JPWO2021183873A5 - - Google Patents

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JPWO2021183873A5
JPWO2021183873A5 JP2022554769A JP2022554769A JPWO2021183873A5 JP WO2021183873 A5 JPWO2021183873 A5 JP WO2021183873A5 JP 2022554769 A JP2022554769 A JP 2022554769A JP 2022554769 A JP2022554769 A JP 2022554769A JP WO2021183873 A5 JPWO2021183873 A5 JP WO2021183873A5
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cancer
thio
pharmaceutical composition
inhibitor
immune checkpoint
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Priority claimed from PCT/US2021/022090 external-priority patent/WO2021183873A1/en
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6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใฏใ€6-ใƒใ‚ช-dGใ‚’ๅ‰่จ˜ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒ็ถšใใ€ๅทฅ็จ‹ใ‚’ๅซใฟใ€
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
The method comprises administering 6-thio-dG to the subject, followed by treatment with an immune checkpoint inhibitor;
The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, A pharmaceutical composition selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒPD-1้˜ปๅฎณๅ‰คใงใ‚ใ‚‹ใ‹ใ€
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒPD-L1้˜ปๅฎณๅ‰คใงใ‚ใ‚‹ใ‹ใ€
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒCTLA-4้˜ปๅฎณๅ‰คใงใ‚ใ‚‹ใ‹ใ€
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒใ€1ใคใพใŸใฏ่ค‡ๆ•ฐใฎCTLA-4้˜ปๅฎณๅ‰คใจ1ใคใพใŸใฏ่ค‡ๆ•ฐใฎPD-1้˜ปๅฎณๅ‰คใจใฎ็ต„ใฟๅˆใ‚ใ›ใงใ‚ใ‚‹ใ‹ใ€ใพใŸใฏ
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒใ€1ใคใพใŸใฏ่ค‡ๆ•ฐใฎCTLA-4้˜ปๅฎณๅ‰คใจ1ใคใพใŸใฏ่ค‡ๆ•ฐใฎPD-L1้˜ปๅฎณๅ‰คใจใฎ็ต„ใฟๅˆใ‚ใ›ใงใ‚ใ‚‹ใ€
่ซ‹ๆฑ‚้ …1่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
whether the immune checkpoint inhibitor is a PD-1 inhibitor;
whether the immune checkpoint inhibitor is a PD-L1 inhibitor;
whether the immune checkpoint inhibitor is a CTLA-4 inhibitor;
the immune checkpoint inhibitor is a combination of one or more CTLA-4 inhibitors and one or more PD-1 inhibitors, or
the immune checkpoint inhibitor is a combination of one or more CTLA-4 inhibitors and one or more PD-L1 inhibitors,
The pharmaceutical composition according to claim 1.
6-ใƒใ‚ช-dGใŒใ€ๆฒป็™‚ใ‚ตใ‚คใ‚ฏใƒซใ‚ใŸใ‚Š็ด„1ๆ—ฅ้–“๏ฝž็ด„5ๆ—ฅ้–“ๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€ใŠใ‚ˆใณ/ใพใŸใฏ
ใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒใ€ๆฒป็™‚ใ‚ตใ‚คใ‚ฏใƒซใ‚ใŸใ‚Š็ด„1ๆ—ฅ้–“๏ฝž็ด„3ๆ—ฅ้–“ๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€
่ซ‹ๆฑ‚้ …1ใพใŸใฏ2่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
6-thio-dG is administered for about 1 day to about 5 days per treatment cycle, and/or
the checkpoint inhibitor is administered for about 1 day to about 3 days per treatment cycle;
The pharmaceutical composition according to claim 1 or 2 .
