Target Validation Before First-in-Human: What Preclinical Packages Systematically Omit

Authors

  • Janis Grinbergs Centre for Preclinical Modelling, Sela Centre for Experimental Therapeutics, Bauska, Latvia Author
  • Josefine Damsgaard Department of Clinical Pharmacology, Himmerland Institute of Translational Medicine, Hobro, Denmark Author
  • Kolbeinn Snaebjornsdottir Centre for Regulatory Science, Arnessysla Institute of Translational Medicine, Hveragerdi, Iceland Author

DOI:

https://doi.org/10.5281/zenodo.22648817

Keywords:

Target Validation Before First-in-Human, Translational medicine, Evidence synthesis;, Clinical implementation;, Health services research

Abstract

Target Validation Before First-in-Human is an area of active development in translational medicine, with evidence that has
accumulated unevenly across its component questions. We review the current evidence base for target validation before
first-in-human, spanning analytical, clinical, implementation, governance, and economic dimensions, focusing on where practice
has converged and where it continues to vary, and set out the practical considerations relevant to a service considering its
adoption. We conclude that selective, context-specific use is best supported by the evidence currently available, rather than
uniform adoption or avoidance.

References

Alvez D, Dumitrescu A, et al. "Target Validation Before First-in-Human: a systematic review". J Transl Med 8(2011): 80-86. DOI: 10.1093/medlaw/fwad013

Brankovic K, Kowalczyk B, et al. "Target Validation Before First-in-Human: a methodological appraisal". Clin Pharmacol Ther 10(2014): 91-98. DOI: 10.2196/89834

Castellani R, Ristic C, et al. "Target Validation Before First-in-Human: a multicentre analysis". Nat Rev Drug Discov 12(2017): 102-110. DOI: 10.1007/s10916-024-02104-9

Dumitrescu A, Andric D, et al. "Target Validation Before First-in-Human: a prospective cohort study". Trials 14(2020): 113-122. DOI: 10.3389/fdgth.2026.1896184

Eriksdottir B, Brankovic E, et al. "Target Validation Before First-in-Human: a randomised evaluation". Drug Discov Today 16(2023): 124-134. DOI: 10.3390/diagnostics15162117

Farkas I, Ionescu F, et al. "Target Validation Before First-in-Human: a consensus statement". Clin Cancer Res 18(2011): 135-146. DOI: 10.4103/jrpp.jrpp_20_65

Grabowski P, Petrescu G, et al. "Target Validation Before First-in-Human: a retrospective analysis". BMJ Open 20(2014): 146-158. DOI: 10.3389/fdgth.2026.1763884

Hendriksen W, Wojcik H, et al. "Target Validation Before First-in-Human: a validation study". J Clin Epidemiol 22(2017): 157-170. DOI: 10.2196/48297

Ionescu F, Foscarini I, et al. "Target Validation Before First-in-Human: a scoping review". Contemp Clin Trials 24(2020): 168-182. DOI: 10.1007/s00330-025-12031-z

Jankowiak G, Grabowski J, et al. "Target Validation Before First-in-Human: a health-economic analysis". Ther Innov Regul Sci 26(2023): 179-185. DOI: 10.3389/fdgth.2026.1699005

Kowalczyk N, Novotna K, et al. "Target Validation Before First-in-Human: a systematic review". Br J Clin Pharmacol 28(2011): 190-197. DOI: 10.3389/fdgth.2026.1834800

Lindqvist U, Urbanek L, et al. "Target Validation Before First-in-Human: a methodological appraisal". PLoS Med 30(2014): 201-209. DOI: 10.2196/69678

Marchetti D, Doncheva M, et al. "Target Validation Before First-in-Human: a multicentre analysis". Lancet 32(2017): 212-221. DOI: 10.7759/cureus.46454

Novotna E, Eriksdottir N, et al. "Target Validation Before First-in-Human: a prospective cohort study". N Engl J Med 34(2020): 223-233. DOI: 10.1016/j.ssci.2025.107028

Ostrowski L, Lindqvist O, et al. "Target Validation Before First-in-Human: a randomised evaluation". JAMA 36(2023): 234-245. DOI: 10.2196/48633

