cassette dosing: rapid in vivo assessment of pharmacokinetics
TRANSCRIPT
▼ Preclinical drug development teams are strug-
gling to deal with the increased rate at which
new, active molecules are being created.This dis-
tress is a natural consequence of the scientific
heritage of pharmacokineticists and drug-
metabolism experts: slow and careful analysis
that has attempted to describe in detail the intri-
cate processes governing the distribution and
disposition of drugs.
New challenges in preclinical drugdevelopmentNeed for high-throughput methodsThe traditional pace of analysis is wholly inad-
equate to deal with the enormous volume of new
chemical entities being produced by modern
chemical and biological techniques. Not only are
compounds being made in their millions by
combinatorial chemistry, corporate libraries of
existing compounds are being screened with
high-speed robots.The application of genetic en-
gineering to fundamental questions of whole-
body and cellular physiology continues to reveal
tempting new targets for research teams. Thus,
our greater knowledge of cell physiology has
resulted in the identification of many new targets
to be subjected to high-throughput screening.
Progress in genetic engineering has facilitated
the cloning and expression of newly discovered
genes, further speeding the use of their corre-
sponding proteins in robotic screens. The
synergistic, multiplicative interactions of these
advances has made this a very exciting and pro-
ductive time for scientists in the pharmaceutical
industry, but we are faced with this question:
how can we characterize these numerous com-
pounds, so that we can narrow the field of candi-
dates to the best few?
In vitro methods can helpOne approach to this problem has been to model
various aspects of the physiology of drug distri-
bution and elimination with in vitro systems. A
good example of such a model is the attempt to
replicate enzymatic routes of clearance by expos-
ing chemicals to subcellular fractions of organs,
such as liver, that are rich in some types of these
enzymes1. Organ culture systems have also been
developed, so that drug candidates can be ex-
posed to more-or-less intact pieces of liver2.
Although these in vitro metabolism screens are
useful, not all metabolic enzymes are active in
these systems, and not all compounds are cleared
solely by metabolism. Permeation across cell
membranes is a key feature of several processes
that are important to the behavior of chemicals
in animals, such as oral bioavailability and pen-
etration of the blood–brain barrier. Cultures of
Caco2 cells have been used to measure the ability
of drugs to be absorbed by the intestine3, and
bovine brain endothelial cells have been used to
model the passage across the blood–brain bar-
rier4–6. All of these systems offer the advantages
common to in vitro models: relatively high
Cassette dosing: rapid in vivoassessment of pharmacokineticsLloyd W. Frick, Kimberly K. Adkison, Kevin J. Wells-Knecht, Patrick Woollard and David M. Higton
Lloyd W. Frick Kimberly K. Adkison and
Kevin J. Wells-Knecht Glaxo Wellcome, Inc., 5 Moore
Drive, Research Triangle ParkNC 27709, USA
tel: +1 919 483 9475 fax: +1 919 315 8011
Patrick Woollard and David M. Higton
Glaxo WellcomeResearch and Development
Gunnels Wood RoadStevenage, UK SG1 2NY
reviews research focus
12
PSTT Vol. 1, No. 1 April 1998
Cassette dosing, combining many test chemicals into one dose
solution, is an attractive method for increasing the throughput of in
vivo pharmacokinetic experiments. This dosing technique depends on
the sensitivity and selectivity of modern analytical techniques, par-
ticularly HPLC/MS/MS. Cassettes vary in size, but even relatively
small ones greatly increase the numbers of compounds investigated
by reducing the effort devoted to animal handling, sample process-
ing and sample analysis. The major drawback of cassette dosing is the
potential for drug–drug interactions.
Copyright ©1998 Elsevier Science Ltd. All rights reserved. 1461-5347/98/$19.00. PII: S1461-5347(98)00010-8
throughput and the clean matrices favored by analytical
chemists. Another advantage of in vitro models is their ability to
isolate a single process or group of processes, so that it can be
studied free from interferences caused by other factors.
