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Method and compositions for treating hematological malignancies

a hematological malignancy and composition technology, applied in the direction of drug compositions, biocide, group 5/15 element organic compounds, etc., can solve the problems of substantial unmet medical needs, unmet medical needs for novel, efficacious therapeutics, and lack of promising drugs, and achieve the effect of high preference distribution of cpr-pmedap and enhanced stability of these salts (particularly in parenteral formulations)

Inactive Publication Date: 2008-02-14
GILEAD SCI INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The patent text describes a new compound called compound 1 that can be used to treat hematological malignancies. The compound has a unique structure that allows it to preferentially distribute into specific types of cells. The patent also describes the use of an organic acid salt of compound 1, which has improved stability and can be stored for a longer period of time. The patent also mentions the use of carbohydrates in the formulation of the compound to enhance its stability. The technical effects of the patent include improved distribution of compound 1 into specific cells, increased stability, and improved formulation stability.

Problems solved by technology

“Anticancer Res.” 2001 May-June; 21(3B):2057-64), the authors concluded that the “acyclic nucleoside phosphonates substituted at the 6-position of 2,6-diaminepurine ring do not seem to be promising drugs for the treatment of haematological malignancies” due to “high toxicity”.
While the introduction of novel agents such as imatinib (Gleevec®), bortezomib (Velcade®) and rituximab (Rituxin®) has improved the outcome of several hematological malignancies, there remains an unmet medical need for novel, efficacious therapeutics.
However, there remains substantial unmet medical need, for example for the treatment of acute myelogenous leukemia (AML) and chronic lymphocytic leukemia (CLL), as illustrated by poor 5-year survival rates.
However, existing therapies have limitations with regard to, for example, safety, efficacy and ease of use.
It is not uncommon for treatments to be successful initially, then have the hematological malignancies frequently relapse over time.
However, applicants determined that the free base is not commercially optimal for formulation into a dosage form because the free base is hygroscopic.

Method used

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  • Method and compositions for treating hematological malignancies
  • Method and compositions for treating hematological malignancies
  • Method and compositions for treating hematological malignancies

Examples

Experimental program
Comparison scheme
Effect test

example 2

[0039] Table 1 shows anti-proliferation EC50 of compound 1 and its metabolites, cpr-PMEDAP (9-(2-phosphonylmethoxyethyl)-N6-cyclopropyl-2,6-diaminopurine), PMEG (9-(2-phosphonylmethoxyethyl)guanine), and PMEDAP (9-(2-phosphonylmethoxyethyl)-2,6-diaminopurine). A variety of compounds that are used for treatment of hematologic malignancies were also tested, including a DNA polymerase inhibitor (ara-C), DNA polymerase / ribonucleotide reductase inhibitors (cladribine, clofarabine, fludarabine, gemcitabine), an adenosine deaminase inhibitor (deoxycoformycin), a DNA methylation inhibitor (decitabine), a DNA alkylator (doxorubicin), and a mitosis inhibitor (vincristine). All compounds, with the exception of doxorubicin and vincristine, are nucleoside analogs; ara-C, gemcitabine, and decitabine are cytosine analogs and the rest are adenosine analogs. cpr-PMEDAP and PMEG can be considered adenosine and guanosine analogs, respectively. Compounds were tested using human and canine lymphoblasts ...

example 3

Distribution of Prodrugs between PBMCs and Plasma in Dogs

[0046] Dogs were administered various prodrugs of cpr-PMEDAP as 0.2 mg / kg 30 minute IV infusions. The prodrugs 1-4 were monoamidates (phosphorus was also substituted with phenoxy), whereas the last two compounds were bis(amidates). The A and B compounds were substantially isolated enantiomers at the phosphorus atom chiral center whereas the monoAlatBU was the racemate at this site. Alanine was the L isomer. [0047] Blood was collected into potassium EDTA and separated by centrifugation. Primary blood mononuclear cells (PBMCs) were collected using CPT tubes (sodium citrate). [0048] For analysis, plasma samples were precipitated by addition of 100 μL acetonitirile containing internal standards (D4AP and TDF) to 100 μL of plasma for prodrug analysis. After protein precipitation by centrifugation, 100 μL was transferred into another tube to be dried and then reconstituted in 100 μL water with 0.2% formic acid. An aliquot of 20 μL ...

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Abstract

A compound of formula 1 and / or its salts, tautomers or solvates is used to treat hematological malignancies. In an embodiment, an organic acid salt of compound 1 is provided for general use in treatment of neoplasms, and in a further embodiment the salt is stabilized with carbohydrate.

Description

BACKGROUND OF THE INVENTION [0001] N-6 cyclopropylPMEDAP (“cpr-PMEDAP”) has been shown to be effective producing an antiproliferative and differentiation-inducing effect in in vitro cell culture against a variety of tumor cell lines (Naessens et al., “Biochem. Pharmacol.” 1999 Jul. 15; 58(2):311-23). However, when cpr-PMEDAP and other N6-substituted PMEDAP compounds were employed in an in vivo model of haematological malignancy of inbred Sprague-Dawley rats (Valerianova et al. “Anticancer Res.” 2001 May-June; 21(3B):2057-64), the authors concluded that the “acyclic nucleoside phosphonates substituted at the 6-position of 2,6-diaminepurine ring do not seem to be promising drugs for the treatment of haematological malignancies” due to “high toxicity”. [0002] Various bis- and mono-amino acid amidate esters of cpr-PMEDAP (and their use as antiproliferative agents) have been disclosed. See WO 05 / 066189. WO 02 / 08241 discloses a method for screening methoxyphosphonate nucleotide analogue p...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/675A61P35/00A61P35/02C07F9/46
CPCC07F9/65616A61P35/00A61P35/02C07F9/6561A61K31/675
Inventor RAY, ADRIAN S.TUMAS, DANIEL B.REISER, HANSWATKINS, WILLIAM J.LEE, WILLIAM A.CHONG, LEE S.
Owner GILEAD SCI INC
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