HRP20220581T1 - Spojevi korisni kao inhibitori atr kinaze - Google Patents
Spojevi korisni kao inhibitori atr kinaze Download PDFInfo
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- HRP20220581T1 HRP20220581T1 HRP20220581TT HRP20220581T HRP20220581T1 HR P20220581 T1 HRP20220581 T1 HR P20220581T1 HR P20220581T T HRP20220581T T HR P20220581TT HR P20220581 T HRP20220581 T HR P20220581T HR P20220581 T1 HRP20220581 T1 HR P20220581T1
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- Croatia
- Prior art keywords
- 4alkyl
- image
- alkyl
- 4aliphatic
- optionally substituted
- Prior art date
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- 150000001875 compounds Chemical class 0.000 title claims 26
- 239000003112 inhibitor Substances 0.000 title claims 9
- 108091000080 Phosphotransferase Proteins 0.000 title 1
- 102000020233 phosphotransferase Human genes 0.000 title 1
- 229910052760 oxygen Inorganic materials 0.000 claims 54
- 125000001931 aliphatic group Chemical group 0.000 claims 48
- 229910052717 sulfur Inorganic materials 0.000 claims 43
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Substances N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims 42
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims 40
- 125000005842 heteroatom Chemical group 0.000 claims 35
- 229910052757 nitrogen Inorganic materials 0.000 claims 35
- 125000005843 halogen group Chemical group 0.000 claims 32
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical group [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 claims 31
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical group [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims 31
- 239000001301 oxygen Chemical group 0.000 claims 31
- 239000011593 sulfur Chemical group 0.000 claims 31
- 125000000325 methylidene group Chemical group [H]C([H])=* 0.000 claims 30
- 229910052799 carbon Inorganic materials 0.000 claims 26
- 125000000217 alkyl group Chemical group 0.000 claims 25
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 claims 22
- 229910052739 hydrogen Inorganic materials 0.000 claims 20
- 125000003118 aryl group Chemical group 0.000 claims 18
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 claims 14
- 125000000623 heterocyclic group Chemical group 0.000 claims 13
- 125000002950 monocyclic group Chemical group 0.000 claims 13
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- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims 11
- 125000005330 8 membered heterocyclic group Chemical group 0.000 claims 10
- 125000004429 atom Chemical group 0.000 claims 10
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- 125000003386 piperidinyl group Chemical group 0.000 claims 9
- 208000009956 adenocarcinoma Diseases 0.000 claims 8
- 125000002619 bicyclic group Chemical group 0.000 claims 8
- 229910052736 halogen Inorganic materials 0.000 claims 8
- 150000002367 halogens Chemical class 0.000 claims 8
- 125000004193 piperazinyl group Chemical group 0.000 claims 8
- 125000000719 pyrrolidinyl group Chemical group 0.000 claims 8
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- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 claims 6
- 125000004433 nitrogen atom Chemical group N* 0.000 claims 6
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- PTOAARAWEBMLNO-KVQBGUIXSA-N Cladribine Chemical compound C1=NC=2C(N)=NC(Cl)=NC=2N1[C@H]1C[C@H](O)[C@@H](CO)O1 PTOAARAWEBMLNO-KVQBGUIXSA-N 0.000 claims 2
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- VSRXQHXAPYXROS-UHFFFAOYSA-N azanide;cyclobutane-1,1-dicarboxylic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OC(=O)C1(C(O)=O)CCC1 VSRXQHXAPYXROS-UHFFFAOYSA-N 0.000 claims 2
- 229940127093 camptothecin Drugs 0.000 claims 2
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- 208000002458 carcinoid tumor Diseases 0.000 claims 2
- 229910052801 chlorine Inorganic materials 0.000 claims 2
- 229960004316 cisplatin Drugs 0.000 claims 2
- DQLATGHUWYMOKM-UHFFFAOYSA-L cisplatin Chemical compound N[Pt](N)(Cl)Cl DQLATGHUWYMOKM-UHFFFAOYSA-L 0.000 claims 2
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- 210000001072 colon Anatomy 0.000 claims 2
- 230000007547 defect Effects 0.000 claims 2
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- 201000004123 pineal gland cancer Diseases 0.000 claims 1
- 229960001221 pirarubicin Drugs 0.000 claims 1
- 229960003171 plicamycin Drugs 0.000 claims 1
- 229960004694 prednimustine Drugs 0.000 claims 1
- CPTBDICYNRMXFX-UHFFFAOYSA-N procarbazine Chemical compound CNNCC1=CC=C(C(=O)NC(C)C)C=C1 CPTBDICYNRMXFX-UHFFFAOYSA-N 0.000 claims 1
- 229960000624 procarbazine Drugs 0.000 claims 1
- 210000002307 prostate Anatomy 0.000 claims 1
- 230000005855 radiation Effects 0.000 claims 1
- 230000000113 radiomimetic effect Effects 0.000 claims 1
- 229960002185 ranimustine Drugs 0.000 claims 1
