Drug development and safety Flashcards

1
Q

First 4 steps in the process of drug development

A
  1. Isolate or synthesize a new drug
  2. Determine chemical/pharmaceutical properties of the drug
  3. Determine the kinetics/dynamics
  4. Test animals for toxicity (acute, subacute, chronic) and teratogenesis, mutagenesis, and carcinogenesis
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2
Q

Second 3 steps in the process of drug development

A
  1. Outline properties of the drug
  2. Report results of studies
  3. Propose clinical studies
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3
Q

What does IND stand for

A

Investigational new drug

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4
Q

What are the steps during the IND application phase of drug development

A
  1. outlining properties,

2. report results of case studies, 3. propose clinical studies

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5
Q

What are the steps in the discovery and characterization phase

A
  1. Isolate/synthesize new drug

2. Determine chemical/pharm properties of drug

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6
Q

What are the steps during the experimental studies phase of drug development

A
  1. Determine kinetics/dynamics of a drug

2. Test animals for toxicity and mutations

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7
Q

What are the steps during the clinical studies phase

A

Phase 1
Phase 2
Phase 3

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8
Q

What happens during phase 1

A

Gathering data on drug safety and kinetics in HEALTHY VOLUNTEERS

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9
Q

What happens during phase 2

A

Gathering data on efficacy, safety, proper dosage in a SMALL group of pts

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10
Q

What happens during phase 3

A

Obtain statistical evidence of drug safety and efficacy. LARGE group of patients

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11
Q

What are the steps during submission of NDA

A
  1. Outline the properties of the drug
  2. Report results of all experiments and clinical trials
  3. Propose labeling of drug and clinical indications (for use)
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12
Q

What does NDA stand for

A

New drug approval

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13
Q

What are the final steps (2) in the drug development process

A
  1. NDA approval

2. Postmarketing surveillance

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14
Q

What is the difference between IND and NDA

A

IND is investigational new drug and it is the early stages of drug (before clinical trials). Where as NDA is the actual approval of the new drug for market

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15
Q

What happens after experimental studies

A

IND application

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16
Q

What happens after IND application

A

Clinical studies (phase 1,2,3)

17
Q

What happens after clinical studies

A

Submission of NDA application

18
Q

What is the Federal Food, drug and cosmetic act (FFDCA)

A

It is a law that was passed in 1938 that allows the FDA to oversee the safety of food, drug, and cosmetics

19
Q

How has the FFDCA effect drug safety

A

Drug companies must show that the product is safe before marketing

20
Q

What was added to the FFDCA in 1968

A

Drug efficacy study implementation was added.

Drugs had to be studied with controlled trials

21
Q

What are 2 federal laws/regulations designed to prevent drug abuse

A
  1. Harrison Narcotic act of 1914

2. Comprehensive Drug Abuse Prevention and Control Act

22
Q

What was the purpose of the Harrison narcotic act of 1914

A

Regulate the production, importation, and distribution of opiates and coca products

23
Q

What does the comprehensive drug abuse prevention and control act do (aka federal controlled substance act)

A

Classification of drugs into their 5 schedules

24
Q

Class 1 drugs

A

HIGH potential for abuse, no legitimate medical use (cocaine, ecstasy)

25
Q

Class 2 drugs

A

High abuse potential but a legitimate medical use-must be highly controlled. (Morphine, methadone)

26
Q

Class 3,4,5 drugs

A

Have lower abuse potential and fewer restrictions on distributions

27
Q

Examples of class 3 drugs

A

Steroids

28
Q

Examples of class 4 drugs

A

Valium, xanax

29
Q

Examples of class 5 drugs

A

Cough syrups, codeine

30
Q

What is FAERS

A

FDA adverse event reporting system. The database contains information on adverse events and medication errors reported to the FDA

31
Q

Who reports to FAERS

A

Anyone and it is voluntary

32
Q

How do you report and adverse event or medication error

A

The MedWatch site