Translational Modeling to Guide Study Design and Dose Choice in Obesity Exemplified by AZD1979, a Melanin-concentrating Hormone Receptor 1 Antagonist

CPT Pharmacometrics Syst Pharmacol. 2017 Jul;6(7):458-468. doi: 10.1002/psp4.12199. Epub 2017 May 27.

Abstract

In this study, we present the translational modeling used in the discovery of AZD1979, a melanin-concentrating hormone receptor 1 (MCHr1) antagonist aimed for treatment of obesity. The model quantitatively connects the relevant biomarkers and thereby closes the scaling path from rodent to man, as well as from dose to effect level. The complexity of individual modeling steps depends on the quality and quantity of data as well as the prior information; from semimechanistic body-composition models to standard linear regression. Key predictions are obtained by standard forward simulation (e.g., predicting effect from exposure), as well as non-parametric input estimation (e.g., predicting energy intake from longitudinal body-weight data), across species. The work illustrates how modeling integrates data from several species, fills critical gaps between biomarkers, and supports experimental design and human dose-prediction. We believe this approach can be of general interest for translation in the obesity field, and might inspire translational reasoning more broadly.

MeSH terms

  • Animals
  • Anti-Obesity Agents / administration & dosage*
  • Anti-Obesity Agents / pharmacokinetics
  • Anti-Obesity Agents / pharmacology
  • Anti-Obesity Agents / therapeutic use
  • Azetidines / administration & dosage*
  • Azetidines / pharmacokinetics
  • Azetidines / pharmacology
  • Azetidines / therapeutic use
  • Biomarkers / metabolism
  • Body Weight / drug effects
  • Dose-Response Relationship, Drug
  • Drug Discovery
  • Energy Intake / drug effects
  • Female
  • Humans
  • Male
  • Mice
  • Models, Biological*
  • Obesity / drug therapy*
  • Obesity / metabolism
  • Oxadiazoles / administration & dosage*
  • Oxadiazoles / pharmacokinetics
  • Oxadiazoles / pharmacology
  • Oxadiazoles / therapeutic use
  • Rats
  • Receptors, Pituitary Hormone / antagonists & inhibitors*
  • Receptors, Pituitary Hormone / metabolism
  • Research Design
  • Translational Research, Biomedical*

Substances

  • AZD1979
  • Anti-Obesity Agents
  • Azetidines
  • Biomarkers
  • Oxadiazoles
  • Receptors, Pituitary Hormone
  • melanin-concentrating hormone receptor