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                                                                                                  Source document:
                                    Non-human primates                                            SCHER (2009)

                                                                                                  Summary & Details:
                                      in research and safety testing                              GreenFacts (2009)




                                                              1. Introduction – Overview of the use of
Context - Every year, more than                                  primates in research and testing in the
100 000 monkeys and apes are used for                            EU.......................................................3
biomedical research around the world.                         2. Why are primates needed in research and
Their genetic similarities to humans                             safety testing?......................................3
make them particularly suitable                               3. Are there alternatives to the use of primates
candidates for testing the safety of new                         in research and safety testing?................4
drugs and for studying infectious                             4. Could alternatives completely replace the use
diseases or the brain. But those very                            of primates in the future?.......................4
similarities to humans also raise specific                    5. When primates cannot be replaced, how
ethical questions about their use for                            could their use be reduced?....................5
scientific experiments.
                                                              6. How could the welfare of primates used in
                                                                 laboratories be improved?.......................5
Are there alternatives to the use of
                                                              7. Conclusions and recommendations...........6
non-human primates in research and
testing? Would it be feasible to stop
using them altogether?

An assessment by the European
Commission Scientific Committees on
Health and Environmental Risks
(SCHER).


                The answers to these questions are a faithful summary of the scientific opinion
         produced in 2009 by the Scientific Committee on Health and Environmental Risks (SCHER):
  "The need for non-human primates in biomedical research, production and testing of products and devices"
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        The full publication is available at: http://copublications.greenfacts.org/en/non-human-primates/
                       and at: http://ec.europa.eu/health/opinions/en/non-human-primates/



      This PDF Document is the Level 1 of a GreenFacts Co-Publication. GreenFacts Co-Publications are published
      in several languages as questions and answers, in a copyrighted user-friendly Three-Level Structure of
      increasing detail:

           •   Each question is answered in Level 1 with a short summary.
           •   These answers are developed in more detail in Level 2.
           •   Level 3 consists of the Source document, the internationally recognised scientific opinion which
               is faithfully summarised in Level 2 and further in Level 1.


             All GreenFacts Co-Publications are available at: http://copublications.greenfacts.org/
    and at: http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm
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1. Introduction – Overview of the use of primates in research and testing
in the EU

Around 12 million animals are used each year in scientific procedures
in the EU, and among these, around 10 000 are non-human primates
(NHPs), mainly monkeys and apes. Experiments on such primates
have lead to important findings in biology and medicine.
                                                                                                   Use of primates in EU
                                                                                                   research and safety
Currently, primates are only used in animal experiments when there        testing
are no suitable alternative methods or species. They are mainly used      [see Annex 1, p. 7]

for safety testing of pharmaceutical products and devices, but also for fundamental research
in biology and for research and development of medical products and devices.

Nearly all primates used in scientific experiments are born to animals that are themselves
bred in captivity, sometimes for several generations. With some exceptions, research on
animals that are bred rather than caught in the wild tends to deliver more accurate and
reliable data. Primates caught in the wild are very rarely used in research but are still needed
to avoid the adverse effects of inbreeding of stocks.

With regard to animal welfare, major investments have been made in recent years to
improve housing conditions of captive primates, taking into consideration their physical and
social needs.


2. Why are primates needed in research and safety testing?

2.1 Before pharmaceuticals reach the consumer, their safety has
to be tested on humans during clinical trials. Preliminary experiments
on animals – often rats and dogs – are intended to protect the health
of people taking part in these trials. Only few candidate
pharmaceuticals are actually tested on non-human primates (NHPs).
Primates are needed to test certain drugs with potential effects on
female genital organs, eyes, birth outcomes, blood coagulation, or
the brain, as they are the only mammals with specific physiological
traits similar to humans.

2.2 In research on infectious diseases, vaccines and drugs that       Only few candidate
                                                                      pharmaceuticals are
are developed are typically first tested on cells grown in the        actually tested on
laboratory, then on animals, and finally on humans to check their     primates
                                                                      Source: Understanding
safety and effectiveness. Primates often remain the most suitable     animal research
animal option because their immune system is very similar to that
of humans. Primate species are the only ones that can be used to develop effective malaria,
tuberculosis, hepatitis C, or HIV vaccines and drugs for humans. Primates may also be
needed to quickly detect new diseases such as SARS that could spread across the world.

2.3 Primates play a unique role in brain research because they are the only animals with
brains that approach the complexity of the human brain. Research on pain and experiments
on primates which require entering their skull raise difficult ethical concerns. Some new,
non-invasive research techniques are being developed that can be used on humans and
primates, but important limitations remain.

