Table 14.
Comparison of in vitro potency (3D7 parasites) and SCID mouse efficacy data for PfDHODH inhibitors.
Cmpd | 3D7 EC50 (μM) | Unbound 3D7 EC50 (μM)a | ED90 (mg/kg/day) | Blood AUCED90 (μg.h/ml) | Unbound blood AUC (μg.h/ml)b |
---|---|---|---|---|---|
37 | 0.016 | 0.0077 | ~50* (QD) | ~9 | ~1.1 |
1# | 0.0060 | 0.0010 | 8.1 (QD) | 16.7 | 0.023 |
1# | --- | --- | 3.0 (BID) | 10.8 | 0.015 |
DSM421# | 0.014 | 0.0070 | 2.6 (QD) | 12.9 | 0.25 |
QD=once daily dosing; BID=twice daily dosing. Studies compared use the standard Peters test with 4 days of consecutive dosing. Parasite levels one day after the final dose were used to determine the ED90.
For 37 the ED90 reflects the average from the two studies where 24 h after the last dose 85% reduction in parasitemia was observed in the GSK study and 97% reduction was observed in the Swiss TPH study, both at the 50 mg/kg dose.
obtained by multiplying the EC50 by the fraction unbound in Albumax medium
approximated by multiplying the blood AUCED90 by the fraction unbound in blood (fu(blood)) where fu(blood) = fu(plasma)/B:P