Regulatory

Crafting a Persuasive EFSA Health Claim: The Role of Preclinical Data

Written by Steve Morrison | May 17, 2024 10:44:19 AM

Pre-clinical data plays a crucial role in the success of health claim submissions, but its impact is often misunderstood. This comprehensive blog explores the importance of pre-clinical data, how to maximize its influence, and provides insights into successful case studies.

Table of Contents

The Misconception Around Preclinical Data

Pre-clinical data often carries a misconception regarding its role in health claim submissions. Let's clear up these misunderstandings.

 

Pre-clinical Data vs. Human Studies

Many believe that a significant amount of positive pre-clinical data can reduce the need for human studies. This is not necessarily true. Pre-clinical data is valuable, but it cannot replace human intervention studies.

 

Supportive Role of Pre-clinical Data

Pre-clinical data includes animal model data and in vitro studies. Its primary role is to support human data. It provides early insights but does not establish cause and effect.

 

EFSA's Stance on Preclinical Data

EFSA's guidelines emphasize that human intervention studies are crucial. They use pre-clinical data as supplementary evidence. If human data is inadequate, EFSA may not even review the pre-clinical data.

The Hierarchy of Evidence in EFSA's Decision-Making

Understanding EFSA's hierarchy of evidence is essential for successful health claim submissions. This section breaks down their approach.

 

Cause and Effect

EFSA prioritizes cause and effect in their decision-making. This means proving the direct impact of a product on health outcomes.

 

Human Intervention Studies

Human intervention studies sit at the top of EFSA's hierarchy. These studies provide the most robust evidence for cause and effect.

 

Supportive Evidence

Pre-clinical data serves as supportive evidence. While it can strengthen a submission, it cannot replace human data.

 

EFSA's Past Applications

Reviewing past applications shows EFSA's preference for human data. They often disregard pre-clinical data if the human data is insufficient.

To learn more about the evidence based approach of EFSA, click here.

 

Boosting the Impact of Pre-clinical Data in Your Submission

Understanding how to leverage pre-clinical data effectively can significantly strengthen your dossier, even though it cannot replace human data.

 

Organizing Your Dossier

The structure of your dossier is fixed, typically divided into six parts. Each section offers an opportunity to strategically present your data:

  • Introduction
  • Background Information
  • Study Design
  • Results
  • Discussion
  • Conclusion

 

Linking Mechanistic Work to Human Outcomes

Pre-clinical data often demonstrates the mode of action. It's crucial to link this mechanistic work to the outcomes measured in human studies.

For instance, if pre-clinical data shows a specific biological mechanism, ensure your human data aligns with this mechanism. This makes your case more compelling.

 

Addressing Reviewer Question Marks

Reviewers will naturally have questions about the relevance of your pre-clinical data. Addressing these concerns proactively is key:

  • Relative dosing: Ensure the dose in animal studies is relevant to human studies.
  • Duration of intervention: Align the duration in animal studies with human studies, considering life cycle differences.

 

Mapping Pre-clinical Data to Human Data

Mapping pre-clinical data to human data is essential for underpinning your submission. This involves correlating pre-clinical findings with human outcomes.

For example, if an animal study shows a certain effect at a specific dose, demonstrate how this translates to your human study results.

 

Strengthening Your Submission

While pre-clinical data cannot prove cause and effect, it can significantly bolster your submission. Use it to support and reinforce your human data.

By effectively linking mechanistic work to human outcomes and addressing reviewer concerns, you can maximize the impact of your pre-clinical data.

 

Pre-clinical Data's Influence on Successful Health Claims

Pre-clinical data has played a crucial role in some successful health claims, though it always works in conjunction with human data.

 

Case Study: Sugar Beet Fiber

One notable example is the positive Article 13.5 claim for sugar beet fiber. This case highlights how pre-clinical data can support human studies.

The claim was successful with just two human intervention studies, thanks to the unique way the product works.

 

Mechanism of Action

Sugar beet fiber acts locally in the gastrointestinal tract. It doesn't need to be absorbed to exert its effects:

  • Acts locally
  • Changes bowel function
  • Softens stools
  • Facilitates easier passage

 

Supporting Data

In this case, pre-clinical data provided essential insights into the mode of action. This supported the human studies and strengthened the overall submission.

