125742 S1 M4 4.2.2.4 01049 20022

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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
1 
  
  
In Vitro Metabolic Stability of ALC -0159  in CD-1/ICR Mouse, 
Sprague Dawley Rat,  Wistar Han Rat, Cynomolgus Monkey , and 
Human Hepatocytes  
 
 
Sponsor  Acuitas Therapeutics  Inc. 
6190 Agronomy Road, Suite 402  
Vancouver BC V6T 1Z3  
Canada  
Testing Facility  Medicilon Preclinical Research (Shanghai) LLC  
585 Chuanda Rd, Pudong  
Shanghai 201299  
China 
Study Monitor   
Acuitas Therapeutics  Inc. 
Study Director   
Medicilon Preclinical Research (Shanghai) LLC  
 
 
 
Alternate Contact   
Medicilon Preclinical Research (Shanghai) LLC  
 
 
 
Study Identification  01049-20022 
Experimental Start Date  2020-07-20 
Experimental Completion Date  2020-07-22 
Number of Pages in Report  32 
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FDA-CBER-2021-5683-0709370
FDA-CBER-2021-5683-0709371
 
Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
3 
SUMMARY  
This study evaluated the in vitro metabolic stability of ALC-0159  in hepatocytes of CD-1/ICR 
mouse, Sprague Dawley rat, Wistar Han rat, cynomolgus monkey, and human.  ALC-0159  was 
stable after an approximately 4-hour incubation with hepatocytes from all these species. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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(b) (6)
FDA-CBER-2021-5683-0709373
 
Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
5 
1. OBJECTIVE 
To evaluate the in vitro metabolic stability of ALC-0159  in hepatocytes from different species.  
 
2. MATERIALS 
2.1 Test Article 
Name:  ALC-0159 
Molecular Formula: C30H60NO (C2H4O) n   (n = 45~50) 
MW (g/mol): ~2400-2600 
 
 
 
 
2.2 Positive Control  
 
Compound Name  Vendor CAS No. Cat. No. Lot No. Molecular Weight  
Testosterone  Aladdin 58-22-0 T102169 K1505051  288.42 
7-hydroxycoumarin  J&K Scientific  93-35-6 153384 L630I04 162.14 
 
2.3 Internal Standard 
 
Compound Name  Vendor CAS No. Cat. No. Lot No. Molecular Weight  
Verapamil 
hydrochloride  TCI 152-11-4 V0118 RFMWJ-RL 491.06 
Tolbutamide  Sigma-
Aldrich 64-7-7 46968 BCBV8457  270.35 
 
2.4 Hepatocytes  
The following cryopreserved hepatocytes of CD-1/ICR mouse, Sprague Dawley rat, Wistar Han 
rat, cynomolgus monkey, and human were purchased from qualified suppliers and stored in 
liquid nitrogen until use.   
 
 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
6 
Species Manufacturer  Cat. No. Lot No. Assured Minimum Yield
(cells per vial ) 
CD-1/ICR mouse  (male) XenoTech  MPCH1000  1810242 2.0×106 
Sprague Dawley rat  (male) XenoTech  RPCH1000 1810189 5.0×106 
Wistar Han rat  BioIVT M00065 YMV 5.0×106 
Cynomolgus monkey  (male) RILD Shanghai HP-SXH-02M CJJC 5.0×106 
Human (mixed gender)  XenoTech  HPCH10 1810156 5.0×106 
 
3. EXPERIMENTAL PROCEDURES 
3.1 Stock solution :  
4.24 mg of ALC-0159  was weighed and dissolved in 16 9.60 μL of DMSO to obtain a 10 mM 
stock solution. 3. 31 mg of testosterone was weighed and dissolved in 1147.60  μL of DMSO to 
obtain a 10 mM stock solution. 2.81 mg of 7-hydroxycoumarin was weighed and dissolved in 
882.70 μL of DMSO to obtain a 10 mM stock solution. 
 
3.2  4 mM spiking solution: 
Spiking Solution of Test Article or Positive Control  
Compound  Conc. of Stock 
Solution (mM)  Volume of Stock 
Solution (μL)  Volume of DMSO  
(μL) Final Concentration  
(mM) 
ALC-0159 10 20 30 4 
Testosterone  & 
7-Hydroxycoumarin  10 20 10 4 
 
3.3  2 µM dosing solution (2×): 
Dosing Solution (2×)  of Test Article or Positive Control  
Conc. of  
Spiking Solution  
(mM) Volume of  
Spiking Solution  
(μL) Volume of  
William's E Medium  
(μL) Final Concentration  
(μM) 
4  2 3998 2  
 
