interactions between
cells and tissue
structures through to processes in the
complete organ and the human organ-
ism as a whole,” says Küpfer. This work
produced various software modules that
doctors and researchers can use in com-
bination. “For example, the models can
be used to better understand the effects
of fatty liver disease, a widespread con-
dition, and to test approaches for new
drug products,” explains Lippert. “Another
relevant example is the work on damage
caused to the liver by toxins. It may help
us characterize and manage the potential
risks of drug therapies at an earlier stage
in future.”
One of the key questions in drug devel-
opment is what the optimum dose is for
the individual patient, and thus also how
quickly the liver breaks down an active
ingredient. The age of the patient and
his or her place of origin but also any
previous illnesses and interactions with
other drug products can all have a seri-
ous impact on this process. In the con-
text of the VLN, Bayer’s experts therefore
refined their mathematical model further
with clinical data from surgery patients
who provided samples of liver tissue.
These patients received a cocktail of six
different drugs that are all metabolized
in different ways. The researchers then
tracked their path through the body in
detail. “This allowed us to directly cor-
relate the variability of the enzymatic
degradation of these active substances
to the genetic structure and also the cur-
rent enzymatic make-up of the livers of
these patients,” explains Lippert. “This in-
creases our ability to estimate the influ-
ence that, for example, different genetic
backgrounds and dietary habits have on
the dosages that patients require, for
instance when extrapolating from a Eu-
ropean to a North African or Japanese
patient.” He and his colleagues were able
to not only revise and improve their vir-
tual patient model. “We can now make
even better predictions about which liv-
er parameters can be reliably determined
solely from a blood sample, for example,”
adds Küpfer.
Safe passage through the liver
Before the active ingredient of a tablet reaches its target site in the body, it passes
through various organs. The liver often plays a key role in this process. Its job is to
filter foreign chemical compounds – including active ingredients of drug products
– out of the blood and render them inactive. How long this process takes deter-
mines the effect that a drug has in the human body.
Küpfer. These models for different groups
of subjects and patients are ultimately
used in the planning of clinical trials. “The
better our models reflect the current state
of knowledge and the more precise our
model-based predictions are, the fewer
patients are needed for clinical trials and
the safer these trials are in the first place,”
says Lippert, explaining the benefits of
simulations with virtual humans.
To further improve their models, Bayer
Technology Services and Bayer Health-
Care are taking part in the Virtual Liver
Network, or VLN for short. For five years,
70 research groups from all over Germa-
ny worked together to construct mathe-
matical models of the complex processes
that take place in the liver. “We modeled
all relevant biological processes on dif-
ferent levels – from inside the cells via
Patient data factors into
predictive software
38
Bayer research 28 July 2015
Symbiosis between experimental and virtual chemistry: Dr. Mario Lobell, Dr. Andreas Göller
and Rolf Schönneis (left to right) are working hand in hand to advance the development of
computer-supported prediction of important properties of drug candidates.
What benefits will the work of the scientific network have for
science and the patients?
There will certainly not be any immediate benefits; what we’re
talking about here is a cultural change. The project demonstrates
that modeling and simulation are feasible approaches for complex,
dynamic biological issues. And we can apply these tools for ques-
tions that are relevant to the pharmaceutical industry, in particular
when it comes to improving the decision-making in clinical trials.
What’s more, we now have a better understanding of the mecha-
nisms in the liver. For example, we were able to identify biomarkers
for progression of fatty liver with our methods. Using these models,
we can focus and prioritize our attention by establishing more
“ Models help to set
priorities”
Adriano
Henney
refined, verifiable hypotheses which can then be tested in the
laboratory, in either animal models or in clinical trials.
What is your overall verdict on the VLN?
We learned a great deal. In particular the work carried out by
Bayer Technology Services helps us to understand the translation
of study findings from the laboratory into clinical practice. We
are establishing a line-of-sight from subcellular studies through
to the clinical setting, including patient studies. Particularly im-
pressive in my opinion was the way in which the multidisciplinary
teams came together to tackle some extremely complex issues
in biomedical science. I am proud to have been involved in the
program.
research
talked to biomedicine scientist Dr. Adriano Henney, Executive
Director, Virtual Physiological Human Institute for Integrative Biomedical
Research and former Program Director of the Virtual Liver Network (VLN).
Nevertheless, “it’s not our objective to
replace animal testing and patient stud-
ies,” says Lippert. The virtual patients and
virtual laboratory animals can be used to
optimize trial conditions, minimizing the
medical risks and saving test animals
as well as precious time and money.
“The development of a new drug product
typically takes about ten to twelve years
from the initial idea through to market-
ing authorization. Every opportunity to
accelerate this process or help us make
decisions when choosing the right de-
velopment candidates or study designs
could make a significant difference to
patients who are affected by life-threat-
ening diseases,” says the pharmacometry
expert.
The scientists working in drug devel-
opment also rely on virtual support well
before the clinical trial planning stages,
Models shorten the time needed
to develop new medicines
Computer models
DOSSIER
Bayer research 28 July 2015
39