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Frequently Asked Questions

Biochemistry and Cell Biology ADME First In Animal

Biochemistry and Cell Biology

Q: What information and experiments are most useful for setting up the best assay for HTS and lead selection?   What can and should be known about the time-course of the biochemistry or cell biology being measured?

A: The time courses illustrated show a few of the wide variety of possibilities for patterns frequently observed in biological assays. The major point is that there is extremely valuable information contained in time course measurements that may be applied for the design of information-rich assays useful in HTS and/or follow-up assays, including as the basis for dose-response analyses. Carefully designed cell assays can be as informative and understandable as biochemical reactions, although of course more work is involved in the characterization, since cell systems are usually encumbered by multiple processes occurring simultaneously. Put your cursor over the box associated with each curve to see an interpretation of the time course.


Q: What happens if the wrong time-course is chosen as the measurement for screening or characterization?

A: The following graph shows what can happen when a dose-response is generated without paying sufficient attention to the time interval used in the dose-response analysis. All three dose-response curves are from experiments using the same enzyme and the same inhibitor, but the inhibition appears to differ significantly. The only difference among the three curves is that a time of 10 min was used in the left-most curve, a time of 30 min in the center curve, and a time of 80 min in the right-most curve. There are two effects: a shift in IC50 of about 4-fold and - more subtle - a change in the shape of the dose-response curves. The shape-change is readily evident, if non-linear least squares analysis is used to analyze the data. The practical effect is to make the assay less sensitive to detection of inhibitors, which can be a critical issue in running a screen. The problem is strictly because a less-than-optimal time interval was chosen when designing the experiment and reading the data for the 30 min and 80 min time intervals.

Q: How should a cut-off be selected for determining "hits" from screening data?  Are there statistical methods with more promise and rigor than an arbitrary percent cut-off or the conventional "three standard deviations from the mean"? 

                              

A: Typical screening results for an inhibition assay using 30 x 384-well plates and 32 control wells per plate. 
The results from control wells are not included in this view, so there are 10560 individual readings shown on a nominal inhibition scale on the left.  Note that it is NOT a percentage scale.  See elsewhere on this website for a discussion of the problems associated with converting to percentages for many data.  Questions include: How should a cut-off be chosen for separating compounds with enough activity to warrant follow-up from those of no further interest? 

                             

Using typical 50% cut-off yields 51 "hits".  Using 3 SD from control -> 257 "hits", and using 3 SD from the data shown, which is all the compound-containing wells without the controls -> 159 "hits".  But which is correct?  What information is really in the screening results?

                              

Data from the previous graph are redrawn as a probability density function, i.e. the results on the x-axis are the same as the Inhibition results shown on the y-axis of the previous graph, and the number of results in a narrow band of inhibitions is represented on the y-axis across the range of results to generate the histogram.  The dark blue symbols and the light blue line show the histogram for the pooled results.  Within the pooled results are two classes: results from compounds that do not affect the assay and result in a normal or Gaussian distribution with a mean of 0 inhibition and results from compounds that inhibit the assay with a wide range of efficacies.  A useful distribution to describe the latter class of results is a Gamma Distribution.  Together the pooled results are distributed as a particular Mixture Distribution, which in this case is a "mixture" of the normal and gamma distributions.  The pooled results are deconvoluted to show the underlying normal distribution (dark blue) and the gamma distribution (red).  The difficulty technically has been finding a method to deconvolute the mixture distribution.  This problem can be solved (submitted for publication) for cases like the one shown and provides a new tool to understand screening data.  Note that the analysis is independent of the controls. The Normally distributed data serve as an internal control and, in fact, should mimic the uninhibited controls in this example. Reasons for differences between the uninhibited controls and the Normally distributed part of the Mixture Distribution should be investigated. 

                             

A close-up view of the right-hand tail of the mixture distribution and its deconvoluted parts.  The mixture distribution and the normal part of the mixture distribution right-hand tails are shown in light blue and dark blue, respectively.  The red line shows the gamma distribution for compounds inhibiting the assay.  Using the deconvoluted mixture distribution, statistically defined cut-offs can be determined based on probabilities of a result from a compound coming from the normal distribution – i.e. not inhibiting the reaction – or from the gamma distribution – i.e. inhibiting the reaction.  The parameters for the deconvoluted distributions are: 90% of the total results are ~N(0,95) [Normal distribution with mean = 0 and standard deviation = 95] and 10% of the total results are ~γ(200,150).  The parameters for the mixture are ~Mix(21,119).  Be aware that apparent high potency for compounds detected in screening does not necessarily correlate with drug-like or drugable properties.  In fact, many of the compounds with apparent high potency are really just compounds that interfere in the assay, including such problems as insolubility or other complicating physical chemical properties.  This serves to emphasize the importance of broadening the range of hits to detect apparently lower potency compounds that may not have such limitations. 

