When designing a drug, we…
- Decide our goal. Is it to --
- Temporarily repair the issue? (i.e., monoclonal antibodies for chronically secreted oncoproteins / attack the symptoms)
- Completely repair / fix the issue / attack the cause? (i.e., change the DNA to fix the core cause of the clinical symptoms)
- Remove and replace the issue? (i.e., remove the bad cell/organ and replace it with a healthy organ. This differs from complete repair when the removal/replacement is removing some good as well as bad)
- Remove and/or kill the issue? (i.e., cause cell-death and/or remove the harmful component)
- Look at Our Four Guiding Principles of Design
- Regional Localization
- Specificity towards target
- Potency / magnitude (dosage + combinatory effect), with our goal ("1") in mind.
- ADME personalizations
i. Any ensuing potential side effects