SOLVO Biotechnology
SOLVO Biotechnology
SOLVO Biotechnology
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<strong>SOLVO</strong> <strong>Biotechnology</strong><br />
"The Transporter Company"<br />
Bill Johnson Johnson, Ph Ph.D. D<br />
VP, Global Operations & Services
Presentation Topics<br />
<strong>SOLVO</strong> "The The Transporter Company" Company<br />
Membrane Transporters Transporters, Barriers<br />
RRegulatory l t BBackground k d<br />
Assay Service and Systems
"[Kelsey] prevented ... the birth of tho<br />
armless and legless children." The publi<br />
was swift and drug testing reforms were<br />
unanimously y by y Congress g a few months lat<br />
The drug testing reforms required "stric<br />
on the testing and distribution of new d<br />
to avoid similar problems.<br />
The amendments also, for the first time,<br />
recognized that "effectiveness [should b<br />
required to be established prior to mark<br />
Frances Kathleen Oldham Kelsey receiving the<br />
President's Award for Distinguished Federal<br />
Civilian Service from President John F.<br />
Kennedy, in 1962.
• Founded in Hungary in1999<br />
<strong>SOLVO</strong> Facts<br />
• 100+ transporter related products and<br />
services<br />
• 25 peer reviewed articles in transporter<br />
science i<br />
• 400+ clients in 35 countries<br />
• 80 employees, 60 scientists and 30 in<br />
R&D
Why <strong>SOLVO</strong>?<br />
Proven Scientific Expertise<br />
Topic Publications<br />
Impact cholesterol on transporter<br />
activity<br />
IVIVC<br />
BCRP<br />
MRP2<br />
MDR1<br />
Pal et al (2007), (2007) Kis et al (2009)<br />
MDR1: Sziraki et al (2011)<br />
MRP2: Heredi-Szabo (2009)<br />
BSEP Kis et al 2009 (2)<br />
Interaction with neutraceuticals and<br />
environmental toxicants<br />
Ozvegy et al (2001), Jani et al (2009),<br />
Kis et al (2009), Pál et al (2007),<br />
Glavinas et al (2007), ( ),<br />
Krajcsi et al (2005), Heredi-Szabo et al<br />
(2008)<br />
SSzeremy et t al l 2010, 2010 RRajnai j i et t al l 2010, 2010 V<br />
Richter et al 2009, Schmitt et al 2006<br />
Dreiseitel et al (2009), Oosterhuis et<br />
al (2008), Williamson et al (2007),<br />
Zh n t l (2007) L pin t l (2006)
Why <strong>SOLVO</strong>?<br />
Portfolio<br />
We offer the entire FDA and EMA set (and a<br />
lot more): )<br />
• P P-gp (MDCKII or vesicles) i l )<br />
• BCRP (MDCKII or vesicles)<br />
• BSEP (vesicles) (vesicles)<br />
• OAT1 (CHO cells)<br />
• OAT3 (CHO cells)<br />
• OCT1 (CHO cells)<br />
• OCT2 (CHO cells)<br />
• OATP1B1 (CHO cells) ll )<br />
• OATP1B3 (CHO cells)
RRecent t Developments D l t at t <strong>SOLVO</strong><br />
• Transporter Consultancy Service<br />
– How to study transporters - Experimental design, which transporters are<br />
important, etc.<br />
– When to study transporters - Let us help you in designing your transporter<br />
strategy<br />
– Why to study transporters - Help with regulatory requests, questions and<br />
submissions<br />
• Additional Services<br />
– Primary Renal Proximal Tubule cells (aProximateTM – Primary Renal Proximal Tubule cells (aProximate )<br />
Package]<br />
[Kidney<br />
– Hepatocyte uptake assay (various protocols)<br />
Package] g<br />
[Liver<br />
– Excipient interaction assay [Absorption Package]<br />
– Solubility Assay [Absorption Package]<br />
– RBEC, , MBEC [BBB [ Package] g ]<br />
• US Expansion<br />
A il 2012 <strong>SOLVO</strong> ffi i B t MA d t bli h i l
Lack of adequate q superiority p y in<br />
efficacy the major reason related<br />
tto ddrug ffailure il
Role of Transporters:<br />
ADMET ADMETox and d DDrug-Drug D<br />
Interactions
Types of Transporters<br />
Uptake (SLC) transporters<br />
• Mediate active transport of<br />
compounds accross cell membranes<br />
• Energy source differs per family<br />
of transporters (sodium gradient gradient,<br />
proton gradient, etc)<br />
• Transport wide variety of<br />
molecules: peptides, organic anions<br />
and cations, cations bile acids acids, amino<br />
acids, fatty acids, etc<br />
• Expression in all major barrier<br />
organs<br />
H + , Na + , other<br />
extracellular<br />
S<br />
A<br />
L<br />
B<br />
C intracellular C<br />
ATP<br />
ADP + Pi<br />
Efflux (ABC) transporters<br />
• >1 >1,000 000 different transporters in<br />
the family (49 human)<br />
• Energy source: ATP<br />
• Functions:<br />
– Transport substrates<br />
accross cell membranes<br />
– Regulate(d) ion channels<br />
– Regulate multi-protein<br />
channel complexes<br />
(receptors)<br />
• Alter pharmacokinetics of drugs,<br />
nutrients and other molecules<br />
• An array of genetic diseases<br />
linked with the human transporters
EExpression i in i Barrier B i OOrgans<br />
Intestinal efflux<br />
Pgp, gp, MRP2, , MRP4, ,<br />
BCRP<br />
CNS efflux<br />
PPgp, OAT3 OAT3, MRP1 MRP1,<br />
MRP2, BCRP, MRP4<br />
ATP dependent efflux transporters<br />
Exchange/co-transport transporters<br />
Intestinal uptake<br />
OATP2B1, OATP1A2<br />
PEPT-1, MRP3<br />
Biliary secretion<br />
Pgp, MDR3, BCRP<br />
MRP2 (BSEP)<br />
Hepatic uptake<br />
OATP1B1 OCT1<br />
OATP2B1 OAT2<br />
OATP1B3 NTCP<br />
Hepatic efflux<br />
MRP3, , MRP4, ,<br />
MRP6<br />
Renal uptake<br />
OAT1,OAT3, OCT2, OATP4C1<br />
Renal re-uptake<br />
OATP2B1, PEPT-2<br />
Renal secretion<br />
Pgp, MRP4, MRP2, OAT4, MATE1, MATE2K
Role of Transporters p in<br />
ADMETox H extracellular<br />
+ , Na + , other<br />
• Intestinal absorption<br />
S<br />
A<br />
• Distribution<br />
L<br />
C<br />
B<br />
C<br />
• Modulation of metabolism<br />
• Excretion ATP<br />
– Intestinal<br />
– Liver<br />
– Kidney<br />
• Drug-drug interaction<br />
• Toxicity<br />
– interference with<br />
transport and d<br />
metabolism<br />
of endogenous<br />
b<br />
intracellular ADP + Pi
Role of Transporters p in<br />
• Intestinal absorption<br />
Drug Transporter Effect<br />
Paclitaxel MDR1 6 x increase in<br />
Mdr1a -/- mice<br />
(Van Asperen et<br />
al 2007)<br />
Digoxin MDR1 157% increase in<br />
AUC when codosing<br />
with Dronedarone<br />
Atorvastatin BCRP 71% increase in<br />
AUC in c.421AA<br />
genotypes<br />
Rosuvastatin BCRP 144% increase in<br />
AUC in c.421AA<br />
genotypes<br />
(M Niemi, 2010)<br />
ADMETox
Roles of Transporters p in<br />
• Distribution<br />
ADMETox<br />
– CNS (blood-brain barrier, blood – CSF barrier)<br />
– Fetus (blood-placenta barrier in<br />
syncytiotrophoblast)<br />
– Testis (blood-testis ( barrier) )
Effect of P-gp P gp on BBB<br />
permeability of verapamil<br />
Lee et al 2006, JPET<br />
B/D B/D: 11C 11C‐Verapamil V ilb brain i uptake tk<br />
in rhesus monkeys<br />
C/E: 11C 11C‐Verapamil Verapamil brain uptake +<br />
PSC833<br />
>4 fold increase in brain uptake in<br />
presence of PSC833
First<br />
generation ti<br />
SSedative d ti Side Sid Eff Effects t of f<br />
Anti-histamines<br />
Anti histamines<br />
Transporter<br />
(MDR1)<br />
interaction<br />
brain/plasma Sedative CNS<br />
distribution side effect<br />
Notes<br />
chlorpheniramine No 18.4 Yes High passive<br />
permeability<br />
diphenhydramine No 34.0 Yes High passive<br />
permeability<br />
Hydroxyzine<br />
No 4.30 Yes High passive<br />
(At (Atarax) )<br />
permeability bilit<br />
Second<br />
generation<br />
FFexofenadine f di<br />
(Allegra, Aventis)<br />
YYes 00.018 018 NNo<br />
Acrivastine<br />
(Semprex, (Se p e , GSK) GS )<br />
Yes 0.072 No<br />
Cetirizine (Zyrtec,<br />
Pfizer)<br />
Yes 0.367 No
Roles of Transporters in<br />
ADMETox<br />
• Transporters play an important role in drug absorption,<br />
disposition, excretion and toxicity<br />
• Increasing evidence for clinical relevance of transporters<br />
