JPWO2021003417A5 - - Google Patents
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- JPWO2021003417A5 JPWO2021003417A5 JP2021578010A JP2021578010A JPWO2021003417A5 JP WO2021003417 A5 JPWO2021003417 A5 JP WO2021003417A5 JP 2021578010 A JP2021578010 A JP 2021578010A JP 2021578010 A JP2021578010 A JP 2021578010A JP WO2021003417 A5 JPWO2021003417 A5 JP WO2021003417A5
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Claims (18)
X1は-N-でありかつX2は-C(R9)-であるか、またはX1は-C(R9)-でありかつX2は-N-であり;
R9は-H、ハロ、ヒドロキシ、シアノ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシ、(C1~C6)ハロアルコキシ、-C(O)NR20R21または-NR20R21であり;
R20およびR21はそれぞれ独立に、-Hまたは(C1~C6)アルキルであり;
R1はハロ、-CN、-C(O)NR10R11、-C(O)(C1~C6)アルキル、-OR12または-NR10R11であり;
R10およびR11はそれぞれ独立に、-Hまたは(C1~C6)アルキルであり;
R12は-Hまたは(C1~C6)アルキルであり;
R2は-NR13R14であり;
R13およびR14はそれぞれ独立に、-Hまたは(C1~C6)アルキルであるか、あるいはこれらが結合しているNと一緒になって、1またはそれを超えるR30で必要に応じて置換されていてもよい(C3~C7)ヘテロシクリルを形成し;
R30は、各出現について、必要に応じて、独立に、ハロ、オキソ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
R3は-H、ハロ、シアノまたは(C1~C6)アルキルであり;
R4は-H、(C1~C6)アルキル、ヒドロキシ(C1~C6)アルキルまたは-C(O)(C1~C6)アルキルであり;
R5は-Hであり;
R6は-H、ハロ、(C1~C6)アルコキシ、(C1~C6)ハロアルコキシまたは(C3~C7)シクロアルコキシであるか;あるいは
R5およびR6は、それらの介在原子と一緒になって、1もしくはそれを超えるR40で必要に応じて置換されていてもよい(C6)アリールもしくは(C5~C6)ヘテロアリール、または1もしくはそれを超えるR50で必要に応じて置換されていてもよい(C5~C8)カルボシクリルもしくは(C5~C8)ヘテロシクリルを形成し;
R40は、各出現について、必要に応じて、独立に、ハロ、ヒドロキシ、シアノ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
R50は、各出現について、必要に応じて、独立に、ハロ、オキソ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
R7はハロ、ヒドロキシ、シアノ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシ、(C1~C6)ハロアルコキシ、-C(O)NR17R18または-NR17R18であり;
R17およびR18はそれぞれ独立に、-Hまたは(C1~C6)アルキルであり;
R8は、各出現について、独立に、ハロ、オキソ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
mは0または1であり、但し、R9がハロ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシである場合、mは0であり;
nは0、1または2である]
によって表される化合物、またはその薬学的に許容され得る塩。 The following structural formula:
X 1 is -N- and X 2 is -C(R 9 )-, or X 1 is -C(R 9 )- and X 2 is -N-;
R 9 is —H, halo, hydroxy, cyano, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy, (C 1 -C 6 )haloalkoxy, — C(O)NR 20 R 21 or —NR 20 R 21 ;
R 20 and R 21 are each independently —H or (C 1 -C 6 )alkyl;
R 1 is halo, —CN, —C(O)NR 10 R 11 , —C(O)(C 1 -C 6 )alkyl, —OR 12 or —NR 10 R 11 ;
R 10 and R 11 are each independently —H or (C 1 -C 6 )alkyl;
R 12 is —H or (C 1 -C 6 )alkyl;
R 2 is -NR 13 R 14 ;
R 13 and R 14 are each independently —H or (C 1 -C 6 )alkyl, or together with the N to which they are attached optionally with 1 or more R 30 forming optionally substituted ( C3 - C7 )heterocyclyl;
R 30 is independently for each occurrence halo, oxo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or ( C 1 -C 6 ) haloalkoxy;
R 3 is —H, halo, cyano or (C 1 -C 6 )alkyl;
R 4 is -H, (C 1 -C 6 )alkyl, hydroxy(C 1 -C 6 )alkyl or -C(O)(C 1 -C 6 )alkyl;
R 5 is -H;