- 210000000664 rectum Anatomy 0.000 claims 1
- 208000029922 reticulum cell sarcoma Diseases 0.000 claims 1
- 206010039667 schwannoma Diseases 0.000 claims 1
- 229960003440 semustine Drugs 0.000 claims 1
- 208000004548 serous cystadenocarcinoma Diseases 0.000 claims 1
- 230000019491 signal transduction Effects 0.000 claims 1
- 210000003625 skull Anatomy 0.000 claims 1
- 210000000813 small intestine Anatomy 0.000 claims 1
- 210000002784 stomach Anatomy 0.000 claims 1
- 201000011549 stomach cancer Diseases 0.000 claims 1
- 229960001052 streptozocin Drugs 0.000 claims 1
- ZSJLQEPLLKMAKR-GKHCUFPYSA-N streptozocin Chemical compound O=NN(C)C(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O ZSJLQEPLLKMAKR-GKHCUFPYSA-N 0.000 claims 1
- 229960001674 tegafur Drugs 0.000 claims 1
- WFWLQNSHRPWKFK-ZCFIWIBFSA-N tegafur Chemical compound O=C1NC(=O)C(F)=CN1[C@@H]1OCCC1 WFWLQNSHRPWKFK-ZCFIWIBFSA-N 0.000 claims 1
- 229960004964 temozolomide Drugs 0.000 claims 1
- 229960001278 teniposide Drugs 0.000 claims 1
- NRUKOCRGYNPUPR-QBPJDGROSA-N teniposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@@H](OC[C@H]4O3)C=3SC=CC=3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 NRUKOCRGYNPUPR-QBPJDGROSA-N 0.000 claims 1
- 208000001608 teratocarcinoma Diseases 0.000 claims 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 claims 1
- 210000001550 testis Anatomy 0.000 claims 1
- 125000003718 tetrahydrofuranyl group Chemical group 0.000 claims 1
- 125000003039 tetrahydroisoquinolinyl group Chemical group C1(NCCC2=CC=CC=C12)* 0.000 claims 1
- 125000001412 tetrahydropyranyl group Chemical group 0.000 claims 1
- 125000004853 tetrahydropyridinyl group Chemical group N1(CCCC=C1)* 0.000 claims 1
- 125000000335 thiazolyl group Chemical group 0.000 claims 1
- 229960001196 thiotepa Drugs 0.000 claims 1
- 210000001685 thyroid gland Anatomy 0.000 claims 1
- 208000030901 thyroid gland follicular carcinoma Diseases 0.000 claims 1
- 208000013818 thyroid gland medullary carcinoma Diseases 0.000 claims 1
- 208000030045 thyroid gland papillary carcinoma Diseases 0.000 claims 1
- 210000002105 tongue Anatomy 0.000 claims 1
- 206010044412 transitional cell carcinoma Diseases 0.000 claims 1
- 229960003181 treosulfan Drugs 0.000 claims 1
- 229950001353 tretamine Drugs 0.000 claims 1
- IUCJMVBFZDHPDX-UHFFFAOYSA-N tretamine Chemical compound C1CN1C1=NC(N2CC2)=NC(N2CC2)=N1 IUCJMVBFZDHPDX-UHFFFAOYSA-N 0.000 claims 1
- 150000004654 triazenes Chemical class 0.000 claims 1
- 229960004560 triaziquone Drugs 0.000 claims 1
- PXSOHRWMIRDKMP-UHFFFAOYSA-N triaziquone Chemical compound O=C1C(N2CC2)=C(N2CC2)C(=O)C=C1N1CC1 PXSOHRWMIRDKMP-UHFFFAOYSA-N 0.000 claims 1
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims 1
- 229950002860 triplatin tetranitrate Drugs 0.000 claims 1
- 190014017283 triplatin tetranitrate Chemical compound 0.000 claims 1
- 229960000875 trofosfamide Drugs 0.000 claims 1
- UMKFEPPTGMDVMI-UHFFFAOYSA-N trofosfamide Chemical compound ClCCN(CCCl)P1(=O)OCCCN1CCCl UMKFEPPTGMDVMI-UHFFFAOYSA-N 0.000 claims 1
- 208000022271 tubular adenoma Diseases 0.000 claims 1
- 229960001055 uracil mustard Drugs 0.000 claims 1
- 210000003708 urethra Anatomy 0.000 claims 1
- 210000004291 uterus Anatomy 0.000 claims 1
- 210000001215 vagina Anatomy 0.000 claims 1
- 229960000653 valrubicin Drugs 0.000 claims 1
- ZOCKGBMQLCSHFP-KQRAQHLDSA-N valrubicin Chemical compound O([C@H]1C[C@](CC2=C(O)C=3C(=O)C4=CC=CC(OC)=C4C(=O)C=3C(O)=C21)(O)C(=O)COC(=O)CCCC)[C@H]1C[C@H](NC(=O)C(F)(F)F)[C@H](O)[C@H](C)O1 ZOCKGBMQLCSHFP-KQRAQHLDSA-N 0.000 claims 1
- 208000009540 villous adenoma Diseases 0.000 claims 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 claims 1
- 210000003905 vulva Anatomy 0.000 claims 1
- 229950009268 zinostatin Drugs 0.000 claims 1
- 229960000641 zorubicin Drugs 0.000 claims 1
- FBTUMDXHSRTGRV-ALTNURHMSA-N zorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(\C)=N\NC(=O)C=1C=CC=CC=1)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 FBTUMDXHSRTGRV-ALTNURHMSA-N 0.000 claims 1
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Claims (22)
1. Spoj formule IA:
[image]
ili njegova farmaceutski prihvatljiva sol; naznačen time, da
Y je C1-C10alifatski lanac u kojem su po izboru zamijenjene do tri metilenske jedinice alifatskog lanca s O, NR0, S, C(O) ili S(O)2;
Prsten A je heteroarilni prsten s 5 članova odabran između
[image]
J3 je H ili C1-4alkil pri čemu 1 metilenska jedinica alkilne skupine može po izboru biti zamijenjena s O, NH, N(C1-4alkil), ili S i po izboru supstituirana s 1 do 3 halo;
Q je monociklički aromatski prsten s 5 do 6 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora;
ili biciklički aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika ili sumpora;
