# Patent

## Title
C(10) ethyl ester and C(10) cyclopropyl ester substituted taxanes

## Abstract

Taxanes having an ethyl ester or cyclopropyl ester substituent at C(10), a keto substituent at C(9), a hydroxy substituent at C(7), a thienyl substituent at C(3′) and a cyclobutyloxycarbamate or cyclopentyloxycarbamate substituent at C(3′), pharmaceutical compositions comprising such taxanes, methods of treatment and administration, and methods of preparation of medicaments comprising the taxanes.

## Background
REFERENCE TO RELATED APPLICATIONS
This application claims the benefit of U.S. Provisional Application Ser. No. 61/041,017, filed on Mar. 31, 2008, which is hereby incorporated by reference in its entirety, including any figures, tables, and drawings.


BACKGROUND
The present disclosure is directed to novel taxanes having utility as anti-tumor agents.
The taxane family of terpenes, of which baccatin III and paclitaxel, also commonly referred to as Taxol®, are members, has been the subject of considerable interest in both the biological and chemical arts. Paclitaxel itself is employed as a cancer chemotherapeutic agent and possesses a broad range of tumor-inhibiting activity. Paclitaxel has a 2′R, 3′S configuration and the following structural formula:




wherein Ac is acetyl, Bz is benzoyl, and Ph is phenyl.

Colin et al. reported in U.S. Pat. No. 4,814,470 that certain paclitaxel analogs have an activity significantly greater than that of paclitaxel. One of these analogs, commonly referred to as docetaxel (also known as Taxotere®), has the following structural formula:




wherein Ac is acetyl, Bz is benzoyl, and Ph is phenyl.

Although paclitaxel and docetaxel are useful chemotherapeutic agents, there are limitations to their effectiveness, including limited efficacy against certain types of cancers and toxicity to subjects when administered at various doses. Further, certain tumors have shown resistance to paclitaxel and/or docetaxel. Accordingly, a need remains for additional chemotherapeutic agents with less toxicity and improved efficacy with respect to paclitaxel and/or docetaxel resistant and non-resistant tumors.
SUMMARY OF THE DISCLOSURE
Among the various aspects of the present disclosure, therefore, is the provision of taxanes which compare favorably to paclitaxel and docetaxel with respect to toxicity and to efficacy as an anti-tumor agent. In general, these taxanes posses an ethyl ester or cyclopropyl ester substituent at C(10), a keto substituent at C(9), a hydroxy substituent at C(7), a thienyl substituent at C(3′), and a cyclobutyloxycarbamate or cyclopentyloxycarbamate substituent at C(3′).
Briefly, therefore, the present disclosure is directed to taxanes, per se, to prodrugs thereof, to pharmaceutical compositions comprising the taxanes (and prodrugs thereof) and a pharmaceutically acceptable carrier, to methods of treatment and administration, and to methods of preparation of medicaments comprising the taxanes (and prodrugs thereof).
In one particular aspect, the present disclosure is directed to a taxane having the structure (1):




wherein R10a is ethyl or cyclopropyl; X3 is thienyl; and X10 is cyclobutyl or cyclopentyl.

In another particular aspect, the present disclosure is directed to a pharmaceutical composition comprising the taxane of structure (1) and at least one pharmaceutically acceptable carrier.
In another particular aspect, the present disclosure is directed to a method of inhibiting tumor growth in a mammal, the method comprising administering to the mammal a therapeutically effective amount of a pharmaceutical composition comprising the taxane of structure (1) and at least one pharmaceutically acceptable carrier. In a particular embodiment, the tumor is a multidrug resistant tumor.
Other objects and features will be in part apparent and in part pointed out hereinafter.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 depicts mean tumor growth curves for mice treated with compounds 18926, 18365, and docetaxel in the MX1 study (e219R1) (i.v. single dose).
FIG. 2 depicts mean tumor growth curves for mice treated with compound 19244 in the MX1 study (e220) (i.v. q4d×4 doses).
FIG. 3 depicts mean tumor growth curves for mice treated with compound 19244 and docetaxel in the MX1 study (e223) (i.v. single dose).
FIG. 4 depicts mean tumor growth curves for mice treated with compound 19244 and docetaxel in the SKMES study (e220) (i.v. single dose).
FIG. 5 depicts mean tumor growth curves for mice treated with compound 19244 and docetaxel in the SKMES study (e82) (compound 19244 dosed i.v. q4d×4 doses).
FIG. 6 depicts mean tumor growth curves for mice treated with compound 19244, paclitaxel, and docetaxel in the HT29 study (e138) (compound 19244 dosed i.v. q4d×4 doses).
FIG. 7 depicts mean tumor growth curves for mice treated with compounds 18926, 17932, and 18365 in the HT29 study (e139) (compounds 18926, 17932, and 18365 dosed i.v. q4d×4 doses).
FIG. 8 depicts mean tumor growth curves for mice treated with compound 19244 in the HT29 study (e133) (compound 19244 dosed i.v. q4d×4 doses).
FIG. 9 depicts mean tumor growth curves for mice treated with compounds 19244 and 18365 in the HT29 study (e210) (compounds 19244 and 18365 dosed i.v. and oral q4d×4 doses).
FIG. 10 depicts mean tumor growth curves for mice treated with compound 18926 in the HT29 study (e212) (18926 dosed i.v. and oral q4d×4 doses).
FIG. 11 depicts mean tumor growth curves for mice treated with compounds 18926, 18365, and 19244 in the A375 study (e209) (compounds 18926, 19244, and 18365 dosed i.v. q4d×4 doses).
FIG. 12 depicts mean tumor growth curves for mice treated with compound 18926 in the MSTO-211H study (004) (18926 dosed i.v. q4d×4 doses).
FIG. 13 depicts mean tumor growth curves for mice treated with compound 19244 in the MSTO-211H study (008) (19244 dosed i.v. q4d×4 doses).
FIG. 14 depicts mean tumor growth curves for mice treated with compounds 18926 and 18365 in the MSTO-211H study (101) (compounds 18926 and 18365 dosed i.v. q4d×4 doses).
FIG. 15 depicts mean tumor growth curves for mice treated with compounds 18926, 18365, and various anticancer compounds in the MSTO-211H study (091) (compounds 18926 and 18365 dosed i.v. q4d×4 doses).
FIG. 16 depicts mean tumor growth curves for rats treated with vehicle and compound 19244 in the BxPC-3 study.
FIG. 17 depicts mean tumor growth curves for rats treated with docetaxel and compound 18365 in the BxPC-3 study.



DETAILED DESCRIPTION
The taxanes of the present disclosure have the following chemical structure (1):




wherein R10a is ethyl or cyclopropyl; X3 is thienyl; and X10 is cyclobutyl or cyclopentyl.

As noted above in connection with Formula (1), X3 is thienyl. Thus, for example, X3 may be 2-thienyl or 3-thienyl. In a preferred embodiment, X3 is 2-thienyl.
In combination, in certain embodiments in which the taxane corresponds to Formula (1), R10a is ethyl and X10 is cyclobutyl or cyclopentyl; thus, for example, R10a can be ethyl and X10 can be cyclobutyl, or R10a can be ethyl and X10 can be cyclopentyl. In other embodiments in which the taxane corresponds to Formula (1), R10a is cyclopropyl and X10 is cyclobutyl or cyclopentyl; thus, for example, R10a can be cyclopropyl and X10 can be cyclobutyl, or R10a can be cyclopropyl and X10 can be cyclopentyl. In each of these embodiments, X3 is thienyl (e.g., 2-thienyl or 3-thienyl); more preferably in these embodiments, X3 is 2-thienyl.
In other combinations, in certain embodiments in which the taxane corresponds to Formula (1), R10a is ethyl or cyclopropyl and X10 is cyclobutyl; thus, for example, R10a can be ethyl and X10 can be cyclobutyl, or R10a can be cyclopropyl and X10 can be cyclobutyl. In other embodiments in which the taxane corresponds to Formula (1), R10a is ethyl or cyclopropyl and X10 is cyclopentyl; thus, for example, R10a can be ethyl and X10 can be cyclopentyl, or R10a can be cyclopropyl and X10 can be cyclopentyl. In each of these embodiments, X3 is thienyl (e.g., 2-thienyl or 3-thienyl); more preferably in these embodiments, X3 is 2-thienyl.
In general, the C(7) hydroxy substituent and the C(10) cyclopropylcarbonyloxy or ethylcarbonyloxy substituent can independently have the alpha or beta stereochemical configuration. When the taxane compound corresponds to chemical structure (1), therefore, the C(7) and C(10) substituents can each have the alpha stereochemical configuration, the C(7) and C(10) substituents can each have the beta stereochemical configuration, the C(7) substituent can have the beta stereochemical configuration while the C(10) substituent has the alpha stereochemical configuration, or the C(7) substituent can have the alpha stereochemical configuration while the C(10) substituent has the beta stereochemical configuration, Thus, for example, in various embodiments the taxanes may correspond to one or more of the following formulae showing stereochemical configurations for the relevant portion of the chemical structure:




wherein R10a, X3, and X10 are as defined in connection with Formula (1).

In one embodiment, the taxane corresponds to Formula (1bb) (i.e., both the C(7) substituent and the C(10) substituent have the beta stereochemical configuration), wherein R10a is ethyl or cyclopropyl; X3 is thienyl; and X10 is cyclobutyl or cyclopentyl. More preferably in this embodiment, X3 is 2-thienyl.
Among certain of the preferred taxanes corresponding to Formula (1) are those carrying the following specific combinations of substituents at R10a and X10:









TABLE 1





Compound
R10a
X10







17932
cyclopropyl
cyclopentyl


18365
cyclopropyl
cyclobutyl


18926
ethyl
cyclopentyl


19244
ethyl
cyclobutyl









In each of the combinations noted in Table 1 above (i.e., for Compounds 17932, 18365, 18926, 19244), the X3 substituent of the taxane is thienyl. More preferably in these combinations, X3 is 2-thienyl. Thus, for example, certain of the preferred taxanes correspond to one or more of Formulae (1A), (1B), (1C), or (1D):




In the embodiments in which both the C(7) substituent and the C(10) substituent of the taxanes corresponding to Formulae (1A), (1B), (1C), and (1D) have the beta stereochemical configuration, for example, these taxanes correspond to Formulae (1 AA), (1 BB), (1 CC), or (1 DD), respectively:




Chemotherapy using conventional chemotherapeutic agents is often hindered by the development of multidrug resistance (MDR) in tumor cells, whereby the tumor cells acquire cross-resistance to a variety of structurally and functionally unrelated compounds. Common forms of multidrug resistance have been attributed to, among other mechanisms anti-angiogenesis; overexpression of drug-efflux transporters (i.e., drug-efflux pumps); acquired mutations of the drug binding site of tubulin; differential expression of tubulin isoforms; alteration in apoptotic mechanisms; microtubule bundling and polymerization (e.g., leading to G2/M arrest and apoptosis); and activation of growth factor pathways. While the contribution of each one or more of these (and other) mechanisms of multidrug resistance remains uncertain, correlations have been made between multidrug resistance and drug-efflux transporter expression levels in various tumor types. See, e.g., Dumontet et al., J. Clin. Oncol. 17, 1061-1070 (1999); Gottesman et al., Nat. Rev. Cancer 2, 48-58 (2002).
The compounds of the present disclosure are efficacious against multidrug resistant tumors, including paclitaxel- and docetaxel-resistant tumors. Thus, in particular aspects, the compounds described herein can be used in methods for inhibiting tumor growth in a mammal, the tumor being a multidrug resistant tumor (i.e., a tumor including tumor cells exhibiting multidrug resistance). Additionally or alternatively, the tumor may be resistant to one or more conventional chemotherapeutic agents. For instance, the tumor may be resistant to carboplatin, docetaxel, doxorubicin, gemcitabine, irinotecan, paclitaxel, pemetrexed, and vincristine, among other agents. In a particular embodiment, the tumor is resistant to paclitaxel, resistant to docetaxel, or resistant to both paclitaxel and docetaxel.
In various embodiments, for example, the multidrug resistant tumor cells overexpress a drug-efflux transporter. Among particular drug-efflux transporters, the overexpression of ATP-binding cassette transporters such as P-glycoprotein (P-gp), MDR-associated protein(s) (e.g., MDR-1, MDR-2, MDR-3, among others), breast cancer resistance protein(s) (e.g., BCRP1), and/or multidrug resistance-associated protein(s) (MRPs) (e.g., MRP-1, MRP-2, MRP-3, MRP-9, among others) has been implicated in the mediation of multidrug resistance in tumor cells. Thus, in one embodiment, the overexpressed drug-efflux transporter is an ATP-binding cassette transporter. More typically in this embodiment, the drug-efflux transporter is P-glycoprotein, an MDR-associated protein, a breast cancer resistance protein, a multidrug resistance-associated protein, or a combination thereof. In these embodiments, the compounds can be efficacious against a wide variety of tumor types, including epithelial cell carcinomas such as brain, breast, colon, kidney, liver, lung (including non-small cell lung carcinomas), ovarian, pancreatic, renal, and skin tumor types. Unlike paclitaxel or docetaxel, for example, compounds 17932, 18365, 18926, and 19244 are highly effective at inhibiting the growth of tumor cells that overexpress MDR-associated proteins (e.g., MDR-1) such as, for example, DLD-1 colon carcinoma and 786-0 renal carcinoma cell lines. By way of another example, compounds 18926, 18365, 19244 are highly effective (as compared to paclitaxel and docetaxel) at inhibiting the growth of tumor cells that overexpress MRP-2 and BCRP1 such as, for example, MSTO-211H mesothelioma cells. By way of another example, compounds 18926, 18365, 19244 are highly effective (as compared to paclitaxel and docetaxel) at inhibiting the growth of tumor cells that overexpress MRP-9 such as, for example, A375 melanoma. Without being bound to one particular theory, it is believed that the basis for these improved effects over conventional chemotherapeutic agents such as paclitaxel and docetaxel is due, at least in part, to the reduced interaction of the compounds with these and other drug-efflux pumps.
Advantageously, and without regard to the particular mechanism(s) involved, the compounds described herein are effective against cancers both in vitro and in vivo in a manner superior to conventionally used taxanes with respect to certain tumor types, including paclitaxel- and/or docetaxel-sensitive and -resistant tumor lines. Whether or not used in combination with other agents, pharmaceutical compositions comprising compounds 17932, 18365, 18926, and/or 19244 may be used to treat those cancers indicated for treatment with paclitaxel and docetaxel (Taxol® and Taxotere®, respectively). Surprisingly, the compounds exhibit activity several orders of magnitude higher than that of paclitaxel and/or docetaxel (e.g., 2×, 5×, 10×, or higher) against a wide variety of tumor types (including, for example, those originating from brain, colon, lung, ovarian, pancreatic, renal, and skin cancers). Without being limiting, pharmaceutical compositions comprising compounds 17932, 18365, 18926, and/or 19244 may be used, either solely or in combination, to treat brain cancer, breast cancer, colon cancer, lung cancer (including non-small cell lung cancer), ovarian cancer, pancreatic cancer, prostate cancer, AIDS-related Kaposi's sarcoma, mesothelioma, gastric cancer, and renal cancer. The compound(s) is/are reasonably well tolerated whether administered orally or intravenously and can be effective as a single dose or multiple doses with improved toxicity profiles. The compounds of the present disclosure are also efficacious in non-Cremophor® vehicles.
Compounds 17932, 18365, 18926, and/or 19244 are highly efficacious in a number of human tumor nude mouse xenograft models, including those which are refractory/resistant to paclitaxel and docetaxel. Compounds 17932, 18365, 18926, and/or 19244 can be effectively dosed via the intravenous and oral routes on a single or multidose schedule. In the majority of xenograft models tested, the compounds show superior efficacy to paclitaxel and docetaxel when administered as an oral dose and on a multi-dose schedule, either every 4 days or every 7 days. Compounds 17932, 18365, 18926, and 19244 show a wide therapeutic index in these mouse xenograft models. Doses well below the maximum tolerated dose, as indicated by body weight loss, still maintain efficacy. The compounds display superior bioavailability orally as demonstrated by efficacy observed in xenograft models and in a favorable toxicity profile when dosed both orally and intravenously in Sprague-Dawley rats. For instance, the compounds have markedly less neurotoxicity (e.g., as measured by axonal degeneration), as compared to paclitaxel and docetaxel. The superior efficacy, lower toxicity, wide therapeutic index in multiple dosing regimens suggests an opportunity for increased dose intensity in the clinic particularly when dosed weekly in human studies. For instance, the compounds of the present disclosure could be dosed on an every three week schedule (similar to paclitaxel and docetaxel), or could be dosed on a weekly schedule. A weekly dosing schedule, for example, can allow an increase in dosing density and, for oral dosing in particular, improved patient convenience. Such oral dosing regimes could be accomplished on a daily basis with relatively low doses. Advantageously, these and other oral dosing regimes could be used as part of an anti-angiogenesis metronomic dosing schedule (which is undesirable for paclitaxel and docetaxel, as they are relatively ineffective in oral doses).
The taxanes of the present disclosure may be obtained by treatment of a β-lactam with an alkoxide having the taxane tetracyclic nucleus and a C(13) metallic oxide substituent to form compounds having a β-amido ester substituent at C(13) (as described more fully in Holton, U.S. Pat. No. 5,466,834 (hereby incorporated by reference herein in its entirety)), followed by removal of the hydroxy protecting groups. In general, β-lactams employed in these methods correspond to formula (I):




wherein P2 is a hydroxy protecting group, X3 is thienyl (e.g., 2-thienyl), and X5 is cyclobutyloxycarbonyl or cyclopentyloxycarbonyl and the alkoxide corresponds to formula (II):





wherein M is metal or ammonium, P7 is hydrogen or a hydroxy protecting group, R10 is cyclopropylcarbonyloxy or propionyloxy, Ac is acetyl, and Bz is benzoyl.

The alkoxide of structural formula (II) may be prepared from 10-deacetylbaccatin III (10-DAB) (or a derivative thereof) by selective protection of the C(7) hydroxy group and then esterification of the C(10) hydroxy group followed by treatment with a metallic amide. In one embodiment of the present disclosure, the C(7) hydroxy group of 10-DAB is selectively protected with a silyl group as described, for example, by Denis et al. (J. Am. Chem. Soc., 1988, 110, 5917) (hereby incorporated by reference herein in its entirety).
Alternatively, the C(10) hydroxy group of a taxane can be selectively acylated in the absence of a base, as described, for example in Holton et al., U.S. Pat. No. 7,288,665 (hereby incorporated by reference herein in its entirety). Acylating agents which may be used for the selective acylation of the C(10) hydroxy group of a taxane include substituted or unsubstituted alkyl or aryl anhydrides. While the acylation of the C(10) hydroxy group of the taxane will proceed at an adequate rate for many acylating agents, it has been discovered that the reaction rate may be increased by including a Lewis acid in the reaction mixture. Preferred Lewis acids include zinc chloride, stannic chloride, cerium trichloride, cuprous chloride, lanthanum trichloride, dysprosium trichloride, and ytterbium trichloride. Zinc chloride or cerium trichloride is particularly preferred when the acylating agent is an anhydride.
In a preferred one-pot protocol, a solution of 10-DAB in N,N-dimethylformamide was treated with a stoichiometric amount of a silylating agent in the presence of 2 to 3 equivalents of 4-N,N-dimethylaminopyridine to protect the C(7) hydroxyl group, followed by treatment with an acylating agent (propionyl chloride or cyclopropylcarbonyl chloride) to selectively acylate the C(10) hydroxyl group at ambient temperature. This process reduces the production time and solvent requirements. See, e.g., U.S. Published Patent Application No. 2005/0228037 to Holton et al. (hereby incorporated by reference herein in its entirety).
It will be understood that compounds having particular stereochemical configurations at the C(7) and C(10) substituents (e.g., compounds 1aa, 1bb, 1ab, and 1ba, above) may be prepared using starting materials (e.g., 10-DAB) or intermediates having these stereochemical configurations. The preparation of C(7)-epimers of 10-DAB, for example, are illustrated by Georg et al., Journal of Organic Chemistry, 63, 8926-8934 (1998) (hereby incorporated by reference herein in its entirety). The preparation of 10-alpha 10-DAB, for example, is illustrated by Appendino et al., Tetrahedron Letters 36, 18, 3233-3236 (1995) (hereby incorporated by reference herein in its entirety). Thus, the stereochemical configuration of the C(7) position can be modified by treating the compound (with the appropriately substituted side chain attached) with a base as described by Chaudhary et al., Journal of Organic Chemistry 58, 3798-3799 (1993) (hereby incorporated by reference herein in its entirety). Additionally or alternatively, various C(10) alpha isomers can be obtained using the oxidation-reduction-esterification sequence illustrated by Appendino et al., supra, and Datta et al., Tetrahedron Letters 36, 12, 1985-1988 (1995) (hereby incorporated by reference herein in its entirety) and in the following reaction scheme, wherein X10, X3, and R10a are as defined in connection with Formula (1) and PG is a hydroxy protecting group:




wherein R10a, X3 and X10 are as defined in connection with Formula (1).

