WO2024094064A1 - Pyrimidinylaminobenzènes pour le traitement du cancer du poumon avec métastase distante - Google Patents

Pyrimidinylaminobenzènes pour le traitement du cancer du poumon avec métastase distante Download PDF

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Publication number
WO2024094064A1
WO2024094064A1 PCT/CN2023/129067 CN2023129067W WO2024094064A1 WO 2024094064 A1 WO2024094064 A1 WO 2024094064A1 CN 2023129067 W CN2023129067 W CN 2023129067W WO 2024094064 A1 WO2024094064 A1 WO 2024094064A1
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Prior art keywords
amino
methyl
compound
pyrimidin
methoxy
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PCT/CN2023/129067
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English (en)
Inventor
Hui Zhao
Shuai YUAN
Xingzhe PENG
Yongqi GUO
Feng Gao
Pengzhi ZHANG
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Suzhou Puhe Biopharma Co., Ltd
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Publication of WO2024094064A1 publication Critical patent/WO2024094064A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings

Definitions

  • Provided herein is a method of treating, preventing, or ameliorating one or more symptoms of lung cancer with a distant metastasis with a pyrimidinylaminobenzene.
  • Lung cancer is the leading cause of cancer death worldwide. Wang et al., Front Oncol. 2020, 10, 715; Sung et al., CA Cancer J. Clin. 2021, 71, 209-49; Gen et al., BMC Cancer 2022, 22, 654.
  • NSCLC Non-small cell lung cancer
  • the incidence of distant metastasis at the time of diagnosis of NSCLC is about 50%. Tamura et al., Mol. Clin. Oncol.
  • the overall survival (OS) in NSCLC patients with a liver metastasis is also remarkably shorter than that in NSCLC patients without a liver metastasis. Id. Therefore, there is an unmet need for an effective therapy for treating lung cancer with a distant metastasis, especially NSCLC with a liver metastasis. Id.
  • a method of treating, preventing, or ameliorating one or more symptoms of lung cancer with a distant metastasis in a subject comprising administering to the subject in need thereof a therapeutically effective amount of a compound of Formula (I) :
  • R 1 is C 1-6 alkyl or C 3-10 cycloalkyl
  • R 2 is hydrogen or C 1-6 alkyl
  • R 3 is C 1-6 alkyl or heterocyclyl, each independently substituted with amino, C 1-6 alkylamino, di (C 1-6 alkyl) amino, or heterocyclyl;
  • R 4 is C 2-6 alkenyl or C 2-6 alkynyl
  • R 5 is bicyclic heteroaryl
  • each alkyl, alkenyl, alkynyl, cycloalkyl, heteroaryl, and heterocyclyl is optionally substituted with one or more, in one embodiment, one, two, three, or four, substituents Q, wherein each Q is independently selected from: (a) deuterium, cyano, halo, imino, nitro, and oxo; (b) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-10 cycloalkyl, C 6-14 aryl, C 7- 15 aralkyl, heteroaryl, and heterocyclyl, each of which is further optionally substituted with one or more, in one embodiment, one, two, three, or four, substituents Q a ; and (c) –C (O) R a , –C (O) OR a , –C (O) NR b R c , –C (O) SR a , –C (O
  • each Q a is independently selected from: (a) deuterium, cyano, halo, nitro, imino, and oxo; (b) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-10 cycloalkyl, C 6-14 aryl, C 7-15 aralkyl, heteroaryl, and heterocyclyl; and (c) –C (O) R e , –C (O) OR e , –C (O) NR f R g , –C (O) SR e , –C (NR e ) NR f R g , –C (S) R e , –C (S) OR e , –C (S) NR f R g , –OR e , –OC (O) R e , –OC (O) OR e , –OC (O) NR f R g , –
  • Also provided herein is a method of inhibiting the growth of a metastatic lung cancer cell, comprising contacting the cell with an effective amount of a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof.
  • a compound of Formula (I) or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof.
  • subject refers to an animal, including, but not limited to, a primate (e.g., human) , cow, pig, sheep, goat, horse, dog, cat, rabbit, rat, and mouse.
  • primate e.g., human
  • subject and patient are used interchangeably herein in reference, for example, to a mammalian subject, such as a human subject. In one embodiment, the subject is a human.
  • treat, ” “treating, ” and “treatment” are meant to include alleviating or abrogating a disorder, disease, or condition, or one or more of the symptoms associated with the disorder, disease, or condition; or alleviating or eradicating the cause (s) of the disorder, disease, or condition itself.
  • prevent, ” and “prevention” are meant to include a method of delaying and/or precluding the onset of a disorder, disease, or condition, and/or its attendant symptoms; barring a subject from acquiring a disorder, disease, or condition; or reducing a subject’s risk of acquiring a disorder, disease, or condition.
  • alleviate and “alleviating” refer to easing or reducing one or more symptoms (e.g., pain) of a disorder, disease, or condition.
  • the terms can also refer to reducing adverse effects associated with an active ingredient.
  • the beneficial effects that a subject derives from a prophylactic or therapeutic agent do not result in a cure of the disorder, disease, or condition.
  • contacting or “contact” is meant to refer to bringing together of a therapeutic agent and a biological molecule (e.g., a protein, enzyme, RNA, or DNA) , cell, or tissue such that a physiological and/or chemical effect takes place as a result of such contact. Contacting can take place in vitro, ex vivo, or in vivo.
  • a therapeutic agent is contacted with a biological molecule in vitro to determine the effect of the therapeutic agent on the biological molecule.
  • a therapeutic agent is contacted with a cell in cell culture (in vitro) to determine the effect of the therapeutic agent on the cell.
  • the contacting of a therapeutic agent with a biological molecule, cell, or tissue includes the administration of a therapeutic agent to a subject having the biological molecule, cell, or tissue to be contacted.
  • terapéuticaally effective amount or “effective amount” is meant to include the amount of a compound that, when administered, is sufficient to prevent development of, or alleviate to some extent, one or more of the symptoms of the disorder, disease, or condition being treated.
  • therapeutically effective amount or “effective amount” also refers to the amount of a compound that is sufficient to elicit a biological or medical response of a biological molecule (e.g., a protein, enzyme, RNA, or DNA) , cell, tissue, system, animal, or human, which is being sought by a researcher, veterinarian, medical doctor, or clinician.
  • a biological molecule e.g., a protein, enzyme, RNA, or DNA
  • IC 50 refers to an amount, concentration, or dosage of a compound that is required for 50%inhibition of a maximal response in an assay that measures such a response.
  • pharmaceutically acceptable carrier refers to a pharmaceutically acceptable material, composition, or vehicle, such as a liquid or solid filler, diluent, solvent, or encapsulating material.
  • each component is “pharmaceutically acceptable” in the sense of being compatible with the other ingredients of a pharmaceutical formulation, and suitable for use in contact with the tissue or organ of a subject (e.g., a human) without excessive toxicity, irritation, allergic response, immunogenicity, or other problems or complications, and commensurate with a reasonable benefit/risk ratio.
  • the term “about” or “approximately” means an acceptable error for a particular value as determined by one of ordinary skill in the art, which depends in part on how the value is measured or determined. In certain embodiments, the term “about” or “approximately” means within 1, 2, or 3 standard deviations. In certain embodiments, the term “about” or “approximately” means within 25%, 20%, 15%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1%, 0.5%, or 0.05%of a given value or range.
  • alkyl refers to a linear or branched saturated monovalent hydrocarbon radical, wherein the alkyl is optionally substituted with one or more substituents Q as described herein.
  • C 1-6 alkyl refers to a linear saturated monovalent hydrocarbon radical of 1 to 6 carbon atoms or a branched saturated monovalent hydrocarbon radical of 3 to 6 carbon atoms.
  • the alkyl is a linear saturated monovalent hydrocarbon radical that has 1 to 20 (C 1-20 ) , 1 to 15 (C 1-15 ) , 1 to 10 (C 1-10 ) , or 1 to 6 (C 1-6 ) carbon atoms, or branched saturated monovalent hydrocarbon radical of 3 to 20 (C 3-20 ) , 3 to 15 (C 3-15 ) , 3 to 10 (C 3-10 ) , or 3 to 6 (C 3-6 ) carbon atoms.
  • linear C 1-6 and branched C 3-6 alkyl groups are also referred as “lower alkyl.
  • alkyl groups include, but are not limited to, methyl, ethyl, propyl (including all isomeric forms, e.g., n- propyl and isopropyl) , butyl (including all isomeric forms, e.g., n-butyl, isobutyl, sec-butyl, and t-butyl) , pentyl (including all isomeric forms, e.g., n-pentyl, isopentyl, sec-pentyl, neopentyl, and tert-pentyl) , and hexyl (including all isomeric forms, e.g., n-hexyl, isohexyl, and sec-hexyl) .
  • alkenyl refers to a linear or branched monovalent hydrocarbon radical, which contains one or more, in one embodiment, one, two, three, or four, in another embodiment, one, carbon-carbon double bond (s) .
  • the alkenyl is optionally substituted with one or more substituents Q as described herein.
  • alkenyl embraces radicals having a “cis” or “trans” configuration or a mixture thereof, or alternatively, a “Z” or “E” configuration or a mixture thereof, as appreciated by those of ordinary skill in the art.
  • C 2-6 alkenyl refers to a linear unsaturated monovalent hydrocarbon radical of 2 to 6 carbon atoms or a branched unsaturated monovalent hydrocarbon radical of 3 to 6 carbon atoms.
  • the alkenyl is a linear monovalent hydrocarbon radical of 2 to 20 (C 2-20 ) , 2 to 15 (C 2-15 ) , 2 to 10 (C 2-10 ) , or 2 to 6 (C 2-6 ) carbon atoms, or a branched monovalent hydrocarbon radical of 3 to 20 (C 3-20 ) , 3 to 15 (C 3-15 ) , 3 to 10 (C 3-10 ) , or 3 to 6 (C 3-6 ) carbon atoms.
  • alkenyl groups include, but are not limited to, ethenyl, propenyl (including all isomeric forms, e.g., propen-1-yl, propen-2-yl, and allyl) , and butenyl (including all isomeric forms, e.g., buten-1-yl, buten-2-yl, buten-3-yl, and 2-buten-1-yl) .
  • alkynyl refers to a linear or branched monovalent hydrocarbon radical, which contains one or more, in one embodiment, one, two, three, or four, in another embodiment, one, carbon-carbon triple bond (s) .
  • the alkynyl is optionally substituted with one or more substituents Q as described herein.
  • C 2-6 alkynyl refers to a linear unsaturated monovalent hydrocarbon radical of 2 to 6 carbon atoms or a branched unsaturated monovalent hydrocarbon radical of 4 to 6 carbon atoms.
  • the alkynyl is a linear monovalent hydrocarbon radical of 2 to 20 (C 2-20 ) , 2 to 15 (C 2-15 ) , 2 to 10 (C 2-10 ) , or 2 to 6 (C 2-6 ) carbon atoms, or a branched monovalent hydrocarbon radical of 4 to 20 (C 4-20 ) , 4 to 15 (C 4-15 ) , 4 to 10 (C 4-10 ) , or 4 to 6 (C 4-6 ) carbon atoms.
  • alkynyl groups include, but are not limited to, ethynyl (–C ⁇ CH) , propynyl (including all isomeric forms, e.g., 1-propynyl (–C ⁇ CCH 3 ) and propargyl (–CH 2 C ⁇ CH) ) , butynyl (including all isomeric forms, e.g., 1-butyn-1-yl and 2-butyn-1-yl) , pentynyl (including all isomeric forms, e.g., 1-pentyn-1-yl and 1-methyl-2-butyn-1-yl) , and hexynyl (including all isomeric forms, e.g., 1-hexyn-1-yl and 2-hexyn-1-yl) .
  • cycloalkyl refers to a cyclic monovalent hydrocarbon radical, which is optionally substituted with one or more substituents Q as described herein.
  • the cycloalkyl is a saturated or unsaturated but non-aromatic, and/or bridged or non-bridged, and/or fused bicyclic group.
  • the cycloalkyl has from 3 to 20 (C 3-20 ) , from 3 to 15 (C 3-15 ) , from 3 to 10 (C 3-10 ) , or from 3 to 7 (C 3-7 ) carbon atoms.
  • the cycloalkyl is monocyclic.
  • the cycloalkyl is bicyclic.
  • the cycloalkyl is tricyclic. In still another embodiment, the cycloalkyl is polycyclic. Examples of cycloalkyl groups include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cyclohexadienyl, cycloheptyl, cycloheptenyl, bicyclo [1.1.1] pentyl, bicyclo [2.1.1] hexyl, bicyclo [2.2.1] heptyl, bicyclo [2.2.2] octyl, decalinyl, and adamantyl.
  • aryl refers to a monovalent monocyclic aromatic hydrocarbon radical and/or monovalent polycyclic aromatic hydrocarbon radical that contain at least one aromatic carbon ring. In certain embodiments, the aryl has from 6 to 20 (C 6-20 ) , from 6 to 15 (C 6-15 ) , or from 6 to 10 (C 6-10 ) ring carbon atoms. Examples of aryl groups include, but are not limited to, phenyl, naphthyl, fluorenyl, azulenyl, anthryl, phenanthryl, pyrenyl, biphenyl, and terphenyl.
  • the aryl also refers to bicyclic or tricyclic carbon rings, where one of the rings is aromatic and the others of which may be saturated, partially unsaturated, or aromatic, for example, dihydronaphthyl, indenyl, indanyl, or tetrahydronaphthyl (tetralinyl) .
  • the aryl is monocyclic.
  • the aryl is bicyclic.
  • the aryl is tricyclic.
  • the aryl is polycyclic.
  • the aryl is optionally substituted with one or more substituents Q as described herein.
  • aralkyl or “arylalkyl” refers to a monovalent alkyl group substituted with one or more aryl groups. In certain embodiments, the aralkyl has from 7 to 30 (C 7-30 ) , from 7 to 20 (C 7-20 ) , or from 7 to 16 (C 7-16 ) carbon atoms.
  • aralkyl groups include, but are not limited to, benzyl, phenylethyl (including all isomeric forms, e.g., 1-phenylethyl and 2-phenylethyl) , and phenylpropyl (including all isomeric forms, e.g., 1-phenylpropyl, 2-phenyl-propyl, and 3-phenylpropyl) .
  • the aralkyl is optionally substituted with one or more substituents Q as described herein.
  • heteroaryl refers to a monovalent monocyclic aromatic group or monovalent polycyclic aromatic group that contain at least one aromatic ring, wherein at least one aromatic ring contains one or more heteroatoms, each independently selected from O, S, and N, in the ring.
  • the heteroaryl is bonded to the rest of a molecule through the aromatic ring.
  • Each ring of a heteroaryl group can contain one or two O atoms, one or two S atoms, and/or one to four N atoms; provided that the total number of heteroatoms in each ring is four or less and each ring contains at least one carbon atom.
  • the heteroaryl has from 5 to 20, from 5 to 15, or from 5 to 10 ring atoms.
  • the heteroaryl is monocyclic.
  • monocyclic heteroaryl groups include, but are not limited to, furanyl, imidazolyl, isothiazolyl, isoxazolyl, oxadiazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridazinyl, pyridyl, pyrimidinyl, pyrrolyl, thiadiazolyl, thiazolyl, thienyl, tetrazolyl, triazinyl, and triazolyl.
  • the heteroaryl is bicyclic.
  • bicyclic heteroaryl groups include, but are not limited to, benzofuranyl, benzimidazolyl, benzoisoxazolyl, benzopyranyl, benzothiadiazolyl, benzothiazolyl, benzothienyl, benzotriazolyl, benzoxazolyl, furopyrindyl (including all isomeric forms, e.g., furo [2, 3-b] pyridinyl, furo [2, 3-c] pyridinyl, furo [3, 2-b] -pyridinyl, furo [3, 2-c] pyridinyl, furo [3, 4-b] pyridinyl, and furo [3, 4-c] pyridinyl) , imidazopyridinyl (including all isomeric forms, e.g., imidazo [1, 2-a] pyridinyl, imidazo [4, 5-b] pyridinyl, and imidazo [4, 5-c] pyridiny
  • the heteroaryl is tricyclic.
  • tricyclic heteroaryl groups include, but are not limited to, acridinyl, benzindolyl, carbazolyl, dibenzo-furanyl, perimidinyl, phenanthrolinyl, phenanthridinyl (including all isomeric forms, e.g., 1, 5-phenanthrolinyl, 1, 6-phenanthrolinyl, 1, 7-phenanthrolinyl, 1, 9-phenanthrolinyl, and 2, 10-phenanthrolinyl) , phenarsazinyl, phenazinyl, phenothiazinyl, phenoxazinyl, and xanthenyl.
  • the heteroaryl is optionally substituted with one or more substituents Q as described herein.
  • heterocyclyl refers to a monovalent monocyclic non-aromatic ring system or monovalent polycyclic ring system that contains at least one non-aromatic ring, wherein one or more of the non-aromatic ring atoms are heteroatoms, each independently selected from O, S, and N; and the remaining ring atoms are carbon atoms.
  • the heterocyclyl or heterocyclic group has from 3 to 20, from 3 to 15, from 3 to 10, from 3 to 8, from 4 to 7, or from 5 to 6 ring atoms.
  • the heterocyclyl is bonded to the rest of a molecule through the non-aromatic ring.
  • the heterocyclyl is a monocyclic, bicyclic, tricyclic, or tetracyclic ring system, which may be fused or bridged, and in which nitrogen or sulfur atoms may be optionally oxidized, nitrogen atoms may be optionally quaternized, and some rings may be partially or fully saturated, or aromatic.
  • the heterocyclyl may be attached to the main structure at any heteroatom or carbon atom which results in the creation of a stable compound.
  • heterocyclyls and heterocyclic groups include, but are not limited to, azepinyl, benzodioxanyl, benzodioxolyl, benzofuranonyl, chromanyl, decahydroisoquinolinyl, dihydrobenzofuranyl, dihydrobenzisothiazolyl, dihydrobenzisoxazinyl (including all isomeric forms, e.g., 1, 4-dihydrobenzo [d] [1, 3] oxazinyl, 3, 4-dihydrobenzo [c] [1, 2] -oxazinyl, and 3, 4-dihydrobenzo [d] [1, 2] oxazinyl) , dihydrobenzothienyl, dihydroisobenzofuranyl, dihydrobenzo [c] thienyl, dihydrofuryl, dihydroisoindolyl, dihydropyranyl, dihydropyrazoly
  • halogen refers to fluoro, chloro, bromo, and/or iodo.
  • each Q a is independently selected from: (a) deuterium, cyano, halo, imino, nitro, and oxo; (b) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-10 cycloalkyl, C 6-14 aryl, C 7-15 aralkyl, heteroaryl, and heterocyclyl; and (c) –C (O) R e , –C (O) OR e , –C (O) NR f R g , –C (O) SR e , –C (NR e ) NR f R g , –C (S) R e , –C (S) OR e , –C (S) NR f R g , –OR e , –OC (O) R e , –OC (O) OR e , –OC (O) NR f R g , –
  • optically active and ” enantiomerically active refer to a collection of molecules, which has an enantiomeric excess of no less than about 80%, no less than about 90%, no less than about 91%, no less than about 92%, no less than about 93%, no less than about 94%, no less than about 95%, no less than about 96%, no less than about 97%, no less than about 98%, no less than about 99%, no less than about 99.5%, or no less than about 99.8%.
  • an optically active compound comprises about 95%or more of one enantiomer and about 5%or less of the other enantiomer based on the total weight of the enantiomeric mixture in question.
  • an optically active compound comprises about 98%or more of one enantiomer and about 2%or less of the other enantiomer based on the total weight of the enantiomeric mixture in question. In certain embodiments, an optically active compound comprises about 99%or more of one enantiomer and about 1%or less of the other enantiomer based on the total weight of the enantiomeric mixture in question.
  • the prefixes R and S are used to denote the absolute configuration of the compound about its chiral center (s) .
  • the (+) and (-) are used to denote the optical rotation of the compound, that is, the direction in which a plane of polarized light is rotated by the optically active compound.
  • the (-) prefix indicates that the compound is levorotatory, that is, the compound rotates the plane of polarized light to the left or counterclockwise.
  • the (+) prefix indicates that the compound is dextrorotatory, that is, the compound rotates the plane of polarized light to the right or clockwise.
  • the sign of optical rotation, (+) and (-) is not related to the absolute configuration of the compound, R and S.
  • isotopically enriched refers to a compound that contains an unnatural proportion of an isotope at one or more of the atoms that constitute such a compound.
  • an isotopically enriched compound contains unnatural proportions of one or more isotopes, including, but not limited to, hydrogen ( 1 H) , deuterium ( 2 H) , tritium ( 3 H) , carbon-11 ( 11 C) , carbon-12 ( 12 C) , carbon-13 ( 13 C) , carbon-14 ( 14 C) , nitrogen-13 ( 13 N) , nitrogen-14 ( 14 N) , nitrogen-15 ( 15 N) , oxygen-14 ( 14 O) , oxygen-15 ( 15 O) , oxygen-16 ( 16 O) , oxygen-17 ( 17 O) , oxygen-18 ( 18 O) , fluorine-17 ( 17 F) , fluorine-18 ( 18 F) , phosphorus-31 ( 31 P) , phosphorus-32 ( 32 P) , phosphorus-33 ( 33 P) , sulfur-
  • an isotopically enriched compound is in a stable form, that is, non-radioactive.
  • an isotopically enriched compound contains unnatural proportions of one or more isotopes, including, but not limited to, hydrogen ( 1 H) , deuterium ( 2 H) , carbon-12 ( 12 C) , carbon-13 ( 13 C) , nitrogen-14 ( 14 N) , nitrogen-15 ( 15 N) , oxygen-16 ( 16 O) , oxygen-17 ( 17 O) , oxygen-18 ( 18 O) , fluorine-17 ( 17 F) , phosphorus-31 ( 31 P) , sulfur-32 ( 32 S) , sulfur-33 ( 33 S) , sulfur-34 ( 34 S) , sulfur-36 ( 36 S) , chlorine-35 ( 35 Cl) , chlorine-37 ( 37 Cl) , bromine-79 ( 79 Br) , bromine-81 ( 81 Br) , and iodine-127 ( 127 I) .
  • an isotopically enriched compound is in an unstable form, that is, radioactive.
  • an isotopically enriched compound contains unnatural proportions of one or more isotopes, including, but not limited to, tritium ( 3 H) , carbon-11 ( 11 C) , carbon-14 ( 14 C) , nitrogen-13 ( 13 N) , oxygen-14 ( 14 O) , oxygen-15 ( 15 O) , fluorine-18 ( 18 F) , phosphorus-32 ( 32 P) , phosphorus-33 ( 33 P) , sulfur-35 ( 35 S) , chlorine-36 ( 36 Cl) , iodine-123 ( 123 I) , iodine-125 ( 125 I) , iodine-129 ( 129 I) , and iodine-131 ( 131 I) .
  • any hydrogen can be 2 H, as example, or any carbon can be 13 C, as example, or any nitrogen can be 15 N, as example, or any oxygen can be 18 O, as example, where feasible according to the judgment of one of ordinary skill in the art.
  • isotopic enrichment refers to the percentage of incorporation of a less prevalent isotope (e.g., D for deuterium or hydrogen-2) of an element at a given position in a molecule in the place of a more prevalent isotope (e.g., 1 H for protium or hydrogen-1) of the element.
  • a less prevalent isotope e.g., D for deuterium or hydrogen-2
  • a more prevalent isotope e.g., 1 H for protium or hydrogen-1
  • isotopic enrichment factor refers to the ratio between the isotopic abundance in an isotopically enriched compound and the natural abundance of a specific isotope.
  • hydrogen refers to the composition of naturally occurring hydrogen isotopes, which include protium ( 1 H) , deuterium ( 2 H or D) , and tritium ( 3 H) , in their natural abundances.
  • Protium is the most common hydrogen isotope having a natural abundance of more than 99.98%.
  • Deuterium is a less prevalent hydrogen isotope having a natural abundance of about 0.0156%.
  • deuterium enrichment refers to the percentage of incorporation of deuterium at a given position in a molecule in the place of hydrogen. For example, deuterium enrichment of 1%at a given position means that 1%of molecules in a given sample contain deuterium at the specified position. Because the naturally occurring distribution of deuterium is about 0.0156%on average, deuterium enrichment at any position in a compound synthesized using non-enriched starting materials is about 0.0156%on average. As used herein, when a particular position in an isotopically enriched compound is designated as having deuterium, it is understood that the abundance of deuterium at that position in the compound is substantially greater than its natural abundance (0.0156%) .
  • carbon or the symbol “C” refers to the composition of naturally occurring carbon isotopes, which include carbon-12 ( 12 C) and carbon-13 ( 13 C) in their natural abundances.
  • Carbon-12 is the most common carbon isotope having a natural abundance of more than 98.89%.
  • Carbon-13 is a less prevalent carbon isotope having a natural abundance of about 1.11%.
  • carbon-13 enrichment or “ 13 C enrichment” refers to the percentage of incorporation of carbon-13 at a given position in a molecule in the place of carbon.
  • carbon-13 enrichment of 10%at a given position means that 10%of molecules in a given sample contain carbon-13 at the specified position. Because the naturally occurring distribution of carbon-13 is about 1.11%on average, carbon-13 enrichment at any position in a compound synthesized using non-enriched starting materials is about 1.11%on average.
  • when a particular position in an isotopically enriched compound is designated as having carbon-13, it is understood that the abundance of carbon-13 at that position in the compound is substantially greater than its natural abundance (1.11%) .
  • substantially pure and substantially homogeneous mean, when referred to a substance, sufficiently homogeneous to appear free of readily detectable impurities as determined by a standard analytical method used by one of ordinary skill in the art, including, but not limited to, thin layer chromatography (TLC) , gel electrophoresis, high performance liquid chromatography (HPLC) , gas chromatography (GC) , nuclear magnetic resonance (NMR) , and mass spectrometry (MS) ; or sufficiently pure such that further purification would not detectably alter the physical, chemical, biological, and/or pharmacological properties, such as enzymatic and biological activities, of the substance.
  • TLC thin layer chromatography
  • HPLC high performance liquid chromatography
  • GC gas chromatography
  • NMR nuclear magnetic resonance
  • MS mass spectrometry
  • substantially pure or “substantially homogeneous” refers to a collection of molecules, wherein at least about 95%, at least about 96%, at least about 97%, at least about 98%, at least about 99%, or at least about 99.5%by weight of the molecules are a single compound, including a single enantiomer, a racemic mixture, or a mixture of enantiomers, as determined by standard analytical methods.
  • a molecule that contains other than the designated isotope at the specified position is an impurity with respect to the isotopically enriched compound.
  • a deuterated compound that has an atom at a particular position designated as deuterium a compound that contains a protium at the same position is an impurity.
  • solvate refers to a complex or aggregate formed by one or more molecules of a solute, e.g., a compound described herein, and one or more molecules of a solvent, which are present in stoichiometric or non-stoichiometric amount.
  • Suitable solvents include, but are not limited to, water, methanol, ethanol, n-propanol, isopropanol, and acetic acid.
  • the solvent is pharmaceutically acceptable.
  • the complex or aggregate is in a crystalline form.
  • the complex or aggregate is in a noncrystalline form.
  • the solvent is water
  • the solvate is a hydrate. Examples of hydrates include, but are not limited to, a hemihydrate, monohydrate, dihydrate, trihydrate, tetrahydrate, and pentahydrate.
  • an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof” has the same meaning as the phrase “ (i) an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant of the compound referenced therein; or (ii) a pharmaceutically acceptable salt, solvate, hydrate, or prodrug of the compound referenced therein, or (iii) a pharmaceutically acceptable salt, solvate, hydrate, or prodrug of an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two
  • an enantiomer a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof;
  • R 1 is C 1-6 alkyl or C 3-10 cycloalkyl
  • R 2 is hydrogen or C 1-6 alkyl
  • R 3 is C 1-6 alkyl or heterocyclyl, each independently substituted with amino, C 1-6 alkylamino, di (C 1-6 alkyl) amino, or heterocyclyl;
  • R 4 is C 2-6 alkenyl or C 2-6 alkynyl
  • R 5 is bicyclic heteroaryl
  • each alkyl, alkenyl, alkynyl, cycloalkyl, heteroaryl, and heterocyclyl is optionally substituted with one or more, in one embodiment, one, two, three, or four, substituents Q, wherein each Q is independently selected from: (a) deuterium, cyano, halo, imino, nitro, and oxo; (b) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-10 cycloalkyl, C 6-14 aryl, C 7- 15 aralkyl, heteroaryl, and heterocyclyl, each of which is further optionally substituted with one or more, in one embodiment, one, two, three, or four, substituents Q a ; and (c) –C (O) R a , –C (O) OR a , –C (O) NR b R c , –C (O) SR a , –C (O
  • each Q a is independently selected from: (a) deuterium, cyano, halo, nitro, imino, and oxo; (b) C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-10 cycloalkyl, C 6-14 aryl, C 7-15 aralkyl, heteroaryl, and heterocyclyl; and (c) –C (O) R e , –C (O) OR e , –C (O) NR f R g , –C (O) SR e , –C (NR e ) NR f R g , –C (S) R e , –C (S) OR e , –C (S) NR f R g , –OR e , –OC (O) R e , –OC (O) OR e , –OC (O) NR f R g , –
  • R 5 is 5, 6-or 6, 6-fused heteroaryl, each optionally substituted with one or more substituents Q. In certain embodiments, in Formula (I) , R 5 is 5, 6-fused heteroaryl, optionally substituted with one or more substituents Q. In certain embodiments, in Formula (I) , R 5 is wherein each R 6 is independently (i) hydrogen or halo; or (ii) C 1-6 alkyl or C 1-6 alkoxy, each optionally substituted with one or more substituents Q.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 , R 2 , R 3 , R 4 , and R 6 are each as defined herein.
  • R 1 is C 1-6 alkyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 1 is C 1-6 alkyl, optionally substituted with one or more halo. In certain embodiments, in any one of Formulae (I) to (VII) , R 1 is C 3-10 cycloalkyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 1 is methyl, fluoromethyl, difluoromethyl, trifluoromethyl, ethyl, or cyclopropyl. In certain embodiments, in any one of Formulae (I) to (VII) , R 1 is methyl.
  • R 2 is hydrogen. In certain embodiments, in any one of Formulae (I) to (VII) , R 2 is C 1-6 alkyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 2 is methyl.
  • R 3 is C 1-6 alkyl, substituted with amino, C 1-6 alkylamino, di (C 1-6 alkyl) amino, or heterocyclyl; wherein each alkyl and heterocyclyl is optionally substituted with one or more substituents Q.
  • R 3 is C 1-6 alkyl substituted with amino.
  • R 3 is C 1-6 alkyl substituted with C 1- 6 alkylamino, which is optionally substituted with one or more substituents Q.
  • R 3 is C 1-6 alkyl substituted with di (C 1-6 alkyl) amino, which is optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is C 1-6 alkyl substituted with heterocyclyl, which is optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is C 1-6 alkyl, substituted with methylamino or dimethylamino.
  • R 3 is 2-dimthylaminoethyl or 2-morpholin-4-ylethyl. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is 2-dimthylaminoethyl.
  • R 3 is heterocyclyl, substituted with amino, C 1-6 alkylamino, or di (C 1-6 alkyl) amino; wherein each alkyl is optionally substituted with one or more substituents Q.
  • R 3 is 3-to 8-membered heterocyclyl, each substituted with amino, C 1-6 alkylamino, or di (C 1-6 alkyl) amino; wherein each alkyl is optionally substituted with one or more substituents Q.
  • R 3 is heterocyclyl substituted with methylamino or dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is 4-, 5-, or 6-membered heterocyclyl, each independently substituted with methylamino or dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is heterocyclyl substituted with dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is 4-, 5-, or 6-membered heterocyclyl, each independently substituted with dimethylamino.
  • R 3 is dimethylaminoazetidinyl, dimethylaminopyrrolidinyl, dimethylaminopiperidinyl, or methylpiperidinyl. In certain embodiments, in any one of Formulae (I) to (VII) , R 3 is 3-dimethylaminoazetidin-1-yl, 3-dimethylaminopyrrolidin-1-yl, 4-dimethylaminopiperidin-1-yl, or 1-methylpiperidin-3-yl.
  • R 4 is C 2-6 alkenyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is C 2-6 alkenyl, optionally substituted with dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is ethenyl or propenyl, each optionally substituted with dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is ethenyl or 1-propenyl, each optionally substituted with dimethylamino.
  • R 4 is ethenyl or (3-dimethylamino) propen-1-yl. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is ethenyl.
  • R 4 is C 2-6 alkynyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is C 2-6 alkynyl, optionally substituted with dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is ethynyl or propynyl, each optionally substituted with dimethylamino. In certain embodiments, in any one of Formulae (I) to (VII) , R 4 is ethynyl, propyn-1-yl, or (3-dimethylamino) propyn-1-yl.
  • R 6 in any one of Formulae (II) to (VII) , R 6 is hydrogen. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is halo. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is fluoro or chloro. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is C 1-6 alkyl, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is methyl.
  • R 6 is C 1-6 alkoxy, optionally substituted with one or more substituents Q. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is methoxy. In certain embodiments, in any one of Formulae (II) to (VII) , R 6 is chloro, methyl, or methoxy.
  • compound A13 is compound A13, or a pharmaceutically acceptable solvate or hydrate thereof.
  • compound A13 is in a crystalline form.
  • compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 6.6, 13.8, and 19.5. In certain embodiments, compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 6.6, 10.3, 13.8, 15.2, 16.0, 16.4, 17.1, 19.5, 20.0, 21.2, 22.0, 22.7, 24.3, 25.0, 25.9, and 27.2.
  • a pharmaceutically acceptable salt of compound A13 or a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable solvate or hydrate thereof.
  • the pharmaceutically acceptable salt of compound A13 is crystalline.
  • described herein is a benzoate, fumarate, hydrochloride, maleate, mesylate, succinate, or L-tartrate salt of compound A13; or a pharmaceutically acceptable solvate or hydrate thereof.
  • a benzoate salt of compound A13 is crystalline.
  • the benzoate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 8.7, 10.3, 16.6, and 20.5.
  • the benzoate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 8.0, 8.7, 10.3, 14.5, 16.6, 17.4, 18.0, 19.7, 20.5, 22.9, and 23.4.
  • a fumarate salt of compound A13 or a pharmaceutically acceptable solvate or hydrate thereof.
  • the fumarate salt is crystalline.
  • the fumarate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 6.3, 14.8, and 16.1.
  • the fumarate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 6.3, 6.9, 9.8, 11.6, 13.6, 14.8, 16.1, 19.0, 19.7, 20.9, 22.3, 23.7, and 26.0.
  • hydrochloride salt of compound A13 is crystalline.
  • the hydrochloride salt is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 3.6, 22.1, and 25.9.
  • the hydrochloride salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 3.6, 7.3, 10.0, 11.0, 11.3, 18.4, 22.1, 25.9, 27.1, and 29.6.
  • a maleate salt of compound A13 is crystalline.
  • the maleate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 8.6, 10.3, and 23.3.
  • the maleate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 5.4, 8.0, 8.6, 10.3, 13.0, 13.6, 13.8, 14.4, 14.8, 15.9, 16.7, 17.2, 17.9, 19.0, 19.9, 20.7, 23.3, 26.1, and 27.1.
  • a mesylate salt of compound A13 or a pharmaceutically acceptable solvate or hydrate thereof.
  • the mesylate salt of compound A13 is crystalline.
  • the mesylate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 4.0, 16.2, and 19.8.
  • the mesylate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 4.0, 10.0, 11.0, 12.1, 16.2, 18.4, 19.8, 20.3, 21.6, 22.5, 24.5, 29.6, and 33.7.
  • a succinate salt of compound A13 or a pharmaceutically acceptable solvate or hydrate thereof.
  • the succinate salt of compound A13 is crystalline.
  • the succinate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 9.8, 22.1, and 24.6.
  • the succinate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 6.9, 9.3, 9.8, 12.1, 12.7, 14.7, 15.6, 16.7, 17.7, 20.1, 20.8, 22.1, 23.5, 24.6, 26.0, 28.2, and 29.6.
  • an L-tartrate salt of compound A13 or a pharmaceutically acceptable solvate or hydrate thereof.
  • the L-tartrate salt of compound A13 is crystalline.
  • the L-tartrate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 8.6, 17.3, and 21.2.
  • the L-tartrate salt of compound A13 is in a crystalline form having an X-ray powder diffractogram comprising peaks at two-theta angles (°) of approximately 8.6, 13.4, 14.3, 14.8, 16.7, 17.3, 17.7, 19.1, 20.0, 20.6, 21.2, 22.4, 22.8, 23.7, and 28.3.
  • a compound described herein is deuterium-enriched. In certain embodiments, a compound described herein is carbon-13 enriched. In certain embodiments, a compound described herein is carbon-14 enriched. In certain embodiments, a compound described herein contains one or more less prevalent isotopes for other elements, including, but not limited to, 15 N for nitrogen; 17 O or 18 O for oxygen, and 33 S, 34 S, or 36 S for sulfur.
  • a compound described herein has an isotopic enrichment factor of no less than about 5, no less than about 10, no less than about 20, no less than about 30, no less than about 40, no less than about 50, no less than about 60, no less than about 70, no less than about 80, no less than about 90, no less than about 100, no less than about 200, no less than about 500, no less than about 1,000, no less than about 2,000, no less than about 5,000, or no less than about 10,000.
  • an isotopic enrichment factor for a specified isotope is no greater than the maximum isotopic enrichment factor for the specified isotope, which is the isotopic enrichment factor when a compound at a given position is 100%enriched with the specified isotope.
  • the maximum isotopic enrichment factor is different for different isotopes.
  • the maximum isotopic enrichment factor is 6410 for deuterium and 90 for carbon-13.
  • a compound described herein has a deuterium enrichment factor of no less than about 64 (about 1%deuterium enrichment) , no less than about 130 (about 2%deuterium enrichment) , no less than about 320 (about 5%deuterium enrichment) , no less than about 640 (about 10%deuterium enrichment) , no less than about 1, 300 (about 20%deuterium enrichment) , no less than about 3, 200 (about 50%deuterium enrichment) , no less than about 4, 800 (about 75%deuterium enrichment) , no less than about 5, 130 (about 80%deuterium enrichment) , no less than about 5, 450 (about 85%deuterium enrichment) , no less than about 5, 770 (about 90%deuterium enrichment) , no less than about 6, 090 (about 95%deuterium enrichment) , no less than about 6, 220 (about 97%deuterium enrichment) , no less than about 6, 280 (about 98%deuterium enrichment) , no
  • a compound described herein has a carbon-13 enrichment factor of no less than about 1.8 (about 2%carbon-13 enrichment) , no less than about 4.5 (about 5%carbon-13 enrichment) , no less than about 9 (about 10%carbon-13 enrichment) , no less than about 18 (about 20%carbon-13 enrichment) , no less than about 45 (about 50%carbon-13 enrichment) , no less than about 68 (about 75%carbon-13 enrichment) , no less than about 72 (about 80%carbon-13 enrichment) , no less than about 77 (about 85%carbon-13 enrichment) , no less than about 81 (about 90%carbon-13 enrichment) , no less than about 86 (about 95%carbon-13 enrichment) , no less than about 87 (about 97%carbon-13 enrichment) , no less than about 88 (about 98%carbon-13 enrichment) , no less than about 89 (about 99%carbon-13 enrichment) , or no less than about 90 (about 99.5%carbon-13 enrichment) .
  • the carbon-13 enrichment factor
  • At least one of the atoms of a compound described herein, as specified as isotopically enriched has isotopic enrichment of no less than about 1%, no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • the atoms of a compound described herein, as specified as isotopically enriched have isotopic enrichment of no less than about 1%, no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • the isotopic enrichment of the isotopically enriched atom of a compound described herein is no less than the natural abundance of the isotope specified.
  • At least one of the atoms of a compound described herein, as specified as deuterium-enriched has deuterium enrichment of no less than about 1%, no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • the atoms of a compound described herein, as specified as deuterium-enriched have deuterium enrichment of no less than about 1%, no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • At least one of the atoms of a compound described herein, as specified as 13 C-enriched has carbon-13 enrichment of no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • the atoms of a compound described herein, as specified as 13 C-enriched have carbon-13 enrichment of no less than about 1%, no less than about 2%, no less than about 5%, no less than about 10%, no less than about 20%, no less than about 50%, no less than about 70%, no less than about 80%, no less than about 90%, or no less than about 98%.
  • a compound described herein is isolated or purified. In certain embodiments, a compound described herein has a purity of at least about 50%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, at least about 98%, at least about 99%, or at least about 99.5%by weight.
  • the compounds described herein are intended to encompass all possible stereoisomers unless a particular stereochemistry is specified.
  • the compound may exist as one or mixture of geometric cis/trans (or Z/E) isomers.
  • structural isomers are interconvertible, the compound may exist as a single tautomer or a mixture of tautomers. This can take the form of proton tautomerism in the compound that contains, for example, an imino, keto, or oxime group; or so-called valence tautomerism in the compound that contains an aromatic moiety. It follows that a single compound may exhibit more than one type of isomerism.
  • a compound described herein can be enantiomerically pure, such as a single enantiomer or a single diastereomer, or be stereoisomeric mixtures, such as a mixture of enantiomers, e.g., a racemic mixture of two enantiomers; or a mixture of two or more diastereomers.
  • a compound in its (R) form is equivalent, for compounds that undergo epimerization in vivo, to administration of the compound in its (S) form.
  • Conventional techniques for the preparation/isolation of individual enantiomers include synthesis from a suitable optically pure precursor, asymmetric synthesis from achiral starting materials, or resolution of an enantiomeric mixture, for example, chiral chromatography, recrystallization, resolution, diastereomeric salt formation, or derivatization into diastereomeric adducts followed by separation.
  • a compound described herein when a compound described herein contains an acidic or basic moiety, it can also be provided as a pharmaceutically acceptable salt. See, Berge et al., J. Pharm. Sci. 1977, 66, 1-19; Handbook of Pharmaceutical Salts: Properties, Selection, and Use, 2nd ed.; Stahl and Wermuth Eds.; Wiley-VCH and VHCA, Zurich, 2011.
  • Suitable acids for use in the preparation of pharmaceutically acceptable salts include, but are not limited to, acetic acid, 2, 2-dichloroacetic acid, acylated amino acids, adipic acid, alginic acid, ascorbic acid, L-aspartic acid, benzenesulfonic acid, benzoic acid, 4-acetamidobenzoic acid, boric acid, (+) -camphoric acid, camphorsulfonic acid, (+) - (1S) -camphor-10-sulfonic acid, capric acid, caproic acid, caprylic acid, cinnamic acid, citric acid, cyclamic acid, cyclohexanesulfamic acid, dodecylsulfuric acid, ethane-1, 2-disulfonic acid, ethanesulfonic acid, 2-hydroxy-ethanesulfonic acid, formic acid, fumaric acid, galactaric acid, gentisic acid, glucoheptonic
  • a compound described herein is a hydrochloride salt. In certain embodiments, a compound described herein is a p-toluenesulfonate salt. In certain embodiments, a compound described herein is a di-p-toluenesulfonate salt.
  • Suitable bases for use in the preparation of pharmaceutically acceptable salts including, but not limited to, inorganic bases, such as magnesium hydroxide, calcium hydroxide, potassium hydroxide, zinc hydroxide, or sodium hydroxide; and organic bases, such as primary, secondary, tertiary, and quaternary, aliphatic and aromatic amines, including L-arginine, benethamine, benzathine, choline, deanol, diethanolamine, diethylamine, dimethylamine, dipropylamine, diisopropylamine, 2- (diethylamino) -ethanol, ethanolamine, ethylamine, ethylenediamine, isopropylamine, N-methyl-glucamine, hydrabamine, 1H-imidazole, L-lysine, morpholine, 4- (2-hydroxyethyl) -morpholine, methylamine, piperidine, piperazine, propylamine, pyrrolidine, 1- (2-hydroxyeth
  • a compound described herein may also be provided as a prodrug, which is a functional derivative of a compound, for example, of Formula I and is readily convertible into the parent compound in vivo.
  • Prodrugs are often useful because, in some situations, they may be easier to administer than the parent compound. They may, for instance, be bioavailable by oral administration whereas the parent compound is not.
  • the prodrug may also have enhanced solubility in pharmaceutical compositions over the parent compound.
  • a prodrug may be converted into the parent drug by various mechanisms, including enzymatic processes and metabolic hydrolysis.
  • a pharmaceutical composition comprising a compound described herein, e.g., a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof; and a pharmaceutically acceptable excipient.
  • a compound described herein e.g., a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof; and a pharmaceutically acceptable excipient.
  • a pharmaceutical composition described herein can be formulated in various dosage forms, including, but not limited to, dosage forms for oral, parenteral, and topical administration.
  • the pharmaceutical composition can also be formulated as modified release dosage forms, including delayed-, extended-, prolonged-, sustained-, pulsatile-, controlled-, accelerated-, fast-, targeted-, programmed-release, and gastric retention dosage forms.
  • These dosage forms can be prepared according to conventional methods and techniques known to those skilled in the art. See, e.g., Remington: The Science and Practice of Pharmacy, supra; Modified-Release Drug Delivery Technology, 2nd ed.; Rathbone et al., Eds.; Drugs and the Pharmaceutical Sciences 184; CRC Press: Boca Raton, FL, 2008.
  • a pharmaceutical composition described herein is formulated in a dosage form for oral administration. In another embodiment, a pharmaceutical composition described herein is formulated in a dosage form for parenteral administration. In yet another embodiment, a pharmaceutical composition described herein is formulated in a dosage form for intravenous administration. In yet another embodiment, a pharmaceutical composition described herein is formulated in a dosage form for intramuscular administration. In yet another embodiment, a pharmaceutical composition described herein is formulated in a dosage form for subcutaneous administration. In still another embodiment, a pharmaceutical composition described herein is formulated in a dosage form for topical administration.
  • a pharmaceutical composition described herein can be provided in a unit-dosage form or multiple-dosage form.
  • a unit-dosage form refers to physically discrete a unit suitable for administration to a subject, and packaged individually as is known in the art. Each unit-dose contains a predetermined quantity of an active ingredient (s) (e.g., a compound described herein) sufficient to produce the desired therapeutic effect, in association with the required pharmaceutical excipient (s) .
  • an active ingredient e.g., a compound described herein
  • Examples of a unit-dosage form include, but are not limited to, an ampoule, syringe, and individually packaged tablet and capsule.
  • a unit-dosage form may be administered in fractions or multiples thereof.
  • a multiple-dosage form is a plurality of identical unit-dosage forms packaged in a single container to be administered in a segregated unit-dosage form.
  • Examples of a multiple-dosage form include, are not limited to, a vial, bottle of tablets or capsules, or bottle of pints or gallons.
  • a pharmaceutical composition described herein can be administered at once or multiple times at intervals of time. It is understood that the precise dosage and duration of treatment may vary with the age, weight, and condition of the subject being treated, and may be determined empirically using known testing protocols or by extrapolation from in vivo or in vitro test or diagnostic data. It is further understood that for any particular individual, specific dosage regimens should be adjusted over time according to the subject’s need and the professional judgment of the person administering or supervising the administration of the pharmaceutical composition.
  • a pharmaceutical composition comprising N- (2- ( (2- (dimethylamino) ethyl) - (methyl) amino) -4-methoxy-5- ( (4- (8-methylimidazo [1, 2-a] -pyridin-3-yl) pyrimidin-2-yl) amino) phenyl) acrylamide A13; or a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof; and a pharmaceutically acceptable excipient.
  • a pharmaceutical composition comprising N- (2- ( (2- (dimethylamino) ethyl) - (methyl) amino) -4-methoxy-5- ( (4- (8-methylimidazo [1, 2-a] pyridin-3-yl) pyrimidin-2-yl) amino) phenyl) acrylamide A13 in a crystalline form; and a pharmaceutically acceptable excipient.
  • a pharmaceutical composition comprising a pharmaceutically acceptable salt of N- (2- ( (2- (dimethylamino) ethyl) - (methyl) amino) -4-methoxy-5- ( (4- (8-methylimidazo [1, 2-a] pyridin-3-yl) pyrimidin-2-yl) amino) phenyl) acrylamide A13; or a pharmaceutically acceptable solvate or hydrate thereof; and a pharmaceutically acceptable excipient.
  • a pharmaceutical composition comprising a benzoate salt of N- (2- ( (2- (dimethylamino) ethyl) - (methyl) amino) -4-methoxy-5- ( (4- (8-methylimidazo [1, 2-a] pyridin-3-yl) pyrimidin-2-yl) amino) phenyl) acrylamide A13; or a pharmaceutically acceptable solvate or hydrate thereof; and a pharmaceutically acceptable excipient.
  • oral administration can be provided in solid, semisolid, or liquid dosage forms for oral administration.
  • oral administration also includes buccal, lingual, and sublingual administration.
  • Suitable oral dosage forms include, but are not limited to, tablets, fastmelts, chewable tablets, capsules, pills, strips, troches, lozenges, pastilles, cachets, pellets, medicated chewing gum, bulk powders, effervescent or non-effervescent powders or granules, oral mists, solutions, emulsions, suspensions, wafers, sprinkles, elixirs, and syrups.
  • the pharmaceutical composition can contain one or more pharmaceutically acceptable carriers or excipients, including, but not limited to, binders, fillers, diluents, disintegrants, wetting agents, lubricants, glidants, coloring agents, dye-migration inhibitors, sweetening agents, flavoring agents, emulsifying agents, suspending and dispersing agents, preservatives, solvents, non-aqueous liquids, organic acids, and sources of carbon dioxide.
  • pharmaceutically acceptable carriers or excipients including, but not limited to, binders, fillers, diluents, disintegrants, wetting agents, lubricants, glidants, coloring agents, dye-migration inhibitors, sweetening agents, flavoring agents, emulsifying agents, suspending and dispersing agents, preservatives, solvents, non-aqueous liquids, organic acids, and sources of carbon dioxide.
  • Binders or granulators impart cohesiveness to a tablet to ensure the tablet remaining intact after compression.
  • Suitable binders or granulators include, but are not limited to, starches, such as corn starch, potato starch, and pre-gelatinized starch (e.g., STARCH ) ; gelatin; sugars, such as sucrose, glucose, dextrose, molasses, and lactose; natural and synthetic gums, such as acacia, alginic acid, alginates, extract of Irish moss, Panwar gum, Ghatti gum, mucilage of isabgol husks, carboxymethylcellulose, methylcellulose, polyvinylpyrrolidone (PVP) , larch arabinogalactan, powdered tragacanth, and guar gum; celluloses, such as ethyl cellulose, cellulose acetate, carboxymethyl cellulose calcium, sodium carboxymethyl cellulose, methyl cellulose, hydroxyethy
  • Suitable fillers include, but are not limited to, talc, calcium carbonate, microcrystalline cellulose, powdered cellulose, dextrates, kaolin, mannitol, silicic acid, sorbitol, starch, and pre-gelatinized starch.
  • the amount of a binder or filler in the pharmaceutical composition described herein varies upon the type of formulation, and is readily discernible to those of ordinary skill in the art.
  • the binder or filler may be present from about 50 to about 99%by weight in the pharmaceutical composition described herein.
  • Suitable diluents include, but are not limited to, dicalcium phosphate, calcium sulfate, lactose, sorbitol, sucrose, inositol, cellulose, kaolin, mannitol, sodium chloride, dry starch, and powdered sugar.
  • Certain diluents, such as mannitol, lactose, sorbitol, sucrose, and inositol when present in sufficient quantity, can impart properties to some compressed tablets that permit disintegration in the mouth by chewing. Such compressed tablets can be used as chewable tablets.
  • the amount of a diluent in the pharmaceutical composition described herein varies upon the type of formulation, and is readily discernible to those of ordinary skill in the art.
  • Suitable disintegrants include, but are not limited to, agar; bentonite; celluloses, such as methylcellulose and carboxymethylcellulose; wood products; natural sponge; cation-exchange resins; alginic acid; gums, such as guar gum and HV; citrus pulp; cross-linked celluloses, such as croscarmellose; cross-linked polymers, such as crospovidone; cross-linked starches; calcium carbonate; microcrystalline cellulose, such as sodium starch glycolate; polacrilin potassium; starches, such as corn starch, potato starch, tapioca starch, and pre-gelatinized starch; clays; and algins.
