JP2019519498A - Hdac阻害剤とpd−1阻害剤との組み合わせ療法 - Google Patents
Hdac阻害剤とpd−1阻害剤との組み合わせ療法 Download PDFInfo
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Abstract
Description
本発明は、2016年5月11日に出願された米国仮特許出願第62/335,044号および2016年12月19日に出願された米国仮特許出願第62/436,361号の優先権を主張するものであり、これらは、全ての表、図、および特許請求の範囲を含めて、参照によりそれらの全体が本明細書に組み込まれる。
Aは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、フェニル、および複素環基からなる群から選択される1〜4個の置換基で任意に置換される、フェニルまたは複素環基である。Bは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、およびフェニルからなる群から選択される1〜3個の置換基で任意に置換される、フェニルである。Yは、直鎖である−CO−を含む部分であり、環Bの重心(W1)と、環Aの重心(W2)と、当該部分Yにおける水素結合受容体としての酸素原子(W3)との間の距離は、それぞれ、W1−W2=約6.0Å、W1−W3=約3.0Å〜約6.0Å、およびW2−W3=約4.0Å〜約8.0Åである。Zは、結合またはC1−C4アルキレン、−O−、−S−、−NH−、−CO−、−CS−、−SO−、または−SO2−である。R1およびR2は、独立して、水素またはC1−C4アルキルである。R3は、水素またはC1−C4アルキルである。R4は、水素または−NH2である。X1、X2、X3、またはX4のうちの1つは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、またはハロゲンまたはC1−C4アルキルで任意に置換されたC1−C4アルコキシカルボニルであるが、X1、X2、X3、またはX4の他のものは、独立して、水素であるが、ただし、R4が水素である場合に、X1、X2、X3、またはX4のうちの1つは、−NH2、アミノアルキル基、またはアルキルアミノ基である。
全ての特許、出願、公開された出願、および他の刊行物は、その全体が参照により組み込まれる。他に定義されない限り、本明細書で使用される全ての技術用語および科学用語は、本発明が属する技術分野の当業者によって一般的に理解されるのと同じ意味を有する。本明細書に記載される化学構造および式は、化学技術において知られている化学原子価の標準規則に従って構築される。描写された構造とその構造に与えられた名前との間に相違がある場合、描写された構造はより重視されるべきである。構造または構造の一部の立体化学が、示された構造または図示された構造の一部に示されていない場合、示された構造は、その可能な立体異性体の全てを包含するものとして解釈されるべきである。
組成物
Aは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、フェニル、および複素環式基からなる群から選択される1〜4個の置換基で任意に置換される、フェニルまたは複素環基であり、
Bは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、およびフェニルから選択される1〜3個の置換基で任意に置換される、フェニルであり、
Yは、直鎖である−CO−を含む部分であり、環Bの重心(W1)と、環Aの重心(W2)と、当該部分Yにおける水素結合受容体としての酸素原子(W3)との間の距離は、それぞれ、W1−W2=約6.0Å、W1−W3=約3.0Å〜約6.0Å、およびW2−W3=約4.0Å〜約8.0Åであり、
Zは、結合またはC1−C4アルキレン、−O−、−S−、−NH−、−CO−、−CS−、−SO−、または−SO2−であり、
R1およびR2は、独立して、水素またはC1−C4アルキルであり、
R3は、水素またはC1−C4アルキルであり、
R4は、水素または−NH2であり、
X1、X2、X3またはX4のうちの1つは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、またはハロゲンもしくはC1−C4アルキルで任意に置換されるC1−C4アルコキシカルボニルであるが、X1、X2、X3、またはX4の他のものは、独立して、水素であり、