• Increasing number of publications from regulatory authorities<br />
• RRegulatory l t view i iis still till evolving l i and d many questions ti remain i<br />
unanswered<br />
• The passive permeability of a compound has a great effect on<br />
the success of a transporter assay<br />
• Assays should be chosen wisely
Building evidence that adverse drug<br />
reactions are attributed, at least in part, to<br />
the involvement of drug transporters<br />
Cellular accumulation depends on transport<br />
What role of passive permeability?<br />
Adverse reactions can involve transporters<br />
MDR3, OATP, cardiac<br />
Zolk and Fromm, Clin Pharmacol Ther, 2001
Challenge g of Drug g Transporters p<br />
Rapidly growing scientific area with many in<br />
vitro, it preclinical li i l and d clinical li i l publications<br />
bli ti<br />
• More than 30 transporters ‘involved’ in ADME<br />
• Few agreed clinical translation approaches<br />
• Limited tools/reagents relative to CYP enzymes<br />
• Measuring drug exposure in plasma may not reflect impact on a<br />
drug’s disposition (e.g., toxicity)- this is highlighted in<br />
the EMA DDI guidance document<br />
• Conflicting messages to prescribers prescribers, patients patients, and regulatory<br />
bodies<br />
Drug Transporter White Paper<br />
‘Membrane Transporters in Drug Development’, NRDD 9:215 - 236 (2010)<br />
EMA Guideline on the Investigations of Drug<br />
Int Interactions- r ti n Draft guidance published 22April2010<br />
Fast changing, dynamic
Mechanisms Mechanisms of of Drug Drug-Induced Drug Drug-Induced Induced Liver<br />
Transporter<br />
Disruption<br />
Immune Injury j y<br />
hepatocyte<br />
Injury<br />
j y<br />
Bile<br />
Canaliculus<br />
Reactive Metabolites<br />
hepatocyte<br />
Mitochondrial Disruption<br />
Loss of ion<br />
gradients<br />
Other<br />
targets<br />
Glutathion<br />
e depletion
Hepatic Drug Transporters and<br />
OATP<br />
1B1<br />
OATP<br />
1B3<br />
OATP<br />
2B1<br />
MRP3<br />
Metabolising Enzymes<br />
MRP4<br />
Phase I:<br />
MRP5<br />
CYP 450, 450 FMO, FMO MAO<br />
Esterases<br />
ADH, CR, XO<br />
Phase II:<br />
UGT UGT, GST<br />
SULT<br />
NTCP N<br />
OCT1 O<br />
OAT2 O<br />
BLOOD<br />
Causes of transporter related<br />
hepatotoxicity<br />
• Cellular accumulation via<br />
efflux or uptake<br />
• “toxic” xenobiotics/<br />
BILE metabolites BSEP<br />
• Impaired p efflux<br />
• endogenous bioactive<br />
molecules (e.g. bile acids)<br />
• modification of nutrient<br />
gradient<br />
• candidate or concomitant<br />
meds<br />
• Inhibition or altered<br />
expression
Selected human transport proteins for drugs and endogenous substances<br />
Which Transporters Have the Most<br />
Attention in Early Discovery?<br />
•P-glycoprotein (ABCB1)<br />
•Breast Breast Cancer Resistance Protein<br />
(ABCG2)<br />
•Multi-drug Resistance Protein 2<br />
(ABCC2) ( )<br />
•Organic Anion Transport Protein<br />
(SLCO1B1)<br />
•Bile Salt Export Pump (ABCB11)
Classic Example p of f Transporter p<br />
Inhibition and Heptatoxicity<br />
Bosentan<br />
Troglitazone<br />
(400 mg)<br />
PFIC 1 >ATP8B1<br />
PFIC 2 >BSEP<br />
PFIC 3 >ABCB11<br />
Analogous with<br />
Changes g in bile acid transporters p during g<br />
Gilbert’s syndrome<br />
cholestasis.<br />
ASBT = apical Na+ dependent bile salt transporter<br />
CFTR = cystic fibrosis transmembrane regulator
Effect of Drugs with Clinical Cholestasis on BSEP<br />
*Er-Jia Wang, Schering-<br />
Plough Res. Inst., The<br />
Impact of drug transporters<br />
on preclinical development,<br />
Boston, June 2004<br />
Compounds I max (%CSA)* IC 50 (µM)*<br />
Chl Chlorpromazine i 88±2 34±1<br />
Clofazimine 335±41 24±6<br />
Cyclosporin y p A 105±7 ± 8±2 ±<br />
Glibenclamide 366±4 147±2<br />
Ketoconazole 83±4 69±4<br />
Paclitaxel 97±6 29±3<br />
Reserpine 167±40 19±5<br />
Rifamycin SV 133±19 39±15<br />
Tamoxifen 152±8 23±1<br />
Troglitazone 211±16 66±8<br />
Valinomycin 29±2 7±3<br />
Verapamil 152±17 179±24<br />
Vinblastine 204±14 62±7<br />
Cimetedine NE ND
Relative distribution of human BSEP IC50 values<br />
200 compounds d<br />
Drug-Induced BSEP Inhibition and Hepatotoxicity<br />
BSEP inhibition has been implicated in drug-induced<br />
hepatotoxicity<br />
p y<br />
80.5% of compounds that inhibit BSEP at
Clinically Relevant Transporters<br />
: EMA<br />
:FDA/<br />
EMA<br />
ITC whitepaper, NRDD 2010
Role of Oatp1a/1b transporters in paclitaxel (PTX) pharmacokinetics.<br />
van dde Steeg St E et t al. l Clin Cli Cancer C Res R 2011;17:294-301<br />
2011 17 294 301<br />
©2011 by American Association for Cancer Research<br />
OATP1A/1B polymorphisms may develop toxicity<br />
upon paclitaxel or methotrexate treatment<br />
Tumor OATP1A/1B expression may also affect<br />
tumor drug sensitivity.<br />
OATP1A/1B inhibition by (pre)treatment with ot<br />
drugs may affect drug toxicity and effi<br />
Mrp2 dominates hepatobiliary excretion, reduced by 80% in Mrp2 −/<br />
In contrast, P-gp dominates intestinal excretion, with a minor<br />
The AUC oral of paclitaxel increased 8.5-x by Mdr1a/1b deficiency,<br />
However, in the absence of Mdr1a/1b P-gp, additional<br />
Mrp2 deficiency increased the AUC oral another 1.7-fold.
DDIs - Rosuvastatin –<br />
Cyclosporine Cyc o po e A<br />
Limited bioavailability<br />
Hepatic portal vein<br />
Cyclosporine<br />
OATP1B1<br />
Pgp?<br />
BCRP<br />
MRP2?<br />
Bile<br />
7X AAUC0-24<br />
10X Cmax
DDrug-drug d Interactions I i of f<br />
Cyclosporine A with Statins<br />
Affected drug Interacting drug<br />
PK impact<br />
(clinical)<br />
Pravastatin Cyclosporine AUC 890%, C max 678%<br />
Pitavastatin Cyclosporine AUC 360%, Cmax 560%<br />
Glyburide Rifampicin AUC 125%<br />
Bosentan Rifampicin C through 500%<br />
Bosentan Lopinavir/ritonavi<br />
r<br />
Cyprotex 7th North American Drug Discovery Workshop<br />
C through 4700%
DDabigatran bi t (P (Pradax, d BI) BI):<br />
Arecent ece t example e a p e of o a P-gp gp DDI<br />
• Dabigatran: not substrate of SLC or<br />
Effl Efflux Transporter<br />
T<br />
• Dabigatran-Etexilate (prodrug):<br />
– ER = 6 @ 0.6 0 6 μMM<br />
– ER = 1 @ 40 μM (saturation effect assumed)<br />
• 80% excretion i in i ffaeces after f oral l<br />
administration, 6% excretion in faeces<br />
after iv i.v. administration<br />
administration.<br />
• 2.5 increase in AUC after co-dosing with<br />
Verapamil<br />
• Not all inhibitors affect absorption of<br />
DE
Clinical Translation From Mechanistic<br />
Hepatotox Investigation<br />
In Vitro Mechanistic data In Vivo Mechanistic data<br />
• The in vitro/in vivo work<br />
identify a mechanism that<br />
at a minimum exacerbate<br />
hepatotoxicity and may be<br />
an independent risk factor<br />
• Role of transporters (BSEP)<br />
• IImportance of f metabolism b li<br />
(CYP3A4 and UGT enzymes)<br />
T t k t t d t d b th<br />
Transporters are a key aspect to understand both<br />
the disposition as well as the toxicity of<br />
L ti ib
Platinum transport in renal cells<br />
Source: Drug Resistance Updates 2011; 14:22-34 (DOI:10.1016/j.drup.2010.12.002 )<br />
Copyright © 2011 Elsevier Ltd Terms and Coditions<br />
OCT2 in basolateral membrane of proximal tubule<br />
MATE1 & MATE2-K in brush-border membrane
Pl Platinum i transporters iin the h proximal i l<br />
tubular cells of the human kidney<br />
• At pH 7.4, about 40% of the commonly<br />
prescribed ib d ddrugs are organic i cations. ti<br />
• OCs are endogenous g (choline, , dopamine, p ,<br />
histamine) or exogenous (drugs such as<br />
vecuronium vecuronium, procainamide procainamide, quinine quinine,<br />
cimetidine).