                             

Based on results from analysis of the Mixture Distribution, statistically-defined cut-off values may be determined, such as the "Optimized" cut-off shown, which is a value where the maximum number of points (maximum area) of the Gamma Distribution are included for the minimum area of the Normal Distribution.  In this example, the area to the right of the "optimized" cut-off includes, for the total 10560 inhibition readings, 360 and 78 readings from the Gamma and the Normal Distributions, respectively.  Another interesting value that may be used for a cut-off is where 99% of the results are from the Gamma Distribution, which in this example includes the inhibition readings from 170 compounds.  Basing cut-offs on the deconvoluted Mixture Distribution provides a firm statistical basis for setting cut-off levels in screening in contrast to the more arbitrary methods usually used. 

Q: Why are low potency "hits" often poorly reproducible or frequently not verified on retesting?

In many assays, the results with low-level inhibition do not verify on replicate determinations in follow-up assays to the initial screening.  Insight into the failure-to-verify "problem" depends on application of fundamental statistics. The difficulty in verification assays is the problem of comparing two mean values to determine if they are significantly different or if the results are attributable simply to variability in the assay.  In this case, one of the mean values is from the uninhibited controls or is - probably most appropriately - the mean of the Normal Distribution values determined from the analysis of the Mixture Distribution.  The second mean for the comparison is a mean of results from a single compound. We need to determine how many values should be in the verification sample, i.e. the number of replicate measurements for each compound, in order to have a reasonable probability of observing a statistically significant difference from the background of results with a mean of 0 and a standard deviation of 95.  To address this question, we must decide how certain we want to be that we have observed the true result in the face of the variability inherent in the assay.  A full description of the necessary calculations includes consideration of Type I and Type II errors, and many standard statistics text books may be used to guide the reader to the necessary level of background and understanding.  For the present, we will assume that we want to be sure to have gathered enough samples to observe a statistically significant difference 90% of the time (Type II error or beta), if the difference really exists, and to do so with a statistical significance (Type I error or alpha) = 0.05.  On the inhibition scale shown on the preceding graphs, the "optimized" difference has a value of 228.  In order to be able to detect a difference 90% of the time, as specified above, requires at least 5 replicates in the verification test, and to detect the difference 99% of the time would require at least 7 replicate measurements of the test compound.  In order to detect the difference at the “99% Gamma” level requires at least 4 replicates in the verification test for the 90% probability of detection and at least 5 replicate measurements in order to have a 99%  probability of detecting a difference with a magnitude of 338 inhibition units in the example given.  In both cases, the mean and standard deviation of the results needs to be incorporated into a t-test or a similar statistical test in order to test the verification results.  The common practice of using only two or three replicate measurements in verifying activity will frequently not be sensitive enough to detect small but statistically significant differences, such as between the mean control value of 0 versus the cut-off values of 228 and 338 in this example.   Sometimes, a criterion applied to "verification" is 3SD from the control mean for all replicates in the verification assay, which is considerably more stringent than a statistically significant difference based on the mean of verification replicates. In many cases the application of such criteria account for failures in verifying activity. 

 

Q:  In screening, what are the benefits and hazards of cell assays in contrast to assays based on isolated proteins or other isolated cell constituents, such as enzymes and receptors?  What is the relationship between "high content" screening and cell-based assays? 

Use of cellular assays in HTS

 Cell assays are essential for measuring certain types of biological responses, such as ion channel activity and for testing gene expression.  Cell assays can also be very useful in examining intracellular signal transduction pathways.  However, in order to be most useful in screening, cell assays come with price, just like all other assay formats.  The general rule is that the more information we have about an assay, the more we can learn about particular responses.  This will help to determine the best characteristics for design and interpretation of a screening assay.  Many operators tout cell assays as being high throughput and high information.  While sometimes true, cell assays are not a panacea for high content screening.  In fact, there are numerous complications to the interpretation of cell assays.  Some examples are described in the following paragraphs, although this is certainly not an exhaustive description of the topic.  

Unless the desired response is mediated by a cell surface receptor, ion channel, or similar cell surface molecule, only compounds that can already enter cells will be detected as "hits".

Problem:  Compounds that may be very specific for an intracellular target, but deficient in cell permeation, will not be detected.  Although solving the problem of cell permeability for many compounds is not trivial, is it wise to eliminate all such compounds at the first step of a screening process?  This question should be carefully addressed before embarking on a cell-based screening assay.  Only compounds active in the whole cell environment will be detected. 

Problem:  If the goal of screening is to find a drug, this is a reasonable stipulation.  However, leads that suffer from diminished activity in a cellular environment may not be detected at all.  Is it better to detect compounds that are active against a target, even in less than ideal - i.e. cellular - conditions first and then discover that lack of activity is due to cellular conditions that differ from the original assay conditions – including problems of penetration into the target cellular compartment – or is it most important to have a compound obtained directly from primary screening with a list of apparently desirable properties?  The answers vary with the target and with the knowledge obtained and obtainable from the biological system containing the target.  Nevertheless, it seems important to point out that a cellular screening assay is not inherently superior to an assay based on an isolated receptor, enzyme or other target molecule.   

