Variables
Description
What is this formula?
The Standard Safety Margin (SSM) quantifies the percentage by which the dose producing toxicity in 1% of a population exceeds the dose producing the desired effect in 99% of the population.
When to use it
Use this formula when comparing the safety of drugs whose effective and toxic dose distributions overlap. It provides a more conservative assessment than the Therapeutic Index.
Example
A drug has the following characteristics:
Data:
TD1 = 120 mg/kg
ED99 = 40 mg/kg
Formula:
SSM = ((TD1 − ED99) / ED99) × 100
Substitution:
SSM = ((120 − 40) / 40) × 100
Result:
SSM = 200%
Interpretation:
The toxic dose for 1% of individuals is 200% higher than the effective dose for 99% of individuals.
Applications
- Drug safety evaluation
- Comparative pharmacology
- Toxicological risk assessment
- Preclinical drug development
- Therapeutic window analysis
Note
The Standard Safety Margin is a population-based safety metric and depends on accurate estimation of both efficacy and toxicity distributions. It is generally considered more informative than the Therapeutic Index when substantial overlap exists between therapeutic and toxic responses. Different publications may use slightly different percentile definitions, but TD1 and ED99 are the most common.
