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Target Validation Academy of Medical Sciences London 1 st  Dec 2006 Mike Romanos VP Discovery Technology GlaxoSmithKline R&D Stevenage
Drug Discovery Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Target Validation? ,[object Object],[object Object],[object Object],Process different for each disease and target, consists of iteratively testing hypotheses
Drug Discovery Process and Target Validation Continuum Gene to target Target  to Lead Lead to candidate Candidate to FTIH FTIH to  PoC PoC to Commit  to Phase III Phase III  File & Launch Lifecycle mgt Target selection Lead validation Compound on/off target effects Refined validation vs product profile TARGET VALIDATION Translational medicine
Essential Tools: Biological Systems Animal models of disease Human tissues Disease-relevant cell models Humans
Essential Tools: Target Modulation Transgenics RNAi Tool compounds Biopharmaceutical tools TT TT
Essential Tools: Analytical Methods Genetics Transcriptomics Quantitative PCR Histology Proteomics Bioinformatics
FXR: Cholestasis and Diabetes Target  ,[object Object],[object Object],[object Object]
FXR is a Bile Acid Receptor ,[object Object],[object Object],[object Object],[object Object],Normalized Luciferase 0 1000 2000 3000 1E-9 1E-8 1E-7 1E-6 1E-5 Concentration (M) GW4064 EC 50  = 80nM 0 20 40 60 80 100 10 -9 10 -8 10 -7 10 -6 Concentration (M) 10 -5 10 -4 % Max CDCA EC 50  = 30  M Lithocholic acid (LCA) Cholic acid (CA ) Deoxycholic acid (DCA)  Chenodeoxycholic acid (CDCA)
Compound-based Functional Characterisation of FXR Vehicle +  GW4064 Mouse liver Primary human hepatocytes Vehicle + GW4064 or CDCA FXR transcriptome
FXR:  Master Regulator of Bile Acid Homeostasis cholesterol Liver Intestine blood bile acid bile bile acid RXR FXR bile acid RXR FXR bile acid
Efficacy of GW4064 in Cholestasis Model # p<0.05 cw Normal *  p<0.05 cw ANIT Bile Acids Bilirubin 0 200 400 600 800 Bile acid (µmol/L) 0 1 2 3 4 5 6 Total bilirubin (mg/dL) * # # Enzyme activity (U/L) 0 500 1000 1500 2000 ALT AST # # * * Liu et al.,  JCI ,  112 , 1678 (2003) Normal ANIT ANIT+GW4064 ANIT+TUDCA
Efficacy of GW4064 in Diabetes Model HFD Vehicle HFD 30mg/kg GW4064 bid Intraperitoneal Glucose Tolerance Test 100 150 200 250 300 350 0 60 120 180 Time (min) Serum Glucose (mg/dL) ,[object Object],[object Object],[object Object],[object Object],* * * * * * * * * * p<0.05 cw HFD Vehicle
Vanilloid Receptor in Pain ,[object Object],[object Object],[object Object],[object Object]
Vanilloid Receptor/Pain  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mouse VR1 Knockout No response to capsaicin – no  overt pathology No hyperalgaesia induced by inflammatory insult  (but no effect on mechanical hypersensitivity) -8.0 -7.0 -6.0 -5.0 -4.0 -3.0 -2.0 -1.0 0.0 1.0 2.0 Capsaicin (KO) Vehicle (KO) Capsaicin (Het) Vehicle (Het) Capsaicin (WT) Vehicle (WT) Mean Maximum Temp Change (Centigrade )
VR1 Antagonists Active in Multiple Pain Models ,[object Object],[object Object],[object Object],[object Object],[object Object]
VR1 expression is up-regulated  in chronic inflamed rectum A proliferation of VR1 positive  nerve terminals is seen in chronic  inflamed gut (oesophagus) C22, 1:5000 Human Disease Tissue: VR1 in Visceral Pain rectal mucosa Normal  Hyper  0.0 0.1 0.2 0.3 0.4 0.5 0.6 VR1 immunoreactivity % area p = 0.0286 Mann Whitney U
VR1 Studies in Man Pre-dose Placebo SB705498 ,[object Object],[object Object],[object Object],[object Object]
Novel Inflammation Targets from Functional Screens ,[object Object],[object Object]
siRNA Target Identification in Inflammatory Diseases Assays selected to reflect key disease mechanisms Mast Cells:  IgER mediated histamine release (Rhinitis) Dendritic Cells:  CD40 mediated IL-12 release (Asthma) Macrophages:  IC mediated TNF  release (RA) Epithelial Cells:  Oxidative stress mediated cytokine release/apoptosis (COPD) T Cells:  CD3/CD28 mediated IL-5 and  IL-13 release (Asthma) siRNA
siRNA for High Throughput Screen BioFocus Collaboration:  Biology-driven Target Discovery
Validation of Target A and B in Primary Human CD4+ Cells Using siRNA Target A  (TCR response)   Target B  (antigen response)  Profound inhibition of key cytokines in Rheumatoid Arthritis (TNF  ) and Asthma (IL13) * Selective inhibition of Asthma ‘pathological’ cytokine production 0 1000 2000 3000 4000 5000 6000 7000 TNFa IL13 pg/ml Control T Target A IL13 Control Target B 0 1000 2000 3000 4000 5000 pg/ml
Target Validation in Human Disease Tissue Targeting Allergen Specific T Cell Responses in Asthma Effect of drug on secretion of Cytokines and other Mediators Supernatant allergic asthmatic biopsy material Allergen  ± Drug p=0.02 Unchallenged  allergen challenged  allergen challenged +drug   Effect of tool compound to Target A on IL-5 release
Conclusion:  What Are the Issues and What Can We Do Better? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Conclusion: What Are the Issues and What Can We Do Better?
