WO2007117398B1 - Non-peptidic molecules for detecting and treating tumors - Google Patents

Non-peptidic molecules for detecting and treating tumors

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Publication number
WO2007117398B1
WO2007117398B1 PCT/US2007/008215 US2007008215W WO2007117398B1 WO 2007117398 B1 WO2007117398 B1 WO 2007117398B1 US 2007008215 W US2007008215 W US 2007008215W WO 2007117398 B1 WO2007117398 B1 WO 2007117398B1
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WO
WIPO (PCT)
Prior art keywords
composition
improved
subject
group
tumors
Prior art date
Application number
PCT/US2007/008215
Other languages
French (fr)
Other versions
WO2007117398A3 (en
WO2007117398A2 (en
Inventor
James E Summerton
Original Assignee
James E Summerton
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
Priority claimed from US11/395,487 external-priority patent/US20070231256A1/en
Priority claimed from US11/449,508 external-priority patent/US20080124274A1/en
Priority claimed from US11/449,495 external-priority patent/US8084610B2/en
Priority to EP07754699A priority Critical patent/EP1998760A2/en
Priority to AU2007235575A priority patent/AU2007235575A1/en
Priority to BRPI0710026-4A priority patent/BRPI0710026A2/en
Priority to MX2008012282A priority patent/MX2008012282A/en
Priority to PCT/US2007/008215 priority patent/WO2007117398A2/en
Priority to JP2009503073A priority patent/JP2009536152A/en
Priority to CA002647502A priority patent/CA2647502A1/en
Application filed by James E Summerton filed Critical James E Summerton
Priority to MX2009010621A priority patent/MX2009010621A/en
Priority to CA002682567A priority patent/CA2682567A1/en
Priority to AU2007350326A priority patent/AU2007350326A1/en
Priority to PCT/US2007/021002 priority patent/WO2008121126A1/en
Publication of WO2007117398A2 publication Critical patent/WO2007117398A2/en
Publication of WO2007117398A3 publication Critical patent/WO2007117398A3/en
Publication of WO2007117398B1 publication Critical patent/WO2007117398B1/en
Priority to CR11069A priority patent/CR11069A/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
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • 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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)

Abstract

One of the most universal characteristics of malignant tumors is their acidity. Onco-tools are small non-peptide synthetic molecules designed to exploit this acidity for early detection and destruction of tumors. Each onco-tool has a structure which is anionic and hydrophilic at pH 7.4 and so repels from the negatively-charged surfaces of cells in normal tissues. When an onco-tool enters an acidic environment, such as in a tumor, a portion of the onco-tool molecules switch to their non-ionic lipophilic form which is designed to enter cells, such as cells in acidic areas of tumors. Prior to use of an onco-tool, a selected radioisotope is linked to the onco-tool. If that radioisotope emits radiation which can be detected outside the body, then the onco-tool can serve for detecting tumors. If that radioisotope emits radiation effective to kill cells, then the onco-tool can serve for treating tumors.

