pharmaceutical research

药物研究
  • 文章类型: Journal Article
    目前,人工智能(AI)机器学习(ML)深度学习(DL)在许多领域获得了越来越多的兴趣,特别是在药物研究和开发方面,他们在复杂情况下协助决策。大量的研究和进步已经证明了这些计算技术如何用于各种药物研究和开发方面,包括药物发现,个性化医疗,药物制剂,优化,预测,药物相互作用,药代动力学/药效学,质量控制/质量保证,和制造工艺。使用先进的建模技术,这些计算技术可以提高效率和准确性,处理复杂的数据,并在几分钟内促进新的发现。此外,这些技术提供了一些优于传统统计的优势。它们允许从复杂的数据集中进行模式识别,和模型,通常是从数据驱动算法开发的,可以从一组特征(模型输入)预测给定的结果(模型输出)。此外,这篇综述讨论了新兴趋势,并提供了有关AI与设计质量(QbD)的应用以及AI在该领域的未来作用的观点。还研究了与将AI整合到制药技术中相关的道德和监管考虑因素。这篇综述旨在为研究人员提供见解,专业人士,和其他人关于AI在制药研发中的应用现状及其在未来研究和制药工业4.0和5.0时代的潜在作用。
    Currently, artificial intelligence (AI), machine learning (ML), and deep learning (DL) are gaining increased interest in many fields, particularly in pharmaceutical research and development, where they assist in decision-making in complex situations. Numerous research studies and advancements have demonstrated how these computational technologies are used in various pharmaceutical research and development aspects, including drug discovery, personalized medicine, drug formulation, optimization, predictions, drug interactions, pharmacokinetics/ pharmacodynamics, quality control/quality assurance, and manufacturing processes. Using advanced modeling techniques, these computational technologies can enhance efficiency and accuracy, handle complex data, and facilitate novel discoveries within minutes. Furthermore, these technologies offer several advantages over conventional statistics. They allow for pattern recognition from complex datasets, and the models, typically developed from data-driven algorithms, can predict a given outcome (model output) from a set of features (model inputs). Additionally, this review discusses emerging trends and provides perspectives on the application of AI with quality by design (QbD) and the future role of AI in this field. Ethical and regulatory considerations associated with integrating AI into pharmaceutical technology were also examined. This review aims to offer insights to researchers, professionals, and others on the current state of AI applications in pharmaceutical research and development and their potential role in the future of research and the era of pharmaceutical Industry 4.0 and 5.0.
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  • 文章类型: Journal Article
    背景与目的作用于中枢神经系统的药物具有引起药物相关问题(DRPs)的高潜力。临床药剂师通过跨学科医疗团队内的协作努力可以预防,检测,并解决DRP,从而有助于促进药物安全和改善受护理个人的生活质量。这项研究旨在评估2016年2月至2019年11月在三级医院神经内科病房中发现的DRPs。方法这是一项描述性研究,采用横断面和回顾性设计,涉及从药学服务(PC)记录中收集的次要数据。学生的t检验,皮尔逊相关系数,泊松模型,和逻辑回归模型用于分析年龄之间的关联,药物的数量和类型,住院时间,以及DRP的发生。结果共纳入130例患者,共检测到266个DRPs,93例患者经历了一个以上的DRP,37例未出现任何DRP。与必要性相关的DRP是最普遍的(46.6%)类型,其次是安全相关的DRP(28.6%)。60岁以上人群的安全相关DRPs患病率较高(p<0.001)。值得注意的结论,84.6%的药剂师建议解决DRP的干预措施被医疗团队接受。发现的大量DRP突显了药剂师的临床作用和跨专业合作在神经系统患者护理中的重要性,特别是在老年人的药物随访中。
    Background and objective Drugs that act on the central nervous system have a high potential to cause drug-related problems (DRPs). A clinical pharmacist aided by collaborative efforts within an interdisciplinary healthcare team can prevent, detect, and resolve DRPs, thereby contributing to the promotion of medication safety and improving the quality of life of individuals under care. This study aimed to assess DRPs identified in the neurology ward of a tertiary hospital from February 2016 to November 2019. Methods This was a descriptive study with a cross-sectional and retrospective design involving secondary data collected from pharmaceutical care (PC) records. Student\'s t-tests, Pearson correlation coefficients, Poisson models, and logistic regression models were used to analyze the associations between age, number and type of medications, duration of hospitalization, and the occurrence of DRPs. Results A total of 130 patients were included in the study, and a total of 266 DRPs were detected, with 93 patients experiencing more than one DRP and 37 not presenting any DRPs. Necessity-related DRPs were the most prevalent (46.6%) type, followed by safety-related DRPs (28.6%). The prevalence of safety-related DRPs was higher in individuals older than 60 years (p<0.001). Conclusions Of note, 84.6% of the interventions suggested by pharmacists to resolve DRPs were accepted by the healthcare team. The high number of DRPs found underscores the importance of the clinical role of the pharmacist and interprofessional collaboration in the care of neurological patients, especially in the pharmaceutical follow-up of elderly individuals.
