WO2023143611A1 - Method for treating cancer - Google Patents

Method for treating cancer Download PDF

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WO2023143611A1
WO2023143611A1 PCT/CN2023/073851 CN2023073851W WO2023143611A1 WO 2023143611 A1 WO2023143611 A1 WO 2023143611A1 CN 2023073851 W CN2023073851 W CN 2023073851W WO 2023143611 A1 WO2023143611 A1 WO 2023143611A1
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cancer
tumor
cell
control group
group
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PCT/CN2023/073851
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French (fr)
Chinese (zh)
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侯睿
臧广喜
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兰泰克生物技术公司
侯睿
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Publication of WO2023143611A1 publication Critical patent/WO2023143611A1/en

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    • 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
    • A61K31/495Heterocyclic 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
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Definitions

  • This article relates to the field of medicine, in particular to the use of a compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates in the preparation of drugs for the treatment of cancer, and the treatment of cancer method.
  • KDR2-2 is a small molecule compound, chemical name 2-(2-aminopyrimidin-4-yloxy)-N-(3-(trifluoromethyl)phenyl)quinoline-5-carboxamide, structure As shown in formula I
  • the synthesis method of compound KDR2-2 can refer to International Patent Publication WO2014/166386A1.
  • International patent publication WO2021213512A1 discloses that the compound inhibits the abnormal proliferation of new blood vessels by inhibiting the activity of VEGFR2/KDR and PDGFR ⁇ , and can be used to treat the occurrence of new blood vessels in the eye.
  • the permeable blood-brain barrier formed between the blood and the brain effectively prevents more than 98% of small molecule drugs and almost 100% of large molecule drugs from exerting their therapeutic effects in the brain. Due to the effect of the blood-brain barrier, absolutely most of the drugs cannot reach the focal part of the nerve center, thereby failing to reach an effective therapeutic concentration and unable to exert the therapeutic effect of the drug.
  • the transport of small molecules across the BBB mainly consists of passive diffusion, efflux, and carrier-mediated endocytosis.
  • the passive diffusion and efflux of drugs are mainly affected by the physicochemical properties of the molecules.
  • Common strategies to improve the blood-brain barrier permeability of drug molecules and reduce the efflux rate include: increasing the lipophilicity of compounds, reducing hydrogen bond donors, deleting or replacing negatively charged atoms to reduce tPSA, removing basic groups to reduce pKa, And the introduction of constrained conformation to improve molecular rigidity is one of the important factors to improve the above effect.
  • Glioma refers to the tumor originating from the glial cells of the brain and is the most common primary intracranial tumor.
  • the World Health Organization (WHO) classification of central nervous system tumors divides glioma into grades I-IV. Grades I and II are low-grade gliomas, and grades III and IV are high-grade gliomas.
  • glioma The treatment of glioma is mainly based on surgical resection, combined with radiotherapy, chemotherapy and other comprehensive treatment methods. Surgery can relieve clinical symptoms, prolong survival, and obtain enough tumor samples for clear pathological diagnosis and molecular genetic testing.
  • the principle of surgical treatment is to safely remove tumors in the largest range, and new technologies such as conventional neuronavigation, functional neuronavigation, intraoperative neurophysiological monitoring, and intraoperative MRI real-time images can help achieve safe tumor removal in the largest range.
  • Radiotherapy can kill or inhibit tumor cells and prolong the survival period of patients.
  • Conventional fractionated external beam radiation is the standard treatment for glioma radiotherapy.
  • Postoperative radiotherapy combined with temozolomide (TMZ) and adjuvant chemotherapy for glioblastoma (GBM) has become an Standard treatment regimen for adults with newly diagnosed GBM.
  • the treatment of glioma requires the cooperation of multiple disciplines such as neurosurgery, neuroimaging, radiotherapy, neuro-oncology, pathology and neurorehabilitation.
  • individualized comprehensive treatment is adopted to optimize and standardize the treatment plan.
  • prolong the progression-free survival (PFS) and overall survival (OS) of patients as much as possible, and improve the quality of life.
  • doctors need to closely follow up and observe patients, conduct regular imaging review, and take into account patients' daily life, social and family activities, nutritional support, pain control, rehabilitation treatment and psychological regulation, etc. .
  • the degree of surgical resection is closely related to the prognosis of the disease.
  • total tumor resection or subtotal resection is better than partial resection or biopsy.
  • Total resection or subtotal resection can not only prolong the survival time of patients, but also reduce the probability of glioma progression.
  • a retrospective study of 1097 patients with low-grade glioma found that the median survival time was 10.5 years and 14 years for patients with less than 50% resection and 50%-99% resection, and patients with total resection, Median survival was over 15 years.
  • glioma infiltrates the surrounding normal brain tissue, and it is difficult to find a clear resection boundary during surgery. In practice, it is difficult to find a balance between completely resecting the tumor and retaining more healthy tissue.
  • KDR2-2 has a high inhibitory efficiency for VEGFR2 receptors and can penetrate the blood-brain barrier.
  • isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof in the preparation of a medicament for treating cancer.
  • the present application also provides a method for treating cancer, comprising administering a therapeutically effective amount of a compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or Hydrate.
  • the present application also provides the compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate for use in treating cancer.
  • the cancer is colon cancer, glioma, liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/gastroesophageal junction adenocarcinoma , gastrointestinal stromal tumor (GIST), solid tumors, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B-cell lymphoma, Head, neck, and thoracic tumors, primary malignant tumors of bone, malignant melanoma, pancreatic neuroendocrine tumors, urothelial carcinoma, gastrinoma, cytoma, insulinoma, or cervical cancer.
  • GIST gastrointestinal stromal tumor
  • MTC metastatic differentiated thyroid cancer/medullary thyroid carcinoma
  • the cancer is colon cancer or glioma.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof inhibits tumor cell migration and growth.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered parenterally, orally or ophthalmically.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered by injection or orally.
  • Fig. 1 shows in embodiment 1, each group cell scratch pattern (100 *) at different times, wherein K is blank control group; 5 is 39ng/mL KDR2-2 group; 4 is 165ng/mL KDR2-2 group; 3 is 625ng/mL KDR2-2 group; 2 is 2500ng/mL KDR2-2 group; 1 is 10000ng/mL KDR2-2 group;
  • Figure 2 shows the average tumor volume for Example 2.
  • a p ⁇ 0.05, aa p ⁇ 0.01, aaa p ⁇ 0.001 compared with the solvent control group in the same period, b p ⁇ 0.05, bb p ⁇ 0.01, bbb p ⁇ 0.001; compared with the positive control group in the same period , c p ⁇ 0.05, cc p ⁇ 0.01, ccc p ⁇ 0.001; compared with the low dose group of the test product in the same period, d p ⁇ 0.05, dd p ⁇ 0.01, ddd p ⁇ 0.001.
  • Figure 3 shows the mean relative tumor volumes for Example 2.
  • a p ⁇ 0.05, aa p ⁇ 0.01, aaa p ⁇ 0.001 compared with the solvent control group in the same period, b p ⁇ 0.05, bb p ⁇ 0.01, bbb p ⁇ 0.001; compared with the positive control group in the same period , c p ⁇ 0.05, cc p ⁇ 0.01, ccc p ⁇ 0.001; compared with the low dose group of the test product in the same period, d p ⁇ 0.05, dd p ⁇ 0.01, ddd p ⁇ 0.001.
  • FIG. 4 shows the average tumor weight of Example 2.
  • a p ⁇ 0.05, aa p ⁇ 0.01, aaa p ⁇ 0.001 compared with the solvent control group in the same period, b p ⁇ 0.05, bb p ⁇ 0.01, bbb p ⁇ 0.001; compared with the positive control group in the same period , c p ⁇ 0.05, cc p ⁇ 0.01, ccc p ⁇ 0.001; compared with the low dose group of the test product in the same period, d p ⁇ 0.05, dd p ⁇ 0.01, ddd p ⁇ 0.001.
  • FIG. 5 shows the average body weight of Example 2.
  • a p ⁇ 0.05, aa p ⁇ 0.01, aaa p ⁇ 0.001 compared with the solvent control group in the same period, b p ⁇ 0.05, bb p ⁇ 0.01, bbb p ⁇ 0.001; compared with the positive control group in the same period , c p ⁇ 0.05, cc p ⁇ 0.01, ccc p ⁇ 0.001; compared with the low dose group of the test product in the same period, d p ⁇ 0.05, dd p ⁇ 0.01, ddd p ⁇ 0.001.
  • Fig. 6 shows MRI images of mouse brains treated with KDR2-2.
  • Figure 7 shows the lesion volume in mice treated with KDR2-2.
  • Figure 8 shows the body weight of mice treated with KDR2-2.
  • Fig. 9 shows that after treatment with KDR2-2, the hair of mice turns white.
  • isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof in the preparation of a medicament for treating cancer.
  • the present application also provides a method for treating cancer, comprising administering a therapeutically effective amount of a compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or Hydrate.
  • the present application also provides the compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate for use in treating cancer.
  • the cancer is colon cancer, glioma, liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/gastroesophageal junction adenocarcinoma , gastrointestinal stromal tumor (GIST), solid tumors, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B-cell lymphoma, Head, neck, and thoracic tumors, primary malignant tumors of bone, malignant melanoma, pancreatic neuroendocrine tumors, urothelial carcinoma, gastrinoma, cytoma, insulinoma, or cervical cancer.
  • GIST gastrointestinal stromal tumor
  • MTC metastatic differentiated thyroid cancer/medullary thyroid carcinoma
  • the cancer is colon cancer or glioma.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof inhibits tumor cell migration and growth.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered parenterally, orally or ophthalmically.
  • the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered by injection or orally.
  • the present application provides a pharmaceutical composition
  • a pharmaceutical composition comprising the compound of formula I or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate.
  • the pharmaceutical composition includes a pharmacologically effective amount of the compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates and pharmaceutically acceptable auxiliary materials.
  • excipients are known to those skilled in the art, for example, physiological saline, gelatin, gum arabic, lactose, microcrystalline cellulose, starch, modified starch, cellulose, modified cellulose, sodium glycolate , calcium hydrogen phosphate, magnesium stearate, talc, colloidal silicon dioxide, etc.
  • these compositions may further contain: stabilizers, wetting agents, emulsifiers, sweeteners, flavoring agents, buffering agents and the like.
  • the pharmaceutical composition provided by the application comprising the compound of formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate can be formulated as Solid or liquid form for oral administration, such as tablet, pill, oral liquid, etc.; or, sterile solution, suspension or emulsion form, etc. for parenteral administration.
  • the pharmaceutical composition provided by the application comprising the compound of formula I or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate is formulated as an ophthalmic preparation form.
  • the compound of formula I of the present application or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate or its pharmaceutical composition can be used as a single pharmaceutical active ingredient to be administered, or may be administered in combination with other anticancer drugs.
  • the "effective amount” or “effective dose” refers to an amount sufficient to affect beneficial or desired symptoms of the disease, its complications, or intermediate pathological indicators in the course of disease development.
  • a compound of Formula I or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate, or Hydrate or its pharmaceutical composition.
  • the compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates can be dosed at 0.24-640 mg/day administered to human subjects.
  • KDR2-2 is a small molecular compound, chemical name 2-(2-aminopyrimidin-4-yloxy)-N-(3-(trifluoromethyl)phenyl ) quinoline-5-carboxamide, structure as shown in formula I
  • the cell scratch test was used to study whether KDR2-2 has an inhibitory effect on the activity and movement of tumor cells.
  • DMSO Dimethylsulfoxide
  • Pen Strep Glutamine (100 ⁇ ), Lot No.: 2051357, gibco;
  • trypsin-EDTA (trypsin), Lot No.: 1967360, gibco.
  • microporous membrane 0.22 ⁇ m microporous membrane, R6SA39060, Millipore;
  • Centrifuge tubes (5mL, 10mL, 50mL), OTHBR, HX;
  • Pipette gun (100-1000 ⁇ L, 10-100 ⁇ L), Eppendorf;
  • Blank control group 1% DMSO
  • different concentrations of KDR2-2 administration groups (10000ng/mL, 2500ng/mL, 625ng/mL, 156ng/mL, 39ng/mL).
  • Cell number (number of cells in 4 squares/4 ⁇ 10 4 ⁇ dilution factor) cells/mL;
  • the scratch width ratios of HT-29 cells in each group at different time points are shown in Table 1, and the scratch diagrams of cells in each group at different time points are shown in Figure 1 (100 ⁇ ).
  • Example 2 Efficacy evaluation of KDR2-2 on HT-29 human colon cancer tumor model
  • a colon cancer model was established by inoculating HT-29 cells subcutaneously, and then intervened with KDR2-2 to study whether KDR2-2 can inhibit the growth of colon cancer.
  • KDR2-2 suspension (specification: 0.4mL: 0.4mg; 1mL: 20mg), as the test product.
  • KDR2-2 suspension contains 0.10% (w/v) KDR2-2, 0.40% (w/v) hypromellose (HPMC E4M), 4.50% (w/v) Polyethylene glycol 15-hydroxystearate ( HS 15), 0.21% (w/v) sodium dihydrogen phosphate dihydrate (NaH 2 PO 4 2H 2 O), 1.60% (w/v) disodium hydrogen phosphate dodecahydrate (Na 2 HPO 4 12H 2 O), 0.30% (w/v) sodium chloride, 0.10% (w/v) anhydrous sodium thiosulfate, make up the volume with water for injection.
  • HPMC E4M hypromellose
  • the specification is 1mL: 20mg of KDR2-2 suspension containing 2% (w/v) KDR2-2, 0.40% (w/v) hypromellose (HPMC E4M), 4.50% (w/v) 15- Polyethylene glycol hydroxystearate ( HS 15), 0.21% (w/v) sodium dihydrogen phosphate dihydrate (NaH 2 PO 4 2H 2 O), 1.60% (w/v) disodium hydrogen phosphate dodecahydrate (Na 2 HPO 4 12H 2 O), 0.30% (w/v) sodium chloride, 0.10% (w/v) anhydrous sodium thiosulfate, make up the volume with water for injection.
  • 10mg/mL KDR2-2 suspension Take an appropriate amount of 20mg/mL KDR2-2 suspension and add an equal volume of blank excipients to dilute to obtain the target concentration solution.
