JP2005508300A5 - - Google Patents

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JP2005508300A5
JP2005508300A5 JP2003507098A JP2003507098A JP2005508300A5 JP 2005508300 A5 JP2005508300 A5 JP 2005508300A5 JP 2003507098 A JP2003507098 A JP 2003507098A JP 2003507098 A JP2003507098 A JP 2003507098A JP 2005508300 A5 JP2005508300 A5 JP 2005508300A5
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フォーカルアドヒージョンキナーゼ(FAK)はインテグリン媒介シグナル伝達経路に関与する非受容体チロシンキナーゼである。FAKはフォーカルコンタクト部位においてインテグリンと同時局在化しており、FAKの活性化およびそのチロシンホスホリル化は多くの細胞型においてその細胞外リガンドに結合しているインテグリンに依存していることがわかっている。幾つかの試験結果によれば、FAK阻害剤が癌の治療に有用であるという仮説が裏付けられている。例えば、FAK欠損細胞は化学走性シグナルに応答した遊走が乏しくFAKのC末端ドメインの過剰発現により細胞の増殖と化学走性遊走がブロックされ(Sieg et al.,J.Cell Science,1999,112,
2677−2691; Richardson A.and Parsons T.,C
ell,1997,97,221−231);更に、FAKアンチセンスオリゴヌクレオチドを投与された腫瘍細胞はその付着性を消失し、アポトーシスを起こした(Xu et
al.,Cell Growth Differ.1996,4,412−418)。
FAKは前立腺、乳房、甲状腺、結腸および肺の癌において過剰発現されることが報告されている。FAKの発現濃度は最も旺盛な表現型を示す腫瘍と直接相関している。
Focal adhesion kinase (FAK) is a non-receptor tyrosine kinase involved in integrin-mediated signal transduction pathways. FAK is co-localized with integrin at the focal contact site, and activation of FAK and its tyrosine phosphorylation are known to depend on integrin binding to its extracellular ligand in many cell types. . Several test results support the hypothesis that FAK inhibitors are useful in the treatment of cancer. For example, FAK-deficient cells have poor migration in response to chemotaxis signals and overexpression of the FAK C-terminal domain blocks cell growth and chemotaxis migration (Sieg et al., J. Cell Science, 1999, 112). ,
2677-2691; Richardson A. et al. and Parsons T., C
further, tumor cells administered with FAK antisense oligonucleotides lost their adherence and caused apoptosis (Xu et al., 1997, 97, 221-231).
al., Cell Growth Differ. 1996, 4, 412-418).
FAK has been reported to be overexpressed in prostate, breast, thyroid, colon and lung cancers. The expression level of FAK correlates directly with the tumor that shows the most vigorous phenotype.

本発明の組成物は製薬上許容しうるアジュバントまたは賦形剤1種以上を用いて慣用的な方法に従って調製してよい。アジュバントは特に希釈剤、滅菌水性媒体、および、種々の非毒性の有機溶媒を包含する。組成物は錠剤、丸薬、顆粒、粉末、水性の溶液または懸濁液、注者用溶液、エリキシルまたはシロップの形態で提供してよく、そして、甘味料、フレーバー剤、着色料または安定化剤よりなる群から選択される物質1種以上を含有することにより製薬上許容しうる製剤を得てよい。溶媒および溶媒中の活性物質の含有量の選択は一般的に活性化合物の溶解度および化学的特性、特定の投与方法および薬学的慣行において参照すべき条件に従って決定される。例えば錠剤を調製するためには、乳糖、クエン酸ナトリウム、炭酸カルシウム、リン酸2カルシウムのような賦形剤および澱粉、アルギン酸および特定の珪酸塩複合体のような錠剤崩壊剤を、ステアリン酸マグネシウム、ラウリル硫酸ナトリウムおよびタルクのような潤滑剤と組み合わせて使用してよい。