JP2021050209A - 7−ベンジル−4−(2−メチルベンジル)−2,4,6,7,8,9−ヘキサヒドロイミダゾ[1,2−a]ピリド[3,4−e]ピリミジン−5(1h)−オン、その類似体、およびこれらの塩ならびに治療におけるこれらの使用方法 - Google Patents
7−ベンジル−4−(2−メチルベンジル)−2,4,6,7,8,9−ヘキサヒドロイミダゾ[1,2−a]ピリド[3,4−e]ピリミジン−5(1h)−オン、その類似体、およびこれらの塩ならびに治療におけるこれらの使用方法 Download PDFInfo
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- ZNRGQMMCGHDTEI-ITGUQSILSA-N tropisetron Chemical compound C1=CC=C2C(C(=O)O[C@H]3C[C@H]4CC[C@@H](C3)N4C)=CNC2=C1 ZNRGQMMCGHDTEI-ITGUQSILSA-N 0.000 description 1
- 229960003688 tropisetron Drugs 0.000 description 1
- 239000003744 tubulin modulator Substances 0.000 description 1
- 230000010304 tumor cell viability Effects 0.000 description 1
- 230000004614 tumor growth Effects 0.000 description 1
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 description 1
- 230000005760 tumorsuppression Effects 0.000 description 1
- 229940094060 tykerb Drugs 0.000 description 1
- OUYCCCASQSFEME-UHFFFAOYSA-N tyrosine Natural products OC(=O)C(N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-UHFFFAOYSA-N 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- KDQAABAKXDWYSZ-PNYVAJAMSA-N vinblastine sulfate Chemical compound OS(O)(=O)=O.C([C@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 KDQAABAKXDWYSZ-PNYVAJAMSA-N 0.000 description 1
- 229960004982 vinblastine sulfate Drugs 0.000 description 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 230000009385 viral infection Effects 0.000 description 1
- YEIGUXGHHKAURB-UHFFFAOYSA-N viridine Natural products O=C1C2=C3CCC(=O)C3=CC=C2C2(C)C(O)C(OC)C(=O)C3=COC1=C23 YEIGUXGHHKAURB-UHFFFAOYSA-N 0.000 description 1
- 229960004449 vismodegib Drugs 0.000 description 1
- BPQMGSKTAYIVFO-UHFFFAOYSA-N vismodegib Chemical compound ClC1=CC(S(=O)(=O)C)=CC=C1C(=O)NC1=CC=C(Cl)C(C=2N=CC=CC=2)=C1 BPQMGSKTAYIVFO-UHFFFAOYSA-N 0.000 description 1
- 235000019165 vitamin E Nutrition 0.000 description 1
- 229940046009 vitamin E Drugs 0.000 description 1