  • the amount of a disintegrant in the pharmaceutical composition described herein varies upon the type of formulation, and is readily discernible to those of ordinary skill in the art.
  • the pharmaceutical composition described herein may contain from about 0.5 to about 15%or from about 1 to about 5%by weight of a disintegrant.
  • Suitable lubricants include, but are not limited to, calcium stearate; magnesium stearate; mineral oil; light mineral oil; glycerin; sorbitol; mannitol; glycols, such as glycerol behenate and polyethylene glycol (PEG) ; stearic acid; sodium lauryl sulfate; talc; hydrogenated vegetable oil, such as peanut oil, cottonseed oil, sunflower oil, sesame oil, olive oil, corn oil, and soybean oil; zinc stearate; ethyl oleate; ethyl laureate; agar; starch; lycopodium; and silica or silica gels, such as 200 and
  • the amount of a lubricant in the pharmaceutical composition described herein varies upon the type of formulation, and is readily discernible to those of ordinary skill in the art.
  • the pharmaceutical compositions described herein may contain about 0.1 to about 5%by weight of a lubricant.
  • Suitable glidants include, but are not limited to, colloidal silicon dioxide, and asbestos-free talc.
  • Suitable coloring agents include, but are not limited to, any of the approved, certified, water soluble FD&C dyes, and water insoluble FD&C dyes suspended on alumina hydrate, and color lakes.
  • a color lake is a combination by absorption of a water-soluble dye to a hydrous oxide of a heavy metal, resulting in an insoluble form of the dye.
  • Suitable flavoring agents include, but are not limited to, natural flavors extracted from plants, such as fruits, and synthetic blends of compounds which produce a pleasant taste sensation, such as peppermint and methyl salicylate.
  • Suitable sweetening agents include, but are not limited to, sucrose, lactose, mannitol, syrups, glycerin, and artificial sweeteners, such as saccharin and aspartame.
  • Suitable emulsifying agents include, but are not limited to, gelatin, acacia, tragacanth, bentonite, and surfactants, such as polyoxyethylene sorbitan monooleate polyoxyethylene sorbitan monooleate 80 and triethanolamine oleate.
  • Suitable suspending and dispersing agents include, but are not limited to, sodium carboxymethylcellulose, pectin, tragacanth, acacia, sodium carboxymethylcellulose, hydroxypropyl methylcellulose, and polyvinylpyrrolidone.
  • Suitable preservatives include, but are not limited to, glycerin, methyl and propylparaben, benzoic add, and sodium benzoate and alcohol.
  • Suitable wetting agents include, but are not limited to, propylene glycol monostearate, sorbitan monooleate, diethylene glycol monolaurate, and polyoxyethylene lauryl ether.
  • Suitable solvents include, but are not limited to, glycerin, sorbitol, ethyl alcohol, and syrup.
  • Suitable non-aqueous liquids utilized in emulsions include, but are not limited to, mineral oil and cottonseed oil.
  • Suitable organic acids include, but are not limited to, citric and tartaric acid.
  • Suitable sources of carbon dioxide include, but are not limited to, sodium bicarbonate and sodium carbonate.
  • the pharmaceutical composition described herein for oral administration can be provided as compressed tablets, tablet triturates, chewable lozenges, rapidly dissolving tablets, multiple compressed tablets, or enteric-coating tablets, sugar-coated, or film-coated tablets.
  • Enteric-coated tablets are compressed tablets coated with substances that resist the action of stomach acid but dissolve or disintegrate in the intestine, thus protecting the active ingredient (s) from the acidic environment of the stomach.
  • Enteric-coatings include, but are not limited to, fatty acids, fats, phenyl salicylate, waxes, shellac, ammoniated shellac, and cellulose acetate phthalates.
  • Sugar-coated tablets are compressed tablets surrounded by a sugar coating, which may be beneficial in covering up objectionable tastes or odors and in protecting the tablets from oxidation.
  • Film-coated tablets are compressed tablets that are covered with a thin layer or film of a water-soluble material.
  • Film coatings include, but are not limited to, hydroxyethylcellulose, sodium carboxymethylcellulose, polyethylene glycol 4000, and cellulose acetate phthalate. Film coating imparts the same general characteristics as sugar coating.
  • Multiple compressed tablets are compressed tablets made by more than one compression cycle, including layered tablets, and press-coated or dry-coated tablets.
  • the tablet dosage forms can be prepared from an active ingredient (s) in powdered, crystalline, or granular forms, alone or in combination with one or more carriers or excipients described herein, including binders, disintegrants, controlled-release polymers, lubricants, diluents, and/or colorants. Flavoring and sweetening agents are especially useful in the formation of chewable tablets and lozenges.
  • the pharmaceutical composition described herein for oral administration can be provided as soft or hard capsules, which can be made from gelatin, methylcellulose, starch, or calcium alginate.
  • the hard gelatin capsule also known as the dry-filled capsule (DFC) , consists of two sections, one slipping over the other, thus completely enclosing the active ingredient (s) .
  • the soft elastic capsule (SEC) is a soft, globular shell, such as a gelatin shell, which is plasticized by the addition of glycerin, sorbitol, or a similar polyol.
  • the soft gelatin shells may contain a preservative to prevent the growth of microorganisms.
  • Suitable preservatives are those as described herein, including methyl-and propyl-parabens, and sorbic acid.
  • the liquid, semisolid, and solid dosage forms described herein may be encapsulated in a capsule.
  • Suitable liquid and semisolid dosage forms include solutions and suspensions in propylene carbonate, vegetable oils, or triglycerides. Capsules containing such solutions can be prepared as described in U.S. Pat. Nos. 4,328,245; 4,409,239; and 4,410,545.
  • the capsules may also be coated as known by those of skill in the art in order to modify or sustain dissolution of the active ingredient (s) .
  • the pharmaceutical composition described herein for oral administration can be provided in liquid and semisolid dosage forms, including emulsions, solutions, suspensions, elixirs, and syrups.
  • An emulsion is a two-phase system, in which one liquid is dispersed in the form of small globules throughout another liquid, which can be oil-in-water or water-in-oil.
  • Emulsions may include a pharmaceutically acceptable non-aqueous liquid or solvent, emulsifying agent, and preservative.
  • Suspensions may include a pharmaceutically acceptable suspending agent and preservative.
  • Aqueous alcoholic solutions may include a pharmaceutically acceptable acetal, such as a di (lower alkyl) acetal of a lower alkyl aldehyde, e.g., acetaldehyde diethyl acetal; and a water-miscible solvent having one or more hydroxyl groups, such as propylene glycol and ethanol.
  • Elixirs are clear, sweetened, and hydroalcoholic solutions.
  • Syrups are concentrated aqueous solutions of a sugar, for example, sucrose, and may also contain a preservative.
  • a solution in a polyethylene glycol may be diluted with a sufficient quantity of a pharmaceutically acceptable liquid carrier, e.g., water, to be measured conveniently for administration.
  • liquid and semisolid dosage forms include, but are not limited to, those containing an active ingredient (s) , and a dialkylated mono-or poly-alkylene glycol, including, 1, 2-dimethoxymethane, diglyme, triglyme, tetraglyme, polyethylene glycol-350- dimethyl ether, polyethylene glycol-550-dimethyl ether, polyethylene glycol-750-dimethyl ether, wherein 350, 550, and 750 refer to the approximate average molecular weight of the polyethylene glycol.
  • a dialkylated mono-or poly-alkylene glycol including, 1, 2-dimethoxymethane, diglyme, triglyme, tetraglyme, polyethylene glycol-350- dimethyl ether, polyethylene glycol-550-dimethyl ether, polyethylene glycol-750-dimethyl ether, wherein 350, 550, and 750 refer to the approximate average molecular weight of the polyethylene glycol.
  • These dosage forms can further comprise one or more antioxidants, such as butylated hydroxytoluene (BHT) , butylated hydroxyanisole (BHA) , propyl gallate, vitamin E, hydroquinone, hydroxycoumarins, ethanolamine, lecithin, cephalin, ascorbic acid, malic acid, sorbitol, phosphoric acid, bisulfite, sodium metabisulfite, thiodipropionic acid and its esters, and dithiocarbamates.
  • antioxidants such as butylated hydroxytoluene (BHT) , butylated hydroxyanisole (BHA) , propyl gallate, vitamin E, hydroquinone, hydroxycoumarins, ethanolamine, lecithin, cephalin, ascorbic acid, malic acid, sorbitol, phosphoric acid, bisulfite, sodium metabisulfite, thiodipropionic acid and its esters, and dithiocarba
  • composition described herein for oral administration can also be provided in the forms of liposomes, micelles, microspheres, or nanosystems.
  • Micellar dosage forms can be prepared as described in U.S. Pat. No. 6,350,458.
  • the pharmaceutical composition described herein for oral administration can be provided as non-effervescent or effervescent, granules and powders, to be reconstituted into a liquid dosage form.
  • Pharmaceutically acceptable carriers and excipients used in the non-effervescent granules or powders may include diluents, sweeteners, and wetting agents.
  • Pharmaceutically acceptable carriers and excipients used in the effervescent granules or powders may include organic acids and a source of carbon dioxide.
  • Coloring and flavoring agents can be used in all the dosage forms described herein.
  • composition described herein for oral administration can be formulated as immediate or modified release dosage forms, including delayed-, sustained, pulsed-, controlled, targeted-, and programmed-release forms.
  • composition described herein can be administered parenterally by injection, infusion, or implantation, for local or systemic administration.
  • Parenteral administration includes intravenous, intraarterial, intraperitoneal, intrathecal, intraventricular, intraurethral, intrasternal, intracranial, intramuscular, intrasynovial, intravesical, and subcutaneous administration.
  • the pharmaceutical composition described herein for parenteral administration can be formulated in any dosage forms that are suitable for parenteral administration, including, but not limited to, solutions, suspensions, emulsions, micelles, liposomes, microspheres, nanosystems, and solid forms suitable for solutions or suspensions in liquid prior to injection.
  • dosage forms can be prepared according to conventional methods known to those skilled in the art of pharmaceutical science. See, e.g., Remington: The Science and Practice of Pharmacy, supra.
  • the pharmaceutical composition described herein for parenteral administration can include one or more pharmaceutically acceptable carriers and excipients, including, but not limited to, aqueous vehicles, water-miscible vehicles, non-aqueous vehicles, antimicrobial agents or preservatives against the growth of microorganisms, stabilizers, solubility enhancers, isotonic agents, buffering agents, antioxidants, local anesthetics, suspending and dispersing agents, wetting or emulsifying agents, complexing agents, sequestering or chelating agents, cryoprotectants, lyoprotectants, thickening agents, pH adjusting agents, and inert gases.
  • aqueous vehicles water-miscible vehicles
  • non-aqueous vehicles non-aqueous vehicles
  • antimicrobial agents or preservatives against the growth of microorganisms stabilizers, solubility enhancers, isotonic agents, buffering agents, antioxidants, local anesthetics, suspending and dispersing agents, wetting or
  • Suitable aqueous vehicles include, but are not limited to, water, saline, physiological saline or phosphate buffered saline (PBS) , sodium chloride injection, Ringer’s injection, isotonic dextrose injection, sterile water injection, dextrose and lactated Ringer’s injection.
  • Suitable non-aqueous vehicles include, but are not limited to, fixed oils of vegetable origin, castor oil, corn oil, cottonseed oil, olive oil, peanut oil, peppermint oil, safflower oil, sesame oil, soybean oil, hydrogenated vegetable oils, hydrogenated soybean oil, and medium-chain triglycerides of coconut oil, and palm seed oil.
  • Suitable water-miscible vehicles include, but are not limited to, ethanol, 1, 3-butanediol, liquid polyethylene glycol (e.g., polyethylene glycol 300 and polyethylene glycol 400) , propylene glycol, glycerin, N-methyl-2-pyrrolidone, N, N-dimethylacetamide, and dimethyl sulfoxide.
  • liquid polyethylene glycol e.g., polyethylene glycol 300 and polyethylene glycol 400
  • propylene glycol e.g., propylene glycol, glycerin, N-methyl-2-pyrrolidone, N, N-dimethylacetamide, and dimethyl sulfoxide.
  • Suitable antimicrobial agents or preservatives include, but are not limited to, phenols, cresols, mercurials, benzyl alcohol, chlorobutanol, methyl and propyl p-hydroxybenzoates, thimerosal, benzalkonium chloride (e.g., benzethonium chloride) , methyl-and propyl-parabens, and sorbic acid.
  • Suitable isotonic agents include, but are not limited to, sodium chloride, glycerin, and dextrose.
  • Suitable buffering agents include, but are not limited to, phosphate and citrate.
  • Suitable antioxidants include those described herein, such as bisulfite and sodium metabisulfite.
  • Suitable local anesthetics include, but are not limited to, procaine hydrochloride.
  • Suitable suspending and dispersing agents include those described herein, such as sodium carboxymethylcellulose, hydroxypropyl methylcellulose, and polyvinylpyrrolidone.
  • Suitable emulsifying agents include those described herein, such as polyoxyethylene sorbitan monolaurate, polyoxyethylene sorbitan monooleate 80, and triethanolamine oleate.
