TW201006469A - Use of HDAC inhibitors for the treatment of acute myeloid leukemia and/or myelodysplastic syndrome - Google Patents

Use of HDAC inhibitors for the treatment of acute myeloid leukemia and/or myelodysplastic syndrome Download PDF

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TW201006469A
TW201006469A TW098124318A TW98124318A TW201006469A TW 201006469 A TW201006469 A TW 201006469A TW 098124318 A TW098124318 A TW 098124318A TW 98124318 A TW98124318 A TW 98124318A TW 201006469 A TW201006469 A TW 201006469A
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Peter Wisdom Atadja
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Novartis Ag
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • A61K31/343Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide condensed with a carbocyclic ring, e.g. coumaran, bufuralol, befunolol, clobenfurol, amiodarone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • AHUMAN NECESSITIES
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    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/4045Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/02Antineoplastic agents specific for leukemia

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Abstract

The present invention relates to the use of an HDAC inhibitor, especially an HDAC inhibitor of formula (I): wherein the radicals and symbols have the meanings as defined in the specification, for the preparation of a medicament for the treatment of Acute myeloid leukemia and/or Myelodysplastic syndrome.

Description

201006469 六、發明說明: 【發明所屬之技術領域】 本發明係關於一種HDAC抑制劑用於製備供治療骨髓白 血病及/或骨髓發育不良症候群(MDS)之藥物的用途;一種 治療患有急性骨髓白血病及/或骨髓發育不良症候群之溫 血動物、尤其人類的方法,其包含向該動物投與治療有效 量之HDAC抑制劑,尤其如本文中所定義之式⑴化合物; 及一種包含該組合之醫藥組合物及商業包襄。 【發明内容】 骨髓白血病包括急性骨髓白血病及慢性骨髓白血病。如 本文中所使用之術語「急性骨髓白血病(Acute myel〇id leukemia)」係關於一種快速進行性疾病,其中在血液及骨 髓中發現過多不成熟白血球(而非淋巴球)。其亦稱為 AML、急性骨髓性白血病、急性骨趙母細胞白灰病、急性 非淋巴球性白血病及ANLL。 術語「慢性骨:¾白血H種白血病形式其特徵在 於骨髓中之主要骨髓細胞之增加及無節制之生 胞在血液中之積聚。CMLH純系㈣幹細胞病症,其 中主要發現成熟粒細胞(嗜中性白血球、嗜伊紅血球及嗜驗 性血球(baS〇phiIs))及其前驅邀之增殖。其為—種與稱為費 :染,體(Philadelphia ehr()m。議e)之特㈣色趙易位相 關之骨髓增生性疾病。 良症候群」係關於 °其亦稱為白血病 如本文中所使用之術語「骨髓發育不 一組骨趙不製造充足健康白血球的疾病 141243.doc 201006469 前驅症及和緩性白血病。 如本文中所定義之式(I)化合物為組蛋白脫乙醯基酶抑制 劑(HDAC抑制劑)。組蛋白之可逆乙醯化為基因表現之主要 調控劑,其藉由改變轉錄因子對DNA之可接近性而起作 用。在正常細胞中,組蛋白脫乙醯基酶(HDA)及組蛋白乙 醯基轉移酶一起控制組蛋白之乙醯化程度以維持平衡。抑 制HDA會造成過度乙醯化之組蛋白積聚,此產生多種細胞 反應。201006469 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to the use of an HDAC inhibitor for the preparation of a medicament for treating myeloid leukemia and/or myelodysplastic syndrome (MDS); a treatment for acute myeloid leukemia And/or a method of a warm-blooded animal, particularly a human, of a myelodysplastic syndrome comprising administering to the animal a therapeutically effective amount of a HDAC inhibitor, particularly a compound of formula (1) as defined herein; and a medicament comprising the combination Composition and commercial packaging. SUMMARY OF THE INVENTION Myeloid leukemia includes acute myeloid leukemia and chronic myeloid leukemia. The term "Acute myel〇id leukemia" as used herein relates to a rapidly progressive disease in which too many immature white blood cells (rather than lymphocytes) are found in the blood and bone marrow. It is also known as AML, acute myeloid leukemia, acute bone marrow white blood disease, acute non-lymphocytic leukemia and ANLL. The term "chronic bone: 3⁄4 white blood H-type leukemia form is characterized by an increase in the main bone marrow cells in the bone marrow and accumulation of unregulated cells in the blood. CMLH pure line (four) stem cell disease, in which mature granulocytes are mainly found (neutrophils) White blood cells, eosinophils and blood-stained blood cells (baS〇phiIs) and their progenitors are invited to proliferate. It is a species and is called the fee: dye, body (Philadelphia ehr () m. Translocation-related myeloproliferative diseases. Good syndromes are related to the term "leukemia" as used herein. "Marrow bone marrow development does not produce a group of bones that do not produce adequate healthy white blood cells. 141243.doc 201006469 Prodromal and slow Leukemia. The compound of formula (I) as defined herein is a histone deacetylase inhibitor (HDAC inhibitor). Reversible acetylation of histones is a major regulator of gene expression by altering transcription Factor plays a role in DNA accessibility. In normal cells, histone deacetylase (HDA) and histone acetyltransferase together control the degree of histone deacetylation to maintain Value. HDA inhibition cause excessive accumulation of acetylation of histones, which produce a variety of cellular responses.

令人驚訝地,現已發現HDAC抑制劑、尤其如本文中所定 義之式(I)化合物適用於治療急性骨髓白血病及/或骨髓發 育不良症候群。 因此,本發明係關於HDAC抑制劑用於製備供治療急性骨 髓白血病及/或骨髓發育不良症候群之藥物的用途。 【實施方式】 HDAC抑制劑化合物 用於本發明之組合中之尤其受到關注的HDAC抑制劑化 合物為由式(I)所述之氫草酿胺酸S旨(hydroxamate)化合物:Surprisingly, it has now been found that HDAC inhibitors, in particular compounds of formula (I) as defined herein, are suitable for the treatment of acute myeloid leukemia and/or myelodysplastic syndromes. Accordingly, the present invention relates to the use of HDAC inhibitors for the manufacture of a medicament for the treatment of acute myeloid leukemia and/or myelodysplastic syndromes. [Embodiment] HDAC inhibitor compound The HDAC inhibitor compound of particular interest for use in the combination of the present invention is a hydrooxamate compound of the formula (I):

其中: R!為H;鹵基;或直鏈Ci-G烷基,尤其甲基、乙基或正 丙基,該等甲基、乙基及正丙基取代基未經取代或經 141243.doc 201006469 一或多個下文關於烷基取代基所述之取代基取代; R2係選自H; <:!-(:!〇院基’較佳為C〗-C6烷基,例如甲基、 乙基或-CHzCHz-OH; CVC;9環燒基;C4'雜環烧基; C4-C9雜環烧基炫基:環烧基燒基,例如環丙美甲基. 芳基;雜芳基;芳基烷基,例如苄基;雜芳美烧其, 例如《比咬基甲基·,-(CH2)nC(〇)R6 ; -(CH2)n〇c(〇)R6 ; 胺基醯基;HON-qCO-CI^C^R〗)·芳基·燒基;及 -(CH2)nR7 ; R3與R4相同或不同’且獨立地為H ; CrC:6烷基;醯基; 或酿基胺基;或 R3及R4連同其所結合之碳一起表示c=〇、c==s^c=nr · 或 R2連同其所結合之氮與R3連同其所結合之碳可形成 C4-C9雜環烷基;雜芳基;聚雜芳基;非芳族聚雜環; 或混合芳基及非芳基聚雜環; R5係選自H^C6烧基;C4_C9環烧基;C4_C9雜環烧基; 醯基;芳基;雜芳基·,芳基烷基,例如苄基;雜芳基 烧基,例如吡啶基甲基;芳族多環;非芳族多環;: 合芳基及非芳基多環;聚雜芳基;非芳族聚雜環;及 混合芳基及非芳基聚雜環; η、iM、n2及n3相同或不同且獨立地選自,當〜為K 時’各碳原子可視情況且獨立地經取代; X與Y相同或不同且獨立地選自H;自基;垸基,諸 如 CH3及 CF3; N〇2; c(0)Rl; OR9; SR9; CN;及2^; 141243.doc • 6 - 201006469 R6係選自H; CVQ烷基;C4_C9環烷基;C4_C9雜環烷基; 環烷基烷基,例如環丙基甲基;芳基;雜芳基;芳基 烷基,例如节基及2-苯基乙烯基;雜芳基烷基,例如 〇比0定基甲基;〇Ri2 ;及NRnR丨4 ; r7 係選自 or15 ; sr15 ; s(0)Rl6; s〇2Ri7; NRnRi4 :及 NRi2S02R6Wherein: R! is H; halo; or a straight-chain Ci-G alkyl, especially methyl, ethyl or n-propyl, the methyl, ethyl and n-propyl substituents are unsubstituted or 141243. Doc 201006469 One or more of the substituents described below with respect to the alkyl substituent; R2 is selected from H; <:!-(:! 〇院基' is preferably C-C6 alkyl, such as methyl , Ethyl or -CHzCHz-OH; CVC; 9 cycloalkyl; C4 'heterocyclic alkyl; C4-C9 heterocycloalkyl: cycloalkyl, such as cyclopropylmethyl. aryl; Aryl; arylalkyl, such as benzyl; heteroaryl, such as "bitomethyl", -(CH2)nC(〇)R6; -(CH2)n〇c(〇)R6; amine group醯-based; HON-qCO-CI^C^R))-aryl-alkyl group; and -(CH2)nR7; R3 and R4 are the same or different 'and independently H; CrC: 6 alkyl; fluorenyl; Or alkylamine; or R3 and R4 together with the carbon to which they are attached represent c=〇, c==s^c=nr· or R2 together with the nitrogen to which it is combined with R3 together with the carbon to which it is bonded to form C4 -C9 heterocycloalkyl; heteroaryl; polyheteroaryl; non-aromatic polyheterocycle; or mixed aryl and non-aryl polyheterocycle; R5 is selected from H^C6 C4_C9 cycloalkyl; C4_C9 heterocycloalkyl; fluorenyl; aryl; heteroaryl, arylalkyl, such as benzyl; heteroarylalkyl, such as pyridylmethyl; aromatic polycyclic Non-aromatic polycyclic; aryl and non-aryl polycyclic; polyheteroaryl; non-aromatic polyheterocycle; and mixed aryl and non-aryl polyheterocycle; η, iM, n2 and n3 are the same Or differently and independently selected, when ~ is K, 'each carbon atom may be optionally and independently substituted; X and Y are the same or different and independently selected from H; from a base; a fluorenyl group, such as CH3 and CF3; 〇2; c(0)Rl; OR9; SR9; CN; and 2^; 141243.doc • 6 - 201006469 R6 is selected from H; CVQ alkyl; C4_C9 cycloalkyl; C4_C9 heterocycloalkyl; cycloalkyl An alkyl group, such as cyclopropylmethyl; aryl; heteroaryl; arylalkyl, such as a benzyl and 2-phenylvinyl; heteroarylalkyl, such as indenyl 0-methyl; 〇Ri2; And NRnR丨4; r7 is selected from or15; sr15; s(0)Rl6; s〇2Ri7; NRnRi4: and NRi2S02R6

R8 係選自 H; 〇R15; NRnRi4; Ci_c6烷基;C4_C9環烷基; cu-c:9雜環烷基;芳基;雜芳基;芳基烷基例如苄 基,及雜芳基烧基,例如吼唆基曱基; R9係選自CVC4烷基,例如CH3&CF3 ; c(〇)烷基,例如 c(o)ch3 ;及 c(o)cf3 ; R10與!^!相同或不同且獨立地選自H; Ci_C4烷基;及 -C(o)-烷基; R12係選自H; Cl-C6院基;cvC9環烧基;雜環燒基;R8 is selected from the group consisting of H; 〇R15; NRnRi4; Ci_c6 alkyl; C4_C9 cycloalkyl; cu-c: 9 heterocycloalkyl; aryl; heteroaryl; arylalkyl such as benzyl, and heteroaryl a group, for example, an indenyl group; R9 is selected from a CVC4 alkyl group, such as CH3&CF3; c(〇)alkyl, such as c(o)ch3; and c(o)cf3; R10 and ! ^! identical or different and independently selected from H; Ci_C4 alkyl; and -C(o)-alkyl; R12 is selected from H; Cl-C6 ortho; cvC9 cycloalkyl; heterocycloalkyl;

CcC9雜環烷基烷基;芳基;混合芳基及非芳基多環; 雜芳基;芳基烷基,例如苄基;及雜芳基烷基,例如 吡啶基甲基;CcC9 heterocycloalkylalkyl; aryl; mixed aryl and non-aryl polycyclic; heteroaryl; arylalkyl, such as benzyl; and heteroarylalkyl, such as pyridylmethyl;

9 與14相同或不同且獨立地選自H; Ci_c6烷基;c4_c 環烷基;CcC9雜環烷基;芳基;雜芳基;芳基烷基 例如节基;雜芳基烷基,例如处啶基甲基;胺基酿基 或 R13及r14連同其所結合之氮—起為C4_C9雜環烧基;雜芳 基;聚雜芳基;非芳族聚雜環;或混合芳基及非芳基 聚雜環; 141243.doc 2010064699 is the same or different and independently selected from H; Ci_c6 alkyl; c4_c cycloalkyl; CcC9 heterocycloalkyl; aryl; heteroaryl; arylalkyl such as a benzyl group; heteroarylalkyl, for example a pyridylmethyl group; an amine-based or R13 and r14 together with the nitrogen to which they are bonded are a C4_C9 heterocycloalkyl; a heteroaryl; a polyheteroaryl; a non-aromatic polyheterocycle; or a mixed aryl group Non-aryl polyheterocycle; 141243.doc 201006469