- 239000011709 vitamin E Substances 0.000 description 1
- 208000030401 vitamin deficiency disease Diseases 0.000 description 1
- 230000003442 weekly effect Effects 0.000 description 1
- 229950005752 zosuquidar Drugs 0.000 description 1
- 239000002076 α-tocopherol Substances 0.000 description 1
- 235000004835 α-tocopherol Nutrition 0.000 description 1
- OENHQHLEOONYIE-JLTXGRSLSA-N β-Carotene Chemical compound CC=1CCCC(C)(C)C=1\C=C\C(\C)=C\C=C\C(\C)=C\C=C\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C OENHQHLEOONYIE-JLTXGRSLSA-N 0.000 description 1
- QUEDXNHFTDJVIY-UHFFFAOYSA-N γ-tocopherol Chemical class OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1 QUEDXNHFTDJVIY-UHFFFAOYSA-N 0.000 description 1
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Abstract
Description
RmおよびRnは、水素またはC1−C4アルキルから独立して選択され、
pは2〜20の整数であり、
Xはハロゲンである。
R2は上記で定義した通りであり、
Rb1、Rb2、Rb3、Rb4、およびRb5は、水素、X、−CH3、−NO2、−OCH3、−CN、−CXH2、−CX2H、C2−C4アルキル、−CX3、−CH2(CX3)、−CH(CX3)2、−C(CX3)3、−CpX2p+1、−OCX3、−OCpH2p+1、−OCpX2p+1、ORm、SRm、NRmRn、NRmC(O)Rn、SORm、SO2Rm、C(O)Rm、およびC(O)ORmからなる群からそれぞれ独立して選択され、
RmおよびRnは、水素またはC1−C4アルキルから独立して選択され、
pは2〜20の整数であり、
Xはハロゲンである。
R1は上記で定義した通りであり、
Ra1、Ra2、Ra3、Ra4、およびRa5は、水素、X、−CH3、−NO2、−OCH3、−CN、−CXH2、−CX2H、C2−C4アルキル、−CX3、−CH2(CX3)、−CH(CX3)2、−C(CX3)3、−CpX2p+1、−OCX3、−OCpH2p+1、−OCpX2p+1、ORm、SRm、NRmRn、NRmC(O)Rn、SORm、SO2Rm、C(O)Rm、およびC(O)ORmからなる群からそれぞれ独立して選択され、
RmおよびRnは、水素またはC1−C4アルキルから独立して選択され、
pは2〜20の整数であり、
Xはハロゲンである。
R1は上記で定義した通りであり、
Rbは、X、−NO2、−OCH3、−CN、−CXH2、−CX2H、C2−C4アルキル、−CX3、−CH2(CX3)、−CH(CX3)2、−C(CX3)3、−CpX2p+1、−OCX3、−OCpH2p+1、−OCpX2p+1、ORm、SRm、NRmRn、NRmC(O)Rn、SORm、SO2Rm、C(O)Rm、およびC(O)ORmからなる群から選択され、
Ra1、Ra2、Ra4、およびRa5は、水素、X、−CH3、−NO2、−OCH3、−CN、−CXH2、−CX2H、C2−C4アルキル、−CX3、−CH2(CX3)、−CH(CX3)2、−C(CX3)3、−CpX2p+1、−OCX3、−OCpH2p+1、−OCpX2p+1、ORm、SRm、NRmRn、NRmC(O)Rn、SORm、SO2Rm、C(O)Rm、およびC(O)ORmからなる群からそれぞれ独立して選択され、
RmおよびRnは、水素またはC1−C4アルキルから独立して選択され、
pは2〜20の整数であり、
Xはハロゲンである。
