TR201702500A2 - Serani̇b-2?ni̇n akci̇ğer kanseri̇ ve meme kanseri̇ni̇n tedavi̇si̇nde kullanimi - Google Patents
Serani̇b-2?ni̇n akci̇ğer kanseri̇ ve meme kanseri̇ni̇n tedavi̇si̇nde kullanimi Download PDFInfo
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- TR201702500A2 TR201702500A2 TR2017/02500A TR201702500A TR201702500A2 TR 201702500 A2 TR201702500 A2 TR 201702500A2 TR 2017/02500 A TR2017/02500 A TR 2017/02500A TR 201702500 A TR201702500 A TR 201702500A TR 201702500 A2 TR201702500 A2 TR 201702500A2
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- breast cancer
- cancer
- seranib
- lung cancer
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Abstract
Mevcut buluş seranib-2 molekülünün akciğer kanseri ve meme kanserinin tedavisinde kullanımına yöneliktir. Buluş aynı zamanda, buluş sahiplerinin bu doğrultuda yaptığı in vitro çalışmaları da açıklamaktadır.
Description
TARIFNAME
SERANIB-Z'NIN AKCIGER KAN SERI VE MEME KANSERININ
TEDAVISINDE KULLANIMI
Mevcut bulus seranib-Z molekülünün akciger kanseri ve meme kanserinin tedavisinde
kullanimina yöneliktir. Bulus ayni zamanda, bulus sahiplerinin bu dogrultuda yaptigi
in vitro Çalismalari da açiklamaktadir.
Teknigin Bilinen Durumu
Kanser tedavisinde ve kemoterapi asamasinda birçok farkli türde ilaç kullanilmakta
olup bu ilaçlar farkli etki inekanizinasiyla etkinliklerini sergilemektedir. Farmakolojik
özellikleri de farkli olan bu ilaçlar, alkilleyici ajanlar, antimetabolitler, antitüinöral
antibiyotikler, nitrosürealar, vinko (bitki) antibiyotikleri ve hormonlar olarak yedi ana
grupta toplanmaktadirlar.
Kanser tedavisinde yaygin olarak kullanilan antineoplastik ilaçlarin birçogu hücre
bölünmesini ve çogalinasini baskilama yoluyla etki göstermektedir. Bu etki
mekanizmasina sahip olan ilaçlarda, ilacin etkisinin hücre döngüsünün belli dönemine
özgü olmasi ve buna bagli olarak ilacin vücutta uygulandigi dönemde sadece ilgili
hücre döngüsü döneminde olan sinirli sayida hücreyi öldürmesi sebebiyle kullanilaii
antineoplastik ilaçlarin etkinligi kisitlaninaktadir. Bunun disinda bir etki
mekanizmasina sahip olan ilaçlarda ise etki hücrelerin istirahat ve bölüne
durumlariiidan bagimsiz olarak gerçeklesmektedir. Ancak burada bahsedildigi gibi
hücre döneinine özgü olmayan veya bir baska deyisle hücre döneminden bagimsiz
ilaçlarin genel bir özelligi de DNA yapisini dogrudan bozmalaridir.
Bilinen keinoterapi ajanlarinin ciddi yan etkilerinin olmasi farkli etki
mekanizmalarinin ve bu mekanizmalar üzerinden etkinlik gösterebilen etken
maddelerin gelistirilmesi yöiiünde arastirmalarin yürütülmesine neden olmustur.
Kanser tedavisinde ana hedeflerden biri olan hücre apoptosisini saglayan farkli
mekanizmalarin belirlenmesi ve bu mekanizmada önemli rol oynayan enzimlerin
belirlenmesi pek çok arastirmaci için ilgi çeken bir alandir.
