Unlock instant, AI-driven research and patent intelligence for your innovation.

Combinations of BCL-2/BCL-XL inhibitors and related uses

A technology of inhibitors and uses, which can be used in drug combinations, medical preparations containing active ingredients, organic active ingredients, etc., and can solve the problem of low objective response rate

Pending Publication Date: 2021-10-19
ASCENTAGE PHARMA SUZHOU CO LTD +1
View PDF1 Cites 0 Cited by
  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Current targeted therapies prolong progression-free survival (PFS) in patients with G1 or G2 neuroendocrine tumors (NETs), but objective response rates remain low

Method used

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
View more

Image

Smart Image Click on the blue labels to locate them in the text.
Viewing Examples
Smart Image
  • Combinations of BCL-2/BCL-XL inhibitors and related uses
  • Combinations of BCL-2/BCL-XL inhibitors and related uses
  • Combinations of BCL-2/BCL-XL inhibitors and related uses

Examples

Experimental program
Comparison scheme
Effect test

Embodiment approach

[0396] In some aspects, the invention provides a combination comprising:

[0397] (i) a pharmaceutically effective amount of Compound 1 or a pharmaceutically acceptable salt thereof; and

[0398] (ii) A pharmaceutically effective amount of osimertinib or a pharmaceutically acceptable salt thereof.

[0399] In some aspects, the invention provides a method of treating or preventing cancer in a subject comprising administering to the subject:

[0400] (i) a pharmaceutically effective amount of Compound 1 or a pharmaceutically acceptable salt thereof; and

[0401] (ii) A pharmaceutically effective amount of osimertinib or a pharmaceutically acceptable salt thereof (eg, the mesylate salt of osimertinib).

[0402] In some aspects, the present invention provides a method of treating or preventing EGFR-TKI resistant NSCLC in a subject, comprising administering to the subject:

[0403] (i) a pharmaceutically effective amount of Compound 1 or a pharmaceutically acceptable salt thereo...

Embodiment 1

[0696] Example 1. Study of the combination of compound 1 and paclitaxel in patients with relapsed / refractory small cell lung cancer.

[0697] A multicenter, open-label, phase I / II study of compound 1 plus paclitaxel combination therapy was conducted in patients with relapsed SCLC.

[0698] The Phase I portion was performed using the TITE-CRM approach to determine the MTD of Compound 1 with fixed dose paclitaxel. The Phase II portion uses Simon's two-stage design to determine the efficacy of the combination therapy with response rate as the primary endpoint. After enrollment, patients underwent a comprehensive medical history and physical examination as well as baseline laboratory evaluations. Baseline CT imaging was required within 4 weeks prior to study entry. Biopsies of primary tumors or metastatic lesions should be performed at baseline for relevant biomarker and pharmacodynamic studies prior to initiating therapy.

[0699] In the Phase I portion, eligible patients rece...

Embodiment 2

[0735] Example 2. The study of the combination of compound 1 and osimertinib in EGFR-TKI resistant non-small cell lung cancer patients.

[0736] A multicenter, open-label phase 1b study was conducted to evaluate the adverse effects and optimal doses of osimertinib versus compound 1 in EGFR-TKI-resistant NSCLC patients.

[0737] In the exploratory phase, a 3+3 design was used to determine the MTD / RP2D of the combination of osimertinib and compound 1; the dose of osimertinib was fixed at 80 mg QD. The dose of compound 1 was started at 240 mg per week and then gradually increased to 320 mg per week and 400 mg per week, or decreased to 160 mg per week and 80 mg per week if the patient could not tolerate the 240 mg per week dose.

[0738] In the expansion phase, IF 1-confirmed PR or CR was observed in NSCLC patients who failed third-generation EGFR TKIs, and the combination of osimertinib and compound 1 in third-generation EGFR TKI-naïve NSCLC patients began to be explored. Patien...

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More

PUM

PropertyMeasurementUnit
Platelet countaaaaaaaaaa
Platelet countaaaaaaaaaa
Login to View More

Abstract

The invention relates to a combination of BCL-2 / BCL-XL inhibitors and related application. The present invention relates to the combination of Compound 1 or a pharmaceutically acceptable salt thereof with at least one additional therapeutic agent. The present invention also relates to methods of treating or preventing a disease by administering Compound 1 or a pharmaceutically acceptable salt thereof and at least one other therapeutic agent to a subject in need thereof.

Description

Background technique [0001] Apoptosis is the body's natural way of getting rid of abnormal or harmful cells, and if affected, it can lead to various diseases, such as cancer. Bcl-2 family proteins are important regulators of apoptosis. The protein family includes anti-apoptotic proteins, such as Bcl-2, Bcl-xL, and Mcl-1, and pro-apoptotic molecules, including Bid, Bim, Bad, Bak, and Bax. Although normal cells express low levels of anti-apoptotic Bcl-2 and Bcl-xL proteins, these proteins are found to be highly overexpressed in many different types of human tumors and implicate tumor initiation, progression and drug resistance sex. There is currently a need for the combination of (1) a Bcl-2 / Bcl-xL inhibitor with high anticancer activity and / or low side effects, and (2) at least one other therapeutic agent. The present invention addresses this need. [0002] Neuroendocrine tumors (NETs) are tumors that arise from cells of the endocrine (hormones) and nervous system. Current...

Claims

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More

Application Information

Patent Timeline
no application Login to View More
IPC IPC(8): A61K31/675A61K31/506A61K31/519A61K31/337A61K31/407A61P35/00A61P19/08
CPCA61K31/675A61K31/506A61K31/519A61K31/337A61K38/06A61K31/5545A61P35/00A61P19/08A61K2300/00A61K31/407A61K45/06A61K31/496
Inventor 翟一帆杨大俊
Owner ASCENTAGE PHARMA SUZHOU CO LTD