Fatty acid synthase inhibitor for use in the treatment of drug resistant cancer

Abstract

Compounds that are fatty acid synthesis modulators are provided. The compounds may be used in pharmaceutical compositions to treat taxane-resistant cancers. Methods are provided for treating taxane-resistant cancer in a subject. Methods are also provided for increasing the sensitivity of a cancer cell to taxanes (i.e., paclitaxel, Nab-paclitaxel docetaxel, and/or cabazitaxel) treatment.

Description

FIELD

The present disclosure relates generally to modulators of lipid synthesis, e.g., fatty acid synthase inhibitors, and methods of use thereof. The present modulators of lipid synthesis can be used for the treatment of paclitaxel-resistant cancers. The present modulators of lipid synthesis can also be used to increase the sensitivity of a cancer to treatment with paclitaxel or Nab-paclitaxel.

BACKGROUND

The dominant therapeutic approaches that are currently employed to treat cancer include surgical removal of primary tumors, tumor irradiation, and parenteral application of anti-mitotic cytotoxic agents. The continued dominance of long established therapies is mirrored by the lack of improvement in survival rates for most cancers. Surgical intervention often results in a release of tumor cells into the circulation or lymph systems from which metastatic tumors can subsequently be established.

Resistance of tumor cells to chemotherapeutic drugs is an important problem in the clinical management of cancer. Paclitaxel is an anti-mitotic cytotoxic agent that has provided improvement in patient outcomes. Unfortunately, despite this success, many patients will eventually progress to a phase of the disease that becomes resistant or unresponsive to treatment with paclitaxel and other traditional chemotherapeutic drugs.

The compounds useful in the present invention have been disclosed as inhibitors of fatty acid synthesis in U.S. Publication No. 2012/0264737, International PCT Publication No. WO 2015/105860, and International PCT Publication No. WO 2014/008197, which are incorporated herein by reference in their entirety. Surprisingly, the compounds of the present disclosure have been found to be useful to resensitize paclitaxel-resistant cancers to treatment with paclitaxel or Nab-paclitaxel.

BRIEF SUMMARY

In brief, the present invention is directed to fatty acid synthase inhibitors and methods of use thereof. Fatty acid synthase inhibitors can be used for the treatment of paclitaxel-resistant cancers. Fatty acid synthase inhibitors can also be used to increase the sensitivity of a cancer to taxanes such as paclitaxel, Nab-paclitaxel, docetaxel, and cabazitaxel.

In one embodiment, the methods and compositions described herein are useful for treating a paclitaxel-resistant tumor or cancer in a subject, the method comprising administering to the subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In particular embodiments, a method for treating a paclitaxel-resistant cancer in a subject is provided, the method comprising:

(a) determining that the subject is paclitaxel-resistant or has a paclitaxel-resistant tumor or cancer, and

(b) administering to the subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In one embodiment, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In particular embodiments, the methods and compositions described herein are useful for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the method comprising administering to a subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In various embodiments, the methods and compositions described herein are useful for increasing the sensitivity of a tumor or cancer cell to paclitaxel or Nab-paclitaxel, the method comprising administering to a subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In particular embodiments, the fatty acid synthase inhibitor described herein is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

• • each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In various aspects, pharmaceutical compositions are provided which comprise:

(i) a compound of Formula (I):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is independently, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR² or N;

L² is CH or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl; and

(ii) Nab-paclitaxel.

In particular embodiments, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The fatty acid synthase inhibitor can be selected from cerulenin, 4-Methylene-2-octyl-5-oxotetrahydrofuran-3-carboxylic acid (C75), orlistat, C93 (FAS93), FAS31, C247, GSK837149A ((4,4′-(carbonylbis(azanediyl))bis(N-(4-methylpyrimidin-2-yl)benzenesulfonamide)), platensimycin, (−)-epigallocatechin-3-gallate (EGCG), luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

These and other aspects of the invention will be apparent upon reference to the following detailed description.

DETAILED DESCRIPTION

In the following description, certain specific details are set forth in order to provide a thorough understanding of various embodiments of the invention. However, one skilled in the art will understand that the invention may be practiced without these details.

Unless the context requires otherwise, throughout the present specification and claims, the word “comprise” and variations thereof, such as, “comprises” and “comprising” are to be construed in an open, inclusive sense that is as “including, but not limited to”.

Reference throughout this specification to “one embodiment” or “an embodiment” means that a particular feature, structure or characteristic described in connection with the embodiment is included in at least one embodiment of the present invention. Thus, the appearances of the phrases “in one embodiment” or “in an embodiment” in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments.

• • “Amino” refers to the —NH₂ radical.
  • “Cyano” refers to the —CN radical.
  • “Hydroxy” or “hydroxyl” refers to the —OH radical.
  • “Imino” refers to the ═NH substituent.
  • “Nitro” refers to the —NO₂ radical.
  • “Oxo” refers to the ═O substituent.
  • “Thioxo” refers to the ═S substituent.

“Alkyl” refers to a straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, which is saturated or unsaturated (i.e., contains one or more double and/or triple bonds), having from one to twelve carbon atoms (C_1-12 alkyl), preferably one to eight carbon atoms (C₁-C₈ alkyl) or one to six carbon atoms (C₁-C₆ alkyl), and which is attached to the rest of the molecule by a single bond, e.g., methyl, ethyl, n-propyl, 1-methylethyl (iso-propyl), n-butyl, n-pentyl, 1, 1-dimethylethyl (t-butyl), 3-methylhexyl, 2-methylhexyl, ethenyl, prop-1-enyl, but-1-enyl, pent-1-enyl, penta-1,4-dienyl, ethynyl, propynyl, butynyl, pentynyl, hexynyl, and the like. Unless stated otherwise specifically in the specification, an alkyl group may be optionally substituted.

“Alkylene” or “alkylene chain” refers to a straight or branched divalent hydrocarbon chain linking the rest of the molecule to a radical group, consisting solely of carbon and hydrogen, which is saturated or unsaturated (i.e., contains one or more double and/or triple bonds), and having from one to twelve carbon atoms, e.g., methylene, ethylene, propylene, n-butylene, ethenylene, propenylene, n-butenylene, propynylene, n-butynylene, and the like. The alkylene chain is attached to the rest of the molecule through a single or double bond and to the radical group through a single or double bond. The points of attachment of the alkylene chain to the rest of the molecule and to the radical group can be through one carbon or any two carbons within the chain. Unless stated otherwise specifically in the specification, an alkylene chain may be optionally substituted.

“Alkoxy” refers to a radical of the formula —OR_a where R_a is an alkyl radical as defined above containing one to twelve carbon atoms. Unless stated otherwise specifically in the specification, an alkoxy group may be optionally substituted.

“Alkylamino” refers to a radical of the formula —NHR_a or —NR_aR_a where each R_a is, independently, an alkyl radical as defined above containing one to twelve carbon atoms. Unless stated otherwise specifically in the specification, an alkylamino group may be optionally substituted.

“Thioalkyl” refers to a radical of the formula —SR_a where R_a is an alkyl radical as defined above containing one to twelve carbon atoms. Unless stated otherwise specifically in the specification, a thioalkyl group may be optionally substituted.

“Aryl” refers to a hydrocarbon ring system radical comprising hydrogen, 6 to 18 carbon atoms and at least one aromatic ring. For purposes of this invention, the aryl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused or bridged ring systems. Aryl radicals include, but are not limited to, aryl radicals derived from aceanthrylene, acenaphthylene, acephenanthrylene, anthracene, azulene, benzene, chrysene, fluoranthene, fluorene, as-indacene, s-indacene, indane, indene, naphthalene, phenalene, phenanthrene, pleiadene, pyrene, and triphenylene. Unless stated otherwise specifically in the specification, the term “aryl” or the prefix “ar-” (such as in “aralkyl”) is meant to include aryl radicals that are optionally substituted.

“Aralkyl” refers to a radical of the formula —R_b—R_c where R_b is an alkylene chain as defined above and R_c is one or more aryl radicals as defined above, for example, benzyl, diphenylmethyl and the like. Unless stated otherwise specifically in the specification, an aralkyl group may be optionally substituted.

“Cycloalkyl” or “carbocyclic ring” refers to a stable non-aromatic monocyclic or polycyclic hydrocarbon radical consisting of carbon and hydrogen atoms, which may include fused or bridged ring systems, having from three to fifteen carbon atoms, preferably having from three to ten carbon atoms, and which is saturated or unsaturated and attached to the rest of the molecule by a single bond. Monocyclic radicals include, for example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl. Polycyclic radicals include, for example, adamantyl, norbornyl, decalinyl, 7,7-dimethyl-bicyclo[2.2.1]heptanyl, and the like. Unless otherwise stated specifically in the specification, a cycloalkyl group may be optionally substituted.

“Cycloalkylalkyl” refers to a radical of the formula —R_bR_d where R_d is an alkylene chain as defined above and R_g is a cycloalkyl radical as defined above. Unless stated otherwise specifically in the specification, a cycloalkylalkyl group may be optionally substituted.

“Fused” refers to any ring structure described herein which is fused to an existing ring structure in the compounds of the invention. When the fused ring is a heterocyclyl ring or a heteroaryl ring, any carbon atom on the existing ring structure which becomes part of the fused heterocyclyl ring or the fused heteroaryl ring may be replaced with a nitrogen atom.

“Halo” or “halogen” refers to bromo, chloro, fluoro or iodo.

“Haloalkyl” refers to an alkyl radical, as defined above, that is substituted by one or more halo radicals, as defined above, e.g., trifluoromethyl, difluoromethyl, trichloromethyl, 2,2,2-trifluoroethyl, 1,2-difluoroethyl, 3-bromo-2-fluoropropyl, 1,2-dibromoethyl, and the like. Unless stated otherwise specifically in the specification, a haloalkyl group may be optionally substituted.

“Heterocyclyl” or “heterocyclic ring” refers to a stable 3- to 18-membered non-aromatic ring radical which consists of two to twelve carbon atoms and from one to six heteroatoms selected from the group consisting of nitrogen, oxygen and sulfur. Unless stated otherwise specifically in the specification, the heterocyclyl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused or bridged ring systems; and the nitrogen, carbon or sulfur atoms in the heterocyclyl radical may be optionally oxidized; the nitrogen atom may be optionally quaternized; and the heterocyclyl radical may be partially or fully saturated. Examples of such heterocyclyl radicals include, but are not limited to, dioxolanyl, thienyl[1,3]dithianyl, decahydroisoquinolyl, imidazolinyl, imidazolidinyl, isothiazolidinyl, isoxazolidinyl, morpholinyl, octahydroindolyl, octahydroisoindolyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolidinyl, oxazolidinyl, piperidinyl, piperazinyl, 4-piperidonyl, pyrrolidinyl, pyrazolidinyl, quinuclidinyl, thiazolidinyl, tetrahydrofuryl, trithianyl, tetrahydropyranyl, thiomorpholinyl, thiamorpholinyl, 1-oxo-thiomorpholinyl, and 1,1-dioxo-thiomorpholinyl. Unless stated otherwise specifically in the specification, a heterocyclyl group may be optionally substituted.

“N-heterocyclyl” refers to a heterocyclyl radical as defined above containing at least one nitrogen and where the point of attachment of the heterocyclyl radical to the rest of the molecule is through a nitrogen atom in the heterocyclyl radical. Unless stated otherwise specifically in the specification, a N-heterocyclyl group may be optionally substituted.

“Heterocyclylalkyl” refers to a radical of the formula —R_bR_e where R_b is an alkylene chain as defined above and R_e is a heterocyclyl radical as defined above, and if the heterocyclyl is a nitrogen-containing heterocyclyl, the heterocyclyl may be attached to the alkyl radical at the nitrogen atom. Unless stated otherwise specifically in the specification, a heterocyclylalkyl group may be optionally substituted.

“Heteroaryl” refers to a 5- to 14-membered ring system radical comprising hydrogen atoms, one to thirteen carbon atoms, one to six heteroatoms selected from the group consisting of nitrogen, oxygen and sulfur, and at least one aromatic ring. For purposes of this invention, the heteroaryl radical may be a monocyclic, bicyclic, tricyclic or tetracyclic ring system, which may include fused or bridged ring systems; and the nitrogen, carbon or sulfur atoms in the heteroaryl radical may be optionally oxidized; the nitrogen atom may be optionally quaternized. Examples include, but are not limited to, azepinyl, acridinyl, benzimidazolyl, benzothiazolyl, benzindolyl, benzodioxolyl, benzofuranyl, benzooxazolyl, benzothiazolyl, benzothiadiazolyl, benzo[b][1,4]dioxepinyl, 1,4-benzodioxanyl, benzonaphthofuranyl, benzoxazolyl, benzodioxolyl, benzodioxinyl, benzopyranyl, benzopyranonyl, benzofuranyl, benzofuranonyl, benzothienyl (benzothiophenyl), benzotriazolyl, benzo[4,6]imidazo[1,2-a]pyridinyl, carbazolyl, cinnolinyl, dibenzofuranyl, dibenzothiophenyl, furanyl, furanonyl, isothiazolyl, imidazolyl, indazolyl, indolyl, indazolyl, isoindolyl, indolinyl, isoindolinyl, isoquinolyl, indolizinyl, isoxazolyl, naphthyridinyl, oxadiazolyl, 2-oxoazepinyl, oxazolyl, oxiranyl, 1-oxidopyridinyl, 1-oxidopyrimidinyl, 1-oxidopyrazinyl, 1-oxidopyridazinyl, 1-phenyl-1H-pyrrolyl, phenazinyl, phenothiazinyl, phenoxazinyl, phthalazinyl, pteridinyl, purinyl, pyrrolyl, pyrazolyl, pyridinyl, pyrazinyl, pyrimidinyl, pyridazinyl, quinazolinyl, quinoxalinyl, quinolinyl, quinuclidinyl, isoquinolinyl, tetrahydroquinolinyl, thiazolyl, thiadiazolyl, triazolyl, tetrazolyl, triazinyl, and thiophenyl (i.e., thienyl). Unless stated otherwise specifically in the specification, a heteroaryl group may be optionally substituted.

“N-heteroaryl” refers to a heteroaryl radical as defined above containing at least one nitrogen and where the point of attachment of the heteroaryl radical to the rest of the molecule is through a nitrogen atom in the heteroaryl radical. Unless stated otherwise specifically in the specification, an N-heteroaryl group may be optionally substituted.

“Heteroarylalkyl” refers to a radical of the formula —R_bR_f where R_b is an alkylene chain as defined above and R_f is a heteroaryl radical as defined above. Unless stated otherwise specifically in the specification, a heteroarylalkyl group may be optionally substituted.

The term “substituted” used herein means any of the above groups (i.e., alkyl, alkylene, alkoxy, alkylamino, thioalkyl, aryl, aralkyl, cycloalkyl, cycloalkylalkyl, haloalkyl, heterocyclyl, N-heterocyclyl, heterocyclylalkyl, heteroaryl, N-heteroaryl and/or heteroarylalkyl) wherein at least one hydrogen atom is replaced by a bond to a non-hydrogen atoms such as, but not limited to: a halogen atom such as F, Cl, Br, and I; an oxygen atom in groups such as hydroxyl groups, alkoxy groups, and ester groups; a sulfur atom in groups such as thiol groups, thioalkyl groups, sulfone groups, sulfonyl groups, and sulfoxide groups; a nitrogen atom in groups such as amines, amides, alkylamines, dialkylamines, arylamines, alkylarylamines, diarylamines, N-oxides, imides, and enamines; a silicon atom in groups such as trialkylsilyl groups, dialkylarylsilyl groups, alkyldiarylsilyl groups, and triarylsilyl groups; and other heteroatoms in various other groups. “Substituted” also means any of the above groups in which one or more hydrogen atoms are replaced by a higher-order bond (e.g., a double- or triple-bond) to a heteroatom such as oxygen in oxo, carbonyl, carboxyl, and ester groups; and nitrogen in groups such as imines, oximes, hydrazones, and nitriles. For example, “substituted” includes any of the above groups in which one or more hydrogen atoms are replaced with —NR_gR_h, —NR_gC(═O)R_h, —NR_gC(═O)NR_gR_h, —NR_gC(═O)OR_h, —NR_gSO₂R_h, —OC(═O)NR_gR_h, —OR_g, —SR_g, —SOR_g, —SO₂R_g, —OSO₂R_g, —SO₂OR_g, ═NSO₂R_g, and —SO₂NR_gR_h. “Substituted” also means any of the above groups in which one or more hydrogen atoms are replaced with —C(═O)R_g, —C(═O)OR_g, —C(═O)NR_gR_h, —CH₂SO₂R_g, —CH₂SO₂NR_gR_h, —(CH₂CH₂O)_2-10R_g. In the foregoing, R_g and R_h are the same or different and independently hydrogen, alkyl, alkoxy, alkylamino, thioalkyl, aryl, aralkyl, cycloalkyl, cycloalkylalkyl, haloalkyl, heterocyclyl, N-heterocyclyl, heterocyclylalkyl, heteroaryl, N-heteroaryl and/or heteroarylalkyl. “Substituted” further means any of the above groups in which one or more hydrogen atoms are replaced by a bond to an amino, cyano, hydroxyl, imino, nitro, oxo, thioxo, halo, alkyl, alkoxy, alkylamino, thioalkyl, aryl, aralkyl, cycloalkyl, cycloalkylalkyl, haloalkyl, heterocyclyl, N-heterocyclyl, heterocyclylalkyl, heteroaryl, N-heteroaryl and/or heteroarylalkyl group. The above non-hydrogen groups are generally referred to herein as “substituents”. In addition, each of the foregoing substituents may also be optionally substituted with one or more of the above substituents.

