Drug Development Process

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DRUG DEVELOPMENT PROCESS Using the in vitro laboratory In vitro (cell-based) laboratory assay, 5,000-10,000 new New compounds are isolated assays are developed to and previously developed On average, 250 of the compounds The physiological, cellular, and/or genetic basis of a disease and purified from natural measure the effect of compounds are tested for tested possess the desired activity is studied to identify potential therapeutic targets sources or synthesized potential therapeutics biological activity and are now designated as “hits” A handful of the most promising hits are chosen for chemical modification to improve target specificity, potency, chemical and Lead compounds are metabolic stability, water Before moving to testing in tested in vivo for safety solubility, and other humans, an Investigational and efficacy, in laboratory pharmacological parameters. New Drug Application must animals such as mice Improved hits are now known be filed with the FDA and rats as “lead compounds” A New Drug PHASE II clinical Application trials test whether is filed with PHASE I clinical a drug works in a the FDA trials consist of drug small number of PHASE III clinical safety studies in patients affected trials test large healthy humans by the disease numbers of patients New Drug Development. Drug discovery is an iterative process. It goes back and forth between theoretical biology; the necessary, appropriate, and humane use of animal assays to determine a compound’s biological activity in the body; and medicinal chemistry to optimize the compound. Then in human studies, clinical observations test hypotheses about how a candidate drug may target cancer cells; determine its safety and effective doses; and compare its ability to shrink tumors or stop cancer progression relative to standard therapy. The NIH generally helps fund all stages of research up through phase II clinical trials, as indicated by the red borders of some panels of the flowchart. While NIH also supports some phase III clinical trials, this portion of the drug development process is usually funded by industry and other private organizations and is distinguished by blue borders. Because this process is so rigorous, only four to seven percent of candidate drugs receive approval from the Food and Drug Administration (FDA)..

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Clinical Pharmacology 1: Phase 1 Studies and Early Drug Development
Clinical Pharmacology 1: Phase 1 Studies and Early Drug Development Gerlie Gieser, Ph.D. Office of Clinical Pharmacology, Div. IV Objectives • Outline the Phase 1 studies conducted to characterize the Clinical Pharmacology of a drug; describe important design elements of and the information gained from these studies. • List the Clinical Pharmacology characteristics of an Ideal Drug • Describe how the Clinical Pharmacology information from Phase 1 can help design Phase 2/3 trials • Discuss the timing of Clinical Pharmacology studies during drug development, and provide examples of how the information generated could impact the overall clinical development plan and product labeling. Phase 1 of Drug Development CLINICAL DEVELOPMENT RESEARCH PRE POST AND CLINICAL APPROVAL 1 DISCOVERY DEVELOPMENT 2 3 PHASE e e e s s s a a a h h h P P P Clinical Pharmacology Studies Initial IND (first in human) NDA/BLA SUBMISSION Phase 1 – studies designed mainly to investigate the safety/tolerability (if possible, identify MTD), pharmacokinetics and pharmacodynamics of an investigational drug in humans Clinical Pharmacology • Study of the Pharmacokinetics (PK) and Pharmacodynamics (PD) of the drug in humans – PK: what the body does to the drug (Absorption, Distribution, Metabolism, Excretion) – PD: what the drug does to the body • PK and PD profiles of the drug are influenced by physicochemical properties of the drug, product/formulation, administration route, patient’s intrinsic and extrinsic factors (e.g., organ dysfunction, diseases, concomitant medications,
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Drugs and drug development: Making a drug Developing a novel drug Drug development is a long and expensive process A drug can be developed in a whole host of different ways. Constant improvement in technology has transformed drug design over the past few decades. Now, many laboratories in both universities and pharmaceutical companies make use of computers, robotics and artificial intelligence to aid in drug design. These techniques coupled with more traditional methods are becoming increasingly successful in designing novel drugs. One commonality between all the methods of drug design is that they are fraught with challenges. A pharmaceutical company may start with thousands of chemical compounds as potential drug candidates. Rigorous testing will whittle this down to a single chemical compound that can then be licensed to treat patients. Developing drugs is a risky and expensive business, but the potential profits are huge. The following step-by-step process provides a guide to how a compound in the laboratory becomes a disease-fighting drug. Option 1 explains the process of transforming initial research in a university lab (or biotechnology company) into a potential drug – about a quarter of drugs approved by the FDA between 1998 and 2007 began in this way. The remaining three-quarters began in pharmaceutical companies, as explained in option 2. STEP 1 – OPTION 1: Origins in the research lab In universities and research institutes all over the globe, many scientists dedicate their lives to understanding the molecular details of disease – how disease works. By using animal models, usually mice, they are able to identify specific biochemical pathways that are altered by the disease.
