Combinations for the treatment of cancer
AssigneeAmgen Inc.
InventorDavid Chang
Life of this patent
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Abstract
This invention is in the field of pharmaceutical agents and specifically relates to compounds, compositions, uses and methods for treating cancer.
Claims15
A method of treating cancer in a subject with an anti-EGFR antibody in combination with a VEGFR inhibitor selected from
- a) compounds of Formula I
- wherein R is selected from unsubstituted or substituted 9- or 10-membered fused nitrogen-containing heteroaryl,
- wherein R is substituted with one or more substituents selected from halo, amino, hydroxy, C1-6-alkyl, C1-6-haloalkyl, C1-6-alkoxy, optionally substituted heterocyclylalkoxy, C1-6-alkylamino-C24-alkynyl, C1-6-alkylamino-C1-6-alkoxy, C1-6-alkylamino-C1-6-alkoxy-C1-6-alkoxy, and optionally substituted heterocyclyl-C2-4-alkynyl;
- wherein R1 is selected from unsubstituted or substituted
- aryl,
- cycloalkyl,
- 5-6 membered heteroaryl and
- 9-10 membered bicyclic and 13-14 membered tricyclic heterocyclyl,
- wherein substituted R1 is substituted with one or more substituents selected from halo, C1-6-alkyl, optionally substituted C3-6-cycloalkyl, optionally substituted phenyl, optionally substituted phenyl-C1-C4-alkylenyl, C1-2-haloalkoxy, optionally substituted phenyloxy, optionally substituted 4-6 membered heterocyclyl-C1-C4-alkyl, optionally substituted 4-6 membered heterocyclyl-C2-C4-alkenyl, optionally substituted 4-6 membered heterocyclyl, optionally substituted 4-6 membered heterocyclyloxy, optionally substituted 4-6 membered heterocyclyl-C1-4-alkoxy, optionally substituted 4-6 membered heterocyclylsulfonyl, optionally substituted 4-6 membered heterocyclylamino, optionally substituted 4-6 membered heterocyclylcarbonyl, optionally substituted 4-6 membered heterocyclyl-C1-4-alkylcarbonyl, C1-2-haloalkyl, C1-4-aminoalkyl, nitro, amino, hydroxy, cyano, aminosulfonyl, C1-2-alkylsulfonyl, halosulfonyl, C1-4-alkylcarbonyl, C1-3-alkylamino-C1-3-alkyl, C1-3-alkylamino-C1-3-alkoxy, C1-3-alkylamino-C1-3-alkoxy-C1-3-alkoxy, C1-4-alkoxycarbonyl, C1-4-alkoxycarbonylamino-C1-4-alkyl, C1-4-hydroxyalkyl
- and C1-4-alkoxy;
- wherein R2 is one or more substituents independently selected from H, halo, hydroxy, amino, C1-6-alkyl, C1-6-haloalkyl, C1-6-alkoxy, C1-2-alkylamino, aminosulfonyl, C3-6-cycloalkyl, cyano, C1-2-hydroxyalkyl, nitro, C2-3-alkenyl, C2-3-alkynyl, C1-6-haloalkoxy, C1-6-carboxyalkyl, 4-6-membered heterocyclyl-C1-6-alkylamino, unsubstituted or substituted phenyl and unsubstituted or substituted 4-6 membered heterocyclyl;
- wherein R4 is selected from a direct bond, C1-4-alkyl, and
- and
- wherein Re and Rf are independently selected from H and C1-2-haloalkyl;
- and
- wherein R7 is selected from H, C1-3-alkyl, optionally substituted phenyl, optionally substituted phenyl-C1-3-alkyl, 4-6 membered heterocyclyl, optionally substituted 4-6 membered heterocyclyl-C1-C3-alkyl, C1-3-alkoxy-C1-2-alkyl and C1-3-alkoxy-C1-3-alkoxy-C1-3-alkyl;