6-ใƒใ‚ช-dGใŠใ‚ˆใณใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒใ€ๅŒ–ๅญฆ็™‚ๆณ•ๅ‰คใ€ใƒ›ใƒซใƒขใƒณ็™‚ๆณ•ใ€ๆฏ’็ด ็™‚ๆณ•ใพใŸใฏๆ‰‹่ก“ใจ็ต„ใฟๅˆใ‚ใ›ใฆๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …1๏ฝž3ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ Pharmaceutical composition according to any one of claims 1 to 3 , wherein 6-thio-dG and checkpoint inhibitor are administered in combination with chemotherapeutic agents, hormonal therapy, toxin therapy or surgery. 6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใŒใ€6-ใƒใ‚ช-dGใ‚’ๅ‰่จ˜ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ใ‚ปใƒŸใƒ—ใƒชใƒžใƒ–๏ผˆLibtayo๏ผˆ็™ป้Œฒๅ•†ๆจ™๏ผ‰๏ผ‰ใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒ็ถšใใ€ๅทฅ็จ‹ใ‚’ๅซใฟใ€
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
The method comprises administering 6-thio-dG to the subject, followed by treatment with cemiplimab (Libtayoยฎ);
The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, A pharmaceutical composition selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
6-ใƒใ‚ช-dGใŒใ€ๆฒป็™‚ใ‚ตใ‚คใ‚ฏใƒซใ‚ใŸใ‚Š็ด„1ๆ—ฅ้–“๏ฝž็ด„5ๆ—ฅ้–“ๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€ใŠใ‚ˆใณ/ใพใŸใฏ
ใ‚ปใƒŸใƒ—ใƒชใƒžใƒ–๏ผˆLibtayo๏ผˆ็™ป้Œฒๅ•†ๆจ™๏ผ‰๏ผ‰ใŒใ€ๆฒป็™‚ใ‚ตใ‚คใ‚ฏใƒซใ‚ใŸใ‚Š็ด„1ๆ—ฅ้–“๏ฝž็ด„3ๆ—ฅ้–“ๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€
่ซ‹ๆฑ‚้ …5่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
6-thio-dG is administered for about 1 day to about 5 days per treatment cycle, and/or
cemiplimab (Libtayoยฎ) is administered for about 1 to about 3 days per treatment cycle;
6. The pharmaceutical composition according to claim 5 .
6-ใƒใ‚ช-dGใŠใ‚ˆใณใ‚ปใƒŸใƒ—ใƒชใƒžใƒ–๏ผˆLibtayo๏ผˆ็™ป้Œฒๅ•†ๆจ™๏ผ‰๏ผ‰ใŒใ€ๅŒ–ๅญฆ็™‚ๆณ•ๅ‰คใ€ใƒ›ใƒซใƒขใƒณ็™‚ๆณ•ใ€ๆฏ’็ด ็™‚ๆณ•ใพใŸใฏๆ‰‹่ก“ใจ็ต„ใฟๅˆใ‚ใ›ใฆๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …5ใพใŸใฏ6่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 7. A pharmaceutical composition according to claim 5 or 6 , wherein 6-thio-dG and cemiplimab (Libtayoยฎ) are administered in combination with chemotherapeutic agents, hormonal therapy, toxin therapy or surgery. 6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใŒใ€6-ใƒใ‚ช-dGใ‚’ๅ‰่จ˜ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ๆ”พๅฐ„็ทš็™‚ๆณ•ใจ็ต„ใฟๅˆใ‚ใ›ใฆๆŠ•ไธŽใ•ใ‚Œใ‚‹ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒ็ถšใใ€ๅทฅ็จ‹ใ‚’ๅซใฟใ€
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
The method comprises administering 6-thio-dG to the subject, followed by treatment with an immune checkpoint inhibitor administered in combination with radiation therapy,
The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, A pharmaceutical composition selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
็ด„1ๆ—ฅ๏ฝž็ด„5ๆ—ฅใฎๆฒป็™‚ใซใ‚ใŸใฃใฆๆŠ•ไธŽใ•ใ‚Œใ‚‹6-ใƒใ‚ช-dGใฎ็ทๆŠ•ไธŽ้‡ใŒ็ด„20๏ฝž็ด„2000mgใงใ‚ใ‚‹ใ€่ซ‹ๆฑ‚้ …3ใพใŸใฏ6่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 7. The pharmaceutical composition of claim 3 or 6 , wherein the total dose of 6-thio-dG administered over about 1 day to about 5 days of treatment is about 20 to about 2000 mg. ๅ‰่จ˜ใŒใ‚“ใŒใ€่‚บใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€้ป’่‰ฒ่…ซใ€ใพใŸใฏ็ฅž็ตŒ่† ่Šฝ่…ซใงใ‚ใ‚‹ใ€
ๅ‰่จ˜ใŒใ‚“ใŒ่ปข็งปๆ€งใงใ‚ใ‚‹ใ€
ๅ‰่จ˜ใŒใ‚“ใŒๅ†็™บๆ€งใงใ‚ใ‚‹ใ€ใŠใ‚ˆใณ/ใพใŸใฏ
ๅ‰่จ˜ใŒใ‚“ใŒๆฒป็™‚ๆŠตๆŠ—ๆ€งใงใ‚ใ‚‹ใ€
่ซ‹ๆฑ‚้ …1๏ฝž9ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
the cancer is lung cancer, colorectal cancer, liver cancer, melanoma, or glioblastoma;
the cancer is metastatic;
said cancer is recurrent and/or
the cancer is resistant to treatment;
A pharmaceutical composition according to any one of claims 1 to 9 .
