What is a drug?
A drug is a substance that has physiological effect when introduced
to the body
A medicine is a drug that provides a therapeutic benefit for a
disease
Typical drug development timeline
Takes around 14 years and costs around $2 billion to develop a
potential drug candidate from the laboratory to the pharmacy.
Choosing a disease target
How common is the disease?
How well do we understand the disease?
Is there unmet need? Do people need a new medicine?
Are other groups already working on this
Can we make a new medicine?
Target identification- earliest phase of drug development
Consideration of the disease context
Identify targets which could be used to develop a pharmaceutical
Target validation
Target validation endpoint
Tractable
Valid
Hit qualification and lead discovery
Assays that show the drug affects a disease process by interacting
with the target.
Hit qualification is employed to rule out false positives and validate
hits that interact with the target in a productive way
Lead optimisation
When a hut becomes a lead more information about mode of action
is desired
Often involves solving protein structures usually in complex with
lead compounds to locate binding sites
Preclinical evaluation
When a compound show promise in in vitro studies a researcher
submits a proposal for in vivo studies
Animal models are important in aiding scientists translate findings
to humans as animals and humans are similar.
Choosing the right model
Mice are often used since their entire genome is well known
Different animals are translatable in different disease areas:
- E.g. Zebrafish -model for embryonic development
- E.g. Turquoise killifish-model for aging
Genetic alterations can make animal models more reliable
- E.g. Engineering a mouse with a human immune system
It’s important that models are accurate so we can minimise animal
use.
Preclinical evaluation
Replacement
Reduction
Refinement
Clinical trials and their various phases
Phase I – First test in humans
10-50 patients
Primary focus is if the drug is tolerable
Phase II – First test in humans with a disease
100s of patients
Primary focus is if the drug causes beneficial effects
Phase III – Can take years
1000s of patients
Primary focus is if the drug is better than the current gold standard
(will it be useful to what we have now)
Ethical clinical trials
All clinical trials must follow Good Clinical Practice (GCP)