Widening the Therapeutic Window: Kinetic Selectivity and Target Vulnerability

Thursday, May 30, 2019 at 2:00-3:00 pm ET 
Session 5 of the 2019 Drug Design and Delivery Symposium

A profile of a woman with a digital overlay of a brain across her head

How can treating neurological disease overcome challenges like the synthesis of small molecule agents that penetrate the blood-brain barrier, in order to sustain target engagement at low drug concentration?

Time-dependent target occupancy in the non-equilibrium environment of the human body is a function of both the thermodynamics and kinetics of drug-target interactions. However, often only thermodynamic parameters such as IC50 values are used for selecting and optimizing drug leads. Significantly, the rate of drug-target complex dissociation can be slower than the time scale of in vivo drug elimination, leading to sustained target occupancy at low drug concentration, enabling dosing frequency and exposure to be reduced and thus improving the therapeutic window.

Join Peter Tonge, Professor of the Center for Advanced Study of Drug Action at Stony Brook University, as he discusses the factors that affect the translation of sustained occupancy to prolonged drug activity such as target vulnerability and the rate of target turnover which in turn impact the potential benefits of kinetic selectivity.

What You Will Learn

  • Selectivity has both thermodynamic and kinetic components, however most programs only focus on thermodynamic selectivity
  • Kinetic selectivity can be used to widen the therapeutic window even in the absence of thermodynamic selectivity; however, the utility of kinetic selectivity depends on factors such as drug PK and target vulnerability
  • Target vulnerability functions can be determined by directly correlating target occupancy and drug effect or using PK/PD models that integrate drug-target kinetics into predictions of drug activity

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ACS Webinars® does not endorse any products or services. The views expressed in this presentation are those of the presenters and do not necessarily reflect the views or policies of the American Chemical Society.

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Peter Tonge
Stony Brook University

Stewart Fisher
C4 Therapeutics

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