Drug development Flashcards
What are the stages of drug development? (4)
- Basic research and target selection
- Pre-clinical research
- Clinical research (3 phases)
- Regulatory review
What is pre-clinical research?
Animal testing
What is clinical research?
- Human testing
- Split into 3 phases
What is phase 1 of clinical research?
Testing on healthy human volunteers
What is phase 2 of clinical research?
Testing on patients with the disease
What is phase 3 of clinical research?
Larger trial (1000+ patients) testing on patients with the disease
What is target selection?
Selection of ‘lead molecule’ by screening a series of molecules for their interaction with your chosen target (receptor/enzyme etc.) and identifying one that could be therapeutically useful
What testing is done after the selection of a lead molecule? (2)
- Exploratory toxicology
- Exploratory safety
What is LD50?
- The amount of the drug which kills 50% of the animals in the trial
- Old method of animal testing
How is animal toxicology carried out?
- Drug must be tested in a rodent (rat) and non-rodent (beagle)
- Testing carried out in 3 dose groups
What are the 3 dose groups tested in animal toxicology?
- Low (no toxicology)
- Intermediate
- High (toxicology expected in target organ)
What parameters are looked at in animal toxicology? (4)
- Haematology
- Kidney and liver function
- Coagulation
- Large organ toxicity
What are the goals of non-clinical safety evaluations? (7)
- Identify on/off target toxicity
- Reversibility
- Relate toxicity to exposure
- Define a max non-toxic dose and a min affective dose
- Select the dose for human testing
- Identify specific monitoring requirements
- Identify potential undesirable effects on CV system/CNS/respiratory etc.
What is determined in phase 1 clinical trials? (3)
- Safety
- Tolerance
- Pharmacokinetics (how long the drug stays in the body etc.)
What is determined in phase 2 clinical trials? (2)
- Dose
- Efficacy