ただし、R4が水素である場合、X1、X2、X3、またはX4の1つは、−NH2、アミノアルキル基、またはアルキルアミノ基である。
本明細書に記載される組み合わせは、経口、粘膜(例えば、鼻、吸入、肺、舌下、膣、頬、または直腸)、非経口(例えば、皮下、静脈内、ボーラス注射、筋肉内、または動脈内)、局所(例えば、点眼剤または他の眼科用調製物)、患者への経皮または経皮投与が含まれるが、これらに限定されない、患者への本明細書に記載される任意の経路による投与に好適な薬学的組成物として提供され得る。
本明細書に記載される組み合わせおよび薬学的組成物は、キットの一部として提供することができる。そのようなキットは、例えば、患者のコンプライアンスを改善するか、または組み合わせを投与するための正確性または調製の容易性を改善することができる。キットは、式Iの化合物を含み、ここで、化合物は、本明細書に記載される製剤中に供給される。このキットはまた、本明細書に記載されるPD−1阻害剤も含む。このキットには、AMP−224が含まれ得る。いくつかの実施形態において、キットは、例えば、ニボルマブ、ペンブロリズマブ、ピジリズマブ、REGN2810(SAR−439684としても知られている)、PDR001、SHR−1210、またはMEDI0680などの本明細書に記載されるPD−1抗体を含む。キットは、本明細書に記載されるがん患者などの、それを必要とする患者への組み合わせの投与に有用な添付文書または他の情報(例えば、処方情報)を含むことができる。
本明細書に記載される組み合わせ、薬学的組成物、およびキットは、疾患、障害の治療、または例えばがんなどの疾患および障害の症状の緩和または除去に有用である。本明細書に記載される方法は、本明細書に記載される組み合わせおよび薬学的組成物の投与に関するものであり、そのような組み合わせおよび薬学的組成物は、本明細書に記載されるキットの形態で提供することができることを理解されたい。治療有効量の本明細書に記載される組み合わせを、それを必要とする患者に投与することによって、がんを治療する方法が本明細書に提供される。また、治療有効量の本明細書に記載される組み合わせを、それを必要とする患者に投与することによって、がんを管理する方法も本明細書に提供される。
Aは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、フェニル、および複素環式基からなる群から選択される1〜4個の置換基で任意に置換される、フェニルまたは複素環基であり、
Bは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、およびフェニルから選択される1〜3個の置換基で任意に置換される、フェニルであり、
Yは、直鎖である−CO−を含む部分であり、環Bの重心(W1)と、環Aの重心(W2)と、当該部分Yにおける水素結合受容体としての酸素原子(W3)との間の距離は、それぞれ、W1−W2=約6.0Å、W1−W3=約3.0Å〜約6.0Å、およびW2−W3=約4.0Å〜約8.0Åであり、
Zは、結合またはC1−C4アルキレン、−O−、−S−、−NH−、−CO−、−CS−、−SO−、または−SO2−であり、
R1およびR2は、独立して、水素またはC1−C4アルキルであり、
R3は、水素またはC1−C4アルキルであり、
R4は、水素または−NH2であり、
X1、X2、X3またはX4のうちの1つは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、またはハロゲンもしくはC1−C4アルキルで任意に置換されるC1−C4アルコキシカルボニルであるが、X1、X2、X3、またはX4の他のものは、独立して、水素であり、
ただし、R4が水素である場合、X1、X2、X3、またはX4の1つは、−NH2、アミノアルキル基、またはアルキルアミノ基である。
t(9;22)(q34;q11.2)、BCR−ABL1を伴うBリンパ芽球性白血病/リンパ腫、
t(v;11q23)MLL再構成を伴うBリンパ芽球性白血病/リンパ腫、
t(12;21)(p13;q22)TEL−AML1(ETV6−RUNX1)を伴うBリンパ芽球性白血病/リンパ腫、