カプセルを調製するためには、乳糖および高分子量のポリエチレングリコールを使用するのが好都合である。水性懸濁液を用いる場合は、それらは懸濁を促進する乳化剤を含有することができる。スクロース、エタノール、ポリエチレングリコール、プロピレングリコール、グリセロールおよびクロロホルムまたはそれらの混合物のような希釈剤も使用してよい。   The compositions of the present invention may be prepared according to conventional methods using one or more pharmaceutically acceptable adjuvants or excipients. Adjuvants include in particular diluents, sterile aqueous media, and various non-toxic organic solvents. The composition may be provided in the form of tablets, pills, granules, powders, aqueous solutions or suspensions, pouring solutions, elixirs or syrups, and over sweeteners, flavors, colorants or stabilizers A pharmaceutically acceptable formulation may be obtained by containing one or more substances selected from the group consisting of: The choice of the solvent and the content of the active substance in the solvent is generally determined according to the solubility and chemical properties of the active compound, the particular mode of administration and the conditions to be referenced in pharmaceutical practice. For example, to prepare tablets, excipients such as lactose, sodium citrate, calcium carbonate, dicalcium phosphate and tablet disintegrants such as starch, alginic acid and certain silicate complexes can be used with magnesium stearate. May be used in combination with lubricants such as sodium lauryl sulfate and talc. To prepare the capsules, it is advantageous to use lactose and high molecular weight polyethylene glycols. When aqueous suspensions are used, they can contain emulsifiers that facilitate suspension. Diluents such as sucrose, ethanol, polyethylene glycol, propylene glycol, glycerol and chloroform or mixtures thereof may also be used.

Claims (25)

下記式I:
Figure 2005508300
[式中、
1は水素、−C(=O)−NY12、−C(=O)−OR5、−SO2−NY12、−SO2−R7、−C(=O)R7を示すか、または、
1はアルケニル、アルケニルオキシ、アルキル、アルキニル、アリール、ヘテロアリ
ール、ヘテロシクロアルキル、シクロアルキルまたはシクロアルキルアルキルを示し、各々は場合によりアリール、シクロアルキル、シアノ、ハロ、ヘテロアリール、ヘテロシクロアルキル、−CHOまたはこのような−CHOの5、6または7員の環状アセタール誘導体、−C(=O)−NY12、−C(=O)−OR5、−NY12、−N(R6)−C(=O)−R7、−N(R6)−C(=O)−NY34、−N(R6)−SO2−R7、−N(R6)−SO2−N
34、−OR7、−C(=O)−R7、ヒドロキシ、アルコキシおよびカルボキシから選択される基1個またはそれ以上で置換されており;
2は水素、アシル、アルキレンジオキシ、アルケニル、アルケニルオキシ、アルキニ
ル、アリール、シアノ、ハロ、ヒドロキシ、ヘテロアリール、ヘテロシクロアルキル、ニトロ、R4、−C(=O)−NY12、−C(=O)−OR5、−NY12、−N(R6)−C(=O)−R7、−N(R6)−C(=O)−NY34、−N(R6)−C(=O)−OR7、−N(R6)−SO2−R7、−N(R6)−SO2−NY34、−SO2−NY12、および−ZR4から選択される基1個またはそれ以上を示し;
3はH、シアノ、ハロ、ヒドロキシ、ニトロ、R4、NY12、−ZR4、−C(=O)
−OR5、−C(=O)−R7、−C(=O)−NY12、−N(R8)−C(=O)−R4、−N(
8)−C(=O)−NY12、−N(R8)−C(=O)−OR5、−SO2−NY34または−