Isn't  it obvious that screening seeks to find compounds that can get into a cell?  Ultimately, yes, a compound must be able to reach its target.  However, the target does not even have to be intracellular to be difficult to reach.  An obvious example is targeting cell surface receptors in the CNS, which must cross the blood-brain barrier before reaching their cell surface targets.  With very rare exceptions, all compounds must be able to penetrate, not just a single cell membrane at the target cell, but also must be able to traverse one or more cell layers, that is, they must pass into AND out of cell membranes on the path from, e.g., the gut to a target tissue and target cells.  Activity in a cell culture assay does not guarantee that a compound will be able to traverse all cell and membrane barriers needed to reach both its tissue and its intracellular target.  This is why a cellular assay is not necessarily superior to an assay of isolated target molecules.   

What information can be obtained from a cellular assay that cannot be obtained from an assay based on isolated molecules?  Obviously, a cell assay is dependent on action in a system.  That is, multiple steps must be completed successfully for activity to be detected.  However, one or more of the steps may present a barrier that must be identified and specifically overcome for a compound with activity at the target to be identified.  To understand the cellular system requires further experiments, and if the compounds chosen from a screen were already restricted to a very few with a long list of physical properties that are difficult to expect in an initial screening hit, the game may be over before it is started.  Often, a screening effort starting with a cellular assay will turn up no usable leads, and then efforts will have to be redirected to a more targeted and non-cellular assay system in order to allow biologists and chemists to break the problem down into more manageable segments, such as specificity and efficacy at one or more target molecules, then penetration of the compounds into appropriate cellular compartment, and optimizing activity for intracellular conditions. 

Problem: Many compounds apparently acting in a cell assay are really operating via a process that is not useful for drug or marker development, such as via aggregation leading to changes including disruption of the cell membrane.  Such effects almost always require the use of two or often multiple cell lines tested simultaneously or sequentially in order to detect compounds that act on cells in a manner inconsistent with the desired biology.  This increases the workload in screening, because it is equivalent to running a couple or several screens. 

The bottom line is that in order for a cell-based assay to be useful for high-content screening, there is usually a considerable amount of work needed in order to be able to design an effective, efficient and sensitive HTS assay and the required follow-up assays.  If the work is not done before screening is begun, the interpretation of screening data will be difficult or impossible.  Because cellular assays almost always require more biological steps, including mandatory penetration into the proper cell compartment, in generating the response the screener wants to measure, the information required to interpret the results from the assay are almost always more complicated than the problems faced in using isolated proteins or other cell fractions.  In order for a cell-based HTS assay to be truly "high content" requires that significant details of the system be worked out and applied to the design of the screen and interpretation of the data resulting from the screen. 

ADME

Q: What are pharmacokinetics and ADME and why are they important?

A: The function of a drug is dependent on its efficacy at a specific site of action, how much gets to the site, and how long it stays at the site.  Pharmacology, the science of drugs, encompasses two areas: pharmacodynamics (PD) & pharmacokinetics (PK).  PD is how a drug acts on a therapeutic target.  PK encompasses what is normally referred to as ADME, which are absorption, distribution, metabolism and elimination.  In layman terms, PD is the study of what the drug does to the body and PK is the study of what happens to the drug in the body.  Understanding PK and PD among drug leads and candidates is critical to choosing the compounds most-likely-to-succeed through the process of drug development.  Early assessment of interesting compounds is essential for holding down drug development costs and maximizing speed to market.


Q:
When should ADME characteristics be determined in the drug discovery funnel ?

A: There is a natural overlap between drug discovery research and preclinical development.  For example, the determination of whether a compound inhibits human CYP 3A4 is an important experiment to conduct in either domain, since CYP 3A4 inhibition affects both candidate selection following high-throughput screening (HTS) and is a necessary part of preclinical development for satisfying regulatory requirements.  Therefore, a number of ADME estimations should be made early in drug discovery, as soon as possible following selection of compounds from HTS (see Figure below).  That way the most attention and expensive resources can be focused on compounds with the greatest potential for success from early in the drug development process.  In addition, coupling ADME measurements with medicinal chemistry efforts can help guide the chemistry in preserving and enhancing the best possible drug-like properties.  This way, fewer compounds with poor drug characteristics are taken to the stage of engaging considerably more expensive GLP studies prior to IND and NDA regulatory filings.  Modern ADME research involves a determination of when to do particular studies and when to incorporate data acquisition into a high-throughput format so that factors determining if a candidate is dropped or moved further along the development funnel can be incorporated early in the discovery and development funnel to hold down the costs of the whole process.  Ask PharmOptima to help you in determining which tests should be done when in your drug development process. 

The graph below is a representative drug discovery & development funnel of activities from the ADME perspective.  Activities range from discovery HTS through preparation for IND regulatory filing.