R 6 is —H, halo, (C 1 -C 6 ) alkoxy, (C 1 -C 6 )haloalkoxy or (C 3 -C 7 )cycloalkoxy; (C 6 )aryl or (C 5 -C 6 )heteroaryl optionally substituted with 1 or more R 40 , or 1 or more R 50 together with intervening atoms; forming (C 5 -C 8 )carbocyclyl or (C 5 -C 8 )heterocyclyl optionally substituted with
R 40 is independently for each occurrence halo, hydroxy, cyano, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or ( C 1 -C 6 ) haloalkoxy;
R 50 is independently for each occurrence halo, oxo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or ( C 1 -C 6 ) haloalkoxy;
R 7 is halo, hydroxy, cyano, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy, (C 1 -C 6 )haloalkoxy, —C(O ) NR 17 R 18 or -NR 17 R 18 ;
R 17 and R 18 are each independently —H or (C 1 -C 6 )alkyl;
R 8 is independently for each occurrence halo, oxo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or (C 1 -C 6 ) is haloalkoxy;
m is 0 or 1 with the proviso that R 9 is halo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or (C 1 -C 6 ) is haloalkoxy, then m is 0;
n is 0, 1 or 2]
or a pharmaceutically acceptable salt thereof.
(ii) X1が-C(R9)-であり、X2が-N-であり、および/または
(iii) R9が-Hであり、または
(iv) R20およびR21がそれぞれ-Hであり、および/または
(v) R1がハロまたは-CNであり、または
(vi) R1がクロロ、ブロモまたは-CNであり、または
(vii) R1がクロロであり、
場合により、R2が-N(CH3)2、1-ピペリジニル-2-オン、1-ピロリジニル-2-オン、1-イミダゾリジニル-2-オン、1-ピロリジニル、または1-ピペリジニルである、
請求項1に記載の化合物、またはその薬学的に許容され得る塩。 (i) X 1 is -N- and X 2 is -C(R 9 )-;
(ii) X 1 is -C(R 9 )- and X 2 is -N-, and/or
(iii) R 9 is -H, or
(iv) R 20 and R 21 are each —H, and/or
(v) R 1 is halo or -CN, or
(vi) R 1 is chloro, bromo or -CN, or
(vii) R 1 is chloro;
optionally, R 2 is —N(CH 3 ) 2 , 1-piperidinyl-2-one, 1-pyrrolidinyl-2-one, 1-imidazolidinyl-2-one, 1-pyrrolidinyl, or 1-piperidinyl;
A compound according to claim 1, or a pharmaceutically acceptable salt thereof.
(i) それぞれ独立に、(C1~C6)アルキルから選択され、
(ii) これらが結合しているNと一緒になって、1またはそれを超えるR30で必要に応じて置換されていてもよい(C3~C7)ヘテロシクリルを形成し、
(iii) これらが結合しているNと一緒になって、1つのオキソで置換され、1またはそれを超えるR30で必要に応じて置換された(C3~C7)ヘテロシクリルを形成し、または
(iv) これらが結合しているNと一緒になって、1またはそれを超えるR30で必要に応じて置換されていてもよいピペリジノン、ピロリジノンまたはイミダゾリジノンを形成し、
場合により、R30が、各出現について、必要に応じて、独立に、ハロ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシである、請求項1または2に記載の化合物、またはその薬学的に許容され得る塩。 R 13 and R 14 are
(i) each independently selected from (C 1 -C 6 )alkyl;
(ii) together with the N to which they are attached form a ( C3 - C7 )heterocyclyl optionally substituted with one or more R30 ,
(iii) together with the N to which they are attached form ( C3 - C7 )heterocyclyl substituted with one oxo and optionally substituted with one or more R30 , or
(iv) together with the N to which they are attached form a piperidinone, pyrrolidinone or imidazolidinone optionally substituted with one or more R 30 ;
Optionally, R 30 is independently for each occurrence halo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or 3. The compound of claim 1 or 2, or a pharmaceutically acceptable salt thereof, which is (C 1 -C 6 )haloalkoxy.
