Decision making in pre-clinical development Flashcards

1
Q

What are the Factors to Consider in Target ID?

A

Validation -
• Are drugs hitting this target likely to be efficacious? – Human validation – Preclinical validation
Feasibility -
• Are we likely to be able to make drugs which hit this target? – “Drugability” – Screening – Safety liabilities
Portfolio Fit -
• Are we the right people to make drugs which hit this target? – Competitive Landscape – Portfolio shape (Low risk, low prize vs high risk, high prize)

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2
Q

Target Validation is almost never a binary decision. TRUE OF FALSE?

A

TRUE

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3
Q

What is the process for Traditional “biased” target validation?

A
  1. Target Biology
  2. Genetic variation
  3. Phenotype
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4
Q

What is New generation –omics-based “unbiased”

target validation?

A
  1. Phenotype
  2. Genetic variation
  3. Target Biology
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5
Q

What are the Major Components of Target

Validation for human data?

A
  1. Clinical Experience
  2. Genetic Linkage
  3. Tissue Expression
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6
Q

What are the Major Components of Target

Validation for preclinical data?

A
  1. Translational Endpoints
  2. Pharmacology
  3. Genetically Engineered Models
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7
Q

Large ligands have high potential potency, – but many more ways to clash with the active site, – likely to be unable to ‘express’ innate binding
functionality even when close to desired
pharmocophore. True or False?

A

TRUE

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8
Q

Small ligands have a higher probability of

binding – actives will be found, but may bind weakly – “Fragment Screening. TRUE OR FALSE?

A

TRUE

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9
Q

Name the different Characteristics of Drug Candidates

A
Potency
Selectivity
Toxicity
Absorption 
Excretion
Metabolism 
Absorption
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10
Q

Name Lipinski’s Rule of 5

A

5 or fewer H-bond donors
10 or fewer H-bond acceptors
Molecular weight less than or equal to 500
Calculated log P less than or equal to 5
“Compound classes that are substrates for biological
transporters are exceptions to the rule“

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11
Q

What is Disease-model Efficacy?

A

Models which replicate pathophysiology

found in human patients

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12
Q

Drugs which alter pathophysiology in man

have same effects in model. TRUE OR FALSE?

A

TRUE

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13
Q

What is High-dose PK/PD studies?

A

De-risk expensive regulatory toxicology studies –
(If single-dose studies cause issues then compound
unlikely to progress through pre-clinical development)

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14
Q

What questions need to be asked when Defining a Human Predicted Efficacious Dose for Clinical Trials?

A
  1. Is the dose achievable?
  2. Is there likely to be a therapeutic window?
  3. Is the dose commercially viable?
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15
Q

What is therapeutic window?

A

Is a comparison of the amount of a therapeutic agent that causes the therapeutic effect to the amount that causes toxicity.

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16
Q

What to include when Defining a Predicted Efficacious Dose

A
  1. Use animal pharmacokinetic data – How much drug is found in animal blood at time-points after dosing
  2. Model (& measure) exposure after repeated dosing
  3. Combine with human in vitro data to model predicted human exposure
  4. Alter dose and dose interval to define a dose which gives exposure in therapeutic window
17
Q

What is a good Pharmaceutical

Profile?

A
  1. Will I be able to administer the medicine in an
    acceptable dosage form? – <500mg tablet/capsule – <4 times daily
  2. Will the medicine be stable – Shelf-life; temperature sensitivity
  3. Will the cost of making the medicine be
    prohibitive – Is there a realistic synthetic route? – Bear in mind cost of development
18
Q

Why is Understanding Metabolite

Formation Important?

A

1.Patient will be exposed to breakdown-products of
API – These may be different in preclinical species & man – Can be estimated using human liver incubation
2.They may be pharmacologically active which may
lead to safety or toxicology issues
3.Presence of metabolites not necessarily a “Stop” – Necessary (& possibly worthwhile) carrying out safety
& toxicology assays with metabolite

19
Q

Good planning reduces costs & time
(=increases revenue)
Good planning may show feasibility issues
(=early stop?!) . TRUE OR FALSE?

A

TRUE