125742 S1 M4 4.2.2.4 01049 20021

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Medicilon Preclinical Research (Shanghai) LLC  
Test Article: ALC-0159 
Study No.: 01049-20021 
 
1 
  
  
In Vitro Metabolic Stability of ALC -0159  in CD -1/ICR Mouse, Sprague 
Dawley Rat,  Cynomolgus Monkey, and Human Liver S9 Fractions  
 
 
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  01049-20021 
Experimental Start Date  2020-06-19 
Experimental Completion Date  2020-06-24 
Number of Pages in Report  31 
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FDA-CBER-2021-5683-0709339
FDA-CBER-2021-5683-0709340
 
Medicilon Preclinical Research (Shanghai) LLC  
Test Article: ALC-0159 
Study No.: 01049-20021 
 
3 
SUMMARY  
This study evaluated  the in vitro metabolic stability of ALC-0159 in liver S9 fractions of CD-1/ICR 
mouse, Sprague Dawley r at, cynomolgus monkey, and h uman. ALC-0159 was stable after an 
approximately 2 -hour incubation with liver S9 from all these species. 
 
 
 
 
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FDA-CBER-2021-5683-0709341
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(b) (6)
FDA-CBER-2021-5683-0709342
 
Medicilon Preclinical Research (Shanghai) LLC  
Test Article: ALC-0159 
Study No.: 01049-20021 
 
5 
1. OBJECTIVE 
To evaluate the in vitro metabolic stability of ALC-0159  in liver S9 fractions 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 Controls  
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 Liver S9 Fractions 
The following pooled liver S9 fractions of CD-1/ICR mouse, Sprague Dawley rat, cynomolgus 
monkey, and human were stored in a -70oC ultra low temperature freezer prior to use.   
 
 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
6 
Species Manufacturer  Cat. No. Lot No. Protein Concentration
(mg/mL) 
CD-1/ICR mouse  (male) XenoTech  M1000.S9  1310210 20 
Sprague Dawley rat  (male) XenoTech  R1000.S9  1310212 20 
Cynomolgus monkey  (male) XenoTech  P2000.S9  0910273 20 
Human (mixed gender)  BioreclamationIVT  X008023 BKY 20 
 
2.5 Coenzymes and Pore-forming Agent 
NADPH (reduced β-nicotinamide adenine dinucleotide 2′-phosphate ) tetrasodium salt was stored 
at 2~8oC in a refrigerator prior to use.  UDPGA (uridine-diphosphate-glucuronic acid trisodium 
salt) and alamethicin were stored in a -20oC freezer prior to use.   
Compound Name  Manufacturer  Cat. No. Molecular Weight  Purity 
NADPH Roche Diagnostic  10621706001  833.35 97% 
UDPGA Sigma U6751 646.23 ≥98 
Alamethicin  Aladdin A132913 1964.3078  99% 
 
 
3. EXPERIMENTAL PROCEDURES 
3.1 Stock solutions preparation :  
1.90 mg of ALC-0159 was weighed and dissolved in 7 6 μL of DMSO to obtain a 10 mM stock 
solution. 2.547 mg of testosterone was weighed and dissolved in 551.93 μL of DMSO to obtain 
a 16 mM solution. A 10 mM testosterone stock solution was then prepared by adding 60 μL 
DMSO to 100 μL of the 16 mM testosterone solution.  3.97 mg of 7-hydroxycoumarin was 
weighed and dissolved in 1224.25  μL of DMSO to obtain a 20 mM solution. A 10 mM 
7-hydroxycoumarin stock solution was then prepared by adding 100 μL DMSO to 100 μL of 
the 20 mM 7-hydroxycoumarin solution. 5 mg of alamethicin was weighed and dissolved in 
495 μL of 100 mM potassium phosphate buffer to obtain a 10 mg/mL alamethicin solution. 
3.2  0.5 mM spiking solutions preparation: 
 
