throbber
De.uteri urn Isotope Effects in the
`Metabolism
`of Drugs and Xenobiotics:
`Implications for Drug Design
`
`ALLAN B. FOSTER
`
`Drug Metabolism Team
`Cancer Research Campaign Labora /0 1)'
`fllsliful e of Cancer Research
`S11110 11 , Surrey , England
`
`Introduction ............ .
`2 Deuteration of Drugs and Xenobiotics . . . . . . , . . . , .... . .. , , . ... .. , .. . . , . .. . . , .. .
`2. 1 Deuterium Isotope Effec ts . . , . . .. . , . . , .. .. . .. . ... , ....... ... .. . . .. . . , . . ,
`2.2 Contrnl of Metabolism by Deuterium Substitution . , . . , . . . , . . , , .. . . , ... . . , . . .
`3 Hydroxylation of Hydrocarbons and Hydrocarbon Moi.eties .... , , .. , ... . . , . . . . . , . . .
`3. 1 Aliphatic Compounds . . . ..... .. .. .. . ... .. , . . .. . . . . .. . . . .... , .. , .... ... .
`3.2 Aralkyl Compounds .. . . . . .... , , .. , .. , , . . .. . . . , .. . ... . .. .. ... . , ...... , .
`3.3 Control of Drug Lipophilici ty, .. ,, ... . . , , .... . ..... , .. . , . ...... , . . .. . . . . .
`3.4 Alicyclic Compounds . .. . . : .. ...... . , .. .... , .. , . , , . ..... . ... . . , ..... , ..
`4 Hydroxylation of Carbon ex to Oxygen ... . .. . . .. , .... , , . . , .. , , .. , .... . , . , , .. , ..
`4. I 0 -Dealkylation ..... . . , .. .......... .. .... , , .. .. , , ..... . , ........ , . .. . .
`4 .2 Hydrox ylation of 0 -Al kyl Groups, ..... , , , . , .. . . . . . .. . .. . .. , ... . . , . .... , .
`4.3 Control of Metabolic 0-Dealkylation ... . , , .. . . , ...... , ... , ... . .
`5 Hydroxylatioo of Carbon o: to Nitroge n ..... . , , , . , ...... . . , . . . . .. , . ....... , .. , .
`5.1 N-Dealkylation ... .. . . .. . . . ....... . . .... , . , .. , .. , .... , .... , .. , .. , . .. , .
`5.2 o:x-C-Hydroxylation ....... . .. ... . . . . . , , . . . . , . . ... , ..... .... , .. , ... . . . . .
`5.3 Ox idative Deaminat ion .. . ..... , ... , . , . .. . ... .. .. , , . .... . , . , .. , ... . . . , . .
`5.4 Nitrosamines ...... .. .. . , , . . ... , , . , .. , , . . . . , .. .. . . . . . . . . . . ..... . . .
`6 Miscellaneous Compounds ..... , , . . . . . , . .. . . , , . . . . , .. . .. , ... , .. , .... , , ... . . , .
`6 . 1 Anesthetics ........ . . .. . , .. . .. . , , . . . . , , . , .. , .. , .. , , .. , . .. .. .... ... . .. .
`6.2 Antioxidants .. . ... , . . .. . .
`Intrinsic and Intramolecul ar Deuterium bolope Effects .... . . , . .... .... , .. , ....... .
`7
`8 Conclusions . , ........... . ... , , . , . .. , .. , .... .. ... .. , . . , . ... .. . . . . . ... . • . .
`References .... . , .... , . ... . ...... , ... . . . , . .. , . , . , , .. , .. .
`
`2
`3
`4
`5
`8
`8
`11
`13
`13
`19
`19
`2 1
`2 1
`22
`22
`23
`25
`28
`31
`3 1
`32
`33
`35
`36
`
`ADVANCES IN DRUG RESEARCH, VOL. 14
`0 -12-0133 14-8
`
`i,i
`
`Copyrigl11 Q 191}5, by Ac-adi•mic Pren l 11c. (Londo1 J) Lrd,
`All rights of f'l!JJrodw.:rloiJ /1J any form reJ'trv,:tl,
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 1
`
`

