CN1329499A - 包含环肽和化学治疗剂或血管生成抑制剂的药用制剂 - Google Patents
包含环肽和化学治疗剂或血管生成抑制剂的药用制剂 Download PDFInfo
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- CN1329499A CN1329499A CN99813387A CN99813387A CN1329499A CN 1329499 A CN1329499 A CN 1329499A CN 99813387 A CN99813387 A CN 99813387A CN 99813387 A CN99813387 A CN 99813387A CN 1329499 A CN1329499 A CN 1329499A
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Abstract
本发明涉及药用制剂环-(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上安全的盐。本发明也涉及至少一种化学治疗剂和/或其一种生理上安全盐和/或一种血管生成抑制剂和/或其一种生理上安全的盐。
Description
本发明涉及新的药用制剂,所述药用制剂包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种化学治疗剂和/或其一种生理上可接受的盐和/或血管生成抑制剂和/或其一种生理上可接受的盐。
这种新制剂可以用来控制病理性血管生成性疾病、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。
本发明基于这样一个目的:提供药用制剂形式的、其特性优于用于相同目的的已知药用制品的新药用制品。
通过发现所述新制剂,已经达到该目的。
环(Arg-Gly-Asp-D-Phe-NMe-Val)公开于EP0770622中,具体用作整联蛋白抑制剂,特别是抑制αv、β3或β5整联蛋白受体与配体之间的相互作用,例如血纤蛋白原与αvβ3整联蛋白受体的结合。在整联蛋白αvβ3、αvβ5、αIIbβ3和αvβ1、αvβ6和αvβ8的情况下,该化合物显示出特别的活性。
这种效应可以例如通过J.W.Smith等描述的方法(J.Biol.Chem.265,12267-12271(1990))检测。
本发明将被认为是与EP0770622有关的选择发明。
WO98/14192提及包含非肽玻连蛋白受体拮抗剂与化学治疗剂的组合的药用制品。J.Folkman在Nature Medicine 1,27-30中描述了抗血管生成疗法与化学疗法联合的效应。
在Lewis肺癌系统中可以显示出环(Arg-Gly-Asp-D-Phe-NMe-Val)与化学治疗剂联合的效应。常规化学治疗剂对Lewis肺癌的影响仅是不充分的(Y.Kakeji和B.A.Teicher,Invest.New Drugs 15:39-48(1997))。与Kakeji类似地进行了延迟肿瘤生长的方法(F.Mitjans等,J.Cell Sci.108:2825-2838(1995))。
本发明还涉及一种药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种化学治疗剂和/或其一种生理上可接受的盐。
本发明具体涉及所述的药用制剂,其特征在于,使用选自以下的一种化学治疗剂:
a)烷化剂,
b)抗生素,
c)抗代谢药物,
d)生物制剂和免疫调节剂,
e)激素及其拮抗剂,
f)芥子气衍生物,
g)生物碱,
h)基质金属蛋白酶的抑制剂(MMP抑制剂),
i)蛋白激酶抑制剂,
k)其它化学治疗剂。
优选的烷化剂的实例为白消安、卡铂、卡莫司汀、顺铂、环磷酰胺、达卡巴嗪、异环磷酰胺或洛莫司汀。优选的抗生素的实例为博来霉素、阿霉素、伊达比星或普卡霉素。优选的抗代谢药物的实例为磺胺或叶酸拮抗剂,例如5-氟尿嘧啶(5-FU)、巯基嘌呤、甲氨蝶呤或硫鸟嘌呤或5-FU与亚叶酸钙(亚叶酸)。生物制剂和免疫调节剂的实例是干扰素a2A、白介素2或左旋咪唑。优选的激素及其拮抗剂的实例包括氟他胺、戈舍瑞林、米托坦或他莫昔芬。优选的芥子气衍生物的实例是美法仑、卡莫司汀或氮芥。优选的生物碱的实例是taxane,例如docetaxel或paclitaxel,也包括依托泊苷、长春碱或vinovelbine[sic]。其它化学治疗剂是指不能分配到上述组的化学治疗剂,例如六甲蜜胺、克拉屈滨、吉西他滨、亚叶酸、左旋咪唑、喷司他丁或伊立替康。