“Prodrug” is meant to indicate a compound that may be converted under physiological conditions or by solvolysis to a biologically active compound of the invention. Thus, the term “prodrug” refers to a metabolic precursor of a compound of the invention that is pharmaceutically acceptable. A prodrug may be inactive when administered to a subject in need thereof, but is converted in vivo to an active compound of the invention. Prodrugs are typically rapidly transformed in vivo to yield the parent compound of the invention, for example, by hydrolysis in blood. The prodrug compound often offers advantages of solubility, tissue compatibility or delayed release in a mammalian organism (see. Bundgard, H., Design of Prodrugs (1985), pp. 7-9, 21-24 (Elsevier, Amsterdam)). A discussion of prodrugs is provided in Higuchi, T., et al., A.C.S. Symposium Series, Vol. 14, and in Bioreversible Carriers in Drug Design, Ed. Edward B. Roche, American Pharmaceutical Association and Pergamon Press, 1987.

The term “prodrug” is also meant to include any covalently bonded carriers, which release the active compound of the invention in vivo when such prodrug is administered to a mammalian subject. Prodrugs of a compound of the invention may be prepared by modifying functional groups present in the compound of the invention in such a way that the modifications are cleaved, either in routine manipulation or in vivo, to the parent compound of the invention. Prodrugs include compounds of the invention wherein a hydroxy, amino or mercapto group is bonded to any group that, when the prodrug of the compound of the invention is administered to a mammalian subject, cleaves to form a free hydroxy, free amino or free mercapto group, respectively. Examples of prodrugs include, but are not limited to, acetate, formate and benzoate derivatives of alcohol or amide derivatives of amine functional groups in the compounds of the invention and the like.

The invention disclosed herein is also meant to encompass the in vivo metabolic products of the disclosed compounds. Such products may result from, for example, the oxidation, reduction, hydrolysis, amidation, esterification, and the like of the administered compound, primarily due to enzymatic processes. Accordingly, the invention includes compounds produced by a process comprising administering a compound of this invention to a subject for a period of time sufficient to yield a metabolic product thereof. Such products are typically identified by administering a radiolabelled compound of the invention in a detectable dose to an animal, such as rat, mouse, guinea pig, monkey, or to human, allowing sufficient time for metabolism to occur, and isolating its conversion products from the urine, blood or other biological samples.

“Stable compound” and “stable structure” are meant to indicate a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.

“Subject” or “patient” includes mammals, which includes humans and both domestic animals such as laboratory animals and household pets (e.g., cats, dogs, swine, cattle, sheep, goats, horses, rabbits), and non-domestic animals such as wildlife and the like. Accordingly, the term “subject” or “patient” as used herein means any mammalian patient or subject to which the compounds of the invention can be administered. In an exemplary aspect of the present invention, to identify subject patients for treatment according to the methods of the invention, accepted screening methods are employed to determine risk factors associated with a targeted or suspected disease or condition or to determine the status of an existing disease or condition in a subject. These screening methods include, for example, conventional work-ups to determine risk factors that are associated with the targeted or suspected disease or condition. These and other routine methods allow the clinician to select patients in need of therapy using the methods and formulations of the present invention.

“Optional” or “optionally” means that the subsequently described event or circumstances may or may not occur, and that the description includes instances where said event or circumstance occurs and instances in which it does not. For example, “optionally substituted aryl” means that the aryl radical may or may not be substituted and that the description includes both substituted aryl radicals and aryl radicals having no substitution.

“Pharmaceutically acceptable carrier, diluent or excipient” includes without limitation any adjuvant, carrier, excipient, glidant, sweetening agent, diluent, preservative, dye/colorant, flavor enhancer, surfactant, wetting agent, dispersing agent, suspending agent, stabilizer, isotonic agent, solvent, or emulsifier which has been approved by the United States Food and Drug Administration as being acceptable for use in humans or domestic animals.

“Pharmaceutically acceptable salt” includes both acid and base addition salts.

“Pharmaceutically acceptable acid addition salt” refers to those salts which retain the biological effectiveness and properties of the free bases, which are not biologically or otherwise undesirable, and which are formed with inorganic acids such as, but are not limited to, hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid and the like, and organic acids such as, but not limited to, acetic acid, 2,2-dichloroacetic acid, adipic acid, alginic acid, ascorbic acid, aspartic acid, benzenesulfonic acid, benzoic acid, 4-acetamidobenzoic acid, camphoric acid, camphor-10-sulfonic acid, capric acid, caproic acid, caprylic acid, carbonic acid, cinnamic acid, citric acid, cyclamic acid, dodecylsulfuric acid, ethane-1,2-disulfonic acid, ethanesulfonic acid, 2-hydroxyethanesulfonic acid, formic acid, fumaric acid, galactaric acid, gentisic acid, glucoheptonic acid, gluconic acid, glucuronic acid, glutamic acid, glutaric acid, 2-oxo-glutaric acid, glycerophosphoric acid, glycolic acid, hippuric acid, isobutyric acid, lactic acid, lactobionic acid, lauric acid, maleic acid, malic acid, malonic acid, mandelic acid, methanesulfonic acid, mucic acid, naphthalene-1,5-disulfonic acid, naphthalene-2-sulfonic acid, 1-hydroxy-2-naphthoic acid, nicotinic acid, oleic acid, orotic acid, oxalic acid, palmitic acid, pamoic acid, propionic acid, pyroglutamic acid, pyruvic acid, salicylic acid, 4-aminosalicylic acid, sebacic acid, stearic acid, succinic acid, tartaric acid, thiocyanic acid, p-toluenesulfonic acid, trifluoroacetic acid, undecylenic acid, and the like.

“Pharmaceutically acceptable base addition salt” refers to those salts which retain the biological effectiveness and properties of the free acids, which are not biologically or otherwise undesirable. These salts are prepared from addition of an inorganic base or an organic base to the free acid. Salts derived from inorganic bases include, but are not limited to, the sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum salts and the like. Preferred inorganic salts are the ammonium, sodium, potassium, calcium, and magnesium salts. Salts derived from organic bases include, but are not limited to, salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, such as ammonia, isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, diethanolamine, ethanolamine, deanol, 2-dimethylaminoethanol, 2-diethylaminoethanol, dicyclohexylamine, lysine, arginine, histidine, caffeine, procaine, hydrabamine, choline, betaine, benethamine, benzathine, ethylenediamine, glucosamine, methylglucamine, theobromine, triethanolamine, tromethamine, purines, piperazine, piperidine, N-ethylpiperidine, polyamine resins and the like. Particularly preferred organic bases are isopropylamine, diethylamine, ethanolamine, trimethylamine, dicyclohexylamine, choline and caffeine.

Often crystallizations produce a solvate of the compound of the invention. As used herein, the term “solvate” refers to an aggregate that comprises one or more molecules of a compound of the invention with one or more molecules of solvent. The solvent may be water, in which case the solvate may be a hydrate. Alternatively, the solvent may be an organic solvent. Thus, the compounds of the present invention may exist as a hydrate, including a monohydrate, dihydrate, hemihydrate, sesquihydrate, trihydrate, tetrahydrate and the like, as well as the corresponding solvated forms. The compound of the invention may be true solvates, while in other cases, the compound of the invention may merely retain adventitious water or be a mixture of water plus some adventitious solvent.

“Effective amount” or “therapeutically effective amount” refers to that amount of a compound of the invention which, when administered to a subject, preferably a human, is sufficient to treat a paclitaxel-resistant cancer, or to re-sensitize a paclitaxel-resistant cancer to treatment with paclitaxel or Nab-paclitaxel. The amount of a compound of the invention which constitutes a “therapeutically effective amount” will vary depending on the compound, the condition and its severity, the manner of administration, and the age or weight of the subject to be treated, but can be determined routinely by one of ordinary skill in the art having regard to his own knowledge and to this disclosure.

“Treating” or “treatment” as used herein covers the treatment of the disease or condition of interest in a subject, preferably a human, having the disease or condition of interest, and includes:

(i) preventing the disease or condition from occurring in a subject, in particular, when such subject is predisposed to the condition but has not yet been diagnosed as having it, or when a subject has had the disease and reoccurrence is possible or likely;

(ii) inhibiting the disease or condition, i.e., arresting its development;

(iii) relieving the disease or condition, i.e., causing regression of the disease or condition;

(iv) relieving the symptoms resulting from the disease or condition, i.e., relieving pain or side effects without addressing the underlying disease or condition. As used herein, the terms “disease” and “condition” may be used interchangeably or may be different in that the particular malady or condition may not have a known causative agent (so that etiology has not yet been worked out) and it is therefore not yet recognized as a disease but only as an undesirable condition or syndrome, wherein a more or less specific set of symptoms have been identified by clinicians; or

(v) resensitization of disease cells to treatment with a compound to which the disease is resistant or refractory.

The compounds of the invention, or their pharmaceutically acceptable salts may contain one or more asymmetric centers and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that may be defined, in terms of absolute stereochemistry, as (R)- or (S)- or, as (D)- or (L)- for amino acids. The present invention is meant to include all such possible isomers, as well as their racemic and optically pure forms. Optically active (+) and (−), (R)- and (S)-, or (D)- and (L)-isomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques, for example, chromatography and fractional crystallization. Conventional techniques for the preparation/isolation of individual enantiomers include chiral synthesis from a suitable optically pure precursor or resolution of the racemate (or the racemate of a salt or derivative) using, for example, chiral high pressure liquid chromatography (HPLC). When the compounds described herein contain olefinic double bonds or other centres of geometric asymmetry, and unless specified otherwise, it is intended that the compounds include both E and Z geometric isomers. Likewise, all tautomeric forms are also intended to be included.

A “stereoisomer” refers to a compound made up of the same atoms bonded by the same bonds but having different three-dimensional structures, which are not interchangeable. The present invention contemplates various stereoisomers and mixtures thereof and includes “enantiomers”, which refers to two stereoisomers whose molecules are non-superimposeable mirror images of one another.

A “tautomer” refers to a proton shift from one atom of a molecule to another atom of the same molecule. The present invention includes tautomers of any said compounds.

“Paclitaxel” refers to paclitaxel and all various form or derivatives thereof, e.g., nanoparticle albumin-bound paclitaxel (“Nab-paclitaxel”).

“Paclitaxel-resistant” refers to a tumor, a cancerous cell, or a patient diagnosed with cancer that has intrinsic or acquired resistance to the chemotherapeutic effect of paclitaxel. This includes, without limitation, tumors or cancers that were once responsive to paclitaxel but have become refractory or unresponsive to treatment with paclitaxel.

“Docetaxel-resistant” refers to a tumor, a cancerous cell, or a patient diagnosed with cancer that has intrinsic or acquired resistance to the chemotherapeutic effect of docetaxel. This includes, without limitation, tumors or cancers that were once responsive to docetaxel but have become refractory or unresponsive to treatment with paclitaxel.

“Cabazitaxel-resistant” refers to a tumor, a cancerous cell, or a patient diagnosed with cancer that has intrinsic or acquired resistance to the chemotherapeutic effect of cabazitaxel. This includes, without limitation, tumors or cancers that were once responsive to cabazitaxel but have become refractory or unresponsive to treatment with cabazitaxel.

“Taxane-resistant” refers to a tumor, a cancerous cell, or a patient diagnosed with cancer that has intrinsic or acquired resistance to the chemotherapeutic effect of a taxane. This includes, without limitation, tumors or cancers that were once responsive to a taxane but have become refractory or unresponsive to treatment with taxane.

Pharmaceutical Combination and Treatment Regimes

In the case of a treatment-regime, a compound of the invention, or pharmaceutically acceptable derivatives thereof, may be administered simultaneously with, prior to, or after administration of any other compound of the invention. Compounds of the invention, or pharmaceutically acceptable derivatives thereof, may also be administered simultaneously with, prior to, or after administration of one or more other therapeutic agents. Such combination therapies include administration of a single pharmaceutical dosage formulation which contains one or more compounds of the invention, as well as administration of one compound of the invention and another compound of the invention in their own separate pharmaceutical dosage formulation. For example, the compounds of the invention can be administered to the patient together in a single dosage formulation such as a tablet, capsule or injection, or each agent administered in separate dosage formulations. In addition, the compounds of the invention may be administered to the patient via any of the accepted modes of administration of agents for serving similar utilities. Where separate dosage formulations are used, the compounds of the invention (and as applicable, any additional active agents) can be administered at essentially the same time, i.e., concurrently, or at separately staggered times, i.e., sequentially. Combination therapy is understood to include all these treatment regimens.

In certain embodiments, the additional therapeutically active agent included in a pharmaceutical combination or treatment regime of the invention is selected, for example, from paclitaxel and Nab-paclitaxel.

In various aspects, pharmaceutical compositions are provided which comprise:

(i) a compound of Formula (I):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CH or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl; and

(ii) Nab-paclitaxcel.

In some aspects of Formula (I), R²⁴ is C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein t is 0 or 1.

In some aspects of Formula (I), R²¹ is halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom, —S(O)_u—(C₁-C₄ straight or branched alkyl) wherein u is 0 or 2, or —S(O)_u—(C₃-C₅ cycloalkyl) wherein u is 0 or 2;

In some aspects of Formula (I), R³ is H or halogen.

In some aspects of Formula (I), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some aspects of Formula (I), both L¹ and L² are N.

In some aspects of Formula (I), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some aspects of Formula (I), R²¹ is C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some aspects of Formula (I), R²⁴ is —(C₁-C₂ alkyl)_t-O—(C₁-C₂ alkyl) wherein t is 0 or 1.

In some aspects of Formula (I), R²¹ is C₃-C₅ cycloalkyl, R²² is C₁-C₂ alkyl and R²⁴ is C₁-C₂ alkyl.

In some aspects of Formula (I), R²¹ is cyclobutyl, R²² is C₁-C₂ alkyl and R²⁴ is C₁-C₂ alkyl.

In some aspects of Formula (I), R²¹ is cyclobutyl.

In some aspects of Formula (I), R³ is H or F.

In some aspects of Formula (I), R¹ is —CN.

In some aspects of Formula (I), R¹ is —CF₃.

In some aspects of Formula (I), R²² is H, methyl or ethyl.

In some aspects of Formula (I), R²² is H.

In some aspects of Formula (I), R²² is methyl.

In some aspects of Formula (I), R¹ is —CN, each R² is hydrogen, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, 2-methoxyethyl.

In some aspects of Formula (I), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methoxy or ethoxy.

In some aspects of Formula (I), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ is CH, L² is N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In some aspects of Formula (I), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ is N, L² is CH, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In particular embodiments, the compound of Formula (I) is:

In particular embodiments, the compound of Formula (I) is:

In particular embodiments, the compound of Formula (I) is:

In particular embodiments, the compound of Formula (I) is:

In other aspects, pharmaceutical compositions are provided which comprise: (i) a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, and (ii) a taxane.

In other aspects, pharmaceutical compositions are provided which comprise: (i) a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, and (ii) paclitaxel.

In other aspects, pharmaceutical compositions are provided which comprise: (i) a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, and (ii) Nab-paclitaxel.

In other aspects, pharmaceutical compositions are provided which comprise: (i) a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, and (ii) docetaxel.

In other aspects, pharmaceutical compositions are provided which comprise: (i) a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVII), (XIX), (XX), (XXI), (XXIII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, and (ii) cabazitaxel.

It is understood that in the present description, combinations of substituents and/or variables of the depicted formula are permissible only if such contributions result in stable compounds.

Furthermore, all compounds of the invention which exist in free base or acid form can be converted to their pharmaceutically acceptable salts by treatment with the appropriate inorganic or organic base or acid by methods known to one skilled in the art. Salts of the compounds of the invention can be converted to their free base or acid form by standard techniques.

Method of Treatment

As described above, fatty acid synthase inhibitors can also be used to increase the sensitivity of a cancer to taxanes such as paclitaxel, Nab-paclitaxel, docetaxel, and cabazitaxel. In some embodiments, the methods and compositions described herein are useful for treating a taxane-resistant tumor or cancer in a subject, the method comprising administering to the subject in need thereof, a therapeutically effective amount of a fatty acid synthase inhibitor and a therapeutically effective amount of a taxane.