`

`2
`
`ALLAN 13. FOSTER
`
`I fotrodudion
`
`111e majority of dnJgs, when ad mir1istered to humans and animals, are melabo (cid:173)
`!ized , often rapidly and extensively (Tes1:i. and Jenner, 1976) . Metaboli sm,
`which usuall y occurs moslly in the liver but which can also occur in numerous
`other organs (Fry and Bridges, 1977), e .g. , kidney , lungs, skin, and small
`intestine, has been regarded as a · defense mechanism whereby ingested xeno(cid:173)
`biotics are converted into more polar derivatives that are excreted more readily
`either directly or after conjugation. However, in the case of drugs, rapid metabo(cid:173)
`lism may limit pl asma levels and half-lives and , consequently, e ffica cy .
`Although some drugs [e .g., cyclophospharnide (Connors el al., 1974)) are
`activated by metabolism or may be deliberately designed as prodrugs (Bodor,
`1981 a, 1984), the usual consequence of metabolism is deactivation . Moreover,
`in addition to being more rapidly excreted , metabolites usually have an affinity
`for the target (receptor, enzyme , membrane, etc.) lower than that of the parent
`drug or may have properties which limit access to, and therefore interaction with,
`the target. Metabolism can also generate products which have a biological ac(cid:173)
`tivity different from that of the parent drug or which may be toxic and, in so me
`instances , carcinogenic (Jefcoate , 1983) .
`Thus , the metabolism of drugs is usually an adverse process and its importance
`is often indicated when candidate drugs which show high activity in in vitro
`assays are inactive in vil'o . The metabolism-directed approach (Jarman and Fos(cid:173)
`ler, 1978; Bodor, 19816, 1984) to drug design is concerned with the rational
`modification of molecular stmcture in order to control ad verse metabolism
`and/or confer desirable characteristics. The ideal starting point for a metaboli sm(cid:173)
`directed design study involves a· drug in clinical or experimental use with a
`known target, metabolism profile, and origin of toxicity. Structure- activity stud(cid:173)
`ies can then be undertaken aimed at retarding or blocking adverse metabolism
`while retaining (preferably , increasing) affinity fo r the target and ensuring that a
`plasma level and half-life can be achieved prac ticably which will optimize in(cid:173)
`teraction with the target.
`It is in this context that specific deuterium substitution in drugs and the
`magnitude and consequences of the resulting deuterium isotope effects are now
`considered.
`A wide variety of pathways of drug metaboli sm have been identified and
`categorized as phase I and II reactions (Fry and Bridges , 1977), also designated
`as functionalization and conjugation reactions (Testa and Jenner , I 978). The
`former category includes reactions whereby functional groups are introduced
`(e.g., hydroxylation) , modified (e.g., aldehyde oxidation and reduction), or
`exposed (e.g., 0 -dealkylation) whereas the latter category includes reactions
`such as glucuronidation and sulfation. rt is within the phase I category that
`metabolism pathways are found wll,ich are susceptible to deuterium isotope ef-
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 2
`
`

`

`

`

`1\LLAN fl. FOSTEI(
`
`deuterium am.I conl.aius an excellent snrvey of the liternlLur prim lo 197 5 011,
`i111er alia , deuterium isolope effec1s HSsocialcd with the 1m:taboli:-;rn ,1ud biulog(cid:173)
`ical activity of drngs and related co111po1n1(b. The pre~cni_ 11iiick is concemed
`mainly with deuterium isotope effects and is 11ot intended to be com1)1d1eusive
`but illustrative. Apoloeies are tendered herewith lo those authorn whose relevant
`work is not mcnlio1wd.
`
`2.1 DEUTERIUM ISOTOPE EFFECTS
`
`ln a reaction (chemical or enzymatic) in which cleavage of a C-- -H bond i~ rnte
`determining the same reaction of the C--D analog will be rctard(:d. The ratio
`(KH/KD) or the respective rate constants defines the primary de11teri11111 isotope
`ejfecf (DIE). The maximum theoretical DlE has been calculalcx! (Bigeleiscn,
`1949) as 18 and although values up to 1 1- 12 have been observed experimcnlally
`in metabolism studies (see below) mos1 observed DlEs are reh,tively small ( <5).
`The origin of DTEs relates lo the difference in mass between hydrogen and
`deuterium which results in the zero-point energy (lowest ground state vibrntional
`level) for C-D bonds being I . 2-1. 5 kcal/ mol lower than th at or the C-H bond
`with a consequent increase in bond stabilily. Deuterium st1bstilution near to a
`reaction center can give rise to seco11dmy isulupe ejfec/s which an~ usually small
`(J.05--1.25) and not likely lo contribute significantly to the Dlfa considered in
`this article.
`DlEs in chemical reactions were reviewed by Wiberg (1955), and Wolfsbcrg
`( 1982.) has given a general theoretical analysis. N0tthrop (1982) has presented a
`detailed consideration of enzymc.-catalyzed reactions in terms of a family of
`DIEs and emphasized the fact that lht! observed DTE (Dv) , which relates to the
`ratt:s of dhmppearnnce of substrate and /or appearance of products, can be very
`much smaller than the intrinsic DIE (0 k) , which is associated with the conversion
`of the substrate into product(s) within the activated enzyme-substrnte(pro<luct)
`complex. The mechanisms of action of various enzymes which can be involwd
`in drug metabolism studies have been clarified on the basis of DlEs, e.g .,
`aldehyde dehydrogcnasc (Feldman and Weiner, 19'12), xanthine oxidase (Ed(cid:173)
`mondson et al., 1973), urocanasc (Egan et al., 1981), liver alcohol dehydrogen(cid:173)
`ase (Cook and Cleland , 1981), and dopamine 13-monooxygenase (Miller and
`Klinman , 1982). Deuterium labeling has also been used elegantly to probe the
`steric requirements of drug-receptor interaction of neuromuscular blocking
`agents in the norcoralydine series (Stenlake and Dhar, 1978). However, this
`article is concerned primarily with "observed" DlEs, fn:4.uently expressed as
`KH/K0 or ~~a.fV~ax l0 v in Northrop's (1982) terminology], which reflect the
`gross effect of deuterium substitution on the rate and pathways or metabolism of
`drugs and xenobiotics and on their biological activity. Unless stated otherwise in
`the sections below, the term DTE co,:inoles the observed deuterium isotope effect,
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 4
`
`

