Patent Description:
Triptolide is an active component from the traditional Chinese medicinal plant Thunder God Vine. It has been shown to possess anti-inflammatory, immunosuppressive and anticancer activities, among others. Its molecular target has been identified as the XPB (ERCC3) subunit of the general transcription factor TFIIH. It works by blocking RNAPII transcription initiation and nucleoside excision repair. Triptolide and analogs have been developed as new anticancer and immunosuppressive drugs. Unfortunately, dose-limiting toxicity and insolubility have been major hurdles for its development as a new drug.

The present invention is based on the seminal discovery that conjugation of triptolide with glucose to form glucose-triptolide conjugates provides compounds with effective anti-proliferative activity and improved tolerability as compared to naturally occurring triptolide compounds.

The invention is as definedin claims <NUM> to <NUM>.

In one embodiment, the invention provides an anti-proliferative effective amount of a glucose-triptolide conjugate compound for use in the treatment of cancer.

Also disclosed is the glucose-triptolide conjugate compounds have the structure of Formula I:.

The cancer may be one of the following, but not limited to bladder cancer, breast cancer, ovarian cancer, pancreatic cancer, and gastric cancer, cervical cancer, colon cancer, endometrial cancer, head and neck cancer, lung cancer, melanoma, multiple myeloma, leukemia, non-hodgkin's lymphoma, prostate cancer, rectal cancer, malignant melanomas, alimentary/gastrointestinal tract cancer, liver cancer, skin cancer, lymphoma, kidney cancer, muscle cancer, bone cancer, brain cancer, eye or ocular cancer, rectal cancer, colon cancer, cervical cancer, bladder cancer, oral cancer, benign and malignant tumors, stomach cancer, corpus uteri, testicular cancer, renal cancer, throat cancer, acute lymphocytic leukemia, acute myelogenous leukemia, Ewing's Sarcoma, Kaposi's Sarcoma, basal cell carcinoma and squamous cell carcinoma, small cell lung cancer, choriocarcinoma, rhabdomyosarcoma, angiosarcoma, hemangioendothelioma, Wilms Tumor, neuroblastoma, mouth/pharynx cancer, esophageal cancer, larynx cancer, neurofibromatosis, tuberous sclerosis, hemangiomas, and lymphangiogenesis.

In another embodiment, the cancer is prostate cancer.

In another embodiment, the cancer is metastatic cancer.

Also disclosed is where the T&A moiety is compound <NUM> and the sugar is compound <NUM>, <NUM>, <NUM> or <NUM>.

Also disclosed is where L<NUM> is a direct bond, -COCH<NUM>CH<NUM>CO-, or -CH<NUM>-.

Also disclosed is where the T&A moiety is compound <NUM> and the sugar is compound <NUM>.

Also disclosed is where the glucose triptolide conjugate compound has a Formula G1-<NUM>. In a preferred embodiment the compound is Formula G4. Formula G1-<NUM> are illustrated in the structures provided herein. The invention also provides a pharmaceutical composition comprising the compounds listed above.

The method of treatment includes administration intravenously, such as at a dosage of about <NUM>/kg to <NUM>/kg per dosage. In one aspect, the compound is administered once daily for up to about <NUM> weeks. The method may further include administering a chemotherapeutic compound, for example, prior to, simultaneously with, or following administration of a compound of the invention.

In another embodiment, the method of synthesizing a glucose-triptolide conjugate compound includes synthetic scheme II or III. These schemes are provided herein.

Also disclosed is where an anti-proliferative effective amount of a glucose-triptolide conjugate compound is administered to a subject in a method to treat possible organ rejection in subjects that have undergone an organ transplant.

Also disclosed is where an anti-proliferative effective amount of a glucose-triptolide conjugate compound is administered to a subject in a method to treat autoimmune diseases.