An exemplary oxidating agent for the C(10) hydroxy group in the above oxidation-reduction-esterification sequence is tetrapropylammonium perruthenate (TPAP), and an exemplary reducing agent for the C(10) keto group is sodium borohydride. A variety of protecting groups for the C(7) and C(2′) hydroxy groups may be used, and several are described elsewhere herein (e.g., trialkylsilyl).
In a preferred one-pot protocol for the synthesis of the appropriate beta-lactam (I) coupling partner, a tetrahydrofuran solution of an optically pure beta-lactam was treated with a stoichiometric amount of 2-methoxy-propene in the present of a catalytic amount of p-toluenesulfonic acid to protect its hydroxy group (P2), followed by treatment with the appropriate chloroformates (cyclobutyl or cyclopentyl) to introduce the X10 substituent at ambient temperature. See, e.g., U.S. Published Patent Application No. 2005/0228037 to Holton et al. (hereby incorporated by reference herein in its entirety).
Processes for the preparation and resolution of the β-lactam (I) starting material are generally well known in the art. For example, the β-lactam may be prepared as described in Holton, U.S. Pat. No. 5,430,160 (col. 9, lines 2-50) or Holton, U.S. Pat. No. 6,649,632 (col. 7, line 45 to col. 8, line 60), and U.S. Pat. App. Pub. No. 2006/0281914 (page 1, paragraph [0021] to page 6, paragraph [0060]), each of which is hereby incorporated by reference in their entirety. The resulting enantiomeric mixtures of β-lactams may be resolved by a stereoselective hydrolysis using a lipase or enzyme as described, for example, in Patel, U.S. Pat. No. 5,879,929 (col. 16, line 1 to col. 18, line 27) or Patel, U.S. Pat. No. 5,567,614 or a liver homogenate as described, for example, in Holton, U.S. Pat. No. 6,548,293 (col. 3, lines 30-61), each of which is hereby incorporated by reference in its entirety, or by treatment with an optically active proline acylating agent followed by selective recovery of the unreacted enantiomer or one of the diastereomers as described in U.S. Pat. App. Pub. No. 2006/0281918 (page 1, paragraph [0022] to page 8, paragraph [0071]) (hereby incorporated by reference herein in its entirety). By way of example, U.S. Pat. No. 6,649,632 discloses the preparation of a β-lactam having a furyl substituent at the C(4) position of the β-lactam. With modifications evident to those skilled in the art, a β-lactam having a thienyl substituent at the β-lactam C(4) position may be prepared as illustrated in these prior patents and patent applications and as further disclosed in Example 11 below.
The compounds of the present disclosure may be provided in their salt form. Typically, the salt will be a pharmaceutically acceptable salt; that is, a salt prepared from pharmaceutically acceptable non-toxic acids, including inorganic acids and organic acids. Suitable non-toxic acids include inorganic and organic acids of basic residues such as amines, for example, acetic, benzenesulfonic, benzoic, amphorsulfonic, citric, ethenesulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, nitric, pamoic, pantothenic, phosphoric, succinic, sulfuric, barbaric acid, p-toluenesulfonic and the like; and alkali or organic salts of acidic residues such as carboxylic acids, for example, alkali and alkaline earth metal salts derived from the following bases: sodium hydride, sodium hydroxide, potassium hydroxide, calcium hydroxide, aluminum hydroxide, lithium hydroxide, magnesium hydroxide, zinc hydroxide, ammonia, trimethylammonia, triethylammonia, ethylenediamine, lysine, arginine, ornithine, choline, N,N′′-dibenzylethylenediamine, chloroprocaine, diethanolamine, procaine, n-benzylphenethylamine, diethylamine, piperazine, tris(hydroxymethyl)-aminomethane, tetramethylammonium hydroxide, and the like. Pharmaceutically acceptable salts of the compositions described herein can be prepared by reacting the compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, Pa., 1985, p. 1418, hereby incorporated by reference herein in its entirety.
Additionally or alternatively, the compounds may be provided in the form of a prodrug. In general, a pharmaceutically acceptable derivative or prodrug is any pharmaceutically acceptable salt, ester, salt of an ester or other derivative of a compound of this disclosure which, upon administration to a recipient, is capable of providing, either directly or indirectly, a compound of this disclosure or an inhibitorily active metabolite or residue thereof. Particularly favored derivatives or prodrugs are those that increase the bioavailability of the compounds of this disclosure when such compounds are administered to a patient (e.g., by allowing an orally administered compound to be more readily absorbed into the blood) or which enhance delivery of the parent compound to a biological compartment (e.g., the brain or lymphatic system) relative to the parent species. Pharmaceutically acceptable prodrugs include, but are not limited to, taxanes of the present disclosure derivatized with one or more of the following groups: phosphates, pivaloyloxymethyl, acetoxymethyl, phthalidyl, indanyl, methoxymethyl, methylpyridinium mesylate, bicarbonate, onium salts, phosphonooxymethyl carbonate, cinnamate, aminoacid, benzoyl, acyl, thioaryl, polyethylene glycol based, ester linked, polyalkylene oxide, dextran, polyvinyl alcohols, carbohydrate based polymers, oligopeptide, polyglutamic acid, polyamino acid, onium salts of 2-halogenated aza-arenes, highly polar amino sugar, and the like. Suitable positions in the taxane molecule of the present disclosure for prodrug formation include, but are not limited to, the C(2′) and C(7) positions. Various forms of prodrugs are well known in the art. For examples of such prodrug derivatives, see: (a) Design of Prodrugs, edited by H. Bundgaard, (Elsevier, 1985) and Methods in Enzymology, Vol. 42, p. 309-396, edited by K. Widder, et al. (Acamedic Press, 1985); (b) A Textbook of Drug Design and Development, edited by Krosgaard-Larsen and H. Bundgaard, Chapter 5, “Design and Application of Prodrugs,” by H. Bundgaard, p. 113-191 (1991); (c) H. Bundgaard, Advanced Drug Delivery Reviews, 8, 1-38 (1992); (d) H. Bundgaard, et al., Journal of Pharmaceutical Sciences, 77, 285 (1988); and (e) N. Kakeya, et al., Chem. Pharm. Bull., 32, 692 (1984), each of which is hereby incorporated by reference herein in its entirety.
The taxanes of the instant disclosure are useful for inhibiting tumor growth in mammals including humans and is preferably administered in the form of a pharmaceutical composition comprising an effective anti-tumor amount of the compound of the instant disclosure in combination with at least one pharmaceutically or pharmacologically acceptable carrier. The carrier, also known in the art as an excipient, vehicle, auxiliary, adjuvant, or diluent, is any substance which is pharmaceutically inert, confers a suitable consistency or form to the composition, and does not diminish the therapeutic efficacy of the anti-tumor compounds. The carrier is “pharmaceutically or pharmacologically acceptable” if it does not produce an adverse, allergic or other untoward reaction when administered to a mammal or human, as appropriate.
The pharmaceutical compositions containing the anti-tumor compound of the present disclosure may be formulated in any conventional manner. Proper formulation is dependent upon the route of administration chosen. The compositions of the disclosure can be formulated for any route of administration so long as the target tissue is available via that route. Suitable routes of administration include, but are not limited to, oral, parenteral (e.g., intravenous, intraarterial, subcutaneous, rectal, subcutaneous, intramuscular, intraorbital, intracapsular, intraspinal, intraperitoneal, or intrasternal), topical (e.g., nasal, transdermal, intraocular), intravesical, intrathecal, enteral, pulmonary, intralymphatic, intracavital, vaginal, transurethral, intradermal, aural, intramammary, buccal, orthotopic, intratracheal, intralesional, percutaneous, endoscopical, transmucosal, sublingual and intestinal administration.
Pharmaceutically acceptable carriers for use in the compositions of the present disclosure are well known to those of ordinary skill in the art and are selected based upon a number of factors: the particular anti-tumor compound used, and its concentration, stability and intended bioavailability; the disease, disorder or condition being treated with the composition; the subject, its age, size and general condition; and the route of administration. Suitable carriers are readily determined by one of ordinary skill in the art (see, for example, J. G. Nairn, Remington's Pharmaceutical Science (A. Gennaro, ed.), Mack Publishing Co., Easton, Pa., (1985), pp. 1492-1517, the contents of which are incorporated herein by reference).
The compositions are preferably formulated as tablets, dispersible powders, pills, capsules, gelcaps, caplets, gels, liposomes, granules, solutions, suspensions, emulsions, syrups, elixirs, troches, dragees, lozenges, or any other dosage form which can be administered orally. Techniques and compositions for making oral dosage forms useful in the present disclosure are described in the following references: 7 Modern Pharmaceutics, Chapters 9 and 10 (Banker & Rhodes, Editors, 1979); Lieberman et al., Pharmaceutical Dosage Forms: Tablets (1981); and Ansel, Introduction to Pharmaceutical Dosage Forms, 2nd Edition (1976).
The compositions of the disclosure for oral administration comprise an effective anti-tumor amount of the compound of the disclosure in a pharmaceutically acceptable carrier. Suitable carriers for solid dosage forms include sugars, starches, and other conventional substances including lactose, talc, sucrose, gelatin, carboxymethylcellulose, agar, mannitol, sorbitol, calcium phosphate, calcium carbonate, sodium carbonate, kaolin, alginic acid, acacia, corn starch, potato starch, sodium saccharin, magnesium carbonate, tragacanth, microcrystalline cellulose, colloidal silicon dioxide, croscarmellose sodium, talc, magnesium stearate, and stearic acid. Further, such solid dosage forms may be uncoated or may be coated by known techniques, e.g., to delay disintegration and absorption.
The anti-tumor compound of the present disclosure may also be preferably formulated for parenteral administration, e.g., formulated for injection via intravenous, intraarterial, subcutaneous, rectal, subcutaneous, intramuscular, intraorbital, intracapsular, intraspinal, intraperitoneal, or intrasternal routes. The compositions of the disclosure for parenteral administration comprise an effective anti-tumor amount of the anti-tumor compound in a pharmaceutically acceptable carrier. Dosage forms suitable for parenteral administration include solutions, suspensions, dispersions, emulsions or any other dosage form which can be administered parenterally. Techniques and compositions for making parenteral dosage forms are known in the art.
Suitable carriers used in formulating liquid dosage forms for oral or parenteral administration include nonaqueous, pharmaceutically-acceptable polar solvents such as oils, alcohols, amides, esters, ethers, ketones, hydrocarbons and mixtures thereof, as well as water, saline solutions, dextrose solutions (e.g., DW5), electrolyte solutions, or any other aqueous, pharmaceutically acceptable liquid.
Suitable nonaqueous, pharmaceutically-acceptable polar solvents include, but are not limited to, alcohols (e.g., α-glycerol formal, β-glycerol formal, 1,3-butyleneglycol, aliphatic or aromatic alcohols having 2-30 carbon atoms such as methanol, ethanol, propanol, isopropanol, butanol, t-butanol, hexanol, octanol, amylene hydrate, benzyl alcohol, glycerin (glycerol), glycol, hexylene glycol, tetrahydrofurfuryl alcohol, lauryl alcohol, cetyl alcohol, or stearyl alcohol, fatty acid esters of fatty alcohols such as polyalkylene glycols (e.g., polypropylene glycol, polyethylene glycol), sorbitan, sucrose, and cholesterol); amides (e.g., dimethylacetamide (DMA), benzyl benzoate DMA, dimethylformamide, N-(β-hydroxyethyl)-lactamide, N,N-dimethylacetamide amides, 2-pyrrolidinone, 1-methyl-2-pyrrolidinone, or polyvinylpyrrolidone); esters (e.g., 1-methyl-2-pyrrolidinone, 2-pyrrolidinone, acetate esters such as monoacetin, diacetin, and triacetin, aliphatic or aromatic esters such as ethyl caprylate or octanoate, alkyl oleate, benzyl benzoate, benzyl acetate, dimethylsulfoxide (DMSO), esters of glycerin such as mono, di, or tri-glyceryl citrates or tartrates, ethyl benzoate, ethyl acetate, ethyl carbonate, ethyl lactate, ethyl oleate, fatty acid esters of sorbitan, fatty acid derived PEG esters, glyceryl monostearate, glyceride esters such as mono, di, or tri-glycerides, fatty acid esters such as isopropyl myristate, fatty acid derived PEG esters such as PEG-hydroxyoleate and PEG-hydroxystearate, N-methylpyrrolidinone, pluronic 60, polyoxyethylene sorbitol oleic polyesters such as poly(ethoxylated)30-60 sorbitol poly(oleate)2-4, poly(oxyethylene)15-20 monooleate, poly(oxyethylene)15-20 mono 12-hydroxystearate, and poly(oxyethylene)15-20 mono ricinoleate, polyoxyethylene sorbitan esters such as polyoxyethylene-sorbitan monooleate, polyoxyethylene-sorbitan monopalmitate, polyoxyethylene-sorbitan monolaurate, polyoxyethylene-sorbitan monostearate, and Polysorbate® 20, 40, 60 or 80 from ICI Americas, Wilmington, Del., polyvinylpyrrolidone, alkyleneoxy modified fatty acid esters such as polyoxyl 40 hydrogenated castor oil and polyoxyethylated castor oils (e.g., Cremophor EL® solution or Cremophor RH 40® solution), saccharide fatty acid esters (i.e., the condensation product of a monosaccharide (e.g., pentoses such as ribose, ribulose, arabinose, xylose, lyxose and xylulose, hexoses such as glucose, fructose, galactose, mannose and sorbose, trioses, tetroses, heptoses, and octoses), disaccharide (e.g., sucrose, maltose, lactose and trehalose) or oligosaccharide or mixture thereof with a C4-C22 fatty acid(s) (e.g., saturated fatty acids such as caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid and stearic acid, and unsaturated fatty acids such as palmitoleic acid, oleic acid, elaidic acid, erucic acid and linoleic acid)), or steroidal esters); alkyl, aryl, or cyclic ethers having 2-30 carbon atoms (e.g., diethyl ether, tetrahydrofuran, dimethyl isosorbide, diethylene glycol monoethyl ether); glycofurol (tetrahydrofurfuryl alcohol polyethylene glycol ether); ketones having 3-30 carbon atoms (e.g., acetone, methyl ethyl ketone, methyl isobutyl ketone); aliphatic, cycloaliphatic or aromatic hydrocarbons having 4-30 carbon atoms (e.g., benzene, cyclohexane, dichloromethane, dioxolanes, hexane, n-decane, n-dodecane, n-hexane, sulfolane, tetramethylenesulfon, tetramethylenesulfoxide, toluene, dimethylsulfoxide (DMSO), or tetramethylenesulfoxide); oils of mineral, vegetable, animal, essential or synthetic origin (e.g., mineral oils such as aliphatic or wax-based hydrocarbons, aromatic hydrocarbons, mixed aliphatic and aromatic based hydrocarbons, and refined paraffin oil, vegetable oils such as linseed, tung, safflower, soybean, castor, cottonseed, groundnut, rapeseed, coconut, palm, olive, corn, corn germ, sesame, persic and peanut oil and glycerides such as mono-, di- or triglycerides, animal oils such as fish, marine, sperm, cod-liver, haliver, squalene, squalane, and shark liver oil, oleic oils, and polyoxyethylated castor oil); alkyl or aryl halides having 1-30 carbon atoms and optionally more than one halogen substituent; methylene chloride; monoethanolamine; petroleum benzin; trolamine; omega-3 polyunsaturated fatty acids (e.g., alpha-linolenic acid, eicosapentaenoic acid, docosapentaenoic acid, or docosahexaenoic acid); polyglycol ester of 12-hydroxystearic acid and polyethylene glycol (Solutol® HS-15, from BASF, Ludwigshafen, Germany); polyoxyethylene glycerol; sodium laurate; sodium oleate; or sorbitan monooleate.
Other pharmaceutically acceptable solvents for use in the disclosure are well known to those of ordinary skill in the art, and are identified in The Chemotherapy Source Book (Williams & Wilkens Publishing), The Handbook of Pharmaceutical Excipients, (American Pharmaceutical Association, Washington, D.C., and The Pharmaceutical Society of Great Britain, London, England, 1968), Modern Pharmaceutics, (G. Banker et al., eds., 3d ed.) (Marcel Dekker, Inc., New York, N.Y., 1995), The Pharmacological Basis of Therapeutics, (Goodman & Gilman, McGraw Hill Publishing), Pharmaceutical Dosage Forms, (H. Lieberman et al., eds.,) (Marcel Dekker, Inc., New York, N.Y., 1980), Remington's Pharmaceutical Sciences (A. Gennaro, ed., 19th Ed.) (Mack Publishing, Easton, Pa., 1995), The United States Pharmacopeia 24, The National Formulary 19, (National Publishing, Philadelphia, Pa., 2000), and A. J. Spiegel et al., Use of Nonaqueous Solvents in Parenteral Products, Journal of Pharmaceutical Sciences, Vol. 52, No. 10, pp. 917-927 (1963).
Preferred solvents include those known to stabilize the anti-tumor compound, such as oils rich in triglycerides, for example, safflower oil, soybean oil or mixtures thereof, and alkyleneoxy modified fatty acid esters such as polyoxyl 40 hydrogenated castor oil and polyoxyethylated castor oils (e.g., Cremophor EL® solution or Cremophor RH 40® solution). Commercially available triglyceride-rich oils include Intralipid® emulsified soybean oil (Kabi-Pharmacia Inc., Stockholm, Sweden), Nutralipid® emulsion (McGaw, Irvine, Calif.), Liposyn® II 20% emulsion (a 20% fat emulsion solution containing 100 mg safflower oil, 100 mg soybean oil, 12 mg egg phosphatides, and 25 mg glycerin per ml of solution; Abbott Laboratories, Chicago, Ill.), Liposyn® III 20% emulsion (a 20% fat emulsion solution containing 100 mg safflower oil, 100 mg soybean oil, 12 mg egg phosphatides, and 25 mg glycerin per ml of solution; Abbott Laboratories, Chicago, Ill.), natural or synthetic glycerol derivatives containing the docosahexaenoyl group at levels between 25% and 100% by weight based on the total fatty acid content (Dhasco® (from Martek Biosciences Corp., Columbia, Md.), DHA Maguro® (from Daito Enterprises, Los Angeles, Calif.), Soyacal®, and Travemulsion®. Ethanol is a preferred solvent for use in dissolving the anti-tumor compound to form solutions, emulsions, and the like.
Additional minor components can be included in the compositions of the disclosure for a variety of purposes well known in the pharmaceutical industry. These components will for the most part impart properties which enhance retention of the anti-tumor compound at the site of administration, protect the stability of the composition, control the pH, facilitate processing of the anti-tumor compound into pharmaceutical formulations, and the like. Typically, each of these components is individually present in less than about 15 wt. % of the total composition, preferably less than about 5 wt. %, and more preferably less than about 0.5 wt. % of the total composition. Some components, such as fillers or diluents, can constitute up to 90 wt. % of the total composition, as is known in the formulation art. Such additives include cryoprotective agents for preventing reprecipitation of the taxane, surface active, wetting or emulsifying agents (e.g., lecithin, polysorbate-80, pluronic 60, polyoxyethylene stearate, and polyoxyethylated castor oils), preservatives (e.g., ethyl-p-hydroxybenzoate), microbial preservatives (e.g., benzyl alcohol, phenol, m-cresol, chlorobutanol, sorbic acid, thimerosal and paraben), agents for adjusting pH or buffering agents (e.g., acids, bases, sodium acetate, sorbitan monolaurate), agents for adjusting osmolarity (e.g., glycerin), thickeners (e.g., aluminum monostearate, stearic acid, cetyl alcohol, stearyl alcohol, guar gum, methyl cellulose, hydroxypropylcellulose, tristearin, cetyl wax esters, polyethylene glycol), colorants, dyes, flow aids, non-volatile silicones (e.g., cyclomethicone), clays (e.g., bentonites), adhesives, bulking agents, flavorings, sweeteners, adsorbents, fillers (e.g., sugars such as lactose, sucrose, mannitol, or sorbitol, cellulose, or calcium phosphate), diluents (e.g., water, saline, electrolyte solutions), binders (e.g., starches such as maize starch, wheat starch, rice starch, or potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropyl methylcellulose, sodium carboxymethyl cellulose, polyvinylpyrrolidone, sugars, polymers, acacia), disintegrating agents (e.g., starches such as maize starch, wheat starch, rice starch, potato starch, or carboxymethyl starch, cross-linked polyvinyl pyrrolidone, agar, alginic acid or a salt thereof such as sodium alginate, croscarmellose sodium or crospovidone), lubricants (e.g., silica, talc, stearic acid or salts thereof such as magnesium stearate, or polyethylene glycol), coating agents (e.g., concentrated sugar solutions including gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, or titanium dioxide), and antioxidants (e.g., sodium metabisulfite, sodium bisulfite, sodium sulfite, dextrose, phenols, and thiophenols).
Dosage form administration by these routes may be continuous or intermittent, depending, for example, upon the patient's physiological condition, whether the purpose of the administration is therapeutic or prophylactic, and other factors known to and assessable by a skilled practitioner.
Dosage and regimens for the administration of the pharmaceutical compositions of the disclosure can be readily determined by those with ordinary skill in treating cancer. It is understood that the dosage of the anti-tumor compounds will be dependent upon the age, sex, health, and weight of the recipient, kind of concurrent treatment, if any, frequency of treatment, and the nature of the effect desired. For any mode of administration, the actual amount of anti-tumor compound delivered, as well as the dosing schedule necessary to achieve the advantageous effects described herein, will also depend, in part, on such factors as the bioavailability of the anti-tumor compound, the disorder being treated, the desired therapeutic dose, and other factors that will be apparent to those of skill in the art. The dose administered to an animal, particularly a human, in the context of the present disclosure should be sufficient to affect the desired therapeutic response in the animal over a reasonable period of time. Preferably, an effective amount of the anti-tumor compound, whether administered orally or by another route, is any amount which would result in a desired therapeutic response when administered by that route. Preferably, the compositions for oral administration are prepared in such a way that a single dose in one or more oral preparations contains at least 20 mg of the anti-tumor compound per m2 of patient body surface area, or at least 50, 100, 150, 200, 300, 400, or 500 mg of the anti-tumor compound per m2 of patient body surface area, wherein the average body surface area for a human is 1.8 m2. Preferably, a single dose of a composition for oral administration contains from about 20 to about 600 mg of the anti-tumor compound per m2 of patient body surface area, more preferably from about 25 to about 400 mg/m2, even more preferably, from about 40 to about 300 mg/m2, even more preferably from about 50 to about 200 mg/m2, and even more preferably about 50 to about 100 mg/m2. Preferably, the compositions for parenteral administration are prepared in such a way that a single dose contains at least 20 mg of the anti-tumor compound per m2 of patient body surface area, or at least 40, 50, 100, 150, 200, 300, 400, or 500 mg of the anti-tumor compound per m2 of patient body surface area. Preferably, a single dose in one or more parenteral preparations contains from about 20 to about 500 mg of the anti-tumor compound per m2 of patient body surface area, more preferably from about 40 to about 400 mg/m2, even more preferably from about 60 to about 350 mg/m2, and even more preferably about 50 to about 100 mg/m2. However, the dosage may vary depending on the dosing schedule which can be adjusted as necessary to achieve the desired therapeutic effect. It should be noted that the ranges of effective doses provided herein are not intended to limit the disclosure and represent preferred dose ranges. The most preferred dosage will be tailored to the individual subject, as is understood and determinable by one of ordinary skill in the art without undue experimentation.
The concentration of the anti-tumor compound in a liquid pharmaceutical composition is preferably between about 0.001 mg and about 20 mg/mL of the composition, more preferably between about 0.01 mg and about 10 mg/mL of the composition, more preferably between about 0.1 mg and about 7 mg/mL, even more preferably between about 0.1 mg and about 5 mg/mL. In one embodiment, the concentration of the anti-tumor compound having chemical structure (1) in this formulation is 0.15 to 4 mg/mL. Relatively low concentrations are generally preferred because the anti-tumor compound is most soluble in the solution at low concentrations. The concentration of the anti-tumor compound in a solid pharmaceutical composition for oral administration is preferably between about 5 wt. % and about 50 wt. %, based on the total weight of the composition, more preferably between about 8 wt. % and about 40 wt. %, and most preferably between about 10 wt. % and about 30 wt. %.
In one embodiment, solutions for oral administration are prepared by dissolving an anti-tumor compound in any pharmaceutically acceptable solvent capable of dissolving the compound (e.g., ethanol or polyethylene glycol) to form a solution. An appropriate volume of a carrier which is a surfactant, such as Cremophor EL® solution, polysorbate 80, Solutol® HS15, or Vitamin E TPGS, is added to the solution while stirring to form a pharmaceutically acceptable solution for oral administration to a patient. For example, the resulting compositions may contain up to about 15% ethanol and/or up to about 15% surfactant, more typically, the concentrations will be about 7.5 to 15% by volume ethanol with an equal volume of surfactant and distilled water in the range of 75 to 90% by volume. For taste purposes, a fraction of the distilled water can be replaced by a diluted cherry or raspberry syrup, preferably, about 10 to 30% syrup with the remainder water. In one embodiment, the concentration of the anti-tumor compound having chemical structure (1) in this formulation is 2 to 4 mg/mL. If desired, such solutions can be formulated to contain a minimal amount of, or to be free of, ethanol, which is known in the art to cause adverse physiological effects when administered at certain concentrations in oral formulations. In a preferred embodiment, the solution comprises about 10% ethanol, about 10% surfactant selected from polysorbate 80 (e.g., Tween® 80), polyethoxylated castor oils (e.g., Cremophor®), and mixtures thereof, and about 80% distilled water.
In another embodiment, powders or tablets for oral administration are prepared by dissolving an anti-tumor compound in any pharmaceutically acceptable solvent capable of dissolving the compound (e.g., ethanol or polyethylene glycol) to form a solution. The solvent can optionally be capable of evaporating when the solution is dried under vacuum. An additional carrier can be added to the solution prior to drying, such as Cremophor EL® solution. The resulting solution is dried under vacuum to form a glass. The glass is then mixed with a binder to form a powder. The powder can be mixed with fillers or other conventional tabletting agents and processed to form a tablet for oral administration to a patient. The powder can also be added to any liquid carrier as described above to form a solution, emulsion, suspension or the like for oral administration.
Emulsions for parenteral administration can be prepared by dissolving an anti-tumor compound in any pharmaceutically acceptable solvent capable of dissolving the compound (e.g., ethanol or polyethylene glycol) to form a solution. An appropriate volume of a carrier which is an emulsion, such as Liposyn® II, Liposyn® III, or Intralipid® emulsion, is added to the solution while stirring to form a pharmaceutically acceptable emulsion for parenteral administration to a patient. For example, the resulting composition may contain up to about 10% ethanol and/or more than about 90% carrier, more typically, the concentration will be about 5 to 10% by volume ethanol and about 90 to 95% by volume carrier. In one embodiment, the concentration of the anti-tumor compound having chemical structure (1) in the dosing solution is about 1 to 2 mg/mL. If desired, such emulsions can be formulated to contain a minimal amount of, or to be free of, ethanol or Cremophor® solution, which are known in the art to cause adverse physiological effects when administered at certain concentrations in parenteral formulations. In a preferred embodiment, the emulsion comprises about 5% ethanol and about 95% carrier (e.g., Intralipid® 20%, Liposyn® II 20%, or a mixture thereof). In this preferred embodiment, the emulsion is free of agents which are known to cause adverse physiological effects, such as polyethoxylated castor oils (e.g., Cremophor®) and polysorbate 80 (e.g., Tween® 80).
Solutions for parenteral administration can be prepared by dissolving an anti-tumor compound in any pharmaceutically acceptable solvent capable of dissolving the compound (e.g., ethanol or polyethylene glycol) to form a solution. An appropriate volume of a carrier which is a surfactant, such as Cremophor® solution, polysorbate 80, or Solutol® HS15, is added to the solution while stirring to form a pharmaceutically acceptable solution for parenteral administration to a patient. For example, the resulting composition may contain up to about 10% ethanol and/or up to about 10% surfactant, more typically, the concentration will be about 5 to 10% by volume ethanol with an equal volume of surfactant and saline in the range of 80 to 90% by volume. If desired, such solutions can be formulated to contain a minimal amount of, or to be free of, ethanol or Cremophor® solution, which are known in the art to cause adverse physiological effects when administered at certain concentrations in parenteral formulations. In a preferred embodiment, the solution comprises about 5% ethanol, about 5% polysorbate 80 (e.g., Tween® 80) or polyethoxylated castor oils (e.g., Cremophor®), and about 90% saline (0.9% sodium chloride). To minimize or eliminate potential adverse effects (e.g., hypersensitivity reactions), a patient receiving this embodiment is preferably pretreated with dexamethasone, diphenhydramine, or any other agent known in the art to minimize or eliminate these adverse reactions.
Other suitable parenteral formulations include liposomes. Liposomes are generally spherical or spheroidal clusters or aggregates of amphiphatic compounds, including lipid compounds, typically in the form of one or more concentric layers, for example monolayers or bilayers. The liposomes may be formulated from either ionic or nonionic lipids. Liposomes from nonionic lipids are also referred to as niosomes. References for liposomes include: (a) Liposomes Second Edition: A Practical Approach, edited by V. Torchillin and V. Weissig, Oxford University Press, 2003; (b) M. Malmstein, Surfactants and Polymers in Drug Delivery, Marcel Dekker Inc., 2002; and (c) Muller et al., Emulsions and Nanosuspensions for the Formulation of Poorly Soluble Drugs, Medpharm Scientific Publishers, 1998.
If desired, the emulsions or solutions described above for oral or parenteral administration can be packaged in IV bags, vials or other conventional containers in concentrated form and diluted with any pharmaceutically acceptable liquid, such as saline, to form an acceptable taxane concentration prior to use as is known in the art.
Abbreviations And Definitions
The following definitions and methods are provided to better define the present disclosure and to guide those of ordinary skill in the art in the practice of the present disclosure. Unless otherwise noted, terms are to be understood according to conventional usage by those of ordinary skill in the relevant art.
With regard to stereoisomers, it should be understood that a solid line designation for the bonds in the compositions corresponding to Formula (1) (and others herein) for attachment of an substituent group to a chiral carbon atom of the compound indicates that these groups may lie either below or above the plane of the page (i.e.,  or  All isomeric forms of the compounds disclosed herein are contemplated, including racemates, racemic mixtures, and individual enantiomers or diastereomers.
The terms “acetal” and “ketal,” as used herein alone or as part of another group, denote the moieties represented by the following formulae, respectively:




wherein X1 and X2 are independently hydrocarbyl, substituted hydrocarbyl, heterocyclo, or heteroaryl, and X3 is hydrocarbyl or substituted hydrocarbyl, as defined in connection with such terms, and the wavy lines represent the attachment point of the acetal or ketal moiety to another moiety or compound.

The term “acyl,” as used herein alone or as part of another group, denotes the moiety formed by removal of the hydroxyl group from the group —COOH of an organic carboxylic acid, e.g., X4C(O)—, wherein X4 is X1, X1O—, X1 X2N—, or X1S—, X1 is hydrocarbyl, heterosubstituted hydrocarbyl, or heterocyclo, and X2 is hydrogen, hydrocarbyl or substituted hydrocarbyl. Exemplary acyl moieties include acetyl, propionyl, benzoyl, pyridinylcarbonyl, and the like.
The term “acyloxy,” as used herein alone or as part of another group, denotes an acyl group as described above bonded through an oxygen linkage (—O—), e.g., X4C(O)O— wherein X4 is as defined in connection with the term “acyl.”
The term “alkoxy,” as used herein alone or as part of another group, denotes an —OX5 radical, wherein X5 is as defined in connection with the term “alkyl.” Exemplary alkoxy moieties include methoxy, ethoxy, propoxy, or 2-propoxy, n-, iso-, or tert-butoxy, and the like.
The term “alkenoxy,” as used herein alone or as part of another group, denotes an —OX6 radical, wherein X6 is as defined in connection with the term “alkenyl.” Exemplary alkenoxy moieties include ethenoxy, propenoxy, butenoxy, hexenoxy, and the like.
The term “alkynoxy,” as used herein alone or as part of another group, denotes an —OX7 radical, wherein X7 is as defined in connection with the term “alkynyl.” Exemplary alkynoxy moieties include ethynoxy, propynoxy, butynoxy, hexynoxy, and the like.
Unless otherwise indicated, the alkyl groups described herein are preferably lower alkyl containing from one to eight carbon atoms in the principal chain and up to 20 carbon atoms. They may be straight or branched chain or cyclic and include methyl, ethyl, propyl, isopropyl, butyl, hexyl and the like.
The term “cycloalkyl,” as used herein alone or as part of another group, denotes a cyclic saturated monovalent bridged or non-bridged hydrocarbon radical of three to ten carbon atoms. Exemplary cycloalkyl moieties include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, or adamantyl. Additionally, one or two ring carbon atoms may optionally be replaced with a —CO— group.
Unless otherwise indicated, the alkenyl groups described herein are preferably lower alkenyl containing from two to eight carbon atoms in the principal chain and up to 20 carbon atoms. They may be straight or branched chain or cyclic and include ethenyl, propenyl, isopropenyl, butenyl, isobutenyl, hexenyl, and the like.
Unless otherwise indicated, the alkynyl groups described herein are preferably lower alkynyl containing from two to eight carbon atoms in the principal chain and up to 20 carbon atoms. They may be straight or branched chain and include ethynyl, propynyl, butynyl, isobutynyl, hexynyl, and the like.
The terms “amine” or “amino,” as used herein alone or as part of another group, represents a group of formula —N(X8)(X9), wherein X8 and X9 are independently hydrogen, hydrocarbyl, substituted hydrocarbyl, heteroaryl, or heterocyclo, or X8 and X9 taken together form a substituted or unsubstituted alicyclic, aryl, or heterocyclic moiety, each as defined in connection with such term, typically having from 3 to 8 atoms in the ring. “Substituted amine,” for example, refers to a group of formula —N(X8)(X9), wherein at least one of X8 and X9 are other than hydrogen.
“Unubstituted amine,” for example, refers to a group of formula —N(X8)(X9), wherein X8 and X9 are both hydrogen.
The terms “amido” or “amide,” as used herein alone or as part of another group, represents a group of formula —CON(X8)(X9), wherein X8 and X9 are as defined in connection with the terms “amine” or “amino.” “Substituted amide,” for example, refers to a group of formula —CON(X8)(X9), wherein at least one of X8 and X9 are other than hydrogen. “Unsubstituted amido,” for example, refers to a group of formula —CON(X8)(X9), wherein X8 and X9 are both hydrogen
The terms “aryl” or “Ar” as used herein alone or as part of another group denote optionally substituted homocyclic aromatic groups, preferably monocyclic or bicyclic groups containing from 6 to 12 carbons in the ring portion, such as phenyl, biphenyl, naphthyl, substituted phenyl, substituted biphenyl or substituted naphthyl. Phenyl and substituted phenyl are the more preferred aryl.
The terms “alkaryl” or “alkylaryl,” as used herein alone or as part of another group, denotes an -(arylene)-X11 radical, wherein X11 is as defined in connection with the term “alkyl.”
The term “cyano,” as used herein alone or as part of another group, denotes a group of formula —CN.
Unless otherwise indicated, the term “ester,” as used herein alone or as part of another group, denotes a group of formula —COOX12 wherein X12 is alkyl or aryl, each as defined in connection with such term.
The term “ether,” as used herein alone or as part of another group, includes compounds or moieties which contain an oxygen atom bonded to two carbon atoms. For example, ether includes “alkoxyalkyl” which refers to an alkyl, alkenyl, or alkynyl group substituted with an alkoxy group.
The terms “hydrocarbon” and “hydrocarbyl” as used herein describe organic compounds or radicals consisting exclusively of the elements carbon and hydrogen. These moieties include alkyl, alkenyl, alkynyl, and aryl moieties. These moieties also include alkyl, alkenyl, alkynyl, and aryl moieties substituted with other aliphatic or cyclic hydrocarbon groups, such as alkaryl, alkenaryl and alkynaryl. Unless otherwise indicated, these moieties preferably comprise 1 to 20 carbon atoms.
The terms “halide,” “halogen” or “halo” as used herein alone or as part of another group refer to chlorine, bromine, fluorine, and iodine.
The term “heteroatom” shall mean atoms other than carbon and hydrogen.
The term “heteroaromatic” or “heteroaryl” as used herein alone or as part of another group denote optionally substituted aromatic groups having at least one heteroatom in at least one ring, and preferably 5 or 6 atoms in each ring. The heteroaromatic group preferably has 1 or 2 oxygen atoms, 1 or 2 sulfur atoms, and/or 1 to 4 nitrogen atoms in the ring, and may be bonded to the remainder of the molecule through a carbon or heteroatom. Exemplary heteroaromatics include furyl, thienyl, pyridyl, oxazolyl, pyrrolyl, indolyl, quinolinyl, or isoquinolinyl and the like. Exemplary substituents include one or more of the following groups: hydrocarbyl, substituted hydrocarbyl, keto (i.e., ═O), hydroxy, protected hydroxy, acyl, acyloxy, alkoxy, alkenoxy, alkynoxy, aryloxy, halogen, amido, amino, nitro, cyano, thiol, ketals, acetals, esters and ethers.
The terms “heterocyclo” or “heterocyclic” as used herein alone or as part of another group denote optionally substituted, fully saturated or unsaturated, monocyclic or bicyclic, aromatic or nonaromatic groups having at least one heteroatom in at least one ring, and preferably 5 or 6 atoms in each ring. The heterocyclo group preferably has 1 or 2 oxygen atoms, 1 or 2 sulfur atoms, and/or 1 to 4 nitrogen atoms in the ring, and may be bonded to the remainder of the molecule through a carbon or heteroatom. Exemplary heterocyclo include heteroaromatics such as furyl, thienyl, pyridyl, oxazolyl, pyrrolyl, indolyl, quinolinyl, or isoquinolinyl and the like. Exemplary substituents include one or more of the following groups: hydrocarbyl, substituted hydrocarbyl, keto, hydroxy, protected hydroxy, acyl, acyloxy, alkoxy, alkenoxy, alkynoxy, aryloxy, halogen, amido, amino, nitro, cyano, thiol, ketals, acetals, esters and ethers.
The terms “hydroxy protecting group” as used herein denote a group capable of protecting a free hydroxyl group (“protected hydroxy”) which, subsequent to the reaction for which protection is employed, may be removed without disturbing the remainder of the molecule. A variety of protecting groups for the hydroxyl group and the synthesis thereof may be found in Protective Groups in Organic Synthesis, 3rd Edition by T. W. Greene and P. G. M. Wuts, John Wiley and Sons, 1999. Exemplary hydroxy protecting groups include methoxymethyl, 1-ethoxyethyl, benzyloxymethyl, (β-trimethylsilylethoxy)methyl, tetrahydropyranyl, 2,2,2-trichloroethoxycarbonyl, t-butyl(diphenyl)silyl, trialkylsilyl, dimethylphenylsilyl, trichloromethoxycarbonyl and 2,2,2-trichloroethoxymethyl.
The term “hydroxy,” as used herein alone or as part of another group, denotes a group of formula —OH.
The term “keto,” as used herein alone or as part of another group, denotes a double bonded oxygen moiety (i.e., ═O).
The term “nitro,” as used herein alone or as part of another group, denotes a group of formula —NO2.
The “substituted hydrocarbyl” moieties described herein are hydrocarbyl moieties which are substituted with at least one atom other than carbon, including moieties in which a carbon chain atom is substituted with a hetero atom such as nitrogen, oxygen, silicon, phosphorous, boron, sulfur, or a halogen atom. These substituents include halogen, heterocyclo, alkoxy, alkenoxy, alkynoxy, aryloxy, hydroxy, protected hydroxy, keto, acyl, acyloxy, nitro, amino, amido, nitro, cyano, thiol, ketals, acetals, esters, ethers, and thioethers.
The term “thioether,” as used herein alone or as part of another group, denotes compounds and moieties that contain a sulfur atom bonded to two different carbon or hetero atoms (i.e., —S—), and also includes compounds and moieties containing two sulfur atoms bonded to each other, each of which is also bonded to a carbon or hetero atom (i.e., dithioethers (—S—S—)). Examples of thioethers include, but are not limited to, alkylthioalkyls, alkylthioalkenyls, and alkylthioalkynyls. The term “alkylthioalkyls” includes compounds with an alkyl, alkenyl, or alkynyl group bonded to a sulfur atom that is bonded to an alkyl group. Similarly, the term “alkylthioalkenyls” and “alkylthioalkynyls” refer to compounds or moieties where an alkyl, alkenyl, or alkynyl group is bonded to a sulfur atom that is covalently bonded to an alkynyl group.
The term “thiol,” as used herein alone or as part of another group, denotes a group of formula —SH.
As used herein, “Ac” means acetyl; “Bz” means benzoyl; “TES” means triethylsilyl; “TMS” means trimethylsilyl; “LAH” means lithium aluminum hydride; “10-DAB” means 10-desacetylbaccatin III; “THF” means tetrahydrofuran; “DMAP” means 4-dimethylamino pyridine; “LHMDS” or “LiHMDS” means lithium hexamethyldisilazide; “TESCI” means triethylsilyl chloride; “TMSCI” means trimethylsilyl chloride; “DMF” means N,N-dimethylformamide; “MOP” means 2-methoxypropene; “LDA” means lithium diisopropylamide; “—OSiEt3” means —O-triethylsilyl; “—O—SiMe3” means —O-trimethylsilyl; “nBuLi” or “BuLi” means n-butyllithium; “DME” means dimethoxyethane; “ACN” means acetonitrile; “cPr” means cyclopropyl; “cPent” means cyclopentyl; “cPentO” means cyclopentyloxycarbonyl; “cBoc” means cyclobutoxycarbonyl.
Having described the invention in detail, it will be apparent that modifications and variations are possible without departing the scope of the invention defined in the appended claims. Furthermore, it should be appreciated that all examples in the present disclosure are provided as non-limiting examples.
EXAMPLE 1
10-Cyclopropylcarbonyl-7-Triethylsilyl-10-DAB