Ra1、Ra2、Ra3、Ra4、Ra5、Rb1、Rb2、Rb3、Rb4、およびRb5は、水素、X、−CH3、−NO2、−OCH3、−CN、−CXH2、−CX2H、C2−C4アルキル、−CX3、−CH2(CX3)、−CH(CX3)2、−C(CX3)3、−CpX2p+1、−OCX3、−OCpH2p+1、−OCpX2p+1、ORm、SRm、NRmRn、NRmC(O)Rn、SORm、SO2Rm、C(O)Rm、およびC(O)ORmからなる群からそれぞれ独立して選択され、
RmおよびRnは、水素またはC1−C4アルキルから独立して選択され、
pは2〜20の整数であり、
Xはハロゲンである。
(i)化学式(10)の化合物またはその薬学的に許容可能な塩を含む第1の治療薬を対象に投与すること、
(ii)対象への第1の治療薬の投与後、所定の待機時間が経過するまで待つこと、および
(iii)対象に第2の治療薬を投与することを含み、所定の待機時間は、第1の治療薬と第2の治療薬の起こり得る複合毒性効果のリスクが増加することなくまたはそのリスクを減少させて、第1の治療薬の遅延治療効果が得られるように選択される。
(i)化学式(10)の化合物またはその薬学的に許容可能な塩を含む第1の治療薬を対象に投与すること、
(ii)薬物動態学的プロファイリングを用いて、対象の、化学式(10)の化合物もしくはその塩またはその代謝物のレベルを監視すること、および
(iii)対象における第1の治療薬のレベルに応じて第2の治療薬を投与すること、を含む。
(i)化学式(10)の化合物またはその薬学的に許容可能な塩を含む第1の治療薬を対象に投与すること、
(ii)治療を受けている対象の化学式(10)の化合物の予測半減期に応じて第2の治療薬を投与すること、を含む。
(i)化合物(1)の類似体(例えば、化学式(10)の化合物)またはその薬学的に許容可能な塩を含む第1の治療薬を対象に投与すること、および
(ii)解消したかまたは解消しつつある第1の治療薬による有害事象に応じて第2の治療薬を投与すること、を含む。いくつかの実施形態では、第1の治療薬の有害事象は、治療を受けている対象の、その薬物またはその代謝物の血中レベルに関連している。
eIF2−アルファ、ATF4、CHOP、DR5、または切断または完全サイトケラチン18の発現、翻訳後修飾、もしくは活性レベルまたはそれらの変異の測定を行うことにより、本開示の治療方法に対する応答または感受性を予測し、化合物(1)、その薬学的に許容可能な塩、またはその類似体による治療などの本開示の治療方法に対し応答する可能性の高い対象を特定し得る。さらに、eIF2−アルファ、ATF4、CHOP、DR5、または切断または完全サイトケラチン18の発現、翻訳後修飾、もしくは活性レベルまたはそれらの変異の測定を行うことにより、本開示の治療方法の有効性を評価または該方法を監視することができる。さらに、eIF2−アルファ、ATF4、CHOP、DR5、または切断または完全サイトケラチン18の発現、翻訳後修飾、もしくは活性レベルまたはそれらの変異の測定を行うことにより、構造上無関係の抗癌化合物に対するインビボ、インビトロ、またはインシリコ選別が可能となる。例えば、当該技術分野において既知の競合およびその他のアッセイを使って、より高い親和性を有する標的相互作用に打ち勝つことができる薬物を特定し、化合物(1)またはその類似体により引き起こされたそれぞれの変化に対するそれらのレベルの変化を比較することができる。アッセイはまた、生きている哺乳動物細胞に対し実施することもでき、これにより、身体中の特定の血清レベルの薬物の効果、または培養細胞株から調製されたマイクロソーム抽出物に対する効果にさらに近づく。
リン、ミノドロン酸、マイトマイシン、ミボブリン、MK−2206、MK−0646(ダロツズマブ)、MLN518、モテキサフィンガドリニウム、MS−209、MS−275、MX6、ネリドロネート、ネラチニブ、ネクサバール、ネオバスタット、ニロチニブ、ニメスリド、ニトログリセリン、ノラトレキセド、ノレリン、N−アセチルシステイン、06−ベンジルグアニン、オブリメルセン、オメプラゾール、オンコファージ、オンコVEXGM−CSF、オルミプラチン(ormiplatin)、オルタタキセル、OX44抗体、OSI−027、OSI−906(リンシチニブ)、4−IBB抗体、オキサトラゾール、エストロゲン、パニツムマブ、パツピロン(patupilone)、