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Acta Poloniae Pharmaceutica ñ Drug Research, Vol. 67 No. 6 pp.

579ñ586, 2010 ISSN 0001-6837


Polish Pharmaceutical Society

MINI REVIEW

PRECLINICAL DRUG DEVELOPMENT


TERESA BRODNIEWICZ1 and GRZEGORZ GRYNKIEWICZ2*

MTZ Clinical Research, PawiÒskiego 5, 02-106 Warszawa, Poland


1

2
Pharmaceutical Research Institute, Rydygiera 8, 01-793 Warszawa, Poland

Abstract: Life sciences provide reasonably sound prognosis for a number and nature of therapeutic targets on
which drug design could be based, and search for new chemical entities ñ future new drugs, is now more than
ever based on scientific principles. Nevertheless, current very long and incredibly costly drug discovery and
development process is very inefficient, with attrition rate spanning from many thousands of new chemical
structures, through a handful of validated drug leads, to single successful new drug launches, achieved in aver-
age after 13 years, with compounded cost estimates from hundreds of thousands to over one billion US dollars.
Since radical pharmaceutical innovation is critically needed, number of new research projects concerning this
area is steeply rising outside of big pharma industry ñ both in academic environment and in small private com-
panies. Their prospective success will critically depend on project management, which requires combined
knowledge of scientific, technical and legal matters, comprising regulations concerning admission of new drug
candidates to be subjects of clinical studies. This paper attempts to explain basic rules and requirements of drug
development within preclinical study period, in case of new chemical entities of natural or synthetic origin,
which belong to low molecular weight category.

Keywords: drug design discovery and development, new molecular entities, biological activity testing, phar-
macokinetics, quality management, common technical document, preclinical phase

Development of new drugs is perceived as a personally, as project managers, researchers or


very complex process, which can be described reviewers and experts. Following European integra-
from many different points of view; science and tion, local scientists finally stand a chance to design
business story behind a new drug launch do not and submit ambitious research projects in advanced
necessary match. Brisk scientific discovery can medicinal chemistry, prospectively realized within
end up in clinical study failure or even withdrawal international cooperation. It is obvious that such
after launch ñ over 90% drug leads do not make it development puts considerable load of responsibili-
to the market. ty on the entire environment of researchers within
Therefore, general view of the contemporary life sciences. In particular, chemists, pharmacists
pharmaceutical industry is, despite of its some spec- and biochemists should strive for more effective
tacular successes, that of certain dissatisfaction ñ communication with drug discovery and develop-
globally, more is spent on drug discovery and devel- ment (DDD) area, which requires some specific
opment every year and less is delivered, in terms of knowledge. We intend to recapitulate essentials of
radical innovation (1ñ3), which remains in sharp DDD process as practiced under current legal
contrast to incredible progress achieved in basic sci- requirements, with some focus on quality assurance
ence research and phenomenal involvement of tech- systems and safety. In particular, an evolution of a
nical potential, spanning from new information drug candidate will be explained in terms of knowl-
technology to sophisticated robotics. Leaving aside edge accumulation and technical documentation fil-
overwhelming economical R&D problems of big ling. In order to simplify this complex task, we will
pharma industry with knowledge management and be concerned only with so called ìsmall moleculesî
generating much needed innovation, we would like (basically synthetics, roughly below 1000 daltons),
to discuss this part of drug research and develop- as opposed to ìbiologicalsî of either natural or
ment, which our readers are likely to come across biotechnological origin (4).

