JP7295034B2 - 癌関連障害の治療のためのキナゾリン-ピリジン誘導体 - Google Patents
癌関連障害の治療のためのキナゾリン-ピリジン誘導体 Download PDFInfo
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- 229940055755 tricor Drugs 0.000 description 1
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 description 1
- VSQQQLOSPVPRAZ-RRKCRQDMSA-N trifluridine Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(=O)NC(=O)C(C(F)(F)F)=C1 VSQQQLOSPVPRAZ-RRKCRQDMSA-N 0.000 description 1
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- UFTFJSFQGQCHQW-UHFFFAOYSA-N triformin Chemical compound O=COCC(OC=O)COC=O UFTFJSFQGQCHQW-UHFFFAOYSA-N 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- YFTHZRPMJXBUME-UHFFFAOYSA-N tripropylamine Chemical compound CCCN(CCC)CCC YFTHZRPMJXBUME-UHFFFAOYSA-N 0.000 description 1
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 1
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- HDZZVAMISRMYHH-LITAXDCLSA-N tubercidin Chemical compound C1=CC=2C(N)=NC=NC=2N1[C@@H]1O[C@@H](CO)[C@H](O)[C@H]1O HDZZVAMISRMYHH-LITAXDCLSA-N 0.000 description 1
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- 230000005748 tumor development Effects 0.000 description 1
- 229940046728 tumor necrosis factor alpha inhibitor Drugs 0.000 description 1
- 239000002452 tumor necrosis factor alpha inhibitor Substances 0.000 description 1
- 102000003298 tumor necrosis factor receptor Human genes 0.000 description 1
- 230000005751 tumor progression Effects 0.000 description 1
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 description 1
- 229950009811 ubenimex Drugs 0.000 description 1
- KCFYEAOKVJSACF-UHFFFAOYSA-N umifenovir Chemical compound CN1C2=CC(Br)=C(O)C(CN(C)C)=C2C(C(=O)OCC)=C1CSC1=CC=CC=C1 KCFYEAOKVJSACF-UHFFFAOYSA-N 0.000 description 1
- 229960004626 umifenovir Drugs 0.000 description 1
- 230000024275 uncoating of virus Effects 0.000 description 1
- 229960001055 uracil mustard Drugs 0.000 description 1
- 229950005972 urelumab Drugs 0.000 description 1
- 229960005088 urethane Drugs 0.000 description 1
- 229960005356 urokinase Drugs 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 238000002255 vaccination Methods 0.000 description 1
- 229940124856 vaccine component Drugs 0.000 description 1
- 229940093257 valacyclovir Drugs 0.000 description 1
- 229960002149 valganciclovir Drugs 0.000 description 1
- 230000024883 vasodilation Effects 0.000 description 1
- 239000013598 vector Substances 0.000 description 1
- 229950009860 vicriviroc Drugs 0.000 description 1
- 229960003636 vidarabine Drugs 0.000 description 1
- UGGWPQSBPIFKDZ-KOTLKJBCSA-N vindesine Chemical compound C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(N)=O)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1N=C1[C]2C=CC=C1 UGGWPQSBPIFKDZ-KOTLKJBCSA-N 0.000 description 1
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- GBABOYUKABKIAF-IELIFDKJSA-N vinorelbine Chemical compound C1N(CC=2C3=CC=CC=C3NC=22)CC(CC)=C[C@H]1C[C@]2(C(=O)OC)C1=CC([C@]23[C@H]([C@@]([C@H](OC(C)=O)[C@]4(CC)C=CCN([C@H]34)CC2)(O)C(=O)OC)N2C)=C2C=C1OC GBABOYUKABKIAF-IELIFDKJSA-N 0.000 description 1
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- 230000017613 viral reproduction Effects 0.000 description 1
- 229960004854 viral vaccine Drugs 0.000 description 1
- 239000003039 volatile agent Substances 0.000 description 1
- 229940009349 vytorin Drugs 0.000 description 1
- 230000003442 weekly effect Effects 0.000 description 1
- 229940111503 welchol Drugs 0.000 description 1
- 230000036642 wellbeing Effects 0.000 description 1
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- 229960001028 zanamivir Drugs 0.000 description 1
- 229940120938 zidovudine and lamivudine Drugs 0.000 description 1
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Classifications
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/517—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
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- 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
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Description
本出願は、35 U.S.C.§119(e)の下、2017年5月5日に出願された米国特許仮出願第62/502,391号および2018年1月31日に出願された米国特許仮出願第62/624,273号に対する優先権の利益を主張する出願であって、そのそれぞれを全体として本明細書中に援用する。
適用なし
適用なし