Ci Cisplatin l i<br />
nephrotoxicity<br />
• Dose-limiting nephrotoxicity is a major concern<br />
-Observed in 41% of patients treated with cisplatin<br />
-One-third O hi d of f patients i experience i llong term kid kidney<br />
dysfunction, despite extensive<br />
prophylaxis<br />
-20% 20% of f all ll acute t renal l ffailure il cases among<br />
hospitalized patients<br />
are due to cisplatin-containing chemotherapy<br />
• Renal damage limits its use and efficacy in cancer<br />
treatment<br />
• Major determinant of nephrotoxicity: tubular cell death,<br />
tissue damage, and the loss of renal function or acute<br />
renal failure<br />
Cimetidine inhibits many transporters , OCTs , OATs
Influence of Oct1/Oct2-deficiency<br />
on cisplatin-induced cisplatin induced changes in urinary NAG and overall survival.<br />
©2010 by American Association for Cancer Research<br />
Franke R M et al. Clin Cancer Res 2010;16:4198-4206
Cisplatin-induced (10 mg/kg, i.p.) changes in urinary NAG activity in mice administered saline<br />
(i.v.), cimetidine (30 mg/kg, i.v.), or no injection immediately prior (n = 6-12 per treatment<br />
group).<br />
Franke R M et al. Clin Cancer Res 2010;16:4198-4206<br />
©2010 by American Association for Cancer Research
Influence of cimetidine on cisplatin<br />
nephrotoxicity (in vivo; dose, 10<br />
mg/kg) g/ g)<br />
NAG = N-acetyl-β-D-glucosaminidase, a<br />
marker for acute renal proximal p<br />
tubular damage<br />
Urinary NAG >0.4 AU in mice is<br />
associated with 21-fold increased odds<br />
for severe (grade 4) nephrotoxicity<br />
(P=0.0017)<br />
Cimetidine protects against cisplatin<br />
nephrotoxicity to a degree similar to<br />
that h observed b d in i Oct1/2(-/-) O 1/2( / ) mice i<br />
treated with cisplatin alone<br />
Ci Cimetidine tidi currently tl iin clinical lii ltil trial<br />
as a modulator of cisplatin toxicity<br />
Ototoxicity<br />
OCT in cochlear ce
Notable species differences<br />
Rats and humans have distinct composition of bile salt pools<br />
IIn humans, h a conjugated j t d cytotoxic tt i bil bile salt lt comprises i 31% of f t<br />
pool but in rats the related conjugated cytotoxic bile salt c<br />
only 2.5% of the bile salt pool.<br />
Risk of misinterpreted in vitro studies<br />
OATP1A2 function is inhibited by y rosuvastatin, ,y yet, , imatinib a<br />
was not dependent on OATP1A2 variants nor by rosuvastatin.
Recent Regulatory<br />
Developments p<br />
Focus on transporters in Drug-<br />
Focus on transporters in Drug<br />
Drug Interactions and Safety
Regulatory Background<br />
Guidance documents<br />
FDA , February, 2012<br />
GGuidance id for f<br />
Efflux<br />
Industry<br />
P-gp ( (MDR1) )<br />
BCRP<br />
Uptake<br />
OATP1B1<br />
OATP1B3<br />
OAT1 OAT1<br />
OAT3<br />
OCT2<br />
BSEP<br />
MATEs<br />
DRAFT GUIDANCE<br />
PRPs<br />
DDrug IInteraction i SStudies di —<br />
Study Design, Data Analysis,<br />
Implications for Dosing Dosing, and<br />
Labeling Recommendations
FDA Advisory y Committee for<br />
Pharmaceutical Science and Clinical<br />
Pharmacology<br />
Question 1: For evaluation of NMEs as potential substrates of<br />
transporters:<br />
Do you agree that P-gp, BCRP, OATP1B1/1B3, OAT1/3 and OCT2 are<br />
the major transporters that should be routinely evaluated<br />
based on the proposed flow chart (Figure 1) during drug<br />
development?<br />
VOTING VOTING: 12 YYes, 4 NNo, 0 Ab Abstain i<br />
Question 2: For evaluation of NMEs as potential inhibitors of<br />
transporters:<br />
Do you agree that P-gp, BCRP, OATP1B1/1B3, OAT1/3 and OCT2 are<br />
the major transporters that should be routinely evaluated<br />
based on the proposed flow chart (Figure 2) during drug<br />
Cyprotex development?<br />
7th North American Drug Discovery Workshop
ug Interaction Studies – Draft Guidance, FDA February 2012<br />
Determine P-gp and<br />
BCRP Substrate and<br />
Inhibitor<br />
interactions<br />
Study<br />
OATP1B1 and<br />
OATP1B3<br />
Sb Substrate<br />
and<br />
Inhibitor<br />
it ti<br />
All Investigational Drugs (IDs)<br />
Hepatic or Biliary<br />
Secretion Major?<br />
(>25%)<br />
Active Renal<br />
Secretion Major?<br />
(>25%)<br />
YES NO YES NO<br />
Study<br />
OATP1B1 and<br />
OATP1B3<br />
IInhibitor hibi<br />
interaction<br />
s<br />
Study OAT1,<br />
OAT3 and<br />
OCT2<br />
Substrate<br />
and<br />
Inhibitor<br />
interactions interactions<br />
Study OAT1,<br />
OAT3 and<br />
OCT2<br />
Inhibitor<br />
interaction<br />
s
Guidance documents<br />
EMA Guideline on the<br />
Investigation of Drug<br />
IInteractions t ti<br />
Efflux<br />
P P-gp (MDR1)<br />
BCRP<br />
BSEP<br />
Uptake<br />
OATP1B1<br />
OATP1B3<br />
OCT1<br />
OAT1<br />
OAT3 OAT3<br />
OCT2<br />
47<br />
RRegulatory l t Background<br />
B k d
EMA: Recent Developments<br />
• Current draft expected to be finalized<br />
in Q2 of 2012<br />
• Transporter list will be ‘living’<br />
• Id Identify tif transporter t t instead i t d of f check- h k<br />
box screening<br />
• Cut-off for DDI potential:<br />
– Ki > [I]<br />
• Where I liver = 50 x Cmax x fu<br />
• Where I intestine = 10 x dose/250ml<br />
More discussion needed!
