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02 - PH 107 - Prelim Term
02 - PH 107 - Prelim Term
02 - PH 107 - Prelim Term
PROCESS
DRUG PRODUCT
finished dosage form (containing the drug subs. + other
excipients/inert substances)
DRUGS
Drugs refer to pharmaceutical products that pertain to
chemical compounds or biological substances, other
than food, intended for use in the treatment,
prevention, or diagnosis of disease in humans or
animals, including the following:
(1) Any article recognized in the official United States
Pharmacopeia/National Formulary, Homeopathic Pharmacopeia of
the United States of America, Philippine Pharmacopeia, Philippine
National Drug Formulary, British Pharmacopoeia, European
Pharmacopoeia, Japanese Pharmacopoeia, and any official
compendium or any supplement to them
RA 10918
DRUGS
(2) Any article intended for use in
diagnosis, cure, mitigation, treatment, or
prevention of disease of man or animals;
(3) Any article, other than food, intended
to affect the structure or any function of
the human body or animals;
Any article intended for use, as a
component of articles, specified in
clauses (1), (2) and (3), not including
devices or their components, parts and
accessories; and
Herbal or traditional drugs as defined in
Republic Act No. 9502
RA 10918
SOURCES OF DRUGS
Plant sources
Animal sources
Microbiological sources
Genetic Engineering
A. PLANT SOURCES
There are two major types of prodrugs. These categories are based
on how prodrugs are converted in the body:
1) Type I prodrugs turn into their active forms inside of cells.
2) Type II prodrugs turn into their active forms outside of cells, such
as in blood or other fluids.
NEW DRUG
New Molecular Entity (NME)- is defined by FDA as an active
ingredient that has never before been marketed in any form.
A change in a previously approved drug product’s formulation
or method of manufacture constitutes newness under the
law such as changes can alter the therapeutic efficacy
and/or safety of a product.
A proposed new use for an established drug, a new dosage
schedule or regimen, a new route of administration, or a
new dosage form makes a drug or a drug product’s status
new and triggers reconsideration for safety and effficacy
DRUG NOMENCLATURE
Empirical formula- indicates the number and relationship pf
the atoms in the molecule
Example: Amoxicillin- C16H19N3O3S.3H2O
Chemical name- name of the compound’s every part of
molecular structure
Example: Amoxicillin- (2S,5R,6R)-6-[[(2R)-2-amino-2-(4-
hydroxyphenyl)acetyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-
azabicyclo[3.2.0]heptane-2-carboxylic acid
DRUG NOMENCLATURE
Generic name- non-propriety name of the drug, serves to
identify the substance to which is applies by means of a
designation that maybe used by the professionals, refers to
the active ingredient of the drug.
Example: Amoxicillin
Brand name- trademarked name/ marketed name assigned
by the producing company
Example: Himox™, Amoxil™, Trimox™
BIOLOGICAL CHARACTERIZATION
Prospective drug substances must undergo preclinical testing
for biologic activity to assess their potential as useful
therapeutic agents.
Pharmacology
Drug Metabolism
Toxicology
To evaluate whether a drug is safe and effective, information
must be gained on how it is absorbed, distributed throughout
the body, stored, metabolized, and excreted and how it
affects the action of the body’s cells, tissues, and organs.
1. PHARMACOLOGY
The science concerned with drugs, their sources, appearance,
chemistry, actions and uses. It includes the biochemical and
physiologic effects, mechanism of action, absorption,
distribution, biotransformation, and excretion.
Pharmacokinetics is the science that analyzes how the human
body interacts with a drug. Pharmacokinetics examines how
the drug is absorbed, distributed, metabolized, and excreted
by the body. Pharmacodynamics is the science that studies the
biochemical and physiologic effects of a drug and its organ-
specific mechanism of action, including effects on the cellular
level.
1. PHARMACOLOGY
Another way to describe the difference between the 2 disciplines
is to say that pharmacokinetics is “what the body does to the
drug," whereas pharmacodynamics is “what the drug does to
the body.”
Pharmacologic Profile
Among early studies are determination of compound’s selectivity
for various receptors and its activity against select enzyme
systems. Studies of the compound’s effects on cell function are
then performed to detect evidence of efficacy and to determine
whether the compound is an agonist or antagonist. Then followed
by studies with isolated animal tissues to define further the
compound’s activity and selectivity. Then whole animal studies are
used to evaluate the pharmacologic effects of the agent on
specific organ system.
PREFORMULATION
Finished Product
Raw Materials
▪ Phase I
- initial introduction (Clinical testing)
- subjects: Healthy volunteers (20-100)
- determines drug tolerance & toxicity (assessing safety)
Phases of Clinical Investigation
Phase II
- Controlled clinical studies to several hundred
patients with the disease/condition are treated
- Safety measured - determines the therapeutic
index (ratio of toxic dose to effective dose)
final drug formulation developed bioequivalent
(same rate & extent of drug absorption to the brand
drug product) to the dosage form
Phases of Clinical Investigation
Phase III
- several hundred to several thousand patients with
the disease/condition treated for which the drug
was developed (controlled and uncontrolled trials)
- Large scale, multicenter studies performed - to
determine safety & and efficacy
-Side effects are monitored
Phases of Clinical Investigation
Phase 3a
- completed studies sufficient for the NDA
Phase 3b
- Additional studies are used to gather:
*supplemental information to support certain labeling
requests
* information on patients’ quality of life issues
*product advantages over already marketed competing
drugs
*evidence in support of possible additional drug
indications
*other clues for prospective postmarketing studies
Phases of Clinical Investigation
Submission of a new drug application (NDA)
- An NDA is submitted to the FDA for review &
approval when clinical trials are completed
Phase IV
- Continual clinical investigation
- Manufacturing scale-up activities
- Drug formulation modified slightly
- To gather supplemental information (labeling,
product advantages, additional indications,
prospective postmarketing studies)
Phases of Clinical Investigation
Therapeutic index
- Relationship between drug’s desired & undesired
effects
- Ratio of drug’s median toxic dose & median
effective dose, TD50/EF50
Drug Dosage and Terminology
Maintenance dosage- regularly schedule
subsequent administration to keep the most
desirable concentration of drug in the blood
Initial priming or loading dose required to attain
desired concentration of the drug in the blood of
tissues
Prophylactic dose - protects the patient from
contracting the illness
Therapeutic dose - administered to the patient
after exposure or contraction of the illness.
Drug-drug interaction
- Effect of drug modified by prior/concurrent
administration of another drug
- Chemical or physical interaction between the
drugs/alteration of the absorption, distribution,
metabolism/excretion patterns of one of the drugs
- Include “social” agents (tobacco & alcohol) affecting
pharmacokinetics of a number of drugs & alter drug’s
usual dose
Treatment IND/treatment protocol
Approvable Letter.
- specific additional data or other requested
material is submitted/specific conditions are met.
- pertains to development or wording of the final
product labeling.
Approval Letter:
- Approval of the application permitting marketing
Non Approvable Letter:
- one or more deficiencies.
International Conference on Harmonization
(ICH)