10-DAB (10.00 g, 18.36 mmol) was dissolved in anhydrous DMF at 6.0 mL/g (60.0 mL) along with 3 eq. of DMAP (6.73 g, 55.09 mmol) under nitrogen and magnetic stirring. To this clear yellowish solution at ambient temperature (22 to 25° C.) was added, drop-wise, 1.05 eq. of chlorotriethylsilane (2.91 g, 19.28 mmol) over a period of about 15 minutes. After 1 hr, 1HNMR reaction monitoring indicated that about 3% of the starting material 10-DAB was left un-reacted. A corrective amount of 3.8% chlorotriethylsilane was added and stirred for 2 hr for the reaction to achieve near completion with about 1% starting material remained un-reacted. To the reaction was added 1.05 eq. of cyclopropanecarbonyl chloride (2.02 g, 19.28 mmol) at ambient temperature and over a period of  ̃30 minutes. After stirring for 18 hrs, 1HNMR monitoring indicated that approximately 1.5% of the 7-TES-10-DAB was left un-reacted. A corrective amount of 2.6% cyclopropanecarbonyl chloride was added and further stirred for 2 hrs when the reaction went to near completion by TLC (2:3 E:H). The reaction mixture then was poured into  ̃800 mL of ice cold water with stirring at 0° C. After 1.0 hr, the solid product was collected by vacuum filtration. The filter cake was washed with cold water and dissolved in  ̃400 mL of ethyl acetate. The ethyl acetate solution was transferred to a separatory funnel, washed with water, saturated NaHCO3 solution and brine, dried over Na2SO4, filtered and concentrated to give 15.4759 g of the crude product. This crude was filtered through a short pad of silica gel using 3:2 E:H. The filtrate was concentrated to give 13.5239 g of the product at 91.9% HPLC purity. This product was dissolved in ethyl acetate (8.0 mL/g) at reflux and then hexanes (16 mL/g) was added. The slurry of the crystallized product was cooled to room temperature and then to 0° C. The white crystalline product was collected via a Buchner funnel and washed with ice cold ethyl acetate:hexanes (1:4 E:H). The filter cake was dried under vacuum and then oven dried under vacuum (78° C. and <0.1 mmHg) to give 10.34 g the product (14.22 mmol, 77.46%) at 97.4% HPLC purity.
m.p.=222° C. 1HNMR (400 MHz, CDCl3, δ (ppm): 0.56 (m, 6H), 0.92 (t, J=8.05 Hz, 9H), 0.99-1.05 (m, 2H), 1.05 (s, 3H), 1.13-1.21 (m, 2H), 1.21 (s, 3H), 1.6 (s, 1H), 1.68 (s, 3H), 1.76 (m, 1H), 1.87 (t, J=12.44 Hz, 1H), 2.01 (d, J=4.95 Hz, 1H), 2.2 (s, 3H), 2.26-2.28 (m, 2H), 2.29 (s, 3H), 2.52 (m, 1H), 3.89 (d, J=7.06 Hz, 1H), 4.16 (d, J=8.36 Hz, 1H), 4.3 (d, J=8.30 Hz, 1H), 4.47 (dd, J=10.20, 6.84 Hz), 4.84 (bm, 1H), 4.97 (dd, J=9.41, 1.56 Hz, 1H), 5.63 (d, J=7.16, 1H), 6.46 (s, 1H), 7.48 (dd, J=7.90, 7.73 Hz, 2H), 7.61 (dd, J=8.1, 7.35 Hz, 1H), 8.10 (d, J=7.16 Hz, 2H).
EXAMPLE 2
10-Propionyl-7-Triethylsilyl-10-Deacetyl-Baccatin




Using the procedure of Example 1, 10.00 g of 10-DAB was reacted with triethylchlorosilane and propionyl chloride in the present of DMAP to produce 7.94 g of the 10-propionyl-7-TES-10-DAB (60.5% yield) at 95.8% HPLC purity.
1HNMR (400 MHz, CDCl3) δ (ppm): 0.5-0.67 (m, 6H), 0.92 (t, J=7.93 Hz, 9H), 1.04 (s, 3H), 1.20 (s, 3H), 1.21 (t, J=7.6 Hz, 3H), 1.6 (s, 1H), 1.68 (s, 3H), 1.81-1.94 (m, 1H), 2.0 (d, J=4.94 Hz, 1H), 2.2 (s, 3H), 2.24-2.32 (m, 2H), 2.28 (s, 3H), 2.35-2.59 (m, 3H), 3.9 (d, J=6.83 Hz, 1H), 4.16 (d, J=8.36 Hz, 1H), 4.29 (d, J=8.18 Hz, 1H), 4.45-4.54 (m, 1H), 4.79-4.89 (m, 1H), 4.97 (d, J=7.84 Hz, 1H), 5.63 (d, J=7.16 Hz, 1H), 6.48 (s, 1H), 7.43-7.53 (m, 2H), 7.56-7.64 (m, 1H), 8.10 (d, J=7.05, 2H).
EXAMPLE 3
2′-MOP-7-TES-17932




A solution of 10-cPr-7-TES-10-DAB (209 mg, 0.287 mmol) and N-cPentO-(O-MOP)—SIT302 (111 mg, 0.316 mmol) in 8 mL of anhydrous tetrahydrofuran at −45° C., under nitrogen and magnetic stirring, was charged with 0.316 mL (0.316 mmol) of lithium hexamethyl disilazide and stirred for 4 hours. The reaction was quenched with 1 mL of aqueous sodium bicarbonate and diluted with 10 mL ethyl acetate. The mixture was washed with 10 mL each of H2O, sodium bicarbonate, and brine and dried over sodium sulfate. The solvent was removed in vacuo and the crude solid was purified by flash chromatography to give 250 mg of the 2′-MOP-7-TES-17932 (80.6%).
1H-NMR (400 MHz, J in Hz, CDCl3): δ (ppm) 0.56 (m, 6H), 0.91 (m, 9H), 1.12 (m, 2H), 1.15-1.28 (m, 11H), 1.34 (s, 3H), 1.42-1.78 (m, 13H), 1.89 (t, J=12.33, 1H), 2.02 (s, 3H), 2.15 (m, 1H), 2.30 (m, 1H), 2.48-2.56 (m, 4H), 2.85 (s, 3H), 3.84 (d, J=7.04, 1H), 4.18 (d, J=8.53, 1H), 4.32 (d, J=8.53, 1H), 4.46 (dd, J=6.69, 10.58, 1H), 4.55 (s, 1H), 4.96 (m, 2H), 5.47 (m, 1H), 5.54 (d, J=7.02, 1H), 6.21 (t, J=9.06, 1H), 6.46 (s, 1H), 6.97 (m, 2H), 7.22 (dd, J=2.32, 3.90, 1H), 7.51 (m, 2H), 7.61 (m, 1H), 8.12 (d, J=7.09, 2H).
EXAMPLE 4
2′MOP-7-TES-18926




A solution of 10-Pr-7-TES-10-DAB (7.72 g, 10.81 mmol) and N-cPentO-(O-MOP)—SIT302 (4.59, g 12.98 mmol) in 70 mL of anhydrous tetrahydrofuran at −45° C. was charged with 12.97 mL (12.97 mmol) of lithium hexamethyldisilazide and stirred for 1.5 hours. The reaction was quenched with 15 mL of aqueous sodium bicarbonate and washed with 50 mL of H2O, 50 mL of sodium bicarbonate and 50 mL of brine. The organic layer was diluted with 70 mL of heptane and passed through a plug of basified silica gel. Residual product was flushed from the plug column with 200 mL of a 1:1 mixture of ethyl acetate/heptane. The solvent was removed in vacuo giving 15.08 g of a crude foam. Crystallization from ethyl acetate/heptane (1:1) gave 9.6 g of 2′-MOP-7-TES-18926 as a white solid (83%).
1H-NMR (400 MHz, J in Hz, CDCl3), δ (ppm): 0.57 (m, 6H), 0.90 (m, 9H), 1.19-1.70 (m, 27H), 1.89 (t, J=12.66, 1H), 2.03 (s, 3H), 2.16 (m, 1H), 2.29 (m, 1H), 2.38-2.56 (m, 6H), 2.85 (s, 3H), 3.84 (d, J=6.99, 1H), 4.18 (d, J=8.46, 1H), 4.32 (d, J=8.46, 1H), 4.47 (dd, J=6.65, 10.60, 1H), 4.56 (s, 1H), 4.96 (m, 2H), 5.48 (m, 1H), 5.55 (d, J=8.60, 1H), 5.70 (d, J=7.01, 1H), 6.20 (t, J=9.09, 1H), 6.47 (s, 1H), 6.97 (m, 2H), 7.22 (d, J=4.21, 1H), 7.51 (m, 2H), 7.61 (m, 1H), 8.22 (d, J=7.63, 2H).
EXAMPLE 5
2′-MOP-7-TES-18365




10-Cyclopropanecarboxyl-7-TES-10-DAB (8.00 g, 11.00 mmol) was dissolved in anhydrous THF at 0.13 M (84.7 mL) under nitrogen and magnetic stirring. To the clear solution at −45° C. was added 1.14 eq. of a 1.0 M solution of lithium bis(trimethylsilyl)amide (2.10 g, 12.55 mmol) in THF over a period of  ̃10-15 minutes. The solution was stirred for 45 minutes at −45° C. To this solution at −45° C. was added a solution of 1.14 eq. N-cBoc-(O-MOP)—SIT302 (4.26 g, 12.55 mmol) over a period of  ̃5 to 10 minutes then stirred at −5 to −10° C. The coupling was complete in  ̃3 hr according to TLC (2:3 E:H) analysis. The reaction was quenched with 15 mL of saturated aqueous sodium bicarbonate solution, extracted with 150 mL of ethyl acetate, washed with 50 mL of brine, dried over sodium sulfate and filtered. The filtrate was concentrated to give 14.76 g of the crude product. This crude was plug filtered using 1:2.5 E:H and 1% triethylamine. The filtrate was concentrated in vacuo to give 11.65 g of the product. The product was further recrystallized using IPA (5 ml/g+1% triethylamine) to give 10.51 g (9.86 mmol, 89.60%) after drying to a constant weight under vacuum (<0.1 mmHg).
1HNMR (400 MHz, CDCl3, δ (ppm): 0.47-0.64 (m, 6H), 0.83-0.97 (m, 2H), 0.91 (t, J=7.9 Hz), 1.14-1.26 (m, 2H), 1.2 (s, 3H), 1.22 (s, 3H), 1.24 (s, 3H), 1.35 (s, 3H), 1.37-1.49 (m, 1H), 1.67 (s, 1H), 1.69 (s, 3H), 1.71-1.79 (m, 1H), 1.84-1.94 (m, 1H), 1.94-2.05 (m, 2H), 2.02 (s, 3H), 2.08-2.41 (m, 5H), 2.47 (s, 3H), 2.84 (s, 3H), 3.84 (d, J=7.16 Hz, 1H), 4.19 (d, J=8.53 Hz, 1H), 4.31 (d, J=8.53 Hz, 1H), 4.42-4.50 (m, 1H), 4.56 (d, J=2.78 Hz, 1H), 4.75-4.85 (m, 1H), 4.96 (d, J=9.18 Hz, 1H), 5.46 (bd, J=7.25 Hz, 1H), 5.59 (bd, J=8.12 Hz, 1H), 5.69 (d, J=7.05 Hz, 1H), 6.16-6.25 (m, 1H), 6.46 (s, 1H), 6.95-7.0 (m, 2H), 7.22 (dd, J=4.38, 2.04 Hz, 1H), 7.48-7.54 (m, 2H), 7.59-7.64 (m, 1H), 8.1-8.15 (m, 2H).
EXAMPLE 6
2′-MOP-7-TES-19244




Using the LHMDS coupling procedure described above, the 2′-MOP-7-TES-19244 was produced from 10-proprionyl-7-TES-10-DAB and N-cBoc-(O-MOP)—SIT302.
1HNMR (400 MHz, CDCl3), δ (ppm): 0.49-0.66 (m, 6H), 0.92 (t, J=7.9 Hz, 9H), 1.15-1.28 (m, 11H), 1.35 (s, 3H), 1.37-1.49 (m, 1H), 1.58-1.76 (m, 5H), 1.83-1.95 (m, 1H), 1.95-2.08 (5H), 2.08-2.26 (m, 3H), 2.26-2.46 (m, 2H), 2.47 (s, 3H), 2.86 (s, 3H), 3.85 (d, J=6.82 Hz, 1H), 4.19 (d, J=8.53 Hz, 1H), 4.31 (d, J=8.53 Hz, 1H), 4.44-4.52 (m, 1H), 4.56 (d, J=2.9 Hz, 1H), 4.75-4.86 (m, 1H), 4.94 (d, J=9.36 Hz, 1H), 5.46 (bd, J=8.0 Hz, 1H), 5.57 (bd, J=8.58 Hz, 1H), 5.69 (d, J=7.16 Hz, 1H), 6.15-6.25 (m, 1H), 6.47 (s, 1H), 6.96-6.98 (m, 2H), 7.22 (dd, J=3.7, 3.0 Hz, 1H), 7.48-7.54 (m, 2H), 7.58-7.64 (m, 1H), 8.10-8.14 (m, 2H).
EXAMPLE 7
Compound 18926




To a solution of 2′-MOP-7-TES-18926(9.6 g, 8.98 mmol) in 70 mL of acetonitrile was added 25 mL of 0.2 N HCl at room temperature. After stirring for 24 hours, the reaction was diluted with 70 mL of ethyl acetate and washed with 50 mL each of H2O, sodium bicarbonate, and brine. The organic layer was passed through a pad of silica gel and flushed with 150 mL of ethyl acetate. The solvent was removed in vacuo and the crude product was crystallized from ethyl acetate:heptane (1:1) giving 6.09 g of compound 18926 (76.9%).
m.p: 213° C.; 1H-NMR (400 MHz, J in Hz, CDCl3), δ (ppm): 1.16 (s, 3H), 1.24 (t, J=7.50, 3H), 1.27 (s, 3H), 1.43-1.77 (m, 12H), 1.86-1.92 (m, 4H), 2.26-2.39 (m, 5H), 2.45-2.61 (m, 4H), 3.37 (d, J=5.29, 1H), 3.82 (d, J=7.16, 1H), 4.18 (d, J=8.7, 1H), 4.30 (d, J=8.36, 1H), 4.42 (m, 1H), 4.66 (dd, J=2.22, 5.29, 1H), 4.95 (m, 2H), 5.35 (d, J=9.98, 1H), 5.54 (d, J=8.87, 1H), 5.67 (d, J=7.17, 1H), 6.27 (t, J=9.04, 1H), 6.31 (s, 1H), 7.01 (dd, J=3.59, 5.09, 1H), 7.10 (d, J=3.41, 1H), 7.28 (dd, J=1.19, 5.11, 1H), 7.51 (m, 2H), 7.61 (m, 1H), 8.13 (d, J=7.34, 2H). Anal. Calcd for C45H55NO15S: C, 61.28; H, 6.29. Found: C, 61.13; H, 6.40. [α]20D=−56.4° (C=1, MeOH).
EXAMPLE 8
Compound 17932




Using the deprotection procedure described above, 250 mg of 2′-MOP-7-TES-17932 was treated with 0.2 M HCl in acetonitrile to give compound 17932 (155 mg) after purification.
m.p: 165-167° C.; 1H-NMR (400 MHz, CDCl3), δ (ppm) 0.98-1.03 (m, 2H), 1.12-1.17 (m, 5H), 1.28 (s, 3H), 1.44-1.91 (m, 17H), 2.26-2.39 (m, 5H), 2.50-2.58 (m, 2H), 3.38 (d, J=5.28, 1H), 3.81 (d, J=6.99, 1H), 4.18 (d, J=8.53, 1H), 4.30 (d, J=8.36, 1H), 4.40 (m, 1H), 4.65 (dd, J=2.22, 5.29, 1H), 4.94 (m, 2H), 5.36 (d, J=9.28, 1H), 5.54 (d, J=8.18, 1H), 5.67 (d, J=6.99, 1H), 6.27 (t, J=8.87, 1H), 6.30 (s, 1H), 7.02 (dd, J=3.59, 5.11, 1H), 7.10 (d, J=3.41, 1H), 7.29 (dd, J=1.19, 5.11, 1H), 7.51 (m, 2H), 7.59 (m, 1H), 8.12 (d, J=7.34, 2H). Anal. Calcd for C46H55NO15S: C, 61.80; H, 6.22. Found: C, 61.61; H, 6.29. [α]20D=−47.6° (C=1, MeOH).
EXAMPLE 9
Compound 18365




Using the deprotection procedure described above, 10.51 g (9.86 mmol) of the 2′-MOP-7-TES-18365 was treated with 0.2 M HCl in acetonitrile to give 8.08 g of compound 18365 at 97.09% HPLC purity after recrystallization from ethyl acetate: heptane (5.8:11.7 mL/g).
m.p.=231° C. 1HNMR (400 MHz, CDCl3) δ (ppm): 0.94-1.08 (m, 2H), 1.09-1.15 (m, 2H), 1.17 (s, 3H), 1.28 (s, 3H), 1.32-1.45 (m, 1H), 1.68 (s, 3H), 1.70 (s, 1H), 1.75-1.83 (m, 1H), 1.85 (s, 3H), 1.86-2.05 (m, 3H), 2.06-2.16 (bm 1H), 2.16-2.31 (m, 2H), 2.31-2.37 (m, 1H), 2.39 (s, 3H), 2.49-2.55 (m, 1H), 2.56 (d, J=3.75 Hz, 1H), 3.41 (d, J=5.11 Hz, 1H), 3.82 (d, J=7.16 Hz, 1H), 4.19 (d, J=8.52 Hz, 1H), 4.3 (d, J=8.52 Hz, 1H), 4.37-4.46 (m, 1H), 4.67 (dd, J=5.24, 2.13 Hz, 1H), 4.75-4.87 (m, 1H), 4.94 (bd, J=10.59, 1.56 Hz, 1H), 5.43 (d, J=9.72 Hz, 1H), 5.53 (d, J=9.38 Hz, 1H), 5.66 (d, J=7.16 Hz, 1H), 6.27 (m, 1H), 6.29 (s, 1H), 7.02 (dd, J=5.19, 3.59 Hz, 1H), 7.10 (d, J=3.41 Hz, 1H), 7.3 (dd, J=5.19, 1.19 Hz, 1H), 7.52 (dd, J=8.03, 7.68 Hz, 2H), 7.63 (dd, J=8.08, 7.34 Hz, 1H), 8.14 (d, J=7.5 Hz, 2H).
EXAMPLE 10
Compound 19244