By showing how the fiber works at a mechanistic level, the pre-clinical data reinforced the human data, making the health claim more convincing.

 

Lessons Learned

This case demonstrates that while human data is paramount, pre-clinical data can significantly influence the outcome of a health claim.

By effectively linking mechanistic insights to human outcomes, you can enhance the credibility of your submission.

 

Key Takeaways

Pre-clinical data can play a supportive role in successful health claims. However, it must be used strategically and in conjunction with robust human data.

By understanding the importance of pre-clinical data and how to leverage it effectively, you can increase the likelihood of a positive health claim outcome.

 

The Exception Rather Than the Rule

While pre-clinical data can be influential, it often serves as the exception rather than the rule in successful health claim submissions.

 

Rare Success Cases

There are instances where pre-clinical data has played a critical role. However, these cases are rare.

For example, the sugar beet fiber case is one such rare instance. It succeeded with minimal human data, supported by robust pre-clinical findings.

 

EFSA's Cautious Approach

EFSA generally takes a cautious approach to pre-clinical data. They prioritize human studies and treat pre-clinical data as supplementary.

In most submissions, pre-clinical data alone is insufficient to sway EFSA's decision.

 

Balancing Expectations

It's essential to balance expectations when relying on pre-clinical data. Recognize its supportive role but don't expect it to replace human data.

Understanding this balance can help in preparing a more realistic and effective submission.

 

The Importance of Linking Pre-clinical and Human Data

One of the most effective ways to strengthen your submission is by linking pre-clinical data with human data.

 

Creating a Cohesive Narrative

To create a compelling submission, ensure that your pre-clinical and human data tell a cohesive story.

Align the biological mechanisms observed in pre-clinical studies with the outcomes measured in human trials.

 

Mechanistic Insights

Pre-clinical studies often provide valuable mechanistic insights. These insights can explain how a product works at a biological level.

Use these insights to support and rationalize the findings in your human studies.

 

Addressing Gaps

Identify and address any gaps between pre-clinical and human data. This can involve explaining differences in dosing, duration, or biological responses.

Proactively addressing these gaps can strengthen your overall submission.

 

Practical Examples

For instance, if your pre-clinical data shows a specific biological effect, ensure your human data measures the same effect. This alignment can make your case more robust.

Use practical examples to illustrate how pre-clinical findings translate to human outcomes.

 

Final Thoughts

Linking pre-clinical and human data is crucial for a strong submission. It helps create a cohesive narrative and addresses potential reviewer concerns.

By effectively integrating pre-clinical insights with human data, you can enhance the overall credibility and persuasiveness of your health claim submission.

 

Addressing Reviewers' Questions About Dosing and Duration

Addressing reviewer concerns is crucial for a successful health claim submission. Let's dive into common questions about dosing and duration.

 

Relative Dosing

Reviewers will scrutinize the relevance of the dose used in animal studies compared to human studies. Ensuring these doses are comparable is essential.

Is the dose in the animal study relevant to the dose used in the human study?

  • Align dosing levels
  • Ensure comparability
  • Justify dose selection

 

Duration of Intervention

Another critical area is the duration of the intervention. Animal studies often involve shorter life cycles, which can complicate the comparison.

Is the duration of intervention in the animal study relevant to human studies?

  • Align study durations
  • Consider life cycle differences
  • Justify duration choices

 

Mapping Data to Human Outcomes

Mapping pre-clinical data to human outcomes is essential to underpin your submission. This involves correlating animal study findings with human study results.

For example, if an animal study shows a specific effect at a certain dose, demonstrate how this translates to your human study outcomes.

 

Strengthening Your Submission

Effectively addressing these questions can significantly bolster your submission. While pre-clinical data cannot prove cause and effect, it can support and reinforce your human data.

By proactively addressing reviewer concerns about dosing and duration, you can maximize the impact of your pre-clinical data.

If you want to learn about the dosage, safety standards and more, check out our blog post on What is a Phase 1 Clinical Trial. 

 

The Unique Case of Sugar Beet Fiber

Sugar beet fiber is a notable example of how pre-clinical data can support a successful health claim. Let's explore this unique case.

