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Searching the Pharmacology
              Literature
INDS 208: Pathobiology Treatment & Prevention of Disease

Robin Featherstone
robin.featherstone@mcgill.ca
Andrea Miller-Nesbitt
andrea.miller-nesbitt@mcgill.ca
Objectives
By the end of this lecture, you will be able to:
1. Describe the five phases of the drug life cycle
2. Identify appropriate sources in which to find
   pharmaceutical information
3. Execute a search for drug information using
   subject headings, subheadings (where
   appropriate) and filters
4. Export citations to a RefWorks account and
   output a bibliography for an academic paper
1
                                                                                               .
                          Pre-Clinical                             Review           Ongoing
        Drug Discovery                        Clinical Trials
                          Research                                                  Analysis
        Lab Research      (animal testing)
                                                                       1 approved           Review of
         5 K – 10 K             ~250                                                      side effects
                                                                          drug
        potential drugs     potential drugs
         2 – 10 years     3 – 6 years                                               Life of
                                              6 - 7 years          1 – 2 years
                                                                                    the drug



                                                 Health Canada
                                                 www.hc-sc.gc.ca
                                              Drug Products Database




1. http://hlwiki.slais.ubc.ca/images/e/ef/Drugapproval.gif
Databases
                           PubMed                                                  Embase

                    Journal of Clinical                                            ACC Cardiosource Review
                    Bioinformatics                                                 Journal
                                          Gut Pathogens
       Biomagnetic Research and                                                 American Journal of Biochemistry and
       Technology                                              Journal of       Biotechnology
                                                             Physiotherapy
                                                                                                           Advances in
                                                                                                           Hematology
Thyroid Research           9505 titles                 Journal of the History   7687 titles
                                                            of Biology

         International seminars in surgical           Journal of Translational                      Cancer Cell
         oncology                                           Medicine                                International
                                                                           Journal of Pharmacy Technology
                                                                                                    Acta Toxicologica
                Environmental Entomology
                                                                                 Actualites Pharmaceutiques
                      Conflict and Health                                        Hospitalieres


http://www.ncbi.nlm.nih.gov/projects/linkout/doc/lojournalsproviders.shtml
http://embase.com/info/what-is-embase/coverage
Database comparison
Database           Subject areas       Subject    How to export
                                       headings   to RefWorks

PubMed             Biomedicine and     Yes        Save citations
                   health care                    and import

Embase             Biomedicine and     Yes        Direct export
                   pharmacology

SciFinder          Chemistry and       No         Save citations
                   biochemistry                   and import

ClinicalTrials.gov Patient trials of   No         RefGrabIt
                   interventions
What is the best source for these questions?

1. What is the molecular structure of Dronedarone?      A. EMBASE

2. Which injection method is the most effective for     B. Clinical
administering lidocaine?                                Trials.gov
3. What drug therapies are most effective for alcohol   C. SciFinder
withdrawal in adolescence?

4. Where can you find information about patient         D. PubMed
recruitment for a study of enzyme use in celiac
disease?
• Web-based citation management software

• Information on RefWorks:
  http://www.mcgill.ca/library/library-
  using/citationsoftware/refworks

• McGill group code: RWMcGillUni

• Request a RefWorks consult or ask a question:
  citations.library@mcgill.ca
Drug Discovery
Lab Research

 5 K – 10 K
potential drugs
                       Drug Discovery
 2 – 10 years



       • Identify a target molecule
       • Find a promising “lead compound”
       • Determine pharmacokinetics
Drug Discovery
Lab Research

 5 K – 10 K
potential drugs
                              Drug Discovery
 2 – 10 years




       What are the pharmacokinetics of orally
       administered anti-cancer drugs?




