Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/16—Amides, e.g. hydroxamic acids
  • A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
  • A61K31/166—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the carbon of a carboxamide group directly attached to the aromatic ring, e.g. procainamide, procarbazine, metoclopramide, labetalol
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic 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
  • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
  • A61K31/4406—Non condensed pyridines; Hydrogenated derivatives thereof only substituted in position 3, e.g. zimeldine
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
  • A61P13/02—Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D239/00—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings
  • C07D239/02—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings
  • C07D239/20—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
  • C07D239/22—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with hetero atoms directly attached to ring carbon atoms

Definitions

• the invention relates to the use of a pyrimidylaminobenzamide derivatives of formula ! as defined below or a pharmaceutically acceptable salt thereof for the manufacture of pharmaceutical compositions for use in the treatment of disorders mediated by ZAK, to the use of a pyrimidylaminobenzamide derivative of formula I or a pharmaceutically acceptable salt thereof in the treatment of disorders mediated by ZAK, and to a method of treating warm-blooded animals including humans suffering from disorders mediated by ZAK by administering to a said animal in need of such treatment an effective dose of a pyrimidytamtnobenzamide derivative of formula I or a pharmaceutically acceptable salt thereof.
• Leucine zipper- and sterile alpha motif-containing kinase is a serine-threonine kinase that belongs to the MAPKKK family of signal transduction molecules (Gross, E. A., et a!, J. Bioi, Ch ⁇ m. 277: 13873-13882, 2002).
• ZAK contains an N-terminal kinase catalytic domain, followed by a leucine zipper motif and a sterile-alpha motif (SAM).
• SAM sterile-alpha motif
• TAK1 TAK1
• MA3K7 Northern blot analysis of human tissues detected a transcript of about 7.7 kb expressed at highest levels in heart and skeletal muscle. Minor transcripts of about 3.3 and 1.6 kb were aiso detected in heart and skeletal muscle.
• mouse Mitk-alpha and Mitk-beta localized to the cytoplasm, inhibition of nuclear export increased the nuclear accumulation of both proteins.
• the common kinase domain of the human MRK isoforms shares 52% similarity with those of MLK1 (MAP3K9) and MLK2 (MAP3K10), and it shares 47% identity with that of TAK1.
• Northern blot analysis detected a prominent transcript of 7.5 kb and less abundant transcripts of 3.8 and 1.6 kb in all tissues examined, Highest expression was detected in skeletal muscle and heart, and weak expression was detected in brain and kidney.
• Transcript-specific probes identified the 3.8-kb transcript as MRK-aipha and the 7.5-kb transcript as MRK-beta.
• Mltk- alpha but not Mitk-beta
• mouse fibroblasts resulted in disruption of actin stress fibers and dramatic morphologic changes.
• a kinase-dead mutant of Mltk-alpha did not cause these changes, and inhibition of the p38 pathway significantly blocked Mltk-alpha-induced stress fiber disruption and morphologic changes.
• Zak is a positive mediator of cell hypertrophy in cultured rat cardiac myocytes.
• Huang et al. found that expression of a dominant-negative Zak protein inhibited features characteristic of TGF-beta-induced cardiac hypertrophy in these cultures, including increased cell size, elevated expression of atrial natriuretic factor (ANF), and increased organization of actin fibers (Huang, C-Y, et al., Biochem. Biophys. Res. Commun. 324: 424-431 , 2004).
• dominant-negative Mkk7 blocked both Tgf-beta and Zak-induced Anf expression.
• Huang concluded that ZAK mediates TGF-beta-induced cardiac hypertrophy via a TGF-beta-ZAK ⁇ MKK7-ANF signaling pathway,
• ZAK over-expression is associated with cardiac hypertrophy (Huang, et a/, BBRC 2004;324:973) ZAK signaling was found to induce MMP-2 activity and at the same time to reduce MMP-9 activity. Taken together, ZAK activity may be a suitable intervention to prevent cardiac fibrosis progression.
• Shiga toxicity causes hemolytic uremic syndrome.
• the toxicity of the Shiga toxin with the involvement of kinase activation appears to be controlled by activation of the ZAK kinase (Jandhyaia, et al. Cellular Microbiology 2008; 10: 1468).
