For over half a century, the regulatory agencies that oversee drug development and testing of new chemical and molecular entities that address human disease has relied on a requirement for animal testing. While this may have represented the most reliable method of predicting clinical safety and efficacy in humans in the past, it is now recognized that scientific advances made in the past decades, such as those elucidated from The Human Genome Project, have lead to a deeper understanding of the genetic basis of disease. Many of the most promising therapies of today are genetic-based, making a human relevant model for assessing their safety and efficacy a logical and desirable one. Today, we also have human-derived assay tools in the toolkit, such as 2D and 3D cell cultures and "organs on chips"- living cell systems architecturally accurate and functionally supported, for studying the effects of drugs and chemicals in vitro. This presents an opportunity to examine the potential for a model with greater predictability of human clinical outcome than the current animal models. While these newer technologies are being utilized and tested in industry and academia today, there is currently no organized and meaningful pathway to validation of them. Clearing this hurdle has not yet been solved. Thus, these newer technologies remain largely curiosities, the topic of a few working groups and committees. A much broader conversation, industry-wide adoption and application, with peer review process would be needed to facilitate a formal pathway to their validation. The greatest barrier to be overcome in a potential shift from animal models to a human-relevant model is the enormous quantity and quality of data required to meet the burden of validating a new model. GIVVISH is a proposed platform for organizing and analyzing all the subsets of data these technologies are generating - from industry, academia, consortia, government, and existing databases for predictive modeling. With real-time data review, predictive modeling generation , peer review, and a feedback loop continually updating between industry and regulators on validation criteria parameters, the platform would continue to refine, aligning state-of-science with state-of-regulatory. A natural shift to a human relevant model would unfold organically based on the science. "Big Data" analyzed from human-relevant models is the logical pathway to a 21st century solution.
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