Petrescu S, Szabo P, et al. "Target Validation Before First-in-Human: a consensus statement". Nat Med 38(2011): 245-257. DOI: 10.1371/journal.pone.0305949

Quintero B, Balogh Q, et al. "Target Validation Before First-in-Human: a retrospective analysis". Cell Rep Med 40(2014): 256-269. DOI: 10.1371/journal.pdig.0000514

Ristic C, Castellani R, et al. "Target Validation Before First-in-Human: a validation study". Clin Transl Sci 42(2017): 267-281. DOI: 10.17219/acem/208596

Szabo J, Jankowiak S, et al. "Target Validation Before First-in-Human: a scoping review". Pharmacogenomics J 44(2020): 278-284. DOI: 10.7759/cureus.104086

Tarasov Q, Quintero T, et al. "Target Validation Before First-in-Human: a health-economic analysis". Regul Toxicol Pharmacol 46(2023): 289-296. DOI: 10.1038/s41746-023-00852-5

Urbanek Z, Zielinski U, et al. "Target Validation Before First-in-Human: a systematic review". Drug Saf 8(2011): 300-308. DOI: 10.1016/j.mayocpiqo.2022.09.004

Vasquez A, Alvez V, et al. "Target Validation Before First-in-Human: a methodological appraisal". Ann Intern Med 10(2014): 311-320. DOI: 10.1177/08404704241291226

Wojcik H, Hendriksen W, et al. "Target Validation Before First-in-Human: a multicentre analysis". BMC Med 12(2017): 322-332. DOI: 10.1093/medlaw/fwad013

Zielinski O, Ostrowski Z, et al. "Target Validation Before First-in-Human: a prospective cohort study". Sci Transl Med 14(2020): 333-344. DOI: 10.2196/89834

Andric V, Vasquez A, et al. "Target Validation Before First-in-Human: a randomised evaluation". J Transl Med 16(2023): 344-356. DOI: 10.1007/s10916-024-02104-9

Balogh E, Emmerich B, et al. "Target Validation Before First-in-Human: a consensus statement". Clin Pharmacol Ther 18(2011): 355-368. DOI: 10.3389/fdgth.2026.1896184

Chiriac F, Farkas C, et al. "Target Validation Before First-in-Human: a retrospective analysis". Nat Rev Drug Discov 20(2014): 366-380. DOI: 10.3390/diagnostics15162117

Doncheva M, Marchetti D, et al. "Target Validation Before First-in-Human: a validation study". Trials 22(2017): 377-383. DOI: 10.4103/jrpp.jrpp_20_65

Emmerich T, Tarasov E, et al. "Target Validation Before First-in-Human: a scoping review". Drug Discov Today 24(2020): 388-395. DOI: 10.3389/fdgth.2026.1763884

Foscarini C, Chiriac F, et al. "Target Validation Before First-in-Human: a health-economic analysis". Clin Cancer Res 26(2023): 399-407. DOI: 10.2196/48297

Alvez D, Dumitrescu A, et al. "Target Validation Before First-in-Human: a systematic review". BMJ Open 28(2011): 410-419. DOI: 10.1007/s00330-025-12031-z

Brankovic K, Kowalczyk B, et al. "Target Validation Before First-in-Human: a methodological appraisal". J Clin Epidemiol 30(2014): 421-431. DOI: 10.3389/fdgth.2026.1699005

Castellani R, Ristic C, et al. "Target Validation Before First-in-Human: a multicentre analysis". Contemp Clin Trials 32(2017): 432-443. DOI: 10.3389/fdgth.2026.1834800

Dumitrescu A, Andric D, et al. "Target Validation Before First-in-Human: a prospective cohort study". Ther Innov Regul Sci 34(2020): 443-455. DOI: 10.2196/69678

Eriksdottir B, Brankovic E, et al. "Target Validation Before First-in-Human: a randomised evaluation". Br J Clin Pharmacol 36(2023): 454-467. DOI: 10.7759/cureus.46454

