Thursday, March 19, 2020



The first Covid-19 vaccine in China is expected to be ready for clinical trials by the end of April, according to Xu Nanping, China’s vice-minister of science and technology. Inovio Pharmaceuticals plans to begin clinical trials on a coronavirus vaccine in April this year.
Health officials from WHO have noted that Gilead’s remdesivir has demonstrated efficacy in treating the coronavirus infection.

Favipiravir : First approved drug for Coronavirus

The National Medical Products Administration of China has approved the use of Favilavir, an anti-viral drug, as a treatment for coronavirus. The drug has reportedly shown efficacy in treating the disease with minimal side effects in a clinical trial involving 70 patients. The clinical trial is being conducted in Shenzhen, Guangdong province.

The novel coronavirus drugs in various stages of development globally are listed below:

Remdesivir:

An ebola drug developed by Gilead Sciences that was found to be ineffective is now being tested in two phase III randomized clinical trials in Asian countries. 
The trials are being performed on 761 patients in a randomised, placebo-controlled, double-blind study at multiple hospitals in Wuhan, the epicentre of the novel coronavirus outbreak. The results from the trials are expected to be available over the next few weeks.
According to a report by The New England Journal of Medicine (NEJM), remdesivir, when administered to a coronavirus patient in the US, appeared to have improved the clinical condition.

Actemra by Roche to treat coronavirus-related complications:

China approved the use of Roche’s Actemra for the treatment of severe complications related to coronavirus. Drugs like Actemra have the ability to prevent cytokine storms or overreaction of the immune system, which is considered as the main reason behind organ failure leading to death in some coronavirus patients.
Actemra is also being evaluated in a clinical trial in China, which is expected to enroll 188 coronavirus patients. The clinical trial is expected to be conducted until May 10.

Friday, March 13, 2020

Solubility as Physicochemical parameter in Drug design


The solubility of a drug both in water and lipids is an important factor in its effectiveness as
a therapeutic agent and in the design of its dosage form For example, the absorption of drugs from the GI tract into the circulatory system by passive diffusion depends on them being water soluble. Moreover, the passage of drugs through other membranes will also depend on them having the correct balance of water and lipid solubilities. 

A drug’s distribution through the circulatory system, and hence its action, will also depend to some extent on it having a reasonable water solubility. In addition, to be effective, most drugs have to be administered in dosage forms that are water-soluble.

A drug’s solubility depends on both the chemical structure of the compound and the nature of the solvent. Where a compound can exist in different polymorphic forms its solubility will also depend on its polymorphic form. Since most drugs are administered at room temperature (25ºC) and the body’s temperature is 37ºC, the solubility of drugs is usually measured and recorded at these temperatures. However, the correlation between the activities of a series of drugs with similar structures and their solubilities in water is usually poor. This indicates that there are other factors playing  important roles in controlling drug activity.

A drug’s solubility and behavior in water is particularly important since the cells in our bodies normally contain about 65 per cent water. In living matter water acts as an inert solvent, a dispersing medium for colloidal solutions and a nucleophilic reagent in numerous biological reactions. Furthermore, hydrogen bonding and hydrophobic interactions in water influence the conformations of biological macromolecules, which in turn affect their biological behavior. 

Water solubility also makes drug toxicity testing, bioavailability evaluation and clinical application easier. As a result, it is necessary to assess the water solubility of drug candidates and, if required, design a reasonable degree of water solubility into their structures in an early point in their development.

