WO2003013430A2 - Benzoquinone ansamycins - Google Patents
Benzoquinone ansamycins Download PDFInfo
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- WO2003013430A2 WO2003013430A2 PCT/US2002/024891 US0224891W WO03013430A2 WO 2003013430 A2 WO2003013430 A2 WO 2003013430A2 US 0224891 W US0224891 W US 0224891W WO 03013430 A2 WO03013430 A2 WO 03013430A2
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- YNOGYQAEJGADFJ-UHFFFAOYSA-N oxolan-2-ylmethanamine Chemical compound NCC1CCCO1 YNOGYQAEJGADFJ-UHFFFAOYSA-N 0.000 description 1
- CINJIXGRSTYIHP-UHFFFAOYSA-N oxolan-3-ylmethanamine Chemical compound NCC1CCOC1 CINJIXGRSTYIHP-UHFFFAOYSA-N 0.000 description 1
- YJVFFLUZDVXJQI-UHFFFAOYSA-L palladium(ii) acetate Chemical compound [Pd+2].CC([O-])=O.CC([O-])=O YJVFFLUZDVXJQI-UHFFFAOYSA-L 0.000 description 1
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- UVBBCQLPTZEDHT-UHFFFAOYSA-N pent-4-en-1-amine Chemical compound NCCCC=C UVBBCQLPTZEDHT-UHFFFAOYSA-N 0.000 description 1
- 239000002304 perfume Substances 0.000 description 1
- 208000033808 peripheral neuropathy Diseases 0.000 description 1
- 150000004965 peroxy acids Chemical class 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
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- 230000000144 pharmacologic effect Effects 0.000 description 1
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 description 1
- 150000008104 phosphatidylethanolamines Chemical class 0.000 description 1
- UZQBOFAUUTZOQE-VSLWXVDYSA-N pikromycin Chemical compound C[C@H]1C[C@@H](C)C(=O)\C=C\[C@@](O)(C)[C@@H](CC)OC(=O)[C@H](C)C(=O)[C@H](C)[C@H]1O[C@H]1[C@H](O)[C@@H](N(C)C)C[C@@H](C)O1 UZQBOFAUUTZOQE-VSLWXVDYSA-N 0.000 description 1
- BCIIMDOZSUCSEN-UHFFFAOYSA-N piperidin-4-amine Chemical compound NC1CCNCC1 BCIIMDOZSUCSEN-UHFFFAOYSA-N 0.000 description 1
- 230000004983 pleiotropic effect Effects 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229920002627 poly(phosphazenes) Polymers 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
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- 125000003373 pyrazinyl group Chemical group 0.000 description 1
- 125000003226 pyrazolyl group Chemical group 0.000 description 1
- QLULGIRFKAWHOJ-UHFFFAOYSA-N pyridin-4-ylboronic acid Chemical compound OB(O)C1=CC=NC=C1 QLULGIRFKAWHOJ-UHFFFAOYSA-N 0.000 description 1
- 125000004076 pyridyl group Chemical group 0.000 description 1
- 125000000714 pyrimidinyl group Chemical group 0.000 description 1
- AUKXFNABVHIUAC-UHFFFAOYSA-N pyrrolidin-2-ylmethylamine Chemical compound NCC1CCCN1 AUKXFNABVHIUAC-UHFFFAOYSA-N 0.000 description 1
- 125000000168 pyrrolyl group Chemical group 0.000 description 1
- 125000005493 quinolyl group Chemical group 0.000 description 1
- 125000001567 quinoxalinyl group Chemical group N1=C(C=NC2=CC=CC=C12)* 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 230000022532 regulation of transcription, DNA-dependent Effects 0.000 description 1
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- 201000006845 reticulosarcoma Diseases 0.000 description 1
- 208000029922 reticulum cell sarcoma Diseases 0.000 description 1
- 210000003079 salivary gland Anatomy 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 229930195734 saturated hydrocarbon Natural products 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 230000009758 senescence Effects 0.000 description 1
- 230000008313 sensitization Effects 0.000 description 1
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- 208000000587 small cell lung carcinoma Diseases 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 235000010265 sodium sulphite Nutrition 0.000 description 1
- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 235000019345 sodium thiosulphate Nutrition 0.000 description 1
- 239000012453 solvate Substances 0.000 description 1
- 229960001294 spiramycin Drugs 0.000 description 1
- 235000019372 spiramycin Nutrition 0.000 description 1
- 229930191512 spiramycin Natural products 0.000 description 1
- 206010041823 squamous cell carcinoma Diseases 0.000 description 1
- 208000017572 squamous cell neoplasm Diseases 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
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- 239000008107 starch Substances 0.000 description 1
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- 108020003113 steroid hormone receptors Proteins 0.000 description 1
- 150000003431 steroids Chemical class 0.000 description 1
- 238000005556 structure-activity relationship Methods 0.000 description 1
- 125000003107 substituted aryl group Chemical group 0.000 description 1
- 150000003890 succinate salts Chemical class 0.000 description 1
- 125000005420 sulfonamido group Chemical group S(=O)(=O)(N*)* 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 206010042863 synovial sarcoma Diseases 0.000 description 1
- 229920001059 synthetic polymer Polymers 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 108010067247 tacrolimus binding protein 4 Proteins 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- 229950007866 tanespimycin Drugs 0.000 description 1
- AYUNIORJHRXIBJ-TXHRRWQRSA-N tanespimycin Chemical compound N1C(=O)\C(C)=C\C=C/[C@H](OC)[C@@H](OC(N)=O)\C(C)=C\[C@H](C)[C@@H](O)[C@@H](OC)C[C@H](C)CC2=C(NCC=C)C(=O)C=C1C2=O AYUNIORJHRXIBJ-TXHRRWQRSA-N 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 150000005622 tetraalkylammonium hydroxides Chemical class 0.000 description 1
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 1
- 125000001712 tetrahydronaphthyl group Chemical group C1(CCCC2=CC=CC=C12)* 0.000 description 1
- 125000003831 tetrazolyl group Chemical group 0.000 description 1
- 238000011285 therapeutic regimen Methods 0.000 description 1
- 125000000335 thiazolyl group Chemical group 0.000 description 1
- 125000001544 thienyl group Chemical group 0.000 description 1
- XCTYLCDETUVOIP-UHFFFAOYSA-N thiethylperazine Chemical compound C12=CC(SCC)=CC=C2SC2=CC=CC=C2N1CCCN1CCN(C)CC1 XCTYLCDETUVOIP-UHFFFAOYSA-N 0.000 description 1
- 229960004869 thiethylperazine Drugs 0.000 description 1
- 239000003053 toxin Substances 0.000 description 1
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D491/00—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
- C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
- C07D491/08—Bridged systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D225/00—Heterocyclic compounds containing rings of more than seven members having one nitrogen atom as the only ring hetero atom
- C07D225/04—Heterocyclic compounds containing rings of more than seven members having one nitrogen atom as the only ring hetero atom condensed with carbocyclic rings or ring systems
- C07D225/06—Heterocyclic compounds containing rings of more than seven members having one nitrogen atom as the only ring hetero atom condensed with carbocyclic rings or ring systems condensed with one six-membered ring
Definitions
- Phase I clinical trials are typically used to determine the maximum tolerated dose (MTD) of a potential anti-cancer compound, i.e., the maximum dose that can be safely administered without incurring toxicity.
- MTD maximum tolerated dose
- the difference between the MTD and the therapeutically effective dose is known as the therapeutic window.
- the MTD is very close to the therapeutically effective dose, i.e., the therapeutic window is very small.
- the MTD may even be lower than the therapeutically effective dose, making the agent unusable in the clinic.
- Geldanamycin (Figure 1) is a benzoquinone ansamycin polyketide isolated from Streptomyces geldanus. Although originally discovered by screening microbial extracts for antibacterial and antiviral activity, geldanamycin was later found to be cytotoxic to certain tumor cells in vitro and to reverse the morphology of cells transformed by the Rous sarcoma virus to a normal state.
- 17-AAG has limited aqueous solubility. This property requires the use of a solubilizing carrier, most commonly Cremophore ® (BASF Aktiengesellschaft), a polyethoxylated castor oil which can result in serious side reactions in some patients.
- a solubilizing carrier most commonly Cremophore ® (BASF Aktiengesellschaft)
- Cremophore ® BASF Aktiengesellschaft
- Treatment of cancer cells with geldanamycin or 17-AAG causes a retinoblastoma protein-dependent Gl block, mediated by down-regulation ofthe induction pathways for cyclin D-cyclin dependent cdk4 and cdk6 protein kinase activity.
- Cell cycle arrest is followed by differentiation and apoptosis.
- Gl progression is unaffected by geldanamycin or 17-AAG in cells with mutated retinoblastoma protein; these cells undergo cell cycle arrest after mitosis, again followed by apoptosis.
