Amino thiol compounds and compositions for use in conjunction with cancer therapy
The invention provides novel polyamine and amino thiol compounds and pharmaceutical compositions for administration in conjunction with cancer chemotherapy or radiation therapy. The compounds are administered locally to provide protection against the adverse side-effects of chemotherapy or radiation therapy, such as alopecia, mucositis and dermatitis. Pharmaceutical preparations comprising one or more chemoprotective polyamines or amino thiols formulated for topical or local delivery to epithelial or mucosal cells are disclosed. Methods of administering the pharmaceutical preparations are also disclosed.
1. A compound of Formula II:
wherein:
A is a member selected from the group consisting of:
J is a member selected from the group consisting of a single bond and —CH(Y)—;
L is a member selected from the group consisting of —CH 2 X 1 , —SH, and —CHX 2 (X 3 );
X 1 is a member selected from the group consisting of —SH and —R 1 —SH;
X 2 and X 3 are each independently a member selected from the group consisting of —H, —SH and —R 1 —SH, provided that at least one of X 2 and X 3 is other than —H or —SH;
Y is a member selected from the group consisting of —H, alkyl, and —R 2 -D;
D is a member selected from the group consisting of —OH, —SR 3 , and —NR 3 R 4 ;
R 3 is a member selected from the group consisting of —H and lower alkyl;
R 4 is a member selected from the group consisting of —H, lower alkyl, and —R 5 -D;
each Q is independently a member selected from the group consisting of —H, lower alkyl, and —R 6 —SR 3 , provided that when L is —SH, at least one of Q is other than —H; and
each R 1 , R 2 , R 5 and R 6 is independently C 1-6 alkylene; and,
or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt or polyprotonated acid salt thereof.
2. A compound of claim 1 , wherein A is a member selected from the group consisting of:
3. A compound of claim 2 , wherein Y is a member selected from the group consisting of —H and —R 2 -D.
4. A compound of claim 3 , wherein Y is —H.
5. A compound of claim 3 , wherein Y is —R 2 -D, wherein D is —SR 3 , and wherein R 3 is —H.
6. A compound of claim 4 , wherein X 1 is —SH.
7. A compound of claim 5 , wherein X 1 is —SH.
8. A compound of claim 7 wherein each Q is independently a member selected from the group consisting of methyl and ethyl.
9. A compound of claim 1 wherein each Q is independently a member selected from the group consisting of —H and lower alkyl.
10. A compound of claim 9 wherein each Q is independently a member selected from the group consisting of methyl and ethyl.
11. A compound of claim 1 , wherein A is:
12. A compound of claim 11 , wherein L is —CH 2 X 1 .
13. A compound of claim 11 , wherein L is —SH.
14. A compound of claim 11 , wherein J is —CH(Y).
15. A compound of claim 14 , wherein Y is a member selected from the group consisting of —H and —R 2 -D.
16. A compound of claim 15 , wherein Y is —H.
17. A compound of claim 15 , wherein Y is —R 2 -D, wherein D is —SR 3 , and wherein R 3 is —H.
18. A compound of claim 11 , wherein Q is a member selected from the group consisting of H, methyl, and ethyl.
19. A compound of claim 11 , wherein J is a single bond.
20. A compound of claim 19 , wherein L is —CH 2 X 1 , and wherein X 1 is —SH.
21. A compound of claim 19 which is 3-methylamino-2-methylaminomethyl-propane-1-thiol or 3-amino-2-aminomethyl-propane-1-thiol.