Friday, May 11, 2018

CRF-1, a novel target for Stress related disorders

Despite the various research efforts toward the treatment of stress- related disorders, the drug has not yet launched last 20 years. Corticotropin releasing factor-1 receptor antagonists have been point of great interest in stress-related disorders. In the present study, we have selected benzazole scaffold-based compounds as corticotropin releasing factor-1 antagonists and performed 2D and 3D QSAR studies to identify the structural features to elucidating the binding mechanism prediction. The best 2D QSAR model was obtained through multiple linear regression method with r2 value of .7390, q2 value of .5136 and pred_r2 (predicted square correlation coefficient) value of .88. The contribution of 2D descriptor, T_2_C_1 was 60% (negative contribution) and 4pathClusterCount was 40.24% (positive contribution) in enhancing the activity. Also 3D QSAR model was statistically significant with q2 value of .9419 and q2_se (standard error of internal validation) value of .19. Statistical parameters results prove the robustness and significance of both models. Further, molecular docking and pharmacokinetic analysis was performed to explore the scope of investigation. Docking results revealed that the all benzazole compounds show hydrogen bonding with residue Asn283 and having same hydrophobic pocket (Phe286, Leu213, Ile290, Leu287, Phe207, Arg165, Leu323, Tyr327, Phe284, and Met206). Compound B14 has higher activity compare to reference molecules. Most of the compounds were found within acceptable range for pharmacokinetic parameters. This work provides the extremely useful leads for structural substituents essential for benzimidazole moiety to exhibit antagonistic activity against corticotropin releasing factor-1 receptors.



Wednesday, December 6, 2017

Physico-chemical Principles of Drug Action

Most drugs are molecules, but most molecules are not drugs. Every year, millions of new molecules are prepared, but only a very small fraction of these are ever considered as possible drug candidates. A chemical compound must possess certain characteristics if it is to cross the hurdle from being an organic molecule to becoming a drug molecule. Medicinal chemistry is the applied science that is focused on the design (or discovery) of new chemical entities (NCEs) and their optimization and development as useful drug molecules for the treatment of disease processes. 

What is Drug molecule or Drug like molecule?

A molecule is the smallest particle of a substance that retains the chemical identity of that substance; it is composed of two or more atoms held together by chemical bonds (i.e., shared electron pairs). Although molecules are highly variable in terms of structure, they may be organized into families on the basis of certain groupings of atoms called functional groups. A functional group is an assembly or cluster of atoms that generally reacts in the same way, regardless of the molecule in which it is located; for example, the carboxylic acid functional group (-COOH) generally imparts the property of acidity to any molecule in which it is inserted. It is the presence of functional groups that determines the chemical and physical properties of a given family of molecules. A functional group is a centre of reactivity in a molecule.

Physico-chemical properties are crucial to the pharmaceutical and pharmacokinetic phases of drug action; the other three properties are fundamental to the pharmacodynamic interaction of the drug with its receptor. Physicochemical properties reflect the solubility and absorption characteristics of the drug and its ability to cross barriers, such as the blood–brain barrier, on its way toward the receptor.

1. Partition Coefficients- The partition coefficient of a drug is defined as the equilibrium constant of drug concentrations (symbolized by the square brackets) in the two phases.

 P = [drug]lipid/[drug]water

Since partition coefficients are difficult to measure in living systems, they are usually determined in-vitro, using n-octanol as a model of the lipid phase and an aqueous phosphate buffer at pH 7.4 as a model of the water phase. This permits standardized measurements of partition coefficients. Because it is a ratio, P is dimensionless. P is also an additive property of a molecule, since each functional group helps determine the polarity and therefore the lipophilic or hydrophilic character of the molecule. These substituent contributions are widely utilized in quantitative structure-activity studies. 
Partition coefficients thoroughly influence drug transport characteristics during the pharmacokinetic phase; that is, partition coefficients affect the way drugs reach the site of action from the site of administration (e.g., injection site, gastrointestinal tract). Drugs are usually distributed by the blood, but must also penetrate and traverse many barriers before reaching the site of action. Hence, the partition coefficient (which reflects a drug’s ability to be soluble in both aqueous and lipid phases) will determine what tissues a given compound can reach. On the one hand, extremely water-soluble drugs may be unable to cross lipid barriers (e.g., the blood–brain barrier) and gain access to organs rich in lipids, such as the brain and other neuronal tissues. As is apparent, partition coefficients (quantified by the logP value) are important considerations in drug design. To be successful during the pharmacokinetic phase of drug action, the drug molecule should demonstrate the right combination of lipid solubility and water solubility. This property is best represented by the logP value. If the logP value is too low, the compound is too water soluble and thus will be unable to penetrate lipid barriers and will be excreted too rapidly; if the logP value is too high, the compound is too lipid soluble and will be undesirably sequestered in fat layers.

