WO2021023291A1 - Use of proflavine in treatment of lung cancers - Google Patents

Use of proflavine in treatment of lung cancers Download PDF

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WO2021023291A1
WO2021023291A1 PCT/CN2020/107683 CN2020107683W WO2021023291A1 WO 2021023291 A1 WO2021023291 A1 WO 2021023291A1 CN 2020107683 W CN2020107683 W CN 2020107683W WO 2021023291 A1 WO2021023291 A1 WO 2021023291A1
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pharmaceutically acceptable
proxanthin
solvates
acceptable salts
lung cancer
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PCT/CN2020/107683
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French (fr)
Chinese (zh)
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陈毅歆
王国松
洪俊平
吴倩
陈瑞琪
黄鹏飞
夏宁邵
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厦门大学
养生堂有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • 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
    • 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
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/473Quinolines; Isoquinolines ortho- or peri-condensed with carbocyclic ring systems, e.g. acridines, phenanthridines
    • 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
    • A61P35/00Antineoplastic agents
    • A61P35/04Antineoplastic agents specific for metastasis

Definitions

  • This application relates to the field of medicinal chemistry, specifically to the application of proxanthin in the treatment of lung cancer.
  • Non-small cell lung cancer can be divided into lung squamous cell carcinoma, lung adenocarcinoma, and large cell lung cancer.
  • Therapeutic drugs for lung cancer have very important prospects, but they will also face huge challenges.
  • Proflavine its chemical name is 3,6-diaminoacridine, also known as Proflavine, Proflavine, Proflavine, CAS number: 92-62-6, and the structural formula is as follows:
  • Proxanthin can be used as a disinfectant, bacteriostatic agent, also used to treat skin pimples, wounds and various inflammations, and used to disinfect skin and wounds. Proxanthin is used in combination with anti-tuberculosis drugs, which has a synergistic effect.
  • the inventor of the present application unexpectedly discovered that the small molecule compound proxanthin sulfate has broad-spectrum therapeutic activity on lung cancer.
  • This application relates to proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or its pharmaceutically acceptable various Of the modified substance in the preparation of a medicine for treating lung cancer.
  • the application also relates to the use of a pharmaceutical composition in the preparation of a medicine for treating lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and A hydrate or solvate of a pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof, and a pharmaceutically acceptable carrier or excipient.
  • This application also relates to proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable Various modifications are used in combination with the second anti-tumor drug to prepare drugs for treating lung cancer.
  • This application also relates to proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable Various modifications, which are used to treat lung cancer.
  • This application also relates to a pharmaceutical composition for the treatment of lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable Salt hydrates or solvates, or various pharmaceutically acceptable modifications thereof, and pharmaceutically acceptable carriers or excipients.
  • the application also relates to a hydrate or solvate containing proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, its pharmaceutically acceptable salts, or its pharmaceutically acceptable
  • This application also relates to a method for treating lung cancer, which comprises: administering to a subject in need a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, A hydrate or solvate of its pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof.
  • This application also relates to another method for treating lung cancer, which comprises: administering a therapeutically effective amount of the pharmaceutical composition described in this application to a subject in need thereof.
  • This application also relates to another method for treating lung cancer, which comprises: administering a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, and its pharmaceutically acceptable salts to a subject in need , The hydrate or solvate of its pharmaceutically acceptable salt, or its various pharmaceutically acceptable modifications, and the second anti-tumor drug with therapeutic sales.
  • the lung cancer described in the present application is selected from: lung squamous cell carcinoma, lung adenocarcinoma, large cell lung cancer, small cell lung cancer, or any combination thereof.
  • the pharmaceutical composition described in the present application further contains a second anti-tumor drug.
  • the pharmaceutically acceptable salt described in the present application is Proflavine hemisulfate or 3,6-Acridinediamine hydrochloride (Proflavine hydrochloride; Proflavine monohydrochloride) ,
  • the hydrate of the pharmaceutically acceptable salt described in the application is proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); Proflavine hemisulfate hydrate) or Proflavine hydrochloride hemihydrate (3,6-Acridinediamine hydrochloride hydrate (2:2:1); Proflavine hydrochloride hemihydrate; Proflavine monohydrochloride hemihydrate).
  • the second anti-tumor drug described in the present application is an immune checkpoint inhibitor, a traditional chemotherapeutic drug, or a small molecule inhibitor.
  • the immune checkpoint inhibitors described in the present application include but are not limited to: PD-1 inhibitors, PD-L1 inhibitors, CTLA-4 inhibitors, and the like.
  • the traditional chemotherapeutic drugs described in the present application include but are not limited to: paclitaxel, cisplatin, 5-fluorouracil and the like.
  • the small molecule inhibitors described in the present application include but are not limited to EGFR inhibitors, HER2 inhibitors, ALK inhibitors and the like.
  • the PD-1 inhibitors described in the application include but are not limited to: Nivolumab, Pembrolizumab, IBI-308, Camrelizumab (SHR-1210), Tislelizumab, Cemiplimab, BCD-100, TSR-042 , PDR-001, JNJ-63723283) etc.
  • the PD-L1 inhibitors described in the present application include but are not limited to: Atezolizumab, Avelumab, Durvalumab, BMS-936559, M-7824, CX-072) and the like.
  • the CTLA4 inhibitors described in the present application include but are not limited to: Ipilimumab, Tremelimumab, AGEN-1884, AK-104) and the like.
  • the EGFR inhibitors described in the present application include but are not limited to: Cetuximab, Erlotinib, Gefitinib, Lapatinib Ditosylate, Neratinib, Theliatinib, Cyasterone, Osimertinib, Avitinib, Afatinib, Gefitinib, Canertinib, Lapatinib, AG -490, Pelitinib, Dacomitinib, etc.
  • the HER2 inhibitors described in this application include but are not limited to: Poziotinib, Trastuzumab, Pertuzumab, Irbinitinib and the like.
  • the ALK inhibitors described in this application include but are not limited to: Crizotinib, TAE684 (NVP-TAE684), Alectinib, AZD3463, ASP3026, Brigatinib (AP26113), Ensartinib (X-396), Alectinib Wait.
  • the pharmaceutical composition described in the present application may be a tablet, capsule, pill, oral liquid preparation, granule, powder or injection.
  • the pharmaceutical composition described in the present application can be administered by oral, injection, implantation, topical application, spraying or inhalation.
  • the proxanthin of the application its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or Various pharmaceutically acceptable modifications thereof are used as cytotoxic drugs, tumor growth inhibitors, anti-tumor metastasis drugs and/or anti-tumor invasion drugs when used in the treatment of lung cancer.
  • proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts or the
  • proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable salts Hydrates or solvates, or various pharmaceutically acceptable modifications thereof, are in the same preparation unit as the second anti-tumor drug, or proxanthin, its stereoisomers, its solvates, or its pharmaceutical
  • the above-acceptable salt, the hydrate or solvate of the pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof are combined with the second anti-tumor drug in different preparation units.
  • proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts or the
  • proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable salts Hydrates or solvates, or various pharmaceutically acceptable modifications thereof and the second anti-tumor drug can be administered to the individual in need of treatment at the same time or separately; or proxanthin, its stereoisomers, Its solvate, its pharmaceutically acceptable salt, its pharmaceutically acceptable salt hydrate or solvate, or its various pharmaceutically acceptable modifications, and the second antibody is administered after a certain interval of time Tumor drugs; or administer the second antitumor drug first, and then administer proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and the hydration of its pharmaceutically acceptable salts after a certain
  • the pharmaceutically acceptable salts of proxanthin described in this application include salts formed by proxanthin and pharmaceutically acceptable inorganic or organic acids.
  • suitable pharmaceutically acceptable salts include hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, perchloric acid, fumaric acid, acetic acid, propionic acid, succinic acid, glycolic acid, formic acid, lactic acid, maleic acid , Tartaric acid, citric acid, hexanoic acid, malonic acid, hydroxymaleic acid, phenylacetic acid, glutamic acid, benzoic acid, salicylic acid, fumaric acid, toluenesulfonic acid, methanesulfonic acid, naphthalene-2-sulfonic acid , Benzenesulfonic acid, hydroxynaphthoic acid, hydroiodic acid, malic acid, tannic acid and other salts.
  • proflavine sulfate formed by proflavine and sulfuric acid has the English name: Proflavine hemisulfate, CAS number: 1811-28-5, and its molecular structure:
  • the proflavine hydrochloride formed by proflavine and hydrochloric acid has the English name: Proflavine hydrochloride or Proflavine monohydrochloride, CAS number: 952-23-8, and its molecular structure is:
  • the hydrate of the pharmaceutically acceptable salt of proxanthin described in this application refers to the hydrate formed by the pharmaceutically acceptable salt of proxanthin described in this application and water.
  • suitable pharmaceutically acceptable salt hydrates include proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); Proflavine hemisulfate hydrate) or proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); 6-Acridinediamine hydrochloride hydrate(2:2:1); Proflavine hydrochloride hemihydrate; Proflavine monohydrochloride hemihydrate).
  • proxanthin sulfate hydrate is as follows:
  • proxanthin hydrochloride hydrate is as follows:
  • the carrier described in this application includes, but is not limited to: ion exchangers, alumina, aluminum stearate, lecithin, serum proteins such as human albumin, buffer substances such as phosphate, glycerin, sorbic acid, potassium sorbate, saturated Partial glyceride mixture of plant fatty acids, water, salt or electrolyte, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salt, colloidal silica, magnesium trisilicate, polyvinylpyrrolidone, Cellulosic substances, polyethylene glycol, sodium carboxymethyl cellulose, polyacrylate, beeswax, lanolin.