 

Positive Article 13.5 Claim

The sugar beet fiber claim is memorable due to its success with just two human intervention studies. This case highlights the product's unique mode of action.

How did pre-clinical data support this claim?

 

Mechanism of Action

Sugar beet fiber acts locally in the gastrointestinal tract. Unlike many other products, it doesn't need to be absorbed to exert its effects:

  • Acts locally
  • Changes bowel function
  • Softens stools
  • Facilitates easier passage

 

Supporting Data

In this case, pre-clinical data provided essential insights into the fiber's mode of action. This data supported the human studies and strengthened the overall submission.

By showing how the fiber works at a mechanistic level, the pre-clinical data reinforced the human data, making the health claim more convincing.

 

Lessons Learned

This case demonstrates that while human data is paramount, pre-clinical data can significantly influence the outcome of a health claim.

By effectively linking mechanistic insights to human outcomes, you can enhance the credibility of your submission.

 

Key Takeaways

Pre-clinical data can play a supportive role in successful health claims. However, it must be used strategically and in conjunction with robust human data.

Understanding the importance of pre-clinical data and how to leverage it effectively can increase the likelihood of a positive health claim outcome.

To find out more about why this case study remains crucial for anyone submitting an EFSA Health claim

 

The Limitations of Pre-clinical Data Alone

While pre-clinical data is invaluable, it has its limitations when it comes to health claim submissions.

 

Supplementary Role

Pre-clinical data is supplementary, not primary. It supports human data but cannot stand alone.

EFSA emphasizes human intervention studies for health claims. Pre-clinical data can only bolster these studies.

 

Mechanistic Insights

Pre-clinical studies provide mechanistic insights. They show how a product might work at a biological level.

However, these insights do not establish cause and effect in humans.

 

Regulatory Standards

Regulatory bodies like EFSA prioritize human data. They often disregard submissions relying solely on pre-clinical data.

This makes it clear that pre-clinical data alone is insufficient for health claim approval.

 

Relative Dosing and Duration

Pre-clinical studies often use different dosing and duration than human studies. This can raise questions about relevance.

Reviewers scrutinize these differences. Aligning dosing and duration with human studies is crucial.

 

Risk of Over-reliance

Relying too heavily on pre-clinical data can weaken your submission. It should complement, not replace, human data.

Understanding its limitations helps in preparing a more balanced and effective dossier.

See this blog article "The Secret to EFSA Health Claims: How many studies do you really need." for additional information on successful EFSA claims regarding human intervention trials. 

 

Strategic Use

Use pre-clinical data strategically to support human studies. Link mechanistic findings to human outcomes.

This approach maximizes the impact of pre-clinical data within its limitations.

If you liked this, why not check out the full webinar on EFSA health claims by Steve Morrison, Responsible for achieving the first EFSA health claim under Article 13.5.

 

 

FAQ: Commonly Asked Questions About Pre-clinical Data

Here are answers to some frequently asked questions about preclinical data in health claim submissions.

 

What is pre-clinical data?

Preclinical data includes animal model data and in vitro studies. It provides early insights into a product's mode of action.

 

Can pre-clinical data replace human studies?

No, preclinical data cannot replace human intervention studies. It is supplementary and supports human data.

 

Why is pre-clinical data important?

Preclinical data offers mechanistic insights. It helps explain how a product works at a biological level.

 

How does EFSA view pre-clinical data?

EFSA uses preclinical data as supplementary evidence. They prioritize human intervention studies for health claims.

 

What are the limitations of pre-clinical data?

Preclinical data cannot establish cause and effect in humans. Differences in dosing and duration can also pose challenges.

 

How can I maximize the impact of pre-clinical data?

Link preclinical findings to human outcomes. Address reviewer concerns about dosing and duration.

 

Are there successful cases involving pre-clinical data?

Yes, there are rare cases like the sugar beet fiber claim. However, these cases are exceptions, not the norm.

 

What should I focus on in my submission?

Focus on integrating pre-clinical data with human studies. Ensure a cohesive narrative and address potential gaps.

 

How do I address reviewer concerns?

Proactively address questions about relative dosing and duration. Align these factors with human studies.

 

What is the role of pre-clinical data in a dossier?

Pre-clinical data supports the human data in your dossier. It helps explain the biological mechanisms at play.