3.4  Preparation of hepatocyte suspension: 
Cryopreserved hepatocytes were thawed in a 37°C water bath, transferred  to hepatocyte 
thawing medium (William's E Medium with 30% percoll and 5% FBS),  and then centrifuged  
at 100×g for 10 min at room temperature. The cell pellet was resuspended with William's E 
Medium, cell viability was determined by trypan blue exclusion analysis,  and the density of 
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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
7 
viable cells was calculate d. The hepatocytes were diluted with incubation medium to an 
appropriate density (2×106 viable cells/mL) and then pre-warm ed at 37 °C for 10 min. 
3.5  40 µL of each hepatocyte suspension was added to 96-well plates in duplicate for each time 
point (0, 30, 60, 90, 120, 180, and 240 min).  
3.6  For 0 min samples: 4 80 µL of internal standard solution (IS solution, 10 ng/mL verapamil in 
ethanol) was added, followed by 40 µL of pre-warmed 2× dosing solution. The final 
concentration of test article or positive control in the incubation mixture was 1 M.  
3.7  For the 30, 60, 90, 120,  180, and 240 min samples, 40 µL of pre-warmed 2× dosing solution  
was added to initiate the reaction. The final concentration of test article or positive control in 
the incubation mixture was 1 M. 
3.8  Samples were incubated at 37  °C. At 30, 60, 90, 120,  180, and 240 min time points, the 
reaction was stopped by adding 480 µL ethanol containing internal standard to all of the 
duplicate wells. 
3.9  After quenching, the plates were shaken at 600 rpm for 10 min and then centrifuged  at 6,000 
rpm for 15 min. 
3.10 The plates were sealed and stored at -20 °C until bioanalysis. 
3.11 Plates were thawed at room temperature, centrifuged  at 6,000 rpm for 15 min, and 200 μL 
of the supernatants were transferred  from each well into a 96-well sample plate for LC-MS/MS. 
 
4. BIOANALYSIS 
4.1 Instruments 
SHIMADZU :UPLC system 
Sciex Triple Quad 6500+ with ESI ion source 
 
4.2 LC/MS/MS Conditions 
Column: Agilent Zorbax SB-CN 3.5 m (100 mm*2.1 mm) 
Gradient for ALC-0159: 
Time (min) Solvent A (%) Solvent B (%) 
0.00 80 20 
0.40 30 70  
1.60 10 90  
2.70 10 90  
2.71 80 20 
3.00 80 20 
 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
8 
Solvent A: 0.1% formic acid in water 
Solvent B: 0.1% formic acid in acetonitrile 
Flow rate :600 μL/min 
Column temperature :40 oC 
Autosampler temperature: 4oC 
MS Conditions: MRM detection 
Compound Q1(m/z) Q3(m/z) DP CE Retention Time 
 ALC-0159 1164.00 494.70 45 71 ~1.33 
tolbutamide  (IS) 271.10 172.00 70 18 ~1.03 
 
4.3 Detection of ALC-0159  
Representative chromatograms of ALC-0159 in each matrix are shown in Appendix 1 . 
 
5. DATA ANALYSIS 
The % remaining parent compound (ALC-0159 or positive control, testosterone and 
7-hydroxycoumarin) was calculated by dividing the peak area ratio (test article peak area/internal 
standard peak area) by the time zero peak area ratio. The natural logarithm of % remaining 
parent compound was plotted against time, and the slope of the regression line was determined. 
The elimination constant and half-life was calculated, when possible, as indicated below. 
 
Elimination rate constant (k) = - slope 
Half-life (T1/2) (minutes) = 0.693/k 
Intrinsic clearance, predicted from the in vitro  hepatocyte stability study,  was calculated as 
shown below: 
 
CL’int (mL/min/kg) = k × V (1 mL incubation/106 cells) × Scaling Factor (106 cells/kg), 
Scaling Factor (106 cells/kg) = Hepatocellularity (106 cells/g liver) × Normalized Liver Weight 
(g liver/kg body weight) 
 
The scaling factor s are listed in Table 1. 
 
 
 
 
 
 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Table 1.  Scaling Factors for Intrinsic Clearance Prediction in Mouse, Rat, Monkey, and 
Human Hepatocytes  
Species Hepatocellularity  
(106 cells/g liver)  Liver Weight 
(g/kg BW) Scaling Factor 
(106 cells/kg) 
Mouse 135 87.5 11812.5 
Rat 117 40 4680 
Monkey 120 32 3840 
Human 99 25.7 2544.3 
 
