Lecture 8: Drug Development Flashcards

(34 cards)

1
Q

what is the most expensive part of drug development?

A

clinical trials

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2
Q

six stages of drug development

A
  1. target selection
  2. lead discovery
  3. medicinal chemistry
  4. in vitro studies
  5. in vivo studies
  6. clinical trials & therapeutics
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3
Q

what is target selection

A

the decision to focus on finding an agent w/ a particular biological action that is anticipated to have therapeutic utility

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4
Q

what is target identification

A

identifying molecular targets that are involved in disease progression

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5
Q

what is target validation

A

proving that manipulating the molecular target can provide therapeutic benefit for patients

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6
Q

what are common biochemical classes of drug targets

A

GPCRs, enzymes, hormones & factors, ion channels, nuclear receptors

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7
Q

concepts involved in target selection

A
  • cellular & genetic targets
  • genomics
  • proteomics
  • bioinformatics
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8
Q

what is lead discovery

A

identification of small molecule modulators of protein function, and the process of transforming these into high-content lead series

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9
Q

tools for synthesis & isolation in lead discovery

A

in vitro chemical synthesis

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10
Q

how is combinatorial chemistry useful in lead discovery

A

optimization of target affinity & selectivity
- ADME properties
- reduce toxicity

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11
Q

how is assay development used in lead discovery

A

measuring drug activity

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12
Q

how is high throughput screening useful in lead discovery

A

screening the drug target with chemicals to identify the specific compounds that will move forward

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13
Q

what is medicinal chemistry

A

a dicipline at the intersection of synthetic organic chemistry & pharmacology

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14
Q

what does medicinal chemistry focus on

A

small organic molecules (not on biologics & inorganic compounds)

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15
Q

what is medicinal chemistry used in

A
  • drug discovery (hits)
  • lead optimization (hit to lead)
  • process chemistry & development
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16
Q

tools for medicinal chemistry

A
  • library development
  • SAR studies
  • in silico screening
  • chemical synthesis
17
Q

what must you do before testing a drug in people

A

find out the toxicity of a drug

18
Q

two types of preclinical research

A

in vitro & in vivo

19
Q

characteristics of preclinical studies

A
  • not very large (take up to 3 years to complete)
  • detailed info on dosing & toxicity levels
  • researchers review findings & decide whether the drug should be tested in people after preclinical testing
20
Q

in vitro studies

A

(in glass) studies using component of organisms (ie test tube experiment)

21
Q

purpose of in vitro studies

A
  • drug affinity & selectivity
  • cell disease models
  • MOA
  • lead candidate refinement
22
Q

in vivo studies

A

its experimentation using a whole, living organism

23
Q

what do in vivo studies give info about

A

metabolic profile, toxicology, drug interaction

24
Q

tools for in vivo studies

A
  • animal models of disease states
  • behavioral studies
  • functional imaging
  • ex-vivo studies
25
clinical trials
set of procedures in medical research & drug development to study the safety & efficacy of new drug
26
phase 0 of clinical trials
recent designation, known as human microdosing studies - designed to speed up development of promising drugs
27
what is phase 0 concerned with
- preliminary data on the drug's pharmacodynamics & pharmacokinetics - efficacy of pre-clinical studies
28
phase 1 title
clinical pharmacologic evaluation - 1st stage of testing in human subjects
29
what is phase 1 concerned with
- human toxicity - tolerated dosage range - pharmacology/dynamics
30
types of phase 1 trials
- SAD (single ascending dose) - MAD (multiple ascending dose) - food effect
31
phase 2 title
controlled clinical evaluation - controlled single blind technique
32
what is phase 2 concerned with
safety, efficacy, drug toxicity, drug interaction
33
phase 3 title
extended clinical trials - most expensive & time consuming - controlled double blind technique
34
what is Phase 3 concerned with
safety, efficacy, comparison w/ other drugs, package insert