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THE PHARMA REVIEW JUNE 2006

ADMETOX Assessments in Drug Development: A Perspective

Vanaja. K, MueenAhmed KK, Hemant P. Joshi, Shobha Rani R. H, Sarasija Suresh

Abstract: The key to clinical success of a compound is often curtailed due to inadequate safety, pharmacokinetics or efficacy. To aid in success of the discovery program, accurate pharmacokinetic and metabolic data of an in-vitro biological screening is essential. This review highlights the various in-vitro and in-silico models used to predict absorption and metabolism providing a wealth of information to make decisions. Absorption systems include excised tissue, stripped and unstripped mucosal sheets, cultured cells such as Caco-2, HT-29, and MDCK, parallel artificial membrane permeation assay, mucosal cell membrane vesicles. In-vitro metabolism models give information on metabolite stability, metabolite profile, metabolite identification, interspecies comparisons, toxicology species selection, cytochrome induction/inhibition, drug/drug interaction and Phase II enzyme studies. Liver being the major organ for drug metabolism, human liver slices, expressed enzymes, liver microsomes and isolated hepatocytes are used for prediction of metabolism. In silico models have received considerable attention in the development and design of clinical trials. This article also focuses on the various in silico models available for determining ADME. Prediction of absorption is done using iDEA, metabolism involves COMPACT, META and METEOR. Computer systems available for the prediction of toxicity are DEREK and Hazard Expert. These computer programs have formed the basis for comparing and contrasting their functionality and utility in predicting ADME. Expert use of these prediction tools could lead to lower failure rates in drug development and decrease the cost and time involved in success of drug approval.

 

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