Chapter 4

Safety Biomarkers in Drug Development: Emerging Trends and Implications

Eric R. Fedyk

Eric R. Fedyk

Department of Drug Safety Evaluation, Millennium Pharmaceuticals, Inc., Cambridge, Massachusetts, USA

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First published: 14 December 2009

Summary

This chapter contains sections titled:

  • Introduction

  • The Opportunity for Modernization Of Preclinical Safety Assessment

  • A Decrease in the Efficiency of Development Of Pharmaceuticals

  • The Critical Path Initiative

  • The Critical Path Opportunities List

  • Ideal Attributes of Safety Biomarkers

  • Safety Biomarkers Improve Identification of the Best Candidate Therapeutics

  • Safety Biomarkers Improve Identification of the Most Appropriate Subjects

  • Safety Biomarkers Improve Identification of the Optimal Dose

  • Safety Biomarkers can Assist in Identifying the Optimal Dose at a Specific Time

  • Strategies for Identifying and developing Safety Biomarkers

  • “Top-Down” Versus “Bottom-Up” Biomarker Identification Strategies

  • Qualification of Safety Biomarkers

  • A Safety Biomarker Qualification Process

  • The Critical Path Institute and the Predictive Safety Testing Consortium

  • Summary and Conclusions

  • References

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