ๅ‰่จ˜ๆฒป็™‚ๆŠตๆŠ—ๆ€งใŒใ‚“ใŒๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คๆฒป็™‚ๆŠตๆŠ—ๆ€งใงใ‚ใ‚‹ใ€่ซ‹ๆฑ‚้ …10่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 11. The pharmaceutical composition of claim 10, wherein the treatment-resistant cancer is immune checkpoint inhibitor treatment-resistant. ๅ‰่จ˜ๆฒป็™‚ๆŠตๆŠ—ๆ€งใŒใ‚“ใŒใ€PD-1้˜ปๅฎณๅ‰คใ€PD-L1้˜ปๅฎณๅ‰คใŠใ‚ˆใณCTLA-4้˜ปๅฎณๅ‰คใฎ1ใคใพใŸใฏ่ค‡ๆ•ฐใซๅฏพใ—ใฆ่€ๆ€งใงใ‚ใ‚‹ใ€่ซ‹ๆฑ‚้ …10่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 11. The pharmaceutical composition of claim 10 , wherein the treatment-resistant cancer is resistant to one or more of a PD-1 inhibitor, a PD-L1 inhibitor, and a CTLA-4 inhibitor. ๅ‰่จ˜ๅฏพ่ฑกใŒๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คๆฒป็™‚ใงไปฅๅ‰ใซๅ‡ฆ็ฝฎใ•ใ‚Œใฆใ„ใ‚‹ใ€่ซ‹ๆฑ‚้ …1๏ฝž12ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 13. The pharmaceutical composition of any one of claims 1-12 , wherein said subject has been previously treated with immune checkpoint inhibitor therapy. ๅ‰่จ˜ๅฏพ่ฑกใŒใ€PD-1้˜ปๅฎณๅ‰คๆฒป็™‚ใ€PD-L1้˜ปๅฎณๅ‰คๆฒป็™‚ใ€ใŠใ‚ˆใณCTLA-4้˜ปๅฎณๅ‰คๆฒป็™‚ใฎใ†ใกใฎ1ใคใพใŸใฏ่ค‡ๆ•ฐใงไปฅๅ‰ใซๅ‡ฆ็ฝฎใ•ใ‚Œใฆใ„ใ‚‹ใ€่ซ‹ๆฑ‚้ …13่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 14. The pharmaceutical composition of claim 13 , wherein the subject has been previously treated with one or more of PD-1 inhibitor therapy, PD-L1 inhibitor therapy, and CTLA-4 inhibitor therapy. 6-ใƒใ‚ช-dGใฎๆŠ•ไธŽใจใใฎๅพŒใฎๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒใ€ๅฐ‘ใชใใจใ‚‚1ๅ›ž็นฐใ‚Š่ฟ”ใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …1๏ฝž14ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 15. A pharmaceutical composition according to any one of claims 1 to 14 , wherein the administration of 6-thio-dG and subsequent treatment with an immune checkpoint inhibitor is repeated at least once. ๅ‰่จ˜6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒๅ…จ่บซ็š„ใซๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ‹ใ€
ๅ‰่จ˜6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒ่…ซ็˜้ƒจไฝใซๅฑ€ๆ‰€็š„ใซใพใŸใฏๅฑ€้ƒจ็š„ใซๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ‹ใ€ใพใŸใฏ
ๅ‰่จ˜6-ใƒใ‚ช-dGใŒ่…ซ็˜้ƒจไฝใซๅฑ€ๆ‰€็š„ใซใพใŸใฏๅฑ€้ƒจ็š„ใซๆŠ•ไธŽใ•ใ‚Œใ€ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒๅ…จ่บซ็š„ใซๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ€
่ซ‹ๆฑ‚้ …1๏ฝž15ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
said 6-thio-dG and immune checkpoint inhibitor are administered systemically;
said 6-thio-dG and immune checkpoint inhibitor are administered locally or regionally to the tumor site; or
the 6-thio-dG is administered locally or regionally to the tumor site, and the immune checkpoint inhibitor is administered systemically;
Pharmaceutical composition according to any one of claims 1 to 15 .
