WO2003045359B1 - Combination of cimetidine and cysteine derivatives for treating cancer - Google Patents

Combination of cimetidine and cysteine derivatives for treating cancer

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Publication number
WO2003045359B1
WO2003045359B1 PCT/DK2002/000792 DK0200792W WO03045359B1 WO 2003045359 B1 WO2003045359 B1 WO 2003045359B1 DK 0200792 W DK0200792 W DK 0200792W WO 03045359 B1 WO03045359 B1 WO 03045359B1
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WIPO (PCT)
Prior art keywords
cysteine
cimetidine
cancer
group
derivative
Prior art date
Application number
PCT/DK2002/000792
Other languages
French (fr)
Other versions
WO2003045359A2 (en
WO2003045359A3 (en
Inventor
Morten Sloth Weidner
Original Assignee
Astion Oncology Aps
Morten Sloth Weidner
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Astion Oncology Aps, Morten Sloth Weidner filed Critical Astion Oncology Aps
Priority to AU2002350432A priority Critical patent/AU2002350432A1/en
Publication of WO2003045359A2 publication Critical patent/WO2003045359A2/en
Publication of WO2003045359A3 publication Critical patent/WO2003045359A3/en
Publication of WO2003045359B1 publication Critical patent/WO2003045359B1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • A61K31/198Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
    • 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
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention relates to new substances in the form of chemical complexes comprising cimetidine or a derivative thereof and a cysteine derivative and to compositions comprising said complexes or combination. The invention further relates to the therapeutic effect of such combinations in relation to treating cancer, cancer chemoprevention or the suppression of hypersensitivity and/or inflammatory reactions of a mammal.