アデノシンは、アデニンとリボース糖分子(リボフラノース)の複合体を含むプリンヌクレオシド化合物である。アデノシンは哺乳動物に天然に存在し、エネルギー移動(アデノシン三リン酸およびアデノシン一リン酸として)およびシグナル伝達(環状アデノシン一リン酸として)を含むいくつかの生化学プロセスにおいて重要な役割を果たす。アデノシンは、心臓血管拡張を含む血管拡張に関連するプロセスにおいても機能し、神経調節物質として作用する(例えば、睡眠を促進することに関与すると考えられる)。これらの生化学プロセスへの関与に加えて、アデノシンは、例えば、上室性頻拍症を治療するための治療的な抗不整脈薬として使用される。本明細書でさらに議論されるように、腫瘍は、免疫機能を阻害し、寛容を促進することによって宿主応答を回避し、アデノシンは、免疫系の腫瘍回避を媒介する上で重要な役割を果たすことが示されている。種々の免疫細胞サブセットおよび内皮細胞上に発現されるA2ARおよびA2BRを介したアデノシンシグナル伝達は、炎症反応中に組織を保護する上で重要な役割を果たすとして確立されている。このように、ある条件下では、アデノシンは腫瘍を免疫破壊から保護する(例えば、Fishman, Pら(2009)Handb Exp Pharmacol 193: 399-441を参照)。
において存在する。本発明は、この必要性に対処し、関連する利点も提供する。
本発明は、アデノシンA2Aレセプター(A2AR)および/またはアデノシンA2Bレセプター(A2BR)を調節する化合物、および、該化合物を含む組成物(例えば、医薬組成物)に関する。そのような化合物を、その合成方法および組成物を含めて以下に詳細に説明する。
A2AR(ADORA2Aとも呼ばれる)はGタンパク質共役型レセプター(GPCR)であり、そのファミリーメンバーは7つの膜貫通αヘリックスを有する。その結晶学的構造に基づいて、A2ARは他の構造的に決定されたGPCR(例えば、β-2アドレナリン作動性レセプター)とは区別されるリガンド結合ポケットを含む。
役割を果たす。A2ARは免疫応答を負に調節し、したがって、A2AR活性化の薬理学的阻害は、免疫療法を強化する実行可能な手段であることが実証されている。
A2bR(ADORA2Bとも呼ばれる)は多くの異なる細胞型に見出されるGPCRである。それは、他のアデノシンレセプターサブタイプよりも活性化のために高濃度のアデノシンを必要とする(例えば、A1R、A2ARおよびA3R)(Fredholm BBら(2001)Biochem Pharmacol 61: 443-448)。そのような状態は、例えば低酸素症が一般的に観察される腫瘍において見られる。他のアデノシンレセプターサブタイプとは対照的に、A2BRは、大量のアデノシン放出に関連する病態生理学的状態において重要な役割を果たし得る。したがって、このアデノシンレセプターサブタイプの選択的遮断または刺激は、他のアデノシンレセプターサブタイプを介して媒介されるアデノシンの多くの重要な生理学的機能を妨げないであろう。しかし、A2BR媒介性阻害を導く経路は完全には理解されていない。
添字mは0または1であり、そして、mが0であるとき、ピリジンを示し、またはmが1であるとき、ピリジンN-オキシドを示し;
G1はNまたはCR3aであり;
G2はNまたはCR3bであり;
R3aおよびR3bはそれぞれ独立して、HまたはC1-3アルキルであり;
R1aおよびR1bはそれぞれ独立して、
i)H、
ii)1~3個のR5置換基により場合により置換されたC1-8アルキル、
iii)1~3個のR5置換基により場合により置換された-X1-O-C1-8アルキル、
iv)-C(O)-R6、
v)1~3個のR7置換基で場合により置換されたY、および、
vi)1~3個のR7置換基で場合により置換された-X1-Y、
から成る群から選択されるか、または、
vii)R1aおよびR1bはそれらが結合している窒素とともに、5~6員ヘテロシクロアルキル間を形成し、該環は1~3個のR8置換基により場合により置換され、該ヘテロシクロアルキルはO、NおよびSから成る群から選択される0~2個の追加のヘテロ原子環頂点を有し、
各YはC3-8シクロアルキルまたはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり;
R2およびR4はそれぞれ独立して、HまたはC1-3アルキルであり;
各X1はC1-6アルキレンであり;
各R5はヒドロキシル、C3-8シクロアルキル、フェニル、-O-フェニル、-C(O)ORaおよびオキソから成る群から独立して選択され;
各R6はC1-8アルキルまたはYであり、そのそれぞれはヒドロキシル、-O-フェニル-、フェニル、および-O-C1-8アルキルから成る群から選択される1~3個の置換基で場合により置換され;
各R7はC1-8アルキル、ヒドロキシル、-O-C1-8アルキル、オキソおよびC(O)ORaから成る群から独立して選択され;
各R8はC1-8アルキル、ヒドロキシルおよびオキソから成る群から独立して選択され;
添字nは0、1、2または3であり;
各R9はC1-8アルキル、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-X1-O-X1-O-C1-8アルキル、-C(O)ORa、ハロゲン、シアノ、-NRbRc、Y、-X1-C3-8シクロアルキル、および-X2-Zから成る群から独立して選択され、ここで、X2はC1-6アルキレン、-C1-6-アルキレン-O-、-C1-4-アルキレン-O-C1-4アルキレン-、-C(O)-、および-S(O)2から成る群から選択され、ZはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R9置換基のそれぞれは1~3個のR11で場合により置換され;
R10a、R10b、R10cおよびR10dのそれぞれはH、C1-8アルキル、ハロ、シアノ、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)NRdRe、およびO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロアリールから成る群から独立して選択され、ここで、前記R10a~d置換基のそれぞれは1~3個のR12で場合により置換されるか、または隣接する環頂点上のR10a、R10b、R10cおよびR10dのうちの2つは場合により組み合わされて、1~2個のハロゲンで場合により置換される5員複素環式環を形成し;
各R11は-C(O)ORaで場合により置換される、ヒドロキシル、オキソ、ハロ、シアノ、-NRdRe、-C(O)ORa、フェニル、C3-8シクロアルキル、およびC1-4アルキルから成る群から独立して選択され;
各R12はハロ、シアノ、ヒドロキシ、-C(O)ORaから成る群から独立して選択され;そして、
各RaはHまたはC1-6アルキルであり;
各RbおよびRcはH、C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)ORa、および-X1-C(O)ORaから成る群から独立して選択され;および
各RdおよびReはH、C1-8アルキル、-S(O)2-C1-6アルキルから成る群から独立して選択される)
を有する化合物または医薬的に許容され得るその塩、水和物もしくは溶媒和物を提供する。
適用なし
本発明をさらに説明する前に、本発明は本明細書に記載の特定の実施形態に限定されないことが理解され、本明細書で使用される用語は特定の実施形態のみを説明するためのものであり、限定しようとするものではないことも理解される。
一般
他に示されない限り、以下の用語は以下に示す意味を有することが意図される。他の用語は本明細書全体を通して他の箇所で定義される。
上記のように、本発明の化合物がその活性に作用する根底にある作用機構の正確な理解は本発明の実施に必要とされないが、化合物(またはそのサブセット)はアデノシンA2Aレセプター(A2AR)および/またはアデノシンA2Bレセプター(A2BR)を阻害するものと考えられる。あるいは、化合物(またはそのサブセット)は、アデニリルシクラーゼ機能を阻害することができる。化合物(またはそのサブセット)はまた、A2Aレセプター(A2AR)、アデノシンA2Bレセプター(A2BR)ならびにアデニリルシクラーゼに対する阻害剤活性を有することができる。本発明の化合物は、本明細書で、一般に、アデノシンA2Aレセプター(A2AR)および/またはアデノシンA2Bレセプター(A2BR)阻害剤と呼ばれるが、用語「A2AR/A2BR阻害剤」は、A2AR、A2BRまたはアデニリルシクラーゼの阻害を介して個々に作用する化合物、および/または、A2AR、A2BRおよびアデニリルシクラーゼの阻害を介して作用する化合物を包含することが理解されるべきである。
本発明は、部分的には、治療に妥当性がある少なくとも1つの特性または特徴を有するアデノシンA2Aレセプターおよび/またはアデノシンA2Bレセプターの阻害剤の同定に関する。候補阻害剤は、例えば、当該技術分野で受け入れられたアッセイまたはモデルを用いて同定することができ、その例は本明細書に記載されている。
1つの特定の態様において、本明細書中に提供されているのは、式(I):
添字mは0または1であり、そして、mが0であるとき、ピリジンを示し、またはmが1であるとき、ピリジンN-オキシドを示し;
G1はNまたはCR3aであり;
G2はNまたはCR3bであり;
R3aおよびR3bはそれぞれ独立して、HまたはC1-3アルキルであり;
R1aおよびR1bはそれぞれ独立して、
i)H、
ii)1~3個のR5置換基により場合により置換されたC1-8アルキル、
iii)1~3個のR5置換基により場合により置換された-X1-O-C1-8アルキル、
iv)-C(O)-R6、
v)1~3個のR7置換基で場合により置換されたY、および、
vi)1~3個のR7置換基で場合により置換された-X1-Y、
から成る群から選択されるか、または、
