Integration Over Elimination

Mike Garrett
Mike Garrett
CEO, Taconic Biosciences

FDA guidance encouraging reduced reliance on animal models in preclinical research reflects a well-intentioned push toward more ethical, human-relevant science. Central to this evolution is the growing adoption of new approach methodologies (NAMs), including organoids, microphysiological systems, and computational models. These technologies are already transforming early discovery, yet they are not designed to function in isolation.

Many critical questions, particularly those involving systemic exposure, immune interactions, and long-term safety, still require fully integrated biological systems that capture the complexities of drug efficacy or safety in patients.

Across the life sciences, researchers are deeply committed to responsible and compassionate research through the 3Rs of animal research: replacement, reduction, and refinement. One way to adhere to these principles is to optimize how animal models are selected and applied. This has also led to introspection on the concept of NAMs, which is continually being refined. While often associated with non-animal systems, NAMs are increasingly defined by function rather than format, emphasizing approaches that improve human relevance with refined models, reduce overall animal use, or replace less predictive legacy methods.

In this context, FDA guidance on NAMs emphasizes approaches that replace, reduce, or refine animal use, creating space for highly refined and fit-for-purpose in vivo models to align with NAM objectives when they demonstrably reduce animal numbers or replace more resource-intensive or less informative in vivo studies.

Rather than framing progress as a binary choice between animal and non-animal technologies, the field is moving toward a more integrated paradigm. Advanced genetically engineered models (GEMs) and humanized systems can be deployed alongside in vitro and in silico NAMs, each addressing distinct translational gaps. When used strategically, these complementary tools can reduce total animal use, improve reproducibility, and generate more predictive datasets that support confident regulatory decision-making.

The path forward lies in integration, not elimination. By combining next-generation non-animal technologies with advanced, fit-for-purpose in vivo models, scientists can accelerate development timelines and improve translatability while honoring the spirit and practical application of the 3Rs. This balanced approach currently offers the most credible route to safer, more successful therapies for patients.

For regulators, this integrated model selection paradigm supports a central objective of modern guidance: enabling flexible, science-based evidence packages that are proportionate to risk, fit for purpose, and grounded in biological relevance rather than adherence to any single methodological category.

The engine behind the breakthrough

The FDA approved a milestone HIV prevention therapy: Lenacapavir, a twice-a-year injectable that represents one of the most significant advances in HIV care in more than a decade. For those of us in drug development, it was a landmark clinical success as well as a reminder that thoughtful model selection can simultaneously advance innovation and reduce animal use.

Behind the headlines, the approval was enabled by developments in advanced in vivo modeling. A highly specialized genetically engineered rasH2 mouse model, designed specifically to accelerate carcinogenicity assessment, allowed researchers to shorten preclinical development timelines by approximately 1.5 years. By replacing lengthy, more resource-intensive two-year carcinogenicity studies with a targeted approach, the six-month rasH2 model reduced total animal use while delivering faster, decision-ready safety data.

Wins like this will become more common as the life sciences industry embraces integration over elimination. The most effective preclinical strategies increasingly pair non-animal NAMs, such as in silico models and organoids, with specialized translational animal models that address questions those systems cannot yet resolve independently. Together, they enable preclinical studies that are more reproducible, more efficient, and more predictive of human outcomes.

The most meaningful reductions in animal use come not from abandoning models wholesale, but from replacing legacy approaches with smarter, more precise models—whether in vitro, in silico or in vivo—that generate the data regulators need with fewer animals and greater confidence.

This approach aligns closely with the 3Rs framework by prioritizing replacement where possible, reduction through efficiency, and refinement through improved model design. Better models reduce attrition, conserve resources, and help deliver medicines to patients more efficiently.

Expanding translational reach

The rise of humanized immune system (HIS) mice offers another example of how refined animal models can complement NAM-driven pipelines. By engrafting human immune cells into immunodeficient mouse strains, these models enable the study of human immune responses, disease mechanisms, and therapeutic interventions within an integrated biological context that cannot yet be fully replicated ex vivo.