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  • 文章类型: Journal Article
    蛋白质-配体结合经常发生在活生物体中,并且在蛋白质和药物的功能的执行中起关键作用。它也是药物发现和筛选不可或缺的一部分。虽然研究蛋白质-配体结合的方法多种多样,每个人都有自己的目标,优势,和限制,这些都会影响方法的选择。许多研究集中在一种或几种特定的方法上,这表明缺乏全面的总结。因此,在这次审查中,对这些方法进行了全面的总结和详细的讨论:预测和模拟方法,热和热力学方法,光谱学方法,确定复合体三维结构的方法,基于质谱的方法和其他方法。根据研究的具体目标,整合这些方法也很重要。为了推进药物研究,这篇综述旨在加深对蛋白质-配体结合过程的理解。
    The protein-ligand binding frequently occurs in living organisms and plays a crucial role in the execution of the functions of proteins and drugs. It is also an indispensable part of drug discovery and screening. While the methods for investigating protein-ligand binding are diverse, each has its own objectives, strengths, and limitations, which all influence the choice of method. Many studies concentrate on one or a few specific methods, suggesting that comprehensive summaries are lacking. Therefore in this review, these methods are comprehensively summarized and are discussed in detail: prediction and simulation methods, thermal and thermodynamic methods, spectroscopic methods, methods of determining three-dimensional structures of the complex, mass spectrometry-based methods and others. It is also important to integrate these methods based on the specific objectives of the research. With the aim of advancing pharmaceutical research, this review seeks to deepen the understanding of the protein-ligand binding process.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    了解药物开发的成本可以帮助制定降低成本的政策,鼓励创新,改善患者获得药物的机会。
    估算按治疗类别划分的药物开发成本以及药物研发(R&D)强度随时间变化的趋势。
    在这项经济评估研究中,使用公共和专有来源构建的药物开发分析模型,共同涵盖2000年至2018年的数据,用于估计将药物推向市场的成本,整体和特定的治疗类别。该研究的分析于2020年10月完成。
    估计了从非临床到上市后阶段的三种开发成本指标:平均自付成本或现金支出,平均预期成本,和预期资本化成本。医药研发强度,定义为研发支出与总销售额的比率,从2008年到2019年,根据可用数据的时间框架,也进行了分析。
    开发新药的估计平均成本约为1.727亿美元(2018年美元)(范围,泌尿生殖系统费用为7250万美元,疼痛和麻醉费用为2.972亿美元),包括上市后研究。当包括故障成本时,成本增加到5.158亿美元。当包括失败和资本的成本时,药物开发的平均预期资本化成本增加至8.793亿美元(范围,抗感染药3.787亿美元,疼痛和麻醉药1.7562亿美元);结果因治疗类别而异。制药行业整体经历了15.6%的销售额下降,但从2008年到2019年,研发强度从11.9%提高到17.7%。相比之下,大型制药企业的研发强度从16.6%提高到19.3%,而销售额在2008年至2019年同期增长了10.0%(从380.0亿美元增长到4180亿美元),尽管药物开发成本保持相对稳定或甚至可能有所下降。
    在对新药开发成本的经济评估中,尽管药物开发的成本似乎保持稳定,大型制药公司的研发强度保持相对不变,尽管在此期间收入大幅增长。这些发现可以为药物相关政策的设计及其对创新和竞争的潜在影响提供信息。
    UNASSIGNED: Understanding the cost of drug development can help inform the development of policies to reduce costs, encourage innovation, and improve patient access to drugs.
