NAMs in Cardiovascular Research

Human heart models for cardiac safety testing—because cardiotoxicity is the leading cause of drug withdrawals and the human heart beats differently than animal hearts

30%
Drug withdrawals due to cardiac toxicity
#1
Cause of post-market drug withdrawals
45%
Clinical failures from cardiac safety issues
$800M+
Average cost per cardiac drug failure
Drugs Withdrawn Due to Cardiac Effects
Vioxx (rofecoxib)
Heart attacks, strokes
Withdrawn 2004
Propulsid (cisapride)
QT prolongation, arrhythmias
Withdrawn 2000
Seldane (terfenadine)
Torsades de pointes
Withdrawn 1998
Fen-Phen
Heart valve disease
Withdrawn 1997
Understanding QT Prolongation
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What is QT Interval?

The time from the start of heart contraction to complete relaxation. Prolongation can cause fatal arrhythmias.

Why It Matters

QT prolongation is the most common reason for drug withdrawal. hERG channel blocking is a key mechanism.

Species Differences

Human hERG channels differ from rodent channels—drugs safe in mice can be deadly in humans.

NAM Advantage

Human iPSC-cardiomyocytes express human hERG channels, enabling accurate QT liability prediction.

Human Cardiac Models

NAMs that beat like a human heart

iPSC-Derived Cardiomyocytes

Human heart muscle cells grown from induced pluripotent stem cells that beat spontaneously and express human ion channels.

  • Human hERG channel expression
  • Spontaneous beating
  • Patient-specific cells available
  • High-throughput compatible

Heart-on-Chip

Microfluidic devices with human cardiac tissue that contracts under physiological conditions with measurable force.

  • Measures contractile force
  • Flow conditions mimic blood
  • Multi-week studies possible
  • Combined with other organ chips

Cardiac Organoids

3D heart tissue structures with multiple cell types (cardiomyocytes, fibroblasts, endothelial cells) that self-organize.

  • Multiple cardiac cell types
  • 3D tissue architecture
  • Disease modeling
  • Drug penetration studies

Engineered Heart Tissue (EHT)

Strips or rings of human cardiac tissue anchored between posts that contract with measurable force.

  • Quantitative force measurement
  • Mature cell phenotype
  • Chronic toxicity studies
  • Structural cardiotoxicity detection

CiPA Initiative

FDA-supported paradigm using human cell data for cardiac safety

Comprehensive in vitro Proarrhythmia Assay
1

Ion Channel Studies

Test drug effects on multiple human cardiac ion channels (hERG, Nav1.5, Cav1.2) using automated patch clamp.

2

In Silico Modeling

Computer models integrate ion channel data to predict proarrhythmic risk using human cardiac action potential models.

3

Human iPSC-CM Studies

Confirm predictions using human iPSC-derived cardiomyocytes with MEA recordings of electrical activity.

4

Clinical Confirmation

Focused clinical ECG studies validate the integrated non-clinical predictions in humans.

Beyond Safety Testing

Human cardiac models for disease research

Heart Failure

Model reduced contractility and test drugs that strengthen heart muscle using patient-derived cells.

Inherited Arrhythmias

Study long QT syndrome and other genetic conditions using iPSCs from affected patients.

Cardiomyopathies

Model dilated and hypertrophic cardiomyopathy with patient-specific mutations.

Ischemia/Reperfusion

Study heart attack damage and recovery using controlled oxygen deprivation in human tissue.

Cancer Drug Cardiotoxicity

Test whether chemotherapy drugs damage heart tissue—a major cause of cancer treatment complications.

Regenerative Medicine

Develop cell therapies to repair damaged heart tissue using human cardiac cells.