KR101315595B1 - Salinosporamides and methods for use thereof - Google Patents

Abstract

The present invention is based on the discovery that certain fermentation products of marine actinomycetes strains CNB392 and CNB476 are effective inhibitors of hyperproliferative mammalian cells. The CNB392 and CNB476 strains belong to the family Micromonosporaceae, and the genus Salinospora has been proposed for this true marine life taxon. The reaction product produced by this strain is classified as salinosporamide and is particularly advantageous in the treatment of neoplastic diseases due to its low molecular weight, low IC ₅₀ value, high pharmaceutical efficacy, and selectivity for cancer cells over fungi. .

Description

Salinosporamide and its use {SALINOSPORAMIDES AND METHODS FOR USE THEREOF}

Cross-reference to related application

This application claims priority to US Patent Application No. 10 / 838,157, filed April 30, 2004, and US Patent Application No. 10 / 600,854, filed June 20, 2003, both of which are patent applications. Is named “salinosporamide and method of use thereof”.

Information about grants

The invention has been partly done with government support awarded by the US National Institutes of Health, National Cancer Institute, under Grant No. CA44848. The US government may have certain rights in the invention.

BACKGROUND OF THE INVENTION

  The present invention generally relates to anti-neoplastic agents, more particularly salinosporamides and their use as antineoplastic agents.

Neoplastic disease, characterized by cell proliferation in which cell growth is not normally regulated, is the leading cause of death in humans. Clinical experience in chemotherapy has shown that new and more effective cytotoxic drugs are desirable for the treatment of these diseases. Indeed, the use of anti-neoplastic agents has increased due to the identification of new neoplastic and cancer cell types that metastasize to other sites, and the effectiveness of anti-cancer treatment protocols as primary or adjuvant medical cancer therapies.

Because anti-neoplastics are cytotoxic (toxic to cells), they not only interfere with the growth of tumor cells but also normal cells. Antineoplastic agents are more effective against tumor cells than normal cells because of the rapid growth of tumor cells. Thus, normal tissue cells affected by anti-neoplastic agents are rapidly dividing cells, such as bone marrow (known from low blood counts), hair follicles (known as hair loss), and GI mucosal epithelium (nausea, vomiting, appetite). Loss, causing diarrhea). In general, anti-neoplastic agents have the lowest therapeutic index of all drugs used in humans and thus produce significant and potentially life-threatening toxicity. Certain antineoplastic agents that are commonly used have acute toxicity specific to certain tissues. For example, vinca alkaloids have significant toxicity to nervous tissues, while adriamycin has certain toxicity to heart tissues and bleomycin to lung tissues.

Therefore, a continuing need for an effective, yet as a represents a lower IC ₅₀ values than the IC ₅₀ values found in the current antineoplastic agent then the potentially serious side effects are significantly reduced the antineoplastic agent in the inhibition of the proliferation of hyperproliferative cells exist.

Summary of the Invention

The present invention is based on the discovery that certain fermentation products of marine actinomycete strains CNB392 and CNB476 are effective inhibitors of hyperproliferative mammalian cells. The CNB392 and CNB476 strains belong to the family Micromonosporaceae, and the genus Salinospora has been proposed for this true marine life taxon. The reaction product produced by this strain is classified as salinosporamide and is particularly advantageous in the treatment of neoplastic diseases due to its low molecular weight, low IC ₅₀ value, high pharmaceutical efficacy, and selectivity for cancer cells over fungi. .

In one embodiment of the invention, there is provided a compound of formula I:

(I)

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0-8.

In a further embodiment of the invention, there is provided a compound having Formula II:

≪ RTI ID = 0.0 &

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0-8.

In another embodiment of the invention, there is provided a compound having Formula III:

[Formula III]

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0 to 8.

In another embodiment of the invention, there is provided a compound having Formula IV:

(IV)

In a further embodiment of the invention, there is provided a compound having Formula V:

(V)

In a further embodiment of the invention, there is provided a compound having Formula VI:

(VI)

In another embodiment, a pharmaceutical composition is provided that contains a compound of Formula I-VI in at least one of pharmaceutically acceptable carriers.

In another embodiment, an article of manufacture comprising a package and a pharmaceutical composition contained within the package, the package comprising a label indicating that the pharmaceutical composition can be used for the treatment of cell proliferative diseases, wherein the pharmaceutical composition comprises one or more of Formula I- An article of manufacture containing the compound of VI is provided.

In another embodiment, a method of treating a cell proliferative disease in a mammal is provided. Such methods can be performed, for example, by administering to a subject in need thereof a therapeutically effective amount of a compound of formula (I-VI).

In a further embodiment, a method of preparing a compound of formula (I-VI) is provided that has the ability to inhibit proliferation of hyperproliferative mammalian cells. In this way, for example, salicylate North Fora (Salinospora) strains CNB392 (ATCC # ) Or CNB476 (ATCC PTA-5275) can be cultivated and isolating one or more compounds of formula (I) from the culture.

FIG. 1 shows the chemical structure of salinosporamide A, an exemplary compound of the present invention, with relative stereochemistry.
2 shows a phylogenetic tree describing phylogeny of "salinospora".
3 shows the chemical structure of etoposide, an anti-neoplastic agent, in therapies for various human cancers.
4 compares the cytotoxic activity and dose response curves of Salinosporamide A and Etoposide.
FIG. 5 is a block diagram illustrating an exemplary separation method used for isolation of salinosporamide A. FIG.
6-14 show NMR, IR and UV spectrogram data used for clarification of the structure of Salinosporamide A. FIG.
Figure 15 shows the signature nucleotides that CNB392 and CNB476 retain within their 16S rDNA, whereby these strains are systematically distinguished from all other family members of the family Micromonosporacea.
FIG. 16 shows the chemical structure (SV) of Salinosporamide A, an exemplary compound of the present invention, with absolute stereochemical properties.
FIG. 17 shows the ORTEP plot of the final X-ray structure of Salinosporamide A, with absolute stereochemical properties shown.

