TY - JOUR KW - DILI KW - DILIference KW - drug safety KW - MPS KW - NAMs KW - comparative analysis KW - preclinical model AU - Shivangi Shrimali AU - Minjun Chen AU - Dongying Li AU - Weida Tong AB - The FDA’s ‘Roadmap to Reducing Animal Testing in Preclinical Safety Studies’ supports the regulatory advancement of new approach methodologies (NAMs). Focusing on overlapping drugs, this review compared the performance of in vitro NAMs, animal studies, and microphysiological systems (MPS) in predicting drug-induced liver injury (DILI). We observed considerable variability among in vitro NAMs and potential advantages over animal models. Moreover, limited MPS data hindered meaningful comparison. To enable objective and systematic assessment of NAMs, we propose DILIference, a curated reference drug list compiled from the literature to guide the development and benchmarking of DILI-predictive NAMs. BT - Drug Discovery Today DA - 2025-08-11 DO - 10.1016/j.drudis.2025.104452 N2 - The FDA’s ‘Roadmap to Reducing Animal Testing in Preclinical Safety Studies’ supports the regulatory advancement of new approach methodologies (NAMs). Focusing on overlapping drugs, this review compared the performance of in vitro NAMs, animal studies, and microphysiological systems (MPS) in predicting drug-induced liver injury (DILI). We observed considerable variability among in vitro NAMs and potential advantages over animal models. Moreover, limited MPS data hindered meaningful comparison. To enable objective and systematic assessment of NAMs, we propose DILIference, a curated reference drug list compiled from the literature to guide the development and benchmarking of DILI-predictive NAMs. PY - 2025 EP - 104452 ST - New approach methodologies (NAMs) for drug-induced liver injury (DILI) T2 - Drug Discovery Today TI - New approach methodologies (NAMs) for drug-induced liver injury (DILI): Where are we now? UR - https://www.sciencedirect.com/science/article/pii/S1359644625001655 Y2 - 2025-08-18 SN - 1359-6446 ER -