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Publication Number

US-11103481-B2

Patent

Publication Date

2021-08-31

Expiration Date


Abstract

The present invention relates to treatment of cancer, in particular to methods of sensitising cancer cells to an anti-cancer therapy by administering an effective amount of a modulator of Volume Regulated Anion Channels, i.e. a VRAC modulator.

Core Innovation

The patent describes a cancer treatment regimen based on administering an effective amount of a Volume Regulated Anion Channel (VRAC) modulator to a subject. In particular, the VRAC modulator is defined as a compound of general formula I or a pharmaceutically acceptable salt thereof, where R2 represents tetrazolyl and multiple other substituents are independently selected from groups such as hydrogen, halo, trifluoromethyl, nitro, alkyl, alkylcarbonyl, and various aryl or heteroaryl substituents.

The problem addressed is the treatment of cancer that is resistant to an anti-cancer agent, including de novo or acquired chemoresistance. The document connects VRAC with cell volume regulation, including regulatory volume decrease, and drug-related processes, and frames the treatment approach as sensitizing, potentiating, or re-sensitizing cancer cells to anti-cancer therapies using VRAC inhibition.

The disclosed approach includes using VRAC blockers, with representative examples discussed such as NS3728 (Endovion; SCO-101) and related compounds, together with an effective amount of an anti-cancer agent. The document reports enhanced or additive and/or synergistic effects when NS3728 is combined with multiple anti-cancer agents across drug-resistant settings, including glioblastoma, colorectal cancer, and breast cancer, and it further includes anti-estrogens such as tamoxifen and fulvestrant.

Claims Coverage

The independent claims cover methods of treating cancer by administering an effective amount of a VRAC modulator defined by general formula I, or a pharmaceutically acceptable salt, together with an effective amount of an anti-cancer agent, for cancers resistant to the anti-cancer agent. The inventive features center on the VRAC modulator structural definition and the cancer patient selection criteria, including resistance and, in some claims, solid tumor and metastatic cancer.

Volume regulated anion channel modulator of general formula I for resistant cancer treatment

Administering to a subject in need thereof an effective amount of a VRAC modulator, wherein the VRAC modulator is a compound of general formula I or a pharmaceutically acceptable salt thereof, with R2 representing tetrazolyl and specified definitions for R3, R4, R5, R6, R12, R13, R14, R15, and R16; administering an effective amount of an anti-cancer agent; and treating cancer that is resistant to the anti-cancer agent.

Solid tumor resistant cancer treatment using VRAC modulator of general formula I

Administering to a subject in need thereof an effective amount of a VRAC modulator, wherein the VRAC modulator is a compound of general formula I or a pharmaceutically acceptable salt thereof with R2 representing tetrazolyl and specified definitions for R3, R4, R5, R6, R12, R13, R14, R15, and R16; and administering an effective amount of an anti-cancer agent; wherein the cancer is resistant to the anti-cancer agent and the cancer is a solid tumor.

Metastatic cancer treatment using VRAC modulator of general formula I

Administering to a subject in need thereof an effective amount of a VRAC modulator, wherein the VRAC modulator is a compound of general formula I or a pharmaceutically acceptable salt thereof with R2 representing tetrazolyl and specified definitions for R3, R4, R5, R6, R12, R13, R14, R15, and R16; and administering an effective amount of an anti-cancer agent; wherein the cancer is resistant to the anti-cancer agent and the cancer is metastatic cancer.

Across the independent claims, the core claim coverage is a cancer treatment method that administers a VRAC modulator defined by general formula I together with an effective amount of an anti-cancer agent, where the cancer is resistant to the anti-cancer agent. The claim context further narrows the indication to solid tumors and metastatic cancer.

Stated Advantages

Enhanced or additive and/or synergistic effects of NS3728 when combined with multiple chemotherapeutics and anti-estrogens in drug-resistant settings.

Documented Applications

Treatment and sensitization of drug-resistant cancers, including glioblastoma, colorectal cancer, and breast cancer, using a VRAC blocker such as NS3728, Endovion, or SCO-101 in combination with anti-cancer agents.

Combinations involving NS3728 with chemotherapeutics such as temozolomide, 5-fluorouracil, paclitaxel, docetaxel, oxaliplatin, SN-38, and irinotecan, and with anti-estrogens such as tamoxifen and fulvestrant, in resistant settings.

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