In one embodiment, compounds of Formula I are provided:

Formula I

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0-8.

In a further embodiment of the invention, there is provided a compound having Formula II:

(II)

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0-8.

In one embodiment, there is provided a compound having Formula III:

(III)

Wherein,

R ₁ to R ₃ are each independently -H, alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, heteroaryl, substituted heteroaryl, heterocyclic, substituted heterocy Click, cycloalkyl, substituted cycloalkyl, alkoxy, substituted alkoxy, thioalkyl, substituted thioalkyl, hydroxy, halogen, amino, amido, carboxyl, -C (O) H, acyl, oxyacyl, carbamate, Sulfonyl, sulfonamide or sulfuryl;

Each R ₄ is independently alkyl, substituted alkyl, alkenyl, substituted alkenyl, alkynyl, substituted alkynyl, aryl, substituted aryl, cycloalkyl or substituted cycloalkyl;

E ₁ to E ₄ are each independently —O, —NR ₅ or —S, wherein R ₅ is —H or C ₁ -C ₆ alkyl;

x is 0 to 8.

In another embodiment of the invention, there is provided a compound having Formula IV:

Formula IV

In a further embodiment of the invention, there is provided a compound having Formula V:

Formula V

In a further embodiment of the invention, there is provided a compound having Formula VI:

VI

As used herein, the term "alkyl" includes 1 to about 12 carbon atoms, including methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, tert-butyl, n-hexyl, and the like. Linear or branched monovalent hydrocarbon groups.

As used herein, "substituted alkyl" refers to hydroxy, alkoxy, mercapto, cycloalkyl, substituted cycloalkyl, heterocyclic, substituted heterocyclic, aryl, substituted aryl, heteroaryl, substituted heteroaryl, aryl One or more substituents selected from oxy, substituted aryloxy, halogen, cyano, nitro, amino, amido, -C (O) H, acyl, oxyacyl, carboxyl, sulfonyl, sulfonamide, sulfuryl, and the like. The alkyl group which has is shown.

As used herein, "lower alkyl" refers to alkyl groups having 1 to about 6 carbon atoms.

As used herein, "alkenyl" refers to a straight or branched chain hydrocarbyl group having one or more carbon-carbon double bonds, having from about 2 to up to 12 carbon atoms, and "substituted alkenyl" The alkenyl group which further has one or more substituents shown by is shown.

As used herein, "alkynyl" refers to a straight or branched chain hydrocarbyl group having one or more carbon-carbon triple bonds and having from about 2 to up to 12 carbon atoms and "substituted alkynyl" The alkynyl group which further has one or more substituents shown by is shown.

As used herein, "aryl" refers to an aromatic group having 6 to 14 carbon atoms and "substituted aryl" refers to an aryl group further having one or more substituents as indicated above.

As used herein, “heteroaryl” refers to an aromatic ring containing one or more heteroatoms (eg, N, O, S, etc.) as part of a ring structure and having 3 to 14 carbon atoms, "Substituted heteroaryl" refers to a heteroaryl group further having one or more substituents as indicated above.

As used herein, "alkoxy" refers to the -O-alkyl- moiety wherein alkyl is defined above and "substituted alkoxy" refers to an alkoxyl group further having one or more substituents as indicated above.

As used herein, "thioalkyl" refers to the -S-alkyl- moiety wherein alkyl is defined above and "substituted thioalkyl" refers to a thioalkyl group further having one or more substituents as indicated above. .

As used herein, "cycloalkyl" refers to a ring containing alkyl group in the range of about 3 to up to 8 carbon atoms and "substituted cycloalkyl" refers to a cycloalkyl group further having one or more substituents as indicated above.

As used herein, “heterocyclic” includes one or more heteroatoms (eg, N, O, S, etc.) as part of a ring structure, and contains cyclic carbon atoms ranging from 3 to up to 14 carbon atoms ( That is, ring-containing) groups, and “substituted heterocyclic” refers to a heterocyclic group further having one or more substituents as indicated above.

In certain embodiments are provided compounds of Formula I-III, wherein E ₁ , E _3, and E ₄ are —O and E ₂ is —NH.

In certain embodiments are provided compounds of Formula I-III, wherein R ₁ and R ₂ are -H, alkyl or substituted alkyl, and R ₃ is hydroxy or alkoxy. In some embodiments, R ₁ is substituted alkyl. Exemplary substituted alkyls contemplated for use include halogenated alkyls such as chlorinated alkyls.

The compounds of the present invention may be formulated into pharmaceutical compositions in natural or salt form. Pharmaceutically acceptable non-toxic salts include inorganic bases such as sodium hydroxide, potassium hydroxide, ammonium hydroxide, calcium hydroxide, or ferric hydroxide, and organic bases such as isopropylamine, trimethylamine, 2-ethylamino Base addition salts (formed with free carboxyl or other anionic groups) which may be derived from ethanol, histidine, procaine and the like. Such salts may also be formed with acid addition salts with any free cationic group and are generally used for inorganic acids such as hydrochloric acid, sulfuric acid or phosphoric acid, or organic acids such as acetic acid, p-toluenesulfonic acid, methanesulfonic acid, It is formed with oxalic acid, tartaric acid, mandelic acid, and the like. Salts of the present invention include amine salts which are formed with inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, phosphoric acid and the like by protonation of amino groups. Salts of the present invention also include amine salts formed with suitable organic acids, such as p-toluenesulfonic acid, acetic acid and the like, by protonation of amino groups. Additional excipients contemplated for use in the practice of the present invention are those available to those skilled in the art, for example, see United States Pharmacopeia Vol. XXII and National Formulary Vol. XVII, U. S. Pharmacopeia Convention, Inc., Rockville, MD (1989), the contents of which are incorporated herein by reference.