  • mitomycin For mitomycin, use 1 mL sodium chloride injection to dissolve mitomycin lyophilized powder into a 10 mg/mL solution (stock solution). Take an appropriate amount of the stock solution and dilute it 200 times with sodium chloride injection to obtain a 0.05 mg/mL mitomycin solution.
  • mice SPF grade BALB/c nude mice, 5-6 weeks old, weighing 15-18g. Purchased from Guangdong Medical Experimental Animal Center; production license number: SCXK (Guangdong) 2018-0002; animal quality certificate number: No.44007200077964.
  • Each animal is identified by a tail tag and a cage card.
  • the marking method of the cage card during the environmental adaptation period indicate the experiment number, animal strain, cage number, number of animals, time of entry, animal number, etc.
  • Marking method of the cage card after grouping Indicate the experiment number, animal species, treatment factors, number of animals, cage number, start and end time of the experiment, animal number, etc. on the cage card.
  • mice were acclimated to the environment for 6 days before modeling.
  • the main inspection contents of the adaptation period whether it is consistent with the quality indicators required at the time of order; general status; whether the body weight reaches the weight range required by the experiment; the adaptation period inspection is qualified, and subcutaneous inoculation is carried out to make models.
  • Stocking density 5 animals/cage during the environmental adaptation period, 5 animals/cage for the formal experiment.
  • Cell number (number of cells in 4 squares/4 ⁇ 10 4 ⁇ dilution factor) cells/mL;
  • the HT-29 human colon cancer cell line was cultured and passaged routinely, after three passages in vitro. Centrifuge to obtain cells according to the above operation, resuspend the cells in the basal medium, absorb 10 ⁇ L of cells and dilute them 10 times, and calculate the cell concentration. Adjust the cell concentration to 1 ⁇ 10 7 cells/mL.
  • Group design model group, solvent control group, positive control group, KDR2-2 high and low dose group subcutaneous injection (10mg/kg, 100mg/kg), KDR2-2 high and low dose group intragastric administration (10mg/kg, 100mg/kg) .
  • Grouping method select tumor-forming animals for experiments, and randomly group them according to tumor volume
  • mice that did not meet the experimental requirements were euthanized.
  • Dosing frequency 1 time/day
  • the day of the first administration is defined as the first day of the experiment (day1, D1)
  • Observation time observe once a day after tumor inoculation, and the observation frequency can be appropriately increased according to the actual situation;
  • Routine observation content tumor growth, body weight, appearance and signs of mice, general behavioral activities, mental state, respiratory state, feces properties, genitalia, death, etc.;
  • Measurement time measure once before the first administration, and measure twice a week during the administration period
  • Measuring animals all surviving experimental mice.
  • Tumor size was measured twice a week
  • Measuring method measure the long diameter (a) and short diameter (b) of the transplanted tumor with a vernier caliper;
  • Dissected Animals All planned dissected animals.
  • Tumor weight detection The animals were sacrificed on the second day after the last administration, and the complete tumor body was carefully removed, weighed and recorded with an electronic balance.
  • Tumor fixation After the tumor was weighed, a portion of the tumor was selected and fixed in 10 times the volume of neutral formaldehyde.
  • V tumor volume
  • a and b represent the length and width respectively.
  • V 0 is the tumor volume measured on the day of group administration (ie, the first day)
  • V t is the tumor volume at each measurement.
  • Evaluation criteria for curative effect T/C(%)>40% is invalid; T/C(%) ⁇ 40%, and P ⁇ 0.05 compared with the model group by variance analysis is effective.
  • the tumor inhibition rate can be calculated by tumor weight or tumor volume.
  • the animals were euthanized, and the tumor pieces were dissected to weigh the tumor weight of each group;
  • Tumor growth inhibition rate% (average tumor weight of the control group-average tumor weight of the treatment group)/average tumor weight of the control group ⁇ 100%;
  • Tumor growth inhibition rate % (calculated by tumor volume):
  • T and C are the tumor volumes of the treatment group and the control group at the end of the experiment, respectively; T0 and C0 are the tumor volumes of the treatment group and the control group at the beginning of the experiment, respectively.
  • tumor inhibition rate ie tumor growth inhibition rate
  • P ⁇ 0.05 tumor inhibition rate
  • Model control group on D0 (15 days after inoculation and modeling, group administration began), D7 (7 days after group administration), D14, and D20, the tumor volumes were 181.21 ⁇ 67.42mm 3 , 498.14 ⁇ 136.65mm 3 , 796.39 ⁇ 121.96mm mm 3 and 1161.48 ⁇ 168.3mm 3 .
  • Vehicle control group on D0, D7, D14 and D20, the tumor volumes were 172.7 ⁇ 57.27mm 3 , 625.95 ⁇ 222.89mm 3 , 1202.55 ⁇ 509.6mm 3 and 1387.18 ⁇ 506.07mm 3 , compared with the same period model at D7, D14 and D20 There was no statistical difference between the groups (p>0.05).
  • the tumor volumes were 180.67 ⁇ 52.45mm 3 , 299.38 ⁇ 110.7mm 3 , 302.72 ⁇ 130.68mm 3 and 250.29 ⁇ 83.45mm 3 .
  • intraperitoneal injection of mitomycin and KDR2-2 suspension can inhibit the tumor volume of HT-29.
  • 5mg/kg mitomycin can significantly inhibit or even reduce the tumor volume.
  • the inhibitory effect of KDR2-2 suspension on tumor volume can be seen in a certain dose-response relationship.
  • the low dose of 10mg/kg KDR2-2 suspension The inhibitory effect is slightly weak, and the high dose of 100mg/kg KDR2-2 suspension has a very strong inhibitory effect.
  • n indicates the number of animals included in the statistical analysis.
  • RTV Relative tumor volume
  • Solvent control group On D7, D14 and D20, the RTVs were 3.73 ⁇ 0.97, 6.91 ⁇ 1.24 and 8.19 ⁇ 1.79, respectively, and there was no statistical difference compared with the model control group during the same period (p>0.05).
  • the RTVs were 2.44 ⁇ 0.40, 3.86 ⁇ 1.15 and 5.4 ⁇ 2.46, respectively.
  • D7 there was no statistical difference compared with the model control group and the same period (p>0.05), and compared with the solvent control group and the positive control group during the same period, the RTV was reduced and there was a significant statistical difference (p ⁇ 0.05, p ⁇ 0.05) ;
  • p>0.05, p>0.05 There was no statistical difference (p>0.05, p>0.05) compared with the model control group and the solvent control group at the same period on D14, and the RTV was reduced compared with the positive control group and there was a significant statistical difference (p ⁇ 0.05) ;
  • D20 There was no statistical difference in D20 compared with the model control group, solvent control group and positive control group (p>0.05).
  • the RTVs were 1.64 ⁇ 0.19, 1.63 ⁇ 0.3 and 1.32 ⁇ 0.33, respectively.
  • the RTV all decreased and had significant statistical differences (p ⁇ 0.01, p ⁇ 0.01, p ⁇ 0.01, p ⁇ 0.01, p ⁇ 0.001)
  • the RTV all decreased and had significant statistical differences (p ⁇ 0.001, p ⁇ 0.001, p ⁇ 0.01)
  • RTV average relative tumor volume
  • n indicates the number of animals included in the statistical analysis.
  • Solvent control group at D7, D14 and D20, T/C were 127.88%, 142.87% and 105.33%, respectively.
  • the low dose group of the test product on D7, D14 and D20, T/C were 83.20%, 80.17% and 69.42% respectively.
  • T/C were 56.73%, 34.03% and 16.98% respectively.
  • T/C (%) > 40% is invalid; T/C (%) ⁇ 40%, and compare p ⁇ 0.05 to be effective curative effect evaluation standard with model group through analysis of variance, positive control drug mitomycin ( 5mg/kg) and high-dose test product KDR2-2 suspension (100mg/kg) all reach effective evaluation standard, show that mitomycin and KDR2-2 suspension all can effectively inhibit HT-29 tumor under this condition proliferation.
  • the average tumor weight of the model control group was 0.82 ⁇ 0.23g.
  • the average tumor weight of the solvent control group was 0.92 ⁇ 0.25g, which was not significantly different from that of the model control group (p>0.05).
  • the average tumor weight of the positive control group was 0.47 ⁇ 0.05g, which was smaller than that of the model control group and the solvent control group with significant statistical difference (p ⁇ 0.05, p ⁇ 0.01).
  • the average tumor weight of the low-dose group of the test product was 0.63 ⁇ 0.16g, which had no statistical difference compared with the model control group and the positive control group (p>0.05), and decreased compared with the solvent control group and had statistically significant There were no statistical differences (p ⁇ 0.05).
  • the average tumor weight of the high-dose group of the test product was 0.18 ⁇ 0.05g, which was significantly reduced compared with the model control group, the solvent control group, the positive control group and the low-dose group of the test product (p ⁇ 0.001 , p ⁇ 0.001, p ⁇ 0.05, p ⁇ 0.001).
  • n indicates the number of animals included in the statistical analysis.
  • Solvent control group the tumor inhibition rate was -5.33% (calculated by tumor volume) and -11.65% (calculated by tumor weight).
  • tumor inhibition rate was 45.88% (calculated by tumor volume) and 43.50% (calculated by tumor weight).
  • the low-dose group of the test product was 30.58% (calculated by tumor volume) and 23.99% (calculated by tumor weight).
  • the high-dose group of the test product was 83.02% (calculated by tumor volume) and 78.39% (calculated by tumor weight).
  • tumor inhibition rate i.e. tumor growth inhibition rate
  • p ⁇ 0.05 is an effective efficacy evaluation standard
  • positive control drug mitomycin 5mg/kg
  • high-dose test product KDR2-2 suspension 100mg/kg
  • Model control group on D0, D7, D14 and D20, the body weight was 21.96 ⁇ 1.45g, 22.48 ⁇ 1.58g, 21.44 ⁇ 2.25g and 21.08 ⁇ 3.15g.
  • Solvent control group on D0, D7, D14 and D20, the body weight was 23.02 ⁇ 0.99g, 22.94 ⁇ 0.88g, 22.9 ⁇ 0.94g and 22.42 ⁇ 0.87g, compared with the model control group at the same period on D0, D7, D14 and D20 There was no statistical difference (p>0.05).
  • Positive control group on D0, D7, D14 and D20, the body weight was 21.54 ⁇ 0.27g, 20.42 ⁇ 0.94g/18.52 ⁇ 0.97g and 17.7 ⁇ 1.41g.
  • the model control group and the solvent control group in the same period at D7 there was a significant statistical difference (p ⁇ 0.05, p ⁇ 0.01); at D14, compared with the model control group and the solvent control group in the same period, the And there is a significant statistical difference (p ⁇ 0.01, p ⁇ 0.001); compared with the model control group at the same time, there is a decrease and a significant statistical difference (p ⁇ 0.05) at D20, but the death of the animal makes the group There are only two individual data, so the statistical data is not very meaningful.
  • the low-dose group of the test product on D0, D7, D14 and D20, the body weight was 22.01 ⁇ 1.23g, 21.79 ⁇ 1.23g, 21.97 ⁇ 1.54g and 21.45 ⁇ 1.55g.
  • solvent control group and positive control group there was no statistical difference (p>0.05) at D7; there was no statistical difference compared with the same period model control group and solvent control group at D14 and D20 (p >0.05), compared with the positive control group in the same period, the body weight increased and there was a significant statistical difference (p ⁇ 0.001, p ⁇ 0.05).
  • the sample size of the positive control group was too small at D20, and the statistical significance was not significant.
  • the high-dose group of the test product on D0, D7, D14 and D20, the body weight was 22.29 ⁇ 1.11g, 20.21 ⁇ 1.18g, 17.29 ⁇ 1.17g and 15.03 ⁇ 0.46g.
  • the body weight all decreased and there was a significant statistical difference (p ⁇ 0.01, p ⁇ 0.001, p ⁇ 0.05) at D7, compared with the same period of positive control group There was no statistical difference (p>0.05); when D14 and D20, compared with the model control group, the solvent control group, and the low-dose group of the test product, the body weight all decreased and there was a significant statistical difference (p ⁇ 0.001, p ⁇ 0.001, p ⁇ 0.001), there was no statistical difference compared with the positive control group in the same period (p>0.05).
  • the intraperitoneal injection of the positive control drug mitomycin and the high-dose test product 100mg/kg KDR2-2 suspension can significantly reduce the body weight of the animals.
  • the positive control group mitomycin 5 mg/kg
  • n indicates the number of animals included in the statistical analysis.
  • mice Adult male C57BL/6 mice (7-8 weeks) were purchased from the Experimental Animal Center of Sun Yat-sen University, and KDR2-2 was administered 2 weeks after gamma knife irradiation (to induce glioma formation). The doses of 10 and 80 mg/kg body weight were continuously administered for 4 weeks.
  • KDR2-2 suspension (specification: 0.4mL: 4.0mg, the preparation is the same as in Example 2).
  • the vehicle control without drug was placebo.
  • KDR2-2 test sample is the same as in Example 2.
  • KDR2-2-L represents the KDR2-2 low-dose group
  • KDR2-2-H represents the KDR2-2 high-dose group.
  • Number of animals 10 animals/group in the model group, 10 animals/group in the solvent control group, and 10 animals/group in each of the high and low dose groups.
  • Administration route intraperitoneal injection; administration frequency: 1 time/day
  • MRI detection detect the size of edema focus at 1w, 2w, 4w, and 6w after irradiation
  • Fig. 6 shows MRI images of mouse brains treated with KDR2-2.
  • Figure 7 shows the lesion volume in mice treated with KDR2-2.
  • Figure 8 shows the body weight of mice treated with KDR2-2.
  • Figure 9 demonstrates graying of mouse hair after treatment with KDR2-2.

Abstract

The present application relates to a method for treating cancer, comprising administering to a subject in need thereof a therapeutically effective amount of a compound of formula I or an isotopic variant, a tautomer, a pharmaceutically acceptable salt, a solvate or a hydrate thereof. The present application further relates to use of a compound of formula I or an isotopic variant, a tautomer, a pharmaceutically acceptable salt, a solvate or a hydrate thereof for treating cancer. The cancer is colon cancer, brain glioma, liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/gastroesophageal junction adenocarcinoma, gastrointestinal stromal tumor, solid tumor, colorectal cancer, small cell/non-small cell lung cancer, local advanced or metastatic differentiated thyroid cancer/thyroid myeloid cancer, diffuse large B cell lymphoma, head, neck and chest tumor, primary malignant bone tumor, malignant melanoma, pancreatic neuroendocrine tumor, urothelial carcinoma, gastrinoma, cell tumor, insuloma, or cervical cancer.

