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Metabolite Identification in the Preclinical and Clinical Phase of Drug Development.

Abstract
Metabolite identification plays a critical role in the phases during drug development. Drug metabolites can contribute to efficacy, toxicity, and drug-drug interaction. Thus, the correct identification of metabolites is essential to understand the behavior of drugs in humans. Drug administration authorities (e.g., FDA, EMA, and NMPA) emphasize evaluating the safety of human metabolites with exposure higher than 10% of the total drugrelated components. Many previous reviews have summarized the various methods, tools, and strategies for the appropriate and comprehensive identification of metabolites. In this review, we focus on summarizing the importance of identifying metabolites in the preclinical and clinical phases of drug development. Summarized scenarios include the role of metabolites in pharmacokinetics/pharmacodynamics (PK/PD) analysis, disproportional exposure of metabolites that contribute to drug toxicity, changes in metabolite exposure in renal-impaired patients, covalent tyrosine kinase inhibitors (anticancer drugs), and metabolite identification of drug candidates from natural medicines. This review is aimed to provide meaningful insight into the significant role of metabolite identification in drug development.
AuthorsYali Wu, Lulu Pan, Zhendong Chen, Yuandong Zheng, Xingxing Diao, Dafang Zhong
JournalCurrent drug metabolism (Curr Drug Metab) Vol. 22 Issue 11 Pg. 838-857 ( 2021) ISSN: 1875-5453 [Electronic] Netherlands
PMID34620061 (Publication Type: Journal Article, Review)
CopyrightCopyright© Bentham Science Publishers; For any queries, please email at [email protected].
Chemical References
  • Pharmaceutical Preparations
Topics
  • Animals
  • Drug Development (methods)
  • Drug Evaluation, Preclinical (methods)
  • Drug-Related Side Effects and Adverse Reactions
  • Humans
  • Pharmaceutical Preparations (metabolism)
  • Pharmacokinetics

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