Hydrazide containing nuclear transport modulators and uses thereof

Inventors

Sandanayaka, Vincent P. • Shacham, Sharon • McCauley, Dilara • Shechter, Sharon

Assignees

Karyopharm Therapeutics Inc

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Publication Number

US-11787771-B2

Patent

Publication Date

2023-10-17

Expiration Date


Abstract

The invention generally relates to nuclear transport modulators, e.g., CRM1 inhibitors, and more particularly to a compound represented by structural formula I: or a pharmaceutically acceptable salt thereof, wherein the values and alternative values for the variables are as defined and described herein. The invention also includes the synthesis and use of a compound of structural formula I, or a pharmaceutically acceptable salt or composition thereof, e.g., in the treatment, modulation and/or prevention of physiological conditions associated with CRM1 activity.

Core Innovation

The invention relates to a method for treating a disorder associated with CRM1 activity by administering to a subject in need thereof a therapeutically effective amount of a compound represented by a specified structural formula, or a pharmaceutically acceptable salt thereof. The compounds are positioned as nuclear export inhibitors targeting CRM1 activity, with biological activity consistent with CRM1 inhibition and CRM1-related effects.

The disclosure includes Formula I embodiments and related hydrazide, amide, acrylic acid, acrylate, triazole-containing, and substituted benzothioamide/triazole derivatives, with stereochemical variants such as (E)/(Z) and cis/trans isomeric forms. The disclosure also includes pharmaceutically acceptable salts, compositions, example compound structures, and characterization information for the disclosed compounds.

The therapeutic scope includes cancer and other CRM1-mediated disorders, with links to tumor suppressor and growth regulator nuclear retention and to signaling pathways involving NF-baB/IkB, HIF1, RXRb1, p53/p73, p21, pRB, p27, c-Abl, and FOXO proteins. The disclosure further includes neurodegenerative/neuroprotective contexts, viral diseases dependent on CRM1-mediated nuclear export, and triple-negative breast cancer, with in vivo tumor growth inhibition and biomarker responses in TNBC cell lines.

The disclosure addresses pharmacokinetic behavior in vivo, including AUC_inf and brain-to-plasma exposure observations, and reports unexpected high brain exposure with relatively low brain-to-plasma ratios. It also references target in vivo PK ranges and blood-brain barrier considerations.

Claims Coverage

The consolidated claim coverage centers on administering a therapeutically effective amount of a compound represented by a specified structural formula, or a pharmaceutically acceptable salt thereof, to treat a disorder associated with CRM1 activity. The identified inventive features further refine the treated disorders, route of administration, and combination therapy, for a total of five inventive features.

Method for treating a disorder associated with CRM1 activity

Administering to a subject in need thereof a therapeutically effective amount of a compound represented by the structural formula or a pharmaceutically acceptable salt thereof.

Treating a selected hematologic disorder

The method treats a disorder selected from myelodysplastic syndrome or a myeloproliferative disorder.

Treating selected cancers

The method treats cancer selected from colon cancer, lung cancer or brain cancer.

Combination therapy for cancer

Administering the compound together with a second therapeutic useful for treating cancer.

Oral administration

Performing the method by orally administering the compound.

Across the consolidated claim set, the core claimed coverage is CRM1-activity associated disorder treatment using a specified structural formula compound or pharmaceutically acceptable salt, with dependent features directed to myelodysplastic syndrome or myeloproliferative disorder, selected cancers, oral administration, and combination therapy with a second cancer therapeutic.

Stated Advantages

High in vivo exposure (AUC) with low brain penetration.

Allows treatment of a disorder associated with CRM1 activity.

Reports dose-dependent tumor growth inhibition and tolerance in a TNBC xenograft setting and biomarker responses consistent with CRM1-related pathway effects.

Reports unexpected high brain exposure with relatively low brain-to-plasma ratios for Formula I compounds.

Achieves pharmacokinetic properties and nuclear export inhibition characterized by target in vivo PK ranges using AUC_inf and brain-to-plasma (B:P) ratio relative to prior nuclear export inhibitors.

Supports brain exposure considerations linked to blood-brain barrier (BBB) using reported brain-to-plasma (B:P) ratio metrics.

CRM1 (RevGFP) nuclear export inhibition is described in the partial content.

Documented Applications

Therapeutic treatment of CRM1-associated disorders, including contexts involving nuclear retention of tumor suppressors and growth regulators.

Treatment for inflammatory and autoimmune diseases involving NF-baB/IkB, HIF1, and RXRb1 pathways.

Treatment in neurodegenerative/neuroprotective contexts.

Treatment of viral infections dependent on CRM1-dependent nuclear export, including HIV-1 via Rev/RRE transport and dengue via CRM1-dependent NS5 export.

Medicaments, including medicament manufacturing and use claims, for treating CRM1-associated disorders.

Treatment of myelodysplastic syndrome or a myeloproliferative disorder.

Treatment of cancers selected from colon cancer, lung cancer, or brain cancer.

Triple-negative breast cancer (TNBC) treatment context including in vivo xenograft efficacy and in vitro potency/biomarker responses for CRM1 inhibition-associated effects.

Arthritis model efficacy, including CAIA (monoclonal-antibody induced arthritis) within the described in vivo studies.

Psoriasis model efficacy, including a PMA ear model within the described in vivo studies.

Novel object recognition within the described in vivo studies.

Obese Zucker rat feeding/study outcomes for Compound I-4 within the described in vivo studies.

CRM1 (RevGFP) nuclear export inhibition assay usage and cytotoxicity evaluation in multiple myeloma cells as described in the partial content.

Pharmacokinetics reporting including brain-to-plasma ratios for compounds of Formula I and comparator structures as described in the partial content.

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