The compounds according to the invention may comprise one or more asymmetric carbons and thus appear as racemates and racemic mixtures, single enantiomers, diastereomeric mixtures and individual diastereomers. The term “stereoisomers” refers to chemical compounds that differ from one another only in the way that different groups in the molecule are oriented in space. Stereoisomers have the same molecular weight, chemical composition, and composition as the others, but the atoms are grouped differently. That is, certain identical chemical moieties exist in different orientations in space, and thus have the ability to rotate the polarization plane when pure. However, some pure stereoisomers may have so little that they have optical rotations that cannot be detected with the use of current instruments. All such isomeric forms of the compounds are expressly included in the present invention.

Each stereogenic carbon may be in the R or S configuration. While certain compounds exemplified in the present application may be shown in certain configurations, compounds or mixtures thereof having any opposite stereochemical properties at any given chiral center are also contemplated. It is to be understood that when chiral centers are found in the derivatives of the present invention, the present invention includes all possible stereoisomers. The term "optical pure compound" or "optical pure isomer" refers to a single stereoisomer of a chiral compound, regardless of the configuration of the compound.

Exemplary compounds of formula I of the present invention are illustrated below:

Salinosporamide A exhibits a molecular structure with various functional groups (lactones, alkyl halides, amides, hydroxides) that can be chemically modified to produce synthetic derivatives. Thus, Salinosporamide A, an exemplary compound of the present invention, provides an excellent lead structure in the development of synthetic and semisynthetic derivatives. Indeed, salinosporamide A can be derivatized to improve pharmacokinetic and pharmacodynamic properties, which aids administration and increases its usefulness as an anti-neoplastic agent. Procedures for chemically modifying the salinosporamide compounds of the present invention to produce additional compounds that are within the scope of the present invention are known to those skilled in the art.

Salinosporamide A shows potent cytotoxic activity against human colon cancer cells in the HTC-116 cell assay. An IC ₅₀ of 11 ng / ml outweighs the activity of etoposide, an anticancer agent used in the treatment of many cancers (see FIG. 3, IC ₅₀ : 828 ng / ml), almost twice the size (see FIG. 4). . This high activity makes the salinosporamides of the present invention an excellent candidate for use in the treatment of various human cancers, in particular for slowly growing refractive cancers in which there is no therapy at all. Salinosporamide A is specific for the inhibition of mammalian cells and shows little antifungal activity against Candida albicans (IC ₅₀ : 250 μg / ml) and no antibacterial activity (Staphylococcus aureus). Reus (Staphylococcus aureus, Enterococcus faecium) The IC ₅₀ of salinosporamide A is much lower than the most potent chemotherapeutic agents currently in use or in clinical trials.

Salinosporamide A is a fermentation product of marine actinomycetes strains CNB392 and CNB476. These strains are members of the Actinomycetales family, which are high G + C Gram-positive bacteria. The novelty of CNB392 and CNB476 is at the genus level. The compounds of the present invention shown herein are produced by certain "Salinospora" species. In some embodiments, the compounds of the present invention are produced by CNB392 and CNB476, the "salinospora" species strains. To this end, in accordance with the Budapest Treaty on the International Deposit of Microorganisms for the Purposes of Patent Procedure, the American Type Culture Collection of Rockville Parkron Drive 12301, 20852, USA ( The Patent Culture Depository of the American Type Culture Collection was deposited on June 20, 2003 under ATCC registration number ______ and PTA -5275 , respectively.

As with other organisms, the properties of the "salinospora" species are prone to variation. For example, recombinants, variants or mutants of specialized strains can be prepared by a variety of known physical and chemical mutation inducers, such as ultraviolet light, X-rays, gamma rays, and N-methyl-N'-nitro-N. It can be obtained by treatment with nitrosoguanidine. It is contemplated that all natural and derived variants, mutants and recombinants of characterized strains that retain the properties of producing compounds of the invention are within the scope of the claimed invention.

The compounds of the present invention can be prepared, for example, by bacterial fermentation, which produces the compounds in sufficient amounts for pharmaceutical drug development and clinical trials. In some embodiments, the compounds of the present invention are prepared by fermentation of actinomycetes strains CNB392 and CNB476 in A1Bfe + C or CKA-liquid medium. Essential trace elements necessary for the growth and development of the culture should also be contained in the culture medium. Such trace elements generally appear as impurities in other constituents of the medium in an amount sufficient to meet the growth requirements of the organism. If foaming is a problem, it may be desirable to add a small amount (ie 0.2 ml / L) of antifoaming agent, such as polypropylene glycol (molecular weight: about 2000), to a large culture medium. Organic metabolites are isolated by adsorption onto amberlite XAD-16 resin. Salinosporamide A, for example, is isolated by elution of XAD-16 resin with 1: 1 methanol: dichloromethane, which produces about 105 mg of crude extract per liter of culture. Salinosporamide A is then isolated from the crude extract by reverse phase flash chromatography followed by reverse phase HPLC and normal phase HPLC, resulting in 6.7 mg of salinosporamide A. 5 is a block diagram that outlines the isolation and isolation protocols of the compounds of the present invention.

As shown in Figures 6-14, the structure of Salinosporamide A was revealed by various NMR techniques, mass spectroscopy, IR and UV spectroscopy.

Confirmation of the absolute structure of Salinosporamide A, and the overall structure of Salinosporamide A was achieved by single crystal X-ray diffraction analysis (see Example 3).

The invention also provides an article of manufacture comprising a package and a pharmaceutical composition contained within the package, the package comprising a label indicating that the pharmaceutical composition can be used for the treatment of a disease, wherein the pharmaceutical composition contains a compound according to the present invention. . Thus, in one aspect, the present invention provides a pharmaceutical composition containing a compound of the present invention, wherein the compound is present at a concentration effective for the treatment of cell proliferative diseases. This concentration can be determined by one skilled in the art, for example, as determined by in vivo animal assays or by standard therapeutic regimens.

