Assessment of the Physiologically-Based iDEATM Predictive Model Using an External (Blinded) Data Set G. Leesman1, D. Norris1, G. Timony1, Y. Chen1, W. Pirson2, F. P. Theil2, A. H. Schmitt-Hoffman2, Y. H. Lee1, J. Doerr-Stevens1, P. Gordon1, R. Retajczyk1, S. Tran1, K.-J. Lee1, N. Johnson1, J. Castelo1, R. Christopher1, G. Grass1, P. Sinko1 Caco-2 Permeability: Directionality: AB and BA Caco-2: 20-23 day/ Passage 30-40/Surface Area: 0.31 cm2 Donor conc: 100 µM including 1% DMSO A: 300 µL pH 7.4 (or pH 6.5 Mes)/ B: 1200 µL pH 7.4 Ringers buffer Donor side sampling: 20 µL at beginning and final Receiver side sampling: 100 µL at 30, 50, 70, and 90 min Incubation at 50 oscillations per minute, 37 °C, 5%CO2, 95% humidity N=4 wells per compound Analysis: LC-MS, HPLC-UV, or LSC Peff (cm/sec) = (dX/dt)/(A*Co*60), where X: mass transported, A: surface area and Co: initial donor drug concentration Monolayer integrity: Pre and post-test TEER measurements Transport markers: Atenolol, propranolol Rabbit Permeability Model FDp Predictions Rabbit RESULTS Solubility Profiles: 100 90 80 70 60 The physiologically-based iDEA predictive model was trained using a database of 56 non-metabolized compounds and a total of 85 drug-dose combinations. See Presentation Number: 3523 (Timony et al.) for details. The in vivo training data was obtained from clinical pharmacokinetic studies provided by Genentech, Parke-Davis, Schering-Plough, SmithKline Beecham, Trega Biosciences and others. The in vitro data inputs for the model were permeability from rabbit intestinal or Caco-2 and solubility determined at various pH values. F. Hoffman-La Roche, Ltd. supplied the external validation compound set in a blinded fashion. The external set of drugs was a set of eight compounds with diverse properties. These drugs were not used to develop the model. pH 1.5 pH 5.0 A ng/mL 75.93 23.85 37.74 7.46 B mg/mL >100 >100 C mg/mL >100 >100 D mg/mL 0.008 0.001 0.154 0.050 E mg/mL 25.91 0.77 24.39 0.63 G mg/mL >100 >100 H mg/mL 0.554 3.576 0.154 I g/mL 0.97 0.13 1.59 0.04 pH 6.5 pH 7.0 pH 7.5 22.70 8.76 40.00 39.04 21.76 14.25 >100 >100 >100 >100 >100 >100 0.548 0.274 0.764 0.400 0.799 0.017 23.86 0.94 22.70 2.54 24.03 0.63 >100 >100 >100 0.547 0.010 0.552 0.009 0.651 0.011 20.08 8.65 96.90 4.57 433.7 156.0 50 40 30 20 10 0 Jejunum 30 15 A to B B to A 10 5 25 20 A to B 15 B to A 10 5 30 25 20 A to B 15 B to A 10 0 0 A B C D E G H I 5 B C D E G H I Roche Compounds Roche Compounds A B C A B Permeability • Compounds B, D and H: >5 x 10 -6 cm/sec (high permeability) • • • • • • • • • • • • Compounds C and G: 1 - 5 x 10 -6 cm/sec (intermediate permeability) • Compounds A, E, and I: <1 x 10 -6 cm/sec (low permeability) Transport processes • Passive transport (AB BA): Compounds D and H • Facilitated transport - Influx transport (AB > BA): Compounds A, B, C - Efflux transport (AB< BA): Compounds E, G and I D E G Roche Compounds Rabbit Intestinal Permeability: Directionality: AB and BA Male New Zealand white rabbits (2.5-3 kg) (overnight fasting) Intestinal Segments: duodenum, jejunum, ileum, and descending colon Ussing side-by-side diffusion chamber/ 37 °C/ gas lift mechanism using 1-2 mL/min 95% O2 and 5% CO2 Donor conc: 100 µM including 1% DMSO Apical and Basolateral: 1.5 mL pH 7.4 Ringers buffer Donor sampling: 100 µL at beginning and final Receiver sampling: 100 µL at 30, 50, 70, and 90 min N=3 chambers per compound Analysis: LC-MS/ HPLC-UV/ LSC Peff (cm/sec) = (dX/dt)/(A*Co*60), where X: mass transported, A: surface area, 0.636 cm2 and Co: initial donor drug concentration 40 20 15 A to B B to A 10 5 H I 35 30 25 A to B 20 B to A 15 A B C D E G Roche Compounds H I 2 1.5 1 0.5 1 20 40 60 80 0 1 100 10 100 1000 10000 0 0.5 1 1.5 2 2.5 3 3.5 Cmax Predictions Caco-2 100 90 80 70 60 50 40 30 20 10 0 tmax Predictions Caco-2 3 10000 2.5 1000 100 10 20 40 TM iDEA 60 Predicted FDp 80 100 1.5 1 0.5 1 0 2 0 1 10 100 TM iDEA 1000 Predicted Cmax (ng/mL) 10000 0.5 1 1.5 2 2.5 iDEATM Predicted tmax (hr) 5 A B C D E G Roche Compounds H I 4 iDEATM Predicted tmax (hr) iDEATM Predicted Cmax (ng/mL) 10 0 0 0 A Permeability (E-6 cm/sec) 20 Caco-2 at pH 7.4/pH 7.4 25 35 Permeability (E-6 cm/sec) Simulated gastric fluid (pH 1.5, NaCl/HCl) Simulated intestinal fluid (pH 5.0, 6.5, 7.0 and 7.5; KH2PO4/NaOH) N = 3 determinations for each pH Incubate at 37 oC (rotation), 4 hours pH adjust, if necessary, and incubate additional 2 hours Filter aliquot (0.45 M) Analysis: HPLC/UV Permeability (E-6 cm/sec) • • • • • • • Permeability (E-6 cm/sec) 25 Colon Ileum Permeability (E-6 cm/sec) Duodenum Solubility Testing: Caco-2 Permeability 10 FDp Predictions Caco-2 Known FDp Rabbit Intestinal Permeability METHODS 100 3 2.5 Caco-2 Permeability Model • Low Solubility (<1 mg/mL): Compounds A, D, H (except pH 5) and I Permeability Profiles: 1000 iDEATM Predicted FDp • High Solubility (>90 mg/mL): Compounds B, C and G The model was evaluated on its ability to predict both rate and extent of absorption. Extent of absorption was compared by FDp (Fraction Dose absorbed into the portal vein at 24 hours. The rate of absorption was evaluated by comparing predicted and observed Cmax and tmax. Predicted Cmax and tmax were determined by linking the output of the absorption model to the appropriate pharmacokinetic distribution model. 4 3.5 Known C max (ng/mL) Compound tmax Predictions Rabbit 10000 0 INTRODUCTION Cmax Predictions Rabbit Known t max (hr) • • • • • • • • • • • • Performance of the physiologically-based iDEA predictive models: Known t max (hr) Purpose. To evaluate, in a blinded manner, the performance of the physiologically-based iDEA predictive models using a set of eight diverse compounds, which were not used to develop the model. Methods. Physiologically based absorption models were trained using a database of 56 nonmetabolized compounds and a total of 85 drug-dose combinations. The in vivo training data was obtained from clinical pharmacokinetic studies provided by Genentech, Parke-Davis, Schering-Plough, SmithKline Beecham, Trega Biosciences and others. The in vitro data inputs for the model were rabbit intestinal permeability from various regions or Caco-2 permeability and solubility determined at various pH values. F. Hoffmann-La Roche, Ltd. supplied the external validation compound set in a blinded fashion. The compounds were very diverse in terms of structure, solubility (22 ng/mL to >100 mg/mL), rabbit permeability (0.14 to 25 x 10-6 cm/s), Caco-2 permeability (0.43 to 32.5 x 10-6 cm/s) , and pharmacokinetic properties. The acceptance criteria for accuracy of the predictions were established for fraction of dose absorbed into the portal vein (FDp), Cmax and tmax prior to the evaluation. Results. The rabbit permeability model predictions for FDp, which ranged from 4 to 100%, were highly correlated (r2 = 0.88, absolute mean error = 8.8%) with the observed values, with all 8 compounds predicted within the acceptance criteria. The rabbit permeability model predictions for Cmax and tmax could be evaluated for only seven of the compounds. The rabbit permeability model accurately predicted Cmax for 5 of 7 drugs and tmax for 6 of 7 drugs. The Caco-2 permeability model predictions for FDp were also highly correlated (r2 = 0.85, absolute mean error = 12.9%) with the observed values, 7 of 8 compounds predicted within the acceptance criteria. The Caco-2 permeability model accurately predicted Cmax for 6 of 7 drugs and tmax for 6 of 7 drugs. Conclusions. The physiologically-based IDEA predictive models accurately predicted relevant biopharmaceutical outcomes for a diverse blinded external validation set of eight drugs. Biosciences, Inc.: San Diego, CA United States ; 2F. Hoffmann-La Roche Ltd.: Basel, Switzerland Known FDp ABSTRACT 1Trega Known C max (ng/mL) trega CONCLUSION • The physiologically-based iDEA predictive model has been trained using a database of 56 non-metabolized compounds and a total of 85 drug-dose combinations. • A set of eight diverse drug compounds provided by F. Hoffmann-La Roche, Ltd. Were processed through in vitro solubility and permeability assays. The results from those assays were used for evaluating the performance of the physiologically-based iDEA predictive models in a blinded fashion. • This external set of drugs varied in their physical and chemical properties: MW: 200 to 552, solubility (22 ng/mL to >100 mg/mL), permeability (Rabbit: 0.14 to 25 10-6 cm/s; Caco-2: 0.43 to 32.5 10-6 cm/s), transport process and pharmacokinetic properties (%FDp 4 to 100%). • iDEA predictive models accurately predicted the relevant biopharmaceutical outcomes (FDp, Cmax and tmax) for a diverse blinded external validation set of eight drugs. 3