2003
DOI: 10.1038/nrd1131
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Making Better Drugs: Decision Gates in Non-Clinical Drug Development

Abstract: Drug development is a risky business. Success or failure often depends on selecting one or two molecules for development from many choices offered by the engines of high-throughput discovery. A lead candidate needs to possess adequate bioactivity, appropriate physical-chemical properties to enable formulation development, the ability to cross crucial membranes, reasonable metabolic stability and appropriate safety and efficacy in humans. Predicting how a drug will behave in humans before clinical testing requi… Show more

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Cited by 228 publications
(130 citation statements)
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“…For this reason, major efforts are focused on evaluating drug clearance and other pharmacokinetic parameters of new chemical entities (2,3). Currently, drug discovery and preclinical development programs are plagued by unreliable models and escalating costs.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…For this reason, major efforts are focused on evaluating drug clearance and other pharmacokinetic parameters of new chemical entities (2,3). Currently, drug discovery and preclinical development programs are plagued by unreliable models and escalating costs.…”
Section: Discussionmentioning
confidence: 99%
“…With cost of drug development escalating to $400 million/drug there is an urgent need for the development of rigorous models of liver metabolism in the context of ADME/Tox (absorption, distribution, metabolism, excretion, and toxicity) screening. This need is exacerbated by the failure of animal studies to predict drug clearance and toxicity, as well as the disastrous clinical and financial consequences of postmarket drug withdrawal (2,3).…”
mentioning
confidence: 99%
“…5 The data from these assays have allowed medicinal chemists to focus their efforts on compounds with improved metabolic stability. 6 Detailed metabolite identification studies are also done more routinely, which provide information on how to strategically replace or block metabolically labile sites. 7 Additionally, in vivo PK studies are regularly conducted in drug discovery, which helps to build in vitro−in vivo PK relationships.…”
Section: ■ Introductionmentioning
confidence: 99%
“…An increase of the very low bioavailability of the weak base was feasible with permeability enhancers, surfactants, acidic excipients, amorphization, and with fumaric acid co-crystal formation. The fumaric acid co-crystal was selected for development [84] however the strongly pH dependent solubility profile and high water solubility of the co-crystal former caused further issues.…”
Section: Partially Amorphous Api Containing Formulation: F7mentioning
confidence: 99%
“…Formation of co-crystals can solve several pharmaceutical issues raised during preformulation [2] and formulation development e.g. by solubility, dissolution, bioavailability, chemical stability, decreasing hygroscopicity modulation [3,84]. Formation of co-crystals could be a new path to improve physico-chemical and biopharmaceutical…”
Section: Introductionmentioning
confidence: 99%