In Vitro - Drug Metabolism and...
Transcript of In Vitro - Drug Metabolism and...
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In Vitro – in Vivo Correlation for Low Clearance Compounds Using Hepatocyte
Relay Method
Li Di, Karen Atkinson, Christine C. Orozco, Carrie Funk, Hui Zhang, Thomas S.
McDonald, Beijing Tan, Jian Lin, Cheng Chang, R. Scott Obach
Pharmacokinetics, Dynamics and Metabolism, Pfizer Inc., Groton, CT 06340, USA: LD,
KA, CCO, CF, HZ, TSM, BT, JL, CC, RSO
DMD Fast Forward. Published on July 15, 2013 as doi:10.1124/dmd.113.053322
Copyright 2013 by the American Society for Pharmacology and Experimental Therapeutics.
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Running Title: IVIVC of Low Clearance
Corresponding Author:
Li Di
Pharmacokinetics, Dynamics and Metabolism, Pfizer Inc., Groton, CT 06340, USA
Document Statistics:
Text Pages: 23
Tables: 3
Figures: 2
References: 44
Abstract: 104 words
Introduction: 469 words
Discussion: 702 words
Abbreviations
ADMET = Absorption, Distribution, Metabolism, Excretion, and Toxicity
DMPK = Drug Metabolism and Pharmacokinetics
IVIVC = In Vitro – In Vivo Correlation
PD = Pharmacodynamics
PK = Pharmacokinetics
SAR = Structure-Activity Relationship
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Abstract In vitro-in vivo correlation (IVIVC) of intrinsic clearance in preclinical species of rat and
dog was established using the hepatocyte relay method in order to support high
confidence prediction of human pharmacokinetics for low clearance compounds. Good
IVIVC of intrinsic clearance was observed for most of the compounds, with predicted
values within 2 fold of the observed values. The exceptions involved transporter-
mediated uptake clearance or metabolizing enzymes with extensive extra-hepatic
contribution. This is the first assay available to address low clearance challenges in
preclinical species for IVIVC in drug discovery. It extends the utility of the hepatocyte
relay method in addressing low clearance issues.
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Introduction
An important goal of DMPK scientists in drug discovery is to be able to predict human
pharmacokinetic (PK) and dosing regimen using in vitro data from human-derived
reagents such as hepatocytes and liver microsomes. To increase high confidence in
prediction, it is desirable to accurately predict PK parameters for the same compound(s)
in at least two preclinical species, typically rat and dog using corresponding in vitro
reagents from three species (Wilby et al., 2011). Therefore, developing in vitro – in vivo
correlation (IVIVC) in preclinical species is highly valuable in order to gain confidence
in human translation.
Clearance is one of the most challenging PK parameters to accurately predict due to
species differences in drug metabolizing enzymes, potential for multiple metabolic
pathways, as well as contribution of drug transport. Chemical series that demonstrate
strong IVIVC in preclinical species (e.g., rat, dog) are more likely to give reliable
prediction of human clearance from in vitro data (Wilby et al., 2011). For low clearance
compounds (defined as intrinsic clearance is not measurable using standard liver
microsomal or hepatocyte assays), however, in vitro hepatic clearance values are not
usually available due to lack of appropriate tools in assessing poorly metabolized
compounds in drug discovery. This leads to insufficient supporting evidence of adequate
IVIVC from preclinical species, and therefore low confidence in human translation.
In drug discovery, low intrinsic clearance compounds have increased significantly over
the years due to the effective use of high throughput ADMET screening and early
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metabolite identification, which enable rapid SAR to address high intrinsic clearance as a
liability (Di et al., 2012). In addition, new chemical space of drug discovery is being
explored, such as liver targeting (Oballa et al., 2011; Pfefferkorn et al., 2012) and once
weekly dosing (Rangan et al., 2007), and all these require low clearance. While low
clearance can be a beneficial attribute in a new drug to increase exposure, prolong half-
life and reduce dose, it presents a challenge for DMPK scientists, because tools available
in drug discovery to accurately measure low clearance are limited. As a consequence, it
is often inaccurately assumed that no metabolism is occurring when intrinsic clearance is
below the limit of in vitro microsomal or hepatocyte stability assays. This frequently
leads to inaccurate prediction of human clearance, half-life and dose. To address low
clearance challenges, the hepatocyte relay method was recently developed to predict
human intrinsic clearance for low intrinsic clearance compounds (Di et al., 2012). In this
study, we have expanded the hepatocyte relay method to predict rat and dog intrinsic
clearance in order to establish IVIVC in three preclinical species to support high
confidence translation of human IVIVC for low clearance compounds. This is the first in
vitro tool available to study low clearance in rat and dog when limited to measure
intrinsic clearance by monitoring substrate depletion.
