Methods of treating cancer with HDAC inhibitors
An inhibitor and dosage technology, applied in the direction of anhydride/acid/halide active ingredients, etc., can solve the problem of not disclosing favorable pharmacokinetic characteristics, etc.
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Embodiment 1
[0402] Synthetic SAHA
[0403] SAHA may be synthesized as outlined below, or by the method described in US Patent No. 5,369,108, the contents of which are incorporated herein by reference in its entirety, or by any other method.
[0404] Synthetic SAHA
[0405] Step 1 - Synthesis of Suberanilic acid
[0406]
[0407] In a 22 L flask, 3,500 g (20.09 mol) of suberic acid was added, and the acid was heated to melt. The temperature was raised to 175° C., and then 2,040 g (21.92 mol) of aniline were added. The temperature was raised to 190° C. and maintained at this temperature for 20 minutes. The melt was poured into a Nalgene tank containing 4,017 g of potassium hydroxide in 50 L of water. The mixture was stirred for 20 minutes, then the melt was added. The reaction was repeated on the same scale and a second batch of the melt was poured into the same potassium hydroxide solution. After the mixture was stirred well, the stirrer was turned off and th...
Embodiment 2
[0420] Oral suberoylanilide hydroxamic acid (SAHA)
[0421] Background: Treatment with hybrid polar cell differentiating agents results in growth inhibition of cell lines and xenografts derived from human solid tumors. This effect is mediated in part by inhibition of histone deacetylases. SAHA has been found in laboratory and preclinical studies to be a potent histone deacetylase inhibitor with the ability to induce tumor cell growth arrest, differentiation and apoptosis.
[0422] Objective: To define a safe daily oral regimen of SAHA that can be used in a phase II study. In addition, the pharmacokinetic profile of the SAHA oral formulation was evaluated. The bioavailability and antineoplastic therapeutic effects of oral SAHA in humans were also monitored under fasted and non-fasted conditions. In addition, the biological effects of SAHA on normal tissues and tumor cells were evaluated, and the responses to histone acetylation levels were recorded.
[0423]Patients: Patien...
Embodiment 3
[0431] Oral suberoylanilide hydroxamic acid (SAHA) - dose escalation
[0432] In another experiment, as shown in Table 4, 25 patients with solid tumors were enrolled in group A, 13 patients with Hodgkin's or non-Hodgkin's lymphoma were enrolled in group B, and one patient with acute leukemia and one patient with myelodysplastic syndrome were enrolled in group C.
[0433] Group
dosage
(mg / day)
Days of administration
Withdrawal period
Program Patient#
(Group A / Group B / Group C) *
I
200
once a day
continuous
none
6 / 0 / 0
II
400
once a day
continuous
none
5 / 4 / 2
III
400
q12 hours
continuous
none
6 / 3 / 0
IV
600
once a day
continuous
none
4 / 3 / 0
V
200
q12 hours
continuous
none
4 / 3 / 0
VI
300
q12 hours
continuous
none
- / - / -
...
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