Advanced HIS mice have become indispensable in areas such as immuno-oncology, autoimmunity, and infectious disease. When paired with patient-derived xenografts, this combination allows researchers to interrogate human tumor-immune interactions directly and evaluate emerging modalities, including checkpoint inhibitors and cell-based therapies, with greater translational relevance.

By generating richer, more human-relevant data per study, these models can reduce the number of animals required while helping to mitigate the high attrition rates that continue to challenge clinical development.

This evolution reflects a broader truth: the future of drug discovery will not be defined by choosing between animal and non-animal technologies, but by integrating both into a smarter, evidence-driven preclinical ecosystem. Human-relevant animal models, such as refined GEMs and humanized systems, will continue to play a critical role alongside organoids, microphysiological systems, and AI-enabled modeling. Each contributes distinct strengths, and together they provide a more complete and trustworthy picture of human biology and disease, which gives researchers and regulators the confidence to move forward into clinical development.

The question is no longer whether animal models still have a place in modern drug development, but how they can be used more judiciously and responsibly. When integration guides decision-making, the result is a more efficient therapeutic pipeline, greater regulatory confidence, and meaningful progress toward the goals of the 3Rs. A win for science; a win for patients; and, ultimately, a win for animals.

 

Mike Garrett is the CEO of Taconic Biosciences.

The post Integration Over Elimination appeared first on GEN – Genetic Engineering and Biotechnology News.

STAT+: Small drugmakers, facing threat of tariffs, negotiate pricing deals with White House

WASHINGTON — The Trump administration is negotiating new drug-pricing deals, now with smaller companies, according to three people with knowledge of the meetings, including a White House official.

The new talks offer a pathway for smaller pharmaceutical companies — those not included in the first round of deals — to pledge lower prices and potentially avoid tariffs or new pricing policies through Medicare.

The new negotiations suggest the administration is looking to replicate the strategy it used with larger drugmakers: extract voluntary, confidential agreements in pursuit of lower prices and more domestic manufacturing. They also offer smaller players in the sector, which have faced substantial uncertainty about how federal policies would affect them, the chance to cut a deal and gain more certainty about how they might be affected by federal policies. 

Continue to STAT+ to read the full story…

STAT+: Trump announces 100% tariffs on brand-name drugs, with plenty of carveouts

WASHINGTON — The Trump administration announced Thursday 100% tariffs on imported brand-name drugs — but with significant caveats.

Many large drugmakers won’t have to pay the tax because they’ve struck deals with the U.S. to build manufacturing facilities here and lower the prices of their medications. Drugmakers that haven’t struck those deals but pledge to bring production to the U.S. can have their tariffs reduced to 20% for the remainder of Trump’s term. 

The tariffs open a new front in the Trump administration’s efforts to rein in the pharmaceutical industry and in its push to bring manufacturing back to the U.S. The announcement comes as Trump has looked to emphasize his administration’s work to make prices — especially medicines — more affordable ahead of the midterms.

Continue to STAT+ to read the full story…

Biotech investors’ plea to Trump, and a busy M&A week

How has the Food and Drug Administration’s recent decisions on rare disease drugs affected investment trends? Why is Eli Lilly getting into sleep medicine? And where did Allison go on her vacation?

We discuss all that and more on this week’s episode of “The Readout LOUD,” STAT’s weekly biotech podcast. Biotech investor Rod Wong joins us to talk about why an industry-patient coalition he’s part of sent a letter to President Trump asking for more regulatory flexibility at the FDA.