高2倍体性Bリンパ芽球性白血病/リンパ腫、
低2倍体性Bリンパ芽球性白血病/リンパ腫、
t(5;14)(q31;q32)IL3−IGHを伴うBリンパ芽球性白血病/リンパ腫、または
t(1;19)(q23;p13.3)TCF3−PBX1を伴うBリンパ芽球性白血病/リンパ腫。
染色体8と21との間の転座を伴うAML、
染色体16における転座または逆位を伴うAML、
染色体9と11との間の転座を伴うAML、
染色体15と17との間の転座を伴うAPL(M3)、
染色体6と9との間の転座を伴うAML、
染色体3における転座または逆位を伴うAML、または
染色体1と22との間の転座を伴うAML(巨核芽球)。
最小分化(M0)を伴うAML(M0)、
成熟を伴わないAML(M1)、
成熟を伴うAML(M2)、
急性骨髄単球性白血病(M4)、
急性単球性白血病(M5)、
急性赤血球性白血病(M6)、
急性巨核芽球性白血病(M7)、
急性好塩基球性白血病、または
線維症を伴う急性汎髄症。
ド;バリオリンB;ベラレソール;ベラミン;ベルテポルフィン;ビノレルビン;ビンキサルチン;ビタキシン;ビンブラスチン;硫酸ビンブラスチン;硫酸ビンクリスチン;ビンデシン;硫酸ビンデシン;硫酸ビネピジン;硫酸ビングリシネート;硫酸ビンロイロシン;酒石酸ビノレルビン;硫酸ビンロシジン;硫酸ビンゾリジン;ボロゾール;ウォルトマンニン;XL518;ザノテロン;ゼニプラチン;ジラスコルブ;ジノスタチンスチマラマー;ジノスタチン;塩酸ゾルビシンが含まれるが、これらに限定されない。
群1には、有効性対照の役割を果たし、ビヒクルを毎日13日間(1日1回×13)経口投与した。
群2には、50mg/kgでHBI−8000を1日1回13日間経口投与した。
群3には、5mg/kgで抗PD−1を週2回2週間(週2回×2)腹腔内投与した。
群4には、50mg/kgでHBI−8000を1日1回13日間経口投与し、5mg/kgで抗PD−1を週2回2週間腹腔内投与した。
Claims (102)
- 治療有効量のPD−1阻害剤および治療有効量の式Iの化合物を含む組み合わせであって、
Aは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、フェニル、および複素環式基からなる群から選択される1〜4個の置換基で任意に置換される、フェニルまたは複素環式基であり、
Bは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、およびフェニルから選択される1〜3個の置換基で任意に置換される、フェニルであり、
Yは、直鎖である−CO−を含む部分であり、環Bの重心(W1)と、環Aの重心(W2)と、当該部分Yにおける水素結合受容体としての酸素原子(W3)との間の距離は、それぞれ、W1−W2=約6.0Å、W1−W3=約3.0Å〜約6.0Å、およびW2−W3=約4.0Å〜約8.0Åであり、
Zは、結合またはC1−C4アルキレン、−O−、−S−、−NH−、−CO−、−CS−、−SO−、または−SO2−であり、
R1およびR2は、独立して、水素またはC1−C4アルキルであり、
R3は、水素またはC1−C4アルキルであり、
R4は、水素または−NH2であり、
X1、X2、X3またはX4のうちの1つは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、またはハロゲンもしくはC1−C4アルキルで任意に置換されるC1−C4アルコキシカルボニルであるが、X1、X2、X3、またはX4の他のものは、独立して、水素であり、
ただし、R4が水素である場合、X1、X2、X3、またはX4の1つは、−NH2、アミノアルキル基、またはアルキルアミノ基である、組み合わせ。 - Zは結合である、請求項1に記載の組み合わせ。
- R3は水素である、請求項1または2に記載の組み合わせ。
- Aはピリジニルである、請求項1〜3のいずれか1項に記載の組み合わせ。
- X2はハロゲンである、請求項1〜4丁目のいずれか1項に記載の組み合わせ。
- X2は−Fである、請求項1〜5のいずれか1項に記載の組み合わせ。
- R1及びR2は、独立して、水素である、請求項1〜6のいずれか1項に記載の組み合わせ。
- R3は水素である、請求項1〜7のいずれか1項に記載の組み合わせ。
- R4は−NH2である、請求項1〜8のいずれか1項に記載の組み合わせ。
