JP6294561B2 - 多置換ピリジン化合物、調製方法、用途、および医薬組成物 - Google Patents
多置換ピリジン化合物、調製方法、用途、および医薬組成物 Download PDFInfo
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- WINHZLLDWRZWRT-ATVHPVEESA-N sunitinib Chemical compound CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C WINHZLLDWRZWRT-ATVHPVEESA-N 0.000 description 1
- 239000002511 suppository base Substances 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 238000002626 targeted therapy Methods 0.000 description 1
- 229960000351 terfenadine Drugs 0.000 description 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 238000011287 therapeutic dose Methods 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 1
- 238000011200 topical administration Methods 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 108091008578 transmembrane receptors Proteins 0.000 description 1
- 102000027257 transmembrane receptors Human genes 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 230000005748 tumor development Effects 0.000 description 1
- 229940121358 tyrosine kinase inhibitor Drugs 0.000 description 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 description 1
- 125000001493 tyrosinyl group Chemical group [H]OC1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])C([H])(N([H])[H])C(*)=O 0.000 description 1
- 235000013311 vegetables Nutrition 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 239000003039 volatile agent Substances 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 230000004580 weight loss Effects 0.000 description 1
- 150000003751 zinc Chemical class 0.000 description 1
Images
Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
- A61P35/02—Antineoplastic agents specific for leukemia
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- Organic Chemistry (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Oncology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Pyridine Compounds (AREA)
- Plural Heterocyclic Compounds (AREA)
Description
特に、
X1は式aの置換または非置換の5員ヘテロ芳香族環から選ばれ;
X3はハロゲン、-CN、C1-C4アルキル、ハロゲン化C1-C4アルキル、C1-C4アルコキシル、ハロゲン化C1-C4アルコキシルおよび-NR11R12からなる群から選ばれ、ここで前記R11およびR12はハロゲンおよびC1-C4アルキルからなる群からそれぞれ独立に選ばれる。
2)次の反応式に示すように、触媒としてテトラキス(トリフェニルホスフィン)パラジウムまたはビス(トリフェニルホスフィン)パラジウム(II)=ジクロリドの存在下で式Dの化合物を式Eの化合物と反応させ、式Fの化合物を得ること:
2)次の反応式に示すように、触媒としてテトラキス(トリフェニルホスフィン)パラジウムまたはビス(トリフェニルホスフィン)パラジウム(II)=ジクロリドの存在下で式Wの化合物を式Eの化合物と反応させ、式Jの化合物を得ること:
収率=生成物の重量×原料物質のモル質量/(原料物質の重量×生成物のモル質量)。
FD-2013015:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3−フルオロ-2-(1-メチル-4-ピラゾリル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-3-フルオロ-4-クロロピリジンの合成
1H NMR (300 MHz, CDCl3): 8.14 (d, J = 5.1 Hz, 1H), 7.34 (t, J = 5.1 Hz, 1H)
MS (ESI+): m/z 166.2 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 5.22 (br s, 2H), 6.62 (d, J = 9.0 Hz, 2H), 6.75 (t, J = 5.7 Hz, 1H), 6.92 (d, J = 9.0 Hz, 2H), 8.05 (d, J = 5.7 Hz, 1H)
MS (ESI+): m/z 239.1 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 3.93 (s, 3H), 5.18 (br s, 2H), 6.54 (t, J = 5.7 Hz, 1H), 6.63 (d, J = 8.7 Hz, 2H), 6.91 (d, J = 8.7 Hz, 2H), 7.98 (d, J = 0.6 Hz, 1H), 8.15 (d, J = 5.4 Hz, 1H), 8.29 (d, J = 2.1 Hz, 1H)
MS (ESI+): m/z 285.1 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 3.93 (s, 3H), 6.66 (t, J = 6.0 Hz, 1H), 7.18 (d, J = 9.0 Hz, 2H), 7.56 (d, J = 9.0 Hz, 2H), 7.59-7.63 (m, 2H), 7.98 (s,1H), 8.10(d, J = 1.8 Hz, 1H), 8.20(d, J = 5.4 Hz, 1H), 8.30 (d, J = 1.8 Hz, 1H), 8.98 (s, 1H), 9.18 (s, 1H)
MS (ESI+): m/z 505.8 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 9.32 (s, 1H), 9.12 (s, 1H), 8.39 (d, J = 1.2 Hz, 1H), 8.28 (d, J = 5.7 Hz, 1H), 8.13 (d, J = 2.4 Hz, 1H), 8.06 (s, 1H), 7.72 - 7.56 (m, 4H), 7.51 (d, J = 8.0 Hz, 2H), 7.23 (d, J = 9.0 Hz, 2H), 7.13 (d, J = 8.1 Hz, 2H), 6.77 (t, J = 6.2 Hz, 1H), 3.95 (s, 3H), 2.29 (s, 3H).