Yapilan çalismalarda sfingomiyelinin hidrolizi sonucu olusan biyoaktif bir lipit olan
serainidin bazi hücre kültür modellerininde, hücre döngüsünün durdurulmasinda,
farklilasmada ve apoptosis de önemli rol oynadigi ve Hücreler mitojeii faktörlere
inaruz birakildiginda intraselüler seramid miktarinin azaldigi Intraselüler seramidaz
enziminin miktari azaldiginda ise seramid niiktarinda artis görüldügü bildirilmistir.
Seramid miktarinin artmasi ise apoptozis ile soiiuçlanmaktadir. Dolayisiyla
serainizdaz enzimini inhibe eden moleküllerin antikanser özellige sahip olma
ihtimalinin yüksek oldugu düsünülmektedir. Buradan yola çikilarak seramidaz
aktivitesini inhibe eden birkaç bilesik gelistirilmistir aiicak bunlariii farmakolojik
Meme kanseri ve akciger kanseri en yaygin kanser türlerinden olup, hastalarin bilinen
kemoterapi ajanlarina direnç gelistirmesi tedavide istenilen etkinin elde edilmesine
engel olmaktadir. Bu durum bu hastaliklarin tedavisinde yeni ve farkli etki
inekanizinalari üzerinden etkinlik gösteren inoleküllerin kullanilinasini
gerektirmektedir.
Bulusun Amaci
Bulus sahipleri meme kanseri ve akciger kanserinin tedavisinde kullanima uygun yeni
bir metot gelistirmeyi amaçlamaktadirlar.
Bulusun bir diger aniaci meme kanseri ve akciger kanserinin tedavisinde bilinen
apoptoz yolaklarindan farkli bir mekanizmayla hücre apoptozuiiu saglayan
moleküllerin söz konusu hastaliklarin tedavisinde kullanimini saglamaktir.
Bu amaçlar dogrultusunda çalismalar yapan bulus sahipleri seramidaz enzimini inhibe
edeii moleküllerin, özellikle seranib-Z molekülünün meme kanseri ve akciger
kanserinin tedavisinde etkili oldugunu bulmustur.
Bulusun Detayli Açiklamasi
Mevcut bulus meme kanseri ve akciger kanserinin önlenmesinde, tedavisinde veya bu
hastaliklardan kaynaklanan semptomlarin giderilmesinde seramidaz enzimini inhibe
eden moleküllerin, tercihen seranib-Z molekülünün kullanilmasina iliskindir.
Mevcut bulus kapsaminda kullanilan “meme kanseri” ifadesi meme dokusu içerisinde
anormal hücrelerin var olmasi durumunu ifade etmektedir. Bulus kapsaminda meme
kanseri, in situ duktal karsinoma (DCIS), in situ lobüler karsinoma (LClS), invazif
meme kanseri, invazii` (veya infiltratif) duktal karsinom, invazif (veya infiltratif)
lobüler karsinom, inflamatuar meme kanseri, paget hastaligi, medüller meme kanseri,
müsinoz meme kanseri, tübüler meme kanseri, adenoid kistik meme kanseri,
metaplastik meine kanseri, memenin anjiyokarsinomu, bazal tip meme kanseri,
filloides veya sistokarsinoina filloides, papiller meme kanseri olabilir. Bahsi geçen
kanser türleri herhangi bir asamada 'Örnegin 1, II, III veya IV. Asamada veya bunlarin
alt gruplarindaki asamalarda olabilir.
Mevcut bulus kapsaminda kullaiiilan “akciger kanseri” ifadesi bir akcigerde veya iki
akcigerde birden anorinal hücrelerin var olinasini ve/veya anormal hücrelerin
kontrolsüz sekilde büyümesini ifade etmektedir. Bulus kapsaminda akciger kanseri
küçük hücreli akciger kanseri, küçük hücreli disi akciger kanseri, akdenokanser, yassi
(skuamöz) hücreli kanser, büyük hücreli kaiiser olabilir. Bahsi geçen kanser türleri
herhangi bir asamada 'Örnegin I, Il, [11 veya IV. Asamada veya bunlarin alt
gruplarindaki asamalarda olabilir.
Mevcut bulus kapsaminda kullanilan “seramidaz enzimini inhibe eden molekül”
ifadesi serainidaz enziminin serainid molekülünü hidrolize etmesi fonksiyonunu
durduran veya yavaslatan veya farklilastiran tüin molekülleri ifade etmektedir.
Mevcut bulus kapsaminda kullanilan “seranib-Z” ifadesi Mol Cancer Ther. 2011 Nov;
farmas'otik olarak kabul edilebilir türevlerini, 'Örnegin tuzlarini ve/veya ön ilaç
formlarini ve/veya polimorflarini kapsamaktadir.
Seranib-Z hücredeki seramidaz aktivitesini iiihibe eden lipid olmayan bir inhibitördür.
Kiinyasal ismi 3-[3-(4-methoxyphenyl)-l -oxo-Z-prpen-I -yl]-4-phenyl-2(1H)-
kristal yapili bir tozdur. Kullanilan malzemenin saflik derecesi > %98”dir.
Mevcut bulus kapsaminda kullanilan “tedavi" ifadesi mevcut bulus kapsaminda
tanimlanan meme kanserinin ve akciger kanserinin ve bu hastaliklarin tüin türlerinin
ortadan kaldirilmasiyla kisilerin sagligina kavusmasini ifade etmektedir.
Mevcut bulus kapsaminda kullanilan “meme kanseri ve akciger kanserinden
kaynaklanan semptomlarin giderilmesi” ifadesi söz konusu hastaliklarin nedeii oldugu
belirtilerin ve/veya rahatsizliklarin en az bir tanesinin giderilmesini ifade etmektedir.
Bulus bir diger açidan seranib-Tnin veya seramidaz enziinini inhibe eden herhangi
bir molekülün tek basina veya bir diger antineoplastik ajaiila kombine olarak bir
bilesim içerisinde meme kanseri ve/veya akciger kanserinin tedavisinde kullanilan bir
Bulusun bir diger özelligi meme kanseri ve akciger kanserinin önlenmesinde,
tedavisinde veya bu hastaliklardan kaynaklanan semptomlarin giderilmesinde
seramidaz enzimini inhibe eden moleküllerin, tercihen seranib-2 molekülünüii en az
bir diger antineoplastik ajanla beraber kullanilmasidir.
Burada bahsedilen antineoplastik ajan siklofosfamid, ifosfamid, temozolomid,
kapesitabin, 5-flor0 urasil, metotreksat, gemsitabin, pemetrekset, mitomisin,
bleomisin, epirubisin, doksorubisin, etoposit, paklitaksel, irinotekan, dosetaksel,
vinkristin, karboplatin, cisplatin, okzaliplatin, bevacizumab, setuksimab, gefitinib,
imatinib, trastuzuinab, denosumab, rituksimab, sunitinib, zoledronat, abirateron,
anastrozol, bikalutamid, eksemestan, goserelin, medroksiprogesteron, oktreotid,
tamoksifen, bendamustin, karinustin, klorambusil, lomustin, melfalan, prokarbazin,
streptozosin, fludarabin, raltitrexed, aktinomisin D, daktinomisin, doksorubisin,
mitoksantron, eribulin, topotekan, vinblastin, vinorelbin, afatinib, aflibersept,
krizotinib, dabrafenib, interferon, ipilimumab, lapatinib, nivolumab, panitumumab,
pembrolizumab, pertuzumab, sorafenib, trastuzuinab emtansin, temsorilimus,
vemurafenib, ibandronik asit, pamidronat, bexarotan, buserelin, siproteron, degareliks,
folinik asit, fulvestrant, lanreotid, lenalidomid, letrozole, leuprorelin, megestrol,
mesna, talidomid”den olusan bir grubun içerisinden veya bunlarin ikili veya üçlü
kombinasyonlari içerisinden seçilebilir.
Bulusun bir diger özelligi meme kanseri ve akciger kanserinin önlenmesinde,
tedavisinde veya bu hastaliklardan kaynaklanan seinptomlarin giderilmesinde
seramidaz enziinini inhibe eden moleküllerin, tercihen seranib-Z inolekülünün l tig/kg
ile 1 g/kg araliginda bir dozda kullanilmasidir.
Bulusun bir diger özelligi meme kanseri ve akciger kanserinin önlenmesinde,
tedavisinde veya bu hastaliklardan kaynaklanan semptomlarin giderilmesinde
seramidaz enzimini inhibe eden moleküllerin, tercihen seranib-2 molekülünün
farmasötik bir dozaj formu içerisinde kullanilmasidir.
Bulusun bir diger uygulamasinda seranib-2 molekülünün en azbir diger antineoplastik
ajanla beraber/kombine olarak kullanilmasi durumunda söz konusu bilesikler beraber
veya ayri ayri formüle edilebilir ve söz konusu en az bir antineoplastik ajan seranib-Z
ile ayni veya farkli dozaj formunda olabilir.
Burada bahsi geçen farmasötik dozaj formu teknikte bilinen konvansiyonel dozaj
formlarindan herhangi biri, örnegin, oral yoldan uygulama uygun tablet veya kapsül
formlarinda veya intravenöz, intraperitoneal, intramüsküler, subkütan vb
uygulamalara uygun likit formlarda veya topikal uygulainaya uygun merhein, krem,
Bulusa uygun seranib-2 molekülüiiü içeren forinülasyonlar istege bagli olarak en az
bir farmasötik olarak kabul edilebilir yardimci madde içerebilir.
Simdi bulus sadece 'ornek amaçli olan ve bu bulusun kapsamini herhangi bir sekilde
kisitlar olarak yorumlanmamasi gereken asagidaki örneklere atifta bulunularak
açiklanacaktir.
Örnekler:
Örnek 1: MTT sitotoksisite testi
A549 insan akciger adenokarsinomasi hücreleri 96 kuyulu hücre kültürü plakalarina,
kuyu basi 2xlO3 hücre olacak sekilde ekilinistir. Plakaya ekilen hücreler 37°C”de ve
2ile , 5-65 uM konsantrasyon araliginda 24 saat inkübe edilmistir. Süre sonunda her
kuyucuga 20 aL MTT boyasi (5 ing/mL) ilave edilerek, 37°C,de 2 saat daha inkübe
edilmistir. Inkübasyondan sonra plakadaki her kuyucuk içerigindeki sivi kisim
bosaltilarak canli hücreler tarafindan olusturulan formazan tuzlarinin çözünmesi için
200 uL DMSO eklenmis ve oda sicakliginda 10 dk bekletilinistir. Olusan renk
degisimi, ELXSOS-IU (Bio-Tek, USA) plaka okuyucusunda 570 nm dalga boyunda
Okutulmustur. Deney 3 kez tekrarlanmistir. Her doz için ayri ayri canlilik degerleri
kontrol grubuna göre hesaplanmistir.
Sonuçlar ve Degerlendirme:
Yapilan Çalismalarda ceranib-Tnin MCP-7 insan meme kanseri hücrelerindeki ICSO
konsantrasyonunu l3uM, A549 akciger kanseri hücrelerinde l4uM, 5RP7
hücrelerinde 3 uM ve NIl-l/3T3 hücrelerinde de 5 uM olarak tespit edilmistir.
Kaynaklarda hücre bazli deneylerde 1C50 konsantrasyonunun yaklasik olarak 28 uM
olarak belirtildigi göz önüne alindiginda, bu molekülün MCP-7 hücrelerinde
beklenmeyen yüksek bir etkinlige sahip oldugu yapilan çalismalar sonucunda ortaya
çikmistir. Ayrica, yapilan in vivo çalismalarda 20-50 mg/kg ceraiiib-2 iiiii sinei'jistik
tümör modelinde toksisiteye yol açmadan tüinör büyüinesini inhibe ettigi
gösterilmistir.