- Yは−C(O)NH−CH2である、請求項1〜9のいずれか1項に記載の組み合わせ。
- 前記式Iの化合物は、N−(2−アミノ−4−フルオロフェニル)−4−[[[(2E)−1−オキソ−3−(3−ピリジニル)−2−プロペン−1−イル]アミノ]メチル]ベンズアミドである、請求項1に記載の組み合わせ。
- 式Iの化合物は、約5mgを超える量で存在する、請求項1〜12のいずれか1項に記載の組み合わせ。
- 前記式Iの化合物は、約5〜約50mgの量で存在する、請求項1〜12のいずれか1項に記載の組み合わせ。
- 前記PD−1阻害剤は、小分子化合物、核酸、ペプチド、タンパク質、抗体、ペプチボディ、ダイアボディ、ミニボディ、一本鎖可変断片(ScFv)、またはその断片もしくはバリアントである、請求項1に記載の組み合わせ。
- 前記PD−1阻害剤は、AMP−224である、請求項15に記載の組み合わせ。
- 前記PD−1阻害剤は、抗体である、請求項15に記載の組み合わせ。
- 前記PD−1抗体は、モノクローナル抗体である、請求項17に記載の組み合わせ。
- 前記PD−1抗体は、ヒト抗体、マウス抗体、キメラ抗体、ヒト化抗体、またはキメラヒト化抗体を含む、請求項17に記載の組み合わせ。
- 前記PD−1抗体は、ヒト抗体またはヒト化抗体である、請求項19に記載の組み合わせ。
- 前記PD−1抗体は、ニボルマブ、ペンブロリズマブ、ピジリズマブ、REGN2810(SAR−439684としても知られている)、PDR001、SHR−1210、またはMEDI0680を含む、請求項15、18、または20のいずれか1項に記載の組み合わせ。
- 前記PD−1抗体は、約0.1mg/kg〜約10mg/kgの量で存在する、請求項15〜21のいずれか1項に記載の組み合わせ。
- 前記PD−1抗体は、約0.5mg/kg〜約5mg/kgの量で存在する、請求項15〜21のいずれか1項に記載の組み合わせ。
- 前記PD−1抗体は、約1mg/kg、2mg/kg、3mg/kg、または5mg/kgの量で存在する、請求項15〜21のいずれか1項に記載の組み合わせ。
- 前記組み合わせは、がん患者への投与に好適である、請求項1〜24のいずれか1項に記載の組み合わせ。
- 請求項1〜25のいずれか1項に記載の組み合わせと、薬学的に許容可能な賦形剤と、を含む、薬学的組成物。
- 請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物を含む、キット。
- 前記組み合わせの前記式Iの化合物および前記PD−1阻害剤は、前記キット中の個々の容器に供給される、請求項27に記載のキット。
- 前記組み合わせの式Iの化合物および前記PD−1阻害剤は、異なる製剤を含む、請求項27または28に記載のキット。
- 前記組み合わせの前記式Iの化合物は、経口投与のために製剤化される、請求項27〜29のいずれか1項に記載のキット。
- 前記PD−1阻害剤前記組み合わせは、非経口投与のために製剤化される、請求項27〜30のいずれか1項に記載のキット。
- 前記非経口投与は、静脈内(IV)投与を含む、請求項31に記載の方法。
- 少なくとも1つの投与デバイスをさらに含む、請求項27〜32のいずれか1項に記載のキット。
- 前記キット中の構成要素は、滅菌されている、請求項27〜33のいずれか1項に記載のキット。
- がんを治療するための方法であって、治療有効量の請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物を、それを必要とする患者に投与することを含む、方法。
- 前記がんは、扁平上皮癌、非扁平上皮癌、非小細胞肺癌(NSCLC)、小細胞肺癌、メラノーマ、肝細胞癌、腎細胞癌、卵巣癌、頭頸部癌、尿路上皮癌、乳癌、前立腺癌、膠芽細胞腫、結腸直腸癌、膵臓癌、リンパ腫、平滑筋肉腫、脂肪肉腫、滑膜肉腫、または悪性末梢鞘腫瘍(MPNST)からなる群から選択される固形腫瘍がんである、請求項35に記載の方法。
- 前記がんは、非小細胞肺癌(NSCLC)、肝細胞癌、メラノーマ、卵巣癌、乳癌、膵臓癌、腎細胞癌、または結腸直腸癌である、請求項0に記載の方法。
- 前記がんは、リンパ腫、非ホジキンリンパ腫(NHL)、ホジキンリンパ腫、リードステルベルグ病、多発性骨髄腫(MM)、急性骨髄性白血病(AML)、慢性骨髄性白血病(CML)、急性リンパ性白血病(ALL)、または慢性リンパ性白血病(CLL)である、請求項35に記載の方法。
