DRUG DISCOVERY
&
 DEVELOPMENT
     BY DR. SABA AHMED
  M PHIL PHARMACOLOGY UOS
INTRODUCTION
• In the past most drugs have been discovered either by identifying
  the active ingredient from traditional remedies or by serendipitous
  discovery.
• But now we know diseases are controlled at molecular and
  physiological level.
• Also shape of an molecule at atomic level is well understood.
HISTORY OF DRUG DISCOVERY
  Pre 1919                 1970s                        1980s
  • Herbal Drugs           • Rise of Biotechnology      • Commercialization of
  • Serendiptious          • Use of IT                    Drug Discovery
    discoveries                                         • Combinatorial Chemistry
  1920s, 30s               1960s                        1990s
  • Vitamins               • Breakthrough in Etiology   • Robotics
  • Vaccines                                            • Automation
  1940s                    1950s
  • Antibiotic Era         • New technology,
  • R&D Boost due to WW2   • Discovery of DNA
TOP COMPANIES BY R&D EXPENSE
  Sr. No.                    Company   R & D spend($bn)
     1      Novartis                          7.9
     2      Merck & Co                        8.1
     3      Roche                             7.8
     4      GlaxoSmithKline                   5.7
     5      Sanofi                            5.8
     6      Pfizer                            9.1
     7      Johnson & Johnson                 4.5
     8      Eli Lilly                         4.7
     9      AstraZeneca                       4.2
    10      Takeda                            3.4
    11      Bayer                             2.3
    12      Bristol-Myers Squibb              3.3
    13      Boehringer Ingelheim              3.1
    14      Amgen                             2.8
    15      Novo Nordisk                      1.7
THE PROCESS
THE PROCESS
In broader sense drug discovery and development can be defined
• “A process that starts with the identification of disease and therapeutic
   target of interest and include methodology, assay development ,lead
   identification and characterization in vitro ,formulation and animal
   pharmacological studies ,pharmacokinetics and safety studies in animals
   and clinical studies in the human .”Different stages include
 Basic research
 Feasibility studies
 Programme
 Non-Clinical development
 Clinical Development
      DRUG
    DISCOVERY
                         Drug Discovery &
                       Development-Timeline
             PRECLINICAL
                           CLINICAL TRIALS     FDA
  10,000         250                         REVIEW         1 FDA
COMPOUNDS     COMPOUNDS    5 COMPOUNDS                    APPROVED
                                                            DRUG
      ~6.5 YEARS                  ~7 YEARS   ~1.5 YEARS
  Target              Lead            Medicinal         In Vitro        Preclinical        Clinical
 Selection          Discovery         Chemistry         Studies          studies          Trials and
                                                                                          Therapeutics
• Cellular and     • Synthesis and   • Library       • Drug Affinity   • Animal
  Genetic            Isolation         Development     and               models of
  Targets                                              Selectivity       Disease States
• Genomics         • Combinatorial   • SAR Studies   • Cell Disease    • Behavioural
                     Chemistry                         Models            Studies
• Proteomics       • Assay           • In Silico     • MOA             • Functional
                     development       Screening                         Imaging
• Bioinformatics   • High-           • Chemical      • Lead            • Ex-Vivo
                     Throughput       Synthesis        Candidate         Studies
                     Screening                         Refinement
DRUG DISCOVERY
DRUG DISCOVERY
•   It is phase during which the candidates or target of interest are selected on
    the basis of their pharmacological bases
•   Drugs Discovery methods:
     – Random Screening
     – Molecular Designing
     – Drug Metabolites
     – Serendipity
                     TARGET SELECTION
                     •   Target selection in drug discovery is defined as the decision to focus on
  Cellular &
Genetic Targets          finding an agent with a particular biological action that is anticipated to
                         have therapeutic utility
  Genomics
                     •   Target identification: to identify molecular targets that are involved in
  Proteomics             disease progression.
                     •   Target validation: to prove that manipulating the molecular target can
Bioinformatics
                         provide therapeutic benefit for patients.
