Exam I: Intro, Trials, Partition Coefficient Flashcards
Physico-chemical properties that are related to drug action (8).
- Solubility
- Degree of dissociation (pKa)
- Partition coefficient, ratio of oil to water solubility
- Resonance - induction
- Chelation
- Stereochemistry
- Interatomic distance between functional groups
- Isosterism
Where are strong acids ionized (dissociated) in the body?
Some in stomach
Almost fully in the intestine or in the blood
Where are strong acids absorbed in the body?
May be absorbed from stomach and trapped in blood
Unionized are more easily absorbed
Where are strong bases ionized in the body?
Some in stomach but almost none in intestine or blood
Where are strong bases mostly absorbed?
Intestine
Are ionized or unionized drugs easier to be absorbed?
Unionized drugs absorb more easily.
Weak acids will absorb mostly in an acidic environment
Weak bases will absorb mostly in alkaline environment
Where are weak acids ionized?
None in the stomach
A little in the intestine
Mostly in the blood.
Where are weak acids absorbed?
Stomach
Where are weak bases ionized?
Fully ionized in the stomach
Some in the intestine and blood
Where are weak bases absorbed?
Intestine
Physico-chemical properties of drug molecules are determined by the…?
Kind, number and arrangement of atoms in a drug molecule
These type of lipoproteins are considered “good cholesterol”. What is a good range for levels of these lipoproteins in the body?
HDL - High-density lipoproteins
greater than or equal to ≥ 40 mg/dL
These type of lipoproteins are considered “bad cholesterol”. What is a good range for levels of these lipoproteins in the body?
LDL
Less than < 100 mg/dL
These lipoproteins are not considered good or bad, they contain large amounts of triglycerides. What is a good range for levels of these lipoproteins in the body?
VLDL
5 - 40 mg/dL
What is the maximum amount of cholesterol that can remain free in solution? What happens to the remaining amount?
Max 2 mcg/dL
The rest of the cholesterol is bound to lipid molecule carriers
Total cholesterol in the lipid panel represents the amount of cholesterol that is free in a patient’s blood. (True/False)
False
Only 2 mcg/L of cholesterol can be free in the blood.
This is far less than the total cholesterol in the body.
Ideal range of total cholesterol in the body
< 200 mg/dL
Ideal range of triglyceride in the body.
< 150 mg/dL
Which components of cholesterol be measured alone experimentally?
Total cholesterol
Triglyceride
HDL
Which cholesterol factors must be found using an equation? What are these equations?
VLDL = 1/5 of triglyceride
LDL = Total – (VLDL +HDL)
LDL +VLDL + HDL = ?
Total cholesterol
ADME stands for?
Absorption, Distribution, Metabolism, Excretion
First three steps in the drug discovery and development process.
- Target Identification - usually a biological receptor or enzyme
- Target validation
- Target + Ligand (prototype that binds to the target and is supposed to inhibit its function)
What occurs during the drug and discovery process after a target and ligand are identified?
Structure Activity Relationship (SAR) studies
Design and synthesis of new compounds
Lead Identification
Lead Characterization
Lead Optimization
What results from the SAR studies?
A drug candidate is developed then preclinical studies begin
What occurs during the preclinical studies?
Formulation
Animal pharmacology studies
Pharmacokinetic and safety studies in animals
Target Identified, SAR studies, a drug candidate developed and preclinical trials have been conducted. What is the next step?
Investigational New Drug Application (IND) submitted to the FDA.
FDA has 30 days to reject the IND otherwise clinical trials can begin
Phase I of Clinical Trials
10 - 20 patients
Mainly determine safety and acceptability
Other determinants: Half life, routes of excretion and distribution properties
Phase II of Clinical Trials
100 - 300 patient
Test safety and efficacy
Other determinants: Pharmacodynamics, short term safety, and safe/effective dose ranges
Phase III of Clinical Trials
> 1000 patients
Safety and efficacy
Other determinants: Short and long term toxicity (side effects), mimic how the drug will be used in a clinical setting
What happens after phase III of clinical trials complete?
New Drug Application (NDA) submitted to the FDA to determine if the drug is safe and effective.
Takes 1 -2 years
Phase IIa vs IIb and Phase IIIa vs IIIB
IIb has a larger sample size than IIa
IIIb is conducted after a NDA is submitted and has a larger sample size than IIIa