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Leveraging the Langendorff Model to Detect Proarrhythmia

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Page 1: Leveraging the Langendorff Model to Detect Proarrhythmia
Page 2: Leveraging the Langendorff Model to Detect Proarrhythmia

CorDynamics can use multiple approaches to examine effects of test

articles on proarrhythmia

Isolated Heart option

- multiple indices as arbiters of increased vulnerability to

arrhythmia during exposure to test articles

- instantaneous monophasic action potential variability

- Tpeak – Tend duration

- QTpeak interval

- monophasic action potential duration

- incidence of early afterdepolarizations

- rate dependence of all parameters

Page 3: Leveraging the Langendorff Model to Detect Proarrhythmia

Effect of E-4031 on proarrhythmic potential

- QRS duration (no change) and paced QT interval (increase)

0

10

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0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartQRS Interval

CL 750 ms (80 bpm)

CL 500 ms (120 bmp)

CL 250 ms (240 bpm)

0

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0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartQT Interval

CL 750 ms (80 bpm)CL 500 ms (120 bmp)CL 250 ms (240 bpm)

Page 4: Leveraging the Langendorff Model to Detect Proarrhythmia

Effect of E-4031 on proarrhythmic potential

- QTpeak interval (increase) and Tpeak – Tend duration (increase)

-rate dependent

0

25

50

75

100

125

150

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0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartQTpeak Interval

CL 750 ms (80 bpm)

CL 500 ms (120 bmp)

CL 250 ms (240 bpm)

0

10

20

30

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100

0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartTpeakTend Interval

CL 750 ms (80 bpm)

CL 500 ms (120 bmp)

CL 250 ms (240 bpm)

Page 5: Leveraging the Langendorff Model to Detect Proarrhythmia

Effect of E-4031 on proarrhythmic potential

- MAPD90 (increase) and MAP triangulation (increase)

- rate dependent

0

25

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0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartMAPD90

CL 750 ms (80 bpm)CL 500 ms (120 bmp)CL 250 ms (240 bpm)

0

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100

125

150

0 0.1 1 10

ms

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartTriangulation

CL 750 ms (80 bpm)

CL 500 ms (120 bmp)

CL 250 ms (240 bpm)

Page 6: Leveraging the Langendorff Model to Detect Proarrhythmia

Effect of E-4031 on proarrhythmic potential

- incidence of early afterdepolarizations (increase)

- rate dependent

0

5

10

15

20

25

30

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50

55

60

0 0.1 1 10

counts

Concentration (µM)

Effect of E-4031 in Isolated Rabbit HeartEAD/min

CL 750 ms (80 bpm)

CL 500 ms (120 bmp)

CL 250 ms (240 bpm)