    UNASSIGNED: To estimate the cost of drug development by therapeutic class and trends in pharmaceutical research and development (R&D) intensity over time.
    UNASSIGNED: In this economic evaluation study, an analytical model of drug development constructed using public and proprietary sources that collectively cover data from 2000 to 2018 was used to estimate the cost of bringing a drug to market, overall and for specific therapeutic classes. The analysis for the study was completed in October 2020.
    UNASSIGNED: Three measures of development cost from nonclinical through postmarketing stages were estimated: mean out-of-pocket cost or cash outlay, mean expected cost, and mean expected capitalized cost. Pharmaceutical R&D intensity, defined as the ratio of R&D spending to total sales, from 2008 to 2019, based on the time frame for available data, was also analyzed.
    UNASSIGNED: The estimated mean cost of developing a new drug was approximately $172.7 million (2018 dollars) (range, $72.5 million for genitourinary to $297.2 million for pain and anesthesia), inclusive of postmarketing studies. The cost increased to $515.8 million when cost of failures was included. When the costs of failures and capital were included, the mean expected capitalized cost of drug development increased to $879.3 million (range, $378.7 million for anti-infectives to $1756.2 million for pain and anesthesia); results varied widely by therapeutic class. The pharmaceutical industry as a whole experienced a decline of 15.6% in sales but increased R&D intensity from 11.9% to 17.7% from 2008 to 2019. By contrast, R&D intensity of large pharmaceutical companies increased from 16.6% to 19.3%, whereas sales increased by 10.0% (from $380.0 to $418.0 billion) over the same 2008 to 2019 period, even though the cost of drug development remained relatively stable or may have even decreased.
    UNASSIGNED: In this economic evaluation of new drug development costs, even though the cost of drug development appears to have remained stable, R&D intensity of large pharmaceutical companies remained relatively unchanged, despite substantial growth in revenues during this period. These findings can inform the design of drug-related policies and their potential impacts on innovation and competition.
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  • 文章类型: Journal Article
    这篇文章是对炎症性疾病研究生涯的自传,机制和药物治疗,药物研发,在过去的55年里,在欧洲各个国家的学术界和工业界。作者描述了坚韧和独立思考,在成长的岁月里学到的,后来与同事的良好关系的发展也指导了他的职业生涯。这跨越了研究,在其他领域中,前列腺素作为促炎和抗炎介质,氧化应激和抗氧化剂,磷脂介质,细胞因子,先天和适应性免疫反应以及各种炎症和免疫模型的建立。作者帮助发现和开发了新的疼痛治疗方法,关节炎,皮肤病学,呼吸,和自身免疫性疾病,并促成了8种候选药物进入临床试验。他帮助在四个不同的中心建立了新的研究实验室,并参与了三所不同大学的本科生和成熟学生的教学。拥有丰富的科学出版经验和多个国际奖项,他强调,如果没有良好的团队合作,在科学研究中几乎没有什么成就。
    This article is an autobiographical account of a research career in inflammatory diseases, mechanisms and pharmacotherapy, drug research and development, in academia and industry in various European countries spanning the last 55 years. The author describes how tenacity and independent thought, learned in formative years, and tempered later by the development of good relationships with colleagues have guided his career. This has spanned research, among other fields, on prostaglandins as pro-and anti-inflammatory mediators, oxidative stress and antioxidants, phospholipid mediators, cytokines, innate and adaptive immune responses and the establishment of various inflammatory and immunological models. The author has helped discover and develop novel therapeutic approaches to pain, arthritic, dermatological, respiratory, and autoimmune disorders and contributed to bringing eight drug candidates to clinical trials. He has helped establish new research labs in four different centres and been involved in teaching undergraduate and mature students in three different universities. With extensive experience in scientific publishing and several international awards, he emphasises that without good teamwork, little can be achieved in scientific research.