Using the deprotection procedure described above, 10.61 g (10.07 mmol) of the 2′-MOP-7-TES-19244 was treated with 0.2 M HCl in acetonitrile to give 5.70 g (6.57 mmol, 65%) of compound 19244 at 97.59% HPLC purity after recrystallization from ethyl acetate: heptane (6.0:11.0 mL/g).
1HNMR (400 MHz, CDCl3) δ (ppm): 1.16 (s, 3H), 1.24 (t, J=7.60 Hz, 3H), 1.27 (s, 3H), 1.32-1.46 (m, 1H), 1.65 (m, 1H), 1.68 (s, 3H), 1.70 (s, 1H), 1.87-2.05 (m, 3H), 2.12 (bm, 1H), 2.16-2.31 (m, 2H), 2.31-2.38 (m, 1H), 2.39 (s, 3H), 2.44-2.65 (m, 4H), 3.41 (d, J=5.28 Hz, 1H), 3.81 (d, J=6.99 Hz, 1H), 4.19 (d, J=8.52 Hz, 1H), 4.30 (d, J=8.52 Hz, 1H), 4.38-4.47 (m, 1H), 4.66 (dd, J=5.27, 2.15 Hz, 1H), 4.8 (bm, J=7.4 Hz, 1H), 4.94 (bd, J=9.78, 1.54 Hz, 1H), 5.42 (d, J=9.56 Hz, 1H), 5.53 (d, J=9.22 Hz, 1H), 5.66 (d, J=7.16 Hz, 1H), 6.26 6.30 (s, 1H), 7.03 (dd, J=5.18, 3.42 Hz, 1H), 7.10 (d, J=3.58 Hz, 1H), 7.30 (dd, J=5.14, 1.2 Hz, 1H), 7.52 (dd, J=8.17, 7.61 Hz, 2H), 7.63 (dd, J=8.1, 7.43 Hz, 1H), 8.12 (d, J=7.50).
EXAMPLE 11
Racemic SIT302




To a solution of hexamethyldisilazane (HMDS, 230 mL, 1.1 mol) in anhydrous dimethoxyethane (100 mL) at 0° C. was added a 2.5 M solution of n-butyllithium (nBuLi, 400 mL, 1.0 mol) over 20 min to maintain the reaction temperature at less than 40° C. After the addition, 2-thiophenecarboxaldehyde (112.15 g, 1.0 mol) was added to the reaction mixture over 30 min to maintain the reaction temperature at less than 40° C. After the addition was complete the mixture was cooled to 0° C. and tris(trimethylsiloxy)ethylene (322 g, 1.1 mol) was added and the mixture was stirred until reaction was complete (48 h), as determined by the disappearance of the starting ethylene material. The reaction mixture was quenched with trimethylsilylchloride (TMSCl, 108.16 g, 1.0 eq.) and diluted with hexanes (500 mL). The lithium salt was filtered off via a sintered funnel. The filtrate was concentrated to give a solid. Hexanes (500 mL) was added and the mixture was stirred at 0° C. for 45 min before harvesting via a Buchner funnel. The filter cake was washed with cold hexanes to give an off-white solid of the crude (214.5 g) racemic intermediate bis-(trimethylsilyl)-SIT302. (1H-NMR (400 MHz, CDCl3) ppm: 0.0 (s, 3H), 0.17 ppm (s, 3H), 4.94 (d, J=5.0 Hz, 1H), 5.06 (d, J=5.0 Hz, 1H), 6.95 (dd, J=3.68, 4.91, 1H), 7.03 (dd, J=3.68, 1.15 Hz, 1H), 7.32 (dd, 4.91, 1.15 Hz, 1H)).
The bis-silylated intermediate was taken up in anhydrous methanol (500 mL) and treated with a catalytic amount of trimethylsilylchloride (5.4 g, 0.05 mol) at ambient 20 to 24° C. to remove the two trimethylsilyl protecting groups. The desilylation was complete in a period of 1 h, as monitored via TLC (3:1 ethyl acetate:hexanes) to give the final product (Rf ̃0.2). The reaction mixture was basified with triethylamine (12.7 mL) and concentrated to give a slurry of crystalline product. Ethyl acetate (500 mL) was added and concentrated at 40° C. to a thick slurry before cooling ambient temperature (20 to 24° C.). The crystals were collected by vacuum filtration through a Buchner funnel and washed with cold ethyl acetate and dried to a constant weight of 74.5 g (44%) of the racemic SIT302. Isolation of the second crops were not attempted.
mp: 125-128° C., 1H-NMR (400 MHz, CDCl3), δ (ppm): 2.27 (d, 9.74 Hz, 1H), 5.10 (m, 1H), 5.17 (d, 4.92 Hz, 1H), 6.23 (bm, 1H), 7.10 (om, 2H), 7.37 (dd, 1.71, 4.50 Hz, 1H).
EXAMPLE 12
Kinetic Resolution Via N-Boc-Proline Ester




To a clear anhydrous solution of the racemic SIT302 (846 g, 5.0 moles) and N-Boc-proline anhydride (1132 g, 2.75 moles, Benoiton N. L. et al., Synthesis 1978, 928) in acetonitrile, under nitrogen and mechanical stirring, at 0 to 5° C. was added N-methylbenzimidazole (6.6 g, 0.05 mol) was added to catalyze the kinetically controlled esterfication. After stirring at 0 to 5° C. for 24 h, TLC (3:1 E/H, CAM staining) and HNMR monitoring indicated that the ester to alcohol ratio was 37:63. An additional 1% of N-methylbenzimidazole (6.6 g, 0.05 mol) was added to drive the ratio to 50:50 after another 24 h stirring. The mixture warmed to ambient temperature and the solvent was removed under vacuum and then ethyl acetate (4 L) was added. The mixture was further concentrated to remove approximately 1.50 L of the solvents. The mixture was allowed to stand at an ambient temperature of 20 to 22° C. for 1 h before the crystals were collected by vacuum filtration and washed with cold ethyl acetate. The crystals were dried to a constant weight of 252 g (60% yield) and 99.4% optical purity. The mother liquor was further processed and washed with 3% acetic acid in water and the ethyl acetate was concentrated to a volume of approximately 1 L to give a 2nd crop of crystals (52 g at 99.1 optical purity). The combined total yield was 71.9% at >99% in chemical and optical purity.
[α]D20=+120 (MeOH, 1.2), mp: 168-171° C. 1H-NMR (400 MHz, CDCl3) δ (ppm): 2.27 (d, 9.74 Hz, 1H), 5.10 (m, 1H), 5.17 (d, 4.92 Hz, 1H), 6.23 (bm, 1H), 7.10 (om, 2H), 7.37 (dd, 1.71, 4.50 Hz, 1H).
EXAMPLE 13
N-CPentO-(O-MOP)—SIT302




To a solution of triphosgene (5.5 g, 18.54 mmol) in toluene (45.0 mL) at −45° C. was added diisopropylethylamine (0.89 mL, 5.15 mmol) dropwise under a nitrogen atmosphere. The mixture was charged with cyclopentanol (4.72 mL, 51.5 mmol) dropwise, and stirred for 1 hour. The progress of cyclopentyl chloroformate formation was monitored by NMR. In a separate flask, 3.5 g (20.68 mmol) of SIT 302 was dissolved in 100 mL of anhydrous tetrahydrofuran under an atmosphere of nitrogen and cooled to −10° C. To this solution was added p-toluenesulfonic acid (196 mg, 1.03 mmol) followed by 2.37 mL (24.81 mmol) of 2-methoxypropene, dropwise. After 10 minutes, the first step of the one-pot reaction was complete and the solution was basified with triethylamine (8.6 mL, 62.04 mmol) and DMAP (500 mg, 4.09 mmol) and warmed to 0° C. The reaction was charged with 31.02 mL (31.02 mmol) of the toluene solution of cyclopentyl chloroformate and gradually warmed to room temperature. After 5 hours of stirring, 100 mL of heptane was added and the organic mixture was washed with 100 mL of H2O, 100 mL of aqueous sodium bicarbonate solution, and 100 mL of brine. The organic layer was passed through a pad of triethylamine basified silica gel and flushed with 200 mL of a 1:1 mixture of ethyl acetate/heptane. Crystals formed on evaporation of the solvent giving 5.75 g of N-cPentO-(O-MOP)—SIT302 (78.8%).
m.p: 99° C.; 1H-NMR (400 MHz, J in Hz, CDCl3): δ (ppm): 1.05 (s, 3H), 1.34 (s, 3H), 1.50-1.81 (m, 8H), 3.18 (s, 3H), 5.15 (m, 1H), 5.22 (d, J=5.63, 1H), 5.37 (d, J=5.63, 1H), 7.01 (dd, J=3.58, 5.11, 1H), 7.14 (d, J=0.68, 1H), 7.35 (dd, J=0.69, 4.94, 1H); α]D20 D=+6.8° (C=1, MeOH).
EXAMPLE 14
O-MOP-N-Cyclobutoxycarbonyl-SIT302




Using the procedure described above, N-cBoc-(O-MOP)—SIT302 was prepared in 69.45% yield after recrystallization from hexanes containing 1% triethylamine.
m.p.=71° C. α]D20=+14.7 (C=1, MeOH). 1HNMR (400 MHz, CDCl3), δ (ppm): 1.06 (s, 3H), 1.34 (s, 3H), 1.54-1.64 (m, 2H), 1.73-1.81 (m, 1H), 2.0-2.18 (m, 2H), 2.32 (m, 2H), 3.18 (s, 3H), 4.99 (dt, J=7.53 Hz, 1H), 5.25 (d, J=5.68 Hz, 1H), 5.38 (d, J=5.88 Hz, 1H), 7.03 (dd, J=3.54, 5.24 Hz, 1H), 7.16 (dd, J=0.95, 3.60 Hz, 1H), 7.34 (dd, J=0.92, 5.06 Hz, 1H).
EXAMPLE 15
Comparison of In Vitro Cytotoxic Activity of Compounds 18926, 19244, 17932 and 18365 TO Paclitaxel and Docetaxel Using an MTT Assay
Cytotoxicity and IC50 Determination
Compounds 18926, 18365, 17932, 19244, paclitaxel (PTX, 1), and docetaxel (TXT, 2) were analyzed for their effects), on proliferation of the following cell lines from American Type Tissue Culture: MALME-3 (human skin melanoma), MSTO-211H (human pleural mesothelioma), HT29 (human colon adenocarcinoma), DLD-1 (human colon adenocarcinoma), PANC-1 (human pancreatic adenocarcinoma), A549 (human lung carcinoma), A375 (human skin melanoma), 786-0 (human renal cell adenocarcinoma), SK-MEL-28 (human skin melanoma) and cell lines from NCl DCTD Tumor/Cell Line Repository: SNB-19 (human brain glioblastoma), HOP-18 (human lung NSCLC), OVCAR4 (human ovarian carcinoma) and OVCAR5 (human ovarian carcinoma), TK-10 (renal cell carcinoma). Compound 17932 was tested in four of these cell lines, while the remaining compounds were tested in all of these cell lines. All cell lines were maintained in RPMI-1640 tissue culture medium (TCM, supplemented with antibiotics and 10% fetal bovine serum) and cultured at 37° C. in humidified air containing 5% CO2. To assess the antiproliferative effects of the test compounds, 172 μL of tumor cell suspension (1.45×104 cells/ml) were added to each well of a 96-well plate and incubated for 24 h at 37° C. in 5% CO2 in air to allow cells to adhere. Seven 2-fold drug dilutions in TCM/DMSO were performed in triplicate in separate 96-well plates and 28 μL was transferred to the wells containing tumor cells (200 μL final volume/0.1% DMSO). Plates were incubated for 72 h and cell viability was determined by adding 50 μL of warm TCM containing 5 mg/mL MTT (3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide) to each well and incubating for 1 h at 37° C. Plates were processed and the absorbances of the resulting solutions were measured by a plate reader at 570 nm. The absorbance of the test wells were divided by the absorbance of drug-free wells (after subtracting blank wells) and the concentration of the agent that resulted in 50% of the absorbance of untreated cultures (IC50) was determined by analyses of best fit curve of the data. (GraphPad Prism version 4.00 for Windows). Studies were conducted by Taxolog, Inc., Tallahassee, Fla.















TABLE 2







IN Vitro IC50
IN Vitro IC50
IN Vitro IC50
IN Vitro IC50
IN Vitro
IN Vitro IC50
IN Vitro



(nm)
(nm)
(nm)
(nm)
IC50 (nm)
(nm)
IC50 (nm)























Compound
HCT116
Panc
DLD1
HT29
MSTO
786-0
A375


Paclitaxel
2.4
4.1
>10
2.8
6.2
>10
8.0


Docetaxel
0.9
1.9
>10
1.3
4.0
6.2
2.4


17932
0.6
1.2
1.4
0.9


18926
0.3
0.5
0.8
0.4
0.4
0.7
0.5


19244
0.4
1.2
1.8
0.6
0.6
0.9
0.6


18365
0.4
1.2
1.1
0.5
0.7
1.1
0.6
























TABLE 3






IN Vitro IC50
IN Vitro IC50
IN Vitro IC50
IN Vitro IC50
IN Vitro
IN Vitro IC50
IN Vitro
IN Vitro IC50



(nm)
(nm)
(nm)
(nm)
IC50 (nm)
(nm)
IC50 (nm)
(nm)







Compound
A549
TK10
Malme3
OVCAR5
OVCAR4
HOP18
ske-
SNB19









mel28



Paclitaxel
3.8
4.8
6.5

2.9
7.2
5.4
6.1


Docetaxel
1.3
1.4
1.8
1.1
1.4
3.4
2.1
1.9


17932


18926
0.4
0.3
1.8
0.2
1.0
1.6
0.6
1.0


19244
0.5
0.4
1.1
0.6
2.7
1.5
2.0
0.9


18365
0.5
0.5
4.1
0.3
1.1
0.7
0.9
1.1




















TABLE 4






DLD1
MSTO
786-0
A375



Colon
Mesothelioma
Renal
Melanoma


Resistance
MDR1+
MRP2/BCRP1
MDR1+
MRP9



















Paclitaxel
41
6.2
>10
8.0


Docetaxel
20
4.0
6.2
2.4


18926
0.8
0.4
0.7
0.5


18365
1.1
0.7
1.1
0.6


19244
1.8
0.6
0.9
0.5


17932
1.4
NT
NT
NT





NT = not tested






EXAMPLE 16
Comparison of In Vitro Cytotoxicity of Compounds 18365 and 19244 to Docetaxel (TXT) in the BxPC-3 Cancer Cell Line
BxPC-3 cancer cell line (Source ATCC) and culture medium were purchased and provided by Oncodesign (France).
Tumor cells (5,000 cells per well) were plated in 96-well flat-bottom microtitration plates (Ref 167008, Batch 083310, Nunc, Dutscher, Brumath, France) and incubated at 37° C. for 24 hours before treatment in 100 μl of drug-free RPMI 1640 medium supplemented with 10% FBS. Tumor cell lines were incubated for 72 hours with 10 concentrations of both test substances and TXT (40 to 0.07 nM using 1⁄2 step dilutions). Experiments were repeated three times, each assay being issued from quadruplicate. Control cells were treated with the vehicle alone. At the end of treatments, the cytotoxic activity was evaluated by a MTT assay. These studies were conducted at Oncodesign, France.
Summary results of 18365, 19244, and TXT compounds IC50 determination experiments on BxPC-3 cell lines.










TABLE 5









IC50 (nM)













Cell line
18365
19244
TXT

















BxPC-3
Exp 1
0.79
0.53
0.93




Exp 2
1.07
0.66
2.20




Exp 3
0.99
1.03
0.73



















TABLE 6









IC50



Mean ± SD (nM)












Cell line
18365
19244
TXT







BxPC-3
0.95 ± 0.14
0.74 ± 0.26
1.29 ± 0.80










EXAMPLE 17
In Vivo Activity of Compounds 18926 and 18365 in Nude Mice Bearing MX1 Human Tumor Xenografts
This xenograft study was conducted at Piedmont Research Center, NC (PRC). Female athymic nude mice (nu/nu Harlan) were 7 weeks old, with a body weight (BW) range of 15.1-24.6 g, on Day 1 (D1) of the study. The animals were fed ad libitum water (reverse osmosis, 1 ppm Cl) and NIH 31 Modified and Irradiated Lab Diet® consisting of 18.0% crude protein, 5.0% crude fat, and 5.0% crude fiber. The mice were housed on irradiated ALPHA-Dri® Bed-o-Cobs® Laboratory Animal Bedding in static microisolators on a 12-hour light cycle at 21-22° C. (70-72° F.) and 40-60% humidity. PRC specifically complies with the recommendations of the Guide for Care and Use of Laboratory Animals with respect to restraint, husbandry, surgical procedures, feed and fluid regulation, and veterinary care. The animal program at PRC is accredited by Association for Assessment and Accreditation of Laboratory Animal Care (AALAC) International, which assures compliance with accepted standards for the care and use of laboratory animals.
Tumor Implantation
The human MX-1 breast carcinoma utilized in this study was maintained in athymic nude mice by serial engraftment. A tumor fragment (1 mm3) was implanted s.c. into the right flank of each test mouse. Tumors were monitored twice weekly and then daily as their mean volume approached 80-120 mm3. On D1 of the study, the animals were sorted into treatment groups with tumor sizes of 63-144 mm3 and group mean tumor sizes of  ̃88 mm3. Tumor size, in mm3, was calculated from:




  
    Tumor
    ⁢
    
      
    
    ⁢
    Volume
  
  =
  
    
      
        w
        2
      
      ×
      l
    
    2
  




where w=width and l=length in mm of the tumor.

Tumor weight was estimated with the assumption that 1 mg is equivalent to 1 mm3 of tumor volume.
Compounds 18365 and 18926 were formulated in 10% ethanol, 10% Cremophor EL® and 80% dextrose 5% in water and administered with a dosing volume of 0.3 mL per 20 gram mouse and scaled to the weight of each mouse. TXT was dissolved in 50% ethanol and 50% Tween® 80 to prepare a 6.67× solution, which was diluted with D5W to yield an i.v. dosing solution containing 7.5% ethanol and 7.5% Tween® 80 and 85% D5W and administered with a dosing volume of 0.2 mL per 20 gram mouse and scaled to the weight of each mouse. All drug solutions were prepared fresh on the day of dosing.
Treatment
Mice were sorted into groups with five mice per group. Intravenous (i.v.) treatments were given once on D1 (qd×1). Control Group 1 received Vehicle 1 intravenously. Groups 9-11 received compound 18365 i.v. at 7.5, 15, and 30 mg/kg, respectively. Groups 12-14 received compound 18926 i.v. at 7.5, 15, and 30 mg/kg, respectively. Group 25 received compound 2 i.v. at 25 mg/kg.
Endpoint
Each animal was euthanized when its neoplasm reached the predetermined endpoint size (1500 mm3) or at the end of the study, whichever came first. The time to endpoint (TTE) for each mouse was calculated by the following equation:




  
    TTE
    =
    
      
        
          log
          10
        
        ⁡
        
          (
          
            endpoint
            ⁢
            
              
            
            ⁢
            volume
          
          )
        
      
      -
      b
    
  
  m




where TTE is expressed in days, endpoint volume is in mm3, b is the intercept, and m is the slope of the line obtained by linear regression of a log-transformed tumor growth data set. The data set is comprised of the first observation that exceeded the study endpoint volume and the three consecutive observations that immediately preceded the attainment of the endpoint volume. The calculated TTE is usually less than the day on which an animal is euthanized for tumor size. Animals that do not reach the endpoint are assigned a TTE value equal to the last day of the study (61 days). An animal classified as having died from treatment-related (TR) causes or non-treatment-related metastasis (NTRm) causes is assigned a TTE value equal to the day of death. An animal classified as having died from non-treatment-related (NTR) causes is excluded from TTE calculations. Treatment efficacy was determined from tumor growth delay (TGD), which is defined as the increase in the median TTE for a treatment group compared to the control group:

TGD=T−C, 

expressed in days, or as a percentage of the median TTE of the control group:





  
    %
    ⁢
    
      
    
    ⁢
    TGD
  
  =
  
    
      
        T
        -
        C
      
      C
    
    ×
    100
  




where:

    T=median TTE for a treatment group,
    C=median TTE for control Group 1.