Spiking Solution of Test Article or Positive Control  
Conc. of Stock Solution 
(mM) Volume of Stock Solution 
(μL) Volume of MeOH  
(μL) Final Concentration  
(mM) 
10 10 190 0.5 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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3.3 Preparation of 1.5× liver S9 suspensions (with alamethicin) containing test article or positive 
control: 
1.5× Liver S9 Suspension (with Alamethicin ) Containing Test Article or Positive Control 
Livers S9  0.5 mM 
Spiking 
Solution 
(μL) 10 mg/ml 
Alamethicin  
Solution 100 mM potassium 
phosphate buffer 
containing  5 mM of 
MgCl2 (pH 7.4) (μL) Final Concentration  
Conc. of 
Stock 
Solution 
(mg/mL) Volume of 
Stock 
Solution (μL)  Liver S9 
Protein 
(mg/mL) Compound  
(μM) 
20 37.5 1.5 1.9 459.1 1.5 1.5 
 
3.4 1.5× liver S9 suspensions (with alamethicin) containing test article or positive control were 
kept on ice for 15 minutes. 
3.5 28.51 mg of NADPH was weighed and dissolved in 2.851  mL of 100 mM potassium phosphate 
buffer to obtain a 12 mM NADPH working solution. 25  mg of UDPGA was weighed and 
dissolved in 6.448 mL of 100 mM potassium phosphate buffer to obtain a 6  mM UDPGA 
working solution. 2.8 mL of 12 mM NADPH working solution was added into 2.8 mL of 6 
mM UDPGA working solution to obtain a 6 mM NADPH and 3 mM UDPGA mixed working 
solution. This mixed working solution was then pre-warmed at 37oC.  
3.6 30µL of liver S9 suspension (with alamethicin) containing 1.5 µM test article or positive 
control was added to 96-well plates in duplicate for each time point (0, 15, 30, 60, 90, and 120 
min). 
3.7 96-well incubation plates were pre-warmed at 37oC for 5 min. 
3.8 For 0 min samples: 450  µL of ethanol containing internal standard (IS solution) was added 
before 15 µL of pre-warmed mixed working solution (6 mM NADPH and 3 mM UDPGA) was 
added. 
3.9 For other samples (15, 30, 60, 90, and 120 min): 15 µL of pre-warmed mixed working solution 
(6 mM NADPH and 3 mM UDPGA) was added to initiate the reaction.   
Volume (μL) Final Concentration  in Incubation Mixture 
1.5× Liver S9 Suspension 
Containing Test Article or 
Positive Control  3×NADPH 
Working 
Solution Total Liver S9 Protein 
(mg/mL) Test Article or 
Positive 
Control (μM) NADPH 
(mM) 
30 15 45 0.5 1 2 
The samples were incubated at 37oC and 450 µL of IS solution was added to stop the reaction at 
the corresponding time points (15, 30, 60, 90, and 120 min).  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
8 
3.10 After quenching, the plates were shaken at 600 rpm for 10 min and then centrifuge at 6, 000 
rpm for 15 min. 
3.11 Then 200 μL of the supernatant from each well was transferred into a 96-well sample plate 
for LC-MS/MS analysis.  
 
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 
 
Solvent A: 0.1% formic acid in water 
Solvent B: 0.1% formic acid in acetonitrile 
Flow rate :600 μL/min 
Column temperature :40oC 
Autosampler temperature: 4oC 
MS Conditions: MRM detection 
 
Compound Q1(m/z) Q3(m/z) DP CE Retention Time (min) 
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 . 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
9 
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 were calculated, when possible,  as 
indicated below. 
 
