ASIAN ADMET SYMPOSIUM REPORT 2009 OVERVIEW The first Asian Symposium on ADMET Profiling in Drug Discovery was successfully held on the 15th-16th September 2009, at the NUSS Kent Ridge Guild House. The specific emphasis of this Symposium was Metabolism and Medication Safety. The objectives of this symposium are two-fold: to create an awareness of the relevance and implication of ADMET to pharmaceutical sciences and drug development amongst the burgeoning regional research communities; and secondly, bring together local and regional scientists for potential collaborative research and exchange of ideas in this exciting field. Additionally, this symposium also included an educational outreach effort by including a series of talks by graduate student/post-doc from around the world through an in-house Travel Award Program. Overall, the event was very well subscribed and the feedback was highly encouraging. We will share some of the highlights of this event. GOH speech (1st and 2nd picture, left to right) A/Prof Go Mei Lin delivering the opening speech for the inaugural Asian Symposium on ADMET Profiling in Drug Discovery; (Last picture) A/Prof Chan Sui Yung, HoD of Department of Pharmacy, presenting a token of appreciation to A/Prof Go Mei Lin. Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 Our guest-of-honor for the Symposium is A/Prof Go Mei Lin, Deputy Head of the Department of Pharmacy. She gave the opening address and also presented the Travel Awards to respective recipients. Below is an excerpt from her speech: “Distinguished Speakers, Invited Guests, Ladies and Gentlemen, I bid you a warm welcome to the Asian Symposium on ADMET Profiling for Drug Discovery. The Theme of the Symposium is Metabolism and Drug Safety. Safety and Efficacy are the twin requirements for any therapeutic agent. Unfortunately, they do not always go hand-in-hand and herein lies the dilemma. Issues relating to safety of the administered agent can surface at any phase of the development pipeline. In 2006, a phase 1 trial with a monoclonal antibody TGN 1412 went horribly wrong, resulting in all its six male volunteers taken seriously ill with multiple organ failure. About two years earlier, there was the widely publicized drug withdrawal of the Cox-2 inhibitor rofecoxib (Vioxx) from the US market. Lack of safety and efficacy are the two main reasons why clinical candidates continue to fail in development. Thus, the topics discussed in this symposium provide a timely reminder of the urgency of the matter and how we may do better in this area. Over the next two days, renowned experts will provide authoritative views on this topic. There will be presentations on the central role of ADME in drug safety with specific reference to reactive metabolites from the view point of structure-toxicity relationships, covalent binding properties of these metabolites, and quinones- a notorious representative of this class. You will also hear of the predictive aspects of ADMET profiling, namely metabolomics and physiologically based PK modeling , as well as the practical – namely PK/PD in children, microdosing in PK analysis and pharmacogenetics. May I extend my congratulations to the organizing committee chaired by Dr Eric Chan and Dr Ho Han Kiat of the Department of Pharmacy, for their hard work and dedicated effort in putting together an outstanding programme. Special thanks to the sponsors for their generous support in providing travel grants to 6 participants from India, Vietnam, USA, Malaysia and Singapore who will be sharing their research findings in this meeting. Finally, to all present, especially the graduate students, may you have an enriching learning experience and a great time forging new ties and renewing old ones.” PROGRAMME DAY ONE: 15th September 2009, Tuesday: 9:00 – 9:30 AM Registration 9:30 – 10:00 AM Welcome Address and Award Presentation Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 10:00 – 10:50 AM Keynote Speaker: Prof Dhiren Thakker, University of North Carolina Title: Role of ADME in adverse effects of drugs 10:50 – 11:20 PM TEA BREAK 11:20 – 12:10 PM Prof Sid Nelson, University of Washington Title: Structure toxicity relationships in reactive metabolite-mediated drug toxicities 12:10 – 1:00 PM Prof Salmaan H Inayat-Hussain, Universiti Kebangsaan Malaysia Title: Quinone toxicity- Friend or foe? 1:00 – 2:20 PM LUNCH 2:20 – 3:10 PM Prof James McElnay, Queen’s University Belfast Title: PK/PD studies in children 3:10 – 4:00 PM Dr. Peter Chan, PhD, DABT, PCTS Specialty Chemicals Pte Ltd Title: Risk assessment of chemicals from the perspective of physiologically-based pharmacokinetics modeling 4:00 – 4:30 PM TEA BREAK 4:30 – 5:00 PM Travel award recipient: Bhagwat Prasad, NIPER, India 5:00 - 5:30 PM Travel award recipient: Dr. Khac-Minh Thai, Univ of Medicine and Pharmacy at Ho Chi Minh, Vietnam 5:30 – 8:45 PM Dinner with Speakers and Award Recipients DAY TWO: 16th September 2009, Wednesday: 8:55 – 9:00 AM Day 2 introduction 9:00 – 9:50 AM Dr. Hector Keun, Imperial College Title: Metabonomics as a tool for predicting drug response 9:50 – 10:40 AM Dr. Stephen Wise, Lilly Title: Early clinical drug development and and utility of pharmacogenetics Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 10:40 – 11:10 AM TEA-BREAK 11:10 – 12:00 PM Dr. Ronald White, BMS Title: Covalent binding of reactive metabolites as a problem in industrial drug discovery 12:00 – 12:50 PM Mr. Jason Neo, ABI Title: Microdosing in PK analysis 12:50 – 2:00 PM LUNCH- Meet the experts 2:00 – 2:50 PM Dr. Vijay Suppiah, Westmead Millennium Institute Title: Pharmacogenetics- the hepatitis C story 2:50 – 3:20 PM Travel award recipient: William Proctor, Univ of North Carolina, USA Title: A Novel Mechanism for Intestinal Absorption of the Type II Diabetes Drug Metformin: Potential Role in Metformin Pharmacology and Adverse Effects 3:20 – 3:50 PM TEA-BREAK 3:50 – 4:20 PM Travel award recipient: Dr. Chan Kok Meng, Universiti Kebangsaan Malaysia Title: Molecular Mechanisms Of Goniothalamin-Induced Apoptosis On Coronary Artery Smooth Muscle Cells 4:20 – 4:50 PM Travel award recipient: Uttam Bhaumik, Jadavpur University, India Title: Development and validation of a LC-MS/MS method for bioanalytical application with ranolazine 4:50 – 5:20 PM Local award recipient: Sudipta Saha, National Univ of Singapore Title: Investigation of the role of the thiazolidinedione ring and sulfo-conjugate of troglitazone in inducing hepatotoxicity -END- Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 PLENARY SPEAKER Our plenary speaker is Prof Dhiren Thakker, Associate Dean of the School of Pharmacy at University of North Carolina. Prof Thakker also served as the scientific advisor for our symposium. He gave a keynote lecture that broadly address the need for ADMET profiling in optimizing safety and efficacy of new drug candidates in the drug development. He ended his talk strongly by tracing the historical beginnings of drug metabolism that confirmed its role to drug toxicity. These early principles defined and perpetuated the advancements in the field that we are experiencing today. SPEAKERS Group photo of the speakers, Department of Pharmacy staff and the award winners: (Front row, left to right) A/Prof Chan Sui Yung, Dr. Peter Chan, Prof Salmaan Inayat-Hussain, Dr. Ronald White, Prof Dhiren Thakker, Prof Sid Nelson and Dr. Khac-Minh Thai, Dr. Hector Keun. (Front row, left to right) Dr Eric Chan Chun Yong, Dr. Chan Kok Meng, A/Prof Go Mei Lin, Mr Sudipta Saha, Mr William Proctor, Mr Bhagwat Prasad, Prof James McElnay, Mr Uttam Bhaumik and Dr Ho Han Kiat. We have a total of 10 invited speakers for the symposium. Besides, Prof Thakker, our overseas speakers included Prof Sid Nelson (University of Washington), Prof Salmaan Inayat-Hussain (Universiti Kebangsaan Malaysia), Prof James McElnay (Queen’s University Belfast), Dr. Hector Keun (Imperial College London), Dr. Ronald White (BMS), Dr. Stephen Wise (Lilly) and Dr. Vijay Suppiah (Westmead Millennium Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 Institute). We also had 2 local speakers namely Dr. Peter Chan (PCTS Chemicals) and Mr Jason Neo. Prof Sid Nelson took a more chemical approach to expound the importance of metabolism to toxicity, identifying critical chemical features that frequently pre-dispose to drug toxicity. Dr. Ronald White critically addressed the current approaches that pharmaceutical industries adopt as part of their early profiling of toxicity through identification of reactive intermediates and metabolites. Subsequently, Prof Salmaan Inayat-Hussain examined in greater details, one particular chemical feature, the quinones, and discussed on how the reactivity of such structure can lead to both beneficial and adverse outcomes. Dr. Stephen Wise, Prof James McElnay and Dr. Vijay Suppiah expounded a different aspect of drug pharmacology and toxicology that is linked to genetics. Dr. Stephen Wise clearly illustrated the impact of pharmacogenomics on drug toxicity and drug responses, particularly genes those pertaining to drug metabolism. Prof McElnay discussed the screening of genetic polymorphism in childhood leukemia, while Dr. Suppiah discussed a separate genetic approach to look at clinical pharmacology of hepatitis C. Finally, a few speakers addressed emerging technologies that will shape ADMET profiling in the future. These include Dr. Hector Keun’s numerous examples on the use of metabonomics study in drug toxicity, Dr. Peter Chan’s discussion on the use physiologically-based pharmacokinetics modeling to improve the clinical relevance and accuracy of pharmacokinetics profiling of drug distribution, as well as Mr Jason Neo addressing the use of micro-dosing for large-scale pharmacokinetics profiling. Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 TRAVEL AWARD WINNERS A/Prof Go Mei Lin presenting the Travel Award to: (1st row, from left to right) Mr Bhagwat Prasad, NIPER, (India), Dr. Khac-Minh Thai, University of Medicine and Pharmacy at Ho Chi Minh (Vietnam) and Mr William Proctor, University of North Carolina (USA). (2nd row, from left to right) Dr. Chan Kok Meng, Universiti Kebangsaan Malaysia (Malaysia), Mr Uttam Bhaumik, Jadavpur University (India) and Mr Sudipta Saha, National University of Singapore (Singapore). To fulfill one of our objectives of an educational outreach to regional countries, we instituted a Travel Award scheme whereby 5 recipients were selected based on the scientific merits of their submitted abstracts. Abstracts were reviewed by our scientific panel comprising of A/Prof Paul Ho and Dr. Yap Chun Wei from the Department of Pharmacy. In the end, 5 Travel Awards ($1500 cash award each) and 1 local award ($250) were given out. These recipients presented their abstracts in the form of 25-min talks and 5-min Q&A each, during the symposium. The winners also participated actively in the rest of the symposium and were given ample opportunities to mingle with the guest speakers and organizers. Some of them also participated in a half-day tour of NUS and Biopolis the day before the symposium. The list of the winners is as shown below: 1. Mr. Bhagwat Prasad, National Institute of Pharmaceutical Education and Research (NIPER, India) Recipient of GSK – Dhiren Thakker Travel Award Title: In silico and in vitro studies for identification of major CYP450 involved in biotransformation of rifamycin derivatives 2. Dr. Khac-Minh Thai, University of Medicine and Pharmacy at Ho Chi Minh City (Vietnam) Recipient of Applied Biosystems – Sidney Nelson Travel Award Title: Overcoming hERG activity in drug discovery: The systematic concept Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 3. Mr. William Ross Proctor III, University of North Carolina (USA) Recipient of Singapore – BMRC Travel Award Title: A Novel Mechanism for Intestinal Absorption of the Type II Diabetes Drug Metformin: Potential Role in Metformin Pharmacology and Adverse Effects 4. Dr. Kok Meng Chan, Universiti Kebangsaan Malaysia (Malaysia) Recipient of Agilent Travel Award Title: Molecular Mechanisms Of Goniothalamin-Induced Apoptosis On Coronary Artery Smooth Muscle Cells 5. Mr. Uttam Bhaumik, Jadavpur University (India) Recipient of Shimadzu – James McElnay Travel Award Title: Development and validation of a LC-MS/MS method for bioanalytical application with ranolazine 6. Mr. Sudipta Saha, National University of Singapore (Singapore) Recipient of ADMET Local Award Title: Investigation of the role of the thiazolidinedione ring and sulfo-conjugate of troglitazone in inducing hepatotoxicity PARTICIPANTS Publicity for the event was mainly through email circulation and departmental announcements across relevant departments in NUS, NTU, polytechnics, research institutes and research divisions of pharmaceutical companies based in Singapore. Approximately 160 participants registered for the event, exceeding our initial target of 120 participants. The registrants included a large number of academic scientists, pharmaceutical scientists from the industry and research institutes, undergraduate and postgraduate students, as well as interested individuals from relevant vendors and licensing offices. The insightful talks presented catalyzed interactive discussions with the audience during Q&A as well as lunches and tea breaks. Many requests for speakers’ presentation slides were communicated to the organizers. Department of Pharmacy, National University of Singapore 2009 ASIAN ADMET SYMPOSIUM REPORT 2009 SPONSORSHIPS Sponsorships for the event were overwhelming, allowing us to keep the event free-ofcharge so as to encourage participation (particularly helpful for undergraduate and postgraduate students). In all, we received sponsorships amounting to $23550. The breakdown of sponsorships by company is as shown in the table below. Source NUS, Faculty of Science A*STAR BMRC Local Symposium Sponsorship Applied Biosystems BD Gentest Agilent GSK Shimadzu Alpha Analytical NUSS (for allowing additional chairs without charge) Department of Pharmacy (Miscellaneous) Total Amount $10000 $5000 $2500 $2250 $1000 $1000 $1000 $800 $2268.83 $25818.83 Reported by: Ho Han Kiat Eric Chan Chun Yong Department of Pharmacy, National University of Singapore 2009