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drug product vs drug substance #24

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wdduncan opened this issue Apr 30, 2021 · 7 comments
Open

drug product vs drug substance #24

wdduncan opened this issue Apr 30, 2021 · 7 comments

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@wdduncan
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drug product is a subclass of drug substance, but the reason for the distinction is not clear.
The definition for drug substance is:

A drug is a material entity that causes a change in an organism's physiology or psychology when consumed.

But, this definition is very broad. For example, food satisfies this definition.

Is the intention of drug substance to represent "drugs" that do not necessarily have clinical uses? Or is the intention for there be a part of relation between drug product and drug substance (i.e., drug product has part some drug substance)?

@yongqunh
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yongqunh commented May 9, 2021

This term needs more discussion. It was added because the current 'drug product' appears not to be aappropriate for our cases of COVID-19 drugs tested valid against viral infection experimentally in vivo or in vitro as seen in our paper:
https://www.preprints.org/manuscript/202003.0413/v1

@wdduncan
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Thanks. Can you provide a concrete example in the ticket of something that is a drug substance but not a drug product and why this is so?

@yongqunh
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yongqunh commented Jun 8, 2021

A drug substance can be the raw drug substance without special process and so cannot be used for treating patient. For the drug product, it appears to be the product that is ready to use for treatment.

@wdduncan
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I'm not so sure. Here is the axiom for drug product:

'material entity'
 and ('is bearer of' some 'clinical drug role')
 and (has_proper_part some 
    ('scattered molecular aggregate'
     and ('is bearer of' some 'active ingredient')))

The important parts of the axiom seem to its clinical drug role and having (as part) an active ingredient.

clinical drug role is simply defined as:

the role of a material entity to prevent, diagnose, treat, or study disease and/or its effects

active ingredient is simply defined as:

a role of a scattered molecular aggregate that is part of a drug product that is realized by 
  (1) administration of the drug to an organism followed by 
  (2) some change in the structure or functioning of some part of the organism

I'm not seeing anything in the definition that says a drug product is the output of some "special process".

The way you are describing drug substance make it sound close the class scattered molecular aggregate.

@linikujp
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linikujp commented Jun 10, 2021 via email

@sivaramarabandi
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sivaramarabandi commented Jun 12, 2021 via email

@wdduncan
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@sivaramarabandi your proposal makes sense, however, this is not what is in cido. Currently, these are the equivalence axioms that define drug product:

'material entity'
 and ('is bearer of' some 'clinical drug role')
 and (has_proper_part some 
    ('scattered molecular aggregate'
     and ('is bearer of' some 'active ingredient')))

There is not a 'drug product' has part some 'drug substance' axiom. Are you proposing one be added? If so, then I would propose that you add the following axiom to drug substance:

'scattered molecular aggregate' and ('is bearer of' some 'active ingredient')

However, if you do this, you need to remove the 'drug product' rdfs:subClassOf 'drug product' relation. If you don't remove this relation, drug products will be represented as a subclass of scattered molecular aggregate, and that would be confusing.


Other comment:

At present, drug product has two sibling classes:

  1. COVID-19 drug substance: A drug substance that is experinentallly proven to be effective against SARS-CoV-2 infection, where the experiment can be done either in vivo or in vitro. The in vitro study is typically conducted using cell line cells.
  2. experimental drug substance: A drug substance that is experinentallly proven to be effective against SARS-CoV-2 infection, where the experiment can be done either in vivo or in vitro. The in vitro study is typically conducted using cell line cells.

(the typo "experinentallly" is taken directly from the defintion)

These definitions do provide clear distinctions/reasons as to why they would not be a drug product (please definition above). The notion I am trying to express is that (currenlty) the class drug substance doesn't seem to be doing any work in the ontology.

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4 participants