- 前記がん患者は、治療未経験である、請求項35〜38のいずれか1項に記載の方法。
- 前記がん患者は、非小細胞肺癌(NSCLC)、肝細胞癌、メラノーマ、卵巣癌、乳癌、膵臓癌、腎細胞癌、または結腸直腸癌に対して治療未経験である、請求項39に記載の方法。
- 前記組み合わせは、一次治療として前記がん患者に投与される、請求項35〜40のいずれか1項に記載の方法。
- 前記組み合わせは、二次、三次、四次、五次、または六次治療として前記がん患者に投与される、請求項35〜40のいずれか1項に記載の方法。
- 前記組み合わせは、少なくとも1つの抗癌治療による治療後に前記がん患者に投与される、請求項35〜38のいずれか1項に記載の方法。
- 前記抗癌治療は、化学療法、放射線療法、外科手術、標的療法、免疫療法、またはこれらの組み合わせを含む、請求項43に記載の方法。
- 前記がんは、少なくとも1つの抗癌剤に耐性がある、請求項35〜44のいずれか1項に記載の方法。
- 前記組み合わせの前記式Iの化合物および前記PD−1阻害剤は、同時にまたは連続的に投与される、請求項35〜44のいずれか1項に記載の方法。
- 前記式Iの化合物は、1週間に2〜3回投与される、請求項35〜46のいずれか1項に記載の方法。
- 前記式Iの化合物は、毎日投与される、請求項35〜46のいずれか1項に記載の方法。
- PD−1阻害剤および前記式Iの化合物は、投与レジメンの1日目に併用投与される、請求項35〜47のいずれか1項に記載の方法。
- 前記PD−1阻害剤は、小分子化合物、核酸、ペプチド、タンパク質、抗体、ペプチボディ、ダイアボディ、ミニボディ、一本鎖可変断片(ScFv)、またはそのバリアントである、請求項35〜48に記載の組み合わせ。
- 前記PD−1阻害剤は、AMP−224である、請求項50に記載の方法。
- 前記PD−1阻害剤は、PD−1抗体である、請求項50に記載の方法。
- 前記PD−1抗体は、ニボルマブ、ペンブロリズマブ、ピジリズマブ、REGN2810(また、SAR−439684としても知られている)、PDR001、SHR−1210、またはMEDI0680を含む、請求項51に記載の方法。
- 前記組み合わせは、レジメンとして前記患者に投与される、請求項35に記載の方法。
- 前記レジメンは、疾患の進行または許容不可能な毒性まで繰り返される、請求項54に記載の方法。
- 前記レジメンは、連続投与期間の間に少なくとも1日の休息期間を含む、請求項54に記載の方法。
- 前記組み合わせの前記式Iの化合物は、前記レジメンにおいて1週間に2〜3回投与され、前記PD−1抗体は、2〜3週間毎に投与される、請求項54に記載の方法。
- 前記組み合わせの前記式Iの化合物は、前記レジメンにおいて21日間1日1回投与され、前記PD−1抗体は、2〜3週間毎に投与される、請求項54に記載の方法。
- 前記がんを治療する方法は、前記患者の前記がんの転移を阻害する、請求項35〜57のいずれか1項に記載の方法。
- 前記がんを治療する方法は、前記患者の腫瘍または腫瘍負荷を減少させる、請求項35〜57のいずれか1項に記載の方法。
- 前記がんを治療する方法は、前記患者の前記がんの既存の転移を阻害する、請求項35〜57のいずれか1項に記載の方法。
- 前記がんを治療する方法は、前記患者の前記がんの疾患の進行までの時間を延長する、請求項35〜57のいずれか1項に記載の方法。
- 癌の治療方法は、前記患者の生存を延長させる、請求項35〜57のいずれか1項に記載の方法。
- 前記がんを治療する方法は、前記患者の無増悪生存期間を増加させる、請求項35〜57のいずれか1項に記載の方法。
- 骨髄由来サプレッサー細胞(MDSC)のレベルの低下を必要とする患者におけるそのレベルを低下させるための方法であって、治療有効量の請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物をそれを必要とする患者に投与することと、前記投与後のMDSCのレベルを判定することと、を含む、方法。
- 調節性T細胞(Treg細胞)のレベルの低下を必要とする患者におけるそのレベルを低下させる方法であって、治療有効量の請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物をそれを必要とする患者に投与することと、前記投与後のTreg細胞のレベルを判定することと、を含む、方法。