 

Q: Why are ADME studies so important to my company's success? 

A: Since the determination of human ADME drug characteristics can only follow in very expensive Phase I, II and III clinical trials, estimation of human ADME characteristics using animal systems is an integral part of preclinical scientists responsibilities.  To put it another way, the identification of compounds that will ultimately fail in man is the job of the preclinical scientist.  "We kill compounds!" but at a much reduced cost than is encumbered by carrying forward compounds that are doomed to failure. 

 

 Q: What is the experience level of the Drug Metabolism & Pharmacokinetic Research scientists?

A: The PharmOptima Drug Metabolism & Pharmacokinetic Research staff is highly experienced in conducting ADME studies.  We function as part of PharmOptima's First-in-Animal capabilities, as well as operating with separate capabilities to support customer needs.  PharmOptima scientists offer our customers a historical record of successful preclinical ADME research characterized by pairing the identification and application of emerging technologies with solid scientific expertise and experience. 

PharmOptima has four scientists with over 100 years of combined pharmaceutical industry experience who have written more than 1000 scientific reports covering an extraordinary range of compounds and drugs.  PharmOptima offers extensive expertise in non-GLP studies that should be part of your early preclinical development assessment.  These services include such important determinations as early assessment of bioavailability, drug-drug interaction liability, in vitro metabolic stability, allometric scaling and in vivo metabolic profiling.  In addition to direct consulting and direct laboratory application in non-GLP studies, we can help you determine and plan studies so that your costs in the expensive arena of GLP studies are minimized. 

 

 

Selected Peer-Reviewed Publications of ADME Staff

With ADME and Analytical Emphasis

 

1.  M.A. Wynalda, F. Lincoln, and F.A. Fitzpatrick, "High Performance Liquid Chromatographic Analysis of Prostaglandin I2 (Prostacyclin)," Journal of Chromatography 176,413‑417 (1979).

2.  Stryd RP, Gilbertson TJ.  Some problems in development of a high-performance liquid chromatographic assay to measure 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 simultaneously in human serum,"  Clin. Chem. 1978;24:927-30.

3.  Stryd RP, Gilbertson TJ, Brunden, MN.  A seasonal variation study of 25-hydroxyvitamin D3 serum levels in normal humans.  J. Clin. Endocrinol. Metab. 1979;48:771-5.

4.  M.A. Wynalda and F.A. Fitzpatrick, "Albumin Stabilizes Prostaglandin I2," Prostaglandins 20, 853‑861 (1980).

5.  M.A. Wynalda and F.A. Fitzpatrick, "High Performance Liquid Chromatographic Determination of 5‑Halo‑Pyrimidinone Interferon Inducers," Analytical Chemistry 52, 1931‑1934 (1980).

6.  M.A. Wynalda, D.R. Morton, R.C. Kelly, and F.A. Fitzpatrick, "Liquid Chromatographic Analysis of Intact Leukotriene A4", Analytical Chemistry 54, 1079‑1082 (1982).

7.  Vrbanac, J.J., W.E. Braselton, J.F. Holland and C.C. Sweeley.  Automated qualitative and quantitative metabolic profiling analysis of urinary steroids by a gas chromatography-mass spectrometry-computer system.  J. Chromatogr. 239: 265-276, 1982.

8.  Vrbanac, J.J., W.E. Braselton, J.D. Pinkston, and C.C. Sweeley.  Automated metabolic profiling analysis of urinary steroids by a gas chromatography-mass spectrometry-data system.  Biomed.  Mass Spectrom. 10: 155-161, 1983.

9.  Gilbertson TJ, Ruwart MJ, Stryd RP, Brunden MN, Friedle NM, Rush BD, Christianson CA.  Partial characterization of the gastrointestinal weight changes produced in the female rat by 16,16-dimethyl E2.  Prostaglandins 1983;26(5):745-59.

10.  Peng GW, Sood VK. Liquid Chromatographic Assay of Arbaprostil. J. Liquid Chromatography, 6 (8), 1499‑1511 (1983).

11.  Peng  GW, Sood VK and Rykert UM. Quantitative Liquid Chromatographic Determination of Bromadoline and its N‑Demethylated Metabolites in Blood, Plasma, Serum and Urine Samples. J. Pharm. Sci., 74, 304‑307 (1985).

12.  M.A. Wynalda, J.R. Brashler, M.K. Bach, D.R. Morton, and F.A. Fitzpatrick, "Determination of Leukotriene C4 by Radioimmunoassay with a Specific Antiserum Generated from a Synthetic Hapten Mimic," Analytical Chemistry 56, 1862‑1865 (1984).

13.  Lakings DB, Stryd RP, Gilbertson TJ.  Quantitative determination of N-(trans-2-dimethylamino-cyclopentyl)-N-(3',4'-dichloro-phenyl)-propanamide and its N-dimethyl metabolite in dog serum by GC-EC.  J. Pharm. Sci. 1984;73(3):317-20.