Overview of Drugs with<br />
Transporter Information on<br />
Label<br />
2004-2006 2007-2009<br />
Number of approved NCEs 67 56<br />
Drugs with transporter information on label 11 21<br />
Number of drugs with P-gp/MDR1 P gp/MDR1 on label 6 20<br />
In vitro P-gp/MDR1 data 10 16<br />
In vivo P-gp/MDR1 data 14 9<br />
Number of drugs with other transporters on<br />
label<br />
1 6<br />
Drugs with transporters mentioned in<br />
Highlights section of label<br />
1 7<br />
Number of drugs requiring PMCs and/or PMRs<br />
ddue<br />
to transporters<br />
Agarwal et al., ACCP Annual Meeting, Sept 2010, Baltimore, MD<br />
Huang et al., AAPS workshop, March 2011, Bethesda MD<br />
3 10
New ABCB1 drug labels<br />
Aliskiren<br />
Direct renin inhibitor<br />
F= 0.026<br />
Contraindications<br />
The concomitant use of aliskiren<br />
with ciclosporin, a highly potent<br />
PP-glycoprotein l i (P (P-gp) ) iinhibitor, hibi<br />
and other potent P-gp inhibitors<br />
(quinidine, verapamil), is<br />
contraindicated<br />
Dabigatran<br />
Direct thrombin inhibitor<br />
F= 0.072, 0 072 BCS class IV<br />
Contraindications<br />
concomitant treatment with quinidine<br />
P- glycoprotein inhibitors<br />
caution should be exercised with<br />
strong P- glycoprotein inhibitors.<br />
Th The PP- glycoprotein l i iinhibitor hibi<br />
quinidine is contraindicated<br />
P- glycoprotein inducers<br />
potent P- glycoprotein inducers such<br />
as rifampicin or St John’s wort<br />
(Hypericum perforatum), may reduce<br />
the systemic exposure of dabigatran<br />
dabigatran.<br />
Caution is advised when coadministering<br />
these medicinal<br />
products.<br />
50
DDrugs Approved A d bby FDA iin 2009 ( (prior i to<br />
publication of ITC White Paper)<br />
Drug Indication<br />
or Tx<br />
Area<br />
Route DDI in<br />
Label<br />
Transporter<br />
DDI in Label<br />
Pralatrexate (Folotyn) Cancer IV <br />
Romidepsin (Istodax) Cancer IV <br />
Telavancin (Vipativ) Antibacterial IV <br />
Iloperidone (Fanapt) Schizophrenia Oral <br />
Saxagliptin (Onglyza)<br />
Artemether/Lumefantrine<br />
(Coartem)<br />
Type II<br />
Diabetes<br />
Oral <br />
Malaria Oral <br />
Dronedarone (Multaq) Atrial Fib Oral <br />
Everolimus (Afinitor) Cancer Oral <br />
Febuxostat (Uloric) Gout Oral <br />
Milnacipran (Savella) Fibromyalgia Oral <br />
Pazopanib (Votrient) Cancer Oral <br />
Pitavastatin (Livalo) Cholesterol Oral <br />
Prasugrel (Effient) ACS Oral <br />
Tolvaptan (Samsca) Heart Failure Oral <br />
Vigabatrin (Sabril) Epilepsy Oral <br />
Asenapine (Saphris) Antipsychotic Sublingual
PHATSO: Pharmacologic and Therapeutic Studies in<br />
the Obese<br />
Michelangelo<br />
's David<br />
Visits<br />
Modern USA<br />
Diabetes Obesity<br />
A GROWING epidemic
Clinical Examples of Transporter<br />
Mediated DDIs<br />
Victim Drug Inhibitor<br />
Clinical<br />
Consequence<br />
Pravistatin ( ) <br />
(1) Cyclosporine AUC 890%<br />
Rosuvastatin (1) Cyclosporine AUC 610%<br />
Bosentan (1) Ritonavir C trough 4700%<br />
Cerivastatin (1) Gemfibrozil<br />
Rhabdomyolysis<br />
Rhabdomyolysis,<br />
Death<br />
Digoxin (2) Digoxin Dronedarone AUC 157%<br />
( ) Dronedarone AUC 157%<br />
Metformin (3) Cimetidine AUC 50%<br />
(1): OATP (2) P-gp/MDR1 (3): OCT
Efflux<br />
Regulatory Recommendations<br />
Category Transporters Assays<br />
Hepatic p uptake p<br />
Renal uptake<br />
• P-gp (MDR1)<br />
• BCRP<br />
• BSEP (only EMA)<br />
• OATP1B1<br />
• OATP1B3<br />
• OCT1 (only EMA)<br />
Monolayer or Vesicles<br />
• Inhibition and substrate assays<br />
Cellular uptake<br />
• Inhibition<br />
• Substrate based on PK<br />
• OAT1<br />
Cellular uptake<br />
• OAT3<br />
• OCT2<br />
• Inhibition<br />
• Substrate based on PK
Conclusions<br />
The identification of transporters that influence the<br />
di disposition, i i toxicity i i and d safety f of f drugs d is i a new challenge h ll<br />
for drug discovery and development programs.<br />
Our understanding of drug transporters is still emerging and<br />
it is likely that multiple ABC and SLC transporters will<br />
influence the disposition and toxicity of a compound.<br />
For future drugs, drugs transporters are a key<br />
aspect in understanding efficacious response,<br />
as well as the drug’s drug s disposition, disposition toxicity<br />
and interactions. Multiple approaches<br />
Extrapolating animal studies not t
<strong>SOLVO</strong> Services and Assays<br />
Systems y to Study y<br />
Transporters
In-vitro In-vitro Approaches for Studying<br />
Membrane –<br />
based assays<br />
Cell –<br />
based assays<br />
Transporters<br />
ATPase assay<br />
liberated Pi; inexpensive, non‐radioactive<br />
indication on the nature of interaction (substrate or inhibitor)<br />
Vesicular transport assay<br />
quick and easy; vesicles from any cell type<br />
flexible readout (LSc, Fluo, LC/MS; modeling of ic. concentration<br />
Calcein assay<br />
fluorescent measurement<br />
indirect measurement – modulation of dye transport<br />
Cellular uptake assay<br />
quick and easy assay<br />
flexible read‐out and various expression systems<br />
Monolayer assay<br />
single or double transfectants; good absorption model<br />
permeability can be limiting<br />
Primary cells<br />
suspended and sandwich‐cultured sandwich cultured hepatocytes hepatocytes,<br />
brain capillary endothelial cells
Cellular Uptake Assay<br />
Flexible readout (LSc,<br />
LC/MS)<br />
Services<br />
Permeability is not a factor<br />
(inhibition)<br />
Modeling of Cmax<br />
Various expression systems<br />
Substrate testing only for<br />
low permeability compounds<br />
Substrate<br />
assay<br />
Inhibition<br />
assay<br />
Investigated drug<br />
Inhibitor
Uptake Transporter Studies<br />
General High-throughput High throughput Screening<br />
Protocol<br />
1. Add cells to the wells of a 96-<br />
2.<br />
well plate<br />
Add expression inducer<br />
33. Incubate in CO CO2 thermostat for 24h<br />
4. Wash wells<br />
55. Add test compounds<br />
6. Add labeled compound<br />
7. Incubate at 37 °C 8. Stop transport by ice-cold<br />
washing mix, wash wells<br />
9. Dissolve cells in 0.1% NaOH 12. Measure radioactivity y in<br />
10. Add scintillation cocktail to the<br />
wells of a 96-well plate<br />
11. Transfer lysate from plate 1<br />
each well<br />
13. Calculate transport rates<br />
and relative transport rates
Cellular Uptake Reference Data<br />
OATP1B1<br />
trnanspport<br />
rate<br />
(pmol/ /mg/min)<br />
Uptake of Fluvastatin into OATP1B1<br />
expressing cells<br />
450<br />
400<br />
350<br />
300<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
0 20000 40000 60000 80000<br />
Concentration Fluvastatin (pmol/ml)
Cellular Uptake Reference Data<br />
OATP1B3
Cellular Uptake Reference Data<br />
OATP2B1
Cellular Uptake Reference Data<br />
NNon-specific ifi binding bi di (NSB)<br />
Ceellular<br />
accummulation<br />
(pmol/mmg)<br />
Standard assay conditions Addition of 10% human serum<br />
30000<br />
25000<br />
20000<br />
15000<br />