Description

一种治疗癌症的方法a way to treat cancer
本申请要求于2022年1月30日提交中国专利局、申请号为202210114156.7、发明名称为“一种治疗癌症的方法”的中国专利申请的优先权,其内容应理解为通过引用的方式并入本申请中。This application claims the priority of the Chinese patent application with the application number 202210114156.7 and the title of the invention "a method for treating cancer" filed with the China Patent Office on January 30, 2022, the contents of which should be understood to be incorporated by reference In this application.
技术领域technical field
本文涉及医药领域,具体涉及式I化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物在制备用于治疗癌症的药物中的用途,以及癌症的治疗方法。This article relates to the field of medicine, in particular to the use of a compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates in the preparation of drugs for the treatment of cancer, and the treatment of cancer method.
背景技术Background technique
KDR2-2是一种小分子化合物,化学名称2-(2-氨基嘧啶-4-基氧基)-N-(3-(三氟甲基)苯基)喹啉-5-甲酰胺,结构如式I所示
KDR2-2 is a small molecule compound, chemical name 2-(2-aminopyrimidin-4-yloxy)-N-(3-(trifluoromethyl)phenyl)quinoline-5-carboxamide, structure As shown in formula I
化合物KDR2-2的合成方法可参考国际专利公布WO2014/166386A1。国际专利公布WO2021213512A1公开了该化合物通过抑制VEGFR2/KDR和PDGFRβ的活性来抑制新生血管异常增生,可用于治疗眼部新生血管的发生。The synthesis method of compound KDR2-2 can refer to International Patent Publication WO2014/166386A1. International patent publication WO2021213512A1 discloses that the compound inhibits the abnormal proliferation of new blood vessels by inhibiting the activity of VEGFR2/KDR and PDGFRβ, and can be used to treat the occurrence of new blood vessels in the eye.
众所周知,血液和大脑之间形成的可渗透血脑屏障有效地阻止了98%以上的小分子药物和几乎100%的大分子药物在大脑中发挥治疗作用。绝对大部分的药物由于血脑屏障的作用,不能达到神经中枢的病灶部分,从而无法达到有效的治疗浓度,无法发挥药物的治疗作用。It is well known that the permeable blood-brain barrier formed between the blood and the brain effectively prevents more than 98% of small molecule drugs and almost 100% of large molecule drugs from exerting their therapeutic effects in the brain. Due to the effect of the blood-brain barrier, absolutely most of the drugs cannot reach the focal part of the nerve center, thereby failing to reach an effective therapeutic concentration and unable to exert the therapeutic effect of the drug.
小分子物质在血脑屏障上的运输主要由被动扩散,外排和载体介导的胞吞作用组成。药物的被动扩散和外排主要受分子理化性质的影响。提高药物分子血脑屏障通透性以及降低外排率的常用策略有:增加化合物亲脂性,减少氢键供体,删除或替换带负电的原子以降低tPSA,去除碱性基团以降低pKa,以及引入受约束的构象提高分子刚性等是提高上述作用重要影响因素之一。The transport of small molecules across the BBB mainly consists of passive diffusion, efflux, and carrier-mediated endocytosis. The passive diffusion and efflux of drugs are mainly affected by the physicochemical properties of the molecules. Common strategies to improve the blood-brain barrier permeability of drug molecules and reduce the efflux rate include: increasing the lipophilicity of compounds, reducing hydrogen bond donors, deleting or replacing negatively charged atoms to reduce tPSA, removing basic groups to reduce pKa, And the introduction of constrained conformation to improve molecular rigidity is one of the important factors to improve the above effect.
脑胶质瘤是指起源于脑神经胶质细胞的肿瘤,是最常见的原发性颅内肿瘤,世界卫生组织(WHO)中枢神经系统肿瘤分类将脑胶质瘤分为I-IV级,I、II级为低级别脑胶质瘤,III、IV级为高级别脑胶质瘤。Glioma refers to the tumor originating from the glial cells of the brain and is the most common primary intracranial tumor. The World Health Organization (WHO) classification of central nervous system tumors divides glioma into grades I-IV. Grades I and II are low-grade gliomas, and grades III and IV are high-grade gliomas.
脑胶质瘤治疗以手术切除为主,结合放疗、化疗等综合治疗方法。手术可以缓解临床症状,延长生存期,并获得足够肿瘤标本用以明确病理学诊断和进行分子遗传学检测。手术治疗原则是最大范围安全切除肿瘤,而常规神经导航、功能神经导航、术中神经电生理监测和术中MRI实时影像等新技术有助于实现最大范围安全切除肿瘤。The treatment of glioma is mainly based on surgical resection, combined with radiotherapy, chemotherapy and other comprehensive treatment methods. Surgery can relieve clinical symptoms, prolong survival, and obtain enough tumor samples for clear pathological diagnosis and molecular genetic testing. The principle of surgical treatment is to safely remove tumors in the largest range, and new technologies such as conventional neuronavigation, functional neuronavigation, intraoperative neurophysiological monitoring, and intraoperative MRI real-time images can help achieve safe tumor removal in the largest range.
放疗可杀灭或抑制肿瘤细胞,延长患者生存期,常规分割外照射是脑胶质瘤放疗的标准治疗。胶质母细胞瘤(GBM)术后放疗联合替莫唑胺(TMZ)同步并辅助化疗,已成 为成人新诊断GBM的标准治疗方案。脑胶质瘤治疗需要神经外科、神经影像科、放射治疗科、神经肿瘤科、病理科和神经康复科等多学科合作,遵循循证医学原则,采取个体化综合治疗,优化和规范治疗方案,以期达到最大治疗效益,尽可能延长患者的无进展生存期(PFS)和总生存期(OS),提高生存质量。为使患者获得最优化的综合治疗,医师需要对患者进行密切随访观察,定期影像学复查,兼顾考虑患者的日常生活、社会和家庭活动、营养支持、疼痛控制、康复治疗和心理调控等诸多问题。Radiotherapy can kill or inhibit tumor cells and prolong the survival period of patients. Conventional fractionated external beam radiation is the standard treatment for glioma radiotherapy. Postoperative radiotherapy combined with temozolomide (TMZ) and adjuvant chemotherapy for glioblastoma (GBM) has become an Standard treatment regimen for adults with newly diagnosed GBM. The treatment of glioma requires the cooperation of multiple disciplines such as neurosurgery, neuroimaging, radiotherapy, neuro-oncology, pathology and neurorehabilitation. Following the principles of evidence-based medicine, individualized comprehensive treatment is adopted to optimize and standardize the treatment plan. In order to achieve the maximum therapeutic benefit, prolong the progression-free survival (PFS) and overall survival (OS) of patients as much as possible, and improve the quality of life. In order to enable patients to obtain the most optimal comprehensive treatment, doctors need to closely follow up and observe patients, conduct regular imaging review, and take into account patients' daily life, social and family activities, nutritional support, pain control, rehabilitation treatment and psychological regulation, etc. .
然而,手术切除和放疗、化疗存在一些缺陷。However, surgical resection and radiotherapy and chemotherapy have some drawbacks.
手术切除程度与疾病预后密切相关。低级别脑胶质瘤中,肿瘤全切除或次全切除优于部分切除或活检,全切除或次全切除不仅能延长在患者生存期,还能降低胶质瘤进展发生的概率。一项1097例低级别脑胶质瘤患者的回顾性研究发现,切除程度低于50%与切除程度50%-99%,中位生存期分别为10.5年和14年,而全切除的患者,中位生存期超过了15年。但是,胶质瘤对周围的正常脑组织存在浸润现象,手术中很难找到一个清晰的切除边界,实践中很难在完全切除肿瘤和保留更多健康组织之间寻求平衡。The degree of surgical resection is closely related to the prognosis of the disease. In low-grade glioma, total tumor resection or subtotal resection is better than partial resection or biopsy. Total resection or subtotal resection can not only prolong the survival time of patients, but also reduce the probability of glioma progression. A retrospective study of 1097 patients with low-grade glioma found that the median survival time was 10.5 years and 14 years for patients with less than 50% resection and 50%-99% resection, and patients with total resection, Median survival was over 15 years. However, glioma infiltrates the surrounding normal brain tissue, and it is difficult to find a clear resection boundary during surgery. In practice, it is difficult to find a balance between completely resecting the tumor and retaining more healthy tissue.
放疗和化疗的副作用因人而异。肿瘤类型、肿瘤位置、剂量、治疗时间和其他因素等因素都会起作用。副作用具有累积性,也就是说在治疗过程中会更加严重。The side effects of radiation and chemotherapy vary from person to person. Factors such as tumor type, tumor location, dose, duration of treatment, and other factors all come into play. Side effects are cumulative, which means they get worse during treatment.
发明内容Contents of the invention
本申请的发明人意外发现,KDR2-2对于VEGFR2受体具有高的抑制效率,并且能够透过血脑屏障。The inventors of the present application unexpectedly found that KDR2-2 has a high inhibitory efficiency for VEGFR2 receptors and can penetrate the blood-brain barrier.
鉴于发明人的意外发现,本申请提供了式I化合物
In view of the unexpected discovery of the inventor, the application provides a compound of formula I
或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物在制备用于治疗癌症的药物中的用途。Use of the isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof in the preparation of a medicament for treating cancer.
本申请还提供了治疗癌症的方法,包括向有相应需要的患者施用治疗有效量的式I所示的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物。The present application also provides a method for treating cancer, comprising administering a therapeutically effective amount of a compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or Hydrate.
本申请还提供了式I所示的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物,用于在治疗癌症中使用。The present application also provides the compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate for use in treating cancer.
在一些优选实施方案中,所述癌症为结肠癌、脑胶质瘤、肝癌、肝内/外胆管细胞癌、胆囊癌、胆道癌、肾癌/肾细胞癌、胃/胃食管结合部腺癌、胃肠间质瘤(GIST)、实体瘤、结肠直肠癌、小细胞/非小细胞肺癌、局部晚期或转移性分化型甲状腺癌/甲状腺髓样癌(MTC)、弥漫大B细胞淋巴瘤、头颈胸部肿瘤、骨原发恶性肿瘤、恶性黑色素瘤、胰腺神经内分泌瘤、尿路上皮癌、胃泌素瘤、细胞瘤、胰岛瘤或宫颈癌。In some preferred embodiments, the cancer is colon cancer, glioma, liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/gastroesophageal junction adenocarcinoma , gastrointestinal stromal tumor (GIST), solid tumors, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B-cell lymphoma, Head, neck, and thoracic tumors, primary malignant tumors of bone, malignant melanoma, pancreatic neuroendocrine tumors, urothelial carcinoma, gastrinoma, cytoma, insulinoma, or cervical cancer.
在一些优选实施方案中,所述癌症为结肠癌或脑胶质瘤。In some preferred embodiments, the cancer is colon cancer or glioma.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物抑制肿瘤细胞迁移和生长。In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof inhibits tumor cell migration and growth.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物通过肠胃外施用、口服施用或眼用。 In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered parenterally, orally or ophthalmically.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物通过注射或口服施用。In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered by injection or orally.
本申请的其它特征和优点将在随后的说明书中阐述,并且,部分地从说明书中变得显而易见,或者通过实施本申请而了解。本申请的其他优点可通过在说明书以及附图中所描述的方案来实现和获得。Additional features and advantages of the application will be set forth in the description which follows, and, in part, will be obvious from the description, or may be learned by practice of the application. Other advantages of the present application can be realized and obtained through the schemes described in the specification and drawings.
附图概述Figure overview
附图用来提供对本申请技术方案的理解,并且构成说明书的一部分,与本申请的实施例一起用于解释本申请的技术方案,并不构成对本申请技术方案的限制。The accompanying drawings are used to provide an understanding of the technical solution of the present application, and constitute a part of the specification, and are used together with the embodiments of the present application to explain the technical solution of the present application, and do not constitute a limitation to the technical solution of the present application.
图1示出了实施例1中,不同时间各组细胞划痕图(100×),其中K为空白对照组;5为39ng/mL KDR2-2组;4为165ng/mL KDR2-2组;3为625ng/mL KDR2-2组;2为2500ng/mL KDR2-2组;1为10000ng/mL KDR2-2组;Fig. 1 shows in embodiment 1, each group cell scratch pattern (100 *) at different times, wherein K is blank control group; 5 is 39ng/mL KDR2-2 group; 4 is 165ng/mL KDR2-2 group; 3 is 625ng/mL KDR2-2 group; 2 is 2500ng/mL KDR2-2 group; 1 is 10000ng/mL KDR2-2 group;
图2示出了实施例2的平均肿瘤体积。与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001;与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001;与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001;与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Figure 2 shows the average tumor volume for Example 2. Compared with the model control group in the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001; compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001; compared with the positive control group in the same period , c p≤0.05, cc p≤0.01, ccc p≤0.001; compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
图3示出了实施例2的平均相对肿瘤体积。与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001;与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001;与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001;与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Figure 3 shows the mean relative tumor volumes for Example 2. Compared with the model control group in the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001; compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001; compared with the positive control group in the same period , c p≤0.05, cc p≤0.01, ccc p≤0.001; compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
图4示出了实施例2的平均瘤重。与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001;与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001;与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001;与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。FIG. 4 shows the average tumor weight of Example 2. Compared with the model control group in the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001; compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001; compared with the positive control group in the same period , c p≤0.05, cc p≤0.01, ccc p≤0.001; compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
图5示出了实施例2的平均体重。与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001;与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001;与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001;与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。FIG. 5 shows the average body weight of Example 2. Compared with the model control group in the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001; compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001; compared with the positive control group in the same period , c p≤0.05, cc p≤0.01, ccc p≤0.001; compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
图6示出了经KDR2-2处理后,小鼠脑部的MRI图像。Fig. 6 shows MRI images of mouse brains treated with KDR2-2.
图7示出了经KDR2-2处理后,小鼠体内的病变体积。Figure 7 shows the lesion volume in mice treated with KDR2-2.