FD-2013018:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3−クロロ-2-(1-メチルピラゾ-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2,3-ジクロロ-4-ヨードピリジンの合成
1H NMR (300 MHz, DMSO-d6): 8.08 (d, J = 5.4 Hz, 1H), 8.65 (d, J = 5.4 Hz, 1H)
MS (ESI+): m/z 273.9 [M+H]+
1H NMR (400 MHz, DMSO-d6): δ 5.24(br s, 2H), 6.64 (d, J = 8.8 Hz, 2H), 6.67 (d, J = 5.6 Hz, 1H), 6.90 (d, J = 8.8 Hz, 2H), 8.39 (d, J = 5.6 Hz, 1H)
MS (ESI+): m/z 255.0 [M+H]+
1H NMR (400 MHz, DMSO-d6): δ 3.93 (s, 3H), 5.19 (br s, 2H), 6.46 (d, J = 5.6 Hz, 1H), 6.64 (d, J = 8.8 Hz, 2H), 6.88 (d, J = 8.8 Hz, 2H), 8.11 (s, 1H), 8.27 (d, J = 5.6 Hz, 1H), 8.48 (s, 1H)
MS (ESI+): m/z 301.0 [M+H]+
1H NMR (400 MHz, DMSO-d6): δ 3.94 (s, 3H), 6.56 (d, J = 5.2 Hz, 1H), 7.19 (d, J = 8.8 Hz, 2H), 7.59 (d, J = 8.8 Hz, 2H), 7.61-7.68 (m, 2H), 8.12(s, 1H), 8.13(s, 1H), 8.32(d, J = 5.6 Hz, 1H), 8.51(s, 1H), 9.01 (s, 1H), 9.21 (s, 1H)
MS (ESI+): m/z 522.1 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 9.33 (s, 1H), 9.14 (s, 1H), 8.56 (s, 1H), 8.42 - 8.32 (dd, J = 6.0, 2.4 Hz, 1H), 8.15 (s, 1H), 8.13 (d, J = 2.4 Hz, 1H), 7.71 - 7.58 (m, 4H), 7.50 (d, J = 8.0 Hz, 2H), 7.21 (d, J = 8.7 Hz, 3H), 7.13 (d, J = 7.8 Hz, 2H), 6.71 - 6.60 (m, 1H), 3.95 (s, 3H), 2.29 (s, 3H).
FD-2013024:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3−クロロ-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)-2-フルオロフェニル)尿素
ステップ1:2,3-ジクロロ-4-(4-アミノ-3-フルオロフェノキシ)ピリジンの合成:
1H NMR (300 MHz, DMSO-d6) δ 8.17 (d, J = 5.6 Hz, 1H), 7.16-7.00 (m, 1H), 6.92-6.78 (m, 2H), 6.75 (d, J = 5.6 Hz, 1H), 5.26 (br s, 2H)
MS (ESI+): m/z 272.9 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 8.48 (s, 1H), 8.29 (d, J = 5.5 Hz, 1H), 8.11 (d, J = 0.6 Hz, 1H), 7.04 (dd, J = 11.9, 2.3 Hz, 1H), 6.90-6.75 (m, 2H), 6.53 (d, J = 5.5 Hz, 1H), 5.21 (s, 2H), 3.93 (s, 3H)
MS (ESI+): m/z 319.0 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 9.52 (s, 1H), 8.75 (s, 1H), 8.52 (s, 1H), 8.36 (d, J = 5.5 Hz, 1H), 8.26-8.05 (m, 3H), 7.64 (s, 2H), 7.36 (dd, J = 11.5, 2.6 Hz, 1H), 7.07 (d, J = 8.1 Hz, 1H), 6.69 (d, J = 5.5 Hz, 1H), 3.94 (s, 3H)
MS (ESI+): m/z 540.0 [M+H]+
FD-2013025:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3-シアノ-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-4-ヨードニコチノニトリルの合成
1H NMR (400 MHz, DMSO-d6) δ 8.32 (d, J = 5.2 Hz, 1H), 8.15 (d, J = 5.2 Hz, 1H)
MS (ESI+): m/z 264.9 [M+H]+
1H NMR (400 MHz, DMSO-d6) δ 8.42 (d, J = 6.0 Hz, 1H), 6.96 (d, J = 8.8 Hz, 2H), 6.76 (d, J = 6.0 Hz, 1H), 6.65 (d, J = 8.8 Hz, 2H), 5.29 (s, 2H)
MS (ESI+): m/z 246.0 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 8.52 (d, J = 6.0 Hz, 1H), 8.48 (s, 1H), 8.17 (s, 1H), 6.95 (d, J = 8.7 Hz, 2H), 6.65 (d, J = 8.7 Hz, 2H), 6.51 (d, J = 6.0 Hz, 1H), 5.25 (s, 2H), 3.96 (s, 3H)
MS (ESI+): m/z 292.1 [M+H]+
1H NMR (400 MHz, DMSO-d6) δ 9.23 (s, 1H), 9.05 (s, 1H), 8.56 (d, J = 6.0 Hz, 1H), 8.51 (s, 1H), 8.19 (s, 1H), 8.12 (d, J = 2.0 Hz, 1H), 7.67-7.59 (m, 4H), 7.28 (d, J = 9.0 Hz, 2H), 6.58 (d, J = 6.0 Hz, 1H), 3.96 (s, 3H)
MS (ESI+): m/z 512.9 [M+H]+