在例如M.Wittaker[sic]等在Current Opinion in Drug Discovery &Development 1,157-164(1998)中也描述的基质金属蛋白酶抑制剂(MMP抑制剂)中,优选以下化合物,例如baltimastat(BB-94)、marimastat(BB-2516)、BB-3644、ilomastat、metastat、AG-3340、BAY-12-9566、AE-941/neovastat、CGS-27023A、RS-113456、RS-130830、Ro-32-3555、Ro-31-9790、CT-1746、CT-1418、D-1927、D-2163。
例如G.McMahon等在Current Opinion in Drug Discovery &Development1,131-146(1998)中和L.M.Strawn等在Exp.Opin.Invest.Drugs7,533-573(1998)中描述了蛋白激酶抑制剂。在按照本发明的制剂中,特别优选以下受体酪氨酸激酶抑制剂:CGP 79787、SU-101(HWA 486、来氟米特、Arava)、SU-5416、SU-5271(PD-153035)、PD-173074、SU-6668、ZD-1839、CP-358774。
在按照本发明的制剂中,也包括所述血管生成抑制剂和/或所述化学治疗剂所谓的前体药物衍生物,即例如用烷基或酰基修饰的化合物,糖或寡肽在机体中容易被切割,产生按照本发明的活性化合物。所述前体药物衍生物包括例如也为5-FU前体药物的化学治疗剂capecitabine,如例如Inpharma No.1142,13-14(1998)中所述。
特别优选所述的药用制剂,其特征在于使用选自以下的一种化学治疗剂:docetaxel、paclitaxel、卡铂、顺铂、5-FU和亚叶酸钙、伊立替康、环磷酰胺、卡莫司汀、阿霉素、长春瑞滨、戈舍瑞林或吉西他滨。
例如B.J.Braakhuis等在Semin-Oncol.1995 Aug;22(4suppl.11):42-6中或R.M.Mohammed等在Pancreas 1998 Jan;16(1);19-25中描述了使用吉西他滨治疗肿瘤。
本发明还涉及一种药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和吉西他滨和/或其一种生理上可接受的盐。
本发明还涉及药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种血管生成抑制剂和/或其一种生理上可接受的盐。
优选的血管生成抑制剂描述于例如WO9741844的表1中。
特别优选αvβ3和αvβ5整联蛋白抑制剂,例如EP0770622中提及的化合物。
通过将环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种化学治疗剂和/或其一种生理上可接受的盐和/或一种血管生成抑制剂和/或其一种生理上可接受的盐与至少一种固体、液体或半液体赋形剂或辅助物质一起,转化为合适的一日剂型(daily doseform),可以生产新的药用制剂。以该方式获得的制剂可以在人类医学或兽医学中用作药用制品,特别是用于治疗肿瘤的药用制品。合适的载体物质是适用于肠内(例如口服、舌下或直肠)、胃肠外或局部(例如经皮)给药且不与所述化合物反应的有机或无机物质,例如水、植物油、苯甲醇、聚乙二醇、乙酸甘油酯和其它脂肪酸甘油酯、明胶、大豆卵磷脂、碳水化合物例如乳糖或淀粉、硬脂酸镁、滑石粉、纤维素。具有用于口服的是片剂、包衣片、胶囊、糖浆、悬浮剂或滴剂,用于直肠给药的是栓剂,用于胃肠外给药的是溶液、优选油性溶液或水溶液,也包括悬浮剂、乳剂或植入物,用于局部给药的是软膏、乳膏或膏药。也可以将所述有效成分冻干,所得的冻干粉例如用于产生注射用制品。可以将所述制剂灭菌和/或所述制剂含有辅助物质,例如防腐剂、稳定剂和/或润湿剂、乳化剂、影响渗透压的盐、缓冲物质、着色剂和/或香料。它们也可以包含另外的有效成分,例如降低血压或具有利尿效应的其它物质,但也含有维生素和/或无机盐,特别是有利于代谢过程的那些物质。
按照本发明的制剂用于控制病理性血管生成性疾病、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。通常,用它们来控制肿瘤,亦即抑制肿瘤生长或肿瘤转移。