 
6. RESULTS 
A summary of the % remaining parent compound, CL’ int and half-life of ALC-0159  obtained 
from a 4-hour incubation with hepatocytes from CD-1/ICR mouse, Sprague Dawley rat, Wistar 
Han rat, cynomolgus monkey,  and human is presented in Table 2. The stability of ALC-0159 
over time in each matrix is shown in Figure 1. Raw data is presented in Appendix 2 . 
The hepatocytes used in this study were tested for activity using metabolism control substrates 
under incubation conditions identical to those used for ALC-0159 . The enzymes were found to 
exhibit satisfactory activity as determined by significant consumption of the positive control 
compounds (testosterone and 7-hydroxycoumarin) during the 4-hour incubation period, hence 
the test systems were considered to have yielded valid results. A summary of the % remaining 
parent compound, CL’ int and half-life of testosterone and 7-hydroxycoumarin is provided in 
Table 2. The stability of testosterone and 7-hydroxycoumarin over time in each matrix is shown 
in Figure 2 and Figure 3, respectively. Raw data for controls is presented in Appendix 3  
(testosterone) and Appendix 4  (7-hydroxycoumarin).  
 
7. CONCLUSIONS 
This study evaluated the in vitro metabolic stability of ALC-0159  in hepatocytes of CD-1/ICR 
mouse, Sprague Dawley rat, Wistar Han rat, cynomolgus monkey, and human.  ALC-0159  was 
stable after an approximately 4-hour incubation with hepatocytes from all these species. 
 
 
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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Table 2.  Summary of Hepatocyte Stability of ALC-0159 , Testosterone and 7-Hydroxycoumarin 
Test Article  Species Percent Remaining (%)  T1/2  
(minute) CL’int 
(mL/min/kg)  0 min 30 min 60 min 90 min 120 min 180 min 240 min 
ALC-0159 CD-1/ICR 
mouse Mean 100.00  100.85  94.92  94.28  87.08  94.92  102.75  >240 <34.1 RSD of Area Ratio  0.60  4.16  1.89  0.95  3.10  0.63  3.21  
Sprague 
Dawley rat  Mean 100.00  93.37  91.81  90.25  89.47  93.96  94.93  >240 <13.5  RSD of Area Ratio  7.44  1.48  5.70  3.36  2.16  4.11  2.61  
Wistar Han 
rat Mean 100.00  113.04  105.07  112.80  104.11  102.90  98.79  >240 <13.5  RSD of Area Ratio  3.42  2.42  4.23  3.94  5.58  0.00  3.11  
Cynomolgus 
monkey Mean 100.00  90.23  92.93  94.59  97.51  89.81  92.93  >240 <11.3  RSD of Area Ratio  3.82  8.47  7.28  7.77  2.11  3.93  3.48  
Human Mean 100.00  106.34  101.58  92.67  96.04  93.66  102.57  >240 <7.35  RSD of Area Ratio  1.96  0.79  1.93  5.44  0.87  3.89  6.55  
Testosterone  CD-1/ICR 
mouse Mean 100.00 16.60 BQL BQL BQL BQL BQL 11.6 707 RSD of Area Ratio 5.81 11.78 N/A N/A N/A N/A N/A 
Sprague 
Dawley rat  Mean 100.00 7.23 BQL BQL BQL BQL BQL 7.92 410 RSD of Area Ratio  3.17 N/A N/A N/A N/A N/A N/A 
Wistar Han 
rat Mean 100.00 BQL BQL BQL BQL BQL BQL N/A N/A RSD of Area Ratio  8.03 N/A N/A N/A N/A N/A N/A 
Cynomolgus 
monkey Mean 100.00 10.07 BQL BQL BQL BQL BQL 9.06 298 RSD of Area Ratio  2.81 41.26 N/A N/A N/A N/A N/A 
Human Mean 100.00 15.92 BQL BQL BQL BQL BQL 11.3 156 RSD of Area Ratio  4.34 7.16 N/A N/A N/A N/A N/A 
  
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
11 
7-
Hydroxycou
marin CD-1/ICR 
mouse Mean 100.00 35.05 3.20 BQL BQL BQL BQL 12.1 677 RSD of Area Ratio  1.22 15.06 8.46 N/A N/A N/A N/A 
Sprague 
Dawley rat  Mean 100.00 20.97 BQL BQL BQL BQL BQL 13.3 244 RSD of Area Ratio  2.99 10.49 N/A N/A N/A N/A N/A 
Wistar Han 
rat Mean 100.00 19.11 BQL BQL BQL BQL BQL 12.6 258 RSD of Area Ratio  1.97 16.89 N/A N/A N/A N/A N/A 
Cynomolgus 
monkey Mean 100.00 17.03 BQL BQL BQL BQL BQL 11.7 230 RSD of Area Ratio  0.85 2.27 N/A N/A N/A N/A N/A 
Human Mean 100.00 40.70 18.53 3.36 BQL BQL BQL 24.7 71.5 RSD of Area Ratio  1.52 1.67 8.47 0.73 N/A N/A N/A 
* Compound showed biphasic metabolic kinetics, i.e., an initial fast disappearance phase was followed by a slow disappearance phase. The data points marked in * were in the slow 
disappearance phase and were excluded from half-life calculation. 
BQL = Below quantification limit; N/A = not applicable 
 