`

`DEUTERIUM ISOTOPE EFFECTS
`
`5
`
`2.2 CONTROL OF METABOLISM BY DEUTERIUM SUBSTITUTION
`
`For a DlE of 2 l'he rate of reaction of the C- O-conl'aining compound will be
`50% of that of the C- H analog and for DIEs of > 5 the introduction of deu-(cid:173)
`terium will suppress reactivity very substantially. Since DlBs in the range 6- 12
`associated with metabolic reactions lrnve been reported (see below), interest has
`been sti mulated in the u~e of this phenomenon to retard certain drug metabolism
`pathways and to explore the consequences in vivo. The attraction of specific
`deuterium substitution as a parameter in drug design is based on the facts that not
`on.ly is the replacement or one or a few hydrogens in a drug molecule by
`deuterium the smallest structural change that can be made but also such a change
`will have negligible steric consequences or influence on physicochernical proper(cid:173)
`ties (providing that the deuterium is not o: to nitrogen, see Section 5. I). This is in
`contrast to the use of groups such as alkyl or fluorine to block metabolism at a
`pa11icular point in a drng molecule. The introduction of an alkyl group may
`create new possibilities for metabolism and significantly change lipophilicity and
`the introduction of fluorine may markedly modify the character of neighboring
`functional groups or remote ones if there is an intervening conjugated or aromatic
`system.
`Cytochrome P-450-mediated aromatic hydroxylation usually involves initial
`oxene addition to give an epoxide (arene oxide) which, i111er a!ia, can rearrange
`into a phenol. Although for deuterated aromatic compounds deuterium migration
`occurs (NIH shift; Daly et al., 1968, 1969), the DIE is negligible for the overall
`hydroxylation process (e.g., Parmer er al., 1975) when hydroxyl groups are
`introduced into the o- and p-positions in substituted aromatics. 1t was inferred
`that a different mechanism operates for m-bydroxylation in vitro and in vivo and
`for which DIEs of 1.3-1.75 have been observed (Tomaszewski et al., 1975).
`The biological activity of xenobiotics can sometimes be modified by poly(cid:173)
`deuteration (see review by Blake et a{, 1975) but a remarkable effect of mono(cid:173)
`deuteration has been reported by Dumont et al. (1981 ). The anticonvulsant
`potency of diphenylhydantoin (1) was enhanced by pentadeuteration of one
`phenyl group<-
`2) and even more so by p-deuteration (--;,J). The mechanistic
`significance of these findings is not clear. p-Hydroxylation of one phenyl group
`is the main initial metabolism pathway for (1) and Hoskins and Fanner (1982)
`found no significant DIE for p- and m-hydroxylation of d5-diphenylhydantoin (2)
`by liver microsomes (PB-induced rats) or in humans. Moreover, Moustafa et al.
`(1983) concluded that m- and p-hydroxylation of diphenylhydantoin (1) pro(cid:173)
`ceeded via the 3,4-epoxide. These findings contrast with those of Tomaszewski
`et al. (1975) noted above and suggest that m-hydroxylation could involve a
`duaHty of mechanisms .
`Progressive replacement of hydr_ogen in a drug or another xenobiotic molecule
`with deuterium will progress.ivel~ change the lipophil.icity and the magnitude of
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 5
`
`