Claims

49
AMENDED CLAIMS
[received by the International Bureau on 15 December 2003 (15.12.03); original claims 1-59 replaced by amended claims 1-51 (7 pages)]
1. A substance consisting of a chemical complex comprising: ι) a cysteine derivative selected from the group consisting of cysteine, N-acetyl-cysteine, cystine, homocysteine, cysteine methyiester, 5-ethyl-cysteine, N,S- isobuturyl -cysteine, 5- carboxymethyi-cysteine, S-ethyl-homocysteine, S-methyl-cysteine, cysteine S-sulfate, N,S-diacetyl-cysteine methyiester, N-acetyl-S-methylcystelne, glutathione, stereoisomers thereof, salts thereof and mixtures thereof; ii) cimetidine or a pharmaceutically acceptable salt thereof.
2. A substance consisting of a chemical complex comprising: i) a cysteine derivative of Formula I, stereoisomers thereof and/or salts thereof,
Figure imgf000003_0001
I wherein n Is an integer from 1 to 3; p is a whole number selected from the group consisting of 1 and 2;
R1 is a monoradicai selected from the group consisting of hydrogen, halogen, sulphate, - C8-acyleπe, Cj-Cs-alkylene, C3-C7-cycloalkylene, C2-CB-alkenylene and C2-C8-alkynylene; R2 is a monoradicai selected from the group consisting of hydrogen, halogen, sulphate, Cj- C8-alkylene, rCv-cycloalkylene, C2-Cβ-a!kenylene and C2-C8-alkynylene; and R3 is a monoradicai selected from the group consisting of hydrogen, sulphate, - - alkylene, C2-C8-alkenylene, C2-Ca-aIkynylene, arylene, heteroarylene and
Figure imgf000003_0002
wherein p, R1 and R2 are independently selected from their groups as defined above; and 50
ii) cimetidine or pharmaceutically acceptable salts thereof.
3. The substance according to claims 1 or 2, wherein the pharmaceutically acceptable salt of cimetidine is selected from the group consisting of cimetidine hydrochloride, cimetidine
5 hydrobromide, cimetidine acetate, cimetidine ascorbate and cimetidine benzoate.
4. The substance according to any one of claims 1 to 3, wherein the cimetidine or a salt thereof and the cysteine derivative are present in a molar ratio or a mass ratio of between about 1: 10000 to 10000: 1, preferably about 1: 1000 to 1000: 1, more preferably about
10 1: 100 to 100:1, such as about 1:10 to 10:1, about 1:5 to 5:1, or about 1:2 to 2:1.
5. The substance according to any one of claims 1 to 4, wherein the complex further comprises one or more therapeutically active agents.
15 6. The substance according to claim 5, wherein the one or more therapeutically active agent is an anticancer agent.
7. The substance according to claim 6, wherein the anticancer agent is selected from the group consisting of DNA-iπteractlve agents, antimetabolites, tubulin-interactive agents 20 hormonal agents, protease inhibitors, cyclooxygeπase inhibitors, nuclear factor kappa B inhibitors and 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) inhibitors.
8. A composition comprising a substance as defined in any of the claims 1 to 7 and and one or more pharmaceutically acceptable excipient(s) or carrier(s).
25
9. A composition comprising i) a cysteine derivative selected from the group consisting of cysteine, N-acetyl-cysteine, cystine, homocysteine, cysteine methyiester, S-ethyl-cystelne, N,5-isobuturyl-cysteine, S- carboxymethyl-cysteine, S-ethγl-homocystelne, S-methyl-cysteine, cysteine S-sulfate,
30 N,S-dlacetyl~cysteine methyiester, N-acetyl-S-methylcysteine, glutathione, stereoisomers thereof, salts thereof and mixtures thereof; ii) cimetidine or pharmaceutically acceptable salts thereof; and iii) one or more acceptable excipient(s) or carrier(s).
35 10. A composition comprising: i) a cysteine derivative of Formula I, stereoisomers thereof and/or salts thereof,
Figure imgf000004_0001
51
wherein n is an integer from 1 to 3; p is a whole number selected from the group consisting of 1 and 2;
R1 is a monoradicai selected from the group consisting of hydrogen, halogen, sulphate, Cx-
C8-acylene, Ci- -alkylene, C3-C7-cycloa!kylene, C2-C8-alkenylenε and C2-C8-alkynylene;
R2 is a monoradicai selected from the group consisting of hydrogen, halogen, sulphate, Ci-
C8-alkylene, C3-C7-cycloalkylene, C2-C8-alkenyleπe and C2-C8-alkynylene; and
R3 is a monoradicai selected from the group consisting of hydrogen, sulphate, Cι-C8- alkylene, C2-C8-alkenylene, C2-C8~alkynylene, arylene, heteroarylene and
10
Figure imgf000005_0001
wherein p, 1 and R2 are independently selected from their groups as defined above; and ii) cimetidine or pharmaceutically acceptable salts thereof.
15 11. The composition according to any one of claims 8 to 10, wherein the cimetidine or a pharmaceutically acceptable salt thereof is selected from the group consisting of cimetidine hydrochloride, cimetidine hydrobromide, cimetidine acetate, cimetidine ascorbate and cimetidine benzoate.
20 12. The composition according to any one of claims 8 to 11, wherein the cimetidine or a salt thereof and the cysteine derivative are present in a moiar ratio or mass ratio of between about 1: 10000 to 10000: 1, such as about 1: 1000 to 1000: 1, preferably about 1:100 to 100:1, such as about 1: 10 to 10:1 e.g. about 1:5 to 5: 1, such as about 1:2 to 2: 1.
25
13. The composition according to any one of claims 8 to 12, further comprising one or more therapeutically active agents.
14. The composition according to claim 13, wherein the one or more therapeutically active 30 agents is an anticancer agent.
15. The composition according to claim 14, wherein the anticancer agent Is selected from the group consisting of DNA-interactive agents, antimetabolites, tubulin-interactive agents hormonal agents, protease inhibitors, cyclooxygenase inhibitors, nuclear factor kappa B
35 inhibitors, 3-hydroxy-3-methy!glutaryl-coenzyme A (HMG-CoA) inhibitors, vitamin O derivatives and vitamin D analogs.
16. The composition according to any one of claims 8 to 15, formulated in a form for peroral, oral, topical, transdermal, or parenteral administration. 52
17. The composition according to claim 16, formulated in a form for peroral or topical administration.
5 18. The composition according to any one of claims 8 to 17, formulated as a solid, a semi- solid, a suspension or an emulsion.
19. Use of a combination of cimetidine or a pharmaceutically acceptable salt thereof and a cysteine derivative selected from the group consisting of cysteine, N-acetyl-cysteine,
10 cystine, homocysteine, cysteine methyiester, S-ethyl-cysteine, N,S-isobuturyl-cysteine, S- carboxymethyl-cysteine, S-ethyl-homocysteine, S-methyl-cysteine, cysteine S-sulfate, N,S-diacetyl-cysteine methyiester, N-acetyl-S-methylcysteine, glutathione, stereoisomers thereof, salts thereof and mixtures thereof for the preparation of a medicament for the treatment of cancer in a mammal.
15
20. Use of a combination of cimetidine or a pharmaceutically acceptable salt thereof and a cysteine derivative of Formula 1 of claim 2, wherein n, p, R1, R2 and R3 is a as defined In claim 2 for the preparation of a medicament for the treatment of cancer in a mammal.
20 21. The use according to any one of claims 19 or 20, wherein the cancer is selected from the group of cancer in the gastrointestinal system, metastatic cancers and invasive cancers.
22. The use according to claim 21, wherein the cancer of the gastrointestinal system is 25 selected from the group of colon cancer, rectal cancer, colorectal cancer, pancreatic cancer, stomach (gastric) cancer, oesophageal cancer, liver cancer or bladder cancer.
23. The use according to claim 21, wherein the metastatic cancers and invasive cancers cancer is selected from the group of breast cancer, cancer of the male and female genital
30 tract, cancer of the thymus, lung, stomach, small Intestine, prostate, adrenal gland, pancreas, colon, lymphoid tissue, liver, brain, salivary gland, spleen and skin.