22. A compound of claim 19 , wherein L is —CH 2 X 1 , and wherein X 1 is —R 1 —SH.
23. A compound of claim 19 , wherein L is —SH.
24. A compound of claim 19 , wherein Q is a member selected from the group consisting of —H, methyl, and ethyl.
25. A compound of claim 19 , wherein L is —CHX 2 (X 3 ).
26. A compound of claim 25 , wherein X 2 is —R 1 —SH, and wherein X 3 —R 1 —SH.
27. A compound of claim 25 , wherein X 2 is —SH, and wherein X 3 is —R 1 —SH.
28. A compound of claim 12 , wherein X 1 is —SH.
29. A compound of claim 12 , wherein X 1 is —R 1 —SH.
30. A pharmaceutical preparation for reducing or preventing hair loss, dermatitis, mucositis, or gastrointestinal distress caused by treatment with a chemotherapeutic agent or radiation therapy comprising:
a compound of Formula II according to
wherein:
A is a member selected from the group consisting of:
J is a member selected from the group consisting of a single bond and —CH(Y)—;
L is a member selected from the group consisting of —CH 2 X 1 , —SH, and —CHX 2 (X 3 );
X 1 is a member selected from the group consisting of —SH and —R 1 —SH;
X 2 and X 3 are each independently a member selected from the group consisting of —H, —SH and —R 1 —SH, provided that at least one of X 2 and X 3 is other than —H or —SH;
Y is a member selected from the group consisting of —H, alkyl, and —R 2 -D;
D is a member selected from the group consisting of —OH, —SR 3 , and —NR 3 R 4 ;
R 3 is a member selected from the group consisting of —H and lower alkyl;
R 4 is a member selected from the group consisting of —H, lower alkyl, and —R 5 -D;
each Q is independently a member selected from the group consisting of —H, lower alkyl, and —R 6 —SR 3 , provided that when L is —SH, at least one of Q is other than —H; and,
each R 1 , R 2 , R 5 , and R 6 is independently C 1-6 alkylene; and,
or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt or polyprotonated acid salt thereof, and
a topical delivery vehicle for locally delivering the compound to dermal or mucosal cells being a member selected from the group consisting of skin, scalp, mouth, nasoesophageal, gastrointestinal and urogenital system.
31. The pharmaceutical preparation of claim 30 , further comprising at least one other agent that reduces or prevents hair loss, dermatitis, mucositis, or gastrointestinal distress caused by treatment with a chemotherapeutic agent or radiation therapy.
32. The pharmaceutical preparation of claim 30 , further comprising an anti-proliferative agent.
33. The pharmaceutical preparation of claim 30 , further comprising a chemoprotective inducing agent.
34. The pharmaceutical preparation of claim 30 , further comprising a free radical scavenger.
35. The pharmaceutical preparation of claim 30 , wherein the topical delivery vehicle comprises one or more members selected from the group consisting of liposomes, a lipid droplet emulsion, an oil, an aqueous emulsion of polyoxyethylene ethers, an aqueous alcohol mixture, an aqueous ethanol mixture containing propylene glycol, an aqueous ethanol mixture containing phosphatidyl choline, lysophosphatidyl choline and triglycerides, xanthan gum in aqueous buffer, hydroxypropymethylcellulose in aqueous buffer or aqueous alcohol mixture, diethylene glycol monoethyl ether in aqueous buffer, and biodegradable microparticles.
36. The pharmaceutical preparation of claim 35 , for topical delivery to skin or hair follicles, wherein the delivery vehicle comprises an aqueous alcohol mixture.
37. The pharmaceutical preparation of claim 36 , wherein the delivery vehicle further comprises propylene glycol.
38. The pharmaceutical preparation of claim 37 , in the form of a member selected from the group consisting of a cream, lotion, ointment, and gel.
39. The pharmaceutical preparation of claim 35 , for topical delivery to an oral cavity or naso-esophageal passage, wherein the delivery vehicle comprises a mucoadhesive substance.
40. The pharmaceutical preparation of claim 39 , in the form of a member selected from the group consisting of an aerosol, oral rinse, ointment, and gel.
41. The pharmaceutical preparation of claim 35 , for vaginal or rectal delivery, wherein the delivery vehicle comprises a mucoadhesive substance.
42. The pharmaceutical preparation of claim 41 , in the form of a member selected from the group consisting of a cream, ointment, lotion, gel, foam, and suppository.
