Enhancing	Prioritization	&	
Discovery	of	Novel	Combinations	
using	an	HTS	Platform
Rajarshi	Guha
NIH	NCATS
ACoP 7
Bellevue,	WA
Screening	for	novel	drug	combinations
• Increased	efficacy
• Delay	resistance
• Attenuate	toxicity
• Treat	multiple	aspects	
of	a	disease
• Inform	signaling	
pathway	connectivity
• Identify	synthetic	
lethality
• Polypharmacology
Translational	Interest Basic	Interest
Mechanism Interrogation PlateE
• 1911	small	molecules,	with	a	primary	focus	on	
oncology,	but	also	addressing	infectious	
disease	and	stem	cell	biology
• Diverse	and	redundant	MoA’s
• Employed	in	1-vs-all	&	all-vs-all modes
AMG-47a
Lck inhibitor
Preclinical
belinostat
HDAC inhibitor
Phase II
GSK-1995010
FAS inhibitor
Preclinical
Approved
Phase III
Phase II
Phase I
Preclinical
Other
High	Throughput	Combination	Screening
Run	single	agent	dose	responses
6x6	matrices	for	
potential	synergies
10x10	for	confirmation	
+	self-cross
Acoustic dispense, 15 min
for 1260 wells, 14 min for
1200 wells
Where	are	we	now?
• 81	projects,	773	screens
• 140,730	combinations
• 4.8M	wells
• 320	cell	lines
• Opportunities	to	look	at	
global	trends	in	combination
behavior	in	the	context	of
physicochemical	properties,	
biological	functionality,	…
0
50
100
150
200
2011 2012 2013 2014 2015 2016
Year
NumberCombinationScreens
• Cancers
• Hodgkins lymphoma
• DLBCL
• Neuroblastoma
• Leukemia
• Malaria
• Transcriptional	mechanics
Baranello,	L	et	al,	Cell,	2016
Jun,	W	et	al,	PNAS,	2016
Lewis,	R	et	al,	J.	Cheminf,	2015
Bogen,	D	et	al,	Oncotarget,	2015
Mott	BT	et	al,	Sci	Rep,	2015
Zhang,	M	et	al,	PNAS,	2015
Ceribelli,	M	et	al,	PNAS,	2014
Mathews,	L	et	al,	PNAS	2014
Digging	into	the	data
• Lots	of	data	across	lots	of	cell	lines	for	lots	of	(mostly	
annotated)	compounds
• How	can	we	slice	&	dice?
• How	do	we	characterize	quality	of	combination	response?
• Are	there	global	trends	in	synergy	based	on	target	class,	MoA,	
chemical	structure/property?
• What	is	the	role	of	selectivity	vs	promiscuity?
• What	is	the	relation	between	single	&	combination	responses?
• Can	we	better	prioritize	large	sets	of	combinations?
• Can	we	find	interesting	subsets	of	combinations?
• Are	there	alternatives	to	the	table	view?
• How	does	(can)	the	data	inform	us	on	polypharmacology?
• How	do	we	prospectively	predict	combination	responses
Quantifying	combination	quality
• A	key	challenge	is	automated	quality	control
• Control	separation	
– control	performance	≠	combination	performance
• Intra-plate	or	inter-plate	pattern	
– no	room	for	lots	of	replicates	and	
– the	assumption	used	in	primary	screen	can’t	be	satisfied	
• Data	consistency	
– IC50 not	always	available	(we	are	searching	for	synergy!)