24. Use of a combination of cimetidine or a pharmaceutically acceptable salt thereof and a cysteine derivative selected from the group consisting of cysteine, N-acetyl-cysteine,
35 cystine, homocysteine, cysteine methyiester, S-ethyl-cysteine, N,S-isobuturyl-cysteine, S- carboxymethyl-cysteine, S-ethyl-homocysteine, S-methyl-cysteine, cysteine S-sulfate, N,S-diacetyl-cysteine methyiester, N-acetyl-S-methylcysteine, glutathione, stereoisomers thereof, salts thereof and mixtures thereof for the preparation of a medicament for immunomodulatlon of a mammal.
40
25. The use according to claim 24, wherein immunomodulating activity relates to the suppression of inflammatory reactions such as treatment of diseases and disorders, or symptoms associated therewith, selected from the group consisting of hypersensitivity skin disease, atopic eczema, contact dermatitis, seborrhoeic eczema, psoriasis, IgE mediated allergic reactions, asthma, allergic rhinitis, anaphyiaxis, autoimmune disease, chronic inflammatory disease, Crohn's disease, ulcerative colitis, rheumatoid arthritis, gout, osteoarthritis and pain.
5 26. The use according to any one of claims 19 to 25, wherein the cimetidine or a pharmaceutically acceptable salt thereof is selected from the group consisting of cimetidine hydrochlorlde, cimetidine hydrobromide, cimetidine acetate, cimetidine ascorbate and cimetidine benzoate.
10 27. The use according to any one of claims 19 to 26, wherein the medicament comprises a substance consisting of a complex as defined in any one of claims 1 to 7.
28. The use according to any one of claims 19 to 26, wherein the medicament comprises a composition as defined in any one of claims 8 to 18.
15
29. The use according to any one of claims 19 to 28, wherein the medicament further comprises one or more therapeutically active agents.
30. The use according to claim 29, wherein the one or more therapeutically active agents 20 is an anticancer agent.
31. The use according to claim 30, wherein the anticancer agent is selected from the group consisting of DNA-interactive agents, antimetabolites, tubulin-interactive agents hormonal agents, protease inhibitors, cyclooxygenase inhibitors, nuclear factor kappa B Inhibitors, 3-
25 hydroxy-3-methylg!utaryI-coenzyme A (HMG-CoA) inhibitors, vitamin D derivatives and vitamin D analogs.
32. The use according to any one of claims 19 to 31, wherein the medicament is formulated for peroral, oral, topical, transdermal or pareπteral administration.
30
33. The use according to any one of claims 19 to 32, wherein the medicament is formulated for delivery of the composition to the gastro-intestinal tract.
34. The use according to any one of claims 19 to 24 and 28 to 33, wherein the cimetidine 35 or a salt thereof and the cysteine derivative are each individually comprised in separate dosage forms.
35. The use according to any one of claims 19 to 33, wherein the cimetidine or a salt thereof and the cysteine derivative are together comprised in a single dosage form.
40
36. A method for treating cancer in a mammal, comprising administration to a mammal an effective amount of a combination of cimetidine or a pharmaceutically acceptable salt thereof; and a cysteine derivative selected from the group consisting of cysteine, N-acetyl- cysteine, cystine, homocysteine, cysteine methyiester, S-ethyl-cysteine, N,S-isobuturyl- cysteine, S-carboxymethyl-cysteine, S-ethyl-homocysteine, S-methyl-cysteine, cysteine.5- sulfate, N,S-diacetyl-cysteine methyiester, N-acetyl-S-methylcysteine, glutathione, stereoisomers thereof, salts thereof and mixtures thereof.
5 37. The method according to claim 36, wherein the cancer is selected from the group of cancer in the gastrointestinal system, metastatic cancers and invasive cancers.
38. The method according to claim 37, wherein the cancer of the gastrointestinal system is selected from the group of colon cancer, rectal cancer, cotorectal cancer, pancreatic
10 cancer, stomach (gastric) cancer, oesophageal cancer, liver cancer or bladder cancer.
39. The method according to claim 37, wherein the metastatic cancers and invasive cancers cancer is selected from the group of breast cancer, cancer of the male and female genital tract, cancer of the thymus, lung, stomach, small intestine, prostate, adrenal gland,
15 pancreas, colon, lymphold tissue, liver, brain, salivary gland, spleen and skin.
40. A method for immunomodulation in a mammal, comprising administration to said mammal an effective amount of a combination of cimetidine or a pharmaceutically acceptable salt thereof; and a cysteine derivative selected from the group consisting of
20 cysteine, N-acetyi-cysteine, cystine, homocysteine, cysteine methyiester, S-ethyl-cysteine, N,S-lsobuturyl-cysteine, S-carboxymethyl-cysteine, S-ethyl-homocysteine, S-methyl- cysteine, cysteine S-sulfate, N,S-diacetyl-cysteine methyiester, N-acetyl-S-methylcysteine, glutathione, stereoisomers thereof, salts thereof and mixtures thereof.
25 41. The method according to claim 40, wherein immunomodulating activity relates to the suppression of inflammatory reactions such as treatment of diseases and disorders, or symptoms associated therewith, selected from the group consisting of hyperseπsitivity skin disease, atopic eczema, contact dermatitis, seborrhoeic eczema, psoriasis, IgE mediated allergic reactions, asthma, allergic rhinitis, anaphylaxis, autoimmune disease, chronic
30 inflammatory disease, Crohn's disease, ulcerative colitis, rheumatoid arthritis, gout, osteoarthritis and pain.
42. The method according to any one of claims 36, 39 and 40, wherein the cimetidine or a pharmaceutically acceptable salt thereof is selected from the group consisting of cimetidine 35 hydrochloride, cimetidine hydrobromide, cimetidine acetate, cimetidine ascorbate and cimetidine benzoate.
44. The method according to any one of claims 36, 39 and 40, wherein the combination of cimetidine or a salt thereof and the cysteine derivative, is in the form of a substance
40 consisting of a chemical complex as defined in any one of claims 1 to 7.
45. The method according to any one of claims 36, 39 and 40, wherein the combination of cimetidine or a salt thereof and the cysteine derivative is a composition as defined in any one of claims 8 to 18. 55
46. The method according to any one of claims 36, 39 and 40, further comprising the administration of one or more therapeutically active agents.
47, The method according to claim 44, wherein the one or more therapeutically active agents is an anticancer agent,
48. The method according to claim 45, wherein the anticancer agent is selected from the group consisting of DNA-interactive agents, aπtimetabolites, tubulin-interactive agents hormonal agents, protease inhibitors, cyclooxygenase inhibitors, nuclear factor kappa B inhibitors, 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) inhibitors and vitamin D derivatives and vitamin D analogs.
49 The method according to any one of claims 36, 39 and 40, wherein said combination of cimetidine or a salt thereof and the cysteine derivative is administered by peroral, oral, topical, transdermal, or parenteral administration, or combinations thereof.
50. The method according to any one of claims 36, 39 and 40, wherein the combination of cimetidine or a salt thereof and the cysteine derivative, are together comprised in a single formulation.
51. The method according to any one of claims 36, 39 and 40, wherein the combination of cimetidine or a derivative thereof and the cysteine derivative are each individually comprised in separate formulations.
PCT/DK2002/000792 2001-11-26 2002-11-26 Combination of cimetidine and cysteine derivatives for treating cancer WO2003045359A2 (en)