Elimination rate constant (k) = - slope 
Half-life (t 1/2) = 0.693/k 
 
6. RESULTS 
A summary of the % remaining parent compound and half-life of ALC-0159 obtained from a 
2-hour incubation with liver S9 from CD-1/ICR mouse, Sprague Dawley rat, cynomolgus 
monkey, and human is presented in Table 1. The stability of ALC-0159 over time in each matrix 
is shown in Figure 1. Raw data is presented in Appendix 2 . 
The liver S9 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 2-hour incubation period, hence the test 
systems were considered to have yielded valid results. A summary of the % remaining parent 
compound and half-life of testosterone and 7-hydroxycoumarin is provided in Table 1. 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 liver S9 fractions of 
CD-1/ICR mouse, Sprague Dawley rat, cynomolgus monkey, and h uman. ALC-0159 was stable 
after an approximately 2-hour incubation with li
ver S9 from all these species. 
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Medicilon Preclinical Research (Shanghai) LLC  
Test Article: ALC-0159 
Study No.: 01049-20021 
 
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Table 1. Summary of Liver S9 Stability of ALC-0159  , Testosterone and 7-Hydroxycoumarin 
Compounds  Species Percent Remaining (%)  T1/2  
(minute) 0 min 15 min 30 min 60 min 90 min 120 min 
ALC-0159 CD-1/ICR 
Mouse Mean 100.00  98.93  91.10  102.85  90.75  106.76  >120  RSD of Area Ratio  0.02  0.03  0.03  0.00  0.04  0.03  
Sprague 
Dawley Rat  Mean 100.00  84.38  90.87  97.97  93.51  92.70  >120 RSD of Area Ratio  0.12  0.02  0.08  0.06  0.03  0.03  
Cynomolgus 
Monkey Mean 100.00  91.30  97.96  105.56  108.33  105.74  >120 RSD of Area Ratio  0.02  0.08  0.01  0.11  0.05  0.13  
Human Mean 100.00  106.73  107.60  104.97  109.36  119.59  >120 RSD of Area Ratio  0.05  0.00  0.01  0.00  0.01  0.03  
Testosterone  CD-1/ICR 
Mouse Mean 100.00 59.38 35.71 6.89 BQL BQL 15.5 RSD of Area Ratio  0.05 0.11 0.01 0.16 N/A N/A 
Sprague 
Dawley Rat  Mean 100.00 BQL BQL BQL BQL BQL N/A RSD of Area Ratio  0.05 N/A N/A N/A N/A N/A 
Cynomolgus 
Monkey Mean 100.00 81.12 68.58 45.76 27.19 16.74 46.6 RSD of Area Ratio  0.11 0.11 0.02 0.06 0.02 0.08 
Human Mean 100.00 63.69 17.40 BQL BQL BQL 11.9 RSD of Area Ratio  0.00 0.02 0.09 N/A N/A N/A 
7-Hydroxycoumarin  CD-1/ICR 
Mouse Mean 100.00 40.06 16.68 3.57 1.89* 1.54* 12.5 RSD of Area Ratio  0.00 0.11 0.02 0.17 0.18 0.20 
Sprague 
Dawley Rat  Mean 100.00 71.60 48.00 26.17* 13.71* 11.92* 28.3 RSD of Area Ratio  0.08 0.04 0.07 0.06 0.00 0.04 
Cynomolgus 
Monkey Mean 100.00 80.70 64.55 38.33 23.76 16.34 44.8 RSD of Area Ratio  0.04 0.04 0.05 0.00 0.01 0.04 
Human Mean 100.00 69.01 43.17 19.16 8.29 3.68 25.0 RSD of Area Ratio  0.02 0.00 0.04 0.03 0.03 0.12 
* The compound showed biphasic metabolic kinetics, i.e., an initial fast disappearance phase was followed by a slow disappearance phase. The data points marked with * were in the 
slow disa
ppearance 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.: 01049-20021 
 
11 
 
Figure 1.  Stability of ALC-0159  in Mouse, Rat, Monkey and Human Liver S9  
CD-1/ICR Mouse  Sprague Dawley Rat  
  
Cynomolgus Monkey  Human  
  
 
  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
12 
 
Figure 2 . Stability of Testosterone in Mouse, Rat, Monkey and Human Liver S9 
CD-1/ICR Mouse  Sprague Dawley Rat  
  
