TW201226406A - A pharmaceutical composition for treating cancer - Google Patents

A pharmaceutical composition for treating cancer Download PDF

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TW201226406A
TW201226406A TW99146175A TW99146175A TW201226406A TW 201226406 A TW201226406 A TW 201226406A TW 99146175 A TW99146175 A TW 99146175A TW 99146175 A TW99146175 A TW 99146175A TW 201226406 A TW201226406 A TW 201226406A
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cancer
pharmaceutical composition
composition according
piracetam
acid
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TW99146175A
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TWI403509B (en
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Li-Chien Chang
Pen-Chung Chen
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Nang Kuang Pharmaceutical Co Ltd
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Abstract

Disclosed herein is a new use of a pyrrolidone derivative, particularly, the use of the pyrrolidone derivative for treating a subject suffering from a cancer. A pharmaceutical composition for treating cancer is provided accordingly. The pharmaceutical composition includes a pyrrolidone derivative, a salt or a solvate thereof; and a pharmaceutically acceptable carrier. The pharmaceutical composition may further include a chemo therapeutic agent.

Description

201226406 六、發明說明: 【發明所屬之技術領域】 本揭示内容大致是有關於藥學領域。詳言之本揭示内容β 有關於種可用來治療癌症之藥學組合物。 【先前技術】201226406 VI. Description of the Invention: TECHNICAL FIELD OF THE INVENTION The present disclosure is broadly related to the field of pharmacy. DETAILED DESCRIPTION This disclosure relates to a pharmaceutical composition that can be used to treat cancer. [Prior Art]

在先進國家中,癌症位居死因排行榜之第—位 _癌症的診斷與治療上已不斷在進步,然而目前大部㈣= 4方法都還是有副作用或是療效有限的缺點。由於腫瘤的^ 與轉移牽涉到許多列的機轉,因此癌症的治療過程相當複雜, 其中有些機轉至今都還不清楚。化療目前仍為許多類癌症(如,血 主要m療方法之_,以及復發性高之腫瘤的主要第二 泉口療方法之-。大部分目前使用中的抗癌藥物均為丨分子化合 物’需要以非經腸胃道(Par崎injection)的方式或大量注: (b咖一tiGn)方式來對病人投藥,治療期間患者必需人院接受臨 ’造成醫療照護成本居高不下。因此,相關領域需要開發 '可口服之新|㈣有效抗癌藥物,方能降低癌症照護的整 療成本。 3本發明在此提出習知用以治療認知性疾病藥物的用途, ^些可治療認知性疾病的藥物主要是屬於2心找酮家族化人 ^’因具有可幫助認知學習的功能(_—)’早期被稱為『聰; 樂』’用來治療諸如㈣海默氏症之類㈣經退 =,這些藥物還具有神經保護功效,特別是可保護= ? ^.^^i^(antiepi,eptic agent), 201226406 本案發明人意外發現這類習知的2-吡咯烧酮家族化合物,單 獨使用即具有能抑制腫瘤生長的效果,若再並用習知化療藥劑, 則其抗癌效果更佳。此外’因2-吡咯烷酮家族化合物多半已開發 成治療藥劑上市’較無用藥安全上的疑慮,且其開發的藥劑形式 包含藥錠或糖漿之類口服配方’因此’這類2-吡咯烷酮家族化合 物將可成為下一世代極具市場潛力的新穎抗癌藥物。 【發明内容】 本揭示内容特徵是一種用來治療患有癌症相關疾病之個體的 新穎藥物配方。 因此’本揭示内容之第一目的在於提供一種新穎的藥學組合 物,包含一藥學有效量之吡咯烷酮衍生物及其鹽類或溶合物;以 及一藥學上可接受的載體。 依據本揭示内容特定實施方式,該°比咯烧酮衍生物是選自2-°比略烧酮家族化合物,包括阿洛西坦(aloracetam)、阿尼西坦 (aniracetam)、布瓦西坦(brivaracetam)、西巴西坦(cebaracetam)、 庫拉西坦(coluracetam)、迪拉西坦(dimiracetam)、多拉西坦 (doiiracetam)、英拉西坦(imuracetam)、莫拉西坦(molracetam)、諾阿比特 (noopept)、。比拉西坦(piracetam)、奧拉西坦(oxiracetam)、普拉西坦 (pramiracetam)、奈非西坦(nefiracetam)、奈拉西坦(nebracetam)、 法索西坦(fasoracetam)、左乙拉西坦(levetiracetam)、度拉西坦 (dupracetam)、乙拉西坦(etiracetam)及其之任一組合。在一特定實 例中,該。比0各院酮衍生物是吼拉西坦(piracetam)。在另一實例中, 該。比17各烧酮衍生物是左乙拉西坦(levetiracetam)。 依據本揭示内容另一特定實施方式,本發明用以治療一罹患 201226406In advanced countries, cancer ranks first in the list of causes of death _ cancer diagnosis and treatment have been continuously improving, but most of the current (four) = 4 methods still have side effects or limited efficacy. Since the tumors and metastasis involve many sequences of cancer, the treatment of cancer is quite complicated, and some of them have not been known until now. Chemotherapy is still the case for many types of cancer (eg, the main method of blood therapy, and the second second spring therapy method for relapsed tumors. Most of the currently used anticancer drugs are 丨 molecular compounds' need In the form of parenteral (Pars injection) or a large number of injections: (b coffee-tiGn) to the patient, during the treatment period, the patient must receive the hospital's treatment, resulting in high cost of medical care. Therefore, the relevant field needs The development of 'can be taken orally|(4) effective anticancer drugs can reduce the cost of treatment for cancer care. 3 The present invention proposes the use of drugs for treating cognitive diseases, and some drugs for treating cognitive diseases. Mainly belong to 2 heart ketone family members ^ 'Because of the function that can help cognitive learning (_-) 'early known as "Cong; music" used to treat such things as (four) Haimo's disease (four) retreat = These drugs also have neuroprotective effects, in particular, protection = ? ^.^^i^(antiepi,eptic agent), 201226406 The inventors of the present invention have unexpectedly discovered such conventional 2-pyrrolidone family compounds, which are used alone. Suppressive The effect of tumor growth, if combined with the conventional chemotherapeutic agent, the anti-cancer effect is better. In addition, because most of the 2-pyrrolidone family compounds have been developed into therapeutic drugs, the drug-free safety concerns and the drugs developed by them have been developed. The form includes an oral formulation such as a tablet or syrup. Therefore, such a 2-pyrrolidone family compound will be a novel anticancer drug with market potential for the next generation. [Disclosed] The present disclosure features a method for treating a patient A novel pharmaceutical formulation for an individual having a cancer-related disease. Thus, a first object of the present disclosure is to provide a novel pharmaceutical composition comprising a pharmaceutically effective amount of a pyrrolidone derivative and a salt or a solvate thereof; An acceptable carrier. According to a particular embodiment of the present disclosure, the pyronone derivative is a compound selected from the group consisting of 2-° ratios of sulphonone, including aloacetam, aniracetam ), brivaracetam, cebaracetam, colacetacetam, diraceracem, Doiiracetam, imuracetam, molracetam, noopept, piracetam, oxiracetam, pula Pramiracetam, nefiracetam, nebracetam, fasoracetam, levetiracetam, dupracetam, ilaxi Etiracetam and any combination thereof. In a particular instance, this. The ketone derivative of each hospital is piracetam. In another example, this. The specific ketone derivative of 17 is levetiracetam. According to another specific embodiment of the present disclosure, the present invention is for treating a problem 201226406

