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开发针对特定人群的新型抗癌药物:最新进展。

Developing Novel Anticancer Drugs for Targeted Populations: An Update.

机构信息

Department of Medicinal Chemistry, School of Pharmacy, Drug Design and Development Research Center and The Institute of Pharmaceutical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Department of Allied Health Sciences, Bashir Institute of Health Sciences, Bhara Kahu Islamabad, Iran.

出版信息

Curr Pharm Des. 2021;27(2):250-262. doi: 10.2174/1381612826666201124111748.

Abstract

BACKGROUND

Due to higher failure rates, lengthy time and high cost of the traditional de novo drug discovery and development process, the rate of opportunity to get new, safe and efficacious drugs for the targeted population, including pediatric patients with cancer, becomes sluggish.

OBJECTIVES

This paper discusses the development of novel anticancer drugs focusing on the identification and selection of targeted anticancer drug development for the targeted population.

METHODS

Information presented in this review was obtained from different databases, including PUBMED, SCOPUS, Web of Science, and EMBASE. Various keywords were used as search terms.

RESULTS

The pharmaceutical companies currently are executing drug repurposing as an alternative means to accelerate the drug development process that reduces the risk of failure, time and cost, which take 3-12 years with almost 25% overall probability of success as compared to de novo drug discovery and development process (10- 17 years) which has less than 10% probability of success. An alternative strategy to the traditional de novo drug discovery and development process, called drug repurposing, is also presented.

CONCLUSION

Therefore, to continue with the progress of developing novel anticancer drugs for the targeted population, identification and selection of target to specific disease type is important. Considering the aspects of the age of the patient and the disease stages such as each cancer types are different when we study the disease at a molecular level. Drug repurposing technique becomes an influential alternative strategy to discover and develop novel anticancer drug candidates.

摘要

背景

由于传统从头药物发现和开发过程的失败率较高、时间长且成本高,包括癌症儿童患者在内的目标人群获得新的、安全有效的药物的机会变得缓慢。

目的

本文讨论了新型抗癌药物的开发,重点是针对目标人群的靶向抗癌药物开发的鉴定和选择。

方法

本文综述中的信息来自不同的数据库,包括 PUBMED、SCOPUS、Web of Science 和 EMBASE。使用了各种关键词作为搜索词。

结果

制药公司目前正在执行药物再利用作为替代手段,以加速药物开发过程,降低失败、时间和成本的风险,与从头药物发现和开发过程(10-17 年)相比,药物再利用的成功率几乎为 25%,而从头药物发现和开发过程的成功率不到 10%。还提出了一种替代传统从头药物发现和开发过程的策略,称为药物再利用。

结论

因此,为了继续为目标人群开发新型抗癌药物,确定和选择针对特定疾病类型的靶点非常重要。在研究疾病的分子水平时,需要考虑患者年龄和疾病阶段等方面,因为每种癌症类型都不同。药物再利用技术成为发现和开发新型抗癌药物候选物的一种有影响力的替代策略。

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