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Material and Methods
Materials
Test compounds were obtained from Pfizer Global Material Management (Groton, CT) or
purchased from Sigma-Aldrich (St. Louis, MO). Other reagents were obtained from
Sigma-Aldrich (St. Louis, MO) unless specified. 96-well polypropylene plates were from
Thermo (Pittsburgh, PA) and 24-well polystyrene plates were obtained from Costar
(Sigma-Aldrich, St. Louis, MO) .
Rat and Dog Hepatocyte Relay Method
The rat and dog hepatocyte relay methods are similar to the human hepatocyte relay assay
previously reported (Di et al., 2012). Pooled cryopreserved male beagle dog hepatocytes
from 5 dogs and male Wistar-Han rat hepatocytes from 12 rats were purchased from
Celsis IVT (Baltimore, MD). Upon thawing, the hepatocytes were re-suspended in
Williams E medium (WEM GIBCO-BRL, cat#C1984, custom formula # 91-5233EC)
supplemented with 50 mM HEPES and 26 mM Na2CO3. The cells were counted using
the Trypan Blue exclusion method, and the 24-well hepatocyte plates containing 0.5
million cells/mL were spiked with a compound at a final concentration of 1 M (final
DMSO of 0.025% and MeOH of 0.125%), in a final incubation volume of 0.50 mL. The
plates were covered with Breathe-EasyTM gas permeable membranes or equivalent
(Diversified Biotech, Dedham, MA) and incubated at 37C with 95% O2/ 5% CO2, 75%
relative humidity for 4 hours at 150 rpm on an orbital shaker in an incubator. At time 0
and 4 hr, 25 µL of hepatocyte suspension was removed from the incubation and added to
50 µL of cold acetonitrile containing internal standard to quench the reaction. The
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samples were centrifuged (Eppendorf, Hauppauge, NY) at 3000 rpm for 10 minutes at
RT and 50 µL supernatant was transferred to a clean plate, dried completely and
reconstituted in 50% methanol / 50% water prior to LC/MS/MS analysis. The remaining
hepatocyte suspension in the incubation plate was centrifuged (3000 rpm , 10 minutes,
RT) and 25 uL supernatant removed and added to 50 µL cold aceontitrile containing
internal standard to determine the concentration of the supernatant. 300 µL of the
remaining supernatant was transferred to a clean 24-well plate and stored at -80C until
the next relay experiment. For the 2nd relay experiment, the supernatant plates were
warmed to 37C for 30 min and hepatocytes were added to the samples to yield a final
cell density 0.5 million cells/mL. The plates were incubated at 37C for 4 hr, sampled
and processed as described above. Five relays were performed to give a total incubation
time of 20 hr. Buffer control plate (without hepatocytes) was run under the same
conditions to monitor any non-metabolic decline. Standard curves were prepared using
the same matrix material.
