TABLE 1

Human target validation classification

HTVDefinition
High HTV
 Level 1Drug is on the market
  1.1Mortality/morbidity endpoint met in target population
  1.2Surrogate endpoint (approvable) met in target population
  1.3Confidence-generating endpoints met in target population
 Level 2Clinical tool is hitting the target
  2.1Surrogate endpoint (approvable) met in target population
  2.2Confidence-generating endpoints met in target population
 Level 3Drug is hitting a target in the pathway of interest
  3.1Mortality/morbidity endpoint met in target population
  3.2Surrogate endpoint (approvable) met in target population
  3.3Confidence-generating endpoints met in target population
 Level 4Drug/clinical tool is hitting the target and/or pathway outside the target population
  4.1Surrogate endpoint (approvable) met
  4.2Confidence-generating endpoints met
Medium HTV
 Level 5Phenotypes/genotypes in the diseased state have been identified
  5.1Extreme (for example, naturally occurring mutants)
  5.2Heterogeneous (for example, based on population databases, patient cohorts)
 Level 6Clinical challenge model
  6.1Nondrug; stress test of pathway (for example, fat meal, lipopolysaccharide [LPS] challenge)
 Level 7Target affected in human ex vivo tissue manipulation
  7.1For example, platelet ADP stimulation, insulin secretion from human islets
Low HTV
 Level 8Target/target pathway is altered in healthy vs. diseased population
  8.1For example, positron emission tomography tracer data supportive, bioinformatics, in silico mapping
 Level 9Target of interest is present in correct tissue/cell type
  9.1For example, bioinformatics, experimental evidence
 Level 10No relevant human data