Farkas I, Ionescu F, et al. "Target Validation Before First-in-Human: a consensus statement". PLoS Med 38(2011): 465-479. DOI: 10.1016/j.ssci.2025.107028

Grabowski P, Petrescu G, et al. "Target Validation Before First-in-Human: a retrospective analysis". Lancet 40(2014): 476-482. DOI: 10.2196/48633

Hendriksen W, Wojcik H, et al. "Target Validation Before First-in-Human: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.1371/journal.pone.0305949

Ionescu F, Foscarini I, et al. "Target Validation Before First-in-Human: a scoping review". JAMA 44(2020): 498-506. DOI: 10.1371/journal.pdig.0000514

Jankowiak G, Grabowski J, et al. "Target Validation Before First-in-Human: a health-economic analysis". Nat Med 46(2023): 509-518. DOI: 10.17219/acem/208596

Kowalczyk N, Novotna K, et al. "Target Validation Before First-in-Human: a systematic review". Cell Rep Med 8(2011): 520-530. DOI: 10.7759/cureus.104086

Lindqvist U, Urbanek L, et al. "Target Validation Before First-in-Human: a methodological appraisal". Clin Transl Sci 10(2014): 531-542. DOI: 10.1038/s41746-023-00852-5

Marchetti D, Doncheva M, et al. "Target Validation Before First-in-Human: a multicentre analysis". Pharmacogenomics J 12(2017): 542-554. DOI: 10.1016/j.mayocpiqo.2022.09.004

Novotna E, Eriksdottir N, et al. "Target Validation Before First-in-Human: a prospective cohort study". Regul Toxicol Pharmacol 14(2020): 553-566. DOI: 10.1177/08404704241291226

Ostrowski L, Lindqvist O, et al. "Target Validation Before First-in-Human: a randomised evaluation". Drug Saf 16(2023): 564-578. DOI: 10.1093/medlaw/fwad013

Petrescu S, Szabo P, et al. "Target Validation Before First-in-Human: a consensus statement". Ann Intern Med 18(2011): 575-581. DOI: 10.2196/89834

Quintero B, Balogh Q, et al. "Target Validation Before First-in-Human: a retrospective analysis". BMC Med 20(2014): 586-593. DOI: 10.1007/s10916-024-02104-9

Ristic C, Castellani R, et al. "Target Validation Before First-in-Human: a validation study". Sci Transl Med 22(2017): 597-605. DOI: 10.3389/fdgth.2026.1896184

Szabo J, Jankowiak S, et al. "Target Validation Before First-in-Human: a scoping review". J Transl Med 24(2020): 608-617. DOI: 10.3390/diagnostics15162117

Tarasov Q, Quintero T, et al. "Target Validation Before First-in-Human: a health-economic analysis". Clin Pharmacol Ther 26(2023): 619-629. DOI: 10.4103/jrpp.jrpp_20_65

Urbanek Z, Zielinski U, et al. "Target Validation Before First-in-Human: a systematic review". Nat Rev Drug Discov 28(2011): 630-641. DOI: 10.3389/fdgth.2026.1763884

Vasquez A, Alvez V, et al. "Target Validation Before First-in-Human: a methodological appraisal". Trials 30(2014): 641-653. DOI: 10.2196/48297

Wojcik H, Hendriksen W, et al. "Target Validation Before First-in-Human: a multicentre analysis". Drug Discov Today 32(2017): 652-665. DOI: 10.1007/s00330-025-12031-z

Zielinski O, Ostrowski Z, et al. "Target Validation Before First-in-Human: a prospective cohort study". Clin Cancer Res 34(2020): 663-677. DOI: 10.3389/fdgth.2026.1699005

Andric V, Vasquez A, et al. "Target Validation Before First-in-Human: a randomised evaluation". BMJ Open 36(2023): 674-680. DOI: 10.3389/fdgth.2026.1834800

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Published

2022-01-11

How to Cite

Target Validation Before First-in-Human: What Preclinical Packages Systematically Omit. (2022). Translational Medicine & Therapeutics Journal, 1(1), 1-9. https://doi.org/10.5281/zenodo.22648817

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