WO2020022600A1 - Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same - Google Patents
Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same Download PDFInfo
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- WO2020022600A1 WO2020022600A1 PCT/KR2019/001737 KR2019001737W WO2020022600A1 WO 2020022600 A1 WO2020022600 A1 WO 2020022600A1 KR 2019001737 W KR2019001737 W KR 2019001737W WO 2020022600 A1 WO2020022600 A1 WO 2020022600A1
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- 0 C[C@]1N[C@@](C)CN(Cc2cc(Nc3nc(-c4c[n](*)c5c4ccc(CO)c5)c(C)cn3)cc(C3CC3)c2)C1 Chemical compound C[C@]1N[C@@](C)CN(Cc2cc(Nc3nc(-c4c[n](*)c5c4ccc(CO)c5)c(C)cn3)cc(C3CC3)c2)C1 0.000 description 3
- FZLSDZZNPXXBBB-OALUTQOASA-N C[C@@H]1N[C@@H](C)CN(Cc2cc(Nc(nc3)nc(-c4c[nH]c5c4ccc(C)c5)c3Cl)cc(C3CC3)c2)C1 Chemical compound C[C@@H]1N[C@@H](C)CN(Cc2cc(Nc(nc3)nc(-c4c[nH]c5c4ccc(C)c5)c3Cl)cc(C3CC3)c2)C1 FZLSDZZNPXXBBB-OALUTQOASA-N 0.000 description 1
- GNZBRCVHYABOOV-KDURUIRLSA-N C[C@H]1N(CCO)[C@@H](C)CN(Cc2cc(C3CC3)cc(Nc(nc3)nc(-c4c[nH]c5c4ccc(F)c5)c3Cl)c2)C1 Chemical compound C[C@H]1N(CCO)[C@@H](C)CN(Cc2cc(C3CC3)cc(Nc(nc3)nc(-c4c[nH]c5c4ccc(F)c5)c3Cl)c2)C1 GNZBRCVHYABOOV-KDURUIRLSA-N 0.000 description 1
- BTXFKGCVLTXEGZ-TXEJJXNPSA-N C[C@H]1N[C@@H](C)CN(Cc2cc(N)cc(C3CC3)c2)C1 Chemical compound C[C@H]1N[C@@H](C)CN(Cc2cc(N)cc(C3CC3)c2)C1 BTXFKGCVLTXEGZ-TXEJJXNPSA-N 0.000 description 1
- AJEVAGMPDZNKTQ-BGYRXZFFSA-N C[C@H]1N[C@@H](C)CN(Cc2cc(Nc3nc(-c4c[nH]c5c4ccc(C)c5)c(C)c(OC)n3)cc(C3CC3)c2)C1 Chemical compound C[C@H]1N[C@@H](C)CN(Cc2cc(Nc3nc(-c4c[nH]c5c4ccc(C)c5)c(C)c(OC)n3)cc(C3CC3)c2)C1 AJEVAGMPDZNKTQ-BGYRXZFFSA-N 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing three or more hetero rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/496—Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
- A61P35/02—Antineoplastic agents specific for leukemia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/4025—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil not condensed and containing further heterocyclic rings, e.g. cromakalim
Definitions
- the present disclosure relates to novel pyrimidine compounds, methods of preparing the same, and pharmaceutical use thereof.
- Kinases mediate a reaction in which a phosphate group from high-energy molecules, in particular, ATP, is transferred to a substrate.
- Kinases stabilize phosphoric anhydride bonds, and locate the substrate and the phosphate group at a specific position to increase a reaction rate.
- the transition state resulting from the interaction with a phosphate group having a negative charge is electrostatically stabilized through surrounding amino acids having a positive charge, and some kinases may be coordinated with the phosphate group through a metal cofactor.
- Kinases can be classified as, for example, protein kinases, lipid kinases, and carbohydrate kinases, according to the substrate and characteristics. Proteins, lipids, or carbohydrates may vary in their activity, reactivity, ability to bind to other molecules, etc., depending on the phosphorylation state. Kinases affect intracellular signal transduction and regulate complex biological mechanisms within cells. Due to phosphorylation, some molecules may have enhanced or reduced activities, and their ability to interact with other molecules may be controlled. Because many kinases respond to environmental conditions or signals, cells may control intracellular molecules by using kinases, depending on the situation. As such, kinase plays a crucial role in cell growth, differentiation, proliferation, survival, metabolism, signal transduction, cell transport, secretion, and many other cellular reaction pathways.
- kinases have been found in a variety of species including bacteria, fungi, insects, and mammals, and 500 or more kinases have been found in humans to date.
- Protein kinases may increase or decrease the activity of a protein, become a marker for stabilization or degradation, place a protein in a specific cell compartment, or initiate or disturb interactions of a protein with other proteins. Protein kinases are known to account for the majority of kinases and are considered to be an important research target. Protein kinases regulate, together with phosphatase, proteins and enzymes as well as cell signal transduction. Although cell proteins are subject to numerous covalent bonds, not many of these bonds are reversible. Accordingly, it can be said that phosphorylation of proteins has a regulatory function. Protein kinases may often have multiple substrates, and sometimes, a particular protein may act as a substrate for at least one kinase.
- protein kinases are named using factors that regulate their activities. For example, a calmodulin-dependent protein kinase is regulated by calmodulin. In some cases, kinases may be classified as sub-groups. For example, type I and type II cyclic AMP-dependent protein kinases include identical enzyme subunits, but their regulatory subunits binding to cyclic AMP are different from each other.
- a protein kinase is an enzyme that catalyzes the phosphorylation of the hydroxy group located in tyrosine, serine, and threonine residues of proteins and plays an important role in signaling growth factors that induce cell growth, differentiation, and proliferation (Melnikova, I. et al., Nature Reviews Drug Discovery, 3 (2004), 993), and it is reported that abnormal expression or mutation of a specific kinase frequently occurs in cancer cells.
- a receptor tyrosine kinase (RTK) consists of an extracellular part exposed to the outside of a cell, an intracellular part exposed to the intracellular cytoplasm, and a transmembrane part passing through the plasma membrane between the extracellular part and the intracellular part.
- the extracellular part of the receptor is the part to which a specific ligand binds, and the intracellular part functions to transmit the activation signal of the receptor activated by the ligand into the cell.
- RAS and p53 gene mutations in adult AML are reported to be about 20% and 5% of adult AML, respectively, whereas FLT3 gene mutations are found in about 30% of adult AML.
- the most typical problem with AML is that FLT3 mutations, which cause poor prognosis, are activated.
- FLT3 mutations are classified into two types: one is internal tandem duplications (ITD) in the juxtamembrane domain and the other is point mutations in the tyrosine kinase domain (TKD). About 23% of early AML patients experience the activation of FLT3-ITD, the most frequently found mutation. Patients with an ITD mutation show poor prognosis and high recurrence rates.
- FLT3 TKD FLT3 TKD mutation
- D835 residues of aspartate 835
- ITD mutations Another major activation method of FLT3 in AML.
- Non-patent document 2 A S Moore et al., Leukemia, 2012, 26: 1462-1470
- novel pyrimidine compounds having kinase inhibitory activity.
- R c is a C 1- C 4 alkyl group or -NR d R e ,
- k may be an integer from 0 to 4.
- the compound represented by Formula 1 may include a tautomeric structure represented by Formula 2,
- R 9 is halogen, a hydroxy group, a cyano group, a nitro group, an amino group, a thiol group, a formyl group, a halo C 1- C 4 alkyl group, a C 1- C 4 alkoxy group, a linear or branched hydroxy C 1- C 4 alkyl group, a linear or branched C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, a C 2- C 4 alkynyl group, a C 3- C 10 cycloalkyl group, a C 2- C 9 heterocycloalkyl group, a hydroxyC 2- C 9 heterocycloalkyl group, a linear or branched hydroxyl C 1- C 4 alkylcarbonyl group, -NR 10 R 11 , -COR 12 , -COOR 12 , or -SO 2 R 13 ,
- R f and R g may each independently be hydrogen or a C 1- C 4 alkyl group.