                                 Anti-
                  Pharmaco               Administer
                                cancer
                   kinetics               ed orally
                                 drugs
Drug Discovery
Lab Research

 5 K – 10 K
potential drugs

 2 – 10 years




                    Audience Experts

                  Compare to NCBI Entrez

                        Cost Subscription (registration required)

                   Coverage Chemistry and biochemistry

                        URL http://scifinder.cas.org/
Pre-Clinical
Research


                    Pre-Clinical Research
(animal testing)

      ~250
  potential drugs

3 – 6 years




        You are interested in the research done on
        orexin antagonists for the treatment of
        insomnia.
Pre-Clinical
Research
(animal testing)

      ~250
  potential drugs

3 – 6 years




              Audience Experts

        Compare to Web of Science

                    Cost Subscription

              Coverage All subjects (science focus)

                    URL http://www.scopus.com/
Clinical Trials



                                  Clinical Trials
6 - 7 years


         You’re interested in therapeutic use of
         enzymes for patients with celiac disease.


                  How would you combine the terms for celiac
                  disease and enzymes?

                      celiac disease

                                            enzymes
Clinical Trials



                  Celiac Disease OR Enzymes
6 - 7 years




                                    ✗
                   celiac disease

                                        enzymes
Clinical Trials



                  Celiac Disease AND Enzymes
6 - 7 years




                  celiac disease

                                   ✓         enzymes




                                       What’s missing from
                                       this search strategy?
Clinical Trials



                                  How to Search
6 - 7 years


                  • Start with your first concept
                                      “celiac disease”
                  • Combine any synonyms with OR
                        ”celiac disease” OR “coeliac disease” OR “celiac
                                             sprue”
                  • Repeat for your second, or any subsequent
                    concepts
                                   enzyme* OR biocatalyst*
                  • Finally, group your concepts with brackets
                    and combine with AND
                  (“celiac disease” OR “coeliac disease OR “celiac sprue”)
                               AND (enzyme* OR biocatalyst*)
Clinical Trials




6 - 7 years




                  Audience Everyone

          Compare to ISRCTN

                       Cost Free

                  Coverage Patient trials of interventions

                       URL http://clinicaltrials.gov/
Clinical Trials



                                Clinical Trials
6 - 7 years


         You’re interested in therapeutic use of
         enzymes for patients with celiac disease.



                  What if you wanted to know more about the
                  results from trials of oral enzyme therapy for
                  patients with celiac disease?
Clinical Trials




6 - 7 years




                  Audience Experts

          Compare to PubMed

                      Cost Subscription

                  Coverage Biomedicine and pharmacology

       Training URL http://ovidsp.ovid.com/ovidweb.cgi?T=JS
                           &PAGE=main&D=oemezd

              U/N & P/W mcgtrain     &    training
Review


  1 approved
     drug                   Drug Review
1 – 2 years



         You’re interested in the availability of the
         new oral dose medication Gilenya
         (Fingolimod) for patients with relapsing
         remitting multiple sclerosis.

               Where would you look to find information
               about approval of this drug in Canada?
Review


  1 approved
     drug
                           Health Canada
                           www.hc-sc.gc.ca
1 – 2 years
                        Drug Products Database


               Audience Everyone

         Compare to eCPS

                  Cost Free

              Coverage Drug product information / drug
                       monographs
                  URL http://webprod3.hc-sc.gc.ca/dpd-
                       bdpp/index-eng.jsp
Ongoing
Analysis

        Review of
      side effects            Ongoing Analysis
Life of
the drug


           You’re interested in rates of patient
           compliance with drug therapy post heart
           attack.



                     Where would you look to find studies on
                     patient compliance?
Ongoing
Analysis

        Review of
      side effects


Life of
the drug




                Audience Experts

           Compare to Embase

                     Cost Free

               Coverage Biomedicine and health care

                     URL http://www.ncbi.nlm.nih.gov/sites/e
                         ntrez?otool=icamuhslib
What is the best source for these questions?

