In Vitro Skin Sensitization Testing of Medical Devices

SenzaGen’s Newsletter Q4 2025

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SenzaGen Newsletter Q4, 2025

As 2025 draws to a close:

This quarter caps a year of significant progress in advancing non-animal sensitization testing and closing critical data gaps. Combing genomics and machine leaning, GARD® continues to deliver solutions for Safe Dose Levels, Medical Devices, and Challenging Chemicals—driving the shift toward reliable, human-relevant approaches.

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How do you establish safe dose levels for sensitizers during product development?

This question has been front and center at international conferences and webinars this quarter, including ICT and ASCCT, where we’ve shared insights on GARD®skin Dose-Response—a unique method that delivers quantitative sensitization potency data as a stand-alone solution, without combining results from multiple tests.

Applicability to challenging samples
A key discussion point: GARD® can address not only neat chemicals but also complex mixtures like UVCBs, natural extracts, formulations, and hydrophobic materials, making quantitative risk assessment robust for diverse applications.

Quantitative data gain momentum across industries 
Interest is growing across sectors, from cosmetics and chemicals to medical devices and now also high-tech industry, because this approach supports early screening of new ingredients and materials and enables safer, more efficient innovation.

Discover how GARD® enables the derivation of Points of Departure (PoDs) for Quantitative Risk Assessment (QRA), and helps establish safe dose levels for identified sensitizers.

Here’s what you need to know as you plan for 2026: Watch webinar replay

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In vitro biocompatibility testing: a cost-efficient, human-relevant and ethical alternative

New data on GARD®skin for Medical Devices was a key highlight at the Biocompatibility Conference in Berlin this November, underscoring how NAMs are gaining traction within ISO 10993. Our experts shared insights on integrating in vitro approaches into efficient biocompatibility strategies.

Interested in the new skin sensitization data? Request our poster to learn more

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UK signals shift to non-animal testing

The UK’s strategy to end regulatory animal testing for skin sensitization, irritation, and eye irritation by 2026 reflects the rapid move toward validated non-animal methods. SenzaGen supports this transition with GARD® for skin sensitization, as well as GLP-compliant skin and eye irritation testing, backed by scientific expertise and personalized guidance.

UK ends animal testing for skin sensitization by 2026 – Read road map

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Expanded lab facilities now open in Lund

Last month, SenzaGen celebrated the opening of our expanded laboratory in Lund. As regulatory initiatives accelerate the shift to non-animal testing, we are ready to support this change with increased capacity, flexibility and innovative solutions. Join us in celebrating this important step enabling the transition to non-animal testing!

Discuss your testing needs with our scientific team

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SenzaGen’s Newsletter Q3 2025

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Safe dose levels for sensitizers, NESIL values for HRIPT, and PoD-based QRA

Skin sensitization potency assessment has been in the spotlight at several toxicology conferences this summer, particularly for fragrances where defining safe dose levels, establishing NESIL values, and applying Point of Departure (PoD)-based Quantitative Risk Assessment (QRA) remain key challenges.

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Webinar: In vitro skin sensitization potency assessment

Our on-demand webinar demonstrates how GARD®skin contributes to these needs with case studies on fragrances, essential oils, botanical extracts, and complex mixtures, in collaboration with Unilever, BIC, Takasago, dōTERRA, IFF, and RIFM.
WATCH THE RECORDING
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OECD TG 497 regulatory update at Eurotox

Thank you to everyone who visited us at this year’s Eurotox and joined the discussions on what GARD®skin’s inclusion in OECD TG 497 means for high performance and extended applicability within the DASS framework. We presented posters and led an interactive session demonstrating applications across complex substance categories such as UVCBs, natural extracts, hydrophobic materials, and formulations.

Connect with our specialists to discuss what this means for your regulatory testing strategy

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GARD® enters final ISO validation

– 100% reproducibility and 97% concordance

At the recent ISO TC 194/WG 8 meeting, SenzaGen presented pre-validation results for GARD®skin Medical Device. The assay achieved 100% reproducibility and 97% concordance with animal data, confirming it is robust and ready for the next step: interlaboratory ring trial validation. This milestone advances NAMs in ISO standards, supporting the shift to non-animal skin sensitization assessments.

