TWI311053B - Antitumor therapy comprising distamycin derivatives - Google Patents
Antitumor therapy comprising distamycin derivatives Download PDFInfo
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- TWI311053B TWI311053B TW90124050A TW90124050A TWI311053B TW I311053 B TWI311053 B TW I311053B TW 90124050 A TW90124050 A TW 90124050A TW 90124050 A TW90124050 A TW 90124050A TW I311053 B TWI311053 B TW I311053B
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1311053 案號 9Q124050 五、發明說明(1) 概略而言本發明係有關癌症治療範疇,特別係有關包含 投予α -溴及α -氣-丙烯醯基偏端霉素衍生物之抗腫瘤治 療。 偏端霉素Α是一種具有抗病毒及抗原蟲活性之抗生物 質’其具有一種多。比嘻骨架[自然(Nature)2〇3 :1064 (1964) ’ 醫藥化學期刊(j. Med. Chem.)32 :774-7781311053 Case No. 9Q124050 V. DESCRIPTION OF THE INVENTION (1) Briefly, the present invention relates to the field of cancer treatment, and in particular to an antitumor treatment comprising administering an α-bromine and an α-gas-acrylonitrile-based mitomycin derivative. Bismuth oxime is an antibiotic that has antiviral and antiprotozoal activity. Comparative skeleton [Nature 2〇3:1064 (1964) ’ J. Med. Chem. 32:774-778
( 1 989)]。若干偏端霉素A類似物(後文簡稱做偏端霉素衍 生物)為業界已知可用於抗腫瘤治療之細胞毒劑。以申請 人名義提出申請且併入本文做為參考之國際專利申請案的 98/04 524中,揭示丙烯醯基偏端霉素衍生物,其中偏端霉 素之f基部分可視需要藉含氮端基置換例如氰基睞基、 甲基陳基、胍基、胺基甲醯基、醯胺基肟、氰基等。 此處提供一種藥物包含前述丙烯醯基偏端霉素衍 生物用於抗腫瘤治療,其特徵在於該藥物可方便地根據特 疋用法用量計畫投藥而允許有效地治療腫瘤。 因此本發明之第一目的為式(1)^_鹵_丙烯酿基偏端 素衍生物之用埃(1 989)]. A number of pteridomycin A analogs (hereinafter referred to as ergomycin derivatives) are cytotoxic agents known in the art for use in anti-tumor therapy. In the International Patent Application Serial No. 98/04 524, the entire disclosure of which is hereby incorporated by reference in its entirety, the entire disclosure of the entire disclosure of the disclosure of the disclosure of The terminal group is substituted with, for example, a cyano group, a methyl-based group, a fluorenyl group, an aminomethyl fluorenyl group, an anthranyl group, a cyano group or the like. There is provided a medicament comprising the aforementioned acrylonitrile-based mitomycin derivative for use in anti-tumor therapy, characterized in that the medicament is conveniently administered in accordance with a prescribed dosage regimen to allow effective treatment of the tumor. Therefore, the first object of the present invention is to use the formula (1)^-halo-acrylic arylene derivative.