* Corresponding author: e-mail: g.grynkiewicz@ifarm.waw.pl

578
Preclinical Drug Development 579

Origin of new structures for DDD tiscale dynamic modeling of physiology takes over,
the general idea of starting DDD process with bio-
Although application of foreign substances logical descriptors screened against structural repre-
(xenobiotics) in case of illness had been practiced sentations will stay in force (5, 6). Although
since the time immemorial, modern pharmacy, oper- genomics as a single line of research did not fulfilled
ating with defined chemical entities of reasonable its promise to deliver identified medicinal targets,
chemical purity, is just a little more than a century there are many more ìomicî approaches, which sig-
old. During that time there were two principal nificantly increase our knowledge how physiologi-
sources of medicinal substances: a) natural products, cal processes are related and governed on a cellular
obtained chiefly from plants or microbial sources, and organismal levels. The second big step in any
and b) chemical synthesis, which basically took over DDD project or program is development of an activ-
in the second part of the period. Currently, historical ity assay, in which new compounds can be tested, to
view of an individual scientist discovering new eliminate inactive ones. Typically, for a given target
drugs in his individual, modest laboratory, gave way two types of tests are made available: high through-
to entirely different picture ñ that of a large organi- put, based on interaction with target proteins or
zation, in which sophisticated logistics combines an selected cell lines, which allow to check
effort of cohorts of various specialists into a pipeline affinity/activity of large libraries of compounds very
of DDD, involving dozens of laboratories focusing quickly (within hours), and low throughput, run on
on particular tasks within narrow technical special- tissues, organs or animals, in which preselected
ties. At the same time a new source of pharmaco- compounds are investigated in more detailed proce-
logically active substances emerged ñ biotechnolo- dures, for weeks or months. This system reflects
gy, using biochemical methods on technical scale, incredible inefficiency of traditional way of pharma-
providing secondary metabolites and recombinant ceutical industry screening, characterized by very
proteins by mastering natural metabolic pathways high drop-out rate, amounting to many thousand
and generating new ones. Biologicals and biosimilar failures per one successful drug candidate. Once
products became a large branch of pharmaceutical proper target is defined and bioassays are estab-
industry with its own specificity. It is generally lished and validated, medicinal chemistry enters the
agreed, that the first step of the DDD process consist field, with a mission to provide a new chemical enti-
of target identification and validation. While tradi- ty, which can interact with the target on the systemic
tionally a disease or pathology was considered a tar- level in a drug-like manner. Moreover, prospective
get, today molecular level of perception is new drug candidate must demonstrate: specificity
employed, and identification of a faulty biochemical (defined mechanism of action), potency (high affin-
process and a macromolecule responsible is regard- ity for selected target), selectivity over other possi-
ed obligatory. Typical targets are receptors, ble biological targets, and above all ñ safety for
enzymes, elements within gene expression systems patients, which is to be demonstrated at the end of
or particular events of intracellular signaling cas- DDD process, in carefully designed clinical trials,
cades. Such reductionism is not entirely satisfactory, starting from early preclinicals (Fig. 1).
but even if systems biology approach, with its mul- Additionally, the new drug candidate should also

