Preface |
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xv | |
1 Introduction |
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1 | (22) |
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1 | (1) |
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1.2 An Overview of the Drug Discovery to Approval Process |
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2 | (4) |
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1.3 The Pharmaceutical Industry |
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6 | (5) |
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1.4 Economics of Drug Discovery and Development |
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11 | (2) |
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1.5 Trends in Drug Discovery and Development |
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13 | (2) |
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15 | (2) |
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17 | (3) |
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1.8 Summary of Important Points |
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20 | (1) |
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20 | (1) |
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1.10 Brief Answers and Explanations |
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21 | (1) |
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22 | (1) |
2 Drug Discovery: Targets And Receptors |
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23 | (38) |
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2.1 Drug Discovery Processes |
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23 | (1) |
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24 | (2) |
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2.3 Target Identification |
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26 | (7) |
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33 | (3) |
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2.5 Drug Interactions with Targets or Receptors |
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36 | (4) |
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40 | (2) |
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2.7 Receptors and Signal Transduction |
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42 | (10) |
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52 | (1) |
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52 | (1) |
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53 | (4) |
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2.11 Summary of Important Points |
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57 | (1) |
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57 | (1) |
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2.13 Brief Answers and Explanations |
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58 | (1) |
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58 | (3) |
3 Drug Discovery: Small Molecule Drugs |
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61 | (42) |
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61 | (1) |
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62 | (5) |
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67 | (18) |
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85 | (3) |
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3.5 RNA Interference Approach |
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88 | (3) |
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91 | (1) |
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92 | (2) |
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94 | (2) |
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96 | (2) |
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3.10 Summary of Important Points |
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98 | (1) |
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99 | (1) |
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3.12 Brief Answers and Explanations |
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99 | (1) |
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100 | (3) |
4 Drug Discovery: Large Molecule Drugs |
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103 | (48) |
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103 | (2) |
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105 | (12) |
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117 | (11) |
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128 | (6) |
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134 | (3) |
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137 | (2) |
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4.7 Stem Cells and Cell Therapy |
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139 | (2) |
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141 | (3) |
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144 | (2) |
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4.10 Summary of Important Points |
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146 | (1) |
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147 | (1) |
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4.12 Brief Answers and Explanations |
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148 | (1) |
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148 | (3) |
5 Drug Development And Preclinical Studies |
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151 | (40) |
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151 | (3) |
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154 | (4) |
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158 | (10) |
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168 | (4) |
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5.5 Animal Tests, In Vitro Assays, and In Silico Methods |
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172 | (3) |
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5.6 Formulations and Delivery Systems |
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175 | (8) |
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183 | (1) |
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184 | (1) |
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185 | (2) |
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5.10 Summary of Important Points |
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187 | (1) |
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188 | (1) |
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5.12 Brief Answers and Explanations |
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188 | (1) |
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189 | (2) |
6 Clinical Trials |
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191 | (40) |
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6.1 Definition of Clinical Trial |
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191 | (1) |
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6.2 Ethical Considerations |
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192 | (3) |
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195 | (9) |
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6.4 Regulatory Requirements for Clinical Trials |
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204 | (11) |
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6.5 Clinical Data Management |
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215 | (3) |
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6.6 Role of Regulatory Authorities |
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218 | (1) |
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6.7 Gene Therapy Clinical Trial |
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218 | (2) |
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6.8 Adaptive Clinical Trial |
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220 | (1) |
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221 | (1) |
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222 | (4) |
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226 | (1) |
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6.12 Summary of Important Points |
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227 | (1) |
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228 | (1) |
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6.14 Brief Answers and Explanations |
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228 | (1) |
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229 | (2) |
7 Regulatory Authorities |
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231 | (22) |
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7.1 Role of Regulatory Authorities |
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231 | (2) |
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7.2 US Food and Drug Administration |
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233 | (3) |
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7.3 European Medicines Agency |
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236 | (2) |
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7.4 Japan's Pharmaceuticals and Medical Devices Agency (PMDA) |
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238 | (2) |
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7.5 China Food and Drug Administration |
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240 | (1) |
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7.6 India's Central Drugs Standard Control Organization |
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240 | (1) |
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7.7 Australia's Therapeutic Goods Administration |
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241 | (2) |
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7.8 Canada's Health Canada |
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243 | (1) |
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7.9 Other Regulatory Authorities |
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243 | (1) |
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7.10 Authorities other than Drug Regulatory Agencies |
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243 | (1) |
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7.11 International Conference on Harmonization |