[object Object],[object Object],[object Object],Conclusion: What Are the Issues and What Can We Do Better?
Clinical improvement Clinical decline Model-adjusted mean Change from  baseline in ADAS-cog by ApoE4 status Pharmacogenetic Stratification Enables Observation of Clinical Efficacy: Roziglitazone in AD
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Target Validation Academy Of Medical Sciences 1 Dec 2006

  • 1. Target Validation Academy of Medical Sciences London 1 st Dec 2006 Mike Romanos VP Discovery Technology GlaxoSmithKline R&D Stevenage
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  • 4. Drug Discovery Process and Target Validation Continuum Gene to target Target to Lead Lead to candidate Candidate to FTIH FTIH to PoC PoC to Commit to Phase III Phase III File & Launch Lifecycle mgt Target selection Lead validation Compound on/off target effects Refined validation vs product profile TARGET VALIDATION Translational medicine
  • 5. Essential Tools: Biological Systems Animal models of disease Human tissues Disease-relevant cell models Humans
  • 6. Essential Tools: Target Modulation Transgenics RNAi Tool compounds Biopharmaceutical tools TT TT
  • 7. Essential Tools: Analytical Methods Genetics Transcriptomics Quantitative PCR Histology Proteomics Bioinformatics
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  • 10. Compound-based Functional Characterisation of FXR Vehicle + GW4064 Mouse liver Primary human hepatocytes Vehicle + GW4064 or CDCA FXR transcriptome
  • 11. FXR: Master Regulator of Bile Acid Homeostasis cholesterol Liver Intestine blood bile acid bile bile acid RXR FXR bile acid RXR FXR bile acid
  • 12. Efficacy of GW4064 in Cholestasis Model # p<0.05 cw Normal * p<0.05 cw ANIT Bile Acids Bilirubin 0 200 400 600 800 Bile acid (µmol/L) 0 1 2 3 4 5 6 Total bilirubin (mg/dL) * # # Enzyme activity (U/L) 0 500 1000 1500 2000 ALT AST # # * * Liu et al., JCI , 112 , 1678 (2003) Normal ANIT ANIT+GW4064 ANIT+TUDCA
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  • 16. Mouse VR1 Knockout No response to capsaicin – no overt pathology No hyperalgaesia induced by inflammatory insult (but no effect on mechanical hypersensitivity) -8.0 -7.0 -6.0 -5.0 -4.0 -3.0 -2.0 -1.0 0.0 1.0 2.0 Capsaicin (KO) Vehicle (KO) Capsaicin (Het) Vehicle (Het) Capsaicin (WT) Vehicle (WT) Mean Maximum Temp Change (Centigrade )
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  • 18. VR1 expression is up-regulated in chronic inflamed rectum A proliferation of VR1 positive nerve terminals is seen in chronic inflamed gut (oesophagus) C22, 1:5000 Human Disease Tissue: VR1 in Visceral Pain rectal mucosa Normal Hyper 0.0 0.1 0.2 0.3 0.4 0.5 0.6 VR1 immunoreactivity % area p = 0.0286 Mann Whitney U
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  • 21. siRNA Target Identification in Inflammatory Diseases Assays selected to reflect key disease mechanisms Mast Cells: IgER mediated histamine release (Rhinitis) Dendritic Cells: CD40 mediated IL-12 release (Asthma) Macrophages: IC mediated TNF  release (RA) Epithelial Cells: Oxidative stress mediated cytokine release/apoptosis (COPD) T Cells: CD3/CD28 mediated IL-5 and IL-13 release (Asthma) siRNA
  • 22. siRNA for High Throughput Screen BioFocus Collaboration: Biology-driven Target Discovery
  • 23. Validation of Target A and B in Primary Human CD4+ Cells Using siRNA Target A (TCR response) Target B (antigen response) Profound inhibition of key cytokines in Rheumatoid Arthritis (TNF  ) and Asthma (IL13) * Selective inhibition of Asthma ‘pathological’ cytokine production 0 1000 2000 3000 4000 5000 6000 7000 TNFa IL13 pg/ml Control T Target A IL13 Control Target B 0 1000 2000 3000 4000 5000 pg/ml
  • 24. Target Validation in Human Disease Tissue Targeting Allergen Specific T Cell Responses in Asthma Effect of drug on secretion of Cytokines and other Mediators Supernatant allergic asthmatic biopsy material Allergen ± Drug p=0.02 Unchallenged allergen challenged allergen challenged +drug Effect of tool compound to Target A on IL-5 release
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  • 28. Clinical improvement Clinical decline Model-adjusted mean Change from baseline in ADAS-cog by ApoE4 status Pharmacogenetic Stratification Enables Observation of Clinical Efficacy: Roziglitazone in AD
  • 29.