Figure 1. Drug development diagram


580 TERESA BRODNIEWICZ and GRZEGORZ GRYNKIEWICZ

fulfill some non medical criteria: 1) intellectual question: how to arrange for preclinical verification
property rights for the active molecule should be of selected new chemical entity is by no means sim-
clearly defined and well protected; 2) the compound ple, as prospective therapeutical indications gener-
should be available in reasonably priced and techni- ate great variety of pathology models, activity tests
cally feasible process, easy to scale up and control, and other procedures. In general, the nonclinical
affording consistently the active substance (API, team, is responsible for regulatory affairs strategy
historically referred to as Bulk Drug Substances formulation, anticipating questions to be posed by
[BDS]) of high chemical purity and desired physico- authorities examining future registration applica-
chemical properties (7). These rather restrictive tion. Secondly, safety assessments are to be under-
requirements concerning the new drug itself and the taken and manufacture of clinical supplies (both:
way in which it is developed, are a matter of phar- API and pharmaceutical preparation) have to be
maceutical law as well as numerous guidelines secured. All these activities should be coordinated
issued by agencies regulating main markets of phar- and planned to minimize time to the first application
maceutical products. Both: the law and the guide- to humans, without compromising safety. As all
lines are currently a subject of harmonization tasks in the preclinical phase require the drug sub-
between the main pharmaceutical markets: the US, stance, the critical question: ìwhen a new chemical
Europe and Japan, highlighting safety and quality. entity studied becomes a drug candidate in sense of
International Conference on Harmonization analytical specification?î, should be answered pre-
(www.ich.org) regularly issues detailed guidances cisely and as early as possible. Initial in vitro bio-
for pharmaceutical industry analogous to these emit- logical activity tests can be easily carried out on mil-
ted by European (www.emea.europa.eu) and ligram quantities, while animal toxicity studies and
American (www.fda.cedr.gov) agencies. in particular pharmaceutical development, can easi-
ly elevate the active substance demand to a kilogram
Quality criteria for a new drug candidate level (3). Chemical synthesis for the purpose of hit
identification is usually performed on a fraction of
The authors own experience indicate that large millimolar scale, without any consideration for
proportion of projects concerning medicinal chem- process development. On the other hand, on the drug
istry, with DDD elements carried out in our country lead and drug candidate level, chosen synthetic vari-
during last decades, treated this ideology purely ant has to be examined in detail, particularly in
declaratively without any intention to follow up terms of impurity formation, and then optimized.
rules, regulations and to assume responsibility for Drug substance stability in time and under stress has
money spent on rather chaotic studies and to be determined. This involves development and
unplanned activities. New system of local science validation of analytical methods and identification
funding and in particular participation in interna- of critical parameters of synthetic process, which
tional programs will obviously require complete can frequently be derived from academic knowledge
change in such attitude. The peer review system for about a reaction mechanism. Analytical specifica-
the grant proposals will surely require professional tion for an API can be changed during development,
level of DDD project design and management. The according to the best knowledge available, but it
best advice for any project under drug discovery and should start at the reasonable level of chemical puri-
development banner is: have a plan for entire action ty. For a generic drug, there is customary require-
leading to complete registration file. In particular, ment of 99.8% of HPLC purity with no single
clinical development plan (CDP), anticipating phar- unknown impurity crossing 0.1% level. For new
maceutical formulation, dosage and patient popula- drug candidates, especially at preclinical study peri-
tion should be treated as a cornerstone document, od, more flexible standards are possible e.g., with no
from which a reasonable plan of preclinical studies individual purity present above 0.5%. At the same
can be re-developed. To explain it further, we will time, based on advances in analytical techniques
assume that hypothetical project starts from a point with coupled detection methods, it is reasonable to
after principal discovery phase, in which biological assume, that no such thing as ìunknown impurityî
target is defined, a new molecule is designed and should be included into specification.
intellectual property rights for its application are The entire process of DDD is summarized for
secured. To make it even more simple, let us assume purpose of filling a new drug application, in stan-
that the compound in question is a low molecular dardized form of Common Technical Document
weight synthetic chemical, for which an oral formu- (CTD), diagrammatically represented in form of a
lation is envisaged. Even in such simplified case, the triangle (Fig. 2), containing five modules: 1. region-
Preclinical Drug Development 581