`

`ALLAN A. FOSTER
`
`2 R ~ - ~D 3 R~ - ( g - o
`
`D
`
`D
`
`4
`
`this effect can be conveniently assessed by normal (Farmer et al. , 1978) and
`reversed-phase high-pressure liquid chromatography (HPLC) (Tanaka and
`Thornton , 1976) . The shake-flasl~ and HPLC methods were recently compared
`(El Tayar et al. , 1984) . The results indicated deuteratcd compounds to be less
`lipophilic than the corresponding protium fom1s by - 0.006/0 on the log P oci
`scale. The e ffect of demeration on binding , for example, to microsomal
`cytochrome P -450, is usually given by the ratio of the Michaelis constants
`K:?,I K~, - When this ratio is < l (see Section 5.1), stronger binding of the deu(cid:173)
`teratcd compound to the enzyme is indicated . Amines are an exception in that
`deutcralion al the a -carbon will give a KT;,! K~~ ratio of > I . For example ,
`deutcration of the NEt2 moiety of lidoeaine (4) results (Nelson et al. , 1975) in a
`Kg ! K~~ ratio of 1.23 (for rat liver rnierosomes) for the N(CD2CHJ 2 analog in
`contrast to a ratio of 0 .92 for the N(Cll 2CD3h analog .
`
`2. 2. 1 Metabolic Switching
`
`When a drug is metabo.lized by two or more alternative pathways a possible
`consequence of dcuteration is '' metabol ie switching.'' This terlll was introduced
`by Horning el al. (1976), who round that the metabolism of antipyrine (5), after
`intrapctitoneal (ip) injection into rats and as reflected by the urinary metabolites ,
`was switched from oxidation of the C-3-methyl group (normal major pathway) to
`N-demethylation (normal minor pathway) on trideuteration of the former group.
`The effect was even more markc~ in vitro . Using the J0,000 g supernatant of
`homogenized rat liver, the ratio of0 3-hydroxymcthyl anlipyrinc to 4-hydroxyan-
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 6
`
`

`

`D EUTER IU M ISOTOPE EFFECTS
`
`7
`
`tipyrine from antipyrine was 1. 3 und 1.6 when the N -methyl group was trideute(cid:173)
`rated. However, the ratio changed drnmatica lJy to < 0.1 when fh e C-3-methyJ
`group was trideuterated. T his low ratio corresponded to a DIE of ~· 15.
`A sim ilar situat ion was encou ntered b I Gornmaru et al. ( 1981) for the metabo(cid:173)
`li sm of aminopyrine (6) admi r1istered orally to rnts. Analysis of the urinary
`metabolites revealed that trideuteration of the C-3-methyl group switched metab(cid:173)
`olism to N-demethylation of the C-4-climethylamino group. No metabolic
`switching occuned when the N-2-methyl group or the C-4-climethylamino group
`was full y cleuterated . ·
`Horning el al. ( 1978) showed that for methsuximide (7), N-clemet hylation was
`suppressed and hydroxylation of the phenyl group was increased when the N(cid:173)
`methyl group was trideuteratecl.
`In studies with caffeine (8), Horning el al. (1976) found that trideuteration of
`the N- 1-methyl group depressed N-demethyl ation at N-1 and, for the rat and ip
`adm inistration , I ,3-dimethylxanthine (theophylline) became the major urinary
`metabolite. Likewise, trideuteration of the N-7-methyl group resulted in 1,7-
`dimethylxanthine being the major urinary metabolite. The same group (Horning
`et al., 1979) al so found that after ip injection into rats the plasma half-lives of
`caffeine (8) and its derivatives with the N- 1-, N-7-, or N-9-methyl groups tri(cid:173)
`deuterated were si milar . However, the plasma half-life of the derivative with all
`these N-methyl groups trideuterated was twice that of caffeine (8) . These results
`were taken to indicate that N-demetbylation at positions I, 7, and 9 occurred at
`the same rate in vivo and that replacement of CH 3 by CD3 switches metabolism
`to de-N-methylation of an unl abeled methyl group.
`fH,
`Cl-l, N~CH3
`4
`J
`1 2 N
`o N/ 'cH
`I
`Ph
`
`0
`
`)
`
`N
`I
`Ph
`
`CH,
`
`N,
`Cl-I,
`
`3
`
`5
`
`6
`
`oit@
`
`I
`CH,
`
`7
`
`8
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 7
`
`