  • ion exchangers alumina, aluminum stearate, lecithin
  • serum proteins such as human albumin
  • buffer substances such as phosphate, glycerin, sorbic acid, potassium sorbate, saturated Partial glyceride mixture of plant fatty acids, water,
  • excipients mentioned in this application refer to additions other than the main drug in the pharmaceutical preparation. It is stable in nature, has no compatibility with the main drug, does not produce side effects, does not affect the curative effect, is not easy to deform, dry, crack, mold, moth, is harmless to the human body, has no physiological effect, and does not produce chemical or physical effects with the main drug It does not affect the content determination of the main drug.
  • binders, fillers, disintegrants, lubricants in tablets; preservatives, antioxidants, flavors, fragrances, cosolvents, emulsifiers, solubilizers, and osmotic pressure regulators in oral liquid preparations , Coloring agents, etc. can all be called excipients, and so on.
  • subject as used in this application includes mammals and humans, preferably humans.
  • an effective amount refers to an amount sufficient to obtain or at least partially obtain the desired effect.
  • a therapeutically effective amount refers to an amount sufficient to cure or at least partially prevent the disease and its complications in patients who have already suffered from the disease. It is completely within the abilities of those skilled in the art to determine such an effective amount.
  • the effective amount for therapeutic use will depend on the severity of the disease to be treated, the overall state of the patient’s own immune system, the patient’s general conditions such as age, weight and sex, the way the drug is administered, and other treatments that are administered simultaneously and many more.
  • Proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable The amount of various modifications or second anti-tumor drugs received depends on the type and severity of the disease or condition and the characteristics of the subject, such as general health, age, sex, weight, and tolerance to the drug It also depends on factors such as the type of preparation and the way the drug is administered, as well as the administration cycle or time interval. Those skilled in the art can determine the appropriate dosage based on these and other factors.
  • proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable can be about 0.0001-1000 mg/kg body weight/day, and the daily dosage can be administered once or in multiples as appropriate.
  • proxanthin provided in this application, such as proxanthin sulfate, has broad-spectrum therapeutic activity on lung cancer.
  • the advantage of proxanthin is that it is easy to accept by patients, and it is cheap and easy to obtain. It is foreseeable that proxanthin will become a clinical drug that can be taken for a long time and can effectively inhibit the metastasis, invasion and recurrence of lung cancer.
  • Figure 1 shows the inhibitory effect of proxanthin sulfate on the proliferation of human lung adenocarcinoma cell lines
  • Figure 2 shows the proliferation inhibitory effect of proxanthin sulfate on human lung squamous cell line
  • Figure 3 shows the inhibitory effect of proxanthin sulfate on the proliferation of human large cell lung cancer cell lines
  • Figure 4 shows the inhibitory effect of proxanthin sulfate on the proliferation of human small cell lung cancer cell lines
  • Figure 5 shows that proxanthin sulfate can inhibit lung cancer cell migration
  • Figure 6 shows that proxanthin sulfate can inhibit the growth of lung cancer cell lines in the SCID mouse model.
  • test materials used and their sources include:
  • Protoxanthin sulfate purchased from MCE; high glucose DMEM medium, RIPM1640 medium, fetal bovine serum FBS (Gibco), CCK-8 kit purchased from Biyuntian Biotechnology Co., Ltd.; Annexin V-FITC cell apoptosis detection reagent
  • the box was purchased from Biyuntian Biotechnology Co., Ltd.; the cell cycle detection kit was purchased from Biyuntian Biotechnology Co., Ltd.; 96-well plates (Nunc brand) were purchased from Thermo Company; SCID mice were purchased from Shanghai Slack Laboratory Animal Co., Ltd.
  • proxanthin sulfate was diluted with a culture medium to a mother liquor with a concentration of 10 mmol/L, and then diluted with a culture medium to use concentrations of different gradients during use.
  • the proxanthin sulfate injection used in Example 3 was prepared using phosphate buffered saline (PBS) with a concentration of 200 ⁇ g/mL.
  • PBS phosphate buffered saline
  • the cell line selected in the following examples is: human lung adenocarcinoma cell line A549 (medium: DMEM high glucose medium plus 10% FBS, purchased from CCL-185); human lung adenocarcinoma cell H1299 (medium: DMEM high glucose medium plus 10% FBS, purchased from CRL-5803); human lung adenocarcinoma cell H358 (medium: DMEM high glucose medium plus 10% FBS, purchased from CRL-5807); human lung squamous cell carcinoma SK-MES-1 (medium: DMEM high glucose medium plus 10% FBS, purchased from HTB-58); human lung squamous cell carcinoma cell Ebc-1 (medium: RIPM1640 plus 10% FBS, purchased from Thermo fisher scientific: 11875101); human lung squamous cell carcinoma cell H520 (medium: DMEM high glucose medium plus 10% FBS, purchased from HTB-182); human lung squamous cell carcinoma cell H2170 (medium: DMEM
  • Example 1 Experiment on the killing effect of proxanthin sulfate on different tumor cells of lung cancer
  • the experimental method is to determine the viability of CCK-8 cells.
  • the CCK-8 reagent contains WST-8 [chemical name: 2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfonic acid) Acid benzene)-2H-tetrazole monosodium salt], it is activated by the dehydrogenase in the cell under the action of the electron carrier 1-methoxy-5-methylphenazinium dimethyl sulfate (1-Methoxy PMS) It is reduced to a highly water-soluble yellow formazan product (Formazan dye). The amount of formazan produced is proportional to the number of living cells. Therefore, this feature can be used to directly analyze cell proliferation and toxicity.
  • the specific experimental procedure is: after the cells are digested with trypsin, they are dispersed into individual cells and suspended in the corresponding DMEM or RIPM1640 medium. The cells were seeded in a 96-well culture plate, 5000 cells/well. Place the cells in a 37°C/carbon dioxide (5%) incubator for 8 hours to allow the cells to adhere to the wall. On the second day, the culture solution was discarded, the cell culture solution of proxanthin sulfate was added (the specific concentration is mentioned in the results of each cell), and a control well without drug added was set.
  • proxanthin sulfate The inhibitory effects of proxanthin sulfate on the proliferation of lung adenocarcinoma cell lines A549, H1299, and H358 are shown in Figure 1.
  • the concentration of proxanthin sulfate used was 5 ⁇ mol/L. It can be seen from Figure 1 that the proliferation inhibitory effect of proxanthin sulfate on the three lung adenocarcinoma cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on lung adenocarcinoma cells.
  • proxanthin sulfate The proliferation inhibitory effects of proxanthin sulfate on the lung squamous cell lines SK-MES-1, Ebc-1, H520, H2170, and H1703 are shown in Figure 2.
  • the concentration of proxanthin sulfate used was 5 ⁇ mol/L. It can be seen from Figure 2 that the proliferation inhibitory effect of proxanthin sulfate on the five lung squamous cell carcinoma cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on lung squamous cell carcinoma cells.
  • proxanthin sulfate The inhibitory effect of proxanthin sulfate on the proliferation of large cell lung cancer cell line H661 is shown in Figure 3.
  • the concentration of proxanthin sulfate used was 5 ⁇ mol/L. It can be seen from Figure 3 that the proliferation inhibitory effect of proxanthin sulfate on large cell lung cancer cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on large cell lung cancer cells.
  • proxanthin sulfate The proliferation inhibitory effect of proxanthin sulfate on small cell lung cancer cell lines H510A, H1417, DMS 114 is shown in Figure 4.
  • the concentration of proxanthin sulfate used was 5 ⁇ mol/L. It can be seen from Fig. 4 that the inhibitory effect of proxanthin sulfate on the proliferation of small cell lung cancer cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on small cell lung cancer cells.
  • the experimental method is a cell scratch test.
  • the cell scratch test is the simplest and most economical in vitro test method for studying cell migration.
  • the principle of this method is that when the cells grow to a monolayer state, a blank area is artificially created on the fused monolayer cells, called “scratches.” The cells on the edge of the scratch will gradually enter the blank area to make the "scratch" heal. The stronger the cell migration ability, the shorter the time to heal the scratch.
  • the specific experimental procedure is as follows: digest the cells with trypsin for 3 minutes, and add culture medium to terminate the digestion reaction. Then mix the cells by pipetting gently, and evenly seed the cells in a six-well plate. The cells were incubated in a 37°C incubator containing 5% CO 2 for 8-24 hours. The number of cells varies from cell to cell, and it should be fully covered overnight. On the next day, use the sterile tip of a 1mL pipette to compare with the straightedge, try to be perpendicular to the straightedge to make the scratch, and the tip should be vertical and not tilted.
  • the most important thing for cell scratches is to draw the line as straight as possible, and the width of the cells in the experimental group and the control group are similar to ensure that the experimental group and the control group are comparable. Wash the cells gently with PBS 3 times to remove the marked cells. The experimental group was added with different concentrations of proxanthin sulfate serum-free culture solution, and the control group was added with the same volume of serum-free culture solution. Put it into a 37°C/5% CO 2 incubator and cultivate. Sampling and taking pictures at 0, 12, and 24 hours. The direction of the "scratch" when taking pictures is best horizontal or vertical in the field of view.
  • the lung cancer cell line A549 can significantly inhibit the migration ability of tumor cells after being treated with cell culture solutions of different concentrations of proxanthin sulfate.
  • the results are shown in Figure 5.