vii)R1aおよびR1bはそれらが結合している窒素とともに、5~6員ヘテロシクロアルキル間を形成し、該環は1~3個のR8置換基により場合により置換され、該ヘテロシクロアルキルはO、NおよびSから成る群から選択される0~2個の追加のヘテロ原子環頂点を有し、
各YはC3-8シクロアルキルまたはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり;
R2およびR4はそれぞれ独立して、HまたはC1-3アルキルであり;
各X1はC1-6アルキレンであり;
各R5はヒドロキシル、C3-8シクロアルキル、フェニル、-O-フェニル、-C(O)ORaおよびオキソから成る群から独立して選択され;
各R6はC1-8アルキルまたはYであり、そのそれぞれはヒドロキシル、-O-フェニル-、フェニル、および-O-C1-8アルキルから成る群から選択される1~3個の置換基で場合により置換され;
各R7はC1-8アルキル、ヒドロキシル、-O-C1-8アルキル、オキソおよびC(O)ORaから成る群から独立して選択され;
各R8はC1-8アルキル、ヒドロキシルおよびオキソから成る群から独立して選択され;
添字nは0、1、2または3であり;
各R9はC1-8アルキル、C1-8ハロアルキル、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-X1-O-X1-O-C1-8アルキル、-C(O)ORa、ハロゲン、シアノ、フェニル、-NRbRc、Y、-X1-C3-8シクロアルキル、および-X2-Zから成る群から独立して選択され、ここで、X2はC1-6アルキレン、-C1-6-アルキレン-O-、-C1-4-アルキレン-O-C1-4アルキレン-、-C(O)-、および-S(O)2から成る群から選択され、ZはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R9置換基のそれぞれは1~3個のR11で場合により置換され;
R10a、R10b、R10cおよびR10dのそれぞれはC1-8アルキル、ハロ、シアノ、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)NRdRe、およびO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロアリールから成る群から独立して選択され、ここで、前記R10a~d置換基のそれぞれは1~3個のR12で場合により置換されるか、または隣接する環頂点上のR10a、R10b、R10cおよびR10dのうちの2つは場合により組み合わされて、1~2個のハロゲンで場合により置換される5員複素環式環を形成し;
各R11は-C(O)ORaで場合により置換される、ヒドロキシル、オキソ、ハロ、シアノ、-NRdRe、-C(O)ORa、フェニル、C3-8シクロアルキル、およびC1-4アルキルから成る群から独立して選択され;
各R12はハロ、シアノ、ヒドロキシ、-C(O)ORaから成る群から独立して選択され;そして、
各RaはHまたはC1-6アルキルであり;
各RbおよびRcはH、C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)ORa、および-X1-C(O)ORaから成る群から独立して選択され;および
各RdおよびReはH、C1-8アルキル、-S(O)2-C1-6アルキルから成る群から独立して選択される)
を有する化合物または医薬的に許容され得るその塩、水和物もしくは溶媒和物を提供する。
一般に、本明細書に提供される化合物は下記の実施例に記載されるような従来の方法によって調製することができる。
本発明のいくつかの態様において、本明細書に記載の化合物はプロドラッグ形態で投与される。
結合プロドラッグの薬物動態的特性のインビボ-インビトロ相関を確立することは困難である。
本明細書中に開示される治療様式の1つ以上の物理的特性および/またはそれらが適用される様式を改善することは、しばしば有益であり、時には不可欠である。物理的特性の改善としては、例えば、水溶性、生物学的利用能、血清半減期および/または治療的半減期を増加させる方法および/または生物活性を調節する方法が挙げられる。
本発明は、広い範囲の疾患、障害および/または状態、および/またはその症状の治療または予防における本明細書に記載のA2AR/A2BR阻害剤の使用を企図する。以下では、特定の用途について詳細に説明するが、本発明はそれに限定されないことを理解されたい。さらに、特定の疾患、障害および状態の一般的なカテゴリーが以下に述べられるが、いくつかの疾患、障害および状態は1つより多くのカテゴリーの構成要素であることができ、そして他は、開示されるカテゴリーのいずれかの構成要素ではないこともあり得る。
本明細書中のほかの箇所に示したように、腫瘍の発症および進行に好適な免疫耐性微小環境の発生へのその関与に加えて、アデノシンはまた、新生細胞上に発現されたレセプターの関与を通じて、癌細胞の増殖、アポトーシスおよび転移に対する直接的な作用によって腫瘤の増殖および拡散も調整する。アデノシンはまた、A2AおよびA2Bレセプターの活性化を介して細胞増殖も促進し得る。
本明細書中で使用されるときに、「免疫疾患」、「免疫状態」、「免疫障害」、「炎症性疾患」、「炎症状態」、「炎症性障害」などの用語は、本明細書に記載のA2AR/A2BR阻害剤によって処置することができ、それにより、幾らかの治療的利益が得られる炎症性成分を有する免疫関連状態(例えば、自己免疫性疾患)または障害を広く包含することが意図される。このような状態は、しばしば他の疾患、障害および状態と密接に絡み合っている。例として、「免疫状態」は、癌、腫瘍および血管新生などの増殖性状態を指すことができ、(急性および慢性)感染症、腫瘍および免疫系による根治に抵抗性がある癌を含む。
本発明は、A2AR/A2BR阻害剤による治療が有益でありうる任意のウイルス性、細菌性、真菌性、寄生虫性または他の感染性疾患、障害または状態の治療および/または予防における本明細書に記載のA2AR/A2BR阻害剤の使用を企図する。
A2AR/A2BRの阻害はまた、認知機能および運動機能の障害に関連する障害を含む、神経系、神経精神医学的、神経変性または中枢神経系との関連を有する他の疾患、障害および状態を有する患者にとって重要な治療戦略でありうる。例としては、パーキンソン病、余分なピラミッド症候群(EPS)、錐体外路症候群(EPS)、ジストニア、座礁症、遅発性ジスキネジー、不穏下肢症候群(RLS)、てんかん、睡眠時周期的四肢運動(PLMS)、注意欠陥障害、うつ病、不安、痴呆、アルツハイマー病、ハンチントン病、多発性硬化症、脳虚血、出血性脳卒中、くも膜下出血および外傷性脳損傷が挙げられる。
本発明の実施形態は、少なくとも幾らかのレベルのA2AR/A2BR阻害から利益を得ることができる他の障害の治療または予防のための、本明細書に記載のA2AR/A2BR阻害剤の対象への投与を企図する。斯かる疾患、障害および状態としては、例えば、心臓血管(例えば、心臓虚血)、胃腸(例えば、クローン病)、代謝(例えば、糖尿病)、肝臓(例えば、肝線維症、NASHおよびNAFLD)、肺(例えば、COPDおよび喘息)、眼疾患(例えば、糖尿病性網膜症)、および、腎臓(例えば、腎不全)障害が挙げられる。
本発明のA2AR/A2BR阻害剤は、対象への投与に適した組成物の形態であることができる。一般に、そのような組成物は、A2AR/A2BR阻害剤および1つ以上の医薬的に許容され得るまたは生理学的に許容され得る希釈剤、キャリアまたは賦形剤を含む「医薬組成物」である。特定の実施形態において、A2AR/A2BR阻害剤は治療上許容される量で存在する。医薬組成物は、本発明の方法において使用することができる。したがって、例えば、医薬組成物は、本明細書に記載の治療および予防方法および使用を実施するために、エクスビボまたはインビボで対象に投与することができる。
本発明は、A2AR/A2BR阻害剤およびその組成物の投与を任意の適切な様式で企図する。投与の適切な経路としては、経口、非経口(例えば、筋肉内、静脈内、皮下(例えば、注射または移植)、腹腔内、嚢内、関節内、腹腔内、大脳内(intraparenchymal)および脳室内)、鼻、膣、舌下、眼内、直腸、直腸、局所(例えば、経皮)、頬側および吸入が挙げられる。一般に皮下または筋肉内に投与されるデポー注射もまた、決められた時間にわたって本明細書に開示されるA2AR/A2BR阻害剤を放出するために利用されうる。
本発明は、A2AR/A2BR阻害剤の単独の使用または1種以上の活性治療剤との併用を企図する。追加の活性治療剤は、小化学分子、タンパク質、抗体、ペプチボディ、ペプチド、DNA、RNAなどの巨大分子またはそのような巨大分子の断片、または、細胞療法または遺伝子治療であることができる。そのような併用療法において、種々の活性薬剤はしばしば、異なる相補的な作用機構を有する。そのような併用療法は、薬剤の1つ以上の用量の減少を可能にし、それにより、1つ以上の薬剤に関連する有害作用を低減または排除することによって特に有利でありうる。さらに、そのような併用療法は、根底にある疾患、障害または状態に対して相乗的な治療または予防効果を有し得る。
本発明は、A2AR/A2BR阻害剤および少なくとも1つのさらなる治療剤または診断剤を用いて、増殖状態、癌、腫瘍または前癌性疾患、障害または状態を治療および/または予防する方法を提供する。いくつかの実施形態において、追加の治療剤または診断剤は放射線、免疫調節剤または化学療法剤、または、診断剤である。本発明において使用されうる適切な免疫調節剤としては、CD4OL、B7およびB7RP1、抗CD40、抗CD38、抗ICOSおよび4-1BBリガンドなどの刺激レセプターに対する活性化性モノクローナル抗体(mAb)、樹状細胞抗原負荷(インビトロまたはインビボ)、樹状細胞癌ワクチンなどの抗癌ワクチン、ILL IL2、IL12、IL18、ELC/CCL19、SLC/CCL21、MCP-1、IL-4、IL-18、TNF、IL-15、MDC、IFNa/b、M-CSF、IL-3、GM-CSF、IL-13および抗-IL-10などのサイトカイン/ケモカイン、細菌性リポ多糖類(LPS)、インドールアミン2,3-ジオキシゲナーゼ1(IDO1)阻害剤および免疫刺激性オリゴヌクレオチドが挙げられる。