Request the poster with full pre-validation data

Upcoming events

🌎 ICT 2025 | Beijing, China | Oct 15-18
🌎 ASCCT 2025 | Gaithersburg, USA | Oct 21-23
🌎 3rd Annual Medical Device Biocompatibility Conference | Berlin | Nov 6-7
🎧 Webinar: How GARDskin fits into OECD TG 497 | Nov 20

Joint poster with Urgo: Supporting hypoallergenicity claims for Medical Wound Dressings

Supporting industry decision-making and hypoallergenicity claims using an experimental setup combining GARD®skin Medical Device and Dose-Response protocols.

Presented at 2025 Eurotox

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Conclusion

This case study demonstrates how NAMs like GARD® can be effectively integrated into product development for assessing skin sensitization potential in medical device extracts. It enables evidence-based decision-making and supports hypoallergenic claims, without the use of animal testing.

Abstract

Biocompatibility testing is a crucial part of medical device safety assessments both for regulatory acceptance of finished products but also within the developmental pipelines of novel devices. Along with cytotoxicity and irritation, skin sensitization is a key toxicological endpoint that must be assessed for all devices. While testing for the two former endpoints is partly conducted in vitro, traditional animal experimentations for skin sensitization testing are still routinely conducted. Thus, validation and implementation of New Approach Methods (NAMs) remains a prioritized goal of the medical device industry.

The GARDskin method (OECD 442E) is a NAM for hazard assessment of skin sensitizers based on test chemical exposure of dendritic cell-like cells followed by a genomic readout. Several method adaptations have been proposed in order to address specific needs of various industry segments. Such adaptations include the GARDskin Dose-Response (DR) method, which facilitates quantitative assessment of sensitizing potency, and the GARDskin Medical Device (MD) method, which facilitates testing of solid materials in accordance with ISO 10993 standards.

Here we report an experimental setup combining the protocols of above-mentioned GARDskin adaptations used to evaluate the relative hypoallergenicity of two sensitive skin dressings: a candidate product and a marketed comparative product. The extraction from the solid test items was performed according to ISO 10993-12, but with an increased test item to extraction vehicle ratio of 6x. The oversaturated extracts were subsequently subjected to serial dilution facilitating dose-response testing in order to evaluate, assess and compare the test items’ relative skin sensitizing potentials.

The results concluded that both test items were classified as non-sensitizers. Due to the oversaturation extraction procedure, otherwise adhering to the ISO 10993-12 standards, the results are noteworthy. Indeed, due to the manyfold increase in material to vehicle ratio, labelling the tested skin dressings as hypoallergenic, or otherwise suitable for sensitive use, may be supported by the data. Furthermore, evaluation of the relative difference between the two test items concluded that the comparative test item induced elevated response values at the highest tested concentration, whereas the candidate test item did not. As such, it could be argued that the candidate product can be claimed as hypoallergenic similarly to the comparative product.

In summary, this experimental setup combining GARDskin MD and GARDskin DR protocols can successfully be used to support claims of hypoallergenicity of medical devices, as well as comparing candidate products with respect to their relative skin sensitizing potential. These results illustrate how such strategies can be routinely integrated in the development of novel devices giving data for critical decision-making without resorting to animal experimentation for regulatory approval.

Joint poster with BIC: Case study on skin-binding dyes

In vitro skin sensitization potency assessment using GARD®skin Dose-Response: A case study on natural extracts-based skin-binding dyes and dye precursors

Presented at 2025 Eurotox

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Conclusion

  • GARD® skin Dose-Response provides ready-to-use NESIL values, supporting the establishment of safe dose levels for skin sensitizers.
  • The assay is a non-animal alternative for skin sensitization potency testing, enabling potency ranking of candidate products and quantitative risk assessment.

Abstract

Naturally occurring skin dyes and dye precursors are widely used in temporary tattoo products, evolving from unrefined fruit extracts to more refined formulations in various ink applications. Evaluating their skin sensitization potential and establishing safe use levels for potential sensitizers are critical for product safety, which has traditionally relied on animal testing and/or human patch testing. While New Approach Methodologies (NAMs) have been developed to replace in vivo assays, a need remains for methods that can effectively and quantitatively characterize skin sensitizing potency.