`

`8
`
`Al.LAN 13. FOSTER
`
`The foregoin.':', results va,.-iously illustrntc 1rn-:tabolic swilchi11g of th1ce types,
`1rnmely C-
`(cid:157) N, N---(cid:157) (: , and 1'1-->N. A11 example of C--> C swilchi11g :issociated
`witl1 7-ethykoumarin i~ noted in Section 4. 1.
`The possibility exists, allhough appmeully uni yet realized, ofusinp; mt:labolic:
`switchin~ in drng design to dcrlccl metabolism away from a pathway yiddini a
`toxic metabolite to one (or mtm~) le<1ding to innocuous products or nway from rt
`pathwny leading lo inm:livc met<1b~11ites towal'<l one yielding an <1ctive me(cid:173)
`tabolite.
`
`2.2.2 DIH Excl1011ge
`1n i11 vitro and in Fivo studies or the metabolism of dcuterated drngs and other
`xenobiotics it is essential that the deuterium content of lmchanged drug and il.s
`metabolites be monitored by mass spectrometry ii" other techniques are used for
`quantification. This precaulion is essential in order to ensure that D/H exchange
`does nol occur. Where enzyme~, receptors, or other macromolecules are in(cid:173)
`volved there is always Lhe possibility of microenvironments in which D/H ex(cid:173)
`change can be promoted. Thus, rollowing ip adminislrnlion of a-d2 chlorambucil
`(9) to rats, monitoring of the drug in llw plasma by mass ~pcctrometry revealed
`tha! D/H exchange was complete within 30 min even lhough chemically the
`deuterium was not intrinsically labile (Farmer et al., 1979). Pere! el af. ( ! 96'/)
`found that, after administration of p-deu!erophcnobarbital ( HI) lo dogs, the drug
`excreted in the urine had undergone 13-26% Dill exchanp,c. Singer and Lijinsky
`(1979) have noted that, for nitrosamines deuterated a to nitrogen, pronounced
`biological isotope effects in feeding experiments (see Section 5.4) were observed
`only for those compounds which were not very susceptible to base-catalyzed
`D/H exchange. II was not practicable to monitor D/H exchange in vivu for these
`deuterated nitrosam.ine~ .
`
`0,0
`
`HN)
`
`El
`
`9
`
`O~N
`H
`
`0
`
`10
`
`3 Hydroxylation of Hydrocarbons and Hydrocarbon Moieties
`
`3.1 ALIPHATIC COMPOUNDS
`
`3.1.1 Hydrocarbons
`
`The outcome of microsomal hydro·xylation of linear, saturated aliphatic hydro(cid:173)
`carbons depends on the chain length and the inducer used . For the homologous
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 8
`
`

`

`9
`DEUTER IUM ISOTOPE EFFECTS
`series CHiCH2),,CH3 when 11 = I or 2, two monohydroxy derivatives are
`possible , three when 11 = 3 or 4, . four when 11 = 5 or 6 , etc . A Jso , for hydroxy la(cid:173)
`tion at some secondary positions, the possibili ty of stereoselectivity ex ists and o (cid:173)
`and/or L-alcohols can be foi'med_. T he regioselectivity associated with micro(cid:173)
`somal hydroxylation is illustrated by the results for 11-hexaoe (11 = 4) and 11-
`heptane (11 = 5).
`Using liver microsomes (PB-treated rats) the ratio of 1- (1J.J), 2- ((Jj-1) , and 3-
`hexanols (w -2) from n-hexane was ~ l: 11 :2 and diols were also formed (J ,2,
`1,3, and 2 ,3; ratio ~ J.6:0.J :0. 7) (Kramer et al. , 1974) . The ra tio of the three
`hexanols was not changed dramaticall y when noninduced microsomes were
`used. Under essentially similar conditions the ratio of l - ((JJ), 2- (oJ-1), 3-
`(w- 2), and 4-heptanol s ((JJ - 3) from n-heptane was ~ 1:19.5:3.7:L.5 (Frommer
`et al., 1972) . The relative proportions of the four heptanols was not greatly
`changed when noninduced microsomes were used but with benzpyrene-induced
`microsomes the ratio became ~ 1:16.5:13 .8:21.4 . Thus, for non- and PB-in(cid:173)
`duced microsomes ((Jj-1)-hydroxylation of linear, saturated aliphatic hydrocar(cid:173)
`bons preponderates .
`Although the microsomal hydroxylation of cyclohexane and cyclohexane-d 12
`has been studied (see Section 3 .4. l) apparently there has been no comparable
`investigation of linear aliphatic hydrocarbons.
`
`3. / .2 Fatty Acids
`
`The regioselectivity of microsomal hydroxylation of saturated linear fatty acids is
`dependent on chain length . Thus, for decanoic acid , CHiCH2 ) 8COOH (Ham(cid:173)
`berg and Bjorkhem , 197 1), the ratio of 10- (w) and 9-hydroxylation (w - l) was
`> 9: < I . Metabolism of the lO-c/3 and 9-d2 derivatives of decanoic acid revealed
`a DIE (1.5- 2 based on yields of products) only for 9-hydroxylation. The ratio of
`the D· and L-forms of 9-hydroxydecanoic acid was ~ 1 :3 and this was changed to
`~2: I when 9-d2-decanoic acid was hydroxylated.
`Jauric acid,
`situation was encountered with
`A somewhat different
`CH3(CH2)i 0COOH (Bjorld1em and Hamberg, 1972) . T he ratio of microsomal 12-
`(w) and 11-hydroxylation (w - 1) was ~ 3:2 but for 11-c/2-lauric acid this ratio
`changed to > 9: < l , reflecting a significant DlE ( ~2 . 5 based on yields of prod(cid:173)
`ucts) . The ratio ofo- and L-forms of the 11 -hydroxy derivative was ~ 3:2, which,
`apparently , was not affec ted by deuteration at position 11.
`The antitumor alkylating agent chlorambucil (11) is metabolized in vivo to
`give, inter alia, phenylacetic mustard (12) presumably via [3-oxidation. This
`metabolism pathway is probably adverse since the therapeutic index of the me(cid:173)
`tabolite (12) is inferior to that of .the parent drug (11) against, for example, the
`Walker 256 carcinoma in rats. Moreover , the neurotoxicity associated with high
`doses of chlorambucil (11) couldl>e due to the formation of (12) . Following ip
`ad ministration of {3-d2-chlorambucil (13) to rats the plasma levels of phe-
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 9
`
`