14.  Hubbard, L.H., T.D. Eller, P.V. Halushka, J.J. Vrbanac, and D.R. Knapp.  Extraction of thromboxane B2 from urine using an immobilized antibody column for subsequent analysis by gas chromatograph-mass spectrometry.  Prostaglandins, 33: 149-160, 1987.

15.  Vrbanac, J.J., T.D. Eller, and D.R. Knapp.  Quantitative analysis of 6-keto-prostaglandins F1" using immunoaffinity purification and gas chromatography-mass spectrometry.  J. Chromatogr., 425, 1-9, 1988.

16.  Cox JW, Larson PG, Wynalda MA, Sood VK, Verburg MT, Pullen RH, and  Daniels EG, "Pharmacokinetics and Excretion of the 21‑Aminosteroid Antioxidant U‑74006F in Rat and Perfused Rat Liver".  Drug Metab Disp. 17(4), 373-379 (1989).

17.  Vrbanac, J.J., Cox, J.W., Eller, T.D. and Knapp, D.R.  Immunoaffinity Purification-Chromatographic Quantitative Analysis of Arachidonic Acid Metabolites. Meth Enzymol. 187, 62-70, 1990.

18.  Greenfield JC, Loux SJ, Sood VK, Jenkins KM and Davio SR,.  (1991) In Vitro Evaluation of the Plasma and Blood Compatibility of a Parenteral Formulation for Ditekiren, A Novel Renin Inhibitor Pseudopeptide.  Pharmaceutical Research 8: 475-479.

19.  Vrbanac, JJ, O'Leary, IA, Baczynskyj, L.  Utility of the parent-neutral loss scan screening technique: Partial characterization of urinary metabolites of U-78875 in monkey urine. Biol. Mass Spectrum, 21, 517-522, 1992.

20.  Wynalda M.A .and Wienkers L.C. Assessment of Potential Interactions Between Dopamine  Receptor Agonists and Various Human Cytochrome P450 Enzymes Using a Simple In Vitro  Inhibition Screen. Drug Metabolism and Disposition, 25(10):1213-1217, 1997.

21.  Chang M, Sood VK, Wilson GJ, Kloosterman DA, Sanders PE, Hauer MJ, Zhang W, Branstetter DG.  Metabolism of the HIV‑1 Reverse Transcriptase Inhibitor Delavirdine in Mice.  Drug Metab Dispos 1997; 25: 828‑839.

22.  Chang M, Sood VK, Kloosterman DA, Hauer MJ, Fagerness PE, Sanders PE, Vrbanac JJ.  Identification of the metabolites of the HIV‑1 reverse transcriptase inhibitor delavirdine in monkeys.  Drug Metab Dispos 1997; 25: 814‑827.

23.  Chang M, Sood VK, Wilson GJ, Kloosterman DA, Sanders PE, Hauer MJ, Fagerness PE.  Metabolism of the HIV‑1 reverse transcriptase inhibitor delavirdine in rats.  Drug Metab Dispos 1997; 25: 228‑242.

24.  Wynalda MA, Hauer MJ and Wienkers LC.  Human Biotransformation of Bropirimine.  Characterization of the Major Bropirimine Oxidative Metabolites Formed In Vitro.  Drug Metabolism and Disposition, 26(10):1048-1051, 1998.

25.  Wienkers LC, Allievi C, Hauer MJ and Wynalda MA.  Cytochrome P

-450 Mediated Metabolism of the Individual Enantiomers of the Antidepressant Agent Reboxetine in Human Liver Microsomes.  Drug Metabolism and Disposition 27(11):1334-1340, 1999.

26.  Peng, GW, Stryd RP, Murata S, Igarachi M, Chiba K, Aoyama H, Aoyama M, Zenki T, Ozawa N.  Determination of linezolid in plasma by reversed-phase high-performance liquid chromatography.  Journal of Pharmaceutical and Biomedical Analysis 20, 65-73 (1999).

27.  Wynalda MA and Wienkers LC. Assessment of Potential Interactions Between Dopamine Receptor Agonists and Various Human Cytochrome P450 Enzymes Using a Simple In Vitro Inhibition Screen. Drug Metabolism and Disposition, 25(10):1213-1217, (1997). 

28.  T. Streeper, P. G. Pearson, Z. Zhao, S. A. Mizsak, P. E. Sanders, J. J. Vrbanac.  In vitro Metabolic Transformations of 2,4-Dipyrrolidinylpyrimidine:  A Chemical Probe for P-450 mediated Oxidation of Tirilazad Mesylate.  Xenobiotica, 27, 1131-1145, 1997.

29.  Ballard KD, Orkiszewski RS, Vachet RW, Glich GL, Vrbanac JJ, Gaskell SJ..  Parent ion resolution in linked scans for dissociations occurring in the first field‑free region of sector mass spectrometers.  J. Am. Soc. Mass Spectrom, 8, 545-553, 1997.