lytical Procedures, 3.2.S.4.4 Batch Analyses,


3.2.S.4.5 Justification of Specification, 3.2.S.5
Reference Standards or Materials, 3.2.S.6 Container
Closure System, 3.2.S.7 Stability, 3.2.S.7.1 Stability
Summary and Conclusions, 3.2.S.7.2 Post-approval
Stability Protocol and Stability Commitment,
3.2.S.7.3 Stability Data. The list is exhaustive and
practically self-explanatory, leaving little room for
comments. It has to be understood that the format
applies for new chemical entities as well as for
generic drugs. In the first case situation is more dif-
ficult for researchers, because there is no pharma-
copoeial information on methods available, which in
Figure 2. The Common Technical Document Elements (Source: case of generics greatly assists pharmaceutical ana-
ìImplementation of the CTDî, FDA ICH Public Meeting, May 8, lytical services, and no back-up with reference stan-
2001) dards, so analytical methods have to be elaborated
from scratch. It is obvious from the above, that char-
acteristics of the API covers not only the chemical
al and administrative information (concerning entity itself, but also the process for its manufactur-
applying organization), 2. overviews and sum- ing, which is potentially confusing, because more
maries, 3. quality, 4. nonclinical study reports and 5. often than not, synthetic methods evolve from inci-
clinical study reports. Since one of us (T.B.) has dental laboratory preparation, through optimization
recently characterized formalities and activities and scale up, to validated technical process, which
involved in clinical trials (8), from CRO perspec- sometimes utilize entirely different synthetic strate-
tive, this paper concentrates on the preclinical seg- gy, materials and conditions than its small laborato-
ment of DDD, comprising CTD modules 3 and 4. ry scale predecessor. It is easy to postulate that all
Module 3, dealing with quality of a drug sub- biological tests should be carried out on a substance
stance and a drug product, is in its first part of par- obtained in a stable, validated technical process, but
ticular interest to any project devoted to new drug at the time when test results are needed to guide
design, discovery and development. Since final drug development decisions, such substance is unavail-
active substance (frequently described as API, short able and will appear only many months down the
for: active pharmaceutical ingredient) has to be pipeline. The question how to overcome this diffi-
exhaustively and meticulously examined and its culty sounds tough, but the answer for a prospective
properties fully characterized, in particular in project leader is easy: perceive DDD pipeline
respect to stability and content of impurities, legiti- scheme as a learning process and mobilize your best
mate question arises, when pharmaceutical quality scientific knowledge at every checkpoint. It stands
requirements become critical within a pathway of to reason to concentrate on chemical purity of the
biological testing. In order to solve this problem, par- substance of interest in the early phases of preclini-
ticular points of the module 3 need to be discussed in cal testing period. It is reasonable to assume that test
some detail. Content of the module, in its part devot- used for hit search are qualitative in character and
ed to the substance, consists of the following points: 90% purity level can be considered satisfactory for
3.2.S.1 General Information, 3.2.S.1.1 Nomencla- such purpose. It is the toxicity testing platform,
ture, 3.2.S.1.2 Structure, 3.2.S.1.3 General Proper- which requires pharmaceutical type specification of
ties, 3.2.S.2 Manufacture, 3.2.S.2.1 Manufactur- tested substance, including impurity profile and
er(s), 3.2.S.2.2 Description of Manufacturing impurity characteristics, therefore, well developed
Process and Process Controls, 3.2.S.2.3 Control of analytical methods and proven manufacturing
Materials, 3.2.S.2.4 Controls of Critical Steps and process have to be already in place. For an API
Intermediates, 3.2.S.2.5 Process Validation and/or required chemical purity level is set at 99.8 % and an
Evaluation, 3.2.S.2.6 Manufacturing Process De- unknown impurity should not exceed 0.1%.
velopment, 3.2.S.3 Characterization, 3.2.S.3.1 Although these levels can be considered negotiable
Elucidation of Structure and Other Characteristics, in the development phase, impurity profile can
3.2.S.3.2 Impurities, 3.2.S.4 Control of Drug become a critical factor ñ if changes in synthetic
Substance, 3.2.S.4.1 Specification, 3.2.S.4.2 Ana- process scale up or optimization resulted in new
lytical Procedures, 3.2.S.4.3 Validation of Ana- impurities, it could jeopardize validity of biological
582 TERESA BRODNIEWICZ and GRZEGORZ GRYNKIEWICZ