1. Where can you find administration and dosage
information for a patient taking ampicillin for
meningitis?
2. Which drug therapy for patients with type I diabetes
is associated with the fewest adverse reactions?
3. What is the molecular structure of tapentadol
hydrochloride?
4. What is the safest method of administering
antibiotics to febrile infants?
SUMMARY QUIZ

1. The 5 phases of the drug life cycle are …
2. A database that contains information about
   pre-clinical research is…
3. Combine synonymous terms with …
4. PubMed tools for finding pharmaceutical
   studies are …
5. Three methods for importing citations into
   RefWorks are…
Questions?
Robin Featherstone
robin.featherstone@mcgill.ca

Andrea Miller-Nesbitt
andrea.miller-nesbitt@mcgill.ca

RefWorks help
citations.library@mcgill.ca

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Searching the pharmacology literature

  • 1. Searching the Pharmacology Literature INDS 208: Pathobiology Treatment & Prevention of Disease Robin Featherstone robin.featherstone@mcgill.ca Andrea Miller-Nesbitt andrea.miller-nesbitt@mcgill.ca
  • 2. Objectives By the end of this lecture, you will be able to: 1. Describe the five phases of the drug life cycle 2. Identify appropriate sources in which to find pharmaceutical information 3. Execute a search for drug information using subject headings, subheadings (where appropriate) and filters 4. Export citations to a RefWorks account and output a bibliography for an academic paper
  • 3. 1 . Pre-Clinical Review Ongoing Drug Discovery Clinical Trials Research Analysis Lab Research (animal testing) 1 approved Review of 5 K – 10 K ~250 side effects drug potential drugs potential drugs 2 – 10 years 3 – 6 years Life of 6 - 7 years 1 – 2 years the drug Health Canada www.hc-sc.gc.ca Drug Products Database 1. http://hlwiki.slais.ubc.ca/images/e/ef/Drugapproval.gif
  • 4. Databases PubMed Embase Journal of Clinical ACC Cardiosource Review Bioinformatics Journal Gut Pathogens Biomagnetic Research and American Journal of Biochemistry and Technology Journal of Biotechnology Physiotherapy Advances in Hematology Thyroid Research 9505 titles Journal of the History 7687 titles of Biology International seminars in surgical Journal of Translational Cancer Cell oncology Medicine International Journal of Pharmacy Technology Acta Toxicologica Environmental Entomology Actualites Pharmaceutiques Conflict and Health Hospitalieres http://www.ncbi.nlm.nih.gov/projects/linkout/doc/lojournalsproviders.shtml http://embase.com/info/what-is-embase/coverage
  • 5. Database comparison Database Subject areas Subject How to export headings to RefWorks PubMed Biomedicine and Yes Save citations health care and import Embase Biomedicine and Yes Direct export pharmacology SciFinder Chemistry and No Save citations biochemistry and import ClinicalTrials.gov Patient trials of No RefGrabIt interventions
  • 6. What is the best source for these questions? 1. What is the molecular structure of Dronedarone? A. EMBASE 2. Which injection method is the most effective for B. Clinical administering lidocaine? Trials.gov 3. What drug therapies are most effective for alcohol C. SciFinder withdrawal in adolescence? 4. Where can you find information about patient D. PubMed recruitment for a study of enzyme use in celiac disease?
  • 7. • Web-based citation management software • Information on RefWorks: http://www.mcgill.ca/library/library- using/citationsoftware/refworks • McGill group code: RWMcGillUni • Request a RefWorks consult or ask a question: citations.library@mcgill.ca
  • 8. Drug Discovery Lab Research 5 K – 10 K potential drugs Drug Discovery 2 – 10 years • Identify a target molecule • Find a promising “lead compound” • Determine pharmacokinetics
  • 9. Drug Discovery Lab Research 5 K – 10 K potential drugs Drug Discovery 2 – 10 years What are the pharmacokinetics of orally administered anti-cancer drugs? Anti- Pharmaco Administer cancer kinetics ed orally drugs
