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Publication Number

US-11951147-B2

Patent

Publication Date

2024-04-09

Expiration Date


Abstract

A SMAC mimetic and pharmaceutical compositions thereof and methods of use.

Core Innovation

The disclosed invention relates to a SMAC mimetic lead compound designated as Compound 15, including pharmaceutically acceptable salts and forms. Compound 15 is defined by a detailed chemical structure in which R5 is CH2CH3, and the disclosure characterizes the compound as a SMAC mimetic.

The invention addresses treatment of proliferative disorders, notably cancers, by inducing apoptosis through IAP antagonism. The disclosure frames the mechanism in terms of SMAC/DIABLO antagonizing IAPs, including XIAP, cIAP-1, cIAP-2, and ML-IAP, to promote apoptotic activity, and further situates the approach within apoptosis-related conditions beyond cancer.

The disclosure further provides pharmaceutical compositions for internal administration and describes treatment indications for multiple apoptosis-related disorders, including autoimmune diseases. It also describes combination/chemopotentiation approaches involving radiation and multiple chemotherapy classes and agents, including TRAIL/TRAIL agonists that activate TRAIL receptors to promote synergistic tumor cell death.

Claims Coverage

The independent claims identified are directed to two methods: treating cancer in a mammal using a compound of Formula (I) together with a second chemotherapy, and inducing apoptosis in a cancer cell by contacting the cell with the compound of Formula (I) together with a second chemotherapy. The inventive features center on the Formula (I) compound with R5 as CH2CH3 and a second chemotherapy comprising a biological agent that binds to and activates a TRAIL receptor together with one of several named agents.

Treating cancer with Formula (I) and TRAIL-receptor biological agent chemotherapy

A method of treating cancer in a mammal in need thereof by administering an effective amount of a compound of Formula (I), wherein R5 is CH2CH3 (or a pharmaceutically acceptable salt), and administering a second chemotherapy comprising a biological agent that binds to and activates a TRAIL receptor together with azacitidine, azathioprine, capecitabine, cytarabine, doxifluridine, fluorouracil, gemcitabine, mercaptopurine, methotrexate, or tioguanine.

Inducing apoptosis by contacting cancer cell with Formula (I) and TRAIL-receptor biological agent chemotherapy

A method of inducing apoptosis in a cancer cell by contacting the cancer cell with a compound of Formula (I), wherein R5 is CH2CH3 (or a pharmaceutically acceptable salt), and with a second chemotherapy comprising a biological agent that binds to and activates a TRAIL receptor together with azacitidine, azathioprine, capecitabine, cytarabine, doxifluridine, fluorouracil, gemcitabine, mercaptopurine, methotrexate, or tioguanine.

The claim set centers on combining a Formula (I) compound with R5 as CH2CH3 with a second chemotherapy defined by a TRAIL-receptor-binding and -activating biological agent, where the second chemotherapy additionally comprises one or more listed chemotherapeutic agents.

Stated Advantages

Induces apoptosis via IAP antagonism (SMAC/DIABLO vs IAPs).

Promotes synergistic tumor cell death when combined with TRAIL/TRAIL agonists that activate TRAIL receptors.

Documented Applications

Treating proliferative disorders, notably cancers.

Treating apoptosis-related conditions, including autoimmune diseases such as systemic lupus erythematosus, psoriasis, and idiopathic thrombocytopenic purpura.

Combination/chemopotentiation with radiation therapy.

Combination/chemopotentiation with multiple chemotherapy classes and agents.

Combination with TRAIL/TRAIL agonists that activate TRAIL receptors to promote synergistic tumor cell death.

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