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  • 文章类型: Journal Article
    人类肝脏的体外模型是用于药物开发的动物测试的有希望的替代方案。目前,原代人肝细胞(PHHs)优选用于药代动力学和细胞毒性测试。然而,由于缺乏胆管,他们无法概括肝胆清除中的胆汁流量,导致胆汁分析的局限性。为了解决这个问题,需要具有功能性胆管网络的肝类器官培养系统。在这项研究中,我们旨在生成由肝细胞和胆管组成的人类iPSC来源的肝胆器官(hHBO)。2D和半3D培养条件下的两步分化过程促进了hHBO在培养板上的成熟,其中肝细胞簇被单层胆管覆盖。我们证明了hHBO复制了含有荧光胆汁酸类似物或药物的胆汁通过胆小管从肝细胞流入胆管。此外,hHBO对曲格列酮表现出病理生理反应,如胆汁淤积和细胞毒性。因为hHBO可以概括胆管在肝胆清除中的功能,它们适合作为肝病模型,并且将是用于药物研究的新型体外平台系统。
    In vitro models of the human liver are promising alternatives to animal tests for drug development. Currently, primary human hepatocytes (PHHs) are preferred for pharmacokinetic and cytotoxicity tests. However, they are unable to recapitulate the flow of bile in hepatobiliary clearance owing to the lack of bile ducts, leading to the limitation of bile analysis. To address the issue, a liver organoid culture system that has a functional bile duct network is desired. In this study, we aimed to generate human iPSC-derived hepatobiliary organoids (hHBOs) consisting of hepatocytes and bile ducts. The two-step differentiation process under 2D and semi-3D culture conditions promoted the maturation of hHBOs on culture plates, in which hepatocyte clusters were covered with monolayered biliary tubes. We demonstrated that the hHBOs reproduced the flow of bile containing a fluorescent bile acid analog or medicinal drugs from hepatocytes into bile ducts via bile canaliculi. Furthermore, the hHBOs exhibited pathophysiological responses to troglitazone, such as cholestasis and cytotoxicity. Because the hHBOs can recapitulate the function of bile ducts in hepatobiliary clearance, they are suitable as a liver disease model and would be a novel in vitro platform system for pharmaceutical research use.
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  • 文章类型: Journal Article
    基于模型的荟萃分析(MBMA)可用于协助药物开发和优化临床实践中的治疗。有可能降低成本和加速药物审批。我们旨在评估MBMA研究的应用和质量。我们搜索了多个数据库以鉴定药物研究中的MBMA。合格的MBMA应结合药理学概念来构建数学模型并定量检查和/或预测药物作用。总结了相关信息,以概述MBMA的应用。我们使用AMSTAR-2和PRISMA2020清单来评估纳入MBMA的方法和报告质量,分别。共鉴定了143项MBMA研究。随着时间的推移,MBMA越来越多地用于一个或多个领域:药物发现和转化研究(n=8,5.6%),药物开发决策(n=42,29.4%),临床试验设计优化(n=46,32.2%),特殊人群用药(n=15,10.5%),用药的合理性和安全性(n=71,49.7%)。纳入的MBMA涵盖了17个疾病领域,前三名是神经系统疾病(n=19,13.2%),内分泌/营养/代谢疾病(n=17,11.8%),和肿瘤(n=16,11.1%)。在这些MBMA研究中,138(96.5%)被评为质量非常低。PRISMA的平均依从率仅为51.4%。我们的研究结果表明,MBMA主要用于评估药物的疗效和安全性,关注慢性疾病。应进一步提高MBMA的方法和报告质量。鉴于AMSTAR-2和PRISMA清单不是专门为MBMA设计的,应保证适用于MBMA的评估清单。
    Model-based meta-analysis (MBMA) can be used in assisting drug development and optimizing treatment in clinical practice, potentially reducing costs and accelerating drug approval. We aimed to assess the application and quality of MBMA studies. We searched multiple databases to identify MBMA in pharmaceutical research. Eligible MBMA should incorporate pharmacological concepts to construct mathematical models and quantitatively examine and/or predict drug effects. Relevant information was summarized to provide an overview of the application of MBMA. We used AMSTAR-2 and PRISMA 2020 checklists to evaluate the methodological and reporting quality of included MBMA, respectively. A total of 143 MBMA studies were identified. MBMA was increasingly used over time for one or more areas: drug discovery and translational research (n = 8, 5.6%), drug development decision making (n = 42, 29.4%), optimization of clinical trial design (n = 46, 32.2%), medication in special populations (n = 15, 10.5%), and rationality and safety of drug use (n = 71, 49.7%). The included MBMA covered 17 disease areas, with the top three being nervous system diseases (n = 19, 13.2%), endocrine/nutritional/metabolic diseases (n = 17, 11.8%), and neoplasms (n = 16, 11.1%). Of these MBMA studies, 138 (96.5%) were rated as very low quality. The average rate of compliance with PRISMA was only 51.4%. Our findings suggested that MBMA was mainly used to evaluate the efficacy and safety of drugs, with a focus on chronic diseases. The methodological and reporting quality of MBMA should be further improved. Given AMSTAR-2 and PRISMA checklists were not specifically designed for MBMA, adapted assessment checklists for MBMA should be warranted.
