Patent Application
20220226343
CDK8 and CDK19, two closely related transcription-regulating kinases, have become a burgeoning novel cancer drug target (Philip, S. et al., J Med Chem 2018, 61, 5073-5092). In particular, CDK8/19 inhibitors were shown to be efficacious in castration-refractory prostate cancer (CRPC) (Chen, Roninson, U.S. Pat. No. 9,636,342), in acute myeloid leukemia (Pelish et al., Nature. 2015 Oct. 8; 526(7572):273-276. doi: 10.1038/nature14904), in hepatic metastases of colon cancer (Liang et al., Cancer Res. 2018 Dec. 1; 78(23):6594-6606. doi: 10.1158/0008-5472.CAN-18-1583), in estrogen receptor-positive breast cancer when combined with anti-estrogens (McDermott et al., Oncotarget. 2017 Feb. 21; 8(8):12558-12575. doi: 10.18632/oncotarget.14894), and in HER2-positive breast cancer when combined with HER2-targeting agents (McDermott et al., International Patent Pub. No. WO 2016/018511). Higher CDK8 expression was associated with shorter survival in breast and ovarian cancers (Porter, D. C., et al., Proc Natl Acad Sci USA 2012, 109, 13799-804). CDK8 has also shown tumor promoting-activities in melanoma (Kapoor, A. et al., Nature 2010, 468, 1105-1109) and pancreatic cancer (Xu, W., et al., Cancer Lett 2015, 356, 613-627). Furthermore, CDK8/19 inhibitors prevent the induction of genes that promote metastasis and drug resistance in cancer cells of different tumor types, treated with conventional DNA-damaging chemotherapeutic agents or radiation (Porter, D. C., et al., Proc Natl Acad Sci USA 2012, 109, 13799-804). In vivo administration of a CDK8/19 inhibitor also improved the effect of a chemotherapeutic drug doxorubicin in a lung cancer model (Porter et al., ibid.), indicating the utility of CDK8/19 inhibitors for the treatment of different cancers when combined with a variety of DNA-damaging agents.
Aside from cancer, CDK8/19 inhibitors show promise in inflammation-associated diseases (US Patent Pub. No. 2014/0309224 to Porter, D. C.; Johnannessen, L., et al., Nat Chem Biol 2017, 13, 1102-1108); cardiovascular diseases (Hall, D., et al., JCI Insight 2017, 2; International Patent Pub. No. WO 2016/100782 to Roninson, I. B.); ribosomopathies; conditions characterized by reduced number of hematopoietic stem cells and/or progenitor cells; and bone anabolic disorders (International Patent Pub. No. WO 2017/076968 to Flygare, J. and Amirhosseini, M, et al., J Cell Physiol. 2019 Feb. 21)
A number of CDK8/19 inhibitors have been reported (Philip et al., J Med Chem. 2018 Jun. 28; 61(12):5073-5092. doi: 10.1021/acs.jmedchem.7b00901). These include certain quinazoline-based compounds developed by some of the instant inventors that are highly selective for CDK8/19, such as SNX2-1-53 (a.k.a. Senexin A) (Porter, D. C., et al., Proc Natl Acad Sci USA 2012, 109, 13799-804; U.S. Pat. No. 8,598,344 to Porter, D. C.) and SNX2-1-165 (a.k.a. Senexin B) (U.S. Pat. No. 9,321,737 to Roninson, I. B.), as well as highly CDK8/19-selective quinoline-based compounds [U.S. Patent Appl. Nos. 62/720,774 and 62/720,776]. Other CDK8/19 inhibitors have been reported recently (Hatcher, J. M. et al., ACS Med Chem Lett 2018, 9, 540-545; Nakamura, A. et al., Oncotarget 2018, 9, 13474-13487; Han, X., et al., Bioorg Med Chem Lett 2017, 27, 4488-4492).
Thienopyridines are a class of compounds having a bicyclic aromatic ring. Various thienopyridines have been disclosed, including in U.S. Pat. No. 6,964,956, U.S. Patent Pub. 2007/0219234, WO 2017/076968, and Saito, K. et al., Bioorg Med Chem 2013, 21, 1628-42. Exemplary thienopyridines are shown in
None of the CDK8/19 inhibitors have yet demonstrated clinical efficacy, which is determined not only by the ability of a compound to inhibit CDK8/19 but its pharmacokinetics (PK).
Disclosed herein are methods for treating subjects with cancer and compositions used for accomplishing the same. One aspect of the invention is a method for treatment of a subject having a cancer, the method comprising administering a therapeutically effective amount of a compound or a pharmaceutical composition comprising the compound to the subject, wherein the compound is 3-amino-4-(4-(4 (dimethylcarbamoyl) phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide, a deuterated analogue thereof, a salt of any of the forgoing, or a solvate of any of the forgoing. In some embodiments, the cancer is a prostate cancer, a leukemia, a breast cancer, colon cancer, ovarian cancer, pancreatic cancer, or melanoma.
In certain embodiments, the cancer is a prostate cancer, suitably a castration refractory prostate cancer or a prostate cancer is resistant to an androgen deprivation therapy. In some embodiments, the compound is administered to a subject currently undergoing androgen deprivation therapy. In some embodiments, the compound is administered to a subject that has undergone androgen deprivation therapy
In some embodiments, the cancer is a leukemia, suitably an acute myeloid leukemia.
In some embodiments, the cancer is a breast cancer, suitably a metastatic breast cancer.
In some embodiments, the subject is administered a liquid formulation having a compound concentration greater than or equal to 1.0 mg/mL. Suitably the liquid formulation is a solution or an emulsion. In certain embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable oxygenated carrier, excipient, or diluent. In particular embodiments, the pharmaceutically acceptable carrier, excipient, or diluent comprises a hydroxyl group, a carbonyl group, an ether group, a carboxyl, or any combination thereof.
Another aspect of the invention is a pharmaceutical composition comprising a liquid formulation. The liquid formulation comprises a therapeutically effective amount of a compound, and a pharmaceutically acceptable carrier, excipient, or diluent, wherein the compound is 3-amino-4-(4-(4 (dimethylcarbamoyl) phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide, a deuterated analogue thereof, a salt of any of the forgoing, or a solvate of any of the forgoing. The Liquid formulation may have a compound concentration greater than or equal to 1.0 mg/mL. Suitably the liquid formulation is a solution or an emulsion. In certain embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable oxygenated carrier, excipient, or diluent. In particular embodiments, the pharmaceutically acceptable carrier, excipient, or diluent comprises a hydroxyl group, a carbonyl group, an ether group, a carboxyl, or any combination thereof.
Non-limiting embodiments of the present invention will be described by way of example with reference to the accompanying figures, which are schematic and are not intended to be drawn to scale. In the figures, each identical or nearly identical component illustrated is typically represented by a single numeral. For purposes of clarity, not every component is labeled in every figure, nor is every component of each embodiment of the invention shown where illustration is not necessary to allow those of ordinary skill in the art to understand the invention.