るパーソナライズされた免疫療法の新規かつ有望な形態である、養子細胞療法と組み合わせた本明細書に記載の化合物の使用を企図する。養子細胞療法は、例えば、キメラ抗原レセプター(CAR)またはT細胞レセプター(TCR)を発現するように操作された腫瘍浸潤リンパ球(TIL)およびT細胞を用いて探索されている。養子細胞療法は、一般に、個体からT細胞を収集し、それらを遺伝子改変して特異的抗原を標的化するか、または、それらの抗腫瘍効果を増強し、それらを十分な数まで増幅し、癌患者への遺伝子改変T細胞の注入を含む。T細胞は、拡張された細胞が後で再注入(例えば、自己)される患者から収集することができ、または、ドナー患者(例えば、同種異系)から収集することができる。
本発明は、免疫チェックポイント阻害剤と組み合わせて、本明細書に記載のA2AR/A2BR機能の阻害剤の使用を企図する。
本発明は、A2AR/A2BR阻害剤および少なくとも1つの追加の治療剤または診断剤を用いて、特定の心臓血管および/または代謝関連疾患、障害および状態ならびにそれらに関連する障害を治療および/または予防する方法を提供する。
本発明は、免疫関連疾患、障害および状態、ならびに、炎症成分を有する疾患、障害および状態を、A2AR/A2BR阻害剤および少なくとも1つのさらなる治療剤または診断剤を用いて治療および/または予防するための方法を提供する。
本発明は、A2AR/A2BR阻害剤および少なくとも1つの追加の治療薬または診断薬(例えば、1つ以上の他の抗ウイルス剤および/または1つ以上のウイルス療法と関連しない薬剤)を用いて、ウイルス、細菌、真菌および寄生虫の疾患、障害および状態ならびにそれらに関連する障害を治療および/または予防する方法を提供する。
本発明のA2AR/A2BR阻害剤は、例えば、投与の目標(例えば、所望の解決の程度)、製剤が投与されている対象の年齢、体重、性別および健康状態および身体状態、投与経路、ならびに疾患、障害、状態またはその症状の性質に依存する量で対象に投与することができる。投薬レジメンはまた、投与される薬剤に関連するあらゆる有害作用の存在、性質および程度を考慮に入れることができる。有効な投与量および投与レジメンは、例えば、安全性および用量漸増試験、インビボ研究(例えば、動物モデル)、および、当業者に公知の他の方法から容易に決定することができる。
本発明はまた、本明細書に記載の化合物およびその医薬組成物を含むキットを企図する。キットは、一般に、以下に記載されるように、様々な構成要素を収容する物理的構造の形態であり、例えば、上記方法の実施において利用されうる。
以下の実施例は、本発明をどのように製造し使用するかについての完全な開示および説明を当業者に提供するために提示されており、発明者が発明の範囲を限定することを意図するものでなく、また、発明者が以下の実験が行われたことまたは行われうる実験のすべてであることを示すことを意図するものではない。現在形で記載されている例示的な記述は、必ずしも実施されたものではなく、ここに記載された種類のデータ等を得るために記述を実施することができることが理解されるべきである。使用される数(例えば、量、温度など)に関して正確さを保つための努力がなされているが、ある程度の実験誤差および偏差は考慮されるべきである。
以下の一般的な材料および方法を使用した(示されている場合)か、または、以下の実施例で使用することができる。
実施例
請求項に記載の化合物の調製のための一般方法
実施例1: 2-(6-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
トリメチルシリルアセチレン(234 mg, 2.38 mmol)、CuI(23 mg, 0.19 mmol)およびPd(PPh3)2Cl2(42 mg, 0.059)を連続して加え、その反応混合物を90 ℃にて2時間加熱し、ロタベーパによりEt3Nを取り除いて、残渣を水で希釈し、分離したこげ茶色の固形物を濾過し、乾燥させた(320 mg、未精製)。
実施例2: 4-{1[(6-tert-ブチルピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}-8-メトキシキナゾリン-2-アミンの合成
実施例3: 8-メトキシ-4-(1-{[6-(メトキシメチル)ピリジン-2-イル]メチル}-1H-1,2,3-トリアゾール-4-イル)キナゾリン-2-アミンの合成
実施例4: 4-{1-[(6-シクロプロピルピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}-8-メトキシキナゾリン-2-アミンの合成
実施例5: 4-{1-[(6-シクロプロピルピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}-8-メトキシキナゾリン-2-アミンの合成
実施例6: 8-メトキシ-4-{1-[(6-{[(3S)-オキソラン-3-イルオキシ]メチル}ピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}キナゾリン-2-アミンの合成
実施例7: 8-メトキシ-4-{1-[(6-{[(3R)-オキソラン-3-イルオキシ]メチル}ピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}キナゾリン-2-アミンの合成
実施例8: 8-メトキシ-4-{1-[(6-{[(3R)-オキソラン-3-イルオキシ]メチル}ピリジン-2-イル)メチル]-1H-1,2,3-トリアゾール-4-イル}キナゾリン-2-アミンの合成
実施例9: 1-[(6-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)メチル]ピロリジン-2-オンの合成
実施例10: 2-(6-{[4-(2-アミノ-6-フルオロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例11: 2-(6-{[4-(2-アミノ-5-フルオロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例12: 2-(6-{[4-(2-アミノ-7-フルオロ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例13: 2-(6-{[4-(2-アミノ-8-メチルキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
POCl3を留去し、CH2Cl2を加え、そして混合物を氷/水浴中で冷却した。pHが塩基性になるまで4 MのKOHを加え、層を分離し、そして有機層を濃縮して、更なる精製なしで使用される不純な4-クロロ-2-アミノキナゾリン誘導体を得た。
実施例14: 2[6-({4-[2-アミノ-8-(トリフルオロメチル)キナゾリン-4-イル]-1H-1,2,3-トリアゾール-1-イル}メチル)ピリジン-2-イル]プロパン-2-オールの合成
実施例15: 2-(6-{[4-(2-アミノキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例16: 2-[6-({4-[2-アミノ-8-(トリフルオロメトキシ)キナゾリン-4-イル]-1H-1,2,3-トリアゾール-1-イル}メチル)ピリジン-2-イル]プロパン-2-オールの合成
実施例17: 2-(6-{[4-(2-アミノ-8-フルオロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例18: 2-(6-{[4-(2-アミノ-7-フルオロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例19: 2-(6-{[4-(2-アミノ-8-クロロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例20: 2-(6-{[4-(2-アミノ-5-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例21: 1-(6-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)シクロブタン-1-オールの合成
実施例22: 1-(6-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)シクロペンタン-1-オールの合成
実施例23: 2-アミノ-4-(1-{[6-(2-ヒドロキシプロパン-2-イル)ピリジン-2-イル]メチル}-1H-1,2,3-トリアゾール-4-イル)キナゾリン-8-カルボニトリルの合成
実施例24: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(2-ヒドロキシプロパン-2-イル)ピリジン-1-イウム-1-オラートの合成
実施例25: 4-{1-[(6-tert-ブチルピリジン-2-イル)メチル]-1H-ピラゾール-4-イル}-8-メトキシキナゾリン-2-アミンの合成