• the pyrimidylaminobenzamide derivatives of formula I can be used for the treatment of disorders mediated by ZAK in view of the observation that ZAK is a target of the pyrimidylaminobenzamide derivatives of formula I.
• the present invention relates to the use of pyrimidylaminobenzamide derivatives of formula I
• R 5 denotes -C(O)-NRiR 2 ,
• R 1 represents hydrogen, lower alkyl, lower alkoxy-lower alkyl, acyloxy-iower alkyl, carboxy- lower aikyl, lower aikoxycarbonyl-lower alkyl, or phenyl-lower alkyl;
• R* represents hydrogen, lower alkyl, optionally substituted by one or more identical or different radicals R 3 , cycloalkyi, benzcycloalkyl, heterocyclyl, an aryl group, or a mono- or bicycfic heteroaryl group comprising zero, one, two or three ring nitrogen atoms and zero or one oxygen atom and zero or one sulfur atom, which groups in each case are ⁇ nsubstit ⁇ ted or mono* or p ⁇ lysubstituted; and
• R 3 represents hydroxy, lower alkoxy, acyloxy, carboxy, lower alkoxycarbonyl, carbamoyl, N- mono- or N.N-disubstituted carbamoyl, amino, mono- or dis ⁇ bstituted amino, cycloalkyl, heterocyclyi, an aryl group, or a mono- or bicyclic heteroaryl group comprising zero, one, two or three ring nitrogen atoms and zero or one oxygen atom and zero or one sulfur atom, which groups in each case are unsubstituted or mono- or poiysubstituted;
• R 1 and R 2 together represent alkylene with four, five or six carbon atoms optionally mono* or disubstituted by lower alkyl, cycloalkyl, heterocyclyi, phenyl, hydroxy, lower alkoxy, amino, mono- or disubstituted amino, oxo, pyridyl, pyrazinyl or pyrimidinyf; benzalkylene with four or five carbon atoms; oxaalkylene with one oxygen and three or four carbon atoms: or azaalkylene with one nitrogen and three or four carbon atoms wherein nitrogen is unsubstituted or substituted by lower alkyl, phenyl-lower alkyi, lower alkoxycarbonyMower alkyl, carboxy-lower alkyl, carbamoyMower alkyl, N-mono- or N, N- disubstituted carbamoyl-lower alkyl, cyctoalkyl, lower
• R represents hydrogen, lower alkyl, or halogen
• Ri is hydrogen
• R 2 is [[(3S) ⁇ 3 ⁇ (dimethylamino)- 1-pyrrolidinyl3methyl] ⁇ 3-(trifluoromethyl)phenyl and R 4 is methyl;
• disorders mediated by ZAK include, but are not limited to, hemolytic uremic syndrome, cardiac hypertrophy, cardiac fibrosis progression, and ovarian cancer, especially ovarian cancer harboring at least one ZAK mutation.
• treatment or “therapy” refer to the prophylactic or preferably therapeutic (including but not limited to palliative, curing, symptom-alleviating, symptom-reducing, kinase-regulating and/or kinase-inhi biting) treatment of the diseases disclosed herein.
• pyrimidylamino- benzamide derivatives of formula I wherein py is 3-pyridyl, R 5 denotes -C(O)-NRiR 2 , and wherein the radicals mutually independently of each other have the following meanings:
• R 1 represents hydrogen, lower alkyl, lower alkoxy-lower alkyl, acyioxy-lower alkyl, carboxy- lower aikyl, lower aikoxycarbonyl-lower alkyl, or phenyl-lower alkyi; more preferably hydrogen;
• R 2 represents hydrogen, lower alkyl, optionally substituted by one or more identical or different radicals R 31 cycloalkyi, benzcydoalkyl, heterocyclyl, an aryl group, or a mono- or bicyclic heteroaryi group comprising zero, one, two or three ring nitrogen atoms and zero or one oxygen atom and zero or one sulfur atom, which groups in each case are unsubstituted or mono- or polysubstituted;
• R 3 represents hydroxy, lower atkoxy, acyi ⁇ xy, carboxy, lower alkoxycarbonyl, carbamoyl, N- mono- or N.N-disubstituted carbamoyl, amino, mono- or disubstituted amino, cycloalkyi, heterocyctyl, an aryl group, or a mono- or bicyclic heteroaryi group comprising zero, one, two or three ring nitrogen atoms and zero or one oxygen atom and zero or one sulfur atom, which groups in each case are unsubstituted or mono- or polysubstituted; and
• R 4 represents lower alkyl. especially methyl.