6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใฎๆŠ•ไธŽใŒ่…ซ็˜ๅข—ๆฎ–ใฎ้˜ปๅฎณใ‚’ใ‚‚ใŸใ‚‰ใ™ใ€
6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใฎๆŠ•ไธŽใŒๅ‰่จ˜ใŒใ‚“ใฎๅฏ›่งฃใ‚’ใ‚‚ใŸใ‚‰ใ™ใ€
6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใฎๆŠ•ไธŽใŒ่…ซ็˜้‡ใฎไฝŽไธ‹ใ‚’ใ‚‚ใŸใ‚‰ใ™ใ€
6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใฎๆŠ•ไธŽใŒใŒใ‚“็ดฐ่ƒž่ปข็งปใฎ้˜ปๅฎณใ‚’ใ‚‚ใŸใ‚‰ใ™ใ€ใŠใ‚ˆใณ/ใพใŸใฏ
6-ใƒใ‚ช-dGใŠใ‚ˆใณๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใฎๆŠ•ไธŽใŒ่…ซ็˜ๆ น็ตถใ‚’ใ‚‚ใŸใ‚‰ใ™ใ€
่ซ‹ๆฑ‚้ …1๏ฝž16ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
Administration of 6-thio-dG and immune checkpoint inhibitors results in inhibition of tumor growth,
administration of 6-thio-dG and an immune checkpoint inhibitor results in remission of said cancer;
Administration of 6-thio-dG and immune checkpoint inhibitors results in decreased tumor burden;
administration of 6-thio-dG and an immune checkpoint inhibitor results in inhibition of cancer cell metastasis, and/or
Administration of 6-thio-dG and immune checkpoint inhibitors results in tumor eradication,
A pharmaceutical composition according to any one of claims 1 to 16 .
6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใŒใ€6-ใƒใ‚ช-dGใ‚’ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ๆ”พๅฐ„็ทš็™‚ๆณ•ใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒ็ถšใใ€ๅทฅ็จ‹ใ‚’ๅซใฟใ€
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
The method comprises administering 6-thio-dG to a subject, followed by treatment with radiation therapy,
The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, A pharmaceutical composition selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใŒใ€6-ใƒใ‚ช-dGใ‚’ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ๆ”พๅฐ„็ทš็™‚ๆณ•ใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒๅ…ˆ่กŒใ™ใ‚‹ใ€ๅทฅ็จ‹ใ‚’ๅซใฟใ€
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
The method comprises administering 6-thio-dG to a subject, which is preceded by treatment with radiation therapy;
The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, A pharmaceutical composition selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€่ƒƒใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ใŠใ‚ˆใณไนณใŒใ‚“ใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …18ใพใŸใฏ19่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ The cancer is pancreatic cancer, lung cancer, stomach cancer, liver cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, brain cancer, colon cancer, prostate cancer, or ovarian cancer. 20. The pharmaceutical composition according to claim 18 or 19 , wherein the pharmaceutical composition is selected from the group consisting of , cervical cancer, testicular cancer, lymphoma, leukemia, skin cancer, and breast cancer. 6-ใƒใ‚ช-dGใฎๆŠ•ไธŽใŠใ‚ˆใณๆ”พๅฐ„็ทš็™‚ๆณ•ใŒๅฐ‘ใชใใจใ‚‚1ๅ›ž็นฐใ‚Š่ฟ”ใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …18๏ฝž20ใฎใ„ใšใ‚Œใ‹ไธ€้ …่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ Pharmaceutical composition according to any one of claims 18 to 20 , wherein the administration of 6-thio-dG and radiotherapy are repeated at least once. 6-ใƒใ‚ช-2'-ใƒ‡ใ‚ชใ‚ญใ‚ทใ‚ฐใ‚ขใƒŽใ‚ทใƒณ๏ผˆ6-ใƒใ‚ช-dG๏ผ‰ใ‚’ๅซใ‚€ใ€ๅฏพ่ฑกใซใŠใ‘ใ‚‹ใŒใ‚“ใ‚’ๅ‡ฆ็ฝฎใ™ใ‚‹ๆ–นๆณ•ใซไฝฟ็”จใ™ใ‚‹ใŸใ‚ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใงใ‚ใฃใฆใ€
ๅ‰่จ˜ๆ–นๆณ•ใŒใ€6-ใƒใ‚ช-dGใ‚’ๅฏพ่ฑกใซๆŠ•ไธŽใ™ใ‚‹ๅทฅ็จ‹ใงใ‚ใฃใฆใ€ใใ‚Œใซใ€ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŠใ‚ˆใณๆ”พๅฐ„็ทš็™‚ๆณ•ใซใ‚ˆใ‚‹ๅ‡ฆ็ฝฎใŒ็ถšใใ€ๅทฅ็จ‹ใ‚’ๅซใ‚€ใ€่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
A pharmaceutical composition for use in a method of treating cancer in a subject, comprising 6-thio-2'-deoxyguanosine (6-thio-dG), the composition comprising:
A pharmaceutical composition, wherein the method comprises administering 6-thio-dG to a subject, followed by treatment with an immune checkpoint inhibitor and radiation therapy.