LC/MS/MS Quantification
The LC mobile phases were: (A) HPLC grade water containing 0.1% formic acid; and
(B) acetonitrile containing 0.1% formic acid or (A) 95% 2 mM ammonium acetate in
water and 5% 50/50 methanol/acetonitrile and (B) 90% 50/50 methanol/acetonitrile and
10% 2 mM ammonium acetate in water. A solvent gradient from 5% (B) to 95% (B)
over 2.0 minutes at the flow rate of 0.5 mL/min was used to elute the compounds from
the column (Kinetex C18, 30x2 mm, 2.6μm, Phenomenex, Torrance, CA). The cycle-
time was 3 minutes / injection. An aliquot of 15 μL sample was injected for analysis
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using a CTC PAL autosampler (LEAP Technologies, Carrboro, NC). The analysis was
conducted with Shimadzu HPLC AD20 pumps (Columbia, MD) connected to an AB
Sciex (Foster City, CA) API 5500 triple quadrupole mass spectrometer equipped with a
TurboIonSpray source using MRM mode. Analyst™ 1.5.2 software (Applied
Biosystems, Foster City, CA) was applied to data collection. MultiQuant software
(version 2.1) from AB Sciex (Foster City, CA) was utilized for data processing and
analysis. Metoprolol (200 ng/mL, positive mode), indomethacin (250 ng/mL, negative
mode), and terfenadine (40 ng/mL, positive mode) were used as internal standards for
LC/MS/MS quantification in positive and negative ion MRM mode, respectively. Only
one internal standard was used in the final calculation depending on the ionization mode.
All the test compounds had good linearity with R2 > 0.99 and the low limit of
quantitation was 1 nM for all the compounds.
Calculations
The data transformation and calculation for the hepatocyte relay assay has been discussed
previously (Di et al., 2012). The hepatocyte relay assay requires transfer of the
supernatant between plates for the different relay incubations. Drug is lost due to
hepatocyte uptake, nonspecific binding, or other sources, and dilution of the drug occurs
as new hepatocytes and medium are added post transfer. These losses necessitate a
correction before comparison to time zero concentrations. The correction equation
follows (Eq. 1):
,
,
, . 1
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Here, Ccorrected is the total concentration of the well after transfer corrected for loss and
dilution. Recovery accounts for the fraction of the compound irretrievable due to
nonspecific binding to the well or other sources, and should be set to unity unless it is
known that drug is lost after each transfer at a location not captured in the total-
concentration measurement. Recovery can be estimated experimentally by measuring the
change in concentration of a representative solution from before and after addition to a
well in the absence of cells (buffer control). N is the number of transfers. The ratio of the
well volume to the supernatant-transfer volume corrects for the dilution which occurs
after each transfer. The above equation assumes that the ratio is fixed, i.e. the total and
transfer volume remain constant throughout the relay assay. Deviations can be handled
by Eq. 2. The final term, the product of the ratios of the total and supernatant
concentrations in the steps previous to the transfer corrects for loss in the hepatocyte
precipitate. The corrected values can be compared directly to values obtained at early
time points prior to any transfer.
,
,
, . 2
Half-life was calculated using Eq. 3 and intrinsic clearance was obtained using Eq. 4 for
rat and Eq. 5 for dog with the corrected concentration (Ccorrected) discussed above (Hosea
et al., 2009).
T1/2 (min) = ln 2 / -(slope of the ln % remaining of drug vs. time plot) (Eq. 3)
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4) (Eq. kg
liver g 40
liver g
Mcells 135
cells M 0.5
incubation mL
(min) T
12ln )mL/min/KgRat,(CL
1/2
in t
5) (Eq. kg
liver g 32
liver g
Mcells 240
cells M 0.5
incubation mL
(min) T
12ln )mL/min/Kg,Dog(CL
1/2
in t
In vivo intrinsic clearance was calculated using the well-stirred model (Ashforth et al.,
1995) (Eq. 6) based on in vivo IV plasma clearance data from the literature, where QH is
hepatic blood flow (70 and 40 ml/min/kg for rat and dog, respectively); CLb is hepatic
blood clearance; fup is fraction unbound in plasma; RB is blood to plasma concentration
ratio.
6) (Eq.
)Q
CL-(1
R
fuCL
CL
H
b
B
p
bin
t
ACD/Labs version 12.0 (Advanced Chemistry Development, Inc. Toronto, Ontario) was
used to calculate Log D/P for all the compounds.