10000<br />
5000<br />
Cellular C accuumulation<br />
(pmol/ /mg)<br />
0<br />
-5000<br />
2 min 20 min<br />
0<br />
CHO‐OATP1B1 CHO OATP1B1<br />
2 min<br />
1107 1107.43 43<br />
20 min<br />
1886 1886.98 98<br />
CHO-OATP1B1<br />
CHO-K<br />
Transporter<br />
specific transport<br />
(pmol/mg)<br />
9887.65<br />
9032.43<br />
855.22<br />
22137.47<br />
22062.62<br />
74.85<br />
CHO‐K<br />
Transporter<br />
specific transport<br />
(pmol/mg) (p / g)<br />
425.38<br />
682.05<br />
490.89<br />
1396.09<br />
2500<br />
2000<br />
1500<br />
1000<br />
500
Uptake Assays at <strong>SOLVO</strong><br />
Cell line Probe substrate<br />
OATP1B1-CHO (SLCO1B1)/OATP2, OATP-C<br />
3 H-Estrone-3-Sulfate<br />
Reference<br />
Inhibitor<br />
Pravastatin;<br />
rosuvastatin<br />
Planned<br />
substrate<br />
Pravastatin;<br />
rosuvastatin<br />
OATP1B3-CHO (SLCO1B3)/OATP8 Fluo-3 Digoxin; rosuvastatin Digoxin; rosuvastatin<br />
OATP2B1-MDCKII (SLCO2B1)/OATP-B<br />
rat Oatp1a1 (Slco1a1)<br />
OATP1A2-HEK293 (SLCO1A2)<br />
OATP2A1-CHO (SLCO2A1)/PGT<br />
NTCP-CHO (SLC10A1), rat Ntpc (Slc10a1)<br />
NEW!<br />
NEW!<br />
3<br />
HH-Estrone-3-Sulfate E t 3 S lf t<br />
Fluvastatin<br />
3 H-Estrone-3-Sulfate Ketoconazole<br />
3 H-Estrone-3-Sulfate Fexofenadine<br />
3 H-Prostaglandin-E2 Diclofenac<br />
3 H-Taurocholate TCDC Rosuvastatin<br />
PEPT1-CHO PEPT1 CHO (SLC15A1) Glycylsarcosine Tyr-Phe Tyr Phe<br />
PEPT2-CHO (SLC15A2) Glycylsarcosine Cefadroxil<br />
3<br />
OAT1-CHO OAT1 CHO (SLC22A6), Rat Oat1 H-PAH H PAH Benzbromarone<br />
OAT3-CHO (SLC22A8)<br />
OCT1-CHO (SLC22A1)<br />
OCT2-CHO (SLC22A2)<br />
OCTN1-CHO (SLC22A4)<br />
OCTN2-CHO (SLC22A5), rat Octn2<br />
NEW!<br />
NEW! NEW!<br />
NEW!<br />
NEW!<br />
3 H-Estrone-3-Sulfate Probenecid<br />
Valacyclovir;<br />
ampicillin<br />
Valacyclovir;<br />
ampicillin<br />
Tenofovir; zidovudine;<br />
MTX<br />
Ciprofloxacin;<br />
zidovudine<br />
14 C-TEA, 14 C-Metformin Verapamil Metformin; quinidine<br />
14 C-TEA, 14 C-Metformin Cimetidine Cimetidine<br />
14 C-TEA Verapamil Quinidine; verapamil<br />
3 H-Carnitine Verapamil Quinidine; verapamil
Monolayer Assay Services<br />
Gold standard for PP-gp gp<br />
Modeling of important<br />
pharmacokinetic barriers<br />
Tight cell layer grown on<br />
a porous support<br />
Caco-2 and single and<br />
double transfectants<br />
MDCKII cells<br />
Permeability of test article<br />
should be considered
Determination of the P and P AB BA<br />
values and the net flux ratio in the MA<br />
t 0<br />
t 1<br />
AB BA<br />
Donor<br />
RReceiver i<br />
chamber<br />
chamber<br />
Apical Apical<br />
c 0<br />
Receiver<br />
chamber<br />
Basal Basal<br />
t 0<br />
t 1<br />
c c0 Donor<br />
chamber<br />
h b
MDDCKII-BCCRP<br />
MDCKII<br />
Interpretation of Results<br />
= dQ/dt<br />
PAPP <br />
Efflux ratio:<br />
ER = P app,BA/P app,AB<br />
ER NET = ERT/ER T W<br />
dQ<br />
dt<br />
1<br />
AC<br />
ERT and ERW are the efflux<br />
ratios for the transfected and<br />
non-transfected t f t d li lines<br />
0
Bidirectional Permeability of Digoxin on MDCKII<br />
Monolayer Assay Reference Data<br />
and MDCKII-MDR1 Monolayers in the Presence of<br />
Verapamil
Monolayer Assay Reference Data<br />
Bidirectional transport of Prazosin +/- / 1 μM Ko143<br />
throuhg MDCKII-BCRP and parental monolayers<br />
(10-6cm/secc)<br />
Papp<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
BCRP A-->B<br />
BCRP B-->A<br />
wt A-->B<br />
wt B-->A<br />
Prazosin 1uM / I. Prazosin 1uM / II. Prazosin 1uM + Ko143 1uM<br />
ER BCRP Parental<br />
Prazosin I 19 0.7<br />
Prazosin II 17 11.0 0<br />
Prazosin + Ko143 0.8 0.6
Appareent<br />
permeaability<br />
(10-6cm/sec)<br />
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Monolayer Assay Reference Data<br />
MDCKII-OATP2B1/BCRP<br />
Vectorial transport of E-3-S<br />
BCRP OATP-B OATP B BCRP / OATP-B OATP B MDCKII<br />
Cell line<br />
1 uM BA<br />
1 uM AB<br />
10 uM AB<br />
10 uM AB<br />
100 uM BA<br />
100 uM AB
MMonolayer l AAssays at t <strong>SOLVO</strong><br />
Cell line<br />
TType of f CCell ll li line<br />
Service<br />
assay<br />
licensing<br />
PreadyPort TM *<br />
Caco-2 Substrate ID<br />
(MDR1, BCRP) <br />
- -<br />
Inhibitor ID<br />
MDCKII-MDR1<br />
MDCKII-BCRP<br />
MDCKII-<br />
BCRP/OATP2B1<br />
MDCKII-BSEP/NTCP<br />
Substrate ID<br />
(24-well plate)<br />
<br />
IInhibitor hibi ID<br />
(96-well (96 well plate)<br />
Substrate ID<br />
Inhibitor ID<br />
Substrate ID<br />
Inhibitor ID<br />
Substrate ID Under<br />
Inhibitor ID<br />
<br />
Under Development<br />
Development<br />
Under<br />
Development<br />
Under Development<br />
* In cooperation with
PREDEASY ATP ATPase AAssay<br />
IInexpensive, i nonradioactive<br />
Idi Indication ti on th the nature t of f<br />
interaction<br />
For P-gp P gp reasonable<br />
correlation with cellular<br />
assays y<br />
Indirect assay<br />
Not as widely accepted by<br />
regulatory agencies as<br />
cell based and vesicular<br />
assays
PREDEASY TM ATPase kit<br />
Advanced d d Pi ddetection<br />
Higher sensitivity<br />
M More robust b t<br />
Shorter incubations<br />
Easier automation<br />
Lower cost for each<br />
data da a point po generated<br />
g a d<br />
Ready-to use<br />
•<br />
•<br />
membrane b preparation, ti<br />
and all reagents<br />
Data evaluation Excel on<br />
CD<br />
•<br />
•<br />
•<br />
3-compound size<br />
6- compound size<br />
99-compound d size<br />
i
Main Steps of the Assay<br />
1. Preparation of the assay mix<br />
2. Preparation of membrane suspension in<br />
assay mix (4 g g / well)<br />
3. Add membrane suspension and test drug<br />
to 96-well plate<br />
4. Pre-incubation (5 min, 37 o C)<br />
5. Add MgATP (final concentration: 2 mM)<br />
6. Incubation (10 min, 37 o C)<br />
7. Stop reaction by adding developer,<br />
add blocker after 2 min.<br />
8. Incubate (30 min)<br />
9. Measure OD at 620nm<br />
10 10. CCalculation l l ti
CContents t t of f th the AAssay-Mix Mi<br />
Name Conc Conc. Purpose<br />
MOPS-Tris, pH 7 50 mM Buffer<br />
KCl 50 mM Osmotic pressure<br />
Na-Azide 5 mM<br />
Inhibitor of mitochondrial ATPases<br />
(Antimicrobial agent)<br />
DTT 2 mM Denaturing agent, not for ABC transporters<br />
EGTA-Tris, pH 7 0,1 mM<br />
MgATP<br />
ATP 10 mM Catalyzes reaction<br />
MgCl 10 mM Co-factor Co factor<br />
Inhibitor of Ca2+ Inhibitor of Ca dependent ATPase activity<br />
2+ dependent ATPase activity<br />
(P-type)
Explanation of Results<br />
Abssorption<br />
at 620 6 nm<br />
1.600<br />
1.400<br />
1.200<br />
1000 1.000<br />
0.800<br />
0.600<br />
0.400<br />
0.200<br />
0.000<br />
vanadate sensitive baseline<br />
activity (0%)<br />
Solvent<br />
(CTRL1)<br />
Vanadate<br />
(CTRL2)<br />
vanadate sensitive activated<br />
transporter activity (100%)<br />
Activated<br />
(CTRL3)<br />
Activated +<br />
Vanadate<br />
(CTRL4)<br />
-34%<br />
Activated +<br />
Inhibitor<br />
(CTRL5)
vanadate se ensitive ATPase e acitivty<br />
(nmo ol Pi/mg prot./min n)<br />
PREDEASY Reference curves<br />