- b) inhibitor of Formula II
- wherein R is selected from
- a) unsubstituted or substituted 5- or 6-membered nitrogen-containing heteroaryl, and
- b) unsubstituted or substituted 9- or 10-membered fused heteroaryl,
- where substituted R is substituted with one or more substituents selected from halo, amino, hydroxy, C1-6-alkyl, C1-6-haloalkyl, C1-6-alkoxy, optionally substituted heterocyclyl-C1-6-alkoxy, optionally substituted heterocyclyl-C1-6-alkylamino, optionally substituted heterocyclyl-C1-6-alkyl, C1-4-alkylamino-C2-4-alkynyl, C1-6-alkylamino-C1-6-alkoxy, C1-6-alkylamino-C1-6-alkoxy-C1-6-alkoxy, and optionally substituted heterocyclyl-C2-4-alkynyl;
- wherein R1 is a ring selected from unsubstituted or substituted
- 4-6 membered saturated or partially un-saturated monocyclic heterocyclyl,
- 9-10 membered saturated or partially un-saturated bicyclic heterocyclyl, and
- 13-14 membered saturated or partially un-saturated tricyclic heterocyclyl,
- wherein substituted R1 is substituted with one or more substituents selected from halo, C1-6-alkyl, optionally substituted C3-6-cycloalkyl, optionally substituted phenyl, optionally substituted phenyl-C1-C4-alkylenyl, C1-2-haloalkoxy, optionally substituted 4-6 membered heterocyclyl-C1-C4-alkyl, optionally substituted 4-6 membered heterocyclyl-C2-C4-alkenyl, optionally substituted 4-6 membered heterocyclyl, optionally substituted phenyloxy, optionally substituted 4-6 membered heterocyclyloxy, optionally substituted 4-6 membered heterocyclyl-C1-C4-alkoxy, optionally substituted 4-6 membered heterocyclylsulfonyl, optionally substituted 4-6 membered heterocyclylamino, optionally substituted 4-6 membered heterocyclylcarbonyl, optionally substituted 5-6 membered heterocyclyl-C1-4-alkylcarbonyl, C1-2-haloalkyl, C1-4-aminoalkyl, nitro, amino, hydroxy, oxo, cyano, aminosulfonyl, C1-2-alkylsulfonyl, halosulfonyl, C1-4-alkylcarbonyl, C1-3-alkylamino-C1-3-alkyl, C1-3-alkylamino-C1-3-alkoxy, C1-3-alkylamino-C1-3-alkoxy-C1-3-alkoxy, C1-4-alkoxycarbonyl, C1-4-alkoxycarbonylamino-C1-4-alkyl, C1-4-hydroxyalkyl
- and C1-4-alkoxy;
- wherein R2 is one or more substituents independently selected from H, halo, hydroxy, amino, C1-6-alkyl, C1-6-haloalkyl, C1-6-alkoxy, C1-2-alkylamino, aminosulfonyl, C3-6-cycloalkyl, cyano, C1-2-hydroxyalkyl, nitro, C2-3-alkenyl, C2-3-alkynyl, C1-6-haloalkoxy, C1-6-carboxyalkyl, 5-6-membered heterocyclyl-C1-6-alkylamino, unsubstituted or substituted phenyl and unsubstituted or substituted 5-6 membered heterocyclyl;
- wherein R4 is selected from a direct bond, C1-4-alkyl, and
- wherein Rz is selected from C1-2-alkyl, C2-4-branched alkyl, C2-4-branched haloalkyl, amino-C1-4-alkyl and C1-2-alkylamino-C1-2-alkyl;
- wherein Re and Rf are independently selected from H and C1-2-haloalkyl;
- and
- wherein R7 is selected from H, C1-3-alkyl, optionally substituted phenyl, optionally substituted phenyl-C1-3-alkyl, optionally substituted 4-6 membered heterocyclyl, optionally substituted 4-6 membered heterocyclyl-C1-C3-alkyl, C1-3-alkoxy-C1-2-alkyl and C1-3-alkoxy-C1-3-alkoxy-C1-3-alkyl;
