Gaining Consensus On Emerging Science:The ADME Panel As An Exemplar Beena Koshy, Ph.D. EMEA-EFPIA Workshop December 19th, 2008 Outline Introduction – Need for an ADME panel in drug development Challenges in developing a panel – Organizational – Scientific Innovation is Powered by Collaboration ADME Panel Development – Development of a Consensus List of ADME Genes and Genetic Markers – Characterization & Compilation of an ADME List – Criteria & Selection of Genetic Variants Summary Need for ADME Panel in Drug Development 40% of the Failure in Drug Development is Attributed to PK Issues Nature Reviews, Drug Discovery, March 2003 Regulatory Impetus FDA's Critical Path Initiative EMEA Road Map to 2010 "There are currently significant needs, but also significant opportunities for developing tools that can more reliably and more efficiently determine the safety of a new medical product" FDA White Paper, 16 March 2004 Challenges in Developing a Consensus ADME Panel Organizational Challenge – A number of pharma working together Scientific Challenges – Determine which genes have enough evidence to justify testing on a routine basis, and which variations should be measured in these genes DDeevveellooppmmeenntt ooff aa PPhhaarrmmaa CCoonnsseennssuuss AADDMMEE PPaanneell AADDMMEE PPaanneell WWoorrkkiinngg GGrroouupp Innovation is powered by collaboration! PPhhaarrmmaacceeuuttiiccaall CCoommppaanniieess AAccaaddeemmiicc CCeenntteerr Genome Quebec & Montreal Heart Institute Pharmacogenomics Centre GGeennoottyyppiinngg BBiiootteecchh CCoommppaanniieess Gene Selection of ADME Panel CCoollllaattiioonn ooff ggeennee lliissttss Class No of % ssuubbmmiitttteedd bbyy ppaarrttiicciippaannttss Genes ~~333322 ggeenneess SSuubbmmiitttteedd Phase 1 126 43 DDrruugg mmeettaabboolliissmm –– pphhaassee II Phase 2 68 23 –– pphhaassee IIII –– ttrraannssppoorrtteerrss DDrruugg TTaarrggeettss Transporters 77 26 CChhaannnneellss AADDMMEE mmoodduullaattoorrss Modifiers 24 8 –– NNuucclleeaarr RReecceeppttoorrss ((PPXXRR)) Genes Submitted By Pharma Companies Total Number of Genes Submitted d 350 e t t i 300 m b u 250 S s 200 e n e 150 G f o 100 o N 50 0 Companies submitting data Genes Submitted Total 1 2 3 4 5 6 7 8 9 Companies 1-9 DDeeffiinniinngg tthhee AADDMMEE ““CCoorree LLiisstt”” Gene Selection Process IInncclluussiioonn CCrriitteerriiaa GGeenneess ddeeeemmeedd ttoo bbee ddiirreeccttllyy iinnvvoollvveedd iinn ddrruugg mmeettaabboolliissmm aanndd//oorr hhaavvee tthhee aabbiilliittyy ttoo iinnfflluueennccee aa ddrruugg’’ss pphhaarrmmaaccookkiinneettiicc pprrooffiillee IIddeennttiiffiieedd bbyy FFDDAA aass aa vvaalliiddaatteedd bbiioommaarrkkeerr SSuuppppoorrtteedd bbyy ppuubblliisshheedd lliitteerraattuurree ooff mmoorree tthhaann oonnee ggrroouupp tthhaatt tthhee vvaarriiaattiioonn aalltteerrss ggeennee ffuunnccttiioonn SSuuppppoorrtt bbyy KKOOLLss ((PPhhaarrmmaa DDMMEETT ggrroouuppss)) iinn ddrruugg mmeettaabboolliissmm ffiieelldd aass hhaavviinngg aalltteerreedd pprrootteeiinn ffuunnccttiioonn
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