Liver injury is the most common safety reason a drug candidate dies, and the most common reason a marketed drug is withdrawn. It is usually found late. For a decade, models have been asked to label molecules toxic or safe from structure alone, and for a decade that number has not moved. We think the question was wrong, not the chemistry.
Liver injury is the first endpoint. The construction underneath it is the arithmetic of almost every quantitative safety decision in drug development, so the same engine extends outward.
- DILILiver injuryDose-dependent drug-induced liver injury: the first endpoint, and the one the programme is built around.First
- hERGCardiotoxicityBlock of the hERG channel, the classic route to QT prolongation, where exposure over potency is already regulatory arithmetic.Next
- CYPInteractionsCytochrome P450 interaction, where the same ratio decides whether a co-prescription is safe.Next
- CytoCytotoxicityGeneral toxicity to cells, the broadest early signal and a mechanism input in its own right.Later