Read the rest…

AI Chatbots for Mental Health Self-Management: Lived Experience–Centered Qualitative Study

Background: Large language models (LLMs) now enable chatbots to engage in sensitive mental health conversations, including depression self-management. Yet their rapid deployment often overlooks how well these tools align with the priorities of people with lived experiences, which can introduce harms such as inaccurate information, lack of empathy, or inadequate crisis support. Objective: This study explores how people with lived experience of depression experience an LLM-based mental health chatbot in self-management contexts, and what perceived benefits, limitations, and concerns inform harm-mitigating design implications. Methods: We developed a technology probe (a GPT-4o–based chatbot named Zenny) designed to simulate depression self-management scenarios grounded in prior research. We conducted interviews with 17 individuals with lived experiences of depression, who interacted with Zenny during the session. We applied qualitative content analysis to interview transcripts, notes, and chat logs using sensitizing concepts related to values and harms. Results: We identified 3 themes shaping participants’ evaluations: (1) informational accuracy and applicability, including concerns about incorrect or misleading information, vagueness, and fit with personal constraints; (2) emotional support vs need for human connection, including validation and a judgment-free space alongside perceived limits of machine empathy; and (3) a personalization-privacy dilemma, where participants wanted more tailored guidance while withholding sensitive information and using privacy-preserving tactics. Conclusions: People with lived experience of depression evaluated LLM-based mental health chatbots through intertwined priorities of actionable information, emotional validation with clear limits, and personalization that does not require unsafe data disclosure. These findings suggest concrete design strategies to mitigate harms and support LLM-based tools as complements to, rather than replacements for, human support and recovery.
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The Download: plastic’s problem with fuel prices, and SpaceX’s blockbuster IPO

This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.

Fuel prices are soaring. Plastic could be next. 

As the war in Iran continues, one of the most visible global economic ripple effects has been fossil-fuel prices. But looking ahead, further consequences could be looming for plastics. 

Plastics are made from petrochemicals, and the supply chain impacts from the conflict are starting to build up. Americans will likely feel the ripples.  

Read the full story to grasp the unpredictable impacts

—Casey Crownhart 

This story is from The Spark, our weekly climate newsletter. Sign up to get it in your inbox every Wednesday. 

The must-reads 

I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology. 

1 SpaceX has filed for an IPO 
It’s set to be the largest ever, targeting a $1.75 trillion valuation. (NYT $)  
+ Which would make Elon Musk the world’s first trillionaire. (Al Jazeera
+ But the IPO could hinge on the success of Moon missions. (LA Times $) 
+ And the conflicts of interest are staggering. (The Next Web
+ Meanwhile, rivals are rising to challenge SpaceX. (MIT Technology Review)  

2 Artemis II is on its way to the Moon 
NASA successfully launched the four astronauts on its rocket yesterday. (Axios
+ The lunar plans could violate international law. (The Verge
+ But the potential scientific advances are tremendous. (Nature)  
+ Check out our roundtable on the next era of space exploration. (MIT Technology Review)  

3 Iran has struck Amazon’s cloud business in Bahrain again 
It promised to hit US companies only yesterday. (FT $) 
+ Other targets include Google, Microsoft, Apple, and Nvidia. (CNBC
+ AWS data centers in Bahrain were also hit last month. (Reuters $) 

4 OpenAI was secretly behind a child safety campaign group 
It pushed for age verification requirements for AI. (The San Francisco Standard $) 
+ OpenAI had backed the legislation as a compromise measure. (WSJ $) 
+ Coincidentally, Sam Altman heads a company providing age verification. (Engadget

5 Anthropic is scrambling to limit the Claude Code leak 
It’s trying to remove 8,000 copies of the exposed code from GitHub. (Gizmodo) 
+ An executive blamed the leak on “process errors.” (Bloomberg $) 
+ Here’s what it reveals about Anthropic’s plans. (Ars Technica
+ AI is making online crimes easier—and it could get much worse. (MIT Technology Review

6 A new Russian “super-app” aims to emulate China’s WeChat 
And give the Kremlin new surveillance powers. (WSJ $) 

7 America’s AI boom is leaving the rest of the world behind  
And it’s concentrating power and wealth in a handful of companies. (Rest of World

8 Chinese chipmakers have claimed nearly half the country’s market 
Nvidia’s lead is shrinking rapidly. (Reuters $) 

9 The first quantum computer to break encryption is imminent  
New research reveals how it could happen. (New Scientist

10 The world’s oldest tortoise has been embroiled in a crypto scam 
Reports that Jonathan died at just 194 years old are thankfully false. (Guardian

Quote of the day 

“Starlink is the only reason this valuation is defensible.” 

