This document discusses the process of new drug discovery, including target identification, validation strategies like transgenic animals and antisense technology, hit discovery through physiological and high-throughput screening, lead optimization of absorption, distribution, metabolism, and excretion, prediction of drug safety using in vitro, in vivo, and ex vivo methods, estimation of starting doses for clinical trials, and the phases of clinical trials. The conclusion emphasizes that the ultimate test is how the drug performs and that developing a drug requires strategic decisions across many disciplines.
clinical and preclinical approaches to drug discovery.Here we mainly deals with preclinical approaches, ie. Pharmacological approach and toxicological approach
Topic explained as a M.Sc. Microbiology Student point of you. It contains general Properties of drug, its discovery process and Rational Drug Design Process using Bioinformatic Tools.
Target Validation Academy Of Medical Sciences 1 Dec 2006Mike Romanos
An overview of the issues and approaches in selecting the best targets for drug discovery and validating them. Given at the Drug Discovery Forum held at the Royal Society, London and organised by the Academy of Medical Sciences
A presentation outlining the various processes a chemical compound undergoes (thorough & rigorous screening procedures) before it is finally introduced into the drug market
clinical and preclinical approaches to drug discovery.Here we mainly deals with preclinical approaches, ie. Pharmacological approach and toxicological approach
Topic explained as a M.Sc. Microbiology Student point of you. It contains general Properties of drug, its discovery process and Rational Drug Design Process using Bioinformatic Tools.
Target Validation Academy Of Medical Sciences 1 Dec 2006Mike Romanos
An overview of the issues and approaches in selecting the best targets for drug discovery and validating them. Given at the Drug Discovery Forum held at the Royal Society, London and organised by the Academy of Medical Sciences
A presentation outlining the various processes a chemical compound undergoes (thorough & rigorous screening procedures) before it is finally introduced into the drug market
INTRODUCTION
In drug development, preclinical development, also named preclinical studies and nonclinical studies, is a stage of research that begins before clinical trials (testing in humans) can begin, and during which important feasibility, iterative testing and drug safety data are collected, typically in laboratory animals.
Preclinical pharmacology and toxicology are essential elements of the drug discovery and development process and are critical in enabling the translation of findings from the laboratory and the clinic. The drug discovery process is complex and involves numerous iterative steps designed to optimize the pharmacological and drug-like properties of a candidate molecule, a New Chemical Entity (NCE), and minimize the potential for side effects and toxicities. Key concepts addressed in this record include: compound identification; lead optimization; pharmaceutical profiling; the use of animal models to predict efficacy and safety and toxicological assessment as these relate to the regulatory requirements for Phase I trial initiation. Commentary is also provided on the current challenges associated with translational medicine as it applies to the effective evolution of candidate NCEs into viable clinical candidates.
The main goals of preclinical studies are to determine a starting, safe dose for first-in-human study and assess potential toxicity of the product, which typically include new medical devices, prescription drugs, and diagnostics. On average, only one in every 5,000 compounds that enters drug discovery to the stage of preclinical development becomes an approved drug.
In vivo is the Latin word which means with in the living body.
When effects of various biological entities are tested on whole, living organism or cells, usually animals including humans and plants.
Animal testing and clinical trials are major elements of in-vivo research.
In vivo testing is often employed over in vitro because it is better suited for observing the overall effects of an experiment on a living subject in drug discovery.
example, verification of efficacy in vivo is crucial, because in vitro assays can sometimes yield misleading results with drug.
Harry Smith found that sterile filtrates of serum from animals infected with Bacillus anthracis were lethal for other animals, whereas extracts of culture fluid from the same organism grown in vitro were not.
In microbiology Once cells are disrupted and individual parts are tested or analyzed, this is known as in vitro.
In vitro studies within the glass, i.e., in a laboratory environment using test tubes, petri dishes, etc. Examples of investigations in vivo include: the pathogenesis of disease.
In vitro toxicology:-
The bridge exists between new drug discovery and drug development.-
Provide information on mechanism of action of a drug
Provides an early indication of the potential for some kinds of toxic effects, allowing a decision to terminate or to proceed further.
In vitro methods are widely used for:-
Screening and ranking chemicals
Get a platform for animal studies for physiological actions
Studying cell, tissue, or target specific effects
Improve subsequent study design
Advantages and Disadvantages:-
Faster than in vivo studies
Less expensive to run
Less predictive of toxicity in intact organisms
In vitro to in vivo extrapolation (IVIVE) refers to the qualitative or quantitative transposition of experimental results or observations made in vitro to predict phenomena in vivo, biological organisms.
The problem of transposing in vitro results is particularly acute in areas such as toxicology where animal experiments are being phased out and are increasingly being replaced by alternative tests.
Results obtained from in vitro experiments cannot often be directly applied to predict biological responses of organisms to chemical exposure in vivo.
Therefore, it is extremely important to build a consistent and reliable in vitro to in vivo extrapolation method.
