Method of treating leukemia using pharmaceutical formulation containing thienotriazolodiazepine compounds
A method of treating leukemia in a mammal by administering a solid dispersion comprising an amorphous thienotriazolodiazepine compound of the Formula (1) wherein R 1 is alkyl having a carbon number of 1-4, R 2 is a hydrogen atom; a halogen atom; or alkyl having a carbon number of 1-4 optionally substituted by a halogen atom or a hydroxyl group, R 3 is a halogen atom; phenyl optionally substituted by a halogen atom, alkyl having a carbon number of 1-4, alkoxy having a carbon number of 1-4 or cyano; —NR 5 —(CH 2 ) m —R 6 wherein R 5 is a hydrogen atom or alkyl having a carbon number of 1-4, m is an integer of 0-4, and R 6 is phenyl or pyridyl optionally substituted by a halogen atom; or —NR 7 —CO—(CH 2 ) n —R 8 wherein R 7 is a hydrogen atom or alkyl having a carbon number of 1-4, n is an integer of 0-2, and R 8 is phenyl or pyridyl optionally substituted by a halogen atom, and R 4 is —(CH 2 ) a —CO—NH—R 9 wherein a is an integer of 1-4, and R 9 is alkyl having a carbon number of 1-4; hydroxyalkyl having a carbon number of 1-4; alkoxy having a carbon number of 1-4; or phenyl or pyridyl optionally substituted by alkyl having a carbon number of 1-4, alkoxy having a carbon number of 1-4, amino or a hydroxyl group or —(CH 2 ) b —COOR 10 wherein b is an integer of 1-4, and R 10 is alkyl having a carbon number of 1-4, or a pharmaceutically acceptable salt thereof or a hydrate or solvate thereof.
1. A method of treating leukemia cancer independently selected from the group consisting of: acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML) (or myeloblastic), chronic lymphocytic leukemia (CLL), and chronic myelogenous leukemia (CIVIL) in a mammal comprising the step of:
administering to a patient a pharmaceutically acceptable amount of a compound which is amorphous (S)-2-[4-(4-chlorophenyl)-2,3,9-trimethyl-6H-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepin-6-yl]-N-(4-hydroxyphenyl)acetamide dihydrate formed in a solid dispersion having an X-ray powder diffraction pattern substantially free of diffraction lines associated with crystalline (S)-2-[4-(4-chlorophenyl)-2,3,9-trimethyl-6H-thieno[3,2-f][1,2,-4]triazolo[4,3-a][1,4]diazepin-6-yl]-N-(4-hydroxyphenyl)acetamide dehydrate and a pharmaceutically acceptable polymer which is hydroxypropylmethylcellulose acetate succinate, having a compound:polymer weight ratio of 1:3 to 1:1 and single glass transition temperature (Tg) inflection point ranging from about 130° C. to about 140° C.
2. The method according to claim 1 , further comprising: administering at least one other therapeutic agent.
3. The method according to claim 2 , wherein (S)-2-[4-(4-chlorophenyl)-2,3,9-trimethyl-6H-thieno[3,2-f][1,2,-4]triazolo[4,3-a][1,4]diazepin-6-yl]-N-(4-hydroxyphenyl)acetamide dihydrate and the at least one other therapeutic agent are administered concomitant.
4. The method according to claim 2 , wherein (S)-2-[4-(4-chlorophenyl)-2,3,9-trimethyl-6H-thieno[3,2-f][1,2,-4]triazolo[4,3-a][1,4]diazepin-6-yl]-N-(4-hydroxyphenyl)acetamide dihydrate or the pharmaceutically acceptable salt thereof and the at least one other therapeutic agent are administered sequentially.
5. The method according to claim 2 , wherein the at least one other therapeutic agent is independently selected from the group consisting of an epigenetic modulator, a glucocorticoid, an m-TOR inhibitor, an HDAC-inhibitor, demethylating agent, an anthracycline, an analogue of cytidine and a cytotoxic drug.
6. The method according to claim 5 , wherein the demethylating agent is decitabine.
7. The method according to claim 5 , wherein the HDAC-inhibitor is vorinostat or panobinostat.
8. The method according to claim 5 , wherein the mTOR inhibitor is everolimus.
9. The method according to claim 5 , wherein the cytotoxic drug is selected from the group consisting of cytarabine or methotrexate.
10. The method according to claim 5 , wherein the analogue of cytidine is azacytidine.
11. The method according to claim 5 , wherein the anthracycline is daunorubicin.
12. The method according to claim 5 , wherein the glucocorticoid is dexamethasone.
13. The method according to claim 1 , wherein the solid dispersion has powder x-ray diffraction profile substantially as shown in FIG. 3 .
14. The method according to claim 1 , wherein the single glass transition temperature (Tg) inflection point is substantially as shown in FIG. 4C .