JP6525983B2 - 膵癌の治療法 - Google Patents
膵癌の治療法 Download PDFInfo
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- JP6525983B2 JP6525983B2 JP2016524100A JP2016524100A JP6525983B2 JP 6525983 B2 JP6525983 B2 JP 6525983B2 JP 2016524100 A JP2016524100 A JP 2016524100A JP 2016524100 A JP2016524100 A JP 2016524100A JP 6525983 B2 JP6525983 B2 JP 6525983B2
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- pancreatic cancer
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Description
本出願は、その教示全体が参照により本明細書に組み入れられる、2013年10月18日に出願された米国仮特許出願第61/892,887号の恩典を主張する。
膵癌は、膵臓を形成する組織において発生する形質転換細胞に由来する悪性新生物である。膵癌は、世界の癌関連死の最も一般的な原因の1つである。特異的症状がないこと、早期発見の技術が不足していること、および表現型が著しく進行性であるために、通常、膵癌は、進行した治療不能で転移性の病期に診断される。したがって、膵癌の予後は極めて不良である:全病期を合わせた場合、1年相対生存率および5年相対生存率は、それぞれ25%および6%である。
各Raは、独立に-Hまたはメチルであり;
R1は-Hまたはメトキシであり;かつ
R2は-Hまたはメチルである。
[本発明1001]
構造式(I)
の化合物または薬学的に許容されるその塩の有効量を投与する段階を含む、膵癌を有する対象を治療する方法であって、
式中、各R a が、独立に-Hまたはメチルであり;
R 1 が-Hまたはメトキシであり;かつ
R 2 が-Hまたはメチルである、
方法。
[本発明1002]
化合物が、下記構造式
によって表されるか、または薬学的に許容されるその塩である、本発明1001の方法。
[本発明1003]
化合物が、下記構造式
によって表されるか、または薬学的に許容されるその塩である、本発明1001の方法。
[本発明1004]
化合物が、下記構造式
によって表されるか、または薬学的に許容されるその塩である、本発明1001の方法。
[本発明1005]
膵癌が外分泌腫瘍である、本発明1001〜1004のいずれかの方法。
[本発明1006]
膵癌が神経内分泌腫瘍である、本発明1001〜1004のいずれかの方法。
[本発明1007]
外分泌腫瘍が、腺房細胞癌、腺癌、腺扁平上皮癌、巨細胞腫、膵管内乳頭粘液性腫瘍(IPMN)、粘液性嚢胞腺癌、膵芽腫、漿液性嚢胞腺癌、および充実性偽乳頭腫瘍(solid and pseudopapillary tumor)からなる群より選択される、本発明1005の方法。
[本発明1008]
神経内分泌腫瘍が、ガストリノーマ(ゾリンジャー・エリソン症候群)、グルカゴノーマ、インスリノーマ、非機能性膵島細胞腫瘍、ソマトスタチノーマ、および血管作動性腸管ペプチド放出腫瘍(VIP産生腫瘍またはヴァーナー・モリソン症候群)からなる群より選択される、本発明1006の方法。
[本発明1009]
膵癌が腺癌である、本発明1001〜1004のいずれかの方法。
[本発明1010]
膵癌が低酸素性である、本発明1001〜1009のいずれかの方法。
[本発明1011]
膵癌が低酸素性ではない、本発明1001〜1009のいずれかの方法。
[本発明1012]
追加の治療剤を同時投与する段階をさらに含む、本発明1001〜1011のいずれかの方法。
[本発明1013]
追加の治療剤が抗癌薬である、本発明1012の方法。
[本発明1014]
抗癌薬がゲムシタビンである、本発明1013の方法。
[本発明1015]
抗癌薬がシスプラチンである、本発明1013の方法。
実施例1 増殖阻害(GI50)アッセイ法:
BxPC-3細胞株およびPANC-1細胞株をAmerican Type Culture Collection (ATCC, Manassas, VA)から入手し、供給者の指示に従って維持した。ショートタンデムリピート(STR)プロファイリングを用いて、これらの細胞株の確実性を確認した。16個のSTR遺伝子座をマルチプレックスPCR反応によって同時に増幅し(The Hospital for Sick Children, Toronto, Canada)、可能である場合は、比較のためにATCCデータベースを使用した。細胞株は、常法によってマイコプラズマに関して検査し、少ない継代数(<15)で使用した。