`

`10
`
`/\LLAN Il. FOSTL!R
`
`11 Fl:::: H
`
`rnn:.:::L1
`
`·12
`
`nylacctic mustard (l?,) were lower than those from the parent drng but the
`therapeutic index was not altered significantly (Farmer el uf., 19'/9).
`Reinsch el al. (1980) have reported a n:markably high DIE for the re;:iction of
`perdeuterobutyryl-CoA with fatly acyl-CoA dchydrogenase:
`
`RCH2CH2COSCoA ;:cc, RCH2 CHCOSCoA ;--=c RCH=CIICOSCoA
`
`A DIE of 2 was round for the first step (H + abstraction) and a value of 30-50
`was found for the second step.
`
`3.1.3 Barbiturates
`
`The erfect of specific dcuteratlon of the n-butyl group in 5-11-butyl-S-ethylbar(cid:173)
`biluric acid (14, butetbal) has been explored. Soboren et al. ( 196)) observed that
`di<leuteration al. position 3 (-15) doubled the sleep time of rnicc whereas tri(cid:173)
`dcutcration at position 4 (-16) had no effect. That the modified behavior of 15
`reflected a DIE was suggesle<l by the i<lcnlil'ication of the 3--hy<lrnxy derivative
`l7 as a microsomal metabolite of butcthal. The same group (Tanabe et al., 1969)
`showed later that <li<lculeralion at position 3 in butethal (- IS) increased the half(cid:173)
`life from 100 to TIO min on incuhation with the postmitochondrial :supernatant of
`homogenized liver. They confiimcd the 3-hydroxy derivative 17 to be the major
`metabolite and noted a DTE of -1.6. Similar results were reported hy Mark et al.
`( 197 I) for ) ·-ethyl-)-( 1-meth y lbul y l)barhi 1u1ic acid (18, pentobarbital) . Thus,
`dideuteration at position 3 (-19) virtually doubled lhe plasma half-life on ad
`ministration iv lo dogs or ip to mice and delayed the time to peak sedation but
`prolonged the total sleep time.
`The m,~jor metabolic rottle for 5-ethyl-5-phenylbarbituric acid (20, phenobar(cid:173)
`bital) is p-hydroxylation of the phenyl moiety. As would now he expected
`(Tomaszewski et al. , 1975), no DUS was found (Pere! el ul., 196'/) when the p(cid:173)
`dcutcro derivative 21 was administered iv to dogs and rats.
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 10
`
`

`

`

`

`12
`
`ALLA N U. l•O ST liH
`
`©J-1HCH <!.
`
`R
`
`~5 n :::: H
`l't = OH
`
`26
`
`2 2 R = CH3
`23 R = COOH
`
`0 N-·
`2
`
`R NHCOCHCl 2
`
`@- 1 /
`CCH
`I \
`HO CH 2 OH
`
`27 R = H
`
`28 R ~ D
`lt was concluded that metabolism at the benzylic center in chlornmphenicol (27)
`was involved in the expression of biological act ivity . A DIE of 1.4 for d 1-
`ch1oramphenicol (28) has been noted (Kuller and Garett, 1970).
`Metabolism of 4-ethynylbiphenyl (29) and its 2' -n uoro derivative (30) with a
`9000 g supernatant of rat liver homogenate gave the respective phenylacetic acid
`derivatives 31 and 32. Although deuteration of the ethynyl group (-33 and 34)
`resulted in DlEs or 1.42 and l.~5, respectively, with almost complete reten tion
`@-@-c~c•' @-@-c,o,coo"
`
`29 R1
`
`30 RI
`
`3 3 RI
`
`:::: R2 = H
`= F, R 2 = H
`= H, R 2 =o
`
`34 R1
`
`= F, R 2
`
`::::: D
`
`31
`
`R = H
`
`32
`
`R =F
`
`R
`
`@--@-cHOCOOH
`
`%5 R = H
`3'6 R = F
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 12
`
`