- compositions for preventing or treating FLT3 mediated disease include the compounds or pharmaceutically acceptable salts thereof as an active ingredient.
- a substituted alkyl group, a substituted alkenyl group, and a substituted alkynyl group may be substituted at any position.
- heterocycloalkyl used herein, unless otherwise stated, refers to a bicycloalkyl containing one or more hetero atom selected from O, N, and S, and includes a fused hetero bicycloalkyl group and a bridged hetero bicycloalkyl group.
- bridged used herein refers to a valence bond, single atom, or non-branched chain of atoms that connects two different parts inside a molecule.
- bridge heads a pair of tertiary or more carbon atoms linked through bridges.
- bridge heads bonds connected to these bridge heads are called bridges.
- bridged compound used herein refers to a compound in which two or more rings share one or more pairs of carbon atoms.
- Examples of a fused heterobicycloalkyl group include indole, quinoline, thiazolo[4, 5-b]-pyridine, quinoline, and the like, but are not limited thereto.
- Examples of bridged heterobicycloalkyl include 7 to 12 membered heterobicycloalkyls such as a diazabicyclo [2.2.1] heptane or a diazabicyclo [3.2.1] octane, but are not limited thereto.
- heterospirocycloalkyl refers to, unless defined otherwise, a spirocycloalkyl containing at least one heteroatom selected from O, N, and S.
- the expression used herein refers to a linker sharing one atom, unless defined otherwise.
- bicyclic heteroaryl examples include indolyl, benzothiophenyl, benzofuranyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzthiazolyl, benzthiadiazolyl, benztriazolyl, quinolinyl, isoquinolinyl, purinyl, furopyridinyl, and the like, but are not limited thereto.
- alkylene bridge refers to, unless defined otherwise, a linear or branched bivalent hydrocarbon bridge that connects two different carbons having an identical ring structure, may consist of carbon and hydrogen, is not unsaturated, and may have, for example, 3 to 6 carbon atoms, and examples thereof are propylene, n-butylene, and the like.
- An alkylene bridge may link any two carbons in a ring structure.
- At least one of methylene in the alkylene bridge may be substituted with at least one selected from -O-, -S-, -S(O)-, -S(O) 2 -, and -N(R')-, wherein R' may be hydrogen, a C 1- C 6 alkyl group, a C 3- C 7 cycloalkyl group, or aryl.
- R' may be hydrogen, a C 1- C 6 alkyl group, a C 3- C 7 cycloalkyl group, or aryl.
- R 2 in the compound of Formula 1 may be hydrogen, a halogen, a C 1- C 4 alkyl group or a halo C 1-4 alkyl group.
- R 4 in the compound of Formula 1 may be hydrogen, a halogen, a hydroxy group, a cyano group, a nitro group, an amino group, haloC 1-4 alkyl group, a C 1- C 4 alkoxy group, a hydroxyC 1- C 4 alkyl group, a C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, or a C 2- C 4 alkynyl group.
- R 4 may be hydrogen, a halogen, a hydroxy group, a C 1- C 4 alkoxy group, a hydroxyC 1- C 4 alkyl group, or a C 1- C 4 alkyl group.
- R 5 and R 6 in the compound of Formula 1 may each independently be hydrogen, a halogen, a hydroxy group, a cyano group, or a C 1- C 4 alkyl group. In an embodiment, R 5 and R 6 may each independently be hydrogen or hydroxy.
- R 7 in the compound of Formula 1 may be a C 3- C 7 cycloalkyl group. In an embodiment, R 7 may be cyclopropyl.
- Z in the compound of Formula 1 may be a compound represented by Formula 3.
- R 9 may be halogen, a hydroxy group, a cyano group, a nitro group, an amino group, a thiol group, a formyl group, a halo C 1- C 4 alkyl group, a C 1- C 4 alkoxy group, a linear or branched hydroxyC 1- C 4 alkyl group, a linear or branched C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, a C 2- C 4 alkynyl group, a C 3- C 10 cycloalkyl group, a C 2- C 9 heterocycloalkyl group, a hydroxyC 2- C 9 heterocycloalkyl group, a linear or branched hydroxyC 1-4 alkylcarbonyl group, -NR 10 R 11 , -COR 12 , -COOR 12 , or -SO 2 R 13 ,
- q may each independently be an integer from 0 to 5
- R 9 may be connected with each other or fused with to form a 7 to 12-membered bicycloalkyl group
- R 10 and R 11 may each independently be hydrogen, a hydroxy C 1- C 4 alkyl group, a halo C 1- C 4 alkyl group, a C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, or a C 2- C 4 alkynyl group;
- R 12 is hydrogen, a hydroxy group, a hydroxy C 1-4 alkyl group, a halo C 1- C 4 alkyl group, a C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, a C 2- C 4 alkynyl group, a C 3- C 10 cycloalkyl group, or a C 2- C 9 heterocycloalkyl group;
- R 13 is hydroxy, a haloC 1- C 4 alkyl group, a C 1- C 4 alkyl group, a C 2- C 4 alkenyl group, a C 2- C 4 alkynyl group, a C 3- C 10 cycloalkyl group, a C 2- C 9 heterocycloalkyl group, aryl group, or -NR f R g , and
- R f and R g are each independently hydrogen or a C 1- C 4 alkyl group.
- heterocycloalkyl including one or two heteroatoms selected from O, N, and S;
- R 9 may each independently be hydrogen, a hydroxy group, a linear or branched hydroxy C 1- C 4 alkyl group, a linear or branched C 1- C 4 alkyl group, a C 3- C 10 cycloalkyl group, a C 2- C 9 heterocycloalkyl group, a hydroxy C 2- C 9 heterocycloalkyl group, -NR 10 R 11 , or -COR 12 ,
- R 10 and R 11 may be each independently hydrogen, a hydroxy C 1- C 4 alkyl group, or a C 1- C 4 alkyl group;
- R 12 may be hydrogen, a hydroxy group, a hydroxy C 1- C 4 alkyl group, a halo C 1- C 4 alkyl group, or a C 1- C 4 alkyl group.
- X is H or OH
- the compound represented by Formula 1 may include a tautomeric structure represented by Formula 2:
- R 3 , R 4 , and k in Formula 2 are the same as described in connection with Formula 1.
- X is H or OH
- the compound represented by Formula 1 may include a tautomeric structure represented by Formula 2;
- R 1 may be hydrogen, hydroxy , a C 1- C 4 alkoxy group, or a C 1- C 4 alkyl group;
- R 2 may be hydrogen, a halogen, a C 1- C 4 alkyl group or a halo C 1- C 4 alkyl group;
- R 3 may be hydrogen
- R 4 may be hydrogen, a halogen, a hydroxy group, a C 1- C 4 alkoxy group, a hydroxy C 1- C 4 alkyl group, or a C 1- C 4 alkyl group;
- k may be an integer from 0 to 2;
- R 5 and R 6 may each independently be hydrogen or a hydroxy group
- R 7 may be cyclopropyl
- Y may be -(CH 2 ) m -, -(CH 2 ) m -O-(CH 2 ) n -, or -(CH 2 ) m -CO-(CH 2 ) n -;
- n are each independently an integer from 0 to 2;
- Z may be Formula 3;
- heterocycloalkyl including one or two heteroatoms selected from O, N, and S;
- R 9 may each independently be hydroxy, a hydroxy C 1- C 4 alkyl group, a C 1- C 4 alkyl group, a C 3- C 10 cycloalkyl group, a C 2- C 9 heterocycloalkyl group, a hydroxy C 2- C 9 heterocycloalkyl group, -NR 10 R 11 , or -COR 12 ,
- R 10 and R 11 may be each independently hydrogen, a hydroxy C 1- C 4 alkyl group, or a C 1- C 4 alkyl group;
- R 12 may be hydrogen, a hydroxy C 1- C 4 alkyl group, a halo C 1- C 4 alkyl group, or a C 1- C 4 alkyl group, and
- q may each independently be an integer from 0 to 3.