N(R8)−SO2−R7を示すか、または、
3はアリール、ヘテロアリール、アルケニルまたはアルキニルを示し、各々は場合に
よりアリール、シアノ、ハロ、ヒドロキシ、ヘテロアリール、ヘテロシクロアルキル、ニトロ、−C(=O)−NY12、−C(=O)−OR5、−NY12、−N(R6)−C(=O)−R7、−N(R6)−C(=O)−NY34、−N(R6)−C(=O)−OR7、−N(R6)−SO2−R7、−N(R6)−SO2−NY34、−SO2−NY12、および−ZR4から選択され
る基1個またはそれ以上で置換されており;
4はアルキル、シクロアルキルまたはシクロアルキルアルキルであり、各々は場合に
よりアリール、シクロアルキル、シアノ、ハロ、ヘテロアリール、ヘテロシクロアルキル、ヒドロキシ、−CHOまたはこのような−CHOの5、6または7員の環状アセタール誘導体、−C(=O)−NY12、−C(=O)−OR5、−NY12、−N(R6)−C(=O)−R7、−N(R6)−C(=O)−NY34、−N(R6)−SO2−R7、−N(R6)−SO2
NY34、−OR7および−C(=O)−R7から選択される基1個またはそれ以上で置換されており、ここでR4は場合によりO、S(O)nおよびNR6から選択される基で中断され
ており;
5は水素、アルキル、アルケニル、アリール、アリールアルキル、ヘテロアリールま
たはヘテロアリールアルキルを示し;
6は水素または低級アルキルを示し;
7はアルキル、アリール、アリールアルキル、シクロアルキル、シクロアルキルアル
キル、ヘテロアリール、ヘテロアリールアルキル、ヘテロシクロアルキルまたはヘテロシクロアルキルアルキルを示し;
8は水素または低級アルキルを示し;
1およびY2は相互に独立して水素、アルケニル、アリール、シクロアルキル、ヘテロアリールまたはアルキルただし場合によりアリール、ハロ、ヘテロアリール、ヒドロキシ、−C(=O)−NY34、−C(=O)−OR5、−NY34、−N(R6)−C(=O)−R7
、−N(R6)−C(=O)−NY34、−N(R6)−SO2−R7、−N(R6)−SO2−NY3
4または−OR7から選択される基1個またはそれ以上で置換されているものであるか;または基−NY12は環状アミンを形成して良く;
3またはY4は相互に独立して水素、アルケニル、アルキル、アリール、アリールアルキル、シクロアルキル、ヘテロアリールまたはヘテロアリールアルキルであるか;または基−NY34は環状アミンを形成して良く;
ZはOまたはS(O)nを示し;
nは0または1または2の整数である]の化合物、またはそのような化合物のN−オキシド、プロドラッグ、酸生物学的等価体、製薬上許容しうる塩もしくは溶媒和物;そのような塩もしくは溶媒和物のN−オキシド、プロドラッグもしくは酸生物学的等価体。
Formula I below:
Figure 2005508300
[Where:
R 1 is hydrogen, —C (═O) —NY 1 Y 2 , —C (═O) —OR 5 , —SO 2 —NY 1 Y 2 , —SO 2 —R 7 , —C (═O) R 7 or
R 1 represents alkenyl, alkenyloxy, alkyl, alkynyl, aryl, heteroaryl, heterocycloalkyl, cycloalkyl or cycloalkylalkyl, each optionally aryl, cycloalkyl, cyano, halo, heteroaryl, heterocycloalkyl, —CHO or a 5-, 6- or 7-membered cyclic acetal derivative of —CHO, —C (═O) —NY 1 Y 2 , —C (═O) —OR 5 , —NY 1 Y 2 , —N (R 6) -C (= O ) -R 7, -N (R 6) -C (= O) -NY 3 Y 4, -N (R 6) -SO 2 -R 7, -N (R 6 ) -SO 2 -N
Substituted with one or more groups selected from Y 3 Y 4 , —OR 7 , —C (═O) —R 7 , hydroxy, alkoxy and carboxy;
R 2 is hydrogen, acyl, alkylenedioxy, alkenyl, alkenyloxy, alkynyl, aryl, cyano, halo, hydroxy, heteroaryl, heterocycloalkyl, nitro, R 4 , —C (═O) —NY 1 Y 2 , -C (= O) -OR 5, -NY 1 Y 2, -N (R 6) -C (= O) -R 7, -N (R 6) -C (= O) -NY 3 Y 4, -N (R 6) -C (= O) -OR 7, -N (R 6) -SO 2 -R 7, -N (R 6) -SO 2 -NY 3 Y 4, -SO 2 -NY 1 One or more groups selected from Y 2 and —ZR 4 are shown;
R 3 is H, cyano, halo, hydroxy, nitro, R 4 , NY 1 Y 2 , —ZR 4 , —C (═O)
-OR 5, -C (= O) -R 7, -C (= O) -NY 1 Y 2, -N (R 8) -C (= O) -R 4, -N (
R 8) -C (= O) -NY 1 Y 2, -N (R 8) -C (= O) -OR 5, -SO 2 -NY 3 Y 4 or -