30.  Chang M, Sood VK, Kloosterman DA, Hauer MJ, Fagerness PE, Sanders PE, Vrbanac JJ.  Identification of metabolites of the HIV-1 reverse transcriptase inhibitor delavirdine in monkeys. Dr

ug Metabolism and Disposition, 25, 814-827, 1997.

31.  Streeper, P. G. Pearson, Z. Zhao, S. A. Mizsak and J. J. Vrbanac. Synthesis of Deuterium Labeled 2,4-Dipyrrolidinylpyrimidine as a Chemical Probe for P450 Mediated Oxidation of Tirilazad Mesylate. J. Label. Coupounds Radio. Pharmaceut., XLI, 577-584, 1998.

32.  Chang M, Sood VK, Wilson GJ, Kloosterman DA, Sanders PE, Scuette MR, Judy RW, Slatter JG. Absorption, distribution, excretion, and metabolism of atevirdine in rats. Drug Metab Dispos 1998; 26: 1008‑1018

33.  Steenwyk RC, Pearson PG, Vrbanac JJ. Metabolism of tirilazad mesylate in humans: Application of stable isotopic labeling and a novel bile cannulation technique in human volunteers. J. Label. Coupounds Radio. Pharmaceut, 42, 903-904, 1999.

34.  Wynalda MA, Hauer MJ and Wienkers LC. Oxidation of the Novel Oxazolidinone Antibiotic Linezolid in Human Liver Microsomes. Drug Metabolism and Disposition, 28(9): 1014-1017, (2000).

35.  Humphrey SJ, Curry JT, Turman CN, Stryd RP. Cardiovascular Sympathomimetic Amine Interactions in Rats Treated with Monoamine Oxidase Inhibitors and the Novel Oxazolidinone Antibiotic Linezolid. Journal of Cardiovascular Pharmacology 37, No. 5, 548-563, 2001.

36.  Slatter JG, Stalker DJ, Feenstra KL, Welchman IR, Fagerness JB, Stryd RP, Peng GW, and Shobe EM. Pharmacokinetics, Metabolism, and Excretion of Linezolid following an Oral Dose of [C14]Linezolid to Healthy Human Subjects, Drug Metabolism and Disposition, 29, No. 8, 1136-1145, 2001.

37.  Wienkers LC and Wynalda MA. Multiple Cytochrome P450 Enzymes Responsible for the Oxidative Metabolism of (-)-OSU6162 in Human Liver Microsomes. Drug Metabolism and Disposition 30(12):1372-1377 (2002).

38.  Wynalda KM, Amore BM, and Wienkers LC. Characterization of the Major Bropirimine Glucuronide Metabolite Formed In Vitro. Xenobiotica, Sept, 2003.

39.  Wynalda MA, Hutzler MJ, Koets MA, Podoll T, and Wienkers LC. In Vitro Metabolism of Clindamycin in Human Liver and Intestinal Microsomes. Drug Metabolism and Disposition August, 2003:31(7);878-887.

40.  L.C. Wienkers, M.A. Wynalda, “In vitro metabolism of chlorzoxazone is mediated by human microsomal CYP1A2 and CYP2E1E Pharmacogenetics, submitted May, 2003.

 

First In Animal

Q: Now that we've identified some promising leads from our high throughput screen (HTS), what are the next steps in using these compounds to advance our drug discovery efforts?

A: Active compounds identified from an HTS assay (so-called "hits") must be carefully evaluated in silico and in vitro before they can be considered legitimate "leads" that act on the intended biochemical, receptor, or membrane target.  Even after clearing this mechanistic hurdle, HTS leads rarely if ever qualify as true drug candidates.  Rather, they represent key starting points for synthesizing unique patentable compounds having sufficient in vitro potency and specificity and in vivo safety and efficacy to warrant full-scale drug development.  An essential step in deciding which of your preliminary leads offer the best chances of ultimately leading to a useful drug candidate is to compare their in vivo effects in a relevant whole animal model.  Specific questions that should be addressed with each potential lead are:

  • Can the compound be formulated and given in a therapeutically relevant manner?
  • When given in vivo, do drug levels in the target tissues and/or fluid compartments reach concentrations that should exert biological activity?
  • Do these agents demonstrate in vivo pharmacologic activity consistent with the intended disease target?
  • Do the compounds have significant untoward effects or interactions that preclude their further exploration, or could such possible side effects be eliminated synthetically?