- Z may be any one selected from Formula 11 to Formula 13.
- V and W may each independently be N or a CH, provided that each of V and W is not CH at the same time.
- R 14 may be hydrogen, a halogen, a linear or branched C 1- C 4 alkyl group, a linear or branched hydroxy C 1- C 4 alkyl, a hydroxy group, -NR 16 R 17 , a linear or branched hydroxy C 1- C 4 alkylcarbonyl group, a C 2 -C 9 heterocycloalkyl group, a hydroxy C 2 -C 9 heterocycloalkyl group, a linear or branched halo C 1- C 4 alkyl group, and a linear or branched C 1- C 4 alkoxy group,
- R 15 may each independently be a linear or branched C 1- C 4 alkyl group, a linear or branched hydroxy C 1- C 4 alkyl group, or halogen,
- R 14 and R 15 may be connected to each other, or R 14 or R 15 is fused with the cyclic compound represented by one of Formulae 11 to 13 to form a 7 to 12-membered bicycloalkyl group, heterobicycloalkyl group, spirocycloalkyl group, or spiroheterocycloalkyl group,
- R 16 and R 17 may each independently be hydrogen, a linear or branched C 1- C 4 alkyl group, or a linear or branched hydroxy C 1- C 4 alkyl group,
- p may be an integer from 0 to 4, and
- s and t may each independently be an integer from 0 to 5 when R 14 is hydrogen, and an integer from 0 to 4 when R 14 is not hydrogen.
- Examples of the 7 to 12-membered bicycloalkyl formed by connecting R 14 and R 15 each other or fusing R 14 or R 15 with the cyclic compound represented by any one of Formulae 11 to 13 are diazabicycloheptanyl and diazabicyclooctanyl.
- the 7 to 12-membered bicycloalkyl may be 2,5-diazabicyclo[2.2.1]heptanyl or 3,8-diazabicyclo[3.2.1]octanyl.
- Examples of the 7 to 12-membered spirocycloalkyl formed by connecting R 14 and R 15 each other or fusing R 14 or R 15 with the cyclic compound represented by any one of Formulae 11 to 13 may be a dazaspirooctayl group, for example, diazaspiro[2.5]octanyl.
- R 7 may be a C 3- C 7 cycloalkyl and Z may be a substituted or unsubstituted C 2- C 11 heterocycloalkyl group.
- the C 3- C 7 cycloalkyl may be, for example, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl, but is not limited thereto.
- Z may be, for example, C 3- C 7 cycloalkyl unsubstituted or substituted with a halogen, hydroxy, cyano, nitro, amino, a halo C 1- C 4 alkyl, a C 1- C 4 alkoxy, a hydroxy C 1- C 4 alkyl, or a C 1- C 4 alkyl, but is not limited thereto.
- the C 3- C 7 cycloalkyl may be piperazinyl, piperidinyl, morpholinyl, thiomorpholinyl, pyrrolidinyl, imidazolidinyl, or tetrahydrofuranyl, and is not limited thereto.
- R 7 may be cyclopropyl and Z may be a piperazinyl substituted with a C 1- C 4 alkyl group, for example, dimethylpiperazinyl.
- the compound according to an embodiment may have an improved pharmacokinetic profile and metabolic stability, such as microsomal stability.
- the compound of Formula 1 may be selected from a compound represented by Formula 14, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof:
- E a may be hydrogen, a hydroxy group, or a C 1- C 4 alkoxy group
- E b may be hydrogen, a halogen, a C 1- C 4 alkyl group, or a C 1- C 4 fluoroalkyl group;
- E c and E d may each independently be hydrogen or a hydroxy group
- X' may be hydrogen or a hydroxy group
- k may be an integer from 0 to 4.
- Q may each independently be hydroxy, a halogen, a C 1- C 4 alkyl group, a hydroxyC 1- C 4 alkyl group, or a C 1- C 4 alkoxy group;
- Z' may be a monovalent functional group represented by Formula 15.
- n in Formula 15 may be an integer from 1 to 8;
- A may each independently be a functional group selected from hydroxy, a C 1- C 4 alkyl group, and a hydroxyC 1- C 4 alkyl group, wherein when n is two or more, two A may be linked to each other to form an alkylene bridge to form Z' being a 7 to 12-membered bridged heterobicycloalkyl ring, or two A may be spiro-connected to form a 7 to 12-membered spiroheterocycloalkyl ring;
- L may be hydrogen, a C 1- C 4 alkyl, a hydroxy group, or a hydroxyC 1- C 4 alkyl group.
- the compound selected from the compound of Formula 14, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof may have improved properties compared to other compounds having similar chemical structures in aspects of a pharmacokinetic profile that is suitable for oral administration and a metabolic stability, such as microsomal stability.
- pharmacokinetic profile refers to the absorption, distribution, in vivo changes and excretion profile of a drug, from which the physiological and biochemical actions of drugs on the living body and their mechanism of action, that is, the response of the living body on the drugs may be identified.
- metabolic stability such as microsomal stability used herein refers to the degree of stability of the metabolic organs after administration of the drug, and may affect pharmacokinetic parameters of the drug, such as clearance, half-life, and oral bioavailability.
- a metabolically active system such as liver microsome or hepatocyte, may be used to measure metabolic stability.
- E b may be halogen
- n may be an integer from 2 to 4
- A may be alkyl group, for example, methyl, ethyl, or propyl.
- E b may be halogen, n may be 2, and A may be methyl.
- Z' may be 3,5-dimethylpiperazine-1-yl.
- E b may be chlorine
- the compound selected from the compound of Formula 14, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof may effectively control one or more kinases involved in intracellular signal transduction and intracellular complex biomechanisms.
- the selected compound may act on receptor tyrosine kinase (RTK) to effectively control the intracellular delivery of extracellular stimuli.
- RTK receptor tyrosine kinase
- the selected compound may effectively control fms-like tyrosine kinase 3 (FLT3) which is frequently abnormally overexpressed or mutated in patients with leukemia, and spleen tyrosine kinase (SYK) which acts on the signaling pathways of endothelial growth factor receptor (VEGFR), which are involved in controlling in the angiogenesis process, and other immunoreceptors such as B cell receptors and mast cells.
- FLT3 fms-like tyrosine kinase 3
- SYK spleen tyrosine kinase
- VEGFR endothelial growth factor receptor
- the compound may be useful for the treatment of acute myelogenous leukemia (AML), which shows resistance to FLT3 inhibitors.
- AML acute myelogenous leukemia
- FLT3-ITD positive acute myeloid leukemia (AML) is a disease with very low OV.
- SYK is overexpressed and activated in hematological malignant tumor, and highly activated SYK is usually found in FLT3-ITD-positive acute myeloid leukemia (AML), which has a very low OV. Therefore, as a target for the treatment of AML disease, SYK needs to be considered as an important factor together with FLT3.
- the compound according to an embodiment shows an effective selective inhibitory activity against SYK as well as FLT3, thereby greatly improving the treatment efficiency for acute myeloid leukemia (AML) and increasing the OV time.
- AML acute myeloid leukemia
- L is hydrogen, a C 1- C 4 alkyl, a hydroxy group, or a hydroxyC 1- C 4 alkyl group;
- E b is halogen, for example, chlorine, n is 2, and A is methyl;
- the compound selected from the compound of Formula 14, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof wherein Z' is 3,5-dimethylpiperazine-1-yl shows an excellent inhibitory activity against FLT3 and may effectively suppress the overexpression or overactivation of VEGFR and SYK.