- がん患者におけるインビボでのナチュラルキラー(NK)の活性または細胞傷害性T細胞活性を増強するための方法であって、治療有効量の請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物を、前記患者に投与することを含み、前記組み合わせは、前記組み合わせの非存在と比較して前記NKまたは細胞傷害性T細胞の活性を増加させる、方法。
- がん患者における抗体依存性細胞媒介性細胞傷害性を増強するための方法であって、治療有効量の請求項1〜25のいずれか1項に記載の組み合わせまたは請求項26に記載の薬学的組成物を、それを必要とする患者に投与することを含む、方法。
- がんを治療するための方法であって、治療有効量の、ヒストンデアセチラーゼ阻害剤(HDAC阻害剤)およびPD−1阻害剤の組み合わせを、治療を必要とし、かつそのがんがPD−L1阻害剤でこれまでに治療されたことがある対象に投与することを含む、方法。
- PD−L1阻害剤による治療後の前記がんは、部分的応答をもたらしたが、後に疾患の進行に伴ってPD−L1に対する耐性を生じる、請求項69に記載の方法。
- PD−L1阻害剤による治療後のがんは、安定した疾患をもたらしたが、後に疾患の進行に伴ってPD−L1に対する耐性を生じる、請求項69に記載の方法。
- PD−L1阻害剤による治療後のがんは、完全な応答をもたらしたが、後に疾患の進行に伴ってPD−L1に対する耐性を生じる、請求項69に記載の方法。
- PD−L1阻害剤による治療後のがんは、治療に応答しない、請求項69に記載の方法。
- 前記PD−1阻害剤は、小分子化合物、核酸、ペプチド、タンパク質、抗体、ペプチボディ、ダイアボディ、ミニボディ、一本鎖可変断片(例えば、ScFv)、またはその断片もしくはバリアントである、請求項69〜73に記載の方法。
- 前記PD−1阻害剤は、抗体を含む、請求項69〜74に記載の方法。
- 前記抗体は、ニボルマブ、ペンブロリズマブ、ピジリズマブ、REGN2810(SAR−439684としても知られている)、PDR001、SHR−1210、またはMEDI0680のうちの1つ以上を含む、請求項75に記載の方法。
- 前記HDAC阻害剤は、以下の式Iの化合物を含み、
Aは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキチオ(alkythio)、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、フェニル、および複素環基からなる群から選択される1〜4個の置換基で任意に置換される、フェニルまたは複素環式基であり、
Bは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、C1−C4アルコキシカルボニル、およびフェニルから選択される1〜3個の置換基で任意に置換される、フェニルであり、
Yは、直鎖である−CO−を含む部分であり、環Bの重心(W1)と、環Aの重心(W2)と、当該部分Yにおける水素結合受容体としての酸素原子(W3)との間の距離は、それぞれ、W1−W2=約6.0Å、W1−W3=約3.0Å〜約6.0Å、およびW2−W3=約4.0Å〜約8.0Åであり、
Zは、結合またはC1−C4アルキレン、−O−、−S−、−NH−、−CO−、−CS−、−SO−、または−SO2−であり、
R1およびR2は、独立して、水素またはC1−C4アルキルであり、
R3は、水素またはC1−C4アルキルであり、
R4は、水素または−NH2であり、
X1、X2、X3またはX4のうちの1つは、ハロゲン、−OH、−NH2、−NO2、−CN、−COOH、C1−C4アルキル、C1−C4アルコキシ、C1−C4アミノアルキル、C1−C4アルキルアミノ、C2−C4アシル、C2−C4アシルアミノ、C1−C4アルキルチオ、C1−C4ペルフルオロアルキル、C1−C4ペルフルオロアルキルオキシ、またはハロゲンもしくはC1−C4アルキルで任意に置換されるC1−C4アルコキシカルボニルであるが、X1、X2、X3、またはX4の他のものは、独立して、水素であり、