One aspect of the present invention relates to a method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

• • L² is CR²³ or N;
  • at least one of L¹ or L² is N; and
  • R²³ is H or C₁-C₄ straight or branched alkyl;

or

(d) Formula (IV):

or a pharmaceutically acceptable salt thereof,

wherein:

X, Y, and Z are each independently CR or NR′, wherein R is hydrogen or C_1-6 alkyl and R′ is hydrogen, C_1-6 alkyl, or absent;

A is CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉ R₁₀, R₁₃, and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino;

R₁₇ and R₁₈ are each independently hydrogen or alkyl or can optionally join together to form a bond;

n is 1 or 2; and

m is 0 or 1;

or

(e) Formula (V):

or a pharmaceutically acceptable salt thereof,

wherein:

X, Y, and Z are each independently CR or NR′, wherein R is hydrogen or C_1-6 alkyl and R′ is hydrogen, C_1-6 alkyl, or absent;

L and D are each independently C or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl, heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, \—N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉ R₁₀, R₁₃, and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino;

R₁₇ and R₁₈ are each independently hydrogen or alkyl or can optionally join together to form a bond;

n is 1 or 2; and

m is 0 or 1;

or

(f) Formula (VI):

or a pharmaceutically acceptable salt thereof,wherein:

X, Y, and Z are each independently CR or NR′, wherein R is hydrogen or C_1-6 alkyl and R′ is hydrogen, C_1-6 alkyl, or absent;

Q is C or N;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or if Q is N then R₃ is absent;

R₄ is hydrogen, heteroaryl, heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R¹¹ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₅, R₆, R₇, R₈, R₉ R₁₀, R₁₃, and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino;

R₁₇ and R₁₈ are each independently hydrogen or alkyl or can optionally join together to form a bond;

R₁₉ is aryl, heteroaryl, cycloalkyl, or heterocyclyl;

n is 0, 1, or 2; and

m is 0 or 1;

or

(g) Formula (VII):

or,

(h) Formula (VIII):

or,

(i) Formula (IX):

or a pharmaceutically acceptable salt thereof,

wherein:

L₁, L₂, L₃, L₄, and A are each independently CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)C(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₂₃ is hydrogen, —N(R₁₃)(R₁₄), C_1-6 alkyl, C_1-6 alkoxy, is absent if L₁ is N, or R₂₃ and R₂₄ taken together with the atoms to which they are attached join together to form a heterocyclyl, heteroaryl, or cycloalkyl;

R₂₄ is hydrogen, —N(R₁₃)(R₁₄), C_1-6 alkyl, C_1-6 alkoxy, —(C_1-6 alkoxy)(heterocyclyl), heterocyclyl, or R₂₃ and R₂₄ taken together with the atoms to which they are attached join together to form a heterocyclyl, heteroaryl, or cycloalkyl;

R₂₆ is hydrogen, heteroaryl, heterocyclyl, —N(R₁₃)(R₁₄), or —S(═O)₂R₂₀;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₂₅ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy; and

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

or

(j) Formula (X):

or a pharmaceutically acceptable salt thereof,

wherein:

L₇ is N or O, wherein R₃₀ is absent if L₇ is O;

A is CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₂₉ and R₃₀ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, hydroxyalkyl, heteroaryl, heterocyclyl, —N(R₁₅R₁₆), —C(═O)R₄₆, —R₄₈C(═O)R₄₇, or R₂₉ and R₃₀ taken together with the atoms to which they are attached join together to form a heteroaryl or heterocyclyl, wherein R₃₀ is absent if L₇ is O;

R₄₆ and R₄₇ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₄₈ is alkyl or is absent;

R₃₁ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino; and

v is 0 or 1;

or

(k) Formula (XI):

or

(l) Formula (XII):

or a pharmaceutically acceptable salt thereof,

wherein:

L₁₃, L₁₄, L₁₅, and A are each independently CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₃₄ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, cycloalkyl, hydroxyl, hydroxyalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, CF₃, —OCF₃, —S(═O)₂R₂₀, or —N(R₁₅R₁₆);

R₃₅ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₃₆ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₅R₁₆), heterocyclyl, or heteroaryl;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀; and

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy.

• • cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

or

(m) Formula (XIII):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently H, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is cyclobutyl, azetidin-1-yl, or cyclopropyl;

R²² is H, halogen, or C₁-C₂ alkyl;

R³⁵ is —C(O)—R³⁵¹, —C(O)—NHR³⁵¹, —C(O)—O—R³⁵¹ or S(O)₂R³⁵¹; and

R³⁵¹ is C₁-C₆ straight or branched alkyl, cycloalkyl, heterocyclyl, aryl or heteroaryl;

or

(n) Formula (XIV):

or

(o) Formula (XV):

or a pharmaceutically acceptable salt thereof,

wherein:

L₁₆ is C or N, wherein R₄₁ is absent if L₁₆ is N.

L₁₇, L₁₈, and A are each independently CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₄₀, R₄₂, and R₄₃ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, —C(═O)R, hydroxyalkyl, hydroxyl, —N(R₁₃R₁₄), or R₄₁ and R₄₂ taken together with the atoms to which they are attached join together to form a heteroaryl or heterocyclyl;

R₄₁ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, —C(═O)R, hydroxyalkyl, hydroxyl, —N(R₁₃R₁₄), R₄₁ is absent if L₁₆ is N, or R₄₁ and R₄₂ taken together with the atoms to which they are attached join together to form a heteroaryl or heterocyclyl;

R is hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₃₉ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀; and

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

or

(p) Formula (XVI):

or

(q) Formula (XVII):

or

(r) Formula (XVIII):

or a pharmaceutically acceptable salt thereof,

wherein:

L₁₉ and A are each independently CH or N;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃. —OCF₃, or —S(═O)₂R₂₀;

R₃₉ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₄₄ and R₄₅ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, cycloalkyl, hydroxyalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, —S(═O)₂R₂₀, —C(═O)R, or —N(R₁₃R₁₄); and

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀; and

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

or

(s) Formula (XIX):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH or halogen;

L³ is C(R⁶⁰)₂, O or NR⁵⁰;

each R⁶⁰ is independently H, —OH, —CN, —O_t—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl), or —C(O)—N(R⁶⁰¹)₂ wherein:

t is 0 or 1, and

• • the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

each R⁵⁰ is independently H, —C(O)—O_t—(C₁-C₄ straight or branched alkyl), —C(O)—O_t—(C₃-C₅ cyclic alkyl), —C₃-C₅ cyclic alkyl optionally containing an oxygen or nitrogen heteroatom, —C(O)—N(R⁵⁰¹)₂, C₁-C₄ straight or branched alkyl wherein:

t is 0 or 1, and the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

n is 1, 2 or 3;

m is 1 or 2;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom

R²² is H, halogen, C₁-C₂ alkyl;

each R²⁶ is independently —OH, —CN, halogen, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl), —C(O)—O_t—(C₁-C₄ alkyl), or —C(O)—N(R⁵⁰¹)₂ wherein:

t is 0 or 1, and

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

s is 0, 1 or 2;

each R⁶⁰¹ and R⁵⁰¹ is independently H or C₁-C₄ straight or branched alkyl; and

wherein two of R²⁶, R⁶⁰, R⁵⁰, R⁵⁰¹ and R⁶⁰¹ optionally join to form a ring wherein the two of R²⁶, R⁶⁰, R⁵⁰, R⁵⁰¹ and R⁶⁰¹ may be two R²⁶, two R⁶⁰, two R⁵⁰, two R⁵⁰¹ or two R⁶⁰¹;

or

(t) Formula (XX):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein:

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and

when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently H, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is cyclobutyl, azetidin-1-yl, or cyclopropyl;

R²² is H, halogen, C₁-C₂ alkyl; and

R³⁵¹ is C₁-C₂ alkyl or C₂—O—(C₁ or C₂ alkyl);

or

(u) Formula (XXI):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen. R¹ is optionally substituted with one or more halogen;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen or C₁-C₂ alkyl;

R²⁴ is —O—(C₁-C₄ alkyl), —O—(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl), —O—(C₃-C₅ cycloalkyl), or —O-(4- to 6-membered heterocycle), wherein R²⁴ is optionally substituted with one or more hydroxyl or halogen; and

R²⁵ is H, halogen, C₁-C₄ alkyl or C₃-C₅ cycloalkyl, wherein R²⁵ is optionally substituted with one or more halogen;

or

(v) Formula (XXII):

or a pharmaceutically acceptable salt thereof,

wherein:

L³ is —CH₂—, —CHR⁵⁰—, —O—, —NR⁵⁰—, —NC(O)R⁵⁰— or —NC(O)OR⁵⁰—, wherein R⁵⁰ is C₁-C₆ alkyl, C₃-C₅ cycloalkyl, or 4- to 6-membered heterocycle;

n is 1, 2, or 3;

m is 1 or 2 wherein n+m≥3;

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or a 4- to 6-membered heterocycle; and

R²² is H, halogen, or C₁-C₂ alkyl;

or

(w) Formula (XXIII):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen, or C₁-C₂ alkyl; and

R²⁴ is H, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)_t-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O_t-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ alkyl), wherein:

each t is independently 0 or 1; and

each R²⁴¹ is independently H or C₁-C₂ alkyl;

or

(x) Formula (XXIV):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, —CN, —(C₁-C₄ alkyl)-CN, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_u—(C₃-C₆ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl), wherein:

t is 0 or 1;

u is 0 or 1;

with the proviso that when u is 1, t is 1; and

each R²⁴¹ is independently H or C₁-C₂ alkyl; and

R²⁵ is halogen. —CN, —(C₁-C₄ alkyl)-CN, C₁-C₂ alkyl or cyclopropyl;

or

(y) Formula (XXV):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen or C₁-C₂ alkyl; and

each R²⁴ and R²⁵ is independently H, halogen, —CN, —(C₁-C₄ alkyl)-CN, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, O—(C₁-C₄ alkyl)_t-O_u—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ alkyl), wherein:

each t is independently 0 or 1;

each u is independently 0 or 1; and

each R²⁴¹ is independently H or C₁-C₂ alkyl,

wherein the compound is not:

or

(z) Formula (XXVI):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl; R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens; each R² is independently hydrogen, halogen or C₁-C₄ alkyl; R³ is H or F; R¹¹ is H or —CH₃; R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle; R²² is H, halogen or C₁-C₂ alkyl; and each of R²⁴ and R²⁵ is independently H, —C₁-C₄ alkyl, or halogen;or

(aa) Formula (XXVII):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen or C₁-C₂ alkyl; and

R²⁴ is H, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_u—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl), wherein:

• • t is 0 or 1;
  • u is 0 or 1;
  • with the proviso that when u is 1, t is 1; and

R²⁴¹ is H or C₁-C₂ alkyl.

or

(bb) Formula (XXVIII):

or a pharmaceutically acceptable salt thereof,

wherein:

Ar is

L² is —NHR³⁵ or —C(O)NHR³⁵¹, wherein R³⁵¹ is C₁-C₆ alkyl, C₃-C₅ cycloalkyl, 4- to 6-membered heterocycle, aryl or heteroaryl;

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle), —O—(C₁-C₄ alkyl) wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen, or C₁-C₂ alkyl; and

R³⁵ is —C(O)R³⁵¹, —C(O)NHR³⁵¹, C(O)OR³⁵¹ or S(O)₂R³⁵¹ wherein R³⁵¹ is C₁-C₆ alkyl, C₃-C₅ cycloalkyl, 4- to 6-membered heterocycle, aryl or heteroaryl,

or

(cc) Formula (XXIX):

or a pharmaceutically acceptable salt thereof,

wherein:

each W, X, Y and Z is independently —N— or —CR²⁶— with the proviso that not more than 2 of W, X, Y and Z are —N—;

each R²⁶ is independently H, C₁-C₄ alkyl, —O—(C₁-C₄ alkyl), —N(R²⁷)₂, —S(O)₂—(C₁-C₄ alkyl), or —C(O)—(C₁-C₄ alkyl);

each R²⁷ is independently H or C₁-C₄ alkyl or both R²⁷ are C₁-C₄ alkyl and join to form a 3- to 6-membered ring together with the N to which they are attached and wherein the ring optionally includes one oxygen atom as one of the members of the ring;

Ar is

Het is a 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle), —O—(C₁-C₄ alkyl) wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or a 4- to 6-membered heterocycle; and

R²² is H, halogen or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), R₃ is F.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), X, Y, and Z are NR′.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), R₄ is heteroaryl, heterocyclyl, —C(═O)N(R₅R₆),

—N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), R₅ is hydrogen and R₆ is aryl or heteroaryl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-A) or (IV-B):

or a pharmaceutically acceptable salt thereof.

wherein:

X, Y, and Z are each independently CR or NR′, wherein R is hydrogen or C_1-6 alkyl and R′ is hydrogen, C_1-6 alkyl, or absent;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), (CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉ R₁₀, R₁₃, and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino; and

R₁₇ and R₁₈ are each independently hydrogen or alkyl or can optionally join together to form a bond.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-C) or (IV-D):

or a pharmaceutically acceptable salt thereof,

wherein:

X, Y, and Z are each independently CR or NR′, wherein R is hydrogen or C_1-6 alkyl and R′ is hydrogen, C_1-6 alkyl, or absent; R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-E), (IV-F), (IV-G), (IV-H):

or a pharmaceutically acceptable salt thereof,

wherein:

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, R₁₀, R₁₃, and R₁₄ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-I), (IV-J), or (IV-K):

or a pharmaceutically acceptable salt thereof,

wherein:

X and Y are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), (CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-L) or (IV-M):

or a pharmaceutically acceptable salt thereof.wherein:

X and Y are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-N) or (IV-O):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), having the following Formula (IV-P):

or a pharmaceutically acceptable salt thereof,wherein:

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, R₁₀, R₁₃, and R₁₄ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-Q), (IV-R), or (IV-S):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), having the following Formula (IV-T):

or a pharmaceutically acceptable salt thereof,wherein:

X, Y, and Z are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, R₁₀, R₁₃, and R₁₄ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), having the following Formula (IV-U):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of the Formula (IV-V):

or a pharmaceutically acceptable salt thereof,wherein:

X, Y, and Z are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —CF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, R₁₀, R₁₃, and R₁₄ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), having the following Formula (IV-W):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (IV), the compound is of one the following Formula (IV-X), (IV-Y), (IV-Z), (IV-AA), (IV-AB, (IV-AC), (IV-AD), (IV-AF), (IV-AG), or (IV-AH):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (V), having the following Formula (V-A):

or a pharmaceutically acceptable salt thereof,wherein:

X, Y, and Z are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₂ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₁₁ and R₁₂ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, R₁₀, R₁₃, and R₁₄ are each independently H, C_1-4 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (V), having the following Formula (V-B):

or a pharmaceutically acceptable salt thereof,

wherein:

X and Y are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (V), the compound is of the Formula (V-C), (V-D), or (V-E):

or a pharmaceutically acceptable salt thereof,

wherein:

X and Y are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₂ is hydrogen, halo, C_1-6 alkoxy, C_1-6 alkyl, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, C_1-6 alkoxy, or R₂ and R₃ taken together with the atoms to which they are attached form a 5-membered heterocyclyl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆) and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (V), having the following Structure (V-F):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VI), the compound is of the Formula (VI-A), (VI-B), or (VI-C):

or a pharmaceutically acceptable salt thereof,

wherein:

X and Y are each independently CR or NR′, wherein R is H or C_1-6 alkyl and R′ is H, C_1-6 alkyl, or absent;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₄ is hydrogen, heteroaryl,

heterocyclyl, —C(═O)N(R₅R₆), —N(R₇)C(═O)R₈, —N(R₉R₁₀), C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₁₁ is hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₃R₁₄), CF₃, —OCF₃, —S(═O)₂R₂₀, or R₄ and R₁₁ taken together with the atoms to which they are attached join together to form a heteroaryl;

R₅, R₆, R₇, R₈, R₉, and R₁₀ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, alkylamino, or —N(R₁₅R₁₆); and

R₁₅ and R₁₆ are each independently H, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VI), the compound is of the Formula (VI-D), (VI-E), or (VI-F):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), the compound is of the Formula (VII-A) or (VII-B):

or a pharmaceutically acceptable salt thereof

wherein:

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₂₆ is hydrogen, heteroaryl, heterocyclyl, —N(R₁₃)(R₁₄), or —S(═O)₂R₂₀;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₂₅ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy; and

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), the compound is of the Formula (VII-C) or (VII-D):

or a pharmaceutically acceptable salt thereof,

wherein:

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is hydrogen, hydroxyl, halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₂₅ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, C₁-6 alkoxy, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

s is 0, 1, or 2;

L₅ is CH₂, NH, S, or O;

L₆ is CH or N;

R₂₇ is hydrogen, —C(═O)R″, —S(═O)₂R₂₀;

R₂₈ is hydrogen, —C(═O)R″, —S(═O)₂R₂₀, or is absent if L₆ is O; and

R″ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), or —N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₁ is hydrogen, cyano, C_1-6 alkyl, C_1-6 alkoxy, or —C(═O)N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₁ is cyano.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂ is hydrogen or halo; R₂ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₃ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂₁ and R₂₂ are each independently hydrogen or C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂₁ and R₂₂ are each independently C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂₅ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), L₂ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), L₁ is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), L₃ is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), L₄ is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂₆ is heterocyclyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), R₂₄ is —N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), L₅ and L₆ are each independently N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), s is 1.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), s is 0.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (VII), (VIII) or (IX), one of the following Formula (VII-E), (VII-F), (VII-G), (VII-H), (VII-I), (VII-J), (VII-K), or (VII-L):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), the compound is of the Formula (X-A), (X-B), (X-C), or (X-D):

or a pharmaceutically acceptable salt thereof,

wherein:

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₃₀ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, hydroxyalkyl, heteroaryl, heterocyclyl, —N(R₁₅R₁₆), —C(═O)R₄₆, or —R₄₈C(═O)R₄₇, wherein R₃₀ is absent if L₇ is O;

R₄₆ and R₄₇ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₄₈ is alkyl or is absent;

R₃₁ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino;

L₈, L₉, and L₁₀ are each independently CH₂, NH, or O;

L₁₁ and L₁₂ are each independently CH or N;

R₃₂ and R₃₃ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —S(═O)₂R₂₀, —C(═O)R₄₆, hydroxyalkyl, hydroxyl, or are absent;

u is 0, 1, or 2; and

t is 0, 1, or 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₇ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₇ is O.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₁ is hydrogen, cyano, C_1-6 alkyl, C_1-6 alkoxy, or —C(═O)N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₁ is cyano.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₂ is hydrogen or halo.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₂ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₃ is fluorine.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₂₁ and R₂₂ are each independently hydrogen or C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₂₁ and R₂₂ are each independently C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₃₁ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₃₀ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₈ is O.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₉ is O.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₁₀ is O and L₁₁ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), L₁₂ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), R₃₂ and R₃₃ are each independently hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (X), the compound is of Formula (X-I), (X-J), (X-K), (X-L), (X-M), (X-N), or (X-O):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), the compound is of the Formula (XI-C) or (XI-D):

or a pharmaceutically acceptable salt thereof,

wherein:

R₁ is hydrogen, cyano, halo, C_1-6 alkyl, C_1-6 alkoxy, —C(═O)N(R₁₃)(R₁₄), —(CH₂)_qC(═O)N(R₁₃)(R₁₄), CF₃, —OCF₃, or —S(═O)₂R₂₀;

q is 0, 1, 2, 3, or 4;

R₂₀ is hydrogen or C_1-6 alkyl, C_1-6 alkoxy, or —N(R₁₃)(R₁₄);

R₂ is hydrogen, halo, C_1-6 alkoxy, or C_1-6 alkyl;

R₃ is halo, C_1-6 alkyl, or C_1-6 alkoxy;

R₂₁ and R₂₂ are each independently hydrogen, halo, cyano, C_1-6 alkyl, C_1-6 alkoxy, CF₃, —OCF₃, or —S(═O)₂R₂₀;

R₃₅ is hydrogen, C_1-6 alkyl, or C_1-6 alkoxy;

R₃₆ is hydrogen, C_1-6 alkyl, C_1-6 alkoxy, —N(R₁₅R₁₆), heterocyclyl, or heteroaryl;

R₁₃ and R₁₄ are each independently hydrogen, C_1-6 alkyl, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, alkylamino, —N(R₁₅R₁₆), or —S(═O)₂R₂₀;

R₁₅ and R₁₆ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, cycloalkyl, aryl, heterocyclyl, heteroaryl, hydroxyalkyl, or alkylamino; and

R₃₇ and R₃₈ are each independently hydrogen, C_1-6 alkyl, C_1-6 alkoxy, hydroxyalkyl, heteroaryl, heterocyclyl, or R₃₇ and R₃₈ taken together with the atoms to which they are attached join together to form a heteroaryl or heterocyclyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₁ is hydrogen, cyano, C_1-6 alkyl, C_1-6 alkoxy, or —C(═O)N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₁ is cyano.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₂ is hydrogen or halo.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₂ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₃ is fluorine.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₂₁ and R₂₂ are each independently hydrogen or C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₂₁ and R₂₂ are each independently C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₃₅ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₃₄ is heteroaryl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), R₃₄ is thienyl, pyrrole, furyl, pyridyl, pyrimidyl, pyrazinyl, pyrazolyl, oxazolyl, isoxazolyl, imidazolyl, thiazolyl, pyranyl, tetrazolyl, pyrrolyl, pyrrolinyl, pyridazinyl, triazolyl, indolyl, isoindolyl, indolizinyl, benzimidazolyl, quinolyl, isoquinolyl, indazolyl, benzotriazolyl, tetrazolopyridazinyl, oxadiazolyl, benzoxazolyl, benzoxadiazolyl, thiadiazolyl, benzothiazolyl, or benzothiadiazolyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), L₁₃ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), L₁₄ and L₁₅ are each independently CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XI) or (XII), the compound is of the Formula (XI-E), (XI-F), (XI-G), (XI-H), or (XI-I):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³ is H or halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²¹ is cyclobutyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²¹ is cyclobutyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³ is H or F.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R¹ is —CF₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²² is H, methyl or ethyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R²² is methyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³⁵ is —C(O)—NHR³⁵¹.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³⁵¹ is isopropyl, isobutyl, (R)-3-tetrahydrofuranyl, (S)-3-tetrahydrofuranyl, (R)-(tetrahydrofuran-2-yl)methyl, (S)-(tetrahydrofuran-2-yl)methyl, (R)-tetrahydro-2H-pyran-3-yl or (S)-tetrahydro-2H-pyran-3-yl

R³⁵¹ is (R)-(tetrahydrofuran-2-yl)methyl or (S)-(tetrahydrofuran-2-yl)methyl.

R¹ is —CN, each R² is hydrogen, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is H, R²² is —C(O)—NHR³⁵¹ where R³⁵¹ is isopropyl, isobutyl, (R)-3-tetrahydrofuranyl, (S)-3-tetrahydrofuranyl, (R)-(tetrahydrofuran-2-yl)methyl, (S)-(tetrahydrofuran-2-yl)methyl, (R)-tetrahydro-2H-pyran-3-yl, or (S)-tetrahydro-2H-pyran-3-yl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³⁵ is —C(O)—O—R³⁵¹.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³⁵¹ is isopropyl, isobutyl, (R)-3-tetrahydrofuranyl, (S)-3-tetrahydrofuranyl, (R)-(tetrahydrofuran-2-yl)methyl, (S)-(tetrahydrofuran-2-yl)methyl, (R)-tetrahydro-2H-pyran-3-yl, or (S)-tetrahydro-2H-pyran-3-yl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is H, R³⁵ is —C(O)—O—R³⁵¹ where R³⁵¹ is isopropyl, isobutyl, (R)-3-tetrahydrofuranyl, (S)-3-tetrahydrofuranyl, (R)-(tetrahydrofuran-2-yl)methyl, (S)-(tetrahydrofuran-2-yl)methyl, (R)-tetrahydro-2H-pyran-3-yl, or (S)-tetrahydro-2H-pyran-3-yl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), R³⁵¹ is (R)-3-tetrahydrofuranyl or (S)-3-tetrahydrofuranyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIII), compounds have a structure selected from the group consisting of:

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₁ is hydrogen, cyano C_1-6 alkyl, C_1-6 alkoxy, or

—C(═O)N(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₁ is cyano.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₂ is hydrogen or halo.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₂ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₃ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₂₁ and R₂₂ are each independently hydrogen or C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₂₁ and R₂₂ are each independently C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₃₉ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₄₀ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), L₁₆ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), L₁₇ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), L₁₈ is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), L₁₈ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₄₂ is C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), R₄₁ is C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIV) or (XV), the compound is of the Formula (XIV-C) or (XIV-D):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₁ is hydrogen, cyano. C_1-6 alkyl, C_1-6 alkoxy, or —C(═O)NN(R₁₃)(R₁₄).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₁ is cyano.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₂ is hydrogen or halo.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₂ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₃ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₂₁ and R₂₂ are each independently hydrogen or C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₂₁ and R₂₂ are each independently C_1-6 alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), R₃₉ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), L₁₉ is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), A is N.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), A is CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XVI), (XVII), or (XVIII), having the following Structure (XVII-D):

or a pharmaceutically acceptable salt thereof.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²¹ is halogen, C₁-C₄ straight or branched alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R³ is H or halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R¹ is —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R³ is H or F.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R¹ is —CF₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), n is 1.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), n is 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), m is 1.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), m is 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²¹ is C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), n is 2, m is 1, and L³ is —N—C(O)—O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), L³ is NR⁵⁰; R⁵⁰ is C₁-C₂ alkyl; R²¹ is cyclobutyl; R²² is H or methyl; R³ is H; R¹ is —CN; m is 2 and n is 1 or 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), n is 2, m is 1, L³ is O and s is 0.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²² is H, methyl or ethyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²² is methyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, n is 2 and L³ is NR⁵⁰ where R⁵⁰ is methyl or ethyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, n is 2 and L³ is O.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XIX), the compound has a structure selected from the group consisting of:

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R³ is H or halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²¹ is C₃-C₄ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²¹ is cyclobutyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²¹ is cyclobutyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R³ is H or F.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R¹ is —CF₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²² is H, methyl or ethyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R²² is methyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), R¹ is —CN, each R² is H, R³ is H or F, R²¹ is cyclobutyl, R²² is methyl and R³⁵¹ is methyl or ethyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XX), the compound has a structure selected from the group consisting of:

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), L-Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), L-Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), L-Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R³ is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R¹ is —CN or —O—(C₁-C₄ alkyl), wherein when R¹ is not —CN, R¹ is optionally substituted with one or more halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R¹ is —O—(C₁-C₄ alkyl) optionally substituted with one or more halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R² is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R²¹ is C₁-C₄ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R²⁴ is —O—(C₁-C₄ alkyl) optionally substituted with one or more hydroxyl or halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R²⁴ is —O—(C₁-C₄ alkyl) optionally substituted with one or more hydroxyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), R²⁵ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXI), the compound has a structure selected from the group consisting of:

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII),

• • L³ is —CH₂—, CHR⁵⁰, —O—, —NR⁵⁰—, —NC(O)R⁵⁰— or —NC(O)OR⁵⁰—, wherein R⁵⁰ is optionally substituted C₁-C₆ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle;
  • n is 1, 2 or 3;
  • m is 1 or 2 with the proviso that n+m≥3;
  • L-Ar is

• • Ar is

with the proviso that when L-Ar is

Ar is not

• • Het is a optionally substituted 5- to 6-membered heteroaryl;
  • R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;
  • each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;
  • R³ is H or F;
  • R¹¹ is H or —CH₃;
  • R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or an optionally substituted 4- to 6-membered heterocycle; and
  • R²² is H, halogen or optionally substituted C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R¹ is H, —CN, —C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl) wherein when R¹ is not H or —CN, R¹ is optionally substituted with one or more halogens.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R¹ is —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R¹ is —Cl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), L³ is —N(CH₃)—.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), n is 2 and m is 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), n is 1 or 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), n is 1 and m is 2.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII),

L-Ar is

Ar is

with the proviso that when L-Ar is

Ar is not

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen. R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle:

R²² is H, halogen or optionally substituted C₁-C₂ alkyl; and

R²⁴ is H, optionally substituted C₁-C₄ alkyl, -(optionally substituted C₁-C₄ alkyl)-OH, -(optionally substituted C₁-C₄ alkyl)-N(R²⁴¹)₂, -(optionally substituted C₁-C₄ alkyl)_t-O_t-(optionally substituted C₃-C₅ cycloalkyl), -(optionally substituted C₁-C₄ alkyl)_t-O_t-(optionally substituted 4- to 6-membered heterocycle) or -(optionally substituted C₁-C₄ alkyl)_t-O-(optionally substituted C₁-C₄ alkyl), wherein:

t is 0 or 1; and

R²⁴¹ is H or optionally substituted C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is H, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²⁴ is C₁-C₄ alkyl or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²⁴ is —(C₁-C₂ alkyl)_t-O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²⁴ is C₁-C₄ alkyl or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ alkyl) wherein t is 0 or 1.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl and R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²¹ is C₃-C₅ cycloalkyl and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R²⁴ is —(C₁-C₂ alkyl)_t-O—(C₁-C₂ alkyl) and wherein t is 0 or 1.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIII), R¹ is —CN and R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV),

L-Ar is

Ar is

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F:

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle;

R²² is H, halogen or optionally substituted C₁-C₂ alkyl;

R²⁴ is H, —CN, -(optionally substituted C₁-C₄ alkyl)-CN, optionally substituted C₁-C₄ alkyl, -(optionally substituted C₁-C₄ alkyl)-OH.

• -(optionally substituted C₁-C₄ alkyl)-N(R²⁴¹)₂,
• -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted C₃-C₆ cycloalkyl),
• -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted 4- to 6-membered heterocycle) or
• -(optionally substituted C₁-C₄ alkyl)-O-(optionally substituted C₁-C₄ alkyl), wherein:

t is 0 or 1;

u is 0 or 1;

with the proviso that when u is 1, t is 1; and

R²⁴¹ is H or optionally substituted C₁-C₂ alkyl; and

R²⁵ is halogen, —CN, -(optionally substituted C₁-C₄ alkyl)-CN, optionally substituted methyl, optionally substituted ethyl or optionally substituted cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), L-Ar is

an Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is halogen, C₁-C₄ alkyl or C₃-C₅cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₄ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is H, —CN, —(C₁-C₄ alkyl)-CN, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)-O—(C₃-C₆ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is H, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_u—(C₃-C₆ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u—(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is C₁-C₄ alkyl or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —(C₁-C₂ alkyl)-O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —CH₂—O—CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is C₃-C₆ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —CN or —(C₁-C₂ alkyl)-CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —(C₁-C₂ alkyl)-CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is H, —CH₃, —CH₂OH, —CH₂OCH₃, —(CH₂)₂OH, —(CH₂)₂OCH₃ or —(CH₂)₂N(CH₃)₂.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is methyl, isopropyl, cyclopropyl, —CN, or —(C₁-C₂ alkyl)-CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is substituted with one or more substituents selected from C₁-C₂ alkyl, oxo, —CN, halogen, alkanoyl, alkoxycarbonyl, —OH and C₁-C₂ alkoxy.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is substituted with one or more substituents selected from methyl, —F, methoxy, —C(═O)CH₃ and —C(═O)—OCH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is substituted with two substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is substituted with three substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is halogen, —CN, C₁-C₂ alkyl or cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is halogen, C₁-C₂ alkyl or cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is —CN, —Cl or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is —Cl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is substituted with one or more substituents selected from —OH, halogen, C₁-C₂ alkyl and alkylcarbonyloxy.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is substituted with one or more substituents selected from —F, methyl and —O—C(═O)—CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is substituted with two substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is substituted with three substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is C₁-C₄ alkyl, —(C₁-C₄ alkyl)-CN or —(C₃-C₆ cycloalkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁴ is —CN, —(C₁-C₂ alkyl)-CN, —(C₃-C₆ cycloalkyl) or methyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is halogen, methyl, ethyl or cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²⁵ is halogen, —CN, methyl, ethyl or cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl or C₃-C₆ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl or C₃-C₆ cycloalkyl, R²² is H or —CH₃, R²⁴ is —CH₂—O—CH₃ and R²⁵ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is —CH₃ and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R¹ is —CN and R² is H

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl or C₃-C₆ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl or C₃-C₆ cycloalkyl, R²² is H or C₁-C₂ alkyl, R²⁴ is —CH₂—O—CH₃ and R²⁵ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIV), R²¹ is C₁-C₂ alkyl and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV),

L-Ar is

Ar is

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen. R¹ is optionally substituted with one or more halogens:

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle;

R²² is H, halogen or optionally substituted C₁-C₂ alkyl; and

each R²⁴ and R²⁵ is independently H, halogen, —CN, -(optionally substituted C₁-C₄ alkyl)-CN, optionally substituted C₁-C₄ alkyl, -(optionally substituted C₁-C₄ alkyl)-OH, -(optionally substituted C₁-C₄ alkyl)-N(R²⁴¹)₂, -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted C₃-C₅ cycloalkyl), -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted 4- to 6-membered heterocycle) or -(optionally substituted C₁-C₄ alkyl)_t-O-(optionally substituted C₁-C₄ alkyl), wherein:

t is 0 or 1;

u is 0 or 1; and

R²⁴¹ is H or optionally substituted C₁-C₂ alkyl,

wherein the compound is not:

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), each R²⁴ and R²⁵ is independently H, —CN, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_u—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), each R²⁴ and R²⁵ is independently H, C₁-C₄ alkyl, —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is H, C₁-C₄ alkyl, —(C₁-C₄ alkyl)-OH, —(C₁-C₄ alkyl)-N(R²⁴¹)₂, —(C₁-C₄ alkyl)_t-O_u—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O_u-(4- to 6-membered heterocycle) or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is —CN, —Cl, C₁-C₄ alkyl or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is C₁-C₄ alkyl or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is —(C₁-C₂ alkyl)-O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is C₁-C₄ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is hydrogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is substituted with one or more substituents selected from halogen, C₃-C₅ cycloalkyl and C₁-C₂ alkoxy.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is substituted with one or more substituents selected from —F, cyclopropyl and —OCH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is substituted with two substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is substituted with three substituents that are the same or different.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is halogen, methyl, ethyl or cyclopropyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is —CN, —Cl, C₁-C₄ alkyl, —(C₁-C₄ alkyl)_t-O—(C₃-C₅ cycloalkyl) or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is —CN, —Cl, —CH₃, —O—(C₃-C₅ cycloalkyl) or —O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is —CN, —Cl or C₁-C₄ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is —CH.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is —Cl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is substituted with one or more halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is substituted with one or more —F.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is substituted by two substituents.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁵ is substituted by three substituents.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is —CH₃ and R²² is H or methyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is —CH₃ and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²⁴ is H or —CH₃ and R²⁵ is —Cl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R¹ is —CN and R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXV), R²¹ is C₁-C₂ alkyl and R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI),

L-Ar is

Ar is

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens:

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle;

R²² is H, halogen or optionally substituted C₁-C₂ alkyl; and

each of R²⁴ and R²⁵ is independently H, optionally substituted C₁-C₄ alkyl, or halogen.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), R²¹ is halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), R²¹ is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVI), R²¹ is methyl, R²² is H and L-Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII),

L-Ar is

Ar is

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, then R¹ is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle;

R²² is H, halogen or optionally substituted C₁-C₂ alkyl;

R²⁴ is H, optionally substituted C₁-C₄ alkyl, -(optionally substituted C₁-C₄ alkyl)-OH, -(optionally substituted C₁-C₄ alkyl)-N(R²⁴¹)₂, -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted C₃-C₅ cycloalkyl), -(optionally substituted C₁-C₄ alkyl)_t-O_u-(optionally substituted 4- to 6-membered heterocycle) or -(optionally substituted C₁-C₄ alkyl)-O-(optionally substituted C₁-C₄ alkyl), wherein:

t is 0 or 1;

u is 0 or 1;

with the proviso that when u is 1, t is 1; and

R²⁴¹ is H or optionally substituted C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), L-Ar is

and Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R¹ is halogen, —CN or C₁-C₂ haloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R¹ is —CN.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₃-C₅ cycloalkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²² is —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²⁴ is C₁-C₄ alkyl or —(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²⁴ is —(C₁-C₂ alkyl)-O—(C₁-C₂ alkyl).