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Results
A set of low clearance compounds in rat and dog was selected for the study based on
available literature data and low intrinsic hepatic metabolic clearance values. In vivo IV
clearance values were obtained from the literature and hepatic clearance values were
calculated by subtracting renal and biliary clearance from plasma clearance. Variability
of the in vivo data can lead to disconnect of IVIVC. IV data from multiple strains were
used assuming strain difference in clearance to be minimal (Richmond et al., 2010). No
oral PK data was included in order to ensure data quality. In vivo intrinsic clearance was
calculated from in vivo hepatic clearance using the well-stirred model (Hallifax et al.,
2010) by incorporating literature or in-house plasma protein binding and blood-to-plasma
ratio. Intrinsic clearance values from hepatocyte relay were obtained using five relays (20
hour accumulative incubation time) with 0.5 million cell density per mL and were
reported as mean values of two or three replicates. All test compounds had significant
turnover under the assay conditions and demonstrated good linearity. Hepatocyte binding
was not incorporated for correction of unbound intrinsic clearance, since all the
compounds have fu,hep close to 1 based on the calculated values (Kilford et al., 2008)
estimated using Log P/D from ACD software.
Rat IVIVC for Low Clearance Compounds
The intrinsic clearance values of rat from both in vivo and the in vitro hepatocyte relay
method are summarized in Table 1. The in vivo rat intrinsic clearance values ranged
from 4 to 2000 mL/min/Kg. The in vivo literature clearance values were from a variety
of rat strains (e.g., Sprague–Dawley, Wistar, Fischer) and both genders, since not all the
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compounds had data from Wistar Han rat. Strain and gender difference in drug
metabolism was assumed to be minimal (Richmond et al., 2010), though exceptions do
exist for certain compounds. The hepatocytes used in the rat relay assay were Wistar
Han, which was a standard strain for the Pfizer internal rat hepatocyte stability assay. In
general, most compounds showed good IVIVC with the in vitro hepatocyte relay assay
within 2-3 fold of in vivo intrinsic clearance values (Figure 1). The exceptions had a
high hepatic uptake component by transporters (e.g., fexofenadine (Poirier et al., 2009),
fluvastatin (Watanabe et al., 2010a), ketoprofen (Morita et al., 2005), prazosin (Qin et al.,
1994), and bosentan (Huang et al., 2012)) or potential contribution from extra-hepatic
metabolism [e.g., hydrolysis of acebutolol (Andresen and Davis, 1979), UGT metabolism
of ketoprofen (Terrier et al., 1999)].
Dog IVIVC for Low Clearance Compounds
The intrinsic clearance values of dog from both in vivo and the in vitro hepatocyte relay
method are summarized in Table 2 for a set of low clearance compounds (as limited
literature data is available for low clearance compounds in dogs). The in vivo dog
intrinsic clearance values of the test compounds ranged from 7 to 25 mL/min/Kg. The in
vivo clearance values were carefully selected from the literature using only IV beagle dog
PK parameters (Suh et al., 1997; Kimura et al., 1999; Bayliss and Cross, 2000; Balani et
al., 2002; Granero and Amidon, 2008; Neirinckx et al., 2011) (with the exception of one
report for ketoprofen being mongrel dog, but it showed no significant difference from
beagle dog data). All the compounds showed good correlation between dog hepatocyte
relay assay and in vivo intrinsic clearance values (Table 2, Figure 1) with the exception
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of ketoprofen, potentially due to the impact of extra-hepatic contribution (Granero and
Amidon, 2008) and uptake transporter [reported in rat (Morita et al., 2005)].
Human IVIVC for Low Clearance Compounds
Human IVIVC of low clearance compounds using the hepatocyte relay method has been
reported previously (Di et al., 2012). Additional low clearance compounds with rat and
dog data were included in this study for cross-species IVIVC (Table 3). Figure 1 shows
all the IVIVC data from this and previous study (Di et al., 2012). All the compounds
showed good IVIVC between in vivo human intrinsic clearance and the hepatocyte relay
method, with the exception of ketoprofen.
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Discussion
Rat and dog are the most common preclinical species used in drug metabolism,
PK, PD, and safety evaluation studies of new chemical entities. Good IVIVC in rat and
dog usually translates to a high confidence prediction of human PK and clinical dose.
