IntroductionRacemization has long been an ignored risk in drug development, probably because of a lack of convenient access to good tools for its detection and an absence of methods to predict racemization risk. As a result, the potential effects of racemization have been systematically underestimated.
Areas coveredHerein, the potential effects of racemization are discussed through a review of drugs for which activity and side effects for both enantiomers are known. Subsequently, drugs known to racemize are discussed and we review methods to predict racemization risk.Application of a method quantitatively predicting racemization risk to databases of compounds from the medicinal chemistry literature shows that success in clinical trials is negatively correlated with racemization risk.
Expert opinionIt is envisioned that a quantitative method of predicting racemization risk will remove a blind spot from the drug development pipeline. Removal of the blind spot will make drug development more efficient and result in less late-stage attrition of the drug pipeline.
KeywordsRacemization; quantitative prediction; stability; enantiomers; risk; Adrenaline, 10, can be used to induce vasoconstriction at the site of injection of local anaesthetics and the L-form is 10 times more effective than the D-form.[18] Certain aromatase inhibitors, such as fadrozole, 11, have significantly different activities for each of the two enantiomers; S-fadrozole is most active for instance. [19] Other studies have investigated the pharmacokinetic properties of enantiomers.Ketoprofen, 12, is a non-steroidal anti-inflammatory and its delivery via a trans-dermal route has been considered.[20] When used orally, it is delivered as a racemate but stereoselective skin permeation might favour its use as a single enantiomer for this alternative delivery route. Studies showed the racemate to be higher melting than the individual enantiomers and x-ray diffraction patterns support the racemate having a different solid form than the individual enantiomers suggesting that the two enantiomers co-crystallize and are both present in the unit cell. When 0.05 M solutions of each of the enantiomers was applied to mouse skin, no difference in permeation was detected between enantiomers or racemate.Further studies supported no stereoselectivity for skin permeability for ketoprofen.Ketorolac, 13, was investigated in a pharmacokinetic study in healthy volunteers. [21] Following intravenous injection, the concentration of the two enantiomers was monitored separately. This showed that S-ketorolac is cleared more rapidly than the R enantiomer leading to higher exposure to R-ketorolac.
Surveys* N ALK ALK * OH * H * NH 2 FDA statement on the development of new stereoisomeric drugs. * 12. Eriksson T, Bjorkman S, Roth B, Fyge A, Hoglund P. Stereospecific determination, chiral inversion in vitro and pharmacokinetics in humans of the enantiomers of thalidomide. Chirality 1995;7:44-52. This paper provides rare, and therefore very valuable, kinetic data for racemization in huma...