Ri5係選自H; C!-C6烷基· r rp A . p 6凡丞’ cvc;9環烷基,C4_c9雜環烷基; 芳基;雜芳基;芳基焓其.雜 万丞沉基,雜芳基烷基;及 (CH2)mZR12 ; 4-(:9雜環烷基;芳 ;雜芳基烷基;及 R16係選自CKC6燒基;烷基;c 基,雜芳基;聚雜芳基;芳基烷基 (CH2)mZR12 ; 係選自Ci-C6烷基;c4_c9環烷基;c4_C9雜環烷基;芳 基;芳族多環;雜芳基;芳基烧基;雜芳基炫基;聚 雜芳基及NR13R14 ; m 為選自0-6之整數;且 z 係選自 Ο ; NR13 ; S ;及s(〇), 或其醫藥學上可接受之鹽,. 適當時,「未經取代」意謂不存在取代基或取代基僅為 氫。 自基取代基係選自氟、氣、溴及碘,較佳為氟或氣。 除非另外說明,否則烷基取代基包括直鏈及分支鏈(:1_(;:6 烷基。合適的直鏈及分支鏈c〗_ce烷基取代基之實例包括甲 基、乙基、正丙基、2-丙基、正丁基、第二丁基、第三丁 基及其類似基團。除非另外說明,否則烧基取代基包括未 經取代之烷基與經一或多個合適取代基取代之烷基該等 取代基包括不飽和度,亦即存在一或多個雙鍵或參鍵c_c 鍵’醯基;環烷基;_基;氧烷基;烷基胺基;胺基烷基; 酿基胺基;及OR〗5’例如烷氧基。烷基之較佳取代基包括 齒基、經基、烷氧基、氧烷基、烷基胺基及胺基烷基。 141243.doc 201006469 除非另外說明,否則環烷基取代基包括C3_C9環烷基,諸 如環丙基、環丁基、環戊基、環己基及其類似基團。除非 另外說明,否則環烷基取代基包括未經取代之環烷基與經 一或多個合適取代基取代的環烷基,該等取代基包括c 1 ^5 烧基、i基、羥基、胺基烷基、氧烷基、烷基胺基及〇Ri5, 諸如院氧基。環烷基之較佳取代基包括齒基、羥基、烧氧 基、氧烷基、烷基胺基及胺基烷基。 關於烷基及環烷基取代基之以上討論亦適用於其他取代 基之烷基部分,諸如(不限於)烷氧基、烷基胺、烷基酮、芳 基烷基、雜芳.基烷基、烷基磺醯基及烷基酯取代基及其類 似基團。 雜環烷基取代基包括含有1-3個選自氮、硫、氧之雜原子 之3員至9員脂族環,諸如4員至7員脂族環。合適的雜環烷 基取代基之實例包括料咬基、四氫吱絲、四氫硫代咬 喃基、哌啶基、哌嗪基、四氫哌喃基、嗎啉基、二氮環 庚烧\1,4_二氮環庚院、14_氧氮雜環庚烧(14。取剛) 及Μ-乳硫雜環庚烧(1,4_oxathiapane)。除非另外說明,否 則環未經取代或在碳原子上經―或多個合適的取代基取 代::等取代基包括Cl_C6烷基;以環烷基;芳基;雜芳 基;芳基燒基’例如$基;雜芳基燒基,例如吼絲甲基; 齒基,胺基,烷基胺基及〇Ri5,例如烷氧基。除非另外說 明’否則氮雜原子未經取代或經以下基團取代:h、Ci-C4 、元基方基烧基,例如节基;雜芳基统基,例如吼唆基甲 基’醯基,胺基酿基;炫基俩基;及芳基續酿基。 141243.doc 201006469 環烷基烷基取代基包括式-(CH2)n5-環烷基之化合物,其 中n5為1-6之數目。合適的烷基環烷基取代基包括環戊基甲 基、環戊基乙基、環己基曱基及其類似基團。該等取代基 未經取代或在烷基部分或環烷基部分中經合適的取代基 (包括上文關於烷基及環烷基所列的取代基)取代。 芳基取代基包括未經取代之苯基及經一或多個合適的取 代基取代之苯基,該等取代基包括烷基;環烷基烷 基’例如環丙基甲基;o(co)烷基;氧烷基;鹵基;硝基; 胺基;烷基胺基;胺基烷基;烷基酮;腈;羧基烷基;烷 基磺醯基;胺基磺醯基;芳基磺醯基及or15,諸如烷氧基。 較佳取代基包括(:1-<:6烷基;環烷基,例如環丙基曱基;烷 氧基;氧烷基;函基;硝基;胺基;烷基胺基;胺基烷基; 院基腈;羧基烷基;烷基磺醯基;芳基磺醯基及胺基 績酿基。合適的芳基之實例包括Cl_C4烷基苯基、Cl_c4烷氧 基笨基、三氟曱基苯基、甲氧基苯基、羥基乙基苯基、二 曱基胺基苯基、胺基丙基苯基、乙氧羰基苯基、曱磺醯基 笨基及甲笨磺醯基苯基。 方族多環包括萘基及經.一或多個合適的取代基取代之萘 基’該等取代基包括CrC6烷基;烷基環烷基,例如環丙基 甲基;氧烧基;齒基;硝基;胺基;烷基胺基;胺基烷基; 院基腈;羧基烷基;烷基磺醯基;芳基磺醯基;胺基 續釀基及〇r15,諸如烷氧基。 雜芳基取代基包括含有一或多個選自N、0及S之雜原子 (例如1-4個雜原子)之5員至7員芳環化合物。典型雜芳基取 141243.doc 201006469 代基包括吱喃基、嗟吩基、β比略基、D比唾基、三唾基、嘆 唾基、噁唾基、吡咬基、嘧唆基、異噁唑基、η比嗪基及其 類似基團。除非另外說明’否則雜芳基取代基未經取代或 在碳原子上經一或多個合適的取代基取代,該等取代基包 括烷基、上文指定之烷基取代基及另一雜芳基取代基。氮 原子未經取代或例如經尺”取代;尤其有用之Ν取代基包括 H、Ci-C4烷基、醯基、胺基醢基及磺醯基。 芳基烧基取代基包括式_(CH2)n5-芳基、芳 基HCHA5-芳基或-(CHdn^CH(芳基)(芳基)之基團,其中 芳基及Π5係在上文定義。該等芳基烷基取代基包括苄基、 2·苯基乙基' 1-苯基乙基、曱苯基_3_丙基、2_苯基丙基、 二苯基曱基、2-二苯基乙基、5,5-二甲基-3-苯基戊基及其 類似基團。芳基烷基取代基未經取代或在烷基部分或芳基 部分中或在烷基部分與芳基部分兩者中如上文關於烷基及 芳基取代基所述經取代。 雜方基烧基取代基包括式-(CH2)n5·雜芳基之基團,其中 雜芳基及n5係在上文定義且橋基係與雜芳基部分之碳或氮 鍵聯’諸如2-"比咬基甲基、3-"比咬基曱基或4-"比咬基曱基、 咪峻基甲基、喹啉基乙基及《比咯基丁基。雜芳基取代基未 經取代或如上文關於雜芳基及烷基取代基所述經取代。 胺基醯基取代基包括式·<:(0)-((:Η2)η-(:(Η)(ΝΙ113Ι114Η(:Η2)η-Ι15 之基團’其中n、R13、R〗4及R5係如上文所述。合適的胺基 酿基取代基包括天然及非天然胺基酸,諸如甘胺醯基、D_ 色胺磕基、L_離胺醯基、D-高絲胺醯基或L-高絲胺醯基、 141243 .doc • 11 - 201006469 4_胺基丁酸及蛛胺·4·己稀酿基。 ”非芳族多環取代基包括雙環及三環稠環系統,其中各環 可為4員至9員且各環可含有零個、一個或多個雙鍵及/或參 鍵非芳族多環的合適實例包括十氮蔡、八氣節、全 并環庚稀及全氫笨并係甘帛環。該等取代基未經取代或 如上文關於環烧基所述經取代。 - 混合芳基及非芳基多環取代基包括雙環及三環桐環系 . 統其中各環可為4員至9員且至少一個環為芳族。混合芳 基及非方基多環之合適實例包括亞甲基二氧基苯基、雙❾ _ 甲基二氧基苯基、四氫萘、二苯并環庚烷、二氫蒽 及9丑-第。該等取代基未經取代或經确基取代或如上文關於 環烧基所述經取代。 聚雜芳基取代基包括雙環及三環稠環系統,其中各環可 獨立地為5員或6員且含有一或多個選自〇、N*s之雜原子 (例如,卜2、3或4個雜原子)以使得該稠環系統為芳族。聚 雜芳基環系統之合適實例包括喹啉、異喹啉、吡啶并吡嗪、 吡咯并吡啶、呋喃并吡啶、吲哚、苯并呋喃、苯并硫代。夫 © 喃、苯并吲哚、苯并噁唑、吡咯并喹啉及其類似物。除非 另外說明,否則聚雜芳基取代基未經取代或在碳原子上經 . 一或多個合適的取代基取代,該等取代基包括烷基、上文 確定之烷基取代基及式_0-(CH2CIi=CH(CH3)(CH2))N3H之 取代基。氮原子未經取代或例如經R13取代,尤其有用之N 取代基包括H' Ci-C:4烷基、醯基、胺基酿基及磺醯基。 非芳族聚雜環取代基包括雙環及三環稠環系統,其中各 141243.doc -12· 201006469 二’“員至9員,含有一或多個選自〇、_s之雜原子(例 ,1、2、3或4個雜原子)且含有零個或一個或多個匸<雙 鍵或參鍵。非芳族聚雜環之合適實例包括已賭醇、順_全氫 _環庚三蝉并⑷基、十氫·苯并刚,他氮呼基、28_ -氧雜雙環[3.3.0]辛烧、六氫吩并[32烟吩全氯吼 嘻开[3,2外比洛、全氫峰咬、全氯兽二環戊二婦并心] 哌鳴。除非另外說明,否則非芳族聚雜環取代基未經取代 或在碳原子上經-或多個取代基取代,該等取代基包括燒 基及上文確疋之垸基取代基。氮原子未經取代或經例如〜 取代’尤其有用之N取代基包括Η%'院基、醯基、胺基 醢基及續醯基。 混合芳基及非芳基聚雜環取代基包括雙環及三環祠環系 統,其中各環可為4員至9員,含有一或多個選自O N" 之雜原子且至少-個環應為芳族。混合芳基及非芳基聚雜 環^合適實例包括2’3_二氫㈣、四氫㈣、5,n_ 二氫-祕二苯根仙,4]二氮呼、沾_二苯并㈣⑴# 氮呼、1,2-二氫料并[3,4仙,5]苯并二氣呼、以二氮_ 口比咬开[2,34][1,4]二氮呼_4·_、12,3,4,6ιι六氫苯并[办] 口比咬并[2,3-e][1,4]二氮呼_5,。除非另外說日月,否則混合 芳基及非芳基聚雜環取代基未經取代或在碳原子上經一或 多個合適的取代基取代’該等取代基包括_n〇h、=n〇h、 ㈣及上文確定之烧基取代基。氮原子未經取代或例如經 〜取代;尤其有用之N取代基包括H、Cl-C4烧基、醯基、 胺基酿基及續酿基。 141243.doc •13· 201006469 胺基取代基包括一級胺、二級胺及三級胺及呈鹽形式之 四級胺。胺基取代基之實例包括單烷基胺基及二烷基胺 基、單芳基胺基及二芳基胺基、單芳基烷基胺基及二芳基 烷基胺基、芳基-芳基烷基胺基、烷基_芳基胺基、烷基_芳 基烧基胺基及其類似基團。 磺醯基取代基包括烷基磺醯基及芳基磺醯基,例如,曱 磺醯基、苯磺醯基、甲苯磺醯基及其類似基團。 酿基取代基包括式-C(0)-W、-0C(0)-W、_c(o)-o_w或 -C^CONR!3!^4之基團,其中w為R丨6、Η或環烷基烷基。 酿基胺基取代基包括式_n(r12)c(o)-w 、Ri5 is selected from H; C!-C6 alkyl·r rp A. p 6 丞' cvc; 9 cycloalkyl, C4_c9 heterocycloalkyl; aryl; heteroaryl; aryl 焓. Substyl, heteroarylalkyl; and (CH2)mZR12; 4-(:9heterocycloalkyl; aryl; heteroarylalkyl; and R16 are selected from CKC6 alkyl; alkyl; c, heteroaryl Polyheteroaryl; arylalkyl (CH2) mZR12; selected from Ci-C6 alkyl; c4_c9 cycloalkyl; c4_C9 heterocycloalkyl; aryl; aromatic polycyclic; heteroaryl; aryl a aryl group; a heteroaryl group; a polyheteroaryl group and NR13R14; m is an integer selected from 0 to 6; and z is selected from the group consisting of hydrazine; NR13; S; and s(〇), or a pharmaceutically acceptable thereof Salt, as appropriate, "unsubstituted" means that no substituent or substituent is only hydrogen. The self-substituent is selected from the group consisting of fluorine, gas, bromine and iodine, preferably fluorine or gas. Or, the alkyl substituent includes a straight chain and a branched chain (: 1_(;: 6 alkyl group. Suitable straight chain and branched chain c) - Examples of the alkyl substituent include methyl, ethyl, n-propyl, 2 -propyl, n-butyl, t-butyl, tert-butyl and the like. Further, otherwise, the alkyl substituent includes an unsubstituted alkyl group and an alkyl group substituted with one or more suitable substituents, and the substituents include unsaturation, that is, one or more double bonds or a bond c_c Key 'indenyl; cycloalkyl; yl; oxyalkyl; alkylamino; aminoalkyl; arylamino; and OR 5', such as alkoxy. Preferred substituents for alkyl include teeth a group, a transalkyl group, an alkoxy group, an oxyalkyl group, an alkylamino group, and an aminoalkyl group. 141243.doc 201006469 Unless otherwise stated, a cycloalkyl substituent includes a C3_C9 cycloalkyl group such as a cyclopropyl group, a cyclobutyl group. a group, a cyclopentyl group, a cyclohexyl group, and the like. Unless otherwise stated, a cycloalkyl substituent includes an unsubstituted cycloalkyl group and a cycloalkyl group substituted with one or more suitable substituents, such substitutions. The group includes a c 1 ^5 alkyl group, an i group, a hydroxyl group, an aminoalkyl group, an oxyalkyl group, an alkylamino group, and an anthracene Ri5, such as an alkoxy group. Preferred substituents of the cycloalkyl group include a dentate group, a hydroxyl group, Alkoxy, oxyalkyl, alkylamino and aminoalkyl. The above discussion regarding alkyl and cycloalkyl substituents also applies to a substituent of an alkyl group such as, but not limited to, an alkoxy group, an alkylamine, an alkyl ketone, an arylalkyl group, a heteroarylalkyl group, an alkylsulfonyl group, and an alkyl ester substituent Similar groups. Heterocycloalkyl substituents include 3- to 9-membered aliphatic rings containing from 1 to 3 heteroatoms selected from nitrogen, sulfur, and oxygen, such as 4- to 7-membered aliphatic rings. Suitable heterocyclic rings. Examples of the alkyl substituent include a tweezers, a tetrahydrofuran, a tetrahydrothiocarbamate, a piperidinyl group, a piperazinyl group, a tetrahydropyranyl group, a morpholinyl group, and a diazacycloheptane\1. 4_diazacycloglycine, 14_oxazepine (14. Take 刚) and Μ-milk thiophene (1,4_oxathiapane). Unless otherwise stated, the ring is unsubstituted or substituted on the carbon atom by a plurality of suitable substituents: the substituents include a Cl_C6 alkyl group; a cycloalkyl group; an aryl group; a heteroaryl group; an aryl group 'For example, a aryl group; a heteroaryl group such as a fluorene methyl group; a dentate group, an amine group, an alkylamino group and an anthracene Ri5 such as an alkoxy group. Unless otherwise stated 'other nitrogen heteroatoms are unsubstituted or substituted by: h, Ci-C4, a aryl group, such as a benzyl group; a heteroaryl group, such as a fluorenylmethyl' fluorenyl group , an amine base; a stilbene base; and an aryl continued base. 141243.doc 201006469 A cycloalkylalkyl substituent includes a compound of the formula -(CH2)n5-cycloalkyl, wherein n5 is a number from 1 to 6. Suitable alkylcycloalkyl substituents include cyclopentylmethyl, cyclopentylethyl, cyclohexylfluorenyl and the like. The substituents are unsubstituted or substituted with a suitable substituent in the alkyl moiety or cycloalkyl moiety, including the substituents listed above for the alkyl and cycloalkyl groups. The aryl substituent includes an unsubstituted phenyl group and a phenyl group substituted with one or more suitable substituents including an alkyl group; a cycloalkylalkyl group such as a cyclopropylmethyl group; o (co Alkyl; oxyalkyl; halo; nitro; amine; alkylamino; aminoalkyl; alkyl ketone; nitrile; carboxyalkyl; alkyl sulfonyl; amine sulfonyl; Alkylsulfonyl and or15, such as alkoxy. Preferred substituents include (: 1-<:6 alkyl; cycloalkyl, such as cyclopropylindenyl; alkoxy; oxyalkyl; functional; nitro; amine; alkylamino; amine Alkenyl; carboxyalkyl; alkylsulfonyl; arylsulfonyl and amine based. Examples of suitable aryl groups include Cl_C4 alkylphenyl, Cl_c4 alkoxy stupid, Trifluorodecylphenyl, methoxyphenyl, hydroxyethylphenyl, dimethylaminophenyl, aminopropylphenyl, ethoxycarbonylphenyl, sulfonyl phenyl, and acesulfame a nonylphenyl group. The tricyclic polycyclic ring includes a naphthyl group and a naphthyl group substituted with one or more suitable substituents. The substituents include a CrC6 alkyl group; an alkylcycloalkyl group such as a cyclopropylmethyl group; Oxyalkyl; dentate; nitro; amine; alkylamino; aminoalkyl; fenyl nitrile; carboxyalkyl; alkylsulfonyl; arylsulfonyl; R15, such as alkoxy. Heteroaryl substituents include 5- to 7-membered aromatic ring compounds containing one or more heteroatoms selected from N, 0 and S (eg, 1-4 heteroatoms). Base 141243.doc 201006469 generation Including mercapto, porphinyl, beta-l-butyryl, D-saltyl, trisal, sinyl, oxalyl, pyridyl, pyrimidinyl, isoxazolyl, η-pyrazinyl and Similar groups. Unless otherwise stated, 'other heteroaryl substituents are unsubstituted or substituted on a carbon atom with one or more suitable substituents, including alkyl, alkyl substituents as specified above and Another heteroaryl substituent. The nitrogen atom is unsubstituted or substituted, for example, by a ruler; particularly useful, the substituent includes H, Ci-C4 alkyl, fluorenyl, amino fluorenyl and sulfonyl. The substituent includes a group of the formula -(CH2)n5-aryl, aryl HCHA5-aryl or -(CHdn^CH(aryl)(aryl), wherein the aryl and oxime 5 are as defined above. The isoarylalkyl substituent includes benzyl, 2-phenylethyl ' 1-phenylethyl, fluorenyl phenyl-3-yl, 2-phenylpropyl, diphenyl fluorenyl, 2-di Phenylethyl, 5,5-dimethyl-3-phenylpentyl and the like. The arylalkyl substituent is unsubstituted or in the alkyl or aryl moiety or in the alkyl moiety The aryl moiety is as above for the alkane Substituted as described above for the aryl substituent. The heteroaryl group includes a group of the formula -(CH2)n5.heteroaryl, wherein the heteroaryl and n5 are as defined above and the bridging is The carbon or nitrogen linkage of the aryl moiety 'such as 2-" than dimethylmethyl, 3-" 咬 曱 或 or 4-" than dimethyl thiol, imiline methyl, quinolyl Ethyl and "pyrrolylbutyl. Heteroaryl substituents are unsubstituted or substituted as described above for heteroaryl and alkyl substituents. Aminothio substituents include formulas <:(0) -((:Η2)η-(:(Η)(ΝΙ113Ι114Η(:Η2)η-Ι15 of the group 'where n, R13, R 4 and R5 are as described above. Suitable amine-based substituents include natural and non-natural amino acids such as glycidinyl, D_tryptamine, L-aminoxime, D-homsamine sulfhydryl or L-homsamine thiol, 141243 .doc • 11 - 201006469 4_Aminobutyric acid and spider amine · 4 · dilute base. "Non-aromatic polycyclic substituents include bicyclic and tricyclic fused ring systems wherein each ring may be from 4 to 9 members and each ring may contain zero, one or more double bonds and/or a non-aromatic bond. Suitable examples of the ring include decazinane, octahedral, perhexaphthyl and all hydrogen benzoxanthene. These substituents are unsubstituted or substituted as described above for the cycloalkyl group. - Mixed aryl And non-aryl polycyclic substituents include bicyclic and tricyclic ring systems. Each ring may be from 4 to 9 members and at least one ring is aromatic. Suitable examples of mixed aryl and non-square polycyclic rings include Methyldioxyphenyl, biguanide-methyldioxyphenyl, tetrahydronaphthalene, dibenzocycloheptane, indoline and 9 ugly-. These substituents are unsubstituted or confirmed. Substituted or substituted as described above for a cycloalkyl group. Polyheteroaryl substituents include bicyclic and tricyclic fused ring systems wherein each ring may independently be 5 or 6 members and contain one or more selected from the group consisting of hydrazine, a hetero atom of N*s (for example, 2, 3 or 4 heteroatoms) such that the fused ring system is aromatic. Suitable examples of polyheteroaryl ring systems include quinoline Isoquinoline, pyridopyrazine, pyrrolopyridine, furopyridinium, hydrazine, benzofuran, benzothiazepine, benzoxanthene, benzoxazole, pyrroloquinoline and the like Unless otherwise stated, a polyheteroaryl substituent is unsubstituted or substituted on a carbon atom by one or more suitable substituents, including alkyl groups, alkyl substituents identified above, and a substituent of the formula 0-(CH2CIi=CH(CH3)(CH2))N3H. The nitrogen atom is unsubstituted or substituted, for example, by R13, and particularly useful N substituents include H' Ci-C: 4 alkyl, fluorenyl , Amine-based and sulfonyl. Non-aromatic polyheterocyclic substituents include bicyclic and tricyclic fused ring systems, each of which is 141243.doc -12· 201006469 two 'members to 9 members, containing one or more choices From 〇, a hetero atom of _s (for example, 1, 2, 3 or 4 heteroatoms) and containing zero or one or more 匸<double bonds or ginseng bonds. Suitable examples of non-aromatic polyheterocycles include gambling alcohols, cis-perhydro-cycloheptaindene and (4) groups, decahydrobenzoyl, heptyl, and 28-oxabicyclo[3.3.0] octane Burning, hexahydrophene [32 smoulder perchlorinated [3, 2 external biluo, all hydrogen peak biting, perchlorinated bicyclopentaquinone and heart] Piper. Unless otherwise stated, the non-aromatic polyheterocyclic substituents are unsubstituted or substituted on the carbon atom with one or more substituents including the alkyl group and the above-described thiol substituent. The nitrogen atom is unsubstituted or substituted by, for example, 〜. The N substituent which is particularly useful includes Η%', fluorenyl, fluorenyl, and fluorenyl. Mixed aryl and non-aryl polyheterocyclic substituents include bicyclic and tricyclic anthracene ring systems wherein each ring may be from 4 to 9 members, containing one or more heteroatoms selected from O N" and at least one ring Should be aromatic. Suitable examples of mixed aryl and non-aryl polyheterocycles include 2'3-dihydro(tetra), tetrahydro(tetra), 5,n-dihydro-secretodiphenyl, 4]diazepine, dibenzo-dibenzo(tetra)(1) #氮呼,1,2-Dihydrogen and [3,4仙,5]Benzene two gas, bite with a dinitrogen-to-mouth ratio [2,34][1,4]diazepine_4· _, 12, 3, 4, 6 ι hexahydrobenz [do] mouth bite and [2,3-e] [1,4] diazet _5,. Unless otherwise stated, the mixed aryl and non-aryl polyheterocyclic substituents are unsubstituted or substituted on the carbon atom with one or more suitable substituents including _n〇h, =n 〇h, (d) and the alkyl substituents identified above. The nitrogen atom is unsubstituted or, for example, substituted by 〜; particularly useful N substituents include H, Cl-C4 alkyl, fluorenyl, amine-branched, and extender. 141243.doc •13· 201006469 Amino substituents include primary amines, secondary amines and tertiary amines, and quaternary amines in salt form. Examples of the amino substituent include a monoalkylamino group and a dialkylamino group, a monoarylamino group and a diarylamino group, a monoarylalkylamino group and a diarylalkylamino group, an aryl group- An arylalkylamino group, an alkyl-arylamino group, an alkyl-arylalkylamino group, and the like. The sulfonyl substituent includes an alkylsulfonyl group and an arylsulfonyl group, for example, anthracene, benzenesulfonyl, toluenesulfonyl and the like. The aryl group includes a group of the formula -C(0)-W, -0C(0)-W, _c(o)-o_w or -C^CONR!3!^4, wherein w is R丨6, Η Or a cycloalkylalkyl group. The arylamino substituent includes the formula _n(r12)c(o)-w,

-N(R12)C(0)-0-W及-N(R丨2)C(0)-NH0H之取代基且 R丨2及 W 係如上文所定義。 R2取代基HON-qcO-CH^Cd)-芳基-烷基為下式之基 團:-N(R12)C(0)-0-W and -N(R丨2)C(0)-NH0H substituents and R丨2 and W are as defined above. The R2 substituent HON-qcO-CH^Cd)-aryl-alkyl is a group of the formula:

各取代基較佳包括以下:Each substituent preferably includes the following:

Ri為H、鹵基或直鏈烷基; R2係選自H、CVC6烧基、(:4-(:9環烷基、C4_C9雜環烷基、 環烷基烷基、芳基、雜芳基、芳基烷基、雜芳基烷基、 -(CH2)nC(0)R6、胺基醯基及_(CH2)nR7 ; R3與R4相同或不同且獨立地選自H&C1-C6烷基;或 141243.doc •14· 201006469 R3及汉4連同其所結合之碳一起表示C=〇、c=s或c=nr8 ; R5係選自H、Cl-C6烷基、c4-c9環烷基、c4_C9雜環烷基、 芳基、雜芳基、芳基烷基、雜芳基烷基、芳族多環、 非芳族多環、混合芳基及非芳基多環、聚雜芳基、非 . 芳族聚雜環及混合芳基及非芳基聚雜環; η、ηι、112及n3相同或不同且獨立地選自〇 6,當〜為丄_6 時,各碳原子未經取代或獨立地經R3及/或&取代; 籲 乂與¥相同或不同且獨立地選自H、鹵基、Cl-(:4烧基、 CF3、N〇2、匚(〇队、〇r9、SR9、cn&NRi〇rΗ ; R6係選自Η、CVC6烷基、C4-C0f烷基、C4_C9雜環烷基、 烷基環烷基、芳基、雜芳基、芳基烷基、雜芳基烷基、 〇Rl2 及 NR13R14 ; R7 係選自 OR15、SR15、s(0)Ri6、s〇2Ri7、NR】3Ri4及 NR12SO2R6 9 R8 係選自 H、〇R15、NRl3R丨4、Ci_c6烧基、C4_C^烷基、 φ CVC9雜環烷基、芳基、雜芳基、芳基烷基及雜芳基 烧基; r9係選自cvc4烷基及c(o)-烷基;Ri is H, halo or linear alkyl; R2 is selected from H, CVC6 alkyl, (: 4-(:9-cycloalkyl, C4_C9 heterocycloalkyl, cycloalkylalkyl, aryl, heteroaryl) Alkyl, arylalkyl, heteroarylalkyl, -(CH2)nC(0)R6, aminoguanidino and _(CH2)nR7; R3 is the same or different and independently selected from H&C1-C6 Alkyl; or 141243.doc •14· 201006469 R3 and Han 4 together with the carbon to which they are combined represent C=〇, c=s or c=nr8; R5 is selected from H, Cl-C6 alkyl, c4-c9 Cycloalkyl, c4_C9 heterocycloalkyl, aryl, heteroaryl, arylalkyl, heteroarylalkyl, aromatic polycyclic, non-aromatic polycyclic, mixed aryl and non-aryl polycyclic, poly a heteroaryl group, a non-aromatic polyheterocyclic ring and a mixed aryl group and a non-aryl polyheterocyclic ring; η, ηι, 112 and n3 are the same or different and independently selected from 〇6, when 〜6 is ,6, each The carbon atom is unsubstituted or independently substituted by R3 and/or &; 乂 is the same or different and is independently selected from H, halo, Cl-(:4 alkyl, CF3, N〇2, 匚 ( 〇 team, 〇r9, SR9, cn&NRi〇rΗ; R6 is selected from the group consisting of hydrazine, CVC6 alkyl, C4-C0f alkyl, C4_C9 heterocycloalkyl, alkane Cycloalkyl, aryl, heteroaryl, arylalkyl, heteroarylalkyl, 〇Rl2 and NR13R14; R7 is selected from the group consisting of OR15, SR15, s(0)Ri6, s〇2Ri7, NR]3Ri4 and NR12SO2R6 9 R8 is selected from the group consisting of H, 〇R15, NRl3R丨4, Ci_c6 alkyl, C4_C^alkyl, φ CVC9 heterocycloalkyl, aryl, heteroaryl, arylalkyl and heteroarylalkyl; r9 Selected from cvc4 alkyl and c(o)-alkyl;