RR
R為溴或氣原子; 或其醫藥可接受性鹽;R is a bromine or a gas atom; or a pharmaceutically acceptable salt thereof;
\\Α326\總檔\90\90124050\90124050(替換>-i.ptc 第4頁 1311053 五、發明說明(2) 其用於製備治療腫瘤的藥物,該治療腫瘤之計晝包含以單 次投藥靜脈輸注藥物每隔3或4週輸注一次,劑量為約0. 8 5 毫克/平方米至約20毫克/平方米體表面積,或每隔四或五 週每週投藥一次連續三週,劑量為約0. 3毫克/平方米/週 至約7毫克/平方米/週。 本發明之範圍包括式(I)化合物涵蓋的全部異構物的用 途,以個別或混合方式考慮皆可,以及式(I )化合物之代 謝產物及醫藥可接受性生物前驅物,或稱做前驅藥。 式(I )化合物之醫藥可接受性鹽為與下列醫藥可接受性 無機或有機酸生成之鹽,例如氫氣酸、氫溴酸、硫酸、硝 酸、乙酸、丙酸、丁二酸、丙二酸、檸檬酸、酒石酸、曱 烷磺酸、對-曱苯磺酸等。 根據本發明之式(η化合物之特例視需要地係呈醫藥可 接受性鹽形式較佳係於氫氯酸生成之鹽為: Ν-(5-{[(5-{[(5-{[(2-·{[胺基(亞胺基)曱基]胺基}乙基) 胺基]幾基}-1_曱基-1Η- Β比11 各-3-基)胺基]幾基}-1-曱基 -1Η- °比ρ各-3 -基)胺基]幾基}-1_曱基_1Η- °比0各-3-基)-4-[(2-溴丙烯醯基)胺基]-1-曱基-1Η- °比咯-2-羧醯胺鹽酸鹽 (内部代碼P N U 1 6 6 1 9 6 );以及 Ν -(5-{[(5-{[(5_{[(2_{[胺基(亞胺基)曱基]胺基}乙基) 胺基]羰基}-卜曱基-1Η-。比咯-3 -基)胺基]羰基}-:! -甲基 -1Η - 0比略- 3-基)胺基]幾基}-1_曱基-1Η- 0比略-3-基)-4_ [(2-氯丙烯醯基)胺基]-1-曱基-1Η-吡咯-2-羧醯胺鹽酸 鹽 。\\Α326\总档\90\90124050\90124050 (Replacement>-i.ptc Page 4 1311053 V. INSTRUCTIONS (2) It is used for the preparation of a medicament for treating tumors, and the treatment of the tumor includes a single time Intravenous infusion of the drug is administered every 3 or 4 weeks at a dose of about 0.85 mg/m2 to about 20 mg/m2 of body surface area, or once every four or five weeks for three consecutive weeks, dose It is from about 0.3 mg/m 2 /week to about 7 mg/m 2 /week. The scope of the invention includes the use of all isomers encompassed by the compound of formula (I), either individually or in combination, and (I) a metabolite of a compound and a pharmaceutically acceptable biological precursor, or a precursor drug. The pharmaceutically acceptable salt of the compound of formula (I) is a salt with a pharmaceutically acceptable inorganic or organic acid, such as hydrogen. Acid, hydrobromic acid, sulfuric acid, nitric acid, acetic acid, propionic acid, succinic acid, malonic acid, citric acid, tartaric acid, decanesulfonic acid, p-toluenesulfonic acid, etc. Formula according to the invention (n compound The special case is preferably in the form of a pharmaceutically acceptable salt. The salt formed by hydrochloric acid is: Ν-(5-{[(5-{[(5-{[(2-·{[amino(imino)indolyl]amino}ethyl)amino] a few groups}-1_mercapto-1Η-Β ratio 11 -3-yl)amino]]}}}indolyl-1Η- ° ratio ρ each -3 -yl)amino]]}} 1_曱基_1Η-° ratio 0-3-yl)-4-[(2-bromopropenyl)amino]-1-indolyl-1Η-°pyrrol-2-carboxyguanamine hydrochloride Salt (internal code PNU 1 6 6 1 9 6 ); and Ν -(5-{[(5-{[(5_{[(2_{[amino(imino)indolyl]amino}ethyl) Amino]carbonyl]-diphenyl-1Η-.pyrrol-3-yl)amino]carbonyl}-:!-methyl-1Η- 0 ratio -3-amino)amino]amino}-1_曱Base-1 Η- 0 ratio -3-yl)-4_[(2-chloropropenyl)amino]-1-indolyl-1 Η-pyrrole-2-carboxamide hydrochloride.
