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RU2017140674A - Способы лечения рака - Google Patents

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RU2017140674A
RU2017140674A RU2017140674A RU2017140674A RU2017140674A RU 2017140674 A RU2017140674 A RU 2017140674A RU 2017140674 A RU2017140674 A RU 2017140674A RU 2017140674 A RU2017140674 A RU 2017140674A RU 2017140674 A RU2017140674 A RU 2017140674A
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cancer
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rad1901
salt
effective amount
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RU2017140674A
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RU2737496C2 (ru
RU2017140674A3 (ru
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Фиона ГАРНЕР
Гэри ХЭТТЕРСЛИ
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Радиус Фармасьютикалз, Инк.
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    • 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
    • A61K31/13—Amines
    • A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137—Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • 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
    • A61K31/13—Amines
    • A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/138—Aryloxyalkylamines, e.g. propranolol, tamoxifen, phenoxybenzamine
    • 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
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/436—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
    • 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
    • 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
    • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • 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
    • A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • 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
    • A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • A61K31/568—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
    • A61K31/5685—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone having an oxo group in position 17, e.g. androsterone
    • 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
    • A61K31/66—Phosphorus compounds
    • A61K31/675—Phosphorus compounds having nitrogen as a ring hetero atom, e.g. pyridoxal phosphate
    • 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
    • A61K31/66—Phosphorus compounds
    • A61K31/683—Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols
    • A61K31/685—Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols one of the hydroxy compounds having nitrogen atoms, e.g. phosphatidylserine, lecithin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • 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
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A61P35/04—Antineoplastic agents specific for metastasis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Emergency Medicine (AREA)
  • Oncology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Steroid Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)

Claims (22)

1. Способ ингибирования роста опухоли или обеспечения регрессии опухоли у субъекта, страдающего от устойчивого к лекарственным препаратам рака, положительного по рецептору эстрогенов альфа, включающий введение указанному субъекту терапевтически эффективного количества RAD1901 следующей структуры:
Figure 00000001
или его соли или сольвата.
2. Способ ингибирования роста опухоли или обеспечения регрессии опухоли у субъекта, страдающего от рака, положительного по мутантному рецептору эстрогенов альфа, включающий введение указанному субъекту терапевтически эффективного количества RAD1901 следующей структуры:
Figure 00000002
или его соли или сольвата.
3. Способ по п. 1 или 2, отличающийся тем, что указанный рак выбран из группы, состоящей из рака молочной железы, рака матки, рака яичников и рака гипофиза.
4. Способ по п. 1 или 2, отличающийся тем, что указанный рак представляет собой метастазирующий рак.
5. Способ по п. 1 или 2, отличающийся тем, что указанный рак является положительным по мутантному рецептору эстрогенов альфа, содержащему одну или несколько мутаций, которые выбраны из группы, состоящей из Y537X1, L536X2, Р535Н, V534E, S463P, V392I, E380Q и комбинации указанных мутаций, где:
X1 представляет собой S, N или С, D538G; и Х2 представляет собой R или Q,
6. Способ по п. 5, отличающийся тем, что указанная мутация представляет собой Y537S.
7. Способ по п. 1 или 2, отличающийся тем, что соотношение концентрации RAD1901 или его соли или сольвата в опухоли и концентрации RAD1901 или его соли или сольвата в плазме (О/П) после введения, составляет по меньшей мере примерно 15.
8. Способ по п. 1 или 2, отличающийся тем, что указанный субъект страдает от остеопороза или имеет высокий риск развития остеопороза.
9. Способ по п. 1 или 2, отличающийся тем, что указанный субъект представляет собой женщину в пременопаузальном периоде.
10. Способ по п. 1 или 2, отличающийся тем, что указанный субъект представляет собой женщину в постменопаузальном периоде, у которой был рецидив или прогрессирование заболевания после предшествующего лечения СМРЭ (селективными модуляторами рецептора эстрогенов) и/или ИА (ингибиторами ароматазы).
11. Способ по п. 1 или 2, отличающийся тем, что указанное терапевтически эффективное количество составляет от примерно 150 до примерно 1500 мг один раз в день.
12. Способ по п. 1 или 2, отличающийся тем, что соль указанного соединения представляет собой дигидрохлорид RAD1901.
13. Способ по п. 1 или 2, отличающийся тем, что указанная опухоль является устойчивой к лекарственному препарату, выбранному из группы, состоящей из антиэстрогенов, ингибиторов ароматазы и комбинаций указанных препаратов.
14. Способ по п. 13, отличающийся тем, что указанный антиэстроген представляет собой тамоксифен или фулвестрант.
15. Способ по п. 13, отличающийся тем, что указанный ингибитор ароматазы представляет собой аромазин.
16. Способ по п. 1 или 2, отличающийся тем, что указанное терапевтически эффективное количество составляет от 150 мг до 2000 мг.
17. Способ по п. 16, отличающийся тем, что указанное терапевтически эффективное количество составляет 200 мг, 400 мг или 500 мг.
RU2017140674A 2015-04-29 2016-04-29 Способы лечения рака RU2737496C2 (ru)

Applications Claiming Priority (27)

Application Number Priority Date Filing Date Title
US201562154699P 2015-04-29 2015-04-29
US62/154,699 2015-04-29
US201562155451P 2015-04-30 2015-04-30
US62/155,451 2015-04-30
US201562158469P 2015-05-07 2015-05-07
US62/158,469 2015-05-07
US201562192940P 2015-07-15 2015-07-15
US201562192944P 2015-07-15 2015-07-15
US62/192,940 2015-07-15
US62/192,944 2015-07-15
US201562252085P 2015-11-06 2015-11-06
US62/252,085 2015-11-06
US201562252916P 2015-11-09 2015-11-09
US62/252,916 2015-11-09
US201562265663P 2015-12-10 2015-12-10
US201562265696P 2015-12-10 2015-12-10
US201562265774P 2015-12-10 2015-12-10
US201562265658P 2015-12-10 2015-12-10
US62/265,774 2015-12-10
US62/265,696 2015-12-10
US62/265,663 2015-12-10
US62/265,658 2015-12-10
US201662323576P 2016-04-15 2016-04-15
US201662323572P 2016-04-15 2016-04-15
US62/323,576 2016-04-15
US62/323,572 2016-04-15
PCT/US2016/030317 WO2016176665A1 (en) 2015-04-29 2016-04-29 Methods of treating cancer

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RU2017140674A3 RU2017140674A3 (ru) 2019-09-27
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US (12) US20180214393A1 (ru)
EP (4) EP3288383A4 (ru)
JP (9) JP6926066B2 (ru)
KR (9) KR102676705B1 (ru)
CN (5) CN113288887A (ru)
AU (3) AU2016256469B2 (ru)
BR (3) BR112017023228A2 (ru)
CA (3) CA2984357A1 (ru)
HK (3) HK1251407A1 (ru)
IL (10) IL255189B2 (ru)
MX (6) MX393599B (ru)
RU (3) RU2747228C2 (ru)
SG (4) SG11201708858WA (ru)
WO (3) WO2016176666A1 (ru)

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