Abstract
The objectives of the present study were to characterize GNE-947 for its phosphoinositide 3-kinase (PI3K) and mammalian target of rapamycin (mTOR) inhibitory activities, in vitro anti-cell migration activity in Human Umbilical Vein Endothelial Cells (HUVEC), in vivo anti-neovascularization activity in laser induced rat choroidal neovascular (CNV) eyes, pharmacokinetics in rabbit plasma and eyes, and ocular distribution using Matrix-Assisted Laser Desorption Ionization Imaging mass spectrometry (MALDI-IMS) and autoradioluminography. Its PI3K and mTOR Ki were 0.0005 µM and 0.045 µM, respectively, and its HUVEC IC50 was 0.093µM. GNE-947 prevented neovascularization in the rat CNV model at 50 or 100 µg/eye with repeat dosing. Following a single intravenous injection at 2.5 and 500 μg/kg in rabbits, its plasma terminal half-lives (t1/2) were 9.11 and 9.59 hours, respectively. Following a single intravitreal injection of a solution at 2.5 μg/eye in rabbits, its apparent t1/2 values were 14.4, 16.3, and 23.2 hours in the plasma, vitreous humor, and aqueous humor, respectively. Following a single intravitreal injection of a suspension at 33.5, 100, 200 μg/eye in rabbits, the t1/2 were 29, 74, and 219 days in the plasma; and 46, 143, and 191 days in the eyes, respectively. MALDI-IMS and autoradioluminography images show that GNE-947 did not homogenously distribute in the vitreous humor and aggregated at the injection sites following injection of the suspension, which was responsible for the long t1/2 of the suspension due to slow dissolution process. This hypothesis was supported by pharmacokinetic modeling analyses. In conclusion, PI3K/mTOR inhibitor GNE-947 prevented neovascularization in a rat CNV model with t1/2 up to approximately six months following a single intravitreal injection of the suspension in rabbit eyes.
SIGNIFICANCE STATEMENT GNE-947 is a potent PI3K/mTOR inhibitor and exhibits anti-CNV activity in rat eyes. The duration of GNE-947 in the rabbit eyes following intravitreal injection in a solution is short with t1/2 less than a day. However, the duration following intravitreal dose of a suspension is very long with t1/2 up to six months due to its low solubility and slow dissolution process. These results indicate that intravitreal injection of a suspension formulation for low solubility drugs can be used to achieve long-term drug exposure potentially useful for the treatment of wet AMD and other retinal diseases.
- drug delivery
- drug design
- drug development/discovery
- drug efficacy
- enzyme inhibitors
- pharmacokinetics
- targeted drug delivery
- The American Society for Pharmacology and Experimental Therapeutics