• a preferred pyrimidyfaminobenzamide derivative is 4-methyl>3-[[4-(3-pyridinyl)-2- pyrimidinyl3aminoJ-W-[5-(4-methyl-1H-imtdazol-1-yl)-3-(trif I uoromethyOphenyl] benzamide, also known as "nilotinib".
• the prefix “lower” denotes a radical having up to and including a maximum of 7, especially up to and including a maximum of 4 carbon atoms, the radicals in question being either linear or branched with single or multiple branching.
• pl ⁇ rai form is used for compounds, salts, and the like, this is taken to mean also a single compound, salt, or the like.
• Lower afkyl is preferably alkyl with from and including 1 up to and including 7, preferably from and including 1 to and including 4, and is linear or branched; preferably, lower alkyl is butyl, such as n-butyl, sec-butyl, isobutyi, tert-butyl, propyl, such as n-propyl or isopropyl, ethyl or methyl.
• Preferably lower alkyl is methyl, propyl or tert-butyl
• Lower acyl is preferably formyl or lower alkylcarbonyl, in particular acetyl.
• aryl group is an aromatic radical which is bound to the molecule via a bond located at an aromatic ring carbon atom of the radical.
• aryl is an aromatic radical having 6 to 14 carbon atoms, especially phenyl, naphlhyl, tetrahydronaphthyl, fluorenyl or phenanthrenyl, and is unsubstituted or substituted by one or more, preferably up to three, especially one or two substituents, especially selected from amino, mono* or disubstituted amino, halogen, lower alkyl, substituted lower alkyl, lower alkenyl, lower aikynyl, phenyl, hydroxy, etherified or esterified hydroxy, nttro, cyano, carboxy, esterified carboxy, alkanoyl, benzoyl, carbamoyl, N-mono- or N,N ⁇ disubstituted carbamoyl, amidino, gu
• Aryl is more preferably phenyl, ⁇ aphthyl or tetrahydronaphthyl, which in each case is either unsubstituted or independently substituted by one or two substituents selected from the group comprising halogen, especially fluorine, chlorine, or bromine; hydroxy; hydroxy etherified by lower alkyl, e.g. by methyl, by halogen-lower alkyl, e.g. trifluoromethyl, or by phenyl; lower alkylene dioxy bound to two adjacent C-atoms, e.g. methylenedioxy, lower alkyl, e.g. methyl or propyl; halogen-lower alkyl, e.g.
• hydroxy-lower alkyl e.g. hydroxymethyl or 2 ⁇ hydroxy-2-propyt
• lower alkoxy-lower alkyt e.g. methoxymethyl or 2-methoxyethyl
• lower alkoxycarbonyl-lower alkyl e.g. methoxy- carbonylmethyl
• lower afkynyl such as 1-propynyl
• esterified carboxy especially lower alkoxycarbonyl, e.g.
• morpholtno lower azaaikylene-amino, e.g. piperazin ⁇ , acylamino, e.g. acetylamino or benzoyfamino; lower alkylsulfonyl, e.g. methyisulfony); sulfamoyl; or phenylsulfonyl.
• a cycloaikyl group is preferably cyclopropyl, cyclopentyl, cyclohexyl or cycloheptyl, and may be unsubstituted or substituted by one or more, especially one or two, substitutents selected from the group defined above as substitutents for aryl, most preferably by lower alkyl, such as methyl, lower alkoxy, such as methoxy or ethoxy, or hydroxy, and further by oxo or fused to a benzo ring, such as in benzcyclopentyl or benzcyctohexyl.
• Substituted alkyl is alkyl as iast defined, especially lower alky), preferably methyl; where one or more, especially up to three, substituents may be present, primarily from the group selected from halogen, especially fluorine, amino, N-lower alkylamino, N.N-di-iower alkyiamino, N-lower alkanoylamino, hydroxy, cyano, carboxy, lower alkoxycarbonyl, and phenyl-lower alkoxycarbonyl. Trifluoromethyl is especially preferred.
