chapter 2 veterinary drug development and control copyright © 2011 delmar, cengage learning

12
Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

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Page 1: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Chapter 2

Veterinary Drug Development

and Control

Copyright © 2011 Delmar, Cengage Learning

Page 2: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Stages of Veterinary Drug Development

• In the United States, new veterinary drugs must go through a series of tests mandated by the FDA

• There are four major steps in drug development:– Synthesis/discovery of a new drug compound– Safety/effectiveness evaluation– Submission and review of the New Animal Drug

Application (NADA)– Postmarketing surveillance stage

Copyright © 2011 Delmar, Cengage Learning

Page 3: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Stage One

• Preliminary studies: determine the intended

effect and possible toxic side effects

• May include computer modeling, testing in lab

media, or testing on bacteria or fungi

Copyright © 2011 Delmar, Cengage Learning

Page 4: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Stage Two

• Preclinical studies: determine a drug’s safety and effectiveness

– Short-term and long-term tests

– Check for immediate drug reactions, organ damage, reproductive effects, carcinogenicity, and teratogenicity

– Submit Investigational New Animal Drug (INAD) application for the drug to the FDA

– Clinical trials begin once application is approved

Copyright © 2011 Delmar, Cengage Learning

Page 5: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Stage Three

– Satisfactory clinical trial results allow scientists to file a New Animal Drug Application (NADA) with the FDA, EPA, or USDA

– Approval and license are granted for successful drugs

Copyright © 2011 Delmar, Cengage Learning

Page 6: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Stage Four

• Postmarketing surveillance stage– The drug company and the government monitor

the product as long as the drug is manufactured– This monitoring ensures product safety and

efficacy

Copyright © 2011 Delmar, Cengage Learning

Page 7: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Safety and Effectiveness Evaluation

• Short-term tests – hours following a test dose

– check the animal for obvious adverse reactions

• Long-term tests – typically run for 3 to 24 months of repeated dosing

– check the animal’s various organ systems for toxicity

damage

Copyright © 2011 Delmar, Cengage Learning

Page 8: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Safety and Effectiveness Evaluation

• Special tests– Reproductive affects

• Conception, fertilization, pregnancy

– Carcinogenicity• Cancer causing

– Teratogenicity • Fetal defects in pregnant animals

Copyright © 2011 Delmar, Cengage Learning

Page 9: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Toxicity Evaluation

• Conducted on mice• Highest dose that results in tissue and organ

damage• Highest dose that results in permanent injury

or death

Copyright © 2011 Delmar, Cengage Learning

Page 10: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Effective and Lethal Dose

• Effective dose: the amount of the test drug that causes a defined effect in 50% of the animals that receive it– ED50

• Lethal dose: the amount of the test drug that kills 50% of the animals that receive it– LD50

Copyright © 2011 Delmar, Cengage Learning

Page 11: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Therapeutic Index

• Therapeutic index is the drug dosage or dose that produces the desired effect with minimal or no signs of toxicity– Also called the margin of safety– Determined by comparing the lethal dose and

effective dose of the drug

– LD50 ÷ ED50

– A wide therapeutic index means that the drug can produce its desired effect without approaching toxicity

Copyright © 2011 Delmar, Cengage Learning

Page 12: Chapter 2 Veterinary Drug Development and Control Copyright © 2011 Delmar, Cengage Learning

Additional Testing

• Systems-oriented screening

• Evaluation of long-term effects

• Evaluation of reproductive effects, carcinogenicity, and teratogenicity

Copyright © 2011 Delmar, Cengage Learning