ペグフィルグラスチム、PCK−3145、ペグフィルグラスチム、PBI−1402、PBI−05204、PDO325901、PD−1抗体、PEG−パクリタキセル、アルブミン安定化パクリタキセル、PEP−005、PF−05197281、PF−05212384、PF−04691502、PHT−427、P−04、PKC412、P54、PI−88、ペリチニブ、ペメトレキセド、ペントリクス(pentrix)、ペリホシン、ペリリルアルコール、ペルツズマブ、PI3K阻害剤、PI3K/mTOR阻害剤、PG−TXL、PG2、PLX−4032/RO−5185426(ベムラフェニブ)、PLX−3603/RO−5212054、PT−100、PWT−33597、PX−866、ピコプラチン、ピバロイルオキシメチルブチレート(pivaloyloxymethylbutyrate)、ピクサントロン、フェノキソジオールO、PKI166、プレビトレキセド、プリカマイシン、ポリプレン酸、ポルフィロマイシン、プレドニゾン、プレドニゾロン、キナメド、キヌプリスチン、R115777、RAF−265、ラモセトロン、ランピルナーゼ、RDEA−119/BAY 869766、RDEA436、レベッカマイシン類似体、受容体チロシンキナーゼ(RTK)阻害剤、レビミッド、RG−7167、RG−7304、RG−7421、RG−7321、RG 7440、リゾキシン、rhu−MAb、リンファベート、リセドロネート、リツキシマブ、ロバツムマブ、ロフェコキシブ、RO−31−7453、RO−5126766、RO−5068760、RPR 109881A、ルビダゾン、ルビテカン、R−フルルビプロフェン、RX−0201、S−9788、サバルビシン、SAHA、サルグラモスチム、サトラプラチン、SB 408075、Se−015/Ve−015、SU5416、SU6668、SDX−101、セムスチン、セオカルシトール、SM−11355、SN−38、SN−4071、SR−27897、SR−31747、SR−13668、SRL−172、ソラフェニブ、スピロプラチン、スクアラミン、スベラニロヒドロキサミン酸(suberanilohydroxamic acid)、ステント、T 900607、T 138067、TAK−733、TAS−103、タセジナリン、タラポルフィン、タルセバ、タリキダル(tariquitar)、タシスラム(tasisulam)、タキソテール、タクサオプレキシン、タザロテン、テガフール、テモゾラミド、テスミリフェン、テストステロン、プロピオン酸テストステロン、テスミリフェン、テトラプラチン、テトロドトキシン、テザシタビン、サリドマイド、テラルクス(theralux)、テラルビシン、チマルファシン、チメクタシン、チアゾフリン、チピファルニブ、チラパザミン、トクラデシン、トムデックス、トレモフィン、トラベクテジン、トランスMID−107、トランスレチン酸、トラスツズマブ、トレメリムマブ、トレチノイン、トリアセチルウリジン、トリアピン、トリシリビン、トリメトレキサート、TLK−286TXD 258、タイケルブ/タイバーブ、ウロシジン、バルルビシン、バタラニブ、ビンクリスチン、ビンフルニン、ビルリジン、WX−UK1、WX−554、ベクティビックス、ゼローダ、XELOX、XL−147、XL−228、XL−281、XL−518/R−7420/GDC−0973、XL−765、YM−511、YM−598、ZD−4190、ZD−6474、ZD−4054、ZD−0473、ZD−6126、ZD−9331、ZD1839、ZSTK−474、ゾレドロネート、ゾスキダル、およびそれらの組み合わせからなる群から選択される1種または複数の治療薬を含む。
本開示の組成物および方法は、癌(例えば、大腸癌、脳癌、および神経膠芽腫)を含む多くの病状の治療に有用である。