L2: Sources of drugs & their nature Flashcards

Learning Objectives: • List some key points in the history of the pharmaceutical industry • List the main sources of drugs, giving examples from each source • Describe the key stages in the drug discovery process • Explain what is meant by the term “structure-activity relationship” and why it is important in drug development List the four phases of clinical trials and explain the main purpose of each phase

1
Q

What did Paul Ehrlich do in 1909 that showed syphilis can be treated with arsenical compounds?

A

Dying bacteria

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2
Q

What was developed in 1932 used to treat syphilis?

A

‘Protonsol’- the 1st sulphonamid antibacterial

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3
Q

What did Sir James Black lead in 1960s,70s & 80s?

A

The era of ‘rational drug design’

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4
Q

What drug was withdrawn in 1961?

A

Thalidomide- drug used to treat morning sickness in pregnant women

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5
Q

What was developed to revolutionise the drug discovery process in the 1990s?

A

High throughput screening & combinatorial chemistry

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6
Q

When was the human genome mapped?

A

2002

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7
Q

What is used now (<2000) to increase development of ‘biologicals’

A

Using antibodies instead of small molecules

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8
Q

First stage of the drug discovery process

A

Basic research

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9
Q

2nd stage of the drug discovery process

A

Identification of potential drug targets

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10
Q

3rd stage of the drug discovery process

A

Hypothesis generated

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11
Q

What are assay systems?

A

Way of measuring something

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12
Q

Considerations during the drug discovery process

A

Safety issues, ethical issues, cost, intellectual property

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13
Q

What is a chemical library?

A

A collection of chemicals that can be used for high throughput screening for drug development

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14
Q

What is high throughput screening?

A

Large quantities of chemical compounds put through robotic assay systems to test initial activity

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15
Q

What is combinatorial chemistry?

A

Synthesis process that enables the production of large numbers of related compounds

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16
Q

What is the 1st stage of combinatorial chemistry?

A

Molecular skeleton with 2 attachment points

17
Q

What is the 2nd stage of combinatorial chemistry?

A

1st attachment point reaches with 3 different substituents

18
Q

What is the 3rd stage of combinatorial chemistry?

A

Products of 1st reaction are mixed, then 2nd attachment reacted the same with the substituents

19
Q

What is structure activity relationships (SARs)?

A

Used to predict biological activity from molecular structure

20
Q

What is pre-clinical development?

A

Before drug has been administrated to humans

21
Q

What is Phase 1 in clinical trials?

(Exploratory, first in human)

A

Chronic toxicity of drug assessed in at least 2 mammalian species

22
Q

How many people does Phase 1 involve?

A

40-60 healthy people

23
Q

Where is the location & placebo of phase 1?

A
  • Location: Specialised clinical facilities
  • Placebo: controlled, randomised, double-blind
24
Q

What is Phase 2 in clinical trials ?

Efficacy, proof of concept & safety

A

Determine how clinically effective the drug is in patients to confirm safety

25
Q

What does efficacy mean?

A

Power to produce a desired result

26
Q

What is Phase 2a?

A

Exploratory

27
Q

What is Phase 2b?

A

Confirmatory that efficacy is statistically significant

28
Q

How many people involved in Phase 2a?

A

50-200

29
Q

How many people involved in Phase 2b?

A

200-500

30
Q

Length of time of Phase 2a?

A

Approx 1 year

31
Q

Length of time of Phase 2b?

A

Approx 2 years

32
Q

Importance of Phase 2b?

A

To confirm dose for Phase 3

33
Q

What is Phase 3 of the clinical trials?

Confirmatory

A

Full scale evaluation of how EFFECTIVE & SAFE it is

34
Q

Number of patients in Phase 3 ?

A

200-10,000

35
Q

What is Phase 4 of clinical trials?

Ongoing

A

Continues after drug is licensed & on the market to monitor