ๅ…็–ซใƒใ‚งใƒƒใ‚ฏใƒใ‚คใƒณใƒˆ้˜ปๅฎณๅ‰คใŒPD-L1้˜ปๅฎณๅ‰คใ€PD-1้˜ปๅฎณๅ‰คใ€ใพใŸใฏCTAL-4้˜ปๅฎณๅ‰คใงใ‚ใ‚‹ใ€่ซ‹ๆฑ‚้ …22่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 23. The pharmaceutical composition of claim 22 , wherein the immune checkpoint inhibitor is a PD-L1 inhibitor, a PD-1 inhibitor, or a CTAL-4 inhibitor. PD-L1้˜ปๅฎณๅ‰คใŒใ€ใ‚ขใƒ†ใ‚พใƒชใ‚บใƒžใƒ–ใ€ใ‚ขใƒ™ใƒซใƒžใƒ–ใ€ใ‚ณใ‚ทใƒ™ใƒชใƒžใƒ–ใ€ใƒ“ใƒณใƒˆใƒฉใƒ•ใ‚นใƒ—ใ‚ขใƒซใƒ•ใ‚กใ€ใƒ‡ใƒฅใƒซใƒใƒซใƒžใƒ–ใ€MGD013ใ€KNO35ใ€KN046ใ€AUNP12ใ€CA-170ใ€ใŠใ‚ˆใณBMS-9986189ใฎใ†ใกใฎ1ใคใพใŸใฏ่ค‡ๆ•ฐใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ‹ใ€
PD-L1้˜ปๅฎณๅ‰คใŒใ‚ขใƒ†ใ‚พใƒชใ‚บใƒžใƒ–ใงใ‚ใ‚‹ใ‹ใ€ใพใŸใฏ
PD-1้˜ปๅฎณๅ‰คใŒใ€ใƒšใƒณใƒ–ใƒญใƒชใ‚บใƒžใƒ–ใ€ใƒ‹ใƒœใƒซใƒžใƒ–ใ€ใ‚ปใƒŸใƒ—ใƒชใƒžใƒ–ใ€JTx-4014ใ€ใ‚ตใ‚ตใƒณใƒชใƒžใƒ–ใ€ใƒ–ใƒ‡ใ‚ฃใ‚ฌใƒชใƒžใƒ–ใ€BI754091ใ€ใ‚นใƒ‘ใƒซใ‚ฟใƒชใ‚บใƒžใƒ–ใ€ใ‚ซใƒ ใƒฌใƒชใ‚บใƒžใƒ–ใ€ใ‚ทใƒณใƒใƒชใƒžใƒ–ใ€ใƒใ‚นใƒฌใƒชใ‚บใƒžใƒ–ใ€ใ‚ธใƒณใƒ™ใƒฌใƒชใƒžใƒ–ใ€ใƒˆใƒชใƒ‘ใƒชใƒžใƒ–ใ€ใƒ‰ใ‚นใ‚ฟใƒซใƒชใƒžใƒ–ใ€INCMGA00012ใ€AMP-224ใ€REGN2810ใ€BMS-936558ใ€SHR1210ใ€IBI308ใ€PDR001ใ€BGB-A317ใ€BCD-100ใ€JS001ใŠใ‚ˆใณAMP-515ใฎ1ใคใพใŸใฏ่ค‡ๆ•ฐใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€
่ซ‹ๆฑ‚้ …23่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚
the PD-L1 inhibitor is selected from one or more of atezolizumab, avelumab, cosibelimab, bintrafusupalfa, durvalumab, MGD013, KNO35, KN046, AUNP12, CA-170, and BMS-9986189;
the PD-L1 inhibitor is atezolizumab , or
PD-1 inhibitors include pembrolizumab, nivolumab, cemiplimab, JTx-4014, sasanlimab, budigalimab, BI754091, spartalizumab, camrelizumab, sintilimab, tislelizumab, zimberelimab, toripalimab, dostarlimab, INCMGA00012, AMP-224, REGN2810, BMS-936558 , SHR1210, IBI308, PDR001, BGB-A317, BCD-100, JS001 and AMP-515,