有可能与在控制其中涉及αv整联蛋白(特别是αvβ3和αvβ5整联蛋白)并且其抑制形成治疗一部分的疾病方面所用制品联合使用环(Arg-Gly-Asp-D-Phe-NMe-Val)。在非肿瘤性病症的情况下,将环(Arg-Gly-Asp-D-Phe-NMe-Val)与通常用于该病症治疗剂联用。所述病状包括血栓形成、心肌梗塞、动脉硬化、炎症、中风、心绞痛、肿瘤病、溶骨性疾病例如骨质疏松、病理性血管生成性疾病例如炎症、眼科疾病、糖尿病性视网膜病、黄斑变性、近视、眼部组织胞浆病、类风湿性关节炎、骨关节炎、发红性青光眼(mbeotic glaucoma)、溃疡性结肠炎、节段性回肠炎、动脉硬化、牛皮癣、血管成形术后的再狭窄、病毒感染、细菌感染、真菌感染、炎性肠病和急性肾衰竭。
在肿瘤治疗中有可能将环(Arg-Gly-Asp-D-Phe-NMe-Val)结合另一种血管生成抑制剂用于以下方面:
a)手术去除肿瘤,
b)放射疗法,
c)光动力疗法,
d)与抗肿瘤选择性表位的单克隆抗体一起使用,
e)与融合蛋白一起使用,
f)与肽疫苗一起使用,和
g)基因治疗。
环(Arg-Gly-Asp-D-Phe-NMe-Val)或其盐和所述化学治疗剂和/或血管生成抑制剂的剂量优选为每剂量单位约0.1-100mg,特别优选0.2-20mg,尤其是0.1-10mg。日剂量优选约0.001-1mg/kg体重,特别是0.002-0.2mg/kg体重。
在化学治疗期间,所述肽的给药也可以为例如1-10mg/kg,每周2次。所述化学治疗剂的给药剂量可以例如也为1-10mg/kg,每周1次至每3-4周1次。然而,每个患者的具体剂量取决于各种各样的因素,例如取决于具体使用的化合物的效力、年龄、体重、一般健康状况、性别、饮食、给药时间和给药途径、排泄速率、药物组合和应用所述疗法的具体病症的严重程度。优选口服。
因此,本发明也涉及应用所述药用制剂生产用于控制以下病症的药用制品:病理性血管生成性病症、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。
本发明还涉及应用所述药用制剂控制病理性血管生成性病症、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。
本发明特别涉及环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐与一种化学治疗剂和/或其一种生理上可接受的盐和/或一种血管生成抑制剂和/或其一种生理上可接受的盐连续应用或在物理上组合应用,来生产控制肿瘤的药用制品。
本发明也涉及环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐与一种化学治疗剂和/或其一种生理上可接受的盐连续应用或在物理上组合应用,来生产用于控制肿瘤的药用制品。
此外,本发明涉及环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐与一种化学治疗剂和/或其一种生理上可接受的盐连续应用或在物理上组合应用,来控制肿瘤。
所述新的药用制剂的组分优选组合给予。然而,它们也可以单独、同时或连续给予。
本发明也涉及包含以下独立包装的试剂盒:
(a)有效量的环(Arg-Gly-Asp-D-Phe-NMe-Val)和
(b)有效量的一种化学治疗剂。
所述试剂盒包含合适的容器,例如盒、单独的瓶、袋或安瓿。所述试剂盒可以例如包含分开的安瓿,在每个瓶中有溶解形式或冻干[sic]形式的有效量的环(Arg-Gly-Asp-D-Phe-NMe-Val)和所述化学治疗剂。
WO9814192公开了各种适用于测定具有药理学活性的化合物的生物测试。
如果存在酸性官能性,则将环(Arg-Gly-Asp-D-Phe-NMe-Val)、所述治疗剂或所述血管生成抑制剂与一种基质一起,例如通过使等量的所述酸和所述碱在惰性溶剂例如乙醇中反应,然后蒸发,转化为相关的酸加成盐。
特别适用于该反应中的碱是提供生理上可接受的盐的那些碱。因此,可以用碱(例如氢氧化钠或氢氧化钾或碳酸钠或碳酸钾)将酸转化为相应的金属盐,特别是碱金属盐或碱土金属盐,也可以转化为相应量的铵盐。
另一方面,例如通过使等量的所述碱和所述酸在惰性溶剂例如乙醇中反应,然后蒸发,可以将碱性官能性转化为相关的酸加成盐。特别适用于该反应的酸是提供生理上可接受的盐的那些酸。因此,有可能使用无机酸,例如硫酸、硝酸、氢卤酸例如盐酸或氢溴酸、磷酸如正磷酸、氨基磺酸,也有可能使用有机酸,特别是脂族、脂环族、芳脂族或芳族或杂环的一元或多元羧酸、磺酸或硫酸,例如甲酸、乙酸、丙酸、新戊酸、二乙基乙酸、丙二酸、琥珀酸、庚二酸、富马酸、马来酸、乳酸、酒石酸、苹果酸、柠檬酸、葡糖醛酸、抗坏血酸、烟酸、异烟酸、甲磺酸或乙磺酸、乙二磺酸、2-羟基乙磺酸、苯磺酸、对甲苯磺酸、萘一磺酸和二磺酸、十二烷基硫酸。具有生理上不可接受的盐的盐例如为苦味酸盐,可以用来分离和/或纯化式I化合物[sic]。