  • Suitable sequestering or chelating agents include, but are not limited to, EDTA.
  • Suitable pH adjusting agents include, but are not limited to, sodium hydroxide, hydrochloric acid, citric acid, and lactic acid.
  • Suitable complexing agents include, but are not limited to, cyclodextrins, including ⁇ -cyclodextrin, ⁇ -cyclodextrin, hydroxypropyl- ⁇ -cyclodextrin, sulfobutylether- ⁇ -cyclodextrin, and sulfobutylether 7- ⁇ -cyclodextrin
  • multiple dosage parenteral formulations must contain an antimicrobial agent at bacteriostatic or fungistatic concentrations. All parenteral formulations must be sterile, as known and practiced in the art.
  • the pharmaceutical composition for parenteral administration is provided as a ready-to-use sterile solution.
  • the pharmaceutical composition is provided as a sterile dry soluble product, including a lyophilized powder and hypodermic tablet, to be reconstituted with a vehicle prior to use.
  • the pharmaceutical composition is provided as a ready-to-use sterile suspension.
  • the pharmaceutical composition is provided as a sterile dry insoluble product to be reconstituted with a vehicle prior to use.
  • the pharmaceutical composition is provided as a ready-to-use sterile emulsion.
  • composition described herein for parenteral administration can be formulated as immediate or modified release dosage forms, including delayed-, sustained, pulsed-, controlled, targeted-, and programmed-release forms.
  • the pharmaceutical composition described herein for parenteral administration can be formulated as a suspension, solid, semi-solid, or thixotropic liquid, for administration as an implanted depot.
  • the pharmaceutical composition described herein are dispersed in a solid inner matrix, which is surrounded by an outer polymeric membrane that is insoluble in body fluids but allows the active ingredient (s) in the pharmaceutical composition to diffuse through.
  • Suitable inner matrixes include, but are not limited to, polymethylmethacrylate, polybutylmethacrylate, plasticized or unplasticized polyvinylchloride, plasticized nylon, plasticized polyethylene terephthalate, natural rubber, polyisoprene, polyisobutylene, polybutadiene, polyethylene, ethylene-vinyl acetate copolymers, silicone rubbers, polydimethylsiloxanes, silicone carbonate copolymers, hydrophilic polymers (such as hydrogels of esters of acrylic and methacrylic acid) , collagen, cross-linked polyvinyl alcohol, and cross-linked partially hydrolyzed polyvinyl acetate.
  • Suitable outer polymeric membranes include, but are not limited to, polyethylene, polypropylene, ethylene/propylene copolymers, ethylene/ethyl acrylate copolymers, ethylene/vinyl acetate copolymers, silicone rubbers, polydimethylsiloxanes, neoprene rubber, chlorinated polyethylene, polyvinylchloride, vinyl chloride copolymers with vinyl acetate, vinylidene chloride, ethylene and propylene, ionomer polyethylene terephthalate, butyl rubber epichlorohydrin rubbers, ethylene/vinyl alcohol copolymer, ethylene/vinyl acetate/vinyl alcohol terpolymer, and ethylene/vinyloxyethanol copolymer.
  • the pharmaceutical composition described herein can be administered topically to the skin, orifices, or mucosa.
  • the topical administration includes (intra) dermal, conjunctival, intracorneal, intraocular, ophthalmic, auricular, transdermal, nasal, vaginal, urethral, respiratory, and rectal administration.
  • the pharmaceutical composition described herein can be formulated in any dosage forms that are suitable for topical administration for local or systemic effect, including, but not limited to, emulsions, solutions, suspensions, creams, gels, hydrogels, ointments, dusting powders, dressings, elixirs, lotions, suspensions, tinctures, pastes, foams, films, aerosols, irrigations, sprays, suppositories, bandages, and dermal patches.
  • the topical formulations of the pharmaceutical composition described herein can also comprise liposomes, micelles, microspheres, and nanosystems.
  • Pharmaceutically acceptable carriers and excipients suitable for use in the topical formulations include, but are not limited to, aqueous vehicles, water-miscible vehicles, non-aqueous vehicles, antimicrobial agents or preservatives against the growth of microorganisms, stabilizers, solubility enhancers, isotonic agents, buffering agents, antioxidants, local anesthetics, suspending and dispersing agents, wetting or emulsifying agents, complexing agents, sequestering or chelating agents, penetration enhancers, cryoprotectants, lyoprotectants, thickening agents, and inert gases.
  • the pharmaceutical composition can also be administered topically by electroporation, iontophoresis, phonophoresis, sonophoresis, or microneedle or needle-free injection, such as POWDERJECT TM and BIOJECT TM .
  • Suitable ointment vehicles include oleaginous or hydrocarbon vehicles, including lard, benzoinated lard, olive oil, cottonseed oil, and other oils, white petrolatum; emulsifiable or absorption vehicles, such as hydrophilic petrolatum, hydroxystearin sulfate, and anhydrous lanolin; water-removable vehicles, such as hydrophilic ointment; water-soluble ointment vehicles, including polyethylene glycols of varying molecular weight; emulsion vehicles, either water-in-oil (W/O) emulsions or oil-in-water (O/W) emulsions, including cetyl alcohol, glyceryl monostearate, lanolin, and stearic acid. See, e.g., Remington: The Science and Practice of Pharmacy, supra. These vehicles are emollient but generally require
  • Suitable cream base can be oil-in-water or water-in-oil.
  • Suitable cream vehicles may be water-washable, and contain an oil phase, an emulsifier, and an aqueous phase.
  • the oil phase is also called the “internal” phase, which is generally comprised of petrolatum and a fatty alcohol such as cetyl or stearyl alcohol.
  • the aqueous phase usually, although not necessarily, exceeds the oil phase in volume, and generally contains a humectant.
  • the emulsifier in a cream formulation may be a nonionic, anionic, cationic, or amphoteric surfactant.
  • Gels are semisolid, suspension-type systems. Single-phase gels contain organic macromolecules distributed substantially uniformly throughout the liquid carrier.
  • Suitable gelling agents include, but are not limited to, crosslinked acrylic acid polymers, such as carbomers, carboxypolyalkylenes, and hydrophilic polymers, such as polyethylene oxides, polyoxyethylene-polyoxypropylene copolymers, and polyvinylalcohol; cellulosic polymers, such as hydroxypropyl cellulose, hydroxyethyl cellulose, hydroxypropyl methylcellulose, hydroxypropyl methylcellulose phthalate, and methylcellulose; gums, such as tragacanth and xanthan gum; sodium alginate; and gelatin.
  • dispersing agents such as alcohol or glycerin can be added, or the gelling agent can be dispersed by trituration, mechanical mixing, and/or stirring.
  • the pharmaceutical composition described herein can be administered rectally, urethrally, vaginally, or perivaginally in the forms of suppositories, pessaries, bougies, poultices or cataplasm, pastes, powders, dressings, creams, plasters, contraceptives, ointments, solutions, emulsions, suspensions, tampons, gels, foams, sprays, or enemas.
  • These dosage forms can be manufactured using conventional processes as described in Remington: The Science and Practice of Pharmacy, supra.
  • Rectal, urethral, and vaginal suppositories are solid bodies for insertion into body orifices, which are solid at ordinary temperatures but melt or soften at body temperature to release the active ingredient (s) inside the orifices.
  • Pharmaceutically acceptable carriers utilized in rectal and vaginal suppositories include bases or vehicles, such as stiffening agents, which produce a melting point in the proximity of body temperature, when formulated with an active ingredient (s) ; and antioxidants as described herein, including bisulfite and sodium metabisulfite.
  • Suitable vehicles include, but are not limited to, cocoa butter (theobroma oil) , glycerin-gelatin, carbowax (polyoxyethylene glycol) , spermaceti, paraffin, white and yellow wax, and appropriate mixtures of mono-, di-and triglycerides of fatty acids, and hydrogels, such as polyvinyl alcohol, hydroxyethyl methacrylate, and polyacrylic acid. Combinations of the various vehicles can also be used. Rectal and vaginal suppositories may be prepared by compressing or molding. The typical weight of a rectal and vaginal suppository is about 2 to about 3 g.
  • composition described herein can be administered ophthalmically in the forms of solutions, suspensions, ointments, emulsions, gel-forming solutions, powders for solutions, gels, ocular inserts, and implants.
  • the pharmaceutical composition described herein can be administered intranasally or by inhalation to the respiratory tract.
  • the pharmaceutical composition can be provided in the form of an aerosol or solution for delivery using a pressurized container, pump, spray, atomizer, such as an atomizer using electrohydrodynamics to produce a fine mist, or nebulizer, alone or in combination with a suitable propellant, such as 1, 1, 1, 2-tetrafluoroethane or 1, 1, 1, 2, 3, 3, 3-heptafluoropropane.
  • atomizer such as an atomizer using electrohydrodynamics to produce a fine mist, or nebulizer, alone or in combination with a suitable propellant, such as 1, 1, 1, 2-tetrafluoroethane or 1, 1, 1, 2, 3, 3, 3-heptafluoropropane.
  • the pharmaceutical composition can also be provided as a dry powder for insufflation, alone or in combination with an inert carrier such as lactose or phospholipids; and nasal drops.
  • Solutions or suspensions for use in a pressurized container, pump, spray, atomizer, or nebulizer can be formulated to contain ethanol, aqueous ethanol, or a suitable alternative agent for dispersing, solubilizing, or extending release of an active ingredient (s) ; a propellant as solvent; and/or a surfactant, such as sorbitan trioleate, oleic acid, or an oligolactic acid.
  • the pharmaceutical composition described herein can be micronized to a size suitable for delivery by inhalation, such as about 50 micrometers or less, or about 10 micrometers or less.
  • Particles of such sizes can be prepared using a comminuting method known to those skilled in the art, such as spiral jet milling, fluid bed jet milling, supercritical fluid processing to form nanoparticles, high pressure homogenization, or spray drying.
  • Capsules, blisters, and cartridges for use in an inhaler or insufflator can be formulated to contain a powder mix of the pharmaceutical composition described herein; a suitable powder base, such as lactose or starch; and a performance modifier, such as l-leucine, mannitol, or magnesium stearate.
  • the lactose may be anhydrous or in the form of the monohydrate.
  • Other suitable excipients or carriers include, but are not limited to, dextran, glucose, maltose, sorbitol, xylitol, fructose, sucrose, and trehalose.
  • the pharmaceutical composition described herein for inhaled/intranasal administration can further comprise a suitable flavor, such as menthol and levomenthol; and/or sweeteners, such as saccharin and saccharin sodium.
  • composition described herein for topical administration can be formulated to be immediate release or modified release, including delayed-, sustained-, pulsed-, controlled-, targeted, and programmed release.
  • modified release refers to a dosage form in which the rate or place of release of an active ingredient (s) is different from that of an immediate dosage form when administered by the same route.
  • Modified release dosage forms include, but are not limited to, delayed-, extended-, prolonged-, sustained-, pulsatile-, controlled-, accelerated-and fast-, targeted-, programmed-release, and gastric retention dosage forms.
  • the pharmaceutical composition in modified release dosage forms can be prepared using a variety of modified release devices and methods known to those skilled in the art, including, but not limited to, matrix-controlled release devices, osmotic controlled release devices, multiparticulate controlled release devices, ion-exchange resins, enteric coatings, multilayered coatings, microspheres, liposomes, and combinations thereof.
  • the release rate of the active ingredient (s) can also be modified by varying the particle sizes and polymorphism of the active ingredient (s) .
  • the pharmaceutical composition described herein in a modified release dosage form can be fabricated using a matrix-controlled release device known to those skilled in the art. See, e.g., Takada et al. in Encyclopedia of Controlled Drug Delivery, Mathiowitz Ed.; Wiley, 1999; Vol. 2.
  • the pharmaceutical composition described herein in a modified release dosage form is formulated using an erodible matrix device, which is water-swellable, erodible, or soluble polymers, including, but not limited to, synthetic polymers, and naturally occurring polymers and derivatives, such as polysaccharides and proteins.
  • an erodible matrix device which is water-swellable, erodible, or soluble polymers, including, but not limited to, synthetic polymers, and naturally occurring polymers and derivatives, such as polysaccharides and proteins.
  • Materials useful in forming an erodible matrix include, but are not limited to, chitin, chitosan, dextran, and pullulan; gum agar, gum arabic, gum karaya, locust bean gum, gum tragacanth, carrageenans, gum Ghatti, guar gum, xanthan gum, and scleroglucan; starches, such as dextrin and maltodextrin; hydrophilic colloids, such as pectin; phosphatides, such as lecithin; alginates; propylene glycol alginate; gelatin; collagen; cellulosics, such as ethyl cellulose (EC) , methylethyl cellulose (MEC) , carboxymethyl cellulose (CMC) , CMEC, hydroxyethyl cellulose (HEC) , hydroxypropyl cellulose (HPC) , cellulose acetate (CA) , cellulose propionate (CP) ,
  • the pharmaceutical composition described herein is formulated with a non-erodible matrix device.
  • the active ingredient (s) is dissolved or dispersed in an inert matrix and is released primarily by diffusion through the inert matrix once administered.