- the compound may be effectively used for the prevention or treatment of cell proliferative diseases caused by abnormal activity of FLT3, VEGFR and SYK to enhance the tumor treatment efficacy. Therefore, the compound may be useful for the treatment of cancer or leukemia having resistance to FLT3 inhibitors of the related art, for example, AML.
- the compound of Formula 1 may be a compound selected from compounds listed in Table 1:
- the term “isomer” used herein refers to a compound having the same molecular formula and a different structure.
- the compounds of Formula 1 according to an aspect of the present disclosure may exist as various compounds having the isomer relationship in a three-dimensional aspect, and these isomers and mixtures are within the scope of the present disclosure.
- the compounds of Formula 1 according to an aspect of the present disclosure may exist as a stereoisomer or structural isomer, for example, a tautomer.
- substitutional isomers refers to isomers having the same molecular formula but different connection orders of atoms, and may include tautomer.
- tautomers refers to constitutional isomers having different energy structures that are interchanged through low energy barriers.
- a photon tautomer also a proton tautomer
- Valence tautomers include interconversions by the rearrangement of some electrons in the bound electrons.
- the compound of Formula 1 according to an aspect, and the stereoisomer or tautomer thereof may exist in the form of solvate.
- solvate may include a molecular complex including the compound and at least one pharmaceutically acceptable solvent molecule, e.g., ethanol or water.
- a complex, in which the solvent molecule is water, is also referred to as "hydrate".
- a solvent used in the reaction may be any solvent that does not inhibit the reaction, for example, a polar aprotic solvent such as dimethylsulfoxide, N, N-dimethylformamide, acetonitrile, or tetrahydrofuran (THF); a polar protic solvent such as methanol, ethanol, 2-propanol, or 2-butanol; or a nonpolar aprotic solvent such as toluene or 1,4-dioxane.
- a reaction temperature may be in a range of 0°C to 150°C, for example, from room temperature to about 100°C.
- the compound of Formula 1 may be prepared as shown in Reaction Scheme 1:
- the compounds of Formulae 4 and 5 may be prepared by using conventional knowledge in the field of organic chemistry.
- R 1 , R 2 , R 3 , R 4 , R 5 , R 6 , R 7 , X, Y, Z, and k may respectively be defined the same as those of Formulae 1 and 2, and V 1 and V 2 may each independently be halogen.
- the reaction may be performed by adding an organometallic compound.
- the organometallic compound may be an alkyl magnesium compound or an alkyl lithium compound.
- a solvent used in the reacting may be any solvent that does not inhibit the reaction, for example, a polar aprotic solvent such as dimethylsulfoxide, N, N-dimethylformamide, acetonitrile, or THF; or a nonpolar aprotic solvent such as toluene or 1,4-dioxane.
- a reaction temperature may be in a range of 0°C to 100°C, for example, from 0 °C to 60 °C.
- n when Y is -(CH 2 ) m -, m may be an integer from 1 to 2,
- n may each independently be an integer from 0 to 2
- each of m and n may be 0, and
- R 5 , R 6 , R 7 , R 9 , , and q are the same as described in connection with Formulae 1 and 3, and V 3 may be halogen and L may be Cl, Br, I, OMs, OTs, or the like.
- R 5 , R 6 , R 7 , R 9 , , and q are the same as described in connection with Formulae 1 and 3, and L may be Cl, Br, I, OMs, OTs, or the like.
- Another aspect of the present disclosure provides,
- R 1 , R 2 , R 3 , R 4 , R 5 , R 6 , R 7 , R 9 , , X, k, and q in Formulae 10, 3, and 1a are the same as described in connection with Formulae 1, 2, and 3.
- the reaction may be carried out by adding or not adding, to a reaction solution, a reducing agent, such as sodium borohydride, sodium cyano borohydride, sodium triacetoxyborohydride and the like; an organic base, such as triethylamine, diisopropylethylamine, and pyridine; an inorganic base, such as sodium carbonate, potassium carbonate, and hydrogenated sodium; an organic acid, such as trifluoroacetic acid, toluenesulfonic acid and the like; or an inorganic acid, such as hydrochloric acid, sulfuric acid, and phosphoric acid.
- a reducing agent such as sodium borohydride, sodium cyano borohydride, sodium triacetoxyborohydride and the like
- an organic base such as triethylamine, diisopropylethylamine, and pyridine
- an inorganic base such as sodium carbonate, potassium carbonate, and hydrogenated sodium
- an organic acid such as trifluoroacetic
- the solvent used in the reaction may be any solvent that does not inhibit the reaction, and examples of the solvent are a polar aprotic solvent, such as dichloromethane, 1,2-dichloroethane, dimethyl sulfoxide, N, N -dimethylformamide, acetonitrile or tetrahydrofuran; a polar protic solvent, such as methanol, ethanol, 2-propanol, or 2-butanol; and non-polar aprotic solvents, such as toluene or1,4-dioxane.
- a reaction temperature may be in a range of 0°C to 150°C, for example, room temperature.
- the compound represented by Formula 1a may be prepared by using the method illustrated in Reaction Scheme 2.
- R 1 , R 2 , R 3 , R 4 , R 5 , R 6 , R 7 , R 9 , , X, k, and q are the same as described in connection with Formulae 1, 2, and 3, and V 2 is halogen.
- the compound of Formula 9 is oxidized by using an oxidant, such as MnO 2 and then, washed with an organic solvent, such as methylene chloride, followed by concentrating and purifying the obtained organic layer.
- an oxidant such as MnO 2
- an organic solvent such as methylene chloride
- the solvent used in the reaction may be any solvent that does not inhibit the reaction.
- the reaction may be carried out by adding or not adding, to a reaction solution, an organic base such as triethylamine, diisopropylethylamine, and pyridine; an inorganic base such as sodium carbonate, potassium carbonate, and hydrogenated sodium; an organic acid such as trifluoroacetic acid, toluenesulfonic acid and the like; or an inorganic acids such as hydrochloric acid, sulfuric acid, and phosphoric acid, and a base or acid equivalent may be 0.1 to 5 equivalents based on one equivalent of Compound 1 of Formula B.
- an organic base such as triethylamine, diisopropylethylamine, and pyridine
- an inorganic base such as sodium carbonate, potassium carbonate, and hydrogenated sodium
- an organic acid such as trifluoroacetic acid, toluenesulfonic acid and the like
- an inorganic acids such as hydrochlor
- the solvent used in the reaction may be a polar aprotic solvent, such as dimethylsulfoxide, N , N -dimethyl formamide, acetonitrile, tetrahydrofuran, or the like; a polar protic solvent, such as methanol, ethanol, 2-propanol, or 2-butanol; or a non-polar aprotic solvents, such as toluene or1,4-dioxane.
- a reaction temperature may be in a range of 0 °C to 150 °C, for example, from 50 °C to about 100 °C.
- reaction conditions such as an amount of a reaction solvent, a base, and a reactant to be used, are not limited to those described in the present specification, and may not be construed as limiting the scope of the present disclosure.
- compositions for the prevention or treatment of cancer including the compound or a pharmaceutically acceptable salt thereof as the active ingredient.
- the cancer may include leukemia, such as acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), acute lymphocytic leukemia (ALL), chronic lymphocytic leukemia (CLL), acute promyelocytic leukemia (APL), hairy cell leukemia, chronic neutrophilic leukemia (CNL), or the like.
- leukemia such as acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), acute lymphocytic leukemia (ALL), chronic lymphocytic leukemia (CLL), acute promyelocytic leukemia (APL), hairy cell leukemia, chronic neutrophilic leukemia (CNL), or the like.
- the cancer may be leukemia.
- the leukemia may include AML, ALL, or CML.
- compositions for the prevention or treatment of FLT3-mediated disease including the compound or a pharmaceutically acceptable salt thereof as the active ingredient.
- Another aspect of the present disclosure provides a pharmaceutical composition for inhibiting FLT3 kinase activity, the pharmaceutical composition including the compound according to an aspect or a pharmaceutically acceptable salt thereof and a pharmacologically acceptable excipient.
