The prediction of absorption, distribution, metabolism, and excretion (ADME) properties has become increasingly important as failures late in the drug discovery process become more costly. Increasingly, stringent in vitro and in vivo requirements have been placed on the hit-to-lead and lead optimization stages of the drug discovery process. Although it is tempting to dismiss ADME modeling and simply conduct an in vitro or in vivo experiment to get “the correct answer”, this approach is not practical. A skilled, competent medicinal chemist working on a lead optimization program can easily conceive of far more compounds than can reasonably be synthesized during the time of a lead optimization effort. In vivo studies are expensive and time-consuming and may become the rate-limiting step for some projects, particularly for small pharmaceutical companies. Rather than providing “the correct answer”, modeling provides a means of “stacking the deck” in favor of the medicinal chemistry effort, increasing the likelihood that a given compound will show the desired effect in vitro or in vivo.
At our Predictive ADME session chaired by Anthony Klon running October 16 at Bryn Mawr recent developments in the predictive modeling of ADME properties will be presented and discussed. Speakers will present their research into modeling microsomal stability, drug-drug interactions, and membrane transport processes such as blood-brain barrier penetration, intestinal absorption, and skin penetration. One topic of the accompanying discussions will be the appropriateness of relevant biological endpoints for ADME/PK modeling.
The session will be followed in the evening by a Knowledge Café to discuss Collaboration Opportunities in Predictive ADME & Predictive Toxicology.
A description of the session with presentation abstracts follows. Please add your comments, discussion or questions at the end of the post.
Predictive ADME
http://echeminfo.com/COMTY_confprog08adme
(Please follow continuation here to read abstracts. Comments can be made at the end.)
Abstracts
Predictions of Metabolic Drug-Drug Interactions
Heidi Einolf, Novartis
Drug-drug interactions (DDI) involving cytochrome P450 (CYP) enzymes remain an important factor in pharmaceutical drug development. Increased understanding of the potential clinical drug interaction magnitude caused by compounds deemed as CYP inhibitors (reversible or irreversible) is imperative to avoid compounds with potential dangerous DDI with likely co-medications and to have a competitive safety profile. In later development, this information is important for the strategic design of clinical DDI trials (i.e. rank-ordering of specific CYP inhibition studies and anticipation of actual DDI risk). Many reported prediction approaches for reversible (and irreversible) CYP inhibition focus on predictions of mean changes of the affected drug (or substrate) exposure at steady-state. These mathematical prediction models, expressed with varying levels of complexity, incorporate the relationship of a single in vivo inhibitor concentration [I] and the potency of the CYP inhibition determined from in vitro data. The simplest of the prediction models, although generally over-predictive for CYP reversible inhibition, is the ‘[I]/Ki’ approach. The pragmatic use of this model, using Cmax, total as [I], is currently the recommended approach by the FDA to evaluate whether a clinical drug interaction study might be warranted. However, models that incorporate the fraction of the affected drug metabolized by the inhibited enzyme (fm,CYP), first-pass intestinal availability for CYP3A substrates, and protein binding, in more mechanistic prediction models (herein termed the ‘Mechanistic-Static Model’ or MSM), have proven to be more predictive of actual DDI magnitude than the ‘[I]/Ki’ approach. Both these approaches are, however, limiting as they only consider mean finite inhibitor concentrations in DDI assessment. More physiologically-based drug interaction prediction models account for the time-varying concentration of inhibitors and are currently implemented in specialized platforms such as the Simcyp Population-Based ADME Simulator (Simcyp Ltd, Sheffield UK), herein termed the ‘Mechanistic-Dynamic Model’ or MDM. These types of models have the capability of being more informative for drug interaction assessments as they predict not only the mean, but also a range and frequency distribution of clearance or drug interaction magnitude in a population. The models implemented within Simcyp consider variables such as CYP expression level and genetic polymorphisms, first-pass intestinal metabolism, physiological, and demographic information in the generation of the virtual populations using a Monte Carlo approach. The program can simulate drug concentrations-time profiles of substrates and inhibitors and, therefore, has the potential to be more predictive than less physiologically-based models. In this talk, a comparison of the three approaches (‘[I]/Ki’, MSM, and MDM) to predict actual clinical DDI magnitude will be presented, including specific data required for best predictions using these different approaches. In addition, the importance of predicting the range and frequency of DDI magnitude using the more physiologically-based drug interaction prediction models will be emphasized.
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Contact Information:
Program: Dr. Barry Hardy, eCheminfo Community of Practice & Research, Douglas Connect. Tel: +41 61 851 0170. barry.hardy -[at]- douglasconnect.com
Registration Enquiries: Nicki Douglas, Douglas Connect, Baermeggenweg 14, 4314 Zeiningen, Switzerland. Tel: +41 61 851 0461. eCheminfo -[at]- douglasconnect.com
or please visit:
http://echeminfobm810.eventsbot.com/
Barry Hardy
Community of Practice & Research Manager
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