Bcl-2 and BTK Inhibitor Combination for Resistant Cancer
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Solution Overview
Problem
Current treatments for cancers, autoimmune diseases, and inflammatory diseases often face challenges due to drug resistance and the need for multi-targeted therapies to effectively manage these conditions, particularly in cases resistant to BTK inhibitors like ibrutinib.
Innovation Solution
A combination product comprising a Bcl-2 inhibitor or a Bcl-2/Bcl-xL dual inhibitor and a BTK inhibitor is developed, where the Bcl-2 inhibitors are specific compounds or their pharmaceutically acceptable salts, administered alone or in combination with BTK inhibitors such as ibrutinib, to treat refractory or resistant diseases.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If single drug therapy is used, then treatment simplicity is maintained, but drug resistance develops and treatment effectiveness decreases
Solution Approach 1:
The patent combines Bcl-2 inhibitor and BTK inhibitor into a fixed-dose combination product, merging two separate therapeutic mechanisms into a single administered regimen. This resolves the contradiction by maintaining treatment simplicity (single pill administration) while improving reliability through synergistic anti-cancer effects that overcome drug resistance
2Productivity
If high dose single drug is used, then immediate therapeutic effect is achieved, but side effects increase and drug resistance develops
Solution Approach 1:
The patent changes the dosing parameters by administering two drugs at lower individual doses in combination, rather than high doses of a single drug. The fixed-dose combination allows each component to be given at optimized lower doses that achieve synergistic therapeutic effect while reducing individual drug toxicity and side effects
3Reliability
If combination therapy is used, then drug resistance is overcome and treatment effectiveness improves, but treatment complexity increases
Solution Approach 1:
The patent merges Bcl-2 inhibitor and BTK inhibitor into a single fixed-dose combination tablet, allowing patients to receive complex combination therapy through a simple single-pill regimen. This resolves the contradiction by maintaining ease of operation (single administration) while improving reliability through multi-targeted anti-cancer mechanisms that overcome resistance
4Duration of action of stationary object
If prolonged treatment is used, then sustained therapeutic effect is achieved, but cumulative toxicity increases
Solution Approach 1:
The patent changes the dosing parameters by using lower individual doses of each inhibitor in combination, which reduces cumulative toxicity while maintaining sustained therapeutic effect through the synergistic interaction between Bcl-2 and BTK inhibition pathways
Data Source
AI summary
Provided herein is a combination product comprising a Bcl-2 inhibitor (or a Bc1-2/Bc1-xl dual inhibitor) and a BTK inhibitor, the combination product providing a use in the prevention and/or treatment of a disease (e.g., cancer, autoimmune disease and inflammatory disease.).