 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Figure 1.  Stability of ALC-0159  in Mouse, Rat, Monkey and Human Hepatocytes  
CD-1/ICR Mouse  Sprague Dawley Rat  Wistar Han Rat  
   
Cynomolgus Monkey  Human   
   
 
 
  
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Figure 2 . Stability of Testosterone in Mouse, Rat, Monkey and Human Hepatocytes 
CD-1/ICR Mouse  Sprague Dawley Rat  Wistar Han Rat  
   
Cynomolgus Monkey  Human   
   
  
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Figure 3 . Stability of 7 -Hydroxycoumarin in Mouse, Rat, Monkey and Human Hepatocytes 
CD-1/ICR Mouse  Sprague Dawley Rat  Wistar Han Rat  
   
Cynomolgus Monkey  Human   
   
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Test Article: ALC-0159 
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8.APPENDICES
Appendix 1 – Representative Chromatograms of ALC-0 159 in Mouse, Rat, Monkey and Human Hepatocytes 
Appendix 2 – Stability of ALC-0 159 in Mouse, Rat, 
Monkey and Human Hepatocytes – Raw Data 
Appendix 3 – Stability of Testosterone 
in Mouse, Rat, Monkey and Human Hepatocytes – Raw Data 
Appendix 4 – Stability of 7-Hydroxycoumarin in Mouse, Rat, 
Monkey and Human Hepatocytes – Raw Data 
Appendix 5 – 01049-20022-ALC-0 159
-Hepatocytes Stability_Protocol 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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APPENDIX 1 
 
Representative Chromatograms of ALC-0159 in Mouse, Rat, Monkey and Human Hepatocytes 
 
  
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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CD 1/ICR mouse  
 
Sprague Dawley rat 
 
Wistar Han rat 
 
Cynomolgus monkey 
 
Human  
 
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                                          Test Article: ALC-0159 
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18 
 
APPENDIX 2 
 
Stability of ALC-0159  in Mouse, Rat, Monkey and Human Hepatocyte – Raw Data 
  
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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Compound  Species Time(min)  Raw Data  
Analyte 
Peak Area 
(counts) Analyte 
Peak Area 
(counts) IS Peak 
Area  
(counts) IS Peak 
Area 
(counts) Area Ratio  Area Ratio  
ALC-0159 CD-1/ICR 
mouse  240 6.41E+04  6.72E+04  2.70E+07  2.71E+07  0.002  0.002  
180 6.18E+04  6.20E+04  2.74E+07  2.78E+07  0.002  0.002  
120 5.40E+04  5.71E+04  2.69E+07  2.72E+07  0.002  0.002  
90 6.03E+04  5.93E+04  2.69E+07  2.69E+07  0.002  0.002  
60 6.06E+04  5.99E+04  2.67E+07  2.70E+07  0.002  0.002  
30 6.52E+04  6.18E+04  2.66E+07  2.68E+07  0.002  0.002  
0 6.30E+04  6.21E+04  2.66E+07  2.64E+07  0.002  0.002  
ALC-0159 Sprague 
Dawley rat  240 6.44E+04  6.55E+04  2.69E+07  2.65E+07  0.002  0.002  
180 6.55E+04  6.23E+04  2.64E+07  2.66E+07  0.002  0.002  
120 5.92E+04  6.09E+04  2.61E+07  2.61E+07  0.002  0.002  
90 6.22E+04  5.93E+04  2.63E+07  2.63E+07  0.002  0.002  
60 6.40E+04  5.93E+04  2.61E+07  2.63E+07  0.002  0.002  
30 6.43E+04  6.22E+04  2.65E+07  2.62E+07  0.002  0.002  
0 6.39E+04  7.03E+04  2.63E+07  2.61E+07  0.002  0.003  
ALC-0159 Wistar Han 
rat  240 5.74E+04  6.00E+04  2.86E+07  2.88E+07  0.002  0.002  
180 6.11E+04  6.01E+04  2.87E+07  2.82E+07  0.002  0.002  
120 5.87E+04  6.32E+04  2.83E+07  2.82E+07  0.002  0.002  
90 6.30E+04  6.59E+04  2.78E+07  2.75E+07  0.002  0.002  
60 6.12E+04  5.78E+04  2.73E+07  2.74E+07  0.002  0.002  
30 6.40E+04  6.59E+04  2.79E+07  2.77E+07  0.002  0.002  
0 5.89E+04  5.70E+04  2.78E+07  2.83E+07  0.002  0.002  
ALC-0159 Cynomolgus 
monkey 240 6.16E+04  5.89E+04  2.69E+07  2.70E+07  0.002  0.002  
180 5.89E+04  5.65E+04  2.66E+07  2.69E+07  0.002  0.002  
120 6.19E+04  6.31E+04  2.68E+07  2.66E+07  0.002  0.002  
90 5.73E+04  6.50E+04  2.66E+07  2.71E+07  0.002  0.002  
60 5.73E+04  6.32E+04  2.70E+07  2.69E+07  0.002  0.002  
30 6.31E+04  5.59E+04  2.75E+07  2.74E+07  0.002  0.002  
0 6.32E+04  6.69E+04  2.70E+07  2.71E+07  0.002  0.002  
ALC-0159 Human 240 6.22E+04  6.86E+04  2.52E+07  2.53E+07  0.002  0.003  
180 5.84E+04  6.26E+04  2.53E+07  2.58E+07  0.002  0.002  
120 6.12E+04  6.19E+04  2.51E+07  2.57E+07  0.002  0.002  
90 5.70E+04  6.08E+04  2.54E+07  2.50E+07  0.002  0.002  
60 6.56E+04  6.26E+04  2.52E+07  2.48E+07  0.003  0.003  
30 6.75E+04  7.09E+04  2.53E+07  2.63E+07  0.003  0.003  
0 6.53E+04  6.35E+04  2.55E+07  2.55E+07  0.003  0.002  
 