The pharmaceutical compositions used as components of the articles of manufacture of the invention may be used in the form of solids, solutions, emulsions, dispersions, micelles, liposomes, and the like, wherein the resulting compositions contain one or more compounds of the invention as active ingredients, Or in the form of a mixture with an organic or inorganic carrier or excipient suitable for parenteral use. The compounds used for the components of the articles of manufacture of the invention are generally nontoxic pharmaceutically acceptable for eg tablets, pellets, capsules, suppositories, solutions, emulsions, suspensions and any other form suitable for use. May be combined with a carrier. Carriers that can be used are glucose, lactose, gum arabic, gelatin, mannitol, starch paste, magnesium trisilicate, talc, corn starch, keratin, colloidal silica, suitable for use in the preparation of the formulation in solid, semisolid, or liquid form. , Potato starch, urea, medium chain length triglycerides, dextran, and other carriers. Auxiliaries, stabilizers, thickeners and coloring and flavorings may also be used.

The compositions of the present invention may contain other therapeutic agents, which are described below, and include pharmaceutical additives of the type appropriate for the desired dosage form (e.g., excipients, binders, preservatives, Stabilizers, flavoring agents, etc.) as well as conventional solid or liquid vehicles or diluents can be formulated.

The pharmaceutical compositions of the invention may be administered by any suitable means, for example by oral administration, for example in the form of tablets, capsules, granules or powders; By sublingual administration; By buccal administration; By parenteral administration, for example by subcutaneous, intravenous, intramuscular or grouse injection or infusion techniques (eg injectable sterile aqueous or non-aqueous solutions or suspensions); By nasal administration, for example by inhalation spray; Topically, for example in the form of a cream or ointment; Or by rectal administration, for example in the form of suppositories; It may be administered in unit dosage form containing a pharmaceutically acceptable non-toxic vehicle or diluent. The compounds of the present invention can be administered, eg, in a form suitable for immediate release or prolonged release. Immediate release or prolonged release can be achieved by the use of a suitable pharmaceutical composition containing a compound of the invention, or in particular by the use of devices such as subcutaneous implants or osmotic pumps in the case of prolonged release. Compounds of the invention can also be administered by liposomes.

The invention also relates to the salinosporamide compounds of the invention of formula I-VI for inhibiting proliferation of mammalian cells by contacting the mammalian cells with an amount of the salinosporamide compound of the invention sufficient to inhibit the proliferation of the mammalian cells. Provides a method of use. One embodiment is a method of inhibiting proliferation of a hyperproliferative mammalian cell. For the purposes of the present invention, "hyperproliferative mammalian cells" are mammalian cells that are not subject to characteristic growth limitations, such as programmed cell death (apoptosis). A further preferred embodiment is when the mammalian cell is a human. The invention also provides for contacting a mammalian cell with one or more salinosporamide compounds of the invention and one or more additional antineoplastic agents.

In another embodiment, a method of treating a mammalian cell proliferative disease is provided, the method comprising administering to a subject in need thereof a therapeutically effective amount of a compound of Formula I-VI. Cell proliferative diseases that can be effectively treated with the methods of the present invention include diseases characterized by neoplasia. As such, the compounds of the present invention are antineoplastic agents. As used herein, "neoplastic" is associated with neoplasms, which are abnormal growth bodies, such growth occurs due to the proliferation of cells that are not subject to general growth restrictions. As used herein, an “antineoplastic agent” is any compound, composition, mixture, co-mix or blend that inhibits, eliminates, delays or reverses the neoplastic phenotype of a cell. In certain embodiments, the neoplasm is a breast neoplasm, small cell lung neoplasm, non-small cell lung neoplasm, colorectal neoplasm, leukemia, melanoma, pancreatic adenocarcinoma, central nervous system (CNS) neoplasm, ovarian neoplasm, prostate Neoplasms, soft tissues or bone sarcomas, head and neck neoplasms, thyroid neoplasms and gastrointestinal neoplasms including non-Hodgkin's disease, myeloma, bladder neoplasm, kidney neoplasms, thyroid neoplasms and non-Hodgkin's disease Is selected from neuroendocrine neoplasms and Hodgkin's disease neoplasms. In one embodiment the neoplasm is a colorectal neoplasia.

Chemotherapy, surgery, radiation therapy, therapy with biological response modifiers, and immunotherapy are currently used for the treatment of cancer. Each therapy modality has specific instructions known to those skilled in the art and one or both may be used in an attempt to achieve total destruction of neoplastic cells. Chemotherapy in which at least one salinosporamide compound of the present invention is used is provided by the present invention. Combination chemotherapy, which is also a chemotherapy that uses the salinosporamide compound of the present invention in combination with other antineoplastic agents, is also provided by the present invention because the combination therapy is generally more effective than the use of a single antineoplastic agent. Thus a further aspect of the invention provides a composition containing a therapeutically effective amount of one or more salinosporamide compounds of the invention in combination with one or more other antineoplastic agents. Such compositions may also be provided with physiologically tolerable liquids, gels or solid carriers, diluents, adjuvants and excipients. Such carriers, diluents, adjuvants and excipients are described in United States Pharmacopeia Vol. XXII and National Formulary Vol XVII, U. S. Pharmacopeia Convention, Inc., Rockville, Md. (1989), the contents of which are incorporated herein by reference. Additional treatment modalities are described in AHFS Drug Information, 1993 ed. by the American Hospital Formulary Service, pp. 522-660, the contents of which are incorporated herein by reference.