R5 je H; monociklički potpuno zasićeni, djelomično nezasićeni ili aromatski prsten s 3 do 7 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; biciklički potpuno zasićeni, djelomično nezasićeni ili aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika, ili sumpora; R5 je po izboru supstituiran s 1 do 5 J5 skupina;
L je C1-4alkil lanac u kojem su-dvije metilenske jedinice alkilnog lanca po izboru zamijenjene s O, NR6, S, -C(O)-, -SO- ili -SO2-;
R0 je H ili C1-C6alkil pri čemu se jedna metilenska jedinica alkilnog lanca može po izboru zamijeniti s O, NH, N(C1-4alkil), ili S;
R1 je H ili C1-C6alkil;
R2 je H, C1-C6alkil, -(C2-C6alkil)-Z ili ciklički prsten s 4 do 8 članova koji sadržava 0 do 2 atoma dušika; pri čemu je navedeni prsten vezan preko ugljikovog atoma i po izboru je supstituiran s jednom pojavom JZ;
ili R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između kisika, dušika ili sumpora; pri čemu je navedeni heterociklički prsten po izboru zamijenjen s jednim pojavljivanjem JZ1;
JZ1 je halo, CN, C1-C8alifat, -(X)t-CN ili -(X)R-Z; pri čemu se navedene-dvije metilenske jedinice navedenog C1-C8alifata mogu po izboru zamijeniti s O, NR, S, P(O), C(O), S(O) ili S(O)2; pri čemu je navedeni C1-C8alifat po izboru supstituiran s halo, CN ili NO2;
X je C1-C4alkil;
svaki t, r i m je neovisno 0 ili 1;
Z je -NR3R4;
R3 je H ili C1-C2alkil;
R4 je H ili C1-C6 alkil;
ili R3 i R4, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između kisika, dušika ili sumpora; pri čemu je navedeni prsten po izboru supstituiran s jednom pojavom JZ;
R6 je H, ili C1-C6alkil;
JZ je neovisno NH2, NH(C1-4alifat), N(C1-4alifat)2, halogen, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO(C1-4alifat), CO2(C1-4alifat), O(haloC1-4alifat) ili haloC1-4alifat;
J5 je halo, okso, CN, NO2, X1-R ili -(X1)p-Q4;
X1 je C1-10alifat; pri čemu su 1 do 3 metilenske jedinice navedenog C1-10alifata po izboru zamijenjene s -NR’-, -O-, -S-, C(=NR’), C(O), S(O)2 ili S(O); pri čemu je X1 po izboru i neovisno supstituiran s 1 do 4 pojavljivanja od NH2, NH(C1-4alifat), N(C1-4alifat)2, halogenom, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO2(C1-4alifat), C(O)NH2, C(O)NH(C1-4alifat), C(O)N(C1-4alifat)2, SO(C1-4alifat), SO2(C1-4alifat), SO2NH(C1-4alifat), SO2NH(C1-4alifat), NHC(O)(C1-4alifat), N(C1-4alifat)C(O)(C1-4alifat), pri čemu je navedeni C1-4alifat po izboru supstituiran s 1 do 3 pojavljivanja halo;
Q4 je zasićeni ili nezasićeni monociklički prsten s 3 do 8 članova koji ima 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora, ili zasićenog ili nezasićenog bicikličkog prstena s 8 do 10 članova koji ima 0 do 6 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; svaki Q4 je po izboru supstituiran s 1 do 5 JQ4;
JQ4 je halo, CN ili C1-4alkil pri čemu su do 2 metilenske jedinice po izboru zamijenjene s O, NR*, S, C(O), S(O), ili S(O)2;
R je H ili C1-4alkil pri čemu je navedeni C1-4alkil po izboru supstituiran s 1 do 4 halo;
J2 je halo; CN; aromatski ili nearomatski monociklički prsten s 5 do 6 članova koji ima 0 do 3 heteroatoma odabrana između kisika, dušika ili sumpora; ili C1-10alifatska skupina u kojoj su do 2 metilenske jedinice po izboru zamijenjene s O, NR’’, C(O), S, S(O) ili S(O)2; pri čemu je navedena C1-10alifatska skupina po izboru supstituirana s 1 do 3 halo ili CN; i navedeni monociklički prsten je po izboru supstituiran s 1 do 3 pojavljivanja halo;
CN; C3-6cikloalkil; heterociklil s 3 do 7 članova koji sadržava 0 do 2 heteroatoma odabrana između kisika, dušika, ili sumpora; ili C1-4alkil pri čemu je do jedna metilenska jedinica alkilnog lanca po izboru zamijenjena s O, NR’’, ili S; i pri čemu je navedeni C1-4alkil po izboru supstituiran s 1 do 3 halo;
q je 0, 1 ili 2;
p je 0 ili 1; i
R’, R’’, i R* su svaki neovisno H, C1-4alkil ili je odsutan; pri čemu je navedeni C1-4alkil po izboru supstituiran sa 1 do 4halo.
2. Spoj u skladu s patentnim zahtjevom 1, naznačen time, da
Y je C1-C6alifatski lanac u kojem je jedna metilenska jedinica alkilnog lanca po izboru zamijenjena s C(O) ili -NR0-; R5 je monociklički potpuno zasićen, djelomično nezasićen ili aromatski prsten s 3 do 7 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; ili biciklički, potpuno zasićen, djelomično nezasićeni ili aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika, ili sumpora; R5 je po izboru supstituiran s 1 do 5 J5 skupina;
JZ1 je -(X)t-CN, C1-C6alkil ili -(X)R-Z;
X1 je C1-10alifat; pri čemu su 1 do 3 metilenske jedinice navedenog C1-10alifata po izboru zamijenjene s -NR’-, -O-, -S-, C(O), S(O)2 ili S(O); pri čemu je X1 po izboru i neovisno supstituiran s 1 do 4pojavljivanja NH2, NH(C1-4alifat), N(C1-4alifat)2, halogen, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO2(C1-4alifat), C(O)NH2, C(O)NH(C1-4alifat), C(O)N(C1-4alifat)2, SO(C1-4alifat), SO2(C1-4alifat), SO2NH(C1-4alifat), SO2NH(C1-4alifat), NHC(O)(C1-4alifat), N(C1-4alifat)C(O)(C1-4alifat), pri čemu je navedeni C1-4alifat po izboru supstituiran s 1 do 3 pojavljivanja halo.
3. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 2, naznačen time, da je Y NH;
R5 je monociklički aril ili heteroarilni prsten s 5 do 6 članova koji ima 0 do 3 heteroatoma neovisno odabrana između dušika, kisika ili sumpora, R5 je po izboru kondenziran na aromatični prsten s 5 do 6 članova koji sadržava 0 do 2 heteroatoma odabrana između N, O ili S; svaki R5 je po izboru supstituiran s 1 do 5 J5 skupina; L je -C(O)- ili -SO2-;
R1 je H, ili C1-C6alkil;
R2 je -(C2-C6alkil)-Z ili ciklički prsten s 4 do 8 članova koji sadržava 0 do 2 atoma dušika; pri čemu je navedeni prsten vezan preko atoma ugljika i po izboru je supstituiran s jednom pojavom JZ;
ili R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 atoma dušika; pri čemu je navedeni heterociklički prsten po izboru supstituiran s jednom pojavom JZ1;
JZ1 je -(X)t-CN, C1-C6alkil ili -(X)r-Z;
R3 je H ili C1-C2alkil;
R4 je H ili C1-C6 alkil;
ili R3 i R4, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između kisika, dušika ili sumpora; pri čemu je navedeni prsten po izboru supstituiran s jednom pojavom JZ;
J5 je halogen, NO2, CN, O(haloC1-4alifat), haloC1-4alifat ili C1-6alifatska skupina u kojoj se do 2 metilenske jedinice se po izboru zamjenjuju s C(O), O ili NR’; i
J2 je halo, C1-C2alkil po izboru supstituiran s 1 do 3 fluora, ili CN; na primjer,
pri čemu je L -C(O)-, m je 0, a R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 atoma dušika; na primjer,
pri čemu je navedeni heterociklil pirolidinil, piperidinil, piperazinil, azepanil ili 1,4-diazepanil.
4. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 3, naznačen time, da je m 0, q je 0, a -L-NR1R2 je C(O)pirolidinil, C(O)piperidinil, C(O)piperazinil, C(O)azepanil, C(O) 1,4-diazepanil, C(O)NH-piperidinil, C(O)NHCH2CH2-pirolidinil, C(O)NHCH2CH2-piperidinil, CON(CH3)CH2CH2N(CH3)2, pri čemu je navedeni pirolidinil, piperidinil, piperazinil, azepanil ili 1,4-diazepanil po izboru supstituiran s C1-4alkil ili N(C1-4alkil)2.
5. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 4, naznačen time, da je J2 halo, CN, fenil, oksazolil ili C1-6alifatska skupina pri čemu su do 2 metilenske jedinice po izboru zamijenjene s O, NR’’, C(O), S, S(O) ili S(O)2; navedena C1-6alifatska skupina je po izboru supstituirana s 1 do 3 fluora ili CN.
6. Spoj u skladu s patentnim zahtjevom 1 ili 2 koji ima formulu IIA:
[image]
naznačen time, da
Prsten A je heteroarilni prsten s 5 članova odabran između
[image]
Y je C1-C4alkilni lanac pri čemu je jedna metilenska jedinica alkilnog lanca po izboru zamijenjena s -NR0-;
Q je monociklički aromatski prsten s 5 do 6 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; ili biciklički aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika ili sumpora;
R5 je monociklički aril ili heteroarilni prsten s 5 do 6 članova koji ima 0 do 3 heteroatoma neovisno odabrana između dušika, kisika ili sumpora, R5 je po izboru kondenziran na aromatični prsten s 5 do 6 članova koji sadržava 0 do 2 heteroatoma odabrana između N, O ili S; svaki R5 je po izboru supstituiran s 1 do 5 J5 skupina;
L je -C(O)- ili -SO2-;
R1 je H, ili C1-C6alkil;
R0 je H ili C1-C6 alkil;
R2 je C1-C6alkil, -(C2-C6alkil)-Z ili ciklički prsten s 4 do 8 članova koji sadržava 0 do 2 atoma dušika; pri čemu je navedeni prsten vezan preko ugljikovog atoma i po izboru je supstituiran s jednom pojavom JZ;
ili R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između dušika, sumpora ili kisika; pri čemu je navedeni heterociklički prsten po izboru zamijenjen s jednim pojavljivanjem JZ1;
JZ1 je (X)t-CN, C1-C6alkil ili -(X)r-Z;
X je C1-C4alkil;
svaki t, r i m je neovisno 0 ili 1;
Z je -NR3R4;
R3 je H ili C1-C2alkil;
R4 je H ili C1-C6 alkil;
ili R3 i R4, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između kisika, dušika ili sumpora; pri čemu je navedeni prsten po izboru supstituiran s jednom pojavom JZ;
JZ je NH2, NH(C1-4alifat), N(C1-4alifat)2, halogen, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO(C1-4alifat), CO2(C1-4alifat), O(haloC1-4alifat) ili haloC1-4alifat;
J5 je halogen, NO2, CN, O(haloC1-4alifatska), haloC1-4alifatska ili C1-6alifatska grupa u kojoj su do 2 metilenske jedinice po izboru zamijenjene s C(O), O ili NR’;
J2 je halo; CN; fenil; oksazolil; ili C1-6alifatska skupina u kojoj su do 2 metilenske jedinice po izboru zamijenjene s O, NR’’, C(O), S, S(O) ili S(O)2; navedena C1-6alifatska skupina je po izboru supstituirana s 1 do 3 fluora ili CN;