`

`DElJTF.f(ll IM ISOTOPE EFFEC.TS
`
`13
`
`of deuterium in the products (35 and 36) il was not possible to distiuguish
`between the two alternative mechanisms, namely , cpoxidalion ol the triple bond
`or formation of an ethynyl alcohol (McMahon el al., 1981). Each of these
`producls could ream1r1ge via a 1,2-deuterntropic migration with retenl ion of
`deuterium to give a ketene (R-CD=C=O) which, on reaction with water,
`would yield a phenylacetic acid derivative. That prototropic and not biphenyl
`migration occurs was established by Ortiz de Montellano and Kunze ( 1981 ), who
`showed Lhal R 13CH2COOH was lhe product formed on microsomal metabolism
`of l13Clethynylbiphenyl (R 13C=CI-I).
`
`3.3 CONTROL OF DRUG LIPOPHIUCITY
`
`The variation of the lipophilicity of drugs by variation of the size and branching
`of alkyl groups attached !hereto is a classic maneuver in :-;tructurc-aclivity stud(cid:173)
`ies associated with drug design. However, as noted above, such groups may be
`hydroxy lated in vivo and consequently the efficacy of the drug may be impaired.
`The DfEs encountered in aliphatic hydroxylation indicate that control of this
`metabolism pathway in vivo is not likely to be achieved effectively by selective
`or general deuteration.
`An alternative approach worth considering is the use of polytluorinated alkyl
`groups, e.g. , CFiCF2),,CH 2-, where the point of attachment to the drug is not to
`nitrogen either directly or to a position which is conjugatcc..l to nitrogen. Alkyl
`halides and sulfonates of the type CFlCF2),,CH2X are alkylating agents which
`are readily available via reduclion or the corresponding pern uorinated carboxylic
`acids and the methylene group in CF1(CF2),,CH2 - substituents would he expected
`to be rc:-;istant to metabolic attack (see Section 4. I. I), as would per fluorinated
`alkyl groups. Thus, although pert1uorohexanc was found to bind to cytochrome
`P-450 it was not metabolized (Ullrich and Diehl , 1971 ) . Pertluorooctanoic acid,
`when administcrcc..l by gavage to rats, was rapidly absorbed but not metabolized
`(Ophang and Singer, 1980). Moreover, the contribution of such groups lo the
`lipophilicity or a molecule can be calculated readily (Hansch and Leo, 1979).
`The influence of a CF1 CF2 group is exemplified by the fact that metabolism of
`l , l , 1,2,2-pentafluorohexane with liver microsomes (PB-induced rats) gave only
`the 5-hydroxy derivative, hydroxylation at positions 3 and 4 being completely
`.inhibited (Baker et al., _1984) [cf. the behavior of hexane on hydroxylation
`(Section 3.4. l)]. Although CF3(CF2),,CH2 - groups attached to amino-nitrogen
`will also be markedly resistant lo metabolic N-dealkylation, the basicity of the
`amine will be greatly reduced (Reifenrath et al. , 1980).
`
`3.4 ALICYCLIC COMPOUNDS
`
`3.4.1 Cyclohexane and Its Derivatives
`
`Cyclohexane is rapidly mctabolizeJI to a single product, cyclohexanol, by liver
`microsomcs (PB-treated rats) but · no DIE was observed for cyclohexane-d 12
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 13
`
`