- the mechanism of action of benzoquinone ansamycins appears to be via binding to Hsp90 and subsequent degradation of Hsp90-associated client proteins.
- benzoquinone ansamycins are the Her kinases (also known as ErbB), Raf, Met tyrosine kinase, and the steroid receptors. Hsp90 is also involved in the cellular response to stress, including heat, radiation, and toxins. Certain benzoquinone ansamycins, such as 17-
- AAG have thus been studied to determine their interaction with cytotoxins that do not target Hsp90 client proteins.
- the M ⁇ nster reference further discloses that the sensitization towards paclitaxel by 17-AAG is schedule-dependent in retinoblastoma protein- producing cells due to the action of these two drugs at different stages ofthe cell cycle: treatment of cells with a combination of paclitaxel and 17-AAG is reported to give synergistic apoptosis, while pretreatment of cells with 17-AAG followed by treatment with paclitaxel is reported to result in abrogation of apoptosis. Treatment of cells with paclitaxel followed by treatment with 17-AAG 4 hours later is reported to show a synergistic effect similar to coincident treatment.
- Citri et al. "Drug-induced ubiquitylation and degradation of ErbB receptor tyrosine kinases: implications for cancer chemotherapy," EMBO Journal (2002) 21: 2407-2417, discloses an additive effect upon co-administration of geldanamycin and an irreversible protein kinase inhibitor, CI-1033, on growth of ErbB2-expressing cancer cells in vitro. In contrast, an antagonistic effect of CI-
- the present invention meets such needs in that it provides novel benzoquinone ansamycins and provides methods for using these novel compounds as well as known compounds in single-agent and combination therapies for the treatment of cancer and other diseases or conditions characterized by undesired cellular hyperproliferation.
- the present invention provides compounds, methods for their preparation and intermediates thereto, and methods for the use of these compounds in the treatment of diseases or conditions characterized by undesired cellular proliferation or hyperproliferation.
- the invention provides novel benzoquinone ansamycins related to geldanamycin. These analogs are prepared through chemical manipulation and/or genetic engineering. Compounds having improved solubility properties and compounds having conformations optimized to bind Hsp90 are also provided.
- the invention provides genetically engineered forms ofthe geldanamycin polyketide synthase biosynthetic gene cluster, vectors comprising said gene clusters, host cells comprising said vectors, and methods for the production of geldanamycin analogs using said host cells.
- the invention provides compositions comprising benzoquinone ansamycins for the treatment of diseases or conditions characterized by undesired cellular proliferation or hyperproliferation.
- the disease is cancer.
- the invention provides combination therapies comprising the use of a benzoquinone ansamycin and a second agent for use in the treatment of diseases or conditions characterized by undesired cellular hyperproliferation.
- the disease is cancer.
- the second agent is an inhibitor of an Hsp90 client protein.
- the second agent is a protein kinase inhibitor.
- the second agent is a microtubule stabilizing agent.
- the second agent is a cytotoxic drug.
- the second agent has been approved by the Federal Drug Administration as a stand-alone agent for the treatment of cancer.
- the second agent has not entered or has entered but not progressed through clinical trials in the United States due to overt toxicity or narrow therapeutic window.
- the invention provides methods for preventing undesired cell adhesion and growth on devices for in vivo use. These devices include stents, catheters, prostheses and the like. BRIEF DESCRIPTION OF THE DRAWINGS
- Figure 1 shows the structures of various naturally-occurring benzoquinone ansamycins as well as 17-AAG anf 17-DMAG.
- Figure 2 shows particular embodiments of the compounds having formula (I) having groups with solubilizing functionalities.
- Figure 3 shows the results of treating SKBr3 cells with a benzoquinone ansamycin and the protein kinase inhibitor Iressa according to the methods ofthe present invention.
- Panel A shows results with 17-AAG.
- Panel B shows results with 17-DMAG.
- Figure 4 shows the structures of representative protein kinase inhibitors.
- Figure 5 shows the results of treating H358 cells with 17-AAG and the microtubule stabilizing agent paclitaxel according to the methods ofthe present invention.
- the present invention provides compounds, intermediates thereto, and methods for the use of these compounds in the treatment of diseases or conditions characterized by undesired cellular hyperproliferation.
- the term “administering” shall encompass the treatment of the various disorders described with the compound specifically disclosed or with a compound which may not be specifically disclosed, but which converts to the specified compound in vivo after administration to a subject in need thereof.
- Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in “Design of Prodrugs,” H. Bundgaard ed., Elsevier, 1985.
- the terms “benzoquinone ansamycin” refers to a compound comprising a benzoquinone nucleus connected at two non-adjacent positions by a macrocyclic lactam.
- benzoquinone ansamycins include but are not limited to geldanamycin, herbimycin, macbecin, mycotrienes, and ansamitocin.
- geldanamycin analog refers to a type of benzoquinone ansamycin that can be derived from geldanamycin by chemical manipulation or by manipulation ofthe geldanamycin biosynthetic gene cluster, such as 17-allylamino-17-desmethoxygeldanamycin (17-AAG), 17-(2- dimethylaminoethyl)amino-17-desmethoxygeldanamycin (17-DMAG), or a compound having a structure shown in formula (I).
- aliphatic refers to saturated and non- aromatic unsaturated straight chain, branched chain, cyclic, or polycyclic hydrocarbons.
- Illustrative examples of aliphatic groups include alkyl, alkenyl, alkynyl, cycloalkyl, cycloalkenyl, and cycloalkynyl groups.
- alkyl refers to a straight or branched chain saturated hydrocarbon substituent.
- alkenyl refers to a straight or branched chain hydrocarbon substituent with at least one carbon- carbon double bond.
- Alkynyl refers to a straight or branched chain hydrocarbon substituent with at least one carbon-carbon triple bond.
- aryl refers to monocyclic or polycyclic groups having at least one aromatic ring structure that include preferably one to fourteen carbon atoms.
- Illustrative examples of aryl groups include but are not limited to: naphthyl, phenyl, tetrahydronaphthyl, and the like.
- heteroaryl refers to monocyclic or polycyclic groups having at least one aromatic ring structure and that include one or more heteroatoms and preferably one to fourteen carbon atoms.
- heteroaryl groups include but are not limited to: furanyl, imidazolyl, indanyl, indolyl, indazolyl, isoxazolyl, isoquinolyl, oxazolyl, oxadiazolyl, pyrazinyl, pyridyl, pyrimidinyl, pyrrolyl, pyrazolyl, quinolyl, quinoxalyl, tetrazolyl, thiazolyl, thienyl, and the like.
- the aliphatic, aryl, and heteroaryl moieties may be substituted with one or more substituents, preferably from one to five substituents, more preferably from one to three substituents, and most preferably from one to two substituents, and as such are referred to as "substituted aliphatic,” "substituted aryl,” and “substituted heteroaryl.”
- substituents preferably from one to five substituents, more preferably from one to three substituents, and most preferably from one to two substituents, and as such are referred to as "substituted aliphatic,” "substituted aryl,” and “substituted heteroaryl.”
- substituents and substitution patterns on the compounds of this invention can be selected by one of ordinary skill in the art to provide compounds that are chemically stable and that can be readily synthesized by techniques known in the art as well as those methods set forth herein.
- suitable substituents include but are not limited to: aliphatic, haloaliphatic, halogen, aryl, heteroaryl, hydroxy, alkoxy, aryloxy, azido, thio, alkylthio, arylthio, amino, alkylamino, arylamino, acyl, carbamoyl, sulfonamido, nitro, cyano, carboxy, guanidine, and the like.
- haloaliphatic refers to a substituted aliphatic group substituted by one or more halogens.
- halo, halogen, or halide refer to fluorine, chlorine, bromine, and iodine.
- alkoxy refers to -OR, where R is an aliphatic group.
- aryloxy refers to -OR, where R is an aryl group.
- alkylamino refers to -NHR, where R is an alkyl group.
- dialkylamino refers to -NRR', where both R and R' are alkyl groups.
- hydroxyalkyl refers to -R-OH, where R is an aliphatic group.
- aminoalkyl refers to -R-NH , where R is an aliphatic group.
- alkyl aminoalkyl refers to -R-NH-R', where both R and R' are aliphatic groups.
- dialkylaminoalkyl refers to -R-N(R')-R", where R, R', and R" are aliphatic groups.
- arylaminoalkyl refers to -R-NH-R', where
- R is an aliphatic and R' is an aryl group.
- isolated means that the isolated material is in a preparation in which said material forms a major component ofthe preparation, such as constituting about 50%, about 60%, about 70%, about 80%, about 90%, about 95%, about 99%, or more by weight ofthe components in the preparation.