Cynomolgus Monkey  Human  
  
  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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Figure 3 . Stability of 7 -Hydroxycoumarin in Mouse, Rat, Monkey and Human Liver S9 
CD-1/ICR Mouse  Sprague Dawley Rat  
  
Cynomolgus Monkey  Human  
  
 
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Test Article: ALC-0159 
Study No.: 01049-20021 
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8.APPENDICES
Appendix 1 – Representative Chromatograms of ALC-0 159 in Mouse, Rat, Monkey and Human Liver S9 
Appendix 2 – Stability of ALC-0 159 in Mouse, Rat, 
Monkey and Human Liver S9 – Raw Data 
Appendix 3 – Stability of Testosterone 
in Mouse, Rat, Monkey and Human Liver S9 – Raw Data 
Appendix 4 – Stability of 7-Hydroxycoumarin in Mouse, Rat, Monkey and Human Liver S9 – Raw Data 
Appendix 5 – 01049-2002 1
-S9 stability_protocol 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
15 
 
 
APPENDIX 1 
 
Representative Chromatograms of ALC-0159 in Mouse, Rat, Monkey and Human Liver S9 
 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
16 
 
CD 1/ICR mouse  
 
Sprague Dawley rat 
 
Cynomolgus monkey 
 
Human 
 
 
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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APPENDIX 2 
 
Stability of ALC-0159  in Mouse, Rat, Monkey and Human Liver S9 –  Raw Data   
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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Compounds  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 0 5.08E+04  5.05E+04  3.57E+07  3.62E+07  0.001  0.001  
15 5.09E+04  4.82E+04  3.58E+07  3.55E+07  0.001  0.001  
30 4.48E+04  4.74E+04  3.58E+07  3.61E+07  0.001  0.001  
60 5.11E+04  5.11E+04  3.52E+07  3.56E+07  0.001  0.001  
90 4.47E+04  4.65E+04  3.59E+07  3.56E+07  0.001  0.001  
120 5.21E+04  5.42E+04  3.55E+07  3.55E+07  0.001  0.002  
ALC-0159 Sprague 
Dawley Rat  0 5.46E+04  6.41E+04  2.42E+07  2.40E+07  0.002  0.003  
15 5.31E+04  5.16E+04  2.51E+07  2.51E+07  0.002  0.002  
30 5.82E+04  5.24E+04  2.46E+07  2.47E+07  0.002  0.002  
60 6.09E+04  5.58E+04  2.43E+07  2.40E+07  0.003  0.002  
90 5.90E+04  5.65E+04  2.49E+07  2.51E+07  0.002  0.002  
120 5.66E+04  5.43E+04  2.42E+07  2.44E+07  0.002  0.002  
ALC-0159 Cynomolgus 
Monkey 0 6.60E+04  6.44E+04  2.41E+07  2.42E+07  0.003  0.003  
15 5.61E+04  6.26E+04  2.42E+07  2.40E+07  0.002  0.003  
30 6.35E+04  6.29E+04  2.39E+07  2.39E+07  0.003  0.003  
60 6.38E+04  7.33E+04  2.44E+07  2.38E+07  0.003  0.003  
90 7.46E+04  6.96E+04  2.47E+07  2.46E+07  0.003  0.003  
120 6.16E+04  7.28E+04  2.37E+07  2.34E+07  0.003  0.003  
ALC-0159 Human 0 5.93E+04  5.62E+04  3.36E+07  3.40E+07  0.002  0.002  
15 6.18E+04  6.07E+04  3.37E+07  3.34E+07  0.002  0.002  
30 6.23E+04  6.19E+04  3.37E+07  3.38E+07  0.002  0.002  
60 6.08E+04  6.08E+04  3.40E+07  3.37E+07  0.002  0.002  
90 6.34E+04  6.28E+04  3.37E+07  3.38E+07  0.002  0.002  
120 7.07E+04  6.69E+04  3.38E+07  3.35E+07  0.002  0.002  
  