                  Target Selection     Lead         Medicinal        In Vitro   Preclinical      Clinical
                                     Discovery      Chemistry        Studies     studies          Trials
                     TARGET SELECTION
                     Biochemical Classes of Drug Targets
                         G-protein coupled receptors - 45%
  Cellular &
Genetic Targets          enzymes - 28%
                         hormones and factors - 11%
  Genomics               ion channels - 5%
                         nuclear receptors - 2%
  Proteomics
                     Techniques for Target Identification
Bioinformatics
                  Target Selection     Lead         Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery      Chemistry   Studies     studies       Trials
                     Cellular & Genetic Targets
                     •Involves the identification of the function of a
  Cellular &
Genetic Targets      potential therapeutic drug target and its role in the
                     disease process
  Genomics
  Proteomics
                     •Drugs usually act on either cellular or genetic
                     chemicals in the body, known as targets, which are
Bioinformatics
                     believed to be associated with disease.
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
                      Genomics
                     •The study of genes and their function. Genomics aims
  Cellular &         to understand the structure of the genome, including
Genetic Targets
                     the mapping genes and sequencing the DNA.
  Genomics
  Proteomics         •Human Genome consists of a sequence of around 3
                     billion nucleotides (the A C G T bases) which in turn
Bioinformatics       probably encode 35,000 – 50,000 genes.
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
                     Proteomics
                     •It is the study of the proteome, the complete set of proteins
                     produced by a species, using the technologies of large – scale
  Cellular &         protein separation and identification.
Genetic Targets
  Genomics
                     •It is also at the protein level that disease processes become
                     manifest, and at which most (91%) drugs act.
  Proteomics
                     •Therefore, the analysis of proteins (including protein-protein,
Bioinformatics       protein-nucleic acid, and protein ligand interactions) will be
                     utmost importance to target discovery.
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
                     Continued….
                     •Proteomics is the systematic high-throughput
  Cellular &         separation and characterization of proteins
Genetic Targets
                     within biological systems.
  Genomics
                     •Target identification with proteomics is
  Proteomics         performed by comparing the protein
                     expression levels in normal and diseased
Bioinformatics
                     tissues.
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
                     Bioinformatics
                     Bioinformatics is a branch of molecular biology that involves   extensive
  Cellular &
Genetic Targets      analysis of biological data using computers, for the purpose of enhancing
                     biological research.
  Genomics           It plays a key role in various stages of the drug discovery process including
                      target identification
  Proteomics          computer screening of chemical compounds and
Bioinformatics
                  Target Selection     Lead         Medicinal        In Vitro      Preclinical       Clinical
                                     Discovery      Chemistry        Studies        studies           Trials
                     Continued…
                     •Bioinformatics methods are used to transform the raw sequence
                     into meaningful information (eg. genes and their encoded proteins)
  Cellular &         and to compare whole genomes (disease vs. not).
Genetic Targets
                     •Can compare the entire genome of pathogenic and non-
  Genomics           pathogenic strains of a microbe and identify genes/proteins
                     associated with pathogenism
  Proteomics
                     •Using gene expression micro arrays and gene chip technologies, a
                     single device can be used to evaluate and compare the expression
Bioinformatics
                     of up to 20000 genes of healthy and diseased individuals at once
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
                   LEAD DISCOVERY
                   • A lead compound is an organic molecule that act as
                     a prototype drug around which further optimization
Synthesis and
  Isolation          is centered and focused”
Combinatorial
                   • Identification of small molecule modulators of
  Chemistry          protein function
   Assay           • The process of transforming these into high-content
Development
                     lead series.
     High
 Throughput
  Screening
                Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                   Discovery   Chemistry   Studies     studies       Trials
                   Synthesis and Isolation
                   • Separation of mixture
Synthesis and
  Isolation        • Separation of impurities
Combinatorial      • In vitro chemical synthesis
  Chemistry
                   • Biosynthetic intermediate
   Assay
Development
     High
 Throughput
  Screening
                Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                   Discovery   Chemistry   Studies     studies       Trials
Approaches For Lead Discovery
Serendipity:
•   It is to follow when chance is very less. It has been the historically the most successful
    way of discovering the drugs. E.g discovery of lavemisol,Vaproic acid.
Endogenous Source:
•   Human disease arises from disturbance of the normal biochemical processes. A logical
    therapeutic approach is the administration of one or more of these naturally occurring
    endogenous molecules or their analougues.The most important approach under this source
     is Peptidomimetic
    Target Selection   Chemistry
                        Lead     using non-peptides In
                                    Medicinal       to Vitro
                                                       mimic endogenous   peptide activity.
