Method for cancer therapy
First Claim
1. A method of treating a patient suffering form cancer, comprising administering to the patient a therapeutically effective amount of a combination of a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula I a pharmaceutically acceptable salt or ester of said compound, whereinR1 is selected from the group consisting of —
- H, —
CH3, and —
CH2OH, and R2 is —
CH3;
and a second component consisting of paclitaxel.
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Abstract
Disclosed is a method of treating a patient suffering from cancer. The method comprises administering to a patient over a period of up to about 15 days a first component and a second component. The first component consists of a pharmaceutical composition containing as an active ingredient a compound of formula I or a pharmaceutically acceptable salt or ester of said compound. The second component consists of an injection solution containing as an active ingredient paclitaxel. The amount of each component in the combination is such that the combination is therapeutically effective. The components are administered concomitantly or sequentially in a three week to four week treatment cycle for as long as the tumor remains under control and the patient tolerates the regimen.
37 Citations
35 Claims
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1. A method of treating a patient suffering form cancer, comprising administering to the patient a therapeutically effective amount of a combination of a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula I
a pharmaceutically acceptable salt or ester of said compound, wherein R1 is selected from the group consisting of — - H, —
CH3, and —
CH2OH, andR2 is —
CH3;
and a second component consisting of paclitaxel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 35)
or a pharmaceutically acceptable salt or ester thereof.
- H, —
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8. The method of claim 6, wherein the active ingredient of the first component is a compound of the formula
or a pharmaceutically acceptable salt or ester thereof. -
9. The method of claim 6, wherein the active ingredient of the first component is a compound of the formula
or a pharmaceutically acceptable salt or ester thereof. -
10. The method of claim 1 wherein the amount of a compound of formula I is from about 800 mg/m2 to about 2988 mg/m2 administered over a period of up to about 14 days.
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11. The method of claim 10 wherein the amount of a compound of formula I is from about 1068 mg/m2 to about 2988 mg/m2.
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12. The method of claim 11 wherein the amount of a compound of formula I is from about 1492 mg/m2 to about 2348 mg/m2.
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13. The method of claim 1 wherein the amount of a compound of formula I is from about 800 mg/m2 to about 2240 mg/m2 administered over a period of up to about 4 days.
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14. The method of claim 13 wherein the amount of a compound of formula I is from about 1120 mg/m2 to about 1760 mg/m2.
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15. The method of claim 1 wherein the dose intensity of the compound of formula I is from about 267 mg/m2/week to about 747 mg/m2/week.
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16. The method of claim 15 wherein the dose intensity of the compound of formula I is from about 373 mg/m2/week to about 587 mg/m2/week.
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17. The method of claim 1 wherein the active ingredient of the second component is paclitaxel.
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18. The method of claim 17 wherein the amount of paclitaxel is from about 135 mg/m2 to about 250 mg/m2 administered over a period of up to about 8 days.
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19. The method of claim 18 wherein the amount of paclitaxel is from about 150 mg/m2 to about 200 mg/m2 administered over a period of up to about 8 days.
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20. The method of claim 19 wherein the amount of paclitaxel is about 175 mg/m2 administered over a period of up to about 8 days.
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21. The method of claim 17 wherein the paclitaxel is administered on day 1 of a 21-day treatment cycle.
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22. The method of claim 17 wherein the dose intensity of paclitaxel is from about 45 mg/m2/week to about 83 mg/m2/week.
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23. The method of claim 22 wherein the dose intensity of paclitaxel is from about 50 mg/m2/week to about 67 mg/m2/week.
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24. The method of claim 19 wherein the paclitaxel is administered on days 1 and 8 of a 21-28 day treatment cycle.
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25. The method of claim 19 wherein the paclitaxel is administered on days 1, 8 and 15 of a 28-day treatment cycle.
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35. The method of claim 1 comprising additionally subjecting the patient to radiotherapy.
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26. A method of treating a patient suffering with cancer comprising administering to the patient:
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(i) a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula;
or a pharmaceutically acceptable salt or ester of said compound,wherein the compound of formula II is administered in an amount of from about 76 mg/m2 per day to about 214 mg/m2 per day for up to about 14 days starting on the first day of a 28 day cycle, and (ii) a second component consisting of an injection solution containing as an active ingredient paclitaxel which is administered in amount of from about 135 mg/m2 to about 250 mg/m2 on the first day of a 28 day cycle, said 28 day cycle being repeated as long as the tumor remains under control.
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27. A method of treating a patient suffering with cancer comprising administering to the patient:
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(i) a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula;
or a pharmaceutically acceptable salt or ester of said compound,wherein the compound of formula II is administered in an amount of from about 114 mg/m2 per day to about 320 mg/m2 per day for up to about 7 days starting on the first day of a 28 day cycle, and (ii) a second component consisting of an injection solution containing as an active ingredient paclitaxel which is administered in amount of from about 150 mg/m2 to about 200 mg/m2 on the first day of a 28 day cycle, and said 28 day cycle being repeated as long as the tumor remains under control.
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28. A method of treating a patient suffering with cancer comprising administering to the patient:
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(i) a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula;
or a pharmaceutically acceptable salt or ester of said compound,wherein the compound of formula II is administered in an amount of from about 200 mg/m2 per day to about 560 mg/m2 per day for up to about 4 days starting on the first day of a 21 day cycle, and (ii) a second component consisting of an injection solution containing as an active ingredient paclitaxel which is administered in amount of from about 150 mg/m2 to about 200 mg/m2 on the first day of a 21 day cycle, and said 21 day cycle being repeated as long as the tumor remains under control.
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29. A method of treating a patient suffering with cancer comprising administering to the patient:
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(i) a first component consisting of pharmaceutical composition containing as an active ingredient a compound of formula;
or a pharmaceutically acceptable salt or ester of said compound,wherein the compound of formula II is administered in an amount of from about 200 mg/m2 per day to about 560 mg/m2 per day for up to about 4 days starting on the first day of a 21 day cycle, and (ii) a second component consisting of an injection solution containing as an active ingredient paclitaxel which is administered in amount of from about 67 mg/m2 to about 125 mg/m2 on the first and eighth day of a 21 day cycle, said 21 day cycle being repeated as long as the tumor remains under control.
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30. A kit comprising:
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(a) a first component containing one or more oral unit dosage forms of an active ingredient, each unit containing about 50 mg to about 200 mg of the active ingredient, wherein the active ingredient is a compound selected from formula I
or a pharmaceutically acceptable salt or ester said compound, whereinR1 is selected from the group consisting of —
H, —
CH3, and —
CH2OH, andR2 is —
CH3; and
(b) a second component containing a vial or series of vials, each vial containing a single injectable solution dose or multiple injectable solution doses, each dose containing as an active ingredient about 30 mg to about 400 mg of paclitaxel. - View Dependent Claims (31, 32, 33, 34)
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Specification