Claims

AMENDED CLAIMS received by the International Bureau on 10 December 2007 (10.12.2007)CLAIMS:
1. A precursor structure that can be readily converted to a composition that is preferentially sequestered in acidic areas, which may be in tumors in a living subject, where the composition (i) has the property of existing largely in a negatively-charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane, and (ii) includes a cargo component which can report its presence by emitting a photon, a gamma ray (high-energy photon), or a positron, and/or which can cause damage to cells in the area where it is sequestered, wherein the improvement comprises:
an improved precursor structure that by addition of a radiohalogen can be converted to an improved composition that is preferentially sequestered with improved specificity in acidic areas, which contains
(a) at least two acid moieties;
(b) at least one of the acid moieties is incorporated in an internally H-bondable component having the properties i) the acid moiety is a carboxylic acid moiety directly linked to a ring structure, ii) the ring structure is non-aromatic and is selected from the group consisting of a 4-membered ring, a 5-membered ring, and a 6-membered ring, iii) also attached to the ring structure is an H-bond acceptor moiety which has a pKa of less than 7 and which in its non-ionic form has a structure which cannot serve as an H-bond donor moiety and where the atom which serves as the acceptor in the H-bond is selected from the group consisting of directly linked to the ring structure, and linked through one atom to the ring structure, wherein the carboxylic acid moiety and the H-bond acceptor moiety are positioned and oriented such that they are compatible with formation of an internal H-bond; and, (c) at least one cargo component in a precursor form which is effective to readily and stably bind a radiohalogen; and which lacks
(d) a sulfonamide moiety ( R1SO2NR2R3)
2. The improved precursor structure of Claim 1 , wherein the at least one cargo component in a precursor form includes a tri-alkyl tin moiety.
3. The improved precursor structure of Claim 2, wherein the best mode structure is:
Figure imgf000003_0001
4. A composition that is preferentially sequestered in acidic areas, which may be in tumors in a living subject, where the composition (i) has the property of existing largely in a negatively-charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane, and (ii) includes a cargo component which can report its presence by emitting a photon, a gamma ray (high- energy photon), or a positron, and/or which can cause damage to cells in the area where it is sequestered, wherein the improvement comprises:
an improved composition that is preferentially sequestered with improved specificity in acidic areas, which contains (a) at least two acid moieties;
(b) at least one of the acid moieties is incorporated in an internally H-bondable component having the properties i) the acid moiety is a carboxylic acid moiety directly linked to a ring structure, ii) the ring structure is non-aromatic and is selected from the group consisting of a 4-membered ring, a 5-membered ring, and a 6-membered ring, iii) also attached to the ring structure is an H-bond acceptor moiety which has a pKa of less than 7 and which in its non-ionic form has a structure which cannot serve as an H-bond donor moiety and where the atom which serves as the acceptor in the H-bond is selected from the group consisting of directly linked to the ring structure, and linked through one atom to the ring structure, wherein the carboxylic acid moiety and the H-bond acceptor moiety are positioned and oriented such that they are compatible with formation of an internal H-bond; and,
(c) at least one cargo component which contains a radiohalogen.
5. The improved composition of Claim 4, wherein at least one cargo component contains a radiohalogen which is selected from the group of halogen types consisting of: Fluorine, Bromine, Iodine, and Astatine.
6. The improved composition of Claim 5, wherein the H-bond acceptor moiety in at least one internally H-bondable component is selected from the group consisting of:
(a) an amide;
(b) a trifluoroethylamine;
(c) a cyanomethylamine;
(d) an alkoxyamine;
(e) an N-oxide;
(f) an imidazole;
(g) an aniline;
(h) a phosphoramide; and, (i) a urea.
7. The improved composition of Claim 6, wherein at least one internally H-bondable component has a structure selected from the group consisting of:
Figure imgf000005_0001
Figure imgf000005_0002
Figure imgf000005_0003
8. The improved composition of Claim 7, wherein the molecular structure is selected from the group consisting of:
Figure imgf000006_0001
Figure imgf000006_0002
X = radiohalogen
Figure imgf000006_0003
9. The improved composition of Claim 8, wherein the best mode structure is:
Figure imgf000007_0001
10. A composition for detecting the presence of acidic areas, which may be in tumors in a living subject, where the composition (i) has the property of existing largely in a negatively- charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane in a biological tissue, and (ii) includes a cargo component which can report its presence by emitting a photon, gamma ray (high-energy photon), or positron from the area where it is sequestered, wherein the improvement comprises:
an improved composition for detecting with improved specificity the presence of acidic areas, which contains
(a) at least two acid moieties;
(b) at least one of the acid moieties is incorporated in an internally H-bondable component having the properties i) the acid moiety is a carboxylic acid moiety directly linked to a ring structure, ii) the ring structure is non-aromatic and is selected from the group consisting of a 4-membered ring, a 5-membered ring, and a 6-membered ring, iii) also attached to the ring structure is an H-bond acceptor moiety which has a pKa of less than 7 and which in its non-ionic form has a structure which cannot serve as an H-bond donor moiety and where the atom which serves as the acceptor in the H-bond is selected from the group consisting of directly linked to the ring structure, and linked through one atom to the ring structure wherein the carboxylic acid moiety and the H-bond acceptor moiety are positioned and oriented such that they are compatible with formation of an internal H-bond; and,
(c) at least one cargo component which contains a radiohalogen that emits radiation of a type selected from the group consisting of i) a gamma ray, ii) a positron, and iii) a positron and a gamma ray.
11. The improved composition of Claim 10, wherein the radiohalogen is selected from the group consisting of: Bromine-76, Bromine-77, lodine-123, lodine-124, and lodine-131.
12. The improved composition of Claim 11 , wherein the best mode structure is:
Figure imgf000008_0001
13. A method for detecting acidic areas in a subject, where the acidic areas may be in tumors, by
(a) providing a composition which