Substrate<br />
MDR1; Prazosin<br />
55<br />
50<br />
activation<br />
45<br />
40<br />
inhibition<br />
35<br />
30<br />
IC IC50= 50= 309 礛<br />
25<br />
20<br />
1 115<br />
10<br />
5<br />
0<br />
EC EC50= 50= 26.1 礛<br />
0 10 -7 10 -6 10-5 10-4 10-3 15<br />
10<br />
5<br />
0<br />
0 10 -7 10 -6 10-5 10-4 10-3 Prazosin a os [ [M] ]<br />
vanadate sensit tive ATPase acitiv vty<br />
(nmol Pi/ /mg prot./min)<br />
vanadate e sensitive ATPase e acitivty<br />
(n<br />
nmol Pi/mg prot./mi in)<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
Inhibitor<br />
MDR1; Cyclosporin A<br />
0<br />
0 10-8 10-7 10-6 10-5 10-4 10-3 0<br />
0 10-8 10-7 10-6 10-5 10-4 10-3 Cyclosporin A [M]<br />
50<br />
40<br />
30<br />
20<br />
10<br />
activation<br />
inhibition<br />
IC IC50=1.0 50=1.0 50 1.0 M M M M<br />
Slowly transported substrate<br />
MDR1; Ivermectin<br />
0<br />
0 10-8 10-7 10-6 10-5 10-4 10-3 0<br />
0 10<br />
Ivermectin [M]<br />
-8 10-7 10-6 10-5 10-4 10-3 Ivermectin [M]<br />
activation<br />
inhibition<br />
IC IC50=0.6 50=0.6 M M
vanadate e sensitive ATPa ase acitivty<br />
(n mol Pi/mg prot./ min)<br />
22<br />
20<br />
18<br />
16<br />
14<br />
12<br />
10<br />
PREDEASY Reference curves<br />
Substrate<br />
MRP1; NEM-GS<br />
8<br />
0 10-5 10-4 10-3 10-2 10-1 8<br />
0 10-5 10-4 10-3 10-2 10-1 NEM-GS [M]<br />
activation<br />
inhibition<br />
EC EC50= 50= 2231 M M<br />
vanadate sensitiv ve ATPase acitivty y<br />
(nmol Pi/m mg prot./min)<br />
va<br />
anadate sensitive e ATPase acitivty y<br />
(nmol Pi/mg g prot./min)<br />
20<br />
15<br />
10<br />
5<br />
Inhibitors<br />
MRP1; Benzbromarone<br />
0<br />
0 10-8 10-7 10-6 10-5 10-4 10-3 10-2 10-1 0<br />
0 10-8 10-7 10-6 10-5 10-4 10-3 10-2 10-1 0 10 10 10 10 10 10 10 10<br />
Benzbromarone [M]<br />
10.0<br />
7.5<br />
50 5.0<br />
2.5<br />
MRP1; MK571<br />
0.0<br />
0 10-7 10-6 10-5 10-4 10-3 10-2 10-1 0 10-7 10-6 10-5 10-4 10-3 10-2 10-1 MK571 [M]<br />
activation<br />
inhibition<br />
IC IC50=17 50=17 50 17.11 11 M M M M<br />
EC EC50=49.88 50=49.88 M M<br />
activation<br />
inhibition<br />
IC IC50=68.9 50=68.9 M M <br />
50<br />
EC EC50=404 50=404 M M
vanadate se nsitive ATPase acitivty a<br />
(nmol (nmol l Pi/mg prot./min)<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
PREDEASY Reference curves<br />
Substrate<br />
MXR-HAM; BCRP-HAM; Furosemid Furosemide<br />
0<br />
0 10-7 10-6 10-5 10-4 10-3 0<br />
0 10<br />
Furosemid [M]<br />
-7 10-6 10-5 10-4 10-3 Furosemid [M]<br />
activation<br />
inhibition<br />
EC EC50=28.2 50=28.2 M M<br />
vanadate sen nsitive ATPase acitiv vty<br />
(nmol Pi/mg prot./min)<br />
vanad<br />
date sensitive ATPa ase acitivty<br />
(nmol Pi/mg prot./ min)<br />
Inhibitor<br />
MXR-HAM; BCRP-HAM; Ko 143 143Ko134<br />
70<br />
activation<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
0 10 -7 10 -6 10 -5 10 -4 10 -3 10 -2 10 -1<br />
0<br />
0 10 -7 10 -6 10 -5 10 -4 10 -3 10 -2 10 -1<br />
Ko 143 [mM ]<br />
MXR MXR-HAM HAM , Hoechst BCRP BCRP-HAM; HAM 33342 HHoechst33342 h 33342<br />
50<br />
40<br />
20<br />
10<br />
inhibition<br />
IC 50=35.3 50=35.3 nM<br />
IC 50=9.9 50=9.9 99 nM M<br />
Slowly transported substrate<br />
activation<br />
inhibition<br />
30 IC 50=3.1 50=3.1 M M<br />
0<br />
0 10 -8 10 -7 10 -6 10 -5 10 -4 10 -3<br />
0<br />
0 10 -8 10 -7 10 -6 10 -5 10 -4 10 -3<br />
Hoechst 33342 [M ]<br />
IC 50=2.1 50=2.1 M M
PREDEASY PREDEASY ATPase Assays Available at <strong>SOLVO</strong><br />
Transporter Activator<br />
MDR1-Sf9 Verapamil<br />
ratMdr1b-Sf9 ratMdr1b Sf9 Verapamil<br />
MRP1-Sf9 NEM-GS<br />
MRP2-Sf9 MRP2 Sf9 Sulfasalazine<br />
MRP3-Sf9 Benzbromarone<br />
BCRP-HAM-Sf9 / BCRP-M NEW! Sulfasalazine<br />
mouseBsep-HAM-Sf9 TCDC<br />
defMRP-Sf9 -<br />
defBCRP-Sf9 -<br />
defP-gp-Sf9 -<br />
All available as a kit and<br />
service
PREDIVEZ Vesicular Transport<br />
Quick and easy assay<br />
Assay<br />
Flexible l bl readout d ( (LSc, Fluo, l<br />
LC/MS)<br />
PPermeability bilit iis not t a ffactor t<br />
(inhibition)<br />
Modeling of IC concentration<br />
Vesicles from any cell type<br />
Substrate testing only for<br />
low permeability compounds
PREDIVEZ Assay Steps<br />
11.Plate Plate membrane suspension<br />
in assay mix (containing<br />
transported and reporter<br />
substrate)<br />
2. Equilibrate with probe,<br />
ttest t article ti l and d controls t l<br />
3. Start reaction with ATP<br />
44.Incubate Incubate<br />
5. Filter and wash vesicles<br />
6. Measure counts
PPractical ti l Information I f ti for f using i<br />
Equipment needed:<br />
Millipore Multiscreen Multiscreen HTS<br />
Vacuum Manifold (Cat No.<br />
MSVMHTS00)<br />
PREDIVEZ Kits ts<br />
Plate map:<br />
Pl Plate t Map M<br />
(for two<br />
parallels)<br />
CDCF calibration curve ATP + ATP -<br />
1 2 3 4 5 6 7 8<br />
A 20 pmol p CDCF 150.00 150.00 150.00 150.00<br />
B 10 pmol CDCF 50.00 50.00 50.00 50.00<br />
C 5 pmol CDCF 16.67 16.67 16.67 16.67<br />
D 2.5 pmol CDCF 5.56 5.56 5.56 5.56<br />
E 0 pmol CDCF 185 1.85 185 1.85 185 1.85 185 1.85<br />
F ATP + ATP - 0.62 0.62 0.62 0.62<br />
G ATP + ATP - 0.21 0.21 0.21 0.21<br />
H ATP + ATP - DMSO DMSO DMSO DMSO<br />
Alternative plate maps for assaying 2<br />
compounds + calibration curve +<br />
negative control membrane test or 3<br />
compounds
Time curve of TC uptake into BSEP<br />
vesicles<br />
transport (pmool/mg<br />
membrane<br />
prootein)<br />
200<br />
160<br />
120<br />
80<br />
40<br />
0<br />
PREDIVEZ Reference Curves<br />
ATP+<br />
ATP-<br />
0 10 20 30 40<br />
time (min)<br />
Substrate saturation of TC uptake<br />
iinto t BSEP vesicles i l 40<br />
ATP A<br />
dependent traansport<br />
(pmol/mg membbrane<br />
protein/minn)<br />
160<br />
120<br />
80<br />
40<br />
0<br />
0 10 20 30 40 50 60<br />
taurocholate (uM)<br />
ATP A dependent<br />
transport<br />
(%)<br />
Inhibition of NMQ transport into P-gp<br />
vesicles i l with ith reference f P-gp P iinhibitors hibit<br />
120<br />
110<br />
Cyclosporin A<br />
100<br />
90<br />
80<br />
Ketoconazole<br />
Verapamil<br />
70<br />
60<br />
50<br />
LY335979<br />
Erythromycin<br />
40<br />
30<br />
20<br />
10<br />
0<br />
-10<br />
Digoxin<br />
00.0001 0001 00.001 001 001 0.01 01 0.1 1 10 100 1000 10000 100000<br />
[drug] / M
Vesicular Transport of 3 PREDIVEZ Reference Curves<br />
H-Taurocholate into BSEP expressing<br />
vesicles<br />
Time dependent transport<br />
BSEP Beta-Gal<br />
trransport<br />
(pmol/m g membrane<br />
proteinn)<br />
ATP dependent transport t<br />
(pmol/mg memmbrane<br />
protein/min)<br />
200<br />
180<br />
160<br />
140<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
0 10 20<br />
time (min)<br />
30 40<br />
180<br />
160<br />
140<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
ATP ATP+<br />
ATP-<br />
ATP dependent transport t<br />
(pmol/mg memmbrane<br />
protein/miin)<br />
180<br />
160<br />
140<br />
120<br />
100<br />
Concentraton dependent p transport p<br />
0 10 20 30 40 50 60<br />
taurocholate (uM)<br />
