Drug Discovery & Development

1. Drug Discovery & Development PHC 311 LEC. 7 Sunday 7/ 1/ 1435H

2. There are two important aspects in drug design and drug strategies to improve : • Pharmacodynamics properties: to optimize the interaction of the drug with its target. • Pharmacokinetics properties: to improve the drug's ability to reach its target & to have acceptable lifetime. • Pharmacodynamics and pharmacokinetics should have equal priority in influencing which strategies are used and which analogues are synthesized. 2

3. Drug Design: II-optimizing access to the target • 1-Improvement of absorption: • Variation of alkyl or acyl substituents to vary polarity: • Varying polar functional groups to vary polarity • Variation of N-alkyl substituents to vary pka • Variation of aromatic substituents to vary pka • Bioisosteres for polar groups

4. II-Improving metabolism: a-Making drugs more resistant to chemical and enzymatic degradation i- Steric shields ii- Electronic effects of bioisosteres iii- Stereoelectronic modification: iv- Metabolic Blockers v- Removal of susceptible metabolic groups vi- Group Shifts vii- Ring Variation 4

5. II-Making drug less resistance to drug metabolism • 1)- Introducing metabolically susceptible groups • 2)- Self-destruct drugs

6. Prodrugs

7. PRODRUG CONCEPT • A prodrug is a pharmacological substance (drug) administered in an inactive (or significantly less active) form. • Once administered, the pro drug is metabolized in vivo into an active metabolite, a process termed bioactivation.

8. Prodrugs • Prodrugs are compounds which are inactive in vitro and converted in the body to active drug. • They have been useful in talking problems such as: • Acid sensitivity • Poor membrane permeability • Drug toxicity & side effects • Bad taste • Short duration of action • Solubility • Stability 8

9. CLASSIFICATION I. CARRIER-LINKED PRODRUGS: • It is the prodrug that contains an active drug linked with a carrier group that is removed enzymatically. • The carrier group must be non-toxic and biologically inactive when detached from drug. • The most common reaction for activation of Carrier linked prodrug is hydrolysis.

10. II. BIOPRECURSORS: • Metabolized into a new compound that may itself be active or further metabolized to an active metabolite. III. Mutual prodrugs:Two drugs linked together

11. Prodrugs • Prodrugs to improve membrane permeability Enalapril  enalaprilat • Prodrug to prolong drug activity Azathioprine 6-mercaptopurine • Prodrug masking drug toxicity and side effects Aspirin salicylic acid • Prodrug to lower water solubility Palmitate ester of Chloramphenicol

12. A metabolic enzyme is usually involved in converting the prodrugs to the active forms. • Good knowledge of drug metabolism and enzymes allows the medicinal chemist to design a suitable prodrug. • Not all prodrugs are activated by metabolic enzymes. E.g. photodynamic therapy involves the use of an external light source to activate prodrugs. • When designing a prodrugs, it is important to ensure that the prodrug is effectively converted to the active drug once it has been absorbed in blood supply. • It is also important to ensure that any groups that are cleaved from the molecule are non-toxic. 12

13. Novel prodrugs with modified properties has been designed which preferentially achieve higher concentration of biotransformed drug at the desired targeting sites such as- • Brain targeting • Kidney targeting • Liver targeting • Virus targeting • Tumor targeting • Lymphatic targeting • Colon targeting

14. Summary • Prodrugs are inactive compounds which are converted to active drugs in the body-usually by drug metabolism. • Esters are commonly used as prodrugs to make a drug less polar, allowing, it to cross cell membranes more easily. The nature of the ester can be altered to vary the rate of hydrolysis. • Introducing a metabolically susceptible N-methyl group can sometimes be advantageous in reducing polarity. • Prodrugs with a similarity to important biosynthesis building blocks may be capable of cross cell membranes with the aid of carrier proteins. 14

15. Summary • The activity of a drug can be prolonged by using a prodrug which is converted slowly to the active drug. • The toxic nature of a drug can be reduced by using a prodrug which is slowly converted to the active compound, preferably at the site of action. • Prodrugs which contain metabolically susceptible polar groups are useful in improving water solubility. They are particularly useful for drugs which have to be injected, or for drugs which are too hydrophobic for effective absorption from the gut. 15

16. Targeting Drugs 16

17. Targeting Drugs • One of the major goals in drug design is to find way of targeting drugs to the exact location in the body • The principle of targeting drugs can be traced back to Paul Ehrlich who developed antimicrobial drugs that were selectively toxic for microbial cells over human cells. 17

18. The Concepts of Targeting • The concept of designing specified delivery system to achieve selective drug targeting has been originated from the perception of “ Paul Ehrlich”, who proposed drug delivery to as ‘magic bullet’ • He described targeted drug delivery as an event where, “ a drug –carrier complex/conjugate , delivers drug exclusively to the preselected target cells in a specified manner”.