(i) has the property of existing largely in a negatively-charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane in a biological tissue, and (ii) includes a cargo component which can report its presence by emitting a photon, a gamma ray (high-energy photon), or a positron from the area where it is sequestered,
(b) introducing the provided composition into the subject,
(c) waiting for a period of time in the range of 10 minutes to 48 hours, and
(d) assessing the subject with equipment effective to detect the emission from the cargo component of the provided composition, wherein the improvement comprises:
an improved method for detecting with improved specificity acidic areas in a subject, wherein the provided composition is the composition of Claim 10, and the subject is assessed with equipment effective to detect gamma rays.
14. The improved method of Claim 13, wherein the improved method is used for assessing a living subject for the presence of tumors containing acidic areas.
15. The improved method of Claim 13, wherein the improved method further comprises: first treating the subject with
(a) at least one substance effective to increase the pH of the subject's urine; and,
(b) at least one substance effective to decrease the pH in tumors.
16. The improved method of Claim 15, wherein at least one substance effective to increase the pH of the subject's urine is selected from the group consisting of:
(a) a carbonic anhydrase inhibitor acetazolamide; and,
(b) a buffer sodium bicarbonate.
17. The improved method of Claim 15, wherein at least one substance effective to decrease the pH in tumors is selected from the group consisting of:
(a) glucose;
(b) the mitochondrial inhibitor meta-iodobenzylguanidine; and,
(c) the vasodilator captopril.
18. A composition for treating acidic areas, which may be in tumors in a living subject, where the composition (i) has the property of existing largely in a negatively-charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane in a biological tissue, and (ii) includes a cargo component which can cause damage to cells in the area where it is sequestered, wherein the improvement comprises:
an improved composition for treating with improved specificity acidic areas, which contains
(a) at least two acid moieties;
(b) at least one of the acid moieties is incorporated in an internally H-bondable component having the properties i) the acid moiety is a carboxylic acid moiety directly linked to a ring structure, ii) the ring structure is non-aromatic and is selected from the group consisting of a 4-membered ring, a 5-membered ring, and a 6-membered ring, iii) also attached to the ring structure is an H-bond acceptor moiety which has a pKa of less than 7 and which in its non-ionic form has a structure which cannot serve as an H-bond donor moiety and where the atom which serves as the acceptor in the H-bond is selected from the group consisting of directly linked to the ring structure, and linked through one atom to the ring structure, wherein the carboxylic acid moiety and the H-bond acceptor moiety are positioned and oriented such that they are compatible with formation of an internal H-bond; and,
(c) at least one cargo component which contains a radiohalogen that emits radiation of a type selected from the group consisting of i) an alpha particle, and ii) a beta particle.
19. The improved composition of Claim 18, wherein the radiohalogen emits an alpha particle and is Astatine-211.
20. The improved composition of Claim 19, wherein the best mode structure is:
Figure imgf000011_0001
21. The improved composition of Claim 18, wherein the radiohalogen emits a beta particle and is selected from the group consisting of: Bromine-82, Bromine-83, lodine-130, lodine- 131, lodine-132, lodine-133, and Iodine 135.
22. A method for treating acidic areas in a subject, where the acidic areas may be in tumors, by
(a) providing a composition
(i) with the property of existing largely in a negatively-charged water-soluble form in aqueous solution at pH 7.4, but in acidic areas below pH 7.0 a significant portion of the molecules of the composition switch to a non-ionic form effective to enter a lipophilic phase, which may be a cell membrane in a biological tissue, and
(ii) which includes a cargo component which can cause damage to cells in the area where it is sequestered, and
(b) introducing the provided composition into the subject, wherein the improvement comprises:
an improved method for treating with improved specificity acidic areas in a subject, wherein the provided composition is the composition of Claim 18.
23. The improved method of Claim 22, wherein the improved method is used for treating a living subject who has one or more tumors containing acidic areas.
24. The improved method of Claim 22, wherein the improved method further comprises: first treating the subject with
(a) at least one substance effective to increase the pH of the subject's urine; and,
(b) at least one substance effective to decrease the pH in tumors.
25. The improved method of Claim 24, wherein at least one substance effective to increase the pH of the subject's urine is selected from the group consisting of:
(a) the carbonic anhydrase inhibitor acetazolamide; and,
(b) the buffer sodium bicarbonate.
26. The improved method of Claim 24, wherein at least one substance effective to decrease the pH in tumors is selected from the group consisting of:
(a) glucose;
(b) the mitochondrial inhibitor meta-iodobenzylguanidine; and,
(c) the vasodilator captopril.
27. The improved method of Claim 22, wherein at least two compositions of Claim 18 are provided and are introduced into the subject, where one provided composition of Claim 18 contains the radiohalogen Astatine-211 , and where a second provided composition of Claim 18 contains a radiohalogen which emits a beta particle.
28. The improved method of Claim 27, wherein the best mode provided compositions are:
Figure imgf000012_0001
29. The improved method of Claim 27, wherein the method is used for treating a living subject who has one or more tumors containing acidic areas.
30. The improved method of Claim 27, wherein the improved method further comprises: first treating the subject with
(a) at least one substance effective to increase the pH of the subject's urine; and,
(b) at least one substance effective to decrease the pH in tumors.
31. The improved method of Claim 30, wherein at least one substance effective to increase the pH of the subject's urine is selected from the group consisting of:
(a) the carbonic anhydrase inhibitor acetazolamide; and,
(b) the buffer sodium bicarbonate.
32. The improved method of Claim 30, wherein at least one substance effective to decrease the pH in tumors is selected from the group consisting of:
(a) glucose;
(b) the mitochondrial inhibitor meta-iodobenzylguanidine; and, (C) the vasodilator captopril.
PCT/US2007/008215 2006-03-30 2007-03-30 Non-peptidic molecules for detecting and treating tumors WO2007117398A2 (en)