There were no adequate in vitro tools to determine low clearance in drug discovery. If a
compound has no measurable turnover in liver microsomes or hepatocytes under the
standard assay conditions, compounds would be reported as having no metabolism or
below a certain cutoff clearance value. The development of the hepatocyte relay method
enables determination of clearance values for low clearance compounds early in drug
discovery to support SAR, prioritization of chemical series, and for human PK and dose
projection (Di et al., 2012). The hepatocyte relay method has been shown to correlate
well with in vivo human intrinsic clearance. Here, the IVIVC in rat and dog was
evaluated for low clearance compounds to assess application of the method in preclinical
species.
Typically, the hepatocyte relay method used an incubation time of 20 hours, which
allowed an estimation of half-life in hepatocytes up to 40 hours (Di et al., 2004). In
theory, the limit of the low clearance value that can be measured decreases with
increasing number of relays. However, based on the theoretical calculation, intrinsic
clearance values drop most significantly for the first few relays. As incubation time goes
beyond 20 hrs, there is little gain in clearance values from each additional relay.
Therefore, in practice, five relays are the standard assay conditions used to support drug
discovery programs. To achieve lower limit of intrinsic clearance, one approach is the
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increase the cell density in the incubation when hepatocyte binding is low. For example,
the intrinsic clearance of antipyrine in human was determined using 2.0 million cell/mL
in this study due to the very low clearance.
As shown in Tables 1-3 and Figure 1, the rat, dog and human hepatocyte relay method
gave good prediction of in vivo intrinsic clearance [additional human data was collected
during this study and added to the previously published set (Di et al., 2012)]. For most
compounds, the in vivo and in vitro intrinsic clearance ratios were within 2-fold,
suggesting good IVIVC. The exceptions involved significant active uptake from
transporters or contribution of extra-hepatic metabolism. Figure 2 shows the IVIVC of
five compounds with rat, dog and human data. Good human IVIVC was observed when
both rat and dog demonstrated strong IVIVC (i.e., ranitidine, tolbutamide, antipyrine, and
naproxen). For ketoprofen, the rank-order of the species is correct, the in vivo values are
under-predicted. About 5-fold under-prediction of human in vivo intrinsic clearance was
observed for ketoprofen. Correction factor derived from rat and dog can be applied to
enhance human prediction accuracy of intrinsic clearance. Weak or no IVIVC in
preclinical species often translated to low confident prediction of human in vivo
clearance from in vitro data.
In rat, significant contribution of transporter mediated clearance was observed for
ketoprofen (Poirier et al., 2009), leading to under-prediction of in vivo clearance based on
metabolic clearance from hepatocytes since transporter uptake also contributes the
systemic clearance (Yamazaki et al., 1996; Shitara et al., 2006; Watanabe et al., 2010b).
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In addition, potential extra-hepatic contribution of UGT metabolism in rat can lead to
under-prediction of in vivo clearance (Terrier et al., 1999). In dog, the major elimination
pathway for ketoprofen was through UGT metabolism and kidney had a significant
contribution to the metabolism (Granero and Amidon, 2008). In human, ketoprofen was
mainly metabolized by CYP2C9 and UGT2B7 (Kilford et al., 2009). The extra-hepatic
contribution of UGT metabolism could potentially contribute to the under-prediction of
intrinsic clearance using hepatocytes for ketoprofen.
This study indicated that the rat and dog hepatocyte relay method gave good prediction of
in vivo hepatic clearance for low clearance compounds. The hepatocyte relay method
extended the low limit for intrinsic clearance measurement by about 10-fold, which
enhanced our ability to address the challenges of low intrinsic clearance compounds. The
good in vivo prediction of the rat and dog hepatocyte relay method on clearance
highlights the wide applications of the relay approach not only in human clearance
prediction (Di et al., 2012), but also in preclinical species.
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Conclusions
Rat and dog hepatocyte relay method has been successfully developed and applied to
predict in vivo clearance for low clearance compound. Good IVIVC was observed for
most of the compounds with in vivo to in vitro intrinsic clearance ratio within 2-fold. The
outliers were due to the contribution of transporter mediated clearance or extra-hepatic
metabolism. This is the first method available to study low clearance compounds in rat
and dog in drug discovery. It highlights the broad applications of the hepatocyte relay
method in preclinical species as well as human for developing IVIVC.