癌症之個體的藥學組合物,更包含一化療藥劑。該化療藥劑可選 自紫杉醇(paclitaxel) '抗癌妥(irinotecan HC1)、異丙氧代苯紫杉醇 (docitaxel)、阿黴素(doxorubicin)、丹阿徽素(daunorubicin)、艾阿 黴素(epirubicin)、I尿口密。定(fluorouracil)、溶肉瘤素(melphalan)、 順轴(cis-platin)、石炭叙(carb〇platin)、環鱗醯胺(cyclophosphamide)、 絲裂黴素(mitomycin)、氨基甲基葉酸(methotrexate)、絲經酮 (mitoxantrone)、長春花驗(vinblastine)、長春新驗(vincristine)、尹 敗醯胺(ifosfamide)、鬼臼毒素(teniposide)、鬼臼乙叉武 (etoposide)、輪絲鏈黴素(bleomycin)、曱酿四氫葉酸(leucovorin)、 星狀素(cytarabine)、放線菌素 D (dactinomycin)、α-干擾素 (interferon alpha)、鏈尿佐菌素(strept0Z0Cin)、氫化潑尼松 (prednisolone)或鹽酸曱基苄肼(procarbazine HC丨)。在一實例中, 5玄化療樂劑疋抗癌妥(irin〇tecan HC1)。 因此’本揭示内容之第二目的在於提供一種用以治療一罹患 癌症之個體的方法。所述方法包含對該罹患癌症之個體施用上述 本發明之藥學組合物。該藥學組合物包含一藥學有效量之吡咯烷 酮衍生物及其鹽類或溶合物;以及一藥學上可接受的載體。在一 貫例中’所施用之。比u各烧酮衍生物為β比拉西坦(pjracej;am)。在另一 貫例中,所施用之。比〇各院酮衍生物是左乙拉西坦(levetiracetam)。 依據本揭示内容一特定實施方式,適合利用本發明藥學組合 物進行治療之癌症是選自以下任一種:人類白血病、肌肉腫瘤、 骨癌、淋巴瘤、黑色素瘤、卵巢癌、皮膚癌、睪丸癌、胃癌、胰 臟癌、腎癌、乳癌、前列腺癌、直腸癌、頭頸部之癌、腦癌、食 道癌 '膀胱癌' 腎上腺皮質癌、肺癌、支氣管癌、子宮内膜癌、 子宮頸癌或肝癌。在一實例中,該癌症是直腸癌。 201226406 症之内容另一特定實施方式,所述用以治療該罹患癌 ^之體的方法更包含在施用本發明藥學組合物之前、同時或: β . .,^ kσ用在本發明方法之化療藥劑 疋選自1杉醇、抗癌妥、異丙氧代 ^ ^ 虱代本备、杉知、阿黴素、丹阿黴素、 又可徽素、氟尿嚷。定、溶肉瘤*、蔽私 山 # 素順鉑、妷鉑、環磷醯胺、絲裂 锨素、虱基甲基葉酸'絲羥酮、 丁农 余匕土主^ 長春化鹼、長春新鹼、尹氟醯胺、 尾臼毋素、鬼臼乙叉甙、輪絲鍵徵辛、 > 访妗—主。 τ賤京、甲醯四氫葉酸、星狀素、 欲線囷素D、α·干擾素、铋苽杜# 卜 — ”.佐囷素、氣化潑尼松或鹽酸甲基节A pharmaceutical composition of an individual of cancer further comprises a chemotherapeutic agent. The chemotherapeutic agent may be selected from the group consisting of paclitaxel 'irinotecan HC1', octitaxopel (docitaxel), doxorubicin, daunorubicin, and epirubicin. ), I urinary secret. Fluorouracil, melphalan, cis-platin, carb〇platin, cyclophosphamide, mitomycin, methotrexate ), mitoxantrone, vinblastine, vincristine, ifosfamide, teniposide, etoposide, filament chain Bleomycin, leucovorin, cytarabine, dactinomycin, interferon alpha, strept0Z0Cin, hydrogenation Prednisolone or procarbazine HC丨. In one example, 5 Xuan Chemotherapy is anti-cancer (irin〇tecan HC1). Thus, a second object of the present disclosure is to provide a method for treating an individual suffering from cancer. The method comprises administering to the individual suffering from cancer the pharmaceutical composition of the invention described above. The pharmaceutical composition comprises a pharmaceutically effective amount of a pyrrolidone derivative, and salts or solvates thereof; and a pharmaceutically acceptable carrier. Applied in a consistent example. The ratio of each ketone derivative is β biracetam (pjracej; am). In another example, it is applied. The ketone derivative of each hospital is levetiracetam. According to a particular embodiment of the present disclosure, a cancer suitable for treatment with a pharmaceutical composition of the present invention is selected from any one of the following: human leukemia, muscle tumor, bone cancer, lymphoma, melanoma, ovarian cancer, skin cancer, testicular cancer , gastric cancer, pancreatic cancer, kidney cancer, breast cancer, prostate cancer, rectal cancer, head and neck cancer, brain cancer, esophageal cancer 'bladder cancer' adrenal cortical cancer, lung cancer, bronchial cancer, endometrial cancer, cervical cancer or Liver cancer. In one example, the cancer is rectal cancer. 201226406 In another specific embodiment, the method for treating the body of the cancer further comprises administering the chemotherapy of the method of the present invention before, simultaneously or at the same time as: administering the pharmaceutical composition of the present invention. The drug is selected from the group consisting of 1 cedarol, anticancer, isopropyloxy^^ 本 本, 杉, doxorubicin, danzimycin, acetonide, fluorouridine. Ding, sarcoma*, 封私山# 素顺铂, 妷platinum, cyclophosphamide, lysin, thiomethyl-folate, ketone, Dingnong, 匕, 匕, Changchun, Changchun, Changchun Alkali, Yin-Fluoride, Oedoside, Scorpion Etoposide, Round Wire Bond, > Visiting - Lord.贱贱京,甲醯tetrahydrofolate, stellate, 囷素素 D,α·interferon, 铋苽杜# Bu — ”. Saskatchewan, gasified prednisone or methyl acetate

年。在一貫例中’該化療華麻|丨县J·» ,皮·* + 縻杲刟疋杬癌安,且係與該吡咯烷酮衍生 物同時施用至該個體上。 王 魏町料細說明與附隨之巾請專利範圍將可更了解本揭 不内谷的這些及其他特徵。 需知以上的概述及以下的詳細說明僅為例示,用來闡述本揭 不内容,而非用以限制本揭示内容之範嘴。 【實施方式】 、以下揭不内容是有關於吡咯烷酮化合物之新穎用途,特別是 以此類化合物來治療癌症的新穎用途。 -本案’X月人利用獨特的藥物篩選平台’鑑別出一群習知吡咯 院嗣衍生物的新㈣途,特別是用於治療癌症。因此,本發明所 鑑別出來的這類具有抑制腫瘤生長的化合物,可被開發成下-世 代的抗癌藥物。 依據本么月内☆,這類習知具有抑制腫瘤生長之啦π各烧綱衍 生物包含以下化合物: 201226406year. In a consistent example, the chemotherapy is administered to the individual simultaneously with the pyrrolidone derivative. Wang Wei-cho's detailed description and attached patents will be able to better understand these and other characteristics of this article. The above summary and the following detailed description are merely illustrative, and are not intended to limit the scope of the disclosure. [Embodiment] The following is a novel use of a pyrrolidone compound, particularly a novel use of such a compound for treating cancer. - This case 'X Yue people use a unique drug screening platform' to identify a new group of conventional pyrrole derivatives, especially for the treatment of cancer. Therefore, such a compound having tumor growth inhibiting which is identified by the present invention can be developed into a lower-generation anticancer drug. According to this month, ☆, this kind of conventionally known tumor inhibiting tumor growth includes the following compounds: 201226406

N-[2-(3-曱醯基-2,5-二曱基吡咯-1-基)乙基]乙醯胺 (N-[2-(3-formyl-2,5-dimethylpyrrol-l-yl)ethyl】acetamide),俗稱阿尼西坦 (aniracetam)N-[2-(3-mercapto-2,5-dimercaptopyrrol-1-yl)ethyl]acetamidamine (N-[2-(3-formyl-2,5-dimethylpyrrol-l-) Yl)ethyl]acetamide), commonly known as aniracetam

l-[(4-甲氧基苄基)]-2- 0比 0各炫《 _ (l-[(4-methoxybenzoyl)]-2-pyrrolidinone),俗稱阿洛西坦(aloracetam);L-[(4-methoxybenzyl)]-2- 0 is 0 0 ( _ (l-[(4-methoxybenzoyl)]-2-pyrrolidinone), commonly known as aloacetam (aloracetam);

(2S)-2-[(4/?)-2·氧代-4-丙基吼咯啶-1-基]丁醯胺((25)-2-[(4/?)-2-〇父〇-4-propylpyrrolidin-l'y|] butanamide),俗稱布瓦西坦(brivaracetam); 201226406(2S)-2-[(4/?)-2.oxo-4-propylindole-1-yl]butanamine ((25)-2-[(4/?)-2-〇 Father 〇-4-propylpyrrolidin-l'y|] butanamide), commonly known as boisacetam (brivaracetam); 201226406

4-[2_[4-(4-氣苯基)-2·氧代。比略咬-1 -基]乙醯]α底嗓2-酮 (4-[2-[4-(4-chlorophenyl)-2-oxopyrrolidin-l-yl]acetyl]piperazin-2-one),俗稱 西巴西坦(cebaracetam);4-[2_[4-(4-Phenylphenyl)-2.oxo. Than a bite -1 -yl]acetamidine]-[2-[4-[4-(4-chlorophenyl)-2-oxopyrrolidin-l-yl]acetyl]piperazin-2-one), commonly known as Cebatacetam;

N-[2-(3-二甲基-5,6,7,8-四氫呋喃並[2,3-b]喹啉-4-基)-2-(2-氧代吡咯啶 -1-基]乙醯胺(A/-(2,3-dimethyl-5,6,7,8- tetrahydrofuro[2,3-b] quinolin-4-yl)-2- (2-oxopyrrolidin-l-yl)acetamide),俗稱庫拉西坦 (coluracetam);N-[2-(3-Dimethyl-5,6,7,8-tetrahydrofuro[2,3-b]quinolin-4-yl)-2-(2-oxopyrrolidin-1-yl) Acetamine (A/-(2,3-dimethyl-5,6,7,8-tetrahydrofuro[2,3-b] quinolin-4-yl)-2-(2-oxopyrrolidin-l-yl)acetamide ), commonly known as colacetacetam;

Η (RS )-3,6,7,78-113 It [1,5-a] ((RS )-3,6,7,7a-tetrahydro-lH-pyrrolo[l,5-a]imidazole-2,5-dione),俗稱迪拉 8 201226406 西坦(dimiracetam);Η (RS )-3,6,7,78-113 It [1,5-a] ((RS )-3,6,7,7a-tetrahydro-lH-pyrrolo[l,5-a]imidazole-2 , 5-dione), commonly known as Dilla 8 201226406 Seantan (dimiracetam);

2-(2- 氧代-3-苯基·3Η·吲哚-1-基)乙醯胺 (2-(2-oxo-3-phenyl-3H-indol-l-yl)acetamide),俗稱多拉西坦 (doliracetam);2-(2-oxo-3-phenyl-3H-indol-l-yl)acetamide, commonly known as 2-(2-oxo-3-phenyl-3H-indol-l-yl)acetamide Lacidine (doliracetam);

Ν, Ν'-二[(2-氧代吡咯啶-1-基)甲基尿素 (N,l\T-bis[(2-oxopyrro丨ia_in-l-yi)methyi]urea),俗稱英拉西坦(imuracetam);Ν, Ν'-bis[(2-oxopyrrolidin-1-yl)methylurea (N,l\T-bis[(2-oxopyrro丨ia_in-l-yi)methyi]urea), commonly known as Yingla Sitan (imuracetam);

2·[4·(4-甲氧苯甲基)哌嗪-1-基]-1-嗎啉-4-基乙酮 (2-[4-(4-methoxybenzoyl)piperazin-l-yl]-l-morpholin-4-ylethanone),俗稱莫 拉西坦(molracetam);2·[4-(4-methoxybenzyl)piperazin-1-yl]-1-morpholin-4-ylethanone (2-[4-(4-methoxybenzoyl)piperazin-l-yl]- L-morpholin-4-ylethanone), commonly known as molracetam;

201226406 Ο V° 〇 ο Ν 本乙醯基-L-脯氨酿甘氨酸乙醋(N_pheny|acety|-L-pr〇|y|g|ycineethyl ester) ’俗稱諾阿比特(N〇〇pept};201226406 Ο V° 〇 ο Ν 醯 醯-L-脯 ammonia-glycine vinegar (N_pheny|acety|-L-pr〇|y|g|ycineethyl ester) ‘commonly known as Noahbit (N〇〇pept};

2-氧代-1-α比洛咬乙酿胺(2-〇x〇-l-pyrr〇lidineacetamide),俗稱。比拉西 坦(piracetam);2-oxo-1-α is a kind of 2-〇x〇-l-pyrr〇lidineacetamide, commonly known as. Piracetam (piracetam);

