US2023127765A1PendingUtilityA1

Combination of t-cell checkpoint inhibitors with inhibitors of e-selectin or cxcr4, or with heterobifunctional inhibitors of both e-selectin and cxcr4

Assignee: GLYCOMIMETICS INCPriority: Aug 8, 2016Filed: Jul 28, 2022Published: Apr 27, 2023
Est. expiryAug 8, 2036(~10.1 yrs left)· nominal 20-yr term from priority
A61K 31/395A61K 39/3955A61K 31/7034C07K 16/2818A61K 2039/505A61K 31/197A61P 35/00A61K 47/61A61K 31/69A61K 31/702C07K 16/2827C07K 2317/76A61K 31/7068C07K 2317/21
69
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Claims

Abstract

Compositions and methods for the treatment of diseases, disorders, and/or conditions associated with the increased regulatory T lymphocyte cell function, comprising the administration of T-cell checkpoint inhibitors in combination with E-selectin inhibitors, C-X-C Motif Chemokine Receptor 4 (CXCR4) receptor inhibitors, and/or heterobifunctional inhibitors that comprise at least one E-selectin inhibitor linked to at least one CXCR4 receptor inhibitor, are disclosed.

Claims

exact text as granted — not AI-modified
1 - 28 . (canceled) 
     
     
         29 . A method for treating cancer comprising administering to a subject in need thereof:
 (1) an effective amount of pembrolizumab; and   (2) an effective amount of at least one heterobifunctional inhibitor chosen from compounds of Formula (II):   
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof, wherein:
 R 1  is chosen from H, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups; 
 R 2  is chosen from —OH, —NH 2 , —OC(═O)Y 1 , —NHC(═O)Y 1 , and —NHC(═O)NHY 1  groups, wherein Y 1  is chosen from C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, C 2-8  haloalkynyl, C 6-18  aryl, and C 1-13  heteroaryl groups; 
 R 3  is chosen from —CN, —CH 2 CN, and —C(═O)Y 2  groups, wherein Y 2  is chosen from C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, -OZ 1 , —NHOH, —NHOCH 3 , —NHCN, and —NZ 1 Z 2  groups, wherein Z 1  and Z 2 , which may be identical or different, are independently chosen from H, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups, wherein Z 1  and Z 2  may together form a ring; 
 
         R 4  is chosen from C 3-8  cycloalkyl groups; 
         R 5  is independently chosen from H, halogen, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups; 
         n is chosen from integers ranging from 1 to 4; and 
         Linker is chosen from linker groups. 
       
     
     
         30 . The method of  claim 29 , wherein at least one of (1) pembrolizumab and (2) the at least one heterobifunctional inhibitor is in the form of at least one pharmaceutical composition. 
     
     
         31 . The method of  claim 29 , wherein pembrolizumab is in the form of a first pharmaceutical composition and the at least one heterobifunctional inhibitor is in the form of a second pharmaceutical composition. 
     
     
         32 . The method of  claim 30 , wherein said at least one pharmaceutical composition further comprises at least one pharmaceutically acceptable ingredient. 
     
     
         33 . The method of  claim 29 , wherein the at least one heterobifunctional inhibitor is chosen from compounds of Formula (IIa): 
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof. 
       
     
     
         34 . The method of  claim 29 , wherein the at least one heterobifunctional inhibitor is GMI-1359. 
     
     
         35 . The method of  claim 29 , wherein the subject has received or will receive chemotherapy and/or radiotherapy. 
     
     
         36 . The method of  claim 35 , wherein the chemotherapy comprises administering an effective amount of bortezomib and/or gemcitabine. 
     
     
         37 . The method of  claim 29 , wherein Linker is chosen from 
       
         
           
           
               
               
           
         
       
     
     
         38 . The method of  claim 29 , wherein the at least one heterobifunctional inhibitor is chosen from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts of any of the foregoing. 
       
     
     
         39 . The method of  claim 29 , wherein the at least one heterobifunctional inhibitor is chosen from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts of any of the foregoing. 
       
     
     
         40 . The method of  claim 29 , wherein the at least one heterobifunctional inhibitor is chosen from 
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof. 
       