一実施形態では、本開示の組成物および方法は、眼の黒色腫、線維形成円形細胞腫瘍、軟骨肉腫、軟膜疾患、びまん性大細胞型B細胞リンパ腫、急性リンパ性白血病、急性骨髄性白血病、副腎皮質癌、エイズ関連癌、エイズ関連リンパ腫、肛門癌または直腸癌、虫垂癌、星細胞腫、および非定型奇形腫様/ラブドイド腫瘍などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、基底細胞癌、基底細胞母斑症候群、ゴーリン−母斑症候群、胆管癌、膀胱癌、骨癌、骨肉腫および悪性線維性組織球腫、脳腫瘍、乳癌、気管支腫瘍、バーキットリンパ腫、および脊髄腫瘍などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、カルチノイド腫瘍、未知の原発性の中枢神経系非定型奇形腫様/ラブドイド腫瘍、軟膜疾患、中枢神経系胚芽腫、中枢神経系リンパ腫、子宮頸癌、脊索腫、慢性リンパ性白血病、慢性骨髄性白血病、慢性骨髄増殖性障害、結腸癌、結腸直腸癌、頭蓋咽頭腫、および皮膚T細胞リンパ腫(セザリー症候群および菌状息肉腫(MF)を含むが、これらに限定されない)などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、中枢神経系胚芽腫、子宮内膜癌、上衣芽細胞腫、上衣腫、食道癌、ユーイング肉腫腫瘍ファミリー、頭蓋外胚細胞腫瘍、性腺外胚細胞腫瘍、肝外胆管癌、および眼の癌などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、胆嚢癌、胃癌(Gastric(Stomach) Cancer)、消化管カルチノイド腫瘍、消化管間質腫瘍(GIST)、胚細胞腫瘍、妊娠性絨毛腫瘍、および神経膠腫などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、ヘアリー細胞白血病、頭頸部癌、肝細胞(肝臓)癌、組織球症、ホジキンリンパ腫、および下咽頭癌からなる群から選択される癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、カポジ肉腫、および腎臓(腎細胞)癌などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、ランゲルハンス細胞組織球症、喉頭癌、口唇および口腔癌、肝癌、肺癌、非ホジキンリンパ腫、および原発性中枢神経系リンパ腫などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、ワルデンシュトレームマクログロブリン血症(リンパ形質細胞性リンパ腫)、骨の悪性線維性組織球腫および骨肉腫、髄芽腫、髄様上皮腫、メラノーマ、メルケル細胞癌、中皮腫、原発不明転移性扁平上皮頸部癌、多発性内分泌腫瘍症候群、口癌、多発性骨髄腫/形質細胞新生物、菌状息肉腫、骨髄異形成症候群、骨髄異形成/骨髄増殖性腫瘍、多発性骨髄腫、および骨髄増殖性疾患などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、鼻腔癌および副鼻腔癌、上咽頭癌、および神経芽細胞腫などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、口腔癌、口唇および口腔癌、口腔咽頭癌、骨肉腫および骨の悪性線維性組織球腫、卵巣癌、卵巣胚細胞腫瘍、卵巣上皮癌、および卵巣低悪性度腫瘍などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、膵臓癌、乳頭腫症、副鼻腔癌および鼻腔癌、副甲状腺癌、陰茎癌、咽頭癌、中間分化型松果体実質腫瘍および松果体芽細胞腫、テント上原始神経外胚葉腫瘍、下垂体腫瘍、胸膜肺芽、妊娠中の癌および乳癌、原発性中枢神経系リンパ腫、ならびに前立腺癌などの疾患を治療するために使用される。一実施形態では、本開示の組成物および方法は、直腸癌、腎細胞(腎臓)癌、腎盂および尿管、染色体15上のNUT遺伝子が関与する気道癌、網膜芽細胞腫、および横紋筋肉腫からなる群から選択される癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、高悪性度の前立腺癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、中悪性度の前立腺癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、低悪性度の前立腺癌を治療するために使用される。一実施形態では、本開示の組成物および方法は、去勢抵抗性前立腺癌を治療するために使用される。