2.4 Using pig organs for transplantation is a way to address the shortage of organ donors.
However, the human immune system rejects pig organs strongly. Only certain primate
species show a similar immune response so any animal-testing of drugs to prevent transplant
rejection has to be done on these species.
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3. Are there alternatives to the use of primates in research and safety
testing?

Alternatives to the use of non-human primates (NHPs) in research
and testing do exist and can complement but not yet completely
replace testing on these primates. As far as possible, the number of
animals used should be reduced, methodologies should be refined,
and the use of animals should be replaced by alternative methods
(3Rs principle).

3.1 Because of scientific reasons, testing pharmaceuticals on
non-human primates is in certain cases a very small but almost
compulsory part of the global testing procedure, especially for drugs
and vaccines that involve the immune system.                                                       Tests are first carried out
                                                                                                   on cells grown in the
                                                                                                   laboratory
In certain cases, genetically modified rodents could potentially                                   Source: Jean Scheijen

replace primates. Experiments on humans using extremely low doses of the new
pharmaceutical being tested (microdosing) have also been proposed as an alternative to
animal experimentation, but since prior tests on animals would still be needed to make sure
that the small dose given is safe, it is not clear whether this would reduce the number of
animals used.

3.2 In the search for new drugs and vaccines against HIV, hepatitis C, or malaria, tests
are first carried out on cells grown in the laboratory, on mice, or on both. Such tests provide
insight into the cell mechanisms, but cannot explain how a whole body would react to the
infection. Experiments on non-human primates are therefore still needed.

3.3 Non-invasive techniques that study the brain without entering the skull are very useful
and promising to understand healthy and diseased brains. However, such techniques are
not yet as informative as invasive methods and still need to be further developed.

Computer modelling is rapidly improving but the human brain is so complex that a realistic
model is unlikely in the foreseeable future.

3.4 Cells grown in the laboratory and rodents can be used to carry out preliminary research
into the use of animal organs for transplantation, but transplants still need to be tested
on animals, including primates.


4. Could alternatives completely replace the use of primates in the future?

In the foreseeable future, experimentation on non-human primates (NHPs) is unlikely to
be completely replaced by laboratory methods or by test on other animal species.

For the safety testing of new pharmaceuticals, primates are also likely to remain the
most suitable mammals.

To study HIV infection, genetically-modified mice will probably be available in the future.
However, for scientific reasons, studies using mice cannot completely replace those using
primates.

In research on the brains’ structure and function, non-invasive techniques which do not
require entering the skull and computer modelling can be used alongside invasive methods
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but cannot replace them completely. However, new techniques and technologies are
developing quickly and advances must be assessed frequently.

The development of artificial organs and tissues may reduce the need to use primates to
test drugs that prevent rejection of animal organs (mostly pig organs) by humans. However,
these artificial body parts are mainly used in life-support machines and do not represent
an alternative to animal-to-human organ transplantation.


5. When primates cannot be replaced, how could their use be reduced?

There are several ways to reduce the use of non-human primates
(NHPs) in research areas where it cannot be avoided altogether:
     •     By analysing more carefully the results of drug safety
           experiments carried out first on rodents such as rats and
           mice, then on dogs and other non-primate mammals.
           This could reduce the numbers of primates needed,
           although it might increase testing on other mammalian
           species.
     •     By reusing the same non-human primates in different
           experiments. There are regulations to avoid the same
                                                                        Careful analysis of the
           animals being continually re-used for experimentation,       results of tests on rodents
           but overly restricting the re-use of primates could          could reduce the number
                                                                        of primates needed
           increase the overall number needed.                          Source: Understanding
                                                                        animal research
     •     By making current animal tests for reproductive toxicity
           more effective so that fewer primates are needed.
     •     By improving communication between facilities that carry out experiments on
           animals so that they share information, ideas and expertise and avoid duplicating
           experiments.
     •     By encouraging the development of new techniques that may reduce and partly
           replace the use of non-human primates in testing of medicines, vaccines, and
           drugs used in animal-to-human organ transplantation.

In addition, clear information on the species and number of animals used for experimentation
as well as on the types of tests involved should be publicly available.