Rio與Rn相同或不同且獨立地選自H、Ci C4烷基及_c(〇)_ ' 烧基; 心2 #'選自CVM基' c4_C9環㈣、a%雜環烧基、 芳基、雜芳基、芳基烷基及雜芳基烷基; R13與R"相同或不同且獨立地選自H、Ci_C6燒基、C4_C9 環烧基' C4_C4環统基、芳基、雜芳基、芳基燒基、 141243.doc 15· 201006469 雜芳基烷基及胺基醯基; R15係選自H、CVQ烧基、C4-C9環烷基、C4_C9雜環烷基、 芳基、雜芳基、芳基烷基、雜芳基烷基及(CH2)mZRi2 ; Ri6係選自C〗-C6烷基、c4-c9環燒基、c4-C9雜環烷基、芳 基、雜芳基、芳基烷基、雜芳基烷基及(CH2)mzR12 ; R17係選自Ci-C6燒基、C4-C9環院基、C4-C9雜環烧基、芳 基' 雜芳基、芳基烷基、雜芳基烷基及NR13R14 ; m 為選自0-6之整數;且 Z 係選自Ο、NR丨3、S及S(O); 或其醫藥學上可接受之鹽。 有用之式⑴化合物包括其中R,、χ、Y、化及心各自為Η 之式(I)化合物,包括其中Π2及η3中之一者為〇且另一者為1 之式(I)化合物,尤其其中R_2為Η或-CH2-CH2-OH之式(I)化合 物。 一類合適的氫草醯胺酸酯化合物為式(Ia)化合物: 〇Rio is the same as or different from Rn and is independently selected from H, Ci C4 alkyl and _c(〇)_ 'alkyl; heart 2 #' is selected from CVM-based 'c4_C9 ring (iv), a% heterocycloalkyl, aryl , heteroaryl, arylalkyl and heteroarylalkyl; R13 and R" identical or different and independently selected from H, Ci_C6 alkyl, C4_C9 cycloalkyl 'C4_C4 cycloalkyl, aryl, heteroaryl , arylalkyl, 141243.doc 15· 201006469 Heteroarylalkyl and amine fluorenyl; R15 is selected from H, CVQ alkyl, C4-C9 cycloalkyl, C4_C9 heterocycloalkyl, aryl, hetero Aryl, arylalkyl, heteroarylalkyl and (CH2)mZRi2; Ri6 is selected from C-C6 alkyl, c4-c9 cycloalkyl, c4-C9 heterocycloalkyl, aryl, heteroaryl a aryl group, an arylalkyl group, a heteroarylalkyl group, and (CH2)mzR12; R17 is selected from the group consisting of Ci-C6 alkyl, C4-C9 ring, C4-C9 heterocycloalkyl, aryl 'heteroaryl, Arylalkyl, heteroarylalkyl and NR13R14; m is an integer selected from 0-6; and Z is selected from the group consisting of ruthenium, NR丨3, S and S(O); or a pharmaceutically acceptable salt thereof . Useful compounds of the formula (1) include compounds of the formula (I) wherein R, χ, Y, γ and δ are each Η, including compounds of the formula (I) wherein one of Π 2 and η 3 is ruthenium and the other is 1 And especially a compound of formula (I) wherein R 2 is deuterium or -CH 2 -CH 2 -OH. A suitable class of hydroxamic acid amide compounds are compounds of formula (Ia): 〇

其中: 114 為 〇_3 ; R2係選自H、Ci-C:6烧基、CU-C9環燒基、c4-C9雜環院基、 環烷基烷基、芳基、雜芳基、芳基烷基、雜芳基烷基、 -(CH2)nC(0)R6、胺基醯基及 _(CH2)nR7 ;且 141243.doc •16· 201006469 %為雜芳基;雜芳基烷基,例 基甲基,芳族多環; =多環’混合芳基及非芳基多環;聚雜若基;或 忍《芳基及非芳基聚雜環; 或其醫藥學上可接受之鹽。Wherein: 114 is 〇_3; R2 is selected from the group consisting of H, Ci-C: 6 alkyl, CU-C9 cycloalkyl, c4-C9 heterocyclic, cycloalkylalkyl, aryl, heteroaryl, Arylalkyl, heteroarylalkyl, -(CH2)nC(0)R6, aminoguanidino and _(CH2)nR7; and 141243.doc •16·201006469 % are heteroaryl; heteroarylalkane Base, methyl group, aromatic polycyclic ring; = polycyclic 'mixed aryl and non-aryl polycyclic; polyhetero; or tolerate "aryl and non-aryl polyheterocycle; or its pharmaceutically acceptable Accept the salt.

另-類合適的氫草醯胺酸醋化合物為式(ia)化合物··Another type of suitable hydroxamic acid vinegar compound is a compound of formula (ia)··

其中: 1^4 為 0-3 ; R2係選自H、CVC:6烷基、CVC9環烷基、C4_C9雜環烷基、 環烷基烷基、芳基、雜芳基、芳基烷基、雜芳基烷基、 -(CH2)nC(0)R6 ' 胺基醯基及 心為芳基;芳基烷基;芳族多環;非芳族多環;及混合 芳基及非芳基多環,尤其芳基,諸如對氟苯基對氯 苯基、對O-CkCU烧基苯基,諸如對甲氧基笨基及對 C1-C4烧基苯基;及芳基烧基,諸如苄基、鄰氟苄基、 間氟苄基或對氟苄基、鄰氣苄基、間氣苄基或對氣苄 基、鄰、間或對單0-Cl_C4烷基苄基、二仏Cl_c4烷基 苄基或三O-Ci-C:4烷基苄基(諸如鄰曱氧基苄基、間曱 氧基苄基或對曱氧基苄基)、間,對-二乙氧基苄基、鄰, 間,對-三甲氧基苄基及鄰、間或對單Cl_c4烷基笨基、 一 C1-C4烧基本基或三C1-C4炫基苯基(諸如對甲基 141243.doc •17- 201006469 間,間-二乙基苯基); 或其醫藥學上可接受之鹽。 另一引起關注之類別為式(Ib)化合物:Wherein: 1^4 is 0-3; R2 is selected from H, CVC: 6 alkyl, CVC9 cycloalkyl, C4_C9 heterocycloalkyl, cycloalkylalkyl, aryl, heteroaryl, arylalkyl ,heteroarylalkyl, -(CH2)nC(0)R6 'amino fluorenyl and cardyl aryl; arylalkyl; aromatic polycyclic; non-aromatic polycyclic; and mixed aryl and non-aromatic a polycyclic ring, especially an aryl group, such as p-fluorophenyl-p-chlorophenyl, p-O-CkCU-alkylphenyl, such as p-methoxyphenyl and p-C4-alkyl-4-phenyl; and arylalkyl, Such as benzyl, o-fluorobenzyl, m-fluorobenzyl or p-fluorobenzyl, o-benzyl, m-benzyl or p-benzyl, o-, m- or p-mono-C-C4 alkyl benzyl, dioxime Cl_c4 alkylbenzyl or tri O-Ci-C: 4 alkylbenzyl (such as o-nonyloxybenzyl, m-decyloxybenzyl or p-methoxybenzyl), meta-p-diethoxy Benzyl, o-, m-p-trimethoxybenzyl and o-, m- or p-Cl_c4 alkyl, a C1-C4 alkyl group or a tri-C1-C4 phenyl group (such as p-methyl 141243. Doc •17- 201006469, m-diethylphenyl); or a pharmaceutically acceptable salt thereof. Another class of concern is the compound of formula (Ib):

(lb)(lb)

係選自Η,CVC6院基;(VC6環燒基;環炫基炫基, 例如環丙基甲基;(CH2)2_4〇r21,其中r“h、甲基、 乙基、丙基及異丙基;且 Μ為未經取代之則卜朵_3_基、苯并“_3_基或㈣ I基或經取代之嗓冬基(諸如5n-令朵冬 基或5·甲氧基、 _3_基; 本并…-基或㈣ 或其醫藥學上可接受之鹽。 另一類引起關注之氫草醯胺酸酯 化δ物為式(Ic)化合物: Ο pIt is selected from the group consisting of oxime, CVC6, and the like; (VC6 cycloalkyl; cyclodextrin, such as cyclopropylmethyl; (CH2)2_4〇r21, where r "h, methyl, ethyl, propyl and a propyl group; and Μ is unsubstituted 卜3_yl, benzo"_3_yl or (tetra) I group or substituted anthracene group (such as 5n-protonyl or 5-methoxyl, A compound of the formula (Ic): a compound of the formula (Ic): Ο p

(lc) 其中: 該等非芳族環飽和或不 含有Z,之環為芳族或非芳族環 141243.doc 18· 201006469 飽和環, Ζι 為 ο、S或 n-r20 ;(lc) wherein: the non-aromatic rings are saturated or contain no Z, and the ring is an aromatic or non-aromatic ring. 141243.doc 18· 201006469 Saturated ring, Ζι is ο, S or n-r20;

Rl 8 R20Rl 8 R20

為HHCl_⑽(甲基、乙基、第三丁基);c3_c 環烧基;芳基,例如’未經取代之苯基或經4-OCH3 或4-CF3取代之苯基;或雜芳基,諸如2_吱喊基、 嘆吩基或2,°定基H定基或4“比咬基; 為H,(^(:6燒基;Cl-C6燒基_C3_C9環院基,例如環丙 基甲基;芳基;雜芳基;芳基烷基,例如节基;雜芳 基烷基,例如吡啶基甲基;醯基,例如乙醯基、丙醯 基及苯曱醯基;或磺醯基,例如甲磺醯基、乙磺醯基、 苯磺醯基及甲苯磺醯基; A!為1、2或3個取代基,其獨立地為H ; Ci_C6烷基; -OR!9 ’鹵基;烷基胺基;胺基烷基;鹵基;或雜芳 基烧基,例如η比咬基曱基;Is HHCl_(10) (methyl, ethyl, tert-butyl); c3_c cycloalkyl; aryl, such as 'unsubstituted phenyl or phenyl substituted with 4-OCH3 or 4-CF3; or heteroaryl, Such as 2_ 吱 基 base, 吩 基 base or 2, ° fixed H base or 4 "bite base; H, (^ (: 6 burnt base; Cl-C6 burnt base _C3_C9 ring yard base, such as cyclopropyl Methyl; aryl; heteroaryl; arylalkyl, such as a benzyl group; heteroarylalkyl, such as pyridylmethyl; fluorenyl, for example, ethyl hydrazino, propyl fluorenyl and phenyl fluorenyl; Sulfhydryl, such as methylsulfonyl, ethylsulfonyl, phenylsulfonyl and toluenesulfonyl; A! is 1, 2 or 3 substituents, independently H; Ci_C6 alkyl; -OR!9 'halo group; alkylamino group; aminoalkyl group; halogen group; or heteroaryl alkyl group, such as η than butyl group;

Ri9係選自H,C〗-C6烧基;CVC9環烧基;c4-C9雜環烧基; 芳基,雜芳基;芳基烧基,例如苄基;雜芳基院基, 例如吡啶基甲基及-(CHzCH^CHiCHWCHWuH ; R2係選自H、CVC6烷基、C4-C9環烷基、C4-C9雜環烷基、 環烷基烷基、芳基、雜芳基、芳基烷基、雜芳基烷基、 -(CH2)nC(0)R6、胺基醯基及-(CH2)nR7 ; v 為0、1或2 ; P 為0-3 ;且 q 為1-5且r為0 ;或 q 為0且r為1-5 ; 141243.doc •19· 201006469 或其醫藥學上可接受之鹽。其他可變取代基係如上文所定 義。Ri9 is selected from the group consisting of H, C-C6 alkyl; CVC9 cycloalkyl; c4-C9 heterocycloalkyl; aryl, heteroaryl; arylalkyl, such as benzyl; heteroaryl, such as pyridine Methyl and -(CHzCH^CHiCHWCHWuH; R2 is selected from H, CVC6 alkyl, C4-C9 cycloalkyl, C4-C9 heterocycloalkyl, cycloalkylalkyl, aryl, heteroaryl, aryl Alkyl, heteroarylalkyl, -(CH2)nC(0)R6, aminoguanidino and -(CH2)nR7; v is 0, 1 or 2; P is 0-3; and q is 1-5 And r is 0; or q is 0 and r is 1-5; 141243.doc • 19· 201006469 or a pharmaceutically acceptable salt thereof. Other variable substituents are as defined above.

尤其有用之式(1C)化合物為其中尺2為_(ch2)pCH2OH (其中p為1-3)之式(Ic)化合物,尤其其中Ri&h之式(Ic)化合 物;諸如其中心為!!且X及Y各自為H且其中q為1_3且1為〇或 其中q為0且!*為U之式(Ic)化合物,尤其其中z丨為NR2。之式 (c)化。物。在此等化合物中,&較佳為Η或cH2_cH2〇H 且q與r之和較佳為1。 另類引起關注之氫草醯胺酸醋化合物為式(卵匕合物:Particularly useful compounds of formula (1C) are those of formula (Ic) wherein the rule 2 is _(ch2)pCH2OH (wherein p is 1-3), especially the compound of formula (Ic) wherein Ri&h; such as its center! And X and Y are each H and wherein q is 1_3 and 1 is 〇 or a compound of formula (Ic) wherein q is 0 and !* is U, especially wherein z is NR2. (c). Things. In these compounds, & is preferably Η or cH2_cH2〇H and the sum of q and r is preferably 1. Another type of hydrochloroproline vinegar compound that attracts attention is the formula (egg chelating compound:

其中: Ζι 為 Ο、S 或 N-R2Q ; Ri8為Η ;鹵基;c^c 1-C6烷基(甲基、乙基Wherein: Ζι is Ο, S or N-R2Q; Ri8 is Η; halo; c^c 1-C6 alkyl (methyl, ethyl

基曱基;芳基;雜芳基; 、第三丁基);c3-c7 如,未經取代之笨基或經4-OCH3a fluorenyl group; an aryl group; a heteroaryl group; a tributyl group; a c3-c7 group, such as an unsubstituted stupid group or a 4-OCH3 group

苯磺酿基及甲苯磺醯基; 烷基-CVC9環烷基,例如環丙 芳基,芳基烷基,例如苄基;雜芳 甲基,醯基,例如乙醯基、丙醯 例如甲磺醯基、乙磺醯基、 141243.doc 201006469 A! 為卜2或3個取代基, 或鹵基; 其獨立地為h、Ci_c6院基、_〇Ri9 〜係選自η; cvc6烧基;cvC9環· ; c4_C9雜環烧基; 芳基;雜芳基;芳基烷基,例如节基;及雜芳基烷基, 例如吡啶基甲基; P 為0-3 ;且Phenylsulfonic acid and toluenesulfonyl; alkyl-CVC9 cycloalkyl, such as cyclopropylaryl, arylalkyl, such as benzyl; heteroarylmethyl, fluorenyl, for example, ethyl hydrazino, propyl hydrazine, for example Sulfonyl, ethyl sulfonyl, 141243.doc 201006469 A! 2 or 3 substituents, or halo; independently h, Ci_c6, 〇Ri9~ selected from η; cvc6 alkyl ; cvC9 ring · ; c4_C9 heterocycloalkyl; aryl; heteroaryl; arylalkyl, such as a benzyl group; and heteroarylalkyl, such as pyridylmethyl; P is 0-3;

q 為1-5且r為0 ;或 q 為0且r為1-5 ; 或其醫藥學上可接受之鹽。其他可變取代基係如上文所定 義。 尤其有用之式(Id)化合物為其中r2為1^或_(CH2)pCH2〇H (其中P為1-3)之式(Id)化合物,尤其其中心為11之式(Id)化合 物;諸如其中R丨為Η且X及Y各自為H且其中q為1-3且1為〇或 其中q為0且r為1-3之式(Id)化合物。在此等化合物中,汉2較 佳為Η或·CH2_CH2-OH且q與r之和較佳為1。 本發明進一步係關於式(Ie)化合物:q is 1-5 and r is 0; or q is 0 and r is 1-5; or a pharmaceutically acceptable salt thereof. Other variable substituents are as defined above. Particularly useful compounds of formula (Id) are those of formula (Id) wherein r2 is 1^ or _(CH2)pCH2〇H (wherein P is 1-3), especially a compound of formula (Id) having a center of 11; A compound of the formula (Id) wherein R丨 is Η and X and Y are each H and wherein q is 1-3 and 1 is hydrazine or wherein q is 0 and r is 1-3. Among these compounds, Han 2 is preferably ruthenium or CH 2 _CH 2 -OH and the sum of q and r is preferably 1. The invention further relates to compounds of formula (Ie):

或其醫藥學上可接受之鹽。可變取代基係如上文所定義。 尤其有用之式(Ie)化合物為其中R18為H、氟、氣、溴、 院基、經取代之CrC*烷基、C3-C7環烷基、未經取代之苯基、 141243.doc •21 201006469 在對位中,左取代之本基或雜芳基(例如n比咬基)環之式(k) 化合物。 另一組有用之式(Ie)化合物為其中為Η或 •(CH2)pCH2〇H(其中Ρ為I·3)之式(Ie)化合物,尤其其中1^為 Η之式(Ie)化合物;諸如其中R】為Η且X及Y各自為Η且其中q 為1_3且1'為〇或其中q為〇且r為1-3之式(Ie)化合物《在此等化 合物中’ R2較佳為H或_CH2_CH2_〇H且9與r之和較佳為1。 在此等化合物中,P較佳為1且R3及R4較佳為Η。 另一組有用之式(Ie)化合物為其中R1S為H、甲基、乙基、〇 第三丁基、三氟甲基、環己基、苯基、4_甲氧基苯基、4-三氟曱基苯基、2-呋喃基、2-噻吩基或2-吼啶基、3·°比啶基 或4-吡啶基,其中該2·呋喃基、2_噻吩基或2_吡啶基、3吡 啶基或4-吡啶基取代基未經取代或如上文關於雜芳基環所 述經取代;R2為Η或-(CH2)pCH2〇H(其中p為1-3)之式(ie)化 合物;尤其其中尺1為11且:^及γ各自為H,且其中q為i_3&r 為〇或其中q為0且r為1_3之式(Ie)化合物。在此等化合物 中,R·2較佳為Η或-CH2_CH2-OH且q與r之和較佳為卜 參 其中R2〇為Η或C^C:6烷基、尤其Η之彼等式(le)化合物為上 述式(Ie)化合物之各子類的重要成員^ - 羥基-3-[4-[[(2-羥基乙基)[2-(1//·吲哚-3-基)乙基]_胺 · 基]甲基]苯基]-2£-2-丙稀醯胺、ΛΓ-經基·3-[4-[[[2·(ΐ//-弓卜朵 -3-基)乙基]-胺基]甲基]苯基]·2£_2·丙烯醯胺及沁經基 -3·[4-[[[2-(2-曱基〇朵_3·基)_乙基]•胺基]甲基]苯 基]-2£-2-丙烯醯胺或其醫藥學上可接受之鹽為重要的式 141243.doc -22· 201006469 (Ie)化合物。 本發明進一步係關於式(If)化合物:Or a pharmaceutically acceptable salt thereof. Variable substituents are as defined above. Particularly useful compounds of formula (Ie) are those wherein R18 is H, fluoro, silane, bromo, deuterated, substituted CrC* alkyl, C3-C7 cycloalkyl, unsubstituted phenyl, 141243.doc • 21 201006469 A compound of formula (k) in the para position, a left-substituted base or a heteroaryl (eg, n-bite) ring. Another useful group of compounds of the formula (Ie) are those of the formula (Ie) wherein Η or •(CH 2 )pCH 2 〇H (wherein Ρ is I·3), especially the compound of the formula (Ie) wherein 1 Η is Η; A compound of the formula (Ie) wherein R is Η and X and Y are each Η and wherein q is 1_3 and 1' is 〇 or wherein q is 〇 and r is 1-3, "R2 is preferred in such compounds" It is H or _CH2_CH2_〇H and the sum of 9 and r is preferably 1. In these compounds, P is preferably 1 and R3 and R4 are preferably ruthenium. Another useful group of compounds of formula (Ie) are those wherein R1S is H, methyl, ethyl, decyl butyl, trifluoromethyl, cyclohexyl, phenyl, 4-methoxyphenyl, 4-tri Fluorylphenyl, 2-furyl, 2-thienyl or 2-acridinyl, 3·pyridinyl or 4-pyridyl, wherein the 2, furanyl, 2-thienyl or 2-pyridyl The 3-pyridyl or 4-pyridyl substituent is unsubstituted or substituted as described above for the heteroaryl ring; R2 is oxime or -(CH2)pCH2〇H (wherein p is 1-3) (ie a compound; in particular, a compound of the formula (Ie) wherein the rule 1 is 11 and wherein: ^ and γ are each H, and wherein q is i_3&r is hydrazine or wherein q is 0 and r is 1-3. In these compounds, R.sup.2 is preferably hydrazine or -CH2_CH2-OH and the sum of q and r is preferably a sigma wherein R2〇 is Η or C^C:6 alkyl, especially 彼( Le) The compound is an important member of each subclass of the compound of the above formula (Ie) ^ - Hydroxy-3-[4-[[(2-hydroxyethyl)[2-(1//·吲哚-3-yl)) Ethyl]-amine·yl]methyl]phenyl]-2£-2-propanylamine, hydrazine-perylene-3-[4-[[[2·(ΐ//-弓布朵-3 -yl)ethyl]-amino]methyl]phenyl]·2£_2· acrylamide and hydrazine-3·[4-[[[2-(2-曱基〇朵_3·) _Ethyl]•Amino]methyl]phenyl]-2£-2-propenylamine or a pharmaceutically acceptable salt thereof is an important compound of the formula 141243.doc-22. 201006469 (Ie). The invention further relates to a compound of formula (If):