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                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
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APPENDIX 3 
 
Stability of Testosterone in Mouse, Rat, Monkey and Human Hepatocyte – Raw Data 
 
  
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                                          Test Article: ALC-0159 
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Compound  Species Time(min)  Raw Data  
Analyte 
Peak Area 
(counts) Analyte 
Peak Area 
(counts) IS Peak 
Area  
(counts) IS Peak 
Area 
(counts) Area Ratio  Area Ratio  
Testosterone  CD-1/ICR 
mouse  240 LOD LOD 7.53E+05  7.48E+05  LOD LOD 
180 LOD LOD 7.77E+05  7.83E+05  LOD LOD 
120 LOD LOD 7.44E+05  7.99E+05  LOD LOD 
90 LOD LOD 7.60E+05  7.89E+05  LOD LOD 
60 LOD LOD 7.39E+05  7.46E+05  LOD LOD 
30 5.29E+03  6.16E+03  7.70E+05  7.58E+05  0.007 0.008 
0 3.64E+04  3.41E+04  7.73E+05  7.88E+05  0.047 0.043 
Testosterone  Sprague 
Dawley rat  240 LOD LOD 8.19E+05  8.01E+05  LOD LOD 
180 LOD LOD 7.97E+05  7.54E+05  LOD LOD 
120 LOD LOD 7.48E+05  8.25E+05  LOD LOD 
90 LOD LOD 8.12E+05  7.45E+05  LOD LOD 
60 LOD LOD 7.59E+05  7.44E+05  LOD LOD 
30 LOD 2.38E+03  8.25E+05  8.19E+05  LOD 0.003 
0 3.38E+04  3.38E+04  8.23E+05  8.59E+05  0.041 0.039 
Testosterone  Wistar Han 
rat  240 LOD LOD 7.72E+05  8.57E+05  LOD LOD 
180 LOD LOD 7.61E+05  7.44E+05  LOD LOD 
120 LOD LOD 7.87E+05  7.53E+05  LOD LOD 
90 LOD LOD 7.87E+05  7.71E+05  LOD LOD 
60 LOD LOD 7.29E+05  7.93E+05  LOD LOD 
30 LOD LOD 7.78E+05  7.87E+05  LOD LOD 
0 3.34E+04  3.39E+04  8.20E+05  7.44E+05  0.041 0.046 
Testosterone  Cynomolgus 
monkey 240 LOD LOD 8.17E+05  8.22E+05  LOD LOD 
180 LOD LOD 8.26E+05  8.16E+05  LOD LOD 
120 LOD LOD 8.22E+05  8.12E+05  LOD LOD 
90 LOD LOD 8.44E+05  7.91E+05  LOD LOD 
60 LOD LOD 8.47E+05  7.85E+05  LOD LOD 
30 4.32E+03  2.37E+03  8.24E+05  8.22E+05  0.005 0.003 
0 3.45E+04  3.26E+04  8.72E+05  7.93E+05  0.04 0.041 
Testosterone  Human 240 LOD LOD 8.02E+05  8.22E+05  LOD LOD 
180 LOD LOD 8.65E+05  8.75E+05  LOD LOD 
120 LOD LOD 8.29E+05  8.22E+05  LOD LOD 
90 LOD LOD 8.60E+05  8.16E+05  LOD LOD 
60 LOD LOD 8.21E+05  8.47E+05  LOD LOD 
30 6.13E+03  5.10E+03  8.78E+05  8.09E+05  0.007 0.006 
0 3.25E+04  3.56E+04  8.02E+05  8.26E+05  0.04 0.043 
LOD = limit of detection 
 