ただし、R4が水素である場合、X1、X2、X3、またはX4の1つは、−NH2、アミノアルキル基、またはアルキルアミノ基である、請求項69〜76に記載の方法。 - 前記HDAC阻害剤は、N−(2−アミノ−4−フルオロフェニル)−4−[[[(2E)−1−オキソ−3−(3−ピリジニル)−2−プロペン−1−イル]アミノ]メチル]ベンズアミドである、請求項77に記載の方法。
- 前記HDAC阻害剤は、ボリノスタット、ロミデプシン、パノビノスタット、ベリノスタット、エンチノスタット、モセチノスタット、ジビノスタット、プラクチノスタット、キシノスタット、アベキシノスタット、chr−3996、およびAR−42からなる群のうちの1つ以上から選択される、請求項69〜76に記載の方法。
- 治療される前記がんは、前立腺、皮膚、卵巣癌;心臓、胎盤、骨格筋、および肺を含む非リンパ様実質性臓器の癌;乳癌;マントル細胞リンパ腫、非ホジキンB細胞リンパ腫、PTCL、腺腫、扁平上皮癌、喉頭癌、唾液癌、胸腺腫、および胸腺癌などの種々のリンパ腫を含む頭頸部癌;白血病;網膜の癌;食道の癌;多発性骨髄腫;メラノーマ;結腸直腸癌;肺癌;子宮頸癌;子宮内膜癌;胆嚢癌;肝臓癌;甲状腺濾胞癌;胃癌;非小細胞肺癌;神経膠腫;尿路上皮癌;膀胱癌;前立腺癌;腎細胞癌;浸潤性腺管癌;ならびに多形性膠芽腫のうちの1つ以上である、請求項69〜80に記載の方法。
- 対象における原発性腫瘍の転移を低減するための方法であって、治療有効量の、ヒストンデアセチラーゼ阻害剤およびPD−1阻害剤の組み合わせを投与することを含む、方法。
- 対象における原発性腫瘍の転移を低減するための方法であって、治療を必要とする前記対象に、治療有効量の請求項1〜26のいずれか1項に記載の組み合わせを投与することを含む、方法。
- 前記原発性腫瘍の前記治療が、放射線、外科手術、化学療法、免疫療法、標的療法、ホルモン療法、幹細胞移植、凍結療法、レーザー療法、および精密医療からなる群の1つ以上を含む、請求項82または83に記載の方法。
- 前記組み合わせは、前記原発性腫瘍の治療前に、同時に、その後に、または3つ全ての組み合わせで投与される、請求項84に記載の方法。
- 前記組み合わせの投与前に、前記HDAC阻害剤は、ある期間中単独で投与される、請求項82〜85のいずれか1項に記載の方法。
- 減少した転移が、副腎、脳、脊髄、骨、肺、肝臓、および/または胸膜、胃腸管、腹膜、筋肉、リンパ節、および皮膚のうちの1つ以上への転移である、請求項82〜86のいずれか1項に記載の方法。
- 前記原発性腫瘍は、乳房、肺、肝臓、膀胱、皮膚、脳、腸、結腸、腎臓、卵巣、膵臓、前立腺、胃、甲状腺、頭頸部、胃管、結合組織または他の非上皮性組織、骨髄性細胞、リンパ細胞、または子宮のがんである、請求項82〜87のいずれか1項に記載の方法。
- 前記原発性腫瘍は、進行性転移性乳癌である乳癌である、請求項88に記載の方法。
- 前記乳癌は、三重陰性である、請求項89に記載の方法。
- 治療は、E−セレクチン阻害剤、またはプレリキサホル、またはE−セレクチン阻害剤とプレリキサホルの組み合わせで前記対象を治療することをさらに含む、請求項89または90に記載の方法。
- 前記E−セレクチン阻害剤、または前記プレリキサホル、またはE−セレクチン阻害剤とプレリキサホルの前記組み合わせは、前記HDACiおよびPD−1の組み合わせより前に、同時に、またはその後に、または3つ全ての組み合わせで与えられる、請求項91に記載の方法。
- 治療は、αvインターグリン阻害剤、またはエタラシズマブ、インテツムマブ、もしくはアビツズマブを含む群からの抗体、またはαvインターグリン阻害剤と、エタラシズマブ、エタラシズマブ、インテツムマブ、もしくはアビツズマブを含む群からの抗体との組み合わせで前記対象を治療することをさらに含む、請求項89または90に記載の方法。
- 前記αvインターグリン阻害剤、またはエタラシズマブ、エタラシズマブ、インテツムマブ、もしくはアビツズマブを含む群からの前記抗体、またはE−セレクチン阻害剤と、エタラシズマブ、エタラシズマブ、インテツムマブ、もしくはアビツズマブの前記組み合わせは、HDACiおよびPD−1の組み合わせより前、同時に、またはその後に、または3つ全ての組み合わせで与えられる、請求項93に記載の方法。
- 治療は、前記対象をマトリックスメタロプロテイナーゼ阻害剤で治療することをさらに含む、請求項89または90に記載の方法。