R’ i R’’ su svaki neovisno H ili C1-C4 alkil;
q je 0, 1 ili 2, p je 0 ili 1; na primjer
pri čemu je Q fenil ili piridil, na primjer,
pri čemu je spoj odabran između sljedećeg:
Tablica IIA-2 (1. dio)
[image]
Tablica IIA-2 (2. dio)
[image]
[image]
7. Spoj u skladu s patentnim zahtjevom 1 koji ima formulu IA':
[image]
ili njegova farmaceutski prihvatljiva sol; naznačen time, da
Y je C1-C4alkilni lanac pri čemu je jedna metilenska jedinica alkilnog lanca po izboru zamijenjena s -NR0-; G je O ili S;
Q je monociklički aromatski prsten s 5 do 6 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; ili biciklički aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika ili sumpora;
R5 je monociklički potpuno zasićen, djelomično nezasićen ili aromatski prsten s 3 do 7 članova koji sadržava 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; ili biciklički potpuno zasićen, djelomično nezasićeni ili aromatski prsten s 8 do 10 članova koji sadržava 0 do 6 heteroatoma neovisno odabrana između dušika, kisika, ili sumpor; R5 je po izboru supstituiran s 1 do 5 J5 skupina;
L je C1-4alkilni lanac u kojem su do dvije metilenske jedinice alkilnog lanca po izboru zamijenjene s O, NR6, S, -C(O)-, -SO- ili -SO2-;
R0 je H ili C1-C6 alkil;
R1 je H ili C1-C6alkil;
R2 je H, C1-C6alkil, -(C2-C6alkil)-Z ili ciklički prsten s 4 do 8 članova koji sadržava 0 do 2 atoma dušika; pri čemu je navedeni prsten vezan preko ugljikovog atoma i po izboru je supstituiran s jednom pojavom JZ;
ili R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između dušika, sumpora ili kisika; pri čemu je navedeni heterociklički prsten po izboru zamijenjen s jednim pojavljivanjem JZ1;
JZ1 je -(X)t-CN, C1-C6alkil ili -(X)R-Z;
X je C1-C4alkil;
svaki t, r i m je neovisno 0 ili 1;
Z je -NR3R4;
R3 je H ili C1-C2alkil;
R4 je H ili C1-C6 alkil;
ili R3 i R4, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između kisika, dušika ili sumpora; pri čemu je navedeni prsten po izboru supstituiran s jednom pojavom JZ;
R6 je H, ili C1-C6alkil;
JZ je neovisno NH2, NH(C1-4alifat), N(C1-4alifat)2, halogen, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO(C1-4alifat), CO2(C1-4alifat), O(haloC1-4alifat) ili haloC1-4alifat;
J5 je halo, okso, CN, NO2, X1-R ili -(X1)p-Q4,
X1 je C1-10alifat; pri čemu su 1 do 3 metilenske jedinice navedenog C1-10alifata po izboru zamijenjene s -NR’-, -O-, -S-, C(O), S(O)2 ili S(O); pri čemu je X1 po izboru i neovisno supstituiran s 1 do 4pojavljivanja NH2, NH(C1-4alifat), N(C1-4alifat)2, halogen, C1-4alifat, OH, O(C1-4alifat), NO2, CN, CO2H, CO2(C1-4alifat), C(O)NH2, C(O)NH(C1-4alifat), C(O)N(C1-4alifat)2, SO(C1-4alifat), SO2(C1-4alifat), SO2NH(C1-4alifat), SO2NH(C1-4alifat), NHC(O)(C1-4alifat), N(C1-4alifat)C(O)(C1-4alifat), pri čemu je navedeni C1-4alifat po izboru supstituiran s 1 do 3 pojavljivanja halo;
Q4 je zasićeni ili nezasićeni monociklički prsten s 3 do 8 članova koji ima 0 do 4 heteroatoma neovisno odabrana između dušika, kisika ili sumpora, ili zasićeni ili nezasićeni biciklički prsten s 8 do 10 članova koji ima 0 do 6 heteroatoma neovisno odabrana između dušika, kisika ili sumpora; svaki Q4 je po izboru supstituiran s 1 do 5 JQ4; JQ4 je halo, CN ili C1-4alkil pri čemu su do 2 metilenske jedinice po izboru zamijenjene s O, NR*, S, C(O), S(O), ili S(O)2;
R je H ili C1-4alkil pri čemu je navedeni C1-4alkil po izboru supstituiran s 1 do 4halo;
J2 je halo; CN; aromatski ili nearomatski monociklički prsten s 5 do 6 članova koji ima 0 do 3 heteroatoma odabrana između kisika, dušika ili sumpora; ili C1-10alifatska skupina u kojoj su do 2 metilenske jedinice po izboru zamijenjene s O, NR’’, C(O), S, S(O) ili S(O)2; pri čemu je navedena C1-10alifatska skupina po izboru supstituirana s 1 do 3 halo ili CN; i navedeni monociklički prsten je po izboru supstituiran s 1 do 3 halo; CN; C3-6cikloalkil; s 3 do 7 članova heterociklil koji sadržava 0 do 2 heteroatoma odabrana između kisika, dušika ili sumpora ili C1-4alkila pri čemu je do jedna metilenska jedinica alkilnog lanca po izboru zamijenjena s O, NR’’ ili S;
q je 0, 1 ili 2,
p je 0 ili 1; i
R’, R’’, i R* su svaki neovisno H, C1-4alkil ili je odsutan; pri čemu je navedeni C1-4alkil po izboru supstituiran s 1 do 4halo; na primjer
pri čemu je J5 halo, CN, fenil, oksazolil ili C1-6alifatska skupina pri čemu su do 2 metilenske jedinice po izboru zamijenjene s O, NR’, C(O), S, S(O) ili S(O)2; navedena C1-6alifatska skupina je po izboru supstituirana s 1 do 3 fluora ili CN.
8. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 7, naznačen time, da je Q fenil ili piridil, i
a) pri čemu je barem još jedna metilenska jedinica C1-6alifatske skupine po izboru zamijenjena heteroatomom odabranim iz skupine koju čine O, NR’’ i S;
b) pri čemu je Q supstituiran s jednim ili dva J2, pri čemu je J2 C1-6alifatska skupina u kojoj se do 2 metilenske jedinice po izboru zamjenjuju s O ili NR’’;
na primjer, pri čemu je J2 -OCH3, -OCH2CH2N(CH3)2, -NHCH2CH2N(CH3)2 ili piperazinil; ili
c) pri čemu je Q supstituiran na para položaju sa -SO2(C1-4alkil), -SO2(C1-4alkil)N(C1-4alkil)2, C(O)N(C1-4alkil)2, C(O)(1,4-diazepanil), CO(azepanil), C(O)(piperazinil) ili C(O)(piperidinil); ili,
pri čemu je Q po izboru supstituiran u para položaju s J2, pri čemu je J2 -SO2(C1-4alkil), -SO2(C3-6cikloalkil), -SO2(3-6 članova heterociklil), -SO2(C1-4alkil)N(C1-4alkil)2, -C(O)(C1-4alkil), -(C1-4alkil)N(C1-4alkil)2, ili -NHC(O)(Ci_4alkil); ili
d) pri čemu je Q po izboru supstituiran u orto položaju s J2, pri čemu je J2 C1-4alkil, -C≡C-(C1-4alkil), CH=CH2, CH=CHF, O(C1-4alkil), NH(C1-4alkil), N(C1-4alkil)2, -(C1-4alkil)OH, -(C1-4alkil)O(C1-4alkil), -(C1-4alkil)NH2, -(C1-4alkil)NH(C1-4alkil), -(C1-4alkil)N(C1-4alkil)2, -(C1-4alkil)CN, CO(C1-4alkil), CON(C1-4alkil)2, C(O)O(C1-4alkil), S(C1-4alkil), -S-(C1-4alkil)NH2, S(O)(C1-4alkil)NH2, S(O )2(C1-4alkil)OH, S(O)(C1-4alkil)NHC(O)O(t-butil), NHS(O)2(C1-4alkil), halo ili CN;
na primjer, pri čemu je J2 CH2CH2OH, SCH(CH3)2, -C≡CCH3, halo, CN, CON(CH3)2, CH2CN, S(O)CH2CH2NH2, SCH2CH2NH2, C(O)OCH3, CH2N(CH3)2, S(O)CH2CH2NHBOC, N(CH3)2, NHSO2CH3, CH=CHF, CH2OCH3, CH=CH2, SCH2CH3 ili -CH=CH; ili
e) pri čemu je Q po izboru supstituiran u meta položaju s J2 pri čemu je J2 C1-4alkil, C1-4alkoksi, halo, haloC1-4alkil, haloC1-4alkoksil, CN, SO2(C1-4alkil), NHSO2(C1-4alkil), C(O)(C1-4alkil), C(O)NH2, NHC(O)(C1-4alkil), -(C1-4alkil)-OH, -(C1-4alkil)-O(C1-4alkil), -(C1-4alkil)-NH2, -(C1-4alkil)-N (C1-4alkil)2, ili -(C1-4alkil)NH(C1-4alkil); ili
f) pri čemu je Q fenil; i
Q je po izboru supstituiran u orto položaju s jednim J2, pri čemu je J2 C1-C4alkil, NH2, NHC(O)CH3, O(C1-C4alkil), CH2OH, CH2OCH3, CH2CH2OCH3, CH2CN, CN, CH2C(O)NH2, OH, OCF3, CF3, CHF2, -CH=CHF, NHC(O)CH3, C(O)CH3, C(O)NH2, SCH3, S(O)CH3, S(O)CH2CH3, SO2CH(CH3)2, -C≡CH2, oksazolil, ili fenil;
na primjer, pri čemu je Q supstituiran u orto položaju s J2, pri čemu je J2 CH2OH, CHF2, S(O)CH3, ili S(O)CH2CH3.
9. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 7, naznačen time, da p je 1; na primjer
pri čemu je Q fenil, piridil ili naftil; na primjer
pri čemu je navedeni piridil 3-piridil ili 4-piridil.
10. Spoj u skladu s patentnim zahtjevom 9, naznačen time, da L je -C(O)- ili -SO2-; na primjer
pri čemu R1 i R2, zajedno s atomom na koji su vezani, tvore heterociklički prsten s 4 do 8 članova koji sadržava 1 do 2 heteroatoma odabrana između dušika, sumpora ili kisika; na primjer
pri čemu je navedeni heterociklički prsten odabran između pirolidinila, piperidinila, piperazinila, morfolinila, 1,4-diazepanila, ili 1,4-oksazepanila; na primjer
pri čemu je navedeni heterociklički prsten po izboru supstituiran s halo, CN, C1-6alifatičnim, haloC1-6alifatm, -C(O)O(C1-6alifat), C(O)H, C(O)(C1-6alifat), P(O)(OC1-4alkil)2, NH(C1-6alifat) ili N(C1-6alifat)2.
11. Spoj u skladu s patentnim zahtjevom 6 ili patentnim zahtjevom 7, naznačen time, da je m 0, a R5 je tienil, tiazolil, furanil, pirolidinil, azetidinil, piperidinil, piperazinil, morfolinil, piridinonil, piridil, tetrahidropiridinil, tetrahidroizokinolinil, 1,4-diazepanil, azabiciklo[2.2.1]heptanil ili fenil; na primjer
pri čemu je R5 fenil, piperidinil ili tienil; na primjer
pri čemu je Q po izboru supstituiran u para položaju sa -SO2(C1-4alkil), -SO2(C1-4alkil)N(C1-4alkil)2, C(O)N(C1-4alkil)2, C(O)(1,4-diazepanil), C(O)(piperazinil) ili C(O)(piperidinil); na primjer
pri čemu je R5 po izboru supstituiran s 1 do 2 J5 grupe, pri čemu je J5 odabran između halo, CN, NO2, X1-R ili -(X1)p-Q4; p je 0-1; X1 je C1-10alifat pri čemu su 1 do 3 metilenske jedinice navedenog C1-6alifata po izboru zamijenjene s -NR’-, -O-, -S-, C(=NH)-, C(O), S(O)2 ili S(O); R je H; i Q4 je monociklički prsten s 3 do 6 članova koji sadržava 0 do 2 heteroatoma odabrana između O ili N, pri čemu je X1 po izboru supstituiran s 1 do 3 pojavljivanja halo ili CN; na primjer
pri čemu je J5 C1-10alifat lanac pri čemu su 1 do 2 metilenske jedinice X1 zamijenjene s -O- ili-NR’-; na primjer pri čemu je R5 piperidinil po izboru supstituiran s NH2 ili -(C1-4alkil)NH2; na primjer
pri čemu je R5 tienil po izboru supstituiran sa CN, C1-6alkil, -(C1-4alkil)NH2, -(C1-4alkil)NH(C1-6alkil), -(C1-4alkil)N(C1-6alkil)2, O(C1-6alkil), pirolidinil, pri čemu je navedeni alkil po izboru supstituiran s 1 do 3 halo; na primjer
pri čemu je Q4 po izboru supstituirani cikloalkilni prsten s 3 do 6 članova; na primjer
pri čemu je Q4 po izboru supstituirani heterociklički prsten s 3 do 6 članova odabran između pirolidinila, azetidinila ili tienil; na primjer
pri čemu je J5 halo, C1-6alkil, NO2, CN, C1-6alkil, -CH=CH2, OH, OCH3, OCH2CH3, OCH(CH3)2, NH2, CH2NH2, CH2OH, CH(CH3)NHCH3, C(CH3)2NH2, CH2CH2NH2, CH2CH2OH, CH2NHCH3, CH2N(CH3)2, CH(CH3)NH2, CH(CH3)NHC(O)O(CH3)3, CH2NHC(CH3)2, CH2NHCH2CHF2, CH2NHCH2CH(CH3)OH, CH2NHCH2C(CH3)2OH, CH2NHCH2CH(OH)-ciklopropil, CH2NHCH2CH2N(CH3)2, CH2NHCH(CH2CH3)3, CH2NHCH3, CH2NHCH2CH3, CH2NHCH2CH2CH3, CH2NH-ciklopropil, CH2NHCH2CH2OH, CH2NHCH2CH2OCH3, CH2NHCH2CH2OCH2CH2OH, azetidinil, pirolidinil, CF3, C(=NH)NH2, C(=NH)NH(CH3), tienil, CH2NH-ciklopropil, CH2NH(CH2OH)3, OCH2CH2OH, OCH2CH2CH2OH, OCH2CH2NHC(O)OC(CH3)3, CH2NHC(O)O(CH3)3 ili CH2OC(O)CH3.
12. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 2, koji ima formulu IA-iii:
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naznačen time, da
Prsten A je
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ili
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,
J5o je H, F, Cl, C1-4alifat, O(C1-3alifat) ili OH;
J5p je
[image]
J5p1 je H, C1-4alifat, oksetanil, tetrahidrofuranil, tetrahidropiranil; pri čemu je J5p1 po izboru supstituiran s 1 do 2 pojave OH ili halo;
J5p2 je H, metil, etil, CH2F, CF3 ili CH2OH;
J2o je H, CN ili SO2CH3;
J2m je H, F, Cl ili metil; J2p je -SO2(C1-6alkil), -SO2(C3-6cikloalkil), -SO2(heterociklil s 4 do 6 članova), -SO2(C1-4alkil)N(C1-4alkil)2, ili -SO2(C1-4alkil)-(heterociklil s 4 do 6 članova), pri čemu navedeni heterociklil sadržava 1 heteroatom odabran između kisika, dušika ili sumpora; i pri čemu je navedeni J2p po izboru supstituiran s 1 do 3 pojave halo, OH ili O(C1-4alkil).
13. Spoj u skladu s patentnim zahtjevom 1, naznačen time, da je odabran između sljedećeg:
Tablica IA-1
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Tablica IA-2
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14. Spoj, naznačen time, da je odabran između sljedećeg:
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15. Farmaceutski pripravak, naznačen time, da sadržava spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 14 i farmaceutski prihvatljiv nosač.
16. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 14, ili njegova farmaceutski prihvatljiva sol, ili njegov farmaceutski pripravak, u skladu s patentnim zahtjevom 15, naznačen time, da se upotrebljava u liječenju raka kod pacijenata.
17. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 14, ili farmaceutski pripravak iz patentnog zahtjeva 15, za uporabu u skladu s patentnim zahtjevom 16, naznačen time, da upotreba podrazumijeva dodatno terapeutsko sredstvo odabrano između agensa koji oštećuje DNA; pri čemu je navedeno dodatno terapeutsko sredstvo prikladno za bolest koja se liječi; i navedeno dodatno terapeutsko sredstvo se primjenjuje zajedno sa navedenim spojem kao pojedinačni oblik doze ili odvojeno od navedenog spoja kao dio višestrukog oblika doziranja; na primjer,
pri čemu je navedeno sredstvo koje oštećuje DNA odabrano za kemoterapiju ili liječenje zračenjem; na primjer,
pri čemu je navedeno sredstvo koje oštećuje DNA odabrano između ionizirajućeg zračenja, radiomimetičkog neokarzinostatina, sredstva za platiniranje, inhibitora topo I, inhibitora topo II, antimetabolita, sredstva za alkiliranje, alkil sulfonata, antimetabolita ili antibiotika; na primjer,
pri čemu je navedeno sredstvo koje oštećuje DNA odabrano između ionizirajućeg zračenja, sredstva za platiniranje, inhibitora topo I, inhibitora topo II ili antibiotika; na primjer,
pri čemu je navedeno sredstvo za platiniranje odabrano između cisplatina, oksaliplatina, karboplatina, nedaplatina ili satraplatina; navedeni inhibitor topo I je odabran između kamptotecina, topotekana, irinotekana/SN38, rubitekana; navedeni inhibitor topo II je odabran između etopozida; navedeni antimetabolit je odabran između metotreksata, pemetrekseda, tioguanina, fludarabina, kladribina, citarabina, gemcitabina, 6-merkaptopurina ili 5-fluorouracila; navedeno alkilirajuće sredstvo je odabrano između dušikovih iperita, nitrozourea, triazena, alkil sulfonata, prokarbazina ili aziridina; i navedeni antibiotik je odabran iz obitelji Hydroxyurea, Anthracyclines, Anthracenediones ili Streptomyces.
18. Spoj ili pripravak za upotrebu u skladu s patentnim zahtjevom 16, naznačen time, da upotreba nadalje sadržava sredstvo koje oštećuje DNA, pri čemu je navedeno sredstvo koje oštećuje DNA sredstvo za platiniranje ili ionizirajuće zračenje; na primjer,
pri čemu je navedeno sredstvo za platiniranje odabrano između cisplatina, oksaliplatina, karboplatina, nedaplatina, lobaplatina, triplatin tetranitrata, picoplatina, satraplatina, ProLindaca i aroplatina; navedeni inhibitor topo I je odabran između kamptotecina, topotekana, irinotekana/SN38, rubitekana i belotekana; navedeni inhibitor topo II je odabran između etopozida, daunorubicina, doksorubicina, aklarubicina, epirubicina, idarubicina, amrubicina, pirarubicina, valrubicina, zorubicina i teniposida; navedeni antimetabolit je odabran između aminopterina, metotreksata, pemetrekseda, raltitreksada, pentostatina, kladribina, klofarabina, fludarabina, tioguanina, merkaptopurina, fluorouracila, kapecitabina, tegafura, karmofura, floksuridina, citarabina, gecitabidina, citarabina, gecitabidina; navedeno alkilirajuće sredstvo odabrano je između mekloretamina, ciklofosfamida, ifosfamida, trofosfamida, klorambucila, melfalana, prednimustina, bendamustina, uramustina, estramustina, karmustina, lomustina, semustina, fotemustina, nimustina, ranimustina, streptozocina manosulfana, treosulfana, karboquona, tioTEPA, triaziquona, trietilenmelamina, prokarbazina, dekarbazina, temozolomida, altretamina, mitobronitola, aktinomicina, bleomicina, mitomicina i plikamicina.