FD-2013027:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3-メチル-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-4-フルオロ-3-メチルピリジンの合成:
1H NMR (300 MHz, DMSO-d6) δ 8.31 (dd, J = 8.0, 5.8 Hz, 1H), 7.38 (dd, J = 8.7, 5.6 Hz, 1H), 2.27 (d, J = 1.8 Hz, 3H)
MS (ESI+): m/z 146.0 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 8.04 (d, J = 5.6 Hz, 1H), 6.89-6.78 (m, 2H), 6.69-6.57 (m, 2H), 6.51 (d, J = 5.7 Hz, 1H), 5.15 (s, 2H), 2.31 (s, 3H)
MS (ESI+): m/z 235.0 [M+H]+
1H NMR (400 MHz, DMSO-d6) δ 8.18 (d, J = 5.6 Hz, 1H), 8.17 (s, 1H), 7.88 (s, 1H), 6.82 (d, J = 8.7 Hz, 2H), 6.63 (d, J = 8.7 Hz, 2H), 6.35 (d, J = 5.6 Hz, 1H), 5.10 (s, 2H), 3.91 (s, 3H), 2.39 (s, 3H)
MS (ESI+): m/z 281.1 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 9.18 (s, 1H), 8.94 (s, 1H), 8.24 (d, J = 5.4 Hz, 1H), 8.19 (s, 1H), 8.12 (d, J = 2.1 Hz, 1H), 7.91 (s, 1H), 7.69-7.58 (m, 2H), 7.55 (d, J = 9.0 Hz, 2H), 7.09 (d, J = 9.0 Hz, 2H), 6.47 (d, J = 5.4 Hz, 1H), 3.92 (s, 3H), 2.40 (s, 3H)
MS (ESI+): m/z 501.9 [M+H]+
FD-2013031:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3-アミノ-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-3-ニトロ-4-(4-アミノフェノキシ)ピリジンの合成:
1H NMR (300 MHz, DMSO-d6) δ 8.40 (d, J = 5.7 Hz, 1H), 6.33 (d, J = 8.7 Hz, 2H), 6.28 (d, J = 5.7 Hz, 2H), 6.63 (d, J = 8.7 Hz, 2H), 5.30 (br s, 2H)
MS (ESI+): m/z 266.0 [M + H]+
1H NMR (300 MHz, DMSO-d6) δ 8.49 (d, J = 5.7 Hz, 1H), 8.10 (s, 1H), 7.72 (s, 1H), 7.69-7.46 (m, 11H), 6.91 (d, J = 8.7 Hz, 2H), 6.68 (d, J = 5.7 Hz, 1H), 6.63 (d, J = 8.7 Hz, 2H), 5.26 (br s, 2H), 3.91 (s, 3H)
MS (ESI+) m/z 312.0 [M + H]+
1H NMR (400 MHz, DMSO-d6) δ 8.20 (s, 1H), 7.91 (s, 1H), 7.73 (d, J = 5.2 Hz, 1H), 6.83 (d, J = 8.8 Hz, 2H), 6.62 (d, J = 8.8 Hz, 2H), 6.29 (d, J = 5.2 Hz, 1H), 5.08 (br s, 2H), 4.72 (s, 2H), 3.90 (s, 3H)
MS (ESI+): m/z 282.1 [M + H]+
1H NMR (300 MHz, DMSO-d6) δ 9.17 (s, 1H), 8.92 (s, 1H), 8.23 (s, 1H), 8.11 (s, 1H), 7.93 (s, 1H), 7.78 (d, J = 5.4 Hz, 1H), 7.63 (d, J = 2.6 Hz, 2H), 7.67-7.59 (m, 2H), 7.10 (d, J = 9.0 Hz, 2H), 6.42 (d, J = 5.4 Hz, 1H), 4.82 (br s, 2H), 3.91 (s, 3H)
MS (ESI+): m/z 502.9 [M+H]+
FD-2013033:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3-メチルアミノ-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-4-ヨード-3-(メチルアミノ)ピリジンの合成:
1H NMR (300 MHz, DMSO-d6) δ 7.77 (d, J = 4.9 Hz, 1H), 7.51 (d, J = 4.9 Hz, 1H), 4.75 (br, s, 1H), 2.91 (s, 3H)
MS (ESI+): m/z 268.9 [M+H]+
1H NMR (400 MHz, DMSO-d6) δ 7.57 (d, J = 5.3 Hz, 1H), 6.81 (d, J = 8.8 Hz, 2H), 6.66-6.56 (m, 2H), 6.48 (d, J = 5.3 Hz, 1H), 5.08 (s, 2H), 4.94 (q, J = 5.4 Hz, 1H), 2.97 (d, J = 5.4 Hz, 3H)
MS (ESI+): m/z 250.0 [M+H]+
1H NMR (400 MHz, DMSO-d6) δ 8.19 (s, 1H), 8.02 (s, 1H), 7.94 (s, 1H), 7.91 (d, J = 5.4 Hz, 1H), 6.84 (d, J = 8.7 Hz, 2H), 6.62 (d, J = 8.7 Hz, 2H), 6.35 (d, J = 5.4 Hz, 1H), 5.14 (s, 1H), 3.90 (s,3H), 2.66 (s, 3H)
MS (ESI+): m/z 296.1 [M+H]+
1H NMR (300 MHz, DMSO-d6) δ 9.16 (s, 1H), 8.91 (s, 1H), 8.20 (s, 1H), 8.11 (s, 1H), 7.95 (d, J = 5.1 Hz, 2H), 7.94 (s, 1H), 7.66-7.60 (m, 2H), 7.53 (d, J = 9.0 Hz, 2H), 7.09 (d, J = 9.0 Hz, 2H), 6.47 (d, J = 5.1 Hz, 1H), 4.40 (br s, 1H), 3.91 (s, 3H), 2.69 (d, J = 4.8 Hz, 3H)