本发明还涉及药用制剂,其包含一种αvβ3和/或αvβ5整联蛋白抑制剂和/或其一种生理上可接受的盐和至少一种MMP抑制剂和/或其一种生理上可接受的盐,还涉及药用制剂,其包含一种αvβ3和/或αvβ5整联蛋白抑制剂和/或其一种生理上可接受的盐和至少一种酪氨酸激酶抑制剂和/或其一种生理上可接受的盐。
优选的αvβ3和αvβ5整联蛋白抑制剂描述于例如EP0770622、EP0710657、EP0820988、EP0820991、WO94/12181、WO94/08577、EP0518586、EO95/32710、WO96/00574、WO96/00730或DE19850131中。
在MMP抑制剂和酪氨酸激酶抑制剂中,优选上述提及的那些抑制剂。联合疗法的测试实施例
类似于Kakeji的方法进行肿瘤生长的延迟(F.Mitjans等,J.Cell Sci.108:2825-2838(1995)):
给8-10周龄的C57BL小鼠注射Lewis肺癌细胞(2×10E6)。第4天,每日腹膜内给予环(Arg-Gly-Asp-D-Phe-NMe-Val)(30mg/kg)[sic]。每日测量肿瘤生长(B.A.Teicher等,Int.J.Cancer 57:920-925(1994))。一旦肿瘤达到约100mm3的特定体积后,在肿瘤接种后第7天通过腹膜内注射开始各种细胞毒性联合疗法。实例为:从第7-11天,每天给予5-氟尿嘧啶(30mg/kg)或阿霉素(1.8mg/kg)。在第7、9和11天,给予环磷酰胺(150mg/kg)、卡莫司汀(15mg/kg)或吉西他滨(2.5mg/kg)。第7天给予顺铂(10mg/kg)。
每周3次测量肿瘤,直至达到约500mm3的体积。肿瘤生长的延迟以与未治疗的对照相比,各个肿瘤达到500mm3所需的时间来计算。
以下实施例涉及药用制剂:实施例A:管形瓶
用2N盐酸,将100g环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、100g所述化学治疗剂和5g磷酸氢二钠在6L双蒸水中的溶液调至pH6.5,除菌过滤,分装到管形瓶中,在无菌条件下冻干,并无菌密封。每个管形瓶含有5mg所述有效成分。实施例B:栓剂
将20g环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、20g所述化学治疗剂的混合物与100g大豆卵磷脂和1400g可可脂一起熔融,注入模中,让其冷却。每个栓剂含有20mg有效成分。实施例C:溶液
在940ml双蒸水中,由1g环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、lg所述化学治疗剂、9.38gNaH2PO4·2H2O、28.48gNa2HPO4·12H2O和0.1g苯扎氯铵制备溶液。将pH调至6.8,使体积为1L,经辐射将溶液灭菌。该溶液可以以滴眼剂形式使用。实施例D:软膏
在无菌条件下,将500mg环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、500mg所述化学治疗剂与99.5g凡士林一起混合。实施例E:片剂
将1kg环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、1kg所述化学治疗剂和4kg乳糖、1.2kg马铃薯淀粉、0.2kg滑石粉和0.1kg硬脂酸镁的混合物以常规方法压制成片剂,使得每片片剂含有10mg有效成分。实施例F:包衣片
以类似于实施例E的方式,压制片剂,然后将片剂以常规方式用蔗糖、马铃薯淀粉、滑石粉、西黄蓍胶和色素的包衣进行包衣。实施例G:胶囊
将2kg环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、2kg所述化学治疗剂以常规方式包装到硬明胶胶囊中,使得每个胶囊含有20mg所述有效成分。实施例H:安瓿
将1kg环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐、1kg所述化学治疗剂在60L双蒸水中的溶液除菌过滤,分装到安瓿中,在无菌条件下冻干,并无菌密封。每个安瓿含有10mg的每种所述有效成分。实施例I:试剂盒
对于胃肠外给药的制剂(试剂盒)