Examples of immune related diseases that can be treated include but are not limited to: Acute disseminated encephalomyelitis (ADEM), Addison's disease, Ankylosing spondylitis, Antiphospholipid antibody syndrome, Autoimmune hemolytic anemia, Autoimmune hepatitis, Autoimmune inner ear disease, Autoimmune Lymphoproliferative Syndrome (ALPS), Autoimmune polyendocrine/polyglandular syndrome, Autoimmune thrombocytoipenia purpura, Balo disease, Behcet disease, Bullous pemphigoid, Cardiomyopathy, Celiac sprue-dermatitis herpetiformis, Chronic fatigue immune dysfunction syndrome (CFIDS), Chronic inflammatory demyelinating neuropathy, Cicatrical pemphigoid, Coeliac disease, Cold agglutinin disease, CREST syndrome, Crohn's disease, Cystic fibrosis, Degos disease, Dermatomyositis, Diabetes (Type I or Juvenile onset), Early onset dementia, Eczema, Endotoxin shock, Essential mixed cryoglobulinemia, Familial Mediterranean fever, Fibromyalgia, Fibromyositis, Goodpasture's syndrome, Graves' disease, Guillain-Barré syndrome (GBS), Hashimoto's thyroidosis, Hidradenitis suppurativa, Idiopathic pulmonary fibrosis, Idiopathic thrombocytopenic purpura, IgA nephropathy, Lambert-Eaton Myasthenic Syndrome, Leukemia, Lichen planus, Ménière disease, Mixed connective tissue disease, Multiple sclerosis, Multiphasic disseminated encephalomyelitis, Myasthenia gravis, Neuromyelitis Optica, Paraneoplastic Syndromes, Pemphigus, Pemphigus vulgaris, Pernicious anemia, Polyarteritis nodosum, Polychondritis, Polymyalgia rhematica, Polymyositis, Primary agammaglobulinemia, Primary biliary cirrhosis, Plaque Psoriasis, Psoriatic arthritis, Raynaud phenomenon, Reiter syndrome, Restenosis following angioplasty, Rheumatic fever, Rheumatoid arthritis, Rheumatoid psoriasis, Sarcoidosis, Scleroderma, Sepsis, Sezary's disease, Sjögren's syndrome, Stiff-person syndrome, Lupus including Systemic lupus erythematosis (SLE), Takayasu arteritis, Temporal arteritis (also known as "giant cell arteritis"), Transplant or Allograft rejection, Ulcerative colitis, Uveitis, Vasculitis, Vitiligo, Graft vs Host disease, pustular psoriasis, and Wegener's granulomatosis (now termed Granulomatosis with Polyangiitis (GPA), inflammatory bowel disease, Acute necrotizing hemorrhagic leukoencephalitis, Agammaglobulinemia, Alopecia areata, Amyloidosis, Anti-GBM/Anti-TBM nephritis, Antiphospholipid syndrome (APS), Autoimmune angioedema, Autoimmune aplastic anemia, Autoimmune dysautonomia, Autoimmune hyperlipidemia, Autoimmune immunodeficiency, Autoimmune inner ear disease (AIED), Autoimmune myocarditis, Autoimmune oophoritis, Autoimmune pancreatitis, Autoimmune retinopathy, Autoimmune thyroid disease, Autoimmune urticarial, Axonal & neuronal neuropathies, Castleman disease, Celiac disease, Chagas disease, Chronic fatigue syndrome, Chronic inflammatory demyelinating polyneuropathy (CIDP), Chronic recurrent multifocal ostomyelitis (CRMO), Churg-Strauss syndrome, Cicatricial pemphigoid/benign mucosal pemphigoid, Cogans syndrome, Congenital heart block, Coxsackie myocarditis, CREST disease, Demyelinating neuropathies, Dermatitis herpetiformis, Devic's disease (neuromyelitis optica), Discoid lupus, Dressler's syndrome, Endometriosis, Eosinophilic esophagitis, Eosinophilic fasciitis, Erythema nodosum, Experimental allergic encephalomyelitis, Evans syndrome, Fibrosing alveolitis, Giant cell arteritis (temporal arteritis), Giant cell myocarditis, Glomerulonephritis, Granulomatosis with Polyangiitis (GPA) (formerly called Wegener's Granulomatosis), Hashimoto's encephalitis, Hashimoto's thyroiditis, Hemolytic anemia, Henoch-Schonlein purpura, Herpes gestationis, Hypogammaglobulinemia, Idiopathic thrombocytopenic purpura (ITP), IgG4-related sclerosing disease, Immunoregulatory lipoproteins, Inclusion body myositis, Interstitial cystitis, Juvenile arthritis, Juvenile diabetes (Type <NUM> diabetes), Juvenile myositis, Kawasaki syndrome, Lambert-Eaton syndrome, Leukocytoclastic vasculitis, Lichen sclerosus, Ligneous conjunctivitis, Linear IgA disease (LAD), Lupus (SLE), Lyme disease, chronic, Microscopic polyangiitis, Mooren's ulcer, Mucha-Habermann disease, Myositis, Narcolepsy, Neutropenia, Ocular cicatricial pemphigoid, Optic neuritis, Palindromic rheumatism, PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus), Paraneoplastic cerebellar degeneration, Paroxysmal nocturnal hemoglobinuria (PNH), Parry Romberg syndrome, Parsonnage-Turner syndrome, Pars planitis (peripheral uveitis), Pemphigus, Peripheral neuropathy, Perivenous encephalomyelitis, POEMS syndrome, Type I, II, & III autoimmune polyglandular syndromes, Postmyocardial infarction syndrome, Postpericardiotomy syndrome, Progesterone dermatitis, Primary biliary cirrhosis, Primary sclerosing cholangitis, Psoriasis, Psoriatic arthritis, Idiopathic pulmonary fibrosis, Pyoderma gangrenosum, Pure red cell aplasia, Reactive Arthritis, Reflex sympathetic dystrophy, Relapsing polychondritis, Restless legs syndrome, Retroperitoneal fibrosis, Rheumatic fever, Schmidt syndrome, Scleritis, Sperm & testicular autoimmunity, Subacute bacterial endocarditis (SBE), Susac's syndrome, Sympathetic ophthalmia, Thrombocytopenic purpura (TTP), Tolosa-Hunt syndrome, Transverse myelitis, Type <NUM> diabetes, Undifferentiated connective tissue disease (UCTD) and Vesiculobullous dermatosis.