MS (ESI+): m/z 517.1[M+H]+
FD-2013037:
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(3-メトキシ-2-(1-メチルピラゾル-4-イル)ピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2-クロロ-3-メトキシ-4-ヨードピリジンの合成:
1H NMR (300 MHz, DMSO-d6) δ 7.92 (d, J = 5.1 Hz, 1H), 7.86 (d, J = 5.1 Hz, 1H), 3.83 (s, 3H)
MS (ESI+): m/z 269.8 [M + H]+
1H NMR (300 MHz, DMSO-d6) δ 7.95 (d, J = 5.7 Hz, 1H), 6.91- 6.86 (d, J = 8.7 Hz, 2H), 6.63 (d, J = 8.7 Hz, 2H), 6.62 (d, J = 5.7 Hz, 1H), 5.16 (s, 2H), 3.90 (s, 3H)
MS (ESI+): m/z 251.0 [M + H]+
1H NMR (300 MHz, DMSO-d6) δ 8.27 (s, 1H), 8.07 (d, J = 5.4 Hz, 1H), 8.00 (s, 1H), 6.87 (d, J = 8.7 Hz, 2H), 6.62 (d, J = 8.7 Hz, 2H), 6.41 (d, J = 5.4 Hz, 1H), 5.12 (s, 2H), 3.91 (s, 3H), 3.89 (s, 3H)
MS (ESI+): m/z 297.1 [M + H]+
1H NMR (300 MHz, DMSO-d6) δ 9.18 (s, 1H), 8.95 (s, 1H), 8.30 (s, 1H), 8.17-8.08 (m, 2H), 8.02 (s, 1H), 7.69-7.59 (m, 2H), 7.55 (d, J = 9.0 Hz, 2H), 7.15 (d, J = 9.0 Hz, 2H), 6.55 (d, J = 5.4 Hz, 1H), 3.91 (s, 3H), 3.89 (s, 3H)
MS (ESI+): m/z 517.9 [M + H]+
比較化合物:特許出願文献WO0042012A1に開示された方法で調製されたソラフェニブ遊離塩基。
化合物No. FD-1210005
CN201110435847.9に開示された実施例1の化合物
ステップ1:2-クロロ-4-(4-アミノフェノキシ)ピリジンの合成:
1H NMR (300 MHz, CDCl3): δ 4.07 (br s, 2H), 6.72 (d, J = 8.7 Hz, 2H),6.75-6.77 (m, 2H), 6.88 (d, J = 8.7 Hz, 2H), 8.19 (d, J = 5.4 Hz, 1H). MS (ESI+) : 221.1 [M+H]+
1H NMR (300 MHz, CDCl3): δ 3.84 (br s, 2H), 3.92 (s, 3H), 6.60 (dd, J = 2.4, 5.7 Hz, 1H), 6.71 (d, J = 8.7 Hz, 2H), 6.91 (d, J = 8.7 Hz, 2H), 6.94 (d, J = 2.1 Hz, 1H), 7.86 (s, 2H,), 8.34 (d, J = 5.7 Hz, 1H). MS (ESI+) : 267.1 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 3.88 (s, 3H), 6.63 (d, J = 3.9 Hz, 1H), 7.15 (d, J = 8.4 Hz, 2H), 7.21 (s, 1H), 7.57-7.69 (m, 4H), 7.96 (s, 1H), 8.12 (s, 1H), 8.24 (s, 1H), 8.37 (d, J = 5.4 Hz, 1H), 8.93 (s, 1H), 9.17 (s, 1H). MS (ESI+) : 488.1 [M+H]+
比較例3
化合物No. FD-2013016。
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(2-(1-メチルピラゾル-4-イル)-5-フルオロピリジン-4-イル-オキシ)フェニル)尿素;
ステップ1:2-クロロ-4-ヨード-5-フルオロピリジンの合成
MS (ESI+) : 257.9 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 5.24 (br s, 2H), 6.64 (d, J = 8.7 Hz, 2H), 6.65 (s, 1H), 6.94 (d, J = 8.7 Hz, 2H), 8.44 (d, J = 3.0 Hz, 1H). MS (ESI+) : 239.1 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 3.82 (s, 3H), 5.16 (br s, 2H), 6.63 (d, J = 8.7 Hz, 2H), 6.89 (d, J = 6.6 Hz, 1H), 6.91 (d, J = 8.7 Hz, 2H), 7.76 (s, 1H), 8.10 (s, 1H), 8.46 (d, J = 3.0 Hz, 1H). MS (ESI+) : 285.0 [M+H]+
1H NMR (300 MHz, DMSO-d6): δ 3.83 (s, 3H), 7.11 (d, J = 6.6 Hz, 1H), 7.18 (d, J = 9.0 Hz, 2H), 7.56 (d, J = 9.0 Hz, 2H), 7.60-7.67 (m, 2H), 7.83(s, 1H), 8.11(d, J = 2.1 Hz, 1H), 8.16(s, 1H), 8.52(d, J = 2.7 Hz, 1H), 8.95 (s, 1H), 9.17 (s, 1H). MS (ESI+) : 506.1 [M+H]+
1H NMR (300 MHz, DMSO) δ 9.28 (s, 1H), 9.08 (s, 1H), 8.64 (d, J = 3.2 Hz, 1H), 8.23 (s, 1H), 8.12 (d, J = 1.7 Hz, 1H), 7.90 (s, 1H), 7.74 - 7.55 (m, 4H), 7.50 (dd, J = 5.3, 2.8 Hz, 2H), 7.26 - 7.07 (m, 5H), 3.84 (s, 3H), 2.29 (s, 1H).
化合物No. FD-2013019.