`

`14
`
`AU ,AM B. FOSTER
`
`(Ullrich, 1969) . The cyclolicxyl moidy of the antiitttnor d 1·ug CCN U L:17 , 1-C?.(cid:173)
`c hlorocthyl) J -cyclohexyl -- l -nilrosou1ca·1 is also 1·apidly hydro ,, ylated by rnt liver
`rnicrosomcs (May et ol., 19'/5) and a small DIE ( --- 1. 7) was obsc.J'ved (Fiu1ftc1 · et
`al. , 1978) for CCNU -d 10 (t!H). Mcrnbolic swilchine or trnns--?.hydrnxyla1ion of
`CCNU (a minor metabolism pathway accounting l'or --· 2. :l%, of the total hydrnx
`ylated metabolites) was found for partially deuternted derivatives, namely , away
`frnrn position?. in CCNU-d4 (38, --0,?,% of transs2-hydroxy) and toward posi(cid:173)
`tion 2 in CCNU-d6 (39, -- 17% trans-2-hydroxy). However, there was no signifi(cid:173)
`cant dilTcrencc in the activities of CCNU and its d4 - (38), d6 - (39) , nnd d 10- (40)
`derivatives against lhe TLX-S lymphoma in mice.
`A DlE of --6.8 was rountl (Tanaka el al,, 1976; see also Pmtig el al. , 1979)
`lindanc (41, 14/2356-hexachloroeyclohexanc,
`''-y-bea(cid:173)
`for
`the
`insectic ide
`zenehcxachloride " ) and lindnne-d6 on metabolism by the 105,000 g supernatant
`of homogenized houseflies. The intrinsic activities of lindaae and lindane-d6
`were similar but the in ,1ivo toxicity of the latter compound was higher because of
`the slower rate of metabolism.
`The metabolism of lindane involves dehydrogenation, dd1yclrochlorination,
`and dechlorination , and DIEs would be expected for the first two pathways.
`Kurihara et al. ( 1980) concluded that, on aerobic metabolism of a ! : l mixtmc of
`lindane (41) and lindane-d6 by rat liver rnicrosornes, tlm dehydrogenation
`(41----,)42) and dehydrochlorination (41- (cid:157) 44) pathways were associated with DJEs
`of 10 and --~2.J, respectively. Also, for the microsomal metabolism of the
`dchydrochlorination product 43-d5 the DlEs associated with the disappearance of
`substrate and appearance of 2,4 ,6-trichlorophenol were - -5 .1 and --6, 7, re(cid:173)
`spectively.
`Somewhat lower DlEs were obser·ved in vivo. The rat urinary metabolites of
`lindane are mainly conjugates, namely, mercapturic acids fanned by the reaction
`of glulathione with the first-formed metabolites. Thus, 42, 43, and 44 (formed
`by dechlorination of lindane) give rist; to tri-, di -, and monochlorophenyl(cid:173)
`rnercapturic acids , respectively . Fol lowing ip injection of a I: I mixture of lin(cid:173)
`dane and lindane--d 6 into rats 5- to JO-fold more of the lal!er was excreted
`unchanged and the DI Es associated with the excreted tri- (2,4,5 and 2 ,3 ,5), di(cid:173)
`(2 ,4, 2,5, and 3,4), and monochlorophenylrnercapturic acids were ~-2.7, 2.4-
`3 . .5, and -- 1.3 , respectively.
`The above result., illustrate the well-known susceptibility to metabolic attack
`of hydrogen gcminal to one or more chlorine substituents (Anders, 1982) and
`there are now several examples (Burke et ul., 1980; Teitelbum el al., 1981;
`Marcotte and Robinson, 1982) where fluorine is the gemina! substituent al(cid:173)
`though , apparently, no O[E studies have been repotted for the latter catego1y.
`However, ii is becoming clear that fluorine substituents can markedly reduce the
`susceptibility of a vicinal C-H bond to metabolic attack, Thus, in the mc:tabo(cid:173)
`lism of I , 1-difluorocyclohcxane with liver microsomes (PB-treated rats) (Baker
`
`Auspex Exhibit 2001
`Apotex v. Auspex
`IPR2021-01507
`Page 14
`
`

`

`

`

`16
`
`ALLAN B. FOSTE R
`
`()
`
`OH
`l
`
`C>o 0
`Q
`
`46
`
`47
`
`D D
`
`48
`
`49
`
`3.4.2 Norbornan e and Camphor
`
`Studies of the microsomal metabolism of these hydrncarbons and appropriate
`deuterated derivatives have helped to clarify the mechanism of hydrnxylation
`mediated by cytochrome P-450 .
`Using purified rabbit liver microsomal P-450 (LM2 , PB induction), Groves et
`al. (l 978) showed that, whereas norbornane (50) gave a mixture of exo- (52) and
`endo-2-borneol (53) in the ratio 3.4: l , the ratio of alcohols from the exo-d4-
`dcrivative 51 was 0 .76: l. The overall yield of alcohols from 50 and 51 and the
`rates of hydroxylation were similar. Moreover, there was 25% retention of
`deuterium at the hydroxylated carbon in the exo-alcohoJ and 91 % retention in the
`endo-alcohol, indi cating a significa11t amount of epimel'ization dming hydroxyla(cid:173)
`tion . The DIE for exo-hydrogen abstraction was 11.5 ± l. These findings are
`indicative oJ a hydrogen abstraction process giving a carbon radical intermediate.
`A much larger DIE would be expected in a reaction sequence where C- H bond
`cleavage is complete before hydroxylation occurs (Miwa et al, , 1980) than where
`an oxenoid species is inserted into a C-H bond and a three-center transition
`state is invol

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket