Lecture 1 Flashcards

1
Q

A chemical substance that affects living organisms and is used by clinicians to prevent, diagnose, treat, or relieve symptoms of a disease or abnormal condition.

A

Drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The ideal drug is a hypothetical concept that encapsulates the desired qualities of a medication. While no drug can perfectly meet all these criteria, these properties serve as a benchmark for drug development and evaluation.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ideal Properties of Drugs

A
  1. Efficacy and Potency
  2. Safety and Selectivity
  3. Pharmacokinetics
  4. Stability and Compatibility
  5. Cost-Effectiveness
  6. Convenience
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Refers to blood entry in Pharmacokinetics

A

Absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Refers to drug processing mainly by the liver

A

Metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Refers to elimination through the kidneys, lungs or biliary exretion

A

Excretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ideal drug would be highly effective, safe, selective, and convenient, while also being affordable and easy to administer. While this is an ambitious goal, drug development efforts strive to create medications that come as close as possible to these ideals.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Out of every 10,000-15,000 new compounds identified during discovery,
FIVE are considered safe for testing in human volunteers. Only ONE of these compounds is typically APPROVED as a marketed drug.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many years will it take for drug discovery and pre-clinical trial?

A

3-6 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How long will it take for clinical trials (phase I to III)

A

6-7 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long does FDA Review, Manufacturing, and Phase IV Post-Approval take?

A

0.5 to 2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

biological processes underlying a disease to identify potential targets, such as proteins or enzymes

A

Disease Understanding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

targets are validated to ensure that interfering with them will likely have a therapeutic effect

A

Target Validation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Millions of compounds are screened to identify those that interact with the target

A

Screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The most promising compounds (hits) are further refined to improve their potency, selectivity, and pharmacokinetic properties.

A

Hit-to-Lead Optimization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

It is a critical phase in the process of developing a new drug. It involves extensive testing and evaluation of the compound to ensure its safety and efficacy before it can be tested in humans.

A

Pre-Clinical Research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

“In living”

Experiments are performed on living organisms, such as animals or humans.

Examples: Testing a new drug on rats to assess its efficacy and safety.

A

In Vivo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

“In glass”

Experiments are performed outside of a living organism, often in a laboratory setting, using artificial conditions.

Examples: Culturing cells in a petri dish to study their behavior.

A

In Vitro Testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

In Vivo Testing

A

Toxicity studies
Pharmacologic studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

In Vitro Testing Studies

A

Cell-Based Assays
Biochemical Assays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The application for clinical testing in humans, which is submitted to the FDA.

A

Investigational New Drug (IND) Application

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Identifies unexpected side effects or adverse events that may not have been detected in clinical trials.

A

Post-Market Surveillance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ensures that the drug’s labeling accurately reflects its benefits and risks.

A

Labeling Updates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Explores the drug’s effectiveness in different patient populations or for new indications.

A

Efficacy Assessment

25
Compares the drug's effectiveness to other available treatments.
Comparative Effectiveness Research
26
Evaluates the drug's long-term safety profile, especially for drugs used for chronic conditions.
Long-Term Safety Assessment
27
Most drug candidates fail during development due to safety, efficacy, or regulatory issues.
High Failure Rates
28
The process is expensive and time-consuming, often taking over a decade to complete.
Cost and Time
29
Protecting intellectual property is crucial to recoup investments and maintain market exclusivity.
Intellectual Property
30
Navigating complex regulatory requirements can be challenging.
Regulatory Hurdles
31
Typical duration of drug discovery
10-15 years
32
Average Cost for Drug Development
$1 Billion +
33
It is the ability of the drug to exhibit its maximum effect
Efficacy
34
It refers to the concentration or strength of the drug that produces an effect
Potency
35
It refers to the drug having a specific target or site of action
Selective
36
The ability of the drug to be stable in different environments (longer shel life)
Stability
37
Drugs should be compatible with other substances
Compatibility
38
Drivers of Drug Development
Unmet Medical Needs Market Potential Scientific Advancements Competitive Landscape Intellectual Property
39
It is an In Vivo test performed to test if the lead compound is harmful (increasing dose of lead compound is administered to subjects
Toxicity Studies
40
It is an In Vivo test testing for the therapeutic effect of the product.
Pharmacologic Studies
41
It is an In Vitro test used to test certain compounds in artificial environments
Cell-Based Assays
42
It is an In Vitro test that uses enzymes/proteins to evaluate
Biochemical Assays
43
IND Application must include:
- Animal Pharmacology and toxicity data - Data from any prior human research - Clinical Protocols for proposed human studies - Principal Investigators Information Manufacturing Information
44
Purpose of Phase I Clinical Trials
Safety, Tolerability, Pharmacokinetics
45
Purpose of Phase II Clinical Trials
Efficacy, Safety, Optimal Dosage
46
Purpose of Phase III Clinical Trials
Efficacy, Safety in a large population
47
NDA data for evaluation:
- Proposed Labeling - Safety Updates - Drug Abuse Information - Patent Information - Data from studies conducted outside US - Institutional Review Board compliance information - Directions for use - Potential Interactions with other medications
48
Content of IND
Pre clinical data and clinical trial protocols
49
Content of NDA
Pre clinical and Clinical data Manufacturing information Labeling
50
Key Challenges in Drug Discovery
High Failure Rates Cost and Time Intellectual Property Regulatory Hurdles
51
This includes the prevalence of the disease, the target patient population, and the potential pricing and reimbursement landscape.
Market Potential
52
New discoveries about disease mechanisms or the identification of promising drug targets, can provide a strong rationale for drug development.
Scientific Advancements
53
The availability of existing treatments and the potential for new competitors, is assessed to determine the potential for a new drug to gain market share.
Competitive Landscape
54
Number of Volunteers in Phase I Clinical Trial
20 to 100
55
Number of Volunteers in Phase II Clinical Trial
100 to 500
56
Number of Volunteers in Phase III Clinical Trial
1,000 to 5,000
57
Drug Development Process:
Drug Discovery Pre-Clinical Research Clinical Trials Post-approval Monitoring
58
Examples of animals used in In Vivo Testing
Mice Rats Rabbits