Two solutions are now commonly accepted:
Increasing the complexity of in vitro systems where multiple cells can interact with each other in order recapitulate cell-cell interactions present in tissues (as in "human on chip" systems).
Using mathematical modeling to numerically simulate the behavior of a complex system, whereby in vitro data provides the parameter values for developing a model.
The two approaches can be applied simultaneously allowing in vitro systems to provide adequate data for the development of mathematical models. To comply with push for the development of alternative testing methods.
Assignment on Toxicokinetics- Toxicokinetic evaluation in preclinical studies, saturation kinetics Importance and applications of toxicokinetic studies. Alternative methods to animal toxicity testing.
A review on stages of drug development and alternative methods for animal stu...Frinto Francis
Various Stages of drug development, anaesthesia ,euthanasia, animals used for preclinical analysis, clinical trials, alternative methods for animal testing, blood withdrawal methods, ethical guidelines
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
5. Docking as a target
identification tool
Docking: Computational search for energetically
favorable binding poses of a ligand with a receptor.
Find origins of ligand binding which drive
molecular recognition.
• Finding the correct pose, given a ligand and a
receptor.
• Finding the best ligand, given a database and a
receptor.
9. 1. Transgenic Animals
Transgenic animals are created by deliberately inserting a gene
into the genome of an animal. Recombinant DNA methodology
is used to construct the gene that is intended to express
desirable qualities during the growth and development of the
recipient animal.
Transgenic animal models allow unprecedented control over
manipulation and visualization of genes and gene products.
Transgenic rats as model are used for:
• Hypertension
• Atherosclerosis
• Alzheimer’s disease
10. 2. Antisense technology
In Antisense technology, synthetically produced complementary
molecules seek out and bind to messenger RNA (mRNA),
blocking the final step of protein production.
mRNA is the nucleic acid molecule that carries genetic
information from the DNA to the other cellular machinery
involved in the protein production.
By binding to mRNA, the antisense drugs interrupt and inhibit
the production of specific disease-related proteins.
11. 3. Chemical Genomics
Chemical genomics or chemogenomics, is the systematic
screening of targeted chemical libraries of small molecules
against individual drug target families with the ultimate goal of
identification of novel drugs and drug targets.
Typically, some members of a target library have been well
characterized where both the function has been determined
and compounds that modulate the function of those targets
have been identified.
14. 1. Physiological
Screening
A tissue-based approach and looks for a response
more aligned with the final desired in vivo effect as
opposed to targeting one specific molecular
component.
15. 2. High
Throughput
screening
Standard method for
drug discovery
1000’s of compounds
possess potential of
emerging as a new drug
are tested using
automated machines
Tested for their ability
to modify the
properties of a selected
biological target
Remove inactive
compounds at initial
stage and accumulate
active compounds.
The main goal is to
accelerate drug
discovery process by
screening large libraries
18. 1. Absorption
Strategies
• Animal studies (rat) – Very low throughput
• In situ intestinal models – Very low throughput,
expensive
• Intestinal epithelial barrier models
a) MDCK cell line
b) HT29 cell line
c) Caco-2 cell line
23. 4. Excretion
Strategies
In vivo excretion studies are not
usually performed in lead
optimization
In vitro models to investigate
renal excretion are very limited.
The primary in vitro renal
excretion model is the isolated
perfused rat kidney
24. 5. Insilico ADME
Strategies
Availability of massive ADME and PCK data in the
literature and within the pharmaceutical company
databases has led to the initiation of datamining
efforts in order to understand the SAR for ADME
properties.
a) Molecular Based Modeling
b) Data Based Modeling
26. Prediction of Drug Safety
1. In vitro methods
2. In vivo methods
3. Ex vivo methods
27. 1. In vitro methods
In vitro methods are complicated due to
• Difficulties of maintaining cells in culture
• Lack of understanding of the humoral and matrix
requirements
28. 2. In vivo methods
In vivo methods are focused on determining safe
doses for PCK (phase I) studies by measuring
tolerable and toxic doses
29. 3. Ex vivo methods
Ex vivo methods analyze tissues, tissue extracts, or
fluids from animals previously exposed to lead
candidates and the comparison of these results to
those derived from untreated animals.
31. Estimation of Starting
Dose for Phase I
Determine NOAEL (mg/kg) in toxicity
studies
Convert each animal NOAEL to HED
(based on body surface area)
Select HED from most appropriate
species
Choose safety factor and divide HED
by that factor
Maximum Recommended Starting
Dose (MRSD)
35. Conclusion
Whatever the strategy, it is ultimately the drug
that speaks.
A development program will typically have one or
more “champions” and several stakeholders from
numerous disciplines who may rationalize why the
drug candidate should continue along the
development path instead of intaking the difficult
decision to terminate the program.
The basic paradigm will continue to comprise
intense planning, strategic decision making,
extensive research, long term nonclinical safety,
and clinical safety and efficacy studies,
comprehensive data collection and statistical
analyses, and relevant support programs.