Treatment Method by Combined Use of MDM2 Inhibitor and DNA Methyltransferase Inhibitor
US-2019240210-A1 · Aug 8, 2019 · US
US11447472B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11447472-B2 |
| Application number | US-202117384345-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jul 23, 2021 |
| Priority date | Jul 23, 2020 |
| Publication date | Sep 20, 2022 |
| Grant date | Sep 20, 2022 |
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The present disclosure provides crystalline polymorphs of 5-aza-4′-thio-2′-deoxycytidine. The crystalline polymorphs may be formulated in a pharmaceutical composition, optionally in combination with an additional chemotherapeutic agent. The crystalline polymorphs are useful to treat various diseases including blood cancers, such as myelodysplastic syndrome and leukemia. A process for preparing the crystalline polymorphs of 5-aza-4′-thio-2′-deoxycytidine is also disclosed. This abstract is intended as a scanning tool for purposes of searching in the particular art and is not intended to be limiting of the present invention.
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What is claimed is: 1. A crystalline polymorph of 5-aza-4′-thio-2′-deoxycytidine, wherein the crystalline polymorph has a powder X-ray diffraction pattern that contains peaks at about 8°, about 13°, about 15°, about 17°, about 19°, about 22°, about 23° about 26°, about 28°, about 29°, about 31°, about 33°, and about 37° 2θ. 2. The crystalline polymorph of claim 1 , wherein the crystalline polymorph has an X-ray powder diffraction pattern that is substantially similar to, or the same as, the X-ray powder diffraction pattern shown in FIG. 11 . 3. A pharmaceutical composition comprising an effective amount of the crystalline polymorph of claim 1 and a pharmaceutically acceptable carrier. 4. An 5-aza-4′-thio-2′-deoxycytidine compound consisting of the crystalline polymorph of claim 1 . 5. A crystalline polymorph of 5-aza-4′-thio-2′-deoxycytidine, wherein the crystalline polymorph has a powder X-ray diffraction pattern that contains peaks at about 6°, about 12°, about 13°, about 14°, about 16°, about 18°, about 20°, about 21°, about 22°, about 26°, about 27°, about 29°, about 30°, about 33°, about 35°, about 36°, about 39°, and about 41° 2θ. 6. The crystalline polymorph of claim 5 , which exhibits an X-ray powder diffraction pattern substantially similar to, or the same as, the X-ray powder diffraction pattern shown in FIG. 16 . 7. A pharmaceutical composition comprising an effective amount of the crystalline polymorph of claim 5 and a pharmaceutically acceptable carrier. 8. An 5-aza-4′-thio-2′-deoxycytidine compound consisting of the crystalline polymorph of claim 5 . 9. A method of treating a cancer in a subject in need thereof, the method comprising administering to the subject an effective amount of the crystalline polymorph of claim 1 . 10. The method of claim 9 , wherein the cancer is a blood cancer. 11. The method of claim 10 , wherein the blood cancer is selected from the group consisting of non-Hodgkin's lymphoma, Hodgkin's lymphoma, multiple myeloma, leukemia, lymphoma, myelodysplastic syndrome, acute lymphocytic leukemia, acute myelogenous leukemia, chronic lymphocytic leukemia, chronic myeloid leukemia, and solitary myeloma. 12. The method of claim 9 , wherein the cancer is a solid cancer. 13. The method of claim 9 , wherein administering is via a treatment cycle. 14. The method of claim 13 , wherein each treatment cycle includes administering the effective amount of the compound for a time period of from about 4 days to about 6 days. 15. The method of claim 9 , wherein the administering is via a course of treatment comprising: a first treatment cycle that includes administering the effective amount of the crystalline polymorph for a time period of from about 4 days to about 6 days; a first rest period that includes abstaining from administering the crystalline polymorph for a time period of about 1 day to about 3 days; a second treatment cycle that includes administering the effective amount of the crystalline polymorph for a time period of from about 4 days to about 6 days; and a second rest period that includes abstaining from administering the crystalline polymorph for a time period of at least about 8 days. 16. A method of treating a cancer in a subject in need thereof, the method comprising administering to the subject an effective amount of the crystalline polymorph of claim 5 . 17. The method of claim 16 , wherein the cancer is a blood cancer. 18. The method of claim 17 , wherein the blood cancer is selected from the group consisting of non-Hodgkin's lymphoma, Hodgkin's lymphoma, multiple myeloma, leukemia, lymphoma, myelodysplastic syndrome, acute lymphocytic leukemia, acute myelogenous leukemia, chronic lymphocytic leukemia, chronic myeloid leukemia, and solitary myeloma. 19. The method of claim 16 , wherein the cancer is a solid cancer. 20. The method of claim 16 , wherein administering is via a treatment cycle. 21. The method of claim 20 , wherein each treatment cycle includes administering the effective amount of the compound for a time period of from about 4 days to about 6 days. 22. The method of claim 16 , wherein the administering is via a course of treatment comprising: a first treatment cycle that includes administering the effective amount of the crystalline polymorph for a time period of from about 4 days to about 6 days; a first rest period that includes abstaining from administering the crystalline polymorph for a time period of about 1 day to about 3 days; a second treatment cycle that includes administering the effective amount of the crystalline polymorph for a time period of from about 4 days to about 6 days; and a second rest period that includes abstaining from administering the crystalline polymorph for a time period of at least about 8 days.
directly linked by a ring-member-to-ring-member bond · CPC title
Antineoplastic agents · CPC title
Crystalline forms, e.g. polymorphs · CPC title
Triazine radicals · CPC title
containing six-membered rings with nitrogen as a ring hetero atom · CPC title
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