Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Metrion Biosciences: the ion channel specialists

   Metrion Biosciences Ion Channel CRO Service Overview:
   Cardiac safety assays

   August 2020

www.metrionbiosciences.com
Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Metrion Biosciences

                                                                              Company and vision
 Metrion Biosciences is a Cambridge, UK-based contract research
 organisation specialising in providing a range of high quality ion channel
 drug discovery services for our customers

• We aim to provide:
   • Exceptional ion channel electrophysiology expertise and services
   • High quality, cost-effective compound screening assays
   • Detailed characterisation of lead compounds in human cells and      ⚫

     native tissue
   • Confirmation of efficacy in stem cell and other phenotypic models
   • Rapid reporting and data interpretation by experienced ion
     channel team
   • A dedicated, flexible service tailored to each customer’s
     requirements

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Ion channel screening: high quality platforms

                                                                                                High quality electrophysiology
Ion channel drug discovery is reliant on sophisticated screening platforms
• Metrion scientists have decades of accumulated experience utilising such devices
• All of our electrophysiology platforms deliver high quality recordings and data
   • Flexible support for assay development, primary target screening, hit confirmation, lead
     optimisation and SAR, mechanistic and phenotypic studies

   • 384-well platforms available

   • QPatch-48 (x2)

   • Patchliner (x3)

   • Manual patch clamp (x5)

   • Multi-Electrode Array and impedance
     (native and iPSC neurons and cardiomyocytes)
   • FlexStation fluorescence plate reader (x2)

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Metrion’s ion channel drug discovery services

                                                                          Ion channel services
  Ion channel screening
  ▪ Generation of biological reagents, such as stable cell lines,
    transient transfection and transduction techniques
  ▪ Assay development
  ▪ Range of high quality ‘gigaseal’ patch clamp and other ion
    channel screening platforms
  ▪ Validated screening assays against an extensive panel of ion
    channel cell lines and native cells

  Cardiac safety screening
  ▪ CiPA-compliant panel of cardiac ion channel screening assays
  ▪ Phenotypic assays utilising human iPSC-derived cardiomyocytes
  ▪ In silico assessment of compound pro-arrhythmic liability

  Neuroscience services
  ▪ Screening assays against a panel of voltage-gated, ligand-gated,
    inward rectifier and K2P ion channels
  ▪ Phenotypic assays in native and iPSC neurons to aid the translation
    of in vitro neuroscience data to the preclinical stage

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Cardiac safety screening: overview of CiPA

                                                                                                                                          CiPA: an FDA regulatory proposal
       1                                   2                                  3                              4

          Analysis of compound              Use in vitro data for in silico   Confirm proarrythmia signals       Clinical evaluation of
         activity in a full panel of          modelling to evaluate             in human iPSC-derived            unanticipated effects
       human cardiac ion channel                 proarrhythmic risk                 cardiomyocytes

• The Comprehensive in vitro Proarrhythmia Assay (CiPA) initiative is a regulatory proposal
  sponsored by global safety bodies such as FDA to improve cardiac safety assessment
   •   Metrion have established in vitro cell-based assays for CiPA pillars 1 and 3
   •   Several standard in silico models (Pillar 2) have been validated using Metrion’s QPatch data
   •   Data from Metrion’s Pillar 1 assays are being used to train in silico models at the FDA
   •   Metrion data is included in several upcoming CiPA and FDA ion channel publications

                                 Sager et al., (2014); Gintant (2014)         5
Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
CiPA pillar 1: hERG QPatch IC50 assay

                                                                                               hERG QPatch assay
• Metrion Biosciences are a leading provider of high quality hERG screening data
   • Optimised hERG assay offers stable recordings with little or no rundown
   • Assay is tracked and every screen is benchmarked with positive control (e.g. Verapamil)
   • Single hole recordings ensure robust QC of client data
    Example current traces             Current vs time plot            IC50 potency curve

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
CiPA pillar 1: Cav1.2 QPatch assay

                                                                                                                                              hCaV1.2 QPatch assay
           • Metrion offers an industry-leading stable and reliable Cav1.2 screening assay
           • Choice of voltage protocols (single step, double step, or CiPA step-ramp pulse)
           • Three or four-point IC50 format with a minimum double addition of each concentration
                            • QPatch assay is stable in 0.1% DMSO vehicle, with gigaseal quality and minimal rundown
           • Can detect potency of reference compounds from nM to µM range

                                                      Cav1.2 reference data
                   120
                             N ife d ip in e

                   100       N im o d ip in e
                                                                                        Compound     IC50 (µM)
                             C is a p r id e
                                                                                        Nifedipine    0.025
% In h ib itio n

                    80       P im o z id e

                             C d C l2                                                   Nimodipine    0.204
                    60

                                                                                        Cisapride      8.52
                    40                                                                                               Cav1.2 raw data traces
                                                                                         Pimozide      11.0
                    20
                                                                                          CdCl2       17.17
                     0
                     -1 2     -1 0               -8         -6         -4      -2   0

                                               L o g [C o m p o u n d ] (M )

                                                                                                                 7
Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
CiPA pillar 1: Nav1.5 QPatch assay

