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Drug Design: Discovery, Development and Delivery Dr. Basavaraj K. Nanjwade M.Pharm., Ph.D Associate Professor Department of Pharmaceutics KLE University BELGAUM – 590010 E-mail: [email protected] Cell No: 0091 9448716277 19 March 2009 KLE College of Pharmacy, Belgaum 1 Drug Design 19 March 2009 KLE College of Pharmacy, Belgaum 2 Drug Design Drug design is the approach of finding drugs by design, based on their biological targets. Typically a drug target is a key molecule involved in a particular metabolic or signalling pathway that is specific to a disease condition or pathology, or to the infectivity or survival of a microbial pathogen. Other approaches may be to enhance the normal pathway by promoting specific molecules in the normal pathways that may have been affected in the diseased state. In medicine, biotechnology and pharmacology, drug discovery is the process by which drugs are designed 19 March 2009 KLE College of Pharmacy, Belgaum 3 Drug Design 1. Rational Drug Design 2. Computer-assisted Drug Design (CADD) 3. Neural network in Drug Design 19 March 2009 KLE College of Pharmacy, Belgaum 4 Rational Drug Design The industry now has the research tools to pursue rational Drug Design successfully, but a new hurdle is being raised:finding a way to generate data and manage our knowledge of disease that maximizes the value of that knowledge 1. Molecular properties 2. Receptor-Based modeling 3. Numerical methods 19 March 2009 KLE College of Pharmacy, Belgaum 5 Rational Drug Design Refining the understanding of pathogenesis 19 March 2009 KLE College of Pharmacy, Belgaum 6 Rational Drug Design Investigating complex systems increases knowledge return 19 March 2009 KLE College of Pharmacy, Belgaum 7 Computer-assisted Drug Design (CADD) Drug design is a three-dimensional puzzle where small drug molecules, ligands, are adjusted to the binding site of a protein. The factors which affect the protein-ligand interaction can be characterized by using molecular docking and different quantitative structure-activity relationships (QSAR) methods 19 March 2009 KLE College of Pharmacy, Belgaum 8 Computer-assisted Drug Design (CADD) In CoMFA map the colored fields describe how molecular structure can be modified to increase biological activity (CoMFA-Comparative molecular field analysis) 19 March 2009 KLE College of Pharmacy, Belgaum 9 Computer-assisted Drug Design (CADD) The most commonly used tool to model biological system is molecular dynamics The model of a receptor refined with molecular dynamics simulations 19 March 2009 KLE College of Pharmacy, Belgaum 10 Computer-assisted Drug Design (CADD) 3D models of membrane receptors can be refined and validated in a realistic lipidwater-salt environment using molecular dynamics simulations 19 March 2009 KLE College of Pharmacy, Belgaum 11 Computer-assisted Drug Design (CADD) Virtual screening is a computational technique to find novel drug candidates. Data from virtual screening can be used to develop predictive models in order to optimize ADMET properties of the candidate molecules. The ultimate goal of this procedure is to find investing lead molecules that are worth for further drug research and synthesis. 19 March 2009 KLE College of Pharmacy, Belgaum 12 Computer-assisted Drug Design (CADD) New potent inhibitor for the Human Sirutuin Type 2 enzyme was found using a virtual screening technique 19 March 2009 KLE College of Pharmacy, Belgaum 13 Neural network in Drug Design This is the most latest technique being applied to discover new drugs. It works on the same principles as the neural networks found in the human brain. This technique makes use of Computer Artificial Intelligence, whereby a computer learns by itself, how to approach a target drug molecule and improves its iterations by itself. This technique can be applied to solve complex drug calculations. Desktop computers as well as Super-Computers both are employed for Neural Networks Drug research. 19 March 2009 KLE College of Pharmacy, Belgaum 14 Applications 1. Find interesting lead molecules quickly 2. Predicting properties and activities of untested molecules 3. Propose compounds for synthesis 4. Validate models of receptor binding sites 5. Optimize pharmacokinetic properties of compound 19 March 2009 KLE College of Pharmacy, Belgaum 15 Drug Discovery 19 March 2009 KLE College of Pharmacy, Belgaum 16 Drug Discovery In medicine, biotechnology and pharmacology, drug discovery is the process by which drugs are discovered The process of drug discovery involves the identification of candidates, synthesis, characterization, screening, and assays for therapeutic efficacy. 