图8示出了经KDR2-2处理后,小鼠的体重情况。Figure 8 shows the body weight of mice treated with KDR2-2.
图9示出了经KDR2-2处理后,小鼠毛发变白。Fig. 9 shows that after treatment with KDR2-2, the hair of mice turns white.
详述detail
除非另有定义,否则本文使用的所有技术和科学术语具有与本发明所属领域内的普通技术人员通常理解的相同的含义。尽管与本文描述的材料和方法相似或等同的任何材料和方法可被用来实践或测试本发明,现在描述了优选的材料和方法。Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any materials and methods similar or equivalent to those described herein can be used in the practice or testing of the present invention, the preferred materials and methods are now described.
本申请提供了式I化合物
The application provides a compound of formula I
或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物在制备用于治疗癌症的药物中的用途。Use of the isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof in the preparation of a medicament for treating cancer.
本申请还提供了治疗癌症的方法,包括向有相应需要的患者施用治疗有效量的式I所示的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物。The present application also provides a method for treating cancer, comprising administering a therapeutically effective amount of a compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or Hydrate.
本申请还提供了式I所示的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物,用于在治疗癌症中使用。The present application also provides the compound represented by formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate for use in treating cancer.
在一些优选实施方案中,所述癌症为结肠癌、脑胶质瘤、肝癌、肝内/外胆管细胞癌、胆囊癌、胆道癌、肾癌/肾细胞癌、胃/胃食管结合部腺癌、胃肠间质瘤(GIST)、实体瘤、结肠直肠癌、小细胞/非小细胞肺癌、局部晚期或转移性分化型甲状腺癌/甲状腺髓样癌(MTC)、弥漫大B细胞淋巴瘤、头颈胸部肿瘤、骨原发恶性肿瘤、恶性黑色素瘤、胰腺神经内分泌瘤、尿路上皮癌、胃泌素瘤、细胞瘤、胰岛瘤或宫颈癌。In some preferred embodiments, the cancer is colon cancer, glioma, liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/gastroesophageal junction adenocarcinoma , gastrointestinal stromal tumor (GIST), solid tumors, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B-cell lymphoma, Head, neck, and thoracic tumors, primary malignant tumors of bone, malignant melanoma, pancreatic neuroendocrine tumors, urothelial carcinoma, gastrinoma, cytoma, insulinoma, or cervical cancer.
在一些优选实施方案中,所述癌症为结肠癌或脑胶质瘤。In some preferred embodiments, the cancer is colon cancer or glioma.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物抑制肿瘤细胞迁移和生长。In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof inhibits tumor cell migration and growth.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物通过肠胃外施用、口服施用或眼用。In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered parenterally, orally or ophthalmically.
在一些优选实施方案中,所述化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物通过注射或口服施用。In some preferred embodiments, the compound or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate thereof is administered by injection or orally.
在一些实施方案中,本申请提供了一种包含式I化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物的药物组合物。该药物组合物包括药理学上有效量的式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物以及药学上可接受的辅料。对于本领域技术人员而言,这些辅料都是已知的,例如,生理盐水,明胶,阿拉伯树胶,乳糖,微晶纤维素,淀粉,改性淀粉,纤维素,改性纤维素,羟乙酸钠,磷酸氢钙,硬脂酸镁,滑石,胶体二氧化硅等。此外,这些组合物还可进一步地包含:稳定剂,润湿剂,乳化剂,甜味剂,香味剂,缓冲剂等。In some embodiments, the present application provides a pharmaceutical composition comprising the compound of formula I or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate. The pharmaceutical composition includes a pharmacologically effective amount of the compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates and pharmaceutically acceptable auxiliary materials. These excipients are known to those skilled in the art, for example, physiological saline, gelatin, gum arabic, lactose, microcrystalline cellulose, starch, modified starch, cellulose, modified cellulose, sodium glycolate , calcium hydrogen phosphate, magnesium stearate, talc, colloidal silicon dioxide, etc. In addition, these compositions may further contain: stabilizers, wetting agents, emulsifiers, sweeteners, flavoring agents, buffering agents and the like.
在一些实施方案中,本申请提供的包含式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物的药物组合物,根据需要,能够配制成用于口服施用的固体或液体形式,如片剂、丸剂、口服液等;或者,用于肠胃外给药的无菌溶液、悬浮液或乳液形式等。In some embodiments, the pharmaceutical composition provided by the application comprising the compound of formula I or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate can be formulated as Solid or liquid form for oral administration, such as tablet, pill, oral liquid, etc.; or, sterile solution, suspension or emulsion form, etc. for parenteral administration.
在一些实施方案中,本申请提供的包含式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物的药物组合物被配制为眼用制剂的形式。In some embodiments, the pharmaceutical composition provided by the application comprising the compound of formula I or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate is formulated as an ophthalmic preparation form.
在一些实施方案中,本申请的式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物或者其药物组合物,可以作为单一的药物活性成分来施用,或可以其他的抗癌药物联合施用。In some embodiments, the compound of formula I of the present application or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate or its pharmaceutical composition can be used as a single pharmaceutical active ingredient to be administered, or may be administered in combination with other anticancer drugs.
在本申请中,所述“有效量”或“有效剂量”是指足以影响疾病、其并发症、或者疾病发展过程中中间的病理性指标的有益的或期望的症状的量。 In the present application, the "effective amount" or "effective dose" refers to an amount sufficient to affect beneficial or desired symptoms of the disease, its complications, or intermediate pathological indicators in the course of disease development.
在一些实施方案中,每天一次、每天两次、每天三次或每天四次向受试者施用式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物或者其药物组合物。In some embodiments, a compound of Formula I, or an isotopic variant, tautomer, pharmaceutically acceptable salt, solvate, or Hydrate or its pharmaceutical composition.
在一些实施方案中,以式I的化合物计,式I的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物可以以0.24-640mg/天的剂量施用于人类受试者。In some embodiments, based on the compound of formula I, the compound of formula I or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates can be dosed at 0.24-640 mg/day administered to human subjects.
本文所说的式I的化合物,即KDR2-2是一种小分子化合物,化学名称2-(2-氨基嘧啶-4-基氧基)-N-(3-(三氟甲基)苯基)喹啉-5-甲酰胺,结构如式I所示
The compound of formula I mentioned herein, that is, KDR2-2 is a small molecular compound, chemical name 2-(2-aminopyrimidin-4-yloxy)-N-(3-(trifluoromethyl)phenyl ) quinoline-5-carboxamide, structure as shown in formula I
现在将参考以下实施例描述本申请,这些实施例说明了本申请的一些优选方面。然而,应当理解,本文以下描述的特殊性并不取代本文前述描述的一般性,并且在不脱离本文精神的情况下,可以进行各种其他修改和/或改变,如本文所公开的。The present application will now be described with reference to the following examples, which illustrate some preferred aspects of the application. It should be understood, however, that the specificity of the following description herein does not supersede the generality of the preceding description herein, and that various other modifications and/or changes may be made, as disclosed herein, without departing from the spirit of the text.
实施例1:KDR2-2对肿瘤细胞的迁移运动的影响Example 1: Effect of KDR2-2 on the Migration of Tumor Cells
本实施例通过细胞划痕实验以研究KDR2-2对肿瘤细胞活性及运动是否具有抑制作用。In this example, the cell scratch test was used to study whether KDR2-2 has an inhibitory effect on the activity and movement of tumor cells.
瘤组织的增殖失控、瘤细胞的分化异常、瘤细胞具有侵袭和转移的能力是恶性肿瘤最基本的生物学特征,而侵袭和转移又是恶性肿瘤威胁患者健康乃至生命的主要原因。因此研究肿瘤侵袭和转移的规律及其发生机制,对恶性肿瘤的防治有重要意义。Uncontrolled proliferation of tumor tissue, abnormal differentiation of tumor cells, and the ability of tumor cells to invade and metastasize are the most basic biological characteristics of malignant tumors, and invasion and metastasis are the main reasons why malignant tumors threaten the health and even life of patients. Therefore, it is of great significance to study the law of tumor invasion and metastasis and its mechanism for the prevention and treatment of malignant tumors.
本实施例通过体外建立肿瘤细胞致伤愈合模型,利用细胞划痕法以研究KDR2-2对HT-29细胞运动力的影响。In this example, a wound healing model of tumor cells was established in vitro, and the effect of KDR2-2 on the motility of HT-29 cells was studied by the cell scratch method.
实验试剂experimental reagent
二甲基亚砜(DMSO),Sigma;Dimethylsulfoxide (DMSO), Sigma;
McCoy’s 5A培养基(1×),Procell;McCoy's 5A medium (1×), Procell;
Pen Strep Glutamine(100×),Lot No.:2051357,gibco;Pen Strep Glutamine (100×), Lot No.: 2051357, gibco;
Fetal Bovine Serum(FBS),Lot No.:11H144,Uruguay,ExCell Bio;Fetal Bovine Serum(FBS), Lot No.:11H144, Uruguay, ExCell Bio;
PBS,Lot No.:AE29456443,Hyclone;PBS, Lot No.: AE29456443, Hyclone;
MTS,Lot No.:0000349697,PROMEGA;MTS, Lot No.: 0000349697, PROMEGA;
0.25%胰蛋白酶-EDTA(胰酶),Lot No.:1967360,gibco。0.25% trypsin-EDTA (trypsin), Lot No.: 1967360, gibco.
实验器材experiment equipment
0.22μm微孔滤膜,R6SA39060,Millipore;0.22μm microporous membrane, R6SA39060, Millipore;
离心管(5mL、10mL、50mL),OTHBR,HX;Centrifuge tubes (5mL, 10mL, 50mL), OTHBR, HX;
枪头(100μL、1mL),Thermo QSP;Tips (100μL, 1mL), Thermo QSP;
96孔培养板,Thermo NUNC; 96-well culture plate, Thermo NUNC;
25T,75T培养瓶,Thermo NUNC;25T, 75T culture flask, Thermo NUNC;
计数板,天精;Counting board, Tianjing;
盖玻片,世泰;Cover glass, Startech;
移液枪(100-1000μL,10-100μL),Eppendorf;Pipette gun (100-1000 μL, 10-100 μL), Eppendorf;
电子天平,BSA124S,Sartorius;Electronic balance, BSA124S, Sartorius;
Multiskan FC型酶标仪,Thermo;Multiskan FC microplate reader, Thermo;
倒置显微镜,DMi1,Leica;Inverted microscope, DMi1, Leica;
三孔电热恒温水槽,DK-8D,上海一恒科学仪器有限公司;Three-hole electric heating constant temperature water tank, DK-8D, Shanghai Yiheng Scientific Instrument Co., Ltd.;
SW-CJ-1F洁净工作台,苏州安泰空气技术有限公司;SW-CJ-1F clean bench, Suzhou Antai Air Technology Co., Ltd.;
培养箱,CCL-170B-8,ESCO;Incubator, CCL-170B-8, ESCO;
高压蒸汽灭菌锅,上海博讯YXQ-LS-50G。High-pressure steam sterilizer, Shanghai Boxun YXQ-LS-50G.
供试品及培养基配制Preparation of test article and culture medium
完全培养基:89%McCoy’s 5A基础培养基+10%FBS+1%双抗Pen Strep Glutamine(100×);Complete medium: 89% McCoy’s 5A basal medium + 10% FBS + 1% double antibody Pen Strep Glutamine (100×);
细胞系cell line
HT-29结肠癌细胞。HT-29 colon cancer cells.
实验设计experimental design
1.分组1. Grouping
空白对照组(1%DMSO)和不同浓度的KDR2-2给药组(10000ng/mL,2500ng/mL,625ng/mL,156ng/mL,39ng/mL)。Blank control group (1% DMSO) and different concentrations of KDR2-2 administration groups (10000ng/mL, 2500ng/mL, 625ng/mL, 156ng/mL, 39ng/mL).
2.细胞复苏及培养2. Cell Recovery and Culture
将冻存的细胞取出,置于37℃水浴锅中快速复苏(1min内);Take out the frozen cells and place them in a 37°C water bath for rapid recovery (within 1 min);
将细胞液取出置于10mL离心管中,加入4倍体积完全培养基,1000rpm离心5min;Take out the cell solution and place it in a 10mL centrifuge tube, add 4 times the volume of complete medium, and centrifuge at 1000rpm for 5min;
去上清,加入2mL完全培养基制成细胞悬液;Remove the supernatant, add 2mL complete medium to make cell suspension;
将细胞液转移至25T培养瓶中,补足完全培养基至总体积为5mL;Transfer the cell liquid to a 25T culture flask, and make up the complete medium to a total volume of 5 mL;
将培养瓶置于培养箱(37℃,5%CO2)中培养。Place the culture flask in an incubator (37°C, 5% CO 2 ) for culture.
3.细胞传代3. Cell passage
细胞长至80%融合时进行细胞传代;Subculture the cells when they reach 80% confluence;
将培养基倒出,加入1mL PBS清洗细胞两遍;Pour out the medium, add 1mL PBS to wash the cells twice;
加入1mL胰酶开始消化,在显微镜下观察;Add 1mL trypsin to start digestion, observe under the microscope;
细胞触角回缩变圆时(3min)加入2mL完全培养基停止消化;When the cell tentacles retract and become round (3min), add 2mL of complete medium to stop digestion;
左手持培养瓶,右手拍打培养瓶侧面使细胞脱壁;Hold the culture flask with your left hand, and tap the side of the culture flask with your right hand to detach the cells;
将细胞液转移至10mL离心管中,1000rpm离心5min;Transfer the cell solution to a 10mL centrifuge tube and centrifuge at 1000rpm for 5min;
去上清,加入1mL完全培养基制成细胞悬液;Remove the supernatant, add 1mL complete medium to make cell suspension;
将细胞液转移至25T培养瓶中,补足完全培养基至总体积为5mL; Transfer the cell liquid to a 25T culture flask, and make up the complete medium to a total volume of 5 mL;
将培养瓶置于培养箱(37℃,5%CO2)中培养。Place the culture flask in an incubator (37°C, 5% CO 2 ) for culture.