実施例26: 2-(6-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-ピラゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例27: 2-(6-{[3-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-ピラゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例28: 2-(6-{ [4-(2-アミノキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例29: 2-(6-{[4-(2-アミノ-8-メトキシキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例30: 2-(6-{[4-(2-アミノ-8-メチルキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}ピリジン-2-イル)プロパン-2-オールの合成
実施例32: 2-(6-{[4-(2-アミノ-7-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-プロパノール
実施例33: 2-(6-{[4-(2-アミノ-7,8-ジフルオロ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-プロパノール
実施例34: 2-(6-{[4-(2-アミノ-8-エトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-プロパノール
実施例35: 2-アミノ-4-(1-{[6-(1-ヒドロキシ-1-メチルエチル)-2-ピリジル]メチル}-1H-1,2,3-トリアゾール-4-イル)-7-キナゾリンカルボニトリル
実施例36: 2-(6-{[4-(2-アミノ-6-フルオロ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-プロパノール
実施例37: 2-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-1,1,1-トリフルオロ-2-プロパノール
実施例38: (S)-2-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-1,1,1-トリフルオロ-2-プロパノール
実施例39: (R)-2-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-1,1,1-トリフルオロ-2-プロパノール
実施例40: 3-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-3-オキセタノール
実施例41: 3-(6-{[4-(2-アミノ-8-フルオロ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-3-オキセタノール
実施例42: 3-(6-{[4-(2-アミノ-7-フルオロ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-3-オキセタノール
実施例43: 4-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)テトラヒドロ-2H-ピラン-4-オール
実施例44: 2-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-メチルプロパノール
実施例45: 2-(6-{[4-(2-アミノ-8-フルオロ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-メチルプロパノール
実施例46: 2-(6-{[4-(2-アミノ-7-フルオロ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-メチルプロパノール
実施例47: 8-クロロ-4[1-({6-[(2-メトキシエトキシ)メチル]-2-ピリジル}メチル)-1H-1,2,3-トリアゾール-4-イル]-2-キナゾリニルアミン
実施例48: 4-(1-{[6-({[(S)-テトラヒドロフル-2-イル]メトキシ}メチル)-2-ピリジル]メチル}-1H-1,2,3-トリアゾール-4-イル)-8-メトキシ-2-キナゾリニルアミン
実施例49: 4-(1-{[6-({[(R)-テトラヒドロフル-2-イル]メトキシ}メチル)-2-ピリジル]メチル}-1H-1,2,3-トリアゾール-4-イル)-8-メトキシ-2-キナゾリニルアミン
実施例50: エチル4-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-1-ピペリジンカルボキシラート
実施例51: 1-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-3-ピロリジノール
実施例52: 1-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)-2-ピロリジノン
実施例53: m-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)安息香酸
実施例54: o-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)安息香酸
実施例55: p-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-1,2,3-トリアゾール-1-イル]メチル}-2-ピリジル)安息香酸
実施例56: 2-[6-({4-[2-(シクロプロピルアミノ)-8-メトキシ-4-キナゾリニル]-1H-1,2,3-トリアゾール-1-イル}メチル)-2-ピリジル]-2-プロパノール
実施例57: 2-[6-({4-[2-(イソプロピルアミノ)-8-メトキシ-4-キナゾリニル]-1H-1,2,3-トリアゾール-1-イル}メチル)-2-ピリジル]-2-プロパノール
実施例58: 2-{[4-(2-アミノ-8-フルオロキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(2-ヒドロキシプロパン-2-イル)ピリジン-1-イウム-1-オラート
実施例59: 2-{[4-(2-アミノ-7-フルオロ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(2-ヒドロキシプロパン-2-イル)ピリジン-1-イウム-1-オラート
実施例60: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-[(2S)-1,1,1-トリフルオロ-2-ヒドロキシプロパン-2-イル]ピリジン-1-イウム-1-オラート
実施例61: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-[(2R)の-1,1,1-トリフルオロ-2-ヒドロキシプロパン-2-イル]ピリジン-1-イウム-1-オラート
実施例62: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例63: 2-{[4-(2-アミノ-8-フルオロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例64: 2-{[4-(2-アミノ-8-クロロキナゾリン(chlorooquinazolin)-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例65: 2-{[4-(2-アミノ-8-メチルキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例66: 2-{[4-(2-アミノ-7-フルオロ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例67: 2-{[4-(2-アミノ-6-フルオロ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例68: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(4-ヒドロキシオキサン-4-イル)ピリジン-1-イウム-1-オラート
実施例69: 2-{[4-(2-アミノ-7-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(3-ヒドロキシ-1,1-ジオキソ-1λ6-チエタン-3-イル)ピリジン-1-イウム-1-オラート
実施例70: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシ-2-メチルプロパン-2-イル)ピリジン-1-イウム-1-オラート
実施例71: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-メトキシ-2-メチルプロパン-2-イル)ピリジン-1-イウム-1-オラート
実施例72: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-シクロプロピルピリジン-1-イウム-1-オラート
実施例73: 2-{[4-(2-アミノ-8-クロロキナゾリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(シクロブト-1-エン-1-イル)ピリジン-1-イウム-1-オラート
経路1
こうして得られた黄色の沈殿物を濾過し、水で洗浄し、そして45 ℃にて乾燥させて、純粋なピラゾロ-キナゾリン(25.2 g、2つの工程を通じて79%)を得た。