43. The pharmaceutical preparation of claim 35 , for topical delivery to a gastrointestinal tract, wherein the delivery vehicle comprises one or more members selected from the group consisting of nonionic liposomes and mucoadhesive substances.
44. The pharmaceutical preparation of claim 43 , in the form of a liquid for coating a surface of the gastrointestinal tract.
45. The pharmaceutical preparation of claim 30 further comprising a vasoconstrictor.
46. The pharmaceutical preparation of claim 45 for reducing or preventing hair loss.
47. The pharmaceutical preparation of claim 46 , wherein the vasoconstrictor comprises one or more members selected from the group consisting of epinephrine, capoten, enalapril, lisinopril, zolmitriptan, tetrahydrozaline, phenylephrine, procainimide, and nitric oxide.
48. The pharmaceutical preparation of claim 47 wherein the vasoconstrictor comprises epinephrine.
49. The pharmaceutical preparation of claim 48 comprising 3-methylamino-2-methylaminomethyl-propane-1-thiol or 3-amino-2-aminomethyl-propane-1-thiol.
50. The pharmaceutical preparation of claim 45 , wherein the vasoconstrictor is present in an amount effective for one or more members selected from the group consisting of restricting systemic distribution or absorption of the compound of Formula II, or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt, or polyprotonated acid salt thereof; constricting surface blood vessels thereby prolonging the contact time with the compound of Formula II, or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt, or polyprotonated acid salt thereof; transiently constricting skin blood vessels to reduce the amount of systemic chemotherapy arriving at epidermal and follicular matrix stem cells; and transiently constricting skin blood vessels to reduce the amount of oxygenated blood arriving at epidermal and follicular matrix stem cells.
51. The pharmaceutical preparation of claim 50 wherein the vasoconstrictor comprises epinephrine.
52. The pharmaceutical preparation of claim 51 wherein the epinephrine is present in an amount effective for restricting systemic distribution or absorption of the compound of Formula II, or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt, or polyprotonated acid salt thereof.
53. A method for reducing or preventing hair loss, dermatitis, mucositis or gastrointestinal distress in a patient undergoing treatment with a chemotherapeutic agent or radiation therapy, comprising administering to the patient a prophylactically or therapeutically effective amount of a pharmaceutical preparation comprising:
the compound of Formula II according to
wherein:
A is a member selected from the group consisting of:
J is a member selected from the group consisting of a single bond and —CH(Y)—;
L is a member selected from the group consisting of —CH 2 X 1 , —SH, and —CHX 2 (X 3 );
X 1 is a member selected from the group consisting of —SH and —R 1 —SH;
X 2 and X 3 are each independently a member selected from the group consisting of —H, —SH and —R 1 —SH, provided that at least one of X 2 and X 3 is other than —H or —SH;
Y is a member selected from the group consisting of —H, alkyl, and —R 2 -D;
D is a member selected from the group consisting of —OH, —SR 3 , and —NR 3 R 4 ;
R 3 is a member selected from the group consisting of —H and lower alkyl;
R 4 is a member selected from the group consisting of —H, lower alkyl, and —R 5 —D;
each Q is independently a member selected from the group consisting of —H, lower alkyl, and —R 6 —SR 3 , provided that when L is —SH, at least one of Q is other than —H; and,
each R 1 , R 2 , R 5 , and R 6 is independently C 1-6 alkylene; and,
or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt or polyprotonated acid salt thereof, and
a topical delivery vehicle for locally delivering the compound to dermal or mucosal cell members being selected from the group consisting of skin, scalp, mouth, nasoesophageal, gastrointestinal and urogenital system.
54. The method of claim 53 , comprising administering the pharmaceutical preparation beginning at least thirty minutes prior to chemotherapy or radiation therapy.
55. The method of claim 54 , comprising administering the pharmaceutical preparation beginning at least one day prior to chemotherapy or radiation therapy.
56. The method of claim 53 , comprising administering the pharmaceutical preparation after initiation of chemotherapy or radiation therapy.
57. The method of claim 53 , comprising administering the pharmaceutical preparation periodically or continuously throughout a course of chemotherapy or radiation therapy.