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COMPARATIVE THERMODYNAMICS OF PARTIAL AGONIST BINDING TO AN AMPA RECEPTOR BINDING DOMAIN A Dissertation Presented to the Faculty of the Graduate School of Cornell University In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy by Madeline Martínez May 2015 © 2015 Madeline Martínez ALL RIGHTS RESERVED Comparative Thermodynamics of Partial Agonist Binding to an AMPA Receptor Binding Domain Madeline Martínez, Ph.D. Cornell University 2015 AMPA receptors, ligand-gated cation channels endogenously activated by glutamate, mediate the majority of rapid excitatory synaptic transmission in the vertebrate central nervous system and are crucial for information processing within neural networks. Their involvement in a variety of neuropathologies and injured states makes them important therapeutic targets, and understanding the forces that drive the interactions between the ligands and protein binding sites is a key element in the development and optimization of potential drug candidates. Calorimetric studies yield quantitative data on the thermodynamic forces that drive binding reactions. This information can help elucidate mechanisms of binding and characterize ligand- induced conformational changes, as well as reduce the potential unwanted effects in drug candidates. The studies presented here characterize the thermodynamics of binding of a series of 5’substituted willardiine analogues, partial agonists to the GluA2 LBD under several conditions. The moiety substitutions (F, Cl, I, H, and NO2) explore a range of electronegativity, pKa, radii, and h-bonding capability. Competitive binding of these ligands to glutamate-bound GluA2 LBD at different pH conditions demonstrates the effects of charge in the enthalpic and entropic components of the Gibb’s free energy of binding.
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Research and Development in the Pharmaceutical Industry
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A Molecular and Chemical Perspective in Defining Melatonin Receptor Subtype Selectivity
Int. J. Mol. Sci. 2013, 14, 18385-18406; doi:10.3390/ijms140918385 OPEN ACCESS International Journal of Molecular Sciences ISSN 1422-0067 www.mdpi.com/journal/ijms Review A Molecular and Chemical Perspective in Defining Melatonin Receptor Subtype Selectivity King Hang Chan and Yung Hou Wong * Biotechnology Research Institute, State Key Laboratory of Molecular Neuroscience, Division of Life Science, The Hong Kong University of Science and Technology, Hong Kong; E-Mail: [email protected] * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +852-2358-7328; Fax: +852-2358-1552. Received: 2 June 2013; in revised form: 16 July 2013 / Accepted: 26 August 2013 / Published: 6 September 2013 Abstract: Melatonin is primarily synthesized and secreted by the pineal gland during darkness in a normal diurnal cycle. In addition to its intrinsic antioxidant property, the neurohormone has renowned regulatory roles in the control of circadian rhythm and exerts its physiological actions primarily by interacting with the G protein-coupled MT1 and MT2 transmembrane receptors. The two melatonin receptor subtypes display identical ligand binding characteristics and mediate a myriad of signaling pathways, including adenylyl cyclase inhibition, phospholipase C stimulation and the regulation of other effector molecules. Both MT1 and MT2 receptors are widely expressed in the central nervous system as well as many peripheral tissues, but each receptor subtype can be linked to specific functional responses at the target tissue. Given the broad therapeutic implications of melatonin receptors in chronobiology, immunomodulation, endocrine regulation, reproductive functions and cancer development, drug discovery and development programs have been directed at identifying chemical molecules that bind to the two melatonin receptor subtypes.
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Drug Discovery & Development
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Molecular Mechanisms of Cereblon-Based Drugs
Pharmacology & Therapeutics 202 (2019) 132–139 Contents lists available at ScienceDirect Pharmacology & Therapeutics journal homepage: www.elsevier.com/locate/pharmthera Molecular mechanisms of cereblon-based drugs Tomoko Asatsuma-Okumura a,1,TakumiItoa,b,1, Hiroshi Handa a,⁎ a Department of Nanoparticle Translational Research, Tokyo Medical University, Shinjuku, 160-8402, Japan b PRESTO, JST, Kawaguchi, Saitama, 332-0012, Japan article info abstract Available online 14 June 2019 Thalidomide, well known for its potent teratogenicity, has been re-evaluated as a clinically effective drug for the treatment of multiple myeloma. Although the direct target of thalidomide had been unclear until recently, we identified cereblon (CRBN) as a primary direct target of this drug by affinity purification using ferrite glycidyl methacrylate (FG) beads in 2010. CRBN functions as a unique substrate receptor of cullin-RING ligase 4 (CRL4). Various ligands including thalidomide bind to CRBN and alter substrate specificity depending on compound shape, resulting in multiple beneficial effects and/or teratogenicity. Lenalidomide, a thalidomide derivative ap- proved by the US Food and Drug Administration (FDA), induces the degradation of onco-proteins such as Ikaros and casein kinase 1 alpha (CK1α), resulting in anti-cancer effects. Recently, novel CRBN-binding compounds have been developed and their mechanisms of action have been analyzed, including identification of CRBN- related ubiquitin conjugating enzymes (E2s). Moreover, the 3D structure of several CRBN-ligand-substrate com- plexes has been determined. Ligands were shown to work as a molecular glue between CRBN and its neosubstrate. In addition, investigators have been recently developing CRBN-based proteolysis-targeting chi- meras to achieve degradation of proteins of interest.
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