– Consistent	single	agent	IC50 ≠	consistent	synergy
Lu	Chen	(NCATS)
Deviation	of	block	
control
mQC:	Interpretable	QC	model
Feature name Importance Explanation
dmso.v 20.71 Normalized response of the negative control
smoothness.p 18.88 p-value for smoothness
moran.p 18.82 p-value for spatial autocorrelation (tested by Moran’s I)
mono.v 12.62 Likelihood of monotonic dose responses
sa.min 12.84 The smaller relative standard deviation of the single-agent dose response
sa.matrix 8.78 The relative standard deviation of the dose combination sub-matrix
sa.max 7.36 The larger relative standard deviation of the single-agent dose response
Smoothness Randomness Monotonicity Activity	variance
Feature	importance	encoded	by	mQC	is	consistent	with	human	intuition	
Chen,	L.	et	al,	Sci.	Rep.,	submitted https://matrix.ncats.nih.gov/mQC/ Lu	Chen	(NCATS)
Visualization	&	Ranking
3D7 DD2 HB3
Azalomycin−B
ABT−263 (Navitoclax)
Cabozantinib
AZD−2014
Selumetinib
Volasertib
Midostaurin
SB−415286
IC−87114
GDC−0941
Neratinib
NCGC00021305
LY2157299
GMX−1778
PCI−32765
Torin−2
BEZ−235
Ruxolitinib
INK−128
Tipifarnib
MK−2206
PD 0325901
Imatinib
G−Strophanthin
Ketotifen
Clomipramine
NCGC00014925
2−Fluoroadenosine
MK−0752
Rolipram
Alvespimycin hydrochloride
Ganetespib
NCGC00183656
Sulindac
Carfilzomib
Bardoxolone methyl
LLL−12
JQ1
Suberoylanilide hydroxamic acid
Panobinostat
Azalo
m
ycin
−B
ABT−263
(N
avitocla
x)
C
abozantin
ib
AZD
−2014
Selu
m
etin
ib
Vola
sertib
M
id
ostaurin
SB−415286
IC
−87114
G
D
C
−0941
N
eratin
ib
N
C
G
C
00021305
LY2157299
G
M
X−1778
PC
I−32765
Torin
−2
BEZ−235
R
uxolitin
ib
IN
K−128
Tip
ifarnib
M
K−2206
PD
0325901
Im
atin
ib
G
−Strophanthin
Ketotifen
C
lo
m
ip
ram
in
e
N
C
G
C
00014925
2−Flu
oroadenosin
e
M
K−0752
R
olipram
Alvespim
ycin
hydrochlo
rid
e
G
anetespib
N
C
G
C
00183656
Sulindac
C
arfilzom
ib
Bardoxolo
ne
m
ethyl
LLL−12JQ
1
Suberoyla
nilid
e
hydroxam
ic
acid
Panobin
ostat
DBSumNeg
(−7,−4]
(−4,−3]
(−3,−2]
(−2,−1]
(−1,0]
Azalomycin−B
ABT−263 (Navitoclax)
Cabozantinib
AZD−2014
Selumetinib
Volasertib
Midostaurin
SB−415286
IC−87114
GDC−0941
Neratinib
NCGC00021305
LY2157299
GMX−1778
PCI−32765
Torin−2
BEZ−235
Ruxolitinib
INK−128
Tipifarnib
MK−2206
PD 0325901
Imatinib
G−Strophanthin
Ketotifen
Clomipramine
NCGC00014925
2−Fluoroadenosine
MK−0752
Rolipram
Alvespimycin hydrochloride
Ganetespib
NCGC00183656
Sulindac
Carfilzomib
Bardoxolone methyl
LLL−12
JQ1
Suberoylanilide hydroxamic acid
Panobinostat
Azalo
m
ycin
−B
ABT−263
(N
avitocla
x)
C
abozantin
ib
AZD
−2014
Selu
m
etin
ib
Vola
sertib
M
id
ostaurin
SB−415286
IC
−87114
G
D
C
−0941
N
eratin
ib
N
C
G
C
00021305
LY2157299
G
M
X−1778
PC
I−32765
Torin
−2
BEZ−235
R
uxolitin
ib
IN
K−128
Tip
ifarnib
M
K−2206
PD
0325901
Im
atin
ib
G
−Strophanthin
Ketotifen
C
lo
m
ip
ram
in
e
N
C
G
C
00014925
2−Flu
oroadenosin
e
M
K−0752
R
olipram
Alvespim
ycin
hydrochlo
rid
e
G
anetespib
N
C
G
C
00183656
Sulindac
C
arfilzom
ib
Bardoxolo
ne
m
ethyl
LLL−12JQ
1
Suberoyla
nilid
e
hydroxam
ic
acid
Panobin
ostat
DBSumNeg
(−7,−4]
(−4,−3]
(−3,−2]
(−2,−1]
(−1,0]
0.00.20.40.60.8
LogP &	Synergy?
• Yilancioglu et	al	(JCIM	2014)	suggested	that	you	can	
predict	synergicity using	only logP
• Synergicity of	a	compound	is	the	frequency	of	synergistic	
pairs	involving	the	compound
Synergy	doesn’t	correlate	with	logP
10
20
30
-4 0 4 8
logP
Numberofsynergisticcombinations
Synergicity may correlate	with	logP
http://blog.rguha.net/?p=1265
Predicting	Synergies
• Related	to	response	surface	methodologies
• Little	work	on	predicting	drug	response	surfaces
• Peng	et	al,	PLoS	One,	2011
• Boik	&	Newman,	BMC	Pharmacology,	2008
• Lehar	et	al,	Mol	Syst	Bio,	2007 &	Yin	et	al,	PLoS	One,	2014
• AZ-DREAM	Challenge &	Chen	et	al,	PLoS	Comp	Bio,	2016
• But	synergy	is	not	always	objective	and	doesn’t	really	
correlate	with	structure
-3
-2
-1
0
0.0 0.1 0.2 0.3 0.4
Tanimoto Similarity
DBSumNeg
Structural	similarity	vs	synergy?
