Ellen A. Cannady's research while affiliated with Eli Lilly and Company and other places
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Publications (30)
Aim: Evaluate steady-state pharmacokinetics and potential interactions between select statins and evacetrapib. Patients & methods: This open-label, two-part study included 62 healthy native Chinese subjects. Part 1 evaluated pharmacokinetics and pharmacodynamics of evacetrapib after 1 or 14 once-daily doses. Part 2 evaluated pharmacokinetics and ph...
Baricitinib is a potent and selective Janus kinase (JAK)1 and JAK2 inhibitor, and is approved for the treatment of moderately to severely active RA in adults in Europe, Japan, and other countries. This study evaluated the carcinogenic potential of baricitinib in Tg. rasH2 mice and Sprague-Dawley (Crl:CD) rats. Baricitinib was administered daily by...
Supplementary Table S1 In vitro half‐maximal inhibitory concentration (IC50), R values, and drug‐drug interaction (DDI) indices for Baricitinib.
Baricitinib, an oral selective Janus kinase 1 and 2 inhibitor, undergoes active renal tubular secretion. Baricitinib was not predicted to inhibit hepatic and renal uptake and efflux drug transporters, based on the ratio of the unbound maximum eliminating-organ inlet concentration and the in vitro half-maximal inhibitory concentrations (IC50). In vi...
Background:
Evacetrapib, a potent and selective inhibitor of cholesteryl ester transfer protein (CETP), was under development for the treatment of cardiovascular (CV) disease. The purpose of this pre-postnatal study in rabbits was to evaluate the effects of evacetrapib on pregnancy, parturition, and lactation of the maternal animals and on the gro...
Background:
The purpose of these studies was to evaluate the effects of evacetrapib on male and female fertility and on embryo-fetal development (EFD).
Methods:
Evacetrapib, a potent and selective inhibitor of cholesteryl ester transfer protein (CETP), was administered daily by oral gavage starting 2 weeks (for female) or 4 weeks (for male) befo...
The G protein-coupled receptor 40 (GPR40) also known as Free Fatty Acid Receptor 1 (FFAR1) is highly expressed in pancreatic, islet cells and responds to endogenous fatty acids resulting in amplification of insulin secretion only in the presence of elevated glucose levels. Hypothesis driven structural modifications to endogenous FFAs, focused on...
Table S1. Causes of Achlorhydria
Study objective:
To examine the effect of increased gastric pH on exposure to evacetrapib, a cholesteryl ester transfer protein inhibitor evaluated for the treatment of atherosclerotic heart disease.
Design:
Open-label, two-treatment, two-period, fixed-sequence, crossover study.
Setting:
Clinical research unit.
Subjects:
Thirty-four healthy...
Purpose:
The aim of this study is to investigate the effect of hepatic or renal impairment on the pharmacokinetics of a single 130-mg evacetrapib dose.
Methods:
Two open-label, parallel-design studies in males and females with normal hepatic function or Child-Pugh mild, moderate, or severe hepatic impairment, or with normal renal function or sev...
This open-label, single-period study in healthy subjects estimated evacetrapib absolute bioavailability following simultaneous administration of a 130-mg evacetrapib oral dose and 4-h intravenous (IV) infusion of 175 µg [(13) C8 ]-evacetrapib as a tracer. Plasma samples collected through 168 h were analyzed for evacetrapib and [(13) C8 ]-evacetrapi...
The farnesoid X receptor (FXR) is a member of the 'metabolic' subfamily of nuclear receptors. Several FXR agonists have been reported in the literature to have profound effects on plasma lipids in animal models. In our efforts to discover novel and effective therapies for dyslipidemia and atherosclerosis we have developed a series of potent FXR ago...
Figure S2. Phase 1 drug–drug interaction study with gemfibrozil in healthy subjects.
Figure S1. Phase 1 drug–drug interaction study with ketoconazole in healthy subjects.
Evacetrapib is an investigational cholesteryl ester transfer protein inhibitor (CETPi) for reduction of risk of major adverse cardiovascular events in patients with high-risk vascular disease. Understanding evacetrapib disposition, metabolism, and the potential for drug–drug interactions (DDI) may help guide prescribing recommendations. In vitro, e...
AimsEvacetrapib is a cholesteryl ester transfer protein (CETP) inhibitor under development for reducing cardiovascular events in patients with high-risk vascular disease. CETP inhibitors are likely to be utilised as “add-on” therapy to statins in patients receiving concomitant medications, so the potential for evacetrapib to cause clinically import...
Background Baricitinib (bari), an oral Janus Kinase (JAK)1/JAK2 inhibitor, is being investigated to treat inflammatory diseases, including rheumatoid arthritis (RA). Baricitinib is primarily cleared renally (75% of the dose is excreted in urine). In vitro studies showed that bari is a substrate for CYP3A4 and the renal transporters, P-glycoprotein...
To determine the effect of a high-fat meal on evacetrapib exposure at steady state in healthy participants.
This was a randomized, 2-period, 2-sequence, open-label, crossover study. Patients were randomly assigned to 1 of the 2 treatment sequences in which they received evacetrapib 130 mg/d for 10 days following a 10-hour fast each day or following...
Objectives
We investigated the safety, tolerability, pharmacokinetics and pharmacodynamics of evacetrapib.Methods
Healthy volunteers received multiple daily doses of evacetrapib (10–600 mg) administered for up to 15 days in a placebo-controlled study.Key findingsMean peak plasma concentrations of evacetrapib occurred at 4–6 h and terminal half-life...
