Lead Optimization – Building Efficacy & Safety

Kinetic assays, multiplexed additions, and careful data analysis result in outstanding success with numerous screens (~15) ...
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2014 Drug Discovery Series

Session 4: Lead Optimization – Building Efficacy & Safety

Dr. David Harwell Dr. Craig Lindsley Editor, ACS Chemical Neuroscience Professor, Vanderbilt University

Assistant Director of Industry Member Programs, ACS

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Lead Optimization – Building Efficacy & Safety

Craig W. Lindsley William K. Warren, Jr. Chair in Medicine Professor of Pharmacology and Chemistry VCNDD Co-Director, Director, Medicinal Chemistry Editor-in-Chief, ACS Chemical Neuroscience ACS Webinar May 29, 2014

Lindsley Laboratory NCDDDG: Discovery of Novel Treatments for Schizophrenia

Drug Discovery Phases and Timelines Medicinal Chemistry

~10 years IP

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Criteria for Lead Selection Compound Series – Reproducible activity – Dose responsive – Confirmed structural identity – Purity established

Chemical Attributes

– No evidence of class instability – Tractable synthetic route established – Favorable IP position and competitive assessment for class – Demonstrable exploitable SAR – Support for interaction with molecular target

Biochemical Attributes

– Selectivity/Profile established – Assessment of 'drugability' (in vivo profile)

Pharmacology Attributes

– Secondary Assay Funnel Validated Intellectual Property Position Poor IP

Solid IP

Chemotype Frequency

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An Overview of M1 mAChR Signaling – Signal Bias

KCNQ3

KCNQ2

K+ Ach

DAG

K+

PLC

IP3

PIP2

PIP2

PLC

aq

PKC

DAG IP3

Ca2+

IP2 ERK1/2

Ins4P

P

Li+

Inositol

IP3R Ca2+ Endoplasmic Reticulum

Receptor Reserve: Excess Receptors Beyond Those Necessary for a Maximal Response



High Receptor Reserve: Potency < Affinity



Low Receptor Reserve: Potency ≈ Affinity



In vivo there is a large range of mAChR receptor reserve levels



In a given cell, mAChR coupling to distinct pathways can have different receptor reserves

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Receptor Reserve – Weak Partial Agonist Considerations



Weak partial agonists can have increased efficacy and potency in high receptor reserve



Weak partial agonists can look like antagonists in low receptor reserve



High receptor reserve systems set the highest bar for identifying antagonists



This is critical for an antagonist program as it is the safest way to identify true antagonists

Primary Screening Success Kinetic assays, multiplexed additions, and careful data analysis result in outstanding success with numerous screens (~15)

Fluorescence Ratio

2.2

2.2

Vehicle

Agonist

EC80

2

2

1.8

1.8

1.6

DHPG

1.6

1.4

1.4

EC20

1.2

1.2

1

1

0.8

0.8 0

50

100

150

200

250

0

50

100

Time (s)

Fluorescence Ratio

2.2

Antagonist

2

2

1.8

1.8

1.6

1.6

1.4

1.4

MPEP

1.2

200

250

200

250

Potentiator CPPHA

1.2

1

1

0.8

0.8 0

50

100

150 Time (s)

• • •

150 Time (s)

2.2

200

250

0

50

100

150 Time (s)

A single HTS identifies agonists, PAMs, NAMs, agonists and antagonists For routine primary screen, identifies ‘molecular switches’ Enables us to identify ago-PAMs (safe/desirable versus severe AEs, based on target)

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Assay Development Tl+ Glutamate 30

γ

α

GIRK 1

GIRK 2

Slope (baseline subtracted)

R

β Tl+ BTC-AM FluoZn2 Excitation at 488 nm Emission at 540±30 nm

mGluR4 mGluR7 mGluR8

25 20 15 10 5

0 -9

-8

-7

-6

-5

-4

-3

-2

-1

-3

-2

Log glutamate, [M]

Slope (fold of basal)

5

Niswender et al., Mol Pharm 2008

Glutamate Glutamate+ 10 uM PHCCC

4

3

2

1 -10

-9

-8

-7

-6

-5

-4

Log glutamate, [M]

Do not drive on a single assay read-out – native when possible

Fluorine Introduction - Inclusion of a F atom to attenuate the basicity of the ring N atom (J. Med. Chem. 1999 42 2087) O

O N

Cl

N H

L-001411264 a1I 61 nM pKa = 8.7 Panlabs 12 hits

Cl

O Cl

F

F

L-001428751 a1I 66 nM pKa = 7.9 Panlabs 4 hits

Cl

N

Cl

L-001439330 a1I 29 nM pKa = 7.9 Panlabs 4 hits •

N H

O N

N H Cl

N

Cl

N H Cl

F

L-001450755 a1I 506 nM pKa = 6.7

Efficacious in sleep, HIC, essential tremor, Wag-Rij, AHL, Pain JMC, 2008, 51, 3692; JMC, 2008, 51, 6471

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Scaffold Hopping For IP

ACS Chem. Neurosci. 2011, 2, 730

In vitro Drug Metabolism & Pharmacokinetics

Molecular Metabolism

Biotransformation

• Permeability –CNS & intestinal

• Clearance mechanisms (CLint)

• Active uptake/efflux (disposition)

• P450, MAO: DDI & induction

• Drug-drug interactions (DDI)

• Metabolite identification (pharmacology/safety)

• Human hepatocytes (human PK)

• Drug safety (Drug Interactions) Caco-2, MDCK cells, vesicles (tissue culture facility, outsource) HT Bioanalysis → Bedrock Function • automated sample prep’n • state-of-art mass spec techniques • automated data analysis/storage

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In vitro Drug Metabolism & Pharmacokinetics Tier 1 CYP Inhibition 3A4, 2D6, 2C9, 1A2

Ideally…

>20 mM

Protein Binding Rat, human (mouse)