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Drugs: From Discovery to Approval PDF

555 Pages·2015·3.51 MB·English
by  Rick Ng
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DRUGS DRUGS From Discovery to Approval Third Edition RICK NG, PhD, MBA Trainer NationalUniversityofSingaporeAcademyofGxPExcellence(NUSAGE) Singapore Copyright©2015byJohnWiley&Sons,Inc.Allrightsreserved PublishedbyJohnWiley&Sons,Inc.,Hoboken,NewJersey PublishedsimultaneouslyinCanada Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmittedinanyformorby anymeans,electronic,mechanical,photocopying,recording,scanning,orotherwise,exceptaspermitted underSection107or108ofthe1976UnitedStatesCopyrightAct,withouteitherthepriorwritten permissionofthePublisher,orauthorizationthroughpaymentoftheappropriateper-copyfeetothe CopyrightClearanceCenter,Inc.,222RosewoodDrive,Danvers,MA01923,(978)750-8400,fax(978) 750-4470,oronthewebatwww.copyright.com.RequeststothePublisherforpermissionshouldbe addressedtothePermissionsDepartment,JohnWiley&Sons,Inc.,111RiverStreet,Hoboken,NJ07030, (201)748-6011,fax(201)748-6008,oronlineathttp://www.wiley.com/go/permissions. LimitofLiability/DisclaimerofWarranty:Whilethepublisherandauthorhaveusedtheirbesteffortsin preparingthisbook,theymakenorepresentationsorwarrantieswithrespecttotheaccuracyor completenessofthecontentsofthisbookandspecificallydisclaimanyimpliedwarrantiesof merchantabilityorfitnessforaparticularpurpose.Nowarrantymaybecreatedorextendedbysales representativesorwrittensalesmaterials.Theadviceandstrategiescontainedhereinmaynotbesuitable foryoursituation.Youshouldconsultwithaprofessionalwhereappropriate.Neitherthepublishernor authorshallbeliableforanylossofprofitoranyothercommercialdamages,includingbutnotlimitedto special,incidental,consequential,orotherdamages. Forgeneralinformationonourotherproductsandservicesorfortechnicalsupport,pleasecontactour CustomerCareDepartmentwithintheUnitedStatesat(800)762-2974,outsidetheUnitedStatesat(317) 572-3993orfax(317)572-4002. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynot beavailableinelectronicformats.FormoreinformationaboutWileyproducts,visitourwebsiteat www.wiley.com. LibraryofCongressCataloging-in-PublicationData: Ng,Rick,author. Drugs:fromdiscoverytoapproval/RickNg.–Thirdedition. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-1-118-90727-6(cloth) I.Title. [DNLM:1. DrugDiscovery.2. Chemistry,Pharmaceutical.3. ClinicalTrialsasTopic–methods.4. Drug Approval–legislation&jurisprudence.5. DrugApproval–methods.6. Technology,Pharmaceutical. QV745] RM301.25 615′.19–dc23 2014045567 Coverimage:LaboratoryEquipmentRobotArmworking©4X-image/iStockphoto; Scientisttakingasampleoutofapetridishusingapipette©DNY59/iStockphoto; DNAmolecule©ermess/iStockphoto; Medicinepills©AlexRaths/iStockphoto; tabletpc,stethoscopeandelectrocardiogram©dolgachov/iStockphoto; Closelook©shironosov/iStockphoto;and ChemicalFormula©BlackJack3D/iStockphoto Typesetin10/12ptTimesTenLTStdbyLaserwordsPrivateLimited,Chennai,India. PrintedintheUnitedStatesofAmerica 10987654321 3 2015 To Cherry,ShaunandAshleigh CONTENTS PREFACE xv 1 INTRODUCTION 1 1.1 AimofthisBook / 1 1.2 AnOverviewoftheDrugDiscoverytoApprovalProcess / 2 1.3 ThePharmaceuticalIndustry / 6 1.4 EconomicsofDrugDiscoveryandDevelopment / 11 1.5 TrendsinDrugDiscoveryandDevelopment / 13 1.6 CaseStudy#1.1 / 15 1.7 CaseStudy#1.2 / 17 1.8 SummaryofImportantPoints / 20 1.9 ReviewQuestions / 20 1.10 BriefAnswersandExplanations / 21 1.11 FurtherReading / 22 2 DRUGDISCOVERY:TARGETSANDRECEPTORS 23 2.1 DrugDiscoveryProcesses / 23 2.2 MedicalNeeds / 24 2.3 TargetIdentification / 26 2.4 TargetValidation / 33 2.5 DrugInteractionswithTargetsorReceptors / 36 2.6 Enzymes / 40 vii viii CONTENTS 2.7 ReceptorsandSignalTransduction / 42 2.8 AssayDevelopment / 52 2.9 CaseStudy#2.1 / 52 2.10 CaseStudy#2.2 / 53 2.11 SummaryofImportantPoints / 57 2.12 ReviewQuestions / 57 2.13 BriefAnswersandExplanations / 58 2.14 FurtherReading / 58 3 DRUGDISCOVERY:SMALLMOLECULEDRUGS 61 3.1 Introduction / 61 3.2 IrrationalApproach / 62 3.3 RationalApproach / 67 3.4 AntisenseApproach / 85 3.5 RNAInterferenceApproach / 88 3.6 ChiralDrugs / 91 3.7 ClosingRemarks / 92 3.8 CaseStudy#3.1 / 94 3.9 CaseStudy#3.2 / 96 3.10 SummaryofImportantPoints / 98 3.11 ReviewQuestions / 99 3.12 BriefAnswersandExplanations / 99 3.13 FurtherReading / 100 4 DRUGDISCOVERY:LARGEMOLECULEDRUGS 103 4.1 Introduction / 103 4.2 Vaccines / 105 4.3 Antibodies / 117 4.4 Cytokines / 128 4.5 Hormones / 134 4.6 GeneTherapy / 137 4.7 StemCellsandCellTherapy / 139 4.8 CaseStudy#4.1 / 141 4.9 CaseStudy#4.2 / 144 4.10 SummaryofImportantPoints / 146 4.11 ReviewQuestions / 147 4.12 BriefAnswersandExplanations / 148 4.13 FurtherReading / 148

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The third edition of this best-selling book continues to offer a user-friendly, step-by-step introduction to all the key processes involved in bringing a drug to the market, including the performance of pre-clinical studies, the conduct of human clinical trials, regulatory controls, and even the man
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