Can preclinical drug development help to predict adverse events in clinical trials?
Details
Publication Year 2022-01,Volume 27,Issue #1,Page 257-268
Journal Title
Drug Discovery Today
Publication Type
Review
Abstract
The development of novel therapeutics is associated with high rates of attrition, with unexpected adverse events being a major cause of failure. Serious adverse events have led to organ failure, cancer development and deaths that were not expected outcomes in clinical trials. These life-threatening events were not identified during therapeutic development due to the lack of preclinical safety tests that faithfully represented human physiology. We highlight the successful application of several novel technologies, including high-throughput screening, organs-on-chips, microbiome-containing drug-testing platforms and humanised mouse models, for mechanistic studies and prediction of toxicity. We propose the incorporation of similar preclinical tests into future drug development to reduce the likelihood of hazardous therapeutics entering later-stage clinical trials.
Keywords
Animals; Drug Development/*methods; *Drug Evaluation, Preclinical/methods/trends; *Drugs, Investigational/pharmacology/toxicity; High-Throughput Screening Assays/methods; Humans; Technology, Pharmaceutical/methods/trends; Adverse events; Clinical trials; Drug development; Novel technologies; Preclinical safety testing
Department(s)
Laboratory Research
PubMed ID
34469805
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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