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₁-C₂ alkyl or C₃-C₅ cycloalkyl and R²² is C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R²¹ is C₃-C₅ cycloalkyl and R²² is H or —CH₃.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVII), R¹ is —CN and R² is H.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVIII), L-Ar is

Ar is

with the proviso that when L-Ar is

Ar is not

L² is —NHR³⁵ or —C(O)NHR³⁵¹, wherein R³⁵¹ is optionally substituted C₁-C₆ alkyl, optionally substituted C₃-C₅ cycloalkyl, optionally substituted 4- to 6-membered heterocycle, optionally substituted aryl or optionally substituted heteroaryl;

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens:

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or optionally substituted 4- to 6-membered heterocycle:

R²² is H, halogen, or optionally substituted C₁-C₂ alkyl; and

R³⁵ is —C(O)R³⁵¹, —C(O)NHR³⁵¹, —C(O)OR³⁵¹ or —S(O)₂R³⁵¹, wherein R³⁵¹ is optionally substituted C₁-C₆ alkyl, optionally substituted C₃-C₅ cycloalkyl, optionally substituted 4- to 6-membered heterocycle, optionally substituted aryl or optionally substituted heteroaryl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVIII), L² is —NHR³⁵.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXVIII), L² is —C(O)NHR³⁵¹.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIX),

each W, X, Y and Z is independently —N— or —CR²⁶— with the proviso that not more than 2 of W, X, Y and Z are —N—;

R²⁶ is H, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₁-C₄ alkyl), —N(R²⁷)₂, —S(O)₂-(optionally substituted C₁-C₄ alkyl) or —C(O)-(optionally substituted C₁-C₄ alkyl);

each R²⁷ is independently H or optionally substituted C₁-C₄ alkyl or both R²⁷ are optionally substituted C₁-C₄ alkyl and join to form an optionally substituted 3- to 6-membered ring together with the N to which they are attached and wherein the ring optionally includes one oxygen atom as one of the members of the ring;

Ar is

Het is an optionally substituted 5- to 6-membered heteroaryl;

R¹ is H, —CN, halogen, optionally substituted C₁-C₄ alkyl, —O-(optionally substituted C₃-C₅ cycloalkyl), —O-(optionally substituted 4- to 6-membered heterocycle) or —O-(optionally substituted C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogens:

each R² is independently hydrogen, halogen or optionally substituted C₁-C₄ alkyl;

R³ is H or F;

R¹¹ is H or —CH₃;

R²¹ is H, halogen, optionally substituted C₁-C₄ alkyl, optionally substituted C₃-C₅ cycloalkyl or an optionally substituted 4- to 6-membered heterocycle; and

R²² is H, halogen or optionally substituted C₁-C₂ alkyl.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIX), Ar is

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIX), Y is —CR²⁶— wherein R²⁶ is —N(R²⁷)₂.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer with compounds of Formula (XXIX), X is —N—.

In some embodiments of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the taxane-resistant tumor is selected from paclitaxel-resistant tumor, Nab-paclitaxel-resistant tumor, docetaxel-resistant tumor, and cabazitaxel-resistant tumor.

In other embodiments of the method for treating or preventing a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a taxane-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating or preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of treating or preventing a taxane-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a taxane-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a taxane-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a taxane-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (II).

In other embodiments of the method for treating a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a taxane-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III). In other embodiments of the method for treating a taxane-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a taxane-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a taxane-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a taxane-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a taxane-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a taxane-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a taxane-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a taxane-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVIII), or (XXIX). In other embodiments of the method for preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a taxane-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

In particular embodiments of the method for treating or preventing taxane-resistant cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel, paclitaxel, docetaxel, and cabazitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating or preventing taxane-resistant cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the taxane-resistant cancer is lung cancer. In a particular embodiment, the taxane-resistant cancer is breast cancer. In a particular embodiment, the taxane-resistant cancer is ovarian cancer. In a particular embodiment, the taxane-resistant cancer is prostate cancer. In a particular embodiment, the taxane-resistant cancer is colon cancer. In a particular embodiment, the taxane-resistant cancer is pancreatic cancer.

As described above, in some embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject who is taxane-resistant (or who has a taxane-resistant tumor or cancer), a subject who was previously administered or treated with a taxane (but not in combination with a compound of Formula (I), Formula (II), or Formula (III) as described herein), a subject who does not respond or has not responded favorably or adequately to taxane therapy, and/or a subject who failed therapy with a taxane. Taxane therapy should be understood to include treatment with any taxane, i.e., Nab-paclitaxel, paclitaxel, docetaxel, and cabazitaxel. In certain embodiments, the subject was previously treated with taxane monotherapy or was previously treated with a taxane combination therapy that did not include treatment with a compound of Formula (I), Formula (II), or Formula (III) as described herein. In certain embodiments, the taxane-resistant subject initially responded to taxane therapy, but the subject eventually exhibited decreased or no response to the taxane therapy. In certain embodiments, the taxane-resistant tumor or cancer in the subject initially responded to taxane therapy, but the tumor or cancer eventually exhibited decreased or no response to the taxane therapy. The term “taxane-resistant subject” is used generally herein to indicate a subject who is taxane-resistant or who has a taxane-resistant tumor or cancer. As used herein, the term “taxane-resistant” means that the tumor or cancer does not or may not respond or has not responded favorably or adequately to taxane therapy. In certain embodiments, a taxane-resistant subject may be a taxane treatment naïve subject, or the taxane-resistant subject may have previously been treated with taxane therapy, and did not respond favorably or adequately, either initially or after some time period. In certain embodiments, a diagnostic may be used before taxane therapy to determine if the subject is taxane-resistant, or has a taxane-resistant tumor or cancer, or if the present invention would enhance the activity of Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel alone.

In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel is administered. In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel is administered.

In particular embodiments, a method for treating a taxane-resistant tumor or cancer in a subject is provided, the method comprising:

(a) determining that the subject is taxane-resistant, or has a taxane-resistant tumor or cancer, and

(b) administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor.

In particular embodiments, Steps (a) and (b) can be performed in either order. That is, step (a) can be performed before step (b) or step (b) can be performed before step (a).

In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the method further comprises administering to the subject in need thereof a therapeutically effective amount of Nab-paclitaxel, paclitaxel, docetaxel, or cabazitaxel.

In some embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In particular embodiments of the method for treating a taxane-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with a taxane can depend, at least in part, on the cancer being treated. In certain embodiments, a taxane can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of any of the methods described herein for treating a taxane-resistant tumor or cancer, the taxane-resistant tumor or cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the taxane-resistant tumor or cancer is lung cancer. In a particular embodiment, the taxane-resistant tumor or cancer is breast cancer. In a particular embodiment, the taxane-resistant tumor or cancer is ovarian cancer. In a particular embodiment, the taxane-resistant tumor or cancer is prostate cancer. In a particular embodiment, the taxane-resistant tumor or cancer is colon cancer. In a particular embodiment, the taxane-resistant tumor or cancer is pancreatic cancer.

In particular embodiments, a taxane-resistant tumor or cancer is determined by testing cells of the tumor or cancer for their responsiveness to a taxane, e.g., the effect of a taxane on the growth rate or amount of growth of the tumor or cancer cells. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with a taxane and contacting a different sample of the subject's cancer cells with a negative control, e.g., an unrelated compound or vehicle only. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with a taxane and contacting a different sample of the subject's cancer cells with a combination of a taxane and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and comparing the response between the two groups of cancer cells. In certain embodiments, the cells are tested as described in the accompanying Example. In particular embodiments, the cells are tested in vitro. In certain embodiments, the response of the cells to either a taxane, negative control, or the combination of a taxane and the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) that is measured and compared is the growth rate of the cells, the growth amount of the cells, or the viability of the cells. In certain embodiments, a tumor sample is taxane-resistant if the growth rate of the tumor cells, the growth amount of the tumor cells, or the viability of the tumor cells is not significantly decreased upon treatment with a taxane as compared to treatment with the negative control. In certain embodiments, a tumor sample is taxane-resistant if the growth rate or the viability of the tumor cells is significantly decreased upon treatment with the combination of a taxane and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), as compared to treatment with a taxane alone. In particular embodiments, a significant decrease is a decrease greater than or equal to 25%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, greater than or equal to 90%, greater than or equal to 100%, greater than or equal to 150%, greater than or equal to 200%, or greater than or equal to 500% as compared to the relevant control.

In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be taxane resistant or have a taxane-resistant tumor or cancer, the fatty acid synthase inhibitor is administered simultaneously with a taxane. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be taxane resistant or have a taxane-resistant tumor or cancer, the fatty acid synthase inhibitor is administered before a taxane is administered. In particular embodiments of the method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be taxane resistant or have a taxane-resistant tumor or cancer, the fatty acid synthase inhibitor is administered after a taxane is administered.

In particular embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of a taxane (i.e., Nab-paclitaxel, paclitaxel, docetaxel, and cabazitaxel). In particular embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for treating cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with a taxane can depend, at least in part, on the cancer being treated. In certain embodiments, a taxane can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the taxane-resistant cancer is lung cancer. In a particular embodiment, the taxane-resistant cancer is breast cancer. In a particular embodiment, the taxane-resistant cancer is ovarian cancer. In a particular embodiment, the taxane-resistant cancer is prostate cancer. In a particular embodiment, the taxane-resistant cancer is colon cancer. In a particular embodiment, the taxane-resistant cancer is pancreatic cancer.

In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with a taxane. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before a taxane is administered. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after a taxane is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for enhancing the activity of a taxane in treating a tumor or a cancer, the method comprising administering to a subject in need thereof, a therapeutically effective amount of a taxane and a fatty acid synthase inhibitor.

In some embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In particular embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), or (III).

In particular embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with a taxane can depend, at least in part, on the cancer being treated. In certain embodiments, a taxane can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cancer is lung cancer. In a particular embodiment, the cancer is breast cancer. In a particular embodiment, the cancer is ovarian cancer. In a particular embodiment, the cancer is prostate cancer. In a particular embodiment, the cancer is colon cancer. In a particular embodiment, the cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the tumor or cancer is taxane-resistant. In certain embodiments, the taxane-resistant cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the taxane-resistant cancer is lung cancer. In a particular embodiment, the taxane-resistant cancer is breast cancer. In a particular embodiment, the taxane-resistant cancer is ovarian cancer. In a particular embodiment, the taxane-resistant cancer is prostate cancer. In a particular embodiment, the taxane-resistant cancer is colon cancer. In a particular embodiment, the taxane-resistant cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered simultaneously with a taxane. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as separate dosage forms. In particular embodiments for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered before a taxane is administered. In particular embodiments for enhancing the activity of a taxane in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered after a taxane is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for increasing the sensitivity of a cancer cell to a taxane, the method comprising administering to a subject in need thereof, a therapeutically effective amount of a taxane and a fatty acid synthase inhibitor.

In some embodiments of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In particular embodiments of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with a taxane can depend, at least in part, on the cancer being treated. In certain embodiments, a taxane can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93). FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for increasing the sensitivity of a cancer cell to a taxane, the cancer cell is selected from the group consisting of a lung cancer cell, a breast cancer cell, an ovarian cancer cell, a prostate cancer cell, a colon cancer cell, and a pancreatic cancer cell. In a particular embodiment, the cancer cell is a lung cancer cell. In a particular embodiment, the cancer cell is a breast cancer cell. In a particular embodiment, the cancer cell is an ovarian cancer cell. In a particular embodiment, the cancer cell is a prostate cancer cell. In a particular embodiment, the cancer cell is a colon cancer cell. In a particular embodiment, the cancer cell is a pancreatic cancer cell.

In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 2 to 6 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 2 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 3 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 4 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 5 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to a taxane by about 6 fold.

In some embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to a taxane by about 6 fold.

In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to a taxane by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III), increases the sensitivity of the cancer to a taxane by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to a taxane by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to a taxane by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to a taxane by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to a taxane by about 6 fold.

In particular embodiments of the method of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is administered simultaneously with a taxane. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and a taxane are administered simultaneously as separate dosage forms of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is administered before a taxane is administered. In particular embodiments of the method for increasing the sensitivity of a cancer cell to a taxane, the fatty acid synthase inhibitor is administered after a taxane is administered.

The methods and compositions described herein are useful for treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of docetaxel.

Another aspect of the present invention relates to a method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a docetaxel-resistant tumor or cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a docetaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a docetaxel-resistant tumor a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a docetaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a docetaxel-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a docetaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a docetaxel-resistant tumor or cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a docetaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a docetaxel-resistant tumor a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a docetaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a docetaxel-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a docetaxel-resistant tumor or cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a docetaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a docetaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a docetaxel-resistant tumor a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a docetaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a docetaxel-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

In other embodiments, the methods and compositions described herein are useful for treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of docetaxel.

In particular embodiments of the method for treating docetaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with docetaxel can depend, at least in part, on the cancer being treated. In certain embodiments, docetaxel, can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating docetaxel-resistant cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the docetaxel-resistant cancer is lung cancer. In a particular embodiment, the docetaxel-resistant cancer is breast cancer. In a particular embodiment, the docetaxel-resistant cancer is ovarian cancer. In a particular embodiment, the docetaxel-resistant cancer is prostate cancer. In a particular embodiment, the docetaxel-resistant cancer is colon cancer. In a particular embodiment, the docetaxel-resistant cancer is pancreatic cancer.

As described above, in some embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject who is docetaxel-resistant (or who has a docetaxel-resistant tumor or cancer), a subject who was previously administered or treated with a docetaxel (but not in combination with a compound of Formula (I), Formula (II), or Formula (III) as described herein), a subject who does not respond or has not responded favorably or adequately to docetaxel therapy, and/or a subject who failed therapy with docetaxel. Docetaxel therapy should be understood to include treatment with docetaxel. In certain embodiments, the subject was previously treated with docetaxel monotherapy or was previously treated with a docetaxel combination therapy that did not include treatment with a compound of Formula (I), Formula (II), or Formula (III) as described herein. In certain embodiments, the docetaxel-resistant subject initially responded to docetaxel therapy, but the subject eventually exhibited decreased or no response to the docetaxel therapy. In certain embodiments, the docetaxel-resistant tumor or cancer in the subject initially responded to docetaxel therapy, but the tumor or cancer eventually exhibited decreased or no response to the docetaxel therapy. The term “docetaxel-resistant subject” is used generally herein to indicate a subject who is docetaxel-resistant or who has a docetaxel-resistant tumor or cancer. As used herein, the term “docetaxel-resistant” means that the tumor or cancer does not or may not respond or has not responded favorably or adequately to docetaxel therapy. In certain embodiments, a docetaxel-resistant subject may be a docetaxel treatment naïve subject, or the docetaxel-resistant subject may have previously been treated with docetaxel therapy, and did not respond favorably or adequately, either initially or after some time period. In certain embodiments, a diagnostic may be used before docetaxel therapy to determine if the subject is docetaxel-resistant, or has a docetaxel-resistant tumor or cancer, or if the present invention would enhance the activity of docetaxel alone.

In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with docetaxel. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before docetaxel is administered. In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after docetaxel is administered.