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Acknowledgements
The authors thank Larry Tremaine, Tess Wilson and Charlotte Allerton for their
leadership and support.
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Authorship Contributions
Participated in research design: Li Di, Karen Atkinson, Christine C. Orozco, Carrie Funk,
Hui Zhang, Thomas S. McDonald, Beijing Tan, R. Scott Obach
Conducted experiments: Karen Atkinson, Christine C. Orozco, Carrie Funk, Thomas S.
McDonald, Beijing Tan
Performed data analysis: Li Di, Karen Atkinson, Christine C. Orozco, Carrie Funk, Hui
Zhang, Thomas S. McDonald, Beijing Tan, Jian Lin, Cheng Chang, R. Scott Obach
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Legends for Figures
Figure 1. IVIVC of Intrinsic Clearance within Species for Rat, Dog and Human Using
Hepatocyte Relay Method. Lines indicate lines of unity. Open circles represent
compounds with significant transporter-mediated and/or extra-hepatic contribution to
clearance.
Figure 2. IVIVC of Intrinsic Clearance within Compounds for Rat, Dog and Human
Using Hepatocyte Relay Method. Lines indicate lines of unity.
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Table 1. IVIVC of Intrinsic Clearance Using Rat Hepatocyte Relay Method
Compounds In Vivo Rat
Intrinsic Clearance
(mL/min/Kg)
In Vitro Intrinsic Clearance
from Rat Hepatocyte Relay
Method (mL/min/Kg) ± SD
Fold Difference
In Vivo / Relay
Method
Caffeine 4.3 (Nakazawa et
al., 1985)
3.0 ± 0.76 1.4
Tolbutamide 9.9 (Ashforth et
al., 1995; Mandula
et al., 2006)
9.8 ±0.71 0.61
Antipyrine 6.5 (Belpaire et al.,
1990)
2.4 ± 1.35 2.7
Famotidine 9.4 (Matsuzaki et
al., 2008)
6.6 ± 2.31 1.4
(±)-Warfarin 19 (Yacobi and
Levy, 1977; Hirate
et al., 1990)
12 ± 0.01 1.6
Ranitidine 20 (Eddershaw et
al., 1996)
18 ± 0.39 1.1
Cimetidine 27 (McPherson
and Lee, 1977;
Kurata et al.,
2010)
16 ± 1.6 1.7
Naproxen 38 (Huntjens et al., 37 ± 5.04 1.0
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2006)
Fexofenadine 47 (Tahara et al., 2005)
21 ± 1.41 2.3
(±)-Acebutolol 88 (Piquette-Miller and Jamali, 1997)
7.9 ± 0.89 11
Fluvastatin 85-154 (Watanabe
et al., 2010a)
54 ± 2.77 1.6-2.9
(±)-Ketoprofen 155 (Satterwhite and Boudinot, 1992)
70 ± 12 2.2
Prazosin 196 (Ohkura et al.,
1999)
45 ± 0.76 4.3
Bosentan 1916 (Huang et al., 2012)
79 ± 0.05 24
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Table 2. IVIVC of Intrinsic Clearance Using Dog Hepatocyte Relay Method
Compounds In Vivo Dog Intrinsic
Clearance
(mL/min/Kg) a
In Vitro Intrinsic Clearance
from Dog Hepatocyte
Relay Method
(mL/min/Kg) ± SD
Fold Difference
In Vivo / Relay
Method
Ranitidine 7.7 (Bayliss and Cross,
2000)
7.4 ± 0.6 1.0
Tolbutamide 11 c (Kimura et al.,
1999)
9.0 ± 3.9 1.2
Antipyrine 14 (Balani et al., 2002) 14 ± 1.4 1.0
Naproxen 22d (Suh et al., 1997) 20 ± 3.0 1.1
(±)-Ketoprofen 48 – 114e (Granero
and Amidon, 2008;
Neirinckx et al., 2011)
24 ± 1.2 2.0 - 4.7 b
a Fu and Rb values were from literature (Berry et al., 2011) or in-house data.