1/ /ATP dependent trransport<br />
(mg<br />
membrane m<br />
proteinn*min/pmol)<br />
80<br />
60<br />
40<br />
20<br />
0<br />
-20 0 10 20 30 40 50 60<br />
0,06<br />
0,05<br />
0,04<br />
0,03<br />
0,02<br />
0,01<br />
taurocholate (uM)<br />
0<br />
-0,2 0 0,2<br />
1/taurocholate (uM)<br />
0,4 0,6
Effect of drugs on CDCF transport by MRP2-Sf9<br />
ndent trannsport<br />
(%) )<br />
ATP depe<br />
125<br />
100<br />
75<br />
50<br />
25<br />
0<br />
-25<br />
00.0001 0001 00.001 001 001 0.01 01 0.1 1 10 100<br />
[drug] / mM<br />
PREDIVEZ Reference Curves<br />
Effect of drugs on CDCF transport by MRP3<br />
ive transport<br />
(%)<br />
Relat<br />
140<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
-20<br />
0.01 0.1 1 10 100 1000 10000<br />
[drug] / M<br />
■ - Probenecid ■ - Indomethacin<br />
▲ - Sulfasalazine<br />
▼ - Indomethacin<br />
▲ - MK571<br />
▼ - Benzbromarone
Vesicular Transport Assays Available at <strong>SOLVO</strong><br />
Transporter Probe substrate<br />
* MDR1-K MDR1 K 3 3HH-NMQ NMQ or cold ld NMQ<br />
* ratMdr1b-Sf9 3 H-NMQ or cold NMQ<br />
* MRP1 MRP1-Sf9 Sf9<br />
3 3H-LTC4 H LTC4, B-GS B GS<br />
* MRP2-Sf9<br />
3H-E217bG, CDCF<br />
* ratMrp2-HEK293<br />
ratMrp2 HEK293 3H-E217bG, H E217bG, CDCF<br />
* MRP3-Sf9<br />
3H-E217bG, CDCF<br />
MRP4-LLC-PK1<br />
3H-DHEAS * MRP5-HEK293<br />
3H-cGMP, CDCF<br />
BSEP-Sf9<br />
3H-Taurocholate mouseBsep-Sf9<br />
3H-Taurocholate * BCRP-M, BCRP-HAM-Sf9<br />
3H-E3S, 3H-MTX, Lucifer Yellow<br />
mouseBcrp1-MDCKII<br />
* Available as a kit and<br />
service<br />
3 H-Estrone-3-Sulfate<br />
Fluorescent probe<br />
substrate
Cellular Models - Calcein assay<br />
Transporter specific<br />
Fluorescent measurement<br />
Potential for High<br />
throughput g p<br />
Least expensive method to<br />
screen for possible P‐gp<br />
related DDI<br />
Indirect measurement –<br />
modulation of dye<br />
transport<br />
Low permeability<br />
compounds may not get<br />
into the cells<br />
Cell line licensing available<br />
Cell lines used in dye efflux assays<br />
K562MDR (Calcein assay)<br />
HL60MDR1 (Calcein assay)<br />
Hl60MRP1 (Calcein assay)<br />
HL60MXR (Hoechst 33342 assay)
Cellular uptake assay<br />
Stably transfected cells<br />
Quick and easy assay method<br />
Permeability y is not a factor<br />
(inhibition)<br />
Address possible drug‐drug drug drug<br />
interaction risks<br />
Fl Flexible ibl readout d (LSc, (LS Fl Fluo,<br />
LC/MS)<br />
Inhibitor / substrate assessment<br />
studies<br />
S b i l f l bili<br />
Substrate testing only for low permeability<br />
compounds
PrediCell TM Cellular Uptake<br />
Kit<br />
Uptake transporter experiments without cell<br />
line development or licensing<br />
Preplated mammalian cells<br />
Active thermal insulation<br />
Protection against shear stress<br />
Customization<br />
Plate pattern, stably transfected and parental cell line<br />
Reference substrate & inhibitor, assay buffer are optionally<br />
included<br />
Radiochemicals must be purchased separately!<br />
I In The Th Box B<br />
Plates with cells<br />
Standard Timeline<br />
User’s Manual<br />
Day 1: Package Dispatch<br />
Product Data Sheet<br />
(typically Tuesdays)<br />
List of Items<br />
Days 2-3: Package Delivery<br />
Optional: Reagents<br />
Days 2-3: Transport Experiments
Activity of PrediCell TM Kit
UptakeTransport Assays Available at<br />
<strong>SOLVO</strong><br />
Cell line Probe substrate<br />
OATP1B1-CHO (SLCO1B1)/OATP2, OATP-C<br />
3 H-Estrone-3-Sulfate<br />
Reference<br />
Inhibitor<br />
Pravastatin;<br />
rosuvastatin<br />
OATP1B3-CHO (SLCO1B3)/OATP8 Fluo-3 Digoxin; rosuvastatin<br />
OATP2B1-MDCKII (SLCO2B1)/OATP-B<br />
rat Oatp1a1 (Slco1a1)<br />
NEW!<br />
3 H-Estrone-3-Sulfate<br />
3 H-Estrone-3-Sulfate Ketoconazole<br />
3<br />
OATP1A2-HEK293 OATP1A2 HEK293 (SLCO1A2) H-Estrone-3-Sulfate H Estrone 3 Sulfate Fexofenadine<br />
OATP2A1-CHO (SLCO2A1)/PGT<br />
NTCP-CHO (SLC10A1), rat Ntpc (Slc10a1)<br />
NEW! !<br />
3 H-Prostaglandin-E2 Diclofenac<br />
3 H-Taurocholate TCDC<br />
PrediCell TM ,<br />
Licensingg<br />
PrediCell TM /Licens<br />
ing<br />
PrediCell TM<br />
/Licensing<br />
Fluvastatin Licensing<br />
PEPT1 PEPT1-CHO CHO (SLC15A1) Gl Glycylsarcosine l i TTyr-Phe Ph Li Licensing i<br />
PEPT2-CHO (SLC15A2) Glycylsarcosine Cefadroxil Licensing<br />
OAT1-CHO (SLC22A6), Rat Oat1<br />
OAT3-CHO (SLC22A8)<br />
OCT1-CHO (SLC22A1)<br />
OCT2-CHO (SLC22A2)<br />
OCTN1-CHO (SLC22A4)<br />
OCTN2-CHO (SLC22A5), rat Octn2<br />
MATE1-CHO (SLC47A1)<br />
NEW!<br />
3 H-PAH Benzbromarone<br />
3 H-Estrone-3-Sulfate Probenecid<br />
PrediCell TM /Licens<br />
ing,<br />
14 C-TEA, 14 C-Metformin Verapamil Licensing<br />
PrediCell TM<br />
14 14<br />
NEW! C-TEA, C-Metformin Cimetidine<br />
/Licensing<br />
NEW!<br />
NEW!<br />
14 C-TEA Verapamil<br />
3 H-Carnitine Verapamil<br />
14 C-TEA, 14 C-Metformin Quinidine
Single and double<br />
transfectants<br />
Gold standard for P-gp<br />
Good for most PP-gp gp and<br />
BCRP substrates<br />
GGood d absorption b ti model d l<br />
Ti Time consuming i cell ll<br />
culturing (Caco-2)<br />
Permeability can be<br />
limiting<br />
MMonolayer l AAssay
Preplated ready-to-use MDCKII monolayers, in<br />
cooperation ti with ith Ad AdvanCell C ll SA SA.<br />
Available under a limited single-use license<br />
without extra charge<br />
Patented Shipping Medium<br />
– Forms semi-solid protective layer at room<br />
temperature while liquefies at 37°C -><br />
Patented Shipping Container<br />
– protection against physical shock<br />
Customization<br />
Adaptable to automation<br />
In The Box<br />
• Plates with cells<br />
• User’s Manual<br />
• AAspiration i ti manifold if ld (optional) ( ti l)<br />
• Product Data Sheet<br />
Standard Timeline<br />
• Day 1: Package Dispatch (typically<br />
Mondays)<br />
• Day 2-3: Package Delivery<br />
• Day 4: Replacement of Shipping Media<br />
• Day 7: QC Experiments, Media<br />
Replacement<br />
• Days 8-11: Transport Experiments
Activity of preplated ready-to-use ready to use MDCKII monolayers<br />
MDR1 t f t d MDCKII ll<br />
MDR1 tranfected MDCKII cells<br />
Each measurement was performed in<br />
triplicates at day 5 and at day 12.<br />
• Up to five days of<br />
transportation in<br />
semi-solid medium<br />
• Experiments can be<br />
performed up to 7<br />
days y after arrival
Using pre-plated pre plated MDCKII<br />
cells<br />
Mon Tue Wed Thu Fri Sat Sun<br />
QA check<br />
TEER + LY<br />
QA check<br />
TEER,<br />
change<br />
media<br />
di<br />
Plates<br />
Shipped<br />
Order<br />
Receival<br />
Days to perform assay(s)<br />
Cells<br />
Plated<br />
Change<br />
shipping<br />
medium
Monolayer Assays at <strong>SOLVO</strong><br />
CCell ll li line<br />
Type yp of<br />
assay<br />
Caco-2 (MDR1, Substrate ID<br />
BCRP) IInhibitor hibi ID<br />
MDCKII-MDR1<br />
MDCKII-BCRP<br />
MDCKII-<br />
BCRP/OATP2B1<br />
MDCKII-BSEP/NTCP<br />
Substrate ID<br />
Inhibitor ID<br />
Substrate ID<br />
Inhibitor ID<br />
