The University of Texas at Austin, Austin, TX, USA.
University of Missouri at Kansas City, Kansas City, MO, USA.
Adv Neurobiol. 2023;30:131-167. doi: 10.1007/978-3-031-21054-9_5.
Drug development is an expensive, high risk, and highly regulated process. Only about 6.2% of new molecules tested for mental disorders eventually achieve Food and Drug Administration (FDA) approval. New molecular entities are produced, and extensive in vitro animal testing is performed before they are evaluated in humans. The compound is used in animals to predict clinical effects in humans, and studies addressing pharmacodynamics, pharmacokinetics, toxicology, and mutagenicity are conducted. Human research proceeds in three stages with the ultimate goal of proving that a new agent is efficacious and safe for a treatment of a specific disease in humans. If efficacy and safety are demonstrated in two Phase III studies, then the sponsor can submit a new drug application (NDA) to the FDA. The FDA oversees each step of the process to assure that good research practices are followed, data integrity is assured, and human research subjects are protected.
药物开发是一个昂贵、高风险且受到高度监管的过程。只有大约 6.2%的精神障碍新分子测试最终获得美国食品和药物管理局 (FDA) 的批准。在进行人体评估之前,会产生新的分子实体并进行广泛的体外动物试验。该化合物用于动物,以预测其在人体中的临床效果,并且进行了药效学、药代动力学、毒理学和致突变性研究。人体研究分为三个阶段进行,最终目的是证明新制剂对人类特定疾病的治疗有效且安全。如果在两项 III 期研究中证明了疗效和安全性,那么赞助商可以向 FDA 提交新药申请 (NDA)。FDA 监督该过程的每一步,以确保遵循良好的研究实践、确保数据完整性并保护人体研究对象。