However, no matter how elegant the model, at some point in
drug development a chemical must encounter the blood,
lungs, liver, intestines and kidneys of an intact animal. There
really is no substitute, yet, for the dynamics of blood flow, the
exquisitely maintained balances of biochemistry, the subtle
interplay between chemical and physical forces, and the
awesome complexity that is a living creature.
Advent of high-throughput in vivo methodsThe difficulties with the traditional, one-at-a-time approach to
characterizing the pharmacokinetics of compounds eventually
became severe enough to force a re-evaluation of the process
used to conduct these studies. In a series of experiments ‘N-in-
One dosing’ was shown to be a useful way to increase the
speed with which compounds are studied7,8. This technique
was applied successfully to speed the progress of an
a1A-adrenoceptor antagonist to the clinic9. A survey of the lit-
erature revealed that others10–13 had at least considered using
some form of cassette dosing. This review will discuss each
stage of the cassette dosing process in roughly the sequence
that they are encountered in the laboratory. We will also
describe experiments by us and others to validate its utility,
extend its application and explore its problems.
Advances in analytical technology enable cassette dosingMost pharmacokineticists are, at least in part, analytical
chemists. Before the widespread availability of high-perfor-
mance liquid chromatography–mass spectrometry
(HPLC–MS), pharmacokineticists typically quantitated com-
pounds with UV monitors following HPLC. Even with the ad-
vent of diode-array detectors, method development focussed
on discovering a way to make the analyte, and perhaps a key
metabolite or two, elute from the column in ‘empty’ regions of
the chromatogram. Many hours could be spent testing sample
clean-up methods and exploring the effects of slight changes
in pH, gradient composition and packing material on the re-
tention times of the analytes and the interfering peaks. Given
the difficulty of resolving even one or two analytes from
plasma matrix (urine is even worse) it should not be surpris-
ing that cassette dosing awaited the development of more-
sensitive and selective methods.
Mass spectrometry is renowned for its sensitivity and selec-
tivity.The combination of MS with HPLC was, thus, a major ad-
vance in analytical chemistry, adding the resolving power of
HPLC to the sensitivity and selectivity of MS (Ref. 14). A key
technique in HPLC–MS is the use of multiple-reaction
monitoring, or MRM (Refs 15,16). MRM adds another level of
selectivity by isolating the precursor ion of the analyte in the
first quadrupole of the instrument, fragmenting this ion in a
collision chamber, and then isolating a selected product ion of
the precursor in the third quadrupole. Although it is conceiv-
able that different compounds might have the same precursor
ion mass/charge ratio (m/z), it is highly unlikely that they will
also share a common product ion.The use of MRM has largely
eliminated selectivity as an issue in assay development. A se-
quential series of precursor ion isolations, fragmentations and
re-isolations may be used to measure many compounds simul-
taneously. However, because each reaction to be monitored
takes about one tenth of a second, issues of dwell-time can be-
come critical for larger cassettes.The level of selectivity achiev-
able with MRM makes the analysis of samples from cassette
dosing studies possible routinely.
New mass spectrometers may be able to overcome the dwell-
time limitations mentioned above.Time-of-flight machines op-
erate by scanning through a molecular-weight range, instead of
sampling different m/z values sequentially17.Therefore, they do
not have a dwell-time that is dependent on how many com-
pounds are being measured. Reasonably priced time-of-flight
mass spectrometers are not usually capable of MRM because
they cannot introduce a fragmentation step: the required speci-
ficity might be achievable with the high mass-resolution of
some of these instruments (which allows them to determine
molecular composition), but this has not yet been established.
Thus, a cassette dosing study will start with a series of ex-
periments on the MS, seeking to establish that the compound
series is suitable for assay. Next, one or two of the most potent
and selective compounds, the ‘leads’, will be administered as
discrete compounds to animals and the pharmacokinetic pa-
rameters determined. These data will be combined with the
earlier MS experiments to show that the levels that can be as-
sayed are within the range of those expected during the study
and to design the pharmacokinetic study. Finally, the MRM con-
ditions for each compound will also be determined. All of this
information is vital for the next stage of the experiment: cas-
sette construction.
Design of the cassetteHow many compounds should be put in the cassette, and if
more than one cassette is to be made, which compounds
should be grouped together? The answers to these questions
depend on the particulars of the problem faced by the project
team. How many compounds are interesting enough to study?
Are the compounds all of one series, or several? What is the
maximum dose of active compounds that can be administered
to an animal without adverse effects? How sensitive is the MS
assay? Is there evidence for non-linear kinetics in the compound
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PSTT Vol. 1, No. 1 April 1998 reviews research focus
series (suggesting that the potential for drug–drug interactions
is high)?
Factors to consider when grouping compoundsWhen large numbers of diverse compounds are to be investi-
gated, merely grouping compounds into a cassette and then
proceeding with the study is unlikely to be a satisfactory ex-
perience. Several important points need to be considered when
deciding which compounds are to be put into the cassette.
First, are there any isobaric pairs of compounds? Isobars need
to be avoided because of the use of MS. Common daughter
ions, even when they are a minor component of the total ions
produced, can result in analytical interferences when operating
the MS in the MRM mode, so it is best not to rely solely on
MRM, if it can be avoided. The possibility of isobaric metab-
olites should also be considered.These metabolites will not be
known beforehand, so it is not possible to predict their MRM
patterns. MRM offers great selectivity; however, this can be
achieved less routinely when the analytes are drawn from a
group of closely related compounds prepared by combinator-
ial chemistry. Such compounds and their metabolites are likely
to have common structural features and, consequently, similar
fragmentation patterns. A source of uncertainty can therefore
be lessened by eliminating compounds from a cassette if they
differ by 16 mass units (equivalent to an oxidation), or by
some other amount equal to known or suspected metabolic
pathways.
Second, do the compounds have similar physicochemical
properties? Many compounds are not very soluble, and need to
be coaxed into solution by the addition of either acids or bases,
but these maneuvers are unlikely to be successful when used
together. Additionally, sample preparation and the HPLC
method can be difficult to work out if the range of compound
properties is very diverse.Third, some compounds are best ion-
ized by the mass spectrometer in the positive ion mode, and
some in the negative ion mode.These compounds should not
be mixed. Finally, has a compound with known properties been
included? This reference compound can be used as a positive
control to validate that the results of the cassette dosing study
are in line with expectations.
Factors influencing the size of the cassetteHow many compounds should be put in each cassette? On the
one hand, the increased throughput realized with larger cass-
ettes tempts us to make them as big as possible. On the other
hand, highly complicated experiments are more likely to fail.
For one thing, large cassettes are difficult to assay well. The
dwell-time of the MS operated in the MRM mode is about a
tenth of a second for each fragment to be monitored. One hun-
dred compounds in a cassette would therefore mean that each
would be monitored only once every ten seconds. Infrequent
sampling of the chromatographic peaks will result in large
errors in estimating the areas, especially when the peaks are
sharp. One way around this problem is to use shallower gradi-
ents to broaden the peaks, but this means that sensitivity will
be reduced. Sensitivity is of paramount importance when
using big cassettes because the total dose should be held as
constant and as low as possible to avoid overdose: the more
compounds that are included in the cassette, the more the dose
of each one is reduced.The problem of sensitivity is mitigated
somewhat by the fact that the analyst is usually interested in
those compounds with ‘good’ kinetics, typified by high plasma
levels long after dosing. Even so, it is reassuring to be able to
see compound in at least the first few samples taken: the total
absence of observable compound in the plasma gives rise to
the suspicion that something is amiss. Finally, the problem of
encountering a serious drug–drug interaction is increased
with larger cassettes, as discussed below.
The in-life portion of the study: mitigating the effects ofdrug–drug interactionsNature of drug–drug interactionsSome of the biggest savings of cassette dosing are realized in
the animal room.Although saving time on an expensive instru-
ment like a mass spectrometer is important, MS assays can be
automated, whereas dosing and bleeding animals cannot (yet).
It is therefore not surprising that many of the difficulties with
cassette dosing are encountered in the in-life portion of the
study. These difficulties are largely due to the possibility of en-
countering serious drug–drug interactions. Such interactions
are not rare: any journal containing pharmacokinetic papers is
sure to be a rich source of information about clinically impor-
tant drug interactions. In most cases, these interactions are ob-
served when the clearance of one drug is reduced by co-
administration of a second drug.The reduction of clearance is
usually caused by the inhibition of an enzyme. Inhibition of
the cytochrome P450 3A4 by the antiviral protease inhibitor
ritonavir is a good example18. Administration of this protease
inhibitor can have a profound effect on clearance and oral
bioavailability of other drugs. Patients infected with the human
immunodeficiency virus are often highly medicated. In those
who take numerous drugs, including ritonavir, the probability
of encountering a serious, clinically relevant drug–drug inter-
action can be greater than 50% (Ref. 19).
The concentration of a compound in the plasma is governed
by the ratio of the dose to the summation of all of the rates
of the various routes of elimination. Therefore, it is harder to
affect the plasma level of a compound that is eliminated by a
variety of renal, biliary and metabolic processes, because even
if one route is completely inhibited, the others will still be able
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PSTT Vol. 1, No. 1 April 1998reviews research focus
to eliminate the compound. For example, if a compound is
eliminated with equal rates by two processes, completely in-
hibiting one of them will result in only a twofold increase in
the plasma concentration. Compounds that are only eliminated
by one route, however, will be exquisitely sensitive to interfer-
ence with that process. The routes of clearance of many com-
mon drugs have been reviewed recently20.
Statistics of drug–drug interaction probabilitiesThe key drug interaction questions for cassette dosing are: how
does the likelihood of encountering a significant interaction
change as the size of the cassette is increased?; and how much
more good data will be obtained by increasing the cassette
size? The probability that the clearance of a particular com-
pound will be affected is a function of the cassette size and the
frequency with which inhibitors occur in the population of
compounds being studied. To reduce this problem to a com-
prehensible level of statistics, it is similar to flipping a coin
(50% frequency of interaction) N times (where N is the cass-
ette size), and having it come up heads every time (no interac-
tion from any of the other compounds in the cassette). This
probability can be calculated using the binomial distribution.
Table 1 shows the probability of encountering a drug–drug
interaction as a function of cassette size and frequency of oc-
currence of inhibitors. The amount of useful data generated
can be calculated easily by multiplying the frequency with
which accurate data are obtained by the number of com-
pounds in the cassette. This analysis suggests that big cassettes
are not a good idea when a chemical series is known or sus-
pected to contain metabolic inhibitors, because the proportion
of useful data quickly declines with cassette size.
Another consideration is the possibility of including a really
‘bad’ compound in a cassette, one whose effect is severe
enough that it destroys the whole experiment.This destructive
effect does not need to be due to a drug–drug interaction.The
likelihood of including an acutely toxic compound in the
cassette also increases with the cassette size. A chemist once
challenged one of us during a presentation on cassette dosing,
explaining (in faintly accusatory tones) that a dog given a cass-
ette of five compounds orally had promptly vomited them all
up, ruining the experiment and sending her back to the bench
to synthesize more. When a series contains chemicals that are
likely to be acutely toxic (or emetic), large cassettes may be
counterproductive.
Reasons for persevering with cassette dosingSeveral factors mitigate the dire state of affairs described above.
First, most interactions are not that severe. As discussed in the
next section, cassette data are usually nicely correlated with
data on discrete compounds, and even slightly inaccurate data
are still very useful if the range in compound properties is
great. Evidently, enough alternate pathways of clearance exist
so that inhibiting one of them does not have a big effect on
clearance. Second, most interactions will lower clearance, so
that ‘good’ compounds will not be incorrectly eliminated from
further consideration. The bad ones that get included by mis-
take will be weeded out when they are retested as discretes.
Third, interactions are dose-dependent, so lowering the dose
of compounds as far as possible will tend to weaken the inter-
actions and reduce the frequency of occurrence of a com-
pound that is potent enough to affect clearance. Finally, the in-
clusion of a reference standard with known pharmacokinetic
properties can lend some assurance that things are more-or-
less normal. The use of a reference compound involves the as-
sumption that it and other members of the cassette are cleared
by the same mechanism. Nevertheless, such compounds are
useful, particularly if they are the lead compound for the se-
ries: co-administration with potential competitors eliminates
inter-animal variability from the comparison. Therefore, de-
spite the dangers, cassette dosing has been steadily gaining a
wider acceptance.
Post-dose poolingA very useful variant of cassette dosing is the post-dose pool-
ing of samples. As the name implies, this method combines
samples only when they are ready to be assayed, thereby avoid-
ing the problem of drug–drug interactions. This method is
most valuable when generation of samples is relatively easy,
as is the case for some in vitro screens. However, it does not
provide some of the most important advantages of cassette
dosing, namely the reduction in animal handling and use.
Practical experienceCorrelation with singly dosed compoundsThe most often-quoted validation of cassette dosing is that the
data gained using it are correlated with data on individual
compounds. Several groups, including those at Merck21,
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PSTT Vol. 1, No. 1 April 1998 reviews research focus
Table 1. The probability (%) of a compound experiencing adrug–drug interaction as a function of cassette size and thefrequency of metabolic inhibitors in the population ofcompounds being studied.
Frequency of occurrence of metabolic inhibitors Cassette size 10% 3% 1% 0.3%
05 041 14 05 0110 065 26 10 0320 088 46 18 0640 099 70 33 1180 100 91 55 21
Proctor and Gamble22,23, Schering-Plough24 and SmithKline
Beecham25 have published reports recently, describing the suc-
cessful use of cassette dosing. Most have been able to show at
least a modest correlation of discretes and cassettes. Our own
experience has confirmed this observation. Figure 1 shows the
correlation in total body clearance (determined by noncom-
partmental methods) of intravenous doses of 21 a1A-adreno-
ceptor compounds given to dogs either individually or in cass-
ettes of about 15 compounds. Similar data have been obtained
with many other series of compounds. Although some scatter
is evident, even in this log–log plot, those compounds with
the slowest rate of clearance were clearly identified in the cass-
ette dosing studies, with the expenditure of much less time
and effort. Experiments such as these account for the rapid
adoption of cassette dosing.
Cassette of N590We have tried to push the limits of cassette dosing by adminis-
tering a total of 90 a1A-adrenoceptor antagonists to a single
dog.All of these compounds had been given previously to dogs
in smaller cassettes of N<22. This experiment was extremely
useful for illustrating the obstacles that must be overcome to
extend the technique to bigger cassettes, but also illustrates the
power of using large cassettes to screen large numbers of com-
pounds. First, because of the accumulative pharmacological ef-
fects of the compounds, the total dose had to be kept low, so
that the levels of the individual compounds were low relative
to the detection limits of the MS assay. Dividing the dose into
four different cassettes and giving them at one-hour intervals
circumvented this problem. Four of the compounds were not
present in the dosing solutions, and are presumed to have pre-
cipitated before administration.The preparation for the experi-
ment was quite labor-intensive. However, the correlation
between half-lives in the N590 and in smaller cassettes was
good: these data are shown in Figure 2. Note that many com-
pounds fall along the line of identity of the two data sets, but
that some in the N590 set are scattered above this line, indi-
cating that these compounds tended to be eliminated more
slowly than they were in smaller cassettes. Note also that there
were many compounds with ‘negative half-lives’: the concen-
trations were apparently increasing over the latter part of the
experiment (the last four samples, taken 5–8 h post-dose, were
used to calculate half-life). This problem is not a serious one.
