Safety and tolerability testing of VU0467319: an M1 PAM for clinical development

Vanderbilt University, Nashville TN

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Abstract

PROJECT SUMMARY The large number of recent animal and clinical studies outlined within this application raises the possibility that highly selective positive allosteric modulators (PAMs) of the M1 subtype of muscarinic acetylcholine receptor (mAChR) may provide a novel approach in the treatment of cognitive disturbances and negative symptoms commonly associated with schizophrenia. The discovery of VU0467319 as a highly selective M1 PAM, which display properties indicative of a preclinical drug candidate, provides an opportunity to advance it to nonclinical safety testing for ultimate clinical assessment. Key requirements for the continued development of a successful clinical therapeutic includes a favorable safety and tolerability profile in nonclinical species and a predicted human pharmacokinetic profile amenable to oral dosing in healthy volunteers. In Project 3 we propose to synthesize VU0467319 with appropriate certificates-of-analysis and GMP standards in order to characterize the safety and pharmacodynamics of VU0467319 in preclinical and clinical studies, the approach of which satisfying the expectations and guidance of both US and nonUS regulatory agencies. Preclinical safety studies will be conducted in rats and dogs to assess the safety and tolerability of VU0467319, and its metabolites, in preparation for a Phase I clinical trial. The assessment of the mutagenicity and clastogenicity potential, the overt organ toxicity, and the safety pharmacological profile for VU0467319 represents the primary deliverables of our preclinical drug development program. A successful safety and toxicity assessment will result in the filing of an Investigational New Drug (IND) application with the US Food and Drug Administration (FDA) in support of a Phase I clinical trial. Should a toxicity or adverse pharmacology risk be identified, an advantage of our approach is the real-time data availability to Project 2 and the influence of the finding on the design of a backup M1 PAM candidate.