In particular embodiments, a method for treating a docetaxel-resistant tumor or cancer in a subject is provided, the method comprising:

(a) determining that the subject is docetaxel-resistant, or has a docetaxel-resistant tumor or cancer, and

(b) administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor.

In particular embodiments, Steps (a) and (b) can be performed in either order. That is, step (a) can be performed before step (b) or step (b) can be performed before step (a).

In particular embodiments of the method for treating a docetaxel-resistant tumor or cancer in a subject, the method further comprises administering to the subject in need thereof a therapeutically effective amount of docetaxel.

In particular embodiments of the method for treating a docetaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with docetaxel can depend, at least in part, on the cancer being treated. In certain embodiments, docetaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of any of the methods described herein for treating a docetaxel-resistant tumor or cancer, the docetaxel-resistant tumor or cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is lung cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is breast cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is ovarian cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is prostate cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is colon cancer. In a particular embodiment, the docetaxel-resistant tumor or cancer is pancreatic cancer.

In particular embodiments, a docetaxel-resistant tumor or cancer is determined by testing cells of the tumor or cancer for their responsiveness to docetaxel, e.g., the effect of docetaxel on the growth rate or amount of growth of the tumor or cancer cells. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with docetaxel and contacting a different sample of the subject's cancer cells with a negative control, e.g., an unrelated compound or vehicle only. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with docetaxel and contacting a different sample of the subject's cancer cells with a combination of docetaxel and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and comparing the response between the two groups of cancer cells. In certain embodiments, the cells are tested as described in the accompanying Example. In particular embodiments, the cells are tested in vitro. In certain embodiments, the response of the cells to either docetaxel, negative control, or the combination of docetaxel and the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) that is measured and compared is the growth rate of the cells, the growth amount of the cells, or the viability of the cells. In certain embodiments, a tumor sample is docetaxel-resistant if the growth rate of the tumor cells, the growth amount of the tumor cells, or the viability of the tumor cells is not significantly decreased upon treatment with docetaxel as compared to treatment with the negative control. In certain embodiments, a tumor sample is docetaxel-resistant if the growth rate or the viability of the tumor cells is significantly decreased upon treatment with the combination of docetaxel and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), as compared to treatment with docetaxel alone. In particular embodiments, a significant decrease is a decrease greater than or equal to 25%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, greater than or equal to 90%, greater than or equal to 100%, greater than or equal to 150%, greater than or equal to 200%, or greater than or equal to 500% as compared to the relevant control.

In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be docetaxel resistant or have a docetaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered simultaneously with docetaxel. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be docetaxel resistant or have a docetaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered before docetaxel is administered. In particular embodiments of the method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be docetaxel resistant or have a docetaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered after docetaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of docetaxel. In some embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for treating cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with docetaxel can depend, at least in part, on the cancer being treated. In certain embodiments, docetaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the docetaxel-resistant cancer is lung cancer. In a particular embodiment, the docetaxel-resistant cancer is breast cancer. In a particular embodiment, the docetaxel-resistant cancer is ovarian cancer. In a particular embodiment, the docetaxel-resistant cancer is prostate cancer. In a particular embodiment, the docetaxel-resistant cancer is colon cancer. In a particular embodiment, the docetaxel-resistant cancer is pancreatic cancer.

In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with docetaxel. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before docetaxel is administered. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after docetaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for enhancing the activity of docetaxel in treating a tumor or a cancer, the method comprising administering to a subject in need thereof, a therapeutically effective amount of docetaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with docetaxel can depend, at least in part, on the cancer being treated. In certain embodiments, docetaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cancer is lung cancer. In a particular embodiment, the cancer is breast cancer. In a particular embodiment, the cancer is ovarian cancer. In a particular embodiment, the cancer is prostate cancer. In a particular embodiment, the cancer is colon cancer. In a particular embodiment, the cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the tumor or cancer is docetaxel-resistant. In certain embodiments, the docetaxel-resistant cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the docetaxel-resistant cancer is lung cancer. In a particular embodiment, the docetaxel-resistant cancer is breast cancer. In a particular embodiment, the docetaxel-resistant cancer is ovarian cancer. In a particular embodiment, the docetaxel-resistant cancer is prostate cancer. In a particular embodiment, the docetaxel-resistant cancer is colon cancer. In a particular embodiment, the docetaxel-resistant cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered simultaneously with docetaxel. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as separate dosage forms. In particular embodiments for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered before docetaxel is administered. In particular embodiments for enhancing the activity of docetaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered after docetaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for increasing the sensitivity of a cancer cell to docetaxel, the method comprising administering to a subject in need thereof, a therapeutically effective amount of docetaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with docetaxel can depend, at least in part, on the cancer being treated. In certain embodiments, docetaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for increasing the sensitivity of a cancer cell to docetaxel, the cancer cell is selected from the group consisting of a lung cancer cell, a breast cancer cell, an ovarian cancer cell, a prostate cancer cell, a colon cancer cell, and a pancreatic cancer cell. In a particular embodiment, the cancer cell is a lung cancer cell. In a particular embodiment, the cancer cell is a breast cancer cell. In a particular embodiment, the cancer cell is an ovarian cancer cell. In a particular embodiment, the cancer cell is a prostate cancer cell. In a particular embodiment, the cancer cell is a colon cancer cell. In a particular embodiment, the cancer cell is a pancreatic cancer cell.

In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 2 to 6 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 2 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 3 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 4 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 5 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to docetaxel by about 6 fold.

In some embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to docetaxel by about 6 fold.

In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to docetaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III), increases the sensitivity of the cancer to docetaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to docetaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to docetaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to docetaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to docetaxel by about 6 fold.

In particular embodiments of the method of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is administered simultaneously with docetaxel. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and docetaxel are administered simultaneously as separate dosage forms of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is administered before docetaxel is administered. In particular embodiments of the method for increasing the sensitivity of a cancer cell to docetaxel, the fatty acid synthase inhibitor is administered after docetaxel is administered.

The methods and compositions described herein are useful for treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of cabazitaxel.

Another aspect of the present invention relates to a method of treating or preventing a cabazitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a cabazitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating or preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of treating or preventing a cabazitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a cabazitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a cabazitaxel-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a cabazitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III). In other embodiments of the method for treating a cabazitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a cabazitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (III), (III), (XIX), or (XXI). In particular embodiments of the method for treating a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a cabazitaxel-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a cabazitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a cabazitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a cabazitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a cabazitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a cabazitaxel-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

In particular embodiments of the method for treating cabazitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with cabazitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, cabazitaxel, can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating cabazitaxel-resistant cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the cabazitaxel-resistant cancer is lung cancer. In a particular embodiment, the cabazitaxel-resistant cancer is breast cancer. In a particular embodiment, the cabazitaxel-resistant cancer is ovarian cancer. In a particular embodiment, the cabazitaxel-resistant cancer is prostate cancer. In a particular embodiment, the cabazitaxel-resistant cancer is colon cancer. In a particular embodiment, the cabazitaxel-resistant cancer is pancreatic cancer.

As described above, in some embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject who is cabazitaxel-resistant (or who has a cabazitaxel-resistant tumor or cancer), a subject who was previously administered or treated with cabazitaxel (but not in combination with a compound of Formula (I), Formula (II), or Formula (III), etc. as described herein), a subject who does not respond or has not responded favorably or adequately to cabazitaxel therapy, and/or a subject who failed therapy with cabazitaxel. Cabazitaxel therapy should be understood to include treatment with cabazitaxel. In certain embodiments, the subject was previously treated with cabazitaxel monotherapy or was previously treated with a cabazitaxel combination therapy that did not include treatment with a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) as described herein. In certain embodiments, the cabazitaxel-resistant subject initially responded to cabazitaxel therapy, but the subject eventually exhibited decreased or no response to the cabazitaxel therapy. In certain embodiments, the cabazitaxel-resistant tumor or cancer in the subject initially responded to cabazitaxel therapy, but the tumor or cancer eventually exhibited decreased or no response to the cabazitaxel therapy. The term “cabazitaxel-resistant subject” is used generally herein to indicate a subject who is cabazitaxel-resistant or who has a cabazitaxel-resistant tumor or cancer. As used herein, the term “cabazitaxel-resistant” means that the tumor or cancer does not or may not respond or has not responded favorably or adequately to cabazitaxel therapy. In certain embodiments, a cabazitaxel-resistant subject may be a cabazitaxel treatment naïve subject, or the cabazitaxel-resistant subject may have previously been treated with cabazitaxel therapy, and did not respond favorably or adequately, either initially or after some time period. In certain embodiments, a diagnostic may be used before cabazitaxel therapy to determine if the subject is cabazitaxel-resistant, or has a cabazitaxel-resistant tumor or cancer, or if the present invention would enhance the activity of cabazitaxel alone.

In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with cabazitaxel. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before cabazitaxel is administered. In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after cabazitaxel is administered.

In particular embodiments, a method for treating a cabazitaxel-resistant tumor or cancer in a subject is provided, the method comprising:

(a) determining that the subject is cabazitaxel-resistant, or has a cabazitaxel-resistant tumor or cancer, and

(b) administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor.

In particular embodiments, Steps (a) and (b) can be performed in either order. That is, step (a) can be performed before step (b) or step (b) can be performed before step (a).

In particular embodiments of the method for treating a cabazitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with cabazitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, cabazitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of any of the methods described herein for treating a cabazitaxel-resistant tumor or cancer, the cabazitaxel-resistant tumor or cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is lung cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is breast cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is ovarian cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is prostate cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is colon cancer. In a particular embodiment, the cabazitaxel-resistant tumor or cancer is pancreatic cancer.

In particular embodiments, a cabazitaxel-resistant tumor or cancer is determined by testing cells of the tumor or cancer for their responsiveness to cabazitaxel, e.g., the effect of cabazitaxel on the growth rate or amount of growth of the tumor or cancer cells. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with cabazitaxel and contacting a different sample of the subject's cancer cells with a negative control, e.g., an unrelated compound or vehicle only. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with cabazitaxel and contacting a different sample of the subject's cancer cells with a combination of cabazitaxel and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and comparing the response between the two groups of cancer cells. In certain embodiments, the cells are tested as described in the accompanying Example. In particular embodiments, the cells are tested in vitro. In certain embodiments, the response of the cells to either cabazitaxel, negative control, or the combination of cabazitaxel and the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) that is measured and compared is the growth rate of the cells, the growth amount of the cells, or the viability of the cells. In certain embodiments, a tumor sample is cabazitaxel-resistant if the growth rate of the tumor cells, the growth amount of the tumor cells, or the viability of the tumor cells is not significantly decreased upon treatment with cabazitaxel as compared to treatment with the negative control. In certain embodiments, a tumor sample is cabazitaxel-resistant if the growth rate or the viability of the tumor cells is significantly decreased upon treatment with the combination of cabazitaxel and a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), as compared to treatment with cabazitaxel alone. In particular embodiments, a significant decrease is a decrease greater than or equal to 25%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, greater than or equal to 90%, greater than or equal to 100%, greater than or equal to 150%, greater than or equal to 200%, or greater than or equal to 500% as compared to the relevant control.

In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be cabazitaxel resistant or have a cabazitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered simultaneously with cabazitaxel. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be cabazitaxel resistant or have a cabazitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered before cabazitaxel is administered. In particular embodiments of the method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be cabazitaxel resistant or have a cabazitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered after cabazitaxel is administered.

In particular embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of cabazitaxel. In some embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments, the methods and compositions described herein are useful for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the method comprising administering to a subject in need thereof, a therapeutically effective amount of cabazitaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with cabazitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, cabazitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cancer is lung cancer. In a particular embodiment, the cancer is breast cancer. In a particular embodiment, the cancer is ovarian cancer. In a particular embodiment, the cancer is prostate cancer. In a particular embodiment, the cancer is colon cancer. In a particular embodiment, the cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the tumor or cancer is cabazitaxel-resistant. In certain embodiments, the cabazitaxel-resistant cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cabazitaxel-resistant cancer is lung cancer. In a particular embodiment, the cabazitaxel-resistant cancer is breast cancer. In a particular embodiment, the cabazitaxel-resistant cancer is ovarian cancer. In a particular embodiment, the cabazitaxel-resistant cancer is prostate cancer. In a particular embodiment, the cabazitaxel-resistant cancer is colon cancer. In a particular embodiment, the cabazitaxel-resistant cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered simultaneously with cabazitaxel. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as separate dosage forms. In particular embodiments for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered before cabazitaxel is administered. In particular embodiments for enhancing the activity of cabazitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered after cabazitaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for increasing the sensitivity of a cancer cell to cabazitaxel, the method comprising administering to a subject in need thereof, a therapeutically effective amount of cabazitaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In particular embodiments of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is a compound of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In particular embodiments of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with cabazitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, cabazitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the cancer cell is selected from the group consisting of a lung cancer cell, a breast cancer cell, an ovarian cancer cell, a prostate cancer cell, a colon cancer cell, and a pancreatic cancer cell. In a particular embodiment, the cancer cell is a lung cancer cell. In a particular embodiment, the cancer cell is a breast cancer cell. In a particular embodiment, the cancer cell is an ovarian cancer cell. In a particular embodiment, the cancer cell is a prostate cancer cell. In a particular embodiment, the cancer cell is a colon cancer cell. In a particular embodiment, the cancer cell is a pancreatic cancer cell.

In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 2 to 6 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 2 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 3 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 4 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 5 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to cabazitaxel by about 6 fold.

In some embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II) (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to cabazitaxel by about 6 fold.

In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to cabazitaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III), increases the sensitivity of the cancer to cabazitaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to cabazitaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to cabazitaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to cabazitaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), or (III) increases the sensitivity of the cancer to cabazitaxel by about 6 fold.

In particular embodiments of the method of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is administered simultaneously with cabazitaxel. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and cabazitaxel are administered simultaneously as separate dosage forms of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is administered before cabazitaxel is administered. In particular embodiments of the method for increasing the sensitivity of a cancer cell to cabazitaxel, the fatty acid synthase inhibitor is administered after cabazitaxel is administered.

The methods and compositions described herein are useful for treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of paclitaxel.

Another aspect of the present invention relates to a method of treating or preventing a paclitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX).

In other embodiments of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or (c) Formula (II):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl

• • or

(d) Formula (XXI):

or a pharmaceutically acceptable salt thereof,

wherein:

L-Ar is

Ar is

R¹ is H, —CN, halogen, C₁-C₄ alkyl, —O—(C₃-C₅ cycloalkyl), —O-(4- to 6-membered heterocycle) or —O—(C₁-C₄ alkyl), wherein when R¹ is not H, —CN or halogen, R¹ is optionally substituted with one or more halogen;

each R² is independently hydrogen, halogen or C₁-C₄ alkyl;

R³ is H or F;

R²¹ is H, halogen, C₁-C₄ alkyl, C₃-C₅ cycloalkyl or 4- to 6-membered heterocycle;

R²² is H, halogen or C₁-C₂ alkyl;

R²⁴ is —O—(C₁-C₄ alkyl), —O—(C₁-C₄ alkyl)-O—(C₁-C₄ alkyl), —O—(C₃-C₅ cycloalkyl), or —O-(4- to 6-membered heterocycle), wherein R²⁴ is optionally substituted with one or more hydroxyl or halogen; and

R²⁵ is H, halogen, C₁-C₄ alkyl or C₃-C₅ cycloalkyl, wherein R²⁵ is optionally substituted with one or more halogen;

or

(e) Formula (XIX):

or a pharmaceutically acceptable salt thereof,wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R¹ is H, —OH or halogen;

L³ is C(R⁶⁰)₂, O or NR⁵⁰;

each R⁶⁰ is independently H, —OH, —CN, —O_t—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl), or —C(O)—N(R⁶¹⁾₂ wherein:

t is 0 or 1, and

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

each R⁵⁰ is independently H, —C(O)—O_t—(C₁-C₄ straight or branched alkyl), —C(O)—O_t—(C₃-C₅ cyclic alkyl), —C₃-C₅ cyclic alkyl optionally containing an oxygen or nitrogen heteroatom, —C(O)—N(R⁵⁰¹)₂, C₁-C₄ straight or branched alkyl wherein:

t is 0 or 1, and

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

n is 1, 2 or 3;

m is 1 or 2;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom

R²² is H, halogen, C₁-C₂ alkyl;

each R²⁶ is independently —OH, —CN, halogen, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl), —C(O)—O_t—(C₁-C₄ alkyl), or —C(O)—N(R⁵⁰¹)₂ wherein:

t is 0 or 1, and

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

s is 0, 1 or 2;

each R⁶⁰¹ and R⁵⁰¹ is independently H or C₁-C₄ straight or branched alkyl; and

wherein two of R²⁶, R⁶⁰, R⁵⁰, R⁵⁰¹ and R⁶⁰¹ optionally join to form a ring wherein the two of R²⁶, R⁶⁰, R⁵⁰, R⁵⁰¹ and R⁶⁰¹ may be two R²⁶, two R⁶⁰, two R⁵⁰, two R⁵⁰¹ or two R⁶⁰¹.

