Testing Models, Safety and Efficacy of the Drug ZL105

By Published on October 4, 2025
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    1. QUESTION

    Recent studies support the potential of a drug that is derived from the metal iridium to effectively treat cancer. This experimental drug, Drug ZL105, has not been tested for efficacy and toxicity. Imagine that you are the one responsible for approving or denying the use of this drug within the United States. Your job is to propose the testing that is needed for this drug to be determined as safe and effective for the treatment of cancer in humans. In your research and discussion, you should address the questions below.

    What model(s) will you use for testing (i.e., animal, cell cultures, computer simulations)? Explain the choice of model, and provide support for the reliability of the model. Discuss the pros and cons of your choice.
    In determining the safety and effectiveness of the drug, would it be necessary to test efficacy, toxicity, and lethality? Explain what each of these tests are for and whether or not one or more of the tests are necessary for your determination.
    Provide your thoughts on what information you hope to gather from your tests and whether or not the same protocol should be used for various categories of products such as drugs, cosmetics, and herbal medicines.
    Your case study assignment should be three to four pages in length and utilize at least three reliable references. Use APA style guidelines in writing this assignment, following APA rules for formatting, quoting, paraphrasing, citing, and referencing.

     

     

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Subject Nursing Pages 5 Style APA
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Answer

Testing Models, Safety and Efficacy of the Drug ZL105

            The purpose of this paper is to discuss the approach for testing the efficacy and toxicity of the experimental Drug ZL105.  The models to be used in testing the drug will include cell cultures, animal and human participants.  The efficacy, lethality, and toxicity should be tested when determining the safety and effectiveness of the drug. Important issues to be gathered from the tests include efficacy range in different types of cancers, safety, lethality, and adverse effects.

Models

Cell Cultures

            Wild-type cells lines and cancerous cells lines can be used for testing the safety, efficacy of the anti-cancer agent. Cell lines can provide valuable information since aspects such as copy number variations, methylation, gene expression, and single nucleotide variants can be known beforehand (Parca et al., 2019).  Cell cultures are characterized by a significant degree of reliability in informing human health in terms of reproducibility and repeatability (Piccinini et al., 2017). Cell cultures create an environment which mimics the conditions that are found in tumors in vivo. In addition, cell lines simulate physiologic cellular microenvironment that allow for reconstruction of tissue-like cytoarchitecture with cell-to-extracellular matrix interactions, cell-to-cell interactions, and exhibit differentiation. Besides, therapeutic response can be observed similar to those that are observed in vivo. Cell cultures can be used for determining the effectiveness, safety, and lethality of the drug (Ryan et al., 2016). The advantages of this method include cost effectiveness, it is a more accurate representation of the in vivo scenario, and provides a good model for determining drug resistance. The disadvantages include complex downstream processing and the endpoint assay is dependent on the culture method utilized (Ryan et al., 2016).  The disadvantage is that the test can be performed on cancerous cell lines, which have abnormal function; hence, may not completely portray physiological functions (Saeidnia, Manayi, & Abdollahi, 2015).

Animals Models

            Animal models provide excellent in vivo physiological conditions for testing lethality, effectiveness, safety and toxicity of the Drug ZL105. Animal models are more reliable compared to in vitro tests. Animal models are characterized by some drawbacks like the need to extrapolate the results to humans and that there are differences in biokinetics parameters between animal models and humans (Saeidnia, Manayi, & Abdollahi, 2015). The other disadvantage is that the use of animal models raises ethical and moral challenges. Some proportion of the population considers the practice as amounting to cruel treatment of animals. In addition, it is expensive to keep and use laboratory animals (Moran et al., 2016). The other limitation is that ethical approval is needed before the study is conducted (Payab et al., 2018). Animal studies are unreliable in informing human health since there exists differences in human and animal disease as well as species differences in genetics and physiology (Aktah, 2015).

Human Participants

            Human participants provide the ultimate model for testing Drug ZL105 owing to the fundamental reason that the drug is intended for use in human beings for the treatment of cancers.  Reliability of findings can be achieved through the use of appropriate research design and control of bias (Noble & Smith, 2015). The research should be conducted in accordance with human rights law, ethical principles and values, universally accepted set rules, and legislations. Informed consent is a prerequisite before human participants are recruited into the study (Constantin, 2018). The advantages of using human participants in studying the safety and efficacy of Drug ZL105 is that participants can gain access to novel agents in trial, gaining of focused health care for cancer, and that the investigator can gain insight on the drugs pharmacokinetic and pharmacodynamics, identify effects, efficiency, and adverse effects. The disadvantage of using human participants is that it may lead to harm and adverse events, may pose ethical challenges, especially if vulnerable persons are used or if participants are paid to participate in the study (Wikler, 2015). 

