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      Implementation of pharmacokinetic and pharmacodynamic strategies in early research phases of drug discovery and development at Novartis Institute of Biomedical Research

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          Abstract

          Characterizing the relationship between the pharmacokinetics (PK, concentration vs. time) and pharmacodynamics (PD, effect vs. time) is an important tool in the discovery and development of new drugs in the pharmaceutical industry. The purpose of this publication is to serve as a guide for drug discovery scientists toward optimal design and conduct of PK/PD studies in the research phase. This review is a result of the collaborative efforts of DMPK scientists from various Metabolism and Pharmacokinetic (MAP) departments of the global organization Novartis Institute of Biomedical Research (NIBR). We recommend that PK/PD strategies be implemented in early research phases of drug discovery projects to enable successful transition to drug development. Effective PK/PD study design, analysis, and interpretation can help scientists elucidate the relationship between PK and PD, understand the mechanism of drug action, and identify PK properties for further improvement and optimal compound design. Additionally, PK/PD modeling can help increase the translation of in vitro compound potency to the in vivo setting, reduce the number of in vivo animal studies, and improve translation of findings from preclinical species into the clinical setting. This review focuses on three important elements of successful PK/PD studies, namely partnership among key scientists involved in the study execution; parameters that influence study designs; and data analysis and interpretation. Specific examples and case studies are highlighted to help demonstrate key points for consideration. The intent is to provide a broad PK/PD foundation for colleagues in the pharmaceutical industry and serve as a tool to promote appropriate discussions on early research project teams with key scientists involved in PK/PD studies.

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          The effect of plasma protein binding on in vivo efficacy: misconceptions in drug discovery.

          Data from in vitro plasma protein binding experiments that determine the fraction of protein-bound drug are frequently used in drug discovery to guide structure design and to prioritize compounds for in vivo studies. However, we consider that these practices are usually misleading, because in vivo efficacy is determined by the free (unbound) drug concentration surrounding the therapeutic target, not by the free drug fraction. These practices yield no enhancement of the in vivo free drug concentration. So, decisions based on free drug fraction could result in the wrong compounds being advanced through drug discovery programmes. This Perspective provides guidance on the application of plasma protein binding information in drug discovery.
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            Kidney Injury Molecule-1 Outperforms Traditional Biomarkers of Kidney Injury in Multi-site Preclinical Biomarker Qualification Studies

            Kidney toxicity accounts for a significant percentage of morbidity and drug candidate failure. Serum creatinine (SCr) and blood urea nitrogen (BUN) have been used to monitor kidney dysfunction for over a century but these markers are insensitive and non-specific. In multi-site preclinical rat toxicology studies the diagnostic performance of urinary kidney injury molecule-1 (Kim-1) was compared to traditional biomarkers as predictors of kidney tubular histopathologic changes, currently considered the “gold standard” of nephrotoxicity. In multiple models of kidney injury, urinary Kim-1 significantly outperformed SCr and BUN. The area under the receiver operating characteristic curve for Kim-1 was between 0.91 and 0.99 as compared to 0.79 to 0.9 for BUN and 0.73 to 0.85 for SCr. Thus urinary Kim-1 is the first injury biomarker of kidney toxicity qualified by the FDA and EMEA and is expected to significantly improve kidney safety monitoring.
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              BRAFV600E: implications for carcinogenesis and molecular therapy.

              The mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (ERK) pathway is frequently mutated in human cancer. This pathway consists of a small GTP protein of the RAS family that is activated in response to extracellular signaling to recruit a member of the RAF kinase family to the cell membrane. Active RAF signals through MAP/ERK kinase to activate ERK and its downstream effectors to regulate a wide range of biological activities including cell differentiation, proliferation, senescence, and survival. Mutations in the v-raf murine sarcoma viral oncogenes homolog B1 (BRAF) isoform of the RAF kinase or KRAS isoform of the RAS protein are found as activating mutations in approximately 30% of all human cancers. The BRAF pathway has become a target of interest for molecular therapy, with promising results emerging from clinical trials. Here, the role of the most common BRAF mutation BRAF(V600E) in human carcinogenesis is investigated through a review of the literature, with specific focus on its role in melanoma, colorectal, and thyroid cancers and its potential as a therapeutic target. ©2011 AACR.
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                Author and article information

                Contributors
                Journal
                Front Pharmacol
                Front Pharmacol
                Front. Pharmacol.
                Frontiers in Pharmacology
                Frontiers Media S.A.
                1663-9812
                12 June 2014
                28 July 2014
                2014
                : 5
                : 174
                Affiliations
                [1] 1Metabolism and Pharmacokinetics, Genomics Institute of Novartis Research Foundation San Diego, CA, USA
                [2] 2Metabolism and Pharmacokinetics, Novartis Institute of Biomedical Research Horsham, West Sussex, UK
                [3] 3Metabolism and Pharmacokinetics, Novartis Institute of Tropical Diseases Singapore, Singapore
                [4] 4Metabolism and Pharmacokinetics, Novartis Institute of Biomedical Research Emeryville, CA, USA
                [5] 5Metabolism and Pharmacokinetics, Novartis Institute of Biomedical Research Cambridge, MA, USA
                Author notes

                Edited by: Varghese John, Buck Institute for Age Research, USA

                Reviewed by: Antonio Macchiarulo, University of Perugia, Italy; Bibhash Mukhopadhyay, Johnson & Johnson, USA

                *Correspondence: Tove Tuntland, Metabolism and Pharmacokinetics, Genomics Institute of Novartis Research Foundation, 10675 John Jay Hopkins Drive, San Diego, CA 92121, USA e-mail: ttuntland@ 123456gnf.org

                This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology.

                Article
                10.3389/fphar.2014.00174
                4112793
                25120485
                f9e3874e-1a3f-41b4-865f-f3e39713cfa6
                Copyright © 2014 Tuntland, Ethell, Kosaka, Blasco, Zang, Jain, Gould and Hoffmaster.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 02 May 2014
                : 05 July 2014
                Page count
                Figures: 14, Tables: 1, Equations: 1, References: 65, Pages: 16, Words: 12210
                Categories
                Pharmacology
                Review Article

                Pharmacology & Pharmaceutical medicine
                pharmacodynamics,pk-pd modeling,drug discovery,dmpk,novartis,pharmacokinetics

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