或其醫藥學上可接受之鹽。可變取代基係如上文所定義。 有用之式(If)化合物包括其中R2為Η或-(CH2)pCH2OH(其 中P為卜3)之式(If)化合物,尤其其中1為^[之式(If)化合 物;諸如其中11]為Η且X及Y各自為Η,且其中q為1-3且r為〇 或其中q為0且r為1-3之式(If)化合物。在此等化合物中,r2 較佳為Η或-CH2-CH2-OH且q與r之和較佳為1。 #-經基-3-[4-[[[2-(苯并吱喃_3_基)_乙基]_胺基]甲基]苯 基]-2五-2-丙烯醯胺或其醫藥學上可接受之鹽為重要之式 (if)化合物。 上述化合物通常係以醫藥學上可接受之鹽形式使用。醫 藥學上可接受之鹽包括(適當時)醫藥學上可接受之鹼加成 鹽及酸加成鹽,例如金屬鹽(諸如鹼金屬鹽及鹼土金屬鹽)、 銨鹽、有機胺加成鹽及胺基酸加成鹽及磺酸鹽。酸加成鹽 包括無機酸加成鹽,諸如鹽酸鹽、硫酸鹽及磷酸鹽;及有 機酸加成鹽,諸如烷基磺酸鹽、芳基磺酸鹽、乙酸鹽、順 丁烯酸鹽、反丁烯二酸鹽、酒石酸鹽、檸檬酸鹽及乳酸 鹽。金屬鹽之實例為鹼金屬鹽,諸如鋰鹽、鈉鹽及鉀鹽; 14I243.doc -23- 201006469 鹼土金屬鹽,諸如鎂鹽及鈣鹽;鋁鹽及鋅鹽。銨鹽之實例 為銨鹽及四曱基銨鹽。有機胺加成鹽之實例為與嗎啉及哌 啶所形成之鹽。胺基酸加成鹽之實例為與甘胺酸、苯丙胺 酸、麩胺酸及離胺酸所形成之鹽。磺酸鹽包括甲磺酸鹽、 甲苯磺酸鹽及苯磺酸鹽。 式(I)範疇内之其他HDAC化合物及其合成揭示於2002年 3月21日公開之WO 02/22577中,該文獻係以全文弓|用的方 式併入本文中。WO 02/22577範疇内之兩種較佳化合物為:Or a pharmaceutically acceptable salt thereof. Variable substituents are as defined above. Useful compounds of the formula (If) include compounds of the formula (If) wherein R 2 is hydrazine or -(CH 2 )pCH 2 OH (wherein P is s), in particular wherein 1 is a compound of the formula (If); And X and Y are each deuterium, and a compound of the formula (If) wherein q is 1-3 and r is deuterium or wherein q is 0 and r is 1-3. In these compounds, r2 is preferably hydrazine or -CH2-CH2-OH and the sum of q and r is preferably 1. #-经基-3-[4-[[[2-(benzofuran]-3-yl)-ethyl]-amino]methyl]phenyl]-2penta-2-propenylamine or its A pharmaceutically acceptable salt is an important formula (if). The above compounds are usually used in the form of a pharmaceutically acceptable salt. The pharmaceutically acceptable salts include, where appropriate, pharmaceutically acceptable base addition salts and acid addition salts, such as metal salts (such as alkali metal and alkaline earth metal salts), ammonium salts, organic amine addition salts. And amino acid addition salts and sulfonates. Acid addition salts include inorganic acid addition salts such as hydrochlorides, sulfates and phosphates; and organic acid addition salts such as alkyl sulfonates, aryl sulfonates, acetates, methacrylates , fumarate, tartrate, citrate and lactate. Examples of metal salts are alkali metal salts such as lithium salts, sodium salts and potassium salts; 14I243.doc -23- 201006469 alkaline earth metal salts such as magnesium salts and calcium salts; aluminum salts and zinc salts. Examples of ammonium salts are ammonium salts and tetradecyl ammonium salts. An example of an organic amine addition salt is a salt formed with morpholine and piperidine. Examples of the amino acid addition salt are salts formed with glycine, amphetamine, glutamic acid and lysine. Sulfonic acid salts include methanesulfonate, tosylate and besylate. Other HDAC compounds within the scope of Formula (I) and their synthesis are disclosed in WO 02/22577, published on Mar. 21, 2002, which is incorporated herein in its entirety. Two preferred compounds within the scope of WO 02/22577 are:

iV-羥基-3-[4-[(2-羥基乙基){2-(1//-吲哚-3-基)乙基]-胺基] 曱基]苯基]-2五-2-丙烯醯胺或其醫藥學上可接受之鹽,及iV-hydroxy-3-[4-[(2-hydroxyethyl){2-(1//--indol-3-yl)ethyl]-amino]indolyl]phenyl]-2-5-2 - acrylamide or a pharmaceutically acceptable salt thereof, and

(III) iV-羥基-3-[4-[[[2-(2-曱基-1/f-吲哚-3-基)-乙基]-胺基]曱基] 苯基]-2E-2-丙烯醯胺或其醫藥學上可接受之鹽。 此外,本發明係關於一種治療急性骨髓白血病及/或骨髓 發育不良症候群之方法,其包含向有此需要之溫血動物(尤 141243.doc -24- 201006469 其人類)投與治療有效量之hdac抑制劑,較佳係向有此需 要之溫血動物(較佳係人類)投與治療有效量之如上文所定 義之式(I)化合物或具有至少一個成鹽基團之該化合物之 鹽。 如本文所用之術語「治療J包括對患有急性骨髓白血病 及/或骨髓發育不良症候群或處於該疾病之前期中之患者 進行治療,其效果在於延遲該等患者疾病之進程。 本發明提供一種治療急性骨髓白血病及/或骨髓發育不 良症候群之方法,其包括向有此需要之溫血動物投與針對 急性骨髓白血病及/或骨髓發育不良症候群治療有效量之 HDAC抑制劑。 熟習相關技術者完全能夠選擇相關測試模式來證實上文 及下文所提及之抑制HDAC活性之化合物對急性骨趙白血 病及/或骨髓發育不良症候群之有益作用。可例如在合適的 臨床研究中或藉助於下述實例’來證明抑制肋从活性之化 合物的藥理學活性。 本發明亦提供—種以如本文中所定義之式⑴化合物於製 備供治療急性㈣白血病及/或㈣發育不良症候群之藥 物上的用途’及以本發明之組合(combination OF the INVENT職)於製備供治療急性㈣白血病及/或㈣0 不良症候群之藥物上的用途。 組合搭配物包括抗增殖性化合物。該等抗增殖性化合物 包括(但不限於)芳香酶抑制劑;抗雌激素藥;拓撲異構酶工 抑制劑;拓撲異構抑制劑;微管活性化合物;统基化化 141243.doc •25- 201006469 合物;組蛋白脫乙醯基酶抑制劑;誘導細胞分化過程之化 合物;環加氧酶抑制劑;MMP抑制劑;mTOR抑制劑;抗 贅生性抗代謝物;鉑化合物;靶向/降低蛋白質或脂質激酶 活性之化合物及其他抗血管生成化合物;靶向、降低或抑 制蛋白質或脂質磷酸酶活性之化合物;性腺釋素促效劑; 抗雄激素藥;甲硫胺酸胺肽酶抑制劑;雙膦酸鹽;生物反 應調節劑;抗增殖性抗體;乙醯肝素酶(heparanase)抑制 劑;Ras致癌同功異型物抑制劑;端粒酶抑制劑;蛋白酶體 抑制劑;用於治療血液科惡性疾病之化合物;把向、降低 或抑制Flt-3活性之化合物;Hsp90抑制劑,諸如17-AAG(17-稀丙基胺基格爾德黴素(17-allylaminogeldanamycin), NSC3 3 05 07)、17-DMAG(17-二曱基胺基乙基胺基-17-去甲 氧基-格爾德黴素,NSC707545)、IPI-504、CNF1010、 CNF2024、CNF1010(來自 Conforma Therapeutics);替莫0坐 胺(temozolomide)(TEMODAL®);驅動蛋白纺錘體蛋白抑制 劑,諸如 SB715992 或 SB743921(來自 GlaxoSmithKline),或 戊院肺 / 氯丙 σ秦(pentamidine/chlorpromazine)(來自 CombinatoRx) ; MEK抑制劑,諸如 ARRY 1428 86(來自 Array PioPharma),AZD6244(來自 AstraZeneca),PD181461(來自 Pfizer)及甲醯四氫葉酸(leucovorin)。 如本文所用之術語「芳香酶抑制劑」涉及一種抑制雌激 素產生(亦即抑制受質雄烯二酮及睪固酮分別轉化成雌酮 及雌二醇)之化合物。該術語包括(但不限於)類固醇,尤 其阿他美坦(atamestane)、依西美坦(exemestane)及福美司 141243.doc -26- 201006469 坦(formestane);及尤其非類固醇,尤其胺魯米特 (aminoglutethimide)、羅谷亞胺(roglethimide)、°比魯米特 (pyridoglutethimide)、曲洛司坦(trilostane)、睪内醋(testolactone)、 _ 康 *坐(ketokonazole)、伏羅嗤(vorozole)、法屈》坐(fadrozole)、 阿那曲唾(anastrozole)及來曲》坐(letrozole)。依西美坦可以 例如以例如商標AROMAS IN市售之形式投與。福美司坦可 以例如以例如商標LENTARON市售之形式投與。法屈唑可 以例如以例如商標AFEMA市售之形式投與。阿那曲唑可以 例如以例如商標ARIMIDEX市售之形式投與。來曲嗤可以 例如以例如商標FEMARA或FEMAR市售之形式投與。胺魯 米特可以例如以例如商標ORIMETEN市售之形式投與。包 含作為芳香酶抑制劑之化學治療劑之本發明組合尤其適用 於治療激素受體陽性腫瘤,例如乳房腫瘤。 如本文所用之術語「抗雌激素藥」涉及一種在雌激素受 體層面上拮抗雌激素效應之化合物。該術語包括(但不限於) 他莫昔芬(tamoxifen)、氟維司群(fulvestrant)、雷諾昔芬 (raloxifene)及鹽酸雷諾昔芬。他莫昔芬可以例如以例如商 標NOLVADEX市售之形式投與。鹽酸雷諾昔芬可以例如以 例如商標EVISTA市售之形式投與。氟維司群可如US 4,6 5 9,5 16中所揭示加以調配或其可以例如以例如商標 FASLODEX市售之形式投與。包含作為抗雌激素藥之化學 治療劑之本發明組合尤其適用於治療雌激素受體陽性腫 瘤,例如乳房腫瘤。 如本文所用之術語「抗雄激素藥」涉及能夠抑制雄性激 141243.doc -27- 201006469 素生物效應之任何物質且包括(但不限於)比卡魯胺 (bicalutamide)(CASODEX),其可例如按 US 4,636,505 中所 揭示加以調配《如本文所用之術語「性腺釋素促效劑」包 括(但不限於)阿倍瑞克(abarelix)、戈舍瑞林(goserelin)及乙 酸戈舍瑞林。戈舍瑞林係揭示於US 4,100,274中且可以例如 以例如商標ZOLADEX市售之形式投與。阿倍瑞克可例如按 US 5,843,901中所揭示加以調配。 如本文所用之術語「拓撲異構酶I抑制劑」包括(但不限 於)拓朴替康(topotecan)、吉馬替康(gimatecan)、伊立替康 (irinotecan)、喜樹驗(camptothecian)及其類似物,9-确基喜 樹鹼及大分子喜樹鹼接合物PNU-166148(W099/17804中之 化合物A1)。伊立替康可以例如以例如商標CAMPTOSAR市 售之形式投與。拓朴替康可以例如以例如商標HYCAMTIN 市售之形式投與。 如本文所用之術語「拓撲異構酶Π抑制劑」包括(但不限 於):蒽環黴素(anthracycline),諸如阿黴素(doxorubicin)(包 括脂質體調配物,例如CAELYX)、道諾黴素(daunorubicin)、 表柔比星(epirubicin)、黃膽素(idarubicin)及奈莫柔比星 (nemombicin);蒽酿(anthraquinone),米托蒽酿(mitoxantrone) 及洛索蒽酿(losoxantrone);及鬼臼毒素(podophillotoxine),依 託泊戒(etoposide)及替尼泊武(teniposide)。依託泊戒可以例 如以例如商標ETOPOPHOS市售之形式投與。替尼泊甙可以 例如以例如商標VM 26-BRISTOL市售之形式投與。阿黴素 141243.doc -28 - 201006469 可以例如以例如商標ADRIBLASTIN或ADRIAMYCIN市售 之形式投與。表柔比星可以例如以例如商標farm〇rubicin 市售之形式投與。黃膽素可以例如以例如商標ZAVEDOS市 售之形式投與。米托蒽醌可以例如以例如商標NOVANTRON 市售之形式投與。 術語「微管活性化合物」涉及微管穩定化合物、微管去 穩定化合物及微管聚合抑制劑,包括(但不限於):紫杉烷 (taxane),例如太平洋紫杉醇(paclitaxel)及多稀紫杉醇 (docetaxel);長春花生物驗(vinca alkaloid),例如長春驗 (vinblastine)(尤其硫酸長春驗)、長春新驗(vincristine)(尤其 硫酸長春新驗)及長春瑞賓(vinorelbine);迪斯德莫來 (discodermolide);秋水仙驗(cochicine);及埃博徽素 (epothilone)及其衍生物,例如,埃博黴素B或埃博黴素D或 其衍生物。太平洋紫杉醇可以例如以例如商標TAXOL市售 之形式投與。多烯紫杉醇可以例如以例如商標TAXOTERE 市售之形式投與。硫酸長春鹼可以例如以例如商標 VINBLASTIN R.P.市售之形式投與。硫酸長春新驗可以例 如以例如商標FARMISTIN市售之形式投與》迪斯德莫來可 例如按US 5,010,099中所揭示得到。亦包括埃博黴素衍生 物,其揭示於 WO 98/10121、US 6,194,181、WO 98/25929、 WO 98/08849、WO 99/43653、WO 98/22461 及 WO 00/31247 中。尤其較佳為埃博黴素A及/或埃博黴素B。 如本文所用之術語「烷基化劑」包括(但不限於)環磷醯 胺(cyclophosphamide)、異環磷醯胺(ifosfamide)、美法侖 141243.doc •29- 201006469 (melphalan)或亞石肖基脲(nitrosourea)(BCNU 或 Gliadel)。環 磷醯胺可以例如以例如商標CYCLOSTIN市售之形式投 與。異環磷醯胺可以例如以例如商標HOLOXAN市售之形式 投與》 如本文所用之術語「鉑化合物」包括(但不限於)卡鉑 (carboplatin)、順氣胺銘(cisplatin)、順銘(cisplatinum)及奥 赛力麵(oxaliplatin)。卡銘可以例如以例如商標 CARBOPLAT市售之形式投與。奥赛力鉑可以例如以例如商 標ELOXATIN市售之形式投與。 如本文所用之術語「靶向/降低蛋白質或脂質激酶活性; 或蛋白質或脂質磷酸酶活性之化合物;或其他抗血管生成 化合物」包括(但不限於)蛋白質酪胺酸激酶及/或絲胺酸及/ 或蘇胺酸激酶抑制劑或脂質激酶抑制劑,例如: a) 靶向、降低或抑制血小板衍生生長因子受體(PDGFR) 活性之化合物,諸如靶向、降低或抑制PDGFR活性之化 合物,尤其抑制PDGF受體之化合物,例如N-苯基-2-嘧 咬-胺衍生物,例如伊馬替尼(imatinib)、SU101、SU6668 及 GFB-111 ; b) 靶向、降低或抑制纖維母細胞生長因子受體(FGFR) 活性之化合物; c) 靶向、降低或抑制胰島素樣生長因子受體I(IGF-IR) 活性之化合物,諸如乾向、降低或抑制IGF-IR活性之化 合物,尤其抑制IGF-I受體之激酶活性之化合物,諸如WO 02/092599中所揭示之彼等化合物,或靶向IGF-I受體或其 141243.doc • 30- 201006469 生長因子之胞外域之抗體; d) 乾向、降低或抑制Trk受體絡胺酸激酶家族活性之化 合物,或ephrin B4抑制劑; e) 乾向、降低或抑制Axl受體酷胺酸激酶家族活性之化 合物; f) 把向、降低或抑制Ret受體酷胺酸激酶活性之化合物; g) 靶向、降低或抑制Kit/SCFR受體酪胺酸激酶活性之 化合物,例如伊馬替尼; I h) 靶向、降低或抑制C-kit受體酪胺酸激酶(PDGFR家族 之部分)活性之化合物,諸如靶向、降低或抑制c-Kit受體 酪胺酸激酶家族活性之化合物,尤其抑制c-Kit受體之化 合物,例如伊馬替尼; i) 靶向、降低或抑制c-Abl家族成員、其基因融合產物 (例如,BCR-Abl激酶)及突變體活性之化合物,諸如靶 向、降低或抑制c-Abl家族成員及其基因融合產物活性之 _ 化合物,例如N-苯基-2-,咬-胺衍生物,例如伊馬替尼或 尼羅替尼(nilotinib)(AMN107) ; PD180970 ; AG957 ; NSC 680410 ; PD173955(來自 ParkeDavis);或達沙替尼 (dasatinib)(BMS-354825); j) 靶向、降低或抑制蛋白質激酶C(PKC)成員及絲胺酸/ 蘇胺酸激酶Raf家族成員、MEK、SRC、JAK、FAK、PDKJ、 PKB/Akt成員及Ras/MAPK家族成員及/或週期素依賴性 激酶家族(CDK)成員之活性的化合物,且尤其為US 5,093,330中戶斤揭示之彼等星抱菌素(staurosporine)衍生 141243.doc -31- 201006469 物,例如米β朵妥林(midostaurin);其他化合物之實例包括 例如UCN-01、沙芬戈(safingol)、BAY 43-9006、苔蘚蟲 素 l(Bryostatin 1)、旅立福新(Perifosine);伊莫福新 (Ilmofosine) ; RO 318220及RO 320432 ; GO 6976 ; Isis 3521 ; LY333531/LY379196;異喹啉化合物(isochinoline compound),諸如 WO 00/09495 中所揭示者;FTI ; PD184352 或 QAN697(P13K抑制劑)或 AT7519(CDK抑制 劑); k) 靶向、降低或抑制蛋白質-酪胺酸激酶抑制劑活性之 瘳 化合物,諸如靶向、降低或抑制蛋白質-酪胺酸激酶抑制 劑活性之化合物包括曱磺酸伊馬替尼(GLEEVEC)或 tyrphostin。tyrphostin較佳為低分子量(Mr < 1500)化合物 或其醫藥學上可接受之鹽,尤其為選自亞苄基丙二腈類 或S-芳基苯丙二腈或雙受質喹啉類化合物之化合物,更 尤其為選自由以下各化合物組成之群之任何化合物: Tyrphostin A23/RG-50810 ; AG 99 ; Tyrphostin AG 213 ; Tyrphostin AG 1748 ; Tyrphostin AG 490 ; Tyrphostin B44 ; Tyrphostin B44 (+)對映異構體;Tyrphostin AG 555 ; AG 494 ; Tyrphostin AG 556 、AG957 及 · adaphostin(4-{[(2,5-二羥基苯基)甲基]胺基}-苯甲酸金剛 燒基醋;NSC 680410、adaphostin); l) 靶向、降低或抑制受體酪胺酸激酶之表皮生長因子 家族(呈均二聚體或異二聚體形式之EGFR、ErbB2、(III) iV-hydroxy-3-[4-[[[2-(2-mercapto-1/f-indol-3-yl)-ethyl]-amino]indenyl]phenyl]-2E -2-Propanylamine or a pharmaceutically acceptable salt thereof. Furthermore, the present invention relates to a method for treating acute myeloid leukemia and/or myelodysplastic syndrome comprising administering to a warm-blooded animal in need thereof (especially 141243.doc-24-201006469 humans thereof) a therapeutically effective amount of hdac The inhibitor, preferably a warm-blooded animal, preferably a human, in need thereof, is administered a therapeutically effective amount of a compound of formula (I) as defined above or a salt of the compound having at least one salt-forming group. The term "treatment J" as used herein includes treatment of a patient suffering from acute myeloid leukemia and/or myelodysplastic syndrome or in a pre-stage of the disease, the effect of which is to delay the progression of the disease in such patients. The present invention provides a treatment A method of acute myeloid leukemia and/or myelodysplastic syndrome comprising administering to a warm-blooded animal in need thereof a therapeutically effective amount of an HDAC inhibitor against acute myeloid leukemia and/or myelodysplastic syndrome. The relevant test mode is selected to confirm the beneficial effects of the compounds inhibiting HDAC activity mentioned above and below on acute osteoblastic leukemia and/or myelodysplastic syndromes, for example in a suitable clinical study or by means of the following examples' To demonstrate the pharmacological activity of a compound which inhibits the rib from being active. The invention also provides the use of a compound of formula (1) as defined herein for the manufacture of a medicament for the treatment of acute (tetra) leukemia and/or (d) dysplasia syndromes' In the combination of the invention (combination OF the INVENT) Uses for the treatment of acute (d) leukemia and/or (d) 0 adverse syndromes. Combination partners include anti-proliferative compounds including, but not limited to, aromatase inhibitors; antiestrogens; topological differences Enzyme inhibitors; topoisomerase inhibitors; microtubule active compounds; basalization 141243.doc • 25- 201006469 compounds; histone deacetylase inhibitors; compounds that induce cell differentiation; Oxygenase inhibitors; MMP inhibitors; mTOR inhibitors; anti-neoplastic antimetabolites; platinum compounds; compounds that target/lower protein or lipid kinase activity and other anti-angiogenic compounds; target, reduce or inhibit proteins or lipids Phosphatase active compound; gonadotropin agonist; antiandrogen; methionine amine peptidase inhibitor; bisphosphonate; biological response modifier; antiproliferative antibody; heparinase (heparanase) Inhibitor; Ras oncogenic isoform inhibitor; telomerase inhibitor; proteasome inhibitor; compound for the treatment of hematological malignant diseases; Compounds that are low or inhibit Flt-3 activity; Hsp90 inhibitors, such as 17-AAG (17-allylaminogeldanamycin, NSC3 3 05 07), 17-DMAG (17-two) Nonylaminoethylamino-17-desmethoxy-geldanamycin, NSC707545), IPI-504, CNF1010, CNF2024, CNF1010 (from Conforma Therapeutics); temozolomide (TEMODAL) ®); kinesin spindle protein inhibitors, such as SB715992 or SB743921 (from GlaxoSmithKline), or pentamidine/chlorpromazine (from CombinatoRx); MEK inhibitors such as ARRY 1428 86 (from Array PioPharma), AZD6244 (from AstraZeneca), PD181461 (from Pfizer) and formazan leucovorin. The term "aromatase inhibitor" as used herein relates to a compound which inhibits the production of estrogen (i.e., inhibits the conversion of the receptor androstenedione and the testosterone to estrone and estradiol, respectively). The term includes, but is not limited to, steroids, particularly atamestane, exemestane, and fumes 141243.doc -26-201006469 stan (formestane); and especially non-steroids, especially amine rumimi (aminoglutethimide), roqueimimide (roglethimide), pyridoglutethimide, trilostane, testolactone, ketokonazole, vorozole ), 法屈" sitting (fadrozole), anastrozole (anastrozole) and come to sit (letrozole). Exemestane can be administered, for example, in the form as it is marketed, for example, under the trademark AROMAS IN. Formestane can be administered, for example, in the form as it is marketed, for example, under the trademark LENTARON. The fadrozole can be administered, for example, in the form as it is marketed, for example, under the trademark AFEMA. Anastrozole can be administered, for example, in the form as it is marketed, for example, under the trademark ARIMIDEX. The koji can be administered, for example, in the form of, for example, the trademark FEMARA or FEMAR. Amine can be administered, e.g., in the form as it is marketed, e.g. under the trademark ORIMETEN. Combinations of the invention comprising a chemotherapeutic agent as an aromatase inhibitor are particularly useful for treating hormone receptor positive tumors, such as breast tumors. The term "antiestrogens" as used herein relates to a compound which antagonizes the estrogen effect at the estrogen receptor level. The term includes, but is not limited to, tamoxifen, fulvestrant, raloxifene, and raloxifene hydrochloride. Tamoxifen can be administered, for example, in the form as it is marketed, for example, under the trademark NOLVADEX. Raloxifene hydrochloride can be administered, e.g., in the form as it is marketed, e.g. under the trademark EVISTA. Fulvestrant can be formulated as disclosed in U.S. Patent 4,6 5 9,5, or it can be administered, for example, in the form of, for example, the trade name FASLODEX. Combinations of the invention comprising a chemotherapeutic agent as an antiestrogens are particularly useful for treating estrogen receptor positive tumors, such as breast tumors. The term "antiandrogen" as used herein relates to any substance capable of inhibiting the biological effects of male stimulating 141243.doc -27-201006469 and includes, but is not limited to, bicalutamide (CASODEX), which may for example As defined in US 4,636,505, the term "gonados agonist" as used herein includes, but is not limited to, abarelix, goserelin, and goserelin acetate. Goserelin is disclosed in U.S. Patent No. 4,100,274, the disclosure of which is incorporated herein by reference in its entirety in its entirety. Abex can be formulated, for example, as disclosed in U.S. Patent 5,843,901. The term "topoisomerase I inhibitor" as used herein includes, but is not limited to, topotecan, gimatecan, irinotecan, camptothecian, and Analogs, 9-decylcamptothecin and macromolecular camptothecin conjugate PNU-166148 (compound A1 in WO 99/17804). Irinotecan can be administered, for example, in the form as it is marketed, for example, under the trademark CAMPTOSAR. Topotecan can be administered, for example, in the form as it is marketed, for example, under the trademark HYCAMTIN. The term "topoisomerase purine inhibitor" as used herein includes, but is not limited to, anthracycline, such as doxorubicin (including liposome formulations such as CAELYX), and Doxorubicin Daunorubicin, epirubicin, idarubicin, and nemombicin; anthraquinone, mitoxantrone, and losoxantrone ; and podophillotoxine, etoposide and teniposide. The docking ring can be administered, for example, in the form of, for example, the trademark ETOPOPHOS. Teniposide can be administered, for example, in the form as it is marketed, for example, under the trademark VM 26-BRISTOL. Doxorubicin 141243.doc -28 - 201006469 can be administered, for example, in the form of, for example, the trademark ADRIBLASTIN or ADRIAMYCIN. Epirubicin can be administered, for example, in the form as it is marketed, for example, under the trademark farm 〇 rubicin. The choline can be administered, for example, in the form as it is marketed, for example, under the trademark ZAVEDOS. Mitoxantrone can be administered, for example, in the form as it is marketed, for example, under the trademark NOVANTRON. The term "microtubule active compound" relates to microtubule stabilizing compounds, microtubule destabilizing compounds, and microtubule polymerization inhibitors, including but not limited to: taxanes such as paclitaxel and polydextrose ( Docetaxel); vinca alkaloid, such as vinblastine (especially sulphuric acid sulphate), vincristine (especially vinca sulphate) and vinorelbine; Descendé Discodermolide; cochicine; and epothilone and its derivatives, for example, epothilone B or epothilone D or a derivative thereof. Pacific paclitaxel can be administered, for example, in the form as it is marketed, for example, under the trademark TAXOL. Docetaxel can be administered, for example, in the form as it is marketed, for example, under the trademark TAXOTERE. Vinblastine sulfate can be administered, for example, in the form as it is marketed, for example, under the trademark VINBLASTIN R.P. The vincosine sulfate test can be obtained, for example, in the form of, for example, the trademark FARMISTIN, which is commercially available, for example, as disclosed in U.S. Patent 5,010,099. Epothilone derivatives are also disclosed, which are disclosed in WO 98/10121, US 6,194,181, WO 98/25929, WO 98/08849, WO 99/43653, WO 98/22461, and WO 00/31247. Particularly preferred is epothilone A and/or epothilone B. The term "alkylating agent" as used herein includes, but is not limited to, cyclophosphamide, ifosfamide, melphalan 141243.doc •29-201006469 (melphalan) or ashishiji Urea (nitrosourea) (BCNU or Gliadel). Cyclophosphamide can be administered, e.g., in the form as it is marketed, e.g. under the trademark CYCLOSTIN. The ifosfamide can be administered, for example, in the form as it is marketed, eg under the trademark HOLOXAN. As used herein, the term "platinum compound" includes, but is not limited to, carboplatin, cisplatin, shunming ( Cisplatinum) and oxaliplatin. The card name can be administered, for example, in the form of, for example, the trademark CARBOPLAT. Osliplatin can be administered, for example, in the form as it is marketed, e.g., under the trademark ELOXATIN. The term "targeting/reducing protein or lipid kinase activity; or a protein or lipid phosphatase activity compound; or other anti-angiogenic compound" as used herein includes, but is not limited to, protein tyrosine kinase and/or serine And/or a sulphate kinase inhibitor or a lipid kinase inhibitor, for example: a) a compound that targets, decreases or inhibits the activity of platelet-derived growth factor receptor (PDGFR), such as a compound that targets, decreases or inhibits PDGFR activity, Compounds that specifically inhibit the PDGF receptor, such as N-phenyl-2-pyrimidine-amine derivatives, such as imatinib, SU101, SU6668, and GFB-111; b) targeting, reducing or inhibiting fibroblasts a compound that is active in growth factor receptor (FGFR); c) a compound that targets, decreases or inhibits the activity of insulin-like growth factor receptor I (IGF-IR), such as a compound that is dry, reduces or inhibits IGF-IR activity, especially Compounds that inhibit the kinase activity of the IGF-I receptor, such as those disclosed in WO 02/092599, or extracellular to the IGF-I receptor or its 141243.doc • 30-201006469 growth factor a domain antibody; d) a compound that is dry, reduces or inhibits the activity of the Trk receptor retinoic acid kinase family, or an ephrin B4 inhibitor; e) a compound that is dry, reduces or inhibits the activity of the Axl receptor valine kinase family; f) a compound that redirects, reduces or inhibits the activity of the Ret receptor valine kinase; g) a compound that targets, reduces or inhibits the activity of the Kit/SCFR receptor tyrosine kinase, such as imatinib; I h) targeting a compound that reduces or inhibits the activity of the C-kit receptor tyrosine kinase (part of the PDGFR family), such as a compound that targets, decreases or inhibits the activity of the c-Kit receptor tyrosine kinase family, particularly inhibits c-Kit Compounds such as imatinib; i) compounds that target, reduce or inhibit c-Abl family members, their gene fusion products (eg, BCR-Abl kinase), and mutant activities, such as targeting, reducing or inhibiting c - Abl family members and their gene fusion product activities - compounds such as N-phenyl-2-, biting-amine derivatives such as imatinib or nilotinib (AMN107); PD180970; AG957; NSC 680410; PD173955 (from ParkeDavis); Or dasatinib (BMS-354825); j) targeting, reducing or inhibiting protein kinase C (PKC) members and members of the serine/threonine kinase Raf family, MEK, SRC, JAK, FAK, Compounds of PDKJ, PKB/Akt members and members of the Ras/MAPK family and/or members of the cyclin-dependent kinase family (CDK), and in particular those derived from Staurosporine disclosed in US 5,093,330 141243.doc -31- 201006469, such as rice betaostaurin; examples of other compounds include, for example, UCN-01, safingol, BAY 43-9006, Bryostatin 1 Perifosine; Ilmofosine; RO 318220 and RO 320432; GO 6976; Isis 3521; LY333531/LY379196; isochinoline compound, such as disclosed in WO 00/09495 ; FTI; PD184352 or QAN697 (P13K inhibitor) or AT7519 (CDK inhibitor); k) 瘳 compounds that target, reduce or inhibit protein-tyrosine kinase inhibitor activity, such as targeting, reducing or inhibiting protein-case Amino acid kinase inhibitor active compound Yue comprising imatinib mesylate (GLEEVEC®) or tyrphostin. Tyrphostin is preferably a low molecular weight (Mr < 1500) compound or a pharmaceutically acceptable salt thereof, especially selected from the group consisting of benzalmalononitrile or S-aryl phenylmalononitrile or double acceptor quinoline A compound of the compound, more particularly any compound selected from the group consisting of: Tyrphostin A23/RG-50810; AG 99; Tyrphostin AG 213; Tyrphostin AG 1748; Tyrphostin AG 490; Tyrphostin B44; Tyrphostin B44 (+) pair Opids; Tyrphostin AG 555 ; AG 494 ; Tyrphostin AG 556 , AG957 and · adaphostin (4-{[(2,5-dihydroxyphenyl)methyl]amino}-benzoic acid acetonide vinegar; NSC 680410, adaphostin); l) targeting, reducing or inhibiting the epidermal growth factor family of receptor tyrosine kinases (in the form of homodimers or heterodimers, EGFR, ErbB2

