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Evidence qualification before dose arithmetic

First-in-Human Assessment v2

Integrate toxicology, HED/MRSD, fit-for-purpose MABEL, pharmacologically active dose, exposure margins and early-phase risk controls. The output is a starting-dose ceiling for multidisciplinary review—never authorization to dose humans.

No “lowest number wins” final ruleNo canned escalation ladderICH M15 model metadata gatesHuman review required

1 · Programme context

The calculator does not create a clinical identity. When opened from Clinical Development OS, results can be saved to the same programme/candidate evidence ledger.

2 · Traceable toxicology anchor

NOAEL/HED/MRSD is only one anchor. Study identity and species relevance are mandatory for decision-qualified use.

Traceability required

3 · MABEL / model-informed anchor

Decision-grade QSP/PK-PD MABEL requires exact model identity, context of use, risk/impact assessment and evaluation. The simple receptor-occupancy equation is fenced as exploratory.

Exploratory receptor-occupancy inputs
This simplified calculation is exploratory only. The backend will not mark it qualified for a clinical starting-dose decision.

4 · PAD / target-exposure anchor

Supportive model-derived evidence must be linked to a model version and measured source evidence. It never replaces toxicology.

5 · Integrated risk & early-phase controls

Risk controls are explicit. High/very-high uncertainty drives an internal sentinel/staggering gate; stopping rules and maximum exposure/dose criteria are always required for the software transition.

6 · Multidisciplinary review checklist

Checking these boxes records inputs to the assessment only. A separate explicit reviewer action is required to append REVIEWED evidence to the programme ledger.

Human accountability

Assessment output

The proposed ceiling is a conservative quantitative anchor for human review—not a prescription, protocol instruction or authorization.

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PROPOSED STARTING-DOSE CEILING FOR HUMAN REVIEW
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No final starting dose is selected by this software.

Risk band—
Qualified anchors—
Starting dose authorizedNo
Automatic escalationNo

Qualified / exploratory anchors

Blockers

Early-phase plan requirements

Human review record