“…27 Moreover, although both genome-wide and differential expression of select gene sets has been applied at all stages of drug discovery and development from early in vitro assays through nonclinical pharmacology and toxicology studies and clinical trials, the lack of qualified markers and validated methods, as well as accessible tissues (eg, usually limited to peripheral blood cells) in clinical trials, severely limits its use in studies to support regulatory filings. 76 However, transcriptomic data can still make useful contributions toward characterization of the safety of a compound, particularly when used in combination with other ''omics'' technologies and with traditional toxicology end points. The InnoMed PredTox project is a European collaborative effort of pharmaceutical companies, service providers, and universities investigating mechanisms of toxicity and identifying safety biomarker candidates by evaluating a combination of results from transcriptomics, metabolomics, and proteomics in relation to routine clinical chemistry and histopathology.…”