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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
22 
APPENDIX 4 
 
Stability of  7-Hydroxycoumarin in Mouse, Rat, Monkey and Human Hepatocyte – Raw Data 
 
 
  
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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
23 
Compound  Species Time(min)  Raw Data  
Analyte 
Peak Area 
(counts) Analyte 
Peak Area 
(counts) IS Peak 
Area  
(counts) IS Peak 
Area 
(counts) Area Ratio  Area Ratio  
7-
Hydroxycoumarin  CD-1/ICR 
mouse  240 LOD LOD 6.12E+05  6.29E+05  LOD LOD 
180 LOD LOD 6.12E+05  6.09E+05  LOD LOD 
120 LOD LOD 6.11E+05  5.99E+05  LOD LOD 
90 LOD LOD 6.29E+05  6.06E+05  LOD LOD 
60 1.33E+03  1.21E+03  6.10E+05  6.25E+05  0.002 0.002 
30 1.25E+04  1.57E+04  6.23E+05  6.31E+05  0.02 0.025 
0 3.97E+04  4.12E+04  6.25E+05  6.37E+05  0.064 0.065 
7-
Hydroxycoumarin  Sprague 
Dawley rat  240 LOD LOD 6.30E+05  6.18E+05  LOD LOD 
180 LOD LOD 6.29E+05  6.25E+05  LOD LOD 
120 LOD LOD 6.36E+05  6.49E+05  LOD LOD 
90 LOD LOD 6.11E+05  6.30E+05  LOD LOD 
60 LOD LOD 6.19E+05  6.07E+05  LOD LOD 
30 8.21E+03  9.55E+03  6.30E+05  6.32E+05  0.013 0.015 
0 3.98E+04  4.10E+04  6.06E+05  5.99E+05  0.066 0.068 
7-
Hydroxycoumarin  Wistar Han 
rat  240 LOD LOD 6.23E+05  6.17E+05  LOD LOD 
180 LOD LOD 6.51E+05  6.11E+05  LOD LOD 
120 LOD LOD 6.05E+05  6.24E+05  LOD LOD 
90 LOD LOD 6.10E+05  6.15E+05  LOD LOD 
60 LOD LOD 6.36E+05  6.05E+05  LOD LOD 
30 6.78E+03  8.59E+03  6.20E+05  6.18E+05  0.011 0.014 
0 4.01E+04  3.94E+04  6.09E+05  6.14E+05  0.066 0.064 
7-
Hydroxycoumarin  Cynomolgus 
monkey 240 LOD LOD 5.82E+05  6.25E+05  LOD LOD 
180 LOD LOD 6.01E+05  6.18E+05  LOD LOD 
120 LOD LOD 6.38E+05  6.14E+05  LOD LOD 
90 LOD LOD 6.38E+05  6.07E+05  LOD LOD 
60 LOD LOD 6.28E+05  6.20E+05  LOD LOD 
30 7.22E+03  6.96E+03  6.42E+05  6.39E+05  0.011 0.011 
0 4.21E+04  4.15E+04  6.44E+05  6.43E+05  0.065 0.065 
7-
Hydroxycoumarin  Human 240 LOD LOD 6.04E+05  6.05E+05  LOD LOD 
180 LOD LOD 6.45E+05  6.24E+05  LOD LOD 
120 LOD LOD 6.28E+05  6.50E+05  LOD LOD 
90 1.43E+03  1.40E+03  6.42E+05  6.21E+05  0.002 0.002 
60 7.22E+03  8.24E+03  6.20E+05  6.28E+05  0.012 0.013 
30 1.69E+04  1.68E+04  6.27E+05  6.10E+05  0.027 0.028 
0 4.06E+04  3.99E+04  6.01E+05  6.03E+05  0.068 0.066 
LOD = limit of detection 
 
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Medicilon Preclinical Research (Shanghai) LLC  
                                          Test Article: ALC-0159 
   Study No.: 01049-20022 
 
24 
APPENDIX 5 
 
01049-20022 -ALC-0159-Hepatocytes Stability_Protocol 
 
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In Vitro Metabolic Stability of ALC- 0159  in CD- 1/ICR Mouse, 
Sprague Dawley Rat, Wistar Han Rat , Cynomolgus Monkey, and 
Human Hepatocytes 
 
 
 
 
 
Testing Facility 
Medicilon Preclinical Research (Shanghai) LLC 
585 Chuanda Road 
Pudong, Shanghai 201299 
China 
 
 
 
Study Number 
01049-200 22 
 
 
Study Director 
 
 
 
Sponsor 
Acuitas Therapeutics Inc. 
 
