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The ethics of research involving animals - Nuffield Council on ...

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T h e e t h i c s o f r e s e a r c h i n v o l v i n g a n i m a l s<br />

Vaccines and veterinary medicines<br />

8.18 Characterisati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> vaccines and other biological products during stages 3 and 4 has a<br />

number <str<strong>on</strong>g>of</str<strong>on</strong>g> special features. First, the product may require modificati<strong>on</strong> so that it can be<br />

administered and remain effective as it is absorbed and transported around the body.<br />

Sec<strong>on</strong>dly, vaccines comm<strong>on</strong>ly c<strong>on</strong>tain an adjuvant (e.g. aluminium hydroxide) which is used<br />

to increase the effectiveness <str<strong>on</strong>g>of</str<strong>on</strong>g> the immune resp<strong>on</strong>se. Both vaccine modificati<strong>on</strong> and testing<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> adjuvants involve the use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g>. <str<strong>on</strong>g>The</str<strong>on</strong>g> product is <str<strong>on</strong>g>of</str<strong>on</strong>g>ten administered to <str<strong>on</strong>g>animals</str<strong>on</strong>g> and<br />

their immune resp<strong>on</strong>ses are measured by sampling blood and tissue. 23 For example, vaccines<br />

against tetanus are tested for potency in mice or guinea pigs. Animals are given the tetanus<br />

vaccine (which should c<strong>on</strong>fer protecti<strong>on</strong>) and later receive what would be expected to be a<br />

lethal or paralytic dose <str<strong>on</strong>g>of</str<strong>on</strong>g> tetanus toxin. If the vaccine has the required potency, the toxin<br />

will cause no adverse effects for the <str<strong>on</strong>g>animals</str<strong>on</strong>g> (see also Box 8.5). 24 In the past, many more tests<br />

were required during which the <str<strong>on</strong>g>animals</str<strong>on</strong>g> showed symptoms <str<strong>on</strong>g>of</str<strong>on</strong>g> the disease, which could be<br />

severe and even lead to death. This methodology has been replaced in many cases by earlier,<br />

more humane, experimental endpoints (see paragraph 5.22), such as changes in weight,<br />

body temperature or behaviour. 25 In additi<strong>on</strong>, blood and tissue markers <str<strong>on</strong>g>of</str<strong>on</strong>g> infecti<strong>on</strong> are<br />

increasingly used. 26<br />

8.19 <str<strong>on</strong>g>The</str<strong>on</strong>g> development <str<strong>on</strong>g>of</str<strong>on</strong>g> new veterinary medicines <str<strong>on</strong>g>of</str<strong>on</strong>g>ten involves studies that use the same<br />

species for which the medicine is intended. Usually, <str<strong>on</strong>g>animals</str<strong>on</strong>g> with specific diseases are used as<br />

models, although <str<strong>on</strong>g>animals</str<strong>on</strong>g> sp<strong>on</strong>taneously affected by the disease or c<strong>on</strong>diti<strong>on</strong> are also used<br />

in field studies. 27 <str<strong>on</strong>g>The</str<strong>on</strong>g> effect <strong>on</strong> the <str<strong>on</strong>g>animals</str<strong>on</strong>g> is specific to the area <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>research</str<strong>on</strong>g>, and may<br />

depend also <strong>on</strong> the state <str<strong>on</strong>g>of</str<strong>on</strong>g> their health. For example, in the case <str<strong>on</strong>g>of</str<strong>on</strong>g> the severe respiratory<br />

disease pasteurellosis, which affects cattle, 450 calves were used in a programme to develop<br />

a vaccine and a significant proporti<strong>on</strong> suffered from the disease. 28 <str<strong>on</strong>g>The</str<strong>on</strong>g> vaccine that was<br />

developed has now been used successfully to bring the disease under c<strong>on</strong>trol. 29 In field trials<br />

potential suffering is usually avoided by comparing the new vaccine to existing treatments<br />

(if available) rather than using placebos as a comparis<strong>on</strong>.<br />

Stage 5: selecting candidate medicines and ensuring their safety<br />

8.20 <str<strong>on</strong>g>The</str<strong>on</strong>g> aim <str<strong>on</strong>g>of</str<strong>on</strong>g> stage 5 is to decide whether promising compounds could be tested in trials<br />

<str<strong>on</strong>g>involving</str<strong>on</strong>g> human volunteers. Questi<strong>on</strong>s that need to be addressed include:<br />

■ Do particular compounds meet the quality threshold to be a successful medicine?<br />

■ Would the medicine be safe and effective for humans?<br />

■ How best could the medicine be administered?<br />

23 Leenaars PPAM, Hendriksen CFM, de Leeuw WA et al. (1999) <str<strong>on</strong>g>The</str<strong>on</strong>g> producti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> polycl<strong>on</strong>al antibodies in laboratory <str<strong>on</strong>g>animals</str<strong>on</strong>g><br />

ECVAM Workshop Report 35 ATLA 27: 79–102.<br />

24 See Weisser K and Hechler U (1997) Animal Welfare Aspects in the Quality C<strong>on</strong>trol <str<strong>on</strong>g>of</str<strong>on</strong>g> Immunobiologicals: A critical<br />

evaluati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> animal tests in pharmacopoeial m<strong>on</strong>ographs (Nottingham: FRAME, ECVAM and the Paul Ehrlich Institut).<br />

25 See Hendriksen CFM and Mort<strong>on</strong> DB (Editors) (1999) Humane Endpoints in Animal Experiments for Biomedical Research<br />

Proceedings <str<strong>on</strong>g>of</str<strong>on</strong>g> the Internati<strong>on</strong>al C<strong>on</strong>ference, 22–25 Nov 1998, Zeist, <str<strong>on</strong>g>The</str<strong>on</strong>g> Netherlands (L<strong>on</strong>d<strong>on</strong>: Royal Society <str<strong>on</strong>g>of</str<strong>on</strong>g> Medicine),<br />

available at: http://www.lal.org.uk/endpoints1.html. Accessed <strong>on</strong>: 26 Apr 2005.<br />

26 Griffin JF (2002) A strategic approach to vaccine development: animal models, m<strong>on</strong>itoring vaccine efficacy, formulati<strong>on</strong> and<br />

delivery Adv Drug Deliv Rev 54: 851–61.<br />

27 This is regulated under the authority <str<strong>on</strong>g>of</str<strong>on</strong>g> Animal Test Certificates (ATC). See Veterinary Medicines Directorate (2004) Animal<br />

Test Certificates, available at: http://www.vmd.gov.uk/lu/amelia/amelia13n.pdf. Accessed <strong>on</strong>: 26 Apr 2005.<br />

28 This would have included the <str<strong>on</strong>g>animals</str<strong>on</strong>g> used as the positive c<strong>on</strong>trols (to prove the bacteria could cause the disease) and<br />

unprotected <str<strong>on</strong>g>animals</str<strong>on</strong>g> that had been administered trial vaccines that proved ineffective.<br />

29 Nati<strong>on</strong>al Office <str<strong>on</strong>g>of</str<strong>on</strong>g> Animal Health (2002) Vaccinati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> farm <str<strong>on</strong>g>animals</str<strong>on</strong>g>, available at:<br />

http://www.noah.co.uk/issues/briefingdoc/22-vaccfarm<str<strong>on</strong>g>animals</str<strong>on</strong>g>.htm. Accessed <strong>on</strong>: 3 May 2005.<br />

140

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