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(2-(1-メチルピラゾル-4-イル)-5-クロロピリジン-4-イル-オキシ)フェニル)尿素;
ステップ1:2,5-ジクロロ-4-ヨードピリジンの合成
MS (ESI+) : 273.9 [M+H]+
MS (ESI+) : 255.0 [M+H]+
MS (ESI+) : 301.0 [M+H]+
1H NMR (300 MHz、 DMSO-d6): δ 3.82 (s、 3H)、 6.98 (s、 1H)、 7.18 (d、 J = 9.0 Hz、 2H)、 7.59 (d、 J = 9.0 Hz、 2H)、 7.63-7.66 (m、 2H)、 7.82(s、 1H)、 8.12(d、 J = 2.1 Hz、 1H)、 8.22(s、 1H)、 8.59(s、 1H)、 9.05 (s、 1H)、 9.25 (s、 1H). MS (ESI+) : 522.1 [M+H]+
1H NMR (300 MHz、 DMSO) δ 9.25 (s、 1H)、 9.05 (s、 1H)、 8.59 (s、 1H)、 8.22 (s、 1H)、 8.12 (d、 J = 2.2 Hz、 1H)、 7.87 (s、 1H)、 7.72 - 7.54 (m、 4H)、 7.48 (d、 J = 8.0 Hz、 2H)、 7.18 (d、 J = 9.0 Hz、 2H)、 7.11 (d、 J = 7.9 Hz、 2H)、 6.98 (s、 1H)、 3.82 (s、 3H)、 2.29 (s、 3H).
化合物No. FD-2013017
1-(4-クロロ-3-(トリフルオロメチル)フェニル)-3-(4-(2-(1-メチルピラゾル-4-イル)-6-メトキシピリジン-4-イル-オキシ)フェニル)尿素
ステップ1:2,6-ジクロロ-4-(4-アミノフェニル)ピリジン
MS (ESI+) : 255.0 [M+H]+
MS (ESI+) : 251.0 [M+H]+
MS (ESI+) : 297.2 [M+H]+
1H NMR (300 MHz、 DMSO-d6): δ 3.84 (s、 3H)、 3.85 (s、 3H)、 6.25(d、 J = 2.4 Hz、 1H)、 7.00-7.03(m、 1H)、 7.12 (d、 J = 8.4 Hz、 2H)、 7.51 (d、 J = 8.4 Hz、 2H)、 7.60-7.68 (m、 2H)、 7.86(s、 1H)、 8.07(s、 1H)、 8.13(d、 J = 2.4 Hz、 1H)、 8.94 (s、 1H)、 9.23 (s、 1H). MS (ESI+) : 518.1 [M+H]+
1.材料および装置
EnVision2104多重標識マイクロプレート検出器(パーキンエルマー:PerkinElmer);
OptiPlate-384 White Opaque 384-ウエルマイクロウエルプレート(Cat.6007290、PerkinElmer);
HTRF(登録商標)KinEASETM-TKキット(Cat.:62TKOPEC、Cisbio);
VEGFR2 (Cat:k2643、Sigma);
5×キナーゼ緩衝液(Cat:PV3189、Invitrogen);
ATP 10mM(Cat.PV3227、Invitrogen);
DTT 1M(Cat.D5545、Sigma);
MgCl2 1M(Cat.M8266、Sigma);
MnCl2 1M(Cat.244589、Sigma);
試験化合物:実施例で調製された化合物
対照化合物:比較例で調製された化合物
2.1 VEGFR2キナーゼ試薬の調製
5×TK基質-ビオチンおよびATP作動液:TK基質-ビオチンとATPの濃度は表1を参照。TK基質-ビオチンとATPは1×キナーゼ緩衝液で反応濃度の5倍に希釈した;
5×キナーゼ作動液:VEGFR2キナーゼの濃度は表1を参照。5×キナーゼ作動液は1×キナーゼ緩衝液を用いて調製した;
4×Sa-XL665作動液:反応中のSa-XL665(Cisbio)の濃度は表1を参照。4×Sa-XL665作動液はアッセイ緩衝液(Cisbio)を用いて調製した;
4×TK Ab-クリプタート作動液:TK Ab-クリプタート(Cisbio)をアッセイ緩衝液(Cisbio)で100倍に希釈して作動液とした;
HTRF KinEASE TKキットの実験手順
発光比(ER)=665nm発光信号/615nm発光信号
阻害率=(ER陽性−ER試料)/(ER陽性−ER陰性)×100%
HTRF KinEASE TKキットを用いてキナーゼVEGFR2に対する化合物のIC50値を決定した。化合物の最終濃度は100μMから始め、4倍の勾配希釈を行って、10種類の濃度を作製した。それぞれの濃度に対して、複数のウエルを用いた。DMSOの最終濃度は反応系中で1%に制御した。実験結果を表2と図1に示した。
本発明による化合物はすべて1000より小さいIC50を有していた。このことは、本発明による化合物が、キナーゼVEGFR2に対して非常に優れた阻害活性を有しており、抗腫瘍剤としての研究に値することを示している。
1.材料および方法
細胞株:
MDA-MB-231ヒト乳がん細胞株(中国科学院上海細胞生物研究所(Shanghai Institute of Cell Biology、Chinese Academy of Sciences)から購入);
A498 ヒト腎臓がん細胞株(中国科学院上海細胞生物研究所から購入);
HCT116 ヒト大腸がん細胞株(中国科学院上海細胞生物研究所から購入);
786-O ヒト腎明細胞がん細胞株(中国科学院上海細胞生物研究所から購入);
MiaPaCa-2 ヒト膵臓がん細胞株(アメリカ培養細胞系保存機関(American ATCC)から購入);
SK-OV-3ヒト卵巣がん細胞株 (中国科学院上海細胞生物研究所から購入);
HepG2 ヒト肝臓がん細胞株(中国科学院上海細胞生物研究所から購入);
NCI-H460 ヒト大細胞肺がん細胞株(中国科学院上海細胞生物研究所から購入);
HL-60 ヒト急性骨髄性白血病細胞株(中国科学院上海細胞生物研究所から購入);
試薬および消耗品:
細胞計数キット8(Cat# CK04-13、 Dojindo);
96ウエルプレート(Cat# 3599、 Corning Costar);
ウシ胎児血清(Cat#10099-141、 GIBCO);
培地(Invitrogen) 表3;
デスクトップ酵素免疫測定(ELISA)装置 Spectra Max M5マイクロプレートリーダー(Molecular Devices);
試験化合物:実施例で調製された化合物
対照化合物:比較例で調製された化合物
2.実験ステップ
2.1 試薬の調製
a)対数増殖期の細胞を集め、数を数え、完全培地に再懸濁した。
b)細胞の濃度を適切な濃度に調整し、96ウエルプレートに1ウエル当たり100μlの細胞懸濁液の細胞を植え付けた。
c)細胞を培養器中37℃、100%相対湿度、5%CO2で24時間培養した。
a)対数増殖期の細胞を集め、数を数え、完全培地に再懸濁した。細胞の濃度を(細胞密度の最適化実験の結果に基づいて決定した)適切な濃度に調整し、96ウエルプレートに1ウエル当たり100μlの細胞懸濁液の細胞を植え付けた。細胞を培養器中37℃、100 %相対湿度、5%CO2で24時間培養した。
b)試験化合物を培地で500μMに希釈し、次に、勾配希釈を8回行った。細胞を25μl/wellで加えた。4倍希釈して、化合物の最終濃度を、10種類の濃度を含む100μMから0μMの範囲とした。
c)細胞を培養器中37℃、100%相対湿度、5%CO2で72時間培養した。
d)培地を取り出して廃棄し、10%CCK-8を含む完全培地を加え、次に培養器中37℃で2から4時間培養した。
e)ゆるやかに振とうしたあと、SpectraMax M5マイクロプレートリーダーを用いて波長450nmで吸光度を測定し、培養阻害率を計算するため、波長650nmでの吸光度を参照として用いた。
医薬の腫瘍細胞増殖阻害率は次の式を用いて計算した:
腫瘍細胞増殖阻害率(%)=[(Ac-As)/(Ac-Ab)]×100%.
A: サンプルの吸光度(細胞+CCK-8+試験化合物化合物);
Ac: 陰性参照の吸光度(細胞+CCK-8+DMSO);
Ab: 陽性参照の吸光度(培地+CCK-8+DMSO);
IC50曲線を、専門ソフトウエアGraphPad Prism 5.0用いて曲線回帰を行い、IC50値を計算した。
この実験で、本発明による化合物の腫瘍細胞株のインビトロでの抗増殖性のIC50値を決定した。化合物の最終濃度は、4倍希釈で10種類の濃度を含む、100μMから0μMの範囲とした。実験結果を表4に示した。
インビトロでの腫瘍細胞の抗増殖性についての実験で、本発明による化合物は0から20の間の50%阻害濃度IC50を有し、このことは、本発明による化合物が、非常に優れたインビトロでの腫瘍細胞の阻害活性を有しており、優れた抗腫瘍剤としての研究に値することを示している。
1.1 試験化合物化合物
実施例で調製された化合物、本発明中の比較例
CD-1マウス、メス、体重28から35g。
投与方法:静脈注射(IV);経口(PO)。
絶食条件:水は自由アクセス、絶食なし。
2.1 投与および試料の採取
2.1.1 投与
投与の前にマウスの体重を測り、体重に応じて投与体積を計算した(IV群:4mL/kg;PO群:10mL/kg)。
投与方法および1回分の投与量:静脈注射(IV)群:1mg/kg;経口(PO)群:5mg/kg。
試料:血漿。
動物の群分け:3マウス/群、それぞれの試験化合物に対して1つのIV群と1つのPO群。
投与の後、IV群のマウスの眼のふちから、あらかじめ決められた時点(5分、15分、30分、1時間、2時間、4時間、8時間、24時間)に、30μLの全血を採取し、PO群のマウスの眼のふちから、あらかじめ決められた時点(15分、30分、1時間、2時間、4時間、8時間、24時間)に、30μLの全血を採取した。全血を遠心分離し(6,000rpm、5分)、血漿を得た。すべての血漿試料は、後の分析のために、-80°の冷蔵庫中で保管した。
LC/MS/MSの条件は次の通り:
イオン化方式:ESI、正イオン;
検出方式:MRM;
定量イオン FD2012015:506.12/270.20;内部標準(テルフフェナジン): 472.40/436.40;
試料の処理:50ngテルフェナジンアセトニトリル溶液を用いてタンパク質を沈殿させた;
