IP Library Patent Application 15781019
Patent Application
App. No. 15/781,019

METHODS OF TREATMENT OF MALIGNANCIES

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Patent No.
US None
App. No.
15/781,019
Abstract

Provided are methods and compositions for treating cancers in patients carrying an IDH1 mutation or IDH2 mutation.

Claims (38)

1 . A method of treating a hematological malignancy in a subject comprising administering to the subject a mutant isocitrate dehydrogenase 1 (IDH1) inhibitor (S)-N-((S)-1-(2-chlorophenyl)-2-((3,3-difluorocyclobutyl)amino)-2-oxoethyl)-1-(4-cyanopyridin-2-yl)-N-(5-fluoropyridin-3-yl)-5-oxopyrrolidine-2-carboxamide, having the following formula:

or a pharmaceutically acceptable salt, solvate, tautomer, stereoisomer, isotopologue, prodrug, metabolite, or a polymorph thereof (COMPOUND 2), wherein the hematological malignancy is a malignancy characterized by the presence of a mutant allele of IDH1 and the absence of an RAS mutation.

2 - 3 . (canceled)

4 . A method of treating a solid tumor in a subject comprising administering to the subject a mutant isocitrate dehydrogenase 1 (IDH1) inhibitor (S)-N-((S)-1-(2-chlorophenyl)-2-((3,3-difluorocyclobutyl)amino)-2-oxoethyl)-1-(4-cyanopyridin-2-yl)-N-(5-fluoropyridin-3-yl)-5-oxopyrrolidine-2-carboxamide, having the following formula:

or a pharmaceutically acceptable salt, solvate, tautomer, stereoisomer, isotopologue, prodrug, metabolite, or a polymorph thereof (COMPOUND 2), wherein the solid tumor is characterized by the presence of a mutant allele of IDH1 and the absence of an RAS mutation.

5 - 6 . (canceled)

7 . A method of treating a hematological malignancy in a subject comprising administering to the subject a mutant isocitrate dehydrogenase 1 (IDH1) inhibitor (S)-N-((S)-1-(2-chlorophenyl)-2-((3,3-difluorocyclobutyl)amino)-2-oxoethyl)-1-(4-cyanopyridin-2-yl)-N-(5-fluoropyridin-3-yl)-5-oxopyrrolidine-2-carboxamide, having the following formula:

or a pharmaceutically acceptable salt, solvate, tautomer, stereoisomer, isotopologue, prodrug, metabolite, or a polymorph thereof (COMPOUND 2) in combination with a RAS pathway inhibitor, wherein the hematological malignancy is a malignancy characterized by the presence of a mutant allele of IDH1 and a mutant RAS.

8 . The method of claim 7 , wherein the RAS mutation is an NRAS mutation.

9 . The method of claim 7 , wherein the RAS mutation is a KRAS mutation.

10 . A method of treating a solid tumor in a subject comprising administering to the subject a mutant isocitrate dehydrogenase 1 (IDH1) inhibitor (S)-N-((S)-1-(2-chlorophenyl)-2-((3,3-difluorocyclobutyl)amino)-2-oxoethyl)-1-(4-cyanopyridin-2-yl)-N-(5-fluoropyridin-3-yl)-5-oxopyrrolidine-2-carboxamide, having the following formula:

or a pharmaceutically acceptable salt, solvate, tautomer, stereoisomer, isotopologue, prodrug, metabolite, or a polymorph thereof (COMPOUND 2) in combination with a RAS pathway inhibitor, wherein the solid tumor characterized by the presence of a mutant allele of IDH1 and a mutant RAS.

11 . The method of claim 10 , wherein the RAS mutation is an NRAS mutation.

12 . The method of claim 10 , wherein the RAS mutation is a KRAS mutation.

13 . The method of claim 7 , wherein the IDH1 mutation is an IDH1 R132X mutation.

14 . The method of claim 13 , wherein the IDH1 mutation is an IDH1 R132H, R132C, R132L, R132V, R132S or R132G mutation.

15 . The method of claim 7 , wherein the a RAS pathway inhibitor is a MEK kinase inhibitor.

16 . The method of claim 15 , wherein the MEK kinase inhibitor is selected from trametinib, selumetinib, binimetinib, PD-325901, cobimetinib, CI-1040 and PD035901.

