NZ712033B2 - Use of substituted 2,3-dihydroimidazo[1,2-c]quinazolines for treating lymphomas - Google Patents
Use of substituted 2,3-dihydroimidazo[1,2-c]quinazolines for treating lymphomas Download PDFInfo
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- NZ712033B2 NZ712033B2 NZ712033A NZ71203314A NZ712033B2 NZ 712033 B2 NZ712033 B2 NZ 712033B2 NZ 712033 A NZ712033 A NZ 712033A NZ 71203314 A NZ71203314 A NZ 71203314A NZ 712033 B2 NZ712033 B2 NZ 712033B2
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- lymphoma
- compound
- dihydroimidazo
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- 239000009637 wintergreen oil Substances 0.000 description 1
Abstract
use of a 2,3-dihydroimidazo[l,2-c]quinazoline compound, or of a pharmaceutical composition containing same, as a sole active agent, or of a combination of a) said compound or a pharmaceutical composition containing said compound and b) one or more fu rther active agents, for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - combinations of a) said compound and b) one or more further active agents; - a pharmaceutical composition comprising said compound as a sole active agent for the treatment of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - a pharmaceutical composition comprising a combination of a) said compound and b) one or more further active agents; - use of biomarkers involved in the modification of the expression of PI3K isoforms, BTK and IKK,, BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2, for predicting the sensitivity and/or resistance of a cancer patient to said compound and providing a rationale-based synergistic combination as defined herein to increase sensitivity and/or to overcome resistance; and - a method of determining the level of a component of one or more of the expression of PI3K isoforms, BTK and IKK„ BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2. edicament for the treatment or prophylaxis of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - combinations of a) said compound and b) one or more further active agents; - a pharmaceutical composition comprising said compound as a sole active agent for the treatment of non-Hodgkin's lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin's lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL); - a pharmaceutical composition comprising a combination of a) said compound and b) one or more further active agents; - use of biomarkers involved in the modification of the expression of PI3K isoforms, BTK and IKK,, BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2, for predicting the sensitivity and/or resistance of a cancer patient to said compound and providing a rationale-based synergistic combination as defined herein to increase sensitivity and/or to overcome resistance; and - a method of determining the level of a component of one or more of the expression of PI3K isoforms, BTK and IKK„ BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2.
Description
USE OF SUBSTITUTED 2,3-DIHYDROIMIDAZO[1,2-C]QU|NAZOL|NES FOR TREATING LYMPHOMAS
The present invention relates to:
- use of a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or of a pharmaceutical
composition containing same, as a sole active agent, or of a combination of a) said
compound or a pharmaceutical composition containing said compound and b) one or
more further active agents, for the preparation of a medicament for the treatment or
prophylaxis of non-Hodgkin’s lymphoma (hereinafter abbreviated to ”NHL"), ularly
lst line, 2nd line, relapsed, refractory, indolent or aggressive non-Hodgkin's lymphoma
(NHL), in particular follicular lymphoma (hereinafter abbreviated to ”FL”), chronic
lymphocytic leukaemia (hereinafter abbreviated to ”CLL”), al zone lymphoma
(hereinafter iated to "MZL"), e large B-cell lymphoma nafter
abbreviated to ”DLBCL”), mantle cell ma (MCL), transformed lymphoma
(hereinafter abbreviated to "TL”), or peripheral T-cell lymphoma (hereinafter
abbreviated to ”PTCL”) ; as a single agent or in combination with one or more other
active agents ;
- combinations of a) said compound and b) one or more further active agents;
- a pharmaceutical composition comprising said compound as a sole active agent for the
treatment of cancer;
- a pharmaceutical composition comprising a combination of a) said compound and b)
one or more further active agents;
- use of biomarkers, such as the expression of P|3K isoforms, BTK, IKK, BCR tion,
BCR downstream activation of NFKB pathway, c-Myc, EZH2, for predicting the sensitivity
and/or resistance of a cancer patient to said nd and providing a rationale-based
synergistic ation as defined herein to increase sensitivity and/or to overcome
resistance ;
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- a method of determining the level of a component of one or more of the expression of
PI3K isoforms, BTK, IKK, BCR activation, BCR downstream activation of NFKB pathway, c-
Myc, EZH2.
BACKGROUND OF THE INVENTION
In recent decades the concept of developing anti-cancer medications which target
abnormally active protein kinases has led to a number of successes. In addition to the
actions of protein kinases, lipid kinases also play an important role in generating critical
regulatory second messengers. The PI3K family of lipid kinases generates 3’-
phosphoinositides that bind to and activate a variety of cellular targets, initiating a wide
range of signal transduction cascades (Vanhaesebroeck et al., 2001; Toker, 2002;
Pendaries et a/., 2003; Downes et al., 2005). These cascades ultimately induce changes
in multiple ar ses, including cell proliferation, cell survival, differentiation,
vesicle trafficking, migration, and chemotaxis.
PI3Ks can be divided into three distinct classes based upon differences in both structure,
and substrate preference. While members of the Class II family of PI3Ks have been
implicated in the tion of tumor growth (Brown and Shepard, 2001; Traer et 0].,
2006), the bulk of research has focused on the Class | enzymes and their role in cancer
(Vivanco and Sawyers, 2002; Workman, 2004, Chen et al., 2005; Hennessey et a/., 2005;
Stauffer et 0]., 2005; Stephens et a/., 2005; Cully et al., 2006).
Class | PI3Ks have ionally been divided into two distinct sub—classes based upon
differences in n subunit composition. The Class IA PI3Ks are comprised of a
tic p110 catalytic subunit L, p110I5 or p110y) heterodimerized with a
member of the p85 regulatory subunit family. In contrast, the Class Ia PI3K catalytic
subunit (p110y) heterodimerizes with a ct p101 regulatory subunit (reviewed by
Vanhaesebroeck and Waterfield, 1999; Funaki et al., 2000; Katso et 0]., 2001). The
C—terminal region of these proteins contains a catalytic domain that possesses distant
homology to n kinases. The PI3Ky structure is similar to Class IA p1105, but lacks
the inal p85 binding site (Domin and Waterfield, 1997). Though similar in overall
structure, the homology between catalytic p110 subunits is low to moderate. The
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highest homology between the P|3K isoforms is in the kinase pocket of the kinase
domain.
The Class | P|3K isoforms associate with activated receptor ne kinases (RTKs)
ding PDGFR, EGFR, VEGFR, , c-KIT, CSF-R and Met), cytokine receptors,
GPCRs, integrins, or with tyrosine phosphorylated adapter proteins (such as Grb2, Cbl,
IRS-1 or Gabl), via their p85 regulatory ts resulting in stimulation of the lipid
kinase activity. Activation of the lipid kinase activity of the p110(3 and p110y isoforms
has been shown to occur in se to binding to activated forms of the ras Oncogene
(Kodaki et at, 1994). In fact, the oncogenic activity of these isoforms may require binding
to ras (Kang et ai., 2006). In contrast, the p110<1 and p1106 isoforms t oncogenic
ty independent of ras binding, through constitutive activation of Akt.
Class | P|3Ks catalyze the conversion of P|(4,5)P2 [Ple] to Pl(3,4,5)P3 [PIP3]. The
production of P|P3 by P|3K affects multiple signaling processes that regulate and
coordinate the biological end points of cell proliferation, cell al, differentiation and
cell migration. P|P3 is bound by Pleckstrin-Homology (PH) domain-containing proteins,
including the phosphoinositide-dependent , PDK1 and the Akt proto—oncogene
product, localizing these proteins in regions of active signal transduction and also
contributing directly to their activation (Klippel et al., 1997; Fleming et a/., 2000; Itoh
and wa, 2002; Lemmon, 2003). This co—localization of PDK1 with Akt facilitates
the phosphorylation and activation of Akt. Carboxy-terminal phosphorylation of Akt on
Ser473 promotes phosphorylation of Thr308 in the Akt activation loop (Chan and Tsichlis,
2001; Hodgekinson et al., 2002; Scheid et al., 2002; Hresko et al., 2003). Once active, Akt
phosphorylates and tes multiple regulatory kinases of pathways that directly
influence cell cycle progression and cell survival.
Many of the effects of Akt activation are mediated via its negative regulation of
pathways which impact cell survival and which are commonly dysregulated in cancer.
Akt promotes tumor cell al by regulating components of the apoptotic and cell
cycle ery. Akt is one of several kinases that phosphorylate and inactivate pro-
apoptotic BAD proteins (del Paso et aL, 1997; Pastorino et a/., 1999). Akt may also
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promote cell survival through blocking rome ndent caspase activation by
phosphorylating Caspase 9 on Ser196 (Cardone et 0]., 1998).
Akt impacts gene transcription on several levels. The Akt—mediated phosphorylation of
the MDM2 E3 ubiquitin ligase on Ser166 and Ser186 facilitates the r import of
MDMZ and the formation and activation of the ubiquitin ligase complex. Nuclear MDM2
targets the p53 tumor suppressor for degradation, a process that can be blocked by
LY294002 (Yap et 0]., 2000; Ogarawa et al., 2002). Downregulation of p53 by MDMZ
vely impacts the transcription of p53-regulated pro—apoptotic genes (e.g. Bax, Fas,
PUMA and DRS), the cell cycle inhibitor, p210“, and the PTEN tumor suppressor
(Momand et al., 2000; Hupp et al., 2000; Mayo et al., 2002; Su et a/., 2003). Similarly,
the Akt-mediated phosphorylation of the Forkhead ription factors FKHR, FKHRL
and AFX (Kops et a/., 1999; Tang et a/., 1999), facilitates their binding to 14—3—3 proteins
and export from the cell nucleus to the cytosol (Brunet et a/., 1999). This functional
inactivation of Forkhead activity also impacts pro-apoptotic and pro-angiogenic gene
transcription including the transcription of Fas ligand omska et 01., 2003) Bim, a
pro-apoptotic Bcl-2 family member (Dijkers et 0]., 2000), and the Angiopoietin-l (Ang—1)
antagonist, Ang-Z (Daly et 0]., 2004). ad transcription factors regulate the
expression of the cyclin-dependent kinase (Cdk) inhibitor p27Klp1. Indeed, PI3K inhibitors
have been demonstrated to induce p27Kipl expression resulting in Cdkl inhibition, cell
cycle arrest and apoptosis (Dijkers et 01]., 2000). Akt is also reported to phosphorylate
lon Thr145 and p27Kipl on Thr157 facilitating their association with 14—3—3 proteins,
resulting in nuclear export and asmic retention, preventing their inhibition of
r Cdks (Zhou et al., 2001; Motti et al., 2004; to et al., 2004). In addition to
these effects, Akt phosphorylates lKK (Romashkova and Makarov, 1999), leading to the
phosphorylation and degradation of IIB and subsequent nuclear translocation of NFKB,
resulting in the expression of survival genes such as IAP and BCl'XL.
The Pl3K/Akt pathway is also linked to the suppression of sis through the JNK and
p38"""PK MAP Kinases that are associated with the induction of apoptosis. Akt is
postulated to suppress JNK and p38MAPK signaling through the phosphorylation and
inhibition of two JNK/p38 tory kinases, Apoptosis Signal—regulating Kinase 1
(ASKl) (Kim et a/., 2001: Liao and Hung, 2003; Yuan et 01., 2003), and Mixed Lineage
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Kinase 3 (MLK3) —llasaca et 0/1., 1997; Barthwal et 0/1., 2003; Figueroa et 0]., 2003;).
The induction of p38MAPK activity is observed in tumors treated with cytotoxic agents and
is required for those agents to induce cell death (reviewed by Olson and an,
2004). Thus, inhibitors of the PI3K pathway may promote the activities of co-
administered cytotoxic drugs.
An additional role for PI3K/Akt signaling involves the regulation of cell cycle progression
through modulation of Glycogen Synthase Kinase 3 (GSK3) activity. GSK3 activity is
elevated in quiescent cells, where it phosphorylates cyclin D1 on Ser286, targeting the
protein for ubiquitination and degradation (Diehl et a/., 1998) and blocking entry into S-
phase. Akt ts GSK3 activity through phosphorylation on Ser9 (Cross et a/., 1995).
This results in the ion of Cyclin D1 levels which promotes cell cycle progression.
Inhibition of GSK3 activity also impacts cell proliferation through activation of the
wnt/beta—catenin ing pathway (Abbosh and Nephew, 2005; Naito et al., 2005;
Wilker et 01., 2005; Kim et a/., 2006; Segrelles et a/., 2006). Akt mediated
phosphorylation of GSK3 results in stabilization and r localization of the beta-
n protein, which in turn leads to increased expression of c-myc and cyclin D1,
targets of the beta-catenin/ch pathway.
Although PI3K signaling is utilized by many of the signal transduction ks
associated with both oncogenes and tumor suppressors, PI3K and its activity have been
linked directly to cancer. Overexpression of both the p110a and p110l3 isoforms has
been observed in bladder and colon tumors and cell lines, and overexpression generally
correlates with increased PI3K activity (Bénistant et al., 2000). Overexpression of p110a
has also been reported in ovarian and cervical tumors and tumor cell lines, as well as in
squamous cell lung omas. The overexpression of plloa in cervical and ovarian
tumor lines is associated with increased PI3K activity (Shayesteh et a/., 1999; Ma et al.,
2000). Elevated PI3K activity has been observed in colorectal carcinomas (Phillips et 01.,
1998) and increased expression has been ed in breast carcinomas (Gershtein et
a/., 1999).
Over the last few years, somatic mutations in the gene ng p110a (PIK3CA) have
been identified in numerous cancers. The data collected to date suggests that P|K3CA is
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mutated in approximately 32% of colorectal cancers (Samuels et al., 2004; Ikenoue et
al., 2005), 18-40% of breast cancers (Bachman et al., 2004; Campbell et al., 2004; Levine
et al., 2005; Saal et al., 2005; Wu et al., 2005), 27% of glioblastomas (Samuels et al.,
2004; Hartmann et al., 2005, Gallia et al., 2006), 25% of gastric cancers (Byun et al.,
2003; Samuels et al., 2004; Li et al., 2005), 36% of hepatocellular carcinomas (Lee et al.,
2005), 4—12% of ovarian cancers (Levine et al., 2005; Wang et al., 2005), 4% of lung
cancers (Samuels et al., 2004; Whyte and Holbeck, 2006), and up to 40% of endometrial
cancers (Oda et al., 2005). P|K3CA mutations have been reported in oligodendroma,
astrocytoma, medulloblastoma, and thyroid tumors as well (Broderick et al., 2004;
Garcia-Rostan et al., 2005). Based upon the observed high frequency of mutation,
P|K3CA is one of the two most ntly mutated genes ated with cancer, the
other being K-ras. More than 80% of the P|K3CA mutations cluster within two regions of
the n, the helical (E545K) and catalytic (H1047R) domains. Biochemical analysis
and protein expression studies have demonstrated that both mutations lead to
increased constitutive p1100. catalytic activity and are in fact, oncogenic (Bader et al.,
2006; Kang et al., 2005; Samuels et al., 2005; Samuels and Ericson, 2006). Recently, it
has been reported that P|K3CA ut mouse embryo lasts are deficient in
signaling downstream from various growth factor receptors (IGF—l, Insulin, PDGF, EGF),
and are ant to transformation by a variety of oncogenic RTKs (IGFR, wild-type EGFR
and somatic ting mutants of EGFR, Her2/Neu)(Zhao et al., 2006).
Functional studies of PI3K in vivo have demonstrated that siRNA-mediated
downregulation of p110(5 ts both Akt phosphorylation and HeLa cell tumor growth
in nude mice (Czauderna et al., 2003). In similar experiments, siRNA-mediated
gulation of p110(5 was also shown to inhibit the growth of malignant glioma cells
in vitro and in vivo (Pu et al., 2006). Inhibition of Pl3K function by dominant-negative
p85 regulatory subunits can block mitogenesis and cell transformation (Huang et al.,
1996; Rahimi et al., 1996). Several somatic mutations in the genes encoding the p85a
and p856 regulatory subunits of Pl3K that result in elevated lipid kinase activity have
been identified in a number of cancer cells as well (Janssen et al., 1998; Jimenez et al.,
1998; Philp et al., 2001; Jucker et al., 2002; Shekar et al., 2005). Neutralizing Pl3K
antibodies also block mitogenesis and can induce sis in vitro (Roche et al., 1994:
Roche et al., 1998; Bénistant et al., 2000). In vivo proof-of-principle studies using the
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P|3|< inhibitors LY294002 and wortmannin, trate that inhibition of PI3K signaling
slows tumor growth in vivo (Powis et al., 1994; Shultz et 0]., 1995; Semba et al., 2002;
lhle et 0/1., 2004).
Overexpression of Class | PI3K activity, or stimulation of their lipid kinase activities, is
associated with resistance to both targeted (such as imatinib and tratsuzumab) and
cytotoxic chemotherapeutic approaches, as well as radiation therapy (West et al., 2002;
Gupta et 0]., 2003; Osaki et 0]., 2004; Nagata et 01., 2004; Gottschalk et al., 2005; Kim et
al., 2005). Activation of PI3K has also been shown to lead to expression of multidrug
resistant protein—1 (MRP-l) in prostate cancer cells and the subsequent induction of
resistance to chemotherapy (Lee et al., 2004).
The importance of PI3K signaling in genesis is further underscored by the findings
that the PTEN tumor suppressor, a P|(3)P atase, is among the most commonly
inactivated genes in human cancers (Li et a/., 1997, Steck et a/., 1997; Ali et a/., 1999;
Ishii et a/., 1999). PTEN dephosphorylates PI(3,4,5)P3 to )P2 thereby antagonizing
Pl3K-dependent signaling. Cells containing functionally inactive PTEN have elevated
levels of Png, high levels of activity of P|3l< signaling (Haas-Kogan et 01., 1998; Myers et
01]., 1998; Taylor et al., 2000), increased proliferative potential, and decreased ivity
to optotic stimuli (Stambolic et 0]., 1998). Reconstitution of a functional PTEN
suppresses Pl3|< signaling r et a/., 2000), inhibits cell growth and re-sensitizes cells
to pro-apoptotic stimuli (Myers et al., 1998; Zhao et a/., 2004). Similarly, restoration of
PTEN function in tumors lacking functional PTEN inhibits tumor growth in vivo (Stahl et
01., 2003; Su et a/., 2003; Tanaka and Grossman, 2003) and izes cells to cytotoxic
agents (Tanaka and Grossman, 2003).
The class I family of Pl3Ks clearly plays an important role in the regulation of multiple
signal uction pathways that promote cell survival and cell proliferation, and
tion of their lipid kinase activity contributes significantly to the development of
human malignancies. Furthermore, inhibition of PI3K may potentially circumvent the
cellular isms that underlie resistance to chemotherapeutic agents. A potent
inhibitor of Class | P|3K activities would therefore have the potential not only to inhibit
tumor growth but to also sensitize tumor cells to pro-apoptotic stimuli in vivo.
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Signal transduction pathways originating from chemoattractant receptors are
considered to be important targets in controlling leukocyte motility in inflammatory
diseases. yte trafficking is controlled by chemoattractant factors that activate
heterotrimeric GPCRs and y trigger a variety of downstream intracellular events.
Signal transduction along one of these pathways that results in mobilization of free Caz“,
cytoskelatal reorganization, and directional movement depends on lipid-dervied second
messengers producted by PI3K activity (Wymann et a/., 2000; Stein and ield,
2000).
P|3Ky modulates baseline cAMP levels and controls contractility in cells. Recent
research indicates that alterations in baseline cAMP levels contribute to the sed
contractility in mutant mice. This research, therefore, shows that P|3Ky inhibitors afford
potential treatments for congestive heart failure, ischemia, pulmonary hypertension,
renal failure, cardiac hypertrophy, atherosclerosis, thromboembolism, and diabetes.
P|3K inhibitors would be expected to block signal transduction from GPCRs and block the
activation of various immune cells, leading to a broad anti-inflammatory profile with
ial for the treatment of inflammatory and immunoregulatory diseases, including
asthma, atopic dermatitis, rhinitis, allergic diseases, chronic obstructive pulmonary
disease (COPD), septic shock, joint diseases, autoimmune pathologies such as
rheumatoid arthritis and Graves’ e, diabetes, cancer, myocardial contractility
disorders, thromboembolism, and atherosclerosis.
Activation of the Pl3K/AKT pathway by B-cell receptor signaling and its role in the
pathogenesis of dgkin’s lymphoma (NHL) have been highlighted in a number of
studies. However, the relative importance of phosphoinositide 3—kinase (PI3K) ms
and other downstream s, e.g. Bruton’s tyrosine kinase (BTK) and IKB kinase (IKK), for
eutic application in NHL has not been fully addressed. To answer this question, we
3O selected and characterized a panel of cell lines representing frequent ons CD79,
MyD88, CARD11, Bch, c-Myc, or EZHZ in diffuse large B—cell lymphoma (DLBCL), a major
type of aggressive NHL. Analyzing the expression of P|3K isoforms indicated that not only
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P|3|<5, an isoform known to be enriched in lymphocytes, but also other 3 Pl3K isoforms are
highly expressed. Sensitivity profiling of the pan-Pl3K inhibitor COMPOUND A (with
potent ty against Pl3K(1[lC50 = 0.5 nM] and Pl3K5 [ICso = 0.7 nM]), the Pl3K5-selective
inhibitor GS-1101, the irreversible BTK inhibitor ibrutinib (PG—32765), and the IKKB
inhibitor BAY compound B revealed that the pan-Pl3K inhibitor COMPOUND A has a
broader antitumor spectrum and is more effective than inhibition of PI3K6 or BTK only.
Further is of oncogenic signaling pathways discovered feedback activation of ERK by
Pl3K6- or BTK-selective inhibition, and re-activation of IKK by IKKB tion. Combination
of Pl3K inhibitor COMPOUND A with BTK or IKK inhibitors showed synergistic antitumor
effects in a subset of tumor cell lines, indicating the heterogeneity of DLBCL and that a
biomarker might be necessary for sfully developing COMPOUND A-based
therapeutics in aggressive NHL. Taken er, these findings provide further insights
into the mechanism of action of PI3K inhibitor COMPOUND A and t ongoing Phase
II clinical studies in NHL patients
Follicular lymphoma and diffuse large B-cell lymphoma (DLBCL) are 2 of the most common
non-Hodgkin’s lymphomas (NHLs) worldwide. There remains a high unmet medical need
for effective eutics for tory and relapsed follicular lymphoma and DLBCL.
The al role of phosphoinositide 3—kinase (Pl3K)6 in regulating downstream events of
the B-cell receptor (BCR) has been evident by the al benefit of 63-1101, a Pl3K6-
selective inhibitor in follicular ma patients.