Antineoplastic agents that can be used in combination with the salinosporamide compounds of the present invention are described in The Merck Index, 11th ed. Merck & Co., Inc. (1989) pp. Ther 16-17, the contents of which are incorporated herein by reference. In a further embodiment of the present invention, the anti-neoplastic agent may include but is not limited to methotrexate, 5-fluorouracil, 6-mercaptopurine, cytosine arabinoside, hydroxyurea, and 2-chlorodeoxyadenosine It may be an anti-metabolic substance, but not limited to. In other embodiments of the present invention, anti-neoplastic agents contemplated may include, but are not limited to, cyclophosphamide, melphalan, busulfan, paraplatin, chlorambucil, and nitrogen mustard. And alkylating agents. In a further embodiment of the invention, the anti-neoplastic agent is a plant alkaloid which may include, but is not limited to, vincristine, vinblastine, taxol and etoposide. In a further embodiment of the invention, anti-neoplastic agents contemplated include antibiotics, which may include but are not limited to doxorubicin (Adriamycin), daunorubicin, minomycin c and bleomycin. In a further embodiment of the invention, anti-neoplastic agents contemplated include calusosterone, diomostabolone, propionate, epithiostanol, mephithiostane, testosterone, tamoxifen, polystradiol phosphate, megestrol acetate And hormones, which may include, but are not limited to, flutamide, nilutamide and trilotan. In further embodiments of the invention, the anti-neoplastic agents contemplated may include, but are not limited to, L-asparaginase or aminoacridine derivatives, which may include but are not limited to amsacrine. It includes. Additional antineoplastic agents are described in Skeel, Roland T., "Antineoplastic Drugs and Biologic Response Modifier: Classification, Use and Toxicity of Clinically Useful Agents," Handbook of Cancer Chemotherapy (3rd ed.), Little Brown & Co. (1991). ), The contents of which are incorporated herein by reference.

In addition to primates, for example humans, a variety of other mammals can be treated according to the methods of the invention. Mammalians, including but not limited to cows, sheep, goats, horses, dogs, cats, guinea pigs, mice or other bovines, sheep, horses, dogs, cats, rodents or murine species, are to be treated. Can be.

The term “therapeutically effective amount” is used to reduce the effects / symptoms of a cell proliferative disorder, e. Mean amount of sugar compound.

"Pharmaceutically acceptable" means that the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to its recipient.

It is to be understood that the term "administering" or "administering" a compound means providing the compound of the invention to an individual in need thereof. The compounds of the present invention may be administered prior to, concurrent with, or after the administration of another therapeutic or other anti-neoplastic agent.

Pharmaceutical compositions for the administration of the compounds of the present invention may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing into association the active ingredient with the carrier which constitutes one or more accessory ingredients. In general, pharmaceutical compositions are prepared by bringing the active ingredient into uniform and intimate association with a liquid carrier or an undifferentiated solid carrier or both, and then molding the product into the desired formulation, if necessary. In the present pharmaceutical composition, the active compound of interest is contained in an amount sufficient to produce the desired effect on the course or condition of the disease.

Pharmaceutical compositions containing the active ingredient may be present in a form suitable for oral administration, eg, tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs have.

Compositions intended for oral use can be prepared according to any method known in the art for the preparation of pharmaceutical compositions, which compositions are pharmaceutically elutant and sweetener for the provision of palatable preparations. It may contain one or more agents selected from the group consisting of flavoring agents, coloring agents and preservatives. Tablets contain the active ingredient in the form of a mixture with pharmaceutically acceptable non-toxic excipients which are suitable for the manufacture of tablets. Such excipients include, for example, inert diluents such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; Granulating and disintegrating agents such as corn starch or alginic acid; Binders such as starch, gelatin or gum arabic, and lubricants such as magnesium stearate, stearic acid or talc. Tablets may be uncoated or coated with known techniques to retard disintegration and absorption in the gastrointestinal tract and thereby sustain action over a long period of time. For example, time-lag substances such as glyceryl monostearate or glyceryl distearate can be used. They may also be coated to form osmotic therapeutic tablets for controlled release.

Oral formulations also contain hard gelatin capsules in which the active ingredient is mixed with an inert solid diluent such as calcium carbonate, calcium phosphate or kaolin, or the active ingredient is mixed with water or an oil medium such as peanut oil, liquid paraffin or olive oil. It can be given as a soft gelatin capsule.

Aqueous suspensions contain the active substances in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxypropylmethylcellulose, sodium alginate, polyvinyl-pyrrolidone, tragacanth rubber and gum arabic; The dispersing or wetting agent may be a natural phosphatide such as lecithin, or a condensation product of alkylene oxide and a fatty acid, such as polyoxyethylene stearate, or a condensation product of ethylene oxide and a long chain aliphatic alcohol, such as hepta Decaethyleneoxycetanol or a condensation product of ethylene oxide with partial esters derived from fatty acids and hexitols, for example polyoxyethylene sorbitol monooleate, or partial esters derived from ethylene oxide with fatty acids and hexitol anhydrides Condensation products of, for example, polyethylene sorbitan monooleate. Aqueous suspensions may also contain one or more preservatives such as ethyl, or n-propyl, p-hydroxybenzoate, one or more colorants, one or more flavoring agents, and one or more sweetening agents such as sucrose or saccharin have.

Oily suspensions may be formulated by suspending the active ingredient in vegetable oils such as arachis oil, olive oil, sesame oil or coconut oil, or mineral oil such as liquid paraffin. Oily suspensions may contain thickening agents, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents, such as those indicated above, and flavoring agents, may be added to provide a tasty oral preparation. Such compositions may be preserved by the addition of antioxidants, for example ascorbic acid.

Dispersible powders and granules suitable for the preparation of aqueous suspensions by the addition of water provide the active ingredient in the form of a dispersion or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, such as sweeteners, flavoring agents and coloring agents, may also be present.