6. How could the welfare of primates used in laboratories be improved?

There are several ways to enhance the welfare of non-human
primates (NHPs) in scientific research.
     •     The importance of the physical and mental well-being of
           primates should be acknowledged. New standards of
           care, treatment and living conditions for primates used
           in research and testing should be adopted as soon as       New standards of care,
           possible.                                                  treatment and living
                                                                      conditions are needed
     •     More research is needed to understand the impact of        Source: Jorge Vicente
           pain and distress on animals and to recognise the signs
           of suffering.
     •     Experiments should be designed so as to minimise pain and discomfort. Testing
           should not last longer than absolutely necessary and should be stopped early if
           there is significant pain and distress.
     •     The use of ‘non-invasive’ technologies which do not require entering the body
           or puncturing the skin, such as magnetic resonance imaging (MRI), should be
           improved and increasingly used.
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       •       In the case of vaccine research, tests should be stopped at humane limits
               (endpoints) set beforehand, for instance as soon as early symptoms are detected.


7. Conclusions and recommendations

The Scientific Committee on Health and Environmental Risks (SCHER) concludes that,
because non-human primates (NHPs) have close and sometimes unique similarities to
humans, their use remains necessary in the safety testing of new pharmaceuticals and in
several areas of biomedical research, such as research on infectious diseases and on the
brain.

The SCHER considered only scientific aspects, specifically excluding ethical, economic,
cultural and social considerations which will be addressed by other groups.

At present, the SCHER sees no valid scientific arguments to stop using non-human primates
for scientific research and drug safety testing, but this position should be frequently reviewed
as new alternatives are constantly being developed.

The SCHER supports the “three Rs” principle of reducing, refining and replacing the use of
non-human primates in scientific testing and makes a series of recommendations:
     •   Non-human primates should be used only when this is scientifically justified.
     •   Tests on cells grown in the laboratory, computer modelling, and improved
         techniques which do not require entering the skull should be encouraged.
     •   The replacement of primates by other animal species should be further
         investigated.
     •   Coordination and communication between facilities doing animal testing should
         be improved to avoid duplication of tests, to optimise procedures, and to minimize
         the numbers of primates used.
     •   Any tests on primates should cause as little pain and distress as possible, and
         not last any longer than necessary.
     •   Housing and breeding of primates should follow high standards of care, consider
         their welfare as well as their physical and mental needs.
     •   The use of primates caught in the wild should be discouraged for both scientific
         and animal welfare reasons.
     •   Research that leads to further replacement, reduction and refinement of the use
         of primates should be promoted.
http://www.greenfacts.org/               Copyright © DG Health and Consumers of the                                page 7/8
                                                   European Commission.




Annex

Annex 1:
Use of primates in EU research and safety testing




Source: SCHER, The need for non-human primates in biomedical research, production and testing of products and devices (2009)
                   [see http://ec.europa.eu/health/ph_risk/committees/04_scher/docs/scher_o_110.pdf]
http://www.greenfacts.org/   Copyright © DG Health and Consumers of the        page 8/8
                                       European Commission.




The Three-Level Structure used to communicate this SCHER Opinion is copyrighted by
Cogeneris sprl [see http://www.greenfacts.org].

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Non-human primates in research and safety testing

