Evidence map›Paper›PMID 31624633›Full record

Trial reportPharmacology research & perspectives2019

Quantitative systems toxicology (QST) reproduces species differences in PF-04895162 liver safety due to combined mitochondrial and bile acid toxicity.

Grant Generaux, Vinal V Lakhani, Yuching Yang, Sashi Nadanaciva, Luping Qiu, Keith Riccardi, Li Di, Brett A Howell, Scott Q Siler, Paul B Watkins and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Pharmacology research & perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01691274 (A Double Blind), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01691274 phase1completednot on this map

A Double Blind (3rd Party Open) Randomized, Placebo Controlled, Parallel Group Dose Escalation Study To Investigate The Safety, Toleration And Pharmacokinetics Of Multiple Oral Doses Of Pf-04895162 In Healthy Subjects

TypeinterventionalSponsorPfizerRan2012 to 2013Enrolled10ConditionsHealthyArmsPF-04895162, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Grant GenerauxDILIsym Services Inc. Research Triangle Park North Carolina.
Vinal V LakhaniDILIsym Services Inc. Research Triangle Park North Carolina.
Yuching YangDILIsym Services Inc. Research Triangle Park North Carolina.
Sashi NadanacivaCompound Safety Prediction Worldwide Medicinal Chemistry Pfizer Inc. Groton Connecticut.
Luping QiuInvestigative Toxicology Drug Safety Research and Development Pfizer Inc. Groton Connecticut.
Keith RiccardiPharmacokinetics, Dynamics and Metabolism Medicinal Sciences Pfizer Inc. Groton Connecticut.
Li DiPharmacokinetics, Dynamics and Metabolism Medicinal Sciences Pfizer Inc. Groton Connecticut.
Brett A HowellDILIsym Services Inc. Research Triangle Park North Carolina.
Scott Q SilerDILIsym Services Inc. Research Triangle Park North Carolina.
Paul B WatkinsUNC Eshelman School of Pharmacy University of North Carolina at Chapel Hill Chapel Hill North Carolina.
Hugh A BartonTranslational Modeling and Simulation Biomedicine Design Pfizer, Inc. Groton Connecticut.
Michael D AleoInvestigative Toxicology Drug Safety Research and Development Pfizer Inc. Groton Connecticut.ORCID 0000-0003-1549-2629
Lisl K M ShodaDILIsym Services Inc. Research Triangle Park North Carolina.ORCID 0000-0002-9310-0080
Pfizer (United States) · USResearch Triangle Park Foundation · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many compounds that appear promising in preclinical species, fail in human clinical trials due to safety concerns. The FDA has strongly encouraged the application of modeling in drug development to improve product safety. This study illustrates how DILIsym, a computational representation of liver injury, was able to reproduce species differences in liver toxicity due to PF-04895162 (ICA-105665). PF-04895162, a drug in development for the treatment of epilepsy, was terminated after transaminase elevations were observed in healthy volunteers (NCT01691274). Liver safety concerns had not been raised in preclinical safety studies. DILIsym, which integrates in vitro data on mechanisms of hepatotoxicity with predicted in vivo liver exposure, reproduced clinical hepatotoxicity and the absence of hepatotoxicity observed in the rat. Simulated differences were multifactorial. Simulated liver exposure was greater in humans than rats. The simulated human hepatotoxicity was demonstrated to be due to the interaction between mitochondrial toxicity and bile acid transporter inhibition; elimination of either mechanism from the simulations abrogated injury. The bile acid contribution occurred despite the fact that the IC

Indexed as

Models, BiologicalAdministration, OralAdolescentAdultAnimalsAnticonvulsantsATP Binding Cassette Transporter, Subfamily B, Member 11Chemical and Drug Induced Liver InjuryComputer SimulationDose-Response Relationship, DrugDrug Evaluation, PreclinicalEpilepsyHealthy VolunteersHEK293 CellsHepatocytesHumansAnticonvulsantsATP Binding Cassette Transporter, Subfamily B, Member 11PF-04895162QuinazolinesTaurocholic Acidbile acid transportersDILIsymdrug‐induced liver injurymechanisticmitochondriaPBPKPF‐04895162QSPQSTspecies translation

Identifiers

PMID31624633
PMCPMC6785660
OpenAlexW2979725482

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.