In particular embodiments of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the

C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In particular embodiments of treating or preventing paclitaxel-resistant a tumor or cancer in a subject in need thereof, R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl. L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the compound having the structure of Formula (III) is:

In other embodiments of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a paclitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating or preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of treating or preventing a paclitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating or preventing a paclitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In other embodiments of the method for treating or preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating or preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating or preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating or preventing a paclitaxel-resistant cancer a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a paclitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a paclitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a paclitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of treating a paclitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for treating a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for treating a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for treating a paclitaxel-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a paclitaxel-resistant tumor in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a paclitaxel-resistant tumor in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a paclitaxel-resistant tumor in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

Another aspect of the present invention relates to a method of preventing a paclitaxel-resistant cancer in a subject in need thereof, the method comprising administering to the subject a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX).

In some embodiments of the method for preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI). In particular embodiments of the method for preventing a paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), or (III).

In other embodiments of the method for preventing a paclitaxel-resistant cancer in a subject in need thereof, the fatty acid synthase inhibitor is a pharmaceutical compositions comprising any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) and a pharmaceutically acceptable carrier, excipient, or diluent.

In particular embodiments of the method for treating paclitaxel-resistant cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel or paclitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel and paclitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93). FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating paclitaxel-resistant cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the paclitaxel-resistant cancer is lung cancer. In a particular embodiment, the paclitaxel-resistant cancer is breast cancer. In a particular embodiment, the paclitaxel-resistant cancer is ovarian cancer. In a particular embodiment, the paclitaxel-resistant cancer is prostate cancer. In a particular embodiment, the paclitaxel-resistant cancer is colon cancer. In a particular embodiment, the paclitaxel-resistant cancer is pancreatic cancer.

As described above, in particular embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject who is paclitaxel-resistant (or who has a paclitaxel-resistant tumor or cancer), a subject who was previously administered or treated with paclitaxel (but not in combination with a compound of Formula (I), Formula (II), or Formula (III) as described herein), a subject who does not respond or has not responded favorably or adequately to paclitaxel therapy, and/or a subject who failed therapy with paclitaxel. Paclitaxel therapy should be understood to include treatment with any paclitaxel, e.g., Nab-paclitaxel. In certain embodiments, the subject was previously treated with paclitaxel monotherapy or was previously treated with a paclitaxel combination therapy that did not include treatment with a compound of Formula (I), Formula (II), or Formula (III) as described herein. In certain embodiments, the paclitaxel resistant subject initially responded to paclitaxel therapy, but the subject eventually exhibited decreased or no response to the paclitaxel therapy. In certain embodiments, the paclitaxel resistant tumor or cancer in the subject initially responded to paclitaxel therapy, but the tumor or cancer eventually exhibited decreased or no response to the paclitaxel therapy. The term “paclitaxel-resistant subject” is used generally herein to indicate a subject who is paclitaxel-resistant or who has a paclitaxel-resistant tumor or cancer. As used herein, the term “paclitaxel-resistant” means that the tumor or cancer does not or may not respond or has not responded favorably or adequately to paclitaxel therapy. In certain embodiments, a paclitaxel-resistant subject may be a paclitaxel treatment naïve subject, or the paclitaxel resistant subject may have previously been treated with paclitaxel therapy, and did not respond favorably or adequately, either initially or after some time period. In certain embodiments, a diagnostic may be used before paclitaxel therapy to determine if the subject is paclitaxel-resistant, or has a paclitaxel-resistant tumor or cancer, or if the present invention would enhance the activity of paclitaxel or Nab-paclitaxel alone.

In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel or paclitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before Nab-paclitaxel or paclitaxel is administered. In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after Nab-paclitaxel or paclitaxel is administered.

In particular embodiments, a method for treating a paclitaxel-resistant tumor or cancer in a subject is provided, the method comprising:

(a) determining that the subject is paclitaxel-resistant, or has a paclitaxel-resistant tumor or cancer, and

(b) administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor.

In particular embodiments. Steps (a) and (b) can be performed in either order. That is, step (a) can be performed before step (b) or step (b) can be performed before step (a).

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the method further comprises administering to the subject in need thereof a therapeutically effective mount of paclitaxel or Nab-paclitaxel.

In some embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (LX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI).

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the

C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the compound having the structure of Formula (III) is:

In particular embodiments of the method for treating a paclitaxel-resistant tumor or cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel or paclitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel and paclitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin. EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of any of the methods described herein for treating a paclitaxel-resistant tumor or cancer, the paclitaxel-resistant tumor or cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is lung cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is breast cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is ovarian cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is prostate cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is colon cancer. In a particular embodiment, the paclitaxel-resistant tumor or cancer is pancreatic cancer.

In particular embodiments, a paclitaxel-resistant tumor or cancer is determined by testing cells of the tumor or cancer for their responsiveness to paclitaxel, e.g., the effect of paclitaxel on the growth rate or amount of growth of the tumor or cancer cells. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with paclitaxel and contacting a different sample of the subject's cancer cells with a negative control, e.g., an unrelated compound or vehicle only. In one embodiment, testing the subject's cancer cells comprises contacting a sample of the subject's cancer cells with paclitaxel and contacting a different sample of the subject's cancer cells with a combination of paclitaxel and a compound of Formula (I), Formula (II), or Formula (III) and comparing the response between the two groups of cancer cells. In certain embodiments, the cells are tested as described in the accompanying Example. In particular embodiments, the cells are tested in vitro. In certain embodiments, the response of the cells to either paclitaxel, negative control, or the combination of paclitaxel and the compounds of Formula (I). Formula (II), or Formula (III) that is measured and compared is the growth rate of the cells, the growth amount of the cells, or the viability of the cells. In certain embodiments, a tumor sample is paclitaxel-resistant if the growth rate of the tumor cells, the growth amount of the tumor cells, or the viability of the tumor cells is not significantly decreased upon treatment with paclitaxel as compared to treatment with the negative control. In certain embodiments, a tumor sample is paclitaxel-resistant if the growth rate or the viability of the tumor cells is significantly decreased upon treatment with the combination of paclitaxel and the compound of Formula (I), Formula (II), or Formula (III), as compared to treatment with paclitaxel alone. In particular embodiments, a significant decrease is a decrease greater than or equal to 25%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, greater than or equal to 90%, greater than or equal to 100%, greater than or equal to 150%, greater than or equal to 200%, or greater than or equal to 500% as compared to the relevant control.

In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be paclitaxel resistant or have a paclitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel or paclitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be paclitaxel resistant or have a paclitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered before Nab-paclitaxel or paclitaxel is administered. In particular embodiments of the method of treating or preventing a paclitaxel-resistant tumor or cancer in a subject in need thereof, wherein the subject has been determined to be paclitaxel resistant or have a paclitaxel-resistant tumor or cancer, the fatty acid synthase inhibitor is administered after Nab-paclitaxel or paclitaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for treating or preventing a tumor or cancer in a subject in need thereof, the method comprising administering to the subject in need thereof a therapeutically effective amount of a fatty acid synthase inhibitor. In particular embodiments, the method further comprises administering to the subject in need thereof a therapeutically effective amount of paclitaxel or Nab-paclitaxel.

In some embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI).

In particular embodiments of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the

C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In particular embodiments of treating or preventing a tumor or cancer in a subject in need thereof, R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In some embodiments of treating cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of treating cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of treating cancer in a subject in need thereof, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI).

In particular embodiments of the method for treating cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating cancer in a subject, the compound having the structure of Formula (I) is:

In particular embodiments of the method for treating cancer in a subject, the compound having the structure of Formula (III) is:

In particular embodiments of the method for treating cancer in a subject, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel or paclitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel and paclitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for treating cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In further aspects, the tumor can be derived from thyroid, lymph node, kidney, ureter, bladder, ovary, teste, uterus, cervix, prostate, bone, skeletal muscle, bone marrow, blood, skin, stomach, head, neck, esophagus, small bowel, colon, rectum, pancreas, liver, bile duct, gallbladder, smooth muscle, brain, spinal cord, nerves, ear, eye, nasopharynx, oropharynx, salivary gland or heart tissue, or the cancer can be metastatic. In a particular embodiment, the paclitaxel-resistant cancer is lung cancer. In a particular embodiment, the paclitaxel-resistant cancer is breast cancer. In a particular embodiment, the paclitaxel-resistant cancer is ovarian cancer. In a particular embodiment, the paclitaxel-resistant cancer is prostate cancer. In a particular embodiment, the paclitaxel-resistant cancer is colon cancer. In a particular embodiment, the paclitaxel-resistant cancer is pancreatic cancer.

In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel or paclitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as separate dosage forms. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered before Nab-paclitaxel or paclitaxel is administered. In particular embodiments of the method of treating or preventing a tumor or cancer in a subject in need thereof, the fatty acid synthase inhibitor is administered after Nab-paclitaxel or paclitaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the method comprising administering to a subject in need thereof, a therapeutically effective amount of Nab-paclitaxel or paclitaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI).

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

Or

(b) Formula II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the compound having structure (I) is:

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the compound having structure (I) is:

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the compound having structure (I) is:

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the compound having structure (I) is:

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the compound having structure (III) is:

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel or paclitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel and paclitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the cancer is lung cancer. In a particular embodiment, the cancer is breast cancer. In a particular embodiment, the cancer is ovarian cancer. In a particular embodiment, the cancer is prostate cancer. In a particular embodiment, the cancer is colon cancer. In a particular embodiment, the cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the tumor or cancer is paclitaxel-resistant. In certain embodiments, the paclitaxel-resistant cancer is selected from the group consisting of lung cancer, breast cancer, ovarian cancer, prostate cancer, colon cancer, and pancreatic cancer. In a particular embodiment, the paclitaxel-resistant cancer is lung cancer. In a particular embodiment, the paclitaxel-resistant cancer is breast cancer. In a particular embodiment, the paclitaxel-resistant cancer is ovarian cancer. In a particular embodiment, the paclitaxel-resistant cancer is prostate cancer. In a particular embodiment, the paclitaxel-resistant cancer is colon cancer. In a particular embodiment, the paclitaxel-resistant cancer is pancreatic cancer.

In particular embodiments of the method for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel or paclitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as separate dosage forms. In particular embodiments for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered before Nab-paclitaxel or paclitaxel is administered. In particular embodiments for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer, the fatty acid synthase inhibitor is administered after Nab-paclitaxel or paclitaxel is administered.

As described above, in particular embodiments, the methods and compositions described herein are useful for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the method comprising administering to a subject in need thereof, a therapeutically effective amount of Nab-paclitaxel or paclitaxel and a fatty acid synthase inhibitor.

In some embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX). In other embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (IV), (VII), (IX), (XIX), (XXI), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), or (XXIX). In other embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is a compound having the structure of any one of the compounds of Formula (I), (II), (III), (XIX), or (XXI).

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is a compound having the structure of:

(a) Formula (I):

or

(b) Formula (II):

or

(c) Formula (III):

or a pharmaceutically acceptable salt thereof,

wherein:

R¹ is H, —CN, halogen, C₁-C₄ straight or branched alkyl, —O—(C₃-C₅ cycloalkyl), —O—(C₁-C₄ straight or branched alkyl) wherein: C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom; and when R¹ is not H, —CN or halogen, it is optionally substituted with one or more halogens;

each R² is independently hydrogen, halogen or C₁-C₄ straight or branched alkyl;

R³ is H, —OH, or halogen;

R²¹ is H, halogen, C₁-C₄ straight or branched alkyl, C₃-C₅ cycloalkyl wherein the

C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

R²² is H, halogen, or C₁-C₂ alkyl;

R²⁴ is H, C₁-C₄ straight or branched alkyl, —(C₁-C₄ alkyl)_t-OH, —(C₁-C₄ alkyl)_t-O_t—(C₃-C₅ cycloalkyl), or —(C₁-C₄ alkyl)_t-O—(C₁-C₄ straight or branched alkyl) wherein:

t is 0 or 1;

the C₃-C₅ cycloalkyl optionally includes an oxygen or nitrogen heteroatom;

L¹ is CR²³ or N;

L² is CR²³ or N;

at least one of L¹ or L² is N; and

R²³ is H or C₁-C₄ straight or branched alkyl.

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, R¹ is —CN, each R² is H, R³ is H or F, R²¹ is C₃-C₄ cycloalkyl, R²² is methyl, L¹ and L² are N, and R²⁴ is methyl, ethyl, hydroxymethyl, methoxymethyl, or 2-methoxyethyl.

• • In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the compound having the structure of Formula (I) is:

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the compound having the structure of Formula (I) is:

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the compound having the structure of Formula (I) is:

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the compound having the structure of Formula (I) is:

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the compound having the structure of Formula (III) is:

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is one or more compounds, forms, and/or agents that act as an inhibitor of FASN gene expression or FASN protein activity. The choice of FASN inhibitor agents that can be co-administered with Nab-paclitaxel or paclitaxel can depend, at least in part, on the cancer being treated. In certain embodiments, Nab-paclitaxel and paclitaxel can be administered, for example with cerulenin, C75, orlistat, C93 (FAS93), FAS31, C247, GSK837149A, platensimycin, EGCG, luteolin, taxifolin, kaempferol, quercetin, apigenin, catchin, soy protein, and oleic acid, or the like.

In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the cancer cell is selected from the group consisting of a lung cancer cell, a breast cancer cell, an ovarian cancer cell, a prostate cancer cell, a colon cancer cell, and a pancreatic cancer cell. In a particular embodiment, the cancer cell is a lung cancer cell. In a particular embodiment, the cancer cell is a breast cancer cell. In a particular embodiment, the cancer cell is an ovarian cancer cell. In a particular embodiment, the cancer cell is a prostate cancer cell. In a particular embodiment, the cancer cell is a colon cancer cell. In a particular embodiment, the cancer cell is a pancreatic cancer cell.

In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 to 6 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 3 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 4 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 5 fold. In particular embodiments, the administration of a fatty acid synthase inhibitor increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 6 fold.

In some embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 6 fold.

In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 to 6 fold. In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 2 fold. In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 3 fold. In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 4 fold. In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 5 fold. In particular embodiments, the administration of a compound of Formula (I), Formula (II), or Formula (III) increases the sensitivity of the cancer to paclitaxel or Nab-paclitaxel by about 6 fold.

In particular embodiments of the method of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is administered simultaneously with Nab-paclitaxel or paclitaxel. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as a single pharmaceutical composition. In particular embodiments, the fatty acid synthase inhibitor and Nab-paclitaxel or paclitaxel are administered simultaneously as separate dosage forms, of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is administered before Nab-paclitaxel or paclitaxel is administered. In particular embodiments of the method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel, the fatty acid synthase inhibitor is administered after Nab-paclitaxel or paclitaxel is administered.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a taxane-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a taxane-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a taxane-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (II), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a taxane-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a taxane-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a taxane-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a taxane-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (II), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a taxane-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (II), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for enhancing the activity of a taxane in treating a tumor or a cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for increasing the sensitivity of a cancer cell to a taxane in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a docetaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a docetaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a docetaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a docetaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a docetaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a docetaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a docetaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a docetaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (II), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for enhancing the activity of docetaxel in treating a tumor or a cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for increasing the sensitivity of a cancer cell to docetaxel in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a cabazitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a cabazitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a cabazitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a cabazitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a cabazitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a cabazitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for enhancing the activity of cabazitaxel in treating a tumor or a cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for increasing the sensitivity of a cancer cell to cabazitaxel in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating or preventing a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVI), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVI), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for preventing a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for enhancing the activity of paclitaxel or Nab-paclitaxel in treating a tumor or a cancer in a subject in need thereof.

In another aspect, the present invention relates to the use of a fatty acid synthase inhibitor compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a taxane-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a taxane-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a taxane-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a taxane-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a taxane-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXIII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a taxane-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a taxane-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a taxane-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a taxane-resistant or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for enhancing the activity of a taxane in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for increasing the sensitivity of a cancer cell to a taxane in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a docetaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a docetaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a docetaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a docetaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a docetaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a docetaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a docetaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a docetaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a docetaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for enhancing the activity of docetaxel in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II) (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXIII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for increasing the sensitivity of a cancer cell to docetaxel in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXIII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a cabazitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a cabazitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a cabazitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a cabazitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a cabazitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a cabazitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a cabazitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for enhancing the activity of cabazitaxel in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for increasing the sensitivity of a cancer cell to cabazitaxel in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating or preventing a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of treating a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a paclitaxel- or Nab-paclitaxel-resistant tumor or cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a paclitaxel- or Nab-paclitaxel-resistant tumor in a subject in need thereof.

In another aspect, the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method of preventing a paclitaxel- or Nab-paclitaxel-resistant cancer in a subject in need thereof.

Another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for enhancing the activity of paclitaxel or Nab-paclitaxel in a subject in need thereof.

In another aspect of the present invention relates to a compound of any one of Formula (I), (II), (III), (IV), (V), (VI), (VII), (VIII), (IX), (X) (XI), (XII), (XIII), (XIV), (XV), (XVI), (XVII), (XVIII), (XIX), (XX), (XXI), (XXII), (XXIII), (XXIV), (XXV), (XXVI), (XXVII), (XXVIII), or (XXIX), or a pharmaceutically acceptable salt thereof, for use in a method for increasing the sensitivity of a cancer cell to paclitaxel or Nab-paclitaxel in a subject in need thereof.