This letter describes the discovery and SAR optimization of tetrazoyl tetrahydroquinoline derivatives as potent CETP inhibitors. Compound 6m exhibited robust HDL-c increase in hCETP/hApoA1 double transgenic model and favorable pharmacokinetic properties.
This Letter describes the discovery and SAR optimization of 1,5-tetrahydronaphthyridines, a new class of potent CETP inhibitors. The effort led to the identification of 21b and 21d with in vitro human plasma CETP inhibitory activity in the nanomolar range (IC(50)=23 and 22nM, respectively). Both 21b and 21d exhibited robust HDL-c increase in hCETP/...
Cholesteryl ester transfer protein (CETP) catalyses the exchange of cholesteryl ester and triglyceride between HDL and apoB containing lipoprotein particles. The role of CETP in modulating plasma HDL cholesterol levels in humans is well established and there have been significant efforts to develop CETP inhibitors to increase HDL cholesterol for th...
Citations
... JAK/STAT pathway was inhibited as previously described (Carfagna et al., 2018) by oral gavage of 10 mg/kg body weight Baricitnib (Olumiant, Lilly). Control mice received an equal amount of only vehicles by oral gavage. ...
... Baricitinib (BAR) is predominantly eliminated by renal secretion (approximately 75%) and to a lesser extent by fecal excreted (approximately 20%) [48,49]. Probenecid, a potent OAT3 inhibitor, increased the area under the curve (AUC) of BAR 2-fold in vivo and decreased renal clearance to 69% [50]. LEF, which is a weak OAT3 inhibitor via the metabolite teriflunomide, can also affect BAR concentrations ( [51]; . ...
... Agonists of GPR40 have been shown to reduce neuronal damage caused by Alzheimer's disease GPR40 [15]. LY2922470, a novel small-molecule GPR40 activator, has been demonstrated to be a viable treatment option for type 2 diabetes due to its ability to stimulate insulin production [16][17][18]. However, whether LY2922470 has shown protective effects against ischemic stroke and cerebral I/R injury remains unknown. ...
... Renal dysfunction and hepatic impairment are two disease states notorious for decreased plasma protein concentrations [23,24]; therefore, regulatory agencies advise to assess the unbound pharmacokinetics in plasma in populations with these organ impairments [25][26][27]. In case data on protein binding were not available in pregnancy, we took clues from other populations with similar decreased serum protein concentrations as pregnant women to estimate the effect of changes in unbound concentration of HIV-integrase inhibitors during pregnancy [28][29][30][31][32]. Results from studies in moderate hepatic [29][30][31] and severely renally impaired patients [28] can then be useful. ...
... Therefore, consideration must always be given to how the changes could impact the relative in vivo performance. [1][2][3][4][5] The "gold standard" to understanding the potential impact of these changes on the absorption of a drug is a human in vivo comparability study. Comparability studies can be classified in 2 groups: bioequivalence (BE) studies and relative bioavailability (RBA) studies. ...
... The synthesis of fully substituted (trisubstituted) isoxazoles is more challenging, especially since the regioselectivity of commonly-used 1,3-dipolar cycloadditions varies depending on the electronic properties of the two substrates. This cases [13,14], but is generally unfavorable due to their poor stability. ...
... " The Lilly compound has been shown to generate Ndealkylated products as major metabolites in humans (Scheme 12). 52 Here, a labile 4-(di)alkylaminobenzyl alcohol, whether formed before dealkylation of the amino group (58 to 59) or not, should be an excellent precursor of an imine methide or carbenium ion (sulfate activation is probably not needed; cf. DFT calculation in section 7). ...
... However, coadministration of baricitinib with several other transporter and enzymatic substrates has not yielded clinically meaningful changes in baricitinib exposure, including ketoconazole, fluconazole, rifampicin, and cyclosporine. Conversely, baricitinib had no clinically meaningful effect on serum levels of digoxin, methotrexate, simvastatin, ethinyl estradiol, or levonorgestrel when co-administered [42][43][44]. Jabbari et al. first reported the efficacy of baricitinib in the treatment of AA in 2015 when they noted marked improvement of AA in a patient enrolled in a clinical trial examining baricitinib for the treatment of CANDLE syndrome [45]. Since then, several case reports, followed by the seminal phase II trial and two phase III trials, have demonstrated the efficacy of baricitinib in the treatment of AA [29,34,36,46,47]. ...
... Cerivastatin is a CYP2C8 substrate drug, and many drugs, such as gemfibrozil and inducers, have been identified as CYP2C8 inhibitors, which affect the metabolism of cerivastatin, and thus promote a strong potential for drug interactions (Backman et al., 2016). Evacetrapib may impact the metabolism of simvastatin by inhibiting all of the major CYPs, including CYP2C9, CYP2C19, and CYP3A (Cannady et al., 2015). Amiodarone has been reported to increase the exposure of simvastatin by 1.2-to 2-fold by inhibiting CYP3A (Chen, Mao, & Hop, 2015). ...
... Food effects may explain the interlaboratory variability seen in pharmacokinetic (PK) profiles for the same drug at the same dose (Li et al., 2012;Jiang et al., 2015). Preclinical PK studies are typically performed in fasted rats to reduce the interanimal variability in concentration-time (C-t) profiles (Melander, 1978;Singh et al., 2011;Small et al., 2015). Animals are usually fasted overnight between 12 and 18 hours, which is often noted (Vermeulen et al., 1997). ...