 
  
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Medicilon Study Number: 01049-20022 
 2  CONTENTS 
1.INTRODUCTION .........................................................................................................3
1.1.  Study Number .........................................................................................................3 
1.2.  Study Title ..............................................................................................................3 
1.3.  Sponsor Representative ..........................................................................................3 
1.4.  Objective .................................................................................................................3 
1.5.  Compliance .............................................................................................................3 
1.6.  Testing Facility .......................................................................................................3 
1.7.  Personnel ................................................................................................................3 
1.8.  Study Schedule .......................................................................................................4 
2.MATERIALS ................................................................................................................4
2.1.  Test Article .............................................................................................................4 
2.2.  Positive Control and Internal Standard ...................................................................4 
2.3.  Hepatocytes ............................................................................................................4 
3.EXPERIMENTAL PROCEDURES .............................................................................4
4.BIOANALYSIS ............................................................................................................6
4.1.  Instruments .............................................................................................................6 
4.2.  LC/MS/MS Conditions ...........................................................................................6 
5.DATA ANALYSIS .......................................................................................................6
6.FINAL REPORT ...........................................................................................................7
7.SIGNATURES ..............................................................................................................8
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Medicilon Study Number: 01049-20022 
 
 
 3 
 1. INTRODUCTION 
1.1. Study Number 
01049-20022 
1.2. Study Title 
In Vitro Metabolic Stability of ALC-0159  in CD-1/ICR Mouse, Sprague Dawley Rat, 
Wistar Han R at, Cynomolgus Monkey,  and Human Hepatocytes 
1.3. Sponsor Representative 
 
Acuitas Therapeutics Inc. 
6190 Agronomy Road, Suite 402  
Vancouver BC V6T 1Z3  
Canada  
1.4. Objective  
To evaluate the in vitro metabolic stability of ALC-0159  in Hepatocytes from 
different species a
nd to determine intrinsic clearance in each species.  
1.5. Compliance 
This is a non-GLP study and will be conducted according to the Standard Operating 
Procedures (SOPs) of Medicilon Preclinical Research (Shanghai) LLC. 
1.6. Testing Facility 
Medicilon Preclinical Research (Shanghai) LLC 
585 Chuanda Road, Pudong, Shanghai 210299, China 
1.7. Personnel 
1.7.1.  Study Director 
 
 
 
 
1.7.2.  Alternate Contact  
 
 
 
 
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Medicilon Study Number: 01049-20022 
 
 
 4 
 1.8. Study Schedule 
Study Initiation Date:  Signature date by Study Director  
Experiment  Start Date:  To be included in the final  report 
Experime nt Termination Date:  To be included in the final  report 
Draft Report Issue Date: To be included in the final  report 
 
2. MATERIALS 
2.1. Test Article 
Name:  ALC-0159 
Molecular Formula: C 30H60NO (C2H4O) n   (n = 45~50) 
MW (g/mol): ~2400-2600 
 
 
 
 
2.2. Positive Control and Internal Standard 
Testosterone and 7-hydroxycoumarin will be used as positive controls. Tolbutamide 
will be used as internal standard. The sources will be documented in the experiment al 
records and presented in the report.  
 
2.3. Hepatocytes  
Cryopreserved hepatocytes of CD-1/ICR mouse, Sprague Dawley rat, Wistar Han rat, 
cynomolgus monkey,  and human were purchased from qualified suppliers and  stored 
in liquid nitrogen until use.  The source(s) and lot numbers will be documented in the 
experiment al records and presented in the final report. 
 
3. EXPERIMENTAL PROCEDURES 
(1) Preparation of stock solution : Appropriate amount of test article or positive 
control is weighed and dissolved in d imethyl sulfoxide (DMSO) to obtain a 
10 mM stock solution. 
 