19 March 2009 KLE College of Pharmacy, Belgaum 17 Focused Areas of Research Metabolic Gastrointestinal Dermatology Ophthalmic Neurological/ Pyschotherapeutic Inflammatory/ Immune-related Important DRUG Targets Infectious Disease Microbial/Viral Oncology/ Cancer Musculoskeleta l 19 March 2009 Cardiovascular/ Blood Disorder KLE College of Pharmacy, Belgaum Respiratory 18 Drug Discovery Pathway Preclinical Studies Primary Screening [Hits] Selection of candidate drug ADME Efficacy Discovery & Preformulations Development Stability Studies Safety Toxicology 19 March 2009 Leads KLE College of Pharmacy, Belgaum 19 Drug Discovery Process 1. What is an ideal drug? (Given by mouth and has a beneficial effect {safe & efficacious} in only ~ 50% !) 2. What is a promising drug candidate? (Most site specific with best combination of target affinity, highest bioavailability and lowest toxicity) 3. How is a ‘lead’ drug candidate screened for ideal characteristics? (Study of the in vitro ADME/Tox- drug transport , absorption, metabolism, etc) [Toxicity & pharmacokinetics: In vivo ] 19 March 2009 KLE College of Pharmacy, Belgaum 20 Drug Discovery Pipeline Exploratory Research Development Discovery Proteomics Diagnostics Peptide Mass Fingerprinting Expression Profiling Fractionate Mass Protein Spec Validated Targets Lead Identification Lead Optimization Pre-clinical Clinical Genotyping Genome Sequencing SNP Discovery Genomics H-UHTS Functional Genomics Gene Expession Profiling Combichem Synthesis Primary Screening Compound Library Natural Compounds 19 March 2009 Hot Leads KLE College of Pharmacy, Belgaum M-HTS Drug ADME L-MTS Candidates PK Secondary Screening Human Trials Lab & Clinical Animal Tests Validation Production Drug Discovery 21 Drug Discovery Process Exploratory Drug Discovery Compound library generation Combichem Drug Development Target Clinical Lead Lead Preclinical Target Qualification Identification Validation Identification Optimization Development Development New NDA Drug Assay Development Discovery Center w/primary & secondary screening & Pre-ADME In vitro & in-vivo ADMET Clinical Trials & Clinical monitoring Functional and ADMET screening assays becoming more important earlier in the screening process. 19 March 2009 KLE College of Pharmacy, Belgaum 22 “Real drug “pipeline” A– Absorption DDistribution Solubility Stability Dissolution Drug Transport Drug Targets Plasma Protein Binding assays “Permeability” (PPB) Drug Drug 19 March 2009 KLE College of Pharmacy, Belgaum 23 Cell Membrane Transport Mechanisms O H Transcellular Paracellular Active Transport Active Efflux HO O H HO O OH N N OH H OH O O NH2 H S H N N H H O O H H O OH O HO N N H O O H 19 March 2009 KLE College of Pharmacy, Belgaum 24 Membrane structure & transport 1. Membranes are two-dimensional solutions of oriented lipids and globular proteins that are mobile in the plane of the membrane – fluid-mosaic model 2. Membrane transport is mediated by specific integral membrane proteins – ion channels, porins, transporters (passive), pumps (active) 3. Integral membrane proteins have common structural features – predominantly transmembrane a helices 19 March 2009 KLE College of Pharmacy, Belgaum 25 Ion channels are membrane spanning proteins 19 March 2009 KLE College of Pharmacy, Belgaum 26 Opening and closing of channels requires conformational change 19 March 2009 KLE College of Pharmacy, Belgaum 27 Flux of ions through the channels is passive Extracellular Intracellular 19 March 2009 KLE College of Pharmacy, Belgaum 28 Drug Development 19 March 2009 KLE College of Pharmacy, Belgaum 29 Drug Development Drug development or preclinical development is defined in many pharmaceutical companies as the process of taking a new chemical lead through the stages necessary to allow it to be tested in human clinical trials, although a broader definition would encompass the entire process of drug discovery and clinical testing of novel drug candidates. 