24. The pharmaceutical composition according to claim 23 .
PD-1้˜ปๅฎณๅ‰คใŒใ€ๆ”พๅฐ„็ทš็™‚ๆณ•ใจ็ต„ใฟๅˆใ‚ใ›ใฆๆŠ•ไธŽใ•ใ‚Œใ‚‹ใ‚ปใƒŸใƒ—ใƒชใƒžใƒ–๏ผˆLibtayo๏ผˆ็™ป้Œฒๅ•†ๆจ™๏ผ‰๏ผ‰ใงใ‚ใ‚‹่ซ‹ๆฑ‚้ …23่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ 24. The pharmaceutical composition of claim 23 , wherein the PD-1 inhibitor is cemiplimab (Libtayoยฎ) administered in combination with radiotherapy. ๅ‰่จ˜ใŒใ‚“ใŒใ€่†ต่‡“ใŒใ‚“ใ€่‚บใŒใ‚“ใ€ไธญ็šฎ่…ซใ€่ƒƒใŒใ‚“ใ€้ฃŸ้“ใŒใ‚“ใ€่‚่‡“ใŒใ‚“ใ€่ƒ†้“ใŒใ‚“ใ€่†€่ƒฑใŒใ‚“ใ€้ ญ้ ธ้ƒจใŒใ‚“ใ€ๅฃ่…”ใŒใ‚“ใ€้ผปๅ’ฝ้ ญใŒใ‚“ใ€ๆˆไฝ“่„ณใŒใ‚“ใ€็ต่…ธใŒใ‚“ใ€็›ด่…ธใŒใ‚“ใ€็ต่…ธ็›ด่…ธใŒใ‚“ใ€ๅ‰็ซ‹่…บใŒใ‚“ใ€ๅตๅทฃใŒใ‚“ใ€ๅญๅฎฎ้ ธใŒใ‚“ใ€ๅญๅฎฎใŒใ‚“ใ€็ฒพๅทฃใŒใ‚“ใ€ใƒชใƒณใƒ‘่…ซใ€็™ฝ่ก€็—…ใ€็šฎ่†šใŒใ‚“ใ€ไนณใŒใ‚“ใ€่…Ž่‡“ใŒใ‚“ใ€็ฅž็ตŒ่Šฝ็ดฐ่ƒž่…ซใ€ใƒกใƒซใ‚ฑใƒซ็ดฐ่ƒž็™Œใ€้ชจ้ซ„็•ฐๅฝขๆˆ็—‡ๅ€™็พคใ€้ชจ้ซ„็ทš็ถญ็—‡ใ€ใŠใ‚ˆใณๅคš็™บๆ€ง้ชจ้ซ„่…ซใ‹ใ‚‰ใชใ‚‹็พคใ‹ใ‚‰้ธๆŠžใ•ใ‚Œใ‚‹ใ€่ซ‹ๆฑ‚้ …22่จ˜่ผ‰ใฎ่–ฌๅญฆ็š„็ต„ๆˆ็‰ฉใ€‚ The cancers include pancreatic cancer, lung cancer, mesothelioma, stomach cancer, esophageal cancer, liver cancer, biliary tract cancer, bladder cancer, head and neck cancer, oral cavity cancer, nasopharyngeal cancer, and adult brain cancer. Colon cancer, rectal cancer, colorectal cancer, prostate cancer, ovarian cancer, cervical cancer, uterine cancer, testicular cancer, lymphoma, leukemia, skin cancer, breast cancer, kidney cancer, 23. The pharmaceutical composition of claim 22 , selected from the group consisting of neuroblastoma, Merkel cell carcinoma, myelodysplastic syndrome, myelofibrosis, and multiple myeloma.
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