Substrate ID<br />
Inhibitor ID<br />
SService i<br />
SSubstrate b t t ID Under<br />
Inhibitor ID<br />
Cell line<br />
licensing<br />
P d P tTM PreadyPort * TM *<br />
- -<br />
<br />
(24-well plate)<br />
(96-well plate)<br />
(24-well plate)<br />
Under Development<br />
Development<br />
Under<br />
Development<br />
Under Development<br />
* In cooperation with
RRecommendations d ti for f Choosing Ch i the th Optimal O ti l Assay A<br />
ompound assayed a<br />
P Papp<br />
of co<br />
Hiigh<br />
Low L<br />
ATPase /<br />
VT and<br />
uptake<br />
inhibitio<br />
n<br />
Reliable<br />
Reliable<br />
Monolayer<br />
efflux<br />
inhibition<br />
assay<br />
Reliable<br />
VT and<br />
uptake<br />
substrate<br />
Reliablee<br />
Monolayer<br />
efflux<br />
transport<br />
assay<br />
Application of different types of assays for Low-High permeability<br />
compounds<br />
d<br />
Reliable<br />
Reliablle
In In vitro vitro P-gp P gp assays – Correlation Analysis<br />
Von Richter 2008 Naun Schmied Arch Pharmacol<br />
Polli 2001 JPET<br />
Transporter effect in<br />
monolayer efflux assay<br />
No transporter effect in<br />
monolayer efflux assay<br />
● compounds that show ATPase activation<br />
◊ comounds that show no ATPase activation
Compound EAC<br />
Importance of Permeability<br />
MDCKII-MDR1<br />
AB<br />
permeability<br />
/ nm/sec*<br />
MDCKII- Digoxin g BA Calcein<br />
MDR1<br />
BA/AB*<br />
IC 50 /<br />
mM**<br />
assay IC 50<br />
/ mM<br />
MDR1<br />
vesicular i l<br />
transport<br />
IC50 / mM<br />
GF120918 NNY 2.12 ND 0.055 0.026 0.049<br />
Quinidine YYY 36.4 27.2 14.9 12.89 30.74<br />
Vinblastine YYY < 10 >23 17.8 26.00 0.44<br />
Cyclosporin<br />
e A<br />
Ketoconazol<br />
e<br />
YNY 15 15.9 9 99.61 61 11.6 6 00.49 49 00.201 201<br />
NYY 316 1.02 3.07 3.03 2.16<br />
Verapamil NYY 591 1.16 10.7 9.45 5.19<br />
Erythromyci<br />
n<br />
YYN 0.94 14.4 N/A N/A 36.2<br />
Digoxin YYN 3.07** 16 N/A N/A 162.5<br />
* ‐ Polli JPET 2001; ** ‐ Rautio DMD 2006
Additional Model<br />
Systems Offered at<br />
<strong>SOLVO</strong>
Wh Why <strong>SOLVO</strong>?<br />
Portfolio<br />
In vivo transporter services<br />
Blood-Brain Barrier<br />
• Brain penetration study - both in rats and<br />
mice<br />
Liver<br />
• Bile duct cannulated (BDC) rats<br />
Kidney<br />
• Renal excretion model - under<br />
development<br />
IIntestine t ti<br />
• Oral absorption model - under<br />
development
Rat Brain Endothelial Cell Culture<br />
Model<br />
Endothelial cells<br />
Pericytes<br />
At Astrocytes<br />
t<br />
Transport of Quinidine via RBEC monolayer<br />
in the presence and absence of PSC833<br />
Effflux<br />
ratio<br />
3<br />
2<br />
1<br />
0<br />
15 minn<br />
30 minn<br />
60 minn<br />
0.1 M QND<br />
0.1 MQND+ M QND 1 MPSC833<br />
M PSC833
Microdialysis (rats and<br />
mice)<br />
I. Determination of brain<br />
penetration of test molecules<br />
in rats (unbound)<br />
II. Determination of test molecule<br />
interactions with<br />
transporters; +/- / MDR11 or BCRP C<br />
specific inhibitors<br />
III.Determination of brain<br />
penetration of test molecules<br />
and simultaneous monitoring of<br />
neurotransmitter release in<br />
specified brain regions.
Dose-dependent Brain<br />
Penetration of Transporter<br />
Substrates b<br />
2007 AAPS-FDA workshop white paper: Chaurasia C.S. et al,<br />
Microdialysis principles, application and regulatory perspectives<br />
- Currently MD is the only tool available that explicitly provides<br />
data on the extracellular space
NNew LLaunch h<br />
Hepatocyte Uptake Assay<br />
Plated primary human and rat hepatocytes<br />
Simple uptake experiments<br />
Km/Vmax determination<br />
DDI studies<br />
Three probe substrates<br />
1. NTCP<br />
2. OATP<br />
3. OCT1-related uptake capacity
Biliary Excretion - rat<br />
Bile duct cannulated rats model<br />
Study the excretion of test compounds into<br />
the bile<br />
Study the effect of the test compound on<br />
the excretion of other (physiological)<br />
compounds ( (e.g. bile salts) )<br />
Both standard and transporter specific<br />
study designs<br />
Measure inhibition of Mrp2, Bcrp and Bsep
Liver<br />
Kidney<br />
<strong>SOLVO</strong> Barrier Packages<br />
Individual<br />
Transporters<br />
OATPs, MRPs,<br />
BSEP, NTCP, OCT1,<br />
P-gp P-gp, BCRP<br />
Cellular Models In vivo models<br />
Hepatocyte uptake<br />
assay<br />
BDC rats<br />
OATs, OCTs, Renal Proximal<br />
MATEs, MRPs, P- Tubule cells Under development<br />
gp, BCRP (aProximateTM )<br />
Absorption P-gp, P gp, BCRP Caco-2 Caco 2<br />
Blood-Brain<br />
Barrier<br />
PP-gp, BCRP<br />
RBEC, , MBEC, ,<br />
MDCKII-MDR1<br />
In vivo<br />
absorption ( (PK) )<br />
Mi Microdialyis<br />
di l i
Efflux<br />
Uptake<br />
Other<br />
Portfolio OOverview er ie<br />
Products Services<br />
• PREDEASYTM • PREDEASY ATPase kits • ATPase assays<br />
TM ATPase kits<br />
• ATPase assays<br />
• PREDIVEZTM VT kits<br />
• PREADYPORTTM Monolayer kits<br />
• ATPase membrane preparations<br />
• VT membrane preparations<br />
• VT substrate assays<br />
• VT inhibition assays<br />
• Dye efflux assays<br />
• MDCKII monolayers<br />
• MDCKII cell line licensing • Caco-2 monolayers<br />
• PREDICELLTM • Cellular uptake substrate assays<br />
kits<br />
• Cellular uptake inhibition assays<br />
• Cell line licensing • Double transfected monolayer assays<br />
• Isolated hepatocyte uptake studies<br />
• PSC833 (Pgp inhibitor)<br />
• Ko134 (BCRP inhibitor)<br />
• MDQ diagnostic kits<br />
•Solubility tests<br />
• In vivo microdialysis y studies<br />
- Pgp specific<br />
- BCRP specific<br />
• In vivo liver transporter studies<br />
• Rat Brain Endothelial Cell monolayer assay
Wh Why to choose h <strong>SOLVO</strong>?<br />
We are the h iindustry d lleader d iin the h fi field ld of f iin vitro i<br />
transporter services and products<br />
Unique expertise in the transporter science<br />
Widest drug-transporter assays portfolio<br />
Competitive pricing<br />
We not only y ship p a product, p , but provide p technical<br />
support whenever it is needed<br />
Continually expanding product and service portfolio<br />
with 10-15 10 15 new launches annually<br />
Provide assays for all efflux and uptake transporters<br />
assays recommended by the FDA / EMA<br />
1st 1 and only CRO offering transporter specific in<br />
vivo assays<br />
NOW! US operations providing direct customer<br />
support support, technical expertise expertise, and GLP assay services for<br />
our North American customers
Contact <strong>SOLVO</strong><br />
• Regular Webinars, Newsletters and Science<br />
letters, Scientific Publications, Reviews<br />
• LinkedIn, Facebook, Twitter<br />
• CConferences f<br />
• Transporter Workshops and Symposiums<br />
• www.solvo.com<br />
• sales@solvo.com Please contact me directly if you have any<br />
questions!<br />
Kent Grindstaff, Ph.D.<br />
Senior Director BD and Operations, North<br />
America<br />
grindstaff@solvo.com<br />
May 14, 2012<br />
119