MTV and Criteria for Regression Responses
Treatment efficacy was also determined from the tumor volumes of animals remaining in the study on the last day, and from the number of regression responses. The MTV (n) is defined as the median tumor volume on D61 in the number of animals remaining, n, whose tumors have not attained the endpoint volume. Treatment may cause a partial regression (PR) or a complete regression (CR) of the tumor in an animal. A PR indicates that the tumor volume was 50% or less of its D1 volume for three consecutive measurements during the course of the study, and equal to or greater than 13.5 mm3 for one or more of these three measurements. A CR indicates that the tumor volume was less than 13.5 mm3 for three consecutive measurements during the course of the study. An animal with a CR at the termination of a study is additionally classified as a tumor-free survivor (TFS).
Toxicity
Animals were weighed daily on D1-5, then twice weekly until the completion of the study. The mice were examined frequently for overt signs of any adverse, drug related side effects. Acceptable toxicity for the maximum tolerated dose (MTD) was defined as a group mean BW loss of less than 20% during the test, and not more than one TR death among ten animals. A death is classified as TR if it is attributable to treatment side effects as evidenced by clinical signs and/or necropsy, or due to unknown causes during the dosing period or within 10 days of the last dose. A death is classified as NTR if there is no evidence that the death was related to treatment side effects. A death is classified as NTRm if necropsy indicates that it may have resulted from tumor dissemination by invasion and/or metastasis. Control Group 1 received Vehicle 1 i.v., and served as the control for TTE analyses, and as the primary control for statistical evaluations of i.v. treatment groups. The median TTE for Group 1 mice was 32.1 days. Tumors in all five mice grew to the 1500 mm3 endpoint volume. Therefore, the maximum % TGD possible in this 61-day study was 90. A summary of the results are shown below.










TABLE 7









Treatment Regimen 1




























mg/

Sched-
Median

%
MTV (n),








Group
n
Agent
Vehicle
kg
Route
ule
TTE
T-C
TGD
Day 60
PR
CR
TFS
BW Nadir
TR
NTR


























 1#
5
vehicle
10% EC in D5W
—
iv
qd × 1
32.14
—
—
—
0
0
0
−0.6% (5)
0
0




1


 9
5
18365
10% EC in D5W
7.5
iv
qd × 1
36.29
4.15
12.92
—
0
0
0
−3.8% (4)
0
0


10
5
18365
10% EC in D5W
15
iv
qd × 1
56.65
24.51
76.26
1098.50 (1)  
1
2
0
−6.8% (5)
0
0


11
5
18365
10% EC in D5W
30
iv
qd × 1
61
28.86
89.79
0.00 (5)
0
5
5
−16.0% (5) 
0
0


12
5
18926
10% EC in D5W
7.5
iv
qd × 1
37.43
5.29
16.46
—
0
0
0
−7.6% (3)
0
0


13
5
18926
10% EC in D5W
15
iv
qd × 1
61
28.86
89.79
0.00 (4)
0
4
4
−6.6% (4)
0
0


14
5
18926
10% EC in D5W
30
iv
qd × 1
61
28.86
89.79
0.00 (5)
0
5
5
−15.5% (5) 
0
0


25
5
2
D5W
25
iv
qd × 1
61
28.86
89.79
0.00 (5)
0
5
4
−10.2% (5) 
0
0









Compound 18365 at 15 and 30 mg/kg (Groups 10 and 11) caused 6.8% and 16% maximum group mean BW losses, respectively, on D5. Compound 18926 at 7.5, 15, and 30 mg/kg (Groups 12-14) caused 7.6% (D3), 6.6% (D4), and 15.5% (D5) maximum group mean BW losses, respectively. The tumor model performed satisfactorily in that all tumors in vehicle-treated Group 1 attained the 1500 mm3 endpoint volume, and none regressed. Therefore, all survivors and regression responses could be attributed to the drug treatments. A minimal effective dose was defined as the lowest dose that produced statistically significant results, and also generated at least one D61 survivor and/or at least one regression response. Vehicle 1 treatments produced median TTEs of 32.1 Group 1. Based on the median TTE for Group 1, the maximum % TGD for this study was 90. Compound 18365 exhibited non-significant activity at 7.5 mg/kg (Group 9). Compound 18365 was minimally effective at 15 mg/kg (Group 10), which yielded 1 PR and 2 TFS, with 6.8% group mean BW loss. The 30 mg/kg regimen (Group 11) generated 5 TFS, with 16% group mean BW loss. Compound 18926 exhibited non-significant activity at 7.5 mg/kg (Group 12). Activity increased sharply at the minimally effective 15 mg/kg dose (Group 13), which generated 4 TFS, with 6.6% group mean BW loss. The 30 mg/kg treatment (Group 14) yielded 5 TFS and caused 15.5% mean BW loss. Compound 2 at 25 mg/kg qd×1 yielded 1 transient CR and 4 TFS, with 10.2% group mean weight loss. The mean tumor growth for this study is shown in FIG. 1.
EXAMPLE 18
In Vivo Activity of Compound 19244 in Nude Mice Bearing MX1 Human Tumor Xenografts
This study was conducted at PRC as previously described. Compound 19244 was dosed on an every four day schedule for four doses. Docetaxel was dosed weekly for three doses. On D1 of the study, the animals were sorted into treatment groups with tumor sizes of 63-144 mm3 and group mean tumor sizes of  ̃87 mm3. Intravenous compound 19244 generated: 3 TFS and 2 transient CRs at 7.5 mg/kg; 5 TFS at 15 mg/kg; and 4 TFS and 1 PR at 30 mg/kg. Respective maximum group mean BW losses (3.1%, 7.6%, and 18.9% on D19) approximately doubled with dosage. A summary of the results are shown.










TABLE 8









Treatment Regimen 1




























mg/

Sched-
Median

%
MTV (n),








Group
n
Agent
Vehicle
kg
Route
ule
TTE
T-C
TGD
Day 57
PR
CR
TFS
BW Nadir
TR
NTR


























 1$
5
vehicle
5% EC in Saline
—
po
q4d × 4
17.97
—
—
—
0
0
0
—
0
0




1


2
5
vehicle
10% EC in D5W
—
iv
q4d × 4
20.34
2.37
13.17
—
0
0
0
—
0
0




2


5
5
19244
10% EC in D5W
7.5
iv
q4d × 4
57
39.03
217.17
0.00 (5)
0
5
3
 −3.1% (19)
0
0


6
5
19244
10% EC in D5W
15
iv
q4d × 4
57
39.03
217.17
0.00 (5)
0
5
5
 −7.6% (19)
0
0


7
5
19244
10% EC in D5W
30
iv
q4d × 4
57
39.03
217.17
0.00 (5)
1
4
4
−18.9% (19)
0
0


15 
5
2
D5W
25
iv
qwk × 3
57
39.03
217.17
0.00 (5)
0
5
5
−10.9% (22)
0
0









The mean tumor growth for this study is shown in FIG. 2.
EXAMPLE 19
In Vivo Activity of Compound 19244 in Nude Mice Bearing MX1 Human Tumor Xenografts
This study was conducted at PRC as previously described. Compound 19244 and docetaxel were dosed on a daily schedule. Three compound 2-treated mice survived to D60, and three tumors regressed (1 transient CR and 2 TFS). Compound 19244 at 7.5 and 15 mg/kg produced respective % TGDs of −3 and 83, and nonsignificant activities (logrank test). No 60 day survivors or regressions occurred at these lower doses. At 30 mg/kg, compound 19244 produced a % TGD of 235, and exhibited significant activity; two mice survived to D60, and all tumors regressed (1 PR, 2 transient CRs, and 2 TFS. A summary of the results are shown.










TABLE 9









Treatment Regimen 1































Median


MTV (n),








Group
n
Agent
Vehicle
mg/kg
Route
Schedule
TTE
T-C
% TGD
Day 60
PR
CR
TFS
BW Nadir
TR
NTR


























 1#
5
vehicle
10% EC in D5W
—
iv
qd × 1
17.17
—
—
—
0
0
0
—
0
0


2
5
19244
10% EC in D5W
7.5
iv
qd × 1
16.72
−0.45
−2.64
—
0
0
0
—
0
0


3
5
19244
10% EC in D5W
15
iv
qd × 1
31.49
14.32
83.42
—
0
0
0
—
0
0


4
5
19244
10% EC in D5W
30
iv
qd × 1
57.59
40.42
235.44
0.00 (2)
1
4
2
—
0
0


11 
5
2
D5W
25
iv
qd × 1
60
42.83
249.47
0.00 (3)
0
3
2
—
0
0









The mean tumor growth for this study is shown in FIG. 3.
EXAMPLE 20
In Vivo Activity of Compound 19244 in Nude Mice Bearing SKMES Human Tumor Xenografts
This study was conducted at PRC as previously described. SKMES is a human lung cancer cell line. In the present study, compound 2 and all agents were administered as i.v. monotherapies in a single 30 mg/kg dose (qd×1). The test agents were formulated in a vehicle consisting of 5% ethanol and 95% of 20% Liposyn® II. Control mice received this vehicle qd×1. Compound 2 was formulated in a vehicle consisting of 7.5% ethanol, 7.5% Tween®80, and 85% D5W (5% dextrose in water). Dosing began on Day 1 in groups of five nude mice bearing well-established ( ̃124 mm3) subcutaneous SKMES lung tumors. The endpoint volume for tumor growth was 1,500 mm3. The study was terminated on Day 23.










TABLE 10









Treatment Pegimen 1






















Group
n
Agent
mg/kg
Route
Schedule
Median TTE
T-C
% TGD
MTV (n), Day 23
PR
CR
TFS
TR
NTR NTRm
























 1#
5
Vehicle
—
iv
qd × 1
14.2
—
—
—
0
0
0
0
0


16
5
19244
30
iv
qd × 1
23
8.8
61.94
352.00 (5)
0
1
1
0
0


18
5
2
30
iv
qd × 1
23
8.8
61.94
166.75 (4)
2
0
0
0
0









Compound 19244 was active single dose in this model with one complete response and 1 TFS.
The mean tumor growth for this study is shown in FIG. 4.
EXAMPLE 21
In Vivo Activity of Compound 19244 in Nude Mice Bearing SKMES Human Tumor Xenografts
Compound 19244 was tested for antitumor activity against human SKMES lung carcinoma xenografts at PRC. The compound 19244 was administered at 30 mg/kg, intravenously (i.v.) once daily every four days for four doses (q4d×4), in a vehicle consisting of 5% ethanol and 95% of 20% Liposyn® II. The control mice received this vehicle q4d×4. The positive reference group received 25 mg/kg compound 2 once weekly for three weeks (q7d×3) in a vehicle consisting of 7.5% ethanol, 7.5% Tween® 80, and 85% D5W (5% dextrose in water). Dosing began on Day 1 in groups of five nude mice bearing upstaged ( ̃182 mm3) subcutaneous SKMES tumors.
Compound 19244 was active single dose in this model with two partial response and 3 TFS.
The mean tumor growth for this study is shown in FIG. 5.
EXAMPLE 22
In Vivo Activity of Compound 19244 in Nude Mice Bearing HT29 Human Tumor Xenografts
Compound 19244 was tested by PRC for antitumor activity against human HT29 colon carcinoma xenografts. Compound 19244 was administered intravenously (i.v.) at 30 mg/kg, once daily every four days for four doses (q4d×4), in a vehicle of 5% ethanol and 95% of 20% Liposyn® II. Control mice received this vehicle q4d×4. There were six mice in each group. One positive reference group received 30 mg/kg paclitaxel q4d×4, and another received 25 mg/kg compound 2 once weekly for three weeks (q7d×3). Paclitaxel was formulated in 5% ethanol, 5% Cremophor EL®, and 90% dextrose (5%) in water (D5W). Compound 2 was formulated in 7.5% ethanol, 7.5% Tween® 80, and 85% D5W. Dosing began on Day 1 in groups of six nude mice bearing upstaged ( ̃259 mm3) subcutaneous HT29 tumors. The endpoint volume for tumor growth was 1,000 mm3. The study duration was 59 days. Paclitaxel demonstrated relatively weak activity, while a well-tolerated compound 2 regimen produced one LTTFS and 4 PR responses. Compound 19244 outperformed compound 2 by yielding more regression responses and lower MTVs with compound 19244 yielding six regression responses, including 1 LTTFS. The mean tumor growth for this study is shown in FIG. 6.












TABLE 11












Number of


Group

Regimen 1
D 38 (mm3)
Max. BW Loss
Death


















Number
N
Name
mg/kg
Route
Schedule
D45 (mm3)
D52 (mm3)
D 38 TTE
%; Day
TR
NTR





















1
6
Vehicle
—
IV
Q4D × 4


18.1 ± 1.8 (6)
—
0
0


16
6
19244
30
IV
Q4D × 4
40
36.3

−10.5%; Day 14
0
0


21
6
Paclitaxel
30
IV
Q4D × 4


27.5 ± 1.9 (6)
—
0
0


22
6
Docetaxel
25
IV
Q7D × 3
132.8
206.8

 −6.6%; Day 21
0
0









EXAMPLE 23
In Vivo Activity of Compounds 18365, 18926, and 17932 in Nude Mice Bearing HT29 Human Tumor Xenografts
This study was conducted at PRC. Each test agent was administered intravenously (i.v.), at 20, or 25, mg/kg, once daily every four days for four doses (q4d×4). The control mice received the test agent vehicle, 5% ethanol and 95% of 20% Liposyn® II, on the q4d×4 schedule. The positive reference group received 25 mg/kg compound 2 once weekly for three weeks (q7d×3), in a vehicle consisting of 7.5% ethanol, 7.5% Tween® 80, and 85% D5W (5% dextrose in water). Dosing began on Day 1 in groups of six nude mice bearing upstaged ( ̃260 mm3) subcutaneous HT29 tumors. The endpoint volume for tumor growth was 1,000 mm3. The study duration was 61 days. Compound 2 produced 210% TGD, and yielded 1 LTTFS and 5 PR responses. The MTV, defined as the median tumor volume of animals remaining on the last day of the study (Day 61), was 196 mm3, for five mice. Compound 2 caused a tolerable group mean body-weight (BW) loss of 14.4%. 2. At 20 mg/kg, compound 17932 and compound 18926 produced MTVs of 78 mm3 and 83 mm3, respectively, which are lower than the 196-mm3 MTV of compound 2-treated mice. These test agents each yielded 5 PR responses, and no curative activity. At 25 mg/kg, compound 18365 produced five 61-day survivors. Compound 18365 demonstrated the greatest curative activity in the present study, with 2 CR and 4 PR responses along with 1 TR death.












TABLE 12












Number


Group

Regimen 1
Day 54
Max. BW Loss
of Death


















Number
N
Name
mg/kg
Route
Schedule
Day 51 mm3
Day 54 mm3
Day 54 TTE
%; Day
TR
NTR





















1
6
% EtOH in
—
iv
q4d × 4


17.4 ± 3.3 (6)
—
0
0




Liposyn I











13
6
17932
20
iv
q4d × 4
99.7
109.4

−19.3%; Day 16
0
0


14
6
18365
25
iv
q4d × 4
112.8
124.7

−17.1%; Day 16
1
0


19
6
18926
20
iv
q4d × 4
142.3
147

−20.7%; Day 16
0
0


22
6
2
25
iv
q7d × 3
131.1
180.6

−14.4%; Day 19
0
0









The mean tumor growth for this study is shown in FIG. 7.
EXAMPLE 24
In Vivo Activity of Compound 19244 in Nude Mice Bearing HT29 Human Tumor Xenografts
This study was conducted at PRC. Compound 19244 was formulated in 5% ethanol and 95% Liposyn® II (5% E 95% L-II), and administered intravenously (i.v.) at 30 mg/kg, once daily every four days for four doses (q4d×4). Control mice received the 5% E 95% L-II vehicle q4d×4. A positive reference group received i.v. therapy with compound 2, at 30 mg/kg once weekly for three weeks (q7d×3), in a vehicle of 7.5% ethanol and 7.5% Tween® 80 in 5% dextrose in water. Dosing began on Day 1 in groups of six nude mice bearing upstaged ( ̃225 mm3) subcutaneous HT29 tumors. The endpoint volume for tumor growth was 1,000 mm3. Compound 19244 produced 172% TGD with five 55-day survivors. Compound 19244 produced MTV of 0, but may have been administered above the maximum tolerated doses (MTDs), as there was one treatment-related (TR) death. Compound 19244 outperformed compound 2, with respect to curative activity.











TABLE 13








Regimen 1
Regimen 2
Max. % BW
# Deatha


















Group
n
Agent
mg/kg
Route
Schedule
Day 34
Day 41
TTE
Loss; Day
TR
NTR





















1
6
Vehicle
—
iv
Q4d × 4


20.1 (6)
—
0
0


15
6
19244
30
iv
Q4d × 4
17.3
17.3

−17.3%; Day 17
1
0


22
6
2
30
iv
Q7d × 3
14.2
26.9

−16.3%; Day 20
0
0









The mean tumor growth for this study is shown in FIG. 8.
EXAMPLE 25
In Vivo Oral and i.v. Activity of Compounds 19244 and 18365 in Nude Mice Bearing HT29 Human Tumor Xenografts
This study was conducted at PRC. Compound 18365 and compound 19244 both show oral and IV activity in the HT29 xenograft tumor model on an every four day schedule for four doses. The formulation for oral studies was an ethanol and Cremophor formulation while the formulation for compound 18365 and compound 19244 dosed i.v. was 5% ethanol and 95% Liposyn II 20%. The docetaxel (compound 2) formulation was the ethanol and Tween® 80 formulation as previously described.












TABLE 14








Treatment Regimen 1

MTV (n),

NTR























Group
n
Agent
mg/kg
Route
Schedule
Median TTE
T-C
% TGD
Day 60
PR
CR
TFS
BW Nadir
TR
NTRm
NTRa/u


























 1#
6
Vehicle
—
iv
q4d × 4
19.09


—
0
0
0
—
0
0
0


 7
6
18365
50
po
q4d × 4
60
40.91
214.3
8.75 (6)
2
4
3
−7.6% (16)
0
0
0


11
6
19244
60
po
q4d × 4
60
40.91
214.3
0.25 (6)
2
4
4
−8.5% (16)
0
0
0


17
6
18365
25
iv
q4d × 4
60
40.91
214.3
5.00 (6)
2
4
4
−7.6% (16)
0
0
0


21
6
19244
30
iv
q4d × 4
60
40.91
214.3
36.00 (6) 
5
1
1
11.1% (16)
0
0
0


22
6
2
25
iv
qwk × 3
60
40.91
214.3
40.00 (6) 
2
4
2
14.3% (23)
0
0
0









The mean tumor growth for this study is shown in FIG. 9.
EXAMPLE 26
In Vivo Oral and Ivactivity of Compounds 19244 and 18365 in Nude Mice Bearing HT29 Human Tumor Xenografts
This study was conducted at PRC. Compound 18365 and compound 19244 both showed oral and IV activity in the HT29 xenograft tumor model on an every four day schedule for four doses. The formulation for oral studies was an ethanol and Cremophor formulation while the formulation for compound 18365 and compound 19244 dosed i.v. was 5% ethanol and 95% Liposyn II 20%. The docetaxel (compound 2) formulation was the ethanol and Tween® 80 formulation as previously described.









