Use of Model-Informed Drug Development to Streamline Development of Long-Acting Products: Can These Successes Be Translated to Long-Acting Hormonal Contraceptives?

Abstract:

:Long-acting contraceptives are the most effective reversible contraceptive methods. Increasing patients' access to these contraceptives may translate into fewer unintended pregnancies and lead to substantial individual and public health benefits. However, development of long-acting products can be complex and challenging. This review provides (a) an overview of representative development programs for long-acting antipsychotics as cases for conceptual translation to long-acting contraceptives, (b) several case examples on how modeling and simulation have been used to streamline the development of long-acting products, and (c) examples of challenges andopportunities in developing long-acting contraceptives and information on how exposure-response relationships of commonly used progestins may enable regulators and developers to rely on prior findings of effectiveness and safety from an approved contraceptive to streamline the development of long-acting contraceptives. The US Food and Drug Administration is seeking assistance from stakeholders to provide data from studies in which pharmacokinetic and pharmacodynamic or clinical outcomes of hormonal contraceptives were evaluated and not previously submitted.

authors

Li L,Tran D,Zhu H,Balimane P,Willett G,Zhao P,Gerrard SE,Vogelsong KM,Wang Y,Seo SK

doi

10.1146/annurev-pharmtox-031120-015212

subject

Has Abstract

pub_date

2021-01-06 00:00:00

pages

745-756

eissn

0362-1642

issn

1545-4304

journal_volume

61

pub_type

杂志文章
  • Pharmacological implications of the flow-dependence of vascular smooth muscle tone.

    abstract::The recognition that the wall tone of most arteries and veins can change in response to shear stress has several implications for our understanding of the effects of drugs on the circulation. By a primary action on the heart and vasculature, drugs can cause changes in cardiac output and blood pressure that lead to cha...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pa.34.040194.001133

    authors: Bevan JA,Henrion D

    更新日期:1994-01-01 00:00:00

  • Mechanism of Action of TiO2: Recommendations to Reduce Uncertainties Related to Carcinogenic Potential.

    abstract::The Risk Assessment Committee of the European Chemicals Agency issued an opinion on classifying titanium dioxide (TiO2) as a suspected human carcinogen upon inhalation. Recent animal studies indicate that TiO2 may be carcinogenic through the oral route. There is considerable uncertainty on the carcinogenicity of TiO2,...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章

    doi:10.1146/annurev-pharmtox-101419-100049

    authors: Braakhuis HM,Gosens I,Heringa MB,Oomen AG,Vandebriel RJ,Groenewold M,Cassee FR

    更新日期:2021-01-06 00:00:00

  • Role of ABCG2/BCRP in biology and medicine.

    abstract::The protein variously named ABCG2/BCRP/MXR/ABCP is a recently described ATP-binding cassette (ABC) transporter originally identified by its ability to confer drug resistance that is independent of Mrp1 (multidrug-resistance protein 1) and Pgp (P-glycoprotein). Unlike Mrp1 and Pgp, ABCG2 is a half-transporter that must...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.46.120604.141238

    authors: Krishnamurthy P,Schuetz JD

    更新日期:2006-01-01 00:00:00

  • Caveolae as organizers of pharmacologically relevant signal transduction molecules.

    abstract::Caveolae, a subset of membrane (lipid) rafts, are flask-like invaginations of the plasma membrane that contain caveolin proteins, which serve as organizing centers for cellular signal transduction. Caveolins (-1, -2, and -3) have cytoplasmic N and C termini, palmitolylation sites, and a scaffolding domain that facilit...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.48.121506.124841

    authors: Patel HH,Murray F,Insel PA

    更新日期:2008-01-01 00:00:00

  • Relationships between lead-induced learning impairments and changes in dopaminergic, cholinergic, and glutamatergic neurotransmitter system functions.

    abstract::Behavioral consequences of low-level lead (Pb) exposure include impairments in learning processes and in Fixed-Interval schedule-controlled operant behavior. Although the neurobiological bases of these effects remain undetermined, current evidence suggests that inhibitory effects of Pb on the NMDA receptor complex may...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pa.35.040195.002135

    authors: Cory-Slechta DA

    更新日期:1995-01-01 00:00:00

  • Transgenic animal models for detection of in vivo mutations.