- subject refers to an animal, typically a mammal or a human, that has been the object of treatment, observation, and/or experiment.
- the term is used in conjunction with administration of a compound or drug, then the subject has been the object of treatment, observation, and/or administration ofthe compound or drug.
- terapéuticaally effective amount means that amount of active compound or pharmaceutical agent that elicits the biological or medicinal response in a cell culture, tissue system, animal, or human that is being sought by a researcher, veterinarian, clinician, or physician, which includes alleviation ofthe symptoms ofthe disease, condition, or disorder being treated.
- composition is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product that results, directly or indirectly, from combinations ofthe specified ingredients in the specified amounts.
- pharmaceutically acceptable salt refers to a salt of one or more compounds. Suitable pharmaceutically acceptable salts of compounds include acid addition salts which may, for example, be formed by mixing a solution ofthe compound with a solution of a pharmaceutically acceptable acid such as hydrochloric acid, hydrobromic acid, sulfuric acid, fumaric acid, maleic acid, succinic acid, benzoic acid, acetic acid, citric acid, tartaric acid, phosphoric acid, carbonic acid, or the like.
- pharmaceutically acceptable salts may be formed by treatment of a solution ofthe compound with a solution of a pharmaceutically acceptable base, such as lithium hydroxide, sodium hydroxide, potassium hydroxide, tetraalkylammonium hydroxide, lithium carbonate, sodium carbonate, potassium carbonate, ammonia, alkylamines, or the like.
- a pharmaceutically acceptable base such as lithium hydroxide, sodium hydroxide, potassium hydroxide, tetraalkylammonium hydroxide, lithium carbonate, sodium carbonate, potassium carbonate, ammonia, alkylamines, or the like.
- pharmaceutically acceptable carrier refers to a medium that is used to prepare a desired dosage form of a compound.
- a pharmaceutically acceptable carrier can include one or more solvents, diluents, or other liquid vehicles; dispersion or suspension aids; surface active agents; isotonic agents; thickening or emulsifying agents; preservatives; solid binders; lubricants; and the like.
- Remington's Pharmaceutical Sciences, Fifteenth Edition, E.W. Martin (Mack Publishing Co., Easton, PA, 1975) and Handbook of Pharmaceutical Excipients, Third Edition, A.H. Kibbe ed. (American Pharmaceutical Assoc. 2000) disclose various carriers used in formulating pharmaceutical compositions and known techniques for the preparation thereof.
- ester refers to an ester that hydrolyzes under physiologically relevant conditions to produce a compound or a salt thereof.
- suitable ester groups include but are not limited to formates, acetates, propionates, butyrates, succinates, and ethylsuccinates.
- client protein refers to a protein that interacts with a chaperone, for example Hsp90. In one aspect, this interaction with a chaperone is useful or required either for proper folding or for stabilization and maintenance. In another aspect, the chaperone forms the core of a functional receptor complex. In both of these aspects, the interaction with the chaperone may be direct or mediated through one or more other proteins. Table 1 below provides an illustrative list ofthe client proteins of Hsp90. The term “clientele” refers to the complete set of client proteins for a chaperone.
- PKT AKT (PKB) PI3 kinase signaling
- Polo-1 kinase PKA
- G2/M Polo-1 kinase
- FAM Focal adhesion kinase
- Immunoglobulin chains Immune response Fanconi anemia protein hematopoiesis Apoprotein B atherosclerosis Aryl hydrocarbon receptor gene transcription SV40 T antigen viral oncogene
- geldanamycin analogs having the formula (I) are provided:
- R , 1' is, MeO, (CH 2 ) 3 N or R 9 -NH
- R 9 is selected from the group consisting of H, substituted or unsubstituted C ⁇ -C 6 alkyl, substituted or unsubstituted C ⁇ -C 6 alkenyl, substituted or unsubstituted CrC 6 alkynyl, substituted or unsubstituted C 3 -C 6 cycloalkyl, piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N- alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (l-azabicyclo[1.3.0]hex-l- yl)ethyl, 2-(N-methyl-pyrrolidin-2
- R is H and R is H or OH, or R and R taken together form a bond;
- X is O or a bond, with the provisos that when R 3 is H, R 4 is Me, and
- R 7 is H and R 8 is H or R 7 and R 8 taken together form a bond that either R 6 is H and R 1 and R 5 taken together form a group ofthe formula NH-Z-O, wherein Z is a linker comprised of from 1 to 6 carbon atoms and 0 to 2 nitrogen atoms and wherein the O is attached at the position of R 5 , or that R 1 is (CH 2 ) 3 N or R 9 -NH, wherein R 9 is selected from the group consisting of piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N- alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (l-azabicyclo[1.3.0]hex-l- yl)ethyl, 2-(N-
- R 1 is (CH 2 ) 3 N or R 9 -NH
- R 9 is selected from the group consisting of piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (l-azabicyclo[1.3.0]hex-l-yl)ethyl, 2-(N- methyl-pyrrolidin-2-yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l -methyl-4-imidazolyl)ethyl, 2-(l-methyl-5-imidazolyl)ethyl, 2-(4-pyridyl
- R 1 is (CH ) N or R 9 -NH
- R 9 is selected from the group consisting of piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (l-azabicyclo[1.3.0]hex-l-yl)ethyl, 2-(N- methyl-pyrrolidin-2-yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l -methyl-4-imidazolyl)ethyl, 2-(l-methyl-5-imidazolyl)ethyl, 2-(4-pyridyl)e
- R or unsubstituted C 3 -C 6 cycloalkyl, aryl, or heteroaryl;
- R is H and R is H or OH, or R 7 and R 8 taken together form a bond; and
- X is O or a bond.
- geldanamycin analogs having improved solubility are provided resulting from chemical manipulation of geldanamycin to provide compounds having formula (I) wherein: R 1 is (CH 2 ) 3 N or R 9 -NH, wherein R 9 is selected from the group consisting of H, substituted or unsubstituted C ⁇ -C 6 alkyl, substituted or unsubstituted C ⁇ -C 6 alkenyl, substituted or unsubstituted C ⁇ -C 6 alkynyl, substituted or unsubstituted C -C 6 cycloalkyl, piperidinyl, N- alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N- alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl, mo ⁇ holinyl, N- alkylaziridinylmethyl, (
- R 1 is R 9 -NH, wherein R 9 is selected from the group consisting of ethyl, 2-(dimethylamino)ethyl, 2-fluoroethyl, 2,2-difluoroethyl, 2-(N-methylpyrrolidin-2-yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l -methyl-4- imidazolyl)ethyl, 2-(l-methyl-5-imidazolyl)ethyl, 2-(4-pyridyl)ethyl, 3-(4- mo ⁇ holino)-l -propyl, 3-(dimethylamino)-l -propyl, 3-(dimethylamino)-2-propyl, 2- (dimethylamino)-l -propyl, and cyclopropyl-methyl; R 2 is H; R 3 is
- geldanamycin analogs having formula (I) wherein R 1 is OMe; R 2 is H; R 3 is H ,OH, or OMe; R 4 is H or methyl; R 5 is OH and R 6 is H; R 7 is H and R 8 is H or OH, or R 7 and R 8 taken together form a bond; and X is a bond, with the proviso that geldanamycin and 4,5- dihydrogeldanamycin are not included.
- the geldanamycin analogs described above serve as starting materials for chemical addition of solubilizing groups.