2. Surface Activity- 

Although a capacity to cross biological membranes and barriers is important for most drugs, there are also pharmaceutical agents that display mechanisms of action that are more dependent upon activities at surfaces. Pharmacological reactions may occur on biological surfaces and interfaces. The energy situation at a surface differs markedly from that in a solution because special inter-molecular forces are at work; therefore, surface reactions require specific consideration. In living organisms, membranes comprise the largest surface, covering all cells (the plasma membrane) and many cell organelles (the nucleus, mitochondria, and so forth). Dissolved macromolecules such as proteins also account for an enormous surface area (e.g., 1 ml of human blood serum has a protein surface area of 100 m 2). Biological membranes also 
(i) serve as a scaffold that holds a large variety of enzymes in proper orientation, 
(ii) provide and maintain a sequential order of enzymes that permits great efficiency in multi-step reactions, and
(iii) serve as the boundaries of cells and many tissue compartments. In addition, many drug receptors are bound to membranes. 

3. Bioavailability- 

It may be defined as the rate and extent of absorption. Bioavailability means the rate and extent to which the active ingredient or active moiety is absorbed from a drug product and becomes available at the site of action. For drug products that are not intended to be absorbed into the bloodstream, bioavailability may be assessed by measurements intended to reflect the rate and extent to which the active ingredient or active moiety becomes available at the site of action. Clinical studies are useful in determining the safety and efficacy of drug products. Bioavailability studies are used to define the effect of changes in the physicochemical properties of the drug substance and the effect of the drug product (dosage form) on the pharmacokinetics of the drug. Bioequivalence studies are used to compare the bioavailability of the same drug (same salt or ester) from various drug products. Bioavailability and bioequivalence can also be considered as performance measures of the drug product in-vivo. If the drug products are bioequivalent and therapeutically equivalent (as defined above), then the clinical efficacy and the safety profile of these drug products are assumed to be similar and may be substituted for each other.

4. Drug dissolution- 

Dissolution refers to the process by which a solid phase (e.g., a tablet or powder) goes into a solution phase such as water. In essence, when a drug “dissolves,” solid particles separate and mix molecule by molecule with the liquid and appear to become part of that liquid. When a tablet or other solid drug form is introduced into a beaker of water or into the gastrointestinal tract, the drug begins to pass into solution from the intact solid. Unless the tablet is a contiguous polymeric device, the solid matrix also disintegrates into granules, and these granules deaggregate in turn into fine particles. Disintegration, deaggregation, and dissolution may occur simultaneously with the release of a drug from its delivery form. Dissolution is a kinetic process, the rate of dissolution reflects the amount of drug dissolved over a given time period. In certain cases, an equation can be exactly derived that describes the dissolution time dependence.  





Stereochemical Aspects of Drug Action-

Since drugs interact with optically active, asymmetric biological macromolecules such as proteins, polynucleotides, or glycolipids acting as receptors, many of them exhibit stereochemical specificity. This means that there is a difference in action between stereoisomers of the same compound, with one isomer showing pharmacological activity while the other is more or less inactive. Therefore, complementarity between an asymmetric drug and its asymmetric receptor is often a criterion of drug activity. The effects of highly active or highly specific drugs depend more upon such complementarity than do those of weakly active drugs. Occasionally, the stereo-selectivity of a drug is based on a specific and preferential metabolism of one isomer over the other, or on a bio-transformation that selectively removes one isomer.

