Pharmacodynamic-pharmacokinetic integration as a guide to medicinal chemistry. 2011

Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
Discovery DMPK & BAC, Lead Generation and Medicinal Chemistry, AstraZeneca R&D Mölndal, S-43183 Mölndal, Sweden. Johan.Gabrielsson@astrazeneca.com

A primary objective of pharmacokinetic-pharmacodynamic (PKPD) reasoning is to identify key in vivo drug and system proper¬ties, enabling prediction of the magnitude and time course of drug responses under physiological and pathological conditions in animals and man. Since the pharmacological response generated by a drug is highly dependent on the actual system used to study its action, knowledge about its potency and efficacy at a given concentration or dose is insufficient to obtain a proper understanding of its pharmacodynamic profile. Hence, the output of PKPD activities extends beyond the provision of quantitative measures (models) of results, to the design of future protocols. Furthermore, because PKPD integrates DMPK (e.g. clearance) and pharmacology (e.g. potency),it provides an anchor point for compound selection, and, as such, should be viewed as an important weapon in medicinal chemistry. Here we outline key PK concepts relevant to PD, and then consider real-life experiments to illustrate the importance to the medicinal chemist of data obtained by PKPD. Useful assumptions and potential pitfalls are described, providing a holistic view of the plethora of determinants behind in vitro-in vivo correlations. By condensing complexity to simplicity, there are not only consequences for experimental design, and for the ranking and design of compounds, but it is also possible to make important predictions such as the impact of changes in drug potency and kinetics. In short, by using quantitative methods to tease apart pharmacodynamic complexities such as temporal differences and changes in plasma protein binding, it is possible to target the changes necessary for improving a compound's profile.

UI MeSH Term Description Entries
D010599 Pharmacokinetics Dynamic and kinetic mechanisms of exogenous chemical DRUG LIBERATION; ABSORPTION; BIOLOGICAL TRANSPORT; TISSUE DISTRIBUTION; BIOTRANSFORMATION; elimination; and DRUG TOXICITY as a function of dosage, and rate of METABOLISM. LADMER, ADME and ADMET are abbreviations for liberation, absorption, distribution, metabolism, elimination, and toxicology. ADME,ADME-Tox,ADMET,Absorption, Distribution, Metabolism, Elimination, and Toxicology,Absorption, Distribution, Metabolism, and Elimination,Drug Kinetics,Kinetics, Drug,LADMER,Liberation, Absorption, Distribution, Metabolism, Elimination, and Response
D002626 Chemistry, Pharmaceutical Chemistry dealing with the composition and preparation of agents having PHARMACOLOGIC ACTIONS or diagnostic use. Medicinal Chemistry,Chemistry, Pharmaceutic,Pharmaceutic Chemistry,Pharmaceutical Chemistry,Chemistry, Medicinal
D004364 Pharmaceutical Preparations Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form. Drug,Drugs,Pharmaceutical,Pharmaceutical Preparation,Pharmaceutical Product,Pharmaceutic Preparations,Pharmaceutical Products,Pharmaceuticals,Preparations, Pharmaceutical,Preparation, Pharmaceutical,Preparations, Pharmaceutic,Product, Pharmaceutical,Products, Pharmaceutical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

Related Publications

Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
April 2021, ChemMedChem,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
January 2014, Current medicinal chemistry,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
January 2022, Frontiers in veterinary science,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
June 2003, Research in veterinary science,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
January 1996, Methods and findings in experimental and clinical pharmacology,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
June 2014, Journal of veterinary pharmacology and therapeutics,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
October 1995, Clinical pharmacokinetics,
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
January 2018, Methods in molecular biology (Clifton, N.J.),
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
September 2007, Veterinary journal (London, England : 1997),
Johan Gabrielsson, and Ola Fjellström, and Johan Ulander, and Michael Rowley, and Piet H Van Der Graaf
August 1982, Die Medizinische Welt,
Copied contents to your clipboard!