グフィルグラスチム、PBI−1402、PBI−05204、PDO325901、PD−1抗体、PEG−パクリタキセル、アルブミン安定化パクリタキセル、PEP−005、PF−05197281、PF−05212384、PF−04691502、PHT−427、P−04、PKC412、P54、PI−88、ペリチニブ、ペメトレキセド、ペントリクス(pentrix)、ペリホシン、ペリリルアルコール、ペルツズマブ、PI3K阻害剤、PI3K/mTOR阻害剤、PG−TXL、PG2、PLX−4032/RO−5185426(ベムラフェニブ)、PLX−3603/RO−5212054、PT−100、PWT−33597、PX−866、ピコプラチン、ピバロイルオキシメチルブチレート(pivaloyloxymethylbutyrate)、ピクサントロン、フェノキソジオールO、PKI166、プレビトレキセド、プリカマイシン、ポリプレン酸、ポルフィロマイシン、プレドニゾン、プレドニゾロン、キナメド、キヌプリスチン、R115777、RAF−265、ラモセトロン、ランピルナーゼ、RDEA−119/BAY 869766、RDEA436、レベッカマイシン類似体、受容体チロシンキナーゼ(RTK)阻害剤、レビミッド、RG−7167、RG−7304、RG−7421、RG−7321、RG 7440、リゾキシン、rhu−MAb、リンファベート、リセドロネート、リツキシマブ、ロバツムマブ、ロフェコキシブ、RO−31−7453、RO−5126766、RO−5068760、RPR 109881A、ルビダゾン、ルビテカン、R−フルルビプロフェン、RX−0201、S−9788、サバルビシン、SAHA、サルグラモスチム、サトラプラチン、SB 408075、Se−015/Ve−015、SU5416、SU6668、SDX−101、セムスチン、セオカルシトール、SM−11355、SN−38、SN−4071、SR−27897、SR−31747、SR−13668、SRL−172、ソラフェニブ、スピロプラチン、スクアラミン、スベラニロヒドロキサミン酸(suberanilohydroxamic acid)、ステント、T 900607、T 138067、TAK−733、TAS−103、タセジナリン、タラポルフィン、タルセバ、タリキダル(tariquitar)、タシスラム(tasisulam)、タキソテール、タクサオプレキシン、タザロテン、テガフール、テモゾラミド、テスミリフェン、テストステロン、プロピオン酸テストステロン、テスミリフェン、テトラプラチン、テトロドトキシン、テザシタビン、サリドマイド、テラルクス(theralux)、テラルビシン、チマルファシン、チメクタシン、チアゾフリン、チピファルニブ、チラパザミン、トクラデシン、トムデックス、トレモフィン、トラベクテジン、トランスMID−107、トランスレチン酸、トラスツズマブ、トレメリムマブ、トレチノイン、トリアセチルウリジン、トリアピン、トリシリビン、トリメトレキサート、TLK−286TXD 258、タイケルブ/タイバーブ、ウロシジン、バルルビシン、バタラニブ、ビンクリスチン、ビンフルニン、ビルリジン、WX−UK1、WX−554、ベクティビックス、ゼローダ、XELOX、XL−147、XL−228、XL−281、XL−518/R−7420/GDC−0973、XL−765、YM−511、YM−598、ZD−4190、ZD−6474、ZD−4054、ZD−0473、ZD−6126、ZD−9331、ZD1839、ZSTK−474、ゾレドロネート、ゾスキダル、およびそれらの組み合わせから選択される。
(i)第1の治療薬を対象に投与すること、
(ii)対象への第1の治療薬の投与の時間後に所定の待機時間が経過するまで、および/または有害事象が解消されるかもしくは解消中まで待つこと、および
(iii)対象に第2の治療薬を投与することを含み、第1の治療薬と第2の治療薬の起こり得る複合毒性効果のリスクを増加させることなく第1の治療薬の遅延治療効果を得るように、該所定の待機時間が選択される。治療方法のいくつかの実施形態では、所定の待機時間は、第1の治療薬の化合物またはその代謝物のクリアランス速度に基づいて決定される。治療方法のいくつかの実施形態では、所定の待機時間は、腎機能および腎臓パラメータの定量的評価により決定される。治療方法のいくつかの実施形態では、所定の待機時間は、腎機能の測定のためのアッセイにより決定され、該アッセイは、第1の治療薬の化合物またはその代謝物の血清レベル、第1の治療薬の化合物またはその代謝物のクリアランス速度、第1の治療薬の化合物またはその代謝物の24時間の尿クリアランスからなる群から選択される。