- 15-hydroxygeldanamycin is derivatized to provide compounds having formula (I) wherein: R 1 is (CH 2 ) N or R 9 -NH, wherein R 9 is selected from the group consisting of H, substituted or unsubstituted C ⁇ -C 6 alkyl, substituted or unsubstituted C ⁇ -C 6 alkenyl, substituted or unsubstituted C]-C 6 alkynyl, substituted or unsubstituted C 3 -C 6 cycloalkyl, piperidinyl, N- alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydro-furfuryl, pyrrolidinyl, N- alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl,
- 15-hydroxygeldanamycin is derivatized to provide compounds having formula (I) wherein: R is (CH 2 ) 3 N or R 9 -NH, wherein R 9 is selected from the group consisting of allyl, ethyl, 2- (dimethylamino)ethyl, 2-fluoroethyl, 2,2-difluoroethyl, 2-(N-methylpyrrolidin-2- yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l-methyl-4-imidazolyl)ethyl, 2-(l-methyl-5- imidazolyl)ethyl, 2-(4-pyridyl)ethyl, 3-(4-mo ⁇ holino)-l -propyl, 3-(dimethylamino)- 1 -propyl, 3-(dimethylamino)-2-propyl, 2-(dimethylamino)-l
- 28-desmethylgeldanamycin is derivatized to provide compounds having formula (I) wherein: R 1 is (CH 2 ) 3 N or R 9 -NH, wherein R 9 is selected from the group consisting of H, substituted or unsubstituted C ⁇ -C 6 alkyl, substituted or unsubstituted C C 6 alkenyl, substituted or unsubstituted C
- 28- desmethylgeldanamycin is derivatized to provide compounds having formula (I) wherein: R 1 is (CH 2 ) 3 N or R 9 -NH, wherein R 9 is selected from the group consisting of allyl, ethyl, 2-(dimethylamino)ethyl, 2-fluoroethyl, 2,2-difluoroethyl, 2-(N- methylpyrrolidin-2-yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l-methyl-4-imidazolyl)ethyl, 2-(l-methyl-5-imidazolyl)ethyl, 2-(4-pyridyl)ethyl, 3-(4-mo ⁇ holino)-l -propyl, 3- (dimethylamino)-l -propyl, 3-(dimethylamino)-2 -propyl, 2-(dimethylamino)-2 -propyl, 2-(
- 4,5-dihydro-5-hydroxygeldanamycin is derivatized to provide compounds having formula (I) wherein: R 1 is (CH 2 ) 3 N or R 9 - NH, wherein R 9 is selected from the group consisting of H, substituted or unsubstituted C ⁇ -C 6 alkyl, substituted or unsubstituted C ⁇ -C 6 alkenyl, substituted or unsubstituted C ⁇ -C 6 alkynyl, substituted or unsubstituted C 3 -C 6 cycloalkyl, piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydro-furfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (l-aza
- 4,5-dihydro-5- hydroxygeldanamycin is derivatized to provide compounds having formula (I) wherein: R 1 is (CH 2 ) N or R -NH, wherein R 9 is selected from the group consisting of allyl, ethyl, 2-(dimethylamino)ethyl, 2-fluoroethyl, 2,2-difluoroethyl, 2-(N- methylpyrrolidin-2-yl)ethyl, 2-(4-imidazolyl)ethyl, 2-(l-methyl-4-imidazolyl)ethyl, 2-(l-methyl-5-imidazolyl)ethyl, 2-(4-pyridyl)ethyl, 3 -(4-mo ⁇ holino)-l -propyl, 3- (dimethylamino)- 1 -propyl, 3-(dimethylamino)-2 -propyl, 2-
- R is selected from the group consisting of H, halogen, OR 10 , NHR 10 , SR 10 , aryl, and heteroaryl, wherein R 10 is selected from the group consisting of substituted or unsubstituted Ci- C alkyl, substituted or unsubstituted C ⁇ -C 6 alkenyl, substituted or unsubstituted C ⁇ - C 6 alkynyl, and substituted or unsubstituted C -C 6 cycloalkyl; R is H or OH; R 4 is
- R 7 is H and R 8 is H or OH, or R 7 and R 8 taken together form a bond; and X is O or a bond.
- R 4 is H or methyl
- R 7 is H and R 8 is H or OH, or R 7 and R 8 taken together form a bond
- X is O or a bond.
- R 2 is H;
- R 3 is H, OH, or OMe;
- R 4 is H or methyl;
- R 7 is H and R 8 is H or OH, or R 7 and R 8 taken together form a bond; and X is O or a bond.
- the water-soluble analogs described above are subjected to conformational constraint to provide geldanamycin analogs having both improved solubility and improved specificity for Hsp90. Poor water solubility is a major factor limiting the clinical usefulness of geldanamycin and 17-AAG. Improvements in water solubility of a compound can be achieved according to the methods ofthe present invention either by addition of groups containing solubilizmg functionalities to the compound or by removal of hydrophobic groups from the compound, so as to decrease the lipophilicity ofthe compound.
- Typical groups containing solubilizing functionalities are shown in Figure 2 and include but are not limited to: 2-(dimethylaminoethyl)amino, piperidinyl, N-alkylpiperidinyl, hexahydropyranyl, furfuryl, tetrahydrofurfuryl, pyrrolidinyl, N-alkylpyrrolidinyl, piperazinylamino, N-alkylpiperazinyl, mo ⁇ holinyl, N-alkylaziridinylmethyl, (1- azabicyclo[1.3.0]hex-l-yl)ethyl, 2-(N-methylpyrrolidin-2-yl)ethyl, 2-(4- imidazolyl)ethyl, 2-( 1 -methyl-4-imidazolyl)ethyl, 2-( 1 -methyl-5-imidazolyl)ethyl, 2-(4-pyridyl)ethyl,
- Solubilizing groups are added to the geldanamycin analog by reaction of geldanamycin with amines, which results in the displacement ofthe 17- methoxy group by the amine as illustrated in Scheme 1 and exemplified in Example 1 (Schnur et al. (1995) "Inhibition ofthe oncogene product pl85 erbB” in Vitro and in Vivo by Geldanamycin and Dihydrogeldanamycin Derivatives,", J. Med. Chem. 38, 3806-3812; Schnur et al. (1995) "erbB-2 Oncogene Inhibition by Geldanamycin Derivatives: Synthesis, mechanism of Action, and Structure- Activity relationships," J Med. Chem.
- Typical amines containing solubilizing functionalities include 2-(dimethylamino)-ethylamine, 4-aminopiperidine, 4-amino- 1-methylpiperidine, 4-aminohexahydropyran, furfurylamine, tetrahydrofurfurylamine, 3-(aminomethyl)-tetrahydrofuran, 2-(amino- methyl)pyrrolidine, 2-(aminomethyl)-l -methylpyrrolidine, 1 -methylpiperazine, mo ⁇ holine, 1 -methyl-2(aminomethyl)aziridine, 1 -(2-aminoethyl)-l -azabicyclo- [1.3.0]hexane, l-(2-aminoethyl)-l -azabicyclo- [1.3.0]hexane, l-(2-aminoethyl)-l -azabicyclo- [1.3.0]hexane, l-(2-a
- Similar solubilizing groups can be introduced by treatment of 19- bromo-geldanamycin or analogs with an amine containing a solubilizing substituent in accordance with the methods ofthe present invention, resulting in a 19-amino- substituted geldanamycin analog.
- the 19-bromo derivative is formed upon treatment ofthe geldanamycin analog with a suitable brominating reagent, such as pyridinium bromide perbromide (Schnur et al. 1995, J. Med. Chem. 38, 3806-3812; inco ⁇ orated herein by reference).
- the geldanamycin analogs are oxidized to produce the corresponding 11-oxogeldanamycin analogs as illustrated in Scheme 3.
- the 11-oxogeldanamycin analog resulting from oxidation ofthe 11-OH are converted into the 11-oximino analogs by reaction with hydroxylamine or an alkyoxylamine.
- the geldanamycin analog is treated with a peroxyacid, for example 3-chloroperoxybenzoic acid (mCPBA), to produce the 8,9-epoxide, as illustrated in Scheme 3.
- mCPBA 3-chloroperoxybenzoic acid
- the invention provides genetically engineered forms ofthe geldanamycin polyketide synthase biosynthetic gene cluster, vectors comprising said gene clusters, host cells comprising said vectors, and methods for the production of geldanamycin analogs using said host cells.
- substitution ofthe acyltransferase domain in module 1 ofthe geldanamycin PKS gene with one specific for malonyl-CoA instead of 2-methylmalonyl-CoA results in formation of 28- desmethyl-geldanamycin.
- the domain swap is created by introducing a malonyl- CoA specific acyltransferase domain from a heterologous PKS gene, for example from the rapamycin, tylosin, or FK520 PKS genes or the like, into the geldanamycin PKS locus by homologous recombination into a strain which produces geldanamycin, aided by a selectable antibiotic resistance gene, then isolating the recombinants resulting from double crossover events in which the wild-type acyltransferase domain is replaced with one specific for malonyl-CoA. Details of this are provided below in Example 5.
- the acyltransferase domain in module 1 ofthe geldanamycin PKS gene is mutagenized according to the methods described in Reeves et al, "Alteration ofthe substrate specificity of a modular polyketide synthase acyltransferase domain through site-directed mutagenesis," Biochemistry 2001, 40: 15464-15470, and in U.S. patent application serial no. 60/310,730, entitled “Alteration ofthe substrate specificity of a modular PKS AT domain,” which is inco ⁇ orated herein by reference. Details of this are provided below in Example 6.
- the coding sequence for the reduction cassette of module 6, which has both DH and KR domains is replaced with a coding sequence for a reduction cassette that has only a KR domain. Details of this are provided below in Example 7.
- inactivation ofthe dehydraase domain in module 6 ofthe geldanamycin PKS gene by site-specific mutation ofthe wild- type domain in accord with the methods ofthe present invention results in production of 4,5-dihydro-5-hydroxygeldanamycin. Details of this are provided below in Example 8.