该制剂含有500mg环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和500mg吉西他滨盐酸盐,并且如下生产:
将两种化合物各500mg溶于40ml蒸馏水中。将溶液在无菌条件下过滤,分装到10ml安瓿中并冻干。
对于静脉内注射或肌内注射,加入10ml5%葡萄糖水溶液。
Claims (15)
1.药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种化学治疗剂和/或其一种生理上可接受的盐和/或一种血管生成抑制剂和/或其一种生理上可接受的盐。
2.按照权利要求1的药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种化学治疗剂和/或其一种生理上可接受的盐。
3.按照权利要求1的药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和至少一种血管生成抑制剂和/或其一种生理上可接受的盐。
4.按照权利要求1或2的药用制剂,其特征在于使用选自以下的一种化学治疗剂:
a)烷化剂,
b)抗生素,
c)抗代谢药物,
d)生物制剂和免疫调节剂,
e)激素及其拮抗剂,
f)芥子气衍生物,
g)生物碱,
h)基质金属蛋白酶的抑制剂(MMP抑制剂),
i)蛋白激酶抑制剂,
k)其它化学治疗剂。
5.按照权利要求1、2或4的药用制剂,其特征在于使用选自以下的一种化学治疗剂:docetaxel、paclitaxel、卡铂、顺铂、5-FU和亚叶酸钙、伊立替康、环磷酰胺、卡莫司汀、阿霉素、长春瑞滨、戈舍瑞林或吉西他滨。
6.按照权利要求1、2、4或5的药用制剂,其包含环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和吉西他滨和/或其一种生理上可接受的盐。
7.按照权利要求1或3的药用制剂,其特征在于使用一种选自αvβ3和αvβ5整联蛋白抑制剂的血管生成抑制剂。
8.按照权利要求1-5的药用制剂用于生产控制以下病症的药用制品的用途:病理性血管生成性疾病、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。
9.按照权利要求1-5的药用制剂用于控制以下病症的用途:病理性血管生成性疾病、血栓形成、心肌梗塞、冠心病、动脉硬化、肿瘤、骨质疏松、炎症和感染。
10.环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和一种化学治疗剂和/或其一种生理上可接受的盐和/或一种血管生成抑制剂和/或其一种生理上可接受的盐的连续应用或在物理上组合应用,用于生产控制肿瘤的药用制品。
11.环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和一种化学治疗剂和/或其一种生理上可接受的盐的连续应用或在物理上组合应用,用于生产控制肿瘤的药用制品。
12.环(Arg-Gly-Asp-D-Phe-NMe-Val)和/或其一种生理上可接受的盐和一种化学治疗剂和/或其一种生理上可接受的盐的连续应用或在物理上组合应用,用于控制肿瘤。
13.试剂盒,包括以下独立的包装:
(a)有效量的环(Arg-Gly-Asp-D-Phe-NMe-Val)和
(b)有效量的一种化学治疗剂。
14.药用制剂,其包含一种αvβ3和/或αvβ5整联蛋白抑制剂和/或其一种生理上可接受的盐和至少一种MMP抑制剂和/或其一种生理上可接受的盐。
15.药用制剂,其包含一种αvβ3和/或αvβ5整联蛋白抑制剂和/或其一种生理上可接受的盐和至少一种酪氨酸激酶抑制剂和/或其一种生理上可接受的盐。
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1999
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102223915A (zh) * | 2008-11-20 | 2011-10-19 | 默克专利有限公司 | 应用整联蛋白配体治疗癌症的新疗法和药物 |
CN103333227A (zh) * | 2013-06-07 | 2013-10-02 | 东南大学 | 转移肿瘤缺失蛋白小分子环肽抑制剂及其制备方法与应用 |
CN103333227B (zh) * | 2013-06-07 | 2015-10-07 | 东南大学 | 转移肿瘤缺失蛋白小分子环肽抑制剂及其制备方法与应用 |
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