  • Materials suitable for use as a non-erodible matrix device include, but are not limited to, insoluble plastics, such as polyethylene, polypropylene, polyisoprene, polyisobutylene, polybutadiene, polymethylmethacrylate, polybutylmethacrylate, chlorinated polyethylene, polyvinylchloride, methyl acrylate-methyl methacrylate copolymers, ethylene-vinyl acetate copolymers, ethylene/propylene copolymers, ethylene/ethyl acrylate copolymers, vinyl chloride copolymers with vinyl acetate, vinylidene chloride, ethylene and propylene, ionomer polyethylene terephthalate, butyl rubbers, epichlorohydrin
  • the desired release kinetics can be controlled, for example, via the polymer type employed, the polymer viscosity, the particle sizes of the polymer and/or the active ingredient (s) , the ratio of the active ingredient (s) versus the polymer, and other excipients or carriers in the compositions.
  • composition described herein in a modified release dosage form can be prepared by methods known to those skilled in the art, including direct compression, dry or wet granulation followed by compression, and melt-granulation followed by compression.
  • the pharmaceutical composition described herein in a modified release dosage form can be fabricated using an osmotic controlled release device, including, but not limited to, one-chamber system, two-chamber system, asymmetric membrane technology (AMT) , and extruding core system (ECS) .
  • an osmotic controlled release device including, but not limited to, one-chamber system, two-chamber system, asymmetric membrane technology (AMT) , and extruding core system (ECS) .
  • AMT asymmetric membrane technology
  • ECS extruding core system
  • such devices have at least two components: (a) a core which contains an active ingredient; and (b) a semipermeable membrane with at least one delivery port, which encapsulates the core.
  • the semipermeable membrane controls the influx of water to the core from an aqueous environment of use so as to cause drug release by extrusion through the delivery port (s) .
  • the core of the osmotic device optionally includes an osmotic agent, which creates a driving force for transport of water from the environment of use into the core of the device.
  • an osmotic agent is water-swellable hydrophilic polymers, which are also referred to as “osmopolymers” and “hydrogels.
  • Suitable water-swellable hydrophilic polymers as osmotic agents include, but are not limited to, hydrophilic vinyl and acrylic polymers, polysaccharides such as calcium alginate, polyethylene oxide (PEO) , polyethylene glycol (PEG) , polypropylene glycol (PPG) , poly (2-hydroxyethyl methacrylate) , poly (acrylic) acid, poly (methacrylic) acid, polyvinylpyrrolidone (PVP) , crosslinked PVP, polyvinyl alcohol (PVA) , PVA/PVP copolymers, PVA/PVP copolymers with hydrophobic monomers such as methyl methacrylate and vinyl acetate, hydrophilic polyurethanes containing large PEO blocks, sodium croscarmellose, carrageenan, hydroxyethyl cellulose (HEC) , hydroxypropyl cellulose (HPC) , hydroxypropyl methyl cellulose (HPMC) , carboxymethyl me
  • osmogens which are capable of imbibing water to affect an osmotic pressure gradient across the barrier of the surrounding coating.
  • Suitable osmogens include, but are not limited to, inorganic salts, such as magnesium sulfate, magnesium chloride, calcium chloride, sodium chloride, lithium chloride, potassium sulfate, potassium phosphates, sodium carbonate, sodium sulfite, lithium sulfate, potassium chloride, and sodium sulfate; sugars, such as dextrose, fructose, glucose, inositol, lactose, maltose, mannitol, raffinose, sorbitol, sucrose, trehalose, and xylitol; organic acids, such as ascorbic acid, benzoic acid, fumaric acid, citric acid, maleic acid, sebacic acid, sorbic acid, adipic acid, edetic acid, gluta
  • Osmotic agents of different dissolution rates can be employed to influence how rapidly the active ingredient (s) is initially delivered from the dosage form.
  • amorphous sugars such as MANNOGEM TM EZ can be used to provide faster delivery during the first couple of hours to promptly produce the desired therapeutic effect, and gradually and continually release of the remaining amount to maintain the desired level of therapeutic or prophylactic effect over an extended period of time.
  • the active ingredient (s) is released at such a rate to replace the amount of the active ingredient metabolized and excreted.
  • the core can also include a wide variety of other excipients and carriers as described herein to enhance the performance of the dosage form or to promote stability or processing.
  • Materials useful in forming the semipermeable membrane include various grades of acrylics, vinyls, ethers, polyamides, polyesters, and cellulosic derivatives that are water-permeable and water-insoluble at physiologically relevant pHs or are susceptible to being rendered water-insoluble by chemical alteration, such as crosslinking.
  • Suitable polymers useful in forming the coating include plasticized, unplasticized, and reinforced cellulose acetate (CA) , cellulose diacetate, cellulose triacetate, CA propionate, cellulose nitrate, cellulose acetate butyrate (CAB) , CA ethyl carbamate, CAP, CA methyl carbamate, CA succinate, cellulose acetate trimellitate (CAT) , CA dimethylaminoacetate, CA ethyl carbonate, CA chloroacetate, CA ethyl oxalate, CA methyl sulfonate, CA butyl sulfonate, CA p-toluene sulfonate, agar acetate, amylose triacetate, beta glucan acetate, beta glucan triacetate, acetaldehyde dimethyl acetate, triacetate of locust bean gum, hydroxylated ethylene-vinylacetate, EC, PEG, PPG, P
  • Semipermeable membrane can also be a hydrophobic microporous membrane, wherein the pores are substantially filled with a gas and are not wetted by the aqueous medium but are permeable to water vapor, as disclosed in U.S. Pat. No. 5,798,119.
  • Such hydrophobic but water-vapor permeable membrane are typically composed of hydrophobic polymers such as polyalkenes, polyethylene, polypropylene, polytetrafluoroethylene, polyacrylic acid derivatives, polyethers, polysulfones, polyethersulfones, polystyrenes, polyvinyl halides, polyvinylidene fluoride, polyvinyl esters and ethers, natural waxes, and synthetic waxes.
  • the delivery port (s) on the semipermeable membrane can be formed post-coating by mechanical or laser drilling. Delivery port (s) can also be formed in situ by erosion of a plug of water-soluble material or by rupture of a thinner portion of the membrane over an indentation in the core. In addition, delivery ports can be formed during coating process, as in the case of asymmetric membrane coatings of the type disclosed in U.S. Pat. Nos. 5,612,059 and 5,698,220.
  • the total amount of the active ingredient (s) released and the release rate can substantially be modulated via the thickness and porosity of the semipermeable membrane, the composition of the core, and the number, size, and position of the delivery ports.
  • the pharmaceutical composition in an osmotic controlled-release dosage form can further comprise additional conventional excipients or carriers as described herein to promote performance or processing of the formulation.
  • the osmotic controlled-release dosage forms can be prepared according to conventional methods and techniques known to those skilled in the art. See, e.g., Remington: The Science and Practice of Pharmacy, supra; Santus and Baker, J. Controlled Release, 1995, 35, 1-21; Verma et al., Drug Dev. Ind. Pharm., 2000, 26, 695-708; Verma et al., J. Controlled Release, 2002, 79, 7-27.
  • the pharmaceutical composition described herein is formulated as an AMT controlled-release dosage form, which comprises an asymmetric osmotic membrane that coats a core comprising the active ingredient (s) and other pharmaceutically acceptable excipients or carriers.
  • AMT controlled-release dosage forms can be prepared according to conventional methods and techniques known to those skilled in the art, including direct compression, dry granulation, wet granulation, and a dip-coating method.
  • the pharmaceutical composition described herein is formulated as an ESC controlled-release dosage form, which comprises an osmotic membrane that coats a core comprising the active ingredient (s) , a hydroxyethyl cellulose, and other pharmaceutically acceptable excipients or carriers.
  • the pharmaceutical composition described herein in a modified release dosage form can be fabricated as a multiparticulate controlled release device, which comprises a multiplicity of particles, granules, or pellets, ranging from about 10 ⁇ m to about 3 mm, about 50 ⁇ m to about 2.5 mm, or from about 100 ⁇ m to about 1 mm in diameter.
  • Such multiparticulates can be made by the processes known to those skilled in the art, including wet-and dry-granulation, extrusion/spheronization, roller-compaction, melt-congealing, and by spray-coating seed cores.
  • excipients or carriers as described herein can be blended with the pharmaceutical composition to aid in processing and forming the multiparticulates.
  • the resulting particles can themselves constitute the multiparticulate device or can be coated by various film-forming materials, such as enteric polymers, water-swellable, and water-soluble polymers.
  • the multiparticulates can be further processed as a capsule or a tablet.
  • composition described herein can also be formulated to be targeted to a particular tissue, receptor, or other area of the body of the subject to be treated, including liposome-, resealed erythrocyte-, and antibody-based delivery systems.
  • examples include, but are not limited to, those disclosed in U.S. Pat. Nos. 6,316,652; 6,274,552; 6,271,359; 6,253,872; 6,139,865; 6,131,570; 6,120,751; 6,071,495; 6,060,082; 6,048,736; 6,039,975; 6,004,534; 5,985,307; 5,972,366; 5,900,252; 5,840,674; 5,759,542; and 5,709,874.
  • provided herein is method of treating, preventing, or ameliorating one or more symptoms of lung cancer with a distant metastasis in a subject, comprising administering to the subject in need thereof a therapeutically effective amount of a compound described herein, e.g., a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof.
  • a compound described herein e.g., a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a
  • the lung cancer is advanced. In certain embodiments, the lung cancer is unresectable. In certain embodiments, the lung cancer is inoperable. In certain embodiments, the lung cancer is incurable. In certain embodiments, the lung cancer is recurrent. In certain embodiments, the lung cancer is relapsed. In certain embodiments, the lung cancer is refractory. In certain embodiments, the lung cancer is refractory to a standard therapy. In certain embodiments, the lung cancer is intolerant of a standard therapy. In certain embodiments, the lung cancer is drug-resistant. In certain embodiments, the lung cancer is resistant to chemotherapy. In certain embodiments, the lung cancer is resistant to a targeted drug therapy.
  • the lung cancer is resistant to a tyrosine kinase inhibitor (TKI) .
  • TKI tyrosine kinase inhibitor
  • the lung cancer is resistant to an EGFR inhibitor.
  • the lung cancer is resistant to a first-generation EGFR inhibitor.
  • the lung cancer is resistant to a second-generation EGFR inhibitor.
  • the lung cancer is resistant to a third-generation EGFR inhibitor.
  • the lung cancer is resistant to a fourth-generation EGFR inhibitor.
  • the lung cancer is resistant to afatinib, brigatinib, dacomitinib, erlotinib, gefitinib, icotinib, or osimertinib.
  • the distant metastasis is an adrenal gland, bone, brain, liver, and lung metastasis. In certain embodiments, the distant metastasis is an adrenal gland metastasis. In certain embodiments, the distant metastasis is a bone metastasis. In certain embodiments, the distant metastasis is a brain metastasis. In certain embodiments, the distant metastasis is a liver metastasis. In certain embodiments, the distant metastasis is a lung metastasis.
  • the lung cancer is small cell lung cancer with a distant metastasis. In certain embodiments, the lung cancer is non-small cell lung cancer (NSCLC) with a distant metastasis. In certain embodiments, the lung cancer is squamous cell carcinoma with a distant metastasis, adenocarcinoma with a distant metastasis, or large cell carcinoma with a distant metastasis.
  • NSCLC non-small cell lung cancer
  • the NSCLC is advanced. In certain embodiments, the NSCLC is unresectable. In certain embodiments, the NSCLC is inoperable. In certain embodiments, the NSCLC is incurable. In certain embodiments, the NSCLC is recurrent. In certain embodiments, the NSCLC is relapsed. In certain embodiments, the NSCLC is refractory. In certain embodiments, the NSCLC is refractory to a standard therapy. In certain embodiments, the NSCLC is intolerant of a standard therapy. In certain embodiments, the NSCLC is drug-resistant. In certain embodiments, the NSCLC is resistant to chemotherapy. In certain embodiments, the NSCLC is resistant to a targeted drug therapy.
  • the NSCLC is resistant to a TKI. In certain embodiments, the NSCLC is resistant to an EGFR inhibitor. In certain embodiments, the NSCLC is resistant to a first-generation EGFR inhibitor. In certain embodiments, the NSCLC is resistant to a second-generation EGFR inhibitor. In certain embodiments, the NSCLC is resistant to a third-generation EGFR inhibitor. In certain embodiments, the NSCLC is resistant to a fourth-generation EGFR inhibitor. In certain embodiments, the NSCLC is resistant to afatinib, brigatinib, dacomitinib, erlotinib, gefitinib, icotinib, or osimertinib.
  • the NSCLC is stage IV. In certain embodiments, the NSCLC is stage IVA or IVB. In certain embodiments, the NSCLC is stage IVA. In certain embodiments, the NSCLC is stage IVB.
  • the NSCLC harbors an EGFR mutation. In certain embodiments, the NSCLC harbors an EGFR mutation in exon 18. In certain embodiments, the NSCLC harbors an EGFR point mutation in exon 18. In certain embodiments, the NSCLC harbors G719X in exon 18. In certain embodiments, the NSCLC harbors G719S. In certain embodiments, the NSCLC harbors an EGFR exon 18 deletion. In certain embodiments, the NSCLC harbors an EGFR exon 18 insertion.