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Medicilon Study Number: 01049-20022 
 
 
 5 
 (2) Preparation of 4  mM spiking solution: 
Spiking Solution of Test Article or Positive Control  
Conc. of Stock Solution 
(mM) Volume of Stock Solution 
(μL) Volume of DMSO 
(μL) Final Concentration  
(mM) 
10  20 30 4  
(3) Preparation of 2 µM dosing solution(2×) of test article or positive control: 
Dosing Solution (2×) of Test Article or Positive Control  
Conc. of  
Spiking Solution 
(mM) Volume of  
Spiking Solution 
(μL) Volume of  
William's E Medium  
(μL) Final Concentration  
(μM) 
4  2 3998 2  
(4) Preparation of hepatocyte suspension : Thaw cryopreserved hepatocytes in a 37°C 
water bath. Transfer the hepatocytes to hepatocyte thawing medium (William's E 
Medium with 30% percoll and 5% FBS) and centrifuge at 100×g for 10 min at 
room temperature. Resuspend the cell pellet with William's E Medium and 
determine cell viability by trypan blue exclusion analysis and calculate the viable 
cell density. Dilute the hepatocytes with incubation medium to an appropriate 
density (2×106 viable cells/mL) and pre-warm at 37 °C for 10 min. 
(5) 40 µL of each hepatocyte suspension is added to 96-well plates in duplicate for 
each time point (0, 30, 60, 90, 120,  180, and 240 min).  
(6) For 0 min samples: 4 80 µL of internal standard solution (IS solution, 10 ng/mL 
verapamil in ethanol ) is added, followed by 40 µL of pre-warmed 2× dosing 
solution. The final concentration of test article or positive control in the 
incubation mixture is 1 M. 
(7) For the 30, 60, 90, 120 , 180, and 240 min samples, 40 µL o f pre-warmed 2× 
dosing solution is added to initiate reaction. The final concentration of test article 
or positive control in the incubation mixture is 1 M. 
(8) The samples are incubated at 37 °C. At 30, 60, 90, 120,  180, and 240 min time 
points, stop the reaction by adding 480 µL ethanol containing internal standard to 
all of the duplicate wells. 
(9) After que
nching, shake the plates at 600 rpm  for 10 min and then centrifuge them 
at 6,000 rpm for 15 min. 
(10) The plates are sealed and stored at -20 °C freezer until bioanalysis.  
(11) Thaw the plates at room temperature, centrifuge them at 6, 000 rpm for 15 min , 
then transfer 200  μL of the supernatant from each well into a 96-well sample plate 
for LC-MS/MS analysis.  
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Medicilon Study Number: 01049-20022 
 
 
 6 
  
4. BIOANALYSIS 
4.1. Instruments 
SHIMADZU :UPLC system  
Sciex Triple Quad 6500+ with ESI ion source 
4.2. LC/MS/MS Conditions 
Column: Agilent Zorbax SB-CN 3.5um (100mm*2.1mm) 
Gradient for ALC-0159 
Time (min) Solvent A (%) Solvent B (%) 
0.00 80 20 
0.40 30 70  
1.60 10 90  
2.70 10 90  
2.71 80 20 
3.00 80 20 
A: 0.1%Formic acid in water 
B: 0.1%Formic acid in acetonitrile 
Flow rate :600 μL/min  
Column temperature :40 °C 
Autosampler temperature: 4oC 
 
Compound  Q1(m/z) Q3(m/z) Retention Time (min) 
ALC-0159 1164.00 494.70 ~1.30 
Tolbutamide (IS)  271.10 172.00 ~1.02 
 
 
 
5. DATA ANALYSIS 
The % remaining (parent compound) will be calculated by dividing the peak area ratio 
(compound peak area/ internal standard peak area) by the 0 min peak area ratio. The 
natural logarithm of % remaining is plotted against time and the slope of the fitted line 
will be determined as follows: 
Elimination rate constant (k) = - slope 
Half-life (T 1/2) (minutes) = 0.693/k 
Intrinsic clearance predicted from the in vitro  hepatocyte stability study will be calculated 
as shown below: 
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 7 
 CL’int (mL/min/kg) = k  * V (1 mL incubation/106 cells) * Scaling Factor (106 cells/kg), 
Scaling Factor (106 cells/kg) = Hepatocellularity (106 cells/g liver) *  Normalized Liver 
Weight (g liver/kg body weight) 
The scaling factors are listed in Table 1. 
 
Table 1. Scaling Factors for Intrinsic Clearance Prediction 
in Mouse,
 Rat, Monkey, and Human Hepatocytes 
 
Species Hepatocellularity  Liver Weight Scaling Factor 
(106 cells/g liver)  (g/kg BW) (106 cells/kg) 
Mouse 135 87.5 11812.5 
Rat 117 40 4680 
Monkey 120 32 3840 
Human 99 25.7 2544.3 
 
6. FINAL REPORT 
After completion of the study, a draft report including the results, analysis and 
discussion will be sent to the Sponsor in Microsoft Word format.  
One month after issuance of the draft report, if no requested revisions or instructions 
to finalize have been communicated by the Sponsor, the draft report will be issued as 
a final report, signed by the Study Director, and submitted to the Sponsor in Adobe 
Acrobat PDF format, containing hyperlinks, as applicable. Any modifications or 
changes to the draft report requested one month after issuance of the draft will be 
performed at additional cost to the Sponsor. 
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