Several lines of evidence ted that a pan-Pl3K inhibitor may produce a better
therapeutic benefit compared with Pl3K6-selective inhibition.
In PI3K6 ut mice, PI3KOL was shown to compensate tonic signaling, a characteristic
of many B—cell malignancies (see reference 1A).
0 8% of DLBCL patients have a PIK3CA mutation and 37% have reduced
PTEN expression or loss of function of PTEN.
o In the clinic, -mediated constitutive Pl3K signaling appeared to limit
the efficacy of p1105—selective inhibition in mantle cell lymphoma (see
reference 2A).
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0 Although the Pl3|<5~se|ective inhibitor GS—1101 demonstrated promising
clinical response in indolent NHL, so far no efficacy has been shown in
aggressive NHL, eg DLBCL.
o COMPOUND A is a pan-PI3K inhibitor potently inhibiting PI3KOL and Pl3K6, with ICSO
values of 0.5 and 0.7 nM, tively (see reference 3A).
0 In this study, we investigated the effects and the mechanism of action of inhibiting
key molecular targets in NHL cells using the pan-PI3K inhibitor COMPOUND A,
Pl3K6-selective inhibitor 65-1101, Bruton’s ne kinase (BTK) inhibitor ibrutinib
(PG-32765), and an lKB kinase (IKK) inhibitor BAY compound B (see reference 4A)
as single agents.
0 Based on the mechanism of action, the t patent application relates to and
covers rational combination therapies for ive treatment of aggressive NHL.
The present invention is thus to fy lar s predicting the sensitivity
and/or resistance of the cancer patients toward the P|3K inhibitors described herein.
Furthermore, the present ion also relates to the identification of resistance
mechanisms and therefore provides a ale-based synergistic ation to
overcome the resistance.
To the Applicant’s knowledge, no specific disclosure in the prior art is known that 2,3-
dihydroimidazo[1,2-c]quinazoline compounds would be effective in the treatment or
prophylaxis of non-Hodgkin’s lymphoma (NHL), particularly lst line, 2nd line, relapsed,
refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular
lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL),
diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed
lymphoma (TL), or peripheral T—cell lymphoma (PTCL).
It has been found, and this is the basis of the present invention, that 2,3-
dihydroimidazo[1,2-c]quinazoline compounds, as bed and defined herein, show a
beneficial effect in the treatment or prophylaxis of non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia
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(CLL), marginal zone lymphoma (MZL), diffuse large B—cell ma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell ma
(PTCL).
Thus, in accordance with a first aspect, the present invention s to the use of 2,3—
dihydroimidazo[1,2—c)quinazoline compounds, or a logically acceptable salt,
e, hydrate or isomer f, as a sole active agent, or of pharmaceutical
compositions containing such compounds or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof, for the preparation of a medicament for the treatment
or prophylaxis of dgkin’s lymphoma (NHL), particularly lst line, 2nd line,
relapsed, refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular
follicular lymphoma (FL), c lymphocytic leukaemia (CLL), marginal zone lymphoma
(MZL), diffuse large B-cell lymphoma ), mantle cell lymphoma (MCL), transformed
lymphoma (TL), or peripheral T-cell lymphoma (PTCL).
In accordance with a second aspect, the present invention relates to combinations of:
a) a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically acceptable
salt, solvate, hydrate or stereoisomer f; and
b) one or more further active agents, in particular an active agent selected from an anti—
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more ularly one or more further active agents selected from the
group consisting of : Pl3K5—selective inhibitor 65-1101, BTK inhibitor ibrutinib, lKK
inhibitor BAY Compound B, and REFAMETINIB (BAY 86-9766 (RDEA-119)).
In accordance with a third aspect, the present invention relates to pharmaceutical
compositions comprising a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a
physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, as a sole active
agent, for the ent of non-Hodgkin’s lymphoma (NHL), ularly lst line, 2nd
line, relapsed, refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in
particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone
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lymphoma (MZL), diffuse large B—cell lymphoma (DLBCL), mantle cell lymphoma (MCL),
transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL).
In accordance with a fourth aspect, the present invention relates to pharmaceutical
compositions comprising a combination of:
a) a 2,3-dihydroimidazo[1,2—c]quinazoline compound, or a physiologically acceptable
salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
enesis, anti-hyper-proliferative, flammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents ed from the
group consisting of : PI3K6-selective inhibitor 65-1101, BTK inhibitor ibrutinib, IKK
inhibitor BAY Compound B, and REFAMETINIB (BAY 86-9766 (RDEA—119)).
In accordance with a fifth aspect, the present invention relates to the use of
combinations of:
a) a 2,3-dihydroimidazo[1,2-c]quinazo|ine compound, or a physiologically acceptable
salt, solvate, hydrate or stereoisomer thereof;
or of a ceutical ition containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti—hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, iabetic or
antiviral agent, more ularly one or more r active agents selected from the
group consisting of : Pl3K6—selective inhibitor 65-1101, BTK inhibitor ibrutinib, IKK
tor BAY Compound B, and REFAMETINIB (BAY 86-9766 (RDEA-119));
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for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular ular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), al zone lymphoma (MZL), diffuse large B—cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In accordance with a sixth aspect, the present invention relates to use of biomarkers
involved in the modification of target expression, BCR activation, BCR downstream
activation of NFKB pathway, c-Myc, EZHZ, for predicting the sensitivity and/or ance
of a patient with dgkin’s lymphoma (NHL), particularly lst line, 2nd line,
relapsed, tory, indolent or agressive dgkin’s ma (NHL), in particular
follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma
(MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell ma (MCL), transformed
lymphoma (TL), or peripheral T-cell lymphoma (PTCL), to a 2,3-dihydroimidazoll,2-
c]quinazoline compound as defined herein, thus providing a rationale-based istic
combination as defined herein to overcome the resistance (patient stratification).
In accordance with a seventh aspect, the present invention relates to a method of
determining the level of a component of one or more of the expression of PI3K isoforms,
BTK, IKK, BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2.
In accordance a particular ment of any of the above aspects of the present
invention, said cancer is non-Hodgkin’s ma (NHL), ularly lst line, 2nd line,
relapsed, refractory, nt or agressive non-Hodgkin’s lymphoma (NHL).
In accordance a particular embodiment of any of the above aspects of the present
invention, said cancer is follicular lymphoma (FL).
In accordance a particular embodiment of any of the above aspects of the present
invention, said cancer is chronic lymphocytic leukaemia (CLL).
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In ance a particular embodiment of any of the above aspects of the present
invention, said cancer is marginal zone lymphoma (MZL).
In accordance a particular embodiment of any of the above aspects of the present
invention, said cancer is diffuse large B—cell lymphoma (DLBCL).
In accordance a particular embodiment of any of the above s of the present
invention, said cancer is mantle cell ma (MCL).
In accordance a particular embodiment of any of the above aspects of the present
invention, said cancer is transformed lymphoma (TL).
In accordance a particular embodiment of any of the above aspects of the present
invention, said cancer is peripheral T-cell lymphoma (PTCL).
Detailed description of the Invention
A first aspect of the present invention relates to the use of a compound of general
a (A) :
YL’Y
24 / \E
z’ \ /
E2 ’ /A
\z‘ N 2):
o R1
in which :
X represents CR5R6or NH;
Y1 represents CR3 or N;
the al bond between Y2:Y3 represents a single bond or double bond,
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with the proviso that when theY2;Y3 ents a double bond, Y2 and Y3
independently represent CR4 or N, and
when Y2'-'=Y3 represents a single bond, Y2 and Y3 independently represent CR3R4 or NR4;
21, 22, Z3 and 24 independently represent CH CR2 or N;
R1 represents aryl optionally having 1 to 3 substituents selected from R“,
C3.g cycloalkyl optionally having 1 to 3 substituents selected from R“,
C14; alkyl optionally substituted by aryl, heteroaryl, CH; alkoxyaryl,
y, heteroaryloxy or one or more halogen,
CM alkoxy optionally substituted by carboxy, aryl, heteroaryl, CM
alkoxyaryl, aryloxy, heteroaryloxy or one or more halogen,
a 3 to 15 membered mono- or lic heterocyclic ring that is ted
or unsaturated, optionally having 1 to 3 substituents ed from R“,
and contains 1 to 3 heteroatoms selected from the group consisting of
N, O and S,
wherein
R11 represents halogen, nitro, hydroxy, cyano, carboxy, amino, N—
(C1_6alkyl)amino, roxyC1.6a|ky|)amino, N,N-di(C1_6a|kyl)amino, N-
(C1.5acy|)amino, N-(formyl)-N—(C1.5alky|)amino, N—(C1.5a|kanesu|fonyi)
amino, N-(carboxyC1.5a|ky|)-N-(C1.6a|ky|)amino, N-(Cl.
salkoxycabonyllamino, N-[N,N-di(C1.5a|kyl)amino methylene]amino, N-
[N,N-di(C1.5alkyI)amino (Cmalkyl)methylene]amino, N-[N,N-di(C1_
salkyl)amino C2.6alkeny|]amino, aminocarbonyi, N—
(C1_6a|kyl)aminocarbonyl, (C1_5a|kyl)aminocarbonyl, C3.gcycloa|kyl,
Cm alkylthio, C1.ea|kanesulfonyl, sulfamoyi, C1.ea|koxycarbonyl,
N-arylamino wherein said aryl moiety is optionally having 1 to 3 sub-
stituents selected from R101, N—(aryl C1.5alky|)amino wherein said aryl
moiety is ally having 1 to 3 tuents selected from R101, aryl
C1.ea|koxycarbonyl wherein said aryl moiety is optionally having 1 to 3
substituents selected from R101,
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kyl optionally substituted by mono—, di- or tri— halogen, amino, N-
(CJ—aalkyl)amino or N,N—di(C1.6a|ky|)amino,
C1.5alkoxy optionally substituted by mono-, di— or tri- n, N—
(C1.salkyl)su|fonamide, or N—(aryl)sulfonamide,
a 5 to 7 membered saturated or unsaturated ring having 1 to 3
heteroatoms selected from the group consisting of O, S and N, and
optionally having 1 to 3 substituents ed from R101
wherein
R101 represents halogen, carboxy, amino, N-(C1.6 alkyl)amino, N,N-di(C1_
ealkyl)amino, aminocarbonyl, N-(C1.5a|kyl)aminocarbonyl, N,N-
di(C1.5alkyl)aminocarbonyi, pyridyl,
CH alkyl optionally substituted by cyano or mono— di- or tri-
halogen,
Cmalkoxy optionally substituted by cyano, carboxy, amino, N—
(CM alkyl)amino, N,N-di(C1.5a|kyl)amino, aminocarbonyl, N-(CJ.
5a|kyl)aminocarbonyl, N,N-di(C1.5a|kyl)aminocarbonyl or mono—,
di- or tri- halogen;
represents y, halogen, nitro, cyano, amino, N-(C1_6a|kyl)amino,
N,N—di(C1.5alkyl)amino, N-(hydroxyC1.5a|ky|)amino, N-(hydroxyC1.5a|kyl)—
N-(C1.6a|kyl)amino, CM acyloxy, 1.5acyloxy, Cztsalkenyl, aryl,
a 5-7 membered saturated or unsaturated heterocyclic ring having 1 to 3
heteroatoms selected from the group consisting O, S and N, and
optionally substituted by
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hydroxy, C1.6 alkyl, C14; alkoxy, oxo, amino, amino Cyealkyl, N—
(C1.5a|ky|)amino, N,N—di(C1.5alkyl)amino, N-(CH; acy|)amino, N-
(C1.5alkyl)carbonylamino, phenyl, phenyl Clue alkyl, carboxy,
C1.5a|koxycarbony|, aminocarbonyl, N-(C1.6a|kyl)aminocarbonyl, or N,N-
di(C1_5aIkyl)amino, -C(O)- R20
wherein
R20 represents Cm alkyl, C145 alkoxy, amino, N-(C1.5alky|)amino, N,N-
6alky|)amino, N-(CH acy|)amino, or a 5-7 membered
saturated or unsaturated heterocyclic ring having 1 to 3
atoms selected from the group consisting O, S and N, and
ally substituted by CH; alkyl, C“; alkoxy, oxo, amino, N-(C1_
6alkyl)amino, N,N-di(C1.5alky|)amino, N-(C1.6 acyl)amino, phenyl,
or ,
CH alkyl optionally tuted by R“,
CH; alkoxy optionally substituted by R21,
wherein
R21 represents cyano, mono—, di or tri— halogen, hydroxy,
amino, N-(C1.5a|kyl)amino, N,N-di(C1_5alkyl)amino, N-
xyCm alkyl) amino, N- (halophenylcm alkyl)
amino, amino Cm alkylenyl, C16 alkoxy, hydroxyC1.e
alkoxy, -C(O)— R201, -NHC(O)- R201, C3.3cyc|oalkyl,
isoindolino, phthalimidyl, 2-oxo-1,3-oxazo|idinyl, aryl or
a 5 or 6 membered saturated or unsaturated
heterocyclic ring having 1 to 4 heteroatoms selected
from the group consisting O, S and N , and ally
substituted by hydroxy, (21.5 alkyl, CH alkoxy, C“;
alkoxycarbonyl, hydroxyCH alkoxy, oxo, amino, aminoCl.
5a|ky|, N-(C1.5a|kyl)amino, N,N-di(C1.5alky|)amino, N-(C1.5
acyl)amino, or benzyl,
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wherein
R201 represents hydroxy, amino, N—(C1.6alky|)amino, N,N—
di(C1.6alkyl)amino, N- (halophenylcm alkyl)
amino, C1.6all<yl, aminoC1.e alkyl, 2~e
alkylenyl, Cm alkoxy, a 5 or 6 membered
saturated or unsaturated heterocyclic ring
having 1 to 4 heteroatoms selected from the
group consisting O, S and N, and ally
tuted by hydroxy, CH; alkyl, C145 alkoxy,
CM alkoxycarbonyl, hydroxyCm alkoxy, oxo,
amino, 5alkyl)amino, N,N-di(C1.5a|k-
yl)amino, N-(CH acyllamino or benzyl;
R3 represents hydrogen, halogen, aminocarbonyl, or CH; alkyl optionally
substituted by aryl CH alkoxy or mono-, di- or tri- halogen;
R4 represents hydrogen or CH alkyl;
R5 ents hydrogen or CH alkyl; and
R6 represents n, hydrogen or CH alkyl,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of :
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active , in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of : selective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK
inhibitor BAY Compound B, and REFAMETINIB (BAY 86-9766 (RDEA-119));
W0 2014/166820
or of pharmaceutical compositions containing such compounds or a logically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
ma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), c
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
ma ), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a particular embodiment of the above-mentioned first aspect, the present invention
relates to the use of a compound selected from the following list,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
able salt, e, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, yper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
ral agent, more particularly one or more further active agents selected from the
group consisting of : Pl3K6—selective inhibitor GS-1101, BTK inhibitor ibrutinib, lKK
inhibitor BAY Compound B, and REFAMETINIB (BAY 86-9766 (RDEA—119));
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of ceutical compositions ning such ations
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic mia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
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lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma ( L), or
peripheral T-cell lymphoma (PTCL) :
N—(7,8-dimethoxy—2,3—dihyd roimidazo[l,2-c]qu inazolin-S—yl)n icotinamide;
2—(7, 8—dimethoxy—2,3-dihydroimidazo[1,2—c]quinazolin—S—yl)-1—pyridin-3—y|ethylenol;
N-(7, 8-dimethoxy-2,3—dihydroimidazo[1,2-c]quinazolin-S-yl)—1H-benzimidazole—5—
carboxamide;
6—(acetamido)-N-(7,8-dimethoxy-2,3-dihydroimidazo[1,2—c]quinazolin-S-yl)nicotinamide;
N-{5-[2-(7,8—dimethoxy-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl)
hydroxyvinyl]pyridin-Z-y|}acetamide;
2-({5-[2-hydroxy—Z-pyridinylvinyl]—7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin
yl}oxy)-N,N-dimethylacetamide;
2-[7-methoxy-8—(tetrahydro-ZH-pyran-Z-ylmethoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin-S-yl]—1—pyridin-3—ylethylenol;
2-[8-(2-hydroxyethoxy)methoxy-2,3-dihydroimidazo[1,2-c]quinazolinyl]—1-pyridin-
hylenol;
({5-[2-hydroxy-2—pyridinylvinyl]methoxy—2,3-dihydroimidazo[l,2-c]quinazolin-B-
yl}oxy)acetic acid;
4-({5-[2-hydroxy-Z—pyridinylvinyl]—7-methoxy-2,3-dihydroimidazo[1,2-c]quinazolin—8—
lbutanoic acid;
({5-[2-hydroxypyridinylvinyl]-7—methoxy-2,3—dihydroimidazo[1,2-c]quinazolin—8—
yl}oxy)acetonitri|e;
2-[7-methoxy—8-(2H—tetrazol-5—y|methoxy)-2,3-dihydroimidazo[1,2-c]quinazo|iny|]
pyridinylethylenol;
2—[7-methoxy(4—morpholinyl-4—oxobutoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-5—
y|]pyridin-3—ylethylenol;
ydroxy-Z-(8—morpholin-4—yl-2,3-dihydroimidazo[1,2-c]quinazolin-5—
y|)vinyl]pyridino|;
N—(2,3—dihydroimidazo[1,2-c]quinazolin-S-yl)-5—hydroxynicotinamide;
6-(acetamido)-N-(7,9—dimethoxy-S-methyl-2,3-dihydroimidazo[1,2-c]quinazolin-S-
yl)nicotinamide;
-dimethoxy-2,3-dihyd roimidazo[1,2-c]quinazolinyl)—5-hyd roxyn icotinamide;
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S—hyd roxy—N—(7—methoxy—2,3—dihyd roimidazo[1,2—c]quinazolin—S—yl )nicotinamide;
N—(7,8—d imethoxy-2,3-dihyd roimidazo[1,2-c]quinazolin-S-yl)[(4—
methoxybenzyl)oxy]nicotinamide;
N—(7,8—dimethoxy-2,3-dihyd roimidazo[1,2—c]quinazolin—5—y|)—5—hyd roxyn icotinamide;
-hyd roxy—N-[S-(trifluoromethyl)-2,3-dihyd azo[1,2—c]quinazolin-S-yl]nicotinamide;
N—{8—[3—(1,3—dioxo— 1,3—d ihyd ro—ZH—isoindoI—Z—yl )propoxy]—2,3—d ihydroimidazo[1,2—
c]quinazolin-S-y|}nicotinamide;
N-(7—bromo-8—methoxy—Z,3-dihyd roimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
6—amino-N—(8—methoxy-2,3-dihyd roimidazo[1,2-c]quinazoliny|)nicotinamide;
1-(1H-benzimidazoIyl )-2—(8,9-dimethoxy—2,3-dihyd roimidazo[1,2-c1quinazolin-S-
yl)ethy|eno|;
2-(8,9—dimethoxy-2,3-dihyd roimidazo[1,2'c]quinazolin-S-yl )(2,4—dimethy|-1,3-thiazol-
S-yl)ethy|eno|;
ethoxy-2,3-dihyd roimidazo[1,2-c]quinazolin-S—yl )-1H-benzimidazoIe
carboxamide;
N-(8—bromo-2,3-dihydroimidazo[1,2-c]quinazo|inyl)nicotinamide;
romo-2,3-dihydroimidazo[1,2-c]quinazo| in-S-yl enzimidazole
carboxamide;
N—(8—methoxy-2,3-dihyd roimidazo[1,2—c]quinazolin-S-yl )-1H-benzimidazole
carboxamide;
N-(8—methyI-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl)-1H—benzimidazole
carboxamide;
N—[8—(trifl uoromethyI)-2,3-dihyd roimidazo[1,2-c]quinazolin-S-yl]-1H—benzimidazoIe
carboxamide;
N—(7-fluoro-2,3-dihyd roimidazo[1,2-c] quinazolin-S-yl enzimidazoIe-S-carboxamide;
N-(7-methoxy-2,3-dihyd roimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
N-(8-chloro-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl)-1H—benzimidazoIe-S-carboxamide;
6—(acetamido)-N—(8—morpho|in—4-yl—2,3-dihyd roimidazo[1,2-c1quinazolin-5—
y|)nicotinamide;
1—(1H-benzimidazoIyl)(8—morpholiny|-2,3—dihydroimidazo[1,2-c]quinazolin-S—
y|)ethy|eno|;
N-{5-[1-hydroxy(8-morpholinyl-2,3-dihyd roimidazo[1,2-c]quinazolin-S-
y|)viny|]pyridin-Z-yl}acetamide;
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6—methyI—N—(8—morpholin-4—yl—2,3—dihydroimidazo[1,2—c]quinazolin—S—yl)nicotinamide;
1—(1H-benzimidazol—5-yl)[8—(4—methylpiperazin—l-yl)-2,3—dihyd roimidazo[1,2-
c]quinazolin-S-yl]ethylenol;
N—(2,3—dihydroimidazo[1,2-c]quinazolin—5-yl)—3H—imidazo[4,5-b]pyridine-G—carboxamide;
N-(7,8—dimethoxy—2,3-dihyd roimidazo[1,2-c]quinazolin-5—yl)-3H-imidazo[4,5—b]pyridine—
6—carboxamide;
N-[7-(trifl uoromethyl)—2,3-dihyd roimidazo[1,2-c]quinazolin-S-yl]—1H—benzimidazo|e
carboxamide;
-d imethoxy-2,3-dihyd roimidazo[1,2-c]qu inazolinyl)-1H-benzimidazole
carboxamide;
N—{5-[2-(7,9-dimethoxymethyl-2,3-dihyd roimidazo[1,2—c]qu inazolin-S-yl )-1—
hyd roxyvinyl] pyridin-Z-y|}acetamide;
N-{5-[2-(7—bromo-9—methy|-2,3-dihyd roimidazo[1,2-c]quinazolin-S-yl)
yvinyl]pyridin-Z-yl}acetamide; and
-dimeth oxy-2,3-dihyd roimidazo[1,2-c] quinazolinyl)pyridinylethylenol;
Another embodiment of the present invention encompasses the use of a compound
having the formula (I):
O N NH
or a physiologically able salt, solvate, hydrate or stereoisomer thereof, in which :
Rl represents —(CH2)n-(CHR4)-(CH2)m-N(R5)(R5') ;
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R2 represents a heteroaryl optionally substituted with 1, 2 or 3 R6 groups;
R3 represents alkyl or cycloalkyl ;
R4 represents en, hyd roxy or alkoxy; and
RS and R5, may be the same or different and represent independently, en, alkyl,
cycloalkylalklyl, or alkyl or R5 and RS' may be taken together with the
nitrogen atom to which they are bound to form a 3—7 membered nitrogen
containing heterocyclic ring optionally containing at least one additional
heteroatom selected from oxygen, nitrogen or sulfur and which may be
optionally substituted with 1 or more Re' , or R4 and RS may be taken
together with the atoms to which they are bound to form a 5-6 membered
nitrogen containing heterocyclic ring optionally containing 1 or more nitrogen,
oxygen or sulfur atoms and which may be optionally substituted with 1 or more
R61 groups ;
each occurrence of R6 may be the same or different and is independently halogen, alkyl,
l, alkynyl, cycloalkyl, cycloalkylalklyl, aryl, arylalkyl, heteroaryl, heteroarylalkyl,
heterocyclic ring, heterocyclylalkyl, alkyl-OR7, alkyl-SR7, alkyl-N(R7)(R7'), alkyI—COR7,-CN, -
COOR7, -CON(R7)(R7'), -OR7, —SR7, -N(R7)(R7'), or —NR7COR7 each of which may be
optionally substituted with 1 or more R8 groups;
each ence of R6' may be the same or different and is independently alkyl,
lkylalklyl, or alkyl-OR7;
each occurrence of R7 and RT may be the same or different and is ndently
hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkylalklyl, cycloalkenyl, aryl, arylalkyl,
heteroaryl, heterocyclic ring, heterocyclylalkyl, or heteroarylalkyl ;
each occurrence of R8 is independently nitro, hydroxy, cyano, formyl, acetyl, halogen,
amino, alkyl, alkoxy, l, alkynyl, lkyl, cycloalkylalklyl, cycloalkenyl, aryl,
arylalkyl, heteroaryl, heterocyclic ring, heterocyclylalkyl, or heteroarylalkyl ;
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n is an integer from 1-4 and m is an integer from 0—4 with the o that when when R4
and R5 are taken together with the atoms to which they are bound to form a 5—6
membered nitrogen containing ring, n + m S 4;
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline nd, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper—proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, ypercholsterolemia, anti—dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of : PI3K6—selective inhibitor 65-1101, BTK inhibitor ibrutinib, IKK
inhibitor BAY Compound B, and REFAMETINIB (BAY 6 (RDEA-119));
or of ceutical compositions containing such nds or a physiologically
acceptable salt, solvate, hydrate or isomer thereof,
or of pharmaceutical compositions containing such combinations,
for the ation of a medicament for the ent or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of a compound of
Formula (I), wherein R2 is a nitrogen containing heteroaryl optionally substituted with 1,
2 or 3 R6 groups,
or a physiologically able salt, e, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of :
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline nd, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
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b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti—dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of :
— PI3K5-selective inhibitor GS—1101, BTK inhibitor ibrutinib, IKK inhibitor BAY nd
B, and REFAMETINIB (BAY 86-9766 (RDEA—119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of dgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
ma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
In another preferred embodiment, the invention encompasses the use of a compound
of a (I), wherein R5 and Rs’are independently alkyl,
or a physiologically acceptable salt, solvate, e or stereoisomer thereof,
as a sole active agent,
or of combinations of :
a) such a 2,3—dihydroimidazo[1,2—c]quinazo|ine compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in ular an active agent ed from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pl3K6-selective inhibitor GS-1101, BTK tor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)) ;
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or of pharmaceutical compositions containing such compounds or a physiologically
able salt, e, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
ma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In still another preferred embodiment, the invention encompasses the use of a
compound of a (I), wherein R5 and RS' are taken together with the nitrogen atom
to which they are bound to form a 5-6 membered nitrogen containing heterocyclic ring
containing at least one additional heteroatom selected from oxygen, nitrogen or sulfur
and which may be optionally substituted with 1 or more R3 groups,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,Z-c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more r active , in particular an active agent selected from an anti-
angiogenesis, anti—hyper-proliferative, antiinflammatory, sic, immunoregulatory,
ic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of :
- Pl3K6-selective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINlB (BAY 86-9766 (RDEA-119));
or of pharmaceutical compositions containing such compounds or a logically
acceptable salt, solvate, hydrate or stereoisomer thereof,
W0 2014/166820
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non—Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
ive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B—cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), ormed ma (TL), or
peripheral T—cell lymphoma (PTCL).
In yet another preferred embodiment, the ion encompasses the use of a
nd of Formula (I), wherein R4 is hydroxyl,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, flammatory, sic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more r active agents selected from the
group consisting of:
- Pl3K6-selective inhibitor 65-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, e, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive dgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), c
cytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
W0 2014/166820
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma ( L), or
peripheral T-cell lymphoma (PTCL).
In another preferred embodiment, the invention encompasses the use of a compound
of Formula (I), wherein R4 and R5 are taken together with the atoms to which they are
bound to form a 5-6 membered nitrogen containing heterocyclic ring optionally
containing 1 or more nitrogen, oxygen or sulfur atoms and which may be ally
substituted with 1 or more R6 groups,
or a physiologically acceptable salt, solvate, e or isomer thereof,
as a sole active agent,
or of ations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazo|ine compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
ic, antiarrhytmic, anti-hypercholsterolemia, yslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group ting of:
— Pl3K5-selective inhibitor l, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAlVlETINlB (BAY 86—9766 (RDEA-119)) ;
or of pharmaceutical itions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions ning such combinations,
for the preparation of a medicament for the ent or prophylaxis of non—Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
W0 2014/166820
In yet another preferred embodiment, the ion encompasses the use of a
compound of Formula (I), wherein R3 is ,
or a logically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3—dihydroimidazo[1,2-c]quinazo|ine compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, ypercholsterolemia, anti-dyslipidemia, iabetic or
ral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pl3K5-selective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 6 (RDEA-119));
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of dgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s ma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
In still r preferred embodiment, the invention encompasses the use of a
compound of Formula (I), wherein R2 is pyridine, pyridazine, pyrimidine, pyrazine,
pyrole, oxazole, thiazole, furan or thiophene, optionally tuted with 1, 2 or 3 R6
groups; more preferably pyridine, zine, pyrimidine, pyrazine, pyrole, oxazole or
thiazole, optionally tuted with 1, 2 or 3 R6 groups,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
W0 2014/166820
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazo|ine compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more r active agents, in particular an active agent selected from an anti—
angiogenesis, anti—hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti—dyslipidemia, anti-diabetic or
antiviral agent, more ularly one or more further active agents selected from the
group consisting of:
- Pl3K5—selective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and TINIB (BAY 86-9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or isomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive dgkin’s lymphoma (NHL), in ular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
eral T-cell lymphoma .
In a distinct embodiment, the invention encompasses the use of a compound of formula
(Ia)
Owomm7’>
Rz/KO
(la)
W0 2014/166820
or a physiologically acceptable salt, e, hydrate or stereoisomer thereof, wherein R2
is as defined above,
or a physiologically acceptable salt, solvate, e or stereoisomer thereof,
as a sole active agent,
or of combinations of :
a) such a 2,3-dihydroimidazo[1,2—c]quinazo|ine nd, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, yslipidemia, iabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pl3K5-selective inhibitor GS-llOl, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)) ;
or of pharmaceutical itions containing such nds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,for the preparation of
a medicament for the treatment or prophylaxis of non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular ular lymphoma (FL), c lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma
(PTCL).
In r distinct embodiment, the invention encompasses the use of a compound of
formula (lb):
0 N/\/\o$677)N/l\NH
°\ Fag/KO
W0 2014/166820
(lb)
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, wherein R2
is as defined above,
or a physiologically acceptable salt, e, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of :
a) such a hydroimidazo[1,2-c]quinazoline compound, or a physiologically
acceptable salt, e, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
antiviral agent, more ularly one or more further active agents selected from the
group consisting of:
- Pl3K5-selective inhibitor GS-llOl, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
able salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions ning such combinations,
for the preparation of a medicament for the treatment or laxis of non—Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, ed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
eral T-cell lymphoma (PTCL).
In still another distinct embodiment, the invention encompasses the use of a compound
of formula (lc) :
W0 2014/166820
comm,7')
0\ Rz/Ko
(IC)
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, wherein R2
is as defined above,
or a physiologically able salt, solvate, e or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a logically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
enesis, anti-hyper—proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti—dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pl3K6—selective inhibitor GS-1101, BTK inhibitor ibrutinlb, IKK inhibitor BAY Compound
B, and REFAIVIETINIB (BAY 86-9766 (RDEA-119));
or of pharmaceutical compositions ning such compounds or a physiologically
acceptable salt, solvate, hydrate or isomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or laxis of dgkin’s
lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in ular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
W0 2014/166820
In yet another distinct embodiment, the invention encompasses the use of a compound
of the formula (Id):
O A
j/\o N NH
N O\ R2 0
(ldl
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, wherein R2
and R4 are as defined above,
or a physiologically acceptable salt, e, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2—c]quinazoline compound, or a physiologically
acceptable salt, e, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
enesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
ic, antiarrhytmic, anti—hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group ting of :
— Pl3K5-selective inhibitor 1, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86—9766 (RDEA-119));
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, e or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
W0 2014/166820
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, ed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), al zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
eral T—cell lymphoma (PTCL).
In yet another distinct embodiment, the invention encompasses the use of a compound
of the formula (le):
(Ie)
or a physiologically acceptable salt, e, hydrate or stereoisomer thereof, n R2
and R4 are as d above,
or a physiologically able salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, yper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pl3K6-selective inhibitor 1, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86—9766 (RDEA-119)) ;
W0 2014/166820
or of ceutical compositions containing such compounds or a logically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical itions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, tory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone ma (MZL), diffuse large B—cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of a compound of
a (I) - (V), wherein R2 is pyridine, pyridazine, pyrimidine, pyrazine, pyrole, oxazole,
thiazole, furan or thiophene, optionally substituted with 1, 2 or 3 R6 groups; more
preferrably wherein R2 is pyridine, pyridazine, pyrimidine, ne, pyrole, oxazole or
thiazole, optionally substituted with 1, 2 or 3 R6 groups,
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3—dihydroimidazo[1,2—c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti—
angiogenesis, yper-proliferative, antiinflammatory, sic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
ral agent, more ularly one or more further active agents selected from the
group ting of:
- Pl3K5—selective inhibitor GS—1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and TINIB (BAY 86—9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,for the preparation of
a medicament for the treatment or prophylaxis of non—Hodgkin’s lymphoma (NHL),
W0 2014/166820
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma
(PTCL).
In still another preferred embodiment, the ion encompasses the use of a
compound having the formula:
N-[7-methoxy(3-morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolinyl]pyrimidinecarboxamide;
N—(8—{3-[(2R,6S)-2,6—dimethylmorpholin—4-yl]propoxy}methoxy-
hydroimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
N-(8—{3-[(2R,6$)-2,6-dimethylmorpholinyl]propoxy}methoxy-
2,3—dihydroimidazo[1,2-c]quinazolin-S-yl)—2,4-dimethyl-1,3—thiazo|e
amide;
Z-amino-N-[7-methoxy(3-morpholinylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazolinyl]-1,3-thiazo|e—5-carboxamide;
Z—amino-N-[7—methoxy(3—morpho|in-4—ylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazolin-S-yl]isonicotinamide;
Z—amino—N-[7-methoxy(3—morpho|inylpropoxy)-2,3—
dihydroimidazo[1,2-c]quinazolinyl]methyl—1,3—thiazole-S-carboxamide;
2—amino—N—[7-methoxy(3-morpho|in—4-ylpropoxy)-2,3—dihydroimidazo[1,2—
c]quinazolinyl]—4-propylpyrimidinecarboxamide;
N-{8—[2—(4—ethylmorpholinyl)ethoxy]—7-methoxy—2,3-
roimidazo[1,2-c]quinazolinyl}nicotinamide;
N—{8—[2-(dimethylamino)ethoxy]—7-methoxy-2,3-dihydroimidazo[1,2-
c]quinazolin—5-yl}pyrimidinecarboxamide;
N-(8—{3-[2-(hydroxymethyl)morpholin—4-yl]propoxy}methoxy-
2,3-dihydroimidazo[1,2-c]quinazolinyl)nicotinamide;
N-(8—{3-[2-(hydroxymethyl)morpholin-4—yl]propoxy}—7-methoxy-
2,3-dihydroimidazo[1,2-c]quinazolinyl)nicotinamide;
N-{8—[3-(dimethylamino)propoxy]methoxy-2,3—dihydroimidazo[1,2-
c]quinazolinyl}nicotinamide 1-oxide;
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2—amino-N—[7—methoxy—8—(3—morpholin—4—yl propoxy)—2,3—dihyd roimidazo[1,2—
c] quinazolin—S-yl]pyrimidine-5—carboxamide;
N—[7-methoxy(3-morpholin—4-yl propoxy)-2,3-dihyd roimidazo[1,2-
c] quinazol in—5-yI]—6—(2—pyrro| idin-l—ylethy|)nicotinamide;
6-(cyclopentylamino)—N-[7-methoxy-8—(3-morpholinylpropoxy)-
2,3—dihydroimidazo[1,2-c]quinazo|in—5-yl]nicotinamide;
N—[8—(2-hyd roxymorpholin-4—yl propoxy)methoxy-2,3-dihyd roimidazo[1,2—
c]quinazolinyl]nicotinamide;
ethoxy-8—[3-(3—methyl morpholin—4-yl)propoxy]—2,3-dihyd roimidazo[1,2—
c]quinazolin—5-y|}nicotinamide;
N-(8—{3-[2-(hyd roxymethyl)morph0|in-4—yl]propoxy}methoxy-2,3-
dihyd roimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
N—(8-{2-[4-(cyclobutylmethyl)morphol i n—Z-yl] ethoxy}methoxy-2,3—
dihyd roimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
N-(7-methoxy{2-[4—(2-methoxyethyl)morphol |]ethoxy}-2,3-
clihydroimidazo[1,2-c]quinazo|iny|)nicotinamide;
N—{8-[(4-ethylmorpholinyl)methoxy]methoxy-2,3-dihydroimidazo[1,2-
c]quinazolin—5-y|}nicotinamide;
ethoxy-8—{[4-(2-methoxyethyl)morpholin-2—yl]methoxy}-2,3-
oimidazo[1,2-c]quinazo|in—5-yl)nicotinamide;
N-{7-methoxy-S-[(4-methy|morpho|iny|)methoxy]-2,3-dihydroimidazo[1,2-
c]quinazolin-S-yl}nicotinamide;
N-[7-methoxy-8—(3-morpholin-4—yl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|in—S-yl]pyrimidine-4—carboxamide;
2-amino-N-[7-methoxy—8-(3-morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|in-S-yl]pyrimidine-4—carboxamide;
N-[7—methoxy-8—(3-morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|iny|]-1—methyl-1H-imidazoIe—4-carboxamide;
rel—N-(8—{3-[(2R,6S)-2,6-dimethylmorpholin-4—yl]propoxy}methoxy—2,3-
dihydroimidazo[1,2-c]quinazolin—S-yl)pyrimidine—5—carboxamide;
(8—{3-[(2R,65)-2,6-dimethylmorpholin-4—yl]propoxy}methoxy—2,3-
dihydroimidazo[1,2-c]quinazo|iny|)methylnicotinamide;
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acetamido—N—(8—{3—[(2R,6$)—2,6—dimethylmorpholin-4—yl]propoxy}
methoxy-2,3—dihyd roimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
N-[7-methoxy-8—(3-morpho|inyl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|in—S-yl]—1—methyl—1H—imidazole—5—carboxamide;
6-amino-N-[7-methoxy—8—(3-morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-
azolin—S-yI]—2—methy|nicotinamide;
2—amino-N-[7-methoxy—8-(3-morpholin—4—yl propoxy)-2,3-d ihyd roimidazo[1,2-
c]quinazolin-5~y|]-4—methyl pyrimid ine-S-carboxamide;
6—aminobromo-N—[7-methoxy-8—(3-morpho|in-4—ylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazo|inyl]nicotinamide;
2-amino-N-[7-methoxy—8-(3-morpho|in-4—yl propoxy)-2,3-d ihyd roimidazo[1,2-
c]quinazolin-S-yl]-1,3-oxazolecarboxamide;
N—[7-methoxy(morpholin—Z—ylmethoxy)—2,3-dihydroimidazo[1,2-c]quinazo|in-
-yl]nicotinamide;
2-{[2-(dimethylamino)ethy|]amino}-N-{8—[3-(dimethylamino)propoxy]
methoxy-2,3—dihyd roimidazo[1,2-c]quinazo|inyl}pyrimidine-S-carboxamide;
2-amino-N-{8—[3-(dimethylamino)propoxy]methoxy-2,3-dihyd roimidazo[1,2—
c]quinazoliny|}-1,3—thiazoIe—S—carboxamide;
rel-Z-amino-N-(S-{S-[(2R,6$)-2,6—dimethylmorpholinyl]propoxy}methoxy—
2,3-dihydroimidazo[1,2—c]quinazolin-S—yl)pyrimidine-S-carboxamide;
relamino—N-(8—{3-[(2R,6S)—2,6-dimethylmorpholinyl]propoxy}methoxy—
2,3—dihydroimidazo[1,2-c]quinazolin—5—yl)nicotinamide;
2-[(2-hyd roxyethyl )amino]—N-[7-methoxy-8—(3-morpholinylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine—S-carboxamide;
ethoxy-S-(3-morpho!in-4—yl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazolin—S-yl]—2—[(3-methoxypropy|)amino]pyrimidine-S-carboxamide;
2-amino-N-{8-[3-(dimethylamino)propoxy]—7-methoxy-2,3-dihyd roimidazo[1,2—
c]quinazo|in—S-yl}pyrimidine—5—carboxamide;
N-[7—methoxy-8—(3-morpholin—4—yl propoxy)-2,3-dihyd azo[1,2-
c] quinazoliny|][(3—morpho|inyl propyl )amino] pyrimidine-S—carboxamide;
2-[(2-methoxyethy| )amino]-N-[7-methoxy-8—(3—morpho|in-4—yl propoxy)—2,3-
dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine-S-carboxamide;
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2—{[2—(dimethylamino)ethyl]amino}—N-[7—methoxy—8—(3—morpholin-4—ylpropoxy)-
2,3—dihydroimidazo[1,2-c]quinazolinyl]pyrimldine-S-carboxamide;
6—amlno-N—{8—[3-(dimethylamlno)propoxy]methoxy-2,3—dihydroimidazo[1,2—
c]quinazolln-S-yl}nlcotinamide;
N-[7-methoxy-8—(3-morpholin—4-ylpropoxy)—2,3-dlhydroimidazo[1,2-
c]qulnazolinyl]-2—pyrrolidin-l-ylpyrimidine—S—carboxamide;
N—[7-methoxy-8—(3-morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazolinyl]—2-(4—methylpiperazin-l-yl)pyrimidine-S-carboxamide;
N—[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimldazo[1,2-
c]quinazolin-S-yl]morpholinylpyrimidine-S-carboxamide;
ethoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazo|inyl]piperazln—1-y|nlcotlnamide hydrochloride;
6-[(3S)aminopyrrolidin-l-yl]—N-[7-methoxy-8—(3—morpholinylpropoxy)-2,3—
dihydroimidazo[1,2-c]qulnazolin-S-yl]nicotinamide hydrochloride hydrate;
6-[(3R)aminopyrrolidiny|]—N-[7-methoxy-8—(3-morpholinylpropoxy)-2,3—
dihydroimidazo[1,2-c]qulnazollnyl]nicotlnamide hydrochloride;
6-[(4—fluorobenzyl)amino]-N-[7—methoxy—8-(3-morpholin-4—ylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazolln-5—yl]nicotinamide;
6-[(2-furylmethyl)amlno]—N-[7—methoxy(3-morphollnylpropoxy)—2,3-
dihydroimidazo[1,2-c]quinazolinyl]nicotinamide;
6-[(2-methoxyethyl)amino]-N-[7-methoxy(3-morpholinylpropoxy)-2,3-
dihydroimidazo[1,2—c]quinazolln—5-yl]nicotinamide;
N-[7-methoxy—8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—5-y|]-6—(1H—pyrrol—1—y|)nicotinamide;
N-[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydrolmidazo[1,2-
azoliny|]-6—morpholinylnicotinamide;
N-{7-methoxy-8—[3—(methylamlno)propoxy]—2,3-dlhydroimidazo[1,2-
c]quinazolin—5-y|}nicotinamlde;
6-[(2,2—dimethylpropanoyl)amino]-N-[7-methoxy(3-morpholinylpropoxy)—
2,3-dihydroimidazo[1,2-c]quinazo|in—S-yl]nicotinamide;
6-[(cyclopropylcarbonyl)amino]-N-[7-methoxy(3-morpholiny|propoxy)-2,3—
clihydroimidazo[1,2-c]quinazoliny|]nicotinamide
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N—[7—methoxy—8—(3—morpholin—4—yl propoxy)—2,3—dihyd roimidazo[1,2—
c] quinazolin—S-yl]—6—(2,2,2-trifl uoroethoxy)nicotinamide;
N—[7-methoxy-8—(3-morpholin—4-yl propoxy)-2,3-dihyd roimidazo[1,2—
c]quinazolin—S-yl]—6—(trif|uoromethyl)nicotinamide;
6—(isobutyrylamino)-N-[7-methoxy-8—(3—morph0|in—4—ylpropoxy)-2,3-
oimidazo[1,2—c]quinazo|in—5-yl]nicotinamide;
N—{7-methoxy-8—[3-(4—methylpiperazin-l—yl)propoxy]—2,3-dihyd roimidazo[1,2—
c]quinazolin-S-y|}nicotinamide;
N-[7-methoxy-8—(3-morpholin—4—yl propoxy)-2,3-dihyd azo[1,2-
c]quinazo|in-5'yl]{[(methylamino)carbonyl]amino}—1,3-thiazoIe—4-
carboxamide;
N—[7-methoxy'8-(3—morpho|in-4—yl propoxy)'2,3-dihyd roimidazo[1,2—
c]quinazolin—S-yl]{[(methylamino)carbonyl]amino}nicotinamide;
N—[7-methoxy-8—(3-morpho|in-4—yl propoxy)-2,3-dihyd azo[1,2-
c] quinazolin—S-yl]—2-(methy|amino)-1,3-thiazole-4—carboxamide;
N-[7-methoxy-8—(2-morpholinylethoxy)-2,3-dihyd roimidazo[1,2-c]quinazolin-
-yl]nicotinamide;
N—{8—[2-(dimethylamino)ethoxy]methoxy-2,3-dihydroimidazo[1,2—
c]quinazolinyl}-2,4—dimethy|—1,3-thiazole-S-carboxamide;
N-{8—[2-(dimethylamino)ethoxy]—7-methoxy-2,3—dihydroimidazo[1,2—
c]quinazolinyl}-6—methyl n icotinamid e;
6-{[(isopropylamino)carbony|]amino}—N-[7—methoxy(3-morpho|in—4—
ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazo|inyl]nicotinamide;
N-[7—methoxy—8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazolinyl]—6—pyrrolidin-1—ylnicotinamide;
6-(dimethylamino)—N-[7—methoxy(3—morpho|in-4—ylpropoxy)-2,3—
dihydroimidazo[1,2-c]quinazolin-S-yl]nicotinamide;
N-[7-methoxy(3-piperid in-l-ylpropoxy)-2,3—dihyd roimidazo[1,2-c]quinazo| in—
-yl]nicotinamide;
N—[7-methoxy(2-pyrrol -ylethoxy)—2,3-dihydroimidazo[1,2-c] quinazol in-
-yl]nicotinamide;
N-[7-methoxy(2-piperidin-l—ylethoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-
yl]nicotinamide;
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6—{[(ethy|amino)carbonyl]amino}—N—[7-methoxy—8—(3—morpholin—4-ylpropoxy)—
hydroimidazo[1,2-c]quinazolin-S-yl]nicotinamide;
6—fluoro-N-[7-methoxy-8—(3-morpho|in-4—yl y)-2,3-dihyd roimidazo[1,2-
c]quinazo|inyl]nicotinamide;
2-amino-N-[7-methoxy—8—(3-morpholinyl propoxy)—2,3-dihyd roimidazo[1,2-
c]quinazo|in-S-yl]—1,3—oxazole—4-carboxamide;
2—(ethylamino)-N—[7-methoxy—8—(3-morpholinylpropoxy)—2,3-
dihydroimidazo[1,2-c]quinazolin-S—yl]-1,3—thiazo|ecarboxamide;
N—[7-methoxy-8—(3-morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|in-S-yl]pyrazine-Z-carboxamide;
N-[8-(2-aminoethoxy)—7-methoxy-2,3-dihyd roimidazo[1,2-c]quinazolin
otinamide;
6-amino-N-[7—methoxy—8—(3-morpho|inyl propoxy)-2,3-d ihyd roimidazo[1,2-
azolin-S-y|]nicotinamide;
N—[7-methoxy(3-morpholin—4-yl propoxy)-2,3-dihyd azo[1,2-
c]quinazolinyl]isonicotinamide;
N-{8-[3-(diethylamino)propoxy]—7-methoxy-2,3-dihyd roimidazo[1,2-
c]quinazolin-S-y|}nicotinamide;
N-{8—[2-(diisopropylamino)ethoxy]—7-methoxy-2,3-dihyd roimidazo[1,2-
c]quinazo|iny|}nicotinamide;
N-{8—[2-(diethylamino)ethoxy]—7-methoxy—2,3-dihydroimidazo[1,2-c]quinazo|in-
-yl}nicotinamide;
N-{8-[3-(dimethylamino)pr0poxy]methoxy-2,3-dihyd roimidazo[1,2—
c]quinazolinyl}nicotinamide;
N-{8—[2-(dimethylamino)ethoxy]methoxy-2,3-dihydroimidazo[1,2-
c]quinazolin-S-yl}nicotinamide;
N-[7-methoxy-8—(3-morpholin-4—yl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazo|iny|]—2—(methy|amino)pyrimidine-S-carboxamide;
N-[7—methoxy-8—(3-morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-
c]quinazoliny|]—2-(methy|thio)pyrimidinecarboxamide;
N-[8-(3-aminopropoxy)methoxy-2,3-dihyd roimidazo[1,2—c]quinazolin-S-
yl]nicotinamide trifluoroacetate;
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N—[7—methoxy—8—(3—morpholin—4—ylpropoxy)—2,3—dihydroimidazo[1,2—
c]quinazolin—5-yl]thiophene-Z—carboxamide;
N—[7-methoxy-8—(3-morpholin—4-ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazo|in—5-yl]—2,4—dimethyl—1,3—thiazoie—S—carboxamide;
oxy—N-[7-methoxy—8—(3-morpholinylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazo|in-5—yl]pyrimidine—S-carboxamide;
N-[7-methoxy-8—(3-morpho|in—4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—S-yl]—3-furamide;
ethoxy-8—(3-morpho|in—4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazo|in-S-yl]thiophenecarboxamide;
N-[7-methoxy-8—(3-morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolinyl]—2-methy|—1,3-thiazole-4—carboxamide;
6-methoxy-N-[7—methoxy(3—morpho|inylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolinyl]nicotinamide;
5-methoxy-N-[7-methoxy-8—(3—morpho|inylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—S-y|]nicotinamide;
N—[7-methoxy-8—(3-morpholinylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazo|in—5-y|]-6—methy|nicotinamide;
6-(acetylaminol-N-[7—methoxy-8—(3-morpholinylpropoxy)-2,3-
dihydroimidazo[1,2-c]quinazolin—5-yl]nicotinamide;
N-[7—methoxy-8—(3-morpho|in-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
azolin—5-yl]nicotinamide;
or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected from an anti—
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, regulatory,
diuretic, antiarrhytmic, anti—hypercholsterolemia, anti-dyslipidemia, anti—diabetic or
antiviral agent, more ularly one or more further active agents selected from the
group consisting of:
W0 2014/166820
— P|3K5—selective inhibitor 1, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119));
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, e or isomer f,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the ent or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of a compound having
the formula:
N-[7-methoxy(3-morpholinylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—5-yl]nicotinamide;
N-[7—methoxy(3-morpholinylpropoxy)-2,3-dihydroimidazo[1,2-
azolinyl]methy|nicotinamide;
5-methoxy-N—[7-methoxy-8—(3-morpholiny|propoxy)—2,3—dihydroimidazo[1,2—
c]quinazoliny|]nicotinamide;
N-[7-methoxy-8—(3-morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazolinyl]—2,4—dimethyl-1,3-thiazole-S-carboxamide;
N—{8-[2-(dimethylamino)ethoxy]—7-methoxy-2,3-dihydroimidazo[1,2—
clquinazolin—5-y|}nicotinamide;
N-{8—[3—(dimethylamino)propoxy]methoxy-2,3—dihydroimidazo[1,2—
azoliny|}nicotinamide;
6-{[(isopropylamino)carbony|]amino}—N-[7-methoxy—8—(3-morpholin-4—
ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-5—yl]nicotinamide;
N-(8—[2-(dimethylamino)ethoxy]methoxy-2,3-dihydroimidazo[1,2—
c]quinazolinyl}-2,4-dimethyl-1,3-thiazole-S-carboxamide;
N-[7-methoxy(2-morpholin-4—ylethoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-
-yl]nicotinamide;
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rel—6—amino—N—(8—{3—[(2R,6S)—2,6—dimethylmorpholin-4—yl]propoxy}-7—methoxy—
2,3—dihydroimidazo[1,2-c]quinazolin-S-yl)nicotinamide;
rel—2-amino—N-(S-{3-[(2R,6$)-2,6-dimethylmorpholinyl]propoxy}-7—methoxy—
2,3—dihydroimidazo[1,2-c]quinazo|inyl)pyrimidine-S-carboxamide;
Z-amino-N-[7-methoxy—8—(3-morpholinylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—S-yl]pyrimidine—5-carboxamide;
2-(dimethylamino)ethoxy]methoxy-2,3-dihydroimidazo[1,2—
c]quinazolinyl}pyrimidine-S-carboxamide;
N—[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—S-yl]pyrimidine-S-carboxamide;
or a physiologically acceptable salt, solvate, e or stereoisomer thereof,
as a sole active agent,
or of combinations of:
a) such a 2,3—dihydroimidazo[1,2—c]quinazo|ine compound, or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in ular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, regulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, iabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of:
- Pi3K5—selective inhibitor GS—1101, BTK inhibitor ibrutinib, IKK inhibitor BAY nd
B, and REFAMETINIB (BAY 86—9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such compounds or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of dgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular ma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
ma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
W0 2014/166820
In a preferred embodiment, the invention encompasses the use of a compound having
the formula :
2—amino-N-[7-methoxy-8—(3-morpholin—4—ylpropoxy)-2,3—dihydroimidazo[1,2—
c]quinazolinyl]pyrimidine-S—carboxamide, or a physiologically acceptable salt, solvate,
e or stereoisomer thereof;
as a sole active agent,
or of pharmaceutical compositions ning such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
for the ation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-ceil
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of a compound having
the formula :
Z-amino-N-[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazo|in—5-yl]pyrimidine-S—carboxamide dihydrochloride;
as a sole active agent,
or of pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or isomer thereof,
for the ation of a medicament for the ent or prophylaxis of non—Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, nt or
agressive non-Hodgkin’s ma (NHL), in particular follicular lymphoma (FL), chronic
cytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-ceil
W0 2014/166820
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma ( L), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the ion encompasses the use of combinations of:
a) 2-amino-N-[7-methoxy-8—(3—morpholinylpropoxy)-2,3—dihydroimidazo[1,2—
c]quinazolin—5—yl]pyrimidine—S—carboxamide, or a physiologically acceptable salt, solvate,
e or stereoisomer thereof; and
b) one or more r active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti—dyslipidemia, anti—diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of :
- Pl3K5-selective tor GS—1101, BTK inhibitor ibrutinib, IKK inhibitor BAY nd
B, and REFAMETINlB (BAY 6 (RDEA-119));
or of pharmaceutical compositions ning such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such ations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular ma (FL), c
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of combinations of:
W0 2014/166820 2014/056768
a) 2—amino—N—[7—methoxy—8—(3—morpholin-4—ylpropoxy)—2,3—dihydroimidazo[1,2-
c]quinazolinyl]pyrimidine-S-carboxamide, or a physiologically acceptable salt, e,
hydrate or stereoisomer thereof; and
b) a further active agent which is Pl3K6—selective inhibitor 65-1101;
or of pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the ent or prophylaxis of non-Hodgkin’s
lymphoma (NHL), ularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), c
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a preferred embodiment, the invention encompasses the use of combinations of:
a) 2-amino-N-[7-methoxy—8—(3-morpholin-4—ylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazolinyl]pyrimidine—5-carboxamide, or a logically acceptable salt, solvate,
hydrate or stereoisomer thereof; and
b) a further active agent which is BTK inhibitor ibrutinib;
or of pharmaceutical compositions containing such a compound or a physiologically
able salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the ent or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or
ive non-Hodgkin’s lymphoma (NHL), in ular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
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In a preferred embodiment, the invention asses the use of combinations of:
a) 2-amino—N-[7-methoxy—8—(3—morpholin-4—ylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazolinyl]pyrimidinecarboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereolsomer thereof; and
b) a further active agent which is lKK inhibitor BAY Compound B;
or of pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereolsomer thereof,
or of pharmaceutical compositions ning such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), c
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), ormed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
In a red embodiment, the invention encompasses the use of combinations of :
a) Z-amino-N-[7-methoxy(3—morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolinyl]pyrimidine—5-carboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereolsomer thereof; and
b) a further active agent which is REFAMETINIB (BAY 86-9766 (RDEA-119)) ;
or of pharmaceutical compositions containing such a nd or a physiologically
acceptable salt, solvate, e or stereolsomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or laxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular ma (FL), chronic
W0 2014/166820
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B—cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma .
In a preferred embodiment, the invention encompasses the use of combinations of :
a) o—N-[7-methoxy—8—(3—morphol in-4—ylpropoxy)-2,3-dihyd roimidazo[ 1,2-
clquinazolin-S-yl]pyrimidine—S-carboxamide dihydrochloride; and
b) a further active agent which is Pl3K6-selective inhibitor 65-1101;
or of pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions ning such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B—cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
In a red embodiment, the invention asses the use of combinations of:
a) Z-amino-N-[7-methoxy-8—(3—morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazolinyl]pyrimidine-S—carboxamide dihydrochloride ; and
b) a further active agent which is BTK inhibitor ibrutinib;
or of pharmaceutical compositions containing such a nd or a physiologically
acceptable salt, e, e or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
for the preparation of a medicament for the treatment or prophylaxis of dgkin’s
lymphoma (NHL), ularly 1st line, 2nd line, relapsed, refractory, indolent or
W0 2014/166820
ive non—Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
In a red embodiment, the invention encompasses the use of combinations of :
a) 2-amlno—N-[7-methoxy—8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin-S-yl]pyrimidine-S—carboxamide dihydrochloride ; and
b) a further active agent which is IKK inhibitor BAY nd B;
or of pharmaceutical compositions containing such a compound or a logically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions ning such combinations,
for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
lymphoma (NHL), ularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s ma (NHL), in particular follicular ma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell ma (PTCL).
In a preferred embodiment, the invention encompasses the use of ations of:
a) 2-amino-N-[7-methoxy—8—(3—morpholinylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazolinyl]pyrimidine-S-carboxamide dihydrochloride; and
b) a further active agent which is REFAMETINIB (BAY 86—9766 (RDEA—119)) ;
or of pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof,
or of pharmaceutical compositions containing such combinations,
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for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s
ma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or
agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell
lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL).
Where there is a discrepancy between the chemical name and the al structure
depicted, the chemical structure depicted takes ence over the chemical name
given.
Without being bound by theory or ism, the nds of the present invention
display surprising activity for the inhibition of phosphatidylinositolkinase and
chemical and structural stability over those compounds of the prior art. It is believed
that this surprising activity is based on the chemical ure of the compounds, in
particular the basicity of the compounds as a result of R1 being amino optionally
substituted with R5 and RS'. Further, the riate choice of R3 and R2 e the
necessary activity against the appropriate isoforms to allow for activity in vivo.
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, nt or agressive non-Hodgkin’s
ma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), e large B-cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma
(PTCL).
Definitions
The term ‘alkyl‘ refers to a straight or branched hydrocarbon chain radical consisting
solely of carbon and hydrogen atoms, containing solely of carbon and hydrogen atoms,
ning no unsaturation, having from one to eight carbon atoms, and which is
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attached to the rest of the molecule by a single bond, such as illustratively, methyl, ethyl,
n—propyl 1—methylethyl opyl), n-butyl, n-pentyl, and 1,1-dimethylethyl (t—butyl).
The term ”alkenyl ” refers to an aliphatic hydrocarbon group containing a carbon-carbon
double bond and which may be a straight or branched or branched chain having about 2
to about 10 carbon atoms, e.g., ethenyl, 1—propenyl, enyl (allyl), iso-propenyl, 2-
methyl-I-propenyl, 1—butenyl, 2-and butenyl.
The term ”alkynyl” refers to a straight or ed chain arbonyl radicals having
at least one carbon-carbon triple bond, and having in the range of about 2 up to 12
carbon atoms (with radicals having in the range of about 2 up to 10 carbon atoms
presently being preferred) e.g., ethynyl.
The term ”alkoxy" s an alkyl group as defined herein attached via oxygen linkage
to the rest of the molecule. Representative examples of those groups are methoxy and
ethoxy.
The term "alkoxyakyl" denotes an alkoxy group as defined herein attached via oxygen
linkage to an alkyl group which is then attached to the main structure at any carbon
from alkyl group that results in the creation of a stable structure the rest of the
molecule. entative examples of those groups are —CHZOCH3, --CH20C2H5.
The term alkyl" denotes a non-aromatic mono or multicyclic ring system of about
3 to 12 carbon atoms such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and
examples of multicyclic cycloalkyl groups include perhydronapththyl, adamantyl and
norbornyl groups bridged cyclic group or sprirobicyclic groups e.g sprio (4,4) non-Z—yl.
The term "cycloalkylalkyl" refers to cyclic ring-containing ls containing in the range
of about about 3 up to 8 carbon atoms directly attached to alkyl group which is then also
attached to the main structure at any carbon from the alkyl group that s in the
creation of a stable structure such as cyclopropylmethyl, cyclobuyylethyl,
cyclopentylethyl.
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The term "aryl" refers to aromatic radicals having in the range of 6 up to 14 carbon
atoms such as phenyl, naphthyl, tetrahydronapthyl, indanyl, biphenyi.
The term ”arylalky Ill refers to an aryl group as defined herein directly bonded to an alkyl
group as defined herein which is then attached to the main structure at any carbon from
alkyl group that results in the creation of a stable structure the rest of the le.
e.g., --CH2C6H5, "CZHSCeHS -
The term "heterocyclic ring” refers to a stable 3- to 15 ed ring radical which
consists of carbon atoms and from one to five heteroatoms selected from the group
consisting of nitrogen, phosphorus, oxygen and sulfur. For purposes of this invention,
the heterocyclic ring radical may be a monocyclic, bicyclic or tricyclic ring , which
may include fused, bridged or spiro ring systems, and the nitrogen, phosphorus, carbon,
oxygen or sulfur atoms in the cyclic ring radical may be optionally oxidized to
various oxidation . In addition, the nitrogen atom may be optionally quaternized;
and the ring radical may be partially or fully saturated (i.e., heteroaromatic or heteroaryl
ic). Examples of such heterocyclic ring ls include, but are not limited to,
azetidinyl, acridinyl, benzodioxolyl, benzodioxanyl, benzofurnyl, carbazolyl inyl
dioxolanyl, indolizinyl, naphthyridinyl, perhydroazepinyl, phenazinyl, phenothiazinyl,
phenoxazinyl, phthalazil, pyridyl, pteridinyl, purinyl, quinazolinyl, quinoxalinyl,
quinolinyl, isoquinolinyl, tetrazoyl, imidazolyl tetrahydroisouinolyl, piperidinyl,
piperazinyl, Z-oxopiperazinyl, 2—oxopiperidinyl, 2—oxopyrrolidinyl, zepinyl,
yl, pyrrolyl, 4—piperidonyl, pyrrolidinyl, pyrazinyl, pyrimidinyl pyridazinyl, oxazolyl
oxazolinyl oxasolidinyl, triazolyl, indanyl, isoxazolyl, isoxasolidinyl, morpholinyl, thiazoiyl,
thiazolinyl, thiazolidinyl, isothiazolyl, quinuclidinyl, isothiazolidinyl, indolyl, isoindolyl,
indolinyl, isoindolinyl, octahydroindolyl, octahydroisoindolyl yl, isoquinolyl,
droisoquinolyl, benzimidazolyl, thiadiazolyl, benzopyranyl, benzothiazolyl,
benzooxazolyl, furyl, tetrahydrofurtyl, tetrahydropyranyl, thienyl, hienyl,
thiamorpholinyl, thiamorpholinyl sulfoxide thiamorpholinyl sulfone, dioxaphospholanyl,
oxadiazolyl, nyl, isochromanyl .
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The term "heteroaryi" refers to heterocyclic ring radical as defined herein which are
aromatic. The heteroaryi ring radical may be attached to the main structure at any
heteroatom or carbon atom that results in the creation of a stable structure.
The cyclic ring radical may be attached to the main structure at any heteroatom
or carbon atom that results in the creation of a stable structure.
The term "heteroarylalkyl" refers to heteroaryi ring radical as defined herein directly
bonded to alkyl group. The heteroarylalkyl radical may be attached to the main
structure at any carbon atom from alkyl group that results in the creation of a stable
stru ctu re .
The term “heterocyclyl” refers to a cylic ring radical as defined herein. The
heterocylyl ring radical may be attached to the main structure at any heteroatom or
carbon atom that results in the creation of a stable structure.
The term ocyclylalkyl" refers to a heterocylic ring radical as defined herein directly
bonded to alkyl group. The heterocyclylalkyl radical may be ed to the main
structure at carbon atom in the alkyl group that results in the creation of a stable
stru ctu re.
The term nyl" refers to an oxygen atom bound to a carbon atom of the molecule
by a double bond.
The term "halogen" refers to radicals of fluorine, chlorine, bromine and iodine.
Where the plural form of the word compounds, salts, polymorphs, hydrates, solvates
and the like, is used herein, this is taken to mean also a single compound, salt,
polymorph, isomer, hydrate, solvate or the like.
The compounds of this invention may n one or more asymmetric centers,
depending upon the location and nature of the various substituents desired.
Asymmetric carbon atoms may be present in the (R) or (5) uration, resulting in
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racemic es in the case of a single asymmetric center, and diastereomeric mixtures
in the case of multiple asymmetric centers. In certain instances, asymmetry may also be
present due to restricted rotation about a given bond, for example, the central bond
ing two tuted ic rings of the specified compounds. Substituents on a
ring may also be present in either cis or trans form. It is intended that all such
configurations (including enantiomers and diastereomers), are included within the
scope of the present invention. Preferred compounds are those, which produce the
more desirable biological activity. Separated, pure or partially purified isomers and
stereoisomers or racemic or diastereomeric mixtures of the compounds of this invention
are also included within the scope of the present invention. The purification and the
separation of such materials can be accomplished by standard techniques known in the
art.
The present invention also relates to useful forms of the compounds as disclosed herein,
such as ceutically acceptable salts, co-precipitates, metabolites, es,
solvates and prodrugs of all the compounds of examples. The term “pharmaceutically
acceptable salt” refers to a relatively non-toxic, inorganic or organic acid addition salt of
a compound of the present invention. For example, see S. M. Berge, et of.
aceutical Salts,” J. Pharm. Sci. 1977, 66, 1-19. Pharmaceutically acceptable salts
include those obtained by reacting the main compound, functioning as a base, with an
inorganic or organic acid to form a salt, for example, salts of hydrochloric acid, ic
acid, phosphoric acid, methane sulfonic acid, camphor sulfonic acid, oxalic acid, maleic
acid, succinic acid and citric acid. Pharmaceutically acceptable salts also include those in
which the main compound functions as an acid and is d with an appropriate base
to form, e.g., sodium, potassium, calcium, magnesium, ammonium, and chorine salts.
Those skilled in the art will r recognize that acid on salts of the claimed
compounds may be prepared by reaction of the compounds with the appropriate
nic or organic acid via any of a number of known methods. Alternatively, alkali
and alkaline earth metal salts of acidic compounds of the invention are prepared by
reacting the nds of the invention with the appropriate base via a variety of
known methods.
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Representative salts of the nds of this invention include the conventional non—
toxic salts and the quaternary ammonium salts which are formed, for example, from
inorganic or organic acids or bases by means well known in the art. For e, such
acid addition salts include acetate, adipate, alginate, ascorbate, aspartate, benzoate,
benzenesulfonate, bisulfate, butyrate, citrate, camphorate, camphorsulfonate,
cinnamate, cyclopentanepropionate, digluconate, dodecylsulfate, ethanesulfonate,
fumarate, glucoheptanoate, glycerophosphate, hemisulfate, heptanoate, hexanoate,
chloride, bromide, iodide, Z-hydroxyethanesulfonate, itaconate, e, maleate,
ate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oxalate,
pamoate, ate, persulfate, 3-phenylpropionate, picrate, pivalate, propionate,
succinate, sulfonate, sulfate, tartrate, thiocyanate, tosylate, and undecanoate.
Base salts include alkali metal salts such as potassium and sodium salts, alkaline earth
metal salts such as calcium and magnesium salts, and ammonium salts with organic
bases such as dicyclohexylamine and N-methyl-D-glucamine. Additionally, basic
nitrogen containing groups may be nized with such agents as lower alkyl halides
such as methyl, ethyl, propyl, or butyl chlorides, bromides and iodides; l sulfates
like dimethyl, diethyl, dibutyl sulfate, or diamyl es, long chain halides such as decyl,
, myristyl and strearyl chlorides, bromides and iodides, aralkyl halides like benzyl
and phenethyl bromides and others.
A solvate for the purpose of this ion is a complex ofa solvent and a compound of
the invention in the solid state. Exemplary solvates would include, but are not limited
to, complexes of a compound of the invention with ethanol or methanol. es are a
specific form of solvate n the t is water.
The synthesis of the compounds listed above is described in International Patent
Application No. 2003/010377, published as WO 2004/029055 A1, and in
International Patent Application No. PCT/USZOO7/024985, published as W0
2008/070150, both of which are hereby incorporated herein in their entirety by
reference.
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In accordance with another embodiment, the present invention relates to a 2,3—
oimidazo[1,2—c]quinazo|ine compound as defined herein, in particular Z-amino—N-
[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin
yl]pyrimidinecarboxamide, or a physiologically able salt, e, hydrate or
stereoisomer f, as a sole agent, for the treatment of non—Hodgkin’s lymphoma
(NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-
Hodgkin’s ma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic
leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B—cell lymphoma (DLBCL),
mantle cell ma (MCL), transformed lymphoma (TL), or peripheral T—cell
lymphoma (PTCL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive dgkin’s
lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell ma (DLBCL), mantle
cell lymphoma (MCL), transformed ma (TL), or peripheral T-cell lymphoma
(PTCL).
Combination ies
As mentioned supra, the present invention relates to combinations of:
a) a 2,3—dihydroimidazo[1,2-c]quinazoline compound as defined supra, or a
physiologically acceptable salt, solvate, hydrate or stereoisomer f ; or
pharmaceutical compositions containing such a compound or a physiologically
acceptable salt, solvate, hydrate or stereoisomer thereof;
b) one or more further active agents, in particular an active agent selected from an anti-
enesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
diuretic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
W0 2014/166820
antiviral agent, more ularly one or more further active agents selected from the
group consisting of :
— Pl3K6—selective tor GS—1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)).
In a preferred embodiment, the invention encompasses combinations of:
a) o—N-[7-methoxy-8—(3-morpholinylpropoxy)-2,3-dihydroimidazo[1,2—
azolinyl]pyrimidine—S-carboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof
b) one or more further active agents, in particular an active agent selected from an anti-
angiogenesis, anti-hyper-proliferative, antiinflammatory, analgesic, immunoregulatory,
ic, antiarrhytmic, anti—hypercholsterolemia, anti—dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of :
— Pi3K6—selective tor GS-1101, BTK tor nib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)).
In a preferred embodiment, the invention encompasses combinations of:
a) 2—amino—N—[7—methoxy-8—(3—morpholin—4-ylpropoxy)-2,3-dihydroimidazo[1,2—
c]quinazolin-S-yl]pyrimidine-S-carboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, solvate, e or stereoisomer thereof
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b) one or more further active agents selected from the group consisting of : PI3K5—
selective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound B, and
REFAMETINIB (BAY 86-9766 (RDEA-119)).
In a preferred embodiment, the invention encompasses combinations of:
a) 2-amino—N-[7-methoxy-8—(3—morpholinylpropoxy)-2,3-dihydroimidazo[1,2—
clquinazolin—S-yl]pyrimidine-5—carboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a logically acceptable salt, solvate, hydrate or isomer thereof
and
b) a further active agent which is PI3K6—selective inhibitor 65-1101.
In a preferred embodiment, the ion encompasses combinations of:
a) 2-amino—N-[7-methoxy—8—(3-morpholin-4—ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolin—S-yl]pyrimidine—S-carboxamide, or a physiologically able salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, solvate, e or stereoisomer thereof
b) a further active agent which is BTK inhibitor ibrutinib.
In a preferred embodiment, the invention encompasses combinations of:
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a) 2—amino—N—[7—methoxy—8—(3—morpholin-4—ylpropoxy)—2,3—dihydroimidazo[1,2-
c]quinazolinyl]pyrimidine-S-carboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer f; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, e, hydrate or stereoisomer thereof
b) a further active agent which is IKK inhibitor BAY Compound B.
In a preferred embodiment, the invention asses combinations of :
a) 2-amino—N-[7-methoxy(3-morpholin—4-ylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazolinyl]pyrimidinecarboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
nd or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof
b) a further active agent which is REFAMETINIB (BAY 86-9766 (RDEA-119)).
In a preferred embodiment, the invention encompasses the use of combinations of :
a) 2-amino-N-[7-methoxy-8—(3-morpholin-4—ylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazo|in—5-yl]pyrimidine—5-carboxamide, or a logically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, e, hydrate or stereoisomer thereof
b) a further active agent which is Pl3K6-selective inhibitor 65-1101.
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In a preferred embodiment, the invention asses the use of combinations of:
a) 2-amino—N-[7-methoxy—8—(3—morpholin-4—ylpropoxy)-2,3—dihydroimidazo[1,2-
c]quinazo|inyl]pyrimidinecarboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions ning such a
compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof
and
b) a further active agent which is BTK tor ibrutinib.
In a preferred embodiment, the invention encompasses the use of combinations of:
a) Z-amino-N-[7-methoxy—8—(3—morpholinylpropoxy)-2,3-dihydroimidazo[1,2-
c]quinazo|inyl]pyrimidinecarboxamide, or a logically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof
I
b) a further active agent which is IKK inhibitor BAY Compound B.
In a preferred embodiment, the invention encompasses the use of combinations of :
a) o-N-[7-methoxy-8—(3—morpholin-4—ylpropoxy)—2,3—dihydroimidazo[1,2—
azo|inyl]pyrimidinecarboxamide, or a physiologically acceptable salt, solvate,
hydrate or stereoisomer thereof; or pharmaceutical compositions containing such a
compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof
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b) a further active agent which is REFAMETINIB (BAY 86—9766 (RDEA—119)).
The compounds of this invention can be stered as the sole pharmaceutical agent
or in ation with one or more other pharmaceutical agents (or "further active
agents”) where the combination causes no unacceptable adverse effects. For example,
the compounds of this invention can be combined with known anti-angiogenesis, anti-
hyper-proliferative, antiinflammatory, analgesic, immunoregulatory, diuretic,
rhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or antiviral
agents, and the like, as well as with admixtures and combinations f.
The additional pharmaceutical agent or agents (or ”further active agent”) can be, but
are not limited to 131I-chTNT, abarelix, abiraterone, aclarubicin, aldesleukin,
alemtuzumab, alitretinoin, altretamine, aminoglutethimide, amrubicin, amsacrine,
anastrozole, arglabin, c de, asparaginase, azacitidine, basiliximab, BAY
1000394, refametinib (BAY 86-9766 (RDEA 119)), belotecan, bendamustine,
bevacizumab, bexarotene, bicalutamide, bisantrene, bleomycin, bortezomib, buserelin,
busulfan, cabazitaxel, calcium folinate, calcium levofolinate, capecitabine, carboplatin,
carmofur, carmustine, catumaxomab, celecoxib, celmoleukin, cetuximab, chlorambucil,
chlormadinone, ethine, cisplatin, bine, clodronic acid, clofarabine,
crisantaspase, cyclophosphamide, cyproterone, cytarabine, azine, omycin,
darbepoetin alfa, dasatinib, daunorubicin, decitabine, degarelix, denileukin diftitox,
denosumab, deslorelin, dibrospidium chloride, docetaxel, uridine, doxorubicin,
doxorubicin + estrone, eculizumab, edrecolomab, elliptinium acetate, eltrombopag,
endostatin, enocitabine, epirubicin, epitiostanol, epoetin alfa, epoetin beta, eptaplatin,
eribulin, erlotinib, estradiol, estramustine, etoposide, everolimus, exemestane,
fadrozole, filgrastim, fludarabine, fluorouracil, flutamide, formestane, fotemustine,
fulvestrant, gallium nitrate, lix, gefitinib, gemcitabine, gemtuzumab, glutoxim,
goserelin, histamine dihydrochloride, histrelin, hydroxycarbamide, |-125 seeds,
onic acid, momab tiuxetan, icin, ifosfamide, imatinib, imiquimod,
improsulfan, eron alfa, interferon beta, interferon gamma, ipilimumab, irinotecan,
ixabepilone, lanreotide, lapatinib, lenalidomide, lenograstim, lentinan, letrozole,
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relin, levamisole, lisuride, lobaplatin, lomustine, Ionidamine, masoprocol,
medroxyprogesterone, megestrol, melphalan, mepitiostane, mercaptopurine,
methotrexate, methoxsalen, Methyl aminolevulinate, testosterone, mifamurtide,
miltefosine, miriplatin, mitobronitol, mitoguazone, mitolactol, mitomycin, mitotane,
ntrone, nedaplatin, nelarabine, nilotinib, nilutamide, nimotuzumab, nimustine,
nitracrine, obinutuzumab, ofatumumab, omeprazole, ekin, oxaliplatin, p53 gene
therapy, paclitaxel, palifermin, palladium-103 seed, pamidronic acid, mumab,
pazopanib, pegaspargase, PEG-epoetin beta (methoxy oetin beta), pegfilgrastim,
peginterferon alfa-Zb, pemetrexed, pentazocine, pentostatin, peplomycin,
perfosfamide, picibanil, pirarubicin, plerixafor, plicamycin, poliglusam, polyestradiol
phosphate, polysaccharide—K, porfimer sodium, pralatrexate, mustine,
procarbazine, quinagolide, raloxifene, raltitrexed, ranimustine, razoxane, regorafenib,
risedronic acid, rituximab, psin, romiplostim, mostim, sipuleucel—T,
ran, sobuzoxane, sodium glycididazole, sorafenib, streptozocin, sunitinib,
talaporfin, tamibarotene, tamoxifen, tasonermin, teceleukin, tegafur, tegafur + gimeracil
+ oteracil, rfin, temozolomide, temsirolimus, teniposide, testosterone,
tetrofosmin, thalidomide, pa, thymalfasin, tioguanine, tocilizumab, topotecan,
toremifene, tositumomab, trabectedin, trastuzumab, treosulfan, tretinoin, trilostane,
triptorelin, trofosfamide, tryptophan, ubenimex, valrubicin, vandetanib, vapreotide,
vemurafenib, vinblastine, vincristine, vindesine, nine, vinorelbine, vorinostat,
vorozole, yttrium-90 glass microspheres, zinostatin, atin amer, zoledronic
acid, zorubicin, or a combination thereof.
The additional pharmaceutical agent or agents (or ”further active agent”) can be, but
are not limited to aldesleukin, alendronic acid, alfaferone, alitretinoin, allopurinol,
aloprim, aloxi, altretamine, aminoglutethimide, amifostine, amrubicin, ine,
anastrozole, anzmet, aranesp, arglabin, arsenic trioxide, aromasin, S—azacytidine,
azathioprine, ECG or tice BCG, bestatin, betamethasone acetate, betamethasone
sodium phosphate, bexarotene, bleomycin sulfate, broxuridine, bortezomib, busulfan,
calcitonin, campath, capecitabine, carboplatin, casodex, cefesone, celmoleukin,
cerubidine, chlorambucil, cisplatin, cladribine, cladribine, clodronic acid,
cyclophosphamide, cytarabine, dacarbazine, dactinomycin, ome, decadron,
decadron phosphate, delestrogen, denileukin ox, depo-medrol, deslorelin,
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dexomethasone, dexrazoxane, diethylstilbestrol, diflucan, docetaxel, doxifluridine,
doxorubicin, dronabinol, DW—166HC, eligard, elitek, ellence, emend, epirubicin, epoetin
alfa, epogen, eptaplatin, ergamisol, e, estradiol, estramustine phosphate sodium,
ethinyl estradiol, ethyol, etidronic acid, etopophos, etoposide, fadrozole, farston,
filgrastim, finasteride, fligrastim, floxuridine, fluconazole, fludarabine, 5-
fluorodeoxyuridine monophosphate, 5-fluorouracil (5-FU), fluoxymesterone, flutamide,
tane, fosteabine, fotemustine, fulvestrant, gammagard, gemcitabine,
gemtuzumab, gleevec, gliadel, goserelin, granisetron HCl, tin, histrelin, hycamtin,
ortone, eyrthro-hydroxynonyladenine, hydroxyurea, ibritumomab tiuxetan,
icin, ifosfamide, eron alpha, interferon-alpha 2, interferon alfa-ZA,
interferon B, interferon alfa-nl, interferon alfa-n3, interferon beta, interferon
gamma-1a, interleukin-2, intron A, iressa, irinotecan, , Iapatinib, lentinan sulphate,
letrozole, orin, leuprolide, leuprolide acetate, Ienalidomide, levamisole,
Ievofolinic acid calcium salt, Ievothroid, levoxyl, Iomustine, lonidamine, marinol,
mechlorethamine, mecobalamin, medroxyprogesterone acetate, megestrol acetate,
melphalan, menest, 6-mercaptopurine, Mesna, methotrexate, metvix, miltefosine,
minocycline, mitomycin C, mitotane, mitoxantrone, Modrenal, Myocet, nedaplatin,
neulasta, neumega, neupogen, nilutamide, nolvadex, NSC-631570, OCT-43, octreotide,
ondansetron HCI, orapred, oxaliplatin, paclitaxel, pediapred, pegaspargase, Pegasys,
pentostatin, picibanil, pilocarpine HCI, pirarubicin, plicamycin, porfimer sodium,
prednimustine, prednisolone, prednisone, premarin, procarbazine, procrit, tinib
(BAY 86-9766 (RDEA 119)), raltitrexed, rebif, rhenium—186 etidronate, rituximab,
roferon-A, ide, salagen, sandostatin, sargramostim, semustine, sizofiran,
sobuzoxane, solu—medrol, sparfosic acid, ell therapy, streptozocin, strontium-89
chloride, sunitinib, synthroid, fen, tamsulosin, tasonermin, tastolactone, taxotere,
teceleukin, temozolomide, side, testosterone nate, testred, thioguanine,
thiotepa, thyrotropin, tiludronic acid, topotecan, toremifene, tositumomab,
trastuzumab, treosulfan, tretinoin, trexall, hylmelamine, trimetrexate, triptorelin
acetate, triptorelin pamoate, UFT, uridine, valrubicin, vesnarinone, stine,
vincristine, ine, lbine, virulizin, zinecard, zinostatin stimalamer, , ABI—
007, acolbifene, actimmune, affinitak, aminopterin, arzoxifene, asoprisnil, atamestane,
atrasentan, BAY 43-9006 (sorafenib), n, CCI-779, CDC-501, celebrex, cetuximab,
crisnatol, cyproterone acetate, decitabine, DN-101, doxorubicin-MTC, dSLlM,
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eride, edotecarin, eflornithine, exatecan, inide, histamine dihydrochloride,
histrelin hydrogel t, holmium-166 DOTMP, ibandronic acid, interferon gamma,
intron-PEG, ixabepilone, keyhole limpet hemocyanin, L-651582, Ianreotide, lasofoxifene,
libra, Ionafarnib, miproxifene, minodronate, MS—209, liposomal MTP-PE, MX-6,
nafarelin, nemorubicin, neovastat, nolatrexed, oblimersen, onco-TCS, osidem, paclitaxel
polyglutamate, pamidronate disodium, PN—401, QS—Zl, quazepam, R-1549, raloxifene,
ranpirnase, 13-cis —retinoic acid, satraplatin, seocalcitol, T—138067, tarceva, taxoprexin,
thalidomide, thymosin alpha 1, tiazofurine, tipifarnib, tirapazamine, TLK-286,
toremifene, TranleD-107R, valspodar, vapreotide, vatalanib, verteporfin, vinflunine, Z-
100, onic acid or combinations f.
In accordance with an embodiment, the additional pharmaceutical agent or agents (or
”further active agent”) is selected from the group consisting of : 131l-chTNT, abarelix,
abiraterone, aclarubicin, aldesleukin, alemtuzumab, tinoin, altretamine,
aminoglutethimide, amrubicin, amsacrine, anastrozole, arglabin, arsenic trioxide,
asparaginase, azacitidine, basiliximab, BAY 1000394, refametinib (BAY 86-9766 (RDEA
119)), belotecan, bendamustine, bevacizumab, bexarotene, bicalutamide, bisantrene,
bleomycin, bortezomib, buserelin, busulfan, cabazitaxel, m folinate, calcium
levofolinate, capecitabine, carboplatin, carmofur, carmustine, catumaxomab, celecoxib,
celmoleukin, cetuximab, chlorambucil, chlormadinone, ethine, cisplatin,
cladribine, clodronic acid, clofarabine, crisantaspase, cyclophosphamide, cyproterone,
cytarabine, dacarbazine, dactinomycin, darbepoetin alfa, nib, daunorubicin,
decitabine, degarelix, denileukin diftitox, mab, elin, dibrospidium chloride,
xel, doxifluridine, doxorubicin, doxorubicin + estrone, eculizumab, edrecolomab,
elliptinium acetate, bopag, endostatin, abine, icin, epitiostanol,
epoetin alfa, epoetin beta, eptaplatin, eribulin, erlotinib, estradiol, estramustine,
etoposide, everolimus, exemestane, fadrozole, filgrastim, fludarabine, fluorouracil,
flutamide, formestane, fotemustine, trant, gallium e, ganirelix, gefitinib,
gemcitabine, umab, glutoxim, goserelin, histamine dihydrochloride, histrelin,
hydroxycarbamide, l-125 seeds, ibandronic acid, ibritumomab tiuxetan, idarubicin,
ifosfamide, imatinib, imiquimod, improsulfan, interferon alfa, eron beta, interferon
gamma, ipilimumab, ecan, ixabepilone, lanreotide, Iapatinib, lenalidomide,
astim, lentinan, letrozole, leuprorelin, levamisole, lisuride, lobaplatin, lomustine,
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lonidamine, masoprocol, yprogesterone, megestrol, melphalan, mepitiostane,
mercaptopurine, methotrexate, methoxsalen, Methyl aminolevulinate,
methyltestosterone, mifamurtide, osine, miriplatin, mitobronitol, mitoguazone,
mitolactol, mitomycin, mitotane, mitoxantrone, nedaplatin, nelarabine, nilotinib,
nilutamide, nimotuzumab, nimustine, nitracrine, ofatumumab, omeprazole, ekin,
oxaliplatin, p53 gene therapy, paclitaxel, palifermin, ium—103 seed, pamidronic
acid, panitumumab, pazopanib, pegaspargase, PEG-epoetin beta (methoxy PEG-epoetin
beta), pegfilgrastim, peginterferon alfa—Zb, pemetrexed, pentazocine, tatin,
peplomycin, perfosfamide, picibanil, pirarubicin, plerixafor, plicamycin, poliglusam,
polyestradiol ate, polysaccharide-K, porfimer sodium, rexate,
mustine, procarbazine, quinagolide, raloxifene, raltitrexed, ranimustine, razoxane,
regorafenib, risedronic acid, rituximab, psin, romiplostim, sargramostim,
sipuleucel—T, sizofiran, sobuzoxane, sodium glycididazole, sorafenib, streptozocin,
sunitinib, talaporfin, tamibarotene, tamoxifen, tasonermin, teceleukin, tegafur, tegafur
+ gimeracil + oteracil, temoporfin, temozolomide, temsirolimus, teniposide,
testosterone, tetrofosmin, thalidomide, thiotepa, thymalfasin, tioguanine, tocilizumab,
topotecan, toremifene, tositumomab, trabectedin, trastuzumab, treosulfan, tretinoin,
tane, triptorelin, trofosfamide, tryptophan, ubenimex, valrubicin, vandetanib,
vapreotide, vemurafenib, vinblastine, vincristine, ine, vinflunine, vinorelbine,
vorinostat, vorozole, yttrium-90 glass microspheres, zinostatin, zinostatin stimalamer,
zoledronic acid, zorubicin.
The additional pharmaceutical agent can also be gemcitabine, paclitaxel, cisplatin,
carboplatin, sodium butyrate, 5-FU, doxirubicin, tamoxifen, etoposide, trastumazab,
gefitinib, intron A, rapamycin, , U0126, insulin, an insulin derivative, a PPAR
ligand, a sulfonylurea drug, an a-glucosidase tor, a biguanide, a PTP-lB inhibitor, a
DPP-IV inhibitor, a a-HSD inhibitor, GLP-l, a GLP-l derivative, GIP, a GIP
derivative, PACAP, a PACAP derivative, secretin or a secretin tive.
Optional anti-hyper-proliferative agents which can be added to the composition include
but are not limited to compounds listed on the cancer chemotherapy drug regimens in
the 11‘h Edition of the Merck Index, (1996), which is hereby incorporated by reference,
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such as ginase, bleomycin, carboplatin, carmustine, chlorambucil, cisplatin,
colaspase, cyclophosphamide, cytarabine, dacarbazine, dactinomycin, daunorubicin,
doxorubicin (adriamycine), icin, etoposide, 5-fluorouracil, hexamethylmelamine,
hydroxyurea, ifosfamide, irinotecan, orin, ine, mechlorethamine, 6—
mercaptopurine, mesna, rexate, mitomycin C, mitoxantrone, prednisolone,
prednisone, procarbazine, raloxifen, streptozocin, tamoxifen, thioguanlne, topotecan,
stine, vincristine, and vindesine.