                                                                 Preclinical      Clinical
                      Discovery     Chemistry       Studies       studies          Trials
Continued…
Exogenous Source: (Ethanobotany or Ethanopharmacology)
•   The molecules which are endogenous to the other life form such as plants and animals but do
    not occur naturally within human body ,such molecules are classed as exogenous molecule for
    prospective of drug designing for human beings
Rational Drug Design
• Approximately 2000 small molecules that theoretically exist in our world out of which
   1052 are drug like molecules and many of which are purely synthetic and cannot occur
    naturally. Thus there is an opportunity to explore the none naturally occurring synthetic
    compounds as potential source of lead compound
                   Continued…
                   Combinatorial Chemistry
Synthesis and
  Isolation        Rapid synthesis of or computer simulation of large no. of different but
                       structurally related molecules
Combinatorial
  Chemistry
                   •   Search new leads
   Assay           •
Development
                       Optimization of target affinity & selectivity.
     High          •   ADME properties
 Throughput
  Screening        •   Reduce toxicity and eliminate side effects
                Target Selection     Lead         Medicinal         In Vitro   Preclinical   Clinical
                                   Discovery      Chemistry         Studies     studies       Trials
                   Continued…
                   High throughput screening
Synthesis and
                   •   It refers to the process by which pharmaceutical companies are able to obtain
  Isolation
                       initial screening data up to 1 million compounds testing against as many as 50
Combinatorial
                       different biological targets/years. This expansion of data collection by several
  Chemistry
                       orders of magnitude is primarily due to advancement in Robotics,
   Assay               combinatorial chemistry and instrumentation.
Development
                   •   Screening of drug target against selection of chemicals.
     High
 Throughput        •   Identification of highly target specific compounds.
  Screening
                Target Selection     Lead         Medicinal        In Vitro       Preclinical     Clinical
                                   Discovery      Chemistry        Studies         studies         Trials
                Assay Development
                •   Used for measuring the activity of a drug.
Synthesis and   •   Discriminate between compounds.
  Isolation
                •   Evaluate:
Combinatorial
  Chemistry           •   Expressed protein targets.
                      •   Enzyme/ substrate interactions.
   Assay
Development
     High
 Throughput
  Screening
                Target Selection     Lead      Medicinal    In Vitro   Preclinical   Clinical
                                   Discovery   Chemistry    Studies     studies       Trials
                 MEDICINAL CHEMISTRY
                 •   It’s a discipline at the intersection of synthetic organic chemistry and
   Library           pharmacology.
Development
                 •   Focuses on small organic molecules (and not on biologics and
SAR Studies
                     inorganic compounds)
  In Silico      •   Used in
 Screening
                       •   Drug discovery (hits)
 Chemical
 Synthesis
                       •   Lead optimization (hit to lead)
              Target Selection     Lead      Medicinal       In Vitro    Preclinical     Clinical
                                 Discovery   Chemistry       Studies      studies         Trials
                  Library Development
   Library
                  • Collection of stored chemicals along with associated
Development
                      database.
 SAR Studies
                  • Assists in High Throughput Screening
  In Silico
 Screening        • Helps in screening of drug target (hit)
  Chemical        • Based on organic chemistry
  Synthesis
               Target Selection     Lead      Medicinal   In Vitro   In Vivo   Clinical
                                  Discovery   Chemistry   Studies    Studies    Trials
                  SAR Studies
                  • Helps identify pharmacophore
   Library
Development       • The pharmacophore is the precise section of the molecule that
 SAR Studies          is responsible for biological activity
                  •    Enables to prepare more active compound
  In Silico
 Screening        • Allow elimination of excessive functionality
  Chemical
  Synthesis
               Target Selection     Lead      Medicinal   In Vitro   In Vivo   Clinical
                                  Discovery   Chemistry   Studies    Studies    Trials
                  In silico screening
   Library
                  • Computer simulated screening of chemicals
Development
                  • Helps in finding structures that are most likely to
 SAR Studies
                      bind to drug target.
  In Silico
 Screening
  Chemical        • Economic than HTS
  Synthesis
               Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                  Discovery   Chemistry   Studies     studies       Trials
                  Chemical Synthesis
                  • Involve production of lead compound in suitable quantity
   Library            and quality to allow large scale animal and eventual,
Development
                      extensive human clinical trials
 SAR Studies
                  • Optimization of chemical route for bulk industrial
  In Silico           production.