  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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APPENDIX 3  
 
Stability of Testosterone in Mouse, Rat, Monkey and Human Liver S9 –  Raw Data 
 
  
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Compound s 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 0 1.74E+04  1.71E+04  5.35E+05  5.68E+05  0.032 0.030 
15 1.06E+04  1.16E+04  6.22E+05  5.77E+05  0.017 0.020 
30 6.44E+03  6.29E+03  5.72E+05  5.69E+05  0.011 0.011 
60 1.10E+03  1.37E+03  5.79E+05  5.69E+05  0.002 0.002 
90 LOD LOD 5.84E+05  5.74E+05  LOD LOD 
120 LOD LOD 5.70E+05  5.75E+05  LOD LOD 
Testosterone  Sprague 
Dawley Rat  0 1.52E+04  1.62E+04  6.17E+05  6.14E+05  0.025 0.026 
15 LOD LOD 6.05E+05  5.74E+05  LOD LOD 
30 LOD LOD 6.53E+05  5.96E+05  LOD LOD 
60 LOD LOD 5.75E+05  5.65E+05  LOD LOD 
90 LOD LOD 6.06E+05  5.80E+05  LOD LOD 
120 LOD LOD 5.98E+05  6.00E+05  LOD LOD 
Testosterone  Cynomolgus  
Monkey 0 1.68E+04  1.43E+04  5.88E+05  5.86E+05  0.029 0.024 
15 1.22E+04  1.32E+04  6.16E+05  5.72E+05  0.020 0.023 
30 1.08E+04  1.08E+04  6.04E+05  5.85E+05  0.018 0.018 
60 6.82E+03  7.12E+03  5.88E+05  5.64E+05  0.012 0.013 
90 4.29E+03  4.11E+03  5.87E+05  5.79E+05  0.007 0.007 
120 2.78E+03  2.38E+03  5.94E+05  5.69E+05  0.005 0.004 
Testosterone  Human 0 1.66E+04  1.57E+04  5.95E+05  5.63E+05  0.028 0.028 
15 1.02E+04  1.05E+04  5.81E+05  5.81E+05  0.018 0.018 
30 3.05E+03  2.85E+03  5.88E+05  6.27E+05  0.005 0.005 
60 LOD LOD 5.92E+05  5.75E+05  LOD LOD 
90 LOD LOD 6.07E+05  6.32E+05  LOD LOD 
120 LOD LOD 5.50E+05  5.76E+05  LOD LOD 
LOD = Limit of detection 
 
  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
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APPENDIX 4  
 
Stability of 7-Hydroxycoumarin in Mouse, Rat, Monkey and Human Liver S9 –  Raw Data 
  
