Minimizing Drug Exposure in the CNS while Maintaining Good Oral Absorption

被引:14
作者
Bagal, Sharan K. [1 ]
Bungay, Peter J. [1 ]
机构
[1] Pfizer Neusentis, Cambridge CB21 6GS, England
关键词
BRAIN PENETRATION;
D O I
10.1021/ml300378n
中图分类号
R914 [药物化学];
学科分类号
100705 [微生物与生化药学];
摘要
In some drug discovery approaches, it is advantageous to restrict the access of compounds to the CNS to minimize the risk of side effects. By choosing appropriate physicochemical properties and building in the ability to act as substrates for active efflux transporters, it is possible to achieve CNS restriction and still retain sufficient absorption through the intestinal epithelium to retain good oral bioavailability. Potential risks in employing this approach are considered.
引用
收藏
页码:948 / 950
页数:3
相关论文
共 8 条
[1]
A comprehensive non-clinical evaluation of the CNS penetration potential of antimuscarinic agents for the treatment of overactive bladder [J].
Callegari, Ernesto ;
Malhotra, Bimal ;
Bungay, Peter J. ;
Webster, Rob ;
Fenner, Katherine S. ;
Kempshall, Sarah ;
LaPerle, Jennifer L. ;
Michel, Martin C. ;
Kay, Gary G. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2011, 72 (02) :235-246
[2]
P-glycoprotein limits the brain penetration of nonsedating but not sedating H1-antagonists [J].
Chen, CP ;
Hanson, E ;
Watson, JW ;
Lee, JS .
DRUG METABOLISM AND DISPOSITION, 2003, 31 (03) :312-318
[3]
Full efficacy with no CNS side-effects: unachievable panacea or reality? DMPK considerations in design of drugs with limited brain penetration [J].
Cole, Susan ;
Bagal, Sharan ;
El-Kattan, Ayman ;
Fenner, Katherine ;
Hay, Tanya ;
Kempshall, Sarah ;
Lunn, Graham ;
Varma, Manthena ;
Stupple, Paul ;
Speed, William .
XENOBIOTICA, 2012, 42 (01) :11-27
[4]
Drug-Drug Interactions Mediated Through P-Glycoprotein: Clinical Relevance and In Vitro-In Vivo Correlation Using Digoxin as a Probe Drug [J].
Fenner, K. S. ;
Troutman, M. D. ;
Kempshall, S. ;
Cook, J. A. ;
Ware, J. A. ;
Smith, D. A. ;
Lee, C. A. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2009, 85 (02) :173-181
[5]
The influence of drug-like concepts on decision-making in medicinal chemistry [J].
Leeson, Paul D. ;
Springthorpe, Brian .
NATURE REVIEWS DRUG DISCOVERY, 2007, 6 (11) :881-890
[6]
Clinical pharmacokinetics of imatinib [J].
Peng, B ;
Lloyd, P ;
Schran, H .
CLINICAL PHARMACOKINETICS, 2005, 44 (09) :879-894
[7]
Prediction of Nonlinear Intestinal Absorption of CYP3A4 and P-Glycoprotein Substrates from their In Vitro Km Values [J].
Tachibana, Tatsuhiko ;
Kato, Motohiro ;
Sugiyama, Yuichi .
PHARMACEUTICAL RESEARCH, 2012, 29 (03) :651-668
[8]
Estimation of blood-brain barrier crossing of drugs using molecular size and shape, and H-bonding descriptors [J].
van de Waterbeemd, H ;
Camenisch, G ;
Folkers, G ;
Chretien, JR ;
Raevsky, OA .
JOURNAL OF DRUG TARGETING, 1998, 6 (02) :151-165