(i)化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む第1の治療薬を対象に投与すること、
(ii)薬物動態学的プロファイリングを使用して対象の第1の治療薬の化合物またはその代謝物のレベルを監視すること、および
(iii)対象の第1の治療薬のレベルに応じて、第2の治療薬を投与すること、を含む。方法のいくつかの実施形態では、監視ステップは、薬物動態学的プロファイルを構築するのに適する時点で対象から取得される複数の試料中の第1の治療薬の化合物またはその代謝物の濃度を用いて、対象に関する第1の治療薬の化合物またはその代謝物の薬物動態プロファイルを構築することを含む。方法のいくつかの実施形態では、少なくとも2種類の試料が、ポイント・オブ・ケア装置もしくはポイント・オブ・ユース装置での、または検査室での化合物またはその代謝物の定量化前の試料保管に適するマトリックス上への、試料採取または自己試料採取により、ポイント・オブ・ケアまたはポイント・オブ・ユース方化学式で収集される。方法のいくつかの実施形態では、ポイント・オブ・ケア装置またはポイント・オブ・ユース装置のそれぞれは、化合物またはその代謝物を定量できる。方法のいくつかの実施形態では、薬物動態プロファイルは、対象のための化合物またはその塩の投与を導くのに適する薬物動態パラメータを含む。方法のいくつかの実施形態では、2〜12種の試料由来の試料を含む。方法のいくつかの実施形態では、試料は、8時間、24時間、48時間、または72時間までの期間にわたって収集される。方法のいくつかの実施形態では、薬物動態パラメータは、AUC、AUCinf、Tmax、Cmax、閾値を超える時間、定常状態濃度、吸収速度、クリアランス速度、分配速度、終末相半減期またはノンコンパートメント薬物動態(PK)解析もしくは生理学的モデルベースコンパートメントPK解析を含むコンパートメントPK解析から導き出されるパラメータからなる群から選択される、少なくとも1つのパラメータを含む。方法のいくつかの実施形態では、治療方法は、対象の薬物動態プロファイルを含むレポートを生成することをさらに含む。方法のいくつかの実施形態では、レポートは、対象の薬物動態プロファイルに基づく投薬に関する推奨を含む。方法のいくつかの実施形態では、1種または複数の薬物動態パラメータに基づいて、化合物(1)、その類似体、またはそれらの薬学的に許容可能な塩の投与量の低減化が、毒性リスクを減少させるために指示される。方法のいくつかの実施形態では、化合物またはその塩の投与量の低減化が閾値を超える時間に基づいて指示され、閾値は、それを超えると毒性が生じる薬物濃度、または薬物動態プロファイルを適切に記述するためのAUC、AUCinf、平均滞留時間(MRT)、薬物動態プロファイルを規定する指数、定常状態での分布容積(Vss)、終末相の分布容積(Vz)もしくは薬物動態学的変数群の組み合わせの内の1種または複数である。方法のいくつかの実施形態では、1種または複数の薬物動態パラメータに基づいて、有効性を増加させるように化合物またはその塩の用量調節が指示される。方法のいくつかの実施形態では、薬物動態プロファイルを適切に記述するためのAUC、AUCinf、MRT、薬物動態プロファイルを規定する指数、定常状態での分布容積(Vss)、終末相の分布容積(Vz)または薬物動態学的変数群の組み合わせの内の1種または複数に基づいて、化合物またはその塩の投与量の増加が指示される。方法のいくつかの実施形態では、化合物またはその塩の用量は、所望の目標値の5%〜25%以内に調整される。方法のいくつかの実施形態では、それぞれの試料が、化合物またはその代謝物の濃度を決定するためのポイント・オブ・ケア装置またはポイント・オブ・ユース装置に適用され、該ポイント・オブ・ケア装置またはポイント・オブ・ユース装置は、1種または複数の試料の側方流動ストリップへの適用が試料中の薬物の画分を側方流動ストリップの成分と結合させ、適用される試料中の薬物濃度に比例する検出可能なシグナルを生成するような構造および組成を有する、側方流動ストリップを含む。方法のいくつかの実施形態では、検査室での定量化前に、試料の保管に適するマトリックスに試料が適用される。方法のいくつかの実施形態では、試料は、乾燥血斑として保管される。方法のいくつかの実施形態では、薬物濃度は、ELISA、LC MS MS、LC UVまたはLCMSにより測定される。方法のいくつかの実施形態では、薬物動態パラメータには、定常状態濃度、吸収、および終末相半減期の内の少なくとも1つが含まれる。方法のいくつかの実施形態では、少なくとも1種の試料は全血である。