(兄S)-2-(4- 羥基-2-氧代吡咯啶-1-基)乙醯胺 ((/?5)-2-(4-hydroxy-2-oxopyrrolidin-l-yl)acetamide) > 俗稱奧拉西坦 (oxiracetam); 10 201226406(brother S)-2-(4-hydroxy-2-oxopyrrolidin-1-yl)acetamide ((/?5)-2-(4-hydroxy-2-oxopyrrolidin-l-yl)acetamide) > Commonly known as oxiracetam; 10 201226406

N-[2-(二異丙基氨)乙基]-2-(2-氧代。比咯啶-1-基)乙醯胺 (N-[2-(diisopropylamino)ethyl]-2-(2-oxopyrrolidin-l-yl)acetamide),俗稱普 拉西坦(pramiracetam);N-[2-(diisopropylamino)ethyl]-2-(2-oxo.pyrrolidin-1-yl)acetamidamine (N-[2-(diisopropylamino)ethyl]-2-( 2-oxopyrrolidin-l-yl)acetamide), commonly known as pramiracetam;

〇 Λ % Ν-(2,6-二甲基苯基)-2-(2-氧代。比咯啶-1-基)乙醯胺 ((N-(2,6-dimethylphenyl)-2-(2-oxopynOlidin-l-yl)acetamide),俗稱奈非西坦 (nefiracetam);〇Λ % Ν-(2,6-dimethylphenyl)-2-(2-oxo.pyrrolidin-1-yl)acetamidamine ((N-(2,6-dimethylphenyl)-2- (2-oxopynOlidin-l-yl)acetamide), commonly known as nefiracetam;

(RS)-4-(氨曱基 )-1-苯基-。比咯啶-2-氧代 ((RS)-4-(aminomethyl)-1 -benzyl-pyrrolidin-2-one),俗稱奈拉西坦 (nebracetam); 201226406 〇(RS)-4-(aminomethyl)-1-phenyl-. Bis(r)-2-oxo ((RS)-4-(aminomethyl)-1 -benzyl-pyrrolidin-2-one), commonly known as nebracetam; 201226406 〇

(5R)-5-(六氣α比σ定-1 -幾基 )α比略 °定_ 2-嗣 ((5R)-5-(piperidine-1 -carbonyl) pyrrolidin-2-one),俗稱法索西坦 (fasoracetam);(5R)-5-(six gas α ratio sigma-1 -syl) α ratio _ 2-嗣((5R)-5-(piperidine-1 -carbonyl) pyrrolidin-2-one), commonly known as Fasoracetam

(S)-2-(2- 氧代吡咯啶 -1- 基)丁醯胺 ((5)-2-(2-oxopyrrolidin-1 -yl)butanamide),俗稱左乙拉西坦 (levetiracetam);(S)-2-(2-oxopyrrolidin-1-yl)butanamide ((5)-2-(2-oxopyrrolidin-1 -yl)butanamide), commonly known as levetiracetam;

(2-(2-氧代吡咯啶-1 -基)-N’-[2-(2-酮吡咯啶-1 -基)乙醯基]醋醯肼 (2-(2-oxopyrrolidin-1 -yl)-N'-[2-(2-oxopyrrolidin-1 -yl)acetyl]acetohydrazide), 俗稱度拉西坦(dupracetam);及 12 201226406(2-(2-oxopyrrolidin-1-yl)-N'-[2-(2-ketopyrrolidin-1-yl)ethenyl]acetate (2-(2-oxopyrrolidin-1 - Yl)-N'-[2-(2-oxopyrrolidin-1 -yl)acetyl]acetohydrazide), commonly known as dupracetam; and 12 201226406

(RS)-2-(2-氧代吡咯啶小基)丁醯胺 ((RS)-2-(2-oxopyrrolidin-l-yl)butanamide),俗稱乙拉西坦(etiracetam)。 上述這些化合物可由市面上購得,或是以習知方法合成。 因此,依據本揭示内容一實施態樣,係提供一種用以治療一 罹患癌症之個體的方法。所述方法包含對該個體施用一藥學有效 里之任一種上述吡咯烷酮衍生物或其組合、鹽類或溶合物。在一 貫例中’ s玄吼咯烧酮衍生物是吡拉西坦(piracetam)。在另一實例 中’該吼嘻烧酮衍生物是左乙拉西坦(丨evetiracetam)。 在本文中’「抑制腫瘤」、「抗癌」和/或「抗腫瘤」之詞,可交 產使用,思指可抑制腫瘤細胞和/或癌細胞之生長(gr〇wth)、增生 (proliferation),還包括殺死腫瘤細胞和/或癌細胞。 「治療」一詞意指對一個體施用所述化合物以治癒(cure or 減輕(a丨丨eviate or relieve)、改變(alter) ' 治療(remedy)、改善 “mehofate沉impr〇ve)或影響(affect)其疾病、疾病之症狀或患病 之傾向。 藥學有效量(a therapeutically effective amount)」一詞意 才曰對治療對象施用一具有療效之化合物的劑量。療效之衡量可為 客觀的(利用一些試驗或標誌來衡量)或是主觀的(治療對象給予其 •子 >文果與感覺之敘述)。上述之化合物的有效劑量範圍可自約丨毫 克&斤/天至約500毫克/公斤/天,較佳是自1〇毫克/公斤/天至 13 201226406 約400毫克/公斤/天,更佳是自50毫克/公斤/天至約250毫克/公 斤/天。有效劑量亦會隨著施用途徑之不同以及可能並用的其他藥 劑之不同而有所改變。在一實例中,該有效劑量是約100毫克/公 斤/天;在另一實例中,該有效劑量是約250毫克/公斤/天。(RS)-2-(2-oxopyrrolidinyl)butanamide (RS(RS)-2-(2-oxopyrrolidin-l-yl)butanamide), commonly known as etiracetam. These compounds are commercially available or can be synthesized by conventional methods. Thus, in accordance with an embodiment of the present disclosure, a method for treating an individual suffering from cancer is provided. The method comprises administering to the individual a pharmaceutical derivative of any one of the above pyrrolidone derivatives, or a combination, salt or solvate thereof. In one example, the s-xanthene ketone derivative is piracetam. In another example, the acetophenone derivative is levetiracetam. In this paper, the words 'inhibiting tumors', 'anti-cancer' and/or 'anti-tumor' can be used for cross-production, and can inhibit the growth of tumor cells and/or cancer cells (gr〇wth) and proliferation. ) also includes killing tumor cells and/or cancer cells. The term "treatment" means applying the compound to a body to cure (aure or relieve), alter 'remedy', improve "mehofate" or affect ( Affected by the disease, the symptoms of the disease, or the predisposition to disease. The term "a therapeutically effective amount" is intended to mean the administration of a therapeutically effective compound to a subject. The measure of efficacy can be objective (measured by some test or sign) or subjective (the subject gives the child > the description of the fruit and feeling). The effective dose of the above compound may range from about 丨mg & kg/day to about 500 mg/kg/day, preferably from 1 〇mg/kg/day to 13 201226406, about 400 mg/kg/day, more preferably It is from 50 mg/kg/day to about 250 mg/kg/day. The effective dose will also vary with the route of administration and the other agents that may be used in combination. In one example, the effective dose is about 100 mg/kg/day; in another example, the effective dose is about 250 mg/kg/day.

「鹽類」一詞代表利用一種鹼(例如本揭示内容之吡咯烷酮衍 生物)與一種酸(包括有機或無機酸)反應後所形成的鹽類,該酸的 例子包括氫氯酸、氫溴酸、氫蛾酸、過氣酸、甲基續酸、硫酸、 硝酸、填酸、丙酸、乙醇酸、丙酮酸、丙二酸(malonic acid)、琥 珀酸(succinic acid)、順丁烯二酸(maleic acid)、反丁烯二酸(fumaric acid)、酒石酸(tartaric acid)、檸檬酸、笨甲酸(benzoic acid)、碳酸 (carbonic acid)、肉桂酸(cinnamic acid)、甲石黃酸(methanesulfonic acid)、乙石黃酸(ethanesulfonic acid)、經乙績酸 (hydroxyethanesulfonic acid)、苯石夤酸(benezenesulfonic acid)、對-甲苯石黃酸(p-toluene sulfonic acid)、環己基石夤酸(cycohexanesulfamic acid)、水楊酸(salicyclic acid)、對-胺基水楊酸(p-aminosalicyclic acid)、2-苯氧基苯甲酸(2-phenoxybenzoic acid)和2-乙醯氧基笨甲 酸(2-acetoxybenzoic acid)。在一較佳實例中,該鹽類是左乙拉西 坦氣化氫。在另一較佳實例中,該鹽類是。比拉西坦氣化氫。 「溶合物(solvate)」一詞在此代表由一化合物(如,本揭示内 容中的吡咯烷酮衍生物)與其周圍的溶劑分子(如,水、乙醇等)互 相反應後所形成的錯化物。在一實例中,該吡咯烷酮衍生物之溶 合物乃是左乙拉西坦水合物。 藥學上可接受之本發明化合物鹽類包含藥學上可接受之無機 酸驗與有機酸鹼。適合的酸鹽例如有醋酸鹽(acetate)、己二酸鹽 (adipate)、藻酸鹽(alginate)、天門冬胺酸鹽(aspartate)、苯甲酸鹽 14 201226406The term "salt" refers to a salt formed by the reaction of a base (such as a pyrrolidone derivative of the present disclosure) with an acid (including an organic or inorganic acid), examples of which include hydrochloric acid, hydrobromic acid Hydrohydric acid, peroxyacid, methyl acid, sulfuric acid, nitric acid, acid, propionic acid, glycolic acid, pyruvic acid, malonic acid, succinic acid, maleic acid (maleic acid), fumaric acid, tartaric acid, citric acid, benzoic acid, carbonic acid, cinnamic acid, methanesulfonic acid Acid), ethanesulfonic acid, hydroxyethanesulfonic acid, benezenesulfonic acid, p-toluene sulfonic acid, cyclohexyl ruthenium ( Cycohexanesulfamic acid), salicyclic acid, p-aminosalicyclic acid, 2-phenoxybenzoic acid and 2-acetoxybenzoic acid (2 -acetoxybenzoic acid). In a preferred embodiment, the salt is levetiracetan gasification hydrogen. In another preferred embodiment, the salt is. Piracetam hydrogenates hydrogen. The term "solvate" as used herein refers to a complex formed by the reaction of a compound (e.g., a pyrrolidone derivative in the present disclosure) with a solvent molecule (e.g., water, ethanol, etc.) in the vicinity thereof. In one example, the pyrrolidone derivative is a levetiracetam hydrate. The pharmaceutically acceptable salts of the compounds of the invention comprise a pharmaceutically acceptable inorganic acid and an organic acid base. Suitable acid salts are, for example, acetate, adipate, alginate, aspartate, benzoate 14 201226406

(benzoate)、笨石黃酸鹽(benzenesulfonate)、酷酸鹽(butyrate)、轉檬 酸鹽(citrate)、樟腦酸鹽(camphorate)、樟腦確酸鹽 (camphorsulfonate) ' 乙基石黃酸鹽(ethanesulfonate)、曱酸鹽 (formate)、反丁烯二酸鹽(fumarate)、葡萄糖酸 S复鹽(glycolate)、庚 酸鹽(heptanoate)、己酸鹽(hexanoate)、氫氣酸鹽(hydrochloride)、 氫溴酸鹽(hydrobromide) 、2-氫氧基乙烧石黃酸鹽 (2-hydroxyethanesulfonate) ' 乳酸鹽(lactate)、順丁烯二酸鹽 (maleate、malonate)、甲基石黃酸鹽(methanesulfonate)、2-基石黃酸 鹽(2-naphthalenesulfonate)、於驗酸鹽(nicotinate)、石肖酸鹽 (nitrate)、棕梠酸鹽(palmoate)、果膠酸鹽(pectinate)、3-苯基丙酸 鹽(3-phenylpropionate)、鱗酸鹽(phosphate)、苦味酸鹽(picrate)、 新戊酸鹽(pivalate)、丙酸鹽(propionate)、水楊酸鹽(saiicyiate)、丁 二酸鹽(succinate)、硫酸鹽(sulfate) '酒石酸鹽(tartrate)、硫氰酸鹽 (thiocyanate)、曱苯磺酸鹽(tosylate)與十一烷酸鹽(undecan〇ate)。 另外,製藥上不可接受的酸,例如乙二醯酸,則可用來製備中間 產物之鹽類,以獲得本發明化合物及其藥學上可接受之酸鹽。自 適當的驗所獲得的鹽類包含驗金屬(如鈉)、驗土金屬(如鎮)、敍離 子與N(烷基)/之鹽類。本發明亦設想任何於此揭露之化合物的含 氮之四級銨鹽,以得到水溶性、油溶性或可分散之產品。 依據另一特定實施方式,本發明方法更包含在對該個體施用 上述之吡咯烷酮衍生物之前、同時或之後,對該個體施用一化療 藥劑,且該化療藥劑的用量約為所施加之。比咯烷酮衍生物用量的 1/6至丨/4間。在一實例中,吡咯烷酮衍生物化療藥劑是同時施用 至該個體身上。 適合用於本發明方法的化療藥劑,包括,但不限於,紫杉醇 15 201226406 (paclitaxel)、抗癌妥(irin〇tecan HCl)、異丙氧代苯紫杉醇 (docitaxel)、阿黴素(doxorubicin)、丹阿徽素(daunorubicin)、艾阿 徽素(epirubicin)、氟尿嘧啶(fluorouracil)、溶肉瘤素(melphalan)、 順翻(cis-platin)、碳舶(carboplatin)、環填醢胺(cyclophosphamide)、 絲裂黴素(mitomycin)、氨基甲基葉酸(methotrexate)、絲經酮 (mitoxantrone)、長春花驗(vinblastine)、長春新驗(vincristine)、尹 氟醯胺(ifosfamide)、鬼臼毒素(teniposide)、鬼臼乙又武 (etoposide)、輪絲鏈徽素(bleomycin)、甲醯四氫葉酸(leucov〇rin)、 星狀素(cytarabine)、放線菌素 D (dactinomycin)、α-干擾素 (interferon alpha)、鏈尿佐菌素(streptozocin)、氫化潑尼松 (prednisolone)及鹽酸甲基 τ 肼(procarbazine HC1)。在一貫例中’ 該化療藥劑是抗癌妥(irinotecan HC1)。 適合以本發明方法進行治療之癌症是選自以下任一種:白血 病、肌肉腫瘤、骨癌、淋巴瘤、黑色素瘤、卵巢癌、皮膚癌、睪 丸癌、胃癌、騰臟癌、腎癌、乳癌、前列腺癌、直腸癌、頭 >員部 之癌、腦癌、食道癌、膀胱癌、腎上腺皮質癌、肺癌、支氣管癌、 子宮内膜癌、子宮頸癌或肝癌。在一實例中,適合以本發明方法 進行治療之癌症是直腸癌。 適合接受本發明方法治療之個體為哺乳動物’例如人類;諸 如猴子、猩猩之類的靈長類;諸如牛、羊、馬、豬、雞、鴨、鵝 之類的家禽以及諸如狗、貓之類的寵物。 本發明另一態樣是提供一種用以治療一罹患癌症之個體的藥 學組合物。此藥學組合物包含一藥學有效量之上述。比11 各坑酮衍生 物、其鹽類或溶合物;以及一藥學上可接受的載體。 該吡咯烷酮衍生物是選自2-吡咯烷酮家族化合物’包括阿洛 16 201226406 西坦(aloracetam)、阿尼西坦(aniracetam)、布瓦西坦 (brivaracetam)、西巴西坦(cebaracetam) ' 庫拉西坦(coluracetam)、迪 拉西坦(dimiracetam)、多拉西坦(doliracetam)、英拉西坦(imuracetam)、 莫拉西坦(molracetam)、諾阿比特(noopept)、吡拉西坦(piracetam)、 奥拉西坦 (oxiracetam)、普拉西坦(pramiracetam)、奈非西坦 (nefiracetam)、奈拉西坦(nebracetam)、法索西坦(fasoracetam)、左 乙拉西坦(levetiracetam)、度拉西坦(dUpracetam)、乙拉西坦 (etiracetam)及其之任一組合。在一特定實例中,該吡咯烷酮衍生(benzoate), benzenesulfonate, butyrate, citrate, camphorate, camphorsulfonate 'ethyl sulfonate' ), formate, fumarate, glucosinolate, heptanoate, hexanoate, hydrochloride, hydrogen Hydrobromide, 2-hydroxyethanesulfonate 'lactate, maleate, maleate, methanesulfonate , 2-naphthalenesulfonate, nicotinate, nitrate, palmoate, pectinate, 3-phenylpropionate 3-phenylpropionate, phosphate, picrate, pivalate, propionate, salicylate, succinate Succinate), sulfate [tartrate], thiocyanate (Thiocyanate), Yue benzenesulfonate (as tosylate) and undecanoate (undecan〇ate). Alternatively, pharmaceutically unacceptable acids, such as ethanedicarboxylic acid, can be used to prepare the salts of the intermediates to obtain the compounds of the invention and their pharmaceutically acceptable acid salts. Salts obtained from appropriate tests include metal (such as sodium), soil (such as town), salt and N (alkyl) / salts. The present invention also contemplates a nitrogen-containing quaternary ammonium salt of any of the compounds disclosed herein to provide a water soluble, oil soluble or dispersible product. According to another specific embodiment, the method of the present invention further comprises administering a chemotherapeutic agent to the individual prior to, concurrently with, or subsequent to administration of the pyrrolidone derivative described above to the individual, and the amount of the chemotherapeutic agent is about applied. The amount of the pyrrolidone derivative is from 1/6 to 丨/4. In one example, the pyrrolidone derivative chemotherapeutic agent is administered to the individual simultaneously. Chemotherapeutic agents suitable for use in the methods of the invention include, but are not limited to, paclitaxel 15 201226406 (paclitaxel), anti-cancer (irin〇tecan HCl), isopropylidene paclitaxel (docitaxel), doxorubicin (doxorubicin), Daunorubicin, epirubicin, fluorouracil, melphalan, cis-platin, carboplatin, cyclophosphamide, Mitomycin, methotrexate, mitoxantrone, vinblastine, vincristine, ifosfamide, teniposide ), etoposide, bleomycin, leucov〇rin, cytarabine, dactinomycin, alpha-interferon (interferon alpha), streptozocin, prednisolone and procarbazine HC1. In a consistent example, the chemotherapeutic agent is irinotecan HC1. A cancer suitable for treatment by the method of the present invention is selected from the group consisting of leukemia, muscle tumor, bone cancer, lymphoma, melanoma, ovarian cancer, skin cancer, testicular cancer, gastric cancer, smear cancer, kidney cancer, breast cancer, Prostate cancer, rectal cancer, head> cancer of the member, brain cancer, esophageal cancer, bladder cancer, adrenocortical carcinoma, lung cancer, bronchial cancer, endometrial cancer, cervical cancer or liver cancer. In one example, a cancer suitable for treatment by the methods of the invention is rectal cancer. Individuals suitable for treatment by the methods of the invention are mammals such as humans; primates such as monkeys, orangutans; poultry such as cattle, sheep, horses, pigs, chickens, ducks, geese, and the like, such as dogs and cats. Class of pets. Another aspect of the present invention is to provide a pharmaceutical composition for treating an individual suffering from cancer. The pharmaceutical composition comprises a pharmaceutically effective amount of the above. a ratio of 11 ketone derivatives, salts or solvates thereof; and a pharmaceutically acceptable carrier. The pyrrolidone derivative is selected from the group consisting of 2-pyrrolidone family compounds 'including Alo 16 201226406 atheacetam, anisracetam, brivaracetam, cebaracetam 'Kuraxi Coluracetam, dimisracetam, doliracetam, imuracetam, molracetam, noopept, piracetam ), oxiracetam, pramiracetam, nefiracetam, nebracetam, fasoracetam, levetiracetam , Duraracetam (dUpracetam), etiracetam, and any combination thereof. In a specific example, the pyrrolidone derivative

物是吡拉西坦(piracetam)。在另一實例中,該吡咯烷酮衍生物是 左乙拉西坦(levetiracetam)。 依據本發明一特定貫施方式,該藥學組合物可更包含一化療 藥劑。該化療藥劑可選自紫杉醇、抗癌妥、異丙氧代苯紫杉醇、 阿徽素、丹阿黴素、乂阿Μ素、氟尿嘴。定、溶肉瘤素、順銘、碳 鉑、環碟醯胺、絲裂黴素、氨基甲基葉酸、絲經_、長春花驗、 長春新鹼、尹氟醯胺、鬼臼毒素、鬼臼乙叉甙、輪絲鏈黴素、甲 醢四氫葉酸、生狀素、放線fel素D、α-干擾素、鏈尿佐菌素、氫 化潑尼松或鹽酸曱基τ肼。在一實例中,該化療藥劑是抗癌妥 (irinotecan HC1)。 本發明所揭示藥學組合物的施用劑量會受許多因素影響,包 含所使用藥物之活性’該個體之年齡、體重、整體健康狀況、性 別、飲食,施用組合物的時間,施用途徑,施用頻率,藥物之排 泄速率,是否有合併用藥,癌症的進程與嚴重度,癌症的位置、 狀況,以及醫生對癌症之處理與判斷。 「藥學上可接受之載體」意指可與本發明化合物(即,吼咯烷 酮衍生物)一同施用至個體身上之載體或佐劑,以及在施用足夠傳 17 201226406 送一治療劑量之化合物時,該載體或佐劑不會破壞本發明化合物 的藥物活性且不會有毒。The substance is piracetam. In another example, the pyrrolidone derivative is levetiracetam. According to a particular mode of the invention, the pharmaceutical composition may further comprise a chemotherapeutic agent. The chemotherapeutic agent may be selected from the group consisting of paclitaxel, anticancer, isopropyloxetrol, aphthyl, danubimycin, azadirachtin, and fluoropenic. Ding, sarcoma, shunming, carboplatin, cycloheximide, mitomycin, aminomethyl folate, silk _, periwinkle test, vincristine, indoflurane, podophyllotoxin, sneaky Ethidium, streptomycin, formazan tetrahydrofolate, serotonin, actin fel D, alpha-interferon, streptozotocin, prednisolone or guanidinium hydrochloride. In one example, the chemotherapeutic agent is irinotecan HC1. The dosage of the pharmaceutical composition disclosed herein may be affected by a number of factors, including the activity of the drug used, 'the age, weight, overall health, sex, diet, time of administration of the composition, route of administration, frequency of administration, The rate of drug excretion, whether there is a combination of drugs, the progress and severity of cancer, the location and condition of cancer, and the treatment and judgment of doctors on cancer. "Pharmaceutically acceptable carrier" means a carrier or adjuvant that can be administered to a subject together with a compound of the invention (i.e., a pyrrolidone derivative), and when a sufficient therapeutic agent is administered 17 201226406 to deliver a therapeutic dose of a compound The carrier or adjuvant does not destroy the pharmaceutical activity of the compounds of the invention and is not toxic.

可用在本發明藥物組合物之藥學上可接受的載體、佐劑或媒 介物包含’但不限於,離子交換劑(ion exchangers)、氧化銘 (alumina)、硬脂酸紹(aiurninum stearate)、卵石粦脂(lecithin)、自乳 化藥輸送系統(self-emulsifying drug delivery systems (SEDDS)如生 育酌·聚乙稀乙二醇 1000 丁 二酸鹽(d-a-tocopherol polyethylene glycol 1000 succinate)、用在製藥劑量上之界面活性劑,如Tweens 或類似之聚合物型輪送介質、血漿蛋白質(如,血漿白蛋白)、緩衝 物質(如峨酸鹽、甘氨酸(glycine)、山梨酸(sorbic acid)、山梨酸 鉀(potassium sorbate)、部分甘油酯化的飽和蔬菜脂肪酸(partial glyceride mixtures of saturated vegetable fatty acids))、水、鹽類或 電解質(如魚精蛋白硫酸鹽(protamine sulfate)、硫酸氫雙鈉 (disodium hydrogen phosphate)、石充酸氫鉀(potassium hydrogen phosphate)、氣化鈉、鋅鹽、矽膠(colloidal silica)、三矽酸鎂 (magnesium trisilicate))、聚乙稀0比口各烧酮(polyvinyl pyrrolidone)、 以纖維素為基礎之物質(cellulose-based substances)、聚乙二醇 (polyethylene glycol)、缓甲基纖維素鈉(sodium carboxymethyl cellulose)、聚丙稀酸酿(polyacrylates)、石暖(waxes)、聚乙稀-聚氧 丙稀-嵌塊聚合物(polyethylene-polyoxypropylene-block polymers) 以及羊油(wool fat)。環糊精(Cyclodextrins)如α-、β-與γ-環糊精或 其經過化學修飾之衍生物,如氫氧烷基環糊精 (hydroxyalkylcyclodextrins)包含2-與3-氫氧丙基-β-環糊精或其他 可溶解之衍生物。 本發明之藥物組合物可以經由口(orally)、非口服 (parenterally)、噴霧吸入(by inhalation spray)、局部表面塗用 18 201226406Pharmaceutically acceptable carriers, adjuvants or vehicles which may be used in the pharmaceutical compositions of the invention include, but are not limited to, ion exchangers, alumina, aurinum stearate, pebbles Lecithin, self-emulsifying drug delivery systems (SEDDS) such as da-tocopherol polyethylene glycol 1000 succinate, used in pharmaceutical dosages Surfactants, such as Tweens or similar polymeric carrier media, plasma proteins (eg, plasma albumin), buffers (eg, citrate, glycine, sorbic acid, sorbic acid) Potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes (eg protamine sulfate, disodium hydrogen sulfate) Hydrogen phosphate), potassium hydrogen phosphate, sodium vapor, zinc salt, colloidal silica Magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, methyl ether Sodium carboxymethyl cellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, and wool fat Cyclodextrins such as α-, β- and γ-cyclodextrin or their chemically modified derivatives, such as hydroxyalkylcyclodextrins, contain 2- and 3-hydroxyoxypropyl groups. -β-cyclodextrin or other soluble derivative. The pharmaceutical composition of the invention may be applied orally, parenterally, by inhalation spray, topical surface application 18 201226406