ErbB3、ErbB4)及其突變體之活性的化合物,諸如靶向、 141243.doc -32- 201006469 降低或抑制表皮生長因子受體家族活性之化合物尤其為 抑制EGF受體酪胺酸激酶家族成員(例如EGF受體、 ErbB2、ErbB3及ErbB4)或與EGF或EGF相關配體結合之 化合物、蛋白質或抗體,且尤其為WO 97/02266(例如實 例 39之化合物),或 EP 0 564 409、WO 99/03854、EP 0520722、EP 0 566 226、EP 0 787 722、EP 0 837 063、 US 5,747,498 ' WO 98/10767、WO 97/30034、WO 97/49688、WO 97/38983且尤其 WO 96/3 0347(例如稱作 CP 3 5 8774之化合物)、WO 96/3 3980(例如化合物ZD 1839)及 WO 95/03283(例如化合物ZM105 180)中一般及特定揭示 之彼等化合物、蛋白質或單株抗體;例如曲妥珠單抗 (trastuzumab)(贺癌平(Herceptin)™)、西妥昔單抗 (cetuximab)(愛必妥(Erbitux)™)、艾瑞沙(Iressa)、得舒缓 (Tarceva)、OSI-774、CI-103 3、EKB-5 69、GW-2016、E1.卜 E2.4、E2.5、E6.2、E6.4、E2.ll、E6.3 或 E7.6.3,及 7H-吡咯并[2,3-d]嘧啶衍生物,其揭示於WO 03/013541中;及 m)靶向、降低或抑制c-Met受體活性之化合物’諸如靶 向、降低或抑制c-Met活性之化合物’尤其抑制c-Met受 體之激酶活性之化合物,或靶向c-Met之胞外域或與HGF 結合之抗體。 其他抗血管生成化合物包括具有另外的活性機制(例如 與蛋白質或脂質激酶抑制無關)之化合物’例如’沙立度胺 (thalidomide)(THALOMID)及 TNP-470 ° 靶向、降低或抑制蛋白質或脂質磷酸酶活性之化合物例 141243.doc •33· 201006469 如為磷酸酶1抑制劑、磷酸酶2A抑制劑或CDC25抑制劑,例 如岡田井酸(okadaic acid)或其衍生物。 誘導細胞分化過程之化合物例如為視黃酸(retinoic acid)、α-生育酚、γ-生育酚或δ-生育酚或α-生育三烯酚、γ-生育三烯酚或δ-生育三烯酚。 如本文所用之術語環加氧酶抑制劑包括(但不限於)例如 Cox-2抑制劑,5-烷基取代2-芳基胺基苯基乙酸及衍生物, 諸如塞内昔布(celecoxib)(CELEBREX)、羅非考昔 (rofecoxib)(VIOXX)、依託考昔(etoricoxib)、伐地考昔 (valdecoxib)或5-烷基-2-芳基胺基苯基乙酸(例如,5-曱基 -2-(2'-氣-6' -氟苯胺基)苯基乙酸)、盧米羅可(lumiracoxib)。 如本文所用之術語「雙膦酸鹽」包括(但不限於)依替酮 酸(etridonic acid)、氣膦酸(clodronic acid)、替魯羅酸 (tiludronic acid)、帕米膦酸(pamidronic acid)、阿侖膦酸 (alendronic acid)、伊班膦酸(ibandronic acid)、利塞膦酸 (risedronic acid)及。坐來鱗酸(zoledronic acid)。「依替酮酸」 可以例如以例如商標DIDRONEL市售之形式投與。「氣膦 酸」可以例如以例如商標BONEFOS市售之形式投與。「替 魯羅酸」可以例如以例如商標SKELID市售之形式投與。「帕 米膦酸」可以例如以例如商標AREDIA™市售之形式投與。Compounds of ErbB3, ErbB4) and their mutants, such as targeting, 141243.doc-32-201006469 Compounds that reduce or inhibit the activity of the epidermal growth factor receptor family are particularly members of the EGF receptor tyrosine kinase family (eg, EGF receptor, ErbB2, ErbB3 and ErbB4) or a compound, protein or antibody that binds to an EGF or EGF-related ligand, and in particular WO 97/02266 (for example a compound of Example 39), or EP 0 564 409, WO 99/ 03854, EP 0520722, EP 0 566 226, EP 0 787 722, EP 0 837 063, US 5,747, 498 'WO 98/10767, WO 97/30034, WO 97/49688, WO 97/38983 and especially WO 96/3 0347 ( For example, compounds such as CP 3 5 8774), WO 96/3 3980 (eg compound ZD 1839) and WO 95/03283 (eg compound ZM105 180) are generally and specifically disclosed for their compounds, proteins or monoclonal antibodies; for example Trastuzumab (HerceptinTM), cetuximab (ErbituxTM), Iressa, Tarceva, OSI -774, CI-103 3, EKB-5 69, GW-2016, E1. E2.4, E2.5, E6.2, E6.4, E2 .ll, E6.3 or E7.6.3, and 7H-pyrrolo[2,3-d]pyrimidine derivatives, disclosed in WO 03/013541; and m) targeting, reducing or inhibiting c-Met receptors An active compound such as a compound that targets, decreases or inhibits c-Met activity, particularly a compound that inhibits the kinase activity of the c-Met receptor, or an antibody that targets the extracellular domain of c-Met or binds to HGF. Other anti-angiogenic compounds include compounds that have additional mechanisms of activity (eg, unrelated to protein or lipid kinase inhibition), such as 'thalidomide (THALOMID) and TNP-470 °, targeting, reducing or inhibiting proteins or lipids Compound Example of Phosphatase Activity 141243.doc • 33· 201006469 For example, a phosphatase 1 inhibitor, a phosphatase 2A inhibitor or a CDC25 inhibitor, such as okadaic acid or a derivative thereof. Compounds that induce cell differentiation processes are, for example, retinoic acid, alpha-tocopherol, gamma-tocopherol or delta-tocopherol or alpha-tocotrienol, gamma-tocotrienol or delta-tocotrienol phenol. The term cyclooxygenase inhibitor as used herein includes, but is not limited to, for example, a Cox-2 inhibitor, a 5-alkyl substituted 2-arylaminophenylacetic acid, and a derivative such as celecoxib. (CELEBREX), rofecoxib (VIOXX), etoricoxib, valdecoxib or 5-alkyl-2-arylaminophenylacetic acid (eg, 5-mercapto-2) -(2'-Gas-6'-fluoroanilino)phenylacetic acid), Lumiracoxib. The term "bisphosphonate" as used herein includes, but is not limited to, etridonic acid, clodronic acid, tiludronic acid, pamidronic acid. ), alendronic acid, ibandronic acid, risedronic acid and. Sit zoledronic acid. "Etoxin acid" can be administered, for example, in the form as it is marketed, for example, under the trademark DIDRONEL. "Colaphosphonic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark BONEFOS. "Tirolic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark SKELID. "Pamidronic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark AREDIATM.