- c) inhibitor of Formula IV
- wherein R is selected from
- a) unsubstituted or substituted 5- or 6-membered rings-selected from 4-pyridyl, 2-pyridyl, 4-pyrimidinyl, and tetrahydro-2H-pyran-4-yl, and
- b) unsubstituted or substituted 9- or 10-membered fused rings selected from 4-quinolyl, 6-quinolyl, 2,3-dihydro-5-benzofuryl, 5-benzoxazolyl, 1H-pyrrolo[2,3-b]pyridin-4-yl, and 2,3-dihydro-1H-pyrrolo[2,3-b]pyridin-4-yl,
- where substituted R is substituted with one or more substituents selected from methylamino-, amino, methoxy, methylaminocarbonyl, morpholino, and trifluoromethoxy;
- wherein R1 is 4,4-dimethyl-3,4-dihydro-2-oxo-1H-quinolinyl;
- or wherein R1 is 4,4-dimethyl-1,2,3,4-tetrahydro-1H-quinolinyl;
- or wherein R1 is 4,4-dimethyl-3,4-dihydro-2-oxo-1H-[1,8]naphthyridinyl;
- or wherein R1 is 3,3-dimethyl-2,3-dihydro-1H-indolyl optionally substituted with a substituent selected from pyrrolidin-1-yl-carbonyl, methylcarbonyl, and methylsulfonyl;
- or wherein R1 is 4,4-dimethyl-1,2,3,4-tetrahydro-1H-isoquinolinyl;
- or wherein R1 is 2-oxo-3,3-bis(trifluoromethyl)-2,3-dihydro-1H-indol-6-yl;
- or wherein R1 is 1′,2′-dihydro-spiro[cyclopropane-1,3′-[3H]indol]-6′-yl;
- and
- wherein R2 is H;
- and pharmaceutically acceptable isomers and derivatives thereof.
A method of treating cancer in a subject with a VEGFR inhibitor and an anti-EGFR antibody, wherein the VEGFR inhibitor is selected from
- N-(4-chlorophenyl)-4-(4-pyridinylmethyl)-1-phthalazinamine;
- N-(4-(1,1-dimethylethyl)phenyl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- 4-[4-[[[[4-chloro-3-(trifluoromethyl)phenyl]amino]carbonyl]amino]phenoxy]-N-methyl-2-pyridinecarboxamide;
- N-[2-(diethylamino)ethyl]-5-[(5-fluoro-1,2-dihydro-2-oxo-3H-indol-3-ylidene)methyl]-2,4-dimethyl-1H-pyrrole-3-carboxamide;
- 3-[(4-bromo-2,6-difluorophenyl)methoxy]-5-[[[[4-(1-pyrrolidinyl)butyl]amino]carbonyl]amino]-4-isothiazolecarboxamide;
- N-(4-bromo-2-fluorophenyl)-6-methoxy-7-[(1-methyl-4-piperidinyl)methoxy]-4-quinazolinamine;
- 3-[5,6,7,13-tetrahydro-9-[(1-methylethoxy)methyl]-5-oxo-12H-indeno[2,1-a]pyrrolo[3,4-c]carbazol-12-yl]propyl ester N,N-dimethyl-glycine;
- N-[5-[[[5-(1,1-dimethylethyl)-2-oxazolyl]methyl]thio]-2-thiazolyl]-4-piperidinecarboxamide;
- N-[3-chloro-4-[(3-fluorophenyl)methoxy]phenyl]-6-[5-[[[2-(methylsulfonyl)ethyl]amino]methyl]-2-furanyl]-4-quinazolinamine
- 4-[(4-Methyl-1-piperazinyl)methyl]-N-[4-methyl-3-[[4-(3-pyridinyl)-2-pyrimidinyl]amino]-phenyl]benzamide
- N-(3-chloro-4-fluorophenyl)-7-methoxy-6-[3-(4-morpholinyl)propoxy]4-quinazolinamine
- N-(3-ethynylphenyl)-6,7-bis(2-methoxyethoxy)-4-quinazolinamine
- N-(3-((((2R)-1-methyl-2-pyrrolidinyl)methyl)oxy)-5-(trifluoromethyl)phenyl)-2-((3-(1,3-oxazol-5-yl)phenyl)amino)-3-pyridinecarboxamide;
- 2-(((4-fluorophenyl)methyl)amino)-N-(3-((((2R)-1-methyl-2-pyrrolidinyl)methyl)oxy)-5-(trifluoromethyl)phenyl)-3-pyridinecarboxamide;
- N-[3-(Azetidin-3-ylmethoxy)-5-trifluoromethyl-phenyl]-2-(4-fluoro-benzylamino)-nicotinamide.
- 6-fluoro-N-(4-(1-methylethyl)phenyl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- 2-((4-pyridinylmethyl)amino)-N-(3-(((2S)-2-pyrrolidinylmethyl)oxy)-5-(trifluoromethyl)phenyl)-3-pyridinecarboxamide;
- N-(3-(1,1-dimethylethyl)-1H-pyrazol-5-yl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- N-(3,3-dimethyl-2,3-dihydro-1-benzofuran-6-yl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- N-(3-((((2S)-1-methyl-2-pyrrolidinyl)methyl)oxy)-5-(trifluoromethyl)phenyl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- 2-((4-pyridinylmethyl)amino)-N-(3-((2-(1-pyrrolidinyl)ethyl)oxy)-4-(trifluoromethyl)phenyl)-3-pyridinecarboxamide;
- N-(3,3-dimethyl-2,3-dihydro-1H-indol-6-yl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- N-(4-(pentafluoroethyl)-3-(((2S)-2-pyrrolidinylmethyl)oxy)phenyl)-2-((4-pyridinylmethyl)amino)-3-pyridinecarboxamide;
- N-(3-((3-azetidinylmethyl)oxy)-5-(trifluoromethyl)phenyl)-2-((4-pyridinylmethyl) amino)-3-pyridinecarboxamide;
- N-(3-(4-piperidinyloxy)-5-(trifluoromethyl)phenyl)-2-((2-(3-pyridinyl)ethyl)amino)-3-pyridinecarboxamide;
- N-(4,4-dimethyl-1,2,3,4-tetrahydro-isoquinolin-7-yl)-2-(1H-indazol-6-ylamino)-nicotinamide;
- 2-(1H-indazol-6-ylamino)-N-[3-(1-methylpyrrolidin-2-ylmethoxy)-5-trifluoromethyl-phenyl]-nicotinamide;
- N-[1-(2-dimethylamino-acetyl)-3,3-dimethyl-2,3-dihydro-1H-indol-6-yl]-2-(1H-indazol-6-ylamino)-nicotinamide;
- 2-(1H-indazol-6-ylamino)-N-[3-(pyrrolidin-2-ylmethoxy)-5-trifluoromethyl-phenyl]-nicotinamide;
- N-(1-acetyl-3,3-dimethyl-2,3-dihydro-1H-indol-6-yl)-2-(1H-indazol-6-ylamino)-nicotinamide;
- N-(4,4-dimethyl-1-oxo-1,2,3,4-tetrahydro-isoquinolin-7-yl)-2-(1H-indazol-6-ylamino)-nicotinamide;
- N-[4-(tert-butyl)-3-(3-piperidylpropyl)phenyl][2-(1H-indazol-6-ylamino)(3-pyridyl)]carboxamide;
- N-[5-(tert-butyl)isoxazol-3-yl][2-(1H-indazol-6-ylamino)(3-pyridyl)]carboxamide;
- and
- N-[4-(tert-butyl)phenyl][2-(1H-indazol-6-ylamino)(3-pyridyl)]carboxamide.
A method of treating cancer in a subject with a VEGFR inhibitor and an anti-EGFR antibody, wherein the VEGFR inhibitor is selected from AMG 706, Nexavar, AZ 2171, AG-13736, PTK/ZK and Sutent.
A kit comprising, in one or more containers, separately or in admixture one or more EGFR antibodies inhibitors and one or more VEGF inhibitors.
Dependencies are inferred from the claim text.