アミノ安息香酸(154.5 g, 924 mmol)を0 ℃にて撹拌しながらTFAA(924 mL)中に溶解した。反応混合物を30分後に濃縮した。残留TFAの共沸除去をトルエン(300 mL)を加えることによって達成し、そして得られた混合物を3回濃縮した。ベンゾオキサジノン生成物を226グラムの灰色がかった固形物として単離し、更なる精製なしで使用した。
実施例75: 1-[6-(クロロメチル)-2-ピリジル]シクロブタノール
実施例76: 1-(6-{[4-(2-アミノ-8-メトキシ-4-キナゾリニル)-1H-ピラゾール-1-イル]メチル}-2-ピリジル)シクロブタノール
実施例77: 2-{[4-(2-アミノ-8-メトキシキナゾリン-4-イル)-1H-ピラゾール-1-イル]メチル}-6-(1-ヒドロキシシクロブチル)ピリジン-1-イウム-1-オラート
実施例78: 2-{[4-(2-アミノ-8-フルオロキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(1-ヒドロキシ-2-メチルプロパン-2-イル)ピリジン-1-イウム-1-オラート
実施例79: 2-{[4-(2-アミノ-8-メトキシキノリン-4-イル)-1H-1,2,3-トリアゾール-1-イル]メチル}-6-(2-ヒドロキシプロパン-2-イル)ピリジン-1-イウム-1-オラート
LC: Agilent1100シリーズ;質量分析計: Agilent G6120BA、シングル四重極
生物学的実施例
ヒト2Aアデノシンレセプター(A2aR)CHO-TREx cAMP機能アッセイを使用した化合物のアデノシンレセプター活性の計測
ヒト2BアデノシンレセプターCHO-T K1 cAMP機能アッセイを使用した化合物のアデノシンレセプター活性の計測
1 x 106個の細胞をT75フラスコ内に播種し、そして37 ℃および5%のCO2にて一晩培養した。次いで、2,000~4,000細胞/ウェルの安定発現A2bR CHO-K1細胞を白色384ウェルOptiプレートに播種し、続いて、37 ℃にて1時間、様々な濃度(1 μM~0 μMの範囲)での化合物1インキュベーションを実施した。
表1: 特定の例 (有効性: A2ARおよびA2BR KB: +は>1 μMを意味し、++は100 nM~1 μMを意味し、+++は<100 nMを意味する)
ることを示すように、本明細書に引用されるすべての刊行物、特許出願、受託番号および
他の参考文献は、参照により本明細書に援用される。
本発明の好ましい実施形態によれば、例えば、以下が提供される。
(項1)
式(I):
(式中、
添字mは0または1であり、そして、mが0であるとき、ピリジンを示し、またはmが1であ
るとき、ピリジンN-オキシドを示し;
G 1 はNまたはCR 3a であり;
G 2 はNまたはCR 3b であり;
R 3a およびR 3b はそれぞれ独立して、HまたはC 1-3 アルキルであり;
R 1a およびR 1b はそれぞれ独立して、
i)H、
ii)1~3個のR 5 置換基により場合により置換されたC 1-8 アルキル、
iii)1~3個のR 5 置換基により場合により置換された-X 1 -O-C 1-8 アルキル、
iv)-C(O)-R 6 、
v)1~3個のR 7 置換基で場合により置換されたY、
vi)1~3個のR 7 置換基で場合により置換された-X 1 -Y;および、
vii)R 1a およびR 1b はそれらが結合している窒素とともに、5~6員ヘテロシクロアルキ
ル環を形成し、該環は1~3個のR 8 置換基により場合により置換され、該ヘテロシクロアル
キルはO、NおよびSから成る群から選択される0~2個の追加のヘテロ原子環頂点を有する、
から成る群から選択され;
各YはC 3-8 シクロアルキルまたはO、NおよびSから成る群から選択される1~3個のヘテロ
原子環頂点を有する4~6員ヘテロシクロアルキルであり;
R 2 およびR 4 はそれぞれ独立して、HまたはC 1-3 アルキルであり;
各X 1 はC 1-6 アルキレンであり;
各R 5 はヒドロキシル、C 3-8 シクロアルキル、フェニル、-O-フェニル、-C(O)OR a および
オキソから成る群から独立して選択され;
各R 6 はC 1-8 アルキルまたはYであり、そのそれぞれはヒドロキシル、-O-フェニル、フェニル、および-O-C 1-8 アルキルから成る群から選択される1~3個の置換基で場合により置換され;
各R 7 はC 1-8 アルキル、ヒドロキシル、-O-C 1-8 アルキル、オキソおよびC(O)OR a から成る
群から独立して選択され;
各R 8 はC 1-8 アルキル、ヒドロキシルおよびオキソから成る群から独立して選択され;
添字nは0、1、2または3であり;
各R 9 はC 1-8 アルキル、C 1-8 ハロアルキル、-O-C 1-8 アルキル、-X 1 -O-C 1-8 アルキル、-O-
X 1 -O-C 1-8 アルキル、-X 1 -O-X 1 -O-C 1-8 アルキル、-C(O)OR a 、ハロゲン、シアノ、フェニル
、-NR b R c 、Y、-X 1 -C 3-8 シクロアルキル、および-X 2 -Zから成る群から独立して選択され、
ここで、X 2 はC 1-6 アルキレン、-C 1-6 -アルキレン-O-、-C 1-4 -アルキレン-O-C 1-4 アルキレン-、-C(O)-、および-S(O) 2 -から成る群から選択され、ZはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R 9 置換基のそれぞれは1~3個のR 11 で場合により置換され;
R 10a 、R 10b 、R 10c およびR 10d のそれぞれはH、C 1-8 アルキル、ハロ、シアノ、-O-C 1-8 ア
ルキル、-X 1 -O-C 1-8 アルキル、-O-X 1 -O-C 1-8 アルキル、-S(O) 2 -C 1-6 アルキル、-C(O)NR d R
e 、およびO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6
員ヘテロアリールから成る群から独立して選択され、ここで、前記R 10a~d 置換基のそれ
ぞれは1~3個のR 12 で場合により置換されるか、または隣接する環頂点上のR 10a 、R 10b 、R
10c およびR 10d のうちの2つは場合により組み合わされて、1~2個のハロゲンで場合により
置換される5員複素環式環を形成し;
各R 11 は-C(O)OR a で場合により置換される、ヒドロキシル、オキソ、ハロ、シアノ、-NR
d R e 、-C(O)OR a 、フェニル、C 3-8 シクロアルキル、およびC 1-4 アルキルから成る群から独
立して選択され;
各R 12 はハロ、シアノ、ヒドロキシ、-C(O)OR a から成る群から独立して選択され;そし
て、
各R a はHまたはC 1-6 アルキルであり;
各R b およびR c はH、C 1-8 アルキル、-S(O) 2 -C 1-6 アルキル、-C(O)OR a 、および-X 1 -C(O)OR
a から成る群から独立して選択され;および
各R d およびR e はH、C 1-8 アルキル、-S(O) 2 -C 1-6 アルキルから成る群から独立して選択さ
れる)
によって表される化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物
。
(項2)
式中、各R 9 はC 1-8 アルキル、-O-C 1-8 アルキル、-X 1 -O-C 1-8 アルキル、-O-X 1 -O-C 1-8 ア
ルキル、-X 1 -O-X 1 -O-C 1-8 アルキル、-C(O)OR a 、ハロゲン、シアノ、-NR b R c 、Y、-X 1 -C 3-8
シクロアルキル、および-X 2 -Zから成る群から独立して選択され、ここで、X 2 はC 1-6 アル
キレン、-C 1-6 -アルキレン-O-、-C 1-4 -アルキレン-O-C 1-4 アルキレン-、-C(O)-、および-
S(O) 2 -から成る群から選択され、ZはO、N、およびSから成る群から選択される1~3個のヘ
テロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R 9 置換
基のそれぞれは1~3個のR 11 で場合により置換された、上記項1に記載の化合物。
(項3)
式(Ia):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項4)
式(Ib):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項5)
式中、R 10a 、R 10b 、R 10c またはR 10d のうちの少なくとも1つがメトキシである、上記項
1~4のいずれか一項に記載の化合物。
(項6)
式(Ic)
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項7)
式(Id)
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項8)
式中、各R 9 はC 1-8 アルキル、-O-C 1-8 アルキル、-X 1 -O-C 1-8 アルキル、-O-X 1 -O-C 1-8 ア
ルキル、-X 1 -O-X 1 -O-C 1-8 アルキルから成る群から選択され、ここで、前記R 9 置換基のそ
れぞれは1~3個のR 11 で場合により独立して置換された、上記項1~7のいずれか一項に
記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物。
(項9)