Formulations, Routes of Administration, and Effective Doses

For the purposes of administration, the compounds of the present invention may be administered to a patient or subject as a raw chemical or may be formulated as pharmaceutical compositions. Pharmaceutical compositions of the present invention generally comprise a compound of the invention and a pharmaceutically acceptable carrier, diluent or excipient. The compound is present in the composition in an amount which is effective to treat a particular disease or condition of interest, as described herein, and preferably with acceptable toxicity to the patient. The activity of compounds can be determined by one skilled in the art, for example, as described in the Examples below. Appropriate concentrations and dosages can be readily determined by one skilled in the art.

Administration of the compounds of the invention, or their pharmaceutically acceptable salts, in pure form or in an appropriate pharmaceutical composition, can be carried out via any of the accepted modes of administration of agents for serving similar utilities. The pharmaceutical compositions of the invention can be prepared by combining a compound of the invention with an appropriate pharmaceutically acceptable carrier, diluent or excipient, and may be formulated into preparations in solid, semi-solid, liquid or gaseous forms, such as tablets, capsules, powders, granules, ointments, solutions, suppositories, injections, inhalants, gels, microspheres, and aerosols. Typical routes of administering such pharmaceutical compositions include, without limitation, oral, topical, transdermal, inhalation, parenteral, sublingual, buccal, rectal, vaginal, and intranasal. The term parenteral as used herein includes subcutaneous injections, intravenous, intramuscular, intrasternal injection or infusion techniques. Pharmaceutical compositions of the invention are formulated so as to allow the active ingredients contained therein to be bioavailable upon administration of the composition to a patient. Compositions that will be administered to a subject or patient take the form of one or more dosage units, where for example, a tablet may be a single dosage unit, and a container of a compound of the invention in aerosol form may hold a plurality of dosage units. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington: The Science and Practice of Pharmacy, 20th Edition (Philadelphia College of Pharmacy and Science, 2000). The composition to be administered will, in any event, contain a therapeutically effective amount of a compound of the invention, or a pharmaceutically acceptable salt thereof, for treatment of a disease or condition of interest in accordance with the teachings of this invention.

A pharmaceutical composition of the invention may be in the form of a solid or liquid. In one aspect, the carrier(s) are particulate, so that the compositions are, for example, in tablet or powder form. The carrier(s) may be liquid, with the compositions being, for example, an oral syrup, injectable liquid or an aerosol, which is useful in, for example, inhalatory administration.

When intended for oral administration, the pharmaceutical composition is preferably in either solid or liquid form, where semi-solid, semi-liquid, suspension and gel forms are included within the forms considered herein as either solid or liquid.

As a solid composition for oral administration, the pharmaceutical composition may be formulated into a powder, granule, compressed tablet, pill, capsule, chewing gum, wafer or the like form. Such a solid composition will typically contain one or more inert diluents or edible carriers. In addition, one or more of the following may be present: binders such as carboxymethylcellulose, ethyl cellulose, microcrystalline cellulose, gum tragacanth or gelatin; excipients such as starch, lactose or dextrins, disintegrating agents such as alginic acid, sodium alginate. Primogel, corn starch and the like; lubricants such as magnesium stearate or Sterotex; glidants such as colloidal silicon dioxide; sweetening agents such as sucrose or saccharin; a flavoring agent such as peppermint, methyl salicylate or orange flavoring; and a coloring agent.

When the pharmaceutical composition is in the form of a capsule, for example, a gelatin capsule, it may contain, in addition to materials of the above type, a liquid carrier such as polyethylene glycol or oil.

The pharmaceutical composition may be in the form of a liquid, for example, an elixir, syrup, solution, emulsion or suspension. The liquid may be for oral administration or for delivery by injection, as two examples. When intended for oral administration, preferred composition contain, in addition to the present compounds, one or more of a sweetening agent, preservatives, dye/colorant and flavor enhancer. In a composition intended to be administered by injection, one or more of a surfactant, preservative, wetting agent, dispersing agent, suspending agent, buffer, stabilizer and isotonic agent may be included.

The liquid pharmaceutical compositions of the invention, whether they be solutions, suspensions or other like form, may include one or more of the following adjuvants: sterile diluents such as water for injection, saline solution, preferably physiological saline, Ringer's solution, isotonic sodium chloride, fixed oils such as synthetic mono or diglycerides which may serve as the solvent or suspending medium, polyethylene glycols, glycerin, propylene glycol or other solvents; antibacterial agents such as benzyl alcohol or methyl paraben; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic. Physiological saline is a preferred adjuvant. An injectable pharmaceutical composition is preferably sterile.

A liquid pharmaceutical composition of the invention intended for either parenteral or oral administration should contain an amount of a compound of the invention such that a suitable dosage will be obtained.

The pharmaceutical composition of the invention may be intended for topical administration, in which case the carrier may suitably comprise a solution, emulsion, ointment or gel base. The base, for example, may comprise one or more of the following: petrolatum, lanolin, polyethylene glycols, bee wax, mineral oil, diluents such as water and alcohol, and emulsifiers and stabilizers. Thickening agents may be present in a pharmaceutical composition for topical administration. If intended for transdermal administration, the composition may include a transdermal patch or iontophoresis device.

The pharmaceutical composition of the invention may be intended for rectal administration, in the form, for example, of a suppository, which will melt in the rectum and release the drug. The composition for rectal administration may contain an oleaginous base as a suitable nonirritating excipient. Such bases include, without limitation, lanolin, cocoa butter and polyethylene glycol.

The pharmaceutical composition of the invention may include various materials, which modify the physical form of a solid or liquid dosage unit. For example, the composition may include materials that form a coating shell around the active ingredients. The materials that form the coating shell are typically inert, and may be selected from, for example, sugar, shellac, and other enteric coating agents. Alternatively, the active ingredients may be encased in a gelatin capsule.

The pharmaceutical composition of the invention in solid or liquid form may include an agent that binds to the compound of the invention and thereby assists in the delivery of the compound. Suitable agents that may act in this capacity include a monoclonal or polyclonal antibody, a protein or a liposome.

The pharmaceutical composition of the invention may consist of dosage units that can be administered as an aerosol. The term aerosol is used to denote a variety of systems ranging from those of colloidal nature to systems consisting of pressurized packages. Delivery may be by a liquefied or compressed gas or by a suitable pump system that dispenses the active ingredients. Aerosols of compounds of the invention may be delivered in single phase, bi-phasic, or tri-phasic systems in order to deliver the active ingredient(s). Delivery of the aerosol includes the necessary container, activators, valves, subcontainers, and the like, which together may form a kit. One skilled in the art, without undue experimentation may determine preferred aerosols.

The pharmaceutical compositions of the invention may be prepared by methodology well known in the pharmaceutical art. For example, a pharmaceutical composition intended to be administered by injection can be prepared by combining a compound of the invention with sterile, distilled water so as to form a solution. A surfactant may be added to facilitate the formation of a homogeneous solution or suspension. Surfactants are compounds that non-covalently interact with the compound of the invention so as to facilitate dissolution or homogeneous suspension of the compound in the aqueous delivery system.

The compounds of the invention, or their pharmaceutically acceptable salts, are administered in a therapeutically effective amount, which will vary depending upon a variety of factors including the activity of the specific compound employed; the metabolic stability and length of action of the compound; the age, body weight, general health, sex, and diet of the patient; the mode and time of administration; the rate of excretion; the drug combination; the severity of the particular disorder or condition; and the subject undergoing therapy.

The frequency of administration of the compounds and compositions described herein may vary from once-a-day (QD) to twice-a-day (BID) or thrice-a-day (TID), etc., the precise frequency of administration varying with, for example, the patient's condition, the dosage, etc.

EXAMPLES

The following Examples illustrate various representative methods of making compounds of this invention, i.e., compounds of Formula (I), Formula (II), or Formula (III), or a stereoisomer, prodrug or pharmaceutically acceptable salt thereof. It is understood that one skilled in the art may be able to make these compounds by similar methods or by combining other methods known to one skilled in the art. It is also understood that one skilled in the art would be able to make, in a similar manner as described below, other compounds of structure (I) not specifically illustrated below by using the appropriate starting components and modifying the parameters of the synthesis as needed. In general, starting components may be obtained from sources such as Sigma Aldrich. Lancaster Synthesis, Inc., Maybridge, Matrix Scientific, TCI, and Fluorochem USA, etc, or synthesized according to sources known to those skilled in the art (see, e.g., Advanced Organic Chemistry: Reactions, Mechanisms, and Structure, 5th edition (Wiley, December 2000)) or prepared as described in this invention.

The following examples are provided for purposes of illustration, not limitation.

Examples 1-4

The compounds of Formula (I) in general and compounds 1-4, specifically, are disclosed in US 2012/0264737, which is incorporated herein in its entirety.

Example 5

The compounds of Formula (II) and Formula (III) in general and compound 5, specifically, are disclosed in WO 2014/008197, which is incorporated herein in its entirety.

The compounds of Formula (IV)-(XXIX) in general and compound are disclosed in WO 2015/105860, which is incorporated herein in its entirety.

Example 6

FASN Inhibition in Combination with Nab-paclitaxel Induces Sensitivity to Paclitaxel in Paclitaxel Resistant Tumor Cell Lines

For drug treatment, MIA PaCa-2 or BxPC-3 cells were plated in %-well plates in RPMI medium plus 10% FBS. Parental (paclitaxel sensitive) or AbR (paclitaxel resistant) variants of the MIA PaCa-2 or BxPC-3 cell lines were used. Compound 5 was prepared in DMSO and further diluted 1:10 in RPMI medium for addition to the assay solution at a final concentration of either 0.2 or 2.0 μM. Serial dilutions of Nab-paclitaxel were prepared in DMSO and further diluted 1:10 in RPMI medium for addition to the assay solution. RPMI-diluted compounds were added to each well 24-hours after cell plating. Assays were done in triplicate for each drug concentration, with cell viability measured at 3 or 7 days after compound addition. The number of viable cells was measured using the CellTiter-Glo assay (Promega) according to the manufactures instructions. Luminosity per well was determined and the signal intensity was analyzed versus drug concentration. For each FASN inhibitor, the concentration of drug resulting in 50% inhibition of the maximum signal was determined, and this value was reported as the IC₅₀.

Compound 2 was tested in an in-vitro model of paclitaxel-resistant pancreatic cancer to evaluate whether FASN inhibition can reverse resistance in tumor cells with acquired drug resistance. Compound 2 or DMSO was added to MIA PaCa-2 or BxPC-3 pancreatic cancer cells at either 0.2 or 2.0 μM. A 3-fold serial-dilution dose response of Nab-paclitaxel was added to the cells 1 hour after Compound 2 addition. In the paclitaxel resistant cells (AbR), Compound 2 shifted the Nab-paclitaxel IC₅₀ value between 2.2 and 3.1 fold. The Nab-paclitaxel IC₅₀ value was not significantly affected in the parental (paclitaxel sensitive) cell lines. Compound 2 shifted the BxPC-3 Nab-paclitaxel IC₅₀ value 2.2 fold. Similarly, the MIA PaCa-2 Nab-paclitaxel IC₅₀ value was shifted 3.1 fold (Table 1).

TABLE 1
Compound 2 induces paclitaxel sensitivity in pancreatic tumor
cell lines with paclitaxel acquired-resistance.
	Compound 2	3-Day	3-Day
	Concentration	IC50	IC50 Ratio +
Cell Line Name	(μM)	(μM)	Compound 2
BxPC3 Parental	0	2.0E−09	1.00
BxPC3 Parental	0.2	2.1E−09	0.93
BxPC3 Parental	2.0	3.0E−09	0.65
BxPC3 AbR	0	9.0E−08	1.00
BxPC3 AbR	0.2	8.8E−08	1.02
BxPC3 AbR	2.0	4.2E−08	2.16
MIA PaCa-2 Parental	0	1.4E−09	1.00
MIA PaCa-2 Parental	0.2	1.3E−09	1.04
MIA PaCa-2 Parental	2.0	1.3E−09	1.08
MIA PaCa-2 AbR	0	5.2E−07	1.00
MIA PaCa-2 AbR	0.2	3.2E−07	1.62
MIA PaCa-2 AbR	2.0	1.7E−07	3.12

Compound 5 was tested in an in-vitro model of paclitaxel-resistant pancreatic cancer to evaluate whether FASN inhibition can reverse resistance in tumor cells with acquired drug resistance. Compound 5 or DMSO was added to MIA PaCa-2 or BxPC-3 pancreatic cancer cells at either 0.2 or 2.0 μM. A 3-fold serial-dilution dose response of Nab-paclitaxel was added to the cells 1 hour after Compound 5 addition. In the paclitaxel resistant cells (AbR), Compound 5 shifted the Nab-paclitaxel IC₅₀ value between 2.7 and 5.6 fold. The Nab-paclitaxel IC₅₀ value was not significantly affected in the parental (paclitaxel sensitive) cell lines. Compound 5 shifted the BxPC-3 Nab-paclitaxel IC₅₀ value 4.0 and 5.6 fold. Similarly, the MIA PaCa-2 Nab-paclitaxel IC₅₀ value was shifted 2.7 and 3.4 fold (Table 2). When BxPC-3 cells are treated with Nab-paclitaxel and Compound 5 in the presence of 50 μM exogenous palmitate (the product of FASN) the IC₅₀ value is not shifted (Table 3) demonstrating that Compound 5 is acting through inhibition of FASN to sensitize the cells to Nab-paclitaxel.

TABLE 2
Compound 5 induces paclitaxel sensitivity in pancreatic tumor
cell lines with paclitaxel acquired-resistance.
	Compound 5	3-Day	3-Day	7-Day	7-Day
	Concentration	IC50	IC50 Ratio +	IC50	IC50 Ratio +
Cell Line Name	(μM)	(μM)	Compound 5	(μM)	Compound 5
BxPC3 Parental	0	4.39E−03	1.00	7.89E−03	1.00
BxPC3 Parental	0.2	4.77E−03	0.92	1.30E−02	0.61
BxPC3 Parental	2.0	6.96E−03	0.63	1.25E−02	0.63
BxPC3 AbR	0	6.40E−01	1.00	3.01E−01	1.00
BxPC3 AbR	0.2	4.39E−01	1.46	2.34E−01	1.29
BxPC3 AbR	2.0	1.15E−01	5.57	7.57E−02	3.98
MIA PaCa-2 Parental	0	8.45E−10	1.00	1.09E−08	1.00
MIA PaCa-2 Parental	0.2	7.14E−10	1.18	9.99E−09	1.09
MIA PaCa-2 Parental	2.0	5.33E−10	1.59	5.80E−09	1.88
MIA PaCa-2 AbR	0	3.09E−07	1.00	7.45E−07	1.00
MIA PaCa-2 AbR	0.2	2.12E−07	1.46	7.15E−07	1.04
MIA PaCa-2 AbR	2.0	1.13E−07	2.73	2.21E−07	3.37

All of the U.S. patents, U.S. patent application publications, U.S. patent applications, foreign patents, foreign patent applications and non-patent publications referred to in this specification are incorporated herein by reference, in their entirety to the extent not inconsistent with the present description.

From the foregoing, it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims.

Claims

1. A method of treating a taxane-resistant tumor or cancer in a subject, the method comprising administering to the subject in need thereof a therapeutically effective amount of: (i) a fatty acid synthase inhibitor having the structure of:

2. The method of claim 1 wherein the taxane-resistant cancer is lung cancer.

3. The method of claim 1 wherein the taxane-resistant cancer is breast cancer.

4. The method of claim 1 wherein the taxane-resistant cancer is ovarian cancer.

5. The method of claim 1 wherein the taxane-resistant cancer is prostate cancer.

6. The method of claim 1 wherein the taxane-resistant cancer is colon cancer.

7. The method of claim 1 wherein the taxane-resistant cancer is pancreatic cancer.

8. The method of claim 1 wherein the fatty acid synthase inhibitor is administered simultaneously with the taxane.

9. The method of claim 8 wherein the fatty acid synthase inhibitor and the taxane are administered simultaneously as a single pharmaceutical composition.

10. The method of claim 8 wherein the fatty acid synthase inhibitor and the taxane are administered simultaneously as separate dosage forms.

11. The method of claim 1 wherein the fatty acid synthase inhibitor is administered before the taxane is administered.

12. The method of claim 1 wherein the fatty acid synthase inhibitor is administered after the taxane is administered.

13. The method of claim 1, wherein the taxane-resistant tumor is resistant to paclitaxel.

14. The method of claim 1, wherein the taxane-resistant tumor is resistant to Nab-paclitaxel.

15. The method of claim 1, wherein the taxane is paclitaxel.

16. The method of claim 1, wherein the taxane is Nab-paclitaxel.

17. The method of claim 1, wherein the taxane is docetaxel.

18. The method of claim 1, wherein the taxane is cabazitaxel.

19. The method of claim 1, wherein the taxane-resistant tumor is resistant to cabazitaxel.

20. The method of claim 1, wherein the taxane-resistant tumor is resistant to docetaxel.