- a substantial portion of the nucleotide sequence in module 6 between the end ofthe AT domain is deleted to provide 4,5-dihydro-5-hydroxy-geldanamycin. Details of this are provided below in
- the dehydratase domain of module 1 is replaced or inactivated as described above for module 6 to provide 15- hydroxy-geldanamycin. Details of this are provided below in Example 10.
- inactivation ofthe dehydratase domain in module 1 ofthe geldanamycin PKS gene by site-specific mutation ofthe wild-type domain in accord with the methods ofthe present invention results in production of 15-hydroxygeldanamycin. Details of this are provided below in Example 11.
- geldanamycin gene cluster or mutated versions ofthe geldanamycin gene cluster prepared according to the methods ofthe invention in host cells other than the native geldanamycin producer.
- Methods for heterologous expression of PKS genes and host cells suitable for expression of these genes and production of polyketides are described, for example, in U.S. Patent Nos. 5,843,718 and 5,830,750; PCT publications WO 01/31035 and WO 01/27306; and U.S. patent application serial nos. 10/087,451; 60/ , , entitled "Process and Metabolic Strategies for Improved Production of E. coli derived 6-deoxyerythronolide B," by inventors Pfeifer and Khosla (atty docket no.
- Inactivation of dehydratase domains in accord with the methods of the present invention may also be obtained through random mutagenesis ofthe organism that normally produces geldanamycin.
- spores ofthe producing organism can be either treated with a chemical mutagen, for example 1- methyl-3-nitro-l-nitrosoguanidine (MNNG), dimethylsulfate, or the like, or with mutagenic levels of radiation, for example ultraviolet radiation.
- MNNG 1- methyl-3-nitro-l-nitrosoguanidine
- radiation for example ultraviolet radiation.
- the surviving spores are then allowed to grow on a suitable medium, and the resulting cultures are analyzed, for example by LC-mass spectrometry, for the presence ofthe desired new geldanamycin analog.
- Methods for the random mutagenesis of Streptomyces are described in Kieser et al, "Practical Streptomyces Genetics," The John Innes Foundation, Norwich (2000), which is inco ⁇ orated herein by reference.
- replacement of other acyltransferase domains in the geldanamycin PKS can be used to generate the respective desmethyl or desmethoxy analogs, and replacement of other dehydratase domains with inactive versions can be used to generate the corresponding dihydro-hydroxy analogs.
- Such analogs are expected to be more water-soluble, as they have fewer lipophilic substituents (28- desmethylgeldanamycin) or have additional hydrophilic substituents (4,5-dihydro-5- hydroxygeldanamycin or 15-hydroxygeldanamycin).
- geldanamycin analogs produced by genetic engineering ofthe geldanamycin PKS in accord with the methods ofthe present invention as described above, the afore-mentioned chemical transformations can be used to convert the analogs into more water-soluble, more potent, more specific inhibitors of Hsp90.
- Such compounds thus may overcome the necessity of using toxic vehicles such as Cremophore ® in their administration, and show improved selectivity and reduced side-effects.
- a geldanamycin analog prepared by genetic engineering is reacted with an amine as illustrated in Scheme 1 above.
- Ring- forming olefin metathesis of 11 -O-allyl- 17-allylamino- 17- desmethoxy-geldanamycin or similar analogs generates conformationally constrained benzoquinone ansamycins structure in accordance with the methods of the present invention.
- treatment of 17-AAG with an allylating reagent, such as allyl tert-butyl carbonate and a palladium catalyst generates 11 -O-allyl- 17-allylamino- 17-desmethoxy- geldanamycin, as illustrated in Scheme 4 and exemplified in Example 2.
- An alkynyl linker can be prepared according to the methods ofthe invention by treating geldanamycin or a geldanamycin analog with a bifunctional alkyne comprising an amino function at one end ofthe linker and a displaceable function, for example a halogen or sulfonate ester, at the other end. Reaction of geldanamycin or an analog with this bifunctional linker results first in displacement ofthe 17-methoxy group by the amine. Subsequent base treatment results in alkylation ofthe 11 -hydroxyl as illustrated in Scheme 6.
- alteration ofthe linker lengths can be achieved through variation in the number of carbon atoms in the chain.
- a composition comprising a benzoquinone ansamycin is used to treat a disease or condition characterized by undesired cellular proliferation or hype ⁇ roliferation.
- the disease is cancer.
- the disease is stenosis or restenosis.
- the disease is psoriasis.
- the disease is a neurodegenerative disease.
- the benzoquinone ansamycin is a compound having formula (I), 17-AAG, or 17-DMAG.
- a benzoquinone ansamycin is used in combination therapy with a second agent.
- the second agent is an inhibitor of an Hsp90 client protein.
- Suitable Hsp90 client proteins include but are not limited to those listed in Table 1.
- a benzoquinone ansamycin is used in combination therapy with a protein kinase inhibitor.
- Suitable protein kinase inhibitors include but are not limited to the compounds listed in Table 2. Table 2. Illustrative list of protein kinase inhibitors Compound target most advanced indication
- Iressa ZD 1839
- Gleevec (STI-571) bcr-abl, others chronic myelogenous leukemia
- Cetuximab (C255) EGFR head & neck squamous cell cancer
- TheraCIM H-R3 EGFR metastatic squamous cell carcinoma
- the protein kinase inhibitors listed in Table 2 may be classified according to their chemotypes, including: quinazolines, particularly 4- anilinoquinazolines such as Iressa (AstraZeneca; N-(3-chloro-4-fluorophenyl)-7- methoxy-6-[3-(4-mo ⁇ holinyl)propoxy]-4-quinazolinamine) and Tarceva (Roche/Genentech; N-(3-ethynylphenyl)-6,7-bis(2-methoxyethoxy)- 4- Quinazolinamine monohydrochloride); phenylamino-pyrimidines such as Gleevec (Novartis; 4-[(4-methyl-l-piperazinyl)methyl]-N-[4-methyl-3-[[4-(3-pyridinyl)-2- pyrimidinyl]amino]phenyl]benzamide); pyrrolo- and pyrazo
- Semaxinib Pharmacia; 3-[(3,5-dimethyl-lH-pyrrol-2-yl)methylene]-l ,3-dihydro- 2H-Indol-2-one); benzylidene malononitriles; flavones such as flavopiridol (Aventis; 2-(2-chlorophenyl)-5,7-dihydroxy-8-[(3S,4R)-3-hydroxy-l-methyl-4-piperidinyl]- 4H-l-benzopyran-4-one); staurosporines such as CEP-701 (Cephalon); antibodies such as Herceptin (Genentech); and ribozymes such as Angiozyme (Ribozyme
- a benzoquinone ansamycin is used in combination therapy with a microtubule stabilizing agent, including paclitaxel, epothilone, discodermolide, and laulimalide.
- a microtubule stabilizing agent including paclitaxel, epothilone, discodermolide, and laulimalide.
- the benzoquinone ansamycin is a compound having the formula (I), 17-AAG, or 17-DMAG.
- the present invention provides combination therapy methods for the treatment of diseases or conditions characterized by undesired cellular proliferation or hype ⁇ roliferation.
- Combination of two or more drugs in therapy may result in one of three outcomes: (1) additive, i.e., the effect of the combination is be equal to the sum ofthe effects of each drug when administered alone; (2) synergistic, i.e., the effect ofthe combination is greater than the sum of the effects of each drug when administered alone; or (3) antagonistic, i.e., the effect ofthe combination is less than the sum ofthe effects of each drug when administered alone.
- a subject is first treated with a substantially sub-toxic dose of a protein kinase inhibitor.
- the protein kinase inhibitor is a compound listed in Table 2
- the benzoquinone ansamycin is a compound having formula (I), 17-AAG, or 17-DMAG.
- the protein kinase inhibitor is a drug approved by the Federal Drug Administration as a standalone treatment for cancer
- the benzoquinone ansamycin is a compound having formula (I), 17-AAG, or 17-DMAG.
- the cytotoxic agent is Iressa and the benzoquinone ansamycin is 17-AAG or 17-DMAG.
- a subject is first treated with a first sub-toxic dose of a protein kinase inhibitor.
- a formulation comprising a synergistic dose of a benzoquinone ansamycin together with a second sub-toxic dose ofthe protein kinase inhibitor is administered.
- the appropriate period of time sufficient to allow development of a substantially efficacious response to the protein kinase inhibitor will depend upon the pharmacokinetics ofthe protein kinase inhibitor, and will have been determined during clinical trials of therapy using the protein kinase inhibitor alone.
- the period of time sufficient to allow development of a substantially efficacious response to the protein kinase inhibitor is between 1 hour and 96 hours. In another embodiment ofthe invention, the period of time sufficient to allow development of a substantially efficacious response to the protein kinase inhibitor is between 2 hours and 48 hours. In another embodiment ofthe invention, the period of time sufficient to allow development of a substantially efficacious response to the protein kinase inhibitor is between 4 hours and 24 hours.