  • 10. Drug Discovery Lab Research 5 K – 10 K potential drugs 2 – 10 years Audience Experts Compare to NCBI Entrez Cost Subscription (registration required) Coverage Chemistry and biochemistry URL http://scifinder.cas.org/
  • 11. Pre-Clinical Research Pre-Clinical Research (animal testing) ~250 potential drugs 3 – 6 years You are interested in the research done on orexin antagonists for the treatment of insomnia.
  • 12. Pre-Clinical Research (animal testing) ~250 potential drugs 3 – 6 years Audience Experts Compare to Web of Science Cost Subscription Coverage All subjects (science focus) URL http://www.scopus.com/
  • 13. Clinical Trials Clinical Trials 6 - 7 years You’re interested in therapeutic use of enzymes for patients with celiac disease. How would you combine the terms for celiac disease and enzymes? celiac disease enzymes
  • 14. Clinical Trials Celiac Disease OR Enzymes 6 - 7 years ✗ celiac disease enzymes
  • 15. Clinical Trials Celiac Disease AND Enzymes 6 - 7 years celiac disease ✓ enzymes What’s missing from this search strategy?
  • 16. Clinical Trials How to Search 6 - 7 years • Start with your first concept “celiac disease” • Combine any synonyms with OR ”celiac disease” OR “coeliac disease” OR “celiac sprue” • Repeat for your second, or any subsequent concepts enzyme* OR biocatalyst* • Finally, group your concepts with brackets and combine with AND (“celiac disease” OR “coeliac disease OR “celiac sprue”) AND (enzyme* OR biocatalyst*)
  • 17. Clinical Trials 6 - 7 years Audience Everyone Compare to ISRCTN Cost Free Coverage Patient trials of interventions URL http://clinicaltrials.gov/
  • 18. Clinical Trials Clinical Trials 6 - 7 years You’re interested in therapeutic use of enzymes for patients with celiac disease. What if you wanted to know more about the results from trials of oral enzyme therapy for patients with celiac disease?
  • 19. Clinical Trials 6 - 7 years Audience Experts Compare to PubMed Cost Subscription Coverage Biomedicine and pharmacology Training URL http://ovidsp.ovid.com/ovidweb.cgi?T=JS &PAGE=main&D=oemezd U/N & P/W mcgtrain & training
  • 20. Review 1 approved drug Drug Review 1 – 2 years You’re interested in the availability of the new oral dose medication Gilenya (Fingolimod) for patients with relapsing remitting multiple sclerosis. Where would you look to find information about approval of this drug in Canada?
  • 21. Review 1 approved drug Health Canada www.hc-sc.gc.ca 1 – 2 years Drug Products Database Audience Everyone Compare to eCPS Cost Free Coverage Drug product information / drug monographs URL http://webprod3.hc-sc.gc.ca/dpd- bdpp/index-eng.jsp
  • 22. Ongoing Analysis Review of side effects Ongoing Analysis Life of the drug You’re interested in rates of patient compliance with drug therapy post heart attack. Where would you look to find studies on patient compliance?
  • 23. Ongoing Analysis Review of side effects Life of the drug Audience Experts Compare to Embase Cost Free Coverage Biomedicine and health care URL http://www.ncbi.nlm.nih.gov/sites/e ntrez?otool=icamuhslib
  • 24. What is the best source for these questions? 1. Where can you find administration and dosage information for a patient taking ampicillin for meningitis? 2. Which drug therapy for patients with type I diabetes is associated with the fewest adverse reactions? 3. What is the molecular structure of tapentadol hydrochloride? 4. What is the safest method of administering antibiotics to febrile infants?
  • 25. SUMMARY QUIZ 1. The 5 phases of the drug life cycle are … 2. A database that contains information about pre-clinical research is… 3. Combine synonymous terms with … 4. PubMed tools for finding pharmaceutical studies are … 5. Three methods for importing citations into RefWorks are…