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9 Cards in this Set

  • Front
  • Back

Stringent criteria for a new medicine

Safety, efficiency, quality, economic

Stages of drug development

Discovery


Preclinical


Phase |


Phase ||


Phase |||


Approval


Post launch

Discovery

Research into disease mechanisms - key molecules and processes in a disease - reveals potential targets


Find agent that acts specifically to target


Combinatorial chemistry to make millions of different compounds before screening to see which binds to target


Drug companies have no financial interest at this stage

Pre clinical

Involves lab animals


Have now identified good target (drug lead) but now need to find out how they’re metabolised - where they go, how body breaks it down, how long they stay there, toxic?, absorbed and secreted, potential side effects.


Does the drug inhibit target partially or totally?


Enhance good points and minimise bad points

Phase |

Drug development is now narrowed down to one compound.


Apply for approval from medicines and healthcare products regulatory authority (MHRA) to run a phase | clinical trial.


Clinical trials now involve target species (humans if human drug). - healthy volunteers


Starts off with small doses then build up monitoring for any toxicity.


Now can see how drug is metabolised in specific species.

Phase ||

First time patients are involved.


Small number involved and carefully monitored


New drug is safe to use and if it has positive effects.


Lab animals of target species will still be used so phase | and || overlap

Phase |||

Data collected so far submitted to VMD or EU to get ‘animal test certificate’ to allow clinical trial


Involves many patients hundreds - thousands.


Randomised controlled trails - placebo


Ideally neither patient or researcher should know who took what - double blind trail


Persuade vets and clients to try out medicine - mainly through uni


Aim to get huge amounts of data to support safety efficiency and withdrawal periods (farm animals in study cannot be in food chain)


Practice quality of product - can it be mass produced


Process is expensive

Approval

VMD can issue market authorisation for drug to be sold


MHRA for human regulatory approval as well as data sent to national institute of health and clinical excellence NICE - accesses if its good value for money


May be to and fro between VMD and drug company to achieve licence


Approval process if goes smoothly takes a full year from submission till product in market

Post launch

Reaches market. Still possible for side effects


New drugs are monitored after launch by pharmaceutical company and vets use same yellow card ‘suspected adverse reaction surveillance scheme’ monitored by VMD.