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  • 文章类型: Journal Article
    在流行国家引入疟疾疫苗是抗击该疾病的一个改变游戏规则的里程碑。本文探讨了全球制药研究中的不公平现象,发展,制造,和贸易格局。探讨了不平等在阻碍消除疟疾方面的作用。分析发现,要创造有利于公平的环境,需要进行转型变革。解决不平等问题对于最大限度地提高疫苗对公共卫生的影响和实现可持续性至关重要。讨论了通过利用疟疾疫苗和信使核糖核酸(mRNA)技术来促进进步的途径。
    Malaria vaccine introduction in endemic countries is a game-changing milestone in the fight against the disease. This article examines the inequity in the global pharmaceutical research, development, manufacturing, and trade landscape. The role of inequity in hindering progress towards malaria elimination is explored. The analysis finds that transformational changes are required to create an equity-enabling environment. Addressing the inequity is critical to maximizing the public health impact of vaccines and attaining sustainability. Avenues to catalyze progress by leveraging malaria vaccines and messenger ribonucleic acid (mRNA) technology are discussed.
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  • 文章类型: Journal Article
    真实世界数据(RWD)可以提供英特尔(真实世界的证据,RWE)用于研究和开发,以及整个医疗保健领域的政策和监管决策。尽管全球监管机构呼吁开展国际合作,将RWE纳入监管决策并弥合知识差距,一些挑战依然存在。在这项工作中,我们使用多边查询方法对奥地利RWD来源进行了评估,对照先前公布的RWD标准进行交叉检查,并对代表性的RWD来源样本进行了直接访谈。本文概述了国家立法环境中104个RWD来源中的73个,在这些立法环境中,进行了重大尝试以实现RWD的二次使用(例如,研究组织法,\“Forschungsorganizationsgesetz\”)。我们能够检测到与数据孤岛相关的无所不在的挑战,变量标准化工作和治理问题。我们的研究结果表明,迫切需要国家卫生数据战略和数据治理框架,这应该告诉研究人员,以及政策制定者和决策者,改善医疗保健部门基于RWD的研究,以最终支持实际的监管决策,并为政府健康数据政策提供战略信息。
    Real-world data (RWD) can provide intel (real-world evidence, RWE) for research and development, as well as policy and regulatory decision-making along the full spectrum of health care. Despite calls from global regulators for international collaborations to integrate RWE into regulatory decision-making and to bridge knowledge gaps, some challenges remain. In this work, we performed an evaluation of Austrian RWD sources using a multilateral query approach, crosschecked against previously published RWD criteria and conducted direct interviews with representative RWD source samples. This article provides an overview of 73 out of 104 RWD sources in a national legislative setting where major attempts are made to enable secondary use of RWD (e.g. law on the organisation of research, \"Forschungsorganisationsgesetz\"). We were able to detect omnipresent challenges associated with data silos, variable standardisation efforts and governance issues. Our findings suggest a strong need for a national health data strategy and data governance framework, which should inform researchers, as well as policy- and decision-makers, to improve RWD-based research in the healthcare sector to ultimately support actual regulatory decision-making and provide strategic information for governmental health data policies.
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