C:\2D-CODE\90-12\90124050.ptd 第5頁 1311053 五、發明說明(3) 根據本發明之較佳具體實施例,其中提供式⑴化 之用途,其中R為溴原子,該化合物也 口 為PjU 1 66 1 96之式(1)化合物。 疋之月4到’稱 月J述化&物為已知或容易根據此處報告之方法制 前述國際專利申請案w〇 98/04524,已併入本文^ 1 ° 獻。 +又之麥考文 J發明之又一態# ’係提供一種治療患有腫瘤 : = 包含每三或四週以單次投藥經由輸I:; 毫克/平方米/週對該哺乳類二义 確切劑量範圍當然將依據若干因 的年齡、體重及情況決定。 ” l括接丈療病人 式(I)偏端霉素衍生物較佳係以靜脈輸注投藥,例如以 約1 0分鐘時間輪注投藥’以及使用 /' 靜脈輸注帶投藥。 A使用可私式連續輸注幫浦或 癌 癌 瘤 癌 的淋巴瘤 t投藥計畫特別可有效對抗多種腫瘤包括例如實體腫瘤 :月如腸;、胃食道癌、肝及膽管癌及胰 '-攝^癌;睪丸癌;肺癌;乳癌;惡性黑素瘤;卵巢 子呂癌包括子宮頸癌,碩頸癌;膀耽癌;肉瘤及骨肉 卡波西氏肉瘤包括愛滋病引發的卡波西氏肉瘤;腎 造血系統惡性腫瘤如白血病及淋巴瘤包括愛滋病引發C:\2D-CODE\90-12\90124050.ptd Page 5 1311053 V. INSTRUCTION DESCRIPTION (3) According to a preferred embodiment of the present invention, there is provided the use of the formula (1) wherein R is a bromine atom, The compound is also a compound of formula (1) of PjU 1 66 1 96.疋 月 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 + 又麦考文J的发明态# 'The system provides a treatment for a tumor: = contains a single dose every three or four weeks via I:; mg / square meter / week for the mammalian ambiguous exact dose The scope will of course be determined by the age, weight and circumstances of the cause. l Alignment of the patient's formula (I) The ergomycin derivative is preferably administered by intravenous infusion, for example, in a round-robin dose of about 10 minutes, and by using the 'intravenous infusion. Lymphoma t-drug regimen for continuous infusion of pump or cancerous cancer is particularly effective against a variety of tumors including, for example, solid tumors: months such as the intestine; gastroesophageal cancer, liver and cholangiocarcinoma, and pancreatic cancer. Lung cancer; breast cancer; malignant melanoma; ovarian cancer including cervical cancer, large neck cancer; bladder cancer; sarcoma and bone Kaposi's sarcoma including AIDS-induced Kaposi's sarcoma; renal hematopoietic malignancies Such as leukemia and lymphoma including AIDS
C:\2D-CODE\90-12\90124050.ptd 第6頁 1311053 一… · 五、發明說明(4) 士韵文才曰示,式(I )化合物可以醫 備腫瘤治療用藥。 ’、,、且合物形式用於製 醫藥組合物可含有有效量式(1)化合 組合一或多種醫藥可接受性载劑及/ 乍為活性成分, 照業界已知習知方法製備。 及H形劑,通常係遵 舉例言之,靜脈注射或輸注用溶液 載劑,或較佳可呈無g等張鹽水溶液。3有,,、、®水作為 j(I)化合物也可呈注射用凍乾粉末 含有適量活性成分而於使用前重新調製。供尤该早位 一 2外,式(υ化合物或其醫藥可接受性鹽 法用量計晝投藥,視需要可與其它抗腫?二广合 ι刮,同時、分開或循序用於抗癌治療。 前述額外抗腫瘤劑包括例如烷化劑、拓樸異構酶丨及11 抑制劑、抗微細管劑及抗代謝劑。 . 舉例言之,特定抗腫瘤劑為芥子氣類如美法朗 (melphalan) ’克蘭布夕(chlorambucil),美克瑞沙明 (mecholrethamine),塞克佛法麥(cyclophosphamide), 伊伏法麥(ifosfamide)及布俗芳(busulfan);亞琐基脲類 如卡瑪斯汀(carmustine) ’羅瑪斯汀(i〇rmustine),席瑪 斯汀(semustine)及伏瑪斯汀(fotemustine);四啡類如達 卡巴金(dacarbazine)及特摩作洛麥(temozoloinide);氮 丙咬類如希歐特帕(thiotepa)及麥脫霉素(mitomycin)C ; 鉑衍生物如希司拉汀(c i s p 1 a t i η ),卡波拉·; 丁 (carboplatin),歐薩利拉汀(oxaliplatin),尼達拉汀 C:\2D-G0DE\90-12\90124050.ptd 第7頁 1311053 五、發明說明(5)C:\2D-CODE\90-12\90124050.ptd Page 6 1311053 One... · V. Description