19. Bangham’s observation on phospholipid hexagonal liquid crystals , that they are permselectiveto the ions in a manner similar to biomembrane , led to the discovery of artificial vesicular system based on phospholipid amphiphiles. • Gregoriadis , 1981 described drug targeting using novel drug delivery systems as ‘old drug in new clothes’ .

20. Why to target a drug ? : • To obtain a desired therapeutic response , the correct amount of drug should be transported and delivered to the site of action with subsequent control of drug input rate. • To avoid distribution of drug to other tissues which seems to be unnecessary, wasteful and a potential cause of toxicity.

21. Tactics and strategies used to target drugs Targeting tumor cells-search and destroy drugs: • A major goal in cancer chemotherapy is to target drugs efficiently against tumor cells rather than normal cells. • One method to achieving this is to design drugs which make use of specific molecular transport systems. • The idea is to attach the active drug to an important building block molecule that is needed in large amounts by the rapidly divided tumor cells. • This could be an amino acid or a nucleic acid base (e.g. uracil mustard). 21

22. Uramustine

23. Site specific drug release • That is to design a prodrug that requires activation by an enzyme found predominantly at the desired site of action. • For example, diethylstilbesterol diphosphate [R=PO32-] was designed for site specific delivery of diethylstilbesterol [R=H] to prostatic carcinoma tissue that contain a higher concentration of phosphatase than normal cell.

25. 2-Targeting gastrointestinal tract (GIT) infections • If the drug is to be target against infection of GIT it must be prevented from being absorbed into the blood supply. • This can easily be done by using a fully ionized drug which is incapable of crossing cell membranes. • e.g. highly ionized sulfonamides are used against GIT infections because they are incapable of crossing the gut wall. 25

26. Succinylsulfathiazole

27. Intestinal sulfonamides • These drugs are used in intestinal infections. They are prepared by drug latentiation, whereby a hydrophilic moiety, such as succinyl or phthalyl, is attached to the sulfonamide with the purpose of obtaining highly water soluble latent form of sulfonamides.

28. 3-Targeting peripheral regions rather than the central nervous system (CNS) • It is often possible to target drugs such that they act peripherally and not in CNS. • By increasing the polarity of drugs, they are less likely to cross the blood-brain barrier and this means they are less likely to have CNS side effects. • Achieving selectivity for CNS over peripheral regions of the body is not so straightforward. 28

29. site – specific drug delivery prodrugs • Prepared by substance with carriers capable of transporting them from site of application selectively to the target cells. e.g. Brain specific targeting of a hydrophilic drug + Lipophilic carrier (a dihydropyridine) Make the prodrug lipophilic

30. Inside the brain The lipophilic carrier is converted enzymatically To a highly hydrophilic charged species which is locked in the brain and then hydrolyzed back to the drug and N-methyl nicotinic acid is eliminated from the brain.

31. The dihydropyridine/pyridinium redoxchemical delivery systemCDS

32. XH group on the drug is an amine, hydroxyl or carboxyl.

33. Lomustin (CCNU)

34. Reducing toxicity

35. Reducing toxicity • It is often found that a drug fails clinical trials because of its toxic side effects. • This may be due to toxic metabolites, in which case the drug should be made more resistant to metabolism as described previously. 35

36. Reducing toxicity • It is know that functional groups such as aromatic nitro groups, aromatic amines, bromoarenes, hydrazines, hydroxylamines, or polyhalogenated groups are often metabolized to toxic products. • Side effects might be reduced or eliminated by varying apparently harmless substituents (E.g. addition of halogen (F) to UK 47265 (antifungal agent) gives less toxic Fluconazole) or varying the position of the substituents (e.g. replacing the cayno group at a different position prevented the inhibition of cytochrome P450 enzymes by different compounds which have this side effect) 36

37. UK-47265, 2-(2,4-Dichlorophenyl)-1,3-di(1H-1,2,4-triazol-1-yl)-2-propanol

38. Summary • Strategies designed to target drugs to particular cells or tissues are likely to lead to safer drugs with fewer side effects. • Drugs can be linked to amino acids or nucleic acid bases to target them against fast-growing and rapidly divided cells. • Drugs can be targeted to the GIT by making them ionized or highly polar such that they can not cross the gut wall. • The CNS side effects of peripherally acting drugs can be eliminated by making the drugs more polar so that they do not cross the blood-brain barrier. • Drugs with toxic side effects can sometimes be made less toxic by varying the nature or position of substituents, or by preventing their metabolism to a toxic metabolite. 38

39. Thank You