- the pharmaceutical composition may include a pharmaceutically acceptable excipient or additive.
- the pharmaceutical composition of the present disclosure may be formulated according to a conventional method and may be formulated into various oral dosage forms such as a tablet, a pill, powder, a capsule, syrup, emulsion, and microemulsion; or parenteral dosage forms such as intramuscular, intravenous or subcutaneous administration.
- examples of a carrier or additive to be used include a diluent, a disintegrant, a binder, a lubricant, a surfactant, a suspension, and an emulsifier.
- examples of a carrier or additive may include water, saline solution, aqueous glucose solution, pseudosaccharide solution, alcohol, glycol, ether (e.g., polyethylene glycol 400), oil, fatty acid, fatty acid ester, glyceride, a surfactant, a suspension, and an emulsifier.
- Such formulation methods are well known to those of ordinary skill in the pharmaceutical art.
- the compound of Formula 1 may be administered in an effective amount for the treatment or prevention to a subject or patient.
- the compound of Formula 1 may be administered orally or parenterally, according to purpose.
- the active ingredient may be administered in an amount in a range of 0.01 milligrams (mg) to 1,000 mg, for example, 0.01 mg to 500 mg, for example, 0.1 mg to 300 mg, for example, 0.1 to 100 mg, per kilogram (kg) of body weight per day.
- the active ingredient may be administered from one to several times in an amount in a range of 0.01 mg to 100 mg, for example, 0.1 mg to 50 mg, per kg of body weight per day.
- the composition may be administered once for all or in several divided doses.
- the dose for a subject or patient should be determined in light of the patient's weight, age, sex, health condition, diet, time of administration, method of administration, severity of disease, etc. It is to be understood that the dose may be appropriately adjusted by a practitioner. The dose is not intended to limit the scope of the disclosure in any aspects.
- Another aspect of the present disclosure provides a method of preventing or treating cancer by using the compound according to the aspect.
- the method may include administering the compound selected from the compound of Formula 1 according to an aspect and the stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof to a subject.
- the subject may be a patient.
- Another aspect of the present disclosure provides a method of inhibiting FLT3 activity of a target subject by using the compound according to the aspect.
- Another aspect of the present disclosure provides a method of treating FLT3-mediated disease by using the compound according to the aspect.
- the dosage, the number of administrations, or method of administration of the compound used for the treatment may vary depending on the subject to be treated, severity of disease or condition, the speed of administration, and judgment of a prescribing doctor.
- the dosage for a human with a body weight of 70 kg may be in the range of 0.1 to 2,000 mg per day, for example, 1 to 1,000 mg or 10 to 2,000 mg.
- the number of administrations may be administered once to several times, for example, 1 to 4 times or according to on/off schedules, and the administration method may be administered an oral or parenteral route.
- the dosage may be less than the range described above. In one or more embodiments, the dosage may be greater than the range described above without causing harmful side effects.
- the dosage may be dispensed in several small portions throughout a day.
- Physicians having ordinary skill in the relevant art may determine and prescribe the dosage of a compound according to purpose. For example, physicians may use the dosage of the compound according to embodiments of the present disclosure at a level being lower than that required to achieve the target therapeutic effect, and then gradually increase the dosage until the target effect is obtained.
- the compound according to one aspect of the present disclosure may be used alone, or in combination with one or more other pharmaceutical drugs known to treat cancer, tumor or leukemia, or pharmaceutical carriers.
- the compound selected from the compound represented by Formula 1, and the stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof may be administered together with other inhibitors of FLT3 kinase activity or other agents of various mechanisms that increase the efficacy of FLT3 kinase activity inhibition or exhibit synergistic action to decrease the FLT3 activity or enhance the therapeutic effect of the FLT3 mediated disease.
- treatment used herein includes treatment, improvement, amelioration, or management of disease.
- treating or “treatment” used herein refers to inhibiting disease, for example, inhibiting a disease, condition or disorder, preventing further development of pathology and/or symptoms, improving disease, or reversing pathology and/or symptoms, for example, reducing the severity of the disease, in a subject who experiences or shows a pathology or symptom of a disease, condition or disorder.
- preventing refers to prevention of a disease, for example, prevention of a disease, condition, or disorder in a subject that may be predisposed to have the disease, condition, or disorder but have not yet experienced or exhibited pathology or a symptom of the disease.
- subject or “patient” used herein refers to any animal, including mammals, for example, mice, rats, other rodents, rabbits, dogs, cats, pigs, cows, sheep, horses, or primates and humans.
- the terms “having,” “may have,” “including,” or “may include” may refer to the presence of a feature (e.g., a component such as a number, component, etc.), and does not exclude the presence of additional features.
- Example 1 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-fluoro-1 H -indole-3-yl)pyrimidine-2-amine
- the mixed solution was cooled to room temperature, and the mixed solution was filtered using a celite filter.
- the celite layer was washed with ethyl acetate.
- An organic layer was extracted three times from the mixed solution, which underwent the filtration, and the organic layer was washed with saline water, dried using anhydrous sodium sulfate, and concentrated under reduced pressure.
- a mixed solution of chloroform and methanol and saturated sodium hydrogen carbonate solution were added dropwise to the filtrate.
- An organic layer was separated from the mixture solution, washed with saline water, dried using anhydrous sodium sulfate, and concentrated under reduced pressure to thereby obtain 518 mg of a target compound in the yield of 90%.
- 38 mg of a target compound was obtained in the yield of 63% in substantially the same manner as in Process 6) of Example 1, except that 32 mg (0.11 mmol) of 2-((2 R , 6 S )-4-(3-amino-5-cyclopropylbenzyl)-2,6-dimethylpiperazine-1-yl)ethane-1-ol was used instead of 3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)aniline.
- Example 8 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 9 5-chloro- N -(3-cyclopropyl-5-(((3 S , 5 R )-3-ethyl-5-methylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- 100 mg of a target compund was obtained in the yield of 52% in substantially the same manner as in Process 6) of Example 1, except that 100 mg (0.36 mmol) of 3-cyclopropyl-5-((3,5-dimethylpiperazine-1-yl)methyl)aniline was used instead of 3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)aniline, and 150 mg (0.54 mmol) of 3-(2,5-dichloropyrimidine-4-yl)-6-methyl-1 H -indole was used instead of 3-(2,5-dichloropyrimidine-4-yl)-6-fluoro-1 H -indole.
- Example 12 N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-5-fluoro-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 13 N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(1 H -indole-3-yl)-5-methylpyrimidine-2-amine
- Example 14 N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-5-methyl-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 15 N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)-5-(trifluoromethyl)pyrimidine-2-amine
- Example 16 (3-(5-chloro-2-((3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-1 H -indole-6-yl)methanol
- Example 17 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(5-methoxy-6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- 11 mg of a target compound was obtained in the yield of 13% in substantially the same manner as in Process 6) of Example 1, except that 50 mg (0.16 mmol) of 3-(2,5-dichloropyrimidine-4-yl)-5-methoxy-6-methyl-1 H -indole was used instead of 3-(2,5-dichloropyrimidine-4-yl)-6-fluoro-1 H -indole.
- Example 18 3-(5-chloro-2-((3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methyl-1 H -indole-5-ol
- Example 19 3-(5-chloro-2-((3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methylindoline-2-one
- Example 20 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-methoxy-6-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 21 5-chloro-2-((3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)-6-(6-methyl-1 H -indole-3-yl)pyrimidine-4-ol
- Example 22 3-(5-chloro-2-((3-cyclopropyl-5-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methyl-1 H -indole-7-ol
- Example 23 2-((5-chloro-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-yl)amino)-4-cyclopropyl-6-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenol
- Example 24 4-((5-chloro-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-yl)amino)-2-cyclopropyl-6-(((3 R , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenol
- Example 26 ((2 R , 6 R )-4-(3-((5-chloro-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-6-methylpiperazine-2-yl)methanol
- Example 28 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 R )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 29 5-chloro- N -(3-cyclopropyl-5-(((3 S , 5 S )-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- Example 30 5-chloro- N -(3-cyclopropyl-5-(((3 R , 5 S )-3,4,5-trimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1 H -indole-3-yl)pyrimidine-2-amine
- the kinase inhibitory activity and cell growth inhibitory activity of the foregoing compounds prepared in the Examples were evaluated. The results thereof are as follows.