19 March 2009 KLE College of Pharmacy, Belgaum 30 Drug Discovery Pathway Preclinical Studies Primary Screening [Hits] Selection of candidate drug ADME Efficacy Discovery & Preformulations Development Stability Studies Safety Toxicology 19 March 2009 Leads KLE College of Pharmacy, Belgaum 31 Drug Development Process 19 March 2009 KLE College of Pharmacy, Belgaum 32 Reasons for Attrition in Drug Development 19 March 2009 KLE College of Pharmacy, Belgaum 33 Barriers of Drug Reaching Target Stomach pH2 Intestine pH3-8 Blood Liver Kidneys Tissues Cell Target PV Stability Stability Phase I and II Acidic buffer Acidic enzymatic Metabolic stability Stability Metabolite ID Protein binding buffer Enzymatic Passive Plasma Log D Transporters stability RBC uptake Solubility Permeability Renal Extraction Log D Cell Exposure pKa Permeability Stability Passive CYP3A metabolic stability P-gp efflux Transportes Log D 19 March 2009 KLE College of Pharmacy, Belgaum 34 Candidate Selection: Building “Developability” in Preclinical Profiling Lead (active molecule) Physical properties Potency Metabolism Potency Metabolism Selectivity Selectivity Best leads LO (optimized molecule) 19 March 2009 KLE College of Pharmacy, Belgaum Physical / chemical properties Biopharmaceutics 35 Stability in Physiological Conditions Blood = 7.4 Stomach pH = 1 - 3.5 Transverse colon Duodenum pH = 5 - 7 Small intestine Jejunum Ascending colon Ileum Descending colon pH = 8 Rectum 19 March 2009 KLE College of Pharmacy, Belgaum 36 Solubility, Permeability, Chemical and Metabolic Stability Affects Oral Bioavailability Solid Dissolution Drug in Drug Solution Solubility 19 March 2009 Membrane Portal Vein Liver Transfer Absorbed Extraction Drug Permeability KLE College of Pharmacy, Belgaum Systemic Circulation Metabolism 37 Physico-chemical profile of NCEs Integrity Permeability Solubility Lipophilicity pKa Profile Stability Polymorphism PPB 19 March 2009 KLE College of Pharmacy, Belgaum Log D 38 Successful Drug = Activity + Property In vitro Solubility Permeability In vitro BBB & Pgp Log P & pKa Metabolism Enzyme Pharmacology Pharmaceutical Profiling Receptor P450 Inhibition Stability Cell-based assay Activity Optimization Animal Model In vivo 19 March 2009 Property Pharmacokinetics Redesign KLE College of Pharmacy, Belgaum In vivo 39 Drug Development Process 19 March 2009 KLE College of Pharmacy, Belgaum 40 Drug Delivery 19 March 2009 KLE College of Pharmacy, Belgaum 41 Drug Delivery Drug delivery is the method or process of administering a pharmaceutical compound to achieve a therapeutic effect in humans or animals Drug Delivery technologies are patent protected formulation technologies that modifies drug release profile, absorption, distribution and elimination for the benefit of improving product efficacy & safety and patient convenience & compliance 19 March 2009 KLE College of Pharmacy, Belgaum 42 Drug Delivery Most common methods of delivery include the preferred non-invasive peroral (through the mouth), topical (skin), transmucosal (nasal, buccal/sublingual, vaginal, ocular and rectal) and inhalation routes 19 March 2009 KLE College of Pharmacy, Belgaum 43 Drug Delivery Many medications such as peptide and protein, antibody, vaccine and gene based drugs, in general may not be delivered using these routes because they might be susceptible to enzymatic degradation or can not be absorbed into the systemic circulation efficiently due to molecular size and charge issues to be therapeutically effective protein and peptide drugs have to be delivered by injection. 19 March 2009 KLE College of Pharmacy, Belgaum 44 Drug Delivery Current efforts in the area of drug delivery include the development of targeted delivery in which the drug is only active in the target area of the body (for example, in cancerous tissues) and in which the drug is released over a period of time in a controlled manner from a formulate 19 March 2009 KLE College of Pharmacy, Belgaum 45 Context – Drug Delivery 19 March 2009 KLE College of Pharmacy, Belgaum 46 Context – Drug Delivery 19 March 2009 KLE College of Pharmacy, Belgaum 47 Drug Delivery - Markets 19 March 2009 KLE College of Pharmacy, Belgaum 48 Drug Delivery Systems Oral DDS Nano Technology DDS Parentral DDS Topical DDS Buccal DDS Delivery Systems Rectal DDS Nasal DDS Vaginal DDS 19 March 2009 Pulmonary DDS KLE College of Pharmacy, Belgaum 49 19 March 2009 KLE College of Pharmacy, Belgaum 50