Sekil l”de MCF7 hücre hatti üzerinde yapilan çalismaya ait konfokal elektron
mikroskobu görüntüleri bulunmaktadir. Koiitrol hücrelerinde siki ve normal bir hücre
ve hücre çekirdegi yapisi görülmektedir (Sekil 1A). 24 saat boyunca seranib-2 ile
muamele edilen hücrelerde ise kromatinde kisalma, hücre yapisinda bosluklar,
küçülen hücre çekirdekleri ve parçalanmis hücreler görülmektedir. Bu durum seranib-
2°nin bu hücre hatti üzerinde son derece yüksek etkiye sahip oldugunu
göstermektedir.
Sekil 2”de MCF 7 hücrelerinin elektron mikrograflari görülmektedir. Kontrol grubuna
ait hücre zari, çekirdek zari ve mitokontri yapisini korurken, 24 saat seraiiib-Z ile
muamele edilen hücrelerde çekirdek zarinin kayboldugu ve mitokondrinin de deforme
oldugu görülmektedir.
Sekil 3 ise bir akciger kanseri hücre hatti olan A549 tipi hücrelerde yapilan çalismaya
ait mikroskop görüntülerini içermektedir. Sekil 3A”da kontrol grubu hücrelerin hücre
zari, çekirdek zari ve niitokondri gibi hücre yasami için önemli yapilarini korudugu
görülürken, 24 saat boyunca seramid-2 ile muamele edilen ayni tür hücrelerde
sirasiyla hücre çekirdeginin parçalandigi, hücre seklinin ovalden yuvarlaga dönüstügü
ve hücre zarmda deformasyonlarin basladigi, hücre içerisinde sivi damlaciklarin
olustugu, DNA parçalanmasinin olustugu ve sonrasinda hücre içerisinde bosluklarin
olustugu gözlemlenmistir. Bu deney sonuçlari seramid-2 molekülünün akciger kanseri
üzerinde etkin oldugunu göstermektedir.
Bulus kapsaminda referans olarak gösterilen sekilere ait kisa açiklamalar asagida
verilmektedir.
Sekil 1: akridiii oraiige ve phalloidiii ile boyaiiaii MCF7 hücreleriniii koiifokal
elektroii mikroskobu görüntüsü. A) kontrol grubunu; B), C) ve D) 24 saat seranib-2
ile inuainele edilen hücreleri göstermektedir.
Sekil 2: MCP? hücrelerinin elektron mikrograflari A) kontrol grubunu; B) 24 saat
seranib-2 ile muamele edilen hücreleri göstermektedir.
Sekil 3: A549 hücrelerindeki yapisal degisiklikleri gösteren elektron ikroskobu
görüntüleri. A) kontrol grubunu; B), C), D) ve E) 24 saat seranib-Z ile muamele edilen
hücreleri göstermektedir.