tests, in particular lengthy and costly toxicology. prognostic for a lead compound success, provided
Thus, importance of finalizing chemical route of proper metrics can be introduced. Since the matter
synthesis early, with minimal number of steps and is reviewed comprehensively in numerous mono-
elimination of unknown impurities, is evident. graphs (9ñ11), we will only briefly tackle some
Polish Pharmaceutical Law (Dz. U. 2008 Nr 45, poz. issues which are considered important for acceler-
271) and Directive from the Minister of Health ating DDD process. Absorption, distribution,
dated November 4th 2008 (Dz. U. Nr 201, poz. 1247) metabolism and excretion (ADME), which are of
require, that the form directed to the Clinical Trials utmost importance for any xenobiotic characteris-
Registry (CEBK), contains detailed description of tics and reasonably well distinguish between drug-
the active substance including physical and chemi- like and non drug-like compounds, are believed to
cal characteristics, description of manufacturing be a function of simple physicochemical properties
process, analytical methods, controls, standards as well as an affinity to various complex functional
specification, stability etc., in line with the CTD for- biopolymers. Lipinskiís rule of 5 (RO5) is an exam-
mat. These requirements correspond to the ple of generalization based on physicochemical
Committee for Medicinal Products for Human Use descriptors, which gained wide recognition as use-
ìGuideline on the Requirements to the Chemical ful exclusion criterion (12). It has been derived
and Pharmaceutical Quality Documentation from observation that ca. 90% of orally active drugs
Concerning Investigational Medicinal Products in has molecular weight below 500 Da, not more than
Clinical Trialsî (CHMP/QWP/185401/2004 final; 5 hydrogen bond donors, not more than 10 hydro-
London, March 31st, 2006). gen bonds acceptors, and log P value below 5. It
It is of great importance to record changes in needs to be added, however, that this extremely
quality management and regulatory agencies atti- useful rule works much better for synthetic com-
tude towards applicants, which have taken place in pounds than for natural products. Since ADME
recent years. Traditionally, quality control was car- refers to a rather broad set of physiological process-
ried out off line, after manufacturing process com- es, many attempts have been made to secure quan-
pletion, which could lead to rejection of ready made tifiable parameters for its measurement. In contem-
batches of product. Current guidelines require, that porary DDD aqueous solubility, Caco-2 permeabil-
process is designed in such a way, that quality is ity, volume of distribution, plasma protein binding,
ascertained within, by proper control of critical blood-brain barrier penetration, oral bioavailability,
parameters. Process analytical technology (PAT) is intestinal absorption, P450 metabolic stability and
a systemic tool allowing on line control of parame- elimination half life are routinely employed for
ters, which efficiently eliminates generating batches drug quality assessment. Advances in analytical
of product below specification requirements. methods and novel in vitro assays greatly facilitated
Regulatory agencies not only encourage using best access to ADME data in comparison to historical
process design for quality risk management but are times when most measurements were carried out
visibly more inclined to dialog with an applicant, using radiolabelled compounds in rodent models.
based on sound scientific knowledge, which is a rev- For example Caco-2 cells permeability, which is
olutionary change from an early GMP period, in predictive for absorption of orally administered
which any modification of DMF (drug manufactur- compounds, became widely accepted test on which
ing file) recorded process was out of question on the permeation based classification system (PCS) of
purely formal grounds. compounds was based (13). Currently expanded
model, already adopted by the World Health
Biological activity testing Organization, called Biopharmaceutics Drug
Disposition Classification System (BDDCS) func-
Dependence of biological activity on molecu- tions, which divides drugs into four classes, accord-
lar structure is the key concept of medicinal chem- ing to solubility (low/high) and permeability
istry, which has evolved through structure-activity (low/high) criteria. On such bases, Class one com-
relationship (SAR) methodology into modern pounds (high solubility and high permeability) were
bioinformatics allowing for prediction and model- singled out by the FDA for waiver of in vitro
ing of biological properties as valuable support for bioavailability testing of immediate-release solid
experimental in vitro and in vivo tests. dosage forms (14, 15). Pharmacodynamic proper-
Contemporary process of new drug discovery and ties of drug leads and drug candidates are as a rule
development relies to a high degree on selection of tested on several levels, from molecular (e.g.,
defined drug-like properties, which are considered receptor binding, microarrays) through cell lines, to
Preclinical Drug Development 583