Syrups and elixirs may be formulated with sweetening agents such as glycerol, propylene glycol, sorbitol or sucrose. Such formulations may contain analgesics, preservatives, flavors and coloring agents.

The pharmaceutical compositions may be in the form of injectable sterile aqueous or oily suspensions. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. Injectable bactericidal formulations may also be present as an injectable bactericidal solution or suspension in a parenterally acceptable non-toxic diluent or solvent, for example as a solution in 1,3-butane diol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. Sterile fixed oils are also conveniently employed as a solvent or suspending medium. For this purpose any type of fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables.

The compounds of the present invention may also be administered in the form of suppositories for rectal administration of the drug. Such compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at room temperature but liquid at rectal temperature and therefore will melt in the rectum to release the drug. Such materials include cocoa butter and polyethylene glycols.

In topical use, creams, ointments, jelly, solutions or suspensions containing the compounds of the present invention are used.

The compounds and compositions of the present invention can be administered to mammals in a manner similar to other therapeutic agents for veterinary use, such as for livestock, and for clinical use in humans. In general, the dosage required for therapeutic efficacy depends on the form of use and mode of administration and the specific requirements of the individual host. Usually, the dosage ranges from about 0.001 to 1000 μg, more generally 0.01 to 10 μg per kg of host body weight. Alternatively, dosages within this range may be administered by constant infusion over a long period of time, generally over 24 hours, until the desired therapeutic effect is obtained. However, for any particular patient, specific dosage levels and frequency of administration may vary and include the activity of the particular compound employed, the metabolic stability and duration of action of the compound, age, weight, overall health, sex, diet, mode and time of administration, It will be appreciated that this will depend on various factors including excretion rate, drug combination, severity of the particular disease, and the host receiving the therapy.

The present invention will now be described in more detail with reference to the following non-limiting examples.

Methods and Materials

Compounds of the invention were HPLC-purified by RP-MPLC on C18-solid phase (Aldrich) using a step gradient on Kontes Flex-column (15 x 7 mm). Semipreparative HPLC isothermal with Waters pump 6000H using differential refractive index detector Waters R401 at a flow rate of 2 ml / min on normal phase column Si-Dynamas-60 mm (250 x 5 mm) or reverse phase column C18-Dynamax-60 mm Performed on every HPLC system.

LC-MS- LC-MS chromatography was performed with DAD and MSD1100 detection on the Hewlett-Packard system series HP1100. Separation was achieved on reverse phase C18 (Agilent Hypersil ODS 5 μm, column dimension: 4.6 × 100 mm) at a flow rate of 0.7 ml / min using the following standard gradient: 10% acetonitrile, 15 min; 98% acetonitrile (Burdick & Jackson high purity solvent). MS-detection was performed in a positive mode of ESI, a capillary voltage of 3500 eV, a fragmentation voltage of 70 eV, and a mass range of m / z 100-1000. APCI-mode was measured at a flow rate of 0.5 ml / min, positive detection, capillary voltage of 3000 eV, and dispersion voltage of 70 eV.

NMR-NMR spectra were measured on a Varian 300 MHz field gradient spectrometer with inverse mode for ¹ H or 2D NMR spectra. 13C and DEPT spectra were measured on a Varian 400 MHz broadband device. Reference values are set for internal standard tetramethylsilane (TMS, 0.00 ppm).

MS-EI-Low Resolution MS-EI spectra were performed at heating rates of 20 ° C./min up to 320 ° C. on a Hewlett-Packard mass spectrometer with a compartment magnetic field device, direct injection inlet.

FTMS-MALDI-High Resolution MS data were obtained in MALDI mode of operation on an IonSpec Ultima FT Mass Spectrometer.

IR-IR spectra were measured on a Perkin-Elmer FT infrared spectrophotometer using a NaCl window.

Example  One

" Salinospora "Species, culture number CNB392  And CNB476 Isolation and characterization

CNB392 and CNB476 carry characteristic nucleotides in 16S rDNA that systematically distinguish these strains from all other members of the micromonosporacea family (see FIG. 15). This characteristic nucleotide was determined to be a definitive marker for members of this taxa that also had the physiological growth requirements of sodium. Characteristic nucleotides were identified using members of all existing micromonosporacea in the ribosome database project of January 31, 2001. E. coli was assigned to positions 27-1492. For the "salinospora" clade, the 45 partially sequenced morphotypes showed all the characteristic nucleotides from positions 207-468. Nearly all of the seven “salinospora” isolates (see FIG. 2) exhibited all of the features in FIG. 15.

CNB392 and CNB476 strains form bright orange to black colonies on agar and lack parasitic hyphae. Dark brown and light yellow diffuse pigments are produced as the cell grows. Spores darken the surface of the colony and are born on the substrate mycelium. The vegetative mycelium is finely branched and does not fragment. Spores are produced singly or in groups. The motility of both spore sac and spores was not observed at all in this strain. CNB392 A and CNB476 have true growth requirements for sodium and do not grow on typical media used to maintain other genus members in micromonosporacea. CNB392 and CNB476 were found to grow optimally on solid medium TCG or M1 at 30 ° C.

TCG M1

3 g tryptone 10 g starch

5 g yeast extract 4 g yeast extract

4 g glucose 2 g peptone

18 g of agar (optional) 18 g of agar (optional)

1 l filtered seawater 1 l filtered seawater

Fermentation

CNB392 and CNB476 are incubated for 9 days at 35 ° C. in 1 l of shake A1Bfe + C or CKA-liquid medium. After 4 days 20 g of Amberlite XAD-16 resin (Sigma, nonionic polymeric adsorbent) is added.