- the inhibitory activity of the compounds against mutant proteins was evaluated based on the LanthaScreen technology developed by Thermo Fisher Scientific Inc. This assay is based on the binding of Alexa Fluor® 647-labeled, ATP-competitive kinase inhibitor (kinase tracer-236) to kinase, and signals of fluorescence resonance energy transfer (FRET) were measured in the presence of europium-conjugated antibody. This experiment was carried out on a 384-well plate in conditions including 50 mM HEPES pH 7.5, 0.01% BRIJ-35, 10 mM MgCl 2 , 1 mM EGTA, and 1% DMSO.
- an evaluation compound was used at a set concentration (for example, 50 nM to 0.05 nM, 1:10 dilution) to calculate the kinase inhibitory activity of the evaluation compound as IC 50 .
- concentration for example, 50 nM to 0.05 nM, 1:10 dilution
- the compound of the present disclosure showed excellent kinase inhibitory activity against FLT3 ITD and WT.
- the SYK inhibitory activity of the compounds was evaluated based on z-LYTE technology developed by Thermo Fisher Scientific Inc. According to this evaluation method, signals of the fluorescence of FRET-peptides are measured, wherein fluorescence of a FRET-peptide which is phosphorylated by the binding of the compound to the target and fluorescence of a non-phosphorylated peptide are measured to identify an activity with respect to kinase.
- This experiment was carried out on a 384-well plate in conditions including 50 mM HEPES pH 7.5, 0.01% BRIJ-35, 10 mM MgCl 2 , 1 mM EGTA, and 1% DMSO.
- the background signal was measured in the absence of proteins; a non-inhibitory signal was measured only when the solvent (1% DMSO) was added; and an evaluation compound was used at a concentration of 100 nM to calculate the SYK inhibitory activity of the evaluation compound as a percentage (%).
- a z-lyte kinase assays kit (Life Technologies, PV 3190) was used for VEGFR and tests were performed by Life Technologies Inc. Table 3 shows the inhibitory activity of the compound against the corresponding kynease as a percentage (%) when the concentration of the compound was 100 nM.
- the compounds according to the present disclosure have excellent VEGFR2 and SYK kinase inhibitory activity.
- the human acute myelogenous leukemia (ALL) cell line MOLM-13 (DSMZ no. ACC 554) was incubated in RPMI1640 medium supplemented with 20% heat-inactivated FBS at a temperature of 37 °C.
- the incubated cell line was prepared in an amount of 2.0 ⁇ 10 4 cells/100 ⁇ L, and then plated on a 96-well plate.
- the RPMI1640 medium was serially diluted with the test compounds at a concentration in a range of 1 ⁇ M to 0.01 nM at a ratio of 1:10. Subsequently, incubation was performed thereon for three days.
- MV-4-11 cell line For the human acute myelogenous leukemia cell line MV-4-11 cell line (ATCC® CRL-9591 TM), the cells were incubated at a temperature of 37 ° C in IMDM medium supplemented with 10% FBS. The incubated cell line was prepared in an amount of 2 ⁇ 10 4 cells/100 ⁇ L, and then plated on a 96-well plate. The IMDM medium was treated with cascade dilution of three test compounds at a concentration in a range of 1 ⁇ M to 0.01 nM at a rate of 1/10. Subsequently, incubation was performed thereon for three days. MTS test was performed to measure cell viability, and the growth inhibition (GI 50 ) value of the cell line was calculated using GraphPad Prism software. The results for each cell line are shown in Table 4 below.
- the compound of the present disclosure was found to have excellent growth inhibitory activity on an acute myelogenous leukemia (ALL) cell line.
- ALL acute myelogenous leukemia
- test substances were formulated by using the selected solvents, they were administered orally (p.o.) and intravenously (iv) once for each and a certain amount of blood was taken at a predetermined time, and plasma was isolated from the blood and a concentration analysis was performed thereon by LC-MS/MS.
- the AUC drug concentration and an area under the curve
- the bioavailability (BA) was calculated by applying the calculated AUC value to the following formula.
- BA (%) (AUC p.o. / AUC i.v.) ⁇ (Dose i.v. / Dose p.o.) ⁇ 100
- the compound according to an embodiment of the present disclosure showed better absorbability characteristics suitable for oral administration, such as bioavailability and area under curve, than control compounds having chemical structures being similar to the compound.
- the compound according to an embodiment of the present disclosure has improved microsomal stability compared to a control compound having a chemical structure being similar thereto.
- the compound according to one aspect of the present disclosure is excellent in FLT3 inhibitory activity and thus is effectively used for the prevention or treatment of cell proliferative diseases caused by abnormal FLT3 activity such as cancer, for example, leukemia.
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Abstract
Description
Claims (18)
- A compound selected from a compound represented by Formula 1, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof.[Formula 1]wherein, in Formula 1,R1 is hydrogen, a halogen, a hydroxy group, a C1-C4 alkoxy group, or -NRaRb,wherein Ra and Rb are each independently hydrogen or a C1-C4 alkyl group;R2 is hydrogen, a halogen, a cyano group, a nitro group, an amino group, a carboxamide group, a formyl group, a halo C1-C4 alkyl group, or a C1-C4 alkyl group;R3 is hydrogen, a halogen, a hydroxy group, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, or a C2-C4 alkynyl group;Each R4 is independently hydrogen, a halogen, a hydroxy group, a cyano group, a nitro group, an amino group, -S(=O)l-Rc, a halo C1-C4 alkyl group, a C1-C4 alkoxy group, a hydroxy C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, a C2-C4 alkynyl group, -NRdRe, -CO2Re, or -CO-NRdRe,wherein Rc is a C1-C4 alkyl group or -NRdRe,Rd and Re are each independently hydrogen or a C1-C4 alkyl group,I is an integer from 0 to 2, andk is an integer from 0 to 4;R5 and R6 are each independently hydrogen, a halogen, a hydroxy group, a nitro group, an amino group, a C1-C4 alkoxy group, or a C1-C4 alkyl group;R7 is a hydroxy C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, a C2-C4 alkynyl group, a C3-C7 cycloalkyl group, or a C3-C9 heterocycloalkyl group,wherein the C3-C7 cycloalkyl group or the C3-C9 heterocycloalkyl is unsubstituted or substituted with a halogen, a C1-C4 alkyl group, or a halo C1-C4 alkyl group; andX is H or OH;wherein, when X is OH, the compound represented by Formula 1 includes a tautomeric structure represented by Formula 2,[Formula 2]R3, R4, and k in Formula 2 are the same as described in connection with Formula 1;Y is -(CH2)m-, -(CH2)m-O-(CH2)n-, -(CH2)m-CO-(CH2)n-, -(CH2)m-NR8-(CH2)n-, or -(CH2)m-SO2-(CH2)n-,wherein R8 is hydrogen or a C1-C4 alkyl group,m and n are each independently an integer from 0 to 2; andZ is represented by Formula 3;[Formula 3]wherein, in Formula 3,R9 is a halogen, a hydroxy group, a cyano group, a nitro group, an amino group, a thiol group, a formyl group, a halo C1-C4 alkyl group, a C1-C4 alkoxy group, a linear or branched hydroxy C1-C4 alkyl group, a linear or branched C1-C4 alkyl group, a C2-C4 alkenyl group, a C2-C4 alkynyl group, a C3-C10 cycloalkyl group, a C2-C9 heterocycloalkyl group, a hydroxy C2-C9 heterocycloalkyl group, a linear or branched hydroxy C1-C4 alkylcarbonyl group, -NR10R11, -COR12, -COOR12, or -SO2R13,q is an integer from 0 to 5,wherein two or more R9 are connected or fused with to form a 7- to 12-membered bicycloalkyl group, heterobicycloalkyl group, spirocycloalkyl group, or spiroheterocycloalkyl group;R10 and R11 are each independently hydrogen, a hydroxy C1-C4 alkyl group, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, or a C2-C4 alkynyl group;R12 is hydrogen, a hydroxy group, a hydroxy C1-C4 alkyl group, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, a C2-C4 alkynyl group, a C3-C10 cycloalkyl group, or a C2-C9 heterocycloalkyl group;R13 is hydroxy, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, a C2-C4 alkynyl group, a C3-C10 cycloalkyl group, a C2-C9 heterocycloalkyl group, aryl group, or -NRfRg, andRf and Rg are each independently hydrogen or a C1-C4 alkyl group.