Determining the Safety and Effectiveness of the Drug

            In determining the safety and effectiveness of Drug ZL105, it would be necessary to test for efficacy, lethality, and toxicity. Efficacy refers to therapeutic effect of the drug. The range of cancers that can be treated using the drug need be identified. Efficacy includes identification of an effective dose and route of administration (Brunetti et al., 2016). Lethal dose of the drug (expressed as LD50) is referred to as the estimated dose necessary to kill 50% of a given group of experimental animals. Other measures such as no toxic effect level, no observed adverse effect level, maximum tolerated dose, and no observed effect level should be studied for this drug (Wypych & Wypych, 2015). Toxicity of the drug will include development of an understanding about its harmful or poisonous effects. It includes identification of adverse effects. Toxicity assessment can be done through large scale animal studies. Caenorhabditis elegans can be used for rapid assessment of the acute toxic effects, reproductive and developmental effects (Xiong, Pears, & Woollard, 2017).

Other Important Information

            The other important information about the drug needs to be gathered. Usability of the drug in different age groups, in pregnancy, and in people with various existing acute and chronic conditions needs to be determined (Jackson, 2016). Additional drug information that is also needed include dosages, route of administration, dosage frequency, adverse effects, drug interactions, impact of existing chronic and acute conditions, and short-term and long-term effects.

 Different protocols should be used when studying for the safety and efficacy of different products. Thus, different protocols are required for studying different substances such as cosmetics, drugs, and herbal medicines, since cosmetics may pose relatively lower risk to human health and environment as opposed to drugs and herbal medicines (Wypych & Wypych, 2015).

 

References

Aktah, A. (2015). The flaws and human harms of animal experimentation. Cambridge Quarterly of Healthcare Ethics, 24(4), 407-419.

Brunetti, J., Falciani, C., Roscia, G., Pollini, S. et al. (2016). In vitro and in vivo efficacy, toxicity, bio-distribution and resistance selection of a novel antibacterial drug candidate. Scientific Reports, 6, Article number: 26077. https://www.nature.com/articles/srep26077

Constantin, A. (2018). Human subject research. Health and Human Rights Journal, 20(2), 137-148. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293356/

Jackson, M. (2016). The Routledge history of disease. Abingdon-on-Thames: Routledge.

Moran, C.J., Ramesh, A., Brama, P.A.J., O’Byrne, J.M., O’Brien, F.J., & Levingstone, T.J. (2016). The benefits and limitations of animal models for translational research in cartilage repair. J Exp Orthop., 3(1). DOI:  10.1186/s40634-015-0037-x.

Noble, H., & Smith, J. (2015). Issues of validity and reliability in qualitative research. Evidence-Based Nursing, 18(2). http://dx.doi.org/10.1136/eb-2015-102054  

Parca, L., Pepe, G., Pietrosanto, M., Galvan, G., Galli, L., Palmeri, A., Sciandrone, M., Ferre, F., Ausiello, G., & Helmer-Citterich, M. (2019). Modeling cancer drug response through drug-specific informative genes. Scientific Reports, 9, Article: 15222. https://www.nature.com/articles/s41598-019-50720-0

Payab, M., Hasani-Ranjbar, S., Aletaha, A., Ghasemi, N., Qorbani, M., Atlasi, R., Abdollahi, M., & Larijani, B. (2018). Efficacy, safety, and mechanisms of herbal medicines used in treatment of obesity: A protocol for systemic review. Medicine, 97(1), e8825. DOI: 10.1097/MD.0000000000008825.

Piccinini, F., Tesei, A., Arienti, C., & Bevilacqua, A. (2017). Cell counting and viability assessment of 2D and 3D cell cultures: Expected reliability of Trypan Blue assay. Biologial Procedures Online, 19, Article number: 8. https://biologicalproceduresonline.biomedcentral.com/articles/10.1186/s12575-017-0056-3

Ryan, S-L., Baird, A-M., Vaz, G., & Urguhart, A. (2016). Drug discovery approaches utilizing three-dimensional cell culture. Assay and Drug Development Technologies, 14(1), 19-28. DOI: 10.1089/adt.2015.670.

Saeidnia, S., Manayi, A., & Abdollahi, M. (2015). From in vitro experiments to in vivo and clinical studies; pros and cons. Curr Drug Discov Technol., 12(4), 218-24. https://www.ncbi.nlm.nih.gov/pubmed/26778084

Wikler, D. (2015). Must research benefit human subjects if it sib be permissible? Journal of Medical Ethics, 43(2). https://jme.bmj.com/content/43/2/114

Wypych, A., & Wypych, G. (2015). Databook of preservatives. Toronto: ChemTec Publishing.

Xiong, H., Pears, C., & Woollard, A. (2017). An enhanced C. elegans based platform for toxicity assessment. Scientific Reports, 7, Article number: 9839. https://www.nature.com/articles/s41598-017-10454-3

 

 

 

 

 

 

 

 

Appendix

Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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