Priority Applications (12)

Application Number Priority Date Filing Date Title
EP07754699A EP1998760A2 (en) 2006-03-30 2007-03-25 Non peptidic molecules for detecting and treating tumors
AU2007235575A AU2007235575A1 (en) 2006-03-30 2007-03-30 Non-peptidic molecules for detecting and treating tumors
BRPI0710026-4A BRPI0710026A2 (en) 2006-03-30 2007-03-30 precursor structure, compositions and methods for detecting and treating acidic areas in an individual
MX2008012282A MX2008012282A (en) 2006-03-30 2007-03-30 Non-peptidic molecules for detecting and treating tumors.
PCT/US2007/008215 WO2007117398A2 (en) 2006-03-30 2007-03-30 Non-peptidic molecules for detecting and treating tumors
JP2009503073A JP2009536152A (en) 2006-03-30 2007-03-30 Non-peptide molecules for detecting and treating tumors
CA002647502A CA2647502A1 (en) 2006-03-30 2007-03-30 Onco-tool compositions and methods of use for detecting and treating tumors
MX2009010621A MX2009010621A (en) 2007-03-30 2007-09-29 Non-peptidic molecules for detecting and treating tumors.
PCT/US2007/021002 WO2008121126A1 (en) 2007-03-30 2007-09-29 Non-peptidic molecules for detecting and treating tumors
AU2007350326A AU2007350326A1 (en) 2007-03-30 2007-09-29 Non-peptidic molecules for detecting and treating tumors
CA002682567A CA2682567A1 (en) 2007-03-30 2007-09-29 Non-peptidic molecules for detecting and treating tumors
CR11069A CR11069A (en) 2007-03-30 2009-10-19 NON-PEPTIDIC MOLECULES FOR THE DETECTION AND TREATMENT OF TUMORS

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US11/395,487 2006-03-30
US11/395,487 US20070231256A1 (en) 2006-03-30 2006-03-30 Compositions and methods for detecting and treating tumors containing acidic areas
US11/449,495 2006-06-07
US11/449,508 2006-06-07
US11/449,495 US8084610B2 (en) 2006-06-07 2006-06-07 Compositions and methods for detecting and treating tumors containing acidic areas
US11/449,508 US20080124274A1 (en) 2006-06-07 2006-06-07 Compositions and methods for detecting and treating tumors containing acidic areas
PCT/US2007/008215 WO2007117398A2 (en) 2006-03-30 2007-03-30 Non-peptidic molecules for detecting and treating tumors

Publications (3)

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WO2007117398A2 WO2007117398A2 (en) 2007-10-18
WO2007117398A3 WO2007117398A3 (en) 2007-12-06
WO2007117398B1 true WO2007117398B1 (en) 2008-02-07

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EP (1) EP1998760A2 (en)
JP (1) JP2009536152A (en)
AU (1) AU2007235575A1 (en)
CA (1) CA2647502A1 (en)
MX (1) MX2008012282A (en)
WO (1) WO2007117398A2 (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2007350326A1 (en) * 2007-03-30 2008-10-09 James E. Summerton Non-peptidic molecules for detecting and treating tumors

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
PT952148E (en) * 1998-04-10 2004-09-30 Pfizer Prod Inc CYLOBUTIL-ARYLOXYARILSULFONYLAMINO-HYDROXYMIC ACID DERIVATIVES
AU2001265111A1 (en) * 2000-05-30 2001-12-11 Guilford Pharmaceuticals Inc. Benzenedicarboxylic acid derivatives
US7491718B2 (en) * 2002-10-08 2009-02-17 Abbott Laboratories Sulfonamides having antiangiogenic and anticancer activity
EP1615667A2 (en) * 2003-04-11 2006-01-18 Novo Nordisk A/S Combinations of an 11-beta-hydroxysteroid dehydrogenase type 1 inhibitor and a glucocorticoid receptor agonist
US7285529B2 (en) * 2005-02-28 2007-10-23 Gene Tools, Llc Embedder compositions and methods for detecting and killing cells in acidic areas of tumors

Also Published As

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MX2008012282A (en) 2008-11-12
CA2647502A1 (en) 2007-10-18
EP1998760A2 (en) 2008-12-10
AU2007235575A1 (en) 2007-10-18
JP2009536152A (en) 2009-10-08
WO2007117398A3 (en) 2007-12-06
WO2007117398A2 (en) 2007-10-18

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