Disclosed herein are methods for treating cancers with 3-amino-4-(4-(4 (dimethylcarbamoyl) phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide (15u), deuterated analogues thereof, such as 3-amino-4-(4-(4-(bis(methyl-d3)carbamoyl)phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide (15u_D6), and pharmaceutical compositions comprising the same. 15u and 15u_D6 selectively inhibits kinases CDK8 and CDK19. The inhibition of each of these kinases is beneficial for the treatment of cancers such as prostate, leukemia, breast, colon, ovarian, pancreatic, or melanoma.
The Examples that follow demonstrate the suitability of these compounds for the preparation of pharmaceutical compositions having surprisingly high pharmacokinetics and for in vivo treatment of subjects suffering from cancer. Intravenous and oral administration of 15u and a deuterated analogue, 15u_D6, demonstrate surprising good PK. 15u has a high AUC and very slow clearance, as the average serum concentration of 15u at a late time point (8 hrs) was 64.4% of Cmax. The deuterated analogue 15u_D6 also had a high AUC, which is comparable to or better than 15u. The compounds disclosed herein also specifically inhibit kinases CDK8 and CDK19. For example, compounds 15u and 15u_D6 demonstrated high specificity for these kinase targets. The compounds disclosed herein demonstrate the ability to treat or inhibit the progression of various cancers. For example, the compounds disclosed herein have shown in vivo efficacy against prostate cancer, breast cancer, and leukemia. Because the compounds disclosed herein possess favorable PK, in vivo activity against several different cancers, together with favorable kinome profiles, the compounds are effective CDK8/19 inhibitors for the treatment of cancers linked to CDK8/19 activity.
The compositions described are useful for treating a subject. As used herein, the terms “treating” or “to treat” each mean to alleviate symptoms, eliminate the causation of resultant symptoms either on a temporary or permanent basis, and/or to prevent or slow the appearance or to reverse the progression or severity of resultant symptoms of the named disease or disorder. As such, the methods disclosed herein encompass both therapeutic and prophylactic administration.
As used herein, a “subject” may be interchangeable with “patient” or “individual” and means an animal, which may be a human or non-human animal, in need of treatment. A “subject in need of treatment” may include a subject having a disease, disorder, or condition that is responsive to therapy with 15u, a deuterated analogue thereof (e.g., 15u_D6), a salt of any of the forgoing, or a solvate of any of the forgoing. For example, a “subject in need of treatment” may include a subject having a CDK8/19-associated disease such as cancer, including prostate cancer, leukemia, breast cancer, colon cancer, ovarian cancer, pancreatic cancer, or melanoma. A CDK8/19-associated disease, disorder, or condition includes any disease, disorder, or condition for which the subject may be treated by the inhibition of CDK8 or CDK19.
As used herein the term “effective amount” refers to the amount or dose of the compound, upon single or multiple dose administration to the subject, which provides the desired effect in the subject under diagnosis or treatment. The disclosed methods may include administering an effective amount of the disclosed compounds (e.g., as present in a pharmaceutical composition) for treating a CDK8/19-associated disease.
An effective amount can be readily determined by the attending diagnostician, as one skilled in the art, by the use of known techniques and by observing results obtained under analogous circumstances. In determining the effective amount or dose of compound administered, a number of factors can be considered by the attending diagnostician, such as: the species of the subject; its size, age, and general health; the degree of involvement or the severity of the disease or disorder involved; the response of the individual subject; the particular compound administered; the mode of administration; the bioavailability characteristics of the preparation administered; the dose regimen selected; the use of concomitant medication; and other relevant circumstances.
A typical daily dose may contain from about 0.01 mg/kg to about 100 mg/kg (such as from about 0.05 mg/kg to about 50 mg/kg and/or from about 0.1 mg/kg to about 25 mg/kg) of the compound used in the present method of treatment.
Compositions can be formulated in a unit dosage form, each dosage containing from about 1 to about 500 mg of the compound individually or in a single unit dosage form, such as from about 5 to about 300 mg, from about 10 to about 100 mg, and/or about 25 mg. The term “unit dosage form” refers to a physically discrete unit suitable as unitary dosages for a patient, each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect, in association with a suitable pharmaceutical carrier, diluent, or excipient.
In some embodiments, the CDK8/19-associated disease is a prostate cancer, suitably a castration refractory prostate cancer or a prostate cancer resistant to an androgen deprivation therapy. As used herein, “castration refractory prostate cancer” or “castrate-resistant prostate cancer” or “CRPC” is a prostate cancer that keeps growing even when the amount of testosterone in the body is reduced to very low levels. Many early-stage prostate cancers need substantially normal levels of testosterone to grow, whereas CRPC does not.
Androgen deprivation therapy (or androgen suppression therapy) is a prostate cancer hormone therapy. Androgen deprivation therapy may include a treatment to lower androgen levels, such as surgical or chemical castration, or a treatment to inhibit the activity of cancer-promoting activity of androgens. Lowering androgen levels or inhibiting androgen activity may result in slowing of the growth of the prostate tumor, and in some cases shrinkage of the tumor. Suitably treatments to inhibit the activity of cancer-promoting androgens include the administration of anti-androgens, which may bind to an androgen receptor. Anti-androgens include, without limitation, cyproterone acetate, megestrol acetate, chlormadinone acetate, spironolactone, oxendolone, flutamide, bicalutamide, nilutamide, topilutamide, enzalutamide, abiraterone, or apalutamide.
The presently disclosed methods may be useful for treating subjects who are unresponsive to androgen deprivation therapy. Some prostate cancers, such as CRPC, may not respond to or become resistant to androgen deprivation therapy. As demonstrated in the Examples, 15u is effective in suppressing prostate tumor growth of CRPC. As a result, 15u may be administered to a subject having previously undergone an androgen deprivation therapy or to those subjects unresponsive to androgen deprivation therapy.
The presently disclosed methods may also be useful for treating subjects currently undergoing androgen deprivation therapy. As demonstrated in the Examples, 15u is effective in suppressing prostate tumor growth of CRPC when co-administered with an anti-androgen. As a result, 15u may be administered to a subject currently undergoing androgen deprivation therapy.
In some embodiments, the CDK8/19-associated disease is a leukemia, suitably an acute myeloid leukemia.
In some embodiments, the CDK8/19-associated disease is a breast cancer, suitably a metastatic breast cancer or a triple-negative breast cancer (TNBC).
The compounds utilized in the methods disclosed herein may be formulated as pharmaceutical compositions that include: (a) a therapeutically effective amount of one or more compounds as disclosed herein; and (b) one or more pharmaceutically acceptable carriers, excipients, or diluents. Suitably the compound is 3-amino-4-(4-(4 (dimethylcarbamoyl) phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide, a deuterated analogue thereof, a salt of any of the forgoing, or a solvate of any of the forgoing. Deuterated analogues include, without limitation, 3-amino-4-(4-(4-(bis(methyl-d3)carbamoyl)phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide (15u_D6),
The pharmaceutical composition may include the compound in a range of about 0.1 to 2000 mg (preferably about 0.5 to 500 mg, and more preferably about 1 to 100 mg). The pharmaceutical composition may be administered to provide the compound at a daily dose of about 0.1 to 100 mg/kg body weight (preferably about 0.5 to 20 mg/kg body weight, more preferably about 0.1 to 10 mg/kg body weight). In some embodiments, after the pharmaceutical composition is administered to a patient (e.g., after about 1, 2, 3, 4, 5, or 6 hours post-administration), the concentration of the compound at the site of action is about 1 nM to 100 μM.