  • the drug concentration of proxanthin sulfate is 1 ⁇ mol/L, 2.5 ⁇ mol/L, 5 ⁇ mol/L. It can be seen from Figure 5 that compared to the control group, when the concentration of proxanthin sulfate is as low as 1 ⁇ mol/L, proxanthin sulfate can still significantly inhibit tumor cell migration.
  • mice 6-8 week old female C.B17SCID mice, which are from Shanghai Slack Experimental Animal Co., Ltd.; according to the protocol approved by the Experimental Animal Center of Xiamen University and the Ethics Committee, the mice were under SPF conditions Rearing.
  • the tumor cells used for subcutaneous tumor formation in SCID mice were digested with 0.01% trypsin, and then resuspended into single cells in a cell culture medium containing 10% fetal bovine serum Suspension; count the cell density of the suspension, centrifuge at 1000g for 3min to pellet the cells, and then resuspend the cells with an appropriate volume of PBS to reach about 10 6 -10 7 cells/100 ⁇ L PBS; follow 10 6 -10 7 cells/ 100 ⁇ L PBS/point was used to inoculate tumor cells subcutaneously on the back of SCID mice with a syringe.
  • tumor-bearing SCID mice were randomly divided into sulfuric acid Proxanthin treatment group and negative control group, 4 mice in each group, mice in the proflavin sulfate treatment group were injected intraperitoneally with proflavin sulfate injection at a dose of 20 mg/kg, and the negative control group was injected with the same volume without
  • the PBS solution of proxanthin sulfate was injected once every two days for a total of 5 injections.
  • Use vernier calipers to measure and record tumor size changes every two days. The calculation method of tumor size is:
  • Tumor size (mm 3 ) tumor length value x (tumor width value) 2 /2.
  • proxanthin sulfate as a therapeutic drug for lung cancer.
  • the proxanthin sulfate of the present application has incomparable advantages over other drugs, and it has good safety, low price, and easy access.
  • proxanthin sulfate will become a clinical drug that can be taken for a long time and can effectively inhibit tumor metastasis, invasion and recurrence due to its good safety and effectiveness.

Abstract

Disclosed is the use of proflavine, a stereoisomer thereof, a solvate thereof, a pharmaceutically acceptable salt thereof, a hydrate or solvate of the pharmaceutically acceptable salt thereof, or pharmaceutically acceptable modifiers thereof in the preparation of a drug for treating lung cancers. Proflavine can inhibit the proliferation and metastasis of lung cancer cells by means of various mechanisms such as the inhibition of tumor cell proliferation and the inhibition of tumor metastasis, thereby achieving the effect of inhibiting tumor growth or removing tumors.

Description

原黄素在肺癌治疗中的应用Application of Proxanthin in the Treatment of Lung Cancer
本申请是以CN申请号为201910728472.1,申请日为2019年8月8日的申请为基础,并主张其优先权,该CN申请的公开内容在此作为整体引入本申请中。This application is based on the application with the CN application number 201910728472.1 and the filing date on August 8, 2019, and claims its priority. The disclosure of the CN application is hereby incorporated into this application as a whole.
技术领域Technical field
本申请涉及药物化学领域,具体而言,涉及原黄素在肺癌治疗中的应用。This application relates to the field of medicinal chemistry, specifically to the application of proxanthin in the treatment of lung cancer.
背景技术Background technique
癌症严重危害全球人类的健康,根据美国癌症学会官方期刊《临床医师癌症杂志》发表的“2018年全球癌症统计数据”报告显示预计2018年全球大约有1810万癌症新发病例和960晚癌症死亡病例,其中肺癌是全球第一大癌症,发病率(11.6%)与死亡率(18.4%)均处于首位。肺癌因其诱因与发病机制复杂,肿瘤细胞具有高度的复杂性与异质性。目前临床上肺癌主要分为两大类型,非小细胞肺癌与小细胞肺癌,非小细胞肺癌又可以分为肺鳞癌,肺腺癌,大细胞肺癌。针对肺癌的治疗性药物具有十分重要的前景,同时又将面临巨大的挑战。Cancer is a serious hazard to human health around the world. According to the "2018 Global Cancer Statistics" report published by the official journal of the American Cancer Society "Clinician Cancer Journal", it is estimated that there will be approximately 18.1 million new cancer cases and 960 late cancer deaths worldwide in 2018 Among them, lung cancer is the world's largest cancer, with morbidity (11.6%) and mortality (18.4%) in the first place. Lung cancer has complex causes and pathogenesis, and tumor cells are highly complex and heterogeneous. Currently, lung cancer is divided into two major types in clinical practice, non-small cell lung cancer and small cell lung cancer. Non-small cell lung cancer can be divided into lung squamous cell carcinoma, lung adenocarcinoma, and large cell lung cancer. Therapeutic drugs for lung cancer have very important prospects, but they will also face huge challenges.
目前,针对的肺癌的治疗性药物价格昂贵,病人往往难以承受,甚至有些病人因为不能承受昂贵的价格而放弃了治疗机会。因此开发价格低廉治疗效果好的小分子化药具有十分重要的意义。At present, therapeutic drugs for lung cancer are expensive, and patients are often unbearable. Some patients even give up treatment opportunities because they cannot afford the high prices. Therefore, it is of great significance to develop low-cost small-molecule chemicals with good therapeutic effects.
原黄素(Proflavine),其化学名称为3,6-二氨基吖啶,别名前黄素,普鲁黄素,普鲁黄,CAS号:92-62-6,结构式如下:Proflavine, its chemical name is 3,6-diaminoacridine, also known as Proflavine, Proflavine, Proflavine, CAS number: 92-62-6, and the structural formula is as follows:
Figure PCTCN2020107683-appb-000001
Figure PCTCN2020107683-appb-000001
原黄素可作为消毒剂、抑菌剂,也用于治疗皮肤丘疹、创伤和各种炎症,用于皮肤、伤口消毒。原黄素与抗结核药合用,具增效作用。Proxanthin can be used as a disinfectant, bacteriostatic agent, also used to treat skin pimples, wounds and various inflammations, and used to disinfect skin and wounds. Proxanthin is used in combination with anti-tuberculosis drugs, which has a synergistic effect.
到目前为止,原黄素在肺癌中的广谱治疗效果还尚未报道。So far, the broad-spectrum therapeutic effect of proxanthin in lung cancer has not been reported.
申请内容Application content
本申请的发明人意外地发现小分子化合物硫酸原黄素对肺癌具有广谱的治疗活性。The inventor of the present application unexpectedly discovered that the small molecule compound proxanthin sulfate has broad-spectrum therapeutic activity on lung cancer.
本申请涉及原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物在制备用于治疗肺癌的药物中的用途。This application relates to proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or its pharmaceutically acceptable various Of the modified substance in the preparation of a medicine for treating lung cancer.
本申请还涉及药物组合物在制备用于治疗肺癌的药物中的用途,其中所述药物组合物 含有原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,以及药学上可接受的载体或赋形剂。The application also relates to the use of a pharmaceutical composition in the preparation of a medicine for treating lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and A hydrate or solvate of a pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof, and a pharmaceutically acceptable carrier or excipient.
本申请还涉及原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物联合用于制备用于治疗肺癌的药物的用途。This application also relates to proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable Various modifications are used in combination with the second anti-tumor drug to prepare drugs for treating lung cancer.
本申请还涉及原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,其用于治疗肺癌。This application also relates to proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable Various modifications, which are used to treat lung cancer.
本申请还涉及药物组合物,其用于治疗肺癌,其中所述药物组合物含有原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,以及药学上可接受的载体或赋形剂。This application also relates to a pharmaceutical composition for the treatment of lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable Salt hydrates or solvates, or various pharmaceutically acceptable modifications thereof, and pharmaceutically acceptable carriers or excipients.
本申请还涉及包含原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物的联合产品,其用于治疗肺癌。The application also relates to a hydrate or solvate containing proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, its pharmaceutically acceptable salts, or its pharmaceutically acceptable A combination product of the various modifications of and the second anti-tumor drug, which is used to treat lung cancer.
本申请还涉及一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物。This application also relates to a method for treating lung cancer, which comprises: administering to a subject in need a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, A hydrate or solvate of its pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof.
本申请还涉及另一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的本申请所述的药物组合物。This application also relates to another method for treating lung cancer, which comprises: administering a therapeutically effective amount of the pharmaceutical composition described in this application to a subject in need thereof.
本申请还涉及另一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,和治疗有销量的第二抗肿瘤药物。This application also relates to another method for treating lung cancer, which comprises: administering a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, and its pharmaceutically acceptable salts to a subject in need , The hydrate or solvate of its pharmaceutically acceptable salt, or its various pharmaceutically acceptable modifications, and the second anti-tumor drug with therapeutic sales.
根据本申请的某些实施方案,本申请所述的肺癌选自:肺鳞癌,肺腺癌,大细胞肺癌,小细胞肺癌或者它们的任意组合。According to certain embodiments of the present application, the lung cancer described in the present application is selected from: lung squamous cell carcinoma, lung adenocarcinoma, large cell lung cancer, small cell lung cancer, or any combination thereof.
根据本申请的某些实施方案,本申请所述的药物组合物中还含有第二抗肿瘤药物。According to certain embodiments of the present application, the pharmaceutical composition described in the present application further contains a second anti-tumor drug.
