Safety
Non-Clinical Safety Pharmacology Profile of Verapamil: Analysis of Core and Supplementary Studies in Animal Models 1. Executive Summary and Non-Clinical Risk Classification Verapamil, a phenylalkylamine L-type calcium channel blocker, has a highly predictable non-clinical safety pharmacology profile defined by its mechanism of action. Comprehensive evaluation across the ICH S7 core battery (Cardiovascular, Respiratory, and Central Nervous Systems) and supplemental toxicology studies confirms that the primary functional effects are systemic vasodilation, profound depression of atrioventricular (AV) nodal conduction, and direct negative inotropy at elevated concentrations. The integrated risk assessment derived from non-clinical models reveals three critical liabilities that necessitate specific safety monitoring during human clinical development. Firstly, the acute cardiovascular risk is localized to dose-dependent AV block and subsequent myocardial depression, which becomes signif...