- the protein kinase inhibitors are selected from but are not limited to those listed in Table 2. As demonstrated below in Example 4 and in Figure 3A, pretreatment of cultured SKBr3 cells with the EGFR inhibitor Iressa followed by treatment with 17-AAG results in synergistic enhancement ofthe effects of Iressa. In contrast, the reverse order of administration or simultaneous administration results in an additive. Similar results were obtained with Iressa and 17-DMAG, as shown in Figure 3B. Thus to obtain the optimal synergistic effect, it is necessary to provide the protein kinase inhibitor first, wait a period of time sufficient to allow development of a substantially efficacious response to the protein kinase inhibitor, and then provide the benzoquinone ansamycin.
- the subject is first treated with a sub-toxic dose of a benzoquinone ansamycin. After waiting for a period of time sufficient to allow development of a substantially efficacious response to the benzoquinone ansamycin, a synergistic dose of a microtubule stabilizing agent is administered. Using this dosing schedule, a synergistic rather than additive effect ofthe two compounds is achieved.
- a synergistic rather than additive effect ofthe two compounds is achieved.
- microtubule stabilizing agents include but are not limited to paclitaxel, docetaxel, epothilone, discodermolide, and laulimalide.
- the benzoquinone ansamycin may be a compound having formula (I), 17-AAG, or 17- DMAG.
- the microtubule stabilizing agent is paclitaxel an epothilone, discodermolide or an analog, or laulimalide or an analog.
- the microtubule stabilizing agent is epothilone D.
- the combination therapy the second agent is a drug approved by the Federal Drug Administration as a standalone treatement for cancer
- the benzoquinone ansamycin is a compound having formula (I) or is 17-AAG or 17-DMAG.
- suitable drugs include but are not limited to 5-fluorouracil, methotrexate, vinblastine, cyclophosphamide, mechlorethamine, chlorambucil, Melphalan, Ifosfamide, bleomycin, mitomycin and doxorubicin.
- the combination therapy may include an agent or procedure to mitigate potential side effects from the combination therapy agents.
- Diarrhea may be treated with antidiarrheal agents such as opioids (e.g. codeine, diphenoxylate, difenoxin, and loeramide), bismuth subsalicylate, and octreotide.
- opioids e.g. codeine, diphenoxylate, difenoxin, and loeramide
- bismuth subsalicylate e.g. codeine, diphenoxylate, difenoxin, and loeramide
- octreotide e.g., octreotide
- Nausea and vomiting may be treated with antiemetic agents such as dexamethasone, metoclopramide, diphenyhydramine, lorazepam, ondansetron, prochlo ⁇ erazine, thiethylperazine, and dronabinol.
- compositions that includes polyethoxylated castor oil such as Cremophor® pretreatment with corticosteroids such as dexamethasone and methylprednisolone and/or Hi antagonists such as diphenylhydramine HCl and/or H antagonists may be used to mitigate anaphylaxis.
- corticosteroids such as dexamethasone and methylprednisolone
- Hi antagonists such as diphenylhydramine HCl and/or H antagonists
- the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is determined based on the maximum tolerated dose observed when the second agent is used as the sole therapeutic agent (the "MTD").
- the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is the MTD. In another embodiment ofthe invention, the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is between 1% ofthe MTD and the MTD. In another embodiment ofthe invention, the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is between 5% ofthe MTD and the MTD. In another embodiment ofthe invention, the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is between 5% ofthe MTD and 75% ofthe MTD. In another embodiment ofthe invention, the dose ofthe second agent when used in combination therapy with a benzoquinone ansamycin is between 25% ofthe MTD and 75% ofthe MTD.
- the therapeutic dose ofthe second agent is lowered by at least 10%. In another embodiment, the therapeutic dose ofthe second agent is lowered from 10 to 20%. In another embodiment, the therapeutic dose ofthe second agent is lowered from 20 to 50%. In another embodiment, the therapeutic dose ofthe second agent is lowered from 50 to 200%. In another embodiment, the therapeutic dose ofthe second agent is lowered from 100 to 1000%.
- the MTD for a compound is determined using methods and materials known in the medical and pharmacological arts, for example through dose- escalation experiments.
- One or more patients is first treated with a low dose ofthe compound, typically 10% ofthe dose anticipated to be therapeutic based on results of in vitro cell culture experiments.
- the patients are observed for a period of time to determine the occurrence of toxicity.
- Toxicity is typically evidenced as the observation of one or more ofthe following symptoms: vomiting, diarrhea, peripheral neuropathy, ataxia, neutropenia, or elevation of liver enzymes. If no toxicity is observed, the dose is increased 2-fold, and the patients are again observed for evidence of toxicity. This cycle is repeated until a dose producing evidence of toxicity is reached.
- the dose immediately preceding the onset of unacceptable toxicity is taken as the MTD.
- the synergistic dose ofthe benzoquinone ansamycin used in combination therapy is determined based on the maximum tolerated dose observed when the benzoquinone ansamycin in used as the sole therapeutic agent. Clinical trials have determined an MTD for 17-AAG of 40 mg/m 2 .
- the dose ofthe benzoquinone ansamycin when used in combination therapy is the MTD.
- the dose ofthe benzoquinone ansamycin when used in combination therapy is between 1% ofthe MTD and the MTD.
- the dose ofthe benzoquinone ansamycin when used in combination therapy is between 5% ofthe MTD and the MTD.
- the dose ofthe benzoquinone ansamycin when used in combination therapy is between 5% ofthe MTD and 75% ofthe MTD. In another embodiment ofthe invention, the dose ofthe benzoquinone ansamycin when used in combination therapy is between 25% ofthe MTD and 75% ofthe MTD. [000109]
- the dosages of the benzoquinone ansamycin and the Hsp90 client protein inhibitor when used in combination therapy may require further optimization depending upon the compounds being used, the disease or condition being treated, and the individual medical condition ofthe patient.
- compositions of matter that are formulations of one or more active drugs and a pharmaceutically acceptable carrier.
- the formulation comprises a novel benzoquinone ansamycin analog ofthe invention.
- the formulation comprises a novel benzoquinone ansamycin analog ofthe invention as a mixture with an Hsp90 client protein inhibitor for use in combination therapy in accord with the methods ofthe present invention.
- the active compounds may be in their free form or where appropriate as pharmaceutically acceptable derivatives such as prodrugs, esters, or salts.
- the composition may be in any suitable form such as solid, semisolid, or liquid form. See Pharmaceutical Dosage Forms and Drug Delivery Systems, 5 th edition, Lippicott Williams & Wilkins (1991), inco ⁇ orated herein by reference.
- the pharmaceutical preparation will contain one or more ofthe compounds ofthe invention as an active ingredient in admixture with an organic or inorganic carrier or excipient suitable for external, enteral, or parenteral application.
- the active ingredient may be compounded, for example, with the usual non-toxic, pharmaceutically acceptable carriers for tablets, pellets, capsules, suppositories, pessaries, solutions, emulsions, suspensions, and any other form suitable for use.
- the carriers that can be used include water, glucose, lactose, gum acacia, gelatin, mannitol, starch paste, magnesium trisilicate, talc, corn starch, keratin, colloidal silica, potato starch, urea, and other carriers suitable for use in manufacturing preparations, in solid, semi-solid, or liquified form.
- auxiliary stabilizing, thickening, and coloring agents and perfumes may be used.
- compositions containing a compound useful in the methods ofthe invention are Cremophore®-free. Cremophore®
- the compounds useful in the methods of the invention may be formulated as microcapsules and nanoparticles. General protocols are described for example, by Microcapsules and Nanoparticles in Medicine and Pharmacy by Max Donbrow, ed., CRC Press (1992) and by U.S. Patent Nos. 5,510,118; 5,534,270; and 5,662,883 which are all inco ⁇ orated herein by reference.
- the compounds useful in the methods of the invention may also be formulated using other methods that have been previously used for low solubility drugs.
- the compounds may form emulsions with vitamin E or a PEGylated derivative thereof as described by PCT publications WO 98/30205 and WO 00/71163, each of which is inco ⁇ orated herein by reference.
- the compound useful in the methods ofthe invention is dissolved in an aqueous solution containing ethanol (preferably less than 1% w/v). Vitamin E or a PEGylated- vitamin E is added.
- ethanol is then removed to form a pre-emulsion that can be formulated for intravenous or oral routes of administration.