58. The method of claim 54 , comprising administering the pharmaceutical preparation following termination of a course of chemotherapy or radiation therapy.
59. The method of claim 53 , further comprising administering to the patient at least one other agent that reduces or prevents hair loss, dermatitis, mucositis or gastrointestinal distress caused by treatment with a chemotherapeutic agent or radiation therapy.
60. The method of claim 59 , wherein the other agent is an anti-proliferative agent.
61. The method of claim 59 , wherein the other agent is a chemoprotective inducing agent.
62. The method of claim 59 , wherein the other agent is a free radical scavenger.
63. The method of claim 53 wherein the pharmaceutical preparation further comprises a vasoconstrictor.
64. The method of claim 63 for reducing or preventing hair loss.
65. The method of claim 64 wherein the vasoconstrictor comprises one or more members selected from the group consisting of epinephrine, capoten, enalapril, lisinopril, zolmitriptan, tetrahydrozaline, phenylephrine, procainimide, and nitric oxide.
66. The method of claim 65 wherein the vasoconstrictor comprises epinephrine.
67. The method of claim 66 comprising 3-methylamino-2-methylaminomethyl-propane-1-thiol or 3-amino-2-aminomethyl-propane-1-thiol.
68. The method of claim 63 , wherein the vasoconstrictor is present in an amount effective for one or more members selected from the group consisting of restricting systemic distribution or absorption of the compound; constricting surface blood vessels thereby prolonging the contact time with the compound; transiently constricting skin blood vessels to reduce the amount of systemic chemotherapy arriving at epidermal and follicular matrix stem cells; and transiently constricting skin blood vessels to reduce the amount of oxygenated blood arriving at epidermal and follicular matrix stem cells.
69. The method of claim 68 wherein the vasoconstrictor comprises epinephrine.
70. The method of claim 69 wherein the epinephrine is present in an amount effective for restricting systemic distribution or absorption of the compound of Formula II, or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt or polyprotonated acid salt thereof.
71. A method of increasing a patient's tolerance to a chemotherapeutic agent or radiation therapy comprising:
administering the chemotherapeutic agent or radiation therapy to the patient; and
administering a pharmaceutical preparation comprising:
a compound of Formula II according to
wherein:
A is a member selected from the group consisting of:
J is a member selected from the group consisting of a single bond and —CH(Y)—;
L is a member selected from the group consisting of —CH 2 X 1 , —SH, and —CHX 2 (X 3 );
X 1 is a member selected from the group consisting of —SH and —R 1 —SH;
X 2 and X 3 are each independently a member selected from the group consisting of —H, —SH and —R 1 —SH, provided that at least one of X 2 and X 3 other than —H or —SH;
Y is a member selected from the group consisting of —H, alkyl, and —R 2 -D;
D is a member selected from the group consisting of —OH, —SR 3 , and —NR 3 R 4 ;
R 3 is a member selected from the group consisting of —H and lower alkyl;
R 4 is a member selected from the group consisting of —H, lower alkyl, and —R 5 -D;
each Q is independently a member selected from the group consisting of —H, lower alkyl, and —R 6 —SR 3 , provided that when L is —SH, at least one of Q is other than —H; and,
each R 1 , R 2 , R 5 , and R 6 is independently C 1-6 alkylene; and,
or a stereoisomer, pharmaceutically-acceptable salt, monoprotonated acid salt or polyprotonated acid salt thereof, and
a topical delivery vehicle for locally delivering the compound to dermal or mucosal cells being a member selected from the group consisting of skin, scalp, mouth, nasoesophageal, gastrointestinal and urogenital system,
wherein the pharmaceutical preparation is administered one or more times, in an amount and for a time effective, to the patient for reducing or preventing one or more members selected from the group consisting of chemotherapy- or radiation therapy-induced hair loss, dermatitis, mucositis and gastrointestinal distress, thereby increasing the patient's tolerance to the chemotherapeutic agent or radiation therapy.