試料:CD-1マウス血漿(EDTAで凝固抑制);
試料体積:20 μL;
クロマトグラフィー用カラム:ACE C4カラム(50mm*2.1mm、5ミクロン)
流速(mL/分):0.9;
カラム温度(℃):室温;
注入量(μL):5;
時間(分):2.0
薬物動態学パラメータは非コンパートメントモデルにより推定した(WinNonlin softwareにより計算):
IVパラメータ:t1/2(時間);C0(ng/mL);AUClast(時間*ng/mL);AUCInf(時間*ng/mL);AUC Extr(%);Vz(L/kg);Vss(L/kg);CL(mL/分/kg);MRT(時間)
PO parameter:t1/2(時間);tmax (時間);Cmax(ng/mL);AUClast(時間*ng/mL);AUCInf(時間*ng/mL);AUC Extr(%);MRT(時間);AUC/D(時間*mg/mL);F(%)
実施例1および2の化合物は、市場において非常に優れた抗腫瘍剤であるソラフェニブと比較して、代謝安定性、ピーク濃度、濃度‐時間曲線から下の部分の面積および経口利用効率等のデータという点では、明らかに優れており、したがって、臨床応用において有望であった。式IのX3位に置換基を導入すると(比較化合物2、3、4では3位は水素である)置換基が代謝されやすい部位を遮り、それによって該化合物の代謝安定性が向上し、インビボでの該化合物の高い血中濃度を確かなものとし、そのことが本発明による化合物の有効性をさらに高めていることを示している。
1.細胞培養
786-O細胞を、不活性化した10%のウシ胎児血清、100U/mlのペニシリンおよび100μg/mlのストレプトマイシンを、2mMのグルタミンとともに含むRPMI-1640培地で、培養器中37℃、5%CO2で培養した。細胞培養において、初期の濃度は5×105細胞/mlであり、細胞が細胞密度100%に達する3から4日ごとに、細胞を別のビンに分けた。対数増殖期の腫瘍細胞をインビボでの腫瘍植菌に用いた。
メスのSCID-Beige ヌードマウス(SPF級)の胸部右側面の皮下に、PBS中に8×106細胞/0.1mlで再懸濁した786-O腫瘍細胞を接種した。無菌状態で腫瘍の体積が800mm3に成長したら、無菌状態で腫瘍を剥離した。十分に成長した腫瘍組織を2×2×2mm3の腫瘍塊に裁断し、その後、動物に皮下接種するのに用いた。腫瘍の体積が100mm3に成長したら、マウスを群当たり8マウスで、全部で5群に分け、投与した。
腫瘍の体積はノギスを用いて週に2回測定した。腫瘍の長径と短径を測定した。体積は次の式で計算した:体積=0.5×長径×短径2。最終測定の後、動物を死なせ、腫瘍を剥離し、重さを測定した。それぞれの群の腫瘍の重さに基づき、腫瘍成長阻害率(TGI)を計算した。腫瘍成長阻害率(TGI)=(1-T/C)×100%、ここでTは医薬投与群の平均腫瘍重量を表し、Cは陰性対象群の平均腫瘍重量を表す。データは、TGI≧60%で、かつ統計解析でp<0.05の時、有意とした。
1.細胞培養
HCT116細胞を、不活性化した10%のウシ胎児血清、100U/mlのペニシリンおよび100μg/mlのストレプトマイシンを、2mMのグルタミンとともに含むMcCoy's 5a培地で、培養器中37℃、5%CO2で培養した。細胞培養において、初期の濃度は5×105細胞/mlであり、細胞が細胞密度100%に達する3から4日ごとに、細胞を別のビンに分けた。対数増殖期の腫瘍細胞をインビボでの腫瘍植菌に用いた。
Balb/cヌードマウスの胸部右側面の皮下に、PBS中に1.0×107細胞/0.1mlで再懸濁したHCT116腫瘍細胞を接種した。腫瘍の体積が800 mm3に成長したら、動物を死なせ、無菌状態で腫瘍を剥離した。十分に成長した腫瘍組織を2×2×2mm3の腫瘍塊に裁断し、その後、動物の胸部右側面の皮下に接種するのに用いた。60マウスに接種した。腫瘍の体積が110mm3に成長したら、マウスを群当たり8マウスで、全部で5群に分け、投与した。
腫瘍の体積はノギスを用いて週に2回測定した。腫瘍の長径と短径を測定した。体積は次の式で計算した:体積=0.5×長径×短径2。最終測定の後、動物を死なせ、腫瘍を剥離し、重さを測定した。腫瘍の重さに基づき、腫瘍成長阻害率(TGI)を計算した。腫瘍成長阻害率(TGI)=(1-T/C)×100%、ここでTは試験化合物群の平均腫瘍重量を表し、Cは溶媒対照群の平均腫瘍重量を表す。アッセイが終了したら、実験動物を安楽死させた。
Sunitinib、特許WO0160814 A1に開示された方法で調製
十分に成長した786-O固体腫瘍を、無菌状態で、約1mm3の平均体積の塊に裁断し、ヌードマウスの右前肢の腋窩に套管針で皮下接種した。腫瘍の成長状態を、腫瘍が250から550mm3の体積に成長するまで定期的に観察した。
大きすぎるまたは小さすぎる体積で異形の腫瘍のある動物を除いた。良好な状態にある体積250~550mm3の腫瘍に罹患したマウスを選び、全部で48匹のマウスを6群に分けた。そのうちの1つを溶媒対照群、3つを陽性対照群、2つを試験試料群とした。陽性対照群と試験試料群には、胃内に1日1回投与した;溶媒対照群にはポリオキシエチレンひまし油エステルの12.5%エタノール溶液および12.5%水溶液を1日1回投与した;胃内投与の量は10mL/kgとした。