The compounds utilized in the methods disclosed herein may be formulated as a pharmaceutical composition in solid or liquid dosage form, although any pharmaceutically acceptable dosage form can be utilized. Exemplary solid dosage forms include, but are not limited to, tablets, capsules, sachets, lozenges, powders, pills, or granules, and the solid dosage form can be, for example, a fast melt dosage form, controlled release dosage form, lyophilized dosage form, delayed release dosage form, extended release dosage form, pulsatile release dosage form, mixed immediate release and controlled release dosage form, or a combination thereof.
Liquid dosage forms or formulations include homogeneous liquid formulations such as solutions or heterogeneous liquid formulations such as emulsions. As used herein, a “solution” is a liquid phase comprising more than one substances and an “emulsion” is a fluid colloidal system in which liquid droplets and/or liquid crystals are dispersed in a liquid. Emulsions may comprise micelles or liposomes dispersed in a colloid. A “micelle” is an aggregate or supramolecular assembly of surfactants that exist in equilibrium with the molecules or ions from which they are formed. A “liposome” is an aggregate or supramolecular assembly comprising at least one bilayer. For either homogeneous or heterogeneous liquid formulations, the compound is part of a liquid phase. For the avoidance of doubt, liquid formulations do not include suspensions. A “suspension” is a liquid in which solid compound particles are dispersed.
In some embodiments, the pharmaceutical composition is a liquid formulation having a compound concentration greater than or equal to 1.0 mg/mL. Suitably, the liquid formulation may have a compound concentration greater than 2.0 mg/mL, 3.0 mg/mL, 4.0 mg/mL, 5.0 mg/mL, 6.0 mg/mL, 7.0 mg/mL, 8.0 mg/mL, 9.0 mg/mL, 10.0 mg/mL, 11.0 mg/mL, 12.0 mg/mL, 13.0 mg/mL, 14.0 mg/mL, 15.0 mg/mL, 16.0 mg/mL, 17.0 mg/mL, 18.0 mg/mL, or 19.0 mg/mL. In certain embodiments, the liquid formulation may have a compound concentration less than or equal to 50.0 mg/mL, 40.0 mg/mL, 30.0 mg/mL, or 20.0 mg/mL. In particular embodiments, the liquid formulation has a compound concentration greater than or equal to any one of 1.0 mg/mL, 2.0 mg/mL, 3.0 mg/mL, 4.0 mg/mL, 5.0 mg/mL, 6.0 mg/mL, 7.0 mg/mL, 8.0 mg/mL, 9.0 mg/mL, 10.0 mg/mL, 11.0 mg/mL, 12.0 mg/mL, 13.0 mg/mL, 14.0 mg/mL, 15.0 mg/mL, 16.0 mg/mL, 17.0 mg/mL, 18.0 mg/mL, or 19.0 mg/mL and less than or equal to any one of 50.0 mg/mL, 40.0 mg/mL, 30.0 mg/mL, or 20.0 mg/mL.
In some embodiments, the liquid formulation comprises a pharmaceutically acceptable oxygenated carrier, excipient, or diluent. Suitably the oxygenated carrier, excipient, or diluent comprises a hydroxyl group, a carbonyl group, an ether group, a carboxyl, or any combination thereof. The oxygenated carrier, excipient, or diluent may comprise two or more ether groups. In some embodiments, the oxygenated carrier, excipient, or diluent is a polyethoxylated carrier, excipient, or diluent. Exemplary oxygenated carriers, excipients, or diluents of this type include, without limitation, polyethylene glycols, such as PEG-300, PEG-400, PEG-600, Vitamin E TPGS; polyethoxylated sorbitans, such as polysorbates like Tween®-80; or polyethoxylated carboxylic acids, such as polyoxyethylated 12-hydroxystearic acid (Solutol®). The oxygenated carrier, excipient, or diluent may comprise two or more hydroxyl groups. Exemplary oxygenated carriers, excipients, or diluents or this type include, without limitation, carboxymethyl cellulose, polyethoxylated sorbitans, such as polysorbates like Tween®-80; polyethoxylated carboxylic acids, such as polyoxyethylated 12-hydroxystearic acid (Solutol®); sorbitan esters, such as Span-20; glycols, such as propylene glycol; or sugar alcohols, such as glycerol.
As demonstrated in the Examples, the liquid formulations having a higher concentration of compound in a liquid phase have superior PK in in vivo testing. As a result, for certain applications solutions and/or emulsions are preferred over suspensions. In some embodiments, the administration of a pharmaceutical composition described herein in the form of a solution or an emulsion results in a measured AUC greater than a pharmaceutical composition in the form of a suspension comprising the same therapeutically effective amount of the compound suspended within the suspension or a solid comprising the same therapeutically effective amount of the compound. In some embodiments, the administration of a pharmaceutical composition described herein in the form of a solution or an emulsion results in a measured t1/2 greater than a pharmaceutical composition in the form of a suspension comprising the same therapeutically effective amount of the compound suspended within the suspension or a solid comprising the same therapeutically effective amount of the compound.
The compounds utilized in the methods disclosed herein may be formulated as a pharmaceutical composition that includes a carrier. For example, the carrier may be selected from the group consisting of proteins, carbohydrates, sugar, talc, magnesium stearate, cellulose, calcium carbonate, and starch-gelatin paste.
The compounds utilized in the methods disclosed herein may be formulated as a pharmaceutical composition that includes one or more binding agents, filling agents, lubricating agents, suspending agents, sweeteners, flavoring agents, preservatives, buffers, wetting agents, disintegrants, and effervescent agents. Filling agents may include lactose monohydrate, lactose anhydrous, and various starches; examples of binding agents are various celluloses and crosslinked polyvinylpyrrolidone, microcrystalline cellulose, such as Avicel® PH101 and Avicel® PH102, microcrystalline cellulose, and silicified microcrystalline cellulose (ProSolv SMCC™). Suitable lubricants, including agents that act on the flowability of the powder to be compressed, may include colloidal silicon dioxide, such as Aerosil® 200, talc, stearic acid, magnesium stearate, calcium stearate, and silica gel. Examples of sweeteners may include any natural or artificial sweetener, such as sucrose, xylitol, sodium saccharin, cyclamate, aspartame, and acesulfame. Examples of flavoring agents are Magnasweet® (trademark of MAFCO), bubble gum flavor, and fruit flavors, and the like. Examples of preservatives may include potassium sorbate, methylparaben, propylparaben, benzoic acid and its salts, other esters of parahydroxybenzoic acid such as butylparaben, alcohols such as ethyl or benzyl alcohol, phenolic compounds such as phenol, or quaternary compounds such as benzalkonium chloride.