     
     
         41 . The method of  claim 29 , wherein the cancer is a solid cancer. 
     
     
         42 . The method of  claim 29 , wherein the cancer is a liquid cancer. 
     
     
         43 . A method for treating cancer comprising administering to a subject in need thereof:
 (1) an effective amount of at least one PD-L1 inhibitor; and   (2) an effective amount of at least one heterobifunctional inhibitor chosen from compounds of Formula (II):   
       
         
           
           
               
               
           
         
       
       and pharmaceutically acceptable salts thereof, wherein:
 R 1  is chosen from H, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups; 
 R 2  is chosen from —OH, —NH 2 , —OC(═O)Y 1 , —NHC(═O)Y 1 , and —NHC(═O)NHY 1  groups, wherein Y 1  is chosen from C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, C 2-8  haloalkynyl, C 6-18  aryl, and C 1-13  heteroaryl groups; 
 R 3  is chosen from —CN, —CH 2 CN, and —C(═O)Y 2  groups, wherein Y 2  is chosen from C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, -OZ 1 , —NHOH, —NHOCH 3 , —NHCN, and —NZ 1 Z 2  groups, wherein Z 1  and Z 2 , which may be identical or different, are independently chosen from H, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups, wherein Z 1  and Z 2  may together form a ring; 
 R 4  is chosen from C 3-8  cycloalkyl groups; 
 R 5  is independently chosen from H, halogen, C 1-8  alkyl, C 2-8  alkenyl, C 2-8  alkynyl, C 1-8  haloalkyl, C 2-8  haloalkenyl, and C 2-8  haloalkynyl groups; 
 n is chosen from integers ranging from 1 to 4; and 
 Linker is chosen from linker groups. 
 
     
     
         44 . The method of  claim 43 , wherein at least one of (1) the at least one PD-L1 inhibitor and (2) the at least one heterobifunctional inhibitor is in the form of at least one pharmaceutical composition. 
     
     
         45 . The method of  claim 43 , wherein the at least one PD-L1 inhibitor is in the form of a first pharmaceutical composition and the at least one heterobifunctional inhibitor is in the form of a second pharmaceutical composition. 
     
     
         46 . The method of  claim 44 , wherein said at least one pharmaceutical composition further comprises at least one pharmaceutically acceptable ingredient. 
     
     
         47 . The method of  claim 43 , wherein the at least one heterobifunctional inhibitor is chosen from compounds of Formula (IIa): 
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof. 
       
     
     
         48 . The method of  claim 43 , wherein the at least one heterobifunctional inhibitor is GMI-1359. 
     
     
         49 . The method of  claim 43 , wherein the subject has received or will receive chemotherapy and/or radiotherapy. 
     
     
         50 . The method of  claim 49 , wherein the chemotherapy comprises administering an effective amount of bortezomib and/or gemcitabine. 
     
     
         51 . The method of  claim 43 , wherein Linker is chosen from 
       
         
           
           
               
               
           
         
       
     
     
         52 . The method of  claim 43 , wherein the at least one heterobifunctional inhibitor is chosen from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts of any of the foregoing. 
       
     
     
         53 . The method of  claim 43 , wherein the at least one heterobifunctional inhibitor is chosen from: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         pharmaceutically acceptable salts of any of the foregoing. 
       
     
     
         54 . The method of  claim 43 , wherein the at least one heterobifunctional inhibitor is chosen from 
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof. 
       
     
     
         55 . The method of  claim 43 , wherein the cancer is a solid cancer. 
     
     
         56 . The method of  claim 44 , wherein the cancer is a liquid cancer. 
     
     
         57 . A method for treating solid cancers comprising administering to a subject in need thereof:
 (1) an effective amount of at least one PD-L1 inhibitor; and   (2) an effective amount of at least one heterobifunctional inhibitor chosen from   
       
         
           
           
               
               
           
         
         and pharmaceutically acceptable salts thereof. 
       
     
     
         58 . A method for treating solid cancers comprising administering to a subject in need thereof:
 (1) an effective amount of at least one PD-L1 inhibitor; and   (2) an effective amount of the compound

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