Obviously, the compounds don’t really have negative half-lives
of elimination. The important point is that the rate of elimi-
nation is slow. Probably, the half-lives were prolonged to the
point where our experiment was not able to measure them ac-
curately (to be expected in an eight-hour experiment). In fact,
most of these compounds had good kinetics when tested in
smaller cassettes, so that compounds with desirable properties
were usually identified successfully. More importantly, most of
the rapidly eliminated compounds were identified. Only one
promising compound of the top 20 would have been missed.
It had a half-life of >20 hours in a smaller cassette, and a half-
life of 3.4 hours in the N590 experiment. Thus, despite the
problems, very large cassettes can be useful as a crude filter to
eliminate compounds.
Oral dosing of cassettesAlthough some researchers, particularly those at Merck and
Proctor and Gamble21–23, have been very successful with oral
dosing of cassettes, our own experience has been less success-
ful. One interesting situation arose during cassette dosing of a
group of compounds known to have dose-dependent kinetics
in rats. One of these compounds had an oral bioavailability of
more than 300% when the oral cassette data were compared
with the corresponding intravenous cassette data. When dosed
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PSTT Vol. 1, No. 1 April 1998reviews research focus
Figure 1. Comparison of total body clearances of 21 a1A-adrenoceptorcompounds administered intravenously to dogs as discretes or incassettes of 12–22. The line is the power function trendline fromExcel®.
100
10
1
0.10.1 1
Clearance, discrete (ml min–1 kg–1)
Cle
aran
ce, c
asse
tte(m
l min
–1 k
g–1)
10 100
Figure 2. The half-lives of 90 a1A-adrenoceptor antagonists given insmaller cassettes (N<22), or in a large cassette (N=90). The line ofequivalence is shown.
40
20
–20
0
–400 105
Half-life in cassette N < 22 (hours)
Hal
f-lif
e in
cas
sette
N =
90
(hou
rs)
15 20
singly, the oral bioavailability was <10%. The hypothesis was
that these compounds were saturating the mechanism of clear-
ance when given orally as a cassette, possibly due to a first-pass
effect on metabolism by one or more of them.To test this idea,
a single rat was first dosed orally with all the members of the
cassette but one.After four hours, the same rat was dosed intra-
venously with the missing compound. The resulting plasma
concentration–time curve compared with that of the same
compound dosed intravenously, individually and in a cassette in
other rats, is shown in Figure 3 (concentrations are corrected
for the different doses given). Even the compound dosed intra-
venously in a cassette seems to suffer from drug–drug interac-
tions, but this effect is magnified after dosing with the oral
cassette. The increased deviation from the data obtained on
the intravenously administered, discrete compound could be
caused by the higher concentration of the drugs in the liver
after oral dosing. Another possibility is that a metabolite with
more of an inhibitory effect was produced after oral dosing.
This experience underscores the necessity of confirming
promising results by a more traditional approach. Oral dosing
is also more difficult to deal with because of the nature of the
data. Total body clearance can vary over an infinite range,
whereas oral bioavailability is confined to within 0–100%.
Therefore, it is not valid to log-transform oral bioavailability
values, whereas we can for clearance.Thus, extra vigilance may
be required with oral cassette dosing.
In-life standardsThe use of in-life standards is nearly universal. Most workers
surely anticipate that they will discard data from a cassette
when the in-life standard indicates a problem. However, how
far off does the standard have to be? Examination of other’s
data reveals that repeatedly measured values of in-life stand-
ards, such as clearance, tend to follow a log-normal distribu-
tion. For example, we have plotted data from Olah et al.21 in
Figure 4. These are the log-transformed, averaged area-under-
the-curve (AUC) values for an in-life standard given on 19 oc-
casions to two dogs, dosed with cassettes of about ten com-
pounds each. Note that the arithmetic mean and standard
deviation of the AUCs was 5 ± 2 h mg ml21: the range of AUC
values was from 2 to nearly 11 h mg ml21. Since the frequency
distribution is fairly broad, only interactions with a major ef-
fect will be detected with this in-life standard. Some of this
variation could be caused by the oral route of administration,
and some to drug interactions that are judged to be mild.
