CSRC Achievements: Our Impact on Global Cardiac Safety

Source: Cardiac Safety Research Consortium Archive
Key Themes: Regulatory Frameworks, Clinical Standardization, Pre-clinical Discovery

Our Impact

We have facilitated critical dialogue between the FDA and industry leaders. Key contributions include the “Benefit-Risk Framework” championed by Dr. Janet Woodcock and the “Precision Dosing Strategies” outlined by Dr. Robert Temple. These initiatives ensure that safety assessments evolve alongside modern pharmacology, providing a structured pathway for balancing therapeutic innovation with patient protection.

Standardizing Clinical Definitions

By establishing the 2012 Consensus Definitions for Myocardial Infarction (MI) and Heart Failure, we provided a universal language for clinical trials. This standardization is essential for comparing safety data across diverse drug development programs.

Standardized ECG patterns for Myocardial Infarction.

Our ECG Waveform Database (hosted in collaboration with Yale University) remains a gold-standard resource for validating algorithms and testing the sensitivity of reference compounds used in cardiotoxicity screening.

Advancing Pre-clinical Discovery

Supporting the Comprehensive in vitro Proarrhythmia Assay (CiPA), we advocate for early-stage safety testing. We emphasize the transition from simple hERG screening to a multi-channel approach that considers the integrated effects of various cardiac currents.

The CiPA framework: integrating multiple ion channel assessment.

We continue to promote the use of high-purity ion channel inhibitors, specialized compound libraries, and mechanistic assays to predict toxicity before a drug ever reaches human trials. This "fail-early" philosophy reduces clinical risk and accelerates the development of safer therapeutics.