                                                                                               hNaV1.5 QPatch assay
• Metrion offers standard ‘peak’ Nav1.5 assay, as well as a ‘late’ DKPQ LQT3 mutant assay
• Standard format of core panel assay is a 1Hz ten pulse train format
   • Can also be run at higher frequencies (2 - 5Hz) to mimic cardiac disease
• Four-point double addition IC50 format reports Pulse1 and Pulse10 potency
   • Simultaneously extract tonic and phasic block of test compounds
   • QPatch assay is stable in 0.1% DMSO vehicle with gigaseal quality
• Assay is pharmacologically validated with a toolbox of reference compounds
   • Amitriptyline is the use-dependent positive control (P1=15 µM, P10=7 µM)

   Nav1.5 pulse train protocol                 DMSO stability             Amitriptyline IC50

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
CiPA pillar 1: Late Nav1.5 assay

                                                                                                       hNaV1.5 ‘late’ assay
• Metrion also offers a ‘late’ Nav1.5 assay using ATX-II opener or DKPQ LQT3 cell line
• Recent CiPA data suggests that cardiac risk is better predicted using ‘late’ Nav1.5 data
   • Standard assay uses ATX-II to pharmacologically induce sustained ‘late’ currents (A)
   • Metrion also created an LQT3 mutant cell line assay to avoid non-specific effects of ATX-II (B)
• Four-point double addition IC50 format reports Peak and Late current potency
   • Simultaneously extract cardiac risk MoA profile of test compounds
   • Metrion is the only CRO that offers a physiological LQT3 ‘late’ Nav1.5 assay
• ‘Late’ Nav1.5 assay is pharmacologically validated with reference compounds (C)
    Nav1.5 + ATX-II                   LQT3 DKPQ late Nav1.5                    Pharmacology

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Metrion Biosciences Ion Channel CRO Service Overview: Cardiac safety assays - Metrion Biosciences: the ion channel specialists
Cardiac safety screening: CiPA+ panel and in silico APs

                                                                                                              Cardiac safety assays
1. Comprehensive core and CiPA cardiac ion channel panels                   2. In silico AP modelling

• Metrion have validated assays for core (hERG, Nav1.5 and Cav1.2 ) and full CiPA cardiac panels
    • We are the only CRO with high quality automated ‘late’ Nav1.5 and dynamic hERG assays (CiPA+)
• High quality in vitro cardiac channel IC50’s are suitable for use in in silico action potential models
    • Metrion is the only CRO offering access to official FDA in silico AP model (dynamic O’Hara-Rudy, ORd)

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CiPA cardiac panel 3: human iPSC cardiomyocytes

                                                                                                                      Cardiac safety assays
A:   iPSC cardiomyocyte        B:   Phenotypic iPSC cardiotoxicity assays    C:   Chronic iPSC cardiotoxicity assay
       electrophysiology
                              i                       ii                                  Doxorubicin
                 Dofetilide

 • Human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) offer an accessible
   and validated set of reagents for translational and predictive cardiac safety testing
 • Metrion have a fully validated set of acute toxicity assays using commercial iPSC-CM reagents
      • Manual patch voltage clamp (ionic currents) and current clamp (AP firing and arrhythmia) (A)
      • MEA (Bi) and impedance (Bii) platforms measure proarrhythmic liability and contractility readouts
 • Chronic cardiotoxicity assays are also available on the impedance platform (C)

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Guideline prices for core cardiac electrophysiology assays

                                                                                                                       QPatch assays
• Standard prices for ‘core’ panel cardiac profiling (hERG, hNav1.5, and hCav1.2):

                                                               Price per compound based upon
      Ion Channel    Platform   Assay format                     number of compounds/batch
                                                     2              3           5      10              ≥ 20

         hERG                                      £520          £465          £440   £410            £380

         Nav1.5                  Four-point        £520          £465          £440   £410            £380
                     QPatch
                                 IC50 (n=3)
        Cav1.2                                     £660          £600          £575   £550            £500

    • Turnaround times are 2-3 weeks from compound receipt
    • Potency data for a positive control reference compound will also be included
      for each core panel ion channel investigated

                                          Confidential, not for distribution

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                                                                                      *All prices are in GBP, ex VAT
Metrion Biosciences: strength and expertise

                                                                                               In summary
• Extensive and proven drug discovery expertise
   • Expert provider of ion channel screening assays
   • Proven record of delivering high quality data, on-time and on-budget
   • Staff have been involved with multiple, successful integrated drug discovery programmes

• Wealth of ion channel pharmacology and screening know-how
   •   Highly experienced with voltage-gated and ligand-gated ion channel families
   •   Detailed understanding of modulator MOA, compound class issues and safety profiles
   •   Screening cascade experience from target validation to HTS and SAR
   •   Translation of ion channel expertise to phenotypic neuronal and cardiac assays

• Automated patch clamp experts
   • Over fifteen years of experience operating a range of gigaseal APC platforms
   • Trusted real-world drug discovery users working closely with all APC platform vendors
   • Published a number of cell line and assay validation application notes

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                                                                 www.metrionbiosciences.com
Metrion Biosciences: the ion channel specialists
  For science, business or customer enquiries, please contact:
  info@metrionbiosciences.com

  www.metrionbiosciences.com
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