    abstract::Transgenic rodent models for measuring mutations provide a tool for assessing tissue-specific mutations following in vivo treatment. These systems are based on the insertion into the rodent genome Escherichia coli lacI (lac repressor) or lacZ (beta-galactosidase) genes that serve as targets for mutations. Following in...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pa.35.040195.001045

    authors: Mirsalis JC,Monforte JA,Winegar RA

    更新日期:1995-01-01 00:00:00

  • Topical microbicides to prevent HIV: clinical drug development challenges.

    abstract::Microbicides, substances applied topically to prevent sexual HIV infection, are needed to empower receptive sexual partners with effective prevention methods. Several large microbicide trials, however, failed to demonstrate efficacy, thus motivating a reevaluation of the current microbicide development paradigm, which...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.48.113006.094906

    authors: Hendrix CW,Cao YJ,Fuchs EJ

    更新日期:2009-01-01 00:00:00

  • Metallothioneins and cell death by anticancer drugs.

    abstract::Both pharmacologic and genetic methods are now available to manipulate intracellular levels of the protein thiol metallothionein. These approaches have begun to reveal the protective roles metallothioneins (MTs) have against oxygen, nitrogen, and carbon-centered free radicals, as well as the contributory role of MT to...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pa.35.040195.003223

    authors: Lazo JS,Pitt BR

    更新日期:1995-01-01 00:00:00

  • DNA methylation and its implications and accessibility for neuropsychiatric therapeutics.

    abstract::In this review, we discuss the potential pharmacological targeting of a set of powerful epigenetic mechanisms: DNA methylation control systems in the central nervous system (CNS). Specifically, we focus on the possible use of these targets for novel future treatments for learning and memory disorders. We first describ...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010814-124527

    authors: Day JJ,Kennedy AJ,Sweatt JD

    更新日期:2015-01-01 00:00:00

  • The TRPC class of ion channels: a critical review of their roles in slow, sustained increases in intracellular Ca(2+) concentrations.

    abstract::The realization that there exists a multimembered family of cation channels with structural similarity to Drosophila's Trp channel emerged during the second half of the 1990s. In mammals, depending on the species, the TRP family counts 29 or 30 members which has been subdivided into 6 subfamilies on the basis of seque...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.48.113006.094928

    authors: Birnbaumer L

    更新日期:2009-01-01 00:00:00

  • Genome Integrity in Aging: Human Syndromes, Mouse Models, and Therapeutic Options.

    abstract::Human syndromes and mouse mutants that exhibit accelerated but bona fide aging in multiple organs and tissues have been invaluable for the identification of nine denominators of aging: telomere attrition, genome instability, epigenetic alterations, mitochondrial dysfunction, deregulated nutrient sensing, altered inter...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010814-124316

    authors: Vermeij WP,Hoeijmakers JH,Pothof J

    更新日期:2016-01-01 00:00:00

  • Structure and function of the beta 3-adrenergic receptor.

    abstract::The beta 3 subtype of adrenaline and noradrenaline receptors has now been extensively characterized at the structural and functional levels. Ligand binding and adenylyl cyclase activation studies helped define a beta-adrenergic profile that is quite distinct from that of the beta 1- and beta 2-adrenergic receptors, bu...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.37.1.421

    authors: Strosberg AD

    更新日期:1997-01-01 00:00:00

  • A Life of Neurotransmitters.

    abstract::Development of scientific creativity is often tied closely to mentorship. In my case, two years with Julius Axelrod, the sum total of my research training, was transformative. My mentoring generations of graduate students and postdoctoral fellows has been as nurturing for me as it has been for them. Work in our lab ov...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 历史文章,杂志文章

    doi:10.1146/annurev-pharmtox-010716-104511

    authors: Snyder SH

    更新日期:2017-01-06 00:00:00

  • Autophagy in toxicology: cause or consequence?

