Abstract
Drug-induced cardiotoxicity resulted in withdrawal of cardiovascular as well as non-cardiovascular drugs from the market. This revealed the lacunae of preclinical safety evaluation and forced the International Conference on Harmonization to develop stringent guidelines for preclinical safety evaluation and to include cardiotoxicity testing as a part of repeated dose toxicity studies. Still there is a gap of species variation in preclinical-to-clinical translation of drug safety profile. European Centre for the Validation of Alternative Methods is engaged in bridging this gap. This chapter reviews the established test methods on the in vitro cardiotoxicity testing as per the guidelines as well as the upcoming alternative methods based on human embryonic or human-induced pluripotent stem cell-derived cardiomyocytes.
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Shinde, V., Chaudhari, U., Sotiriadou, I., Hescheler, J., Sachinidis, A. (2014). In Vitro Methods for Cardiotoxicity Testing. In: Bal-Price, A., Jennings, P. (eds) In Vitro Toxicology Systems. Methods in Pharmacology and Toxicology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0521-8_3
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