The more completely these in vivo questions can be answered, the better the chances of successfully narrowing the list of potential leads and finding the best template for targeted analog synthesis. While it is impossible to predict what in vivo activities might ultimately eliminate a lead from further consideration, the theoretical results tabulated below demonstrate several key aspects of formulation, stability, and in vivo pharmacology and pharmacokinetics (PK) that can be enormously helpful in selecting leads for further pursuit:

HTS Lead
Aqueous Formulation
Stability
Total Dosage
Drug Tolerance
Pharmacol.
Activity
PK
Profile
Worth pursuit?
A
Very insoluble
Good
10 mg/kg
Hypotension, bradycardia
None seen
Short
half-life
No
B
Moderately soluble
Good
10 mg/kg
No observed side effects
Dose
dependence
Good
Primary lead
C
Slightly soluble
Fair
10 mg/kg
CNS depression
Weakly
Active
Good
No
D
Good solubility
Poor
50 mg/kg
Diarrhea
Inactive at all doses
Short
half-life
No
E
Low solubility
Good
30 mg/kg
No observed side effects
Active at high dose
Low clearance
Secondary lead
F
Very insoluble
Poor
10 mg/kg
Hemolysis, hematouria
None seen
Low Cmax
No

Q: What animal models and experimental endpoints are deemed most important for evaluating my HTS screening leads?

A: In most cases rats are the best species for "First in Animal" drug evaluations.  Ideally an experimental protocol should be customized to match the drug target and anticipated pharmacologic effects.  At PharmOptima, four different rat protocols can be adapted to evaluate your HTS leads, namely, anesthetized or conscious rats during acute or chronic drug administration.

Basic endpoints include circulating and tissue drug levels, drug tolerance, pharmacologic indices of efficacy, and changes in primary cardiovascular parameters such as blood pressure and heart rate.  Other more specialized cardiovascular, CNS behavioral, gastrointestinal, and renal endpoints can also be monitored.  If the drug supply is limited, in most cases these types of studies can be scaled down to conscious or anesthetized mice.  Once profiled in one or more rodent species, and if warranted by the drug target, PharmOptima can also devise efficient protocols to test your best leads in other small laboratory species such as guinea pigs, gerbils, or rabbits.  PharmOptima can likewise work with you to design and implement pharmacologic studies in larger animal species such cats, dogs, or pigs working through our industry contacts.  More specific disease models can also be implemented.

In all cases, PharmOptima scientists are experienced in formulating novel agents for in vivo administration, designing incisive protocols, appraising drug actions and interactions, and correlating pharmacodynamic effects with drug exposure (PD/PK relationships).  By accurately characterizing your HTS leads in sensitive whole animal models and determining their attractive and limiting features, PharmOptima insures that you have the optimal template for future analog synthesis, thereby expediting your search for viable drug candidates.

Typical Conscious Rat Preparation for Conducting a "First in Animal" Study:


Q: How much drug is needed to conduct a meaningful "First in Animal" evaluation of an HTS lead for biological activity and pharmacokinetics?

A: Drug requirements for PharmOptima's First in Animal services depend on the species, group sizes, dosages, route and frequency of administration, stability of the drug, and ease with which it can be formulated and administered.  An agent that results in highly variable responses will also require more material to accurately determine its profile.  Another consideration is the level of assurance sought from the study, as protocols designed to generate larger and thus more accurate data will require considerably more drug.  With these qualifiers in mind, as a general rule it is generally possible to profile a readily formulated agent in two adult rats at 30 mg/kg using only 20 mg of drug.  The table below further estimates how much drug would be needed for a relatively straightforward rat or mouse study at selected group sizes and doses.

Parameter
Rats
Mice
Group size:
n = 2
n = 4
n =6
n =2
n =4
n = 6
Total dose:
15 mg/kg
50 mg/kg
15 mg/kg
50 m/kg
15 mg/kg
50 mg/kg
15 mg/kg
50 mg/kg
15 mg/kg
50 m/kg
15 mg/kg
50 mg/kg
mg for dosing:
9.0
30
18
60
27
90
0.9
3.0
1.8
6.0
2.7
9.0
mg for formulation:
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
Total mg needed:
14
35
23
65
32
95
5.9
8.0
6.8
11
7.7
14

 

Q: What pharmacokinetic parameters are most important in judging the quality and utility of our screening lead?

A: A number of pharmacokinetic (PK) parameters and ADME drug characteristics are important to consider when evaluating a drug.  These include clearance, oral bioavailability, apparent volume of distribution, renal and hepatic clearance of drug, plasma protein binding, tissue distribution and metabolic transformation.

Clearance (CL) is, perhaps, the most important pharmacokinetic parameter, since in clinical therapeutics CL defines the dosing rate.  With respect to drug disposition, CL is the measurement of an animal's ability to eliminate the drug and is a measure of the volume of blood completely cleared of drug in a given time period expressed in L/h or mL/min.  CL can be calculated from the dose and from time-course data, specifically the area under the curve for an intravenous dose (AUCIV): 

 

CL = Dose / AUCIV
 
For example, if the AUCIV observed following the administration of a 20 mg/kg dose was 0.025 mg*h/mL, then the CL would be:
 
CL = Dose / AUCIV = 20 mg / 0.025 mg*h/mL = 0.80 L/h = 13.3 mL/min (per kg)
 
Hepatic blood flow in the rat is approximately 65 mL/min/kg and a drug with a clearance of between 10% and 75% of the hepatic blood flow is considered a "medium clearance" drug.  The CL value of 13.3 mL/min/kg is consistent with medium clearance and can be compared to other compounds under evaluation and to historical drug data to help choose the best compounds for further development.