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DKPA200101761 2001-11-26
DKPA200101761 2001-11-26
DKPA200201086 2002-07-10
DKPA200201086 2002-07-10
US39534402P 2002-07-12 2002-07-12
US60/395,344 2002-07-12

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DE10337638A1 (en) * 2003-08-16 2005-03-24 Kirschfeld, Kuno, Prof. Dr. Method of treating prostatitis
US7829709B1 (en) 2007-08-10 2010-11-09 Marquette University Cysteine prodrugs to treat schizophrenia and drug addiction
CA2714226C (en) 2008-02-07 2017-03-28 Marquette University Cysteine and cystine prodrugs to treat schizophrenia and reduce drug cravings

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US5668117A (en) * 1991-02-22 1997-09-16 Shapiro; Howard K. Methods of treating neurological diseases and etiologically related symptomology using carbonyl trapping agents in combination with previously known medicaments
FR2709960B1 (en) * 1993-09-14 1995-12-01 Marthe Dehorne Use of a composition for the preparation of a medicament intended to maintain or restore a rate of aggregation of blood platelets close to the normal value.
DE10004651A1 (en) * 2000-02-03 2001-08-16 Jutta Dierkes Combination of antihypertensive agents with drugs that reduce homocysteine levels
US20010036924A1 (en) * 2000-03-21 2001-11-01 Weidner Morten Sloth Chemical complex comprising a substituted pyridine carboxy derivative and a glucosaminoglycan
US20020137785A1 (en) * 2001-03-26 2002-09-26 George Kindness Inflammatory mechanism modulator composition and methods with anti-asthmatic properties

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