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Efficacy: maximal response and clinical meaning

Efficacy has a different scope in a receptor assay and in a clinical study.

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Efficacy on a response curve

In receptor pharmacology, efficacy concerns the response a compound can produce in the tested system. The observed maximum is often described as Emax. Potency instead compares how much is needed to achieve a defined effect.

Sources: [1]

From an assay to a clinical outcome

Two curves may reach different heights even when one is shifted toward lower concentrations. This illustrates why potency and efficacy are not interchangeable. Clinical efficacy requires results in a study context; a cellular maximum does not establish it.

Sources: [1]

Questions about this reference

Does greater potency mean greater efficacy?

No. A lower concentration for a given effect does not guarantee a larger maximal response.

[1]

Sources and original reading

  1. IUPHAR Pharmacology Education Project: Pharmacodynamics

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