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Preclinical optimization of compounds toward viable drug candidates requires an integrated understanding of properties that impact predictions of the clinically efficacious dose. The importance of optimizing half-life, unbound clearance, and potency and how they impact dose predictions are discussed in this letter. Modest half-life improvements for short half-life compounds can dramatically lower the efficacious dose. The relationship between dose and half-life is nonlinear when unbound clearance is kept constant, whereas the relationship between dose and unbound clearance is linear when half-life is kept constant. Due to this difference, we show that dose is more sensitive to changes in half-life than changes in unbound clearance when half-lives are shorter than 2 h. Through matched molecular pair analyses, we also show that the strategic introduction of halogens is likely to increase half-life and lower projected human dose even though increased lipophilicity does not guarantee extended half-life.
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http://dx.doi.org/10.1021/acsmedchemlett.8b00018 | DOI Listing |
CPT Pharmacometrics Syst Pharmacol
September 2025
Certara UK Ltd., Level 2 Acero, 1 Concourse Way, Sheffield, UK.
Therapeutic oligonucleotides (TOs) represent an emerging modality, which offers a promising alternative treatment option, particularly for intracellular targets. The two types of TOs, antisense oligonucleotides (ASO) and small interfering RNAs (siRNAs), distribute highly into tissues, especially into the liver and the kidneys. However, molecular processes at the cellular level such as the uptake into the cell, endosomal escape, binding to the target mRNA, and redistribution back to the systemic circulation are not well characterized because experimental data and assays are lacking.
View Article and Find Full Text PDFClin Microbiol Infect
August 2025
Department of Paediatric Intensive Care, Ghent University Hospital, Belgium; Department of Basic and Applied Medical Sciences, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Department of Pharmacy, Ghent University Hospital, Belgium. Electronic address:
Objectives: Optimal ciprofloxacin dosing in critically ill children is influenced by complex factors affecting drug disposition, including pathophysiological changes and supportive therapies. This study aimed to develop a population pharmacokinetic (PK) model for ciprofloxacin in critically ill children to identify predictors of inter-individual variability, evaluate target attainment for both total and unbound exposure, and provide tailored dosing recommendations.
Methods: A prospective, open-label, multicentric PK study was conducted in 44 critically ill children (< 16 years) receiving intravenous ciprofloxacin.
Biomed Pharmacother
August 2025
Shu Chien-Gene Lay Department of Bioengineering - University of California, San Diego, CA, United States. Electronic address:
Hemoglobin (Hb) toxicity is a known contributor to acute kidney injury (AKI), particularly under hemolytic conditions where cell-free Hb is present in circulation. When the endogenous Hb scavenger protein haptoglobin becomes saturated with cognate ligand Hb, excess unbound cell-free Hb extravasates into tissues, including the kidneys, leading to oxidative stress, inflammation, and impaired renal function. Although sex-based differences in AKI susceptibility have been observed, the protective role of hormones in modulating the severity of Hb-induced kidney injury remains unclear.
View Article and Find Full Text PDFPharmazie
August 2025
Division o f Pharmacy, Ehime University Hospital.
Midazolam is a short-acting benzodiazepine widely used for sedation; however, its duration of action can be prolonged by various factors including hypoalbuminemia. Previous behavioral studies in rats with low albumin levels reported reduced muscle strength and spontaneous locomotion, but the relationship between hypoalbuminemia and midazolam pharmacokinetics remains unclear. This study investigated whether prolonged midazolam sedation in hypoalbuminemia correlates with unbound and brain midazolam concentrations.
View Article and Find Full Text PDFJ Med Chem
August 2025
Department of Drug Metabolism and Pharmacokinetics, Genentech, South San Francisco, California 94080, United States.
Physiologically based pharmacokinetic (PBPK) models are increasingly used in drug discovery to prioritize compounds that meet the desired pharmacokinetic (PK) profiles. We developed a generalized PBPK model using only early discovery data and validated it across 18 Genentech compounds without compound-specific fitting. The model effectively rank-ordered compounds based on hypothetical PK drivers of pharmacodynamics, including minimum and maximum unbound concentrations ( and ) and unbound area under the curve (AUCu).
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