selected organ and model (e.g., knock-out) animals. AMS measurement. This technique, which can eas-
On the lower levels there is increased use of imag- ily secure data for total mass balance of an injected
ing technologies (e.g., fluorescent tags) to enhance drug sample, can be adopted to other isotopes of bio-
specificity and sensitivity of biological test results. logically important elements (calcium, chlorine,
There is constant tendency to save animals on ethic hydrogen) (16).
principles and validity of animal models as human
predictors is often criticized on purely scientific Toxicity testing
principles.
Preclinical pharmacological analysis of new Regulatory agencies (EMEA, FDA) require
drug lead covers area from in vitro functional substantial evidence of safety and efficacy as the
assays, through isolated cells and tissue studies, to basis for a new drug registration, significant part of
in vivo animal pharmacokinetic (PK) and pharma- which is to be generated at preclinical stage.
codynamic (PD) experiments. Responses to a dose Traditional term: toxicology for covering entire field
of drug are quantified in terms of efficacy (maxi- of DDD, gradually fell out of fashion and finally
mum strength of the effect) and potency (amount of was replaced by non-clinical safety assessment
drug required for specific effect to occur; usually (NCSA). All tests in this area must be performed
expressed as inverse of EC50). An issue of pharma- with certificate of appropriate ethical committee in
cological profiling has been brought up relatively certified laboratories, under GLP conditions.
recently. Since any drug candidate is likely to bind Studies in safety pharmacology constitute continu-
to multiple targets, distinct from the intended one, ous action carried out throughout DDD process with
such lack of specificity should be seen as potential tasks like genetic toxicology, toxicokinetics, car-
source of adverse effects and consequently failure cinogenicity and reproductive toxicity possibly
in clinical trials. Efforts to identify as early as pos- overlapping with a clinical support period.
sible the candidates with best target selectivity and Discovery phase is usually connected with multiple
best safety profile include design of pharmacologi- administration protocol, lasting usually 4 weeks
cal testing, with extensive use of bioinformatic (occasionally 6 months or even longer), carried out
methods and target databases, like in silico screen- on two animal species, typically rats and non-
ing of phylogenetic families of functional proteins rodents. Typically, three dose groups are formed,
for possible binding. with a low dose close to pharmacologically effective
Perhaps the most significant initiative for one, with purpose of establishing no observable
future preclinical testing is called microdosing. This effect level (NOEL) and minimum toxic dose
method, based on application of a single sub-phar- (MTD). Apart from close CNS (behavior, posture,
macological dose of investigated compound to body weight, temperature etc.), respiratory and car-
healthy volunteers, has recently passed proof of con- diovascular monitoring of experimental animals,
cept set of experiments, comparing pharmacokinetic wide pathological assessment is performed (involv-
(PK) results of such dosing with regular pharmaco- ing inter alia: heart liver, kidneys, spleen, brain,
logical regimen. The power of microdosing, which pituary and adrenal glands, thyroids and parathy-
is also called ìclinical trials phase 0î is based on roids, CV, GI and reproductive tracts). Considering
sophisticated detection system with sensitivity in this, it comes as no surprise that 28-day toxicology
attomole to zeptomole (10-18 ñ 10-21) range, provided experiment takes several months to complete, from
by accelerator mass spectrometer. Investigated drug preparation to statistical elaboration of the raw data.
sample is first enriched, by specific labeling during Reproductive toxicology is of special concern, fol-
synthesis, with 14C long half-life radioactive isotope. lowing well known thalidomide tragedy. Just like in
Accelerator mass spectrometry (AMS) allows for other areas of biological activity, there is a need for
detection of heavier carbon isotope and determina- constant awareness to remember possible conse-
tion of 12C : 14C ratio with exquisite precision, thus quences of genetic differences, even within the same
can provide a wealth of pharmacokinetic and meta- species. Available study of clinical and post-market-
bolic data from a single experiment. Typically, ca. ing adverse drug reactions in recent years indicate
100 microgram of a studied compound is adminis- that majority were reported in neurological, gas-
tered to a human subject and after preselected time trointestinal, cardiovascular and hepatic areas (17).
samples of blood, urine and sometime a biopsy sam- It can be assumed that although elimination of in
ples are collected, analyzed and separated by HPLC, vivo assays in new drug safety evaluation is unreal-
then analytes are converted into graphite in chemi- istic, the role of computational toxicology will grow
cal oxidation-reduction sequence and subjected to systematically (18).
584 TERESA BRODNIEWICZ and GRZEGORZ GRYNKIEWICZ

