RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form PEST MANAGEMENT CENTRE – Veterinary Drugs Initiative Human Safety - Residue Depletion Trial Application Form The purpose of the residue depletion trials is to quantify residue concentrations of marker residue in rabbit tissues after administration of proposed label doses of drugs. The tissue residue depletion data will be used by the Veterinary Drugs Directorate, Health Canada to calculate an appropriate withdrawal period after label use of the drug in rabbits (Annex 1, Table 1). The purpose of this template is to provide applicants with the “key elements” of a well-structured residue depletion trial protocol, such that meaningful safety data are generated. It is recommended that applicants submit a description of the planned protocol for each element listed. Alternate approaches to the principles described in this document may be acceptable provided they are supported by adequate scientific justification. The objective of the application form is to guide bidders in the preparation of their bid and to provide AAFC with a tool to better assess, evaluate, and contrast the proposals submitted. It’s very important to fully complete every field. By having this template in MS Word allows bidders to adjust the space in each field according to the size of information used to fulfill / address the template requirements. COMPLETE ONE HUMAN SAFETY - RESIDUE DEPLETION TRIAL APPLICATION FORM FOR EACH TRIAL FOR WHICH YOU ARE MAKING A BID. Submit hard copies of each form with your proposal as indicated in the Request for Proposals 01B68-0068. It is not necessary to submit reference letters and general company information with each application form (one set of each per proposal copy is sufficient). HUMAN SAFETY - RESIDUE DEPLETION TRIAL APPLICATION FORM Trial number: Test animal: Authorized Medicated Premixes* (product name and DIN): Target dosage and duration: 1 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form Name of Organization: Mailing Address: Contact person Name/Title: Tel: E-mail: Fax: Study Monitor details: Name: Tel: Fax: E-mail: Principal Investigator details: Name: Tel: Fax: E-mail: HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM 2 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM Objective The applicant should specify the primary objective of the residue depletion trial i.e., drug product to be tested and dosage. For reference, some information is provided in Annex 1 however, alternate dosage and/or other approved products may be acceptable provided they are supported by adequate rationale. Experience in the conduct of veterinary drugs residue depletion trials Provide evidence (by way of a minimum of two letters of reference) of having completed a minimum of three residue depletion trials in a satisfactory manner Reference letters should demonstrate work experience that is clearly related to the projects described. References must include the name of the organization for whom the work was done, the name of the individual who was the project authority or equivalent, their phone number, fax, mailing and email addresses. Study Facility. Provide evidence that a facility where the in-life phase of the study has been identified, and secured. GLP compliance. The applicant must identify a GLP-compliant laboratory which is capable of quantifying the drug residue concentrations in rabbit tissues. The assay used by the contract laboratory must be validated, including matrix validation in rabbit tissues. Copy of GLP certification must be provided. Key participants 3 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM The applicant should provide a full list of key study participants, including résumé, experience and publications for each study investigator. In-life phase Study facility: The facility where the in-life phase of the study should be identified, and should be appropriate for such studies. Test Animals. The breeds, ages, and sex of rabbits used in the residue depletion studies should be consistent with those likely to be treated on Canadian farms. Inclusion/exclusion criteria for test animals should be identified. Conditions (e.g., health conditions, adverse events etc.) that may need to exclude an animal from the trial should be considered. 4 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM Drug treatment: Rabbits in the residue depletion should receive the test compound in a manner consistent with Canadian rabbit husbandry conditions (i.e., oral administration in feed, as opposed to gastric lavage). The dose and duration of treatment are identified for each drug in Table 1 (under Human Safety). For a drug that will qualify for a 0day withdrawal period, the dose used should be 1.5x to 2x the recommended dose for maximum duration of treatment. Rabbits cannot receive concurrent administration of other veterinary drugs which may interfere with the absorption, metabolism, or excretion of the compound of interest, or may interfere with the analytical method used to quantify the residues. Animal husbandry: Animal management should be to the extent possible consistent with commercial Canadian rabbitry conditions with proper considerations for animal welfare. Feeds should be appropriate for the age. Nominal and actual concentration of the drug in medicated feed, and the date and time medicated feed was introduced and withdrawn should be recorded. Daily feed offered and consumed should be recorded for each animal to determine the nominal and actual dose administered Any adverse health effects on animals during the treatment period should be recorded, and assessed to determine if it may have an impact on incurred residues 5 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM Animal numbers: A minimum of 20 rabbits should be utilized in the residue depletion study. Groups of 4 – 5 rabbits should be euthanized at various time points following the cessation of treatment. The slaughter time interval should be equally spaced, and encompass the expected withdrawal period for the drug. Applicants should justify the proposed sampling periods based on published pharmacokinetic data and assay sensitivity. If the drug qualifies for a 0-day withdrawal, only 10 rabbits need to be treated at 1.5x to 2x the recommended dose and maximum duration of treatment, and all animals euthanized at practical 0-day, which is considered to be 6 hours after the withdrawal of medicated feed. Animal management A description should be provided regarding planned animal management, i.e., feeding, husbandry, including consideration and all applicable information to ensure animal welfare during the generation of information from clinical studies. Analytical phase Tissues should be analyzed for the marker residue concentration using a validated method Applicants will be requested to provide evidence of assay validation. If the proposed tissue assay methods have not been validated for use in rabbit tissues, the applicant should include a summary of the proposed matrix validation process (including timelines for completion of validation studies). 6 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM The limits of detection (LOD) and quantification (LOQ) of the proposed assay should be provided. Data requirements for all residue depletion trials Applicants must identify appropriate strategies to record and assess all deviations from the study plan. Applicants will provide a copy of the master schedule for animal phase of the study. Applicants will be required to submit a final report, including properly summarized and statistically analyzed data, including a copy of the raw data from the in-life or analytical phases of the residue depletion trial (such as feed consumption data, assay validation reports, chromatograms, etc.) Other safety variables Site health observations, individual animal assessments, body weights, feed intake 7 RFP 01B68-13-0068 Appendix D Annex 1 Veterinary Drugs Human Safety – Residue Depletion Trials Application Form HUMAN DEPLETION - RESIDUE DEPLETION TRIAL APPLICATION FORM Final Human Safety - Residue Depletion Report Data generated should be properly summarized and statistically analyzed. A final study report signed by all study participates must be submitted This report should include all study conclusions and interpretations. The data should be comprehensively summarized, including the use of tables, and figures. Individual case reports (i.e., raw data) should be collated and included at the end of the study report. 8