In-Vitro & In-Vivo Methodologies in Pre-Clinical Research Flashcards

1
Q

When is GLP applicable?

A

Studies focused on determining safety

Eg. Studies involved in:

  • Establishing safety profile, animal toxicity, genotoxicity, toxicokinetic & safety pharmacology
  • -> Required by FDA to adhere to GLP
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2
Q

Role of GLP in Pre-Clinical Research

A
  • Good, detailed documentation of studies conducted

- Determine safety

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3
Q

Challenges associated with GLP

A

1) Inflexibility
- every step taken must be decided & documented in advance
- each study scheduled

2) Pace
- Take 4-5x longer to execute bc of heavy burden on documentation

3) Cost
4) Scientific challenge
- Many scientists do not have experience working with GLP

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4
Q

Advantages & Disadvantages of CROs

A

Advantage:

  • cost-effective (> pharma companies are outsourcing preclinical studies to CRO)
  • efficiency
  • availability of human-based cell models (eg. iPSCs)
  • suitable for in-depth mechanistic analysis

Disadvantage:
- unreliable for predicting pharmacological & toxicological responses in intact animals

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5
Q

Eg. of an In Vitro permeability model for Preclinical Studies on “Absorption & Distribution”

A

Caco-2 (human colon adenocarcinoma cells)

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6
Q

Objectives of Caco-2 - in-vitro model for drug uptake

A

1) Permeability
- evaluate potential for PO dosing
- recommended as screen during lead optimisation

2) Efflux
- predict whether compound might be substrate for AT mechanism
- often part of in-vitro DDI package required for IND filling

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7
Q

Use of Caco-2 permeability assay

A

Gold standard for in-vitro prediction of in-vivo intestinal bioavailability of orally administered drugs

  • Predict permeability of drug candidates in human intestine
  • Perform in-depth mechanistic & absorption studies
  • Study effect of transporters on permeability
  • Study effect of transporter-mediated DDIA
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8
Q

Caco-2 Cells (In-vitro model for drug uptake)

A
  • Originally isolated from a colorectal carcinoma (human)
  • Cells grown on permeable filter supports forming tight junctions & express transporter on the apical & basolateral surfaces
  • Grown to confluence & differentiated for 3weeks on filters
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9
Q

Application of In Vitro Methodology in Preclinical Studies on Metabolism

A

Metabolic stability studies:
- hepatocytes, microsomes, plasma, tissues, inter-species comparison

Metabolite identification

Metabolic profiling
- phase I & II enzymes, hepatocyte uptake & excretion

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10
Q

Application of In Vitro Methodology in Preclinical Studies onToxicology

A
  • mammalian cytotoxicity
  • mitochondrial toxicity
  • hERG
  • reactive metabolites
  • cyp450
  • hemolysis
  • phototoxicity
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11
Q

In Vivo Methodologies in Preclinical Research - Choice of animals

A

Require min of 2 species (most common: murine & canine)

  • -> Canines: not good models for solid oral dosage forms
  • -> Rodents: not for PO antibiotics
  • species chosen for similarity to humans in specific organs/organ system physiology

Establish No Observable Effect Levels (NOEL)
-> Determine initial phase 1 clinical trial dosage levels

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12
Q

Issues with experimental design of In Vivo

A

1) Randomisation (to achieve objectivity
- eg. allocation to treatment groups, position of cages in room

2) Coding

3) Reducing variability
- inbred strains (>20 generations)
- littermate-matched controls
- 2 sides of same animals (eg. for dermatological pdcts)
- standardisation

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13
Q

Why has animal testing been reduced in recent years?

A

1) Cost
2) Ethical issues
- humane treatment of animals
- reduction of no. of animals
- search for alt methods

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14
Q

Genetic & envt standardization of laboratory animals

A
  • age
  • gender
  • health status
  • temp
  • feed
  • illumination
  • no. of animals per cage
  • persons handling the animals
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15
Q

Why the need for Preclinical Animal Studies

A

1) Extrapolate data from animals to humans
- but can have false +ve (loss of potentially efficacious drug) or false -ve (risk)

2) Supra-therapeutic doses to illuminate toxicities in human
- estimate TW
- shed light on “on-target” & “off-target” effects

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16
Q

Type of studies to test for toxicities ???

A

Acute toxicity testing

  • (Traditionally) LD50: dose after which 50% of animals die
  • (Modern) Maximal non-lethal dose

Fixed dose method

Chronic toxicity testing (Repeat Administration)
Eg. diff route of adm, 2 species, duration of studies, groups, animal numbers

General observations in lab animals
Eg. morbidity, mortality, good & H20 consumption, body weight

Biochemical analysis in lab animals

Genotoxicity (Carcinogenicity) studies

  • rat, mouse, M+F, 18-24mths
  • 50 animals/group
  • dose selection: low dose-estimated human exposure & high dose of MTD
17
Q

CYP enzymes & Xenobiotics

A
  • CYP450 enzymes catalyse the metabolic conversion of xenobiotics -> polar derivatives that are > readily eliminated
  • Xenobiotics may accumulate to toxic levels unless they are metabolised & eliminated