- The compound of claim 1, wherein R3 is hydrogen, a hydroxy group, or a C1-C4 alkyl group.
- The compound of claim 1, wherein R4 is hydrogen, a halogen, a hydroxy group, a cyano group, a nitro group, an amino group, a halo C1-C4 alkyl group, a C1-C4 alkoxy group, a hydroxy C1-C4 alkyl group, a C1-C 4alkyl group, a C2-C4 alkenyl group, or a C2-C4 alkynyl group.
- The compound of claim 1, wherein R5 and R6 are each independently hydrogen, a halogen, a hydroxy group, a cyano group, or a C1-C4 alkyl group.
- The compound of claim 1, wherein R7 is a C3-C7 cycloalkyl group.
- The compound of claim 5, wherein R7 is cyclopropyl.
- The compound of claim 1, wherein Y is -(CH2)m-, wherein m is an integer selected from 1 and 2.
- The compound of claim 1, wherein R12 is hydrogen, a hydroxy C1-C4 alkyl group, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, or a C2-4 alkynyl group; and R13 is hydroxy, a halo C1-C4 alkyl group, a C1-C4 alkyl group, a C2-C4 alkenyl group, or a C2-C4 alkynyl group.
- The compound of claim 1, wherein Z is any one selected from Formula 11 to Formula 13:[Formula 11][Formula 12][Formula 13]wherein, in Formulae 11 to 13,V and W are each independently N or CH, provided that each of V and W is not CH at the same time,R14 is hydrogen, a halogen, a linear or branched C1-C4 alkyl group, a linear or branched hydroxy C1-C4 alkyl, a hydroxy group, -NR16R17, a linear or branched hydroxy C1-C4 alkylcarbonyl group, a C2-C9 heterocycloalkyl group, a hydroxy C2-C9 heterocycloalkyl group, a linear or branched halo C1-C4 alkyl group, or a linear or branched C1-C4 alkoxy group,each R15 is independently a linear or branched C1-C4 alkyl group, a linear or branched hydroxy C1-C4 alkyl group, or a halogen,R14 and R15 are connected to each other, or R14 or R15 is fused with the cyclic compound represented by one of Formulae 11 to 13 to form a 7- to 12-membered bicycloalkyl group, heterobicycloalkyl group, spirocycloalkyl group, or spiroheterocycloalkyl group,R16 and R17 are each independently hydrogen, a linear or branched C1-C4 alkyl group, or a linear or branched hydroxy C1-C4 alkyl group,p is an integer from 0 to 4; ands and t are each independently an integer from 0 to 5 when R14 is hydrogen, and an integer from 0 to 4 when R14 is not hydrogen.
- A compound selected from a compound represented by Formula 14, and a stereoisomer, tautomer, solvate, or pharmaceutically acceptable salt thereof.[Formula 14]wherein, in Formula 14,Ea is hydrogen, a hydroxy, or a C1-C4 alkoxy group;Eb is hydrogen, a halogen, a C1-C4 alkyl group, or a C1-C4 fluoroalkyl group;Ec and Ed are each independently hydrogen or a hydroxy group;X' is hydrogen or a hydroxy group;k is an integer from 0 to 4;each Q is independently hydroxy, a halogen, a C1-C4 alkyl group, a hydroxy C1-C4 alkyl group, or a C1-C4 alkoxy group; andZ' is a monovalent functional group represented by Formula 15;[Formula 15]wherein, in Formula 15, n is an integer from 1 to 8;each A is independently a functional group selected from hydroxy, a C1-C4 alkyl group, and a hydroxy C1-C4 alkyl group, wherein when n is two or more, two of the two or more A are linked to each other to form an alkylene bridge to form Z' that is a 7- to 12-membered bridged heterobicycloalkyl ring, or two A are spiro-connected to form a 7- to 12-membered spiroheterocycloalkyl ring; andL is hydrogen, a C1-C4 alkyl, a hydroxy group, or a hydroxyC1-C4 alkyl group.
- The compound of claim 10, wherein Eb is a halogen, n is 2, and A is methyl.
- The compound of claim 10, wherein Z' is 3,5-dimethylpiperazine-1-yl.
- The compound of claim 10, wherein Eb is chlorine or fluorine.
- The compound of claim 1, wherein the compound of Formula 1 is selected from compounds below:1) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-fluoro-1H-indole-3-yl)pyrimidine-2-amine;2) 5-chloro-4-(6-chloro-1H-indole-3-yl)-N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)pyrimidine-2-amine;3) 2-((2R, 6S)-4-(3-((5-chloro-4-(6-fluoro-1H-indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-2,6-dimethylpiperazine-1-yl)ethane-1-ol;4) 2-((2R, 6S)-4-(3-((5-chloro-4-(1H-indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-2,6-dimethylpiperazine-1-yl)ethane-1-ol;5) 2-((2R, 6S)-4-(3-((5-chloro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-2,6-dimethylpiperazine-1-yl)ethane-1-ol;6) (R)-5-chloro-N-(3-cyclopropyl-5-((3-methylpiperazine-1-yl)methyl)phenyl)-4-(1H-indole-3-yl)pyrimidine-2-amine;7) (R)-5-chloro-N-(3-cyclopropyl-5-((3-methylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;8) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;9) 5-chloro-N-(3-cyclopropyl-5-(((3S, 5R)-3-ethyl-5-methylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;10) 5-chloro-N-(3-cyclopropyl-5-((3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;11) N-(3-cyclopropyl-5-(((3R,5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;12) N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-5-fluoro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;13) N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(1H-indole-3-yl)-5-methylpyrimidine-2-amine;14) N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-5-methyl-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;15) N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)-5-(trifluoromethyl)pyrimidine-2-amine;16) (3-(5-chloro-2-((3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-1H-indole-6-yl)methanol;17) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(5-methoxy-6-methyl-1H-indole-3-yl)pyrimidine-2-amine;18) 3-(5-chloro-2-((3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methyl-1H-indole-5-ol;19) 3-(5-chloro-2-((3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methylindoline-2-one;20) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-methoxy-6-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;21) 5-chloro-2-((3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)-6-(6-methyl-1H-indole-3-yl)pyrimidine-4-ol;22) 3-(5-chloro-2-((3-cyclopropyl-5-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)amino)pyrimidine-4-yl)-6-methyl-1H-indole-7-ol;23) 2-((5-chloro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)-4-cyclopropyl-6-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenol;24) 4-((5-chloro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)-2-cyclopropyl-6-(((3R, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenol;25) (R)-5-chloro-N-(3-cyclopropyl-5-((3,3,5-trimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;26) ((2R, 6R)-4-(3-((5-chloro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-6-methylpiperazine-2-yl)methanol;27) (R)-5-chloro-N-(3-cyclopropyl-5-((5-methyl-4,7-diazaspiro[2.5]octan-7-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;28) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5R)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;29) 5-chloro-N-(3-cyclopropyl-5-(((3S, 5S)-3,5-dimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;30) 5-chloro-N-(3-cyclopropyl-5-(((3R, 5S)-3,4,5-trimethylpiperazine-1-yl)methyl)phenyl)-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-amine;31) (2R, 6S)-4-(3-((5-chloro-4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)-5-cyclopropylbenzyl)-2,6-dimethylpiperazine-1-ol; and32) (2R, 6S)-4-(3-cyclopropyl-5-((4-(6-methyl-1H-indole-3-yl)pyrimidine-2-yl)amino)benzyl)-2,6-dimethylpiperazine-1-ol.
