Exam 3 toxicity and development Flashcards
accessibility refers to
FDA evaluates benefits/risks for the population
applicability refers to
provider evaluates benefits/risks for a patient
acceptability refers to
patient evaluates benefits/risks in terms of personal values
what elements are required for IND
animal pharmacology and toxicology, manufacturing info, clinical protocol and investigator info
how many steps are there to predict the first dose in man for a new drug
4
what is step 1 to predict first dose
determine the maximal No Observable Adverse Effect Level in appropriate animal species
what is step 2 to predict first dose
calculate human equivalent dose from appropriate species
what is step 3 to predict first dose
determine a safety factor usually 10
what is step 4 to predict first dose
divide human equivalent dose by safety factor to determine the maximum recommended starting dose
do animal studies predict human responses
imperfect but not irrelevant/ most of the time they are correct
what are acute stidies
effect of single dose at lease 2 species
what are repeated dose studies
length depends on anticipates therapy at least 2 species
what is genetic toxicity
determine likelihood cmpd is mutagenic or carcinogenic
what is reproductive toxicity
needs depends on target population multiple species
what is carcinogenicity
only for cmpd used in chronic or recurring conditions