(i) ハロ、シアノまたは(C1~C6)アルキルであり、
(ii)クロロまたはメチルであり、
(iii) H、ハロまたは(C1~C6)アルキルであり、または
(iv) H、クロロまたはメチルである、請求項1から3のいずれか一項に記載の化合物、またはその薬学的に許容され得る塩。 R3 is
(i) halo, cyano or (C 1 -C 6 )alkyl;
(ii) chloro or methyl;
(iii) is H, halo or (C 1 -C 6 )alkyl, or
(iv) A compound of any one of claims 1 to 3, or a pharmaceutically acceptable salt thereof, which is H, chloro or methyl.
(ii) R5およびR6が、それらの介在原子と一緒になって、1もしくはそれを超えるR40で必要に応じて置換されていてもよい(C6)アリールもしくは(C5~C6)ヘテロアリール、または1もしくはそれを超えるR50で必要に応じて置換されていてもよい(C5~C8)カルボシクリルもしくは(C5~C8)ヘテロシクリルを形成し、例えば、R5およびR6が、それらの介在原子と一緒になって、(C6)アリールを形成する、請求項1から6のいずれか一項に記載の化合物、またはその薬学的に許容され得る塩。 (i) R 5 is —H and R 6 is halo, (C 1 -C 6 )alkoxy, (C 1 -C 6 )haloalkoxy or (C 3 -C 7 )cycloalkoxy, for example R 6 is (C 1 -C 6 )alkoxy or (C 3 -C 7 )cycloalkoxy, for example R 6 is methoxy, ethoxy or isopropyloxy, for example R 6 is methoxy, or
(ii) R 5 and R 6 together with their intervening atoms are optionally substituted with one or more R 40 (C 6 )aryl or (C 5 -C 6 ) heteroaryl, or (C 5 -C 8 )carbocyclyl or (C 5 -C 8 )heterocyclyl optionally substituted with one or more R 50 , for example, R 5 and R 7. The compound of any one of claims 1 to 6, or a pharmaceutically acceptable salt thereof, wherein 6 together with their intervening atoms form ( C6 )aryl.
(ii) R17およびR18がそれぞれ-Hであり、および/または
(iii) R9が-Hであり、mが1であり、または
(iv) mが0であり、および/または
(v) R8が、各出現について、独立に、ハロ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり、および/または
(vi) nが0である、請求項1から7のいずれか一項に記載の化合物、またはその薬学的に許容され得る塩。 (i) R 7 is halo, cyano, (C 1 -C 6 )alkoxy or (C 1 -C 6 )haloalkoxy, or
(ii) R 17 and R 18 are each —H, and/or
(iii) R 9 is -H and m is 1, or
(iv) m is 0 and/or
(v) R 8 is independently for each occurrence halo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or (C 1 -C 6 ) is haloalkoxy and/or
(vi) a compound of any one of claims 1 to 7, or a pharmaceutically acceptable salt thereof, wherein n is 0;
(i)
(vii)
Zは-N(R60)-または-C(R60)2-であり;
R30は、各出現について、独立に、ハロ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
R60は、各出現について、独立に、水素、ハロ、ヒドロキシ、(C1~C6)アルキル、(C1~C6)ハロアルキル、(C1~C6)アルコキシまたは(C1~C6)ハロアルコキシであり;
pは0、1、2、3、4または5である]であり、
例えば
以下の構造式:
場合により、(i)~(vii)において、R4が-CH3である、請求項1から8のいずれか一項に記載の化合物、またはその薬学的に許容され得る塩。 The following structural formula:
(i)
(vii)
Z is -N(R 60 )- or -C(R 60 ) 2 -;
R 30 is independently for each occurrence halo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or (C 1 -C 6 )halo is alkoxy;
R 60 is independently for each occurrence hydrogen, halo, hydroxy, (C 1 -C 6 )alkyl, (C 1 -C 6 )haloalkyl, (C 1 -C 6 )alkoxy or (C 1 -C 6 ) is haloalkoxy;
p is 0, 1, 2, 3, 4 or 5];
For example the structure:
Optionally, in (i)-(vii), the compound of any one of claims 1 to 8, or a pharmaceutically acceptable salt thereof, wherein R 4 is -CH 3 .
