New Jersey, U.S.A. Daejeon, Korea Shanghai, China Seoul, Korea YKP3089 Novel Neurotherapeutic ASENT...
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Transcript of New Jersey, U.S.A. Daejeon, Korea Shanghai, China Seoul, Korea YKP3089 Novel Neurotherapeutic ASENT...
New Jersey, U.S.A.
Daejeon, Korea
Shanghai, China
Seoul, Korea
YKP3089Novel Neurotherapeutic
ASENTMarch 2009
Martin Brecher, MD
Life ScienceFair Lawn, New Jersey
2
YKP3089 Preclinical Summary
Animal Model Profile
Anticonvulsant Profile Broad spectrum activity in Rat & Mice (i.p., p.o.)
Anxiolytic Profile Active in diverse AX models in Rat & Mice (i.p., p.o.)
Pain Profile Potent efficacy in Chung & Bennett models in Rat
Additional Profile Hypoxia model in Mice
Conditioned Avoidance Rat model
YKP3089
Anticonvulsant Profile
YKP3089
Compounds
(Mice, i.p., ED50 mg/kg)
Electrical
Tonic Generalized Seizures
Chemical
Myoclonic/Generalized Absence Seizures
MES PTZ PIC
YKP3089 9.8 28.5 34.5
Lamotrigine 7.5 >40.0 >40.0
Topiramate 33.0 >800 >500
Phenytoin 6.5 >50 >50
Carbamazepine 9.9 >50 >50
Valproate 287 209 209
Ethosuximide >1000 130 130
3Data Source: NIH
Anticonvulsant Profile
YKP3089
Compounds
(Rat, ip, ED50 mg/kg)
Refractory epilepsy
Partial Complex
Formation/Progression of Epilepsy
Intractable Seizures
KindlingHippocampal
Lithium-pilocarpine intractable seizures
YKP3089 16.4 7.0
Lamotrigine ++ ND
Topiramate - ND
Phenytoin +/- -
Carbamazepine +/- -
Valproate + +
Ethosuximide - ND
4
5
Anticonvulsant Profile
Data Source: NIH
Compounds
(Mice, i.p., ED50 mg/kg)
6 Herz Partial Psychomotor Test
Therapy-Resistant Partial Seizures
22mA 32mA 44mA
YKP3089* 11.0 17.9 16.5
Lamotrigine ND 50% at 20 ND
Phenytoin ND 58% at 40 ND
Carbamazepine ND 75% at 40 & 80 ND
Topiramate ND >300 ND
YKP3089
Anxiolytic Profile
Effective in a wide variety
of anxiety models
Light-Dark Box
Social Interaction
Fear-Potentiated Startle
Marble-Burying
Elevated Plus Maze
Defensive withdrawal, etc.
Active in Rats and Mice
Anxiolytic Test YKP3089 Buspirone
Light-Dark Box(Mice, IP)
+++ +++
Social Interaction(Rat,PO)
+++ ++
Fear-Potentiated Startle
(Rat, IP)
+++ +++
Marble-Burying(Mice, IP)
+++ +++
YKP3089
+++ - ED50 <20mg/kg++ - ED50 <30mg/kg
6
Analgesic (Neuropathic Pain) Profile
Excellent activity in models of neuropathic pain
Improved efficacy compared to gabapentin
Chung Model Bennett Model
YKP3089 Gabapentin YKP3089 Gabapentin
Mechanical allodynia +++ +++ +++ +++
Cold allodynia +++ ++ +++ ++
Heat hyperalgesia +++ ++ +++ +++
YKP3089
+++ - ED50 <50mg/kg++ - ED50 <100mg/kg 7
8
Additional Indication Profile
Model Efficacy Indication
Hypoxia(mice, mg/kg, IP)
√ Neuroprotective
Conditioned Avoidance(rat, mg/kg, IP)
√ Antipsychotic
DOI-Induced Head Twitch(mice, mg/kg, IP)
√ Antipsychotic; Tourette’s
Hippocampal Kindling(mice, mg/kg, IP)
√ Bipolar, Anticonvulsant
Formalin test(mice, mg/kg, IP)
√ Inflammatory pain
YKP3089
9
ADME Excellent PK parameters
Rat PO
Monkey PO
Good metabolic stability
Moderate plasma protein binding
Good Tissue Distribution
Preclinical ADME/Safety/Toxicity
Safety/Toxicity Good Safety
hERG Channel
Monkey CV Telemetry
Respiratory
Gastric
Negative Gene Toxicity
Typical CNS clinical signs
Low teratogenicity potential
YKP3089
10
YKP3089 Clinical Summary
Phase Ia and Ib Clinical Trials (USA) No clinically significant changes in both single and multiple dose study
ECG Vital signs Hematology Serum chemistry Urinalysis
YKP3089 shows dose-response relation of clinical signs and adverse events
Excellent PK Parameters Data suggest once-per-day dosing
YKP3089 is well-tolerated Adverse events were mild and CNS related
YKP3089
11Time, hr
0 20 40 60 80 100 120 140 160
0.01
0.1
1
10
Phase 1a Clinical Study, MDS AA22780Mean Plasma Concentration Time Profiles of YKP3089 Following Single Oral Doses
To Male Health Subjects at 5 mg (n=6), 10 mg (n=7), 25 mg (n=7), 50 mg (n=6), 100 mg (n=6)200 mg (n=7), 300 mg (n=7), 400 mg (n=7), 500 mg (n=7), 600 mg (n=7), and 750 mg (n=7)
Time, hr
0 20 40 60 80 100 120 140 160
YK
P30
89 C
onc.
in P
lasm
a,
g/m
L
0
5
10
15
20
5 mg10 mg25 mg50 mg100 mg200 mg300 mg400 mg500 mg 600 mg 750 mg
YKP3089 Single Dose PK
12
Both Cmax and AUC linearly correlated with dose Steady State occurred by Day 12
YKP3089 Multiple Dose PK
13
Mean Plasma Concentration - Time Profile Comparison of YKP3089Following A Single Oral Dose of 300 mg to Normal Subjects (n = 15)
Food effect Study, Fed verses Fasting Treatment (AA39450)
Time, hr
0 20 40 60 80 100 120 140 160 180
YK
P30
89 M
ean
Pla
sm
a C
on
c.,
g/m
L
0
2
4
6
8
10
Fed Fast
Time, hr
0 20 40 60 80 100 120 140 160 180
Fed Fast
YKP3089 Food Effect Study PK
14
YKP3089 Highlights
Phase I Clinical Trials in USAPhase I Clinical Trials in USA Favorable PK profile Once a day dosing potential Low adverse effects
Phase I Clinical Trials in USAPhase I Clinical Trials in USA Favorable PK profile Once a day dosing potential Low adverse effects
Safety & ToxicitySafety & Toxicity High safety margin Low QTc prolongation potential Low teratogenic potential
Safety & ToxicitySafety & Toxicity High safety margin Low QTc prolongation potential Low teratogenic potential
EfficacyEfficacy Potential versatile CNS drug: Epilepsy, Anxiety, Neuropathic Pain, Bipolar
Disorder, Dementia, Schizophrenia, etc. Broad spectrum: Epilepsy Possible novel mechanism
EfficacyEfficacy Potential versatile CNS drug: Epilepsy, Anxiety, Neuropathic Pain, Bipolar
Disorder, Dementia, Schizophrenia, etc. Broad spectrum: Epilepsy Possible novel mechanism
YKP3089