of the invention (4) The syllabus shows that the compound of formula (I) can be used for the treatment of cancer. The pharmaceutical composition may be formulated to contain an effective amount of the compound of formula (1) in combination with one or more pharmaceutically acceptable carriers and/or hydrazine as an active ingredient, which are prepared according to conventional methods known in the art. And the H-form, usually in the form of a solution carrier for intravenous injection or infusion, or preferably an aqueous solution of g-salt-free salt. 3, , , , ® water as a j (I) compound can also be a lyophilized powder for injection containing an appropriate amount of active ingredient and re-modulating before use. In addition to the early one or two, the formula (υ compound or its pharmaceutically acceptable salt method 昼 昼 昼 , , , , , , , , , , , , , , , , , , , , 视 视 视 视 视 视 视 视 视 视 视 视 视 视 视The aforementioned additional anti-tumor agents include, for example, alkylating agents, topoisomerases and 11 inhibitors, anti-microtubule agents, and antimetabolites. For example, a specific anti-tumor agent is a mustard gas such as melphalan. 'chlorambucil, mecholrethamine, cyclophosphamide, ifosfamide and busulfan; azozourea such as carastatin (carmustine) 'i〇rmustine, semustine and fotemustine; tetramorphs such as dacarbazine and temozoloinide; Nitrogen-based bites such as thiotepa and mitomycin C; platinum derivatives such as cisplatin (cisp 1 ati η), carboplatin, carboplatin, Ossali Olalide (oxaliplatin), nidalatin C:\2D-G0DE\90-12\90124050.ptd Page 7 13 11053 V. Description of invention (5)
(nedaplatin)及洛巴拉汀(lobaplatin);喜樹驗衍生物如 CPT-11,托波堤肯(Topotecan),9 -胺基-喜樹驗,9 -硝基 -喜樹鹼及1 0,11 -亞曱基二氧-喜樹鹼;蔥環素 (anthracycline)衍生物如多索盧比辛(doxorubicin),刀 諾盧比辛(daunorubicin),伊皮盧比辛(epirubicin),内 摩盧比辛(nemorubicin)及依達盧比辛(idarubicin);鬼 臼毒化合物如伊托波塞(e t ο ρ 〇 s i d e )及特尼波塞 (teniposide);惠醌衍生物如米托杉崇(mitoxantrone)及 洛梭杉崇(1 〇 s ο X a n t r ο n e);吖啶衍生物如安薩克林 (amsacrine)及放線霉素(actinomycin)D ;紫杉烷類如太 平洋紫杉酚(paclitaxel)或多希塔梭(docetaxel);長春 花生物驗如文克里斯汀(v i n c r i s t i n e),文布拉斯>、丁 (vinblastine),文德欣(vindesine),文歐瑞賓 (vinorelbine);伊差瑪斯汀(estramustine);抗葉酸鹽 如美托崔赛(metotrexate),垂美崔赛(trimetrexate), 托穆德士(tomudex) ; 5-氟嘧啶類如5-FU,伏蘇里定 (floxuridine),托拉佛(ftorafur)及卡皮希拔賓 (capecitabine);胞苷類似物如塞它拉賓,亞雜希提丁(nedaplatin) and lobaplatin; eucalyptus test derivatives such as CPT-11, Topotecan, 9-amino-Hi-tree, 9-nitro-camptothecin and 10 , 11 - fluorenyldioxy-camptothecin; anthracycline derivatives such as doxorubicin, daunorubicin, epirubicin, inner morubicin (nemorubicin) and idarubicin; scorpion venom compounds such as ito pe 〇side and teniposide; benefits derivatives such as mitoxantrone and Aesthetic derivatives such as amsacrine and actinomycin D; taxanes such as paclitaxel or more Doctataxel; vinca flower biochemistry such as vincristine, vinbres, vinblastine, vindesine, vinorelbine; yin mastin (estramustine); antifolate such as metotrexate, trimetrexate, tomtus Tomudex); 5-fluoropyrimidines such as 5-FU, floxuridine, ftorafur and capecitabine; cytidine analogues such as ceramide, yaxixi Tiding