(i)
(vii)
(i)
(vii)
(i) 前記1またはそれを超える他の治療薬が、抗がん剤、抗アレルギー剤、制吐薬、鎮痛薬、免疫調節薬または細胞保護剤から独立に選択されるか、
(ii) 前記1またはそれを超える他の治療薬がプロテアソーム阻害剤であり、例えば、前記プロテアソーム阻害剤がボルテゾミブである、組み合わせ医薬。 11. A pharmaceutical combination comprising a therapeutically effective amount of a compound according to any one of claims 1 to 10, or a pharmaceutically acceptable salt thereof, and a therapeutically effective amount of one or more other therapeutic agents in some cases
(i) said one or more other therapeutic agents are independently selected from anticancer agents, antiallergic agents, antiemetic agents, analgesics, immunomodulatory agents or cytoprotective agents;
(ii) a pharmaceutical combination wherein said one or more other therapeutic agents is a proteasome inhibitor, eg, said proteasome inhibitor is bortezomib.
前記TNK1媒介疾患、障害または症状が、がん、胃腸障害、SIRS、MODS、敗血症、自己免疫障害、マイクロバイオームの疾患、障害もしくは症状、または外傷もしくは腸管損傷に起因する疾患、障害もしくは症状であり、例えば、前記TNK1媒介疾患、障害または症状ががんであり、例えば、がんが、
(i) 固形腫瘍を含み、
(ii) 膵臓がん
(iii)前立腺がん
(iv) 非固形腫瘍
(v) 血液がん
(vi) 急性白血病
(vii) 前記急性白血病が急性骨髄性白血病または急性リンパ性白血病、
(viii)慢性白血病、
(ix) 慢性骨髄性白血病または慢性リンパ性白血病である慢性白血病、
(x) リンパ腫を含み、
(xi) ホジキンリンパ腫、
(xii) 非ホジキンリンパ腫、または
(xiii) 多発性骨髄腫であり、
例えば、前記がんがTNK1変異に関連し、例えば、前記がんがホジキンリンパ腫、結腸直腸がん、肺がん、または非小細胞肺がんである肺がんである、化合物もしくはその薬学的に許容され得る塩、医薬組成物または組み合わせ医薬。 11. A therapeutically effective amount of a compound according to any one of claims 1 to 10, or 11. A method according to any one of claims 1 to 10, comprising administering to said subject a pharmaceutically acceptable salt thereof, a pharmaceutical composition according to claim 11 or a pharmaceutical combination according to claim 12. A compound or a pharmaceutically acceptable salt thereof, the pharmaceutical composition according to claim 11 or the pharmaceutical combination according to claim 12,
said TNK1-mediated disease, disorder or condition is a cancer, gastrointestinal disorder, SIRS, MODS, sepsis, an autoimmune disorder, a microbiome disease, disorder or condition, or a disease, disorder or condition resulting from trauma or intestinal injury. e.g., said TNK1-mediated disease, disorder or condition is cancer, e.g., cancer is
(i) including solid tumors;
(ii) pancreatic cancer
(iii) prostate cancer
(iv) non-solid tumors
(v) blood cancer
(vi) acute leukemia
(vii) the acute leukemia is acute myelogenous leukemia or acute lymphocytic leukemia;
(viii) chronic leukemia,
(ix) chronic leukemia that is chronic myelogenous leukemia or chronic lymphocytic leukemia,
(x) including lymphoma;
(xi) Hodgkin's lymphoma,
(xii) non-Hodgkin's lymphoma, or
(xiii) multiple myeloma;
a compound or a pharmaceutically acceptable salt thereof, for example, wherein said cancer is associated with a TNK1 mutation, for example, lung cancer wherein said cancer is Hodgkin's lymphoma, colorectal cancer, lung cancer, or non-small cell lung cancer; Pharmaceutical composition or pharmaceutical combination.