(topically)、直腸(rectally)、鼻子(nasally)、頰内(buccally)、陰道 (vaginally)、皮下(subdermally)、黏膜(transmucosally)、或植入式 儲藥槽(implanted reservoir)來進入體内,較佳為經由口服或非經腸 胃道方式進入體内。本發明的藥學組合物可包含任何傳統無毒且 藥學上可接受之載體、佐劑或媒介物。在某些例子中,可用藥學 上可接受的酸 '驗或緩衝劑來調整配方之酸驗值,以增加配方化 合物或其輸送型式之穩定性。在此所使用之名詞「非經腸胃道 (parenteral)」之意包含皮下的(subcutaneous)、皮内的 (intracutaneous)、靜脈内的(intravenous)、肌肉内的 (intramuscular)、關節内的(intraarticular)、動脈内的(intraarterial)、 關節滑液内的(intrasynovial)、胸骨内的(intrasternal)、膜内的 (intrathecal) ' 損傷内的(intralesional)、腹膜内的(intraperitoneally) 與頭蓋骨内的(intracranial)注射或注入技術。 藥學組合物可製備成消毒過、可注射的型式,如一消毒注射 的水溶液或油質懸浮液(〇leaginous suspension)。懸浮液可根據已 知技術以習知的分散劑或濕潤劑(如Tween 80)與懸浮劑進行配 方。消毒可注射的型式亦可為消毒注射溶液或將其懸浮在非毒性 非口服可接受之稀釋劑或溶劑中,例如1,3-丁二醇。可接受之媒 介物與 >谷劑可為己六醇(mannit〇l)、水 '林革氏溶液(Ringer’s solution)與等滲透壓的氣化鈉溶液。此外,消毒、固定油(fixed oil) 為習知上常用來作為溶劑或懸浮介質。為了此目的,可應用任何 種類的固定油來合成單酸甘油酯或是二酸甘油酯。脂肪酸例如油 酸(oleic acid)與其甘油酯衍生物可用在製備可注射藥劑上,因其為 製藥上可接受之天然油,如橄欖油或芘麻油(castor oil),尤其是其 夕重乙氧基化(Polyoxyethylated)的型態。這些油溶液或懸浮液亦可 含有長鏈醇類稀釋劑或分散劑,或是在製藥配方(如乳化液與/或懸 19 201226406 洋液)上常用的幾甲基纖維素(carboxy刪hyI cenuj〇se)及其類似的 分散劑。其他常用的有界面活性劑如Tween或邱祕與/或其他乳 化劑或生物可性之加強劑’是常被用來製造藥學上可接受之 固體、液體或其他可用來作為配方之劑型。 本發明之藥物组合物較佳是以任何口服可接受之劑量來施 用’包含’但不限㈣囊、錢劑、乳化液與水之懸浮液、分散液 與=液。在口服鍵劑之狀況中,常用的載體包含乳糖與玉米激粉。 亦“口入潤滑劑,如硬脂酸鎂。在口服膠囊的狀況中,有用之稀 馨釋劑包含乳糖與乾玉米殿粉。當口服水之懸浮液與/或乳化液時, =組成可懸浮在或溶解在與乳化劑與域分散劑合併之油相中。 若需要的話,可加入一些甘味料與/或香料。 本發明之藥物組合物亦可製成栓劑而由直腸施用至個體體 内。可將本發明的化合物與適合之不具刺激性的賦形劑混合來製 備此組合物。賦形劑必須在室溫下為固體,但在直腸溫度下為液 =以利其在直腸内溶解釋放出活性的化合物。冑形劑的實例包 § <不限於可可油、蜂犧與聚乙二醇(叫丨丨咖咖⑶⑷。 ^ 當所需治療涉及須經由局部表面塗用(topica丨)方式來進行 ^車又佳疋使用適合以局部表面塗用之藥物組合物來給藥。當將 此^合局部表面塗用之藥物組合物應用在皮膚上時,其配方應為 $合適的軟膏中包含懸浮或溶解在合適載體中之活性化合物。適 合以局部表面塗用方式來施用本發明化合物的載體,包含但不限 ^廣物'由、液態石油、白石油、聚乙烯甘油、聚氧乙烯聚氧丙 ^化:物 '乳化蠟與水。另外,藥物組合物的配方亦可以乳液(丨〇d〇n) 或礼相(cream)s式來包含懸浮或溶解在合適的載體與合併之合適 勺乳化劏中之活性的化合物。適合的載體包含,但不限於,礦物 山4醇針單硬脂酸酷(sorbitan monostearate )、聚山梨酸6〇、f「 20 201226406 十/、醇S0蝶、十六醇、2-辛烧基癸醇(2-〇ctyldodecanol)、笨甲醇 (benzyl alcohol)與水。本發明之組合物亦可以腸栓劑或灌腸劑型式 應用在較低的腸道中。本發明局部表面塗用方式亦包含皮膚滲透 貼(transdemal patches)。本發明之藥物組合物配方亦包含鼻腔噴霧 劑(nasal aeros〇l)或吸入劑(inhalati〇n)。此組合物可依據已知之藥 物配方來製備成鹽水溶液,應用苯甲醇或其他合適之保存劑、吸 收提升劑來加強其生物可利用性、氟烷類、與/或其他已知之溶解 劑或分散劑。 φ 在此敘述之抗癌藥物的每天劑量標準約在1毫克/公斤/天至 約500毫克/公斤/天,較佳是約在1〇毫克/公斤/天至約4⑼毫克 /公斤/天之間,更佳是約在5〇毫克/公斤/天至約25〇毫克/公斤/ 天。在單方治療或與其他療法並用來預防與治療 癌症上是有用的。在典型狀況下,本發明藥學組合物可每天服用 約1 - 6次(即丨〇 — 1〇〇〇毫克/劑)’或是利用連續注入方式來施 用。此施用方式可用在慢性或急性治療。可與載體物質合併以製 w單劑置(single dosage)之活性組成的量,將視治療對象與施用方 • 式而有所變化。典型的製備方式將會包含5%-95% (重量百分比) 的活性化合物,或是包含鳩-(重量百分比)的活性化合物。 當本發明的藥學組合物除了包含所述。比咯烷酮衍生物外,還 4或更夕種額外之可治療或預防癌症的試劑時,所述。比洛炫 嗣衍生物與額外治療試劑的劑量約為-般單方療法所用劑量1 /6 ‘ 1 /4之間。額外之治療藥劑可與本發明化合物分開施用,作為多 劑!1療法之—部份。或者’這些藥劑可為單劑形式的—部份,或 於早劑組合物中與本發明化合物―起混合使用。 需知除非另外指明,否則在本文及附隨之請求項範圍中所述 21 201226406 及之單數型式詞,「一(“a “,“an”)或該(,,the )」均涵蓋其複數形式。 所述實施方式與專有名詞是為了闡述發明内容之用,並非用 以限制本揭示内容範4。本揭示内容範嘴也涵蓋並未特 此’但習知技藝人士在閱讀過本揭示内容後可輕㈣知的其他實 施方式。 、 除非另行定義’文中所使用之所有專業與科學用語與習知技 藝者所熟悉之意義相同。此外,任何與所記載内容相似或均等之 方法及材料皆可應用於本發明方法中。文中所述之較佳實施方法 φ 與材料僅做示範之用。於本申請書中所提到之所有參考文獻均全 體納入參考,以揭露並敘述該文獻所記載之相關方法及/或材料。 此外,文中所討論之文獻僅揭露本發明申請日前之習知技術。並 且無任何文獻顯示本發明内容曾為習知技術所揭露。本發明内容 所得到之實際數據會因個別的實施條件而與本發明揭露於說明書 内容中之數據有所不同。 以下實施例是用來闡明本揭示内容特定態樣並幫助習知技藝 者了解並實施本揭示内容。但本揭示内容範疇並不限於這些實施 例中。 實施例 實施例1 左乙拉西坦之活體内抗癌活性評估 實驗藥物之活體内抗癌活性是以NOD SCID癌鼠來評估。5 至1 〇週大之NOD SCID鼠係購自國立台灣大學動物中心(台北, 台灣)。人類直腸腺瘤細胞HT29則係由國防醫學院黃世明老師提供 (台北’台灣)。每5隻NOD SCID小鼠編成一組,共5組。首先, 將1 X 108個HT29細胞懸浮在丨〇〇 μΐ之HBSS緩衝液(GIBCO Cat 22 201226406Topically, rectal, nasally, buccally, vaginally, subdermally, transmucosally, or implanted reservoir to enter the body Preferably, it is introduced into the body via oral or parenteral. The pharmaceutical compositions of the present invention may comprise any conventional non-toxic and pharmaceutically acceptable carrier, adjuvant or vehicle. In some instances, a pharmaceutically acceptable acid or buffer may be used to adjust the acidity of the formulation to increase the stability of the formulation compound or its delivery profile. The term "parenteral" as used herein includes subcutaneous, intracutaneous, intravenous, intramuscular, intraarticular (intraarticular). ), intraarterial, intrasynovial, intrasternal, intrathecal 'intralesional', intraperitoneal (intraperitoneally) and intracranial (intraperito) Intracranial) injection or infusion technique. The pharmaceutical compositions can be prepared in a sterile, injectable form, such as a sterile injectable aqueous solution or an oily suspension. The suspension may be formulated with a suspending agent according to known techniques using conventional dispersing or wetting agents (e.g., Tween 80). The sterile injectable form can also be a sterile injectable solution or can be suspended in a non-toxic, non-orally acceptable diluent or solvent, such as 1,3-butanediol. Acceptable media and > granules can be hexitol (mannit®), water >Ringer's solution and isotonic pressure gasified sodium solution. In addition, sterile, fixed oils are conventionally used as a solvent or suspending medium. For this purpose, any type of fixed oil can be used to synthesize monoglyceride or diglyceride. Fatty acids such as oleic acid and its glyceride derivatives can be used in the preparation of injectables, as they are pharmaceutically acceptable natural oils such as olive oil or castor oil, especially its ethoxylates. Polyoxyethylated form. These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, or a methicone (carboxyl hyI cenuj) commonly used in pharmaceutical formulations (eg, emulsions and/or suspensions 19 201226406). 〇se) and similar dispersants. Other commonly used surfactants such as Tween or Qiu and/or other emulsifiers or bioavailable enhancers' are commonly used to make pharmaceutically acceptable solids, liquids or other dosage forms that can be used as a formulation. The pharmaceutical composition of the present invention is preferably administered in an orally acceptable dosage of 'including' but not limited to (four) capsules, money, suspensions of emulsions and waters, dispersions and liquids. In the case of an oral key, a commonly used carrier comprises lactose and corn powder. Also "injectable lubricants, such as magnesium stearate. In the case of oral capsules, useful thin-boiled release agents include lactose and dried corn powder. When oral suspensions and / or emulsions of water, = composition Suspended or dissolved in an oil phase combined with an emulsifier and a domain dispersing agent. If necessary, some sweeteners and/or flavors may be added. The pharmaceutical composition of the present invention may also be formulated as a suppository for rectal administration to an individual. The composition can be prepared by mixing the compound of the present invention with a suitable non-irritating excipient. The excipient must be solid at room temperature, but liquid at the rectal temperature = in the rectum. Dissolve the compound that releases the active agent. Examples of the bismuth agent include <not limited to cocoa butter, bee sacrifice and polyethylene glycol (called 丨丨 咖 咖 (3) (4). ^ When the required treatment involves topical surface application (topica丨) The method is to use a pharmaceutical composition suitable for topical application. When the pharmaceutical composition for topical application is applied to the skin, the formula should be $suitable. Ointment contains suspension or dissolution An active compound which is dissolved in a suitable carrier. A carrier suitable for the application of the compound of the invention in a topical surface application, including but not limited to, liquid petroleum, white petroleum, polyethylene glycerol, polyoxyethylene polyoxypropylene ^化:物' emulsifying wax and water. In addition, the formulation of the pharmaceutical composition may also be emulsion (丨〇d〇n) or ritual (cream) s containing suspension or dissolution in a suitable carrier and a suitable spoon to emulsify A compound which is active in sputum. Suitable carriers include, but are not limited to, sorbitan monostearate, polysorbate 6 〇, f "20 201226406 ten /, alcohol S0 butterfly, sixteen Alcohol, 2-oxyldodecanol, benzyl alcohol and water. The composition of the invention may also be applied in the lower intestinal tract in the form of an enteric suppository or enema. The application method also includes transdemal patches. The pharmaceutical composition formulation of the present invention also comprises a nasal spray (nasal aeros) or an inhalant (inhalati〇n). The composition can be formulated according to known pharmaceutical formulations. system Aqueous salt solution, using benzyl alcohol or other suitable preservatives, absorption enhancers to enhance its bioavailability, halothanes, and / or other known solubilizers or dispersants. φ Anticancer drugs described herein The daily dosage standard is from about 1 mg/kg/day to about 500 mg/kg/day, preferably from about 1 mg/kg/day to about 4 (9) mg/kg/day, more preferably about 5 〇. From mg/kg/day to about 25 mg/kg/day, it is useful in unilateral treatment or in combination with other therapies for the prevention and treatment of cancer. Under typical conditions, the pharmaceutical composition of the present invention can be administered about 1 - 6 per day. The second (ie 丨〇 - 1 〇〇〇 mg / dose) 'either is applied by continuous injection. This mode of administration can be used in chronic or acute treatment. The amount of active ingredient which may be combined with the carrier materials to produce a single dosage will vary depending on the subject to be treated and the method of administration. A typical preparation will comprise from 5% to 95% by weight of active compound or 鸠-(by weight) of active compound. When the pharmaceutical composition of the present invention contains the above. In addition to the pyrrolidone derivative, there are 4 or more additional agents that can treat or prevent cancer. The dose of biroxan derivatives and additional therapeutic agents is approximately 1 / 6 ‘ 1 /4 of the dose used for unilateral therapy. Additional therapeutic agents can be administered separately from the compounds of the invention as multiple agents! 1 therapy - part. Alternatively, the agents may be in a single dosage form, or may be combined with the compounds of the invention in an early dosage composition. It is to be noted that, unless otherwise stated, the singular expression "21" ("a", "an") or (the, the) refers to its plural in the scope of the article and the accompanying claims. form. The embodiments and proper nouns are used to illustrate the summary of the invention and are not intended to limit the scope of the disclosure. The disclosure of the present disclosure also covers other embodiments that are not specifically described by those skilled in the art after reading this disclosure. Unless otherwise defined, all the professional and scientific terms used in the text have the same meaning as those familiar to the skilled artisan. In addition, any methods and materials similar or equivalent to those described may be employed in the methods of the invention. The preferred embodiment of the method φ and materials described herein are for demonstration purposes only. All references cited in this application are hereby incorporated by reference in their entirety in their entirety in the extent of the disclosure of the disclosure of the disclosure. Moreover, the documents discussed herein merely disclose prior art techniques of the present application. And there is no document showing that the present invention has been disclosed in the prior art. SUMMARY OF THE INVENTION The actual data obtained will differ from the data disclosed herein in the context of the present specification due to individual implementation conditions. The following examples are presented to illustrate the specific aspects of the disclosure and to assist those skilled in the art to understand and practice the disclosure. However, the scope of the disclosure is not limited to these embodiments. EXAMPLES Example 1 In vivo anticancer activity evaluation of levetiracetam The in vivo anticancer activity of the experimental drug was evaluated in NOD SCID cancer mice. 5 to 1 〇 Zhou Dazhi's NOD SCID mouse was purchased from the National Taiwan University Animal Center (Taipei, Taiwan). Human rectal adenoma cells HT29 were provided by Huang Shiming, a member of the National Defense Medical College (Taipei Taiwan). Each of the 5 NOD SCID mice was grouped into 5 groups. First, 1 X 108 HT29 cells were suspended in HμΐHBSS buffer (GIBCO Cat 22 201226406