- A pharmaceutical composition for the prevention or treatment of cancer, the composition comprising the compound of any one of claims 1-14 or a pharmaceutically acceptable salt thereof as an active ingredient.
- The pharmaceutical composition of claim 15, wherein the cancer comprises leukemia.
- The pharmaceutical composition of claim 16, wherein the leukemia comprises acute myelogenous leukemia, acute lymphocytic leukemia, or chronic myelogenous leukemia.
- A pharmaceutical composition for inhibiting FLT3 kinase activity, the pharmaceutical composition comprising: the compound of any one of claims 1 to 14 or a pharmaceutically acceptable salt thereof; and a pharmacologically acceptable excipient.
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| AU2019203034A AU2019203034B1 (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| MX2021000941A MX2021000941A (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same. |
| CA3106961A CA3106961A1 (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| EP19841611.7A EP3810601A4 (en) | 2018-07-25 | 2019-02-13 | PYRIMIDINE COMPOUNDS AND PHARMACEUTICAL COMPOSITIONS FOR THE PREVENTION OR TREATMENT OF CANCERS COMPRISING THEM |
| BR112021001122-6A BR112021001122A2 (en) | 2018-07-25 | 2019-02-13 | COMPOUND, PHARMACEUTICAL COMPOSITION FOR THE PREVENTION OR TREATMENT OF CANCER AND PHARMACEUTICAL COMPOSITION TO INHIBIT FLT3 KINASE ACTIVITY |
| SG11202100076RA SG11202100076RA (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| NZ772028A NZ772028B2 (en) | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same | |
| PE2021000090A PE20210373A1 (en) | 2018-07-25 | 2019-02-13 | PYRIMIDINE COMPOUNDS AND PHARMACEUTICAL COMPOSITIONS TO PREVENT OR TREAT CANCERS INCLUDING THE SAME |
| JP2019566602A JP6806931B2 (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compounds and pharmaceutical compositions containing them for the prevention or treatment of cancer |
| CN202310204523.7A CN116693506B (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compound and pharmaceutical composition comprising the same for preventing or treating cancer |
| CN201980049569.8A CN112469715B (en) | 2018-07-25 | 2019-02-13 | Pyrimidine compound and pharmaceutical composition comprising the same for preventing or treating cancer |
| US16/396,233 US10870639B2 (en) | 2018-07-25 | 2019-04-26 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| US16/859,413 US11292786B2 (en) | 2018-07-25 | 2020-04-27 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| PH12021550124A PH12021550124A1 (en) | 2018-07-25 | 2021-01-15 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| DO2021000017A DOP2021000017A (en) | 2018-07-25 | 2021-01-22 | PYRIMIDINE COMPOUNDS AND PHARMACEUTICAL COMPOSITIONS TO PREVENT OR TREAT CANCERS INCLUDING THE SAME |
| ZA2021/00485A ZA202100485B (en) | 2018-07-25 | 2021-01-22 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| US17/583,841 US12325698B2 (en) | 2018-07-25 | 2022-01-25 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| US19/203,828 US20260092051A1 (en) | 2018-07-25 | 2025-05-09 | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
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| KR20250145001A (en) | 2022-12-10 | 2025-10-13 | 압토스 바이오사이언시스 인코포레이티드 | Methods for treating patients with blood cancer |
| WO2024248513A1 (en) | 2023-05-31 | 2024-12-05 | Hanmi Pharm. Co., Ltd. | Solid dispersion of myeloid kinome inhibitors and pharmaceutical composition comprising the same |
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2018
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US12325698B2 (en) | 2018-07-25 | 2025-06-10 | Hanmi Pharm. Co., Ltd. | Pyrimidine compounds and pharmaceutical compositions for preventing or treating cancers including the same |
| US12433867B2 (en) | 2019-02-22 | 2025-10-07 | Hanmi Pharm. Co., Ltd. | Pharmaceutical composition comprising FLT3 inhibitor and hypomethylating agent for treating acute myeloid leukemia |
| US12350265B2 (en) | 2019-06-27 | 2025-07-08 | Hanmi Pharm. Co., Ltd. | Pharmaceutical composition for treating acute myeloid leukemia, containing FLT3 inhibitor and chemotherapeutic agents |
| US20260102397A1 (en) * | 2020-11-05 | 2026-04-16 | Hanmi Pharm. Co., Ltd. | Pharmaceutical composition for treating leukemia comprising flt3 inhibitor |
| WO2022182972A1 (en) * | 2021-02-26 | 2022-09-01 | Tyra Biosciences, Inc. | Aminopyrimidine compounds and methods of their use |
| CN117136184A (en) * | 2021-02-26 | 2023-11-28 | 泰拉生物科学公司 | Aminopyrimidine compounds and methods of using them |
| WO2023027966A1 (en) | 2021-08-24 | 2023-03-02 | Biomea Fusion, Inc. | Pyrazine compounds as irreversible inhibitors of flt3 |
| WO2023068858A1 (en) * | 2021-10-20 | 2023-04-27 | Hanmi Pharm. Co., Ltd. | Therapeutically effective combination of a flt3 inhibitor and a bcl-2 inhibitor for the treatment of acute myeloid leukemia |
| WO2023129667A1 (en) | 2021-12-30 | 2023-07-06 | Biomea Fusion, Inc. | Pyrazine compounds as inhibitors of flt3 |
| WO2023225005A1 (en) | 2022-05-17 | 2023-11-23 | Biomea Fusion, Inc. | Flt3 combination therapy for cancer and compositions therefor |
Also Published As
| Publication number | Publication date |
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| JP2020527128A (en) | 2020-09-03 |
| PH12021550124A1 (en) | 2021-09-27 |
| CN116693506A (en) | 2023-09-05 |
| US20260092051A1 (en) | 2026-04-02 |
| EP3810601A1 (en) | 2021-04-28 |
| EP3810601A4 (en) | 2022-04-20 |
| US11292786B2 (en) | 2022-04-05 |
| US10870639B2 (en) | 2020-12-22 |
| NZ772028A (en) | 2024-09-27 |
| ZA202100485B (en) | 2023-11-29 |
| CA3106961A1 (en) | 2020-01-30 |
| US20230002358A1 (en) | 2023-01-05 |
| TWI839363B (en) | 2024-04-21 |
| SG11202100076RA (en) | 2021-02-25 |
| KR101954370B1 (en) | 2019-03-05 |
| US20200031806A1 (en) | 2020-01-30 |
| CN112469715B (en) | 2024-06-11 |
| BR112021001122A2 (en) | 2021-04-13 |
| MX2021000941A (en) | 2021-03-09 |
| TW202014417A (en) | 2020-04-16 |
| AR119657A1 (en) | 2022-01-05 |
| PE20210373A1 (en) | 2021-02-26 |
| DOP2021000017A (en) | 2021-04-15 |
| US20200255410A1 (en) | 2020-08-13 |
| CN112469715A (en) | 2021-03-09 |
| US12325698B2 (en) | 2025-06-10 |
| AU2019203034B1 (en) | 2019-09-26 |
| JP6806931B2 (en) | 2021-01-06 |
| CN116693506B (en) | 2024-11-26 |
| CL2021000175A1 (en) | 2021-07-02 |
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