Compliance to regulations requires QC testing of all injectable pharmaceuticals and medical devices for the presence of pyrogens whose effects may range from fever, shock, and in some instances, death. Globally harmonized tests to detect pyrogenic substances are the animal based rabbit pyrogen test (RPT), as well as the bacterial endotoxin test (BET).
The world’s increasing concerns with ethics of using experimental animals, and efforts to protect natural resources led regulatory agencies and pharmaceutical companies to acknowledge in vitro test systems such as the monocyte activation test (MAT) and the recombinant factor C test (rFC) that are minimizing such dependencies. Likewise, the European Pharmacopeia has adopted the MAT in 2009 (Ph. Eur. chapter 2.6.30) and recently, has put an end on the RPT for the year 2026. Other leading pharmacopeia such as the United States Pharmacopeia are describing the MAT as a suitable alternative test method to the RPT.
Other advantages of the MAT include the stimulation of a human response (RPT: mammal response), introduction of experimental controls and cost savings. Therefore, the MAT is closing the gap between patient safety and other regulatory requirements.