N (R 8 ) —SO 2 —R 7 , or
R 3 represents aryl, heteroaryl, alkenyl or alkynyl, each optionally aryl, cyano, halo, hydroxy, heteroaryl, heterocycloalkyl, nitro, —C (═O) —NY 1 Y 2 , —C ( = O) -OR 5, -NY 1 Y 2, -N (R 6) -C (= O) -R 7, -N (R 6) -C (= O) -NY 3 Y 4, -N ( R 6) -C (= O) -OR 7, -N (R 6) -SO 2 -R 7, -N (R 6) -SO 2 -NY 3 Y 4, -SO 2 -NY 1 Y 2, and it is substituted one group selected from -ZR 4 or more;
R 4 is alkyl, cycloalkyl or cycloalkylalkyl, each optionally aryl, cycloalkyl, cyano, halo, heteroaryl, heterocycloalkyl, hydroxy, —CHO or 5, 6 or 7 of such —CHO. cyclic acetal derivatives of the members, -C (= O) -NY 1 Y 2, -C (= O) -OR 5, -NY 1 Y 2, -N (R 6) -C (= O) -R 7, -N (R 6) -C (= O) -NY 3 Y 4, -N (R 6) -SO 2 -R 7, -N (R 6) -SO 2 -
Substituted with one or more groups selected from NY 3 Y 4 , —OR 7 and —C (═O) —R 7 , wherein R 4 is optionally O, S (O) n and NR Interrupted by a group selected from 6 ;
R 5 represents hydrogen, alkyl, alkenyl, aryl, arylalkyl, heteroaryl or heteroarylalkyl;
R 6 represents hydrogen or lower alkyl;
R 7 represents alkyl, aryl, arylalkyl, cycloalkyl, cycloalkylalkyl, heteroaryl, heteroarylalkyl, heterocycloalkyl or heterocycloalkylalkyl;
R 8 represents hydrogen or lower alkyl;
Y 1 and Y 2 are independently of each other hydrogen, alkenyl, aryl, cycloalkyl, heteroaryl or alkyl, optionally aryl, halo, heteroaryl, hydroxy, —C (═O) —NY 3 Y 4 , —C (═O) —OR 5 , —NY 3 Y 4 , —N (R 6 ) —C (═O) —R 7
, -N (R 6) -C ( = O) -NY 3 Y 4, -N (R 6) -SO 2 -R 7, -N (R 6) -SO 2 -NY 3
Are substituted with one or more groups selected from Y 4 or —OR 7 ; or the group —NY 1 Y 2 may form a cyclic amine;
Y 3 or Y 4 independently of one another are hydrogen, alkenyl, alkyl, aryl, arylalkyl, cycloalkyl, heteroaryl or heteroarylalkyl; or the group —NY 3 Y 4 may form a cyclic amine ;
Z represents O or S (O) n;
n is an integer of 0 or 1 or 2, or an N-oxide, prodrug, acid biological equivalent, pharmaceutically acceptable salt or solvate of such a compound; such a salt Or N-oxide, prodrug or acid biological equivalent of a solvate.
1が水素、C1-4アルキル、ハロで置換されたC1-4アルキル、ヒドロキシで置換され
たC1-4アルキル、−N(R6)C(=O)−R7で置換されたC1-4アルキル、−C(=O)−NY12で置換されたC1-4アルキルまたはヒドロキシで置換されたシクロアルキルアルキ
ルである請求項1記載の化合物。
R 1 is substituted hydrogen, C 1-4 alkyl, C 1-4 alkyl substituted with halo, C 1-4 alkyl substituted with hydroxy, in -N (R 6) C (= O) -R 7 C 1-4 alkyl, -C (= O) -NY 1 Y 2 compound of claim 1, wherein a cycloalkylalkyl substituted with been C 1-4 alkyl or hydroxy substituted in the.