根据本申请的某些实施方案,本申请所述的药学上可接受的盐为硫酸原黄素(Proflavine hemisulfate)或原黄素盐酸盐(3,6-Acridinediamine hydrochloride;Proflavine hydrochloride;Proflavine monohydrochloride),According to certain embodiments of the present application, the pharmaceutically acceptable salt described in the present application is Proflavine hemisulfate or 3,6-Acridinediamine hydrochloride (Proflavine hydrochloride; Proflavine monohydrochloride) ,
根据本申请的某些实施方案,本申请所述药学上可接受的盐的水合物为硫酸原黄素水合物(3,6-Acridinediamine sulfate hydrate(2:1:1);Proflavine hemisulfate hydrate)或原黄素盐酸盐水合物(3,6-Acridinediamine hydrochloride hydrate(2:2:1);Proflavine hydrochloride hemihydrate;Proflavine monohydrochloride hemihydrate)。According to certain embodiments of the application, the hydrate of the pharmaceutically acceptable salt described in the application is proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); Proflavine hemisulfate hydrate) or Proflavine hydrochloride hemihydrate (3,6-Acridinediamine hydrochloride hydrate (2:2:1); Proflavine hydrochloride hemihydrate; Proflavine monohydrochloride hemihydrate).
根据本申请的某些实施方案,本申请所述的第二抗肿瘤药物为免疫检验点抑制剂,传 统化疗药物,或小分子抑制剂。According to some embodiments of the present application, the second anti-tumor drug described in the present application is an immune checkpoint inhibitor, a traditional chemotherapeutic drug, or a small molecule inhibitor.
根据本申请的某些实施方案,本申请所述的免疫检验点抑制剂包括但不限于:PD-1抑制剂、PD-L1抑制剂、CTLA-4抑制剂等。According to certain embodiments of the present application, the immune checkpoint inhibitors described in the present application include but are not limited to: PD-1 inhibitors, PD-L1 inhibitors, CTLA-4 inhibitors, and the like.
根据本申请的某些实施方案,本申请所述的传统化疗药物包括但不限于:紫杉醇、顺铂、5-氟尿嘧啶等。According to certain embodiments of the present application, the traditional chemotherapeutic drugs described in the present application include but are not limited to: paclitaxel, cisplatin, 5-fluorouracil and the like.
根据本申请的某些实施方案,本申请所述的小分子抑制剂包括但不限于EGFR抑制剂、HER2抑制剂、ALK抑制剂等。According to certain embodiments of the present application, the small molecule inhibitors described in the present application include but are not limited to EGFR inhibitors, HER2 inhibitors, ALK inhibitors and the like.
根据本申请的某些实施方案,本申请所述的PD-1抑制剂包括但不限于:Nivolumab、Pembrolizumab、IBI-308、Camrelizumab(SHR-1210)、Tislelizumab、Cemiplimab、BCD-100、TSR-042、PDR-001、JNJ-63723283)等。According to certain embodiments of the application, the PD-1 inhibitors described in the application include but are not limited to: Nivolumab, Pembrolizumab, IBI-308, Camrelizumab (SHR-1210), Tislelizumab, Cemiplimab, BCD-100, TSR-042 , PDR-001, JNJ-63723283) etc.
根据本申请的某些实施方案,本申请所述的PD-L1抑制剂包括但不限于:Atezolizumab、Avelumab、Durvalumab、BMS-936559、M-7824、CX-072)等。According to certain embodiments of the present application, the PD-L1 inhibitors described in the present application include but are not limited to: Atezolizumab, Avelumab, Durvalumab, BMS-936559, M-7824, CX-072) and the like.
根据本申请的某些实施方案,本申请所述的CTLA4抑制剂包括但不限于:伊匹木单抗(Ipilimumab)、Tremelimumab、AGEN-1884、AK-104)等。According to certain embodiments of the present application, the CTLA4 inhibitors described in the present application include but are not limited to: Ipilimumab, Tremelimumab, AGEN-1884, AK-104) and the like.
根据本申请的某些实施方案,本申请所述的EGFR抑制剂包括但不限于:Cetuximab、Erlotinib、Gefitinib、Lapatinib Ditosylate、Neratinib、Theliatinib、Cyasterone、Osimertinib、Avitinib、Afatinib、Gefitinib、Canertinib、Lapatinib、AG-490、Pelitinib、Dacomitinib等。According to certain embodiments of the present application, the EGFR inhibitors described in the present application include but are not limited to: Cetuximab, Erlotinib, Gefitinib, Lapatinib Ditosylate, Neratinib, Theliatinib, Cyasterone, Osimertinib, Avitinib, Afatinib, Gefitinib, Canertinib, Lapatinib, AG -490, Pelitinib, Dacomitinib, etc.
根据本申请的某些实施方案,本申请所述的HER2抑制剂包括但不限于:Poziotinib、Trastuzumab、Pertuzumab、Irbinitinib等。According to certain embodiments of this application, the HER2 inhibitors described in this application include but are not limited to: Poziotinib, Trastuzumab, Pertuzumab, Irbinitinib and the like.
根据本申请的某些实施方案,本申请所述的ALK抑制剂包括但不限于:Crizotinib、TAE684(NVP-TAE684)、Alectinib、AZD3463、ASP3026、Brigatinib(AP26113)、Ensartinib(X-396)、Alectinib等。According to certain embodiments of this application, the ALK inhibitors described in this application include but are not limited to: Crizotinib, TAE684 (NVP-TAE684), Alectinib, AZD3463, ASP3026, Brigatinib (AP26113), Ensartinib (X-396), Alectinib Wait.
根据本申请的某些实施方案,本申请所述药物组合物可以是片剂、胶囊剂、丸剂、口服液体制剂、颗粒剂、散剂或注射剂。According to certain embodiments of the present application, the pharmaceutical composition described in the present application may be a tablet, capsule, pill, oral liquid preparation, granule, powder or injection.
根据本申请的某些实施方案,本申请所述药物组合物可通过口服、注射、植入、外用、喷雾或吸入的方式给药。According to certain embodiments of the present application, the pharmaceutical composition described in the present application can be administered by oral, injection, implantation, topical application, spraying or inhalation.
根据本申请的某些实施方案,本申请原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物在用于治疗肺癌时,作为细胞毒性药物、肿瘤生长抑制剂、抗肿瘤转移药物和/或抗肿瘤侵袭药物。According to certain embodiments of the application, the proxanthin of the application, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or Various pharmaceutically acceptable modifications thereof are used as cytotoxic drugs, tumor growth inhibitors, anti-tumor metastasis drugs and/or anti-tumor invasion drugs when used in the treatment of lung cancer.
根据本申请的某些实施方案,原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第 二抗肿瘤药物联合应用时,原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物在同一种制剂单元中,或者原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物联合分别在不同的制剂单元中。According to certain embodiments of the present application, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or the When various pharmaceutically acceptable modifications are used in combination with the second anti-tumor drug, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable salts Hydrates or solvates, or various pharmaceutically acceptable modifications thereof, are in the same preparation unit as the second anti-tumor drug, or proxanthin, its stereoisomers, its solvates, or its pharmaceutical The above-acceptable salt, the hydrate or solvate of the pharmaceutically acceptable salt, or various pharmaceutically acceptable modifications thereof are combined with the second anti-tumor drug in different preparation units.
根据本申请的某些实施方案,原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物联合应用时,原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物可以同时或分开施用到需要治疗的个体中;或者先施用原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,间隔一定时间后再施用第二抗肿瘤药物;或者先施用第二抗肿瘤药物,间隔一定时间后再施用原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物。According to certain embodiments of the present application, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or the When various pharmaceutically acceptable modifications are used in combination with the second anti-tumor drug, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable salts Hydrates or solvates, or various pharmaceutically acceptable modifications thereof and the second anti-tumor drug can be administered to the individual in need of treatment at the same time or separately; or proxanthin, its stereoisomers, Its solvate, its pharmaceutically acceptable salt, its pharmaceutically acceptable salt hydrate or solvate, or its various pharmaceutically acceptable modifications, and the second antibody is administered after a certain interval of time Tumor drugs; or administer the second antitumor drug first, and then administer proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and the hydration of its pharmaceutically acceptable salts after a certain interval Or solvates, or various pharmaceutically acceptable modifications thereof.
本申请所述的原黄素的药学上可接受的盐包括原黄素与药学上可接受的无机酸或有机酸形成的盐。合适的药学上可接受的盐的例子包括与盐酸、氢溴酸、硫酸、磷酸、硝酸、高氯酸、富马酸、乙酸、丙酸、琥珀酸、羟基乙酸、甲酸、乳酸、马来酸、酒石酸、柠檬酸、扑酸、丙二酸、羟基马来酸、苯乙酸、谷氨酸、苯甲酸、水杨酸、富马酸、甲苯磺酸、甲磺酸、萘-2-磺酸、苯磺酸、羟基萘甲酸、氢碘酸、苹果酸、鞣酸等形成的盐。The pharmaceutically acceptable salts of proxanthin described in this application include salts formed by proxanthin and pharmaceutically acceptable inorganic or organic acids. Examples of suitable pharmaceutically acceptable salts include hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, perchloric acid, fumaric acid, acetic acid, propionic acid, succinic acid, glycolic acid, formic acid, lactic acid, maleic acid , Tartaric acid, citric acid, hexanoic acid, malonic acid, hydroxymaleic acid, phenylacetic acid, glutamic acid, benzoic acid, salicylic acid, fumaric acid, toluenesulfonic acid, methanesulfonic acid, naphthalene-2-sulfonic acid , Benzenesulfonic acid, hydroxynaphthoic acid, hydroiodic acid, malic acid, tannic acid and other salts.