「阿侖膦酸」可以例如以例如商標FOSAMAX市售之形式投 與。「伊班膦酸」可以例如以例如商標BONDRANAT市售之 形式投與。「利塞膦酸」可以例如以例如商標ACTONEL市 售之形式投與。「唑來膦酸」可以例如以例如商標ZOMETA 141243.doc •34- 201006469 市售之形式投與。術語「mTOR抑制劑」涉及抑制雷帕黴素 (rapamycin)之哺乳動物標靶(mT〇R)且具有抗增殖活性之 化合物,諸如西羅莫司(sirolimus)(斥消靈(Rapamune)(g))、 依維莫司(everolimus)(卓定康(Certican)TM)、CCI_779 及 ABT578。 如本文所用之術語「肝素酶抑制劑」係指乾向、降低或 抑制硫酸肝素降解之化合物。該術語包括(但不限於)pi_88。 如本文所用之術s吾「生物反應調節劑」係指淋巴因子 ® (lymphokine)或干擾素,例如干擾素γ。 如本文所用之術語「Ras致癌同功異型物抑制劑」(例如, H-Ras、K-Ras或N-Ras)係指把向、降低或抑制Ras之致癌活 性之化合物,例如,「法尼基(famesyl)轉移酶抑制劑」,例 如 L-744832、DK8G557 或 R115777(紮奈司群(Zamestra))。 如本文所用之術語「端粒酶抑制劑」係指靶向、降低或 抑制端粒酶活性之化合物。乾向、降低或抑制端粒酶活性 φ 之化合物尤其為抑制端粒酶受體之化合物,例如端粒酶抑 素(telomestatin)。 如本文所用之術語「甲硫胺酸胺肽酶抑制劑」係指乾向、 ' 降低或抑制曱硫胺酸胺肽酶活性之化合物。乾向、降低或 • 抑制甲硫胺酸胺肽酶活性之化合物例如為苯胍麥 (bengamide)或其衍生物。 如本文所用之術語「蛋白酶體抑制舞丨」係指乾向、降低 或抑制蛋白酶趙活性之化合物。粗向、降低或抑制蛋白酶 體活性之化合物包括例如包替米得(B〇rtez〇mid)(維卡得 141243.doc -35· 201006469 (Velcade)™)及 MLN 341。 如本文所用之術語「基質金屬蛋白酶抑制劑」或(「ΜΜΡ」 抑制劑)包括(但不限於)膠原蛋白肽模擬物及非肽模擬物抑 制劑、四環素(tetracycline)衍生物,例如氫草醯胺酸酯肽模 擬物抑制劑巴馬司他(batimastat)及其可經口生物利用之類 似物馬立馬司他(marimastat)(BB-2516)、普琳司他 (prinomastat)(AG3340)、美他司他(metastat)(NSC 683551)、 BMS-27925 卜 BAY 12-9566、TAA21 卜 MMI270B或 AAJ996。 如本文所用之術語「用於治療血液科惡性疾病之化合物」 包括(但不限於)FMS樣酪胺酸激酶抑制劑,例如靶向、降低 或抑制FMS樣酪胺酸激酶受體(Flt-3R)活性之化合物;干擾 素、Ι-b-D-阿糖吱喃胞痛咬(ara-c)及白消安(bisulfan);及 ALK抑制劑,例如,靶向、降低或抑制多形性淋巴瘤激酶 之化合物。靶向、降低或抑制FMS樣酪胺酸激酶受體 (FU-3R)活性之化合物尤其為抑制Flt-3R受體激酶家族成員 之化合物、蛋白質或抗體,例如PKC412、米哚妥林、星孢 菌素衍生物、SU11248及MLN518。 如本文所用之術語「HSP90抑制劑」包括(但不限於)靶 向、降低或抑制HSP90之固有ATP酶活性之化合物;經由泛 素蛋白酶體路徑降解、靶向、降低或抑制HSP90客戶蛋白 之化合物。靶向、降低或抑制HSP90之固有ATP酶活性之化 合物尤其為抑制HSP90之ATP酶活性之化合物、蛋白質或抗 體,例如17-烯丙基胺基、17-去甲氧基格爾德黴素 (17AAG)(—種格爾德黴素衍生物);其他格爾德黴素相關化 141243.doc •36- 201006469 合物;根赤殼菌素(radicicol);及HDAC抑制劑。 如本文所用之術語「抗增殖性抗體」包括(但不限於)曲 妥珠單抗(贺癌平TM)、曲妥珠單抗-DM1、愛必妥、貝伐單 抗(bevacizumab)(癌思停(Avastin)™)、利妥昔單抗 (rituximab)(厘度姍(Rituxan)®)、PR064553(抗 CD40)及 2C4 抗體。抗體意謂例如完整單株抗體、多株抗體、由至少2 種完整抗體形成之多特異性抗體以及只要展現所要生物活 性即可之抗體片段。 術語「抗白血病化合物」包括例如Ara-C( —種嘴咬類似 物),其為脫氧胞苷之2'-α-羥基核糖(阿拉伯糖苷)衍生物。 亦包括次黃嘌呤、6-疏基嘌呤(6-ΜΡ)及磷酸氟達拉賓 (fludarabine phosphate)之嘌吟類似物。如本文所用之生長 抑素(somatostatin)受體拮抗劑係指把向、處理或抑制生長 抑素受體之化合物,諸如奥曲肽(octreotide)及SOM230。 腫瘤細胞破壞方法係指諸如離子化輻射之方法。上文及 下文中提及之術語「離子化輻射」意謂以電磁射線(諸如X 射線及γ射線)或粒子(諸如α及β粒子)形式發生之離子化輻 射。離子化輻射提供於(但不限於)輻射療法中且為此項技術 中已知。參見 Heilman,Principles of Radiation Therapy, Cancer, Praci/ce 〇/ 0«co/og少,Devita等人 編,第4版,第1卷,第248-275頁(1993)。 如本文所用之術語EDG結合劑係指一類調節淋巴球再循 環之免疫抑制劑,諸如FTY720。 術語核糖核苷酸還原酶抑制劑係指嘧啶或嘌呤核苷類似 141243.doc -37- 201006469 物,包括(但不限於)氟達拉賓(fiudarabine)及/或胞嘧啶阿拉 伯糖苷(ara-C)、6-硫代烏嘌呤、5-氟尿嘧啶、克拉屈濱 (cladribine)、6-疏基嗓呤(尤其與針對ALL之ara-C組合)及/ 或噴司他丁(pent〇statin)。核糖核普酸還原酶抑制劑尤其為 羥基脲或2-羥基-1β-異吲哚-1,3-二酮衍生物’諸如Nandy等 人,jcia ,第 33卷’第 8期’第 953-961 頁(1994) 中所提及之PL-1、PL-2、PL-3、PL-4、PL-5、PL-6、PL-7 或 PL-8。 如本文所用之術語「^腺苷甲硫胺酸脫羧酶抑制劑」包 括(但不限於)US 5,461,076中所揭示之化合物。 亦包括尤其WO 98/35958中所揭示之VEGF之彼等化合 物、蛋白質或單株抗體’例如丨气4-氣苯胺基)-4-(4·吡啶基 曱基)酞嗪或其醫藥學上可接受之鹽(例如丁二酸鹽),或WO 00/09495、WO 00/27820、WO 00/59509、WO 98/11223、 WO 00/27819及EP 0 769 947中所揭示之VEGF之彼等化合 物、蛋白質或單株抗體;如Prewett等人,Cancer ’第 59^- » % 5209-5218^ (1999) Ϊ Yuan^ A > Proc Natl Acad Sci ,第 93 卷,第 14765-14770 頁(1996) ; Zhu 等人,Cancer ,第 58卷,第 3209-3214 頁(1998);及 Mordenti 等人, 尸^"/2〇/,第 27卷,第 1 期,第 14-21 頁(1999) ; WO 00/37502及WO 94/10202中所述之VEGF之彼等化合物、蛋 白質或單株抗體;血管生長抑素(ANGIOSTATIN),由 O’Reilly等人,Ce//,第 79卷,第 315-328頁(1994)描述;内 皮生長抑素(ENDOSTATIN),由 O'Reilly等人,Ce//,第 88 141243.doc •38· 201006469 卷,第277-285頁(1997)描述;鄰胺基苯甲酸醯胺;ZD4190 ; ZD6474 ; SU5416 ; SU6668 ;貝伐單抗;或抗VEGF抗體或 抗VEGF受體抗體,例如rhuMAb及RHUFab,VEGF適體, 例如馬庫高(Macugon) ; FLT-4抑制劑、FLT-3抑制劑、 VEGFR-2 IgGl 抗體、血管酶(Angiozyme)(RPI 46 1 0)及貝伐 單抗(癌思停TM)。 如本文所用之光動力療法係指使用某些被稱作光敏化合 物之化學品治療或預防癌症之療法。光動力療法之實例包 括用諸如VISUDYNE及外非姆納(porfimer sodium)之化合 物進行治療。 如本文所用之血管靜止類固醇(Angiostatic steroid)係指 阻斷或抑制血管生成之化合物,諸如阿奈可他(anecortave)、 曲安西龍(triamcinolone)、氫化可體松(hydrocortisone)、 ll-α-表氫皮質醇(11 -oc-epihydrocotisol)、11-脫氧皮甾醇 (cortexolone)、17α-經基孕酮、皮質固酮、去氧皮質固酮、 睪固_、雕酮及地塞米松(dexamethasone)。 含皮質類固醇之植入物係指諸如氟欣諾隆(fluocinolone)、 地塞米松之化合物。 其他化學治療化合物包括(但不限於)植物鹼、激素化合 物及拮抗劑;生物反應調節劑,較佳為淋巴因子或干擾素; 反義寡核苷酸或寡核苷酸衍生物;shRNA或siRNA ;或混雜 化合物或具有其他或未知作用機制之化合物。 本發明之化合物亦適用作共治療化合物用於與諸如消炎 藥物、支氣管擴張藥物或抗組織胺藥物之其他藥物組合, 141243.doc -39- 201006469 尤其用於治療諸如上文所提及之彼等阻塞性或發炎性氣管 疾病,例如作為該等藥物之治療活性增效劑或作為減少該 等藥物之所需劑量或潛在副作用的手段。本發明化合物可 與其他藥物以固定醫藥組合物形式混合或其可在其他藥物 之前、與其他藥物同時或在其他藥物之後分開投與。因此, 本發明包括如上文所描述之本發明化合物與消炎藥物、支 氣管擴張藥物、抗組織胺藥物或止咳藥物之組合,該本發 明化合物及該藥物係處於相同或不同醫藥組合物中。 合適的消炎藥物包括類固醇,尤其諸如布地奈德 ® (budesonide)、二丙酸倍氣米松(beclamethasone dipropionate)、 丙酸氟替卡松(fluticasone propionate)、環索奈德 (ciclesonide)或糠酸莫美他松(mometasone furoate)之糖皮 質類固醇,或 WO 02/88167、WO 02/12266、WO 02/100879、 WO 02/00679(尤其實例 3、11、14、17、19、26、34、37、 39、51、60、67、72、73、90、99及 101 之彼等)、WO 03/035668、"Alendronic acid" can be administered, for example, in the form as it is marketed under the trademark FOSAMAX. "Ibandronic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark BONDRANAT. "Risedronic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark ACTONEL. "Zoledronic acid" can be administered, for example, in the form as it is marketed, for example, under the trademark ZOMETA 141243.doc • 34-201006469. The term "mTOR inhibitor" relates to a compound that inhibits the mammalian target of rapamycin (mT〇R) and has antiproliferative activity, such as sirolimus (Rapamune) (g )), everolimus (CerticanTM), CCI_779 and ABT578. The term "heparinase inhibitor" as used herein refers to a compound which is dry, reduces or inhibits the degradation of heparin sulfate. The term includes, but is not limited to, pi_88. As used herein, "a biological response modifier" refers to lymphokine or interferon, such as interferon gamma. The term "Ras oncogenic isoform inhibitor" (eg, H-Ras, K-Ras or N-Ras) as used herein refers to a compound that targets, decreases or inhibits the carcinogenic activity of Ras, eg, "Fani A famesyl transferase inhibitor, such as L-744832, DK8G557 or R115777 (Zamestra). The term "telomerase inhibitor" as used herein refers to a compound which targets, decreases or inhibits telomerase activity. Compounds which dry, reduce or inhibit telomerase activity φ are especially compounds which inhibit telomerase receptors, such as telomestatin. The term "methionine amine peptidase inhibitor" as used herein refers to a compound that is dry, 'reducing or inhibiting the activity of anthracycline aminopeptidase. The compound which is dry, reduced or • inhibits the activity of methionine peptidase is, for example, bengamide or a derivative thereof. The term "proteasome-inhibiting maiko" as used herein refers to a compound which is dry, reduces or inhibits the activity of protease Zhao. Compounds which coarsely, reduce or inhibit the activity of the proteasome include, for example, Bettézil (Vicat 141243. doc-35. 201006469 (Velcade)TM) and MLN 341. The term "matrix metalloproteinase inhibitor" or ("ΜΜΡ" inhibitor) as used herein includes, but is not limited to, a collagen peptide mimetic and a non-peptide mimetic inhibitor, a tetracycline derivative such as hydrogengrass. Amine ester peptide mimetic inhibitor batimastat and its orally bioavailable analogs marimastat (BB-2516), prinomastat (AG3340), beauty Metastat (NSC 683551), BMS-27925, BAY 12-9566, TAA21, MMI270B or AAJ996. The term "compound for the treatment of hematological malignancies" as used herein includes, but is not limited to, FMS-like tyrosine kinase inhibitors, such as targeting, reducing or inhibiting FMS-like tyrosine kinase receptors (Flt-3R). Active compounds; interferons, sputum-bD-arabinoside ara-c and bisulfan; and ALK inhibitors, for example, targeting, reducing or inhibiting pleomorphic lymphoma a compound of a kinase. A compound that targets, reduces or inhibits the activity of the FMS-like tyrosine kinase receptor (FU-3R), particularly a compound, protein or antibody that inhibits members of the Flt-3R receptor kinase family, such as PKC412, militalin, and spores A bacteriocin derivative, SU11248 and MLN518. The term "HSP90 inhibitor" as used herein includes, but is not limited to, compounds that target, decrease or inhibit the intrinsic ATPase activity of HSP90; compounds that degrade, target, reduce or inhibit HSP90 client proteins via the ubiquitin proteasome pathway . A compound that targets, decreases or inhibits the intrinsic ATPase activity of HSP90, particularly a compound, protein or antibody that inhibits the ATPase activity of HSP90, such as 17-allylamino, 17-demethoxygeldanamycin ( 17AAG) (a kind of geldanamycin derivative); other geldanamycin related 141243.doc • 36- 201006469 compound; radicicol; and HDAC inhibitor. The term "anti-proliferative antibody" as used herein includes, but is not limited to, trastuzumab (HejiapingTM), trastuzumab-DM1, Erbitux, bevacizumab (cancer) AvastinTM), rituximab (Rituxan®), PR064553 (anti-CD40) and 2C4 antibodies. An antibody means, for example, an intact monoclonal antibody, a plurality of antibodies, a multispecific antibody formed of at least two intact antibodies, and an antibody fragment which exhibits desired biological activity. The term "anti-leukemia compound" includes, for example, Ara-C (a mouth bite analog) which is a 2'-α-hydroxyribose (arabinoside) derivative of deoxycytidine. Also included are the analogs of hypoxanthine, 6-mercaptopurine (6-indene), and fludarabine phosphate. As used herein, a somatostatin receptor antagonist refers to a compound that targets, processes or inhibits the somatostatin receptor, such as octreotide and SOM230. Tumor cell destruction methods refer to methods such as ionizing radiation. The term "ionized radiation" as referred to above and hereinafter means ionizing radiation in the form of electromagnetic radiation (such as X-rays and gamma rays) or particles (such as alpha and beta particles). Ionizing radiation is provided in, but not limited to, radiation therapy and is known in the art. See Heilman, Principles of Radiation Therapy, Cancer, Praci/ce 〇/ 0 «co/og, Devita et al., 4th ed., Vol. 1, pp. 248-275 (1993). The term EDG-binding agent as used herein refers to a class of immunosuppressive agents that modulate lymphocyte recirculation, such as FTY720. The term ribonucleotide reductase inhibitor refers to pyrimidine or purine nucleoside analogous to 141243.doc-37-201006469, including but not limited to fiudarabine and/or cytosine arabinoside (ara-C) ), 6-thiopurine, 5-fluorouracil, cladribine, 6-mercaptopurine (especially in combination with ara-C for ALL) and / or pent〇statin. Ribonucleotide reductase inhibitors are especially hydroxyurea or 2-hydroxy-1β-isoindole-1,3-dione derivatives such as Nandy et al, jcia, Vol. 33, No. 8, 953- PL-1, PL-2, PL-3, PL-4, PL-5, PL-6, PL-7 or PL-8 mentioned on page 961 (1994). The term "adenosine methionine decarboxylase inhibitor" as used herein includes, but is not limited to, the compounds disclosed in U.S. Patent 5,461,076. Also included are compounds, proteins or monoclonal antibodies of the VEGF disclosed in WO 98/35958, for example, xenon 4-anilino)-4-(4.pyridylfluorenyl)pyridazine or its medicinal An acceptable salt (e.g., succinate), or such VEGF as disclosed in WO 00/09495, WO 00/27820, WO 00/59509, WO 98/11223, WO 00/27819, and EP 0 769 947 Compound, protein or monoclonal antibody; eg, Prewett et al., Cancer '第59^- » % 5209-5218^ (1999) Ϊ Yuan^ A > Proc Natl Acad Sci, Vol. 93, pp. 14765-14770 (1996) ; Zhu et al., Cancer, vol. 58, pp. 3209-3214 (1998); and Mordenti et al., Corpse^"/2〇/, Vol. 27, No. 1, pp. 14-21 (1999) ; such compounds, proteins or monoclonal antibodies of VEGF as described in WO 00/37502 and WO 94/10202; ANGIOSTATIN, by O'Reilly et al, Ce//, vol. 79, 315-328 (1994); Endostatin (ENDOSTATIN), described by O'Reilly et al, Ce / /, 88 141243. doc • 38 · 201006469, pp. 277-285 (1997); adjacent Amidoxime; ZD4190; ZD6474; SU5416; SU6668; bevacizumab; or anti-VEGF antibody or anti-VEGF receptor antibody, such as rhuMAb and RHUFab, VEGF aptamer, such as Macugon; FLT- 4 inhibitor, FLT-3 inhibitor, VEGFR-2 IgG1 antibody, angiase (Angiozyme) (RPI 46 1 0) and bevacizumab (cancer TM). Photodynamic therapy as used herein refers to a therapy for treating or preventing cancer using certain chemicals known as photosensitizing compounds. Examples of photodynamic therapy include treatment with a compound such as VISUDYNE and porfimer sodium. Angiostatic steroid, as used herein, refers to a compound that blocks or inhibits angiogenesis, such as anacontave, triamcinolone, hydrocortisone, ll-α- Hydrogen cortisol (11-oc-epihydrocotisol), 11-deoxycorticol (cortexolone), 17α-pyridinone, corticosterone, deoxycorticosterone, tamoxifen, dexamethasone and dexamethasone ). A corticosteroid-containing implant refers to a compound such as fluocinolone or dexamethasone. Other chemotherapeutic compounds include, but are not limited to, plant alkaloids, hormonal compounds and antagonists; biological response modifiers, preferably lymphokines or interferons; antisense oligonucleotides or oligonucleotide derivatives; shRNA or siRNA Or a hybrid compound or a compound having other or unknown mechanisms of action. The compounds of the invention are also useful as co-therapeutic compounds for use in combination with other drugs such as anti-inflammatory drugs, bronchodilators or antihistamines, 141243.doc-39-201006469, especially for the treatment of such as mentioned above Obstructive or inflammatory airway diseases, for example, as therapeutic therapeutic potentiators of such drugs or as a means of reducing the required dose or potential side effects of such drugs. The compound of the present invention may be mixed with other drugs in the form of a fixed pharmaceutical composition or may be administered separately before other drugs, simultaneously with other drugs or after other drugs. Accordingly, the invention includes a combination of a compound of the invention as described above with an anti-inflammatory agent, a bronchodilator, an antihistamine or a cough suppressant, the compound of the invention and the drug being in the same or different pharmaceutical compositions. Suitable anti-inflammatory drugs include steroids, especially such as budesonide, beclamethasone dipropionate, fluticasone propionate, ciclesonide or mometasone furoate. a glucocorticosteroid of (mometasone furoate), or WO 02/88167, WO 02/12266, WO 02/100879, WO 02/00679 (particularly examples 3, 11, 14, 17, 19, 26, 34, 37, 39, 51, 60, 67, 72, 73, 90, 99 and 101, WO 03/035668,

