Preclinical Pharmacokinetics and In Vitro Properties of GS-441524, A Potential Oral Drug Candidate for COVID-19 Treatment

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Abstract

Preclinical pharmacokinetics (PK) and in vitro ADME properties of GS-441524, a potential oral agent for the treatment of Covid-19, were studied. GS-441524 was stable in vitro in liver microsomes, cytosols, and hepatocytes of mice, rats, monkeys, dogs, and humans. The plasma free fractions of GS-441524 were 62-78% across all studied species. The in vitro transporter study results showed that GS-441524 was a substrate of MDR1, BCRP, CNT3, ENT1, and ENT2; but not a substrate of CNT1, CNT2, and ENT4. GS-441524 had a low to moderate plasma clearance (CLp), ranging from 4.1 mL/min/kg in dogs to 26 mL/min/kg in mice; the steady state volume distribution (Vd ss ) ranged from 0.9 L/kg in dogs to 2.2 L/kg in mice after IV administration. Urinary excretion appeared to be the major elimination process for GS-441524. Following oral administration, the oral bioavailability was 8.3% in monkeys, 33% in rats, 39% in mice, and 85% in dogs. The PK and ADME properties of GS-441524 support its further development as an oral drug candidate.

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  1. SciScore for 10.1101/2022.02.07.478848: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsField Sample Permit: In-life dog and monkey PK studies were conducted at Absorption System (San Diego, CA) and Frontage Labs (Concord, OH), respectively.
    IACUC: All experimental procedures were reviewed and approved by the Animal Care and Use Committee (ACUC) of the NIH Division of Veterinary Resources (DVR) or CRO labs for in-life studies.
    Sex as a biological variableControl male C57BL6 mouse, Sprague Dawley rat, Cynomolgus monkey and Beagle dog plasmas were ordered from Bioreclamation IVT (Westbury, NY, U.S.A.).
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Experimental Models: Cell Lines
    SentencesResources
    The apical layer supernatant samples were diluted at 1 to 8 ratio that were added to 96-well assay plates containing 10,000/well Vero E6 cells, followed by incubation at 37°C, 5% CO2 and 95% relative humidity.
    Vero E6
    suggested: RRID:CVCL_XD71)
    Transporter assays: MDR1 and BCRP substrate screening: Caco-2 (American Type Culture Collection), MDR1-MDCK (NIH), and BCRP-MDCK (transfected by Absorption Systems) cell monolayers were grown to confluence on collagen-coated, microporous membranes in 12-well assay plates.
    Caco-2
    suggested: None
    MDR1-MDCK
    suggested: None
    Caco-2 cells were cultured for 27 days, MDCK-MDR1 and MDCK-BCRP cells were cultured for 8 days prior to experiments.
    MDCK-MDR1
    suggested: RRID:CVCL_S586)
    MDCK-BCRP
    suggested: None
    Nucleoside transporters: MDCK-II cells were maintained in DMEM with low glucose and 10% FBS.
    MDCK-II
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    Cryopreserved mixed-gender human, male Sprague-Dawley rat, male CD-1 mouse, male Beagle dog, and male Cynomolgus monkey hepatocytes (Sekisui XenoTech, LLC) were thawed and equilibrated at 37°C.
    Sprague-Dawley
    suggested: None
    CD-1
    suggested: None
    The net transporter-mediated uptake rate of the substrate by each transporter was calculated: Percent inhibition was calculated by dividing the transporter-mediated uptake rate in presence of the test article or the reference inhibitor by the transporter-mediated uptake rate in presence of vehicle control: Pharmacokinetics studies: Adult male C57BL/6 mice and Sprague Dawley rats were purchased from Charles River Laboratory (Wilmington, MA).
    C57BL/6
    suggested: None
    Sprague Dawley
    suggested: RRID:RGD_737903)
    Male C57BL6 mice (n = 3 per time point, 24 - 40 g) were dosed at 5 mg/kg IV or 10 mg/kg oral gavage.
    C57BL6
    suggested: None
    Male Sprague–Dawley rats (n = 3 or 4 per treatment group, ∼ 343–375 g) were dosed in IV and PO dosing groups: 1 and 5 mg/kg IV, and 10, 30 and 100 mg/kg PO, respectively.
    Sprague–Dawley
    suggested: None
    Software and Algorithms
    SentencesResources
    Pharmacokinetics analysis: Phoenix WinNonlin, version 8.1 (Certara, St. Louis, MO), was used to perform PK analysis with the non-compartmental approach (Models 200 and 201 for PO and IV datasets).
    Phoenix WinNonlin
    suggested: None

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.