例如原黄素与硫酸形成的硫酸原黄素,英文名称为:Proflavine hemisulfate,CAS号为:1811-28-5,其分子结构为:For example, proflavine sulfate formed by proflavine and sulfuric acid has the English name: Proflavine hemisulfate, CAS number: 1811-28-5, and its molecular structure:
Figure PCTCN2020107683-appb-000002
Figure PCTCN2020107683-appb-000002
例如原黄素与盐酸形成的原黄素盐酸盐,其英文名称为:Proflavine hydrochloride或Proflavine monohydrochloride,CAS号为:952-23-8,其分子结构为:For example, the proflavine hydrochloride formed by proflavine and hydrochloric acid has the English name: Proflavine hydrochloride or Proflavine monohydrochloride, CAS number: 952-23-8, and its molecular structure is:
Figure PCTCN2020107683-appb-000003
Figure PCTCN2020107683-appb-000003
本申请所述的原黄素的药学上可接受的盐的水合物是指本申请所述的原黄素的药学上可接受的盐与水形成的水合物。合适的药学上可接受的盐的水合物例子包括硫酸原黄素水合物(3,6-Acridinediamine sulfate hydrate(2:1:1);Proflavine hemisulfate hydrate)或原黄素盐酸盐水合物(3,6-Acridinediamine hydrochloride hydrate(2:2:1);Proflavine hydrochloride hemihydrate;Proflavine monohydrochloride hemihydrate)。The hydrate of the pharmaceutically acceptable salt of proxanthin described in this application refers to the hydrate formed by the pharmaceutically acceptable salt of proxanthin described in this application and water. Examples of suitable pharmaceutically acceptable salt hydrates include proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); Proflavine hemisulfate hydrate) or proflavine hemisulfate hydrate (3,6-Acridinediamine sulfate hydrate (2:1:1); 6-Acridinediamine hydrochloride hydrate(2:2:1); Proflavine hydrochloride hemihydrate; Proflavine monohydrochloride hemihydrate).
例如,硫酸原黄素水合物的结构式如下:For example, the structural formula of proxanthin sulfate hydrate is as follows:
Figure PCTCN2020107683-appb-000004
Figure PCTCN2020107683-appb-000004
例如,原黄素盐酸盐水合物的结构式如下:For example, the structural formula of proxanthin hydrochloride hydrate is as follows:
Figure PCTCN2020107683-appb-000005
Figure PCTCN2020107683-appb-000005
本申请所述的载体包括但不限于:离子交换剂,氧化铝,硬脂酸铝,卵磷脂,血清蛋白如人血白蛋白,缓冲物质如磷酸盐,甘油,山梨酸,山梨酸钾,饱和植物脂肪酸的部分甘油酯混合物,水,盐或电解质,如硫酸鱼精蛋白,磷酸氢二钠,磷酸氢钾,氯化钠,锌盐,胶态氧化硅,三硅酸镁,聚乙烯吡咯烷酮,纤维素物质,聚乙二醇,羧甲基纤维素钠,聚丙烯酸酯,蜂蜡,羊毛脂。The carrier described in this application includes, but is not limited to: ion exchangers, alumina, aluminum stearate, lecithin, serum proteins such as human albumin, buffer substances such as phosphate, glycerin, sorbic acid, potassium sorbate, saturated Partial glyceride mixture of plant fatty acids, water, salt or electrolyte, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salt, colloidal silica, magnesium trisilicate, polyvinylpyrrolidone, Cellulosic substances, polyethylene glycol, sodium carboxymethyl cellulose, polyacrylate, beeswax, lanolin.
本申请所述赋形剂是指在药物制剂中除主药以外的附加物。其性质稳定,与主药无配伍禁忌,不产生副作用,不影响疗效,在常温下不易变形、干裂、霉变、虫蛀、对人体无害、无生理作用,不与主药产生化学或物理作用,不影响主药的含量测定等。如片剂中的黏合剂、填充剂、崩解剂、润滑剂;口服液体制剂中的防腐剂、抗氧剂、矫味剂、芳香剂、 助溶剂、乳化剂、增溶剂、渗透压调节剂、着色剂等均可称为赋形剂,等等。The excipients mentioned in this application refer to additions other than the main drug in the pharmaceutical preparation. It is stable in nature, has no compatibility with the main drug, does not produce side effects, does not affect the curative effect, is not easy to deform, dry, crack, mold, moth, is harmless to the human body, has no physiological effect, and does not produce chemical or physical effects with the main drug It does not affect the content determination of the main drug. Such as binders, fillers, disintegrants, lubricants in tablets; preservatives, antioxidants, flavors, fragrances, cosolvents, emulsifiers, solubilizers, and osmotic pressure regulators in oral liquid preparations , Coloring agents, etc. can all be called excipients, and so on.
本申请中使用的术语“受试者”包括哺乳动物和人,优选为人。The term "subject" as used in this application includes mammals and humans, preferably humans.
本申请中所使用的术语“有效量”是指,足以获得或至少部分获得期望的效果的量。例如,治疗有效量是指,足以治愈或至少部分阻止已患有疾病的患者的疾病和其并发症的量。测定这样的有效量完全在本领域技术人员的能力范围之内。例如,对于治疗用途有效的量将取决于待治疗的疾病的严重度,患者自己的免疫系统的总体状态,患者的一般情况例如年龄、体重和性别,药物的施用方式,以及同时施用的其他治疗等等。The term "effective amount" used in this application refers to an amount sufficient to obtain or at least partially obtain the desired effect. For example, a therapeutically effective amount refers to an amount sufficient to cure or at least partially prevent the disease and its complications in patients who have already suffered from the disease. It is completely within the abilities of those skilled in the art to determine such an effective amount. For example, the effective amount for therapeutic use will depend on the severity of the disease to be treated, the overall state of the patient’s own immune system, the patient’s general conditions such as age, weight and sex, the way the drug is administered, and other treatments that are administered simultaneously and many more.
对受试者给予的原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物或第二抗肿瘤药物的量取决于所述疾病或病况的类型和严重程度以及受试者的特征,如一般健康状况、年龄、性别、体重和对药物的耐受度,还取决于制剂的类型和药物的给药方式,以及给药周期或时间间隔等因素。本领域技术人员能够根据这些因素和其它因素来确定适当的剂量。一般而言,原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物或第二抗肿瘤药物用于治疗日剂量可为大约0.0001~1000mg/kg体重/天,该日剂量可以视情况一次或分多次给予。Proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable The amount of various modifications or second anti-tumor drugs received depends on the type and severity of the disease or condition and the characteristics of the subject, such as general health, age, sex, weight, and tolerance to the drug It also depends on factors such as the type of preparation and the way the drug is administered, as well as the administration cycle or time interval. Those skilled in the art can determine the appropriate dosage based on these and other factors. Generally speaking, proxanthin, its stereoisomer, its solvate, its pharmaceutically acceptable salt, the hydrate or solvate of its pharmaceutically acceptable salt, or its pharmaceutically acceptable The daily dosage of various modifications or second anti-tumor drugs for treatment can be about 0.0001-1000 mg/kg body weight/day, and the daily dosage can be administered once or in multiples as appropriate.
本申请的有益技术效果The beneficial technical effects of this application
本申请提供的抗肿瘤药物原黄素,例如硫酸原黄素,对肺癌具有广谱的治疗活性。原黄素的优势在于患者易于接受,并且价格低廉、容易获取。可以预见原黄素将会成为一种可长期服用,且有效抑制肺癌转移、侵袭和复发的临床药物。The antitumor drug proxanthin provided in this application, such as proxanthin sulfate, has broad-spectrum therapeutic activity on lung cancer. The advantage of proxanthin is that it is easy to accept by patients, and it is cheap and easy to obtain. It is foreseeable that proxanthin will become a clinical drug that can be taken for a long time and can effectively inhibit the metastasis, invasion and recurrence of lung cancer.
附图说明Description of the drawings
图1显示出了硫酸原黄素对人肺腺癌细胞系的增殖抑制作用;Figure 1 shows the inhibitory effect of proxanthin sulfate on the proliferation of human lung adenocarcinoma cell lines;
图2显示出了硫酸原黄素对人肺鳞癌细胞系的增殖抑制作用;Figure 2 shows the proliferation inhibitory effect of proxanthin sulfate on human lung squamous cell line;
图3显示出了硫酸原黄素对人大细胞肺癌细胞系的增殖抑制作用;Figure 3 shows the inhibitory effect of proxanthin sulfate on the proliferation of human large cell lung cancer cell lines;
图4显示出了硫酸原黄素对人小细胞肺癌细胞系的增殖抑制作用;Figure 4 shows the inhibitory effect of proxanthin sulfate on the proliferation of human small cell lung cancer cell lines;
图5显示硫酸原黄素可以抑制肺癌细胞迁移;Figure 5 shows that proxanthin sulfate can inhibit lung cancer cell migration;
图6显示硫酸原黄素可抑制肺癌细胞系在SCID小鼠模型中生长。Figure 6 shows that proxanthin sulfate can inhibit the growth of lung cancer cell lines in the SCID mouse model.
具体实施方式detailed description
下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员所获得的所有其他实施例,都属于本申请保护的范 围。The technical solutions in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are only a part of the embodiments of the present application, rather than all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by a person of ordinary skill in the art fall within the protection scope of this application.