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Compounds  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 0 2.69E+04  2.63E+04  5.42E+05  5.29E+05  0.050 0.050 
15 1.20E+04  1.01E+04  5.59E+05  5.52E+05  0.021 0.018 
30 4.62E+03  4.53E+03  5.49E+05  5.54E+05  0.008 0.008 
60 1.11E+03  8.20E+02  5.54E+05  5.27E+05  0.002 0.002 
90 5.99E+02  4.34E+02  5.62E+05  5.30E+05  0.001 0.001 
120 3.69E+02  4.87E+02  5.59E+05  5.58E+05  0.001 0.001 
7-
Hydroxycoumarin  Sprague 
Dawley Rat  0 2.60E+04  2.51E+04  5.20E+05  5.61E+05  0.050 0.045 
15 1.88E+04  1.82E+04  5.37E+05  5.52E+05  0.035 0.033 
30 1.29E+04  1.20E+04  5.39E+05  5.52E+05  0.024 0.022 
60 6.94E+03  6.43E+03  5.38E+05  5.40E+05  0.013 0.012 
90 3.57E+03  3.60E+03  5.49E+05  5.56E+05  0.007 0.006 
120 2.92E+03  3.11E+03  5.32E+05  5.34E+05  0.005 0.006 
7-
Hydroxycoumarin  Cynomolgus 
Monkey 0 2.46E+04  2.60E+04  5.32E+05  5.32E+05  0.046 0.049 
15 2.18E+04  2.06E+04  5.53E+05  5.50E+05  0.039 0.037 
30 1.65E+04  1.74E+04  5.57E+05  5.45E+05  0.030 0.032 
60 9.83E+03  9.77E+03  5.40E+05  5.35E+05  0.018 0.018 
90 6.29E+03  6.06E+03  5.52E+05  5.40E+05  0.011 0.011 
120 4.19E+03  4.03E+03  5.23E+05  5.34E+05  0.008 0.008 
7-
Hydroxycoumarin  Human 0 2.65E+04  2.65E+04  5.32E+05  5.16E+05  0.050 0.051 
15 1.88E+04  1.83E+04  5.37E+05  5.24E+05  0.035 0.035 
30 1.23E+04  1.15E+04  5.49E+05  5.42E+05  0.022 0.021 
60 5.42E+03  5.06E+03  5.48E+05  5.33E+05  0.010 0.009 
90 2.28E+03  2.37E+03  5.55E+05  5.52E+05  0.004 0.004 
120 9.57E+02  1.11E+03  5.60E+05  5.53E+05  0.002 0.002 
  
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Test Article: ALC-0159 
Study No.: 01049-20021 
 
23 
 
APPENDIX 5 
 
01049-20021-S9 stability_protocol 
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In Vitro Metabolic Stability of ALC- 0159  in CD-1/ICR Mouse, 
Sprague Dawley Rat, Cynomolgus Monkey, and Human Liver S9  
Fractions 
 
 
 
 
 
Testing Facility 
Medicilon Preclinical Research (Shanghai) LLC 
585 Chuanda Road, Pudong 
Shanghai 201299, China 
 
 
 
Study Number 
01049-20021 
 
 
Study Director 
 
 
 
Sponsor 
Acuitas Therapeutics Inc. 
 
 
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Medicilon Study Number : 01049-20021 
 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.  Liver Microsomes and Cofactor .............................................................................4 
3.EXPERIMENTAL PROCEDURES .............................................................................5
4.BIOANALYSIS ............................................................................................................6
4.1.  Instruments .............................................................................................................6 
4.2.  LC/MS/MS Conditions ...........................................................................................6 
5.DATA ANALYSIS .......................................................................................................7
6.FINAL REPORT ...........................................................................................................7
7.SIGNATURES ..............................................................................................................8
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 1. INTRODUCTION 
1.1. Study Number 
01049-20021 
1.2. Study Title 
In Vitro Metabolic Stability of ALC-0159  in CD-1/ICR Mouse, Sprague Dawley Rat, 
Cynomolgus Monkey,  and Human Liver S9 Fractions 
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 liver S9 from different 
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 
 
 
 
 
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Medicilon Study Number :                      01049-20021 
 
 
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 1.7.2.  Alternate Contact  
 
 
 
 
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 experiment al 
records and presented in the report. 
2.3. Liver Microsomes and Cofactor 
Liver S9 fractions o f CD-1/ICR mouse, Sprague Dawley rat, cynomolgus monkey and 
human were purchased from qualified supplier and stored in a -7 0oC ultra low 
temperature freezer.   
NADPH (reduced β-Nicotinamide adenine dinucleotide 2′-phosphate tetrasodium salt ) 
were purchased from qualified supplier and stored at 2 -8oC in a refrigerator.  
UDPGA (uridine-diphosphate -glucuronic  acid trisodium  salt) and alamethicin  were 
purchased from qualified suppliers  and stored in a -20oC freezer.  
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 The source and lot numbers will be documented in the experiment al records and 
presented in the final report . 
 