Also disclosed is where a library of glucose conjugates of triptolide and analogs thereof, is used to screen for compounds for treating cancer.

Also disclosed is where a library of glucose conjugates of triptolide and analogs thereof, is used to screen for compounds for treating possible organ rejection.

Also disclosed is where a library of glucose conjugates of triptolide and analogs thereof, is used to screen for compounds for treating autoimmune disease.

The present invention is based on trying to solve the issues of solubility and toxicity associated with triptolide. It was hypothesized that if triptolide could be conjugated to glucose, the two aforementioned problems associated with triptolide could be addressed. The glucose-triptolide conjugates would be preferentially taken up by cancer cells and they should also exhibit much higher water solubility due to the water solubility of glucose moiety.

As used herein, the term "cancer" or "cancerous growth" means the uncontrolled, abnormal growth of cells and includes within its scope all the well-known diseases that are caused by the uncontrolled and abnormal growth of cells. Non-limiting examples of common cancers include bladder cancer, breast cancer, ovarian cancer, pancreatic cancer, and gastric cancer, cervical cancer, colon cancer, endometrial cancer, head and neck cancer, lung cancer, melanoma, multiple myeloma, leukemia (e.g. myeloid, lymphocytic, myelocytic and lymphoblastic leukemias), non-hodgkin's lymphoma, prostate cancer, rectal cancer, and malignant melanomas.

In addition to invention compounds, one of skill in the art would recognize that chemotherapeutic agents can be used prior to, simultaneously with or following treatment with invention compounds. Illustrative agents include but are not limited to, taxol, cytochalasin B, gramicidin D, ethidium bromide, emetine, mitomycin, etoposide, tenoposide, vincristine, vinblastine, colchicin, doxorubicin, daunorubicin, dihydroxy anthracin dione, mitoxantrone, mithramycin, actinomycin D, <NUM>-dehydrotestosterone, glucocorticoids, procaine, tetracaine, lidocaine, propranolol, and puromycin and analogs or homologs thereof. Therapeutic antibodies or other proteins are also envisioned in combination therapies of the invention.

The following examples are intended to illustrate but not limit the invention.

This example illustrates the synthesis of glucose-conjugated triptolide compounds. Five glucose conjugates with different types of linkers connecting glucose to triptolide were synthesized, designated G1--G5 (schemes I-III). Based on calculation, the Octanol-water partition coefficient, LogP, values were significantly improved over triptolide itself (<FIG>). <CHM>
<CHM>
<CHM>.