4.细胞计数方法4. Cell Counting Method
将制成的细胞悬液使用完全培养基稀释10倍;Dilute the prepared cell suspension 10 times with complete medium;
加盖玻片,取20μL细胞悬液从盖玻片侧面打入,使细胞液平铺,使用滤纸将多余细胞液吸去;Add a cover slip, take 20 μL of the cell suspension and inject it from the side of the cover slip to spread the cell liquid, and use filter paper to absorb the excess cell liquid;
将计数板置于倒置显微镜下观察4个大正方形(每个由1个小正方形组成)内细胞数。压线细胞计数原则:计左不计右,计上不计下;Place the counting plate under an inverted microscope to observe the number of cells in 4 large squares (each consisting of 1 small square). The principle of pressure line cell counting: count the left and not the right, count the top and not the bottom;
细胞数=(4个正方形内细胞数/4×104×稀释倍数)个/mL;Cell number = (number of cells in 4 squares/4×10 4 ×dilution factor) cells/mL;
按首次测得的细胞数使用完全培养基稀释至实验所需细胞数。According to the cell number measured for the first time, use complete medium to dilute to the cell number required for the experiment.
5.细胞迁移实验5. Cell Migration Assay
将细胞调整为密度为5×105个/mL,按1mL每孔加入12孔板中培养;Adjust the cell density to 5×10 5 cells/mL, add 1 mL per well into a 12-well plate for culture;
在培养板底部用直尺平行画两条直线;Use a ruler to draw two parallel straight lines at the bottom of the culture plate;
细胞密度为70%左右后,用200μL枪头在每孔中间位置借助尺子垂直平行直线做“一”字划痕,PBS洗细胞3遍,动作需轻柔,以免细胞成片脱落;When the cell density is about 70%, use a 200 μL pipette tip to make a vertical and parallel line scratch in the middle of each well with the help of a ruler, and wash the cells with PBS 3 times with gentle movements to prevent the cells from falling off in pieces;
洗好后每孔加入对应浓度药液(培养液含1%FBS),拍照记为0h细胞照片。培养28h,中间选取22h时间点拍照一次,在平行直线与“一”字划痕相连处拍照,每孔2张照片。After washing, the corresponding concentration of drug solution (culture solution containing 1% FBS) was added to each well, and the pictures were recorded as 0h cell photos. Cultivate for 28 hours, and take a picture at the time point of 22 hours in the middle, and take a picture at the place where the parallel line connects with the "one" scratch, 2 pictures per well.
使用image J计算划痕宽度,计算每孔初始及结束宽度比,组间进行对比。Use image J to calculate the scratch width, calculate the initial and end width ratio of each hole, and compare between groups.
实验结果Experimental results
不同时间点各组HT-29细胞划痕宽度比见表1,不同时间各组细胞划痕图示于图1(100×)。The scratch width ratios of HT-29 cells in each group at different time points are shown in Table 1, and the scratch diagrams of cells in each group at different time points are shown in Figure 1 (100×).
表1不同时间点各组HT-29细胞划痕宽度比
Table 1 Ratio of scratch width of HT-29 cells in each group at different time points
注:与空白对照组相比,*p<0.05,具有统计性差异;**p<0.01,具有显著性差异。Note: Compared with the blank control group, *p<0.05, there is a statistical difference; **p<0.01, there is a significant difference.
由表1可知,与空白对照组相比,22h时,10000ng/mL KDR2-2可显著抑制HT-29细胞迁移(p<0.01);28h时,10000ng/mL KDR2-2及2500ng/mL KDR2-2可显著抑制HT-29细胞迁移(p<0.01)。It can be seen from Table 1 that compared with the blank control group, 10000ng/mL KDR2-2 could significantly inhibit the migration of HT-29 cells at 22h (p<0.01); 2 can significantly inhibit the migration of HT-29 cells (p<0.01).
从图1可以看出,10000ng/mL及2500ng/mL KDR2-2组细胞随着给药孵育时间增加,未见增殖且细胞状态较差,其抑制HT-29细胞迁移作用应是抑制细胞活性而产生。It can be seen from Figure 1 that the cells in the 10000ng/mL and 2500ng/mL KDR2-2 groups did not proliferate and the cells were in poor condition as the incubation time increased. produce.
实施例2:KDR2-2对HT-29人结肠癌肿瘤模型药效评价 Example 2: Efficacy evaluation of KDR2-2 on HT-29 human colon cancer tumor model
本实施例通过皮下接种HT-29细胞建立结肠癌模型,再给予KDR2-2干预,以研究KDR2-2是否可抑制结肠癌的生长。In this example, a colon cancer model was established by inoculating HT-29 cells subcutaneously, and then intervened with KDR2-2 to study whether KDR2-2 can inhibit the growth of colon cancer.
供试品及供试品溶液配制Preparation of the test product and the test product solution
KDR2-2混悬液(规格:0.4mL:0.4mg;1mL:20mg),作为供试品。KDR2-2 suspension (specification: 0.4mL: 0.4mg; 1mL: 20mg), as the test product.
规格为0.4mL:0.4mg的KDR2-2混悬液含0.10%(w/v)KDR2-2、0.40%(w/v)羟丙甲纤维素(HPMC E4M)、4.50%(w/v)15-羟基硬脂酸聚乙二醇酯(HS 15)、0.21%(w/v)二水磷酸二氢钠(NaH2PO4·2H2O)、1.60%(w/v)十二水磷酸氢二钠(Na2HPO4·12H2O)、0.30%(w/v)氯化钠、0.10%(w/v)无水硫代硫酸钠,用注射用水补足体积。The specification is 0.4mL: 0.4mg of KDR2-2 suspension contains 0.10% (w/v) KDR2-2, 0.40% (w/v) hypromellose (HPMC E4M), 4.50% (w/v) Polyethylene glycol 15-hydroxystearate ( HS 15), 0.21% (w/v) sodium dihydrogen phosphate dihydrate (NaH 2 PO 4 2H 2 O), 1.60% (w/v) disodium hydrogen phosphate dodecahydrate (Na 2 HPO 4 12H 2 O), 0.30% (w/v) sodium chloride, 0.10% (w/v) anhydrous sodium thiosulfate, make up the volume with water for injection.
规格为1mL:20mg的KDR2-2混悬液含2%(w/v)KDR2-2、0.40%(w/v)羟丙甲纤维素(HPMC E4M)、4.50%(w/v)15-羟基硬脂酸聚乙二醇酯(HS 15)、0.21%(w/v)二水磷酸二氢钠(NaH2PO4·2H2O)、1.60%(w/v)十二水磷酸氢二钠(Na2HPO4·12H2O)、0.30%(w/v)氯化钠、0.10%(w/v)无水硫代硫酸钠,用注射用水补足体积。The specification is 1mL: 20mg of KDR2-2 suspension containing 2% (w/v) KDR2-2, 0.40% (w/v) hypromellose (HPMC E4M), 4.50% (w/v) 15- Polyethylene glycol hydroxystearate ( HS 15), 0.21% (w/v) sodium dihydrogen phosphate dihydrate (NaH 2 PO 4 2H 2 O), 1.60% (w/v) disodium hydrogen phosphate dodecahydrate (Na 2 HPO 4 12H 2 O), 0.30% (w/v) sodium chloride, 0.10% (w/v) anhydrous sodium thiosulfate, make up the volume with water for injection.
10mg/mL KDR2-2混悬液:取适量20mg/mL KDR2-2混悬液加入等体积空白辅料稀释后得到目标浓度溶液。10mg/mL KDR2-2 suspension: Take an appropriate amount of 20mg/mL KDR2-2 suspension and add an equal volume of blank excipients to dilute to obtain the target concentration solution.
阳性对照品及配制Positive control substance and preparation
丝裂霉素,使用时用1mL氯化钠注射液将丝裂霉素冻干粉溶解成10mg/mL溶液(原液)。取适量原液,用氯化钠注射液稀释200倍成0.05mg/mL丝裂霉素溶液。For mitomycin, use 1 mL sodium chloride injection to dissolve mitomycin lyophilized powder into a 10 mg/mL solution (stock solution). Take an appropriate amount of the stock solution and dilute it 200 times with sodium chloride injection to obtain a 0.05 mg/mL mitomycin solution.
主要试剂和药品
Main Reagents and Drugs
主要实验耗材
Main Experiment Consumables
主要仪器与器械

Main Instruments and Apparatus

实验系统experiment system
实验动物:SPF级BALB/c裸小鼠,5-6周龄,体重15-18g。购自广东省医学实验动物中心;生产许可证号:SCXK(粤)2018-0002;动物质量合格证号:No.44007200077964。Experimental animals: SPF grade BALB/c nude mice, 5-6 weeks old, weighing 15-18g. Purchased from Guangdong Medical Experimental Animal Center; production license number: SCXK (Guangdong) 2018-0002; animal quality certificate number: No.44007200077964.
每只动物通过尾部标记和笼卡作为动物识别标记。环境适应期笼卡的标记方法:注明实验编号、动物种系、笼号、动物数量、入室时间、动物编号等。分组后笼卡的标记方法:在笼卡上注明实验编号、动物种系、处理因素、动物数量、笼号、实验起止时间、动物编号等。Each animal is identified by a tail tag and a cage card. The marking method of the cage card during the environmental adaptation period: indicate the experiment number, animal strain, cage number, number of animals, time of entry, animal number, etc. Marking method of the cage card after grouping: Indicate the experiment number, animal species, treatment factors, number of animals, cage number, start and end time of the experiment, animal number, etc. on the cage card.
造模前小鼠适应环境6天。适应期的主要检查内容:是否与订购时要求的质量指标一致;一般状态;体重是否达到实验要求的体重范围;适应期检查合格,进行皮下接种造模。The mice were acclimated to the environment for 6 days before modeling. The main inspection contents of the adaptation period: whether it is consistent with the quality indicators required at the time of order; general status; whether the body weight reaches the weight range required by the experiment; the adaptation period inspection is qualified, and subcutaneous inoculation is carried out to make models.
饲养密度:环境适应期5只/笼,正式实验5只/笼。Stocking density: 5 animals/cage during the environmental adaptation period, 5 animals/cage for the formal experiment.
实验设计experimental design
细胞复苏及培养Cell Recovery and Culture
将冻存的HT-29人结肠癌细胞取出,置于37℃水浴锅中快速复苏(1min内);Take out the cryopreserved HT-29 human colon cancer cells and place them in a 37°C water bath for quick recovery (within 1 min);
将细胞液取出置于10mL离心管中,加入4倍体积完全培养基(这里的完全培养基同实施例1),1000rpm离心5min;Take out the cell solution and place it in a 10mL centrifuge tube, add 4 times the volume of complete medium (the complete medium here is the same as in Example 1), and centrifuge at 1000rpm for 5min;
去上清,加入2mL完全培养基制成细胞悬液;Remove the supernatant, add 2mL complete medium to make cell suspension;
将细胞液转移至25T培养瓶中,补足完全培养基至总体积为5mL;Transfer the cell liquid to a 25T culture flask, and make up the complete medium to a total volume of 5 mL;
将培养瓶置于培养箱(37℃,5%CO2)中培养。Place the culture flask in an incubator (37°C, 5% CO 2 ) for culture.
细胞传代cell inheritance
细胞长至80%融合时进行细胞传代;Subculture the cells when they reach 80% confluence;
将培养基倒出,加入1mL PBS清洗细胞两遍;Pour out the medium, add 1mL PBS to wash the cells twice;
加入1mL胰酶开始消化,在显微镜下观察;Add 1mL trypsin to start digestion, observe under the microscope;
细胞触角回缩变圆时(3min)加入2mL完全培养基停止消化;When the cell tentacles retract and become round (3min), add 2mL of complete medium to stop digestion;
左手持培养瓶,右手拍打培养瓶侧面使细胞脱壁;Hold the culture flask with your left hand, and tap the side of the culture flask with your right hand to detach the cells;
将细胞液转移至10mL离心管中,1000rpm离心5min;Transfer the cell solution to a 10mL centrifuge tube and centrifuge at 1000rpm for 5min;
去上清,加入2mL完全培养基制成细胞悬液; Remove the supernatant, add 2mL complete medium to make cell suspension;
将细胞液转移至25T培养瓶中,补足完全培养基至总体积为5mL;Transfer the cell liquid to a 25T culture flask, and make up the complete medium to a total volume of 5 mL;
将培养瓶置于培养箱(37℃,5%CO2)中培养。Place the culture flask in an incubator (37°C, 5% CO 2 ) for culture.
细胞计数方法Cell Counting Method
将制成的细胞悬液使用完全培养基稀释10倍;Dilute the prepared cell suspension 10 times with complete medium;
加盖玻片,取20μL细胞悬液从盖玻片侧面打入,使细胞液平铺,使用滤纸将多余细胞液吸去;Add a cover slip, take 20 μL of the cell suspension and inject it from the side of the cover slip to spread the cell liquid, and use filter paper to absorb the excess cell liquid;
将计数板置于倒置显微镜下观察4个大正方形(每个由1个小正方形组成)内细胞数。压线细胞计数原则:计左不计右,计上不计下;Place the counting plate under an inverted microscope to observe the number of cells in 4 large squares (each consisting of 1 small square). The principle of pressure line cell counting: count the left and not the right, count the top and not the bottom;
细胞数=(4个正方形内细胞数/4×104×稀释倍数)个/mL;Cell number = (number of cells in 4 squares/4×10 4 ×dilution factor) cells/mL;
接种细胞准备Cell preparation for seeding
常规进行对HT-29人结肠癌细胞株的培养与传代,体外传代三次后。按上述操作离心获得细胞,基础培养基重悬细胞,吸取10μL细胞稀释10倍,计算细胞浓度,细胞浓度计算公式为:4大格细胞总数/4×104×10。调整细胞浓度到1×107个/mL。The HT-29 human colon cancer cell line was cultured and passaged routinely, after three passages in vitro. Centrifuge to obtain cells according to the above operation, resuspend the cells in the basal medium, absorb 10 μL of cells and dilute them 10 times, and calculate the cell concentration. Adjust the cell concentration to 1×10 7 cells/mL.
皮下移植瘤模型构建Subcutaneous xenograft tumor model construction
将细胞悬液置于冰上,轻轻吹打,避免气泡产生,缓慢混匀后,抓取裸鼠,使其侧位,用碘伏消毒前肢腋部皮肤,用1mL注射器吸取100μL细胞悬液注射至腋部皮下,缓慢退针,以防细胞溢出。Place the cell suspension on ice, blow it gently to avoid the generation of air bubbles, mix slowly, grab the nude mouse, make it sideways, disinfect the axillary skin of the forelimb with iodophor, draw 100 μL of the cell suspension with a 1mL syringe and inject Under the skin of the armpit, withdraw the needle slowly to prevent cells from overflowing.
