RE: Principles of early drug discovery10 Aug 2022 15:59
A good read and will go through in depth later. That will take a day or so.
This high failure rate raises the question of whether certain aspects of drug development are overlooked? On the one hand, true target validation, which confirms the molecular target is the cause of human disease and drug's intended target, is still challenging for the success of clinical drug development. On the other hand, current drug optimization may have overemphasized one aspect but overlooked others that may mislead drug candidate selection and unbalance clinical dose/efficacy/toxicity.
The delicate balance of clinical dose/efficacy/toxicity of drug candidates in clinical trials is not only determined by their potency/specificity in inhibiting its molecular targets (through SAR studies), but also by their tissue exposure/selectivity in disease-targeted tissues and normal tissues (through STR studies). However, current drug optimization process overly emphasized drug's potency/specificity through SAR studies but overlooked drug's tissue exposure/selectivity in disease-targeted tissues vs. normal tissues through STR studies, which may have misled the drug candidate selection, impacted clinical dose optimization, and tipped the balance of clinical efficacy and toxicity.
We did experience difficulties in reaching a MTD. At 30 times treatment dose an MTD was not established.
Low treatment dose of 12.5 mg per day and a maximum of 1000mg per day.
MTD could not have been calculated on 12.5 mg per day as would only give 420 mg per day and hence 1000mg a day not possible. Now in this case as 1000mg treatment a day is maximum envisaged dose then we would be looking at a minimum of 30,000 mg a day ie 30 grammes. Yes it does appear a colossal amount. Interesting point is what a sareums intended dosing regime for an indication? This I would hazard a guess to be in the hands of the clinical trial experts ( experts in their field of a specific indication) that can establish a dose effective response .
Tim an co have avoided the 'too competitive' market ( as stated previously by TM and their intentions) and have aimed understandably at a market that best suits the capabilities of 1801 ie first indication of psoriasis. Not the biggest market but biggest chance of success.
Regards