Suitable diluents may include pharmaceutically acceptable inert fillers, such as microcrystalline cellulose, lactose, dibasic calcium phosphate, saccharides, and mixtures of any of the foregoing. Examples of diluents include microcrystalline cellulose, such as Avicel® PH101 and Avicel® PH102; lactose such as lactose monohydrate, lactose anhydrous, and Pharmatose® DCL21; dibasic calcium phosphate such as Emcompress®; mannitol; starch; sorbitol; sucrose; and glucose.
Suitable disintegrants include lightly crosslinked polyvinyl pyrrolidone, corn starch, potato starch, maize starch, and modified starches, croscarmellose sodium, cross-povidone, sodium starch glycolate, and mixtures thereof.
Examples of effervescent agents are effervescent couples such as an organic acid and a carbonate or bicarbonate. Suitable organic acids include, for example, citric, tartaric, malic, fumaric, adipic, succinic, and alginic acids and anhydrides and acid salts. Suitable carbonates and bicarbonates include, for example, sodium carbonate, sodium bicarbonate, potassium carbonate, potassium bicarbonate, magnesium carbonate, sodium glycine carbonate, L-lysine carbonate, and arginine carbonate. Alternatively, only the sodium bicarbonate component of the effervescent couple may be present.
The compounds utilized in the methods disclosed herein may be formulated as a pharmaceutical composition for delivery via any suitable route. For example, the pharmaceutical composition may be administered via oral, intravenous, intramuscular, subcutaneous, topical, and pulmonary route. Examples of pharmaceutical compositions for oral administration include capsules, syrups, concentrates, powders and granules.
The compounds utilized in the methods disclosed herein may be administered in conventional dosage forms prepared by combining the active ingredient with standard pharmaceutical carriers or diluents according to conventional procedures well known in the art. These procedures may involve mixing, granulating and compressing or dissolving the ingredients as appropriate to the desired preparation.
Pharmaceutical compositions comprising the compounds may be adapted for administration by any appropriate route, for example by the oral (including buccal or sublingual), rectal, nasal, topical (including buccal, sublingual or transdermal), vaginal or parenteral (including subcutaneous, intramuscular, intravenous or intradermal) route. Such formulations may be prepared by any method known in the art of pharmacy, for example by bringing into association the active ingredient with the carrier(s) or excipient(s).
Pharmaceutical compositions adapted for oral administration may be presented as discrete units such as capsules or tablets; powders or granules; solutions or suspensions in aqueous or non-aqueous liquids; edible foams or whips; or oil-in-water liquid emulsions or water-in-oil liquid emulsions.
Pharmaceutical compositions adapted for transdermal administration may be presented as discrete patches intended to remain in intimate contact with the epidermis of the recipient for a prolonged period of time. For example, the active ingredient may be delivered from the patch by iontophoresis.
Pharmaceutical compositions adapted for topical administration may be formulated as ointments, creams, suspensions, lotions, powders, solutions, pastes, gels, impregnated dressings, sprays, aerosols or oils and may contain appropriate conventional additives such as preservatives, solvents to assist drug penetration and emollients in ointments and creams.
For applications to the eye or other external tissues, for example the mouth and skin, the pharmaceutical compositions are preferably applied as a topical ointment or cream. When formulated in an ointment, the compound may be employed with either a paraffinic or a water-miscible ointment base. Alternatively, the compound may be formulated in a cream with an oil-in-water cream base or a water-in-oil base. Pharmaceutical compositions adapted for topical administration to the eye include eye drops where the active ingredient is dissolved or suspended in a suitable carrier, especially an aqueous solvent.
Pharmaceutical compositions adapted for topical administration in the mouth include lozenges, pastilles and mouth washes.
Pharmaceutical compositions adapted for rectal administration may be presented as suppositories or enemas.
Pharmaceutical compositions adapted for nasal administration where the carrier is a solid include a coarse powder having a particle size (e.g., in the range 20 to 500 microns) which is administered in the manner in which snuff is taken (i.e., by rapid inhalation through the nasal passage from a container of the powder held close up to the nose). Suitable formulations where the carrier is a liquid, for administration as a nasal spray or as nasal drops, include aqueous or oil solutions of the active ingredient.
Pharmaceutical compositions adapted for administration by inhalation include fine particle dusts or mists which may be generated by means of various types of metered dose pressurized aerosols, nebulizers or insufflators.
Pharmaceutical compositions adapted for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or spray formulations.
Pharmaceutical compositions adapted for parenteral administration include aqueous and non-aqueous sterile injection solutions which may contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents. The formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example water for injections, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets.
Tablets and capsules for oral administration may be in unit dose presentation form, and may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyrrolidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate, talc, polyethylene glycol or silica; disintegrants, for example potato starch; or acceptable wetting agents such as sodium lauryl sulphate. The tablets may be coated according to methods well known in normal pharmaceutical practice. Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives, such as suspending agents, for example sorbitol, methyl cellulose, glucose syrup, gelatin, hydroxyethyl cellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats, emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, oily esters such as glycerine, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid, and, if desired, conventional flavoring or coloring agents.
The compounds employed in the compositions and methods disclosed herein may be administered as pharmaceutical compositions and, therefore, pharmaceutical compositions incorporating the compounds are considered to be embodiments of the compositions disclosed herein. Such compositions may take any physical form which is pharmaceutically acceptable; illustratively, they can be orally administered pharmaceutical compositions. Such pharmaceutical compositions contain an effective amount of a disclosed compound, which effective amount is related to the daily dose of the compound to be administered. Each dosage unit may contain the daily dose of a given compound or each dosage unit may contain a fraction of the daily dose, such as one-half or one-third of the dose. The amount of each compound to be contained in each dosage unit can depend, in part, on the identity of the particular compound chosen for the therapy and other factors, such as the indication for which it is given. The pharmaceutical compositions disclosed herein may be formulated so as to provide quick, sustained, or delayed release of the active ingredient after administration to the patient by employing well known procedures.
The compounds for use according to the methods of disclosed herein may be administered as a single compound or a combination of compounds. For example, a compound that treats cancer activity may be administered as a single compound or in combination with another compound that treats cancer or that has a different pharmacological activity.
As indicated above, pharmaceutically acceptable salts of the compounds are contemplated and also may be utilized in the disclosed methods. The term “pharmaceutically acceptable salt” as used herein, refers to salts of the compounds which are substantially non-toxic to living organisms. Typical pharmaceutically acceptable salts include those salts prepared by reaction of the compounds as disclosed herein with a pharmaceutically acceptable mineral or organic acid or an organic or inorganic base. Such salts are known as acid addition and base addition salts. It will be appreciated by the skilled reader that most or all of the compounds as disclosed herein are capable of forming salts and that the salt forms of pharmaceuticals are commonly used, often because they are more readily crystallized and purified than are the free acids or bases.
