Evidence map›Paper›PMID 21455238›Full record

ReviewNature reviews. Drug discovery2011

Managing the challenge of chemically reactive metabolites in drug development.

B Kevin Park, Alan Boobis, Stephen Clarke, Chris E P Goldring, David Jones, J Gerry Kenna, Craig Lambert, Hugh G Laverty, Dean J Naisbitt, Sidney Nelson and 9 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Drug discovery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
63.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 450 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Omeprazole activation of CD4+ and CD8+ T-cells through off-target covalent modification of cellular proteins.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  5. Article
  6. Review
  7. Synthesis and Antitumor Potency of 2International journal of molecular sciences · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Drug hypersensitivity reactions: review of the state of the science for prediction and diagnosis.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Review

60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 12 institutions in 5 countries.

B Kevin ParkMRC Centre for Drug Safety Science, Division of Molecular & Clinical Pharmacology, The Institute of Translational Medicine, University of Liverpool, Liverpool L693GE, UK. B.K.Park@liverpool. ac.uk
Alan Boobis
Stephen Clarke
Chris E P Goldring
David Jones
J Gerry Kenna
Craig Lambert
Hugh G Laverty
Dean J Naisbitt
Sidney Nelson
Deborah A Nicoll-Griffith
R Scott Obach
Philip Routledge
Dennis A Smith
Donald J Tweedie
Nico Vermeulen
Dominic P Williams
Ian D Wilson
Thomas A Baillie
University of Liverpool · GBAstraZeneca (United Kingdom) · GBPfizer (United States) · USUniversity of Washington · USAstraZeneca (Brazil) · BRBoehringer Ingelheim (United States) · USGlaxoSmithKline (Netherlands) · NLGovernment of the United Kingdom · GBImperial College London · GBMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity of Wales · GBVrije Universiteit Amsterdam · NL

Funding

Medical Research Council G0700654
6 · The paper itself

Abstract

The normal metabolism of drugs can generate metabolites that have intrinsic chemical reactivity towards cellular molecules, and therefore have the potential to alter biological function and initiate serious adverse drug reactions. Here, we present an assessment of the current approaches used for the evaluation of chemically reactive metabolites. We also describe how these approaches are being used within the pharmaceutical industry to assess and minimize the potential of drug candidates to cause toxicity. At early stages of drug discovery, iteration between medicinal chemistry and drug metabolism can eliminate perceived reactive metabolite-mediated chemical liabilities without compromising pharmacological activity or the need for extensive safety evaluation beyond standard practices. In the future, reactive metabolite evaluation may also be useful during clinical development for improving clinical risk assessment and risk management. Currently, there remains a huge gap in our understanding of the basic mechanisms that underlie chemical stress-mediated adverse reactions in humans. This review summarizes our views on this complex topic, and includes insights into practices considered by the pharmaceutical industry.

Indexed as

Drug DesignAnimalsDrug DiscoveryDrug IndustryDrug-Related Side Effects and Adverse ReactionsHumansPharmaceutical PreparationsRisk AssessmentRisk ManagementPharmaceutical Preparations

Identifiers

PMID21455238
OpenAlexW1996935441

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.