| The development potential of a candidate molecule depends essentially on its capacity to be administered to humans and show therapeutic effectiveness, with an acceptable level of side-effects.
Before testing candidate molecules on humans in clinical trials,
scientists must show that the candidates do not present an unacceptable
level of risk, given the expected therapeutic benefit. The regulatory
authorities require pharmaceutical companies to
demonstrate the safety of the drug for humans and to prove that
the therapeutic advantages of the compound greatly outweighs any
associated undesirable side-effects, such as migraine or high blood
pressure in the case of cancer treatment. These studies are conducted
in conformity with the rules of the regulatory bodies. Thus, the
American and Canadian authorities are particularly stringent in
regards to drug safety. The protocols from clinical trials must
be subjected to strict monitoring and evaluation.
Duration: a minimum of 4 to 6 months
The twenty or so perfected compounds are evaluated both in vitro and in vivo. Of these, between one and five will have the characteristics required for phase I clinical studies. |
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Chemists, biochemists, pharmacologists, toxicologists and histologists
continue to evaluate the pharmacokinetic,
pharmacodynamic and toxicological
properties
of the compound in vitro and in vivo (on animals). The bioanalytic
support for these studies is supplied by chemists, who, using chromatography, spectrometry, spectrophotometry and immunochemistry,
develop the methodologies required to identify and quantify
the molecule and its metabolites in various biological
matrices. Depending on the results obtained in the preceding
experiments, chemists and pharmacists develop different dosages
and pharmaceutical
formulations, taking particular account of the physico-chemical
and metabolic properties of the molecule and the biomedical characteristics
of the targeted therapeutic application. For example, for pathologies
affecting young children, it may be preferable to use a syrup,
which is more easily swallowed than a tablet. |