- 前記マトリックスメタロプロテイナーゼ阻害剤は、HDACiおよびPD−1の組み合わせより前に、同時に、またはその後に、または3つ全ての組み合わせで与えられる、請求項92に記載の方法。
- 前記HDAC阻害剤は、ボリノスタット、ロミデプシン、パノビノスタット、ベリノスタット、エンチノスタット、モセチノスタット、ジビノスタット、プラクチノスタット、キシノスタット、アベキシノスタット、chr−3996、およびAR−42を含む群のうちの1つ以上から選択される、請求項82に記載の方法。
- 対象における原発性または二次性のがんを治療するための方法であって、(i)がん細胞の数の減少、(ii)腫瘍体積の減少、(iii)腫瘍退行率の増加、(iv)末梢器官へのがん細胞の浸潤の減少または減速、(v)腫瘍転移の減少または減速、(vi)腫瘍増殖の減少または阻害、(vii)がんの発生および/もしくは再発の予防または遅延、ならびに/または疾患もしくは腫瘍がない生存期間の延長、(viii)全生存期間の増加、(ix)治療頻度の減少、(x)がん負荷の軽減、ならびに(XI)前記がんに関連する症状のうちの1つ以上の軽減、のうちの1つ以上の結果が生じ、治療有効量の請求項1〜24のいずれか1項に記載の組み合わせを、治療を必要とする前記対象に投与することを含む、方法。
- 前記組み合わせは、前記原発性腫瘍の治療より前、同時に、その後に、または前記原発性腫瘍の治療より前、同時、およびその後の組み合わせで投与される、請求項98に記載の方法。
- 前記原発性腫瘍の治療は、放射線、外科手術、化学療法、免疫療法、標的療法、ホルモン療法、幹細胞移植、凍結療法、レーザー療法、および精密医療からなる群のうちの1つ以上を含む、請求項98に記載の方法。
- 前記組み合わせの投与前に、前記HDAC阻害剤は、単一の薬剤として一定期間投与される、請求項98〜100のいずれか1項に記載の方法。
- 前記原発性腫瘍は、乳房、肺、膀胱、皮膚、腸、結腸、腎臓、肝臓、脳、卵巣、膵臓、前立腺、胃、甲状腺、頭頸部、胃管、結合組織または他の非上皮性組織、骨髄性細胞、リンパ細胞、および子宮のがんである、請求項98〜101のいずれか1項に記載の方法。
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US20200172621A1 (en) | 2020-06-04 |
WO2017197153A1 (en) | 2017-11-16 |
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AU2017263478A1 (en) | 2018-11-29 |
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BR112018073329A2 (pt) | 2019-02-26 |
JP2022017296A (ja) | 2022-01-25 |
US10287353B2 (en) | 2019-05-14 |
KR102469268B1 (ko) | 2022-11-22 |
TWI808055B (zh) | 2023-07-11 |
JP7013387B2 (ja) | 2022-01-31 |
US20180355042A1 (en) | 2018-12-13 |
US10385130B2 (en) | 2019-08-20 |
TW201740943A (zh) | 2017-12-01 |
MX2018013591A (es) | 2019-11-07 |
JP7190549B2 (ja) | 2022-12-15 |
IL262814B1 (en) | 2023-09-01 |
IL262814A (en) | 2018-12-31 |
KR20190022521A (ko) | 2019-03-06 |
MA44991A (fr) | 2019-03-20 |
CA3023549A1 (en) | 2017-11-16 |
CN109562177A (zh) | 2019-04-02 |
EP3454844A1 (en) | 2019-03-20 |
MX2022001834A (es) | 2022-03-17 |
IL262814B2 (en) | 2024-01-01 |
KR20220123743A (ko) | 2022-09-08 |
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