WO 03/048181、WO 03/062259、WO 03/064445、WOWO 03/048181, WO 03/062259, WO 03/064445, WO

G 03/072592中所述之類固醇,諸如WO 00/00531、WO 02/10143、WO 03/082280、WO 03/082787、WO 03/104195、 WO 04/005229中所述者之非類固醇糖皮質激素受體促效 劑;LTB4 拮抗劑,諸如 LY293111、CGS025019C、 . CP-195543、SC-53228、BIIL 284、ΟΝΟ 4057、SB 209247 及US 545 1700中所述之彼等者;LTD4拮抗劑,諸如孟魯司 特(montelukast)及紫魯司特(zafirlukast) ; PDE4抑制劑,諸 如西洛司特(cilomilast)(Ariflo® GlaxoSmithKline)、羅氟司 141243.doc -40- 201006469Steroids as described in G 03/072592, such as non-steroidal glucocorticoids as described in WO 00/00531, WO 02/10143, WO 03/082280, WO 03/082787, WO 03/104195, WO 04/005229 Receptor agonists; LTB4 antagonists such as those described in LY293111, CGS025019C, .CP-195543, SC-53228, BIIL 284, ΟΝΟ 4057, SB 209247 and US 545 1700; LTD4 antagonists, such as Meng Montelukast and zifirlukast; PDE4 inhibitors, such as cilomilast (Ariflo® GlaxoSmithKline), roflus 141243.doc -40- 201006469

特(Roflumilast)(Byk Gulden) 、 V-11294A(Napp)、 BAY19-8004 (Bayer)、SCH-351591(Schering-Plough)、阿羅茶 驗(Arofylline) (Almirall Prodesfarma)、PD189659/PD168787 (Parke-Davis) 、AWD-12-281 (Asta Medica) 、CDC-801 (Celgene)' SelCID(TM) CC-10004(Celgene)> VM554/UM565 (Vernalis) 、 T-440(Tanabe) ' KW-4490(Kyowa Hakko Kogyo),及 WO 92/19594、WO 93/19749、WO 93/19750、 WO 93/1975 卜 WO 98/18796、WO 99/16766、WO 01/13953、 WO 03/104204、WO 03/104205、WO 03/39544、WO 04/000814、WO 04/000839、WO 04/005258、WO 04/018450、 WO 04/018451、WO 04/018457、WO 04/018465、WO 04/018431、WO 04/018449、WO 04/018450、WO 04/01845 卜 WO 04/018457、WO 04/018465、WO 04/019944、WO 04/019945 ' WO 04/045607及 WO 04/037805 中所揭示者; A2a促效劑,諸如 EP 409595A2、EP 1052264、EP 1241176、 WO 94/17090、WO 96/02543、WO 96/02553、WO 98/28319、 WO 99/24449、WO 99/24450、WO 99/2445 卜 WO 99/38877、 WO 99/41267、WO 99/67263、WO 99/67264、WO 99/67265、 WO 99/67266、WO 00/23457、WO 00/77018、WO 00/78774、 WO 01/23399' WO 01/27130' WO 01/27131 ' WO 01/60835 ' WO 01/94368、WO 02/00676、WO 02/22630、WO 02/96462、 WO 03/086408 ' WO 04/039762、WO 04/039766、WO 04/045618及WO 04/046083中所揭示者;A2b拮抗劑,諸如 WO 02/42298中所揭示者;及β-2腎上腺素受體促效劑,諸 141243.doc -41- 201006469 如舒坦寧(albuterol)(沙布坦(salbutamol))、奥西那林 (metaproterenol)、特布他林(terbutaline)、沙美特羅 (salmeterol)、菲諾特羅(fenoterol)、丙卡特羅(procaterol) 且尤其為福莫特羅(formoterol)及其醫藥學上可接受之鹽, 及WO 0075114(該文獻係以引用的方式併入本文中)中之式 I化合物(呈游離形式或鹽形式或溶劑合物形式),較佳為其 實例之化合物,尤其下式之化合物:Roflumilast (Byk Gulden), V-11294A (Napp), BAY19-8004 (Bayer), SCH-351591 (Schering-Plough), Arofylline (Almirall Prodesfarma), PD189659/PD168787 (Parke- Davis), AWD-12-281 (Asta Medica), CDC-801 (Celgene)' SelCID(TM) CC-10004(Celgene)>VM554/UM565 (Vernalis), T-440(Tanabe) 'KW-4490( Kyowa Hakko Kogyo), and WO 92/19594, WO 93/19749, WO 93/19750, WO 93/1975, WO 98/18796, WO 99/16766, WO 01/13953, WO 03/104204, WO 03/104205 , WO 03/39544, WO 04/000814, WO 04/000839, WO 04/005258, WO 04/018450, WO 04/018451, WO 04/018457, WO 04/018465, WO 04/018431, WO 04/018449 , WO 04/018450, WO 04/01845, WO 04/018457, WO 04/018465, WO 04/019944, WO 04/019945, WO 04/045607, and WO 04/037805; A2a agonist, For example, EP 409 595 A2, EP 1052264, EP 1241176, WO 94/17090, WO 96/02543, WO 96/02553, WO 98/28319, WO 99/24449, WO 99/24450, WO 99/2445, WO 99/38877, WO 99/41267, WO 99/67263, WO 99/67264, WO 99/67265 WO 01/67266, WO 00/23 457, WO 00/77018, WO 00/78774, WO 01/23399 'WO 01/27130' WO 01/27131 'WO 01/60835 ' WO 01/94368, WO 02/00676, WO 02/22630, WO 02/96462, WO 03/086408 'WO 04/039762, WO 04/039766, WO 04/045618 and WO 04/046083; A2b antagonists, such as in WO 02/42298 Revealer; and β-2 adrenergic receptor agonist, 141243.doc -41- 201006469 such as albuterol (salbutamol), metaproterenol, terbutaline ( Terbutaline), salmeterol, fenoterol, procaterol and especially formoterol and its pharmaceutically acceptable salts, and WO 0075114 (the literature) A compound of formula I (in free form or in the form of a salt or a solvate) incorporated herein by reference, preferably a compound of its kind, especially a compound of the formula:

及其醫藥學上可接受之鹽,以及WO 04/16601中之式I化合 物(呈游離形式或鹽形式或溶劑合物形式),以及WO 04/033412中之化合物。合適的支氣管擴張藥物包括抗膽鹼 或抗覃毒驗化合物,尤其異丙托溴敍(ipratropium bromide)、氧托漠敍(oxitropium bromide)、售托敍鹽 (tiotropium salt)及 CHF 4226(Chiesi),及甘 °比 11各溴 (glycopyrrolate),以及WO 01/04118、WO 02/51841、WO 02/53564、WO 03/00840、WO 03/87094、WO 04/05285、 WO 02/00652、WO 03/53966、EP 424021、US 5171744、 US 37143 57、WO 03/33495 及 WO 04/01 8422中所述者。 合適的抗組織胺藥物包括鹽酸西替利。秦(cetirizine hydrochloride)、乙醯胺苯紛(acetaminophen)、反丁 稀二酸 141243.doc -42- 201006469 克雷滿汀(clemastine fumarate)、普敏太定(promethazine)、 氯雷他定(loratidine)、地氯雷他定(desloratidine)、笨海拉 明(diphenhydramine)及鹽酸非索非那定(fexofenadine hydrochloride)、阿替伐斯灯(activastine)、阿司 °米嗤 (astemizole)、氣拉斯;丁(azelastine)、依巴斯 丁(ebastine)、 依匹斯汀(epinastine)、_ »坐斯;丁(mizolastine)及特芬那定 (tefenadine)以及 WO 03/099807、WO 04/026841 及 JP 2004107299中所述者。 本發明化合物與消炎藥物之其它有用組合為與趨化因子 受體(例如 CCR]、CCR-2、CCR-3、CCR-4、CCR-5、CCR-6、 CCR-7、CCR-8、CCR-9及 CCR10、CXCR1、CXCR2、CXCR3、 CXCR4、CXCR5)之拮抗劑的彼等組合,尤其CCR-5拮抗劑 (諸如先靈操雅(Schering-Plough)拮抗劍 SC-351125、 8(:11-5 5700及8(:11-〇)、丁&1<^(1&拮抗劑(諸如]^-[[4-[[[6,7-二氫 -2-(4-甲基苯基)_5H-苯并-環庚烯-8_基]羰基]胺基]苯基]-甲 基]四氫-Ν,Ν-二曱基-2H-哌喃-4-氯化銨(TAK-770))及在US 6166037(尤其技術方案18及19)、WO 00/66558(尤其技術方 案 8)、WO 00/66559(尤其技術方案 9)、WO 04/018425及 WO 04/026873中所述之CCR-5拮抗劑。 可自標準概要「默克索引(The Merck Index)」之現行版 本或自例如國際專.利(Patents International)(例如’ IMS世界 公開案(IMS World Publications))之資料庫取得由編號、通 用名或商品名加以識別的活性化合物之結構。 可如此項技術中(諸如上文引用之文獻中)所述製備及投 141243.doc -43- 201006469 與可與式(i)化合物組合使用之上述化合物。 式(I)化合物亦可有利地與已知治療方法,例如投與激素 或尤其輕射組合使用。 式⑴化合物可尤其用作輻射敏化劑,尤其用於治療對輻 射療法展現不良敏感性之腫瘤。 「組合」意謂呈一劑量單位形式之固定組合;或在式⑴ 化合物與組合搭配物可同時獨立投與或在時間間隔内分開 投與、尤其該等時間間隔允許組合搭配物展示出協作(例 如,協同)效應之情況下,意謂用於組合投藥之組份套組(kit of parts)。 實例 所使用之AML細胞株 KG-1: KG-1細胞株係來源於患有發展成急性骨趙性白血 病之紅白血病之59歲高加索(Caucasian)男性的骨趙抽出 物。 KG-1 a: KG-1 a細胞株為KG-1細胞株之衍生物且對於軟性 瓊脂培養物中之群落刺激因子無反應且不表現13樣抗原。 KG-1 a細胞對佛波醇二酯誘發之巨嗟細胞分化有抗性且該 等細胞之增殖不受佛波醇二醋存在之影響。 THP-1 : THP-1細胞為吞噬細胞且無表面及細胞質免疫球 蛋白。佛波醇酯12-0-十四醯基佛波醇·13·乙酸酯(τρα)可誘 發單核細胞分化。 LAMA-84 :來源於急性骨髓白血病母細胞之細胞株 HL60 ·來源於急性骨趙白血病母細胞之細胞株 141243.doc • 44- 201006469 DAC抑制AML/MDS之基本原理 •在AML中,諸如t(8,21)、t(ll,17)及CBP-MLL之致癌易位 募集HDAC來抑止骨髓分化基因轉錄。 • HDAC6對hsp90之脫乙醯作用為伴隨蛋白活性及白血病 蛋白(諸如CML中之Bcr-Abl及AML中之突變FLT-3)穩定 化所需。 •證明腫瘤抑制因子之外遺傳沉默中組蛋白脫乙醯作用與 DNA曱基化作用之間的交又作用(Cross-talk)。 •由於DAC抑制劑與脫甲基化劑之組合協同使諸如pi 6之 腫瘤抑制因子去抑止,因此該等組合將會在臨床上有益 於脫甲基化劑(demethylator)已在臨床上展示單藥劑功效 的 AML/MDS。 MDS/AML 中之 LBH589 資料 •在許多AML細胞株及AML患者之新分離細胞中,LBH589 為有效單藥劑。 • LBH589抗白血病作用係由抗增殖及促凋亡機制所介導。 •帕比司他(Panobinostat)與阿糖胞苷(Cytarabine)、氟達拉 濱(Fludarabine)、硼替佐米(Bortezomib)及主要阿黴素之 雙重組合增強各單獨藥劑之抗白血病功效。 •帕比司他與阿黴素+阿糖胞苷士氟達拉濱之三重及四重組 合可為對於復發性/難治癒性AML患者而言令人感興趣 的治療選擇。 •與用任一單獨藥劑治療相比,用LBH589 + 5-氮雜胞苷 (5-azacytidine)治療AML細胞造成較高之細胞凋亡發生 141243.doc -45· 201006469 率。 • DNMT1(5-氮雜胞苷之標靶)為用LBH589治療AML細胞 株之後降解之HSP90客戶蛋白。 •用LBH589+17-AAG對抗伊馬替尼初生CML-BC及具有活 化FLT-3突變之AML細胞之共同治療(cotreatment)誘發協 同細胞殺死。 表1. LBH589在活艎外AML細胞株中之單藥劑抗腫瘤活性 知胞株 疾病類型 IC50/nM LD50/nM LD90/nM HL-60 AML - 1.4 5.6 KG-1 AML 0.5 2.2 8.7 KG-la AML 3.0 7.1 14.8 THP-1 AML 1.0 13.4 >10,000 IC50 :將細胞株生長抑制50%所需之LBH589之濃度 LD50 :將細胞株群體殺死50%所需之LBH589之濃度 LD90 :將細胞株群體殺死90%所需之LBH589之濃度 用增加濃度之LBH589處理AML細胞株HL60、KG卜KGla 及THP-1,培育72小時且使用MTS檢定評估所得細胞生長。 計算IC50,將細胞生長抑制50%所需之濃度;LD50,將細 胞之初始接種物減少50%所需之LBH589之濃度;及LD90, 將細胞群體幾乎完全殺死(>90%)所需之LBH589之濃度。由 表1可見,所有AML細胞株皆對LBH589誘發之細胞生長抑 制及死亡為高度敏感性的(IC50及LD50為低奈米莫耳濃 度)。 用單獨之LBH589處理或與地西他濱(decitabine)組合處 理或與hsp90抑制劑17-DMAG組合處理自患者分離的AML 細胞株LAMA84及初生AML母細胞。由處理組與對照組細 141243.doc -46- 201006469 胞製備細胞溶解物,藉由西方免疫墨點法(Western immunoblotting)分析DNMT1濃度,其係當前MDS研究藥物 地西他濱(decitabine)及5-氮雜胞苷(維達紮(vidaza))之標 靶。評估其他標靶EZH2及hsp70。將β-肌動蛋白用作内參考 物(loading control)。如圖1中可見,用LBH589單獨處理此 等細胞或與地西他濱組合處理此等細胞或與17-DMAG組合 處理此等細胞導致細胞消耗DNMT1及EZH2。增加之hsp70 水準表明標靶耗竭經由hsp90抑制發生。 【圖式簡單說明】 圖1展示N-羥基-3-[4-[[[2-(2-曱基-1H-吲哚-3-基)-乙基]-胺基]甲基]苯基]-2E-2-丙烯醯胺造成白血病母細胞之 DNMT1(DNMTI為MDS藥物維達紮及地西他濱之標靶)降 解。 141243.doc -47-And pharmaceutically acceptable salts thereof, and compounds of formula I in WO 04/16601 (in free form or in salt or solvate form), and compounds of WO 04/033412. Suitable bronchodilators include anticholinergic or anticonvulsant compounds, especially ipratropium bromide, oxitropium bromide, tiotropium salt, and CHF 4226 (Chiesi) And glycopyrrolate, and WO 01/04118, WO 02/51841, WO 02/53564, WO 03/00840, WO 03/87094, WO 04/05285, WO 02/00652, WO 03 /53966, EP 424021, US 5171744, US 37143 57, WO 03/33495 and WO 04/01 8422. Suitable antihistamines include cetirizine hydrochloride. Cetirizine hydrochloride, acetaminophen, antibutanic acid 141243.doc -42- 201006469 clemastine fumarate, promethazine, loratidine ), desloratidine, diphenhydramine and fexofenadine hydrochloride, activastine, astemizole, gas drawing Azelastine, ebastine, epinastine, _ »sit; mizolastine and tefenadine and WO 03/099807, WO 04/026841 And as described in JP 2004107299. Other useful combinations of the compounds of the invention and anti-inflammatory drugs are with chemokine receptors (eg, CCR), CCR-2, CCR-3, CCR-4, CCR-5, CCR-6, CCR-7, CCR-8, Combinations of CCR-9 and CCR10, CXCR1, CXCR2, CXCR3, CXCR4, CXCR5) antagonists, especially CCR-5 antagonists (such as Schering-Plough Antagonist Sword SC-351125, 8 (: 11-5 5700 and 8 (:11-〇), butyl & 1 <^(1& antagonist (such as]^-[[4-[[[6,7-dihydro-2-(4-methyl) Phenyl)_5H-benzo-cyclohepten-8-yl]carbonyl]amino]phenyl]-methyl]tetrahydro-indole, fluorenyl-dimercapto-2H-pyran-4-hythium chloride ( TAK-770)) and in US 6166037 (especially technical solutions 18 and 19), WO 00/66558 (especially technical solution 8), WO 00/66559 (particularly technical solution 9), WO 04/018425 and WO 04/026873 Said CCR-5 antagonist. It can be from the current version of the standard summary "The Merck Index" or from, for example, the International Patent (International) (for example, 'IMS World Publications') The database obtains the structure of the active compound identified by the number, common name or trade name. The above-mentioned compounds which can be used in combination with the compound of the formula (i) are prepared and administered as described in the art (such as in the literature cited above). The compound of the formula (I) may also advantageously Knowing therapeutic methods, for example, in combination with hormones or especially light shots. The compound of formula (1) can be especially useful as a radiation sensitizer, especially for treating tumors that exhibit poor sensitivity to radiation therapy. "Combination" means a dosage unit. a fixed combination of forms; or where the compound of formula (1) and the combination partner can be administered simultaneously or separately during a time interval, especially if such time intervals allow the combined conjugate to exhibit a synergistic (eg, synergistic) effect, It means a kit of parts for combined administration. The AML cell line KG-1 used in the example: KG-1 cell line is derived from erythroblastic leukemia which develops acute osteogenic leukemia 59 Caucasian male bone extract. KG-1 a: KG-1 a cell line is a derivative of KG-1 cell line and does not respond to community stimulating factors in soft agar culture and does not Now sample antigen 13. KG-1 a sigh cells induced giant cell phorbol diesters of differentiation and proliferation of resistant cells and the like from the operation of the presence of phorbol diacetate. THP-1: THP-1 cells are phagocytic cells with no surface and cytoplasmic immunoglobulin. The phorbol ester 12-0-tetradecyl phorbol 13·acetate (τρα) induces monocyte differentiation. LAMA-84: Cell line HL60 derived from acute myeloid leukemia mother cells · Cell line derived from acute bone marrow leukemia mother cells 141243.doc • 44- 201006469 Basic principle of DAC inhibition of AML/MDS • In AML, such as t( 8,21), t(ll,17) and the oncogenic translocation of CBP-MLL recruit HDAC to suppress the transcription of bone marrow differentiation genes. • The deacetylation of HDAC6 to hsp90 is required for concomitant protein activity and stabilization of leukemia proteins such as Bcr-Abl in CML and mutant FLT-3 in AML. • Prove the cross-talk between histone deacetylation and DNA thiolation in genetic silencing beyond tumor suppressor. • Since the combination of a DAC inhibitor and a demethylating agent synergizes to inhibit tumor suppressor factors such as pi 6, such combinations will be clinically beneficial for demethylatoring. AML/MDS for drug efficacy. LBH589 data in MDS/AML • LBH589 is a potent single agent in many AML cell lines and new isolated cells from AML patients. • The anti-leukemia effect of LBH589 is mediated by anti-proliferative and pro-apoptotic mechanisms. • The combination of Panobinostat with Cytarabine, Fludarabine, Bortezomib and major doxorubicin enhances the anti-leukemia efficacy of each individual agent. • The combination of pabisstat with doxorubicin + cytarabine fludarabine and four recombinants may be an interesting treatment option for patients with relapsed/refractory AML. • Treatment of AML cells with LBH589 + 5-azacytidine resulted in higher apoptosis compared with treatment with either single agent 141243.doc -45· 201006469. • DNMT1 (target of 5-azacytidine) is an HSP90 client protein that is degraded after treatment of AML cell lines with LBH589. • Co-treatment with LBH589+17-AAG against imatinib-born CML-BC and AML cells with activated FLT-3 mutations induced co-cell killing. Table 1. Single agent anti-tumor activity of LBH589 in live AML cell line. Cell line type IC50/nM LD50/nM LD90/nM HL-60 AML - 1.4 5.6 KG-1 AML 0.5 2.2 8.7 KG-la AML 3.0 7.1 14.8 THP-1 AML 1.0 13.4 > 10,000 IC50: concentration of LBH589 required to inhibit cell growth by 50% LD50: concentration of LBH589 required to kill 50% of the cell population: LD90: kill the cell population The concentration of LBH589 required for 90% death AML cell lines HL60, KG, KGla and THP-1 were treated with increasing concentrations of LBH589, incubated for 72 hours and the resulting cell growth was assessed using the MTS assay. Calculate IC50, the concentration required to inhibit cell growth by 50%; LD50, the concentration of LBH589 required to reduce the initial inoculum of the cells by 50%; and LD90, to kill the cell population almost completely (>90%) The concentration of LBH589. As can be seen from Table 1, all AML cell lines were highly sensitive to LBH589-induced cell growth inhibition and death (IC50 and LD50 were low nanomolar concentrations). The AML cell line LAMA84 and nascent AML mother cells isolated from the patient were treated with LBH589 alone or in combination with decitabine or with the hsp90 inhibitor 17-DMAG. Cell lysates were prepared from the treatment group and the control group by 141243.doc -46-201006469 cells, and the concentration of DNMT1 was analyzed by Western immunoblotting, which is the current MDS study drug decitabine and 5 - Aza-cytidine (vidaza) target. Evaluate other targets EZH2 and hsp70. Β-actin was used as a loading control. As can be seen in Figure 1, treatment of these cells with LBH589 alone or in combination with decitabine or treatment with 17-DMAG resulted in cell depletion of DNMT1 and EZH2. Increased hsp70 levels indicate that target depletion occurs via hsp90 inhibition. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 shows N-hydroxy-3-[4-[[[2-(2-mercapto-1H-indol-3-yl)-ethyl]-amino]methyl]benzene ]]2E-2-propenylamine causes degradation of DNMT1 (DNMTI is the target of the MDS drugs Vidaza and decitabine) in leukemia mother cells. 141243.doc -47-

