Evidence map›Paper›PMID 39693112›Full record

ArticleToxicological sciences : an official journal of the Society of Toxicology2025

Advancing systemic toxicity risk assessment: Evaluation of a NAM-based toolbox approach.

Sophie Cable, Maria Teresa Baltazar, Fazila Bunglawala, Paul L Carmichael, Leonardo Contreas, Matthew Philip Dent, Jade Houghton, Predrag Kukic, Sophie Malcomber, Beate Nicol and 7 more

Abstract read
In one paragraph

Article in Toxicological sciences : an official journal of the Society of Toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Sophie CableSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Maria Teresa BaltazarSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Fazila BunglawalaSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Paul L CarmichaelSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Leonardo ContreasSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Matthew Philip DentSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Jade HoughtonSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Predrag KukicSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Sophie MalcomberSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Beate NicolSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Katarzyna R PrzybylakSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Ans PuntSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Georgia ReynoldsSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Joe ReynoldsSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Sharon ScottSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Dawei TangSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.
Alistair M MiddletonSafety and Environmental Assurance Centre (SEAC), Unilever, Colworth Science Park, Sharnbrook MK44 1lQ, United Kingdom.ORCID 0000-0002-9508-4117

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For many years, a method that allowed systemic toxicity safety assessments to be conducted without generating new animal test data, seemed out of reach. However, several different research groups and regulatory authorities are beginning to use a variety of in silico, in chemico, and in vitro techniques to inform safety decisions. To manage this transition to animal-free safety assessments responsibly, it is important to ensure that the level of protection offered by a safety assessment based on new approach methodologies (NAMs), is at least as high as that provided by a safety assessment based on traditional animal studies. To this end, we have developed an evaluation strategy to assess both the level of protection and the utility offered by a NAM-based systemic safety "toolbox." The toolbox comprises physiologically based kinetic models to predict internal exposures, and bioactivity NAMs designed to give broad coverage across many different toxicity modes of action. The output of the toolbox is the calculation of a bioactivity:exposure ratio (analogous to a margin of internal exposure), which can be used to inform decision-making. In this work, we have expanded upon an initial pilot study of 10 chemicals with an additional 38 chemicals and 70 consumer exposure scenarios. We found that, for the majority of these (>90%), the NAM-based workflow is protective of human health, enabling us to make animal-free safety decisions for systemic toxicity and preventing unnecessary animal use. We have also identified critical areas for improvement to further increase our confidence in the robustness of the approach.

Indexed as

Models, BiologicalToxicity TestsAnimalsAnimal Testing AlternativesComputer SimulationHumansRisk Assessmentnew approach methodologiesrisk assessmentsystemic toxicity

Identifiers

PMID39693112
PMCPMC11879040

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.