If an orally active drug is sought, another important property to measure is the "exposure" following oral administration, i.e., the oral bioavailability.  The oral bioavailability of a drug can be readily calculated by obtaining the AUC following both oral and IV administration of drug.  For example, the graph below depicts a plot of data that may be obtained following the oral administration of a drug to rats.

Bioavailability, F, is the ratio of the two AUC's, which can be calculated by the linear trapezoidal or curve-fitting methods and is equal to:
 
F = AUCPO / AUCIV
 
As an example, if the AUCPO was found to be 0.010 mg*h/mL and the AUCIV was measured as 0.025 mg*h/mL, then bioavailability would be:
 
F = AUCPO / AUCIV = 0.010 mg*h/mL / 0.025 mg*h/mL = 40%
 
This means that 40% of the drug reached the systemic circulation after an oral dosing.

 

Metabolic biotransformation of drugs is another important ADME consideration.  Drugs are almost always metabolized by enzymes present in various tissues with the liver normally being the most important (quantitatively and qualitatively).  These metabolic reactions are chemically classified into various reaction types and into so called Phase I and Phase II reactions.  Biotransformation pathways range from the simple to the very complex.  In the example below, parent drug is biotransformed to various metabolites; however, quantitatively the most important pathway is the formation metabolites B and C, with C being excreted in the urine and feces.

Early characterization of metabolic transformation of a drug candidate can be very useful information.  For example, if your drug candidate clearance is higher than desired and metabolism is a (the) primary clearance mechanism, then an understanding of the reactions that are primarily involved in the biotransformation of the parent drug are very useful.  In the above example, it is possible that metabolite B is observed to be in plasma early on following oral administration of a drug.  It can then be hypothesized that the biotransformation of drug to metabolite B is important to the metabolic clearance of drug and this information can be discussed with the chemist in the context of alterations in the structure of the parent drug to decrease this metabolic pathway.  The overall result may be the synthesis of a drug with a more favorable clearance.

Depending upon the site of action of the drug, it may be very useful to take tissue samples to determine tissue distribution.  For example, a knowledge of delivery of drug to the site of action may be very important examine early on.  The distribution of drug to the brain is important for compounds in development to treat schizophrenia, while the distribution of drug to the retina & choroid is an important if the therapeutic area is prevention of age-related macular degeneration.  For example, both the brain and the retina are "protected" tissues and drugs that are present in the plasma may not necessarily distribute to these tissues.


Q: Can drug tolerance, pharmacologic activity, and pharmacokinetics be examined in single customized protocol to save time, money, and compound supply?

A: Yes, PharmOptima scientists are highly experienced at designing customized First in Animal studies that will meet your drug discovery objectives and timelines.  Depending on your drug target, in vitro assay results, and structures of your HTS leads, we can suggest the most relevant study design, dosage, route, and formulation to optimally assess these key endpoints.  PharmOptima can also suggest definitive efficacy endpoints, be they systemic pharmacokinetics, localized tissue exposure levels, changes in surrogate endpoints, comparisons to standard agents, or direct effects in specific disease models.  An example of a typical customized First in Animal drug evaluation trial is shown below:
Time
Procedures
Endpoints
0:00 - 0:30
Vascular cannulation of 250-gram male rats under general anesthesia
 
0:30 - 2:30
Post-operative recovery
 
2:30 - 3:00
Pretreatment readings
Blood pressure, heart rate, blood gases, spontaneous behavior, plasma blank prior to drug doses.
3:00
I.V. bolus dose of Drug ABC, 1.0 mg/kg.
(Cumulative 1 mg/kg)
3:00 - 3:15
Post-treatment interval for dose #1.
Same as above, plus 2- and 15-minute post-injection blood draws.
3:15
I.V. bolus dose of drug ABC, 4.0 mg/kg.
   (Cumulative 5 mg/kg)
 
3:15 - 3:30
Post-treatment interval for dose #2.
Same as above.
3:30
I.V. bolus dose of drug ABC, 10 mg/kg.
   (Cumulative 15 mg/kg)
 
3:30 - 4:30
Post-treatment interval for dose #3.
Same plus 2-, 15- and 60-minute blood draws.  Evaluate behavior.
4:30
Collect 1.5-hour post-treatment urine excretion.
Determine urinary sodium and potassium excretion.
4:30 - 6:00
If warranted and appropriate, repeat the protocol in the presence of an adjunct or receptor modulator (i.e. agonist or antagonist), or terminate the test with a suitable comparator.
Same as above.  Endpoints customized to meet the study objective.