前記対象がTNK1変異を有するかどうかを判定すること;および
前記対象が前記TNK1変異を有すると判定された場合に、治療上有効量の請求項1から10のいずれか一項に記載の化合物もしくはその薬学的に許容され得る塩、請求項11に記載の医薬組成物、または請求項12に記載の組み合わせ医薬を前記対象に投与することを含み、前記TNK1媒介疾患、障害または症状が、がん、胃腸障害、SIRS、MODS、敗血症、自己免疫障害、マイクロバイオームの疾患、障害もしくは症状、または外傷もしくは腸管損傷に起因する疾患、障害もしくは症状であり、場合により、
(i) 前記TNK1変異がC末端短縮型変異であり、および/または
(ii) 前記TNK1媒介疾患、障害または症状が、結腸直腸がん、ホジキンリンパ腫または肺がんから選択されるがんである、化合物もしくはその薬学的に許容され得る塩、医薬組成物または組み合わせ医薬。 11. The compound of any one of claims 1-10, or a pharmaceutically acceptable salt thereof, for use in a method of treating a TNK1-mediated disease, disorder or condition in a subject with a TNK1 mutation in a subject with a TNK1 mutation. , the pharmaceutical composition according to claim 11 or the pharmaceutical combination according to claim 12,
determining whether said subject has a TNK1 mutation; and, if said subject is determined to have said TNK1 mutation, a therapeutically effective amount of a compound of any one of claims 1-10 or administering to said subject a pharmaceutically acceptable salt thereof, a pharmaceutical composition according to claim 11, or a pharmaceutical combination according to claim 12, wherein said TNK1-mediated disease, disorder or condition is cancer , gastrointestinal disorders, SIRS, MODS, sepsis, autoimmune disorders, microbiome diseases, disorders or conditions, or diseases, disorders or conditions resulting from trauma or intestinal injury, and optionally
(i) said TNK1 mutation is a C-terminal truncation mutation, and/or
(ii) A compound or a pharmaceutically acceptable salt, pharmaceutical composition or combination thereof, wherein said TNK1-mediated disease, disorder or condition is a cancer selected from colorectal cancer, Hodgkin's lymphoma or lung cancer.
