Neuropharmacokinetics: a bridging tool between CNS drug development and therapeutic outcome

Drug Discov Today. 2019 May;24(5):1166-1175. doi: 10.1016/j.drudis.2019.02.007. Epub 2019 Mar 18.

Abstract

WHO classified neurological disorders to be among 6.3% of the global disease burden. Among the most central aspects of CNS drug development is the ability of novel molecules to cross the blood-brain barrier (BBB) to reach the target site over a desired time period for therapeutic action. Based on various aspects, brain pharmacokinetics is considered to be one of the foremost perspectives for the higher attrition rate of CNS biologics. Although drug traits are important, the BBB and blood-cerebrospinal fluid barrier together with transporters become the mechanistic approach behind CNS drug delivery. The present review emphasizes neuropharmacokinetic parameters, their importance, an assessment approach and the vast effect of transporters to brain drug distribution for CNS drug discovery.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • ATP-Binding Cassette Transporters / metabolism
  • Animals
  • Brain / metabolism*
  • Central Nervous System Agents / pharmacokinetics*
  • Central Nervous System Agents / therapeutic use
  • Humans
  • Permeability
  • Treatment Outcome

Substances

  • ATP-Binding Cassette Transporters
  • Central Nervous System Agents