- Another method involves encapsulating the compounds useful in the methods ofthe invention in liposomes. Methods for forming liposomes as drug delivery vehicles are well known in the art. Suitable protocols include those described by U.S. Patent Nos. 5,683,715; 5,415,869, and 5,424,073 which are inco ⁇ orated herein by reference relating to another relatively low solubility cancer drug paclitaxel and by PCT Publication WO 01/10412 which is inco ⁇ orated herein by reference relating to epothilone B. Ofthe various lipids that may be used, particularly preferred lipids for making encapsulated liposomes include phosphatidylcholine and polyethyleneglycol-derivitized distearyl phosphatidyl-ethanolamine.
- Yet another method involves formulating the compounds useful in the methods ofthe invention using polymers such as polymers such as biopolymers or biocompatible (synthetic or naturally occurring) polymers.
- Biocompatible polymers can be categorized as biodegradable and non-biodegradable. Biodegradable polymers degrade in vivo as a function of chemical composition, method of manufacture, and implant structure.
- Illustrative examples of synthetic polymers include polyanhydrides, polyhydroxyacids such as polylactic acid, polyglycolic acids and copolymers thereof, polyesters polyamides polyorthoesters and some polyphosphazenes.
- Illustrative examples of naturally occurring polymers include proteins and polysaccharides such as collagen, hyaluronic acid, albumin, and gelatin.
- Another method involves conjugating the compounds useful in the methods ofthe invention to a polymer that enhances aqueous solubility.
- suitable polymers include polyethylene glycol, poly-(d-glutamic acid), poly-(l- glutamic acid), poly-(l-glutamic acid), poly-(d-aspartic acid), poly-(l-aspartic acid), poly-(l-aspartic acid) and copolymers thereof.
- Polyglutamic acids having molecular weights between about 5,000 to about 100,000 are preferred, with molecular weights between about 20,000 and 80,000 being more preferred and with molecular weights between about 30,000 and 60,000 being most preferred.
- the polymer is conjugated via an ester linkage to one or more hydroxyls of an inventive geldanamycin using a protocol as essentially described by U.S. Patent No. 5,977,163 which is inco ⁇ orated herein by reference.
- the compounds useful in the methods ofthe invention are conjugated to a monoclonal antibody.
- This method allows the targeting ofthe inventive compounds to specific targets.
- General protocols for the design and use of conjugated antibodies are described in Monoclonal Antibody- Based Therapy of Cancer by Michael L. Grossbard, ed. (1998), which is inco ⁇ orated herein by reference.
- the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the subject treated and the particular mode of administration.
- a formulation for intravenous use comprises an amount ofthe inventive compound ranging from about 1 mg/mL to about 25 mg/mL, preferably from about 5 mg/mL to 15 mg/mL, and more preferably about 10 mg/mL.
- Intravenous formulations are typically diluted between about 2 fold and about 30 fold with normal saline or 5% dextrose solution prior to use.
- the compounds useful in the methods ofthe invention are used to treat cancer.
- the compounds ofthe present invention are used to treat cancers ofthe head and neck which include but are not limited to tumors ofthe nasal cavity, paranasal sinuses, nasopharynx, oral cavity, oropharynx, larynx, hypopharynx, salivary glands, and paragangliomas.
- the compounds ofthe present invention are used to treat cancers ofthe liver and biliary tree, particularly hepatocellular carcinoma.
- the compounds ofthe present invention are used to treat intestinal cancers, particularly colorectal cancer.
- the compounds ofthe present invention are used to treat ovarian cancer.
- the compounds ofthe present invention are used to treat small cell and non-small cell lung cancer. In another embodiment, the compounds ofthe present invention are used to treat breast cancer. In another embodiment, the compounds ofthe present invention are used to treat sarcomas, including fibrosarcoma, malignant fibrous histiocytoma, embryonal rhabdomysocarcoma, leiomysosarcoma, neuro-fibrosarcoma, osteosarcoma, synovial sarcoma, liposarcoma, and alveolar soft part sarcoma. In another embodiment, the compounds ofthe present invention are used to treat neoplasms of the central nervous systems, particularly brain cancer. In another embodiment, the compounds ofthe present invention are used to treat lymphomas which include
- the compounds and compositions useful in the methods ofthe invention are used at sub-cyto toxic levels in combination with other agents in order to achieve highly selective activity in the treatment of non- cancerous diseases.
- the compounds useful in the methods ofthe invention are used to reduce the cellular levels of Hsp90 client proteins, which are then effectively inhibited by the second agent. Binding ofthe client proteins to
- Hsp90 stabilizes the client proteins and maintains them in a soluble, inactive form ready to respond to activating stimuli. Binding of a benzoquinone ansamycin analog to Hsp90 results in targeting ofthe client protein to the proteasome, and subsequent degradation. For systems such as the steroid receptor, however, Hsp90 forms an integral part ofthe functional receptor complex along with several other proteins such as Hsp70, Hsp40, p23, hip, Hsp56, and immunophilins. Hsp90 appears to regulate the activity ofthe steroid receptor by maintaining the receptor in a high- affinity hormone-binding conformation.
- Binding of geldanamycin to Hsp90 appears to result in dissociation of p23 from the complex and reduce the level of hormone binding to the receptor (Fliss et al. (2000) "Control of estrogen receptor ligand binding by Hsp90," J. Steroid Biochem. Mol. Biol. 75: 223-30; Kimmins and MacRae (2000), “Maturation of steroid receptors: an example of functional cooperation among molecular chaperones and their associated proteins," Cell Stress Chaperones 5: 76-86.
- Hsp90 inhibitors such as geldanamycin, geldanamycin analogs, radicicol, and the like can be used in accord with the methods ofthe present invention to alter the function of hormone receptors, making it easier to inhibit the associated signal pathways using low levels of a second drug which targets the proteins involved in those signaling pathways.
- Such a combination therapy can be useful to reduce non-specific toxicity associated with therapy by reducing the levels ofthe drugs required.
- the compounds useful in the methods of the invention are used to treat non-cancerous diseases or conditions characterized by undesired cellular hype ⁇ roliferation, including neurodegenerative diseases, psoriasis, stenosis, and restenosis.
- the compounds useful in the methods of the invention are used in combination with other agents as described above to treat non-cancerous diseases or conditions characterized by undesired cellular hype ⁇ roliferation, including neuro-degenerative diseases, psoriasis, stenosis, and restenosis.
- non-cancerous diseases treatable by this combination therapy include neurodegenerative diseases, such as Alzheimer's, Parkinson's, Huntington's and the like.
- FKBP-52 is involved as a client protein for Hsp90 in the formation of various steroid receptor complexes and plays a role in the regeneration of damaged neurons (Gold et al, "Immunophilin FK506-Binding Protein 52 (Not FK506-Binding Protein 12) Mediates the Neurotrophic Action of FK506," 1999, J Pharmacology & Exp. Ther. 289: 1202-1210).
- the combination of geldanamycin, a geldanamycin analog, radicicol, or the like with a second agent which binds to and/or inhibits FKBP-52 in accord with the methods ofthe present invention can thus be used to treat neurodegenerative diseases.
- non-cancerous diseases treatable by the combination therapy ofthe present invention include non-cancerous diseases characterized by cellular hype ⁇ roliferation, such as psoriasis, stenosis, and restenosis.
- Cell proliferation is regulated by protein tyrosine kinases, many of which are known to be client proteins for Hsp90.
- Psoriasis is thought to involve the epidermal growth factor receptor (EGFR), a protein tyrosine kinase, and inhibitors of EGFR have been proposed as treatments for psoriasis (Ben-Bassat & Klein, "Inhibitors of Tyrosine Kinases in the Treatment of Psoriasis," (2000), Curr. Pharm.
- the compounds useful in the methods ofthe invention may also be used to treat stenosis and restenosis, particularly associated with in vivo devices such as stents.
- the compounds useful in the methods ofthe invention are used to coat stents and other surgically-implantable devices.
- the compounds useful in the methods ofthe invention are used in combination with other agents as described above to coat stents, catherters, prostheses, and other in vivo devices.
- Compounds prepared according to this method include: 7-allylamino- 17-desmethoxygeldanamycin; 7-(2-(dimethylamino)ethyl)amino- 17-desmethoxygeldanamycin; 7-ethylamino- 17-desmethoxygeldanamycin; 7-propylamino- 17-desmethoxygeldanamycin; 7-butylamino- 17-desmethoxygeldanamycin; 7-(cyclopropyl)methylamino- 17-desmethoxygeldanamycin; 7-cyclobutylamino-l 7-desmethoxygeldanamycin; 7-(2-phenylcyclopropyl)amino- 17-desmethoxygeldanamycin; 7-(2-fluoroethyl)amino- 17-desmethoxygeldanamycin; 7-(2,2-difluoroethyl)amino- 17-
- CI [D],/[D X ], + [D] 2 /[DJ 2
- [D] ⁇ and [D] 2 represent the concentrations ofthe first and second drug, respectively, that in combination provide a response of x% in the assay
- [D x ] ⁇ and [D x ] 2 represent the concentrations ofthe first and second drug, respectively, that when used alone provide a response of x% in the assay.