Claims (1)

201006469 七、申請專利範圍: 1. -種HDAC抑制劑之用途,其制於製備供㈣選自急性 骨聽白血病及㈣發m錢群之疾病之藥物。 2. 如請求項1之用途,其中該HDAC抑制劑為式⑴化合物: Ο R201006469 VII. Scope of Application: 1. The use of an HDAC inhibitor for the preparation of a drug for (4) a disease selected from the group consisting of acute osteonechotic leukemia and (4) m-money group. 2. The use of claim 1, wherein the HDAC inhibitor is a compound of formula (1): Ο R Ri為Η ;鹵基;或直鏈Ci_C6烷基,尤其曱基乙基或 正丙基,該等甲基、乙基及正丙基取代基未經取代 或經一或多個下文關於炫>基取代基所述之取代基 取代; K·2係選自Η ; C〗-C丨0烷基,較佳為匚丨-匸6烷基,例如甲 基、乙基或-CH2CH2-OH ; C4-C9環烷基;C4-C9雜環 烧基,CU-Cs»雜環燒基燒基;環烧基烧基,例如環 籲 丙基曱基;芳基;雜芳基;芳基烧基,例如节基; 雜芳基烷基’例如吡啶基曱基;-(CH2)nc(C〇R6 ; -(CH2)n0C(0)R6 ;胺基醯基;HON-CCOXl^C^R,)- 芳基-烷基-;及_(CH2)nR7 ; ' R3與R·4相同或不同,且獨立地為H; C〗-C6烷基;酿基; 或醯基胺基;或 R3及Κ·4連同其所結合之碳一起表示C=〇、< C=NR8 ;或 R2連同其所結合之氮與R3連同其所結合之碳可 141243.doc - 1 - 201006469 c4-c9雜環烷基;雜芳基 s 歎雜方基,非芳族聚雜 環,或混合芳基及非芳基聚雜環; R5係選自Η ; CVC6烷基;c c 4 C9環烷基,C4-C9雜環烷 基;芳基;雜芳基;芳基烷基,例如节基; 雜芳基垸基,例如㈣基甲基;芳族多環;非芳族 多環;混合芳基及非芳基多環;聚雜芳基;非芳族 聚雜環;及混合芳基及非芳基聚雜環; η、ηι、n2An3相同或不同且獨立地選自〇·6,當 u 時,各碳原子可視情況且獨立地經^及/㈣取代; X與γ相同或不同且獨立地選自Η; _基;Ci C4院基, 諸如 CH3及 CF3 ; N〇2 ; c(〇)Ri ; 〇R9 ;认9 ; CN ; 及NR10Rn ; Κ·6係選自Η ; Cj-Cf;炫其.p r1播a甘.^ 6玩丞,L4_C9環烷基;c4-C9雜環: 基;環烷基烷基,例如環丙基甲基;芳基;雜芳基 芳基烷基,例如苄基及2_苯基乙烯基;雜芳基烷 基,例如吡啶基甲基;ORi2 ; &NRi3r"; R7 ❹Ri is Η; halo; or straight-chain Ci_C6 alkyl, especially mercaptoethyl or n-propyl, the methyl, ethyl and n-propyl substituents are unsubstituted or one or more of the following about dazzling &gt Substituent substituent substituted; K.2 is selected from hydrazine; C--C丨0 alkyl, preferably 匚丨-匸6 alkyl, such as methyl, ethyl or -CH2CH2-OH C4-C9 cycloalkyl; C4-C9 heterocycloalkyl, CU-Cs»heterocyclic alkyl; cycloalkyl, such as cyclopropyl fluorenyl; aryl; heteroaryl; aryl An alkyl group, such as a benzyl group; a heteroarylalkyl group such as pyridyl fluorenyl; -(CH2)nc(C〇R6; -(CH2)n0C(0)R6; an amine fluorenyl; HON-CCOXl^C^ R,)-aryl-alkyl-; and _(CH2)nR7; 'R3 is the same or different from R.sup.4, and independently H; C--C6 alkyl; stearyl; or mercaptoamine; Or R3 and Κ4 together with the carbon to which they are combined represent C=〇, <C=NR8; or R2 together with the nitrogen and R3 to which it is combined, together with the carbon to which it is bonded 141243.doc - 1 - 201006469 c4- C9 heterocycloalkyl; heteroaryl s succinyl, non-aromatic polyheterocyclic, or mixed aryl and non-aryl polyheterocycle; R5 CVC6 alkyl; cc 4 C9 cycloalkyl, C4-C9 heterocycloalkyl; aryl; heteroaryl; arylalkyl, eg, benzyl; heteroaryl fluorenyl, eg, (tetra)ylmethyl; Aromatic polycyclic; non-aromatic polycyclic; mixed aryl and non-aryl polycyclic; polyheteroaryl; non-aromatic polyheterocycle; and mixed aryl and non-aryl polyheterocycle; η, ηι, n2An3 The same or different and independently selected from 〇·6, when u, each carbon atom may be optionally substituted by ^ and / (4); X and γ are the same or different and independently selected from Η; _ base; Ci C4 Institute Bases, such as CH3 and CF3; N〇2; c(〇)Ri; 〇R9; recognize 9; CN; and NR10Rn; Κ·6 are selected from Η; Cj-Cf; Hyun. p r1 broadcast a Gan. 6 play 丞, L4_C9 cycloalkyl; c4-C9 heterocyclic: group; cycloalkylalkyl, such as cyclopropylmethyl; aryl; heteroarylarylalkyl, such as benzyl and 2-phenylethylene Heteroarylalkyl, such as pyridylmethyl; ORi2; &NRi3r"; R7 ❹ 係選自 or15 ; sr15 ; s(o)r16 ; so2R17 ; NR】3Ri4 ; 及nr12so2r6 ; Rs 係選自 H ; OR15 ; NR丨3Ri4 ; Ci-C6烧基;c4-c9環烧 基’· CcC9雜環烷基,·芳基;雜芳基;芳基烷基, 例如苄基;及雜芳基烧基,例如n比咬基甲基; R9係選自CVC4烷基,例如CH3及cf3 ; c(o)-烷基,例 如 c(o)ch3 ;及 c(o)cf3 ; R丨0與Ru相同或不同且獨立地選自Η ; c丨-C4烷基;及 141243.doc 201006469 -c(o)-烷基; R12 係選自 Η ; (VC6烷基;(:4-(:9環 t I . r Λ . r ^ 基,c4-c9雜環烧 基,CrC:9雜環烷基烷基;芳基. 々丞,混合芳基及非若 基多環;雜芳基;芳基烷基,例 ^ w 1]如苄基;及雜芳基 烷基’例如吡啶基甲基; R13與R14相同或不同且獨立地選自 ㈡打,c,-c6烷基;C4_C9 環院基;C4-C9雜環烧基;芳基;雜芳基;芳基统Is selected from or15; sr15; s(o)r16; so2R17; NR]3Ri4; and nr12so2r6; Rs is selected from H; OR15; NR丨3Ri4; Ci-C6 alkyl; c4-c9 cycloalkyl'·CcC9 a cycloalkyl, an aryl group; a heteroaryl group; an arylalkyl group such as a benzyl group; and a heteroarylalkyl group such as n to a dimethyl group; the R9 group is selected from a CVC4 alkyl group such as CH3 and cf3; (o)-alkyl, such as c(o)ch3; and c(o)cf3; R丨0 is the same or different and independently selected from Η; c丨-C4 alkyl; and 141243.doc 201006469 -c (o)-alkyl; R12 is selected from fluorene; (VC6 alkyl; (: 4-(: 9 ring t I . r Λ . r ^ group, c4-c9 heterocycloalkyl, CrC: 9 heterocycloalkane) An alkyl group; an aryl group, a mixed aryl group and a non-radical polycyclic ring; a heteroaryl group; an arylalkyl group, such as benzyl; and a heteroarylalkyl group such as pyridylmethyl R13 and R14 are the same or different and are independently selected from (b), c, -c6 alkyl; C4_C9 ring-based; C4-C9 heterocycloalkyl; aryl; heteroaryl; aryl 基’例如苄基;雜芳基烷基,例如吡啶基甲基;胺 基酿基;或 〜及R"連同其所結合之氮一起為C4_C9雜環燒基;雜 芳基;聚雜芳| ;非芳族聚雜環卜戈混合芳基及非 芳基聚雜環; 〜係選自Η ; Cl_c6烧基;C4_C9環烧基;C4_C9雜環烧 基;芳基;雜芳基;芳基烷基;雜芳基烷基;及 (CH2)mZR12 ;a group such as benzyl; heteroarylalkyl, such as pyridylmethyl; amine-based; or ~ and R" together with the nitrogen to which they are combined, is a C4_C9 heterocycloalkyl; heteroaryl; polyaromatic | Non-aromatic polyheteropolycycloalcohol mixed aryl and non-aryl polyheterocycle; ~ is selected from oxime; Cl_c6 alkyl; C4_C9 cycloalkyl; C4_C9 heterocycloalkyl; aryl; heteroaryl; aryl Alkyl; heteroarylalkyl; and (CH2)mZR12; R16係選自(VC6烷基;C4_C9環烷基;C4_C9雜環烷基; 芳基;雜芳基;聚雜芳基;芳基烷基;雜芳基烷基; 及(CH2)mZR12 ; Rw係選自CVC6烷基;C4_C9環烷基;C4_C9雜環烷基; 芳基’芳族多環;雜芳基;芳基烷基;雜芳基烷基; 聚雜芳基及NR13R14 ; m 為選自0-6之整數;且 Z 係選自 〇 ; NR13 ; S ;及8(〇), 或其醫藥學上可接受之鹽。 141243.doc 201006469 3.如請求項2之用途’其中該式⑴化合物為具有式㈣之烙 經基-3-[4-[[[2-(2-甲基韻令朵_3_基)乙基]胺基]甲基] 苯基]-2五-2-丙稀酿胺:R16 is selected from the group consisting of (VC6 alkyl; C4_C9 cycloalkyl; C4_C9 heterocycloalkyl; aryl; heteroaryl; polyheteroaryl; arylalkyl; heteroarylalkyl; and (CH2)mZR12; Rw Is selected from CVC6 alkyl; C4_C9 cycloalkyl; C4_C9 heterocycloalkyl; aryl 'aromatic polycyclic; heteroaryl; arylalkyl; heteroarylalkyl; polyheteroaryl and NR13R14; An integer selected from 0 to 6; and Z is selected from the group consisting of hydrazine; NR13; S; and 8 (〇), or a pharmaceutically acceptable salt thereof. 141243.doc 201006469 3. The use of claim 2 The compound of the formula (1) is a pyridyl group of the formula (4)-3-[4-[[[2-(2-methyl- 韵 朵 _3_yl)ethyl]amino]methyl] phenyl]-2 -2-propanol amine: (III), 或其醫藥學上可接受之鹽。 (如請求項⑴中任一項之用途,其中該溫血動物為人類。 一種料選自急性㈣自血病及㈣發育*良症候群之 、、病之方法其包含向有此需要之溫血動物投與治療有 效量之HDAC抑制劑。 6.如請求項5之方法,其包含向有此需要之溫血動物投與治 療有效量之式(I)化合物:(III), or a pharmaceutically acceptable salt thereof. The use of any one of the items (1), wherein the warm-blooded animal is a human. The material is selected from the group consisting of acute (four) autoimmune diseases and (4) developmental syndrome, and the method of the disease includes the warm blood to the need The animal is administered a therapeutically effective amount of an HDAC inhibitor. 6. The method of claim 5, which comprises administering to the warm-blooded animal in need thereof a therapeutically effective amount of a compound of formula (I): (I) 其中 R〗為!^齒基;或直鏈Ci_C6烷基,尤其甲基乙基或 正丙基,該等甲基、乙基及正丙基取代基未經取代 或經一或多個下文關於烷基取代基所述之取代基 取代; R2係選自H; C〗_Cl〇烷基,較佳為〇1<0烷基,例如甲 141243.doc 201006469 基、乙基或-ch2ch2-oh ; c4-c9環烷基;c4-c9雜環 烷基;C4_C:9雜環烷基烷基;環烷基烷基,例如環 丙基曱基;芳基;雜芳基;芳基烷基,例如苄基; 雜芳基烷基,例如吡啶基甲基;_(CH2)nC(〇)Re ; _(CH2)n0C(0)R6;胺基醯基;h〇n_c(〇)_ch=c(Ri) 芳基-烧基-;及-(CH2)nR7 ;(I) where R is! a dentate group; or a linear Ci_C6 alkyl group, especially methyl ethyl or n-propyl, the methyl, ethyl and n-propyl substituents being unsubstituted or via one or more of the following alkyl substituents Substituted substituents; R2 is selected from H; C _ Cl 〇 alkyl, preferably 〇 1 < 0 alkyl, such as a 141243.doc 201006469 base, ethyl or -ch2ch2-oh; c4-c9 naphthenic C4-C9 heterocycloalkyl; C4_C: 9 heterocycloalkylalkyl; cycloalkylalkyl, such as cyclopropylindenyl; aryl; heteroaryl; arylalkyl, eg benzyl; Arylalkyl, for example pyridylmethyl; _(CH2)nC(〇)Re; _(CH2)n0C(0)R6; amine fluorenyl; h〇n_c(〇)_ch=c(Ri) aryl -alkyl-; and -(CH2)nR7; &與h相同或不同,且獨立地為H; Ci_C6烷基;醯基; 或醯基胺基;或 R3及R4連同其所結合之碳一起表示c=〇、c=s或 C=NR8 ;或 R2連同其所結合之氮與R3連同其所結合之碳可形成 C:C9雜環烷基;雜芳基;聚雜芳基;非芳族聚雜 環,或混合芳基及非芳基聚雜環; R5係選自H; CVC6燒基;C4_C9環烧基;雜環烧 基二醯基;芳基’·雜芳基;芳基烷基,例如节基; 雜芳基烧基,例如_基甲基;芳族多環;非芳族 多環;混合芳基及非芳基多環;聚雜芳基;非芳族 聚雜環;及混合芳基及非芳基聚雜環; η、111、〜及〜相同或不同且獨立地選自〇-6,當…為卜6 時各兔原子可視情況且獨立㈣ 取相同或不同且獨立地選自H;_;ci_c4院基, 諸如 CH4CF3;n〇2;c(〇)Ri;〇r9;sr9Cn; 及NRjoR】】; R6係選自H;c,基义谓M;CVC9雜環炼 141243.doc 201006469 基;環烷基烷基,例如環丙基曱基;芳基;雜芳基; 芳基烷基,例如苄基及2-苯基乙烯基;雜芳基烷 基,例如咐咬基甲基;0R〗2 ; &NRi3R"; R?係選自 or15 ; sr15 ; S(0)R,6 ; s〇2Ri7 ; NRi3Ri4 ; 及nr12so2r6 ; R8 係選自 H ; OR15 ; NR13R14 ; Cl_c6烧基;c4 c9環烷 基,C4-C9雜環烷基;芳基;雜芳基;芳基烷基, 例如节基;及雜芳基烷基,例如吡啶基甲基; R9係選自c】-c4炫基,例如chaCF3 ; c(〇)烧基例 如 c(o)ch3 ;及 c(0)cf3 ; R1〇與Rll相同或不同且獨立地選自H; Ci_c4烧基;及 -C(O)-烷基; 〜:選自H;Cl_C6烧基;C4_C9環燒基;C4铺環烧 土,CVC9雜環垸錢基;芳基;混合芳基及非芳 基多環;雜芳基;芳基烷基,例 ^ ^ 例如苄基;及雜芳基 院基’例如吡啶基甲基; R!3與RM相同或不同且獨立地選 王4 1 ^§H,CVC6烧基;c4_c9 %院基;CVC9雜環烷基;芳某. «. ’雜芳基;芳基烧 基’例如节基;雜芳基烷基,彳 基醯基;或 Μ如t定基甲基;胺 Ri3&RH連同其所結合之氮一起 苦其.取 辱C4-C9雜環烷基;雜 芳基聚雜環; #,或混合芳基及非 R15係選自H; Cl_c6烷基;c4_c 長祝基;c4-c9雜環烷 141243.doc 201006469 基;芳基;雜芳基;芳基烷基;雜芳基烷基;及 (CH2)mZR12 ; R16係選自C〗-C6烷基;(34-(:9環烷基;c4-c9雜環烷基; 芳基;雜芳基;聚雜芳基;芳基烷基;雜芳基烷基; 及(CH2)mZR12 ; R”係選自Cl_C6烷基;C4_C9環烷基;c4_C9雜環烷基; 芳基;芳族多環;雜芳基;芳基烷基;雜芳基烷基; B 聚雜芳基及nr13r14; m為選自之整數;且 Z 係選自 0 ; NR13 ; S ;及S(0), 或八醫藥學上可接受之鹽。& same or different from h, and independently H; Ci_C6 alkyl; fluorenyl; or decylamino; or R3 and R4 together with the carbon to which they are attached represent c=〇, c=s or C=NR8 Or R2 together with the nitrogen and R3 to which it is bonded, together with the carbon to which it is bonded, may form a C:C9 heterocycloalkyl group; a heteroaryl group; a polyheteroaryl group; a non-aromatic polyheterocyclic ring, or a mixed aryl group and a non-aromatic group; a polyheterocyclic ring; R5 is selected from H; CVC6 alkyl; C4_C9 cycloalkyl; heterocycloalkyl fluorenyl; aryl '. heteroaryl; arylalkyl, such as a benzyl group; , for example, _ylmethyl; aromatic polycyclic; non-aromatic polycyclic; mixed aryl and non-aryl polycyclic; polyheteroaryl; non-aromatic polyheterocycle; and mixed aryl and non-aryl poly η, 111, 〜, and 〜 are the same or different and independently selected from 〇-6, when ... is 66, each rabbit atom may be as appropriate and independent (4) taken the same or different and independently selected from H; _; ci_c4 Base, such as CH4CF3; n〇2; c(〇)Ri; 〇r9; sr9Cn; and NRjoR]]; R6 is selected from H; c, basic meaning M; CVC9 heterocyclic 141243.doc 201006469 base; naphthenic Alkyl group, such as cyclopropyl fluorenyl; aryl; hetero An arylalkyl group such as a benzyl group and a 2-phenylvinyl group; a heteroarylalkyl group such as a carbyl methyl group; 0R 2; &NRi3R"; R? is selected from or15; sr15; (0) R,6; s〇2Ri7; NRi3Ri4; and nr12so2r6; R8 is selected from H; OR15; NR13R14; Cl_c6 alkyl; c4 c9 cycloalkyl, C4-C9 heterocycloalkyl; aryl; heteroaryl An arylalkyl group, such as a benzyl group; and a heteroarylalkyl group, such as pyridylmethyl; R9 is selected from the group consisting of c]-c4 leuco, such as chaCF3; c(〇)alkyl such as c(o)ch3; And c(0)cf3; R1〇 is the same as or different from R11 and is independently selected from H; Ci_c4 alkyl; and -C(O)-alkyl; ~: selected from H; Cl_C6 alkyl; C4_C9 cycloalkyl; C4 ring-burned soil, CVC9 heterocyclic ruthenium; aryl; mixed aryl and non-aryl polycyclic; heteroaryl; arylalkyl, for example, ^ ^ such as benzyl; and heteroaryl Pyridylmethyl; R!3 is the same or different and independently selected from the RM 4 1 ^§H, CVC6 alkyl; c4_c9% of the base; CVC9 heterocycloalkyl; Fangm. «. 'heteroaryl; a base group such as a benzyl group; a heteroarylalkyl group; an alkyl group; or Methyl; amines Ri3 & RH together with the nitrogen to which they are combined. Insult C4-C9 heterocycloalkyl; heteroaryl polyheterocycle; #, or mixed aryl and non-R15 are selected from H; Cl_c6 alkane Base; c4_c long base; c4-c9 heterocycloalkane 141243.doc 201006469 base; aryl; heteroaryl; arylalkyl; heteroarylalkyl; and (CH2)mZR12; R16 is selected from C- C6 alkyl; (34-(:9-cycloalkyl; c4-c9 heterocycloalkyl; aryl; heteroaryl; polyheteroaryl; arylalkyl; heteroarylalkyl; and (CH2)mZR12 ; R" is selected from the group consisting of Cl_C6 alkyl; C4_C9 cycloalkyl; c4_C9 heterocycloalkyl; aryl; aromatic polycyclic; heteroaryl; arylalkyl; heteroarylalkyl; B polyheteroaryl and Nr13r14; m is an integer selected from the group consisting of; and Z is selected from 0; NR13; S; and S(0), or eight pharmaceutically acceptable salts. 141243.doc141243.doc
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