Phosphoramidate derivatives of 5-fluoro-2′-deoxyuridine for use in the treatment of cancer
Phosphoramidate derivatives of 5-fluoro-2′-deoxyuridine are disclosed for use in the treatment of cancer, especially in the treatment of cancer where the patient shows resistance, for example, in a patient with cells with a lowered level of nucleoside transporter proteins and/or with nucleoside kinase-deficient cells and/or with mycoplasma -infected cells and/or with cells with a raised level of thymidylate synthase.
1. A method of treatment of cancer comprising administering to a Homo sapiens patient in need of such treatment an effective dose of 5-fluoro-2′-deoxyuridine-5′-O-[1-naphthyl (benzoxy- L -alaninyl)] phosphate (CPF373), or a pharmaceutically acceptable salt thereof, wherein the patient has developed or has the potential to develop resistance in tumour cells with respect to the activity of 5-fluoracil (5-FU) or 5-fluoro-2′-deoxyuridine (5-FdUrd), and wherein the cancer is selected from gastrointestinal cancer, leukemia, lymphoma, pancreatic cancer, prostate cancer, lung cancer, breast cancer, cervical cancer, head and neck cancer, and ovarian cancer.
2. The method according to claim 1 wherein the cancer is selected from leukemia, lymphoma, pancreatic, prostate, lung, breast and cervical cancer.
3. The method according to claim 1 wherein the cancer is selected from, gastrointestinal cancer, head and neck cancer, and ovarian cancer.
4. The method according to claim 1 wherein the patient has cells with a lowered level of nucleoside transporter proteins.
5. The method according to claim 1 wherein the patient has nucleoside kinase-deficient cells.
6. The method according to claim 1 wherein the patient has mycoplasma -infected cells.
7. The method according to claim 1 wherein the patient has cells with a raised level of thymidylate synthase (TS).
8. The method according to claim 1 , wherein the patient is susceptible to nucleoside degradation by catabolic enzymes.
9. The method according to claim 8 wherein the catabolic enzymes are selected from thymidine phosphorylase, uridine phosphorylase and deoxycytidine deaminase.
10. The method according claim 1 in conjunction with other cancer therapy.
11. The method of claim 1 wherein said cancer is breast cancer.
12. The method of claim 1 wherein said cancer is lung cancer.
13. The method of claim 1 wherein said cancer is gastrointestinal cancer.
14. The method of claim 13 wherein said gastrointestinal cancer is selected from oesophageal cancer, gastric cancer, small intestine cancer, stomach cancer, and colon and rectum cancer.
15. The method of claim 14 wherein said cancer is colon and rectum cancer.
16. The method of claim 1 wherein the resistance is characterized by upregulation of catabolic enzymes.
17. The method of claim 16 wherein the catabolic enzymes are selected from thymidine phosphorylase, uridine phosphorylase and deoxycytidine deaminase.