Pyridazinedione-based heterobicyclic covalent linkers and methods and applications thereof
US-2024425465-A1 · Dec 26, 2024 · US
US9630966B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9630966-B2 |
| Application number | US-201414254004-A |
| Country | US |
| Kind code | B2 |
| Filing date | Apr 16, 2014 |
| Priority date | Apr 17, 2013 |
| Publication date | Apr 25, 2017 |
| Grant date | Apr 25, 2017 |
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Provided herein are methods for treating or preventing glioblastoma multiforme (GBM) characterized by O6-methylguanine-DNA methyltransferase (MGMT) expression and/or promoter methylation status, comprising administering an effective amount of a Dihydropyrazino-Pyrazine Compound to a patient having glioblastoma multiforme (GBM) characterized by O6-methylguanine-DNA methyltransferase (MGMT) expression and/or promoter methylation status.
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What is claimed is: 1. A method for treating glioblastoma multiforme characterized by MGMT protein expression and/or promoter hypomethylation status, comprising administering an effective amount of 1-ethyl-7-(2-methyl-6-(1H-1,2,4-triazol-3-yl)pyridin-3-yl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one or a pharmaceutically acceptable salt, stereoisomer or tautomer thereof to a patient having glioblastoma multiforme characterized by MGMT protein expression or promoter hypomethylation status. 2. The method of claim 1 , wherein the glioblastoma multiforme is that in which the PI3K/mTOR pathway is activated. 3. The method of claim 2 , wherein the glioblastoma multiforme is that in which the PI3K/mTOR pathway is activated due to ERBB2 mutation, PTEN mutation or loss, NF1 mutation or loss, PIK3Ca mutation, EGFR mutation or overexpression, Met amplification, PDGFRa activation or amplification, AKT amplification, or a combination thereof. 4. The method of claim 1 , wherein said patient is administered about 0.5 mg/day to about 45 mg/day of 1ethyl-7-(2-methyl-6-(1H-1,2,4-triazol-3-yl)pyridin-3-yl)-3,4-dihydropyrazino[2,3-b]pyrazin-2(1H)-one or a pharmaceutically acceptable salt, stereoisomer or tautomer thereof. 5. The method of claim 1 , wherein the glioblastoma multiforme is characterized by MGMT protein expression. 6. The method of claim 1 , wherein the glioblastoma multiforme is characterized by MGMT promoter hypomethylation.
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