- a CI ⁇ 1 indicates synergism
- a CI >1 indicates antagonism between the two drugs.
- the domain substitution is created by introducing a malonyl-CoA specific acyltransferase domain from a heterologous PKS gene, for example from the rapamycin, tylosin, or FK520 PKS genes or the like, into the geldanamycin PKS locus by homologous recombination into a geldanamycin producing strain, aided by a selectable antibiotic resistance gene, then isolating the recombinants resulting from double crossover events in which the wild-type acyltransferase domain is replaced with one specific for malonyl-CoA.
- the AT domain of module 1 is encoded by nucleotides 1626 through 2670, approximately, of SEQ ID NO:l .
- FK520 genes (modules 3 and 10), as described in WO 00/20601; the pikromycin genes (module 2) as described in WO 99/61599; the narbomycin genes (module 2), as described in U.S. patent 6,303,767; the avermectin genes (module 2), and others.
- acyltransferase domain in module 1 ofthe geldanamycin PKS gene is mutagenized according to the methods described in Reeves et al, "Alteration ofthe substrate specificity of a modular polyketide synthase acyltranserase domain through site-directed mutagenesis," Biochemistry 2001, 40: 15464-15470, and in U.S. patent application serial no. 60/310,730, entitled “Alteration ofthe substrate specificity of a modular PKS AT domain,” which is inco ⁇ orated herein by reference.
- SEQ ED NO:l is mutagenized using methods known to one skilled in the art to generate the mutant amino acid sequence His-Ala-Phe-His (SEQ ID NO: 5), for example by mutagensis ofthe nucleotide sequence to CAC-GCC-TTC-CAC (SEQ ID NO: 6) as described in the Reeves et al. reference cited above. Fermentation of a host cell comprising the resulting mutagenized PKS together with the remaining geldanamycin biosynthetic genes under conditions wherein the native strain produces geldanamycin, followed by extraction ofthe broth and purification provides 28-desmethyl-geldanamycin.
- the coding sequence for the reduction cassette of module 6, which has both DH and KR domains, is replaced with a coding sequence for a reduction cassette that has only a KR domain.
- the reduction cassette is contained in the sequence between the end ofthe AT domain, at approximately nucleotide position 2805 of SEQ ID NO:2, and the beginning ofthe ACP domain, at approximately nucleotide position 6028 of SEQ ID NO:2.
- cassettes encoding only a KR domain may be found in the erythromycin and rapamycin PKS genes, as described in U.S. patent 6,399,789. Fermentation of a host cell comprising the resulting hybrid PKS together with the remaining geldanamycin biosynthetic genes under conditions wherein the native strain produces geldanamycin, followed by extraction ofthe broth and purification provides 4,5-dihydro-5-hydroxy-geldanamycin.
- DH domain of module 6 is encoded by nucleotides 2805 to 4276, approximately, of SEQ ID NO:2. Two particular sequences may be targeted for mutational inactivation ofthe DH domain.
- the DNA sequence encoding the DH peptide motif His- Val-Ile- Ser-Gly-Ala-Val-Leu-Val-Pro (SEQ ID NO: 7), nucleotides 2956 through 2985 of
- SEQ ED NO:2 is mutated so as to produce a peptide having an amino acid other than histidine at the first position.
- the CAC codon encoding histidine is mutated, for example to CAA or CAG to encode a glutamine, as illustrated in SEQ ID NO: 8. Fermentation of a host cell comprising the resulting mutagenized PKS together with the remaining geldanamycin biosynthetic genes under conditions wherein the native strain produces geldanamycin, followed by extraction ofthe broth and purification provides 4,5-dihydro-5-hydroxy-geldanamycin.
- a portion ofthe nucleotide sequence in module 6 between the end ofthe AT domain (approximately nucleotide 2805 of SEQ ID NO:2) and the start of the KR domain (approximately nucleotide 5212 of SEQ ID NO:2) is deleted to provide a modified PKS for production of 4,5-dihydro-5-hydroxy-geldanamycin.
- nucleotide sequence between 2805 and 3270, approximately, of SEQ ED NO:2 is deleted so as to leave a linker region between the AT and KR domains of approximately 465 amino acids. Fermentation of a host cell comprising the resulting modified PKS together with the remaining geldanamycin biosynthetic genes under conditions wherein the native strain produces geldanamycin, followed by extraction ofthe broth and purification provides 4,5-dihydro-5-hydroxy-geldanamycin.
- the reduction cassette in module 1 is encoded by the sequence between the end ofthe AT domain, at approximately nucleotide position 2670 of SEQ ED NO:l, and the beginning ofthe ACP domain, at approximately nucleotide position 5895 of SEQ ED NO:l.
- This sequence information together with the methods described in U.S. patents 6,399,789; 6,403,775; and 5,962,290 allows one skilled in the art to construct recombination vectors that result in replacement ofthe native reduction cassette of module 1 with a cassette encoding only a KR domain.
- cassettes encoding only a KR domain may be found in the erythromycin and rapamycin PKS genes, as described in U.S. patent 6,399,789. Fermentation of a host cell comprising the resulting hybrid PKS together with the remaining geldanamycin biosynthetic genes under conditions wherein the native strain produces geldanamycin, followed by extraction ofthe broth and purification provides 15-hydroxy-geldanamycin.
- module 1 of the geldanamycin PKS gene Inactivation ofthe dehydratase domain in module 1 ofthe geldanamycin PKS gene by site-specific mutation ofthe wild-type domain results in production of 15-hydroxygeldanamycin.
- the DH domain of module 1 is encoded by nucleotides 2670 to 4140, approximately, of SEQ ED NO:l. Two particular sequences may be targeted for mutational inactivation ofthe DH domain.
- the DNA sequence encoding the DH peptide motif His- Ala- Val-Ser- Gly-Thr-Val-Leu-Leu-Pro (SEQ ID NO: 9), nucleotides 2821 through 2850 of SEQ ID NO:l, is mutated so as to produce a peptide having an amino acid other than histidine at the first position.
- the CAC codon encoding histidine is mutated, for example to CAA or CAG to encode a glutamine as illustrated in SEQ ID NO: 10.
- the mixture was stirred at room temperature overnight.
- the reaction was diluted with ethyl acetate and washed sequentially with aqueous bicarbonate and brine.
- the organic solution was dried over anhydrous sodium sulfate, filtered, and evaporated to dryness.
- the crude product was purified by flash chromatography on silica gel, giving 59 mg of 17-[2-(dimethylamino)-ethylamino]-17-demethyoxygeldanamycin as a pu ⁇ le solid.
- the compound was characterized by NMR and MS spectrometry.
- the crude product was purified by HPLC on a C- 18 column, giving 26 mg of 17-[2-(dimethylamino)ethylamino]-l l-oxo-17-demethyoxygeldanamycin as a pu ⁇ le solid.
- the compound was characterized by NMR and MS spectrometry.
- the crude product was purified by flash chromatography on silica gel, giving 10 mg of 17-[2-(dimethylamino)ethylamino]- 11 -oxo-17-demethyoxygeldanamycin-l 1 -oxime as a pu ⁇ le solid.
- the compound was characterized by NMR and MS spectrometry.
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Abstract
Description
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Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
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JP2003518444A JP2005515164A (en) | 2001-08-06 | 2002-08-05 | Benzoquinone ansamycin |
CA002456175A CA2456175A1 (en) | 2001-08-06 | 2002-08-05 | Benzoquinone ansamycins |
AU2002330998A AU2002330998A1 (en) | 2001-08-06 | 2002-08-05 | Benzoquinone ansamycins |
EP02768436A EP1420747A4 (en) | 2001-08-06 | 2002-08-05 | Benzoquinone ansamycins |
Applications Claiming Priority (7)
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US31007901P | 2001-08-06 | 2001-08-06 | |
US60/310,079 | 2001-08-06 | ||
US38925502P | 2002-06-14 | 2002-06-14 | |
US60/389,255 | 2002-06-14 | ||
US39392902P | 2002-07-03 | 2002-07-03 | |
US60/393,929 | 2002-07-03 | ||
US39527502P | 2002-07-12 | 2002-07-12 |
Publications (2)
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WO2003013430A2 true WO2003013430A2 (en) | 2003-02-20 |
WO2003013430A3 WO2003013430A3 (en) | 2004-03-04 |
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PCT/US2002/024891 WO2003013430A2 (en) | 2001-08-06 | 2002-08-05 | Benzoquinone ansamycins |
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EP (1) | EP1420747A4 (en) |
AU (1) | AU2002330998A1 (en) |
WO (1) | WO2003013430A2 (en) |
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AU2002330998A1 (en) | 2003-02-24 |
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