Safety pharmacology is a term which started to be used in the early 1990s, specifically for the in vivo pharmacology assays designed to detect adverse effects of drugs in preclinical development. At that time, in vitro pharmacology was included under the term general pharmacology, which encompassed all in vivo and in vitro assays designed to characterize the pharmacology of a clinical candidate, including both desired and undesired effects [1][2][3]. The concept of using general pharmacology to profile drugs for safety or pharmacological toxicity was already well understood [4]. In 2001, some guidance for the industry was published (ICH S7A) defining safety pharmacology studies as those studies that investigate the potential undesirable pharmacodynamic effects of a substance on physiological functions in relation to exposure within the therapeutic range and above [5]. While the S7A guidance largely deals with in vivo safety pharmacology studies, it states that in vitro studies on receptors, enzymes, transporters and ion channels can also be used as test systems and data from ligand binding and enzyme assays, suggesting that a potential for adverse effects should be taken into consideration when designing safety pharmacology studies. We classify these studies as in vitro safety pharmacology and the routine testing of compounds during early drug discovery we call in vitro safety pharmacology profiling [6].In vitro safety pharmacology assays have been around for more than 35 years -ever since the first in vitro pharmacology assays were developed to measure binding or activity at a specific protein. Initially of course, they were used to discover new medicines acting through such targets. However, it quickly became clear, especially for those working in the cardiovascular and neuroscience fields, that many of these targets were also responsible for unwanted side effects seen in animal experiments and humans, and testing (profiling) of new drug candidates against a number of these safety-related targets (also called antitargets [7]) was performed.Hit and Lead Profiling. Edited by Bernard Faller and Laszlo Urban