Electronic Structure (Hammet Correlations)- 

Hammet correlations were among the first to be used and represent the classical way of quantifying electronic properties. The Hammet correlations (Hammet, 1970) express quantitatively the relationship between chemical reactivity and the electron-donating or electron-accepting nature of a substituent. Historically, they have been perhaps the most widely used electronic indices in QSAR studies of drugs. The Hammet substituent constant (σ ) was originally defined for the purpose of quantifying the effect of a substituent on the dissociation constant of benzoic acid:

                              logKX/KH = σ

where KX is the dissociation constant of benzoic acid carrying substituent X; KH is the dissociation constant of unsubstituted benzoic acid. Electron-attracting substituents have a positive σ value, while electron-donating substituents (—OH, —OCH3, —NH2, —CH3) have a negative σ. The value of σ also varies according to whether the substituent is in the meta or para position. Ortho substituents are subject to too many interferences and are not used in calculating σ. The Hammet substituent constant includes both inductive and resonance effects (i.e., electronic influences mediated through space and through conjugated bonds).

Saturday, November 25, 2017

Redefined Blood Pressure

American Heart Association (AHA) and the American College of Cardiology (ACC) published the new guidelines related to high blood pressure. According to this guidelines, high blood pressure should be cured before lifestyle changes and some diseased patients with drug therapy at 130/80 mm Hg in place of 140/90 mm Hg. These guidelines published regarding the detection, management treatment and prevention of high blood pressure.


Leading American Heart Association experts issued new guidelines for High blood pressure that means tens of millions more will meet the criteria for the condition, and will need to change their life styles or takes medication therapy to treat it.
Under the guidelines, formulated by the American Heart Association (AHA) and the American College of Cardiology (ACC), the number of men under age 45 with a diagnosis of high blood pressure will triple, and the prevalence among women under the age 45 will double. Dr. Robert M Carey who is the co-chair of the committee that wrote the new guidelines said "Those numbers are scary".
The number of adults with high blood pressure, or hypertension, in the US will rise to 103 million from 72 million under the previous standard. But the number of new candidates for drug treatment will rise only by an estimated 4.2 million.
Now, high blood pressure will be defined as 130/80 milimeters of mercury or greater for anyone with a significant risk of heart attack or stroke. Recent research indicates this is true even among older people for whom intensive treatment had been thought too risky.


Medicinal Chemistry: A Drug Design Perspectives

Medicinal chemistry is the scientific discipline at the intersection of chemistry and pharmacy that deals with the design, identification, synthesis and development of new molecular entities for therapeutic use. The main aim of medicinal chemistry is the design, discover and development of new compounds that becomes as a drug for therapeutic use. This process involves a team of workers from a wide range of disciplines such as biology, chemistry, biochemistry, pharmacology, medicine, mathematics and computing, amongst others. Medicinal chemistry also involves the isolation of compounds from natural sources. 
The discovery or design of a new drug not only requires a discovery or design process but also the synthesis of the drug, a method of drug administration, the development of tests and procedures to establish how it operates in the body and a safety assessment. Drug discovery may also require fundamental research into the biological and chemical nature of the diseased state. These and other aspects of drug design and discovery require input from specialists in many other fields and so medicinal chemists need to have an outline knowledge of the relevant aspects of these fields. 

What are Drugs ?

Drugs are mainly defined as chemical substances that are used to cure or prevent diseases in humans, animals and plants. The activity of a drug is its pharmaceutical effect on the subject, for example, analgesic or b-blocker, whereas its potency is the quantitative nature of that effect. Unfortunately the term drug is also used by the media and the general public to describe the substances taken for their psychotic rather than medicinal effects. However, this does not mean that these substances cannot be used as drugs. Heroin, for example, is a very effective painkiller and is used as such in the form of diamorphine in terminal cancer cases.


Drug Action-

The action of drugs and the sites at which they are believed to act are extremely varied. Common target sites are the cell envelopes and walls of microorganisms, enzymes, receptors, nucleic acids and viruses. 
Read next article for the structures and  action of  drugs that target these sites. It also covers the  some of the general strategies adopted to discover new leads for some of these targets.

The first Covid-19 vaccine in China is expected to be ready for clinical trials by the end of April, according to Xu Nanping, China’s vi...