Acids commonly employed to form acid addition salts may include inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, phosphoric acid, and the like, and organic acids such as p-toluenesulfonic, methanesulfonic acid, oxalic acid, p-bromophenylsulfonic acid, carbonic acid, succinic acid, citric acid, benzoic acid, acetic acid, and the like. Examples of suitable pharmaceutically acceptable salts may include the sulfate, pyrosulfate, bisulfate, sulfite, bisulfate, phosphate, monohydrogenphosphate, dihydrogenphosphate, metaphosphate, pyrophosphate, bromide, iodide, acetate, propionate, decanoate, caprylate, acrylate, formate, hydrochloride, dihydrochloride, isobutyrate, caproate, heptanoate, propiolate, oxalate, malonate, succinate, suberate, sebacate, fumarate, maleat-, butyne-. 1,4-dioate, hexyne-1,6-dioate, benzoate, chlorobenzoate, methylbenzoate, hydroxybenzoate, methoxybenzoate, phthalate, xylenesulfonate, phenylacetate, phenylpropionate, phenylbutyrate, citrate, lactate, alpha-hydroxybutyrate, glycolate, tartrate, methanesulfonate, propanesulfonate, naphthalene-1-sulfonate, naphthalene-2-sulfonate, mandelate, and the like.
Base addition salts include those derived from inorganic bases, such as ammonium or alkali or alkaline earth metal hydroxides, carbonates, bicarbonates, and the like. Bases useful in preparing such salts include sodium hydroxide, potassium hydroxide, ammonium hydroxide, potassium carbonate, sodium carbonate, sodium bicarbonate, potassium bicarbonate, calcium hydroxide, calcium carbonate, and the like.
The particular counter-ion forming a part of any salt of a compound disclosed herein is may not be critical to the activity of the compound, so long as the salt as a whole is pharmacologically acceptable and as long as the counterion does not contribute undesired qualities to the salt as a whole. Undesired qualities may include undesirably solubility or toxicity.
Pharmaceutically acceptable esters and amides of the compounds can also be employed in the compositions and methods disclosed herein. Examples of suitable esters include alkyl, aryl, and aralkyl esters, such as methyl esters, ethyl esters, propyl esters, dodecyl esters, benzyl esters, and the like. Examples of suitable amides include unsubstituted amides, monosubstituted amides, and disubstituted amides, such as methyl amide, dimethyl amide, methyl ethyl amide, and the like.
In addition, the methods disclosed herein may be practiced using solvate forms of the compounds or salts, esters, and/or amides, thereof. A “solvate” means a molecular complex comprising the compound of the invention and one or more pharmaceutically acceptable solvent molecules. Solvate forms may include ethanol solvates, hydrates, and the like.
The compositions described are useful for inhibiting CDK8 and/or CDK19. As used herein, “inhibiting CDK8” or “inhibiting CDK19” means to inhibit the activity of CDK8 or CDK19, respectively, by any suitable mechanism, including competitive binding. The method of inhibiting CDK8 and/or CDK19 may comprise contacting any of the compounds or compositions described herein with CDK8 or CDK19. The extent of inhibition may be measured by the assays taught in the Examples in this Specification, including assay conditions employed by the service providers utilized herein. Results of these assays are commonly expressed herein as percent of control (POC), with the control being no compound being present. Alternatively, the results may be expressed as IC50. In some embodiments, the POC is less than 35%, suitably less than 30%, 25%, 20%, 15%, 10%, 5%, or 1% for an effective amount of any of the compounds of compositions described herein. In some embodiments, the IC50 is less than 2000 nM, 1500 nM, 1000 nM, 750 nM, 500 nM, 250 nM, 200 nM 150 nM, 100 nM, 75 nM, 50, nM, 40 nM, 30 nM, or 25 nM.
In some embodiments, the compounds and compositions disclosed herein specifically inhibit CDK8 or CDK19. As used herein, a compound or composition that “specifically inhibits CDK8” or “specifically inhibits CDK19” is a compound or composition that inhibits one or more CDK8 or CDK19, respectively, to a greater extent than it inhibits certain other CDKs. In some embodiments, such compounds further inhibit CDK8 and/or CDK19 to a greater extent than CDK2, CDK3, CDK4, CDK5, CDK7, CDK9, CDK11A, CDK11B, CDK13, CDK14, CDK15, CDK16, CDK17, CDK18, CDKL1, CDKL3, or CDKL5. In preferred embodiments, such greater extent is at least 2-fold more, or at least 3-fold more, than CDK2, CDK3, CDK4, CDK5, CDK7, CDK9, CDK11A, CDK11B, CDK13, CDK14, CDK15, CDK16, CDK17, CDK18, CDKL1, CDKL3, or CDKL5.
Unless otherwise specified or indicated by context, the terms “a”, “an”, and “the” mean “one or more.” For example, “a molecule” should be interpreted to mean “one or more molecules.”
As used herein, “about”, “approximately,” “substantially,” and “significantly” will be understood by persons of ordinary skill in the art and will vary to some extent on the context in which they are used. If there are uses of the term which are not clear to persons of ordinary skill in the art given the context in which it is used, “about” and “approximately” will mean plus or minus ≤10% of the particular term and “substantially” and “significantly” will mean plus or minus >10% of the particular term.
As used herein, the terms “include” and “including” have the same meaning as the terms “comprise” and “comprising.” The terms “comprise” and “comprising” should be interpreted as being “open” transitional terms that permit the inclusion of additional components further to those components recited in the claims. The terms “consist” and “consisting of” should be interpreted as being “closed” transitional terms that do not permit the inclusion additional components other than the components recited in the claims. The term “consisting essentially of” should be interpreted to be partially closed and allowing the inclusion only of additional components that do not fundamentally alter the nature of the claimed subject matter.
All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as”) provided herein, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention unless otherwise claimed. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.
All references, including publications, patent applications, and patents, cited herein are hereby incorporated by reference to the same extent as if each reference were individually and specifically indicated to be incorporated by reference and were set forth in its entirety herein.
Preferred aspects of this invention are described herein, including the best mode known to the inventors for carrying out the invention. Variations of those preferred aspects may become apparent to those of ordinary skill in the art upon reading the foregoing description. The inventors expect a person having ordinary skill in the art to employ such variations as appropriate, and the inventors intend for the invention to be practiced otherwise than as specifically described herein. Accordingly, this invention includes all modifications and equivalents of the subject matter recited in the claims appended hereto as permitted by applicable law. Moreover, any combination of the above-described elements in all possible variations thereof is encompassed by the invention unless otherwise indicated herein or otherwise clearly contradicted by context.
We have used a cell-based assay to measure the inhibition of CDK8/19 activity by thienopyridine derivatives. This assay, based on the role of CDK8/19 in NFκB-driven transcription (Chen, 2017), measures the effects of CDK8/19 on the expression of firefly luciferase reporter from a NFκB-dependent promoter in 293 cells. Lentiviral vector pHAGE-NFKB-TA-LUC-UBC-dTomato-W (Addgene #49335) was introduced into 293 cells and a clonal cell line showing the strongest induction of luciferase expression upon TNFα treatment was established and used as the reporter cell line. As a control for CDK8/19 dependence of NFκB inhibition, we have also introduced the same reporter construct into 293 cells with CRISPR/CAS9 knockout of both CDK8 and CDK19.