Other anti-hyper-proliferative agents suitable for use with the composition of the
invention include but are not limited to those compounds acknowledged to be used in
the treatment of neoplastic diseases in Goodman and Gilman’s The Pharmacological
Basis of Therapeutics (Ninth Edition), editor Molinoff et al., publ. by McGraw—Hill, pages
1225-1287, (1996), which is hereby orated by reference, such as
aminoglutethimide, L-asparaginase, azathioprine, 5-azacytidine cladribine, an,
diethylstilbestrol, 2',2'-difluorodeoxycytidine, docetaxel, erythrohydroxynonyl adenine,
ethinyl estradiol, 5-fluorodeoxyuridine, 5-fluorodeoxyuridine monophosphate,
abine phosphate, fluoxymesterone, ide, hydroxyprogesterone caproate,
icin, interferon, medroxyprogesterone acetate, megestrol acetate, melphalan,
mitotane, paclitaxel, pentostatin, N-phosphonoacety|-L—aspartate (PALA), ycin,
semustine, teniposide, testosterone propionate, thiotepa, trimethylmelamine, uridine,
and vinorelbine.
Other anti—hyper-proliferative agents suitable for use with the composition of the
invention include but are not limited to other ancer agents such as epothilone and
its derivatives, irinotecan, raloxifen and topotecan.
Generally, the use of cytotoxic and/or cytostatic agents in combination with a
compound or composition of the present invention will serve to:
(1) yield better efficacy in reducing the growth of a tumor or even eliminate the
tumor as compared to administration of either agent alone,
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(2) provide for the administration of lesser amounts of the administered chemo—
therapeutic agents,
(3) provide for a chemotherapeutic treatment that is better tolerated in the patient
with fewer deleterious pharmacological complications than observed with single agent
chemotherapies and certain other combined therapies,
(4) provide for treating a broader spectrum of different cancer types in mammals,
ally humans,
(5) provide for a higher se rate among treated patients,
(6) provide for a longer survival time among d patients compared to standard
chemotherapy treatments,
(7) provide a longer time for tumor progression, and/or
(8) yield efficacy and tolerability results at least as good as those of the agents used
alone, compared to known instances where other cancer agent combinations produce
antagonistic effects.
In accordance with an embodiment, the invention relates to combinations n said
2,3-dihydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7-methoxy-8—(3-
morpholinylpropoxy)-2,3—dihydroimidazo[1,2—c}quinazolin-S-yl]pyrimidine—5-
carboxamide.
In accordance with an embodiment, the ion relates to combinations wherein said
2,3-dihydroimidazo[1,2-c]quinazoline nd is o—N-[7—methoxy—8-(3—
morpholinylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine
carboxamide dihydrochloride.
In accordance with an embodiment, the ion relates to combinations wherein said
2,3-dihydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7-methoxy-8—(3-
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morpholin—4—yl propoxy)—2,3—dihyd roimidazo[1,2—c]quinazolin—S—yl]pyrimidine—5-
carboxamide and said further active agent is PI3K6-selective inhibitor GS-1101.
In accordance with an embodiment, the invention relates to combinations wherein said
2,3-dihydroimidazo[1,2-c]quinazoline compound is Z-amino-N-[7-methoxy-8—(3-
morpholinylpropoxy)—2,3—dihydrolmidazo[1,2—c]quinazolin—S—yl]pyrimidine-5—
carboxamide and said further active agent is BTK inhibitor ibrutinib.
In accordance with an embodiment, the invention relates to ations wherein said
2,3'dihydroimidazo[1,2—c]quinazoline compound is Z-amino-N-[7-methoxy(3-
morpholin—4—ylpropoxy)-2,3-dihydroimidazo[1,2—c]quinazolin-S-yl]pyrimidine—5-
carboxamide and said further active agent is REFAMETINIB (BAY 86—9766 (RDEA-119)).
In accordance with an embodiment, the ion relates to ations wherein said
2,3-dihydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7-methoxy-8—(3-
morpholinylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine
carboxamide dihydrochloride and said further active agent is PI3K5-selective inhibitor
GS-llOl.
In accordance with an embodiment, the invention relates to combinations wherein said
hydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7—methoxy-8—(3-
morpholinylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine
carboxamide ochloride and said further active agent is BTK inhibitor ibrutinib.
In ance with an embodiment, the invention relates to combinations wherein said
2,3-dihydroimidazol1,2-c]quinazoline compound is o—N-[7-methoxy-8—(3—
morpholinylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidine
carboxamide dihydrochloride and said further active agent is IKK inhibitor BAY
Compound B.
In accordance with an embodiment, the invention s to combinations wherein said
hydroimidazo[1,2-c]quinazo|ine compound is 2-amino—N-[7—methoxy—8—(3—
morpholinyl propoxy)-2,3-dihyd roimidazo[1,2-c]quinazolinyl]pyrimidine
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carboxamide dihydrochloride and said further active agent is REFAMETINIB (BAY 86—
9766 119)).
Pharmaceutical compositions of the compounds of the invention
As mentioned supra, the present invention relates to ceutical compositions :
- sing a 2,3—dihydroimidazo[1,2-c]quinazoline compound, or a
physiologically acceptable salt, solvate, hydrate or stereoisomer f, as a
sole active agent, for the treatment of non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-
Hodgkin‘s lymphoma (NHL), in particular follicular lymphoma (FL), chronic
lymphocytic mia (CLL), marginal zone lymphoma (MZL), diffuse large B-
cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma
(TL), or peripheral T-cell lymphoma (PTCL), and
- comprising a pharmaceutical composition which comprises a combination of:
a) a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically
able salt, solvate, hydrate or stereoisomer thereof; and
b) one or more further active agents, in particular an active agent selected
from an anti—angiogenesis, yper—proliferative, antiinflammatory,
analgesic, immunoregulatory, diuretic, antiarrhytmic, anti—
hypercholsterolemia, anti-dyslipidemia, anti-diabetic or antiviral agent,
more particularly one or more further active agents selected from the group
consisting of:
— Pl3K6-selective inhibitor GS—llOl, BTK inhibitor ibrutinib, lKK inhibitor BAY
Compound B, and REFAMETlNIB (BAY 86-9766 (RDEA-119)).
In accordance with another embodiment, the present invention relates to
pharmaceutical compositions which comprise a 2,3-dihydroimidazo[1,2—c]quinazoline
nd as defined herein, in particular 2-amino-N—[7-methoxy-8—(3-morpholin—4-
ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolin-S-yl]pyrimidinecarboxamide, or a
physiologically acceptable salt, solvate, e or stereoisomer thereof, as a sole agent,
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for the treatment of non—Hodgkin’s lymphoma (NHL), particularly lst line, 2nd line,
relapsed, refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular
follicular lymphoma (FL), chronic cytic leukaemia (CLL), marginal zone lymphoma
(MZL), diffuse large B—cell ma (DLBCL), mantle cell lymphoma (MCL), transformed
lymphoma (TL), or peripheral T-cell lymphoma .
In accordance with another embodiment, the present invention relates to
ceutical compositions which comprise Z-amino-N-[7-methoxy—8-(3—morpholin
ylpropoxy)—2,3-dihydroimidazo[1,2-c]quinazolin—S-yl]pyrimidine-S-carboxamide
dihydrochloride, as a sole agent, for the treatment of non-Hodgkin's lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, nt or ive non-Hodgkin’s
lymphoma (NHL), in particular ular lymphoma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle
cell ma (MCL), transformed lymphoma (TL), or eral T—cell lymphoma
(PTCL)
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non—Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular follicular ma (FL), chronic lymphocytic mia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T—cell lymphoma
(PTCL)
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non-Hodgkin’s lymphoma (NHL),
ularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is follicular lymphoma (FL).
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In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is chronic lymphocytic mia (CLL).
In accordance a particular embodiment of any of the above s, or embodiments
thereof, of the present invention, said cancer is marginal zone lymphoma (MZL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is diffuse large B-cell lymphoma (DLBCL).
In ance a particular embodiment of any of the above aspects, or ments
thereof, of the present invention, said cancer is mantle cell lymphoma (MCL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is transformed lymphoma (TL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is peripheral T-cell ma (PTCL).
Said pharmaceutical compositions contain one or more compounds. These
compositions can be utilized to achieve the desired pharmacological effect by
administration to a patient in need f. A patient, for the purpose of this invention,
is a , including a human, in need of treatment for the particular condition or
disease. Therefore, the present invention includes pharmaceutical compositions that
are comprised of a pharmaceutically acceptable carrier and a pharmaceutically effective
amount of a nd, or salt thereof, of the present invention. A pharmaceutically
acceptable carrier is preferably a carrier that is relatively non-toxic and innocuous to a
patient at trations consistent with effective activity of the active agent so that
any side effects ascribable to the carrier do not vitiate the beneficial effects of the active
agent. A pharmaceutically ive amount of compound is preferably that amount
which es a result or exerts an influence on the particular condition being treated.
The compounds of the present invention can be stered with pharmaceutically-
acceptable carriers well known in the art using any effective conventional dosage unit
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forms, including ate, slow and timed release preparations, orally, parenterally,
topically, nasally, lmicaliy, optically, sublingually, rectally, vaginally, and the like.
For oral administration, the compounds can be formulated into solid or liquid
preparations such as capsules, pills, tablets, s, lozenges, melts, powders,
solutions, suspensions, or emulsions, and may be prepared ing to methods known
to the art for the manufacture of pharmaceutical itions. The solid unit dosage
forms can be a capsule that can be of the ordinary hard- or soft-shelled gelatin type
containing, for example, surfactants, lubricants, and inert fillers such as lactose, sucrose,
calcium phosphate, and corn starch.
In r embodiment, the compounds of this invention may be tableted with
conventional tablet bases such as lactose, sucrose and cornstarch in combination with
binders such as acacia, corn starch or gelatin, disintegrating agents intended to assist
the break—up and dissolution of the tablet following administration such as potato
, alginic acid, corn starch, and guar gum, gum tragacanth, acacia, lubricants
intended to improve the flow of tablet granulation and to t the adhesion of tablet
material to the surfaces of the tablet dies and punches, for example talc, stearic acid, or
magnesium, calcium or zinc stearate, dyes, coloring agents, and flavoring agents such as
peppermint, oil of Wintergreen, or cherry flavoring, intended to enhance the aesthetic
qualities of the tablets and make them more acceptable to the patient. Suitable
excipients for use in oral liquid dosage forms include dicalcium ate and diluents
such as water and alcohols, for example, ethanol, benzyl alcohol, and hylene
alcohols, either with or without the addition of a pharmaceutically able
surfactant, suspending agent or emulsifying agent. Various other materials may be
present as coatings or to otherwise modify the physical form of the dosage unit. For
instance tablets, pills or capsules may be coated with shellac, sugar or both.
sible powders and granules are suitable for the preparation of an aqueous
suspension. They provide the active agent in admixture with a dispersing or wetting
agent, a suspending agent and one or more preservatives. Suitable dispersing or wetting
agents and suspending agents are exemplified by those already mentioned above.
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Additional ents, for example those sweetening, flavoring and coloring agents
described above, may also be present.
The pharmaceutical compositions of this invention may also be in the form of oil—in-
water emulsions. The oily phase may be a vegetable oil such as liquid paraffin or a
e of ble oils. Suitable emulsifying agents may be (1) naturally occurring
gums such as gum acacia and gum tragacanth, (2) naturally occurring phosphatides such
as soy bean and lecithin, (3) esters or partial esters derived form fatty acids and hexitol
anhydrides, for example, sorbitan monooleate, (4) condensation ts of said partial
esters with ethylene oxide, for example, polyoxyethylene sorbitan monooleate, The
emulsions may also contain sweetening and flavoring agents.
Oily suspensions may be formulated by suspending the active agent in a vegetable oil
such as, for example, arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil
such as liquid paraffin. The oily sions may n a thickening agent such as, for
example, beeswax, hard paraffin, or cetyl alcohol. The suspensions may also contain one
or more preservatives, for example, ethyl or n—propyl p-hydroxybenzoate; one or more
coloring agents; one or more flavoring agents; and one or more sweetening agents such
as SUCFOSB or saccharin.
Syrups and elixirs may be formulated with sweetening agents such as, for example,
glycerol, propylene , sorbitol or sucrose. Such formulations may also contain a
demulcent, and preservative, such as methyl and propyl parabens and flavoring and
coloring agents.
The compounds of this ion may also be stered erally, that is,
subcutaneously, intravenously, intraocularly, intrasynovially, intramuscularly, or
interperitoneally, as injectabie dosages of the compound in preferably a physiologically
acceptable diluent with a ceutical carrier which can be a sterile liquid or mixture
of liquids such as water, saline, aqueous dextrose and related sugar solutions, an alcohol
such as ethanol, isopropanol, or cyl alcohol, glycols such as propylene glycol or
polyethylene glycol, glycerol ketals such as 2,2-dimethyl-1,1-dioxolane-4—methanoi,
ethers such as poly(ethylene glycol) 400, an oil, a fatty acid, a fatty acid ester or, a fatty
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acid glyceride, or an acetylated fatty acid glyceride, with or without the addition of a
pharmaceutically able surfactant such as a soap or a detergent, suspending agent
such as pectin, ers, methycellulose, hydroxypropylmethylcellulose, or
carboxymethylcellulose, or emulsifying agent and other pharmaceutical adjuvants.
Illustrative of oils which can be used in the parenteral formulations of this invention are
those of petroleum, animal, vegetable, or synthetic origin, for example, peanut oil,
soybean oil, sesame oil, cottonseed oil, corn oil, olive oil, petrolatum and mineral oil.
Suitable fatty acids include oleic acid, stearic acid, isostearic acid and myristic acid.
Suitable fatty acid esters are, for e, ethyl oleate and isopropyl ate. le
soaps include fatty acid alkali metal, ammonium, and triethanolamine salts and suitable
ents include cationic detergents, for example dimethyl dialkyl ammonium halides,
alkyl pyridinium halides, and alkylamine acetates; anionic detergents, for example, alkyl,
aryl, and olefin sulfonates, alkyl, , ether, and monoglyceride sulfates, and
sulfosuccinates; non-ionic ents, for example, fatty amine oxides, fatty acid
alkanolamides, and xyethy|ene-oxypropylene)s or ethylene oxide or propylene
oxide copolymers; and amphoteric detergents, for example, alkyl-beta—
ropionates, and 2—alkylimidazoline quarternary ammonium salts, as well as
mixtures.
The parenteral compositions of this invention will typically contain from about 0.5% to
about 25% by weight of the active agent in solution. Preservatives and buffers may also
be used advantageously. In order to minimize or eliminate irritation at the site of
injection, such compositions may contain a non-ionic surfactant having a hydrophile-
lipophile balance (HLB) preferably of from about 12 to about 17. The ty of
surfactant in such formulation preferably ranges from about 5% to about 15% by weight.
The surfactant can be a single component having the above HLB or can be a mixture of
two or more components having the desired HLB.
Illustrative of surfactants used in parenteral formulations are the class of polyethylene
sorbitan fatty acid esters, for example, sorbitan monooleate and the high molecular
weight adducts of ethylene oxide with a hydrophobic base, formed by the condensation
of ene oxide with propylene glycol.
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The pharmaceutical compositions may be in the form of sterile injectable aqueous
suspensions. Such suspensions may be formulated according to known methods using
suitable dispersing or wetting agents and suspending agents such as, for example,
sodium ymethylcellulose, methylcellulose, ypropylmethyl-cellulose,
sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia; dispersing or
wetting agents which may be a naturally occurring phosphatide such as lecithin, a
condensation product of an alkylene oxide with a fatty acid, for example,
polyoxyethylene stearate, a condensation product of ethylene oxide with a long chain
aliphatic alcohol, for example, heptadeca-ethyleneoxycetanol, a condensation product
of ethylene oxide with a partial ester d form a fatty acid and a hexitol such as
yethylene sorbitol monooleate, or a condensation product of an ethylene oxide
with a partial ester derived from a fatty acid and a hexitol anhydride, for example
polyoxyethylene sorbitan monooleate.
The sterile injectable preparation may also be a sterile injectable on or sion
in a non-toxic parenterally acceptable diluent or solvent. Diluents and solvents that may
be employed are, for example, water, Ringer’s solution, isotonic sodium chloride
solutions and isotonic glucose ons. In addition, e fixed oils are conventionally
employed as solvents or suspending media. For this purpose, any bland, fixed oil may be
employed ing synthetic mono— or diglycerides. In addition, fatty acids such as oleic
acid can be used in the preparation of injectables.
A composition of the invention may also be administered in the form of suppositories
for rectal administration of the drug. These compositions can be ed by mixing the
drug with a suitable non-irritation excipient which is solid at ordinary temperatures but
liquid at the rectal temperature and will therefore melt in the rectum to release the
drug. Such materials are, for example, cocoa butter and polyethylene .
Another formulation employed in the methods of the present invention employs
transdermal delivery devices (”patches"). Such transdermal patches may be used to
provide continuous or discontinuous on of the nds of the present
invention in lled amounts. The construction and use of transdermal patches for
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the delivery of pharmaceutical agents is well known in the art (see, e.g., US Patent No.
,023,252, issued June 11, 1991, incorporated herein by reference). Such patches may
be constructed for continuous, pulsatile, or on demand delivery of pharmaceutical
agents.
Controlled release formulations for parenteral administration include liposomal,
polymeric microsphere and polymeric gel formulations that are known in the art.
It may be desirable or necessary to uce the ceutical composition to the
patient via a mechanical delivery device. The construction and use of mechanical
delivery devices for the delivery of pharmaceutical agents is well known in the art. Direct
techniques for, for example, administering a drug ly to the brain y involve
placement of a drug delivery catheter into the patient’s ventricular system to bypass the
brain barrier. One such implantable delivery , used for the transport of
agents to ic anatomical regions of the body, is described in US Patent No.
,011,472, issued April 30, 1991.
The compositions of the invention can also contain other conventional pharmaceutically
able compounding ingredients, generally referred to as carriers or diluents, as
necessary or desired. Conventional procedures for preparing such compositions in
appropriate dosage forms can be utilized. Such ingredients and procedures include
those described in the following nces, each of which is incorporated herein by
reference: Powell, M.F. et ai, "Compendium of Excipients for Parenteral ations"
PDA Journal of Pharmaceutical Science 8: Technology 1998, 52(5), 238-311; Strickley, R.G
”Parenteral Formulations of Small Molecule Therapeutics ed in the United States
(1999)—Part—1" PDA Journal of ceutical Science & Technology 1999, 53(6), 324-
349; and Nema, S. et al, ”Excipients and Their Use in Injectable Products” PDA Journal of
Pharmaceutical Science & Technology 1997, 51(4), 166—171.
Commonly used pharmaceutical ingredients that can be used as appropriate to
formulate the composition for its intended route of administration include:
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acidifying agents (examples include but are not limited to acetic acid, citric acid, fumaric
acid, hydrochloric acid, nitric acid);
nizing agents (examples include but are not limited to ammonia solution,
ammonium carbonate, diethanolamine, monoethanolamine, ium hydroxide,
sodium , sodium carbonate, sodium hydroxide, triethanolamine, trolamine);
adsorbents (examples include but are not limited to powdered ose and activated
charcoal);
aerosol propellants (examples include but are not limited to carbon e, CClez,
F2ClC‘CCl F2 and CCl F3)
air displacement agents (examples include but are not limited to nitrogen and argon);
antifungal preservatives (examples include but are not limited to benzoic acid,
butylparaben, ethylparaben, methylparaben, propylparaben, sodium benzoate);
antimicrobial preservatives (examples include but are not limited to benzalkonium
chloride, benzethonium de, benzyl alcohol, cetylpyridinium chloride,
butanol, phenol, phenylethyl l, phenylmercuric nitrate and thimerosal);
idants (examples include but are not limited to ascorbic acid, ascorbyl palmitate,
butylated hydroxyanisole, butylated hydroxytoluene, hypophosphorus acid,
monothioglycerol, propyl gallate, sodium ascorbate, sodium bisulfite, sodium
formaldehyde sulfoxylate, sodium metabisulfite);
binding als (examples include but are not limited to block polymers, natural and
tic rubber, polyacrylates, polyurethanes, silicones, polysiloxanes and styrene-
butadiene copolymers);
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buffering agents (examples include but are not limited to potassium metaphosphate,
dipotassium ate, sodium acetate, sodium e anhydrous and sodium e
dihyd rate)
carrying agents (examples include but are not limited to acacia syrup, aromatic syrup,
aromatic elixir, cherry syrup, cocoa syrup, orange syrup, syrup, corn oil, mineral oil,
peanut oil, sesame oil, bacteriostatic sodium chloride ion and bacteriostatic water
for injection)
ing agents les include but are not limited to edetate disodium and edetic
acid)
colorants (examples include but are not limited to FD&C Red No. 3, FD&C Red No. 20,
FD&C Yellow No.6, FD&C Blue No.2, D&C Green No.5, D&C Orange No.5, D&C Red No.