下述实施例中,所用的试验材料及其来源包括:In the following examples, the test materials used and their sources include:
硫酸原黄素,购自MCE;高糖DMEM培养基,RIPM1640培养基,胎牛血清FBS(Gibco),CCK-8试剂盒购自碧云天生物技术有限公司;Annexin V-FITC细胞凋亡检测试剂盒购自碧云天生物技术有限公司;细胞周期检测试剂盒购自碧云天生物技术有限公司;96孔板(Nunc品牌)购自Thermo公司;SCID小鼠购自上海斯莱克实验动物有限公司。Protoxanthin sulfate, purchased from MCE; high glucose DMEM medium, RIPM1640 medium, fetal bovine serum FBS (Gibco), CCK-8 kit purchased from Biyuntian Biotechnology Co., Ltd.; Annexin V-FITC cell apoptosis detection reagent The box was purchased from Biyuntian Biotechnology Co., Ltd.; the cell cycle detection kit was purchased from Biyuntian Biotechnology Co., Ltd.; 96-well plates (Nunc brand) were purchased from Thermo Company; SCID mice were purchased from Shanghai Slack Laboratory Animal Co., Ltd.
下述实施例1-2中,将硫酸原黄素用培养基稀释成浓度为10mmol/L的母液,使用时再用培养基稀释成不同梯度的使用浓度。实施例3中用到的硫酸原黄素注射液使用磷酸盐缓冲液(PBS)配制而成,浓度为200μg/mL。In the following Examples 1-2, proxanthin sulfate was diluted with a culture medium to a mother liquor with a concentration of 10 mmol/L, and then diluted with a culture medium to use concentrations of different gradients during use. The proxanthin sulfate injection used in Example 3 was prepared using phosphate buffered saline (PBS) with a concentration of 200 μg/mL.
下述实施例中选用的细胞系为:人肺腺癌细胞A549(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000006
CCL-185);人肺腺癌细胞H1299(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000007
CRL-5803);人肺腺癌细胞H358(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000008
CRL-5807);人肺鳞癌细胞SK-MES-1(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000009
HTB-58);人肺鳞癌细胞Ebc-1(培养基为:RIPM1640加10%FBS,购自Thermo fisher scientific:11875101);人肺鳞癌细胞H520(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000010
HTB-182);人肺鳞癌细胞H2170(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000011
CRL-5928);人肺鳞癌细胞H1703(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000012
CRL-5889);人大细胞肺癌细胞H661(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000013
HTB-183);人小细胞肺癌细胞H510A(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000014
HTB-184);人小细胞肺癌细胞H1417(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000015
CRL-5869);人小细胞肺癌细胞DMS 114(培养基为:DMEM高糖培养基加10%FBS,购自
Figure PCTCN2020107683-appb-000016
CRL-2066)。
The cell line selected in the following examples is: human lung adenocarcinoma cell line A549 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000006
CCL-185); human lung adenocarcinoma cell H1299 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000007
CRL-5803); human lung adenocarcinoma cell H358 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000008
CRL-5807); human lung squamous cell carcinoma SK-MES-1 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000009
HTB-58); human lung squamous cell carcinoma cell Ebc-1 (medium: RIPM1640 plus 10% FBS, purchased from Thermo fisher scientific: 11875101); human lung squamous cell carcinoma cell H520 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000010
HTB-182); human lung squamous cell carcinoma cell H2170 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000011
CRL-5928); human lung squamous cell carcinoma cell H1703 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000012
CRL-5889); human large cell lung cancer cell H661 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000013
HTB-183); human small cell lung cancer cell H510A (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000014
HTB-184); human small cell lung cancer cell H1417 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000015
CRL-5869); human small cell lung cancer cell DMS 114 (medium: DMEM high glucose medium plus 10% FBS, purchased from
Figure PCTCN2020107683-appb-000016
CRL-2066).
实施例1 硫酸原黄素对肺癌不同肿瘤细胞杀伤作用实验Example 1 Experiment on the killing effect of proxanthin sulfate on different tumor cells of lung cancer
实验方法为测定CCK-8细胞活力。CCK-8试剂中含有WST-8【化学名:2-(2-甲氧基-4-硝基苯基)-3-(4-硝基苯基)-5-(2,4-二磺酸苯)-2H-四唑单钠盐】,它在电子载体1-甲氧基-5-甲基吩嗪鎓硫酸二甲酯(1-Methoxy PMS)的作用下被细胞中的脱氢酶还原为具有高度水溶性的黄色甲瓒产物(Formazan dye)。生成的甲瓒物的数量与活细胞的数量成正比。因此可利用这一特性直接进行细胞增殖和毒性分析。The experimental method is to determine the viability of CCK-8 cells. The CCK-8 reagent contains WST-8 [chemical name: 2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfonic acid) Acid benzene)-2H-tetrazole monosodium salt], it is activated by the dehydrogenase in the cell under the action of the electron carrier 1-methoxy-5-methylphenazinium dimethyl sulfate (1-Methoxy PMS) It is reduced to a highly water-soluble yellow formazan product (Formazan dye). The amount of formazan produced is proportional to the number of living cells. Therefore, this feature can be used to directly analyze cell proliferation and toxicity.
具体实验步骤为:细胞经胰蛋白酶消化后,分散成单个细胞,并使其悬浮在相应的DMEM或RIPM1640培养基中。将细胞接种于96孔培养板中,5000cells/孔。置于37摄氏度/二氧化碳(5%)培养箱中培养8小时,使细胞贴壁。第二天,弃去培养液,加入硫酸原黄素的细胞培养液(具体浓度在每种细胞结果中述及),并设置不加药物的对照孔。置于37 摄氏度/二氧化碳(5%)培养箱培养48小时后,吸去上清,每孔加入100μL无血清DMEM培养基与10μL CCK-8检测试剂的混合液,37摄氏度/二氧化碳(5%)孵育2-4h。用酶标仪(Multiscan FC,Thermo公司产品)测定450nm/620nm处的吸光度,按下式计算细胞存活率。The specific experimental procedure is: after the cells are digested with trypsin, they are dispersed into individual cells and suspended in the corresponding DMEM or RIPM1640 medium. The cells were seeded in a 96-well culture plate, 5000 cells/well. Place the cells in a 37°C/carbon dioxide (5%) incubator for 8 hours to allow the cells to adhere to the wall. On the second day, the culture solution was discarded, the cell culture solution of proxanthin sulfate was added (the specific concentration is mentioned in the results of each cell), and a control well without drug added was set. Place in a 37°C/carbon dioxide (5%) incubator for 48 hours, aspirate the supernatant, add 100μL of serum-free DMEM medium and 10μL of CCK-8 detection reagent to each well, 37°C/carbon dioxide (5%) Incubate for 2-4h. Measure the absorbance at 450nm/620nm with a microplate reader (Multiscan FC, product of Thermo), and calculate the cell survival rate by the following formula.
细胞存活率=(实验组OD/对照组OD)*100%Cell survival rate = (experimental group OD/control group OD)*100%
实验结果1 硫酸原黄素对肺腺癌细胞系的增殖抑制作用 Experimental results 1 Proxanthin sulfate inhibits proliferation of lung adenocarcinoma cell lines
硫酸原黄素对肺腺癌细胞系A549,H1299,H358的增殖抑制作用如图1所示。所用的硫酸原黄素的浓度为5μmol/L。从图1中可以看出硫酸原黄素对三株肺腺癌细胞增殖抑制的效果均能达到90%以上,证实硫酸原黄素对肺腺癌细胞具有很好的增殖抑制效果。The inhibitory effects of proxanthin sulfate on the proliferation of lung adenocarcinoma cell lines A549, H1299, and H358 are shown in Figure 1. The concentration of proxanthin sulfate used was 5 μmol/L. It can be seen from Figure 1 that the proliferation inhibitory effect of proxanthin sulfate on the three lung adenocarcinoma cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on lung adenocarcinoma cells.
实验结果2 硫酸原黄素对肺鳞癌细胞系的增殖抑制作用 Experimental results 2 Proliferation inhibitory effect of proxanthin sulfate on lung squamous cell carcinoma cell lines
硫酸原黄素对肺鳞癌细胞系SK-MES-1,Ebc-1,H520,H2170,H1703的增殖抑制作用如图2所示。所用的硫酸原黄素的浓度为5μmol/L。从图2中可以看出硫酸原黄素对五株肺鳞癌细胞增殖抑制的效果均能达到90%以上,证实硫酸原黄素对肺鳞癌细胞具有很好的增殖抑制效果。The proliferation inhibitory effects of proxanthin sulfate on the lung squamous cell lines SK-MES-1, Ebc-1, H520, H2170, and H1703 are shown in Figure 2. The concentration of proxanthin sulfate used was 5 μmol/L. It can be seen from Figure 2 that the proliferation inhibitory effect of proxanthin sulfate on the five lung squamous cell carcinoma cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on lung squamous cell carcinoma cells.
实验结果3 硫酸原黄素对大细胞肺癌细胞系的增殖抑制作用Experimental Result 3 The inhibitory effect of proxanthin sulfate on the proliferation of large cell lung cancer cell lines
硫酸原黄素对大细胞肺癌细胞系H661的增殖抑制作用如图3所示。所用的硫酸原黄素的浓度为5μmol/L。从图3中可以看出硫酸原黄素对大细胞肺癌细胞增殖抑制的效果能达到90%以上,证实硫酸原黄素对大细胞肺癌细胞具有很好的增殖抑制效果。The inhibitory effect of proxanthin sulfate on the proliferation of large cell lung cancer cell line H661 is shown in Figure 3. The concentration of proxanthin sulfate used was 5 μmol/L. It can be seen from Figure 3 that the proliferation inhibitory effect of proxanthin sulfate on large cell lung cancer cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on large cell lung cancer cells.
