Combination cancer therapy

A method for treating cancer, wherein the cancer is non-small cell lung cancer, colorectal cancer, pancreatic cancer or breast cancer, comprising administering to a patient simultaneously or sequentially:

• (i) a therapeutically or sub-therapeutically effective amount of an anti-cancer agent that inhibits serine phosphorylation of IRS1, or a pharmaceutically salt thereof;
• and
• (ii) a therapeutically or sub-therapeutically effective amount an IGF-1R inhibitor represented by the formula:
• wherein:
• A is CH or N;
• X is CH or N;
• Y and Z are independently H, methyl, ethyl, or halogen;
• and
• R1 is cycloC3-10alkyl substituted by one or more independent G11 substituents;
• G11 is halo, oxo, —CF3, —OCF3, OR21, —NR21R31(R2a1)j4, —C(O)R21, —CO2R21, —C(═O)NR21R31, —NO2, —CN, —S(O)j4R21, —SO2NR21R31, NR21(C═O)R31, NR21C(═O)OR31, NR21C(═O)NR31R2a1, NR21S(O)j4R31, —C(═S)OR21, —C(═O)SR21, —NR21C(═NR31)NR2a1R3a1, —NR21C(═NR31)OR2a1, —NR21C(═NR31)SR2a1, —OC(═O)OR21, —OC(═O)NR21R31, —OC(═O)SR21, —SC(═O)OR21, —SC(═O)NR21R31, —P(O)OR21OR31, C1-10alkylidene, C0-10alkylidene, C2-10alkenyl, C2-10alkynyl, C1-10alkoxyC1-10alkyl, C1-10alkoxyC2-10alkenyl, C1-10alkoxyC2-10alkynyl, C1-10alkylthioC1-10alkyl, C1-10alkylthioC2-10alkenyl, C1-10alkylthioC2-10alkynyl, cycloC3-8alkyl, cycloC3-8alkenyl, cycloC3-8alkylC1-10alkyl, cycloC3-8alkenylC1-10alkyl, cycloC3-8alkylC2-10alkenyl, cycloC3-8alkenylC2-10alkenyl, cycloC3-8alkylC2-10alkynyl, cycloC3-8alkenylC2-10alkynyl, heterocyclyl-C0-10alkyl, heterocyclyl-C2-10alkenyl, or heterocyclyl-C2-10alkynyl, any of which is optionally substituted with one or more independent halo, oxo, —CF3, —OCF3, —OR2221, —NR2221R3331(R222a1)j4a, —C(O)R2221—CO2R2221, —C(═O)NR2221R3331, —NO2, —CN, —S(O)j4aR2221, —SO2NR2221R3331, —NR2221C(═O)R3331, —NR2221C(═O)OR3331, —NR2221C(═O)NR3331R222a1, —NR2221S(O)j4aR3331, —C(═S)OR2221, —C(═O)SR2221, —NR2221C(═NR3331)NR222a1R333a1, —NR2221C(═NR3331)OR222a1, —NR2221C(═NR3331)SR222a1, —C(═O)OR2221, —OC(═O)NR2221R3331, —OC(═O)SR2221, —SC(═O)OR2221, —P(O)OR2221OR3331, or —SC(═O)NR2221R3331 substituents;
• or G11 is aryl-C0-10alkyl, aryl-C2-10alkenyl, aryl-C2-10alkynyl, hetaryl-C0-10alkyl, hetaryl-C2-10alkenyl, or hetaryl-C2-10alkynyl, any of which is optionally substituted with one or more independent halo, —CF3, —OCF3, —OR2221, —NR2221R3331(R222a1, R2221a1)j5a, —C(O)R2221, —CO2R2221, —C(═O)NR2221R3331, —NO2, —CN, —S(O)j5aR2221, —SO2NR2221R3331, —NR2221C(═O)R3331, —NR2221C(═O)OR3331, —NR2221C(═O)NR3331R222a1, —NR2221S(O)j5aR3331, —C(═S)OR2221, —C(═O)SR2221, —NR2221C(═NR3331)NR222a1R333a1, —NR2221C(═NR3331)OR222a1, —NR2221C(═NR3331)SR222a1, —C(═O)OR2221, —OC(═O)NR2221R3331, —OC(═O)SR2221, —SC(═O)OR2221, —P(O)OR2221OR3331, or —SC(═O)NR2221R3331 substituents;
• R21, R2a1, R31, R3a1, R2221, R222a1, R3331, and R333a1 are each independently C0-10alkyl, C2-10alkenyl, C2-10alkynyl, C1-10alkoxyC2-10alkenyl, C1-10alkoxyC2-10alkynyl, C1-10alkylthioC1-10alkyl, C1-10alkylthioC2-10alkenyl, C1-10alkylthioC2-10alkynyl, cycloC3-8alkyl, cycloC3-8alkenyl, cycloC3-8alkylC1-10alkyl, cycloC3-8alkenylC1-10alkyl, cycloC3-8alkylC2-10alkenyl, cycloC3-8alkenylC2-10alkenyl, cycloC3-8alkylC2-10alkynyl, cycloC3-8alkenylC2-10alkynyl, heterocyclyl-C0-10alkyl, heterocyclyl-C2-10alkenyl, heterocyclyl-C2-10alkynyl, aryl-C2-10alkenyl, aryl-C2-10alkynyl, hetaryl-C0-10alkyl, hetaryl-C2-10alkenyl, or hetaryl-C2-10alkynyl, any of which is optionally substituted by one or more independent G111 substituents;