动物分组及给药剂量Animal grouping and dosage
当肿瘤体积达到100mm3时,按照肿瘤体积大小进行随机分组。分组和给药信息见下表:When the tumor volume reached 100mm 3 , random grouping was performed according to the tumor volume. See the table below for grouping and dosing information:
表2分组给药信息表
Table 2 group administration information table
动物分组animal grouping
组别设计:模型组,溶剂对照组,阳性对照组,KDR2-2高低剂量组皮下注射(10mg/kg、100mg/kg),KDR2-2高低剂量组灌胃(10mg/kg、100mg/kg)。Group design: model group, solvent control group, positive control group, KDR2-2 high and low dose group subcutaneous injection (10mg/kg, 100mg/kg), KDR2-2 high and low dose group intragastric administration (10mg/kg, 100mg/kg) .
动物数量:除模型组6只外,其余每组5只/组;Number of animals: 5 animals per group except the model group 6;
分组方法:选择成瘤动物进行实验,按照肿瘤体积大小进行随机分组;Grouping method: select tumor-forming animals for experiments, and randomly group them according to tumor volume;
剩余动物的处理:分组结束后,对不符合实验要求的小鼠进行安乐死处理。 Treatment of remaining animals: After grouping, the mice that did not meet the experimental requirements were euthanized.
给药信息Dosing Information
给药途径:灌胃,皮下及腹腔Administration route: gavage, subcutaneous and intraperitoneal
给药频率:1次/天Dosing frequency: 1 time/day
给药体积:0.1mL/10gAdministration volume: 0.1mL/10g
首次给药当天定义为实验第1天(day1,D1)The day of the first administration is defined as the first day of the experiment (day1, D1)
观察与检查Observation and inspection
一般状态观察General Status Observation
观察时间:肿瘤接种后每天观察1次,根据实际情况可适当增加观察频率;Observation time: observe once a day after tumor inoculation, and the observation frequency can be appropriately increased according to the actual situation;
常规观察内容:肿瘤生长情况,体重,小鼠外观体征、一般行为活动、精神状态、呼吸状态、粪便性状、生殖器、死亡等情况;Routine observation content: tumor growth, body weight, appearance and signs of mice, general behavioral activities, mental state, respiratory state, feces properties, genitalia, death, etc.;
观察动物:所有实验动物。Observed animals: all experimental animals.
体重weight
测定时间:首次给药前测定1次,给药期每周测量两次;Measurement time: measure once before the first administration, and measure twice a week during the administration period;
测定动物:所有存活实验小鼠。Measuring animals: all surviving experimental mice.
瘤体大小tumor size
观察时间:每周测量两次瘤体大小;Observation time: Tumor size was measured twice a week;
测定方法:游标卡尺测量移植瘤长径(a)、短径(b);Measuring method: measure the long diameter (a) and short diameter (b) of the transplanted tumor with a vernier caliper;
观察动物:分组前所有荷瘤动物,分组后所有入组存活实验动物。Observed animals: all tumor-bearing animals before grouping, and all surviving experimental animals after grouping.
动物解剖animal anatomy
解剖时间:D20Dissection time: D20
解剖动物:所有计划解剖动物。Dissected Animals: All planned dissected animals.
瘤重检测:末次给药后第2天处死动物,小心取出完整瘤体,电子天平称重并记录。Tumor weight detection: The animals were sacrificed on the second day after the last administration, and the complete tumor body was carefully removed, weighed and recorded with an electronic balance.
肿瘤固定:肿瘤称重后,选择部分瘤体置于10倍体积中性甲醛中固定。Tumor fixation: After the tumor was weighed, a portion of the tumor was selected and fixed in 10 times the volume of neutral formaldehyde.
治疗效果评价Treatment Effect Evaluation
相对肿瘤增殖率T/C(%)Relative tumor proliferation rate T/C (%)
肿瘤体积(V)的计算公式为:V=a×b2×l/2;The formula for calculating tumor volume (V) is: V=a×b 2 ×l/2;
其中,a、b分别表示长宽。根据测量的结果计算出相对肿瘤体积(RTV),计算公式为:RTV=Vt/V0。其中V0为分组给药当天(即第一天)测量所得肿瘤体积,Vt为每一次测量时的肿瘤体积。抗肿瘤活性的评价指标为相对肿瘤增殖率T/C(%),计算公式如下:T/C(%)=TRTV/CRTV×100%;TRTV:治疗组RTV;CRTV:模型对照组RTV。Among them, a and b represent the length and width respectively. The relative tumor volume (RTV) was calculated according to the measured results, and the calculation formula was: RTV=V t /V 0 . Where V 0 is the tumor volume measured on the day of group administration (ie, the first day), and V t is the tumor volume at each measurement. The evaluation index of antitumor activity is the relative tumor proliferation rate T/C (%), and the calculation formula is as follows: T/C (%)=T RTV /C RTV × 100%; T RTV : treatment group RTV; C RTV : model control Group RTV.
疗效评价标准:T/C(%)>40%为无效;T/C(%)≤40%,并经方差分析与模型组相比P<0.05为有效。Evaluation criteria for curative effect: T/C(%)>40% is invalid; T/C(%)≤40%, and P<0.05 compared with the model group by variance analysis is effective.
抑瘤率(%)的计算Calculation of tumor inhibition rate (%)
抑瘤率可以以瘤重计算,也可以以瘤体积计算。The tumor inhibition rate can be calculated by tumor weight or tumor volume.
实验结束,安乐死动物,解剖取瘤块称每组瘤重;At the end of the experiment, the animals were euthanized, and the tumor pieces were dissected to weigh the tumor weight of each group;
按照下面公式计算抑瘤率(%): Calculate the tumor inhibition rate (%) according to the following formula:
肿瘤生长抑制率%=(对照组平均瘤重-治疗组平均瘤重)/对照组平均瘤重×100%;Tumor growth inhibition rate%=(average tumor weight of the control group-average tumor weight of the treatment group)/average tumor weight of the control group×100%;
肿瘤生长抑制率%(以瘤体积计算):Tumor growth inhibition rate % (calculated by tumor volume):
若T>T0,肿瘤生长抑制率(TGI)%=[1-T/C]×100%;若T<T0,肿瘤生长抑制率(TGI)%=[1-(T-T0)/T0]×100%。其中T、C分别为治疗组和对照组在实验结束时的肿瘤体积;T0、C0分别为治疗组和对照组在实验开始时的肿瘤体积。If T>T0, tumor growth inhibition rate (TGI)%=[1-T/C]×100%; if T<T0, tumor growth inhibition rate (TGI)%=[1-(T-T0)/T0] ×100%. Where T and C are the tumor volumes of the treatment group and the control group at the end of the experiment, respectively; T0 and C0 are the tumor volumes of the treatment group and the control group at the beginning of the experiment, respectively.
有效判定标准:抑瘤率(即肿瘤生长抑制率)<40%为无效;抑瘤率≥40%并经统计学处理P<0.05为有效。Criteria for judging effectiveness: tumor inhibition rate (ie tumor growth inhibition rate) < 40% is invalid; tumor inhibition rate ≥ 40% and P < 0.05 through statistical processing is effective.
综合判定标准Comprehensive Judgment Standard
上述2项有效判定标准(相对肿瘤增殖率和抑瘤率)中,有一项符合即为有效。It is effective if one of the above two effective criteria (relative tumor proliferation rate and tumor inhibition rate) meets.
统计分析Statistical Analysis
所有数据均用平均值±SD表示。首先用Levene’s Test对数据进行均一性检验,如果数据均一(p>0.05),则进行单因素方差分析;如果方差分析显著(p≤0.05),则进行Dunnett’s多重比较,给药组之间的分析不做评价。如果Levene’s Test的结果显著(p≤0.05),则进行Kruskal-Wallis非参数检验。如果Kruskal-Wallis非参数检验结果显著(p≤0.05),则进一步采用Mann-Whitney U检验进行两两比较。All data are presented as mean ± SD. First, use Levene's Test to test the homogeneity of the data. If the data is uniform (p>0.05), then perform one-way analysis of variance; if the analysis of variance is significant (p≤0.05), then perform Dunnett's multiple comparisons, and analyze between drug groups Do not comment. If the result of Levene's Test is significant (p≤0.05), the Kruskal-Wallis nonparametric test was performed. If the result of Kruskal-Wallis non-parametric test is significant (p≤0.05), the Mann-Whitney U test will be used for pairwise comparison.
实验结果Experimental results
1.肿瘤体积:1. Tumor volume:
模型对照组:D0(接种造模15天后,开始分组给药)、D7(分组给药7天后)、D14、D20时,肿瘤体积为181.21±67.42mm3、498.14±136.65mm3、796.39±121.96mm3和1161.48±168.3mm3Model control group: on D0 (15 days after inoculation and modeling, group administration began), D7 (7 days after group administration), D14, and D20, the tumor volumes were 181.21±67.42mm 3 , 498.14±136.65mm 3 , 796.39±121.96mm mm 3 and 1161.48±168.3mm 3 .
溶剂对照组:D0、D7、D14和D20时,肿瘤体积为172.7±57.27mm3、625.95±222.89mm3、1202.55±509.6mm3和1387.18±506.07mm3,D7、D14和D20时与同期模型对照组相比均无统计学差异(p>0.05)。Vehicle control group: on D0, D7, D14 and D20, the tumor volumes were 172.7±57.27mm 3 , 625.95±222.89mm 3 , 1202.55±509.6mm 3 and 1387.18±506.07mm 3 , compared with the same period model at D7, D14 and D20 There was no statistical difference between the groups (p>0.05).
阳性对照组:D0、D7、D14和D20时,肿瘤体积为198.54±88.3mm3、722.09±179.94mm3、990.64±260.59mm3和745.18±108.36mm3。D7和D14时与同期模型对照组和溶剂对照组相比均无统计学差异(p>0.05);D20时与同期模型对照组和溶剂对照组相比肿瘤体积减小且有显著统计学差异(p≤0.05)。Positive control group: on D0, D7, D14 and D20, the tumor volumes were 198.54±88.3mm 3 , 722.09±179.94mm 3 , 990.64±260.59mm 3 and 745.18±108.36mm 3 . On D7 and D14, there was no statistical difference compared with the model control group and the solvent control group during the same period (p>0.05); on D20, the tumor volume decreased compared with the model control group and the solvent control group during the same period, and there was a significant statistical difference ( p≤0.05).
供试品低剂量组:D0、D7、D14和D20时,肿瘤体积为182.96±71.85mm3、435.54±154.92mm3、672.77±234.09mm3和923.84±325.26mm3。D7时与同期模型对照组和溶剂对照组相比均无统计学差异(p>0.05),与同期阳性对照组比较肿瘤体积减小且有显著统计学差异(p≤0.01);D14时与同期模型对照组和阳性对照组相比均无统计学差异(p>0.05),与同期溶剂对照组比较肿瘤体积减小且有显著统计学差异(p≤0.05);D20与同期模型对照组、溶剂对照组和阳性对照组相比均无统计学差异(p>0.05)。In the low dose group of the test product: on D0, D7, D14 and D20, the tumor volumes were 182.96±71.85mm 3 , 435.54±154.92mm 3 , 672.77±234.09mm 3 and 923.84±325.26mm 3 . There was no statistical difference (p>0.05) on D7 compared with the model control group and the solvent control group at the same period (p>0.05). Compared with the model control group and the positive control group, there was no statistical difference (p>0.05), and compared with the solvent control group in the same period, the tumor volume was reduced and there was a significant statistical difference (p≤0.05); There was no statistical difference between the control group and the positive control group (p>0.05).
供试品高剂量组:D0、D7、D14和D20时,肿瘤体积为180.67±52.45mm3、299.38±110.7mm3、302.72±130.68mm3和250.29±83.45mm3。D7时与同期模型对照组和供试品低剂量组相比无统计学差异(p>0.05),与同期溶剂对照组和阳性对照组比较肿瘤体积均减小且有显著统计学差异(p≤0.01,p≤0.001);D14和D20时与同期模型对照组、溶剂对照组、阳性对照组和供试品低剂量组相比肿瘤体积均减小且有显著统计学差异(p≤0.01,p≤0.01,p≤0.01,p≤0.001)。In the high-dose group of the test product: on D0, D7, D14 and D20, the tumor volumes were 180.67±52.45mm 3 , 299.38±110.7mm 3 , 302.72±130.68mm 3 and 250.29±83.45mm 3 . On D7, there was no statistical difference (p>0.05) compared with the model control group and the low-dose group of the test product in the same period, and compared with the solvent control group and the positive control group in the same period, the tumor volume was all reduced and there was a significant statistical difference (p≤ 0.01, p≤0.001); on D14 and D20, compared with the model control group, solvent control group, positive control group and low-dose test product group, the tumor volumes were all reduced and there were significant statistical differences (p≤0.01, p ≤0.01, p≤0.01, p≤0.001).
综上所述,腹腔注射丝裂霉素和KDR2-2混悬液均对HT-29肿瘤体积具有抑制作用。 其中5mg/kg丝裂霉素则可以明显抑制甚至使肿瘤体积减小,KDR2-2混悬液对肿瘤体积的抑制效果可见一定的剂量-反应关系,低剂量10mg/kg KDR2-2混悬液抑制效果稍弱,高剂量100mg/kg KDR2-2混悬液则具有非常强的抑制作用。In conclusion, intraperitoneal injection of mitomycin and KDR2-2 suspension can inhibit the tumor volume of HT-29. Among them, 5mg/kg mitomycin can significantly inhibit or even reduce the tumor volume. The inhibitory effect of KDR2-2 suspension on tumor volume can be seen in a certain dose-response relationship. The low dose of 10mg/kg KDR2-2 suspension The inhibitory effect is slightly weak, and the high dose of 100mg/kg KDR2-2 suspension has a very strong inhibitory effect.
各组平均肿瘤体积结果见图2及表3。The average tumor volume results of each group are shown in Figure 2 and Table 3.
表3平均肿瘤体积(mm3,Mean±SD)
Table 3 Average tumor volume (mm 3 , Mean±SD)
注:n表示纳入统计分析的动物数量。Note: n indicates the number of animals included in the statistical analysis.