Sekil i
Sukil I
Claims (1)
- ISTEMLER Meme kanseri ve akciger kanserinin önlenmesinde, tedavisinde veya bu hastaliklardan kaynaklanan semptomlarin giderilmesinde seranib 2 molekülünün kullanilmasi. istem l”e göre bir kullanim olup meme kanseri in situ duktal karsinoma (DCIS), in situ lobüler karsinoma (LCIS), invazif meme kanseri, invazif (veya infiltratif) duktal karsinom, invazif (veya infiltratif) lobüler karsinom, inflamatuar meme kanseri, paget hastaligi, medüller meme kanseri, müsinoz meme kanseri, tübüler meme kanseri, adenoid kistik ineme kanseri, inetaplastik meme kanseri, memenin anjiyokarsinomu, bazal tip meme kanseri, filloides veya sistokarsinoma filloides Istein l”e göre bir kullanim olup akciger kanseri küçük hücreli akciger kanseri, küçük hücreli disi akciger kanseri, akdenokanser, yassi (skuamöz) hücreli kanser veya büyük hücreli kanserdir. Istem l”e göre bir kullanim olup seranib-2 molekülü en az bir diger antineoplastik ajanla beraber kullanilir. istem 4'e göre bir kullanim olup diger antineoplastik ajan siklofosfamid, ifosfamid, temozolomid, kapesitabin, 5-floro urasil, metotreksat, gemsitabin, pemetrekset, mitomisin, bleomisin, epirubisin, doksorubisin, etoposit, paklitaksel, irinotekan, dosetaksel, Vinkristin, karboplatin, cisplatin, okzaliplatin, bevacizumab, setuksimab, gefitinib, imatinib, trastuzumab, denosumab, rituksimab, sunitinib, zoledronat, abirateron, anastrozol, bikalutamid, eksemestan, goserelin, medroksiprogesteron, oktreotid, tamoksifen, bendamustin, karmustin, klorambusil, lomustin, melfalan, prokarbazin, streptozosin, fludarabin, raltitrexed, aktinomisin D, daktinomisin, doksorubisin, mitoksantron, eribulin, topotekan, vinblastin, Vinorelbin, afatinib, aflibersept, krizotinib, dabrafenib, interferon, ipilimumab, lapatinib, nivolumab, panitumumab, pembrolizumab, pertuzumab, sorafenib, trastuzumab emtansin, temsorilimus, vemurafenib, ibandronik asit, pamidronat, bexarotan, buserelin, siproteron, degareliks, folinik asit, fulvestrant, lanreotid, lenalidomid, letrozole, leuprorelin, megestrol, mesna, talidomid”den olusan bir grubun içerisinden veya bunlarin ikili veya üçlü kombinasyonlari içerisinden seçilir. Istem l°e göre bir kullanim olup seranib-Z molekülü l [lg/kg ile 1 g/kg araliginda bir dozda kullanilir.
Priority Applications (2)
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TR2017/02500A TR201702500A2 (tr) | 2017-02-20 | 2017-02-20 | Serani̇b-2?ni̇n akci̇ğer kanseri̇ ve meme kanseri̇ni̇n tedavi̇si̇nde kullanimi |
US15/899,520 US10342790B2 (en) | 2017-02-20 | 2018-02-20 | Use of ceranib-2 in the treatment of lung cancer |
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TR2017/02500A TR201702500A2 (tr) | 2017-02-20 | 2017-02-20 | Serani̇b-2?ni̇n akci̇ğer kanseri̇ ve meme kanseri̇ni̇n tedavi̇si̇nde kullanimi |
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TR201702500A2 true TR201702500A2 (tr) | 2017-07-21 |
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TR2017/02500A TR201702500A2 (tr) | 2017-02-20 | 2017-02-20 | Serani̇b-2?ni̇n akci̇ğer kanseri̇ ve meme kanseri̇ni̇n tedavi̇si̇nde kullanimi |
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JP7300394B2 (ja) | 2017-01-17 | 2023-06-29 | ヘパリジェニックス ゲーエムベーハー | 肝再生の促進又は肝細胞死の低減もしくは予防のためのプロテインキナーゼ阻害 |
WO2020018049A2 (en) * | 2018-06-18 | 2020-01-23 | Anadolu Universitesi | Lipid nanoparticles loaded with ceranib-2 as anticancer agents |
WO2020214106A1 (en) | 2019-04-16 | 2020-10-22 | Sabanci Universitesi | Nano formulations comprising ceranib-2 |
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AU671491B2 (en) * | 1992-12-18 | 1996-08-29 | F. Hoffmann-La Roche Ag | N-oxycarbonyl substituted 5'-deoxy-5-fluorcytidines |
TWI262914B (en) * | 1999-07-02 | 2006-10-01 | Agouron Pharma | Compounds and pharmaceutical compositions for inhibiting protein kinases |
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2017
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2018
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US20180235951A1 (en) | 2018-08-23 |
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