No. 14065)中,接著透過腹膜内接種,將1 χ 1〇6個HT29細胞植入 小氣腹膜腔室内。接種後5天,即令每組癌鼠分別接受不同的治 療’其中第一組為控制組,第二至五組均為實驗組;第一組接受 100 μΐ之HBSS緩衝液、第二組接受40 mg/Kg/天之抗癌妥 (irinotecan,IRO)、第三組接受 4〇 mg/Kg/天之 IRO 以及 100mg/Kg/ 天之左乙拉西坦、第四組接受40 mg/Kg/天之IRO以及250mg/Kg/ 天之左乙拉西坦,以及第五組接受l〇〇mg/Kg/天之左乙拉西坦。抗 癌妥(IRO)係以靜脈注射方式投予實驗動物,左乙拉西坦則是以腹 膜腔注射方式(每天2次)投予實驗動物。每天觀察這些小鼠並紀錄 其存活比例,直到小鼠全部死亡為止。此外,收集每一死亡小鼠 的心、肝、肺及腫瘤組織,並以西方點墨法分析其中的癌指標蛋 白質的表現莖’包括上皮癌胚胎性抗原(Carcinoembryonic antigon, CEA)、增殖细胞核抗原(Proliferating Cell Nuclear Antigen, PCNA )、和微管蛋白(tubilin)的表現量。結果提供在第1圖中。 第1圖示出上述六組癌鼠的生存曲線,其中經過治療之癌 鼠,無論是以抗癌妥、左乙拉西坦或是組合使用左乙拉西坦與 抗癌妥兩種藥物進行治療之小鼠,相較於未接受藥物治療的 控制組小鼠來說’實驗組小鼠的生命期可延長約2倍。未 接受藥物治療小鼠的生命期約40天,單獨接受左乙拉西坦 治療之癌鼠,其生命期可延長至約90天;至於接受左乙 拉西坦與抗癌妥之組合治療的小鼠,其生命期則從約40天 延長至約85-95天。 實施例2 «Λ拉西坦之活敢内抗癌活性評估 2.1 活體内單獨使用吡拉西坦來抑制癌細胞生長 23 201226406 在本試驗中所使用的癌鼠與實施例1相同,且大致依據實施 例1之方法,將實驗小鼠分組。開始試驗時,先將! x 1〇8個ΗΤ29 細胞懸浮在200 μΐ之HBSS緩衝液(GIBC〇CatN〇 14〇65)中而 後將2x 107個HT29細胞植入實驗小鼠的肩胛處。接種後1〇天, 即令每組癌鼠分別接受不同的治療,其中第—組為控制組,第二 及二組為貫驗組;第一組接受1 〇〇 μ丨之HBSS緩衝液、第二組接 受20 mg/Kg/天之阿米洛利(amil〇ride)、第三組接受lg/Kg/天之吡 拉西坦。阿米洛利與吡拉西坦均是以腹膜腔注射方式投予實驗動 物。每天觀察這些小鼠並紀錄其腫瘤大小,植入腫瘤細胞35天後, 將全部實驗小鼠犧牲,並收集每一死亡小鼠的心、肝、肺及腫瘤 組織後秤重’並以免疫染色方法染色。 第2圖示出相較於控制組(僅注射緩衝液),接受阿米洛利或 。比拉西坦治療之小鼠,其體内腫瘤體積隨時間變化的趨勢。可看 出僅施以緩衝溶液治療的小鼠,其體内腫瘤體積隨著植入時間愈 長,腫瘤體積也愈大;但若施以20 mg/Kg/天之阿米洛利(amHoride) 或是lg/Kg/天之吡拉西坦,則該些小鼠體内的腫瘤體積明顯受到 抑制,顯示單獨使用吡拉西坦,即具有抑制腫瘤細胞增生的能力。 2.2活體内合併使用吡拉西坦與阿黴素(d〇xorubicin, DOX)來抑 制癌細胞生長In No. 14065), 1 χ 1 〇 6 HT29 cells were implanted into the small gas peritoneal cavity by intraperitoneal inoculation. Five days after inoculation, each group of cancer mice received different treatments. The first group was the control group, the second group was the experimental group, the first group received 100 μΐ of HBSS buffer, and the second group received 40. Mg/Kg/day anti-cancer (IRO), third group received 4〇mg/Kg/day IRO and 100mg/Kg/day of levetiracetam, and group 4 received 40mg/Kg/ IRO of the day and 250 mg/kg/day of levetiracetam, and the fifth group received l〇〇mg/Kg/day of levetiracetam. Anti-cancer (IRO) was administered to the experimental animals by intravenous injection, and levetiracetam was administered to the experimental animals by intraperitoneal injection (twice a day). These mice were observed daily and their survival ratio was recorded until all the mice died. In addition, the heart, liver, lung and tumor tissues of each dead mouse were collected, and the expression of the cancer indicator protein was analyzed by Western blotting method, including carcinoembryonic antigen (CEA) and proliferating cell nuclear antigen. (Proliferating Cell Nuclear Antigen, PCNA), and the expression of tubulin (tubilin). The results are provided in Figure 1. Figure 1 shows the survival curves of the above six groups of cancer mice, in which the treated cancer mice were treated with anticancer, levetiracetam or a combination of levetiracetam and anticancer drugs. In the treated mice, the life of the experimental group was extended about 2 times compared to the control group mice not receiving the drug treatment. The life expectancy of mice that have not received drug treatment is about 40 days, and the cancer rats treated with levetiracetam alone can be extended to about 90 days; as for the combination treatment of levetiracetam and anticancer In mice, the life span is extended from about 40 days to about 85-95 days. Example 2 «Evaluation of anti-cancer activity of siracetam in vivo 2.1 In vitro use of piracetam alone to inhibit cancer cell growth 23 201226406 The cancer mice used in this experiment are the same as in Example 1, and are roughly based on The experimental mice were grouped by the method of Example 1. When starting the test, first! x 1 〇 8 ΗΤ 29 cells were suspended in 200 μM of HBSS buffer (GIBC 〇 CatN 〇 14 〇 65) and 2 x 107 HT29 cells were implanted into the shoulder of the experimental mice. One day after vaccination, each group of cancer mice received different treatments, the first group was the control group, the second group and the second group were the continuous test group; the first group received 1 〇〇μ丨 of HBSS buffer, the first group The second group received 20 mg/kg/day of amil〇ride and the third group received lg/kg/day of piracetam. Both amiloride and piracetam were administered as experimental animals by intraperitoneal injection. The mice were observed daily and their tumor size was recorded. After 35 days of implantation of the tumor cells, all the experimental mice were sacrificed, and the heart, liver, lung and tumor tissues of each dead mouse were collected and weighed and immunostained. Method of staining. Figure 2 shows the acceptance of amiloride or compared to the control group (injection buffer only). The trend of tumor volume in vitro in mice treated with diracacetam. It can be seen that in mice treated with buffer solution, the tumor volume in the body is longer with the implantation time, and the tumor volume is larger; however, if administered with 20 mg/kg/day of amHoride (amHoride) Or lg/Kg/day of piracetam, the tumor volume in these mice is significantly inhibited, showing that piracetam alone, that is, has the ability to inhibit tumor cell proliferation. 2.2 In vivo combined use of piracetam and doxorubicin (dX) to inhibit cancer cell growth

將5 X 10個HT29細胞懸浮在1毫升之hbsS緩衝液(GIBCO5 X 10 HT29 cells were suspended in 1 ml of hbsS buffer (GIBCO