—Shay Boloor, chief market strategist at Futurum Equities, tells Reuters why SpaceX has such high hopes for its IPO. 

One More Thing 

These companies are creating food out of thin air 

Dried cells—it’s what’s for dinner. At least that’s what a new crop of biotech startups, armed with carbon-guzzling bacteria and plenty of capital, are hoping to convince us.  

Their claims sound too good to be true: they say they can make food out of thin air. But that’s exactly how certain soil-dwelling bacteria work. 

Startups are replicating the process to turn abundant carbon dioxide into nutritious “air protein.” They believe it could dramatically lower farming emissions—and even disrupt agriculture altogether. Read the full story

—Claire L. Evans 

We can still have nice things 

A place for comfort, fun and distraction to brighten up your day. (Got any ideas? Drop me a line.) 

+ Need more Artemis II in your life? This site takes you inside the flight. 
+ Here’s a fascinating look at the recording errors that improved songs. 
+ Good news: the elusive Nightjar bird is making a comeback. 
+ Finally, a master chef has baked clam chowder donuts

Impact of abnormal metabolic-immunoinflammatory pathway on splenomegaly in patients with chronic schizophrenia and exploration of risk factors: case-control study

ObjectiveThis study aimed to identify risk factors for splenomegaly in chronic schizophrenia patients and clarify associations among metabolic−immunoinflammatory pathways, psychiatric symptoms and splenomegaly. The findings will help optimize somatic monitoring and intervention strategies.MethodsA case−control design was used. A total of 426 patients were assigned to splenomegaly (n= 165) and non−splenomegaly (n= 261) groups according to abdominal ultrasound. Demographic data, clinical information, and antipsychotic use were collected. Mental symptoms were assessed by the Positive and Negative Syndrome Scale. Hematological indicators were detected, and abdominal ultrasound was performed to evaluate spleen morphology and fatty liver occurrence. SPSS 24.0 was used for statistical analysis, including univariate analysis and binary logistic regression to screen influencing factors of splenomegaly.ResultsThe splenomegaly group had significantly higher levels of lipoprotein(a), cholesterol, triglycerides, HbA1c, CRP, IL-6 and β2-microglobulin than the non-splenomegaly group (all p < 0.05). The incidence of fatty liver and PANSS negative symptom score were significantly higher in the splenomegaly group, while the usage rate of aripiprazole was lower (p< 0.05). Binary logistic regression showed that HbA1c (OR = 1.797, p = 0.046) and PANSS negative symptom score (OR = 2.258, p = 0.003) were independently associated with splenomegaly. Aripiprazole use was associated with lower odds of splenomegaly (OR = 0.656, p = 0.041).ConclusionSplenomegaly in chronic schizophrenia patients is closely linked to metabolic abnormalities and immunoinflammatory activation. Prominent negative symptoms are independently associated with splenomegaly and may serve as an early warning signal. Aripiprazole use is independently associated with reduced odds of splenomegaly.

Beyond dopamine blockade: mechanistic humility and the rise of muscarinic, TAAR1, and glutamatergic pathways in schizophrenia

The approval of the first non–dopamine-blocking therapy for schizophrenia marks a defining moment in psychiatry. Muscarinic M1/M4 modulation, alongside emerging TAAR1 and glutamatergic pathways, signals a shift beyond dopamine dominance toward circuit-level integration. These advances embody mechanistic humility: the scientific courage to prioritize clinical signal over mechanistic certainty. It is the scientific curiosity to revisit older hypotheses, question single-pathway models, and integrate multiple mechanisms. Building on the recognition of dopamine blockade’s experiential burdens, this new era guides psychiatry toward a pluralistic framework. The challenge for 2026 is not to replace dopamine, but to rebalance it, moving from receptor blockade dominance to circuit modulation informed pluralistic treatment. This evolution aims to restore harmony not just among neural circuits, but within the lived experience of patients.