一態様では、本開示により提供されるのは、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩の、このような治療を必要とする対象への投与が、他の治療法の投与によって補われる、集学的療法である。一実施形態では、集学的療法は、放射線療法と併用して、または放射線が有効ではなかったと判定された後に、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物を対象に投与することを含む。一実施形態では、集学的療法は、放射線療法と併用して、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物を対象に投与することを含み、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物および放射線療法は、同時に、または任意の順序で逐次投与される。一実施形態では、集学的療法は、放射線療法と併用して、逐次配列形化学式で、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物を対象に投与することを含む。一実施形態では、集学的療法は、放射線療法と同時に、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物を、このような治療を必要とする対象に投与することを含む。一実施形態では、集学的療法は、癌の治療のために使用される。一実施形態では、集学的療法は、化学式(1)もしくは化学式(10)の化合物、それらの類似体、またはそれらの薬学的に許容可能な塩を含む医薬組成物を、このような治療を必要とする癌の対象に投与すること、および癌細胞に放射線ビームを照射すること、を含む。一実施形態では、集学的療法は、癌の対象に処方される線量体積ヒストグラム(DVH)を供給するために原体照射法(CRT)の技術を使用する。一実施形態では、集学的療法は、癌細胞に放射線を供給するために強度変調放射線治療(IMRT)技術を使用する。一実施形態では、集学的療法は、治療中に対象中の腫瘍の動きを補償する技術を使用する(例えば、放射線の用量が、患者が呼吸するのにつれて移動する胸部腫瘍に投与されなければならない場合)。例えば、集学的療法は、呼吸サイクルにわたって腫瘍の動きを補償するために、4次元コンピュータ断層撮影法(4D CT)スキャン技術を使用して供給される放射線場を調整する。
一態様では、本開示により提供されるのは、化合物(1)の類似体および関連塩ならびにそれらの製造方法である。当業者なら、方法および医薬組成物に関連する原理ならびに概念を含む、化合物(1)、(10)およびそれらの塩と組み合わせて上で記載される同じ一般的な原理および概念が、化合物(1)の誘導体および類似体ならびに塩ならびにそれらの塩に等しく適用されることを理解するであろう。
1)1日目:200mg/kg経口;
2)1日目/4日目:単回用量当たり100mg/kg経口;
3)1日目/2日目:単回用量当たり100mg/kg経口;または
4)1日目:単回用量当たり100mg/kg経口を6時間の間隔を置いて2用量。
投与計画の効力を評価、比較する。
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KR20150114239A (ko) * | 2014-04-01 | 2015-10-12 | 제일모직주식회사 | 내열성 및 착색성이 향상된 열가소성 수지 조성물 |
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JP6802172B2 (ja) * | 2015-01-30 | 2020-12-16 | オンコシューティクス インコーポレイテッドOncoceutics,Inc. | 7−ベンジル−4−(2−メチルベンジル)−2,4,6,7,8,9−ヘキサヒドロイミダゾ[1,2−a]ピリド[3,4−e]ピリミジン−5(1h)−オン、その類似体、およびこれらの塩ならびに治療におけるこれらの使用方法 |
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