Cat No. 14065)中’接著取出其中200 μ丨(即,1 x丨〇6個η丁29細胞) 植入實驗小鼠的腹膜腔室内。接種後4天,即令每組癌鼠分別接 受不同的治療,其中第一組為控制組,第二至四組均為實驗組; 第一組接受100 μΐ之HBSS緩衝液、第二組接受1 mg/Kg/天之阿 微素(DOX)以及丨00 μΐ之HBSS緩衝液、第三組接受1 mg/Kg/天[丨:] 24 201226406 之阿黴素以及20mg/Kg/天之阿米洛利、第四組接受i mg/Kg/天之 阿黴素以及1 g/Kg/天之吡拉西坦。阿黴素係以靜脈注射方式投予 實驗動物,阿米洛利及吡拉西坦則是以腹膜腔注射方式投予實驗 動物。每天觀察這些小鼠並紀錄其存活比例,直到小鼠全部死亡 為止。結果示於第3圖中。 由第3圖為上述四組癌鼠的生存曲線,相較於未接受藥物 治療的控制組(HBSS)來說,組合使用阿黴素與阿米洛 利對抑制癌細胞生長來說並沒有顯著的效果;單獨使用習 φ 用的化療藥劑-阿黴素(DOX)治療,雖可略為提高小鼠的存活 率,然效果並不顯著;相反的,組合使用阿黴素(D〇x)與吡拉西扫, 除了明顯提高小鼠存活率外,更可延長小鼠的生命期,未接受 藥物治療小鼠的生命期約42天,接受吡拉西坦與阿黴素之 組合治療的小鼠,其生命期則從約42天延長至約天。 此結果顯示吡拉西坦除了本身具有抑制癌細胞生長之能力外,尚 具有作U用化療藥劑之輔劑的功能,可增加化療_抑制癌細 胞生長的效果。 '、 由以上實施例的結果,可確認吡咯烷酮衍生物,特別是吡拉 西坦(piracetam)和左乙拉西坦(丨evetiraceiam),單獨使用即有抑制 腫瘤細胞生長的效果,如果併用習知的化療藥劑(例如,抗癌妥或 疋阿黴素),則可進一步加強抑制腫瘤細胞生長的效果。 雖然本發明已以較佳實施例揭露如上,然其並非用以限定本 發明,任何熟習此技藝者,在不脫離本發明之精神和範圍内,當 可作各種之更動與潤飾,因此本發明之保護範圍 : 專利範圍所界定者為準。 &申^ 25 201226406 其他實施例 所有揭示在纟說明書内容中的特徵都可以任何種方式組合使 用本5兒明書内容所揭示的每一種特徵都能被可達成相同、等效 或類似目的的其他特徵加以取代。從以上說明,習知技藝人士可 輕々易地確定本發明的主要特徵,且可在不脫離本揭示内容之精神 和乾圍内’可視各種用途與情況作各式更動與潤飾,因此本揭示 内容之保護範圍當視後附之中請專利範圍所界定者為準。 【圖式簡單說明】 第1圖為依據本發明一實施例之癌鼠的生存曲線; 第2圖為依據本發明一實施例將腫瘤細胞植入小鼠體内後, 再分別施以緩如容液、2〇 mg/Kg/天之阿采洛利(amii〇ride)、】g/Kg/ 天之比拉西坦(piracetam)處理後,其體内腫瘤體積隨時間之變化 圖;以及 第3圖疋依據本發明一實施例之癌鼠的生存曲線。 【主要元件符號說明】 26In Cat No. 14065), 200 μ丨 (i.e., 1 x 6 6 n-butyl 29 cells) were then removed and implanted into the peritoneal cavity of the experimental mice. Four days after inoculation, each group of cancer rats received different treatments, the first group was the control group, the second group to the fourth group were the experimental group; the first group received 100 μΐ of HBSS buffer, and the second group received 1 Mg/Kg/day of adiponectin (DOX) and 丨00 μΐ of HBSS buffer, the third group of 1 mg/Kg/day [丨:] 24 201226406 of doxorubicin and 20 mg/Kg/day of Ami Lori, the fourth group received i mg/Kg/day of doxorubicin and 1 g/Kg/day of piracetam. Doxorubicin was administered to the experimental animals by intravenous injection, and amiloride and piracetam were administered to the experimental animals by intraperitoneal injection. These mice were observed daily and their survival ratio was recorded until all mice died. The results are shown in Figure 3. Figure 3 shows the survival curves of the above four groups of cancer mice. Compared with the control group (HBSS) that did not receive medical treatment, the combination of doxorubicin and amiloride did not significantly inhibit cancer cell growth. The effect of using the chemotherapeutic agent doxorubicin (DOX), which is used alone, can slightly improve the survival rate of mice, but the effect is not significant; instead, the combination of doxorubicin (D〇x) and In addition to significantly improving the survival rate of mice, piracetam can prolong the lifespan of mice. The life of untreated mice is about 42 days, and the combination of piracetam and doxorubicin is small. In rats, the life span is extended from about 42 days to about days. This result shows that in addition to its ability to inhibit the growth of cancer cells, piracetam has the function of acting as an adjuvant for U-chemotherapy, which can increase the effect of chemotherapy-inhibiting the growth of cancer cells. From the results of the above examples, it was confirmed that pyrrolidone derivatives, particularly piracetam and levetiracetam, have the effect of inhibiting the growth of tumor cells alone, if used together The chemotherapeutic agent (for example, anti-cancer or ruthenium doxorubicin) can further enhance the effect of inhibiting the growth of tumor cells. While the present invention has been described above by way of a preferred embodiment, it is not intended to limit the invention, and the present invention may be modified and modified without departing from the spirit and scope of the invention. Scope of protection: The scope defined by the patent scope shall prevail. & Application 25 201226406 Other Embodiments All of the features disclosed in the description of the specification can be used in any combination. Each of the features disclosed in the contents of the specification can be used for the same, equivalent or similar purpose. Other features are replaced. From the above description, those skilled in the art can easily determine the main features of the present invention, and can make various changes and refinements in various uses and situations without departing from the spirit and scope of the present disclosure. The scope of protection of the content shall be subject to the definition of patent scope as attached. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a survival curve of a cancer mouse according to an embodiment of the present invention; FIG. 2 is a diagram showing a tumor cell implanted in a mouse according to an embodiment of the present invention, and then respectively Figure: Changes in tumor volume over time after treatment with liquid, 2 〇 mg/kg/day of ami〇ride, g/Kg/day of piracetam; Fig. 3 is a survival curve of a cancer mouse according to an embodiment of the present invention. [Main component symbol description] 26

Claims (1)

201226406 七、申請專利範圍: 1. 一種用以治療一罹患癌症之個體的藥學組合物,包含一 藥學有效量之吡咯烷酮衍生物及其鹽類或溶合物;以及一藥學上 可接受的載體。201226406 VII. Patent Application Range: 1. A pharmaceutical composition for treating an individual suffering from cancer comprising a pharmaceutically effective amount of a pyrrolidone derivative and a salt or a solvate thereof; and a pharmaceutically acceptable carrier. 2.如請求項1所述之藥學組合物,其中該吡咯烷酮衍生物 是選自由阿洛西坦(aloracetam)、阿尼西坦(aniracetam)、布瓦西 坦(brivaracetam)、西巴西坦(cebaracetam)、庫拉西坦(coluracetam)、 迪拉西坦(dimiracetam)、多拉西坦(doliracetam)、英拉西坦 (imuracetam)、莫拉西坦(molracetam)、諾阿比特(noopept)、吡拉西坦 (piracetam)、奥拉西坦(oxiracetam)、普拉西坦(pramiracetam)、奈 非西坦 (nefiracetam)、奈拉西坦(nebracetam)、法索西坦 (fasoracetam)、左乙拉西坦(levetiracetam)、度拉西坦(dupracetam)、 乙拉西坦(etiracetam)及其之任一組合所組成之物質群組中。 3.如請求項2所述之藥學組合物,其中該°比略烧酮衍生物 是0比拉西坦(piracetam)。2. The pharmaceutical composition according to claim 1, wherein the pyrrolidone derivative is selected from the group consisting of aoracetam, anisracetam, brivaracetam, and ceibaacetam. ), colacetacetam, diraceracem, doliracetam, imuracetam, molracetam, noopept, pyridinium Piracetam (piracetam), oxiracetam, pramiracetam, nefiracetam, nebracetam, fasoracetam, leztra A group of substances consisting of levetiracetam, dupracetam, etiracetam, and any combination thereof. 3. The pharmaceutical composition according to claim 2, wherein the ratio of the ketone derivative is 0 piracetam. 4.如請求項2所述之藥學組合物,其中該吡咯烷酮衍生物 是左乙拉西坦。 5. 如請求項1所述之藥學組合物,更包含一化療藥劑。 6. 如請求項5所述之藥學組合物,其中該化療藥劑是紫杉 醇(paclitaxe丨)、抗癌妥(irinotecan HC1)、異丙氧代苯紫杉醇 (docitaxel)、阿黴素(doxorubicin)、丹阿黴素(daunorubicin)、艾阿 27 201226406 徽素(epirubicin)、It 尿0密。定(^11〇1'〇1^(:丨1)、溶肉瘤素(melphalan)、 順翻(cis-platin)、碳I自(carboplatin)、環鱗酸胺(cyclophosphamide)、 絲裂黴素(mitomycin)、氨基甲基葉酸(methotrexate)、絲羥酮 (mitoxantrone)、長春花驗(vinblastine)、長春新驗(vincristine)、尹 氟醯胺(ifosfamide)、鬼臼毒素(teniposide)、鬼臼乙叉甙 (etoposide)、輪絲鏈黴素(bleomycin)、甲醯四氫葉酸(leucovorin)、 星狀素(cytarabine)、放線菌素 D (dactinomycin)、α-干擾素 (interferon alpha)、鍵尿佐菌素(streptozocin)、虱化潑尼松 (prednisolone)或鹽酸甲基苄肼(procarbazine HC1) 0 7. 如請求項6所述之藥學組合物,其中該化療藥劑是抗癌 妥。 8. 如請求項6所述之藥學組合物,其中該化療藥劑是阿黴 素。 9. 如請求項1所述之藥學組合物,其中該癌症為人類白血 病、肌肉腫瘤、骨癌、淋巴瘤、黑色素瘤、卵巢癌、皮膚癌、睪 丸癌、胃癌 '胰臟癌 '腎癌、乳癌、前列腺癌、直腸癌、頭頸部 之癌、腦癌、食道癌、膀胱癌、腎上腺皮質癌 '肺癌 '支氣管癌、 子宮内膜癌、子宮頸癌或肝癌。 10.如請求項8所述之藥學組合物,其中該癌症為直腸癌。 28The pharmaceutical composition according to claim 2, wherein the pyrrolidone derivative is levetiracetam. 5. The pharmaceutical composition of claim 1 further comprising a chemotherapeutic agent. 6. The pharmaceutical composition according to claim 5, wherein the chemotherapeutic agent is paclitaxe, irinotecan HC1, docitaxel, doxorubicin, dan Doxorubicin (daunorubicin), Ai 27 201226406 Anhui (epirubicin), It urine 0 secret.定(^11〇1'〇1^(:丨1), melphalan, cis-platin, carboplatin, cyclophosphamide, mitomycin (mitomycin), aminomethyl folate (methotrexate), mitoxantrone, vinblastine, vincristine, ifosfamide, teniposide, sneaky Etoposide, bleomycin, leucovorin, cytarabine, dactinomycin, interferon alpha, bond Streptozocin, prednisolone or procarbazine HCl1. The pharmaceutical composition according to claim 6, wherein the chemotherapeutic agent is anticancer. The pharmaceutical composition according to claim 6, wherein the chemotherapeutic agent is doxorubicin. The pharmaceutical composition according to claim 1, wherein the cancer is human leukemia, muscle tumor, bone cancer, lymphoma, Melanoma, ovarian cancer, skin cancer, testicular cancer, gastric cancer 'pancreas 'Kidney cancer, breast cancer, prostate cancer, rectal cancer, head and neck cancer, brain cancer, esophageal cancer, bladder cancer, adrenal cortical cancer 'lung cancer' bronchial cancer, endometrial cancer, cervical cancer or liver cancer. 10.If requested The pharmaceutical composition according to Item 8, wherein the cancer is rectal cancer.
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