8, caramel and ferric oxide red);
clarifying agents (examples include but are not limited to bentonite);
emulsifying agents (examples include but are not limited to acacia, cetomacrogol, cetyl
alcohol, glyceryl monostearate, lecithin, sorbitan monooleate, polyoxyethylene 50
monostearate);
encapsulating agents (examples include but are not d to gelatin and cellulose
acetate phthalate)
flavorants (examples include but are not limited to anise oil, cinnamon oil, cocoa,
menthol, orange oil, peppermint oil and vanillin);
humectants les include but are not limited to glycerol, propylene glycol and
sorbitol);
levigating agents (examples include but are not limited to mineral oil and glycerin);
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oils (examples include but are not limited to arachis oil, l oil, olive oil, peanut oil,
sesame oil and ble oil);
ointment bases (examples include but are not limited to lanolin, hydrophilic ointment,
polyethylene glycol ointment, petrolatum, hydrophilic petrolatum, white ointment,
yellow ointment, and rose water ointment);
penetration enhancers (transdermal delivery) (examples include but are not limited to
droxy or droxy alcohols, mono-or polyvalent ls, ted or
unsaturated fatty alcohols, saturated or unsaturated fatty esters, saturated or
unsaturated dicarboxylic acids, essential oils, phosphatidyl derivatives, in,
terpenes, amides, ethers, ketones and ureas)
plasticizers (examples include but are not limited to diethyl phthalate and glycerol);
solvents (examples include but are not limited to ethanol, corn oil, seed oil,
glycerol, isopropanol, mineral oil, oleic acid, peanut oil, purified water, water for
injection, sterile water for injection and sterile water for irrigation);
stiffening agents (examples include but are not limited to cetyl alcohol, cetyl esters wax,
microcrystalline wax, paraffin, stearyl alcohol, white wax and yellow wax);
suppository bases (examples include but are not limited to cocoa butter and
polyethylene glycols (mixtures));
tants (examples include but are not limited to konium chloride, nol
, oxtoxynol 9, polysorbate 80, sodium lauryl sulfate and sorbitan mono—palmitate);
suspending agents (examples include but are not d to agar, bentonite, carbomers,
carboxymethylcellulose sodium, hydroxyethyl cellulose, hydroxypropyl cellulose,
hydroxypropyl methylcellulose, kaolin, methylcellulose, tragacanth and veegum);
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sweetening agents (examples include but are not limited to aspartame, dextrose,
glycerol, mannitol, propylene glycol, saccharin sodium, sorbitol and sucrose);
tablet anti-adherents (examples include but are not limited to magnesium stearate and
talc);
tablet binders (examples include but are not d to acacia, alginic acid,
carboxymethylcellulose sodium, compressible sugar, ethylcellulose, gelatin, liquid
glucose, cellulose, non-crosslinked polyvinyl pyrrolidone, and pregelatinized
starch);
tablet and capsule diluents (examples include but are not limited to dibasic calcium
phosphate, kaolin, lactose, ol, rystalline ose, powdered cellulose,
itated calcium carbonate, sodium carbonate, sodium phosphate, sorbitol and
starch);
tablet coating agents (examples include but are not limited to liquid glucose,
hydroxyethyl cellulose, hydroxypropyl cellulose, ypropyl methylcellulose,
methylcellulose, ethylcellulose, cellulose acetate phthalate and shellac);
tablet direct compression excipients (examples include but are not limited to dibasic
m phosphate);
tablet disintegrants (examples include but are not limited to alginic acid,
carboxymethylcellulose calcium, microcrystalline cellulose, polacrillin potassium, cross—
linked nylpyrrolidone, sodium alginate, sodium starch glycollate and starch);
tablet glidants (examples include but are not limited to colloidal , corn starch and
talc);
tablet lubricants (examples include but are not limited to calcium stearate, magnesium
te, mineral oil, stearic acid and zinc stearate);
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tablet/capsule opaquants (examples include but are not limited to titanium dioxide);
tablet polishing agents les include but are not d to carnuba wax and white
wax);
thickening agents (examples include but are not limited to beeswax, cetyl alcohol and
paraffin);
tonicity agents (examples include but are not limited to dextrose and sodium chloride);
viscosity increasing agents (examples include but are not limited to alginic acid,
bentonite, carbomers, carboxymethylcellulose sodium, cellulose, nyl
pyrrolidone, sodium alginate and tragacanth); and
wetting agents (examples e but are not limited to heptadecaethylene oxycetanol,
lecithins, sorbitol monooleate, polyoxyethylene sorbitol monooleate, and
polyoxyethylene stearate).
Pharmaceutical compositions according to the present invention can be illustrated as
follows:
Sterile IV Solution: A 5 mg/mL solution of the desired compound of this invention can
be made using sterile, injectable water, and the pH is adjusted if necessary. The solution
is diluted for administration to 1 — 2 mg/mL with sterile 5% dextrose and is administered
as an IV infusion over about 60 minutes.
Lyophilized gowder for IV administration: A sterile preparation can be prepared with
(i) 100 - 1000 mg of the desired compound of this invention as a ized powder, (ii)
32- 327 mg/mL sodium citrate, and (iii) 300 — 3000 mg Dextran 40. The formulation is
reconstituted with e, able saline or dextrose 5% to a concentration of 10 to 20
mg/mL, which is further diluted with saline or dextrose 5% to 0.2 — 0.4 mg/mL, and is
administered either IV bolus or by IV on over 15 — 60 minutes.
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Intramuscular suspension: The following solution or suspension can be prepared, for
intramuscular injection:
50 mg/mL of the desired, water-insoluble compound of this invention
mg/mL sodium carboxymethylcellulose
4 mg/mL TWEEN 80
9 mg/mL sodium chloride
9 mg/mL benzyl l
Hard Shell Capsules: A large number of unit capsules are prepared by filling rd
two-piece hard galantine capsules each with 100 mg of ed active agent, 150 mg
of lactose, 50 mg of cellulose and 6 mg of magnesium stearate.
Soft n Capsules: A mixture of active agent in a digestible oil such as soybean oil,
cottonseed oil or olive oil is prepared and injected by means of a positive cement
pump into molten gelatin to form soft n capsules containing 100 mg of the active
agent. The capsules are washed and dried. The active agent can be dissolved in a
mixture of polyethylene glycol, glycerin and sorbitol to prepare a water miscible
medicine mix.
Tablets: A large number of tablets are prepared by conventional procedures so that the
dosage unit is 100 mg of active agent, 0.2 mg. of dal silicon dioxide, 5 mg of
magnesium stearate, 275 mg of microcrystalline cellulose, 11 mg. of starch, and 98.8 mg
of lactose. Appropriate s and non-aqueous coatings may be applied to increase
palatability, improve elegance and stability or delay absorption.
Immediate Release Tabletleaqules: These are solid oral dosage forms made by
conventional and novel processes. These units are taken orally without water for
immediate dissolution and delivery of the medication. The active agent is mixed in a
liquid containing ingredient such as sugar, gelatin, pectin and sweeteners. These liquids
are fied into solid tablets or caplets by freeze drying and solid state extraction
techniques. The drug compounds may be compressed with viscoelastic and
thermoelastic sugars and polymers or escent components to produce porous
matrices intended for immediate release, without the need of water.
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Method of n d kin's | m homa NHL articularl lst line 2nd line
rela sed refractor indolent or a ressive non-Hod kin’s l m homa NHL in
articular follicular l m homa FL chronic | m hoc ic leukaemia CLL mar inal
zonel m homa MZL diffuse lar e B—celll m homa DLBCL mantle celll m homa
(MCL), ormed lymphoma (TL)I or peripheral T-cell lymphoma (PTCL)
The t invention also relates to a method of treating or prophylaxis of non-
Hodgkin’s lymphoma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent
or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular ma (FL),
chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-
cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T—cell lymphoma (PTCL), in a mammal, said method comprising administering
a 2,3-dihydroimidazo[1,2-c]quinazoline compound as defined herein, or a
pharmaceutical composition containing same, as a sole active agent, or administering a
combination of a) said compound or a pharmaceutical composition ning said
compound and b) one or more further active agents as defined herein.
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular ular ma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma ), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T—cell lymphoma
(PTCL).
The ments of the methods of treating or prophylaxis of cancer, e.g. non-
Hodgkin’s ma (NHL), particularly lst line, 2nd line, relapsed, refractory, indolent
or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL),
chronic cytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-
cell lymphoma ), mantle cell ma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL), as defined supra, are as described in the
embodiments of the use of the compounds/combinations, as described supra.
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The present invention relates to a method for using the compounds of the present
invention and compositions thereof, to treat mammalian non—Hodgkin’s lymphoma
(NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or ive non-
Hodgkin’s ma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic
leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B—cell lymphoma ),
mantle cell ma (MCL), transformed lymphoma (TL), or peripheral T-cell
lymphoma (PTCL). nds can be utilized to t, block, reduce, decrease, etc.,
cell proliferation and/or cell division, and/or produce sis, in the treatment or
prophylaxis of non-Hodgkin’s lymphoma (NHL), particularly lst line, 2nd line, relapsed,
refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular
lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL),
diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed
lymphoma (TL), or eral T-cell lymphoma . This method comprises
administering to a mammal in need thereof, including a human, an amount of a
compound or combination of this invention, or a pharmaceutically acceptable salt,
, rph, metabolite, hydrate, solvate or ester thereof; etc. which is effective
for the treatment or prophylaxis of non-Hodgkin’s lymphoma (NHL), particularly lst line,
2nd line, relapsed, refractory, indolent or agressive non—Hodgkin’s lymphoma (NHL), in
particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), al zone
lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL),
transformed lymphoma (TL), or eral T-cell lymphoma (PTCL).
This disorder has been well characterized in humans, but also exists with a similar
etiology in other mammals, and they can be treated by administering pharmaceutical
compositions of the present ion.
The term ”treating” or ”treatment" as stated throughout this document is used
conventionally, e.g., the management or care of a subject for the purpose of combating,
alleviating, reducing, relieving, improving the condition of, etc., of a disease or disorder,
SUCh as a carcinoma.
Dose and administration
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Based upon standard laboratory techniques known to te compounds useful for
the treatment or prophylaxis of non—Hodgkin’s lymphoma (NHL), particularly lst line,
2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in
particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone
lymphoma (MZL), diffuse large B—cell lymphoma (DLBCL), mantle cell lymphoma (MCL),
ormed lymphoma (TL), or peripheral T-cell lymphoma (PTCL), by standard toxicity
tests and by standard pharmacological assays for the determination of treatment of the
conditions identified above in mammals, and by ison of these results with the
results of known medicaments that are used to treat these ions, the effective
dosage of the compounds of this invention can readily be determined for treatment of
the indication. The amount of the active agent to be administered in the treatment of
the ion can vary widely according to such considerations as the particular
compound and dosage unit employed, the mode of administration, the period of
treatment, the age and sex of the t treated, and the nature and extent of the
condition treated.
The total amount of the active agent to be administered will generally range from about
0.001 mg/kg to about 200 mg/kg body weight per day, and ably from about 0.01
mg/kg to about 20 mg/kg body weight per day. Clinically useful dosing schedules will
range from one to three times a day dosing to once every four weeks . In
addition, ”drug holidays" in which a patient is not dosed with a drug for a certain period
of time, may be beneficial to the overall balance between pharmacological effect and
tolerability. A unit dosage may contain from about 0.5 mg to about 1,500 mg of active
agent, and can be administered one or more times per day or less than once a day. The
average daily dosage for administration by injection, including intravenous,
intramuscular, subcutaneous and parenteral injections, and use of infusion techniques
will preferably be from 0.01 to 200 mg/kg of total body weight. The average daily rectal
dosage regimen will preferably be from 0.01 to 200 mg/kg of total body weight. The
average daily l dosage n will preferably be from 0.01 to 200 mg/kg of total
body weight. The average daily topical dosage regimen will preferably be from 0.1 to
200 mg administered between one to four times daily. The ermal concentration
will preferably be that required to maintain a daily dose of from 0.01 to 200 mg/kg. The
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average daily inhalation dosage regimen will preferably be from 0.01 to 100 mg/kg of
total body weight.
Of course the specific initial and continuing dosage regimen for each patient will vary
according to the nature and severity of the condition as determined by the attending
diagnostician, the activity of the specific compound employed, the age and general
condition of the patient, time of administration, route of administration, rate of
excretion of the drug, drug combinations, and the like. The d mode of treatment
and number of doses of a compound of the present invention or a pharmaceutically
acceptable salt or ester or composition thereof can be ascertained by those skilled in the
art using conventional treatment tests.
Biomarkers used for t fication are e.g. the expression of P|3K isoforms, BTK
and lKK, BCR activation, BCR downstream activation of NFKB pathway, c-Myc, EZH2, for
predicting the sensitivity and/or resistance of a cancer t to said nd, thus
providing rationale-based synergistic combination as defined herein to overcome the
resistance.
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COMPOUNDS USED
Throughout the whole of this text, including in the Examples which follow:
1. “compound of formula III refers to 2—amino-N-[7-methoxy-8—(3-morpho|in—4—
yipropoxy)-2,3-dihydroimidazo[1,2—c]quinazo|in—5-yl]pyrimidine-S—carboxamide, of
ure :
flNMO/La NKAN
ON) H
\Cm KN? NW,
or a solvate, hydrate or stereoisomer thereof.
2. ”compound A” refers to 2-amino-N—[7-methoxy-8—(3-morphoiinylpropoxy)-2,3-
dihydroimidazo[1,2—c]quinazolin-S-yl]pyrimidine-S-carboxamide dihydrochioride, of
Structure:
N/\\
(/\N/\v/\o)£f? NZKNJKX/xN
O / H
“““ o“*3 lN/‘xNHzin,
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or a solvate, hydrate or stereoisomer thereof.
The synthesis of compound A is bed in European patent application number EP 11
161 111.7, and in PCT application number published under WO
2012/136553, both of which are hereby incorporated herein in their entirety by
reference.
Synthesis of compound A :
To a suspension of the compound of formula I (400 g) in water (1,1 L) at room
temperature was added a 32% aqueous 32% (aqueous) hydrochloric acid solution iswith
stirring dosed at room temperature to a suspension of 400 g of the compound of
formula (I) in 1.1 L water until a pH of 3-4 is was reached. Additional 90 mL water (90
mL) and 32% hydrochloric acid are were added until a pH of 1.8 to 2.0 is was attained.
E160 mL ethanol (160 mL) are dosed into was added to the mixture, followed by seed
crystals. After ng for 30 minutes, 1740 gadditional l (2,2 L) are closed within 5
hwas added into the mixture over 5 h, which isand the resulting mixture was
subsequently stirred for 1 h. The sion is filtered and the residue is washed first
with a mixture of 130 g water and 215 g ethanol, ly with a e of 80 g water
and 255 g ethanol and then with 320 g pure ethanol. The filter cake is dried at 40 °C
under vacuum to yield 457 g product (99% of theory).
Characterization of compound A:
The chemical structure of compound A has been confirmed using the described s
of structural analysis.
IR and Raman spectroscopy
Apparatus and measuring conditions
FT-IR / FT—Raman-Spectrometer Bruker IFS 66v / Bruker RFS 100
Spectral resolution 2 cm‘1 / 2 cm‘1
Number of interferograms 32 / 64
Wave number range 4000— 500 cm"1 / 3500 — 100 cm'1
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Laser power / 350mW
Sample preparation KBr pellet / solid in test tube
Assignment ofthe characteristic bands
Table: Assignment of the characteristic active ions to the spectrum with V E
stretching vibrations; 8 E bending vibrations; o.o.p. E out of plane.
Assigned Structure IR Band on [cm'l] Raman Band position [cm'l]
v N-H 3336
v =C—H 3176 3090
v C-H 2942 2990 — 2963
v NH+ 2687 — 2474
v Amide | 1669 1664
v C=C, v C=N, 6 N-H, Amide ll 1618 —- 1477 1619 — 1476
v C-0 1285 1291
6 =C-H 0.0.p. 812
v E stretching vibrations; 5 E bending vibrations; o.o.p. E out of plane
The IR spectrum is given in Figure 7.
The Raman spectrum is given in Figure 8.
UVlVIS spectroscopy
tus and measuring conditions
UV/VIS spectrometer Varian Cary4
Cuvette Quartz, 1 cm
Wave number range 200-800 nm
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Sample preparation 4.67 mg / 500 mL water
Bands 309 nm
The UV/vis spectrum is given in Figure 9.
NMR spectroscopy
lH-NMR-spectroscogx
Equipment and experimental parameters:
NMR ometer , model Avance
Working frequency 500.13 MHZ
Solvent Dimethylsulfoxide d6)
Internal reference compound Tetramethylsilane (TMS)
tration 3.08 mg/mL solution
Diameter of sample tube 5 mm
Temperature approx. 25°C
Technique Fourier transform mode
Spectral width 20.65ppm
Digital resolution 0.079 Hz/Pt
Pulse length 4.5 usec, 30° Pulse flip angle
Acquisition time 6.34sec
Relaxation time 0.55ec
No. of free induction decays 32
Structural Formula for the assignment of NMR signals
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HCI HCI 2
9 [77> 3
29 3
ea‘N/s“in O 30 (\N/ZrEE/ZEQ Ill 13
O\/I 33 7
|14\N 17
/O H
19 N/ NH
32 23
al shift, signal multiplicity, relative number of nuclei:
H-atoms(a) Chemical shift Multiplicity and no. of nuclei
(ppm) coupling constants (b) H/molecule
H-26 2.32 M 2
H-29; H—33 3.11; 3.48 M; M 2; 2
H-30; H—32 3.83; 3.98 M; M 2; 2
H-27 3.29 M 2
-OCH3> 4.00 S 3
H-25 4.37 T 2
H-2; H-3 4.47; 4.19 T; T 2; 2
H-9 7.39 D 1
NH2 7.54 S 2
H-10 8.21 D 1
H-16; H—20 8.97 S 1; 1
HCI 11.1; 12.6 b5; b5 1; 1
H-12 13.4 b5 1
a) Numbering refers to the structural formula for the assignment of NMR—
signals.
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b) S = t bS = broad Singlet D = Doublet
T = Triplet M = Multiplet
The 1H—NMR Spectrum of nd A is given in Figure 10.
13C-NMR-sgectroscom
Equipment and experimental parameters
NMR spectrometer Bruker, model Avance
Working frequency 125.76 MHz
Solvent Dimethylsulfoxide-ds (DMSO)
Internal reference compound Tetramethylsilane (TMS)
Concentration 37.2 mg/mL solution
Diameter of sample tube 5 mm
Temperature approx. 27°C
Technique Fourier transform mode
Spectral width 240.95 ppm
l resolution 0.4624 Hz/Pt
Pulse length 11.0 usec, 90° Pulse flip angle
Acquisition time 1.08 sec
Relaxation time 4 sec
No. of free induction decays 256
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Chemical shift, signal multiplicity, rel. no. ofnuclei:
C-atoms(a) Chemical shift Multiplicity and no. of nuclei
(ppm) coupling constants (b) C/molecule
C-26 22.73 T 1
C—2; C—3 44.96; 45.65 T; T 1; 1
C—29; C-33 50.84 T 1; 1
C-27 53.01 T 1
OCH3 61.24 Q 1
C-30; C-32 63.03 T 1; 1
C-25 66.81 T 1
C-lOa 100.79 S 1
C-9 112.17 D 1
015 118.16 S 1
C-10 123.86 D 1
C—6a 132.43 S 1
C-7 133.95 S 1
C-5 148.58 S 1
C-ll 156.29 S 1
C-8 156.89 S 1
C-16; C-20 160.20 D 1; 1
C-18 164.61 S 1
C=O 175.65 S 1
a) Numbering refers to the structural formula for the ment of NMR-signals.
b) S = Single (C) D = Doublet (CH) T = Triplet (CH2) Q = Quadruplet (CH3)
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The l3C—NMR Spectra of compound A are given in Figures 11 and 12.
Mass Spectrometry
Instrumental Parameters
Mass ometer Waters ZQ
Ionization mode ESI (Eiectrospray-lonization)
Solvent CchN/Hzo
Interpretation of the Spectrum
“Ms—WW Rel- Intensit % mm
(M + H)
(C16 H16 N7 03)+
(M + 2H + CH3CN)+2
The Mass Spectrum of compound A is given in Figure 13. Refer to the spectrum for
ve peak intensities.
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Elemental Analysis
Elemental analysis was conducted by Bayer Industry Services, Leverkusen, Germany.
Results
Element Measured Calculated ated Difference
[%] [%] including 7.0 %
water
C 47.5 49.9 46.4 1.1
H 5.7 5.5 5.9 0.2
N 19.1 20.3 18.8 0.3
O 18.1 11.6 17.0 1.1
CI 11.9 12.8 11.9 0.0
Sum 102.3 100.1 100.0 —
The elemental analysis is consistent with compound A with 7% water.
r method of greparation of comgound “A”
To a suspension of 366 g of compound of formula (I) in 1015 g water, 183 g of an
aqueous hloric acid solution (32%) were added while maintaining the
temperature at 20 °C (+-2°) until a pH of 3 to 4 was reached. The resulting mixture was
stirred at room temperature for more than 10 min. filtered and the filtercake washed
with additional 82 g of water. The filtrate was adjusted to pH 1.8 to 2.0 using aqueous
hydrochloric acid solution (32%). The mixture was stirred for 10 min. at room
ature, 146g of ethanol (100%) were added and stirred for another 10 min.. 1 g of
seed crystals were added, followed by 1592 g ethanol within 5 h. The resulting
substance was removed by filtration, washed with a water—ethanol e and dried in
vacuo to give 410 g (97%) of compound A of a purity >99% according to HPLC.
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2. “Pl3K5—selective inhibitor GS—1101” refers to Pl3|<5~se|ective inhibitor CAL-101 (GS—
1101), was purchased from ChemieTec and is of structure shown below:
IR ‘N
2/ N1” I.O\
HN, N
| 3
‘e—NH
Pl3K6—selective inhibitor
CAL—101(GS-1101)
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3. ”BTK inhibitor ibrutinib” refers to the BTK inhibitor lbrutinib (P032765), which was
purchased from enamine and is of structure shown below:
’
7 $47-
\ ,,I
N? T ,9:
\f \E
NH; (7‘\\\\
7“ fx
0 V
\KL/
4. ”lKK inhibitor BAY Compound B” is the free base (-)-S-enantiomer under Example 2 of
PCT ation published under and is of structure :
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EXAMPLES
The invention is trated in the following examples which are not meant to limit
the ion in any way:
Mutation and protein expression analysis of DLBCL cell lines
Table 1. Genetic characteristics of DLBCL cell lines
Subtype ABC-DLBCL BCL
Mutation HBL— TMD- OCI- 0C!-
1 8 Ly3 Ly19
I...
WT WT
ABC, activated B—cell—like; GCB, germinal B-cell—like; mut, mutant
Example 1 : Figure 1 shows signaling pathways downstream of receptors on B-
cells.(see reference 5A)
0 COMPOUND A demonstrated 6/6 PR in follicular NHL with partial response
observed at the end of cycle 2 at doses % mg/kg except in one case where the
PR was d at the end of cycle 4 at 0.6 mg/kg.
0 In contrast to P|3Kde|ta-selective inhibitor GS-1101 (9/9 PD in DLBCL patients),
1/3 SD with 39% tumor reduction was observed in DLBCL patients.
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Example 2 : Figure 2 shows activity of COMPOUND A in NHL patients.
Initial clinical cy of the pan-PI3K inhibitor COMPOUND A in NHL (see reference 6A)
PD, progression of e; PR, partial response; SD, stable disease; WT, wild type for
PlK3CA.
o COMPOUND A demonstrated 6/6 PR in follicular NHL with partial response
observed at the end of cycle 2 at doses % mg/kg except in one case where the
PR was reached at the end of cycle 4 at 0.6 mg/kg.
0 In contrast to Pl3Kde|ta-selective inhibitor GS-1101 (9/9 PD in DLBCL patients),
1/3 SD with 39% tumor reduction was observed in DLBCL ts.
Example 3 : Figure 3 shows differential expression of PI3K isoforms, BTK, and IKK in
DLBCL cell lines
Methods: The mutation status was obtained from public database. n expression
was analyzed by western blot with antibodies against PI3K p1100i (#4249, Cell Signaling);
P|3K (011013 (#3011, Cell ing) Pl3K p110y (#5405, Cell Signaling),Pl3K p1106
(#ab1678, Abcam), BTK (#3533, Cell Signaling), IKKB (#2370, Cell Signaling).