1が水素、−CH3、−CH2CH3、−CH2CF3または
Figure 2005508300
である請求項1記載の化合物。
R 1 is hydrogen, —CH 3 , —CH 2 CH 3 , —CH 2 CF 3 or
Figure 2005508300
The compound according to claim 1, wherein
1が水素である請求項1記載の化合物。 The compound according to claim 1 , wherein R 1 is hydrogen. 2がカルボキシまたは酸生物学的等価体、ヒドロキシ、カルボキシで置換されたアル
キル、ヘテロアリールであるか、またはR2はR4がアルキルである−OR4、R4がヒドロキシ基1個またはそれ以上で置換されたアルキルまたはシクロアルキルアルキルである−OR4、R4がアルコキシ基1個またはそれ以上で置換されたアルキルである−OR4、R4がカルボキシ基1個またはそれ以上で置換されたアルキルまたはシクロアルキルである−OR4、R4が−C(=O)−NY12で置換されたシクロアルキルである−OR4であるか
、または、R2はRがアルキルである−C(=O)−Rであるか、またはR2は−C(=O)−NY12または−N(R6)−C(=O)−R7である請求項1〜4のいずれか1項に記載の化合物。
R 2 is carboxy or an acid biological equivalent, hydroxy, alkyl substituted with carboxy, heteroaryl, or R 2 is R 4 is alkyl —OR 4 , R 4 is one hydroxy group or -OR 4, R 4 is alkyl or cycloalkylalkyl substituted -OR 4, R 4 is alkyl substituted by an alkoxy group one or more is replaced by a carboxy group one or more above and either an alkyl or -OR 4, R 4 is cycloalkyl is -OR 4 is -C (= O) cycloalkyl substituted with -NY 1 Y 2, or, R 2 is R is an alkyl -C (= O) or is -R or R 2 -C (= O) -NY 1 Y 2 or -N (R 6) -C (= O) according to claim 1 to 4 is -R 7, The compound of any one of these.
2が−OCH3または−CONHC(CH3)2CH2OHである請求項1〜4のいずれか
1項に記載の化合物。
The compound according to any one of claims 1 to 4, wherein R 2 is -OCH 3 or -CONHC (CH 3 ) 2 CH 2 OH.
2が−OCH3である請求項1〜4のいずれか1項に記載の化合物。 R 2 is A compound according to claim 1 is -OCH 3. 3が水素、シアノ、場合により置換されたアリール、場合により置換されたヘテロア
リール、アルキル、ハロゲン原子1個またはそれ以上で置換されたアルキル、−C(=O)−NY12で置換されたアルキル、−OR7で置換されたアルキルであるか、または、R3は−ZR4、−C(=O)−OR5、−C(=O)−NY12または−NY12である請求項1〜7のいずれか1項に記載の化合物。
R 3 is hydrogen, cyano, optionally substituted aryl, optionally substituted heteroaryl, alkyl, alkyl substituted with one or more halogen atoms, substituted with —C (═O) —NY 1 Y 2 Alkyl, substituted with —OR 7 , or R 3 is —ZR 4 , —C (═O) —OR 5 , —C (═O) —NY 1 Y 2 or —NY 1. a compound according to any one of claims 1 to 7 is Y 2.
3が水素、シアノ、ピリジル、トリフルオロメチル、−CH2−CH2−C(=O)NH
CH3、−OCF2H、−C(O)−NH−C(CH3)2−CH2OHまたは
Figure 2005508300
である請求項1〜7のいずれか1項に記載の化合物。
R 3 is hydrogen, cyano, pyridyl, trifluoromethyl, —CH 2 —CH 2 —C (═O) NH
CH 3, -OCF 2 H, -C (O) -NH-C (CH 3) 2 -CH 2 OH or
Figure 2005508300
The compound according to any one of claims 1 to 7.
3が−OCH3である請求項1〜7のいずれか1項に記載の化合物。 A compound according to any one of claims 1 to 7 R 3 is -OCH 3. 2がインドール環の5位に結合している請求項1〜10のいずれか1項に記載の化合
物。
The compound according to any one of claims 1 to 10, wherein R 2 is bonded to the 5-position of the indole ring.