ヒト膵癌細胞株に対する化合物IIのGI50:
細胞株:BxPC-3(KRas野生型、TP53変異体、CDKN2A野生型、SMAD4ホモ接合性欠失);化合物II GI50=0.015μM
細胞株:PANC-1(KRas変異体、TP53変異体、CDKN2Aホモ接合性欠失、SMAD4野生型);化合物II 5 GI50=0.025μM
増殖速度および腫瘍低酸素のレベルが様々である、同所に移植された患者由来膵臓異種移植モデル6つを、単独療法としてまたはゲムシタビンと組み合わせた化合物IIの効率を調査するために、使用した。
図2は、腫瘍始原細胞(TIC)に対する化合物II処置が、(A)ある範囲の低酸素および増殖パターンを提示し、(B)TIC含有量が有意に異なることを示す。図2(C)は、限界希釈アッセイ法の模式的概要である。簡単に説明すると、異種移植腫瘍を約1cmの直径になるまで増殖させ、52mg/kgの化合物IIで処置し、処置後12時間目に腫瘍を採取した。摘出した腫瘍を機械的に刻み、DNアーゼ、コラゲナーゼ、およびプロテアーゼのカクテルを用いて、単一細胞懸濁液を調製した。単一細胞懸濁液の試料をマウスCD31-FITCおよびH2K-FITCについて染色して、マウス細胞含有量を明らかにした。血球計算器を用いて細胞を計数し、ヒト含有量を計算した。試料1つに付きヒト細胞希釈物3〜6個を、NOD/SCIDマウスの側腹部に注射した。希釈物1つに付き3匹のマウスの両方の側腹部に注射した。腫瘍生着率を6ヶ月にわたって観察した。L-Calcソフトウェアを用いて、腫瘍開始頻度(tumor initiating frequency)を計算した。図2(D)に示したように、予備結果は、化合物II処置により、OCIP51においてTICの数が減少したことを示している。残りの3つの異種移植モデルは、これらの希釈物を注射されていた。
OCIP110腫瘍を、4〜5週齢のSCIDマウスの膵臓に同所移植した。触診によって腫瘍体積を評価し、動物を無作為に処置群に分けた。2日投薬5日休薬のスケジュールによる10mg/kgの化合物II、4mg/kgの週用量のシスプラチン、または併用治療のいずれかで21日間、動物を処置した。処置の最後に腫瘍を摘出した際に、腫瘍重量を測定した。化合物IIのみを用いた処置により、腫瘍重量は減少したが、2日投薬5日休薬のスケジュールの効率は、毎日処置する場合よりも低いと思われる。しかし、化合物IIおよびシスプラチンの組合せを用いて処置しても、単独の処置と比べて腫瘍重量をさらに減少させることはなかった。
Claims (15)
- 膵癌が外分泌腫瘍である、請求項1〜4のいずれか一項に記載の薬学的組成物。
- 膵癌が神経内分泌腫瘍である、請求項1〜4のいずれか一項に記載の薬学的組成物。
- 外分泌腫瘍が、腺房細胞癌、腺癌、腺扁平上皮癌、巨細胞腫、膵管内乳頭粘液性腫瘍(IPMN)、粘液性嚢胞腺癌、膵芽腫、漿液性嚢胞腺癌、および充実性偽乳頭腫瘍(solid and pseudopapillary tumor)からなる群より選択される、請求項5に記載の薬学的組成物。
- 神経内分泌腫瘍が、ガストリノーマ(ゾリンジャー・エリソン症候群)、グルカゴノーマ、インスリノーマ、非機能性膵島細胞腫瘍、ソマトスタチノーマ、および血管作動性腸管ペプチド放出腫瘍(VIP産生腫瘍またはヴァーナー・モリソン症候群)からなる群より選択される、請求項6に記載の薬学的組成物。
- 膵癌が腺癌である、請求項1〜4のいずれか一項に記載の薬学的組成物。
- 膵癌が低酸素性である、請求項1〜9のいずれか一項に記載の薬学的組成物。
- 膵癌が低酸素性ではない、請求項1〜9のいずれか一項に記載の薬学的組成物。
- 追加の治療剤と組み合わせて投与されるように用いられる、請求項1〜11のいずれか一項記載の薬学的組成物。
- 追加の治療剤が抗癌薬である、請求項12に記載の薬学的組成物。
- 抗癌薬がゲムシタビンである、請求項13に記載の薬学的組成物。
- 抗癌薬がシスプラチンである、請求項13に記載の薬学的組成物。
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ES2908200T3 (es) | 2022-04-28 |
CA2927612C (en) | 2022-08-30 |
EA201690763A1 (ru) | 2016-09-30 |
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