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18 Cards in this Set

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  • Back

What is the affinity of a drug

The property of a drug to bind to a binding side on the receptor

What is the efficacy of a drug

A measure of the ability of the drug to produce a measurable response. This can be zero positive or negative what

What is the general principles of receptors

They have a high degree of drug specificity


They bind only molecules with 3 dimensional topography and chemistry


Receptors do not bind closely related molecules

Binding of multiple receptors can cause what

Unwanted side effects

Low potency drugs are prone to

Binding to a range of receptors

What are the drug targets

-Ion channels


-Enzymes


-Carrier molecules (Transporters)


- receptors

Name the stages of how a drug is studied

Preclinical


Phase 0


Phase 1


Phase 2


Phase 3


Phase 4

What is the late clinical phase testing

Testing on drug on Non human subjects, to gather efficacy, toxicity, and pharmakinetics


The dose is unrestricted

What is phase 0 doing

Pharmakinetics particularly oral bioavailability and half life of the drug


Dose - very small, sub-therapeutic and is used on 10 people

What is phase 1 doing

Testing of drug on healthy volunteers


Dose - sub therapeutic but with ascending doses


Used on 20-100 people


Determines whether drug is safe to check for efficacy

What is phase 2 doing

Testing of drug on patients to assess efficacy and safety


Dose - therapeutic


100-300


People

What is phase 3 doing

Testing of drug on paitents to assess efficacy, effectiveness and safety


Therapeutic dose


1000-2000 people

What is phase 4 doing

Post marketing surveillance watching drug use in public


And it’s long term effects


Time period usually 2 years

How long is this process

12-18 years ( but not always ) costing over 1 billion

The % off phase 2 trials to go to phase 3 is what

18%

How many drug candidates fail during phase 3

50%

What is Latrogenicity?

The capacity to produce disease from the side effects of inappropriate prescribing of drugs

What is Tetragenicity?

The capacity to produce abnormalities of the unborn child or foetus