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Pharmacodynamic Evaluation: Inflammation/Immunology

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Abstract

In any drug development including those for candidates in acute and chronic inflammation and any other immunological disbalance, distinct types of pharmacological studies are a regulatory requirement. Together clinical and nonclinical data are required to characterize a novel drug candidate adequately. These requirements were summarized, outlined, and exemplified in this chapter as follows:

  • Primary pharmacology describes the mode of action of the drug candidate with respect to its therapeutic target.

  • Secondary pharmacology: Studies on secondary pharmacology look deeper into the biochemical and physiological effects of a drug and the mode of action that is not directly related to the desired therapeutic target (general pharmacology studies).

  • Safety pharmacology has a focus on the impact of a drug candidate in and above the therapeutic range on the function of organ systems.

  • Immunological safety assessment: First-in-human studies.

  • Immunotoxicology

As there is no international consensus on definitions of the terms, the attribution of either type of studies may sometimes be ambiguous. It is impossible to separate immunotoxicology studies required by regulatory agencies basically from the pharmacodynamics of a drug. An initial package of such pharmacological studies is a prerequisite for first-in-human studies for novel drugs.

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References and Further Reading

  • Amantea D, Bagetta G (2016) Drug repurposing for immune modulation in acute ischemic stroke. Curr Opin Pharmacol 26:124–130

    Article  CAS  PubMed  Google Scholar 

  • Benson RA, McInnes IB, Garside P, Brewer JM (2017) Model answers: rational application of murine models in arthritis research. Eur J Immunol. https://doi.org/10.1002/eji.201746938

  • Bessis N, Decker P, Assier E, Semerano L, Boissier MC (2017) Arthritis models: usefulness and interpretation. Semin Immunopathol 39(4):469–486

    Article  CAS  PubMed  Google Scholar 

  • Committee for Medicinal Products for Human Use (CHMP) (2017) Guideline on strategies to identify and mitigate risks for first-in-human and early clinical trials with investigational medicinal products. EMEA/CHMP/SWP/28367/07 Rev. 1

    Google Scholar 

  • Day CP, Merlino G, Van Dyke T (2015) Preclinical mouse cancer models: a maze of opportunities and challenges. Cell 163(1):39–53

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Diao L, Meibohm B (2015) Tools for predicting the PK/PD of therapeutic proteins. Expert Opin Drug Metab Toxicol 11(7):1115–1125

    Article  CAS  PubMed  Google Scholar 

  • ICH S6(R1) (1997) Preclinical safety evaluation of biotechnology-derived pharmaceuticals. CPMP/ICH/302/95

    Google Scholar 

  • ICH S8 (2005) Immunotoxicity studies for human pharmaceuticals EMEA/CHMP/167235/2004-ICH

    Google Scholar 

  • Koo S, Marty FM, Baden LR (2010) Infectious complications associated with immunomodulating biologic agents. Infect Dis Clin N Am 24(2):285–306

    Article  Google Scholar 

  • Mak IWY, Evaniew N, Ghert M (2014) Lost in translation: animal models and clinical trials in cancer treatment. Am J Transl Res 6(2):114–118

    PubMed  PubMed Central  Google Scholar 

  • Trentham DE, Townes AS, Kang AH, David JR (1978) Humoral and cellular sensitivity to collagen in type II collagen-induced arthritis in rats. J Clin Invest 61(1):89–96

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • U.S. Department of Health and Human Services, Food and Drug Administration (2005) Guidance for industry: estimating the maximum safe starting dose in initial clinical trials for therapeutics in adult healthy volunteers

    Google Scholar 

  • Yan H, Endo Y, Shen Y, Rotstein D, Dokmanovic M, Mohan N, Mukhopadhyay P, Gao B, Pacher P, Wu WJ (2016) Ado-trastuzumab emtansine targets hepatocytes via human epidermal growth factor receptor 2 to induce hepatotoxicity. Mol Cancer Ther 15(3):480–490

    Article  CAS  PubMed  Google Scholar 

  • Yu J, Karcher H, Feire AL, Lowe PJ (2011) From target selection to the minimum acceptable biological effect level for human study: use of mechanism-based PK/PD modeling to design safe and efficacious biologics. AAPS J 13(2):169–178

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Jörg Schüttrumpf .

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Schüttrumpf, J., Germer, M. (2018). Pharmacodynamic Evaluation: Inflammation/Immunology. In: Hock, F., Gralinski, M. (eds) Drug Discovery and Evaluation: Methods in Clinical Pharmacology. Springer, Cham. https://doi.org/10.1007/978-3-319-56637-5_34-1

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  • DOI: https://doi.org/10.1007/978-3-319-56637-5_34-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56637-5

  • Online ISBN: 978-3-319-56637-5

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

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