The state of the art in secondary pharmacology and its impact on the safety of new medicines

Secondary pharmacology screening of investigational small-molecule drugs for potentially adverse off-target activities has become standard practice in pharmaceutical research and development, and regulatory agencies are increasingly requesting data on activity against targets with recognized adverse...

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Veröffentlicht in:Nature reviews. Drug discovery 2024-07, Vol.23 (7), p.525-545
Hauptverfasser: Brennan, Richard J., Jenkinson, Stephen, Brown, Andrew, Delaunois, Annie, Dumotier, Bérengère, Pannirselvam, Malar, Rao, Mohan, Ribeiro, Lyn Rosenbrier, Schmidt, Friedemann, Sibony, Alicia, Timsit, Yoav, Sales, Vicencia Toledo, Armstrong, Duncan, Lagrutta, Armando, Mittlestadt, Scott W., Naven, Russell, Peri, Ravikumar, Roberts, Sonia, Vergis, James M., Valentin, Jean-Pierre
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container_end_page 545
container_issue 7
container_start_page 525
container_title Nature reviews. Drug discovery
container_volume 23
creator Brennan, Richard J.
Jenkinson, Stephen
Brown, Andrew
Delaunois, Annie
Dumotier, Bérengère
Pannirselvam, Malar
Rao, Mohan
Ribeiro, Lyn Rosenbrier
Schmidt, Friedemann
Sibony, Alicia
Timsit, Yoav
Sales, Vicencia Toledo
Armstrong, Duncan
Lagrutta, Armando
Mittlestadt, Scott W.
Naven, Russell
Peri, Ravikumar
Roberts, Sonia
Vergis, James M.
Valentin, Jean-Pierre
description Secondary pharmacology screening of investigational small-molecule drugs for potentially adverse off-target activities has become standard practice in pharmaceutical research and development, and regulatory agencies are increasingly requesting data on activity against targets with recognized adverse effect relationships. However, the screening strategies and target panels used by pharmaceutical companies may vary substantially. To help identify commonalities and differences, as well as to highlight opportunities for further optimization of secondary pharmacology assessment, we conducted a broad-ranging survey across 18 companies under the auspices of the DruSafe leadership group of the International Consortium for Innovation and Quality in Pharmaceutical Development. Based on our analysis of this survey and discussions and additional research within the group, we present here an overview of the current state of the art in secondary pharmacology screening. We discuss best practices, including additional safety-associated targets not covered by most current screening panels, and present approaches for interpreting and reporting off-target activities. We also provide an assessment of the safety impact of secondary pharmacology screening, and a perspective on opportunities and challenges in this rapidly developing field. Secondary pharmacology screening of investigational small-molecule drugs for potentially adverse off-target activities is now standard practice in pharmaceutical research and development. This article uses a survey across 18 companies as the basis for discussing strategies for implementing secondary pharmacology screening programmes, approaches for interpreting off-target activities and which targets to include in screening panels, including several targets not commonly included in existing panels.
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subjects 631/154/436
631/154/570
Biomedical and Life Sciences
Biomedicine
Biotechnology
Cancer Research
Medicinal Chemistry
Molecular Medicine
Perspective
Pharmaceutical industry
Pharmacology
Pharmacology/Toxicology
R&D
Research & development
title The state of the art in secondary pharmacology and its impact on the safety of new medicines
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