Table 2 shows the kinome profile of 15u_D6 and 15u as measured via the KINOMEscan™ site-directed competition binding assay at 2000 nM concentration. Compounds that bind the kinase active site and directly (sterically) or indirectly (allosterically) prevent kinase binding to the immobilized ligand, will reduce the amount of kinase captured on the solid support. Conversely, test molecules that do not bind the kinase have no effect on the amount of kinase captured on the solid support. Screening “hits” are identified by measuring the amount of kinase captured in test versus control samples by using a quantitative, precise and ultra-sensitive qPCR method that detects the associated DNA label. In a similar manner, dissociation constants (Kds) for test compound-kinase interactions are calculated by measuring the amount of kinase captured on the solid support as a function of the test compound concentration. A detailed description of the assay technology may be found in Fabian, M. A. et al. A small molecule-kinase interaction map for clinical kinase inhibitors. Nat. Biotechnol. 23, 329-336 (2005).
Percent Control (% Ctrl). The compounds were screened at a 10 nM concentration, and results for primary screen binding interactions are reported as “% Ctrl” or “POC”, where lower numbers indicate stronger hits in the matrix. % Ctrl is defined as (eqn 1):
% Ctrl=100×(TS−CPOS)/(CNEG−CPOS) (eqn 1)
where TS is the test compound signal, CPOS is the positive control signal (0% Ctrl), CNEG is the DMSO negative control (100% Ctrl).
Results. Table 2 compares the results of kinome profiling between 15u and 15u_D6. Both 15u and 15u_D6 are highly selective for CDK8 and CDK19. Although 15u_D6 showed somewhat greater inhibition for most of the off-target kinases, the effect of 15u_D6 on CDK8 and CDK19 was much greater than the effect of 15u. The % Ctrl of 15u for CDK8 and CDK19 are 2.6 and 13, respectively. The % Ctrl of 15u_D6 for CDK8 and CDK19 are 0.25 and 0, respectively. Hence, the structural difference between 15u and 15u_D6 results in a major difference in target selectivity.
The effects on all the kinases that showed >65% inhibition by 2,000 nM 15u in this screen (CDK8, CDK19, RIOK2, CSNK1A1, CSNK1E, SCNK1D, HASPIN, GSK3A) were then further investigated by measuring Kd values of 15u in the DiscoverX assay. The Kd assays were carried out in duplicates and the results are presented in Table 3. This table also shows the results of Kd determination for 15w versus CDK8, CDK19 and RIOK2.
Notably, the CDK8 and CDK19 Kd values for 15u and 15w are almost an order of magnitude higher than their IC50 values for CDK8/19 inhibition in a cell-based assay (
Remarkably, the reported evidence suggests that the inhibition of these three kinases may be beneficial rather than detrimental for cancer treatment. Thus RIOK2, an atypical kinase regulating ribosomal biogenesis was identified as the target of a compound that selectively inhibited growth of prostate cancer cell lines carrying an oncogenic gene fusion that activates ERG gene in many prostate cancers. The same RIOK2-binding compound had only minimal effect on normal prostate or endothelial cells or ERG-negative tumor cell lines (Mohamed, A A et al., Cancer Res. 2018 Jul. 1; 78(13):3659-3671. doi: 10.1158/0008-5472.CAN-17-2949). CSNK1A1 has been implicated as an oncogenic factor in a variety of leukemias and solid tumors (Mannis, S. et al. J Hematol Oncol. 2017 Oct. 2; 10(1):157. doi: 10.1186/s13045-017-0529-5; Richter, J. et al., BMC Cancer. 2018 Feb. 6; 18(1):140. doi: 10.1186/s12885-018-4019-0) and CSNK1A1 inhibitors synergized with lysosomotropic agents to inhibit growth and promote tumor cell death in KRAS-driven cancers (Cheong, J. K. et al., J Clin Invest. 2015 April; 125(4):1401-18. doi: 10.1172/JCI78018). CSNK1E inhibition was reported to have selective antiproliferative activity in several types of tumor cells (Yang, W S, et al., Genome Biol. 2008; 9(6):R92. doi: 10.1186/gb-2008-9-6-r92; Kim, S. Y. et al., PLoS One. 2010 Feb. 1; 5(2):e8979. doi: 10.1371/journal.pone.0008979; Toyoshima, M., et al., Proc Natl Acad Sci USA. 2012 Jun. 12; 109(24):9545-50. doi: 10.1073/pnas.1121119109; Varghese, R. T., et al., Sci Rep. 2018 Sep. 11; 8(1):13621. doi: 10.1038/s41598-018-31864-x.) Hence, 15u has unexpected activities for cancer therapy in addition to CDK8/19 inhibition.
To measure mouse pharmacokinetics (PK), thienopyridine derivatives were dissolved in 5% dextrose and administered to male FVB mice at different dosing conditions; blood samples were collected at different time points and compound concentrations in the serum were measured by LC/MS/MS.
Oral PK was also determined at higher dosages, approximating the expected therapeutic doses, for a mixture of the two most active compounds, 15w and 15u, administered to female CD1 mice at 30 mg/kg of each compound in 0.5% carboxylmethyl cellulose. The results shown in
This PK analysis demonstrated that 15u, alone of the tested thienopyridine derivatives, demonstrated highly appealing PK properties, with very high bioavailability and stability after oral administration.
CDK8/19 inhibition decreases the expression of certain androgen-receptor (AR) inducible genes including PSA, the most common marker of prostate cancer, and the growth of castration-refractory prostate cancers (CRPC).
In another in vivo study, CRPC cell line 22rv1, expressing AR-V7 variant androgen receptor found in many anti-androgen-resistant clinical CRPCs, was grown as a xenograft in castrated male nude (NcrNu) mice. When the tumors reached average size of 150-200 mm3, mice were randomized into two groups (n=13) and treated either with vehicle (0.5% carboxylmethyl cellulose) control or with 50 mg/kg 15u, given orally daily. As shown in
The 22rv1 study in castrated Ncr/Nu male mice described above was repeated over a longer term using three dosing regimens of 15u (all in in 5% carboxylmethyl cellulose): (i) 50 mg/kg once a day, (ii) 25 mg/kg twice a day, and (iii) 50 mg/kg twice a day. As shown in
The combinatorial effects of 15u and anti-androgen enzalutamide in CRPC were analyzed in a murine MYC-Cap-CR model. MYC-CaP-CR cells (Ellis L. et al., 2012. Prostate 72(6):587-591) were selected for castration resistance from genetically engineered MYC-CaP cells that express MYC from an AR-responsive promoter (Watson P A, et al., 2005. Cancer Res 65(24):11565-11571). Castration resistance in these cells is associated with the overexpression of full-length AR rather than an AR variant, such as AR-V7 in 22rv1 (Olson B M, et al., 2017. Cancer immunology research 5(12):1074-1085). In a short-term cell proliferation assay, CDK8/19 inhibitors Senexin B and 15u showed little effect on MYC-CAP-CR cell growth in androgen-containing media, whereas enzalutamide paradoxically stimulated the growth of these cells (
These results suggest that 15u can be advantageously combined with enzalutamide (or other anti-androgens) in the treatment of CRPC. The strongest in vivo activity of 15u as a single agent in CRPC was observed in 22rv1 cells expressing AR-V7, suggesting that prostate cancers expressing AR-V7 and possibly other androgen-independent AR variants may be especially susceptible to CDK8/19 inhibition in vivo.