19. Spoj ili pripravak za uporabu u skladu s patentnim zahtjevom 16 ili 18, ili patentnim zahtjevom 17, kada ovisi o patentnom zahtjevu 16, naznačen time, da je navedeni rak čvrsti tumor odabran od sljedećih karcinoma: Oralni: usna šupljina, usna, jezik, usta, ždrijelo; Srčani: sarkom (angiosarkom, fibrosarkom, rabdomiosarkom, liposarkom), miksom, rabdomiom, fibrom, lipom i teratom; Pluća: bronhogeni karcinom (skvamozni ili epidermoidni, nediferencirani mali stanični, nediferencirani veliki stanični, adenokarcinom), alveolarni (bronhiolarni) karcinom, bronhijalni adenom, sarkom, limfom, hondromatski hamartom, mezoteliom; Gastrointestinalni: jednjak (karcinom skvamoznih stanica, grkljan, adenokarcinom, leiomiosarkom, limfom), želudac (karcinom, limfom, leiomiosarkom), gušterača (duktalni adenokarcinom, inzulinom, glukagonom, gastrinom, karcinoidni tumor, vipom), tanko crijevo (adenokarcinom, limfom, karcinoidni tumori, Karposijev sarkom, leiomiom, hemangiom, lipom, neurofibrom, fibrom), debelo crijevo (adenokarcinom, tubularni adenom, vilozni adenom, hamartom, leiomiom), debelo crijevo, debelo crijevo-rektum, kolorektalni; rektum, Genitourinarni trakt: bubrezi (adenokarcinom, Wilmov tumor [nefroblastom], limfom), mokraćni mjehur i uretra (karcinom skvamoznih stanica, karcinom prijelaznih stanica, adenokarcinom), prostata (adenokarcinom, sarkom), testisa (seminom, teratom, embrionalni karcinom, teratokarcinom, koriokarcinom, sarkom, karcinom intersticijskih stanica, fibrom, fibroadenom, adenomatoidni tumori, lipom); Jetra: hepatom (hepatocelularni karcinom), kolangiokarcinom, hepatoblastom, angiosarkom, hepatocelularni adenom, hemangiom, bilijarni prolazi; Kosti: osteogeni sarkom (osteosarkom), fibrosarkom, maligni fibrozni histiocitom, hondrosarkom, Ewingov sarkom, maligni limfom (sarkom retikulumskih stanica), multipli mijelom, maligni tumor divovskih stanica, hordom, osteohronfrom (osteokartilaginozna egzostoza), benigni hondrom, hondroblastom, hondromiksofibrom, osteoidni osteom i tumori divovskih stanica; Živčani sustav: lubanja (osteom, hemangiom, granulom, ksantom, osteitis deformans), moždana ovojnica (meningiom, meningiosarkom, gliomatoza), mozak (astrocitom, meduloblastom, gliom, ependimom, germinom [pinealom], multiformni glioblastom, oligodendrogliom, švanom, retinoblastom, kongenitalni tumori), neurofibrom leđne moždine, meningiom, gliom, sarkom); Ginekološki: maternica (endometrijski karcinom), cerviks (karcinom vrata maternice, predtumorska cervikalna displazija), jajnici (karcinom jajnika [serozni cistadenokarcinom, mucinozni cistadenokarcinom, neklasificirani karcinom], tumori granuloza-tekalnih stanica, tumori Sertoli-Leydigovih stanica, disgerminom, maligni teratom), vulva (karcinom skvamoznih stanica, intraepitelni karcinom, adenokarcinom, fibrosarkom, melanom), vagina (karcinom bistrih stanica, karcinom skvamoznih stanica, botrioidni sarkom (embrionalni rabdomiosarkom), karcinom jajovoda; grudi; Koža: maligni melanom, karcinom bazalnih stanica, karcinom skvamoznih stanica, Karposijev sarkom, keratoakantom, madeži displastičnih mrlja, lipom, angiom, dermatofibrom, keloidi, psorijaza, Štitnjača: papilarni karcinom štitnjače, folikularni karcinom štitnjače; medularni karcinom štitnjače, multipla endokrina neoplazija tip 2A, multipla endokrina neoplazija tip 2B, obiteljski medularni karcinom štitnjače, feokromocitom, paragangliom; i Nadbubrežne žlijezde: neuroblastom.
20. Spoj ili pripravak za uporabu u skladu s patentnim zahtjevom 16 ili 19, naznačen time, da je navedeni rak odabran između raka pluća, raka glave i vrata, raka gušterače, raka želuca i raka mozga.
21. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 da 14, ili njegova farmaceutski prihvatljiva kompozicija, naznačen time, da se koristi za promicanje stanične smrti u stanicama raka, sprječavanju popravka stanica od oštećenja DNA ili preosjetljivosti stanica na sredstva koja oštećuju DNA.
22. Spoj u skladu s bilo kojim od patentnih zahtjeva 1 do 14, za uporabu u skladu s patentnim zahtjevom 21, naznačen time, da
a) navedena stanica je stanica raka koja ima defekte u ATM signalnoj kaskadi; na primjer
pri čemu je navedeni defekt promijenjena ekspresija ili aktivnost jednog ili više od sljedećeg: ATM, p53, CHK2, MRE11, RAD50, NBS1, 53BP1, MDC1 ili H2AX; ili pri čemu navedena stanica raka ima promijenjenu ekspresiju ili aktivnost jednog ili više od sljedećeg: K-Ras, N-Ras, H-Ras, Raf, Myc, Mos, E2F, Cdc25A, CDC4, CDK2, ciklin E, ciklin A i Rb; ili
b) navedena stanica je stanica raka koja eksprimira onkogene koji oštećuju DNA.
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