TABLE 15








Treatment Regimen 1




















Vehi-
mg/


Median

MTV (n),

BW

NTR
























Group
n
Agent
cle
kg
Route
Schedule
TTE
T-C
% TGD
Day 59
PR
CR
TFS
Nadir
TR
NTRm
NTRa/u



























 1#
6
Vehicle

—
iv
q4d × 4
17.5


—
0
0
0
—
0
0
0


 9
6
18926
EC
50
po
q4d × 4
59
41.5
237.14
 20.25 (6)
5
1
1
10.4% (17)
0
0
0


19
6
18926
EL
25
iv
q4d × 4
59
41.5
237.14
 0.00 (5)
0
5
5
13.5% (17)
1
0
0


22
6
2
ET
25
iv
qwk × 3
59
41.5
237.14
600.00 (6)
3
0
0
−5.6% (24)
0
0
0









The mean tumor growth for this study is shown in FIG. 10.
EXAMPLE 27
In Vivo i.v. Activity of Compounds 19244, 18926, and 18365 in Nude Mice Bearing A375 Human Tumor Xenografts
Compounds 18926, 18365, and 19244 were screened by Piedmont Research Center, LLC for antitumor activity against the human A375 melanoma xenograft. All test agents were administered i.v. at 30 mg/kg every fourth day for four doses (q4d×4), in a vehicle consisting of 5% ethanol and 95% of 20% Liposyn® II. Control mice received this vehicle i.v. on the q4d×4 regimen. The positive control group received 25 mg/kg compound 2 weekly for three weeks (qwk×3) in a vehicle consisting of 7.5% ethanol, 7.5% Tween®80 in D5W. Treatment was initiated on Day 1 in groups of six nude mice bearing established ( ̃100 mm3) s.c. A375 tumors. The endpoint was a tumor volume of 2,000 mm3 and the study was terminated on Day 56. Efficacy was assessed by tumor growth delay and the number of partial and complete regressions. Animals with a CR that persisted through Day 56 were classified as long-term tumor-free survivors (TFS). Tumors in the vehicle controls all grew progressively and reached endpoint on or before Day 29 with a median of 18.1 days. The positive control, compound 2, produced a significant tumor growth delay of 8.9 days, but did not produce any regressions.
At the dose level evaluated, the compounds were highly efficacious, producing regressions in the majority of treated mice.









TABLE 16








Treatment Regimen 1


















Group
n
Agent
Vehicle
mg/kg
Route
Schedule
Median TTE
T-C
% TGD
Stat Sign





 1#
6
Vehicle
EL
—
iv
q4d × 4
18.06





12
6
18365
EL
30
iv
q4d × 4
56
37.94
210.08



15
6
18926
EL
30
iv
q4d × 4
56
37.94
210.08



19
6
19244
EL
30
iv
q4d × 4
56
37.94
210.08



22
6
2
ET
25
iv
qwk × 3
26.92
8.86
49.06












NTR


















Group
n
MTV(n), Day 56
PR
CR
TFS
BW Nadir
TR
NTRm
NTRa/u






 1#
6
—
0
0
0
—
0
0
0



12
6
0.00 (6)
0
5
5
−9.8% (14)
0
0
0



15
6
0.00 (6)
0
6
6
13.3% (18)
0
0
0



19
6
0.00 (6)
0
6
6
10.4% (18)
0
0
0



22
6
—
0
0
0
−4.0% (25)
0
0
0









The mean tumor growth for this study is shown in FIG. 11.
EXAMPLE 28
In Vivo i.v. Activity of Compound 18926 and Docetaxel in Nude Mice Bearing MSTO-211H Human Tumor Xenografts
MSTO-211H is a resistant mesothelioma cancer cell line. Compound 18926 and docetaxel were tested by Taxolog, Inc., Tallahassee, Fla. for antitumor activity against the human MSTO-211H mesothelioma xenograft in nude mice. Compound 18926 was administered i.v. at 25 mg/kg every fourth day for four doses (q4d×4), in a vehicle consisting of 5% ethanol and 95% of 20% Liposyn® II. Control mice received this vehicle i.v. on the q4d×4 regimen. The positive control group received 25 mg/kg compound 2 weekly for three weeks (qwk×3) in a vehicle consisting of 7.5% ethanol, 7.5% Tween® 80 in D5W. Treatment was initiated on Day 1 in groups of six nude mice bearing established ( ̃225 mm3) s.c. MSTO-211H tumors. The study was terminated on Day 48. Tumors in the vehicle controls all grew progressively and reached endpoint on or before Day 20. The positive control, compound 2, did not produce any regressions. Compound 18926 was very active in this model with a tumor nadir size of 32 mg (mean) for a tumor regression of 85% over the initial tumor weight of 222 mg. Both compounds exhibited high weight loss with docetaxel showing a maximum weight loss of 31% and compound 18926 showing a weight loss of 24%
The mean tumor growth for this study is shown in FIG. 12.
EXAMPLE 29
In Vivo i.v. Activity of Compound 19244 and Docetaxel in Nude Mice Bearing MSTO-211H Human Tumor Xenografts
Compound 19244 and docetaxel were tested by Taxolog, Inc., Tallahassee, Fla. for antitumor activity against the human MSTO-211H mesothelioma xenograft in nude mice. Compound 19244 was administered i.v. at 30 mg/kg every fourth day for four doses (q4d×4), in a vehicle consisting of 5% ethanol and 95% of 20% Liposyn® II. Control mice received this vehicle i.v. on the q4d×4 regimen. The positive control group received 25 mg/kg compound 2 weekly for three weeks (qwk×3) in a vehicle consisting of 7.5% ethanol, 7.5% Tween®80 in D5W. Treatment was initiated on Day 1 in groups of six nude mice bearing established ( ̃220 mm3) s.c. MSTO-211H tumors. The study was terminated on Day 48. Tumors in the vehicle controls all grew progressively and reached endpoint on or before Day 30. The positive control, compound 2 did not produce any regressions. Compound 19244 was very active in this model with a tumor nadir size of 51 mg (mean) for a tumor regression of 77% over the initial tumor weight of 220 mg. Both compounds exhibited high weight loss with docetaxel showing a maximum weight loss of 24% and compound 19244 showing a weight loss of 21%.
The mean tumor growth for this study is shown in FIG. 13.
EXAMPLE 30
In Vivo i.v. Activity of Compounds 18926 and 18365 in Nude Mice Bearing MSTO-211H Human Tumor Xenografts
Compounds 18365 and 18926 were tested by Taxolog, Inc., Tallahassee, Fla. for antitumor activity against the human MSTO-211H mesothelioma xenograft in nude mice. Compound 18926 was administered i.v. at 20 mg/kg and compound 18365 was administered a dose of 25 mg/kg i.v. every fourth day for four doses (q4d×4), in a vehicle consisting of 10% ethanol, 10% Cremophor EL® and 80% of D5W. Control mice received this vehicle i.v. on the q4d×4 regimen. The positive control group received 25 mg/kg compound 2 weekly for three weeks (qwk×3) in a vehicle consisting of 7.5% ethanol, 7.5% Tween®80 in D5W. Treatment was initiated on Day 1 in groups of five nude mice bearing established ( ̃220 mm3) s.c. MSTO-211H tumors. The study is ongoing and not yet terminated. Compounds 18926 and 18365 are both very active in this study with both compounds showing significant regression. Both compounds exhibited weight loss with compound 18926 showing a maximum weight loss of 16% and compound 18365 showing a weight loss of 18% and also 1 TR.
The mean tumor growth for this study is shown in FIG. 14.
EXAMPLE 31
In Vivo i.v. Activity of Compounds 18926 and 18365 and Other Anti-Cancer Compounds in Nude Mice Bearing MSTO-211H Human Tumor Xenografts
Compounds 18365 and 18926 along with other anti-cancer compounds were tested by Taxolog, Inc., Tallahassee, Fla. for antitumor activity against the human MSTO-211H mesothelioma xenograft in nude mice according to the following protocol.









TABLE 17







Group

Test Articles













Number
N
Compound
Vehicle
mg/kg
Route
Schedule
















1
5
Vehicle
10% E, 10% C, 80% D5W
0
IV
Q4D × 4


3
5
Docetaxel
7.5% E, 7.5% Tw80, 85% D5W
25
IV
Q7D × 3


4
5
Paclitaxel
5% E, 5% C, 90% D5W
30
IV
Q2D × 5


5
5
Irinotecan
NaCl
60
IP
Q4D × 3


6
5
Gemcitabine
NaCl
30
IP
Q3D × 3


7
5
Pemetrexed
NaCl
300
IP
QD × 10


8
5
Carboplatin
NaCl
15
IP
Q4D × 3


9
5
Doxorubicin
NaCl
5
IV
Q7D × 3


10
5
Vincristine
NaCl
1
IP
Q4D × 3


11
5
18365
10% E, 10% C, 80% D5W
30
IV
Q4D × 4


12
5
18926
10% E, 10% C, 80% D5W
30
IV
Q4D × 4









Treatment was initiated on Day 1 in groups of five nude mice bearing established ( ̃185 mm3) s.c. MSTO-211H tumors. Compound 18365 was very active in this study with tumor regressions. Compound 18926 was toxic at this dose in this study.
The mean tumor growth for this study is shown in FIG. 15.
EXAMPLE 32
In Vivo i.v. Activity of Compounds 18365, 19244, and Docetaxel in Nude Rats Bearing BxPC-3 Human Pancreatic Tumor Xenografts
Compounds 18365 and 19244 were tested by Oncodesign, France for antitumor activity against the human BxPC-3 human pancreatic xenograft model in nude rats.
Method: Twenty four (24) hours after a whole body irradiation with a γ-source (7.0 Gy, Co60, INRA, Dijon, France) 20×106 BxPC-3 cells in 200 μl of RPMI 1640 culture medium were subcutaneously injected in the right flank of 8 female Nude rats to generate tumor material. When the tumor size reaches approximately 1,000 mm3, the tumors were surgically excised for implantation into recipient Nude female rats. Twenty four (24) hours after a whole body irradiation (7.0 Gy, Co60, INRA, Dijon, France), fresh BxPC-3 tumor fragments were sc implanted in the right flank of 52 Nude female rats (1 fragment/rat) at D0 using surgical pliers and skin was stitched. The antitumor activity study was started at D21 when the mean tumor volume has reached 321.6±131.2 mm3. Before the start of treatments, 42 tumor bearing rats out of 52 grafted were randomized into 7 groups of 6 animals. The mean tumor volume of each group was comparable and not statistically different from the other groups (analysis of variance).
The treatment schedule is summarized in the table below:












TABLE 18






Number

dose
Adm
Treatment


Group
of rats
Treatment
(mg/kg/adm)
route
Day*







1
6
Vehicle
—
IV
D21, D28, D42 and







D49


2

18365
5

D21, D28, D42 and







D49


3


7

D21 and D42


4

19244
5

D21, D42 and D49


5


7

D21 and D42


6

TXT
5

D21, D28, D42 and







D49


7


7

D21 and D42









As severe body weight loss was observed with no recovery between each treatment, the original Q7D×4 treatment schedule was adjusted to compound and dose. At 5 mg/kg/inj, 4 treatments were administrated at D21, D28, D42 and D49 for compound 18365 and TXT as for compound 19244 3 injections only were done at D21, D42 and D49 due to slower body weight recovery. At 7 mg/kg/inj, only two treatments were performed at D21 and D42 due to severe body weight loss.
Compound 18365
The mean doubling time (DT) of tumors from rats of vehicle treated group was 10.9±6.0 days. The mean doubling time of tumors from rats treated with compound 18365 at 5 mg/kg/inj were increased to 24.7±10.4 days but not significantly different when compared to vehicle group. When treated at 7 mg/kg/inj, no DT analysis was made since only one animal was available for DT evaluation. The time to reach volume (T to V) of 1,000 mm3 for vehicle treated rats was 30.0±2.7 days. The T to V of 1,000 mm3 for compound 18365 at 5 mg/kg/inj treated group was statistically significantly increased (64.3±16.3 days) when compared to the vehicle treated group (p=0.0007). When treated at 7 mg/kg/inj, no sufficient number of animals (only one) was available to conclude.
Compound 18365 at 5 mg/kg/inj induced optimal T/C % value of 11.0% at D53 (n=5). The T/C % values were lower than 42% from D33. At D81 (final sacrifice), two animals were recorded with complete tumor regression in this group. Compound 18365 at 7 mg/kg/inj induced optimal T/C % value of 13.2% at D53 (n=3). The T/C % values were lower than 42% from D33. A marked antitumor activity of compound 18365 was evidenced in the model of Nude rats bearing subcutaneous BxPC-3 tumor when treated by repeated IV injections at 5 and 7 mg/kg/inj, a total of four treatments (at D21, D28, D42 and D49) and two treatments (at D21 and D42) being administrated, respectively. At the 5 mg/kg/inj, the repeated IV treatments with compound 18365 were not well tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. A severe body weight loss was observed, reaching −16.9±6.1% at D33 (close to the significant threshold) and leading to delay the day of treatment. The schedule Q7D×4 was changed to treatments at D21, D28, D42 and D49. Only one rat (ID 3171) was sacrificed at D35 due to no body weight recovery.
At 7 mg/kg/inj, the repeated IV treatments with compound 18365 were not tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. After the first treatment, a severe and statistically significant body weight loss was observed (MBWC D21-D26 of −16.5±7.2 and −2.0±4.8% for the compound 18365 at 7 mg/kg/inj and the vehicle treated groups respectively, p<0.0001). The body weight loss and time to recover body weight led to reduce the number of treatments. The schedule Q7D×4 was changed to only two treatments at D21 and D42. The second treatment led also to a severe body weight loss and body weight recover was only observed for one animal. Three rats were found dead (at D23, D27 and D49) and two were sacrificed (at D53 and D70). Only one rat out of six treated with compound 18365 at 7 mg/kg/inj was alive at the end of the study.
Compound 19244
At 5 mg/kg/inj, the repeated IV treatments with compound 19244 were well tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. After the first injection, a severe and statistically significant body weight loss was observed (MBWC D21-D26 of −15.9±5.6 and −2.0±4.8% for the compound 19244 at 5 mg/kg/inj and the vehicle treated groups respectively, p<0.0001). The loss of body weight led to reduce the number of treatments and delay the day of treatments. The schedule Q7D×4 was changed to treatments at D21, D42 and D49. Three rats were found dead (at D34, D49 and D55) when treated with compound 19244 at 5 mg/kg/inj. At 7 mg/kg/inj, the repeated IV treatments with compound 19244 were not tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. After the first treatment, a severe and statistically significant body weight loss was observed (MBWC D21-D26 of −20.1±5.7 and −2.0±4.8% for the compound 19244 at 7 mg/kg/inj and the vehicle treated groups respectively, p<0.0001). The body weight loss and time to recover body weight led to reduce the number of treatments. The schedule Q7D×4 was changed to only two treatments at D21 and D42. Three rats were found dead (at D27, D28 and D31) and one was sacrificed at D49. Only two rats out of six treated with compound 19244 at 7 mg/kg/inj were alive at the end of the study.
The mean doubling time of tumors from rats treated with compound 19244 at 5 mg/kg/inj were increased to 19.3±6.5 days but the difference was not statistically significant when compared to vehicle group (DT of 10.9±6.0 days). When treated at 7 mg/kg/inj, no sufficient number of animals (only one) was available to conclude.
The T to V of 1,000 mm3 for compound 19244 at 5 mg/kg/inj treated group was increased (46.0±11.6 days) when compared to the vehicle treated group but the difference was not statistically significant (p=0.0240). When treated at 7 mg/kg/inj, no sufficient number of animals (only one) was available to conclude.
Compound 19244 at 5 mg/kg/inj induced optimal T/C % value of 27.7% at D53 (n=4). The T/C % values were lower than 42% from D33. Compound 18365 at 7 mg/kg/inj induced optimal T/C % value of 8.9% at D53 (n=2). The T/C % values were lower than 42% from D33.
A marked antitumor activity of compound 19244 was evidenced in the model of Nude rats bearing subcutaneous BxPC-3 tumor when treated by repeated IV injections at 5 and 7 mg/kg/inj, a total of three treatments (at D21, D42 and D49) and two treatments (at D21 and D42) being administrated, respectively.
TXT
At 5 mg/kg/inj, the repeated IV treatments with TXT were not well tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. A severe body weight loss was observed, reaching −15.4±8.2% at D33 (close to the significant threshold) and leading to delay the day of treatment. The schedule Q7D×4 was changed to treatments at D21, D28, D42 and D49. One rat was sacrificed at D35 and two were found dead at D58.
At 7 mg/kg/inj, the repeated IV treatments with TXT were not tolerated by Nude rats bearing subcutaneous BxPC-3 tumor. After the first treatment, a severe and statistically significant body weight loss was observed (MBWC D21-D26 of −16.3±7.0 and −2.0±4.8% for the TXT at 7 mg/kg/inj and the vehicle treated groups respectively, p<0.0001). The body weight loss and time to recover body weight led to reduce the number of treatments. The schedule Q7D×4 was changed to only two treatments at D21 and D42. Two rats were found dead (at D28 and D29) and two were sacrificed (at D60 and D70). Only two rats out of six treated with TXT at 7 mg/kg/inj were alive at the end of the study.
The mean doubling time of tumors from rats treated with TXT at 5 mg/kg/inj could not be calculated as no animal was available for DT evaluation. When treated at 7 mg/kg/inj, no sufficient number of animals (only two) was available to conclude.
The T to V of 1,000 mm3 for TXT at 5 or 7 mg/kg/inj treated group was increased when compared to the vehicle treated group but only one or two animals are available for evaluation.
TXT at 5 mg/kg/inj induced optimal T/C % value of 3.8% at D60 (n=2). The T/C % values were lower than 42% from D33. At D81 (final sacrifice), one animal was recorded with complete tumor regression in this group. TXT at 7 mg/kg/inj induced optimal T/C % value of 12.3% at D56. The T/C % values were lower than 42% from D33.
A marked antitumor activity of TXT was evidenced in the model of Nude rats bearing subcutaneous BxPC-3 tumor when treated by repeated IV injections at 5 and 7 mg/kg/inj, a total of four treatments (at D21, D28, D42 and D49) and two treatments (at D21 and D42) being administrated, respectively
Summary of results from rat xenograft study

    
    
        Toxicity Rat xenograft Study
        
            18365
            
                5 mg/kg 16.9% wt loss, 1 sacrificed weight loss
                7 mg/kg 3 found dead, 2 sacrificed weight loss
            
            
            19244
            
                5 mg/kg 3 found dead
                7 mg/kg 3 found dead, 1 sacrificed
            
            
            Docetaxel
            
                5 mg/kg 2 found dead 1 sacrificed
                7 mg/kg 2 found dead 2 sacrificed
            
            
        
        
    
    


In conclusion, the xenograft study showed that when compound 18365 was dosed on the same schedule and dose as docetaxel it was less toxic and better tolerated in nude rats. FIG. 15 shows the tumor growth for the vehicle control and the compound 19244 groups. FIG. 16 shows the tumor growth for the compound 18365 and the docetaxel group.
EXAMPLE 33
In Vivo Toxicity Assessmentin Rats
Toxicity was assessed in 250-300 g Sprague-Dawley rats and three rats were used per dose group using a dose of 12 mg/kg for intravenous administration. Animals were observed and clinical chemistry data collected at days 4 and 10. Rats were euthanized on day 11 and the nerves were excised and fixed upon euthanization for further examination.
Each rat is scored as described below and a final toxicity score that incorporates all parameters is assigned. A dead rat is assigned a score of zero. Table 18 below gives the criteria for how each toxicity parameter contributes to the score. Most of the parameters contribute a positive value towards a total possible score of 130. For body weight, white blood cell, and platelet decreases, recovery is considered. If the parameter does not show recovery, then a −5 is subtracted from the total. The total score is divided by 13 to put it on a scale from 0 to 10. As for the neurotoxicity score, a −10 indicates that axonal degeneration lesions were seen, while a 0 indicates there were no lesions. The same technique was used to measure toxicity in studies using a dosing regimen of weekly for three weeks where the clinical chemistry was taken 4 days after the last dose.
The axonal degeneration was also measured quantitatively to estimate the number of axons degenerated for a uniform surface area.








TABLE 19





Score
Axonal degeneration







0
no degen axons


1
 1-3 degen axons


2
 4-10 degen axons


3
11-50 degen axons


4
 50+ degen axons
















TABLE 20







Criteria for Rat Toxicity Scoring









Score








Observation
Recovery Week 2
















Neurotoxicity
N (0)
Y (1-4)


N
Y



0
−10 






Body Weight
≧20%
≧15%
≧10%
<10%




Loss
0
5
10
20
−5
0


WBC
≧50%
≧25%
≧10%
<10%




decrease
0
5
10
20
−5
0


Platelets
≧75%
≧50%
≧25%
<25%




decrease
0
5
10
20
−5
0


AST elevation
≧2 × cont.
≧1.5 × cont
≧1.25 × cont
<1.25 × cont





0
5
10
20




ALT elevation
≧2 × cont
≧1.5 × cont
≧1.25 × cont
<1.25 × cont





0
5
10
20




BUN elevation
≧2 × cont
≧1.5 × cont
≧1.25 × cont
<1.25 × cont





0
5
10
20




Water/Loose
N
Y






Diarrhea
5
0






Bloody/Mucoid
N
Y






Diarrhea
5
0





Maximum score (each rat) = 130;


Group score = average of 3 rats/13;


Avg = average of 3 groups


cont = control


AST = Aspartate aminotransferase (AST);


Wt Avg = (Σ(dose × grp score))/24


ALT = Alanine aminotransferase


BUN = Blood urine nitrogen


WBC = White blood cell


PTL = Platelet;






In the rat toxicity study e206, compound 19244 had a score of 7.7 with docetaxel as a control showing a score of 5.9. The dose of 12 mg/kg is equivalent to 72 mg/m2 which is similar to the human dose of docetaxel when dosed every three weeks. Not only does compound 19244 have a similar score to docetaxel in this study but the axonal degeneration was less than the docetaxel control. This could indicate a potential benefit in the clinic of a lowered risk of peripheral neuropathy. There was no mortality in the study. Compound 19244 was formulated in an ethanol and Liposyn II 20% formulation and docetaxel was formulated in an ethanol and Tween® 80 based formulation as previously described.