实验结果4 硫酸原黄素对小细胞肺癌细胞系的增殖抑制作用Experimental results 4 Proxanthin sulfate inhibits the proliferation of small cell lung cancer cell lines
硫酸原黄素对小细胞肺癌细胞系H510A,H1417,DMS 114的增殖抑制作用如图4所示。所用的硫酸原黄素的浓度为5μmol/L。从图4中可以看出硫酸原黄素对小细胞肺癌细胞增殖抑制的效果能达到90%以上,证实硫酸原黄素对小细胞肺癌细胞具有很好的增殖抑制效果。The proliferation inhibitory effect of proxanthin sulfate on small cell lung cancer cell lines H510A, H1417, DMS 114 is shown in Figure 4. The concentration of proxanthin sulfate used was 5 μmol/L. It can be seen from Fig. 4 that the inhibitory effect of proxanthin sulfate on the proliferation of small cell lung cancer cells can reach more than 90%, confirming that proxanthin sulfate has a good proliferation inhibitory effect on small cell lung cancer cells.
实施例2 硫酸原黄素抑制肿瘤细胞迁移实验Example 2 Experiment of Protoxanthin Sulfate Inhibiting Tumor Cell Migration
实验方法为细胞划痕实验。细胞划痕实验是最简单经济研究细胞迁移的体外试验方法。这种方法的原理是,当细胞长到融合成单层状态时,在融合的单层细胞上人为制造一个空白区域,称为“划痕”。划痕边缘的细胞会逐渐进入空白区域使“划痕”愈合,若细胞的迁移能力越强,则愈合划痕的时间就越短。The experimental method is a cell scratch test. The cell scratch test is the simplest and most economical in vitro test method for studying cell migration. The principle of this method is that when the cells grow to a monolayer state, a blank area is artificially created on the fused monolayer cells, called "scratches." The cells on the edge of the scratch will gradually enter the blank area to make the "scratch" heal. The stronger the cell migration ability, the shorter the time to heal the scratch.
具体实验步骤为:通过胰蛋白酶消化细胞3分钟,加入培养基终止消化反应。然后轻轻吹打混匀细胞,将细胞均匀种于六孔版。将细胞置于含5%CO 2的37摄氏度温箱中孵育8-24h。细胞数量因细胞不同而不同,掌握为过夜能铺满。第二天用1mL移液枪的无菌枪尖比着直尺,尽量垂直于直尺划痕,枪头要垂直,不能倾斜。细胞划痕最重要的是线尽量画直,且实验组和对照组细胞宽度相近,保证实验组和对照组具有可比性。用PBS轻轻洗 细胞3次,去除划下的细胞,实验组加入不同浓度的硫酸原黄素的无血清培养液,对照组加入相同体积的无血清培养液。放入37摄氏度/5%CO 2培养箱,培养。按0,12,24小时取样,拍照。拍照时“划痕”的方向最好在视野内为水平的或者垂直的。 The specific experimental procedure is as follows: digest the cells with trypsin for 3 minutes, and add culture medium to terminate the digestion reaction. Then mix the cells by pipetting gently, and evenly seed the cells in a six-well plate. The cells were incubated in a 37°C incubator containing 5% CO 2 for 8-24 hours. The number of cells varies from cell to cell, and it should be fully covered overnight. On the next day, use the sterile tip of a 1mL pipette to compare with the straightedge, try to be perpendicular to the straightedge to make the scratch, and the tip should be vertical and not tilted. The most important thing for cell scratches is to draw the line as straight as possible, and the width of the cells in the experimental group and the control group are similar to ensure that the experimental group and the control group are comparable. Wash the cells gently with PBS 3 times to remove the marked cells. The experimental group was added with different concentrations of proxanthin sulfate serum-free culture solution, and the control group was added with the same volume of serum-free culture solution. Put it into a 37°C/5% CO 2 incubator and cultivate. Sampling and taking pictures at 0, 12, and 24 hours. The direction of the "scratch" when taking pictures is best horizontal or vertical in the field of view.
实验结果5 硫酸原黄素可显著抑制肺癌细胞的迁移 Experimental results 5 Proxanthin sulfate can significantly inhibit the migration of lung cancer cells
肺癌细胞系A549经不同浓度的硫酸原黄素的细胞培养液处理后,均可显著抑制肿瘤细胞的迁移能力,结果如图5所示。硫酸原黄素的药物浓度为1μmol/L,2.5μmol/L,5μmol/L。从图5中可以看出,相比于对照组,当硫酸原黄素浓度低至为1μmol/L时,硫酸原黄素仍可以显著抑制肿瘤细胞的迁移。The lung cancer cell line A549 can significantly inhibit the migration ability of tumor cells after being treated with cell culture solutions of different concentrations of proxanthin sulfate. The results are shown in Figure 5. The drug concentration of proxanthin sulfate is 1μmol/L, 2.5μmol/L, 5μmol/L. It can be seen from Figure 5 that compared to the control group, when the concentration of proxanthin sulfate is as low as 1 μmol/L, proxanthin sulfate can still significantly inhibit tumor cell migration.
实施例3 硫酸原黄素抑制肺癌细胞在SCID小鼠模型中增殖的实验Example 3 Experiment of Proxanthin Sulfate Inhibiting Proliferation of Lung Cancer Cells in SCID Mouse Model
实验动物:6-8周龄的雌性C.B17SCID小鼠,其来源于上海斯莱克实验动物有限责任公司;根据厦门大学实验动物中心与伦理委员会所批准的方案,将该小鼠在SPF条件下饲养。Experimental animals: 6-8 week old female C.B17SCID mice, which are from Shanghai Slack Experimental Animal Co., Ltd.; according to the protocol approved by the Experimental Animal Center of Xiamen University and the Ethics Committee, the mice were under SPF conditions Rearing.
具体实验步骤:将用于SCID小鼠皮下成瘤的肿瘤细胞(肺腺癌细胞系A549)用0.01%胰蛋白酶消化后,再使用含10%的胎牛血清的细胞培养基重悬成单细胞悬液;计数悬液的细胞密度,1000g,3min离心沉淀细胞,再用适量体积的PBS重悬细胞,使达到约10 6-10 7个细胞/100μL PBS;按照10 6-10 7个细胞/100μL PBS/点在SCID小鼠背部皮下用注射器接种肿瘤细胞,待14-21天左右、肿瘤细胞在SCID小鼠皮下形成大约100mm 3的瘤块的时候,将荷瘤SCID小鼠随机分为硫酸原黄素治疗组与阴性对照组,每组4只小鼠,硫酸原黄素治疗组的小鼠以20mg/kg的剂量腹腔注射硫酸原黄素注射液,阴性对照组则注射相同体积不含硫酸原黄素药物的PBS溶液,每两天注射1次,共注射5次。每两天用游标卡尺测量并记录肿瘤大小变化,肿瘤大小的计算方法为: Specific experimental procedure: The tumor cells used for subcutaneous tumor formation in SCID mice (lung adenocarcinoma cell line A549) were digested with 0.01% trypsin, and then resuspended into single cells in a cell culture medium containing 10% fetal bovine serum Suspension; count the cell density of the suspension, centrifuge at 1000g for 3min to pellet the cells, and then resuspend the cells with an appropriate volume of PBS to reach about 10 6 -10 7 cells/100μL PBS; follow 10 6 -10 7 cells/ 100μL PBS/point was used to inoculate tumor cells subcutaneously on the back of SCID mice with a syringe. After about 14-21 days, when tumor cells formed a tumor mass of about 100mm 3 under the skin of SCID mice, the tumor-bearing SCID mice were randomly divided into sulfuric acid Proxanthin treatment group and negative control group, 4 mice in each group, mice in the proflavin sulfate treatment group were injected intraperitoneally with proflavin sulfate injection at a dose of 20 mg/kg, and the negative control group was injected with the same volume without The PBS solution of proxanthin sulfate was injected once every two days for a total of 5 injections. Use vernier calipers to measure and record tumor size changes every two days. The calculation method of tumor size is:
肿瘤大小(mm 3)=肿瘤长度数值×(肿瘤宽度数值) 2/2。 Tumor size (mm 3 ) = tumor length value x (tumor width value) 2 /2.
实验结果6 硫酸原黄素治疗能有效抑制肿瘤细胞在SCID小鼠模型中的增殖Experimental results 6 Proxanthin sulfate treatment can effectively inhibit the proliferation of tumor cells in the SCID mouse model
硫酸原黄素治疗组与阴性对照组的每只小鼠中肿瘤体积的生长变化情况分别如图6所示。结果显示,硫酸原黄素治疗组的SCID小鼠的肿瘤的生长的速度比对照组的SCID小鼠更慢,治疗组肿瘤大小远小于对照组。上述结果表明硫酸原黄素具有很好的肺癌治疗活性。The growth and changes of tumor volume in each mouse in the proxanthin sulfate treatment group and the negative control group are shown in Figure 6 respectively. The results showed that the tumor growth rate of the SCID mice in the proxanthin sulfate treatment group was slower than that in the SCID mice in the control group, and the tumor size in the treatment group was much smaller than the control group. The above results indicate that proxanthin sulfate has good lung cancer therapeutic activity.
通过以上的实验可以看出硫酸原黄素作为抗肺癌的治疗性药物中的广谱性与有效性。同时本申请的硫酸原黄素具有其它药物不可比拟的优势,其具有很好的安全性、价格低廉、容易获取。此外,硫酸原黄素因其很好的安全性与有效性将成为一种可长期服用,且有效抑制肿瘤转移、侵袭和复发的临床药物。Through the above experiments, we can see the broad spectrum and effectiveness of proxanthin sulfate as a therapeutic drug for lung cancer. At the same time, the proxanthin sulfate of the present application has incomparable advantages over other drugs, and it has good safety, low price, and easy access. In addition, proxanthin sulfate will become a clinical drug that can be taken for a long time and can effectively inhibit tumor metastasis, invasion and recurrence due to its good safety and effectiveness.