GARD®skin (OECD TG 442E) is an in vitro assay that identifies chemical skin sensitizers based on the transcriptional profiling of a 196-gene biomarker signature in the dendritic-like SenzaCell® cell line. Predictions are made using a machine-learning algorithm, which classify test chemicals as sensitizers or non-sensitizers based on the assay’s readout, Decision Values (DVs).  GARD®skin Dose-Response (OECD TGP 4.106) extends this approach by evaluating test chemicals across a concentration range to establish a dose-response relationship between DVs and test chemical concentration. Sensitizing potency is quantified using cDV0, the lowest dose required to elicit a positive response in GARD®skin. Depending on the need, the readout can be used to predict LLNA EC3 values, No Observable Effect Levels (NOELs)/No Expected Sensitization Induction Levels (NESILs), Human Potency (HP) Categories, and UN GHS/CLP classification (1A or 1B), all with high statistical significance.

This case study demonstrates the application of GARD®skin Dose-Response to quantitatively assess the skin sensitization potency of naturally occurring dye precursor that binds covalently to skin molecules, highlighting its use in temporary tattoo inks. Seven analogue molecules with different functional groups were investigated. While six exhibited varying degrees of sensitization potency with mean cDV0 values ranging from 3.82 µM to 34.3 µM, one functional group did not induce a positive response at any of the assayed concentrations and was subsequently classified as a non-sensitizer. Predicted LLNA EC3 values ranged from 0.60% to 4.72%, corresponding to Human Potency Categories HP2 to HP4, with NESIL estimates between 258 to 2840 µg/cm².

These findings demonstrate that GARD®skin Dose-Response provides ready-to-use NESIL values, enabling potency ranking of candidate ingredients and supporting the safety assessment of novel dyes and dye precursors. The study further highlights the assay’s value as a non-animal alternative for skin sensitization potency assessment in product development.

Joint poster with dōTERRA: Case study on Essential Oils

Comparative analysis of skin sensitization thresholds for Essential Oils: Human, murine, and GARD®skin Dose-Response

Presented at 2025 Eurotox

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Conclusion

  • NESIL predictions from GARD® were consistent with other skin sensitization data, particularly when compared to reference human data (HRIPT) and constituent predictions.
  • The assay supports quantitative skin sensitization potency assessment of complex mixtures, offering a reliable non-animal alternative to traditional testing methods.

Abstract

Essential oils (EOs), widely used in consumer products, require robust skin sensitization hazard and potency assessment. However, dose-response thresholds for EOs remain understudied, and current classifications under CLP mixture criteria are often overly conservative. Traditional methods, such as animal testing and human patch tests, face ethical concerns, regulatory restrictions, and reliability issues. While New Approach Methodologies (NAMs) address some of these challenges, most of them are validated only for hazard identification and lack quantitative potency assessment capabilities.

GARD®skin (OECD TG 442E) is an in vitro assay that identifies chemical skin sensitizers based on the transcriptional profiling of a 196-gene biomarker signature in the dendritic-like SenzaCell® cell line. Predictions are made using a machine-learning algorithm, which classify test chemicals as sensitizers or non-sensitizers based on the assay’s readout, Decision Values (DVs). GARD®skin Dose-Response (OECD TGP 4.106) extends this approach by evaluating test chemicals across a concentration range to establish a dose-response relationship between DVs and test chemical concentration. Sensitizing potency is quantified using cDV0, the lowest dose required to elicit a positive response in GARD®skin. Depending on the need, the readout can be used to predict LLNA EC3 values, No Expected Sensitization Induction Level (NESIL), and UN GHS/CLP classification (1A or 1B), all with high statistical significance.

This study evaluates the utility of GARD®skin Dose-Response to predict NESILs for EOs, bridging the gap between hazard identification and quantitative risk assessment. Three EOs (A, B, C) were analysed using GARD®skin Dose-Response. Their skin sensitization potency threshold levels were estimated by the assay readouts (cDV0) and NESIL predictions. Results were compared to existing murine (LLNA EC3) and human (HRIPT/HMT) data through weight-of-evidence analysis.