A1Bfe + C 10 g starch CKA

4 g yeast extract 5 g starch

2 g of peptone 4 ml of hydrosolubles (50%)

1 g CaCO ₃ 2 g menhaden meal

5 ml of KBr (aqueous solution, 20 g / l) 2 g of kelp powder

5 ml of Fe ₂ (S0 ₄ ) ₃ x 4 H ₂ 0 (8 g / l) 2 g chitosan

1 l filtered seawater 1 l filtered seawater

extraction

Filtered to XAD-16 resin and the organic extract was eluted with 1 l of ethyl acetate, then 1 l of methanol. The eluate is then extracted three times with 200 ml of ethyl acetate. The crude extract from the XAD adsorbate is 105 mg. Cytotoxicity analysis for human colon cancer cell HCT-116 showed an IC50 of <0.076 μg / ml.

CNB392 From Salinosporamide  Isolation of A

The crude extract was flash chromatographed in C18 reverse phase (RP) using a stepwise gradient (FIG. 5). HCT-116 analysis produced two active fractions, CNB392-5 and CNB392-6. The combined active fractions (51.7 mg, HCT116 <0.076 μg / ml) were chromatographed on isocratic RP-HPLC using 85% methanol at a flow rate of 2 ml / min as eluent and using refractive index detection. Active fraction CNB392-5 / 6 (7.6 mg, HCT116 <0.076 μg / ml) was purified on isocratic normal phase HPLC on silica gel using 2 ml / min of ethyl acetate: isooctane (9: 1). Salinosporamide A (FIG. 1) was isolated as a colorless amorphous solid in 6.7 mg yield (6.4%) per 1 l. TLC on silica gel (9: 1 dichloromethane: methanol) showed salinosporamide A at r _f = 0.6, no UV quenching or fluorescence at 256 nm, H ₂ SO ₄ / ethanol Was yellow in color and dark reddish brown in Godin reagent (vanillin / H ₂ SO ₄ / HClO ₄ ). Salinosporamide A is soluble in CHCl ₃ , methanol, and other polar solvents such as DMSO, acetone, acetonitrile, benzene, pyridine, N, N-dimethylformamide, and the like.

¹ H NMR: (d ₅ -pyridine, 300 MHz) 1.37 / 1.66 (2H, m, CH ₂ ), 1, .70.2.29 (2H, m, CH ₂ ), 1.91 (2H, broad, CH ₂ ), 2.07 (3H, s, CH ₃ ), 2.32 / 2.48 (2H, ddd, ³ J = 7.0 Hz, CH ₂ ), 2.85 (1H, broad, m, CH), 3.17 (1H, dd, ³ J = 10 Hz , CH), 4.01 / 4.13 (2H, m, CH ₂ ), 4.25 (1H, d, ³ J = 9.0 Hz, CH), 4.98 (1H, broad, OH), 5.88, (1H, ddd, ³ J = 10 Hz, CH), 6.41 (1H, broad d, ³ J = 10 Hz, CH) 10.62 (1H, s, NH).

¹³ C NMR / DEPT: (d ₅ -pyridine, 400 MHz) 176.4 (COOR), 169.0 (CONH), 128.8 (= CH), 128.4 (= CH), 86.1 (C _q ), 80.2 (C _q ), 70.9 (CH), 46.2 (CH), 43.2 (CH ₂ ), 39.2 (CH), 29.0 (CH ₂ ), 26.5 (CH ₂ ), 25.3 (CH ₂ ), 21.7 (CH ₂ ), 20.0 (CH ₃ )

LC-MS (ESI) t _r = 10.0 min, flow rate: 0.7 ml / min

m / z: (M + H) ⁺ 314, (M + Na) ⁺ 336; Fragment: (M + H-CO ₂ ) ⁺ 292, (M + H-C0 ₂ -H ₂ 0) ⁺ 270, 252, 204. Cl pattern: (M + H, 100%) ⁺ 314, (M + H , 30%) ⁺ 316.

LC MS (APCI): t _r = 11.7 min, flow rate: 0.5 ml / min

m / z: (M + H) ⁺ 314, Fragment: (M + H-CO ₂ -H ₂ 0) ⁺ 270, 252, 232, 216, 160.

Cl pattern: (M + H, 100%) ⁺ 314, (M + H, 30%) ⁺ 316.

EI: m / z: 269, 251, 235, 217, 204, 188 (100%), 160, 152, 138, 126, 110, 81.

FTMS-MALDI: m / z: (M + H) ⁺ 314.1144

FT-IR: (cm ^-1 ) 2920, 2344, s, 1819 m, 1702 s, 1255, 1085 s, 1020 s, 797 s.

Molecular Formula: C ₁₅ H ₂₀ ClN0 ₄

Example  2

Life  analysis

Salinosporamide A shows potent activity against human colon cancer cells with an IC ₅₀ of 0.011 μg / ml (see FIG. 4). Screening for antimicrobial or antifungal activity showed no significant activity, see Table 1.

analysis
(占 퐂 / ml) IC ₅₀ of Salinosporamide A HCT-116 0.011 Candida albicans 250 Candida albicans (ampoterosine B resistant) NSA * Staphylococcus aureus (methecillin resistant) NSA * Enterococcus paesium (vanobisin resistance) NSA * * NSA = no significant activity

Example  3

Determination of Absolute Stereochemical Properties

Crystallization of the compound of formula I from ethyl acetate / isooctane produced a single equiaxed crystal, which was diffracted to monoclinic P2 (1). An unusual high unit cell volume of 3009 μs was present in four independent molecules, where different coordination positions were observed for flexible chloroethyl substituents. Absolute steric conformation of salinosporamide A as 2R, 3S, 4R, 5S, 6S (FIGS. 16 and 17) with a Flack parameter of 0.01 and an esd of 0.03 by assignment of absolute structure from diffraction anisotropy of chlorine substituents Chemical properties have been elucidated.

While the invention has been described in connection with the above embodiments, it will be appreciated that modifications and variations are encompassed within the spirit and scope of the invention. Accordingly, the invention is limited only by the following claims.