    abstract::Research on autophagy and its effects on cell metabolism and physiology has increased dramatically during recent years. Multiple forms of autophagy have been characterized, and many of the genes involved in the regulation of this process have been identified. The importance of autophagy for embryonic development and m...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-011112-140210

    authors: Orrenius S,Kaminskyy VO,Zhivotovsky B

    更新日期:2013-01-01 00:00:00

  • Pharmacology of Antisense Drugs.

    abstract::Recent studies have led to a greater appreciation of the diverse roles RNAs play in maintaining normal cellular function and how they contribute to disease pathology, broadening the number of potential therapeutic targets. Antisense oligonucleotides are the most direct means to target RNA in a selective manner and hav...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010716-104846

    authors: Bennett CF,Baker BF,Pham N,Swayze E,Geary RS

    更新日期:2017-01-06 00:00:00

  • Sorting out astrocyte physiology from pharmacology.

    abstract::A number of exciting findings have been made in astrocytes during the past 15 years that have led many researchers to redefine how the brain works. Astrocytes are now widely regarded as cells that propagate Ca(2+) over long distances in response to stimulation, and, similar to neurons, release transmitters (called gli...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.011008.145602

    authors: Fiacco TA,Agulhon C,McCarthy KD

    更新日期:2009-01-01 00:00:00

  • Retinal Pigment Epithelium Replacement Therapy for Age-Related Macular Degeneration: Are We There Yet?

    abstract::Pluripotent stem cells (PSCs) are a potential replacement tissue source for degenerative diseases. Age-related macular degeneration (AMD) is a blinding disease triggered by degeneration of the retinal pigment epithelium (RPE), a monolayer tissue that functionally supports retinal photoreceptors. Recently published cli...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010919-023245

    authors: Sharma R,Bose D,Maminishkis A,Bharti K

    更新日期:2020-01-06 00:00:00

  • Molecular basis of environmentally induced birth defects.

    abstract::Exposure of the developing conceptus to selected environmental agents can lead to deleterious and often times lethal birth defects. These malformations result in serious emotional and financial consequences to families and societies worldwide. As we continue to progress technologically, we face challenges from the int...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.42.083001.110955

    authors: Finnell RH,Waes JG,Eudy JD,Rosenquist TH

    更新日期:2002-01-01 00:00:00

  • Nuclear Receptors as Therapeutic Targets in Liver Disease: Are We There Yet?

    abstract::Nuclear receptors (NR) are ligand-modulated transcription factors that play diverse roles in cell differentiation, development, proliferation, and metabolism and are associated with numerous liver pathologies such as cancer, steatosis, inflammation, fibrosis, cholestasis, and xenobiotic/drug-induced liver injury. The ...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010715-103209

    authors: Rudraiah S,Zhang X,Wang L

    更新日期:2016-01-01 00:00:00

  • Cannabinoid receptors as therapeutic targets.

    abstract::CB1 and CB2 cannabinoid receptors are the primary targets of endogenous cannabinoids (endocannabinoids). These G protein-coupled receptors play an important role in many processes, including metabolic regulation, craving, pain, anxiety, bone growth, and immune function. Cannabinoid receptors can be engaged directly by...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.46.120604.141254

    authors: Mackie K

    更新日期:2006-01-01 00:00:00

  • G protein-coupled receptor sorting to endosomes and lysosomes.

    abstract::The heptahelical G protein-coupled receptors (GPCRs) belong to the largest family of cell surface signaling receptors encoded in the human genome. GPCRs signal to diverse extracellular stimuli and control a vast number of physiological responses, making this receptor class the target of nearly half the drugs currently...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.48.113006.094646

    authors: Marchese A,Paing MM,Temple BR,Trejo J

    更新日期:2008-01-01 00:00:00

  • Therapeutic Oligonucleotides: State of the Art.

    abstract::Oligonucleotides (ONs) can interfere with biomolecules representing the entire extended central dogma. Antisense gapmer, steric block, splice-switching ONs, and short interfering RNA drugs have been successfully developed. Moreover, antagomirs (antimicroRNAs), microRNA mimics, aptamers, DNA decoys, DNAzymes, synthetic...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010818-021050

    authors: Smith CIE,Zain R

    更新日期:2019-01-06 00:00:00

  • Imidazoline receptors and their endogenous ligands.