Issues concerning preparation of clinical batches searches, for which drug-like cluster mapping and
other selection rules are already being designed
As soon as a compound is selected for devel- (21). Pending further progress in bioinformatics,
opment, dosage form design should start up. Since a there is an acute need for NCEs, which can be qual-
majority of drug candidates are disqualified during ified as good leads for DDD.
clinical testing, care should be taken to optimize In general, for admission of a new drug candi-
design of preclinical studies in order to eliminate date to clinical studies, sound non-clinical data
compounds which are likely to fail in further evalu- obtained under GLP conditions are needed, accom-
ation. Besides, efforts should be mobilized, not to panied by a manufacturing process (comprising
spend too much time and expenses on a risky invest- both: active pharmaceutical ingredient and pharma-
ment in clinical batch preparation. On the other ceutical product) executed under proper quality con-
hand, for certain drugs formulation might be trol and documented according to Common
absolutely critical for drug efficacy. It seems rea- Technical Document format (3). There is an
sonable to dissect physicochemical properties of a increased tendency to design drug-like properties in
given new chemical entity into two parts: depend- silico, and also to use bioinformatics methods exten-
ent, and independent of a solid state. In the first cat- sively for modeling and predictions, in all segments
egory are such important properties like dissociation of biological activity testing. Despite of phenomenal
constants, partition coefficients and stability in solu- progress in life sciences, including achievements of
tions. In the second are: solubility, polymorphism, genomics and systems biology, there has been no
solvent affinity and thermal parameters characteris- major change in the drug discovery and develop-
tic for phase transitions. Traditionally, both cate- ment paradigm and the process of DDD remains
gories were taken into account at the same time dur- painfully slow, exorbitantly expensive and dismally
ing preformulation studies. Presently, it is required inefficient. DDD requires, more than ever, effective
that pharmaceutical quality should be achieved by and timely coordination of chemical development,
design, through well managed product and process safety assessment and pharmaceutical formulation,
development (19). Although much of physicochem- as there is no foolproof blueprint when and how the
ical characteristics mentioned in this paragraph is appropriate quality substance should emerge. The
provided by analysts carrying out chemical develop- use of new pathology models, involving transgenic
ment of API, there is no guarantee that a drug sub- animals facilitate same stages of preclinical studies,
stance meeting specification mixed with excipients but a lack of proper biomarkers for organ toxicity,
meeting specification will make a good tablet. It is particularly myocardial tissue damage, liver toxicity
therefore understandable that provisional formula- and nephrotoxicity are serious drawbacks of the
tions, like hard gelatin capsules containing only the present system.
active ingredient, are often use for early phases of Fortunately for those involved in DDD proj-
clinical trials. ects, there is a good supply of quality scientific lit-
erature covering all details of preclinical develop-
Conclusions ment, and recent volumes of Drugs and the
Pharmaceutical Sciences series provide a good
Neither target recognition nor lead identifica- example of it (22ñ25). Besides, there are topic-spe-
tion has attained satisfactory level for successful and cific guidelines issued by EMEA and FDA, applica-
productive new drug mining. Current therapy is ble to preclinical as well as clinical development,
based upon less than 500 macromolecular targets (ca. which should be carefully studied beforehand, for
45% G-protein coupled receptors, 28% enzymes, every step of a DDD project. It is particularly satis-
11% hormones, 5% ion channels, 2% nuclear recep- fying, that scientific findings and arguments become
tors), while functional genomics indicate an order of sufficient ground for a dialog with regulatory agen-
magnitude higher number (20). Therefore, many cies in cases of postulated changes of process devel-
more viable therapeutic targets are waiting to be dis- opment, testing scheme or pharmaceutical quality
covered. Finding their prospective ligands is a mat- control. In 2004, FDA launched the Critical Path
ter of formidable complexity. Chemical space, Initiative as national strategy for development, eval-
accommodating all possible structures may be infi- uation and manufacturing not only human drugs but
nite, but even its fraction containing only small mol- also foods and cosmetics with intention to turn more
ecules up to 500 Da molecular weight sums up to at research into new tools and methodologies which
least 1060 compounds, unmanageable as a reservoir could improve all FDA regulated products (26).
of structural diversity by any means, except virtual This initiative has received appropriate funding
Preclinical Drug Development 585

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ting an example for ICH actions. 159 (2006).
17. Stevens J.L., Baker T.K.: Drug Disc. Today 14,
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