Screening and scale-up service for MetID
Biotransformation of drugs using pooled human faecal material
Hypha’s human faecal pool can be used to screen for gut metabolites of drugs, as exemplified by the reduction of sulfasalazine and nizatidine. In these case studies, drugs were incubated in human faecal material derived from several mixed sex donors under oxygen depleted conditions. The reduced metabolites were easily detected by LC-MS.
Human faecal incubations can be scaled up to provide material for purification of metabolites prior to structure elucidation by cryoprobe NMR.
We have undertaken a number of projects for clients where identification of a suspected gut-derived metabolite of a drug in clinical trials was needed, sometimes revealing surprising structures. These have included reduced and unusual conjugated metabolites.
As well as gut microbiota-mediated metabolites, sometimes a conjugate can be formed in the complex matrix of faecal material, without direct involvement of enzymes produced by bacteria in the gut.
Case Study – faecal metabolism of ozanimod
Ozanimod undergoes extensive metabolism via multiple pathways, including biotransformations mediated by anaerobic bacteria in the gut.
Incubation of ozanimod and RP101988 (an ADH/ALDH metabolite of ozanimod) in Hypha’s human faecal incubation system under anaerobic conditions resulted in generation of all the reported metabolites shown in the scheme on the right. An unreported related metabolite was also observed.
Mechanisms involved reductive cleavage followed by hydrolysis resulting in oxadiazole ring scission.
Case study - production of a reduced metabolite of epacadostat
A reduced metabolite of epacadostat, M11, was surprisingly found to be produced by one of Hypha’s microbes under aerobic conditions. The metabolite was identical to that produced in a human faecal incubation. Microbial biotransformation of epacadostat also yielded a major O-glucuronide M9, and a metabolite M12 derived from CYP mediated metabolism of M11 .
The O-glucuronide M9 is subject to enterohepatic recycling, involving hydrolysis of the glucuronide by gut bacteria enzymes. This is followed by the absorption of the drug back into systemic circulation, thereby leading to a prolonged elimination half-life and altered pharmacokinetics and pharmacodynamics.
Find out about synthesis of other metabolite types
In recent years, FDA guidance has advised initiating human metabolite profiling earlier in drug development, emphasizing the importance of metabolite identification and quantification to evaluate a drug metabolite’s safety and pharmacological activity. Praliciguat (IW-1973) is a soluble guanylate cyclase (sGC) stimulator in Phase 2 clinical trials for diabetic nephropathy and heart failure with preserved ejection fraction (HFpEF). During studies on metabolism of praliciguat in preclinical species and in human hepatocytes, a prominent direct O-glucuronide metabolite was detected.
Metabolism of drugs often results in the formation of major circulating metabolites derived from mixed clearance pathways, and can include both primary and secondary metabolites. Human metabolism of Incyte’s investigational new drug epacadostat (EPA) forms 3 major circulating plasma metabolites (Boer et al., 2016). Glucuronidation of EPA to form M9 is the dominant metabolic pathway, in conjunction with formation of an amidine M11 and an N-dealkylated metabolite, M12. Boer and co-workers showed that reductive metabolism by gut microbiota results in M11, which is then absorbed and further modified by CYP enzymes to form the secondary metabolite M12.
We have been very much impressed with the experience at Hypha Discovery. Hypha has provided us not only the services with high quality but also superior expertise in the field. From the study design, flow, production estimation to the timeline of the final product delivery, every single step was well planned. We were able to receive the high quality product in time. The communication was always quick and effective. There is no doubt that we will work with Hypha in the future when needed.
Yan Zhang, Senior Director DMPK
Nuvation Bio, USA
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Hypha Discovery is a UK-based CRO supporting pharmaceutical and agrochemical companies worldwide through the production of metabolites and new derivatives of drugs and agrochemicals in discovery and development.