• Do	structurally	
similar	compounds	
lead	to	synergistic	
combinations?
• No	reason	they	
should
• Synergy	driven	by	
(off-)targets
Structural	similarity	vs	synergy?
beta gamma
ssnum Win 3x3
0.1
0.2
0.3
0.4
0.1
0.2
0.3
0.4
0.1
0.2
0.3
0.4
0.1
0.2
0.3
0.4
0.85 0.90 0.95 1.00 1.05 1.10 1.15 0.75 0.85 0.95 1.05
0 5 10 15 20 25 -40 -30 -20 -10 0
Synergy measure
Similarity
Predictive	models	(fail)
• 10x10,	all-vs-all	screen
• Random	forest,	ECFP6	
• Predict	value	of	a	synergy	metric
https://tripod.nih.gov/matrix-client/rest/matrix/blocks/1763/table
-10.0
-7.5
-5.0
-2.5
0.0
-10.0 -7.5 -5.0 -2.5 0.0
Observed DBSumNeg
PredictedDBSumNeg
Test
Train
0.8
0.9
1.0
1.1
1.2
1.3
0.8 0.9 1.0 1.1 1.2 1.3
Observed Beta
PredictedBeta
Test
Train
Descriptors	matter
Cell	
lines	
from
data	set
5	fold	Multiple	
splitting
80%,	
training	sets
20%,	
validation	sets
1)	Different
descriptors
2)	Selection	of	the
decision	threshold
for	each	model	
Models	creation
Models	validation
54	data	sets,
127119	mixtures
Alexey	Zakharov (NCATS)
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
1.00
PEO1
RH30
RH41
JHH136
BIRCH
RH5
JHM1
MT1
SAOS2
Cal-1
PANC1
Cal27
UOK161
ipNF95.6
JHH520
TC71
FL3
KMS28BM_onyx
TMD8
DD2
RDES
L1236
SCC47
HFF
EW8
Rec-1
HF4B
Balanced	Accuracy
QNA	descriptors_RF RDkit_RF
(and	classification	is	easier)
Explicitly	consider	targets
Descriptors	used	for	learning
Three	classes	of	descriptors	generated	per	combination
• StructuralFingerprint
• Morgan,	2,048	bits,	radius	2	(RDKit).
• PredictedTargets
• 1,080	human	target	probabilities	of	affinity	
(PIDGIN	V1)
• Combined
• StructuralFingerprint and	PredictedTargets.
Input	data	required:
• Compound	structure	for	training	and	test	data	(names,	SMILES)
• Combination	data	(which	compounds,	synergy	score)
Output:
• New	combinations	predicted	to	be	synergistic
• Probability	of	being	synergistic	(classifier	model,	
worked	best	for	this	project)
• Predicted	synergy	value	(quantitative	model,	
did	not	work	so	well	for	this	project)
Dan	Mason,	Andreas	Bender	(U.	Cambridge)
Going	in	vivo?
• Translating	combinations	to	in	vivo	setting	is	complex
• How	does	PK/PD	affect	combinations?
• What	dosing	schedule	works?	Is	it	optimal?
• Currently	an	open	question	from	computational	PoV
• Lack	of	PK/PD	parameters	and	ability	to	generate	data	are	
critical	bottlenecks
• We	depend	on	clinician	input	&	experience
Outlook
• Accurate	predictions	will	enable	virtual	screening	of	
combinations
• Many	aspects	of	the	process are	yet	to	be	explored
• Differential	analysis	of	combination	response
• Are	some	pathways	or	mechanisms	more	amenable	to	
combination	screening	than	others?
• Viability	is	easy	to	measure.	What	about	other	readouts?
• Is	there	a	better	way	to	characterize	synergy?	
• Tang,	J.	et	al,	Frontiers.	Pharmacol.,	2015
https://tripod.nih.gov/matrix-client
Acknowledgements
• Lu	Chen
• Alexey	Zakharov
• Kelli	Wilson
• Mindy	Davis
• Xiaohu Zhang
• Richard	Eastman
• Bryan	Mott
• Craig	Thomas
• Marc	Ferrer
• Paul	Shinn
• Crystal	McKnight
• Carleen	Klumpp-
Thomas
• Anton	Simeonov
• Dan	Mason
• Rich	Lewis
• Yasaman Kalantar
Motamedi
• Krishna	Bulusu
• Andreas	Bender

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Enhancing Prioritization & Discovery of Novel Combinations using an HTS Platform