The activity of the different glucose-triptolide conjugates was assessed in vitro (<FIG>). It was found that they differ in their anti-proliferative activity as measured by tritiated thymidine incorporation with G4 and G3 showing moderate activity, while G1, G2 and G5 exhibiting significantly reduced activity. The ability of the glucose conjugates to inhibit the ATPase activity of XPB in the TFIIH complex was also addressed. Interestingly, none of the five glucose conjugates showed appreciable inhibitory activity, suggesting that the cellular activity was a result of breakdown of the conjugates either in cell culture or upon entry into cells. Lastly, the ability of the glucose conjugates to cause degradation of the catalytic subunit of RNAPII was determined, an effect that has been previously observed for triptolide. In parallel with the antiproliferative activity, G4 was most active in inducing RNAPII catalytic subunit degradation with G3 showing weaker activity and the rest of the glucose conjugates showing little activity.

The in vivo antitumor activity of the glucose-triptolide conjugate G4 was determined using an established metastatic prostate cancer model (Reference <NUM>). In this model, the luciferase---expressing prostate cancer line PC3/ML was injected into NOD/SCID/IL2rγnull (NSG) mice through the tail vein. The metastasis of the injected prostate cancer cells into liver, kidney, lung and bone can be monitored in live animals by bioluminescent imaging (BLI). It was shown that this is a reliable model with reproducible liver metastasis and all animals succumb by Week <NUM> after injection of cells (or Week <NUM> after initiation of treatments). In preliminary experiments, it was found that the tolerable treatment dose of triptolide to be <NUM>/kg and that of G4 to be <NUM>/kg. Three weeks after cell injection, each compound was given once daily by IP at those doses for a total of <NUM> weeks. The surviving animals were continuously monitored upon termination of compound administration. As shown in <FIG>, mice treated with <NUM> had lower tumor burden during Weeks <NUM> and <NUM> compared with those treated with triptolide. At the end of Week <NUM>, both treatment groups showed undetectable tumor cells while all animals in the untreated groups died. Upon termination of compound administration, tumors immediately returned in animals treated with triptolide. But no tumor cells were detectable in those treated with G4 till the end of the experiment, revealing sustained anticancer activity of G4 in vivo.

Other glucose triptolide conjugates with structures similar to Formulas G1-G5 are included in the present invention. Such structures are represented by Formulas G6 -G9, wherein R is a direct bond, substituted or unsubstituted -(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nO(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nC(O)-, substituted or unsubstituted -(CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nNH(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(CH<NUM>)nS(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nO(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nNH(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nS(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nO(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nNH(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nS(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkynyl-, wherein each alkyl, alkenyl and alkynyl group may be optionally substituted with alkyl, alkoxy, amino, carboxyl, cyano, nitro, or trifluoromethyl, wherein each n is independently an integer selected from <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, and <NUM>. <CHM>
<CHM>
<CHM>
<CHM>.

Other glucose triptolide conjugates that are included in the present invention are compounds of Formula I:.

wherein the T&A moiety is triptolide or one of its analogs, and can be selected from compounds <NUM> to <NUM>:
<CHM>
<CHM>
<CHM>
<CHM>.

Claim 1:
A compound selected from the group consisting of G6, G7, G8, and G9 with the following structures:
<CHM>
<CHM>
<CHM>
and
<CHM>
wherein each R is independently substituted or unsubstituted-(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nO(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(CH<NUM>)nC(O)-, substituted or unsubstituted-(CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted- (CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted -(CH<NUM>)nNH(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted- (CH<NUM>)nS(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkyl-, substituted or unsubstituted-(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nO(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nNH(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted-(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nS(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkenyl-, substituted or unsubstituted -(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nO(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted- (CH<NUM>)nC(O)(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nC(O)O(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nNH(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nC(O)NH(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted-(CH<NUM>)nS(C<NUM>-C<NUM>)alkynyl-, substituted or unsubstituted -(CH<NUM>)nC(O)(CH<NUM>)nS(C<NUM>-C<NUM>)alkyynyl-, wherein each alkyl, alkenyl and alkynyl group is optionally substituted with alkyl, alkoxy, amino, carboxyl, cyano, nitro, or trifluoromethyl,
and each n is independently an integer selected from <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, <NUM>, and <NUM>.