動物をCO2で死なせ、腫瘍を剥離し、重さを量り、写真を撮影した。動物を肉眼で解剖し、組織が正常か否かを目で観察した。
腫瘍重量阻害率(IR)=(WC-WT)/WC
統計方法:
動物モデル調製:
無菌条件下で、対数増殖期にある十分に成長したヒトHCT-116細胞懸濁液をヌードマウスの右前肢の腋窩に注射で皮下に接種した。腫瘍の成長状態を、腫瘍が100から300mm3の体積に成長するまで定期的に観察した。
体積100~300mm3の腫瘍に罹患した48匹のマウスを選び、6群に分けた。そのうちの1つを溶媒対照群、3つを陽性対照群、2つを試験試料群とした。陽性対照群と試験試料群には、胃内に1日1回投与した;溶媒対照群にはポリオキシエチレンひまし油エステルの12.5%エタノール溶液および12.5%水溶液を1日1回投与した;胃内投与の量は10mL/kgとした。
動物をCO2で死なせ、腫瘍を剥離し、重さを量り、写真を撮影した。写真撮影後、それぞれの腫瘍塊を2つの部分に切断し、一つは4%パラホルムアルデヒドに保存し、他方を冷凍管に入れ、液体窒素で冷凍した。動物を肉眼で解剖し、組織が正常か否かを目で観察した。
腫瘍重量阻害率(IR)=(WC-WT)/WC
ここで、WCとWTは、それぞれ、溶媒対照群の平均腫瘍重量および医薬を投与された群の平均腫瘍重量を表す。
実験データはMicrosoft Office Excel 2003ソフトウエアを用いて計算し、関連統計処理した。特に定めのない限り、データは平均±標準誤差(Mean ± S.E)として表し、二つの群間の比較にはt-検定を用いた。
Claims (14)
- 式Iの多置換ピリジン化合物の薬学的に許容される塩が塩酸塩、臭素酸塩、硫酸塩、リン酸塩、メタンスルホン酸塩、トリフルオロメタンスルホン酸塩、ベンゼンスルホン酸塩、p-トルエンスルホン酸塩、1-ナフタレンスルホン酸塩、2-ナフタレンスルホン酸塩、酢酸塩、トリフルオロ酢酸塩、リンゴ酸塩、酒石酸塩、クエン酸塩、乳酸塩、シュウ酸塩、コハク酸塩、フマル酸塩、マレイン酸塩、安息香酸塩、サリチル酸塩、フェニル酢酸塩およびマンデル酸塩からなる群から選ばれる、請求項1又は2に記載の多置換ピリジン化合物、またはそれらの水和物、溶媒和物または薬学的に許容される塩。
- 請求項1から3のいずれか1項に記載の多置換ピリジン化合物、またはそれらの水和物、溶媒和物または薬学的に許容される塩、及び医薬的に許容されるアジュバントを含む医薬組成物。
- VEGFR-2、VEGFR-3、CRAF、PDGFR-β、BRAF、V600E BRAF、KITおよび/またはFLT-3キナーゼに関係した疾病の治療および/または予防のための請求項4に記載の医薬組成物。
- VEGFR-2、VEGFR-3、CRAF、PDGFR-β、BRAF、V600E BRAF、KITおよび/またはFLT-3キナーゼに関係した前記疾病が腫瘍またはがんを含む、請求項5に記載の医薬組成物。
- 前記腫瘍またはがんが、黒色腫、肝臓がん、腎臓がん、急性白血病、慢性白血病、非小細胞肺がん、前立腺がん、甲状腺がん、皮膚がん、大腸がん、直腸がん、膵臓がん、卵巣がん、乳がん、骨髄異形成症候群、食道がん、または中皮腫を含む、請求項6に記載の医薬組成物。
- VEGFR-2、VEGFR-3、CRAF、PDGFR-β、BRAF、V600E BRAF、KITおよび/またはFLT-3キナーゼに関係した疾病の治療および/または予防のための医薬の調製における、請求項1から3のいずれか1項に記載の多置換ピリジン化合物、またはそれらの水和物、溶媒和物または医薬的に許容される塩の使用。
- VEGFR-2、VEGFR-3、CRAF、PDGFR-β、BRAF、V600E BRAF、KITおよび/またはFLT-3キナーゼに関係した前記疾病が腫瘍またはがんを含む、請求項8に記載の使用。
- 前記腫瘍またはがんが、黒色腫、肝臓がん、腎臓がん、急性白血病、慢性白血病、非小細胞肺がん、前立腺がん、甲状腺がん、皮膚がん、大腸がん、直腸がん、膵臓がん、卵巣がん、乳がん、骨髄異形成症候群、食道がん、または中皮腫を含む、請求項9に記載の使用。
- 請求項1から3のいずれか1項に記載の多置換ピリジン化合物、またはそれらの水和物、溶媒和物または医薬的に許容される塩の有効量を、細胞に投与することを含む、前記細胞中のVEGFR-2、VEGFR-3、CRAF、PDGFR-β、BRAF、V600E BRAF、KITおよび/またはFLT-3キナーゼの活性を阻害する方法であって、当該方法がインビトロで行われる、前記方法。
- 細胞が細胞系、または対象からの細胞である、請求項11に記載の方法。
- 前記細胞が、腫瘍細胞又はがん細胞である、請求項12に記載の方法。
- 腫瘍またはがんが、黒色腫、肝臓がん、腎臓がん、急性白血病、慢性白血病、非小細胞肺がん、前立腺がん、甲状腺がん、皮膚がん、大腸がん、直腸がん、膵臓がん、卵巣がん、乳がん、骨髄異形成症候群、食道がん、及び中皮腫からなる群から選択される、請求項13に記載の方法。
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