EPL, Inc. - Pathology Working Group (PWG) Services
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Transcript of EPL, Inc. - Pathology Working Group (PWG) Services
Experimental Pathology Laboratories, Inc.
Pathology Working Groups (PWG)
What is the Purpose of a PWG?
• Independent unbiased assessment to address specific
questions concerning the study results
• The Pathology Working Group (PWG) does not review the
entire study
• Pathology peer review and data audits are used to provide a
detailed review of the study data
• PWG review limited to specific findings or toxicologic end
points
• May be convened to address questions presented by
regulatory authorities following IND or NDA submission
• May be convened to address issues that have resulted in a
clinical hold being placed on a drug in development
• May be convened establish appropriate nomenclature and
diagnostic criteria for lesions of interest
When Should a PWG Review be
Considered?
• Studies with final reports
• Pivotal studies with controversial end points
• Address questions that are of concern by regulatory agencies
• Comparison of results of multiple studies that may have been
conducted and evaluated by different laboratories and/or
pathologists
Examples of Issues Addressed During a
PWG Review
• Incidence of neoplasms occurring in a target organ tissue in oncogenicity
studies (kidney and adrenal medulla)
• Comparison of proliferative liver lesions in multiple studies conducted with
several PCB compounds to understand relative toxicity
• Comparison of heart lesions in rats given the same test article in two
different labs and evaluated by two different pathologists (cardiomyopathy
vs. degeneration/necrosis with fibrosis)
• NOAEL for alveolar macrophages with metered dose inhaler route of drug
administration
• Relevance of low incidences of neoplasms only in treated groups in 13
week toxicity studies (renal tubule tumors and malignant lymphoma)
• Misinterpretation of tissue artifacts as treatment related (“dark neurons” in
brain; formalin fixation artifact in testes)
• Human relevance of rodent neoplasms (rat kidney; mouse lung; mouse
liver)
How is the PWG Review Performed?
• PWG examines coded slides without knowledge of treatment
group or previous diagnoses
• Each panel member records his/her diagnoses on worksheets
provided by the chairperson
• Each member of the panel voices their opinion (vote) concerning
each diagnosis
• In instances where there is wide variance of opinions concerning a
diagnosis, the panel discusses the lesion and a second vote may
be necessary
• A PWG consensus diagnosis is determined for each slide
examined by majority vote
• The final consensus diagnosis of the PWG is recorded by the
PWG chairperson
• After the chairperson records the final PWG diagnoses, the results
are decoded and tabulated for evaluation
• The PWG panel evaluates the results and provides conclusions
resulting in a Final PWG Report