  • the NSCLC harbors an EGFR mutation in exon 19. In certain embodiments, the NSCLC harbors an EGFR point mutation in exon 19. In certain embodiments, the NSCLC harbors an EGFR exon 19 deletion. In certain embodiments, the NSCLC harbors an EGFR exon 19 insertion.
  • the NSCLC harbors an EGFR mutation in exon 20. In certain embodiments, the NSCLC harbors an EGFR point mutation in exon 20. In certain embodiments, the NSCLC harbors S768I. In certain embodiments, the NSCLC harbors T790M. In certain embodiments, the NSCLC harbors S768I, V769L, H773Y, V774M, R776H, or R776C. In certain embodiments, the NSCLC harbors an EGFR exon 20 deletion.
  • the NSCLC harbors an EGFR exon 20 insertion (Ins20) . In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of one amino acid between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 2 amino acids between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 3 amino acids between D761 and C775.
  • Ins20 EGFR exon 20 insertion
  • the NSCLC harbors an EGFR exon 20 insertion of 4 amino acids between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 5 amino acids between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 6 amino acids between D761 and C775. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of 7 amino acids between D761 and C775.
  • the NSCLC harbors an EGFR exon 20 insertion of D761_E762insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of A763_Y764insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of Y764_V765insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of V765_M766insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of A767_S768insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of S768_V769insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of V769_D770insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of D770_N771insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids. In certain embodiments, the NSCLC harbors an EGFR exon 20 insertion of N771_P772insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of P772_H773insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of H773_V774insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of V774_C775insX, where X is an insertion of 1, 2, 3, 4, 5, 6, or 7 amino acids, each independently selected from the twenty natural amino acids.
  • the NSCLC harbors an EGFR exon 20 insertion of A763_Y764insFQEA, A763_Y764insLQEA, A767_S768insASV, A767_S768insTLA, S768_D770dup, V769_D770insGE, V769_D770insASV, V769_D770insGSV, V769_D770insGVV, V769_D770insMASVD, D770_N771insG, D770_N771insY, D770_N771insGV, D770_N771insGT, D770_N771insNPG, D770_N771insSVD, D770_N771delinsGY, N771dup, N771_P772insH, N771_P772insN, N771_P772insHH, N771_P
  • the NSCLC harbors A763_Y764insFQEA, A767_S768insASV, S768_D770dup, V769_D770insASV, D770_N771insNPG, D770_N771insSVD, D770_N771delinsGY, D770_N771delinsFH, N771_P772delinsFH, N771_H773dup, or H773_V774insNPH.
  • the NSCLC harbors A763_Y764insFQEA, V769_D770insGE, V769_D770insASV, D770_N771insNPG, D770_N771insSVD, or H773_V774insNPH. In certain embodiments, the NSCLC harbors A763_Y764insFQEA. In certain embodiments, NSCLC harbors V769_D770insGE. In certain embodiments, NSCLC harbors V769_D770insASV. In certain embodiments, the NSCLC harbors D770_N771insNPG. In certain embodiments, NSCLC harbors D770_N771insSVD. In certain embodiments, the NSCLC harbors H773_V774insNPH.
  • S768_D770dup represents the duplication of the amino acid sequence from residues S768 to D770
  • D770_N771delinsGY represents the deletion of residues D770 and N771 and an insertion of GY in the same place
  • A763_Y764insFQEA represents an insertion of FQEA between residues A763 and Y764.
  • the NSCLC harbors an EGFR mutation in exon 21. In certain embodiments, the NSCLC harbors an EGFR point mutation in exon 21. In certain embodiments, the NSCLC harbors L858R in exon 21. In certain embodiments, the NSCLC harbors L861Q in exon 21. In certain embodiments, the NSCLC harbors an EGFR exon 21 deletion. In certain embodiments, the NSCLC harbors an EGFR exon 21 insertion.
  • the NSCLC harbors an EGFR mutation in exon 22. In certain embodiments, the NSCLC harbors an EGFR point mutation in exon 22. In certain embodiments, the NSCLC harbors an EGFR exon 22 deletion. In certain embodiments, the NSCLC harbors an EGFR exon 22 insertion.
  • the subject with NSCLC has an adrenal gland, bone, brain, liver, and lung metastasis. In certain embodiments, the subject with NSCLC has an adrenal gland metastasis. In certain embodiments, the subject with NSCLC has a bone metastasis. In certain embodiments, the subject with NSCLC has a brain metastasis. In certain embodiments, the subject with NSCLC has a liver metastasis. In certain embodiments, the subject with NSCLC has a lung metastasis.
  • the subject is a mammal. In certain embodiments, the subject is a human. In certain embodiments, the subject is an adult human. In certain embodiments, the subject is a pediatric human.
  • a method provided herein encompasses treating a subject regardless of patient’s age, although some diseases are more common in certain age groups.
  • the therapeutically effective amount of a compound described herein, e.g., compound A13 is ranging from about 0.1 to about 100 mg/kg per day, from about 0.2 to about 50 mg/kg per day, from about 0.5 to about 20 mg/kg per day, or from about 1 to about 10 mg/kg per day. In one embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 0.1 to about 100 mg/kg per day. In another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 0.2 to about 50 mg/kg per day.
  • the therapeutically effective amount of a compound described herein, e.g., compound A13 is ranging from about 0.5 to about 20 mg/kg per day. In yet another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 1 to about 10 mg/kg per day. In still another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is about 0.5, about 0.6, about 0.7, about 0.8, about 0.9, about 1, about 2, about 3, about 4, about 5, about 7, about 8, about 9, or about 10 mg/kg per day.
  • the therapeutically effective amount of a compound described herein, e.g., compound A13 is ranging from about 10 to about 1,000 mg per day, from about 20 to about 500 mg per day, or from about 50 to about 200 mg per day. In one embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 10 to about 1,000 mg per day. In another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 20 to about 500 mg per day. In yet another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is ranging from about 50 to about 200 mg per day.
  • the therapeutically effective amount of a compound described herein, e.g., compound A13 is about 50, about 100, about 150, about 200, about 250, about 300, about 350, about 400, about 450, or about 500 mg per day. In still another embodiment, the therapeutically effective amount of a compound described herein, e.g., compound A13, is about 50, about 100, about 150, about 200, or about 250 mg per day.
  • the administered dose of a compound described herein can also be expressed in units other than mg/kg every other day.
  • doses for parenteral administration can be expressed as mg/m 2 per day.
  • doses from mg/kg per day to mg/m 2 per day can be expressed as mg/m 2 per day.
  • a dose of 1 mg/m 2 per day for a 65 kg human is approximately equal to 58 mg/kg per day.
  • a compound described herein may be administered by oral, parenteral (e.g., intramuscular, intraperitoneal, intravenous, CIV, intracisternal injection or infusion, subcutaneous injection, or implant) , inhalation, nasal, vaginal, rectal, sublingual, or topical (e.g., transdermal or local) routes of administration.
  • parenteral e.g., intramuscular, intraperitoneal, intravenous, CIV, intracisternal injection or infusion, subcutaneous injection, or implant
  • parenteral e.g., intramuscular, intraperitoneal, intravenous, CIV, intracisternal injection or infusion, subcutaneous injection, or implant
  • inhalation nasal, vaginal, rectal, sublingual, or topical (e.g., transdermal or local) routes of administration.
  • a compound described herein, e.g., compound A13 is administered orally. In another embodiment, a compound described herein, e.g., compound A13, is administered parenterally. In yet another embodiment, a compound described herein, e.g., compound A13, is administered intravenously. In yet another embodiment, a compound described herein, e.g., compound A13, is administered intramuscularly. In yet another embodiment, a compound described herein, e.g., compound A13, is administered subcutaneously. In still another embodiment, a compound described herein, e.g., compound A13, is administered topically.
  • a compound described herein, e.g., compound A13 can be delivered as a single dose such as, e.g., a single bolus injection, or oral tablets or pills; or over time such as, e.g., continuous infusion over time or divided bolus doses over time.
  • a compound described herein, e.g., compound A13 can be administered repetitively, if necessary, for example, until the subject experiences stable disease or regression, or until the subject experiences disease progression or unacceptable toxicity. Stable disease or lack thereof is determined by a method known in the art such as evaluation of subject’s symptoms, physical examination, visualization of the cancer that has been imaged using X-ray, CAT, PET, or MRI scan and other commonly accepted evaluation modalities.
  • a compound described herein, e.g., compound A13 can be administered once daily (QD) , or divided into multiple daily doses such as twice daily (BID) , and three times daily (TID) .
  • the administration can be continuous, i.e., every day, or intermittently.
  • the term “intermittent” or “intermittently” as used herein is intended to mean stopping and starting at either regular or irregular intervals.
  • intermittent administration of a compound described herein, e.g., compound A13 is administration for one to six days per week, administration in cycles (e.g., daily administration for two to eight consecutive weeks, then a rest period with no administration for up to one week) , or administration on alternate days.
  • a compound described herein e.g., compound A13
  • Cycling therapy involves the administration of the compound for a period of time, followed by a rest for a period of time, and repeating this sequential administration. Cycling therapy can reduce the development of resistance to one or more of the therapies, avoid or reduce the side effects of one of the therapies, and/or improves the efficacy of the treatment.
  • a compound described herein, e.g., compound A13 is administered for a cycle of about one week, about two weeks, about three weeks, about four weeks, about five weeks, about six weeks, about eight weeks, or about ten weeks, with a rest period of about 1 day to about four weeks.
  • a compound described herein, e.g., compound A13 is administered for a cycle of three weeks, four weeks, five weeks, or six weeks with a rest period of 1, 3, 5, 7, 9, 12, or 14 days.
  • the rest period is 7 days.
  • the rest period is 14 days.
  • the rest period is a period that is sufficient for bone marrow recovery. The frequency, number, and length of dosing cycles can be increased or decreased.
  • a compound described herein, e.g., compound A13 is administered for three weeks in a 28-day cycle with a 7-day rest period. In one embodiment, in a 28-day cycle with a 7-day rest period, a compound described herein, e.g., compound A13, is administered every day of a week.
  • the subject is treated with a compound described herein, e.g., compound A13, from about 1 to about 50, from about 2 to about 20, from about 2 to 10, or from about 4 to about 8 cycles. In certain embodiments, the subject is treated with a compound described herein, e.g., compound A13, from about 1 to about 50 cycles. In certain embodiments, the subject is treated with a compound described herein, e.g., compound A13, from about 2 to about 20 cycles. In certain embodiments, the subject is treated with a compound described herein, e.g., compound A13, from about 2 to 10 cycles. In certain embodiments, the subject is treated with a compound described herein, e.g., compound A13, from about 4 to about 8 cycles.
  • a method of inhibiting the growth of a metastatic lung cancer cell comprising contacting the cell with an effective amount of a compound described herein, e.g., a compound of Formula (I) , or an enantiomer, a mixture of enantiomers, a diastereomer, a mixture of two or more diastereomers, a tautomer, a mixture of two or more tautomers, or an isotopic variant thereof; or a pharmaceutically acceptable salt, solvate, hydrate, or prodrug thereof.
  • the metastatic lung cancer cell is metastatic NSCLC cell.
  • Osimertinib a third-generation EGFR inhibitor, showed clinical activity in Ins20 NSCLC with an ORR of about 25%at 160 mg daily.
  • Compound A13 as a single agent was evaluated in a liver metastasis xenograft model constructed by spleen inoculation of NPG female mice (6-8 weeks old) with human lung cancer NCI-H1975-Luc cells.
  • the NCI-H1975-Luc cells were cultured in RPMI 1640 medium containing 10%fetal calf serum and 1 ⁇ g/mL puromycin.
  • the NCI-H1975-Luc cells in the exponential growth phase were collected and resuspended in PBS for inoculation.
  • mice The left upper peritoneum of each mouse was incised to expose the spleen and the NCI-H1975-Luc cells (1 x 10 6 ) in 50 ⁇ L PBS were then inoculated into the spleen by slow injection. The spleen was removed after 5 minutes of cell inoculation. The NCI-H1975-Luc cells entered the liver through the hepatic portal vein. Seven days after cell inoculation, the mice were subjected to in vivo bioluminescent imaging. The mice were then randomly divided into 6 experimental groups as shown in Table 2 below, according to the signal value (total flux, photons/sec/cm 2 ) and mouse weight data with 6 mice per group. The date of randomization was designated as Day 0.
  • Compound A13 as a benzoate salt and Osimertinib were each administered orally in a citrate buffer (pH 4) .
  • the mice were monitored daily for any effects of tumor growth and treatments on behavior, such as mobility, food and water consumption, body weight gain/loss, eye/hair matting, and any abnormalities. After the start of dosing, the body weight of the mice was measured twice a week.
  • Tumor growth was monitored by in vivo bioluminescence imaging once a week using an IVIS Lumina in vivo imager. The in vivo bioluminescence imaging was performed by subcutaneous injection of the D-luciferin imaging substrate XENOLIGHT at 150 mg/kg.

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Abstract

L'invention concerne une méthode de traitement, de prévention ou d'amélioration d'un ou de plusieurs symptômes du cancer du poumon avec métastase distante avec un pyrimidinylaminobenzène, par exemple, un composé de formule (I).
PCT/CN2023/129067 2022-11-02 2023-11-01 Pyrimidinylaminobenzènes pour le traitement du cancer du poumon avec métastase distante WO2024094064A1 (fr)

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