Claims (33)

Pharmaceuticals for treating neoplasia comprising an effective amount of a compound of the formula: or a pharmaceutically acceptable salt thereof, sucrose, one or more additional anti-neoplastic agents, and a pharmaceutically acceptable carrier As a composition:

Pharmaceutical compositions in solid form. Pharmaceuticals for treating neoplasia comprising an effective amount of a compound of the formula: or a pharmaceutically acceptable salt thereof, sucrose, one or more additional anti-neoplastic agents, and a pharmaceutically acceptable carrier As a composition:

Pharmaceutical compositions in the form of sterile injectable solutions. The pharmaceutical composition of claim 2, wherein the sterile injectable solution is an aqueous sterile injectable solution. delete The method according to claim 1 or 2, wherein the neoplasm is a pancreatic adenocarcinoma, soft tissue sarcoma, bone sarcoma, head neoplasm, cervical neoplasm, gastrointestinal neoplasm, thyroid neoplasm, gastric neoplasm, myeloma, bladder neoplasm, A pharmaceutical composition selected from the group consisting of neuroendocrine neoplasms, non-Hodgkin's disease neoplasms, and Hodgkin's disease neoplasms. A pharmaceutical composition for treating refractive cancer comprising a compound of formula (V): or a pharmaceutically acceptable salt, sucrose, and one or more additional anti-neoplastic agents thereof:
Formula V

The method of claim 6, wherein the refractive cancer is breast cancer, small cell lung cancer, non-small cell lung cancer, colorectal cancer, leukemia cancer, melanoma cancer, central nervous system (CNS) cancer, ovarian cancer, prostate cancer, kidney cancer, pancreatic adenocarcinoma, soft tissue sarcoma cancer Pharmaceutical composition is selected from the group consisting of bone sarcoma cancer, head cancer, neck cancer, gastrointestinal cancer, thyroid cancer, gastric cancer, myeloma cancer, bladder cancer, neuroendocrine cancer, non-Hodgkin's disease and Hodgkin's disease. The pharmaceutical composition according to claim 6 or 7, which is in solid form. 8. A pharmaceutical composition according to claim 6 or 7 in the form of a sterile injectable solution. The pharmaceutical composition of claim 9, wherein the sterile injectable solution is an aqueous sterile injectable solution. 8. A pharmaceutical composition according to claim 6 or 7, in the form of a solid or in sterile injectable solution. delete Isolated compound of formula (I) or a pharmaceutically acceptable salt thereof:
Formula I

Among the above formulas,
R ₁ is C _1-12 alkyl substituted with halogen or sulfonyl;
R ₂ is methyl;
R ₃ is hydroxy;
Each R ₄ is independently C _1-12 alkyl, C _2-12 alkenyl, C _2-12 alkynyl, C _6-14 aryl, or C _3-8 cycloalkyl;
E ₁ , E ₃ and E ₄ are each independently —O, or —S;
E ₂ is -NH;
x is 0 to 8,
Provided that the isolated compound does not have a structure of Formula (VI) or of Formula (V):
(VI)

(V)

. The method of claim 13, wherein E ₁ , E ₃ and E ₄ are -0 compound. The compound of claim 13, wherein R ₁ is C _1-12 alkyl substituted with sulfonyl. The compound of claim 15, wherein substituted C _1-12 alkyl is substituted C ₂ -alkyl. A pharmaceutical composition for treating neoplasia, comprising an effective amount of a compound of the formula: or a pharmaceutically acceptable salt thereof:

Among the above formulas,
R ₁ is C _1-12 alkyl substituted with halogen or sulfonyl;
R ₂ is methyl;
R ₃ is hydroxy;
Each R ₄ is independently C _1-12 alkyl, C _2-12 alkenyl, C _2-12 alkynyl, C _6-14 aryl, or C _3-8 cycloalkyl;
E ₁ , E ₃ and E ₄ are each independently —O, or —S;
E ₂ is -NH;
x is 0 to 8,
Neoplasms include breast neoplasms, small cell lung neoplasms, non-small cell lung neoplasms, colorectal neoplasms, leukemia, melanoma, central nervous system (CNS) neoplasms, ovarian neoplasms, prostate neoplasms, kidney neoplasms, pancreatic adenocarcinoma , Soft tissue sarcoma, bone sarcoma, head neoplasm, cervical neoplasm, gastric neoplasm, thyroid neoplasm, gastrointestinal neoplasm, myeloma, bladder neoplasm, neuroendocrine neoplasm, non-Hodgkin's neoplasm and Hodgkin's neoplasm Is chosen from a group of creatures,
Provided that the compound has no structure of formula (VI) or of formula (V):

(VI)

(V)

. A pharmaceutical composition for treating neoplasia comprising an effective amount of a compound of the formula: or a pharmaceutically acceptable salt thereof, sucrose and one or more additional anti-neoplastic agents:

,
Neoplasm is pancreatic adenocarcinoma, soft tissue sarcoma, bone sarcoma, head neoplasm, cervical neoplasm, gastric neoplasm, thyroid neoplasm, gastrointestinal neoplasm, myeloma, bladder neoplasm, neuroendocrine neoplasm, non-Hodgkin's disease neoplasm And Hodgkin's disease neoplasia. The pharmaceutical composition according to claim 17 or 18, wherein the neoplasm is pancreatic adenocarcinoma. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is soft tissue sarcoma. The pharmaceutical composition according to claim 17 or 18, wherein the neoplasm is a sarcoma of bone. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a head neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a cervical neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a gastric neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a thyroid neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a gastrointestinal neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is myeloma. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a bladder neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a neuroendocrine neoplasm. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is a non-Hodgkin's disease neoplasm. 19. The pharmaceutical composition of claim 17 or 18, wherein the neoplasm is Hodgkin's disease neoplasm. delete delete

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