場合により、前記疾患、障害または症状が、がん、胃腸障害、全身性炎症反応症候群(SIRS)、多臓器機能障害症候群(MODS)、敗血症、自己免疫障害、マイクロバイオームの疾患、障害もしくは症状、または外傷もしくは腸管損傷に起因する疾患、障害もしくは症状であり、例えば
(i) 前記胃腸障害が、多発性腸新生物、虚血/再灌流傷害、大腸炎、感染性下痢、セリアック病または炎症性腸疾患(IBD)であり、または
(ii) 前記自己免疫障害が、線維症、関節リウマチ、多発性硬化症、全身性エリテマトーデス、1型糖尿病、ギラン・バレー症候群、慢性炎症性脱髄性多発ニューロパチー、グレーブス病、橋本甲状腺炎、重症筋無力症、IBD、多発性筋炎、皮膚筋炎、炎症性筋炎、強直性脊椎炎、潰瘍性大腸炎、乾癬、血管炎、シェーグレン病または移植拒絶である、化合物もしくはその薬学的に許容され得る塩、医薬組成物または組み合わせ医薬。 11. A compound according to any one of claims 1 to 10, or a pharmaceutically acceptable salt thereof, for use in a method of treating a disease, disorder or condition in a subject that would benefit from improved intestinal barrier function. A pharmaceutical composition according to claim 11 or a pharmaceutical combination according to claim 12, wherein a therapeutically effective amount of a compound according to any one of claims 1 to 10 or a pharmaceutically acceptable salt thereof, administering the pharmaceutical composition of claim 11 or the pharmaceutical combination of claim 12 to said subject,
optionally, said disease, disorder or condition is cancer, gastrointestinal disorder, systemic inflammatory response syndrome (SIRS), multiple organ dysfunction syndrome (MODS), sepsis, autoimmune disorder, microbiome disease, disorder or condition; or a disease, disorder or condition resulting from trauma or intestinal injury, such as
(i) said gastrointestinal disorder is multiple intestinal neoplasms, ischemia/reperfusion injury, colitis, infectious diarrhea, celiac disease or inflammatory bowel disease (IBD), or
(ii) the autoimmune disorder is fibrosis, rheumatoid arthritis, multiple sclerosis, systemic lupus erythematosus, type 1 diabetes, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, Graves' disease, Hashimoto's thyroiditis, severe A compound or a pharmaceutically acceptable salt thereof that is myasthenia, IBD, polymyositis, dermatomyositis, inflammatory myositis, ankylosing spondylitis, ulcerative colitis, psoriasis, vasculitis, Sjögren's disease or transplant rejection , a pharmaceutical composition or a pharmaceutical combination.
(i) 該治療が1またはそれを超える標準治療薬剤を前記対象に投与することを含み、
(ii) 該治療がプロテアソーム阻害剤を前記対象に投与することを含み、
(iii) 該治療が、前記プロテアソーム阻害剤が、ボルテゾミブ、N-5-ベンジルオキシカルボニル-Ile-Glu(O-tert-ブチル)-Ala-ロイシナール、カルフィルゾミブ、イキサゾミブ、マリゾミブ(NPI-0052)、デランゾミブ(CEP-18770)、またはO-メチル-N-[(2-メチル-5-チアゾリル)カルボニル]-L-セリル-O-メチル-N-[(1S)-2-[(2R)-2-メチル-2-オキシラニル]-2-オキソ-1-(フェニルメチル)エチル]-L-セリンアミド(ONX-0912)から選択されるプロテアソーム阻害剤を前記対象に投与することを含み、
(iv) 該治療が、前記プロテアソーム阻害剤がボルテゾミブであるプロテアソーム阻害剤を前記対象に投与することを含み、
(v) 該治療が免疫チェックポイント阻害剤を前記対象に投与することを含み、または
(vi) 該治療が、PD-1阻害剤、PD-L1阻害剤またはCTLA-4阻害剤から選択される免疫チェックポイント阻害剤を前記対象に投与することを含む、
請求項13~16のいずれか一項の使用のための化合物もしくはその薬学的に許容され得る塩、医薬組成物または組み合わせ医薬。 treatment further comprises administering to said subject one or more additional therapeutic agents; optionally
(i) said treatment comprises administering one or more standard therapeutic agents to said subject;
(ii) said treatment comprises administering a proteasome inhibitor to said subject;
(iii) the treatment wherein the proteasome inhibitor is bortezomib, N-5-benzyloxycarbonyl-Ile-Glu(O-tert-butyl)-Ala-leucinal, carfilzomib, ixazomib, marizomib (NPI-0052), delanzomib (CEP-18770), or O-methyl-N-[(2-methyl-5-thiazolyl)carbonyl]-L-seryl-O-methyl-N-[(1S)-2-[(2R)-2- administering to said subject a proteasome inhibitor selected from methyl-2-oxiranyl]-2-oxo-1-(phenylmethyl)ethyl]-L-serinamide (ONX-0912);
(iv) said treatment comprises administering to said subject a proteasome inhibitor, wherein said proteasome inhibitor is bortezomib;
(v) said treatment comprises administering an immune checkpoint inhibitor to said subject, or
(vi) said treatment comprises administering to said subject an immune checkpoint inhibitor selected from a PD-1 inhibitor, a PD-L1 inhibitor or a CTLA-4 inhibitor;
A compound or a pharmaceutically acceptable salt thereof, a pharmaceutical composition or a pharmaceutical combination for use according to any one of claims 13-16.