式中、各R 9 は-C(O)OR a 、-NR b R c 、Y、-X 1 -C 3-8 シクロアルキル、および-X 2 -Zから成る群
から独立して選択され、ここで、X 2 はC 1-6 -アルキレン、-C 1-6 アルキレン-O-、-C(O)-、
および-S(O) 2 -から成る群から選択され、ZはO、N、およびSから成る群から選択される1~
3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前
記R 9 置換基のそれぞれは1~3個のR 11 で場合により置換された、上記項1~7のいずれか
一項に記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物。
(項10)
式(Ie):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項11)
式(If):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項12)
式(Ig):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項13)
式(Ih):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項14)
式(Ii):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項15)
式(Ij):
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項16)
式(Ik):
(式中、各R x は独立してC 1 -C 3 アルキルであり、および場合により2つのR x 基は共に結合し
て4、5、または6員環を形成する)
を有する、上記項1に記載の化合物、または医薬的に許容され得る塩、水和物もしくは溶
媒和物。
(項17)
式(Il):
(式中、R 10a 、R 10b およびR 10c のそれぞれはC 1-8 アルキル、ハロ、シアノ、-O-C 1-8 アル
キル、-X 1 -O-C 1-8 アルキル、-O-X 1 -O-C 1-8 アルキルから成る群から独立して選択され、そ
してここで、前記R 10a 、R 10b およびR 10c のそれぞれは1~3個のR 12 で場合により置換され
た)
を有する、上記項1に記載の化合物、または医薬的に許容され得るその塩、水和物もしく
は溶媒和物。
(項18)
以下の:
から成る群から選択される、上記項1に記載の化合物、または医薬的に許容され得るその
塩、水和物もしくは溶媒和物。
(項19)
表1の化合物から選択される、上記項1に記載の化合物。
(項20)
上記項1~19のいずれか一項に記載の化合物および医薬的に許容され得る賦形剤を含
む、医薬組成物。
(項21)
アデノシンA 2A レセプター(A 2A R)またはアデノシンA 2B レセプター(A 2B R)により少なくと
も部分的に媒介される疾患、障害または状態の治療方法であって、前記方法が治療的有効
量の上記項1~19のいずれか一項に記載の化合物を、該治療を必要とする対象に投与す
ることを含む、方法。
(項22)
前記疾患、障害または状態はA 2A Rにより少なくとも部分的に媒介される、上記項21に
記載の方法。
(項23)
前記疾患、障害または状態はA 2B R により少なくとも部分的に媒介される、上記項21
に記載の方法。
(項24)
前記疾患、障害または状態はA 2A R およびA 2B Rにより少なくとも部分的に媒介される、
上記項21に記載の方法。
(項25)
前記化合物はA 2A R-媒介免疫抑制の進行を逆行させるか、または停止させるために有効
な量で投与される、上記項22または24に記載の方法。
(項26)
前記疾患、障害または状態は癌である、上記項21~25のいずれか一項に記載の方法
。
(項27)
前記癌は前立腺、結腸、直腸、膵臓、子宮頸部、胃、子宮内膜、脳、肝臓、膀胱、卵巣
、精巣、頭部、頚部、皮膚(メラノーマおよび基底癌を含む)、中皮内壁、白血球(リン
パ腫および白血病を含む)、食道、乳房、筋肉、結合組織、肺(小細胞肺癌および非小細
胞肺癌を含む)、副腎、甲状腺、腎臓または骨の癌であるか;または、神経膠芽腫、中皮
腫、腎細胞癌、胃癌、肉腫(カポジ肉腫を含む)、絨毛癌、皮膚基底細胞癌または睾丸セ
ミノーマである、上記項26に記載の方法。
(項28)
前記癌はメラノーマ、結腸直腸癌、膵臓癌、乳癌、前立腺癌、肺癌、白血病、脳腫瘍、
リンパ腫、卵巣癌、カポジ肉腫、腎細胞癌、頭頸部癌および食道癌からなる群より選ばれ
る、上記項26に記載の方法。
(項29)
前記化合物はシスプラチン、カルボプラチン、オキサリプラチン、またはドキソルビシ
ンの投与をさらに含む治療レジメンにおいて投与される、上記項26に記載の方法。
(項30)
前記疾患、障害または状態は免疫関連疾患、障害または状態である、上記項21~25
のいずれか一項に記載の方法。
(項31)
前記免疫関連疾患、障害または状態は関節リウマチ、腎不全、狼瘡、喘息、乾癬、大腸
炎、膵炎、アレルギー、線維症、貧血性線維筋痛症、アルツハイマー病、うっ血性心不全
、脳卒中、大動脈弁狭窄症、動脈硬化症、骨粗鬆症、パーキンソン病、感染症、クローン
病、潰瘍性大腸炎、アレルギー性接触性皮膚炎および他の湿疹、全身性硬化症および多発
性硬化症からなる群より選ばれる、上記項30に記載の方法。
(項32)
上記項1~19のいずれか一項に記載の化合物および少なくとも1種の追加の治療剤を
含む、組み合わせ物。
(項33)
前記少なくとも1種の追加の治療剤は、化学療法剤、免疫および/または炎症調節剤、
抗高コレステロール血症剤、抗感染剤または放射線である、上記項32に記載の組み合わ
せ物。
(項34)
前記少なくとも1種の追加の治療剤は免疫チェックポイント阻害剤である、上記項32
に記載の組み合わせ物。
(項35)
前記免疫チェックポイント阻害剤はPD1、PDL1、BTLA、LAG3、B7ファミリーのメンバー
、TIM3、TIGITまたはCTLA4のうちの少なくとも1つの活性を遮断する、上記項34に記載
の組み合わせ物。
(項36)
前記免疫チェックポイント阻害剤はPD1またはPDL1の活性を遮断する、上記項35に記
載の組み合わせ物。
(項37)
前記免疫チェックポイント阻害剤はニボルマブ、ペンブロリズマブ、ランブロリズマブ
、アベルマブ、アテゾリズマブおよびデュルバルマブからなる群より選ばれる、上記項3
6に記載の組み合わせ物。
(項38)
TIGITの活性を遮断する追加の治療剤をさらに含む、上記項36または37に記載の組
み合わせ物。
(項39)
前記追加の治療剤は、そのリガンドを活性化することによってTIGITの活性を遮断する
、上記項38に記載の組み合わせ物。
(項40)
前記免疫チェックポイント阻害剤はTIGITの活性を遮断する、上記項34に記載の組み
合わせ物。
(項41)
前記免疫チェックポイント阻害剤はそのリガンドを活性化することによってTIGITの活
性を遮断する、上記項40に記載の組み合わせ物。
(項42)
化学療法剤をさらに含む、上記項34~41のいずれか一項に記載の組み合わせ物。
(項43)
前記化学療法剤は白金系またはアントラサイクリン系化学療法剤を含む、上記項42に
記載の組み合わせ物。
(項44)
前記化学療法剤はシスプラチン、カルボプラチン、オキサリプラチンおよびドキソルビ
シンからなる群より選ばれる、上記項43に記載の組み合わせ物。
(項45)
放射線をさらに含む、上記項34~44のいずれか一項に記載の組み合わせ物。
(項46)
前記少なくとも1種の追加の治療剤は化学療法剤である、上記項32に記載の組み合わ
せ物。
(項47)
前記化学療法剤は白金系またはアントラサイクリン系化学療法剤を含む、上記項46に
記載の組み合わせ物。
(項48)
前記化学療法剤はシスプラチン、カルボプラチン、オキサリプラチンおよびドキソルビ
シンからなる群より選ばれる、上記項47に記載の組み合わせ物。
(項49)
放射線をさらに含む、上記項47または48に記載の組み合わせ物。
(項50)
対象における癌の治療方法であって、有効量の上記項1~19のいずれか一項に記載の
化合物および少なくとも1種の追加の治療剤を前記対象に投与することを含む、方法。
(項51)
前記少なくとも1種の追加の治療剤は化学療法剤、免疫および/または炎症調節剤、抗
高コレステロール血症剤、抗感染剤または放射線である、上記項50に記載の方法。
(項52)
前記少なくとも1種の追加の治療剤は免疫チェックポイント阻害剤である、上記項50
に記載の方法。
(項53)
前記免疫チェックポイント阻害剤はPD1、PDL1、BTLA、LAG3、B7ファミリーのメンバー
、TIM3、TIGITまたはCTLA4のうちの少なくとも1つの活性を遮断する、上記項52に記載
の方法。
(項54)
前記免疫チェックポイント阻害剤はPD1またはPDL1の活性を遮断する、上記項53に記
載の方法。
(項55)
前記免疫チェックポイント阻害剤はニボルマブ、ペンブロリズマブ、ランブロリズマブ
、アベルマブ、アテゾリズマブおよびデュルバルマブからなる群より選ばれる、上記項5
4に記載の方法。
(項56)
TIGITの活性を遮断する追加の治療剤をさらに含む、上記項54または55に記載の方
法。
(項57)
前記追加の治療剤はそのリガンドを活性化することによってTIGITの活性を遮断する、
上記項56に記載の方法。
(項58)
前記免疫チェックポイント阻害剤はTIGITの活性を遮断する、上記項52に記載の方法
。
(項59)
前記免疫チェックポイント阻害剤はそのリガンドを活性化することによってTIGITの活
性を遮断する、上記項58に記載の方法。
(項60)
60.