Although some of our own in-life standards for particular
chemical series have been as variable, standards for other series
that have been administered intravenously have had coeffi-
cients of variation of <20%. Perhaps a more useful aspect of
the in-life standard is that it facilitates comparisons among
compounds by lessening the importance of inter-animal vari-
ability. Note that the standard does not have to be the same
compound each time, it just has to have been dosed alone at
least once.
Urinary recovery after cassette dosingUsually, we have assayed plasmas. However, scientists at Proctor
and Gamble have successfully applied the cassette dosing tech-
nique to studies of urinary recovery22. For compounds that are
renally eliminated, urine is an attractive biomatrix because it
tends to contain high concentrations of the analyte, and be-
cause only a few samples are generated. These scientists used
cassettes of about six compounds to estimate oral bioavailabil-
ity with some success, even with a compound series that had
non-linear kinetics. Another interesting example of measuring
urinary excretion of drugs given in combination is represented
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PSTT Vol. 1, No. 1 April 1998 reviews research focus
Figure 3. Inhibition of clearance by a first-pass effect. The drug–druginteraction responsible for the erroneous oral bioavailability data wasexacerbated when the animals were pre-treated with an oral cassette.
2.5
2
1.5
1
0.5
00 1 2 3 4 5 6 7 8
Time (h)
Pla
sma
conc
entr
atio
n (µ
M)
9
IV discreteIV cassetteIV (PO cassette)
Figure 4. Histogram of the frequency distribution of log-transformedarea-under-curve (AUC) values from an orally dosed in-life standard.The standard was administered on at least 19 occasions. These datawere obtained from Ref. 21.
7
6
5
4
3
2
1
00.75
Natural logarithm of AUC
Fre
quen
cy
1.1 1.45 1.8 2.15 2.5
by a technique developed to determine the metabolic pheno-
types of humans13,26. A cocktail of up to five ‘indicator’ drugs,
each one cleared by a different route, was given to volunteers
and plasma pharmacokinetics and urinary recoveries deter-
mined. Co-administration did not appear to affect the extent of
metabolism (as would be expected, because all are cleared by
different enzymes).
Brain penetrationAnother tissue of interest besides plasma is the brain. We have
been able to show for a group of 89 triazines that concen-
trations of compounds at one hour post-dose in the brains of
mice following cassette dosing were correlated with those ob-
served after dosing with discrete compounds. A single individ-
ual was used in each branch of the experiment.These data are
shown in Figure 5.Although some scatter is evident, the agree-
ment was generally good. This in vivo method for estimating
brain penetration could, thus, be an excellent addition to high-
throughput in vitro methods.
ConclusionMuch of this review has been devoted to the problems associ-
ated with cassette dosing. This is not meant to convey a sense
of pessimism, but merely of realism. Using cassette dosing,
large numbers of compounds can be put through the preclini-
cal evaluation process much more quickly than by traditional
methods. For this reason, it has been gaining wide acceptance
in the pharmaceutical industry. New developments in analyti-
cal methodologies and in computerized data analysis should
advance the utility of this technique further.
AcknowledgementsJ. Berman, J. Shaffer and K. Halm played critical roles in con-
ceptualizing cassette dosing and in reducing it to practice. M.
Tarbit and J. Harrelson provided support and guidance.All pro-
vided critical review of the manuscript.The excellent technical
assistance of M. Cockman is gratefully acknowledged. The re-
search complied with national legislation and with company
policy on the Care and Use of Animals and with related codes
of practice.
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PSTT Vol. 1, No. 1 April 1998reviews research focus
Figure 5. Concentrations of Triazine compounds in the brains of singlemice, dosed either intravenously with individual compounds, or withcassettes of nine compounds. The concentrations of most compoundsin the brains at one hour post-dose were similar when dosed by eithermethod.
1000
0.01
0.1
1
10
100
0.01 0.1 1 10 100
Concentration in brain, discrete (ng g–1)
Con
cent
ratio
n in
bra
in, c
asse
tte (
ng g
–1)
1000