4T1 is a murine triple-negative breast cancer (TNBC) cell line, which is highly metastatic to the lungs. The effect of CDK8 on lung metastasis in this model was demonstrated in the study shown in
In a similar study, following the removal of the primary tumor, mice were separated into three groups (
In another study with this model, tumors formed by parental 4T1 cells were removed and mice were randomized into two groups (
The anti-leukemic properties of 15u were investigated in an acute myeloid leukemia (AML) cell line MV4-11, previously shown to be sensitive to CDK8/19 inhibition in vitro and in vivo (Pelish H E, et al., 2015. Nature 526(7572):273-276). The population of MV4-11 cells used for in vivo studies was made to express Luciferase and ZsGreen by lenviral infection with pHIV-Luc-ZsGreen, to enable leukemia growth analysis by bioluminescence imaging (BLI). The initial Luciferase-ZsGreen transduced cell population was sorted for ZsGreen positivity with fluorescence activated cell sorting. This MV4-11 cell population was tested for sensitivity to 15u. 15u strongly inhibited MV4-11 proliferation, and was deemed anti-proliferative with an IC50 value of 25 nM (
For in vivo studies, 7-week-old female NSG mice (Jackson Laboratories) were injected with 2×106 luciferase-expressing MV4-11 cells in the tail vein. Following engraftment, BLI was performed on the inoculated mice 5 days after cell inoculation. After BLI, the mice were sorted into two matching cohorts of 10 mice and one cohort of 5 mice. BLI detection was done with IVIS Lumina II Series Hardware for In-Vivo Imaging with optional XFOV lens and Living Image software. The IVIS setting for sorting mice into cohorts was set for high sensitivity: Bin 8, F1.2, 180 sec. Subsequent exposures (week 1-5) were set for increased resolution: Bin 4, F1.2, 120 sec.
Treatment was initiated on day 6 following cell-inoculation and continued for 23 days. Ten mice received Vehicle only (5% carboxylmethyl cellulose) by gavage (200 μl). Ten mice received 30 mg/kg 15u suspended in the Vehicle twice daily by gavage (200 μl). 5 mice were treated with medicated food (chow) containing 15u at 1 g/kg in a custom Teklad diet prepared by Envigo (Madison, Wis.). This diet matches the diet used for normal mouse feeding, with the exception of added dye and 15u. The control MV4-11 xenografted mice (Vehicle) developed a vigorous tumor population as detected by BLI (
Survival of the mice post treatment was monitored. As showing in
In summary, the favorable PK of 15u (Example 3) and its in vivo activities (Examples 4-7), together with its favorable kinome profile (Example 2) indicate that 15u is more effective than other CDK8/19 inhibitors as a potential drug for the treatment of cancers linked to CDK8/19 activity.
15u has a poor water solubility of less than 0.01 mg/mL in aqueous solution at neutral pH. However, we have found that the amount of the compound in the liquid phase can be increased to 0.2 mg/mL in 5% DMSO, 20% HPBCD. In the in vivo efficacy studies described in Examples 4-7, 15u was prepared as a suspension (rather than a liquid formulation) in 0.5% carboxylmethyl cellulose (CMC, Suspension Vehicle 1). The solubility of 15u was also tested as a suspension in another vehicle: 5% DMSO, 1% CMC, 0.1% Tween-80 (Suspension Vehicle 2). However, we have now identified two entirely different liquid formulations in which 15u is in the liquid phase at acceptable concentrations for animal studies: 33% Propylene Glycol, 40% Glycerol, 20 mM Citrate, pH 2.1 (Liquid formulation 1) and 10% NMP, 10% Solutol, 80% PEG-400 (Liquid formulation 2). 15u is soluble in Liquid formulation 1 up to about 5 mg/mL and up to 20 mg/mL for Liquid formulation 2.
We have also compared the PK of Suspension Vehicle 1 and Liquid formulation 2 in male Sprague Dawley rats, after oral administration at 30 mg/kg. The PK profiles in
The Liquid formulation 2 was used to determine the PK of 15u in a non-human primate, the Cynomolgus monkey. Male monkeys received the compound orally at 25 mg/kg. As shown in
The above results demonstrate that the PK of the hard-to-dissolve compound 15u is drastically increased when the compound is administered in a liquid formulation such as a solution or emulsion. Similar improvements in PK over a suspension formulation were obtained with two entirely different liquid vehicles, indicating that the PK surprisingly depends on the choice of formulation.
To determine the PK of a deuterated derivative of 15u, eight to twelve-week-old female CD-1 mice were treated with 15u or 15u-D6 at 30 mg/kg. Blood samples (70˜100 μL) were collected into BD Microtainer blood collection tubes for serum separation at different time points (1, 2, 6, 8 hours post administration) with heparinized microhematocrit capillary tubes from retro-orbital veins of anesthetized animals. Serum samples were processed for LCMSMS to determine drug concentration using compound-specific MRMs (15u: 439-394; 15u-D6: 445-394). Drug concentrations were plotted against time points to generate PK curves with GraphPad software and AUCs (area under the curve) within the first eight hours after dosing were calculated with Excel Software to compare PK profiles of undeuterated and deuterated compounds. These PK studies indicate that replacing hydrogens of the dimethylamine group with deuterium (the D6 derivatives) slightly improved the PK for 15u (
The combinatorial effects of 15u and anti-androgen enzalutamide in CRPC were analyzed in a murine MYC-Cap-CR model. MYC-CaP-CR cells (Ellis L. et al., 2012. Prostate 72(6):587-591) were selected for castration resistance from genetically engineered MYC-CaP cells that express MYC from an AR-responsive promoter (Watson P A, et al., 2005. Cancer Res 65(24):11565-11571). Castration resistance in these cells is associated with the overexpression of full-length AR rather than an AR variant, such as AR-V7 in 22rv1 (Olson B M, et al., 2017. Cancer immunology research 5(12):1074-1085). In a short-term cell proliferation assay, CDK8/19 inhibitors Senexin B and 15u showed little effect on MYC-CAP-CR cell growth in androgen-containing media, whereas enzalutamide paradoxically stimulated the growth of these cells (
These results suggest that 15u can be advantageously combined with enzalutamide (or other anti-androgens) in the treatment of CRPC. The strongest in vivo activity of 15u as a single agent in CRPC was observed in 22rv1 cells expressing AR-V7, suggesting that prostate cancers expressing AR-V7 and possibly other androgen-independent AR variants may be especially susceptible to CDK8/19 inhibition in vivo.