与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001。Compared with the model control group at the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001.
与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001。Compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001.
与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001。Compared with the positive control group in the same period, c p≤0.05, cc p≤0.01, ccc p≤0.001.
与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
2.相对肿瘤体积(RTV):2. Relative tumor volume (RTV):
模型对照组:D7、D14和D20时,RTV分别为2.92±0.74、4.84±1.67和7.78±1.93。Model control group: On D7, D14 and D20, the RTVs were 2.92±0.74, 4.84±1.67 and 7.78±1.93, respectively.
溶剂对照组:D7、D14和D20时,RTV分别为3.73±0.97、6.91±1.24和8.19±1.79,与同期模型对照组相比均无统计学差异(p>0.05)。Solvent control group: On D7, D14 and D20, the RTVs were 3.73±0.97, 6.91±1.24 and 8.19±1.79, respectively, and there was no statistical difference compared with the model control group during the same period (p>0.05).
阳性对照组:D7、D14和D20时,RTV分别为4.00±1.20、5.86±3.34和4.21±1.93。D7和D14与同期模型对照组和溶剂对照组相比均无统计学差异(p>0.05);D20与同期模型对照组和溶剂对照组相比RTV均有减小且有显著统计学差异(p≤0.05)。Positive control group: on D7, D14 and D20, the RTVs were 4.00±1.20, 5.86±3.34 and 4.21±1.93, respectively. Compared with the model control group and the solvent control group in the same period on D7 and D14, there was no statistical difference (p>0.05); compared with the model control group and the solvent control group in the same period, the RTV on D20 decreased and there was a significant statistical difference (p ≤0.05).
供试品低剂量组:D7、D14和D20时,RTV分别为2.44±0.40、3.86±1.15和5.4±2.46。D7时与同期模型对照组和相比无统计学差异(p>0.05),与同期溶剂对照组和阳性对照组比较RTV均有减小且有显著统计学差异(p≤0.05,p≤0.05);D14时与同期模型对照组和同期溶剂对照组相比无统计学差异(p>0.05,p>0.05),与阳性对照组比较RTV均有减小且有显著统计学差异(p≤0.05);D20与同期模型对照组、溶剂对照组和阳性对照组相比均无统计学差异(p>0.05)。In the low dose group of the test product: on D7, D14 and D20, the RTVs were 2.44±0.40, 3.86±1.15 and 5.4±2.46, respectively. On D7, there was no statistical difference compared with the model control group and the same period (p>0.05), and compared with the solvent control group and the positive control group during the same period, the RTV was reduced and there was a significant statistical difference (p≤0.05, p≤0.05) ; There was no statistical difference (p>0.05, p>0.05) compared with the model control group and the solvent control group at the same period on D14, and the RTV was reduced compared with the positive control group and there was a significant statistical difference (p≤0.05) ; There was no statistical difference in D20 compared with the model control group, solvent control group and positive control group (p>0.05).
供试品高剂量组:D7、D14和D20时,RTV分别为1.64±0.19、1.63±0.3和1.32±0.33。D7和D4时与同期模型对照组、溶剂对照组、阳性对照组和供试品低剂量组相比RTV均有减小且有显著统计学差异(p≤0.01,p≤0.01,p≤0.01,p≤0.001),D20时与同期模型对照组、溶剂对照组和供试品低剂量组相比RTV均有减小且有显著统计学差异(p≤0.001,p≤0.001,p≤0.01),与同期阳性对照组相比无统计学差异(p>0.05)。 In the high-dose group of the test product: on D7, D14 and D20, the RTVs were 1.64±0.19, 1.63±0.3 and 1.32±0.33, respectively. On D7 and D4, compared with the model control group, solvent control group, positive control group and test product low-dose group, the RTV all decreased and had significant statistical differences (p≤0.01, p≤0.01, p≤0.01, p≤0.001), on D20, compared with the model control group, solvent control group and test product low-dose group, the RTV all decreased and had significant statistical differences (p≤0.001, p≤0.001, p≤0.01), Compared with the positive control group in the same period, there was no statistical difference (p>0.05).
综上所述,腹腔注射丝裂霉素和KDR2-2混悬液均对HT-29相对肿瘤体积(RTV)具有抑制作用。5mg/kg丝裂霉素则可以明显减小RTV,KDR2-2混悬液对相对肿瘤体积的抑制效果可见一定的剂量-反应关系,低剂量10mg/kg KDR2-2混悬液抑制效果效弱,高剂量100mg/kg KDR2-2混悬液则具有非常强的抑制作用,这与其对肿瘤体积的抑制作用结果一致。In conclusion, intraperitoneal injection of mitomycin and KDR2-2 suspension both have inhibitory effects on HT-29 relative tumor volume (RTV). 5mg/kg mitomycin can significantly reduce RTV, and the inhibitory effect of KDR2-2 suspension on the relative tumor volume can be seen in a certain dose-response relationship, and the inhibitory effect of low-dose 10mg/kg KDR2-2 suspension is weak , high-dose 100mg/kg KDR2-2 suspension has a very strong inhibitory effect, which is consistent with its inhibitory effect on tumor volume.
各组平均相对肿瘤体积(RTV)结果见图3及表4。The average relative tumor volume (RTV) results of each group are shown in Figure 3 and Table 4.
表4平均相对肿瘤体积(Mean±SD)
Table 4 Mean Relative Tumor Volume (Mean±SD)
注:n表示纳入统计分析的动物数量。Note: n indicates the number of animals included in the statistical analysis.
与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001。Compared with the model control group at the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001.
与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001。Compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001.
与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001。Compared with the positive control group in the same period, c p≤0.05, cc p≤0.01, ccc p≤0.001.
与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
3.相对肿瘤增殖率T/C(%):3. Relative tumor proliferation rate T/C (%):
溶剂对照组:D7、D14和D20时,T/C分别为127.88%、142.87%和105.33%。Solvent control group: at D7, D14 and D20, T/C were 127.88%, 142.87% and 105.33%, respectively.
阳性对照组:D7、D14和D20时,T/C分别为137.03%、121.19%和54.12%。Positive control group: on D7, D14 and D20, T/C were 137.03%, 121.19% and 54.12%, respectively.
供试品低剂量组:D7、D14和D20时,T/C分别为83.20%、80.17%和69.42%。The low dose group of the test product: on D7, D14 and D20, T/C were 83.20%, 80.17% and 69.42% respectively.
供试品高剂量组:D7、D14和D20时,T/C分别为56.73%、34.03%和16.98%。In the high-dose group of the test product: on D7, D14 and D20, T/C were 56.73%, 34.03% and 16.98% respectively.
根据T/C(%)>40%为无效;T/C(%)≤40%,并经方差分析与模型组相比p<0.05为有效的疗效评价标准,阳性对照药丝裂霉素(5mg/kg)和高剂量供试品KDR2-2混悬液(100mg/kg)均达到有效评价标准,表明该条件下丝裂霉素和KDR2-2混悬液均能有效抑制HT-29肿瘤增殖。According to T/C (%) > 40% is invalid; T/C (%) ≤ 40%, and compare p<0.05 to be effective curative effect evaluation standard with model group through analysis of variance, positive control drug mitomycin ( 5mg/kg) and high-dose test product KDR2-2 suspension (100mg/kg) all reach effective evaluation standard, show that mitomycin and KDR2-2 suspension all can effectively inhibit HT-29 tumor under this condition proliferation.
4.瘤重:4. Tumor weight:
实验结束时,对所有存活动物进行安乐死,解剖取瘤块称重,计算各组瘤重平均值。At the end of the experiment, all surviving animals were euthanized, the tumor mass was dissected and weighed, and the average tumor weight of each group was calculated.
模型对照组平均瘤重为0.82±0.23g。The average tumor weight of the model control group was 0.82±0.23g.
溶剂对照组平均瘤重为0.92±0.25g,与模型对照组相比无统计学差异(p>0.05)。The average tumor weight of the solvent control group was 0.92±0.25g, which was not significantly different from that of the model control group (p>0.05).
阳性对照组平均瘤重为0.47±0.05g,与模型对照组和溶剂对照组相比均有减小且有显著统计学差异(p≤0.05,p≤0.01)。 The average tumor weight of the positive control group was 0.47±0.05g, which was smaller than that of the model control group and the solvent control group with significant statistical difference (p≤0.05, p≤0.01).
供试品低剂量组平均瘤重为0.63±0.16g,与模型对照组和阳性对照组相比均比无统计学差异(p>0.05),与溶剂对照组相比有减小且有显著统计学差异(p≤0.05)。The average tumor weight of the low-dose group of the test product was 0.63±0.16g, which had no statistical difference compared with the model control group and the positive control group (p>0.05), and decreased compared with the solvent control group and had statistically significant There were no statistical differences (p≤0.05).
供试品高剂量组平均瘤重为0.18±0.05g,与模型对照组、溶剂对照组、阳性对照组和供试品低剂量组相比均有减小且有显著统计学差异(p≤0.001,p≤0.001,p≤0.05,p≤0.001)。The average tumor weight of the high-dose group of the test product was 0.18±0.05g, which was significantly reduced compared with the model control group, the solvent control group, the positive control group and the low-dose group of the test product (p≤0.001 , p≤0.001, p≤0.05, p≤0.001).
综上所述,腹腔注射5mg/kg丝裂霉素和KDR2-2混悬液(10mg/kg和100mg/kg)均对HT-29肿瘤瘤重具有抑制作用。其中100mg/kg KDR2-2混悬液对肿瘤瘤重的抑制作用最强,5mg/kg丝裂霉素次之,10mg/kg KDR2-2混悬液稍弱。KDR2-2混悬液对相对肿瘤体积的抑制效果可见一定的剂量-反应关系。这与其对肿瘤体积和相对肿瘤体积的抑制作用结果一致。In summary, intraperitoneal injection of 5 mg/kg mitomycin and KDR2-2 suspension (10 mg/kg and 100 mg/kg) both have inhibitory effects on the tumor weight of HT-29 tumors. Among them, 100mg/kg KDR2-2 suspension has the strongest inhibitory effect on tumor weight, followed by 5mg/kg mitomycin, and 10mg/kg KDR2-2 suspension is slightly weaker. The inhibitory effect of KDR2-2 suspension on the relative tumor volume shows a certain dose-response relationship. This is consistent with its inhibitory effect on tumor volume and relative tumor volume results.
各组平均瘤重结果见图4及表5。The results of average tumor weight in each group are shown in Figure 4 and Table 5.
表5平均瘤重(g,Mean±SD)
Table 5 Average tumor weight (g, Mean±SD)
注:n表示纳入统计分析的动物数量。Note: n indicates the number of animals included in the statistical analysis.
与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001。Compared with the model control group at the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001.
与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001。Compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001.
与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001。Compared with the positive control group in the same period, c p≤0.05, cc p≤0.01, ccc p≤0.001.
与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
5.抑瘤率:5. Tumor inhibition rate:
溶剂对照组:抑瘤率为-5.33%(以瘤体积计算)和-11.65%(以瘤重计算)。Solvent control group: the tumor inhibition rate was -5.33% (calculated by tumor volume) and -11.65% (calculated by tumor weight).
阳性对照组:抑瘤率为45.88%(以瘤体积计算)和43.50%(以瘤重计算)。Positive control group: tumor inhibition rate was 45.88% (calculated by tumor volume) and 43.50% (calculated by tumor weight).
供试品低剂量组:抑瘤率为30.58%(以瘤体积计算)和23.99%(以瘤重计算)。The low-dose group of the test product: the tumor inhibition rate was 30.58% (calculated by tumor volume) and 23.99% (calculated by tumor weight).
供试品高剂量组:抑瘤率为83.02%(以瘤体积计算)和78.39%(以瘤重计算)。The high-dose group of the test product: the tumor inhibition rate was 83.02% (calculated by tumor volume) and 78.39% (calculated by tumor weight).
根据抑瘤率(即肿瘤生长抑制率)<40%为无效;抑瘤率≥40%并经统计学处理p<0.05为有效的疗效评价标准,阳性对照药丝裂霉素(5mg/kg)和高剂量供试品KDR2-2混悬液(100mg/kg)均达到有效评价标准,表明该条件下丝裂霉素和KDR2-2混悬液均能有效抑制HT-29肿瘤增殖。According to tumor inhibition rate (i.e. tumor growth inhibition rate) < 40% is invalid; tumor inhibition rate ≥ 40% and after statistical processing p < 0.05 is an effective efficacy evaluation standard, positive control drug mitomycin (5mg/kg) and high-dose test product KDR2-2 suspension (100mg/kg) all reached the effective evaluation standard, showing that under this condition, both mitomycin and KDR2-2 suspension can effectively inhibit the proliferation of HT-29 tumors.
6.体重:6. Weight:
模型对照组:D0、D7、D14和D20时,体重为21.96±1.45g、22.48±1.58g、21.44±2.25g和21.08±3.15g。Model control group: on D0, D7, D14 and D20, the body weight was 21.96±1.45g, 22.48±1.58g, 21.44±2.25g and 21.08±3.15g.
溶剂对照组:D0、D7、D14和D20时,体重为23.02±0.99g、22.94±0.88g、22.9±0.94g和22.42±0.87g,D0、D7、D14和D20时与同期模型对照组相比均无统计学差异(p>0.05)。 Solvent control group: on D0, D7, D14 and D20, the body weight was 23.02±0.99g, 22.94±0.88g, 22.9±0.94g and 22.42±0.87g, compared with the model control group at the same period on D0, D7, D14 and D20 There was no statistical difference (p>0.05).
阳性对照组:D0、D7、D14和D20时,体重为21.54±0.27g、20.42±0.94g/18.52±0.97g和17.7±1.41g。D7时与同期模型对照组和溶剂对照组相比均有减小且有显著统计学差异(p≤0.05,p≤0.01);D14时与同期模型对照组和溶剂对照组相比均有减小且有显著统计学差异(p≤0.01,p≤0.001);D20时与同期模型对照组相比均有减小且有显著统计学差异(p≤0.05),但因动物死亡使得此时该组只有两个个体数据,所以统计学数据意义不大。Positive control group: on D0, D7, D14 and D20, the body weight was 21.54±0.27g, 20.42±0.94g/18.52±0.97g and 17.7±1.41g. Compared with the model control group and the solvent control group in the same period at D7, there was a significant statistical difference (p≤0.05, p≤0.01); at D14, compared with the model control group and the solvent control group in the same period, the And there is a significant statistical difference (p≤0.01, p≤0.001); compared with the model control group at the same time, there is a decrease and a significant statistical difference (p≤0.05) at D20, but the death of the animal makes the group There are only two individual data, so the statistical data is not very meaningful.