下記基:
Figure 2005508300
がインドール環の3位に結合している請求項1〜11のいずれか1項に記載の化合物。
The following groups:
Figure 2005508300
The compound of any one of Claims 1-11 couple | bonded with 3rd-position of an indole ring.
下記化合物:
Figure 2005508300
Figure 2005508300
Figure 2005508300
である請求項1記載の化合物、そのような化合物のN−オキシド、プロドラッグ、製薬上許容しうる塩もしくは溶媒和物;そのような塩もしくは溶媒和物のN−オキシドもしくはプロドラッグ。
The following compounds:
Figure 2005508300
Figure 2005508300
Figure 2005508300
2. A compound according to claim 1, an N-oxide, prodrug, pharmaceutically acceptable salt or solvate of such a compound; an N-oxide or prodrug of such a salt or solvate.
下記化合物:
Figure 2005508300
である請求項1記載の化合物、そのような化合物のN−オキシド、プロドラッグ、製薬上許容しうる塩もしくは溶媒和物;またはそのような塩もしくは溶媒和物のN−オキシドまたはプロドラッグ。
The following compounds:
Figure 2005508300
2. A compound according to claim 1, an N-oxide, prodrug, pharmaceutically acceptable salt or solvate of such a compound; or an N-oxide or prodrug of such a salt or solvate.
製薬上許容しうる担体または賦形剤1種またはそれ以上と共に請求項1〜14の何れか1項に記載の化合物の薬学的有効量を含有する医薬組成物。   15. A pharmaceutical composition comprising a pharmaceutically effective amount of the compound of any one of claims 1-14 together with one or more pharmaceutically acceptable carriers or excipients. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有するSykの触媒活性の阻害剤。   An inhibitor of the catalytic activity of Syk, comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有する炎症性疾患の治療剤。   A therapeutic agent for an inflammatory disease comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有するFAKの触媒活性の阻害剤。   16. An inhibitor of FAK catalytic activity comprising a pharmaceutically effective amount of the compound of any one of claims 1-14 or a pharmaceutically effective amount of the composition of claim 15. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有するKDRの触媒活性の阻害剤。   An inhibitor of KDR catalytic activity comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有するAurora2の触媒活性の阻害剤。   An inhibitor of the catalytic activity of Aurora 2 comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有する癌の治療剤。   A therapeutic agent for cancer comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 炎症性疾患が喘息、炎症性皮膚症、アレルギー性鼻炎、アレルギー性結膜炎または関節炎である請求項17記載の治療剤。   The therapeutic agent according to claim 17, wherein the inflammatory disease is asthma, inflammatory dermatosis, allergic rhinitis, allergic conjunctivitis or arthritis. 炎症性疾患が喘息、乾癬、疱疹状皮膚炎、湿疹、壊死性血管炎、皮膚血管炎、水疱性疾
患、アレルギー性鼻炎、アレルギー性結膜炎、関節炎、慢性関節リューマチ、風疹性関節炎、乾癬性関節炎または骨関節炎である請求項17記載の治療剤。
If the inflammatory disease is asthma, psoriasis, herpes dermatitis, eczema, necrotizing vasculitis, dermatovasculitis, bullous disease, allergic rhinitis, allergic conjunctivitis, arthritis, rheumatoid arthritis, rubella arthritis, psoriatic arthritis or The therapeutic agent according to claim 17, which is osteoarthritis.
請求項1〜14の何れか1項に記載の化合物の薬学的有効量または請求項15記載の組成物の薬学的有効量を含有する慢性閉塞性肺疾患の治療剤。   A therapeutic agent for chronic obstructive pulmonary disease comprising a pharmaceutically effective amount of the compound according to any one of claims 1 to 14 or a pharmaceutically effective amount of the composition according to claim 15. 治療すべき癌が結腸直腸、前立腺、乳房、甲状腺、皮膚、結腸または肺の癌である請求項21記載の治療剤。   The therapeutic agent according to claim 21, wherein the cancer to be treated is colorectal, prostate, breast, thyroid, skin, colon or lung cancer.
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