What are hits, leads and clinical candidates?

Learning objectives

After reading this article you will be able to:

  • Tell the difference between a hit, a lead and a clinical candidate
  • List typical criteria used to promote a compound to the next stage
  • Explain why false positives are common in screening

Drug discovery projects use three words to describe how far a compound has come: hit, lead and candidate. Each step raises the bar for evidence.

Hit

A hit is a compound that shows activity against the target in a primary screen, often with modest potency (for example, an IC50 in the micromolar range). Screens produce many false positives: compounds that aggregate, react with the assay, fluoresce or are simply impure. A hit is therefore only a starting point until it is re-tested from fresh material and shows a dose–response curve.

Lead

A lead is a confirmed hit that belongs to a series chemists can improve. Typical expectations are:

  • reproducible activity with a clear structure–activity relationship (SAR) — small changes to the molecule change potency in understandable ways;
  • reasonable selectivity against related proteins;
  • acceptable early ADMET properties such as solubility and metabolic stability;
  • room to make analogues: synthetic routes and available building blocks.

Moving from hits to leads is called hit-to-lead. Searching for close analogues of a hit, by similarity or substructure, is one of the fastest ways to build early SAR without new synthesis.

Clinical candidate

After lead optimization, the team nominates a single compound (often with a backup) for preclinical development. A candidate must be potent in disease models, have a pharmacokinetic profile that supports the intended dose, an acceptable safety margin, and a route to manufacture at scale.

Useful metrics along the way

MetricWhat it tells you
IC50 / EC50Concentration giving half-maximal inhibition or effect in an assay.
Kd / KiBinding or inhibition constant; lower means tighter binding.
Ligand efficiencyBinding energy per heavy atom — rewards potency that does not come only from size.
Selectivity ratioPotency against the target compared with related off-targets.

Last updated October 31, 2026

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