Human MDA-MB-468 triple-negative breast cancer (TNBC) cells were found to be responsive to 15u and other CDK8/19 inhibitors upon long-term treatment in vitro. To evaluate the effect of CDK8/19 inhibition on in vivo growth of MDA-MB-468 xenografts, 1 million cells with 40% Matrigel (100 ml total volume) were injected s.c. into the right flanks of immunodeficient NSG female mice (9 weeks old). 11 days after inoculation, mice were randomized by tumor size into two groups (n=9), with the average tumor volume 115 mm3 in each group. Mice in the first group (control) received regular diet and mice in the second group (treatment) received medicated diet containing 250 ppm 15u. 13 days after the start of treatment, medicated diet was supplemented with daily oral gavage providing 5 mg/kg 15u solution in the treatment group or with vehicle alone (control group). 37 days after the start of treatment, the gavage dose in the treatment group was increased to 8 mg/kg; treatment was continued for a total of 66 days. Tumor volumes were measured with calipers twice a week (
To determine the maximum tolerated dose (MTD), 8-week-old male or female CD-1 mice were randomly assigned to different dose groups and treated with 15u at escalating doses through either oral gavage in solution or medicated food. In one MTD in vivo study, female CD-1 mice were treated with gavage twice a day (b.i.d.) providing 5, 10, 15, 30, 60 or 120 mg/kg of 15u and male CD-1 mice were treated with gavage b.i.d. providing 60 or 120 mg/kg for 14 days. No detrimental effects were observed in male mice of any treated groups (60 and 120 mg/kg b.i.d.) and female mice of the groups treated with 15u at doses up to 60 mg/kg b.i.d. (
In another long-term MTD in vivo assay, groups of male and female CD-1 mice were fed regular diet (control) or 15u-medicated diet (500 ppm or 1000 ppm) for 4 or 5 weeks (
Considering that maximal therapeutic effects can be achieved at 30 mg/kg daily dose in various mouse xenograft models, these two MTD assays suggested a high therapeutic index for 15u.
Table 8 summarizes the structure activity relationship for compositions described herein. To determine the inhibition potency, the NFκB Activity Assay (HEK238-NFκB-Luc Assay) as described in Example 1 and the MV4-11 assay (MV4-11-Luc Assay) as described in Example 7. To determine the PK, eight to twelve-week-old female CD-1 mice were treated with tested inhibitors at indicated doses (15˜30 mg/kg) through oral gavage in a solution formulation (10% N-Methyl-2-Pyrrolidone (NMP), 27% Propylene Glycol (PG), 63% polyethylene glycol 400 (PEG-400)). Blood samples (70-100 μL) were collected into BD Microtainer blood collection tubes for serum separation at different time points (1, 2, 6, 8 hours post administration) with heparinized microhematocrit capillary tubes from retro-orbital veins of anesthetized animals. Serum samples were processed for LCMSMS to determine drug concentration using compound-specific MRMs (15u: 439-394; 15u-D6: 445-394). Drug concentrations were plotted against time points to generate PK curves with GraphPad software and AUCs (area under the curve) within the first eight hours after dosing were calculated with Excel Software to compare PK profiles of different compounds.
15u was added until saturated into ˜500 mg of individual excipient. The binary mixtures were incubated on a shaker with temperature control either at 25° C. or 40° C. for at least 48 hours. The mixtures were filtered with 0.45 μm filters to separate the solid and liquid portions. PLC was performed on the on the liquid portion to determine the maximum solubility. XRPD was performed on the collected solid to check polymorph change.
As shown in Table 9, 15u has no solubility in pure oils and had the highest solubility in various PEG and Vitamin E TPGS. 15u did not change crystallinity form in most of the excipients except for Vitamin E TPGS, Gelucire 44/14, and Transcultol.
The solution of 4-bromo-N,N-dimethylbenzamide (1 eq) and tert-butyl 1,4-diazepane-1-carboxylate (1.2 eq) in t-BuOH and 1,4-dioxane was added with 2-Dicyclohexylphosphino-2′-(N,N-dimethylamino)biphenyl (0.15 eq), t-BuONa (1.4 eq) and Tris(dibenzylideneacetone)dipalladium (0.05 eq). The mixture was degassed and protected with nitrogen, then reflux for 1 h. After that, the mixture was cooled to r.t. and water was added, the mixture was extracted with EA, the organic layers were washed with brine and dried by Na2SO4, condensed and purified by flash column to get the tert-butyl 4-[4-[2-(dimethylamino)-2-oxo-ethyl]phenyl]-1,4-diazepane-1-carboxylate; the solution of tert-butyl 4-[4-[2-(dimethylamino)-2-oxo-ethyl]phenyl]-1,4-diazepane-1-carboxylate (1 eq) in DCM, then TFA (5 eq) was added and the mixture was stirred at r.t. for 3 h, after that, the mixture was condensed to remove the TFA and resulted the 2-(4-(1,4-diazepan-1-yl)phenyl)-N,N-dimethylacetamide which was used without further purification; the solution of 2-(4-(1,4-diazepan-1-yl)phenyl)-N,N-dimethylacetamide (1 eq) in acetonitrile was added with 2,4-dichloronicotinonitrile (1 eq) and DIPEA (2 eq). Then the mixture was stirred at 80° C. for overnight. After that, the mixture was cooled to r.t. and condensed, the mixture was then dissolved in DCM and water was added, the mixture was extracted with DCM, the organic layers were collected and washed with brine and dried by Na2SO4, condensed and purified by flash column to get the 2-(4-(4-(2-chloro-3-cyanopyridin-4-yl)-1,4-diazepan-1-yl)phenyl)-N,N-dimethylacetamide (yield 55%); the solution of 2-(4-(4-(2-chloro-3-cyanopyridin-4-yl)-1,4-diazepan-1-yl)phenyl)-N,N-dimethylacetamide (1 eq) in MeOH was added with MeONa (2 eq) and methyl thioglycolate (2 eq), then the mixture was stirred at 100° C. for overnight. After that, the mixture was cooled to r.t. and condensed and purified by flash column to get the methyl 3-amino-4-(4-(4-(2-(dimethylamino)-2-oxoethyl)phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxylate (yield 72%); the solution of methyl 3-amino-4-(4-(4-(2-(dimethylamino)-2-oxoethyl)phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxylate (1 eq) in THF and water, then LiOH (2 eq) was added and the mixture was stirred at 60° C. for overnight. After that, the mixture was cooled to r.t. and condensed and dissolved in DMF, then HATU (1.5 eq) and DIPEA (2 eq) were added and the mixture was stirred at r.t. for 15 min, then NH4OH (6 eq) was added to the above mixture and stirred at r.t. for another 2 h. After that, water was added and the mixture was extracted with DCM, the organic layers were combined and dried by Na2SO4, condensed and purified by flash column to get 3-amino-4-(4-(4-(dimethylcarbamoyl)phenyl)-1,4-diazepan-1-yl)thieno[2,3-b]pyridine-2-carboxamide. A light yellow solid was obtained. ESI-MS m/z: 439 ([M+H]+).
For the experimental procedure see 15u above. The synthesis of 15u_D6 was confirmed by analysis on a Waters HPLC-MS (LCA-232 SQ MS detector). Retention time was 21.40 minutes (5-95% TFA, 0.1% Formic acid) and the Parent Ion (M+1) observed at 445.1919 (ESI-MS m/z: 445 ([M+H]+)).
This application claims the benefit of priority to U.S. Provisional Application 62/850,983, filed May 21, 2019, the content of which is incorporated herein by reference in its entirety.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2020/033937 | 5/21/2020 | WO | 00 |
| Number | Date | Country | |
|---|---|---|---|
| 62850983 | May 2019 | US |
