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Preclinical Development: Overview01:28

Preclinical Development: Overview

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Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
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Clinical Trials: Overview01:11

Clinical Trials: Overview

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Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
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Drug Discovery: Overview01:26

Drug Discovery: Overview

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Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...
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Drug Administration and Therapy Phases: Overview01:26

Drug Administration and Therapy Phases: Overview

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Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
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In Vitro Drug Release Testing: Overview, Development and Validation01:10

In Vitro Drug Release Testing: Overview, Development and Validation

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In vitro dissolution and drug release tests assess how quickly and how much of a drug is released from its dosage form into an aqueous medium under standardized laboratory conditions. These tests are essential tools in pharmaceutical development and quality assurance, offering insight into the drug's performance before clinical use.During formulation development, dissolution testing identifies incomplete or inconsistent drug release issues. It also supports decisions on selecting the optimal...
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Drug Regulation01:25

Drug Regulation

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Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
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Updated: Jan 7, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
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Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System

Published on: December 11, 2016

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Desarrollo de Fármacos

Larisa Reyderman1, Natasha Penner1, Pratik Bhagunde1

  • 1Eisai Inc., Nutley, NJ, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La terapia de mantenimiento subcutánea de lecanemab (nombre completo del anticuerpo) ofrece una eficacia similar a la dosis intravenosa para la enfermedad de Alzheimer, mejorando la comodidad del paciente y potencialmente la seguridad.

Palabras clave:
Alzheimerlecanemabsubcutáneointravenosoensayo clínicotratamientoeficaciaseguridadfarmacologíaneurociencia

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Área de la Ciencia:

  • Neurociencia
  • Inmunología
  • Farmacología

Sus antecedentes:

  • Lecanemab es un anticuerpo monoclonal dirigido contra los protofibrilos de amiloide-beta.
  • Los estudios clínicos muestran que lecanemab reduce el PET amiloide y ralentiza el deterioro cognitivo en la enfermedad de Alzheimer (EA) temprana.

Objetivo del estudio:

  • Evaluar la justificación para la dosis continua de lecanemab utilizando una formulación subcutánea semanal de 360 mg más allá de los 18 meses.
  • Modelar la correlación de la exposición a lecanemab con PET amiloide, biomarcadores plasmáticos y resultados clínicos.

Principales métodos:

  • Se utilizaron modelos semimecánicos y simulaciones de los estudios de Fase 2 y Clarity AD de Fase 3.
  • Se simularon los cambios en PET amiloide, CDR-SB y biomarcadores (Aβ42/40, ptau181, GFAP) a lo largo de 4 años.
  • Se comparó el lecanemab IV continuo quincenal con la transición a la dosis subcutánea semanal de 360 mg a los 18 meses.

Principales resultados:

  • La dosis subcutánea continua de lecanemab mostró una reducción similar en PET amiloide en comparación con el tratamiento intravenoso.
  • No se observaron diferencias significativas en los resultados clínicos (CDR-SB) entre los regímenes de mantenimiento subcutáneo e intravenoso.
  • La dosis subcutánea semanal mantuvo los biomarcadores plasmáticos consistentes con la patología AD inhibida y la neuroinflamación.

Conclusiones:

  • La dosis de mantenimiento subcutánea de lecanemab mantiene la eficacia y reduce la carga para el paciente y el cuidador.
  • El lecanemab subcutáneo previene la reacumulación de biomarcadores sin afectar negativamente los niveles de amiloide o la progresión de la enfermedad.
  • La formulación subcutánea ofrece una vía de administración más amigable para el paciente, lo que potencialmente mejora el perfil de seguridad.