Conclusions
0 The expression of PI3KOL, PI3KB, and PI3Ky isoforms was similar in all 8 DLBCL cell
lines tested, while the expression of PI3K6 varied
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o IKKB was expressed across all DLBCL cell lines, while BTK was ively
expressed
Example 4 Anti-proliferative activity of PI3K, BTK, and IKK inhibitors in DLBCL cell lines
Figure 4 shows differential anti-proliferative profile of pan-PI3K inhibitor COMPOUND A,
Pl3K5-selective inhibitor GS-1101, BTK inhibitor ibrutinib, and IKK inhibitor BAY
nd B in DLBCL cell lines *>1.0E-05 (M)
Method: Anti-proliferative effects were assessed by a 72-h CellTiter—Glo® assay
(Promega, Cat.#G7573). Briefly, cells were plated at 250-2000 cells/well of 384—well
plates (based on cell lines) in 20 ML of growth medium. For each cell line assayed, cells
were plated into a separate plate for determination of luminescence at the t = 0 hours
and t = 72 hour time points. Following ght incubation at 37 °C, luminescence
values for the t = 0 samples were determined by adding 20 uL of Cell Glo solution
per well, transferring the plates to an orbital shaker for 10 minutes at room
temperature, and then reading the plates on a Wallac Victor2 1420 Multilabel HTS
Counter using the luminometry window (maximum light detection is measured at 428
nM). Dose plates for t = 72 hour time points were treated with compounds diluted into
growth medium in a final volume of 30 uL. Cells were then incubated for 72 hours at 37
°C. Luminescence values for the t = 72 hour samples were ined by adding 30 uL
of Promega ter—Glo solution, placing the cells on a shaker for 10 minutes at room
temperature, and then reading the luminescence using a Victor luminometer. For data
processing, t = O values are subtracted from those determined for the t = 72 hour time
points, for both the treated and untreated samples. Percent differences in luminescence
between drug treated and controls are used to determine percent inhibition of growth.
Conclusions:
l, the potent activity of PI3K, BTK, and IKK tors in a subset of cell lines
ated with the high expression of the targets
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Pan—PI3K inhibitor COMPOUND A was particularly active in the cells with activated
BCR signaling (TMD—8 and HBL-l). It was also effective in DLBCL cells with
activating NFKB pathway (HBL—l and OCl-Ly3), but required higher concentrations
to reach complete tumor growth inhibition (assessed by ngo), indicating that
combination treatment might be needed to induce tumor stasis and tumor
regression
PI3K6-selective inhibitor 1 was active only in BCR-mutant cell lines without
ream mutations. Any mutations ream of BCR led to >100-fold
decreased activity with respect to iCso values
o BTK inhibitor ibrutinib was active in BCR—mutant cell lines even in the presence of
activating NFKB y (ICSQ <30 nM). Cell lines without BCR-activating
ons showed a dramatically increased ngo value (>1 uM) or complete
inactivity
IKKB inhibitor BAY compound B was more active in ABC-DLBCL compared with
BCL cell lines
Example 5 : In vivo efficacy of COMPOUND A and ibrutinib in TMD-8 xenograft model
in C317 scid mice
Methods: Untreated female 5-6 week old CBl7.Scid mice are inoculated with 10 x 106
TMD-8 tumor cells (suspended in 50% Matrigel and 50% Medium) subcutaneously into
the flank. Animals are randomized to ent groups when tumors reach a tumor area
of 30-35 mmz. Treatment is conducted as described in Figure 5 legend. Tumor area and
animal body are recorded three times per week.
Conclusions: P|3K inhibitor compound A achieved good tumor growth inhibition in the
TMD-8 model upon treatment with 14 mg/kg every 2 days, reaching TGI (tumor growth
inhibition) based on ve tumor area (rel TA) at the end of the study of 75%. BTK
inhibitor ibrutinib did also show good tumor growth inhibition in TMD-8 tumors upon
treatment with 20 mg/kg once daily, reaching TGI (rem) of 70%. All treatments were well
tolerated.
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Overall, PI3K inhibitor COMPOUND A shows potent anti—tumor activity in the human
ABC-DLBCL model TMD-8, able to BTK inhibitor nib,.
See Figure 5. Effect of COMPOUND A and ibrutinib on tumor growth in vivo.
COMPOUND A was administered iv once every 2 days (Q2D) at 10 and 14 mg/kg and
ibrutinib was dosed po at 12 and 20 mg/kg. Tumor growth was monitored by
determination of the tumor area using caliper measurement 3 times weekly. QD, once
daily; SD, standard deviation of the mean; TGI, relative tumor growth inhibition vs
control (%, tumor area at the end ofthe study on day 29)
Example 6 : Combination effects of PI3K inhibitor with BTK, IKK, and MEK inhibitors in
DLBCL cells
Methods:
Combination study: The combination effects were evaluated using combination index
isobologram analysis. The efficacy parameters were the median effect in a r cell
proliferation assay. Briefly, cells were plated in 384-well plate with 25 ul medium. After
24 hours, 5 uL of experimental media containing either compound A (D1), or
combination partner D2 (Ibrutinib, BAY Compound B, or REFAMETINIB (BAY 86-9766
(RDEA-119))), or the combination of compound A plus D2 at different ratios
(O.8xD1+O.2xD2, +0.4XD2, O.4xD1+0.6xD2, 0.2xD1+0.8xD2, 0.1xD1+0.9xD2) were
used to make serial three-fold ons to generate 7-dose curves. Experiments were
conducted in triplicates. The mapping ECso/leo and C90 were ated using
AnalyzeS computer program. The ponding component doses of D1 and D2 at the
E(|)Cso/ E(l)C90 were calculated and used for plotting isobolograms. Multiple drug effect
was analyzed as described by Chou (see nce 7A) and the combination index was
calculated using the formula:
Combination Index = [D1x]/ D1’ + [D2x]/ D2'
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[Dlx] and [D2x] refer to the Drug 1 and Drug 2 concentration at CSO or EC90/lC90,
tively, in combination. D1’ and D2’ refer to the ECsO/lCSo or EC90/lC90 values of D1
and D2, respectively, as a single agent. In this analysis, values less than 1.0 indicate
synergistic interactions, values greater than 1.0 indicate antagonistic interactions, and
values around 1.0 indicate additive ctions.
Western Blot: Modulation of intracellular pathways were assessed by Western blots at
24h post treatment with indicated compounds either as single agent or in combination.
Antibodies used in this study are AKT (#4685, Cell Signaling), p-AKT (#4060, Cell
Signaling), ERK (#4695, Cell Signaling), p-ERK , Cell Signaling), BTK (#3533, Cell
Signaling), p-BTK (#5082, Cell Signaling), IKBOL (#4812, Cell Signaling), p-IKBOL (#AF4809,
R&D), c/B (#2078, Cell Signaling), IKKB (#2370, Cell Signaling).
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Conclusions:
Combination of pan—PI3K inhibitor compound A with BTK inhibitor ibrutinib:
o Synergistic antitumor effect observed in the tumor cell lines responding to
BTK inhibition
o Antagonistic effect observed in BTK inhibitor-resistant tumor cell lines
o No synergistic s on complete tumor growth inhibition in the cell lines
with activated NFKB pathway (MyD88 or CARDll mutation), even in the
presence of BCR activation
0 Combination of pan-PI3K inhibitor COMPOUND A with IKK tor BAY
Compound B:
o Synergistic antitumor effect observed in ABC-DLBCL cells
0 In BCL cells, the combination had both moderate synergistic and
antagonistic effects
0 Feedback activations by inhibition of Pl3K6, BTK, and IKK :
0 Activation of p-ERK by BTK inhibitor ibrutinib in both HBL-l and OCl-Ly3
cells
0 Activation of /B by IKK inhibitor BAY nd B in both HBL—l and
OCl—Ly3 cells
0 Activation of p-ERK by P|3K6 inhibitor GS-1101 in HBL-l cells
0 Very strong synergistic combination with the MEK inhibitor TINIB (BAY 86-
9766 (RDEA-119)) was demonstrated in MyD88- and CARDll—mutant OCl-Ly3
DLBCL cell lines
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Figure 6 shows the combination effect of P|3K inhibitor nd A with BTK inhibitor
ibrutinib or lKK inhibitor BAY Compound B in DLBCL cell lines
Figure 6A shows the anti-proliferative effect was investigated using a 72-h CellTiter-Glo
assay. The results were analyzed as previously described (see reference 7A). Each
combination study was conducted with 5 different concentration ratios of 2 compounds
and ICSO values were determined using a series of 7-dose dilution. The differential
combination effects of BTK v5 IKK inhibitor were further investigated by analyzing the
modulation of signaling pathways using n blots with indicated anti-phospho and
anti—total target proteins in OCl-Ly3 (Figure 6B) and HBL—1 (Figure 6C) cells. Figure 6D
shows the strong synergistic combination with MEK inhibitor REFAMETINIB (BAY 86-
9766 (RDEA-119)) in MyD88— and CARD11-mutant OCl-Ly3 DLBCL cells Cl, combination
index; NA, not achievable at a concentration of 10 (AM of the 2 compounds.
Example 7: Phase II study of single agent ND 0F A I in patients with
lst line, 2nd line, ed, refractory, indolent or aggressive lymphoma
A phase I dose-escalation study (Patnaik et al, ASH 2012) established the maximum
tolerated dose of ND OF FORMULA | (0.8 mg/kg) and reported promising
activity (6/6 PR) in follicular lymphoma. In the present study we further investigated the
activity and safety of COMPOUND OF FORMULA l in patients with indolent or aggressive
lymphoma subtypes that have progressed after standard y.
In this Phase II study, patients with histologically confirmed indolent or aggressive
lymphoma relapsed or refractory to 22 prior lines of treatment were eligible. Patients
received COMPOUND OF FORMULA | at a dose of 0.8 mg/kg as a 1 hour infusion on days
1, 8 and 15 of a 28-day cycle. Patients continued on therapy until disease progression or
unacceptable toxicity. Responses were assessed every two cycles according to the
se criteria for lymphoma (Cheson et al., JCO 17:1244,1999) or the guidelines for
diagnosis and ent of chronic lymphocytic ia (CLL; Hallek et al., Blood
111:5446-56, 2008).
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Results: As of May 31, 2013, a total of 61 lymphoma patients (27 nt and 34
aggressive) were enrolled and 56 started study treatment. Patients were similarly
distributed among nt and aggressive cohorts with respect to gender (52% female),
median age (68 yr, range 22-90) and ethnicity (76% Caucasian) and were heavily
ated (median number of prior therapies: 3; prior Rituximab: 84%; prior ASCT:
%). Other characteristics included advanced stage III-IV in 85% and B symptoms in
17%. The following entities were represented: follicular (FL; n=13); CLL (n= 11); marginal
zone (MZL; n=3; none re-staged); diffuse large B-cell (DLBCL; n=17); mantle cell (MCL;
n=7); transformed (n=5); and peripheral T-cell (PTCL; n=4). At the time of is
patients had received between 1 and 5 cycles of ent. Objective responses were
seen across histologic subtypes (Table 1). At the time of this interim analysis, the overall
response rate (RR) and complete RR were 44% and 22% in FL, 83% and 17% in MCL, and
50% and 0% in PTCL, respectively.
Table 1. Best response by lymphoma subtype in staged patients
”VCR“ -IIII-—II
EIIEH—II
PD 0 1 8 1 2 2
CR — complete response; CRu — CR irmed; PR — partial response; SD — stable
disease; PD — progressive disease
Grade 3 adverse events (AE) were reported in 49% of patients, and grade 4 AE (all
neutropenia) occurred in 15% of patients. Grade 3/4 AEs occurring in 25% of patients
included hypertension (31%), penia (16%), lycemia (13%), diarrhea (5%)
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and fatigue (5%). Hyperglycemia of any grade occurred in 47%. Four patients required
insulin therapy, but no grade 4 hyperglycemia was observed. Hypertension of any grade
occurred in 46% of patients. Eight patients ed antihypertensive treatment, but no
grade 4 hypertension was reported. Diarrhea of any grade occurred in 25% of cases. No
case of colitis was reported. There were two cases of titial pneumonitis, with both
cases resolved following corticosteroid administration. Withdrawal of study drug due to
AEs occurred in 10 patients (16%), and 4 patients required a dose reduction. Four
deaths ed; 1 due to progressive disease, 1 due to acute respiratory insufficiency, 1
due to Cryptococcal meningitis and 1 due to sepsis after start of a salvage chemotherapy
regimen.
Conclusions: The novel P|3K inhibitor COMPOUND OF FORMULA | is clinically active as a
single agent and s to have an acceptable toxicity profile in lst line, 2nd line,
relapsed, refractory lymphoma. Preliminary efficacy results are encouraging, as
ing activity has been observed in FL, MCL, and PTCL. The safety profile was
consistent with prior studies.
Summary
0 All 4 PI3K isoforms are expressed in a panel of 8 DLBCL cell lines
o The pan-PI3K inhibitor COMPOUND A, selective inhibitor 65-1101, BTK
inhibitor lbrutinib and IKK inhibitor BAY compound B demonstrate ential
profiles of anti-proliferative activity
0 Broader and greater antitumor activity is observed with pan—PI3K inhibitor
COMPOUND A compared with PI3K5-selective inhibitor GS-1101, BTK
inhibitor ibrutinib, and IKK inhibitor BAY compound B
o COMPOUND A administered iv QZD (Tl/2‘1 h in mice) at 14 mg/kg demonstrated
marked mor activity comparable to lbrutinib in CD79 mutant TMD-8 DLBCL
xenograft model
0 A cell-specific synergistic effect was ed for COMPOUND A in ation
with an IKK inhibitor, BTK inhibitor, and MEK inhibitor BAY 86-9766
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0 Potential biomarkers to be considered for both monotherapy and combination
therapy:
0 Target sion
0 BCR activation
o BCR downstream activation of NFKB y
0 c-Myc, EZHZ
0 Further studies may reveal more effective combination partners for COMPOUND
These findings provide a retionale to develop personalized therapies for the treatment
of non-Hodgkin’s ma (NHL), particularly lst line, 2nd line, relapsed, refractory,
indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma
(FL), chronic lymphocytic mia (CLL), al zone lymphoma (MZL), diffuse large
B-cell ma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or
peripheral T-cell lymphoma (PTCL).
Hence, as mentioned supra, the present invention relates to the use of biomarkers
ed in the modification of the expression of P|3K isoforms, BTK and IKK, BCR
activation, BCR downstream tion of NFKB pathway, c-Myc, EZHZ, for predicting the
sensitivity and/or resistance of a patient with non-Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B—cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell ma
, to a 2,3-dihydroimidazo[1,2-c]quinazoline compound as defined herein, thus
providing ale-based synergistic combination as defined herein to overcome the
resistance.
In accordance with an embodiment, the present invention relates to the use of
biomarkers involved in the modification of the expression of P|3K isoforms, BTK and IKK,
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BCR activation, BCR ream activation of NFKB pathway, c—Myc, EZHZ, for
predicting the sensitivity and/or resistance of a patient with non—Hodgkin’s lymphoma
(NHL), particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non—
Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic
leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL),
mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T—cell
lymphoma , to a 2,3—dihydroimidazo[1,2-c]quinazoline nd as defined
herein, thus ing a rationale—based synergistic combination as defined herein to
overcome the resistance (patient stratification).
In accordance with an embodiment, the present invention relates to a method of
determining the level of a component ofone or more of the expression of PI3K ms,
BTK and |KK,, BCR activation, BCR downstream activation of NFKB y, c—Myc, EZHZ.
Further, as mentioned supra, the present invention thus relates to combinations of :
a) a 2,3—dihydroimidazo[1,Z-c]quinazoline compound as d supra, or a
physiologically acceptable salt, solvate, hydrate or stereoisomer thereof ; or
pharmaceutical compositions containing such a compound or a physiologically
able salt, solvate, hydrate or stereoisomer thereof;
b) one or more further active agents, in particular an active agent selected from an anti—
angiogenesis, anti-hyper-proliferative, flammatory, analgesic, immunoregulatory,
ic, antiarrhytmic, anti-hypercholsterolemia, anti-dyslipidemia, anti-diabetic or
antiviral agent, more particularly one or more further active agents selected from the
group consisting of :
- Pl3K6—selective inhibitor GS-1101, BTK inhibitor nib, IKK inhibitor BAY Compound
B, and REFAMETINIB (BAY 86-9766 (RDEA-119)),
as defined supra.
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In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the t invention, said cancer is non—Hodgkin’s lymphoma (NHL),
particularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL), in particular follicular ma (FL), chronic lymphocytic leukaemia
(CLL), marginal zone lymphoma (MZL), diffuse large B—cell lymphoma (DLBCL), mantle
cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma
(PTCL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is non-Hodgkin’s lymphoma (NHL),
ularly lst line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s
lymphoma (NHL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is ular lymphoma (FL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is chronic lymphocytic leukaemia (CLL).
In ance a particular embodiment of any of the above aspects, or embodiments
thereof, of the t invention, said cancer is marginal zone lymphoma (MZL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is e large B-cell lymphoma (DLBCL).
In accordance a ular embodiment of any of the above aspects, or embodiments
thereof, of the present ion, said cancer is mantle cell lymphoma (MCL).
In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is transformed lymphoma (TL).
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In accordance a particular embodiment of any of the above aspects, or embodiments
thereof, of the present invention, said cancer is peripheral T-cell lymphoma (PTCL).
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127 BHC 133020 FC
Claims (11)
1. Use of a 2,3-dihydroimidazo[1,2-c]quinazoline compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof as a sole active agent, 5 or of a pharmaceutical composition containing the nd or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, for the preparation of a medicament for the treatment or prophylaxis of dgkin’s lymphoma (NHL), ularly 1st line, 2nd line, relapsed, refractory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), c lymphocytic leukaemia 10 (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed ma (TL), or peripheral T-cell lymphoma (PTCL), wherein said 2,3-dihydroimidazo[1,2-c]quinazoline compound is o-N-[7-methoxy- 8-(3morpholinylpropoxy)-2.3-dihydroimidazo[1,2-c]quinazolineyl]pyrimidine 15 carboxamide.
2. Use according to claim 1, wherein said salt is 2-amino-N-[7-methoxy(3-morpholin- 4-ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolinyl]pyrimidinecarboxamide dihydrochloride.
3. A combination drug of: a) a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a logically acceptable salt, solvate, hydrate or stereoisomer thereof; or a ceutical composition 25 containing the compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, 30 b) one or more further active agents selected from the group consisting of: PI3Kδselective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound B of the formula 128 BHC 133020 FC , and TINIB (BAY 86-9766 119)), for the treatment of prophylaxis of non-Hodgkins’s lymphoma (NHL), particularly 1st line, 2nd line, relapsed, refractory, indolent or aggressive non-Hodgkins’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone 5 lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL), wherein said 2,3- dihydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7-methoxy(3-morpholin-
4-ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolinyl]pyrimidinecarboxamide. 10 4. The combination drug according to claim 3, comprising 2-amino-N-[7-methoxy(3- morpholinylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolinyl]pyrimidine carboxamide.
5. The combination drug according to claim 3, comprising 2-amino-N-[7-methoxy(3- 15 linylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolinyl]pyrimidine carboxamide dihydrochloride.
6. The combination drug according to claim 4 or 5, wherein said further active agent is selective inhibitor GS-1101.
7. The combination drug according to claim 4 or 5, wherein said further active agent is BTK inhibitor ibrutinib.
8. The combination drug according to claim 4 or 5, wherein said r active agent is 25 IKK inhibitor BAY nd B of the formula 129 BHC 133020 FC
9. The combination drug according to claim 4 or 5, wherein said further active agent is REFAMETINIB (BAY 86-9766 (RDEA-119)).
10. A pharmaceutical composition which comprises a combination of: a) a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof; and b) one or more further active agents selected from the group consisting of: elective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound B of the , and REFAMETINIB (BAY 86-9766 (RDEA-119)), for 15 the treatment or prophylaxis of non-Hodgkin’s lymphoma (NHL), particulary 1st line, 2nd line, relapsed, refractory, indolent or agressive dgkin’s lymphoma (NHL), in particular ular lymphoma (FL), chronic lymphocytic leukaemia (CLL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma , n said 2,3- 20 dihydroimidazo[1,2-c]quinazoline compound is 2-amino-N-[7-methoxy(3-morpholin- 4-ylpropoxy)-2,3-dihydroimidazo[1,2-c]quinazolinyl]pyrimidinecarboxamide. 130 BHC 133020 FC
11. U se of a combination or a pharmaceutical composition containing the combination for the preparation of a medicament for the treatment or prophylaxis of non-Hodgkin’s lymphoma (NHL), particulary 1st line, 2nd line, relapsed, tory, indolent or agressive non-Hodgkin’s lymphoma (NHL), in particular follicular lymphoma (FL), chronic 5 lymphocytic mia (CLL), al zone lymphoma (MZL), diffuse large B-cell ma (DLBCL), mantle cell lymphoma (MCL), transformed lymphoma (TL), or peripheral T-cell lymphoma (PTCL), wherein the combination comprises: 10 a) a 2,3-dihydroimidazo[1,2-c]quinazoline compound, or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof; or of a pharmaceutical composition containing such a compound or a physiologically acceptable salt, solvate, hydrate or stereoisomer thereof, 15 and b) one or more further active agents selected from the group consisting of: PI3Kδselective inhibitor GS-1101, BTK inhibitor ibrutinib, IKK inhibitor BAY Compound B of the formula 20 , and TINIB (BAY 86-9766 119)); wherein said 2,3-dihydroimidazo[1,2-c]quinazoline nd is 2-amino-N-[7- methoxy(3-morpholinylpropoxy)-2,3 dihydroimidazo[1,2-c]quinazolin yl]pyrimidinecarboxamide.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13162710 | 2013-04-08 | ||
EP13162710.1 | 2013-04-08 | ||
EP13184240.3 | 2013-09-13 | ||
EP13184240 | 2013-09-13 | ||
PCT/EP2014/056768 WO2014166820A1 (en) | 2013-04-08 | 2014-04-04 | Use of substituted 2,3-dihydroimidazo[1,2-c]quinazolines for treating lymphomas |
Publications (2)
Publication Number | Publication Date |
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NZ712033A NZ712033A (en) | 2021-03-26 |
NZ712033B2 true NZ712033B2 (en) | 2021-06-29 |
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