(i) 前記細胞を請求項1から10のいずれか一項に記載の化合物もしくはその薬学的に許容され得る塩、請求項11に記載の医薬組成物または請求項12に記載の組み合わせ医薬と接触させることを含み、場合により前記細胞がヒト内にあり、
(ii) がん、胃腸障害、SIRS、MODS、敗血症、自己免疫障害、マイクロバイオームの疾患、障害もしくは症状、または外傷もしくは腸管損傷に起因する疾患、障害もしくは症状から選択されるTNK1媒介疾患、障害または症状の対象に、治療上有効量の請求項1から10のいずれか一項に記載の化合物もしくはその薬学的に許容され得る塩、請求項11に記載の医薬組成物または請求項12に記載の組み合わせ医薬を該対象に投与することを含み、
場合により、前記TNK1が変異を有し、例えば、前記変異が短縮型変異である、請求項1から10のいずれか一項に記載の化合物もしくはその薬学的に許容され得る塩、請求項11に記載の医薬組成物または請求項12に記載の組み合わせ医薬。 Use in a method of inhibiting TNK1 activity in a cell, comprising:
(i) contacting said cell with a compound of any one of claims 1 to 10 or a pharmaceutically acceptable salt thereof, a pharmaceutical composition of claim 11 or a pharmaceutical combination of claim 12; optionally said cell is in a human,
(ii) a TNK1-mediated disease, disorder selected from cancer, gastrointestinal disorders, SIRS, MODS, sepsis, autoimmune disorders, microbiome diseases, disorders or conditions, or diseases, disorders or conditions resulting from trauma or intestinal injury; or a therapeutically effective amount of a compound according to any one of claims 1 to 10, or a pharmaceutically acceptable salt thereof, a pharmaceutical composition according to claim 11, or a pharmaceutical composition according to claim 12, in a symptomatic subject. administering to said subject a pharmaceutical combination of
A compound according to any one of claims 1 to 10, or a pharmaceutically acceptable salt thereof, optionally wherein said TNK1 has a mutation, e.g. said mutation is a truncating mutation; 13. A pharmaceutical composition according to Claim 12 or a pharmaceutical combination according to Claim 12.
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-
2020
- 2020-07-02 CN CN202080060800.6A patent/CN114302878A/en active Pending
- 2020-07-02 EP EP20743936.5A patent/EP3994132A1/en active Pending
- 2020-07-02 WO PCT/US2020/040737 patent/WO2021003417A1/en unknown
- 2020-07-02 US US16/919,853 patent/US11529350B2/en active Active
- 2020-07-02 CA CA3145864A patent/CA3145864A1/en active Pending
- 2020-07-02 MX MX2022000164A patent/MX2022000164A/en unknown
- 2020-07-02 AU AU2020300619A patent/AU2020300619A1/en active Pending
- 2020-07-02 JP JP2021578010A patent/JP2022539208A/en not_active Withdrawn
- 2020-07-02 KR KR1020227003416A patent/KR20220028075A/en unknown
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