3. EXPERIMENTAL PROCEDURES 
(1) Preparation of stock solutions : Appropriate amount of test article or positive 
control is weighed and dissolved in DMSO to obtain a 10 mM stock solution.  
(2) Preparation o f 0.5 mM spiking solutions: 
Spiking Solution of Test Article or Positive Control  
Conc. of stock solution  Volume of stock solution  (μL) Volume of MeOH (μL) Final Concentration  
10 mM 10 190 0.5 mM 
(3) Preparation of 1.5× liver S9 suspensions with alamethicin containing test article 
or positive control: 
1.5× Liver S9 Suspension with Alamethicin c ontaining Test article or Positive control 
Livers S9  
0.5 mM 
spiking 
solution 
(μL) 10 mg/ml 
Alamethicin  100 mM potassium 
phosphate  buffer 
containing  
 5 mM of MgCl 2 (pH 
7.4) 
(μL) Final Concentration  
Conc. of 
stock 
solution 
(mg/mL) Volume of stock 
solution (μL)  Liver S9 
protein 
(mg/mL) Compound  
(μM) 
20 37.5 1.5 1.9 459.1 1.5  1.5 
 
(4) 1.5× liver S9 suspensions with alamethicin containing test article or positive 
control are kept on ice for 15 minutes. 
(5) 3× master mix of cofactors (6 mM NADPH and 3 mM UDPGA in 100 mM 
potassium phosphate buffer containing 5 mM of MgCl 2, pH7.4) is prepared and 
then pre-warmed to 37oC. 
(6) 30 µL of liver S9 suspension with alamethicin containing 1. 5 µM test article or 
positive control is added to 96-well plates in duplicate for each time point (0, 15, 
30, 60, 90, and 120 min).  
(7) 96-well incubation plates (from Step 6) are pre-warmed at 37 oC for 5 min. 
(8) For 0-min samples: 450  µL ethanol containing internal standard (IS solution) is 
added, followed by 15 µL pre-warmed 3× master mix of cofactors.  
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 (9) For the 15, 30, 60, 90,  and 120 min samples, 15 µL pre-warmed 3× master mix of 
cofactors is added to initiate reaction. 
Volume of final incubation system (μL) Final Concentration  
1.5× Liver S9 
Suspension 
with 
Alamethicin 
containing Test 
article or 
Positive control   3× Master 
Mix of 
Cofactors  Total 
Volume  Liver S9 
protein 
(mg/mL) Compound 
(μM) UDPGA  
(mM) NADPH  
(mM) 
30 15 45 1 1 1 2 
The samples are incubated at 37 oC and 450  µL IS solution (10ng/mL v erapamil 
in ethanol ) is added to stop the reaction at the corresponding time points (15, 30, 
60, 90, and 120 min).  
(10) After quenching, shake the plates at 600 rpm for 10 min and then centrifuge them 
at 6,000 rpm for 15 min. 
(11) The plates are sealed and stored at -20 oC in a freezer until bioanalysis. 
(12) 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.  
 
 
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 Chromatography Parameters for ALC-0159: 
 
 
 
 
 
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Medicilon Study Number :                      01049-20021 
 
 
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 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 
Solvent A: 10mM ammonium formate, 0.1% Formic acid in water    
Solvent B: 10mM ammonium format e, 0.1% Formic acid in acetonitrile 
Flow rate :500 μL/min  
Column temperature :40 oC 
Autosampler temperature: 4oC 
MS Conditions: MRM detection 
 
Compound  Q1(m/z) Q3(m/z) DP CE Retention 
  ALC-0159 1164.00 494.70 45 71 ~1.30 
Tolbutamide  (IS) 
 271.10 172.00 70 18 ~1.02 
 
5. DATA ANALYSIS 
The % remaining will be 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 will be plotted against time,  and the slope of the 
regression line will be determined. Then elimination constant and half-life will be 
calculated as below. 
Elimination rate constant (k) = - slope 
Half-life (t 1/2) = 0.693/k 
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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