供试品低剂量组:D0、D7、D14和D20时,体重为22.01±1.23g、21.79±1.23g、21.97±1.54g和21.45±1.55g。D7时与同期模型对照组、溶剂对照组和阳性对照组相比均无统计学差异(p>0.05);D14和D20时与同期模型对照组和溶剂对照组相比均无统计学差异(p>0.05),与同期阳性对照组比较体重增加且有显著统计学差异(p≤0.001,p≤0.05),同样,D20时阳性对照组样本量过小,统计学意义不大。The low-dose group of the test product: on D0, D7, D14 and D20, the body weight was 22.01±1.23g, 21.79±1.23g, 21.97±1.54g and 21.45±1.55g. Compared with the same period model control group, solvent control group and positive control group, there was no statistical difference (p>0.05) at D7; there was no statistical difference compared with the same period model control group and solvent control group at D14 and D20 (p >0.05), compared with the positive control group in the same period, the body weight increased and there was a significant statistical difference (p≤0.001, p≤0.05). Similarly, the sample size of the positive control group was too small at D20, and the statistical significance was not significant.
供试品高剂量组:D0、D7、D14和D20时,体重为22.29±1.11g、20.21±1.18g、17.29±1.17g和15.03±0.46g。D7时与同期模型对照组、溶剂对照组和供试品低剂量组相比体重均减小且有显著统计学差异(p≤0.01,p≤0.001,p≤0.05),与同期阳性对照组相比无统计学差异(p>0.05);D14和D20时与同期模型对照组、溶剂对照组、和供试品低剂量组相比体重均减小且有显著统计学差异(p≤0.001,p≤0.001,p≤0.001),与同期阳性对照组相比无统计学差异(p>0.05)。The high-dose group of the test product: on D0, D7, D14 and D20, the body weight was 22.29±1.11g, 20.21±1.18g, 17.29±1.17g and 15.03±0.46g. Compared with the same period of model control group, solvent control group and test product low dose group, the body weight all decreased and there was a significant statistical difference (p≤0.01, p≤0.001, p≤0.05) at D7, compared with the same period of positive control group There was no statistical difference (p>0.05); when D14 and D20, compared with the model control group, the solvent control group, and the low-dose group of the test product, the body weight all decreased and there was a significant statistical difference (p≤0.001, p ≤0.001, p≤0.001), there was no statistical difference compared with the positive control group in the same period (p>0.05).
综上所述,腹腔注射阳性对照药丝裂霉素和高剂量供试品100mg/kg KDR2-2混悬液均使能动物体重显著下降。阳性对照组(丝裂霉素5mg/kg)中,在给药第6天,3只动物出现死亡,占该组动物数量60%。To sum up, the intraperitoneal injection of the positive control drug mitomycin and the high-dose test product 100mg/kg KDR2-2 suspension can significantly reduce the body weight of the animals. In the positive control group (mitomycin 5 mg/kg), 3 animals died on the 6th day of administration, accounting for 60% of the animals in this group.
各组平均体重结果见图5及表6。The average body weight results of each group are shown in Figure 5 and Table 6.
表6平均体重(g,Mean±SD)
Table 6 Average body weight (g, Mean±SD)
注:n表示纳入统计分析的动物数量。Note: n indicates the number of animals included in the statistical analysis.
与同期模型对照组比较,ap≤0.05,aap≤0.01,aaap≤0.001。Compared with the model control group at the same period, a p≤0.05, aa p≤0.01, aaa p≤0.001.
与同期溶剂对照组比较,bp≤0.05,bbp≤0.01,bbbp≤0.001。Compared with the solvent control group in the same period, b p≤0.05, bb p≤0.01, bbb p≤0.001.
与同期阳性对照组比较,cp≤0.05,ccp≤0.01,cccp≤0.001。Compared with the positive control group in the same period, c p≤0.05, cc p≤0.01, ccc p≤0.001.
与同期供试品低剂量组比较,dp≤0.05,ddp≤0.01,dddp≤0.001。Compared with the low dose group of the test product in the same period, d p≤0.05, dd p≤0.01, ddd p≤0.001.
结论in conclusion
本实验条件下,腹腔注射KDR2-2混悬液20天,在100mg/kg剂量下可明显有效抑 制HT-29肿瘤生长增殖,并表现出一定的剂量-反应关系。Under the conditions of this experiment, intraperitoneal injection of KDR2-2 suspension for 20 days can significantly and effectively inhibit Inhibit the growth and proliferation of HT-29 tumors, and show a certain dose-response relationship.
实施例3:KDR2-2对脑胶质瘤疗效的初步评价Example 3: Preliminary evaluation of the curative effect of KDR2-2 on glioma
模型构建model building
实验动物以及给药剂量设置Experimental animals and dosing settings
中山大学实验动物中心购买成年雄性C57BL/6小鼠(7-8周),伽马刀照射(诱导脑胶质瘤形成)后2周开始给药KDR2-2。按10、80mg/kg体重的剂量持续给药4周。Adult male C57BL/6 mice (7-8 weeks) were purchased from the Experimental Animal Center of Sun Yat-sen University, and KDR2-2 was administered 2 weeks after gamma knife irradiation (to induce glioma formation). The doses of 10 and 80 mg/kg body weight were continuously administered for 4 weeks.
供试品及供试品溶液配制Preparation of the test product and the test product solution
KDR2-2混悬液(规格:0.4mL:4.0mg,配制同实施例2)。KDR2-2 suspension (specification: 0.4mL: 4.0mg, the preparation is the same as in Example 2).
不含药物的溶剂对照为安慰剂。The vehicle control without drug was placebo.
动物分组animal grouping
组别设计:模型组,溶剂对照组,KDR2-2高低剂量组皮下注射(80mg/kg、10mg/kg)。KDR2-2供试品的配制同实施例2。KDR2-2-L代表KDR2-2低剂量组,KDR2-2-H代表KDR2-2高剂量组。Group design: model group, solvent control group, KDR2-2 high and low dose group subcutaneous injection (80 mg/kg, 10 mg/kg). The preparation of KDR2-2 test sample is the same as in Example 2. KDR2-2-L represents the KDR2-2 low-dose group, and KDR2-2-H represents the KDR2-2 high-dose group.
动物数量:模型组10只/组,溶剂对照组10只/组,给药剂量高低剂量组各10只/组。Number of animals: 10 animals/group in the model group, 10 animals/group in the solvent control group, and 10 animals/group in each of the high and low dose groups.
给药信息Dosing Information
给药途径:腹腔注射;给药频率:1次/天Administration route: intraperitoneal injection; administration frequency: 1 time/day
指标检测Indicator detection
MRI检测:分别于照射后1w、2w、4w、6w检测水肿灶大小MRI detection: detect the size of edema focus at 1w, 2w, 4w, and 6w after irradiation
实验结果Experimental results
图6示出了经KDR2-2处理后,小鼠脑部的MRI图像。Fig. 6 shows MRI images of mouse brains treated with KDR2-2.
图7示出了经KDR2-2处理后,小鼠体内的病变体积。Figure 7 shows the lesion volume in mice treated with KDR2-2.
图8示出了经KDR2-2处理后,小鼠的体重情况。Figure 8 shows the body weight of mice treated with KDR2-2.
图9展示了在用KDR2-2处理后,小鼠毛发变白。Figure 9 demonstrates graying of mouse hair after treatment with KDR2-2.
本申请描述了多个实施例,但是该描述是示例性的,而不是限制性的,并且对于本领域的普通技术人员来说显而易见的是,在本申请所描述的实施例包含的范围内可以有更多的实施例和实现方案。尽管在附图中示出了许多可能的特征组合,并在具体实施方式中进行了讨论,但是所公开的特征的许多其它组合方式也是可能的。除非特意加以限制的情况以外,任何实施例的任何特征或要素可以与任何其它实施例中的任何其他特征或要素结合使用,或可以替代任何其它实施例中的任何其他特征或要素。 The application describes a number of embodiments, but the description is illustrative rather than restrictive, and it will be obvious to those of ordinary skill in the art that within the scope of the embodiments described in the application, There are many more embodiments and implementations. Although many possible combinations of features are shown in the drawings and discussed in the detailed description, many other combinations of the disclosed features are possible. Except where expressly limited, any feature or element of any embodiment may be used in combination with, or substituted for, any other feature or element of any other embodiment.

Claims (9)

  1. 式I化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物在制备用于治疗癌症的药物中的用途
    Use of a compound of formula I or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate in the preparation of a medicament for treating cancer
  2. 根据权利要求1所述的用途,其中所述癌症为结肠癌、脑胶质瘤、肝癌、肝内/外胆管细胞癌、胆囊癌、胆道癌、肾癌/肾细胞癌、胃/胃食管结合部腺癌、胃肠间质瘤(GIST)、实体瘤、结肠直肠癌、小细胞/非小细胞肺癌、局部晚期或转移性分化型甲状腺癌/甲状腺髓样癌(MTC)、弥漫大B细胞淋巴瘤、头颈胸部肿瘤、骨原发恶性肿瘤、恶性黑色素瘤、胰腺神经内分泌瘤、尿路上皮癌、胃泌素瘤、细胞瘤、胰岛瘤或宫颈癌;优选地,所述癌症为结肠癌或脑胶质瘤。The use according to claim 1, wherein the cancer is colon cancer, glioma, liver cancer, intrahepatic/external cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, stomach/gastroesophageal junction Adenocarcinoma, gastrointestinal stromal tumor (GIST), solid tumor, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B cell Lymphoma, head, neck and thoracic tumor, primary malignancy of bone, malignant melanoma, pancreatic neuroendocrine tumor, urothelial carcinoma, gastrinoma, cell tumor, insulinoma or cervical cancer; preferably, the cancer is colon cancer or glioma.
  3. 一种治疗癌症的方法,包括向有相应需要的患者施用治疗有效量的式I所示的化合物
    A method for treating cancer, comprising administering a therapeutically effective amount of a compound represented by formula I to a patient in need
    或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物。Or its isotope variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate.
  4. 根据权利要求3所述的方法,其中所述癌症为结肠癌、脑胶质瘤、肝癌、肝内/外胆管细胞癌、胆囊癌、胆道癌、肾癌/肾细胞癌、胃/胃食管结合部腺癌、胃肠间质瘤(GIST)、实体瘤、结肠直肠癌、小细胞/非小细胞肺癌、局部晚期或转移性分化型甲状腺癌/甲状腺髓样癌(MTC)、弥漫大B细胞淋巴瘤、头颈胸部肿瘤、骨原发恶性肿瘤、恶性黑色素瘤、胰腺神经内分泌瘤、尿路上皮癌、胃泌素瘤、细胞瘤、胰岛瘤或宫颈癌;优选地,所述癌症为结肠癌或脑胶质瘤。The method according to claim 3, wherein the cancer is colon cancer, glioma, liver cancer, intrahepatic/external cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, stomach/gastroesophageal junction Adenocarcinoma, gastrointestinal stromal tumor (GIST), solid tumor, colorectal cancer, small cell/non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer/medullary thyroid carcinoma (MTC), diffuse large B cell Lymphoma, head, neck and thoracic tumor, primary malignancy of bone, malignant melanoma, pancreatic neuroendocrine tumor, urothelial carcinoma, gastrinoma, cell tumor, insulinoma or cervical cancer; preferably, the cancer is colon cancer or glioma.
  5. 根据权利要求4所述的方法,其中所述癌症为结肠癌,所述化合物抑制肿瘤细胞迁移和生长。The method of claim 4, wherein the cancer is colon cancer, and the compound inhibits tumor cell migration and growth.
  6. 根据权利要求3-5中任一项所述的方法,其中施用为肠胃外施用、口服施用或眼用。The method according to any one of claims 3-5, wherein the administration is parenteral, oral or ophthalmic.
  7. 根据权利要求3-5中任一项所述的方法,其中施用为注射施用或口服施用。The method according to any one of claims 3-5, wherein the administration is injection administration or oral administration.
  8. 式I所示的化合物
    Compound shown in formula I
    或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物,用于在治疗 癌症中使用。or its isotopic variants, tautomers, pharmaceutically acceptable salts, solvates or hydrates for use in the treatment of used in cancer.
  9. 根据权利要求8所述的用于使用的化合物或其同位素变体、互变异构体、药学上可接受的盐、溶剂化物或水合物,其中所述癌症为结肠癌、脑胶质瘤、肝癌、肝内/外胆管细胞癌、胆囊癌、胆道癌、肾癌/肾细胞癌、胃/胃食管结合部腺癌、胃肠间质瘤(GIST)、实体瘤、结肠直肠癌、小细胞/非小细胞肺癌、局部晚期或转移性分化型甲状腺癌/甲状腺髓样癌(MTC)、弥漫大B细胞淋巴瘤、头颈胸部肿瘤、骨原发恶性肿瘤、恶性黑色素瘤、胰腺神经内分泌瘤、尿路上皮癌、胃泌素瘤、细胞瘤、胰岛瘤或宫颈癌;优选地,所述癌症为结肠癌或脑胶质瘤。 The compound for use according to claim 8 or its isotopic variant, tautomer, pharmaceutically acceptable salt, solvate or hydrate, wherein the cancer is colon cancer, glioma, Liver cancer, intrahepatic/extrahepatic cholangiocarcinoma, gallbladder cancer, biliary tract cancer, kidney cancer/renal cell carcinoma, gastric/GEJ junction adenocarcinoma, gastrointestinal stromal tumor (GIST), solid tumors, colorectal cancer, small cell / non-small cell lung cancer, locally advanced or metastatic differentiated thyroid cancer / medullary thyroid carcinoma (MTC), diffuse large B-cell lymphoma, head, neck and thoracic tumors, primary malignant tumors of bone, malignant melanoma, pancreatic neuroendocrine tumors, Urothelial carcinoma, gastrinoma, cell tumor, insulinoma or cervical cancer; preferably, the cancer is colon cancer or glioma.
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