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The propionic acids: a personal perspective.

S S Adams1

  • 1Research Department, Boots Co., Nottingham, England.

Journal of Clinical Pharmacology
|April 1, 1992
PubMed
Summary
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The development of ibuprofen for rheumatoid arthritis involved testing various drug classes, ultimately leading to a safer and effective nonsteroidal anti-inflammatory drug (NSAID) option. Ibuprofen

Area of Science:

  • Pharmacology
  • Drug Discovery
  • Rheumatology

Background:

  • Limited understanding of drug mechanisms for rheumatoid arthritis in the 1950s.
  • Aspirin's analgesic action and anti-rheumatic effects were not well-defined.
  • Initial research explored ultraviolet (UV) erythema delay in guinea pigs as a model for drug activity.

Purpose of the Study:

  • To discover new drugs for rheumatoid arthritis treatment.
  • To identify compounds with both anti-rheumatic and analgesic properties.
  • To develop a safer alternative to existing treatments.

Main Methods:

  • Screening of substituted phenoxypropionic acids and phenylacetic acids.
  • Evaluation of anti-erythemic activity in guinea pigs.
  • Clinical trials for rheumatoid arthritis efficacy and adverse reactions (ADRs).

Related Experiment Videos

  • Iterative refinement of drug candidates based on laboratory and clinical data.
  • Main Results:

    • Substituted phenoxypropionic acids showed anti-erythemic activity but lacked clinical efficacy in rheumatoid arthritis.
    • Substituted phenylacetic acids were active but caused significant ADRs.
    • Substituted phenylpropionic acids, including ibuprofen, demonstrated a favorable balance of efficacy and tolerability.
    • Ibuprofen was launched in 1969 and later approved for over-the-counter (OTC) use due to its safety and effectiveness.

    Conclusions:

    • Ibuprofen emerged as a successful nonsteroidal anti-inflammatory drug (NSAID) from a systematic drug discovery process.
    • Its development highlights the importance of refining testing systems and considering therapeutic indices.
    • Ibuprofen offers a safer and effective option for rheumatoid arthritis and other painful conditions compared to aspirin or acetaminophen, especially in overdose.