17 . The method of claim 1 or 117 , wherein the malignancy is acute myelogenous leukemia (AML), myelodysplastic syndrome (MDS, myeloproliferative neoplasms (MPN), chronic myelomonocytic leukemia (CMML), B-acute lymphoblastic leukemias (B-ALL), or lymphoma (e.g., T-cell lymphoma), each characterized by the presence of a mutant allele of IDH1 and the method comprises administering a therapeutically effective amount of COMPOUND 2 to the subject.

18 . The method of claim 17 , wherein the malignancy is acute myelogenous leukemia (AML).

19 . The method of claim 114 or 1110 , wherein the solid tumor is glioma, melanoma, chondrosarcoma, cholangiocarcinoma (including intrahepatic cholangiocarcinoma (IHCC), prostate cancer, colon cancer, or non-small cell lung cancer (NSCLC), each characterized by the presence of a mutant allele of IDH1 and the method comprises administering a therapeutically effective amount of COMPOUND 2 to the subject.

20 . The method of claim 7 , wherein the dose of COMPOUND 2 is about 20 to about 2000 mg/day.

21 . The method of claim 7 , wherein the dose of COMPOUND 2 is about 50 to 500 mg/day.

22 - 26 . (canceled)

27 . A method of identifying a cancer subject suitable for treatment with a combination of an IDH1 inhibitor and a RAS pathway inhibitor, comprising: (a) obtaining a biological sample from a subject having cancer; (b) screening the biological sample for an IDH1 mutation and an RAS mutation; and (c) if the cancer is characterized by the presence of a mutant allele of IDH1 and a mutant RAS, identifying the subject as a cancer subject suitable for treatment with a combination therapy with an IDH1 inhibitor and a RAS pathway inhibitor.

28 . The method of claim 27 , wherein the RAS mutation is an NRAS mutation.

29 . The method of claim 27 , wherein the RAS mutation is a KRAS mutation.

30 . The method of claim 27 , wherein the IDH1 inhibitor is COMPOUND 2.

31 . The method of claim 27 , wherein the RAS pathway inhibitor is selected from trametinib, selumetinib, binimetinib, PD-325901, cobimetinib, CI-1040 and PD035901.

32 . The method of claim 27 , wherein the cancer is a solid tumor or a hematologic malignancy.

33 . The method of claim 32 , wherein the hematologic malignancy is AML.

34 . The method of claim 27 , wherein the cancer is relapsed or refractory.

35 . The method of claim 33 , wherein the AML is relapsed or refractory.

36 . The method of claim 7 , wherein the subject has 3 or less co-occuring mutations.

37 . The method of claim 8 , wherein the NRAS mutation is at a residue G12, G13 or Q61.

38 - 62 . (canceled)

63 . The method of claim 17 , wherein the hematologic malignancy is relapsed or refractory.

64 . The method of claim 18 , wherein the AML is relapsed or refractory.

Assignments (4)
CORRECTIVE ASSIGNMENT TO CORRECT THE ASSIGNEE NAME SERVIER PHARMACEUTICALS LLC BY REMOVAL OF COMMA AND UPDATING ZIP CODE TO 02210 PREVIOUSLY RECORDED ON REEL 056224 FRAME 0921. ASSIGNOR(S) HEREBY CONFIRMS THE CORRECTIVE ASSIGNMENT. Recorded Oct 28, 2021
From: AGIOS PHARMACEUTICALS, INC.
To: SERVIER PHARMACEUTICALS LLC
Reel/Frame 057970/0314 →
CORRECTIVE ASSIGNMENT TO CORRECT THE APPLICATION NO. 10,172,864 TO THE CORRECT APP NO. 61/160,253 PREVIOUSLY RECORDED ON REEL 056179 FRAME 0417. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT. Recorded May 12, 2021
From: AGIOS PHARMACEUTICALS, INC.
To: SERVIER PHARMACEUTICALS, LLC
Reel/Frame 056224/0921 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 7, 2021
From: AGIOS PHARMACEUTICALS, INC.
To: SERVIER PHARMACEUTICALS, LLC
Reel/Frame 056179/0417 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 25, 2018
From: WU, BIN; CHOE, SUNG EUN
To: AGIOS PHARMACEUTICALS, INC.
Reel/Frame 046192/0274 →