RU2018114457A - Лечение syd985 пациентов с t-dm1 рефрактерным раком - Google Patents

Лечение syd985 пациентов с t-dm1 рефрактерным раком Download PDF

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RU2018114457A
RU2018114457A RU2018114457A RU2018114457A RU2018114457A RU 2018114457 A RU2018114457 A RU 2018114457A RU 2018114457 A RU2018114457 A RU 2018114457A RU 2018114457 A RU2018114457 A RU 2018114457A RU 2018114457 A RU2018114457 A RU 2018114457A
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patient
compound
refractory
trastuzumab
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RU2018114457A3 (ru
RU2728101C2 (ru
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Геррит ВОРТМАН
Норберт Петер КОПЕР
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Синтон Байофармасьютикалс Б.В.
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6851Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
    • A61K47/6855Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell the tumour determinant being from breast cancer cell
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    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • AHUMAN NECESSITIES
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    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/437Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a five-membered ring having nitrogen as a ring hetero atom, e.g. indolizine, beta-carboline
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/39558Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against tumor tissues, cells, antigens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6801Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6889Conjugates wherein the antibody being the modifying agent and wherein the linker, binder or spacer confers particular properties to the conjugates, e.g. peptidic enzyme-labile linkers or acid-labile linkers, providing for an acid-labile immuno conjugate wherein the drug may be released from its antibody conjugated part in an acidic, e.g. tumoural or environment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/04Antineoplastic agents specific for metastasis
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/32Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes

Claims (18)

1. Соединение по формуле (I)
Figure 00000001
для применения в лечении пациентов с трастузумаба эмтанзин рефрактерным HER2 IHC 3+ или HER2 IHC 2+/FISH положительным раком, где 2,6-2,9 представляет собой средний DAR для соединения.
2. Соединение для применения по п. 1, где средний DAR для соединения составляет около 2,8.
3. Соединение для применения по п. 1 или 2, где пациент является рефрактерным к и трастузумабу и трастузумаба эмтанзину.
4. Соединение для применения в соответствии с одним из пп. 1-3, где пациент является рефрактерным ко всем из трастузумаба, лапатиниба и трастузумаба эмтанзина.
5. Соединение для применения по любому из пп. 1-4, где пациентом является пациент с раком молочной железы.
6. Фармацевтическая композиция, включающая соединение по формуле (I) в соответствии с любым одним из пп. 1-5 и одно или более фармацевтически приемлемых вспомогательных веществ для применения в лечении пациентов с трастузумаба эмтанзин рефрактерным HER2 IHC 3+ или HER2 IHC 2+/FISH положительным раком.
7. Соединение или фармацевтическая композиция для применения в соответствии с любым из пп. 1-6, где пациента лечат, предпочтительно раз в 3 недели, дозой в диапазоне от около 0,9 мг/кг до около 2,1 мг/кг массы тела пациента посредством внутривенного введения, предпочтительно от около 1,2 до около 1,8 мг/кг массы тела пациента посредством внутривенного введения.
8. Соединение или фармацевтическая композиция для применения в соответствии с п. 7, где доза составляет около 0,9 мг/кг, около 1,2 мг/кг, около 1,5 мг/кг, около 1,8 мг/кг, или около 2,1 мг/кг массы тела пациента, предпочтительно около 1,2 мг/кг массы тела пациента.
9. Соединение или фармацевтическая композиция для применения в соответствии с любым из пп. 1-8, где средний DAR для соединения составляет около 2,8.
10. Способ лечения пациента с трастузумаба эмтанзин рефрактерным HER2 IHC 3+ или HER2 IHC 2+/FISH положительным раком, включающий введение пациенту терапевтически эффективного количества соединения по формуле (I)
Figure 00000002
где 2,6-2,9 представляет собой средний DAR для соединения.
11. Способ по п. 10, где средний DAR для соединения составляет около 2,8.
12. Способ по п. 10 или 11, где пациент является рефрактерным и к трастузумабу и к трастузумаба эмтанзину.
13. Способ по п. 12, где пациент является рефрактерным к любому из трастузумаба, лапатиниба и трастузумаба эмтанзина.
14. Способ по п. 10 или 11, где указанным пациентом с раком является пациент с раком молочной железы.
RU2018114457A 2015-09-22 2016-09-21 Лечение syd985 пациентов с t-dm1 рефрактерным раком RU2728101C2 (ru)

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EP15186258.8 2015-09-22
EP15186258 2015-09-22
EP16158710.0 2016-03-04
EP16158710 2016-03-04
EP16169699.2 2016-05-13
EP16169699 2016-05-13
PCT/EP2016/072464 WO2017050846A1 (en) 2015-09-22 2016-09-21 Syd985 treatment of t-dm1 refractory cancer patients

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CY1123818T1 (el) 2022-05-27
HUE053614T2 (hu) 2021-07-28
HRP20210418T1 (hr) 2021-04-30
RU2018114457A3 (ru) 2020-01-31
ES2854298T3 (es) 2021-09-21
US10821191B2 (en) 2020-11-03
CL2018000726A1 (es) 2018-06-01
JP6591665B2 (ja) 2019-10-16
WO2017050846A1 (en) 2017-03-30
DK3352857T3 (da) 2021-03-01
CA2996600A1 (en) 2017-03-30
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AU2016328461B2 (en) 2021-04-08
LT3352857T (lt) 2021-02-25
ZA201801022B (en) 2021-05-26
BR112018005494A2 (pt) 2018-10-09
PL3352857T3 (pl) 2021-08-02
RU2728101C2 (ru) 2020-07-28
CN108025190A (zh) 2018-05-11
MX2018003459A (es) 2018-06-06
US20180280533A1 (en) 2018-10-04
MY194488A (en) 2022-11-30

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