化学療法剤をさらに含む、上記項52~59のいずれか一項に記載の方法。
(項61)
前記化学療法剤は白金系またはアントラサイクリン系化学療法剤を含む、上記項60に
記載の方法。
(項62)
前記化学療法剤はシスプラチン、カルボプラチン、オキサリプラチンおよびドキソルビ
シンからなる群より選ばれる、上記項61に記載の方法。
(項63)
放射線をさらに含む、上記項61または62に記載の方法。
(項64)
前記化合物および前記少なくとも1種の追加の治療剤は組み合わせて投与される、上記
項50~63のいずれか一項に記載の方法。
(項65)
前記化合物および前記少なくとも1種の追加の治療剤は逐次的に投与される、上記項5
0~63のいずれか一項に記載の方法。
(項66)
前記化合物および前記少なくとも1種の追加の治療剤の投与のための治療期間は重複す
る、上記項50~63のいずれか一項に記載の方法。
Claims (23)
- 式(I):
添字mは0または1であり、そして、mが0であるとき、ピリジンを示し、またはmが1であるとき、ピリジンN-オキシドを示し;
G1はNまたはCR3aであり;
G2はNまたはCR3bであり;
R3aおよびR3bはそれぞれ独立して、HまたはC1-3アルキルであり;
R1aおよびR1bはそれぞれ独立して、
i)H、
ii)1~3個のR5置換基により場合により置換されたC1-8アルキル、
iii)1~3個のR5置換基により場合により置換された-X1-O-C1-8アルキル、
iv)-C(O)-R6、
v)1~3個のR7置換基で場合により置換されたY、
vi)1~3個のR7置換基で場合により置換された-X1-Y;および
vii)R1aおよびR1bはそれらが結合している窒素とともに、5~6員ヘテロシクロアルキル環を形成し、該環は1~3個のR8置換基により場合により置換され、該ヘテロシクロアルキルはO、NおよびSから成る群から選択される0~2個の追加のヘテロ原子環頂点を有する、
から成る群から選択され;
各YはC3-8シクロアルキルまたはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり;
R2およびR4はそれぞれ独立して、HまたはC1-3アルキルであり;
各X1はC1-6アルキレンであり;
各R5はヒドロキシル、C3-8シクロアルキル、フェニル、-O-フェニル、-C(O)ORa 、およびオキソから成る群から独立して選択され;
各R6はC1-8アルキルまたはYであり、そのそれぞれはヒドロキシル、-O-フェニル、フェニル、および-O-C1-8アルキルから成る群から選択される1~3個の置換基で場合により置換され;
各R7はC1-8アルキル、ヒドロキシル、-O-C1-8アルキル、オキソおよびC(O)ORaから成る群から独立して選択され;
各R8はC1-8アルキル、ヒドロキシルおよびオキソから成る群から独立して選択され;
添字nは0、1、2または3であり;
各R9はC1-8アルキル、C1-8ハロアルキル、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-X1-O-X1-O-C1-8アルキル、-C(O)ORa、ハロゲン、シアノ、フェニル、-NRbRc、Y、-X1-C3-8シクロアルキル、および-X2-Zから成る群から独立して選択され、ここで、X2はC1-6アルキレン、-C1-6-アルキレン-O-、-C1-4-アルキレン-O-C1-4アルキレン-、-C(O)-、および-S(O)2-から成る群から選択され、ZはO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R9置換基のそれぞれは1~3個のR11で場合により置換され;
R10a、R10b、R10cおよびR10dのそれぞれはH、C1-8アルキル、ハロ、シアノ、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)NRdRe、およびO、NおよびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロアリールから成る群から独立して選択され、ここで、前記R10a~d置換基のそれ
ぞれは1~3個のR12で場合により置換されるか、または隣接する環頂点上のR10a、R10b、R10cおよびR10dのうちの2つは場合により組み合わされて、1~2個のハロゲンで場合により置換される5員複素環式環を形成し;
各R11は-C(O)ORaで場合により置換される、ヒドロキシル、オキソ、ハロ、シアノ、-NRdRe、-C(O)ORa、フェニル、C3-8シクロアルキル、およびC1-4アルキルから成る群から独立して選択され;
各R12はハロ、シアノ、ヒドロキシ、および-C(O)ORaから成る群から独立して選択され;そして、
各RaはHまたはC1-6アルキルであり;
各RbおよびRcはH、C1-8アルキル、-S(O)2-C1-6アルキル、-C(O)ORa、および-X1-C(O)ORaから成る群から独立して選択され;および
各RdおよびReはH、C1-8アルキル、および-S(O)2-C1-6アルキルから成る群から独立して選択される)
によって表される化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物。 - 式中、各R9はC1-8アルキル、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、-X1-O-X1-O-C1-8アルキル、-C(O)ORa、ハロゲン、シアノ、-NRbRc、Y、-X1-C3-8シクロアルキル、および-X2-Zから成る群から独立して選択され、ここで、X2はC1-6アルキレン、-C1-6-アルキレン-O-、-C1-4-アルキレン-O-C1-4アルキレン-、-C(O)-、および-S(O)2-から成る群から選択され、ZはO、N、およびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R9置換基のそれぞれは1~3個のR11で場合により置換された、請求項1に記載の化合物。
- 式中、R10a、R10b、R10cまたはR10dのうちの少なくとも1つがメトキシである、請求項1~4のいずれか一項に記載の化合物。
- 式中、各R9はC1-8アルキル、-O-C1-8アルキル、-X1-O-C1-8アルキル、-O-X1-O-C1-8アルキル、および-X1-O-X1-O-C1-8アルキルから成る群から選択され、ここで、前記R9置換基のそれぞれは1~3個のR11で場合により独立して置換された、請求項1~7のいずれか一項に記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物。
- 式中、各R9は-C(O)ORa、-NRbRc、Y、-X1-C3-8シクロアルキル、および-X2-Zから成る群から独立して選択され、ここで、X2はC1-6-アルキレン、-C1-6アルキレン-O-、-C(O)-、および-S(O)2-から成る群から選択され、ZはO、N、およびSから成る群から選択される1~3個のヘテロ原子環頂点を有する4~6員ヘテロシクロアルキルであり、およびここで、前記R9置換基のそれぞれは1~3個のR11で場合により置換された、請求項1~7のいずれか一項に記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物。
- 請求項1~19のいずれか一項に記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物、および医薬的に許容され得る賦形剤を含む、医薬組成物。
- アデノシンA2Aレセプター(A2AR)またはアデノシンA2Bレセプター(A2BR)により少なくとも部分的に媒介される疾患、障害または状態を治療するための医薬組成物であって、請求項1~19のいずれか一項に記載の化合物、または医薬的に許容され得るその塩、水和物もしくは溶媒和物を含む、医薬組成物。
- 前記疾患、障害または状態は癌である、請求項21に記載の医薬組成物。
- 前記癌はメラノーマ、結腸直腸癌、膵臓癌、乳癌、前立腺癌、肺癌、白血病、脳腫瘍、リンパ腫、卵巣癌、カポジ肉腫、腎細胞癌、頭頸部癌および食道癌からなる群より選ばれる、請求項22に記載の医薬組成物。
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