• or in the case of —NR21R31(R2a1)j4 or —NR2221R3331(R222a1)j4a or —NR2221R3331(R222a1)j5a, then R2221 and R3331 are optionally taken together with the nitrogen atom to which they are attached to form a 3-10 membered saturated or unsaturated ring, wherein said ring is optionally substituted by one or more independent G1111 substituents and wherein said ring optionally includes one or more heteroatoms other than the nitrogen to which R2221 and R3331 are attached;
• each G111 is independently C0-10alkyl, C2-10alkenyl, C2-10alkynyl, C1-10alkoxyC1-10alkyl, C1-10alkoxyC2-10alkenyl, C1-10alkoxyC2-10alkynyl, C1-10alkylthioC1-10alkyl, C1-10alkylthioC2-10alkenyl, C1-10alkylthioC2-10alkynyl, cycloC3-8alkyl, cycloC3-8alkenyl, cycloC3-8alkylC1-10alkyl, cycloC3-8alkenylC1-10alkyl, cycloC3-8alkylC2-10alkenyl, cycloC3-8alkenylC2-10alkenyl, cycloC3-8alkylC2-10alkynyl, cycloC3-8alkenylC2-10alkynyl, heterocyclyl-C0-10alkyl, heterocyclyl-C2-10alkenyl, heterocyclyl-C2-10alkynyl, aryl-C2-10alkenyl, aryl-C2-10alkynyl, hetaryl-C0-10alkyl, hetaryl-C2-10alkenyl, or hetaryl-C2-10alkynyl, any of which is optionally substituted with one or more independent halo, —CF3, —OCF3, —OR77, —NR77R87, —C(O)R77, —CO2R77, —CONR77R87, —NO2, —CN, —S(O)j5aR77, —SO2NR77R87, —NR77C(═O)R87, —NR77C(═O)OR87, —NR77C(═O)NR78R87, —NR77S(O)j5aR87, —C(═S)OR77, —C(═O)SR77, —NR77C(═NR87)NR78R88, —NR77C(═NR87)OR78, —NR77C(═NR87)SR78, —OC(═O)OR77, —OC(═O)NR77R87, —OC(═O)SR77, —SC(═O)OR77, —P(O)OR77OR87, or —SC(═O)NR77R87 substituents;
• or in the case of —NR78R88, R78 and R88 are optionally taken together with the nitrogen atom to which they are attached to form a 3-10 membered saturated or unsaturated ring, wherein said ring is optionally substituted with one or more independent halo, cyano, hydroxy, nitro, C1-10alkoxy, —SO2NR778R888, or —NR778R888 substituents, and wherein said ring optionally includes one or more heteroatoms other than the nitrogen to which R78 and R88 are attached;
• R77, R78, R87, R″, R778, and R888 are each independently C0-10alkyl, C2-10alkenyl, C2-10alkynyl, C1-10alkoxyC1-10alkyl, C1-10alkoxyC2-10alkenyl, C1-10alkoxyC2-10alkynyl, C1-10alkylthioC1-10alkyl, C1-10alkylthioC2-10alkenyl, C1-10alkylthioC2-10alkynyl, cycloC3-8alkyl, cycloC3-8alkenyl, cycloC3-8alkylC1-10alkyl, cycloC3-8alkenylC1-10alkyl, cycloC3-8alkylC2-10alkenyl, cycloC3-8alkenylC2-10alkenyl, cycloC3-8alkylC2-10alkynyl, cycloC3-8alkenylC2-10alkynyl, heterocyclyl-C0-10alkyl, heterocyclyl-C2-10alkenyl, heterocyclyl-C2-10alkynyl, C1-10alkylcarbonyl, C2-10alkenylcarbonyl, C2-10alkynylcarbonyl, C1-10alkoxycarbonyl, C1-10alkoxycarbonylC1-10alkyl, monoC1-6alkylaminocarbonyl, diC1-6alkylaminocarbonyl, mono(aryl)aminocarbonyl, di(aryl)aminocarbonyl, or C1-10alkyl(aryl)aminocarbonyl, any of which is optionally substituted with one or more independent halo, cyano, hydroxy, nitro, C1-10alkoxy, —SO2N(C0-4alkyl)(C0-4alkyl), or —N(C0-4alkyl)(C0-4alkyl) substituents;
• or R77, R78, R87, R88, R778, and R888 are each independently aryl-C0-10alkyl, aryl-C2-10alkenyl, aryl-C2-10alkynyl, hetaryl-C0-10alkyl, hetaryl-C2-10alkenyl, hetaryl-C2-10alkynyl, mono(C1-6alkyl)aminoC1-6alkyl, di(C1-6alkyl)aminoC1-6alkyl, mono(aryl)aminoC1-6alkyl, di(aryl)aminoC1-6alkyl, or —N(C1-6alkyl)-C1-6alkykaryl, any of which is optionally substituted with one or more independent halo, cyano, nitro, —O(C0-4alkyl), C1-10alkyl, C2-10alkenyl, C2-10alkynyl, haloC1-10alkyl, haloC2-10alkenyl, haloC2-10alkynyl, —COOH, C1-4alkoxycarbonyl, —CON(C0-4alkyl)(C0-10alkyl), —SO2N(C0-4alkyl)(C0-4alkyl), or —N(C0-4alkyl)(C0-4alkyl) substituents;
• j4, j4a, and j5a are each independently 0, 1, or 2.