For test item A, the predicted NESILs spanned were 5700 (GARD®), 6900 (constituent prediction), 1800 (LLNA), 2000 (HRIPT), and 3500 µg/cm² (HMT). Test item B showed NESILs of 24000 (GARD®), 29000 (constituent prediction), 6700 (LLNA), 44000 (HRIPT), and 11000 µg/cm² (HMT). Test item C was classified as a non-sensitizer by GARD®skin Dose-Response, with constituent prediction, LLNA, HRIPT, and HMT NESILs at 20000, 3900, 20000, and 690 µg/cm², respectively.

NESIL predictions from GARD®skin Dose-Response aligned with other skin sensitization test results, supporting its utility in quantitative sensitization potency assessment of complex natural extracts like EOs. While confirmatory human studies (e.g., CNIH protocols) are recommended, this assay reduces reliance on animal and human testing and advances the use of NAMs in safety assessment.

Biocompatibility Testing of Medical Devices

SenzaGen’s Newsletter Q2 2025

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SenzaGen Newsletter 2025 Q2


SenzaGen Newsletter 2025 Q2

GARD®skin is now included in OECD TG 497

We are excited to announce that the GARDskin assay (OECD TG 442E) is now included in OECD TG 497’s Defined Approaches for Skin Sensitization (DASS), bringing high performance and extended applicability to the DASS framework. The assay is part of two key Defined Approaches:

  • The “2 out of 3” DA for hazard identification
  • The Integrated Testing Strategy (ITS) for hazard identification and potency subcategorization (1A, 1B, NC).

Learn more about how GARDskin fits into TG 497.

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Webcast: How GARDskin enhances Defined Approaches for Skin Sensitization
Watch the webcast to learn what the inclusion of GARDskin in OECD TG 497 means in practice – and how it can support your regulatory testing strategy. The webcast is now available on demand.
WATCH THE RECORDING
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FDA shift highlights need for innovative, human-relevant test methods

The FDA’s recent decision to phase out mandatory animal testing in drug development marks a major regulatory step toward wider adoption of human-relevant, non-animal methods. For SenzaGen, this shift highlights the growing value of technologies like machine learning, genomics, and organoid-based testing.

Read more in the full FDA article

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Expanded collaboration with RIFM to advance fragrance safety

Our long-standing collaboration with the Research Institute for Fragrance Materials (RIFM) continues to grow, driven by a shared commitment to non-animal methods and scientific excellence. Recent projects expand the scope of our work, including new in vitro studies in areas such as photosensitization.

Learn more about our work with RIFM

Upcoming events

🌎 World Congress 13 | Rio de Janeiro, Brazil | Aug 31-Sep 4
🌎 Eurotox 2025 | Athens, Greece | Sep 14-17
🌎 ICT 2025 | Beijing, China | Oct 15-18
🌎 ASCCT 2025 | Gaithersburg, USA | Oct 21-23

 

Published report by NICEATM: Evaluation of the GARDskin Sensitization Test Method Using Substances of Regulatory Interest

NICEATM’s report confirms the inclusion of GARDskin improved the overall performance of the Defined Approaches for Skin Sensitization (DASS)

The recent published report by NICEATM* summarizes an evaluation of the performance of the GARD®skin assay for predicting skin sensitization hazard and potency for chemicals nominated by ICCVAM member agencies.

The evaluation compared the results of the GARDskin assay alone and in applicable defined approaches for identifying skin sensitizers with reference results derived from the murine local lymph node assay, human skin sensitization reference data, and three other non-animal skin sensitization test methods.

Overall, the GARDskin assay performed well against the other assays for predicting skin sensitization hazard and potency classifications. Performance statistics for the defined approaches that included the GARDskin assay suggested that its addition improved those defined approaches.

Full report

 

*NICEATM (National Toxicology Program Interagency Center for the Evaluation of Alternative Toxicological Methods) is a U.S. government center that promotes the development, validation, and adoption of alternative test methods that reduce, refine, or replace animal use in toxicology. NICEATM evaluates new in vitro, computational, and integrated approaches for regulatory safety testing and coordinates with agencies like ICCVAM to support their regulatory acceptance.

Skin Sensitization Potency Assessment