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ICH Q8 & Q9 - Presentation for IPA
ICH Q8 & Q9 - Presentation for IPA

... • Defining criteria on how to apply the risk management process • Identification of circumstances, if any, when applying risk management principles is not feasible or appropriate • Defining what principles of risk management apply to industry, regulators or both across the life-cycle of the product ...
Peptide-Mediated Targeted Drug Delivery
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... to analyze. In addition, peptide–drug conjugates may have lower immunogenicity than protein–drug conjugates.11 The immunogenicity of protein–drug conjugates may arise from the presence of nonnative protein conformers or protein aggregates upon drug conjugation. In many cases, cyclic peptides have hi ...
CMS Annual DUR Report - 2010 - Michigan Department of Health
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... Presence of target organ damage, renal disease, diabetes or cardiovascular disease Other coexisting disorders Interactions with drugs used for other conditions by the patient Age Occupation Lifestyle. ...
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... a target for pharmacological interventions. Factors underlying the population’s rapid increase in excess weight, as well as reasons for difficulty achieving and sustaining weight loss, remain incompletely understood. Medications have been used to assist in weight loss for almost 80 years, but advers ...
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... action of fat-soluble drugs (increased half-life) • Lower level of serum proteins (eg, albumin) increases the concentration of the unbound (free or active) form of drugs ...
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Drug discovery



In the fields of medicine, biotechnology and pharmacology, drug discovery is the process by which new candidate medications are discovered. Historically, drugs were discovered through identifying the active ingredient from traditional remedies or by serendipitous discovery. Later chemical libraries of synthetic small molecules, natural products or extracts were screened in intact cells or whole organisms to identify substances that have a desirable therapeutic effect in a process known as classical pharmacology. Since sequencing of the human genome which allowed rapid cloning and synthesis of large quantities of purified proteins, it has become common practice to use high throughput screening of large compounds libraries against isolated biological targets which are hypothesized to be disease modifying in a process known as reverse pharmacology. Hits from these screens are then tested in cells and then in animals for efficacy.Modern drug discovery involves the identification of screening hits, medicinal chemistry and optimization of those hits to increase the affinity, selectivity (to reduce the potential of side effects), efficacy/potency, metabolic stability (to increase the half-life), and oral bioavailability. Once a compound that fulfills all of these requirements has been identified, it will begin the process of drug development prior to clinical trials. One or more of these steps may, but not necessarily, involve computer-aided drug design. Modern drug discovery is thus usually a capital-intensive process that involves large investments by pharmaceutical industry corporations as well as national governments (who provide grants and loan guarantees). Despite advances in technology and understanding of biological systems, drug discovery is still a lengthy, ""expensive, difficult, and inefficient process"" with low rate of new therapeutic discovery. In 2010, the research and development cost of each new molecular entity (NME) was approximately US$1.8 billion. Drug discovery is done by pharmaceutical companies, with research assistance from universities. The ""final product"" of drug discovery is a patent on the potential drug. The drug requires very expensive Phase I, II and III clinical trials, and most of them fail. Small companies have a critical role, often then selling the rights to larger companies that have the resources to run the clinical trials.Discovering drugs that may be a commercial success, or a public health success, involves a complex interaction between investors, industry, academia, patent laws, regulatory exclusivity, marketing and the need to balance secrecy with communication. Meanwhile, for disorders whose rarity means that no large commercial success or public health effect can be expected, the orphan drug funding process ensures that people who experience those disorders can have some hope of pharmacotherapeutic advances.
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