 Screening
                  • Suitable drug formulation
  Chemical
  Synthesis
               Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                  Discovery   Chemistry   Studies     studies       Trials
                     In Vitro Studies
                     • (In glass) studies using component of organism i.e. test tube
                       experiments
 Drug Affinity       • Examples-
and Selectivity
                        • Cells derived from multicellular organisms
 Cell Disease           • Subcellular components (Ribosomes, mitochondria)
   Models
                        • Cellular/ subcellular extracts (wheat germ, reticulocyte
                            extract)
    MOA
                        • Purified molecules (DNA,RNA)
Lead Candidate
  Refinement
                  Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                     Discovery   Chemistry   Studies     studies       Trials
    THEORATICLE AND
PRACTICLE ASPECT OF DRUG
     DEVELOPMENT
                               PRECLINICAL STUDIES
                     •   The aim of this stage is to satisfy all the requirements that have to be met before
 Animal models           a new compound is deemed ready to be tested for the first time in humans. The
of Disease States
                         work falls into four categories
 Behavioural
   Studies           •   Pharmacological testing
                     •   Preliminary Toxicological testing
  Functional
   Imaging
                     •   Pharmacokinetics studies i.e ADME studies
    Ex-Vivo          •   Chemical and pharmaceutical assessment to assess the feasibility of large scale
    Studies
                         synthesis and purification.
                Target Selection     Lead          Medicinal         In Vitro       Preclinical       Clinical
                                   Discovery       Chemistry         Studies         studies           Trials
                      PRECLINICAL STUDIES
                      •   Its experimentation using a whole, living organism.
Animal models of
 Disease States       •   Gives information about,
 Behavioural                •   Metabolic profile
   Studies
                            •   Toxicology
  Functional
   Imaging                  •   Drug interaction
Ex-Vivo Studies
                   Target Selection     Lead        Medicinal   In Vitro   Preclinical   Clinical
                                      Discovery     Chemistry   Studies     studies       Trials
                      Animal models of disease states
                      • Test conditions involving induced disease or injury similar to
Animal models of
 Disease States
                          human conditions.
 Behavioural
   Studies            • Must be equivalent in mechanism of cause.
  Functional          • Can predict human toxicity in 71% of the cases.
   Imaging
                      • Eg. SCID mice-HIV
Ex-Vivo Studies
                   Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                                      Discovery   Chemistry   Studies     studies       Trials
                      Behavioural Studies
                      •   Tools to investigate behavioural results of drugs.
Animal models of
 Disease States       •   Used to observe depression and mental disorders..
 Behavioural          •   Example:
   Studies
                            •   Despair based- Forced swimming/ Tail suspension
  Functional                •
   Imaging
                                Reward based
                            •   Anxiety Based
Ex-Vivo Studies
                   Target Selection     Lead      Medicinal      In Vitro      Preclinical   Clinical
                                      Discovery   Chemistry      Studies        studies       Trials
                      Functional Imaging
                      • Method of detecting or measuring changes in metabolism,
Animal models of
 Disease States           blood flow, regional chemical composition, and absorption.
 Behavioural          • Tracers are used
   Studies
                            •         MRI
  Functional
   Imaging                  • CT-Scan
Ex-Vivo Studies
                   Target Selection      Lead      Medicinal   In Vitro   Preclinical   Clinical
                                       Discovery   Chemistry   Studies     Studies       Trials
                      Ex-Vivo Studies
                      •   Experimentation on tissue in an artificial environment outside the
Animal models of
 Disease States           organism with the minimum alteration of natural conditions.
 Behavioural          •   Counters ethical issues.
   Studies
                      •   Examples:
  Functional
   Imaging                  •   Measurement of tissue properties
                            •   Realistic models for surgery
Ex-Vivo Studies
                   Target Selection     Lead         Medicinal     In Vitro   Preclinical   Clinical
                                      Discovery      Chemistry     Studies     studies       Trials
               CLINICAL TRIALS
               • Set of procedures in medical research and drug
Phase-I
                   development to study the safety and efficacy of new drug.
Phase-II       • Essential to get marketing approval from regulatory
                   authorities.
Phase-III
               • May require upto 7 years.
Phase-IV
            Target Selection     Lead      Medicinal   In Vitro   Preclinical   Clinical
                               Discovery   Chemistry   Studies     studies       Trials
               Phase I:
               •   Clinical Pharmacologic Evaluation
               •   First stage of testing in human subjects.