以上所述仅为本申请的较佳实施例而已,并不用以限制本申请,凡在本申请的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本申请的保护范围之内。The above descriptions are only the preferred embodiments of this application, and are not intended to limit this application. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of this application shall be included in this application. Within the scope of protection.

Claims (16)

  1. 原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物在制备用于治疗肺癌的药物中的用途。Proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or its various pharmaceutically acceptable modifications Use in the preparation of medicines for treating lung cancer.
  2. 药物组合物在制备用于治疗肺癌的药物中的用途,其中所述药物组合物含有原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,以及药学上可接受的载体或赋形剂。Use of a pharmaceutical composition in the preparation of a medicament for the treatment of lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable The hydrate or solvate of the salt, or various pharmaceutically acceptable modifications thereof, and a pharmaceutically acceptable carrier or excipient.
  3. 原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,其用于治疗肺癌。Proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or its various pharmaceutically acceptable modifications , Which is used to treat lung cancer.
  4. 药物组合物,其用于治疗肺癌,其中所述药物组合物含有原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,以及药学上可接受的载体或赋形剂。A pharmaceutical composition for the treatment of lung cancer, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and the hydrates of its pharmaceutically acceptable salts Or solvates, or various pharmaceutically acceptable modifications thereof, and pharmaceutically acceptable carriers or excipients.
  5. 包含原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物的联合产品,其用于治疗肺癌。Contains proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or various pharmaceutically acceptable modifications thereof A combination product of a drug and a second antitumor drug, which is used to treat lung cancer.
  6. 一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物。A method for treating lung cancer, comprising: administering a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable amounts to a subject in need Accepted salt hydrates or solvates, or various pharmaceutically acceptable modifications thereof.
  7. 一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的药物组合物,其中所述药物组合物含有原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,以及药学上可接受的载体或赋形剂。A method for treating lung cancer, comprising: administering a therapeutically effective amount of a pharmaceutical composition to a subject in need thereof, wherein the pharmaceutical composition contains proxanthin, its stereoisomers, its solvates, and A pharmaceutically acceptable salt, a hydrate or solvate of a pharmaceutically acceptable salt thereof, or various pharmaceutically acceptable modifications thereof, and a pharmaceutically acceptable carrier or excipient.
  8. 一种治疗肺癌的方法,其包括:给有此需要的受试者施用治疗有效量的原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物,和治疗有销量的第二抗肿瘤药物。A method for treating lung cancer, comprising: administering a therapeutically effective amount of proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable amounts to a subject in need Accepted salt hydrates or solvates, or various pharmaceutically acceptable modifications thereof, and a second anti-tumor drug with therapeutic sales.
  9. 权利要求2的用途、权利要求4的药物组合物或权利要求7的方法,其中所述的药物组合物中还含有第二抗肿瘤药物。The use of claim 2, the pharmaceutical composition of claim 4, or the method of claim 7, wherein the pharmaceutical composition further contains a second anti-tumor drug.
  10. 权利要求2的用途、权利要求4的药物组合物或权利要求7的方法,其中所述药物组合物为片剂、胶囊剂、丸剂、口服液体制剂、颗粒剂、散剂或注射剂。The use of claim 2, the pharmaceutical composition of claim 4, or the method of claim 7, wherein the pharmaceutical composition is a tablet, capsule, pill, oral liquid preparation, granule, powder or injection.
  11. 权利要求2的用途、权利要求4的药物组合物或权利要求7的方法,其中所述药 物组合物通过口服、注射、植入、外用、喷雾或吸入的方式给药。The use of claim 2, the pharmaceutical composition of claim 4, or the method of claim 7, wherein the pharmaceutical composition is administered by oral, injection, implant, topical, spray or inhalation.
  12. 原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物与第二抗肿瘤药物联合用于制备用于治疗肺癌的药物的用途。Proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or its various pharmaceutically acceptable modifications It is used in combination with a second anti-tumor drug to prepare a drug for treating lung cancer.
  13. 权利要求1至12任一项的用途、原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物、药物组合物、联合产品或方法,其中,The use of any one of claims 1 to 12, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or Various pharmaceutically acceptable modifications, pharmaceutical compositions, combined products or methods thereof, wherein:
    例如所述的药学上可接受的盐为硫酸原黄素或原黄素盐酸盐,For example, the pharmaceutically acceptable salt is proxanthin sulfate or proxanthin hydrochloride,
    例如所述药学上可接受的盐的水合物为硫酸原黄素水合物或原黄素盐酸盐水合物。For example, the hydrate of the pharmaceutically acceptable salt is proxanthin sulfate hydrate or proxanthin hydrochloride hydrate.
  14. 权利要求3、9或12的用途、权利要求9的药物组合物、权利要求5的联合产品、权利要求8或9的方法,其中所述的第二抗肿瘤药物为免疫检验点抑制剂如PD-1抑制剂(包括Nivolumab、Pembrolizumab、IBI-308、Camrelizumab(SHR-1210)、Tislelizumab、Cemiplimab、BCD-100、TSR-042、PDR-001、JNJ-63723283)、PD-L1抑制剂(包括Atezolizumab、Avelumab、Durvalumab、BMS-936559、M-7824、CX-072)、CTLA-4抑制剂(包括伊匹木单抗(Ipilimumab)、Tremelimumab、AGEN-1884、AK-104)等,传统化疗药物如紫杉醇、顺铂、5-氟尿嘧啶等,或小分子抑制剂如EGFR抑制剂(包括Cetuximab、Erlotinib、Gefitinib、Lapatinib Ditosylate、Neratinib、Theliatinib、Cyasterone、Osimertinib、Avitinib、Afatinib、Gefitinib、Canertinib、Lapatinib、AG-490、Pelitinib、Dacomitinib)、HER2抑制剂(包括Poziotinib、Trastuzumab、Pertuzumab、Irbinitinib)、ALK抑制剂(包括Crizotinib、TAE684(NVP-TAE684)、Alectinib、AZD3463、ASP3026、Brigatinib(AP26113)、Ensartinib(X-396)、Alectinib)等。The use of claim 3, 9 or 12, the pharmaceutical composition of claim 9, the combination product of claim 5, the method of claim 8 or 9, wherein the second anti-tumor drug is an immune checkpoint inhibitor such as PD -1 inhibitors (including Nivolumab, Pembrolizumab, IBI-308, Camrelizumab (SHR-1210), Tislelizumab, Cemiplimab, BCD-100, TSR-042, PDR-001, JNJ-63723283), PD-L1 inhibitors (including Atezolizumab , Avelumab, Durvalumab, BMS-936559, M-7824, CX-072), CTLA-4 inhibitors (including Ipilimumab, Tremelimumab, AGEN-1884, AK-104), etc. Traditional chemotherapy drugs such as Paclitaxel, cisplatin, 5-fluorouracil, etc., or small molecule inhibitors such as EGFR inhibitors (including Cetuximab, Erlotinib, Gefitinib, Lapatinib Ditosylate, Neratinib, Theliatinib, Cyasterone, Osimertinib, Avitinib, Afatinib, Gefitinib, Canertinib, Lapatinib 490, Pelitinib, Dacomitinib), HER2 inhibitors (including Poziotinib, Trastuzumab, Pertuzumab, Irbinitinib), ALK inhibitors (including Crizotinib, TAE684 (NVP-TAE684), Alectinib, AZD3463, ASP3026, Brigatinib (AP26113), XEnsartinib 396), Alectinib), etc.
  15. 权利要求1至14任一项的用途、原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物、药物组合物、联合产品或方法,其中所述的肺癌选自:肺鳞癌,肺腺癌,大细胞肺癌,小细胞肺癌或者它们的任意组合。The use of any one of claims 1 to 14, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or Various pharmaceutically acceptable modifications, pharmaceutical compositions, combined products or methods thereof, wherein the lung cancer is selected from: lung squamous cell carcinoma, lung adenocarcinoma, large cell lung cancer, small cell lung cancer or any combination thereof.
  16. 权利要求1至14任一项的用途、原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物、药物组合物、联合产品或方法,其中原黄素、其立体异构体、其溶剂合物、其药学上可接受的盐、其药学上可接受的盐的水合物或溶剂合物、或其在药学上可接受的各种修饰物作为细胞毒性药物、肿瘤生长抑制剂、抗肿瘤转移药物和/或抗肿瘤侵袭药物。The use of any one of claims 1 to 14, proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, the hydrates or solvates of its pharmaceutically acceptable salts, or Various pharmaceutically acceptable modifications, pharmaceutical compositions, joint products or methods thereof, wherein proxanthin, its stereoisomers, its solvates, its pharmaceutically acceptable salts, and its pharmaceutically acceptable The hydrate or solvate of the salt of, or various pharmaceutically acceptable modifications thereof are used as cytotoxic drugs, tumor growth inhibitors, anti-tumor metastasis drugs and/or anti-tumor invasion drugs.
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MAO‑SHU ZHANG, FU‑WEN NIU, KUN LI: "Proflavin Suppresses the Growth of Human Osteosarcoma MG63 Cells Through Apoptosis and Autophagy", ONCOLOGY LETTERS, 31 December 2015 (2015-12-31), pages 463 - 468, XP055778818 *

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WO2023242104A1 (en) 2022-06-13 2023-12-21 KHR Biotec GmbH Diaminoacridine derivatives as inhibitors of ras

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