TABLE 21





Results from e206 study








































Day









IV

Neuro
Day 1
Day 8
Day 10
Day 4
Day 10
Day 4
10
Day 4
Day 4
Day 4
Dia
Dia




Dose/Rat
Mort
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score





19244


















12 mg/kg


















Rat 1

0
231
219
227
3.87
16.4
1220
994
26
204
18
n
n






0

20
0
0
0
20
0
20
10
20
5
5
100
7.7


Rat 2

0
230
197
203
3.52
15
1005
1137
19
158
12
n
n






0

10
0
0
0
20
0
20
20
20
5
5
100
7.7


Rat 3

0
227
208
221
4.92
11.7
792
1370
28
119
12
n
n






0

20
0
0
0
10
0
20
20
20
5
5
100
7.7

















AVE
7.7





























Day

Day

Day









IV
Neuro
Day 1
Day 8
10
Day 4
10
Day 4
10
Day 4
Day 4
Day 4
Dia
Dia





Docetaxel

















12 mg/kg

















Rat 1
4
242
217
221
3.96
11
835
1540
32
179
15
n
n





−10

10
0
0
0
10
0
20
10
20
5
5
70
5.4


Rat 2
4
215
200
208
2.34
10.1
768
1550
39
230
8
n
n





−10

20
0
0
0
10
0
20
5
20
5
5
75
5.8


Rat 3
3
240
220
233
5.45
11.7
1000
1478
31
264
13
n
n





−10

20
0
0
0
20
0
20
5
20
5
5
85
6.5
















AVE
5.9









In the rat toxicity study e195, compound 17932 had a score of 8.1 (average of 7.3, 7.7, and 9.2) which is lower than the docetaxel historical control. Compound 17932 also showed very little axonal degeneration. Compound 17932 was formulated in an ethanol and Liposyn II 20% formulation.







TABLE 22







Results from e195 study


























Day
Day
Day













IV

Neuro
1
8
10
Day 4
Day 10
Day 4
Day 10
Day 4
Day 4
Day 4
Dia
Dia




Dose/Rat
Mortality
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score


























17932


















12 mg/kg


















Rat 1

1
234
211
226
5.47
11.2
742
957
27
121
15
n
n






−10

20
0
5
0
10
0
20
20
20
5
5
95
7.3


Rat 2

0
231
205
210
7.92
14.6
836
1207
20
100
9
n
n






0

10
0
10
0
10
0
20
20
20
5
5
100
7.7


Rat 3

0
230
211
211
9.24
25.3
854
1506
24
111
9
n
n






0

20
0
20
0
10
0
20
20
20
5
5
120
9.2









In the rat toxicity study e196, compound 18365 had a score of 7.7 which is lower than the docetaxel historical control. Compound 18365 also showed no axonal degeneration. Compound 18365 was formulated in an ethanol and Liposyn II 20% formulation.







TABLE 23







Results from e196 study




























Day

Day

Day









IV

Neuro
Day 1
Day 8
10
Day 4
10
Day 4
10
Day 4
Day 4
Day 4
Dia
Dia




Dose/Rat
Mortality
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score


























18365


















12 mg/kg


















Rat 1

0
239
225
241
5.62
12.1
1106
1214
20
98
15
n
n






0

20
0
5
0
20
0
20
10
20
5
5
105
8.1


Rat 2

0
222
203
211
5.65
10.2
968
1201
19
101
18
n
n






0

20
0
5
0
10
0
20
10
10
5
5
85
6.5


Rat 3

0
229
213
225
3.39
13.4
1035
1080
20
81
15
n
n






0

20
0
0
0
20
0
20
20
20
5
5
110
8.5

















AVE
7.7









In the rat toxicity study e199, compound 18926 had a score of 7.4 with docetaxel as a control showing a score of 6.4. Not only does compound 18926 have a similar score to docetaxel in this study but compound 18926 showed no axonal degeneration. This could indicate a potential benefit in the clinic of a lowered risk of peripheral neuropathy. There was no mortality in the study. Compound 18926 was formulated in an ethanol and Liposyn II 20% formulation and docetaxel was formulated in an ethanol and Tween® 80 based formulation as previously described.







TABLE 24





Results from e199 study


































Day
Day
Day
Day
Day
Day
Day









IV

Neuro
1
8
10
4
10
4
10
Day 4
Day 4
Day 4
Dia
Dia




Dose/Rat
Mort
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score





18926


















12 mg/kg


















Rat 1

0
219
200
204
5.06
12.8
829
1319
26
33
9
n
n






0

20
0
0
0
10
0
20
20
20
5
5
100
7.7


Rat 2

0
241
213
223
5.79
11.8
960
1547
31
129
9
n
n






0

10
0
5
0
20
0
20
5
20
5
5
90
6.9


Rat 3

0
231
206
208
4.86
11.6
948
1442
32
26
12
n
n






0

10
0
0
0
20
0
20
20
20
5
5
100
7.7

















AVE
7.4




























Day
Day

Day

Day









IV
Neuro
Day 1
8
10
Day 4
10
Day 4
10
Day 4
Day 4
Day 4
Dia
Dia





Docetaxel

















12 mg/kg

















Rat 1
3
228
225
229
4.89
19
922
1378
24
87
10
n
n





−10

20
0
0
0
10
0
20
20
20
5
5
90
6.9


Rat 2
2
214
212
218
4.23
12.4
757
1360
32
132
10
n
n





−10

20
0
0
0
10
0
20
5
20
5
5
75
5.8


Rat 3
3
245
235
245
5.99
31.6
922
1435
27
97
12
n
n





−10

20
0
5
0
10
0
20
10
20
5
5
85
6.5
















AVE
6.4









In the e371 single dose study, compounds 18365, 18926, and 19244 were compared side by side with docetaxel. Compounds 18365, 18926, and 19244 were formulated in an ethanol, Cremophor EL® and D5W formulation (10:10:80) and docetaxel was formulated in an ethanol Tween® 80 based formulation. Compounds 18365, 18926, and 19244 all showed less axonal degeneration than docetaxel and also a higher (safer) rat toxicity score.







TABLE 25





Results from e371 single dose study




































Day

Day

Day
Day
Day
Day






IV

Neuro
Day 1
Day 8
10
Day 4
10
Day 4
10
4
4
4
Dia
Dia




Dose/Rat
Mort
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score





18365


















12 mg/kg


















Rat 1

0
227
216
230
6.53
40.4
736
1070
18
65
13
n
n






0

20
0
5
0
20
0
20
20
20
5
5
115
8.8


Rat 2

0
231
213
231
6.39
14.6
777
849
17
59
13
n
n






0

20
0
5
0
20
0
20
20
20
5
5
115
8.8


Rat 3

0
240
211
220
4.18
15.2
770
1682
17
70
14
n
n






0

10
0
0
0
20
0
20
20
20
5
5
100
7.7

















AVE
8.5





























Day

Day











IV
Neuro
Day 1
Day 8
10
Day 4
10
Day 4
Day 10
Day 4
Day 4
Day 4
Dia
Dia





18926

















12 mg/kg

















Rat 1
0
230
219
220
4.94
12.4
889
1359
28
84
11
n
n





0

20
0
0
0
20
0
20
20
20
5
5
110
8.5


Rat 2
0
238
220
224
5.97
14.5
781
1383
26
109
15
n
n





0

20
0
5
0
20
0
20
20
20
5
5
115
8.8


Rat 3
1
227
208
215
6.69
15.5
831
1398
29
107
16
n
n





−10

20
0
5
0
20
0
20
20
20
5
5
105
8.1
















AVE
8.5


19244

















12 mg/kg

















Rat 1
1
231
204
212
7.03
9.26
693
1000
25
80
11
n
n





−10

10
0
5
0
10
0
20
20
20
5
5
85
6.5


Rat 2
0
235
204
212
3.23
7.66
598
1181
18
91
12
n
n





0

10
0
0
0
10
0
20
20
20
5
5
90
6.9


Rat 3
0
231
220
230
4
10
684
1027
20
77
10
n
n





0

20
0
0
0
10
0
20
20
20
5
5
100
7.7
















AVE
7.1


Docetaxel

















12 mg/kg

















Rat 1
1
226
211
223
6.51
9.6
735
906
30
115
11
n
n





−10

20
0
5
0
20
0
20
10
20
5
5
95
7.3


Rat 2
1
238
217
228
5.15
7.03
708
1568
21
97
11
n
n





−10

20
0
0
0
10
0
20
20
20
5
5
90
6.9


Rat 3
1
229
216
228
5.42
12.4
670
1198
28
119
13
n
n





−10

20
0
0
0
10
0
20
10
20
5
5
80
6.2
















AVE
6.8









In the e371 multiple dose study, compounds 18365, 18926, and 19244 were compared side by side with docetaxel. Compounds 18365, 18926, and 19244 were formulated in an ethanol, Cremophor EL® and D5W formulation (10:10:80) and docetaxel was formulated in an ethanol Tween® 80 based formulation. Compounds 18365 and 18926 showed less axonal degeneration than docetaxel and compound 19244 when dosed weekly was similar to docetaxel. In comparison to the single dose study, compound 18926 showed a lower score than docetaxel when dosed weekly, indicating in the clinic, compound 18926 may be better in an every three week schedule rather than a weekly schedule. However, there was no mortality in this study.







TABLE 26





Results from e371 multiple dose study



































Day
Day
Day
Day
Day
Day
Day
Day
Day






IV

Neuro
Day 1
22
24
18
24
18
24
18
18
18
Dia
Dia




Dose/Rat
Mort
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score





18365


















12 mg/kg


















Rat 1

1
232
215
232
8.07
13
1119
1046
19
103
17
n
n






−10

20
0
10
0
20
0
20
20
20
5
5
110
8.5


Rat 2

1
233
229
244
3.89
4.04
991
867
36
94
12
n
n






−10

20
0
0
0
20
0
20
20
20
5
5
100
7.7


Rat 3

2
235
214
232
6.38
17.2
973
1341
23
96
10
n
n






−10

20
0
5
0
20
0
20
20
20
5
5
105
8.1

















AVE
8.1




























Day
Day
Day
Day
Day

Day








IV
Neuro
Day 1
22
24
18
24
18
Day 24
18
Day 18
Day 18
Dia
Dia





18926

















12 mg/kg

















Rat 1
1
216
179
196
4.79
6.88
1242
1457
30
93
11
n
n





−10

5
0
5
0
20
0
20
20
20
5
5
90
6.9


Rat 2
2
243
173
187
3.39
0.954
684
77.5
32
120
17
y
n





−10

0
0
0
−5
20
−5
20
20
20
0
5
65
5.0


Rat 3
1
244
200
216
12.2
8.47
1174
1502
31
219
17
n
n





−10

5
0
20
0
20
0
20
5
20
5
5
90
6.9


19244

















12 mg/kg

















Rat 1
2
213
202
214
5.24
4.77
1019
768
24
95
15
n
n





−10

20
0
5
−5
20
0
20
20
20
5
5
100
7.7


Rat 2
3
246
205
222
2.42
1.76
1056
1381
68
347
20
n
n





−10

5
0
0
−5
20
0
10
0
10
5
5
40
3.1


Rat 3
3
237
229
241
4.9
5.4
1000
1161
27
92
11
n
n





−10

20
0
5
0
20
0
20
20
20
5
5
105
8.1
















AVE
6.3


Docetaxel

















12 mg/kg

















Rat 1
3
249
230
244
4.03
9.27
758
1192
28
101
19
n
n





−10

20
0
0
0
20
0
20
20
20
5
5
100
7.7


Rat 2
3
212
215
228
3.54
8.23
720
1120
33
126
12
n
n





−10

20
0
0
0
20
0
20
20
20
5
5
100
7.7


Rat 3
3
236
225
250
5
7.57
742
1058
34
131
19
n
n





−10

20
0
5
0
20
0
20
20
20
5
5
105
8.1
















AVE
7.8









In the e346 multiple dose study, compounds 17932, 18365, 18926, and 19244 were compared side by side with docetaxel. Compounds 18365, 18926, and 19244 were formulated in an ethanol, Liposyn II 20% based formulation (5:95) and docetaxel was formulated in an ethanol, Tween® 80 based formulation. Compounds 18365, 17932, and 18926 all showed much less axonal degeneration than docetaxel. Compound 19244 when dosed weekly also showed high axonal degeneration, but was still lower than docetaxel. In comparison to the single dose studies, compound 18926 showed a lower score than docetaxel when dosed weekly, indicating in the clinic, compound 18926 may be better in an every three week schedule rather than a weekly schedule. However, there was no mortality in this study.







TABLE 27





Results from e346 multiple dose study



































Day
Day
Day
Day
Day
Day
Day
Day
Day






IV

Neuro
Day 1
22
24
18
24
18
24
18
18
18
Dia
Dia




Dose/Rat
Mortality
Tox
BW
BW
BW
WBC
WBC
PLT
PLT
ALT
AST
BUN
L/W
B/M
Total
Score





17932


















12 mg/kg


















Rat 1

0
250
190
193
5.2
28
546
1134
38
164
16
n
n






0

0
0
0
0
10
0
20
10
20
5
5
70
5.4


Rat 2

1
231
185
199
5.04
6.15
1083
1329
28
142
12
n
n






−10

5
0
0
0
20
0
20
20
20
5
5
85
6.5


Rat 3

0
230
168
188
4.52
4.49
627
1010
38
144
11
n
n






0

0
0
0
−5
10
0
20
20
20
5
5
75
5.8

















AVE
5.9




























Day
Day
Day












IV
Neuro
Day 1
22
24
18
Day 24
Day 18
Day 24
Day 18
Day 18
Day 18
Dia
Dia





18365

















12 mg/kg

















Rat 1
2
214
201
216
4.03
7.03
699
1270
36
162
10
n
n





−10

20
0
0
0
20
0
20
10
20
5
5
90
6.9


Rat 2
1
236
226
232
4.68
6.24
772
1053
31
153
9
n
n





−10

20
0
0
0
20
0
20
20
20
5
5
100
7.7


Rat 3
0
260
230
241
7.36
14.4
751
1305
377
276
9
n
n





0

10
0
0
0
20
0
0
0
20
5
5
60
4.6
















AVE
6.4


18926

















12 mg/kg

















Rat 1
1
222
156
166
4.74
12.3
611
520
60
237
18
n
n





−10

0
0
0
0
10
−5
20
5
10
5
5
40
3.1


Rat 2
0
227
160
169
3.3
11.4
772
1009
102
389
18
n
n





0

0
0
0
0
20
0
10
0
10
5
5
50
3.8


Rat 3
1
255
168
176
4.93
10.2
943
276
49
283
16
n
n





−10

0
0
0
0
20
−5
20
0
20
5
5
55
4.2
















AVE
3.7


19244

















12 mg/kg

















Rat 1
3
226
198
208
3.3
7.1
724
940
30
143
9
n
n





−10

10
0
0
0
20
0
20
20
20
5
5
90
6.9


Rat 2
3
244
201
216
3.79
3.11
1221
653
31
117
10
n
n





−10

5
0
0
−5
20
−5
20
20
20
5
5
75
5.8


Rat 3
3
233
184
196
3.97
9.13
980
1531
64
158
11
n
n





−10

0
0
0
0
20
0
20
10
20
5
5
70
5.4
















AVE
6.0


Paclitaxel

















12 mg/kg

















Rat 1
1
233
251
260
10.8
10.2
1005
999
75
274
17
n
n





−10

20
0
5
−5
20
0
20
0
20
5
5
80
6.2


Rat 2
2
235
261
269
11.2
18.3
1153
1358
58
158
19
n
n





−10

20
0
5
0
20
0
20
10
10
5
5
85
6.5


Rat 3
2
231
251
266
9.05
14.5
924
1084
32
112
15
n
n





−10

20
0
5
0
20
0
20
20
20
5
5
105
8.1
















AVE
6.9


Docetaxel

















12 mg/kg

















Rat 1
4
248
220
235
3.07
11.9
885
1544
24
95
15
n
n





−10

10
0
0
0
20
0
20
20
20
5
5
90
6.9


Rat 2
4
230
224
234
3.06
6.72
889
1368
27
162
13
n
n





−10

20
0
0
0
20
0
20
10
20
5
5
90
6.9


Rat 3
4
221.8
211
225
3
12.6
492
1231
35
182
10
n
n





−10

20
0
0
0
10
0
20
10
20
5
5
80
6.2
















AVE
6.7

## Claims

1. A taxane having the structure (1):




wherein R10a is ethyl or cyclopropyl; X3 is thienyl; and X10 is cyclobutyl or cyclopentyl.

2. The taxane of claim 1, the taxane having a structure selected from (1AA), (1BB), (1CC), and (1DD):

3. A pharmaceutical composition comprising a taxane having the structure (1):




and at least one pharmaceutically acceptable carrier, wherein R10a is ethyl or cyclopropyl; X3 is thienyl; and X10 is cyclobutyl or cyclopentyl.

4. The pharmaceutical composition of claim 3 wherein the taxane has the structure (1bb):

5. The pharmaceutical composition of claim 3 wherein the taxane has a structure selected from (1A), (1B), (1C), and (1D):

6. The pharmaceutical composition of claim 3 wherein the taxane has a structure selected from (1AA), (1BB), (1CC), and (1DD):

7. A method of inhibiting tumor growth in a mammal, said method comprising administering to the mammal a therapeutically effective amount of a pharmaceutical composition comprising the taxane of claim 1.

8. The method of claim 7 wherein the taxane has a structure selected from (1AA), (1BB), (1CC), and (1DD):

9. The method of claim 7 wherein the tumor includes tumor cells exhibiting multidrug resistance.

10. The method of claim 9 wherein the multidrug resistant tumor cells overexpress a drug-efflux transporter.

11. The method of claim 10 wherein the drug-efflux transporter is an ATP-binding cassette transporter.

12. The method of claim 11 wherein the ATP-cassette transporter is P-glycoprotein, an MDR-associated protein, a breast cancer resistance protein, a multidrug resistance-associated protein, or a combination thereof.

13. The method of claim 7 wherein the tumor is resistant to paclitaxel.

14. The method of claim 7 wherein the tumor is resistant to docetaxel.

15. The method of claim 7 wherein the tumor is an epithelial cell carcinoma.

16. The method of claim 7 wherein the tumor is a brain glioblastoma, a breast carcinoma, a colon carcinoma, a kidney carcinoma, a liver carcinoma, a lung carcinoma, an ovarian carcinoma, a pancreatic carcinoma, a renal carcinoma, or a skin melanoma.

17. The method of claim 7 wherein the tumor is a colon carcinoma, a lung carcinoma, a pancreatic carcinoma, a renal carcinoma, or a skin melanoma.

18. The method of claim 7 wherein the tumor is a colon carcinoma, a lung carcinoma, a renal carcinoma, or a skin melanoma.

19. The method of claim 7 wherein the tumor is SNB-19 brain glioblastoma, HCT116 colon carcinoma, HT-29 colon carcinoma, DLD-1 colon carcinoma, A549 lung carcinoma, HOP-18 lung carcinoma, MSTO-211H mesothelioma, A375 melanoma, MALME-3 melanoma, SK-MEL-28 melanoma, OVCAR4 ovarian carcinoma, OVCAR5 ovarian carcinoma, PANC-1 pancreatic adenocarcinoma, BxPC-3pancreatic carcinoma, 786-0 renal carcinoma, or TK-10 renal carcinoma.

20. The method of claim 7 wherein the tumor is DLD-1 colon carcinoma, MSTO-211H mesothelioma, A375 melanoma, or 786-0renal carcinoma.