• Mono- or disubstituted amino is especially amino substituted by one or two radicals selected independently of one another from lower alkyl, such as methyl; hydroxy-l ⁇ wer alkyl, such as 2-hydroxyethyl; lower alkoxy lower alkyl, such as methoxy ethyl; phenyl-lower alkyl, such as benzyl or 2-phenylethyl; lower alkanoyl, such as acetyl; benzoyl; substituted benzoyl, wherein the phenyl radical is especially substituted by one or more, preferably one or two, substituents selected from nitro, amino, halogen, N-lower alkylamino, N,N-di-lower aikylamino, hydroxy, cyano, carboxy, lower alkoxycarbonyl, lower aikanoyl, and carbamoyl; and phenyl-lower alkoxycarbonyl, wherein the phenyl radical is unsubsti
• Disubstituted amino is also lower alkylene-amino, e.g. pyrrolidine 2-oxopyrroiidino or piperidino; lower oxaalkylene-amino, e.g. morphoiino, or lower azaalkylene-amino, e.g. piperazino or N-substituted piperazino, such as N-m ⁇ thylpiperazino or N- methoxycarbonyipiperazino.
• lower alkylene-amino e.g. pyrrolidine 2-oxopyrroiidino or piperidino
• lower oxaalkylene-amino e.g. morphoiino
• lower azaalkylene-amino e.g. piperazino or N-substituted piperazino, such as N-m ⁇ thylpiperazino or N- methoxycarbonyipiperazino.
• Halogen is especially fluorine, chlorine, bromine, or iodine, especially fluorine, chlorine, or bromine.
• Etherified hydroxy is especially Ce-C ⁇ alkyloxy, such as n-decyloxy, lower aikoxy (preferred), such as methoxy, ethoxy, isopropyloxy, or tert-butyloxy, phenyl-lower aikoxy, such as benzyloxy, phenyloxy, halogen-lower aikoxy, such as trifluoromethoxy, 2,2,2-trifluoroethoxy or 1 ,1,2,2-tetrafluoroethoxy, or lower aikoxy which is substituted by mono- or bicyclic hetero- aryl comprising one or two nitrogen atoms, preferably lower aikoxy which is substituted by imidazolyl, such as IH-imidazol-1-yl, pyrroiyl, benzimidazolyl, such as 1-benzimidazolyl, pyridyl, especially 2-, 3- or 4-pyridyl, pyrimi
• Esterified hydroxy is especially lower alkanoyloxy, benzoyloxy, lower alkoxycarbonyloxy, such as tert-butoxycarbonyloxy, or phenyl-lower alkoxycarbonyloxy, such as benzyloxycarbonyfoxy.
• Esterified carboxy is especially lower alkoxycarbonyl, such as tert-butoxycarbonyl, iso- propoxycarbonyl, methoxycarbonyl or ethoxycarbonyl, phenyl-lower alkoxycarbonyl, or phenyioxycarbonyl.
• Alkanoy is primarily aikylcarbonyl, especially lower alkanoyl, e.g. acetyl.
• N-Mo ⁇ o- or N.N-disubstituted carbamoyl is especially substituted by one or two substitue ⁇ ts independently selected from lower aikyi, phenyl-lower aikyl and hydroxy-lower alkyl, or lower alkyle ⁇ e, oxa-tower alkylene or aza-lower alkytene optionally substituted at trie terminal nitrogen atom.