b The in vitro – in vivo differences may be due to extra-hepatic contribution of UGT (e.g.,
kidney metabolism (Granero and Amidon, 2008)).
c Equation, CLiv = Dosepo/AUCpo x F, was used to derive IV clearance.
d PK profile(Suh et al., 1997) was digitized and IV clearance value was calculated using
WinNonlin®.
e Two IV studies were reported in the literature (Granero and Amidon, 2008; Neirinckx et
al., 2011). One used racemic ketoprofen in mongrel dogs with three different doses
(Granero and Amidon, 2008) and the other was a beagle dog study with individual
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enantiomers (Neirinckx et al., 2011). The clearance values of the individual enantiomers
were converted to that of the racemate using dose (sum of the two enantiomers) divided
by AUC (sum of the two enantiomers) (Neirinckx et al., 2011). It gave a similar
clearance value (CLint 113 mL/min/Kg) as that in the racemate study with mongrel dog
(CLint 48-114 mL/min/Kg). Therefore, data from both reports were included for IVIVC
determination.
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Table 3. IVIVC of Intrinsic Clearance Using Human Hepatocyte Relay Method
Compounds In Vivo Human
Intrinsic Clearance
(mL/min/Kg)
In Vitro Intrinsic Clearance
from Human Hepatocyte Relay
Method (mL/min/Kg) ± SD
Fold Difference
In Vivo / Relay
Method
Ranitidine 4.4 (Hallifax et al.,
2010) 3.1 ± 0.48 1.4
Tolbutamide 4.9 (Brown et al.,
2007) 7.4 ± 0.40 (Di et al., 2012) 0.66
Antipyrine 0.6 (Hallifax et al.,
2010) 1.3 ± 0.25 0.46
Naproxen
25 (Huntjens et al.,
2006; Hallifax et al.,
2010)
18 ± 3.6 1.4
(±)-Ketoprofen 78 (Hallifax et al.,
2010) 17 ± 6.6 4.6
Human hepatocyte relay method was the same as reported previously (Di et al., 2012), with
the exception of antipyrine. A cell density of 2 million/mL was used for antipyrine due to
the very low clearance.
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Figure 1
1
10
100
1000
10000
1 10 100 1000
In V
ivo
Intr
insi
c C
lear
ance
(mL/
min
/Kg)
In Vitro Intrinsic Clearance (mL/min/Kg)
Rat IVIVC
1
10
100
1 10 100
In V
ivo
Intr
insi
c C
lear
ance
(mL/
min
/Kg)
In Vitro Intrinsic Clearance (mL/min/Kg)
Dog IVIVC
0.1
1
10
100
0.1 1 10 100
In V
ivo
Intr
insi
c C
lear
an
ce (m
L/m
in/K
g)
In Vitro Intrinsic Clearance (mL/min/Kg)
Human IVIVC
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Figure 2
0
5
10
15
20
0 5 10 15 20
In V
ivo
CL i
nt(m
L/m
in/K
g)
In Vitro Hepatocyte Relay CLint (mL/min/Kg)
Human
Dog
Rat
Antipyrine
10
15
20
25
30
35
40
45
10 15 20 25 30 35 40 45
In V
ivo
CL i
nt(m
L/m
in/K
g)
In Vitro Hepatocyte Relay CLint (mL/min/Kg)
Human Dog
Rat
Naproxen
2
4
6
8
10
12
14
2 4 6 8 10 12 14
In V
ivo
CL i
nt(m
L/m
in/K
g)
In Vitro Hepatocyte Relay CLint (mL/min/Kg)
Human
Dog
Rat
Tolbutamide
0
5
10
15
20
25
0 5 10 15 20 25
In V
ivo
CL i
nt(m
L/m
in/K
g)
In Vitro Hepatocyte Relay CLint (mL/min/Kg)
Human
Dog
RatRanitidine
0
20
40
60
80
100
120
140
160
180
0 20 40 60 80 100 120
In V
ivo
CL i
nt(m
L/m
in/K
g)
In Vitro Hepatocyte Relay CLint (mL/min/Kg)
Human
Dog
RatKetoprofen
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