Phase-I
               •   20-50 Healthy Volunteers
Phase-II       •   Concerned With:
                     – Human Toxicity.
Phase-III
                     – Tolerated Dosage Range
Phase-IV             – Pharma-cology/dynamics
            Target Selection     Lead      Medicinal      In Vitro   Preclinical   Clinical
                               Discovery   Chemistry      Studies     studies       Trials
               Phase II:
               •   Controlled Clinical Evaluation.
               •   50-300 Patients
Phase-I
               •   Controlled Single Blind Technique
Phase-II       •   Concerned With:
                     – Safety
Phase-III
                     – Efficacy
Phase-IV             – Drug Toxicity&Drug Interaction
            Target Selection      Lead       Medicinal   In Vitro   Preclinical   Clinical
                                Discovery    Chemistry   Studies     studies       Trials
               Phase III:
               •   Extended Clinical Trials.
Phase-I        •   Most expensive & time consuming.
               •   250-1000 Patients.
Phase-II
               •   Controlled Double Blind Technique.
               •   Concerned With:
Phase-III
                     –   Safety, Efficacy
                     –   Comparison with other Drugs
Phase-IV
                     –   Package Insert
            Target Selection       Lead         Medicinal   In Vitro   Preclinical   Clinical
                                 Discovery      Chemistry   Studies     studies       Trials
               Phase IV:
               •   Post Marketing Surveillance.
Phase-I        •   Designed to detect any rare or long-term adverse effects.
               •   Adverse Drug Reaction Monitoring
Phase-II
Phase-III
Phase-IV
            Target Selection     Lead      Medicinal     In Vitro    Preclinical   Clinical
                               Discovery   Chemistry     Studies      studies       Trials
  RECENT
RESEARCHES
ABSTRACT 1
•   A review article highlight the use of genomics and proteomics in pharmaceutical drug discovery and development
    stating that One of the most pressing issues facing the pharmaceutical industry is the tremendous dropout rate of
    lead drug candidates. Genomics and proteomics are today well established in drug discovery and development, in
    combination with combinatorial chemistry and high-throughput screening, are helping to bring forward a matchless
    number of potential lead compounds. Over the last two decades, several new genomic technologies have been
    developed in hopes of addressing the issues of target identification and lead candidate optimization. Proteomics is a
    technology platform that is gaining widespread use in drug discovery and drug development programs. Defined as
    the protein complement of the genome, the proteome is a varied and dynamic repertoire of molecules that in many
    ways dictates the functional form that is taken by the genome. We focus in this article on recent progress and
    innovations utilizing “omics” technologies to identify and validate drug targets, discover disease biomarkers, and
    design more effective drugs.( SHARMA NEHA and HARIKUMAR S.L,2013)4
ABSTRACT 2
•   A study carried out by Abdul Wadood et al(2014) on the in silico technique illustrates that Hepatitis C virus (HCV) infection
    is an alarming and growing threat to public health. The present treatment gives limited efficacy and is poorly tolerated,
    recommending the urgent medical demand for novel therapeutics. NS3/4A protease is a significant emerging target for the
    treatment of HCV infection. This work reports the complex-based pharmacophore modeling to find out the important
    pharmacophoric features essential for the inhibition of both protease and helicase activity of NS3/4A protein of HCV. A seven
    featured pharmacophore model of HCV NS3/4A protease was developed from the crystal structure of NS3/4A protease in
    complex with a macrocyclic inhibitor interacting with both protease and helicase sites residues via MOE pharmacophore
    constructing tool. It consists of four hydrogen bond acceptors (Acc), one hydrophobic (Hyd), one for lone pair or active
    hydrogen (Atom L) and a heavy atom feature (Atom Q). The generated pharmacophore model was validated by a test
    database of seventy known inhibitors containing 55 active and 15 inactive/least active compounds. The validated
    pharmacophore model was used to virtually screen the ChemBridge database. As a result of screening 1009 hits were
    retrieved and were subjected to filtering by Lipinski’s rule of five on the basis of which 786 hits were selected for further
    assessment using molecular docking studies. Finally, 15 hits of different scaffolds having interactions with important active
    site residues were predicted as lead candidates. These candidates having unique scaffolds have a strong likelihood to act as
    further starting points in the development of novel and potent NS3/4A protease inhibitors.( Abdul Wadood,et al,2014)6
           )
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