• a mono* or bicyc ⁇ c heteroaryl group comprising zero, one, two or three ring nitrogen atoms and zero or one oxygen atom and zero or one sulfur atom, which groups in each case are unsubstituted or mono- or polysubstituted, refers to a heterocyclic moiety that is unsaturated in the ring binding the heteroaryl radical to the rest of the molecule in formula I and is preferably a ring, where in the binding ring, but optionally also in any annealed ring, at least one carbon atom is replaced by a heteroatom selected from the group consisting of nitrogen, oxygen and sulfur; where the binding ring preferably has 5 to 12, more preferably 5 or 6 ring atoms; and which may be unsubstituted or substituted by one or more, especially one or two, substttutents selected from the group defined above as substitutents for aryl, most preferably by lower aikyl, such as methyl, lower alkoxy, such as methoxy or
• the mono- or bicyclic heteroaryl group is selected from 2H-pyrrolyl, pyrrolyl, imidazolyl, benzimidazolyl, pyrazolyl, indazolyl, purinyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, 4H-quinofizinyi, isoquinolyl, quinolyl, phthalazinyl, naphthyridinyl, quinoxalyl, quinazolinyl, quinnolinyl, pteridinyl, indotizinyl, 3H-indolyl, indolyl, isoindolyl, oxazoiyi, isoxazotyl, thiazolyl, isothiazolyl, triazolyl, tetrazolyl, furazanyl, benzo[d]pyrazolyl, thienyl and furany
• the mono- or bicyclic heteroaryl group is selected from the group consisting of pyrrolyl, imtdazolyl, such as 1H-imidazol-1-yl, benzimidazolyl, such as 1- benzimidazolyi, indazotyi, especially 5-indazolyl, pyridyl, especially 2-, 3- or 4-pyridyl, pyrimidinyl, especially 2-pyrimidinyl, pyrazinyl, isoquin ⁇ l ⁇ nyl, especially 3-isoquinolinyi, quinolinyl, especially 4- or 8-quinolinyl, indoly), especially 3-indolyl, thiazolyl, benzotdjpyrazolyl, thienyl, and furanyl.
• imtdazolyl such as 1H-imidazol-1-yl
• benzimidazolyl such as 1- benzimidazolyi, indazotyi, especially 5-indazolyl
• the pyridyi radical is substituted by hydroxy in ortho position to the nitrogen atom and hence exists at least partially in the form of the corresponding tautomer which is pyrtdin-(1 H)2-one
• the pyrimidinyl radical is substituted by hydroxy both in position 2 and 4 and hence exists in several tautomeric forms, e.g. as pyrimidine-(1H, 3H)2,4-dione.
• Heterocyclyl is especially a five, six or seven-mem bered heterocyclic system with one or two heteroatoms selected from the group comprising nitrogen, oxygen, and sulfur, which may be unsaturated or wholly or partly saturated, and is unsubstituted or substituted especially by lower alkyl, such as methyl, phenyl-lower aikyi, such as benzyl, oxo, or heteroaryl, such as 2- piperazinyl; heterocyclyl is especially 2- or 3-pyrrolidinyl, 2-oxo-5-pyrro!idinyl, piperidinyl, N- benzyl-4-piperidinyl, N-lower alkyt-4-piperidinyl, N-lower alkyl-piperazi ⁇ yl, morpholinyl, e.g. 2 ⁇ or 3-morpholinyl, 2-oxo «1H ⁇ azepin ⁇ 3 ⁇ yl, 2-tetrahydrofuranyl, or 2 ⁇ methyl-1,3
• nilotinib is employed In the form of its hydrochloride monohydrate.
• WO2007/015870 discloses certain polymorphs of nilotinib and pharmaceutically acceptable salts thereof useful for the present invention.
• the pyrimidylaminobenzamide derivatives of formula I, wherein py is 3-pyrtdyl and R 5 denotes -C(O)-NRiR 2 can be administered by any route including orally, parenterally, e.g., intraperitoneal, intravenously, intramuscularly, subcutaneously, intratumorally, or rectally, or enterally.
• the pyrimidylaminobenzamide derivatives of formula I, wherein py is 3-pyridyl and R s denotes -C(O)-NR 1 R 2 is administered orally, preferably at a daily dosage of 50-2000 mg.
• a preferred oral daily dosage of nilotinib is 200 - 1200 mg, e.g. 800 mg, administered as a single dose or divided into multiple doses, such as twice daily dosing.
• INNO-406 can be administered orally twice daily in a dose of 200 to 300 mg, e.g. 240 mg. Usually, a small dose is administered initially and the dosage is gradually increased until the optimal dosage for the host under treatment is determined. The upper limit of dosage is that imposed by side effects and can be determined by trial for the host being treated.

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