  • 1. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 1/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm Source document: Non-human primates SCHER (2009) Summary & Details: in research and safety testing GreenFacts (2009) 1. Introduction – Overview of the use of Context - Every year, more than primates in research and testing in the 100 000 monkeys and apes are used for EU.......................................................3 biomedical research around the world. 2. Why are primates needed in research and Their genetic similarities to humans safety testing?......................................3 make them particularly suitable 3. Are there alternatives to the use of primates candidates for testing the safety of new in research and safety testing?................4 drugs and for studying infectious 4. Could alternatives completely replace the use diseases or the brain. But those very of primates in the future?.......................4 similarities to humans also raise specific 5. When primates cannot be replaced, how ethical questions about their use for could their use be reduced?....................5 scientific experiments. 6. How could the welfare of primates used in laboratories be improved?.......................5 Are there alternatives to the use of 7. Conclusions and recommendations...........6 non-human primates in research and testing? Would it be feasible to stop using them altogether? An assessment by the European Commission Scientific Committees on Health and Environmental Risks (SCHER). The answers to these questions are a faithful summary of the scientific opinion produced in 2009 by the Scientific Committee on Health and Environmental Risks (SCHER): "The need for non-human primates in biomedical research, production and testing of products and devices"
  • 2. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 2/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm The full publication is available at: http://copublications.greenfacts.org/en/non-human-primates/ and at: http://ec.europa.eu/health/opinions/en/non-human-primates/ This PDF Document is the Level 1 of a GreenFacts Co-Publication. GreenFacts Co-Publications are published in several languages as questions and answers, in a copyrighted user-friendly Three-Level Structure of increasing detail: • Each question is answered in Level 1 with a short summary. • These answers are developed in more detail in Level 2. • Level 3 consists of the Source document, the internationally recognised scientific opinion which is faithfully summarised in Level 2 and further in Level 1. All GreenFacts Co-Publications are available at: http://copublications.greenfacts.org/ and at: http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm
  • 3. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 3/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm 1. Introduction – Overview of the use of primates in research and testing in the EU Around 12 million animals are used each year in scientific procedures in the EU, and among these, around 10 000 are non-human primates (NHPs), mainly monkeys and apes. Experiments on such primates have lead to important findings in biology and medicine. Use of primates in EU research and safety Currently, primates are only used in animal experiments when there testing are no suitable alternative methods or species. They are mainly used [see Annex 1, p. 7] for safety testing of pharmaceutical products and devices, but also for fundamental research in biology and for research and development of medical products and devices. Nearly all primates used in scientific experiments are born to animals that are themselves bred in captivity, sometimes for several generations. With some exceptions, research on animals that are bred rather than caught in the wild tends to deliver more accurate and reliable data. Primates caught in the wild are very rarely used in research but are still needed to avoid the adverse effects of inbreeding of stocks. With regard to animal welfare, major investments have been made in recent years to improve housing conditions of captive primates, taking into consideration their physical and social needs. 2. Why are primates needed in research and safety testing? 2.1 Before pharmaceuticals reach the consumer, their safety has to be tested on humans during clinical trials. Preliminary experiments on animals – often rats and dogs – are intended to protect the health of people taking part in these trials. Only few candidate pharmaceuticals are actually tested on non-human primates (NHPs). Primates are needed to test certain drugs with potential effects on female genital organs, eyes, birth outcomes, blood coagulation, or the brain, as they are the only mammals with specific physiological traits similar to humans. 2.2 In research on infectious diseases, vaccines and drugs that Only few candidate pharmaceuticals are are developed are typically first tested on cells grown in the actually tested on laboratory, then on animals, and finally on humans to check their primates Source: Understanding safety and effectiveness. Primates often remain the most suitable animal research animal option because their immune system is very similar to that of humans. Primate species are the only ones that can be used to develop effective malaria, tuberculosis, hepatitis C, or HIV vaccines and drugs for humans. Primates may also be needed to quickly detect new diseases such as SARS that could spread across the world. 2.3 Primates play a unique role in brain research because they are the only animals with brains that approach the complexity of the human brain. Research on pain and experiments on primates which require entering their skull raise difficult ethical concerns. Some new, non-invasive research techniques are being developed that can be used on humans and primates, but important limitations remain. 2.4 Using pig organs for transplantation is a way to address the shortage of organ donors. However, the human immune system rejects pig organs strongly. Only certain primate species show a similar immune response so any animal-testing of drugs to prevent transplant rejection has to be done on these species.
  • 4. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 4/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm 3. Are there alternatives to the use of primates in research and safety testing? Alternatives to the use of non-human primates (NHPs) in research and testing do exist and can complement but not yet completely replace testing on these primates. As far as possible, the number of animals used should be reduced, methodologies should be refined, and the use of animals should be replaced by alternative methods (3Rs principle). 3.1 Because of scientific reasons, testing pharmaceuticals on non-human primates is in certain cases a very small but almost compulsory part of the global testing procedure, especially for drugs and vaccines that involve the immune system. Tests are first carried out on cells grown in the laboratory In certain cases, genetically modified rodents could potentially Source: Jean Scheijen replace primates. Experiments on humans using extremely low doses of the new pharmaceutical being tested (microdosing) have also been proposed as an alternative to animal experimentation, but since prior tests on animals would still be needed to make sure that the small dose given is safe, it is not clear whether this would reduce the number of animals used. 3.2 In the search for new drugs and vaccines against HIV, hepatitis C, or malaria, tests are first carried out on cells grown in the laboratory, on mice, or on both. Such tests provide insight into the cell mechanisms, but cannot explain how a whole body would react to the infection. Experiments on non-human primates are therefore still needed. 