    abstract::Imidazoline (I) receptors constitute a family of nonadrenergic high-affinity binding sites for clonidine, idazoxan, and allied drugs. One major subclass, the I1 receptors, whose subcellular distribution and signal transduction mechanisms are uncertain, partly mediates the central hypotensive actions of clonidine-like ...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pa.36.040196.002455

    authors: Regunathan S,Reis DJ

    更新日期:1996-01-01 00:00:00

  • Tumor cell death induced by topoisomerase-targeting drugs.

    abstract::DNA topoisomerases are double-edged swords. They are essential for many vital functions of DNA during normal cell growth. However, they are also highly vulnerable under various physiological and nonphysiological stresses because of their delicate act on breaking and rejoining DNA. These stresses (e.g. exposure to topo...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.41.1.53

    authors: Li TK,Liu LF

    更新日期:2001-01-01 00:00:00

  • Physiological functions of cyclic ADP-ribose and NAADP as calcium messengers.

    abstract::Cyclic ADP-ribose (cADPR) and nicotinic acid adenine dinucleotide phosphate (NAADP) are two Ca(2+) messengers derived from NAD and NADP, respectively. Although NAADP is a linear molecule, structurally distinct from the cyclic cADPR, it is synthesized by similar enzymes, ADP-ribosyl cyclase and its homolog, CD38. The c...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.41.1.317

    authors: Lee HC

    更新日期:2001-01-01 00:00:00

  • Introduction to the Theme "New Approaches for Studying Drug and Toxicant Action: Applications to Drug Discovery and Development".

    abstract::The theme "New Approaches for Studying Drug and Toxicant Action: Applications to Drug Discovery and Development" links 13 articles in this volume of the Annual Review of Pharmacology and Toxicology (ARPT). The engaging prefatory articles by Arthur Cho and Robert Lefkowitz set the stage for this theme and for the revie...

    journal_title:Annual review of pharmacology and toxicology

    pub_type:

    doi:10.1146/annurev-pharmtox-092617-121952

    authors: Insel PA,Amara SG,Blaschke TF,Meyer UA

    更新日期:2018-01-06 00:00:00

  • The potential of HDAC inhibitors as cognitive enhancers.

    abstract::Histone acetylation is a prominent epigenetic modification of the central nervous system that is unequivocally associated with an increase in the rate of gene transcription. Because gene transcription, in turn, plays an important role in long-lasting forms of memory, histone acetylation generally favors long-term memo...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-011112-140216

    authors: Gräff J,Tsai LH

    更新日期:2013-01-01 00:00:00

  • Sleep Pharmacogenetics: Personalized Sleep-Wake Therapy.

    abstract::Research spanning (genetically engineered) animal models, healthy volunteers, and sleep-disordered patients has identified the neurotransmitters and neuromodulators dopamine, serotonin, norepinephrine, histamine, hypocretin, melatonin, glutamate, acetylcholine, γ-amino-butyric acid, and adenosine as important players ...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-010715-103801

    authors: Holst SC,Valomon A,Landolt HP

    更新日期:2016-01-01 00:00:00

  • Hepatic and intestinal drug transporters: prediction of pharmacokinetic effects caused by drug-drug interactions and genetic polymorphisms.

    abstract::Recent studies of membrane transporters have revealed their importance in determining the pharmacokinetics of transporter substrates. When drug-drug interactions (DDIs) or genetic polymorphisms (i.e., pharmacogenetics) affect the activities of transporters, the pharmacokinetics of transporter substrate drugs is altere...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-pharmtox-011112-140309

    authors: Yoshida K,Maeda K,Sugiyama Y

    更新日期:2013-01-01 00:00:00

  • The RNA polymerase I transcription machinery: an emerging target for the treatment of cancer.

    abstract::The RNA polymerase I (Pol I) transcription machinery in the nucleolus is the key convergence point that collects and integrates a vast array of information from cellular signaling cascades to regulate ribosome production that in turn guides cell growth and proliferation. Cancer cells commonly harbor mutations that ina...

    journal_title:Annual review of pharmacology and toxicology

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.pharmtox.010909.105844

    authors: Drygin D,Rice WG,Grummt I

    更新日期:2010-01-01 00:00:00