Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies

The decoding of the DNA structure and development of new molecular methods of its analysis, as well as identification of specific genomic changes responsible for malignant transformation, have become the turning points in elaboration of novel anti-tumour drugs directed against molecular and genetic...

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Main Authors: O, A. Bezborodova, A. A. Pankratov, E. R. Nemtsova, Yu. B. Venediktova, M. S. Vorontsova, G. N. Engalycheva, R. D. Syubaev
Format: Article
Language:Russian
Published: Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’) 2020-06-01
Series:Регуляторные исследования и экспертиза лекарственных средств
Subjects:
Online Access:https://www.vedomostincesmp.ru/jour/article/view/295
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author O, A. Bezborodova
A. A. Pankratov
E. R. Nemtsova
Yu. B. Venediktova
M. S. Vorontsova
G. N. Engalycheva
R. D. Syubaev
author_facet O, A. Bezborodova
A. A. Pankratov
E. R. Nemtsova
Yu. B. Venediktova
M. S. Vorontsova
G. N. Engalycheva
R. D. Syubaev
author_sort O, A. Bezborodova
collection DOAJ
description The decoding of the DNA structure and development of new molecular methods of its analysis, as well as identification of specific genomic changes responsible for malignant transformation, have become the turning points in elaboration of novel anti-tumour drugs directed against molecular and genetic targets of tumor growth. Transition from empirical screening of agents inhibiting tumour cell proliferation to molecule-targeted analytical methods has raised a number of serious methodological issues regarding preclinical evaluation of novel medicines. The objective of this paper was to analyse general principles and features of preclinical efficacy and safety studies of different classes of modern anti-tumour drugs with a view to improve existing national guidelines. The paper reviews various aspects of preclinical studies of different classes of anti-tumour drugs (small molecule chemotherapy drugs, hormones and hormone antagonists, alkylating agents and antimetabolites, microbial and herbal medicines, as well as monoclonal antibodies). The article explores general principles of studying the drugs’ pharmacological activity in vitro, ex vivo, and in vivo, and evaluating their pharmacokinetic parameters. It describes various methods and models of research, summarises specific aspects of determination of genotoxicity, carcinogenicity, reproductive toxicity, mutagenicity, acute and chronic toxicity of various groups of medicines. It also lists criteria for selecting drug doses for toxicokinetic studies. The need for harmonisation of national requirements for conducting preclinical studies with the European standards entails alignment of terminology and further development of general algorithms for selecting doses and determining the necessary scope of research. The use of biomarkers in preclinical studies will make it possible to exclude inefficient compounds from further research.
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spelling doaj.art-8fa6c6b63dc0459290183b5be3e52dd42025-03-02T10:46:41ZrusFederal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)Регуляторные исследования и экспертиза лекарственных средств3034-30623034-34532020-06-011029611010.30895/1991-2919-2020-10-2-96-110234Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety StudiesO, A. Bezborodova0A. A. Pankratov1E. R. Nemtsova2Yu. B. Venediktova3M. S. Vorontsova4G. N. Engalycheva5R. D. Syubaev6P.A. Hertsen Moscow Oncology Research Centre, Branch of the National Medical Radiology Research CentreP.A. Hertsen Moscow Oncology Research Centre, Branch of the National Medical Radiology Research CentreP.A. Hertsen Moscow Oncology Research Centre, Branch of the National Medical Radiology Research CentreP.A. Hertsen Moscow Oncology Research Centre, Branch of the National Medical Radiology Research CentreP.A. Hertsen Moscow Oncology Research Centre, Branch of the National Medical Radiology Research CentreScientific Centre for Expert Evaluation of Medicinal ProductsScientific Centre for Expert Evaluation of Medicinal ProductsThe decoding of the DNA structure and development of new molecular methods of its analysis, as well as identification of specific genomic changes responsible for malignant transformation, have become the turning points in elaboration of novel anti-tumour drugs directed against molecular and genetic targets of tumor growth. Transition from empirical screening of agents inhibiting tumour cell proliferation to molecule-targeted analytical methods has raised a number of serious methodological issues regarding preclinical evaluation of novel medicines. The objective of this paper was to analyse general principles and features of preclinical efficacy and safety studies of different classes of modern anti-tumour drugs with a view to improve existing national guidelines. The paper reviews various aspects of preclinical studies of different classes of anti-tumour drugs (small molecule chemotherapy drugs, hormones and hormone antagonists, alkylating agents and antimetabolites, microbial and herbal medicines, as well as monoclonal antibodies). The article explores general principles of studying the drugs’ pharmacological activity in vitro, ex vivo, and in vivo, and evaluating their pharmacokinetic parameters. It describes various methods and models of research, summarises specific aspects of determination of genotoxicity, carcinogenicity, reproductive toxicity, mutagenicity, acute and chronic toxicity of various groups of medicines. It also lists criteria for selecting drug doses for toxicokinetic studies. The need for harmonisation of national requirements for conducting preclinical studies with the European standards entails alignment of terminology and further development of general algorithms for selecting doses and determining the necessary scope of research. The use of biomarkers in preclinical studies will make it possible to exclude inefficient compounds from further research.https://www.vedomostincesmp.ru/jour/article/view/295anti-tumour drugscytostaticstargeted drugspreclinical studiesefficacy and safety
spellingShingle O, A. Bezborodova
A. A. Pankratov
E. R. Nemtsova
Yu. B. Venediktova
M. S. Vorontsova
G. N. Engalycheva
R. D. Syubaev
Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
Регуляторные исследования и экспертиза лекарственных средств
anti-tumour drugs
cytostatics
targeted drugs
preclinical studies
efficacy and safety
title Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
title_full Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
title_fullStr Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
title_full_unstemmed Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
title_short Anti-Tumour Drugs: Planning Preclinical Efficacy and Safety Studies
title_sort anti tumour drugs planning preclinical efficacy and safety studies
topic anti-tumour drugs
cytostatics
targeted drugs
preclinical studies
efficacy and safety
url https://www.vedomostincesmp.ru/jour/article/view/295
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AT yubvenediktova antitumourdrugsplanningpreclinicalefficacyandsafetystudies
AT msvorontsova antitumourdrugsplanningpreclinicalefficacyandsafetystudies
AT gnengalycheva antitumourdrugsplanningpreclinicalefficacyandsafetystudies
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