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244 | (1) |
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7.12 World Health Organization |
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245 | (1) |
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7.13 Pharmaceutical Inspection Cooperation Scheme |
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246 | (1) |
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246 | (3) |
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249 | (1) |
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7.16 Summary of Important Points |
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250 | (1) |
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251 | (1) |
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7.18 Brief Answers and Explanations |
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251 | (1) |
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252 | (1) |
8 Regulatory Applications |
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253 | (48) |
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253 | (1) |
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254 | (18) |
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272 | (8) |
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280 | (2) |
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282 | (5) |
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287 | (1) |
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287 | (1) |
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287 | (3) |
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290 | (2) |
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292 | (2) |
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8.11 Summary of Important Points |
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294 | (5) |
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299 | (1) |
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8.13 Brief Answers and Explanations |
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299 | (1) |
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300 | (1) |
9 Good Manufacturing Practice: Regulatory Requirements |
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301 | (66) |
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301 | (1) |
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302 | (6) |
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308 | (1) |
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9.4 International Conference on Harmonization (ICH) |
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309 | (2) |
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9.5 Pharmaceutical Inspection Cooperation Scheme (PIC/S) |
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311 | (1) |
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9.6 Selected Core Elements of GMP |
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312 | (23) |
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335 | (15) |
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350 | (2) |
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352 | (6) |
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358 | (4) |
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9.11 Summary of Important Points |
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362 | (1) |
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363 | (1) |
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9.13 Brief Answers and Explanations |
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363 | (1) |
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364 | (3) |
10 Good Manufacturing Practice: Drug Manufacturing |
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367 | (44) |
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367 | (4) |
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371 | (1) |
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372 | (7) |
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10.4 Manufacture of Small Molecule APIs (Chemical Synthesis Methods) |
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379 | (6) |
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10.5 Manufacture of Large Molecule APIs (Recombinant DNA Methods) |
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385 | (9) |
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10.6 Finished Dosage Forms |
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394 | (4) |
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10.7 Product Quality Review |
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398 | (1) |
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10.8 Manufacturing Variations |
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399 | (1) |
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400 | (4) |
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404 | (3) |
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10.11 Summary of Important Points |
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407 | (1) |
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408 | (1) |
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10.13 Brief Answers and Explanations |
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408 | (1) |
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408 | (3) |
11 Future Perspectives |
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411 | (40) |
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11.1 Past Advances and Future Challenges |
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411 | (1) |
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11.2 Small Molecule Pharmaceutical Drugs |
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412 | (2) |
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11.3 Large Molecule Biopharmaceutical Drugs |
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414 | (1) |
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11.4 Traditional Medicine |
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414 | (5) |
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11.5 Personalized Medicine |
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419 | (1) |
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420 | (1) |
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11.7 Cloning and Stem Cells |
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420 | (3) |
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11.8 Old Age Diseases and Aging |
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423 | (1) |
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423 | (5) |
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11.10 Performance-Enhancing Drugs |
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428 | (1) |
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11.11 Chemical and Biological Terrorism |
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428 | (4) |
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11.12 Transgenic Animals and Plants |
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432 | (1) |
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11.13 Antibiotics Drug Resistance |
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433 | (2) |
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435 | (2) |
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11.15 Intellectual Property Rights and Marketing Exclusivities |
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437 | (3) |
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440 | (2) |
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442 | (3) |
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445 | (2) |
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447 | (2) |
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449 | (2) |
Appendix 1 History Of Drug Discovery And Development |
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451 | (6) |
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A1.1 Early History of Medicine |
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451 | (2) |
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A1.2 Drug Discovery and Development in the Middle Ages |
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453 | (1) |
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A1.3 Foundation of Current Drug Discovery and Development |
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454 | (1) |
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A1.4 Beginnings of Modern Pharmaceutical Industry |
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454 | (1) |
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A1.5 Evolution of Drug Products |
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455 | (1) |
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456 | (1) |
Appendix 2 Cells, Nucleic Acids, Genes, And Proteins |
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457 | (12) |
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457 | (3) |
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460 | (2) |
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462 | (6) |
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468 | (1) |
Appendix 3 Selected Drugs And Their Mechanisms Of Action |
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469 | (12) |
Appendix 4 A DHFR Plasmid Vector |
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481 | (2) |
Appendix 5 Vaccine Production Methods |
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483 | (2) |
Appendix 6 Vaccines Approved By FDA |
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485 | (4) |
Appendix 7 Pharmacology/toxicology Review Format |
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489 | (6) |
Appendix 8 Examples Of General Biomarkers |
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495 | (4) |
Appendix 9 Toxicity Grading |
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499 | (6) |
Appendix 10 Health Systems In Selected Countries |
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505 | (4) |
Acronyms |
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509 | (6) |
Glossary |
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515 | (4) |
Index |
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519 | |