chronic toxicity and histopathology

Findings from chronic studies, including lesions and observations relevant to carcinogenicity.

Hormonal effects

Evidence of endocrine perturbation and potential hormonal mechanisms.

Genotoxicity

Available genotoxicity findings and their relevance to human carcinogenic risk.

Immune modulation

Evidence of immune effects that may contribute to carcinogenic potential.

We also integrate relevant cancer-model and human evidence, including findings from genetically modified animals, human cancer cell studies and human genetic association studies.

From evidence to a development decision

Likely, unlikely or uncertain: understand what comes next.

Our CRA evaluates the overall evidence and helps your team understand its implications.

Carcinogenic potential likely

Document the Weight of Evidence assessment and seek regulatory consultation on whether a long-term study can be avoided.

Carcinogenic potential unlikely

Build a documented scientific rationale and seek regulatory consultation on the proposed study strategy.

Carcinogenic potential uncertain

Identify the need for additional evidence or investigative studies, potentially including long-term carcinogenicity studies.

The appropriate next step depends on the complete evidence package and regulatory assessment. Metisox provides the scientific analysis to support that decision; it does not guarantee a particular regulatory outcome.

Evidence that can change the study strategy

A target not expressed in rats

In one Metisox case, the Weight of Evidence assessment supported taking the evidence to the FDA instead of proceeding with a six-month study.

Rat findings, no human risk

In another case, mammary findings were traced to a rodent-specific hormonal mechanism, helping distinguish the observed findings from human-relevant risk.

These examples illustrate how integrating mechanistic and species-specific evidence can inform development decisions.

Expert analysis, built around your program

Metisox combines a proprietary scientific knowledge base with expert toxicology assessment. Our experts connect the evidence, evaluate its relevance and document the rationale in a report tailored to your needs.

You receive a full CRA report aligned with the ICH S1B(R1) Weight of Evidence approach, helping your team plan investigations, assess potential risks and prepare for regulatory consultation.

Make your next carcinogenicity decision with a stronger evidence base.

Discuss your compound, available studies and development objectives with Metisox.

Request a CRA assessment