(azacitidine)及琴希塔賓(gemcitabine)。 —目標針對舉例說明本發明而未非限制性於此處舉出下列 貫例。 實例1 ((azacitidine) and gemcitabine. - The objective is to illustrate the invention by way of example and not by way of limitation. Example 1 (
C:\2D-CODE\90-12\90124050.ptd 第8頁 1311053C:\2D-CODE\90-12\90124050.ptd Page 8 1311053
基)胺基]羰基卜卜甲基_1H—吡咯_3_基)胺基]羰基卜卜 曱基-1H-吡咯-3 -基)-4-[(2一溴丙烯醯基)胺基]q一曱芙 _1H-吡咯-2-,醯胺鹽酸鹽(内部代碼pM 1 66 1 96 )。 土 進行第I期藥理試驗俾研究標題化合物以每三週單次 藥靜脈投予患實體腫瘤病人。 開始劑^里0· 85毫克/平方米最初係以加速設計放大劑量 (100%升问劑里,1病人/劑量水平)然後以3到6位病人一組 以省夫方式放大劑量。#有i i位病人參與實驗,於〇. 8 5, 1' 7 3·4 5.1及7.5毫克/平方米劑量評估毒性歷25週 ::獲道肉瘤且已5.1毫克,平方米劑量治療的 實例2 胺 ίΓΛ1;ΪΓ 輸注 Ν~(5][(5-Η(5-{[(2Μ[胺基(亞 版基)=土]月女基}乙基)胺基]幾基}—卜甲基_iHm ίϊΐ 胺基]幾基卜卜曱 土 \ 基卜4_[ (2 -溴丙烯醯基)胺基]-1-曱基-1H- 吡咯〆楚一酿胺+鹽酸鹽(内部代碼㈣11 1 66 1 96 )連續三週。 ::,藥理試驗研究對患有實體腫瘤病人每四週每 週静脈杈予標題化合物連續三週。 開始劑量0. 3毫右/伞古本/、s阿、 ϋ〇〇% n 卡週取初以加速設計放大劑量 :1二二 病人/劑量水平)錢以3至6位病人一組 以 ^ S大劑量。共6位病人接受試驗,於0. 3,0 . 6 1· 及4· 8毫克/平方米/週劑量評估毒性歷17週 期0Amino]carbonyl]bubmethyl-1H-pyrrole_3_yl)amino]carbonyl-bubu-indenyl-1H-pyrrole-3-yl)-4-[(2-bromopropenyl)amino]q-indole Fu-1H-pyrrole-2-, decylamine hydrochloride (internal code pM 1 66 1 96 ). Soil Phase I Pharmacological Tests The title compound was administered intravenously to patients with solid tumors every three weeks. The starting agent was 0. 85 mg/m2 initially by accelerating the design to amplify the dose (100% in the dose, 1 patient/dose level) and then to augment the dose in a group of 3 to 6 patients. #有二 patient participated in the experiment, Yu 〇. 8 5, 1' 7 3·4 5.1 and 7.5 mg / square meter dose assessment toxicity history 25 weeks:: obtained sarcoma and 5.1 mg, square meter dose treatment example 2 Amine ΓΛ1; ΪΓ Infusion Ν~(5][(5-Η(5-{[(2Μ[Amino (subunit)] = soil] Ϊΐ 胺 胺 胺 胺 几 \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ ( ( ( ( ( ( ( ( 1 96 ) for three consecutive weeks. ::, pharmacological test study for patients with solid tumors every week for weekly sputum intravenous administration of the title compound for three consecutive weeks. Start dose of 0.3 m right / umbrella Guben /, s A, ϋ〇〇 % n card weeks to accelerate the design to enlarge the dose: 1 22 patients / dose level) money to 3 to 6 patients in a group of large doses. A total of 6 patients were tested, at 0. 3,0. 6 1· and 4·8 mg/m 2 /week dose assessment toxicity cycle 17 cycles 0
13110531311053
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