3.3 Non-invasive techniques that study the brain without entering the skull are very useful and promising to understand healthy and diseased brains. However, such techniques are not yet as informative as invasive methods and still need to be further developed. Computer modelling is rapidly improving but the human brain is so complex that a realistic model is unlikely in the foreseeable future. 3.4 Cells grown in the laboratory and rodents can be used to carry out preliminary research into the use of animal organs for transplantation, but transplants still need to be tested on animals, including primates. 4. Could alternatives completely replace the use of primates in the future? In the foreseeable future, experimentation on non-human primates (NHPs) is unlikely to be completely replaced by laboratory methods or by test on other animal species. For the safety testing of new pharmaceuticals, primates are also likely to remain the most suitable mammals. To study HIV infection, genetically-modified mice will probably be available in the future. However, for scientific reasons, studies using mice cannot completely replace those using primates. In research on the brains’ structure and function, non-invasive techniques which do not require entering the skull and computer modelling can be used alongside invasive methods
  • 5. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 5/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm but cannot replace them completely. However, new techniques and technologies are developing quickly and advances must be assessed frequently. The development of artificial organs and tissues may reduce the need to use primates to test drugs that prevent rejection of animal organs (mostly pig organs) by humans. However, these artificial body parts are mainly used in life-support machines and do not represent an alternative to animal-to-human organ transplantation. 5. When primates cannot be replaced, how could their use be reduced? There are several ways to reduce the use of non-human primates (NHPs) in research areas where it cannot be avoided altogether: • By analysing more carefully the results of drug safety experiments carried out first on rodents such as rats and mice, then on dogs and other non-primate mammals. This could reduce the numbers of primates needed, although it might increase testing on other mammalian species. • By reusing the same non-human primates in different experiments. There are regulations to avoid the same Careful analysis of the animals being continually re-used for experimentation, results of tests on rodents but overly restricting the re-use of primates could could reduce the number of primates needed increase the overall number needed. Source: Understanding animal research • By making current animal tests for reproductive toxicity more effective so that fewer primates are needed. • By improving communication between facilities that carry out experiments on animals so that they share information, ideas and expertise and avoid duplicating experiments. • By encouraging the development of new techniques that may reduce and partly replace the use of non-human primates in testing of medicines, vaccines, and drugs used in animal-to-human organ transplantation. In addition, clear information on the species and number of animals used for experimentation as well as on the types of tests involved should be publicly available. 6. How could the welfare of primates used in laboratories be improved? There are several ways to enhance the welfare of non-human primates (NHPs) in scientific research. • The importance of the physical and mental well-being of primates should be acknowledged. New standards of care, treatment and living conditions for primates used in research and testing should be adopted as soon as New standards of care, possible. treatment and living conditions are needed • More research is needed to understand the impact of Source: Jorge Vicente pain and distress on animals and to recognise the signs of suffering. • Experiments should be designed so as to minimise pain and discomfort. Testing should not last longer than absolutely necessary and should be stopped early if there is significant pain and distress. • The use of ‘non-invasive’ technologies which do not require entering the body or puncturing the skin, such as magnetic resonance imaging (MRI), should be improved and increasingly used.
  • 6. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the European Commission. page 6/8 http://ec.europa.eu/health/scientific_committees/policy/opinions_plain_language/index_en.htm • In the case of vaccine research, tests should be stopped at humane limits (endpoints) set beforehand, for instance as soon as early symptoms are detected. 7. Conclusions and recommendations The Scientific Committee on Health and Environmental Risks (SCHER) concludes that, because non-human primates (NHPs) have close and sometimes unique similarities to humans, their use remains necessary in the safety testing of new pharmaceuticals and in several areas of biomedical research, such as research on infectious diseases and on the brain. The SCHER considered only scientific aspects, specifically excluding ethical, economic, cultural and social considerations which will be addressed by other groups. At present, the SCHER sees no valid scientific arguments to stop using non-human primates for scientific research and drug safety testing, but this position should be frequently reviewed as new alternatives are constantly being developed. The SCHER supports the “three Rs” principle of reducing, refining and replacing the use of non-human primates in scientific testing and makes a series of recommendations: • Non-human primates should be used only when this is scientifically justified. • Tests on cells grown in the laboratory, computer modelling, and improved techniques which do not require entering the skull should be encouraged. • The replacement of primates by other animal species should be further investigated. • Coordination and communication between facilities doing animal testing should be improved to avoid duplication of tests, to optimise procedures, and to minimize the numbers of primates used. • Any tests on primates should cause as little pain and distress as possible, and not last any longer than necessary. • Housing and breeding of primates should follow high standards of care, consider their welfare as well as their physical and mental needs. • The use of primates caught in the wild should be discouraged for both scientific and animal welfare reasons. • Research that leads to further replacement, reduction and refinement of the use of primates should be promoted.
  • 7. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the page 7/8 European Commission. Annex Annex 1: Use of primates in EU research and safety testing Source: SCHER, The need for non-human primates in biomedical research, production and testing of products and devices (2009) [see http://ec.europa.eu/health/ph_risk/committees/04_scher/docs/scher_o_110.pdf]
  • 8. http://www.greenfacts.org/ Copyright © DG Health and Consumers of the page 8/8 European Commission. The Three-Level Structure used to communicate this SCHER Opinion is copyrighted by Cogeneris sprl [see http://www.greenfacts.org].